ST DOMINIC HEALTH SERVICES INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- ST DOMINIC HEALTH SERVICES INC (EIN 64-0714999)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-15
- IRS object ID
- 201713199349302756
- Schema version
- 2016v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-15T08:10:32-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 190 E Capitol Street Ste 500 | AddressLine1Txt |
| City | Jackson | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 392012190 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 640714999 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Dominic Health Services Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % DEIDRA S BELL | InCareOfNm |
| Business Name Control | STDO | BusinessNameControlTxt |
| Phone | 6012006844 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 969 Lakeland Drive | AddressLine1Txt |
| City | Jackson | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 392164699 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CLAUDE W HARBARGER | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 6012006642 | PhoneNum |
| Signature | 2017-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Dustin W Taylor CPA | PreparerPersonNm |
| PTIN | P01250644 | PTIN |
| Phone | 6019486700 | PhoneNum |
| Preparation | 2017-11-15 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.126.162 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 64248120173195000000 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2017-11-15 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 74CF8E2DF6EBF5F986EFE73E85371C9B6A8296EA | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | CF5319EC68413B756C2D890789F1DA1A3337D355 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Claude W Harbarger | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 969 Lakeland Drive | AddressLine1Txt |
| City | Jackson | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 392164699 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $17,756,127 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.stdom.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1985 | FormationYr |
| Legal Domicile State | MS | LegalDomicileStateCd |
| Activity Or Mission | A not for profit membership corporation, that is the sole member for St. Dominic-Jackson Memorial Hospital, St. Catherine's Village, Inc., (continues on schedule O) | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 48 | TotalEmployeeCnt |
| Total Volunteers | 8 | TotalVolunteersCnt |
| Total Gross UBI | $118,514 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,500,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,750,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,951,626 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,218,416 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,781,637 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,124,072 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $11,233,263 | PYTotalRevenueAmt |
| CY Total Revenue | $7,092,488 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,081,212 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,502,113 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,390,473 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,618,286 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $804,983 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,330,253 | PYOtherExpensesAmt |
| CY Other Expenses | $4,893,617 | CYOtherExpensesAmt |
| PY Total Expenses | $10,801,938 | PYTotalExpensesAmt |
| CY Total Expenses | $12,014,016 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $431,325 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$4,921,528 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $246,664,112 | TotalAssetsBOYAmt |
| Total Assets EOY | $244,533,462 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $98,045,562 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $98,765,348 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $148,618,550 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $145,768,114 | NetAssetsOrFundBalancesEOYAmt |
| Mission | INSPIRED BY THE TEACHINGS OF JESUS CHRIST AND THE WITNESS OF ITS FOUNDING DOMINICAN SISTERS, ST. DOMINIC'S PROVIDES COMPASSIONATE CARE AND HOPE AS A HEALING MINISTRY OF THE CATHOLIC CHURCH. CARING FOR THE SICK, THE INJURED, AND THE DYING IS A VISIBLE, PUBLIC CONTINUATION OF CHRIST'S HEALING MINISTRY. PROMOTING THE WELL BEING OF INDIVIDUALS AND THE COMMUNITY ARE ADDITIONAL SIGNS OF ST. DOMINIC'S COMMITMENT TO THE COMMON GOOD. JUST AS JESUS CAME TO MAKE HIS FATHER KNOWN AND LOVED, SO ST. DOMINIC'S, THROUGH WORKS OF MERCY, SEEK TO EXTEND THIS MISSION. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $4,148,569 | ExpenseAmt |
| Revenue | $2,218,416 | RevenueAmt |
| Desc | St. Dominic Health Services (SDHS) is the parent company of a multi dimensional provider of health care services with corporate headquarters in Jackson, MS. SDHS provides management services to its affiliated companies including the following entities: St. Dominic - Jackson Memorial Hospital I. 571-Bed Adult Tertiary Referral Center II. Serves a broad area encompassing Jackson and most of Central Mississippi III. Includes primary and specialty physician services St. Catherine's Village, Inc. I. Adult congregate living facility with 247 independent living beds and 54 assisted living beds II. Licensed nursing home with 120 beds III. Licensed 60-bed Memory Support unit Community Health Services - St. Dominic, Inc. I. The Club (St. Dominic's Community Wellness Program) provides fitness services with an emphasis on medical fitness for those recovering from illness and for senior adults. II. New Directions for over 55 (Senior Adult Program)provides education and services to help keep senior adults active and engaged. III. Care-A-Van Mobile Health Screening Unit provides health screenings across Central Mississippi with focus on underserved populations. IV. Community Health Clinic provides primary care to the uninsured in an underserved area of Jackson. V. School Nurse Program provides registered nurses to the Madison County Middle and Elementary schools. Limited services are also provided to a high school located in an underserved area of the district. St. Dominic Health Services Foundation, Inc. I. Fundraising and Giving Initiatives that support the mission and vision of SDHS and its subsidiaries First Intermed Corporation I. Operates 13 ambulatory/industrial medicare or primary care clinics to make these services more accessible in the state. St. Dominic Madison Health Services, Inc. I. Supports the SDHS mission through operation of a medical office building that increases access to health services II. Partners in the operation of a health and wellness center in Madison County that offers family - oriented health and fitness services | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,502,113 | ExpenseAmt |
| Grant | $2,502,113 | GrantAmt |
| Desc | INSPIRED BY THE TEACHINGS OF JESUS CHRIST AND THE WITNESS OF OUR FOUNDING DOMINICAN SISTERS, SDHS PROVIDES COMPASSIONATE CARE AND HOPE AS A HEALING MINISTRY OF THE CATHOLIC CHURCH. SDHS SUPPORTS THE CONGREGATION OF DOMINICAN SISTERS OF SPRINGFIELD ILLINOIS THROUGH ITS SUPPORT OF OTHER CHARITABLE ORGANIZATIONS IN THE COMMUNITY THAT HAVE MISSIONS IN COMMON WITH THE CHURCH. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $6,650,682 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 25 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 48 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DEIDRA S BELL | PersonNm |
| Phone | 6012006642 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 969 LAKELAND DRIVE | AddressLine1Txt |
| City | JACKSON | CityNm |
| State Abbreviation | MS | StateAbbreviationCd |
| ZIP | 392164699 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Sister M Dorothea Sondgeroth | ||||||||
| Vice Chairman | 40.0 | 0.5 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Sister Mary Trinita Eddington | ||||||||
| Secretary | 4.0 | 37.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Richard Hickson | ||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| E B Robinson | ||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Marcelo J Ruvinsky MD | ||||||||
| Chairman | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Claude W Harbarger | ||||||||
| President | 40.0 | 2.0 | Yes (X) | Yes (X) | $844,189 | $0 | $108,728 | |
| Sister Kathleen Gallagher | ||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Bishop Joseph Kopacz | ||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Sister Beth Murphy | ||||||||
| Director | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Deidra S Bell | ||||||||
| Treasurer & CFO | 40.0 | 2.0 | Yes (X) | $449,398 | $0 | $53,397 | ||
| JAMES JETER | ||||||||
| EXECUTIVE DIRECTOR OF FDN | 0.0 | 40.0 | $242,870 | $0 | $37,970 | Yes (X) | ||
| FRANK LENOIR | ||||||||
| VP OF HUMAN RESOURCES | 16.0 | 24.0 | $257,388 | $0 | $19,698 | Yes (X) | ||
| KAREN THOMAS | ||||||||
| CONTROLLER | 40.0 | 0.0 | $137,611 | $0 | $12,828 | Yes (X) | ||
| WILLIAM SCRUGGS | ||||||||
| SPECIAL PROJECTS COORDINATOR | 40.0 | 0.0 | $105,898 | $0 | $23,596 | Yes (X) | ||
| JONATHAN WERNE | ||||||||
| VP - LEGAL SERVICES | 40.0 | 0.0 | $146,801 | $0 | $13,556 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,184,155 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $269,773 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| FOX EVERETT | |||||
| PO BOX 6006 | RIDGELAND | MS | 391586006 | Administrative | $699,670 |
| BRUNINI GRANTHAM GROWER HEWES | |||||
| PO DRAWER 119 | JACKSON | MS | 39205 | LEGAL SERVICES | $687,146 |
| AETNA | |||||
| PO BOX 70944 | CHICAGO | IL | 60673 | ADMINISTRATIVE | $441,807 |
| DOMINICAN SISTERS OF SPRINGFIELD I | |||||
| 1237 WEST MONROE ST | SPRINGFIELD | IL | 627041680 | CONTRACT SERVICES | $377,168 |
| IRONSHORE INSURANCE SERVICES LLC | |||||
| 605 RENAISSANCE WAY | RIDGELAND | MS | 39157 | ADMINISTRATIVE | $335,665 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,750,000 | RelatedOrganizationsAmt |
| Total Contributions | $1,750,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Management Revenue | 561000 | $890,004 | $890,004 |
| Other Revenue | 561499 | $694,322 | $694,322 |
| Health Service Revenue | 531120 | $634,090 | $634,090 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,218,416 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $993,577 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $118,514 | UnrelatedBusinessRevenueAmt |
| Exclusion | $875,063 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $12,794,134 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $10,663,639 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,130,495 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,130,495 | TotalRevenueColumnAmt |
| Exclusion | $2,130,495 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,092,488 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,218,416 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $118,514 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,005,558 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,502,113 | TotalAmt |
| Program Services | $2,502,113 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,455,713 | TotalAmt |
| Management And General | $1,455,713 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,367,187 | TotalAmt |
| Management And General | $1,854,098 | ManagementAndGeneralAmt |
| Fundraising | $513,089 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $496,255 | TotalAmt |
| Management And General | $483,238 | ManagementAndGeneralAmt |
| Fundraising | $13,017 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,526 | TotalAmt |
| Management And General | $90,299 | ManagementAndGeneralAmt |
| Fundraising | $37,227 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,605 | TotalAmt |
| Management And General | $154,657 | ManagementAndGeneralAmt |
| Fundraising | $16,948 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $399,063 | TotalAmt |
| Management And General | $397,455 | ManagementAndGeneralAmt |
| Fundraising | $1,608 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,171 | TotalAmt |
| Management And General | $74,891 | ManagementAndGeneralAmt |
| Fundraising | $13,280 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,000 | TotalAmt |
| Management And General | $48,000 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,657 | TotalAmt |
| Program Services | $32,657 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $813,604 | TotalAmt |
| Program Services | $744,764 | ProgramServicesAmt |
| Fundraising | $68,840 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,975 | TotalAmt |
| Program Services | $76,621 | ProgramServicesAmt |
| Fundraising | $4,354 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,101 | TotalAmt |
| Program Services | $39,526 | ProgramServicesAmt |
| Fundraising | $1,575 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,905 | TotalAmt |
| Program Services | $26,905 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,676 | TotalAmt |
| Program Services | $123,676 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,951 | TotalAmt |
| Program Services | $114,558 | ProgramServicesAmt |
| Fundraising | $9,393 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $376,862 | TotalAmt |
| Program Services | $376,862 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $994,247 | TotalAmt |
| Program Services | $993,525 | ProgramServicesAmt |
| Fundraising | $722 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,427 | TotalAmt |
| Program Services | $38,427 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt |
|---|---|---|---|
| ADMIN SUNDRY | $947,480 | $938,393 | $9,087 |
| MISC BLDG EXPENSE | $360,684 | $360,684 | |
| SUPPLIES | $134,968 | $133,437 | $1,531 |
| FUNDRAISING CAMPAIGN | $99,859 | $99,859 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,987 | TotalAmt |
| Program Services | $148,534 | ProgramServicesAmt |
| Fundraising | $14,453 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,014,016 | TotalAmt |
| Program Services | $6,650,682 | ProgramServicesAmt |
| Management And General | $4,558,351 | ManagementAndGeneralAmt |
| Fundraising | $804,983 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,207,322 | BOYAmt |
| EOY | $1,956,848 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,138,842 | BOYAmt |
| EOY | $11,042,359 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,260 | BOYAmt |
| EOY | $12,159 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $41,407,775 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,007,665 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,823,268 | BOYAmt |
| EOY | $34,400,110 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,481,546 | BOYAmt |
| EOY | $198,160,715 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $973,874 | BOYAmt |
| EOY | -$1,038,729 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,664,112 | BOYAmt |
| EOY | $244,533,462 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,659,032 | BOYAmt |
| EOY | $18,864,228 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,201,700 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,184,830 | BOYAmt |
| EOY | $79,901,120 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,045,562 | BOYAmt |
| EOY | $98,765,348 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $148,618,550 | BOYAmt |
| EOY | $145,768,114 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $148,618,550 | BOYAmt |
| EOY | $145,768,114 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,664,112 | BOYAmt |
| EOY | $244,533,462 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$4,921,528 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,909,054 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,837,962 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Supported Organizations | 22 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (22 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| ALZHEIMER'S ASSOCIATION | ||||
| 640786327 | 7 | false | $7,500 | $0 |
| AMERICAN CANCER SOCIETY | ||||
| 131788491 | 7 | false | $58,333 | $0 |
| AMERICAN HEART ASSOCIATION | ||||
| 135613797 | 7 | false | $25,000 | $0 |
| BB KING MUSEUM | ||||
| 460501512 | 7 | false | $10,000 | $0 |
| CATHOLIC CHARITIES | ||||
| 640466850 | 9 | false | $13,000 | $0 |
| CATHOLIC DIOCESE OF JACKSON | ||||
| 640303073 | 1 | false | $25,000 | $0 |
| FONDREN RENAISSANCE | ||||
| 640873626 | 7 | false | $9,000 | $0 |
| FOUNDATION FOR MS HISTORY | ||||
| 202649529 | 7 | false | $20,000 | $0 |
| GREATER JACKSON CHAMBER OF COMMERCE | ||||
| 640180340 | 7 | false | $19,975 | $0 |
| JACKSON HEART FOUNDATION | ||||
| 270723542 | 7 | false | $20,000 | $0 |
| JACKSON ZOO | ||||
| 640933460 | 7 | false | $7,000 | $0 |
| JUNIOR LEAGUE OF JACKSON | ||||
| 646011106 | 7 | false | $10,000 | $0 |
| MISSISSIPPI CHILDREN'S MUSEUM | ||||
| 640850010 | 7 | false | $25,000 | $0 |
| MISSISSIPPI OPERA | ||||
| 237113188 | 7 | false | $10,000 | $0 |
| MISSISSIPPI SYMPHONY ORCHESTRA | ||||
| 640273405 | 7 | false | $30,800 | $0 |
| NATIONAL MULTIPLE SCLEROSIS SOCIETY | ||||
| 135861935 | 7 | false | $7,500 | $0 |
| OUR LADY OF THE LAKE FDN FRANCISCAN RELIEF FUND | ||||
| 721014324 | 7 | false | $10,000 | $0 |
| PAUL LACOSTEFIT 4 CHANGE | ||||
| 261219564 | 7 | false | $40,000 | $0 |
| ST CATHERINE'S VILLAGE | ||||
| 640714997 | 10 | false | $611,251 | $0 |
| ST JOSEPH CATHOLIC SCHOOL | ||||
| 640354039 | 2 | false | $80,000 | $0 |
| COMMUNITY HEALTH SERVICES - ST DOMINIC | ||||
| 640884870 | 7 | false | $1,339,344 | $0 |
| THE CONGREGATION OF DOMINICAN SISTERS OF SPRINGFIELD IL | ||||
| 370968955 | 1 | Yes (true) | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 22 | SupportedOrganizationsTotalCnt |
| Support Sum | $2,378,703 | SupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | false | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | Yes (true) | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (true) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | Yes (true) | OperateBenefitNonSuprtOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, SECTION A, LINE 1: | SDHS IS A SUPPORTING ORGANIZATION THAT IS OPERATED, SUPERVISED, OR CONTROLLED BY ITS SUPPORTED ORGANIZATION, THE CONGREGATION OF DOMINICAN SISTERS OF SPRINGFIELD ILLINOIS. SDHS' CHARTER OF INCORPORATION STATES THAT IT IS ORGANIZED, AND AT ALL TIMES OPERATED, EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF THE CONGREGATION OF DOMINICAN SISTERS OF SPRINGFIELD ILLINOIS AND THE ROMAN CATHOLIC CHURCH. THE PRIMARY PURPOSES, AS DESCRIBED IN THE CHARTER OF INCORPORATION, INCLUDE: 1. TO OWN AND/OR OPERATE A GENERAL HOSPITAL COMPRISING FACILITIES FOR DIAGNOSIS AND TREATMENT OF MEDICAL, SURGICAL AND PSYCHIATRIC PATIENTS (AND ASSOICATED SERVICES SUCH AS, BUT NOT LIMITED TO, EXTENDED CARE, OUTPATIENT CARE, AND HOME CARE). 2. TO PROVIDE HEALTH SERVICES ACCORDING TO THE NEEDS OF THE COMMUNITY SERVED THROUGH A CONTINUAL DEVELOPMENT OF NEW IDEAS, TALENTS AND RESOURCES IN HEALTH, EDUCATION AND RESEARCH. 3. TO MAINTAIN SAFE, HARMONIOUS AND EFFICIENT INSTITUTIONS TO DELIVER MEDICAL AND GENERAL HEALTH CARE SERVICES. 4. TO CARRY ON EDUCATIONAL AND RESEARCH ACTIVITIES RELATING TO HEALTH CARE AND ITS FURTHERANCE. 5. TO PARTICIPATE IN ACTIVITIES SUCH AS DISASTER AND SAFETY PROGRAMS DESIGNED AND CARRIED OUT TO PROMOTE AND SAFEGUARD THE GENERAL HEALTH OF THE COMMUNITY. 6. TO PROVIDE FOR THE SPIRITUAL AND PHYSICAL WELFARE OF THE SICK AND AFFLICTED WITHOUT REGARD TO RACE, COLOR, AGE, SEX, POLITICAL OR RELIGIOUS BELIEF AND TO EXEMPLIFY A SPIRIT OF ECUMENISM AND CHRIST-LIKE CHARITY IN ALL ITS AREAS OF HEALTH CARE ACTIVITIES AND IN ALL PHASES OF HUMAN RELATIONS. 7. TO PROVIDE, WITHIN THE CORPORATION'S REASONABLE FINANCIAL MEANS, CHARITABLE SERVICES FOR THOSE FOUND TO BE MEDICALLY OR OTHERWISE INDIGENT. 8. TO ESTABLISH AND OPERATE RETIREMENT FACILITIES FOR THE AGED, WHERE CONSISTENT WITH ITS MISSION. 9. TO ESTABLISH AND OPERATE NURSING HOMES, HOSPICES AND HOME HEALTH AGENCIES, WHERE CONSISTENT WITH ITS MISSION. 10. TO ESTABLISH AND OPERATE AMBULATORY CARE FACILITIES AND ANY AND ALL OTHER OUTREACH OR OUTPATIENT CLINICAL SERVICES. 11. TO ESTABLISH, MAINTAIN AND OPERATE ANY OTHER MEDICAL OR HEALTH RELATED FACILITY OR PROGRAM THAT IS NOT INCONSISTENT WITH ITS MISSION. SDHS IS TO APPLY FUNDS AT SUCH TIME, IN SUCH MANNER, AND IN SUCH AMOUNTS AS IT DETERMINES FOR THE USES AND PURPOSES STATED ABOVE, OR IT MAY MAKE CONTRIBUTIONS TO OTHER CHARITABLE ORGANIZATIONS TO BE USED WITHIN THE UNITED STATES FOR SUCH PURPOSES OR USES. SDHS RECOGNIZES ITS BASIC PARTICIPATION IN THE MISSION OF THE CHURCH, WHICH INVOLVES TWO MAIN MINISTRIES: EDUCATION AND HEALTHCARE. SDHS SUPPORTS THE CONGREGATION THROUGH ITS SUPPORT OF OTHER CHARITABLE ORGANIZATIONS IN THE COMMUNIUTY THAT HAVE MISSIONS IN COMMON WITH THE CHURCH. ALL ORGANIZATIONS LISTED AS BEING SUPPORTED BY SDHS HAVE AN EDUCATIONAL OR HEALTH CARE RELATED MISSION OR ARE ORGANIZATIONS THAT PROVIDE BENEFITS TO THE COMMUNITY IN WHICH SDHS IS LOCATED, WHICH INDIRECTLY IMPACTS EDUCATION AND HEALTHCARE WITHIN THE COMMUNITY. |
| PART IV, SECTION A, LINE 2: | THE FOLLOWING ORGANIZATIONS DO NOT HAVE AN IRS DETERMINATION OF STATUS UNDER SECTION 509(A)(1) OR (2): CATHEDRAL OF ST. PETER THE APOSTLE CATHOLIC DIOCESE OF JACKSON THE ABOVE ORGANIZATIONS ARE CONSIDERED RELIGIOUS ORGANIZATIONS THAT MAY NOT BE REQUIRED TO OBTAIN RECOGNITION OF ITS PUBLIC CHARITY STATUS. |
| PART IV, SECTION B, LINE 2: | AS STATED IN SDHS' BYLAWS, ITS PURPOSE IS TO SERVE AS A VISIBLE WITNESS TO THE CHURCH'S MISSION OF CONTINUING CHRIST'S WORK ON EARTH BY CARING FOR THE SICK, THE SUFFERING, AND THE DYING; BY PROVIDING COMPREHENSIVE HEALTH SERVICES TO THE TOTAL PERSON IN KEEPING WITH THE TEACHINGS OF THE CATHOLIC CHURCH AND THE MISSION CHARTER ESTABLISHED BY THE CONGREGATION OF DOMINICAN SISTERS OF SPRINGFIELD ILLINOIS; AND BY PROMOTING THE HEALTH AND WELFARE OF THE COMMUNITY. SDHS SUPPORTS THE PURPOSE AND MISSION OF THE CONGREGATION BY PROVIDING SUPPORT TO OTHER CHARITABLE ORGANIZATIONS THAT HAVE A COMMON GOAL AND PURPOSE. IT IS THROUGH THIS SUPPORT THAT SDHS IS ABLE TO PROMOTE THE WELL BEING OF INDIVIDUALS AND THE COMMUNITY, DEMONSTRATING ITS COMMITTMENT TO THE COMMON GOOD. |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $48,000 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | false | OtherActivitiesInd |
| Total Lobbying Expenditures | $48,000 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1G: | FormAndLineReferenceDesc |
| Explanation | ST. DOMINIC HEALTH SERVICES, INC. PAID A LOBBYING CONSULTANT WHO HAD DIRECT CONTACT WITH LEGISLATORS TO DISCUSS VARIOUS PUBLIC POLICY ISSUES AND LEGISLATIVE MATTERS. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,704,209 | OtherCostOrOtherBasisAmt |
| Book Value | $24,704,209 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,548,832 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,466,678 | DepreciationAmt |
| Book Value | $7,082,154 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,561,422 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,046,399 | DepreciationAmt |
| Book Value | $515,023 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,593,312 | OtherCostOrOtherBasisAmt |
| Depreciation | $494,588 | DepreciationAmt |
| Book Value | $2,098,724 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $34,400,110 | TotalBookValueLandBuildingsAmt |
| Financial Derivatives | FinancialDerivativesGrp | |
| Closely Held Equity Interests | CloselyHeldEquityInterestsGrp |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| EMPLOYEE BENEFIT TRUST | $16,425,967 | F |
| SELF INSURED TRUST | $51,046,009 | F |
| IMP TRUST FUNDS | $130,688,739 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $198,160,715 | TotalBookValueSecuritiesAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Employee Benefit Trust | $16,425,967 |
| Due from Related Party | $63,475,153 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $79,901,120 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT HAS EVALUATED THE COMPANY'S INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)
| RegionRegionTxt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|
| Central America and the Caribbean | Investments | $11,956,795 |
| Central America and the Caribbean | Investments | $14,871,955 |
| Central America and the Caribbean | Investments | $11,078,758 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Spent | $37,907,508 | SubtotalSpentAmt |
| Total Spent | $37,907,508 | TotalSpentAmt |
| Transfer To Foreign Corp | false | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (true) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | Yes (true) | PassiveForeignInvestmestCoInd |
| Foreign Partnership | Yes (true) | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3: | ST. DOMINIC HEALTH SERVICES, INC. OWNS AN INTEREST IN CREDIT SUISSE DOLLAR SENIOR LOAN FUND, BREVAN HOWARD MULTI-STRATEGY FUND LIMITED, AND OZ OVERSEAS FUND II, LTD., HEDGE FUNDS DOMICILED IN THE CAYMAN ISLANDS. THE BOOK VALUE OF THESE INVESTMENTS AS OF 12/31/2016 WAS $11,956,795, $11,078,758 AND $14,871,955 RESPECTIVELY. |
| PART IV, LINE 3: | ST. DOMINIC HEALTH SERVICES, INC. (SDHS) WAS NOT REQUIRED TO FILE FORM 5471 DURING THE FISCAL YEAR ENDED 12/31/2016 FOR ITS OWNERSHIP IN A FOREIGN CORPORATION. THEREFORE, FORM 5471 WAS NOT FILED BY SDHS. |
| PART IV, LINE 4: | ST. DOMINIC HEALTH SERVICES, INC. (SDHS) WAS NOT REQUIRED TO FILE FORM 8621 DURING THE FISCAL YEAR ENDED 12/31/2016 FOR ITS OWNERSHIP OF A PASSIVE FOREIGN INVESTMENT COMPANY (PFIC) SINCE IT IS A TAX-EXEMPT ORGANIZATION UNDER 501(A) AND INCOME FROM THE PFIC WAS NON-TAXABLE. THEREFORE, FORM 8621 WAS NOT FILED BY SDHS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (22 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| Alzheimer's Association | ||||||||||
| 1900 Dunbarton Ste H | Jackson | MS | 39216 | 640786327 | 501(c)(3) | $7,500 | Financial support | |||
| AMERICAN CANCER SOCIETY | ||||||||||
| 1380 LIVINGSTON LANE | JACKSON | MS | 39213 | 131788491 | 501(c)(3) | $58,333 | FINANCIAL SUPPORT | |||
| AMERICAN HEART ASSOCIATION | ||||||||||
| 4830 MCWILLIE CIRCLE | JACKSON | MS | 39206 | 135613797 | 501(c)(3) | $25,000 | FINANCIAL SUPPORT | |||
| JACKSON HEART FOUNDATION | ||||||||||
| PO BOX 5021 | JACKSON | MS | 39216 | 270723542 | 501(c)(3) | $20,000 | FINANCIAL SUPPORT | |||
| BB KING MUSEUM | ||||||||||
| 400 2ND ST | INDIANOLA | MS | 38751 | 460501512 | 501(c)(3) | $10,000 | SPONSORSHIP | |||
| CATHOLIC CHARITIES | ||||||||||
| PO BOX 2248 | JACKSON | MS | 39225 | 640466850 | 501(c)(3) | $13,000 | SPONSORSHIP | |||
| CATHOLIC DIOCESE OF JACKSON | ||||||||||
| PO BOX 2248 | JACKSON | MS | 39225 | 640303073 | 501(c)(3) | $25,000 | FINANCIAL SUPPORT | |||
| FONDREN RENAISSANCE | ||||||||||
| 2906 NORTH STATE ST | JACKSON | MS | 39216 | 640873626 | 501(c)(3) | $9,000 | FINANCIAL SUPPORT | |||
| JACKSON ZOO | ||||||||||
| 2918 W CAPITOL ST | JACKSON | MS | 39209 | 640933460 | 501(c)(3) | $7,000 | FINANCIAL SUPPORT | |||
| MISSISSIPPI CHILDREN'S MUSEUM | ||||||||||
| 2660 RIDGEWOOD RD | JACKSON | MS | 39216 | 640850010 | 501(c)(3) | $25,000 | FINANCIAL SUPPORT | |||
| MISSISSIPPI OPERA | ||||||||||
| PO BOX 1551 | JACKSON | MS | 39215 | 237113188 | 501(c)(3) | $10,000 | FINANCIAL SUPPORT | |||
| MISSISSIPPI SYMPHONY ORCHESTRA | ||||||||||
| 201 E PASCAGOULA | JACKSON | MS | 39201 | 640273405 | 501(c)(3) | $30,800 | SPONSORSHIP | |||
| ST JOSEPH CATHOLIC SCHOOL | ||||||||||
| PO BOX 1220 | JACKSON | MS | 39216 | 640354039 | 501(c)(3) | $80,000 | FINANCIAL SUPPORT | |||
| COMMUNITY HEALTH SERVICES - ST DOMINIC | ||||||||||
| 969 LAKELAND DRIVE | JACKSON | MS | 39216 | 640884870 | 501(C)(3) | $1,339,344 | AFFILIATE SUPPORT | |||
| NATIONAL MULTIPLE SCLEROSIS SOCIETY | ||||||||||
| 733 THIRD AVE | NEW YORK | NY | 10017 | 135861935 | 501(c)(3) | $7,500 | FINANCIAL SUPPORT | |||
| FOUNDATION FOR MS HISTORY | ||||||||||
| PO BOX 571 | JACKSON | MS | 392050571 | 202649529 | 501(C)(3) | $20,000 | FINANCIAL SUPPORT | |||
| GREATER JACKSON CHAMBER OF COMMERCE | ||||||||||
| PO BOX 22548 | JACKSON | MS | 39255 | 640180340 | 501(C)(3) | $19,975 | FINANCIAL SUPPORT | |||
| JUNIOR LEAGUE OF JACKSON | ||||||||||
| PO BOX 4709 | JACKSON | MS | 39296 | 646011106 | 501(C)(3) | $10,000 | FINANCIAL SUPPORT | |||
| PAUL LACOSTEFIT 4 CHANGE | ||||||||||
| PO BOX 1998 | RIDGELAND | MS | 39158 | 261219564 | 501(C)(3) | $40,000 | FINANCIAL SUPPORT | |||
| THE ROBERTS GROUP | ||||||||||
| 25 E PINE ST | ZIONSVILLE | IN | 46038 | 352079400 | N/A | $10,000 | FINANCIAL SUPPORT | |||
| OUR LADY OF THE LAKE FDN FRANCHISE RELIEF FUND | ||||||||||
| 7777 HENESSEY BLVD | BATON ROUGE | LA | 70808 | 721014324 | 501(C)(3) | $10,000 | FINANCIAL SUPPORT | |||
| ST CATHERINE'S VILLAGE INC | ||||||||||
| 969 LAKELAND DRIVE | JACKSON | MS | 392164699 | 640714997 | 501(C)(3) | AFFILIATE SUPPORT | $611,251 | APPRAISAL | LAND | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 21 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | St. Dominic Health Service's (SDHS) Contributions Committee stays in contact with the organization receiving funds and receives follow-up reports on the outcome of project. Most organizations are annual recipients, so SDHS receives the follow-up report for the previous year along with the request for the current year. In addition to providing financial support, many of the organizations have board members or volunteers that are employees of one of the St. Dominic affiliates. The committee also receives feedback from these individuals on the activities of the grantee organization. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Claude W Harbarger | ||||||||||||||
| President | $800,176 | $0 | $0 | $0 | $44,013 | $0 | $96,943 | $0 | $11,785 | $0 | $952,917 | $0 | $0 | $0 |
| Deidra S Bell | ||||||||||||||
| Treasurer & CFO | $435,529 | $0 | $0 | $0 | $13,869 | $0 | $45,937 | $0 | $7,460 | $0 | $502,795 | $0 | $0 | $0 |
| JAMES JETER | ||||||||||||||
| EXECUTIVE DIRECTOR OF FDN | $242,870 | $0 | $0 | $0 | $0 | $0 | $23,732 | $0 | $14,238 | $0 | $280,840 | $0 | $0 | $0 |
| FRANK LENOIR | ||||||||||||||
| VP OF HUMAN RESOURCES | $257,388 | $0 | $0 | $0 | $0 | $0 | $13,940 | $0 | $5,758 | $0 | $277,086 | $0 | $0 | $0 |
| KAREN THOMAS | ||||||||||||||
| CONTROLLER | $137,611 | $0 | $0 | $0 | $0 | $0 | $4,531 | $0 | $8,297 | $0 | $150,439 | $0 | $0 | $0 |
| JONATHAN WERNE | ||||||||||||||
| VP - LEGAL SERVICES | $146,801 | $0 | $0 | $0 | $0 | $0 | $5,861 | $0 | $7,695 | $0 | $160,357 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 4B: | FormAndLineReferenceDesc |
| Explanation | EFFECTIVE FOR THE PLAN YEAR BEGINNING 1/1/2013, THE EXECUTIVE COMPENSATION COMMITTEE ADOPTED A NON QUALIFIED RESTORATION PLAN THAT PROVIDES 5% OF PAY FOR SALARY IN EXCESS OF THE IRS LIMIT (CODE SECTION 401(A)(17)). PAYOUTS INCLUDED IN THE FORM W-2 BOX 5 WAGES AND REFLECTED IN OTHER REPORTABLE COMPENSATION ON SCHEDULE J INCLUDE: CLAUDE W. HARBARGER - 44,013 DEIDRA BELL - 13,869 DEFERRED AMOUNTS UNDER THE 457(F) PLAN REFLECTED IN RETIREMENT AND OTHER DEFERRED COMPENSATION ON SCHEDULE J INCLUDE: CLAUDE W. HARBARGER - 81,516 DEIDRA BELL - 30,510 JAMES JETER - 9,701 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part I, Line 1: | COMMUNITY HEALTH SERVICES-ST. DOMINIC, INC., and ST. DOMINIC HEALTH SERVICES FOUNDATION, INC. ST. DOMINIC HEALTH SERVICES, INC. OWNS THE FOR PROFIT STOCK CORPORATIONS - FIRST INTERMED CORPORATION and ST. DOMINIC MADISON HEALTH SERVICES. |
| Form 990, Part VI, Section A, Line 6: | The Prioress General, the Vicaress, and the Three Councilors of the governing council of the congregation of Dominican Sisters of Springfield Illinois and as such serves as the sole member of St. Dominic Health Services, Inc. |
| Form 990, Part VI, Section A, Line 7A: | The membership has the authority to elect the President/CEO, the Chair of the Board of Directors and the Vice-Chair of the Board of Directors of St. Dominic Health Services, Inc. and to approve the election of all other officers of St. Dominic Health Services, Inc. |
| Form 990, Part VI, Section A, 7B: | The membership has the right to approve any dissolution or merger enacted by St. Dominic Health Services, Inc. The Governing Council of the Dominican Sisters of Springfield Illinois has the authority to break any tie vote of the Board of Directors of St. Dominic Health Services, Inc. |
| Form 990, Part VI, Section B, Line 11: | Review and approval of the Form 990 is delegated to the Finance Committee, but a copy of the Form 990 is made available electronically to all board members prior to filing with the IRS. |
| Form 990, Part VI, Section B, Line 12C: | DIRECTORS AND OFFICERS RECEIVE A COPY OF THE POLICY AND FORM FOR REPORTING EACH YEAR AT THE FIRST MEETING OF THE YEAR. FORMS ARE REVIEWED BY THE PRESIDENT AND ANY CONFLICTS SHARED WITH THE BOARD CHAIR. PERSONS WITH CONFLICTS OF INTERESTS ABSTAIN FROM ANY DECISIONS WHERE THE CONFLICT EXISTS. |
| Form 990, Part VI, Section B, Line 15: | The executive compensation of St. Dominic Health Services, Inc. is administered by the executive compensation committee of the board. The executive compensation committee is responsible for establishing and maintaining a competitive compensation program for the key executives of the organization. The executive compensation committee meets as needed to review the compensation program and make recommendations for any changes as appropriate. The executive compensation committee commissions an annual review by an independent consulting firm to evaluate the organization's executive compensation program against the competitive market. The evaluation is reviewed in the first quarter of each year and is intended to ensure that the compensation program falls within a reasonable range of competitive practices for comparable positions among similarly situated organizations as described in Section 4958. Following this review, the committee reviews and approves, for selected key executives, base salary and total compensation range for the upcoming year. The executive compensation committee maintains minutes and records to ensure that it can claim the rebuttable presumption of reasonable compensation for purposes of Section 4958. The chair of St. Dominic Health Services, Inc. Board of Directors shall approve the annual pay change for the President (Chief Executive Officer) of St. Dominic Health Services, Inc. within the limits established by the executive compensation committee. The President and Chief Executive Officer of St. Dominic Health Services, Inc. will assign the pay changes for all other subsidiary organization executives within the limits established by the executive compensation committee. The president of St. Dominic-Jackson Memorial Hospital will assign pay changes for the hospital executives. Key executives of the organization may attend the committee meeting of the executive compensation committee to provide the information needed by such committee. These executives are excused and the executive compensation committee meets in executive session to render its recommendations. |
| Form 990, Part VI, Section C, Line 19: | The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request. |
| Form 990, Part XI, Line 9: | Intercompany Transactions: 455,496 Pension Related Changes: (169,766) Madison Health Services Revenue: 176,120 First Intermed Corporation Revenue: (2,300,412) Total other changes: (1,837,962) |
| Form 990, Part XII, Line 2c: | The Finance Committee meets quarterly and is charged with reviewing the budget, current performance, the audit, and the Form 990. The Finance Committee makes recommendations that are then taken to the full board for final approval. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| St Catherine's Village Inc | ||||||||||
| 969 Lakeland Drive | Jackson | MS | 39216 | 640714997 | RET Home | MS | 501(C)(3) | 10 | SDHS | Yes (true) |
| Community Health Services - St Dominic | ||||||||||
| 969 Lakeland Drive | Jackson | MS | 39216 | 640884870 | Hlth program | MS | 501(C)(3) | 10 | SDHS | Yes (true) |
| St Dominic - Jackson Memorial Hospital | ||||||||||
| 969 Lakeland Drive | Jackson | MS | 39216 | 640303091 | Hospital | MS | 501(C)(3) | 3 | SDHS | Yes (true) |
| St Dominic Health Services Foundation | ||||||||||
| 969 Lakeland Drive | Jackson | MS | 39216 | 431992975 | FUNDRAISING | MS | 501(C)(3) | 7 | SDHS | Yes (true) |
| The Congregation of Dominican Sisters | ||||||||||
| 1237 West Monroe St | Springfield | IL | 62704 | 370968955 | CONGREGATION | IL | 501(C)(3) | 1 | NA | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| St Dominic Ambulatory Surgery Center L | |||||||||
| 971 Lakeland Drive Suite 200 | Jackson | MS | 39216 | 640908713 | Healthcare | MS | NA | false | false |
| Highland Medical Arts LLC | |||||||||
| PO Box 55769 | Jackson | MS | 39296 | 743073171 | Med Building | MS | na | false | false |
| D1 Sports Training of Mississippi LLC | |||||||||
| 7715 South Springs Drive | Franklin | TN | 37067 | 275277568 | Athletic Training | MS | na | false | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| St Dominic Madison Health Services Inc | ||||||||||||
| 969 Lakeland Drive | Jackson | MS | 39216 | 202870254 | HEALTHCARE | MS | SDHS | C Corp | $366,467 | $18,613,430 | 1.00000 | Yes (true) |
| First Intermed Corporation | ||||||||||||
| 308 Corporate Drive | Ridgeland | MS | 39157 | 640824796 | MED SERVICES | MS | SDHS | C Corp | $29,260,870 | $5,618,936 | 1.00000 | Yes (true) |
| St Dominic Integrated Services Inc | ||||||||||||
| 969 Lakeland Drive | Jackson | MS | 39216 | 271493623 | Investments | MS | NA | C Corp | false | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (11 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| COMMUNITY HEALTH SERVICES | ||
| B | $1,339,344 | CASH AMOUNT |
| ST CATHERINE'S VILLAGE | ||
| B | $611,251 | FMV |
| ST DOMINIC - JACKSON MEMORIAL HOSPITAL | ||
| C | $1,750,000 | CASH AMOUNT |
| ST DOMINIC - JACKSON MEMORIAL HOSPITAL | ||
| J | $619,014 | FMV |
| ST DOMINIC MEDICAL ASSOCIATES | ||
| J | $477,808 | FMV |
| ST DOMINIC - JACKSON MEMORIAL HOSPITAL | ||
| L | $890,000 | FMV |
| ST DOMINIC - JACKSON MEMORIAL HOSPITAL | ||
| O | $540,000 | CASH AMOUNT |
| ST DOMINIC - JACKSON MEMORIAL HOSPITAL | ||
| P | $621,546 | FMV |
| ST CATHERINE'S VILLAGE | ||
| Q | $466,881 | FMV |
| ST DOMINIC MEDICAL ASSOCIATES | ||
| Q | $2,994,631 | FMV |
| ST DOMINIC - JACKSON MEMORIAL HOSPITAL | ||
| Q | $15,884,358 | FMV |