MISSISSIPPI METHODIST HOSPITAL REHABILITATION CENTER INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- MISSISSIPPI METHODIST HOSPITAL REHABILITATION CENTER INC (EIN 23-7067206)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-15
- IRS object ID
- 201341359349301029
- Schema version
- 2011v1.5
- 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 H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-15T08:37:47-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201941244 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HORNE LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1020 HIGHLAND COLONY PKWY STE 400 | AddressLine1 |
| City | RIDGELAND | City |
| State | MS | State |
| ZIP Code | 39157 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237067206 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MISSISSIPPI METHODIST HOSPITAL & | BusinessNameLine1 |
| Business Name Line2 | REHABILITATION CENTER | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MISS | NameControl |
| Phone | 6013643367 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 EAST WOODROW WILSON | AddressLine1 |
| City | JACKSON | City |
| State | MS | State |
| ZIP Code | 39216 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARK ADAMS | Name |
| Title | PRESIDENT/CEO | Title |
| Phone | 6013643367 | Phone |
| Date Signed | 2013-05-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARSHA H DIECKMAN CPA | Name |
| PTIN | P00246741 | PTIN |
| Phone | 6013261000 | Phone |
| Date Prepared | 2013-05-14 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | METHODIST REHABILITATION CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MARK ADAMS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 EAST WOODROW WILSON | AddressLine1 |
| City | JACKSON | City |
| State | MS | State |
| ZIP Code | 39216 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 56083417 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MMRCREHAB.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1969 | YearFormation |
| State Legal Domicile | MS | StateLegalDomicile |
| Activity Or Mission Description | MISSISSIPPI METHODIST REHABILITATION CENTER PROVIDES COMPREHENSIVE MEDICAL REHABILITATION SERVICES TO HELP PEOPLE RECOVER ABILITIES AND QUALITY OF LIFE AFTER A STROKE, SPINAL CORD INJURY, TRAUMATIC BRAIN INJURY, NEUROLOGICAL DISEASE OR ORTHOPEDIC DISORDER. SINCE 1975, METHODIST REHAB HAS TREATED MORE THAN 1,000 PERSONS PER YEAR IN ITS STATE-OF-THE-ART INPATIENT REHABILITATION HOSPITAL, AND TENS OF THOUSANDS PER YEAR IN OUTPATIENT CARE FACILITIES. THE CENTER ALSO PROVIDES HOUSING FOR SEVERELY DISABLED PERSONS, AND A HOST OF SUPPORT SERVICES TO ADDRESS THE LIFELONG NEEDS OF DISABLED CITIZENS. IT IS THE ONLY REHABILITATION CENTER IN THE STATE AND REGION THAT PROVIDES THIS COMPREHENSIVE LEVEL OF REHABILITATION CARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 749 | TotalNbrEmployees |
| Total Nbr Volunteers | 185 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 795999 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 696495 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 44678518 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 44897691 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 684855 | InvestmentIncomePriorYear |
| Investment Income Current Year | -70819 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 7991871 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4869353 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 54151243 | TotalRevenuePriorYear |
| Total Revenue Current Year | 50392720 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 36694 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 52050 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 32586034 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 33984964 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 17166201 | OtherExpensePriorYear |
| Other Expenses Current Year | 16846361 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 49788929 | TotalExpensesPriorYear |
| Total Expenses Current Year | 50883375 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 4362314 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -490655 | RevenuesLessExpensesCY |
| Total Assets BOY | 79839829 | TotalAssetsBOY |
| Total Assets EOY | 75976895 | TotalAssetsEOY |
| Total Liabilities BOY | 13753832 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 10970276 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 66085997 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 65006619 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | IN RESPONSE TO THE LOVE OF GOD, THE METHODIST REHABILITATION CENTER, IS DEDICATED TO THE RESTORATION AND ENHANCEMENT OF THE LIVES OF THOSE WE SERVE. WE ARE COMMITTED TO EXCELLENCE AND LEADERSHIP IN THE DELIVERY OF COMPREHENSIVE REHABILITATION SERVICES.WITH THE PATIENT ALWAYS AS THE FOCAL POINT AND IN AN ATMOSPHERE OF COMPASSIONATE CARE, WE WILL:-PROVIDE OPPORTUNITIES FOR GROWTH IN KNOWLEDGE, SKILLS AND CAPABILITIES TO BETTER SERVE OUR PATIENTS AND THEIR FAMILIES AND TO ENHANCE THE REHABILITATIVE HEALTH CARE OF OUR STAFF;-DEVELOP CREATIVE AND INNOVATIVE METHODS OF PATIENT CARE, SKILLS AND TECHNIQUES;-FOSTER A CLIMATE OF SCIENTIFIC INQUIRY THAT PROMOTES RESEARCH IN ALL ASPECTS OF REHABILITATION;-OFFER EDUCATIONAL AND PROFESSIONAL PROGRAMS AND SHARE REHABILITATION INFORMATION WITH THE COMMUNITY;-RENDER SERVICES THAT ARE EFFECTIVE AND COST EFFICIENT, IN A MANNER THAT RESPECTS THE PERSONAL WORTH AND DIGNITY OF EACH PERSON WE SERVE; AND-PROVIDE COMPREHENSIVE REHABILITATION | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 15757266 | Expense |
| Grants | 52050 | Grants |
| Revenue | 17870805 | Revenue |
| Description | ROUTINE SERVICES - HEALTH CARE - REVENUE RELATED TO INPATIENT BED COST INCLUDING NURSING AND CARE RELATED COST TO PROPERLY ADHERE TO OUR PATIENT HOUSING NEEDS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 15286773 | Expense |
| Revenue | 27026886 | Revenue |
| Description | ANCILLARY SERVICES - REVENUE RELATED TO SUPPORT THE MEDICAL STAFF TO DIAGNOSE AND PROVIDE PROCEDURES ORDERED BY MEDICAL STAFF, SUCH AS RADIOLOGY SERVICES, PHARMACY SERVICES AND OUTPATIENT SERVICES JUST TO NAME A FEW. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 7020413 | Expense |
| Revenue | 4599461 | Revenue |
| Description | ADMINISTRATIVE EXPENSES RELATING TO (A) AND (B) | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3603363 | Expense |
| Description | INTEREST, DEPRECIATION, AMORTIZATION, AND BAD DEBTS RELATING (A) AND (B) | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 3603363 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 41667815 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 1 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 62 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 749 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GARY ARMSTRONG EVPCFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6013643360 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 EAST WOODROW WILSON DRIVE | AddressLine1 |
| City | JACKSON | City |
| State | MS | State |
| ZIP Code | 39216 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| DEAN M MILLER | |||||||
| TRUSTEE - LIFE MEMBER - NONVOTING | 0.30 | X | 0 | 0 | 0 | ||
| WILLIAM R JAMES | |||||||
| TRUSTEE | 0.30 | X | 0 | 0 | 0 | ||
| DAVID L MCMILLIN | |||||||
| SECRETARY | 0.30 | X | 0 | 0 | 0 | ||
| MIKE P STURDIVANT JR | |||||||
| VICE CHAIRMAN/TRUSTEE | 0.60 | X | 0 | 0 | 0 | ||
| S EDWARD KOSSMAN | |||||||
| TRUSTEE | 0.30 | X | 0 | 0 | 0 | ||
| REV BERT FELDER | |||||||
| TRUSTEE | 0.30 | X | 0 | 0 | 0 | ||
| E B ROBINSON | |||||||
| TRUSTEE | 0.30 | X | 0 | 0 | 0 | ||
| THOMAS A TURNER III | |||||||
| TRUSTEE | 0.30 | X | 0 | 0 | 0 | ||
| DIRK B VANDERLEEST | |||||||
| TRUSTEE | 0.60 | X | 0 | 0 | 0 | ||
| MATTHEW L HOLLEMAN III | |||||||
| CHAIRMAN/TRUSTEE | 1.00 | X | 0 | 0 | 0 | ||
| ANN HOLIFIELD | |||||||
| TRUSTEE | 0.30 | X | 0 | 0 | 0 | ||
| MICHAEL REDDIX MD | |||||||
| TRUSTEE | 0.30 | X | 0 | 0 | 0 | ||
| WALTER S WEEMS | |||||||
| TREASURER/TRUSTEE | 0.60 | X | 0 | 0 | 0 | ||
| WILLIAM A RAY | |||||||
| TRUSTEE | 0.60 | X | 0 | 0 | 0 | ||
| C GERALD GARNETT | |||||||
| TRUSTEE | 0.30 | X | 0 | 0 | 0 | ||
| SALLY CARMICHAEL | |||||||
| TRUSTEE - LIFE MEMBER - NONVOTING | 0.30 | X | 0 | 0 | 0 | ||
| TISH HUGHES | |||||||
| TRUSTEE | 0.60 | X | 0 | 0 | 0 | ||
| MICHAEL MAPLES MD | |||||||
| TRUSTEE | 0.30 | X | 0 | 0 | 0 | ||
| WIRT A YERGER III | |||||||
| TRUSTEE | 0.30 | X | 0 | 0 | 0 | ||
| OTIS JOHNSON | |||||||
| EX-OFFICIO - NONVOTING | 0.30 | X | 0 | 0 | 0 | ||
| DOBRVIJOE STOKIC MD | |||||||
| DIR RESEARCH -NONVOTING | 40.00 | X | 183864 | 0 | 20652 | ||
| SAMUEL P GRISSOM MD | |||||||
| PHYSICIAN/DIRECTOR | 40.00 | X | 527846 | 0 | 17313 | ||
| MARK A ADAMS | |||||||
| PRESIDENT & CEO, EVP | 40.00 | 440208 | 0 | 32172 | X | ||
| GARY ARMSTRONG | |||||||
| EVP & CFO | 40.00 | 258943 | 0 | 23790 | X | ||
| JOSEPH MORETTE | |||||||
| EVP & COO | 40.00 | 294594 | 0 | 30451 | X | ||
| STEVE HOPE | |||||||
| VICE PRESIDENT HUMAN RESOU | 40.00 | 190879 | 0 | 21742 | X | ||
| BRUCE HIRSHMAN | |||||||
| PHYSICIAN | 40.00 | 534413 | 0 | 22004 | X | ||
| ZORAYA PARILLA | |||||||
| PHYSICIAN | 40.00 | 279004 | 0 | 14701 | X | ||
| LEON GRIGORYEV | |||||||
| PHYSICIAN | 40.00 | 246041 | 0 | 19857 | X | ||
| CARMELA OSBORNE | |||||||
| PHYSICIAN | 40.00 | 222282 | 0 | 9982 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3178074 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 212664 | TotalOtherCompensation |
| Number Individuals GT100 K | 24 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MID-STATE CONSTRUCTION CO | |||||
| 300 BRIARWOOD WEST DR | JACKSON | MS | 39206 | CONSTRUCTION | 2151603 |
| FOX EVERETT | |||||
| PO BOX 188 | JACKSON | MS | 39205 | INSURANCE AGENT | 1018598 |
| MMI DINING SYSTEMS INC | |||||
| 1000 RED FERN PLACE | FLOWOOD | MS | 39232 | CAFE MANAGEMENT SERVICES | 237883 |
| CARDINAL HEALTH | |||||
| 21377 NETWORK PL | CHICAGO | IL | 60673 | PHARMACY SERVICES | 236064 |
| HORNE LLP | |||||
| 1020 HIGHLAND COLONY PKWY | RIDGELAND | MS | 39157 | ACCOUNTING FEES | 171600 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 12 | NumberOfContractorsGT100K |
| Related Organizations | 650000 | RelatedOrganizations |
| All Other Contributions | 46495 | AllOtherContributions |
| Total Contributions | 696495 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| ANCILLARY SERVICES | 621990 | 27026886 | 27026886 |
| ROUTINE SERVICES | 621990 | 17870805 | 17870805 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 44897691 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 321248 | TotalRevenueColumn |
| Exclusion | $321,248 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 269892 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 269892 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 269892 | TotalRevenueColumn |
| Exclusion | $269,892 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 5298630 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 5690697 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -392067 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -392067 | TotalRevenueColumn |
| Exclusion | -$392,067 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER INCOME | Description |
| Business Code | 621990 | BusinessCode |
| Total Revenue Column | 4599461 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4599461 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4599461 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 50392720 | TotalRevenueColumn |
| Related Or Exempt Function Income | 49497152 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $199,073 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52050 | Total |
| Program Services | 52050 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1705455 | Total |
| Management And General | 1705455 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25840702 | Total |
| Program Services | 20343483 | ProgramServices |
| Management And General | 5497219 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1117934 | Total |
| Program Services | 825620 | ProgramServices |
| Management And General | 292314 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3385416 | Total |
| Program Services | 2500208 | ProgramServices |
| Management And General | 885208 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1935457 | Total |
| Program Services | 1429380 | ProgramServices |
| Management And General | 506077 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 196787 | Total |
| Management And General | 196787 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132500 | Total |
| Management And General | 132500 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85000 | Total |
| Program Services | 85000 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60222 | Total |
| Program Services | 60222 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88795 | Total |
| Program Services | 88795 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1137363 | Total |
| Program Services | 1137363 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 147803 | Total |
| Program Services | 147803 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 255498 | Total |
| Program Services | 255498 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2619934 | Total |
| Program Services | 2619934 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 977320 | Total |
| Program Services | 977320 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| COST OF GOODS SOLD | 3287767 | 3287767 |
| CONTRACT SERVICES | 1876396 | 1876396 |
| EQUIPMENT RENTAL & MAIN | 1652697 | 1652697 |
| UTILITIES | 955413 | 955413 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3372866 | Total |
| Program Services | 3372866 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50883375 | Total |
| Program Services | 41667815 | ProgramServices |
| Management And General | 9215560 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2737254 | BOY |
| EOY | 1273101 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7782528 | BOY |
| EOY | 8563128 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 215210 | BOY |
| EOY | 227380 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 834171 | BOY |
| EOY | 882052 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 789122 | BOY |
| EOY | 882801 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 96945847 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 70151489 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24654948 | BOY |
| EOY | 26794358 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30852169 | BOY |
| EOY | 29974825 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11974427 | BOY |
| EOY | 7379250 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79839829 | BOY |
| EOY | 75976895 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3443687 | BOY |
| EOY | 4297774 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8038396 | BOY |
| EOY | 5340000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2000000 | BOY |
| EOY | 1000000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 271749 | BOY |
| EOY | 332502 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13753832 | BOY |
| EOY | 10970276 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66085997 | BOY |
| EOY | 65006619 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66085997 | BOY |
| EOY | 65006619 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79839829 | BOY |
| EOY | 75976895 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -490655 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -588723 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
Total Direct Lobbying TotalDirectLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 85000 | FilingOrganizationsTotals |
Total Lobbying Expenditures TotalLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 85000 | FilingOrganizationsTotals |
Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 41582815 | FilingOrganizationsTotals |
Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 41667815 | FilingOrganizationsTotals |
Lobbying Nontaxable LobbyingNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 1000000 | FilingOrganizationsTotals |
Grassroots Nontaxable GrassrootsNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 250000 | FilingOrganizationsTotals |
Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 1000000 | CurrentYearMinus3 |
| Current Year Minus2 | 1000000 | CurrentYearMinus2 |
| Current Year Minus1 | 16000 | CurrentYearMinus1 |
| Current Year | 1000000 | CurrentYear |
| Total | 3016000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $4,524,000 | LobbyingCeilingAmount |
Total Lobbying Expenditures2 TotalLobbyingExpenditures2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 82439 | CurrentYearMinus3 |
| Current Year Minus2 | 85035 | CurrentYearMinus2 |
| Current Year Minus1 | 80000 | CurrentYearMinus1 |
| Current Year | 85000 | CurrentYear |
| Total | 332474 | Total |
Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 250000 | CurrentYearMinus3 |
| Current Year Minus2 | 250000 | CurrentYearMinus2 |
| Current Year Minus1 | 4000 | CurrentYearMinus1 |
| Current Year | 250000 | CurrentYear |
| Total | 754000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,131,000 | GrassrootsCeilingAmount |
Schedule D IRS990ScheduleD
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 61893629 | OtherCostOrOtherBasis |
| Depreciation | 39713997 | Depreciation |
| Book Value | 22179632 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 34991981 | OtherCostOrOtherBasis |
| Depreciation | 30437492 | Depreciation |
| Book Value | 4554489 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 60237 | OtherCostOrOtherBasis |
| Book Value | 60237 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 26794358 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | SECURITIES | Description |
| Book Value | 29974825 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 29974825 | TotalOfBookValueSecurities |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| ASSETS RESTRICTED FOR FUTURE CAPITAL IMPROVEMENTS BY BOARD - NONCURRENT | 6714413 |
| DEFERRED FINANCING CHARGES | 203135 |
| OTHER RECEIVABLES | 83881 |
| ASSETS RESTRICTED FOR FUTURE CAPITAL IMPROVEMENTS BY BOARD - CURRENT | 377821 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 7379250 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | THIRD-PARTY SETTLEMENTS | Description |
| Amount | $332,502 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 332502 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | THE HOSPITAL AND FOUNDATION ARE NOT-FOR-PROFIT CORPORATIONS AND HAVE BEEN RECOGNIZED AS A TAX-EXEMPT ORGANIZATION PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE FOUNDATION QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). SELECT IS SUBJECT TO INCOME TAXES, BUT HAS HISTORICALLY HAD CUMULATIVE NET OPERATING LOSSES. AS A RESULT, NO PROVISION FOR INCOME TAXES HAD BEEN RECOGNIZED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE HOSPITAL HAD NO SIGNIFICANT UNCERTAIN TAX POSITIONS AT JUNE 30, 2012. IF INTEREST AND PENALTIES ARE INCURRED RELATED TO UNCERTAIN TAX POSITIONS, SUCH AMOUNTS WOULD BE RECOGNIZED IN INCOME TAX EXPENSE. TAX PERIODS FOR ALL FISCAL YEARS AFTER 2008 REMAIN OPEN TO EXAMINATION BY THE FEDERAL AND STATE TAXING JURISDICTIONS TO WHICH THE HOSPITAL IS SUBJECT. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 288911 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 288911 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00580 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12506562 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15061886 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -2555324 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12795473 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15061886 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -2266413 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00580 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3828243 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1732428 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2095815 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04180 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 703433 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11452 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 691981 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01380 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1058364 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 693175 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 365189 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00730 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 685340 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 685340 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01370 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6275380 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2437055 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3838325 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07660 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 19070853 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17498941 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1571912 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08240 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 35204 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 35204 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 35204 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 35204 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $702,306 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 10498388 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 11749256 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1250868 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | METHODIST REHABILITATION CENTER INC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 EAST WOODROW WILSON | AddressLine1 |
| City | JACKSON | City |
| State | MS | State |
| ZIP Code | 39216 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Other | ACUTE REHAB | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MISSISSIPPI METHODIST HOSPITAL AND REHAB | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 150.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 0 | UsesFPGDiscounted |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 0 | NondiscrimEmergencyCarePolicy |
| No Emergency Care | X | NoEmergencyCare |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 12 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (12 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| METHODIST SPECIALITY CARE CENTER | ||||
| ONE LAYFAIR DRIVE SUITE 500 | FLOWOOD | MS | 39232 | SKILLED NURSING FACILITY FOR SEVERELY DISABLED |
| METHODIST OUTPATIENT REHAB - EAST | ||||
| ONE LAYFAIR DRIVE SUITE 110 | FLOWOOD | MS | 39232 | HOSPITAL BASED OUTPATIENT CLINICS |
| METHODIST ORTHOTICS & PROSTHETICS-FLOWOO | ||||
| ONE LAYFAIR DRIVE SUITE 300 | FLOWOOD | MS | 39232 | HOSPITAL BASED OUTPATIENT CLINICS |
| METHODIST ORTHOTICS & PROSTHETICS-MERIDI | ||||
| 1600 14TH STREET | MERIDIAN | MS | 39301 | HOSPITAL BASED OUTPATIENT CLINICS |
| METHODIST PAIN MANAGEMENT | ||||
| ONE LAYFAIR DRIVE SUITE 400 | FLOWOOD | MS | 39232 | SINGLE SPECIALITY AMBULATORY SURGERY CENTER |
| QUEST | ||||
| 1910 LAKELAND DRIVE STE C | JACKSON | MS | 39216 | HOSPITAL BASED OUTPATIENT CLINICS |
| METHODIST ORTHOTICS & PROSTHETICS-LOUISI | ||||
| 1607 LOUISVILLE AVE | MONROE | LA | 71201 | HOSPITAL BASED OUTPATIENT CLINICS |
| METHODIST ORTHOTICS & PROSTHETICS-HATTIE | ||||
| 107 FAIRFILED DRIVE STE 10 | HATTIESBURG | MS | 39042 | HOSPITAL BASED OUTPATIENT CLINICS |
| METHODIST ORTHOTICS & PROSTHETICS-CLEVEL | ||||
| 804 FIRST STREET | CLEVELAND | MS | 38732 | HOSPITAL BASED OUTPATIENT CLINICS |
| METHODIST OUTPATIENT REHAB -FITNESS LADY | ||||
| 331 SUNNYBROOK ROAD | RIDGELAND | MS | 39157 | HOSPITAL BASED OUTPATIENT CLINICS |
| METHODIST SPINE & JOINT CENTER | ||||
| ONE LAYFAIR DRIVE SUITE 100 | FLOWOOD | MS | 39232 | PHYSICIAN BASED CLINIC |
| METHODIST OUTPATIENT REHAB -RIDGELAND PT | ||||
| 670 HIGHWAY 51 STE A | RIDGELAND | MS | 39157 | HOSPITAL BASED OUTPATIENT CLINICS |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 3C: METHODIST REHABILITATION UTILIZES THE FPG 150% OR LESS TO DETERMINE "FREE CARE TO LOW INCOME INDIVIDUALS" HOWEVER DISCOUNTED CARE DOES NOT UTILIZE THE FPG. WE DO PROVIDE A PRIVATE PAY 30% DISCOUNT AND MONTHLY PAYMENT PLANS. | ||
| PART I, LINE 7: THE COSTING METHODOLOGY UTILIZED WAS THE COST-TO-CHARGE RATIO AS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. | ||
| PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 702306. | ||
| PART II: MRC SPONSORED THREE HUD PROJECTS TO BUILD ACCESSIBLE HOUSING APARTMENT COMPLEXES IN THE JACKSON, HATTIESBURG AND MERIDIAN, MISSISSIPPI. SPECIALLY DESIGNED FOR LOW-INCOME PEOPLE WITH MOBILITY IMPAIRMENTS. | ||
| PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE, AFTER DEDUCTION OF ALLOWANCES FOR ESTIMATED UNCOLLECTIBLE ACCOUNTS. THE ESTIMATED ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED ON HISTORICAL LOSSES AND AN ANALYSIS OF CURRENTLY OUTSTANDING AMOUNTS. THIS ACCOUNT IS GENERALLY INCREASED BY CHARGES TO A PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND DECREASED BY WRITE-OFFS OF ACCOUNTS DETERMINED BY MANAGEMENT TO BE UNCOLLECTIBLE. | ||
| PART III, LINE 8: WE CONSIDER OUR SHORTFALL A COMMUNITY BENEFIT BECAUSE WE ARE THE ONLY FREE STANDING PHYSICAL MEDICINE AND REHABILITATION PROVIDER IN THE STATE, AND WE SERVE THE MOST SEVERE BRAIN, SPINAL, AND STROKE PATIENTS THROUGHOUT OUR SERVICE AREA.THE COSTING METHODOLOGY WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGE, WAS USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS REPORTED ON LINE 6 OF PART III. | ||
| PART III, LINE 9B: WHEN A PATIENT QUALIFIES FOR CHARITY CARE (FINANCIAL ASSISTANCE), NO COLLECTIONS ARE ATTEMPTED ON THESE PATIENTS. CHARGES ARE WRITTEN OFF. | ||
| PART V, SECTION B, LINE 10: FEDERAL POVERTY GUIDELINE IS NOT USED FOR DETERMINING ELIGIBILITY FOR DISCOUNTED CARE. INSTEAD, IF THEY QUALIFY FOR CHARITY CARE ALL CHARGES ARE WRITTEN OFF. | MISSISSIPPI METHODIST HOSPITAL AND REHAB | |
| PART V, SECTION B, LINE 17E: DISCUSSED AT TIME OF PRE-ASSESSMENT | MISSISSIPPI METHODIST HOSPITAL AND REHAB | |
| PART VI, LINE 2: THE HEALTH CARE NEEDS OF THE COMMUNITIES SERVED ARE ASSESSED BY RESEARCHING VITAL STATISTICS FOUND THROUGH THE CDC AND MISSISSIPPI DEPARTMENT OF HEALTH. | ||
| PART VI, LINE 3: CHARITY CARE INFORMATION IS OBTAINED BEFORE ADMISSION, BUT GENERALLY CANNOT BE VERIFIED. A DETERMINATION OF CHARITY IS MADE IN GOOD FAITH BASED ON THE INFORMATION PROVIDED. WE PROVIDE SOCIAL WORKERS THAT INTERVIEW PATIENTS REGARDING THEIR FINANCIAL RESOURCES AND NEEDS. WE ASSIST PATIENTS IN COMPLETING MEDICAID, VR APPLICATIONS WHEN APPLICABLE. WE ARE WELL AWARE THAT MOST OF OUR PATIENTS WILL REQUIRE A LIFETIME OF MEDICAL AND FINANCIAL SUPPORT DUE TO THE SEVERITY OF THEIR INJURIES THEREFORE WE ALSO ASSIST IN DISABILITY APPLICATIONS WITH THE SOCIAL SECURITY ADMINISTRATION. | ||
| PART VI, LINE 4: OUR ORGANIZATION'S PRIMARY SERVICE AREA IS THE STATE OF MISSISSIPPI, WITH A POPULATION OF 2.9 MILLION PERSONS. THE PERCENTAGE OF ADULTS WITH DISABILITIES LIVING IN MS IS 16.7%. MISSISSIPPI ALSO HAS THE HIGHEST PERCENTAGE OF PERSONS LIVING IN POVERTY AND OBESITY, POPULATIONS THAT ARE DISPROPORTIONATELY AFFECTED BY DISABLING ILLNESSES AND INJURIES. | ||
| PART VI, LINE 5: METHODIST REHABILITATION CENTER'S COMMUNITY BENEFITS GO WELL BEYOND CLINICAL INPATIENT AND OUTPATIENT REHABILITATION CARE. THE CENTER SUPPORTS LIFELONG HEALTH AND LIFESTYLE NEEDS OF DISABLED PERSONS THROUGH RESEARCH, EDUCATION, OUTREACH PROGRAMS, PARTNERSHIPS, ADVOCACY, VOLUNTEERISM AND FINANCIAL SUPPORT. OUR FULL COMMUNITY BENEFIT REPORT IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST. | ||
| PART VI, LINE 6: NOT APPLICABLE | ||
| MS | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| WILSON RESEARCH FOUNDATION | |||||||
| 1350 E WOODROW WILSON | JACKSON | MS | 39216 | 640752440 | 501(C)(3) | 10000 | CONTRIBUTION OF GIFT SHOP'S NET MARGIN ON BEHALF OF VOLUNTEERS |
| BOY SCOUTS OF AMERICA - ANDREW JACKSON COUNCIL | |||||||
| 855 RIVERSIDE DRIVE | JACKSON | MS | 39202 | 640303071 | 501(C)(3) | 12000 | CHARITABLE SUPPORT |
| HORIZONS UNITEDCMGF | |||||||
| 201 SOUTH PRESIDENT STREET | JACKSON | MS | 39201 | 237056135 | 501(C)(3) | 5000 | CHARITABLE SUPPORT |
| MS COALITION FOR CITIZENS WITH DISABILITIES | |||||||
| 2 OLD RIVER PLACE SUITE A | JACKSON | MS | 39202 | 582004439 | 501(C)(3) | 5000 | CHARITABLE SUPPORT |
| ONE REVOLUTION FOUNDATION | |||||||
| PO BOX 981748 | PARK CITY | UT | 840981748 | 262565601 | 501(C)(3) | 5000 | CHARITABLE SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 5 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: METHODIST REHABILITATION ONLY DONATES TO NON-PROFIT COMMUNITY MINDED ORGANIZATIONS THAT PROVIDE SUPPORT TO THE COMMUNITY SERVED BY METHODIST REHABILITATION. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DOBRVIJOE STOKIC MD | |||||||||||||
| 183864 | 0 | 0 | 0 | 0 | 0 | 12351 | 0 | 8301 | 0 | 204516 | 0 | 0 | 0 |
| SAMUEL P GRISSOM MD | |||||||||||||
| 331500 | 0 | 96346 | 0 | 100000 | 0 | 14088 | 0 | 3225 | 0 | 545159 | 0 | 0 | 0 |
| MARK A ADAMS | |||||||||||||
| 387000 | 0 | 53208 | 0 | 0 | 0 | 15337 | 0 | 16835 | 0 | 472380 | 0 | 0 | 0 |
| GARY ARMSTRONG | |||||||||||||
| 240681 | 0 | 18262 | 0 | 0 | 0 | 14490 | 0 | 9300 | 0 | 282733 | 0 | 0 | 0 |
| JOSEPH MORETTE | |||||||||||||
| 279000 | 0 | 15594 | 0 | 0 | 0 | 15925 | 0 | 14526 | 0 | 325045 | 0 | 0 | 0 |
| STEVE HOPE | |||||||||||||
| 190879 | 0 | 0 | 0 | 0 | 0 | 11369 | 0 | 10373 | 0 | 212621 | 0 | 0 | 0 |
| BRUCE HIRSHMAN | |||||||||||||
| 412000 | 0 | 122413 | 0 | 0 | 0 | 13483 | 0 | 8521 | 0 | 556417 | 0 | 0 | 0 |
| ZORAYA PARILLA | |||||||||||||
| 273200 | 0 | 5804 | 0 | 0 | 0 | 7350 | 0 | 7351 | 0 | 293705 | 0 | 0 | 0 |
| LEON GRIGORYEV | |||||||||||||
| 246041 | 0 | 0 | 0 | 0 | 0 | 14794 | 0 | 5063 | 0 | 265898 | 0 | 0 | 0 |
| CARMELA OSBORNE | |||||||||||||
| 222282 | 0 | 0 | 0 | 0 | 0 | 7795 | 0 | 2187 | 0 | 232264 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MISSISSIPPI HOSPITAL EQUIPMENT AND FACILITIES AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 640732320 | IssuerEIN |
| CUSIP Number | 605360NL6 | CUSIPNumber |
| Date Issued | 2003-08-27 | DateIssued |
| Issue Price | 7500000 | IssuePrice |
| Description Of Purpose | CAPITAL EXPENDITURES | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 1 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 7500000 | TotalProceeds |
| Issuance Costs From Proceeds | 285259 | IssuanceCostsFromProceeds |
| Capital Expenditures | 7214741 | CapitalExpenditures |
| Year Of Subst Completion | 2004 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Post Issuance Compliance Procdrs | 0 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule L IRS990ScheduleL
Loan Table LoanTable (2 entries)
| Purpose Of LoanPurposeOfLoan | Loan From OrganizationLoanFromOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|
| ZORAYA M PARRILLA MD | ||||||
| ONE TIME LOAN TO PHYSICIAN- RELOCATING TO MISSISSIPPI | X | $30,000 | 7380 | 0 | 0 | 1 |
| MARK ADAMS | ||||||
| EXECUTIVE LEVEL LIFE INSURANCE BENEFIT - SEE BELOW FOR ADDITIONAL INFO | X | $200,000 | 220000 | 0 | 1 | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 227380 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| WILLIAM A RAY | |||
| BOARD TRUSTEE | 0 | RAY IS PRES/CEO OF BANKPLUS. BANKPLUS PROVIDES FINANCIAL ADVICE ON THE RETIREMENT ACCOUNT FOR MMRC IN ITS ORDINARY COURSE OF BUSINESS. | 0 |
| TISH HUGHES | |||
| BOARD TRUSTEE | 0 | HUGHES IS SR VP IN PRIVATE BANKING WITH TRUSTMARK BANK. MMRC HAS SOME INVESTMENTS HELD BY TRUSTMARK, AS WELL AS A LINE OF CREDIT IN THE ORDINARY COURSE OF THEIR BUSINESS. | 0 |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE L, PART II, LOANS TO AND FROM INTERESTED PERSONS: | Identifier |
| Explanation | THE LOAN TO MARK ADAMS IS AN EXECUTIVE LEVEL LIFE INSURANCE BENEFIT WITH REPAYMENT FROM DEATH BENEFIT PROCEEDS OR THE CASH VALUE OF THE INSURANCE POLICY. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE CONTROLLER AND CFO ARE RESPONSIBLE FOR OVERSEEING THE PREPARATION AND ACCURACY OF THE 990. THEY UTILIZE A CPA FIRM WITH EXPERTISE IN 990 PREPARATION TO PROVIDE ADVICE AND COMPLETE THE FORM. AFTER REVIEW BY THE CONTROLLER AND CFO, THE TWO RECOMMEND THE PRESIDENT AND CEO REVIEW AND ULTIMATELY APPROVE THE FORM 990 FOR FILING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | AS THE BOARD CONSIDERS ITS BUSINESS RELATIONSHIPS, CONTRACT APPROVALS AND OTHER TRANSACTIONS, THE PRESENCE OF OR ANY POTENTIAL CONFLICT OF INTEREST (AS DEFINED BY THE BYLAWS) IS DISCLOSED AND DISCUSSED. A CONFLICT OF INTEREST TRANSACTION MAY BE APPROVED OR AUTHORIZED ONLY BY THE AFFIRMATIVE VOTE OF A MAJORITY OF THE BOARD OF TRUSTEES WHO HAVE NO DIRECT OR INDIRECT INTEREST IN THE TRANSACTION. IN MATTERS WHERE A BOARD MEMBER HAS A CONFLICT OF INTEREST, THE BOARD MEMBER IS RECUSED FROM DISCUSSION AND VOTING. | |
| FORM 990, PART VI, SECTION B, LINE 15 | EXECUTIVE COMPENSATION FOR METHODIST REHABILITATION CENTER (MRC) IS: OVERSEEN BY THE PERSONNEL COMMITTEE, A COMMITTEE OF THE BOARD OF TRUSTEES THAT IS DESIGNATED FOR THIS PURPOSE, THAT IS INDEPENDENT OF CONFLICTS OF INTERESTS, AND THAT FOLLOWS THE HIGHEST ETHICAL STANDARDS AND BUSINESS PRACTICES ALIGNED TO ORGANIZATIONAL PERFORMANCE GUIDED BY INDEPENDENT COUNSEL WITH EXPERTISE IN EXECUTIVE COMPENSATION TO ENSURE THAT MRC IS COMPARABLE TO TRENDS AND PRACTICES OF SIMILAR SIZED NOT-FOR-PROFIT HOSPITALS EXECUTIVE COMPENSATION IS A GOVERNANCE RESPONSIBILITY OF THE BOARD OF TRUSTEES THAT IS FREE FROM MANAGEMENT INFLUENCE. IT SETS THE TONE FOR THE ENTIRE ORGANIZATION AND REFLECTS ITS VALUES. EMPLOYMENT OF AN INDEPENDENT CONSULTANCY WITH EXPERTISE IN HEALTHCARE EXECUTIVE COMPENSATION, IS AN IMPORTANT CONTROL TO ENSURE A WELL DESIGNED, FAIRLY IMPLEMENTED AND TRANSPARENT PROGRAM. METHODIST REHABILITATION CENTER'S EXECUTIVE COMPENSATION DETERMINATION PROCESS: * THE BOARD CHARTERS AN INDEPENDENT COMMITTEE (PERSONNEL COMMITTEE) THE PERSONNEL COMMITTEE HIRES AND DIRECTLY SUPERVISES THE WORK OF THE CONSULTANT THE PERSONNEL COMMITTEE HAS A TOTAL COMPENSATION PHILOSOPHY (PAY AND BENEFITS) THE CONSULTANT IS INDEPENDENT AND USES APPROPRIATE DATA FOR ANALYSIS AND COMPARISON THE PERSONNEL COMMITTEE MAKES DETERMINATIONS IN EXECUTIVE SESSION THE PERSONNEL COMMITTEE MINUTES REFLECT THE DECISION-MAKING PROCESS ALL APPROPRIATE TAX FORMS ARE FULLY COMPLETED AND SUBMITTED THE EXECUTIVE COMPENSATION PHILOSOPHY IS SUMMARIZED ANNUALLY IN MRC'S COMMUNITY BENEFIT REPORT | |
| FORM 990, PART VI, SECTION C, LINE 19 | METHODIST REHABILITATION DOES NOT MAKE AVAILABLE ANY OF THESE DOCUMENTS TO THE GENERAL PUBLIC. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -588,723. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART IX, LINE 12 | AUDIT COMMITTEE'S PROCESS FOR AUDIT OVERSIGHT AND SELECTION OF INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM PRIOR YEAR. | AUDITED COMMITTEE |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PAIN MANAGEMENT CENTER LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 EAST WOODROW WILSON DRIVE | AddressLine1 |
| City | JACKSON | City |
| State | MS | State |
| ZIP Code | 39216 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 721367775 | EIN |
| Primary Activities | COMPREHENSIVE PAIN MANAGEMENT SERVICES | PrimaryActivities |
| Legal Domicile State | MS | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MISSISSIPPI METHODIST HOSPITAL & REHABILITATION CENTER | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE WILSON RESEARCH FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 EAST WOODROW WILSON DRIVE | AddressLine1 |
| City | JACKSON | City |
| State | MS | State |
| ZIP Code | 39216 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 640752440 | EIN |
| Primary Activities | TO SUPPORT MISSISSIPPI METHODIST HOSPITAL AND REHABILITATION CENTER | PrimaryActivities |
| Legal Domicile State | MS | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 509(A)(3) TYPE I | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MISSISSIPPI METHODIST HOSPITAL & REHABILITATION CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | 1 | ControlledOrg |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SELECT PHYSICIAN MANAGEMENT SERVICES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 EAST WOODROW WILSON DRIVE | AddressLine1 |
| City | JACKSON | City |
| State | MS | State |
| ZIP Code | 39216 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 640808219 | EIN |
| Primary Activity | PHYSICIAN PRACTICE MANAGEMENT SERVICES | PrimaryActivity |
| Legal Domicile State | MS | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MISSISSIPPI METHODIST HOSPITAL & REHABILITATION CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Share Of EOY Assets | 887 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| THE WILSON RESEARCH FOUNDATION | ||
| B | 10000 | CASH |
| THE WILSON RESEARCH FOUNDATION | ||
| C | 650000 | CASH |
| THE WILSON RESEARCH FOUNDATION | ||
| P | 145457 | CASH |
| THE WILSON RESEARCH FOUNDATION | ||
| N | 140507 | FAIR MARKET VALUE |