MISSISSIPPI METHODIST HOSPITAL REHABILITATION CENTER INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- MISSISSIPPI METHODIST HOSPITAL REHABILITATION CENTER INC (EIN 23-7067206)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-13
- IRS object ID
- 201141339349304699
- Schema version
- 2009v1.7
- 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 | 2011-05-13T16:17:35-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2009-07-01 | 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 | 2011-05-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARSHA H DIECKMAN CPA | Name |
| Phone | 6013261000 | Phone |
| Date Prepared | 2011-05-13 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | 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 | 59704149 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| 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 | 725 | TotalNbrEmployees |
| Total Nbr Volunteers | 89 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 793917 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 96363 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 42920443 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 54719526 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 506100 | InvestmentIncomePriorYear |
| Investment Income Current Year | 333579 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -701503 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4536749 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 43518957 | TotalRevenuePriorYear |
| Total Revenue Current Year | 59686217 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 35403 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 57265 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 30820417 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 32049602 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 19053541 | OtherExpensePriorYear |
| Other Expenses Current Year | 19365363 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 49909361 | TotalExpensesPriorYear |
| Total Expenses Current Year | 51472230 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -6390404 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 8213987 | RevenuesLessExpensesCY |
| Total Assets BOY | 67965117 | TotalAssetsBOY |
| Total Assets EOY | 75319895 | TotalAssetsEOY |
| Total Liabilities BOY | 16789380 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 15416415 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 51175737 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 59903480 | NetAssetsOrFundBalancesEOY |
| Mission Description | IN RESPONSE TO THE LOVE OF GOD, THE METHODIST REHABILITATION CENTER, IS DEDICATED TO THE RESTORATION & ENHANCEMENT OF THE LIVES OF THOSE WE SERVE. WE ARE COMMITTED TO EXCELLENCE & LEADERSHIP IN THE DELIVERY OF COMPREHENSIVE REHABILITATION SERVICES. WITH THE PATIENT ALWAYS AS THE FOCAL POINT & IN AN ATMOSPHERE OF COMPASSIONATE CARE, WE WILL: -PROVIDE OPPORTUNITIES FOR GROWTH IN KNOWLEDGE, SKILLS & CAPABILITIES TO BETTER SERVE OUR PATIENTS & THEIR FAMILIES AND TO ENHANCE THE REHABILITATIVE HEALTH CARE OF OUR STAFF; -DEVELOP CREATIVE & INNOVATIVE METHODS OF PATIENT CARE, SKILLS & TECHNIQUES; -FOSTER A CLIMATE OF SCIENTIFIC INQUIRY THAT PROMOTES RESEARCH IN ALL ASPECTS OF REHABILITATION; -OFFER EDUCATIONAL & PROFESSIONAL PROGRAMS & SHARE REHABILITATION INFORMATION WITH THE COMMUNITY; -RENDER SERVICES THAT ARE EFFECTIVE & COST EFFICIENT, IN A MANNER THAT RESPECTS THE PERSONAL WORTH & DIGNITY OF EACH PERSON WE SERVE; &-PROVIDE COMPREHENSIVE REHABILITATION CARE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 16372942 | Expense |
| Revenue | 23371410 | 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 | 14848089 | Expense |
| Revenue | 31348116 | 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 | 5401394 | Expense |
| Revenue | 4295433 | Revenue |
| Description | ADMINISTRATIVE EXPENSES RELATING TO (A) AND (B) | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6058422 | 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 | 6058422 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 42680847 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| 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 |
| 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 | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | 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 |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 72 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 725 | 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 |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| 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 | 0 | 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 (31 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| DEAN M MILLER | ||||||||
| TRUSTEE - LIFE MEMBER - NO | 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 - NO | 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 | 158950 | 0 | 19761 | |||
| JESSE L WOFFORD MD | ||||||||
| TRUSTEE - LIFE MEMBER-nonvoting | 0.30 | X | 0 | 0 | 0 | |||
| SAMUEL P GRISSOM MD | ||||||||
| TRUSTEE/MEDICAL DIRECTOR | 40.00 | X | 402860 | 0 | 18509 | X | ||
| MARK A ADAMS | ||||||||
| PRESIDENT & CEO, EX-OFFICI | 40.00 | 421079 | 0 | 30133 | X | |||
| GARY ARMSTRONG | ||||||||
| EVP & CFO | 40.00 | 247748 | 0 | 22756 | X | |||
| JOSEPH MORETTE | ||||||||
| EVP & COO | 40.00 | 295198 | 0 | 30451 | X | |||
| BRUCE HIRSHMAN MD | ||||||||
| PHYSICIAN | 40.00 | 297621 | 0 | 12859 | X | |||
| STEVE HOPE | ||||||||
| VICE PRESIDENT HUMAN RESOU | 40.00 | 192090 | 0 | 18425 | X | |||
| ALYSON JONES MD | ||||||||
| PHYSICIAN | 40.00 | 181546 | 0 | 16321 | X | |||
| LEON M GRIGORYEV | ||||||||
| PHYSICIAN | 40.00 | 226539 | 0 | 10871 | X | |||
| ZORAYA M PARRILLA | ||||||||
| PHYSICIAN | 40.00 | 296283 | 0 | 12946 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2719914 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 193032 | 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 |
|---|---|---|---|---|---|
| FOX-EVERETT | |||||
| PO BOX 188 | JACKSON | MS | 39205 | INSURANCE AGENT | 934186 |
| HEALTH CARE FUTURES | |||||
| 300 PARK BLVD | ITASCA | IL | 60143 | CONSULTING SERVICES | 224748 |
| CARDINAL HEALTH | |||||
| 21377 NETWORK PL | CHICAGO | IL | 60673 | PHARMACY SERVICES | 201828 |
| ST DOMINIC HOSPITAL | |||||
| 969 LAKELAND DRIVE | JACKSON | MS | 39216 | LAB & RADIOLOGY SERVICES | 162480 |
| MMI DINING SYSTEMS INC | |||||
| 1000 RED FERN PLACE | FLOWOOD | MS | 39232 | CAFE MANAGEMENT SERVICES | 137173 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
| Related Organizations | 4500 | RelatedOrganizations |
| Government Grants | 18725 | GovernmentGrants |
| All Other Contributions | 73138 | AllOtherContributions |
| Total Contributions | 96363 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| ANCILLARY SERVICES | 621990 | 31348116 | 31348116 |
| ROUTINE SERVICES | 621990 | 23371410 | 23371410 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 54719526 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 300191 | TotalRevenueColumn |
| Exclusion | $300,191 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 241316 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 241316 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 241316 | TotalRevenueColumn |
| Exclusion | $241,316 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 51320 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 17932 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 33388 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 33388 | TotalRevenueColumn |
| Exclusion | $33,388 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER INCOME | Description |
| Business Code | 621990 | BusinessCode |
| Total Revenue Column | 4295433 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4295433 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4295433 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 59686217 | TotalRevenueColumn |
| Related Or Exempt Function Income | 59014959 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $574,895 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57265 | Total |
| Program Services | 57265 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1647445 | Total |
| Management And General | 1647445 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24834051 | Total |
| Program Services | 19376442 | ProgramServices |
| Management And General | 5457609 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 928236 | Total |
| Program Services | 677612 | ProgramServices |
| Management And General | 250624 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2760329 | Total |
| Program Services | 2015040 | ProgramServices |
| Management And General | 745289 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1879541 | Total |
| Program Services | 1372065 | ProgramServices |
| Management And General | 507476 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 78484 | Total |
| Management And General | 78484 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 104456 | Total |
| Management And General | 104456 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 173447 | Total |
| Program Services | 173447 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 163324 | Total |
| Program Services | 163324 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 525810 | Total |
| Program Services | 525810 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3016812 | Total |
| Program Services | 3016812 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1219642 | Total |
| Program Services | 1219642 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| COST OF GOODS SOLD | 3372058 | 3372058 |
| CONTRACT SERVICES | 2016858 | 2016858 |
| EQUIPMENT RENTAL & MAIN | 1623396 | 1623396 |
| GOODWILL IMPAIRMENT | 1547929 | 1547929 |
| UTILITIES | 1221185 | 1221185 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4301962 | Total |
| Program Services | 4301962 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51472230 | Total |
| Program Services | 42680847 | ProgramServices |
| Management And General | 8791383 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1488492 | BOY |
| EOY | 1036097 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7025041 | BOY |
| EOY | 8008526 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 22750 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 731327 | BOY |
| EOY | 764943 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 789341 | BOY |
| EOY | 731873 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 86644006 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 63193174 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25461755 | BOY |
| EOY | 23450832 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19108516 | BOY |
| EOY | 29762028 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1581975 | BOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11778670 | BOY |
| EOY | 11542846 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67965117 | BOY |
| EOY | 75319895 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3268944 | BOY |
| EOY | 3651240 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13020436 | BOY |
| EOY | 10595220 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 500000 | BOY |
| EOY | 800000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 369955 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16789380 | BOY |
| EOY | 15416415 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51175737 | BOY |
| EOY | 59903480 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51175737 | BOY |
| EOY | 59903480 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67965117 | BOY |
| EOY | 75319895 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 85035 | FilingOrganizationsTotals |
Total Lobbying Expenditures TotalLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 85035 | FilingOrganizationsTotals |
Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 42595812 | FilingOrganizationsTotals |
Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 42680847 | 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 | 1000000 | CurrentYearMinus1 |
| Current Year | 1000000 | CurrentYear |
| Total | 4000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmount |
Total Lobbying Expenditures2 TotalLobbyingExpenditures2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 198773 | CurrentYearMinus3 |
| Current Year Minus2 | 97159 | CurrentYearMinus2 |
| Current Year Minus1 | 82439 | CurrentYearMinus1 |
| Current Year | 85035 | CurrentYear |
| Total | 463406 | Total |
Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | 250000 | CurrentYearMinus3 |
| Current Year Minus2 | 250000 | CurrentYearMinus2 |
| Current Year Minus1 | 250000 | CurrentYearMinus1 |
| Current Year | 250000 | CurrentYear |
| Total | 1000000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmount |
Schedule D IRS990ScheduleD
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 86644006 | OtherCostOrOtherBasis |
| Depreciation | 63193174 | Depreciation |
| Book Value | 23450832 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 23450832 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | SECURITIES | Description |
| Book Value | 29762028 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 29762028 | TotalOfBookValueSecurities |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| ASSETS RESTRICTED FOR USE - NONCURRENT | 8469696 |
| DEFERRED FINANCING CHARGES | 262051 |
| OTHER RECEIVABLES | 17718 |
| ASSETS RESTRICTED FOR USE - CURRENT | 2608049 |
| LEASEHOLD DEPOSIT | 5332 |
| OTHER ASSETS | 180000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 11542846 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | THIRD-PARTY SETTLEMENTS | Description |
| Amount | $369,955 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 369955 | TotalOfAmounts |
| Total Revenue | 59686217 | TotalRevenue |
| Total Expenses | 51472230 | TotalExpenses |
| Excess Or Deficit For Year | 8213987 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 513756 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 513756 | TotalAdjustments |
| Excess Or Deficit Per FS | 8727743 | ExcessOrDeficitPerFS |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part X: | Identifier |
| Return Reference | Description of Uncertain Tax Positions Under FIN 48: | ReturnReference |
| Explanation | In July 2006, the FASB issued Interpretation No. 48, Accounting for Uncertainty in Income Taxes - an interpretation of FASB Statement No. 109, codified in FASB ASC Topic 740 ("ASC 740"). This standard clarifies the accounting for uncertainty in income taxes recognized in a company's financial statements and prescribes a recognition threshold and measurement attribute for tax positions taken or expected to be taken on a tax return including the entity's status as a tax-exempt not-for-profit entity. Additionally, ASC 740 provides guidance on derecognition, classification, interest and penalties, accounting in interim periods, disclosure and transition. The Hospital adopted this standard effective July 1, 2009. The Hospital had no significant uncertain tax positions at the date of adoption or at June 30, 2010. Accordingly, the adoption did not have a material effect on the Hospital's financial position or changes in net assets. 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 2006 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 | 125014 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 125014 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00250 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12733436 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 24364796 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -11631360 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12858450 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 24364796 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -11506346 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00250 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3195515 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1021594 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2173921 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04300 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 335123 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6246 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 328877 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00650 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 929603 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 93178 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 836425 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01650 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 450091 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 450091 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00890 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4910332 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1121018 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3789314 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07490 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 17768782 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 25485814 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -7717032 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07740 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 33119 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 33119 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 33119 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 33119 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $557,983 | BadDebtExpenseAmount |
| Amount Attributable To | 50442 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 10727786 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 12520535 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1792749 | 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 |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SELECT PHYSICIAN MANAGEMENT SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | DORMANT - PRIOR MANAGEMENT OF PHYSICIAN PRACTICES | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 1.00000 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0.00000 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0.00000 | PhysicansProfitOrOwnership |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MISSISSIPPI METHODIST REHAB 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 VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | 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. METHODIST REHABILITATION DOES provide a private pay 30% discount and monthly payment plans. | IncomeBasedCriteria |
| Costing Method Used | 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. | CostingMethodUsed |
| Bad Debt Footnote | Part III, Line 4: THE HOSPITAL OFTEN ADMITS A NUMBER OF PATIENTS WITH THE EXPECTATION/REALIZATION THAT IT WILL LIKELY BE UNABLE TO COLLECT A SIGNIFICANT PORTION OF THESE ACCOUNTS. CHARGES DEEMED UNCOLLECTIBLE DURING 2010 WERE APPROXIMATELY $893,000.THE COSTING METHODOLOGY WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGE, WAS USED TO DETERMINE THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON LINE 2 OF PART III. | BadDebtFootnote |
| Shortfall As Community Benefit | 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. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: WHEN A PATIENT QUALIFIES FOR CHARITY CARE (FINANCIAL ASSISTANCE), NO COLLECTIONS ARE ATTEMPTED ON THESE PATIENTS. CHARGES ARE WRITTEN OFF. | DebtCollectionPolicy |
| General Explanation | PART I, QUESTION 7(b) UNREIMBURSED MEDICAID-LONG-TERM CARE SERVICES RENDERED TO MEDICAID PROGRAM BENEFICIARIES ARE REIMBURSED USING A COST-BASED METHOD. CERTAIN LIMITS APPLY TO COMPONENTS AND MAY CHANGE IN THE FUTURE DEPENDENT UPON OTHER SIMILAR PROVIDERS OPENING IN THE STATE OF MISSISSIPPI. MEDICAID IMPOSED ADDITIONAL LIMITS TO THE REIMBURSEMENT RATE EFFECTIVE JANUARY 1, 2007, WHICH THE HOSPITAL APPEALED TO THE SUPREME COURT OF MISSISSIPPI. ON SEPTEMBER 24, 2009, THE SUPREME COURT RULED IN FAVOR OF THE HOSPITAL AND DETERMINED THE APPLICATION OF THE CEILING BY THE DEPARTMENT OF MEDICAID TO BE NULL AND VOID AS IT WAS IMPROPER AND IN VIOLATION OF THE APPLICABLE STATUTES. A REQUEST FOR RECONSIDERATION WAS FILED BY THE DEPARTMENT OF MEDICAID, WHICH WAS DENIED ON DECEMBER 3, 2009, AND THE DEPARTMENT OF MEDICAID WAS MANDATED TO REIMBURSE THE HOSPITAL. DURING FISCAL YEAR 2010, THE HOSPITAL WAS REIMBURSED $10,316,938 FOR THE DIFFERENCE BETWEEN THE CEILING AND ACTUAL COST.OF THE $10,316,938 SETTLEMENT PAYMENT RECEIVED, $9,151,432 RELATED TO PRIOR YEARS. NET COMMUNITY BENEFIT EXPENSE FOR 6/30/10, WITHOUT PRIOR YEAR PAYMENTS, IS $2,599,906. | GeneralExplanation |
| Needs Assessment | 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. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: WHEN POSSIBLE, CHARITY CARE IS IDENTIFIED AND APPROVED BEFORE INITIAL ADMISSION. WE PROVIDE SOCIAL WORKERS AND OUTREACH NURSES 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. | PatientEducationAssistance |
| Community Information | 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. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: MRC SPONSORED THREE HUD SECTION 811 PROJECTS TO BUILD ACCESSIBLE HOUSING APARTMENT COMPLEXES IN JACKSON, HATTIESBURG, AND MERIDIAN, MISSISSIPPI. THESE COMPLEXES WERE SPECIALLY DESIGNED FOR LOW-INCOME PEOPLE WITH MOBILITY IMPAIRMENTS. | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: 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 ON THE ORGANIZATION'S WEBSITE www.methodistonline.org/news/publications AND IN PRINT UPON REQUEST. | OtherInformation |
| Affiliated Health Care System | Part VI, Line 7: | AffiliatedHealthCareSystem |
| Reports Filed With States | MS | ReportsFiledWithStates |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILSON RESEARCH FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 E WOODROW WILSON | AddressLine1 |
| City | JACKSON | City |
| State | MS | State |
| ZIP Code | 39216 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 640752440 | EINOfRecipient |
| IRC Section | 501(c)(3) | IRCSection |
| Amount Of Cash Grant | 8000 | AmountOfCashGrant |
| Purpose Of Grant | CONTRIBUTION OF GIFT SHOP'S NET MARGIN ON BEHALF OF VOLUNTEERS | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
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 |
| 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 | |||||||||||||
| 158950 | 0 | 0 | 0 | 0 | 0 | 10832 | 0 | 8929 | 0 | 178711 | 0 | 0 | 0 |
| SAMUEL P GRISSOM MD | |||||||||||||
| 300000 | 0 | 102860 | 0 | 0 | 0 | 14088 | 0 | 4421 | 0 | 421369 | 0 | 0 | 0 |
| MARK A ADAMS | |||||||||||||
| 350000 | 0 | 71079 | 0 | 0 | 0 | 15337 | 0 | 14796 | 0 | 451212 | 0 | 0 | 0 |
| GARY ARMSTRONG | |||||||||||||
| 207000 | 0 | 40748 | 0 | 0 | 0 | 13455 | 0 | 9301 | 0 | 270504 | 0 | 0 | 0 |
| JOSEPH MORETTE | |||||||||||||
| 250000 | 0 | 45198 | 0 | 0 | 0 | 15925 | 0 | 14526 | 0 | 325649 | 0 | 0 | 0 |
| BRUCE HIRSHMAN MD | |||||||||||||
| 297621 | 0 | 0 | 0 | 0 | 0 | 7152 | 0 | 5707 | 0 | 310480 | 0 | 0 | 0 |
| STEVE HOPE | |||||||||||||
| 171000 | 0 | 21090 | 0 | 0 | 0 | 11115 | 0 | 7310 | 0 | 210515 | 0 | 0 | 0 |
| ALYSON JONES MD | |||||||||||||
| 181546 | 0 | 0 | 0 | 0 | 0 | 12350 | 0 | 3971 | 0 | 197867 | 0 | 0 | 0 |
| LEON M GRIGORYEV | |||||||||||||
| 225000 | 0 | 1539 | 0 | 0 | 0 | 5597 | 0 | 5274 | 0 | 237410 | 0 | 0 | 0 |
| ZORAYA M PARRILLA | |||||||||||||
| 265250 | 0 | 31033 | 0 | 0 | 0 | 6219 | 0 | 6727 | 0 | 309229 | 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 |
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 |
| Bond Counsel Routinely Engaged | 1 | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ZORAYA M PARRILLA MD | NamePerson |
| Purpose Of Loan | One time loan to Physician- Relocating to Mississippi | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $30,000 | OriginalPrincipalAmount |
| Balance Due | 22750 | BalanceDue |
| Default | 0 | Default |
| Approved By Board | 0 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 22750 | 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 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section B, line 11 | THE CONTROLLER AND CFO ARE RESPONSIBLE FOR PREPARATION OF THE 990. THEY UTILIZE A CPA FIRM TO COMPLETE THE FORM. THE PRESIDENT AND CEO REVIEW, SCRUTINIZE, AND ULTIMATELY APPROVE THE FORM 990 FOR FILING. CEO REVIEWS THE COMPLETED FORM 990 WITH THE CHAIRMAN OF THE BOARD. | |
| 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 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 CONSULTANT 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, AS NEEDED, 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. WHEN A CONSULTANT IS NOT NECESSARY, OBJECTIVE COMPENSATION DATA IS PURCHASED AND UTILIZED IN THE DECISION. -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 | |
| Form 990, Part VI, Section C, line 19 | METHODIST REHABILITATION MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART XI, LINE 2C | audit COMMITTEE'S PROCESS FOR AUDIT OVERSIGHT AND SELECTION OF INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM PRIOR YEAR. | AUDIT 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 |
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 II | PublicCharityStatus |
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 |
| Type Of Entity | C | TypeOfEntity |
| Share Of EOY Assets | 1652 | 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 |
|---|---|
| THE WILSON RESEARCH FOUNDATION | |
| B | 8000 |
| THE WILSON RESEARCH FOUNDATION | |
| C | 4500 |
| THE WILSON RESEARCH FOUNDATION | |
| P | 138686 |
| THE WILSON RESEARCH FOUNDATION | |
| N | 86159 |