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ST DOMINIC-JACKSON MEMORIAL HOSPITAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
ST DOMINIC-JACKSON MEMORIAL HOSPITAL (EIN 64-0303091)
Tax period
2024-07-01 to 2025-06-30
Filed
2026-05-15
IRS object ID
202601359349303145
Schema version
2024v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2026-05-15T08:49:16+00:00ReturnTs
Tax Period End2025-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1301 Main Street Suite 2150AddressLine1Txt
CityBaton RougeCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70801ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN640303091EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Dominic - Jackson Memorial HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTDOBusinessNameControlTxt
Phone6012006570PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1969 LAKELAND DRIVEAddressLine1Txt
CityJACKSONCityNm
State AbbreviationMSStateAbbreviationCd
ZIP392164699ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSAM SCOTTPersonNm
Person TitleTREASURERPersonTitleTxt
Signature2026-05-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRYAN HOOKSPreparerPersonNm
PTINP00746825PTIN
Phone2253444000PhoneNum
Preparation2026-05-15PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1FMOL Health St DominicBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1SAM SCOTTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1969 LAKELAND DRIVEAddressLine1Txt
CityJACKSONCityNm
State AbbreviationMSStateAbbreviationCd
ZIP392164699ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$639,357,649GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STDOM.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1946FormationYr
Legal Domicile StateMSLegalDomicileStateCd
Activity Or MissionTO PROVIDE FOR THE CARE OF THE ILL, INJURED, OR DISABLED PERSONS, AND TO PROVIDE FOR RESEARCH, EDUCATION, AND FOR THE ENHANCEMENT OF HEALTH OF THOSE IN THE COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee3647TotalEmployeeCnt
Total Volunteers159TotalVolunteersCnt
Total Gross UBI$1,055,292TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,887,832PYContributionsGrantsAmt
CY Contributions Grants$4,309,197CYContributionsGrantsAmt
PY Program Service Revenue$571,485,465PYProgramServiceRevenueAmt
CY Program Service Revenue$588,110,718CYProgramServiceRevenueAmt
PY Investment Income$4,935,860PYInvestmentIncomeAmt
CY Investment Income$16,591,402CYInvestmentIncomeAmt
PY Other Revenue$14,594,470PYOtherRevenueAmt
CY Other Revenue$9,596,519CYOtherRevenueAmt
PY Total Revenue$596,903,627PYTotalRevenueAmt
CY Total Revenue$618,607,836CYTotalRevenueAmt
PY Grants And Similar Paid$374,475PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$840,987CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$234,930,911PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$234,777,000CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$345,926,188PYOtherExpensesAmt
CY Other Expenses$350,669,034CYOtherExpensesAmt
PY Total Expenses$581,231,574PYTotalExpensesAmt
CY Total Expenses$586,287,021CYTotalExpensesAmt
PY Revenues Less Expenses$15,672,053PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$32,320,815CYRevenuesLessExpensesAmt
Total Assets BOY$567,488,528TotalAssetsBOYAmt
Total Assets EOY$593,286,461TotalAssetsEOYAmt
Total Liabilities BOY$281,525,687TotalLiabilitiesBOYAmt
Total Liabilities EOY$283,282,541TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$285,962,841NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$310,003,920NetAssetsOrFundBalancesEOYAmt
MissionINSPIRED BY THE VISION OF ST. FRANCIS OF ASSISI AND IN THE TRADITION OF THE ROMAN CATHOLIC CHURCH, WE EXTEND THE HEALING MINISTRY OF JESUS CHRIST TO GOD'S PEOPLE, ESPECIALLY THOSE MOST IN NEED. WE CALL FORTH ALL WHO SERVE IN THIS HEALTHCARE MINISTRY, TO SHARE THEIR GIFTS ANDMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$445,446,207ExpenseAmt
Grant$840,987GrantAmt
Revenue$589,189,936RevenueAmt
DescTHE ST. DOMINIC - JACKSON MEMORIAL HOSPITAL PROVIDES QUALITY HOSPITAL AND MEDICAL SERVICES TO ITS PATIENTS. IN THE CURRENT YEAR, SERVICES WERE PROVIDED FOR 124,603 PATIENT DAYS, 49,373 EMERGENCY ROOM VISITS, AND 22,122 INPATIENT DISCHARGES. THE MEDICAL CENTER IS AN ACTIVE, CARING MEMBER OF THE COMMUNITIES IT SERVES. IN CARRYING OUT ITS MISSION, THE MEDICAL CENTER HAS ESTABLISHED A POLICY UNDER WHICH IT PROVIDES CARE TO NEEDY MEMBERS OF ITS COMMUNITIES. ADDITIONAL COSTS WERE INCURRED FOR PARTICIPATION IN PROGRAMS WHICH, IN SOME CASES, PAY AMOUNTS LESS THAN THE COST OF PROVIDING SERVICES. THE HOSPITAL ALSO SERVES THE COMMUNITY IN NUMEROUS WAYS, SUCH AS ASSISTING IN EDUCATING THE COMMUNITY REGARDING HEALTH-RELATED ISSUES.Desc
Total Program Service Expenses$445,446,207TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee3647EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Policies Reference ChaptersfalsePoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAM SCOTTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6012006570PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1969 LAKELAND DRIVEAddressLine1Txt
CityJACKSONCityNm
State AbbreviationMSStateAbbreviationCd
ZIP392164699ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Jeff Fletcher
Chair0.50Yes (X)Yes (X)$0$0$0
Jeremy Tinnerello
Market President0.541.5Yes (X)Yes (X)$0$638,943$108,960
Johnny Donaldson
Vice Chair0.50Yes (X)Yes (X)$0$0$0
Sister Mary Trinita Eddington OP
Secretary0.840.5Yes (X)Yes (X)$0$0$0
Bishop Joseph Kopacz
Board Member0.50Yes (X)$0$0$0
David Carroll MD
Board Member0.55.0Yes (X)$54,515$0$0
Evert Kuiper
FMOLHS President & CEO1.040.0Yes (X)$0$1,188,036$24,496
Marcelo Ruvinsky MD
Board Member0.50Yes (X)$0$0$0
Rebekah Moulder MD
Board Member/Physician40.00Yes (X)$651,935$0$19,242
Rick Guynes MD
Board Member0.50Yes (X)$0$0$0
Sister Dorothea Sondgeroth OP
Board Member0.540.5Yes (X)$0$0$0
Sister Karina Dickey OP
Board Member0.50Yes (X)$0$0$0
Stewart Gentry
Board Member0.50Yes (X)$0$0$0
Samuel Scott
Treasurer1.041.5Yes (X)$0$487,114$36,405
David Estorge
VP, Rural Strategy1.040.0$0$421,042$80,465Yes (X)
Kay McRee
Sr Director Foundation40.01.0$249,264$0$27,560Yes (X)
Teri Dyess
VP, Chief Medical Officer40.00$589,250$0$53,883Yes (X)
Tracey Smithson
VP, CNO40.00$406,649$0$26,747Yes (X)
Bryan Gaspard MD
Physician40.00$1,140,307$0$47,792Yes (X)
D Paul Seago MD
VP Chief Medical Officer40.00.5$1,197,288$0$39,284Yes (X)
David Theodoro MD
Physician40.00$1,325,161$0$38,804Yes (X)
P Kerr MD
Physician40.00$1,206,026$0$40,177Yes (X)
Ruth Fredericks MD
Physician40.00$1,116,803$0$28,337Yes (X)
Kristin Wolkart
Former Market Pres/FMOLHS CNO0.040.0$0$1,063,272$146,654Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,937,198TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,798,407TotReportableCompRltdOrgAmt
Total Other Compensation$718,806TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K449IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
RELIAS EMERGENCY MED SPECIALISTS OF ST DOMINIC LLC
PO BOX 31037CHARLOTTENC28231Revenue Cycle Services$7,167,366
PHYSICIANS ANESTHESIA GROUP PA
PO BOX 3749JACKSONMS39207Professional Services$7,022,674
TRIMEDX INC
PO BOX 636129CINCINNATIOH45263Biomed Services$6,276,933
JACKSON HEART CLINIC PA
PO BOX 5169JACKSONMS39296Professional Fee Services$3,891,875
MISSISSIPPI BLOOD SERVICES
115 TREE STREETFLOWOODMS39232Blood Services$2,770,773
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K85CntrctRcvdGreaterThan100KCnt
Related Organizations$2,714,142RelatedOrganizationsAmt
Government Grants$123,287GovernmentGrantsAmt
All Other Contributions$1,471,768AllOtherContributionsAmt
Total Contributions$4,309,197TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PATIENT SERVICE REVENUE621400$575,556,671$575,556,671
Other Program Service900099$1,915,630$860,338$1,055,292
Lab621500$684,058$684,058
340 B Revenue621400$8,074,462$8,074,462
Cafeteria722514$2,029,281$2,029,281

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column-$149,384TotalRevenueColumnAmt
Related Or Exempt Func Income-$149,384RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$588,110,718TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,884,203TotalRevenueColumnAmt
Exclusion$5,884,203ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$5,471,275RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$38,547RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$5,432,728RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,432,728TotalRevenueColumnAmt
Exclusion$5,432,728ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$31,418,465SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$20,711,266SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$10,707,199SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,707,199TotalRevenueColumnAmt
Exclusion$10,707,199ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescPension related changesDesc
Business900099BusinessCd
Total Revenue Column$4,163,791TotalRevenueColumnAmt
Related Or Exempt Func Income$4,163,791RelatedOrExemptFuncIncomeAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,163,791OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$618,607,836TotalRevenueColumnAmt
Related Or Exempt Func Income$589,189,936RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,055,292UnrelatedBusinessRevenueAmt
Exclusion$24,053,411ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$840,987TotalAmt
Program Services$840,987ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,404,328TotalAmt
Program Services$1,313,609ProgramServicesAmt
Management And General$90,719ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$196,259,026TotalAmt
Program Services$183,580,692ProgramServicesAmt
Management And General$12,678,334ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$8,419,227TotalAmt
Program Services$7,895,551ProgramServicesAmt
Management And General$523,676ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$15,011,881TotalAmt
Program Services$14,078,142ProgramServicesAmt
Management And General$933,739ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,682,538TotalAmt
Program Services$12,831,484ProgramServicesAmt
Management And General$851,054ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$90,016,935TotalAmt
Program Services$41,556,148ProgramServicesAmt
Management And General$48,460,787ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$538,974TotalAmt
Program Services$126,821ProgramServicesAmt
Management And General$412,153ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$87,850TotalAmt
Program Services$20,671ProgramServicesAmt
Management And General$67,179ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$45,813TotalAmt
Management And General$45,813ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$272,296TotalAmt
Program Services$64,071ProgramServicesAmt
Management And General$208,225ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$49,935,370TotalAmt
Program Services$5,817,677ProgramServicesAmt
Management And General$44,117,693ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,412,845TotalAmt
Program Services$280,373ProgramServicesAmt
Management And General$2,132,472ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$23,415,835TotalAmt
Program Services$7,712,047ProgramServicesAmt
Management And General$15,703,788ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,527,635TotalAmt
Program Services$177,511ProgramServicesAmt
Management And General$1,350,124ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$13,966,221TotalAmt
Program Services$11,519,144ProgramServicesAmt
Management And General$2,447,077ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$298,185TotalAmt
Program Services$34,649ProgramServicesAmt
Management And General$263,536ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$130TotalAmt
Program Services$15ProgramServicesAmt
Management And General$115ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$753,594TotalAmt
Program Services$42,428ProgramServicesAmt
Management And General$711,166ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$18,802,943TotalAmt
Program Services$14,189,429ProgramServicesAmt
Management And General$4,613,514ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,442,056TotalAmt
Program Services$966,052ProgramServicesAmt
Management And General$3,476,004ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES EXPENSE$141,621,156$141,621,156
PURCHASED SERVICES$1,984,211$230,565$1,753,646
REPAIRS & MAINTENANCE$546,985$546,985

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$586,287,021TotalAmt
Program Services$445,446,207ProgramServicesAmt
Management And General$140,840,814ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$10,341,739BOYAmt
EOY$23,432,699EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$40,420,394BOYAmt
EOY$55,475,420EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$58,014,322BOYAmt
EOY$58,643,499EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$118,635BOYAmt
EOY$354,394EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$14,940,473BOYAmt
EOY$14,316,858EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,515,524BOYAmt
EOY$1,824,794EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$309,209,464LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$93,159,552LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$233,612,736BOYAmt
EOY$216,049,912EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$169,324,342BOYAmt
EOY$187,172,935EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$11,237,362BOYAmt
EOY$10,854,501EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$9,774,035BOYAmt
EOY$8,090,745EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$18,188,966BOYAmt
EOY$17,070,704EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$567,488,528BOYAmt
EOY$593,286,461EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$59,550,024BOYAmt
EOY$59,126,426EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$29,594BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$221,946,069BOYAmt
EOY$224,156,115EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$281,525,687BOYAmt
EOY$283,282,541EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$277,499,044BOYAmt
EOY$289,609,877EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,463,797BOYAmt
EOY$20,394,043EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$285,962,841BOYAmt
EOY$310,003,920EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$567,488,528BOYAmt
EOY$593,286,461EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$32,320,815ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,892,327NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$12,172,063OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$40,000DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$5,813OtherActivitiesAmt
Total Lobbying Expenditures$45,813TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationPART II-B, LINE 1G: ST. DOMINIC JACKSON MEMORIAL HOSPITAL PAID A LOBBYING CONSULTANT WHO HAD DIRECT CONTACT WITH LEGISLATORS TO DISCUSS VARIOUS PUBLIC POLICY ISSUES AND LEGISLATIVE MATTERS. LINE 1i: ST. DOMINIC JACKSON MEMORIAL HOSPITAL PAYS DUE TO VARIOUS ORGANIZATIONS, A PORTION OF WHICH ARE ATTRIBUTABLE TO LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$34,739,440OtherCostOrOtherBasisAmt
Book Value$34,739,440BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$195,765,727OtherCostOrOtherBasisAmt
Depreciation$46,274,908DepreciationAmt
Book Value$149,490,819BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$70,252,241OtherCostOrOtherBasisAmt
Depreciation$43,721,265DepreciationAmt
Book Value$26,530,976BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,452,056OtherCostOrOtherBasisAmt
Depreciation$3,163,379DepreciationAmt
Book Value$5,288,677BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$216,049,912TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Closely-held equity interests
Financial derivatives
FND DEPR - FMOL PORTFOLIO$187,172,935F
FieldValueIRS element (for citing)
Total Book Value Securities$187,172,935TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
Federal Income Taxes
NET DUE TO/FROM AFFILIATES$28,197,786
OPERATING LEASE - LT$1,833,766
SELF INSURANCE LIABILITY LT$29,610,907
RETIREMENT PAYABLE LONG TERM$71,628,202
OBLIGATION OPERATING- ST$4,171,875
INVETSEMENTS HELD AT FMOLHS$85,576,042
FINANCE LEASE PAYABLE$3,137,537
FieldValueIRS element (for citing)
Total Liability$224,156,115TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$0RevenueSubtotalAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$0TotalRevenuePerForm990Amt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$0ExpensesSubtotalAmt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$0TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationFMOLHS RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. NO RESERVE FOR UNCERTAIN TAX POSITIONS HAVE BEEN RECORDED.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other275FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CarefalseFPGReferenceDiscountedCareInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,181,453TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,632,390DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,549,063NetCommunityBenefitExpnsAmt
Total Expense0.01458TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$71,829,453TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$71,829,453DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$82,010,906TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$73,461,843DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,549,063NetCommunityBenefitExpnsAmt
Total Expense0.01458TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$521,626TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$99DirectOffsettingRevenueAmt
Net Community Benefit Expns$521,527NetCommunityBenefitExpnsAmt
Total Expense0.00089TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,548TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,548NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,686,784TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$134,528DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,552,256NetCommunityBenefitExpnsAmt
Total Expense0.00606TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$263,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$78,650DirectOffsettingRevenueAmt
Net Community Benefit Expns$184,350NetCommunityBenefitExpnsAmt
Total Expense0.00031TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$4,472,958TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$213,277DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,259,681NetCommunityBenefitExpnsAmt
Total Expense0.00727TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$86,483,864TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$73,675,120DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,808,744NetCommunityBenefitExpnsAmt
Total Expense0.02185TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$17,873,985BadDebtExpenseAmt
Reimbursed By Medicare$126,703,306ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$132,510,980CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$5,807,674MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1JACKSON HEART & VASCULAR CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesCARDIOVASCULAR CLINICPrimaryActivitiesTxt
Org Profit Or Ownership0.2OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.047OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.753PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST DOMINIC-JACKSON MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1969 LAKELAND DRIVEAddressLine1Txt
CityJACKSONCityNm
State AbbreviationMSStateAbbreviationCd
ZIP392164699ZIPCd
FieldValueIRS element (for citing)
Website AddressHTTP://WWW.STDOM.COM/14-031WebsiteAddressTxt
State License14-031StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST DOMINIC-JACKSON MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted24CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.fmolhs.org/-/media/files/about-us/chna/fmol-chna-stdominics-2025-20pg-fin-singles.pdfOwnWebsiteURLTxt
Other Website URLhttps://www.fmolhs.org/-/media/files/about-us/chna/fmol-chna-stdominics-2025-20pg-fin-singles.pdfOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt24ImplementationStrategyAdptYr
Strategy Posted WebsitefalseStrategyPostedWebsiteInd
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care275.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care0.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.FMOLHS.ORG/PATIENTS-GUESTS/PATIENTS-RESOURCES/FINANCIAL-ASSISTANCE-POLICYFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.FMOLHS.ORG/PATIENTS-GUESTS/PATIENTS-RESOURCES/FINANCIAL-ASSISTANCE-POLICYFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.FMOLHS.ORG/PATIENTS-GUESTS/PATIENTS-RESOURCES/FINANCIAL-ASSISTANCE-POLICYFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - ST. DOMINIC-JACKSON MEMORIAL HOSPITAL:. Input from persons who represent the broad interests of the community served was taken into account throughout the Community Health Needs Assessment (CHNA) process conducted by St. Dominic Hospital. Input was obtained from community stakeholders, including community partners and healthcare providers serving vulnerable populations, through surveys administered in late spring and early summer 2024 and through targeted interviews with external community representatives. As part of this process, St. Dominic's interviewed Brianna McField, MPh, Community Health Director for the Mississippi Department of Health, whose role specifically represents medically underserved, lowincome, and minority populations on a fulltime basis. Additional external stakeholder input was obtained from community and economic development leaders, including Angelique Rawls, Executive Vice President of the Greater Jackson Chamber Partnership. Feedback from these representatives echoed survey results identifying challenges related to social determinants of health, such as poverty, access to care, transportation, and the need for trusted and affordable healthcare services. This qualitative input was reviewed alongside quantitative data from recognized public health sources and was incorporated into the identification and prioritization of significant community health needs reflected in the CHNA.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - ST. DOMINIC-JACKSON MEMORIAL HOSPITAL:. DURING THE CURRENT YEAR, St. DOMINIC'S HOSPITAL (sdh) CONTINUED TO ADDRESS THE FOLLOWING PRIORITY AREAS IDENTIFIED DURING THE PRIOR CHNA: HOmelessness, Crisis care programs for mental health, affordable healthcare services for people or families with low income, Domestic Violence Resources. Housing for all incomes/ages, Counseling services for depression or anxiety, Job readiness, post-addictions treatment support programs, Counseling services for adolescents / children, and Prescription assistance. THE HOSPITAL ALSO CONDUCTED A NEW COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH IDENTIFIED THE FOLLOWING PRIORITY AREAS: ACCESS TO CARE AND WOMEN'S HEALTH. DURING THE CURRENT YEAR, TO ADDRESS THE PRIORITY AREAS LISTED ABOVE, THE HOSPITAL DID THE FOLLOWING: SDH PARTNERED WITH ST. VINCENT DEPAUL PHARMACY TO OPEN A FREE PHARMACY DEDICATED TO SERVING VULNERABLE POPULATIONS IN JACKSON AND THE SURROUNDING AREAS. SDH PROVIDES THE SPACE FREE OF CHARGE FOR THE PHARMACY TO HELP OFFSET THE COST OF OPERATIONS. SDH CONTINUED TO PROVIDE THE FREE SISTER TRINITA COMMUNITY HEALTH CLINIC TO PATIENTS IN THE SAME BUILDING AS STEWPOT COMMUNITY SERVICES, WHICH INCLUDES SERVICES SUCH AS A CLOTHING CLOSET, FREE MEAL PROGRAMS, A FOOD PANTRY, A STREET OUTREACH PROGRAM, A LEGAL CLINIC, HeARTworks ART PROGRAM, AND DAILY CHAPEL SERVICES. FINANCIAL CONTRAINTS COMPELLED SDH TO CLOSE ITS FREESTANDING BEHAVIORAL HEALTH SERVICES IN 2023. HOWEVER, SDH SOUGHT A BEHAVIORAL HEALTH PROVIDER TO LEASE THE SPACE. OCEANS HEALTHCARE OPENED EARLY IN 2025. WHILE OCEANS CANNOT ACCOMMODATE THE SAME VOLUME OF INDIGENT PATIENTS AS SDH DID, IT NONETHELESS PROVIDES MUCH NEEDED BEHAVIORAL HEALTH SERVICES TO THE COMMUNITY. SDH TIED ITS COMMUNITY CONTRIBUTIONS TO ITS CHNA FINDINGS TO FUND CONTRIBUTIONS THAT FURTHERED THE WORK OF ITS CHNA GOALS AND OBJECTIVES AS WELL WITH A WELL-DEFINED PROCESS OF VETTING EACH REQUEST FOR DONATIONS TO DETERMINE IF THE DONATION MET THE NEEDS OF THE COMMUNITY AS DEFINED BY THE CHNA. In June 2025, SDH announced its adoption of the InVision Pathology Imaging System, an infrared imaging technology designed to better identify lymph nodes in surgical specimens during cancer treatment. The goal is to better assess the stage of cancer in patients. St. Dominic Health is utilizing the technology for all cancers that involve lymph node analysis as part of the staging process, including breast, colon, small bowel, stomach (gastric), and pancreatic cancers. In a recent study of 104 patients, the InVision Pathology Imaging System was shown to increase lymph node detection in 86.5% of cases and led to staging changes in 3.8% of cases, with no added risk to patients. According to the American Joint Cancer Committee (AJCC), the number of lymph nodes examined is correlated with the survival rate of cancer patients. SDH PROVIDED Workforce Development/Primary and Secondary Workforce Exposure TO A TOTAL OF 255 INDIVIDUALS IN THE CURRENT YEAR. TWO HUNDRED INDIVIDUALS WERE REACHED THROUGH THE JSU TRIO Bash, A federally funded educational support program, AND 55 WERE REACHED THROUGH THE Lanier High School WORKFORCE DEVELOPMENT Careers Presentation. Through thoughtful partnerships and expansion of educational opportunities, sdh is leading the future for careers in healthcare. fmol health has dedicated funds for development of programs for high schoolers to adulthood that supports both the broader community and those living in poverty as they pursue educational goals. Key relationships with high schools in local parishes provide entry pathways to careers in bedside care and ancillary roles. The commitment to workforce development solutions continues in partnership with the area's higher education institutions.
Schedule H, Part V, Section B, Line 13 Facility , 1Facility , 1 - ST. DOMINIC-JACKSON MEMORIAL HOSPITAL:. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: 1. THE PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO THE HOSPITAL; 2. STATE-FUNDED PRESCRIPTION PROGRAMS; 3. HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT; 4. PATIENTS' CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCE PROGRAMS; 5. PATIENT ELIGIBLE FOR FOOD STAMPS; 6. MEDICAID ELIGIBLE PATIENT; 7. PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY; 8. PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY
Schedule H, Part V, Section B, Line 16 Facility , 1Facility , 1 - ST. DOMINIC-JACKSON MEMORIAL HOSPITAL:. REGISTRATION PERSONNEL REFER UNINSURED AND/OR LOW-INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY.
FieldValueIRS element (for citing)
Facility35FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (35 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
ST DOMINIC'S HOSPITAL MEDICINE
971 LAKELAND DRIVE SUITE 1453JACKSONMS39216HOSPITALIST CLINIC
ST DOMINIC'S NEUROSURGERY ASSOCIATES
971 LAKELAND DRIVE SUITE 657JACKSONMS39216PHYSICIAN CLINIC
ST DOMINIC'S NEUROCARE
971 LAKELAND DRIVE SUITE 557JACKSONMS39216PHYSICIAN CLINIC
ST DOMINIC'S VASCULAR AND ENDOVASCULAR
971 LAKELAND DRIVE SUITE 1250JACKSONMS39216PHYSICIAN CLINIC
ST DOMINIC'S EAR NOSE & THROAT SURGICA
970 LAKELAND DRIVE SUITE 40JACKSONMS39216PHYSICIAN CLINIC
ST DOMINIC'S INTERNAL MEDICINE GROUP
971 LAKELAND DRIVE SUITE 250JACKSONMS39216PHYSICIAN CLINIC
STDOMINIC'S FAMILY MEDICINE OF MADISON
106 HIGHLAND WAY 103MADISONMS39110PHYSICIAN CLINIC
ST DOMINIC'S INTERNAL MEDICINE MADISON
106 HIGHLAND WAY 200MADISONMS39110PHYSICIAN CLINIC
ST DOMINIC'S CARDIOVASCULAR SURGERY
971 LAKELAND DRIVE SUITE 657JACKSONMS39216PHYSICIAN CLINIC
ST DOMINIC'S PAIN MANAGEMENT CENTER
971 LAKELAND DRIVE SUITE 1159JACKSONMS39216PHYSICIAN CLINIC
ST DOMINIC'S GYNECOLOGIC ONCOLOGY
971 LAKELAND DRIVE SUITE 750JACKSONMS39216PHYSICIAN CLINIC
ST DOMINIC'S UROLOGY
971 LAKELAND DRIVE SUITE 360JACKSONMS39216PHYSICIAN CLINIC
ST DOMINIC'S INFECTIOUS DISEASE
971 LAKELAND DRIVE SUITE 954JACKSONMS39216PHYSICIAN CLINIC
ST DOMINIC'S PSYCHIATRIC ASSOCIATES
890 LAKELAND DRIVEJACKSONMS39216PHYSICIAN CLINIC
ST DOMINIC'S RHEUMATOLOGY
106 HIGHLAND WAY SUITE 200MADISONMS39110PHYSICIAN CLINIC
ST DOMINIC'S FAMILY MEDICINE OF BRANDON
1297 WEST GOVERNMENT STREETBRANDONMS39042PHYSICIAN CLINIC
ST DOMINIC'S FAMILY MEDICINE OF CLINTON
728 CLINTON PARKWAY SUITE BCLINTONMS39056PHYSICIAN CLINIC
ST DOMINIC'S FAMILY MEDICINE OF FLOWOOD
1050 RIVER OAKS DRIVEFLOWOODMS39232PHYSICIAN CLINIC
ST DOMINIC'S FAMILY MEDICINE OF DOGWOOD
205A BELLE MEADE POINTEFLOWOODMS39232PHYSICIAN CLINIC
ST DOMINIC'S FAMILY MEDICINE OF MAGEE
360 SIMPSON HWY 149 SUITE 220MAGEEMS39111PHYSICIAN CLINIC
ST DOMINIC'S FAMILY MEDICINE OF JACKSON
890 LAKELAND DRIVEJACKSONMS39056PHYSICIAN CLINIC
ST DOMINIC'S MARTIN SURGICAL ASSOCIATES
971 LAKELAND DRIVE SUITE 211JACKSONMS39216PHYSICIAN CLINIC
ST DOMINIC'S FAMILY MED OF PELAHATCHIE
610 2ND STREETPELAHATCHIEMS39145PHYSICIAN CLINIC
ST DOMINIC'S FAMILY MEDICINE OF RALEIGH
342 MAGNOLIA DRIVERALEIGHMS39153PHYSICIAN CLINIC
ST DOMINIC'S FAMILY MEDICINE GLUCKSTADT
286 CALHOUN STATION PARKWAYMADISONMS39110PHYSICIAN CLINIC
ST DOMINIC'S COUMADIN CLINIC
890 LAKELAND DRIVEJACKSONMS39056PHYSICIAN CLINIC
ST DOMINIC'S CHRONIC CARE CLINIC
969 LAKELAND DRIVEJACKSONMS39216PHYSICIAN CLINIC
ST DOMINIC'S OUTREACH PROGRAM-TELEMEDIC
969 LAKELAND DRIVEJACKSONMS39216PHYSICIAN CLINIC
ST DOMINIC'S OUTREACH PROGRAM-MAGEE
360 SIMPSON HWY 149 SUITE 370MAGEEMS39111PHYSICIAN CLINIC
ST DOMINIC'S OUTREACH PROGRAM-CLEVELAND
810 E SUNFLOWER ROADCLEVELANDMS38732PHYSICIAN CLINIC
ST DOMINIC'S OUTREACH PROGRAM-KOSCIUSKO
332 HIGHWAY 12 WESTKOSCIUSKOMS39090PHYSICIAN CLINIC
ST DOMINIC'S OUTREACH PROGRAM-PELAHATCH
610 2ND STREETPELAHATCHIEMS39145PHYSICIAN CLINIC
ST DOMINIC'S OUTREACH PROGRAM-VICKSBURG
4204 CLAY STREETVICKSBURGMS39180PHYSICIAN CLINIC
ST DOMINIC'S OUTREACH PROGRAM-BROOKHAVE
427 HWY 51 NBROOKHAVENMS39601PHYSICIAN CLINIC
ST DOMINIC'S INTERNAL MEDICINE CLINIC
112 SOUTH LAKE CIRCLECANTONMS39046PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3c Eligibility criteria for free or discounted careFINANCIAL ASSISTANCE IS AVAILABLE FOR INDIVIDUALS WHO ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR ANY GOVERNMENT HEALTH CARE BENEFIT PROGRAM, AND WHO ARE UNABLE TO PAY FOR THEIR CARE. FULLY-DISCOUNTED CARE IS AVAILABLE IF INCOME AND ASSETS MEET CERTAIN FEDERAL POVERTY GUIDELINE LEVELS. FULLY-DISCOUNTED CARE IS ALSO AVAILABLE FOR THOSE PATIENTS WITH CATASTROPHIC MEDICAL BILLS IF MEDICAL BILLS EXCEED A CERTAIN PERCENTAGE OF INCOME AND ASSETS. FULLY DISCOUNTED CARE IS ALSO AVAILABLE WHERE THE PATIENT OR OTHER SOURCES CAN PROVIDE SUFFICIENT EVIDENCE OF PRESUMPTIVE ELIGIBILITY. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: 1) PATIENT RECEIVING FREE CARE FROM A COMMUNITY CLINIC AND IS REFERRED TO THE HOPSITAL; 2) STATE-FUNDED PRESCRIPTION PROGRAMS; 3) HOMELESS, INDIGENT, OR HOMELESS CLINIC PATIENT; 4) PATIENT'S CHILDREN WHO QUALIFY FOR OTHER FINANCIAL ASSISTANCE PROGRAMS; 5) PATIENT ELIGIBLE FOR FOOD STAMPS; 6) MEDICAID ELIGIBLE PATIENT; 7) PATIENT IS DECEASED WITH NO KNOWN RESPONSIBLE PARTY; 8) PATIENT IS INCARCERATED AND HAS NO OTHER RESPONSIBLE PARTY.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceA COST TO CHARGE RATIO WAS USED TO CALCULATE PART I, LINE 7A AND 7B. THE COST TO CHARGE RATIO WAS DERIVED FROM IRS WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES. THE COST TO CHARGE RATIO IS APPLIED TO GROSS CHARGES RELATED TO CHARITY CARE AND CARE COVERED BY MEDICAID AND OTHER GOVERNMENT PROGRAMS. FOR PART I, LINES 7E THROUGH 7I, DIRECT COSTS WERE CAPTURED FROM THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS AND THE MEDICARE COST REPORT LESS DIRECT OFFSESTTING REVENUE, WHERE APPLICABLE.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountTHE AMOUNT REPORTED IN PART III, LINE 2 AS BAD DEBT EXPENSE MATCHES THE AMOUNT OF BAD DEBT EXPENSE REPORTED ON THE HOSPITAL'S INTERNAL FINANCIAL STATEMENTS.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnotePATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND REPORTED AT NET REALIZABLE VALUE. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS HISTORICAL EXPERIENCE AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTABLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF THEIR PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsTHE COSTING METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE MEDICARE COST REPORT IS BASED ON REGULATORY REQUIREMENTS AND GUIDELINES.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceST. DOMINIC HOSPITAL HAS A BOARD APPROVED COLLECTION POLICY AND HAS WRITTEN CONTRACTS IN PLACE WITH ITS COLLECTION AGENCIES SO THE APPROPRIATE COLLECTION ACTIVITIES ARE FOLLOWED. THE COLLECTION AGENCIES THAT ST. DOMINIC USES ARE FULLY INFORMED ABOUT THE HOSPITAL'S FINANCIAL AID POLICY AND ASSIST IN EDUCATING ITS PATIENTS. THEY ROUTINELY SEND FINANCIAL AID APPLICATIONS TO PATIENTS AND REFER THOSE PATIENTS BACK TO THE HOSPITAL'S FINANCIAL COUNSELORS WHEN APPROPRIATE.
Schedule H, Part V, Section B, Line 16a FAP website- ST. DOMINIC-JACKSON MEMORIAL HOSPITAL: Line 16a URL: HTTPS://WWW.FMOLHS.ORG/PATIENTS-GUESTS/PATIENTS-RESOURCES/FINANCIAL-ASSISTANCE-POLICY;
Schedule H, Part V, Section B, Line 16b FAP Application website- ST. DOMINIC-JACKSON MEMORIAL HOSPITAL: Line 16b URL: HTTPS://WWW.FMOLHS.ORG/PATIENTS-GUESTS/PATIENTS-RESOURCES/FINANCIAL-ASSISTANCE-POLICY;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- ST. DOMINIC-JACKSON MEMORIAL HOSPITAL: Line 16c URL: HTTPS://WWW.FMOLHS.ORG/PATIENTS-GUESTS/PATIENTS-RESOURCES/FINANCIAL-ASSISTANCE-POLICY;
Schedule H, Part VI, Line 2 Needs assessmentSt. DominicJackson Memorial Hospital assesses the health care needs of the community it serves through a process that integrates community input with analysis of quantitative public health data. In conducting the Community Health Needs Assessment (CHNA), the hospital collected input from community stakeholders, including community partners and healthcare providers serving vulnerable populations, through surveys administered in late spring and early summer 2024, as well as targeted interviews with internal and external stakeholders. Community input was compared with statistical data obtained from recognized sources such as the U.S. Census Bureau and other public health data sources to identify health disparities, social determinants of health, and service gaps affecting residents of Hinds, Madison, and Rankin Counties. The resulting qualitative and quantitative data were reviewed and analyzed to identify significant community health needs, which informed the prioritization of needs and the development of implementation strategies reflected in the CHNA.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceST. DOMINIC HOSPITAL WORKS TO EDUCATE ITS PATIENTS AND COMMUNITY OF ASSISTANCE OPTIONS BY: 1) POSTING SIGNAGE IN THE EMERGENCY ROOM AND OTHER REGISTRATION AREAS INFORMING PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE. 2) PROVIDING BROCHURES IN THE WAITING ROOMS AND AT THE REGISTRATION DESKS THAT EXPLAIN THE BILLING AND COLLECTION PROCESS AS WELL AS INFORMATION ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND PHONE NUMBERS TO CALL FOR ASSISTANCE. 3) CONTRACTING AND PAYING AN AGENCY TO MEET WITH ALL UNINSURED PATIENTS TO ASSIST THEM IN APPLYING FOR FEDERAL AND STATE ASSISTANCE (I.E. MEDICAID, DISABILITY, ETC.). 4) PROVIDING FINANCIAL COUNSELORS TO MEET WITH PATIENTS. THESE COUNSELORS FULLY UNDERSTAND THE HOSPITAL'S CHARITY POLICY AND ARE AVAILABLE TO ASSIST WITH THE APPLICATIONS, SET UP INTEREST FREE PAYMENT PLANS AND OFFER ADVICE ON PUBLIC ASSISTANCE THAT MAY BE AVAILABLE. 5) STAFFING PATIENT REPRESENTATIVES TO ANSWER QUESTIONS AND ASSIST PATIENTS AS NEEDED. 6) EDUCATING THE EARLY-OUT AND BAD DEBT COLLECTION AGENCIES ON THE HOSPITAL'S FINANCIAL ASSISTANCE POLICIES SO THEY CAN ASSIST PATIENTS WHOM THEY FIND MIGHT HAVE FINANCIAL NEED.
Schedule H, Part VI, Line 4 Community informationCOMMUNITY INFORMATION: ST. DOMINIC HOSPITAL IS A COMMUNITY-BASED, NOT-FOR-PROFIT HOSPITAL LOCATED IN JACKSON, MISSISSIPPI, IN HINDS COUNTY. FOR PURPOSES OF THE CHNA, St. DominicJackson Memorial Hospital defines its community as consisting primarily of Hinds County, Madison County, and Rankin County in central Mississippi, which together comprise the hospital's tricounty service area based on patient origin data. This area includes a combined population of more than 480,000 residents and reflects a diverse mix of urban, suburban, and rural communities. The population served includes children, workingage adults, and a significant elderly population, with individuals age 65 and older accounting for approximately 16-17 percent of residents across the three counties. Demographically, the service area is racially and ethnically diverse, particularly in Hinds County, where Black or African American residents represent a majority of the population, alongside White residents, Hispanic or Latino populations, and other minority groups across the tricounty region. The community also includes medically underserved, lowincome, and minority populations who experience health disparities related to income, education, access to care, and social determinants of health. St. Dominic does not define its community to exclude any population based on ability to pay or insurance status and considers all residents of this tricounty area-including vulnerable and underserved populations-as part of the community it serves.
Schedule H, Part VI, Line 5 Promotion of community healthINSPIRED BY THE TEACHINGS OF JESUS CHRIST AND THE WITNESS OF OUR FOUNDING DOMINICAN SISTERS, WE PROVIDE COMPASSIONATE CARE AND HOPE AS A HEALING MINISTRY OF THE CATHOLIC CHURCH. ST. DOMINIC APPLIES THIS MISSION BY CONDUCTING NEEDS ASSESSMENTS, PUBLISHING THE RESULTS, ESTABLISHING GOALS AND STRATEGIES TO HELP RESOLVE IDENTIFIED ISSUES AND SEEKING OPPORTUNITIES TO WORK WITH THE COMMUNITY. ST. DOMINIC HOSPITAL IMPROVES THE HEALTH OF THE COMMUNITIES IT IS PRIVILEGED TO SERVE IN MANY WAYS THAT EXTEND FAR BEYOND THE HEALING MINISTRY OF BEDSIDE CARE. THROUGH APPROACHES SUCH AS OPEN MEDICAL STAFF POLICIES, UNIQUE TECHNOLOGY INNOVATIONS FOR BETTER OUTCOMES, AND DIVERSITY, EQUITY, AND INCLUSION STRATEGIES FOCUSED ON EVERY ASPECT OF HEALTH CARE FROM THE BEDSIDE TO THE PURCHASING DOCK TO EACH PATIENT WHO WALKS THROUGH OUR DOORS, THE HOSPITAL CONTINUOUSLY EXPANDS ITS DEFINITION OF WHAT IT MEANS TO HAVE A "COMMUNITY IMPACT." THE HOSPITAL ALSO INVOLVES MEMBERS OF ITS COMMUNITY IN ITS GOVERNANCE SO THAT IT MAINTAINS THE FOCUS ON THE NEEDS OF ITS COMMUNITY. SDH PROVIDES A NEONATAL INTENSIVE CARE UNIT, EMERGENCY DEPARTMENT, AND ADVANCED COMPREHENSIVE STROKE CENTER (WHICH IS JOINT COMMISSION CERTIFIED). SDH IS ALSO A CENTER OF EXCELLENCE FOR COMPLEX HEART PROCEDURES AND IS PART OF THE MISSISSIPPI HEART AND VASCULAR INSTITUTE. THE CENTER IS THE ONLY ONE OF ITS KIND IN THE NATION. THE HOSPITAL ALSO PROVIDES 16 URGENT CARE CLINICS, A FREESTANDING CANCER CENTER, AND A WOUND HEALING CENTER, AS WELL AS AN OUTPATIENT REHABILIATION AND HAND MANAGEMENT PROGRAM. SDH's Comprehensive Cancer Program is one of the top cancer treatment providers in central Mississippi and is known throughout the area for outstanding adult patient care and exceptionally skilled oncologists. SDH is the only hospital in the state to receive the Outstanding Achievement Award by the Commission on Cancer (CoC) of the American College of Surgeons multiple times. sdh continues to be accredited through the Commission on Cancer every three years. SDH's Maternal & Newborn Care Center emphasizes a team approach to care with physicians, nurses and educators working together to meet the total needs of the patient and the entire family. It offers services and programs not only during a patient's hospital stay but also classes and resources to assist with the family transition before and after birth. SDH is officially designated as a Baby-Friendly hospital by Baby-Friendly USA, meaning SDH is adhering to the highest standards of care for breastfeeding mothers and their babies. SDH offers digital mammography and other breast diagnostic technology with the Center for Women's Health and SDH's Madison Medical Imaging. SDH focuses on comfort and a relaxing environment that houses some of the most advanced technology available for detecting breast cancer. The Mississippi Heart & Vascular Institute (MHVI) at SDH is the top provider of cardiac, vascular and venous services in Central Mississippi. Since 1974, this leading institute has provided the most advanced treatment options available to patients. In 2023, MHVI launched the nation's first Center of Excellence for Complex Heart Procedures, bringing new, minimally invasive treatment options to patients experiencing cardiac total occlusion. SDH's physicians are nationally known for using the most advanced technology and procedures and for their clinical excellence in delivering patient care. SDH's Joint Center program provides comprehensive pre-operative and post-operative services for patients undergoing total hip and total knee replacement. The program involves a multi-disciplinary team of specialists, which includes doctors, nurses, physical therapists, occupational therapists, pharmacists, social services and nurse case managers. As a Blue Cross Blue Shield Distinction Center of Excellence for knee and hip replacement, SDH IS IDENTIFIED as a hospital that delivers the highest level of specialty care in these areas - demonstrating better outcomes and fewer readmissions. SDH is one of 600 hospitals across the nation to receive this designation. SDH is certified as Mississippi's first Comprehensive Stroke Center by The Joint Commission. SDH first earned The Joint Commission's Gold Seal of Approval and the American Stroke Association's Heart-Check mark for Comprehensive Stroke Certification in 2016. SDH's Comprehensive Stroke Center offers rapid diagnosis, high-tech intervention, expert care and intensive rehabilitation in a caring, compassionate setting. sdh'S mission to respect life in all stages is fulfilled through the quality care provided to residents of St. Catherine's Village. St. Catherine's Village is a freestanding, not-for-profit, all-inclusive Continuing Care Retirement Community providing services to individuals over 62 years of age, of all faiths and races. Created in 1988, St. Catherine's Village extends the SDH healing ministry to the special needs of older adults. St. Catherine's is Mississippi's first retirement community offering the security of Life Care and is the only community of its kind in Mississippi to earn accreditation by Commission on Rehabilitation Facilities-Continuing Care Accreditation (CARF-CCAC). This seal of approval signifies that St. Catherine's Village exceeds the standards of excellence established by CARF's Continuing Care Accreditation Commission. in august 2024, sdh announced a major advancement in healthcare with the implementation of the IntelliSep test in its emergency department. This innovative diagnostic tool allows for the early detection and treatment of sepsis in Mississippi. Sepsis is a leading cause of mortality in hospitals across the nation and prior to the development of the IntelliSep technology there was no objective test to determine if a patient was septic. Sepsis, a condition triggered by the body's response to infection, can rapidly lead to organ failure if not promptly identified and treated. The IntelliSep test uses a standard blood sample to analyze white blood cell responses, delivering results in under 10 minutes. This early detection enables healthcare providers to intervene sooner, reducing inpatient stays by an average of 1.28 days and ICU stays by 2.24 days, while also saving approximately $1,429 per patient and resulting in a 20% reduction in mortality of septic patients. sdh is much more than a hospital. outreach programs and services extend the ministry into the community so that specific needs can be addressed: The sdh Community Health Clinic provides free healthcare services for the homeless and underserved in Jackson's inner city. In addition to primary health care services, the clinic provides a variety of educational programs for children, adolescents and adults in an effort to promote disease prevention and safety among this segment of the population. THE MAJORITY OF THE GOVERNING BODY OF SDH IS COMPRISED OF INDIVIDUALS FROM A BROAD CROSS-SECTION OF THE COMMUNITY WHO RESIDE IN THE PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION. SDH EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR SOME OR ALL OF THE HOSPITAL DEPARTMENTS AS NEEDED. SURPLUS FUNDS ARE APPLIED TO IMPROVEMENTS IN PATIENT CARE AREAS THROUGH INVESTMENT IN CLINICAL TECHNOLOGY, MEDICAL INFORMATION TECHNOLOGY, AND CONTINUED TRAINING OF CLINICAL STAFF.
Schedule H, Part VI, Line 6 Affiliated health care systemST. DOMINIC JACKSON MEMORIAL HOSPITAL (SDH) IS A NOT-FOR-PROFIT, NON-STOCK MEMBER CORPORATION OF WHICH FRANCISACN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC (FMOL) IS THE SOLE MEMBER. SDH IS PART OF THE FMOL HEALTH SYSTEM WHICH INCLUDES SEVERAL HOSPITAL AND TAX-EXEMPT AFFILIATES THROUGHOUT THE STATES OF LOUISIANA AND MISSISSIPPI. SDH SERVES THE COMMUNITY IN HINDS COUNTY AND SURROUNDING COUNTIES. OTHER RELATED HOSPITALS IN LOUISIANA INCLUDE: OUR LADY OF LOURDES REGIONAL MEDICAL CENTER ST. FRANCIS MEDICAL CENTER OUR LADY OF THE LAKE ASSUMPTION HOSPITAL OUR LADY OF THE ANGELS HOSPITAL OUR LADY OF THE LAKE HOSPITAL

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
AMERICAN HEART ASSOCIATION
250 Williams StreetAtlantaGA30303135613797501(C)(3)$20,000GENERAL SUPPORT
100 BLACK MEN OF JACKSON INC
5360 Highland DriveJacksonMS39286640817928501(C)(3)$15,000GENERAL SUPPORT
CATHOLIC CHARITIES INC
850 East River PlaceJacksonMS39201640466850501(C)(3)$63,850GENERAL SUPPORT
AMERICAN CANCER SOCIETY INC
250 Williams StreetAtlantaGA30303131788491501(C)(3)$20,000GENERAL SUPPORT
CENTER FOR VIOLENCE PREVENTION
Po Box 6279PearlMS39288581959108501(C)(3)$20,000ASSISTING VICTIMS OF VIOLENCE, ASSAULT, AND HUMAN TRAFFICKING
REAL CHRISTIAN FOUNDATION
PO Box 180059RICHLANDMS39218640885750501(C)(3)$10,000Improve quality of life for understved rural MS population through Christian ministries
JACKSON HEART FOUNDATION
PO BOX 5021JacksonMS39296582232550501(C)(3)$10,000promote heart health and wellness
MISSION MISSISSIPPI
PO BOX 22655JacksonMS39225640824240501(C)(3)$30,000promote relationships across racial and denominational
STEWPOT COMMUNITY SERVICES
1100 WEST CAPITOL STJacksonMS39203640655566501(C)(3)$13,000community assistance through ministries and support
OVARIAN CANCER RESEARCH FUND INC
45 ROCKEFELLER PLAZA 20TH FLOORNEW YORKNY10111133806788501(C)(3)$15,000Ovarian Cancer research
FieldValueIRS element (for citing)
Total501c3 Org10Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant fundsFormAndLineReferenceDesc
ExplanationTHE HOSPITAL HAS A CONTRIBUTIONS COMMITTEE, WHICH IS A SUB-COMMITTEE OF THE BOARD, THAT OVERSEES THE HOSPITAL'S GIVING. THEY MONITOR THE REQUESTS AND OVERSEE ALL GIFTS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Jeremy Tinnerello
Market President$0$493,820$0$126,655$0$18,468$0$80,950$0$28,010$0$747,903$0$0
Evert Kuiper
FMOLHS President & CEO$0$993,312$0$166,877$0$27,847$0$17,250$0$7,246$0$1,212,532$0$0
Rebekah Moulder MD
Board Member/Physician$625,645$0$25,000$0$1,290$0$17,250$0$1,992$0$671,177$0$0$0
Kristin Wolkart
Former Market Pres/FMOLHS CNO$0$540,315$0$517,539$0$5,418$0$123,599$0$23,055$0$1,209,926$0$0
Samuel Scott
Treasurer$0$344,295$0$137,728$0$5,091$0$16,688$0$19,717$0$523,519$0$0
David Estorge
VP, Rural Strategy$0$315,132$0$103,091$0$2,819$0$49,276$0$31,189$0$501,507$0$0
Kay McRee
Sr Director Foundation$222,914$0$26,250$0$100$0$12,834$0$14,726$0$276,824$0$0$0
Tracey Smithson
VP, CNO$302,289$0$99,269$0$5,091$0$14,560$0$12,187$0$433,396$0$0$0
Teri Dyess
VP, Chief Medical Officer$478,224$0$107,325$0$3,701$0$17,250$0$36,633$0$643,133$0$0$0
Ruth Fredericks MD
Physician$633,380$0$476,301$0$7,122$0$17,250$0$11,087$0$1,145,140$0$0$0
Bryan Gaspard MD
Physician$1,139,466$0$0$0$841$0$17,250$0$30,542$0$1,188,099$0$0$0
P Kerr MD
Physician$1,204,736$0$0$0$1,290$0$11,577$0$28,600$0$1,246,203$0$0$0
D Paul Seago MD
VP Chief Medical Officer$1,124,359$0$70,518$0$2,411$0$17,250$0$22,034$0$1,236,572$0$0$0
David Theodoro MD
Physician$1,321,460$0$0$0$3,701$0$17,250$0$21,554$0$1,363,965$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationTHE FMOL HEALTH SYSTEM BOARD OF DIRECTORS DESIGNATES A COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT BOARD MEMBERS, TO REVIEW AND SET COMPENSATION ANNUALLY. THE COMPENSATION COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING A COMPENSATION STUDY/SURVEY FROM AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE REIVEWS COMPENSATION PACKAGES AND APPRROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR MAKING SUCH DETERMINATION IS DOCUMENTED BY THE COMPENSATION COMMITTEE.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planLINES 4A-B: FMOLHS MAINTAINS TWO UNFUNDED DEFERRED COMPENSATION PLANS WHICH MEET THE REQUIREMENTS OF IRC SECTION 457(F) AND IRC SECTION 409A. THE PLANS PROVIDE FOR COMPENSATION TO BE DEFERRED AND PAID UPON THE OCCURRENCE OF CERTAIN EVENTS SUCH AS TERMINATION WITHOUT CAUSE, DISABILITY, DEATH OR ATTAINMENT OF A SPECIFIC PAYMENT DATE. PARTICIPATION IN THE PLANS IS LIMITED TO CERTAIN EXECUTIVES AND IS SUBJECT TO APPROVAL OF FMOLHS BOARD OF DIRECTORS OR A DESIGNATED COMMITTEE OF SUCH BOARD. NO ONE LISTED ON PART VII, SECTION A RECEIVED A PAYMENT FROM THE PLANS IN THE CURRENT YEAR.
Schedule J, Part I, Line 4aA BOARD MEMBER, AN OFFICER, AND A FORMER OFFICER WHO IS CURRENTLY EMPLOYED BY A RELATED ORGANIZATION, ARE ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE OLY FOR A TERMINATION OF EMPLOYMENT WITHOUT CAUSE, FOR GOOD REASON OR DUE TO CHANGE OF CONTROL. IF TRIGGERED, THE EMPLOYEE WOULD BE PAID HIS/HER BASE SALARY AND PROVIDED THE RETIREMENT AND WELFARE BENEFITS FOR AN ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD IS EITHER 24 OR 18 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 1 DESCRIPTION OF ORGANIZATION MISSION:TALENTS TO CREATE A SPIRIT OF HEALING - WITH REVERENCE AND LOVE FOR ALL OF LIFE, WITH JOYFULNESS OF SPIRIT, AND WITH HUMILITY AND JUSTICE FOR ALL THOSE ENTRUSTED TO OUR CARE. WE ARE, WITH GOD'S HELP, A HEALING AND SPIRITUAL PRESENCE FOR EACH OTHER AND FOR THE COMMUNITIES WE ARE PRIVILEGED TO SERVE.
Form 990, Part VI, Line 15OUR BOARD OF DIRECTORS DESIGNATES AN EXECUTIVE COMMITTEE MADE UP OF INDEPENDENT BOARD MEMBERS TO REVIEW AND SET THE COMPENSATION ANNUALLY OF OUR OFFICERS AND KEY EMPLOYEES. THE EXECUTIVE COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING INDUSTRY-WIDE COMPENSATION INFORMATION PROVIDED BY AN OUTSIDE CONSULTING FIRM. THE EXECUTIVE COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR DETERMINATION IS THEN DOCUMENTED BY THE EXECUTIVE COMMITTEE. THE COMPENSATION FOR THE CEO OF ST. DOMINIC JACKSON MEMORIAL HOSPITAL IS SET BY THE COMPENSATION COMMITTEE OF FMOL HEALTH SYSTEM (A RELATED TAX-EXEMPT ORGANIZATION) ACCORDING TO THEIR PAY PRACTICES WHICH ARE SIMILAR TO THOSE DESCRIBED ABOVE.
Form 990, Part VI, Line 6 Classes of members or stockholdersFRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM (FMOLHS) IS THE SOLE MEMBER OF ST. DOMINIC JACKSON MEMORIAL HOSPITAL.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyTHE BOARD OF DIRECTORS OF ST. DOMINIC- JACKSON MEMORIAL HOSPITAL'S SOLE MEMBER, FMOLHS, INC., HAS THE AUTHORITY TO APPROVE THE ELECTION OF THE PRESIDENT/CEO, THE CHAIR OF THE BOARD OF DIRECTORS AND THE VICE-CHAIR OF THE BOARD OF DIRECTORS OF THE HOSPITAL AND ALL OTHER DIRECTORS AND OFFICERS OF THE HOSPITAL.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersTHE RESERVED POWER TO THE MEMBER, FMOLHS, INC., ARE AS FOLLOWS: I. TO CHANGE PHILOSOPHY, OBJECTIVES AND PURPOSES OF CORPORATION. II. TO APPOINT OR REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF THE CORPORATION. III. TO AMEND, ALTER, MODIFY, OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION. IV. TO AUTHORIZE MERGER, CONSOLIDATION, OR AFFILIATION, OR PARTICIPATE IN JOINT VENTURES. V. TO DISSOLVE AND TO DISTRIBUTE ASSETS OF THE CORPORATION. VI. TO APPOINT AND/OR TERMINATE WITH OR WITHOUT CAUSE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION. VII. TO ACQUIRE, PURCHASE, SELL, LEAASE, TRANSFER, OR ENCUMBER ANY IMMOVABLE PROPERTY ON BEHALF OF THE CORPORATION. VIII. TO ADD TO OR INCUR LONG-TERM DEBT IN EXCESS OF $5 MILLION BY THE CORPORATION. IX. TO APPOINT THE FISCAL AUDITOR FOR THE CORPORATION. X. TO APPROVE ANY INCREMENT OR ADDITION TO THE CAPITAL DEBT OR EFFORTS TO RENEGOTIATE, MODIFY OR CHANGE THE EXISTING CAPITAL DEBT OBLIGATIONS OF THE CORPORATION. XI. TO APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORPORATION. XII. TO APPROVE A STRATEGIC BUSINESS PLAN OF THE CORPORATION.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE BOARD HAS DELEGATED REVIEW OF THE FORM 990 TO THE FINANCE COMMITTEE OF THE BOARD PRIOR TO FILING. A FULL COPY, AS APPROVED BY THE FINANCE COMMITTEE, IS PROVIDED TO THE BOARD.
Form 990, Part VI, Line 12c Conflict of interest policyALL BOARD MEMBERS ARE REQUIRED TO COMPLETE AND SIGN A CONFLICT OF INTEREST FORM ANNUALLY. THE PRESIDENT REVIEWS THE FORMS, AND ANY CONFLICTS ARE DISCLOSED TO THE OTHER MEMBERS OF THE BOARD AND MADE A MATTER OF RECORD. PERSONS WITH CONFLICTS OF INTERESTS DO NOT VOTE OR USE HIS OR HER INFLUENCE ON THE MATTER AND ARE EXCLUDED FROM THE COUNT IN DETERMINING THE QUORUM FOR THE MEETING, EVEN WHERE PERMITTED BY LAW.
Form 990, Part VI, Line 19 Required documents available to the publicTHE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VIII, Line 2f Other Program Service RevenueIncome from Equity Investees - Total Revenue: -149384, Related or Exempt Function Revenue: -149384, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesCapital transfers - -12011069; Prior Period Adjustment - -160994; Total - -12172063;
SECTION 1.263(A)-3(N) - BOOK CONFORMITY ELECTION:ST. DOMINIC JACKSON MEMORIAL HOSPITAL IS MAKING THE ELECTION UNDER TREAS. REG. 1.263(A)-3(N) TO CAPITALIZE THE REPAIR AND MAINTENANCE COSTS THAT IT TREATS AS CAPITAL IMPROVEMENTS ON ITS BOOKS AND RECORDS FOR THE TAX YEAR ENDED JUNE 30, 2025.
SECTION 1.263(A)-1(F) - DE MINIMIS SAFE HARBOR ELECTION:ST. DOMINIC JACKSON MEMORIAL HOSPITAL HEREBY MAKES THE DE MINIMIS SAFE HARBOR ELECTION UNDER SECTION 1.263(A)-1(F) OF THE TREASURY REGULATIONS, EFFECTIVE ONLY FOR THE TAX YEAR ENDED JUNE 30, 2025. TAXPAYER HAS AN APPLICABLE FINANCIAL STATEMENT FOR THE YEAR OF THE ELECTION. THIS ELECTION PERMITS THE TAXPAYER TO DEDUCT FOR TAX PURPOSES ANY ITEM DEDUCTED UNDER ITS BOOK POLICY THAT DOES NOT EXCEED $5,000 PER INVOICE (OR PER ITEM, AS SUBSTANTIATED BY THE INVOICE) OR ITEMS HAVING AN ECONOMIC USEFUL LIFE OF TWELVE MONTHS OR LESS AS DESCRIBED IN SECTION 1.263(A)-1(F)(1)(I).

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ST DOMINIC MEDICAL ASSOCIATES
969 LAKELAND DRIVEJACKSONMS39216261969846HEALTHCAREMS$32,686,977$10,597,845SDJMH
ST DOMINIC HOSPITAL MEDICINE LLC
969 LAKELAND DRIVEJACKSONMS39216814908606HEALTHCAREMS$0$0SDJMH
ST DOMINIC HEALTH & WELLNESS LLC
969 LAKELAND DRIVEJACKSONMS39216823234006HEALTHCAREMS$125,549-$477,789SDJMH
Central Mississippi Imaging LLC dba Southern Diagnostic Imaging
1037 North Flowood DriveFlowoodMS39232640928442HEALTHCAREMS$2,166,960$3,837,037SDJMH
MEA PRIMARY CARE PLUS LLC
308 CORPORATE DRIVERIDGELANDMS39211814502721HEALTHCAREMS$0$0SDJMH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
HEALTH CARE CENTERS IN SCHOOLS
5000 HENNESSY BLVDBATON ROUGELA70808721443935HEALTHCARELA501(c)(3)10OLOLfalse
COMMUNITY HEALTH SERVICES - ST DOMINIC
969 LAKELAND DRIVEJACKSONMS39216640884870HEALTH PROGRAMMS501(c)(3)10SDJMHYes (true)
ST DOMINIC - HEALTH SERVICES FOUNDATION
969 LAKELAND DRIVEJACKSONMS39216431992975FUNDRAISINGMS501(c)(3)7SDJMHYes (true)
ST CATHERINE'S VILLAGE INC
969 LAKELAND AND DRIVEJACKSONMS39216640714997RET HOMEMS501(c)(3)10SDJMHYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (24 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndAddress Line2USAddress/AddressLine2TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmt
LOURDES IMAGING DEVELOPMENT LLC
4801 AMBASSADOR CAFFERY PKWYLAFAYETTELA70508208326287REAL ESTATELANAfalsefalse
PARK PLACE SURGERY CENTER LLC
4811 AMBASSADOR CAFFERY PKWYLAFAYETTELA70508721404092HEALTHCARELANAfalsefalse
CONVENIENT CARE LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809721439481HEALTHCARELANAfalsefalse
PERKINS PLAZA AMBULATORY SURGERY CENTER LLC
7145 PERKINS ROADBATON ROUGELA70808481264699HEALTHCARELANAfalsefalse
SURGICAL SPECIALTY CENTER OF BATON ROUGE LLC
8080 BLUEBONNET BLVDBATON ROUGELA70810263120962HEALTHCARELANAfalsefalse
ST ELIZABETH-MARY BIRD PERKINS CANCER CENTER LLC
4950 ESSEN LANEBATON ROUGELA70809260628752HEALTHCARELANAfalsefalse
NORTHEAST LA CANCER INSTITUTE LLC
411 CALYPSO STREETMONROELA71201721329499HEALTHCARELANAfalsefalse
LHCG-XIII LLC dba Lourdes Home Health
901 S HUGH WALLIS ROADLAFAYETTELA70508208068308HEALTHCARELANAfalsefalse
LOURDES AFTER HOURS LLC
7777 HENNESSY BLVDBATON ROUGELA70809201367299HEALTHCARELANAfalsefalseSUITE 1004-202
LAKE URGENT CARE ASCENSION LLC (LUCA)
10319 JEFFERSON HIGHWAYBATON ROUGELA70809352463092HEALTHCARELANAfalsefalse
ST FRANCIS URGENT CARE LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809474013731HEALTHCARELANAfalsefalse
GAMMA KNIFE OF LOUISIANA LLC
4950 ESSEN LANEBATON ROUGELA70809811827194HEALTHCARELANAfalsefalse
PINNACLE CARE HOLDINGS LLC
5627 S SHERWOOD FOREST BLVDBATON ROUGELA70816821637627HEALTHCARELANAfalsefalse
LAFAYETTE SURGERY CENTER LIMITED PARTNERSHIP
4801 AMBASSADOR CAFFERY PKWYLAFAYETTELA70508943419282HEALTHCARELANAfalsefalse
FREMAUX OFFICE MM LLC
3500 NORTH CAUSEWAY BOULEVARDMETAIRIELA70002843084552HEALTHCARELANAfalsefalseSTE 600
OLOL Pontchartrain Surgery Center LLC
4200 ESSEN LANEBATON ROUGELA70809461379031HEALTHCARELANAfalsefalse
Lake Surgical Hospital (Slidell) LLC
1700 LINDBERG DRSLIDELLLA70458474228147HEALTHCARELANAfalsefalse
PREMIER HEALTH HOLDINGS LLC
10319 JEFFERSON HIGHWAYBATON ROUGELA70809472665226HEALTHCARELANAfalsefalse
Perkins Plaza Development LLC
5000 HENNESSY BLVDBATON ROUGELA70808882998457REAL ESTATELANAfalsefalse
Jackson Heart & Vascular Center LLC
969 LAKELAND DRIVEJACKSONMS39216870947298HEALTHCAREMSST DOMINIC JACKSONfalseYes (true)Related$343,654-$121,583
Cardiovascular and Arrythmia Center LLC (CVAC)
PO Box 82063BATON ROUGELA70884861438331HEALTHCARELANAfalsefalse
Cardiovascular and Arrythmia Management LLC (CVAM)
PO Box 82063BATON ROUGELA70884HEALTHCARELANAfalsefalse
TRACTION SPORTS MANAGEMENT LLC
9222 BURBANK DRIVEBATON ROUGELA70820822247999HEALTHCARELANAfalsefalse
Highland Medical Arts
PO Box 55769JacksonMS39296743073171HEALTHCAREMSST DOMINIC JACKSONfalseYes (true)Related$1,007,729$9,368,285

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1ForeignAddress/AddressLine1TxtCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINLegal Domicile StateLegalDomicileStateCdShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctAddress Line2USAddress/AddressLine2Txt
LOUISE INSURANCE COMPANY
PO BOX 1051CJKY11102INSURANCECJFMOLC Corporationfalse
FRANCISICAN HEALTH & WELLNESS SERVICES INC
HEALTHCAREFMOLC Corporationfalse4200 ESSEN LANEBATON ROUGELA70809455492379LA
FMOL HEALTH SYSTEM HOLDINGS INC
INVESTMENTFMOLC Corporationfalse4200 ESSEN LANEBATON ROUGELA70809454405024LA
ST DOMINIC MADISON HEALTH SERVICES INC
HEALTHCARESDJMHC CorporationYes (true)969 LAKELAND DRIVEJACKSONMS39216202870254MS$2,811,737$17,128,7021
ST DOMINIC INTEGRATED SERVICES INC
INVESTMENTSSDJMHC CorporationYes (true)969 LAKELAND DRIVEJACKSONMS39216271493623MS$0$3,631,5921
LAFAYETTE SURGICARE INC
HEALTHCARELOURDESC CorporationfalseC/O C T CORPORATION SYSTEMBATON ROUGELA70816943419282LA3867 PLAZA TOWER DR
NMC OPERATING COMPANY LLC DBA SPINE HOSPITAL OF LOUISIANA
HEALTHCAREOLOLS Corporationfalse10105 PARK ROWE CIRCLEBATON ROUGELA70810270059959LASTE 250
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
JACKSON HEART & VASCULAR CENTER LLC
S$100,000FMV
ST CATHERINE'S VILLAGE
D$12,177,787FMV
ST DOMINIC HEALTH SERVICES FOUNDATION
C$2,712,142FMV