ST DOMINIC-JACKSON MEMORIAL HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
ST DOMINIC-JACKSON MEMORIAL HOSPITAL (EIN 64-0303091)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-17
IRS object ID
201403219349302365
Schema version
2013v3.0
Note
A later return for the same period supersedes this one.
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)
Return2014-11-17T09:11:04-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN201941244PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HORNE LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11020 HIGHLAND COLONY PKWY STE 400AddressLine1
CityRIDGELANDCity
StateMSState
ZIP Code39157ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN640303091EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST DOMINIC-JACKSON MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSTDOBusinessNameControlTxt
Phone6012002000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1969 LAKELAND DRIVEAddressLine1
CityJACKSONCity
StateMSState
ZIP Code392164699ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLESTER DIAMONDPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6012002000PhoneNum
Signature2014-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARSHA H DIECKMAN CPAPreparerPersonNm
PTINP00246741PTIN
Phone6013261000PhoneNum
Preparation2014-11-05PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLESTER K DIAMONDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1969 LAKELAND DRIVEAddressLine1
CityJACKSONCity
StateMSState
ZIP Code392164699ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$404,191,084GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STDOM.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1946FormationYr
Legal Domicile StateMSLegalDomicileStateCd
Activity Or MissionST. DOMINIC-JACKSON MEMORIAL HOSPITAL OPERATES A 535 BED PATIENT FACILITY FOR THE CITIZENS OF THE JACKSON, MISSISSIPPI METROPOLITAN AREA. BEING MISSION DRIVEN AND SERVICE ORIENTED, LEADERSHIP AT ST. DOMINIC HOSPITAL RECOGNIZES THAT HEALTHCARE SERVICES AND PROGRAMS SHOULD BE EXTENDED FAR OUTSIDE THE HOSPITAL'S PHYSICAL WALLS AND INTO THE COMMUNITY TO HAVE THE GREATEST IMPACT, ESPECIALLY FOR THE UNDERSERVED. OUR CIVIC AND SOCIAL RESPONSIBILITIES LIE NOT ONLY IN PROVIDING QUALITY HEALTHCARE FOR THE SICK BUT ALSO IN PROVIDING HEALTHCARE EDUCATION AND ILLNESS PREVENTION FOR THOSE WHO ARE MARGINALLY CHALLENGED AND WITH LIMITED ACCESS TO MAINSTREAM HEALTHCARE SOURCES.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee4000TotalEmployeeCnt
Total Volunteers449TotalVolunteersCnt
Total Gross UBI$1,783,374TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$618,951NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$15,000PYContributionsGrantsAmt
CY Contributions Grants$77,932CYContributionsGrantsAmt
PY Program Service Revenue$377,083,742PYProgramServiceRevenueAmt
CY Program Service Revenue$388,184,639CYProgramServiceRevenueAmt
PY Investment Income$922,416PYInvestmentIncomeAmt
CY Investment Income$1,824,107CYInvestmentIncomeAmt
PY Other Revenue$15,920,175PYOtherRevenueAmt
CY Other Revenue$13,881,384CYOtherRevenueAmt
PY Total Revenue$393,941,333PYTotalRevenueAmt
CY Total Revenue$403,968,062CYTotalRevenueAmt
PY Grants And Similar Paid$2,291,229PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,080,061CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$186,046,960PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$194,282,287CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$198,934,018PYOtherExpensesAmt
CY Other Expenses$197,592,305CYOtherExpensesAmt
PY Total Expenses$387,272,207PYTotalExpensesAmt
CY Total Expenses$393,954,653CYTotalExpensesAmt
PY Revenues Less Expenses$6,669,126PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$10,013,409CYRevenuesLessExpensesAmt
Total Assets BOY$329,447,125TotalAssetsBOYAmt
Total Assets EOY$348,502,285TotalAssetsEOYAmt
Total Liabilities BOY$123,917,763TotalLiabilitiesBOYAmt
Total Liabilities EOY$47,830,507TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$205,529,362NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$300,671,778NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionST. DOMINIC'S RECOGNIZES ITS BASIC PARTICIPATION IN THE MISSION OF THE CHURCH WHICH INVOLVES TWO MAIN MINISTRIES: EDUCATION AND HEALTH CARE. THREE ACTIVITIES--COMMUNICATING A CHRISTIAN MESSAGE, ESTABLISHING COMMUNITY AND PERFORMING SERVICE--EXPRESS OUR MISSION OF CHRISTIAN HEALING.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$387,456,566ExpenseAmt
Grant$2,080,061GrantAmt
Revenue$386,401,265RevenueAmt
DescST. DOMINIC'S AND ITS MISSION - ST. DOMINIC-JACKSON MEMORIAL HOSPITAL (ST. DOMINIC HOSPITAL), A 535-BED ACUTE CARE FACILITY IN JACKSON, MISSISSIPPI, TRACES ITS HISTORY TO 1946, WHEN THE DOMINICAN SISTERS OF SPRINGFIELD, ILLINOIS, PURCHASED THE JACKSON INFIRMARY IN THE CENTER OF THE CITY. THE INFIRMARY WAS THE FOUNDATION FOR A HEALTH SYSTEM THAT TODAY INCLUDES THE ACUTE CARE HOSPITAL, A CONTINUING CARE RETIREMENT COMMUNITY, AND A FULL RANGE OF OUTPATIENT AND COMMUNITY SERVICES. ST. DOMINIC HOSPITAL EMPLOYEES CONTRIBUTE TO COMMUNITY MEMBER WELFARE NOT ONLY THROUGH THE PROVISION OF HEALTH SERVICES BUT ALSO VIA VOLUNTARY COMMUNITY SERVICE AND BY EMPLOYEE FUNDED CHARITABLE CONTRIBUTIONS TO MANY LOCAL ORGANIZATIONS IN NEED.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescST. DOMINIC HEALTH SERVICES, INC. (ST. DOMINIC HEALTH SERVICES OR SDHS) SPONSORED BY THE DOMINICAN SISTERS, IS THE PARENT ORGANIZATION OPERATING ST. DOMINIC HOSPITAL AS WELL AS ST. CATHERINE'S VILLAGE, ST. DOMINIC HEALTH SERVICES FOUNDATION, FIRST INTERMED CORPORATION (MEA CLINICS) AND ST. DOMINIC MADISON HEALTH SERVICES, INC. IN ADDITION, ST. DOMINIC HEALTH SERVICES OPERATES COMMUNITY HEALTH SERVICES -ST. DOMINIC, INC., WHICH INCORPORATES THE OUTREACH SERVICES OF THE CLUB AT ST. DOMINIC'S, NEW DIRECTIONS FOR OVER 55, ST. DOMINIC COMMUNITY HEALTH CLINIC, MADISON SCHOOL NURSE PROGRAM AND THE CARE-A-VAN SCREENING PROGRAM. AS A WHOLE, ALL OF THE SERVICES, ENTITIES AND HOSPITAL ARE COLLECTIVELY REFERRED TO AS ST. DOMINIC'S.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
DescST. DOMINIC'S SEEKS TO FULFILL ITS CHRISTIAN HEALING MINISTRY BY ESTABLISHING COMMUNITY AND PERFORMING SERVICE. THAT MEANS GIVING OF TIME, TALENTS, AND RESOURCES TO MAKE THE COMMUNITIES SERVED BY ST. DOMINIC'S BETTER PLACES TO LIVE. THE ST. DOMINIC'S FAMILY OF CAREGIVERS NOT ONLY SERVES PATIENTS, BUT ALSO CONTRIBUTES TO AN ATMOSPHERE OF CARE AND COMPASSION FOR THOSE OUTSIDE THE HOSPITAL'S WALLS. ST. DOMINIC'S STRIVES TO NOT ONLY PROVIDE CARE FOR THE SICK BUT ALSO TO OFFER EDUCATION AND WELLNESS SERVICES TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY AND HELP ELIMINATE RISK FACTORS FOR MORE SERIOUS HEALTH PROBLEMS.MAJOR PROGRAMS AND ACCOMPLISHMENTS-AS PART OF THE MISSION OF ITS HEALING MINISTRY, ST. DOMINIC'S HAS BECOME ONE OF THE LARGEST EMPLOYERS IN THE AREA, AND THOSE EMPLOYEES, AS WELL AS THE HOSPITAL OPERATIONS, HELP FUEL THE LOCAL ECONOMY. IN 2013 ST. DOMINIC HOSPITAL PROVIDED OVER $1 BILLION (CHARGES) IN HOSPITAL SERVICES IN 2013 TO PATIENTS THROUGHOUT THE CENTRAL REGION OF MISSISSIPPI, AND ST. DOMINIC'S, AS A WHOLE, EMPLOYED OVER 3,300 PEOPLE. ST. DOMINIC HOSPITAL'S MEDICAL STAFF OF NEARLY 500 LEADING PHYSICIANS AND SPECIALISTS MAKES ST. DOMINIC'S ONE OF THE MOST COMPREHENSIVE HOSPITALS IN MISSISSIPPI.THESE PHYSICIANS AND STAFF MEMBERS HAVE PLAYED AN INTEGRAL ROLE IN DEVELOPING HIGHLY REGARDED CLINICAL PROGRAMS AND SERVICES. SOME OF THOSE KEY SERVICES INCLUDE THE MISSISSIPPI HEART AND VASCULAR INSTITUTE, THE CANCER CENTER (AND CANCER SERVICES AS A WHOLE) AND INNOVATIVE AND VARIED SURGICAL SERVICES.MISSISSIPPI HEART AND VASCULAR INSTITUTE-ST. DOMINIC'S IS A LEADING CARDIOVASCULAR PROVIDER IN THE STATE OF MISSISSIPPI. FOR 39 YEARS, ST. DOMINIC'S MISSISSIPPI HEART AND VASCULAR INSTITUTE, THROUGH ITS EXCEPTIONAL TEAM OF SKILLED PHYSICIANS AND STAFF, HAS SERVED THE COMMUNITY AND HAS WORKED DILIGENTLY TO MAKE IT A HEALTH AND WELLNESS CENTER OF EXCELLENCE FOR INTERVENTIONAL CARDIOVASCULAR MEDICINE. THROUGH ST. DOMINIC'S HEALTHY HEART PROGRAM AND OTHER HEALTH SCREENING OPPORTUNITIES AT VARIOUS VENUES, COMMUNITY PUBLIC AWARENESS AND PROGRAM EDUCATION IS ACCOMPLISHED. IN 2013 THIS SCREENING SERVICE WAS CHANGED TO OFFER A MORE COMPREHENSIVE DIAGNOSTIC VIEW OF THE PATIENT'S HEALTH. THIS CHANGE ALONG WITH AN INCREASED FOCUS ON COMMUNITY OUTREACH LED TO 480 INDIVIDUALS RECEIVING SCREENINGS AND IN TURN LED MANY INDIVIDUALS TO EARLY DETECTION OF POTENTIALLY LIFE THREATENING AILMENTS.IN ADDITION TO THE FOCUS ON EARLY DETECTION THROUGH SCREENINGS, ST. DOMINIC HOSPITAL WAS THE FIRST IN THE STATE TO DEVELOP A LEVEL 1 HEART ATTACK PROGRAM SETTING PROTOCOLS THAT TRIGGER A RESPONSE TEAM AND THE ON CALL STAFF FOR THE CATH LAB TO BE READY WHEN A PATIENT EXPERIENCING A HEART ATTACK ARRIVES BY EMERGENCY TRANSPORT.OVER THE YEARS THE FOCUS OF THE INSTITUTE HAS BROADENED TO INCLUDE THE WHOLE VASCULAR SYSTEM, AND A CONCENTRATED EFFORT IN THIS AREA HAS LED TO SOME ENCOURAGING RESULTS. ST. DOMINIC HOSPITAL WAS THE FIRST PROVIDER IN MISSISSIPPI WITH AN ACCREDITED CHEST PAIN CENTER WITH PERCUTANEOUS CORONARY INTERVENTION AND PRIMARY ACUTE STROKE CENTER. ST. DOMINIC HOSPITAL ALSO EARNED THE GOLD SEAL OF APPROVAL FROM THE JOINT COMMISSION FOR PRIMARY STROKE CENTERS. CANCER CENTER AND CANCER SERVICES-ST. DOMINIC'S CANCER PROGRAM IS A LEADER IN COMMUNITY OUTREACH AND EDUCATION ABOUT CANCER. EVERY OCTOBER THE PROGRAM HELPS RAISE AWARENESS FOR EARLY BREAST CANCER DETECTION BY SPONSORING AND HOSTING EDUCATIONAL EVENTS THROUGHOUT ITS PRIMARY SERVICE AREA. AT THESE EVENTS A PINK CAR IS BROUGHT IN FOR SUPPORTERS AND SURVIVORS ALIKE TO SIGN AND SHOW SUPPORT. SURGICAL SERVICES-ST. DOMINIC'S OFFERS A COMPREHENSIVE ARRAY OF TRADITIONAL SURGICAL SERVICES AND IS A MINIMALLY INVASIVE ROBOTIC SURGERY CENTER OF EXCELLENCE. IN 2010 ST. DOMINIC HOSPITAL PREFORMED THE FIRST SURGICAL CASE IN THE STATE USING THE MOST ADVANCED ROBOTICS TECHNOLOGY - THE DA VINCI SI. THIS ROBOT GIVES THE SURGEON BETTER CONTROL, WHICH ALLOWS FOR MORE PRECISE MOVEMENTS AND SMALLER INCISIONS, LESS PAIN AFTER SURGERY AND A VERY FAST RECOVERY IN MOST CASES.PROSTATECTOMY PATIENTS, FOR EXAMPLE, RECOVER MORE COMFORTABLY WHICH HAS DRAMATICALLY IMPROVED THE TREATMENT OF PROSTATE CANCER. IN ADDITION, ROBOTIC SURGERY HAS HELPED DEVELOP PARTIAL NEPHRECTOMY PROCEDURES, WHICH ALLOW ST. DOMINIC'S PHYSICIANS TO REMOVE A PORTION OF A KIDNEY AS OPPOSED TO COMPLETE REMOVAL - WHICH WAS THE PRACTICE IN THE PAST. IN LATE 2011 ST. DOMINIC'S BECAME THE FIRST IN THE STATE TO OFFER SINGLE INCISION ROBOTIC HYSTERECTOMY. THIS ALLOWS FOR ONE INCISION SITE WITH ONLY A TINY SCAR AND A RETURN TO NORMAL FUNCTION MUCH MORE QUICKLY. ST. DOMINIC HOSPITAL ALSO OFFERS ROBOTIC SACROCOLPOPEXY TO HELP WOMEN WHO HAVE EXPERIENCED PROLAPSE OF PELVIC FLOOR ORGANS. THIS MEANS LESS PAIN, LESS SCARRING, LESS BLOOD LOSS AND A SMALLER CHANCE OF INFECTION. SERVING THE COMMUNITYIN 2012 ST. DOMINIC HOSPITAL CONDUCTED A COMPREHENSIVE ASSESSMENT OF THE HEALTH NEEDS OF THE COMMUNITY. THE FINAL RESULTS OF THE STUDY WERE COMPILED AND RELEASED IN EARLY 2013. THE OVERARCHING GOAL OF THE ASSESSMENT WAS TO RESPOND TO IDENTIFIED COMMUNITY HEALTH NEEDS, IMPROVE ACCESS AND IMPROVE HEALTH STATUS - ESPECIALLY FOR THE MOST VULNERABLE AND UNDERSERVED IN THE COMMUNITY. ST. DOMINIC HOSPITAL'S OVERALL APPROACH TO COMMUNITY BENEFIT IS TO TARGET THE INTERSECTION OF DOCUMENTED UNMET COMMUNITY HEALTH NEEDS AND ST. DOMINIC'S KEY STRENGTHS AND MISSION COMMITMENTS. SPECIFICALLY, MEMBERS OF THE TASK FORCE THAT LED THE DEVELOPMENT OF THE ASSESSMENT IDENTIFIED PRIORITY HEALTH ISSUES IN ST. DOMINIC'S SERVICE AREA BASED ON ITS REVIEW OF DEMOGRAPHIC INFORMATION, FOCUS GROUP SUMMARIES AND RESULTS OF A COMMUNITY SURVEY. THOSE IDENTIFIED PRESSING ISSUES ARE:O OBESITY,O HEART DISEASE, ANDO MENTAL HEALTH NEEDS.ST. DOMINIC'S INTEGRATES ITS COMMITMENT TO COMMUNITY SERVICE INTO ITS MANAGEMENT AND GOVERNANCE STRUCTURES, AS WELL AS ITS STRATEGIC AND OPERATIONAL PLANS, AND MONITORS AND EVALUATES PROGRESS. SPECIFICALLY, ST. DOMINIC'S COMMUNITY BENEFIT PLANS AND THE NEEDS ASSESSMENT ARE WELL INTEGRATED IN ITS STRATEGIC PLANS. FOLLOWING IS A SUMMARY OF INITIATIVES FROM THE 2013-2015 PLAN THAT FOCUSED ON ADDRESSING IDENTIFIED NEEDS FROM THE ASSESSMENT.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
DescDISPARITY OR COMMUNITY NEED: OBESITY AND HEART DISEASE; EXPRESSED INITIATIVES IN THE 2013 STRATEGIC PLAN:EXPAND PHYSICIAN NETWORK INTO TARGETED COMMUNITIES IN SERVICE AREA (PRIMARY AND SECONDARY) TO INCREASE ACCESS FOR PATIENTS TO PRIMARY CARE AND NEEDED SPECIALISTS.; RESULTS: ST. DOMINIC HOSPITAL BEGAN CONSTRUCTION ON A NEW FAMILY MEDICINE CLINIC IN BRANDON. THE CLINIC WILL OPEN IN EARLY 2014. ST. DOMINIC'S ALSO INITIATED A DIRECT MAIL CAMPAIGN TO RAISE AWARENESS OF EXISTING CLINIC LOCATIONS TO THE COMMUNITY.DISPARITY OR COMMUNITY NEED: OBESITY AND HEART DISEASE; EXPRESSED INITIATIVES IN THE 2013 STRATEGIC PLAN:EXPAND EDUCATION AND SERVICE SCREENINGS FOR NEUROLOGICAL AND STROKE HEALTH ISSUES TO COMMUNITIES AND PATIENTS IN NEED.; RESULTS: ADDED THREE SPOKE HOSPITALS TO THE TELESTROKE PROGRAM: MONTFORT JONES MEMORIAL HOSPITAL IN KOSCIUSKO, BOLIVAR MEDICAL CENTER IN CLEVELAND AND KING'S DAUGHTERS MEDICAL CENTER IN BROOKHAVEN. ST. DOMINIC'S STROKE COORDINATOR ALSO PROVIDED STROKE EDUCATION TO SEVERAL BUSINESSES AND GROUPS THROUGHOUT THE YEAR, INCLUDING THE STATE CAPITOL, ST. DOMINIC'S NEW DIRECTIONS FOR OVER 55, PEARL COMMUNITY CENTER, LEVI STRAUSS, JACKSON ROTARY CLUB AND THE BOLTON LIBRARY.DISPARITY OR COMMUNITY NEED: OBESITY AND HEART DISEASE; EXPRESSED INITIATIVES IN THE 2013 STRATEGIC PLAN:EXPAND EDUCATION AND SERVICE SCREENINGS FOR CARDIOVASCULAR HEALTH ISSUES TO COMMUNITIES AND PATIENTS IN NEED.; RESULTS: ADDED ANKLE BRACHIAL INDEX AND A CALCIUM SCORING TO THE HEALTHY HEART PROGRAM TESTS. PARTICIPANTS IN 2012 TOTALED 327, AND IN 2013 THE NUMBERS ROSE TO 480.DISPARITY AND COMMUNITY NEED: OBESITY, HEART DISEASE AND ACCESS TO CARE; EXPRESSED INITIATIVES IN THE 2013 STRATEGIC PLAN: EXPAND EDUCATION AND SERVICE SCREENINGS FOR CARDIOVASCULAR HEALTH ISSUES TO COMMUNITIES AND PATIENTS IN NEED.; RESULTS: PARTNERED WITH LOCAL EMPLOYERS TO OFFER ON-SITE HEART AND SKIN CANCER SCREENINGS. THIS NEW OUTREACH PROGRAM CONDUCTED 965 SCREENINGS (INCLUDING MORE THAN 100 SKIN CANCER SCREENINGS) IN 2013.DISPARITY AND COMMUNITY NEEDS: MENTAL HEALTH NEEDS; EXPRESSED INITIATIVES IN THE 2013 STRATEGIC PLAN:COMPLETE NEW STATE-OF-THE-ART PSYCHIATRIC FACILITY (INPATIENT) AND EXPAND ACCESS TO BEHAVIORAL HEALTH SERVICES IN OUTLYING AREAS.; RESULTS: COMPLETED WORK AND OPENED A NEW 77-BED, TWO-STORY, 78,000 SQUARE FOOT FACILITY DEDICATED TO THE TREATMENT OF MENTAL AND BEHAVIORAL ILLNESSES INCLUDING A NEW UNIT FOR GERIATRIC PATIENTS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$387,456,566TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document296IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4000EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JENNIFER SINCLAIRBusinessNameLine1
FieldValueIRS element (for citing)
Phone6012006955PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1969 LAKELAND DRAddressLine1
CityJACKSONCity
StateMSState
ZIP Code392164699ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SR M CORDE LENN
DIRECTOR0.50Yes (X)$0$0$0
DAN GRAFTON
VICE CHAIRMAN0.50Yes (X)$0$0$0Yes (X)
SR MARY TRINITA EDDINGTON OP
SECRETARY/TREASURER0.50Yes (X)$0$0$0Yes (X)40.50
TOD ETHEREDGE
DIRECTOR0.50Yes (X)$0$0$0
JEFF FLETCHER MD
CHAIRMAN0.50Yes (X)$0$0$0Yes (X)
WALTER JOHNSON
DIRECTOR0.50Yes (X)$0$0$0
EDDIE MALONEY
DIRECTOR0.50Yes (X)$0$0$00.50
SR M THECLA KUHNLINE OP
DIRECTOR0.50Yes (X)$0$0$0
SR M CELESTINE RONDELLI OP
DIRECTOR0.50Yes (X)$0$0$0
JAMES S JONES MD
DIRECTOR0.50Yes (X)$0$0$0
SR REBECCA ANN GEMMA OP
DIRECTOR0.50Yes (X)$0$0$01.00
WILLIAM E TEW MD
DIRECTOR0.50Yes (X)$0$0$0
DONNA SIMS
DIRECTOR0.50Yes (X)$0$0$0
SR KRISTIN REVER OP
DIRECTOR0.50Yes (X)$0$0$0
LESTER K DIAMOND
PRES.-SEE SCH J FOR ADD'L INFO40.00Yes (X)$743,710$0$31,424Yes (X)
JENNIFER SINCLAIR
EXEC. VP OPS- SEE J FOR ADD'L INFO40.00$372,711$0$20,928Yes (X)
MATTHEW FISHER
VP FINANCE40.00$200,330$0$17,026Yes (X)
ROBERT MOBLEY MD
EXEC VP- MEDICAL AFFAIRS - PART YEAR40.00$265,459$0$27,894Yes (X)
KEITH VAN CAMP
VP- INFORMATION TECH- SEE SCH J FOR ADD'L INFO40.00$292,214$0$20,846Yes (X)
STEPHEN BOMGARDNER
VP- NURSING40.00$242,933$0$28,557Yes (X)
BECKY LOWE
VP- ANCILLARY SERVICES40.00$218,541$0$17,695Yes (X)
RAYMOND SWARTZFAGER
VP- ANCILLARY SERVICES40.00$217,201$0$25,712Yes (X)
LORRAINE WASHINGTON
VP- HUMAN RESOURCES24.00$0$234,105$27,34616.00Yes (X)
MICHAEL L SANDERS
EXEC VP- MEDICAL AFFAIRS - PART YEAR40.00$274,559$0$27,157Yes (X)
HUEY B MCDANIEL MD
PHYSICIAN40.00$658,489$0$9,093Yes (X)
KYLE GORDON MD
PHYSICIAN40.00$685,857$0$10,911Yes (X)
JOHN LANCON MD
PHYSICIAN40.00$1,265,776$0$10,911Yes (X)
RONALD KENNEDY MD
PHYSICIAN40.00$926,706$0$10,911Yes (X)
PAUL SEAGO
PHYSICIAN40.00$1,064,917$0$8,8230.50Yes (X)
RALPH E SULSER MD
FORMER VICE CHAIRMAN0.00$194,633$0$8,968Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$7,624,036TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$234,105TotReportableCompRltdOrgAmt
Total Other Compensation$304,202TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K145IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
ALLIED EMERGENCY SERVICES PC
PO BOX 2120RIDGELANDMS39158ER PHYSICIANS$7,891,233
PHYSICIANS ANESTHESIA GROUP PA
PO BOX 4608JACKSONMS39296CONTRACT MEDICAL SERVICES$2,763,794
COGENT HEALTHCARE OF JACKSON MS
969 LAKELAND DRIVEJACKSONMS39216CONTRACT MEDICAL SERVICES$2,646,489
HARRELL CONTRACTING GROUP LLC
PO BOX 12850JACKSONMS39236CONSTRUCTION SERVICES$2,540,366
FOUNTAIN CONSTRUCTION CO INC
PO BOX 10506JACKSONMS39289CONSTRUCTION SERVICES$2,353,843
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K38CntrctRcvdGreaterThan100KCnt
Related Organizations$75,000RelatedOrganizationsAmt
All Other Contributions$2,932AllOtherContributionsAmt
Total Contributions$77,932TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PROGRAM REVENUE621990$383,541,766$383,541,766
PHARMACEUTICAL SALES446110$3,807,723$2,726,330$1,081,393
SPA SALES812900$835,150$133,169$701,981
FieldValueIRS element (for citing)
Total Program Service Revenue$388,184,639TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,879,663TotalRevenueColumnAmt
Exclusion$1,879,663ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$4,755,686RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$4,755,686RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,755,686TotalRevenueColumnAmt
Exclusion$4,755,686ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$167,466OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$223,022OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$55,556OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$55,556TotalRevenueColumnAmt
Exclusion-$55,556ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MISCELLANEOUS INCOME900099$4,735,028$4,735,028
CAFETERIA SALES722210$2,329,727$2,329,727
DAY CARE CENTER624410$699,116$699,116

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,361,827TotalRevenueColumnAmt
Exclusion$1,361,827ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$9,125,698OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$403,968,062TotalRevenueColumnAmt
Related Or Exempt Func Income$386,401,265RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,783,374UnrelatedBusinessRevenueAmt
Exclusion$15,705,491ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,080,061TotalAmt
Program Services$2,080,061ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,827,657TotalAmt
Management And General$2,827,657ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$155,550,736TotalAmt
Program Services$153,759,123ProgramServicesAmt
Management And General$1,791,613ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$9,844,141TotalAmt
Program Services$9,557,026ProgramServicesAmt
Management And General$287,115ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$15,362,709TotalAmt
Program Services$14,914,640ProgramServicesAmt
Management And General$448,069ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,697,044TotalAmt
Program Services$10,385,054ProgramServicesAmt
Management And General$311,990ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$352,197TotalAmt
Program Services$352,197ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$573,818TotalAmt
Management And General$573,818ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$257,825TotalAmt
Management And General$257,825ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,177,498TotalAmt
Program Services$1,177,498ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,300,569TotalAmt
Program Services$4,300,569ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$634,092TotalAmt
Program Services$634,092ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$63,432TotalAmt
Program Services$63,432ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$21,369,454TotalAmt
Program Services$21,369,454ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,291,230TotalAmt
Program Services$2,291,230ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
SUPPLIES$70,161,042$70,161,042
MEDICAL PROFESSIONAL FE$21,136,834$21,136,834
PHARMACEUTICAL DRUGS$20,470,929$20,470,929
EQUIPMENT RENTAL AND MA$16,535,630$16,535,630

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$38,267,755TotalAmt
Program Services$38,267,755ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$393,954,653TotalAmt
Program Services$387,456,566ProgramServicesAmt
Management And General$6,498,087ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$66,511,158BOYAmt
EOY$67,872,602EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$49,487,544BOYAmt
EOY$48,892,187EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,928,173BOYAmt
EOY$7,535,504EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$32,341,392BOYAmt
EOY$42,188,756EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$432,957,523LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$255,374,581LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$169,912,655BOYAmt
EOY$177,582,942EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,266,203BOYAmt
EOY$4,430,294EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$329,447,125BOYAmt
EOY$348,502,285EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$37,375,055BOYAmt
EOY$34,078,722EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$86,542,708BOYAmt
EOY$13,751,785EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$123,917,763BOYAmt
EOY$47,830,507EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$205,529,362BOYAmt
EOY$300,671,778EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$205,529,362BOYAmt
EOY$300,671,778EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$329,447,125BOYAmt
EOY$348,502,285EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$10,013,409ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$5,104,763NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$80,024,244OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$16,036OtherActivitiesAmt
Total Lobbying Expenditures$16,036TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationST. DOMINIC-JACKSON MEMORIAL HOSPITAL PAID DUES TO THE MISSISSIPPI HOSPITAL ASSOCIATION. THE MISSISSIPPI HOSPITAL ASSOCIATION REPORTS THAT 11.62% OF THE $138,000 OF DUES PAID WERE RELATED TO POLITICAL AND LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,468,228OtherCostOrOtherBasisAmt
Book Value$18,468,228BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$209,021,810OtherCostOrOtherBasisAmt
Depreciation$129,262,992DepreciationAmt
Book Value$79,758,818BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$203,925,905OtherCostOrOtherBasisAmt
Depreciation$126,111,589DepreciationAmt
Book Value$77,814,316BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,541,580OtherCostOrOtherBasisAmt
Book Value$1,541,580BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$177,582,942TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
LIABILITY FOR PENSION BENEFITS$12,466,474
NOTES PAYABLE$1,285,311
FieldValueIRS element (for citing)
Total Liability$13,751,785TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationPER NOTE IN AUDITED CONSOLIDATED FINANCIAL STATEMENTS: ST. DOMINIC-JACKSON MEMORIAL HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. ASC IS TREATED AS A PARTNERSHIP FOR INCOME TAX PURPOSES, AND THEREFORE, NO ASSOCIATED INCOME TAX PROVISION IS REQUIRED IN THE HOSPITAL'S CONSOLIDATED FINANCIAL STATEMENTS. SDIS ACCOUNTS FOR INCOME TAXES USING THE ASSET AND LIABILITY METHOD. UNDER THIS METHOD, INCOME TAXES ARE PROVIDED FOR AMOUNTS CURRENTLY PAYABLE AND FOR AMOUNTS DEFERRED AS TAX ASSETS AND LIABILITIES BASED ON DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS AND THE TAX BASES OF EXISTING ASSETS AND LIABILITIES. DEFERRED INCOME TAXES ARE MEASURED USING THE ENACTED TAX RATES THAT ARE ASSUMED WILL BE IN EFFECT WHEN THE DIFFERENCES REVERSE. DEFERRED TAX ASSETS ARE REDUCED BY A VALUATION ALLOWANCE, WHEN, IN THE OPINION OF MANAGEMENT, IT IS MORE-LIKELY-THAN-NOT THAT SOME PORTION OR ALL OF THE DEFERRED TAX ASSETS WILL NOT BE REALIZED. SDIS HAD NO DEFERRED TAX ASSETS OR LIABILITIES AT DECEMBER 31, 2013 OR 2012. INCOME TAX EXPENSE FOR SDIS TOTALED $134,746 AND $150,587 FOR THE YEARS ENDED DECEMBER 31, 2013 AND 2012, RESPECTIVELY, AND IS INCLUDED IN ADMINISTRATIVE EXPENSES IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. THE HOSPITAL HAS DETERMINED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2013 OR 2012. IF INTEREST AND PENALTIES ARE INCURRED RELATED TO UNCERTAIN TAX POSITIONS, SUCH AMOUNTS WOULD BE RECOGNIZED IN INCOME TAX EXPENSE. TAX PERIODS FOR ALL FISCAL YEARS AFTER 2009 REMAIN OPEN TO EXAMINATION BY THE FEDERAL AND STATE TAXING JURISDICTIONS TO WHICH THE HOSPITAL IS SUBJECT.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent350Yes (X)Percent350Ind
Free Care Medically Indigent0FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,725,048TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,966,092DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,758,956NetCommunityBenefitExpnsAmt
Total Expense0.04350TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$52,993,767TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$53,664,930DirectOffsettingRevenueAmt
Net Community Benefit Expns-$671,163NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$964,998TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$526,619DirectOffsettingRevenueAmt
Net Community Benefit Expns$438,379NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$72,683,813TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$56,157,641DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,526,172NetCommunityBenefitExpnsAmt
Total Expense0.04460TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,160,971TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,160,971NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$109,132TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$109,132NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,503,076TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,482,733DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,020,343NetCommunityBenefitExpnsAmt
Total Expense0.01040TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,090,106TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,090,106NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,863,285TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,482,733DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,380,552NetCommunityBenefitExpnsAmt
Total Expense0.01910TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$86,547,098TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$62,640,374DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,906,724NetCommunityBenefitExpnsAmt
Total Expense0.06370TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$9,052,257BadDebtExpenseAmt
Bad Debt Expense Attributable$2,715,677BadDebtExpenseAttributableAmt
Reimbursed By Medicare$126,083,436ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$136,369,071CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$10,285,635MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 ST DOMINIC AMBULATORY SURGERY CENTER LLCBusinessNameLine1
FieldValueIRS element (for citing)
Primary ActivitiesOUTPATIENT SURGERY CENTERPrimaryActivitiesTxt
Org Profit Or Ownership0.53520OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.00000OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.46480PhysiciansProfitOrOwnershipPct
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 HOSPITALBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1969 LAKELAND DRIVEAddressLine1
CityJACKSONCity
StateMSState
ZIP Code392164699ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherAMBULATORY SURGERY CENTER AND PHYSICIAN CLINICSOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1STDOMINIC- JACKSON MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (1)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
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTP://WWW.STDOM.COM/GEDOWNLOAD!/CHNAWEB.OwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedYes (1)AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care350.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Available On RequestYes (X)AvailableOnRequestInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Collection ActivitiesYes (1)CollectionActivitiesInd
Reporting To Credit AgencyYes (X)ReportingToCreditAgencyInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Average Negotiated RatesYes (X)AverageNegotiatedRatesInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ST.DOMINIC- JACKSON MEMORIAL HOSPITALPART V, SECTION B, LINE 3: AS PART OF THE COMMUNITY NEEDS ASSESSMENT, SDHS SPONSORED SIX FOCUS GROUPS. THOSE SIX FOCUS GROUPS INCLUDED INTERNAL COMMUNITY LEADERS, SENIORS AT ST. CATHERINE'S VILLAGE, A CONTINUING CARE FACILTY THAT IS PART OF SDHS, SENIORS FROM THE COMMUNITY, ST. DOMINIC EMPLOYEES AND EXTERNAL COMMUNITY LEADERS.
ST.DOMINIC- JACKSON MEMORIAL HOSPITALPART V, SECTION B, LINE 14G: THE HOSPITAL'S WEBSITE ALSO INFORMS PATIENTS OF THE POLICY.
ST.DOMINIC- JACKSON MEMORIAL HOSPITALPART V, SECTION B, LINE 18E: THE HOSPITAL PROACTIVELY SCREENS PATIENTS FOR FINANCIAL ASSISTANCE ELIGIBILITY IF THERE IS AN INDICATION THAT THE PATIENT MAY QUALIFY UNDER THE FINANCIAL ASSISTANCE POLICY.
FieldValueIRS element (for citing)
Facility23FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxtAddress Line2USAddress/AddressLine2
ST DOMINIC AMBULATORY SURGERY CENTER
969 LAKELAND DRIVEJACKSONMS392164699OUTPATIENT SURGERY CENTER
EAR NOSE & THROAT SURGICAL GROUP AT ST
970 LAKELAND DRIVE SUITE 40JACKSONMS39216PHYSICIAN CLINIC
ST DOMINIC INTERNAL MEDICINE GROUP
971 LAKELAND DRIVE SUITE 250JACKSONMS39216PHYSICIAN CLINIC
ST DOMINIC NEUROSURGERY ASSOCIATES
971 LAKELAND DRIVE SUITE 657JACKSONMS39216PHYSICIAN CLINIC
ST DOMINIC'S CARDIOVASCULAR SURGERY
971 LAKELAND DRIVE SUITE 657JACKSONMS39219PHYSICIAN CLINIC
ST DOMINIC'S GYNECOLOGIC ONCOLOGY
971 LAKELAND DRIVE SUITE 750JACKSONMS39216PHYSICIAN CLINIC
ST DOMINIC'S HOSPITAL MEDICINE
971 LAKELAND DRIVE SUITE 1453JACKSONMS39216HOSPITALIST CLINIC
ST DOMINIC'S INFECTIOUS DISEASE
971 LAKELAND DRIVE SUITE 954JACKSONMS39216PHYSICIAN CLINIC
ST DOMINIC'S FAMILY MEDICINE OF MADISON
HIGHLAND MEDICAL ARTS BUILDING 106MADISONMS39110PHYSICIAN CLINICHIGH
ST DOMINIC'S FAMILY MEDICINE OF FLOWOOD
1050 RIVER OAKS DRIVEFLOWOODMS39232PHYSICIAN CLINIC
ST DOMINIC'S PSYCHIATRIC ASSOCIATES
969 LAKELAND DRIVEJACKSONMS39216PHYSICIAN CLINIC
ST DOMINIC'S FAMILY MEDICINE OF CLINTON
728 CLINTON PARKWAY SUITE BCLINTONMS39056PHYSICIAN CLINIC
ST DOMINIC'S MARTIN SURGICAL ASSOCIATES
971 LAKELAND DRIVE SUITE 211JACKSONMS39216PHYSICIAN CLINIC
ST DOMINIC'S CHRONIC CARE CLINIC
890 LAKELAND DRIVEJACKSONMS39216PHYSICIAN CLINIC
ST DOMINIC'S PAIN MANAGEMENT CENTER
971 LAKELAND DRIVE SUITE 1159JACKSONMS39216PHYSICIAN CLINIC
ST DOMINIC'S CLINIC AT WALMART - PEARL
WALMART SUPERCENTER 5520 HWY 80PEARLMS39208PHYSICIAN CLINICEAST
ST DOMINIC'S CLINIC AT WALMART - MADISO
WALMART SUPERCENTER 127 GRANDVIEWMADISONMS39110PHYSICIAN CLINICBLVD
ST DOMINIC'S CLINIC AT WALMART - CLINTO
WALMART SUPERCENTER 950 HWY 80 EASTCLINTONMS39056PHYSICIAN CLINIC
ST DOMINIC'S EMPLOYEE CLINIC
969 LAKELAND DRIVEJACKSONMS39216PHYSICIAN CLINIC
ST DOMINIC'S NEUROSCIENCE CENTER
971 LAKELAND DRIVE SUITE 557JACKSONMS39216PHYSICIAN CLINIC
ST DOMINIC'S OUTREACH PROGRAM - BROOKHA
427 HWY 51 NBROOKHAVENMS39601PHYSICIAN CLINIC
ST DOMINIC'S OUTREACH PROGRAM - MORTON
321 HWY 13 SOUTHMORTONMS39117PHYSICIAN CLINIC
ST DOMINIC'S OUTREACH PROGRAM - CLEVELA
810 E SUNFLOWER ROADCLEVELANDMS38732PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:ST. DOMINIC HOSPITAL HAS A DISCOUNT POLICY THAT IS BASED ON FEDERAL POVERTY GUIDELINES WITH A SLIDING SCALE THAT OFFERS DISCOUNTS RANGING FROM 20% TO 100%. IN ADDITION, ST. DOMINIC OFFERS A 60% DISCOUNT OFF GROSS CHARGES TO ALL UNINSURED PATIENTS.
PART I, LINE 6A:THE COMMUNITY BENEFIT REPORT FOR ST. DOMINIC HOSPITAL IS CONSOLIDATED WITH THE PARENT ORGANIZATION, ST. DOMINIC HEALTH SERVICES, INC.
PART I, LINE 7:ST. DOMINIC HOSPITAL USED A COST-TO-CHARGE RATIO BASED ON WORKSHEET 2.
PART I, LINE 7G:ST. DOMINIC HOSPITAL DID NOT INCLUDE LOSSES ON ITS OWNED PHYSICIAN CLINICS AS SUBSIDIZED HEALTH SERVICES. IN ORDER TO MEET THE NEEDS OF THE COMMUNITY WE SERVE, ST. DOMINIC CONTINUES ITS MINISTRY IN VARIOUS SERVICE LINES THAT ARE NOT PROFITABLE TO THE ORGANIZATION. AN EXAMPLE OF THESE SERVICES INCLUDES BUT IS NOT LIMITED TO THE EMERGENCY DEPARTMENT.
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 9,052,257.
PART II, COMMUNITY BUILDING ACTIVITIES:ST. DOMINIC HOSPITAL PROVIDES SIGNIFICANT SUPPORT TO ITS COMMUNITY THROUGH A VARIETY OF WAYS INCLUDING FREE HEALTH SCREENINGS AT LOCAL SCHOOLS, PARTICIPATION IN VARIOUS NON- PROFIT BOARDS AS WELL AS FINANCIAL SUPPORT THROUGH CASH DONATIONS.
PART III, LINE 4:THE FINANCIAL STATEMENT FOOTNOTE READS -- PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS HISTORICAL EXPERIENCE AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR 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 BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS 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 SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS 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.THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS INCREASED FROM 64.4 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2012, TO 67.4 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2013. IN ADDITION, THE HOSPITAL'S SELF-PAY BAD DEBT WRITE-OFFS DECREASED FROM $12,219,261 IN 2012 TO $2,067,697 IN 2013. THE HOSPITAL ALSO MAINTAINS ALLOWANCES FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS. THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR THIRD-PARTY GOVERNMENT PAYORS INCREASED FROM 4.5 PERCENT OF THIRD-PARTY GOVERNMENT ACCOUNTS RECEIVABLE AT DECEMBER 31, 2012, TO 5.3 PERCENT OF THIRD-PARTY GOVERNMENT ACCOUNTS RECEIVABLE AT DECEMBER 31, 2013. IN ADDITION, THE HOSPITAL'S THIRD-PARTY GOVERNMENT BAD DEBT WRITE-OFFS DECREASED FROM $2,383,729 IN 2012 TO $1,209,245 IN 2013. THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR THIRD-PARTY COMMERCIAL PAYORS DECREASED FROM 5.3 PERCENT OF THIRD-PARTY COMMERCIAL ACCOUNTS RECEIVABLE AT DECEMBER 31, 2012, TO 4.9 PERCENT OF THIRD-PARTY COMMERCIAL ACCOUNTS RECEIVABLE AT DECEMBER 31, 2013. IN ADDITION, THE HOSPITAL'S THIRD-PARTY COMMERCIAL BAD DEBT WRITE-OFFS DECREASED FROM $6,633,899 IN 2012 TO $1,532,238 IN 2013. THE NOTED INCREASES AND DECREASES RESULTED FROM ACTUAL BAD DEBT WRITE-OFFS MADE BY THE HOSPITAL. THEY DO NOT TAKE INTO ACCOUNT THE RESERVES THAT HAVE BEEN PLACED ON EXISTING PATIENT ACCOUNTS RECEIVABLE. THEREFORE, THE EXPENSE ACTUALLY RECOGNIZED BY THE HOSPITAL ON THEIR CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS DOES NOT EQUAL THE BAD DEBT WRITE-OFFS NOTED ABOVE.
PART III, LINE 8:N/A - THIS AMOUNT IS NOT INCLUDED IN THE COMMUNITY BENEFIT TOTAL.
PART III, LINE 9B:ST. 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 OUR PATIENTS. THEY ROUTINELY SEND FINANCIAL AID APPLICATIONS TO PATIENTS AND REFER THOSE PATIENTS BACK TO THE HOSPITAL'S FINANCIAL COUNSELORS WHEN APPROPRIATE.
PART VI, LINE 2:ST. DOMINIC HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT DURING 2012. THE CHNA CAN BE ACCESSED AT:HTTP://WWW.STDOM.COM/GEDOWNLOAD!/CHNAWEB.PDF?ITEM_ID=544018&VERSION_ID=544019
PART VI, LINE 3:ST. DOMINIC HOSPITAL WORKS TO EDUCATE OUR PATIENTS AND COMMUNITY ON ASSISTANCE OPTIONS BY:1-POSTING SIGNAGE IN OUR EMERGENCY ROOM AND OTHER REGISTRATION AREAS INFORMING PATIENTS THAT FINANCIAL ASSISTANCE IS AVAILABLE.2-PROVIDING BROCHURES IN OUR 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 NEEDED6-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.
PART VI, LINE 4:THE COMMUNITY SERVED BY THE HOSPITAL, INCLUDING GEOGRAPHIC AND DEMOGRAPHIC AREAS, IS ADDRESSED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED DURING 2012. THE CHNA CAN BE ACCESSED AT:HTTP://WWW.STDOM.COM/GEDOWNLOAD!/CHNAWEB.PDF?ITEM_ID=544018&VERSION_ID=544019
PART VI, LINE 5:ST. DOMINIC RECOGNIZES ITS BASIC PARTICIPATION IN THE MISSION OF THE CHURCH WHICH INVOLVES TWO MAIN MINISTRIES: EDUCATION AND HEALTH CARE. THREE ACTIVITIES - COMMUNICATING A CHRISTIAN MESSAGE, ESTABLISHING COMMUNITY AND PERFORMING SERVICE - EXPRESS OUR MISSION OF CHRISTIAN HEALING. WE INVOLVE MEMBERS OF OUR COMMUNITY IN OUR GOVERNANCE SO THAT WE MAINTAIN THE FOCUS ON THE NEEDS OF OUR COMMUNITY. WE HAVE AN OPEN MEDICAL STAFF.
PART VI, LINE 6:ST. DOMINIC - JACKSON MEMORIAL HOSPITAL IS A FULLY OWNED SUBSIDIARY OF ST. DOMINIC HEALTH SERVICES, INC. AND PROVIDES ONE PIECE OF THE OVERALL COMMUNITY BENEFIT THAT THE ORGANIZATION PROVIDES.
PART VI, LINE 7ST. DOMINIC HOSPITAL (CONSOLIDATED WITH ST. DOMINIC HEALTH SERVICES, INC.) PREPARES ANNUALLY A COMMUNITY BENEFIT REPORT WHICH IS DISTRIBUTED TO KEY MEMBERS OF OUR LOCAL COMMUNITY AND STATE GOVERNMENT BUT THERE ARE CURRENTLY NO REQUIREMENTS TO DO SO IN THE STATE OF MISSISSIPPI.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (16 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
100 BLACK MEN OF JACKSON
5360 HIGHLAND DRIVEJACKSONMS39286640817928501(C)(3)$20,000CHARITABLE SUPPORT
BEGINNING AGAIN IN CHRIST
PO BOX 26BRANDONMS390430026640592123501(C)(3)$15,000CHARITABLE SUPPORT
BOY SCOUTS OF AMERICA
855 RIVERSIDE DRJACKSONMS39202640303071501(C)(3)$32,000CHARITABLE SUPPORT
CATHOLIC CHARITIES
200 N CONGRESS STJACKSONMS39201640468850501(C)(3)$127,500CHARITABLE SUPPORT
CENTER FOR PREVENTION OF VIOLENCE
PO BOX 6279PEARLMS39288581959108501(C)(3)$37,500CHARITABLE SUPPORT
COMMUNITY HEALTH SERVICES-ST DOMINIC INC
969 LAKELAND DRJACKSONMS392164699640714997501(C)(3)$150,000AFFILIATE SUPPORT
HOSPICE MINISTRIES
450 TOWNE CENTER BOULEVARDRIDGELANDMS39157640789919501(C)(3)$37,500CHARITABLE SUPPORT
NEIGHBORHOOD CHRISTIAN CENTER
417 W ASH STJACKSONMS39203640800919501(C)(3)$18,000CHARITABLE SUPPORT
OPERATION SHOESTRING
1711 BAILEY AVENUEJACKSONMS39283640471554501(C)(3)$25,000CHARITABLE SUPPORT
REAL CHRISTIAN FOUNDATION
PO BOX 180059RICHLANDMS39218640885750501(C)(3)$40,000CHARITABLE SUPPORT
SOUTHERN CHRISTIAN SERVICES
860 EAST RIVER PLACE SUITE 104JACKSONMS39202640758344501(C)(3)$25,000CHARITABLE SUPPORT
THE WINGARD HOME
1279 N WEST STREETJACKSONMS39202203861994501(C)(3)$5,000CHARITABLE SUPPORT
TUTWILER COMMUNITY EDUCATION CENTER INC
PO BOX 448TUTWILERMS38963581887449501(C)(3)$10,000CHARITABLE SUPPORT
CHRISTIAN MEDICAL AND DENTAL
PO BOX 4569JACKSONMS39296362284267501(C)(3)$5,000CHARITABLE SUPPORT
MISSION MISSISSIPPI
PO BOX 22655JACKSONMS39225640824240501(C)(3)$30,000CHARITABLE SUPPORT
ST DOMINIC HEALTH SERVICES INC
969 LAKELAND DRJACKSONMS39216640714999501(C)(3)$1,500,000DESIGNATED COMMUNITY BENEFIT SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org16Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
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)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 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
LESTER K DIAMOND
PRES.-SEE SCH J FOR ADD'L INFO$501,415$0$0$0$242,295$0$20,519$0$10,905$0$775,134$0$0$0
JENNIFER SINCLAIR
EXEC. VP OPS- SEE J FOR ADD'L INFO$341,158$0$0$0$31,553$0$20,519$0$409$0$393,639$0$0$0
MATTHEW FISHER
VP FINANCE$200,330$0$0$0$0$0$6,465$0$10,561$0$217,356$0$0$0
ROBERT MOBLEY MD
EXEC VP- MEDICAL AFFAIRS - PART YEAR$200,308$0$0$0$65,151$0$23,244$0$4,650$0$293,353$0$0$0
KEITH VAN CAMP
VP- INFORMATION TECH- SEE SCH J FOR$278,238$0$0$0$13,976$0$20,519$0$327$0$313,060$0$0$0
STEPHEN BOMGARDNER
VP- NURSING$242,933$0$0$0$0$0$19,452$0$9,105$0$271,490$0$0$0
BECKY LOWE
VP- ANCILLARY SERVICES$218,541$0$0$0$0$0$17,523$0$172$0$236,236$0$0$0
RAYMOND SWARTZFAGER
VP- ANCILLARY SERVICES$217,201$0$0$0$0$0$17,225$0$8,487$0$242,913$0$0$0
LORRAINE WASHINGTON
VP- HUMAN RESOURCES$0$234,105$0$0$0$0$0$18,835$0$8,511$0$261,451$0$0
MICHAEL L SANDERS
EXEC VP- MEDICAL AFFAIRS - PART YEAR$274,559$0$0$0$0$0$16,527$0$10,630$0$301,716$0$0$0
HUEY B MCDANIEL MD
PHYSICIAN$539,132$0$88,000$0$31,357$0$0$0$9,093$0$667,582$0$0$0
KYLE GORDON MD
PHYSICIAN$561,736$0$91,461$0$32,660$0$0$0$10,911$0$696,768$0$0$0
JOHN LANCON MD
PHYSICIAN$1,145,738$0$59,763$0$60,275$0$0$0$10,911$0$1,276,687$0$0$0
RONALD KENNEDY MD
PHYSICIAN$732,577$0$150,000$0$44,129$0$0$0$10,911$0$937,617$0$0$0
PAUL SEAGO
PHYSICIAN$1,014,207$0$0$0$50,710$0$0$0$8,823$0$1,073,740$0$0$0
RALPH E SULSER MD
FORMER VICE CHAIRMAN$172,365$0$13,000$0$9,268$0$0$0$8,968$0$203,601$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4BFormAndLineReferenceDesc
ExplanationTHE EXECUTIVE COMPENSATION COMMITTEE CONDUCTED A MARKET STUDY OF EXECUTIVE RETIREMENT BENEFITS FOR NON-PROFIT HEALTHCARE FACILITIES. AS A RESULT OF THIS STUDY, ST. DOMINIC HEALTH SERVICES, INC TERMINATED THE NON QUALIFIED PENSION RESTORATION PLAN AT 12/31/2012. THE FINAL PAYOUTS FROM THIS PLAN WERE MADE IN THE FIRST QUARTER OF 2013. THE TERMINATED PLAN WAS DESIGNED TO USE THE FORMULA OF THE FINAL AVERAGE PAY PENSION PLAN THAT WAS FROZEN AT THE END 12/31/2012 AS WELL. THE FINAL AVERAGE PAY PLAN WAS REPLACED WITH A CASH BALANCE PLAN THAT PROVIDES A CREDIT EQUAL TO 5% OF BASE SALARY UP TO THE IRS LIMIT (CODE SECTION 401(A)(17). THE TERMINATED RESTORATION PLAN WAS REPLACED WITH A NEW NON QUALIFIED RESTORATION PLAN THAT PROVIDES 5% OF PAY FOR SALARY IN EXCESS OF THE IRS LIMIT (CODE SECTION 401(A)(17). THE NEW PLAN WAS EFFECTIVE FOR THE PLAN YEAR BEGINNING 1/1/2013 WITH INITIAL PAYOUTS IN FIRST QUARTER 2014. FINAL PAYOUTS FROM THE TERMINATED PLAN WERE INCLUDED IN THE FORM W-2 BOX 5 WAGES AND REFLECTED IN OTHER REPORTABLE COMPENSATION ON SCHEDULE J. THESE AMOUNTS ARE: LESTER K. DIAMOND - 240,352 JENNIFER SINCLAIR - 31,553 ROBERT MOBLEY, M.D. - 63,051 KEITH VAN CAMP - 13,976ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
MELANIE GRAFTON
DAUGHTER OF DIRECTOR, DAN GRAFTON$70,488MELANIE GRAFTON IS AN EMPLOYEE OF ST. DOMINIC-JACKSON MEMORIAL HOSPITAL.0
JACKSON PULMONARY
DR. JIMMY JONES, DIRECTOR, IS A GREATER THAN 5% OWNER$674,196HOSPITAL CONTRACTS WITH JACKSON PULMONARY FOR INTENSIVIST SERVICES0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6ST. DOMINIC HEALTH SERVICES, INC. IS THE SOLE MEMBER OF ST. DOMINIC- JACKSON MEMORIAL HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD OF DIRECTORS OF ST. DOMINIC- JACKSON MEMORIAL HOSPITAL'S SOLE MEMBER, ST. DOMINIC HEALTH SERVICES, INC., HAS THE AUTHORITY TO ELECT THE PRESIDENT/CEO, THE CHAIR OF THE BOARD OF DIRECTORS AND THE VICE-CHAIR OF THE BOARD OF DIRECTORS OF THE HOSPITAL AND TO APPROVE THE ELECTION OF ALL OTHER OFFICERS OF ST. DOMINIC- JACKSON MEMORIAL HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7BTHE BOARD OF DIRECTORS OF THE SOLE MEMBER OF ST. DOMINIC- JACKSON MEMORIAL HOSPITAL, ST. DOMINIC HEALTH SERVICES, INC., HAS THE RIGHT TO APPROVE THE FORMATION OF, OR PARTICIPATION IN, ANY JOINT VENTURE OR PARTNERSHIP OF THE HOSPITAL. ST. DOMINIC HEALTH SERVICES, INC.'S BOARD OF DIRECTORS ALSO HAS THE RIGHT TO APPROVE ANY DISSOLUTION OR MERGER ENACTED BY ST. DOMINIC- JACKSON MEMORIAL HOSPITAL. IF THE ST. DOMINIC- JACKSON MEMORIAL HOSPITAL'S BOARD OF DIRECTORS HAS A STALEMATE IN ANY VOTE, THE FINAL DECISION RESTS WITH THE BOARD OF DIRECTORS OF ITS SOLE MEMBER, ST. DOMINIC HEALTH SERVICES, INC. THE GOVERNING COUNCIL OF THE DOMINICAN SISTERS OF SPRINGFIELD ILLINOIS HAS THE AUTHORITY TO BREAK ANY TIE VOTE OF THE BOARD OF DIRECTORS OF ST. DOMINIC HEALTH SERVICES, INC.
FORM 990, PART VI, SECTION B, LINE 11THE 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, WAS PROVIDED TO THE BOARD AND RATIFIED PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS ARE REQUIRED TO FILL OUT AND SIGN A CONFLICT FORM ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM IS ADMINISTERED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD. THE EXECUTIVE COMPENSATION COMMITTEE IS RESPONSIBLE FOR ESTABLISHING AND MAINTAINING A COMPETITIVE COMPENSATION PROGRAM FOR THE KEY EXECUTIVES OF THE ORGANIZATION. THE EXECUTIVE COMPENSATION COMMITTEE MEETS AS NEEDED TO REVIEW THE COMPENSATION PROGRAM AND MAKE RECOMMENDATIONS FOR ANY CHANGES AS APPROPRIATE. THE EXECUTIVE COMPENSATION COMMITTEE COMMISSIONS AN ANNUAL REVIEW BY AN INDEPENDENT CONSULTING FIRM TO EVALUATE THE THE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM AGAINST THE COMPETITIVE MARKET. THE EVALUATION IS REVIEWED IN THE FIRST QUARTER OF EACH YEAR AND IS INTENDED TO ENSURE THAT THE COMPENSATION PROGRAM FALLS WITHIN A REASONABLE RANGE OF COMPETITIVE PRACTICES FOR COMPARABLE POSITIONS AMONG SIMILARLY SITUATED ORGANIZATIONS AS DESCRIBED IN SECTION 4958. FOLLOWING THIS REVIEW, THE COMMITTEE REVIEWS AND APPROVES, FOR SELECTED KEY EXECUTIVES, BASE SALARY AND TOTAL COMPENSATION RANGE FOR THE UPCOMING YEAR. THE EXECUTIVE COMPENSATION COMMITTEE MAINTAINS MINUTES AND RECORDS TO ENSURE THAT IT CAN CLAIM THE REBUTTABLE PRESUMPTION OF REASONABLE COMPENSATION FOR PURPOSES OF SECTION 4958. THE CHIEF EXECUTIVE OFFICER FOR THE HOSPITAL ASSIGNS PAY CHANGES FOR THE UPCOMING YEAR FOR EACH OF THE HOSPITAL EXECUTIVES WITHIN THE LIMITS ESTABLISHED BY THE EXECUTIVE COMPENSATION COMMITTEE. THE PRESIDENT OF ST. DOMINIC HEALTH SERVICES, INC. IN CONJUNCTION WITH THE CHAIR OF ST. DOMINIC-JACKSON MEMORIAL HOSPITAL BOARD OF DIRECTORS SHALL ASSIGN THE PAY CHANGE FOR THE PRESIDENT (CHIEF EXECUTIVE OFFICER) OF ST. DOMINIC-JACKSON MEMORIAL HOSPITAL WITHIN THE LIMITS ESTABLISHED BY THE EXECUTIVE COMPENSATION COMMITTEE. KEY EXECUTIVES OF THE ORGANIZATION MAY ATTEND THE COMMITTEE MEETING OF THE EXECUTIVE COMPENSATION COMMITTEE TO PROVIDE THE INFORMATION NEEDED BY SUCH COMMITTEE. THESE EXECUTIVES ARE EXCUSED AND THE EXECUTIVE COMPENSATION COMMITTEE MEETS IN EXECUTIVE SESSION TO RENDER ITS RECOMMENDATIONS.
FORM 990, PART VI, SECTION C, LINE 19THESE DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:PENSION TRANSITION ADJUSTMENT PER FAS 158 74,076,234. OTHER INTERCOMPANY TRANSACTIONS 5,948,010.
FORM 990, PART XI, LINE 2CTHE FINANCE COMMITTEE MEETS, AS NEEDED, AND IS CHARGED WITH REVIEWING THE BUDGET, CURRENT PERFORMANCE, THE AUDIT, AND THE FORM 990. THE FINANCE COMMITTEE MAKES RECOMMENDATIONS THAT ARE THEN TAKEN TO THE FULL BOARD FOR FINAL APPROVAL.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ST DOMINIC MEDICAL ASSOCIATESBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1969 LAKELAND DRIVEAddressLine1
CityJACKSONCity
StateMSState
ZIP Code392164699ZIPCode
FieldValueIRS element (for citing)
EIN261969846EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateMSLegalDomicileStateCd
Total Income$43,214,137TotalIncomeAmt
End Of Year Assets$5,902,685EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ST DOMINIC -JACKSON MEMORIAL HOSPITALBusinessNameLine1

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ST DOMINIC HEALTH SERVICES FOUNDATION INC
969 LAKELAND DRIVEJACKSONMS392164699431992975OPERATION TO OVERSEE FUNDS FOR ST. DOMINIC HEALTH SERVICES & SUBSIDIARIESMS501(C)(3)509(A)(3)(1)ST DOMINIC HEALTH SERVICES INC0
ST DOMINIC HEALTH SERVICES INC
969 LAKELAND DRIVEJACKSONMS392164699640714999OPERATION AS A HOLDING COMPANY TO ACQUIRE OWNERSHIP OF RELATED ENTITYMS501(C)(3)509(A)(3)(1)0N/A
ST CATHERINE'S VILLAGE INC
969 LAKELAND DRIVEJACKSONMS392164699640714997OPERATION OF A CONTINUING CARE RETIREMENT COMMUNITYMS501(C)(3)170(B)(1)(A) (III)ST DOMINIC HEALTH SERVICES INC0
COMMUNITY HEALTH SERVICES - ST DOMINIC INC
969 LAKELAND DRIVEJACKSONMS392164699640884870OPERATION TO PROVIDE COMMUNITY HEALTH PROGRAMSMS501(C)(3)170(B)(1)(A) (III)ST DOMINIC HEALTH SERVICES INC0
CONGREGATION OF THE DOMINICAN SISTERS OF SPRINGFIELD ILLINOIS
1237 WEST MONROE STSPRINGFIELDIL62704RELIGIOUS CONGREGATION SPONSORING EDUCATION AND HEALTHCARE INSTITUTIONSIL501(C)(3)170(B)(1)(A) (I)0N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
ST DOMINIC AMBULATORY SURGERY CENTER LLC
971 LAKELAND DRIVE SUITE 200JACKSONMS392164699640908713HEALTHCAREMSST DOMINIC INTEGRATED SERVICES INCRELATED-$11,254000.53520
HIGHLAND MEDICAL ARTS LLC
PO BOX 55769JACKSONMS39296743073171MEDICAL BUILDING RENTALMSST DOMINIC MADISON HEALTH SERVICES INCN/A00
D1 SPORTS TRAINING OF MISSISSIPPI LLC
7115 SOUTH SPRINGS DRIVEFRANKLINTN37067275277568ATHLETIC TRAININGMSST DOMINIC MADISON HEALTH SERVICES INCN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACdShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
ST DOMINIC MADISON HEALTH SERVICES INC
969 LAKELAND DRIVEJACKSONMS392164699202870254HEALTHCAREMSST DOMINIC HEALTH SERVICESC0
FIRST INTERMED
308 CORPORATE DRIVERIDGELANDMS39157640824796HEALTHCAREMSST DOMINIC HEALTH SERVICESC0
PHYSICIANSPLUS BAPTIST & ST DOMINIC INC
969 LAKELAND DRIVEJACKSONMS392164699640889895HEALTHCAREMSC0N/A
ST DOMINIC INTEGRATED SERVICES INC
969 LAKELAND DRIVEJACKSONMS392164699271493623INVESTMENT IN MEDICALMSST DOMINIC JACKSON MEMORIAL HOSPITALCYes (1)$320,186$2,398,3131.00000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset ExchangeYes (1)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ST DOMINIC INTEGRATED SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeQTransactionTypeTxt
Involved$24,739InvolvedAmt
Method Of Amount DeterminationCASHMethodOfAmountDeterminationTxt

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