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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-17T09:11:04-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 201941244 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HORNE LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1020 HIGHLAND COLONY PKWY STE 400 | AddressLine1 |
| City | RIDGELAND | City |
| State | MS | State |
| ZIP Code | 39157 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 640303091 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST DOMINIC-JACKSON MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STDO | BusinessNameControlTxt |
| Phone | 6012002000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 969 LAKELAND DRIVE | AddressLine1 |
| City | JACKSON | City |
| State | MS | State |
| ZIP Code | 392164699 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LESTER DIAMOND | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 6012002000 | PhoneNum |
| Signature | 2014-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARSHA H DIECKMAN CPA | PreparerPersonNm |
| PTIN | P00246741 | PTIN |
| Phone | 6013261000 | PhoneNum |
| Preparation | 2014-11-05 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LESTER K DIAMOND | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 969 LAKELAND DRIVE | AddressLine1 |
| City | JACKSON | City |
| State | MS | State |
| ZIP Code | 392164699 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $404,191,084 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STDOM.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1946 | FormationYr |
| Legal Domicile State | MS | LegalDomicileStateCd |
| Activity Or Mission | ST. 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 Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 4000 | TotalEmployeeCnt |
| Total Volunteers | 449 | TotalVolunteersCnt |
| Total Gross UBI | $1,783,374 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$618,951 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $15,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $77,932 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $377,083,742 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $388,184,639 | CYProgramServiceRevenueAmt |
| PY Investment Income | $922,416 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,824,107 | CYInvestmentIncomeAmt |
| PY Other Revenue | $15,920,175 | PYOtherRevenueAmt |
| CY Other Revenue | $13,881,384 | CYOtherRevenueAmt |
| PY Total Revenue | $393,941,333 | PYTotalRevenueAmt |
| CY Total Revenue | $403,968,062 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,291,229 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,080,061 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $186,046,960 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $194,282,287 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $198,934,018 | PYOtherExpensesAmt |
| CY Other Expenses | $197,592,305 | CYOtherExpensesAmt |
| PY Total Expenses | $387,272,207 | PYTotalExpensesAmt |
| CY Total Expenses | $393,954,653 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,669,126 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $10,013,409 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $329,447,125 | TotalAssetsBOYAmt |
| Total Assets EOY | $348,502,285 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $123,917,763 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $47,830,507 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $205,529,362 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $300,671,778 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ST. 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $387,456,566 | ExpenseAmt |
| Grant | $2,080,061 | GrantAmt |
| Revenue | $386,401,265 | RevenueAmt |
| Desc | ST. 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ST. 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ST. 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DISPARITY 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $387,456,566 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 296 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 4000 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JENNIFER SINCLAIR | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6012006955 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 969 LAKELAND DR | AddressLine1 |
| City | JACKSON | City |
| State | MS | State |
| ZIP Code | 392164699 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| SR M CORDE LENN | ||||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |||||
| DAN GRAFTON | ||||||||||
| VICE CHAIRMAN | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||||
| SR MARY TRINITA EDDINGTON OP | ||||||||||
| SECRETARY/TREASURER | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | 40.50 | |||
| TOD ETHEREDGE | ||||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |||||
| JEFF FLETCHER MD | ||||||||||
| CHAIRMAN | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||||
| WALTER JOHNSON | ||||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |||||
| EDDIE MALONEY | ||||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | 0.50 | ||||
| SR M THECLA KUHNLINE OP | ||||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |||||
| SR M CELESTINE RONDELLI OP | ||||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |||||
| JAMES S JONES MD | ||||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |||||
| SR REBECCA ANN GEMMA OP | ||||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | 1.00 | ||||
| WILLIAM E TEW MD | ||||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |||||
| DONNA SIMS | ||||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |||||
| SR KRISTIN REVER OP | ||||||||||
| DIRECTOR | 0.50 | Yes (X) | $0 | $0 | $0 | |||||
| LESTER K DIAMOND | ||||||||||
| PRES.-SEE SCH J FOR ADD'L INFO | 40.00 | Yes (X) | $743,710 | $0 | $31,424 | Yes (X) | ||||
| JENNIFER SINCLAIR | ||||||||||
| EXEC. VP OPS- SEE J FOR ADD'L INFO | 40.00 | $372,711 | $0 | $20,928 | Yes (X) | |||||
| MATTHEW FISHER | ||||||||||
| VP FINANCE | 40.00 | $200,330 | $0 | $17,026 | Yes (X) | |||||
| ROBERT MOBLEY MD | ||||||||||
| EXEC VP- MEDICAL AFFAIRS - PART YEAR | 40.00 | $265,459 | $0 | $27,894 | Yes (X) | |||||
| KEITH VAN CAMP | ||||||||||
| VP- INFORMATION TECH- SEE SCH J FOR ADD'L INFO | 40.00 | $292,214 | $0 | $20,846 | Yes (X) | |||||
| STEPHEN BOMGARDNER | ||||||||||
| VP- NURSING | 40.00 | $242,933 | $0 | $28,557 | Yes (X) | |||||
| BECKY LOWE | ||||||||||
| VP- ANCILLARY SERVICES | 40.00 | $218,541 | $0 | $17,695 | Yes (X) | |||||
| RAYMOND SWARTZFAGER | ||||||||||
| VP- ANCILLARY SERVICES | 40.00 | $217,201 | $0 | $25,712 | Yes (X) | |||||
| LORRAINE WASHINGTON | ||||||||||
| VP- HUMAN RESOURCES | 24.00 | $0 | $234,105 | $27,346 | 16.00 | Yes (X) | ||||
| MICHAEL L SANDERS | ||||||||||
| EXEC VP- MEDICAL AFFAIRS - PART YEAR | 40.00 | $274,559 | $0 | $27,157 | Yes (X) | |||||
| HUEY B MCDANIEL MD | ||||||||||
| PHYSICIAN | 40.00 | $658,489 | $0 | $9,093 | Yes (X) | |||||
| KYLE GORDON MD | ||||||||||
| PHYSICIAN | 40.00 | $685,857 | $0 | $10,911 | Yes (X) | |||||
| JOHN LANCON MD | ||||||||||
| PHYSICIAN | 40.00 | $1,265,776 | $0 | $10,911 | Yes (X) | |||||
| RONALD KENNEDY MD | ||||||||||
| PHYSICIAN | 40.00 | $926,706 | $0 | $10,911 | Yes (X) | |||||
| PAUL SEAGO | ||||||||||
| PHYSICIAN | 40.00 | $1,064,917 | $0 | $8,823 | 0.50 | Yes (X) | ||||
| RALPH E SULSER MD | ||||||||||
| FORMER VICE CHAIRMAN | 0.00 | $194,633 | $0 | $8,968 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,624,036 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $234,105 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $304,202 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 145 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ALLIED EMERGENCY SERVICES PC | |||||
| PO BOX 2120 | RIDGELAND | MS | 39158 | ER PHYSICIANS | $7,891,233 |
| PHYSICIANS ANESTHESIA GROUP PA | |||||
| PO BOX 4608 | JACKSON | MS | 39296 | CONTRACT MEDICAL SERVICES | $2,763,794 |
| COGENT HEALTHCARE OF JACKSON MS | |||||
| 969 LAKELAND DRIVE | JACKSON | MS | 39216 | CONTRACT MEDICAL SERVICES | $2,646,489 |
| HARRELL CONTRACTING GROUP LLC | |||||
| PO BOX 12850 | JACKSON | MS | 39236 | CONSTRUCTION SERVICES | $2,540,366 |
| FOUNTAIN CONSTRUCTION CO INC | |||||
| PO BOX 10506 | JACKSON | MS | 39289 | CONSTRUCTION SERVICES | $2,353,843 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 38 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $75,000 | RelatedOrganizationsAmt |
| All Other Contributions | $2,932 | AllOtherContributionsAmt |
| Total Contributions | $77,932 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PROGRAM REVENUE | 621990 | $383,541,766 | $383,541,766 | |
| PHARMACEUTICAL SALES | 446110 | $3,807,723 | $2,726,330 | $1,081,393 |
| SPA SALES | 812900 | $835,150 | $133,169 | $701,981 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $388,184,639 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,879,663 | TotalRevenueColumnAmt |
| Exclusion | $1,879,663 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,755,686 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,755,686 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,755,686 | TotalRevenueColumnAmt |
| Exclusion | $4,755,686 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $167,466 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $223,022 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$55,556 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$55,556 | TotalRevenueColumnAmt |
| Exclusion | -$55,556 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MISCELLANEOUS INCOME | 900099 | $4,735,028 | $4,735,028 |
| CAFETERIA SALES | 722210 | $2,329,727 | $2,329,727 |
| DAY CARE CENTER | 624410 | $699,116 | $699,116 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,361,827 | TotalRevenueColumnAmt |
| Exclusion | $1,361,827 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $9,125,698 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $403,968,062 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $386,401,265 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,783,374 | UnrelatedBusinessRevenueAmt |
| Exclusion | $15,705,491 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,080,061 | TotalAmt |
| Program Services | $2,080,061 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,827,657 | TotalAmt |
| Management And General | $2,827,657 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $155,550,736 | TotalAmt |
| Program Services | $153,759,123 | ProgramServicesAmt |
| Management And General | $1,791,613 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,844,141 | TotalAmt |
| Program Services | $9,557,026 | ProgramServicesAmt |
| Management And General | $287,115 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,362,709 | TotalAmt |
| Program Services | $14,914,640 | ProgramServicesAmt |
| Management And General | $448,069 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,697,044 | TotalAmt |
| Program Services | $10,385,054 | ProgramServicesAmt |
| Management And General | $311,990 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $352,197 | TotalAmt |
| Program Services | $352,197 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $573,818 | TotalAmt |
| Management And General | $573,818 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $257,825 | TotalAmt |
| Management And General | $257,825 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,177,498 | TotalAmt |
| Program Services | $1,177,498 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,300,569 | TotalAmt |
| Program Services | $4,300,569 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $634,092 | TotalAmt |
| Program Services | $634,092 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,432 | TotalAmt |
| Program Services | $63,432 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,369,454 | TotalAmt |
| Program Services | $21,369,454 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,291,230 | TotalAmt |
| Program Services | $2,291,230 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,267,755 | TotalAmt |
| Program Services | $38,267,755 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $393,954,653 | TotalAmt |
| Program Services | $387,456,566 | ProgramServicesAmt |
| Management And General | $6,498,087 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,511,158 | BOYAmt |
| EOY | $67,872,602 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,487,544 | BOYAmt |
| EOY | $48,892,187 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,928,173 | BOYAmt |
| EOY | $7,535,504 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,341,392 | BOYAmt |
| EOY | $42,188,756 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $432,957,523 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $255,374,581 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $169,912,655 | BOYAmt |
| EOY | $177,582,942 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,266,203 | BOYAmt |
| EOY | $4,430,294 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $329,447,125 | BOYAmt |
| EOY | $348,502,285 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,375,055 | BOYAmt |
| EOY | $34,078,722 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,542,708 | BOYAmt |
| EOY | $13,751,785 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,917,763 | BOYAmt |
| EOY | $47,830,507 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $205,529,362 | BOYAmt |
| EOY | $300,671,778 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $205,529,362 | BOYAmt |
| EOY | $300,671,778 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $329,447,125 | BOYAmt |
| EOY | $348,502,285 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $10,013,409 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $5,104,763 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $80,024,244 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $16,036 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $16,036 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | ST. 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,468,228 | OtherCostOrOtherBasisAmt |
| Book Value | $18,468,228 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $209,021,810 | OtherCostOrOtherBasisAmt |
| Depreciation | $129,262,992 | DepreciationAmt |
| Book Value | $79,758,818 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $203,925,905 | OtherCostOrOtherBasisAmt |
| Depreciation | $126,111,589 | DepreciationAmt |
| Book Value | $77,814,316 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,541,580 | OtherCostOrOtherBasisAmt |
| Book Value | $1,541,580 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $177,582,942 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| LIABILITY FOR PENSION BENEFITS | $12,466,474 |
| NOTES PAYABLE | $1,285,311 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $13,751,785 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | PER 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | 0 | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,725,048 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,966,092 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,758,956 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04350 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,993,767 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $53,664,930 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$671,163 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $964,998 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $526,619 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $438,379 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $72,683,813 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $56,157,641 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,526,172 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04460 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,160,971 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,160,971 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $109,132 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $109,132 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,503,076 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,482,733 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,020,343 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01040 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,090,106 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,090,106 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00540 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,863,285 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,482,733 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,380,552 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01910 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $86,547,098 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $62,640,374 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,906,724 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06370 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $9,052,257 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $2,715,677 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $126,083,436 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $136,369,071 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$10,285,635 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 ST DOMINIC AMBULATORY SURGERY CENTER LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | OUTPATIENT SURGERY CENTER | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.53520 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.00000 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.46480 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST DOMINIC - JACKSON MEMORIAL HOSPITAL | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 969 LAKELAND DRIVE | AddressLine1 |
| City | JACKSON | City |
| State | MS | State |
| ZIP Code | 392164699 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | AMBULATORY SURGERY CENTER AND PHYSICIAN CLINICS | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STDOMINIC- JACKSON MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.STDOM.COM/GEDOWNLOAD!/CHNAWEB. | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (1) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 350.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Report To Credit Agency | Yes (X) | PermitReportToCreditAgencyInd |
| Collection Activities | Yes (1) | CollectionActivitiesInd |
| Reporting To Credit Agency | Yes (X) | ReportingToCreditAgencyInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ST.DOMINIC- JACKSON MEMORIAL HOSPITAL | PART 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 HOSPITAL | PART V, SECTION B, LINE 14G: THE HOSPITAL'S WEBSITE ALSO INFORMS PATIENTS OF THE POLICY. |
| ST.DOMINIC- JACKSON MEMORIAL HOSPITAL | PART 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 23 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt | Address Line2USAddress/AddressLine2 |
|---|---|---|---|---|---|
| ST DOMINIC AMBULATORY SURGERY CENTER | |||||
| 969 LAKELAND DRIVE | JACKSON | MS | 392164699 | OUTPATIENT SURGERY CENTER | |
| EAR NOSE & THROAT SURGICAL GROUP AT ST | |||||
| 970 LAKELAND DRIVE SUITE 40 | JACKSON | MS | 39216 | PHYSICIAN CLINIC | |
| ST DOMINIC INTERNAL MEDICINE GROUP | |||||
| 971 LAKELAND DRIVE SUITE 250 | JACKSON | MS | 39216 | PHYSICIAN CLINIC | |
| ST DOMINIC NEUROSURGERY ASSOCIATES | |||||
| 971 LAKELAND DRIVE SUITE 657 | JACKSON | MS | 39216 | PHYSICIAN CLINIC | |
| ST DOMINIC'S CARDIOVASCULAR SURGERY | |||||
| 971 LAKELAND DRIVE SUITE 657 | JACKSON | MS | 39219 | PHYSICIAN CLINIC | |
| ST DOMINIC'S GYNECOLOGIC ONCOLOGY | |||||
| 971 LAKELAND DRIVE SUITE 750 | JACKSON | MS | 39216 | PHYSICIAN CLINIC | |
| ST DOMINIC'S HOSPITAL MEDICINE | |||||
| 971 LAKELAND DRIVE SUITE 1453 | JACKSON | MS | 39216 | HOSPITALIST CLINIC | |
| ST DOMINIC'S INFECTIOUS DISEASE | |||||
| 971 LAKELAND DRIVE SUITE 954 | JACKSON | MS | 39216 | PHYSICIAN CLINIC | |
| ST DOMINIC'S FAMILY MEDICINE OF MADISON | |||||
| HIGHLAND MEDICAL ARTS BUILDING 106 | MADISON | MS | 39110 | PHYSICIAN CLINIC | HIGH |
| ST DOMINIC'S FAMILY MEDICINE OF FLOWOOD | |||||
| 1050 RIVER OAKS DRIVE | FLOWOOD | MS | 39232 | PHYSICIAN CLINIC | |
| ST DOMINIC'S PSYCHIATRIC ASSOCIATES | |||||
| 969 LAKELAND DRIVE | JACKSON | MS | 39216 | PHYSICIAN CLINIC | |
| ST DOMINIC'S FAMILY MEDICINE OF CLINTON | |||||
| 728 CLINTON PARKWAY SUITE B | CLINTON | MS | 39056 | PHYSICIAN CLINIC | |
| ST DOMINIC'S MARTIN SURGICAL ASSOCIATES | |||||
| 971 LAKELAND DRIVE SUITE 211 | JACKSON | MS | 39216 | PHYSICIAN CLINIC | |
| ST DOMINIC'S CHRONIC CARE CLINIC | |||||
| 890 LAKELAND DRIVE | JACKSON | MS | 39216 | PHYSICIAN CLINIC | |
| ST DOMINIC'S PAIN MANAGEMENT CENTER | |||||
| 971 LAKELAND DRIVE SUITE 1159 | JACKSON | MS | 39216 | PHYSICIAN CLINIC | |
| ST DOMINIC'S CLINIC AT WALMART - PEARL | |||||
| WALMART SUPERCENTER 5520 HWY 80 | PEARL | MS | 39208 | PHYSICIAN CLINIC | EAST |
| ST DOMINIC'S CLINIC AT WALMART - MADISO | |||||
| WALMART SUPERCENTER 127 GRANDVIEW | MADISON | MS | 39110 | PHYSICIAN CLINIC | BLVD |
| ST DOMINIC'S CLINIC AT WALMART - CLINTO | |||||
| WALMART SUPERCENTER 950 HWY 80 EAST | CLINTON | MS | 39056 | PHYSICIAN CLINIC | |
| ST DOMINIC'S EMPLOYEE CLINIC | |||||
| 969 LAKELAND DRIVE | JACKSON | MS | 39216 | PHYSICIAN CLINIC | |
| ST DOMINIC'S NEUROSCIENCE CENTER | |||||
| 971 LAKELAND DRIVE SUITE 557 | JACKSON | MS | 39216 | PHYSICIAN CLINIC | |
| ST DOMINIC'S OUTREACH PROGRAM - BROOKHA | |||||
| 427 HWY 51 N | BROOKHAVEN | MS | 39601 | PHYSICIAN CLINIC | |
| ST DOMINIC'S OUTREACH PROGRAM - MORTON | |||||
| 321 HWY 13 SOUTH | MORTON | MS | 39117 | PHYSICIAN CLINIC | |
| ST DOMINIC'S OUTREACH PROGRAM - CLEVELA | |||||
| 810 E SUNFLOWER ROAD | CLEVELAND | MS | 38732 | PHYSICIAN CLINIC | |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 7 | ST. 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (16 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| 100 BLACK MEN OF JACKSON | |||||||
| 5360 HIGHLAND DRIVE | JACKSON | MS | 39286 | 640817928 | 501(C)(3) | $20,000 | CHARITABLE SUPPORT |
| BEGINNING AGAIN IN CHRIST | |||||||
| PO BOX 26 | BRANDON | MS | 390430026 | 640592123 | 501(C)(3) | $15,000 | CHARITABLE SUPPORT |
| BOY SCOUTS OF AMERICA | |||||||
| 855 RIVERSIDE DR | JACKSON | MS | 39202 | 640303071 | 501(C)(3) | $32,000 | CHARITABLE SUPPORT |
| CATHOLIC CHARITIES | |||||||
| 200 N CONGRESS ST | JACKSON | MS | 39201 | 640468850 | 501(C)(3) | $127,500 | CHARITABLE SUPPORT |
| CENTER FOR PREVENTION OF VIOLENCE | |||||||
| PO BOX 6279 | PEARL | MS | 39288 | 581959108 | 501(C)(3) | $37,500 | CHARITABLE SUPPORT |
| COMMUNITY HEALTH SERVICES-ST DOMINIC INC | |||||||
| 969 LAKELAND DR | JACKSON | MS | 392164699 | 640714997 | 501(C)(3) | $150,000 | AFFILIATE SUPPORT |
| HOSPICE MINISTRIES | |||||||
| 450 TOWNE CENTER BOULEVARD | RIDGELAND | MS | 39157 | 640789919 | 501(C)(3) | $37,500 | CHARITABLE SUPPORT |
| NEIGHBORHOOD CHRISTIAN CENTER | |||||||
| 417 W ASH ST | JACKSON | MS | 39203 | 640800919 | 501(C)(3) | $18,000 | CHARITABLE SUPPORT |
| OPERATION SHOESTRING | |||||||
| 1711 BAILEY AVENUE | JACKSON | MS | 39283 | 640471554 | 501(C)(3) | $25,000 | CHARITABLE SUPPORT |
| REAL CHRISTIAN FOUNDATION | |||||||
| PO BOX 180059 | RICHLAND | MS | 39218 | 640885750 | 501(C)(3) | $40,000 | CHARITABLE SUPPORT |
| SOUTHERN CHRISTIAN SERVICES | |||||||
| 860 EAST RIVER PLACE SUITE 104 | JACKSON | MS | 39202 | 640758344 | 501(C)(3) | $25,000 | CHARITABLE SUPPORT |
| THE WINGARD HOME | |||||||
| 1279 N WEST STREET | JACKSON | MS | 39202 | 203861994 | 501(C)(3) | $5,000 | CHARITABLE SUPPORT |
| TUTWILER COMMUNITY EDUCATION CENTER INC | |||||||
| PO BOX 448 | TUTWILER | MS | 38963 | 581887449 | 501(C)(3) | $10,000 | CHARITABLE SUPPORT |
| CHRISTIAN MEDICAL AND DENTAL | |||||||
| PO BOX 4569 | JACKSON | MS | 39296 | 362284267 | 501(C)(3) | $5,000 | CHARITABLE SUPPORT |
| MISSION MISSISSIPPI | |||||||
| PO BOX 22655 | JACKSON | MS | 39225 | 640824240 | 501(C)(3) | $30,000 | CHARITABLE SUPPORT |
| ST DOMINIC HEALTH SERVICES INC | |||||||
| 969 LAKELAND DR | JACKSON | MS | 39216 | 640714999 | 501(C)(3) | $1,500,000 | DESIGNATED COMMUNITY BENEFIT SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 16 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | THE 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 - 13,976 | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| MELANIE GRAFTON | |||
| DAUGHTER OF DIRECTOR, DAN GRAFTON | $70,488 | MELANIE GRAFTON IS AN EMPLOYEE OF ST. DOMINIC-JACKSON MEMORIAL HOSPITAL. | 0 |
| JACKSON PULMONARY | |||
| DR. JIMMY JONES, DIRECTOR, IS A GREATER THAN 5% OWNER | $674,196 | HOSPITAL CONTRACTS WITH JACKSON PULMONARY FOR INTENSIVIST SERVICES | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | ST. DOMINIC HEALTH SERVICES, INC. IS THE SOLE MEMBER OF ST. DOMINIC- JACKSON MEMORIAL HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE 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 7B | THE 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 11 | THE 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 12C | BOARD MEMBERS ARE REQUIRED TO FILL OUT AND SIGN A CONFLICT FORM ANNUALLY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE 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 19 | THESE 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 2C | THE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST DOMINIC MEDICAL ASSOCIATES | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 969 LAKELAND DRIVE | AddressLine1 |
| City | JACKSON | City |
| State | MS | State |
| ZIP Code | 392164699 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261969846 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivitiesTxt |
| Legal Domicile State | MS | LegalDomicileStateCd |
| Total Income | $43,214,137 | TotalIncomeAmt |
| End Of Year Assets | $5,902,685 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST DOMINIC -JACKSON MEMORIAL HOSPITAL | BusinessNameLine1 |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ST DOMINIC HEALTH SERVICES FOUNDATION INC | |||||||||||
| 969 LAKELAND DRIVE | JACKSON | MS | 392164699 | 431992975 | OPERATION TO OVERSEE FUNDS FOR ST. DOMINIC HEALTH SERVICES & SUBSIDIARIES | MS | 501(C)(3) | 509(A)(3)(1) | ST DOMINIC HEALTH SERVICES INC | 0 | |
| ST DOMINIC HEALTH SERVICES INC | |||||||||||
| 969 LAKELAND DRIVE | JACKSON | MS | 392164699 | 640714999 | OPERATION AS A HOLDING COMPANY TO ACQUIRE OWNERSHIP OF RELATED ENTITY | MS | 501(C)(3) | 509(A)(3)(1) | 0 | N/A | |
| ST CATHERINE'S VILLAGE INC | |||||||||||
| 969 LAKELAND DRIVE | JACKSON | MS | 392164699 | 640714997 | OPERATION OF A CONTINUING CARE RETIREMENT COMMUNITY | MS | 501(C)(3) | 170(B)(1)(A) (III) | ST DOMINIC HEALTH SERVICES INC | 0 | |
| COMMUNITY HEALTH SERVICES - ST DOMINIC INC | |||||||||||
| 969 LAKELAND DRIVE | JACKSON | MS | 392164699 | 640884870 | OPERATION TO PROVIDE COMMUNITY HEALTH PROGRAMS | MS | 501(C)(3) | 170(B)(1)(A) (III) | ST DOMINIC HEALTH SERVICES INC | 0 | |
| CONGREGATION OF THE DOMINICAN SISTERS OF SPRINGFIELD ILLINOIS | |||||||||||
| 1237 WEST MONROE ST | SPRINGFIELD | IL | 62704 | RELIGIOUS CONGREGATION SPONSORING EDUCATION AND HEALTHCARE INSTITUTIONS | IL | 501(C)(3) | 170(B)(1)(A) (I) | 0 | N/A | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ST DOMINIC AMBULATORY SURGERY CENTER LLC | ||||||||||||
| 971 LAKELAND DRIVE SUITE 200 | JACKSON | MS | 392164699 | 640908713 | HEALTHCARE | MS | ST DOMINIC INTEGRATED SERVICES INC | RELATED | -$11,254 | 0 | 0 | 0.53520 |
| HIGHLAND MEDICAL ARTS LLC | ||||||||||||
| PO BOX 55769 | JACKSON | MS | 39296 | 743073171 | MEDICAL BUILDING RENTAL | MS | ST DOMINIC MADISON HEALTH SERVICES INC | N/A | 0 | 0 | ||
| D1 SPORTS TRAINING OF MISSISSIPPI LLC | ||||||||||||
| 7115 SOUTH SPRINGS DRIVE | FRANKLIN | TN | 37067 | 275277568 | ATHLETIC TRAINING | MS | ST DOMINIC MADISON HEALTH SERVICES INC | N/A | 0 | 0 | ||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ST DOMINIC MADISON HEALTH SERVICES INC | |||||||||||||
| 969 LAKELAND DRIVE | JACKSON | MS | 392164699 | 202870254 | HEALTHCARE | MS | ST DOMINIC HEALTH SERVICES | C | 0 | ||||
| FIRST INTERMED | |||||||||||||
| 308 CORPORATE DRIVE | RIDGELAND | MS | 39157 | 640824796 | HEALTHCARE | MS | ST DOMINIC HEALTH SERVICES | C | 0 | ||||
| PHYSICIANSPLUS BAPTIST & ST DOMINIC INC | |||||||||||||
| 969 LAKELAND DRIVE | JACKSON | MS | 392164699 | 640889895 | HEALTHCARE | MS | C | 0 | N/A | ||||
| ST DOMINIC INTEGRATED SERVICES INC | |||||||||||||
| 969 LAKELAND DRIVE | JACKSON | MS | 392164699 | 271493623 | INVESTMENT IN MEDICAL | MS | ST DOMINIC JACKSON MEMORIAL HOSPITAL | C | Yes (1) | $320,186 | $2,398,313 | 1.00000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST DOMINIC INTEGRATED SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | Q | TransactionTypeTxt |
| Involved | $24,739 | InvolvedAmt |
| Method Of Amount Determination | CASH | MethodOfAmountDeterminationTxt |
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