ST DOMINIC-JACKSON MEMORIAL HOSPITAL: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ST DOMINIC-JACKSON MEMORIAL HOSPITAL (EIN 64-0303091)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201303199349303715
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- 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) |
|---|---|---|
| Timestamp | 2013-11-15T10:25:46-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201941244 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HORNE LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1020 HIGHLAND COLONY PKWY STE 400 | AddressLine1 |
| City | RIDGELAND | City |
| State | MS | State |
| ZIP Code | 39157 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 640303091 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST DOMINIC-JACKSON MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STDO | NameControl |
| Phone | 6012002000 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LESTER DIAMOND | Name |
| Title | PRESIDENT | Title |
| Phone | 6012002000 | Phone |
| Date Signed | 2013-11-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARSHA H DIECKMAN CPA | Name |
| PTIN | P00246741 | PTIN |
| Phone | 6013261000 | Phone |
| Date Prepared | 2013-11-14 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | LESTER DIAMOND | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 398029796 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.STDOM.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1946 | YearFormation |
| State Legal Domicile | MS | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3691 | TotalNbrEmployees |
| Total Nbr Volunteers | 385 | TotalNbrVolunteers |
| Total Gross UBI | 1990958 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -645581 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 45524 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 15000 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 369811065 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 377083742 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 879254 | InvestmentIncomePriorYear |
| Investment Income Current Year | 922416 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 9230888 | OtherRevenuePriorYear |
| Other Revenue Current Year | 15920175 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 379966731 | TotalRevenuePriorYear |
| Total Revenue Current Year | 393941333 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 2155550 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 2291229 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 170094001 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 186046960 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 197899145 | OtherExpensePriorYear |
| Other Expenses Current Year | 198934018 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 370148696 | TotalExpensesPriorYear |
| Total Expenses Current Year | 387272207 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 9818035 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6669126 | RevenuesLessExpensesCY |
| Total Assets BOY | 322550925 | TotalAssetsBOY |
| Total Assets EOY | 329447125 | TotalAssetsEOY |
| Total Liabilities BOY | 137325027 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 123917763 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 185225898 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 205529362 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 380132037 | Expense |
| Grants | 2291229 | Grants |
| Revenue | 375092784 | Revenue |
| Description | HOSPITAL SERVICES - ST. DOMINIC'S IS MORE THAN JUST A HOSPITAL. IT IS A FAMILY OF SERVICES FOCUSED ON FULFILLING A MISSION OF CHRISTIAN HEALING TO THOSE IN NEED. ST. DOMINIC HEALTH SERVICES, INC. IS THE PARENT COMPANY FOR A LARGE GROUP OF SUBSIDIARY ORGANIZATIONS AND PROGRAMS DEDICATED TO THE SAME MISSION. THESE INCLUDE ST. DOMINIC HOSPITAL, THE COMMUNITY HEALTH CLINIC, ST. DOMINIC MEDICAL ASSOCIATES (PHYSICIAN NETWORK), NEW DIRECTIONS FOR OVER 55, MEA CLINICS, THE CLUB AT ST. DOMINIC'S, THE SCHOOL NURSE PROGRAM, ST. DOMINIC'S FOUNDATION, ST. CATHERINE'S VILLAGE AND CARE-A-VAN.ST. DOMINIC'S HAS SERVED THE AREA FOR NEARLY SEVEN DECADES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | FUNDAMENTAL TO OUR MISSION IS ESTABLISHING COMMUNITY AND PERFORMING SERVICE. THUS, ST. DOMINIC'S IS PROUD OF ITS ROLE AS A LEADING HEALTH CARE PROVIDER IN POSITIVELY IMPACTING THE LOCAL ECONOMY, IMPROVING THE PRESTIGE AND ATTRACTING HUMAN CAPITAL TO THE GREATER JACKSON AREA AND PROVIDING TECHNOLOGICAL ADVANCES AND QUALITY HEALTHCARE SERVICES TO PATIENTS.ST. DOMINIC'S IMPACT ON THE LOCAL ECONOMY AND ROLE IN ATTRACTING HUMAN CAPITAL IN THE AREA: THE DOMINICAN SISTERS CAME TO JACKSON IN 1946 IN RESPONSE TO A COMMUNITY NEED FOR IMPROVED ACCESS TO QUALITY HEALTH CARE. TODAY, ST. DOMINIC'S (WWW.STDOM.COM) AND ITS AFFILIATES EMPLOY OVER 3,400 NURSES, | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PHYSICIANS, SKILLED CAREGIVERS AND STAFF. ST. DOMINIC HOSPITAL PROVIDED OVER $1 BILLION (CHARGES) IN HOSPITAL SERVICES IN 2012 TO PATIENTS THROUGHOUT THE CENTRAL REGION OF MISSISSIPPI. ST. DOMINIC'S AND ITS AFFILIATES EMPLOYED OVER 3,400 PEOPLE MAKING IT ONE OF THE AREA'S LARGEST EMPLOYERS. THESE CLEAN (GREEN) JOBS INFUSED THE ECONOMY WITH OVER $146 MILLION IN SALARIES AND WAGES IN 2012. THE MISSISSIPPI BUSINESS JOURNAL HAS RECOGNIZED ST. DOMINIC HOSPITAL AS ONE OF THE TOP FIVE "BEST PLACES TO WORK IN MISSISSIPPI" AND ST. DOMINIC HEALTH SERVICES HAS BEEN RECOGNIZED AS THE TOP EMPLOYER IN THE AREA.OUR MEDICAL STAFF, OF NEARLY 500 LEADING PHYSICIANS AND SPECIALISTS, MAKES ST. DOMINIC'S ONE OF THE MOST COMPREHENSIVE HOSPITALS IN MISSISSIPPI.ST. DOMINIC'S HAS ASSISTED IN RELOCATING MANY PHYSICIANS INTO THE GREATER JACKSON AREA THROUGH: THE RECRUITMENT OF PHYSICIAN SPECIALISTS TO ADDRESS A COMMUNITY NEED (I.E., DEFICIT); AND EMPLOYMENT FROM OUTSIDE THE MARKET INTO OUR OWNED PHYSICIAN NETWORK. ACCORDING TO A STUDY FROM THE MISSISSIPPI STATE MEDICAL ASSOCIATION, "IN SMALL TOWNS AND LARGE, MISSISSIPPI DOCTORS PUMP BILLIONS OF DOLLARS INTO THE LOCAL AND STATE ECONOMY. EACH DOCTOR GENERATES SOME $695,000 A YEAR IN WAGES AND CREATES AN AVERAGE OF SIX JOBS." FOR ST. DOMINIC'S, THAT TRANSLATES TO HUNDREDS OF JOBS AND MILLIONS IN SALARIES EACH YEAR IN THE COMMUNITY FROM OUR RECRUITMENT EFFORTS.ST. DOMINIC'S PROVIDES A WIDE RANGE OF LEARNING EXPERIENCES FOR EMPLOYEES TO ENHANCE THEIR SKILLS. CLASSES RANGE FROM LIFE SAVING SKILLS SUCH AS CPR, ACLS AND NRP TO BUSINESS AND MANAGEMENT DEVELOPMENT OPPORTUNITIES SUCH AS LEGAL ISSUES OF SUPERVISION AND CATHOLIC SOCIAL TEACHING. EMPLOYEES MAY PURSUE LEARNING THROUGH SEVERAL DIFFERENT AVENUES: ONLINE, INSTRUCTOR-LED, AND SELF-PACED.ST. DOMINIC HOSPITAL IS A LICENSED 535-BED TERTIARY CARE REFERRAL HOSPITAL LOCATED IN JACKSON, MS SERVING ALL OF CENTRAL MISSISSIPPI AND EMPLOYS MORE THAN 3,000 NURSES, PHYSICIANS, AND SKILLED CAREGIVERS. THE MEDICAL STAFF, OF NEARLY 500 LEADING PHYSICIANS AND SPECIALISTS, MAKES ST. DOMINIC'S ONE OF THE MOST COMPREHENSIVE HOSPITALS IN MISSISSIPPI. THROUGH SEVEN DECADES OF GROWTH, ST. DOMINIC'S HAS REMAINED TRUE TO ITS VISION. WE ARE ST. DOMINIC'S - A CHRISTIAN HEALING COMMUNITY CALLED TO PROVIDE QUALITY, COMPASSIONATE CARE AND AN EXCEPTIONAL ENCOUNTER EVERYTIME. ST. DOMINIC HOSPITAL'S SERVICE AREA IS DEFINED BASED ON INPATIENT DISCHARGES FOR SHORT TERM ACUTE PATIENTS. IN THE 2012 FISCAL YEAR, 12 COUNTIES CONSTITUTE OVER 85 PERCENT OF THE HOSPITAL'S ACUTE DISCHARGES. HINDS, RANKIN AND MADISON COUNTIES REPRESENT THE HOSPITAL'S PRIMARY SERVICE AREA WITH TWO-THIRDS OF THE TOTAL DISCHARGES. THE REMAINING NINE COUNTIES CONSTITUTE AN ADDITIONAL TWENTY PERCENT OF THE HOSPITAL ACUTE DISCHARGES. THE HOSPITAL'S MISSION IS EXPRESSED AS A CHRISTIAN MINISTRY OF HEALING. ST. DOMINIC HOSPITAL 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. ST. DOMINIC HOSPITAL IS COMMITTED TO SERVING AS A LEADING ADULT TERTIARY REFERRAL CENTER FOR THE CENTRAL REGION OF MISSISSIPPI -FOCUSING ON PRIORITIES BUT RETAINING BALANCE EXPECTED OF A TERTIARY PROVIDER. ST. DOMINIC'S IS THE LEADING CARDIOVASCULAR PROVIDER IN THE STATE OF MISSISSIPPI. FOR 39 YEARS, ST. DOMINIC'S MISSISSIPPI HEART INSTITUTE THROUGH ITS EXCEPTIONAL TEAM OF SKILLED PHYSICIANS AND STAFF HAVE SERVED THE COMMUNITY AND HAVE WORKED HARD TO MAKE IT A HEALTH AND WELLNESS CENTER OF EXCELLENCE FOR INTERVENTIONAL CARDIOVASCULAR MEDICINE. THROUGH ST. DOMINIC'S HEALTHY HEART ADVANTAGE (HHA) PROGRAM AND OTHER HEALTH SCREENING OPPORTUNITIES AT VARIOUS VENUES, COMMUNITY PUBLIC AWARENESS AND PROGRAM EDUCATION IS ACCOMPLISHED. ST. DOMINIC'S CHRONIC CARE CLINIC BEGAN OPERATIONS IN AUGUST 2010. THE MISSION OF THIS CLINIC IS TO HELP PEOPLE MANAGING CONGESTIVE HEART FAILURE (HF) AND OTHER CHRONIC ILLNESSES BY ASSISTING IN IMPROVING THE PATIENT'S QUALITY OF LIFE. A FAMILY NURSE PRACTITIONER, ALONG WITH TWO REGISTERED NURSES, A PHLEBOTOMIST, TWO ADMINISTRATIVE ASSISTANTS AND AN OFFICE MANAGER TAKE PATIENTS MONDAY THROUGH FRIDAY. TIME IS SPENT EDUCATING THESE PATIENTS ON PROPER NUTRITION, EXERCISE REGIMENS AND DISEASE MANAGEMENT. THE CLINIC IS ALSO DEDICATED TO THE INPATIENT HEART FAILURE PATIENTS BY PROVIDING A FULL-TIME REGISTERED NURSE TO EDUCATE ALL ACUTE HF PATIENTS AND PROVIDE SUGGESTIONS ON FOLLOW UP WITH SERVICES ONCE DISCHARGED. SINCE THE OPENING OF THIS CLINIC THE RATE OF READMISSION TO THE HOSPITAL FOR HEART FAILURE HAS DROPPED FROM APPROXIMATELY 23 PERCENT TO AN ESTIMATED 14.7 PERCENT, INCREASING PATIENT ABILITY AND KNOWLEDGE IN MANAGING SERIOUS ILLNESS. ACCORDING TO THE MISSISSIPPI STATE DEPARTMENT OF HEALTH, IN MISSISSIPPI APPROXIMATELY 41 PERCENT OF PEOPLE DIE FROM CARDIOVASCULAR DISEASE EVERY YEAR. THIS CLINIC IS A DIRECT REFLECTION OF THOSE NUMBERS, AND THE STAFF HOPES TO HELP THESE PATIENTS LEAD HEALTHIER AND MORE ACTIVE LIFESTYLES.THE CHRONIC CARE CLINIC FURTHERED ITS DEDICATION TO CHANGING LIVES BY OFFERING A MONTHLY "COMMUNITY HEART EDUCATION PROGRAM." THIS PROGRAM PROVIDES COLLABORATIVE LEADERSHIP FROM A COMMITTEE TO PLAN AND CONDUCT EDUCATIONAL ACTIVITIES WITH AN EMPHASIS ON PREVENTION, LIFESTYLE CHANGES, AND INCREASE KNOWLEDGE OF HEART DISEASE. BY PROVIDING RESOURCES AND INFORMATION ON CARDIOVASCULAR DISEASE, DIETARY MODIFICATION AND RESOURCES FOR PATIENTS AND THEIR FAMILIES THIS GROUP OF PEERS HOPES TO MAKE A DIFFERENCE IN THE HEALTH OF THE COMMUNITY.ST. DOMINIC HOSPITAL OFFERS HEALTH SCREENINGS AND HEALTH FAIRS ACROSS THE CENTRAL REGION OF MISSISSIPPI THROUGHOUT THE YEAR IN ORDER TO IMPROVE THE GENERAL HEALTH OF THE COMMUNITY. ST. DOMINIC HOSPITAL AS A LEADING TERTIARY REFERRAL CENTER ACHIEVED SEVERAL AWARDS AND FIRSTS: FOR SEVERAL YEARS IN A ROW, ST. DOMINIC'S HAS BEEN RANKED THE NO. 1 HOSPITAL IN THE JACKSON METRO AREA IN THE U.S. NEWS MEDIA & WORLD REPORT'S BEST HOSPITALS RANKINGS. ST. DOMINIC'S SHARES THE NO. 1 RANKING WITH UNIVERSITY OF MISSISSIPPI MEDICAL CENTER. ST. DOMINIC'S ALSO RANKED AS "HIGH-PERFORMING" IN THE SPECIALTIES OF NEUROLOGY/NEUROSURGERY AND UROLOGY. U.S. NEWS ALSO RECOGNIZED ST. DOMINIC'S AS ONE OF THE "MOST CONNECTED" HOSPITALS IN THE COUNTRY.ST. DOMINIC'S WAS THE FIRST PROVIDER IN MISSISSIPPI WITH AN ACCREDITED CHEST PAIN CENTER WITH PCI AND PRIMARY ACUTE STROKE CENTER. ST. DOMINIC'S HAS ALSO EARNED THE GOLD SEAL OF APPROVAL FROM THE JOINT COMMISSION FOR PRIMARY STROKE CENTERS. "ST. DOMINIC HOSPITAL IS PROUD TO RECEIVE THIS DISTINCTION, "SAID RUTH FREDERICKS, MD, NEUROLOGIST AT ST. DOMINIC HOSPITAL. "THE PRIMARY ACUTE STROKE CENTER CERTIFICATION RECOGNIZES ST. DOMINIC'S COMMITMENT TO PROVIDING EXCEPTIONAL CARE TO THE CITIZENS OF MISSISSIPPI."ST. DOMINIC'S WAS THE FIRST IN THE STATE TO DEVELOP A LEVEL 1 HEART ATTACK PROGRAM SETTING PROTOCOLS THAT TRIGGERS 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 FOR PATIENTS IN CENTRAL MISSISSIPPI.ST. DOMINIC'S CANCER PROGRAM HAS ALSO BEEN APPROVED AS A COMMUNITY HOSPITAL COMPREHENSIVE CENTER PROGRAM BY THE AMERICAN COLLEGE OF SURGEONS. ACCORDING TO AMY SHARPE, RN, MBA, OCN, CANCER SERVICES COORDINATOR, "RECEIVING THE OUTSTANDING ACHIEVEMENT AWARD REQUIRED A COHESIVE EFFORT OF ALL THE DIFFERENT MEMBERS OF THE CANCER TEAM WHO ARE RESPONSIBLE FOR THE ELEMENTS THAT MAKE UP THE PROGRAM, INCLUDING: DIAGNOSTIC, TREATMENT, OTHER CLINICAL AREAS, REHABILITATION, SUPPORT, AND PREVENTION."LATEST TECHNOLOGICAL AND SERVICE ADVANCES AT ST. DOMINIC'S CANCER CENTER: THE FIRST HOSPITAL IN MISSISSIPPI TO ACQUIRE AND OFFER (FIRST PATIENT IN 2010) THE NOVALIS TX FOR ACCURATE IMAGE GUIDED NON-SURGICAL TREATMENTS FOR CANCER AND OTHER CONDITIONS IN THE BRAIN, HEAD, NECK, AND BODY. ST. DOMINIC HOSPITAL BEGAN HELPING WITH THE TESTING AND TREATMENT OF BREAST CANCER AND BREAST DISEASES WHEN THEY IMPLEMENTED SENTINELLE VANGUARD BREAST MRI TABLE IN | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | THEIR RADIOLOGY DEPARTMENT. THE FIRST IN THE JACKSON AREA TO OFFER THIS NEW IMAGING CAPABILITY, WHICH NOT ONLY ALLOWS FOR SUPERIOR IMAGE QUALITY FOR BREAST IMAGING AND BIOPSIES, BUT CREATES THE OPPORTUNITY FOR IMMEDIATE MEDICAL INTERVENTION IF NEEDED.ST. DOMINIC'S IS A LEADER IN SURGICAL SERVICES AND ADVANCEMENTS: ST. DOMINIC'S IS THE MINIMALLY INVASIVE ROBOTIC SURGERY CENTER OF EXCELLENCE.ST. DOMINIC'S PREFORMED THE FIRST SURGICAL CASE IN THE STATE USING THE MOST ADVANCED ROBOTICS TECHNOLOGY - THE DAVINCI 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.ST. DOMINIC'S ROBOTIC SURGERY SERVICES HELPS PATIENTS RECOVER MORE COMFORTABLY IF THEY NEEDED PROSTATECTOMY - WHICH HAVE DRAMATICALLY IMPROVED THE TREATMENT OF PROSTATE CANCER, PARTIAL NEPHRECTOMIES, WHICH ALLOW ST. DOMINIC'S PHYSICIANS TO REMOVE A PORTION OF THE KIDNEY AS OPPOSED TO COMPLETE REMOVAL - WHICH WAS THE PRACTICE IN THE PAST. ST. DOMINIC'S WAS THE FIRST IN THE STATE TO OFFER SINGLE INCISION ROBOTIC HYSTERECTOMY. THIS ALLOWS FOR ONE INCISION SITE, WHICH IS VERY MEANINGFUL TO WOMEN, WITH ONLY A TINY SCAR TO CARRY AFTER RESUMING NORMAL FUNCTION MUCH MORE QUICKLY. ST. DOMINIC'S IS CURRENTLY THE ONLY HOSPITAL IN JACKSON OFFERING 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 FOR WOMEN. THE SURGERY HAS TRADITIONALLY BEEN DONE AS OPEN SURGERY.ST. DOMINIC'S IS ALSO A QUALITY PROVIDER IN WOMEN'S SERVICES FOR THE CITIZENS OF CENTRAL MISSISSIPPI. THE SERVICES INCLUDE LEADING OBSTETRICAL AND GYNECOLOGICAL SERVICES, LABOR AND DELIVERY SERVICES, NEONATAL SERVICES AND A FULL ARRAY OF SERVICES FOR WOMEN OF ALL AGES. NEWBORN DELIVERIES IN ST. DOMINIC'S LABOR AND DELIVERY UNIT NOW TOP MORE THAN 1,500 ANNUALLY OF WHICH HIGH PERCENTAGES ARE MEDICAID RECIPIENTS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 380132037 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 223 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 3691 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MATT FISHER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6012006570 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| SR M CORDE LENN | ||||||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |||||
| DAN GRAFTON | ||||||||||
| VICE CHAIRMAN | 0.50 | X | 0 | 0 | 0 | X | ||||
| SR MARY TRINITA EDDINGTON OP | ||||||||||
| SECRETARY/TREASURER | 0.50 | X | 0 | 0 | 0 | X | 40.50 | |||
| TOD ETHEREDGE | ||||||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |||||
| JEFF FLETCHER MD | ||||||||||
| CHAIRMAN | 0.50 | X | 0 | 0 | 0 | |||||
| LEROY WALKER | ||||||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |||||
| CON MALONEY | ||||||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |||||
| SR M THECLA KUHNLINE OP | ||||||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |||||
| SR M CELESTINE RONDELLI OP | ||||||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |||||
| JIMMY JONES MD | ||||||||||
| DIRECTOR | 0.50 | X | 17400 | 0 | 0 | |||||
| SR REBECCA ANN GEMMA OP | ||||||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | 1.00 | ||||
| BILL TEW MD | ||||||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |||||
| DONNA SIMS | ||||||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |||||
| SR KRISTIN REVER OP | ||||||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |||||
| LESTER DIAMOND | ||||||||||
| PRESIDENT | 40.00 | X | 543736 | 0 | 52429 | |||||
| JENNIFER SINCLAIR | ||||||||||
| EXECUTIVE VP OF OPERATIONS | 40.00 | 312588 | 0 | 41919 | X | |||||
| MATTHEW FISHER | ||||||||||
| VP FINANCE | 40.00 | 130053 | 0 | 14828 | X | |||||
| ROBERT MOBLEY MD | ||||||||||
| EXEC VP- MEDICAL AFFAIRS | 40.00 | 438062 | 0 | 50836 | X | |||||
| PAUL ARRINGTON | ||||||||||
| VP- BUSINESS DEVELOPMENT | 40.00 | 241518 | 0 | 51027 | X | |||||
| KEITH VAN CAMP | ||||||||||
| VP- INFORMATION TECH | 40.00 | 282376 | 0 | 41872 | X | |||||
| STEPHEN BOMGARDNER | ||||||||||
| VP- NURSING | 40.00 | 230266 | 0 | 47559 | X | |||||
| BECKY LOWE | ||||||||||
| VP- ANCILLARY SERVICES | 40.00 | 214991 | 0 | 35977 | X | |||||
| TRACE SWARTZFAGER | ||||||||||
| VP- ANCILLARY SERVICES | 40.00 | 210536 | 0 | 43131 | X | |||||
| LORRAINE WASHINGTON | ||||||||||
| VP- HUMAN RESOURCES | 40.00 | 0 | 221975 | 45521 | 0.00 | X | ||||
| HUEY B MCDANIEL MD | ||||||||||
| PHYSICIAN | 40.00 | 702497 | 0 | 10827 | X | |||||
| KYLE GORDON MD | ||||||||||
| PHYSICIAN | 40.00 | 756203 | 0 | 10905 | X | |||||
| JOHN LANCON MD | ||||||||||
| PHYSICIAN | 40.00 | 1306979 | 0 | 10905 | X | |||||
| RONALD KENNEDY MD | ||||||||||
| PHYSICIAN | 40.00 | 929193 | 0 | 10905 | X | |||||
| PAUL SEAGO | ||||||||||
| PHYSICIAN | 40.00 | 806904 | 0 | 7347 | X | |||||
| RALPH E SULSER MD | ||||||||||
| FORMER VICE CHAIRMAN | 0.00 | 197002 | 0 | 0 | X | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 7320304 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 221975 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 475988 | TotalOtherCompensation |
| Number Individuals GT100 K | 121 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ALLIED EMERGENCY SERVICES PC | |||||
| PO BOX 2120 | RIDGELAND | MS | 39158 | ER PHYSICIANS | 7280146 |
| HARRELL CONTRACTING GROUP LLC | |||||
| PO BOX 12850 | JACKSON | MS | 39236 | CONSTRUCTION SERVICES | 4716932 |
| COGENT HEALTHCARE OF JACKSON MS | |||||
| 969 LAKELAND DRIVE | JACKSON | MS | 39216 | CONTRACT MEDICAL SERVICES | 2547394 |
| PHYSICIANS ANESTHESIA GROUP PA | |||||
| PO BOX 4608 | JACKSON | MS | 39296 | CONTRACT MEDICAL SERVICES | 2035892 |
| JACKSON HEART CLINIC | |||||
| 970 LAKELAND DRIVE | JACKSON | MS | 39216 | CONTRACT MEDICAL SERVICES | 1951514 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 35 | NumberOfContractorsGT100K |
| Related Organizations | 15000 | RelatedOrganizations |
| Total Contributions | 15000 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PROGRAM REVENUE | 621990 | 372128530 | 372128530 | |
| PHARMACEUTICAL SALES | 446110 | 4233710 | 2836586 | 1397124 |
| SPA SALES | 812900 | 721502 | 127668 | 593834 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 377083742 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 959738 | TotalRevenueColumn |
| Exclusion | $959,738 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 5174002 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 5174002 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5174002 | TotalRevenueColumn |
| Exclusion | $5,174,002 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 4051141 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 4088463 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -37322 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -37322 | TotalRevenueColumn |
| Exclusion | -$37,322 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| MISCELLANEOUS INCOME | 900099 | 6083115 | $6,083,115 |
| CAFETERIA SALES | 722210 | 2572063 | $2,572,063 |
| DAY CARE CENTER | 624410 | 668111 | $668,111 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1422884 | TotalRevenueColumn |
| Exclusion | $1,422,884 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 10746173 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 393941333 | TotalRevenueColumn |
| Related Or Exempt Function Income | 375092784 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1990958 | UnrelatedBusinessRevenue |
| Exclusion | $16,842,591 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2291229 | Total |
| Program Services | 2291229 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2621527 | Total |
| Management And General | 2621527 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 143587520 | Total |
| Program Services | 141343205 | ProgramServices |
| Management And General | 2244315 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16580690 | Total |
| Program Services | 16028884 | ProgramServices |
| Management And General | 551806 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13432189 | Total |
| Program Services | 12985165 | ProgramServices |
| Management And General | 447024 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9825034 | Total |
| Program Services | 9498057 | ProgramServices |
| Management And General | 326977 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 351430 | Total |
| Program Services | 351430 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 691991 | Total |
| Management And General | 691991 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 256530 | Total |
| Management And General | 256530 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1086342 | Total |
| Program Services | 1086342 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4047151 | Total |
| Program Services | 4047151 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 745225 | Total |
| Program Services | 745225 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75700 | Total |
| Program Services | 75700 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21217988 | Total |
| Program Services | 21217988 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1253399 | Total |
| Program Services | 1253399 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| SUPPLIES | 68345741 | 68345741 |
| PHARMACEUTICAL DRUGS | 23894933 | 23894933 |
| BAD DEBTS | 19452183 | 19452183 |
| MEDICAL PROFESSIONAL FE | 15913127 | 15913127 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41602278 | Total |
| Program Services | 41602278 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 387272207 | Total |
| Program Services | 380132037 | ProgramServices |
| Management And General | 7140170 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 67791416 | BOY |
| EOY | 66511158 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54125916 | BOY |
| EOY | 49487544 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7256467 | BOY |
| EOY | 6928173 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24192445 | BOY |
| EOY | 32341392 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 436908106 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 266995451 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 165200235 | BOY |
| EOY | 169912655 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3984446 | BOY |
| EOY | 4266203 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 322550925 | BOY |
| EOY | 329447125 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 43521436 | BOY |
| EOY | 37375055 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93803591 | BOY |
| EOY | 86542708 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 137325027 | BOY |
| EOY | 123917763 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 185225898 | BOY |
| EOY | 205529362 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 185225898 | BOY |
| EOY | 205529362 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 322550925 | BOY |
| EOY | 329447125 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 6669126 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 4285342 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 9348996 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $18,157 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 18157 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | ST. DOMINIC-JACKSON MEMORIAL HOSPITAL PAID DUES TO THE MISSISSIPPI HOSPITAL ASSOCIATION. THE MISSISSIPPI HOSPITAL ASSOCIATION REPORTS THAT 14.41% OF THE $126,000 OF DUES PAID WERE RELATED TO POLITICAL AND LOBBYING ACTIVITIES. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 18245044 | OtherCostOrOtherBasis |
| Book Value | 18245044 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 146609973 | OtherCostOrOtherBasis |
| Depreciation | 93979404 | Depreciation |
| Book Value | 52630569 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 269908906 | OtherCostOrOtherBasis |
| Depreciation | 173016047 | Depreciation |
| Book Value | 96892859 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2144183 | OtherCostOrOtherBasis |
| Book Value | 2144183 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 169912655 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | LIABILITY FOR PENSION BENEFITS | Description |
| Amount | $86,542,708 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 86542708 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | THE 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. THE 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, 2012 OR 2011. INCOME TAX EXPENSE FOR SDIS TOTALED $150,587 AND $141,821 FOR THE YEARS ENDED DECEMBER 31, 2012 AND 2011, RESPECTIVELY, AND IS INCLUDED IN ADMINISTRATIVE EXPENSES IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF ACTIVITIES. FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF FASB STATEMENT NO. 109, CODIFIED IN FASB ASC TOPIC 740 ("ASC 740"), CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN, INCLUDING AN ENTITY'S STATUS AS A TAX-EXEMPT NOT-FOR-PROFIT ENTITY. ADDITIONALLY, ASC 740 PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. THE HOSPITAL HAD NO SIGNIFICANT UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2012 OR 2011. IF INTEREST AND PENALTIES ARE INCURRED RELATED TO UNCERTAIN TAX POSITIONS, SUCH AMOUNTS WOULD BE RECOGNIZED IN INCOME TAX EXPENSE. TAX PERIODS FOR ALL FISCAL YEARS AFTER 2008 REMAIN OPEN TO EXAMINATION BY THE FEDERAL AND STATE TAXING JURISDICTIONS TO WHICH THE HOSPITAL IS SUBJECT. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent350 | X | Pcent350 |
| Free Disc Care Medically Indigent | 0 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14474347 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5852040 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8622307 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02340 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 47515910 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 47887809 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -371899 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1728583 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1717432 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11151 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 63718840 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 55457281 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8261559 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02340 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1126778 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1126778 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00310 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 80960 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 80960 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 18932436 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15256004 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3676432 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 791229 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 791229 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00220 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 20931403 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15256004 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5675399 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01550 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 84650243 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 70713285 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13936958 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03890 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $19,452,183 | BadDebtExpenseAmount |
| Amount Attributable To | 5835655 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 120977091 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 134276358 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -13299267 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 ST DOMINIC AMBULATORY SURGERY CENTER LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | OUTPATIENT SURGERY CENTER | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.50220 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0.00000 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0.49780 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST DOMINIC - JACKSON MEMORIAL HOSPITAL | BusinessNameLine1 |
Address Address
| 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 | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Other | AMBULATORY SURGERY CENTER AND PHYSICIAN CLINICS | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STDOMINIC- JACKSON MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 350.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 17 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (17 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType | Address Line2Address/AddressLine2 |
|---|---|---|---|---|---|
| ST DOMINIC AMBULATORY SURGERY CENTER | |||||
| 969 LAKELAND DRIVE | JACKSON | MS | 392164699 | OUTPATIENT SURGERY CENTER | |
| ST DOMINIC INTERNAL MEDICINE GROUP | |||||
| 970 LAKELAND DRIVE SUITE 40 JACKSON | JACKSON | MS | 39216 | PHYSICIAN CLINIC | M |
| EAR NOSE & THROAT SURGICAL GROUP AT ST | |||||
| 970 LAKELAND DRIVE SUITE 40 JACKSON | JACKSON | MS | 39216 | PHYSICIAN CLINIC | M |
| ST DOMINIC'S CARDIOVASCULAR SURGERY ASS | |||||
| 971 LAKELAND DRIVE SUITE 1159 | JACKSON | MS | 39219 | PHYSICIAN CLINIC | |
| ST DOMINIC'S GYNECOLOGIC ONCOLOGY | |||||
| 971 LAKELAND DRIVE SUITE 750 | JACKSON | MS | 39216 | PHYSICIAN CLINIC | |
| ST DOMINIC NEUROSURGERY ASSOCIATES | |||||
| 971 LAKELAND DRIVE SUITE 657 | JACKSON | MS | 39216 | PHYSICIAN CLINIC | JACKSON |
| ST DOMINIC'S INFECTIOUS DISEASE | |||||
| 971 LAKELAND DRIVE SUITE 954 | JACKSON | MS | 39216 | PHYSICIAN CLINIC | JACKSON |
| ST DOMINIC'S FAMILY MEDICINE - 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 | FLOWOOD | MS | 39232 | PHYSICIAN CLINIC | 39232 |
| ST DOMINIC'S FAMILY MEDICINE OF CLINTON | |||||
| 728 CLINTON PARKWAY SUITE B CLINTON | CLINTON | MS | 39056 | PHYSICIAN CLINIC | MS |
| ST DOMINIC'S PSYCHIATRIC ASSOCIATES | |||||
| 969 LAKELAND DRIVE JACKSON MS | JACKSON | MS | 39216 | PHYSICIAN CLINIC | |
| ST DOMINIC'S MARTIN SURGICAL ASSOCIATES | |||||
| 971 LAKELAND DRIVE SUITE 211 | JACKSON | MS | 39216 | PHYSICIAN CLINIC | |
| ST DOMINIC'S CHRONIC CARE CLINIC | |||||
| 3800 I-55 NORTH SUITE 102 JACKSON | JACKSON | MS | 39211 | PHYSICIAN CLINIC | MS |
| ST DOMINIC'S CLINIC AT WALMART | |||||
| WALMART SUPERCENTER 5520 HWY 80 | PEARL | MS | 39208 | PHYSICIAN CLINIC | EAST |
| ST DOMINIC'S CLINIC AT WALMART | |||||
| WALMART SUPERCENTER 127 GRANDVIEW | MADISON | MS | 39110 | PHYSICIAN CLINIC | BLVD |
| ST DOMINIC'S CLINIC AT WALMART | |||||
| WALMART SUPERCENTER 950 HWY 80 EAST | CLINTON | MS | 39056 | PHYSICIAN CLINIC | CL |
| ST DOMINIC'S EMPLOYEE CLINIC | |||||
| 969 LAKELAND DRIVE JACKSON MS | JACKSON | MS | 39216 | PHYSICIAN CLINIC | |
Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| 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, INCREASED FROM 50%, EFFECTIVE NOVEMBER 1, 2012. | ||
| 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. EXAMPLES OF THESE SERVICES INCLUDE BUT ARE NOT LIMITED TO EMERGENCY DEPARTMENT AND BEHAVIORAL HEALTH. | ||
| 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 $ 19452183. | ||
| PART II: 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 63.3 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2011, TO 64.4 PERCENT OF SELF-PAY ACCOUNTS RECEIVABLE AT DECEMBER 31, 2012. IN ADDITION, THE HOSPITAL'S SELF-PAY BAD DEBT WRITE-OFFS INCREASED FROM $12,116,019 IN 2011 TO $12,219,261 IN 2012. THE HOSPITAL ALSO MAINTAINS ALLOWANCES FOR DOUBTFUL ACCOUNTS FROM THIRD-PARTY PAYORS. THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR THIRD-PARTY GOVERNMENT PAYORS DECREASED FROM 5.0 PERCENT OF THIRD-PARTY GOVERNMENT ACCOUNTS RECEIVABLE AT DECEMBER 31,2011, TO 4.5 PERCENT OF THIRD-PARTY GOVERNMENT ACCOUNTS RECEIVABLE AT DECEMBER 31, 2012. IN ADDITION, THE HOSPITAL'S THIRD-PARTY GOVERNMENT BAD DEBT WRITE-OFFS DECREASED FROM $2,539,618 IN 2011 TO $2,383,729 IN 2012. THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR THIRD-PARTY COMMERCIAL PAYORS DECREASED FROM 8.5 PERCENT OF THIRD-PARTY COMMERCIAL ACCOUNTS RECEIVABLE AT DECEMBER 31, 2011, TO 5.3 PERCENT OF THIRD-PARTY COMMERCIAL ACCOUNTS RECEIVABLE AT DECEMBER 31, 2012. IN ADDITION, THE HOSPITAL'S THIRD-PARTY COMMERCIAL BAD DEBT WRITE-OFFS INCREASED FROM $6,620,115 IN 2011 TO $6,633,899 IN 2012. 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 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 20D: HOSPITAL OFFERS A DISCOUNT OF 50% WHICH IS EQUIVALENT TO THE AVERAGE COMMERCIAL DISCOUNT. THIS DISCOUNT INCREASED TO 60%, EFFECTIVE NOVEMBER 1, 2012. | ST.DOMINIC- JACKSON MEMORIAL HOSPITAL | |
| CHNA CAN BE ACCESSED AT: HTTP://WWW.STDOM.COM/GEDOWNLOAD!/CHNAWEB.PDF?ITEM_ID=544018&VERSION_ID=544019 | PART V, SECTION B, LINE 5A | PART VI, LINE 1 |
| 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 A DETAIL DESCRIPTION OF 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. ST. DOMINIC ALSO INVESTS BACK 100% OF ALL PROFITS AND CASH INTO OUR HOSPITAL SO THAT NO LOCAL FUNDS LEAVE THIS COMMUNITY. | ||
| 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. | ||
| 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. | PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (19 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| 100 BLACK MEN OF JACKSON | |||||||
| 5360 HIGHLAND DRIVE | JACKSON | MS | 39286 | 640817928 | 501(C)(3) | 20000 | CHARITABLE SUPPORT |
| BEGINNING AGAIN IN CHRIST | |||||||
| PO BOX 26 | BRANDON | MS | 390430026 | 640592123 | 501(C)(3) | 15000 | CHARITABLE SUPPORT |
| BOY SCOUTS OF AMERICA | |||||||
| 855 RIVERSIDE DR | JACKSON | MS | 39202 | 640303071 | 501(C)(3) | 32000 | CHARITABLE SUPPORT |
| BREAKTHRU MINISTRIES | |||||||
| PO BOX 39236 | JACKSON | MS | 39236 | 621284192 | 501(C)(3) | 3190 | CHARITABLE SUPPORT |
| CATHOLIC CHARITIES | |||||||
| 200 N CONGRESS ST | JACKSON | MS | 39201 | 640468850 | 501(C)(3) | 255000 | CHARITABLE SUPPORT |
| CENTER FOR PREVENTION OF VIOLENCE | |||||||
| PO BOX 6279 | PEARL | MS | 39288 | 581959108 | 501(C)(3) | 22500 | CHARITABLE SUPPORT |
| COMMUNITY HEALTH SERVICES-ST DOMINIC INC | |||||||
| 969 LAKELAND DR | JACKSON | MS | 392164699 | 640714997 | 501(C)(3) | 185188 | AFFILIATE SUPPORT |
| HOSPICE MINISTRIES | |||||||
| 450 TOWNE CENTER BOULEVARD | RIDGELAND | MS | 39157 | 640789919 | 501(C)(3) | 25000 | CHARITABLE SUPPORT |
| JACKSON FREE CLINIC | |||||||
| PO BOX 4892 | JACKSON | MS | 39296 | 640945749 | 501(C)(3) | 10000 | CHARITABLE SUPPORT |
| LEXINGTON MEDICAL CLINIC | |||||||
| 22741 HWY 12 | LEXINGTON | MS | 39095 | 200378262 | 501(C)(3) | 40000 | CHARITABLE SUPPORT |
| MISSION MISSISSIPPI | |||||||
| 120 N CONGRESS ST | JACKSON | MS | 39201 | 640824240 | 501(C)(3) | 30000 | CHARITABLE SUPPORT |
| NEIGHBORHOOD CHRISTIAN CENTER | |||||||
| 417 W ASH ST | JACKSON | MS | 39203 | 640800919 | 501(C)(3) | 18000 | CHARITABLE SUPPORT |
| NEW LIFE FOR WOMEN | |||||||
| 814 NORTH CONGRESS STREET | JACKSON | MS | 39202 | 640765336 | 501(C)(3) | 10000 | CHARITABLE SUPPORT |
| OPERATION SHOESTRING | |||||||
| 1711 BAILEY AVENUE | JACKSON | MS | 39283 | 640471554 | 501(C)(3) | 25000 | CHARITABLE SUPPORT |
| REAL CHRISTIAN FOUNDATION | |||||||
| PO BOX 180059 | RICHLAND | MS | 39218 | 640885750 | 501(C)(3) | 45000 | CHARITABLE SUPPORT |
| REBIRTH ALLIANCE INC | |||||||
| PO BOX 9431 | JACKSON | MS | 39286 | 970741985 | 501(C)(3) | 10000 | CHARITABLE SUPPORT |
| SOUTHERN CHRISTIAN SERVICES | |||||||
| 860 EAST RIVER PLACE SUITE 104 | JACKSON | MS | 39202 | 640758344 | 501(C)(3) | 25000 | CHARITABLE SUPPORT |
| THE WINGARD HOME | |||||||
| 1279 N WEST STREET | JACKSON | MS | 39202 | 203861994 | 501(C)(3) | 10000 | CHARITABLE SUPPORT |
| TUTWILER COMMUNITY EDUCATION CENTER INC | |||||||
| PO BOX 448 | TUTWILER | MS | 38963 | 581887449 | 501(C)(3) | 10000 | CHARITABLE SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 19 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Written Policy Re T And E Expenses | 0 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 0 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LESTER DIAMOND | ||||||||||||||
| PRESIDENT | 471278 | 0 | 0 | 0 | 72458 | 0 | 41557 | 0 | 10872 | 0 | 596165 | 0 | 0 | 0 |
| JENNIFER SINCLAIR | ||||||||||||||
| EXECUTIVE VP OF OPERATIONS | 304359 | 0 | 0 | 0 | 8229 | 0 | 41557 | 0 | 362 | 0 | 354507 | 0 | 0 | 0 |
| ROBERT MOBLEY MD | ||||||||||||||
| EXEC VP- MEDICAL AFFAIRS | 393162 | 0 | 0 | 0 | 44900 | 0 | 41557 | 0 | 9279 | 0 | 488898 | 0 | 0 | 0 |
| PAUL ARRINGTON | ||||||||||||||
| VP- BUSINESS DEVELOPMENT | 240194 | 0 | 0 | 0 | 1324 | 0 | 40419 | 0 | 10608 | 0 | 292545 | 0 | 0 | 0 |
| KEITH VAN CAMP | ||||||||||||||
| VP- INFORMATION TECH | 269982 | 0 | 0 | 0 | 12394 | 0 | 41557 | 0 | 315 | 0 | 324248 | 0 | 0 | 0 |
| STEPHEN BOMGARDNER | ||||||||||||||
| VP- NURSING | 230266 | 0 | 0 | 0 | 0 | 0 | 38465 | 0 | 9094 | 0 | 277825 | 0 | 0 | 0 |
| BECKY LOWE | ||||||||||||||
| VP- ANCILLARY SERVICES | 214991 | 0 | 0 | 0 | 0 | 0 | 35723 | 0 | 254 | 0 | 250968 | 0 | 0 | 0 |
| TRACE SWARTZFAGER | ||||||||||||||
| VP- ANCILLARY SERVICES | 210536 | 0 | 0 | 0 | 0 | 0 | 34654 | 0 | 8477 | 0 | 253667 | 0 | 0 | 0 |
| LORRAINE WASHINGTON | ||||||||||||||
| VP- HUMAN RESOURCES | 0 | 221975 | 0 | 0 | 0 | 0 | 0 | 37029 | 0 | 8492 | 0 | 267496 | 0 | 0 |
| HUEY B MCDANIEL MD | ||||||||||||||
| PHYSICIAN | 592712 | 0 | 76333 | 0 | 33452 | 0 | 0 | 0 | 10827 | 0 | 713324 | 0 | 0 | 0 |
| KYLE GORDON MD | ||||||||||||||
| PHYSICIAN | 636749 | 0 | 83444 | 0 | 36010 | 0 | 0 | 0 | 10905 | 0 | 767108 | 0 | 0 | 0 |
| JOHN LANCON MD | ||||||||||||||
| PHYSICIAN | 1191693 | 0 | 53049 | 0 | 62237 | 0 | 0 | 0 | 10905 | 0 | 1317884 | 0 | 0 | 0 |
| RONALD KENNEDY MD | ||||||||||||||
| PHYSICIAN | 734946 | 0 | 150000 | 0 | 44247 | 0 | 0 | 0 | 10905 | 0 | 940098 | 0 | 0 | 0 |
| PAUL SEAGO | ||||||||||||||
| PHYSICIAN | 768480 | 0 | 0 | 0 | 38424 | 0 | 0 | 0 | 7347 | 0 | 814251 | 0 | 0 | 0 |
| RALPH E SULSER MD | ||||||||||||||
| FORMER VICE CHAIRMAN | 197002 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 197002 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 1A | ReturnReference |
| Explanation | HOUSING ALLOWANCE WAS PROVIDED TO ONE KEY EMPLOYEE AND WAS INCLUDED IN TAXABLE WAGES FOR 2012. THE ALLOWANCE IS INCLUDED IN THE TOTAL COMPENSATION TO THE KEY EMPLOYEE APPROVED UNDER THE EXECUTIVE COMPENSATION PROGRAM. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| MELANIE GRAFTON | |||
| DAUGHTER OF DIRECTOR, DAN GRAFTON | 65325 | MELANIE GRAFTON IS AN EMPLOYEE OF ST. DOMINIC-JACKSON MEMORIAL HOSPITAL. | 0 |
| JACKSON PULMONARY | |||
| DR. JIMMY JONES, DIRECTOR, IS A GREATER THAN 5% OWNER | 688107 | HOSPITAL CONTRACTS WITH JACKSON PULMONARY FOR INTENSIVIST SERVICES | 0 |
| LAKELAND RADIOLOGIST | |||
| DR. WILLIAM E. TEW, DIRECTOR, IS A GREATER THAN 5% OWNER | 107023 | HOSPITAL CONTRACTS WITH LAKELAND RADIOLOGIST FOR MEDICAL DIRECTOR SERVICES. | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 AUDIT/FINANCE COMMITTEE OF THE BOARD PRIOR TO FILING. A FULL COPY, AS APPROVED BY THE AUDIT/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 CHAIRMAN OF THE BOARD AND THE EXECUTIVE COMMITTEE OF THE ORGANIZATION ASSIGNS THE PAY CHANGE FOR THE HOSPITAL'S CHIEF EXECUTIVE OFFICER 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 IX, LINE 24E | EQUIPMENT RENTAL AND MAINTENANCE: PROGRAM SERVICE EXPENSES 15,288,884. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,288,884. CONSULTANTS: PROGRAM SERVICE EXPENSES 5,214,150. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,214,150. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 4,618,406. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,618,406. UTILITIES: PROGRAM SERVICE EXPENSES 3,444,529. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,444,529. DUES & SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 2,800,581. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,800,581. FOOD COMMODITIES: PROGRAM SERVICE EXPENSES 2,696,488. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,696,488. COLLECTION FEES: PROGRAM SERVICE EXPENSES 2,331,164. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,331,164. LAB SERVICES: PROGRAM SERVICE EXPENSES 1,675,191. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,675,191. TAXES: PROGRAM SERVICE EXPENSES 1,226,143. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,226,143. TELEPHONE: PROGRAM SERVICE EXPENSES 626,040. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 626,040. RECRUITING: PROGRAM SERVICE EXPENSES 517,154. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 517,154. POSTAGE & SHIPPING: PROGRAM SERVICE EXPENSES 425,800. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 425,800. LINENS: PROGRAM SERVICE EXPENSES 346,321. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 346,321. WASTE FEES: PROGRAM SERVICE EXPENSES 293,597. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 293,597. WEARING APPAREL: PROGRAM SERVICE EXPENSES 90,107. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 90,107. FILM: PROGRAM SERVICE EXPENSES 6,487. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,487. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,236. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,236. | ALL OTHER FUNCTIONAL EXPENSES |
| FORM 990, PART XI, LINE 9: | PENSION TRANSITION ADJUSTMENT PER FAS 158 7,260,883. OTHER INTERCOMPANY TRANSACTIONS 2,088,113. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| 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. | COMMITTEE FOR AUDIT OVERSIGHT |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST DOMINIC MEDICAL ASSOCIATES | BusinessNameLine1 |
Address US AddressUS
| 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 | PrimaryActivities |
| Legal Domicile State | MS | LegalDomicileState |
| Total Income | 23883761 | TotalIncome |
| EOY Assets | 4641206 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST DOMINIC -JACKSON MEMORIAL HOSPITAL | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | ||
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST DOMINIC AMBULATORY SURGERY CENTER LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 971 LAKELAND DRIVE SUITE 200 | AddressLine1 |
| City | JACKSON | City |
| State | MS | State |
| ZIP Code | 392164699 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 640908713 | EIN |
| Primary Activity | HEALTHCARE | PrimaryActivity |
| Legal Domicile State | MS | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST DOMINIC - JACKSON MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | 65191 | ShareOfTotalIncome |
| Share Of EOY Assets | 457748 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Percentage Ownership | 0.52780 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 1 | 352033 | 2136469 | 1.00000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST DOMINIC INTEGRATED SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | Q | TransactionType |
| Amount Involved | 28462 | AmountInvolved |
| Method Of Amt Determination | CASH VALUE OF TRANSACTION | MethodOfAmtDetermination |
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