ST DOMINIC-JACKSON MEMORIAL HOSPITAL: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- ST DOMINIC-JACKSON MEMORIAL HOSPITAL (EIN 64-0303091)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-14
- IRS object ID
- 201103189349306670
- Schema version
- 2010v3.4
- 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 | 2011-11-14T16:39:14-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HORNE LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1020 HIGHLAND COLONY PKWY STE 400 | AddressLine1 |
| City | RIDGELAND | City |
| State | MS | State |
| ZIP Code | 39157 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | 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 | CLAUDE HARBARGER | Name |
| Title | PRESIDENT | Title |
| Phone | 6012002000 | Phone |
| Date Signed | 2011-11-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARSHA H DIECKMAN CPA | Name |
| Phone | 6013261000 | Phone |
| Date Prepared | 2011-11-10 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | CLAUDE W HARBARGER | 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 | 373871023 | 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 | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3427 | TotalNbrEmployees |
| Total Nbr Volunteers | 301 | TotalNbrVolunteers |
| Total Gross UBI | 1263203 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -167290 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 188926 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 3622710 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 343709934 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 360396274 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 481382 | InvestmentIncomePriorYear |
| Investment Income Current Year | 855785 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 10476078 | OtherRevenuePriorYear |
| Other Revenue Current Year | 8699707 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 354856320 | TotalRevenuePriorYear |
| Total Revenue Current Year | 373574476 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 2257545 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 2262977 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 161141545 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 164550851 | 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 | 189501081 | OtherExpensePriorYear |
| Other Expenses Current Year | 187911165 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 352900171 | TotalExpensesPriorYear |
| Total Expenses Current Year | 354724993 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1956149 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 18849483 | RevenuesLessExpensesCY |
| Total Assets BOY | 282756831 | TotalAssetsBOY |
| Total Assets EOY | 304339006 | TotalAssetsEOY |
| Total Liabilities BOY | 78920718 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 82871635 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 203836113 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 221467371 | 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 | 338152885 | Expense |
| Grants | 2262977 | Grants |
| Revenue | 359133071 | 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 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 HOSPITAL ("ST. DOMINIC'S") IS CELEBRATING ITS 65TH YEAR OF PROVIDING A CHRISTIAN MINISTRY OF HEALING TO THE GREATER JACKSON COMMUNITY. | 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 OF 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 3,300 NURSES, | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PHYSICIANS, SKILLED CAREGIVERS AND STAFF. ST. DOMINIC HOSPITAL PROVIDED OVER $960 MILLION (CHARGES) IN HOSPITAL SERVICES IN 2010 TO PATIENTS THROUGHOUT THE CENTRAL REGION OF MISSISSIPPI. ST. DOMINIC'S AND ITS AFFILIATES EMPLOYED OVER 3,000 PEOPLE MAKING IT ONE OF THE AREA'S LARGEST EMPLOYERS. THESE CLEAN (GREEN) JOBS INFUSED THE ECONOMY WITH OVER $131 MILLION IN SALARIES AND WAGES IN 2010. THE MISSISSIPPI BUSINESS JOURNAL HAS RECOGNIZED ST. DOMINIC HOSPITAL AS ONE OF THE TOP FIVE "BEST PLACES TO WORK IN MISSISSIPPI". SINCE 2005, ST. DOMINIC'S HAS ASSISTED IN RELOCATING 19 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 114 JOBS AND $13.2 MILLION IN SALARIES A YEAR IN THE COMMUNITY FROM OUR RECRUITMENT EFFORTS.ST. DOMINIC HOSPITAL IS A LICENSED 535-BED TERTIARY CARE REFERRAL HOSPITAL LOCATED IN JACKSON, MS SERVING ALL OF CENTRAL MISSISSIPPI. THE MEDICAL STAFF, OF NEARLY 500 LEADING PHYSICIANS AND SPECIALISTS, MAKES ST. DOMINIC'S ONE OF THE MOST COMPREHENSIVE HOSPITALS IN THE STATE. THROUGH 65 YEARS 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 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 HOSPITAL'S SERVICE AREA IS DEFINED BASED ON INPATIENT DISCHARGES FOR SHORT TERM ACUTE PATIENTS. IN THE 2010 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. ST. DOMINIC'S, IN PROVIDING QUALITY COMPASSION HEALTH CARE, EXTENDS ITS MISSION OF HEALING TO OVER 750,000 RESIDENTS (I.E., TOTAL POPULATION ACCORDING TO 2010 CENSUS ESTIMATES) OF CENTRAL MISSISSIPPI.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. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 338152885 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| 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 | 0 | 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 | 0 | 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 | 161 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 3427 | 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 |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Taxable Distributions | 0 | TaxableDistributions |
| Distribution To Donor | 0 | DistributionToDonor |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | 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 | JENNIFER SINCLAIR | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6012006955 | 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 | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| SR MARY DOROTHEA SONDGEROTH OP | |||||||||
| CHAIRMAN | 0.50 | X | X | 0 | 0 | 0 | |||
| DAN GRAFTON | |||||||||
| VICE CHAIRMAN | 0.50 | X | X | 0 | 0 | 0 | |||
| SR MARY TRINITA EDDINGTON OP | |||||||||
| SECRETARY/TREASURER | 0.50 | X | X | 0 | 0 | 0 | |||
| TOD ETHEREDGE | |||||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||||
| JEFF FLETCHER MD | |||||||||
| DIRECTOR | 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 | ||||
| CLAUDE W HARBARGER | |||||||||
| HOSPITAL PRESIDENT | 40.00 | X | X | 606737 | 0 | 39304 | |||
| JIMMY JONES MD | |||||||||
| DIRECTOR | 0.50 | X | 15000 | 0 | 0 | ||||
| SR REBECCA ANN GEMMA OP | |||||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||||
| 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 | ||||
| JENNIFER SINCLAIR | |||||||||
| VP- FINANCE | 40.00 | X | 248933 | 0 | 38166 | ||||
| LESTER DIAMOND | |||||||||
| EXEC VP- OPERATIONS | 40.00 | 324181 | 0 | 40372 | X | ||||
| ROBERT MOBLEY MD | |||||||||
| EXEC VP- MEDICAL AFFAIRS | 40.00 | 385311 | 0 | 39304 | X | ||||
| PAUL ARRINGTON | |||||||||
| VP- BUSINESS DEVELOPMENT | 40.00 | 219497 | 0 | 36952 | X | ||||
| KEITH VAN CAMP | |||||||||
| VP- INFORMATION TECH | 40.00 | 239502 | 0 | 32866 | X | ||||
| STEPHEN BOMGARDNER | |||||||||
| VP- NURSING | 40.00 | 217731 | 0 | 35647 | X | ||||
| BECKY LOWE | |||||||||
| VP- ANCILLARY SERVICES | 40.00 | 198990 | 0 | 26695 | X | ||||
| TRACE SWARTZFAGER | |||||||||
| VP- ANCILLARY SERVICES | 40.00 | 204250 | 0 | 33509 | X | ||||
| LAMAR NESBIT | |||||||||
| SR VP- HUMAN RESOURCES | 40.00 | 273514 | 0 | 39304 | X | ||||
| JOHN LANCON MD | |||||||||
| PHYSICIAN | 40.00 | 1156621 | 0 | 7506 | X | ||||
| GERHARD MUNDINGER MD | |||||||||
| PHYSICIAN | 40.00 | 877030 | 0 | 6438 | X | ||||
| RONALD KENNEDY MD | |||||||||
| PHYSICIAN | 40.00 | 878979 | 0 | 7506 | X | ||||
| KYLE GORDON MD | |||||||||
| PHYSICIAN | 40.00 | 848103 | 0 | 0 | X | ||||
| HUEY B MCDANIEL MD | |||||||||
| PHYSICIAN | 40.00 | 567767 | 0 | 0 | X | ||||
| RALPH E SULSER MD | |||||||||
| FORMER VICE CHAIRMAN | 0.00 | 212825 | 0 | 6438 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 7474971 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 390007 | TotalOtherCompensation |
| Number Individuals GT100 K | 97 | 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 | 6645229 |
| HENSEL PHELPS CONSTRUCTION COMPANY | |||||
| PO BOX 4419 | JACKSON | MS | 29296 | CONSTRUCTION SERVICES | 1902939 |
| PHYSICIANS ANESTHESIA GROUP PA | |||||
| PO BOX 460 | JACKSON | MS | 39296 | CONTRACT MEDICAL SERVICES | 1584088 |
| JACKSON HEART CLINIC | |||||
| 970 LAKELAND DRIVE | JACKSON | MS | 39216 | CONTRACT MEDICAL SERVICES | 1414333 |
| CAPITAL ORTHOPEDIC & SPORTS MEDICINE | |||||
| 290 EAST LAYFAIR DRIVE SUITE A | FLOWOOD | MS | 39232 | CONTRACT MEDICAL SERVICES | 749563 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 23 | NumberOfContractorsGT100K |
| Related Organizations | 3613048 | RelatedOrganizations |
| All Other Contributions | 9662 | AllOtherContributions |
| Total Contributions | 3622710 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PROGRAM REVENUE | 621990 | 357164239 | 357164239 | |
| PHARMACEUTICAL SALES | 446110 | 2719053 | 1759227 | 959826 |
| SPA SALES | 812900 | 512982 | 209605 | 303377 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 360396274 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1006308 | TotalRevenueColumn |
| Exclusion | $1,006,308 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 4166856 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 4166856 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4166856 | TotalRevenueColumn |
| Exclusion | $4,166,856 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 146024 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 296547 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -150523 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -150523 | TotalRevenueColumn |
| Exclusion | -$150,523 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CAFETERIA SALES | 722210 | 2219743 | $2,219,743 |
| DAY CARE CENTER | 624410 | 638339 | $638,339 |
| DELI | 722210 | 420772 | $420,772 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1253997 | TotalRevenueColumn |
| Exclusion | $1,253,997 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4532851 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 373574476 | TotalRevenueColumn |
| Related Or Exempt Function Income | 359133071 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1263203 | UnrelatedBusinessRevenue |
| Exclusion | $9,555,492 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2262977 | Total |
| Program Services | 2262977 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3131470 | Total |
| Management And General | 3131470 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 128251769 | Total |
| Program Services | 119061082 | ProgramServices |
| Management And General | 9190687 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11723153 | Total |
| Program Services | 10623663 | ProgramServices |
| Management And General | 1099490 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12498660 | Total |
| Program Services | 11326437 | ProgramServices |
| Management And General | 1172223 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8945799 | Total |
| Program Services | 8106791 | ProgramServices |
| Management And General | 839008 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 351080 | Total |
| Program Services | 351080 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 819863 | Total |
| Management And General | 819863 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 319367 | Total |
| Management And General | 319367 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1153860 | Total |
| Program Services | 1153860 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3082263 | Total |
| Program Services | 3082263 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 431135 | Total |
| Program Services | 431135 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19820568 | Total |
| Program Services | 19820568 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6379350 | Total |
| Program Services | 6379350 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| SUPPLIES | 64415282 | 64415282 |
| PHARMACEUTICAL DRUGS | 21391418 | 21391418 |
| BAD DEBTS | 18507535 | 18507535 |
| EQUIPMENT RENTAL AND MA | 13488848 | 13488848 |
| MEDICAL PROFESSIONAL FE | 12814593 | 12814593 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24936003 | Total |
| Program Services | 24936003 | ProgramServices |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 354724993 | Total |
| Program Services | 338152885 | ProgramServices |
| Management And General | 16572108 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41573521 | BOY |
| EOY | 59187379 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58033809 | BOY |
| EOY | 53309890 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6156699 | BOY |
| EOY | 6390602 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20144704 | BOY |
| EOY | 24193765 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 433814547 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 275811893 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 153810481 | BOY |
| EOY | 158002654 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3037617 | BOY |
| EOY | 3254716 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 282756831 | BOY |
| EOY | 304339006 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34438750 | BOY |
| EOY | 34229136 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44481968 | BOY |
| EOY | 48642499 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 78920718 | BOY |
| EOY | 82871635 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 203836113 | BOY |
| EOY | 221467371 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 203836113 | BOY |
| EOY | 221467371 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 282756831 | BOY |
| EOY | 304339006 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 18849483 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -1218225 | 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 |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| 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 | $24,076 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 24076 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | ST. DOMINIC-JACKSON MEMORIAL HOSPITAL PAID DUES TO THE MISSISSIPPI HOSPITAL ASSOCIATION. THE MISSISSIPPI HOSPITAL ASSOCIATION REPORTS THAT 19.67% OR $24,076 OF DUES PAID WERE FOR LOBBYING EXPENSES. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 18307370 | OtherCostOrOtherBasis |
| Book Value | 18307370 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 153785746 | OtherCostOrOtherBasis |
| Depreciation | 102534619 | Depreciation |
| Book Value | 51251127 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 259888565 | OtherCostOrOtherBasis |
| Depreciation | 173277274 | Depreciation |
| Book Value | 86611291 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1832866 | OtherCostOrOtherBasis |
| Book Value | 1832866 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 158002654 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | LIABILITY FOR PENSION BENEFITS | Description |
| Amount | $48,642,499 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 48642499 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | 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. IN JULY 2006, THE FASB ISSUED INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF FASB STATEMENT NO. 109, CODIFIED IN FASB ASC TOPIC 740 ("ASC 740"). THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN A COMPANY'S FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN INCLUDING THE ENTITY'S STATUS AS A TAX-EXEMPT NOT-FOR-PROFIT ENTITY. ADDITIONALLY, ASC 740 PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. THE HOSPITAL ADOPTED THIS STANDARD EFFECTIVE JANUARY 1, 2009. THE HOSPITAL HAD NO SIGNIFICANT UNCERTAIN TAX POSITIONS AT THE DATE OF ADOPTION OR AT DECEMBER 31, 2010. ACCORDINGLY, THE ADOPTION DID NOT HAVE A MATERIAL EFFECT ON THE HOSPITAL'S FINANCIAL POSITION OR CHANGES IN NET ASSETS. IF INTEREST AND PENALTIES ARE INCURRED RELATED TO UNCERTAIN TAX POSITIONS, SUCH AMOUNTS WOULD BE RECOGNIZED IN INCOME TAX EXPENSE. TAX PERIODS FOR ALL FISCAL YEARS AFTER 2007 REMAIN OPEN TO EXAMINATION BY THE FEDERAL AND STATE TAXING JURISDICTIONS TO WHICH THE HOSPITAL IS SUBJECT. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| 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 | 15796102 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8825260 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6970842 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01970 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 44632607 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 50392663 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -5760056 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1363527 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1494300 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -130773 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 61792236 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 60712223 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1080013 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01970 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1350445 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1350445 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00380 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 145094 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 145094 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 19131599 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14131213 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5000386 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01410 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 755134 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 755134 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 21382272 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14131213 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7251059 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02040 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 83174508 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 74843436 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8331072 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $0 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 113245277 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 127259667 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -14014390 | 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 | 0.51000 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0.00000 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0.49000 | 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 |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NOT REQUIRED | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 2 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| ST DOMINIC AMBULATORY SURGERY CENTER | ||||
| 969 LAKELAND DRIVE | JACKSON | MS | 392164699 | OUTPATIENT SURGERY CENTER |
| ST DOMINIC MEDICAL ASSOCIATES | ||||
| 969 LAKELAND DRIVE | JACKSON | MS | 392164699 | PHYSICIAN CLINICS |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation |
|---|
| 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 50% 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. EXAMPLES OF THESE SERVICES INCLUDE BUT ARE NOT LIMITED TO BEHAVIORAL HEALTH, EMERGENCY DEPARTMENT, INFUSION THERAPY, ETC. |
| 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: ST. DOMINIC HOSPITAL MAKES EVERY EFFORT TO ASSIST PATIENTS WHO CANNOT PAY THEIR MEDICAL BILLS. DURING 2010, WE REVISED THE HOSPITAL'S CHARITY POLICY TO ALLOW USE OF THIRD PARTY SOFTWARE TO PREDICT WHEN PATIENTS QUALIFY FOR CHARITY DISCOUNTS. THIS CHANGE ALLOWS US TO MAKE CHARITY ADJUSTMENTS WHEN THE PATIENTS DO NOT COMPLY WITH THE APPLICATION PROCESS WHICH WILL MORE PROPERLY REFLECT THE PROPER SPLIT BETWEEN BAD DEBT AND CHARITY CARE. DUE TO TIMING AND RECORDING ISSUES WITH THE STATE'S DSH/UPL PROGRAM, THE HOSPITAL RECEIVED AND RECORDED EIGHTEEN MONTHS OF DSH/UPL BENEFIT IN 2010. THESE FUNDS ARE NETTED AGAINST THE HOSPITAL'S BAD DEBT AND CHARITY EXPENSE AND AS A RESULT THE REPORTED 2010 NUMBERS ARE LOWER THAN THEY WOULD NORMALLY BE. WE DO NOT INCLUDE BAD DEBT EXPENSE IN OUR COMMUNITY BENEFIT NUMBERS. IN ORDER TO CALCULATE THE COST OF PROVIDING SERVICES THAT WERE ULTIMATELY WRITTEN OFF TO BAD DEBT, WE USE THE COST TO CHARGE RATIO FROM THE MEDICARE COST REPORT.THE FINANCIAL STATEMENT FOOTNOTE READS- PATIENT ACCOUNTS RECEIVABLE IS REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FOR SERVICES RENDERED COLLECTIBLE FROM FEDERAL AND STATE AGENCIES (UNDER THE MEDICARE AND MEDICAID PROGRAMS), MANAGED HEALTH PLANS, COMMERCIAL INSURANCE COMPANIES, WORKERS' COMPENSATION, EMPLOYERS AND PATIENTS. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS BASED ON HISTORICAL LOSSES AND ON ANALYSIS OF CURRENTLY OUTSTANDING AMOUNTS. THIS ACCOUNT IS GENERALLY INCREASED BY CHARGES TO A PROVISION FOR BAD DEBTS AND DECREASED BY WRITE-OFFS OF ACCOUNTS DETERMINED BY MANAGEMENT TO BE UNCOLLECTIBLE. |
| 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 8: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 2: ST. DOMINIC HOSPITAL ASSESSES THE COMMUNITY WE SERVE THROUGH VARIOUS SOURCES WHICH INCLUDE:1-NEEDS ASSESSMENT PERFORMED BY THE LOCAL UNITED WAY OFFICE2-ANALYSIS OF THE PAYOR SOURCE AND DISEASE CATEGORIES OF PATIENTS TREATED AT ST. DOMINIC HOSPITAL WITH PARTICULAR ANALYSIS DONE ON PATIENTS PRESENTING TO OUR EMERGENCY DEPARTMENT3-FEEDBACK FROM THE BOARD MEMBERS WHO REPRESENT THE COMMUNITY WE SERVE4-REQUESTS MADE TO US FROM OUR COMMUNITY5-PUBLIC HEALTH INFORMATION |
| 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 24/7 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: ST. DOMINIC-JACKSON MEMORIAL HOSPITAL ("ST. DOMINIC HOSPITAL") IS AN ADULT TERTIARY REFERRAL CENTER SERVING RESIDENTS FROM COUNTIES IN THE CENTRAL REGION OF MISSISSIPPI. THE HOSPITAL DEFINES ITS SERVICE AREA AS THE COUNTIES EQUATING TO 85 PERCENT OF THE HOSPITAL ACUTE INPATIENT DISCHARGES. BASED ON 2011 INTERNAL ACUTE DISCHARGE DATA, 12 COUNTIES CONSTITUTE THAT PERCENTAGE OF PATIENT DISCHARGES.THE TOTAL POPULATION FOR ST. DOMINIC'S 12 COUNTY SERVICE AREA EQUALED 746,065 FOR 2010 AND IS PROJECTED TO INCREASE MARGINALLY TO 757,123 IN 2015. THE POPULATION FOR THE HOSPITAL'S SERVICE AREA REPRESENTS 25.1 PERCENT OF THE TOTAL STATE POPULATION FOR 2010 (I.E., STATE POPULATION FOR 2010 EQUALS 3,018,012). FEMALES CONSTITUTE 51.7 PERCENT OF THE TOTAL POPULATION IN THE HOSPITAL'S SERVICE AREA IN 2010, WITH FEMALES OF CHILD BEARING AGE (I.E., 18-44 YEARS OF AGE) EQUALING 136,786 OR 18.3 PERCENT OF THE SERVICE AREA TOTAL POPULATION. THE LARGEST AGE COHORT OF THE HOSPITAL'S SERVICE AREA TOTAL POPULATION IN 2010 ARE PEOPLE 18-44 YEARS OF AGE (271,276 OR 36.4 PERCENT). THE FASTEST GROWING AGE COHORT (2010 TO 2015) IS AGE 65 AND OVER, INCREASING 2.4 PERCENT COMPOUND ANNUAL GROWTH RATE. WHITE-NON HISPANIC CONSTITUTES THE LARGEST PERCENT (I.E., 49.5 PERCENT) OF THE HOSPITAL'S SERVICE AREA TOTAL POPULATION IN 2010. BLACK-NON HISPANIC REPRESENTS 46.3 PERCENT AND HISPANICS REPRESENT 2.2 PERCENT OF THE SERVICE AREA TOTAL POPULATION. STATEWIDE IN 2010, WHITE-NON HISPANIC CONSTITUTED 57.9 PERCENT OF THE TOTAL POPULATION COMPARED TO 36.9 PERCENT FOR BLACK-NON HISPANIC AND 2.6 PERCENT FOR HISPANIC.ACCORDING TO THE MISSISSIPPI DEPARTMENT OF HEALTH'S FY 2010 MISSISSIPPI STATE HEALTH PLAN, THE BIRTH RATE STATEWIDE IN 2007 WAS 15.9 LIVE BIRTHS PER 1,000 POPULATION. THE FERTILITY RATE EQUALED 76.8 LIVE BIRTHS PER 1,000 WOMEN AGED 15-44 YEARS. A TOTAL OF 76.6 PERCENT OF THE LIVE BIRTHS IN 2007 WERE ASSOCIATED WITH AT RISK MOTHERS (35,577 OF THE 46,455 TOTAL BIRTHS), ACCORDING TO THE MISSISSIPPI DEPARTMENT OF HEALTH. THE STATEWIDE FIVE-YEAR AVERAGE INFANT MORTALITY RATE (I.E., 2003 TO 2007) EQUALED 10.5 PER 1,000 POPULATION COMPARED TO 15.0 FOR NON-WHITE AND 6.6 FOR WHITE POPULATION. THE COUNTY WITH THE HIGHEST INFANT MORTALITY RATE IN ST. DOMINIC'S SERVICE AREA IS HINDS COUNTY AT 14.1 PER 1,000 LIVE BIRTHS WITH RANKIN COUNTY REPRSENTING THE LOWEST (8.0). HEART DISEASE WAS THE LEADING CAUSE OF DEATH IN BOTH MISSISSIPPI AND IN THE UNITED STATES. MALIGNANT NEOPLASMS RANKED SECOND IN THE STATE FOLLOWED BY ACCIDENTS, CEREBROVASCULAR DISEASE AND EMPHYSEMA AND OTHER RESPIRATORY DISEASE.ACCORDING TO THE 2010 STATE HEALTH PLAN, MISSISSIPPI RANKED 49TH AMOUNG THE STATES IN PER CAPITA INCOME AND 49TH IN MEDIAN FAMILY INCOME ACCORDING TO THE 2000 CENSUS. IN 2000, THE PER CAPITA INCOME FOR THE STATE EQUALED $14,293, COMPARED TO THE 12 COUNTY SERVICE AREA OF $15,585. |
| PART VI, LINE 6: 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'S INVOLVES MEMBERS OF ITS COMMUNITY IN GOVERNANCE TO MAINTAIN THE FOCUS ON THE NEEDS OF THE COMMUNITY. ST. DOMINIC'S HAS AN OPEN MEDICAL STAFF. ST. DOMINIC HOSPITAL ALSO INVESTS BACK PROFITS AND CASH INTO THE HOSPITAL SO THAT NO LOCAL FUNDS LEAVE THE COMMUNITY. |
| PART VI, LINE 7: 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. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (21 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| VOICE OF CALVARY | |||||||
| PO BOX 10562 | JACKSON | MS | 39289 | 640564343 | 501(C)(3) | 37500 | CHARITABLE SUPPORT |
| TUTWILER COMMUNITY EDUCATION CENTER | |||||||
| 301 HANCOCK AVE | TUTWILER | MS | 38963 | 581887449 | 501(C)(3) | 20000 | CHARITABLE SUPPORT |
| THE CENTER FOR VIOLENCE PREVENTION | |||||||
| PO BOX 6279 | PEARL | MS | 39288 | 581959108 | 501(C)(3) | 37500 | CHARITABLE SUPPORT |
| ST DOMINIC HEALTH SERVICES INC | |||||||
| 969 LAKELAND DR | JACKSON | MS | 392164699 | 640714999 | 501(C)(3) | 1500000 | AFFILIATE SUPPORT |
| OPERATION SHOESTRING | |||||||
| 1711 BAILEY AVENUE | JACKSON | MS | 39283 | 640471554 | 501(C)(3) | 25000 | CHARITABLE SUPPORT |
| NEIGHBORHOOD CHRISTIAN CENTER | |||||||
| 417 W ASH ST | JACKSON | MS | 39203 | 640800919 | 501(C)(3) | 18000 | CHARITABLE SUPPORT |
| MISSION MISSISSIPPI | |||||||
| 120 N CONGRESS ST | JACKSON | MS | 39201 | 640824240 | 501(C)(3) | 30000 | CHARITABLE SUPPORT |
| HOSPICE MINISTRIES | |||||||
| 450 TOWNE CENTER BOULEVARD | RIDGELAND | MS | 39157 | 640789919 | 501(C)(3) | 50000 | CHARITABLE SUPPORT |
| COMMUNITY HEALTH SERVICES-ST DOMINIC INC (CARE-A-VAN) | |||||||
| 969 LAKELAND DR | JACKSON | MS | 392164699 | 640714997 | 501(C)(3) | 130000 | AFFILIATE SUPPORT |
| CHRISTIAN MEDICAL AND DENTAL | |||||||
| P O BOX 4569 | JACKSON | MS | 39296 | 362284267 | 501(C)(3) | 5000 | CHARITABLE SUPPORT |
| CATHOLIC CHARITIES | |||||||
| 200 N CONGRESS ST | JACKSON | MS | 39201 | 640468850 | 501(C)(3) | 145000 | CHARITABLE SUPPORT |
| BREAKTHRU MINISTRIES | |||||||
| PO BOX 39236 | JACKSON | MS | 39236 | 621284192 | 501(C)(3) | 15000 | CHARITABLE SUPPORT |
| BOY SCOUTS OF AMERICA | |||||||
| 855 RIVERSIDE DR | JACKSON | MS | 39202 | 640303071 | 501(C)(3) | 32000 | CHARITABLE SUPPORT |
| BEGINNING AGAIN IN CHRIST | |||||||
| PO BOX 26 | BRANDON | MS | 390430026 | 640592123 | 501(C)(3) | 15000 | CHARITABLE SUPPORT |
| SOUTHERN CHRISTIAN SERVICES | |||||||
| 860 EAST RIVER PLACE SUITE 104 | JACKSON | MS | 39202 | 640758344 | 501(C)(3) | 40000 | CHARITABLE SUPPORT |
| CENTER FOR PREGNANCY CHOICES | |||||||
| PO BOX 55664 | JACKSON | MS | 39296 | 640757399 | 501(C)(3) | 22500 | CHARITABLE SUPPORT |
| COHA INC | |||||||
| 805 EAST RIVER PLACE SUITE 104 | JACKSON | MS | 39202 | 640861570 | 501(C)(3) | 25000 | CHARITABLE SUPPORT |
| DEPORRES DELTA MINISTRIES | |||||||
| 220 EAST MAIN STREET PO DRAWER 347 | MARKS | MS | 38646 | 640807096 | 501(C)(3) | 60000 | CHARITABLE SUPPORT |
| DREAM INC | |||||||
| 310 AIRPORT ROAD | MARKS | MS | 39208 | 640655629 | 501(C)(3) | 12500 | CHARITABLE SUPPORT |
| LANTERN MEDICAL CLINIC | |||||||
| 198 KIRKWOOD PLACE | JACKSON | MS | 39211 | 262621541 | 501(C)(3) | 20000 | CHARITABLE SUPPORT |
| MISSISSIPPI CHILDREN'S HOME SERVICES | |||||||
| PO BOX 1078 | JACKSON | MS | 39215 | 640303085 | 501(C)(3) | 15000 | CHARITABLE SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 21 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
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) |
|---|---|---|
| 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 (16 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CLAUDE W HARBARGER | |||||||||||||
| 603302 | 0 | 0 | 0 | 3435 | 0 | 32866 | 0 | 6438 | 0 | 646041 | 0 | 0 | 0 |
| JENNIFER SINCLAIR | |||||||||||||
| 248933 | 0 | 0 | 0 | 0 | 0 | 32866 | 0 | 5300 | 0 | 287099 | 0 | 0 | 0 |
| LESTER DIAMOND | |||||||||||||
| 324181 | 0 | 0 | 0 | 0 | 0 | 32866 | 0 | 7506 | 0 | 364553 | 0 | 0 | 0 |
| ROBERT MOBLEY MD | |||||||||||||
| 385311 | 0 | 0 | 0 | 0 | 0 | 32866 | 0 | 6438 | 0 | 424615 | 0 | 0 | 0 |
| PAUL ARRINGTON | |||||||||||||
| 219497 | 0 | 0 | 0 | 0 | 0 | 29446 | 0 | 7506 | 0 | 256449 | 0 | 0 | 0 |
| KEITH VAN CAMP | |||||||||||||
| 239502 | 0 | 0 | 0 | 0 | 0 | 32866 | 0 | 0 | 0 | 272368 | 0 | 0 | 0 |
| STEPHEN BOMGARDNER | |||||||||||||
| 217731 | 0 | 0 | 0 | 0 | 0 | 29209 | 0 | 6438 | 0 | 253378 | 0 | 0 | 0 |
| BECKY LOWE | |||||||||||||
| 198990 | 0 | 0 | 0 | 0 | 0 | 26695 | 0 | 0 | 0 | 225685 | 0 | 0 | 0 |
| TRACE SWARTZFAGER | |||||||||||||
| 204250 | 0 | 0 | 0 | 0 | 0 | 27400 | 0 | 6109 | 0 | 237759 | 0 | 0 | 0 |
| LAMAR NESBIT | |||||||||||||
| 273514 | 0 | 0 | 0 | 0 | 0 | 32866 | 0 | 6438 | 0 | 312818 | 0 | 0 | 0 |
| JOHN LANCON MD | |||||||||||||
| 1106611 | 0 | 50010 | 0 | 0 | 0 | 0 | 0 | 7506 | 0 | 1164127 | 0 | 0 | 0 |
| GERHARD MUNDINGER MD | |||||||||||||
| 736030 | 0 | 141000 | 0 | 0 | 0 | 0 | 0 | 6438 | 0 | 883468 | 0 | 0 | 0 |
| RONALD KENNEDY MD | |||||||||||||
| 736479 | 0 | 142500 | 0 | 0 | 0 | 0 | 0 | 7506 | 0 | 886485 | 0 | 0 | 0 |
| KYLE GORDON MD | |||||||||||||
| 740465 | 0 | 107638 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 848103 | 0 | 0 | 0 |
| HUEY B MCDANIEL MD | |||||||||||||
| 507204 | 0 | 60563 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 567767 | 0 | 0 | 0 |
| RALPH E SULSER MD | |||||||||||||
| 212825 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 6438 | 0 | 219263 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| MELANIE GRAFTON | |||
| DAUGHTER OF BOARD MEMBER, DAN GRAFTON | 60096 | MELANIE GRAFTON IS AN EMPLOYEE OF ST. DOMINIC-JACKSON MEMORIAL HOSPITAL. | 0 |
| JACKSON PULMONARY | |||
| DR. JIMMY JONES, DIRECTOR, IS A GREATER THAN 5% OWNER | 491790 | HOSPITAL CONTRACTS WITH JACKSON PULMONARY FOR INTENSIVIST SERVICES | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| 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. | |
| BOARD MEMBERS ARE REQUIRED TO FILL OUT AND SIGN A CONFLICT FORM ANNUALLY. | FORM 990, PART VI, SECTION B, LINE 12C | |
| 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 B, LINE 15 | |
| THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 2,942,306. PENSION TRANSITION ADJUSTMENT PER FAS 158 -4,160,531. TOTAL TO FORM 990, PART XI, LINE 5: -1,218,225. | FORM 990, PART XI, LINE 5: |
| COMMITTEE FOR AUDIT OVERSIGHT | 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. | FORM 990, PART XI, LINE 2C |
| REPORTABLE COMPENSATION- RALPH E. SULSER, MD | DR. SULSER SERVES AS A MEDICAL DIRECTOR OF THE ORGANIZATION'S WEIGHT LOSS PROGRAM AND WAS PAID COMPENSATION REPORTED ON FORM 1099 FOR 2010 AND PAID W-2 WAGES FOR HIS EMPLOYMENT BY THE HOSPITAL'S 100% OWNED SINGLE MEMEBER LLC, ST. DOMINIC MEDICAL ASSOCIATES, AS SET FORTH ON PART VII. HIS EMPLOYMENT WITH MEDICAL ASSOCIATES BEGAN IN 2009, AND HIS BOARD TERM ENDED 12/31/2009 IN ORDER TO AVOID ANY POTENTIAL CONFLICTS. | FORM 990, PART VII, SECTION A |
| AVERAGE HOURS PER WEEK- RELATED ORGS. | SISTER MARY DOROTHEA SONDGEROTH, BOARD CHAIRMAN, SPENDS AN ADDITONAL 42 HRS/WEEK ON RELATED ORGS. SISTER MARY TRINITA EDDINGTON, BOARD SECRETARY/TREASURER, SPENDS AN ADDITONAL 40.5 HRS/WEEK ON RELATED ORGS. SISTER REBECCA ANN GEMMA, DIRECTOR, SPENDS AN ADDITONAL 1 HRS/WEEK ON RELATED ORGS. | FORM 990, PART VII, LINE 1A, COLUMN B |
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 | 16336867 | TotalIncome |
| EOY Assets | 4341696 | EOYAssets |
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 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| 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) | 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 |
| 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) | 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) | 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 | |
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 |
| Predominant Income Type | RELATED | PredominantIncomeType |
| Share Of Total Income | -142243 | ShareOfTotalIncome |
| Share Of EOY Assets | 1136143 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Percentage Ownership | 0.51000 | 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 | Type Of EntityTypeOfEntity | 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 | C | |||
| FIRST INTERMED | ||||||||||
| 308 CORPORATE DRIVE | RIDGELAND | MS | 39157 | 640824796 | HEALTHCARE | MS | C | |||
| PHYSICIANSPLUS BAPTIST & ST DOMINIC INC | ||||||||||
| 969 LAKELAND DRIVE | JACKSON | MS | 392164699 | 640889895 | HEALTHCARE | MS | C | |||
| ST DOMINIC INTEGRATED SERVICES INC | ||||||||||
| 969 LAKELAND DRIVE | JACKSON | MS | 392164699 | 271493623 | INVESTMENT IN MEDICAL | MS | C | 207872 | 1685865 | 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 |
| 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 | 0 | 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 |
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