Totals
- Total revenue
- $1,123,491
- Total expenses
- $462,822
- Contributions and grants received
- $113,258
- Grants paid
- $0
- Program services expenses (Part IX)
- $428,033
- Management and general expenses
- $34,789
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $428,033
Program services were 92.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
ALISON WALKER
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5 + 1.5 related
-
JOLEE BOLLINGER
SECRETARY (THRU 3/2023)
- Total calculated
- $943,636
- From this org
- $0
- From related orgs
- $785,327
- Other
- $158,309
- Hours/week
- 1 + 51 related
Schedule J breakdown matched by us
- Base
- $0 + $546,160 related
- Bonus
- $0 + $160,742 related
- Other
- $0 + $78,425 related
- Deferred
- $0 + $138,445 related
- Nontaxable benefits
- $0 + $19,864 related
- Filer's total
- $0 + $943,636 related
-
KAREN ALLEN
PRESIDENT
- Total calculated
- $454,787
- From this org
- $0
- From related orgs
- $407,367
- Other
- $47,420
- Hours/week
- 3 + 44 related
Schedule J breakdown matched by us
- Base
- $0 + $309,140 related
- Bonus
- $0 + $93,325 related
- Other
- $0 + $4,902 related
- Deferred
- $0 + $27,450 related
- Nontaxable benefits
- $0 + $19,970 related
- Filer's total
- $0 + $454,787 related
-
LOWELL STANTON
REGIONAL CFO (UNTIL 8/2022)
- Total calculated
- $648,848
- From this org
- $0
- From related orgs
- $606,053
- Other
- $42,795
- Hours/week
- 1 + 51.5 related
Schedule J breakdown matched by us
- Base
- $0 + $461,602 related
- Bonus
- $0 + $141,829 related
- Other
- $0 + $2,622 related
- Deferred
- $0 + $15,250 related
- Nontaxable benefits
- $0 + $27,545 related
- Filer's total
- $0 + $648,848 related
-
LYNN BRADLEY
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5 + 1.5 related
-
OLIVIA OGDEN OLINDE
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5 + 1.5 related
-
SHARON THOMS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5 + 1.5 related
-
SR HELEN CAHILL OSF
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5 + 5 related
-
VICTOR HOWELL
CHAIR
- Total calculated
- $0
- Hours/week
- 0.5 + 1.5 related
-
WILLIAM R MULLINS III
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5 + 1.5 related
-
JENNIFER CLOWERS
REGIONAL CFO (FROM 8/2022)
- Total calculated
- $577,368
- From this org
- $0
- From related orgs
- $506,713
- Other
- $70,655
- Hours/week
- 0.5 + 46 related
Schedule J breakdown matched by us
- Base
- $0 + $352,392 related
- Bonus
- $0 + $152,086 related
- Other
- $0 + $2,235 related
- Deferred
- $0 + $44,531 related
- Nontaxable benefits
- $0 + $26,124 related
- Filer's total
- $0 + $577,368 related
-
JEFF LIMBOCKER
FORMER CFO (THRU 9/2022)
- Total calculated
- $875,663
- From this org
- $0
- From related orgs
- $855,174
- Other
- $20,489
- Hours/week
- 0 + 50 related
Schedule J breakdown matched by us
- Base
- $0 + $561,480 related
- Bonus
- $0 + $216,453 related
- Other
- $0 + $77,241 related
- Deferred
- $0
- Nontaxable benefits
- $0 + $20,489 related
- Filer's total
- $0 + $875,663 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 3
- THE PRESIDENT IS PAID BY FMOL HEALTH SYSTEM, A RELATED TAX EXEMPT ORGANIZATION. THE FMOLHS BOARD OF DIRECTORS APPOINTS A COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT BOARD MEMBERS, TO REVIEW AND SET THE PRESIDENT'S COMPENSATION ANNUALLY. THE COMPENSATION COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING A COMPENSATION STUDY/SURVEY FROM AN INDEPENDENT COMPENSATION CONSULTANT. THE COMPENSATION COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR DETERMINATION IS THEN DOCUMENTED BY THE COMPENSATION COMMITTEE.
- PART I, QUESTION 4B
- FMOLHS MAINTAINS THREE UNFUNDED DEFERRED COMPENSATION PLANS WHICH MEET THE REQUIREMENTS OF IRC SECTION 457(F) AND IRC SECTION 409A. THE PLANS PROVIDE FOR COMPENSATION TO BE DEFERRED AND PAID UPON THE OCCURRENCE OF CERTAIN EVENTS SUCH AS TERMINATION WITHOUT CAUSE, DISABILITY, DEATH OR ATTAINMENT OF A SPECIFIC PAYMENT DATE. PARTICIPATION IN THE PLANS IS LIMITED TO CERTAIN EXECUTIVES AND IS SUBJECT TO APPROVAL OF FMOLHS BOARD OF DIRECTORS OR A DESIGNATED COMMITTEE OF SUCH BOARD. JEFF LIMBOCKER RECEIVED A PAYMENT IN THE AMOUNT OF $75,123 FROM THE PLANS IN THE CURRENT YEAR. JOLEE BOLLINGER RECEIVED A PAYMENT IN THE AMOUNT OF $75,278 FROM THE PLANS IN THE CURRENT YEAR.
- PART I, QUESTION 4A
- THE PRESIDENT, THE EXITING REGIONAL CFO AND THE NEW REGIONAL CFO ARE ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR A TERMINATION OF EMPLOYMENT WITHOUT CAUSE, FOR GOOD REASON, OR DUE TO CHANGE OF CONTROL. IF TRIGGERED, THE EMPLOYEE WOULD BE PAID HIS/HER BASE SALARY AND PROVIDED RETIREMENT AND WELFARE BENEFITS FOR AN ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD IS EITHER 12 OR 18 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. THE FORMER CFO AND THE SECRETARY ARE ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR TERMINATION OF EMPLOYMENT WITHOUT CAUSE, FOR GOOD REASON, AND FOR A CHANGE OF CONTROL. IF TRIGGERED, THE EXECUTIVE WOULD BE PAID HIS/HER BASE SALARY AND AN ANNUAL INCENTIVE AT TARGET AND PROVIDED RETIREMENT AND WELFARE BENEFITS FOR AN ENTITLEMENT PERIOD. THE ENTITLEMENT PERIOD IS 24 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
ST DOMINIC HEALTH SERVICES INC
501(C)(3) · HOLDING CO · MS
Directly controlled by FMOLHS
-
COMMUNITY HEALTH SERVICES - ST DOMINIC
501(C)(3) · HEALTH PROGRAM · MS
Directly controlled by SDHS
-
ST DOMINIC - JACKSON MEMORIAL HOSPITAL
501(C)(3) · HOSPITAL · MS
Directly controlled by SDHS
-
ST DOMINIC - HEALTH SERVICES FOUNDATION
501(C)(3) · FUNDRAISING · MS
Directly controlled by SDHS
-
501(C)(3) · RET HOME · MS
Directly controlled by SDHS
-
HEALTH CARE CENTERS IN SCHOOLS
501(C)(3) · HEALTHCARE · LA
Directly controlled by OLOL
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 14 May 2024
- IRS schema version
- 2022v5.0
- Source object
- 202431369349306813
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