Form 990 for tax year 2022
Filed by ST DOMINIC HEALTH SERVICES FOUNDATION INC.
Totals
- Total revenue
- $1,134,070
- Total expenses
- $1,491,887
- Contributions and grants received
- $776,943
- Grants paid
- $1,275,423
- Program services expenses (Part IX)
- $1,275,423
- Management and general expenses
- $5,251
- Fundraising expenses
- $211,213
- Program service expenses (Part III)
- $1,275,423
Program services were 85.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
AMY BOTELER
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5
-
BARTON LAMPTON
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5
-
BOBBY ARNOLD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5
-
BRIAN JOHNSON
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5
-
C RALPH DANIEL III MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5
-
CHARLES POSTON
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5
-
CHERYL RULA
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5
-
D PAUL SEAGO MD
BOARD MEMBER/PHYSICIAN
- Total calculated
- $1,009,242
- From this org
- $0
- From related orgs
- $974,725
- Other
- $34,517
- Hours/week
- 0.5 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $773,953 related
- Bonus
- $0 + $93,597 related
- Other
- $0 + $107,175 related
- Deferred
- $0 + $15,250 related
- Nontaxable benefits
- $0 + $19,267 related
- Filer's total
- $0 + $1,009,242 related
-
DICKENS Q FOURNET
SECRETARY
- Total calculated
- $0
- Hours/week
- 0.5
-
DOUG RALSTON
CHAIR
- Total calculated
- $0
- Hours/week
- 0.5
-
JAMES HOUSE III MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5
-
JOE RICE
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5
-
JOSEPH GOODELL
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5
-
JULIE HERLIHY
IMMEDIATE PAST CHAIR
- Total calculated
- $0
- Hours/week
- 0.5
-
KENNY WILLIAMSON
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5
-
LARRY RATZLAFF
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5
-
MATT JAMES
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5
-
RITA MARTINSON
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 0.5
-
SCOTT KASHMAN
MARKET PRESIDENT
- Total calculated
- $708,506
- From this org
- $0
- From related orgs
- $610,569
- Other
- $97,937
- Hours/week
- 0.5 + 42 related
Schedule J breakdown matched by us
- Base
- $0 + $499,303 related
- Bonus
- $0 + $108,077 related
- Other
- $0 + $3,189 related
- Deferred
- $0 + $70,852 related
- Nontaxable benefits
- $0 + $27,085 related
- Filer's total
- $0 + $708,506 related
-
SHIRLEY TUCKER
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5
-
SISTER DOROTHEA SONDGEROTH
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5 + 41.75 related
-
TRISH DUNCAN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5
-
TRUDY LIPSCOMB
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 0.5
-
KAY MCREE
EXECUTIVE DIRECTOR
- Total calculated
- $249,888
- From this org
- $0
- From related orgs
- $226,098
- Other
- $23,790
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $204,828 related
- Bonus
- $0 + $20,428 related
- Other
- $0 + $842 related
- Deferred
- $0 + $11,597 related
- Nontaxable benefits
- $0 + $12,193 related
- Filer's total
- $0 + $249,888 related
-
SAM SCOTT
SVP, CFO
- Total calculated
- $516,904
- From this org
- $0
- From related orgs
- $484,817
- Other
- $32,087
- Hours/week
- 0.5 + 41.75 related
Schedule J breakdown matched by us
- Base
- $0 + $321,567 related
- Bonus
- $0 + $157,491 related
- Other
- $0 + $5,759 related
- Deferred
- $0 + $14,175 related
- Nontaxable benefits
- $0 + $17,912 related
- Filer's total
- $0 + $516,904 related
-
LESTER DIAMOND
FORMER PRESIDENT
- Total calculated
- $531,654
- From this org
- $0
- From related orgs
- $531,654
- Other
- $0
- Hours/week
- 0
Schedule J breakdown matched by us
- Base
- $0
- Bonus
- $0
- Other
- $0 + $531,654 related
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $531,654 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
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
Answered no
- 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 FMOL HEALTH SYSTEM INC. BOARD OF DIRECTORS DESIGNATES A COMPENSATION COMMITTEE, MADE UP OF INDEPENDENT BOARD MEMBERS, TO REVIEW AND SET 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 MAKING SUCH DETERMINATION IS DOCUMENTED BY THE COMPENSATION COMMITTEE.
- PART I, LINE 4A:
- THREE OFFICERS 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 18 MONTHS. NO PAYMENTS WERE MADE UNDER THE PLAN IN THE CURRENT YEAR. ONE FORMER OFFICER IS 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 24 MONTHS. LESTER DIAMOND RECEIVED A PAYMENT OF $531,654 IN THE CURRENT YEAR.
- PART I, LINE 4B:
- FMOLHS MAINTAINS THREE UNFUNDED DEFERRED COMPENSATION PLANS WHICH MEET THE REQUIREMENTS OF IRC SECTION 457(F) AND IRC SECTION 409A. THE PLANS PROVIDES 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. NO ONE LISTED IN PART VII, SECTION A RECEIVED A PAYMENT 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
-
$174,496
GENERAL ASSISTANCE
-
GENERAL ASSISTANCE AND SENIOR CARE
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
-
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
- 202431369349307393
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