2024-05-15T15:21:39-05:00 2023-06-30 135565207 KPMG LLP 301 MAIN STREET SUITE 2150 BATON ROUGE LA 70801 990 2022-07-01 640714999 ST DOMINIC HEALTH SERVICES INC STDO 6012006951 969 LAKELAND DRIVE JACKSON MS 392164699 SAM SCOTT CFO/TREASURER 6012006951 2024-05-14 1 SAM SCOTT 999009999 0 RYAN HOOKS P00746825 2253444000 2024-05-15 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z SAM SCOTT 969 LAKELAND DRIVE JACKSON MS 392164699 35307659 0 X WWW.STDOM.COM X 1985 MS SDHS MANAGES AN INTEGRATED HEALTH SYSTEM TO MAKE A DIFFERENCE IN OUR COMMUNITIES THROUGH CATHOLIC HEALTH SERVICES BY CALLING FORTH ALL WHO SERVE IN THE HEALTHCARE MINISTRY. 11 8 6 8 0 0 0 2029382 8938966 8216455 6476612 2408678 0 0 15415578 12654515 1017211 1500 0 0 2312884 0 0 0 0 5766549 1559054 9096644 1560554 6318934 11093961 188916017 212811112 26659463 24334475 162256554 188476637 X INSPIRED BY THE VISION OF ST. FRANCIS AND IN THE TRADITION OF THE ROMAN CATHOLIC CHURCH, WE EXTEND THE HEALING MINISTRY OF JESUS CHRIST TO GOD'S PEOPLE, ESPECIALLY THOSE MOST IN NEED. WE CALL FORTH ALL WHO SERVE IN THIS HEALTHCARE MINISTRY, TO SHARE THEIR GIFTS AND TALENTS TO CREATE A SPIRIT OF HEALING- WITH REVERANCE AND LOVE FOR ALL OF LIFE, WITH JOYFULNESS OF SPIRIT, AND WITH HUMILITY AND JUSTICE FOR ALL THOSE ENTRUSTED IN OUR CARE. WE ARE, WITH GOD'S HELP, A HEALING AND SPIRITUAL PRESENCE FOR EACH OTHER AND FOR THE COMMUNITIES WE ARE PRIVILEGED TO SERVE. 0 0 540442 1500 8216455 ST. DOMINIC HEALTH SERVICES (SDHS) IS THE PARENT COMPANY OF A MULTI-DIMENSIONAL PROVIDER OF HEALTH CARE SERVICES WITH CORPORATE HEADQUARTERS IN JACKSON, MS. SDHS PROVIDES MANAGEMENT SERVICES TO ITS AFFILIATED COMPANIES INCLUDING THE FOLLOWING ENTITIES:ST. DOMINIC - JACKSON MEMORIAL HOSPITALI. 571-BED ADULT TERTIARY REFERRAL CENTERII. SERVES A BROAD AREA ENCOMPASSING JACKSON AND MOST OF CENTRAL MISSISSIPPI III. INCLUDES PRIMARY AND SPECIALTY PHYSICIAN SERVICESST. CATHERINE'S VILLAGE, INC. I. CONSIST OF 246 INDEPENDENT LIVING UNITS-MULTIPLE INDIVIDUALS IN EACH UNIT INCLUDING 54 GARDEN HOMESII. 120 SKILLED NURSING BEDS LOCATED IN THREE DIFFERENT AREAS OF SKILLED NURSING. THREE LOCATIONS-SIENA, TUSCANY AND HUGHES CENTER LICENSED NURSING HOME WITH 120 BEDS III. 53 BASIC ASSISTED LIVING BEDS IN MARIAN HALLIV. 24 ALZHEIMER'S ASSISTED LIVING BEDS IN CAMPBELL COVECOMMUNITY HEALTH SERVICES - ST. DOMINIC, INC. I. THE CLUB (ST. DOMINIC'S COMMUNITY WELLNESS PROGRAM) OFFERS A COMPREHENSIVE SELECTION OF PERSONALIZED, MEDICALLY INTEGRATED HEALTH EDUCATION AND FITNESS PROGRAMS AVAILABLE TO EMPLOYEES, MEMBERS AND THE COMMUNITY. II. NEW DIRECTIONS FOR OVER 55 (SENIOR ADULT PROGRAM) PROVIDES EDUCATION AND SERVICES TO HELP KEEP SENIOR ADULTS ACTIVE AND ENGAGED. III. CARE-A-VAN MOBILE HEALTH SCREENING UNIT PROVIDES HEALTH SCREENINGS AND VACCINATIONS ACROSS MISSISSIPPI WITH FOCUS ON UNDERSERVED POPULATIONS. IV. COMMUNITY HEALTH CLINIC PROVIDES PRIMARY CARE TO THE UNINSURED IN AN UNDERSERVED AREA OF JACKSON. ST. DOMINIC HEALTH SERVICES FOUNDATION, INC. I. THE ST. DOMINIC HEALTH SERVICES FOUNDATION SUPPORTS THE MISSION AND VISION OF ST. DOMINIC HEALTH SERVICES AND ITS SUBSIDIARIES THROUGH MULTIPLE FUNDRAISING AND GIVING INITIATIVES THAT CONVEY A CHRISTIAN MESSAGE. ST. DOMINIC MADISON HEALTH SERVICES, INC. I. SUPPORTS THE SDHS MISSION THROUGH OPERATION OF A MEDICAL OFFICE BUILDING THAT INCREASES ACCESS TO HEALTH SERVICES II. PARTNERS IN THE OPERATION OF A HEALTH AND WELLNESS CENTER IN MADISON COUNTY THAT OFFERS FAMILY - ORIENTED HEALTH AND FITNESS SERVICES. 540442 1 1 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 6 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X SAM SCOTT 6012006642 969 LAKELAND DRIVE JACKSON MS 392164699 SISTER M DOROTHEA SONDGEROTH VICE CHAIR 40.00 2.25 X X 0 0 0 SISTER M TRINITA EDDINGTON SECRETARY 4.00 37.25 X X 0 0 0 E B ROBINSON JR BOARD MEMBER 1.00 0.00 X 0 0 0 MARCELO J RUVINSKY MD CHAIR 1.00 0.00 X X 0 0 0 SISTER ROSE MIRIAM SCHULTE OP BOARD MEMBER 1.00 0.75 X 0 0 0 BISHOP JOSEPH KOPACZ BOARD MEMBER 1.00 0.00 X 0 0 0 SISTER BETH MURPHY BOARD MEMBER 1.00 0.00 X 0 0 0 RICHARD VATH MD BOARD MEMBER/FMOLHS CEO 1.00 50.50 X 0 2769477 47780 STEWARD GENTRY BOARD MEMBER 1.00 0.00 X 0 0 0 SCOTT KASHMAN MARKET PRESIDENT (UNTIL 6/23) 1.00 41.50 X X 0 610569 97937 BRYAN B MILLER MD VP, CCTO FMOLHS 1.75 40.00 X 0 421403 33362 KRISTIN WOLKART INTERIM MARKET PRESIDENT (FROM 6/23) 1.00 42.25 X X 0 575846 115578 SAMUEL SCOTT SVP, CFO, TREASURER 2.25 40.00 X 0 484817 32087 KAY MCREE SDHS FOUNDATION EXECUTIVE DIRECTOR 40.00 1.00 X 226098 0 23790 DAVID ESTORGE VP BUS DEV & INTEGRATION 40.00 1.00 X 304755 0 41705 LESTER DIAMOND FORMER PRESIDENT 0.00 0.00 X 0 531654 0 530853 5393766 392239 2 1 1 0 BRUNINI GRANTHAM GROWER & HEWES PO BOX 119 JACKSON MS 39205 LITIGATION MATTERS 515578 1 2029382 2029382 MANAGEMENT FEES 561000 8008505 8008505 RENTAL INCOME 531120 169162 169162 OTHER REVENUE 561499 38788 38788 8216455 1286789 1286789 23476902 298131 22653144 0 823758 298131 1121889 1121889 12654515 8216455 0 2408678 1500 1500 -248392 7934 -256326 79031 79031 3938 3938 188475 188475 47404 1 47403 1394 1394 760541 2007 758534 196905 167369 29536 10179 10179 934 934 10648 536 10112 157787 134119 23668 184536 184536 REPAIRS AND MAINTENANCE 121703 28283 93420 MEDICAL SUPPLIES 43380 10081 33299 OTHER EXPENSES 591 137 454 1560554 540442 1020112 0 1908345 1322491 9562004 6321 3521 36749 22853824 329737 30264736 22524087 134968604 147951182 8210252 8210252 13521010 23237575 188916017 212811112 2947491 2599432 23711972 21735043 26659463 24334475 X 162256554 185712135 2764502 162256554 188476637 188916017 212811112 X 11093961 8603367 6522755 X 0 1 X 1 1 1 X X 4 ST DOMINIC JACKSON MEMORIAL HOSPITAL 640303091 3 0 0 7639663 COMMUNITY HEALTH SERVICES - ST DOMINIC 640884870 10 0 0 32292 ST CATHERINE'S VILLAGE 640714997 10 0 0 336550 ST DOMINIC HEALTH SERVICES FOUNDATION 431992975 7 0 0 735120 4 0 8743625 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 PART IV, SECTION A, LINE 1: ST. DOMINIC HEALTH SERVICES ("SDHS") SUPPORTS THE FOLLOWING ENTITIES: - ST. DOMINIC JACKSON MEMORIAL HOSPITAL ("HOSPITAL") - COMMUNITY HEALTH SERVICES - ST. DOMINIC ("CHS") - ST. CATHERINE'S VILLAGE ("SCV") - ST. DOMINIC HEALTH SERVICES FOUNDATION ("FOUNDATION") SDHS HAS A HISTORIC AND CONTINUING RELATIONSHIP WITH EACH OF THE ABOVE ENTITIES (COLLECTIVELY AFFILIATES) WHICH SPANS MANY DECADES. SDHS IS THE PARENT COMPANY OF THE AFFILIATES AND WORKS WITH EACH ON A DAILY BASIS TO PROVIDE CRITICAL HEALTHCARE, ELDERLY HOUSING AND ASSISTED LIVING, HEALTH EDUCATION AND OTHER COMMUNITY BENEFITS FOR THE SURROUNDING COMMUNITY AND ITS SCHOOLS. SDHS WAS FORMED IN 1985 FOR THE PURPOSE OF SUPPORTING THE HOSPITAL AND OTHER AFFILIATES. SDHS AND THE AFFILIATES ALSO HAVE SEVERAL OF THE SAME BOARD MEMBERS AND OFFICERS WHICH SERVE TO ENSURE A CLOSE AND CONTINUING RELATIONSHIP. DURING THIS FISCAL YEAR, THE HOSPITAL HAS FIVE BOARD MEMBERS WHO ALSO SERVED AS BOARD MEMBERS OF SDHS. BOTH THE MARKET PRESIDENT AND CFO OF SDHS ARE ALSO OFFICERS OF THE HOSPITAL, SDHS FOUNDATION, CHS, AND SCV. SDHS, HOSPITAL AND SDHS FOUNDATION HAVE TWO SIMILAR BOARD MEMBERS. SDHS, HOSPITAL, CHS AND SCV HAVE TWO SIMILAR BOARD MEMBERS. HOSPITAL AND SDHS FOUNDATION HAVE THREE SIMILAR BOARD MEMBERS. THE ENTITIES' INTERWOVEN HISTORY ALONG WITH ITS OVERLAPPING DIRECTORS/OFFICERS AND DAY-TO-DAY COLLABORATION SUPPORT A HISTORIC AND CONTINUING RELATIONSHIP BETWEEN SDHS AND THE ABOVE-LISTED AFFILIATES. PART IV, SECTION D, LINE 3: THE SUPPORTED ORGANIZATIONS (THE HOSPITAL, CHS, SCV, AND FOUNDATION) ALL HAD A SIGNIFICANT VOICE IN THE SDHS'S INVESTMENT POLICIES AND IN DIRECTING THE USE OF THE SDHS'S INCOME OR ASSETS AT ALL TIMES DURING THE YEAR SINCE THEY HAD MANY OF THE SAME OFFICERS AND BOARD MEMBERS AS SDHS. SDHS PROVIDES STRATEGIC PLANNING, LEADERSHIP SERVICES, AND BUSINESS SUPPORT SERVICES TO ITS SUPPORTED ORGANIZATIONS. THESE SERVICES ARE INFLUENCED BY AND RESULT FROM THE EXPRESSED NEEDS OF THE SUPPORTED ORGANIZATIONS. PART IV, SECTION E, LINE 3A: WITH REGARDS TO EACH OF THE SUPPORTED ENTITIES, SDHS HAS THE POWER TO APPROVE THE ELECTION OF ALL OFFICERS AND BOARD MEMBERS INCLUDING THE CHAIR OF THE BOARD, THE VICE-CHAIR OF THE BOARD, AND THE PRESIDENT OF THE FOUNDATION. PART IV, SECTION E, LINE 3B: SDHS PROVIDES MANAGEMENT AND OTHER SUPPORT SERVICES TO EACH OF ITS SUPPORTED ORGANIZATIONS ON A DAILY BASIS. SUCH SERVICES INCLUDE STRATEGIC PLANNING, LEADERSHIP SERVICES, PROJECT PLANNING, AND BUSINESS SUPPORT FUNCTIONS INCLUDING FINANCE LEADERSHIP, LEGAL, MISSION INTEGRATION, AND HUMAN RESOURCES LEADERSHIP. THE NATURE OF THESE SERVICES PROVIDED TO THE SUPPORTED ORGANIZATIONS NECESSITATE THE REQUISITE DEGREE OF DIRECTION OVER THE POLICIES, PROGRAMS, AND ACTIVITIES OF EACH SUPPORTED ORGANIZATION. THE SUPPORTED ORGANIZATIONS WOULD NOT BE ABLE TO ACCOMPLISH THE CRITICAL HEALTHCARE AND COMMUNITY SERVICES THEY PROVIDE WITHOUT THE GUIDANCE AND DIRECTION GAINED FROM SDHS. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 746 1 62423 0 0 63169 0 PART II-B, LINE 1G: ST. DOMINIC HEALTH SERVICES, INC. PAID A LOBBYING CONSULTANT WHO HAD DIRECT CONTACT WITH LEGISLATORS TO DISCUSS VARIOUS PUBLIC POLICY ISSUES AND LEGISLATIVE MATTERS. PART II-B, LINE 1F: A PORTION OF DUES PAID TO VARIOUS MEMBERSHIP ORGANIZATIONS IS CONSIDERED LOBBYING AND IS REPORTED ON LINE 1F. 20140000 20140000 2564594 199117 2365477 149230 130620 18610 22524087 FND DEPR FMOL PORTFOLIO 117026343 F FND DEPR ST DOMINIC PORTFOLIO 3922970 F SELF INSURED TRUST 27001869 F 147951182 INT IN NET ASSETS OF FND 2764502 NET DUE TO/FROM AFFILIATES 20473073 23237575 RETIREMENT PAYABLE LONG TERM 1080995 SELF INSURANCE LIABILITY - LT 20654048 21735043 X PART X, LINE 2: FIN 48 (ASC 740) FOOTNOTE: ST. DOMINIC HEALTH SERVICES RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGEMENT OCCURS. NO RESERVES FOR UNCERTAIN TAX POSITIONS HAVE BEEN RECORDED. 1 1 0 0 0 0 0 0 0 RICHARD VATH MD BOARD MEMBER/FMOLHS CEO 0 1713662 0 1032089 0 23726 0 27450 0 20330 0 2817257 0 0 SCOTT KASHMAN MARKET PRESIDENT (UNTIL 6/23) 0 499303 0 108077 0 3189 0 70852 0 27085 0 708506 0 0 KRISTIN WOLKART INTERIM MARKET PRESIDENT (FROM 6/23) 0 440832 0 131783 0 3231 0 95636 0 19942 0 691424 0 0 LESTER DIAMOND FORMER PRESIDENT 0 0 0 0 0 531654 0 0 0 0 0 531654 0 0 SAMUEL SCOTT SVP, CFO, TREASURER 0 321567 0 157491 0 5759 0 14175 0 17912 0 516904 0 0 BRYAN B MILLER MD VP, CCTO FMOLHS 0 366022 0 52860 0 2521 0 15250 0 18112 0 454765 0 0 DAVID ESTORGE VP BUS DEV & INTEGRATION 235801 0 67002 0 1952 0 13930 0 27775 0 346460 0 0 0 KAY MCREE SDHS FOUNDATION EXECUTIVE DIRECTOR 204828 0 20428 0 842 0 11597 0 12193 0 249888 0 0 0 PART I, LINE 3 THE MARKET PRESIDENT IS PAID BY FMOL HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION. THE FMOLHS 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 APPRROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR MAKING SUCH DETERMINATION IS DOCUMENTATED BY THE COMPENSATION COMMITTEE. PART I, LINES 4A-B 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. NO ONE LISTED ON PART VII, SECTION A RECEIVED A PAYMENT FROM THE PLANS IN THE CURRENT YEAR. PART 1, QUESTION 4A: A BOARD MEMBER IS 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. TWO OFFICERS AND ONE CURRENT BOARD MEMBER ARE ENTITLED TO A SEVERANCE BENEFIT. THE PAYOUT OF SUCH BENEFIT IS REMOTE AS IT IS EFFECTIVE ONLY FOR A TERMINATION OF EMPLOYEMENT 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 GENERALLY 12 OR 18 MONTHS. LESTER DIAMOND RECEIVED A PAYMENT OF $531,654 FROM THE PLAN IN THE CURRENT YEAR. FORM 990, PART VI, SECTION A, LINE 6 FMOL HEALTH SYSTEM (AN IRC SECTION 501(C)(3) ORGANIZATION) IS THE SOLE MEMBER OF ST. DOMINIC HEALTH SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7A FMOL HEALTH SYSTEM, AS THE SOLE MEMBER OF ST. DOMINIC HEALTH SERVICES, INC. RETAINS THE POWER TO APPOINT AND REMOVE THE MEMBERS OF THE BOARD OF TRUSTEES AND OFFICERS OF ST. DOMINIC HEALTH SERVICES, INC. FORM 990, PART VI, SECTION A, LINE 7B FRANCISCAN MISSIONARIES OF OUR LADY HEALTH SYSTEM, INC. (FMOLHS) HAS THE RIGHT TO APPROVE ANY DISSOLUTION OR MERGER ENACTED BY ST. DOMINIC HEALTH SERVICES, INC. FMOLHS 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 11B AFTER PREPARATION OF THE FORM 990 BY KPMG LLP, MANAGEMENT REVIEWED THE FORM 990. A COPY OF THE FORM 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BOARD BEFORE IT WAS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS AND OFFICERS RECEIVE A COPY OF THE POLICY AND FORM FOR REPORTING EACH YEAR AT THE FIRST MEETING OF THE YEAR. FORMS ARE REVIEWED BY THE PRESIDENT AND ANY CONFLICTS SHARED WITH THE BOARD CHAIR. PERSONS WITH CONFLICTS OF INTERESTS ABSTAIN FROM ANY DECISIONS WHERE THE CONFLICT EXISTS. FORM 990, PART VI, SECTION B, LINE 15 OUR BOARD OF DIRECTORS DESIGNATES AN EXECUTIVE COMMITTEE MADE UP OF INDEPENDENT BOARD MEMBERS TO REVIEW AND SET THE COMPENSATION ANNUALLY OF OUR OFFICERS AND KEY EMPLOYEES. THE EXECUTIVE COMMITTEE OBTAINS AND RELIES UPON COMPARABLE DATA INCLUDING INDUSTRY-WIDE COMPENSATION INFORMATION PROVIDED BY AN OUTSIDE CONSULTING FIRM. THE EXECUTIVE COMMITTEE REVIEWS COMPENSATION PACKAGES AND APPROPRIATE COMPENSATION IS DETERMINED AND APPROVED. THE BASIS FOR DETERMINATION IS THEN DOCUMENTED BY THE EXECUTIVE COMMITTEE. THE COMPENSATION FOR THE CEO OF ST. DOMINIC HEALTH SERVICES, INC. IS SET BY THE COMPENSATION COMMITTEE OF FMOL HEALTH SYSTEM (A RELATED TAX-EXEMPT ORGANIZATION) ACCORDING TO THEIR PAY PRACTICES WHICH ARE SIMILAR TO THOSE DESCRIBED ABOVE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CAPITAL TRANSFERS 6,522,755. SECTION 1.263(A)-1(F)- DE MINIMIS SAFE HARBOR ELECTION: ST. DOMINIC HEALTH SERVICES, INC. DOES HAVE APPLICABLE FINANCIAL STATEMENTS FOR THE YEAR OF THE ELECTION, AND INTEND TO APPLY THE DE MINIMIS SAFE HARBOR ELECTION. THIS ELECTION PERMITS THE TAXPAYER TO DEDUCT FOR TAX PURPOSES ANY ITEM DEDUCTED UNDER ITS BOOK POLICY THAT DOES NOT EXCEED $5,000 PER INVOICE (OR PER ITEM AS SUBSTANTIATED BY THE INVOICE) OR ITEMS HAVING ECONOMIC USEFUL LIFE OF TWELVE MONTHS OR LESS AS DESCRIBTED IN SECTION 1.263(A)-1(F)(1)(II) FOR THE TAX YEAR ENDING JUNE 30, 2023. SECTION 1.263(A)-3(N) ELECTION- BOOK CONFORMITY ELECTION: ST. DOMINIC HEALTH SERVICES, INC. IS MAKING THE ELECTION UNDER TREAS. REG. 1.263()-3(N) TO CAPITALIZE THOSE REPAIR AND MAINTENANCE COSTS THAT IT TREATS AS CAPITAL IMPROVEMENTS ON ITS BOOKS AND RECORDS FOR THE TAX YEAR ENDING JUNE 30, 2023. 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