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Nonprofit · EIN 77-0056778

DOMINICAN HEALTH SERVICES

Tax-exempt · PHOENIX, AZ 85013

Financials

$518K$79K2022$383K$53K2023$456K$60K2024
Revenue Expenses · by fiscal year end
Financials of DOMINICAN HEALTH SERVICES by year, from its e-filed returns
Year endedFormRevenueExpensesNet incomeTotal assetsLiabilitiesNet assets
June 30, 2025990$456,010$60,422$395,588$10,698,786$0$10,698,786
June 30, 2024990$383,323$52,500$330,823$10,506,110$0$10,506,110
June 30, 2023990$517,789$79,019$438,770$10,372,903$432$10,372,471
Financial details: 990 for the year ended June 30, 2025

Revenue

Contributions, gifts and grants
$0
Program service revenue
$358,431
Investment income
$0
Net rental income
$97,579
Other revenue
$97,579

Expenses

Grants and similar amounts paid
$0
Salaries, compensation and benefits (total)
$0
Professional fundraising fees
$0
Depreciation
$52,500
Program services (functional)
$60,422

Balance sheet and other

Total assets, start of year
$10,506,110
Total assets, end of year
$10,698,786
Total liabilities, end of year
$0
Net assets, end of year
$10,698,786
Land, buildings and equipment
$10,057,236
Net assets without donor restrictions
$10,698,786
Gross receipts
$561,343
Employees
0
Volunteers
4
Year formed
1984
State of legal domicile
CA

From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.

Officers, directors and key employees

As listed on the 990 for the year ended June 30, 2025, highest compensation first.

NameTitleHours / weekCompensationFrom related orgsOther / benefits
NANETTE MICKIEWICZ MDEX-OFF BOARD MEMBER /EXEC VICE PRES
Trustee or director, Officer
0.1$0$693,621$123,883
JEFFREY P DANEFFTREASURER / CFO
Officer
1$0$347,367$67,570
SUSAN MACMILLANSECRETARY
Trustee or director, Officer
0.1$0$259,699$88,305
RITA EILEEN DEANBOARD MEMBER
Trustee or director
0.1$0$0$0
CAROL LEZINEX-OFF BOARD MEMBER/BOARD CHAIR
Trustee or director, Officer
0.1$0$0$0
990 for the year ended June 30, 2024: 5 people
NameTitleHours / weekCompensationFrom related orgsOther / benefits
NANETTE MICKIEWICZ MDEXECUTIVE VICE PRESIDENT
Trustee or director, Officer
0.1$0$870,368$150,693
JEFFREY P DANEFFTREASURER / CFO
Officer
1$0$391,571$60,659
SUSAN MACMILLANSECRETARY
Trustee or director, Officer
0.1$0$312,903$87,454
RITA EILEEN DEANBOARD MEMBER
Trustee or director
0.1$0$0$0
JOHN SISKPRESIDENT / CHAIRPERSON
Trustee or director, Officer
0.1$0$0$0
990 for the year ended June 30, 2023: 5 people
NameTitleHours / weekCompensationFrom related orgsOther / benefits
NANETTE MICKIEWICZ MDEXECUTIVE VICE PRESIDENT
Trustee or director, Officer
0.1$0$696,608$133,930
JEFFREY P DANEFFTREASURER / CFO
Officer
1$0$329,191$54,248
SUSAN MACMILLANSECRETARY
Trustee or director, Officer
0.1$0$276,772$80,996
RITA EILEEN DEAN OPBOARD MEMBER
Trustee or director
0.1$0$0$0
JOHN SISKPRESIDENT / CHAIRPERSON
Trustee or director, Officer
0.1$0$0$0

Address and contacts

Address (IRS master file)
3033 N 3RD AVE, PHOENIX, AZ 85013-4447
In care of
% LARA CARTOSCELLI ACCTNG DEP
Principal officer (990 for 2024)
NANETTE MICKIEWICZ MD, 1555 SOQUEL DRIVE, SANTA CRUZ, CA 95065
Signed the 990
JEFFREY DANEFF, TREASURER/CFO
Phone
(831) 462-7635
Return prepared by
COMMONSPIRIT HEALTH

Mission

TO CONDUCT, SPONSOR, ADVANCE, ENCOURAGE, AND PROMOTE CHARITABLE, HOSPITAL, EDUCATIONAL, SCIENTIFIC AND RELIGIOUS ACTIVITIES AS MAY BE DEEMED ADVISABLE FOR ADVANCEMENT OF HEALTH CARE. TO CONDUCT, SPONSOR, ADVANCE, ENCOURAGE, PROMOTE AND MANAGE HEALTHCARE CLINICS, SERVICES, FACILITIES AND PROGRAMS FOR THE PROVISION AND IMPROVEMENT OF HEALTHCARE FOR THE COMMUNITY SERVED.

990 for the year ended June 30, 2025

Program accomplishments

  • THE ORGANIZATION IS AN IRC SEC 509(A)(3) SUPPORTING ORGANIZATION TO DIGNITY HEALTH, DBA DOMINICAN HOSPITAL ("HOSPITAL"). AS A SUPPORTING ORGANIZATION, THE ORGANIZATION OPERATES EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF THE HOSPITAL WHICH INCLUDE MAKING PAYMENTS DIRECTLY TO THE HOSPITAL.
    Expenses $60,422 · revenue $358,431

What it must file and when

IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in June, so each return is due on the 15th day of the 5th month after that.

Tax yearYear endedDueIRS public records
2025June 30, 2026November 16, 2026Not due yet
2024June 30, 2025November 17, 2025990 on file
2023June 30, 2024November 15, 2024990 on file

IRS record

EIN
77-0056778
Tax-exempt status
501(c)(3): Charitable, religious, educational or scientific organization
Foundation status
Supporting organization (509(a)(3))
Donations deductible (Pub 78)
Supporting organization of unknown type
Exempt since
2015
Accounting year ends
June
Files
Form 990 or 990-EZ
Category (NTEE)
Health care (E21Z)
Assets (IRS master file)
$10,698,786
Income (IRS master file)
$561,343

Filing history

FormYear endedRevenueExpensesAssetsReturn
990June 2025$456,010$60,422$10,698,786IRS
990June 2024$383,323$52,500$10,506,110IRS
990June 2023$517,789$79,019$10,372,903XML
990June 2022$337,048$12,399$10,792,945IRS
990June 2021–––IRS
990June 2020–––IRS
990June 2018–––IRS

990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 77-0056778).

Questions about DOMINICAN HEALTH SERVICES

What is the EIN of DOMINICAN HEALTH SERVICES?
The employer identification number (EIN) of DOMINICAN HEALTH SERVICES is 77-0056778.
Is DOMINICAN HEALTH SERVICES tax-exempt?
Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 2015.
Are donations to DOMINICAN HEALTH SERVICES tax-deductible?
Yes. It is listed in IRS Publication 78 (Supporting organization of unknown type).
Which annual return does DOMINICAN HEALTH SERVICES file?
Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
When is the next return of DOMINICAN HEALTH SERVICES due?
The return for tax year 2025 (the year ending June 30, 2026) is due November 16, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
When did DOMINICAN HEALTH SERVICES last file with the IRS?
The latest return in the IRS public files is the 990 for the year ended June 2025.
Who is the principal officer of DOMINICAN HEALTH SERVICES?
The 990 for the year ended June 30, 2025 names NANETTE MICKIEWICZ MD.
Who are the officers and directors of DOMINICAN HEALTH SERVICES?
The 990 for the year ended June 30, 2025 lists 5 people; 0 received compensation from the organization.
How much revenue does DOMINICAN HEALTH SERVICES have?
On its 990 for the year ended June 30, 2025 it reported revenue of $456,010, expenses of $60,422 and total assets of $10,698,786 at year end.

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