SPRINGHILL MEDICAL SERVICES INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: SPRINGHILL MEDICAL SERVICES INC (EIN 72-1479692)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-08-22
IRS object ID: 202312349349301671
Schema version: 2022v5.0
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 D
Schedule H
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-08-22T14:30:33-07:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	720979212	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Lester Miller & Wells	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	3600 Bayou Rapides	AddressLine1Txt
City	Alexandria	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	71303	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	721479692	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SPRINGHILL MEDICAL SERVICES INC	BusinessNameLine1Txt
Business Name Line2	DBA SPRINGHILL MEDICAL CENTER	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	SPRI	BusinessNameControlTxt
Phone	3185391001	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2001 DOCTORS DRIVE	AddressLine1Txt
City	SPRINGHILL	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	71075	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Pete Johnson	PersonNm
Person Title	CEO	PersonTitleTxt
Signature	2023-08-09	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Pete	PersonFirstNm
Person Last	Johnson	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Robert G Miller	PreparerPersonNm
PTIN	P00523509	PTIN
Phone	3184871450	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd
Federated Assurance Level	FAL1	FederatedAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2001 DOCTORS DRIVE	AddressLine1Txt
City	SPRINGHILL	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	71075	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$29,737,268	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.smccare.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2000	FormationYr
Legal Domicile State	LA	LegalDomicileStateCd
Activity Or Mission	PATIENT CENTERED CARE FROM OUR FAMILY TO YOURS	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	307	TotalEmployeeCnt
Total Volunteers	35	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$4,071,000	PYContributionsGrantsAmt
CY Contributions Grants	$2,164,956	CYContributionsGrantsAmt
PY Program Service Revenue	$26,212,656	PYProgramServiceRevenueAmt
CY Program Service Revenue	$25,735,086	CYProgramServiceRevenueAmt
PY Investment Income	$528,507	PYInvestmentIncomeAmt
CY Investment Income	$37,265	CYInvestmentIncomeAmt
PY Other Revenue	$2,060,691	PYOtherRevenueAmt
CY Other Revenue	$1,799,961	CYOtherRevenueAmt
PY Total Revenue	$32,872,854	PYTotalRevenueAmt
CY Total Revenue	$29,737,268	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$14,640,593	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$14,811,685	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$11,949,722	PYOtherExpensesAmt
CY Other Expenses	$10,833,743	CYOtherExpensesAmt
PY Total Expenses	$26,590,315	PYTotalExpensesAmt
CY Total Expenses	$25,645,428	CYTotalExpensesAmt
PY Revenues Less Expenses	$6,282,539	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,091,840	CYRevenuesLessExpensesAmt
Total Assets BOY	$19,141,665	TotalAssetsBOYAmt
Total Assets EOY	$20,662,356	TotalAssetsEOYAmt
Total Liabilities BOY	$4,597,214	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,026,065	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$14,544,451	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$18,636,291	NetAssetsOrFundBalancesEOYAmt
Mission	PATIENT CENTERED CARE FROM OUR FAMILY TO YOURS	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$21,762,653	ExpenseAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$21,762,653	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	34	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	307	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	SPRINGHILL MEDICAL CENTER	PersonNm
Phone	3185391001	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2001 DOCTORS DRIVE	AddressLine1Txt
City	SPRINGHILL	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	71075	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
MICHELLE PARDUE
MD FAMILY PRACTICE	36.00	0.00	$352,778	$0	$16,834
OMAR GUTIERREZ
MD FAMILY PRACTICE	36.00	0.00	$325,485	$0	$28,952
VINCENT LOCOCO
MD FAMILY PRACTICE	20.00	0.00	$233,009	$0	$27,649
JERRY WAYNE SESSIONS
MD FAMILY PRACTICE	20.00	0.00	$216,773	$0	$8,710
PETER JOHNSON
CEO	40.00	0.00	$186,369	$0	$28,252	Yes (X)
KRISTEN DICKINSON
NP FAMILY PRACTICE	32.00	0.00	$165,396	$0	$27,203
BRIAN GRIFFIN
CFO	40.00	0.00	$115,944	$0	$28,252	Yes (X)
DAVID K ANDERSON
BOARD MEMBER	1.00	0.00	$0	$0	$0		Yes (X)
WAYNE MCMAHEN
BOARD MEMBER	1.00	0.00	$0	$0	$0		Yes (X)
MARY D ARMWOOD
Board Member	1.00	0.00	$0	$0	$0		Yes (X)
PATRICIA A MCMURRAY
BOARD MEMBER	1.00	0.00	$0	$0	$0		Yes (X)
ROBERT C BUSH
Treasurer	1.00	0.00	$0	$0	$0		Yes (X)
WILLIAM RAY HUDDLESTON
President	1.00	0.00	$0	$0	$0		Yes (X)
ROBERT A COLVIN
Secretary	1.00	0.00	$0	$0	$0		Yes (X)
JERRY WAYNE SESSIONS MD
CHIEF OF STAFF	1.00	0.00	$0	$0	$0		Yes (X)
ROBERT SMITH
BOARD MEMBER	1.00	0.00	$0	$0	$0		Yes (X)
DIANNE STEPHENS
Board Member	1.00	0.00	$0	$0	$0		Yes (X)
WILLIE LYND IV
Vice President	1.00	0.00	$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,595,754	TotalReportableCompFromOrgAmt
Total Other Compensation	$165,852	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	22	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
NES HEALTH
P O BOX 936451	ATLANTA	GA	31193	EMERGENCY ROOM COVER	$829,707
EVIDENTCPSI
P O BOX 850309	MOBILE	AL	36685	INFORMATION SYSTEMS	$332,476
CARDINAL HEALTH
PO BOX 730112	DALLAS	TX	75373	MEDICATIONS AND SUPPLIES	$829,707
ENTERGY
P O BOX 8108	BATON ROUGE	LA	70891	UTILITIES	$334,114
AMERICAN UNITED LIFE INSURANCE
5761 RELIABLE PARKWAY	CHICAGO	IL	60686	401 K CONTRIBUTIONS

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	27	CntrctRcvdGreaterThan100KCnt
Government Grants	$2,164,956	GovernmentGrantsAmt
Total Contributions	$2,164,956	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT SERVICE REVENUE	Desc
Total Revenue Column	$25,735,086	TotalRevenueColumnAmt
Related Or Exempt Func Income	$25,735,086	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$25,735,086	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37,265	TotalRevenueColumnAmt
Exclusion	$37,265	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$27,840	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$27,840	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$27,840	TotalRevenueColumnAmt
Exclusion	$27,840	ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	BusinessBusinessCd
340B PHARMACY	$1,343,949	$1,343,949
CAFETERIA	$84,731	$84,731	722514
MISCELLANEOUS	$343,441	$343,441

Field	Value	IRS element (for citing)
Other Revenue Total	$1,772,121	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$29,737,268	TotalRevenueColumnAmt
Related Or Exempt Func Income	$25,735,086	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,837,226	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$343,486	TotalAmt
Management And General	$343,486	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$11,445,901	TotalAmt
Program Services	$9,726,727	ProgramServicesAmt
Management And General	$1,719,174	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$355,115	TotalAmt
Program Services	$355,115	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,820,165	TotalAmt
Program Services	$1,546,776	ProgramServicesAmt
Management And General	$273,389	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$847,018	TotalAmt
Program Services	$719,796	ProgramServicesAmt
Management And General	$127,222	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$20,851	TotalAmt
Management And General	$20,851	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$100,156	TotalAmt
Management And General	$100,156	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$60,304	TotalAmt
Program Services	$51,246	ProgramServicesAmt
Management And General	$9,058	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$154,099	TotalAmt
Program Services	$130,953	ProgramServicesAmt
Management And General	$23,146	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$352,926	TotalAmt
Program Services	$299,917	ProgramServicesAmt
Management And General	$53,009	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$28,097	TotalAmt
Program Services	$23,877	ProgramServicesAmt
Management And General	$4,220	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$18,472	TotalAmt
Management And General	$18,472	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$890,650	TotalAmt
Program Services	$756,874	ProgramServicesAmt
Management And General	$133,776	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$398,735	TotalAmt
Program Services	$338,845	ProgramServicesAmt
Management And General	$59,890	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies and Drugs	$2,227,304	$1,892,763	$334,541
Professional consulting	$2,172,132	$2,172,132
BAD DEBT EXPENSE	$1,302,193	$1,106,604	$195,589
Nonmedical supplies	$570,878	$485,132	$85,746

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,536,946	TotalAmt
Program Services	$2,155,896	ProgramServicesAmt
Management And General	$381,050	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$25,645,428	TotalAmt
Program Services	$21,762,653	ProgramServicesAmt
Management And General	$3,882,775	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$9,214,613	BOYAmt
EOY	$12,374,516	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,509,371	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,207,702	BOYAmt
EOY	$2,114,707	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,161,041	BOYAmt
EOY	$178,192	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$494,288	BOYAmt
EOY	$477,066	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$356,515	BOYAmt
EOY	$339,113	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$14,354,860	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$9,302,983	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$4,074,838	BOYAmt
EOY	$5,051,877	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$29,887	BOYAmt
EOY	$27,137	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$93,410	BOYAmt
EOY	$99,748	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$19,141,665	BOYAmt
EOY	$20,662,356	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,715,547	BOYAmt
EOY	$1,739,090	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,509,371	BOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$372,296	BOYAmt
EOY	$286,970	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
EOY	$5	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,597,214	BOYAmt
EOY	$2,026,065	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$14,544,451	BOYAmt
EOY	$18,636,291	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$14,544,451	BOYAmt
EOY	$18,636,291	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$19,141,665	BOYAmt
EOY	$20,662,356	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$4,091,840	ReconcilationRevenueExpnssAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$71,308	OtherCostOrOtherBasisAmt
Book Value	$71,308	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,240,417	OtherCostOrOtherBasisAmt
Depreciation	$5,244,881	DepreciationAmt
Book Value	$3,995,536	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$65,172	OtherCostOrOtherBasisAmt
Depreciation	$56,991	DepreciationAmt
Book Value	$8,181	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,977,963	OtherCostOrOtherBasisAmt
Depreciation	$4,001,111	DepreciationAmt
Book Value	$976,852	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$5,051,877	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	Rounding	Desc
Amt	$5	Amt

Field	Value	IRS element (for citing)
Total Liability	$5	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$29,737,268	TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal	$29,737,268	RevenueSubtotalAmt
Total Revenue Per Form990	$29,737,268	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$25,645,428	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$25,645,428	ExpensesSubtotalAmt
Total Expenses Per Form990	$25,645,428	TotalExpensesPerForm990Amt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	false	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd
Report Publically Available	false	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$158,780	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$158,780	NetCommunityBenefitExpnsAmt
Total Expense	0.00620	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,508,341	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,519,235	DirectOffsettingRevenueAmt

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Direct Offsetting Revenue	$2,540,007	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,667,121	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,059,242	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$158,780	NetCommunityBenefitExpnsAmt
Total Expense	0.00620	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	29	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$11,779	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,779	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	29	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$11,779	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,779	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	29	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$6,678,900	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,059,242	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$170,559	NetCommunityBenefitExpnsAmt
Total Expense	0.00670	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,302,193	BadDebtExpenseAmt
Bad Debt Expense Attributable	$9,073	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$7,029,815	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$7,909,258	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$879,443	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	SPRINGHILL HOMECARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	HOME HEALTH	PrimaryActivitiesTxt
Org Profit Or Ownership	0.33000	OrgProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SPRINGHILL MEDICAL SERVICES	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2001 DOCTORS DRIVE	AddressLine1Txt
City	SPRINGHILL	CityNm
State Abbreviation	LA	StateAbbreviationCd
ZIP	71075	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SMCCARE.COM	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
Facility Reporting Group	1	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SPRINGHILL MEDICAL SERVICES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.smccare.com	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.0000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	100.0000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.smccare.com	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.smccare.com	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.smccare.com	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit Report To Credit Agency	Yes (X)	PermitReportToCreditAgencyInd
Permit Legal Judicial Process	Yes (X)	PermitLegalJudicialProcessInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Facility: SPRINGHILL MEDICAL SERVICES - Part V, Section B, Line 5

PART II, METHODOLOGY OF THE COMMUNITY HEALTH SURVEY - EXPLANATION OF HOW THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY AND THE IDENTITY OF THE PERSONS THE HOSPITAL CONSULTED: SPRINGHILL MEDICAL CENTER ESTABLISHED A STEERING COMMITTEE TO ASSIST IN THE DEVELOPMENT OF THE CHNA. THE STEERING COMMITTEE CONSISTED OF THE FOLLOWING REPRESENTATIVES FROM SENIOR MANAGEMENT: PETE JOHNSON (CHIEF EXECUTIVE OFFICER), KRISTEN COLE(CHIEF NURSING OFFICER), BRIAN GRIFFIN (CHIEF FINANCIAL OFFICER), AND DEREK MELANCON (HUMAN RESOURCES/MARKETING). THE STEERING COMMITTEE SERVED FOUR PRIMARY PURPOSES: TO IDENTIFY AND INVITE KEY COMMUNITY STAKEHOLDERS TO SERVE AS CHNA COMMITTEE MEMBERS, TO SCHEDULE, ORGANIZE, AND FACILITATE CHNA COMMITTEE MEETINGS, TO COMPILE STATISTICAL DATA FOR CONSIDERATION BY THE CHNA COMMITTEE, AND TO PREPARE THE FINAL REPORT FOR THE ORGANIZATION. THE STEERING COMMITTEE CONSCIENTIOUSLY TOOK INTO ACCOUNT THE HOSPITAL'S SERVICE AREA WHEN SELECTING THE GROUP OF INDIVIDUALS TO SERVE ON THE CHNA COMMITTEE. IN SELECTING COMMUNITY PARTICIPANTS, THE STEERING COMMITTEE CONSIDERED EACH RESIDENT'S INVOLVEMENT IN THE COMMUNITY AND ENSURED THERE WAS ADEQUATE DIVERSITY FROM THE SERVICE AREA. THE FOLLOWING COMMUNITY MEMBERS PARTICIPATED: RAY HUDDLESTON (MAYOR OF SPRINGHILL), RONNIE HEARNSBERGER (COUNCIL MEMBER/BUSINESSMAN), RHONDA TYALOR (CHAMBER MANAGER), LISA SMITH (COUNSELOR), NIKKI REEVES (BRANCH MANAGER CARTER CREDIT), KINDLE MASTERS (CHAMBER BOARD MEMBER), DR. MICHELLE PARDUE (PHYSICIAN), RAYMOND ROBERTSON (RETIRED PHARMACIST), LINDA MCDANIEL (MAIN STREET MANAGER), KRISTIN DICKINSON (FNP-BC), DR. J. WAYNE SESSIONS (PHYSICIAN), TIM MOUSER(MAYOR OF SHONGALOO), VICKY SHYNE (RETIRED CHILD WELFARE), DIANE BLAKE (MARKETER, SMC), MARY ARMWOOD (NURSE EDUCATOR), AND KAREN BUDWAH, RN (GERIATRIC PSYCH)ALSO SERVED ON THE CHNA COMMITTEE. THE CHNA COMMITTEE UTILIZED A SURVEY PROCESS TO GATHER COMMUNITY INPUT. THERE WERE 220 SURVEYS COLLECTED FROM PAPER AND ONLINE SOURCES. THE SUMMARY OF SURVEY RESULTS BEGIN ON PAGE 5 OF THE ATTACHED 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. ALSO, INCLUDED IN THE CHNA ARE SEVERAL CHARTS OF INDICATORS, MORTALITIES, CHNA COMMITTEE RECOMMENDATIONS OF PRIORITIES AND STRATEGIC IMPLEMENTATION PROCESSES. FURTHERMORE, SPRINGHILL MEDICAL CENTER'S VISION IS TO BE EVERY PATIENTS' FIRST CHOICE FOR HELATHCARE EXCELLENCE AND TO ADAPT AND EXPAND SERVICES TO CREATE HEALTHIER COMMUNITIES.

Facility: SPRINGHILL MEDICAL SERVICES - Part V, Section B, Line 6a

PART I, LINE 6a - COMMUNITY BENEFIT REPORT: SEE ATTACHED CHNA.

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SMC DOCTORS CLINIC
401 11TH ST NE	SPRINGHILL	LA	71075	PROVIDER BASED RURAL HEALTH CLINIC
NORTH WEBSTER MEDICAL CLINIC
106 TRI STATE DRIVE	SAREPTA	LA	71071	PROVIDER BASED RURAL HEALTH CLINIC
BRADLEY MEDICAL CLINIC
409 WOODRUFF STREET	BRADLEY	AR	71826	PROVIDER BASED RURAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used)	100% to 200% FPG Discounted
Part I, Line 7 - Explanation of Costing Methodology	SPRINGHILL MEDICAL SERVICES, INC. (SMC) USED A CALCULATED COST TO CHARGE RATIO PER WORKSHEET 2 IN THE INSTRUCTIONS FOR FORM 990 SCHEDLE H PUBLISHED BY THE INTERNAL REVENUE SERVICE FOR (A), (B), (C), AND (G). ACTUAL COST INCURRED WAS USED FOR (E) AND (F).
Part I, Line 7, Column F - Explanation of Bad Debt Expense	The Hospital adopted ASC 606 during fiscal year 2020. As a result of that adoption, estimated uncollectible amounts due from these patients are generally considered implicit price concessions, presented as a direct reduction to patient service revenue, and not presented separately as provision for bad debts. The provision for bad debts is determined considering historical experience, trends in health coverage, geographical data, and other collection indicators. THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT IS RELATED TO BAD DEBT STATES "The Hospital also provides services to uninsured patients, and offers those uninsured patients a discount, either by policy or law, from standard charges. The Hospital estimates the transaction price for patients with deductibles and coinsurance and from those who are uninsured based on historical experience and current market conditions. The initial estimate of the transaction price is determined by reducing the standard charge by any contractual adjustments, discounts, and implicit price concessions. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to net patient service revenue in the period of the change. For 2021 and 2020, adjustments were recognized due to changes in the Hospitals estimates of implicit price concessions, discounts, and contractual adjustments for performance obligations satisfied in prior years were not significant. Subsequent changes that are significant and determined to be the result of an adverse change in the patients ability to pay, determined on a portfolio basis, are recorded as bad debt expense.Consistent with the Hospitals mission, care is provided to patients regardless of their ability to pay. Therefore, the Hospital has determined it has provided implicit price concessions to uninsured patients and patients with other uninsured balances (for example, copays and deductibles). The implicit price concessions included in estimating the transaction price represent the difference between amounts billed to patients and the amounts the Hospital expects to collect based on its collection history with those patients."THE RATIONALE FOR INCLUDING ANY PORTION OF BAD DEBT AS COMMUNITY BENEFIT IS PRIMARILY DUE TO SMC'S RURAL LOCATION AND PROVIDING ACCESS TO PATIENTS EVEN THOUGH THEY ARE UNWILLING TO PAY OR THEY ARE UNABLE TO PAY BUT ARE UNWILLING TO FOLLOW OUR FINANCIAL ASSISTANCE PROGRAM. BY NOT BLOCKING ACCESS TO CARE, SMC KEEP THE COMMUNITY HEALTHY.
Part III, Line 4 - Bad Debt Expense	NOTE 11 NET PATIENT SERVICE REVENUE
Part III, Line 8 - Explanation Of Shortfall As Community Benefit	TREATING MEDICARE PATIENTS AND FUNDING THE ASSOCIATED SHORTFALLS ARE CONSIDERED PART OF THE FINANCIAL OBLIGATION OF SMC. COSTS OF TREATING MEDICARE PATIENTS AND THE RELATED COMMUNITY BENEFIT ARE DETERMINED BASED ON REIMBURSEMENT REPORTS FILED WITH MEDICARE.
Part VI, Line 2 - Needs Assessment	SMS,INC. ASSESSES THE NEEDS OF THE COMMUNITY THROUGH A COLLABORATION BETWEEN PHYSICIANS, CASE MANAGERS, AND OUTREACH COORDINATORS WHO SPEND TIME IN THE COMMUNITY PROVIDING EDUCATION, WELLNESS TESTS, AND ASSESSMENTS OF PATIENTS WITH CERTAIN DIAGNOSES. NEEDS ASSESSMENT IS ALSO ACCOMPLISHED THROUGH PARTICIPATON IN SPRINGHILL COMMUNITY NETWORK AND THE SENIIOR FRIENDS 50+ COMMUNITY GROUP.
Part VI, Line 3 - Patient Education of Eligibility for Assistance	SMS,INC. D/B/A SMC STRIVES TO INFORM AND EDUCATE ALL OUR UNINSURED PATIENTS THAT PRESENT TO OUR FACILITIES ABOUT OUR FINANCIAL ASSISTANCE POLICY. UNINSURED PATEINTS ARE EDUCATED ON MEDICAID AND OUR CHARITY CARE PROGRAM WHEN THEY PRESENT TO OUR FACILITY AS EMERGENCY, OUTPATIENT, OR INPATIENT. WE HAVE SEVERAL MEDICAID APPLICATION REPRESENTATIVES AT OUR FACILITY THAT CAN TAKE APPLICATIONS FOR MEDICAID AND PATIENTS ARE GIVEN INFORMATION ON HOW TO APPLY. PATIENTS ARE ALSO GIVEN A FINANCIAL ASSISTANCE APPLICATION THAT CONTAINS INSTRUCTIONS AND CONTACT INFORMATION. ALL OF OUR INITIAL BILLING STATEMENTS INFORM THE PATIENTS THAT IF THEY FEEL THEY MAY QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE TO CONTACT THE BUSINESS OFFICE. THE FINANCIAL ASSISTANCE POLICY IS ALSO AVAILABLE ON OUR WEBSITE WWW.SMCCARE.COM ALONG WITH AN APPLICATION AND PLAIN LANGUAGE FA POLICY.
Part VI, Line 4 - Community Information	SMS, INC. D/B/A SMC SERVES THE RURAL COMMUNITY OF NORTH WEBSTER PARISH IN LOUISIANA AND SOUTH COLUMBIA COUNTY IN ARKANSAS. THE POPULATION OF THE COMMUNITY IS APPROXIMATELY 26,957. THE AVERAGE INCOME IS APPROXIMATELY $25,000 PER YEAR FOR 44% OF THE RESIDENTS IN THE PRIMARY MEDICAL SERVICE AREA. SPRINGHILL MEDIAN AGE IS 47 AND THE UNEMPLOYMENT RATE IS 7.1 %. POVERTY RATE IS 46%. THE PATIENT MIX OF UNINSURED AND MEDICAID IS 1% AND 29%.
Part VI, Line 4 - Community Building Activities	THROUGH THE CLEANUP AND MAINTENANCE OF COMMUNITY PARKS, SMC MAKES ENVIRONMENTAL IMPROVEMENTS BY REMOVING TRASH AS WELL AS PROMOTING PHYSICAL ACTIVITY.
Part VI - Additional Information	PART 1, LINE 6A: COMMUNITY BENEFIT REPORT: SEE ATTACHED CHNAPART III, LINE 2: THE COST OF THE BAD DEBT REPORTED WAS CALCULATED BY APPLYING THE COST TO CHARGE RATIO FROM WORKSHEET 2 TO BAD DEBT GROSS CHARGES THAT HAVE BEEN DEEMED UNCOLLECTIBLE AFTER REASONABLE COLLECTION EFFORTS.PART III, LINE 3: THE AMOUNT CALCULATED AS BAD DEBT ATTRIBUTABLE TO FAP-ELIGIBLE PATIENTS WAS DETERMINED USING STATISTICAL DATA BASED UPON THE PERCENT OF APPROVED FAP APPLICATIONS TO RETURNED FAP APPLICATIONS.PART III, LINE 4: THE FOOTNOTE IN THE ORGANIZATON'S FINANCIAL STATEMENTS RELATED TO BAD DEBT IS NOTE 11 ON PAGE 8.PART III, LINE 8: THE AMOUNT REPORTED IN PART III, LINE 6 COMES DIRECTLY FROM THE MOST RECENTLY FILED MEDICARE COST REPORT.PART III, LINE 9B: THE COLLECTION PRACTICE FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FAP IS TO ASSIST THEM WITH AN APPLICATION TO THE STATE MEDICAID PROGRAM AND IF THE PATIENT IS NOT ELIGIBLE THEN THEIR CHARGES ARE REDUCED BY A PERCENTAGE USING INCOME AND THE FEDERAL POVERTY GUIDELINES.PART VI #2: NEEDS ASSESSMENTS OTHER THAN THROUGH A CHNA INCLUDE A COLLABORATION BETWEEN PHYSICIANS, CASE MANAGERS, AND OUTREACH COORDINATORS WHO SPEND TIME IN THE COMMUNITY PROVIDING EDUCATION AND WELLNESS TESTS. PART VI #4: SEE ATTACHED CHNA.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt
JERRY WAYNE SESSIONS
MD FAMILY PRACTICE	$216,773	$8,710	$225,483
KRISTEN DICKINSON
NP FAMILY PRACTICE	$165,396	$27,203	$192,599
MICHELLE PARDUE
MD FAMILY PRACTICE	$352,778	$16,834	$369,612
OMAR GUTIERREZ
MD FAMILY PRACTICE	$325,485	$28,952	$354,437
PETER JOHNSON
CEO	$186,369	$28,252	$214,621
VINCENT LOCOCO
MD FAMILY PRACTICE	$233,009	$27,649	$260,658

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11b	THE BOARD REVIEWS THE 990 DRAFT COMPLETED BY THE CPA. THE BOARD APPROVES THE RETURN THEN THE FORM 8879-EO IS SIGNED AND RETURNED TO CPA FIRM AUTHORIZING THE CPA TO FILE ELECTRONICALLY.
Form 990, Part VI, Section B, Line 15a	COMPENSATION AND ADJUSTMENTS TO COMPENSATION OF TOP MANAGEMENT AND PHYSICIANS MUST BE REVIEWED AND APPROVED BY THE BOARD.
Form 990, Part VI, Section B, Line 15b	COMPENSATION AND ADJUSTMENTS TO COMPENSATON OF OFFICERS AND KEY EMPLOYEES MUST BE REVIEWED AND APPROVED BY THE BOARD.
Form 990, Part VI, Section C, Line 19	ALL GOVERNING DOCUMENTS, 990,FINANCIAL STATEMENTS, AND WRITTEN POLICIES ARE AVAILABLE UPON REQUEST.
990 REVIEW PROCESS	MANAGEMENT REVIEWS THE 990 DRAFT COMPLETED BY THE CPA. MANAGEMENT APPROVES THE RETURN THEN THE FORM 8879-EO IS SIGNED AND RETURNED TO CPA FIRM AUTHORIZING THE CPA TO FILE ELECTRONICALLY.
SPRINGHILL MEDICAL SERVICES, INC. DBA SPRINGHILL MEDICAL CENTER	SMS,INC. OPERATES A 58 BED SOLE COMMUNITY ACUTE CARE HOSPITAL WITH MEDICAL, SURGICAL, DIAGNOSTIC, GERI-PSYCH, AND EMERGENCY SERVICES. IT OPERATES ONE RURAL HEALTH CLINIC IN SPRINGHILL AND TWO RURAL HEALTH CLINICS IN OUTLYING AREAS TO PROVIDE EASIER ACCESS TO HEALTH CARE. THE HOSPITAL PROVIDED 2,425 INPATIENT DAYS OF CARE (MEDICARE DAYS - 1,128)AND 1,861 GERI-PSYCH DAYS (MEDICARE DAYS - 1,586).SMS, INC. MAKES AVAILABLE FREE MEETING SPACE TO NONPROFIT ORGANIZATIONS, SUCH AS THE LOCAL LIONS CLUB, AMERICAN CANCER SOCIETY, AND MINISTERIAL ALLIANCE. SOME OF THESE GROUPS MEET WEEKLY, WHILE OTHERS MEET MONTHLY.SMS IF VERY ACTIVE WITH THE LOCAL SCHOOLS IN THE SURROUNDING PARISHES. STAFF FROM THE HEALTH SYSTEM'S CLINICS PERFORM PHYSICALS FOR THE AREA SCHOOLS SPORTS TEAMS. THE HEALTH SYSTEM PROVIDES SHADOW OPPORTUNITIES FOR AREA HIGH SCHOOL JUNIORS AND SENIORS TO OBSERVE AND ASSIST IN AREAS OF INTEREST AS THEY PREPARE FOR COLLEGE CAREERS.SMS, INC. IS ALSO VERY ACTIVE IN THE COMMUNITY. THE HEALTH SYSTEM HOSTS A NUMBER OF HEALTH FAIRS FOR THE COMMUNITY. THE HEALTH FAIRS OFFERS THE COMMUNITY ACCESS TO A NUMBER OF FREE HEALTH SCREENINGS, ACCESS TO VENDORS OF INTEREST FOR THEIR HEALTH AND A COMPLETE CHEMISTRY PROFILE AT A REDUCED PRICE. THE HOSPITAL PROVIDES EMPLOYEES TO SPEAK TO LOCAL CLUBS AND ORGANIZATIONS. THE HOSPITAL HELD COVID CLINICS TO EDUCATE THE COMMUNITY ABOUT THE COVID-19 PANDEMIC AND NUTRITIONAL TEAS TO EDUCATE THE PUBLIC ABOUT NUTRITION. SMS, INC. ALSO PARTICIPATES IN AN ACCOUNTABLE HEALTH ORGANIZATION TO PROVIDE WELLNESS VISITS AND EDUCATION.
Statement Note 1	We respectfully request that the failure-to-file penalty be abated based on the IRS's first-time penalty abatement administrative waiver procedures.Taxpayer meets first-time penalty abatement criteria.According to IRM 20.1.1.3.3.2.1, First Time Abate (FTA), the IRS provides penalty relief for failure-to-file, failure-to-pay and failure-to-deposit penalties if the taxpayer meets the following criteria: 1. Filing compliance: Must have filed (or filed a valid extension for) all required returns and can't have an outstanding request for a return from the IRS. 2. Payment compliance: Must have paid, or arranged to pay, all tax due (can be in an installment agreement if the payments are current). 3. Clean penalty history: Has no prior penalites (except a possible estimated tax penalty) for the proceeding three years.The taxpayer meets the above criteria. Therefore, we respectfully request that the taxpayer's penalty be removed based on the first-time penalty abatement administrative waiver procedures.