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SPRINGHILL MEDICAL SERVICES INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
SPRINGHILL MEDICAL SERVICES INC (EIN 72-1479692)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-12-28
IRS object ID
202210079349301766
Schema version
2020v4.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-12-28T14:45:09-08:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN720979212PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Lester Miller & WellsBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13600 Bayou RapidesAddressLine1Txt
CityAlexandriaCityNm
State AbbreviationLAStateAbbreviationCd
ZIP71303ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN721479692EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SPRINGHILL MEDICAL SERVICES INCBusinessNameLine1Txt
Business Name Line2DBA SPRINGHILL MEDICAL CENTERBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSPRIBusinessNameControlTxt
Phone3185391001PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 DOCTORS DRIVEAddressLine1Txt
CitySPRINGHILLCityNm
State AbbreviationLAStateAbbreviationCd
ZIP71075ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPete JohnsonPersonNm
Person TitleCEOPersonTitleTxt
Signature2021-11-30SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstPetePersonFirstNm
Person LastJohnsonPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRobert G MillerPreparerPersonNm
PTINP00523509PTIN
Phone3184871450PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 DOCTORS DRIVEAddressLine1Txt
CitySPRINGHILLCityNm
State AbbreviationLAStateAbbreviationCd
ZIP71075ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$33,053,887GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.smccare.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateLALegalDomicileStateCd
Activity Or MissionPATIENT CENTERED CARE FROM OUR FAMILY TO YOURSActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee363TotalEmployeeCnt
Total Volunteers35TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$4,050PYContributionsGrantsAmt
CY Contributions Grants$3,028,350CYContributionsGrantsAmt
PY Program Service Revenue$22,998,669PYProgramServiceRevenueAmt
CY Program Service Revenue$27,909,314CYProgramServiceRevenueAmt
PY Investment Income$124,013PYInvestmentIncomeAmt
CY Investment Income$125,793CYInvestmentIncomeAmt
PY Other Revenue$1,367,161PYOtherRevenueAmt
CY Other Revenue$1,990,430CYOtherRevenueAmt
PY Total Revenue$24,493,893PYTotalRevenueAmt
CY Total Revenue$33,053,887CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$15,138,221PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,948,869CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,423,684PYOtherExpensesAmt
CY Other Expenses$12,628,572CYOtherExpensesAmt
PY Total Expenses$24,561,905PYTotalExpensesAmt
CY Total Expenses$29,577,441CYTotalExpensesAmt
PY Revenues Less Expenses-$68,012PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,476,446CYRevenuesLessExpensesAmt
Total Assets BOY$11,532,570TotalAssetsBOYAmt
Total Assets EOY$18,021,894TotalAssetsEOYAmt
Total Liabilities BOY$6,747,104TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,316,475TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,785,466NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$9,705,419NetAssetsOrFundBalancesEOYAmt
MissionPATIENT CENTERED CARE FROM OUR FAMILY TO YOURSMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$21,703,171ExpenseAmt
Grant$93,586GrantAmt
Revenue$33,562,111RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$21,703,171TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document19IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee363EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSPRINGHILL MEDICAL CENTERPersonNm
Phone3185391001PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 DOCTORS DRIVEAddressLine1Txt
CitySPRINGHILLCityNm
State AbbreviationLAStateAbbreviationCd
ZIP71075ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
CLIFTON SALMON
MD FAMILY PRACTICE40.000.00$401,683$0$21,714
SAMUEL ABSHIRE
MD FAMILY PRACTICE40.000.00$311,775$0$3,235
MICHELL PARDUE
MD FAMILY PRACTICE40.000.00$280,778$0$16,212
VINCENT LOCOCO
MD FAMILY PRACTICE40.000.00$210,040$0$4,421
JERRY WAYNE SESSIONS
MD CHIEF OF STAFF40.000.00$198,999$0$6,476
MICHAEL PATRONIS
CEO40.000.00$145,000$0$20,793
DAVID K ANDERSON
BOARD MEMBER1.000.00$0$0$0Yes (X)
WAYNE MCMAHEN
BOARD MEMBER1.000.00$0$0$0Yes (X)
MARY D ARMWOOD
Vice President1.000.00$0$0$0Yes (X)Yes (X)
PATRICIA A MCMURRAY
BOARD MEMBER1.000.00$0$0$0Yes (X)
ROBERT C BUSH
Treasurer1.000.00$0$0$0Yes (X)Yes (X)
WILLIAM RAY HUDDLESTON
BOARD MEMBER1.000.00$0$0$0Yes (X)
ROBERT A COLVIN
Secretary1.000.00$0$0$0Yes (X)Yes (X)
JERRY WAYNE SESSIONS MD
CHIEF OF STAFF1.000.00$0$0$0Yes (X)
DIANNE STEPHENS
President1.000.00$0$0$0Yes (X)Yes (X)
WILLIE LYND IV
BOARD MEMBER1.000.00$0$0$0Yes (X)
DON G TEAGUE
BOARD MEMBER1.000.00$0$0$0Yes (X)Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,548,275TotalReportableCompFromOrgAmt
Total Other Compensation$72,851TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K19IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EMCARE PHYSICIAN SERVICES
7032 COLLECTION CNTR DRCHICAGOIL60693EMERGENCY ROOM COVER$885,589
EVIDENTCPSI
P O BOX 850309MOBILEAL36685INFORMATION SYSTEMS$402,479
BAYMARK MANAGEMENT SERVICES
DEPT D 8126DALLASTX75265NEW VISION ACUTE CARE$282,236
WILLIS KNIGHTON HEALTH SYSTEM
P O BOX 32600SHREVEPORTLA71130CONTRACT LABOR CEO$135,539
EASY SLEEP
6030 LINE AVE 320SHREVEPORTLA71106CLINICAL SLEEP STUDIES$239,250
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
All Other Contributions$3,028,350AllOtherContributionsAmt
Total Contributions$3,028,350TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Total Revenue Column$27,909,314TotalRevenueColumnAmt
Related Or Exempt Func Income$27,909,314RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$27,909,314TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$125,793TotalRevenueColumnAmt
Exclusion$125,793ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$35,444RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$35,444RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$35,444TotalRevenueColumnAmt
Exclusion$35,444ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtBusinessBusinessCd
340B PHARMACY$1,522,567$1,522,567
CAFETERIA$78,301$78,301722514
MISCELLANEOUS$354,118$354,118
FieldValueIRS element (for citing)
Other Revenue Total$1,954,986OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$33,053,887TotalRevenueColumnAmt
Related Or Exempt Func Income$27,909,314RelatedOrExemptFuncIncomeAmt
Exclusion$2,116,223ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$165,793TotalAmt
Management And General$165,793ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$14,046,772TotalAmt
Program Services$12,253,865ProgramServicesAmt
Management And General$1,792,907ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$334,683TotalAmt
Program Services$334,683ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,411,453TotalAmt
Program Services$870,020ProgramServicesAmt
Management And General$541,433ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$990,168TotalAmt
Program Services$990,168ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$21,304TotalAmt
Management And General$21,304ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$128,837TotalAmt
Management And General$128,837ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$47,553TotalAmt
Program Services$9,217ProgramServicesAmt
Management And General$38,336ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$212,337TotalAmt
Management And General$212,337ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$198,765TotalAmt
Program Services$68,369ProgramServicesAmt
Management And General$130,396ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$163,427TotalAmt
Management And General$163,427ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$845,366TotalAmt
Program Services$521,084ProgramServicesAmt
Management And General$324,282ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$424,578TotalAmt
Program Services$130,305ProgramServicesAmt
Management And General$294,273ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies and Drugs$2,488,187$1,533,718$954,469
Professional consulting$1,984,596$1,223,305$761,291
BAD DEBT EXPENSE$1,955,949$1,205,647$750,302
MISC CONTRACT$951,648$586,596$365,052

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,206,025TotalAmt
Program Services$1,976,194ProgramServicesAmt
Management And General$1,229,831ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$29,577,441TotalAmt
Program Services$21,703,171ProgramServicesAmt
Management And General$7,874,270ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$845,273BOYAmt
EOY$6,456,328EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$1,443,507EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,257,136BOYAmt
EOY$4,015,410EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,235,056BOYAmt
EOY$1,132,761EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$492,425BOYAmt
EOY$516,711EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$396,858BOYAmt
EOY$394,482EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$15,560,397LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$11,708,234LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,161,417BOYAmt
EOY$3,852,163EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$144,405BOYAmt
EOY$210,532EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,532,570BOYAmt
EOY$18,021,894EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,702,131BOYAmt
EOY$2,160,295EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$3,324,453EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,374,541BOYAmt
EOY$2,456,860EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$477,151BOYAmt
EOY$346,248EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$193,281BOYAmt
EOY$28,619EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,747,104BOYAmt
EOY$8,316,475EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,785,466BOYAmt
EOY$8,261,912EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
EOY$1,443,507EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,785,466BOYAmt
EOY$9,705,419EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,532,570BOYAmt
EOY$18,021,894EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,476,446ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$1,443,507OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,645,847OtherCostOrOtherBasisAmt
Depreciation$5,925,498DepreciationAmt
Book Value$2,720,349BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$271,212OtherCostOrOtherBasisAmt
Depreciation$190,297DepreciationAmt
Book Value$80,915BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,572,030OtherCostOrOtherBasisAmt
Depreciation$5,592,439DepreciationAmt
Book Value$979,591BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,852,163TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescACCRUED INTERESTDesc
Amt$28,619Amt
FieldValueIRS element (for citing)
Total Liability$28,619TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$33,053,887TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$33,053,887RevenueSubtotalAmt
Total Revenue Per Form990$33,053,887TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$29,577,441TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$29,577,441ExpensesSubtotalAmt
Total Expenses Per Form990$29,577,441TotalExpensesPerForm990Amt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$86,976TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$86,976NetCommunityBenefitExpnsAmt
Total Expense0.00290TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,897,807TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,512,763DirectOffsettingRevenueAmt
Net Community Benefit Expns$385,044NetCommunityBenefitExpnsAmt
Total Expense0.01300TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,984,783TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,512,763DirectOffsettingRevenueAmt
Net Community Benefit Expns$472,020NetCommunityBenefitExpnsAmt
Total Expense0.01590TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$5,560TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,560NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$5,560TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,560NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$3,990,343TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,512,763DirectOffsettingRevenueAmt
Net Community Benefit Expns$477,580NetCommunityBenefitExpnsAmt
Total Expense0.01610TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,955,949BadDebtExpenseAmt
Bad Debt Expense Attributable$6,613BadDebtExpenseAttributableAmt
Reimbursed By Medicare$8,490,987ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$9,284,837CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$793,850MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1SPRINGHILL HOMECAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesHOME HEALTHPrimaryActivitiesTxt
Org Profit Or Ownership0.33000OrgProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SPRINGHILL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 DOCTORS DRIVEAddressLine1Txt
CitySPRINGHILLCityNm
State AbbreviationLAStateAbbreviationCd
ZIP71075ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.SMCCARE.COMWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SPRINGHILL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.smccare.comOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsitefalseStrategyPostedWebsiteInd
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care138.0000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.0000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.smccare.comFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.smccare.comFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.smccare.comFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Permit Legal Judicial ProcessYes (X)PermitLegalJudicialProcessInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Facility: SPRINGHILL MEDICAL CENTER - Part V, Section B, Line 5PART V, SECTION B, LINE 3 - 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: MIKE PATRONIS (CHIEF EXECUTIVE OFFICER), DANA JONES (COO), KRISTEN COLE(CHIEF NURSING OFFICER), DAVID SANDERS (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 DEES (COUNCIL MEMBER/BUSINESSMAN), D. NICOLE FRAZIER (COUNCIL MEMBER), STACY WILLARD (COUNCIL MEMBER), RONNIE HEARNSBERGER (COUNCIL MEMBER/BUSINESSMAN), RHONDA TAYLOR (CHAMBER MANAGER), MARGERT EDENS (SCHOOL BOARD MEMBER), LISA SMITH (COUNSELOR), KINDLE MASTERS (CHAMBER PRESIDENT), AMBER COBB (MAIN STREET MANAGER), LAURA TUCKER, (PRACTICE MANAGER HOMER), BRIDGETT SALISBURY (NEW VISIONS MARKETER), BRUCE BLANTON (POLICE JUROR), WAYNE KING (RETIRED EDUCATOR), AND TIM MOUSER (MAYOR OF SHONGALOO). KRISTIN DICKINSON, (FNP/BC), DR. SAMUEL ABHSIRE, AND DONNA MORRIS (BUS DEVELOPMENT SMC)ALSO SERVED ON THE CHNA COMMITTEE. THE CHNA COMMITTEE UTILIZED A SURVEY PROCESS TO GATHER COMMUNITY INPUT. THERE WERE 214 SURVEYS COLLECTED FROM PAPER AND ONLINE SOURCES. THE SUMMARY OF SURVEY RESULTS BEGIN ON PAGE 13 OF THE ATTACHED 2019 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 GOAL IS TO ADDRESS "ALL" OUR COMMUNITY'S HEALTHCARE NEEDS THAT FALL WITHIN OUR SCOPE OF AVAILABLE SERVICES AND TO ASSIST THEM IN RECEIVING SPECIALIZED HEALTHCARE BY A PROVIDER OF THEIR CHOICE.
Facility: SPRINGHILL MEDICAL CENTER - Part V, Section B, Line 6aPART I, LINE 6a - COMMUNITY BENEFIT REPORT: SEE ATTACHED CHNA.

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
SMC DOCTORS CLINIC
401 11TH ST NESPRINGHILLLA71075PROVIDER BASED RURAL HEALTH CLINIC
NORTH WEBSTER MEDICAL CLINIC
106 TRI STATE DRIVESAREPTALA71071PROVIDER BASED RURAL HEALTH CLINIC
BUTLER ABSHIRE MEDICAL CLINIC
900 FRANCIS DRIVEHAYNESVILLELA71038PROVIDER BASED RURAL HEALTH CLINIC
HOMER MEDICAL CLINIC
104 MORRIS CIRCLEHOMERLA71040PROVIDER BASED RURAL HEALTH CLINIC
BRADLEY MEDICAL CLINIC
409 WOODRUFF STREETBRADLEYAR71826PROVIDER BASED RURAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7 - Explanation of Costing MethodologySPRINGHILL 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 ExpenseThe 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 2020 and 2019, 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 8 - Explanation Of Shortfall As Community BenefitTREATING 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 AssessmentSMC 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 FRIENDS 50+ COMMUNITY GROUP.
Part VI, Line 3 - Patient Education of Eligibility for AssistanceSMC 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 INFORMAITON ON HOW TO APPLY. PATIENTS ARE ALSO GIVEN A FINANCIAL ACCEPTANCE APPLICATION THAT CONTAINS INSTRUCTIONS AND CONTACT INFORMATION. ALL OF OUR INITIAL BILLING STATEMENTS TELL THE PATIENTS THAT IF THEY FEEL THEY MAY QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE TO CONTACT THE BUSINESS OFFICE.
Part VI, Line 4 - Community InformationSMC SERVES THE RURAL COMMUNITY OF NORTH WEBSTER PARISH IN LOUISIANA AND SOUTH COLUMBIA COUNTY IN ARKANSAS. THE POPULATION OF THE COMMUNITY IS APPROXIMATELY 20,000. THE AVERAGE INCOME IS APPROXIMATELY $24,000 PER YEAR AND ABOUT 12% OF THE COMMUNITY HAS INCOME BELOW THE FEDERAL POVERTY GUIDELINES. THE PATIENT MIX OF UNINSURED AND MEDICAID IS 12% AND 16%.
Part VI, Line 4 - Community Building ActivitiesTHROUGH THE CLEANUP AND MAINTENANCE OF COMMUNITY PARKS, SMC MAKES ENVIRONMENTAL IMPROVEMENTS BY REMOVING TRASH AS WELL AS PROMOTING PHYSICAL ACTIVITY.
Part VI - Additional InformationPART 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 1 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

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
CLIFTON SALMON
MD FAMILY PRACTICE$401,683$18,714$3,000$423,397
JERRY WAYNE SESSIONS
MD CHIEF OF STAFF$198,999$4,976$1,500$205,475
MICHAEL PATRONIS
CEO$145,000$20,793$165,793
MICHELL PARDUE
MD FAMILY PRACTICE$280,778$13,212$3,000$296,990
SAMUEL ABSHIRE
MD FAMILY PRACTICE$311,775$235$3,000$315,010
VINCENT LOCOCO
MD FAMILY PRACTICE$210,040$2,921$1,500$214,461

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessTHE 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, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementCOMPENSATION AND ADJUSTMENTS TO COMPENSATION OF TOP MANAGEMENT AND PHYSICIANS MUST BE REVIEWED AND APPROVED BY THE BOARD.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesCOMPENSATION AND ADJUSTMENTS TO COMPENSATON OF OFFICERS AND KEY EMPLOYEES MUST BE REVIEWED AND APPROVED BY THE BOARD.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableALL GOVERNING DOCUMENTS, 990,FINANCIAL STATEMENTS, AND WRITTEN POLICIES ARE AVAILABLE UPON REQUEST.
Form 990, Part IX, Line 24e: Other Expenses: Column (A) - Total = $0; Column (B) - Program Services = $0; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses340B PHARMACY: Column (A) - Total = $328979; Column (B) - Program Services = $202783; Column (C) - Management & General = $126196; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesEDUCATION & PROF DEV: Column (A) - Total = $27294; Column (B) - Program Services = $16824; Column (C) - Management & General = $10470; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesLICENSES AND DUES: Column (A) - Total = $293518; Column (B) - Program Services = $180924; Column (C) - Management & General = $112594; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesMISCELLANEOUS: Column (A) - Total = $399810; Column (B) - Program Services = $246443; Column (C) - Management & General = $153367; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesNonmedical supplies: Column (A) - Total = $774990; Column (B) - Program Services = $477704; Column (C) - Management & General = $297286; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesRENTALS: Column (A) - Total = $357920; Column (B) - Program Services = $220622; Column (C) - Management & General = $137298; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesREPAIRS AND MAINTENANCE: Column (A) - Total = $320386; Column (B) - Program Services = $197486; Column (C) - Management & General = $122900; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesTAXES: Column (A) - Total = $306508; Column (B) - Program Services = $188932; Column (C) - Management & General = $117576; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesTELEPHONE: Column (A) - Total = $93839; Column (B) - Program Services = $57842; Column (C) - Management & General = $35997; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesUTILITIES: Column (A) - Total = $302781; Column (B) - Program Services = $186634; Column (C) - Management & General = $116147; Column (D) - Fundraising = $0
Other Changes In Net Assets Or Fund Balances - Other IncreasesAssets limited as to use = $1443507
990 REVIEW PROCESSTHE 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.
SPRINGHILL MEDICAL SERVICES, INC. DBA SPRINGHILL MEDICAL CENTERSMS 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 FOUR RURAL HEALTH CLINICS IN OUTLYING AREAS TO PROVIDE EASIER ACCESS TO HEALTH CARE. THE HOSPITAL PROVIDED 3,074 INPATIENT DAYS OF CARE (MEDICARE DAYS - 1,276)AND 1,674 GERI-PSYCH DAYS (MEDICARE DAYS - 1,286).SMS 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 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. SMS ALSO CO-SPONSORS A COMMUNITY HEALTH WALK WITH THE PROCEEDS GOING TO THE AMERICAN HEART ASSOCIATION. THE HOSPITAL PROVIDES EMPLOYEES TO SPEAK TO LOCAL CLUBS AND ORGANIZTIONS.