2022-11-15T14:18:05-06:00 2021-12-31 640809101 HARPER RAINS KNIGHT & COMPANY PA 1052 HIGHLAND COLONY PKWY STE 100 RIDGELAND MS 39157 990 2021-01-01 870741588 SIMPSON COMMUNITY HEALTHCARE INC SIMP 6018472221 PO BOX 457 MENDENHALL MS 391140457 GREGG GIBBES CEO 6018472221 2022-11-15 1 GREGG GIBBES 999009999 BILL FELDER CPA P00745144 6016050722 2022-11-07 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z SIMPSON GENERAL HOSPITAL DAVID MASSEY PO BOX 457 MENDENHALL MS 391140457 24215963 0 X N/A X 2005 MS THE ORGANIZATION IS A 25 BED CRITICAL ACCESS ACUTE CARE HOSPITAL COMBINED WITH A 10 BED GERIATRIC PSYCH UNIT LOCATED IN MENDENHALL, MS. THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES PRIMARILY FOR RESIDENTS OF SIMPSON COUNTY AND THE SURROUNDING AREA. 9 9 289 0 0 0 2118948 5534851 14995600 18102388 10103 7224 448830 571500 17573481 24215963 0 0 0 0 8080221 9819686 0 0 0 8751350 10824616 16831571 20644302 741910 3571661 10737751 10202240 11743577 7636405 -1005826 2565835 TO PROVIDE A WIDE VARIETY OF HIGH QUALITY MEDICAL SERVICES TO THOSE WHO LIVE IN SIMPSON COUNTY AND THE SURROUNDING AREA. 0 0 14559296 18673888 THE HOSPITAL PROVIDED A VARIETY OF SERVICES, INCLUDING ACUTE INPATIENT SERVICES, OUTPATIENT SERVICES, EMERGENCY ROOM SERVICES, CLINIC SERVICES, SWING BED SERVICES, SENIOR CARE SERVICES, AND SERVICES TO THE UNINSURED IN THE SURROUNDING AREAS. 14559296 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 31 0 1 289 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MS X GREGG GIBBES 6018477130 PO BOX 457 MENDENHALL MS 39114 X DAVID MASSEY CHAIRMAN 2.00 X X 0 0 0 WESLEY BROADHEAD VICE CHAIRMAN 2.00 X X 0 0 0 JULIE HARRIS SECRETARY/TREASURER 2.00 X X 0 0 0 RANDY REED DIRECTOR 2.00 X 0 0 0 DEWAYNE MIDDLETON DIRECTOR 2.00 X 0 0 0 BECKY HUFF DIRECTOR 2.00 X 0 0 0 STEVEN AMMANN DIRECTOR 2.00 X 0 0 0 BUTCH MAGEE DIRECTOR 2.00 X 0 0 0 KENNETH LEWIS DIRECTOR 2.00 X 0 0 0 WILLIAM H SMITH BOARD ATTORNEY 2.00 X 0 0 0 HARPAL SINGH MD PHYSICIAN 50.00 X 349968 0 14965 CHIP HOLBROOK MD PHYSICIAN 50.00 X 490034 0 21964 JESSICA A GARNER NURSE PRACTITIONER 40.00 X 148736 0 5718 ASHLEY SHIVERS NURSE PRACTITIONER 40.00 X 146308 0 13358 JASON R BOWEN NURSE PRACTITIONER 40.00 X 142070 0 21422 JASON E CARR NURSE PRACTITIONER 40.00 X 128860 0 23536 PAUL T MUNN NURSE PRACTITIONER 40.00 X 117216 0 8571 1523192 0 109534 9 0 1 0 COVINGTON COUNTY HOSPITAL PO BOX 1149 ATTN NICOLE LITTLE COLLINS MS 39428 MANAGEMENT 281533 EDWARD TUCKER 1214 MARTIN DRIVE BRANDON MS 39047 MANAGEMENT 176768 DR MARK O RESTER 27 CASCADES CIRCLE WEST CLINTON MS 39056 PHYSICIAN 144000 3 5506745 28106 5534851 OUTPATIENT REVENUE 900099 17150452 17150452 INPATIENT REVENUE 900099 11838310 11838310 GERIATRIC UNIT 900099 2922586 2922586 CONTRACTUAL ADJUSTMENTS 900099 -13808960 -13808960 18102388 7224 7224 OTHER REVENUE 900099 571499 571499 CAFETERIA INCOME 722210 1 1 571500 24215963 18673888 0 7224 X 9819686 7873086 1946600 4126962 1314333 2812629 142561 124367 18194 180710 180710 400682 302310 98372 407917 407917 SUPPLIES - MEDICAL & OT 2127628 2114435 13193 BAD DEBT EXPENSE 2104515 2104515 UTILITIES AND MAINTENAN 432122 176518 255604 MISCELLANEOUS 426526 202348 224178 474993 347384 127609 20644302 14559296 6085006 0 7099444 4082518 1095491 1579692 300445 386562 43695 166030 9130535 5486941 2162194 3643594 36482 343844 10737751 10202240 1549003 1376973 3373794 3222541 1357800 5462980 3036891 11743577 7636405 X -1005826 2565835 -1005826 2565835 10737751 10202240 3571661 0 X 0 1 X 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 204100 204100 2048715 1218855 829860 6650599 4120834 2529765 227121 147252 79869 3643594 UNEARNED GRANT RECEIPTS - PROVIDER RELIEF FUNDS 986056 CURRENT PORTION OF ADVANCE PAYMENT FROM THIRD PARTY 1722314 CURRENT PORTION OF CAPITAL LEASE OBLIGATIONS 328521 3036891 X 22858163 0 22858163 1357800 1357800 24215963 20644302 0 20644302 0 20644302 PART X, LINE 2: THERE WERE NO UNCERTAIN TAX POSITIONS IDENTIFIED RELATED TO THE CURRENT YEAR AND THE HOSPITAL HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2021 AND 2020, FOR WHICH LIABILITIES HAVE BEEN ESTABLISHED. THE HOSPITAL RECOGNIZES INTEREST AND PENALTIES, IF ANY, RELATED TO UNRECOGNIZED TAX BENEFITS AS A COMPONENT OF INCOME TAX EXPENSE. PART XI, LINE 4B - OTHER ADJUSTMENTS: PPP FUNDS FORGIVEN AS OF 12/31/2021 1 1 1 X 1 X 1 1 0 0 1357614 869781 487833 0.02630 8662969 5073682 3589287 0.19380 10020583 5943463 4077120 0.22010 3250 3250 0.00020 7397617 4483273 2914344 0.15740 28106 28106 0.00150 7428973 4483273 2945700 0.15910 17449556 10426736 7022820 0.37920 0 2127628 910781 5045576 5045576 X 1 1 1 1 SIMPSON GENERAL HOSPITAL 1842 SIMPSON HIGHWAY 149 MENDENHALL MS 39114 X X X X SIMPSON GENERAL HOSPITAL 1 0 0 1 X X X X X X X X 18 1 0 0 1 X HTTP://WWW.SIMPSONGENERAL.COM/ X 1 18 0 0 0 1 X 100.000000000000 250.000000000000 X X X X 1 1 X X X 1 X 1 X 1 X X X X 1 X 0 0 SIMPSON GENERAL HOSPITAL PART V, SECTION B, LINE 5: A BRIEF, 7-ITEM SURVEY WAS GIVEN TO COMMUNITY MEMBERS PARTICIPATING IN THE FOCUS GROUP OR KEY INFORMANT INTERVIEWS, PRIOR TO THEIR PARTICIPATION IN THE INTERVIEW OR FOCUS GROUP. PERSONALLY IDENTIFYING INFORMATION WAS NOT GATHERED AND RESPONDENTS WERE MADE AWARE OF THE ANONYMOUS AND CONFIDENTIAL TREATMENT OF THEIR RESPONSES. TO GATHER IMPORTANT INFORMATION AND OPINION ABOUT THE HEALTH NEEDS OF THE COMMUNITY, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS REPRESENTING VARIOUS ORGANIZATIONS EACH PLAYING AN IMPORTANT ROLE IN THE COMMUNITY. THESE INFORMANTS ARE WELL AWARE OF HEALTHCARE ISSUES FACING THOSE THEY SERVE. EACH INTERVIEW WAS STRUCTURED SIMILARLY, AND AVERAGED 45-60 MINUTES. QUESTIONS WERE OPENENDED,AND DESIGNED TO CAPTURE THE INFORMANTS' PERCEPTION AND RANKING OF THE MOST CRITICAL HEALTH CHALLENGES FACING THE COMMUNITY. TO FURTHER BENEFIT FROM THE KNOWLEDGE AND EXPERTISE OF THE INTERVIEWEES (SEVERAL OF WHOM HAVE EXPERTISE IN PUBLIC HEALTH), WE ASKED FOR THEIR THOUGHTS AND OPINIONS ABOUT THE ROOT CAUSES OF HEALTH PROBLEMS, POTENTIAL SOLUTIONS TO THESE PROBLEMS, AND BARRIERS TO ACHIEVING SUCCESS IN IMPLEMENTING PROGRAMS TO ADDRESS AREAS OF NEED. CAREFUL NOTES WERE TAKEN DURING THE INTERVIEWS AND SUBSEQUENTLY, THESE NOTES WERE TRANSCRIBED, CATEGORIZED THEMATICALLY, AND SUMMARIZED WHERE SIGNIFICANT LEVELS OF AGREEMENT/MENTIONS OCCUR. 3 1 - HARRISVILLE MEDICAL CLINIC 1865 HIGHWAY 469 HARRISVILLE MS 39082 MEDICAL CLINIC 2 - SGH CLINIC 1842 HIGHWAY 149 MENDENHALL MS 39114 MEDICAL CLINIC 3 - PUCKETT MEDICAL CLINIC 6455 HIGHWAY 18 PUCKETT MS 39042 MEDICAL CLINIC PART I, LINE 7: THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS IN PART I, LINE 7 IS A RATIO OF PATIENT CARE COST TO CHARGES AND INCLUDES ALL PATIENT SEGMENTS. WORKSHEETS 1, 2, 3 AND 8 WERE USED TO DETERMINE THE AMOUNTS REPORTED IN PART I, LINE 7, A, B AND C. PART I, LINE 7G: THE HOSPITAL HAS AGREEMENTS WITH THIRD-PARTY PAYORS THAT PROVIDE FOR PAYMENTS TO THE HOSPITAL AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PART I, LN 7 COL(F): BAD DEBT EXPENSE OF $2,127,628 WAS INCLUDED ON FORM 990, PART IX, LINE 25 COLUMN (A), BUT WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE OF TOTAL EXPENSE IN COLUMN (F). PART II, COMMUNITY BUILDING ACTIVITIES: N/A PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE CARRIED AT THE UNPAID AMOUNT OF PATIENT SERVICE REVENUE CHARGED TO PATIENTS, NET OF ALLOWANCES FOR CONTRACTUAL ADJUSTMENTS RELATED TO AGREEMENTS WITH THIRD-PARTY PAYORS AND ALLOWANCES FOR DOUBTFUL ACCOUNTS. AS A SERVICE TO THE PATIENT, THE HOSPITAL BILLS THIRD-PARTY PAYORS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. MANAGEMENT DETERMINES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY USING HISTORICAL EXPERIENCE APPLIED TO AN AGING OF ACCOUNTS AND CONSIDERING SPECIFIC OLD OUTSTANDING BALANCES. PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN-OFF WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF PATIENT ACCOUNTS RECEIVABLES PREVIOUSLY WRITTEN-OFF ARE RECORDED WHEN RECEIVED. PART III, LINE 8: CHARITY CARE ARISES FROM A DELIBERATE POLICY BY A HEALTH CARE ORGANIZATION TO FOREGO PAYMENT FOR CERTAIN SERVICES PROVIDED TO LOW INCOME PATIENTS. HOSPITAL PARTICIPATION IN MEDICARE IS VOLUNTARY. MEDICARE SHORTFALLS OCCUR WHEN THE PAYMENTS RECEIVED BY MEDICARE ARE LESS THAN THE COSTS OF PROVIDING CARE TO MEDICARE PATIENTS. PAYMENT RATES FOR MEDICARE ARE CURRENTLY SET BELOW THE COSTS OF PROVIDING CARE RESULTING IN UNDERPAYMENT. THE ORGANIZATION MUST BRIDGE THE GAP CREATED BY GOVERNMENT UNDERPAYMENTS. THE MEDIAN INCOME LEVEL OF THE COMMUNITY IN WHICH SIMPSON COMMUNITY HEALTHCARE SERVES IS WELL BELOW THE NATIONAL AVERAGE. A MAJORITY OF ITS PATIENTS ARE MEDICARE PATIENTS. THE ORGANIZATION FEELS THAT PROVIDING CARE FOR THE ELDERLY AND POOR IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD AND AS SUCH, ANY MEDICARE UNDERPAYMENTS REPRESENT THE REAL COST OF SERVING ITS COMMUNITY AND SHOULD COUNT AS QUANTIFIABLE COMMUNITY BENEFIT FOR TAX COMPLIANCE PURPOSES. THE MEDICARE COST REPORT IS USED TO DETERMINE THE AMOUNT REPORTED ON SCHEDULE H, PART III, LINE 6. PART III, LINE 9B: THE ORGANIZATION'S DEBT COLLECTION POLICY INCLUDES PROVISIONS FOR THE UNINSURED AND THOSE THAT QUALIFY FOR CHARITY CARE. UPON ADMITTANCE, INFORMATION IS ENTERED INTO SPMS SYSTEM TO VERIFY THE PATIENTS ABILITY TO PAY. THIS PREQUALIFIES PATIENTS THAT ARE ELIGIBLE FOR CHARITY. ALL SELF-PAY PATIENTS ARE OFFERED DISCOUNTS. ONLY ACCOUNTS IN WHICH THE GUARANTOR HAS VERIFIABLE INCOME ARE CONSIDERED TO BE SENT TO COLLECTIONS OR LEGAL SUIT. PART VI, LINE 2: STHE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES BY CONSIDERING HOW THE COMMUNITY IS DEFINED, DETERMINING WHAT POPULATIONS SHOULD BE THE FOCUS OF COMMUNITY HEALTH IMPROVEMENT, IDENTIFYING SUBGROUPS OF THE COMMUNITY SUCH AS SENIORS, CHILDREN, LOW-INCOME INDIVIDUALS, MEMBERS OF ETHNIC GROUPS, UNINSURED PERSONS AND OTHERS TO CONCENTRATE HEALTH IMPROVEMENT AND GIVE PARTICULAR ATTENTION TO THOSE PERSONS IN THE TARGET POPULATION. PART VI, LINE 3: THE ORGANIZATION OFFERS DISCOUNTS TO ALL SELF-PAY PATIENTS. INFORMATION REGARDING THESE DISCOUNTS IS SUMMARIZED IN A LETTER THAT IS PROVIDED TO PATIENTS AS THEY ARE ADMITTED. SOME PATIENTS CONTACT THE ORGANIZATION AND INDICATE THEY ARE UNABLE TO PAY. THE ORGANIZATION FURTHER RESEARCHES THESE PATIENTS' ABILITY TO PAY AND DETERMINES IF THEY QUALIFY FOR DISCOUNTS OR CHARITY CARE UNDER THE ORGANIZATION'S POLICY. THE INDIVIDUAL IS THEN CONTACTED AND INFORMED OF THEIR AVAILABLE DISCOUNTS. PART VI, LINE 4: THE HOSPITAL IS LOCATED IN A RURAL COMMUNITY WITH AN ESTIMATED POPULATION OF 27,784. MEDIAN HOUSEHOLD INCOME OF COMMUNITY RESIDENTS IS $28,343 COMPARED TO NATIONAL MEDIAN OF $41,994. SIMPSON GENERAL HOSPITAL IS ONE OF TWO HOSPITALS SERVING SIMPSON COUNTY AND THE SURROUNDING AREA. PART VI, LINE 5: A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. PART VI, LINE 6: THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM. X X X 0 0 0 0 0 0 0 0 0 CHIP HOLBROOK MD PHYSICIAN 490034 0 0 0 0 0 0 0 21964 0 511998 0 0 0 HARPAL SINGH MD PHYSICIAN 349968 0 0 0 0 0 0 0 14965 0 364933 0 0 0 JASON R BOWEN NURSE PRACTITIONER 142070 0 0 0 0 0 0 0 21422 0 163492 0 0 0 ASHLEY SHIVERS NURSE PRACTITIONER 146308 0 0 0 0 0 0 0 13358 0 159666 0 0 0 JESSICA A GARNER NURSE PRACTITIONER 148736 0 0 0 0 0 0 0 5718 0 154454 0 0 0 JASON E CARR NURSE PRACTITIONER 128860 0 0 0 0 0 0 0 23536 0 152396 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE ORGANIZATION'S INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS AND REVIEWED BY THE ORGANIZATION'S CEO. A COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) IS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY. THE ORGANIZATION'S GOVERNING BODY REVIEWS THE FORM 990, APPROVES THE FORM 990 FOR FILING WITH THE INTERNAL REVENUE SERVICE, AND AUTHORIZES OFFICERS OF THE ORGANIZATION TO EXECUTE THE FORM 990 ON BEHALF OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 12C AT LEAST ONCE A YEAR, MEMBERS ARE ASKED TO COMPLETE A CONFLICT OF INTEREST STATEMENT AND DISCLOSE ANY CONFLICTS OF INTEREST. THEY ARE TO NOTIFY OF ANY CHANGES THROUGHOUT THE YEAR. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION USES COMPARABLE DATE TO DETERMINE COMPENSATION AMOUNTS OF ITS CEO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT LABOR AND PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,314,333. MANAGEMENT AND GENERAL EXPENSES 2,812,629. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,126,962.