2020-12-28T06:32:00-08:00 2019-12-31 720979212 Lester Miller & Wells 3600 Bayou Rapides Alexandria LA 71303 990 2019-01-01 721479692 SPRINGHILL MEDICAL SERVICES INC DBA SPRINGHILL MEDICAL CENTER SPRI 3185391001 2001 DOCTORS DRIVE SPRINGHILL LA 71075 Steven Thames CFO 2020-12-22 true Robert G Miller P00523509 3184871450 2019 2022-09-23 18:48:47Z 2001 DOCTORS DRIVE SPRINGHILL LA 71075 24493893 false X www.smccare.com X 2000 LA PATIENT CENTERED CARE FROM OUR FAMILY TO YOURS 12 11 346 0 302828 4050 20505799 22998669 63649 124013 440651 1367161 21312927 24493893 0 0 13982102 15138221 0 0 8071770 9423684 22053872 24561905 -740945 -68012 11286754 11532570 6433276 6747104 4853478 4785466 PATIENT CENTERED CARE FROM OUR FAMILY TO YOURS false false 14891383 4050 24485581 SEE SCHEDULE O 14891383 true false false false false false false false false false true false false false true false true false false false false false false false false false true true false false true false false false false false false false false false false false false false false false false false true 36 0 true 346 true false false false false false false false 0 false false false false false false false X 12 11 false false false false false false true true true false false true true true true true true true true true false X X SPRINGHILL MEDICAL CENTER 3185391001 2001 DOCTORS DRIVE SPRINGHILL LA 71075 X CLIFTON SALMON MD FAMILY PRACTICE 40.00 0.00 418250 0 21367 SAMUEL ABSHIRE MD FAMILY PRACTICE 40.00 0.00 273702 0 3235 MICHELL PARDUE MD FAMILY PRACTICE 40.00 0.00 251816 0 14795 CLINT BUTLER MD FAMILY PRACTICE 40.00 0.00 210076 0 3072 JERRY WAYNE SESSIONS MD CHIEF OF STAFF 40.00 0.00 197884 0 6476 MICHAEL G PATRONIS CEO 40.00 0.00 120833 0 17327 DANA JONES COO 40.00 0.00 114713 0 12677 DONNA MORRIS CBDO 40.00 0.00 101837 0 15029 DAVID SANDERS CFO 40.00 0.00 104853 0 10174 DAVID K ANDERSON BOARD MEMBER 1.00 0.00 X 0 0 0 WAYNE MCMAHEN BOARD MEMBER 1.00 0.00 X 0 0 0 MARY D ARMWOOD Vice President 1.00 0.00 X X 0 0 0 PATRICIA A MCMURRAY BOARD MEMBER 1.00 0.00 X 0 0 0 ROBERT C BUSH BOARD MEMBER 1.00 0.00 X 0 0 0 WILLIAM RAY HUDDLESTON BOARD MEMBER 1.00 0.00 X 0 0 0 ROBERT A COLVIN Secretary 1.00 0.00 X X 0 0 0 JERRY WAYNE SESSIONS MD CHIEF OF STAFF 40.00 0.00 X 0 0 0 DIANNE STEPHENS Treasurer 1.00 0.00 X X 0 0 0 WILLIE LYND IV BOARD MEMBER 1.00 0.00 X 0 0 0 DON G TEAGUE President 1.00 0.00 X X 0 0 0 RAYMOND E ROBERTSON BOARD MEMBER 1.00 0.00 0 0 0 1793964 104152 18 true true false EMCARE PHYSICIAN SERVICES 7032 COLLECTION CNTR DR CHICAGO IL 60693 EMERGENCY ROOM COVER 1016666 EVIDENTCPSI P O BOX 850309 MOBILE AL 36685 INFORMATION SYSTEMS 333789 BAYMARK MANAGEMENT SERVICES DEPT D 8126 DALLAS TX 75265 NEW VISION ACUTE CARE 233004 WILLIS KNIGHTON HEALTH SYSTEM P O BOX 32600 SHREVEPORT LA 71130 CONTRACT LABOR CEO 225504 EASY SLEEP 6030 LINE AVE 320 SHREVEPORT LA 71106 CLINICAL SLEEP STUDIES 159750 8 4050 4050 PATIENT SERVICE REVENUE 22998669 22998669 22998669 124013 124013 0 326 326 44800 44800 44800 44800 0 0 0 0 340B PHARMACY 1150808 1150808 CAFETERIA 722514 106966 106966 MISCELLANEOUS 64261 64261 1322035 24493893 22998669 1491174 0 0 0 0 362145 362145 0 12467756 7685125 4782631 300519 300519 1127747 695144 432603 880054 880054 0 23668 23668 103582 103582 0 0 0 0 53253 32825 20428 239374 239374 203332 203332 0 0 140972 86895 54077 0 0 180554 180554 0 831044 512256 318788 387119 238620 148499 Professional consulting 1941429 1196697 744732 Medical Supplies and Drugs 1900712 1171599 729113 MISC CONTRACT 897779 553391 344388 Nonmedical supplies 597964 368585 229379 1922902 1169673 753229 24561905 14891383 9670522 0 582965 845273 0 0 3644165 3257136 0 0 1626591 2235056 501721 492425 395411 396858 15120306 10958889 4376646 4161417 0 0 0 0 159255 144405 11286754 11532570 2409708 2702131 3658768 3374541 246707 477151 118093 193281 6433276 6747104 X 4853478 4785466 4853478 4785466 11286754 11532570 -68012 X false true X true false X 71308 71308 8525074 5613179 2911895 271212 178517 92695 6252712 5167193 1085519 4161417 ACCRUED EXPENSES 183028 ACCRUED INTEREST 10253 193281 24493893 24493893 24493893 24561905 24561905 24561905 true true true X true X true true true false true true 856059 240199 615860 0.02510 5823042 4760718 1062324 0.04330 6679101 5000917 1678184 0.06840 13 18070 18070 0.00070 13 18070 18070 0.00070 13 6697171 5000917 1696254 0.06910 true 3057553 45510 8233613 8762044 -528431 X true true SPRINGHILL HOMECARE HOME HEALTH 0.33000 1 1 SPRINGHILL MEDICAL CENTER 2001 DOCTORS DRIVE SPRINGHILL LA 71075 WWW.SMCCARE.COM X SPRINGHILL MEDICAL CENTER 1 false false true X X X X X X X X X 19 true true true true X WWW.SMCCARE.COM X true 19 false false false true X 100.0000 200.0000 X X true true X X X X true X WWW,SMCCARE.COM X X X X X true X X false X X X X true false false Facility: SPRINGHILL MEDICAL CENTER - Part V, Section B, Line 5 PART 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 6a PART I, LINE 6a - COMMUNITY BENEFIT REPORT: SEE ATTACHED CHNA. 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 BUTLER ABSHIRE MEDICAL CLINIC 900 FRANCIS DRIVE HAYNESVILLE LA 71038 PROVIDER BASED RURAL HEALTH CLINIC HOMER MEDICAL CLINIC 104 MORRIS CIRCLE HOMER LA 71040 PROVIDER BASED RURAL HEALTH CLINIC BRADLEY MEDICAL CLINIC 409 WOODRUFF STREET BRADLEY AR 71826 PROVIDER BASED RURAL HEALTH CLINIC SPRINGHILL PHYSICAL THERAPY 206 REYNOLDS STREET SPRINGHILL LA 71075 FREE STANDING PHYSICAL THERAPY CLINIC 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 SMC RECORDS BAD DEBT AT GROSS CHARGES LEFT UNPAID AFTER REASONABLE COLLECTION EFFORTS HAVE BEEN MADE. THE COST OF THE BAD DEBT REPORTED WAS DETERMINED BASED UPON THE COST TO CHARGE RATIO CALCULATED FROM WORKSHEET 2. SMC ESTIMATED THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY USING STATISTICAL DATA COLLECTED OVER SIX MONTHS THAT INCLUDED THE PERCENT OF APPROVED APPLICATIONS TO RETURNED APPLICATIONS. THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT IS RELATED TO BAD DEBT STATES "TRADITIONAL RECEIVBLES ARE CARRIED AT THE ORIGINAL BILLED AMOUNT LESS AN ESTIMATE MADE FOR UNCOLLECTIBLE ACCOUNTS BASED ON A REVIEW OF ALL OUTSTANDING AMOUNTS ON A MONTHLY BASIS. MANAGEMENT DETERMINES THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BY IDENTIFYING TROUBLED ACCOUNTS AND BY USING HISTORICAL EXPERIENCES APPLIED TO AN AGING OF ACCOUNTS. TRADE RECEIVABLES ARE WRITTEN OFF WHEN DEEMED UNCOLLECTIBLE.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 IN THE EVENT THEY ARE UNABLE TO PAY BUT 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 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 SMC 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 Assistance 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 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 Information SMC 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 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 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. X X false false false false false false false false false CLIFTON SALMON MD FAMILY PRACTICE 418250 18367 3000 439617 CLINT BUTLER MD FAMILY PRACTICE 210076 72 3000 213148 JERRY WAYNE SESSIONS MD CHIEF OF STAFF 197884 4976 1500 204360 MICHELL PARDUE MD FAMILY PRACTICE 251816 11795 3000 266611 SAMUEL ABSHIRE MD FAMILY PRACTICE 273702 235 3000 276937 Form 990, Part VI, Line 11b: Form 990 Review Process 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, Line 15a: Compensation Review & Approval Process - CEO, Top Management COMPENSATION 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 Employees COMPENSATION 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 Available ALL GOVERNING DOCUMENTS AND WRITTEN POLICIES ARE AVAILABLE UPON REQUEST. 990 REVIEW PROCESS THE BOARD REVIEWS THE 990 DRAFT COMLETED 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 CENTER SMS OPERATES A 58 BED SOLE COMMUNITY ACUTE CARE HOSPITAL WITH MEDICAL, SURGICAL, DIAGNOSTIC, AND EMERGENCY SERVICES. IT OPERATES ONE RURAL HEALTH CLINIC IN SPRINGHILL,FOUR RURAL HEALTH CLINICS IN OUTLYING AREAS TO PROVIDE EASIER ACCESS TO HEALTH CARE, AND ONE FREESTANDING PHYSICAL THERAPY CLINIC IN SPRINGHILL. THE HOSPITAL PROVIDED 2,367 INPATIENT DAYS OF CARE (MEDICARE DAYS - 1,225)AND 1,545 GERI-PSYCH DAYS (MEDICARE DAYS - 1,305).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 OFFER 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.