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SPRINGHILL MEDICAL SERVICES INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
SPRINGHILL MEDICAL SERVICES INC (EIN 72-1479692)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-13
IRS object ID
201903179349307845
Schema version
2018v3.1
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)
Return2019-11-13T14:24:18-08:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

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 Begin2018-01-01TaxPeriodBeginDt

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)
PersonDavid L SandersPersonNm
Person TitleCFOPersonTitleTxt
Signature2019-11-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRobert G MillerPreparerPersonNm
PTINP00523509PTIN
Phone3184871450PhoneNum
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 DOCTORS DRIVEAddressLine1Txt
CitySPRINGHILLCityNm
State AbbreviationLAStateAbbreviationCd
ZIP71075ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$21,312,927GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
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 Body12VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee326TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$2,488,387PYContributionsGrantsAmt
CY Contributions Grants$302,828CYContributionsGrantsAmt
PY Program Service Revenue$16,699,926PYProgramServiceRevenueAmt
CY Program Service Revenue$20,505,799CYProgramServiceRevenueAmt
PY Investment Income$125,306PYInvestmentIncomeAmt
CY Investment Income$63,649CYInvestmentIncomeAmt
PY Other Revenue$216,895PYOtherRevenueAmt
CY Other Revenue$440,651CYOtherRevenueAmt
PY Total Revenue$19,530,514PYTotalRevenueAmt
CY Total Revenue$21,312,927CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$11,867,358PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,982,102CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,413,447PYOtherExpensesAmt
CY Other Expenses$8,071,770CYOtherExpensesAmt
PY Total Expenses$19,280,805PYTotalExpensesAmt
CY Total Expenses$22,053,872CYTotalExpensesAmt
PY Revenues Less Expenses$249,709PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$740,945CYRevenuesLessExpensesAmt
Total Assets BOY$10,613,157TotalAssetsBOYAmt
Total Assets EOY$11,286,754TotalAssetsEOYAmt
Total Liabilities BOY$5,018,734TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,433,276TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,594,423NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,853,478NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPATIENT CENTERED CARE FROM OUR FAMILY TO YOURSMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$18,260,152ExpenseAmt
Grant$2,828GrantAmt
Revenue$20,505,799RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$18,260,152TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
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
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
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 Document43IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee326EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
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
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
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 Members12GoverningBodyVotingMembersCnt
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

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DAVID K ANDERSON
BOARD MEMBER1.000.00Yes (X)$0$0$0
WAYNE MCMAHEN
President1.000.00Yes (X)$0$0$0Yes (X)
MARY D ARMWOOD
BOARD MEMBER1.000.00Yes (X)$0$0$0
PATRICIA A MCMURRAY
BOARD MEMBER1.000.00Yes (X)$0$0$0
ROBERT C BUSH
BOARD MEMBER1.000.00Yes (X)$0$0$0
RAYMOND E ROBERTSON
Vice President1.000.00Yes (X)$0$0$0Yes (X)
ROBERT A COLVIN
Secretary1.000.00Yes (X)$0$0$0Yes (X)
WAYNE SESSIONS MD
CHIEF OF STAFF40.000.00Yes (X)$195,570$0$42,363
RAY HUDDLESTON
BOARD MEMBER1.000.00Yes (X)$0$0$0
DIANNE STEPHENS
BOARD MEMBER1.000.00Yes (X)$0$0$0
WILLIE LYND IV
BOARD MEMBER1.000.00Yes (X)$0$0$0
DON G TEAGUE
Treasurer1.000.00Yes (X)$0$0$0Yes (X)
DAVID SANDERS
CFO40.000.00$104,853$0$2,559Yes (X)
DANA JONES
COO40.000.00$103,136$0$15,099Yes (X)
DONNA MORRIS
CBDO40.000.00$101,837$0$14,864Yes (X)
VINCENT R SEDMINIK
CEO, CONTRACT LABOR40.000.00$145,000$0$20,793Yes (X)
CLIFTON SALMON
MD FAMILY PRACTICE40.000.00$289,804$0$9,696Yes (X)
MICHELL PARDUE
MD FAMILY PRACTICE40.000.00$223,871$0$3,072Yes (X)
LAURA HART
MD FAMILY PRACTICE40.000.00$195,731$0$10,261Yes (X)
SAMUEL ABSHIRE
MD FAMILY PRACTICE40.000.00$185,269$0$10,261Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,545,071TotalReportableCompFromOrgAmt
Total Other Compensation$128,968TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
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$821,560
EVIDENTCPSI
P O BOX 850309MOBILEAL36685INFORMATION SYSTEMS$321,815
MEDHOST OF TENNESSEE INC
2739 MOMENTUM PLACECHICAGOIL606895327INFORMATION SYS ER$286,452
WILLIS KNIGHTON HEALTH SYSTEM
P O BOX 32600SHREVEPORTLA71130CONTRACT LABOR CEO$165,793
ECLINICAL WORKS
P O BOX 847950BOSTONMA022847950INFORMATION SYS CLIN$201,098
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$2,828GovernmentGrantsAmt
All Other Contributions$300,000AllOtherContributionsAmt
Total Contributions$302,828TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Total Revenue Column$20,505,799TotalRevenueColumnAmt
Related Or Exempt Func Income$20,505,799RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$20,505,799TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$63,649TotalRevenueColumnAmt
Exclusion$63,649ExclusionAmt

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$52,338RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$52,338RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$52,338TotalRevenueColumnAmt
Exclusion$52,338ExclusionAmt

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$239,836$239,836
CAFETERIA$98,080$98,080722514
MISCELLANEOUS$50,397$50,397
FieldValueIRS element (for citing)
Other Revenue Total$388,313OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,312,927TotalRevenueColumnAmt
Related Or Exempt Func Income$20,505,799RelatedOrExemptFuncIncomeAmt
Exclusion$504,300ExclusionAmt

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$309,127TotalAmt
Management And General$309,127ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,544,813TotalAmt
Program Services$10,511,052ProgramServicesAmt
Management And General$1,033,761ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$299,090TotalAmt
Program Services$299,090ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,010,967TotalAmt
Program Services$1,010,967ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$818,105TotalAmt
Program Services$818,105ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$28,676TotalAmt
Management And General$28,676ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$176,397TotalAmt
Management And General$176,397ManagementAndGeneralAmt

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$43,312TotalAmt
Management And General$43,312ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$281,876TotalAmt
Management And General$281,876ManagementAndGeneralAmt

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$59,400TotalAmt
Management And General$59,400ManagementAndGeneralAmt

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$172,226TotalAmt
Management And General$172,226ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$791,699TotalAmt
Program Services$441,610ProgramServicesAmt
Management And General$350,089ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$342,994TotalAmt
Program Services$191,322ProgramServicesAmt
Management And General$151,672ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies and Drugs$1,823,683$1,823,683
Professional consulting$1,568,485$1,568,485
MISC CONTRACT$596,484$332,719$263,765
Nonmedical supplies$502,699$280,406$222,293

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,683,839TotalAmt
Program Services$982,713ProgramServicesAmt
Management And General$701,126ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$22,053,872TotalAmt
Program Services$18,260,152ProgramServicesAmt
Management And General$3,793,720ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,498,679BOYAmt
EOY$582,965EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,775,718BOYAmt
EOY$3,644,165EOYAmt

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$1,879,751BOYAmt
EOY$1,626,591EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$504,130BOYAmt
EOY$501,721EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$204,839BOYAmt
EOY$395,411EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,616,893LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,225,392LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,683,040BOYAmt
EOY$4,391,501EOYAmt

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$67,000BOYAmt
EOY$144,400EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,613,157BOYAmt
EOY$11,286,754EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,466,895BOYAmt
EOY$2,409,708EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,130,366BOYAmt
EOY$3,658,768EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$366,665BOYAmt
EOY$246,707EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$54,808BOYAmt
EOY$118,093EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,018,734BOYAmt
EOY$6,433,276EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,590,927BOYAmt
EOY$4,853,478EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,496BOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,594,423BOYAmt
EOY$4,853,478EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,613,157BOYAmt
EOY$11,286,754EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$740,945ReconcilationRevenueExpnssAmt
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 B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

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$8,421,261OtherCostOrOtherBasisAmt
Depreciation$5,194,273DepreciationAmt
Book Value$3,226,988BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$172,134OtherCostOrOtherBasisAmt
Depreciation$164,143DepreciationAmt
Book Value$7,991BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,952,190OtherCostOrOtherBasisAmt
Depreciation$4,866,976DepreciationAmt
Book Value$1,085,214BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,391,501TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ACCRUED EXPENSES$107,840
ACCRUED INTEREST$10,253
FieldValueIRS element (for citing)
Total Liability$118,093TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$21,312,927TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$21,312,927RevenueSubtotalAmt
Total Revenue Per Form990$21,312,927TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$22,053,872TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$22,053,872ExpensesSubtotalAmt
Total Expenses Per Form990$22,053,872TotalExpensesPerForm990Amt

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 ReportfalseAnnualCommunityBnftReportInd
Report Publically AvailablefalseReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$581,272TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$86,121DirectOffsettingRevenueAmt
Net Community Benefit Expns$495,151NetCommunityBenefitExpnsAmt
Total Expense0.02250TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,031,998TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,469,332DirectOffsettingRevenueAmt
Net Community Benefit Expns$562,666NetCommunityBenefitExpnsAmt
Total Expense0.02550TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,613,270TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,555,453DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,057,817NetCommunityBenefitExpnsAmt
Total Expense0.04800TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,613,270TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,555,453DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,057,817NetCommunityBenefitExpnsAmt
Total Expense0.04800TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$2,117,519BadDebtExpenseAmt
Bad Debt Expense Attributable$18,534BadDebtExpenseAttributableAmt
Reimbursed By Medicare$7,828,054ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$7,827,607CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$447MedicareSurplusOrShortfallAmt

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 Conducted16CHNAConductedYr
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 Adpt16ImplementationStrategyAdptYr
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 Care100.0000FPGFamilyIncmLmtFreeCarePct
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 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
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 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: VINCE SEDMINIK (CHIEF EXECUTIVE OFFICER),DANA JONES (ASSISTANT ADMINISTRATOR/QUALITY MANAGER), RHONDA PEREZ (CHIEF NURSING OFFICER), LAYLA CHASE (CHIEF FINANCIAL OFFICER), DONNA MORRIS (GROUP PRACTICE MANAGER), 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: PEGGY ADKINS (MAYOR OF SAREPTA), BRUCE BLANTON (POLICE JUROR WEBSTER PARISH), CARROLL BREAUX (MAYOR OF SPRINGHILL), BERT HARRIS (RETIRED, SPRINGHILL), SHONDA HARRIS, (SMC, CULLEN), GLADNEY HUNT (PASTOR, BRADLEY, AR), DAVID JEANE (RETIRED PROFESSOR, SPRINGHILL), MOLLY MCCALMAN (WILLIS KNIGHTON, BRADLEY, AR), TERRELL MENDENHALL, DAVID RAINES (CULLEN), JOHN MONTGOMERY (YOUTH PASTOR, TAYLOR, AR),RANDY MORRIS (EMS, SPRINGHILL), TIM MOUSER (MAYOR OF SHONGALOO), KELLY ROLEN (LA HOMECARE, SPRINGHILL), DAVID SMITH (BANKER, SPRINGHILL, LISA SMITH (FAMILY SERVICES, CULLEN), JESSICA SPENCE (SCHOOL PRINCIPAL, SPRINGHILL), RONDA TAYLOR (CHAMBER OF COMMERCE, SPRINGHILL), AND EASTER WHITE (RETIRED, CULLEN). THE CHNA COMMITTEE UTILIZED A SURVEY PROCESS TO GATHER COMMUNITY INPUT. THERE WERE 105 SURVEYS RETURNED. THE SUMMARY OF SURVEY RESULTS BEGIN ON PAGE 34 OF THE ATTACHED 2016 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.
Facility: SPRINGHILL MEDICAL CENTER - Part V, Section B, Line 22dTHE AMOUNT CALCULATED AS BAD DEBT ATTRIBUTABLE TO FAP-ELIGIBLE PATIENTS WAS DETERMINED USING STATISTICAL DATA BASED UPON THE PERCENT OF APPROVED FAP APPLICAITONS TO RETURNED FAP APPLICATIONS

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
SMC DOCTORS CLINIC
401 11TH ST NESPRINGHILLLA71075PROVIDER BASED RURAL HEALTH CLINIC
HOMER MEDICAL CLINIC
104 MORRIS CIRCLEHOMERLA71040PROVIDER BASED RURAL HEALTH CLINIC
BUTLER ABSHIRE MEDICAL CLINIC
900 FRANCIS DRIVEHAYNESVILLELA71038PROVIDER BASED RURAL HEALTH CLINIC
NORTH WEBSTER MEDICAL CLINIC
106 TRI STATE DRIVESAREPTALA71071PROVIDER BASED RURAL HEALTH CLINIC
BRADLEY MEDICAL CLINIC
409 WOODRUFF STREETBRADLEYAR71826FREE STANDING RURAL HEALTH CLINIC
SPRINGHILL PHYSICAL THERAPY
206 REYNOLDS STREETSPRINGHILLLA71075FREE STANDING PHYSICAL THERAPY CLINIC

Supplemental Information Detail SupplementalInformationDetail (7 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 ExpenseSMC 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 TEH 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 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
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

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$289,804$6,696$3,000$299,500
LAURA HART
MD FAMILY PRACTICE$195,731$7,261$3,000$205,992
MICHELL PARDUE
MD FAMILY PRACTICE$223,871$72$3,000$226,943
SAMUEL ABSHIRE
MD FAMILY PRACTICE$185,269$7,261$3,000$195,530
VINCENT R SEDMINIK
CEO, CONTRACT LABOR$145,000$20,793$165,793
WAYNE SESSIONS MD
CHIEF OF STAFF$153,207$9,325$3,000$165,532

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 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 AND WRITTEN POLICIES ARE AVAILABLE UPON REQUEST.
990 REVIEW PROCESSTHE 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 CENTERSMS OPERATES A 58 BED SOLE COMMUNITY ACUTE CARE HOSPITAL WIT 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 PHYSICIAL THERAPY CLINIC IN SPRINGHILL. THE HOSPITAL PROVIDED 2,596 INPATIENR DAYS OF CARE (MEDICARE DAYS - 1,614)AND 1,823 GERI-PSYCH DAYS (MEDICARE DAYS - 1,561).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.