2019-11-13T14:24:18-08:00 2018-12-31 720979212 Lester Miller & Wells 3600 Bayou Rapides Alexandria LA 71303 990 2018-01-01 721479692 SPRINGHILL MEDICAL SERVICES INC DBA SPRINGHILL MEDICAL CENTER SPRI 3185391001 2001 DOCTORS DRIVE SPRINGHILL LA 71075 David L Sanders CFO 2019-11-13 true Robert G Miller P00523509 3184871450 2018 2020-03-31 21:24:44Z 2001 DOCTORS DRIVE SPRINGHILL LA 71075 21312927 false false X www.smccare.com X 2000 LA PATIENT CENTERED CARE FROM OUR FAMILY TO YOURS 12 11 326 0 2488387 302828 16699926 20505799 125306 63649 216895 440651 19530514 21312927 0 0 11867358 13982102 0 0 7413447 8071770 19280805 22053872 249709 -740945 10613157 11286754 5018734 6433276 5594423 4853478 X PATIENT CENTERED CARE FROM OUR FAMILY TO YOURS false false 18260152 2828 20505799 SEE SCHEDULE O 18260152 true true 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 false false false true 43 0 true 326 true false false false false false false false false 0 false false false false false 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 SPRINGHILL MEDICAL CENTER 3185391001 2001 DOCTORS DRIVE SPRINGHILL LA 71075 DAVID K ANDERSON BOARD MEMBER 1.00 0.00 X 0 0 0 WAYNE MCMAHEN President 1.00 0.00 X X 0 0 0 MARY D ARMWOOD BOARD MEMBER 1.00 0.00 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 RAYMOND E ROBERTSON Vice President 1.00 0.00 X X 0 0 0 ROBERT A COLVIN Secretary 1.00 0.00 X X 0 0 0 WAYNE SESSIONS MD CHIEF OF STAFF 40.00 0.00 X 195570 0 42363 RAY HUDDLESTON BOARD MEMBER 1.00 0.00 X 0 0 0 DIANNE STEPHENS BOARD MEMBER 1.00 0.00 X 0 0 0 WILLIE LYND IV BOARD MEMBER 1.00 0.00 X 0 0 0 DON G TEAGUE Treasurer 1.00 0.00 X X 0 0 0 DAVID SANDERS CFO 40.00 0.00 X 104853 0 2559 DANA JONES COO 40.00 0.00 X 103136 0 15099 DONNA MORRIS CBDO 40.00 0.00 X 101837 0 14864 VINCENT R SEDMINIK CEO, CONTRACT LABOR 40.00 0.00 X 145000 0 20793 CLIFTON SALMON MD FAMILY PRACTICE 40.00 0.00 X 289804 0 9696 MICHELL PARDUE MD FAMILY PRACTICE 40.00 0.00 X 223871 0 3072 LAURA HART MD FAMILY PRACTICE 40.00 0.00 X 195731 0 10261 SAMUEL ABSHIRE MD FAMILY PRACTICE 40.00 0.00 X 185269 0 10261 1545071 128968 9 false true false EMCARE PHYSICIAN SERVICES 7032 COLLECTION CNTR DR CHICAGO IL 60693 EMERGENCY ROOM COVER 821560 EVIDENTCPSI P O BOX 850309 MOBILE AL 36685 INFORMATION SYSTEMS 321815 MEDHOST OF TENNESSEE INC 2739 MOMENTUM PLACE CHICAGO IL 606895327 INFORMATION SYS ER 286452 WILLIS KNIGHTON HEALTH SYSTEM P O BOX 32600 SHREVEPORT LA 71130 CONTRACT LABOR CEO 165793 ECLINICAL WORKS P O BOX 847950 BOSTON MA 022847950 INFORMATION SYS CLIN 201098 5 2828 300000 302828 PATIENT SERVICE REVENUE 20505799 20505799 20505799 63649 63649 0 0 52338 52338 52338 52338 0 0 0 0 340B PHARMACY 239836 239836 CAFETERIA 722514 98080 98080 MISCELLANEOUS 50397 50397 388313 21312927 20505799 504300 0 0 0 0 309127 309127 0 11544813 10511052 1033761 299090 299090 1010967 1010967 818105 818105 0 28676 28676 176397 176397 0 0 0 0 43312 43312 281876 281876 0 0 0 59400 59400 0 0 172226 172226 0 791699 441610 350089 342994 191322 151672 Medical Supplies and Drugs 1823683 1823683 Professional consulting 1568485 1568485 MISC CONTRACT 596484 332719 263765 Nonmedical supplies 502699 280406 222293 1683839 982713 701126 22053872 18260152 3793720 0 1498679 582965 0 0 1775718 3644165 0 0 1879751 1626591 504130 501721 204839 395411 14616893 10225392 4683040 4391501 0 0 0 0 67000 144400 10613157 11286754 1466895 2409708 3130366 3658768 366665 246707 54808 118093 5018734 6433276 X 5590927 4853478 3496 5594423 4853478 10613157 11286754 -740945 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 71308 71308 8421261 5194273 3226988 172134 164143 7991 5952190 4866976 1085214 4391501 ACCRUED EXPENSES 107840 ACCRUED INTEREST 10253 118093 21312927 21312927 21312927 22053872 22053872 22053872 true true true X true X true true true false false false 581272 86121 495151 0.02250 4031998 3469332 562666 0.02550 4613270 3555453 1057817 0.04800 4613270 3555453 1057817 0.04800 true 2117519 18534 7828054 7827607 447 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 16 true true true true X WWW.SMCCARE.COM X true 16 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 X 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: 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 6a PART I, LINE 6a - COMMUNITY BENEFIT REPORT: SEE ATTACHED CHNA. Facility: SPRINGHILL MEDICAL CENTER - Part V, Section B, Line 22d THE 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 SMC DOCTORS CLINIC 401 11TH ST NE SPRINGHILL LA 71075 PROVIDER BASED RURAL HEALTH CLINIC HOMER MEDICAL CLINIC 104 MORRIS CIRCLE HOMER LA 71040 PROVIDER BASED RURAL HEALTH CLINIC BUTLER ABSHIRE MEDICAL CLINIC 900 FRANCIS DRIVE HAYNESVILLE LA 71038 PROVIDER BASED RURAL HEALTH CLINIC NORTH WEBSTER MEDICAL CLINIC 106 TRI STATE DRIVE SAREPTA LA 71071 PROVIDER BASED RURAL HEALTH CLINIC BRADLEY MEDICAL CLINIC 409 WOODRUFF STREET BRADLEY AR 71826 FREE STANDING 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 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 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 false CLIFTON SALMON MD FAMILY PRACTICE 289804 6696 3000 299500 LAURA HART MD FAMILY PRACTICE 195731 7261 3000 205992 MICHELL PARDUE MD FAMILY PRACTICE 223871 72 3000 226943 SAMUEL ABSHIRE MD FAMILY PRACTICE 185269 7261 3000 195530 VINCENT R SEDMINIK CEO, CONTRACT LABOR 145000 20793 165793 WAYNE SESSIONS MD CHIEF OF STAFF 153207 9325 3000 165532 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 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.