2018-11-15T13:42:18-08:00 2017-12-31 721199304 Langlinais Broussard & Kohlenberg 2419 Veterans Memorial Drive Abbeville LA 70510 990 2017-01-01 721479692 SPRINGHILL MEDICAL SERVICES INC DBA SPRINGHILL MEDICAL CENTER SPRI 3185391001 2001 DOCTORS DRIVE SPRINGHILL LA 71075 DAVID L SANDERS CFO 2018-11-15 true BARRETT B PERRY CPA P01640100 3378936232 2017 2019-02-21 02:37:17Z 19530514 false false X www.smccare.com X 2000 LA PATIENT CENTERED CARE FROM OUR FAMILY TO YOURS. 12 11 280 0 255649 2488387 19832933 16699926 150970 125306 274647 216895 20514199 19530514 0 0 11849204 11867358 0 0 7649465 7413447 19498669 19280805 1015530 249709 9739619 10613157 4394905 5018734 5344714 5594423 PATIENT CENTERED CARE FROM OUR FAMILY TO YOURS. false false 17558725 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, ONE RURAL HEALTH CLINIC IN AN OUTLYING COMMUNITY TO PROVIDE EASIER ACCESS TO HEALTH CARE, AND ONE FREESTANDING PHYSICAL THERAPY CLINIC IN SPRINGHILL. THE HOSPITAL PROVIDED 2,492 INPATIENT DAYS OF CARE (MEDICARE DAYS-1,533) AND 1,784 GERI-PSYCH DAYS (MEDICARE DAYS-1,630).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 IS 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 ORGANIZATIONS. 17558725 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 false false false true 42 0 true 280 true false false false false false false false false 0 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 ANDERSON BOARD MEMBER 1.00 0.00 X 0 0 0 ROBERT BUSH BOARD MEMBER 1.00 0.00 X 0 0 0 ROBERT A COLVIN Secretary 1.00 0.00 X X 0 0 0 DIANNE STEPHENS BOARD MEMBER 1.00 0.00 X 0 0 0 RAY HUDDLESTON BOARD MEMBER 1.00 0.00 X 0 0 0 WILL LYND BOARD MEMBER 1.00 0.00 X 0 0 0 RAYMOND ROBERTSON Vice President 1.00 0.00 X X 0 0 0 DON TEAGUE Treasurer 1.00 0.00 X X 0 0 0 WAYNE MCMAHEN DVM President 1.00 0.00 X X 0 0 0 PATRICIA MCMURRAY BOARD MEMBER 1.00 0.00 X 0 0 0 MARY ARMWOOD BOARD MEMBER 1.00 0.00 X 0 0 0 JERRY W SESSIONS MD CHIEF OF STAFF 40.00 0.00 X X 185999 0 38593 VINCENT R SEDMINIK CEO 40.00 0.00 X 145000 0 22809 DAVID SANDERS CFO 40.00 0.00 X 103902 0 2559 DANA JONES ASSISTANT ADMIN 40.00 0.00 X 90730 0 15099 DONNA MORRIS PRACTICE MANAGE 40.00 0.00 X 100915 0 14864 VINCENT LOCOCO MD-FAMILY PRACTICE 40.00 0.00 X 222580 0 29919 MICHELLE PARDUE MD-FAMILY PRACTICE 40.00 0.00 X 200796 0 23567 JENNIFER RANZ MD- INTERNAL MEDIC 40.00 0.00 X 190254 0 26774 LEAMON G TORRENCE MD-INTERNAL MEDICI 40.00 0.00 X 153013 0 33976 DAVID W LAW MD-FAMILY PRACTICE 40.00 0.00 X 161010 0 31315 1554199 239475 9 false true false DMR MECHANICAL LLC PO BOX 19507 SHREVEPORT LA 71149 HVAC/PLUMBING SERVIC 142088 EMCARE PHYSICIAN SERVICES 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 EMERGENCY ROOM COVER 879494 CPSI PO BOX 850309 MOBILE AL 36685 INFORMATION SYSTEMS 334983 WILLIS-KNIGHTON HEALTH SYSTEM PO BOX 32600 SHREVEPORT LA 71130 CEO/LAB SERVICE 183570 J STEPHENS MAUHUGH & ASSOCIATES PO BOX 77458 BATON ROUGE LA 70879 CRNA SERVICES 139567 5 2488387 2488387 PATIENT SERVICE REVENUE 621500 16699926 16699926 16699926 125306 125306 0 613 613 55095 55095 55095 55095 0 0 0 0 CAFETERIA 722210 87893 87893 MISCELLANEOUS INCOME 73294 73294 161187 19530514 16699926 342201 0 0 0 0 461527 461527 0 9424137 8693822 730315 264482 264482 1011582 1011582 705630 705630 0 38386 38386 70638 70638 0 0 0 0 42326 42326 313571 313571 0 0 312201 312201 67253 67253 0 0 149474 149474 0 552183 552183 331623 260598 71025 OUTSIDE SERVICES 2134601 2134601 SUPPLIES 1706251 1706251 COMM & STAFF 869976 869976 RENTALS & MAINTENANCE 373175 373175 451789 293400 158389 19280805 17558725 1722080 0 1964187 1498679 0 0 2060879 1775718 0 449485 1151124 945252 728627 461322 504130 290574 204839 14128409 9445369 3500920 4683040 0 67000 67000 0 0 0 9739619 10613157 1363560 1951312 2968405 3012615 62940 54807 4394905 5018734 X 5344714 5590927 3496 5344714 5594423 9739619 10613157 249709 X false true X true false X 243251 243251 5456114 3387790 2068324 181455 156422 25033 8247589 5901157 2346432 4683040 CREDIT BALANCES 44554 INTEREST PAYABLE 10253 54807 19530514 19530514 19530514 19280805 19280805 19280805 true true X true X true X true true true false false false 128395 128395 0.00670 4375602 1966935 2408667 0.12490 4503997 1966935 2537062 0.13160 78827 10410 68417 0.00350 4217946 2179204 2038742 0.10570 4296773 2189614 2107159 0.10920 8800770 4156549 4644221 0.24080 true 1475960 694165 7013066 9102172 -2089106 X true true SPRINGHILL HOME CARE HOME HEALTH SERVICES 0.33000 1 1 SPRINGHILL MEDICAL CENTER 2001 DOCTORS DRIVE SPRINGHILL LA 71075 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 Part V, Line 5 - Account Input from Persons Who Represent the Community 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 REPRESENTATIVES FROM THE 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 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 PARTCIPATED: PEGGY ADKINS (MAYOR OF SAREPTA), BRUCE BLANTON (POLICE JUROR WEBSTER PARISH), CARROLL BREAUX (MAYOR OF SPRINGHILL), BERT HARRIS (RETIRED, SPRINGHILL), LA 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. THESUMMARY 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" OURCOMMUNITY'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. Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment PART I, LINE 6a - COMMUNITY BENEFIT REPORT: SEE ATTACHED CHNA. Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why SEE SUPPLEMENTAL INFORMATION Part V, Line 22d - Other Billing Determination of Individuals Without Insurance 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. SMC DOCTORS CLINIC 401 11TH ST NE SPRINGHILL LA 71075 PROVIDER BASED RURAL HEALTH CLINIC NORTH WEBSTER MEDICAL CLINIC 106 TRI STATE DRIVW SAREPTA LA 71071 PROVIDER BASED RURAL HEALTH CLINIC SPRINGHILL PHYSICAL THERAPY 206 REYNOLDS STREET SPRINGHILL LA 71075 FREE STANDING PHYSICAL THERAPY CLINIC SPRINGHILL HOMECARE 1112 DOCTORS DRIVE SPRINGHILL LA 71075 HOME HEALTH AGENCY 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 SCHEDULE 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 WORSHEET 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 "TRADE RECEIVABLES 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 SMCS 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 KEEPS 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 DIAGNOSIS. NEEDS ASSESSMENT IS ALSO ACCOMPLISHED THROUGH PARTICIPATION 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 OF OUR UNINSURED PATIENTS THAT PRESENT TO OUR FACILITIES ABOUT OUR FINANCIAL ASSISTANCE POLICY. UNINSURED PATIENTS 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 INFORMATION 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 PROMOTES PHYSICAL ACTIVITY. Part VI - Additional Information PART 1, LINE 6A: COMMUNITY BENEFIT REPORT: SEE ATTACHED CHNA PART 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 ORGANIZATIONS 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 COODINATORS 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 DAVID W LAW MD-FAMILY PRACTICE 161010 28315 3000 192325 JENNIFER RANZ MD- INTERNAL MEDIC 190254 23774 3000 217028 JERRY W SESSIONS MD CHIEF OF STAFF 185999 35593 3000 224592 LEAMON G TORRENCE MD-INTERNAL MEDICI 153013 30976 3000 186989 MICHELLE PARDUE MD-FAMILY PRACTICE 200796 20567 3000 224363 VINCENT LOCOCO MD-FAMILY PRACTICE 222580 26919 3000 252499 VINCENT R SEDMINIK CEO 145000 22809 167809 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 15b: Compensation Review and Approval Process for Officers and Key Employees COMPENSATION AND ADJUSTMENTS TO COMPENSATION OF TOP MANAGEMENT AND PHYSICIANS 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.