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SPRINGHILL MEDICAL SERVICES INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
SPRINGHILL MEDICAL SERVICES INC (EIN 72-1479692)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-08-07
IRS object ID
201722199349301062
Schema version
2016v3.0
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)
Return2017-08-07T11:58:49-07:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Langlinais Broussard & KohlenbergBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12419 Veterans Memorial DriveAddressLine1Txt
CityAbbevilleCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70510ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

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
Signature2017-08-07SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonASHLEY V BREAUX CPAPreparerPersonNm
PTINP00446014PTIN
Phone3378936232PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$20,514,199GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateLALegalDomicileStateCd
Activity Or MissionPATIENT CENTERED CARE FROM OUR FAMILY TO YOURS.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee280TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$178,966PYContributionsGrantsAmt
CY Contributions Grants$255,649CYContributionsGrantsAmt
PY Program Service Revenue$18,305,151PYProgramServiceRevenueAmt
CY Program Service Revenue$19,832,933CYProgramServiceRevenueAmt
PY Investment Income$206,872PYInvestmentIncomeAmt
CY Investment Income$150,970CYInvestmentIncomeAmt
PY Other Revenue$187,352PYOtherRevenueAmt
CY Other Revenue$274,647CYOtherRevenueAmt
PY Total Revenue$18,878,341PYTotalRevenueAmt
CY Total Revenue$20,514,199CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$11,825,763PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,849,204CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,237,329PYOtherExpensesAmt
CY Other Expenses$7,649,465CYOtherExpensesAmt
PY Total Expenses$20,063,092PYTotalExpensesAmt
CY Total Expenses$19,498,669CYTotalExpensesAmt
PY Revenues Less Expenses-$1,184,751PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,015,530CYRevenuesLessExpensesAmt
Total Assets BOY$9,721,128TotalAssetsBOYAmt
Total Assets EOY$9,739,619TotalAssetsEOYAmt
Total Liabilities BOY$5,391,944TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,394,905TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,329,184NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,344,714NetAssetsOrFundBalancesEOYAmt
MissionPATIENT CENTERED CARE FROM OUR FAMILY TO YOURS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$17,625,022ExpenseAmt
DescSMS OPERATES A 58 BED ACUTE CARE HOSPITAL WITH MEDICAL, SURGICAL, DIAGNOSTIC, AND EMERGENCY SERVICES. IT OPERATES ONE RURAL HEALTH CLINIC IN SPRINGHILL, AND ANOTHER RURAL HEALTH CLINIC IN AN OUTLYING COMMUNITY TO PROVIDE EASIER ACCESS TO HEALTH CARE. THE HOSPITAL PROVIDED 3,143 INPATIENT DAYS OF CARE (MEDICARE DAYS-2,118).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.Desc
Total Program Service Expenses$17,625,022TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
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
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document35IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee280EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
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 (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DAVID ANDERSON
BOARD MEMBER1.000.00Yes (X)$0$0$0
ROBERT BUSH
BOARD MEMBER1.000.00Yes (X)$0$0$0
ROBERT A COLVIN
Secretary1.000.00Yes (X)$0$0$0Yes (X)
DIANNE STEPHENS
President1.000.00Yes (X)$0$0$0Yes (X)
ROBERT GARLAND
BOARD MEMBER1.000.00Yes (X)$0$0$0
JOHN D HERRINGTON
BOARD MEMBER1.000.00Yes (X)$0$0$0
RAYMOND ROBERTSON
BOARD MEMBER1.000.00Yes (X)$0$0$0
DON TEAGUE
Treasurer1.000.00Yes (X)$0$0$0Yes (X)
WAYNE MCMAHEN DVM
Vice President1.000.00Yes (X)$0$0$0Yes (X)
SS HOLLIDAY JR MD
ADVISORY1.000.00Yes (X)$0$0$0
MARY ARMWOOD
BOARD MEMBER1.000.00Yes (X)$0$0$0
WAYNE SESSIONS MD
CHIEF OF STAFF40.000.00Yes (X)$187,284$0$14,695Yes (X)
MICHELLE PARDUE MD
ADVISORY40.000.00Yes (X)$200,500$0$12,493
VINCENT R SEDMINIK
CEO40.000.00$145,000$0$22,809Yes (X)
DAVID SANDERS
CFO40.000.00$83,026$0$2,559Yes (X)
DANA JONES
ASSISTANT ADMIN40.000.00$97,831$0$8,252Yes (X)
DONNA MORRIS
PRACTICE MANAGE40.000.00$83,349$0$8,313Yes (X)
VINCENT LOCOCO
MD-FAMILY PRACTICE40.000.00$375,373$0$22,214Yes (X)
DAVID W LAW
MD-FAMILY PRACTICE40.000.00$169,221$0$12,369Yes (X)
LEAMON G TORRENCE
MD- INTERNAL MEDIC40.000.00$162,440$0$17,086Yes (X)
JAMES DOWIES
MD-FAMILY PRACTICE40.000.00$156,144$0$7,629Yes (X)
JENNIFER RANZ
MD-FAMILY PRACTICE40.000.00$181,013$0$15,776Yes (X)
LAYLA CHASE
FORMER CFO40.000.00$17,631$0$0Yes (X)
RHONDA PEREZ
FORMER CNO40.000.00$88,279$0$1,586Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,947,091TotalReportableCompFromOrgAmt
Total Other Compensation$145,781TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K11IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
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
DMR MECHANICAL LLC
PO BOX 19507SHREVEPORTLA71149HVAC/PLUMBING SERVIC$133,760
EMCARE PHYSICIAN SERVICES
7032 COLLECTION CENTER DRIVECHICAGOIL60693EMERGENCY ROOM COVER$861,279
CPSI
PO BOX 850309MOBILEAL36685INFORMATION SYSTEMS$402,912
WILLIS-KNIGHTON HEALTH SYSTEM
PO BOX 32600SHREVEPORTLA71130CEO/LAB SERVICE$156,264
J STEPHENS MAUHUGH & ASSOCIATES
PO BOX 77458BATON ROUGELA70879CRNA SERVICES$154,242
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$255,649GovernmentGrantsAmt
Total Contributions$255,649TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business621500BusinessCd
Total Revenue Column$19,832,933TotalRevenueColumnAmt
Exclusion$19,832,933ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$19,832,933TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$150,970TotalRevenueColumnAmt
Exclusion$150,970ExclusionAmt

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$51,950RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$51,950RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$51,950TotalRevenueColumnAmt
Related Or Exempt Func Income$51,950RelatedOrExemptFuncIncomeAmt

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 (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA722210$80,307$80,307
MISCELLANEOUS INCOME$142,390$142,390
FieldValueIRS element (for citing)
Other Revenue Total$222,697OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,514,199TotalRevenueColumnAmt
Related Or Exempt Func Income$51,950RelatedOrExemptFuncIncomeAmt
Exclusion$20,206,600ExclusionAmt

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$525,088TotalAmt
Management And General$525,088ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,442,707TotalAmt
Program Services$8,849,035ProgramServicesAmt
Management And General$593,672ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$265,607TotalAmt
Program Services$265,607ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$924,983TotalAmt
Program Services$924,983ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$690,819TotalAmt
Program Services$690,819ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$46,000TotalAmt
Management And General$46,000ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$65,448TotalAmt
Management And General$65,448ManagementAndGeneralAmt

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$40,325TotalAmt
Management And General$40,325ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$291,734TotalAmt
Program Services$291,734ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$56,322TotalAmt
Program Services$56,322ProgramServicesAmt

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$156,376TotalAmt
Management And General$156,376ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$821,218TotalAmt
Program Services$821,218ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$321,119TotalAmt
Program Services$260,916ProgramServicesAmt
Management And General$60,203ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
OUTSIDE SERVICES$2,143,236$2,143,236
SUPPLIES$1,826,155$1,826,155
COMM & STAFF$866,054$866,054
TAXES & LICENSES$316,087$316,087

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$699,391TotalAmt
Program Services$312,856ProgramServicesAmt
Management And General$386,535ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$19,498,669TotalAmt
Program Services$17,625,022ProgramServicesAmt
Management And General$1,873,647ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,452,770BOYAmt
EOY$1,964,187EOYAmt

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$1,971,498BOYAmt
EOY$2,060,879EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$173,100BOYAmt
EOY$449,485EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$168,921BOYAmt
EOY$945,252EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$483,731BOYAmt
EOY$461,322EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$298,630BOYAmt
EOY$290,574EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$13,098,815LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,597,895LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,105,478BOYAmt
EOY$3,500,920EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$67,000BOYAmt
EOY$67,000EOYAmt

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)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,721,128BOYAmt
EOY$9,739,619EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,271,942BOYAmt
EOY$1,363,560EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$71,147BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,839,542BOYAmt
EOY$2,968,405EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$209,313BOYAmt
EOY$62,940EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,391,944BOYAmt
EOY$4,394,905EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,329,184BOYAmt
EOY$5,344,714EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,329,184BOYAmt
EOY$5,344,714EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,721,128BOYAmt
EOY$9,739,619EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,015,530ReconcilationRevenueExpnssAmt
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 D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$243,251OtherCostOrOtherBasisAmt
Book Value$243,251BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,163,767OtherCostOrOtherBasisAmt
Depreciation$3,165,966DepreciationAmt
Book Value$1,997,801BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$172,134OtherCostOrOtherBasisAmt
Depreciation$148,555DepreciationAmt
Book Value$23,579BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,519,663OtherCostOrOtherBasisAmt
Depreciation$6,283,374DepreciationAmt
Book Value$1,236,289BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,500,920TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
CREDIT BALANCES$55,722
INTEREST PAYABLE$7,218
FieldValueIRS element (for citing)
Total Liability$62,940TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$20,514,199TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$20,514,199RevenueSubtotalAmt
Total Revenue Per Form990$20,514,199TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$19,498,669TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$19,498,669ExpensesSubtotalAmt
Total Expenses Per Form990$19,498,669TotalExpensesPerForm990Amt

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 ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$348,445TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$348,445NetCommunityBenefitExpnsAmt
Total Expense0.01800TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,925,930TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,758,621DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,167,309NetCommunityBenefitExpnsAmt
Total Expense0.11190TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,274,375TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,758,621DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,515,754NetCommunityBenefitExpnsAmt
Total Expense0.12990TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$75,815TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,513DirectOffsettingRevenueAmt
Net Community Benefit Expns$53,301NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,015,852TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,233,452DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,782,399NetCommunityBenefitExpnsAmt
Total Expense0.09350TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,091,667TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,255,965DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,835,700NetCommunityBenefitExpnsAmt
Total Expense0.09630TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,366,042TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,014,586DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,351,454NetCommunityBenefitExpnsAmt
Total Expense0.22620TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,383,536BadDebtExpenseAmt
Bad Debt Expense Attributable$686,486BadDebtExpenseAttributableAmt
Reimbursed By Medicare$7,983,301ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$8,453,048CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$469,747MedicareSurplusOrShortfallAmt

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 HOME CAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesHOME HEALTH SERVICESPrimaryActivitiesTxt
Org Profit Or Ownership0.33000OrgProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities4HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLicensed HospitalLicensedHospitalIndOtherOtherDesc
SPRINGHILL MEDICAL CENTER
12001 DOCTORS DRIVESPRINGHILLLA71075Yes (X)
SMC DOCTORS CLINIC
2401 11TH ST NESPRINGHILLLA71075PROVIDER BASED RURAL HEALTH CLINIC
NORTH WEBSTER MEDICAL CLINIC
3106 TRI STATE DRIVESAREPTALA71071PROVIDER BASED RURAL HEALTH CLINIC
SPRINGHILL HOMECARE
41112 DOCTORS DRIVESPRINGHILLLA71075JOINT VENTURE

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (4 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy AttachedStrategyAttachedIndOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndProvided Nonprofit ContactProvidedNonprofitContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit Report To Credit AgencyPermitReportToCreditAgencyIndPermit Legal Judicial ProcessPermitLegalJudicialProcessIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndProspective Medicare MedicaidProspectiveMedicareMedicaidIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaInd
SPRINGHILL MEDICAL CENTER
1falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)16Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)www.smccare.comYes (X)Yes (true)16falsefalsefalseYes (true)Yes (X)100.0000200.0000Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)www.smccare.comYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
SMC DOCTORS CLINIC
2falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)16falsefalseYes (true)Yes (true)Yes (X)Yes (true)16falsefalsefalseYes (true)Yes (X)100.0000200.0000Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)falsefalseYes (X)
NORTH WEBSTER MEDICAL CLINIC
3falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)16falsefalseYes (true)Yes (true)Yes (X)Yes (true)16falsefalsefalseYes (true)Yes (X)100.0000200.0000Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)falsefalseYes (X)
SPRINGHILL HOMECARE
4falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)16falsefalseYes (true)Yes (true)Yes (X)Yes (true)16falsefalsefalseYes (true)Yes (X)100.0000200.0000Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)falsefalseYes (X)

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 5 - Account Input from Persons Who Represent the CommunityPART 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 AssessmentPART I, LINE 6a - COMMUNITY BENEFIT REPORT: SEE ATTACHED CHNA.
Part V, Line 11 - Explanation of Needs Not Addressed and Reasons WhySEE SUPPLEMENTAL INFORMATION
Part V, Line 11 - Explanation of Needs Not Addressed and Reasons WhySEE SUPPLEMENTAL INFORMATION
Part V, Line 11 - Explanation of Needs Not Addressed and Reasons WhySEE SUPPLEMENTAL INFORMATION
Part V, Line 11 - Explanation of Needs Not Addressed and Reasons WhySEE SUPPLEMENTAL INFORMATION
Part V, Line 22d - Other Billing Determination of Individuals Without InsuranceTHE 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.

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 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 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 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 - 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 DIAGNOSIS. NEEDS ASSESSMENT IS ALSO ACCOMPLISHED THROUGH PARTICIPATION IN SPRINGHILL COMMUNITY NETWORK AND THE FRIENDS 50+ COMMUNITY GROUP.
Part VI - Patient Education of Eligibility for AssistanceSMC 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 - 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 - Community Building ActivitiesTHROUGH THE CLEANUP AND MAINTENANCE OF COMMUNITY PARKS, SMC MAKES ENVIRONMENTAL IMPROVEMENTS BY REMOVING TRASH AS WELL AS PROMOTES PHYSICAL ACTIVITY.
Part VI - Additional InformationPART 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.

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 (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
DAVID W LAW
MD-FAMILY PRACTICE$169,221$9,369$3,000$181,590
JAMES DOWIES
MD-FAMILY PRACTICE$156,144$7,629$163,773
JENNIFER RANZ
MD-FAMILY PRACTICE$181,013$12,776$3,000$196,789
LAYLA CHASE
FORMER CFO$17,631$17,631
LEAMON G TORRENCE
MD- INTERNAL MEDIC$162,440$14,086$3,000$179,526
MICHELLE PARDUE MD
ADVISORY$200,500$12,493$212,993
RHONDA PEREZ
FORMER CNO$88,279$1,586$89,865
VINCENT LOCOCO
MD-FAMILY PRACTICE$375,373$19,214$3,000$397,587
VINCENT R SEDMINIK
CEO$145,000$22,809$167,809
WAYNE SESSIONS MD
CHIEF OF STAFF$187,284$14,695$201,979

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 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 15b: Compensation Review and Approval Process for Officers and Key EmployeesCOMPENSATION 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 AvailableALL GOVERNING DOCUMENTS AND WRITTEN POLICIES ARE AVAILABLE UPON REQUEST.