SPRINGHILL MEDICAL SERVICES INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- SPRINGHILL MEDICAL SERVICES INC (EIN 72-1479692)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-08-14
- IRS object ID
- 201512269349303241
- Schema version
- 2014v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-14T12:37:13-07:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Langlinais Broussard & Kohlenberg | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1123 | AddressLine1Txt |
| City | Abbeville | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 705111123 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 721479692 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPRINGHILL MEDICAL SERVICES INC | BusinessNameLine1Txt |
| Business Name Line2 | DBA SPRINGHILL MEDICAL CENTER | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SPRI | BusinessNameControlTxt |
| Phone | 3185391001 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 DOCTORS DRIVE | AddressLine1Txt |
| City | SPRINGHILL | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 71075 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | VINCENT SEDMINIK | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Signature | 2015-08-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PATRICK M GUIDRY CPA | PreparerPersonNm |
| PTIN | P00111160 | PTIN |
| Phone | 3378936232 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $20,237,174 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2000 | FormationYr |
| Legal Domicile State | LA | LegalDomicileStateCd |
| Activity Or Mission | PATIENT CENTERED CARE FROM OUR FAMILY TO YOURS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 268 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $263,947 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,323,846 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $18,658,144 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $18,603,175 | CYProgramServiceRevenueAmt |
| PY Investment Income | $236,740 | PYInvestmentIncomeAmt |
| CY Investment Income | $143,226 | CYInvestmentIncomeAmt |
| PY Other Revenue | $196,875 | PYOtherRevenueAmt |
| CY Other Revenue | $166,927 | CYOtherRevenueAmt |
| PY Total Revenue | $19,355,706 | PYTotalRevenueAmt |
| CY Total Revenue | $20,237,174 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,931,497 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,492,988 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,089,207 | PYOtherExpensesAmt |
| CY Other Expenses | $7,957,322 | CYOtherExpensesAmt |
| PY Total Expenses | $19,020,704 | PYTotalExpensesAmt |
| CY Total Expenses | $19,450,310 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $335,002 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $786,864 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,905,880 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,788,428 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,178,809 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,274,493 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,727,071 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,513,935 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PATIENT CENTERED CARE FROM OUR FAMILY TO YOURS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $16,850,939 | ExpenseAmt |
| Desc | SMS OPERATES A 60 BED ACUTE CARE HOSPITAL WITH MEDICAL, SURGICAL, DIAGNOSTIC, AND EMERGENCY SERVICES. IT OPERATES ONE CLINIC IN SPRINGHILL, AND TWO OTHER CLINICS IN OUTLYING COMMUNITIES TO PROVIDE EASIER ACCESS TO HEALTH CARE. THE HOSPITAL PROVIDED 3,202 INPATIENT DAYS OF CARE (MEDICARE DAYS-2,031).SMS, INC. 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, INC. 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 STUDENTS TO LEARN MORE ABOUT MEDICAL PROFESSIONS. THE HEALTH SYSTEM PARTICIPATES IN THE AHEC PROGRAM, WHICH IS A SIX WEEK PROGRAM FOR AREA HIGH SCHOOL JUNIORS AND SENIORS TO OBSERVE AND ASSIST IN AREAS OF INTEREST AS THEY PREPARE FOR COLLEGE CAREERS. SMS, INC. 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, INC. 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 | $16,850,939 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 32 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 268 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SPRINGHILL MEDICAL CENTER | PersonNm |
| Phone | 3185391001 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2001 DOCTORS DRIVE | AddressLine1Txt |
| City | SPRINGHILL | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 71075 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DAVID ANDERSON | ||||||||
| President | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROBERT BUSH | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT A COLVIN | ||||||||
| Secretary | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DIANNE STEPHENS | ||||||||
| Vice President | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROBERT GARLAND | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN D HERRINGTON | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| RAYMOND ROBERTSON | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| DON TEAGUE | ||||||||
| Treasurer | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| WAYNE MCMAHEN DVM | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SS HOLLIDAY JR MD | ||||||||
| ADVISORY | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY ARMWOOD | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| WAYNE SESSIONS MD | ||||||||
| CHIEF OF STAFF | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHELLE PARDUE MD | ||||||||
| CHIEF OF MED ST | 40.00 | 0.00 | Yes (X) | $197,506 | $0 | $9,192 | ||
| VINCENT R SEDMINIK | ||||||||
| CEO | 40.00 | 0.00 | Yes (X) | $140,000 | $0 | $30,800 | ||
| LAYLA CHASE | ||||||||
| CFO | 40.00 | 0.00 | Yes (X) | $100,862 | $0 | $237 | ||
| DANA JONES | ||||||||
| CNO | 40.00 | 0.00 | Yes (X) | $90,136 | $0 | $8,457 | ||
| MARILYN MOW | ||||||||
| ASST ADMINISTRA | 40.00 | 0.00 | Yes (X) | $70,904 | $0 | $6,185 | ||
| RHONDA PEREZ | ||||||||
| CNO | 40.00 | 0.00 | Yes (X) | $19,618 | $0 | $17 | ||
| VINCENT LOCOCO | ||||||||
| MD-FAMILY PRACTICE | 40.00 | 0.00 | $359,068 | $0 | $21,356 | Yes (X) | ||
| DAVID W LAW | ||||||||
| MD-FAMILY PRACTICE | 40.00 | 0.00 | $237,112 | $0 | $9,760 | Yes (X) | ||
| MICHELLE PARDUE | ||||||||
| MD-FAMILY PRACTICE | 40.00 | 0.00 | $197,506 | $0 | $9,192 | Yes (X) | ||
| JERRY WAYNE SESSIONS | ||||||||
| MD-FAMILY PRACTICE | 40.00 | 0.00 | $186,199 | $0 | $10,175 | Yes (X) | ||
| DENISE WEBB | ||||||||
| MD-FAMILY PRACTICE | 40.00 | 0.00 | $173,077 | $0 | $68 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,771,988 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $105,439 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NEW DIRECTIONS B&B | |||||
| 504 TEXAS STREET STE 200 | SHREVEPORT | LA | 71101 | MANAGEMENT SERVICES | $726,287 |
| EMCARE PHYSICIAN SERVICES | |||||
| 7032 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | EMERGENCY ROOM COVER | $847,712 |
| CPSI | |||||
| PO BOX 850309 | MOBILE | AL | 36685 | INFORMATION SYSTEMS | $340,605 |
| WILLIS-KNIGHTON HEALTH SYSTEM | |||||
| PO BOX 32600 | SHREVEPORT | LA | 71130 | CEO/LAB SERVICE | $152,440 |
| J STEPHENS MAUHUGH & ASSOCIATES | |||||
| PO BOX 77458 | BATON ROUGE | LA | 70879 | CRNA SERVICES | $130,644 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,323,596 | GovernmentGrantsAmt |
| All Other Contributions | $250 | AllOtherContributionsAmt |
| Total Contributions | $1,323,846 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 621500 | BusinessCd |
| Total Revenue Column | $18,603,175 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,603,175 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $18,603,175 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $143,226 | TotalRevenueColumnAmt |
| Exclusion | $143,226 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $37,410 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $37,410 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,410 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $37,410 | RelatedOrExemptFuncIncomeAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| CAFETERIA | 722210 | $73,813 | $73,813 |
| MISCELLANEOUS INCOME | $55,704 | $55,704 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $129,517 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,237,174 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,640,585 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $272,743 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $673,914 | TotalAmt |
| Management And General | $673,914 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,196,085 | TotalAmt |
| Program Services | $9,196,085 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $235,717 | TotalAmt |
| Program Services | $235,717 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $700,326 | TotalAmt |
| Program Services | $700,326 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $686,946 | TotalAmt |
| Program Services | $686,946 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,336 | TotalAmt |
| Management And General | $4,336 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,513 | TotalAmt |
| Management And General | $56,513 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,417 | TotalAmt |
| Management And General | $50,417 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $310,108 | TotalAmt |
| Program Services | $310,108 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,475 | TotalAmt |
| Program Services | $104,475 | ProgramServicesAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $193,347 | TotalAmt |
| Management And General | $193,347 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $909,276 | TotalAmt |
| Management And General | $909,276 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $321,516 | TotalAmt |
| Management And General | $321,516 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| OUTSIDE SERVICES | $2,766,948 | $2,766,948 |
| SUPPLIES | $1,644,851 | $1,644,851 |
| COMM & STAFF | $785,960 | $785,960 |
| TAXES & LICENSES | $256,788 | $256,788 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $552,787 | TotalAmt |
| Program Services | $162,735 | ProgramServicesAmt |
| Management And General | $390,052 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,450,310 | TotalAmt |
| Program Services | $16,850,939 | ProgramServicesAmt |
| Management And General | $2,599,371 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,268,537 | BOYAmt |
| EOY | $1,948,695 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,940,152 | BOYAmt |
| EOY | $2,305,001 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,314 | BOYAmt |
| EOY | $517,933 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $396,243 | BOYAmt |
| EOY | $413,266 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $300,379 | BOYAmt |
| EOY | $272,825 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,325,887 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,850,455 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,070,978 | BOYAmt |
| EOY | $4,475,432 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,000 | BOYAmt |
| EOY | $67,000 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $788,277 | BOYAmt |
| EOY | $788,276 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,905,880 | BOYAmt |
| EOY | $10,788,428 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,425,430 | BOYAmt |
| EOY | $1,730,429 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,753,379 | BOYAmt |
| EOY | $3,252,496 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $291,568 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,178,809 | BOYAmt |
| EOY | $5,274,493 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,727,071 | BOYAmt |
| EOY | $5,513,935 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,727,071 | BOYAmt |
| EOY | $5,513,935 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,905,880 | BOYAmt |
| EOY | $10,788,428 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $786,864 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,325,887 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,850,455 | DepreciationAmt |
| Book Value | $4,475,432 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,475,432 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RURAL HOSPITAL UCC-DEFERRED REVENUE | Desc |
| Book Value | $788,276 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $788,276 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DSH ACCRUAL | Desc |
| Amt | $291,568 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $291,568 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $20,237,174 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $20,237,174 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $20,237,174 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $19,450,310 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $19,450,310 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $19,450,310 | TotalExpensesPerForm990Amt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
| Report Publically Available | false | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $327,196 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $327,196 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01680 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,958,084 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,601,457 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,356,627 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06970 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,285,280 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,601,457 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,683,823 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08650 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $79,796 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,138 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $65,658 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,170,534 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,059,768 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,110,766 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05710 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,250,330 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,073,906 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,176,424 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06050 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,535,610 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,675,363 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,860,247 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14700 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,535,372 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $383,799 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $9,426,700 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $8,504,956 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $921,744 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPRINGHILL HOME CARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | HOME HEALTH SERVICES | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.33000 | OrgProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 4 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (4 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Licensed HospitalLicensedHospitalInd | OtherOtherDesc |
|---|---|---|---|---|---|---|
| SPRINGHILL MEDICAL CENTER | ||||||
| 1 | 2001 DOCTORS DRIVE | SPRINGHILL | LA | 71075 | Yes (X) | |
| SMC DOCTORS CLINIC | ||||||
| 2 | 401 11TH ST NE | SPRINGHILL | LA | 71075 | PROVIDER BASED RURAL HEALTH CLINIC | |
| NORTH WEBSTER MEDICAL CLINIC | ||||||
| 3 | 106 TRI STATE DRIVE | SAREPTA | LA | 71071 | PROVIDER BASED RURAL HEALTH CLINIC | |
| SPRINGHILL HOMECARE | ||||||
| 4 | 1112 DOCTORS DRIVE | SPRINGHILL | LA | 71075 | JOINT VENTURE | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (4 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Provided Nonprofit ContactProvidedNonprofitContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | FAP Notice DisplayedFAPNoticeDisplayedInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit Report To Credit AgencyPermitReportToCreditAgencyInd | Permit Legal Judicial ProcessPermitLegalJudicialProcessInd | Collection ActivitiesCollectionActivitiesInd | Reporting To Credit AgencyReportingToCreditAgencyInd | Engaged Legal Judicial ProcessEngagedLegalJudicialProcessInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SPRINGHILL MEDICAL CENTER | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (X) | WWW.SMCCARE.COM | Yes (X) | Yes (true) | 13 | false | false | false | Yes (true) | Yes (X) | 100.0000 | 200.0000 | Yes (X) | Yes (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 (X) | Yes (true) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
| SMC DOCTORS CLINIC | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (X) | WWW.SMCCARE.COM | Yes (X) | Yes (true) | 13 | false | false | false | Yes (true) | Yes (X) | 100.0000 | 200.0000 | Yes (X) | Yes (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 (X) | Yes (true) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
| NORTH WEBSTER MEDICAL CLINIC | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 3 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (X) | WWW.SMCCARE.COM | Yes (X) | Yes (true) | 13 | false | false | false | Yes (true) | Yes (X) | 100.0000 | 200.0000 | Yes (X) | Yes (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 (X) | Yes (true) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
| SPRINGHILL HOMECARE | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 4 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (X) | WWW.SMCCARE.COM | Yes (X) | Yes (true) | 13 | false | false | false | Yes (true) | Yes (X) | 100.0000 | 200.0000 | Yes (X) | Yes (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 (X) | Yes (true) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
Supplemental Information SupplementalInformationGrp (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 5 - Account Input from Persons Who Represent the Community | THE COMMUNITY AND THE IDENTITY OF THE PERSONS THE HOSPITAL CONCULTED: SPRINGHILL MEDICAL CENTER ESTABLISHED A STEERING COMMITTEE TO ASSIST IN THE DEVELOPMENT OF THE CHNA. THE STEERING COMMITTEE CONSISTED OF THE REPRESENTATIVES FROM THE HOSPITAL'S BOARD OF DIRECTORS AND SENIOR MANAGEMENT: DON TEAGUE (SPRINGHILL MEDICAL CENTER BOARD TREASURER), VINCE SEDMINIK (CHIEF EXECUTIVE OFFICER), MICHELLE PARDUE (CHIEF OF MEDICAL STAFF), MARILYN MOW (ASSISTANT ADMINISTRATOR), LAYLA CHASE (CHIEF FINANCIAL OFFICER), DANA JONES (CHIEF NURSING OFFICER), DONNA MORRIS (GROUP PRACTICE MANAGER), AND ASHLEY ORTEGO (HUMAN RESOURCES/MARKETING/RISK MANAGEMENT DIRECTOR). 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. REPRESENTATIVES FROM THE LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS WERE INVITED AND ATTENDED EACH COMMUNITY MEETING. 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 (ALDERMAN/MAYOR PRO TEM SAREPTA, LA),KEVIN BOUNDS (PAFFORD EMS SPRINGHILL, LA), CARROL BREAUX (MAYOR SPRINGHILL, LA), SUSAN BYSON (HEALTH SYSTEMS DEVELOPER DHH), JESSICA CARAWAY (NORTH WEBSTER CHAMBER OF COMMERCE SPRINGHILL, LA), GINGER COVINGTON (RN, NURSING EDUCATOR, SOUTHERN ARKANSAS UNIVERSITY), GERRELDA DAVIS (DIRECTOR BUREAU OF PRIMARY CARE & RURAL HEALTH DHH), EL EDWARDS (MAYOR SAREPTA, LA), BEVERLY ELLIS (ADMINISTRATIVE COORDINATOR FOR CULLEN SENIOR CITIZENS, INC.), D. NICOLE FRAZIER (ALDERMAN SPRINGHILL, LA), SHANNON GILLILAND (MAIN STREET MANAGER SPRINGHILL, LA), BROOKE GRANT (RN, LOUISIANA HOME CARE SPRINGHILL, LA), KELLY HARRIS (SPRING THEATER & LUMBERJACK LANES SPRINGHILL, LA), MARY ANN HOOF (POLICE CHIEF CULLEN, LA), GLADNEY HUNT ( PASTOR ASSEMBLY OF GOD CHURCH BRADLEY, AR), SUSIE HUTCHINSON (PRACTICE MANAGEMENT PROGRAM MANAGER DHH) CHILLON LATIOLAIS (COMMUNITY EDUCATOR LA ORGAN PROCUREMENT AGENCY), REBECCA MARTIN (NORTH WEBSTER PARISH INDUSTRIAL DISTRICT SPRINGHILL, LA), MOLLY MCCALMAN (COMMUNITY LEADER BRADLEY, AR), JONATHAN MONTGOMERY (YOUTH PASTOR FIRST BAPTIST CHURCH TAYLOR, AR), TIM MOUSER (MAYOR SHONGALOO, LA), JOHN PICKETT (EXECUTIVE DIRECTOR GAMBLE HOSPICE MINDEN, LA) JASON ROBERTSON (DENTIST SPRINGHILL, LA), VICKIE SHINE (WEBSTER PARISH CHILD SERVICES MINDEN, LA), JASON ROBERTSON (DENTIST SPRINGHILL, LA), VICKIE SHINE (WEBSTER PARISH CHILD SERVICES MINDEN, LA), DAVID SMITH (CARTER FEDERAL CREDIT UNION SPRINGHILL, LA), LISA SMITH (OFFICE MANAGER FAMILY SERVICES UNLIMITED), WILLIAM STRANGE (WEBSTER PARISH TAX ASSESSOR OFFICE MINDEN, LA), CHARLES STRONG (NORTHWEST LA TECH INSTITUTE), AMY VOLLMER (EXECUTIVE DIRECTOR ARC OF NORTH WEBSTER SAREPTA, LA), EASTER WHITE (COMMUNITY MEMBER CULLEN, LA) AND FLOYDEAN WHITE (COMMUNITY MEMBER CULLEN, LA). THE CHNA COMMITTTEE MET IN THREE SEPARATE OPEN FORUM MEETINGS. IN THE FIRST MEETING, AN INTRODUCTION WAS GIVEN THAT INCLUDED THE PURPOSE OF THE CHNA. A PAPER SURVEY WAS GIVEN AND COMPLETED BY EACH MEMBER. MEMBERS WERE GIVEN ADDITIONAL SURVEYS AND TASKED TO REACH OUT TO COMMUNITY MEMBERS THEY REPRESENTED TO HAVE THEM FILLED OUT AND RETURNED AT THE NEXT MEETING, THE COMMITTEE REVIEWED NATIONAL, STATE AND PARISH HEALTH INDICATORS AS WELL AS LOCAL INDICATORS PROVIDED BY SPRINGHILL MEDICAL CENTER. THE COMMITTEE ALSO REVIEWED COMMITTEE MEMBER SURVEY RESULTS AND HAD A FACILITATED DISCUSSION BASED UPON THE ABOVE TO BRAINSTORM IDEAS TO IMPROVE SERVICES IN THE COMMUNITY OFFERED BY SPRINGHILL MEDICAL CENTER. DURING THE THIRD AND FINAL MEETING THE COMMITTEE REVIEWED THE COMMUNITY SURVEY RESULTS AND PRIORITIZED COMMUNITY HEALTH ISSUES THAT WERE IDENTIFIED. THE COMMITTEE THEN PROPOSED WAYS TO RESOLVE THE HEALTH ISSUES AND SUMMARIZED RECOMMENDATIONS. PART V, SECTION B, LINE 20 D - EXPLANATION OF CHARGES TO FAP-ELIGIBLE INDIVIDUALS: MAXIMUM CHARGES ARE BASED UPON THE HOSPITAL'S CHARGEMASTER WITH A DISCOUNT TO THOSE THAT ARE FAP ELIGIBLE PER FEDERAL POVERTY GUIDELINES. |
| Part V, Line 5 - Account Input from Persons Who Represent the Community | THE COMMUNITY AND THE IDENTITY OF THE PERSONS THE HOSPITAL CONCULTED: SPRINGHILL MEDICAL CENTER ESTABLISHED A STEERING COMMITTEE TO ASSIST IN THE DEVELOPMENT OF THE CHNA. THE STEERING COMMITTEE CONSISTED OF THE REPRESENTATIVES FROM THE HOSPITAL'S BOARD OF DIRECTORS AND SENIOR MANAGEMENT: DON TEAGUE (SPRINGHILL MEDICAL CENTER BOARD TREASURER), VINCE SEDMINIK (CHIEF EXECUTIVE OFFICER), MICHELLE PARDUE (CHIEF OF MEDICAL STAFF), MARILYN MOW (ASSISTANT ADMINISTRATOR), LAYLA CHASE (CHIEF FINANCIAL OFFICER), DANA JONES (CHIEF NURSING OFFICER), DONNA MORRIS (GROUP PRACTICE MANAGER), AND ASHLEY ORTEGO (HUMAN RESOURCES/MARKETING/RISK MANAGEMENT DIRECTOR). 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. REPRESENTATIVES FROM THE LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS WERE INVITED AND ATTENDED EACH COMMUNITY MEETING. 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 (ALDERMAN/MAYOR PRO TEM SAREPTA, LA),KEVIN BOUNDS (PAFFORD EMS SPRINGHILL, LA), CARROL BREAUX (MAYOR SPRINGHILL, LA), SUSAN BYSON (HEALTH SYSTEMS DEVELOPER DHH), JESSICA CARAWAY (NORTH WEBSTER CHAMBER OF COMMERCE SPRINGHILL, LA), GINGER COVINGTON (RN, NURSING EDUCATOR, SOUTHERN ARKANSAS UNIVERSITY), GERRELDA DAVIS (DIRECTOR BUREAU OF PRIMARY CARE & RURAL HEALTH DHH), EL EDWARDS (MAYOR SAREPTA, LA), BEVERLY ELLIS (ADMINISTRATIVE COORDINATOR FOR CULLEN SENIOR CITIZENS, INC.), D. NICOLE FRAZIER (ALDERMAN SPRINGHILL, LA), SHANNON GILLILAND (MAIN STREET MANAGER SPRINGHILL, LA), BROOKE GRANT (RN, LOUISIANA HOME CARE SPRINGHILL, LA), KELLY HARRIS (SPRING THEATER & LUMBERJACK LANES SPRINGHILL, LA), MARY ANN HOOF (POLICE CHIEF CULLEN, LA), GLADNEY HUNT ( PASTOR ASSEMBLY OF GOD CHURCH BRADLEY, AR), SUSIE HUTCHINSON (PRACTICE MANAGEMENT PROGRAM MANAGER DHH) CHILLON LATIOLAIS (COMMUNITY EDUCATOR LA ORGAN PROCUREMENT AGENCY), REBECCA MARTIN (NORTH WEBSTER PARISH INDUSTRIAL DISTRICT SPRINGHILL, LA), MOLLY MCCALMAN (COMMUNITY LEADER BRADLEY, AR), JONATHAN MONTGOMERY (YOUTH PASTOR FIRST BAPTIST CHURCH TAYLOR, AR), TIM MOUSER (MAYOR SHONGALOO, LA), JOHN PICKETT (EXECUTIVE DIRECTOR GAMBLE HOSPICE MINDEN, LA) JASON ROBERTSON (DENTIST SPRINGHILL, LA), VICKIE SHINE (WEBSTER PARISH CHILD SERVICES MINDEN, LA), JASON ROBERTSON (DENTIST SPRINGHILL, LA), VICKIE SHINE (WEBSTER PARISH CHILD SERVICES MINDEN, LA), DAVID SMITH (CARTER FEDERAL CREDIT UNION SPRINGHILL, LA), LISA SMITH (OFFICE MANAGER FAMILY SERVICES UNLIMITED), WILLIAM STRANGE (WEBSTER PARISH TAX ASSESSOR OFFICE MINDEN, LA), CHARLES STRONG (NORTHWEST LA TECH INSTITUTE), AMY VOLLMER (EXECUTIVE DIRECTOR ARC OF NORTH WEBSTER SAREPTA, LA), EASTER WHITE (COMMUNITY MEMBER CULLEN, LA) AND FLOYDEAN WHITE (COMMUNITY MEMBER CULLEN, LA). THE CHNA COMMITTTEE MET IN THREE SEPARATE OPEN FORUM MEETINGS. IN THE FIRST MEETING, AN INTRODUCTION WAS GIVEN THAT INCLUDED THE PURPOSE OF THE CHNA. A PAPER SURVEY WAS GIVEN AND COMPLETED BY EACH MEMBER. MEMBERS WERE GIVEN ADDITIONAL SURVEYS AND TASKED TO REACH OUT TO COMMUNITY MEMBERS THEY REPRESENTED TO HAVE THEM FILLED OUT AND RETURNED AT THE NEXT MEETING, THE COMMITTEE REVIEWED NATIONAL, STATE AND PARISH HEALTH INDICATORS AS WELL AS LOCAL INDICATORS PROVIDED BY SPRINGHILL MEDICAL CENTER. THE COMMITTEE ALSO REVIEWED COMMITTEE MEMBER SURVEY RESULTS AND HAD A FACILITATED DISCUSSION BASED UPON THE ABOVE TO BRAINSTORM IDEAS TO IMPROVE SERVICES IN THE COMMUNITY OFFERED BY SPRINGHILL MEDICAL CENTER. DURING THE THIRD AND FINAL MEETING THE COMMITTEE REVIEWED THE COMMUNITY SURVEY RESULTS AND PRIORITIZED COMMUNITY HEALTH ISSUES THAT WERE IDENTIFIED. THE COMMITTEE THEN PROPOSED WAYS TO RESOLVE THE HEALTH ISSUES AND SUMMARIZED RECOMMENDATIONS. PART V, SECTION B, LINE 20 D - EXPLANATION OF CHARGES TO FAP-ELIGIBLE INDIVIDUALS: MAXIMUM CHARGES ARE BASED UPON THE HOSPITAL'S CHARGEMASTER WITH A DISCOUNT TO THOSE THAT ARE FAP ELIGIBLE PER FEDERAL POVERTY GUIDELINES. |
| Part V, Line 5 - Account Input from Persons Who Represent the Community | THE COMMUNITY AND THE IDENTITY OF THE PERSONS THE HOSPITAL CONCULTED: SPRINGHILL MEDICAL CENTER ESTABLISHED A STEERING COMMITTEE TO ASSIST IN THE DEVELOPMENT OF THE CHNA. THE STEERING COMMITTEE CONSISTED OF THE REPRESENTATIVES FROM THE HOSPITAL'S BOARD OF DIRECTORS AND SENIOR MANAGEMENT: DON TEAGUE (SPRINGHILL MEDICAL CENTER BOARD TREASURER), VINCE SEDMINIK (CHIEF EXECUTIVE OFFICER), MICHELLE PARDUE (CHIEF OF MEDICAL STAFF), MARILYN MOW (ASSISTANT ADMINISTRATOR), LAYLA CHASE (CHIEF FINANCIAL OFFICER), DANA JONES (CHIEF NURSING OFFICER), DONNA MORRIS (GROUP PRACTICE MANAGER), AND ASHLEY ORTEGO (HUMAN RESOURCES/MARKETING/RISK MANAGEMENT DIRECTOR). 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. REPRESENTATIVES FROM THE LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS WERE INVITED AND ATTENDED EACH COMMUNITY MEETING. 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 (ALDERMAN/MAYOR PRO TEM SAREPTA, LA),KEVIN BOUNDS (PAFFORD EMS SPRINGHILL, LA), CARROL BREAUX (MAYOR SPRINGHILL, LA), SUSAN BYSON (HEALTH SYSTEMS DEVELOPER DHH), JESSICA CARAWAY (NORTH WEBSTER CHAMBER OF COMMERCE SPRINGHILL, LA), GINGER COVINGTON (RN, NURSING EDUCATOR, SOUTHERN ARKANSAS UNIVERSITY), GERRELDA DAVIS (DIRECTOR BUREAU OF PRIMARY CARE & RURAL HEALTH DHH), EL EDWARDS (MAYOR SAREPTA, LA), BEVERLY ELLIS (ADMINISTRATIVE COORDINATOR FOR CULLEN SENIOR CITIZENS, INC.), D. NICOLE FRAZIER (ALDERMAN SPRINGHILL, LA), SHANNON GILLILAND (MAIN STREET MANAGER SPRINGHILL, LA), BROOKE GRANT (RN, LOUISIANA HOME CARE SPRINGHILL, LA), KELLY HARRIS (SPRING THEATER & LUMBERJACK LANES SPRINGHILL, LA), MARY ANN HOOF (POLICE CHIEF CULLEN, LA), GLADNEY HUNT ( PASTOR ASSEMBLY OF GOD CHURCH BRADLEY, AR), SUSIE HUTCHINSON (PRACTICE MANAGEMENT PROGRAM MANAGER DHH) CHILLON LATIOLAIS (COMMUNITY EDUCATOR LA ORGAN PROCUREMENT AGENCY), REBECCA MARTIN (NORTH WEBSTER PARISH INDUSTRIAL DISTRICT SPRINGHILL, LA), MOLLY MCCALMAN (COMMUNITY LEADER BRADLEY, AR), JONATHAN MONTGOMERY (YOUTH PASTOR FIRST BAPTIST CHURCH TAYLOR, AR), TIM MOUSER (MAYOR SHONGALOO, LA), JOHN PICKETT (EXECUTIVE DIRECTOR GAMBLE HOSPICE MINDEN, LA) JASON ROBERTSON (DENTIST SPRINGHILL, LA), VICKIE SHINE (WEBSTER PARISH CHILD SERVICES MINDEN, LA), JASON ROBERTSON (DENTIST SPRINGHILL, LA), VICKIE SHINE (WEBSTER PARISH CHILD SERVICES MINDEN, LA), DAVID SMITH (CARTER FEDERAL CREDIT UNION SPRINGHILL, LA), LISA SMITH (OFFICE MANAGER FAMILY SERVICES UNLIMITED), WILLIAM STRANGE (WEBSTER PARISH TAX ASSESSOR OFFICE MINDEN, LA), CHARLES STRONG (NORTHWEST LA TECH INSTITUTE), AMY VOLLMER (EXECUTIVE DIRECTOR ARC OF NORTH WEBSTER SAREPTA, LA), EASTER WHITE (COMMUNITY MEMBER CULLEN, LA) AND FLOYDEAN WHITE (COMMUNITY MEMBER CULLEN, LA). THE CHNA COMMITTTEE MET IN THREE SEPARATE OPEN FORUM MEETINGS. IN THE FIRST MEETING, AN INTRODUCTION WAS GIVEN THAT INCLUDED THE PURPOSE OF THE CHNA. A PAPER SURVEY WAS GIVEN AND COMPLETED BY EACH MEMBER. MEMBERS WERE GIVEN ADDITIONAL SURVEYS AND TASKED TO REACH OUT TO COMMUNITY MEMBERS THEY REPRESENTED TO HAVE THEM FILLED OUT AND RETURNED AT THE NEXT MEETING, THE COMMITTEE REVIEWED NATIONAL, STATE AND PARISH HEALTH INDICATORS AS WELL AS LOCAL INDICATORS PROVIDED BY SPRINGHILL MEDICAL CENTER. THE COMMITTEE ALSO REVIEWED COMMITTEE MEMBER SURVEY RESULTS AND HAD A FACILITATED DISCUSSION BASED UPON THE ABOVE TO BRAINSTORM IDEAS TO IMPROVE SERVICES IN THE COMMUNITY OFFERED BY SPRINGHILL MEDICAL CENTER. DURING THE THIRD AND FINAL MEETING THE COMMITTEE REVIEWED THE COMMUNITY SURVEY RESULTS AND PRIORITIZED COMMUNITY HEALTH ISSUES THAT WERE IDENTIFIED. THE COMMITTEE THEN PROPOSED WAYS TO RESOLVE THE HEALTH ISSUES AND SUMMARIZED RECOMMENDATIONS. PART V, SECTION B, LINE 20 D - EXPLANATION OF CHARGES TO FAP-ELIGIBLE INDIVIDUALS: MAXIMUM CHARGES ARE BASED UPON THE HOSPITAL'S CHARGEMASTER WITH A DISCOUNT TO THOSE THAT ARE FAP ELIGIBLE PER FEDERAL POVERTY GUIDELINES. |
| Part V, Line 5 - Account Input from Persons Who Represent the Community | THE COMMUNITY AND THE IDENTITY OF THE PERSONS THE HOSPITAL CONCULTED: SPRINGHILL MEDICAL CENTER ESTABLISHED A STEERING COMMITTEE TO ASSIST IN THE DEVELOPMENT OF THE CHNA. THE STEERING COMMITTEE CONSISTED OF THE REPRESENTATIVES FROM THE HOSPITAL'S BOARD OF DIRECTORS AND SENIOR MANAGEMENT: DON TEAGUE (SPRINGHILL MEDICAL CENTER BOARD TREASURER), VINCE SEDMINIK (CHIEF EXECUTIVE OFFICER), MICHELLE PARDUE (CHIEF OF MEDICAL STAFF), MARILYN MOW (ASSISTANT ADMINISTRATOR), LAYLA CHASE (CHIEF FINANCIAL OFFICER), DANA JONES (CHIEF NURSING OFFICER), DONNA MORRIS (GROUP PRACTICE MANAGER), AND ASHLEY ORTEGO (HUMAN RESOURCES/MARKETING/RISK MANAGEMENT DIRECTOR). 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. REPRESENTATIVES FROM THE LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS WERE INVITED AND ATTENDED EACH COMMUNITY MEETING. 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 (ALDERMAN/MAYOR PRO TEM SAREPTA, LA),KEVIN BOUNDS (PAFFORD EMS SPRINGHILL, LA), CARROL BREAUX (MAYOR SPRINGHILL, LA), SUSAN BYSON (HEALTH SYSTEMS DEVELOPER DHH), JESSICA CARAWAY (NORTH WEBSTER CHAMBER OF COMMERCE SPRINGHILL, LA), GINGER COVINGTON (RN, NURSING EDUCATOR, SOUTHERN ARKANSAS UNIVERSITY), GERRELDA DAVIS (DIRECTOR BUREAU OF PRIMARY CARE & RURAL HEALTH DHH), EL EDWARDS (MAYOR SAREPTA, LA), BEVERLY ELLIS (ADMINISTRATIVE COORDINATOR FOR CULLEN SENIOR CITIZENS, INC.), D. NICOLE FRAZIER (ALDERMAN SPRINGHILL, LA), SHANNON GILLILAND (MAIN STREET MANAGER SPRINGHILL, LA), BROOKE GRANT (RN, LOUISIANA HOME CARE SPRINGHILL, LA), KELLY HARRIS (SPRING THEATER & LUMBERJACK LANES SPRINGHILL, LA), MARY ANN HOOF (POLICE CHIEF CULLEN, LA), GLADNEY HUNT ( PASTOR ASSEMBLY OF GOD CHURCH BRADLEY, AR), SUSIE HUTCHINSON (PRACTICE MANAGEMENT PROGRAM MANAGER DHH) CHILLON LATIOLAIS (COMMUNITY EDUCATOR LA ORGAN PROCUREMENT AGENCY), REBECCA MARTIN (NORTH WEBSTER PARISH INDUSTRIAL DISTRICT SPRINGHILL, LA), MOLLY MCCALMAN (COMMUNITY LEADER BRADLEY, AR), JONATHAN MONTGOMERY (YOUTH PASTOR FIRST BAPTIST CHURCH TAYLOR, AR), TIM MOUSER (MAYOR SHONGALOO, LA), JOHN PICKETT (EXECUTIVE DIRECTOR GAMBLE HOSPICE MINDEN, LA) JASON ROBERTSON (DENTIST SPRINGHILL, LA), VICKIE SHINE (WEBSTER PARISH CHILD SERVICES MINDEN, LA), JASON ROBERTSON (DENTIST SPRINGHILL, LA), VICKIE SHINE (WEBSTER PARISH CHILD SERVICES MINDEN, LA), DAVID SMITH (CARTER FEDERAL CREDIT UNION SPRINGHILL, LA), LISA SMITH (OFFICE MANAGER FAMILY SERVICES UNLIMITED), WILLIAM STRANGE (WEBSTER PARISH TAX ASSESSOR OFFICE MINDEN, LA), CHARLES STRONG (NORTHWEST LA TECH INSTITUTE), AMY VOLLMER (EXECUTIVE DIRECTOR ARC OF NORTH WEBSTER SAREPTA, LA), EASTER WHITE (COMMUNITY MEMBER CULLEN, LA) AND FLOYDEAN WHITE (COMMUNITY MEMBER CULLEN, LA). THE CHNA COMMITTTEE MET IN THREE SEPARATE OPEN FORUM MEETINGS. IN THE FIRST MEETING, AN INTRODUCTION WAS GIVEN THAT INCLUDED THE PURPOSE OF THE CHNA. A PAPER SURVEY WAS GIVEN AND COMPLETED BY EACH MEMBER. MEMBERS WERE GIVEN ADDITIONAL SURVEYS AND TASKED TO REACH OUT TO COMMUNITY MEMBERS THEY REPRESENTED TO HAVE THEM FILLED OUT AND RETURNED AT THE NEXT MEETING, THE COMMITTEE REVIEWED NATIONAL, STATE AND PARISH HEALTH INDICATORS AS WELL AS LOCAL INDICATORS PROVIDED BY SPRINGHILL MEDICAL CENTER. THE COMMITTEE ALSO REVIEWED COMMITTEE MEMBER SURVEY RESULTS AND HAD A FACILITATED DISCUSSION BASED UPON THE ABOVE TO BRAINSTORM IDEAS TO IMPROVE SERVICES IN THE COMMUNITY OFFERED BY SPRINGHILL MEDICAL CENTER. DURING THE THIRD AND FINAL MEETING THE COMMITTEE REVIEWED THE COMMUNITY SURVEY RESULTS AND PRIORITIZED COMMUNITY HEALTH ISSUES THAT WERE IDENTIFIED. THE COMMITTEE THEN PROPOSED WAYS TO RESOLVE THE HEALTH ISSUES AND SUMMARIZED RECOMMENDATIONS. PART V, SECTION B, LINE 20 D - EXPLANATION OF CHARGES TO FAP-ELIGIBLE INDIVIDUALS: MAXIMUM CHARGES ARE BASED UPON THE HOSPITAL'S CHARGEMASTER WITH A DISCOUNT TO THOSE THAT ARE FAP ELIGIBLE PER FEDERAL POVERTY GUIDELINES. |
| Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment | THE STEERING COMMITTEE CONSISTED OF THE REPRESENTATIVES FROM THE HOSPITAL'S BOARD OF DIRECTORS AND SENIOR MANAGEMENT: DON TEAGUE(SPRINGHILL MEDICAL CENTER BOARD TREASURER), VINCE SEDMINIK (CHIEF EXECUTIVE OFFICER), MICHELLE PARDUE (CHIEF OF MEDICAL STAFF), MARILYN MOW (ASSSTANT ADMINISTRATOR), LAYLA CHASE (CHIEF FINANCIAL OFFICER), DANA JONES (CHIEF NURSING OFFICER), DONNA MORRIS (GROUP PRACTICE MANAGER), AND ASHLEY ORTEGO (HUMAN RESOURCES/MARKETING/RISK MANAGEMENT DIRECTOR). |
| Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment | THE STEERING COMMITTEE CONSISTED OF THE REPRESENTATIVES FROM THE HOSPITAL'S BOARD OF DIRECTORS AND SENIOR MANAGEMENT: DON TEAGUE(SPRINGHILL MEDICAL CENTER BOARD TREASURER), VINCE SEDMINIK (CHIEF EXECUTIVE OFFICER), MICHELLE PARDUE (CHIEF OF MEDICAL STAFF), MARILYN MOW (ASSSTANT ADMINISTRATOR), LAYLA CHASE (CHIEF FINANCIAL OFFICER), DANA JONES (CHIEF NURSING OFFICER), DONNA MORRIS (GROUP PRACTICE MANAGER), AND ASHLEY ORTEGO (HUMAN RESOURCES/MARKETING/RISK MANAGEMENT DIRECTOR). |
| Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment | THE STEERING COMMITTEE CONSISTED OF THE REPRESENTATIVES FROM THE HOSPITAL'S BOARD OF DIRECTORS AND SENIOR MANAGEMENT: DON TEAGUE(SPRINGHILL MEDICAL CENTER BOARD TREASURER), VINCE SEDMINIK (CHIEF EXECUTIVE OFFICER), MICHELLE PARDUE (CHIEF OF MEDICAL STAFF), MARILYN MOW (ASSSTANT ADMINISTRATOR), LAYLA CHASE (CHIEF FINANCIAL OFFICER), DANA JONES (CHIEF NURSING OFFICER), DONNA MORRIS (GROUP PRACTICE MANAGER), AND ASHLEY ORTEGO (HUMAN RESOURCES/MARKETING/RISK MANAGEMENT DIRECTOR). |
| Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment | THE STEERING COMMITTEE CONSISTED OF THE REPRESENTATIVES FROM THE HOSPITAL'S BOARD OF DIRECTORS AND SENIOR MANAGEMENT: DON TEAGUE(SPRINGHILL MEDICAL CENTER BOARD TREASURER), VINCE SEDMINIK (CHIEF EXECUTIVE OFFICER), MICHELLE PARDUE (CHIEF OF MEDICAL STAFF), MARILYN MOW (ASSSTANT ADMINISTRATOR), LAYLA CHASE (CHIEF FINANCIAL OFFICER), DANA JONES (CHIEF NURSING OFFICER), DONNA MORRIS (GROUP PRACTICE MANAGER), AND ASHLEY ORTEGO (HUMAN RESOURCES/MARKETING/RISK MANAGEMENT DIRECTOR). |
| Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why | SEE SUPPLEMENTAL INFORMATION |
| Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why | SEE SUPPLEMENTAL INFORMATION |
| Part V, Line 11 - Explanation of Needs Not Addressed and Reasons Why | SEE SUPPLEMENTAL INFORMATION |
| 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. |
| 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. |
| 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. |
| 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. |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 - 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 - 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 - 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 - 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. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
| Rebuttable Presumption Proc | false | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|
| DAVID W LAW | |||
| MD-FAMILY PRACTICE | $237,112 | $9,760 | $246,872 |
| DENISE WEBB | |||
| MD-FAMILY PRACTICE | $173,077 | $68 | $173,145 |
| JERRY WAYNE SESSIONS | |||
| MD-FAMILY PRACTICE | $186,199 | $10,175 | $196,374 |
| MICHELLE PARDUE | |||
| MD-FAMILY PRACTICE | $197,506 | $9,192 | $206,698 |
| MICHELLE PARDUE MD | |||
| CHIEF OF MED ST | $197,506 | $9,192 | $206,698 |
| VINCENT LOCOCO | |||
| MD-FAMILY PRACTICE | $359,068 | $21,356 | $380,424 |
| VINCENT R SEDMINIK | |||
| CEO | $140,000 | $30,800 | $170,800 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 11b: Form 990 Review Process | THE BOARD REVIEWS THE 990 DRART 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. |