FURP.ORG / PUBLIC DATA EXPLORER

SPRINGHILL MEDICAL SERVICES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SPRINGHILL MEDICAL SERVICES INC (EIN 72-1479692)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-12-06
IRS object ID
201223419349300112
Schema version
2011v1.2
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)
Timestamp2012-12-06T08:32:32-08:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Langlinais Broussard & KohlenbergBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1123AddressLine1
CityAbbevilleCity
StateLAState
ZIP Code705111123ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN721479692EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SPRINGHILL MEDICAL SERVICES INCBusinessNameLine1
Business Name Line2DBA SPRINGHILL MEDICAL CENTERBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlSPRINameControl
Phone3185391001Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 DOCTORS DRIVEAddressLine1
CitySPRINGHILLCity
StateLAState
ZIP Code71075ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTOMMY BOGGSName
TitleBOARD MEMBERTitle
Date Signed2012-12-06DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCHRIS A KOHLENBERG CPAName
Phone3378936232Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts19227696GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicileLAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE A HEALTHCARE EXPERIENCE THAT EXCEEDS THE EXPECTATIONS OF THE LIVES WE TOUCH EVERY DAY.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees251TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year176049ContributionsGrantsPriorYear
Contributions Grants Current Year2321369ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16946326ProgramServiceRevenuePriorYear
Program Service Revenue CY16294290ProgramServiceRevenueCY
Investment Income Prior Year417446InvestmentIncomePriorYear
Investment Income Current Year329321InvestmentIncomeCurrentYear
Other Revenue Prior Year188304OtherRevenuePriorYear
Other Revenue Current Year282716OtherRevenueCurrentYear
Total Revenue Prior Year17728125TotalRevenuePriorYear
Total Revenue Current Year19227696TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9691891SalariesEtcPriorYear
Salaries Etc Current Year10003264SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7400720OtherExpensePriorYear
Other Expenses Current Year7601853OtherExpensesCurrentYear
Total Expenses Prior Year17092611TotalExpensesPriorYear
Total Expenses Current Year17605117TotalExpensesCurrentYear
Revenues Less Expenses Prior Year635514RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1622579RevenuesLessExpensesCY
Total Assets BOY9022491TotalAssetsBOY
Total Assets EOY11679770TotalAssetsEOY
Total Liabilities BOY6889192TotalLiabilitiesBOY
Total Liabilities EOY7923892TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2133299NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3755878NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE A HEALTHCARE EXPERIENCE THAT EXCEEDS THE EXPECTATIONS OF THE LIVES WE TOUCH EVERY DAY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense14904008Expense
DescriptionSMS 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 3,838 INPATIENT DAYS OF CARE (MEDICARE DAYS-2,552).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.Description
Total Program Service Expense14904008TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109636NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees251NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSPRINGHILL MEDICAL CENTERNamePerson
Telephone Number3185391001TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12001 DOCTORS DRIVEAddressLine1
CitySPRINGHILLCity
StateLAState
ZIP Code71075ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
MICHELLE PARDUE MD
CHIEF OF MED ST0.00000
MARILYN MOW
ASST ADMINISTRA40.008626207702
DANA JONES
CNO40.008706807880
LAYLA CHASE
CFO40.00969140468
L TODD EPPLER
CEO40.00000
DIANNE STEPHENS
Vice President0.00000
GARY TORRENCE
ADVISORY1.00000X
MARY ARMWOOD
BOARD MEMBER1.00000X
SS HOLLIDAY JR MD
ADVISORY1.00000X
WAYNE MCMAHEN DVM
BOARD MEMBER1.00000XX
DON TEAGUE
Treasurer1.00000XX
RAYMOND ROBERTSON
BOARD MEMBER1.00000X
JOHN D HERRINGTON
BOARD MEMBER1.00000X
ROBERT GARLAND
BOARD MEMBER1.00000X
ROBERT A COLVIN
Secretary1.00000XX
ROBERT BUSH
President1.00000X
TOMMY BOGGS
BOARD MEMBER1.00000XX
ROBERT EDWARDS
MD-RADIOLOGY40.00149999010571X
DAVID W LAW
MD-FAMILY PRACTICE40.0026654707838X
MICHELLE PARDUE
MD-FAMILY PRACTICE40.0020910507682X
JERRY WAYNE SESSIONS
MD-FAMILY PRACTICE40.0019004208139X
LEAMON G TORRENCE
MD-INTERNAL MEDICI40.00141682012139X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1227619TotalReportableCompFromOrg
Total Other Compensation62419TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
WILLIS KNIGHTON HEALTH SYSTEM
PO BOX 32600SHREVEPORTLA71130CONTRACT LABOR-CEO179226
SPRINGHILL EMERGENCY GROUP LLC
PO BOX 82368LAFAYETTELA705982368EMERGENCY ROOM COVER456500
NEW DIRECTIONS B & B
504 TEXAS STREET STE 200SHREVEPORTLA71101MANAGEMENT SERVICE540112
J STEPHENS MAYHUGH ASSOCIATES INC
PO BOX 77458BATON ROUGELA70879CRNA SERVICES135489
CPSI
PO BOX 850309MOBILEAL36685INFORMATION SYSTEMS347399
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants2311369GovernmentGrants
All Other Contributions10000AllOtherContributions
Total Contributions2321369TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUEDescription
Business Code621500BusinessCode
Total Revenue Column16294290TotalRevenueColumn
Related Or Exempt Function Income16294290RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue16294290TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column329321TotalRevenueColumn
Exclusion$329,321ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real37576Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real37576Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column37576TotalRevenueColumn
Related Or Exempt Function Income37576RelatedOrExemptFunctionIncome

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountBusiness CodeBusinessCode
MISCELLANEOUS INCOME180764$180,764
CAFETERIA64376$64,376722210
FieldValueIRS element (for citing)
Total Other Revenue245140TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19227696TotalRevenueColumn
Related Or Exempt Function Income16331866RelatedOrExemptFunctionIncome
Exclusion$574,461ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total270244Total
Program Services270244ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8250484Total
Program Services8250484ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total206107Total
Management And General206107ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total674517Total
Management And General674517ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total601912Total
Program Services601912ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total857Total
Management And General857ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total46785Total
Management And General46785ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total50856Total
Management And General50856ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3259Total
Management And General3259ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total299371Total
Program Services299371ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total68250Total
Program Services68250ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total313268Total
Management And General313268ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total597314Total
Management And General597314ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total365259Total
Management And General365259ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
TAXES & LICENSES241391241391
SUPPLIES15257501525750
RENTALS & MAINTENANCE233061233061
OUTSIDE SERVICES27718292771829
COMM & STAFF641716641716

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total442887Total
Management And General442887ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17605117Total
Program Services14904008ProgramServices
Management And General2701109ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1973793BOY
EOY3547432EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2466517BOY
EOY1992133EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY122008BOY
EOY212941EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY380665BOY
EOY369149EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY89811BOY
EOY76036EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11096063LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5680984LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3922697BOY
EOY5415079EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY67000BOY
EOY67000EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9022491BOY
EOY11679770EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1092308BOY
EOY1372631EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5177631BOY
EOY6035988EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY619253BOY
EOY515273EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6889192BOY
EOY7923892EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2133299BOY
EOY3755878EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2133299BOY
EOY3755878EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9022491BOY
EOY11679770EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1622579ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11096063OtherCostOrOtherBasis
Depreciation5680984Depreciation
Book Value5415079BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5415079TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
RURAL HOSPITAL UCC-DEFERRED REVENUE$465,426
Rounding$1
DUE TO MEDICARE$49,846
FieldValueIRS element (for citing)
Total Of Amounts515273TotalOfAmounts
Total Revenue19227696TotalRevenue
Total Expenses17605117TotalExpenses
Excess Or Deficit For Year1622579ExcessOrDeficitForYear
Excess Or Deficit Per FS1622579ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt19227696TotRevenueEtcAuditedFinclStmt
Revenue Subtotal19227696RevenueSubtotal
Total Revenue Per Form99019227696TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt17605117TotExpensesEtcAuditedFinclStmt
Expenses Subtotal17605117ExpensesSubtotal
Total Expenses Per Form99017605117TotalExpensesPerForm990

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport
Report Publically AvailablefalseReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense92016TotalCommunityBenefitExpense
Net Community Benefit Expense92016NetCommunityBenefitExpense
Percent Of Total Expense0.00520PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense2758564TotalCommunityBenefitExpense
Direct Offsetting Revenue465426DirectOffsettingRevenue
Net Community Benefit Expense2293138NetCommunityBenefitExpense
Percent Of Total Expense0.13030PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense2850580TotalCommunityBenefitExpense
Direct Offsetting Revenue465426DirectOffsettingRevenue
Net Community Benefit Expense2385154NetCommunityBenefitExpense
Percent Of Total Expense0.13550PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense68575TotalCommunityBenefitExpense
Direct Offsetting Revenue8258DirectOffsettingRevenue
Net Community Benefit Expense60317NetCommunityBenefitExpense
Percent Of Total Expense0.00340PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1982478TotalCommunityBenefitExpense
Direct Offsetting Revenue774998DirectOffsettingRevenue
Net Community Benefit Expense1207480NetCommunityBenefitExpense
Percent Of Total Expense0.06860PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2051053TotalCommunityBenefitExpense
Direct Offsetting Revenue783256DirectOffsettingRevenue
Net Community Benefit Expense1267797NetCommunityBenefitExpense
Percent Of Total Expense0.07200PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4901633TotalCommunityBenefitExpense
Direct Offsetting Revenue1248682DirectOffsettingRevenue
Net Community Benefit Expense3652951NetCommunityBenefitExpense
Percent Of Total Expense0.20750PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense743TotalCommunityBuildingExpense
Net Community Building Expense743NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense743TotalCommunityBuildingExpense
Net Community Building Expense743NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$1,839,720BadDebtExpenseAmount
Amount Attributable To459848AmountAttributableTo
Amount Reimbursed By Medicare6125863AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare6076017CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall49846MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost Accounting SystemXCostAccountingSystem
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CarefalseProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line1SPRINGHILL HOME CAREBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityHOME HEALTH SERVICESDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.33000OrganizationProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities5NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (5 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeOtherOtherLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24Hours
SPRINGHILL HOMECARE
51112 DOCTORS DRIVESPRINGHILLLA71075JOINT VENTURE
PLAIN DEALING RURAL HEALTH CLI
4110 FOREST LANEPLAIN DEALINGLA71064PROVIDER BASED RURAL HEALTH CLINIC
NORTH WEBSTER MEDICAL CLINIC
3106 TRI STATE DRIVESAREPTALA71071PROVIDER BASED RURAL HEALTH CLINIC
SMC DOCTORS CLINIC
2401 11TH ST NESPRINGHILLLA71071PROVIDER BASED RURAL HEALTH CLINIC
SPRINGHILL MEDICAL CENTER
12001 DOCTORS DRIVESPRINGHILLLA71075XXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (5 entries)

Hospital Facility NumberHospitalFacilityNumberCHNA ConductedCHNAConductedEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeUses FPG DiscountedUsesFPGDiscountedExplains BasisExplainsBasisExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossChargesFPG Free PercentFPGFreePercentFPG Discount PercentFPGDiscountPercentIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareAttached To InvoicesAttachedToInvoicesProvided On AdmissionProvidedOnAdmissionAvailable On RequestAvailableOnRequestPermit Report To Credit AgencyPermitReportToCreditAgencyPermit Lien On ResidencePermitLienOnResidenceNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationPosted In Emergency RoomPostedInEmergencyRoomNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischarge
SPRINGHILL HOMECARE
5falsefalsefalsefalsefalsefalsefalsefalsefalsetruefalsefalse
PLAIN DEALING RURAL HEALTH CLI
4falsetruetruetruetruetruetruetruefalsetruefalsefalse100.0000200.0000XXXXXXXXXXXXX
NORTH WEBSTER MEDICAL CLINIC
3falsetruetruetruetruetruetruetruefalsetruefalsefalse100.0000200.0000XXXXXXXXXXXXX
SMC DOCTORS CLINIC
2falsetruetruetruetruetruetruetruefalsetruefalsefalse100.0000200.0000XXXXXXXXXXXXX
SPRINGHILL MEDICAL CENTER
1truetruetruetruetruetruetruefalsetruefalsefalse100.0000200.0000XXXXXXXXXXXXXXX

Form990 Schedule H Part VI Form990ScheduleHPartVI (7 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part VI - Additional InformationPART III, LINE 8: SMC'S COSTING METHODOLOGY USED TO DETERMINE MEDICARE ALLOWABLE COSTS REPORTED IN THE COST REPORT IS CALCULATED BASED UPON COST CENTER STATISTICAL DATA AND ALLOCATION BASED UPON THE RATIO OF MEDICARE PATIENTS TO TOTAL PATIENTS. PART III, LINE 9b: SMC GRANTS CHARITY CARE/FINANCIAL ASSISTANCE TO PATIENTS FOR SIX MONTHS AFTER BEING APPROVED PROVIDED THAT THE PATIENT'S INCOME STATUS HAS NOT CHANGED CAUSING THEM TO FALL BELOW 100% OF FEDERAL POVERTY LEVEL GUIDELINES. AFTER SIX MONTHS, THE PATIENT MUST COMPLETE ANOTHER FINANCIAL ASSISTANCE APPLICATION.
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 - Community InformationSMC SERVES THE RURAL COMMUNITY OF NORTH WEBSTER PARISH IN LOUISIANA AND SOUTH COLUMBIA COUNTY IN ARKANSAS. THE RURAL COMMUNITY IS A DESIGNATED HEALTHCARE PROFESSIONAL SHORTAGE AREA (HPSA) AND A DESIGNATED PHYSICIAN SCARCITY AREA (PSA). THE POPLATION 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 - 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 PRPGRAM 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 THAY MAY QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE TO CONTACT THE BUSINESS OFFICE.
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 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 I, Line 7 - Explanation of Costing MethodologySPRINGHILL MEDICAL SERVICES INC (SMC) USED COST TO CHARGE RATIO CALCULATED FOR (a) (b) (c) AND (g). WE USED ACTUAL COST INCURRED FOR (e) AND (f),

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredtrueSubstantiationRequired
Written Employment ContractXWrittenEmploymentContract
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
ROBERT EDWARDS
14999910571160570
MICHELLE PARDUE
2091057682216787
LEAMON G TORRENCE
14168212139153821
JERRY WAYNE SESSIONS
1900428139198181
DAVID W LAW
2665477838274385

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
Audited Financial Statements
ALL GOVERNING DOCUMENTS AND WRITTEN POLICIES ARE AVAILABLE UPON REQUEST.Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
COMPENSATION AND ADJUSTMENTS TO COMPENSATION OF TOP MANAGEMENT AND PHYSICIANS MUST BE REVIEWED AND APPROVED BY THE BOARD.Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees
THE BOARD REVIEWS THE 990 DRAFT COMPLETED BY THE CPA AND MAKES ANY NECESSARY CHANGES BEFORE IT IS MAILED TO THE IRS.Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review Process