2024-11-20T14:03:07-07:00 2023-12-31 720979212 Lester Miller & Wells A Corporation of CPAs 3600 Bayou Rapides Road Alexandria LA 71303 990 2023-01-01 721479692 SPRINGHILL MEDICAL SERVICES INC SPRI 3185391001 2001 DOCTORS DRIVE SPRINGHILL LA 71075 PETE JOHNSON CEO 3185391001 2024-11-08 1 1 Robert G Miller P00523509 3184871450 2024-11-08 2023 2024-10-15 13:58:12Z SPRINGHILL MEDICAL CENTER PETE JOHNSON 2001 DOCTORS DRIVE SPRINGHILL LA 71075 29527923 0 X WWW.SMCCARE.COM X 2000 LA PATIENT CENTERED CARE FROM OUR FAMILY TO YOURS 11 11 282 35 0 0 2164956 53636 25735086 25319735 37265 368588 1799961 3785964 29737268 29527923 0 0 0 0 14811685 14859558 0 0 836 10833743 11998537 25645428 26858095 4091840 2669828 20662356 23543286 2026065 2237167 18636291 21306119 PATIENT CENTERED CARE FROM OUR FAMILY TO YOURS 0 0 23063810 0 0 SMS,INC. OPERATES A 37 BED SOLE COMMUNITY ACUTE CARE HOSPITAL WITH MEDICAL, SURGICAL, DIAGNOSTIC, GERI-PSYCH, AND EMERGENCY SERVICES. IT OPERATES ONE RURAL HEALTH CLINIC IN SPRINGHILL AND TWO RURAL HEALTH CLINICS IN OUTLYING AREAS TO PROVIDE EASIER ACCESS TO HEALTH CARE. THE HOSPITAL PROVIDED 2,019 INPATIENT DAYS OF CARE (MEDICARE DAYS - 883) AND 1,684 GERI-PSYCH DAYS (MEDICARE DAYS - 1,319). 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.Health and wellness screenings - Promoted Diabetes awareness month. Promoted through FB advertising and on our digital signs. Both inside the hospital and the location digital signs. Trick or treat at the Doctors Clinic for children. Over 100 children were able to trick or treat safely at the clinic and the staff was able to interact with kids and their parents. Trunk or Treat for children at the library and Central Baptist Church. This event was very successful. Derek Melancon and Dianne Blake representing Springhill Medical Center set up along with about 30 other area business and civic groups and provided a safe place for children to trick or treat in the community. Over 1,000 people attended this event. Served supper to the football team and cheerleaders (around 150 people) Springhill Medical Center provided meals for football players and cheerleaders 2 times during the regular football season. Over 150 kids attended each event. The hospital dietary department prepared the food and the Senior Leadership team served the food to the students. This is an event that the hospital does every year. Supported all area schools and sports teams including performing annual physical exams for over 500 students at 5 schools. This is an annual event at no cost to the students. Physicians from the Doctors Clinic and North Webster Medical Clinic go to area schools and provide sports physicals for all the athletes at each school. This includes schools in both Louisiana and Arkansas. Over 650 students received a physical and were able to participate in school athletics. Senior Fun Day - Promoting our services - Senior fun day is an annual event sponsored by Springhill Medical Center and supported by the City of Springhill. Services from the hospital were represented including our Geriatric Psychiatric unit, Mammography and bone density, as well as our Aesthetic Clinic. Other area healthcare providers such a home health, hospice and more were represented at this one-day event. Over 600 Seniors for a thirty-mile radius attended this event and received a free lunch. There was no cost to the attendees. Promoted wellness and vaccines for Flu, COVID, Shingles, etc. on new Digital signs at North Webster and Doctors Clinic. Using our digital signage throughout the hospital and clinics as well as the location digital signs promoted the vaccines for the flu, shingles, and COVID 19 as well as annual shots for children going back to school. In addition, FB and the hospital website promoted the need for vaccines. Transportation - The CEO and Administrative Assistant worked to find a good used 15 passenger bus. In October of 2023 we were able to purchase a clean low milage bus and hired a qualified driver. The program had a slow start but continued to grow as the word got out. This is a free service to those in need of transportation to Springhill Medical Center, Doctors Clinic, North Webster Medical Clinic and Springhill Physical Therapy. Promote Mammograms - We promoted and contacted women due for mammograms and provided a nice gift and education with each mammogram performed. Promoted the new 3D machine. Once the 3D mammogram machine was installed, we promoted it through FB, Website, Digital signs and TV. The mammogram team keeps a tickler file and notifies patients when they are due for a mammogram which has worked well getting women to come in and have a new 3D mammogram. Colonoscopy Screenings - For 2023 the hospital promoted colon cancer moth advertising through our digital signage system as well as FB, the Web and posters in the clinics reminding people to get their colonoscopy. Clinic staff members sent out reminder postcards to patients that met criteria for a colonoscopy. 13464 0 0 OP Mental Health - Created new postcards that promoted our mental health services. Marketed at same time that Reflections marketers went out and made visits. Used GEO fencing to promote services. Other than creating cards for this service and having our Geriatric psychiatric marketers promote, they have their own marketer. We do have a presence on our website and a private contact me form. Specialty Services - In 2023 ortho services was achieved with the addition of Ashly Pully, PA and Joseph Nicolas, PA from the office of Dr. Vic Chatrath, Bossier Orthopedics. These PA's come every week and see patients at the Doctors Clinic. Clinic/ER - Concerns with the ER contact company, and lots of complaints. Company changed October 2022 and complaints dropped by 90%. After a change of ER companies patients continue to be very satisfied with the service they are receiving in the ER. Staff at the clinics need more customer service orientation. The new Business Office manager meets with staff regularly to discuss issues and educate. After initial education on customer service and continued education the complaints on the staff have dropped off to near 0%. 6037 0 0 SMS, INC. IS ALSO VERY ACTIVE IN THE COMMUNITY. THE HEALTH SYSTEM HOSTS A NUMBER OF HEALTH FAIRS FOR THE COMMUNITY. THE HEALTH FAIRS OFFERS 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. THE HOSPITAL PROVIDES EMPLOYEES TO SPEAK TO LOCAL CLUBS AND ORGANIZATIONS. SMS, INC. ALSO PARTICIPATES IN AN ACCOUNTABLE HEALTH ORGANIZATION TO PROVIDE WELLNESS VISITS AND EDUCATION. 0 0 0 23083311 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 28 0 1 282 1 0 0 0 0 0 0 0 0 X 11 11 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X X X SPRINGHILL MEDICAL SERVICES INC SPRINGHILL MEDICAL CENTER 3185391001 2001 DOCTORS DRIVE SPRINGHILL LA 71075 MICHELLE PARDUE MD FAMILY PRACTICE 36 0 X 387390 0 21625 LAURA HART MD FAMILY PRACTICE 36 0 X 286305 0 30839 PETER JOHNSON CEO 40 0 X 200000 0 30705 JERRY WAYNE SESSIONS MD FAMILY PRACTICE 20 0 X 213000 0 9016 KRISTEN DICKINSON NP FAMILY PRACTICE 32 0 X 164389 0 28925 BRIAN GRIFFIN CFO 40.00 0 X 131654 0 14172 DAVID K ANDERSON BOARD MEMBER 1 0 X 0 0 0 WAYNE MCMAHEN BOARD MEMBER 1 0 X 0 0 0 MARY D ARMWOOD BOARD MEMBER 1 0 X 0 0 0 PATRICIA A MCMURRAY BOARD MEMBER 1 0 X 0 0 0 ROBERT C BUSH TREASURER 1 0 X 0 0 0 WILLIAM RAY HUDDLESTON PRESIDENT 1 0 X 0 0 0 JERRY WAYNE SESSIONS MD CHIEF OF STAFF 1 0 X 0 0 0 ROBERT SMITH BOARD MEMBER 1 0 X 0 0 0 DIANNE STEPHENS BOARD MEMBER 1 0 X 0 0 0 WILLIE LYND IV VICE PRESIDENT 1 0 X 0 0 0 ROBERT A COLVIN SECRETARY 1 0 X 0 0 0 1382738 0 135282 15 0 1 0 CONCORD MEDICAL GROUP PLLC 1602 AVENUE Q LUBBOCK TX 79401 EMERGENCY ROOM COVERAGE 1148589 CARDINAL HEALTH ME P O BOX 730112 DALLAS TX 75373 MEDICATIONS & SUPPLIES 706303 EVIDENT CPSI P O BOX 850309 MOBILE AL 36685 INFORMATION SYSTEMS 349783 CEPHEID P O BOX 74007537 CHICAGO IL 60674 LAB SUPPLIES 296256 BAYMARK MANAGEMENT SERVICES P O BOX 650002 DEPT D DALLAS TX 75373 NEW VISION ACUTE CARE 269102 15 0 0 0 0 53636 0 0 53636 PATIENT SERVICE REVENUE 622000 25319735 25319735 0 0 0 0 0 0 25319735 368588 0 0 368588 0 0 0 0 0 0 0 0 28405 0 0 0 28405 0 28405 0 0 28405 0 0 0 340B PHARMACY 620000 1983772 0 0 1983772 MISCELLANEOUS 620000 1657067 0 0 1657067 CAFETERIA 620000 116720 0 0 116720 0 0 0 0 3757559 29527923 25319735 0 4154552 0 0 0 0 0 0 0 0 376531 0 376531 0 0 0 0 0 11529113 10359406 1169707 0 349922 304476 45446 0 1773124 1554823 218301 0 830868 723386 107482 0 0 0 0 0 17200 0 17200 0 133070 0 133070 0 0 0 0 0 0 0 0 0 0 0 2613328 2613328 0 0 60106 0 60106 0 176596 0 176596 0 317997 0 317997 0 0 0 0 0 0 0 0 0 90614 12002 78612 0 0 0 0 0 24297 0 24297 0 0 0 0 0 975559 877385 98174 0 405568 270814 134754 0 MEDICAL SUPPLIES AND DRUGS 2023987 2023987 0 0 BAD DEBT EXPENSE 1571015 1571015 0 0 340B PHARMACY 838869 838869 0 0 OTHER EXPENSES 2750331 1933820 815675 836 26858095 23083311 3773948 836 12374516 10675784 0 5084790 0 0 2114707 1795327 0 0 0 0 178192 419045 477066 501546 339113 351824 14453356 10047366 5051877 4405990 0 0 0 0 0 0 27137 2750 99748 306230 20662356 23543286 1739090 2115193 0 0 0 0 0 0 0 0 0 0 0 0 0 0 286975 121974 2026065 2237167 X 18636291 21306119 0 0 18636291 21306119 20662356 23543286 2669828 0 0 0 0 0 X 0 1 X 1 0 X 0 71308 71308 0 9268878 5775894 3492984 0 106380 58595 47785 0 0 0 0 0 5006790 4212877 793913 4405990 0 Leases 121974 121974 X 29527923 0 0 0 0 0 29527923 0 0 0 29527923 26858095 0 0 0 0 0 26858095 0 0 0 26858095 Schedule D, Part X, Line 2 Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the Hospital and recognize a tax liability if the organization has taken an uncertain position that more likely than not would be sustained upon examination by the Internal Revenue Service. Management has concluded that there are no uncertain tax positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. The Hospital is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any periods in progress. Hospital management believes it is no longer subject to income tax examinations for periods prior to January 1, 2019. 1 1 1 X 1 X 1 0 0 172796 172796 0.0064 6186048 6066374 119674 0.0045 0 0 6358844 6066374 292470 0.0109 14 33251 33251 0.0012 14 0 33251 0 33251 0.0012 14 0 6392095 6066374 325721 0.0121 1 1571015 12159 5822811 6837853 -1015042 X 1 1 SPRINGHILL HOMECARE HOME HEALTH 0.33 0 0 1 1 SPRINGHILL MEDICAL SERVICES INC SPRINGHILL MEDICAL CENTER 2001 DOCTORS DRIVE SPRINGHILL LA 71075 WWW.SMCCARE.COM X SPRINGHILL MEDICAL SERVICES INC SPRINGHILL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X www.smccare.com X 1 23 1 www.smccare.com 0 0 1 X 100 200 X X X X 1 1 X X X X 1 X www.smccare.com X www.smccare.com X www.smccare.com X X X X X 1 X X 1 X X X X X 1 X 0 0 Schedule H, Part V, Section B, Line 5-SPRINGHILL MEDICAL SERVICES INC SMS INC. ASSESSES THE NEEDS OF THE COMMUNITY THROUGH A COLLABORATION BETWEEN PHYSICIANS, CASE MANAGERS, AND OUTREACH COORDINATORS WHO SPEND TIME IN THE COMMUNITY PROVIDING EDUCATION, WELLNESS TESTS, AND ASSESSMENTS OF PATIENTS WITH CERTAIN DIAGNOSES. NEEDS ASSESSMENT IS ALSO ACCOMPLISHED THROUGH PARTICIPATON IN SPRINGHILL COMMUNITY NETWORK AND THE SENIIOR FRIENDS 50+ COMMUNITY GROUP. Schedule H, Part V, Section B, Line 6a-SPRINGHILL MEDICAL SERVICES INC COMMUNITY BENEFIT REPORT SEE ATTACHED CHNA Schedule H, Part V, Section B, Line 6b-SPRINGHILL MEDICAL SERVICES INC OTHER FACILITIES Rural Health Clinics Schools Town Officials Consultants Schedule H, Part V, Section B, Line 7a-SPRINGHILL MEDICAL SERVICES INC CHNA WIDELY AVAILABLE CHNA CAN BE FOUND ON SMS INC WEBSITE WWW.SMCCARE.COM AND UPON REQUEST AT THE FACILITY Schedule H, Part V, Section B, Line 10a-SPRINGHILL MEDICAL SERVICES INC MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY ADOPTED ON WEBSITE WWW.SMCCARE.COM Schedule H, Part V, Section B, Line 11-SPRINGHILL MEDICAL SERVICES INC COMMUNITY WELLNESS AND EDUCATION Advertise services using electronic media, marketing at local events provide free wellness screenings promote TELE PSYCH services for mental health services reach out at local events work with local counseling services Limited access in rural areas for screenings and mental health services show the lack of care available in the rural areas. CHNA was prepared in FY 2022 it is attached to this form. Schedule H, Part V, Section B, Line 16-SPRINGHILL MEDICAL SERVICES INC FAP POLICY WAS WIDELY AVAILABLE TO PUBLIC ON WEBSITE WWW.SMCCARE.COM AVAILABLE UPON REQUEST AND WITHOUT CHARGE AT FACILITY AND BY MAIL A PLAIN LANGUAGE SUMMARY WAS AVAILABLE IN FACILTIY AND WEBSITE MEMBERS WHO ARE MOST LIKELY TO NEED FAP WERE NOTIFIED OF AVAILABILITY Schedule H, Part V, Section B, Line 21-SPRINGHILL MEDICAL SERVICES INC EMTALA EMERGENCY MEDICAL CARE GRANTED REGARDLESS OF ABILITY TO PAY IN WRITING FEDERAL LAW 3 SMC DOCTORS CLINIC 401 11TH STREET NE SPRINGHILL LA 71075 PROVIDER BASED RURAL HEALTH CLINIC NORTH WEBSTER MEDICAL CLINIG 106 TRI STATE DRIVE SAREPTA LA 71071 PROVIDER BASED RURAL HEALTH CLINIC READLEY MEDICAL CLINIC 409 WOODRUFF STREET BRADLEY AR 71826 PROVIDER BASED RURAL HEALTH CLINIC Schedule H, Part I, Line 3c CHARITY CARE ELIGIBILITY INCOME UNDER 100% TO 200% OF FEDERAL POVERTY GUIDELINES IS DISCOUNTED FOR CHARITY CARE Schedule H, Part I, Line 6a AVAILABILITY OF CHNA SMS INC PREPARED A CHNA IN FY 2022 IT IS AVAILABLE TO THE PUBLIC THROUGH THE WEBSITE WWW.SMCCARE.COM AND PAPER COPY BY REQUEST Schedule H, Part I, Line 7 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 Schedule H, Part I, Line 7, Column f EXPLANATION OF BAD DEBT EXPENSE The Hospital adopted ASC 606 during fiscal year 2020. As a result of that adoption, estimated uncollectible amounts due from these patients are generally considered implicit price concessions presented as a direct reduction to patient service revenue and not presented separately as provision for bad debts. The provision for bad debts is determined considering historical experience, trends in health coverage, geographical data, and other collection indicators. The footnote to the organizations financial statements that is related to bad debt states "The Hospital also provides services to uninsured patients, and offers those uninsured patients a discount, either by policy or law, from standard charges. The Hospital estimates the transaction price for patients with deductibles and coinsurance and from those who are uninsured based on historical experience and current market conditions. The initial estimate of the transaction price is determined by reducing the standard charge by any contractual adjustments, discounts, and implicit price concessions. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to net patient service revenue in the period of the change. For 2023 and 2022, adjustments were recognized due to changes in the Hospital's estimates of implicit price concessions, discounts, and contractual adjustments for performance obligations satisfied in prior years were not significant. Subsequent changes that are significant and determined to be the result of an adverse change in the patient's ability to pay, determined on a portfolio basis, are recorded as bad debt expense. Consistent with the Hospital's mission, care is provided to patients regardless of their ability to pay. Therefore, the Hospital has determined it has provided implicit price concessions to uninsured patients and patients with other uninsured balances (for example, copays and deductibles). The implicit price concessions included in estimating the transaction price represent the difference between amounts billed to patients and the amounts the Hospital expects to collect based on its collection history with those patients. THE RATIONALE FOR INCLUDING ANY PORTION OF BAD DEBT AS COMMUNITY BENEFIT IS PRIMARILY DUE TO SMC'S RURAL LOCATION AND PROVIDING ACCESS TO PATIENTS EVEN THOUGH THEY ARE UNWILLING TO PAY OR THEY ARE UNABLE TO PAY BUT ARE UNWILLING TO FOLLOW OUR FINANCIAL ASSISTANCE PROGRAM. BY NOT BLOCKING ACCESS TO CARE, SMC KEEPS THE COMMUNITY HEALTHY. Schedule H, Part III, Section A, Line 4 BAD DEBT, MEDICARE & COLLECTION PRACTICES NOTE 11 NET PATIENT SERVICE REVENUE IS THE FINANCIAL STATEMENT FOOTNOTE RELATED TO BAD DEBT Schedule H, Part III, Section B, Line 8 EXPLANATION OF SHORTFALL AS COMMUNITY BENEFIT TREATING MEDICARE PATIENTS AND FUNDING THE ASSOCIATED SHORTFALLS ARE CONSIDERED PART OF THE FINANCIAL OBLIGATIONS OF SMC. COSTS OF TREATING MEDICARE PATIENTS AND THE RELATED COMMUNITY BENEFIT ARE DETERMINED BASED ON REIMBURSEMENT REPORTS FILED WITH MEDICARE. Schedule H, Part III, Section C, 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 PERCNETAGE USING INCOME AND THER FEDERAL POVERTY GUIDELINES Schedule H, Part VI, Line 2 SMS INC. ASSESSES THE NEEDS OF THE COMMUNITY THROUGH A COLLABORATION BETWEEN PHYSICIANS, CASE MANAGERS, AND OUTREACH COORDINATORS WHO SPEND TIME IN THE COMMUNITY PROVIDING EDUCATION, WELLNESS TESTS, AND ASSESSMENTS OF PATIENTS WITH CERTAIN DIAGNOSES. NEEDS ASSESSMENT IS ALSO ACCOMPLISHED THROUGH PARTICIPATON IN SPRINGHILL COMMUNITY NETWORK AND THE SENIIOR FRIENDS 50+ COMMUNITY GROUP. PART II, METHODOLOGY OF THE COMMUNITY HEALTH SURVEY - EXPLANATION OF HOW THE HOSPITAL TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY AND THE IDENTITY OF THE PERSONS THE HOSPITAL CONSULTED: SPRINGHILL MEDICAL CENTER ESTABLISHED A STEERING COMMITTEE TO ASSIST IN THE DEVELOPMENT OF THE CHNA. THE STEERING COMMITTEE CONSISTED OF THE FOLLOWING REPRESENTATIVES FROM SENIOR MANAGEMENT: PETE JOHNSON (CHIEF EXECUTIVE OFFICER), KRISTEN COLE(CHIEF NURSING OFFICER), BRIAN GRIFFIN (CHIEF FINANCIAL OFFICER), AND DEREK MELANCON (HUMAN RESOURCES/MARKETING). THE STEERING COMMITTEE SERVED FOUR PRIMARY PURPOSES: TO IDENTIFY AND INVITE KEY COMMUNITY STAKEHOLDERS TO SERVE AS CHNA COMMITTEE MEMBERS, TO SCHEDULE, ORGANIZE, AND FACILITATE CHNA COMMITTEE MEETINGS, TO COMPILE STATISTICAL DATA FOR CONSIDERATION BY THE CHNA COMMITTEE, AND TO PREPARE THE FINAL REPORT FOR THE ORGANIZATION. THE STEERING COMMITTEE CONSCIENTIOUSLY TOOK INTO ACCOUNT THE HOSPITAL'S SERVICE AREA WHEN SELECTING THE GROUP OF INDIVIDUALS TO SERVE ON THE CHNA COMMITTEE. IN SELECTING COMMUNITY PARTICIPANTS, THE STEERING COMMITTEE CONSIDERED EACH RESIDENT'S INVOLVEMENT IN THE COMMUNITY AND ENSURED THERE WAS ADEQUATE DIVERSITY FROM THE SERVICE AREA. THE FOLLOWING COMMUNITY MEMBERS PARTICIPATED: RAY HUDDLESTON (MAYOR OF SPRINGHILL), RONNIE HEARNSBERGER (COUNCIL MEMBER/BUSINESSMAN), RHONDA TYALOR (CHAMBER MANAGER), LISA SMITH (COUNSELOR), NIKKI REEVES (BRANCH MANAGER CARTER CREDIT), KINDLE MASTERS (CHAMBER BOARD MEMBER), DR. MICHELLE PARDUE (PHYSICIAN), RAYMOND ROBERTSON (RETIRED PHARMACIST), LINDA MCDANIEL (MAIN STREET MANAGER), KRISTIN DICKINSON (FNP-BC), DR. J. WAYNE SESSIONS (PHYSICIAN), TIM MOUSER(MAYOR OF SHONGALOO), VICKY SHYNE (RETIRED CHILD WELFARE), DIANE BLAKE (MARKETER, SMC), MARY ARMWOOD (NURSE EDUCATOR), AND KAREN BUDWAH, RN (GERIATRIC PSYCH)ALSO SERVED ON THE CHNA COMMITTEE. THE CHNA COMMITTEE UTILIZED A SURVEY PROCESS TO GATHER COMMUNITY INPUT. THERE WERE 220 SURVEYS COLLECTED FROM PAPER AND ONLINE SOURCES. THE SUMMARY OF SURVEY RESULTS BEGIN ON PAGE 5 OF THE ATTACHED 2022 COMMUNITY HEALTH NEEDS ASSESSMENT. ALSO, INCLUDED IN THE CHNA ARE SEVERAL CHARTS OF INDICATORS, MORTALITIES, CHNA COMMITTEE RECOMMENDATIONS OF PRIORITIES AND STRATEGIC IMPLEMENTATION PROCESSES. FURTHERMORE, SPRINGHILL MEDICAL CENTER'S VISION IS TO BE EVERY PATIENTS' FIRST CHOICE FOR HELATHCARE EXCELLENCE AND TO ADAPT AND EXPAND SERVICES TO CREATE HEALTHIER COMMUNITIES. Schedule H, Part VI, Line 3 SMS,INC. DBA SMC STRIVES TO INFORM AND EDUCATE ALL OUR UNINSURED PATIENTS THAT PRESENT TO OUR FACILITIES ABOUT OUR FINANCIAL ASSISTANCE POLICY. UNINSURED PATEINTS ARE EDUCATED ON MEDICAID AND OUR CHARITY CARE PROGRAM WHEN THEY PRESENT TO OUR FACILITY AS EMERGENCY, OUTPATIENT, OR INPATIENT. WE HAVE SEVERAL MEDICAID APPLICATION REPRESENTATIVES AT OUR FACILITY THAT CAN TAKE APPLICATIONS FOR MEDICAID AND PATIENTS ARE GIVEN INFORMATION ON HOW TO APPLY. PATIENTS ARE ALSO GIVEN A FINANCIAL ASSISTANCE APPLICATION THAT CONTAINS INSTRUCTIONS AND CONTACT INFORMATION. ALL OF OUR INITIAL BILLING STATEMENTS INFORM THE PATIENTS THAT IF THEY FEEL THEY MAY QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE TO CONTACT THE BUSINESS OFFICE. THE FINANCIAL ASSISTANCE POLICY IS ALSO AVAILBLE ON OUR WEBSITE WWW.SMCCARE.COM ALONG WIHT AN APPLICATION AND PLAIN LANGUAGE FA POLICY. Schedule H, Part VI, Line 4 SMS, INC. D/B/A SMC SERVES THE RURAL COMMUNITY OF NORTH WEBSTER PARISH IN LOUISIANA AND SOUTH COLUMBIA COUNTY IN ARKANSAS. THE POPULATION OF THE COMMUNITY IS APPROXIMATELY 26,957. THE AVERAGE INCOME IS APPROXIMATELY $25,000 PER YEAR FOR 44% OF THE RESIDENTS IN THE PRIMARY MEDICAL SERVICE AREA. SPRINGHILL MEDIAN AGE IS 47 AND THE UNEMPLOYMENT RATE IS 7.1 %. POVERTY RATE IS 46%. THE PATIENT MIX OF UNINSURED AND MEDICAID IS 1% AND 29%. Schedule H, Part VI, Line 5 THROUGH THE CLEANUP AND MAINTENANCE OF COMMUNITY PARKS, SMC MAKES ENVIRONMENTAL IMPROVEMENTS BY REMOVING TRASH AS WELL AS PROMOTING PHYSICAL ACTIVITY. X X 0 0 0 0 0 0 0 0 0 PETER JOHNSON CEO 200000 0 0 0 0 0 30705 0 0 0 230705 0 0 0 MICHELLE PARDUE MD FAMILY PRACTICE 387390 0 0 0 0 0 21625 0 0 0 409015 0 0 LAURA HART MD FAMILY PRACTICE 286305 0 0 0 0 0 30839 0 0 0 317144 0 0 0 JERRY WAYNE SESSIONS MD FAMILY PRACTICE 213000 0 0 0 0 0 9016 0 0 0 222016 0 0 KRISTEN DICKINSON NP FAMILY PRACTICE 164389 0 0 0 0 0 28925 0 0 0 193314 0 0 Form 990, Part VI, Section A, Line 2 DIANNE STEPHENS BOARD MEMBER IS WILLIE LYND IV VICE PRESIDENT AUNT Form 990, Part VI, Section B, Line 11b THE BOARD REVIEWS THE 990 DRAFT COMPLETED BY THE CPA. THE BOARD APPROVES THE RETURN THEN THE FORM 8879-EO IS SIGNED AND RETURNED TO CPA FIRM AUTHORIZING THE CPA TO FILE ELECTRONICALLY. Form 990, Part VI, Section B, Line 12c THE BOARD COMPLETES A CONFLICT-OF-INTEREST FORM ANNUALLY Form 990, Part VI, Section B, Line 15 COMPENSATION AND ADJUSTMENTS TO COMPENSATION OF TOP MANAGEMENT AND PHYSICIANS MUST BE REVIEWED AND APPROVED BY THE BOARD. COMPENSATION AND ADJUSTMENTS TO COMPENSATION OF OFFICERS AND KEY EMPLOYEES MUS BE REVIEWED AND APPROVED BY THE BOARD. Form 990, Part VI, Section C, Line 18 SMS INC 990 IS AVAILABLE ON THE WEBSITE WWW.SMCCARE.COM AND UPON REQUEST Form 990, Part VI, Section C, Line 19 ALL GOVERNING DOCUMENTS 990 FINANCIAL STATEMENTS AND WRITTEN POLICIES ARE AVAILABLE UPON REQUEST Received extension due to Tropical Storm Francine to Feb. 3, 2025. Software issues forced preparer to buy one time use software assured by IRS to be able to file 990.