2025-11-14T08:20:47-08:00 2024-12-31 720979212 Lester Miller & Wells 3600 Bayou Rapides Alexandria LA 71303 990 2024-01-01 721479692 SPRINGHILL MEDICAL SERVICES INC DBA SPRINGHILL MEDICAL CENTER SPRI 3185391001 2001 DOCTORS DRIVE SPRINGHILL LA 71075 BRIAN GRIFFIN CFO 2025-11-13 true true Robert G Miller P00523509 3184871450 2024 2025-03-06 01:10:19Z 2001 DOCTORS DRIVE SPRINGHILL LA 71075 28581526 false X www.smccare.com X 2000 LA PATIENT CENTERED CARE FROM OUR FAMILY TO YOURS 11 11 289 28 0 53636 737737 25319735 24334452 368588 629137 3785964 2880200 29527923 28581526 0 0 14859558 14529144 0 1244 11998537 12182076 26858095 26711220 2669828 1870306 23543286 25065280 2237167 1888855 21306119 23176425 PATIENT CENTERED CARE FROM OUR FAMILY TO YOURS false false 22960716 24334452 FORM 990, PART III, LINE 4A - PROGRAM SERVICE ACCOMPLISHMENTSSMS,INC. OPERATES A 36 BED SOLE COMMUNITY ACUTE CARE HOSPITAL WITH MEDICAL, SURGICAL, DIAGNOSTIC, GERI-PSYCH, AND EMERGENCY SERVICES. IT OPERATES ONE RURAL HEALTH CLINIC IN SPRINGHILL AND ONE RURAL HEALTH CLINIC IN OUTLYING AREAS TO PROVIDE EASIER ACCESS TO HEALTH CARE. THE HOSPITAL PROVIDED 1,897 INPATIENT DAYS OF CARE (MEDICARE DAYS - 820)AND 1,355 GERI-PSYCH DAYS (MEDICARE DAYS - 981).Health & Wellness InitiativesDiabetes awarness month promoted early detection and education across clinics and digital platforms. Annual sports physicals were provied to over 500 students across 5 area schools. Senior fun & Fitness Day hosted for 700 plus seniors, promoting mobility, nutrition, and social connections. Wellness vaccine campaigns for flu, shingles, promoted via digital signage at North Webster Medical Clinic and Doctors Clinic. 3D mammogram outreach included reminder cards, online ads. Colonoscopy Month promoted preventive screenings and early detection. SMS, INC. is alos very active in the Community. SMC had a safe Halloween Trick-or-Treat hosted at Doctors Clinic. Supported community-wide Halloween event with churches and local businesses. Provided super for 150 North Webster High School football players and cheerleaders, reinforcing youth outreach. 22960716 true false false false false false false false false false true false false true true false true false false false false false false false false false true true false false true false false false false false false false false false false false false false false false false false true 43 0 true 289 true false false false false false false false 0 false false false false false false false X 11 11 true false false false false false true true true false false true true true true true true true true true false X SPRINGHILL MEDICAL CENTER 3185391001 2001 DOCTORS DRIVE SPRINGHILL LA 71075 MICHELLE PARDUE MD FAMILY PRACTICE 36.00 0.00 386530 0 18672 OMAR J GUTIERREZ PHYSICIAN 36.00 0.00 342442 0 54000 LAURA HART MD FAMILY PRACTICE 36.00 0.00 302413 0 48563 PETER JOHNSON CEO 40.00 0.00 X 247631 0 0 JERRY WAYNE SESSIONS MD FAMILY PRACTICE 20.00 0.00 214000 0 8841 KRISTEN DICKINSON NP FAMILY PRACTICE 32.00 0.00 165212 0 10739 BRIAN GRIFFIN CFO 40.00 0.00 X 162577 0 0 DAVID K ANDERSON BOARD MEMBER 1.00 0.00 X 0 0 0 WAYNE MCMAHEN BOARD MEMBER 1.00 0.00 X 0 0 0 MARY D ARMWOOD Board Member 1.00 0.00 X 0 0 0 PATRICIA A MCMURRAY BOARD MEMBER 1.00 0.00 X 0 0 0 ROBERT C BUSH Treasurer 1.00 0.00 X 0 0 0 RAY HUDDLESTON President 1.00 0.00 X 0 0 0 ROBERT A COLVIN Secretary 1.00 0.00 X 0 0 0 JERRY WAYNE SESSIONS MD CHIEF OF STAFF 1.00 0.00 X 0 0 0 ROBERT SMITH BOARD MEMBER 1.00 0.00 X 0 0 0 DIANNE STEPHENS Board Member 1.00 0.00 X 0 0 0 WILL LYND IV Vice President 1.00 0.00 X 0 0 0 1820805 140815 16 false true false THRASH CONSTRUCTION SERVICES LLC 1110 SAM R FERITTA DRIVE SHREVEPORT LA 71101 CONSTRUCTION 1364192 CONCORD MEDICAL GROUP PLLC 1602 AVENUE Q LUBBOCK TX 79401 EMERGENCY ROOM 1182799 CARDINAL HEALTH MED PRODUCTS PO BOX 730112 DALLAS TX 75373 MEDICATIONS AND SUPPLIES 806152 GE HEALTHCAR SERVICE PO BOX 96483 CHICAGO IL 60693 BIOMEDICAL SERVICES 549666 EVIDENT CPSI PO BOX 850309 MOBILE AL 36685 INFORMATION SYSTEMS 396496 17 737737 737737 PATIENT SERVICE REVENUE 24334452 24334452 24334452 629137 629137 0 0 28569 28569 28569 28569 0 0 0 0 340B PHARMACY 1457656 1457656 CAFETERIA 722514 161360 161360 MISCELLANEOUS 1232615 1232615 2851631 28581526 24334452 3509337 X 0 0 0 0 410208 410208 0 11485762 10277644 1208118 356880 308330 48550 1446274 1247612 198662 830020 717231 112789 0 26344 26344 118506 118506 0 0 0 0 57982 57982 149251 1024 148227 264583 264583 0 0 74445 11910 62535 0 0 6323 6323 0 1022491 920462 102029 400503 249133 151370 Professional consulting 2588435 2588435 BAD DEBT EXPENSE 1920507 1920507 Medical Supplies and Drugs 1902733 1902733 340B PHARMACY 785651 785651 2864322 2030044 833034 1244 26711220 22960716 3749260 1244 10675784 9622231 5084790 6146422 0 1795327 1501728 0 0 419045 801250 501546 399683 351824 345165 14645456 10381314 4405990 4264142 0 0 0 2750 11333 306230 1973326 23543286 25065280 2115193 1864161 121974 24694 2237167 1888855 X 21306119 23176425 21306119 23176425 23543286 25065280 1870306 X false true X true false X 71308 71308 9381390 6055075 3326315 218029 13081 204948 4974729 4313158 661571 4264142 CIP DC Parking Lot 60015 CIP ER 1846309 Rounding 2 1973326 Leases 24694 24694 28581526 28581526 28581526 26711220 26711220 26711220 true true true X true X true false false false false false 247600 247600 0.00930 5661901 8610704 5909501 8610704 247600 0.00930 9 19937 19937 0.00070 9 19937 19937 0.00070 9 5929438 8610704 267537 0.01000 true 1920507 21843 5441953 6286163 -844210 X true true SPRINGHILL HOMECARE HOME HEALTH 0.33000 1 1 SPRINGHILL MEDICAL SERVICES 2001 DOCTORS DRIVE SPRINGHILL LA 71075 WWW.SMCCARE.COM X 1 SPRINGHILL MEDICAL SERVICES 1 false false true X X X X X X X X X 22 true true true true X www.smccare.com X true 24 false true false true X 100.0000 200.0000 X X X true true X X X X true X www.smccare.com X www.smccare.com X www.smccare.com X X X X X X true X X false X X X X true false false Facility: SPRINGHILL MEDICAL SERVICES - Part V, Section B, Line 5 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. Facility: SPRINGHILL MEDICAL SERVICES - Part V, Section B, Line 6a PART I, LINE 6a - COMMUNITY BENEFIT REPORT: SEE ATTACHED CHNA. SMC DOCTORS CLINIC 401 11TH ST NE SPRINGHILL LA 71075 PROVIDER BASED RURAL HEALTH CLINIC NORTH WEBSTER MEDICAL CLINIC 106 TRI STATE DRIVE SAREPTA LA 71071 PROVIDER BASED RURAL HEALTH CLINIC Part I, Line 3c - Charity Care Eligibility Criteria (FPG Is Not Used) 100% to 200% FPG Discounted 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 SCHEDLE 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 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 ORGANIZATION'S 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 2021 and 2020, adjustments were recognized due to changes in the Hospitals 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 patients ability to pay, determined on a portfolio basis, are recorded as bad debt expense.Consistent with the Hospitals 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 KEEP THE COMMUNITY HEALTHY. Part III, Line 4 - Bad Debt Expense NOTE 11 NET PATIENT SERVICE REVENUE Part III, Line 8 - Explanation Of Shortfall As Community Benefit TREATING MEDICARE PATIENTS AND FUNDING THE ASSOCIATED SHORTFALLS ARE CONSIDERED PART OF THE FINANCIAL OBLIGATION OF SMC. COSTS OF TREATING MEDICARE PATIENTS AND THE RELATED COMMUNITY BENEFIT ARE DETERMINED BASED ON REIMBURSEMENT REPORTS FILED WITH MEDICARE. Part VI, Line 2 - Needs Assessment 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 VI, Line 3 - Patient Education of Eligibility for Assistance SMS,INC. D/B/A 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 AVAILABLE ON OUR WEBSITE WWW.SMCCARE.COM ALONG WITH AN APPLICATION AND PLAIN LANGUAGE FA POLICY. Part VI, Line 4 - Community Information 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%. Part VI, Line 4 - Community Building Activities THROUGH THE CLEANUP AND MAINTENANCE OF COMMUNITY PARKS, SMC MAKES ENVIRONMENTAL IMPROVEMENTS BY REMOVING TRASH AS WELL AS PROMOTING PHYSICAL ACTIVITY. Part VI - Additional Information PART 1, LINE 6A: COMMUNITY BENEFIT REPORT: SEE ATTACHED CHNAPART 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 ORGANIZATON'S FINANCIAL STATEMENTS RELATED TO BAD DEBT IS NOTE 11 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 COORDINATORS WHO SPEND TIME IN THE COMMUNITY PROVIDING EDUCATION AND WELLNESS TESTS. PART VI #4: SEE ATTACHED CHNA. X X false false false false false false false false false BRIAN GRIFFIN CFO 142715 19862 162577 JERRY WAYNE SESSIONS MD FAMILY PRACTICE 214000 8841 222841 KRISTEN DICKINSON NP FAMILY PRACTICE 165212 10739 175951 LAURA HART MD FAMILY PRACTICE 302413 48563 350976 MICHELLE PARDUE MD FAMILY PRACTICE 386530 18672 405202 OMAR J GUTIERREZ PHYSICIAN 342442 54000 396442 PETER JOHNSON CEO 201186 46445 247631 Form 990, Part VI, Section A, Line 2 FORM 990, PART VI, LINE 2 - BUSINESS OR FAMILY RELATIONSHIP OF OFFICERS, DIRECTORS, ETC.DIANNE STEPHENS, BOARD MEMBER IS WILL LYND, IV, VICE PRESIDENT'S AUNT. BRIAN GRIFFIN, CFO, IS SHARON GRIFFIN, BUSINESS OFFICE MANAGER'S SON. SHARON HAS BEEN BOM FOR MANY YEAR BEFORE BRIAN BECAME CFO. Form 990, Part VI, Section B, Line 11b FORM 990, PART VI, LINE 11B - FORM 990 REVIEW PROCESSTHE BOARD REVIEWS THE 990 DRAFT COMPLETED BY THE CPA. THE BOARD APPROVES THE RETURN THEN THE FORM 8879-TE IS SIGNED AND RETURNED TO CPA FIRM AUTHORIZING THE CPA TO FILE ELECTRONICALLY. Form 990, Part VI, Section B, Line 15a FORM 990, PART VI, LINE 15A - COMPENSATION REVIEW & APPROVAL PROCESS - CEO & TOP MANAGEMENTCOMPENSATION AND ADJUSTMENTS TO COMPENSATION OF TOP MANAGEMENT AND PHYSICIANS MUST BE REVIEWED AND APPROVED BY THE BOARD. Form 990, Part VI, Section B, Line 15b FORM 990, PART VI, LINE 15B - COMPENSATION REVIEW & APPROVAL PROCESS - OFFICERS & KEY EMPLOYEESCOMPENSATION AND ADJUSTMENTS TO COMPENSATON OF OFFICERS AND KEY EMPLOYEES MUST BE REVIEWED AND APPROVED BY THE BOARD. Form 990, Part VI, Section C, Line 19 FORM 990 PART VI, LINE 19 - OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLEALL GOVERNING DOCUMENTS, 990,FINANCIAL STATEMENTS, AND WRITTEN POLICIES ARE AVAILABLE UPON REQUEST. Form 990, Part IX, Line 24e : Column (A) - Total = $0; Column (B) - Program Services = $0; Column (C) - Management & General = $0; Column (D) - Fundraising = $0 Form 990, Part IX, Line 24e EDUCATION & PROF DEV: Column (A) - Total = $21957; Column (B) - Program Services = $16694; Column (C) - Management & General = $5263; Column (D) - Fundraising = $0 Form 990, Part IX, Line 24e Foundation: Column (A) - Total = $1244; Column (B) - Program Services = $0; Column (C) - Management & General = $0; Column (D) - Fundraising = $1244 Form 990, Part IX, Line 24e LICENSES AND DUES: Column (A) - Total = $287795; Column (B) - Program Services = $110030; Column (C) - Management & General = $177765; Column (D) - Fundraising = $0 Form 990, Part IX, Line 24e Loss on sale: Column (A) - Total = $47107; Column (B) - Program Services = $0; Column (C) - Management & General = $47107; Column (D) - Fundraising = $0 Form 990, Part IX, Line 24e MISC CONTRACT: Column (A) - Total = $704865; Column (B) - Program Services = $468448; Column (C) - Management & General = $236417; Column (D) - Fundraising = $0 Form 990, Part IX, Line 24e MISCELLANEOUS: Column (A) - Total = $8098; Column (B) - Program Services = $8098; Column (C) - Management & General = $0; Column (D) - Fundraising = $0 Form 990, Part IX, Line 24e Nonmedical supplies: Column (A) - Total = $610586; Column (B) - Program Services = $594911; Column (C) - Management & General = $15675; Column (D) - Fundraising = $0 Form 990, Part IX, Line 24e Postage and Shipping: Column (A) - Total = $51996; Column (B) - Program Services = $37844; Column (C) - Management & General = $14152; Column (D) - Fundraising = $0 Form 990, Part IX, Line 24e RENTALS: Column (A) - Total = $228545; Column (B) - Program Services = $218879; Column (C) - Management & General = $9666; Column (D) - Fundraising = $0 Form 990, Part IX, Line 24e REPAIRS AND MAINTENANCE: Column (A) - Total = $222950; Column (B) - Program Services = $222600; Column (C) - Management & General = $350; Column (D) - Fundraising = $0 Form 990, Part IX, Line 24e TAXES: Column (A) - Total = $308635; Column (B) - Program Services = $0; Column (C) - Management & General = $308635; Column (D) - Fundraising = $0 Form 990, Part IX, Line 24e TELEPHONE: Column (A) - Total = $20069; Column (B) - Program Services = $3107; Column (C) - Management & General = $16962; Column (D) - Fundraising = $0 Form 990, Part IX, Line 24e UTILITIES: Column (A) - Total = $350475; Column (B) - Program Services = $349433; Column (C) - Management & General = $1042; Column (D) - Fundraising = $0