SPRINGFIELD HOSPITAL INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- SPRINGFIELD HOSPITAL INC (EIN 03-0179437)
- Tax period
- 2022-10-01 to 2023-09-30
- Filed
- 2024-08-14
- IRS object ID
- 202442279349301439
- Schema version
- 2022v5.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-08-14T14:35:49-05:00 | ReturnTs |
| Tax Period End | 2023-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010523282 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Berry Dunn McNeil & Parker LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2211 Congress St | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 030179437 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Springfield Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SPRI | BusinessNameControlTxt |
| Phone | 8028852151 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 2003 | AddressLine1Txt |
| City | Springfield | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05156 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Kayda Wescott | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8028852151 | PhoneNum |
| Signature | 2024-08-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Joseph R Byrne | PreparerPersonNm |
| PTIN | P01289281 | PTIN |
| Phone | 2077752387 | PhoneNum |
| Preparation | 2024-08-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2024-08-08 14:25:15Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Robert Adcock | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 2003 | AddressLine1Txt |
| City | Springfield | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05156 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $59,850,431 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.springfieldhospital.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1914 | FormationYr |
| Legal Domicile State | VT | LegalDomicileStateCd |
| Activity Or Mission | 25-Bed Critical Access Hospital | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 480 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,477,349 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,049,398 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $54,917,401 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $56,759,113 | CYProgramServiceRevenueAmt |
| PY Investment Income | $21,918 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,469 | CYInvestmentIncomeAmt |
| PY Other Revenue | $8,825 | PYOtherRevenueAmt |
| CY Other Revenue | $6,150 | CYOtherRevenueAmt |
| PY Total Revenue | $61,425,493 | PYTotalRevenueAmt |
| CY Total Revenue | $59,821,130 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,500 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $22,901,657 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $25,046,033 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $35,161,056 | PYOtherExpensesAmt |
| CY Other Expenses | $35,489,416 | CYOtherExpensesAmt |
| PY Total Expenses | $58,062,713 | PYTotalExpensesAmt |
| CY Total Expenses | $60,539,949 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,362,780 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$718,819 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $30,767,524 | TotalAssetsBOYAmt |
| Total Assets EOY | $32,855,951 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $20,074,244 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $22,280,189 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $10,693,280 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $10,575,762 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Our mission is to excel at providing personalized, quality care; where people come first. Our vision is to be the provider of choice by creating a professional environment where patients want to receive care, clinicians want to practice medicine, and employees want to work. Our plan is to accomplish this by:1. Empowering our caregivers with education, technology, and opportunities for personal and professional development;2. Creating an environment which builds collaborative relationships among clinicians, staff, and patients;3. Providing our communities with the educational resources and support to make informed decisions emphasizing prevention and wellness; and4. Offering safe, personalized, high-quality care. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $49,629,945 | ExpenseAmt |
| Grant | $4,500 | GrantAmt |
| Revenue | $56,759,113 | RevenueAmt |
| Desc | Springfield Hospital (SH) is a 25-bed critical access hospital located in Springfield, VT. SH also operates The Windham Center for Psychiatric Care, a comprehensive inpatient mental health program in Bellows Falls, VT; off-site physical therapy services in Springfield, Ludlow and Bellows Falls, VT, six hospital-owned specialty clinics (ENT, general surgery, podiatry, orthopedics, gynecology and urology), and an adult day care center in Springfield, VT. Our mission is to excel at providing personalized, quality care; where people come first. Our vision is to be the provider of choice by creating a professional environment where patients want to receive care, clinicians want to practice medicine, and employees want to work.Our plan is to accomplish this by:- Empowering our caregivers with education, technology, and opportunities for personal and professional development;- Creating an environment, which builds collaborative relationships among clinicians, staff, and patients;- Providing our communities with the educational resources and support to make informed decisions emphasizing prevention and wellness; and,- Offering safe, personalized, high-quality care. SH provides health services to residents throughout its catchment area. Many of the services benefit the elderly, the poor, the indigent, the underinsured and the uninsured. SH receives minimal reimbursement from these programs, with 35% of Springfield Hospital net revenue coming from Medicare and Medicaid funding. Springfield Hospital has a charity care policy under which patients who meet certain criteria will receive care without charge, or at amounts less than established rates. Patients qualify for 100% charity care at up to 200% of the federal poverty guideline (FPG) and 50% assistance up to 300% of the FPG. The Hospital does not bill patients nor pursue collection of amounts determined to qualify as charity care. For FY23, charges foregone for charity care, based on established rates, amounted to $733K.Springfield Hospital operates a number of specialty practices to provide needed specialty care to patients. These clinics include Connecticut Valley ENT, Surgical Associates, Springfield Podiatry, Connecticut Valley Orthopaedics, Springfield Gynecology and Springfield Urology. In addition, SH provides an outpatient clinic serving patients needing treatment and minimizing their need to travel great distances for infusion services. Cardiology services were offered on-site 6 days each month at the specialty clinic through June 30, 2023, when the provider relocated to another state. We are recruiting to replace the cardiology service. Charitable support, in the form of gas cards and/or medication cards, is provided to patients who do not have needed funds. This charitable support program is available through donations and grant funding.Other community benefit programs include the following: Job Training and Shadowing Programs: These programs, in cooperation with Vocational Rehab and training programs through the State of Vermont, provide opportunities to gain on-the-job experience in the healthcare field. We also work with area high school students to provide opportunities for career education and summer employment. Healthcare Scholarships: Springfield Hospital raises funds that are then donated to individuals to further their educational pursuits in healthcare careers. In FY 2023, we donated four scholarships of $4,500 in healthcare scholarships.BeSeatSmart Program: This program helps residents comply with Vermont's child passenger restraint law, while ensuring the safety of our smallest patients. During FY 2023, seven child safety seats were provided to families in need, and a total of 18 child safety seats were installed and/or inspected by the Child Passenger Safety Technician, on site at Springfield Hospital. The safety seat checks are offered as a free community service. We estimate the value of this program to be $600 based on staff time to educate parents on the proper use and installation of the child safety seats and administrative assistant costs.Employee Donations For Community Causes: Throughout the year, the Hospital encourages employees to participate in and donate to fundraising events in support of various associations that address community needs, for example Hearts of Hope and the Santa Claus Club. EMS Preceptor Programs: Through Springfield Hospital's Emergency Department, several EMS agencies/schools that have their students come to the ED for their clinical hours. They range from Vermont Emergency First Responders to paramedic and include all agencies in the area.Meeting Rooms: Free meeting room space is offered to community groups when space is available. Groups that offer information on health or wellness are given a priority; such as Alcoholics Anonymous, Vermont Department of Health, the community health team and the community collaborative. Training Site Partnerships: Springfield Hospital is a training site for Vermont State University for their Licensed Practical Nurses and several other schools for their Registered Nurses. We welcome the following schools' students doing practicums as desired: University of New Hampshire, University of Vermont, Norwich University, University of Massachusetts, Smith College, Antioch New England Graduate School, River Valley Community College, VTC, St Joseph's College of Maine, Castleton State College. The program utilization generally requires an estimated 200 hours for LPN and 400 hours for RN. Community Education: Springfield Hospital promotes health education programs, open to the public, which include American Heart Association CPR and First Aid classes. The Hospital also collaborates with the North Star Health's community health team in offering community health and wellness education programs throughout the year emphasizing preventive programming around diet, exercise and nutrition.Springfield Community: Springfield Hospital encourages employees to become an active volunteer to help improve the communities we call home. Employees donate their time in a variety of areas ranging from serving as Board Members for local groups, participation in fundraising activities, including the Springfield Hospital Annual Golf Tournament and Apple Blossom Cotillion fundraising events.Volunteer Service: Volunteer Services provide a variety of services to patients and visitors. The donation of time and fundraising activities support programs that include Clerical Services, Activities Assistant at Adult Day Services, and Special Services in the Emergency Department. In fiscal year 2023, Springfield Hospital had 14 volunteers and volunteered approximately 1,082 hours.The Windham Center: The Windham Center is a 10-bed inpatient mental health unit that provides mental health services to residents of Windham and Windsor counties and other communities. Programs provide treatment for men and women who are 18 years of age and older. Multidisciplinary teams include psychiatrists, social workers, clinicians, drug and alcohol counselors, and nurses. The Windham Center serves the general population and financial assistance is available, based on need. The Windham Center had 320 admissions in 2023.Adult Day Care Service: Springfield Hospital operates an adult day care service, located in Springfield, VT. A cost-effective choice to long term nursing home health care, the Springfield Area Adult Day Service assists families with seniors or disabled adults, over the age of 18, who face the challenge of losing their independence. The structured program offers a safe and protective environment where nutritious meals, social activities, health care services, nursing oversight, and coordination of needed social and support services are provided. Transportation is available through an arrangement with the local bus service. In FY 2023, Adult Day Service had 3,548 patient days of care.VeggieVanGo: Springfield Hospital volunteers help distribute food at the monthly Vermont Foodbank VeggieVanGo event in Springfield. We distribute food to approximately 550 families per month. Approximately 60 hours annually are donated in time and meetings. | Desc |
| Total Program Service Expenses | $49,629,945 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 66 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 480 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | VT | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kayda Wescott | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8028857646 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 2003 | AddressLine1Txt |
| City | Springfield | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05156 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Jim Rumrill | ||||||||
| Chairperson | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Lynn Raymond-Empey | ||||||||
| Vice Chairperson | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Richard Dexter III | ||||||||
| Treasurer | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| John Bond | ||||||||
| Secretary | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Marty Gallagher | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Eliot Hall MD | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Stephen Leblanc | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Walter Martone | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Doug Nilson MD | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Gabriel St Pierre | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Richard Root | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Howard Schapiro MD | ||||||||
| Past Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Robert Adcock | ||||||||
| CEO/President | 40.00 | Yes (X) | $338,928 | $0 | $12,727 | |||
| Kayda Wescott | ||||||||
| CFO | 40.00 | Yes (X) | $202,431 | $0 | $38,595 | |||
| Lyndsy McIntyre | ||||||||
| COO/CNO | 40.00 | $227,371 | $0 | $39,953 | Yes (X) | |||
| David Muller MD | ||||||||
| Orthopedic Surgeon | 40.00 | $651,403 | $0 | $32,608 | Yes (X) | |||
| Robert Cantu MD | ||||||||
| Orthopedic Surgeon | 40.00 | $570,725 | $0 | $17,197 | Yes (X) | |||
| John Ciocchi MD | ||||||||
| General Surgeon | 40.00 | $353,842 | $0 | $32,608 | Yes (X) | |||
| Christopher Ryder MD | ||||||||
| Otolaryngologist | 40.00 | $226,867 | $0 | $42,153 | Yes (X) | |||
| Lester Peck | ||||||||
| Director of Pharmacy | 40.00 | $182,006 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,753,573 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $215,841 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 36 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Bluewater Emergency Partners | |||||
| 14 Maine Street Box 44 | Brunswick | ME | 04011 | Physicians | $3,834,772 |
| Lawrence Recruiting Spec Inc | |||||
| PO Box 850781 | Minneapolis | MN | 554850781 | Traveler Staffing Agency | $1,550,288 |
| Health Carousel LLC | |||||
| PO Box 714216 | Cincinnati | OH | 452714216 | Traveler Staffing Agency | $837,127 |
| Staffing First | |||||
| PO Box 467 | Des Moines | IA | 50302 | Traveler Staffing Agency | $803,891 |
| Weatherby Locums Inc | |||||
| PO Box 972633 | Dallas | TX | 753972633 | Physicians | $782,879 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 20 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $26,300 | FundraisingAmt |
| Government Grants | $2,635,829 | GovernmentGrantsAmt |
| All Other Contributions | $387,269 | AllOtherContributionsAmt |
| Total Contributions | $3,049,398 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Patient Service Revenue | 621110 | $127,249,384 | $127,249,384 | |
| Miscellaneous Revenue | 621110 | $3,709,618 | $3,592,975 | $116,643 |
| MSSA Revenue | 621110 | $758,449 | $758,449 | |
| Adult Daycare Revenue | 621110 | $394,673 | $394,673 | |
| Contractual Allowances | 621110 | -$75,353,011 | -$75,353,011 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $56,759,113 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,469 | TotalRevenueColumnAmt |
| Exclusion | $5,469 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $18,123 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $17,123 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,000 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,000 | TotalRevenueColumnAmt |
| Exclusion | $1,000 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $15,713 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $26,300 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $11,985 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,728 | TotalRevenueColumnAmt |
| Exclusion | $3,728 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $2,615 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $193 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,422 | TotalRevenueColumnAmt |
| Exclusion | $2,422 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $59,821,130 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $56,642,470 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $129,262 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,500 | TotalAmt |
| Program Services | $4,500 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $860,006 | TotalAmt |
| Management And General | $860,006 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,829,730 | TotalAmt |
| Program Services | $15,159,456 | ProgramServicesAmt |
| Management And General | $3,670,274 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $668,464 | TotalAmt |
| Program Services | $520,176 | ProgramServicesAmt |
| Management And General | $148,288 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,018,286 | TotalAmt |
| Program Services | $2,402,136 | ProgramServicesAmt |
| Management And General | $616,150 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,669,547 | TotalAmt |
| Program Services | $1,291,399 | ProgramServicesAmt |
| Management And General | $378,148 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,493 | TotalAmt |
| Management And General | $188,493 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,710 | TotalAmt |
| Management And General | $130,710 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,091,015 | TotalAmt |
| Program Services | $18,242,210 | ProgramServicesAmt |
| Management And General | $1,848,805 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,253 | TotalAmt |
| Program Services | $3,065 | ProgramServicesAmt |
| Management And General | $102,188 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $441,746 | TotalAmt |
| Program Services | $280,214 | ProgramServicesAmt |
| Management And General | $161,532 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,313,675 | TotalAmt |
| Program Services | $1,553,119 | ProgramServicesAmt |
| Management And General | $760,556 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,657 | TotalAmt |
| Program Services | $103,919 | ProgramServicesAmt |
| Management And General | $14,738 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,936 | TotalAmt |
| Management And General | $141,936 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,153,982 | TotalAmt |
| Program Services | $817,742 | ProgramServicesAmt |
| Management And General | $336,240 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $655,936 | TotalAmt |
| Program Services | $634,540 | ProgramServicesAmt |
| Management And General | $21,396 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $4,050,125 | $3,897,753 | $152,372 |
| Miscellaneous Expenses | $3,140,284 | $1,762,112 | $1,378,172 |
| Healthcare Provider Tax | $2,957,604 | $2,957,604 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,539,949 | TotalAmt |
| Program Services | $49,629,945 | ProgramServicesAmt |
| Management And General | $10,910,004 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,932,980 | BOYAmt |
| EOY | $11,451,431 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,008 | BOYAmt |
| EOY | $8,008 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,788,816 | BOYAmt |
| EOY | $10,158,868 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $197,626 | BOYAmt |
| EOY | $326,575 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $513,193 | BOYAmt |
| EOY | $774,281 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $43,834,935 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $34,254,506 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,060,924 | BOYAmt |
| EOY | $9,580,429 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $556,359 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,265,977 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,767,524 | BOYAmt |
| EOY | $32,855,951 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,913,025 | BOYAmt |
| EOY | $10,736,145 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,171 | BOYAmt |
| EOY | $12,499 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,324,133 | BOYAmt |
| EOY | $5,510,888 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,140,212 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,620,703 | BOYAmt |
| EOY | $6,020,657 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,074,244 | BOYAmt |
| EOY | $22,280,189 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,830,746 | BOYAmt |
| EOY | $9,421,352 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $862,534 | BOYAmt |
| EOY | $1,154,410 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,693,280 | BOYAmt |
| EOY | $10,575,762 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,767,524 | BOYAmt |
| EOY | $32,855,951 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$718,819 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $601,301 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $6,427 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $6,427 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | The Organization paid dues to Vermont Association of Hospitals and Health Systems of which a percentage of the dues were used for lobbying. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $87,157 | OtherCostOrOtherBasisAmt |
| Book Value | $87,157 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,922,183 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,181,249 | DepreciationAmt |
| Book Value | $5,740,934 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $948,319 | OtherCostOrOtherBasisAmt |
| Depreciation | $643,484 | DepreciationAmt |
| Book Value | $304,835 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,320,769 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,702,330 | DepreciationAmt |
| Book Value | $2,618,439 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,556,507 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,727,443 | DepreciationAmt |
| Book Value | $829,064 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,580,429 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Other Current Liabilities | $1,911,957 |
| Pension Liability | $1,557,961 |
| Operating Lease Liabilities | $556,359 |
| Estimated Third-Party Payor Settlements | $1,994,380 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,020,657 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $60,434,609 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $613,479 | OtherRevenueAmt |
| Revenue Not Reported | $613,479 | RevenueNotReportedAmt |
| Revenue Subtotal | $59,821,130 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $59,821,130 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $60,552,127 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $12,178 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $12,178 | ExpensesNotReportedAmt |
| Expenses Subtotal | $60,539,949 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $60,539,949 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XI, Line 2d - Other Adjustments: | Fundraising and Gaming Expenses 12,178. Change in Net Assets to Recognize Funded Status of Pension Plan 601,301. |
| Part XII, Line 2d - Other Adjustments: | Fundraising and Gaming Expenses 12,178. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Golf Tournament | Event1Nm |
| Gross Receipts Event1 | $42,013 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $26,300 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $15,713 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $2,390 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $4,600 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $3,041 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $1,954 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $42,013 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $26,300 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $15,713 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $2,390 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $4,600 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $3,041 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $1,954 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $11,985 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $3,728 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $309,308 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $309,308 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00510 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,034,592 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,275,996 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,758,596 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09510 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,343,900 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,275,996 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,067,904 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10020 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,343,900 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,275,996 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,067,904 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $0 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $16,926,218 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $17,084,979 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$158,761 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Springfield Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 2003 | AddressLine1Txt |
| City | Springfield | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05156 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.springfieldhospital.org | WebsiteAddressTxt |
| State License | 952 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | Inpatient Psychiatric Unit | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Springfield Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://springfieldhospital.org/community-health-needs-assessments/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://springfieldhospital.org/community-health-needs-assessments/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | https://springfieldhospital.org/financial-assistance/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://springfieldhospital.org/financial-assistance/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://springfieldhospital.org/financial-assistance/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Springfield Hospital, Inc. | Part V, Section B, Line 5: A steering committee was formed to conduct this assessment, review the data and recommend priorities and strategies to Springfield Hospital's Board of Directors. Assessment activities were guided by a planning committee of the Springfield Area Community Collaborative with multiple organizations and partners involved in methods design, data collection and community engagement, as well as review of the findings. Members included: Anna Smith, VP Marketing & Development, Springfield Hospital; Allison Hopkins, Southern Windsor County Planning Commission; Astrid Bradish-Hoyt, Turning Point Recovery Center; Beth Brothers, Springfield School District; Carolyn Sweet, Southeastern Vermont Community Action (SEVCA); Christian Craig, Edgar May Recreation Center; Christopher Pont, Vermont Department of Health; Joshua Dufresne, CEO, North Star Health; Kate Lamphere, Health Care and Rehabilitation Services (HCRS); Katrina Taylor, DO, Medical Director, North Star Health; Kelsea Burch, Southeastern Vermont Community Action (SEVCA); Laura Schairbaum, Greater Falls Connections; Lee Trapeni, Springfield Supportive Housing; Lynn Raymond-Empey, Valley Health Connections; Mark Boutwell, Senior Solutions; Sue Graff, Vermont Agency for Human Services; Susan White, Southern Vermont Area Health Education Center(AHEC); Tom Dougherty, MPH, North Star Health; Trish Paradis, Springfield Family Center; Jonathan Stewart, NH Community Health Institute/JSI. The process included - 1. a combination of market surveys to community residents made available on-line through email distribution, social media and website links, as well as paper copies and collection boxes placed in numerous public locations around the region;2. a direct email survey of community leaders representing multiple community sectors;3. a set of five community discussion groups convened across the region; and,4. a review of available population demographics and health status indicators including social determinants of health characteristics. Note for Public Input Information: Monthly Board meetings are also open to the public for comments and questions. |
| Springfield Hospital, Inc. | Part V, Section B, Line 6b: Springfield Medical Care Systems, Inc., dba North Star Health |
| Springfield Hospital, Inc. | Part V, Section B, Line 11: Priority needs identified are summarized on page 2 of our Community Health Needs Assessment document which is available online at https://springfieldhospital.org/community-health-needs-assessments/ or by request to the Marketing Department at Springfield Hospital 802-885-7621. In summary, priority needs include:- Cost of health care services, affordability of health insurance- Availability of primary care and specialty medical services- Availability of mental health services- Socio-economic conditions affecting health and well-being such as lack of safe and affordable housing, access to healthy foods, and affordable dependable child care.- Alcohol and drug use prevention, treatment and recovery- Affordability and availability of dental care services- Health care workforce shortageA series of Implementation Strategy documents and Progress Reports are available at https://springfieldhospital.org/community-health-needs-assessments/. These documents outline how the hospital facility is addressing the significant needs identified through the CHNA process. |
| Springfield Hospital, Inc. | Part V, Section B, Line 20e: A patient financial counselor meets with patient prior to discharge if medical condition allows. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 12 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - The Windham Center | ||||
| 1 Hospital Court 12 | Bellows Falls | VT | 05101 | Inpatient Psych Unit |
| 2 - Connecticut Valley Orthopaedics and Spor | ||||
| 29 Ridgewood Rd | Springfield | VT | 05156 | Specialty Practice |
| 3 - Surgical Associates | ||||
| 29 Ridgewood Rd | Springfield | VT | 05156 | Specialty Practice |
| 4 - Springfield Hospital Rehabilitation Serv | ||||
| 100 River Street | Springfield | VT | 05156 | Physical Therapy |
| 5 - Springfield Area Adult Day Services | ||||
| 266 River Street | Springfield | VT | 05156 | Adult Day Services |
| 6 - Connecticut Valley ENT | ||||
| 29 Ridgewood Rd | Springfield | VT | 05156 | Specialty Practice |
| 7 - Mountain View Physical Therapy | ||||
| 8 Main St | Ludlow | VT | 05149 | Physical Therapy |
| 8 - Springfield Urology | ||||
| 25 Ridgewood Rd | Springfield | VT | 05156 | Specialty Practice |
| 9 - Springfield Gynecology | ||||
| 25 Ridgewood Rd | Springfield | VT | 05156 | Specialty Practice |
| 10 - Springfield Pain Clinic | ||||
| 25 Ridgewood Rd | Springfield | VT | 05156 | Specialty Practice |
| 11 - Springfield Podiatry | ||||
| 29 Ridgewood Road | Springfield | VT | 05156 | Specialty Practice |
| 12 - Springfield Hospital Rehabilitative Svcs | ||||
| 1 Hospital Court | Bellows Falls | VT | 05151 | Physical Therapy |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part III, Line 8: | Worksheet A from the Form 990 Instructions was used to determine the amount reported on Line 6. |
| Part III, Line 9b: | Financial assistance is written off from charges before any collection efforts are made. |
| Part VI, Line 2: | In addition to the research used during the CHNA process, the hospital gathers information from its Board of Directors who are local community representatives. In addition, it works in collaboration with the Vermont Hospital Association, the State of Vermont, and OneCareVT to monitor quantifiable data that provides insights into population health status and community needs for services. We also participate in the Community Collaborative which is comprised of a number of community agencies that serve a broad array of public needs. Monthly meetings include discussion of needs, possible solutions, and workgroups are developed to address issues as needed. |
| Part VI, Line 3: | Information is provided to patients at all points of entry, posted to our website, and promoted on social media, and in print advertising. Referrals for confidential consultations are offered at reception areas, through the billing offices, and via brochures and website. |
| Part VI, Line 4: | Springfield Hospital serves the southern portions of Windsor County, VT and Sullivan County, NH, and the northern portions of Windham County, VT and Cheshire County NH. The total population of the combined service area is 62,807 residents according to the US Census Bureau (2020). Compared to Vermont or New Hampshire overall, the service area population has proportionally more senior residents. About 23% are 65+ compared to about 18% in NH and 19% in VT. A substantial range is observed for this statisti within the region with the lowest proportion of senior residents in the towns of Baltimore (15%), Langdon (16%), and Cavendish (17%). In comparison, seniors are 30% or more of the resident population in five service area towns including Chester (30%), Weston (30%), Mount Holly (30%) Grafton (33%), and Landgrove (55%). The region overall has median household income ($46,391 in Springfield) is lower than the statewide median for both Vermont and NH. The percent of people living below the federal poverty level also varies across the region from about 3% in Winhall, to 20% in Baltimore, Springfield, and Athens. |
| Part VI, Line 5: | Springfield Hospital works collaboratively with the local FQHC community health center network to provide care to all, with financial assistance offered to those in need based on a sliding fee scale. We collaborate in community population health initiatives and also coordinate care working closely with our local designated mental health agency, the local recovery center, Senior Solutions, and other local health and wellness organizations. We participate in the Community Collaborative which meets monthly to address social determinants of health and community health initiatives. We sponsor the local Fastest Kid in Town race annually, to encourage children to exercise. We help promote health education programs organized by the FQHC network and other area agencies. We also work collaboratively with Southern Vermont Area Health Education Center and offer scholarships to facilitate educational opportunities in the healthcare field. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| David Muller MD | ||||||||||||||
| Orthopedic Surgeon | $583,903 | $0 | $67,500 | $0 | $0 | $0 | $5,099 | $0 | $27,509 | $0 | $684,011 | $0 | $0 | $0 |
| Robert Cantu MD | ||||||||||||||
| Orthopedic Surgeon | $570,725 | $0 | $0 | $0 | $0 | $0 | $6,066 | $0 | $11,131 | $0 | $587,922 | $0 | $0 | $0 |
| John Ciocchi MD | ||||||||||||||
| General Surgeon | $353,842 | $0 | $0 | $0 | $0 | $0 | $5,099 | $0 | $27,509 | $0 | $386,450 | $0 | $0 | $0 |
| Robert Adcock | ||||||||||||||
| CEO/President | $338,928 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $12,727 | $0 | $351,655 | $0 | $0 | $0 |
| Christopher Ryder MD | ||||||||||||||
| Otolaryngologist | $226,867 | $0 | $0 | $0 | $0 | $0 | $4,500 | $0 | $37,653 | $0 | $269,020 | $0 | $0 | $0 |
| Lyndsy McIntyre | ||||||||||||||
| COO/CNO | $227,371 | $0 | $0 | $0 | $0 | $0 | $2,600 | $0 | $37,353 | $0 | $267,324 | $0 | $0 | $0 |
| Kayda Wescott | ||||||||||||||
| CFO | $202,431 | $0 | $0 | $0 | $0 | $0 | $1,430 | $0 | $37,165 | $0 | $241,026 | $0 | $0 | $0 |
| Lester Peck | ||||||||||||||
| Director of Pharmacy | $182,006 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $182,006 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7 | David Muller received bonus compensation in 2022 for his productivity. |
| Form 990, Part VII, line 5: | Doug Nilson, Director / ED Provider, was compensated by a third party, Bluewater Emergency Partners for services rendered to Springfield Hospital, Inc. Bluewater Emergency Partners received $3,834,772 from the filing Organization. A breakdown of compensation between Dr. Nilson and other providers is not available to filing Organization. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | The Organization has a single class of members. |
| Form 990, Part VI, Section A, line 7a | The responsibilities of the Members are limited to election of Members and election of the Board of Directors of the Hospital. |
| Form 990, Part VI, Section A, line 7b | The Bylaws may be amended at an annual, regular or special meeting of the Members by a two-thirds vote of the Members. |
| Form 990, Part VI, Section B, line 11b | Form 990 is reviewed by the Organization's Chief Financial Officer upon completion. |
| Form 990, Part VI, Section B, line 12c | Conflicts of interest are reviewed by the Corporate Compliance Officer and Chief Executive Officer on an annual basis. Members must recuse themselves from voting on issues where a conflict is actual or implied. |
| Form 990, Part VI, Section B, line 15a | CEO salary is determined by guidance from Ovation Healthcare. The board approved the final contract after negotiations. A written employment contract was part of the process. |
| Form 990, Part VI, Section C, line 19 | The Organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request. |
| Form 990, Part IX, line 11g | Purchased Services: Program service expenses 14,680,297. Management and general expenses 1,848,805. Fundraising expenses 0. Total expenses 16,529,102. Physician Fees: Program service expenses 3,561,913. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,561,913. |
| Form 990, Part X, Line 10: Land, Buildings, and Equipment | Section 1.263(a)-3(n) Election: Springfield Hospital, Inc. PO Box 2003 Springfield, VT 05156 EIN: 03-0179437 Springfield Hospital, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). |
| Form 990, Part XI, line 9: | Change in Net Assets to Recognize Funded Status of Pension Plan 601,301. |