STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

SPRINGFIELD HOSPITAL INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
SPRINGFIELD HOSPITAL INC (EIN 03-0179437)
Tax period
2023-10-01 to 2024-09-30
Filed
2025-08-15
IRS object ID
202532279349301863
Schema version
2023v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-08-15T09:39:12-05:00ReturnTs
Tax Period End2024-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010523282PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Berry Dunn McNeil & Parker LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12211 Congress StAddressLine1Txt
CityPortlandCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN030179437EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Springfield Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSPRIBusinessNameControlTxt
Phone8028852151PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 2003AddressLine1Txt
CitySpringfieldCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05156ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKayda WescottPersonNm
Person TitleCFOPersonTitleTxt
Phone8028852151PhoneNum
Signature2025-08-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJoseph R ByrnePreparerPersonNm
PTINP01289281PTIN
Phone2077752387PhoneNum
Preparation2025-08-14PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRobert AdcockPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 2003AddressLine1Txt
CitySpringfieldCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05156ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$64,239,539GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.springfieldhospital.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1914FormationYr
Legal Domicile StateVTLegalDomicileStateCd
Activity Or Mission25-Bed Critical Access HospitalActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee459TotalEmployeeCnt
Total Volunteers22TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,049,398PYContributionsGrantsAmt
CY Contributions Grants$515,858CYContributionsGrantsAmt
PY Program Service Revenue$56,759,113PYProgramServiceRevenueAmt
CY Program Service Revenue$63,477,734CYProgramServiceRevenueAmt
PY Investment Income$6,469PYInvestmentIncomeAmt
CY Investment Income$230,781CYInvestmentIncomeAmt
PY Other Revenue$6,150PYOtherRevenueAmt
CY Other Revenue$1,626CYOtherRevenueAmt
PY Total Revenue$59,821,130PYTotalRevenueAmt
CY Total Revenue$64,225,999CYTotalRevenueAmt
PY Grants And Similar Paid$4,500PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$25,046,033PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$25,366,153CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$35,489,416PYOtherExpensesAmt
CY Other Expenses$39,440,048CYOtherExpensesAmt
PY Total Expenses$60,539,949PYTotalExpensesAmt
CY Total Expenses$64,810,201CYTotalExpensesAmt
PY Revenues Less Expenses-$718,819PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$584,202CYRevenuesLessExpensesAmt
Total Assets BOY$32,855,951TotalAssetsBOYAmt
Total Assets EOY$36,421,061TotalAssetsEOYAmt
Total Liabilities BOY$22,280,189TotalLiabilitiesBOYAmt
Total Liabilities EOY$26,124,543TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,575,762NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,296,518NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOur 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$53,622,921ExpenseAmt
Grant$4,000GrantAmt
Revenue$63,477,734RevenueAmt
DescSpringfield 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 34% 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. Through June 30, 2024, patients qualified for 100% charity care at up to 200% of the federal poverty guideline (FPG) and 50% assistance up to 300% of the FPG. As of July 1, 2024, patients qualify for 100% charity care at up to 250% of the federal poverty guideline (FPG) and 50% assistance up to 400% of the FPG. The Hospital does not bill patients nor pursue collection of amounts determined to qualify as charity care. For FY24, charges foregone for charity care, based on established rates, amounted to $1.3 million.Springfield Hospital operates a number of specialty practices to provide needed specialty care to patients. These clinics include Connecticut Valley ENT, Surgical Associates (general surgery), Springfield Podiatry, Connecticut Valley Orthopedics, 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. 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 2024, we donated four scholarships of $4,000 in healthcare scholarships.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 Springfield Area Food Shelf, 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.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. 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 291 admissions in 2024.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 2024, Adult Day Service had 4,896 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$53,622,921TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document92IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee459EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldVTStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Kayda WescottBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8028857646PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 2003AddressLine1Txt
CitySpringfieldCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05156ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Jim Rumrill
Chairperson2.00Yes (X)Yes (X)$0$0$0
Lynn Raymond-Empey
Vice Chairperson2.00Yes (X)Yes (X)$0$0$0
John Bond
Secretary & Interim Treasurer2.00Yes (X)Yes (X)$0$0$0
Thusitha Cotter MD
Director40.00Yes (X)$244,030$0$0
Heather Frahm
Director1.00Yes (X)$0$0$0
Marty Gallagher
Director1.00Yes (X)$0$0$0
Stephen LeBlanc
Director1.00Yes (X)$0$0$0
Walter Martone
Director1.00Yes (X)$0$0$0
Doug Nilson MD
Director40.00Yes (X)$0$0$0
Gabriel St Pierre
Director1.00Yes (X)$0$0$0
Richard Root EdP ABPP
Director1.00Yes (X)$0$0$0
Robert Adcock
CEO/President40.00Yes (X)$347,016$0$15,029
Kayda Wescott
CFO40.00Yes (X)$213,676$0$45,420
David Muller MD
Physician40.00$671,733$0$38,368Yes (X)
Robert Cantu MD
Physician40.00$562,111$0$18,576Yes (X)
John Ciocchi MD
Physician40.00$370,334$0$3,810Yes (X)
Kira Balkcom MD FACOG
Physician40.00$351,433$0$42,882Yes (X)
Ian Odigie DPM
Podiatrist40.00$255,246$0$47,274Yes (X)
Lyndsy McIntyre
Former COO/CNO0.00$327,146$0$12,093Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,342,725TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$223,452TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K45IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Bluewater Emergency Partners
14 Maine Street Box 44BrunswickME04011Physicians$3,605,625
Collaborative Anesthesia
168 Bay RoadFarmingtonNH03835Anesthesia Staffing$1,061,367
American Healthcare Staffing
PO Box 670529DallasTX752670529Traveler Staffing Agency$1,003,735
Weatherby Locums Inc
PO Box 972633DallasTX753972633Physicians$940,655
Health Carousel LLC
PO Box 714216CincinnatiOH452714216Traveler Staffing Agency$752,274
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K36CntrctRcvdGreaterThan100KCnt
Fundraising$31,000FundraisingAmt
Government Grants$142,621GovernmentGrantsAmt
All Other Contributions$342,237AllOtherContributionsAmt
Total Contributions$515,858TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Patient Service Revenue621110$141,374,529$141,374,529
Miscellaneous Revenue621110$3,786,727$3,645,595$141,132
Adult Daycare Revenue621110$621,616$621,616
MSSA Revenue621110$144,024$144,024
Contractual Allowances621110-$82,449,162-$82,449,162
FieldValueIRS element (for citing)
Total Program Service Revenue$63,477,734TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$230,781TotalRevenueColumnAmt
Exclusion$230,781ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$11,292FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$31,000ContriRptFundraisingEventAmt
Fundraising Direct Expenses$12,463FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,171TotalRevenueColumnAmt
Exclusion-$1,171ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$3,874GamingGrossIncomeAmt
Gaming Direct Expenses$1,077GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,797TotalRevenueColumnAmt
Exclusion$2,797ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$64,225,999TotalRevenueColumnAmt
Related Or Exempt Func Income$63,336,602RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$373,539ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$4,000TotalAmt
Program Services$4,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$865,171TotalAmt
Program Services$244,030ProgramServicesAmt
Management And General$621,141ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$19,051,415TotalAmt
Program Services$14,873,755ProgramServicesAmt
Management And General$4,177,660ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$697,199TotalAmt
Program Services$531,912ProgramServicesAmt
Management And General$165,287ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,043,780TotalAmt
Program Services$2,362,365ProgramServicesAmt
Management And General$681,415ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,708,588TotalAmt
Program Services$1,300,861ProgramServicesAmt
Management And General$407,727ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$57,103TotalAmt
Management And General$57,103ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$153,564TotalAmt
Management And General$153,564ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$22,405,552TotalAmt
Program Services$20,757,480ProgramServicesAmt
Management And General$1,648,072ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$117,248TotalAmt
Management And General$117,248ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,253,094TotalAmt
Program Services$1,050,101ProgramServicesAmt
Management And General$202,993ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$157,822TotalAmt
Program Services$141,893ProgramServicesAmt
Management And General$15,929ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,224,163TotalAmt
Program Services$1,501,253ProgramServicesAmt
Management And General$722,910ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$99,072TotalAmt
Program Services$94,519ProgramServicesAmt
Management And General$4,553ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$215,837TotalAmt
Management And General$215,837ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,295,199TotalAmt
Program Services$876,376ProgramServicesAmt
Management And General$418,823ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$792,948TotalAmt
Program Services$729,588ProgramServicesAmt
Management And General$63,360ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$5,128,746$4,998,376$130,370
Healthcare Provider Tax$3,465,113$3,465,113
Miscellaneous Expenses$2,074,587$691,299$1,383,288

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$64,810,201TotalAmt
Program Services$53,622,921ProgramServicesAmt
Management And General$11,187,280ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$625BOYAmt
EOY$925EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$11,458,814BOYAmt
EOY$7,407,137EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,158,868BOYAmt
EOY$15,105,988EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$326,575BOYAmt
EOY$332,070EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$774,281BOYAmt
EOY$986,618EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$38,113,424LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$25,965,483LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,580,429BOYAmt
EOY$12,147,941EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$556,359BOYAmt
EOY$440,382EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$32,855,951BOYAmt
EOY$36,421,061EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,736,145BOYAmt
EOY$12,342,070EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$12,499BOYAmt
EOY$12,499EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,510,888BOYAmt
EOY$6,874,733EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,020,657BOYAmt
EOY$6,895,241EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,280,189BOYAmt
EOY$26,124,543EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,421,352BOYAmt
EOY$9,348,234EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,154,410BOYAmt
EOY$948,284EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,575,762BOYAmt
EOY$10,296,518EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$32,855,951BOYAmt
EOY$36,421,061EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$584,202ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$304,958OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$7,857OtherActivitiesAmt
Total Lobbying Expenditures$7,857TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationThe 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

FieldValueIRS element (for citing)
Other Cost Or Other Basis$87,157OtherCostOrOtherBasisAmt
Book Value$87,157BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,914,593OtherCostOrOtherBasisAmt
Depreciation$8,827,998DepreciationAmt
Book Value$6,086,595BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$807,867OtherCostOrOtherBasisAmt
Depreciation$514,213DepreciationAmt
Book Value$293,654BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,974,427OtherCostOrOtherBasisAmt
Depreciation$14,980,976DepreciationAmt
Book Value$4,993,451BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,329,380OtherCostOrOtherBasisAmt
Depreciation$1,642,296DepreciationAmt
Book Value$687,084BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$12,147,941TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Other Current Liabilities$3,360,368
Pension Liability$1,219,490
Operating Lease Liabilities$440,382
Estimated Third-Party Payor Settlements$1,875,001
FieldValueIRS element (for citing)
Total Liability$6,895,241TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$64,544,497TotalRevEtcAuditedFinclStmtAmt
Other Revenue$318,498OtherRevenueAmt
Revenue Not Reported$318,498RevenueNotReportedAmt
Revenue Subtotal$64,225,999RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$64,225,999TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$64,823,741TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$13,540OtherExpensesIncludedAmt
Expenses Not Reported$13,540ExpensesNotReportedAmt
Expenses Subtotal$64,810,201ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$64,810,201TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part XI, Line 2d - Other Adjustments:Fundraising and Gaming Expenses 13,540. Change in Net Assets to Recognize Funded Status of Pension Plan 304,958.
Part XII, Line 2d - Other Adjustments:Fundraising and Gaming Expenses 13,540.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Golf TournamentEvent1Nm
Gross Receipts Event1$42,292GrossReceiptsEvent1Amt
Charitable Contri Event1$31,000CharitableContriEvent1Amt
Gross Revenue Event1$11,292GrossRevenueEvent1Amt
Non Cash Prizes Event1$3,712NonCashPrizesEvent1Amt
Rent Facility Costs Event1$5,500RentFacilityCostsEvent1Amt
Food And Beverage Event1$3,251FoodAndBeverageEvent1Amt
Gross Receipts Total$42,292GrossReceiptsTotalAmt
Charitable Contributions Tot$31,000CharitableContributionsTotAmt
Gross Revenue Total Events$11,292GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$3,712NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$5,500RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$3,251FoodAndBeverageTotalEventsAmt
Direct Expense Summary Events$12,463DirectExpenseSummaryEventsAmt
Net Income Summary-$1,171NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$516,962TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$516,962NetCommunityBenefitExpnsAmt
Total Expense0.00800TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,329,926TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,323,150DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,006,776NetCommunityBenefitExpnsAmt
Total Expense0.10810TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,846,888TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,323,150DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,523,738NetCommunityBenefitExpnsAmt
Total Expense0.11610TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,846,888TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,323,150DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,523,738NetCommunityBenefitExpnsAmt
Total Expense0.11610TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$0BadDebtExpenseAmt
Reimbursed By Medicare$16,035,812ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$16,516,439CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$480,627MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Springfield HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 2003AddressLine1Txt
CitySpringfieldCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05156ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.springfieldhospital.orgWebsiteAddressTxt
State License970StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherInpatient Psychiatric UnitOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Springfield Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://springfieldhospital.org/community-health-needs-assessments/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLhttps://springfieldhospital.org/community-health-needs-assessments/StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://springfieldhospital.org/financial-assistance/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://springfieldhospital.org/financial-assistance/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://springfieldhospital.org/financial-assistance/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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.
FieldValueIRS element (for citing)
Facility12FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - The Windham Center
1 Hospital Court 12Bellows FallsVT05101Inpatient Psych Unit
2 - Connecticut Valley Orthopaedics and Spor
29 Ridgewood RdSpringfieldVT05156Specialty Practice
3 - Surgical Associates
29 Ridgewood RdSpringfieldVT05156Specialty Practice
4 - Springfield Hospital Rehabilitation Serv
100 River StreetSpringfieldVT05156Physical Therapy
5 - Springfield Area Adult Day Services
266 River StreetSpringfieldVT05156Adult Day Services
6 - Connecticut Valley ENT
29 Ridgewood RdSpringfieldVT05156Specialty Practice
7 - Mountain View Physical Therapy
8 Main StLudlowVT05149Physical Therapy
8 - Springfield Urology
25 Ridgewood RdSpringfieldVT05156Specialty Practice
9 - Springfield Gynecology
25 Ridgewood RdSpringfieldVT05156Specialty Practice
10 - Springfield Pain Clinic
25 Ridgewood RdSpringfieldVT05156Specialty Practice
11 - Springfield Podiatry
29 Ridgewood RoadSpringfieldVT05156Specialty Practice
12 - Springfield Hospital Rehabilitative Svcs
1 Hospital CourtBellows FallsVT05151Physical Therapy

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract ExceptionYes (1)InitialContractExceptionInd
Rebuttable Presumption ProcYes (1)RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
David Muller MD
Physician$596,733$0$75,000$0$0$0$5,831$0$32,537$0$710,101$0$0$0
Robert Cantu MD
Physician$562,111$0$0$0$0$0$6,428$0$12,148$0$580,687$0$0$0
Kira Balkcom MD FACOG
Physician$338,933$0$12,500$0$0$0$6,582$0$36,300$0$394,315$0$0$0
John Ciocchi MD
Physician$370,334$0$0$0$0$0$0$0$3,810$0$374,144$0$0$0
Robert Adcock
CEO/President$347,016$0$0$0$0$0$0$0$15,029$0$362,045$0$0$0
Lyndsy McIntyre
Former COO/CNO$142,146$0$0$0$185,000$0$1,862$0$10,231$0$339,239$0$0$0
Ian Odigie DPM
Podiatrist$255,246$0$0$0$0$0$0$0$47,274$0$302,520$0$0$0
Kayda Wescott
CFO$213,676$0$0$0$0$0$1,430$0$43,990$0$259,096$0$0$0
Thusitha Cotter MD
Director$244,030$0$0$0$0$0$0$0$0$0$244,030$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 4aLyndsy McIntyre, Former COO/CNO received severance payment of $125,000 during 2023.
Part I, Line 7David Muller received bonus compensation in 2023 based on productivity.
Part I, Line 8Kira Balkcom received an initial sign-on bonus in 2023 as part of her employment agreement.
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 $3,605,625 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6The Organization has a single class of members.
Form 990, Part VI, Section A, line 7aThe 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 7bThe 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 11bForm 990 is reviewed by the Organization's Chief Financial Officer upon completion.
Form 990, Part VI, Section B, line 12cConflicts 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 15CEO 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. CFO salary is determined in part by conducting a compensation analysis and is discussed and reviewed at the Board level.
Form 990, Part VI, Section C, line 19The Organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.
Form 990, Part IX, line 11gPurchased Services: Program service expenses 16,509,354. Management and general expenses 1,648,072. Fundraising expenses 0. Total expenses 18,157,426. Physician Fees: Program service expenses 4,248,126. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,248,126.
Form 990, Part X, Line 10: Land, Buildings, and EquipmentSection 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 304,958.