2025-08-15T09:39:12-05:00 2024-09-30 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2023-10-01 030179437 Springfield Hospital Inc SPRI 8028852151 PO Box 2003 Springfield VT 05156 Kayda Wescott CFO 8028852151 2025-08-14 1 1 Joseph R Byrne P01289281 2077752387 2025-08-14 2023 2025-03-06 01:10:19Z Robert Adcock PO Box 2003 Springfield VT 05156 64239539 0 X www.springfieldhospital.org X 1914 VT 25-Bed Critical Access Hospital 11 9 459 22 0 0 3049398 515858 56759113 63477734 6469 230781 6150 1626 59821130 64225999 4500 4000 0 0 25046033 25366153 0 0 0 35489416 39440048 60539949 64810201 -718819 -584202 32855951 36421061 22280189 26124543 10575762 10296518 X 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. 0 0 53622921 4000 63477734 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 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. 53622921 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 92 0 1 459 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 11 9 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 VT X Kayda Wescott 8028857646 PO Box 2003 Springfield VT 05156 Jim Rumrill Chairperson 2.00 X X 0 0 0 Lynn Raymond-Empey Vice Chairperson 2.00 X X 0 0 0 John Bond Secretary & Interim Treasurer 2.00 X X 0 0 0 Thusitha Cotter MD Director 40.00 X 244030 0 0 Heather Frahm Director 1.00 X 0 0 0 Marty Gallagher Director 1.00 X 0 0 0 Stephen LeBlanc Director 1.00 X 0 0 0 Walter Martone Director 1.00 X 0 0 0 Doug Nilson MD Director 40.00 X 0 0 0 Gabriel St Pierre Director 1.00 X 0 0 0 Richard Root EdP ABPP Director 1.00 X 0 0 0 Robert Adcock CEO/President 40.00 X 347016 0 15029 Kayda Wescott CFO 40.00 X 213676 0 45420 David Muller MD Physician 40.00 X 671733 0 38368 Robert Cantu MD Physician 40.00 X 562111 0 18576 John Ciocchi MD Physician 40.00 X 370334 0 3810 Kira Balkcom MD FACOG Physician 40.00 X 351433 0 42882 Ian Odigie DPM Podiatrist 40.00 X 255246 0 47274 Lyndsy McIntyre Former COO/CNO 0.00 X 327146 0 12093 3342725 0 223452 45 1 1 1 Bluewater Emergency Partners 14 Maine Street Box 44 Brunswick ME 04011 Physicians 3605625 Collaborative Anesthesia 168 Bay Road Farmington NH 03835 Anesthesia Staffing 1061367 American Healthcare Staffing PO Box 670529 Dallas TX 752670529 Traveler Staffing Agency 1003735 Weatherby Locums Inc PO Box 972633 Dallas TX 753972633 Physicians 940655 Health Carousel LLC PO Box 714216 Cincinnati OH 452714216 Traveler Staffing Agency 752274 36 31000 142621 342237 515858 Patient Service Revenue 621110 141374529 141374529 Miscellaneous Revenue 621110 3786727 3645595 141132 Adult Daycare Revenue 621110 621616 621616 MSSA Revenue 621110 144024 144024 Contractual Allowances 621110 -82449162 -82449162 63477734 230781 230781 11292 31000 12463 -1171 -1171 3874 1077 2797 2797 64225999 63336602 0 373539 X 4000 4000 865171 244030 621141 19051415 14873755 4177660 697199 531912 165287 3043780 2362365 681415 1708588 1300861 407727 57103 57103 153564 153564 22405552 20757480 1648072 117248 117248 1253094 1050101 202993 157822 141893 15929 2224163 1501253 722910 99072 94519 4553 215837 215837 1295199 876376 418823 792948 729588 63360 Medical Supplies 5128746 4998376 130370 Healthcare Provider Tax 3465113 3465113 Miscellaneous Expenses 2074587 691299 1383288 64810201 53622921 11187280 0 X 625 925 11458814 7407137 10158868 15105988 326575 332070 774281 986618 38113424 25965483 9580429 12147941 556359 440382 32855951 36421061 10736145 12342070 12499 12499 5510888 6874733 6020657 6895241 22280189 26124543 X 9421352 9348234 1154410 948284 10575762 10296518 32855951 36421061 X -584202 304958 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 7857 7857 0 Part II-B, Line 1: The Organization paid dues to Vermont Association of Hospitals and Health Systems of which a percentage of the dues were used for lobbying. 87157 87157 14914593 8827998 6086595 807867 514213 293654 19974427 14980976 4993451 2329380 1642296 687084 12147941 Other Current Liabilities 3360368 Pension Liability 1219490 Operating Lease Liabilities 440382 Estimated Third-Party Payor Settlements 1875001 6895241 64544497 318498 318498 64225999 0 64225999 64823741 13540 13540 64810201 0 64810201 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. Golf Tournament 42292 31000 11292 3712 5500 3251 42292 31000 11292 3712 5500 3251 12463 -1171 1 1 X 1 X 250.000000000000 1 X 1 1 0 0 516962 516962 0.00800 14329926 7323150 7006776 0.10810 14846888 7323150 7523738 0.11610 14846888 7323150 7523738 0.11610 1 0 16035812 16516439 -480627 X 1 1 1 1 Springfield Hospital PO Box 2003 Springfield VT 05156 www.springfieldhospital.org 970 X X X X Inpatient Psychiatric Unit Springfield Hospital Inc 1 0 0 1 X X X X X X X X X 21 1 0 1 1 X https://springfieldhospital.org/community-health-needs-assessments/ X 1 22 1 https://springfieldhospital.org/community-health-needs-assessments/ 0 1 X 250.000000000000 400.000000000000 X X X 1 1 X X X X 1 X https://springfieldhospital.org/financial-assistance/ X https://springfieldhospital.org/financial-assistance/ X https://springfieldhospital.org/financial-assistance/ X X X X X 1 X 0 X 1 X 0 0 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. 12 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 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. X X X 1 0 0 0 0 0 0 1 1 1 David Muller MD Physician 596733 0 75000 0 0 0 5831 0 32537 0 710101 0 0 0 Robert Cantu MD Physician 562111 0 0 0 0 0 6428 0 12148 0 580687 0 0 0 Kira Balkcom MD FACOG Physician 338933 0 12500 0 0 0 6582 0 36300 0 394315 0 0 0 John Ciocchi MD Physician 370334 0 0 0 0 0 0 0 3810 0 374144 0 0 0 Robert Adcock CEO/President 347016 0 0 0 0 0 0 0 15029 0 362045 0 0 0 Lyndsy McIntyre Former COO/CNO 142146 0 0 0 185000 0 1862 0 10231 0 339239 0 0 0 Ian Odigie DPM Podiatrist 255246 0 0 0 0 0 0 0 47274 0 302520 0 0 0 Kayda Wescott CFO 213676 0 0 0 0 0 1430 0 43990 0 259096 0 0 0 Thusitha Cotter MD Director 244030 0 0 0 0 0 0 0 0 0 244030 0 0 0 Part I, Line 4a Lyndsy McIntyre, Former COO/CNO received severance payment of $125,000 during 2023. Part I, Line 7 David Muller received bonus compensation in 2023 based on productivity. Part I, Line 8 Kira 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. 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 15 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. 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 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 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 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 304,958.