2019-08-15T13:21:35-05:00 2018-09-30 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2017-10-01 030284813 Springfield Medical Care Systems Inc SPRI 8028857344 PO Box 2003 Springfield VT 05156 Thomas Marshall Interim CFO 8028857344 2019-08-15 1 Barbara J McGuan CPA P00219457 2077752387 2019-08-15 69.49.157.66 2019-08-15 11:04:57 ED P E7B858A5D43A1C12EA56452E98FB06825C34A804 32BC52385E097AD1B92E63E6016D3C1011811B46 2017 2019-02-21 02:37:17Z Joshua Dufresne PO Box 2003 Springfield VT 05156 29367502 0 X www.springfieldmed.org X 1982 VT Federally Qualified Health Care network providing medical, behavioral health, dental & pharmacy services 11 11 368 11 0 0 5310020 5520664 22366439 23762502 -227762 0 84336 84336 27533033 29367502 0 0 0 0 19452106 20776061 0 0 104657 8645653 9348846 28097759 30124907 -564726 -757405 18174525 18161813 11727439 12472132 6447086 5689681 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, (Continued on Schedule O) 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. 0 0 25325098 23762502 Springfield Medical Care Systems (SMCS) operates a nine-site, federally-qualified health center network. These offices provide access for primary and preventive health care to the general population, and make financial assistance and charity care available to all based on a sliding fee scale. Services include primary and preventive health care for people of all ages, pediatrics, health screenings, behavioral health programs, dental care, vision care, and a 340B discount pharmacy program. SMCS operates Ludlow Dental Center in Ludlow, VT, and Chester Family Dental in Chester, VT. Through its integrated care model, SMCS also offers diagnostic lab, radiology, and a full array of acute hospital and specialty services to its patients through Springfield Hospital, a subsidiary, and other referral sources and partnership arrangements.Primary Care Services - Our primary care network provides ongoing care and outreach to our service area, utilizing a medical home model of care and focusing on prevention and efficient care management. We work closely with the Quality Improvement Collaborative and the Vermont Blueprint for Health to develop and implement strategies for improving overall population health outcomes. Primary care offices, specialty clinics, the local hospital, and appropriate referral sources for specialists and tertiary care when needed, are utilized to provide the best possible outcomes. Our goal is to deliver the highest quality care, i.e. appropriate care provided in the appropriate setting, with the end result being improved health outcomes, high patient satisfaction, and improved cost efficiency. A Community Health Team holds monthly public meetings to collaborate and partner with area agencies to remove barriers and improve access to care. The team now exceeds more than 45 organizations and communicates regularly with 185 individual participants. New members are welcomed at each meeting as word of the team spreads throughout the community. The Team serves as a central community contact point (similar to a hub and spoke model) to facilitate communications, networking and collaboration among all area services.Through the employment of primary care physicians and allied health professionals in Charlestown, NH; Ludlow, VT; Bellows Falls, VT; Londonderry, VT; and Springfield, VT, SMCS provides access to high quality medical care with emphasis on prevention and wellness in these communities. Due to the tenuous economics of rural primary care practices, this physician availability would not exist without SMCS support. The Ludlow area has been designated by the State of Vermont as a Health Professional Shortage Area. The state and federal governments have designated the Bellows Falls, VT and Charlestown, NH areas as serving a medically-underserved population. These health centers serve an inordinately high Medicare and Medicaid caseload. During FY 2018, SMCS served a total of 29,632 patients and provided 123,151 visits. Behavioral HealthSMCS has a comprehensive outpatient Mental Health/ Substance abuse program and provides outpatient behavioral health counseling and collaborates with The Windham Center -- the inpatient psychiatric unit operated by its subsidiary, Springfield Hospital. With early adoption of Healthy People 2010 and NCQI Medical Home guidelines, SMCS aggressively integrated behavioral health counseling with primary care medical care by virtue of the on-site stationing of behavioral health at its primary care (FQHC) sites. SMCS practitioners coordinate care with Springfield Hospital inpatient services and, to an even greater extent, work with Springfield Hospital emergency department to assist in managing patients that present with mental health related diagnosis. During the FY 2018, SMCS served 2,594 mental health patients and provided 16,165 visits.Dental Care - SMCS' Ludlow and Chester offices serve a growing need for dental services throughout the SMCS primary care service area. Patients from all offices can be referred to the Dental Centers for care, and a financial assistance program is available for those needing assistance, based on a sliding fee scale. The two locations served 3,234 patients in FY 2018 and provided 7,422 visits. Vision - SMCS offers vision services through Lane Eye Associates in Springfield, VT and offers comprehensive eye care services including ophthalmology and optometry. In 2018, Lane served 3,446 patients and provided 5,607 visits.Plastic, Cosmetic & Reconstructive Surgery - Skin Cancer ClinicSMCS offers plastic, reconstructive and cosmetic surgery services, including skin cancer screening, through the office of Gerald A. Drabyn, MD. In the 2018 fiscal year, which ended September 30, 2018, Dr. Drabyn saw patients at Springfield and Londonderry health center locations and provided care to 609 patients with 1,129 visits.Pharmacy Program - SMCS operates a 340B pharmacy charity program that helps expand access to affordable medications. Eligible patients can obtain their prescriptions at little to no cost. This program operates in partnership with five local pharmacies in Vermont: Bellows Falls, Springfield, and Ludlow, ands well as two pharmacies in Claremont, NH. Financial assistance for this program totaled approximately $30K.Charity Care Policy - SMCS 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 50% charity care at up to 200% of the federal poverty guideline. SMCS does not bill patients nor pursue collection of amounts determined to qualify as charity care. In the fiscal year, which ended on September 30, 2018, charges foregone for charity care, based on established rates, amounted to approximately $215K.Springfield UrologyThrough a contract with Dartmouth-Hitchcock Medical Center, SMCS offers urology services at Springfield Urology, 29 Ridgewood Road, Springfield, VT. This service offers patients a local option for needed care and patients from all offices can be referred to this location. In 2018, this office provided 1,649 patient visits. Eligibility Assistance and Enrollment Counseling ServicesValley Health Connections (a 501(c)3 non-profit organization), provides SMCS patients certified enrollment assistance and consults to help remove barriers and facilitate access to health care for uninsured and under-insured people. VHC reports many people need guidance to navigate insurance enrollment processes and even through insured, care remains difficult to afford for many Vermonters (5,564 assists). These services include enrollment assistance for preventive health care, health education and screenings, referrals to providers for ongoing health care through a medical/dental home, and assistance with enrollment in State and local programs that help pay for health care, medication, dental, and other public programs. Consults are also provided for SMCS New Hampshire residents who need assistance accessing NH services. During the year, Valley Health Connections provided assistance to 1,557 patients.Child Day Care Services - SMCS operates two child day care services, with sites located in Springfield and Bellows Falls, VT. The Bellows Falls program serves children ages six weeks to six years and the Springfield program serves children six weeks to five years. Access to safe and educational day care is a vital component to a healthy community. SMCS provides this service to the general population, and financial assistance is available to those in need based on a sliding fee scale. During fiscal year 2018, SMCS provided care to 19 children in Bellows Falls and 28 children in Springfield at a subsidy of $36K.Subsidiary - SMCS is the parent corporation of Springfield Hospital. Springfield Hospital is a 25-bed critical access hospital located in Springfield, VT. Springfield Hospital also operates The Windham Center, a comprehensive inpatient psychiatric care hospital in Bellows Falls, VT; off-site physical therapy services, three hospital-owned specialty clinics: ENT, surgery, orthopaedics, and an adult day care center in Springfield, VT. 25325098 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 57 0 1 368 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 VT X Thomas Marshall 8028857344 PO Box 2003 Springfield VT 05156 Bob Flint Director 1.00 X 0 0 0 Carole Lechthaler Director 1.00 X 0 0 0 George Lamb Chairperson 2.00 1.00 X X 0 0 0 Jim Rumrill Director/ Past Vice Chairperson 1.00 2.00 X 0 0 0 Nathan Cobb Director 2.00 2.00 X 0 0 0 Paul Kendall Director 1.00 X 0 0 0 Richard Dexter III Treasurer 2.00 X X 0 0 0 Sarah Vail Vice Chairperson/ Past Secretary 2.00 1.00 X X 0 0 0 Stephen Geller Director 1.00 X 0 0 0 Stephen Lyon Secretary 1.00 2.00 X X 0 0 0 Willie Pelton Director 1.00 X 0 0 0 Cecil Beehler MD Chief Medical Officer 40.00 1.00 X 360574 0 14842 Scott Whittemore CFO 10.00 30.00 X 226419 0 9193 Timothy Ford CEO/President 10.00 30.00 X 350572 0 17901 Barbara Dalton MD Family Medicine MD 40.00 X 285629 0 15358 Daniel Caloras Physician 40.00 X 248261 0 23315 Michael Ritondo OB/GYN 40.00 X 365634 0 15205 Richard Summermatter OB/GYN 40.00 1.00 X 252305 0 12230 Theodore Miller Psychiatrist 36.00 X 251971 0 21850 2341365 0 129894 42 0 1 0 HP Cummings Construction Co PO Box 269 Woodsville NH 037850269 Construction 2146339 Emergency Services of NE PO Box 12 Chester VT 05143 Physician Services 670884 Dartmouth Hitchcock 1 Medical Center Drive Lebanon NH 03756 Physician Services 372132 Barton Associates PO Box 417844 Boston MA 022417844 Physician Services 229790 Michaud's Cleaning Service LLC 70 Windy Acres Charlestown NH 03603 Cleaning Services 204500 8 1697253 3180889 642522 5520664 Patient Service Revenue 621110 28875384 28875384 340B Pharmacy Revenue & Other 621110 3840235 3840235 Miscellaneous Revenue 624410 967338 967338 Provision for Bad Debts 621110 -1004708 -1004708 Contractual Allowances 621110 -8915747 -8915747 23762502 84336 0 84336 84336 84336 29367502 23762502 0 84336 X 979501 979501 16528846 15155942 1322725 50179 208186 167683 39186 1317 1897011 1455547 430029 11435 1162517 878862 276751 6904 54098 54098 30917 30917 4226373 3558869 663360 4144 43450 42955 495 469534 408242 44177 17115 831597 806416 25181 55508 15773 36974 2761 198857 198857 853317 835808 17509 162164 125688 36476 Medical Supplies 1198123 1050955 147168 Other Expenses 439997 224663 207749 7585 Outside Training 216693 98186 117826 681 Taxes & Licenses 164551 83777 80774 403667 259830 141796 2041 30124907 25325098 4695152 104657 X 416395 309777 1325576 1027137 1711283 2619594 314588 280936 17642496 5714127 12690674 11928369 124535 40000 1591474 1956000 18174525 18161813 4717693 5815382 1499637 1593363 3996013 3744563 1514096 1318824 11727439 12472132 X 6447086 5689681 6447086 5689681 18174525 18161813 -757405 0 X 0 1 X 1 1 1 X Schedule A, Part I, Line 3 The Organization's tax exemption is based upon the classification of a hospital or cooperative hospital service organization described in section 170(b)(1)(A)(iii). Since the organization is not licensed by the State of Vermont as a hospital, Schedule H is not required. 0 0 0 0 0 0 0 0 1 2665 2665 0 Part II-B, Line 1: The Organization paid dues to organizations of which a percentage of the dues were used for lobbying. The Organization paid dues to the National Rural Health Association and the Bi-State Primary Care Association. 96301 155159 251460 6964567 2036186 4928381 6686970 1827275 4859695 3599257 1835803 1763454 140242 14863 125379 11928369 Estimated Third Party Payor Settlements 754886 Due from Other Parties 642106 Cash Surrender Value of Life Insurance 153069 Deferred Compensation 405939 1956000 Deposits in Transit 4488 Other -4774 Remediation Liability 800231 Deferred Compensation 405939 Participant Distribution 112940 1318824 29367502 0 29367502 0 29367502 30124907 0 30124907 0 30124907 X X X X X 0 0 0 0 0 0 0 0 0 Cecil Beehler MD Chief Medical Officer 360574 0 0 0 0 0 5545 0 9297 0 375416 0 0 0 Scott Whittemore CFO 224809 0 0 0 1610 0 4489 0 4704 0 235612 0 0 0 Timothy Ford CEO/President 350572 0 0 0 0 0 3583 0 14318 0 368473 0 0 0 Barbara Dalton MD Family Medicine MD 285629 0 0 0 0 0 4941 0 10417 0 300987 0 0 0 Daniel Caloras Physician 248261 0 0 0 0 0 0 0 23315 0 271576 0 0 0 Michael Ritondo OB/GYN 365634 0 0 0 0 0 5240 0 9965 0 380839 0 0 0 Richard Summermatter OB/GYN 252305 0 0 0 0 0 5124 0 7106 0 264535 0 0 0 Theodore Miller Psychiatrist 251971 0 0 0 0 0 5182 0 16668 0 273821 0 0 0 Form 990, Part VI, Section B, line 11b Form 990 is reviewed by the organization's Chief Financial Officer and Director of Finance 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 The Organization has a compensation committee which uses an independent compensation consultant who performs a market analysis on similar health care providers with similar revenue in order to establish the base salary of the CEO. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available upon request. Form 990, Part IX, line 11g Purchased Services: Program service expenses 645,839. Management and general expenses 309,926. Fundraising expenses 2,456. Total expenses 958,221. Locum Expense: Program service expenses 2,555,174. Management and general expenses 3,048. Fundraising expenses 0. Total expenses 2,558,222. Consulting Services: Program service expenses 0. Management and general expenses 11,940. Fundraising expenses 0. Total expenses 11,940. Contracted Services: Program service expenses 357,856. Management and general expenses 338,446. Fundraising expenses 1,688. Total expenses 697,990. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Springfield Medical Care Systems, Inc. PO Box 2003 Springfield, VT 05156 EIN: 03-0284813 Springfield Medical Care Systems, Inc. is electing to capitalize and repair maintenance costs under Regulation Section 1.263(a)-3(n). Springfield Hospital Inc PO Box 2003 Springfield VT 05156 030179437 Hospital inpatient and outpatient care VT 501(c)(3) Line 3 Springfield Medical Care Systems Inc 1 1 0 1 0 0 0 0 0 0 1 0 1 0 0 1 0 0 0 1 Springfield Hospital Inc A 72336 FMV Springfield Hospital Inc C 1697253 FMV Springfield Hospital Inc J 39726 FMV Springfield Hospital Inc L 188400 FMV Springfield Hospital Inc O 135499 FMV Springfield Hospital Inc S 510000 FMV