View data for this organization below, or select additional hospitals to create a comparison view.
Compare tax-exempt hospitals
Search tax-exempt hospitals
for comparison purposes.
Springfield Hospital Inc
Springfield Hospital
25 Ridgewood RoadSpringfield, VT 05156
| Bed count | 25 | Medicare provider number | 471306 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
EIN: 030179437
Display data for year:
Community Benefit Spending- 2020
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
10.59%
Spending by Community Benefit Category- 2020
(as % of total functional expenses)
(as % of total functional expenses)
Community Benefit Spending Compared to Functional Expenses, 2010-2020
Additional data
Community Benefit Expenditures: 2020
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 53,300,753 Total amount spent on community benefits as % of operating expenses$ 5,642,857 10.59 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 333,947 0.63 %Medicaid as % of operating expenses$ 5,308,910 9.96 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 0 0 %Subsidized health services as % of operating expenses$ 0 0 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 0 0 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 0 0 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 0 Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2020
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 0 0 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2022 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 0 0 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? YES The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? Not available In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? YES
Community Health Needs Assessment Activities: 2020
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2020
This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 43924692 including grants of $ 0) (Revenue $ 51925961) Springfield Hospital (SH) is a 25-bed critical access hospital located in Springfield, VT. SH also operates The Windham Center, a comprehensive inpatient mental health program in Bellows Falls, VT; off-site physical therapy services, five hospital-owned specialty clinics (ENT, general surgery, 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 44% of Springfield Hospital net revenue coming from Medicare and Medicaid funding. Springfield Hospital has a charity care policy under which patients who meet certain criteria will receive care without charge, or at amounts less than established rates. Patients qualify for 100% charity care at up to 200% of the federal poverty guideline (FPG) and 50% assistance up to 300% of the FPG. The Hospital does not bill patients nor pursue collection of amounts determined to qualify as charity care. For FY21, charges foregone for charity care, based on established rates, amounted to $742K.Springfield Hospital operates a number of specialty practices to provide needed specialty care to health center patients. These clinics include Connecticut Valley ENT, Surgical Associates, Connecticut Valley Orthopaedics, Springfield Gynecology and Springfield Urology. In addition, SH provides an outpatient clinic serving patients needing treatment and minimizing their need to travel great distances for medical oncology or infusion services. Cardiology services are also offered on-site 6 days each month at the specialty clinic. 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. Traditionally, these programs have been offered, however they were on hold for 2021 due to COVID-19.Healthcare Scholarships: Springfield Hospital raises funds that are then donated to individuals to further their educational pursuits in healthcare careers. In FY 2021, we donated four scholarships of $2,500 in healthcare scholarships.BeSeatSmart Program: This program helps residents comply with Vermont's child passenger restraint law, while ensuring the safety of our smallest patients. During FY 2021, 21 child safety seats were provided to families in need, and a total of 28 child safety seats were installed and/or inspected by the Child Passenger Safety Technician, on site at Springfield Hospital. The safety seat checks are offered as a free community service. We estimate the value of this program to be $1,000 based on staff time to educate parents on the proper use and installation of the child safety seats and administrative assistant costs. Employee Donations For Community Causes: Throughout the year, the Hospital encourages employees to participate in and donate to fundraising events in support of various associations that address community needs, for example Hearts of Hope and the Santa Claus Club. In addition, Springfield Hospital partners with the Vermont Food Bank in offering Veggie VanGo that provides free fresh fruits and vegetables to families in need on a monthly basis. The Springfield Hospital Veggie VanGo site serves approximately 300-400 families each month.EMS Preceptor Programs: Through Springfield Hospital's Emergency Department, area EMS received education by participating in a preceptor program, allowing personnel to participate in supervised patient care.Hospital Based Support Groups: Springfield Hospital routinely provides education and support groups on a variety of topics such as Alzheimers' Caregivers. Group meetings meet monthly and are free to participants, educational in nature, and offer an opportunity for group discussion. During FY 2021, these groups were suspended for public safety precautions related to COVID-19.Meeting Rooms: Free meeting room space is offered to community groups when space is available. Groups that offer information on health or wellness are given a priority; such as Alcoholics Anonymous, Vermont Department of Health, the community health team and the community collaborative. During FY 2021, these groups were suspended for public safety precautions related to COVID-19.Training Site Partnerships: Springfield Hospital is a training site for Vermont Technical College for their Licensed Practical Nurses and several other schools for their Registered Nurses. Generally, the following participating schools have students doing practicums: University of New Hampshire, University of Vermont, Norwich University, University of Massachusetts, Smith College, Antioch New England Graduate School, River Valley College, VTC, St Joseph's College of Maine, Castleton State College. The program utilization generally requires an estimated 1,500 to 1,700 hours for clinical work, although low activity took place in 2021 due to COVID-19.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 Springfield Medical Care Systems' 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 (unfortunately cancelled in 2021 due to COVID-19) 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, Materials Management Support, Inpatient Discharge Phone Calling Support and Special Services in the Emergency Department. Volunteer numbers and time were drastically reduced in 2021 due to COVID-19. In 2020, prior to early March, Springfield Hospital had 28 volunteers and volunteered approximately 650 hours.The Windham Center: The Windham Center is a 10-bed inpatient mental health unit that provides mental health services to residents of Windham and Windsor counties and other communities. Programs provide treatment for men and women who are 18 years of age and older. Multidisciplinary teams include psychiatrists, social workers, clinicians, drug and alcohol counselors, and nurses. The Windham Center serves the general population and financial assistance is available, based on need. The Windham Center had 160 admissions in 2021.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, Marble Valley Regional Transit. Service has been temporarily reduced due to COVID-19 restrictions.
-
Facility Information
Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
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. Members included: Anna Smith, Chief of Marketing and Development, Springfield Medical Care Systems (SMCS); Laura Jensen, MPH, Program Coordinator, Lifestyle Medicine Department, SMCS; Becky Thomas, MA, MCHES, Vermont Department of Health; Steve Geller, Executive Director, Southeastern Vermont Community Action; Susan White, Health Professionals Resource Coordinator, Southern VT AHEC; Lynn Raymond-Empey, Executive Director, Valley Health Connections; Christian Craig, Executive Director, Edgar May Health & Recreation Center; Laura Schairbaum, MA, Director, Greater Falls Connections; Sue Graff, MS, Field Services Director, VT Agency of Human Services; Mark Boutwell, Director of Social Services, Senior Solutions; Sandra Knowlton Soho, MS, ACO Clinical Consultant, OneCare VT; Trisha Paradis, Executive Director, Neighborhood Connections; Cecil Beehler, MD, Chief Medical Officer, SMCS; Thomas Dougherty, MPH, Director Community Health Team; George Karabakakis, PhD, Chief Executive Officer, Healthcare & Rehabilitation Services; Stephanie Mahoney, President, Chester/Andover Family Center Board of Directors; Adam Ameele, PsyD, Director of Behavioral Health, SMCS.
Springfield Hospital, Inc. Part V, Section B, Line 6b: Springfield Medical Care Systems, Inc.
Springfield Hospital, Inc. Part V, Section B, Line 11: The process included focus groups in Springfield, Bellows Falls, Chester, Ludlow, Londonderry, VT and Charlestown, NH. A community survey was distributed and promoted through newspaper, email and social media. 551 surveys were received, 34 people participated in focus group discussions, and 43 key stakeholders provided information on patient care needs, barriers to access, and the impact of social determinants of health on health outcomes. A medical staff survey was also conducted. In person community stakeholder interviews and a review of population demographics and health status indicators were conducted. Secondary data from Community Commons and Robert Wood Johnson County Health Rankings are reported at the county level. Secondary data also includes a variety of state and national resources, including Vermont's Behavioral Risk Factor Surveillance System, the Vermont Blueprint Community Profiles, and national sources such as the National Institute of Mental Health and the Centers for Disease Control and Prevention (CDC) among others. Priority needs identified include 1) dental care/oral health; 2) Substance Use Disorder; 3) Mental Health; and, 4) Affordable Health Care. An implementation plan for each of these categories is included, along with an impact statement for our 2019 CHNA implementation strategy and progress report. Note For Public Input Info - Monthly Board meetings are open to the public for comments and questions.Please see attached Implementation Strategy and status updates through April 2021.The Hospital's CHNA & Implementation Plan can also be accessed via the Hospital's website - www.springfieldhospital.org/community-health-needs-assessment/
Springfield Hospital, Inc. Part V, Section B, Line 20e: A patient financial counselor meets with patient prior to discharge if medical condition allows.
Part V, line 7a, Hospital facility's CHNA website: https://springfieldhospital.org/community-health-needs-assessments/
Part V, line 10a, Hospital facility's Implementation Strategy website: https://springfieldhospital.org/community-health-needs-assessments/
Part V, line 16a, FAP website: https://springfieldhospital.org/financial-assistance/
Part V, line 16b, FAP Application website: https://springfieldhospital.org/financial-assistance/
Part V, line 16c, FAP Plain Language Summary website: https://springfieldhospital.org/financial-assistance/
-
Supplemental Information
Schedule H (Form 990) Part VI
Part III, Line 2: The Organization used the cost to charge ratio calculated on Worksheet 2 multiplied by bad debt expense per the Organization's audited financial statements.
Part III, Line 4: See page 7 of the attached financial statements.
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: Our planning process is participative and incorporates ongoing public input regarding community health care, hospital services, and new opportunities. Conducted on an annual basis, planning includes information from various sources as outlined below:- Public Input is invited at any time through our website, e-mail, or regular mail.- Monthly Board of Directors' meetings are open to the public.1) A community needs assessment tool is available on our website page, https://springfieldhospital.org/community-needs-assessment-your-feedback/ that provides ongoing opportunity for community feedback.2) A Community Relations Line offers an invitation to provide feedback directly to the Quality & Systems Improvement Department via phone or email. This contact information can be found on our website at https://springfieldhospital.org/patient-complaints-2019/, by calling 802-885-7299, or by e-mailing communityrelations@springfieldhospital.org.- Ongoing information is received throughout the year to help us with our quality improvement initiatives. Our patient satisfaction survey process is conducted in cooperation with N.R.C. Picker, and monitors quality and services on a monthly basis.- Outreach activity for planning and partnering with local boards, community services, and membership organizations is ongoing. This includes partnering with Vermont's Blueprint For Health, the VT Chronic Care Collaborative, the Edgar May Health & Recreation Center, emergency planning, career/education, and youth and elderly services agencies, to name a few, and provides ongoing community input.- Springfield Hospital joins the Community Health Team which meets monthly to collaborate and partner with area agencies to remove barriers and improve access and quality of care. The team now exceeds 100 participants. New members are welcomed at each meeting as word of the team spreads throughout the community. The quarterly Community Collaborative Group is an extension of this group and all members of the Community Health Team are invited to participate as often as they wish.- Our Board of Directors and Corporators provide ongoing participation through local representation. As a small community hospital, representatives interact regularly with community members and are available to answer questions or receive feedback.- Our volunteer network creates ongoing opportunities for patient interaction and community outreach activities.- Public meetings and events are held as needed throughout the year allowing our community to be directly involved in our work, and public comment and suggestions are invited.
Part VI, Line 3: Enrollment counselors are available at primary care physician practice offices, at Valley Health Connections on River Street in Springfield, VT, and at Springfield Hospital to meet privately to consult with patients about their eligibility for a variety of public programs and/or financial assistance. Information is provided through certified navigators and enrollment counselors, distributed to the community via our Community Health Team and area social service agencies, and is included in every welcome packet to new patients. It is also available via our website.
Part VI, Line 4: The Organization is a non-profit corporation directed by a dedicated Board of Directors comprised of patients and community members. The service area includes towns located in the Vermont counties of Windsor, Windham and Bennington; and New Hampshire counties of Sullivan (two towns) and Cheshire (one town). Springfield Medical Care Systems, the parent corporation to Springfield Hospital until December 31, 2020, provides and coordinates care from nine health center locations in the towns of Springfield, Ludlow, Chester, Londonderry and Rockingham, VT, and Charlestown NH. Springfield Hospital is located in Springfield, VT. The service area is rural, primarily white, and has an older, lower income population. The community includes uninsured and Medicaid patients which represents 25% of the patient population. In NH, MUPs include Alstead, Acworth, Charlestown, Langdon and Walpole. In VT, MUPs include Rockingham, Athens, Grafton and Westminster in Windham County and Ludlow, Plymouth, Weston, and Reading in Windsor County. In addition to Springfield Hospital, other area hospitals serving a portion of the service area include Brattleboro Memorial Hospital, Rutland Regional Medical Center, Mt. Ascutney Hospital, and Grace Cottage Hospital in Vermont and Valley Regional Hospital, Cheshire Medical Center, and Dartmouth-Hitchcock Medical Center in New Hampshire. Springfield Hospital maintains collaborative working relationships with each of these institutions as well as with Springfield Medical Care Systems' primary care network which provides medical, dental and vision services to the area.Median Population by Age (2010 Census source: USA.com)Windsor County: 45.8Windham County: 44.9Vermont: 41.5US: 37.2Cheshire County: 40.7Sullivan County: 43.9NH: 41.1Median Household IncomeWindsor County: $50,893Windham County: $46,714Vermont: $51,841US: $51,914Cheshire County: $48,030Sullivan County: $50,689NH: $63,277Population in PovertyWindsor County: 9.73%Windham County: 11.13%Vermont: 11.12%US: 13.82%Cheshire County: 11.8%Sullivan County: 10.04%NH: 8.29%
Part VI, Line 5: The health of our area communities and access to quality health care is served through the community health center network of the organization's former parent corporation, Springfield Medical Care Systems, which is the primary source of preventive and coordinated care in our service area. The organization is directed by a Board of Directors comprised of community members and patients. Free health screenings, education programs and support groups are offered throughout the year. Financial assistance is communicated broadly across the service area, available to all who qualify based on a sliding fee scale, and includes dental, vision and pharmacy assistance.
Part VI, Line 6: Springfield Hospital was a subsidiary of Springfield Medical Care Systems (SMCS) until its exit from Chapter 11 in December of 2020. SMCS is comprised of a network of primary care offices (federally-qualified health centers) that provide ongoing care and outreach to our local communities, employing a medical home model of care, and focusing on prevention and efficient care management in cooperation with the Chronic Care Collaborative and the Vermont Blueprint for Health. Need for specialty services is referred by SMCS' health center medical staff to Springfield Hospital and its outpatient specialty clinicians, other area hospitals, or to designated tertiary care facilities for the appropriate level of care as needed.
