Springfield Hospital Inc

What it reported doing in 2024

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 and Bellows Falls, VT, and an adult day care center in Springfield, VT. Springfield Hospital also operates a number of specialty practices to provide needed 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.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 37% 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 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 FY25, charges foregone for charity care, based on established rates, amounted to $2.6 million.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 2025, we donated three scholarships of more than 5,000 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, Vermont State University, St Joseph's College of Maine, and 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 co

Financial Efficiency

• Mission deployment rate: 78.6%; rating input score 79
• Program expense ratio: 82.3%; rating input score 82
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 3 of 6 controls in place; rating input score 50
  • Compensation committee: Missing
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Pass
  • Compensation survey or study: Missing
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 88.9%; rating input score 89; 36th percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Fail
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 2.3%; rating input score 44; 44th percentile among comparable filings
• Total-asset coverage ratio: 0.54; rating input score 20; 20th percentile among comparable filings
• Liabilities to assets ratio: 0.69; rating input score 23; 23rd percentile among comparable filings
• Officer compensation ratio: 5.2%; rating input score 16; 16th percentile among comparable filings

Growth

• Program expense growth: 2% per year; rating input score 100; 15th percentile among comparable filings
• Revenue growth: 1.5% per year; rating input score 100; 11th percentile among comparable filings
• Asset growth: -2.1% per year; rating input score 0; 4th percentile among comparable filings