Springfield Hospital Inc.

“The Organization has corporators.”

“The Organization has corporators who elect board members.”

“The corporators approve the selection of the Organization's auditors and approve by-law changes.”

“Form 990 is reviewed by the Organization's Chief Financial Officer and Director of Finance upon completion.”

“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.”

“The parent 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.”

“The Organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.”

“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, The Current, at a FY 2018 cost of approximately $20,000. Annually, approximately 91 participants and see total participant visits of 8,308 annually throughout the region are served by the Springfield Area Adult Day Service.”

“Collection Services: Program service expenses 0. Management and general expenses 85,151. Fundraising expenses 0. Total expenses 85,151. Purchased Services: Program service expenses 2,528,591. Management and general expenses 583,124. Fundraising expenses 0. Total expenses 3,111,715. Contracted Services: Program service expenses 5,161,076. Management and general expenses 712,021. Fundraising expenses 0. Total expenses 5,873,097. Locum Expense: Program service expenses 1,335,602. Management and general expenses 985,704. Fundraising expenses 0. Total expenses 2,321,306. Consulting Services: Program service expenses 0. Management and general expenses 76,005. Fundraising expenses 0. Total expenses 76,005.”

“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).”

“Change in Net Assets to Recognize Funded Status of Pension Plan 889,811.”