Civic Intelligence

Springfield Medical Care Systems Inc.

990 • Fiscal year 2012 • EIN 03-0284813

Oct 01, 2011 to Sep 30, 2012 • Filed on Aug 12, 2013

Organization Profilewww.springfieldmed.org

View Organization Page

25 Ridgewood Road05156
Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

75th percentile

0.59x

Higher debt load relative to assets than 75% of similar nonprofits.

2012 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2012

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2012

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2012

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2012

Asset Growth

32nd percentile

-1.6%

Faster asset growth than 32% of similar nonprofits.

2012 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2011 to 2012

Revenue Growth

Score unavailable

No value available

No valid filing value is available for this score.

Balance Sheet
Liabilities / Assets75th percentile

Assets

Down

$17,997,768

Down $298,932 (-1.6%) from 2011

Net Assets

Down

$7,397,053

Down $376,520 (-4.8%) from 2011

Liabilities

Up

$10,600,715

Up $77,588 (+0.7%) from 2011

Revenue And Expenses
Liabilities / RevenueScore unavailableNet MarginScore unavailable

Revenue

-

No earlier filing loaded for comparison.

Expenses

Up

$17,120,796

Up $1,282,199 (+8.1%) from 2011

Net Income

-

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset Growth32nd percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$30M$20M$10M$0Assets 2010: $12,892,723Liabilities 2010: $4,805,888Net Assets 2010: $8,086,8352010Assets 2011: $18,296,700Liabilities 2011: $10,523,127Net Assets 2011: $7,773,5732011Assets 2012: $17,997,768Liabilities 2012: $10,600,715Net Assets 2012: $7,397,0532012Assets 2013: $17,424,510Liabilities 2013: $14,106,544Net Assets 2013: $3,317,9662013Assets 2014: $14,513,894Liabilities 2014: $8,917,404Net Assets 2014: $5,596,4902014Assets 2015: $14,840,548Liabilities 2015: $9,072,783Net Assets 2015: $5,767,7652015Assets 2016: $17,562,541Liabilities 2016: $10,550,729Net Assets 2016: $7,011,8122016Assets 2017: $18,174,525Liabilities 2017: $11,727,439Net Assets 2017: $6,447,0862017Assets 2018: $18,161,813Liabilities 2018: $12,472,132Net Assets 2018: $5,689,6812018Assets 2019: $18,750,973Liabilities 2019: $10,006,957Net Assets 2019: $8,744,0162019Assets 2020: $19,552,380Liabilities 2020: $10,862,124Net Assets 2020: $8,690,2562020Assets 2021: $19,479,475Liabilities 2021: $5,139,212Net Assets 2021: $14,340,2632021Assets 2022: $19,683,914Liabilities 2022: $5,498,847Net Assets 2022: $14,185,0672022Assets 2023: $20,255,792Liabilities 2023: $7,497,206Net Assets 2023: $12,758,5862023Assets 2024: $17,624,549Liabilities 2024: $8,158,859Net Assets 2024: $9,465,6902024

Highlighted filing

2012

Assets$17,997,768
Liabilities$10,600,715
Net Assets$7,397,053
Open 2012 Filing

Operations Trend

Revenue GrowthScore unavailable

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$40M$30M$20M$10M$0-$10MExpenses 2010: $14,193,8822010Revenue 2011: $15,832,671Expenses 2011: $15,838,597Net Income 2011: -$5,9262011Expenses 2012: $17,120,7962012Revenue 2013: $16,049,506Expenses 2013: $19,148,742Net Income 2013: -$3,099,2362013Revenue 2014: $23,154,350Expenses 2014: $20,577,633Net Income 2014: $2,576,7172014Revenue 2015: $21,859,341Expenses 2015: $21,688,066Net Income 2015: $171,2752015Revenue 2016: $25,835,714Expenses 2016: $24,591,667Net Income 2016: $1,244,0472016Revenue 2017: $27,533,033Expenses 2017: $28,097,759Net Income 2017: -$564,7262017Revenue 2018: $29,367,502Expenses 2018: $30,124,907Net Income 2018: -$757,4052018Revenue 2019: $33,589,745Expenses 2019: $30,537,281Net Income 2019: $3,052,4642019Revenue 2020: $25,733,961Expenses 2020: $25,807,688Net Income 2020: -$73,7272020Revenue 2021: $27,227,514Expenses 2021: $24,018,217Net Income 2021: $3,209,2972021Revenue 2022: $25,649,306Expenses 2022: $25,752,918Net Income 2022: -$103,6122022Revenue 2023: $27,165,415Expenses 2023: $28,591,896Net Income 2023: -$1,426,4812023Revenue 2024: $28,080,067Expenses 2024: $31,372,963Net Income 2024: -$3,292,8962024

Highlighted filing

2012

Revenue-
Expenses$17,120,796
Net Income-
Open 2012 Filing
Jump To
Filing Snapshot
Filing Period
Oct 1, 2011 to Sep 30, 2012
Signed
Aug 12, 2013
Return Version
2011v1.5
Gross Receipts
$20,690,479
Mission and Program Overview

Mission

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.

Major Activities

Activity 2
SMCS has a comprehensive outpatient Mental Health/ Substance abuse program and also provides Psychiatric counseling and medical direction for 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 has aggressively integrated Mental Health counseling with primary care medical care by virtue of the on-site stationing of Mental Health Counselors at its primary care (FQHC) sites. SMCS practitioners also coordinate care with the Hospital inpatient services and to an even greater extent, work with the Hospital emergency department to assist in managing patients that present with mental health related diagnosis. During the fiscal year, SMCS served 1,401 patients and provided 12,628 Mental Health visits.
Activity 3
Pharmacy Program * SMCS operates a pharmacy discount program that helps expand access to affordable medications. Patients with prescription coverage can save on medications not covered by their plan while helping families who are less fortunate. This program operates in partnership with local pharmacies in Bellows Falls, Springfield, and Ludlow. There are 400 active members who are eligible. Financial assistance for this program totaled $127,371.
Filing and Contact Details

Filer

EIN
03-0284813
Raw XML AppendixShowing 400 of 783 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Activity2/Description0SMCS has a comprehensive outpatient Mental Health/ Substance abuse program and also provides Psychiatric counseling and medical direction for 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 has aggressively integrated Mental Health counseling with primary care medical care by virtue of the on-site stationing of Mental Health Counselors at its primary care (FQHC) sites. SMCS practitioners also coordinate care with the Hospital inpatient services and to an even greater extent, work with the Hospital emergency department to assist in managing patients that present with mental health related diagnosis. During the fiscal year, SMCS served 1,401 patients and provided 12,628 Mental Health visits.
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IRS990/Activity3/Description0Pharmacy Program * SMCS operates a pharmacy discount program that helps expand access to affordable medications. Patients with prescription coverage can save on medications not covered by their plan while helping families who are less fortunate. This program operates in partnership with local pharmacies in Bellows Falls, Springfield, and Ludlow. There are 400 active members who are eligible. Financial assistance for this program totaled $127,371.
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IRS990/ActivityOther/Description0Charity 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 100% charity care at up to 200% of the federal poverty guideline and 50% assistance up to 300% 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, 2012, charges foregone for charity care, based on established rates, amounted to $587,933 Dental Care * SMCS' Ludlow Dental Center office serves a growing need for dental services throughout the SMCS primary care service area. Patients from all offices can be referred to the Dental Center for care, and a financial assistance program is available for those needing assistance, based on a sliding fee scale. The Center served 869 patients in FY 2012 as well as provided 2,211 visits. Eligibility Assistance and Enrollment Counseling Services * Through a partnership arrangement with Valley Health Connections (a designated 501(c)(3) non-profit organization), SMCS patients can receive eligibility assistance counseling to help remove barriers and facilitate access to health care for uninsured and under-insured people. Although many health care insurance options are available to Vermont residents, VHC reports many people need guidance to navigate enrollment processes and programs are often unaffordable for many Vermonters. This includes enrollment assistance for preventive health care, health education and screenings, referrals to providers for ongoing health care through a medical home, and assistance with enrollment in State and local programs that pay for health care. Child Day Care Services * SMCS operates two child day care services, 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 2012, SMCS provided care to 19 children in Bellows Falls and 28 children in Springfield at a cost of $39,420.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 mental health program in Bellows Falls, VT; off-site physical therapy services, five hospital-owned specialty clinics: urology, ENT, surgery, orthopaedics and skin care; and an adult day care center in Springfield, VT.
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IRS990/Description0Primary Care Services * Springfield Medical Care Systems (SMCS) operates a seven-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 need. Services include primary and preventive health care for people of all ages, pediatrics, health screenings, mental health programs, dental care, and access to discounted pharmaceuticals. SMCS operates The Ludlow Dental Center in Ludlow, 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.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 Chronic Care Collaborative and the Vermont Blueprint for Health in developing and implementing strategies for improving overall community health outcomes. Primary care offices, specialty clinics, the local hospital, and appropriate referral sources for specialists and tertiary care when needed, are carefully 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 is now fully operational, meeting monthly to collaborate and partner with area agencies to remove barriers and improve access to care. The team now exceeds 70 participants and is growing. New members are welcomed at each meeting as word of the team spreads throughout the community. The Team utilizes a community resource guide, a newsletter, and an ongoing community calendar to facilitate communications about area services and improve networking.Through the employment of primary care physicians in Charlestown, New Hampshire; Ludlow, Vermont; Bellows Falls, Vermont; Chester, VT; and Springfield, Vermont, SMCS assures 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 2012, SMCS served 23,659 patients and provided 83,138 visits.
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IRS990/GrantToRelatedPerson00
IRS990/GrossAmountSalesAssets/Securities04360034
IRS990/GrossReceipts020690479
IRS990/GrossRents/Real078274
IRS990/GroupReturnForAffiliates00
IRS990/Hospital00
IRS990/IndependentAuditFinancialStmt00
IRS990/IndoorTanningServices00
IRS990/InfoInScheduleOPartIII0X
IRS990/InfoInScheduleOPartVI0X
IRS990/InfoInScheduleOPartXI0X
IRS990/InfoInScheduleOPartXII0X
IRS990/Insurance/ManagementAndGeneral079496
IRS990/Insurance/ProgramServices0125375
IRS990/Insurance/Total0204871
IRS990/Interest/ManagementAndGeneral0101134
IRS990/Interest/ProgramServices019898
IRS990/Interest/Total0121032
IRS990/InvestmentIncomeCurrentYear0187433
IRS990/InvestmentIncome/ExclusionAmount060132
IRS990/InvestmentIncomePriorYear0359747
IRS990/InvestmentIncome/TotalRevenueColumn060132
IRS990/InvestmentInJointVenture00
IRS990/InvestmentsPubTradedSecurities/BOY02762187
IRS990/InvestmentsPubTradedSecurities/EOY03212438
IRS990/LandBldgEquipmentAccumDeprec02437082
IRS990/LandBuildingsEquipmentBasis013729160
IRS990/LandBuildingsEquipmentBasisNet/BOY09506227
IRS990/LandBuildingsEquipmentBasisNet/EOY011292078
IRS990/LessCostOthBasisSalesExpenses/Other05775
IRS990/LessCostOthBasisSalesExpenses/Securities04226958
IRS990/LessRentalExpenses/Real00
IRS990/LoanToOfficerOrDQP00
IRS990/LobbyingActivities01
IRS990/LocalChapters00
IRS990/MaterialDiversionOrMisuse00
IRS990/MembersOrStockholders00
IRS990/MethodOfAccountingAccrual0X
IRS990/MinutesOfCommittees01
IRS990/MinutesOfGoverningBody01
IRS990/MissionDescription0Our 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.
IRS990/MoreThan5000KToIndividuals00
IRS990/MoreThan5000KToOrganizations00
IRS990/MortNotesPyblSecuredInvestProp/BOY03182238
IRS990/MortNotesPyblSecuredInvestProp/EOY03446574
IRS990/NameOfPrincipalOfficerPerson0Andrew Majka
IRS990/NbrIndependentVotingMembers010
IRS990/NbrVotingGoverningBodyMembers010
IRS990/NbrVotingMembersGoverningBody010
IRS990/NetAssetsOrFundBalancesBOY07773573
IRS990/NetAssetsOrFundBalancesEOY07397053
IRS990/NetGainOrLossInvestments/ExclusionAmount0127301
IRS990/NetGainOrLossInvestments/TotalRevenueColumn0127301
IRS990/NetRentalIncomeOrLoss/ExclusionAmount078274
IRS990/NetRentalIncomeOrLoss/TotalRevenueColumn078274
IRS990/NetUnrelatedBusinessTxblIncome00
IRS990/NonDeductibleContributions00
IRS990/NumberFormsTransmittedWith1096048
IRS990/NumberIndependentVotingMembers010
IRS990/NumberIndividualsGT100K027
IRS990/NumberOfContractorsGT100K05
IRS990/NumberOfEmployees0236
IRS990/NumberW2GIncluded00
IRS990/Occupancy/Fundraising011016
IRS990/Occupancy/ManagementAndGeneral080307
IRS990/Occupancy/ProgramServices0560968
IRS990/Occupancy/Total0652291
IRS990/OfficeExpenses/Fundraising08516
IRS990/OfficeExpenses/ManagementAndGeneral09444
IRS990/OfficeExpenses/ProgramServices0101825
IRS990/OfficeExpenses/Total0119785
IRS990/OfficerEntityWithBsnssRltnshp00
IRS990/OfficerMailingAddress00
IRS990/Organization501c30X
IRS990/OtherAssetsTotal/BOY0848735
IRS990/OtherAssetsTotal/EOY01118459
IRS990/OtherEmployeeBenefits/Fundraising012151
IRS990/OtherEmployeeBenefits/ManagementAndGeneral0374029
IRS990/OtherEmployeeBenefits/ProgramServices01106921
IRS990/OtherEmployeeBenefits/Total01493101
IRS990/OtherExpensePriorYear04231704
IRS990/OtherExpensesCurrentYear04886896
IRS990/OtherExpenses/Description0Medical Supplies
IRS990/OtherExpenses/Description1Outside Training
IRS990/OtherExpenses/Description2Taxes & Licenses
IRS990/OtherExpenses/Description3Telephone
IRS990/OtherExpenses/Fundraising03265
IRS990/OtherExpenses/ManagementAndGeneral0151347
IRS990/OtherExpenses/ManagementAndGeneral137077
IRS990/OtherExpenses/ManagementAndGeneral219419
IRS990/OtherExpenses/ProgramServices01026900
IRS990/OtherExpenses/ProgramServices155566
IRS990/OtherExpenses/ProgramServices2109298
IRS990/OtherExpenses/ProgramServices394115
IRS990/OtherExpenses/Total01026900
IRS990/OtherExpenses/Total1206913
IRS990/OtherExpenses/Total2146375
IRS990/OtherExpenses/Total3116799
IRS990/OtherLiabilities/BOY02265060
IRS990/OtherLiabilities/EOY03996931
IRS990/OtherRevenueCurrentYear078274
IRS990/OtherRevenuePriorYear072253
IRS990/OtherSalariesAndWages/Fundraising042248
IRS990/OtherSalariesAndWages/ManagementAndGeneral01059616
IRS990/OtherSalariesAndWages/ProgramServices08304218
IRS990/OtherSalariesAndWages/Total09406082
IRS990/PartialLiquidation00
IRS990/PayrollTaxes/Fundraising05410
IRS990/PayrollTaxes/ManagementAndGeneral0178469
IRS990/PayrollTaxes/ProgramServices0492824
IRS990/PayrollTaxes/Total0676703
IRS990/PensionPlanContributions/Fundraising01174
IRS990/PensionPlanContributions/ManagementAndGeneral013519
IRS990/PensionPlanContributions/ProgramServices0106969
IRS990/PensionPlanContributions/Total0121662
IRS990/PledgesAndGrantsReceivable/BOY02153593
IRS990/PledgesAndGrantsReceivable/EOY0330957
IRS990/PoliticalActivities00
IRS990/PremiumsPaid00
IRS990/PrepaidExpensesDeferredCharges/BOY0376759
IRS990/PrepaidExpensesDeferredCharges/EOY0277982
IRS990/PriorExcessBenefitTransaction00
IRS990/ProfessionalFundraising00
IRS990/ProgramServiceRevenue/BusinessCode0621110
IRS990/ProgramServiceRevenue/BusinessCode1624410
IRS990/ProgramServiceRevenue/BusinessCode2900099
IRS990/ProgramServiceRevenue/BusinessCode3621110
IRS990/ProgramServiceRevenue/BusinessCode4621110
IRS990/ProgramServiceRevenueCY014209072
IRS990/ProgramServiceRevenue/Description0Patient Service Revenu
IRS990/ProgramServiceRevenue/Description1Child Daycare Revenue
IRS990/ProgramServiceRevenue/Description2EHR Incentives

Document Assets

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Filings

Displayed year

2012 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$17,997,768
Liabilities
$10,600,715
Net assets
$7,397,053
Revenue
-
Expenses
$17,120,796
Net income
-
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$17.6$8.16$9.47$28.1$31.4$3.29
2023Detailed filing. Detailed filing data is available for this year.$20.3$7.50$12.8$27.2$28.6$1.43
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.7$5.50$14.2$25.6$25.8$0.10
2021Detailed filing. Detailed filing data is available for this year.$19.5$5.14$14.3$27.2$24.0$3.21
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.6$10.9$8.69$25.7$25.8$0.07
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$18.8$10.0$8.74$33.6$30.5$3.05
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$18.2$12.5$5.69$29.4$30.1$0.76
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$18.2$11.7$6.45$27.5$28.1$0.56
2016Detailed filing. Detailed filing data is available for this year.$17.6$10.6$7.01$25.8$24.6$1.24
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$14.8$9.07$5.77$21.9$21.7$0.17
2014Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$14.5$8.92$5.60$23.2$20.6$2.58
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$17.4$14.1$3.32$16.0$19.1$3.10
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$18.0$10.6$7.40$17.1
2011Summary only. Only limited summary data is available for this year.$18.3$10.5$7.77$15.8$15.8$0.01
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.9$4.81$8.09$14.2