Thermal springs are commonly thought to be an indicator of geothermal resource potential. However, there have been few analyses of the relationship between thermal springs and the underlying thermal regime. An examination of temperature and discharge rates for a large database of thermal springs in North America demonstrates that there is not a simple relationship between these measurements made at the surface and subsurface heat flow. Hydrogeological factors appear to exert strong controls on the temperature and discharge at these springs and should be carefully considered in geothermal resource assessments.