2026-08-11T07:04:14-05:00 2025-09-30 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2024-10-01 030284813 Springfield Medical Care Systems Inc SPRI 8028868900 100 River Street Springfield VT 05156 Andrew Majka CFO 8028868900 2026-08-10 1 1 Melissa Magoon CPA P01712842 2077752387 2026-08-10 2024 2025-03-06 01:10:19Z North Star Health Joshua Dufresne 100 River Street Springfield VT 05156 33761724 0 X www.northstarfqhc.org X 1982 VT Federally Qualified Health Care network providing medical, behavioral health, dental & pharmacy services 10 10 297 10 0 0 4047997 6383846 23961470 26732037 0 -13349 70600 568597 28080067 33671131 0 0 0 0 20464137 18064574 0 0 0 10908826 11653210 31372963 29717784 -3292896 3953347 17624549 21513504 8158859 9184236 9465690 12329268 X 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. 0 0 26815804 26732037 Springfield Medical Care Systems (SMCS) operates a five-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 a sliding fee scale. Services include primary and preventive health care for people of all ages, pediatrics, health screenings, behavioral health programs, school-based clinics, dental care, vision care, and a 340B discount pharmacy program.Primary Care Services - 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 Quality Improvement Collaborative, OneCare AccountableCare, and the Vermont Blueprint for Health to develop and implement strategies for improving overall population health outcomes. Our offices strive 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.The North Star Community Health Team has programs and services to facilitate and support access to care including assistance with transportation, food insecurity, housing and economic assistance, connecting individuals to mental health and substance use treatment programs, coordinating care, and preventing and managing chronic diseases such as diabetes, asthma and hypertension. Community Health Team services are free and available to anyone who may benefit from them. Through the employment of primary care physicians and allied health professionals in Charlestown, NH; Ludlow, VT; Londonderry, VT; and Springfield, VT, SMCS provides 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 Charlestown, NH area as serving a medically-underserved population. These health centers serve an inordinately high Medicare and Medicaid caseload. As of September 2025, SMCS cares for a total of 23,006 unique patients.Behavioral HealthSMCS has a comprehensive outpatient Mental Health/ Substance abuse program and provides outpatient behavioral health counseling. With early adoption of Healthy People and NCQI Medical Home guidelines, SMCS aggressively integrated behavioral health counseling with primary care medical care by virtue of the on-site stationing of behavioral health at its primary care (FQHC) sites. SMCS practitioners coordinate care with Springfield Hospital inpatient services and, to an even greater extent, work with Springfield Hospital emergency department to assist in managing patients that present with mental health related diagnosis.Dental Care - SMCS' Chester 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 location provided 10,057 visits in FY '25.Vision - SMCS offers vision services through North Star Vision Care in Springfield, VT and offers comprehensive eye care services including ophthalmology and optometry. In 2025, vision provided 3,305 visits.Pharmacy Program - SMCS operates a 340B pharmacy charity program that helps expand access to affordable medications. Eligible patients can obtain their prescriptions at little to no cost. This program operates in partnership with five local pharmacies in Vermont: Bellows Falls, Springfield, and Ludlow, as well as two pharmacies in Claremont, NH.Charity 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 50% charity care at up to 200% 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, 2025, charges foregone for charity care, based on established rates, amounted to approximately $105K.Eligibility Assistance and Enrollment Counseling Services SMCS works in partnership with Valley Health Connections (VHC), a 501(c)3 non-profit organization, to provide SMCS patients certified enrollment assistance and consults to help remove barriers and facilitate access to health care for uninsured and under-insured people. VHC reports many people need guidance to navigate insurance enrollment processes and even through insured, care remains difficult to afford for many Vermonters. These services include enrollment assistance for preventive health care, health education and screenings, referrals to providers for ongoing health care through a medical/dental home, and assistance with enrollment in State and local programs that help pay for health care, medication, dental, and other public programs. Consults are also provided for SMCS New Hampshire residents who need assistance accessing NH services. 26815804 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 26 0 1 297 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 VT X Andrew Majka 5187910887 100 River Street Springfield VT 05156 Bob Flint Chair 2.00 X X 0 0 0 Arianna Robinson Vice Chair 1.00 X X 0 0 0 Jim Wilbur Treasurer 2.00 X X 0 0 0 Amanda McLeod Secretary 2.00 X X 0 0 0 Jenny Anderson Board Member 1.00 X 0 0 0 Rick Bibens Board Member 1.00 X 0 0 0 Julie Martin Board Member 1.00 X 0 0 0 Tony Petrillo Board Member 1.00 X 0 0 0 Jim Rumrill Board Member 1.00 X 0 0 0 Susan White Board Member 1.00 X 0 0 0 Joshua Dufresne CEO 40.00 X 219160 0 41460 Andrew Majka CFO 40.00 X 186804 0 15592 Katrina Taylor Past CMO 30.00 X 144099 0 8809 Daniel Caloras Physician 40.00 X 273339 0 40509 Meghan Ward Physician 40.00 X 251890 0 42468 Sarah Weidhaas CMO/Physician 40.00 X 249625 0 4993 Jessica Waters-Davis Physician 40.00 X 238101 0 37482 Katherine Baer Dentist 40.00 X 226726 0 12664 1789744 0 203977 42 0 1 0 Emergency Services of New England PO Box 12 Chester VT 05143 Physician Services 1256567 BerryDunn PO Box 1100 Portland ME 04102 Accounting Services 332839 Savida Health 525 Royal Parkway Nashville TN 37229 Blueprint Support 203967 Michauds Cleaning Service LLC 70 Windy Acres Charletown NH 03603 Cleaning Services 182293 Double T Clean LLC 31 Fairbanks Street Keene NH 03431 Cleaning Services 105235 5 5879426 504420 6383846 Patient Service Revenue 621110 21211653 21211653 Contract Pharmacy Income 621110 6252091 6252091 Other Patient Revenue 621110 2268415 2268415 Miscellaneous Revenue 621110 70800 70800 Contractual Allowance/Charity Car 621110 -3070922 -3070922 26732037 72663 72663 55200 0 55200 55200 55200 86012 -86012 -86012 -86012 10000 4581 5419 5419 Nonmonetary exchange of property 900099 507978 507978 507978 33671131 26732037 0 555248 X 615925 615925 14086690 13080157 1006533 124761 121008 3753 2167882 1986673 181209 1069316 955596 113720 32941 32941 64000 64000 4492857 3938070 554787 500 447 53 369116 329862 39254 985 880 105 935660 836154 99506 39310 35129 4181 38897 34760 4137 16377 14635 1742 776968 694339 82629 210781 188365 22416 Program Supplies 3930257 3930257 Miscellaneous Expenses 658384 592460 65924 Education & Training 45000 40214 4786 Equipment Rental, Repai 41177 36798 4379 29717784 26815804 2901980 0 X 1958225 4521748 344583 256333 1862638 2851121 494766 376430 19372043 8364959 10083831 11007084 1912870 1561536 967636 939252 17624549 21513504 4461392 3955779 267592 538274 7576 500000 3422299 4190183 8158859 9184236 X 9256261 12199415 209429 129853 9465690 12329268 17624549 21513504 X 3953347 -1089769 0 X 0 1 X 1 1 1 X Schedule A, Part I, Line 3 The Organization's tax exemption is based upon the classification of a hospital or cooperative hospital service organization described in section 170(b)(1)(A)(iii). Since the organization is not licensed by the State of Vermont as a hospital, Schedule H is not required. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 524 524 0 Part II-B, Line 1: The Organization paid dues to organizations of which a percentage of the dues were used for lobbying. 96301 155159 251460 7087459 2208342 4879117 6939899 3177593 3762306 3904684 2936746 967938 1188541 42278 1146263 11007084 Remediation Liability 1890000 Deferred Compensation 448732 Participant Distribution 114147 Operating Lease Liability 1737304 4190183 X 33630712 4581 4581 33626131 45000 45000 33671131 29677365 4581 4581 29672784 45000 45000 29717784 Part X, Line 2: The Organization is a public charity under Section 501(c)(3) of the Internal Revenue Code (IRC). As a public charity, the Organization is exempt from state and federal income taxes on income earned in accordance with its tax exempt purpose. Unrelated business income is subject to state and federal income tax. Management has evaluated the Organization's tax positions and concluded that the Organization has no unrelated business income or uncertain tax positions that require adjustment to the financial statements. Part XI, Line 2d - Other Adjustments: Fundraising Event Expense 4,581. Part XI, Line 4b - Other Adjustments: Environmental Remediation Expense 45,000. Part XII, Line 2d - Other Adjustments: Fundraising Event Expense 4,581. Part XII, Line 4b - Other Adjustments: Environmental Remediation Expense 45,000. X X X X 0 0 0 0 0 0 0 0 0 Daniel Caloras Physician 273339 0 0 0 0 0 5467 0 35042 0 313848 0 0 0 Meghan Ward Physician 251890 0 0 0 0 0 5038 0 37430 0 294358 0 0 0 Jessica Waters-Davis Physician 238101 0 0 0 0 0 2439 0 35043 0 275583 0 0 0 Joshua Dufresne CEO 219160 0 0 0 0 0 4030 0 37430 0 260620 0 0 0 Sarah Weidhaas CMO/Physician 249625 0 0 0 0 0 4993 0 0 0 254618 0 0 0 Katherine Baer Dentist 226726 0 0 0 0 0 0 0 12664 0 239390 0 0 0 Andrew Majka CFO 186804 0 0 0 0 0 3736 0 11856 0 202396 0 0 0 Katrina Taylor Past CMO 144099 0 0 0 0 0 2882 0 5927 0 152908 0 0 0 Form 990, Part VI, Section B, line 11b Form 990 is reviewed by the organization's Chief Financial Officer upon completion. Form 990, Part VI, Section B, line 12c Conflicts of interest are reviewed by the Corporate Compliance Officer and Chief Executive Officer on an annual basis. Members must complete an annual disclosure form and must recuse themselves from voting on issues where a conflict is actual or implied. Form 990, Part VI, Section B, line 15a The Organization has a compensation committee which uses a market analysis on similar health care providers with similar revenue in order to establish the base salary of the CEO. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available upon request. Form 990, Part IX, line 11g Other Professional Services: Program service expenses 3,938,070. Management and general expenses 554,787. Fundraising expenses 0. Total expenses 4,492,857. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Springfield Medical Care Systems, Inc. 100 River Street Springfield, VT 05156 EIN: 03-0284813 Springfield Medical Care Systems, Inc. is electing to capitalize and repair maintenance costs under Regulation Section 1.263(a)-3(n). Form 990, Part XI, Line 8: Prior Period Adjustment: Subsequent to the issuance of the Organization's September 30, 2024 financial statements, management obtained an updated environmental engineering assessment related to asbestos remediation required at one of its properties. The assessment, which was completed in August 2024, revised the estimated cost of the environmental remediation project. Based on this updated assessment, management determined that the previously recorded remediation liability at September 30, 2024 did not reflect the best estimate of the obligation in accordance with U.S. GAAP. The estimated remediation costs increased from approximately 800,000 to 1,900,000. Accordingly, the Organization has restated its September 30, 2024 financial statements to increase the environmental remediation liability and record the related environmental remediation expense.