2025-08-01T13:15:11-05:00 2024-09-30 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2023-10-01 030284813 Springfield Medical Care Systems Inc SPRI 8028868900 100 River Street Springfield VT 05156 Andrew Majka CFO 8028868900 2025-07-29 1 1 Melissa Magoon CPA P01712842 2077752387 2025-07-29 2023 2025-03-06 01:10:19Z North Star Health Joshua Dufresne 100 River Street Springfield VT 05156 28080067 0 X www.northstarfqhc.org X 1982 VT Federally Qualified Health Care network providing medical, behavioral health, dental & pharmacy services 13 13 305 13 0 0 5621030 4047997 21447769 23961470 0 0 96616 70600 27165415 28080067 0 0 0 0 19155065 20464137 0 0 0 9436831 10908826 28591896 31372963 -1426481 -3292896 20255792 17624549 7497206 8158859 12758586 9465690 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 27414516 23961470 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.Our Community Health Team (CHT) holds monthly public meetings to collaborate and partner with area agencies to remove barriers and improve access to care. The team now approximates 45 organizations and communicates regularly with hundreds of individual participants. New members are welcomed at each meeting as word of the team spreads throughout the community. The Team serves as a central community contact point (similar to a hub and spoke model) to facilitate communications, networking and collaboration among all area services.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 2024, SMCS cares for a total of 24,525 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' Ludlow and Chester offices serve a growing need for dental services throughout the SMCS primary care service area. Patients from all offices can be referred to the Dental Centers for care, and a financial assistance program is available for those needing assistance, based on a sliding fee scale. The two locations provided 10,533 visits in FY '24.Vision - SMCS offers vision services through North Star Vision Care in Springfield, VT and offers comprehensive eye care services including ophthalmology and optometry. In 2024, vision provided 3,957 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, ands 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, 2024, charges foregone for charity care, based on established rates, amounted to approximately $110K.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. 27414516 1 1 0 1 0 0 0 0 0 0 1 0 0 1 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 36 0 1 305 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 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 Board Chair 2.00 X X 0 0 0 Arianna Robinson Vice Chair 1.00 X X 0 0 0 Jim Wilbur Board Treasurer 2.00 X X 0 0 0 Tony Petrillo Board 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 Richard Dexter III Board Member 1.00 X 0 0 0 Julie Martin Board Member 1.00 X 0 0 0 Amanda McLeod Board Member 1.00 X 0 0 0 Susan White Board Member 1.00 X 0 0 0 Kelly Pajala Board Member 1.00 X 0 0 0 Jim Rumrill Board Member 1.00 X 0 0 0 Cheryl Sanctuary Board Member 1.00 X 0 0 0 Joshua Dufresne CEO 40.00 X 220548 0 40017 Andrew Majka CFO 40.00 X 179508 0 14989 Katrina Taylor CMO 30.00 X 144906 0 2898 Daniel Caloras Physician 40.00 X 253885 0 33692 Meghan L Ward Physician 40.00 X 251469 0 41016 Rachel Bruce Physician 40.00 X 228532 0 35987 Sarah Weidhaas Physician 40.00 X 245062 0 4901 Gary Clay Physician 40.00 X 253684 0 16473 1777594 0 189973 35 0 1 0 Emergency Services of New England PO Box 12 Chester VT 05143 Physician Services 1252313 BP Solution Providers 1635 Old 41 HWY NW Suite 112-312 Kennesaw GA 30152 Telephone Service 187239 Michaud's Cleaning Service LLC 70 Windy Acres Charlestown NH 03603 Cleaning Services 181589 BerryDunn PO Box 1100 Portland ME 04102 Accounting Services 150851 Savida Health 525 Royal Parkway Nashville TN 37229 Blueprint Support 119497 5 3387785 660212 4047997 Patient Service Revenue 621110 20714517 20714517 Contract Pharmacy Income 621110 4435126 4435126 Other Patient Revenue 621110 1998791 1998791 Miscellaneous Revenue 621110 341135 341135 Contractual Allowance/Charity Car 621110 -3528099 -3528099 23961470 69600 0 69600 69600 69600 1000 0 1000 1000 28080067 23961470 0 70600 X 602866 602866 16273016 15145570 1127446 111287 109693 1594 2283584 2099174 184410 1193384 1074712 118672 47826 47826 60000 60000 4854033 3991203 862830 250 250 322719 241256 81463 956344 861244 95100 36088 26908 9180 4729 4729 777295 699999 77296 198431 103493 94938 Program Supplies 2801154 2398549 402605 Miscellaneous Expenses 619112 468859 150253 Equipment Rental, Repai 196929 162217 34712 Education & Training 33916 26660 7256 31372963 27414516 3958447 0 X 3473143 1958225 164743 344583 2518392 1862638 308497 494766 19697724 9613893 10529059 10083831 2252336 1912870 1009622 967636 20255792 17624549 3648967 4461392 17592 267592 179693 7576 3650954 3422299 7497206 8158859 X 12455657 9256261 302929 209429 12758586 9465690 20255792 17624549 -3292896 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 1 344 344 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 7780587 3078079 4702508 7571013 3408330 4162683 4051335 3085553 965782 43329 41931 1398 10083831 Estimated Third Party Payor Settlements 542155 Deferred Compensation 425481 967636 Remediation Liability 800231 Deferred Compensation 425481 Participant Distribution 112940 Due to Hospital 12386 Operating Lease Liability 2071261 3422299 X 28080067 0 28080067 0 28080067 31372963 0 31372963 0 31372963 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. X X X X 0 0 0 0 0 0 0 0 0 Meghan L Ward Physician 251469 0 0 0 0 0 5029 0 35987 0 292485 0 0 0 Daniel Caloras Physician 253885 0 0 0 0 0 0 0 33692 0 287577 0 0 0 Gary Clay Physician 253684 0 0 0 0 0 5074 0 11399 0 270157 0 0 0 Rachel Bruce Physician 228532 0 0 0 0 0 0 0 35987 0 264519 0 0 0 Joshua Dufresne CEO 220548 0 0 0 0 0 4030 0 35987 0 260565 0 0 0 Sarah Weidhaas Physician 245062 0 0 0 0 0 4901 0 0 0 249963 0 0 0 Andrew Majka CFO 179508 0 0 0 0 0 3590 0 11399 0 194497 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 3,991,203. Management and general expenses 862,830. Fundraising expenses 0. Total expenses 4,854,033. 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).