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Nonprofiteer
← SPRINGFIELD MEDICAL CARE SYSTEMS INC

Form 990 for tax year 2024

Filed by SPRINGFIELD MEDICAL CARE SYSTEMS INC.

Totals

Total revenue
$33,671,131
Total expenses
$29,717,784
Contributions and grants received
$6,383,846
Grants paid
$0
Program service revenue
$26,732,037
Investment income
-$13,349
Other revenue
$568,597
Total assets, end of year
$21,513,504
Total liabilities, end of year
$9,184,236
Net assets or fund balances, end of year
$12,329,268
Program services expenses (Part IX)
$26,815,804
Management and general expenses
$2,901,980
Fundraising expenses
$0
Program service expenses (Part III)
$26,815,804

Program services were 90.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $5,879,426

  • 1f · All other contributions, gifts and grants

    $504,420

  • 2a · Program service revenue: Patient Service Revenue

    total $21,211,653 · related or exempt $21,211,653

  • 2b · Program service revenue: Contract Pharmacy Income

    total $6,252,091 · related or exempt $6,252,091

  • 2c · Program service revenue: Other Patient Revenue

    total $2,268,415 · related or exempt $2,268,415

  • 2d · Program service revenue: Miscellaneous Revenue

    total $70,800 · related or exempt $70,800

  • 2e · Program service revenue: Contractual Allowance/Charity Car

    total -$3,070,922 · related or exempt -$3,070,922

  • 3 · Investment income

    total $72,663 · excluded $72,663

  • 6a · Gross rents

    real property $55,200

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $55,200

  • 6d · Net rental income or loss

    total $55,200 · excluded $55,200

  • 7b · Less cost or other basis and sales expenses

    other assets $86,012

  • 7c · Gain or loss

    other assets -$86,012

  • 7d · Net gain or loss

    total -$86,012 · excluded -$86,012

  • 8a · Fundraising events: gross income

    $10,000

  • 8b · Fundraising events: direct expenses

    $4,581

  • 8c · Net income from fundraising events

    total $5,419 · excluded $5,419

  • 11a · Other revenue: Nonmonetary exchange of property

    total $507,978 · excluded $507,978

  • 11e · Other revenue, total

    $507,978

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $615,925 · management and general $615,925

  • 7 · Other salaries and wages

    total $14,086,690 · program services $13,080,157 · management and general $1,006,533

  • 8 · Pension plan contributions

    total $124,761 · program services $121,008 · management and general $3,753

  • 9 · Other employee benefits

    total $2,167,882 · program services $1,986,673 · management and general $181,209

  • 10 · Payroll taxes

    total $1,069,316 · program services $955,596 · management and general $113,720

  • 11b · Fees: legal

    total $32,941 · management and general $32,941

  • 11c · Fees: accounting

    total $64,000 · management and general $64,000

  • 11g · Fees: other

    total $4,492,857 · program services $3,938,070 · management and general $554,787

  • 12 · Advertising and promotion

    total $500 · program services $447 · management and general $53

  • 13 · Office expenses

    total $369,116 · program services $329,862 · management and general $39,254

  • 14 · Information technology

    total $985 · program services $880 · management and general $105

  • 16 · Occupancy

    total $935,660 · program services $836,154 · management and general $99,506

  • 17 · Travel

    total $39,310 · program services $35,129 · management and general $4,181

  • 19 · Conferences, conventions and meetings

    total $38,897 · program services $34,760 · management and general $4,137

  • 20 · Interest

    total $16,377 · program services $14,635 · management and general $1,742

  • 22 · Depreciation, depletion and amortization

    total $776,968 · program services $694,339 · management and general $82,629

  • 23 · Insurance

    total $210,781 · program services $188,365 · management and general $22,416

  • 24a · Other expenses: Program Supplies

    total $3,930,257 · program services $3,930,257

  • 24b · Other expenses: Miscellaneous Expenses

    total $658,384 · program services $592,460 · management and general $65,924

  • 24c · Other expenses: Education & Training

    total $45,000 · program services $40,214 · management and general $4,786

  • 24d · Other expenses: Equipment Rental, Repai

    total $41,177 · program services $36,798 · management and general $4,379

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $1,958,225 · end of year $4,521,748

  • 3 · Pledges and grants receivable

    beginning of year $344,583 · end of year $256,333

  • 4 · Accounts receivable

    beginning of year $1,862,638 · end of year $2,851,121

  • 9 · Prepaid expenses and deferred charges

    beginning of year $494,766 · end of year $376,430

  • 10a · Land, buildings and equipment: cost or other basis

    $19,372,043

  • 10b · Land, buildings and equipment: accumulated depreciation

    $8,364,959

  • 10c · Land, buildings and equipment, net

    beginning of year $10,083,831 · end of year $11,007,084

  • 14 · Intangible assets

    beginning of year $1,912,870 · end of year $1,561,536

  • 15 · Other assets

    beginning of year $967,636 · end of year $939,252

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,461,392 · end of year $3,955,779

  • 19 · Deferred revenue

    beginning of year $267,592 · end of year $538,274

  • 24 · Unsecured notes and loans payable

    beginning of year $7,576 · end of year $500,000

  • 25 · Other liabilities

    beginning of year $3,422,299 · end of year $4,190,183

  • 27 · Net assets without donor restrictions

    beginning of year $9,256,261 · end of year $12,199,415

  • 28 · Net assets with donor restrictions

    beginning of year $209,429 · end of year $129,853

Mission and programs · 2024

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, 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.

Activities or mission (Part I)

Federally Qualified Health Care network providing medical, behavioral health, dental & pharmacy services

  • 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.

    Expenses $26,815,804 · Revenue $26,732,037

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Bob Flint

    Chair

    Total calculated
    $0
    Hours/week
    2

  • Arianna Robinson

    Vice Chair

    Total calculated
    $0
    Hours/week
    1

  • Jim Wilbur

    Treasurer

    Total calculated
    $0
    Hours/week
    2

  • Amanda McLeod

    Secretary

    Total calculated
    $0
    Hours/week
    2

  • Jenny Anderson

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Rick Bibens

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Julie Martin

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Tony Petrillo

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Jim Rumrill

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Susan White

    Board Member

    Total calculated
    $0
    Hours/week
    1

  • Joshua Dufresne

    CEO

    Total calculated
    $260,620
    From this org
    $219,160
    From related orgs
    $0
    Other
    $41,460
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $219,160
    Bonus
    $0
    Other
    $0
    Deferred
    $4,030
    Nontaxable benefits
    $37,430
    Filer's total
    $260,620

  • Andrew Majka

    CFO

    Total calculated
    $202,396
    From this org
    $186,804
    From related orgs
    $0
    Other
    $15,592
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $186,804
    Bonus
    $0
    Other
    $0
    Deferred
    $3,736
    Nontaxable benefits
    $11,856
    Filer's total
    $202,396

  • Katrina Taylor

    Past CMO

    Total calculated
    $152,908
    From this org
    $144,099
    From related orgs
    $0
    Other
    $8,809
    Hours/week
    30

    Schedule J breakdown matched by us

    Base
    $144,099
    Bonus
    $0
    Other
    $0
    Deferred
    $2,882
    Nontaxable benefits
    $5,927
    Filer's total
    $152,908

  • Daniel Caloras

    Physician

    Total calculated
    $313,848
    From this org
    $273,339
    From related orgs
    $0
    Other
    $40,509
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $273,339
    Bonus
    $0
    Other
    $0
    Deferred
    $5,467
    Nontaxable benefits
    $35,042
    Filer's total
    $313,848

  • Meghan Ward

    Physician

    Total calculated
    $294,358
    From this org
    $251,890
    From related orgs
    $0
    Other
    $42,468
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $251,890
    Bonus
    $0
    Other
    $0
    Deferred
    $5,038
    Nontaxable benefits
    $37,430
    Filer's total
    $294,358

  • Sarah Weidhaas

    CMO/Physician

    Total calculated
    $254,618
    From this org
    $249,625
    From related orgs
    $0
    Other
    $4,993
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $249,625
    Bonus
    $0
    Other
    $0
    Deferred
    $4,993
    Nontaxable benefits
    $0
    Filer's total
    $254,618

  • Jessica Waters-Davis

    Physician

    Total calculated
    $275,583
    From this org
    $238,101
    From related orgs
    $0
    Other
    $37,482
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $238,101
    Bonus
    $0
    Other
    $0
    Deferred
    $2,439
    Nontaxable benefits
    $35,043
    Filer's total
    $275,583

  • Katherine Baer

    Dentist

    Total calculated
    $239,390
    From this org
    $226,726
    From related orgs
    $0
    Other
    $12,664
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $226,726
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $12,664
    Filer's total
    $239,390

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2024
Filed
10 August 2026
IRS schema version
2024v5.5
Source object
202612239349300411

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