- Revenue 2024
- $33,671,131
- Expenses 2024
- $29,717,784
Program services were 90.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
As filed
- Subsection
- 03
- NTEE code
- E210
- Classification
- 1000
- Street
- 100 RIVER ST
These codes are the IRS's own and are shown exactly as filed. What each one means is in the Business Master File documentation (opens in a new tab).
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.
Officers and directors · 2024
As listed in Part VII of the 2024 return, in the order the filer printed them. Each return names its own; this is not a roster the organization keeps with us.
-
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. Earlier years are each on their own filing page.
Filings
-
2024
- Revenue
- $33,671,131
- Expenses
- $29,717,784
- Contributions
- $6,383,846
- Grants paid
- $0
-
2023
- Revenue
- $28,080,067
- Expenses
- $31,372,963
- Contributions
- $4,047,997
- Grants paid
- $0
-
2022
- Revenue
- $27,165,415
- Expenses
- $28,591,896
- Contributions
- $5,621,030
- Grants paid
- $0
The four totals the IRS asks for on Part I of the Form 990, as filed. A dash means the figure was not present on the return — not that it was zero.
Other returns filed
-
2021 · 990
- Revenue
- $25,649,306
- Expenses
- $25,752,918
- Assets (EOY)
- $19,683,914
-
2020 · 990
- Revenue
- $27,227,514
- Expenses
- $24,018,217
- Assets (EOY)
- $19,479,475
-
2019 · 990
- Revenue
- $25,733,961
- Expenses
- $25,807,688
- Assets (EOY)
- $19,552,380
-
2018 · 990
- Revenue
- $33,589,745
- Expenses
- $30,537,281
- Assets (EOY)
- $18,750,973
-
2017 · 990
- Revenue
- $29,367,502
- Expenses
- $30,124,907
- Assets (EOY)
- $18,161,813
-
2016 · 990
- Revenue
- $27,533,033
- Expenses
- $28,097,759
- Assets (EOY)
- $18,174,525
-
2015 · 990
- Revenue
- $25,835,714
- Expenses
- $24,591,667
- Assets (EOY)
- $17,562,541
-
2014 · 990
- Revenue
- $21,859,341
- Expenses
- $21,688,066
- Assets (EOY)
- $14,840,548
-
2013 · 990
- Revenue
- $23,154,350
- Expenses
- $20,577,633
- Assets (EOY)
- $14,513,894
-
2012 · 990
- Revenue
- not reported
- Expenses
- $19,148,742
- Assets (EOY)
- $17,424,510
Nonprofiteer parses Forms 990, 990-EZ and 990-PF, in a window of recent tax years. These returns are recorded from the IRS e-file index, so their figures were extracted by that index rather than read from the return here — treat them as a different source from the filings above, not as more of the same record. A dash means the index carries no figure; Form 990-T listings carry none at all. Showing the 10 most recent; the API carries the rest.
Grants made
No itemized grants to organizations. Schedule I is filed only by organizations that granted more than $5,000 to a recipient, so most filers have none.
Grants received
-
$85,000
2023 GENERAL PURPOSE
-
2023 IMMUNIZATION PROGRAM
-
BI-STATE PRIMARY CARE ASSOC INC
$51,971
2022 Pass Through - VT Dental Therapy (VW-22)
-
$45,000
2022 GENERAL PURPOSE
-
2024 IMMUNIZATION PROGRAM
-
$18,000
2024 INCREASE ONGOING PARTICIPATION IN RECOVERY PROGRAM AMONG PATIENTS IN WHO HAVE COMPLETED INITIAL PHASES OF TREATMENT. INCREASE QUANTITY OF PATIENTS WHO REMAIN ENGAGED IN RECOVERY ORIENTED WORK. REDUCE RATE OF RELAPSE. REDUCE TOBACCO USE DISORDER AMONG PATIENTS ENGAGED IN RECOVERY.
-
2024 IMMUNIZATION PROGRAM
-
2024 IMMUNIZATION PROGRAM
-
2023 IMMUNIZATION PROGRAM
-
2024 ASSIST ORGANIZATION
The 10 largest by cash amount. The API serves every itemized grant.
Other IRS files
Auto-Revocation List
Not listed. The IRS publishes this list for organizations whose exemption was automatically revoked for failing to file for three consecutive years.
Publication 78
Listed as of 13 October 2026, under deductibility PC.
These are two separate IRS files on two separate schedules, shown as published and not reconciled with each other. Neither is a statement about whether a contribution is deductible today: 19,245 organizations appear in Publication 78 while the IRS's own revocation file lists them as currently revoked, more than half of those revoked before 2019. Absence from Publication 78 is evidence of nothing, and presence is not evidence either. Verify current status with the IRS before relying on it.
What this page reflects
The registration facts above come from the IRS Business Master File published 13 October 2026 and read 23 October 2026, for every organization at once. Returns through tax year 2024, the newest we have parsed for this organization.