Civic Intelligence

Springfield Medical Care Systems Inc

EIN 03-0284813 • 501(c)3 • Springfield, VT

View Organization Page

Profile

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, (Continued on Schedule O) 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.

100 River StreetSpringfield, VT 05156

www.springfieldmed.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

71st percentile

0.46x

Higher debt load relative to assets than 71% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

51st percentile

0.29x

Higher debt load relative to revenue than 51% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

16th percentile

-12%

Higher net margin than 16% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

60th percentile

$292,485

Higher top officer pay than 60% of similar nonprofits.

Top officer pay equals 1.0% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

6th percentile

-13%

Faster asset growth than 6% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

40th percentile

3.4%

Faster revenue growth than 40% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets71st percentile

Assets

Down

$17,624,549

Down $2,631,243 (-13%) from 2023

Liabilities

Up

$8,158,859

Up $661,653 (+8.8%) from 2023

Net Assets

Down

$9,465,690

Down $3,292,896 (-26%) from 2023

Operations
Liabilities / Revenue51st percentileNet Margin16th percentile

Revenue

Up

$28,080,067

Up $914,652 (+3.4%) from 2023

Expenses

Up

$31,372,963

Up $2,781,067 (+9.7%) from 2023

Net Income

Down

-$3,292,896

Down $1,866,415 (-131%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth6th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$30M$20M$10M$0Assets 2010: $12,892,723Liabilities 2010: $4,805,888Net Assets 2010: $8,086,8352010Assets 2011: $18,296,700Liabilities 2011: $10,523,127Net Assets 2011: $7,773,5732011Assets 2012: $17,997,768Liabilities 2012: $10,600,715Net Assets 2012: $7,397,0532012Assets 2013: $17,424,510Liabilities 2013: $14,106,544Net Assets 2013: $3,317,9662013Assets 2014: $14,513,894Liabilities 2014: $8,917,404Net Assets 2014: $5,596,4902014Assets 2015: $14,840,548Liabilities 2015: $9,072,783Net Assets 2015: $5,767,7652015Assets 2016: $17,562,541Liabilities 2016: $10,550,729Net Assets 2016: $7,011,8122016Assets 2017: $18,174,525Liabilities 2017: $11,727,439Net Assets 2017: $6,447,0862017Assets 2018: $18,161,813Liabilities 2018: $12,472,132Net Assets 2018: $5,689,6812018Assets 2019: $18,750,973Liabilities 2019: $10,006,957Net Assets 2019: $8,744,0162019Assets 2020: $19,552,380Liabilities 2020: $10,862,124Net Assets 2020: $8,690,2562020Assets 2021: $19,479,475Liabilities 2021: $5,139,212Net Assets 2021: $14,340,2632021Assets 2022: $19,683,914Liabilities 2022: $5,498,847Net Assets 2022: $14,185,0672022Assets 2023: $20,255,792Liabilities 2023: $7,497,206Net Assets 2023: $12,758,5862023Assets 2024: $17,624,549Liabilities 2024: $8,158,859Net Assets 2024: $9,465,6902024

Highlighted filing

2024

Assets$17,624,549
Liabilities$8,158,859
Net Assets$9,465,690
Open 2024 Filing

Operations Trend

Revenue Growth40th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$40M$30M$20M$10M$0-$10MExpenses 2010: $14,193,8822010Revenue 2011: $15,832,671Expenses 2011: $15,838,597Net Income 2011: -$5,9262011Expenses 2012: $17,120,7962012Revenue 2013: $16,049,506Expenses 2013: $19,148,742Net Income 2013: -$3,099,2362013Revenue 2014: $23,154,350Expenses 2014: $20,577,633Net Income 2014: $2,576,7172014Revenue 2015: $21,859,341Expenses 2015: $21,688,066Net Income 2015: $171,2752015Revenue 2016: $25,835,714Expenses 2016: $24,591,667Net Income 2016: $1,244,0472016Revenue 2017: $27,533,033Expenses 2017: $28,097,759Net Income 2017: -$564,7262017Revenue 2018: $29,367,502Expenses 2018: $30,124,907Net Income 2018: -$757,4052018Revenue 2019: $33,589,745Expenses 2019: $30,537,281Net Income 2019: $3,052,4642019Revenue 2020: $25,733,961Expenses 2020: $25,807,688Net Income 2020: -$73,7272020Revenue 2021: $27,227,514Expenses 2021: $24,018,217Net Income 2021: $3,209,2972021Revenue 2022: $25,649,306Expenses 2022: $25,752,918Net Income 2022: -$103,6122022Revenue 2023: $27,165,415Expenses 2023: $28,591,896Net Income 2023: -$1,426,4812023Revenue 2024: $28,080,067Expenses 2024: $31,372,963Net Income 2024: -$3,292,8962024

Highlighted filing

2024

Revenue$28,080,067
Expenses$31,372,963
Net Income-$3,292,896
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$17,624,549
Liabilities
$8,158,859
Net assets
$9,465,690
Revenue
$28,080,067
Expenses
$31,372,963
Net income
-$3,292,896
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$17.6$8.16$9.47$28.1$31.4$3.29
2023Detailed filing. Detailed filing data is available for this year.$20.3$7.50$12.8$27.2$28.6$1.43
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.7$5.50$14.2$25.6$25.8$0.10
2021Detailed filing. Detailed filing data is available for this year.$19.5$5.14$14.3$27.2$24.0$3.21
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.6$10.9$8.69$25.7$25.8$0.07
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$18.8$10.0$8.74$33.6$30.5$3.05
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$18.2$12.5$5.69$29.4$30.1$0.76
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$18.2$11.7$6.45$27.5$28.1$0.56
2016Detailed filing. Detailed filing data is available for this year.$17.6$10.6$7.01$25.8$24.6$1.24
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$14.8$9.07$5.77$21.9$21.7$0.17
2014Import issue. A filing source exists for this year, but detailed import did not complete cleanly.$14.5$8.92$5.60$23.2$20.6$2.58
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$17.4$14.1$3.32$16.0$19.1$3.10
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$18.0$10.6$7.40$17.1
2011Summary only. Only limited summary data is available for this year.$18.3$10.5$7.77$15.8$15.8$0.01
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.9$4.81$8.09$14.2
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Jul 29, 2025
Return Version
2023v6.0
Gross Receipts
$28,080,067
Mission and Program Overview

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, (Continued on Schedule O) 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.

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

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$10,529,059$10,083,831▼ $445,228
Cash and Non-Interest-Bearing Accounts$3,473,143$1,958,225▼ $1,514,918
Intangible Assets$2,252,336$1,912,870▼ $339,466
Accounts Receivable$2,518,392$1,862,638▼ $655,754
Prepaid Expenses and Deferred Charges$308,497$494,766▲ $186,269
Pledges and Grants Receivable$164,743$344,583▲ $179,840
Total Assets$20,255,792$17,624,549▼ $2,631,243
Other Assets Total$1,009,622$967,636▼ $41,986
Liabilities
Accounts Payable and Accrued Expenses$3,648,967$4,461,392▲ $812,425
Other Liabilities$3,650,954$3,422,299▼ $228,655
Deferred Revenue$17,592$267,592▲ $250,000
Unsecured Notes Loans Payable$179,693$7,576▼ $172,117
Total Liabilities$7,497,206$8,158,859▲ $661,653
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$12,455,657$9,256,261▼ $3,199,396
Net Assets With Donor Restrictions$302,929$209,429▼ $93,500
Total Net Assets Fund Balance$12,758,586$9,465,690▼ $3,292,896
Total Liabilities and Net Assets / Fund Balance$20,255,792$17,624,549▼ $2,631,243

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$4,702,508$3,078,079$7,780,587
Leasehold Improvements$4,162,683$3,408,330$7,571,013
Equipment$965,782$3,085,553$4,051,335
Land$251,460-$155,159
Other Land Buildings$1,398$41,931$43,329
Other Assets Org$425,481--
Compensation and Service Providers
Top Officer Pay60th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Meghan L WardPhysicianFT$251,469$41,016$292,485
Daniel CalorasPhysicianFT$253,885$33,692$287,577
Gary ClayPhysicianFT$253,684$16,473$270,157
Rachel BrucePhysicianFT$228,532$35,987$264,519
Joshua DufresneCEOFT$220,548$40,017$260,565
Sarah WeidhaasPhysicianFT$245,062$4,901$249,963
Andrew MajkaCFOFT$179,508$14,989$194,497
Katrina TaylorCMOPT$144,906$2,898$147,804

Board Members and Trustees

NameTitle
Bob FlintBoard Chair
Arianna RobinsonVice Chair
Amanda McLeodBoard Member
Cheryl SanctuaryBoard Member
Jenny AndersonBoard Member
Jim RumrillBoard Member
Julie MartinBoard Member
Kelly PajalaBoard Member
Richard Dexter IIIBoard Member
Rick BibensBoard Member
Susan WhiteBoard Member
Tony PetrilloBoard Secretary
Jim WilburBoard Treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Emergency Services of New EnglandPhysician ServicesPO Box 12, Chester, VT 05143$1,252,313
BP Solution ProvidersTelephone Service1635 Old 41 HWY NW Suite 112-312, Kennesaw, GA 30152$187,239
Michaud's Cleaning Service LLCCleaning Services70 Windy Acres, Charlestown, NH 03603$181,589
BerryDunnAccounting ServicesPO Box 1100, Portland, ME 04102$150,851
Savida HealthBlueprint Support525 Royal Parkway, Nashville, TN 37229$119,497
Revenue and Support

Revenue Composition

Contributions and Grants
$4,047,997
Program Service Revenue
$23,961,470
Investment Income
$0
Other Revenue
$70,600
All Other Contributions
$660,212
Change in Net Assets
$-3,292,896

Audited Revenue Reconciliation

Revenue per Audited Statements
$28,080,067
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$0
Total Revenue per Audited Statements
$28,080,067
Total Revenue per Form 990
$28,080,067
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$20,464,137
Other Expenses$10,908,826
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$15,145,570$1,127,446-$16,273,016
Fees for Services Other$3,991,203$862,830-$4,854,033
Other Employee Benefits$2,099,174$184,410-$2,283,584
Payroll Taxes$1,074,712$118,672-$1,193,384
Occupancy$861,244$95,100-$956,344
Depreciation Depletion$699,999$77,296-$777,295
Current Officers, Directors, Trustees, and Key Employees-$602,866-$602,866
Office Expenses$241,256$81,463-$322,719
Insurance$103,493$94,938-$198,431
Pension Plan Contributions$109,693$1,594-$111,287
Fees for Services Accounting-$60,000-$60,000
Fees for Services Legal-$47,826-$47,826
Travel$26,908$9,180-$36,088
Other Expenses$26,660$7,256-$33,916
Interest$4,729--$4,729
Advertising$250--$250
Total Functional Expenses$27,414,516$3,958,447$0$31,372,963

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$31,372,963
Total Expenses per Audited Statements$31,372,963
Total Expenses per Form 990$31,372,963
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$1,000
Fundraising Direct Expenses$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Operating Lease Liability$2,071,261
Remediation Liability$800,231
Deferred Compensation$425,481
Participant Distribution$112,940
Due to Hospital$12,386
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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.”

Filing and Contact Details

Filer

Filer Name
Springfield Medical Care Systems Inc
EIN
03-0284813
Phone
8028868900
Address
100 River Street, Springfield, VT 05156
Doing Business As
North Star Health

Signing Officer

Name
Andrew Majka
Title
CFO
Phone
8028868900
Signed
2025-07-29
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Joshua Dufresne
Formed
1982
Legal Domicile
Vt
Voting Board Members
13
Independent Board Members
13
Employees
305
Volunteers
13

Preparer

Firm
Berry Dunn McNeil & Parker LLC
Address
2211 Congress St, Portland, ME 04102
Preparer
Melissa Magoon CPA
Phone
2077752387
Supplemental Narrative

Additional Explanations

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).”

Financial Statement Notes

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.”

Raw XML AppendixShowing 400 of 730 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/Desc0Springfield 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, Springfi
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IRS990/MissionDesc0Our 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.
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