Annual Report 2020

Mid-State Health Center 2020 Annual Report


 To provide sound primary care to the community, accessible to all regardless of the ability to pay. 

Mid-State had a year of exciting and significant accomplishments toward fulfilling our mission. We are honored that over 11,500 patients chose Mid-State Health Center for their care and benefitted from the expertise and compassion of our 150 employees who provided medical, dental, behavioral health, substance use disorder treatment, childcare, and enabling services at our four locations in Plymouth and Bristol, New Hampshire. Each year brings significant new achievements and we are excited to share some of Mid-State’s most recent with you. 

As we look forward to the years ahead, we know there will be many more opportunities to bring exceptional health care to more patients in our rural communities and beyond. We thank our Mid-State team, sponsors, donors, Board, and community members for sharing this journey with us for the past 22 years. We are actively engaged in this work, and know that we could not do this without your support.

We hope you learn more about Mid-State’s commitment to providing high quality care to the most vulnerable members of our community through this report. 


Robert MacLeod, CEO

Timothy M. Naro, Board President

Robert MacLeod, CEO, Tim Naro, President


Mid-State is a private, nonprofit that has been providing high-quality healthcare services to the community since 1998. We serve the primary care needs of rural, Central New Hampshire. We currently deliver services in Plymouth and Bristol, NH ensuring access to medical services, behavioral health counseling, and care management to patients of all ages. Our approach values and encourages treatment of the whole patient.


  • Adult and Family Medicine
  • Dental Services
  • Prescription Services and On-Site Pharmacy
  • Infusion Therapy
  • Health Insurance Marketplace Assistance
  • Behavioral Health Counseling
  • Recovery and Substance Use Disorder Treatment
  • Imaging and Radiology Services
  • Nutrition and Dietitian Services
  • Patient Support Services


At Our Patient Population


New Clinical Team Members

Mid-State was pleased to welcome four new clinical team members in 2020, including family medicine, dental, radiology, and internal medicine providers. 

Jennifer Bentwood, MD

Family Medicine

Learn More About Dr. Bentwood

Sunny Gaudet, DMD

General Dentist

Learn More About Dr. Gaudet

Mark Cartier

Imaging Services Manager/Sonographer

Learn More About Our Imaging Services

Amanda Schor


Learn More About Our Imaging Services

Ron Sayres


Learn More About Ron

Stephen Regan, MD

Internal Medicine

Learn More About Dr. Regan


Our Community Impact

Patient Visits

“Exceptional quality Providers. I have been a patient since the practice opened. Adding X-ray is a brilliant move. I recently had a telehealth appointment. I felt the care was complete thoughtful and thorough. I understand it is not for everyone but suited my needs and was a full 30 minutes. Thank you for taking good care of me and my family!”

– 2020 Patient Satisfaction Survey

“I have been at Mid-State for over two years. I am always grateful for our team made up of hard-working individuals that have one goal in mind: to take care of our patients in the most caring and professional way possible. I’m always impressed by our commitment to that mission.”

-2020 Employee Satisfaction Survey

Dollars in Total Charity Care


X-Ray and Ultrasound Services

Mid-State’s Imaging Center at Boulder Point opened in March of 2020, providing access to Digital X-ray and Ultrasound services using the latest in high-quality imaging technology.

The Imaging Center is open to all in the community, by referral of their provider, offering a local and cost-effective imaging option. The new advance Digital X-ray equipment provides for a broad array of general X-rays for patients of all ages for common concerns, such as assessing bones for breaks, back pain, and chest X-rays.

“We are extremely happy to bring a cost-effective and convenient imaging option to the region. Mid-State has invested in the best Digital technology and top notch imaging professionals to meet the need of the community” said Robert MacLeod, CEO.

Most recently, Mid-State’s Imaging Center was expanded to its Bristol location, allowing for Ultrasounds to be done right in office.

Learn More About Imaging at Mid-State


Substance Use Disorder

In 2020, Mid-State launched RISE Recovery Services, offering substance use disorder treatment and recovery options for anyone in need. 

RISE Recovery brings together all of Mid-State’s recovery options under one, new brand and highlights Mid-State’s highly effective, patient-centered approach. The RISE model of care focuses on the treatment of the whole patient while helping individuals develop coping skills to assist them on their path to recovery.

The program offers a variety of services including a Medication Assisted Treatment Program (MAT), Intensive Outpatient Program (IOP), and recovery support services.

  • The MAT program helps those in recovery by using a combination of medication and counseling in their treatment.
  • The IOP offers a high level of outpatient recovery treatment through a 12-week program that meets 3 times each week and offers education, group, and individual sessions, as well as specialized programming to help participants meet their individual recovery goals.

Recognizing that everyone’s recovery path is unique, Mid-State’s RISE Recovery Team works together to create a customized treatment plan for each individual based on their recovery goals. People at all levels of recovery in the program are encouraged and supported as they RISE from the grips of their addiction and embrace their new future and recovery journey.

Feeding the need

An initiative of Mid-State

Although hunger is often invisible, it’s a reality for many in our community, forcing those we know to make the tough decision of which bill to pay instead of buying groceries, or sacrificing meals to afford gas.

Hunger in our community was an existing problem, but when added to the repercussions of the pandemic, things have only gotten worse. The NH Food Bank has stated that as a result of the pandemic, 71,000 additional people will become food insecure in NH – that’s a 57% increase. Given the projected staggering increase in people experiencing food insecurity, Mid-State has continued it’s Feed the Need campaign for another year.

The Feed the Need program at Mid-State was developed to fight those food insecurities that our patients and their families may face. 

By implementing an evidence-based screening tool into our primary care model, we are able to identify those patients who may not have the food resources they need to maintain their health. 

Feed the Need gives our patients who screen food insecure, a bag of healthy groceries along with nutritious recipes that can feed four people for three days, as well as a gift card to the local grocery store for them to purchase fresh meats and produce. In addition, patients are connected with one of our on-site Care Coordinators to help them connect and navigate additional local food resources available.

Donate Now to help us in Feeding the Need

Thank you to some of our generous donors!

Mid-State’s Medical Director

Dr. David Fagan, MD, A longtime Internal Medicine physician at Mid-State, began in his new role as Medical Director for the health center in early May. Dr. Fagan brings extensive experience working in clinical health care in a career that spans more than thirty years with over ten years as a part of Mid-State’s care team.

Learn More about. Dr. Fagan


To the COVID-19 Pandemic

Learn About COVID-19 Testing Options at Mid-State

2020 has been a year of great challenges for the country, our local community, and Mid-State Health Center, however it’s also been a year of great reward at meeting those challenges.

The safety of Mid-State’s patients and staff were at the forefront of our pandemic response. By instituting a mandatory mask policy early on, we were able to mitigate the risks that those in our building would face. In addition, and like many health care organizations, we hired staff for front door screening for all those who enter our building. We were also able, with the generous donation of Jessie Soleberg and his company, Mad River Tents, to create outdoor visits to see patients who had potential COVID-19 symptoms with our Curbside Care Model. 

Although this has since moved indoors, we are excited to announce our renovations to create a COVID-19 testing space to ensure our patients are better protected and comfortable to receive the care that they need, when they need it most.

Having this screening, COVID tent, and face mask policy has allowed us to remain fully open throughout the entire pandemic. Unlike most hospitals and clinics, we’ve never laid-off or furloughed a single staff member or closed our clinic services to anyone.

In addition, Mid-State was able to transition smoothly into telehealth services to allow patients who are unable to come into the clinic to still receive the care that they need. Especially now, healthcare is important to keep up with, and Mid-State was steadfast in continuing primary services throughout the pandemic.

Telehealth has allowed us to continue to address the mental health needs of Mid-State patients which have greatly increased due to the pandemic. We also continue to address the community’ substance abuse crisis with our Recovery Services. We’ve improved safety for dental patients with improved air flow exchange and protective equipment. We’ve started doing rapid COVID testing which is available to Mid-State and non-Mid-State patients and gives COVID results in 15 minutes, allowing kids to go back to school and parents to return to work without waiting for days to get results.

The COVID-19 response at Mid-State was led by our hard working and dedicated clinical director, Carolyn Varin, and medical director, David Fagan, and staffed by really brave and committed medical assistants, nurses, physicians, nurse practitioners, and eventually all Mid-State staff, even our managers and CEO. This may be the only place where you could be greeted at the door by the administrator checking your temperature! They withstood cold, wind, rain, heat, bugs, and especially fear as we didn’t fully know our risk at the time

“Mid-State is forever grateful for the community’s generosity throughout the pandemic, as well as with our staff’s dedication in assuring patients that we will do everything possible to keep them protected, now more than ever.”

Dr. Robert MacLeod


MSHC by the Numbers

  • 156 Patient Rides to provide access to healthcare services at Mid-State
  • Over 40 families fed with our Feed the Need Program
  • 3 New Services and 4 New Clinical Team Members
  • $336,360 in Unreimbursed Charity Care to the Community
  • 13.24% Increase in Employment at Mid-State Health Center
  • 42,066 Total Patient Visits


To the future

What’s next in Mid-State’s journey to fulfill our mission of accessible, high-quality healthcare to the entire community? 

  • Stay tuned for more information about our state of the art, environmentally friendly, Children’s Learning Center! Construction will being in early 2021 and will accommodate the increasing demand of the region’s families and their children seeking safe and reliable, year-round childcare. 
  • Mid-State’s New Telepsychiatry Services to assist our clinicians and Behavioral Health providers with prescribing psychiatric medications to patients.
  • In the Boulder Point Office – Plymouth, a new and improved lobby that will allow the community more accessible COVID-19 Testing options.


Where Our Community Comes Together

Mid-State Health Center wishes to thank and recognize those who ensure we are able to deliver on our promise to provide high-quality primary care to all regardless of their ability to pay. 

Bristol Rotary Club

Plymouth Rotary Club

District Rotary Club

Speare Memorial Hospital

Jessie Soleberg, Mad River Tents

Town of Alexandria

Town of Campton

Town of Danbury

Town of Groton

Town of Lincoln

Town of Thornton

Town of Warren

Dr. Diane Aresenault

Amy Begalle

Dr. Andre Berry

Quentin Blaine, Esq.

Mrs. Ann Blair

Ms. Karen Bourgeois

Mr. Robert Broadhurst & Mrs. Teri Broadhurst

Steven Camerino & Sarah Knowlton

Mrs. Kristen Craig

Mr. John Currier

Mr. and Mrs. James Dalley

Kim Fader

Dr. David Fagan

Erica Faulkner

Ms. Sunshine Fisk

Ms. Audrey Goudie

Mr. John & Mrs. Ann Haartz

Dr. Dennis Hannon

Samantha Hooper

Jane Kellog

Mr. Bill Kharkheck

Aimee Kolomick

Bob & Maureen Lamb

Mrs. Wendy Lasch-Williams & Mr. Doug Williams

Mr. Peter Laufenberg

Mr. Michael Long

Mr. James Lurie

Mr. and Mrs. Robert MacLeod

Amy McCormack

Joe McKellar

Katie Marrow

Patrick & Pamela Miller

Jim Mulroy & Chris Keppelman

Mrs. Debra Naro, CADY

Patricio Nicolalde

Mr. Jeffrey Owen

Carina Park

Dr. Kelly Perry

Dr. Stephen Regan

Ron Reynolds & Jane Kellog

Dr. Alan Rosen & Mrs. Peggy Rosen

Ally Schwab

Rene Schwartz

Dr. Claire Scigliano

Mr. AJ Sousa

Larry and Eleanor Spencer

Sara Jayne Steen & Joseph Bourque

Mr. Mark Troiano

Dr. Tonya Warren

Kelley Watkin APRN

Jeffrey & Jane White

Ms. Paula Winsor & Mr. Robert Pike

Katie Wood Hedberg, APRN


Our Leadership and Board of Directors


Timothy M. Naro, President

Peter Laufenberg, Vice President

Carina Park, Secretary

Todd Bickford, Treasurer

Carol Bears, Director

Nicholas Coates, Director

Isaac Davis, Director

Sunshine Fisk, Director

Lee Freeman, Director

Mike Long, Director

Joseph Monti, Director

Cynthia Standing, Director


Robert MacLeod, PhD, Chief Executive Officer

Bill Sweeney, MBA, Chief Financial Officer

David Fagan, MD, Medical Director

Andrea Berry, DO, Bristol Lead Physician, Recovery Services Director

Kelly Perry, DMD, Dental Director

Tonya Warren, PsyD, Behavioral Health Director

Amanda Bennett, Assistant Finance Director

Rebecca Ekholm, Compliance, Patient, Experience, and Risk Director

Audrey Goudie, Marketing, Communications, and Philanthropy Director

Debbie Guilbert, Patient Services Director

Wendy Williams, MBA, Grants and Programming Director

Carolyn Varin, Clinical Services Director

Alison Orr, Children’s Learning Center Director


Our Financials

Net Revenue


Total Expenses


Depreciation Expense


Bad Debt Expense


Income/(Loss) before Grants


Grants and Donations


Net Income/(Loss) after Grants


Printable 2020 Annual Report Located Here!

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