2022-08-01T12:31:36-05:00 2021-09-30 366055558 GRANT THORNTON LLP 75 STATE ST 13TH FLOOR BOSTON MA 02109 990 2020-10-01 030179435 SOUTHWESTERN VERMONT HEALTH CARE CORPORATION SOUT 8024426361 100 HOSPITAL DRIVE BENNINGTON VT 05201 STEPHEN MAJETICH CFO 8024426361 2022-08-01 1 STEPHEN MAJETICH XXX-XX-XXXX ERIN COUTURE P01390592 6177237900 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z THOMAS DEE 100 HOSPITAL DRIVE BENNINGTON VT 05201 64215360 0 X WWW.SVHEALTHCARE.ORG X 1912 VT PROVIDING HEALTH CARE ON BOTH AN INPATIENT AND OUTPATIENT BASIS WITH FACILITIES IN AND AROUND THE BENNINGTON, VT AREA AS WELL AS NEIGHBORING NY AND MA. 20 18 0 0 9949 8949 0 0 3366585 3551911 2825372 10629685 182710 112330 6374667 14293926 0 0 0 0 1373538 340002 0 0 0 2096266 2993296 3469804 3333298 2904863 10960628 75476166 84156797 5626170 6315278 69849996 77841519 X TO CARE FOR AND COMFORT OUR PATIENTS, RESIDENTS, AND THEIR LOVED ONES AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE. (SEE SCHEDULE O FOR ADDITIONAL INFORMATION).THE PURPOSE OF THE ORGANIZATION IS ALSO TO PROMOTE AND SUPPORT THE DEVELOPMENT AND MAINTENANCE OF A HIGHLY EFFICIENT, PATIENT-FOCUSED, INTEGRATED HEALTHCARE DELIVERY SYSTEM. 0 0 3144105 3551911 SOUTHWESTERN VERMONT HEALTH CARE CORPORATION MANAGES AND MAINTAINS MEDICAL OFFICE BUILDINGS IN BENNINGTON, MANCHESTER, WILMINGTON, POWNAL AND WEST DOVER IN VERMONT, AS WELL AS HOOSICK FALLS, NEW YORK AND WILLIAMSTOWN, MASSACHUSETTS. SOUTHWESTERN VERMONT HEALTH CARE CORPORATION SUPPORTS SOUTHWESTERN VERMONT MEDICAL CENTER AND OTHER RELATED PARTIES THROUGH GRANT ADMINISTRATION, ACCOUNTING SERVICES AND SUPPORT OF TRUSTEE EXPENSES. 3144105 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 4 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 20 18 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 1 0 X STEPHEN MAJETICH 8024475002 100 HOSPITAL DRIVE BENNINGTON VT 05201 X THOMAS A DEE CEO 1.00 44.00 X X 0 537388 321014 MICHAEL BRADY TRUSTEE 1.00 35.00 X 0 170369 0 CONNIE JASTREMSKI TRUSTEE 1.00 2.00 X 0 0 0 CAROL CONROY TRUSTEE 1.00 2.00 X 0 0 0 RICHARD ADER TRUSTEE 1.00 3.00 X 0 0 0 JAMES BROWN TRUSTEE, VICE CHAIR 1.00 3.00 X X 0 0 0 KATHLEEN FISHER TRUSTEE, VICE CHAIR (BEG 10/21) 1.00 2.00 X X 0 0 0 WAYNE GRANQUIST TRUSTEE 1.00 2.00 X 0 0 0 TOMMY HARMON JR TRUSTEE, CHAIR 1.00 3.00 X X 0 0 0 STEPHEN KELLY TRUSTEE 1.00 2.00 X 0 0 0 SUE MAGUIRE TRUSTEE 1.00 2.00 X 0 0 0 LARA SHORE-SHEPPARD TRUSTEE, SECRETARY 1.00 2.00 X X 0 0 0 STANLEY STROUP TRUSTEE 1.00 2.00 X 0 0 0 BRIAN G O'GRADY TRUSTEE 1.00 2.00 X 0 0 0 DIMITRI GARDER TRUSTEE 1.00 2.00 X 0 0 0 TOM ZIEGLER TRUSTEE (THRU 3/2021) 1.00 3.00 X 0 0 0 SCOTT ROGGE TRUSTEE 1.00 2.00 X 0 0 0 CHRISTINE MILES TRUSTEE 1.00 2.00 X 0 0 0 ROBERT VAN DEGA TRUSTEE 1.00 3.00 X 0 0 0 MARIE GEORGE TRUSTEE 1.00 2.00 X 0 0 0 BRIAN BAREFOOT TRUSTEE 1.00 2.00 X 0 0 0 KRISTYN HARRINGTON TRUSTEE 1.00 2.00 X 0 0 0 STEPHEN D MAJETICH CFO 1.00 46.00 X 0 457440 99147 0 1165197 420161 0 0 1 0 0 PROPERTY MANAGEMENT 531310 2024739 2024739 OTHER REVENUE 900099 1527172 1527172 3551911 2882571 9949 2872622 112330 0 112330 112330 112330 57668548 49921434 7747114 7747114 7747114 14293926 3551911 9949 10732066 314125 314125 -9078 -9078 12521 12521 22434 22434 15725 15725 276496 276496 16327 13878 2449 689679 586227 103452 408640 347344 61296 34695 29491 5204 LLC EXPENDITURES 1545566 1545566 LOGOWEAR 4832 4832 LICENSES, DUES, SUBS. 269 269 1067 1067 3333298 3144105 189193 0 42500 722046 4305345 91356 0 0 0 0 0 0 0 0 0 0 0 0 6231 9647 15058301 10967185 5632678 4091116 66014243 79773939 13018 13018 -3304401 -4806440 0 2766552 4262115 75476166 84156797 1687891 391345 0 0 4836 4836 1362101 1251410 2571342 4667687 5626170 6315278 X 69849996 77841519 0 0 69849996 77841519 75476166 84156797 X 10960628 -1182785 3508142 -5294462 X 0 1 X 1 0 X 765568 765568 12361052 9919196 2441856 39915 39591 324 1276361 743265 533096 615405 265133 350272 4091116 OTHER ASSETS 58533 DUE FROM AFFILIATES 1425257 OTHER RECEIVABLES 2176 FINANCE LEASE ASSETS 1050000 DEFERRED COMPENSATION PLAN ASSETS 1726149 4262115 DUE TO AFFILIATES 2449387 ACCRUED PENSION LIABILITIES 41847 OTHER LIABILITIES 442930 DEFERRED COMPENSATION 1717673 SELF INSURANCE COSTS 15850 4667687 X 8020985 -1182785 -5090156 -6272941 14293926 0 14293926 3333298 0 3333298 0 3333298 PART X, LINE 2: UNCERTAIN TAX POSITIONS: SVHC, SVMC, MAHC, SVHCA, THE FOUNDATION, SVHCNY, TWIN RIVERS, NBM, AND CNR HAVE BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. THE CORPORATION IS SUBJECT TO TAX ON INCOME UNRELATED TO ITS EXEMPT PURPOSE, UNLESS THAT INCOME IS OTHERWISE EXCLUDED BY THE CODE. EACH ORGANIZATION HAS PROCESSES PRESENTLY IN PLACE TO ENSURE THE MAINTENANCE OF ITS TAX-EXEMPT STATUS; TO IDENTIFY AND REPORT UNRELATED INCOME; TO DETERMINE ITS FILING AND TAX OBLIGATIONS IN JURISDICTIONS FOR WHICH IT HAS NEXUS; AND TO IDENTIFY AND EVALUATE OTHER MATTERS THAT MAY BE CONSIDERED TAX POSITIONS. SVHCE ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH INCOME TAX ACCOUNTING GUIDANCE. THE CORPORATION FOLLOWS GUIDANCE THAT CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, INCLUDING ISSUES RELATING TO FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT. THIS GUIDANCE PROVIDES THAT THE TAX EFFECTS FROM AN UNCERTAIN TAX POSITION CAN ONLY BE RECOGNIZED IN THE FINANCIAL STATEMENTS IF THE POSITION IS "MORE-LIKELY-THAN-NOT" TO BE SUSTAINED IF THE POSITION WERE TO BE CHALLENGED BY A TAXING AUTHORITY. THE ASSESSMENT OF THE TAX POSITION IS BASED SOLELY ON THE TECHNICAL MERITS OF THE POSITION, WITHOUT REGARD TO THE LIKELIHOOD THAT THE TAX POSITION MAY BE CHALLENGED. THE CORPORATION HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS AT SEPTEMBER 30, 2021 AND 2020. PART XI, LINE 2D - OTHER ADJUSTMENTS: PERIODIC BENEFIT COST 25,054. TRANSFER TO (FROM) AFFILIATES -5,115,210. 0 1 0 0 0 0 0 0 0 THOMAS A DEE CEO 0 403876 0 75580 0 57932 0 288475 0 32539 0 858402 0 0 STEPHEN D MAJETICH CFO 0 300452 0 94930 0 62058 0 67598 0 31549 0 556587 0 0 MICHAEL BRADY TRUSTEE 0 166930 0 2500 0 939 0 0 0 0 0 170369 0 0 SCHEDULE J, PART I, LINE 3 TOP MANAGEMENT OFFICIAL COMPENSATION DETERMINATION: SOUTHWESTERN VERMONT MEDICAL CENTER, A RELATED ORGANIZATION, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE CEO: INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: CERTAIN INDIVIDUALS LISTED SCHEDULE J, PART II PARTICIPATED IN A NON-QUALIFIED DEFERRED COMPENSATION ARRANGEMENT. UNDER THE TERMS OF THE PLAN THE INDIVIDUAL WILL BECOME VESTED IN THE PLAN IF THEY REMAIN EMPLOYED THROUGH A TARGETED DATE PURSUANT TO THE PLAN. NO AMOUNTS VESTED IN CALENDAR YEAR 2020 AND AMOUNTS CREDITED UNDER THE PLAN ARE LISTED BELOW AND INCLUDED IN SCHEDULE J, PART II, COLUMN (C). $ 280,475 THOMAS DEE $ 59,598 STEPHEN MAJETICH FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS: CERTAIN LISTED OFFICERS AND BOARD MEMBERS ALSO SERVE AS OFFICERS AND BOARD MEMBERS OF SOUTHWESTERN VERMONT HEALTHCARE ENTERPRISES, A RELATED TAXABLE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE DRAFT 990 IS THEN REVIEWED BY MANAGEMENT AND ACCOUNTING. AFTER ALL SUGGESTED CHANGES FROM MANAGEMENT ARE MADE, THE UPDATED DRAFT FORM 990 IS THEN PRESENTED TO THE FINANCE COMMITTEE. AFTER ANY FINAL CHANGES ARE MADE, THE FORM 990 IS PRESENTED TO THE FULL BOARD OF DIRECTORS BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: TRUSTEES, SENIOR OFFICERS, AND SENIOR MEDICAL STAFF MEMBERS ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST AND POTENTIAL CONFLICTS OF INTEREST TO THE CORPORATE COMPLIANCE OFFICER ANNUALLY. IF THE CORPORATE COMPLIANCE DETERMINES THAT A POTENTIAL CONFLICT OF INTEREST EXISTS, THE MATTER IS REFERRED TO THE AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW AND MAY BE REFERRED TO THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION REVIEW: THE ORGANIZATION'S CEO POSITION IS PAID BY SOUTHWESTERN VERMONT MEDICAL CENTER (SVMC). THE PROCESS SVMC USES TO DETERMINE CEO COMPENSATION IS AS FOLLOWS: THE BOARD ENGAGES AN OUTSIDE CONSULTING FIRM TO REVIEW COMPARABLE CEO SALARY DATA AND USES NATIONAL PROFESSIONAL ORGANIZATION SURVEY DATA IN THE DETERMINATION OF THE CEO'S SALARY AND BENEFITS. IN ADDITION, THE BOARD ENGAGES AN OUTSIDE CONSULTING FIRM AND ALSO USESNATIONAL PROFESSIONAL ORGANIZATION SURVEY DATA TO REVIEW THE WAGE DATA OF OTHER OFFICERS AND KEY EMPLOYEES. PROCESS BEGINS WITH A REQUEST TO SVMC'S COMPENSATION CONSULTANT ASTRON SOLUTIONS TO PERFORM A MARKET ANALYSIS OF THE CEO POSITION. THIS REPORT IS USED AS THE BASIS FOR STRUCTURING COMPENSATION FOR THE CEO DURING THE NEXT CONTRACT PERIOD. USING THE RESULTS OF THE MARKET ANALYSIS WITH INPUT FROM OUR CEO, THE COMPENSATION OFFER FOR THE NEXT CONTRACT PERIOD IS DEVELOPED AND INCORPORATED INTO THE CONTRACT. THE COMPENSATION IS THEN DISCUSSED BY THEGOVERNANCE COMMITTEE OF THE BOARD WITH ASTRON SOLUTIONS IN ATTENDANCE.ASTRON SOLUTIONS WILL PROVIDE A WRITTEN LETTER CONFIRMING THEIR AGREEMENT. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A: BOARD MEMBER COMPENSATION: NO TRUSTEE RECEIVES COMPENSATION FOR THEIR SERVICES AS A TRUSTEE OF THE BOARD. MICHAEL BRADY, DDS, RECEIVES COMPENSATION FOR DENTAL SERVICES PROVIDED. THOMAS DEE IS COMPENSATED AS THE CEO OF THE SOUTHWESTERN VERMONT HEALTHCARE SYSTEM. FORM 990, PART XI, LINE 9: TRANSFER TO RELATED PARTIES -5,115,210. NET PERIODIC BENEFIT COST 25,054. OTHER -204,306. SVHC-NY LLC 100 HOSPITAL DR BENNINGTON VT 05201 810770434 HEALTHCARE VT 1521809 262854 SVHC SVHC-HOOSICK FALLS LLC 21 DANFORTH ST HOOSICK FALLS NY 12090 830789335 HEALTHCARE NY -4806440 SVHC SOUTHWESTERN VT HEALTH CARE AUXILIARY 100 HOSPITAL DRIVE BENNINGTON VT 05201 222563243 SUPPORT SVHC VT 501(C)(3) LINE 10 SVHC 1 SOUTHWESTERN VERMONT MEDICAL CENTER 100 HOSPITAL DRIVE BENNINGTON VT 05201 222563241 HOSPITAL VT 501(C)(3) LINE 3 SVHC 1 MOUNT ANTHONY HOUSING CORPORATION 100 HOSPITAL DRIVE BENNINGTON VT 05201 030279740 NURSING HOMES VT 501(C)(3) LINE 10 SVHC 1 SOUTHWESTERN VT HEALTH CARE FOUNDATION 100 HOSPITAL DRIVE BENNINGTON VT 05201 453362785 FUNDRAISING VT 501(C)(3) LINE 12A, I SVHC 1 TWIN RIVERS MEDICAL PC 2 SUNRISE DRIVE HOOSICK FALLS NY 12090 473028931 HEALTH CARE NY 501(C)(3) LINE 10 SVMC 1 NORTHERN BERKSHIRE MEDICAL PC 375 MAIN STREET WILLIAMSTOWN MA 01267 814023607 HEALTH CARE MA 501(C)(3) LINE 10 SVMC 1 HOOSICK FALLS HEALTH CENTER INC 21 DANFORTH STREET HOOSICK FALLS NY 12090 141370000 NURSING HOME NY 501(C)(3) LINE 3 SVHC 1 HOOSICK FALLS HEALTH CENTER FOUNDATION 21 DANFORTH STREET HOOSICK FALLS NY 12090 223186959 FUNDRAISING NY 501(C)(3) LINE 7 HFHC 1 SVHC REALTY INC 100 HOSPITAL DRIVE BENNINGTON VT 05201 861399877 REAL ESTATE MANAGEMENT VT 501(C)(3) LINE 12A, I SVHC 1 SOUTHWESTERN VT HEALTH CARE ENTERPRISES 100 HOSPITAL DRIVE BENNINGTON VT 05201 030314501 HEALTHCARE VT SVHC C 588000 1.00000 1 1 0 0 1 1 0 0 0 0 1 0 1 1 1 1 1 1 1 0 SOUTHWESTERN VERMONT MEDICAL CENTER A FMV SOUTHWESTERN VT HEALTH CARE FOUNDATION A FMV SOUTHWESTERN VT HEALTH CARE AUXILIARY D 77257 FMV TWIN RIVERS MEDICAL PC A FMV SOUTHWESTERN VERMONT MEDICAL CENTER E FMV TWIN RIVERS MEDICAL PC D FMV SOUTHWESTERN VERMONT MEDICAL CENTER R FMV SOUTHWESTERN VT HEALTH CARE FOUNDATION R FMV HOOSICK FALLS HEALTH CENTER INC D FMV