2022-08-01T12:38:30-05:00 2021-09-30 366055558 GRANT THORNTON LLP 75 STATE ST 13TH FLOOR BOSTON MA 02109 990 2020-10-01 222563241 SOUTHWESTERN VERMONT MEDICAL CENTER SOUT 8024426361 100 HOSPITAL DRIVE BENNINGTON VT 05201 STEPHEN MAJETICH CFO 8024475011 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 193249543 0 X WWW.SVHEALTHCARE.ORG X 1912 VT SEE SCHEDULE O 20 18 1149 18 0 0 14630280 7239630 159382691 183098698 464337 748846 16574 10100 174493882 191097274 39205 102863 0 0 68062743 71922764 0 0 48117 100143858 109097554 168245806 181123181 6248076 9974093 96938761 99153092 66992196 60822196 29946565 38330896 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 DETAILS. 0 0 117535004 102863 155075370 SOUTHWESTERN VERMONT MEDICAL CENTER IS A 99 BED HOSPITAL THAT PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES AND PHYSICIAN SERVICES IN BENNINGTON AND THE SURROUNDING AREA. IT IS VERMONT'S ONLY MAGNET HOSPITAL FOR NURSING EXCELLENCE. ITS SERVICES INCLUDE A FULLY STAFFED EMERGENCY DEPARTMENT, INCLUDING A CHEST PAIN UNIT, CANCER CENTER, A FAMILY CENTERED BIRTH PLACE, MINIMALLY INVASIVE AND OTHER SURGICAL SERVICES, A RENAL DIALYSIS UNIT, A FULL SERVICE ACCREDITED LABORATORY, PRIMARY CARE AND SPECIALIST PHYSICIANS. THERE ARE SATELLITE CAMPUSES IN DEERFIELD VALLEY, NORTHSHIRE AND POWNAL. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 41766432 0 27994659 THE MEDICAL PRACTICE GROUP INCLUDES: PRIMARY CARE PHYSICIANS, RHEUMATOLOGY AND IMMUNOLOGY, RADIATION ONCOLOGY, MEDICAL ONCOLOGY, PEDIATRIC PRACTICE, GENERAL SURGERY PRACTICE, GASTROENTEROLOGY, UROLOGY PRACTICE, ORTHOPEDICS, THREE OFF CAMPUS CLINICS, INTERNAL MEDICINE PRACTICE, INFECTIOUS DISEASE PRACTICE, OB/GYN PRACTICE, ANESTHESIA SERVICES, DENTISTRY, GERIATRIC PRACTICE, PULMONOLOGY, DERMATOLOGY, NEUROLOGY, CARDIOLOGY, PALLIATIVE CARE AND ENDOCRINOLOGY. 159301436 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 129 0 1 1149 1 0 0 0 0 0 0 0 0 0 0 0 0 X 20 18 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X STEPHEN MAJETICH 8024475011 100 HOSPITAL DRIVE BENNINGTON VT 05201 X THOMAS A DEE CEO 40.00 5.00 X X 537388 0 321014 MICHAEL BRADY TRUSTEE & DENTIST 33.00 3.00 X 170369 0 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 40.00 7.00 X 457440 0 99147 KEVIN P DAILEY VP HR 39.00 1.00 X 303313 0 69757 PAMELA A DUCHENE CNO 40.00 0.00 X 269884 0 32581 RICHARD J OGILVIE JR VP CIO 40.00 0.00 X 232566 0 43814 CAROL DOBSON CMO 40.00 2.00 X 0 0 0 TIMOTHY SNYDER ANESTHESIA ASSISTANT 40.00 0.00 X 253137 0 1895 JOHN P LABERT ANESTHESIA ASSISTANT 40.00 0.00 X 233696 0 14163 MARY E CAMPBELL ANESTHESIA ASSISTANT 40.00 0.00 X 211212 0 26612 CODY J HOLLOWAY ANESTHESIA ASSISTANT 40.00 0.00 X 203810 0 18690 BILLIE L ALLARD PHARMACIST 40.00 0.00 X 191441 0 9205 SUSAN LEWSEY SR HR SPECIALIST 40.00 0.00 X 65127 0 22323 SHIELA BONI FORMER ACTING CNO 0.00 0.00 X 195901 0 20028 3325284 0 679229 60 1 1 0 DARTMOUTH HITCHCOCK MEDICAL CENTER ONE MEDICAL CENTER DRIVE LEBANON NH 03756 PSA AGREEMENT 22846497 DARTMOUTH HITCHCOCK MEDICAL CENTER ONE MEDICAL CENTER DRIVE LEBANON NH 03756 PURCHASED/LAB SVCS 2435537 RENOVO SOLUTIONS LLC 4 EXECUTIVE CIRCLE IRVINE CA 65801 BIOMEDICAL ENGINEERING 1183645 MEDTIGO STAFFING LLC PO BOX 51279 BOSTON MA 02205 CONSULTING 399302 UNITED COUNSELING SERV OF BENN 100 LEDGE HILL DRIVE BENNINGTON VT 05201 CLINICAL SERVICES 358341 27 710811 6470269 58550 7239630 NET PATIENT SERV. REV 621990 145319528 145319528 FIXED PROSPECTIVE REV 621990 31018104 31018104 OTHER 900099 4069803 4069803 PHARMACY 446110 2394671 2394671 CAFETERIA INCOME 722514 296592 296592 183098698 155671 155671 10100 0 10100 10100 10100 2745444 2152269 593175 593175 593175 191097274 183098698 0 758946 X 102863 102863 2291006 636153 1654853 54876117 44197110 10679007 1911295 1498931 412364 8817041 6914756 1902285 4027305 3158410 868895 9053237 8455898 549222 48117 112692 112692 124980 124980 29239 29239 37519782 37452166 67616 611040 611040 3494582 2945046 549536 4058092 3448457 609635 123791 100020 23771 60112 48706 11406 579129 548609 30520 6192218 5548227 643991 703751 703751 MEDICAL SUPPLIES & DRUG 29213572 28866571 347001 PROVIDER TAX 9398676 9398676 LICENSES, DUES, SUB. 1204800 190010 1014790 6617861 5087076 1530785 181123181 159301436 21773628 48117 139580 190748 23271645 15863336 0 0 12006185 14392160 0 0 0 0 0 0 3216326 3207284 1517632 3208416 156065470 117834415 36226046 38231055 7618495 9222840 12942852 14837253 96938761 99153092 18068643 28731516 4607646 555353 6732011 6486344 2618110 2883312 34965786 22165671 66992196 60822196 X 29946565 38330896 29946565 38330896 96938761 99153092 X 9974093 459646 572 -2049980 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 19463 19463 0 PART II-B, LINE 1: OTHER LOBBYING ACTIVITIES: SOUTHWESTERN VERMONT MEDICAL CENTER IS A MEMBER OF THE VERMONT ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS ARE AVAILABLE FOR LOBBYING EXPENDITURES ON BEHALF OF SOUTHWESTERN VERMONT MEDICAL CENTER AND THE OTHER MEMBER ORGANIZATIONS IN FURTHERANCE OF THEIR EXEMPT PURPOSE. 11765029 1744 1091480 836720 12021533 11707678 112349 54998 11765029 11514089 121435 99582 27428 11707678 11387116 120000 92590 85617 11514089 11070205 101833 224092 9014 11387116 0.19690 0.77770 0.02540 0 1 1 5000 5000 49899928 31670421 18229507 0 99612482 82921736 16690746 6548060 3242258 3305802 38231055 DUE FROM AFFILIATES 8521711 FINANCE LEASE ASSETS 2420388 OTHER RECEIVABLES 2150454 DEF. COMPENSATION PLAN ASSETS 899987 OPERATING LEASE ASSETS 841446 OTHER ASSET 3267 14837253 CONTRACT LIABILITIES 6898211 EST AMT DUE TO THIRD PTY PYRS 5886052 PENSION BENEFIT OBLIGATION 2759923 OTHER LIABILITIES 2303630 INTEREST RATE SWAP 1260485 ASSET RETIREMENT OBLIGATION 1217486 ESTIMATED SELF-INS COSTS 990619 OPERATING LEASE LIABILITY 849265 22165671 X 191527681 459646 459646 191068035 29239 29239 191097274 181093942 0 181093942 29239 29239 181123181 PART V, LINE 4: ENDOWMENT FUNDS: THE ENDOWMENTS ARE HELD THROUGH SOUTHWESTERN VERMONT HEALTHCARE FOUNDATION, A RELATED ORGANIZATION, AND ARE INVESTED TO PROVIDE INVESTMENT RETURNS TO FUND GENERAL OPERATIONS AND SPECIFIC DONOR RESTRICTED PURPOSES. 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. 1 1 X 1 X 225.000000000000 1 X 1 1 1 0 1 1 967131 0 967131 0.00530 37776141 21409034 16367107 0.09040 38743272 21409034 17334238 0.09570 1632651 73417 1559234 0.00860 455552 458424 0 0.00000 9719653 5822567 3897086 0.02150 23215 0 23215 0.00010 11831071 6354408 5479535 0.03020 50574343 27763442 22813773 0.12590 1 5305239 599492 38891594 46421914 -7530320 X 1 1 1 1 SOUTHWESTERN VERMONT MEDICAL CENTER 100 HOSPITAL DRIVE BENNINGTON VT 05201 SVHEALTHCARE.ORG 837 X X X X SOLE COMMUNITY HOSPITAL SOUTHWESTERN VERMONT MEDICAL CENTER 0 0 1 X X X X X X X X X 20 1 0 0 1 X HTTPS://SVHEALTHCARE.ORG/COMMUNITYHEALTH X 1 20 1 HTTPS://SVHEALTHCARE.ORG/COMMUNITYHEALTH 0 1 X 225.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X HTTP://SVHEALTHCARE.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/ X HTTP://SVHEALTHCARE.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/ X HTTP://SVHEALTHCARE.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/ X X X X X 1 X 0 X X X X 1 X 0 0 SOUTHWESTERN VERMONT MEDICAL CENTER PART V, SECTION B, LINE 5: COMMUNITY INPUT:AS A NON-PROFIT, SOUTHWESTERN VERMONT MEDICAL CENTER (SVMC) STRIVES TO CREATE MEANINGFUL PUBLIC PARTICIPATION IN OUR STRATEGIC PLANNING, DECISION-MAKING AND IDENTIFICATION OF COMMUNITY NEEDS THROUGH A NUMBER OF CHANNELS. EACH CHANNEL OFFERS OUR HOSPITAL AND HEALTH SYSTEM THE OPPORTUNITY TO HEAR FROM A VARIETY OF VOICES WITHIN OUR COMMUNITIES. COMMUNITY NEEDS ARE ASSESSED AND IDENTIFIED THROUGH SEVERAL WAYS:1. COMMUNITY INPUT PROVIDED TO OUR BOARD OF TRUSTEES, OUR MEDICAL STAFF, AND OUR CONNECTIONS WITH OUTSIDE COMMUNITY GROUPS. 2. SCHEDULED SEASONAL LEGISLATIVE UPDATES IN WHICH ELECTIVE OFFICIALS INFORM SVMC ABOUT NEEDS THAT WERE COMMUNICATED BY THEIR CONSTITUENTS. 3. INFORMATION FROM THE BENNINGTON COMMUNITY COLLABORATIVE, WHICH IS COMPRISED OF LEADERS FROM THE REGION'S MEDICAL AND SOCIAL SERVICE AGENCIES INCLUDING HOUSING, FOOD INSECURITY, EDUCATION, CRIMINAL JUSTICE, AND TRANSPORTATION. 4. ATTENDANCE AT COMMUNITY FORUMS HELD BY OTHER REGIONAL ORGANIZATIONS.5. THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. DUE TO THE PANDEMIC DURING FY21, DIFFERENT STRATEGIES WERE DEPLOYED TO ASSESS NEEDS AND POLL COMMUNITY MEMBERS. THIS INCLUDED FIVE SEPARATE, IN-DEPTH VIRTUAL FOCUS GROUPS INVOLVING COMMUNITY MEMBERS AND LEADERS FROM MULTIPLE SECTORS IN VERMONT, NEW YORK, AND MASSACHUSETTS AND A COMMUNITY SURVEY COMPLETED BY 1,632 RESPONDENTS. THESE FOCUS GROUPS CONSISTED OF RESIDENTS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY SVHC. MEMBERS INCLUDED STATE AND LOCAL PUBLIC HEALTH DEPARTMENTS, A WIDE VARIETY OF COMMUNITY LEADERS, AND REPRESENTATIVES OF THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. FOCUS GROUP DISCUSSIONS DID NOT EXCLUDE ANY POPULATIONS WITH HEALTH DISPARITIES OR GROUPS AT RISK OF NOT RECEIVING ADEQUATE MEDICAL CARE BECAUSE OF BEING UNINSURED OR UNDERINSURED OR DUE TO GEOGRAPHIC, LANGUAGE, FINANCIAL OR OTHER BARRIERS. THE FOCUS GROUPS IDENTIFIED THE HEALTH NEEDS IN THE FOLLOWING DEMOGRAPHIC SEGMENTS: -POPULATION DEMOGRAPHICS -PRE-K AND PARENTS -CHILDREN AND YOUTH (AGES 6-12) -TEENS AND YOUNG ADULT (AGES 13-20) -ADULTS (AGES 21-34) -MATURE ADULTS (AGES 35-64) -SENIORS (AGE GREATER THAN 65) DATA WAS COLLECTED USING A MULTI-PRONGED APPROACH FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. COMMUNITY PERSPECTIVES WERE SOLICITED THROUGH FIVE VIRTUAL COMMUNITY FORUMS, CONVENED TO GATHER QUALITATIVE INFORMATION AND REFLECT UPON INDIVIDUALS' PERSPECTIVES AND EXPERIENCES IN AN INTERACTIVE ENVIRONMENT. EACH FORUM LASTED ONE HOUR, AND FOLLOWED THE SAME AGENDA. AT THE END OF EACH FORUM, A POLL WAS LAUNCHED ASKING "WHAT ARE THE TOP THREE HEALTH NEEDS THAT SHOULD BE PRIORITIZED AND ADDRESSED IN YOUR COMMUNITY." THE LISTED RESPONSE OPTIONS REFLECTED THE MAIN TOPICS AND NEEDS IDENTIFIED THROUGHOUT THE FORUM'S DISCUSSION. BY BUILDING THE POLL'S RESPONSE OPTIONS AFTER THE DISCUSSION HAD TAKEN PLACE, COMMUNITY NEEDS WERE NOT ASSUMED, BUT WERE BASED UPON THE GROUP'S CONVERSATION. WHILE THIS RESULTED IN FIVE POLLS WITH SLIGHTLY DIFFERENT RESPONSE OPTIONS, MOST SESSIONS INCLUDED DISCUSSION ABOUT SIMILAR TOPICS, AND THUS RESULTED IN A SIMILAR POLL. A COMMUNITY SURVEY GATHERED QUANTITATIVE INFORMATION RELATED TO HEALTH CARE EXPERIENCES, PERCEPTION OF PERSONAL AND COMMUNITY WELLBEING, AND SUGGESTIONS FOR IMPROVEMENTS TO THE COMMUNITY HEALTH LANDSCAPE. THE DIGITAL SURVEY WAS DESIGNED TO GATHER INPUT FROM A GREATER DIVERSITY OF INDIVIDUALS IN AN UNOBTRUSIVE, CONFIDENTIAL, AND CONVENIENT WAY. SECONDARY DATA WAS UTILIZED TO CONTEXTUALIZE AND VALIDATE THE INFORMATION PROVIDED BY COMMUNITY MEMBERS. THESE MECHANISMS HELPED CREATE THE HEALTH SYSTEM'S STRATEGIC PLAN, WHICH PRIORITIZES NEEDS FOR OUR COMMUNITY FROM BOTH A SERVICE AND INFRASTRUCTURE PERSPECTIVE. THE PLAN PROVIDES THE HEALTH SYSTEM WITH A FRAMEWORK FOR ACHIEVING COMMUNITY HEALTH IMPROVEMENT GOALS. SOUTHWESTERN VERMONT MEDICAL CENTER PART V, SECTION B, LINE 11: IMPLEMENTATION STRATEGY/ADDRESSING IDENTIFIED NEEDS:THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMPLETED AND APPROVED BY SOUTHWESTERN VERMONT HEALTH CARES (SVHC) BOARD OF TRUSTEES IN SEPTEMBER, 2021. THE PRIORITY HEALTH NEEDS IDENTIFIED FOR SVHC'S SERVICE REGION ARE: 1) MENTAL HEALTH SUPPORTS2) PROMOTION OF HEALTHY BEHAVIORS AND PRIMARY PREVENTION ACTIVITIES3) ACCESSIBILTY OF HIGH-QUALITY, CONVENIENT, AND AFFORDABLE CARE4) SUBSTANCE USE PREVENTION, HARM REDUCTION, TREATMENT AND RECOVERY RESOURCESIN 2021, PROGRAMS WERE IMPLEMENTED TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH AND TO MEET THE HEALTH NEEDS PRIORITIZED BY COMMUNITY MEMBERS. WHILE THE COVID-19 PANDEMIC HINDERED SELECT COMMUNITY HEALTH EFFORTS, PARTICULARLY THOSE INVOLVING IN-PERSON GATHERING, IT ALSO CATALYZED INITIATIVES AND PROGRAMS THAT SUPPORTED THE WELLNESS, DEVELOPMENT, AND EDUCATION OF COMMUNITY MEMBERS. 1) MENTAL HEALTH SUPPORTS: A. SVMC SUPPORTED VERMONT BLUEPRINT'S BEHAVIORAL HEALTH THERAPISTS BY EMBEDDING THESE PRACTITIONERS IN PROVIDER PRACTICESB. SCREENING YOUTH FOR SUBSTANCE USE, DEPRESSION AND ANXIETY, WITH RAPID REFERRALS TO APPROPRIATE SERVICES 2) PROMOTION OF HEALTHY BEHAVIORS AND PRIMARY PREVENTION ACTIVITIESA. COLLABORATION WITH LOCAL SCHOOLS BOLSTERED YOUTH SELF-EFFICACY AND RESILIENCE INCLUDED A BACKPACK AND SCHOOL SUPPLIES PROGRAMB. FOOD SECURITY EFFORTS THROUGH POPULATION HEALTH AND FOOD SECURITY FELLOWSC. SUPPORT FOR LOCAL HEALTH AND WELLNESS PROJECTS AND SPONSORSHIPS INCLUDING THE YMCA, A YOUTH SPORTS TEAMS, AND A TENNIS AND HOMEWORK ASSISTANCE PROGRAM FOR AT-RISK YOUTHD. ENGAGEMENT WITH THE PUBLIC SCHOOL SYSTEM'S HEALTH AND WELLNESS COMMITTEE E. PROMOTION OF RISEVT A PRIMARY PREVENTION PROGRAM TO REDUCE CHILDHOOD OBESITY IN REGIONAL SCHOOLSF. HOSTED A WOMEN'S HEALTH LIVE, INTERACTIVE WEBINAR SERIES FOCUSED ON SEXUAL AND SOCIAL HEALTHG. SUPERVISION OF AN AMERICORPS VISTA FELLOW 3) ACCESSIBILTY OF HIGH-QUALITY, CONVENIENT, AND AFFORDABLE CAREA. FINANCIAL SUPPORT FOR THE BENNINGTON FREE CLINICB. RECRUITMENT OF PRIMARY CARE PROVIDERS AND SPECIALTY PROVIDERSC. EXPANSION OF TELEMEDICINE OFFERINGSD. LAUNCHED CAREQD, A VIRTUAL ON-DEMAND URGENT CARE PLATFORME. PARTNERED WITH CLEARCHOICE MD TO DEVELOP AND LAUNCH AN URGENT CARE PRACTICE4) SUBSTANCE USE PREVENTION, HARM REDUCTION, TREATMENT AND RECOVERY RESOURCESA. COORDINATION OF THE REGION'S OPIOID RESPONSE PLAN INVOLVING MORE THAN 30 COMMUNITY LEADERSB. RAPID ACCESS TO MEDICATION ASSISTED TREATMENT WITHIN THE EMERGENCY DEPARTMENTC. COORDINATION WITH FIRST RESPONDERS AND PEER RECOVERY COACHES FOR IMMEDIATE SUPPORT FOR THOSE SUFFERING A NON-FATAL OPIOID OVERDOSED. BED RESERVATION AT THE REGIONAL HOMELESS SHELTER, AND NARCAN DISTRIBUTIONE. HOSTED A WOMEN'S HEALTH LIVE, INTERACTIVE WEBINAR SERIES FOCUSED ON OPIOID SAFETY AND RECOVERYF. COLLABORATION WITH FIRST RESPONDERS AND PEER RECOVERY COACHES NOT ONLY HELPS THOSE STRUGGLING WITH SUBSTANCE USE DISORDER TO ACCESS, BUT ALSO PROVIDES HEALTH AND LIFESTYLE COACHING TO PREVENT RELAPSE AND ENCOURAGE HEALTHY DECISION-MAKING TWO STRATEGIES SPURRED FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT WERE THE DEVELOPMENT OF A FREE HEALTH MAGAZINE AND CONTINUED SPONSORSHIP OF COMMUNITY HEALTH EDUCATIONAL PROGRAMS. CALLED HEALTHY+, THE MAGAZINE WAS DEVELOPED AND DESIGNED DURING FY21, AND WILL BE DISTRIBUTED IN FY22. IT FOCUSES ON ARTICLES AND CONTENT BROUGHT FORTH FROM THE NEEDS ASSESSMENT, INCLUDING A HELPFUL RESOURCE DIRECTORY. THE MAGAZINE WILL BE DISTRIBUTED THROUGHOUT THE HEALTH SYSTEM'S THREE STATE FOOTPRINT. CONTINUED SPONSORSHIP OF REGIONAL YOUTH ACTIVITIES AND HOMEWORK ASSISTANCE PROGRAMS PROVIDES BOTH THE OPPORTUNITY FOR PROMOTION OF HEALTHY LIFESTYLE EDUCATION AND INCREASES YOUTH ADVANCEMENT AND RESILIENCE. SVMC HAS LEVERAGED, AND WILL CONTINUE TO AMPLIFY, RELATIONSHIPS WITH COMMUNITY PARTNERS TO ADDRESS THE PRIORITY HEALTH NEEDS IDENTIFIED BY THE COMMUNITY HEALTH NEEDS ASSESSMENT.AS THE PANDEMIC CONTINUED, IT WAS CLEAR THAT PUBLIC HEALTH INFORMATION AND COMMUNICATION WAS CRITICAL. SVHC PROVIDED CLEAR, ACCURATE, AND ACTIONABLE INFORMATION THROUGH A MULTI-PRONGED COMMUNICATION STRATEGY INCLUDING: SIGNAGE, INTENSIFIED SOCIAL MEDIA PRESENCE, WEEKLY EMAIL NEWSLETTERS, PRINT MESSAGING, AND BROADCAST MESSAGING. IN COLLABORATION WITH THE SOUTHERN VERMONT CHAMBER OF COMMERCE AND CAT-TV, SVHC PRODUCED MANY COMMUNITY EDUCATION SHOWS FEATURING CLINICAL LEADERS AND INFECTIOUS DISEASE EXPERTS. IN ADDITION, SVHC HOSTED SEVERAL QUESTION AND ANSWER VIRTUAL COMMUNITY FORUMS ABOUT COVID-19 AS WELL AS SESSIONS WITH PRIMARY CARE AND SPECIALTY PHYSICIANS, DIABETES EDUCATORS, AND DIETICIANS FOCUSED ON HEALTHY BEHAVIORS, PREVENTION, DIET AND LIFESTYLE.AS AN ADDITIONAL EFFORT TO EDUCATE THE COMMUNITY, SVMC CREATED AN INTERACTIVE, MULTIPLATFORM MEDICAL-THEMED TALK SHOW HOSTED BY ITS CHIEF MEDICAL OFFICE DR. TREY DOBSON. THIRTY-FOUR 30-MINUTE EPISODES WERE PRODUCED DURING FY21. THE WEEKLY SHOW PROVIDES A BEHIND-THE-SCENES PERSPECTIVE ON HEALTHCARE, INCLUDING TOPICS LIKE BEHAVIORAL HEALTH, FOOD INSECURITY, EQUITABLE CARE, AND THE OPIOID CRISIS. THE SHOW WAS PRODUCED IN PARTNERSHIP WITH CATAMOUNT ACCESS TELEVISION (CAT-TV) AND IS BROADCAST ON CAT-TV, GREATER NORTHSHIRE ACCESS TELEVISION, WILLINET, FACEBOOK LIVE, YOUTUBE, PODCAST PLATFORMS AND SYNDICATED THROUGH THE VERMONT ACCESS NETWORK. IN 2021, SVMC INVESTED $21.3 MILLION IN COMMUNITY BENEFIT ACROSS A WIDE ARRAY OF SERVICES, PROGRAMS AND INITIATIVES. SVMC PROVIDED $967,131 IN CHARITY CARE AND $16.4 MILLION IN UNREIMBURSED MEDICAID AND OTHERMEANS-TESTED GOVERNMENT PROGRAMS. SVMC PROVIDED $3.4 MILLION IN SUBSIDIZED HEALTHCARE AND $293,304 IN PROVIDER RECRUITMENT TO ADDRESS ISSUES WITH HEALTHCARE ACCESS. SVMC ALSO INVESTED $1,167,798 IN COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDING DIABETES EDUCATION, CHILD BIRTH CLASSES AND TRANSITIONAL CARE NURSING. THESE PROGRAMS WERE BALANCED BY EFFORTS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH INCLUDING $171,549 TOWARDS ECONOMIC DEVELOPMENT AND POVERTY ALLEVIATION AND IN DIRECT COMMUNITY BASED HEALTH AND WELLNESS PROGRAMS.THE COMPREHENSIVE, MULTI-YEAR IMPLEMENTATION PLAN ADDRESSES BOTH PROGRAMMATIC AND POLICY BARRIERS TO HEALTH AND WELLBEING. THE PLAN SPANS THE HEALTH SYSTEM AND LEVERAGES COMMUNITY COLLABORATORS. THE EFFORTS IN THE PLAN ARE ORGANIZED INTO FOUR PRIMARY CATEGORIES: 1) MEDICAL SUPPORT PROGRAMS SUCH AS MAINTAINING PRIMARY CARE AND SUPPORTING THE BENNINGTON FREE CLINIC.2) COMMUNITY BUILDING AND ECONOMIC DEVELOPMENT SUCH AS INVESTING IN DOWNTOWN REDEVELOPMENT.3) HEALTH AND WELLNESS PROGRAMS THAT ADVANCE PRIMARY PREVENTION, PARTICULARLY AROUND YOUTH RESILIENCE, CHILDHOOD OBESITY, AND FOOD SECURITY.4) SPONSORSHIP AND COMMUNITY EVENTS THAT EDUCATE ABOUT HEALTHY BEHAVIORS AND PROVIDE OPPORTUNITIES FOR BUILDING COMMUNITY COHESION.EACH INITIATIVE IS MULTIDIMENSIONAL, ADDRESSES MULTIPLE PRIORITY HEALTH NEEDS. TOGETHER WITH COMMUNITY PARTNERS, ADDRESSING THE PRIORITY HEALTH NEEDS WILL REQUIRE DECADES OF INFRASTRUCTURE DEVELOPMENT, EDUCATION REFORM, POLICY CHANGE, CULTURAL CHANGES, AND HEALTHCARE TRANSFORMATION. IN 2021, SVHC IS IN THE DEVELOPMENT STAGE FOR ADDRESSING THE FOLLOWING COMMUNITY HEALTH NEEDS:- COMMUNITY-FACING MENTAL HEALTH SUPPORTS- SUBSTANCE USE PREVENTION AND TREATMENTTHESE TWO COMMUNITY NEEDS ARE IN PROCESS OF IDENTIFYING COLLABORATIVE COMMUNITY PARTNERS AND CREATING A PROGRAMMATIC IMPLEMENTATION PLAN. SOUTHWESTERN VERMONT MEDICAL CENTER PART V, SECTION B, LINE 16J: LEP TRANSLATIONS:THERE ARE NO GROUPS WITH LIMITED ENGLISH PROFICIENCY THAT RISE TO THE THRESHOLD REQUIRED UNDER IRC SECTION 501(R). 3 1 - NORTHSHIRE CAMPUS 5957 MAIN STREET ROUTE 7A NORTH MANCHESTER CENTER VT 05255 PRIMARY CARE, LABORATORY 2 - DEERFIELD VALLEY CAMPUS 30 ROUTE 100 SOUTH WILMINGTON VT 05363 SAME-DAY CARE, LABORATORY 3 - POWNAL FAMILY PRACTICE 7237 ROUTE 7 POWNAL VT 05262 PRIMARY CARE, LABORATORY PART I, LINE 7: COSTING METHODOLOGY:THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1, 3 AND 6. PART I, LINE 7G: SUBSIDIZED SERVICES:THE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH RURAL HEALTH CENTERS (RHC) IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G. SOUTHWESTERN VERMONT MEDICAL CENTER PROVIDES PRIMARY CARE SERVICES TO THE SURROUNDING COMMUNITIES AT THE CENTERS. THESE SERVICES ARE PROVIDED IN RURAL AREAS WHERE THERE WOULD BE A SHORTAGE OF QUALITY MEDICAL CARE WITHOUT THE SERVICES AND THE ORGANIZATION CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED. PART III, LINE 2: BAD DEBT EXPENSE:THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HEALTH SYSTEM DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HEALTH SYSTEM'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED SEPTEMBER 30, 2021. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. PART III, LINE 3: BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE:THE ORGANIZATION HAS ESTIMATED THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY FOR LINE 3 BASED ON CENSUS DATA SHOWING 11.3% OF THE POPULATION IN ITS SERVICE AREA FALLING BELOW THE FEDERAL POVERTY GUIDELINES. PART III, LINE 4: BAD DEBT EXPENSE FOOTNOTE:THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE CAN BE FOUND ON PAGE 13 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: COMMUNITY BENEFIT:SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. PART III, LINE 9B: COLLECTION POLICY:ALL PATIENTS OF THE HOSPITAL HAVE THE ULTIMATE RESPONSIBILITY FOR PAYMENT OF THEIR MEDICAL BILLS; HOWEVER, THE ORGANIZATION RECOGNIZES THAT THERE WILL BE INSTANCES WHERE THE PATIENT WILL BE UNABLE TO MEET THIS OBLIGATION. ALL APPLICATIONS FOR FREE CARE MUST BE MADE TO THE COLLECTION COORDINATOR OR FINANCIAL COUNSELOR, WHO WILL REVIEW THE INFORMATION AND DETERMINE ELIGIBILITY. THE HOSPITAL WILL MAKE EVERY EFFORT TO ASSIST PATIENTS AND THEIR FAMILIES IN ARRANGING FOR THE SETTLEMENT OF THEIR MEDICAL FINANCIAL OBLIGATIONS. PART VI, LINE 2: NEEDS ASSESSMENT:AS A NON-PROFIT, SOUTHWESTERN VERMONT MEDICAL CENTER (SVMC) STRIVES TO CREATE MEANINGFUL PUBLIC PARTICIPATION IN OUR STRATEGIC PLANNING, DECISION-MAKING AND IDENTIFICATION OF COMMUNITY NEEDS THROUGH A NUMBER OF CHANNELS EACH OF THESE CHANNELS OFFERS OUR HOSPITAL AND HEALTH SYSTEM THE OPPORTUNITY TO HEAR A VARIETY OF VOICES FROM OUR COMMUNITIES. INGENERAL, WE IDENTIFY COMMUNITY NEEDS IN SEVERAL WAYS:1. THROUGH LISTENING TO THE COMMUNITY INPUT THROUGH OUR BOARD OFTRUSTEES, OUR MEDICAL STAFF, AND OUR CONNECTIONS WITH OUTSIDE COMMUNITYGROUPS.2. LEGISLATIVE UPDATES DURING WHICH SVMC HEARS FROM ELECTIVE OFFICIALSABOUT NEEDS COMMUNICATED TO THEM FROM CONSTITUENTS.3. THE BENNINGTON COMMUNITY COLLABORATIVE COMPRISED OF LEADERS THAT SPANTHE REGION'S MEDICAL AND SOCIAL SERVICE AGENCIES INCLUDING HOUSING, FOODINSECURITY. EDUCATION, CRIMINAL JUSTICE AND TRANSPORTATION.4. ATTENDANCE AT COMMUNITY FORUMS HELD BY OTHER ORGANIZATIONS, FOREXAMPLE, THE HEALTHCARE TOWN HALL HOSTED BY THE BENNINGTON FREELIBRARY.5. THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WHICH INCLUDED SIX SEPARATE, IN-DEPTH FOCUS GROUPS INVOLVING MORE THAN 70 COMMUNITY MEMBERS AND LEADERS FROM MULTIPLE SECTORS IN VERMONT, NEW YORK, AND MASSACHUSETTS COMMUNITIES. THESE FOCUS GROUPS CONSISTED OF MEMBERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY SVHC. MEMBERSINCLUDED STATE AND LOCAL PUBLIC HEALTH DEPARTMENTS, A WIDE VARIETY OF COMMUNITY LEADERS, AND REPRESENTATIVES OF THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. FOCUS GROUP DISCUSSIONS DID NOT EXCLUDE ANY POPULATIONS WITH HEALTH DISPARITIES OR GROUPS AT RISK OF NOT RECEIVING ADEQUATE MEDICAL CARE BECAUSE OF BEING UNINSURED OR UNDERINSURED OR DUE TO GEOGRAPHIC, LANGUAGE, FINANCIAL OR OTHER BARRIERS.THE FOCUS GROUPS IDENTIFIED THE HEALTH NEEDS IN THE FOLLOWINGDEMOGRAPHIC SEGMENTS:-POPULATION DEMOGRAPHICS-PRE-K AND PARENTS-CHILDREN AND YOUTH (AGES 6-12)-TEENS AND YOUNG ADULT (AGES 13-20)-ADULTS (AGES 21-34)-MATURE ADULTS (AGES 35-64)-SENIORS (AGE GREATER THAN 65)TO REDUCE THE LIST OF IDENTIFIED HEALTH NEEDS, SIMILAR HEALTH NEEDS IN EACH SEGMENT WERE GROUPED AND SIMILAR HEALTH NEEDS IN SEPARATE AGE SEGMENTS WERE COMBINED. FOCUS GROUPS REVIEWED QUANTITATIVE DATA TO FURTHER DEEPEN THEIR PERSPECTIVE OF THE HEALTH NEEDS OF THE COMMUNITY. AFTER CATALOGUING PREVALENT HEALTH NEEDS AND REVIEWING QUANTITATIVE ANDQUALITATIVE DATA, FOCUS GROUPS USED A STRUCTURED VOTING SYSTEM TO PRIORITIZE THE FINAL LIST OF THE MOST PRESSING COMMUNITY HEALTH NEEDS. FOCUS GROUPS ALSO DEVELOPED INITIAL RECOMMENDATIONS FOR THE IMPLEMENTATION PLAN TO ADDRESS THE MOST PRESSING HEALTH NEEDS IDENTIFIED. AS NEEDS ARE IDENTIFIED THROUGH THESE MECHANISMS THEY ARE INCLUDED IN THE PROCESS FOR CREATING THE HEALTH SYSTEM'S STRATEGIC PLAN. THE STRATEGIC PLAN PRIORITIZES NEEDS FOR OUR COMMUNITY BOTH FROM A SERVICE AND INFRASTRUCTURE PERSPECTIVE. THE PLAN PROVIDES THE HEALTH SYSTEM WITH A FRAMEWORK FOR ACHIEVING COMMUNITY HEALTH IMPROVEMENT GOALS. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:SVMC COUNSELS PATIENTS WHO HAVE NO INSURANCE ABOUT FEDERAL AND STATE PROGRAMS AND CHARITY CARE. AS PATIENTS ARE ADMITTED TO OUR FACILITY EITHER FOR OUTPATIENT OR INPATIENT CARE, OUR ADMITTING PERSONNEL WATCH FOR PATIENTS WHO HAVE NO INSURANCE. WHEN WE IDENTIFY PATIENTS WITH NO INSURANCE, WE OFFER THEM THE OPPORTUNITY TO SPEAK WITH A FINANCIALCOUNSELOR WHO CAN HELP THEM FILE THE NECESSARY PAPERWORK TO QUALITY FORANY OF THE VARIED GOVERNMENT INSURANCE PROGRAMS AS WELL AS CHARITY CARE.WE MAKE EVERY EFFORT TO WORK WITH PATIENTS WHILE THEY ARE AT OUR FACILITIES. HOWEVER, WE ALSO FOLLOW UP AFTER A PATIENT VISITS OUR FACILITY TO SEE IF THE PATIENT HAS ANY ADDITIONAL QUESTIONS OR NEEDS FURTHER ASSISTANCE. WE HAVE A FULL-TIME COUNSELOR WHO REGULARLY MEETS WITH ANY PATIENTS WHO LACK INSURANCE OR MAY HAVE DIFFICULTY PAYING TO HELP THEM UNDERSTAND THEIR OPTIONS FOR PAYING FOR CARE AS WELL AS COMPLETE ANY PAPERWORK THEY NEED TO QUALIFY FOR INSURANCE OR CHARITY CARE. OUR SOCIAL SERVICES DEPARTMENT ALSO PERFORMS THESE TASKS. PART VI, LINE 4: COMMUNITY INFORMATION:SERVICE AREA: SOUTHWESTERN VERMONT MEDICAL CENTER (SVMC) IS THE ONLY HOSPITAL IN ITS SERVICE AREA. THE SERVICE AREA IS CENTERED ON BENNINGTON, VT., AND STRETCHES ABOUT 25 MILES TO THE EAST TO THE COMMUNITIES OF WILMINGTON, VT., AND THE DEERFIELD VALLEY. IT STRETCHES 30 MILES TO THE NORTH TO ENCOMPASS THE COMMUNITIES OF MANCHESTER AND DORSET, VT., AND OTHER SMALLER COMMUNITIES ON THE EDGE OF BENNINGTON COUNTY AND THE SOUTHERN PORTIONS OF RUTLAND COUNTY. TO THE WEST, IT STRETCHES 15-20 MILES INTO EASTERN N.Y. AND INCLUDES HOOSICK, HOOSICK FALLS, EAGLE BRIDGE, WHITE CREEK, BERLIN, PETERSBURGH, AND CAMBRIDGE. LASTLY, TO THE SOUTH IT STRETCHES TO THE VERMONT BORDER WITH MASSACHUSETTS AND SERVES SOME MASSACHUSETTS RESIDENTS.DEMOGRAPHICS: THE SVMC SERVICE AREA'S POPULATION GROWTH DECLINED FROM 2000 TO 2019. THE CURRENT POPULATION OF SVMC'S PRIMARY SERVICE AREA IS 50,000. ACROSS OUR FULL SERVICE AREA, INCLUDING FRINGE MARKETS, THE POPULATION IS JUST UNDER 120,000. THE AVERAGE AGE OF RESIDENTS HAS ALSO INCREASED WITH 19% BEING 65 OR OLDER. THE POPULATION SVMC SERVES IS CONSIDERABLY OLDER AND LESS ECONOMICALLY ADVANTAGED THAN THAT IN THE REST OF VERMONT OR THE NATION. AVERAGE AGE OF RESIDENTS HAS ALSO INCREASED WITH 19% BEING 65 OR OLDER. THE POPULATION SVMC SERVES IS CONSIDERABLY OLDER AND LESS ECONOMICALLY ADVANTAGED THAN THAT IN THE REST OF VERMONT OR THE NATION. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH:AS A HEALTH CARE ORGANIZATION, SOUTHWESTERN VERMONT HEALTH CARE (SVMC) FOCUSES ON COMMUNITY BUILDING ACTIVITIES AND HEALTH EDUCATIONAL EVENTS THAT ARE GEARED TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE, INCLUDING IMPROVING ACCESS TO HEALTH CARE AND ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH.ACCESS TO MEDICAL CARE:ENSURING THAT OUR COMMUNITY HAS ACCESS TO HIGH QUALITY PRIMARY AND SPECIALTY CARE IS ESSENTIAL TO ADVANCE THE HEALTH OF THE COMMUNITIES SERVED BY SVMC. ACCOMPLISHING THIS GOAL REQUIRES EFFORT IN THREE DIMENSIONS: (1) PROVIDING OVERSIGHT OF MEDICAL CARE QUALITY; (2) RECRUITING NEW PHYSICIANS; AND (3) EMPLOYING PHYSICIANS IN NEEDED SPECIALTIES. IT IS HARDER TO RECRUIT AND KEEP PHYSICIANS IN RURAL COMMUNITIES THAN EVER BEFORE. IN MANY CASES, WITHOUT SUPPORT FROM THE HEALTH SYSTEM, OUR COMMUNITIES WOULD LOSE PRIMARY AND SPECIALTY CARE. SVMC SUPPORTS PRIMARY CARE PRACTICES IN POWNAL, MANCHESTER, WILMINGTON AND BENNINGTON, AS WELL PRACTICES IN PEDIATRICS, OBSTETRICS AND GYNECOLOGY, PALLIATIVE CARE AND INFECTIOUS DISEASE.IN FISCAL YEAR 2020, SVMC INVESTED IN COMMUNITY-ORIENTED HEALTH EDUCATION, DISEASES SPECIFIC SUPPORT GROUPS, AND COMMUNITY-LOCATED SCREENING EVENTS. ALTHOUGH PROVIDING GREAT HEALTH CARE IS OUR MISSION, SVMC IS DEVOTED TO SUPPORTING OUR COMMUNITIES IN MANY OTHER WAYS; INITIATIVES TO INTRODUCE STUDENTS TO HEALTH CARE CAREERS AND PROVIDE JOB SHADOW OPPORTUNITIES, PRECEPTORSHIPS, COMMUNITY SERVICE OPPORTUNITIES TO LOCAL HIGH SCHOOL AND COLLEGE STUDENTS, A COORDINATOR TO HELP PEOPLE ENROLL IN MEDICAID, MEDICARE, OR OTHER INSURANCES, A PHYSICIAN FINDER LINE TO HELP PEOPLE FIND A PRIMARY CARE PROVIDER OR SPECIALIST, A TRANSITIONAL CARE NURSING PROGRAM THAT FACILITATES SAFER TRANSITIONS TO HOME OR SUBACUTE CARE FOR HOSPITAL PATIENTS THAT HAS RECEIVED NATIONAL ACCLAIM AS A MODEL TO IMPROVE COMMUNITY HEALTH.SVMC'S EXTENSIVE SUPPORT FOR WELLNESS ACTIVITIES, PARTICULARLY AROUND FOOD INSECURITY, HEALTHY EATING AND COOKING, AND INCREASED EXERCISE ARE IMPACTING RESIDENTS ACROSS THE SOCIOECONOMIC SPECTRUM.SVMC'S REGIONAL CANCER PROGRAM OFFERS GENETIC COUNSELING SO THAT AREA RESIDENTS DO NOT HAVE TO TRAVEL FOR HIGH QUALITY CANCER TREATMENT.SVMC PROVIDES TRAINING AND SUPPORT FOR AREA RESCUE SQUADS. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM:THE ORGANIZATION IS A MEMBER OF A CONSOLIDATED GROUP. THE GROUP'S CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE ACCOUNTS OF SOUTHWESTERNVERMONT HEALTH CARE CORPORATION (SVHC), SOUTHWESTERN VERMONT MEDICALCENTER, INC. (SVMC), MOUNT ANTHONY HOUSING CORPORATION (MAHC), SOUTHWESTERN VERMONT HEALTH CARE AUXILIARY, INC. (SVMCA), SOUTHWESTERN VERMONT HEALTH CARE ENTERPRISES (SVMCE) AND SOUTHWESTERN VERMONT HEALTH CARE FOUNDATION (FOUNDATION), SOUTHWESTERN VERMONT HEALTH CARE NEW YORK, LLC (SVHC-NY), TWIN RIVER MEDICAL, PC (TR), AND NORTHERN BERKSHIRE MEDICAL, PC (NBM), SOUTHWESTERN VERMONT HEALTH CARE HOOSICK FALLS, LLC (SVHC-HF), HOOSICK FALLS HEALTH CENTER, INC (HFHC), HOOSICK FALLS HEALTH CENTER FOUNDATION (HFHCF).SOUTHWESTERN VERMONT HEALTH CARE CORPORATION (SVHC) IS NOT-FOR-PROFIT CORPORATION ORGANIZED UNDER THE LAWS OF THE STATE OF VERMONT FOR THE PURPOSE OF SERVING AS A PARENT ORGANIZATION FOR FOUR WHOLLY OWNED ORCONTROLLED SUBSIDIARY CORPORATIONS. ACTIVITIES PERFORMED BY SVHC INCLUDE:MANAGING INVESTMENTS; FUNDRAISING; OPERATING AND MANAGING BUILDINGS ANDEQUIPMENT OWNED AND LEASED BY SUBSIDIARIES AND OTHER RELATED ENTITIES.SVHC AND ITS SUBSIDIARIES ARE PROVIDERS OF HEALTH SERVICES WITH FACILITIES IN AND AROUND THE BENNINGTON, VERMONT AREA. THE SUBSIDIARIES OF THE CORPORATION ARE:SOUTHWESTERN VERMONT MEDICAL CENTER, INC. (SVMC) IS A NOT-FOR-PROFIT, ACUTE CARE HOSPITAL WHICH PROVIDES DIAGNOSTIC AND TREATMENT SERVICES. MOUNT ANTHONY HOUSING CORPORATION (MAHC) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED FOR THE PURPOSE OF DEVELOPING, MANAGING AND OPERATING NURSING HOMES.SOUTHWESTERN VERMONT HEALTH CARE AUXILIARY, INC. (SVMCA) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED FOR THE PURPOSE OF SERVING AND ASSISTING SVMC AND ITS SUBSIDIARIES IN PROMOTING THE HEALTH AND WELFARE OF THE COMMUNITY IN ACCORDANCE WITH SVMC'S OBJECTIVES AND TO CONDUCT VARIOUS PHILANTHROPIC ACTIVITIES FOR SVMC.SOUTHWESTERN VERMONT HEALTH CARE ENTERPRISES (SVHCE) IS A FOR PROFITCORPORATION ORGANIZED FOR THE PURPOSE OF PROVIDING FAMILY PRACTICE ANDOTHER SPECIALTY PHYSICIAN SERVICES.SOUTHWESTERN VERMONT HEALTH CARE FOUNDATION (FOUNDATION) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED EXCLUSIVELY FOR CHARITABLE AND EDUCATIONAL PURPOSES FOR SVMC, ITS SUCCESSORS, SUBSIDIARIES AND AFFILIATES.SOUTHWESTERN VERMONT HEALTH CARE NEW YORK, LLC (SVHCNY) IS A NOT-FOR-PROFIT PROFESSIONAL EMPLOYMENT CORPORATION ORGANIZED FOR STAFFING PURPOSES IN ADDITION TO OWNING AND LEASING PROPERTY FOR TWIN RIVERS MEDICAL, P.C.TWIN RIVERS MEDICAL, P.C. (TWIN RIVERS) IS A NEW YORK NOT-FOR-PROFIT CORPORATION ORGANIZED FOR THE PURPOSE OF PROVIDING FAMILY PRACTICE AND OTHER SPECIALTY PHYSICIAN SERVICES. SVMC CONTROLS THE OPERATIONS OF TWIN RIVERS.NORTHERN BERKSHIRE MEDICAL, P.C. (NBM) IS A MASSACHUSETTS NOT-FOR-PROFITCORPORATION ORGANIZED FOR THE PURPOSE OF PROVIDING ORTHOPEDIC PRACTICE AND OTHER SPECIALTY PHYSICIAN SERVICES. SVMC CONTROLS THE OPERATIONS OF NBM.HOOSICK FALLS HEALTH CENTER, INC (HFHC) IS A NEW YORK NOT-FOR-PROFIT CORPORATION ORGANIZED FOR THE PURPOSE OF DEVELOPING, MANAGING, AND OPERATING NURSING HOMES. SVHC CONTROLS THE OPERATIONS OF HFHC.HOOSICK FALLS HEALTH CENTER FOUNDATION (HFHCF) IS A NEW YORK NOT-FOR-PROFIT CORPORATION ORGANIZED FOR THE PURPOSE OF SUPPORTING HOOSICK FALLS HEALTH CENTER, INC. HFHC CONTROLS THE OPERATION OF HFHCF.SOUTHWESTERN VERMONT HEALTH CENTER HOOSICK FALLS, LLC (SVHC-HF) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED FOR THE PURPOSE OF OWNING HFHC. 1 GREATER BENNINGTON INTERFAITH COMMUNITY SERVICE 107 ADAMS STREET BENNINGTON VT 05201 030369844 501(C)(3) 20000 SUPPORT BENNINGTON COUNTY REGIONAL COMMISSION 111 SOUTH STREET STE 6 BENNINGTON VT 05201 030224444 501(C)(3) 20000 SUPPORT 2 0 PART I, LINE 2: PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: THE ORGANIZATION PROVIDES GRANT FUNDS TO CHARITABLE ORGANIZATIONS BASED ON NEED. THE USE OF THE FUNDS CAN BE SEEN IN THE COMMUNITY. X X X 1 1 0 0 0 0 0 0 0 THOMAS A DEE CEO 403876 0 75580 0 57932 0 288475 0 32539 0 858402 0 0 0 STEPHEN D MAJETICH CFO 300452 0 94930 0 62058 0 67598 0 31549 0 556587 0 0 0 KEVIN P DAILEY VP HR 217116 0 65065 0 21132 0 37500 0 32257 0 373070 0 0 0 PAMELA A DUCHENE CNO 215693 0 37001 0 17190 0 9000 0 23581 0 302465 0 0 0 RICHARD J OGILVIE JR VP CIO 161937 0 44120 0 26509 0 17574 0 26240 0 276380 0 0 0 TIMOTHY SNYDER ANESTHESIA ASSISTANT 249299 0 3000 0 838 0 0 0 1895 0 255032 0 0 0 JOHN P LABERT ANESTHESIA ASSISTANT 230415 0 3000 0 281 0 0 0 14163 0 247859 0 0 0 MARY E CAMPBELL ANESTHESIA ASSISTANT 208118 0 3000 0 94 0 0 0 26612 0 237824 0 0 0 CODY J HOLLOWAY ANESTHESIA ASSISTANT 200669 0 3000 0 141 0 0 0 18690 0 222500 0 0 0 SHIELA BONI FORMER ACTING CNO 88314 0 16000 0 91587 0 4339 0 15689 0 215929 0 0 0 BILLIE L ALLARD PHARMACIST 181506 0 3000 0 6935 0 7048 0 2157 0 200646 0 0 0 MICHAEL BRADY TRUSTEE & DENTIST 166930 0 2500 0 939 0 0 0 0 0 170369 0 0 0 SUSAN LEWSEY SR HR SPECIALIST 60411 0 3000 0 1716 0 2673 0 19650 0 87450 0 0 0 PART I, LINES 4A-B SEVERANCE PAYMENTS: $91,156 SHIELA BONI 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 $29,500 KEVIN DAILEY $9,574 RICHARD OGILVIE $9,000 PAMELA DUCHENE A VT EDUCATIONAL AND HEALTH BUILDING FINANCING AGENCY 237154467 824166BRI 2008-03-20 8865000 CURRENT REFUNDING OF 1995 BONDS 0 0 0 A 2305000 8865000 135047 22593 8707360 2008 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 1 1 0 0 0 1 A 1 SCHEDULE K, PART IV, LINE 2C REBATE COMPUTATION: THE REBATE COMPUTATION WAS PERFORMED 03/20/18. FORM 990, PART I, LINE 1 PROVIDING HEALTH CARE ON BOTH AN INPATIENT AND OUTPATIENT BASIS WITH FACILITIES IN AND AROUND THE BENNINGTON, VT AREA. FORM 990, PART III, LINE 1 ORGANIZATION'S MISSION: OUR MISSION: TO CARE FOR AND COMFORT OUR PATIENTS, RESIDENTS, AND THEIR LOVED ONES AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE. ALSO, TO PROMOTE AND SUPPORT THE DEVELOPMENT AND MAINTENANCE OF A HIGHLY EFFICIENT, PATIENT-FOCUSED, INTEGRATED HEALTHCARE DELIVERY SYSTEM. OUR VISION: TO MAKE THE COMMUNITIES WE SERVE THE HEALTHIEST IN THE NATION AND OUR HEALTH SYSTEM THE SAFEST IN THE NATION. OUR VALUES: KNOWN BY THE ACRONYM QUESTS, SVHC EXPECTS ITS EMPLOYEES TO MODEL THE FOLLOWING VALUES: QUALITY: ACHIEVING THE BEST POSSIBLE OUTCOMES AND SATISFYING THE CUSTOMER IN THE MOST COST-EFFECTIVE MANNER. EMPATHY: TREATING OTHERS IN A COMPASSIONATE AND SENSITIVE MANNER. SAFETY: PREVENTING HARM TO PATIENTS FROM TREATMENT THAT IS INTENDED TO HELP THEM AND TO EMPLOYEES FROM AN ENVIRONMENT THAT IS INTENDED TO SUPPORT THEM. STEWARDSHIP: CONSERVING RESOURCES AND MAKING DECISIONS THAT ACHIEVE THE HIGHEST VALUE AT THE LOWEST COST. 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 A, LINE 3 MANAGEMENT DUTIES: DARTMOUTH-HITCHCOCK MEDICAL CENTER EMPLOYS THE PHYSICIANS. AS PART OF THIS ARRANGEMENT, THE CMO IS AN EMPLOYEE OF DARTMOUTH-HITCHCOCK AND PERFORMS CERTAIN MANAGEMENT FUNCTIONS. THE CMO WAS COMPENSATED IN THE AMOUNT OF $483,338.39. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS: THE SOLE MEMBER OF THE CORPORATION SHALL BE THE SOUTHWESTERN VERMONT HEALTH CARE CORPORATION (SVHC), A NONPROFIT CORPORATION, ACTING THROUGH ITS BOARD OF DIRECTORS (THE SVHC BOARD). THE MEMBER SHALL TAKE ACTION BY RESOLUTION DULY ADOPTED BY THE SVHC BOARD OR BY EXECUTION OF A WRITTEN CONSENT, AUTHORIZED BY THE SVHC BOARD AND EXECUTED BY A PERSON SO AUTHORIZED. THE AFFAIRS OF THE CORPORATION SHALL BE MANAGED AND CONDUCTED BY A BOARD OF DIRECTORS (THE BOARD), SUBJECT TO THE AUTHORITY AND DIRECTION OF THE SVHC BOARD. THE SVHC BOARD SHALL HAVE ULTIMATE RESPONSIBILITY TO ASSURE THAT THE POLICIES AND ACTIVITIES OF THE CORPORATION ARE COORDINATED WITH THOSE OF ITS AFFILIATED CORPORATIONS IN ORDER TO ACHIEVE A HIGHLY EFFICIENT, PATIENT-FOCUSED, INTEGRATED SYSTEM OF HEALTH CARE DELIVERY. ACCORDINGLY, ANY CORPORATE ACTION OF THE CORPORATION AUTHORIZED BY THE SVHC BOARD SHALL BE DEEMED TO BE AUTHORIZED AND DIRECTED BY THE BOARD. IN THE ABSENCE OF ANY DIRECTION FROM SVHC BOARD, THE BOARD MAY TAKE ACTION WITH RESPECT TO THE AFFAIRS OF THE CORPORATION IN ACCORDANCE WITH THESE BYLAWS, PROVIDED HOWEVER, THAT THE BOARD MAY NOT TAKE ACTION WITH RESPECT TO ANY OF THE FOLLOWING MATTERS WITHOUT AUTHORIZATION OF THE SVHC BOARD: ANNUAL OPERATING BUDGETS; CAPITAL BUDGETS; CERTIFICATE OF NEED APPLICATIONS; ANY CONTRACT OR AGREEMENT WHICH IS OF A SUBSTANTIAL NATURE OR WHICH IS NOT INCLUDED IN APPROVED OPERATING OR CAPITAL BUDGETS; ANY VOLUNTARY DISSOLUTION, MERGER, OR CONSOLIDATION OF THE CORPORATION OR THE SALE OR TRANSFER OF ALL OR SUB-CREATION, ACQUISITION, DISSOLUTION, MERGER OR CONSOLIDATION OF ANY SUBSIDIARY OF AFFILIATE OR AUXILIARY CORPORATION; ANY AMENDMENTS TO THE BYLAWS, ARTICLES OF INCORPORATION OF THE CORPORATION; THE STRATEGIC AND MASTER FACILITIES PLANS; AND APPOINTMENT OF CHIEF EXECUTIVE OFFICER. FORM 990, PART VI, SECTION A, LINE 7A PLEASE SEE FORM 990, SECTION A, LINE 6 RESPONSE ABOVE FORM 990, PART VI, SECTION A, LINE 7B PLEASE SEE FORM 990, SECTION A, LINE 6 RESPONSE ABOVE 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 SVHC/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 USES NATIONAL PROFESSIONAL ORGANIZATION SURVEY DATA TO REVIEW THE WAGE DATA OF OTHER OFFICERS AND KEY EMPLOYEES. PROCESS BEGINS WITH A REQUEST TO SVHC'S/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 THE GOVERNANCE 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: SOUTHWESTERN VERMONT MEDICAL CENTER 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. ERIC SEYFERTH, MD, RECEIVES COMPENSATION AS A PHYSICIAN. THOMAS DEE IS COMPENSATED AS THE CEO OF THE SOUTHWESTERN VERMONT HEALTHCARE SYSTEM. MICHAEL BRADY, DDS, RECEIVED COMPENSATION FOR HIS EMPLOYMENT WITH SVMC. FORM 990, PART IX, LINE 11G PHYSISICAN AND CONTRACTED SALARIES: PROGRAM SERVICE EXPENSES 37,452,166. MANAGEMENT AND GENERAL EXPENSES 67,616. TOTAL EXPENSES 37,519,782. FORM 990, PART XI, LINE 9: NET PERIODIC BENEFIT INCOME 2,461,392. DEFINED BENEFIT PENSION COSTS -2,482,782. AMORTIZATION OF NET LOSS 1,610,422. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP 523,255. TRANSFER TO AFFILIATES -4,162,267. SOUTHWESTERN VERMONT HEALTH CARE CORP 100 HOSPITAL DRIVE BENNINGTON VT 05201 030179435 MANAGEMENT VT 501(C)(3) LINE 3 N/A 0 MOUNT ANTHONY HOUSING CORPORATION 100 HOSPITAL DRIVE BENNINGTON VT 05201 030279740 NURSING HOMES VT 501(C)(3) LINE 10 SVHC 0 SOUTHWESTERN VT HEALTHCARE AUXILIARY 100 HOSPITAL DRIVE BENNINGTON VT 05201 222563243 SUPPORT SVHC VT 501(C)(3) LINE 10 SVHC 0 SOUTHWESTERN VT HEALTHCARE FOUNDATION 100 HOSPITAL DRIVE BENNINGTON VT 05201 453362785 FUNDRAISING VT 501(C)(3) LINE 12A, I SVHC 0 TWIN RIVERS MEDICAL PC 16 DANFORTH STREET HOOSICK FALLS NY 12090 473028931 HEALTHCARE NY 501(C)(3) LINE 10 SVMC 1 NORTHERN BERKSHIRE MEDICAL PC 375 MAIN STREET WILLIAMSTOWN MA 01267 814023607 HEALTHCARE 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 0 HOOSICK FALLS HEALTH CENTER FOUNDATION 21 DANFORTH STREET HOOSICK FALLS NY 12090 223186959 FUNDRAISING NY 501(C)(3) LINE 7 HFHC 0 SVHC REALTY INC 100 HOSPITAL DR BENNINGTON VT 05201 861399877 REAL ESTATE MANAGEMENT VT 501(C)(3) LINE 12A, I SVHC 0 SOUTHWESTERN VT HEALTHCARE ENTERPRISES 100 HOSPITAL DRIVE BENNINGTON VT 05201 030314501 HEALTH CARE VT SVHC C 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 1 0 1 1 1