SOUTHWESTERN VERMONT MEDICAL CENTER INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: SOUTHWESTERN VERMONT MEDICAL CENTER INC (EIN 22-2563241)
Tax period: 2019-10-01 to 2020-09-30
Filed: 2021-08-13
IRS object ID: 202112259349302351
Schema version: 2019v5.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-08-13T12:19:25-05:00	ReturnTs
Tax Period End	2020-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	910 E ST LOUIS 200/PO BOX 1190	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	658062523	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	222563241	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHWESTERN VERMONT MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% STEPHEN MAJETICH	InCareOfNm
Business Name Control	SOUT	BusinessNameControlTxt
Phone	8024426361	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 HOSPITAL DRIVE	AddressLine1Txt
City	BENNINGTON	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05201	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	STEPHEN D MAJETICH	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2021-02-26	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brian D Todd	PreparerPersonNm
PTIN	P00422601	PTIN
Phone	4178658701	PhoneNum

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	THOMAS DEE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 HOSPITAL DRIVE	AddressLine1Txt
City	BENNINGTON	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05201	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$178,426,597	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SVHEALTHCARE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1912	FormationYr
Legal Domicile State	VT	LegalDomicileStateCd
Activity Or Mission	PROVIDING HEALTH CARE ON BOTH AN INPATIENT AND OUTPATIENT BASIS WITH FACILITIES IN AND AROUND THE BENNINGTON, VT AREA.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	17	VotingMembersIndependentCnt
Total Employee	1161	TotalEmployeeCnt
Total Volunteers	45	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$1,290,533	PYContributionsGrantsAmt
CY Contributions Grants	$14,630,280	CYContributionsGrantsAmt
PY Program Service Revenue	$170,636,563	PYProgramServiceRevenueAmt
CY Program Service Revenue	$159,382,691	CYProgramServiceRevenueAmt
PY Investment Income	$491,339	PYInvestmentIncomeAmt
CY Investment Income	$464,337	CYInvestmentIncomeAmt
PY Other Revenue	$16,474	PYOtherRevenueAmt
CY Other Revenue	$16,574	CYOtherRevenueAmt
PY Total Revenue	$172,434,909	PYTotalRevenueAmt
CY Total Revenue	$174,493,882	CYTotalRevenueAmt
PY Grants And Similar Paid	$53,685	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$39,205	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$65,639,034	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$68,062,743	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$100,122,548	PYOtherExpensesAmt
CY Other Expenses	$100,143,858	CYOtherExpensesAmt
PY Total Expenses	$165,815,267	PYTotalExpensesAmt
CY Total Expenses	$168,245,806	CYTotalExpensesAmt
PY Revenues Less Expenses	$6,619,642	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$6,248,076	CYRevenuesLessExpensesAmt
Total Assets BOY	$85,672,806	TotalAssetsBOYAmt
Total Assets EOY	$96,938,761	TotalAssetsEOYAmt
Total Liabilities BOY	$49,816,587	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$66,992,196	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$35,856,219	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$29,946,565	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$104,053,330	ExpenseAmt
Grant	$39,205	GrantAmt
Revenue	$70,532,538	RevenueAmt
Desc	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.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$47,028,405	ExpenseAmt
Revenue	$88,850,153	RevenueAmt
Desc	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.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$151,081,735	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	114	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1161	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	17	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	STEPHEN MAJETICH	PersonNm
Phone	8024475011	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 HOSPITAL DRIVE	AddressLine1Txt
City	BENNINGTON	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05201	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
THOMAS DEE
CEO	40.0	4.0	Yes (X)	Yes (X)	$540,879	$0	$282,796
STEPHEN MAJETICH
CFO	40.0	4.0		Yes (X)	$446,389	$0	$101,415
KEVIN DAILEY
VP HR	39.0	0.0		Yes (X)	$296,905	$0	$30,912
ANGELINE MARANO
VP MPD	0.0	0.0			$270,229	$0	$11,114	Yes (X)
RICHARD OGILVIE
VP CIO	40.0	0.0		Yes (X)	$238,443	$0	$31,459
SHEIL BONI
ACTING CNO	40.0	0.0			$201,335	$0	$33,538		Yes (X)
JAMES ROY
CONTROLLER	40.0	0.0			$174,932	$0	$34,638			Yes (X)
DREW LERMAN
DIRECTOR OF FINANCE	40.0	0.0			$174,193	$0	$32,871			Yes (X)
BILLIE LYNN ALLARD
ADMINISTRATIVE DIR OF NURSING	40.0	0.0			$185,384	$0	$13,535			Yes (X)
ANTONIETTA MAZZARIELLO
DIRECTOR OF REVENUE CYCLE	40.0	0.0			$169,840	$0	$12,085			Yes (X)
RICHARD BARBIERRI
DENTIST	40.0	0.0			$176,931	$0	$65			Yes (X)
MICHAEL BRADY DDS
TRUSTEE	40.0	2.0	Yes (X)		$175,950	$0	$65
ERIC SEYFERTH MD
TRUSTEE, CHAIR OF UHA END 9/20	1.0	2.0	Yes (X)		$34,356	$0	$1,374
CAROL CONROY
TRUSTEE	40.0	2.0	Yes (X)		$0	$0	$0
RICHARD ADER
TRUSTEE	1.0	2.0	Yes (X)		$0	$0	$0
JAMES BROWN
TRUSTEE, VICE CHAIR	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
KATHLEEN FISHER
TRUSTEE	1.0	2.0	Yes (X)		$0	$0	$0
WAYNE GRANQUIST
TRUSTEE	1.0	2.0	Yes (X)		$0	$0	$0
TOMMY HARMON JR
TRUSTEE, CHAIR	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
CONNIE JASTREMSKI
TRUSTEE	1.0	2.0	Yes (X)		$0	$0	$0
STEPHEN KELLY
TRUSTEE	1.0	2.0	Yes (X)		$0	$0	$0
SUE MAGUIRE
TRUSTEE	1.0	2.0	Yes (X)		$0	$0	$0
CHARLES SALEM
TRUSTEE END 09/20	1.0	2.0	Yes (X)		$0	$0	$0
LARA SHORE-SHEPPARD
TRUSTEE, SECRETARY	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
THEMARGE SMALL
TRUSTEE END 02/20	1.0	3.0	Yes (X)		$0	$0	$0
STANLEY STROUP
TRUSTEE	1.0	3.0	Yes (X)		$0	$0	$0
BRIAN G O'GRADY
TRUSTEE	1.0	2.0	Yes (X)		$0	$0	$0
DIMITRI GARDER
TRUSTEE	1.0	2.0	Yes (X)		$0	$0	$0
TOM ZIEGLER
TRUSTEE	1.0	3.0	Yes (X)		$0	$0	$0
BOB VAN DEGNA
TRUSTEE BEG 07/20	1.0	3.0	Yes (X)		$0	$0	$0
SCOTT ROGGE MD
TRUSTEE BEG 09/20	1.0	2.0	Yes (X)		$0	$0	$0
CHRISTINE MILES
TRUSTEE BEG 07/20	1.0	2.0	Yes (X)		$0	$0	$0
CARL DOBSON
CMO	40.0	0.0		Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,085,766	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$585,867	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	60	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
DARTMOUTH HITCHCOCK MEDICAL CENTER
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	PSA AGREEMENT	$33,265,734
DARTMOUTH HITCHCOCK MEDICAL CENTER
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	PURCHASED/LAB SVCS	$1,915,413
ANESTHESIOLOGY ASSOCIATES OF BENNIN
100 HOSPITAL DRIVE	BENNINGTON	VT	05201	PHYSICIAN PSA	$1,308,935
RENOVO SOLUTIONS LLC
4 EXECUTIVE CIRCLE SUITE 185	IRVINE	CA	92614	BIOMEDICAL ENG	$1,026,480
PINNACLE PHYSICIAN RESOURCE GROUP
9085 E MINERAL CIRCLE STE 110	CENTENNIAL	CO	20112	CONSULTING	$339,662

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	13	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,095,251	RelatedOrganizationsAmt
Government Grants	$13,535,029	GovernmentGrantsAmt
Total Contributions	$14,630,280	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621990	$127,017,217	$127,017,217
CAFETERIA INCOME	722514	$402,816	$402,816
PHARMACY	446110	$2,943,060	$2,943,060
FIXED PROSPECTIVE REVENUE	621990	$27,050,585	$27,050,585
OTHER	900099	$1,969,013	$1,969,013

Field	Value	IRS element (for citing)
Total Program Service Revenue	$159,382,691	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$201,795	TotalRevenueColumnAmt
Exclusion	$201,795	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$16,574	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$16,574	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,574	TotalRevenueColumnAmt
Exclusion	$16,574	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$4,191,297	SecuritiesAmt
Other	$3,960	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$3,932,715	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$258,582	SecuritiesAmt
Other	$3,960	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$262,542	TotalRevenueColumnAmt
Exclusion	$262,542	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$174,493,882	TotalRevenueColumnAmt
Related Or Exempt Func Income	$159,382,691	RelatedOrExemptFuncIncomeAmt
Exclusion	$480,911	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$39,205	TotalAmt
Program Services	$39,205	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,415,816	TotalAmt
Program Services	$1,044,337	ProgramServicesAmt
Management And General	$1,371,479	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$281,343	TotalAmt
Program Services	$281,343	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$50,464,181	TotalAmt
Program Services	$43,318,814	ProgramServicesAmt
Management And General	$7,145,367	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,810,585	TotalAmt
Program Services	$1,803,132	ProgramServicesAmt
Management And General	$7,453	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,620,734	TotalAmt
Program Services	$7,325,610	ProgramServicesAmt
Management And General	$1,295,124	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,470,084	TotalAmt
Program Services	$3,779,856	ProgramServicesAmt
Management And General	$690,228	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$177,880	TotalAmt
Management And General	$177,880	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$171,858	TotalAmt
Management And General	$171,858	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$41,527	TotalAmt
Management And General	$41,527	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$43,037,224	TotalAmt
Program Services	$40,411,286	ProgramServicesAmt
Management And General	$2,625,938	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$530,072	TotalAmt
Program Services	$478,992	ProgramServicesAmt
Management And General	$51,080	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,006,294	TotalAmt
Program Services	$4,529,609	ProgramServicesAmt
Management And General	$476,685	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,906,887	TotalAmt
Program Services	$3,543,358	ProgramServicesAmt
Management And General	$363,529	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,057,723	TotalAmt
Program Services	$3,548,023	ProgramServicesAmt
Management And General	$509,700	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$139,240	TotalAmt
Program Services	$106,459	ProgramServicesAmt
Management And General	$32,781	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$269,970	TotalAmt
Program Services	$93,054	ProgramServicesAmt
Management And General	$176,916	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$598,193	TotalAmt
Program Services	$541,740	ProgramServicesAmt
Management And General	$56,453	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,085,932	TotalAmt
Program Services	$5,596,709	ProgramServicesAmt
Management And General	$489,223	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$957,019	TotalAmt
Program Services	$957,019	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS	$23,589,464	$23,589,464
PROVIDER TAX	$9,784,284	$9,784,284
LICENSES, DUES, SUBSCRIPTIONS	$1,780,625	$305,272	$1,475,353
MISCELLANEOUS EXPENSE	$9,666	$4,169	$5,497

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$168,245,806	TotalAmt
Program Services	$151,081,735	ProgramServicesAmt
Management And General	$17,164,071	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$296,515	BOYAmt
EOY	$139,580	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$10,469,772	BOYAmt
EOY	$23,271,645	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$13,685,518	BOYAmt
EOY	$12,006,185	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,054,260	BOYAmt
EOY	$3,216,326	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,885,096	BOYAmt
EOY	$1,517,632	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$154,358,914	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$118,132,868	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$37,707,493	BOYAmt
EOY	$36,226,046	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$7,034,574	BOYAmt
EOY	$7,618,495	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$11,539,578	BOYAmt
EOY	$12,942,852	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$85,672,806	BOYAmt
EOY	$96,938,761	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$21,742,021	BOYAmt
EOY	$18,068,643	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$4,607,646	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,967,678	BOYAmt
EOY	$6,732,011	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$2,721,910	BOYAmt
EOY	$2,618,110	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$18,384,978	BOYAmt
EOY	$34,965,786	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$49,816,587	BOYAmt
EOY	$66,992,196	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$35,856,219	BOYAmt
EOY	$29,946,565	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$35,856,219	BOYAmt
EOY	$29,946,565	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$85,672,806	BOYAmt
EOY	$96,938,761	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$6,248,076	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$340,875	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$12,498,605	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$20,573	OtherActivitiesAmt
Total Lobbying Expenditures	$20,573	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1(I)	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,707,678	BeginningYearBalanceAmt
Contributions	$4,205	ContributionsAmt
Investment Earnings Or Losses	$273,154	InvestmentEarningsOrLossesAmt
Other Expenditures	$114,423	OtherExpendituresAmt
End Year Balance	$11,870,614	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,514,089	BeginningYearBalanceAmt
Contributions	$121,435	ContributionsAmt
Investment Earnings Or Losses	$99,582	InvestmentEarningsOrLossesAmt
Other Expenditures	$27,428	OtherExpendituresAmt
End Year Balance	$11,707,678	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,387,116	BeginningYearBalanceAmt
Contributions	$120,000	ContributionsAmt
Investment Earnings Or Losses	$92,590	InvestmentEarningsOrLossesAmt
Other Expenditures	$85,617	OtherExpendituresAmt
End Year Balance	$11,514,089	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,070,205	BeginningYearBalanceAmt
Contributions	$101,833	ContributionsAmt
Investment Earnings Or Losses	$224,092	InvestmentEarningsOrLossesAmt
Other Expenditures	$9,014	OtherExpendituresAmt
End Year Balance	$11,387,116	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,065,382	BeginningYearBalanceAmt
Investment Earnings Or Losses	$53,364	InvestmentEarningsOrLossesAmt
Other Expenditures	$48,541	OtherExpendituresAmt
End Year Balance	$11,070,205	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.99840	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00160	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,000	OtherCostOrOtherBasisAmt
Book Value	$5,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$48,412,047	OtherCostOrOtherBasisAmt
Depreciation	$30,896,261	DepreciationAmt
Book Value	$17,515,786	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$100,650,679	OtherCostOrOtherBasisAmt
Depreciation	$87,087,298	DepreciationAmt
Book Value	$16,563,381	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,291,188	OtherCostOrOtherBasisAmt
Depreciation	$3,149,309	DepreciationAmt
Book Value	$2,141,879	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$36,226,046	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$9,976,557
OTHER RECEIVABLES	$1,520,290
DEF. COMPENSATION PLAN ASSETS	$1,446,005

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$12,942,852	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
ASSET RETIREMENT OBLIGATION	$1,217,212
EST AMT DUE TO THIRD PTY PYRS	$9,622,181
INTEREST RATE SWAP	$1,783,740
PENSION BENEFIT OBLIGATION	$10,019,693
ESTIMATED SELF-INS COSTS	$1,100,693
OTHER LIABILITIES	$1,752,267
CONTRACT LIABILITIES	$9,470,000

Field	Value	IRS element (for citing)
Total Liability	$34,965,786	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$176,293,449	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$340,875	NetUnrealizedGainsInvstAmt
Other Revenue	$1,704,628	OtherRevenueAmt
Revenue Not Reported	$2,045,503	RevenueNotReportedAmt
Revenue Subtotal	$174,247,946	RevenueSubtotalAmt
Other Revenues Not Included	$245,936	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$245,936	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$174,493,882	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$168,204,279	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$168,204,279	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$41,527	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$41,527	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$168,245,806	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, 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.
SCHEDULE D, PART X, LINE 2	UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
SCHEDULE D, PART XI, LINE 2D	AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $( 322,414) CHANGE IN FAIR VALUE OF INTEREST RATE SWAP ( 41,527) INVESTMENT MANAGEMENT FEES 2,068,569 PERIODIC BENEFIT COSTS ------------ $ 1,704,628
SCHEDULE D, PART XI, LINE 4B	AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 245,936 GRANTS FOR ACQUISITION OF PROPERTY & EQUIPMENT

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	225.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,227,520	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,227,520	NetCommunityBenefitExpnsAmt
Total Expense	0.00730	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,398,384	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,006,508	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,391,876	NetCommunityBenefitExpnsAmt
Total Expense	0.09740	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,625,904	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,006,508	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,619,396	NetCommunityBenefitExpnsAmt
Total Expense	0.10470	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,448,449	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$136,332	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,312,117	NetCommunityBenefitExpnsAmt
Total Expense	0.00780	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$505,811	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$410,683	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$95,128	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,579,854	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,961,352	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,618,502	NetCommunityBenefitExpnsAmt
Total Expense	0.01560	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,205	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$39,205	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,573,319	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,508,367	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,064,952	NetCommunityBenefitExpnsAmt
Total Expense	0.02420	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$46,199,223	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,514,875	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,684,348	NetCommunityBenefitExpnsAmt
Total Expense	0.12890	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,341,573	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,160,508	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$36,728,771	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$45,749,042	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$9,020,271	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHWESTERN VERMONT MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 HOSPITAL DRIVE	AddressLine1Txt
City	BENNINGTON	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05201	ZIPCd

Field	Value	IRS element (for citing)
Website Address	SVHEALTHCARE.ORG	WebsiteAddressTxt
State License	837	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	SOLE COMMUNITY HOSPITAL	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHWESTERN VERMONT MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	17	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	225.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, 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 OF THESE CHANNELS OFFERS OUR HOSPITAL AND HEALTH SYSTEM THE OPPORTUNITY TO HEAR A VARIETY OF VOICES FROM OUR COMMUNITIES. IN GENERAL, WE IDENTIFY COMMUNITY NEEDS IN SEVERAL WAYS: 1. THROUGH LISTENING TO THE COMMUNITY INPUT THROUGH OUR BOARD OF TRUSTEES, OUR MEDICAL STAFF, AND OUR CONNECTIONS WITH OUTSIDE COMMUNITY GROUPS. 2. LEGISLATIVE UPDATES DURING WHICH SVMC HEARS FROM ELECTIVE OFFICIALS ABOUT NEEDS COMMUNICATED TO THEM FROM CONSTITUENTS. 3. THE BENNINGTON COMMUNITY COLLABORATIVE COMPRISED OF LEADERS THAT SPAN THE REGIONS MEDICAL AND SOCIAL SERVICE AGENCIES INCLUDING HOUSING, FOOD INSECURITY. EDUCATION, CRIMINAL JUSTICE AND TRANSPORTATION. 4. ATTENDANCE AT COMMUNITY FORUMS HELD BY OTHER ORGANIZATIONS, FOR EXAMPLE, THE HEALTHCARE TOWN HALL HOSTED BY THE BENNINGTON FREE LIBRARY. 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. 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) 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 AND QUALITATIVE 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.
SCHEDULE H, PART V, SECTION B, LINE 7A	CHNA WEBSITE: HTTPS://SVHEALTHCARE.ORG/PORTALS/0/FILES/DEPARTMENTS/PLANNING-COMPLIANCE/ SVHC-CHNA-2018.PDF?VER=2020-08-20-105426-190
SCHEDULE H, PART V, SECTION B, LINE 10A	IMPLEMENTATION STRATEGY WEBSITE: HTTPS://SVHEALTHCARE.ORG/PORTALS/0/FILES/DEPARTMENTS/PLANNINGCOMPLIANCE/ SVHC-CHNA-2018.PDF?VER=2020-08-20-105426-190
SCHEDULE H, PART V, 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 JUNE, 2018. THE PRIORITY HEALTH NEEDS IDENTIFIED FOR SVHC'S SERVICE REGION ARE: 1) ACCESS TO CARE - IMPROVE PRIMARY CARE AND URGENT CARE ACCESS - INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES 2) OBESITY AND HEALTHY ACTIVITIES - ENHANCE HEALTH AND WELLNESS PROGRAMS - FOSTER LINKS BETWEEN GOOD HEALTH, NUTRITION, EXERCISE, AND EDUCATION AND ECONOMIC DEVELOPMENT 3) BEHAVIORAL HEALTH AND SUBSTANCE USE - EXPAND SUBSTANCE USE PREVENTION AND TREATMENT - DEVELOP YOUTH STRESS MANAGEMENT AND COPING PROGRAMS. IN 2020, 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 NEW INITIATIVES AND PROGRAMS THAT SUPPORTED THE WELLNESS, DEVELOPMENT, AND EDUCATION OF COMMUNITY MEMBERS. ACCESS TO CARE INITIATIVES EXPANDED; FINANCIAL SUPPORT FOR THE BENNINGTON FREE CLINIC, RECRUITMENT OF PRIMARY CARE PROVIDERS, EXPANSION OF TELEMEDICINE OFFERINGS, AND LAUNCH OF CAREQD A VIRTUAL ON-DEMAND URGENT CARE PLATFORM. OBESITY AND HEALTHY ACTIVITIES ACCELERATED; SCREENING YOUTH FOR SUBSTANCE USE, DEPRESSION AND ANXIETY, WITH RAPID REFERRALS TO APPROPRIATE SERVICES, FOOD SECURITY EFFORTS THROUGH POPULATION HEALTH AND FOOD SECURITY FELLOWS, RISEVT A PRIMARY PREVENTION PROGRAM TO REDUCE CHILDHOOD OBESITY, ENGAGEMENT WITH THE PUBLIC SCHOOL SYSTEM'S HEALTH AND WELLNESS COMMITTEE, SUPPORT FOR LOCAL HEALTH AND WELLNESS PROJECTS AND SPONSORSHIPS INCLUDING THE YMCA, A YOUTH BASKETBALL LEAGUE, AND A TENNIS AND HOMEWORK ASSISTANCE PROGRAM FOR AT-RISK YOUTH. BEHAVIORAL HEALTH AND SUBSTANCE USE EFFORTS EXPANDED; SUPPORT FOR VERMONT BLUEPRINT'S BEHAVIORAL HEALTH THERAPISTS EMBEDDED IN PROVIDER PRACTICES, COORDINATION OF THE REGION'S OPIOID RESPONSE PLAN INVOLVING MORE THAN 30 COMMUNITY LEADERS, RAPID ACCESS TO MEDICATION ASSISTED TREATMENT WITHIN THE EMERGENCY DEPARTMENT, COLLABORATION WITH LOCAL SCHOOLS BOLSTERED YOUTH SELF-EFFICACY AND RESILIENCE INCLUDED A BACKPACK AND SCHOOL SUPPLIES PROGRAM, SUPERVISION OF AN AMERICORPS VISTA FELLOW, COORDINATION WITH FIRST RESPONDERS AND PEER RECOVERY COACHES FOR IMMEDIATE SUPPORT FOR THOSE SUFFERING A NON-FATAL OPIOID OVERDOSE, BED RESERVATION AT THE REGIONAL HOMELESS SHELTER, AND NARCAN DISTRIBUTION. EACH INITIATIVE IS MULTIDIMENSIONAL AND SUPPORTS MULTIPLE COMMUNITY HEALTH NEEDS. FOR EXAMPLE, COLLABORATION WITH FIRST RESPONDERS AND PEER RECOVERY COACHES NOT ONLY HELPS THOSE STRUGGLING WITH SUBSTANCE USE DISORDER TO ACCESS APPROPRIATE AND TIMELY TREATMENT, BUT ALSO PROVIDES HEALTH AND LIFESTYLE COACHING TO PREVENT RELAPSE AND ENCOURAGE HEALTHY DECISION-MAKING. SIMILARLY, SPONSORSHIP OF THE YOUTH TENNIS AND HOMEWORK ASSISTANCE PROGRAM PROVIDES BOTH THE OPPORTUNITY FOR PHYSICAL ACTIVITY 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 UNFOLDED THE ONLY THING COMMUNITIES WANTED AS MUCH AS A CURE WAS INFORMATION. SVHC PROVIDED CLEAR, ACCURATE, AND ACTIONABLE INFORMATION THROUGH A MULTIPRONGED COMMUNICATION STRATEGY INCLUDING; SIGNAGE, INTENSIFIED SOCIAL MEDIA PRESENCE, WEEKLY EMAIL NEWSLETTERS, PRINT MESSAGING AND BROADCAST MESSAGING. IN COLLABORATION WITH THE VERMONT CHAMBER OF COMMERCE AND CAT-TV, SVHC PRODUCED MANY COMMUNITY EDUCATION SHOWS FEATURING CLINICAL LEADERS AND INFECTIOUS DISEASES EXPERTS. IN ADDITION SVHC HOSTED SEVERAL QUESTION AND ANSWER VIRTUAL COMMUNITY FORUMS. IN 2020, SVMC INVESTED $21.7 MILLION IN COMMUNITY BENEFIT ACROSS A WIDE ARRAY OF SERVICES, PROGRAMS AND INITIATIVES. SVMC PROVIDED $1,227,791 IN CHARITY CARE AND $16.4 MILLION IN UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. SVMC PROVIDED $2.6 MILLION IN SUBSIDIZED HEALTHCARE AND $198,738 IN PROVIDER RECRUITMENT TO ADDRESS ISSUES WITH HEALTHCARE ACCESS. SVMC ALSO INVESTED $960,015 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 $181,000 TOWARDS ECONOMIC DEVELOPMENT AND POVERTY ALLEVIATION, $404,480 IN COMMUNITY FOCUSED COVID COMMUNICATION, AND $94,289 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 2020, SVHC ELECTED TO NOT ADDRESS THE FOLLOWING COMMUNITY HEALTH NEEDS: - ECONOMIC OPPORTUNITY AND COST OF LIVING - TRANSPORTATION - HOUSING THESE THREE COMMUNITY NEEDS, THOUGH IMPERATIVE TO ADDRESS IN THE PURSUIT OF HEALTH EQUITY, REQUIRE RESOURCES AND COORDINATION BEYOND SVMCS CURRENT CAPACITY. SVHC WILL CONTINUE TO MONITOR AND PARTICIPATE IN DISCUSSIONS OF HOW BEST TO ADDRESS THESE ISSUES SUCH THAT FUTURE EFFORTS CAN BEGIN TO AMELIORATE THE NEEDS.
SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, AND 16C	FAP, FAP APPLICATION, AND PLS WEBSITE: HTTP://SVHEALTHCARE.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/
SCHEDULE H, PART V, LINE 16I	LEP TRANSLATIONS: THERE ARE NO GROUPS WITH LIMITED ENGLISH PROFICIENCY THAT RISE TO THE THRESHOLD REQUIRED UNDER IRC SECTION 501(R).

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
NORTHSHIRE CAMPUS
5957 MAIN STREET ROUTE 7A NORTH	MANCHESTER CENTER	VT	05255	PRIMARY CARE, LABORATORY
DEERFIELD VALLEY CAMPUS
30 ROUTE 100 SOUTH	WILMINGTON	VT	05363	SAME-DAY CARE, LABORATORY
POWNAL FAMILY PRACTICE
7237 ROUTE 7	POWNAL	VT	05262	PRIMARY CARE, LABORATORY

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, 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.
SCHEDULE H, 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.
SCHEDULE H, PART III, SECTION A, 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, 2020. 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.
SCHEDULE H, PART III, SECTION A, 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 18.3% OF THE POPULATION IN ITS SERVICE AREA FALLING BELOW THE FEDERAL POVERTY GUIDELINES.
SCHEDULE H, PART III, SECTION A, 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 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION B, 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.
SCHEDULE H, PART III, SECTION C, 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.
SCHEDULE H, 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. IN GENERAL, WE IDENTIFY COMMUNITY NEEDS IN SEVERAL WAYS: 1. THROUGH LISTENING TO THE COMMUNITY INPUT THROUGH OUR BOARD OF TRUSTEES, OUR MEDICAL STAFF, AND OUR CONNECTIONS WITH OUTSIDE COMMUNITY GROUPS. 2. LEGISLATIVE UPDATES DURING WHICH SVMC HEARS FROM ELECTIVE OFFICIALS ABOUT NEEDS COMMUNICATED TO THEM FROM CONSTITUENTS. 3. THE BENNINGTON COMMUNITY COLLABORATIVE COMPRISED OF LEADERS THAT SPAN THE REGIONS MEDICAL AND SOCIAL SERVICE AGENCIES INCLUDING HOUSING, FOOD INSECURITY. EDUCATION, CRIMINAL JUSTICE AND TRANSPORTATION. 4. ATTENDANCE AT COMMUNITY FORUMS HELD BY OTHER ORGANIZATIONS, FOR EXAMPLE, THE HEALTHCARE TOWN HALL HOSTED BY THE BENNINGTON FREE LIBRARY. 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. 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) 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 AND QUALITATIVE 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. INFRASTRUCTURE PERSPECTIVE. THE PLAN PROVIDES THE HEALTH SYSTEM WITH A FRAMEWORK FOR ACHIEVING COMMUNITY HEALTH IMPROVEMENT GOALS.
SCHEDULE H, 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 FINANCIAL COUNSELOR WHO CAN HELP THEM FILE THE NECESSARY PAPERWORK TO QUALITY FOR ANY 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.
SCHEDULE H, 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.
SCHEDULE H, 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. SVMCS EXTENSIVE SUPPORT FOR WELLNESS ACTIVITIES, PARTICULARLY AROUND FOOD INSECURITY, HEALTHY EATING AND COOKING, AND INCREASED EXERCISE ARE IMPACTING RESIDENTS ACROSS THE SOCIOECONOMIC SPECTRUM. SVMCS 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.
SCHEDULE H, 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 SOUTHWESTERN VERMONT HEALTH CARE CORPORATION (SVHC), SOUTHWESTERN VERMONT MEDICAL CENTER, 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 A 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 OR CONTROLLED SUBSIDIARY CORPORATIONS. ACTIVITIES PERFORMED BY SVHC INCLUDE: MANAGING INVESTMENTS; FUNDRAISING; OPERATING AND MANAGING BUILDINGS AND EQUIPMENT 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 PROFIT CORPORATION ORGANIZED FOR THE PURPOSE OF PROVIDING FAMILY PRACTICE AND OTHER 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-PROFIT CORPORATION 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.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
GREATER BENNINGTON INTERFAITH COMMUNITY SERVICES
107 ADAMS STREET	BENNINGTON	VT	05201	030369844	501(C)(3)	$20,000	SUPPORT
BENNINGTON COLLEGE
1 COLLEGE DRIVE	BENNINGTON	VT	05201	030179414	501(C)(3)	$12,500	SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
THOMAS DEE
CEO	$439,385	$0	$63,000	$0	$38,494	$0	$254,658	$0	$28,138	$0	$823,675	$0	$0	$0
STEPHEN MAJETICH
CFO	$350,585	$0	$65,457	$0	$30,347	$0	$72,887	$0	$28,528	$0	$547,804	$0	$0	$0
RICHARD OGILVIE
VP CIO	$168,190	$0	$45,224	$0	$25,029	$0	$9,947	$0	$21,512	$0	$269,902	$0	$0	$0
KEVIN DAILEY
VP HR	$223,322	$0	$51,164	$0	$22,419	$0	$8,000	$0	$22,912	$0	$327,817	$0	$0	$0
ANGELINE MARANO
VP MPD	$100,260	$0	$39,000	$0	$130,969	$0	$5,440	$0	$5,674	$0	$281,343	$0	$0	$0
MICHAEL BRADY DDS
TRUSTEE	$175,011	$0	$0	$0	$939	$0	$65	$0	$0	$0	$176,015	$0	$0	$0
BILLIE LYNN ALLARD
ADMINISTRATIVE DIR OF NURSING	$177,514	$0	$5,935	$0	$1,935	$0	$11,955	$0	$1,580	$0	$198,919	$0	$0	$0
RICHARD BARBIERRI
DENTIST	$175,011	$0	$0	$0	$1,920	$0	$0	$0	$65	$0	$176,996	$0	$0	$0
ANTONIETTA MAZZARIELLO
DIRECTOR OF REVENUE CYCLE	$163,280	$0	$5,633	$0	$927	$0	$11,064	$0	$1,021	$0	$181,925	$0	$0	$0
JAMES ROY
CONTROLLER	$167,184	$0	$3,270	$0	$4,478	$0	$11,717	$0	$22,921	$0	$209,570	$0	$0	$0
DREW LERMAN
DIRECTOR OF FINANCE	$166,693	$0	$3,192	$0	$4,308	$0	$11,383	$0	$21,488	$0	$207,064	$0	$0	$0
SHEIL BONI
ACTING CNO	$196,475	$0	$0	$0	$4,860	$0	$8,000	$0	$25,538	$0	$234,873	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4A	SEVERANCE PAYMENTS: $ 130,267 ANGELINE MARANO
SCHEDULE J, PART I, LINE 4B	SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: CONTRIBUTIONS TO NONQUALIFIED PLANS: $ 246,658 THOMAS DEE 64,887 STEPHEN MAJETICH 1,947 RICHARD OGILVIE
SCHEDULE J, PART II, COLUMN B(II)	BONUS DETERMINATION: THE AMOUNT OF INCENTIVE COMPENSATION IS CALCULATED IN ACCORDANCE WITH THE FORMAL INCENTIVE COMPENSATION PROGRAM THAT WAS DEVELOPED BY SVHC'S HUMAN RESOURCE DEPARTMENT IN CONJUNCTION WITH OUR COMPENSATION CONSULTANT ASTRON SOLUTIONS. THE ESSENCE OF THE PROGRAM IS TO REWARD OUR CEO FOR ACHIEVING POSITIVE RESULTS ON BOTH ORGANIZATIONAL AND INDIVIDUAL GOALS. GOALS ARE ESTABLISHED BY THE GOVERNANCE COMMITTEE PRIOR TO THE BEGINNING FOR THE FISCAL YEAR. TYPICALLY THERE WILL BE FIVE TO SIX ORGANIZATIONAL GOALS AND EIGHT TO TEN INDIVIDUAL GOALS. SUCCESSFUL ACHIEVEMENT OF THESE GOALS RESULTS IN ADDITIONAL COMPENSATION FOR THE CEO.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	VT EDUCATIONAL AND HEALTH BUILDING FINANCING AGEN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	237154467	BondIssuerEIN
CUSIP	824166BRI	CUSIPNum
Bond Issued	2008-03-20	BondIssuedDt
Issue Price	$8,865,000	IssuePriceAmt
Purpose	CURRENT REFUNDING OF 1995 BONDS	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$2,055,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$8,865,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$8,707,360	RefundingEscrowAmt
Issuance Costs From Proceeds	$135,047	IssuanceCostsFromProceedsAmt
Credit Enhancement	$22,593	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2008	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Private Bus Use By Others	0	PrivateBusUseByOthersPct

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	Yes (true)	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	false	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART IV, LINE 2C	FormAndLineReferenceDesc
Explanation	REBATE COMPUTATION: THE REBATE COMPUTATION WAS PERFORMED 03/20/18.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. TEAMWORK: HELPING EACH OTHER TO ACHIEVE SUCCESS. 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: THE ORGANIZATION'S BOARD OF DIRECTORS IS THE SAME AS THE BOARD OF DIRECTORS 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.
FORM 990, PART VI, SECTION A, LINES 6, 7A, & 7B	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 CONTRARY 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 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 15A & 15B	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 XI, LINE 9	OTHER CHANGES IN NET ASSETS: $( 5,638,677) DEFINED BENEFIT PENSION COSTS ( 322,414) CHANGE IN FAIR VALUE OF INTEREST RATE SWAP ( 8,606,083) TRANSFER FROM AFFILIATES 2,068,569 NET PERIODIC BENEFIT COST ------------- $(12,498,605)
FORM 990 PART IX LINE 11G	DESCRIPTION:PSA FEES TOTAL FEES:29764562
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:6818465
FORM 990 PART IX LINE 11G	DESCRIPTION:SERVICE CONTRACTS TOTAL FEES:2550918
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT SERVICES TOTAL FEES:2368649
FORM 990 PART IX LINE 11G	DESCRIPTION:LOCUM FEES TOTAL FEES:999542
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTANTS TOTAL FEES:255697
FORM 990 PART IX LINE 11G	DESCRIPTION:COLLECTION FEES TOTAL FEES:181200
FORM 990 PART IX LINE 11G	DESCRIPTION:TRANSCRIPTION SERVICES TOTAL FEES:98191

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SOUTHWESTERN VERMONT HEALTH CARE CORP
100 HOSPITAL DRIVE	BENNINGTON	VT	05201	030179435	MANAGEMENT	VT	501(C)(3)	3	NA	false
MOUNT ANTHONY HOUSING CORPORATION
100 HOSPITAL DRIVE	BENNINGTON	VT	05201	030279740	NURSING HOMES	VT	501(C)(3)	10	SVHC	false
SOUTHWESTERN VT HEALTHCARE AUXILIARY
100 HOSPITAL DRIVE	BENNINGTON	VT	05201	222563243	SUPPORT SVHC	VT	501(C)(3)	10	SVHC	false
SOUTHWESTERN VT HEALTHCARE FOUNDATION
100 HOSPITAL DRIVE	BENNINGTON	VT	05201	453362785	FUNDRAISING	VT	501(C)(3)	12 A I	SVHC	false
TWIN RIVERS MEDICAL PC
16 DANFORTH STREET	HOOSICK FALLS	NY	12090	473028931	HEALTHCARE	NY	501(C)(3)	10	SVMC	Yes (true)
NORTHERN BERKSHIRE MEDICAL PC
375 MAIN STREET	WILLIAMSTOWN	MA	01267	814023607	HEALTHCARE	MA	501(C)(3)	10	SVMC	Yes (true)
HOOSICK FALLS HEALTH CENTER INC
21 DANFORTH STREET	HOOSICK FALLS	NY	12090	141370000	NURSING HOME	NY	501(C)(3)	3	SVHC	false
HOOSICK FALLS HEALTH CENTER FOUNDATION
21 DANFORTH STREET	HOOSICK FALLS	NY	12090	223186959	FUNDRAISING	NY	501(C)(3)	7	HFHC	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHWESTERN VT HEALTHCARE ENTERPRISES	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 HOSPITAL DRIVE	AddressLine1Txt
City	BENNINGTON	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05201	ZIPCd

Field	Value	IRS element (for citing)
EIN	030314501	EIN
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	VT	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SVHC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C CORP	EntityTypeTxt
Controlled Organization	false	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
NORTHERN BERKSHIRE MEDICAL PC
D	$215,012	FMV
TWIN RIVERS MEDICAL PC
D	$1,097,932	FMV