2021-08-13T12:19:25-05:00 2020-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2019-10-01 222563241 SOUTHWESTERN VERMONT MEDICAL CENTER % STEPHEN MAJETICH SOUT 8024426361 100 HOSPITAL DRIVE BENNINGTON VT 05201 STEPHEN D MAJETICH CFO 2021-02-26 true Brian D Todd P00422601 4178658701 2019 2022-09-23 18:48:47Z THOMAS DEE 100 HOSPITAL DRIVE BENNINGTON VT 05201 178426597 false X WWW.SVHEALTHCARE.ORG X 1912 VT PROVIDING HEALTH CARE ON BOTH AN INPATIENT AND OUTPATIENT BASIS WITH FACILITIES IN AND AROUND THE BENNINGTON, VT AREA. 19 17 1161 45 0 1290533 14630280 170636563 159382691 491339 464337 16474 16574 172434909 174493882 53685 39205 0 0 65639034 68062743 0 0 0 100122548 100143858 165815267 168245806 6619642 6248076 85672806 96938761 49816587 66992196 35856219 29946565 X TO CARE FOR AND COMFORT OUR PATIENTS, RESIDENTS, AND THEIR LOVED ONES AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE. SEE SCHEDULE O FOR ADDITIONAL DETAILS. false false 104053330 39205 70532538 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. 47028405 88850153 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. 151081735 true true false true false false false false false true true false false true true false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true true false false false true 114 0 true 1161 true false false false false false false false false false false false false X 19 17 true true false false true true true true true false false true true true true true true true true false X STEPHEN MAJETICH 8024475011 100 HOSPITAL DRIVE BENNINGTON VT 05201 X THOMAS DEE CEO 40.0 4.0 X X 540879 0 282796 STEPHEN MAJETICH CFO 40.0 4.0 X 446389 0 101415 KEVIN DAILEY VP HR 39.0 0.0 X 296905 0 30912 ANGELINE MARANO VP MPD 0.0 0.0 X 270229 0 11114 RICHARD OGILVIE VP CIO 40.0 0.0 X 238443 0 31459 SHEIL BONI ACTING CNO 40.0 0.0 X 201335 0 33538 JAMES ROY CONTROLLER 40.0 0.0 X 174932 0 34638 DREW LERMAN DIRECTOR OF FINANCE 40.0 0.0 X 174193 0 32871 BILLIE LYNN ALLARD ADMINISTRATIVE DIR OF NURSING 40.0 0.0 X 185384 0 13535 ANTONIETTA MAZZARIELLO DIRECTOR OF REVENUE CYCLE 40.0 0.0 X 169840 0 12085 RICHARD BARBIERRI DENTIST 40.0 0.0 X 176931 0 65 MICHAEL BRADY DDS TRUSTEE 40.0 2.0 X 175950 0 65 ERIC SEYFERTH MD TRUSTEE, CHAIR OF UHA END 9/20 1.0 2.0 X 34356 0 1374 CAROL CONROY TRUSTEE 40.0 2.0 X 0 0 0 RICHARD ADER TRUSTEE 1.0 2.0 X 0 0 0 JAMES BROWN TRUSTEE, VICE CHAIR 1.0 2.0 X X 0 0 0 KATHLEEN FISHER TRUSTEE 1.0 2.0 X 0 0 0 WAYNE GRANQUIST TRUSTEE 1.0 2.0 X 0 0 0 TOMMY HARMON JR TRUSTEE, CHAIR 1.0 2.0 X X 0 0 0 CONNIE JASTREMSKI TRUSTEE 1.0 2.0 X 0 0 0 STEPHEN KELLY TRUSTEE 1.0 2.0 X 0 0 0 SUE MAGUIRE TRUSTEE 1.0 2.0 X 0 0 0 CHARLES SALEM TRUSTEE END 09/20 1.0 2.0 X 0 0 0 LARA SHORE-SHEPPARD TRUSTEE, SECRETARY 1.0 2.0 X X 0 0 0 THEMARGE SMALL TRUSTEE END 02/20 1.0 3.0 X 0 0 0 STANLEY STROUP TRUSTEE 1.0 3.0 X 0 0 0 BRIAN G O'GRADY TRUSTEE 1.0 2.0 X 0 0 0 DIMITRI GARDER TRUSTEE 1.0 2.0 X 0 0 0 TOM ZIEGLER TRUSTEE 1.0 3.0 X 0 0 0 BOB VAN DEGNA TRUSTEE BEG 07/20 1.0 3.0 X 0 0 0 SCOTT ROGGE MD TRUSTEE BEG 09/20 1.0 2.0 X 0 0 0 CHRISTINE MILES TRUSTEE BEG 07/20 1.0 2.0 X 0 0 0 CARL DOBSON CMO 40.0 0.0 X 0 0 0 3085766 0 585867 60 true true false DARTMOUTH HITCHCOCK MEDICAL CENTER ONE MEDICAL CENTER DRIVE LEBANON NH 03756 PSA AGREEMENT 33265734 DARTMOUTH HITCHCOCK MEDICAL CENTER ONE MEDICAL CENTER DRIVE LEBANON NH 03756 PURCHASED/LAB SVCS 1915413 ANESTHESIOLOGY ASSOCIATES OF BENNIN 100 HOSPITAL DRIVE BENNINGTON VT 05201 PHYSICIAN PSA 1308935 RENOVO SOLUTIONS LLC 4 EXECUTIVE CIRCLE SUITE 185 IRVINE CA 92614 BIOMEDICAL ENG 1026480 PINNACLE PHYSICIAN RESOURCE GROUP 9085 E MINERAL CIRCLE STE 110 CENTENNIAL CO 20112 CONSULTING 339662 13 1095251 13535029 14630280 NET PATIENT SERVICE REVENUE 621990 127017217 127017217 CAFETERIA INCOME 722514 402816 402816 PHARMACY 446110 2943060 2943060 FIXED PROSPECTIVE REVENUE 621990 27050585 27050585 OTHER 900099 1969013 1969013 159382691 201795 201795 0 0 16574 16574 0 16574 16574 4191297 3960 3932715 258582 3960 262542 262542 0 0 0 0 0 0 0 0 0 0 174493882 159382691 480911 X 39205 39205 0 0 0 2415816 1044337 1371479 281343 281343 50464181 43318814 7145367 1810585 1803132 7453 8620734 7325610 1295124 4470084 3779856 690228 0 177880 177880 171858 171858 0 0 41527 41527 43037224 40411286 2625938 530072 478992 51080 5006294 4529609 476685 3906887 3543358 363529 0 4057723 3548023 509700 139240 106459 32781 0 269970 93054 176916 598193 541740 56453 0 6085932 5596709 489223 957019 957019 MEDICAL SUPPLIES & DRUGS 23589464 23589464 PROVIDER TAX 9784284 9784284 LICENSES, DUES, SUBSCRIPTIONS 1780625 305272 1475353 MISCELLANEOUS EXPENSE 9666 4169 5497 168245806 151081735 17164071 0 296515 139580 10469772 23271645 0 0 13685518 12006185 0 0 0 0 0 0 3054260 3216326 1885096 1517632 154358914 118132868 37707493 36226046 7034574 7618495 0 0 0 0 0 0 11539578 12942852 85672806 96938761 21742021 18068643 0 0 0 4607646 6967678 6732011 0 0 0 0 2721910 2618110 0 0 18384978 34965786 49816587 66992196 X 35856219 29946565 0 0 35856219 29946565 85672806 96938761 X 6248076 340875 -12498605 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 20573 20573 false SCHEDULE C, PART II-B, LINE 1(I) 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. 11707678 4205 273154 114423 11870614 11514089 121435 99582 27428 11707678 11387116 120000 92590 85617 11514089 11070205 101833 224092 9014 11387116 11065382 53364 48541 11070205 0.99840 0.00160 false true true 5000 5000 48412047 30896261 17515786 100650679 87087298 16563381 5291188 3149309 2141879 36226046 DUE FROM AFFILIATES 9976557 OTHER RECEIVABLES 1520290 DEF. COMPENSATION PLAN ASSETS 1446005 12942852 0 ASSET RETIREMENT OBLIGATION 1217212 EST AMT DUE TO THIRD PTY PYRS 9622181 INTEREST RATE SWAP 1783740 PENSION BENEFIT OBLIGATION 10019693 ESTIMATED SELF-INS COSTS 1100693 OTHER LIABILITIES 1752267 CONTRACT LIABILITIES 9470000 34965786 176293449 340875 1704628 2045503 174247946 245936 245936 174493882 168204279 168204279 41527 41527 168245806 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 true true X true X 225. true X true true true false true true 1227520 1227520 0.00730 35398384 19006508 16391876 0.09740 36625904 19006508 17619396 0.10470 1448449 136332 1312117 0.00780 505811 410683 95128 0.00060 7579854 4961352 2618502 0.01560 39205 39205 0.00020 9573319 5508367 4064952 0.02420 46199223 24514875 21684348 0.12890 true 6341573 1160508 36728771 45749042 -9020271 X true true 1 1 SOUTHWESTERN VERMONT MEDICAL CENTER 100 HOSPITAL DRIVE BENNINGTON VT 05201 SVHEALTHCARE.ORG 837 X X X X SOLE COMMUNITY HOSPITAL SOUTHWESTERN VERMONT MEDICAL CENTER 1 false false true X X X X X X X X X 17 true false false true X SEE PART V, SECTION C X true 17 true SEE PART V, SECTION C false true X 225. 400. X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X true X false X X X X true X false false 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). 3 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 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. true GREATER BENNINGTON INTERFAITH COMMUNITY SERVICES 107 ADAMS STREET BENNINGTON VT 05201 030369844 501(C)(3) 20000 SUPPORT BENNINGTON COLLEGE 1 COLLEGE DRIVE BENNINGTON VT 05201 030179414 501(C)(3) 12500 SUPPORT 2 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: THE ORGANIZATION PROVIDES GRANT FUNDS TO CHARITABLE ORGANIZATIONS BASED ON NEED. THE USE OF THE FUNDS CAN BE SEEN IN THE COMMUNITY. X X X X true true false false false false false false false THOMAS DEE CEO 439385 0 63000 0 38494 0 254658 0 28138 0 823675 0 0 0 STEPHEN MAJETICH CFO 350585 0 65457 0 30347 0 72887 0 28528 0 547804 0 0 0 RICHARD OGILVIE VP CIO 168190 0 45224 0 25029 0 9947 0 21512 0 269902 0 0 0 KEVIN DAILEY VP HR 223322 0 51164 0 22419 0 8000 0 22912 0 327817 0 0 0 ANGELINE MARANO VP MPD 100260 0 39000 0 130969 0 5440 0 5674 0 281343 0 0 0 MICHAEL BRADY DDS TRUSTEE 175011 0 0 0 939 0 65 0 0 0 176015 0 0 0 BILLIE LYNN ALLARD ADMINISTRATIVE DIR OF NURSING 177514 0 5935 0 1935 0 11955 0 1580 0 198919 0 0 0 RICHARD BARBIERRI DENTIST 175011 0 0 0 1920 0 0 0 65 0 176996 0 0 0 ANTONIETTA MAZZARIELLO DIRECTOR OF REVENUE CYCLE 163280 0 5633 0 927 0 11064 0 1021 0 181925 0 0 0 JAMES ROY CONTROLLER 167184 0 3270 0 4478 0 11717 0 22921 0 209570 0 0 0 DREW LERMAN DIRECTOR OF FINANCE 166693 0 3192 0 4308 0 11383 0 21488 0 207064 0 0 0 SHEIL BONI ACTING CNO 196475 0 0 0 4860 0 8000 0 25538 0 234873 0 0 0 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. A VT EDUCATIONAL AND HEALTH BUILDING FINANCING AGEN 237154467 824166BRI 2008-03-20 8865000 CURRENT REFUNDING OF 1995 BONDS false false false A 2055000 0 8865000 0 0 8707360 135047 22593 0 0 0 0 2008 true false true true A 0 A false false false true true false 0 false 0 false false A false SCHEDULE K, PART IV, LINE 2C REBATE COMPUTATION: THE REBATE COMPUTATION WAS PERFORMED 03/20/18. 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 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 true NORTHERN BERKSHIRE MEDICAL PC 375 MAIN STREET WILLIAMSTOWN MA 01267 814023607 HEALTHCARE MA 501(C)(3) 10 SVMC 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 SOUTHWESTERN VT HEALTHCARE ENTERPRISES 100 HOSPITAL DRIVE BENNINGTON VT 05201 030314501 HEALTHCARE VT SVHC C CORP false false false true true false false false false false false true false true true true false true false true NORTHERN BERKSHIRE MEDICAL PC D 215012 FMV TWIN RIVERS MEDICAL PC D 1097932 FMV