2021-07-19T10:51:45-05:00 2020-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2019-10-01 453362785 SOUTHWESTERN VERMONT HEALTHCARE FOUNDATION INC % STEPHEN MAJETICH SOUT 8024475040 100 HOSPITAL DRIVE BENNINGTON VT 05201 STEPHEN MAJETICH CFO 8024475041 2021-03-03 true Brian D Todd P00422601 4178658701 2019 2022-09-23 18:48:47Z TOM DEE CEO 100 HOSPITAL DRIVE BENNINGTON VT 05201 8500623 false X WWW.SVHEALTHCARE.ORG X 2011 VT THE SVHC FOUNDATION, A PART OF THE SOUTHWESTERN VERMONT HEALTH CARE CORPORATION, OPERATES EXCLUSIVELY TO SUPPORT SVHC AND AFFILIATES, BY FUNDRAISING THROUGH CAMPAIGNS. 14 13 0 41 0 3194527 4890069 0 0 535457 969736 -148354 -27275 3581630 5832530 646660 851833 0 0 791238 725397 0 0 0 528944 258409 1966842 1835639 1614788 3996891 24531588 27804848 713054 273902 23818534 27530946 X THE SOLE PURPOSE OF THE SVHC FOUNDATION SHALL BE TO ENGAGE IN DEVELOPMENT AND FUNDRAISING ACTIVITIES EXCLUSIVELY FOR THE SUPPORT OF THE SOUTHWESTERN VERMONT HEALTH CARE CORPORATION AND AFFILIATES. false false 1654979 851833 PROVIDING FINANCIAL SUPPORT FOR SOUTHWESTERN VERMONT HEALTH CARE CORPORATION, ITS SUCCESSORS, SUBSIDIARIES AND AFFILIATES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 1654979 true true false false false false false false false true true false false true true false false true false false false false false false true true false true false true false false false false false false false false true false false false false true false false false true 25 1 true 0 false false false false false true true false false false false false false X 14 13 true false false false true true true true true false false true true true true true true false false false X STEPHEN MAJETICH 8024475011 100 HOSPITAL DRIVE BENNINGTON VT 05201 X THOMAS DEE PRESIDENT/CEO 1.0 43.0 X X 0 540879 282796 STEPHEN MAJETICH CFO/TREASURER 1.0 43.0 X 0 446389 101415 LESLIE KEEFE VP OF CORPORATE DEVELOPMENT 20.0 20.0 X 262737 0 37715 KATIE BROOKS DIRECTOR 1.0 0.0 X 0 0 0 CRISTA GANNON DIRECTOR 1.0 0.0 X 0 0 0 ROBY HARRINGTON DIRECTOR 1.0 0.0 X 0 0 0 CHARLES LAFIURA DIRECTOR 1.0 0.0 X 0 0 0 JOHN LARKIN VICE CHAIR 1.0 0.0 X X 0 0 0 MICHAEL MCKENNA DIRECTOR 1.0 0.0 X 0 0 0 SCOTT SIEDEL DIRECTOR 1.0 0.0 X 0 0 0 DR THEMARGE SMALL DIRECTOR END 02/20 1.0 3.0 X 0 0 0 ROBERT VAN DEGNA DIRECTOR 1.0 3.0 X 0 0 0 ALAN WIEGAND DIRECTOR 1.0 0.0 X 0 0 0 TOM ZIEGLER DIRECTOR/CHAIR BEG 10/19 1.0 3.0 X X 0 0 0 CAREN MCVICKER DIRECTOR/SECRETARY BEG 10/19 1.0 0.0 X X 0 0 0 ARLENE PALMITER DIRECTOR 1.0 0.0 X 0 0 0 STANLEY STROUP DIRECTOR END 09/20 1.0 3.0 X 0 0 0 KEITH MICHL MD DIRECTOR 1.0 0.0 X 0 0 0 262737 987268 421926 1 false true false 0 263575 105000 4521494 187618 4890069 0 293106 293106 0 0 0 0 0 3236448 2559818 676630 676630 676630 31000 263575 97633 -66633 -66633 50000 10642 39358 39358 0 0 0 0 5832530 942461 851833 851833 0 0 0 300452 269944 30508 0 251911 238893 13018 4989 4476 513 134427 120702 13725 33618 30189 3429 0 0 2710 2710 0 0 46921 46921 106646 87893 18753 1379 1238 141 62745 41083 21662 5350 5350 0 0 13482 6471 7011 0 0 0 0 466 418 48 16652 16652 LICENSES, DUES, SUBSCRIPTIONS 1776 1586 190 RECRUITING & RETENTION 282 253 29 1835639 1654979 180660 0 77198 74005 265136 1165214 1153127 3351602 0 0 0 0 0 0 0 0 0 0 2682 4250 6997 2099 5364 4898 20634865 20837437 0 0 0 0 0 0 2393216 2367442 24531588 27804848 86963 92091 0 0 38 0 0 0 0 0 0 0 0 0 0 0 626053 181811 713054 273902 X 6406747 7363609 17411787 20167337 23818534 27530946 24531588 27804848 X 3996891 321215 -605694 X false true X true false X X X 8 SVHC 030179435 3 true 0 0 MAHC 030279740 10 true 1669 0 SVHCA 222563243 10 true 0 0 SVMC 222563241 3 true 849314 0 TRM 473028931 10 true 850 0 NBM 814023607 10 true 0 0 HFHC 141370000 3 true 0 0 HFHCF 223186959 7 true 0 0 8 851833 true false false false false false false false false false false false false false false true false SCHEDULE A, PART I ORGANIZATIONS SUPPORTED THE COMPLETE NAMES OF THE ORGANIZATIONS SUPPORTED ARE AS FOLLOWS: (A) SOUTHWESTERN VERMONT HEALTH CARE CORPORATION (B) MOUNT ANTHONY HOUSING CORPORATION (C) SOUTHWESTERN VERMONT HEALTHCARE AUXILIARY (D) SOUTHWESTERN VERMONT MEDICAL CENTER (E) TWIN RIVERS MEDICAL PC (F) NORTHERN BERKSHIRE MEDICAL PC (G) HOOSICK FALLS HEALTH CENTER INC (H) HOOSICK FALLS HEALTH CENTER FOUNDATION INC RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 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 true false 6997 2099 4898 4898 Beneficial Interest in Trust 2367442 2367442 0 DUE TO AFFILIATES 151303 ANNUITY PAYMENTS 30508 181811 2853855 321215 806487 1127702 1726153 4106377 4106377 5832530 1896993 108275 108275 1788718 46921 46921 1835639 SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS: THE CORPORATION'S ENDOWMENT IS INVESTED TO PROVIDE INVESTMENT RETURNS TO FUND GENERAL OPERATIONS AND SPECIFIC DONOR RESTRICTED PURPOSES. SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12 : $ 853,408 UNRESTRICTED NET ASSETS RELEASED FROM RESTRICTION ( 46,921) INVESTMENT MANAGEMENT FEES ------------ $ 806,487 SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12 BUT NOT ON LINE 1: $ 4,186,524 TEMPORARILY RESTRICTED CONTRIBUTIONS 28,128 TEMPORARILY RESTRICTED INVESTMENT RETURN ( 10,642) GAMING EXPENSES ( 97,633) SPECIAL EVENT EXPENSES ------------ $ 4,106,377 SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE BUT NOT ON FORM 990, PART IX, LINE 25: $ 97,633 SPECIAL EVENT EXPENSES 10,642 GAMING EXPENSES ------------ $ 108,275 ANNUAL JINGLE 145193 114193 31000 1109 30282 36512 ANNUAL GALA EVE 119037 119037 10000 642 2839 8184 1 30345 30345 435 7630 294575 263575 31000 10000 1751 33556 52326 97633 -66633 false false 50000 10000 642 false 50000 10000 642 10642 39358 VT false RAFFLES ARE PART OF OUR FUNDRAISING EVENTS false true false 1.00000 STEPHEN MAJETICH CFO 100 HOSPITAL DRIVE BENNINGTON VT 05201 false STEPHEN MAJETICHCFO OVERSIGHT X false true SOUTHWESTERN VERMONT MEDICAL CENTER 100 HOSPITAL DRIVE BENNINGTON VT 05201 222563241 501(C)(3) 849314 SUPPORT 1 SCHEDULE I, PART I, LINE 2 MONITORING USE OF GRANT FUNDS: SOUTHWESTERN VERMONT MEDICAL CENTER AND TWIN RIVERS MEDICAL PC ARE RELATED TO SOUTHWESTERN VERMONT HEALTHCARE FOUNDATION. SINCE THE RECIPIENTS OF THE GRANTS ARE RELATED PARTIES, THE ORGANIZATION IS ABLE TO MONITOR THE USE OF THE GRANT FUNDS. false true false false false false false false THOMAS DEE PRESIDENT/CEO 0 439385 0 63000 0 38494 0 254658 0 28138 0 823675 0 0 STEPHEN MAJETICH CFO/TREASURER 0 350585 0 65457 0 30347 0 72887 0 28528 0 547804 0 0 LESLIE KEEFE VP OF CORPORATE DEVELOPMENT 190525 0 48066 0 24146 0 8481 0 29234 0 300452 0 0 0 SCHEDULE J, PART I TOP MANAGEMENT OFFICIAL COMPENSATION DETERMINATION: SOUTHWESTERN VERMONT MEDICAL CENTER, A RELATED ORGANIZATION, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE CEO: WRITTEN EMPLOYMENT CONTRACT, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: CONTRIBUTIONS TO NONQUALIFIED PLANS FROM SMVC, A RELATED ORGANIZATION: $ 246,658 THOMAS DEE 64,887 STEPHEN MAJETICH SCHEDULE J, PART II, COLUMN B(II) BONUS DETERMINATION: ALL COMPENSATION IS PAID BY SOUTHWESTERN VERMONT MEDICAL CENTER, A RELATED ORGANIZATION. 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 OF 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. X 16 181118 FMV X VACATION PACKAGES 2 6500 FMV false true false SCHEDULE M, PART I, COLUMN B NUMBER OF ITEMS CONTRIBUTED: THE NUMBER OF ITEMS CONTRIBUTED LISTED IN THIS COLUMN IS BASED ON THE NUMBER OF INDIVIDUAL CONTRIBUTIONS. FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS: THE SVHC FOUNDATION EXISTS TO ACTIVELY FUNDRAISE THROUGH CAMPAIGNS WHICH EXCLUSIVELY SUPPORT SVHC AND ITS ENTITIES. FUNDS ARE RAISED FOR PROGRAMMING, EQUIPMENT, STAFF TRAINING AND PROFESSIONAL DEVELOPMENT, CONTINUING EDUCATION, AND CAPITAL PROJECTS. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS: THOMAS DEE, DR. THEMARGE SMALL, AND STEPHEN D MAJETICH SHARE A BUSINESS RELATIONSHIP AS THEY ARE ALL ON THE BOARD OF SOUTHWESTERN VERMONT HEALTHCARE ENTERPRISES, A RELATED TAXABLE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6, 7A & 7B CLASSES OF MEMBERS OR STOCKHOLDERS: 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. SVHC'S PRESIDENT/CEO SERVES ON THE FOUNDATION BOARD EX OFFICIO WITH VOTE AND SVHC'S CFO SERVES ON THE FOUNDATION BOARD EX OFFICIO WITHOUT VOTE. TWO MEMBERS OF SVHC'S BOARD OF TRUSTEES ALSO SERVE AS DIRECTORS OF THE FOUNDATION. ALL DIRECTORS OF THE FOUNDATION ARE NOMINATED AND ELECTED BY THE FOUNDATION, SUBJECT TO RATIFICATION BY SVHC. 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 OF THE SALE OR TRANSFER OF ALL OR SUB-CREATION, ACQUISITION, DISSOLUTION, MERGER OR CONSOLIDATION OF ANY SUBSIDIARY OR 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 99O, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: SVHC FOUNDATION 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. THOMAS DEE IS COMPENSATED AS THE CEO OF THE SOUTHWESTERN VERMONT HEALTHCARE SYSTEM. STEPHEN MAJETICH IS COMPENSATED AS CFO OF SOUTHWESTERN VERMONT HEALTH SYSTEM. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $ (694,394) TRANSFER TO AFFILIATES 88,700 CHANGE IN BENEFICIAL INTEREST IN TRUST ----------- $ (605,694) SOUTHWESTERN VERMONT HEALTHCARE CORP 100 HOSPITAL DRIVE BENNINGTON VT 05201 030179435 MANAGEMENT VT 501(C)(3) 3 NA false SOUTHWESTERN VT HEALTHCARE AUXILIARY 100 HOSPITAL DRIVE BENNINGTON VT 05201 222563243 SUPPORT SVHC VT 501(C)(3) 10 SVHC false SOUTHWESTERN VERMONT MEDICAL CENTER 100 HOSPITAL DRIVE BENNINGTON VT 05201 222563241 HOSPITAL VT 501(C)(3) 3 SVHC false MOUNT ANTHONY HOUSING CORPORATION 100 HOSPITAL DRIVE BENNINGTON VT 50201 030279740 NURSING HOMES VT 501(C)(3) 10 SVHC false NORTHERN BERKSHIRE MEDICAL PC 375 MAIN STREET WILLIAMSTOWN MA 01267 814023607 HEALTH CARE MA 501(C)(3) 10 SVMC false TWIN RIVERS MEDICAL PC 2 SUNRISE DRIVE HOOSICK FALLS NY 12090 473028931 HEALTH CARE NY 501(C)(3) 10 SVMC false 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 true true true true false false false false false true true false true true true true true false