2021-08-13T12:20:59-05:00 2020-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2019-10-01 030179435 SOUTHWESTERN VERMONT HEALTH CARE CORPORATION % STEPHEN MAJETICH SOUT 8024426361 100 HOSPITAL DRIVE BENNINGTON VT 05201 STEPHEN MAJETICH CFO 8024475040 2021-03-05 true Brian D Todd P00422601 4178658701 2019 2022-09-23 18:48:47Z THOMAS DEE 100 HOSPITAL DRIVE BENNINGTON VT 05201 15672667 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 AS WELL AS NEIGHBORING NY AND MA. 22 20 0 120 38568 34504 0 0 3175542 3366585 1802376 2825372 159240 182710 5137158 6374667 25000 0 0 0 1173786 1373538 0 0 0 2296142 2096266 3494928 3469804 1642230 2904863 75928188 75476166 13443351 5626170 62484837 69849996 X TO CARE FOR AND COMFORT OUR PATIENTS, RESIDENTS, AND THEIR LOVED ONES AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE. SCHEDULE O FOR ADDITIONAL INFORMATION. false false 1530354 3049106 SOUTHWESTERN VERMONT HEALTH CARE CORPORATION MANAGES AND MAINTAINS MEDICAL OFFICE BUILDINGS IN BENNINGTON, MANCHESTER, WILMINGTON, POWNAL AND WEST DOVER IN VERMONT, AS WELL AS HOOSICK FALLS, NEW YORK AND WILLIAMSTOWN, MASSACHUSETTS. 1383622 317479 SOUTHWESTERN VERMONT HEALTH CARE CORPORATION SUPPORTS SOUTHWESTERN VERMONT MEDICAL CENTER AND OTHER RELATED PARTIES THROUGH GRANT ADMINISTRATION, ACCOUNTING SERVICES AND SUPPORT OF TRUSTEE EXPENSES EXPENSES. 2913976 true false false false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false true true true true false false true 13 0 true 0 true true true false false false false false false false false false false false X 22 20 true true false false false false false true true false false true true true true true true false false true false X STEPHEN MAJETICH 8024475002 100 HOSPITAL DRIVE BENNINGTON VT 05201 X THOMAS DEE CEO 1.0 43.0 X X 0 540879 282796 STEPHEN MAJETICH CFO 1.0 43.0 X 0 446389 101415 MICHAEL BRADY DDS TRUSTEE 1.0 41.0 X 0 175950 65 ERIC SEYFERTH MD TRUSTEE, CHAIR OF UHA END 9/20 1.0 2.0 X 0 34356 1374 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 2.0 X 0 0 0 STANLEY STROUP TRUSTEE 1.0 2.0 X 0 0 0 BRIAN G O'GRADY TRUSTEE 1.0 2.0 X 0 0 0 CAROL CONROY TRUSTEE 1.0 40.0 X 0 0 0 DIMITRI GARDER TRUSTEE 1.0 2.0 X 0 0 0 TOM ZIEGLER TRUSTEE 1.0 2.0 X 0 0 0 BRIAN BAREFOOT TRUSTEE 1.0 1.0 X 0 0 0 CHRISTINE MILES TRUSTEE BEG 07/20 1.0 1.0 X 0 0 0 SCOTT ROGGE MD TRUSTEE BEG 09/20 1.0 1.0 X 0 0 0 BOB VAN DEGNA TRUSTEE BEG 09/20 1.0 1.0 X 0 0 0 KRISTYN HARRINGTON TRUSTEE 1.0 1.0 X 0 0 0 MARIE J GEORGE MD TRUSTEE BEG 07/20 1.0 1.0 X 0 0 0 0 1197574 385650 0 false true false 0 0 PROPERTY MANAGEMENT 531310 2318385 2318385 OTHER REVENUE 900099 1048200 1048200 3366585 671083 671083 0 0 144142 144142 0 144142 144142 11452289 9298000 2154289 2154289 2154289 0 0 0 0 0 0 0 0 0 INCOME IN EQUITY INVESTEE 900099 38568 38568 38568 6374667 3366585 38568 2969514 0 0 0 0 0 0 1121490 1046375 75115 29506 27530 1976 196559 183689 12870 25983 24243 1740 0 58647 58647 20312 20312 0 0 153448 153448 295529 283953 11576 0 143162 106731 36431 0 0 605909 601999 3910 0 0 0 162705 125890 36815 0 597035 461945 135090 8647 1352 7295 BAD DEBT 50000 50000 LICENSES, DUES, SUBSCRIPTIONS 269 269 MISCELLANEOUS EXPENSES 603 603 3469804 2913976 555828 0 80220 42500 661758 4305345 5009 0 0 0 0 0 0 0 0 0 0 0 26612 6231 16541223 10908545 6045361 5632678 64861651 66014243 13018 13018 1732317 -3304401 0 0 2502242 2766552 75928188 75476166 1429082 1687891 0 0 4836 4836 0 0 0 0 0 0 1411239 1362101 0 0 10598194 2571342 13443351 5626170 X 62484837 69849996 0 0 62484837 69849996 75928188 75476166 X 2904863 257544 4202752 X false true X true false X 765568 765568 13848795 9953014 3895781 39915 39436 479 1271540 689642 581898 615405 226453 388952 5632678 0 DUE TO AFFILIATES 1936997 ACCRUED PENSION LIABILITIES 151921 OTHER LIABILITIES 482424 2571342 5044383 257544 -178947 78597 4965786 1408881 1408881 6374667 1821145 1821145 153448 1495211 1648659 3469804 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ACS 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: $ 24,501 NET PERIODIC BENEFIT COST ( 50,000) BAD DEBT EXPENSE ( 153,448) INVESTMENT FEES ------------- $ ( 178,947) SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 1,408,881 SVHC-NY LLC REVENUE SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 1,445,211 SVHC-NY LLC EXPENSES 50,000 BAD DEBT EXPENSE ------------- $ 1,495,211 false true false false false false false false false THOMAS DEE CEO 0 439385 0 63000 0 38494 0 254658 0 28138 0 823675 0 0 MICHAEL BRADY DDS TRUSTEE 0 175011 0 0 0 939 0 65 0 0 0 176015 0 0 STEPHEN MAJETICH CFO 0 350585 0 65457 0 30347 0 72887 0 28528 0 547804 0 0 SCHEDULE J, PART I, LINE 3 TOP MANAGEMENT OFFICIAL COMPENSATION DETERMINATION: SOUTHWESTERN VERMONT MEDICAL CENTER, A RELATED ORGANIZATION, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE CEO: 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: $ 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. FORM 990, PART III, LINE 1 ORGANIZATION'S MISSION: THE PURPOSE OF THE ORGANIZATION IS ALSO TO PROMOTE AND SUPPORT THE DEVELOPMENT AND MAINTENANCE OF A HIGHLY EFFICIENT, PATIENT-FOCUSED, INTEGRATED HEALTHCARE DELIVERY SYSTEM. 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. THOMAS DEE, ERIC SEYFERTH, MD, MICHAEL BRADY, DDS, AND STEPHEN MAJETICH HAVE A BUSINESS RELATIONSHIP AS THEY ARE EMPLOYED BY A RELATED ORGANIZATION DURING THIS PERIOD. FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT DUTIES: DARTMOUTH-HITCHCOCK MEDICAL CENTER EMPLOYS SVMC'S PHYSICIANS. AS PART OF THIS AGREEMENT, THE SYSTEM'S CMO IS AN EMPLOYEE OF DARTMOUTH-HITCHCOCK AND PERFORMS CERTAIN MANAGEMENT FUNCTIONS. 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, LINES 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 A DOCUMENT DISCLOSURE: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A BOARD MEMBER COMPENSATION: NO TRUSTEE RECEIVES COMPENSATION FOR THEIR SERVICES AS A TRUSTEE OF THE BOARD. ERIC SEYFERTH, MD, AND MICHAEL BRADY, DDS, RECEIVE COMPENSATION AS PHYSICIANS. THOMAS DEE IS COMPENSATED AS THE CEO OF THE SOUTHWESTERN VERMONT HEALTHCARE SYSTEM. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $ ( 85,509) DEFINED BENEFIT PENSION COSTS (5,036,718) CHANGE IN INVESTMENT IN HOOSICK FALLS HEALTH CENTER 9,300,478 TRANSFER TO RELATED PARTIES 24,501 NET PERIODIC BENEFIT COST ------------- $ 4,202,752 SVHC-NY LLC 100 HOSPITAL DR BENNINGTON VT 05201 810770434 HEALTHCARE VT 1408881 1517602 SVHC SVHC-HOOSICK FALLS LLC 21 DANFORTH ST HOOSICK FALLS NY 12090 830789335 HEALTHCARE NY -3304401 SVHC SOUTHWESTERN VT HEALTH CARE AUXILIARY 100 HOSPITAL DRIVE BENNINGTON VT 05201 222563243 SUPPORT SVHC VT 501(C)(3) 10 SVHC true SOUTHWESTERN VERMONT MEDICAL CENTER 100 HOSPITAL DRIVE BENNINGTON VT 05201 222563241 HOSPITAL VT 501(C)(3) 3 SVHC true MOUNT ANTHONY HOUSING CORPORATION 100 HOSPITAL DRIVE BENNINGTON VT 05201 030279740 NURSING HOMES VT 501(C)(3) 10 SVHC true SOUTHWESTERN VT HEALTH CARE FOUNDATION 100 HOSPITAL DRIVE BENNINGTON VT 05201 453362785 FUNDRAISING VT 501(C)(3) 12 A I SVHC true TWIN RIVERS MEDICAL PC 2 SUNRISE DRIVE HOOSICK FALLS NY 12090 473028931 HEALTH CARE NY 501(C)(3) 10 SVMC true NORTHERN BERKSHIRE MEDICAL PC 375 MAIN STREET WILLIAMSTOWN MA 01267 814023607 HEALTH CARE 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 true HOOSICK FALLS HEALTH CENTER FOUNDATION 21 DANFORTH STREET HOOSICK FALLS NY 12090 223186959 FUNDRAISING NY 501(C)(3) 7 HFHC true SOUTHWESTERN VT HEALTH CARE ENTERPRISES 100 HOSPITAL DRIVE BENNINGTON VT 05201 030314501 HEALTHCARE VT SVHC C CORP 1.00000 true true false false true true false false false false true false true true true true true true true false SOUTHWESTERN VERMONT MEDICAL CENTER A/J 1984927 FMV SOUTHWESTERN VT HEALTH CARE FOUNDATION A/J 1593815 FMV SOUTHWESTERN VT HEALTH CARE AUXILIARY D 67961 FMV TWIN RIVERS MEDICAL PC A/J 333458 FMV SOUTHWESTERN VERMONT MEDICAL CENTER E 1593815 FMV TWIN RIVERS MEDICAL PC L 1075423 FMV SOUTHWESTERN VERMONT MEDICAL CENTER R 8606084 FMV SOUTHWESTERN VT HEALTH CARE FOUNDATION R 694394 FMV HOOSICK FALLS HEALTH CENTER INC D 644019 FMV