2020-07-29T10:41:15-05:00 2019-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2018-10-01 030179435 SOUTHWESTERN VERMONT HEALTH CARE CORPORATION % STEPHEN MAJETICH SOUT 8024426361 100 HOSPITAL DRIVE BENNINGTON VT 05201 STEPHEN MAJETICH CFO 8024475040 2020-02-14 true Brian D Todd P00422601 4178658701 167.68.126.162 43032920202115000000 2020-07-29 P 74C51B083D6172D3D43AC87F1A33B4712A418457 EADA8263F67F30EEC173F90D1C5FD4FB3EC213FF 2018 2020-11-19 02:30:22Z THOMAS DEE 100 HOSPITAL DRIVE BENNINGTON VT 05201 11290423 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. 19 15 0 134 5206 3906 4204 0 3567863 3175542 876451 1802376 1318963 159240 5767481 5137158 50000 25000 0 0 1153027 1173786 0 0 0 2326160 2296142 3529187 3494928 2238294 1642230 73257458 75928188 12651351 13443351 60606107 62484837 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 1579975 2826096 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. 1428484 25000 349446 SOUTHWESTERN VERMONT HEALTH CARE CORPORATION SUPPORTS SOUTHWESTERN VERMONT MEDICAL CENTER AND OTHER RELATED PARTIES THROUGH GRANT ADMINISTRATION, ACCOUNTING SERVICES AND SUPPORT OF TRUSTEE EXPENSES. 3008459 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 true 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 true CJ false false false false false false false false false false X 19 15 true true true 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 45.0 X X 0 576899 224187 RICHARD ADER TRUSTEE 1.0 2.0 X 0 0 0 JAMES BROWN TRUSTEE, 2ND CHAIR 1.0 2.0 X X 0 0 0 CHRISTOPHER CASEY TRUSTEE END 08/19 1.0 2.0 X 0 0 0 SEAN CASEY TRUSTEE, SECRETARY END 03/19 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 MARNY KRAUSE TRUSTEE END 09/19 1.0 3.0 X 0 0 0 SUE MAGUIRE TRUSTEE 1.0 2.0 X 0 0 0 DAVID MEISELMAN TRUSTEE END 08/19 1.0 2.0 X 0 0 0 BRUCE MULLEN TRUSTEE, 1ST CHAIR END 05/19 1.0 2.0 X X 0 0 0 CHARLES SALEM TRUSTEE 1.0 2.0 X 0 0 0 ERIC SEYFERTH MD TRUSTEE, CHAIR OF UHA 1.0 2.0 X 0 34990 1400 LARA SHORE-SHEPPARD TRUSTEE, SECRETARY 1.0 2.0 X X 0 0 0 THEMARGE SMALL TRUSTEE 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 MICHAEL BRADY DDS TRUSTEE BEG 06/19 1.0 2.0 X 0 176213 16 CAROL CONROY FORMER CNO/TRUSTEE BEG 10/18 1.0 40.0 X 0 243738 0 DIMITRI GARDER TRUSTEE BEG 10/18 1.0 2.0 X 0 0 0 TOM ZIEGLER TRUSTEE BEG 06/19 1.0 2.0 X 0 0 0 STEPHEN MAJETICH CFO 1.0 45.0 X 0 423168 69646 0 1455008 295249 0 false true false TRANE US INC PO BOX 406469 ATLANTA GA 303846469 CONTRACTOR 287881 1 0 PROPERTY MANAGEMENT 531310 2205992 2205992 OTHER REVENUE 900099 969550 969550 3175542 668931 668931 0 0 154034 154034 0 154034 154034 7286710 6153265 1133445 1133445 1133445 0 0 0 0 0 0 0 0 0 INCOME FROM EQUITY INVESTEE 900099 5206 5206 5206 5137158 3175542 5206 1956410 25000 25000 0 0 0 0 0 1001467 933368 68099 31004 28896 2108 121359 113392 7967 19956 18599 1357 0 35742 35742 14057 14057 0 0 91803 91803 167974 165748 2226 0 226097 128561 97536 2030 1622 408 0 672984 669140 3844 2815 2815 0 0 160366 128103 32263 0 597586 477362 120224 20031 12613 7418 BAD DEBT 302615 302615 MISCELLANEOUS EXPENSES 1417 1417 LICENSES, DUES, SUBSCRIPTIONS 625 625 3494928 3008459 486469 0 17595 80220 1548203 661758 0 5009 215 0 0 0 0 0 0 0 0 0 14447 26612 16356871 10311510 6309278 6045361 62288772 64861651 13018 13018 1842946 1732317 0 0 1222984 2502242 73257458 75928188 1621891 1429082 0 0 34044 4836 0 0 0 0 0 0 1457046 1411239 0 0 9538370 10598194 12651351 13443351 X 60606107 62484837 0 0 0 0 60606107 62484837 73257458 75928188 X 1642230 488339 -251839 X false true X true false X 765568 765568 13738460 9450024 4288436 39915 39256 659 1227594 632408 595186 585334 189822 395512 6045361 0 DUE TO AFFILIATES 9905412 ACCRUED PENSION LIABILITIES 170864 OTHER LIABILITIES 521918 10598194 3910774 488339 -394418 93921 3816853 1320305 1320305 5137158 1726179 1726179 91803 1676946 1768749 3494928 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: $ ( 302,615) BAD DEBT EXPENSE ( 91,803) INVESTMENT FEES ------------- $ ( 394,418) SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 1,320,305 SVHC-NY LLC REVENUE SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 1,374,331 SVHC-NY LLC EXPENSES 302,615 BAD DEBT EXPENSE ------------- $ 1,676,946 true DEERFIELD VALLEY RESCUE SQUAD INC 34 RT 100 SOUTH WILMINGTON VT 05363 036026094 501(C)(3) 25000 SUPPORT 1 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: THE ORGANIZATION PROVIDES GRANT FUNDS TO CHARITABLE ORGANIZATION BASED ON NEED. THE USE OF THE FUNDS CAN BE SEEN IN THE COMMUNITY. true true false false false false false false false THOMAS DEE CEO 0 429681 0 99536 0 47682 0 197708 0 26479 0 801086 0 0 MICHAEL BRADY DDS TRUSTEE BEG 06/19 0 175012 0 0 0 1201 0 0 0 16 0 176229 0 0 CAROL CONROY FORMER CNO/TRUSTEE BEG 10/18 0 0 0 39000 0 204738 0 0 0 0 0 243738 0 0 STEPHEN MAJETICH CFO 0 324574 0 72783 0 25811 0 43017 0 26629 0 492814 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 4A SEVERANCE PAYMENTS: $ 202,277 CAROL CONROY SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: CONTRIBUTIONS TO NONQUALIFIED PLANS: $ 189,708 THOMAS DEE 35,017 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, CAROL CONROY, 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 A, LINE 4 SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS: THE BYLAWS OF THE ORGANIZATION HAVE BEEN UPDATED TO STATE THE FOLLOWING: SECTION 8.02 COMPOSITION OF BOARD. THE BOARD SHALL BE SELF-PERPETUATING AND CONSIST OF NOT LESS THAN THIRTEEN (13) OR MORE THAN TWENTY ONE (21) TRUSTEES ELECTED BY THE TRUSTEE MEMBERS THEN SERVING AS OF THE DATE OF THE ANNUAL MEETING. IN ADDITION, THE FOLLOWING PERSONS SHALL SERVE EX OFFICIO WITH VOTE: THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION, THE PRESIDENT OF THE MEDICAL STAFF, THE CHAIRPERSON OF UNITED HEALTH ALLIANCE, THE CHAIR OF THE SVHC FOUNDATION BOARD, AND A MEMBER OF THE DARTMOUTH HITCHCOCK- PUTNAM PRACTICE GROUP ("GROUP") AS RECOMMENDED BY THE GROUP'S BOARD OF GOVERNORS TO THE BOARD AND SUBJECT TO THE BOARDS APPROVAL TO SERVE FOR A THREE YEAR TERM. IN ADDITION, THE FOLLOWING PERSONS SHALL SERVE EX OFFICIO: WITHOUT VOTE, THE CHIEF MEDICAL OFFICER OF THE CORPORATION AND THE CHIEF FINANCIAL OFFICER OF THE CORPORATION, OR HIS OR HER DESIGNEE WHO SHALL ATTEND ALL BOARD OF TRUSTEES REGULAR AND SPECIAL MEETINGS THE BYLAWS OF THE ORGANIZATION HAVE BEEN UPDATED TO REMOVE ARTICLE X - REGIONAL ADVISORY BOARDS. 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 C, LINE 19 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, CAROL CONROY, AND MICHAEL BRADY, DDS, RECEIVE COMPENSATION AS A 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: $ (141,210) DEFINED BENEFIT PENSION COSTS (110,629) CHANGE IN INVESTMENT IN HOOSICK FALLS HEALTH CENTER ----------- $ (251,839) SVHC-NY LLC 100 HOSPITAL DR BENNINGTON VT 05201 810770434 HEALTHCARE VT 1320305 1529598 SVHC SVHC-HOOSICK FALLS LLC 21 DANFORTH ST HOOSICK FALLS NY 12090 830789335 HEALTHCARE NY 1732317 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 911 1.00000 true true false false true true false false false false true false true true true true true true false false SOUTHWESTERN VERMONT MEDICAL CENTER A/J 1842575 FMV SOUTHWESTERN VT HEALTH CARE FOUNDATION A/J 212 FMV TWIN RIVERS MEDICAL PC A/J 363205 FMV SOUTHWESTERN VT HEALTH CARE FOUNDATION D 1761512 FMV HOOSICK FALLS HEALTH CENTER INC D 644019 FMV SOUTHWESTERN VERMONT MEDICAL CENTER E 1306035 FMV TWIN RIVERS MEDICAL PC L 956960 FMV