2019-08-05T09:12:25-05:00 2018-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2017-10-01 453362785 SOUTHWESTERN VERMONT HEALTHCARE FOUNDATION INC % STEPHEN MAJETICH SOUT 8024475040 100 HOSPITAL DRIVE BENNINGTON VT 05201 STEPHEN D MAJETICH CFO 8024475041 2019-01-22 true Brian D Todd P00422601 4178658701 2019-01-22 167.68.126.162 43032920192175000005 2019-08-05 P BBF3045401044ADD935AFA0A61CC835ADE8D16A9 92996119D705B961BF1767000FEBD157C9C05609 2017 2019-02-21 02:37:17Z LESLIE KEEFE 100 HOSPITAL DRIVE BENNINGTON VT 05201 4308955 false X WWW.SVHEALTHCARE.ORG X 2011 VT AS PART OF THE SOUTHWESTERN VERMONT HEALTH CARE CORPORATION, THE SVHC FOUNDATION EXISTS TO FUNDRAISE THROUGH CAMPAIGNS WHICH EXCLUSIVELY SUPPORT SVHC AND AFFILIATES. 16 15 0 83 0 0 4104183 2818381 0 0 836965 728377 -35922 -41382 4905226 3505376 655819 773147 0 0 1031564 1014015 0 0 0 669578 409921 2356961 2197083 2548265 1308293 21964324 22475421 1105027 351303 20859297 22124118 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. false false 1987293 773147 PROVIDING FINANCIAL SUPPORT FOR SOUTHWESTERN VERMONT HEALTH CARE CORPORATION, ITS SUCCESSORS, SUBSIDIARIES AND AFFILIATES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 1987293 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 true true false false false false false false false false true false false false false true false false false true 25 0 true 0 false false false false false true true false false false false X 16 15 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 TOM DEE PRESIDENT/CEO 1.0 40.0 X X 0 546914 172144 KATIE BROOKS DIRECTOR 1.0 0.0 X 0 0 0 CAROLYN BLITZ DIRECTOR END 07/18 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 DR ORION HOWARD DIRECTOR 1.0 0.0 X 0 0 0 FREDRICKA KIMBALL SECRETARY 1.0 0.0 X X 0 0 0 MARNY KRAUSE CHAIR 1.0 1.0 X X 0 0 0 CHARLES LAFIURA DIRECTOR 1.0 0.0 X 0 0 0 JOHN LARKIN DIRECTOR BEG 07/18 1.0 0.0 X 0 0 0 MICHAEL MCKENNA DIRECTOR 1.0 0.0 X 0 0 0 BRUCE MULLEN VICE CHAIR 1.0 1.0 X X 0 0 0 SCOTT SIEDEL DIRECTOR 1.0 0.0 X 0 0 0 DR THEMARGE SMALL DIRECTOR BEG 06/18 1.0 1.0 X 0 0 0 ROBERT VAN DEGNA DIRECTOR BEG 12/17 1.0 0.0 X 0 0 0 ALAN WIEGAND DIRECTOR 1.0 0.0 X 0 0 0 TOM ZIEGLER DIRECTOR BEG 12/17 1.0 0.0 X 0 0 0 STEPHEN MAJETICH CFO/TREASURER 1.0 40.0 X 0 386099 47044 LESLIE KEEFE VICE PRES OF SVHC FOUNDATION 40.0 0.0 X 242293 0 34478 ANDREW BISSELLE DIRECTOR OF DEVELOPMENT 40.0 1.0 X 122581 0 26039 364874 933013 279705 2 false true false 0 200267 107500 164217 2346397 207142 2818381 0 217083 217083 0 0 0 0 0 981162 469868 511294 511294 511294 260004 200267 318711 -58707 -58707 32325 15000 17325 17325 0 0 0 0 3505376 686995 704025 704025 69122 69122 0 0 276771 248668 28103 0 569020 567052 1968 21963 21963 101155 93994 7161 45106 40526 4580 0 0 2288 2288 0 0 37594 37594 114565 102933 11632 42574 38251 4323 175299 66975 108324 0 0 509 457 52 7633 6858 775 0 0 0 0 466 419 47 14767 13268 1499 RECRUITING & RETENTION 11545 10373 1172 LICENSES, DUES, SUBSCRIPTIONS 2681 2409 272 2197083 1987293 209790 0 1174763 922889 284785 325675 328507 645130 0 0 0 0 0 0 0 0 0 0 2569 12629 6997 1166 6297 5831 16976556 17565056 0 0 0 0 0 0 3190847 2998211 21964324 22475421 129057 116897 0 0 90042 185863 0 0 0 0 0 0 0 0 0 0 885928 48543 1105027 351303 X 5820331 6116159 3784724 4573499 11254242 11434460 20859297 22124118 21964324 22475421 X 1308293 -71690 28218 X false true X true false X X X 8 SVHC 030179435 3 true 0 0 MAHC 030279740 10 true 5934 0 SVHCA 222563243 10 true 0 0 SVMC 222563241 3 true 1248842 0 TRM 473028931 10 true 45 0 NBM 814023607 10 true 0 0 HFHC 141370000 3 true 0 0 HFHCF 223186959 7 true 0 0 8 1254821 true false false false false true 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 SCHEDULE A, PART IV, LINE 5A ADDITION OF SUPPORTED ORGANIZATIONS: THE SOUTHWESTERN VERMONT HEALTHCARE SYSTEM ADDED TWO NEW TAX EXEMPT ORGANIZATIONS, HOOSICK FALLS HEALTH CENTER INC, EIN 14-1370000 AND HOOSICK FALLS HEALTH CENTER FOUNDATION INC, EIN 22-3186959. SEE SCHEDULE R, PART II, FOR ADDITIONAL DETAILS ON THE NEW ORGANIZATIONS. PURSUANT TO ARTICLE 3, SECTION 1, OF SOUTHWESTERN VERMONT HEALTH CARE FOUNDATION'S ARTICLES OF INCORPORATION, THE SUPPORTING ORGANIZATION IS ORGANIZED FOR THE PURPOSE OF PROVIDING FINANCIAL SUPPORT TO SOUTHWEST VERMONT HEALTH CARE CORPORATION (SVHC), ITS SUCCESSORS, SUBSIDIARIES AND AFFILIATES. AS RELATED ORGANIZATIONS OF SVHC, HOOSICK FALLS HEALTH CENTER AND HOOSICK FALLS HEALTH CENTER FOUNDATION MEET THIS CRITERIA. 11387116 120000 92590 85617 11514089 11070205 101833 224092 9014 11387116 11065382 53364 48541 11070205 11135162 11827 8086 89693 11065382 241457 11064479 44275 215049 11135162 0.99310 0.00690 true false 6997 1166 5831 5831 Due from Affiliate 782731 Beneficial Interest in Trust 2212750 Other Receivables 2730 2998211 0 ANNUITY PAYMENTS 48543 48543 2823911 -71690 34898 795427 758635 2065276 1440100 1440100 3505376 2528083 34898 333711 368609 2159474 37594 15 37609 2197083 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 : $ 833,036 UNRESTRICTED NET ASSETS RELEASED FROM RESTRICITON ( 37,594) INVESTMENT MANAGEMENT FEES ( 15) BAD DEBT EXPENSE ------------ $ 795,427 SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12 BUT NOT ON LINE 1: $ 1,628,552 TEMPORARILY RESTRICTED CONTRIBUTIONS 120,000 PERMANENTLY RESTRICTED CONTRIBUTIONS 25,259 TEMPORARILY RESTRICTED INVESTMENT RETURN ( 15,000) GAMING EXPENSES ( 318,711) SPECIAL EVENT EXPENSES ----------------- $ 1,440,100 SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE BUT NOT ON FORM 990, PART IX, LINE 25: $ 318,711 SPECIAL EVENT EXPENSES 15,000 GAMING EXPENSES --------------- $ 333,711 SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 15 BAD DEBT EXPENSE GALA 226769 120519 106250 8400 17020 30515 54710 15990 56671 JINGLE BELL 98681 43467 55214 500 2240 32484 8750 25111 2 134821 36281 98540 3638 6920 38612 8948 8202 460271 200267 260004 12538 26180 101611 63658 24740 89984 318711 -58707 false false 32325 15000 false 32325 15000 15000 17325 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) 698091 SUPPORT MOUNT ANTHONY HOUSING CORPORATION 160 HOSPITAL DRIVE BENNINGTON VT 05201 030279740 501(C)(3) 5934 SUPPORT 2 ONGOLOGY PATIENT RESOURCE FUND 225 58193 SVHC PATIENT RESOURCE FUND 48 10929 SCHEDULE I, PART I, LINE 2 MONITORING USE OF GRANT FUNDS: SOUTHWESTERN VERMONT MEDICAL CENTER AND MOUNT ANTHONY HOUSING CORPORATION 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. STAFF REQUEST ASSISTANCE FOR INDIVIDUALS. IN SOME CASES, SOCIAL SERVICES ASSISTS IN DETERMINING NEED AND SEEKING OTHER RESOURCES FROM THE COMMUNITY. MANAGERS ASSESS AND APPROVE THE REQUESTS. THE FOUNDATION VP OR DIRECTOR THEN SIGNS OFF ON REQUESTS TO DOCUMENT THEIR AUTHORIZATION OF THE USE OF FUNDS. false true false false false false false false TOM DEE PRESIDENT/CEO 0 408233 0 94090 0 44591 0 146445 0 25699 0 719058 0 0 STEPHEN MAJETICH CFO/TREASURER 0 301013 0 65765 0 19321 0 20585 0 26459 0 433143 0 0 LESLIE KEEFE VICE PRES OF SVHC FOUNDATION 183220 0 44190 0 14883 0 8000 0 26478 0 276771 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: COMPENSATION COMMITTEE, WRITTEN EMPLOYMENT CONTRACT, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: CONTRIBUTIONS TO NONQUALIFIED PLANS FROM SMVC, A RELATED ORGANIZATION: $ 138,445 THOMAS DEE 12,585 STEPHEN MAJETICH SCHEDULE J, PART II, COLUMB 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 MIKE MACIEKOWICH OF 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; HOWEVER, NO PAYOUT IS MADE UNLESS SVHC'S FINANCIAL GOAL IS ACHIEVED. X 30483 FMV X 14 176659 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 CONTRIBUTORS. 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. IN ADDITION, THE FOUNDATION RAISES FUNDS TO SUPPORT PATIENTS UNDERGOING TREATMENT IN SVMCS CANCER CENTER (THE ONCOLOGY PATIENT RESOURCE FUND) AND IN ITS HOSPITAL (THE SVMC PATIENT RESOURCE FUND). THE PATIENT RESOURCE FUNDS (PRF) ASSIST PATIENTS BY COVERING UNEXPECTED COSTS THAT OCCUR DURING TREATMENT OR BECAUSE A PATIENT OR CAREGIVER IS OUT OF WORK DURING AN EXTENDED TIME OF ILLNESS. COSTS COVERED BY THE PRFS INCLUDE: MORTGAGE AND RENT PAYMENTS, CAR PAYMENTS, UTILITIES, ANIMAL CARE, TRANSPORTATION COSTS, CLOTHING, HOUSEHOLD SUPPLIES, GROCERIES, WIGS, PRESCRIPTIONS, PHARMACEUTICAL EQUIPMENT, DENTAL CARE, FUNERAL EXPENSES, AND LODGING FOR PATIENTS AND FAMILIES WHILE RECEIVING TREATMENT AT MEDICAL FACILITIES OUTSIDE THE AREA. FUNDS ARE ALSO USED TO PROVIDE EMOTIONAL SUPPORT FOR CANCER PATIENTS, SUCH AS MASSAGES AND YOGA. TO IDENTIFY WHERE PRF GIFTS ARE NEEDED, SVMC STAFF WORKS DIRECTLY WITH PATIENTS. NEED IS DETERMINED THROUGH FACE-TO-FACE CONVERSATION AS WELL AS OBSERVATION AND KNOWLEDGE OF THE PATIENTS LIVING CONDITION AND SITUATION. ON OCCASION, STAFF RECEIVES REFERRALS FROM COMMUNITY MEMBERS. INFORMATIONAL MATERIALS ON THE FUNDS AND OTHER FINANCIAL ASSISTANCE ARE ALSO AVAILABLE IN PRACTICES THROUGHOUT THE HEALTH SYSTEM. STAFF MEMBERS ARE ENCOURAGED TO REPORT ANY PATIENT NEED THEY IDENTIFY TO THE CANCER CENTER DIRECTOR, A NURSE MANAGER, A PHYSICIAN, A DEPARTMENT MANAGER, OR TO THE SOCIAL SERVICES DEPARTMENT. TO SECURE A GIFT, A RESTRICTED GIFT CHECK REQUEST, SIGNED BY A STAFF MEMBERS SUPERVISOR, IS SUBMITTED TO THE CANCER CENTER DIRECTOR OR THE DIRECTOR OF SOCIAL SERVICES. THE REQUEST IS THEN SENT FOR APPROVAL TO THE VICE PRESIDENT OF CORPORATE DEVELOPMENT WHO OVERSEES THE SVHC FOUNDATION. ASSISTANCE THROUGH THE PRF IS TYPICALLY FOR EMERGENCY, STOP-GAP AID, NOT ONGOING PAYMENTS. DURING FY2018, THE ONCOLOGY PRF SUPPORTED 225 PATIENTS WITH GIFTS TOTALING $58,193.17. THE SVMC PRF SUPPORTED 48 PATIENTS WITH GIFTS OF $10,929.03. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS: THOMAS DEE, MARNY KRAUSE, BRUCE MULLEN, 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. ORION HOWARD, MD, IS EMPLOYED BY DARTMOUTH-HITCHCOCK AND WORKS AT SVMC. 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 OR 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 PROCESS TO REVIEW THE FORM 990: 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 SVHC FINANCE COMMITTEE. AFTER ANY FINAL CHANGES ARE MADE, THE FORM 990 IS PRESENTED TO THE SVHC FULL BOARD OF DIRECTORS BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES OF SVHC ARE REQUIRED TO ANNUALLY DISCLOSE INTEREST WHICH COULD RESULT IN CONFLICTS. THE COMPLIANCE OFFICER MAINTAINS RECORDS ON THE COMPLETION OF THE CONFLICT OF INTEREST FORMS, ANY POTENTIAL CONFLICTS ARE DISCUSSED AT THE AUDIT AND COMPLIANCE MEETING AFTER WHICH RECOMMENDATIONS ARE BROUGHT BEFORE THE FULL BOARD FOR A VOTE. IN THE CASE OF A POTENTIAL CONFLICT OF INTEREST, THE BOARD MEMBER ABSTAINS FROM ALL DISCUSSION AND CONSIDERATION OF THE ITEM THAT PRESENTS THE POTENTIAL CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 & 15B COMPENSATION REVIEW: THE ORGANIZATION'S CEO POSITION IS PAID BY SOUTHWESTERN VERMONT MEDICAL CENTER (SVMC). THE PROCESS 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. THE PROCESS BEGINS WITH A REQUEST TO OUR COMPENSATION CONSULTANT MIKE MACIEKOWICH OF 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 MIKE MACIEKOWICH IN ATTENDANCE OR ON THE PHONE. IF MIKE MACIEKOWICH IS IN AGREEMENT HE WILL PROVIDE A WRITTEN LETTER CONFIRMING HIS AGREEMENT. FORM 990, 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 HEALTHCARE SYSTEM. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $ 60,218 CHANGE IN BENEFICIAL INTEREST IN TRUST (32,000) TRANSFER TO AFFILIATIES --------------- $ 28,218 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 false true true true false false false false false true true false true true true true true false