2018-08-13T09:58:17-05:00 2017-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2016-10-01 453362785 SOUTHWESTERN VERMONT HEALTHCARE FOUNDATION INC % STEPHEN MAJETICH SOUT 8024475041 100 HOSPITAL DRIVE BENNINGTON VT 05201 MARNY KRAUSE BOARD CHAIR 2018-01-26 true Brian D Todd P00422601 4178658701 2016 2022-09-23 18:48:47Z MARNY KRAUSE 100 HOSPITAL DRIVE BENNINGTON VT 05201 6016209 false X WWW.SVHEALTHCARE.ORG X 2011 VT AS PART OF SOUTHWESTERN VERMONT HEALTH CARE CORPORATION, SVHC FOUNDATION EXISTS TO PROVIDE EXCEPTIONAL HEALTH CARE AND COMFORT TO THE PEOPLE WE SERVE. 19 17 0 172 0 0 1533164 4104183 0 0 212636 836965 -31391 -35922 1714409 4905226 560422 655819 0 0 914810 1031564 0 0 0 268795 669578 1744027 2356961 -29618 2548265 17614429 21964324 659541 1105027 16954888 20859297 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 2138778 655819 PROVIDING FINANCIAL SUPPORT FOR SOUTHWESTERN VERMONT HEALTH CARE CORPORATION, ITS SUCCESSORS, SUBSIDIARIES AND AFFILIATES. SCHEDULE O FOR ADDITIONAL INFORMATION. 2138778 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 false false true false 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 19 17 true false true 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 ALAN WIEGAND DIRECTOR 1.0 0.0 X 0 0 0 BRUCE MULLEN VICE-CHAIR 1.0 3.0 X X 0 0 0 CAROLYN BLITZ DIRECTOR 1.0 0.0 X 0 0 0 CHARLES D LAFIURA DIRECTOR 1.0 0.0 X 0 0 0 CRISTA GANNON DIRECTOR 1.0 0.0 X 0 0 0 DAVID NEWELL DIRECTOR 1.0 0.0 X 0 0 0 FREDRICKA KIMBALL SECRETARY 1.0 0.0 X X 0 0 0 JANE AUSTIN DIRECTOR 1.0 0.0 X 0 0 0 JOHN LARKIN DIRECTOR 1.0 0.0 X 0 0 0 JONATHAN COHEN DIRECTOR 1.0 0.0 X 0 0 0 KATHRYN BROOKS DIRECTOR 1.0 0.0 X 0 0 0 MARNY KRAUSE CHAIR 1.0 3.0 X X 0 0 0 MICHAEL S MCKENNA DIRECTOR 1.0 0.0 X 0 0 0 ORION HOWARD MD DIRECTOR 1.0 0.0 X 0 0 0 ROBERT S RUHL DMD DIRECTOR 1.0 0.0 X 0 0 0 ROBY HARRINGTON DIRECTOR 1.0 0.0 X 0 0 0 SCOTT SEIDEL DIRECTOR 1.0 0.0 X 0 0 0 THOMAS DEE PRESIDENT/CEO 1.0 43.0 X X 0 492388 116080 STEPHEN MAJETICH CFO 1.0 45.0 X X 0 360417 53872 LESLIE J KEEFE VP OF CORPORATE DEVELOPMENT 40.0 0.0 X 237504 0 34138 ANDREW BISSELLE DIRECTOR OF CORP. DEVELOPMENT 40.0 0.5 X 101162 0 23731 338666 852805 227821 2 false true false 0 275896 34500 144203 3649584 156237 4104183 0 287106 287106 0 0 0 0 0 1398659 848800 549859 549859 549859 226261 275896 262183 -35922 -35922 0 0 0 0 0 0 0 4905226 801043 655819 655819 0 0 0 271642 244060 27582 0 611164 606137 5027 22910 22910 78825 78825 47023 42248 4775 0 0 919 919 0 0 43582 43582 89729 80618 9111 0 469861 349325 120536 0 0 509 457 52 38345 34451 3894 0 1326 1191 135 0 0 466 419 47 13138 11804 1334 RECRUITING & RETENTION 10878 9773 1105 LICENSES, DUES, SUBSCRIPTIONS 825 741 84 2356961 2138778 218183 0 170457 1174763 83279 284785 233002 328507 0 0 0 0 0 0 0 0 0 0 2513 2569 6997 700 6764 6297 15029612 16976556 0 0 0 0 0 0 2088802 3190847 17614429 21964324 117460 129057 0 0 55750 90042 0 0 0 0 0 0 0 0 0 0 486331 885928 659541 1105027 X 3512322 5820331 2381434 3784724 11061132 11254242 16954888 20859297 17614429 21964324 X 2548265 1344403 11741 X false true X true false X X X 6 SVMC 222563241 3 true 736844 0 SVHC 030179435 3 true 0 0 MAHC 030279740 10 true 0 0 SVHCA 222563243 10 true 0 0 TRM 473028931 10 true 0 0 NBM 814023607 10 true 0 0 6 736844 true false false false true true false false false false false false false false false false false true false SCHEDULE A, PART I, LINE 11I ORGANIZATIONS SUPPORTED: THE COMPLETE NAMES OF THE ORGANIZATIONS SUPPORTED ARE AS FOLLOWS: (A) SOUTHWESTERN VERMONT MEDICAL CENTER (B) SOUTHWESTERN VERMONT HEALTH CARE CORPORATION (C) MOUNT ANTHONY HOUSING CORPORATION (D) SOUTHWESTERN VERMONT HEALTHCARE AUXILIARY (E) TWIN RIVERS MEDICAL PC (F) NORTHERN BERKSHIRE MEDICAL PC SCHEDULE A, PART IV, LINE 5A ADDITION OF SUPPORTED ORGANIZATIONS: THE SOUTHWESTERN VERMONT HEALTHCARE SYSTEM ADDED TWO NEW TAX EXEMPT ORGANIZATIONS, NORTHERN BERKSHIRE MEDICAL PC, EIN 81-4023607, AND TWIN RIVERS MEDICAL PC, EIN 47-3028931. SEE SCHEDULE R, PART II, FOR ADDITIONAL DETAILS ON THE NEW ORGANIZATIONS. PURSUANT TO ARTICLE 3, SECTION 1, OF SOUTHWESTERN VERMONT HEALTH CARE FOUNDATIONS 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, NORTHERN BERKSHIRE MEDICAL PC AND TWIN RIVERS MEDICAL PC MEET THIS CRITERIA. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11070205 101833 224092 9014 11387116 11065382 53364 48541 11070205 11135162 11827 8086 89693 11065382 241457 11064479 44275 215049 11135162 240484 973 241457 0.99920 0.00080 true false 6997 700 6297 6297 Beneficial Interest in Trust 2152532 Other Receivables 4265 3190847 0 DUE TO AFFILIATES 829845 ANNUITY PAYMENTS 56083 885928 4915571 1305036 32000 1101029 2438065 2477506 2427720 2427720 4905226 2607562 32000 262183 294183 2313379 43582 43582 2356961 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: $ 1,225,636 UNRESTRICTED NET ASSETS RELEASED FROM RESTRICTION ( 81,025) TRANSFER TO AFFILIATES ( 43,582) INVESTMENT MANAGEMENT FEES ------------ $ 1,101,029 SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12 BUT NOT ON LINE 1: $ 2,431,245 TEMPORARILY RESTRICTED CONTRIBUTIONS 158,314 TEMPORARILY RESTRICTED INVESTMENT RETURN 100,344 PERMANENTLY RESTRICTED CONTRIBUTIONS ( 262,183) SPECIAL EVENT EXPENSES ------------ $ 2,427,720 SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 262,183 SPECIAL EVENT EXPENSES HARVEST BALL 219387 131552 87835 27232 30678 9255 28974 JINGLE BELL 141466 83316 58150 438 29344 8020 21644 1 141304 61028 80276 3595 11162 8673 37630 45538 502157 275896 226261 3595 11600 35905 97652 17275 96156 262183 -35922 RAFFLES ARE PART OF OUR FUNDRAISING EVENTS. 100 HOSPITAL DRIVE BENNINGTON VT 05201 true SOUTHWESTERN VERMONT MEDICAL CENTER 100 HOSPITAL DRIVE BENNINGTON VT 05201 222563241 501(C)(3) 655819 SUPPORT 1 SCHEDULE I, PART I, LINE 2 MONITORING USE OF GRANT FUNDS: SOUTHWESTERN VERMONT MEDICAL CENTER IS RELATED TO SOUTHWESTERN VERMONT HEALTHCARE FOUNDATION. SINCE THE RECIPIENT OF THE GRANT IS A RELATED PARTY, 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 false LESLIE J KEEFE VP OF CORPORATE DEVELOPMENT 187585 0 49840 0 79 0 8000 0 26138 0 271642 0 0 0 THOMAS DEE PRESIDENT/CEO 0 397672 0 50000 0 44716 0 89944 0 26136 0 608468 0 0 STEPHEN MAJETICH CFO 0 288751 0 68892 0 2774 0 28240 0 25632 0 414289 0 0 schedule j, part 1, line 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: $ 20,240 STEPHEN MAJETICH 81,944 THOMAS DEE 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 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 3 156237 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: AT SVHC, STAFF WORKING DIRECTLY WITH PATIENTS IDENTIFY A PATIENT'S NEED AND FILL OUT A RESTRICTED GIFT CHECK REQUEST FORM TO PAY FOR SOMETHING THAT THE STAFF MEMBER BELIEVES THE PATIENT IS UNABLE TO PAY FOR HIMSELF. NEED IS DETERMINED BY THE STAFF MEMBER'S CONVERSATIONS WITH THE PATIENT AS WELL AS OBSERVATION AND KNOWLEDGE OF THE PATIENT'S LIVING CONDITIONS AND SITUATION. THE CHECK REQUEST IS APPROVED AND SIGNED BY THE STAFF MEMBER'S SUPERVISOR AND SENT TO THE VP OF DEVELOPMENT FOR HER APPROVAL AND PROCESSING FOR PAYMENT. IN THE CANCER CENTER, STAFF MEMBERS ARE ENCOURAGED TO REPORT ANY PATIENT NEED THEY IDENTIFY TO THE CANCER CENTER DIRECTOR, NURSE MANAGER, PHYSICIAN, OR SOCIAL SERVICES. IF THE PATIENT'S NEED IS FOR AN "EMOTIONAL BOOST," SUCH AS A MASSAGE OR OTHER SUCH SERVICE, THE PATIENT IS ELIGIBLE BY VIRTUE OF HIS/HER CANCER DIAGNOSIS. IF THE PATIENT'S NEED IS FOR FINANCIAL ASSISTANCE WITH RENT, UTILITIES, PRESCRIPTIONS, ETC., HE/SHE IS REFERRED TO SOCIAL SERVICES. SOCIAL SERVICES DETERMINES FINANCIAL NEED BY TALKING WITH THE PATIENT TO FIND OUT THEIR CURRENT SITUATION. SOCIAL SERVICES LOOKS FOR OTHER FINANCIAL RESOURCES IN THE COMMUNITY WITH WHICH TO HELP THE PATIENT AND CONSIDERS THE HEALTH SYSTEM'S PATIENT RESOURCE FUNDS. ASSISTANCE IS GENERALLY CONSIDERED TO BE A ONE-TIME, EMERGENCY STOP-GAP AID, AND NOT SOMETHING THAT WILL BE ONGOING. ONCE NEED HAS BEEN DETERMINED, THE NURSE MANAGER, THE CHIEF RADIATION THERAPIST OR SOCIAL SERVICES COMPLETES THE RESTRICTED GIFT CHECK REQUEST FORM AND OBTAINS APPROVAL FROM THE DIRECTOR OF THE CANCER CENTER. THE CHECK REQUEST FORM IS THEN SENT TO THE VP OF DEVELOPMENT FOR HER APPROVAL AND PROCESSING FOR PAYMENT. THE SVMC PATIENT RESOURCE FUND IS MAINLY USED BY SOCIAL SERVICES TO HELP NON-CANCER PATIENTS WITH THE SAME SORTS OF NEEDS THAT THE OTHER TWO FUNDS ARE USED FOR. CHECK REQUESTS TO ACCESS THIS FUND WOULD BE FILLED OUT BY A SOCIAL SERVICES STAFF MEMBER, APPROVED BY THE HEAD OF SOCIAL SERVICES AND SENT TO THE VP OF DEVELOPMENT FOR HER APPROVAL AND PROCESSING FOR PAYMENT. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS: THOMAS DEE, MICHAEL BRADY, MARNY KRAUSE, 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 4 CHANGES TO BYLAWS: ADD ARTICLE III 3.4. DIRECTOR EMERITUS - UPON RECOMMENDATION OF THE EXECUTIVE COMMITTEE OF THE CORPORATION TO THE BOARD OF DIRECTORS THE BOARD MAY DESIGNATE ANY CURRENT OR FORMER DIRECTOR OR OTHER PERSON AS A DIRECTOR EMERITUS, IN RECOGNITION OF DISTINGUISHED SERVICE TO THIS CORPORATION AND THE SOUTHWESTERN VERMONT HEALTH CARE SYSTEM BASED ON CRITERIA THEN DETERMINED AS APPROPRIATE BY THE CORPORATIONS BOARD OF DIRECTORS. THE STATUS OF DIRECTOR EMERITUS CONFERS NO VOTING OR OTHER MEMBERSHIP RIGHTS OR PRIVILEGES; HOWEVER, THOSE PERSONS WITH THIS DESIGNATION MAY BE INVITED TO ATTEND SUCH FUNCTIONS AS THEY MAY FIND OF INTEREST AS WELL AS THE ANNUAL MEETING OF THE CORPORATION. AMEND ARTICLE VII 7.1 OFFICERS - A SECOND CHAIR MAY BE APPOINTED BY DIRECTORS WITH SUCH AUTHORITY AND RESPONSIBILITIES AS SHALL BE DETERMINED BY THE DIRECTORS AT THE TIME OF APPOINTMENT. 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 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: OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES 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, LINES 15A & 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: $ 92,766 CHANGE IN BENEFICIAL INTEREST IN TRUST ( 81,025) TRANSFER TO AFFILIATES ------------ $ 11,741 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 SOUTHWESTERN VT HEALTHCARE ENTERPRISES 100 HOSPITAL DRIVE BENNINGTON VT 05201 030314501 HEALTHCARE VT SVHC C CORP false false false true false true false false false false false false true false true true true false true false