2018-08-13T14:00:15-05:00 2017-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2016-10-01 030179435 SOUTHWESTERN VERMONT HEALTH CARE CORPORATION % STEPHEN MAJETICH SOUT 8024426361 100 HOSPITAL DRIVE BENNINGTON VT 05201 DAVID MEISELMAN SVHC BOARD CHAIR 2018-01-26 true Brian D Todd P00422601 4178658701 2016 2022-09-23 18:48:47Z THOMAS DEE 100 HOSPITAL DRIVE BENNINGTON VT 05201 21946185 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. 21 19 0 242 1910 610 307872 386612 1578583 2268586 538886 1038706 212841 190795 2638182 3884699 0 0 0 0 507388 923197 0 0 0 1853302 2538352 2360690 3461549 277492 423150 65366427 72137494 11823632 14773880 53542795 57363614 X TO CARE FOR AND COMFORT OUR PATIENTS, RESIDENTS, AND THEIR LOVED ONES AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. true false 2065592 483049 SOUTHWESTERN VERMONT HEALTH CARE CORPORATION SUPPORTS SOUTHWESTERN VERMONT MEDICAL CENTER AND OTHER RELATED PARTIES THROUGH GRANT ADMINISTRATION, ACCOUNTING SERVICES AND SUPPORT OF TRUSTEE EXPENSES. SEE SCHEDULE O FOR ADDITIONAL DETAILS. 978231 1785537 SOUTHWESTERN VERMONT HEALTH CARE CORPORATION MANAGES AND MAINTAINS MEDICAL OFFICE BUILDINGS IN BENNINGTON, MANCHESTER, WILMINGTON, AND WEST DOVER IN VERMONT, AS WELL AS HOOSICK FALLS, NEW YORK AND WILLIAMSTOWN, MASSACHUSETTS. 3043823 true true false false false false false false false false true false false false true false false true false false true 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 23 0 true 0 true false true CJ false false false false false false false false X 21 19 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 THOMAS DEE CEO 1.0 43.0 X X 0 492388 116080 RICHARD ADLER TRUSTEE 1.0 2.0 X 0 0 0 MICHAEL BRADY TRUSTEE 1.0 2.0 X 0 0 0 JAMES BROWN 2ND VICE CHAIR 1.0 2.0 X X 0 0 0 CHRISTOPHER CASEY TRUSTEE 1.0 2.0 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 CHAIR 1.0 2.0 X X 0 0 0 CONNIE JASTREMSKI TRUSTEE 1.0 2.0 X 0 0 0 MARNY KRAUSE FOUNDATION BOARD PRESIDENT 1.0 3.0 X 0 0 0 SUE MAGUIRE TRUSTEE 1.0 2.0 X 0 0 0 ANGIE MARANO TRUSTEE 1.0 2.0 X 0 0 0 DAVID MEISELMAN TRUSTEE 1.0 2.0 X 0 0 0 BRUCE MULLEN 1ST VICE CHAIR 1.0 3.0 X X 0 0 0 CLAIRE MURRAY TRUSTEE 1.0 2.0 X 0 0 0 WILBUR RICE TRUSTEE 1.0 2.0 X 0 0 0 ERIC SEYFERTH CHAIR OF UHA 1.0 41.0 X 0 33259 1300 LARA SHORE-SHEPPARD TRUSTEE 1.0 2.0 X 0 0 0 STANLEY STROUP TRUSTEE 1.0 2.0 X 0 0 0 ANN MARIE SWANN PRESIDENT MEDICAL STAFF 1.0 2.0 X 0 0 0 SEAN CASEY SECRETARY 1.0 2.0 X X 0 0 0 STEPHEN MAJETICH CFO 1.0 45.0 X 0 360417 53872 CARL DOBSON CHIEF MEDICAL OFFICER 40.0 4.0 X 0 0 0 0 886064 171252 0 false true false 0 33209 353403 386612 PROPERTY MANAGEMENT 531310 1785537 1785537 OTHER REVENUE 900099 483049 483049 2268586 490875 490875 0 0 188885 188885 0 188885 188885 17501955 1107362 16966407 1095079 535548 12283 547831 547831 0 0 0 0 0 0 0 0 0 INCOME IN EQUITY INVESTEE 900099 1910 1910 1910 3884699 2268586 1910 1227591 0 0 0 0 0 0 759519 717848 41671 9284 8775 509 116370 109985 6385 38024 35938 2086 0 14644 14644 11134 537 10597 0 0 128668 128668 229096 186750 42346 0 317707 257643 60064 9503 8129 1374 0 487150 474783 12367 15098 14770 328 0 13399 13054 345 0 0 591133 505648 85485 11676 1150 10526 BAD DEBT 704163 704163 MEDICAL SUPPLIES & DRUGS 4360 4360 LICENSES, DUES, SUBSCRIPTIONS 290 290 MISCELLANEOUS 331 331 3461549 3043823 417726 0 0 1166759 1980865 1988806 0 0 0 0 0 0 0 0 0 0 0 0 9446 11927 15743926 9140289 5853102 6603637 55171740 60106484 13018 13018 0 0 0 0 2338256 2246863 65366427 72137494 1073672 1415206 0 0 122071 107002 0 0 0 0 0 0 0 1500000 0 0 10627889 11751672 11823632 14773880 X 53542795 57363614 0 0 0 0 53542795 57363614 65366427 72137494 X 423150 3312676 84993 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 689400 689400 13701140 8346814 5304326 39915 38897 1018 881937 580457 301480 431534 124121 307413 6603637 0 DUE TO AFFILIATES 10904799 ACCRUED PENSION LIABILITIES 205358 ESTIMATED SELF INSURANCE 40621 OTHER LIABILITIES 600894 11751672 5912232 3312676 -747838 2564838 3347394 537305 537305 3884699 2130418 2130418 128668 1202463 1331131 3461549 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 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 OTHER REVENUE ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ ( 704,163) BAD DEBT EXPENSE ( 128,668) INVESTMENT MANAGEMENT FEES 84,993 DEFINED BENEFIT PENSION COSTS ----------- $ ( 747,838) SCHEDULE D, PART XI, LINE 4B OTHER REVENUE ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 537,305 SVHC NY LLC REVENUE SCHEDULE D, PART XII, LINE 4B OTHER EXPENSE OF FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 704,163 BAD DEBT EXPENSE 498,300 SVHC NY LLC EXPENSES ----------- $ 1,202,463 Central America and the Caribbean Investments 19550000 19550000 19550000 true false true true false false false true false false false false false false false THOMAS DEE 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 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: 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: $ 81,944 THOMAS DEE 20,240 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 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. 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 III, LINE 2 ADDITIONAL PROGRAM SERVICE ACTIVITIES: SVHC-NY, LLC BEGAN OPERATIONS THIS YEAR. THIS IS ORGANIZED FOR STAFFING PURPOSES IN ADDITION TO OWNING AND LEASING PROPERTY FOR TWIN RIVERS MEDICAL, P.C. THIS IS A SINGLE-MEMBER LLC OF SOUTHWESTERN VERMONT HEALTHCARE CORPORATION AND ALL ACTIVITY IS REPORTED ON THIS 990. SEE SCHEDULE R, PART I FOR ADDITIONAL DETAILS. FORM 990, PART III, SECTION A, LINE 4 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: 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, AND STEPHEN MAJETICH HAVE A BUSINESS RELATIONSHIP AS THEY ARE EMPLOYED BY A RELATED ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT DUTIES: DARTMOUTH-HITCHCOCK MEDICAL CENTER MANAGES OUR PHYSICIANS. AS PART OF THIS ARRANGEMENT, THE 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 ON INTEREST POLICY: OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY DISCLOSE INTERESTS 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 AND THEN 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. 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: 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, RECEIVES COMPENSATION AS A PHYSICIAN. THOMAS DEE IS COMPENSATED AS THE CEO OF THE SOUTHWESTERN VERMONT HEALTHCARE SYSTEM. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $ 84,993 DEFINED BENEFIT PENSION COSTS SVHC-NY LLC 100 HOSPITAL DR BENNINGTON VT 05201 810770434 HEALTH CARE VT 537305 3096949 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 SOUTHWESTERN VT HEALTH CARE ENTERPRISES 100 HOSPITAL DRIVE BENNINGTON VT 05201 030314501 HEALTHCARE VT SVHC C CORP 0 3962 1.00000 true true false false true true false false false false true false true true true true false false false false SOUTHWESTERN VERMONT MEDICAL CENTER A/J 1717172 FMV SOUTHWESTERN VT HEALTH CARE FOUNDATION A/J 509 FMV TWIN RIVERS MEDICAL PC A/J 67856 FMV NORTHERN BERKSHIRE MEDICAL PC D 598470 FMV TWIN RIVERS MEDICAL PC D 96779 FMV SOUTHWESTERN VERMONT MEDICAL CENTER E 1064203 FMV TWIN RIVERS MEDICAL PC E 480190 FMV TWIN RIVERS MEDICAL PC L 410761 FMV