SOUTHWESTERN VERMONT MEDICAL CENTER INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
SOUTHWESTERN VERMONT MEDICAL CENTER INC (EIN 22-2563241)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-07
IRS object ID
201702199349300420
Schema version
2015v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-08-07T09:41:07-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationMOStateAbbreviationCd
ZIP658062523ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN222563241EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTHWESTERN VERMONT MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% STEPHEN MAJETICHInCareOfNm
Business Name ControlSOUTBusinessNameControlTxt
Phone8024475011PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 HOSPITAL DRIVEAddressLine1Txt
CityBENNINGTONCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05201ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEPHEN MAJETICHPersonNm
Person TitleCFOPersonTitleTxt
Signature2017-04-24SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBrian D ToddPreparerPersonNm
PTINP00422601PTIN
Phone4178658701PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTHOMAS DEEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 HOSPITAL DRIVEAddressLine1Txt
CityBENNINGTONCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05201ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$162,443,105GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.svhealthcare.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1912FormationYr
Legal Domicile StateVTLegalDomicileStateCd
Activity Or MissionPROVIDING HEALTH CARE ON BOTH AN INPATIENT AND OUTPATIENT BASIS WITH FACILITIES IN AND AROUND THE BENNINGTON, VT AREA.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee1112TotalEmployeeCnt
Total Volunteers172TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$475,547PYContributionsGrantsAmt
CY Contributions Grants$792,864CYContributionsGrantsAmt
PY Program Service Revenue$150,565,265PYProgramServiceRevenueAmt
CY Program Service Revenue$158,915,294CYProgramServiceRevenueAmt
PY Investment Income$327,411PYInvestmentIncomeAmt
CY Investment Income$372,329CYInvestmentIncomeAmt
PY Other Revenue$32,860PYOtherRevenueAmt
CY Other Revenue$30,924CYOtherRevenueAmt
PY Total Revenue$151,401,083PYTotalRevenueAmt
CY Total Revenue$160,111,411CYTotalRevenueAmt
PY Grants And Similar Paid$44,355PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$314,116CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$56,625,812PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$56,888,090CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$88,777,730PYOtherExpensesAmt
CY Other Expenses$96,783,810CYOtherExpensesAmt
PY Total Expenses$145,447,897PYTotalExpensesAmt
CY Total Expenses$153,986,016CYTotalExpensesAmt
PY Revenues Less Expenses$5,953,186PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,125,395CYRevenuesLessExpensesAmt
Total Assets BOY$74,858,694TotalAssetsBOYAmt
Total Assets EOY$81,182,934TotalAssetsEOYAmt
Total Liabilities BOY$59,502,692TotalLiabilitiesBOYAmt
Total Liabilities EOY$63,036,641TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$15,356,002NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$18,146,293NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO 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 DETAILS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$95,388,919ExpenseAmt
Grant$314,116GrantAmt
Revenue$121,263,071RevenueAmt
DescSOUTHWESTERN VERMONT MEDICAL CENTER IS A 99 BED HOSPITAL THAT PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES AND PHYSICIAN SERVICES IN BENNINGTON AND THE SURROUNDING AREA. IT IS VERMONT'S ONLY MAGNET HOSPITAL FOR NURSING EXCELLENCE. ITS SERVICES INCLUDE A FULLY STAFFED EMERGENCY DEPARTMENT, INCLUDING A CHEST PAIN UNIT, CANCER CENTER, A FAMILY CENTERED BIRTH PLACE, MINIMALLY INVASIVE AND OTHER SURGICAL SERVICES, A RENAL DIALYSIS UNIT, A FULL SERVICE ACCREDITED LABORATORY, PRIMARY CARE AND SPECIALIST PHYSICIANS. THERE ARE SATELLITE CAMPUSES IN DEERFIELD VALLEY AND NORTHSHIRE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$44,720,178ExpenseAmt
Revenue$37,652,223RevenueAmt
DescTHE MEDICAL PRACTICE GROUP INCLUDES: PRIMARY CARE PHYSICIANS, RHEUMATOLOGY AND IMMUNOLOGY, RADIATION ONCOLOGY, MEDICAL ONCOLOGY, PEDIATRIC PRACTICE, GENERAL SURGERY PRACTICE, GASTROENTEROLOGY, ALLERGY PRACTICE, UROLOGY PRACTICE, ORTHOPAEDICS, TWO OFF CAMPUS CLINICS, INTERNAL MEDICINE PRACTICE, INFECTIOUS DISEASE PRACTICE AND AN OB/GYN PRACTICE.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$140,109,097TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document140IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1112EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSTEPHEN MAJETICHPersonNm
Phone8024475011PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 HOSPITAL DRIVEAddressLine1Txt
CityBENNINGTONCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05201ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL BRADY
DIRECTOR1.03.0Yes (X)$0$0$0
SEAN CASEY
VICE CHAIR END/SEC BEG 12/20151.02.0Yes (X)$0$0$0Yes (X)
TOMMY HARMON
1ST VICE CHAIR BEG 12/20151.02.0Yes (X)$0$0$0Yes (X)
ERIC SEYFERTH
DIRECTOR/UHA CHAIR40.02.0Yes (X)$55,668$0$2,227
THOMAS DEE
CEO40.03.5Yes (X)$522,510$0$97,858Yes (X)
CLAIRE MURRAY
DIRECTOR1.02.0Yes (X)$0$0$0
MARNY KRAUSE
1ST VC END 12/2015/DIRECTOR1.03.0Yes (X)$0$0$0Yes (X)
JAMES BROWN
2ND VICE CHAIR BEG 9/20161.02.0Yes (X)$0$0$0Yes (X)
CHRISTOPHER CASEY
DIRECTOR1.02.0Yes (X)$0$0$0
DAVID MEISELMAN
BOARD CHAIR1.02.0Yes (X)$0$0$0Yes (X)
BRUCE MULLEN
1ST VICE CHAIR BEG 9/20161.03.0Yes (X)$0$0$0Yes (X)
DR MARIE SWAN
DTR/MED STAFF PRES BEG 6/20161.02.0Yes (X)$0$0$0
KATHLEEN FISHER
DIRECTOR1.02.0Yes (X)$0$0$0
MICHAEL ALGUS
DTR/MED STAFF PRES END 6/201640.02.0Yes (X)$0$0$0
RICHARD ADLER
DIRECTOR1.02.0Yes (X)$0$0$0
STANLEY STROUP
DIRECTOR1.02.0Yes (X)$0$0$0
SUE MAGUIRE
DIRECTOR1.02.0Yes (X)$0$0$0
WILBUR RICE
DIRECTOR1.02.0Yes (X)$0$0$0
LARA SHORE-SHEPPARD
DIRECTOR1.02.0Yes (X)$0$0$0
STEPHEN D MAJETICH
VP CFO40.03.0$357,756$0$40,379Yes (X)
CARL W DOBSON III
CMO40.02.0$0$0$0Yes (X)
CAROL A CONROY
VP CNO40.00.0$283,686$0$13,827Yes (X)
RICHARD OGILVIE
VP CIO40.00.0$188,500$0$43,230Yes (X)
SUZANNE ANAIR
ADMINISTRATOR MAHC40.00.0$177,223$0$22,226Yes (X)
JOHN MCLELLAN
OBGYN PHYSICIAN40.00.0$289,620$0$6,314Yes (X)
BILLIE L ALLARD
NURSING ADMIN DIRECTOR40.00.0$165,597$0$7,549Yes (X)
SUSAN MONTEIL
ADMIN DIRECTOR OF COMPLIANCE40.00.0$170,272$0$4,397Yes (X)
THOMAS AMES
MEDICAL PHYSICIST40.00.0$191,159$0$6,826Yes (X)
SHEILA BONI
ADMIN DIRECTOR OF NURSING40.00.0$174,513$0$18,566Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,576,504TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$263,399TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K62IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
DARTMOUTH
HITCHCOCKLEBANONNH03756PHYSICIAN SERVICES$20,172,378
ANESTHESIA ASSOC OF
BENNINGTONBENNINGTONVT05201PHYSICIAN SERVICES$1,079,817
RENOVO
SOLUTIONSSANTA ANACA92701BIOMED ENGINEERING$898,593
BERKELEY RESEARCH
GROUP LLCEMERYVILLECA94608CONSULTING SERVICES$1,110,612
MEDICAL SOLUTIONS
LLCOMAHANE30384AGENCY EMPLOYEES$464,386
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K17CntrctRcvdGreaterThan100KCnt
Related Organizations$503,264RelatedOrganizationsAmt
Government Grants$289,600GovernmentGrantsAmt
Total Contributions$792,864TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621990$156,523,909$156,523,909
CAFETERIA INCOME722514$524,960$524,960
EHR REVENUE621990$237,592$237,592
PHARMACY446110$406,071$406,071
CHILD CARE624410$341,758$341,758

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$881,004TotalRevenueColumnAmt
Related Or Exempt Func Income$881,004RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$158,915,294TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$127,478TotalRevenueColumnAmt
Exclusion$127,478ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$30,924RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$30,924RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$30,924TotalRevenueColumnAmt
Exclusion$30,924ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,571,545SecuritiesAmt
Other$5,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,327,617SecuritiesAmt
Other$4,077OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$243,928SecuritiesAmt
Other$923OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$244,851TotalRevenueColumnAmt
Exclusion$244,851ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$160,111,411TotalRevenueColumnAmt
Related Or Exempt Func Income$158,915,294RelatedOrExemptFuncIncomeAmt
Exclusion$403,253ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$314,116TotalAmt
Program Services$314,116ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,821,894TotalAmt
Program Services$803,391ProgramServicesAmt
Management And General$1,018,503ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$43,439,447TotalAmt
Program Services$38,782,559ProgramServicesAmt
Management And General$4,656,888ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,773,932TotalAmt
Program Services$1,630,101ProgramServicesAmt
Management And General$143,831ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,554,668TotalAmt
Program Services$5,787,372ProgramServicesAmt
Management And General$767,296ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,298,149TotalAmt
Program Services$2,892,787ProgramServicesAmt
Management And General$405,362ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$206,737TotalAmt
Management And General$206,737ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$172,559TotalAmt
Management And General$172,559ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$30,117TotalAmt
Management And General$30,117ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$40,345,267TotalAmt
Program Services$37,089,715ProgramServicesAmt
Management And General$3,255,552ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$417,173TotalAmt
Program Services$368,363ProgramServicesAmt
Management And General$48,810ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,535,900TotalAmt
Program Services$4,195,982ProgramServicesAmt
Management And General$339,918ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,765,881TotalAmt
Program Services$1,534,122ProgramServicesAmt
Management And General$231,759ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,972,783TotalAmt
Program Services$7,136,180ProgramServicesAmt
Management And General$836,603ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$242,009TotalAmt
Program Services$169,429ProgramServicesAmt
Management And General$72,580ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$260,129TotalAmt
Program Services$87,287ProgramServicesAmt
Management And General$172,842ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$531,342TotalAmt
Program Services$485,557ProgramServicesAmt
Management And General$45,785ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,550,511TotalAmt
Program Services$5,072,233ProgramServicesAmt
Management And General$478,278ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$749,448TotalAmt
Program Services$691,840ProgramServicesAmt
Management And General$57,608ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS$19,451,255$19,451,255
PROVIDER TAX$8,745,616$8,745,616
BAD DEBT$4,601,465$4,601,465
LICENSES, DUES, SUBSCRIPTIONS$1,188,781$268,710$920,071

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$16,837TotalAmt
Program Services$1,017ProgramServicesAmt
Management And General$15,820ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$153,986,016TotalAmt
Program Services$140,109,097ProgramServicesAmt
Management And General$13,876,919ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$213,814BOYAmt
EOY$245,640EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$18,495,391BOYAmt
EOY$17,427,153EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,589,872BOYAmt
EOY$15,048,792EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,429,234BOYAmt
EOY$2,526,983EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,328,724BOYAmt
EOY$942,934EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$130,149,424LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$95,095,919LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$27,644,649BOYAmt
EOY$35,053,505EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,533,225BOYAmt
EOY$5,734,596EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,623,785BOYAmt
EOY$4,203,331EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$74,858,694BOYAmt
EOY$81,182,934EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$21,285,512BOYAmt
EOY$20,700,577EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$18,684BOYAmt
EOY$18,684EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,832,847BOYAmt
EOY$7,628,180EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,814,812BOYAmt
EOY$3,148,363EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$28,550,837BOYAmt
EOY$31,540,837EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$59,502,692BOYAmt
EOY$63,036,641EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,356,002BOYAmt
EOY$18,146,293EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,356,002BOYAmt
EOY$18,146,293EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$74,858,694BOYAmt
EOY$81,182,934EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$6,125,395ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$132,837NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$3,467,941OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$27,229OtherActivitiesAmt
Total Lobbying Expenditures$27,229TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, part II-B, Line 1(I)FormAndLineReferenceDesc
ExplanationOTHER LOBBYING ACTIVITIES: SOUTHWESTERN VERMONT MEDICAL CENTER IS A MEMBER OF THE VERMONT ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS ARE AVAILABLE FOR LOBBYING EXPENDITURES ON BEHALF OF SOUTHWESTERN VERMONT MEDICAL CENTER AND THE OTHER MEMBER ORGANIZATIONS IN FURTHERANCE OF THEIR EXEMPT PURPOSE.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,065,382BeginningYearBalanceAmt
Investment Earnings Or Losses$53,364InvestmentEarningsOrLossesAmt
Other Expenditures$48,541OtherExpendituresAmt
End Year Balance$11,070,205EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,135,162BeginningYearBalanceAmt
Contributions$11,827ContributionsAmt
Investment Earnings Or Losses$8,086InvestmentEarningsOrLossesAmt
Other Expenditures$89,693OtherExpendituresAmt
End Year Balance$11,065,382EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$241,457BeginningYearBalanceAmt
Contributions$11,064,479ContributionsAmt
Investment Earnings Or Losses$44,275InvestmentEarningsOrLossesAmt
Other Expenditures$215,049OtherExpendituresAmt
End Year Balance$11,135,162EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Contributions$240,484ContributionsAmt
Investment Earnings Or Losses$973InvestmentEarningsOrLossesAmt
End Year Balance$241,457EndYearBalanceAmt
FieldValueIRS element (for citing)
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
Prmnnt Endowment Balance EOY0.99920PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00080TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$5,000OtherCostOrOtherBasisAmt
Book Value$5,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$40,692,639OtherCostOrOtherBasisAmt
Depreciation$25,411,477DepreciationAmt
Book Value$15,281,162BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$85,981,678OtherCostOrOtherBasisAmt
Depreciation$66,912,700DepreciationAmt
Book Value$19,068,978BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$3,470,107OtherCostOrOtherBasisAmt
Depreciation$2,771,742DepreciationAmt
Book Value$698,365BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$35,053,505TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$3,470,203
OTHER RECEIVABLES$733,128
FieldValueIRS element (for citing)
Total Book Value Other Assets$4,203,331TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
ASSET RETIREMENT OBLIGATION$1,180,362
EST AMT DUE TO THIRD PTY PYRS$3,542,995
INTEREST RATE SWAP$1,892,230
PENSION BENEFIT OBLIGATION$23,832,262
ESTIMATED SELF-INS COSTS$681,345
OTHER LIABILITIES$411,643
FieldValueIRS element (for citing)
Total Liability$31,540,837TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$155,272,162TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$132,837NetUnrealizedGainsInvstAmt
Other Revenue-$4,972,086OtherRevenueAmt
Revenue Not Reported-$4,839,249RevenueNotReportedAmt
Revenue Subtotal$160,111,411RevenueSubtotalAmt
Total Revenue Per Form990$160,111,411TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$149,354,434TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$149,354,434ExpensesSubtotalAmt
Investment Expenses Not Incld2$30,117InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$4,601,465OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$4,631,582ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$153,986,016TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4ENDOWMENT FUNDS: THE ENDOWMENTS ARE HELD THROUGH SOUTHWESTERN VERMONT HEALTHCARE FOUNDATION, A RELATED ORGANIZATION, AND ARE INVESTED TO PROVIDE INVESTMENT RETURNS TO FUND GENERAL OPERATIONS AND SPECIFIC DONOR RESTRICTED PURPOSES.
SCHEDULE D, PART X, LINE 2UNCERTAIN 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 2DOTHER REVENUE ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $(4,601,465) BAD DEBT EXPENSE ( 340,504) CHANGE IN FV OF INTEREST RATE SWAP ( 30,117) INVESTMENT MANAGEMENT FEES ------------ $(4,972,086)
SCHEDULE D, PART XII, LINE 4BOTHER EXPENSES ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 4,601,465 BAD DEBT EXPENSE

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other225.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$872,181TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$872,181NetCommunityBenefitExpnsAmt
Total Expense0.00580TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,369,832TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,623,808DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,746,024NetCommunityBenefitExpnsAmt
Total Expense0.12550TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$41,242,013TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,623,808DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,618,205NetCommunityBenefitExpnsAmt
Total Expense0.13130TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,289,362TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$289,600DirectOffsettingRevenueAmt
Net Community Benefit Expns$999,762NetCommunityBenefitExpnsAmt
Total Expense0.00670TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$289,214TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$132,194DirectOffsettingRevenueAmt
Net Community Benefit Expns$157,020NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,474,933TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,529,520DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,945,413NetCommunityBenefitExpnsAmt
Total Expense0.01300TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$314,116TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$314,116NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,367,625TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,951,314DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,416,311NetCommunityBenefitExpnsAmt
Total Expense0.02290TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$48,609,638TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$25,575,122DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,034,516NetCommunityBenefitExpnsAmt
Total Expense0.15420TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$4,601,465BadDebtExpenseAmt
Bad Debt Expense Attributable$662,611BadDebtExpenseAttributableAmt
Reimbursed By Medicare$32,516,184ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$43,197,726CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$10,681,542MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTHWESTERN VERMONT MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 HOSPITAL DRIVEAddressLine1Txt
CityBENNINGTONCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05201ZIPCd
FieldValueIRS element (for citing)
Website AddressSVHEALTHCARE.ORGWebsiteAddressTxt
State License837StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherSOLE COMMUNITY HOSPITALOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SOUTHWESTERN VERMONT MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted14CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt14ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care225.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5COMMUNITY INPUT: SEVEN SEPARATE, IN-DEPTH FOCUS GROUPS WERE CONDUCTED INVOLVING 89 COMMUNITY MEMBERS AND LEADERS FROM MULTIPLE SECTORS IN VERMONT, NEW YORK, AND MASSACHUSETTS COMMUNITIES. THESE FOCUS GROUPS CONSISTED OF MEMBERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY SVHC. MEMBERS INCLUDED STATE AND LOCAL PUBLIC HEALTH DEPARTMENTS, A WIDE VARIETY OF COMMUNITY LEADERS, AND REPRESENTATIVES OF THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. WE ENSURED THAT THE FOCUS GROUP DISCUSSIONS DID NOT EXCLUDE ANY POPULATIONS WITH HEALTH DISPARITIES OR GROUPS AT RISK OF NOT RECEIVING ADEQUATE MEDICAL CARE AS A RESULT OF BEING UNINSURED OR UNDERINSURED OR DUE TO GEOGRAPHIC, LANGUAGE, FINANCIAL OR OTHER BARRIERS. THE FOCUS GROUPS IDENTIFIED THE HEALTH NEEDS IN THE FOLLOWING COMMUNITY SEGMENTS: - PRE-K AND PARENTS - KIDS AND YOUTH (AGES 6-12) - TEENS AND YOUNG ADULT (AGES 13-20) - ADULTS (AGES 21-34) - MATURE ADULTS (AGES 35-64) - SENIORS (AGE >65) TO REDUCE THE LIST OF IDENTIFIED HEALTH NEEDS, SIMILAR HEALTH NEEDS IN EACH SEGMENT WERE GROUPED AND SIMILAR HEALTH NEEDS IN SEPARATE AGE SEGMENTS WERE COMBINED. FOCUS GROUPS REVIEWED QUANTITATIVE DATA TO FURTHER DEEPEN THEIR PERSPECTIVE OF THE HEALTH NEEDS OF THE COMMUNITY. AFTER CATALOGUING PREVALENT HEALTH NEEDS AND REVIEWING QUANTITATIVE AND QUALITATIVE DATA, FOCUS GROUPS USED A STRUCTURED VOTING METHOD TO PRIORITIZE THE FINAL LIST OF THE MOST PRESSING COMMUNITY HEALTH NEEDS. FOCUS GROUPS ALSO DEVELOPED INITIAL RECOMMENDATIONS FOR THE IMPLEMENTATION PLAN TO ADDRESS THE MOST PRESSING HEALTH NEEDS IDENTIFIED.
SCHEDULE H, PART V, SECTION B, LINE 7ACHNA WEBSITE: HTTP://SVHEALTHCARE.ORG/~/MEDIA/FILES/DEPARTMENTS/PLANNING-COMPLIANCE/SVHC -CHNA-2015.PDF?LA=EN
SCHEDULE H, PART V, SECTION B, LINE 10AIMPLEMENTATION STRATEGY WEBSITE: HTTP://SVHEALTHCARE.ORG/~/MEDIA/FILES/DEPARTMENTS/PLANNING-COMPLIANCE/SVHC -CHNA-2015.PDF?LA=EN
SCHEDULE H, PART V, LINE 11IMPLEMENTATION STRATEGY/ADDRESSING IDENTIFIED NEEDS: IN JUNE 2015, THE BOARD APPROVED THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT AND ASSOCIATED IMPLEMENTATION PLAN. THE PRIORITY HEALTH NEEDS IDENTIFIED IN 2015 WERE SIMILAR TO THOSE IDENTIFIED DURING THE PRECEDING CHNA CONDUCTED IN 2012: -ACCESS TO CARE, PARTICULARLY PRIMARY CARE -OBESITY AND HEALTHY BEHAVIORS -MENTAL AND BEHAVIORAL HEALTH, AND ADDICTION THE STRATEGIC PLAN AND ASSOCIATED IMPLEMENTATION PLAN CAN BE FOUND AT: HTTP://SVHEALTHCARE.ORG/~/MEDIA/FILES/DEPARTMENTS/PLANNING-COMPLIANCE/SVHC -CHNA-2015.PDF?LA=EN THE IMPLEMENTATION PLAN DEVELOPED TO ADDRESS THE IDENTIFIED HEALTH NEEDS LEVERAGES CURRENT UNDERSTANDING OF THE SOCIAL DETERMINANTS OF HEALTH AND CONSIDERS BOTH NATIONAL HEALTHCARE REFORM AND STATE INITIATIVES REFOCUSING HEALTHCARE DELIVERY ON POPULATION HEALTH, INCLUDING: -ENHANCE PROGRAMS DIRECTED AT THE SPECIFIC HEALTH NEEDS IDENTIFIED -INCREASE COLLABORATION WITH OTHER HEALTHCARE PROVIDERS AND COMMUNITY ORGANIZATIONS -FOSTER PUBLIC POLICY, EDUCATION AND ADVOCACY THAT CAN IMPACT THE SOCIAL DETERMINANTS OF HEALTH -CONTINUE DELIVERY OF QUALITY CARE THROUGHOUT THE REGION THE ACTIVITIES IN THE PLAN FALL INTO SEVERAL THEMES ORGANIZED BY THE PRIORITY HEALTH NEED ADDRESSED WHILE RECOGNIZING THAT MANY EFFORTS ADDRESS MULTIPLE PRIORITY HEALTH NEEDS. SVHC CANNOT ADDRESS THESE PRIORITY HEALTH NEEDS AND IMPROVE COMMUNITY HEALTH ALONE. CONTINUING TO FOSTER COLLABORATION WITH LOCAL ORGANIZATIONS AND ENGAGEMENT WITH MUNICIPALITIES AND COMMUNITY LEADERS IS KEY TO ACHIEVING SUCCESS. THE HEALTH OF THE COMMUNITIES SERVED BY SVHC WILL IMPROVE AS WE DEPLOY THE MULTI-YEAR IMPLEMENTATION PLAN THAT INCLUDES BOTH PROGRAMMATIC AND POLICY INITIATIVES. IN 2015, SVMC INVESTED $2.2 MILLION IN SUBSIDIZED HEALTHCARE AND $225,000 IN PHYSICIAN RECRUITING TO ADDRESS THE ACCESS TO HEALTHCARE ISSUE. IN ADDITION, SVMC INVESTED OVER $575,000 IN COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDING DIABETES EDUCATION, CHILD BIRTH CLASSES AND TRANSITIONAL CARE NURSES. THESE EFFORTS WERE BALANCED BY EFFORTS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH INCLUDING $75,000 TOWARDS ECONOMIC DEVELOPMENT AND ADDRESSING POVERTY AND COMMUNITY HEALTH. AN ADDITIONAL $25,000 WAS PROVIDED OF IN-KIND AND FINANCIAL SUPPORT FOR SOCIETIES AND PROGRAMS THAT RANGE FROM THE AMERICAN LUNG ASSOCIATION'S TOWER CLIMB EVENT TO BENNINGTON'S MAYFEST AND KOMEN'S RACE FOR A CURE FOR CANCER. THESE PROGRAMS ENGAGED LOCAL COALITIONS AND COUNCILS AND HAVE BEGUN TO EMBED HEALTHY LIFESTYLES INTO LOCAL POLICIES AND CITY PLANNING. INCLUDING CHARITY CARE ($1 MILLION) AND UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS ($13.5 MILLION), SVMC INVESTED $17.25 MILLION IN COMMUNITY BENEFIT IN 2015.
SCHEDULE H, PART V, SECTION B, LINES 16A, 16B & 16CFAP, FAP APPLICATION, AND PLS WEBSITE: http://svhealthcare.org/patients-visitors/billing-insurance/
SCHEDULE H, PART V, SECTION B, LINE 22DMAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS: THE DISCOUNT PROVIDED TO INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE WILL BE CONSISTENT WITH THE AVERAGE DISCOUNT PROVIDED TO VERMONT MEDICAID. THIS DISCOUNT IS CALCULATED USING THE LOOK BACK METHOD TAKING PREVIOUS YEAR TOTAL MEDICAID CHARGES MINUS PAYMENTS TO DETERMINE MEDICAID CONTRACTUAL ALLOWANCE AND THEN DIVIDING BY MEDICAID CHARGES TO CALCULATE THE MEDICAID DISCOUNT. BASED ON THIS CALCULATION THE MINIMUM DISCOUNT GRANTED TO ELIGIBLE PATIENTS UNDER THIS POLICY IS 65%.
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
NORTHSHIRE CAMPUS
5957 MAIN STREET ROUTE 7A NORTHMANCHESTER CENTERVT05255PRIMARY CARE, LABORATORY
DEERFIELD VALLEY CAMPUS
30 ROUTE 100 SOUTHWILMINGTONVT05363SAME-DAY CARE, LABORATORY
POWNAL FAMILY PRACTICE
7237 ROUTE 7POWNALVT05262PRIMARY CARE, LABORATORY

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7, COLUMN FPERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25 OF THE FORM 990, WAS REDUCED BY BAD DEBT EXPENSE OF $4,601,465.
SCHEDULE H, PART I, LINE 7GSUBSIDIZED SERVICES: THE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH RURAL HEALTH CENTERS(RHC) IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G, WITH A NET SUBSIDY FROM RHCS OF $102,958. SOUTHWESTERN VERMONT MEDICAL CENTER PROVIDES PRIMARY CARE SERVICES TO THE SURROUNDING COMMUNITIES AT THE CENTERS. THESE SERVICES ARE PROVIDED IN RURAL AREAS WHERE THERE WOULD BE A SHORTAGE OF QUALITY MEDICAL CARE WITHOUT THE SERVICES AND THE ORGANIZATION CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED.
SCHEDULE H, PART I, LINE 7COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1, 3 AND 6.
SCHEDULE H, PART III, SECTION A, LINE 2BAD DEBT EXPENSE: LINE 2 WAS CALCULATED USING THE BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION A, LINE 3BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: THE ORGANIZATION HAS ESTIMATED THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY FOR LINE 3 BASED ON CENSUS DATA SHOWING 14.4% OF THE POPULATION IN ITS SERVICE AREA FALLING BELOW THE FEDERAL POVERTY GUIDELINES.
SCHEDULE H, PART III, SECTION A, LINE 4BAD DEBT EXPENSE FOOTNOTE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE READS AS FOLLOWS: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
SCHEDULE H, PART III, SECTION B, LINE 8COMMUNITY BENEFIT: SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.
SCHEDULE H, PART III, SECTION C, LINE 9BCOLLECTION POLICY: ALL PATIENTS OF THE HOSPITAL HAVE THE ULTIMATE RESPONSIBILITY FOR PAYMENT OF THEIR MEDICAL BILLS; HOWEVER, THE ORGANIZATION RECOGNIZES THAT THERE WILL BE INSTANCES WHERE THE PATIENT WILL BE UNABLE TO MEET THIS OBLIGATION. ALL APPLICATIONS FOR FREE CARE MUST BE MADE TO THE COLLECTION COORDINATOR OR FINANCIAL COUNSELOR, WHO WILL REVIEW THE INFORMATION AND DETERMINE ELIGIBILITY. THE HOSPITAL WILL MAKE EVERY EFFORT TO ASSIST PATIENTS AND THEIR FAMILIES IN ARRANGING FOR THE SETTLEMENT OF THEIR MEDICAL FINANCIAL OBLIGATIONS.
SCHEDULE H, PART VI, LINE 2NEEDS ASSESSMENT: AS A NON-PROFIT, SOUTHWESTERN VERMONT MEDICAL CENTER (SVMC) STRIVES TO CREATE MEANINGFUL PUBLIC PARTICIPATION IN OUR STRATEGIC PLANNING, DECISION-MAKING AND IDENTIFICATION OF COMMUNITY NEEDS THROUGH A NUMBER OF CHANNELS. EACH OF THESE CHANNELS OFFERS OUR HOSPITAL AND HEALTH SYSTEM THE OPPORTUNITY TO HEAR A VARIETY OF VOICES FROM OUR COMMUNITIES. IN GENERAL, WE IDENTIFY COMMUNITY NEEDS IN SEVERAL WAYS: 1. THROUGH LISTENING TO THE COMMUNITY INPUT THROUGH OUR BOARD OF TRUSTEES, OUR MEDICAL STAFF, AND OUR CONNECTIONS WITH OUTSIDE COMMUNITY GROUPS. 2. THROUGH OUR MEDICAL STAFF DEVELOPMENT PLAN, WHICH COMPARES THE CURRENT STAFFING AT SVMC WITH POPULATION BASED STAFFING MODELS TO IDENTIFY AREAS OF SHORTAGE OR EXCESS PHYSICIAN SUPPLY. AS NEEDS ARE IDENTIFIED THEY ARE INCLUDED IN OUR PROCESS FOR CREATING THE HEALTH SYSTEM'S STRATEGIC PLAN. THE STRATEGIC PLAN PRIORITIZES NEEDS FOR OUR COMMUNITY BOTH FROM A SERVICE AND INFRASTRUCTURE PERSPECTIVE.THE PLAN PROVIDES THE HEALTH SYSTEM WITH A FRAMEWORK FOR ACHIEVING GOALS. 3. SEVEN SEPARATE, IN-DEPTH FOCUS GROUPS WERE CONDUCTED INVOLVING 89 COMMUNITY MEMBERS AND LEADERS FROM MULTIPLE SECTORS IN VERMONT, NEW YORK, AND MASSACHUSETTS COMMUNITIES. THESE FOCUS GROUPS CONSISTED OF MEMBERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY SVMC. MEMBERS INCLUDED STATE AND LOCAL PUBLIC HEALTH DEPARTMENTS, A WIDE VARIETY OF COMMUNITY LEADERS, AND REPRESENTATIVES OF THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. WE ENSURED THAT THE FOCUS GROUP DISCUSSIONS DID NOT EXCLUDE ANY POPULATIONS WITH HEALTH DISPARITIES OR GROUPS AT RISK OF NOT RECEIVING ADEQUATE MEDICAL CARE AS A RESULT OF BEING UNINSURED OR UNDERINSURED OR DUE TO GEOGRAPHIC, LANGUAGE, FINANCIAL OR OTHER BARRIERS. THE FOCUS GROUPS IDENTIFIED THE HEALTH NEEDS IN THE FOLLOWING COMMUNITY SEGMENTS: -PRE-K AND PARENTS -KIDS AND YOUTH (AGES 6-12) -TEENS AND YOUNG ADULT (AGES 13-20) -ADULTS (AGES 21-34) -MATURE ADULTS (AGES 35-64) -SENIORS (AGE >65) TO REDUCE THE LIST OF IDENTIFIED HEALTH NEEDS, SIMILAR HEALTH NEEDS IN EACH SEGMENT WERE GROUPED AND SIMILAR HEALTH NEEDS IN SEPARATE AGE SEGMENTS WERE COMBINED. FOCUS GROUPS REVIEWED QUANTITATIVE DATA TO FURTHER DEEPEN THEIR PERSPECTIVE OF THE HEALTH NEEDS OF THE COMMUNITY. AFTER CATALOGUING PREVALENT HEALTH NEEDS AND REVIEWING QUANTITATIVE AND QUALITATIVE DATA, FOCUS GROUPS USED A STRUCTURED VOTING METHOD TO PRIORITIZE THE FINAL LIST OF THE MOST PRESSING COMMUNITY HEALTH NEEDS. FOCUS GROUPS ALSO DEVELOPED INITIAL RECOMMENDATIONS FOR THE IMPLEMENTATION PLAN TO ADDRESS THE MOST PRESSING HEALTH NEEDS IDENTIFIED.
SCHEDULE H, PART VI, LINE 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: SVMC COUNSELS PATIENTS WHO HAVE NO INSURANCE ABOUT FEDERAL AND STATE PROGRAMS AND CHARITY CARE. AS PATIENTS ARE ADMITTED TO OUR FACILITY EITHER FOR OUTPATIENT OR INPATIENT CARE, OUR ADMITTING PERSONNEL WATCH FOR PATIENTS WHO HAVE NO INSURANCE. WHEN WE IDENTIFY PATIENTS WITH NO INSURANCE, WE OFFER THEM THE OPPORTUNITY TO SPEAK WITH A FINANCIAL COUNSELOR WHO CAN HELP THEM FILE THE NECESSARY PAPERWORK TO QUALITY FOR ANY OF THE VARIED GOVERNMENT INSURANCE PROGRAMS AS WELL AS CHARITY CARE. WE MAKE EVERY EFFORT TO WORK WITH PATIENTS WHILE THEY ARE AT OUR FACILITIES. HOWEVER, WE ALSO FOLLOW UP AFTER A PATIENT VISITS OUR FACILITY TO SEE IF THE PATIENT HAS ANY ADDITIONAL QUESTIONS OR NEEDS FURTHER ASSISTANCE. WE HAVE A FULL-TIME COUNSELOR WHO REGULARLY MEETS WITH ANY PATIENTS WHO LACK INSURANCE OR MAY HAVE DIFFICULTY PAYING TO HELP THEM UNDERSTAND THEIR OPTIONS FOR PAYING FOR CARE AS WELL AS COMPLETE ANY PAPERWORK THEY NEED TO QUALIFY FOR INSURANCE OR CHARITY CARE. OUR SOCIAL SERVICES DEPARTMENT ALSO PERFORMS THESE TASKS.
SCHEDULE H, PART VI, LINE 4COMMUNITY INFORMATION: SERVICE AREA: SOUTHWESTERN VERMONT MEDICAL CENTER (SVMC) IS THE ONLY HOSPITAL IN ITS SERVICE AREA. THE SERVICE AREA IS CENTERED ON BENNINGTON, VT., AND STRETCHES ABOUT 25 MILES TO THE EAST TO THE COMMUNITIES OF WILMINGTON, VT., AND THE DEERFIELD VALLEY. IT STRETCHES 30 MILES TO THE NORTH TO ENCOMPASS THE COMMUNITIES OF MANCHESTER AND DORSET, VT., AND OTHER SMALLER COMMUNITIES ON THE EDGE OF BENNINGTON COUNTY AND THE SOUTHERN PORTIONS OF RUTLAND COUNTY. TO THE WEST, IT STRETCHES 15-20 MILES INTO EASTERN N.Y. AND INCLUDES HOOSICK, HOOSICK FALLS, EAGLE BRIDGE, WHITE CREEK, BERLIN, PETERSBURGH AND CAMBRIDGE. LASTLY, TO THE SOUTH IT STRETCHES TO THE VERMONT BORDER WITH MASSACHUSETTS AND SERVES SOME MASSACHUSETTS RESIDENTS. DEMOGRAPHICS: THE SVMC SERVICE AREA'S POPULATION GROWTH DECLINED FROM 2000 TO 2010. THE CURRENT POPULATION OF SVMC'S PRIMARY SERVICE AREA IS 51,611. ACROSS OUR FULL SERVICE AREA, INCLUDING FRINGE MARKETS, THE POPULATION IS JUST UNDER 120,000. THE AVERAGE AGE OF RESIDENTS HAS ALSO INCREASED WITH 18% BEING 65 OR OLDER. THE POPULATION SVMC SERVES IS CONSIDERABLY OLDER THAN THAT IN THE REST OF VERMONT OR THE NATION.
SCHEDULE H, PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH: AS A HEALTH CARE ORGANIZATION, SOUTHWESTERN VERMONT HEALTH CARE (SVMC) FOCUSES ON COMMUNITY BUILDING ACTIVITIES THAT IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE, INCLUDING IMPROVING ACCESS TO HEALTH CARE AND ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH. ACCESS TO MEDICAL CARE: ENSURING THAT OUR COMMUNITY HAS ACCESS TO HIGH QUALITY PRIMARY AND SPECIALTY CARE IS IMPORTANT TO SVMC. SVMC ACCOMPLISHES THIS GOAL IN THREE KEY WAYS: (1) PROVIDING OVERSIGHT OF MEDICAL CARE QUALITY; (2) RECRUITING NEW PHYSICIANS; AND (3) EMPLOYING PHYSICIANS IN NEEDED SPECIALTIES. IT IS HARDER TO RECRUIT AND KEEP PHYSICIANS IN RURAL COMMUNITIES THAN EVER BEFORE. IN MANY CASES, WITHOUT SUPPORT FROM THE HEALTH SYSTEM, OUR COMMUNITIES WOULD LOSE PRIMARY AND SPECIALTY CARE. SVMC SUPPORTS PRIMARY CARE PRACTICES IN POWNAL AND BENNINGTON, AS WELL PRACTICES IN PEDIATRICS, OBSTETRICS AND GYNECOLOGY, PALLIATIVE CARE AND INFECTIOUS DISEASE. IN FISCAL YEAR 2016, SVMC INVESTED $2,063,401 IN SUPPORTING THESE PROGRAMS. COMMUNITY SUPPORT, EDUCATION, SCREENINGS, AND SUPPORT GROUPS. ALTHOUGH PROVIDING GREAT HEALTH CARE IS OUR MISSION, SVMC IS DEVOTED TO SUPPORTING OUR COMMUNITIES IN MANY OTHER WAYS. WE WORK TO HELP PEOPLE LEARN TO LIVE LIVES. WE SUPPORT INITIATIVES TO INTRODUCE STUDENTS TO HEALTH CARE CAREERS AND PROVIDE JOB SHADOW OPPORTUNITIES. OUR EFFORTS INCLUDED: -PROVIDING A COORDINATOR TO HELP PEOPLE ENROLL IN MEDICAID, MEDICARE, OR OTHER INSURANCES. -OPERATING THE PHYSICIAN FINDER LINE TO HELP PEOPLE FIND A PRIMARY CARE PROVIDER OR SPECIALIST. -PROVIDING THE TRANSITIONAL CARE NURSING PROGRAM TO FACILITATE A SAFER TRANSITION TO HOME OR SUBACUTE CARE FOR HOSPITAL PATIENTS -COORDINATING AND SUPPORTING WELLNESS ACTIVITIES. -TEACHING PEOPLE THE BENEFITS OF HEALTHIER EATING. -HELPING PEOPLE WITH DIABETES LEARN HOW DIET CAN HELP THEM MANAGE THEIR DISEASE. -SPONSORING THE HEALTHIER LIVING WORKSHOPS, TO HELP PEOPLE LEARN TO LIVE WITH A CHRONIC CONDITION. -SUPPORTING LOCAL YOGA. -PROVIDING SPECIAL COURSES ON PARENTING AND CHILDBIRTH. -PROVIDING GRIEF SUPPORT GROUPS FOR ADULTS AND CHILDREN. -PROVIDING SPACE FOR THE FAMILIAL CANCER PROGRAM OF THE VERMONT CANCER CENTER SO THAT AREA RESIDENTS CAN RECEIVE GENETIC COUNSELING WITHOUT HAVING TO TRAVEL. -SUPPORTING EFFORTS TO IMPROVE SCHOOL LUNCHES BY PROVIDING TIME FOR A REGISTERED DIETITIAN TO WORK WITH COMMUNITY MEMBERS AND SCHOOL OFFICIALS AND PROVIDE NUTRITION ADVICE. -PROVIDING SPACE FOR A LOCAL SUPPORT GROUPS TO MEET. -PROVIDING JOB SHADOWING, PRECEPTORSHIPS, AND COMMUNITY SERVICE OPPORTUNITIES TO LOCAL HIGH SCHOOL AND COLLEGE STUDENTS. -PROVIDING EXPERTISE ON THE BOARD OF THE BENNINGTON COUNTY CHILD CARE ASSOCIATION. -PROVIDING ONGOING TRAINING AND SUPPORT FOR AREA RESCUE SQUADS. -PROVIDE FUNDING AND GUIDANCE FOR VISTA FELLOWS ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH. SVMC IS ENGAGED IS BROAD ARRAY OF ECONOMIC ACTIVITIES ACROSS THE REGION, INCLUDING: -ASSISTING WITH OBTAINING COMMUNITY GRANTS -PARTNERING ON PRIMARY SCHOOL CURRICULUM -SUPPORTING THE BENNINGTON IDEA FUND MICRO-GRANT PROGRAM -PARTICIPATING IN THE LAUNCH OF A CO-WORKING SPACE FOR ENTREPRENEURS -DEVELOPED A PROGRAM TO PURCHASE AND REHABILITATE BLIGHTED DOWNTOWN HOMES. OTHER INFORMATION: SVMC HAS RELATIONSHIPS WITH LOCAL ARMS OF FAITH-BASED ORGANIZATIONS THAT PROVIDE SURPLUS MEDICAL EQUIPMENT AND SURGICAL SUPPLIES TO DEVELOPING COUNTRIES.
SCHEDULE H, PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEM: THE ORGANIZATION IS A MEMBER OF A CONSOLIDATED GROUP. THE GROUP'S CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE ACCOUNTS OF SOUTHWESTERN VERMONT HEALTH CARE CORPORATION (SVHC), SOUTHWESTERN VERMONT MEDICAL CENTER, INC. (SVMC), MOUNT ANTHONY HOUSING CORPORATION (MAHC), SOUTHWESTERN VERMONT HEALTH CARE AUXILIARY, INC. (SVMCA), SOUTHWESTERN VERMONT HEALTH CARE ENTERPRISES (SVMCE) AND SOUTHWESTERN VERMONT HEALTH CARE FOUNDATION (FOUNDATION). SOUTHWESTERN VERMONT HEALTH CARE CORPORATION (SVHC) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED UNDER THE LAWS OF THE STATE OF VERMONT FOR THE PURPOSE OF SERVING AS A PARENT ORGANIZATION FOR FOUR WHOLLY OWNED OR CONTROLLED SUBSIDIARY CORPORATIONS. ACTIVITIES PERFORMED BY SVHC INCLUDE: MANAGING INVESTMENTS; FUNDRAISING; OPERATING AND MANAGING BUILDINGS AND EQUIPMENT OWNED AND LEASED BY SUBSIDIARIES AND OTHER RELATED ENTITIES. SVHC AND ITS SUBSIDIARIES ARE PROVIDERS OF HEALTH SERVICES WITH FACILITIES IN AND AROUND THE BENNINGTON, VERMONT AREA. THE SUBSIDIARIES OF THE CORPORATION ARE: SOUTHWESTERN VERMONT MEDICAL CENTER, INC. (SVMC) IS A NOT-FOR-PROFIT, ACUTE CARE HOSPITAL WHICH PROVIDES DIAGNOSTIC AND TREATMENT SERVICES. MOUNT ANTHONY HOUSING CORPORATION (MAHC) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED FOR THE PURPOSE OF DEVELOPING, MANAGING AND OPERATING NURSING HOMES. SOUTHWESTERN VERMONT HEALTH CARE AUXILIARY, INC. (SVMCA) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED FOR THE PURPOSE OF SERVING AND ASSISTING SVMC AND ITS SUBSIDIARIES IN PROMOTING THE HEALTH AND WELFARE OF THE COMMUNITY IN ACCORDANCE WITH SVMC'S OBJECTIVES AND TO CONDUCT VARIOUS PHILANTHROPIC ACTIVITIES FOR SVMC. SOUTHWESTERN VERMONT HEALTH CARE ENTERPRISES (SVMCE) IS A FOR PROFIT CORPORATION ORGANIZED FOR THE PURPOSE OF PROVIDING FAMILY PRACTICE AND OTHER SPECIALTY PHYSICIAN SERVICES. SOUTHWESTERN VERMONT HEALTH CARE FOUNDATION (FOUNDATION) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED EXCLUSIVELY FOR CHARITABLE AND EDUCATIONAL PURPOSES FOR SVMC, ITS SUCCESSORS, SUBSIDIARIES AND AFFILIATES.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
HEALTHY HOMES FOR BENNINGTON L3C
100 HOSPITAL DRIVEBENNINGTONVT05201812284432APPLIED FOR$252,855SUPPORT
VERMONT COALITION OF CLINICS FOR THE UNINSURED
PO BOX 113BURLINGTONVT05402522076899501(C)(3)$12,500SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationPROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: THE ORGANIZATION PROVIDES GRANT FUNDS TO CHARITABLE ORGANIZATIONS BASED ON NEED. THE USE OF THE FUNDS CAN BE SEEN IN THE COMMUNITY.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
THOMAS DEE
CEO$378,940$0$79,000$0$64,570$0$76,779$0$21,079$0$620,368$0$0$0
STEPHEN D MAJETICH
VP CFO$275,932$0$63,000$0$18,824$0$11,875$0$28,504$0$398,135$0$0$0
CAROL A CONROY
VP CNO$211,580$0$52,000$0$20,106$0$4,500$0$9,327$0$297,513$0$0$0
JOHN MCLELLAN
OBGYN PHYSICIAN$289,620$0$0$0$0$0$6,314$0$0$0$295,934$0$0$0
RICHARD OGILVIE
VP CIO$155,128$0$15,000$0$18,372$0$22,259$0$20,971$0$231,730$0$0$0
BILLIE L ALLARD
NURSING ADMIN DIRECTOR$145,913$0$18,898$0$786$0$6,549$0$1,000$0$173,146$0$0$0
SUSAN MONTEIL
ADMIN DIRECTOR OF COMPLIANCE$149,901$0$19,887$0$484$0$3,869$0$528$0$174,669$0$0$0
THOMAS AMES
MEDICAL PHYSICIST$188,305$0$800$0$2,054$0$5,700$0$1,126$0$197,985$0$0$0
SUZANNE ANAIR
ADMINISTRATOR MAHC$159,732$0$17,297$0$194$0$5,217$0$17,009$0$199,449$0$0$0
SHEILA BONI
ADMIN DIRECTOR OF NURSING$153,549$0$20,186$0$778$0$0$0$18,566$0$193,079$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART 1, LINE 4BSUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: CONTRIBUTIONS TO NONQUALIFIED PLANS: $ 68,779 THOMAS DEE 3,875 STEPHEN MAJETICH 4,500 CAROL CONROY 20,624 RICHARD OGILVIE
SCHEDULE J, PART II, COLUMN B(II)BONUS DETERMINATION: 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1VT EDUCATIONAL & HEALTH BUILDING FINANCING AGENCYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN237154467BondIssuerEIN
CUSIP824166BR1CUSIPNum
Bond Issued2008-03-20BondIssuedDt
Issue Price$8,865,000IssuePriceAmt
PurposeCURRENT REFUND OF 1995 BONDSPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$0RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$8,865,000TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$8,707,360RefundingEscrowAmt
Issuance Costs From Proceeds$135,047IssuanceCostsFromProceedsAmt
Credit Enhancement$22,593CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$0CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2008SubstantialCompletionYr
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Private Bus Use By Others0PrivateBusUseByOthersPct

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DueYes (true)NoRebateDueInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionfalseProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART IV, LINE 2CFormAndLineReferenceDesc
ExplanationREBATE COMPUTATION: THE REBATE COMPUTATION WAS PERFORMED 4/15/15.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1ORGANIZATION'S MISSION: OUR MISSION: TO CARE FOR AND COMFORT OUR PATIENTS, RESIDENTS, AND THEIR LOVED ONES AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE. ALSO, TO PROMOTE AND SUPPORT THE DEVELOPMENT AND MAINTENANCE OF A HIGHLY EFFICIENT, PATIENT-FOCUSED, INTEGRATED HEALTHCARE DELIVERY SYSTEM. OUR VISION: TO MAKE THE COMMUNITIES WE SERVE THE HEALTHIEST IN THE NATION AND OUR HEALTH SYSTEM THE SAFEST IN THE NATION. OUR VALUES: KNOWN BY THE ACRONYM QUESTS, SVHC EXPECTS ITS EMPLOYEES TO MODEL THE FOLLOWING VALUES: QUALITY: ACHIEVING THE BEST POSSIBLE OUTCOMES AND SATISFYING THE CUSTOMER IN THE MOST COST-EFFECTIVE MANNER. EMPATHY: TREATING OTHERS IN A COMPASSIONATE AND SENSITIVE MANNER. SAFETY: PREVENTING HARM TO PATIENTS FROM TREATMENT THAT IS INTENDED TO HELP THEM AND TO EMPLOYEES FROM AN ENVIRONMENT THAT IS INTENDED TO SUPPORT THEM. TEAMWORK: HELPING EACH OTHER TO ACHIEVE SUCCESS. STEWARDSHIP: CONSERVING RESOURCES AND MAKING DECISIONS THAT ACHIEVE THE HIGHEST VALUE AT THE LOWEST COST.
FORM 990, PART VI, SECTION A, LINE 2BUSINESS RELATIONSHIPS: THE ORGANIZATION'S BOARD OF DIRECTORS IS THE SAME AS THE BOARD OF DIRECTORS OF SOUTHWESTERN VERMONT HEALTHCARE ENTERPRISES, A RELATED TAXABLE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 3MANAGEMENT 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 A, LINES 6, 7A, & 7BMEMBERS: 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. 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 11BFORM 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 AUDIT AND FINANCE COMMITTEES. 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 12CCONFLICT OF 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 & 15BCOMPENSATION REVIEW: 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 19DOCUMENT DISCLOSURE: SOUTHWESTERN VERMONT MEDICAL CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION ABOARD 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 IX, LINE 11GOTHER FEES FOR SERVICES: $ 24,738,184 PHYSICIAN SERVICE AGREEMENTS 8,948,898 PURCHASED SERVICES 2,303,593 LOCUM FEES 1,810,276 SERVICE CONTRACTS 1,787,946 CONTRACTED SERVICES 452,883 CONSULTANTS 181,378 COLLECTIONS 122,109 TRANSCRIPTION ------------ $ 40,345,267
FORM 990, PART XI, LINE 9OTHER CHANGES IN NET ASSETS: $ (5,652,853) DEFINED BENEFIT PENSION COSTS 2,525,416 TRANSFER FROM AFFILIATES (340,504) CHANGE IN FV OF INTEREST RATE SWAP ------------ $ (3,467,941)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
SOUTHWESTERN VERMONT HEALTH CARE CORP
100 HOSPITAL DRIVEBENNINGTONVT05201030179435MANAGEMENTVT501(C)(3)3NAfalse
MOUNT ANTHONY HOUSING CORPORATION
100 HOSPITAL DRIVEBENNINGTONVT05201030279740NURSING HOMESVT501(C)(3)9SVHCfalse
SOUTHWESTERN VT HEALTHCARE AUXILIARY
100 HOSPITAL DRIVEBENNINGTONVT05201222563243SUPPORTVT501(C)(3)9SVHCfalse
SOUTHWESTERN VT HEALTH CARE FOUNDATION
100 HOSPITAL DRIVEBENNINGTONVT05201453362785FUNDRAISINGVT501(C)(3)11 A ISVHCfalse
TWIN RIVERS MEDICAL PC
2 SUNRISE DRIVEHOOSICK FALLSNY12090473028931HEALTH CARENY501(C)(3)APPLIED FORSVHCfalse
NORTHERN BERKSHIRE MEDICAL PC
375 MAIN STREETWILLIAMSTOWNMA01267814023607HEALTH CAREMA501(C)(3)APPLIED FORSVHCfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SOUTHWESTERN VT HEALTHCARE ENTERPRISESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 HOSPITAL DRIVEAddressLine1Txt
CityBENNINGTONCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05201ZIPCd
FieldValueIRS element (for citing)
EIN030314501EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateVTLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SVHCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CORPEntityTypeTxt
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

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