2014-08-12T10:22:48-05:00 2013-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2012-10-01 030179435 SOUTHWESTERN VERMONT HEALTH CARE CORPORATION % STEPHEN MAJETICH SOUT 8024426361 100 HOSPITAL DRIVE Suite BENNINGTON VT 05201 DAVID MEISELMAN 8024426361 2014-03-31 true 4178658701 2012 2015-11-30 17:44:51Z THOMAS DEE 100 HOSPITAL DRIVE BENNINGTON VT 05201 69738807 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. 17 14 25 19 0 0 2804628 713784 2637165 2537892 1424024 3841803 -83620 0 6782197 7093479 526962 11183 0 0 1183492 765670 0 0 806077 2361439 2928555 4071893 3705408 2710304 3388071 71482150 76183245 8401406 9790165 63080744 66393080 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. false false 1147405 11183 1232675 SOUTHWESTERN VERMONT HEALTH CARE CORPORATION SUPPORTS SOUTHWESTERN VERMONT MEDICAL CENTER AND OTHER RELATED PARTIES THROUGH FUNDRAISING, DEVELOPMENT AND GRANT ADMINISTRATION. SEE SCHEDULE O FOR ADDITIONAL DETAILS. 1246505 1305217 SOUTHWESTERN VERMONT HEALTH CARE CORPORATION MANAGES AND MAINTAINS MEDICAL OFFICE BUILDINGS IN BENNINGTON, MANCHESTER, WILMINGTON AND WEST DOVER. 2393910 true true false false false false false false false true true false false false true false false true false false false false false false false false false false true true false false false false false false false false false false false false false true true true false false true 47 0 true 25 true false false false false false false false false false false X 17 14 true false false false false false false true true false false true true true true true true false false false X STEPHEN MAJETICH 8024475002 100 HOSPITAL DRIVE BENNINGTON VT 05201 X DONALD ALBANO 1.0 2.0 X X 0 0 0 MICHAEL E BRADY DDS 1.0 3.0 X 0 0 0 LODIE COLVIN 1.0 2.0 X 0 0 0 WAYNE M KACHMAR 1.0 2.0 X X 0 0 0 ERIC SEYFERTH MD 1.0 41.0 X 0 59693 524 THOMAS DEE 1.0 42.0 X X 0 501074 53824 MARK WALLACE 1.0 2.0 X 0 0 0 CLAIRE MURRAY RN 1.0 2.0 X 0 0 0 KEVIN DAILEY 1.0 2.0 X X 0 0 0 MARNY KRAUSE 1.0 3.0 X X 0 0 0 DAVID MEISELMAN ESQ 1.0 2.0 X X 0 0 0 PHILIP MARTINEZ 1.0 2.0 X 0 0 0 MAE D'AGOSTINO 1.0 2.0 X 0 0 0 WILLIAM SARCHINO DPM 1.0 41.0 X 0 22692 0 JAMES BROWN 1.0 2.0 X 0 0 0 CHRISTOPHER CASEY 1.0 2.0 X 0 0 0 LARA SHORE-SHEPPARD 1.0 2.0 X 0 0 0 STEPHEN D MAJETICH 1.0 42.0 X 0 324962 39018 CARL W DOBSON III 1.0 41.0 X 0 334098 54884 CAROLANNE MARQUIS 40.0 X 115559 0 6612 MARK DONAVAN MD X 0 239865 90829 115559 1482384 245691 1 true true false FIRST COLUMBIA CONSTRUCT SVCS LLC CONTRACTOR 400387 1 270070 443714 5111 713784 PROPERTY MANAGEMENT 531310 2509914 2509914 OTHER REVENUE 900099 27978 27978 2537892 1213079 1213079 0 0 0 0 0 65274052 62645328 2628724 2628724 2628724 0 0 0 0 7093479 2537892 3841803 0 11183 11183 0 0 0 0 584482 422267 49576 112639 9823 7097 833 1893 100386 72525 8515 19346 70979 51279 6021 13679 0 26737 26737 9652 9652 0 0 217964 217964 246598 192929 36577 17092 427 427 664386 105991 49422 508973 0 0 1114743 1107427 7316 13507 12402 170 935 0 2324 1775 549 0 0 574911 357918 86022 130971 28390 22723 5667 MEDICAL SUPPLIES & DRUGS 24584 24584 0 LICENSES, DUES, SUBSCRIPTIONS 557 265 292 0 MISCELLANEOUS EXPENSES 3775 3545 230 0 3705408 2393910 505421 806077 6910 18859 1160869 1340575 77642 64296 0 0 0 0 0 0 0 0 0 0 148852 148683 14647574 8081603 7261031 6565971 59539094 64896311 13018 13018 0 0 0 0 3274734 3135532 71482150 76183245 1395687 1407369 0 0 58056 71679 0 0 0 0 0 0 0 0 0 0 6947663 8311117 8401406 9790165 X 50374244 53852645 2333095 2106046 10373405 10434389 63080744 66393080 71482150 76183245 X 3388071 -103346 27611 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12539115 1010707 62148 894374 12717596 10969363 2232045 146528 790712 18109 12539115 10633746 1123257 -140292 647348 10969363 10383529 934099 108601 792483 10633746 11140199 371726 -229971 898425 10383529 0.83620 0.16380 true true true 737858 737858 12442877 7425122 5017755 39915 37158 2757 830592 560916 269676 596332 58407 537925 6565971 0 DUE TO AFFILIATES 7241816 ACCRUED PENSION LIABILITIES 164384 ESTIMATED SELF INSURANCE COSTS 71241 OTHER LIABILITIES 833676 8311117 6799780 -103346 -190353 -293699 7093479 7093479 3487444 3487444 217964 217964 3705408 ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 THE CORPORATION'S ENDOWMENT CONSISTS OF VARIOUS INDIVIDUAL DONOR RESTRICTED FUNDS WHICH WERE ESTABLISHED TO FUND FUTURE STRATEGIC CAPITAL INVESTMENTS, AS WELL AS GENERAL OPERATIONAL AND CERTAIN DEPARTMENTAL PURPOSES. UNCERTAIN TAX POSITIONS SCHEDULE D, PART X, LINE 2 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. OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12 SCHEDULE D, PART XI, LINE 2D $( 156,227) NET TRANSFER TO AFFILIATES 122,854 DEFINED BENEFIT PENSION COSTS 60,984 CHANGE IN BENEFICIAL INTEREST IN TRUST ( 217,964) INVESTMENT MANAGEMENT FEES -------------- $( 190,353) NET ADJUSTMENT true ONCOLOGY PATIENT RESOURCE FUND 48 8618 SVHC PATIENT RESOURCE FUND 13 2565 MONITORING USE OF GRANT FUNDS SCHEDULE I, PART I, LINE 2 SEE SCHEDULE O, PROGRAM SERVICE ACCOMPLISHMENTS, FOR ADDITIONAL DETAILS ON ASSISTANCE TO INDIVIDUALS. false false false false false false false false false THOMAS DEE 0 400695 0 81000 0 19379 0 25000 0 28824 0 554898 0 0 STEPHEN D MAJETICH 0 262637 0 31729 0 30596 0 8000 0 31018 0 363980 0 0 MARK DONAVAN MD 0 161549 0 76285 0 2031 0 84474 0 6355 0 330694 0 0 CARL W DOBSON III 0 333113 0 720 0 265 0 25000 0 29884 0 388982 0 0 TOP MANAGEMENT OFFICIAL COMPENSATION DETERMINATION SCHEDULE J, PART I, LINE 3 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. BONUS DETERMINATION SCHEDULE J, PART II, COLUMN B(II) 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. ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 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. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, SECTION A, LINE 4 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. BUSINESS RELATIONSHIPS FORM 990, PART VI, SECTION A, LINE 2 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 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11B 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. MONITORING COMPLIANCE WITH CONFLICT ON INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C 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. COMPENSATION REVIEW FORM 990, PART VI, SECTION B, LINES 15A & 15B 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. DOCUMENT DISCLOSURE FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. BOARD MEMBER COMPENSATION FORM 990, PART VII, SECTION A 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. WILLIAM SARCHINO RECEIVES COMPENSATION FOR HIS ROLE AS PRESIDENT OF MEDICAL STAFF. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 $( 156,227) NET TRANSFER TO AFFILIATES 122,854 DEFINED BENEFIT PENSION COSTS 60,984 CHANGE IN BENEFICIAL INTEREST IN TRUST -------------- $ 27,611 NET ADJUSTMENT SOUTHWEST VERMONT HEALTH CARE AUXILIARY 100 HOSPITAL DRIVE BENNINGTON VT 05201 222563243 SUPPORT SVHC VT 501(C)(3) 9 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) 9 SVHC true SOUTHWESTERN VT HEALTH CARE FOUNDATION 100 HOSPITAL DRIVE BENNINGTON VT 05201 453362785 FUNDRAISING VT 501(C)(3) 11 A I SVHC true SOUTHWESTERN VT HEALTH CARE ENTERPRISES 100 HOSPITAL DRIVE BENNINGTON VT 05201 030314501 HEALTHCARE VT SVHC C CORP 112 7691 1.00000 true true true false true true false false false false true false true true true true true false true true SOUTHWESTERN VERMONT MEDICAL CENTER A/J 1423780 FMV SOUTHWESTERN VERMONT HEALTH CARE ENTERPRISES D 62613 FMV SOUTHWESTERN VERMONT HEALTH CARE FOUNDATION D 196858 FMV SOUTHWESTERN VERMONT MEDICAL CENTER E 5733026 FMV MOUNT ANTHONY HOUSING CORPORATION E 1189461 FMV SOUTHWESTERN VERMONT HEALTH CARE AUXILIATY E 319328 FMV SOUTHWESTERN VERMONT MEDICAL CENTER L 311712 FMV SOUTHWESTERN VERMONT MEDICAL CENTER P 1232625 FMV SOUTHWESTERN VERMONT MEDICAL CENTER R 892639 FMV SOUTHWESTERN VERMONT MEDICAL CENTER S 240000 FMV