2012-08-08T13:26:08-05:00 2011-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2010-10-01 222563241 SOUTHWESTERN VERMONT MEDICAL CENTER SOUT 8024475011 100 HOSPITAL DRIVE BENNINGTON VT 05201 MICHAEL BRADY 2012-04-06 true Brian D Todd 4178658701 2010 2016-02-24 21:20:13Z THOMAS DEE 100 HOSPITAL DRIVE BENNINGTON VT 05201 140452475 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. 15 11 1201 266 0 0 403699 240116 135156279 138828967 214274 244273 25860 33542 135800112 139346898 110448 0 0 0 71174440 71920037 0 0 0 57153525 57662834 128438413 129582871 7361699 9764027 66225965 60564737 41174793 41242843 25051172 19321894 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 DETAILS. false false 90922938 114432661 SOUTHWESTERN 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, INLCUDING 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 SATELITE CAMPUSES IN DEERFIELD VALLEY AND NORTHSHIRE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 25185645 20381581 THE MEDICAL PRACTICE GROUP INCLUDES: PRIMARY CARE PHYSICIANS, RHEUMATOLOGY & IMMUNOLOGY, RADIATION ONCOLOGY, ONCOLOGY PRACTICE, PEDIATRIC PRACTICE, GENERAL SURGERY PRACTICE, GASTROENTEROLOGY, ALLERGY PRACTICE, UROLOGY PRACTICE, TWO OFF CAMPUS CLINICS, INTERNAL MEDICINE PRACTICE, INFECTIOUS DISEASE PRACTICE AND AN OB/GYN PRACTICE. 4208684 4014725 SOUTHWESTERN VERMONT MEDICAL CENTER PROVIDES VISITING NURSE HOME HEALTH AND HOSPICE SERVICES TO THE BENNINGTON AREA WHICH INCLUDE ROUTINE HOME CARE, WOUND CARE, REHABILITATION SERVICES, INFUSION SERVICES, MOTHER AND CHILD CARE, AND HOSPICE CARE FOR TERMINALLY ILL PATIENTS. 120317267 true true false true false false false false false true false false false true false false true false false false false false false false false true true false false true true false false false false false false false false false true false false false false false true false false false false true 143 0 true 1201 true true true false false false false false false false false false X 15 11 false true false false true true true true true false false true true true true true true true true false X STEPHEN MAJETICH 8024475011 100 HOSPITAL DRIVE BENNINGTON VT 05201 X DONALDO ALBANO 1.0 X 0 0 0 MICHAEL E BRADY DDS 1.0 X X 0 0 0 SEAN L CASEY 1.0 X X 0 0 0 LILA CESTONE 1.0 X 0 0 0 TOMMY A HARMON JR 1.0 X 0 0 0 TIMOTHY T HOLBROOK 1.0 X 0 0 0 WAYNE M KACHMAR 1.0 X X 0 0 0 HOWARD MCNALLY 1.0 X 0 0 0 RICHARD PEMBROKE 1.0 X 0 0 0 WILLIAM TOCK MD 1.0 X 235281 0 35496 ERIC SEYFERTH MD 1.0 X 34066 0 0 THOMAS DEE 40.0 X X 465971 0 3428 MARK WALLACE 1.0 X 0 0 0 CLAIRE MURRAY 1.0 X 0 0 0 KEVIN DAILEY 1.0 X 0 0 0 MARNY KRAUSE 1.0 X 52971 0 13445 FRANK SKALA 40.0 X 0 0 0 RICHARD LAUVE 40.0 X 0 0 0 STEPHEN D MAJETICH 40.0 X 12000 0 0 MARK DONAVAN 40.0 X 128894 0 4471 MARK NOVOTNY MD 40.0 X 377597 0 48771 DIANNE PROBOLA 40.0 X 177146 0 64698 ORION HOWARD 40.0 X 453949 0 29124 ANDREW YOUNG 40.0 X 421289 0 38630 CHARLES SALEM 40.0 X 418598 0 8906 RONALD MENSH 40.0 X 450992 0 30016 ANTHONY DONALDSON 40.0 X 364389 0 31146 ROBERT WESTERGAN X 358834 0 2177 HARVEY YORKE X 366567 0 64656 4318544 0 374964 97 true true false FLETCHER ALLEN HEALTHCARE LAB TESTING 526189 HEALTHCARE FUTURES CONSULTING 332730 MEDQUIST CONSULTING 346516 LA CONSULTING LLC CONSULTING/INTRM CMO 365136 INSIGHT HEALTH PARTNERS LLC CONSULTING/INTRM CFO 612884 15 240116 240116 NET PATIENT SERVICE REVENUE 621990 136464424 136464424 CAFETERIA INCOME 722210 674655 674655 LAUNDRY 812300 4441 4441 PHARMACY 446110 507140 507140 CHILD CARE 624410 400088 400088 778219 778219 138828967 229028 229028 0 0 33542 33542 33542 33542 1115322 5500 1103405 2172 11917 3328 15245 15245 0 0 0 0 139346898 138828967 277815 0 0 0 0 1654235 797627 856608 792234 361011 431223 56289727 52890912 3398815 1696818 1603151 93667 7506769 6934322 572447 3980254 3666662 313592 978020 978020 371999 371999 25318 25318 0 0 23103 23103 9746551 9303289 443262 243274 225831 17443 2830000 2717354 112646 600274 546302 53972 0 4431509 3841453 590056 246834 213227 33607 0 241183 206676 34507 429002 429002 0 5807442 5390689 416753 1149258 1066785 82473 BAD DEBT 3946000 3946000 LICENSES, DUES & SUBSCRIPTIONS 727036 341417 385619 RECRUITING & RETENTION 300035 279588 20447 MEDICAL SUPPLIES & DRUGS 18597826 18597826 PROVIDER TAXES 6939370 6939370 28800 18773 10027 129582871 120317267 9265604 0 77820 214846 15382986 11631733 11323714 10781455 795855 0 2112642 2304326 1850880 2047577 113865880 87080040 26800575 26785840 3964255 3987125 3917238 2811835 66225965 60564737 12207140 10605896 167734 133582 8736185 8571516 1340664 1248976 18723070 20682873 41174793 41242843 X 25051172 19321894 25051172 19321894 66225965 60564737 X 9764027 -15493305 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 43584 43584 false OTHER LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1(I) 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. 5000 5000 30182429 20152452 10029977 80454049 64649614 15804435 3224402 2277974 946428 26785840 0 OTHER LIABILITIES 161652 ESTIMATED AMT DUE TO THIRD PARTY PAYERS 2108845 PENSION BENEFIT OBLIGATIONS 14454219 INTEREST RATE SWAP 1721508 ASSET RETIREMENT OBLIGATION 1043761 EST SELF-INSURANCE COSTS 1192888 20682873 139346898 129582871 9764027 -173209 -15320096 -15493305 -5729278 119884490 -173209 -19289199 -19462408 139346898 139346898 125613768 125613768 23103 3946000 3969103 129582871 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 RECONCILING CHANGE IN NET ASSETS SCHEDULE D, PART XI, LINE 8 DEFINED BENEFIT PENSION COSTS $( 1,310,634) TRANSFER TO AFFILIATES (13,582,538) CHANGE IN FV OF INTEREST RATE SWAP ( 426,924) ------------- TOTAL $(15,320,096) OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12 SCHEDULE D, PART XII, LINE 2D DEFINED BENEFIT PENSION COSTS $( 1,310,634) TRANSFER TO AFFILIATES (13,582,538) CHANGE IN FV OF INTEREST RATE SWAP ( 426,924) INVESTMENT MANAGEMENT FEES ( 23,103) BAD DEBT EXPENSE ( 3,946,000) ------------- TOTAL $(19,289,199) OTHER EXPENSE INCLUDED ON FORM 990,PART IX, LINE 25, BUT NOT ON LINE 1 SCHEDULE D, PART XIII, LINE 4B BAD DEBT EXPENSE $3,946,000 true true X true X true X true true true false true true 1411991 1411991 0.01120 25020355 16445826 8574529 0.06830 26432346 16445826 9986520 0.07950 355132 355132 0.00280 3970 3970 3590486 2383445 1207041 0.00960 3949588 2383445 1566143 0.01240 30381934 18829271 11552663 0.09190 true 1225970 149658 46050099 51649244 -5599145 X true true 1 1 SOUTHWESTERN VERMONT MEDICAL CENTER

100 HOSPITAL DRIVE BENNINGTON VT 05201

X X X X SOUTHWESTERN VERMONT MEDICAL CENTER 1 2 NORTHSHIRE CAMPUS

5957 MAIN STREET ROUTE 7A NORTH MANCHESTER CENTER VT 05255

PRIMARY CARE, LABORATORY X-RAY SERVICES DEERFIELD VALLEY CAMPUS

30 ROUTE 100 SOUTH WILMINGTON VT 05363

SAME-DAY CARE, LABORATORY ON-SITE X-RAY SERVICES PERCENT OF TOTAL EXPENSE SCHEDULE H, PART I, LINE 7, COLUMN F 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. BAD DEBT EXPENSE SCHEDULE H, PART III, SECTION A, LINE 4 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: THE CORPORATION REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE CORPORATION PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE CORPORATION BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENTS LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. LINE 2 WAS CALCULATED USING THE COST TO CHARGE RATIO TIMES BAD DEBT EXPENSE. 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 12.2% OF THE POPULATION IN ITS SERVICE AREA FALLING BELOW THE FEDERAL POVERTY GUIDELINES. COMMUNITY BENEFIT SCHEDULE H, PART III, SECTION B, LINE 8 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. COLLECTION POLICY SCHEDULE H, PART III, SECTION C, LINE 9B 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. NEEDS ASSESSMENT: AS A NON-PROFIT, SOUTHWESTERN VERMONT MEDICAL CENTER 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 REGIONAL ADVISORY BOARDS, OUR MEDICAL STAFF, AND OUR CONNECTIONS WITH OUTSIDE COMMUNITY GROUPS, SUCH AS SOUTHSHIRE SUBSTANCE ABUSE COALITION, THE BENNINGTON COUNTY SCHOOL TO WORKFORCE PARTNERSHIP, THE BENNINGTON COUNTY CHILDCARE ASSOCIATION, AND SOUTHERN VERMONT AREA HEALTH EDUCATION CENTER. 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 SYSTEMS STRATEGIC PLAN. THE STRATEGIC PLAN PRIORITIZES NEEDS FOR OUR COMMUNITY BOTH FROM A SERVICE AND INFRASTRUCTURE PERSPECTIVE. THESE NEEDS ARE THEN PRIORITIZED AND SET INTO STRATEGIC GOALS. THE PLAN PROVIDES THE HEALTH SYSTEM WITH A FRAMEWORK FOR ACHIEVING THESE GOALS IN A THREE TO FIVE YEAR TIME FRAME. PATIENT 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 TO HELP THEM UNDERSTAND THEIR OPTIONS FOR PAYING FOR CARE AS WELL AS COMPLETE ANY PAPERWORK THEY NEED TO QUALIFY. OUR SOCIAL SERVICES DEPARTMENT ALSO PERFORMS THESE TASKS. COMMUNITY INFORMATION: SERVICE AREA: SOUTHWESTERN VERMONT MEDICAL CENTER 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 AREAS POPULATION GROWTH IS FLAT. FROM 2000 TO 2008, THE POPULATION OF THE ENTIRE SERVICE AREA, EXCLUDING FRINGE AREAS, DECLINED BY 122, FROM 68,045 TO 67,923. FROM 2008 TO 2013, THE POPULATION OF SVMCS SERVICE AREA IS EXPECTED TO GROW BY ONLY 38 INDIVIDUALS. AT THE SAME TIME, THE AREAS AVERAGE AGE IS INCREASING, AND THE POPULATION IS OLDER THAN THAT OF THE STATE AND THE NATION. THE DEMOGRAPHICS OF MUCH OF THE HOSPITALS SERVICE AREA ARE SIGNIFICANTLY OLDER THAN THE STATE AND THE NATION. THE 2000 CENSUS SHOWED THAT OF 16.7% OF BENNINGTON COUNTY IS OVER AGE 65. THIS IS COMPARED WITH 12.7% OF VERMONTERS AND 12.4% OF US CITIZENS AT 65 OR OVER. THE CENSUS BUREAU FORECAST THAT NUMBER TO GROW TO 18% BY 2008. COMMUNITY BUILDING ACTIVITIES: AS A HEALTH CARE ORGANIZATION, SVHC FOCUSES ON COMMUNITY BUILDING ACTIVITIES THAT ARE DIRECTLY RELATED TO PROVIDING HEALTH CARE OR IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. AS A RESULT, SVHCS ACTIVITIES ARE PRIMARILY CENTERED ON IMPROVING ACCESS TO HEALTH CARE AND EDUCATIONAL OR SUPPORT ACTIVITIES THAT IMPROVE INDIVIDUAL OR COMMUNITY HEALTH. ACCESS TO MEDICAL CARE: ENSURING THAT OUR COMMUNITY HAS ACCESS TO HIGH QUALITY PRIMARY AND SPECIALTY CARE IS IMPORTANT TO SVHC. SVHC ACCOMPLISHES THIS GOAL IN THREE KEY WAYS: PROVIDING OVERSIGHT OF MEDICAL CARE QUALITY, RECRUITING NEW PHYSICIANS, AND 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. SVHC SUPPORTS PRIMARY CARE PRACTICES IN THE DEERFIELD VALLEY AND BENNINGTON AS WELL PRACTICES IN PEDIATRICS, OBSTETRICS AND GYNECOLOGY, AND INFECTIOUS DISEASE. IN FISCAL YEAR 2011, SVHC INVESTED $2,476,284 IN SUPPORTING THESE PROGRAMS. COMMUNITY SUPPORT, EDUCATION, SCREENINGS, AND SUPPORT GROUPS ALTHOUGH PROVIDING GREAT HEALTH CARE IS OUR MISSION, SVHC IS DEVOTED TO SUPPORTING OUR COMMUNITIES IN MANY OTHER WAYS. WE WORK TO HELP PEOPLE LEARN TO LIVE HEALTHIER LIVES. WE SUPPORT INITIATIVES TO INTRODUCE STUDENTS TO HEALTH CARE CAREERS AND PROVIDE JOB SHADOW OPPORTUNITIES. WE ALSO SUPPORT HAVING OUR STAFF SHARE THEIR EXPERTISE ON LOCAL COMMITTEES, BOARDS, AND COALITIONS. IN FISCAL YEAR, 2010 SVHCS COMMUNITY SUPPORT IN THESE AREAS AMOUNTED TO $173,660. OUR EFFORTS INCLUDED: -PROVIDING A COORDINATOR TO HELP PEOPLE ENROLL IN MEDICAID, MEDICARE, OR CATAMOUNT HEALTH. -OPERATING THE PHYSICIAN FINDER LINE TO HELP PEOPLE FIND A PRIMARY CARE PROVIDER OR SPECIALIST. -COORDINATING AND SUPPORTING WELLNESS ACTIVITIES. -TEACHING PEOPLE THE BENEFITS OF HEALTHIER EATING. -CONDUCTING HEART ATTACK AND STROKE RISK SCREENINGS. -EDUCATING HEART ATTACK PATIENTS ON HEART-HEALTHY EATING. -HELPING PEOPLE WITH DIABETES LEARN HOW DIET CAN HELP THEM MANAGE THEIR DISEASE. -SPONSORING THE HEALTHIER LIVING WORKSHOPS, IN CONJUNCTION WITH THE VERMONT DEPARTMENT OF HEALTH, TO HELP PEOPLE LEARN TO LIVE WITH A CHRONIC CONDITION. -SUPPORTING LOCAL YOGA, TAI CHI, AND FITNESS CLASSES. -PROVIDING SPECIAL COURSES ON PARENTING AND CHILDBIRTH. -SPONSORING MEDQUEST CAMP, A WEEK-LONG IMMERSION INTO HEALTH CARE CAREERS FOR HIGH SCHOOL STUDENTS. -PROVIDING GRIEF SUPPORT GROUPS FOR ADULTS AND CHILDREN. -EDUCATING THE COMMUNITY ABOUT THE BENEFITS OF TIMELY HOSPICE CARE. -HOSTING A BONE MARROW DRIVE TO ADD VOLUNTEER DONORS TO THE NATIONAL BONE MARROW REGISTRY. -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. TOBACCO CESSATION BECAUSE SMOKING AND OTHER TOBACCO USE IS DEADLY, SVHC FUNDS A TOBACCO CESSATION PROGRAM. SOME OF THESE COSTS ARE GRANT-FUNDED. HOWEVER, SVHC'S SHARE AMOUNTED TO $63,752. OTHER INFORMATION: SVHC HAS RELATIONSHIPS WITH LOCAL ARMS OF FAITH-BASED ORGANIZATIONS THAT PROVIDE SURPLUS MEDICAL EQUIPMENT AND SURGICAL SUPPLIES TO DEVELOPING COUNTRIES. AFFILIATED HEALTH CARE SYSTEM ROLES: 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. (SVHCA), AND SOUTHWESTERN VERMONT HEALTH CARE ENTERPRISES (SVHCE). 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. (SVHCA) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED FOR THE PURPOSE OF SERVING AND ASSISTING SVHC 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 (SVHCE) IS A FOR PROFIT CORPORATION ORGANIZED FOR THE PURPOSE OF PROVIDING FAMILY PRACTICE AND OTHER SPECIALTY PHYSICIAN SERVICES. X X true true X X X X X true false false false false false false false false WILLIAM TOCK MD 213076 0 0 22205 7719 27777 270777 0 0 HARVEY YORKE 0 0 0 366567 64656 0 431223 0 0 MARK NOVOTNY MD 103053 0 0 274544 40829 7942 426368 0 0 THOMAS DEE 365835 0 0 100136 0 3428 469399 0 0 ORION HOWARD 453469 0 0 480 0 29124 483073 0 0 ANDREW YOUNG 420657 0 0 632 7264 31366 459919 0 0 CHARLES SALEM 346258 0 0 72340 7506 1400 427504 0 0 ROBERT WESTERGAN 12113 0 0 346721 0 2177 361011 0 0 DIANNE PROBOLA 176141 0 0 1005 47595 17103 241844 0 0 RONALD MENSH 425091 0 0 25901 7536 22480 481008 0 0 ANTHONY DONALDSON 364064 0 0 325 0 31146 395535 0 0 HOUSING ALLOWANCE AND GROSS UP PAYMENTS SCHEDULE J, PART I, LINE 1A DURING THE FISCAL YEAR, THE ORGANIZATION PAID THOMAS DEE A HOUSING ALLOWANCE, WHICH WAS TREATED AS TAXABLE COMPENSATION. THE HOUSING ALLOWANCE WAS GROSSED UP TO COVER APPLICABLE TAXES. SEVERANCE OR CHANGE OF CONTROL PAYMENT SCHEDULE J, PART I, LINE 4A THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT FROM THE ORGANIZATION: -HARVEY YORKE $ 342,909 -MARK NOVOTNY 268,390 -ROBERT WESTERGAN 346,667 VT EDUCATIONAL & HEALTH BUILDING FINANCING AGENCY 237154467 824166BR1 2008-03-20 8865000 CURRENT REFUND OF 1995 BONDS false false false 8865000 8707360 135047 22593 2008 true false true true true true false false false false INSIGHT HEALTH PARTNERS LLC F. SKALA IS OWNER 612884 INTERIM CFO, CONSULTING false LA CONSULTING LLC R. LAUVE IS OWNER 365136 INTERIM CMO, CONSULTING false BUSINESS TRANSACTIONS WITH INTERESTED PERSONS SCHEDULE L, PART IV SVMC CONTRACTED WITH MANAGEMENT COMPANIES FOR THE SERVICES OF INTERIM CFO, FRANK SKALA, AND INTERIM CMO, RICHARD LAUVE. FRANK SKALA SERVED AS INTERIM CFO UNTIL DECEMBER 2010, AND RICHARD LAUVE SERVED AS INTERIM CMO UNTIL JULY 2010. AMOUNTS PAID TO THESE MANAGEMENT COMPANIES ARE REPORTED IN FORM 990, PART VII, SECTION B AND SCHEDULE L, PART IV. THE AMOUNTS REPORTED ARE FOR SERVICES PROVIDED BY THE INDIVIDUALS AS WELL AS OTHER SERVICES PROVIDED BY THE MANAGEMENT COMPANIES. ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 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. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A SOUTHWESTERN VERMONT MEDICAL CENTER PROVIDES VISITING NURSE HOME HEALTH AND HOSPICE SERVICES TO THE BENNINGTON AREA WHICH INCLUDE ROUTINE HOME CARE, WOUND CARE, REHABILITATION SERVICES, INFUSION SERVICES, MOTHER AND CHILD CARE AND HOSPICE CARE FOR TERMINALLY ILL PATIENTS. MANAGEMENT DUTIES FORM 990, PART VI, SECTION A, LINE 3 SVMC CONTRACTED WITH MANAGEMENT COMPANIES FOR THE SERVICES OF INTERIM CFO, FRANK SKALA, AND INTERIM CMO, RICHARD LAUVE. FRANK SKALA SERVED AS INTERIM CFO UNTIL DECEMBER 2010, AND RICHARD LAUVE SERVED AS INTERIM CMO UNTIL JULY 2010. AMOUNTS PAID TO THESE MANAGEMENT COMPANIES ARE REPORTED IN FORM 990, PART VII, SECTION B AND SCHEDULE L, PART IV. THE AMOUNTS REPORTED ARE FOR SERVICES PROVIDED BY THE INDIVIDUALS AS WELL AS OTHER SERVICES PROVIDED BY THE MANAGEMENT COMPANIES. MEMBERS FORM 990, PART VI, SECTION A, LINES 6, 7A, & 7B 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 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 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. CONFLICT OF 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. COMPENSATION REVIEW FORM 990, PART VI, SECTION B, LINES 15A & 15B 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. DOCUMENT DISCLOSURE FORM 990, PART VI, SECTION C, LINE 19 SOUTHWESTERN VERMONT MEDICAL CENTER 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 MARNY KRAUSE WAS EMPLOYED BY THE ORGANIZATION AS THE VICE PRESIDENT OF DEVELOPMENT UNTIL JULY 2010. NO COMPENSATION WAS PROVIDED FOR HER SERVICES PROVIDED AS A TRUSTEE. WILLIAM TOCK IS AN EMPLOYED PHYSICIAN OF THE ORGANIZATION, AS WELL AS THE PRESIDENT OF THE MEDICAL STAFF. NO COMPENSATION WAS PROVIDED FOR HIS SERVICES PROVIDED AS A TRUSTEE. MARK NOVOTNY SERVED AS THE VICE PRESIDENT OF THE MEDICAL GROUP FROM JANUARY 2010 UNTIL APRIL 2010. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 UNREALIZED LOSS ON INVESTMENTS $( 173,209) DEFINED BENEFIT PENSION COSTS ( 1,310,634) TRANSFER TO AFFILIATES (13,582,538) CHANGE IN FV OF INTEREST RATE SWAP ( 426,924) -------------- TOTAL CHANGES $(15,493,305) SOUTHWESTERN VERMONT HEALTH CARE CORP 100 HOSPITAL DRIVE BENNINGTON VT 05201 030179435 MANAGEMENT VT 501(C)(3) 3 NA MOUNT ANTHONY HOUSING CORPORATION 100 HOSPITAL DRIVE BENNINGTON VT 05201 030279740 NURSING HOMES VT 501(C)(3) 9 NA SOUTHWESTERN VT HEALTHCARE AUXILIARY 100 HOSPITAL DRIVE BENNINGTON VT 05201 222563243 SUPPORT VT 501(C)(3) 9 NA SOUTHWESTERN VT HEALTHCARE ENTERPRISES 100 HOSPITAL DRIVE BENNINGTON VT 05201 030314501 HEALTHCARE VT NA C CORP false false true false false false false false false true true true true true false true true true