SOUTHWESTERN VERMONT HEALTH CARE CORPORATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SOUTHWESTERN VERMONT HEALTH CARE CORPORATION (EIN 03-0179435)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-08
IRS object ID
201232219349301153
Schema version
2010v3.7
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)
Timestamp2012-08-08T13:23:05-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN030179435EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTHWESTERN VERMONT HEALTH CARE CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSOUTNameControl
Phone8024426361Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 HOSPITAL DRIVEAddressLine1
CityBENNINGTONCity
StateVTState
ZIP Code05201ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL BRADYName
TitleBOARD CHAIRTitle
Date Signed2012-07-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian D ToddName
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTHOMAS DEENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1100 HOSPITAL DRIVEAddressLine1
CityBENNINGTONCity
StateVTState
ZIP Code05201ZIPCode
FieldValueIRS element (for citing)
Gross Receipts71930857GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.SVHEALTHCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1912YearFormation
State Legal DomicileVTStateLegalDomicile
Activity Or Mission DescriptionPROVIDING HEALTH CARE ON BOTH AN INPATIENT AND OUTPATIENT BASIS WITH FACILITIES IN AND AROUND THE BENNINGTON, VT AREA.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees23TotalNbrEmployees
Total Nbr Volunteers20TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1436425ContributionsGrantsPriorYear
Contributions Grants Current Year1662395ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2373005ProgramServiceRevenuePriorYear
Program Service Revenue CY2339294ProgramServiceRevenueCY
Investment Income Prior Year519241InvestmentIncomePriorYear
Investment Income Current Year2509975InvestmentIncomeCurrentYear
Other Revenue Prior Year88369OtherRevenuePriorYear
Other Revenue Current Year-46890OtherRevenueCurrentYear
Total Revenue Prior Year4417040TotalRevenuePriorYear
Total Revenue Current Year6464774TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year413434GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY316361GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1220832SalariesEtcPriorYear
Salaries Etc Current Year1597206SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year751674TotalFundrsngExpCurrentYear
Other Expense Prior Year2711891OtherExpensePriorYear
Other Expenses Current Year2667413OtherExpensesCurrentYear
Total Expenses Prior Year4346157TotalExpensesPriorYear
Total Expenses Current Year4580980TotalExpensesCurrentYear
Revenues Less Expenses Prior Year70883RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1883794RevenuesLessExpensesCY
Total Assets BOY46362135TotalAssetsBOY
Total Assets EOY60804234TotalAssetsEOY
Total Liabilities BOY10866203TotalLiabilitiesBOY
Total Liabilities EOY10917651TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY35495932NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY49886583NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2057361Expense
Grants316361Grants
Revenue1250840Revenue
DescriptionSOUTHWESTERN 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1324794Expense
Revenue1088454Revenue
DescriptionSOUTHWESTERN VERMONT HEALTH CARE CORPORATION MANAGES AND MAINTAINS MEDICAL OFFICE BUILDINGS IN BENNINGTON, MANCHESTER, WILMINGTON AND WEST DOVER.Description
FieldValueIRS element (for citing)
Total Program Service Expense3382155TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109635NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees23NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMELANIE SMITHNamePerson
Telephone Number8024475002TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 HOSPITAL DRIVEAddressLine1
CityBENNINGTONCity
StateVTState
ZIP Code05201ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
MICHAEL E BRADY DDS
CHAIR BEG. 10/101.0XX000
WAYNE M KACHMAR
VICE CHAIR BEG. 10/101.0XX000
LILA CESTONE
SVHCA PRES/TRUSTEE THRU 10/101.0XX000
DONALD ALBANO
TRUSTEE1.0X000
SEAN L CASEY
SECRETARY BEG. 10/101.0XX000
TOMMY A HARMON JR
TRUSTEE1.0X000
TIMOTHY T HOLBROOK
TRUSTEE1.0X000
HOWARD MCNALLY
TRUSTEE1.0X000
RICHARD PEMBROKE
TRUSTEE1.0X000
WILLIAM TOCK MD
PRESIDENT MEDICAL STAFF1.0X023528135496
ERIC SEYFERTH MD
UHA CHAIR1.0X0340660
THOMAS DEE
CEO1.0XX04659713428
MARK WALLACE
TRUSTEE1.0X000
CLAIRE MURRAY
TRUSTEE1.0X000
KEVIN DAILEY
TRUSTEE BEG. 10/101.0X000
MARNY KRAUSE
TRUSTEE BEG. 10/101.0X05297113445
FRANK SKALA
INTERIM CFO THROUGH 12/1040.0X000
STEPHEN D MAJETICH
CFO BEG. 12/1040.0X0120000
MARK DONAVAN
CMO40.0X01288944471
RICHARD LAUVE
INTERIM CMO THROUGH 07/201040.0X000
HARVEY YORKE
FORMER CEO036656764656X
MARK NOVOTNY MD
FORMER CMO/INTERIM CEO037759748771X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1673347TotalReportableCompFrmRltdOrgs
Total Other Compensation170267TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events118451FundraisingEvents
Related Organizations27555RelatedOrganizations
Government Grants303345GovernmentGrants
All Other Contributions1213044AllOtherContributions
Noncash Contributions94315NoncashContributions
Total Contributions1662395TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PROPERTY MANAGEMENT53131023296852329685
OTHER REVENUE90009996099609
FieldValueIRS element (for citing)
Total Program Service Revenue2339294TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column969389TotalRevenueColumn
Exclusion$969,389ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities66895539Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities65348635Securities
Other6318Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1546904Securities
Other-6318Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1540586TotalRevenueColumn
Exclusion$1,540,586ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events64240GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events118451CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses111130FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-46890TotalRevenueColumn
Exclusion-$46,890ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6464774TotalRevenueColumn
Related Or Exempt Function Income2339294RelatedOrExemptFunctionIncome
Exclusion$2,463,085ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total296339Total
Program Services296339ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total20022Total
Program Services20022ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total917703Total
Program Services512470ProgramServices
Management And General72644ManagementAndGeneral
Fundraising332589Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total36469Total
Program Services21102ProgramServices
Management And General2755ManagementAndGeneral
Fundraising12612Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total573722Total
Program Services331981ProgramServices
Management And General43336ManagementAndGeneral
Fundraising198405Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total69312Total
Program Services40108ProgramServices
Management And General5235ManagementAndGeneral
Fundraising23969Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total25900Total
Management And General25900ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total16391Total
Management And General16391ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total146628Total
Management And General146628ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total300442Total
Program Services162974ProgramServices
Management And General60750ManagementAndGeneral
Fundraising76718Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total1848Total
Fundraising1848Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total354572Total
Program Services324171ProgramServices
Management And General13255ManagementAndGeneral
Fundraising17146Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1139421Total
Program Services1121324ProgramServices
Management And General14194ManagementAndGeneral
Fundraising3903Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total18384Total
Program Services16529ProgramServices
Fundraising1855Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4324Total
Program Services4254ProgramServices
Fundraising70Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total595598Total
Program Services475648ProgramServices
Management And General39463ManagementAndGeneral
Fundraising80487Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total29810Total
Program Services24997ProgramServices
Management And General4813ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
LICENSES, DUES & SUBSCRIPTIONS24961502742072
MEDICAL SUPPLIES & DRUGS3008630086
MISCELLANEOUS15131513

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4580980Total
Program Services3382155ProgramServices
Management And General447151ManagementAndGeneral
Fundraising751674Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY48767BOY
EOY43691EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6877567BOY
EOY3124356EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY179573BOY
EOY127144EOY
FieldValueIRS element (for citing)
Accounts ReceivableAccountsReceivable

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY144625BOY
EOY147252EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15299304LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8238696LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7430133BOY
EOY7060608EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY27831915BOY
EOY46859491EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY12983BOY
EOY12983EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3836572BOY
EOY3428709EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY46362135BOY
EOY60804234EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2749885BOY
EOY3407841EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY26097BOY
EOY37244EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8090221BOY
EOY7472566EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10866203BOY
EOY10917651EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY24569022BOY
EOY38627862EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2025693BOY
EOY2210951EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY8901217BOY
EOY9047770EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY35495932BOY
EOY49886583EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY46362135BOY
EOY60804234EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1883794ReconcilationRevenueExpenses
Reconcilation Other Changes12506857ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance10633746BeginningOfYearBalance
Contributions1123257Contributions
Investment Earnings Or Losses-140292InvestmentEarningsOrLosses
Other Expenditures647348OtherExpenditures
End Of Year Balance10969363EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance10383529BeginningOfYearBalance
Contributions934099Contributions
Investment Earnings Or Losses108601InvestmentEarningsOrLosses
Other Expenditures792483OtherExpenditures
End Of Year Balance10633746EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance11140199BeginningOfYearBalance
Contributions371726Contributions
Investment Earnings Or Losses-229971InvestmentEarningsOrLosses
Other Expenditures898425OtherExpenditures
End Of Year Balance10383529EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis986647OtherCostOrOtherBasis
Book Value986647BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9439785OtherCostOrOtherBasis
Depreciation5244831Depreciation
Book Value4194954BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3789828OtherCostOrOtherBasis
Depreciation2295660Depreciation
Book Value1494168BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis977757OtherCostOrOtherBasis
Depreciation664946Depreciation
Book Value312811BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis105287OtherCostOrOtherBasis
Depreciation33259Depreciation
Book Value72028BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7060608TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED COMP PLAN ASSETS1416232
DUE FROM AFFILIATE62613
OTHER ASSETS106714
BENEFICIAL INTEREST IN TRUST1843150
FieldValueIRS element (for citing)
Total Book Value Other Assets3428709TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES$6,935,194
ACCRUED PENSION LIABILITIES$363,342
ESTIMATED SELF INSURANCE COSTS$69,465
OTHER LIABILITIES$104,565
FieldValueIRS element (for citing)
Total Of Amounts7472566TotalOfAmounts
Total Revenue6464774TotalRevenue
Total Expenses4580980TotalExpenses
Excess Or Deficit For Year1883794ExcessOrDeficitForYear
Net Unrealized GL On Investments-907407NetUnrealizedGLOnInvestments
Other$13,414,264OtherAmount
Total Adjustments12506857TotalAdjustments
Excess Or Deficit Per FS14390651ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt18850180TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-907407NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities25177DonatedSrvcAndUseOfFacilities
Other Revenues13267636OtherRevenues
Revenue Not Rptd F99012385406RevenueNotRptdF990
Revenue Subtotal6464774RevenueSubtotal
Total Revenue Per Form9906464774TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4459529TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities25177DonatedServicesUseOfFacilities
Expenses Not Rptd F99025177ExpensesNotRptdF990
Expenses Subtotal4434352ExpensesSubtotal
Investment Expenses Not Included2146628InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt146628ExpensesNotRptdOnFinStmt
Total Expenses Per Form9904580980TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ENDOWMENT FUNDSSCHEDULE D, PART V, LINE 4THE CORPORATION'S ENDOWMENT CONSISTS OF VARIOUS INDIVIDUAL DONORRESTRICTED FUNDS WHICH WERE ESTABLISHED TO FUND FUTURE STRATEGIC CAPITAL INVESTMENTS, AS WELL AS GENERAL OPERATIONAL AND CERTAIN DEPARTMENTAL PURPOSES.
UNCERTAIN TAX POSITIONSSCHEDULE D, PART X, LINE 2MANAGEMENT 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 ASSETSSCHEDULE D, PART XI, LINE 8TRANSFER FROM AFFILIATE $ 13,575,837 DEFINED BENEFIT PENSION COSTS ( 20,017) CHANGE IN BENEFICIAL INTEREST IN TRUST (141,556) -------------- TOTAL $ 13,414,264
OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12SCHEDULE D, PART XII, LINE 2DTRANSFER FROM AFFILIATE $ 13,575,837 DEFINED BENEFIT PENSION COSTS ( 20,017) INVESTMENT FEES (146,628) CHANGE IN BENEFICIAL INTEREST IN TRUST (141,556) --------------- TOTAL $ 13,267,636

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event157550GrossReceiptsEvent1
Charitable Contributions Event137965CharitableContributionsEvent1
Gross Revenue Event119585GrossRevenueEvent1
Rent Facility Costs Event116785RentFacilityCostsEvent1
Food And Beverage Event18547FoodAndBeverageEvent1
Other Direct Expenses Event16785OtherDirectExpensesEvent1
Name Of Event2HARVEST BALLNameOfEvent2
Gross Receipts Event289556GrossReceiptsEvent2
Charitable Contributions Event260911CharitableContributionsEvent2
Gross Revenue Event228645GrossRevenueEvent2
Rent Facility Costs Event213240RentFacilityCostsEvent2
Food And Beverage Event29758FoodAndBeverageEvent2
Entertainment Event25000EntertainmentEvent2
Other Direct Expenses Event220463OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events35585GrossReceiptsOtherEvents
Charitable Contrib Other Events19575CharitableContribOtherEvents
Gross Revenue Other Events16010GrossRevenueOtherEvents
Rent Facility Costs Other Events625RentFacilityCostsOtherEvents
Food And Beverage Other Events10487FoodAndBeverageOtherEvents
Entertainment Other Events2830EntertainmentOtherEvents
Other Direct Expenses Other Events16610OtherDirectExpensesOtherEvents
Gross Receipts Total182691GrossReceiptsTotal
Charitable Contributions Total118451CharitableContributionsTotal
Gross Revenue Total Events64240GrossRevenueTotalEvents
Rent Facility Costs Total Events30650RentFacilityCostsTotalEvents
Food And Beverage Total Events28792FoodAndBeverageTotalEvents
Entertainment Total Events7830EntertainmentTotalEvents
Other Direct Expenses Total Events43858OtherDirectExpensesTotalEvents
Direct Expense Summary Events111130DirectExpenseSummaryEvents
Net Income Summary-46890NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
SOUTHWESTERN VERMONT MEDICAL CENTER
100 HOSPITAL DRIVEBENNINGTONVT05201222563241501(C)(3)240116SUPPORT
MOUNT ANTHONY HOUSING CORPORATION
100 HOSPITAL DRIVEBENNINGTONVT05201030279740501(C)(3)5950SUPPORT
MANCHESTER RESCUE SQUAD INC
PO BOX 26MANCHESTER CENTERVT05255036011503501(C)(3)SUPPORT50273FMVRESPONSE VEHICLE
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII (5 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
ONCOLOGY PATIENT RESOURCE FUND2413153
SVMC PATIENT RESOURCE FUND81669
VNA PATIENT RESOURCE FUND39965
DVHC PATIENT RESOURCE FUND122
SVRCC FUND74213

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierMONITORING USE OF GRANT FUNDSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationSOUTHWESTERN VERMONT HEALTH CARE CORPORATION (SVHC) IS THE PARENT ORGANIZATION OF SOUTHWESTERN VERMONT MEDICAL CENTER, AND IS ABLE TO MONITOR USE OF GRANT FUNDS. SEE SCHEDULE O, PROGRAM SERVICE ACCOMPLISHMENTS, FOR ADDITIONAL DETAILS ON ASSISTANCE TO INDIVIDUALS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WILLIAM TOCK MD
02130760002220507719027777027077700
HARVEY YORKE
0000036656706465600043122300
MARK NOVOTNY MD
010305300027454404082907942042636800
THOMAS DEE
03658350001001360003428046939900

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
TOP MANAGEMENT OFFICIAL COMPENSATION DETERMINATIONSCHEDULE J, PART I, LINE 3SOUTHWESTERN 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.
SEVERANCE OR CHANGE OF CONTROL PAYMENTSCHEDULE J, PART I, LINE 4ATHE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM SOUTHWESTERN VERMONT MEDICAL CENTER, A RELATED ORGANIZATION: -HARVEY YORKE $ 342,909 -MARK NOVOTNY 268,390

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9903600NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest

Books And Publications BooksAndPublications

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99090NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99027192NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions8NumberOfContributions
Noncash Contribs Rptd F99048269NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XMISCELLANEOUS5011838FMV
XCONSUMABLES193326FMV
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedtrueThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NUMBER OF CONTRIBUTIONSSCHEDULE M, PART I, COLUMN BTHE NUMBER OF CONTRIBUTIONS WAS DETERMINED BY THE NUMBER OF CONTRIBUTORS.
SALES OF NONCASH CONTRIBUTIONSSCHEDULE M, PART I, LINE 32BTHE ORGANIZATION SELLS CONTRIBUTIONS OF SECURITIES THROUGH ITS INVESTMENT BROKER.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART III, LINE 1THE 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 VI, 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. 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.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12COFFICERS, 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 AFTER WHICH RECOMMENDATIONS ARE BROUGHT BEFORE AND VOTED UPON BY THE FULL BOARD OF TRUSTEES.
COMPENSATION REVIEWFORM 990, PART VI, SECTION B, LINES 15A & 15BTHE 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.
DOCUMENT DISCLOSUREFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
COMPENSATION OF CORPORATE OFFICERSFORM 990, PART VII, SECTION ASOUTHWESTERN VERMONT MEDICAL CENTER, A RELATED ORGANIZATION, CONTRACTED WITH MANAGEMENT COMPANIES FOR THE SERVICES OF INTERIM CFO, FRANK SCALA. BOARD MEMBER COMPENSATION FORM 990, PART VII, SECTION A MARNY KRAUSE WAS EMPLOYED BY SOUTHWESTERN VERMONT MEDICAL CENTER (SVMC), A RELATED 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 SVMC, AS WELL AS THE PRESIDENT OF SVMC'S MEDICAL STAFF. NO COMPENSATION WAS PROVIDED FOR HIS SERVICES PROVIDED AS A TRUSTEE. ERIC SEYFERTH IS CONTRACTED THROUGH SVMC AS AN EKG-READING PHYSICIAN. NO COMPENSATION WAS PROVIDED FOR HIS SERVICES PROVIDED AS A TRUSTEE.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5TRANSFER FROM AFFILIATE $ 13,575,837 UNREALIZED LOSS ON INVESTMENTS (907,407) DEFINED BENEFIT PENSION COSTS ( 20,017) CHANGE IN BENEFICIAL INTEREST IN TRUST (141,556) --------------- TOTAL $ 12,506,857

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SOUTHWEST VERMONT HEALTH CARE AUXILIARY
100 HOSPITAL DRIVEBENNINGTONVT05201222563243SUPPORT SVHCVT501(C)(3)9NA
SOUTHWESTERN VERMONT MEDICAL CENTER
100 HOSPITAL DRIVEBENNINGTONVT05201222563241HOSPITALVT501(C)(3)3NA
MOUNT ANTHONY HOUSING CORPORATION
100 HOSPITAL DRIVEBENNINGTONVT05201030279740NURSING HOMESVT501(C)(3)9NA

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1SOUTHWESTERN VT HEALTH CARE ENTERPRISESBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 HOSPITAL DRIVEAddressLine1
CityBENNINGTONCity
StateVTState
ZIP Code05201ZIPCode
FieldValueIRS element (for citing)
EIN030314501EIN
Primary ActivityHEALTHCAREPrimaryActivity
Legal Domicile StateVTLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
Share Of Total Income447962ShareOfTotalIncome
Share Of EOY Assets10621ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
SOUTHWESTERN VERMONT MEDICAL CENTER
A1245822
SOUTHWESTERN VERMONT HEALTH CARE ENTERPRISES
A75504
SOUTHWESTERN VERMONT MEDICAL CENTER
B240116
SOUTHWESTERN VERMONT HEALTH CARE ENTERPRISES
D62613
SOUTHWESTERN VERMONT MEDICAL CENTER
E5675652
SOUTHWESTERN VERMONT HEALTH CARE AUXILIARY
E235939
MOUNT ANTHONY HOUSING CORPORATION
E1023603
SOUTHWESTERN VERMONT MEDICAL CENTER
K582861
SOUTHWESTERN VERMONT MEDICAL CENTER
O1375720
SOUTHWESTERN VERMONT MEDICAL CENTER
Q117473
SOUTHWESTERN VERMONT HEALTH CARE AUXILIARY
R250000
SOUTHWESTERN VERMONT MEDICAL CENTER
R13575837

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