SOUTHWESTERN VERMONT MEDICAL CENTER INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
SOUTHWESTERN VERMONT MEDICAL CENTER INC (EIN 22-2563241)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-01
IRS object ID
201102139349300400
Schema version
2009v1.7
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)
Timestamp2011-08-01T08:32:24-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

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 Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222563241EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SOUTHWESTERN VERMONT MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSOUTNameControl
Phone8024475011Phone

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 Signed2011-04-25DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian D ToddName
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 Receipts138291968GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
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 Employees1280TotalNbrEmployees
Total Nbr Volunteers302TotalNbrVolunteers
Total Gross UBI2713199TotalGrossUBI
Net Unrelated Business Txbl Income-227933NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year460203ContributionsGrantsPriorYear
Contributions Grants Current Year403699ContributionsGrantsCurrentYear
Program Service Revenue Prior Year227230931ProgramServiceRevenuePriorYear
Program Service Revenue CY135156279ProgramServiceRevenueCY
Investment Income Prior Year-19056InvestmentIncomePriorYear
Investment Income Current Year214274InvestmentIncomeCurrentYear
Other Revenue Prior Year26153OtherRevenuePriorYear
Other Revenue Current Year25860OtherRevenueCurrentYear
Total Revenue Prior Year227698231TotalRevenuePriorYear
Total Revenue Current Year135800112TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY110448GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year68453687SalariesEtcPriorYear
Salaries Etc Current Year71174440SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year164847522OtherExpensePriorYear
Other Expenses Current Year57153525OtherExpensesCurrentYear
Total Expenses Prior Year233301209TotalExpensesPriorYear
Total Expenses Current Year128438413TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-5602978RevenuesLessExpensesPriorYear
Revenues Less Expenses CY7361699RevenuesLessExpensesCY
Total Assets BOY62138260TotalAssetsBOY
Total Assets EOY66225965TotalAssetsEOY
Total Liabilities BOY32096136TotalLiabilitiesBOY
Total Liabilities EOY41174793TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY30042124NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY25051172NetAssetsOrFundBalancesEOY
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 DETAILS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense89652558Expense
Revenue109766050Revenue
DescriptionSOUTHWESTERN 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 FIRST 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense23064052Expense
Revenue18212571Revenue
DescriptionTHE 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.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense4148312Expense
Revenue4464459Revenue
DescriptionSOUTHWESTERN 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.Description
FieldValueIRS element (for citing)
Total Program Service Expense116864922TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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 ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
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 RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096127NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1280NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
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 CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSTEPHEN MAJETICHNamePerson
Telephone Number8024475011TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
DONALDO ALBANO
TRUSTEE1.0X000
MICHAEL E BRADY DDS
VICE CHAIR1.0X000X
SEAN L CASEY
TRUSTEE1.0X000
LILA CESTONE
SVHCA PRESIDENT/TRUSTEE1.0X000
RICHARD GUERRERO MD
CHAIR1.0X000X
TOMMY A HARMON JR
TRUSTEE1.0X000
TIMOTHY T HOLBROOK
TRUSTEE1.0X000
WAYNE M KACHMAR
SECRETARY1.0X000X
HOWARD MCNALLY
TRUSTEE1.0X000
RICHARD PEMBROKE
TRUSTEE1.0X000
WILLIAM TOCK MD
PRESIDENT MEDICAL STAFF1.0X212307039303
ERIC SEYFERTH MD
UHA CHAIR1.0X1095900
MARK NOVOTNY MD
INTERIM CEO (5/2009-12/2009)40.0X367277051120X
THOMAS DEE
CEO BEGINNING 12/200940.0X2642800X
MARK WALLACE
TRUSTEE1.0X000
CLAIRE MURRAY
TRUSTEE1.0X000
MICHAEL ALGUS
TRUSTEE BEGINNING 2/20101.0X12806400
FRANK SKALA
INTERIM CFO BEGINNING 7/200940.0000X
RICHARD LAUVE
INTERIM CMO40.0000X
ROBERT WESTERGAN
VP MEDICAL GROUP40.0338785020194X
DIANNE PROBOLA
VP OF OPERATIONS40.0183447037470X
ORION HOWARD
PHYSICIAN40.0444660017126X
ANDREW YOUNG
PHYSICIAN40.0432600019274X
CHARLENE IVES
PHYSICIAN40.0387214013565X
CHARLES SALEM
PHYSICIAN40.0346061017379X
DANIEL PERREGAUX
PHYSICIAN40.0287175019776X
HARVEY YORKE
FRMR CEO - SEE SCH J NARRATIVE664525028102X
CRAIG GHIDOTTI
VP OF HR UNTIL 5/09181519013406X
DAVID LAPLANTE
MED GROUP EX DIR UNTIL 5/0917628707572X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4187308TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation284287TotalOtherCompensation
Number Individuals GT100 K93NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
FLETCHER ALLEN HEALTHCARE
LAB TESTING497729
BERRY DUNN MCNEIL PARKER
AUDIT & CONSULTING476272
JACOBS MCLINTOCK SCANLON LPC
LEGAL317746
LA CONSULTING LLC
CONSULTING259705
INSIGHT HEALTH PARTNERS LLC
CONSULTING230435
FieldValueIRS element (for citing)
Number Of Contractors GT100 K20NumberOfContractorsGT100K
Related Organizations403699RelatedOrganizations
Total Contributions403699TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE6219901320683581297659082302450
CAFETERIA INCOME72221073398671785116135
LAUNDRY8123001034288733216096
PHARMACY446110496541496541
CHILD CARE624410378518378518

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1375448TotalRevenueColumn
Related Or Exempt Function Income1375448RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue135156279TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column225787TotalRevenueColumn
Exclusion$225,787ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real25860Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real25860Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column25860TotalRevenueColumn
Exclusion$25,860ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2460237Securities
Other20106Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2490771Securities
Other1085Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-30534Securities
Other19021Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-11513TotalRevenueColumn
Exclusion-$11,513ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

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 Column135800112TotalRevenueColumn
Related Or Exempt Function Income132443080RelatedOrExemptFunctionIncome
Unrelated Business Revenue2713199UnrelatedBusinessRevenue
Exclusion$240,134ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total110448Total
Program Services110448ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

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)
Total1415354Total
Program Services749612ProgramServices
Management And General665742ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total1071411Total
Management And General1071411ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total55765470Total
Program Services52857241ProgramServices
Management And General2908229ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total463221Total
Program Services426284ProgramServices
Management And General36937ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8751300Total
Program Services8195132ProgramServices
Management And General556168ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3707684Total
Program Services3419799ProgramServices
Management And General287885ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total490140Total
Management And General490140ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total375053Total
Management And General375053ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total130871Total
Management And General130871ManagementAndGeneral

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)
Total22290Total
Management And General22290ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10768425Total
Program Services9129675ProgramServices
Management And General1638750ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total242514Total
Program Services195952ProgramServices
Management And General46562ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2830645Total
Program Services2497722ProgramServices
Management And General332923ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total960273Total
Program Services775904ProgramServices
Management And General184369ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4187927Total
Program Services3343396ProgramServices
Management And General844531ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total231290Total
Program Services206843ProgramServices
Management And General24447ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total326885Total
Program Services264124ProgramServices
Management And General62761ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total505244Total
Program Services408239ProgramServices
Management And General97005ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5721181Total
Program Services4622732ProgramServices
Management And General1098449ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1352031Total
Program Services1092445ProgramServices
Management And General259586ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT54888615488861
PROVIDER TAXES50378895037889
MEDICAL SUPPLIES & DRUGS1746424217464242
LICENSES/DUES/SUBSCRIPTIONS697767319822377945
RECRUITING & RETENTION23974819371746031

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total80249Total
Program Services64843ProgramServices
Management And General15406ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total128438413Total
Program Services116864922ProgramServices
Management And General11573491ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY59402BOY
EOY77820EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY9499520BOY
EOY15382986EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY13096203BOY
EOY11323714EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY795822BOY
EOY795855EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2184468BOY
EOY2112642EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1330648BOY
EOY1850880EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis108857944LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec82057369LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY28896090BOY
EOY26800575EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3314078BOY
EOY3964255EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2962029BOY
EOY3917238EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY62138260BOY
EOY66225965EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY13723690BOY
EOY12207140EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY120791BOY
EOY167734EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY8729964BOY
EOY8736185EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2068484BOY
EOY1340664EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY7453207BOY
EOY18723070EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY32096136BOY
EOY41174793EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY30042124BOY
EOY25051172EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY30042124BOY
EOY25051172EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY62138260BOY
EOY66225965EOY
FieldValueIRS element (for citing)
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$31,289OtherActivitiesAmount
Total Lobbying Expenditures IIB31289TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOTHER LOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1(I)ReturnReference
ExplanationSOUTHWESTERN 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.Explanation

Schedule D IRS990ScheduleD

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis5000OtherCostOrOtherBasis
Book Value5000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis29935017OtherCostOrOtherBasis
Depreciation19084216Depreciation
Book Value10850801BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis75972868OtherCostOrOtherBasis
Depreciation60804257Depreciation
Book Value15168611BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2945059OtherCostOrOtherBasis
Depreciation2168896Depreciation
Book Value776163BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings26800575TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATE3108039
OTHER CURRENT ASSETS809199
FieldValueIRS element (for citing)
Total Book Value Other Assets3917238TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
OTHER LIABILITIES$268,228
EST AMT DUE TO 3RD PARTY PAYERS$1,791,818
PENSION BENEFIT OBLIGATIONS$12,898,541
INTEREST RATE SWAP$1,294,584
ASSET RETIREMENT OBLIGATION$1,043,761
EST SELF-INSURANCE COSTS$1,426,138
FieldValueIRS element (for citing)
Total Of Amounts18723070TotalOfAmounts
Total Revenue135800112TotalRevenue
Total Expenses128438413TotalExpenses
Excess Or Deficit For Year7361699ExcessOrDeficitForYear
Net Unrealized GL On Investments231270NetUnrealizedGLOnInvestments
Other-$12,583,921OtherAmount
Total Adjustments-12352651TotalAdjustments
Excess Or Deficit Per FS-4990952ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt123425171TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments231270NetUnrealizedGainsInvestments
Other Revenues-12606211OtherRevenues
Revenue Not Rptd F990-12374941RevenueNotRptdF990
Revenue Subtotal135800112RevenueSubtotal
Total Revenue Per Form990135800112TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt128416123TotExpensesEtcAuditedFinclStmt
Expenses Subtotal128416123ExpensesSubtotal
Investment Expenses Not Included222290InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt22290ExpensesNotRptdOnFinStmt
Total Expenses Per Form990128438413TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIN 48 DISCLOSURESCHEDULE 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 CHANGES IN NET ASSETS AND RECONCILING ITEMSSCHEDULE D, PARTS XI, XII, AND XIII$(12,053,791) DEFINED BENEFIT PENSION COSTS 29,101 TRANSFER FROM AFFILIATES ( 559,231) CHANGE IN FV OF INT RATE SWAP ------------- $(12,583,921) SCHEDULE D, PART XI, LINE 8 ( 22,290) INVESTMENT FEES ------------- $(12,606,211) SCHEDULE D, PART XII, LINE 2D

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1016695TotalCommunityBenefitExpense
Net Community Benefit Expense1016695NetCommunityBenefitExpense
Percent Of Total Expense0.00790PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense21921639TotalCommunityBenefitExpense
Direct Offsetting Revenue14590594DirectOffsettingRevenue
Net Community Benefit Expense7331045NetCommunityBenefitExpense
Percent Of Total Expense0.05710PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense22938334TotalCommunityBenefitExpense
Direct Offsetting Revenue14590594DirectOffsettingRevenue
Net Community Benefit Expense8347740NetCommunityBenefitExpense
Percent Of Total Expense0.06500PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense318691TotalCommunityBenefitExpense
Direct Offsetting Revenue5379DirectOffsettingRevenue
Net Community Benefit Expense313312NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense7129538TotalCommunityBenefitExpense
Direct Offsetting Revenue6585168DirectOffsettingRevenue
Net Community Benefit Expense544370NetCommunityBenefitExpense
Percent Of Total Expense0.00420PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense110448TotalCommunityBenefitExpense
Net Community Benefit Expense110448NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense7558677TotalCommunityBenefitExpense
Direct Offsetting Revenue6590547DirectOffsettingRevenue
Net Community Benefit Expense968130NetCommunityBenefitExpense
Percent Of Total Expense0.00750PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense30497011TotalCommunityBenefitExpense
Direct Offsetting Revenue21181141DirectOffsettingRevenue
Net Community Benefit Expense9315870NetCommunityBenefitExpense
Percent Of Total Expense0.07250PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$2,692,286BadDebtExpenseAmount
Amount Attributable To328459AmountAttributableTo
Amount Reimbursed By Medicare29328523AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare37796227CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-8467704MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (3 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalCritical Access HospitalCriticalAccessHospitalEr24 HoursEr24HoursOtherOther
SOUTHWESTERN VERMONT MEDICAL CENTER
100 HOSPITAL DRIVEBENNINGTONVT05201XXXX
NORTHSHIRE CAMPUS
5957 MAIN STREET ROUTE 7A NORTHMANCHESTER CENTERVT05255PRIMARY CARE, LABORATORY, X-RAY SERVICES
DEERFIELD VALLEY CAMPUS
30 ROUTE 100 SOUTHWILMINGTONVT05363SAME-DAY CARE, LABORATORY, ON-SITE X-RAY SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Bad Debt FootnoteTHE 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 PATIENT'S 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.BadDebtFootnote
Shortfall As Community BenefitSERVING 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.ShortfallAsCommunityBenefit
Needs AssessmentAS 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 SYSTEM'S 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.NeedsAssessment
Patient Education AssistanceSVMC 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.PatientEducationAssistance
Community InformationSERVICE 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 A 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 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 SVMC'S SERVICE AREA IS EXPECTED TO GROW BY ONLY 38 INDIVIDUALS. AT THE SAME TIME, THE AREA'S AVERAGE AGE IS INCREASING, AND THE POPULATION IS OLDER THAN THAT OF THE STATE AND THE NATION. THE DEMOGRAPHICS OF MUCH OF THE HOSPITAL'S 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.CommunityInformation
Community Building ActivitiesAS 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, SVHC'S 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 2010, SVHC INVESTED $2,463,460 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 SVHC'S 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. -HELPING OUR COMMUNITY PREPARE FOR AND MANAGE H1N1 ("SWINE") FLU. -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. -TEACHING YOUTH ABOUT THE DANGERS OF ALCOHOL AND DRIVING. -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 RATING SUPPORT TO CHILD CARE PROVIDERS TO HELP THEM QUALIFY FOR VERMONT STEP AHEAD RECOGNITION SYSTEM (STARS). -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 $30,331.CommunityBuildingActivities
Other InformationSVHC HAS RELATIONSHIPS WITH LOCAL ARMS OF FAITH-BASED ORGANIZATIONS THAT PROVIDE SURPLUS MEDICAL EQUIPMENT AND SURGICAL SUPPLIES TO DEVELOPING COUNTRIES. SVHC ALSO PROVIDED MEDICAL SUPPLIES TO ASSIST IN RESPONDING TO THE EARTHQUAKE IN HAITI IN JANUARY OF 2010. IN ADDITION, IN 2010, WE CONSOLIDATED OUR CHILD CARE CENTERS AND DONATED SURPLUS CHILD CARE EQUIPMENT TO LOCAL CHILD CARE CENTERS.OtherInformation
Affiliated Health Care SystemTHE 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.AffiliatedHealthCareSystem

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedfalseRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
RENEWED LIFE PHILIPPINE MISSION INC
PO BOX 352CHESTERVT05143208832740501(C)(3)85051SUPPORT
GREEN MEADOW MISSION
9 GANNON RAODEAGLE BRIDGEVT12057141773374501(C)(3)10797SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
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 (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgs
WILLIAM TOCK MD
195637001667012494268092516100
HARVEY YORKE
1075030055702216720113826926270
MARK NOVOTNY MD
316707005057032514186064183970
ORION HOWARD
4446600000171264617860
ANDREW YOUNG
431968006320192744518740
CHARLENE IVES
34749102285116872129086574007790
CHARLES SALEM
29611200499491582815513634400
ROBERT WESTERGAN
3130370250007480201943589790
CRAIG GHIDOTTI
6779300113726751158951949250
DIANNE PROBOLA
182835006122794095302209170
DAVID LAPLANTE
6713700109150075721838590
DANIEL PERREGAUX
27047400167011107886983069510

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
HOUSING ALLOWANCE AND GROSS UP PAYMENTSSCHEDULE J, PART I, LINE 1ADURING THE FISCAL YEAR, THE ORGANIZATION PAID THOMAS DEE A HOUSING ALLOWANCE, WHICH WAS TREATED AS TAXABLE COMPENSATION. IN ADDITION, THE ORGANIZATION GROSSED UP HARVEY YORK'S SUPPLEMENTAL WAGES TO COVER TAXES.
SEVERANCE OR CHANGE OF CONTROL PAYMENTSCHEDULE J, PART I, LINE 4ATHE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT FROM THE ORGANIZATION: -HARVEY YORKE $ 377,960 -MARK NOVOTNY 36,994 -CRAIG GHIDOTTI 86,916 -DAVID LAPLANTE 86,913
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE J, PART I, LINE 4BTHE FOLLOWING INDIVIDUAL RECEIVED A PAYMENT FROM THE ORGANIZATION'S 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN: HARVEY YORK $122,976

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1VT EDUCATIONAL & HEALTH BUILDING FINANCING AGENCYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN237154467IssuerEIN
CUSIP Number824166BR1CUSIPNumber
Date Issued2008-03-20DateIssued
Issue Price8865000IssuePrice
Description Of PurposeADVANCE REFUND OF 1995 BONDSDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds8865000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Amount Defeased8707360AmountDefeased
Amount Unspent0AmountUnspent
Issuance Costs From Proceeds157640IssuanceCostsFromProceeds
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures0CapitalExpenditures
Year Of Subst Completion2008YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingtrueAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledtrueForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
INSIGHT HEALTH PARTNERS LLC - SEE
F. SKALA IS OWNER230435INTERIM CFO, CONSULTINGfalse
LA CONSULTING LLC - SEE SCH O NARR
R. LAUVE IS OWNER259705INTERIM CMO, CONSULTINGfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
CURRENT & PRIOR YEAR REVENUE & EXPENSE COMPARISONFORM 990, PART I LINES 9 & 17THE PRIOR YEAR RETURN REPORTED GROSS PATIENT SERVICE REVENUE ON LINE 9 AND INCLUDED CONTRACTUAL ALLOWANCES IN EXPENSES ON LINE 17. THE CURRENT YEAR RETURN REPORTS NET PATIENT SERVICE REVENUE INCLUDING CONTRACTUAL ALLOWANCES ON LINE 9. 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. 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.
MANAGEMENT DUTIESFORM 990, PART VI, SECTION A, LINE 3 AND SCHEDULE L, PART IVSVMC CONTRACTED WITH MANAGEMENT COMPANIES FOR THE SERVICES OF INTERIM CFO, FRANK SCALA, AND INTERIM CMO, RICHARD LAUVE. 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.
MEMBERSFORM 990, PART VI, SECTION A, LINES 6, 7A, & 7BTHE 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 PROCESSFORM 990, PART VI, SECTION B, LINE 11ATHE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. 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 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 19SOUTHWESTERN VERMONT MEDICAL CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
BOARD MEMBER COMPENSATIONFORM 990, PART VIIPETER WITHAM 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. ERIC SEYFERTH IS CONTRACTED BY THE ORGANIZATION FOR HIS PHYSICIAN SERVICES READING EKGS. NO COMPENSATION WAS PROVIDED FOR HIS SERVICES PROVIDED AS A TRUSTEE.
ISSUANCE COSTS FROM PROCEEDSSCHEDULE K, PART II, LINE 5, COLUMN ATHE ISSUANCE COSTS FROM PROCEEDS INCLUDE THE FOLLOWING: $ 135,047 PROCEEDS USED FOR BOND ISSUANCE COSTS 22,593 PROCEEDS USED FOR CREDIT ENHANCEMENT ---------- $ 157,640

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatus
SOUTHWESTERN VERMONT HEALTH CARE CORP
100 HOSPITAL DRIVEBENNINGTONVT05201030179435MANAGEMENTVT501(C)(3)3
MOUNT ANTHONY HOUSING CORPORATION
100 HOSPITAL DRIVEBENNINGTONVT05201030279740NURSING HOMESVT501(C)(3)9
SOUTHWESTERN VT HEALTHCARE AUXILIARY
100 HOSPITAL DRIVEBENNINGTONVT05201222563243SUPPORTVT501(C)(3)9

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1SOUTHWESTERN VT HEALTHCARE 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
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
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 OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

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