2011-08-01T16:48:32-04:00 2010-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2009-10-01 030179435 SOUTHWESTERN VERMONT HEALTH CARE CORPORATION SOUT 8024426361 100 HOSPITAL DRIVE BENNINGTON VT 05201 MICHAEL BRADY 2011-04-25 true Brian D Todd 4178658701 2009 2016-02-24 21:20:13Z THOMAS DEE 100 HOSPITAL DRIVE BENNINGTON VT 05201 7503712 false X WWW.SVHEALTHCARE.ORG X 1912 VT TO CARE FOR AND COMFORT OUR PATIENTS, RESIDENTS, AND THEIR LOVED ONES AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE. 15 11 27 16 0 0 1511508 1436425 1807077 2373005 481189 519241 9092 88369 3808866 4417040 15033 413434 0 0 1511586 1220832 0 0 0 4850620 2711891 6377239 4346157 -2568373 70883 44353993 46362135 9457954 10866203 34896039 35495932 TO CARE FOR AND COMFORT OUR PATIENTS, RESIDENTS, AND THEIR LOVED ONES AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE. false false 2104862 413434 SOUTHWESTERN VERMONT HEALTH CARE CORPORATION SUPPORTS SOUTHWESTERN VERMONT MEDICAL CENTER AND OTHER RELATED PARTIES THROUGH FUNDRAISING, DEVELOPMENT AND GRANT ADMINISTRATION. SEE SCHEDULE O FOR ADDITIONAL DETAILS. 1484613 2373005 SOUTHWESTERN VERMONT HEALTH CARE CORPORATION MANAGES AND MAINTAINS MEDICAL OFFICE BUILDINGS IN BENNINGTON, MANCHESTER, WILMINGTON AND WEST DOVER. 3589475 true true false false false false false false true true false true false false false false false false true false false true true true false false false false false false false false true false false false false true true false false true 36 0 true 27 true false false false false false true true false false false 15 11 false false true false false false false true true false false true true true true true true true true false X JANET HOLLNER 8024475041 100 HOSPITAL DRIVE BENNINGTON VT 05201 RICHARD GUERRERO MD 1.0 X X 0 0 0 MICHAEL E BRADY DDS 1.0 X X 0 0 0 WAYNE M KACHMAR 1.0 X X 0 0 0 LILA CESTONE 1.0 X X 0 0 0 DONALD ALBANO 1.0 X 0 0 0 SEAN L CASEY 1.0 X 0 0 0 TOMMY A HARMON JR 1.0 X 0 0 0 TIMOTHY T HOLBROOK 1.0 X 0 0 0 HOWARD MCNALLY 1.0 X 0 0 0 RICHARD PEMBROKE 1.0 X 0 0 0 WILLIAM TOCK MD 1.0 X 0 212307 39303 ERIC SEYFERTH MD 1.0 X 0 10959 0 MARK NOVOTNY MD 1.0 X X 0 367277 51120 THOMAS DEE 40.0 X X 0 26428 0 MARK WALLACE 1.0 X 0 0 0 CLAIRE MURRAY 1.0 X 0 0 0 MICHAEL ALGUS 1.0 X 0 128064 0 FRANK SKALA 40.0 X 0 0 0 RICHARD LAUVE 40.0 X 0 0 0 MARNY KRAUSE 40.0 X 170870 0 55163 HARVEY YORKE 40.0 X 0 664525 28102 KEVIN MCDONALD 40.0 X 147948 0 14594 318818 1409560 188282 2 true true false BERRY DUNN MCNEIL PARKER AUDIT & CONSULTING 220421 PRO-BUILDERS CONSTRUCTION CO CONSTRUCTION 147819 2 80485 29595 245321 1081024 27531 1436425 PROPERTY MANAGEMENT 531310 2351151 2351151 OTHER REVENUE 900099 21854 21854 2373005 520253 520253 0 0 3015631 2985822 30821 29809 -30821 -1012 -1012 52075 80485 70029 -17954 -17954 0 0 CHANGE IN BENEFICIAL INT IN TRUST 900099 106323 106323 106323 4417040 2373005 607610 403699 403699 9735 9735 0 0 226033 226033 162542 162542 676481 586890 89591 4043 3679 364 89822 75458 14364 61911 56338 5573 0 12397 12397 83591 83591 0 0 51462 51462 370069 318680 51389 0 434495 280883 153612 0 0 1049308 873165 176143 14379 11965 2414 0 5382 4479 903 50 42 8 0 599981 499265 100716 69179 57566 11613 MEDICAL SUPPLIES & DRUGS 18594 18594 LICENSES, DUES & SUBSCRIPTIONS 1809 462 1347 MISCELLANEOUS 1195 1195 4346157 3589475 756682 0 38772 48767 7068276 6877567 235932 179573 138331 144625 15125373 7695240 7874801 7430133 25599116 27831915 12983 12983 3385782 3836572 44353993 46362135 2363472 2749885 41659 26097 7052823 8090221 9457954 10866203 X 24159564 24569022 1991581 2025693 8744894 8901217 34896039 35495932 44353993 46362135 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10383529 934099 108601 792483 10633746 11140199 371726 -229971 898425 10383529 1.00000 false false 985564 985564 9455580 6959312 2496268 3670666 83555 3587111 858826 627689 231137 154737 24684 130053 7430133 DEFERRED COMP PLAN ASSETS 1673187 DUE FROM AFFILIATE 41041 OTHER ASSETS 137638 BENEFICIAL INTEREST IN TRUST 1984706 3836572 0 DUE TO AFFILIATES 7605764 ACCRUED PENSION LIABILITIES 339583 ESTIMATE SELF INSURANCE COSTS 74556 OTHER LIABILITIES 70318 8090221 4417040 4346157 70883 872362 -343352 529010 599893 4894588 872362 -394814 477548 4417040 4417040 4294695 4294695 51462 51462 4346157 ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 THE CORPORATION'S ENDOWMENT CONSISTS OF VARIOUS INDIVIDUAL DONOR- RESTRICTED FUNDS WHICH WERE ESTABLISHED TO FUND FUTURE STRATEGIC CAPITAL INVESTMENTS, AS WELL AS GENERAL OPERATIONAL AND CERTAIN DEPARTMENTAL PURPOSES. FIN 48 DISCLOSURE SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. OTHER CHANGES IN NET ASSETS AND RECONCILING ITEMS SCHEDULE D, PARTS XI, XII, AND XIII $ (317,417) DEFINED BENEFIT PENSION COSTS ( 25,935) TRANSFER TO AFFILIATES ----------- $ (343,352) SCHEDULE D, PART XI, LINE 8 ( 51,462) INVESTMENT FEES ----------- $ (394,814) SCHEDULE D, PART XII, LINE 2D GOLF TOURNAMENT 69860 45090 24770 9781 13384 9664 9715 HARVEST BALL 62700 35395 27305 6167 8023 5000 8295 0 132560 80485 52075 9781 19551 17687 5000 18010 70029 -17954 true SOUTHWESTERN VERMONT MEDICAL CENTER 100 HOSPITAL DRIVE BENNINGTON VT 05201 222563241 501(C)(3) 403699 SUPPORT 1 0 ONCOLOGY PATIENT RESOURCE FUND 19 7006 SVMC PATIENT RESOURCE FUND 5 1359 VNA PATIENT RESOURCE FUND 21 1370 MONITORING USE OF GRANT FUNDS SCHEDULE I, PART I, LINE 2 SOUTHWESTERN 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. true false false false false false false false false WILLIAM TOCK MD 0 195637 0 16670 12494 26809 0 251610 HARVEY YORKE 0 107503 0 557022 16720 11382 0 692627 MARK NOVOTNY MD 0 316707 0 50570 32514 18606 0 418397 MARNY KRAUSE 169103 0 0 1767 36345 18818 226033 0 KEVIN MCDONALD 84562 0 0 63386 9379 5215 162542 0 TOP MANAGEMENT OFFICIAL COMPENSATION DETERMINATION SCHEDULE J, PART I, LINE 3 SOUTHWESTERN VERMONT MEDICAL CENTER, A RELATED ORGANIZATION, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE CEO: COMPENSATION COMMITTEE, WRITTEN EMPLOYMENT CONTRACT, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SEVERANCE OR CHANGE OF CONTROL PAYMENT SCHEDULE J, PART I, LINE 4A THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT FROM THE ORGANIZATION: -KEVIN MCDONALD $ 63,386 IN ADDITION, THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM SOUTHWESTERN VERMONT MEDICAL CENTER, A RELATED ORGANIZATION: -HARVEY YORKE $ 377,960 -MARK NOVOTNY 36,994 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B THE FOLLOWING INDIVIDUAL RECEIVED A PAYMENT FROM THE 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN OF SOUTHWESTERN VERMONT MEDICAL CENTER, A RELATED ORGANIZATION: HARVEY YORK $122,976 X 3 1275 FMV X 135 FMV X 1686 FMV X 9 16696 FMV X MISCELLANEOUS 26 4289 FMV X CRAFTED ITEMS 12 3450 FMV 0 false true true NUMBER OF CONTRIBUTIONS SCHEDULE M, PART I, COLUMN B THE NUMBER OF CONTRIBUTIONS WAS DETERMINED BY THE NUMBER OF CONTRIBUTORS. SALES OF NONCASH CONTRIBUTIONS SCHEDULE M, PART I, LINE 32B THE ORGANIZATION SELLS CONTRIBUTIONS OF SECURITIES THROUGH ITS INVESTMENT BROKER. 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. CHANGES TO BYLAWS FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION AMENDED ITS BYLAWS TO REFLECT A CHANGE IN THE PROCESS OF ELECTING TRUSTEES. FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11A THE 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 POLICY FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY DISCLOSE INTERESTS WHICH COULD RESULT IN CONFLICTS. THE COMPLIANCE OFFICER MAINTAINS RECORDS ON THE COMPLETION OF THE CONFLICT OF INTEREST FORMS, ANY POTENTIAL CONFLICTS ARE DISCUSSED AT THE AUDIT AND COMPLIANCE MEETING AFTER WHICH RECOMMENDATIONS ARE BROUGHT BEFORE AND VOTED UPON BY THE FULL BOARD OF TRUSTEES. COMPENSATION REVIEW FORM 990, PART VI, SECTION B, LINES 15A & 15B THE ORGANIZATION'S CEO POSITION IS PAID BY SOUTHWESTERN VERMONT MEDICAL CENTER (SVMC). THE PROCESS SVMC USES TO DETERMINE CEO COMPENSATION IS AS FOLLOWS: THE BOARD ENGAGES AN OUTSIDE CONSULTING FIRM TO REVIEW COMPARABLE CEO SALARY DATA AND USES NATIONAL PROFESSIONAL ORGANIZATION SURVEY DATA IN THE DETERMINATION OF THE CEO'S SALARY AND BENEFITS. IN ADDITION, THE BOARD ENGAGES AN OUTSIDE CONSULTING FIRM AND ALSO USES NATIONAL PROFESSIONAL ORGANIZATION SURVEY DATA TO REVIEW THE WAGE DATA OF OTHER OFFICERS AND KEY EMPLOYEES. DOCUMENT DISCLOSURE FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. COMPENSATION OF CORPORATE OFFICERS FORM 990, PART VII, SECTION A SOUTHWESTERN VERMONT MEDICAL CENTER, A RELATED ORGANIZATION, CONTRACTED WITH MANAGEMENT COMPANIES FOR THE SERVICES OF INTERIM CFO, FRANK SCALA, AND INTERIM CMO, RICHARD LAUVE. BOARD MEMBER COMPENSATION FORM 990, PART VII PETER WITHAM IS AN EMPLOYED PHYSICIAN OF SOUTHWESTERN VERMONT MEDICAL CENTER (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. SOUTHWEST VERMONT HEALTH CARE AUXILIARY 100 HOSPITAL DRIVE BENNINGTON VT 05201 222563243 SUPPORT SVHC VT 501(C)(3) 9 SOUTHWESTERN VERMONT MEDICAL CENTER 100 HOSPITAL DRIVE BENNINGTON VT 05201 222563241 HOSPITAL VT 501(C)(3) 3 MOUNT ANTHONY HOUSING CORPORATION 100 HOSPITAL DRIVE BENNINGTON VT 05201 030279740 NURSING HOMES VT 501(C)(3) 9 SOUTHWESTERN VT HEALTH CARE ENTERPRISES 100 HOSPITAL DRIVE BENNINGTON VT 05201 030314501 HEALTHCARE VT NA C CORP 437730 48581 1.00000 true true false true true false false false true false true true true true false false true true SOUTHWESTERN VERMONT MEDICAL CENTER A 1218496 SOUTHWESTERN VERMONT HEALTH CARE ENTERPRISES A 75504 SOUTHWESTERN VERMONT MEDICAL CENTER B 403699 SOUTHWESTERN VERMONT MEDICAL CENTER E 6592766 MOUNT ANTHONY HOUSING CORPORATION E 1012973