SOUTHWESTERN VERMONT MEDICAL CENTER INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: SOUTHWESTERN VERMONT MEDICAL CENTER INC (EIN 22-2563241)
Tax period: 2022-10-01 to 2023-09-30
Filed: 2024-08-14
IRS object ID: 202422279349303072
Schema version: 2022v5.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-08-14T16:00:45-05:00	ReturnTs
Tax Period End	2023-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	991856619	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	GRANT THORNTON ADVISORS LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	53 STATE STREET SUITE 1600	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02109	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	222563241	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHWESTERN VERMONT MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SOUT	BusinessNameControlTxt
Phone	8024426361	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 HOSPITAL DRIVE	AddressLine1Txt
City	BENNINGTON	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05201	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROBERT LABA	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8024475011	PhoneNum
Signature	2024-08-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ERIN COUTURE	PreparerPersonNm
PTIN	P01390592	PTIN
Phone	6177237900	PhoneNum

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2024-08-08 14:25:15Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	THOMAS DEE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 HOSPITAL DRIVE	AddressLine1Txt
City	BENNINGTON	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05201	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$197,681,138	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SVHEALTHCARE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1912	FormationYr
Legal Domicile State	VT	LegalDomicileStateCd
Activity Or Mission	(SEE SCHEDULE O)	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	1282	TotalEmployeeCnt
Total Volunteers	15	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,095,054	PYContributionsGrantsAmt
CY Contributions Grants	$1,034,071	CYContributionsGrantsAmt
PY Program Service Revenue	$193,757,263	PYProgramServiceRevenueAmt
CY Program Service Revenue	$195,970,048	CYProgramServiceRevenueAmt
PY Investment Income	$423,310	PYInvestmentIncomeAmt
CY Investment Income	$620,280	CYInvestmentIncomeAmt
PY Other Revenue	$8,600	PYOtherRevenueAmt
CY Other Revenue	$10,200	CYOtherRevenueAmt
PY Total Revenue	$196,284,227	PYTotalRevenueAmt
CY Total Revenue	$197,634,599	CYTotalRevenueAmt
PY Grants And Similar Paid	$76,900	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$8,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$75,671,539	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$80,143,139	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$101,456	CYTotalFundraisingExpenseAmt
PY Other Expenses	$120,052,475	PYOtherExpensesAmt
CY Other Expenses	$124,043,988	CYOtherExpensesAmt
PY Total Expenses	$195,800,914	PYTotalExpensesAmt
CY Total Expenses	$204,195,127	CYTotalExpensesAmt
PY Revenues Less Expenses	$483,313	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$6,560,528	CYRevenuesLessExpensesAmt
Total Assets BOY	$124,177,920	TotalAssetsBOYAmt
Total Assets EOY	$125,642,375	TotalAssetsEOYAmt
Total Liabilities BOY	$78,181,611	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$81,055,804	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$45,996,309	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$44,586,571	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SOUTHWESTERN VERMONT HEALTH CARE EXISTS TO PROVIDE EXCEPTIONAL HEALTH CARE AND COMFORT TO THE PEOPLE WE SERVE. SEE SCHEDULE O FOR ADDITIONAL DETAILS.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$127,709,960	ExpenseAmt
Grant	$8,000	GrantAmt
Revenue	$166,211,360	RevenueAmt
Desc	SOUTHWESTERN VERMONT MEDICAL CENTER IS A 99 BED HOSPITAL THAT PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES AND PHYSICIAN SERVICES IN BENNINGTON AND THE SURROUNDING AREA. IT IS VERMONT'S ONLY MAGNET HOSPITAL FOR NURSING EXCELLENCE. ITS SERVICES INCLUDE A FULLY STAFFED EMERGENCY DEPARTMENT, 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, NORTHSHIRE AND POWNAL. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$48,489,794	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$29,758,688	RevenueAmt
Desc	THE MEDICAL PRACTICE GROUP INCLUDES: PRIMARY CARE PHYSICIANS, RHEUMATOLOGY AND IMMUNOLOGY, RADIATION ONCOLOGY, MEDICAL ONCOLOGY, PEDIATRIC PRACTICE, GENERAL SURGERY PRACTICE, GASTROENTEROLOGY, UROLOGY PRACTICE, ORTHOPEDICS, THREE OFF CAMPUS CLINICS, INTERNAL MEDICINE PRACTICE, INFECTIOUS DISEASE PRACTICE, OB/GYN PRACTICE, ANESTHESIA SERVICES, DENTISTRY, GERIATRIC PRACTICE, PULMONOLOGY, DERMATOLOGY, NEUROLOGY, CARDIOLOGY, PALLIATIVE CARE AND ENDOCRINOLOGY.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$176,199,754	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	151	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1282	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ROBERT LABA	PersonNm
Phone	8024475011	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 HOSPITAL DRIVE	AddressLine1Txt
City	BENNINGTON	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05201	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
THOMAS A DEE
TRUSTEE / CEO SVHC	40.00	4.00	Yes (X)	Yes (X)	$1,408,657	$0	$338,381
MICHAEL E BRADY
TRUSTEE / DENTIST	38.00	2.00	Yes (X)		$176,442	$0	$226
KATHLEEN FISHER
CHAIR	1.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
STEPHEN KELLY
VICE CHAIR	1.00	3.00	Yes (X)	Yes (X)	$0	$0	$0
DIMITRI GARDER
SECRETARY	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
ANGIE MARANO
TRUSTEE	1.00	2.00	Yes (X)		$0	$0	$0
BRIAN BAREFOOT
TRUSTEE	1.00	2.00	Yes (X)		$0	$0	$0
BRIAN G O'GRADY
TRUSTEE	1.00	2.00	Yes (X)		$0	$0	$0
CAROL CONROY
TRUSTEE	1.00	2.00	Yes (X)		$0	$0	$0
CHRISTINE MILES
TRUSTEE	1.00	2.00	Yes (X)		$0	$0	$0
CONNIE JASTREMSKI
TRUSTEE	1.00	2.00	Yes (X)		$0	$0	$0
GEORGE KEADY
TRUSTEE (AS OF 10/2022)	1.00	2.00	Yes (X)		$0	$0	$0
KRISTYN HARRINGTON
TRUSTEE	1.00	2.00	Yes (X)		$0	$0	$0
MATTHEW VERNON
TRUSTEE	1.00	2.00	Yes (X)		$0	$465,365	$55,971
RICHARD ADER
TRUSTEE (THRU 09/2023)	1.00	3.00	Yes (X)		$0	$0	$0
ROBERT VAN DEGNA
TRUSTEE	1.00	3.00	Yes (X)		$0	$0	$0
STANLEY STROUP
TRUSTEE	1.00	2.00	Yes (X)		$0	$0	$0
THEMARGE SMALL
TRUSTEE (AS OF 10/2022)	1.00	3.00	Yes (X)		$0	$473,452	$61,078
THOMAS H GREEN III
TRUSTEE (AS OF 10/2022)	1.00	3.00	Yes (X)		$0	$0	$0
WAYNE GRANQUIST
TRUSTEE	1.00	2.00	Yes (X)		$0	$0	$0
STEPHEN D MAJETICH
CFO/TREASURER	40.00	6.00		Yes (X)	$787,033	$0	$148,798
KEVIN P DAILEY
VP HR	39.00	1.00			$390,516	$0	$77,691	Yes (X)
PAMELA A DUCHENE
CNO	40.00	0.00			$349,084	$0	$76,378	Yes (X)
LESLIE J KEEFE
VP SVHC FOUNDATION	16.00	24.00			$295,520	$0	$77,120	Yes (X)
RICHARD J OGILVIE JR
VP CIO	40.00	0.00			$272,341	$0	$47,193	Yes (X)
JOHN P LABERT
ANESTHESIA ASSISTANT	40.00	0.00			$246,185	$0	$9,237		Yes (X)
KELSEY L BURAN
ANESTHESIA ASSISTANT	40.00	0.00			$231,985	$0	$17,691		Yes (X)
CODY J HOLLOWAY
ANESTHESIA ASSISTANT	40.00	0.00			$213,073	$0	$28,839		Yes (X)
RONALD W ZIMMERMAN
DIRECTOR OF ENGINEERING	40.00	0.00			$200,800	$0	$36,887		Yes (X)
MARY E CAMPBELL
ANESTHESIA ASSISTANT	40.00	0.00			$213,284	$0	$9,237		Yes (X)
SCOTT ROGGE
TRUSTEE (THRU 09/2022)	0.00	0.00			$0	$756,539	$37,340			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,784,920	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,695,356	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,022,067	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	112	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
DARTMOUTH HITHCOCK MEDICAL CENTER
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	PSA AGREEMENT	$36,757,743
DARTMOUTH HITCHCOCK MEDICAL CENTER
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	PURCHASED LAB, TECH, ADMIN SVCS	$2,154,579
RENOVO SOLUTIONS LLC
4 EXECUTIVE CIRCLE SUITE 185	IRVINE	CA	92614	BIOMEDICAL ENGINEERING	$1,064,854
CLARO HEALTHCARE LLC
22 S WACKER DRIVE SUITE 2800	CHICAGO	IL	60606	INPATIENT CDI	$655,866
TLC NURSING ASSOCIATES INC
PO BOX 2244	SOUTH BURLINGTON	VT	05403	NURSING STAFF	$631,553

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	23	CntrctRcvdGreaterThan100KCnt
Related Organizations	$301,615	RelatedOrganizationsAmt
Government Grants	$658,674	GovernmentGrantsAmt
All Other Contributions	$73,782	AllOtherContributionsAmt
Total Contributions	$1,034,071	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERV. REV	621990	$155,588,663	$155,588,663
FIXED PROSPECTIVE REV	621990	$29,113,085	$29,113,085
PHARMACY	456110	$5,165,753	$5,165,753
PROGRAM INCENTIVES	456110	$1,664,058	$1,664,058
STATE FUNDING	900099	$1,506,383	$1,506,383

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,932,106	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,932,106	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$195,970,048	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$332,908	TotalRevenueColumnAmt
Exclusion	$332,908	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$10,200	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$10,200	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,200	TotalRevenueColumnAmt
Exclusion	$10,200	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$333,911	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$46,539	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$333,911	SecuritiesAmt
Other	-$46,539	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$287,372	TotalRevenueColumnAmt
Exclusion	$287,372	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$197,634,599	TotalRevenueColumnAmt
Related Or Exempt Func Income	$195,970,048	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$630,480	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$8,000	TotalAmt
Program Services	$8,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,425,384	TotalAmt
Program Services	$499,562	ProgramServicesAmt
Management And General	$1,925,822	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$59,762,498	TotalAmt
Program Services	$49,107,223	ProgramServicesAmt
Management And General	$10,655,275	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,037,802	TotalAmt
Program Services	$1,609,878	ProgramServicesAmt
Management And General	$408,849	ManagementAndGeneralAmt
Fundraising	$19,075	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,471,536	TotalAmt
Program Services	$9,627,548	ProgramServicesAmt
Management And General	$1,761,793	ManagementAndGeneralAmt
Fundraising	$82,195	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,445,919	TotalAmt
Program Services	$3,571,748	ProgramServicesAmt
Management And General	$874,060	ManagementAndGeneralAmt
Fundraising	$111	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,104,258	TotalAmt
Management And General	$2,104,258	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$280,826	TotalAmt
Management And General	$280,826	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$46,271	TotalAmt
Management And General	$46,271	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$54,355,597	TotalAmt
Program Services	$53,217,338	ProgramServicesAmt
Management And General	$1,138,259	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$322,290	TotalAmt
Program Services	$220	ProgramServicesAmt
Management And General	$322,070	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,259,544	TotalAmt
Program Services	$743,501	ProgramServicesAmt
Management And General	$3,516,043	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,979,514	TotalAmt
Program Services	$4,269,863	ProgramServicesAmt
Management And General	$709,651	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$114,899	TotalAmt
Program Services	$80,702	ProgramServicesAmt
Management And General	$34,197	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$19,117	TotalAmt
Program Services	$6,860	ProgramServicesAmt
Management And General	$12,257	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,518,145	TotalAmt
Program Services	$1,389,975	ProgramServicesAmt
Management And General	$128,170	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,983,457	TotalAmt
Program Services	$5,708,206	ProgramServicesAmt
Management And General	$275,251	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$586,853	TotalAmt
Program Services	$2,190	ProgramServicesAmt
Management And General	$584,663	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUG	$27,926,114	$27,856,812	$69,302
PROVIDER TAX	$11,190,223	$11,190,223
LICENSES, DUES, SUB.	$2,361,638	$218,394	$2,143,244
TELEMEDICINE	$1,157,372	$1,157,372

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,837,870	TotalAmt
Program Services	$5,934,139	ProgramServicesAmt
Management And General	$903,656	ManagementAndGeneralAmt
Fundraising	$75	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$204,195,127	TotalAmt
Program Services	$176,199,754	ProgramServicesAmt
Management And General	$27,893,917	ManagementAndGeneralAmt
Fundraising	$101,456	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$586,891	BOYAmt
EOY	$468,684	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$13,292,354	BOYAmt
EOY	$10,579,224	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$14,574,202	BOYAmt
EOY	$17,671,010	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,851,214	BOYAmt
EOY	$3,965,610	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,530,942	BOYAmt
EOY	$3,638,379	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$188,789,257	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$126,682,262	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$48,230,366	BOYAmt
EOY	$62,106,995	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$8,795,709	BOYAmt
EOY	$17,708,893	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$32,316,242	BOYAmt
EOY	$9,503,580	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$124,177,920	BOYAmt
EOY	$125,642,375	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$27,390,695	BOYAmt
EOY	$29,816,876	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$450,151	BOYAmt
EOY	$317,364	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$27,520,108	BOYAmt
EOY	$27,264,970	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$12,995,100	BOYAmt
EOY	$13,857,900	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$9,825,557	BOYAmt
EOY	$9,798,694	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$78,181,611	BOYAmt
EOY	$81,055,804	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$45,996,309	BOYAmt
EOY	$44,586,571	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$45,996,309	BOYAmt
EOY	$44,586,571	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$124,177,920	BOYAmt
EOY	$125,642,375	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$6,560,528	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$143,161	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$5,007,629	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$24,666	OtherActivitiesAmt
Total Lobbying Expenditures	$24,666	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	OTHER LOBBYING ACTIVITIES: SOUTHWESTERN VERMONT MEDICAL CENTER IS A MEMBER OF THE VERMONT ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS ARE AVAILABLE FOR LOBBYING EXPENDITURES ON BEHALF OF SOUTHWESTERN VERMONT MEDICAL CENTER AND THE OTHER MEMBER ORGANIZATIONS IN FURTHERANCE OF THEIR EXEMPT PURPOSE.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,656,148	BeginningYearBalanceAmt
Contributions	$4,757	ContributionsAmt
Investment Earnings Or Losses	$485,483	InvestmentEarningsOrLossesAmt
Other Expenditures	$243,860	OtherExpendituresAmt
End Year Balance	$11,902,528	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,021,533	BeginningYearBalanceAmt
Contributions	$91,346	ContributionsAmt
Investment Earnings Or Losses	-$2,838,372	InvestmentEarningsOrLossesAmt
Other Expenditures	-$2,381,641	OtherExpendituresAmt
End Year Balance	$11,656,148	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,765,029	BeginningYearBalanceAmt
Contributions	$1,744	ContributionsAmt
Investment Earnings Or Losses	$1,091,480	InvestmentEarningsOrLossesAmt
Other Expenditures	$836,720	OtherExpendituresAmt
End Year Balance	$12,021,533	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,707,678	BeginningYearBalanceAmt
Investment Earnings Or Losses	$112,349	InvestmentEarningsOrLossesAmt
Other Expenditures	$54,998	OtherExpendituresAmt
End Year Balance	$11,765,029	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,514,089	BeginningYearBalanceAmt
Contributions	$121,435	ContributionsAmt
Investment Earnings Or Losses	$99,582	InvestmentEarningsOrLossesAmt
Other Expenditures	$27,428	OtherExpendituresAmt
End Year Balance	$11,707,678	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.79350	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.20650	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,000	OtherCostOrOtherBasisAmt
Book Value	$5,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$54,636,615	OtherCostOrOtherBasisAmt
Depreciation	$37,584,805	DepreciationAmt
Book Value	$17,051,810	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$107,353,185	OtherCostOrOtherBasisAmt
Depreciation	$89,097,457	DepreciationAmt
Book Value	$18,255,728	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,794,457	OtherCostOrOtherBasisAmt
Book Value	$26,794,457	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$62,106,995	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$3,810,888
FINANCE LEASE ASSETS	$2,886,592
OTHER RECEIVABLES	$2,175,615
OPERATING LEASE ASSETS	$512,848
DEF. COMPENSATION PLAN ASSETS	$106,944
OTHER ASSET	$10,693

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$9,503,580	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
FINANCE LEASE LIABILITY	$3,401,952
DEFERRED COMPENSATION	$1,954,972
EST AMT DUE TO THIRD PTY PYRS	$1,375,654
ESTIMATED SELF-INS COSTS	$1,323,703
ASSET RETIREMENT OBLIGATION	$1,214,255
OPERATING LEASE LIABILITY	$528,158

Field	Value	IRS element (for citing)
Total Liability	$9,798,694	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$202,739,118	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$143,161	NetUnrealizedGainsInvstAmt
Other Revenue	$5,007,629	OtherRevenueAmt
Revenue Not Reported	$5,150,790	RevenueNotReportedAmt
Revenue Subtotal	$197,588,328	RevenueSubtotalAmt
Investment Expenses Not Incld	$46,271	InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt	$46,271	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$197,634,599	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$204,148,856	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$204,148,856	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$46,271	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$46,271	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$204,195,127	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	ENDOWMENT FUNDS: THE ENDOWMENTS ARE HELD THROUGH SOUTHWESTERN VERMONT HEALTHCARE FOUNDATION, A RELATED ORGANIZATION, AND ARE INVESTED TO PROVIDE INVESTMENT RETURNS TO FUND GENERAL OPERATIONS AND SPECIFIC DONOR RESTRICTED PURPOSES.
PART X, LINE 2:	UNCERTAIN TAX POSITIONS: SVHC, SVMC, TWIN RIVERS, NBM, THE FOUNDATION, MAHC, SVHCNY, SVHCHF, SVHCF, AND SVHC REALITY, INC. HAVE BEEN RECOGNIZED AS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. THE CORPORATION IS SUBJECT TO TAX ON INCOME UNRELATED TO ITS EXEMPT PURPOSE, UNLESS THAT INCOME IS OTHERWISE EXCLUDED BY THE CODE. EACH ORGANIZATION HAS PROCESSES PRESENTLY IN PLACE TO ENSURE THE MAINTENANCE OF ITS TAX-EXEMPT STATUS; TO IDENTIFY AND REPORT UNRELATED INCOME; TO DETERMINE ITS FILING AND TAX OBLIGATIONS IN JURISDICTIONS FOR WHICH IT HAS NEXUS; AND TO IDENTIFY AND EVALUATE OTHER MATTERS THAT MAY BE CONSIDERED TAX POSITIONS. THE CORPORATION FOLLOWS GUIDANCE THAT CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, INCLUDING ISSUES RELATING TO FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT. THIS GUIDANCE PROVIDES THAT THE TAX EFFECTS FROM AN UNCERTAIN TAX POSITION CAN ONLY BE RECOGNIZED IN THE FINANCIAL STATEMENTS IF THE POSITION IS "MORE-LIKELY-THAN-NOT" TO BE SUSTAINED IF THE POSITION WERE TO BE CHALLENGED BY A TAXING AUTHORITY. THE ASSESSMENT OF THE TAX POSITION IS BASED SOLELY ON THE TECHNICAL MERITS OF THE POSITION, WITHOUT REGARD TO THE LIKELIHOOD THAT THE TAX POSITION MAY BE CHALLENGED. THE CORPORATION HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS AT SEPTEMBER 30, 2023.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	TRANSFER TO AFFILIATES 592,620. NET ASSETS RELEASED FROM RESTRICTION 4,415,009.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	225.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$861,934	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$861,934	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,099,344	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,278,530	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,820,814	NetCommunityBenefitExpnsAmt
Total Expense	0.11670	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,961,278	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,278,530	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,682,748	NetCommunityBenefitExpnsAmt
Total Expense	0.12090	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,406,140	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,406,140	NetCommunityBenefitExpnsAmt
Total Expense	0.00690	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,697,514	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,036,533	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,660,981	NetCommunityBenefitExpnsAmt
Total Expense	0.02280	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,908	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,908	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,146,562	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,036,533	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,110,029	NetCommunityBenefitExpnsAmt
Total Expense	0.02990	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$58,107,840	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,315,063	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,792,777	NetCommunityBenefitExpnsAmt
Total Expense	0.15080	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,164,470	BadDebtExpenseAmt
Bad Debt Expense Attributable	$696,581	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$36,270,324	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$48,201,518	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$11,931,194	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHWESTERN VERMONT MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 HOSPITAL DRIVE	AddressLine1Txt
City	BENNINGTON	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05201	ZIPCd

Field	Value	IRS element (for citing)
Website Address	SVHEALTHCARE.ORG	WebsiteAddressTxt
State License	837	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	SOLE COMMUNITY HOSPITAL	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHWESTERN VERMONT MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	20	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://SVHEALTHCARE.ORG/COMMUNITYHEALTH	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	20	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://SVHEALTHCARE.ORG/COMMUNITYHEALTH	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	225.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://SVHEALTHCARE.ORG/PATIENTS-VISITORS/BILLING-INSURANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://SVHEALTHCARE.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://SVHEALTHCARE.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SOUTHWESTERN VERMONT MEDICAL CENTER	PART V, SECTION B, LINE 5: DURING THE 2021 CHNA PROCESS, SOUTHWESTERN VERMONT MEDICAL CENTER (SVMC) RECEIVED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITIES SERVED BY THE HEALTH SYSTEM INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH AND PERSONS WHO REPRESENT THE NEEDS OF THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS, GROUPS AT RISK HEALTH DISPARITIES, THE UNINSURED OR UNDERINSURED, AND THOSE WITH GEOGRAPHIC, LANGUAGE, FINANCIAL, OR OTHER BARRIERS TO HEALTH EQUITY.INPUT FROM THE COMMUINITY OCCURRED ACROSS 7 CHANNELS:1. SVMC BOARD OF TRUSTEES AND MEDICAL STAFF2. COMMUNITY GROUPS INCLUDING THE 4 REGIONAL ADVISORY BOARDS COMPRISED OF LOCAL LEADERS IN CLOSE CONNECTION WITH THE NEEDS OF THEIR SPECIFIC COMMUNITIES 3. SEASONAL LEGISLATIVE UPDATES IN WHICH ELECTIVE OFFICIALS INFORM SVMC ABOUT NEEDS COMMUNICATED BY THEIR CONSTITUENTS4. THE BENNINGTON COMMUNITY COLLABORATIVE, COMPRISED OF MULTIFUNCTIONAL LEADERS FROM THE REGION'S MEDICAL AND SOCIAL SERVICE AGENCIES INCLUDING HOUSING, FOOD INSECURITY, EDUCATION, CRIMINAL JUSTICE, AND TRANSPORTATION.5. COMMUNITY FORUMS HELD BY OTHER REGIONAL ORGANIZATIONS SUCH AS THE COUNCIL ON AGING, DEPARTMENT OF HEALTH, AND DESIGNATED MENTAL HEALTH AGENCY6. COMMUNITY HEALTH AND MEDICAL ACCESS SURVEY COMPLETED BY 1,632 RESPONDENTS7. FIVE SEPARATE, IN-DEPTH VIRTUAL FOCUS GROUPS INVOLVING COMMUNITY MEMBERS AND LEADERS FROM MULTIPLE REGIONS IN VERMONT, NEW YORK, AND MASSACHUSETTSEACH OF THESE CHANNELS OFFERS OUR HEALTH SYSTEM THE OPPORTUNITY TO HEAR UNIQUE PERSPECTIVES ABOUT HEALTH EQUITY FROM A WIDE RANGE OF POPULATIONS. THROUGH THIS PROCESS 4 PRIORTY HEALTH NEEDS WERE DERIVED:- MENTAL HEALTH SUPPORTS - PROMOTION OF HEALTHY BEHAVIORS AND PRIMARY PREVENTION ACTIVITIES - ACCESSIBILTY OF HIGH-QUALITY, CONVENIENT, AND AFFORDABLE CARE- SUBSTANCE USE PREVENTION, HARM REDUCTION, TREATMENT AND RECOVERY RESOURCESTHESE PRIORTY HEALTH NEEDS REFLECT INPUT FROM THE DIVERSE POPULATIONS SERVED BY THE HEALTH SYSTEM.
SOUTHWESTERN VERMONT MEDICAL CENTER	PART V, SECTION B, LINE 11: THE PRIORITY HEALTH NEEDS IDENTIFIED IN THE 2020 COMMUNITY HEALTH NEEDS ASSESSMENT WERE ADDRESSED BY A COMPREHESIVE IMPLEMENTATION PLAN IN 2020.IN FISCAL YEAR 2023, SVMC INVESTED $26.8 MILLION IN COMMUNITY BENEFITS ACROSS A WIDE ARRAY OF SERVICES, PROGRAMS AND INITIATIVES. SVMC PROVIDED $2.1 MILLION IN CHARITY CARE AND $19.8 MILLION IN UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. SVMC PROVIDED $4.7 MILLION IN SUBSIDIZED HEALTHCARE AND $247,117 IN PROVIDER RECRUITMENT TO ADDRESS ISSUES WITH HEALTHCARE ACCESS. SVMC ALSO INVESTED $1.0 MILLION IN COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDING DIABETES EDUCATION, CHILD BIRTH CLASSES AND TRANSITIONAL CARE NURSING. THESE PROGRAMS WERE BALANCED BY EFFORTS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH INCLUDING $142,000 TOWARDS ECONOMIC DEVELOPMENT AND POVERTY ALLEVIATION AND IN DIRECT COMMUNITY BASED HEALTH AND WELLNESS PROGRAMS.THE DIRECT COMMUNITY BASED EFFORTS OF $110,000 INCLUDED FUNDING TO THE BENNINGTON REGIONAL COMMISSION FOR A VOLUNTEER IN SERVICE TO AMERICA FELLOW TO WORK ON THE IMPACT OF THE OPIOID EPIDEMIC, HEALTH EQUITY, AND POVERTY ALLEVIATION. EFFORTS IN YOUTH ACTIVITIES AND WELLNESS INCLUDED FUNDING FOR SCHOLARSHIPS ALLOWING SPORTS AND ARTS INVOLVEMENT. FUNDS ALSO SUPPORTED AFTER SCHOOL AND SUMMER ACADEMIC ENRICHMENT.FUNDS WERE USED TO CREATE, PRINT, AND DISTRIBUTE A FREE HEALTH MAGAZINE, HEALTHY+. THE MAGAZINE'S ARTICLES AND CONTENT BROUGHT FORWARD THEMES FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT, INCLUDING A HELPFUL RESOURCE DIRECTORY. THE MAGAZINE WAS DISTRIBUTED THROUGHOUT THE HEALTH SYSTEM'S THREE STATE FOOTPRINT. ALONG WITH DISTRIBUTING 20,000 COPIES REGIONALLY, IT WAS ALSO AVAILABLE TO READ AND DOWNLOAD DIGITALLY AT HTTPS://SVHEALTHCARE.ORG/HEALTHY.THE CHNA IMPLEMENTATION PLAN FOR FISCAL YEAR 2023 INCLUDED ACTIVITES TO ENHANCE DIABETES EDUCATION, ENSURE EFFECTIVE PATIENT TRANSITIONS OF CARE, AND ENGAGE COMMUNITY PARTNERS IN LIFTING THE HEALTH OF THE POPULATION. FUNDS WERE USED TO SUPPORT IMPACTFUL REGIONAL ORGNAIZATIONS THROUGH EVENT SPONSORSHIPS.
SOUTHWESTERN VERMONT MEDICAL CENTER	PART V, SECTION B, LINE 16J: LEP TRANSLATIONS:THERE ARE NO GROUPS WITH LIMITED ENGLISH PROFICIENCY THAT RISE TO THE THRESHOLD REQUIRED UNDER IRC SECTION 501(R).

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - POWNAL FAMILY PRACTICE
7237 ROUTE 7	POWNAL	VT	05262	PRIMARY CARE, LABORATORY
2 - DEERFIELD VALLEY CAMPUS
30 ROUTE 100 SOUTH	WILMINGTON	VT	05363	SAME-DAY CARE, LABORATORY
3 - NORTHSHIRE CAMPUS
5957 MAIN STREET ROUTE 7A NORTH	MANCHESTER CENTER	VT	05255	PRIMARY CARE, LABORATORY

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	COSTING METHODOLOGY:THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1, 3 AND 6.
PART I, LINE 7G:	SUBSIDIZED SERVICES:THE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH RURAL HEALTH CENTERS (RHC) IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G. SOUTHWESTERN VERMONT MEDICAL CENTER PROVIDES PRIMARY CARE SERVICES TO THE SURROUNDING COMMUNITIES AT THE CENTERS. THESE SERVICES ARE PROVIDED IN RURAL AREAS WHERE THERE WOULD BE A SHORTAGE OF QUALITY MEDICAL CARE WITHOUT THE SERVICES AND THE ORGANIZATION CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED.
PART III, LINE 2:	BAD DEBT EXPENSE:THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HEALTH SYSTEM DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HEALTH SYSTEM'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED SEPTEMBER 30, 2023. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.
PART III, LINE 3:	BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: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 11.3% OF THE POPULATION IN ITS SERVICE AREA FALLING BELOW THE FEDERAL POVERTY GUIDELINES.
PART III, LINE 4:	BAD DEBT EXPENSE FOOTNOTE:THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE. THAT FOOTNOTE CAN BE FOUND ON PAGE 20 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	COMMUNITY BENEFIT:SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.
PART III, LINE 9B:	COLLECTION POLICY:ALL PATIENTS OF THE HOSPITAL HAVE THE ULTIMATE RESPONSIBILITY FOR PAYMENT OF THEIR MEDICAL BILLS; HOWEVER, THE ORGANIZATION RECOGNIZES THAT THERE WILL BE INSTANCES WHERE THE PATIENT WILL BE UNABLE TO MEET THIS OBLIGATION. ALL APPLICATIONS FOR FREE CARE MUST BE MADE TO THE COLLECTION COORDINATOR OR FINANCIAL COUNSELOR, WHO WILL REVIEW THE INFORMATION AND DETERMINE ELIGIBILITY. THE HOSPITAL WILL MAKE EVERY EFFORT TO ASSIST PATIENTS AND THEIR FAMILIES IN ARRANGING FOR THE SETTLEMENT OF THEIR MEDICAL FINANCIAL OBLIGATIONS.
PART VI, LINE 2:	NEEDS ASSESSMENT:AS A NON-PROFIT, SOUTHWESTERN VERMONT MEDICAL CENTER (SVMC) 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. INGENERAL, WE IDENTIFY COMMUNITY NEEDS IN SEVERAL WAYS:1. THROUGH LISTENING TO THE COMMUNITY INPUT THROUGH OUR BOARD OFTRUSTEES, OUR MEDICAL STAFF, AND OUR CONNECTIONS WITH OUTSIDE COMMUNITYGROUPS.2. LEGISLATIVE UPDATES DURING WHICH SVMC HEARS FROM ELECTIVE OFFICIALSABOUT NEEDS COMMUNICATED TO THEM FROM CONSTITUENTS.3. THE BENNINGTON COMMUNITY COLLABORATIVE COMPRISED OF LEADERS THAT SPANTHE REGION'S MEDICAL AND SOCIAL SERVICE AGENCIES INCLUDING HOUSING, FOODINSECURITY. EDUCATION, CRIMINAL JUSTICE AND TRANSPORTATION.4. ATTENDANCE AT COMMUNITY FORUMS HELD BY OTHER ORGANIZATIONS, FOREXAMPLE, THE HEALTHCARE TOWN HALL HOSTED BY THE BENNINGTON FREELIBRARY.5. THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WHICH INCLUDED SIX SEPARATE, IN-DEPTH FOCUS GROUPS INVOLVING MORE THAN 70 COMMUNITY MEMBERS AND LEADERS FROM MULTIPLE SECTORS IN VERMONT, NEW YORK, AND MASSACHUSETTS COMMUNITIES. THESE FOCUS GROUPS CONSISTED OF MEMBERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY SVHC. MEMBERSINCLUDED STATE AND LOCAL PUBLIC HEALTH DEPARTMENTS, A WIDE VARIETY OF COMMUNITY LEADERS, AND REPRESENTATIVES OF THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. FOCUS GROUP DISCUSSIONS DID NOT EXCLUDE ANY POPULATIONS WITH HEALTH DISPARITIES OR GROUPS AT RISK OF NOT RECEIVING ADEQUATE MEDICAL CARE BECAUSE OF BEING UNINSURED OR UNDERINSURED OR DUE TO GEOGRAPHIC, LANGUAGE, FINANCIAL OR OTHER BARRIERS.THE FOCUS GROUPS IDENTIFIED THE HEALTH NEEDS IN THE FOLLOWINGDEMOGRAPHIC SEGMENTS:-POPULATION DEMOGRAPHICS-PRE-K AND PARENTS-CHILDREN AND YOUTH (AGES 6-12)-TEENS AND YOUNG ADULT (AGES 13-20)-ADULTS (AGES 21-34)-MATURE ADULTS (AGES 35-64)-SENIORS (AGE GREATER THAN 65)TO REDUCE THE LIST OF IDENTIFIED HEALTH NEEDS, SIMILAR HEALTH NEEDS IN EACH SEGMENT WERE GROUPED AND SIMILAR HEALTH NEEDS IN SEPARATE AGE SEGMENTS WERE COMBINED. FOCUS GROUPS REVIEWED QUANTITATIVE DATA TO FURTHER DEEPEN THEIR PERSPECTIVE OF THE HEALTH NEEDS OF THE COMMUNITY. AFTER CATALOGUING PREVALENT HEALTH NEEDS AND REVIEWING QUANTITATIVE ANDQUALITATIVE DATA, FOCUS GROUPS USED A STRUCTURED VOTING SYSTEM TO PRIORITIZE THE FINAL LIST OF THE MOST PRESSING COMMUNITY HEALTH NEEDS. FOCUS GROUPS ALSO DEVELOPED INITIAL RECOMMENDATIONS FOR THE IMPLEMENTATION PLAN TO ADDRESS THE MOST PRESSING HEALTH NEEDS IDENTIFIED. AS NEEDS ARE IDENTIFIED THROUGH THESE MECHANISMS THEY ARE INCLUDED IN THE PROCESS FOR CREATING THE HEALTH SYSTEM'S STRATEGIC PLAN. THE STRATEGIC PLAN PRIORITIZES NEEDS FOR OUR COMMUNITY BOTH FROM A SERVICE AND INFRASTRUCTURE PERSPECTIVE. THE PLAN PROVIDES THE HEALTH SYSTEM WITH A FRAMEWORK FOR ACHIEVING COMMUNITY HEALTH IMPROVEMENT GOALS.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:SVMC COUNSELS PATIENTS WHO HAVE NO INSURANCE ABOUT FEDERAL AND STATE PROGRAMS AND CHARITY CARE. AS PATIENTS ARE ADMITTED TO OUR FACILITY EITHER FOR OUTPATIENT OR INPATIENT CARE, OUR ADMITTING PERSONNEL WATCH FOR PATIENTS WHO HAVE NO INSURANCE. WHEN WE IDENTIFY PATIENTS WITH NO INSURANCE, WE OFFER THEM THE OPPORTUNITY TO SPEAK WITH A FINANCIALCOUNSELOR WHO CAN HELP THEM FILE THE NECESSARY PAPERWORK TO QUALITY FORANY 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 OR MAY HAVE DIFFICULTY PAYING TO HELP THEM UNDERSTAND THEIR OPTIONS FOR PAYING FOR CARE AS WELL AS COMPLETE ANY PAPERWORK THEY NEED TO QUALIFY FOR INSURANCE OR CHARITY CARE. OUR SOCIAL SERVICES DEPARTMENT ALSO PERFORMS THESE TASKS.
PART VI, LINE 4:	COMMUNITY INFORMATION:SERVICE AREA: SOUTHWESTERN VERMONT MEDICAL CENTER (SVMC) IS THE ONLY HOSPITAL IN ITS SERVICE AREA. THE SERVICE AREA IS CENTERED ON BENNINGTON, VT., AND STRETCHES ABOUT 25 MILES TO THE EAST TO THE COMMUNITIES OF WILMINGTON, VT., AND THE DEERFIELD VALLEY. IT STRETCHES 30 MILES TO THE NORTH TO ENCOMPASS THE COMMUNITIES OF MANCHESTER AND DORSET, VT., AND OTHER SMALLER COMMUNITIES ON THE EDGE OF BENNINGTON COUNTY AND THE SOUTHERN PORTIONS OF RUTLAND COUNTY. TO THE WEST, IT STRETCHES 15-20 MILES INTO EASTERN N.Y. AND INCLUDES HOOSICK, HOOSICK FALLS, EAGLE BRIDGE, WHITE CREEK, BERLIN, PETERSBURGH, AND CAMBRIDGE. LASTLY, TO THE SOUTH IT STRETCHES TO THE VERMONT BORDER WITH MASSACHUSETTS AND SERVES SOME MASSACHUSETTS RESIDENTS.DEMOGRAPHICS: THE SVMC SERVICE AREA'S POPULATION GROWTH DECLINED FROM 2000 TO 2019. THE CURRENT POPULATION OF SVMC'S PRIMARY SERVICE AREA IS 50,000. ACROSS OUR FULL SERVICE AREA, INCLUDING FRINGE MARKETS, THE POPULATION IS JUST UNDER 120,000. THE AVERAGE AGE OF RESIDENTS HAS ALSO INCREASED WITH 19% BEING 65 OR OLDER. THE POPULATION SVMC SERVES IS CONSIDERABLY OLDER AND LESS ECONOMICALLY ADVANTAGED THAN THAT IN THE REST OF VERMONT OR THE NATION.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTH:AS A HEALTH CARE ORGANIZATION, SOUTHWESTERN VERMONT HEALTH CARE (SVMC) FOCUSES ON COMMUNITY BUILDING ACTIVITIES AND HEALTH EDUCATIONAL EVENTS THAT ARE GEARED TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE, INCLUDING IMPROVING ACCESS TO HEALTH CARE AND ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH.ACCESS TO MEDICAL CARE:ENSURING THAT OUR COMMUNITY HAS ACCESS TO HIGH QUALITY PRIMARY AND SPECIALTY CARE IS ESSENTIAL TO ADVANCE THE HEALTH OF THE COMMUNITIES SERVED BY SVMC. ACCOMPLISHING THIS GOAL REQUIRES EFFORT IN THREE DIMENSIONS: (1) PROVIDING OVERSIGHT OF MEDICAL CARE QUALITY; (2) RECRUITING NEW PHYSICIANS; AND (3) 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. SVMC SUPPORTS PRIMARY CARE PRACTICES IN POWNAL, MANCHESTER, WILMINGTON AND BENNINGTON, AS WELL PRACTICES IN PEDIATRICS, OBSTETRICS AND GYNECOLOGY, PALLIATIVE CARE AND INFECTIOUS DISEASE.IN FISCAL YEAR 2020, SVMC INVESTED IN COMMUNITY-ORIENTED HEALTH EDUCATION, DISEASES SPECIFIC SUPPORT GROUPS, AND COMMUNITY-LOCATED SCREENING EVENTS. ALTHOUGH PROVIDING GREAT HEALTH CARE IS OUR MISSION, SVMC IS DEVOTED TO SUPPORTING OUR COMMUNITIES IN MANY OTHER WAYS; INITIATIVES TO INTRODUCE STUDENTS TO HEALTH CARE CAREERS AND PROVIDE JOB SHADOW OPPORTUNITIES, PRECEPTORSHIPS, COMMUNITY SERVICE OPPORTUNITIES TO LOCAL HIGH SCHOOL AND COLLEGE STUDENTS, A COORDINATOR TO HELP PEOPLE ENROLL IN MEDICAID, MEDICARE, OR OTHER INSURANCES, A PHYSICIAN FINDER LINE TO HELP PEOPLE FIND A PRIMARY CARE PROVIDER OR SPECIALIST, A TRANSITIONAL CARE NURSING PROGRAM THAT FACILITATES SAFER TRANSITIONS TO HOME OR SUBACUTE CARE FOR HOSPITAL PATIENTS THAT HAS RECEIVED NATIONAL ACCLAIM AS A MODEL TO IMPROVE COMMUNITY HEALTH.SVMC'S EXTENSIVE SUPPORT FOR WELLNESS ACTIVITIES, PARTICULARLY AROUND FOOD INSECURITY, HEALTHY EATING AND COOKING, AND INCREASED EXERCISE ARE IMPACTING RESIDENTS ACROSS THE SOCIOECONOMIC SPECTRUM.SVMC'S REGIONAL CANCER PROGRAM OFFERS GENETIC COUNSELING SO THAT AREA RESIDENTS DO NOT HAVE TO TRAVEL FOR HIGH QUALITY CANCER TREATMENT.SVMC PROVIDES TRAINING AND SUPPORT FOR AREA RESCUE SQUADS.
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEM:THE ORGANIZATION IS A MEMBER OF A CONSOLIDATED GROUP. THE GROUP'S CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE ACCOUNTS OF SOUTHWESTERNVERMONT HEALTH CARE CORPORATION (SVHC), SOUTHWESTERN VERMONT MEDICALCENTER, INC. (SVMC), MOUNT ANTHONY HOUSING CORPORATION (MAHC), SOUTHWESTERN VERMONT HEALTH CARE ENTERPRISES (SVMCE) AND SOUTHWESTERN VERMONT HEALTH CARE FOUNDATION (FOUNDATION), SOUTHWESTERN VERMONT HEALTH CARE NEW YORK, LLC (SVHC-NY), TWIN RIVER MEDICAL, PC (TR), AND NORTHERN BERKSHIRE MEDICAL, PC (NBM), SOUTHWESTERN VERMONT HEALTH CARE HOOSICK FALLS, LLC (SVHC-HF), HOOSICK FALLS HEALTH CENTER, INC (HFHC), HOOSICK FALLS HEALTH CENTER FOUNDATION (HFHCF).SOUTHWESTERN VERMONT HEALTH CARE CORPORATION (SVHC) IS 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 ORCONTROLLED SUBSIDIARY CORPORATIONS. ACTIVITIES PERFORMED BY SVHC INCLUDE:MANAGING INVESTMENTS; FUNDRAISING; OPERATING AND MANAGING BUILDINGS ANDEQUIPMENT 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 ENTERPRISES (SVHCE) IS A FOR PROFIT CORPORATION ORGANIZED FOR THE PURPOSE OF PROVIDING FAMILY PRACTICE AND OTHER SPECIALTY PHYSICIAN SERVICES.SOUTHWESTERN VERMONT HEALTH CARE FOUNDATION (FOUNDATION) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED EXCLUSIVELY FOR CHARITABLE AND EDUCATIONAL PURPOSES FOR SVMC, ITS SUCCESSORS, SUBSIDIARIES AND AFFILIATES.SOUTHWESTERN VERMONT HEALTH CARE NEW YORK, LLC (SVHCNY) IS A NOT-FOR-PROFIT PROFESSIONAL EMPLOYMENT CORPORATION ORGANIZED FOR STAFFING PURPOSES IN ADDITION TO OWNING AND LEASING PROPERTY FOR TWIN RIVERS MEDICAL, P.C.TWIN RIVERS MEDICAL, P.C. (TWIN RIVERS) IS A NEW YORK NOT-FOR-PROFIT CORPORATION ORGANIZED FOR THE PURPOSE OF PROVIDING FAMILY PRACTICE AND OTHER SPECIALTY PHYSICIAN SERVICES. SVMC CONTROLS THE OPERATIONS OF TWIN RIVERS.NORTHERN BERKSHIRE MEDICAL, P.C. (NBM) IS A MASSACHUSETTS NOT-FOR-PROFIT CORPORATION ORGANIZED FOR THE PURPOSE OF PROVIDING ORTHOPEDIC PRACTICE AND OTHER SPECIALTY PHYSICIAN SERVICES. SVMC CONTROLS THE OPERATIONS OF NBM.HOOSICK FALLS HEALTH CENTER, INC (HFHC) IS A NEW YORK NOT-FOR-PROFIT CORPORATION ORGANIZED FOR THE PURPOSE OF DEVELOPING, MANAGING, AND OPERATING NURSING HOMES. SVHC CONTROLS THE OPERATIONS OF HFHC.HOOSICK FALLS HEALTH CENTER FOUNDATION (HFHCF) IS A NEW YORK NOT-FOR-PROFIT CORPORATION ORGANIZED FOR THE PURPOSE OF SUPPORTING HOOSICK FALLS HEALTH CENTER, INC. HFHC CONTROLS THE OPERATION OF HFHCF.SOUTHWESTERN VERMONT HEALTH CENTER HOOSICK FALLS, LLC (SVHC-HF) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED FOR THE PURPOSE OF OWNING HFHC.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BENNINGTON COUNTY REGIONAL COMMISSION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	111 SOUTH STREET STE 6	AddressLine1Txt
City	BENNINGTON	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05201	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	030224444	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$8,000	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Purpose Of Grant	SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: CONTRIBUTIONS, SPONSORSHIPS AND OTHER IN-KIND SUPPORT WILL BE MADE WHEN THE ORGANIZATION TO BE FUNDED: PROMOTES A CLINICAL PROGRAM OR SERVICE TARGETED BY OUR STRATEGIC PLAN AND/OR HAS PREVIOUSLY RETURNED A DIRECT MONETARY CONTRIBUTION TO SVHC IN SUPPORT OF OUR VISION AND MISSION, OR, CHOOSES TO PARTNER WITH SVHC AND COMMITS TO AT LEAST EQUALLY SHARE WITH SVHC ALL NET PROCEEDS RECEIVED FROM THE EVENT, OR DIRECTLY PROMOTES A CENTER OF EXCELLENCE OR OTHERWISE IMPACTS A MAJOR STRATEGIC INITIATIVE. (SVHC WILL MAKE EVERY EFFORT TO SUPPORT THE EVENT BY STAFFING AND PROVIDING INFORMATION BOOTHS, HEALTH SCREENINGS AND RELATED ACTIVITIES.), OR, HOLDS A CHARITABLE EVENT THAT PROVIDES OPPORTUNITY, NOT OTHERWISE AVAILABLE, FOR STAFF AND BOARD MEMBERS TO BUILD EFFECTIVE WORKING RELATIONSHIPS WITH LOCAL ORGANIZATIONS THAT ARE IMPORTANT TO FACILITATING OUR VISION OR MISSION OR, HOLDS A CHARITABLE EVENT THAT IS DEEMED BY THE EXECUTIVE MANAGEMENT TEAM TO: A. SUPPORT OUR VISION, B. BE OF STRONG INTEREST TO OUR EMPLOYEES, C. HELP PROMOTE GOOD EMPLOYEE MORALE, D. FOSTER TEAMWORK, AND E. BUILD PUBLIC APPRECIATION OF SVHC'S ROLE AS THE SOLE HEALTH CARE PROVIDER IN THE SERVICE AREA. REQUESTS FOR MONETARY OR IN-KIND SUPPORT WILL BE DIRECTED TO THE DIRECTOR OF MARKETING AND COMMUNICATIONS WHO WILL CONSULT WITH THE VICE PRESIDENT OF CORPORATE DEVELOPMENT.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
THOMAS A DEE
TRUSTEE / CEO SVHC	$440,049	$0	$0	$0	$968,608	$0	$308,992	$0	$29,389	$0	$1,747,038	$0	$641,041	$0
STEPHEN D MAJETICH
CFO/TREASURER	$397,656	$0	$77,500	$0	$311,877	$0	$120,012	$0	$28,786	$0	$935,831	$0	$261,827	$0
SCOTT ROGGE
TRUSTEE (THRU 09/2022)	$0	$726,767	$0	$29,772	$0	$0	$0	$27,000	$0	$10,340	$0	$793,879	$0	$0
THEMARGE SMALL
TRUSTEE (AS OF 10/2022)	$0	$374,347	$0	$99,105	$0	$0	$0	$45,938	$0	$15,140	$0	$534,530	$0	$0
MATTHEW VERNON
TRUSTEE	$0	$465,365	$0	$0	$0	$0	$0	$41,000	$0	$14,971	$0	$521,336	$0	$0
KEVIN P DAILEY
VP HR	$280,496	$0	$54,000	$0	$56,020	$0	$55,791	$0	$21,900	$0	$468,207	$0	$20,186	$0
PAMELA A DUCHENE
CNO	$264,102	$0	$64,500	$0	$20,482	$0	$46,819	$0	$29,559	$0	$425,462	$0	$0	$0
LESLIE J KEEFE
VP SVHC FOUNDATION	$228,444	$0	$44,500	$0	$22,576	$0	$36,721	$0	$40,399	$0	$372,640	$0	$0	$0
RICHARD J OGILVIE JR
VP CIO	$203,138	$0	$40,000	$0	$29,203	$0	$25,293	$0	$21,900	$0	$319,534	$0	$3,388	$0
JOHN P LABERT
ANESTHESIA ASSISTANT	$243,383	$0	$2,500	$0	$302	$0	$8,000	$0	$1,237	$0	$255,422	$0	$0	$0
KELSEY L BURAN
ANESTHESIA ASSISTANT	$219,384	$0	$12,500	$0	$101	$0	$6,618	$0	$11,073	$0	$249,676	$0	$0	$0
CODY J HOLLOWAY
ANESTHESIA ASSISTANT	$205,404	$0	$7,500	$0	$169	$0	$8,000	$0	$20,839	$0	$241,912	$0	$0	$0
RONALD W ZIMMERMAN
DIRECTOR OF ENGINEERING	$186,605	$0	$10,126	$0	$4,069	$0	$8,000	$0	$28,887	$0	$237,687	$0	$0	$0
MARY E CAMPBELL
ANESTHESIA ASSISTANT	$205,649	$0	$7,500	$0	$135	$0	$8,000	$0	$1,237	$0	$222,521	$0	$0	$0
MICHAEL E BRADY
TRUSTEE / DENTIST	$175,003	$0	$500	$0	$939	$0	$0	$0	$226	$0	$176,668	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 4B	FormAndLineReferenceDesc
Explanation	SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: CERTAIN LISTED INDIVIDUALS PARTICIPATED IN A NON-QUALIFIED DEFERRED COMPENSATION ARRANGEMENT IN CALENDAR YEAR 2022. UNDER THE TERMS OF THE PLAN, THE INDIVIDUAL BECOMES VESTED IF THEY REMAINED EMPLOYED THROUGH A TARGETED DATE OF THE PLAN. AMOUNTS VESTED IN THE PLAN DURING THE REPORTING PERIOD ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). AMOUNTS SUBJECT TO VESTED REQUIREMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C) AND INCLUDED BELOW: $300,992 THOMAS A. DEE $112,012 STEPHEN D. MAJETICH $47,791 KEVIN P. DAILEY $23,047 RICHARD J. OGILVE JR. $28,721 LESLIE J. KEEFE $38,819 PAMELA A. DUCHENE	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	VT EDUCATIONAL AND HEALTH BUILDING FINANCING AGENCY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	237154467	BondIssuerEIN
CUSIP	NONEAVAIL	CUSIPNum
Bond Issued	2021-12-01	BondIssuedDt
Issue Price	$28,027,000	IssuePriceAmt
Purpose	SEE PART VI	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$6,300,000	RetiredAmt
Total Proceeds	$28,027,000	TotalProceedsAmt
Capitalized Interest	$795,702	CapitalizedInterestAmt
Issuance Costs From Proceeds	$288,698	IssuanceCostsFromProceedsAmt
Capital Expenditures	$20,642,600	CapitalExpendituresAmt
Other Spent Proceeds	$6,300,000	OtherSpentProceedsAmt
Substantial Completion	2024	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	0	FinalAllocationMadeInd
Adequate Books And Rec Maint	0	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	0	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: VT EDUCATIONAL AND HEALTH BUILDING FINANCING AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/01/2023
SCHEDULE K, PART I, BOND ISSUES:	(A) ISSUER NAME: VT EDUCATIONAL AND HEALTH BUILDING FINANCING AGENCY (F) DESCRIPTION OF PURPOSE: 2022 SERIES A BONDS WERE USED TO REPAY IN FULL THE 2008 SERIES A BONDS; SERIES B BONDS WERE USED FOR PURPOSES OF RENOVATION AND EXPANSION OF THE SVMC EMERGENCY DEPT AND FUND OTHER CAPITAL NEEDS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:	SOUTHWESTERN VERMONT HEALTH CARE EXISTS TO PROVIDE EXCEPTIONAL HEALTH CARE AND COMFORT TO THE PEOPLE WE SERVE.
FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:	ORGANIZATION'S MISSION: ALSO, TO PROMOTE AND SUPPORT THE DEVELOPMENT AND MAINTENANCE OF A HIGHLY EFFICIENT, PATIENT-FOCUSED, INTEGRATED HEALTHCARE DELIVERY SYSTEM. OUR VISION: SOUTHWESTERN VERMONT HEALTH CARE IS RECOGNIZED AS A PREEMINENT, RURAL INTEGRATED HEALTH CARE SYSTEM THAT PROVIDES EXCEPTIONAL, CONVENIENT, SAFE, AND AFFORDABLE CARE. 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: PROMOTING INTERPERSONAL RELATIONSHIPS TO ENHANCE A SUCCESSFUL TEAM. STEWARDSHIP: CONSERVING RESOURCES AND MAKING DECISIONS THAT ACHIEVE THE HIGHEST VALUE AT THE LOWEST COST.
FORM 990, PART VI, SECTION A, LINE 2	BUSINESS RELATIONSHIPS: CERTAIN LISTED OFFICERS AND BOARD MEMBERS ALSO SERVE AS OFFICERS AND BOARD MEMBERS OF SOUTHWESTERN VERMONT HEALTHCARE ENTERPRISES, A RELATED TAXABLE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 4	THE ARTICLES OF INCORPORATION AND BYLAWS WERE AMENDED AS OF JUNE 23, 2023. THE AMENDED ARTICLES CREATE NO SUBSTANTIVE CHANGES. THE AMENDED BYLAWS INCLUDE RESERVED POWERS TO THE MEMBERS (SVHC'S) BOARD. SVHC HAS THE POWER TO APPROVE ACTIONS LISTED IN ARTICLE VI AND NAME TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 6	MEMBERS: THE SOLE MEMBER OF THE CORPORATION SHALL BE THE SOUTHWESTERN VERMONT HEALTH CARE CORPORATION (SVHC), A NONPROFIT CORPORATION, ACTING THROUGH ITS BOARD OF DIRECTORS (THE SVHC BOARD). THE MEMBER SHALL TAKE ACTION BY RESOLUTION DULY ADOPTED BY THE SVHC BOARD OR BY EXECUTION OF A WRITTEN CONSENT, AUTHORIZED BY THE SVHC BOARD AND EXECUTED BY A PERSON SO AUTHORIZED. THE AFFAIRS OF THE CORPORATION SHALL BE MANAGED AND CONDUCTED BY A BOARD OF DIRECTORS (THE BOARD), SUBJECT TO THE AUTHORITY AND DIRECTION OF THE SVHC BOARD. THE SVHC BOARD SHALL HAVE ULTIMATE RESPONSIBILITY TO ASSURE THAT THE POLICIES AND ACTIVITIES OF THE CORPORATION ARE COORDINATED WITH THOSE OF ITS AFFILIATED CORPORATIONS IN ORDER TO ACHIEVE A HIGHLY EFFICIENT, PATIENT-FOCUSED, INTEGRATED SYSTEM OF HEALTH CARE DELIVERY. ACCORDINGLY, ANY CORPORATE ACTION OF THE CORPORATION AUTHORIZED BY THE SVHC BOARD SHALL BE DEEMED TO BE AUTHORIZED AND DIRECTED BY THE BOARD. IN THE ABSENCE OF ANY 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 OF 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. IN NOVEMBER 2022, THE BOARD OF TRUSTEES OF THE CORPORATION APPROVED AN AFFILIATION AND INTEGRATION AGREEMENT (THE AGREEMENT) WITH DARTMOUTH-HITCHCOCK HEALTH (DHH). UNDER THE TERMS OF THE AGREEMENT, THE CORPORATION AND DHH WILL INTEGRATE THEIR GOVERNANCE STRUCTURES, COORDINATE THEIR FINANCIAL ACTIVITIES, AND CONSOLIDATE ADMINISTRATIVE FUNCTIONS OVER TIME TO THE EXTENT THAT EFFICIENCIES CAN BE ACHIEVED. THE AGREEMENT BECAME EFFECTIVE JULY 1, 2023, WHICH HAD DHH AS THE SOLE CORPORATE MEMBER OF SVHC.
FORM 990, PART VI, SECTION A, LINE 7A	PLEASE SEE FORM 990, SECTION A, LINE 6 RESPONSE ABOVE
FORM 990, PART VI, SECTION A, LINE 7B	PLEASE SEE FORM 990, SECTION A, LINE 6 RESPONSE ABOVE
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 REVIEW PROCESS: 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.
FORM 990, PART VI, SECTION B, LINE 12C	MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: TRUSTEES, SENIOR OFFICERS, AND SENIOR MEDICAL STAFF MEMBERS ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST AND POTENTIAL CONFLICTS OF INTEREST TO THE CORPORATE COMPLIANCE OFFICER ANNUALLY. IF THE CORPORATE COMPLIANCE DETERMINES THAT A POTENTIAL CONFLICT OF INTEREST EXISTS, THE MATTER IS REFERRED TO THE AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW AND MAY BE REFERRED TO THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION REVIEW: THE ORGANIZATION'S CEO POSITION IS PAID BY SOUTHWESTERN VERMONT MEDICAL CENTER (SVMC). THE PROCESS SVMC USES TO DETERMINE CEO COMPENSATION IS AS FOLLOWS: THE BOARD ENGAGES AN OUTSIDE CONSULTING FIRM TO REVIEW COMPARABLE CEO SALARY DATA AND USES NATIONAL PROFESSIONAL ORGANIZATION SURVEY DATA IN THE DETERMINATION OF THE CEO'S SALARY AND BENEFITS. IN ADDITION, THE BOARD ENGAGES AN OUTSIDE CONSULTING FIRM AND ALSO USES NATIONAL PROFESSIONAL ORGANIZATION SURVEY DATA TO REVIEW THE WAGE DATA OF OTHER OFFICERS AND KEY EMPLOYEES. PROCESS BEGINS WITH A REQUEST TO SVMC'S COMPENSATION CONSULTANT ASTRON SOLUTIONS TO PERFORM A MARKET ANALYSIS OF THE CEO POSITION. THIS REPORT IS USED AS THE BASIS FOR STRUCTURING COMPENSATION FOR THE CEO DURING THE NEXT CONTRACT PERIOD. USING THE RESULTS OF THE MARKET ANALYSIS WITH INPUT FROM OUR CEO, THE COMPENSATION OFFER FOR THE NEXT CONTRACT PERIOD IS DEVELOPED AND INCORPORATED INTO THE CONTRACT. THE COMPENSATION IS THEN DISCUSSED BY THE GOVERNANCE COMMITTEE OF THE BOARD WITH ASTRON SOLUTIONS IN ATTENDANCE. ASTRON SOLUTIONS WILL PROVIDE A WRITTEN LETTER CONFIRMING THEIR AGREEMENT.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENT DISCLOSURE: SOUTHWESTERN VERMONT MEDICAL CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION A:	BOARD MEMBER COMPENSATION: NO TRUSTEE RECEIVES COMPENSATION FOR THEIR SERVICES AS A TRUSTEE OF THE BOARD. THOMAS DEE IS COMPENSATED AS THE CEO OF THE SOUTHWESTERN VERMONT HEALTHCARE SYSTEM. MICHAEL BRADY, DDS, RECEIVED COMPENSATION FOR HIS EMPLOYMENT WITH SVMC.
FORM 990, PART IX, LINE 11G	DARTMOUTH PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 37,424,756. TOTAL EXPENSES 37,424,756. OUTSIDE STAFFING: PROGRAM SERVICE EXPENSES 5,587,897. MANAGEMENT AND GENERAL EXPENSES 660,544. TOTAL EXPENSES 6,248,441. MD LOCUM FEES: PROGRAM SERVICE EXPENSES 3,389,389. TOTAL EXPENSES 3,389,389. CONTRACTED SALARIES: PROGRAM SERVICE EXPENSES 3,377,668. MANAGEMENT AND GENERAL EXPENSES 104,992. TOTAL EXPENSES 3,482,660. OUTSIDE LAB TESTING: PROGRAM SERVICE EXPENSES 1,813,138. TOTAL EXPENSES 1,813,138. 340B FEES: PROGRAM SERVICE EXPENSES 1,389,100. TOTAL EXPENSES 1,389,100. OTHER SERVICES: PROGRAM SERVICE EXPENSES 235,390. MANAGEMENT AND GENERAL EXPENSES 372,723. TOTAL EXPENSES 608,113.
FORM 990, PART XI, LINE 9:	NET ASSETS RELEASED FROM RESTRICTION 4,415,009. TRANSFER FROM AFFILIATES 592,620.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SOUTHWESTERN VERMONT HEALTH CARE CORP
100 HOSPITAL DRIVE	BENNINGTON	VT	05201	030179435	MANAGEMENT	VT	501(C)(3)	LINE 3	N/A	0
MOUNT ANTHONY HOUSING CORPORATION
100 HOSPITAL DRIVE	BENNINGTON	VT	05201	030279740	NURSING HOMES	VT	501(C)(3)	LINE 10		0	SVHC
SOUTHWESTERN VT HEALTHCARE FOUNDATION
100 HOSPITAL DRIVE	BENNINGTON	VT	05201	453362785	FUNDRAISING	VT	501(C)(3)	LINE 12A, I		0	SVHC
TWIN RIVERS MEDICAL PC
16 DANFORTH STREET	HOOSICK FALLS	NY	12090	473028931	HEALTHCARE	NY	501(C)(3)	LINE 10		Yes (1)	SVMC
NORTHERN BERKSHIRE MEDICAL PC
375 MAIN STREET	WILLIAMSTOWN	MA	01267	814023607	HEALTHCARE	MA	501(C)(3)	LINE 10		Yes (1)	SVMC
HOOSICK FALLS HEALTH CENTER INC
21 DANFORTH STREET	HOOSICK FALLS	NY	12090	141370000	NURSING HOME	NY	501(C)(3)	LINE 3		0	SVHC
HOOSICK FALLS HEALTH CENTER FOUNDATION
21 DANFORTH STREET	HOOSICK FALLS	NY	12090	223186959	FUNDRAISING	NY	501(C)(3)	LINE 7		0	HFHC
SVHC REALTY INC
100 HOSPITAL DRIVE	BENNINGTON	VT	05201	861399877	REAL ESTATE MANAGEMENT	VT	501(C)(3)	LINE 12A, I		0	SVHC
DARTMOUTH-HITCHCOCK HEALTH
1 MEDICAL CENTER DRIVE	LEBANON	NH	03756	264812335	PARENT ORGANIZATION	NH	501(C)(3)	LINE 7	N/A	0
VISITING NURSE ASSOCIATION AND HOSPICE OF VERMONT AND NEW HAMPSHIRE INC
88 PROSPECT STREET	WHITE RIVER JUNCTION	VT	05001	036006494	HOSPICE	VT	501(C)(3)	LINE 10		0	D-HH
CHESHIRE MEDICAL CENTER
580 COURT STREET	KEENE	NH	03431	020354549	HOSPITAL	NH	501(C)(3)	LINE 3		0	D-HH
MARY HITCHCOCK MEMORIAL HOSPITAL
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	020222140	HOSPITAL	NH	501(C)(3)	LINE 3		0	D-HH
DARTMOUTH-HITCHCOCK CLINIC
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	222519596	PHYSICIAN SERVICES	NH	501(C)(3)	LINE 10		0	D-HH
WINDSOR HOSPITAL CORPORATION
289 COUNTY ROAD	WINDSOR	VT	05089	030183721	HOSPITAL	VT	501(C)(3)	LINE 3		0	D-HH
ALICE PECK DAY MEMORIAL HOSPITAL
10 ALICE PECK DAY DRIVE	LEBANON	NH	03766	020222791	HOSPITAL	NH	501(C)(3)	LINE 3		0	D-HH
THE NEW LONDON HOSPITAL ASSOCIATION
273 COUNTY ROAD	NEW LONDON	NH	03257	020222171	HOSPITAL	NH	501(C)(3)	LINE 3		0	D-HH

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHWESTERN VT HEALTHCARE ENTERPRISES	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 HOSPITAL DRIVE	AddressLine1Txt
City	BENNINGTON	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05201	ZIPCd

Field	Value	IRS element (for citing)
EIN	030314501	EIN
Primary Activities	HEALTH CARE	PrimaryActivitiesTxt
Legal Domicile State	VT	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
NORTHERN BERKSHIRE MEDICAL PC
Q	$375,000	FMV
NORTHERN BERKSHIRE MEDICAL PC
N	$306,714	FMV
NORTHERN BERKSHIRE MEDICAL PC
R	$609,026	FMV
TWIN RIVERS MEDICAL PC
Q	$335,000	FMV
TWIN RIVERS MEDICAL PC
N	$1,157,837	FMV
TWIN RIVERS MEDICAL PC
R	$1,681,691	FMV
TWIN RIVERS MEDICAL PC
N	$71,000	FMV
TWIN RIVERS MEDICAL PC
N	$50,509	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R PART II- IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS:	FormAndLineReferenceDesc
Explanation	THE REPORTING ORGANIZATION IS A MEMBER OF THE DARTMOUTH-HITCHCOCK HEALTH SYSTEM (ALSO KNOWN AS "DARTMOUTH HEALTH"). ADDITIONAL INFORMATION REGARDING RELATED ORGANIZATIONS CAN BE FOUND ON THE FORM 990, SCHEDULE R FOR DARTMOUTH-HITCHCOCK HEALTH.	ExplanationTxt