2023-08-28T11:56:16-05:00 2022-09-30 366055558 GRANT THORNTON LLP 75 STATE ST 13TH FLOOR BOSTON MA 02109 990 2021-10-01 030279740 MOUNT ANTHONY HOUSING CORPORATION MOUN 8024471547 160 HOSPITAL DRIVE BENNINGTON VT 05201 JAMES ROY INTERIM CFO 8024471547 2023-08-28 1 JAMES ROY XXX-XX-XXXX ERIN COUTURE P01390592 6177237900 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z CENTERS FOR LIVING AND REHABILITATION THOMAS DEE 160 HOSPITAL DRIVE BENNINGTON VT 05201 603121 0 X WWW.SVHEALTHCARE.ORG X 1981 VT DEVELOPING, MANAGING, AND OPERATING NURSING HOMES AS WELL AS PROVIDING SENIOR LIVING AND 20 18 190 18 0 0 57590 94268 8748588 54979 7373426 383874 39726 70000 16219330 603121 0 0 0 0 5825952 -6508 0 0 0 3302938 32502 9128890 25994 7090440 577127 10318814 9042420 866288 480933 9452526 8561487 THE PURPOSE OF THE HOUSING CORPORATION SHALL BE TO PROVIDE AND PROMOTE LONG TERM, SHORT STAY CONVALESCENT, AND ASSISTED LIVING TO MEMBERS OF OUR COMMUNITY. 0 0 7784 0 124979 MOUNT ANTHONY HOUSING CORPORATION (MAHC) IS DOING BUSINESS AS CENTERS FOR LIVING AND REHABILITATION (CLR) AND IS A NOT-FOR-PROFIT CORPORATION ORGANIZED FOR THE PURPOSE OF DEVELOPING, MANAGING, AND OPERATING NURSING HOMES. IN FY21, MAHC SOLD OFF 80% OF THE CORPORATION AND IS NO LONGER INVOLVED IN THE DAY TO DAY OPERATIONS OF PROVIDING LONG TERM CARE AND REHABILITATIVE SERVICES. FY22 PROGRAM REVENUE AND EXPENSES CONSIST SOLELY OF RESIDUAL PAYOR ADJUSTMENTS AND RESIDUAL DIRECT COSTS RELATED TO PROVIDING LONG TERM CARE AND REHABILITATIVE SERVICES. 7784 1 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 190 1 0 0 0 0 0 0 0 0 0 0 0 0 X 20 18 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X JAMES ROY 8024475040 100 HOSPITAL DRIVE BENNINGTON VT 05201 X THOMAS A DEE TRUSTEE / CEO 1.00 44.00 X X 0 625561 323586 MICHAEL E BRADY TRUSTEE / SVMC DENTIST 1.00 39.00 X 0 176942 130 CONNIE JASTREMSKI TRUSTEE 1.00 2.00 X 0 0 0 KATHLEEN FISHER CHAIR 1.00 3.00 X X 0 0 0 STEPHEN KELLY VICE CHAIR 1.00 3.00 X X 0 0 0 LARA SHORE-SHEPPARD SECRETARY 1.00 2.00 X X 0 0 0 ANGIE MARANO TRUSTEE (AS OF 10/2021) 1.00 2.00 X 0 0 0 BRIAN G O'GRADY TRUSTEE 1.00 2.00 X 0 0 0 CAROL CONROY TRUSTEE 1.00 2.00 X 0 0 0 CHRISTINE MILES TRUSTEE 1.00 2.00 X 0 0 0 DIMITRI GARDER TRUSTEE 1.00 2.00 X 0 0 0 KRISTYN HARRINGTON TRUSTEE 1.00 2.00 X 0 0 0 RICHARD ADER TRUSTEE 1.00 3.00 X 0 0 0 ROBERT VAN DEGNA TRUSTEE 1.00 3.00 X 0 0 0 SCOTT ROGGE TRUSTEE 1.00 2.00 X 0 0 0 STANLEY STROUP TRUSTEE 1.00 2.00 X 0 0 0 SUE MAGUIRE TRUSTEE (THRU 6/2022) 1.00 2.00 X 0 0 0 TOMMY HARMON JR TRUSTEE 1.00 3.00 X 0 0 0 WAYNE GRANQUIST TRUSTEE 1.00 2.00 X 0 0 0 MARIE GEORGE TRUSTEE (THRU 6/2022) 1.00 2.00 X 0 0 0 BRIAN BAREFOOT TRUSTEE 1.00 2.00 X 0 0 0 MATTHEW VERNON TRUSTEE (AS OF 6/2022) 1.00 2.00 X 0 0 0 STEPHEN D MAJETICH TRUSTEE / CFO 1.00 46.00 X 0 529250 78824 0 1331753 402540 0 0 1 0 MEDICAL SOLUTIONS LLC 1010 NORTH 102ND STREET SUITE 300 OMAHA NE 68114 NURSING SERVICES 334689 1 94268 94268 PATIENT REVENUE 623000 54979 54979 54979 101486 101486 282388 0 282388 282388 282388 20% EQ. INVEST. IN OPS. 900099 70000 70000 70000 603121 124979 0 383874 X -6508 -6508 13374 13374 5282 5282 3230 6702 -3472 10215 10215 63 63 -862 -862 SUPPLIES 1200 1019 181 25994 7784 18210 0 400 1470543 543895 9950 0 0 0 0 0 0 905549 925420 6391002 5278270 1541370 2294835 10318814 9042420 256693 455678 0 0 0 609595 25255 866288 480933 X 9452526 8561487 9452526 8561487 10318814 9042420 X 577127 -1596705 128539 X 0 1 X 1 0 X 5934 1956 264795 57590 94268 424543 12369332 11679544 12564166 8748588 54979 45416609 12375266 11681500 12828961 8806178 149247 45841152 0 0 0 45841152 40044 30256 29403 -118566 101486 82623 40044 30256 29403 -118566 101486 82623 39726 70000 109726 12415310 11711756 12858364 8727338 320733 46033501 0.99580 0.99900 0.00180 0.00030 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: 20 EQUITY SHARE IN OPERATIONS - 2017 AMOUNT: $ 0. 2018 AMOUNT: $ 0. 2019 AMOUNT: $ 0. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 70,000. OTHER MISC - 2017 AMOUNT: $ 0. 2018 AMOUNT: $ 0. 2019 AMOUNT: $ 0. 2020 AMOUNT: $ 39,544. 2021 AMOUNT: $ 0. RESIDENT ACTIVITY - 2017 AMOUNT: $ 0. 2018 AMOUNT: $ 0. 2019 AMOUNT: $ 0. 2020 AMOUNT: $ 100. 2021 AMOUNT: $ 0. TRADE DISCOUNT - 2017 AMOUNT: $ 0. 2018 AMOUNT: $ 0. 2019 AMOUNT: $ 0. 2020 AMOUNT: $ 82. 2021 AMOUNT: $ 0. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 INVESTMENT IN SVHC 5278270 C 5278270 CAPITAL CONTRIBUTION 840000 ESCROW INDEMNIFICATION 1570000 FUNDED DEPRECIATION -115165 2294835 OTHER LIABILITY 25255 25255 X PART X, LINE 2: UNCERTAIN TAX POSITIONS: SVHC, SVMC, MAHC, SVHCA, THE FOUNDATION, SVHCNY, TWIN RIVERS, NBM, AND CNR 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. SVHCE ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH INCOME TAX ACCOUNTING GUIDANCE. 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, 2022 AND 2021 0 1 0 0 0 0 0 0 0 THOMAS A DEE TRUSTEE / CEO 0 467779 0 105000 0 52782 0 295579 0 28007 0 949147 0 0 STEPHEN D MAJETICH TRUSTEE / CFO 0 370482 0 75600 0 83168 0 50817 0 28007 0 608074 0 0 MICHAEL E BRADY TRUSTEE / SVMC DENTIST 0 175003 0 1000 0 939 0 0 0 130 0 177072 0 0 PART I, LINE 3 SOUTHWESTERN MEDICAL CENTER, A RELATED ORGANIZATION, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE CEO: INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: CERTAIN INDIVIDUALS LISTED SCHEDULE J, PART II PARTICIPATED IN A NON-QUALIFIED DEFERRED COMPENSATION ARRANGEMENT. UNDER THE TERMS OF THE PLAN THE INDIVIDUAL WILL BECOME VESTED IN THE PLAN IF THEY REMAIN EMPLOYED THROUGH A TARGETED DATE PURSUANT TO THE PLAN. NO AMOUNTS VESTED IN CALENDAR YEAR 2021 AND AMOUNTS CREDITED UNDER THE PLAN ARE LISTED BELOW AND INCLUDED IN SCHEDULE J, PART II, COLUMN (C). $ 287,579 THOMAS DEE $ 45,000 STEPHEN MAJETICH FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: HEALTH CARE SERVICES IN SOUTHWESTERN VERMONT AND EASTERN RENSSELAER COUNTY, NY. GENERAL EXPLANATION: THE FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, IS FILED UNDER VERMONT FLOODING FEMA-3595-EM WHICH POSTPONES THE TIME TO FILE RETURNS, PAY TAXES AND PERFORM OTHER TIME-SENSITIVE ACTS TO NOVEMBER 15, 2023. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIPS: THE ORGANIZATION'S BOARD OF DIRECTORS IS THE SAME AS THE BOARD OF DIRECTORS OF SOUTHWESTERN VERMONT HEALTHCARE ENTERPRISES, A RELATED TAXABLE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS, STOCKHOLDERS, OR OTHER PERSONS: THE SOLE MEMBER OF THE CORPORATION SHALL BE THE SOUTHWESTERN VERMONT HEALTH CARE CORPORATION (SVHC), A NONPROFIT CORPORATION, ACTING THROUGH ITS BOARD OF DIRECTORS (THE SVHC BOARD). THE MEMBER SHALL TAKE ACTION BY RESOLUTION DULY ADOPTED BY THE SVHC BOARD OR BY EXECUTION OF A WRITTEN CONSENT, AUTHORIZED BY THE SVHC BOARD AND EXECUTED BY A PERSON SO AUTHORIZED. THE AFFAIRS OF THE CORPORATION SHALL BE MANAGED AND CONDUCTED BY A BOARD OF DIRECTORS (THE BOARD), SUBJECT TO THE AUTHORITY AND DIRECTION OF THE SVHC BOARD. THE SVHC BOARD SHALL HAVE ULTIMATE RESPONSIBILITY TO ASSURE THAT THE POLICIES AND ACTIVITIES OF THE CORPORATION ARE COORDINATED WITH THOSE OF ITS AFFILIATED CORPORATIONS IN ORDER TO ACHIEVE A HIGHLY EFFICIENT, PATIENT-FOCUSED, INTEGRATED SYSTEM OF HEALTH CARE DELIVERY. ACCORDINGLY, ANY CORPORATE ACTION OF THE CORPORATION AUTHORIZED BY THE SVHC BOARD SHALL BE DEEMED TO BE AUTHORIZED AND DIRECTED BY THE BOARD. IN THE ABSENCE OF ANY CONTRARY DIRECTION FROM SVHC BOARD, THE BOARD MAY TAKE ACTION WITH RESPECT TO THE AFFAIRS OF THE CORPORATION IN ACCORDANCE WITH THESE BYLAWS, PROVIDED HOWEVER, THAT THE BOARD MAY NOT TAKE ACTION WITH RESPECT TO ANY OF THE FOLLOWING MATTERS WITHOUT AUTHORIZATION OF THE SVHC BOARD. ANNUAL OPERATING BUDGETS; CAPITAL BUDGETS; CERTIFICATE OF NEED APPLICATIONS; ANY CONTRACT OR AGREEMENT WHICH IS OF A SUBSTANTIAL NATURE OR WHICH IS NOT INCLUDED IN APPROVED OPERATING OR CAPITAL BUDGETS; ANY VOLUNTARY DISSOLUTION, MERGER, OR CONSOLIDATION OF THE CORPORATION OR THE SALE OR TRANSFER OF ALL OR SUB-CREATION, ACQUISITION, DISSOLUTION, MERGER OR CONSOLIDATION OF ANY SUBSIDIARY OR AFFILIATE OR AUXILIARY CORPORATION; ANY AMENDMENTS TO THE BYLAWS, ARTICLES OF INCORPORATION OF THE CORPORATION; THE STRATEGIC AND MASTER FACILITIES PLANS; AND APPOINTMENT OF CHIEF EXECUTIVE OFFICER. FORM 990, PART VI, SECTION A, LINE 7A PLEASE SEE FORM 990, SECTION LINE 6 RESPONSE ABOVE. FORM 990, PART VI, SECTION A, LINE 7B PLEASE SEE FORM 990, SECTION 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 SVHC/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 SVHC'S/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: MOUNT ANTHONY HOUSING CORPORATION 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 CONTRACTED NURSING SERVICES: PROGRAM SERVICE EXPENSES 5,777. TOTAL EXPENSES 5,777. PROGRAM SERVICE EXPENSES: PROGRAM SERVICE EXPENSES 925. TOTAL EXPENSES 925. FACILITY MAINT: MANAGEMENT AND GENERAL EXPENSES -3,472. TOTAL EXPENSES -3,472. FORM 990, PART XI, LINE 9: NET PERIODIC BENEFIT INCOME 54,677. DEFINED BENEFIT PENSION COST 73,862. SOUTHWESTERN VERMONT HEALTH CARE CORP 100 HOSPITAL DRIVE BENNINGTON VT 05201 030179435 MANAGEMENT VT 501(C)(3) LINE 3 N/A 0 SOUTHWESTERN VT HEALTHCARE AUXILIARY (THRU 522) 100 HOSPITAL DRIVE BENNINGTON VT 05201 222563243 SUPPORT SVHC VT 501(C)(3) LINE 10 SVHC 0 SOUTHWESTERN VERMONT MEDICAL CENTER 100 HOSPITAL DRIVE BENNINGTON VT 05201 222563241 HOSPITAL VT 501(C)(3) LINE 3 SVHC 0 SOUTHWESTERN VT HEALTH CARE FOUNDATION 100 HOSPITAL DRIVE BENNINGTON VT 05201 453362785 FUNDRAISING VT 501(C)(3) LINE 12A, I SVHC 0 TWIN RIVERS MEDICAL PC 16 DANFORTH STREET HOOSICK FALLS NY 12090 473028931 HEALTHCARE NY 501(C)(3) LINE 10 SVMC 0 NORTHERN BERKSHIRE MEDICAL PC 375 MAIN STREET WILLIAMSTOWN MA 01267 817023607 HEALTHCARE MA 501(C)(3) LINE 10 SVMC 0 HOOSICK FALLS HEALTH CENTER INC 21 DANFORTH STREET HOOSICK FALLS NY 12090 141370000 NURSING HOME NY 501(C)(3) LINE 3 SVHC 0 HOOSICK FALLS HEATH CENTER FOUNDATION 21 DANFORTH STREET HOOSICK FALLS NY 01267 223186959 FUNDRAISING NY 501(C)(3) LINE 7 HFHC 0 SVHC REALTY INC 100 HOSPITAL DRIVE BENNINGTON VT 05201 861399877 REAL ESTATE MANAGEMENT VT 501(C)(3) LINE 12A, I SVHC 0 SOUTHWESTERN VT HEALTHCARE ENTERPRISES 100 HOSPITAL DRIVE BENNINGTON VT 05201 030314501 HEALTHCARE VT N/A C 0 0 0 0 1 1 0 0 0 0 0 0 1 1 1 1 1 1 0 0