2022-08-01T12:46:41-05:00 2021-09-30 366055558 GRANT THORNTON LLP 75 STATE ST 13TH FLOOR BOSTON MA 02109 990 2020-10-01 030279740 MOUNT ANTHONY HOUSING CORPORATION MOUN 8024471547 160 HOSPITAL DRIVE BENNINGTON VT 05201 STEPHEN MAJETICH CFO 8024471547 2022-08-01 1 STEPHEN MAJETICH XXX-XX-XXXX ERIN COUTURE P01390592 6177237900 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z CENTERS FOR LIVING AND REHABILITATION THOMAS DEE 160 HOSPITAL DRIVE BENNINGTON VT 05201 16219330 0 X WWW.SVHEALTHCARE.ORG X 1981 VT DEVELOPING, MANAGING, AND OPERATING NURSING HOMES AS WELL AS PROVIDING SENIOR LIVING AND HEALTH CARE SERVICES IN SOUTHWESTERN VERMONT AND EASTERN RENSSELAER COUNTY, NY. X 21 19 214 18 0 0 264795 57590 12564166 8748588 34777 7373426 0 39726 12863738 16219330 0 0 0 0 8860137 5825952 0 0 0 3988045 3302938 12848182 9128890 15556 7090440 6126882 10318814 3716765 866288 2410117 9452526 X 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 1 7467620 0 8788314 MOUNT ANTHONY FOCUSES ON DEVELOPING, MANAGING, AND OPERATING NURSING HOME CARE IN THE BENNINGTON, VERMONT AREA AND PROVIDING SERVICES TO THE COMMUNITY. THE ORGANIZATION SPECIALIZES IN LONG-TERM CARE AND REHABILITATION SERVICES, AND PROVIDES GREAT NURSING CARE, GOOD FOOD, FRIENDLY AND HELPFUL PEOPLE, AND A SUPPORTING AND CARING ENVIRONMENT. MOUNT ANTHONY HAS 141 SKILLED NURSING BEDS. DURING THE CURRENT YEAR, THE TOTAL PATIENT/RESIDENT DAYS WERE 22,267. 7467620 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 1 0 1 0 0 0 1 3 0 1 214 1 0 0 0 0 0 0 0 0 0 0 0 0 X 21 19 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 CEO 1.00 44.00 X X 0 537388 321014 MICHAEL BRADY TRUSTEE 1.00 35.00 X 0 170369 0 CONNIE JASTREMSKI TRUSTEE 1.00 2.00 X 0 0 0 CAROL CONROY TRUSTEE 1.00 2.00 X 0 0 0 RICHARD ADER TRUSTEE 1.00 3.00 X 0 0 0 JAMES BROWN TRUSTEE, VICE CHAIR 1.00 3.00 X X 0 0 0 KATHLEEN FISHER TRUSTEE, VICE CHAIR (BEG 10/21) 1.00 2.00 X X 0 0 0 WAYNE GRANQUIST TRUSTEE 1.00 2.00 X 0 0 0 TOMMY HARMON JR TRUSTEE, CHAIR 1.00 3.00 X X 0 0 0 STEPHEN KELLY TRUSTEE 1.00 2.00 X 0 0 0 SUE MAGUIRE TRUSTEE 1.00 2.00 X 0 0 0 LARA SHORE-SHEPPARD TRUSTEE, SECRETARY 1.00 2.00 X X 0 0 0 STANLEY STROUP TRUSTEE 1.00 2.00 X 0 0 0 BRIAN G O'GRADY TRUSTEE 1.00 2.00 X 0 0 0 DIMITRI GARDER TRUSTEE 1.00 2.00 X 0 0 0 TOM ZIEGLER TRUSTEE (THRU 3/2021) 1.00 3.00 X 0 0 0 SCOTT ROGGE TRUSTEE 1.00 2.00 X 0 0 0 CHRISTINE MILES TRUSTEE 1.00 2.00 X 0 0 0 ROBERT VAN DEGA TRUSTEE 1.00 3.00 X 0 0 0 MARIE GEORGE TRUSTEE 1.00 2.00 X 0 0 0 BRIAN BAREFOOT TRUSTEE 1.00 2.00 X 0 0 0 KRISTYN HARRINGTON TRUSTEE 1.00 2.00 X 0 0 0 STEPHEN D MAJETICH CFO 1.00 46.00 X 0 457440 99147 SUZANNE ANAIR ADMINISTRATOR MAHC 40.00 0.00 X 205522 0 30571 CARROLL A HOARD DIRECTOR OF NURSING 40.00 0.00 X 136156 0 40363 MATTHEW J NIELSEN NURSING SUPERVISOR 40.00 0.00 X 106959 0 38814 TERRY WILLARD NURSING SUPERVIORS 40.00 0.00 X 113814 0 26498 MARTHA YAGER RN 40.00 0.00 X 105784 0 15949 668235 1165197 572356 5 0 1 0 MEDICAL SOLUTIONS LLC 1010 NORTH 102ND STREET SUITE 300 OMAHA NE 68114 NURSING SERVICES 365716 1 380 57210 57590 PATIENT REVENUE 623000 8748588 8748588 8748588 -118566 -118566 7491992 0 7491992 7491992 7491992 OTHER MISC 900099 39544 39544 RESIDENT ACTIVITY 900099 100 100 TRADE DISCOUNT 900099 82 82 39726 16219330 8788314 0 7373426 129428 129428 4465430 4019782 445648 130651 114299 16352 764684 668979 95705 335759 293737 42022 506508 70560 435948 15506 15506 849774 736480 113294 704 704 27151 27151 70283 70283 350277 216001 134276 1246 1189 57 31 31 214202 183625 30577 40130 40130 SUPPLIES 467655 428547 39108 PROVIDER TAX 426359 426359 PRESCRIPTION DRUGS 239050 239050 MEDICAL EQUIPMENT RENTA 73310 59381 13929 20752 9631 11121 9128890 7467620 1661270 0 400 400 1135330 1470543 1363896 9950 19194 0 6281 0 0 0 2620730 0 892802 905549 6391002 88249 1541370 6126882 10318814 1953866 256693 41176 0 1721723 609595 3716765 866288 X 2410117 9452526 2410117 9452526 6126882 10318814 X 7090440 -48031 X 0 1 X 1 1 1 X 2007 5934 1956 264795 57590 332282 11554653 12369332 11679544 12564166 8748588 56916283 11556660 12375266 11681500 12828961 8806178 57248565 0 0 0 57248565 36211 40044 30256 29403 -118566 17348 36211 40044 30256 29403 -118566 17348 39726 39726 11592871 12415310 11711756 12858364 8727338 57305639 0.99900 0.99720 0.00030 0.00280 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER MISC - 2020 AMOUNT: $ 39,544. RESIDENT ACTIVITY - 2020 AMOUNT: $ 100. TRADE DISCOUNT - 2020 AMOUNT: $ 82. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 INVESTMENT IN SVHC 6391002 C 6391002 ESCROW INDEMNIFICATION 1500000 DUE FROM AFFILIATE 31177 FUNDED DEPRECIATION 10193 1541370 ACCRUED PENSION LIABILITIES 152011 CONTRACT LIABILITY 407957 OTHER LIABILITY 49627 609595 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, 2021 AND 2020 0 1 0 0 0 0 0 0 0 THOMAS A DEE CEO 0 403876 0 75580 0 57932 0 288475 0 32539 0 858402 0 0 STEPHEN D MAJETICH CFO 0 300452 0 94930 0 62058 0 67598 0 31549 0 556587 0 0 SUZANNE ANAIR ADMINISTRATOR MAHC 186993 0 13000 0 5529 0 6022 0 24549 0 236093 0 0 0 CARROLL A HOARD DIRECTOR OF NURSING 127840 0 4550 0 3766 0 5743 0 34620 0 176519 0 0 0 MICHAEL BRADY TRUSTEE 0 166930 0 2500 0 939 0 0 0 0 0 170369 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 2020 AND AMOUNTS CREDITED UNDER THE PLAN ARE LISTED BELOW AND INCLUDED IN SCHEDULE J, PART II, COLUMN (C). $ 280,475 THOMAS DEE $ 59,598 STEPHEN MAJETICH LAND, PROPERTY & EQUIPMENT 2021-06-01 7352870 FMV CLR PROPCO LLC 115 DUTCH LANE ROAD FREEHOLD NJ 07728 LLC 0 0 0 0 PART II, LINE 2E: EXPLANATION OF INVOLVEMENT: THE ASSETS WERE PURCHASED BY ALLAIRE HEALTH CARE THROUGH THE LLCS CLR PROPCO LLC AND CLR OPCO LLC WITH SVHC RETAINING A 20% INTEREST. THE FIRM WAS SELECTED AFTER SEVERAL BUYERS WERE THOROUGHLY VETTED. THE PURCHASE PRICE WAS AT FMV BASED ON INDEPENDENT MARKET APPRAISALS OF THE FACILITY BY BOTH BUYER AND SELLER. GENERAL STATEMENT REGARDING THE COVID-19 PANDEMIC: IN MARCH 2020, THE WORLD HEALTH ORGANIZATION DECLARED COVID-19, THE DISEASE CAUSED BY THE NOVEL CORONAVIRUS, A PANDEMIC, WHICH STARTED TO AND CONTINUES TO SPREAD THROUGHOUT THE UNITED STATES OF AMERICA. AS A RESULT OF THE COVID-19 PANDEMIC, THE CORPORATION EXPERIENCED A DECLINE IN PATIENT VISITS, ADMISSIONS, AND MEDICAL PROCEDURES PERFORMED. ELECTIVE MEDICAL PROCEDURES WERE SUSPENDED BY STATE AND LOCAL GOVERNMENTS AT VARYING TIME PERIODS BEGINNING IN MID-MARCH THROUGH LATE MAY 2020, CONTRIBUTING TO A SIGNIFICANT DECLINE IN PATIENT SERVICE REVENUE DUE TO COVID-19 WHEN COMPARED TO HISTORIC AND FORECASTED RESULTS FOR THE YEAR ENDED SEPTEMBER 30, 2020. ADDITIONALLY, IN RESPONSE TO THE PANDEMIC, THE CORPORATION INCURRED ADDITIONAL COSTS FOR PERSONAL PROTECTIVE EQUIPMENT AND OTHER OPERATING COSTS ASSOCIATED WITH ENSURING EMPLOYEE AND PATIENT SAFETY WHILE OPERATING DURING A PANDEMIC. SINCE LATE MAY 2020, THE CORPORATION HAS BEGUN TO SEE INCREASES IN ITS PATIENT VISITS, ADMISSIONS, AND MEDICAL PROCEDURES, HOWEVER, VOLUMES HAVE NOT RETURNED TO PRE-PANDEMIC LEVELS. MANAGEMENT IS ACTIVELY MONITORING OPERATING REVENUES AND EXPENSES AND BASED ON THE CONTINUING UNCERTAINTIES OF COVID-19, IT IS UNABLE TO DETERMINE IF IT WILL HAVE A MATERIAL IMPACT ON ITS OPERATIONS FOR THE YEAR ENDING SEPTEMBER 30, 2022. THE CORPORATION RECEIVED GRANT PAYMENTS, WHICH ARE CONSIDERED NONEXCHANGE TRANSACTIONS, FROM THE FEDERAL GOVERNMENT DISTRIBUTED UNDER THE CORONAVIRUS AID, RECOVERY AND ECONOMIC SECURITY (CARES) ACT. FOR THE YEAR ENDED SEPTEMBER 30, 2020, THE CORPORATION RECEIVED PAYMENTS TOTALING $10,980,388. AMOUNTS OF $4,609,999 AND $5,100,257, RESPECTIVELY, ARE INCLUDED IN REVENUE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS FOR THE YEARS ENDED SEPTEMBER 30, 2021 AND 2020. $507,788 AND $762,344 WAS INCLUDED IN DISCONTINUED OPERATIONS FOR THE YEARS ENDED SEPTEMBER 30, 2021 AND 2020, RESPECTIVELY (NOTE 25). FUTURE GRANT PAYMENTS ARE UNCERTAIN AT THIS TIME. THE CARES ACT ALSO PROVIDED FOR AN EXPANSION OF THE MEDICARE ACCELERATED AND ADVANCE PAYMENT PROGRAM FOR PATIENT SERVICES. UNDER THE PROGRAM, THE CORPORATION RECEIVED $10,759,000 IN APRIL 2020, AND RECORDED THESE PAYMENTS IN MEDICARE ADVANCES IN THE CONSOLIDATED BALANCE SHEET AT SEPTEMBER 30, 2020. THE RECOUPMENT PERIOD BEGAN IN APRIL 2021 AND AMOUNTS BILLED TO MEDICARE FOR SERVICES PROVIDED ARE OFFSET AGAINST THE ADVANCED PAYMENTS RECEIVED UNTIL THE ADVANCE IS FULLY RECOUPED BY THE MEDICARE PROGRAM. DURING THE YEAR ENDED SEPTEMBER 30, 2021, MEDICARE RECOUPED $3,291,895, WHICH RESULTED IN $7,467,105 INCLUDED IN MEDICARE ADVANCES IN THE CONSOLIDATED BALANCE SHEET AT SEPTEMBER 30, 2021. THE CORPORATION WILL HAVE UNTIL SEPTEMBER 2022, TO OFFSET FUTURE CLAIMS AGAINST THE ADVANCE. IF THE ADVANCE HAS NOT BEEN ENTIRELY OFFSET BY CLAIMS AT THE END OF THIS PERIOD, THE CORPORATION WILL BE REQUIRED TO REPAY THE REMAINING AMOUNT. THE CORPORATION RECEIVED THE FOLLOWING AMOUNTS THROUGH THE STATE OFVERMONT DURING THE YEAR ENDED SEPTEMBER 30, 2020 AND ARE INCLUDED IN OTHER REVENUES IN THE CONSOLIDATED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS: 1) GRANT OF $6,457,919 FROM THE HEALTH CARE PROVIDER STABILIZATION GRANT PROGRAM. 2) GRANT OF $706,051 FROM THE MEDICAID RETAINER FUNDING PROGRAM. 3) GRANT OF $728,400 FROM THE HAZARD PAY PROGRAM. BLUE CROSS ADVANCE THE CORPORATION RECEIVED AN ADVANCE FROM BLUE CROSS OF $1,900,000, WHICH WAS INCLUDED IN AMOUNTS DUE TO THIRD-PARTY PAYORS AT SEPTEMBER 30, 2020. THIS ADVANCE WAS REPAID IN FULL IN DECEMBER 2020. PAYCHECK PROTECTION PROGRAM THE CORPORATION OBTAINED TWO LOANS THROUGH A BANK FOR THE SMALL BUSINESS ADMINISTRATION PAYCHECK PROTECTION PROGRAM (THE PROGRAM). THE LOANS WERE DESIGNED TO PROVIDE A DIRECT INCENTIVE FOR SMALL BUSINESSES TO KEEP THEIR WORKERS ON PAYROLL AND COULD BE USED TO PAY FOR MORTGAGE INTEREST, RENT, UTILITIES, WORKER PROTECTION COSTS RELATED TO THE EFFECT OF THE COVID-19 PANDEMIC. THE FIRST LOAN TO MAHC IN THE AMOUNT OF $1,866,712 WAS RECEIVED ON APRIL 22, 2020, AT A FIXED RATE OF 1.00%, MATURING APRIL 22, 2022. THE SECOND LOAN TO CNR IN THE AMOUNT OF $1,178,252 WAS RECEIVED ON APRIL 23, 2020, AT A FIXED RATE OF 1.00%, MATURING APRIL 23, 2022. THESE PROGRAM LOANS WERE REPAID IN FULL BEFORE SEPTEMBER 30, 2020. FORM 990, PART III, LINE 3 DURING THE YEAR ENDED SEPTEMBER 30, 2020, THE CORPORATION ENTERED INTO AGREEMENTS FOR THE SALE OF CERTAIN CENTERS FOR LIVING AND REHABILITATION (CLR) ASSETS AND OPERATIONS. DURING THE YEAR ENDED SEPTEMBER 30, 2021, THE FINAL SALE OF CLR OCCURRED. 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 XI, LINE 9: NET PERIODIC BENEFIT INCOME -48,031. 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 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 LINE 10 SVHC 0 SOUTHWESTERN VT HEALTHCARE ENTERPRISES 100 HOSPITAL DRIVE BENNINGTON VT 05201 030314501 HEALTHCARE VT N/A C 0 0 0 1 1 1 0 0 0 0 0 0 1 1 1 1 1 1 0 0