2016-08-09T14:53:23-05:00 2015-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2014-10-01 222563241 SOUTHWESTERN VERMONT MEDICAL CENTER % STEPHEN MAJETICH SOUT 8024475011 100 HOSPITAL DRIVE BENNINGTON VT 05201 STEPHEN MAJETICH CFO 8024475011 2016-08-03 true Brian D Todd P00422601 4178658701 2014 2016-12-15 16:53:06Z THOMAS DEE 100 HOSPITAL DRIVE BENNINGTON VT 05201 153663249 false X WWW.SVHEALTHCARE.ORG X 1912 VT PROVIDING HEALTH CARE ON BOTH AN INPATIENT AND OUTPATIENT BASIS WITH FACILITIES IN AND AROUND THE BENNINGTON, VT AREA. 18 15 1119 201 0 0 361090 475547 148423214 150565265 1155338 327411 31536 32860 149971178 151401083 184315 44355 0 0 55669709 56625812 0 0 0 87362225 88777730 143216249 145447897 6754929 5953186 67233932 74858694 42273303 59502692 24960629 15356002 X TO CARE FOR AND COMFORT OUR PATIENTS, RESIDENTS, AND THEIR LOVED ONES AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE. SEE SCHEDULE O FOR ADDITIONAL DETAILS. false false 98588554 44355 124093555 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 AND NORTHSHIRE. 33669906 26471710 THE MEDICAL PRACTICE GROUP INCLUDES: PRIMARY CARE PHYSICIANS, RHEUMATOLOGY AND IMMUNOLOGY, RADIATION ONCOLOGY, MEDICAL ONCOLOGY, PEDIATRIC PRACTICE, GENERAL SURGERY PRACTICE, GASTROENTEROLOGY, ALLERGY PRACTICE, UROLOGY PRACTICE, ORTHOPAEDICS, TWO OFF CAMPUS CLINICS, INTERNAL MEDICINE PRACTICE, INFECTIOUS DISEASE PRACTICE AND AN OB/GYN PRACTICE. 132258460 true true false true false false false false false false true false false true true false false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true false false false true 115 0 true 1119 true false false false false false false false false false false X 18 15 true true false false true true true true true false false true true true true true true true true false X STEPHEN MAJETICH 8024475011 100 HOSPITAL DRIVE BENNINGTON VT 05201 X THOMAS DEE CEO 40.0 3.5 X X 475873 0 102594 DAVID MEISELMAN BOARD CHAIR 1.0 2.0 X X 0 0 0 MARNY KRAUSE 1ST VICE CHAIR 1.0 3.0 X X 0 0 0 SEAN CASEY SEC END/VICE CHAIR BEGIN 12/14 1.0 2.0 X X 0 0 0 MICHAEL BRADY DIRECTOR 1.0 3.0 X 0 0 0 JAMES BROWN DIRECTOR 1.0 2.0 X 0 0 0 CHRISTOPHER CASEY DIRECTOR 1.0 2.0 X 0 0 0 TOMMY HARMON DIRECTOR 1.0 2.0 X 0 0 0 PATRICIA KOMLINE DIRECTOR 1.0 2.0 X 0 0 0 BRUCE MULLEN SECRETARY BEGINNING 12/14 1.0 3.0 X X 0 0 0 CLAIRE MURRAY DIRECTOR 1.0 2.0 X 0 0 0 WILBUR RICE DIRECTOR 1.0 2.0 X 0 0 0 STANLEY STROUP DIRECTOR 1.0 2.0 X 0 0 0 LARA SHORE-SHEPPARD DIRECTOR 1.0 2.0 X 0 0 0 MARK WALLACE DIRECTOR 1.0 2.0 X 0 0 0 KEVIN DAILEY 2ND VICE CHAIR ENDING 12/14 1.0 2.0 X X 0 0 0 MICHAEL ALGUS DIRECTOR/MED STAFF PRESIDENT 40.0 2.0 X 166494 0 29522 ERIC SEYFERTH DIRECTOR/UHA CHAIR 40.0 2.0 X 51730 0 1897 KATHLEEN FISHER DIRECTOR BEGINNING 6/15 1.0 2.0 X 0 0 0 STEPHEN MAJETICH VP CFO 40.0 3.0 X 310052 0 36361 CAROL A CONROY VP CNO 40.0 0.0 X 237848 0 6164 RICHARD OGILVIE VP CIO 40.0 0.0 X 181561 0 23603 CARL W DOBSON III CMO 40.0 2.0 X 0 0 0 JOHN MCLELLAN OBGYN PHYSICIAN 40.0 0.0 X 347509 0 8000 THOMAS E AMES MEDICAL PHYSICIST 40.0 0.0 X 178629 0 6891 RUDOLPH WEAVER DIRECTOR OF HR 18.0 0.0 X 171334 0 27470 SUSAN MONTEIL ADMIN DIRECTOR OF COMPLIANCE 40.0 0.0 X 156023 0 3830 SHEILA BONI ADMIN DIRECTOR OF NURSING 40.0 0.0 X 161486 0 18466 2438539 0 264798 59 false true false DARTMOUTH HITCHCOCK PHYSICIAN SERVICES 21170975 ANESTHESIA ASSOC OF BENNINGTON PHYSICIAN SERVICES 1033533 RENOVO SOLUTIONS LLC BIOMED ENGINEERING 856640 THE KEELAN COMPANY PURCHASED SERVICES 856640 LOCUMTENENSCOM PHYSICIAN SERVICES 569707 16 475547 475547 NET PATIENT SERVICE REVENUE 621990 147881297 147881297 CAFETERIA INCOME 722514 649091 649091 EHR REVENUE 621990 753792 753792 PHARMACY 446110 75337 75337 CHILD CARE 624410 324955 324955 880793 880793 150565265 130806 130806 0 0 32860 32860 0 32860 32860 2448571 10200 2258821 3345 189750 6855 196605 196605 0 0 0 0 151401083 150565265 360271 X 44355 44355 0 0 0 1623699 698819 924880 0 42782024 38128258 4653766 1325801 1233236 92565 7640369 6743934 896435 3253919 2853510 400409 0 275478 275478 161014 161014 0 0 30466 30466 37820999 34971749 2849250 457580 409849 47731 4505718 4180104 325614 2039625 1857455 182170 0 4830400 4272243 558157 229100 153390 75710 0 228178 102568 125610 404611 369639 34972 0 5429136 4959873 469263 616790 573441 43349 MEDICAL SUPPLIES & DRUGS 17096327 17096327 PROVIDER TAX 8181116 8181116 BAD DEBT 5112021 5112021 LICENSES, DUES, SUBSCRIPTIONS 1342580 316573 1026007 16591 16591 145447897 132258460 13189437 0 689718 213814 16018254 18495391 0 0 12641214 13589872 0 0 0 0 0 0 2255589 2429234 1776170 2328724 121353410 93708761 24932532 27644649 5615540 5533225 0 0 0 0 0 0 3304915 4623785 67233932 74858694 16230536 21285512 0 0 18684 18684 8027514 7832847 0 0 0 0 1675756 1814812 0 0 16320813 28550837 42273303 59502692 X 24960629 15356002 0 0 0 0 24960629 15356002 67233932 74858694 X 5953186 -356679 -13660716 -1540418 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 26537 26537 false SCHEDULE C, PART II-B, LINE 1(I) 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. 5000 5000 36290009 24253954 12036055 81098268 66791825 14306443 3960133 2662982 1297151 27644649 DUE FROM AFFILIATES 3097189 OTHER RECEIVABLES 1526596 4623785 0 ASSET RETIREMENT OBLIGATION 1176222 EST AMT DUE TO THIRD PTY PYRS 2137653 INTEREST RATE SWAP 1551726 PENSION BENEFIT OBLIGATION 22454428 ESTIMATED SELF-INS COSTS 1016763 OTHER LIABILITIES 214045 28550837 145507417 -356679 -5536987 -5893666 151401083 151401083 140305410 140305410 30466 5112021 5142487 145447897 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D OTHER REVENUE ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: BAD DEBT EXPENSE $(5,112,021) CHANGE IN FV OF INTEREST RATE SWAP ( 394,500) INVESTMENT MANAGEMENT FEES ( 30,466) ------------- TOTAL $ (5,536,987) SCHEDULE D, PART XII, LINE 4B OTHER EXPENSES ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: BAD DEBT EXPENSE $ 5,112,021 true true X true X true X true true true false true true 631367 631367 0.00450 37095037 21966347 15128690 0.10780 37726404 21966347 15760057 0.11230 970435 59183 911252 0.00650 381701 172835 208866 0.00150 6633955 4330683 2303272 0.01630 35132 35132 0.00030 8021223 4562701 3458522 0.02460 45747627 26529048 19218579 0.13690 true 5112021 710571 33410583 40894030 -7483447 X true true 1 1 SOUTHWESTERN VERMONT MEDICAL CENTER 100 HOSPITAL DRIVE BENNINGTON VT 05201 SVHEALTHCARE.ORG 837 X X X X SOLE COMMUNITY HOSPITAL SOUTHWESTERN VERMONT MEDICAL CENTER 1 false false true X X X X X X X X X 14 true false false true X SEE PART V, SECTION C X true 14 true SEE PART V, SECTION C false false true X 200. 400. X X X true true X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 COMMUNITY INPUT: SEVEN SEPARATE, IN-DEPTH FOCUS GROUPS WERE CONDUCTED INVOLVING 89 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. MEMBERS INCLUDED STATE AND LOCAL PUBLIC HEALTH DEPARTMENTS, A WIDE VARIETY OF COMMUNITY LEADERS, AND REPRESENTATIVES OF THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. WE ENSURED THAT THE FOCUS GROUP DISCUSSIONS DID NOT EXCLUDE ANY POPULATIONS WITH HEALTH DISPARITIES OR GROUPS AT RISK OF NOT RECEIVING ADEQUATE MEDICAL CARE AS A RESULT OF BEING UNINSURED OR UNDERINSURED OR DUE TO GEOGRAPHIC, LANGUAGE, FINANCIAL OR OTHER BARRIERS. THE FOCUS GROUPS IDENTIFIED THE HEALTH NEEDS IN THE FOLLOWING COMMUNITY SEGMENTS: - PRE-K AND PARENTS - KIDS AND YOUTH (AGES 6-12) - TEENS AND YOUNG ADULT (AGES 13-20) - ADULTS (AGES 21-34) - MATURE ADULTS (AGES 35-64) - SENIORS (AGE >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 AND QUALITATIVE DATA, FOCUS GROUPS USED A STRUCTURED VOTING METHOD 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. SCHEDULE H, PART V, SECTION B, LINE 7A CHNA WEBSITE: HTTP://SVHEALTHCARE.ORG/~/MEDIA/FILES/DEPARTMENTS/PLANNING-COMPLIANCE/SVHC -CHNA-2015.PDF?LA=EN SCHEDULE H, PART V, SECTION B, LINE 10A IMPLEMENTATION STRATEGY WEBSITE: HTTP://SVHEALTHCARE.ORG/~/MEDIA/FILES/DEPARTMENTS/PLANNING-COMPLIANCE/SVHC -CHNA-2015.PDF?LA=EN SCHEDULE H, PART V, LINE 11 IMPLEMENTATION STRATEGY/ADDRESSING IDENTIFIED NEEDS: IN JUNE 2015, THE BOARD APPROVED THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT AND ASSOCIATED IMPLEMENTATION PLAN. THE PRIORITY HEALTH NEEDS IDENTIFIED IN 2015 WERE SIMILAR TO THOSE IDENTIFIED DURING THE PRECEDING CHNA CONDUCTED IN 2012: -ACCESS TO CARE, PARTICULARLY PRIMARY CARE -OBESITY AND HEALTHY BEHAVIORS -MENTAL AND BEHAVIORAL HEALTH, AND ADDICTION THE STRATEGIC PLAN AND ASSOCIATED IMPLEMENTATION PLAN CAN BE FOUND AT: HTTP://SVHEALTHCARE.ORG/~/MEDIA/FILES/DEPARTMENTS/PLANNING-COMPLIANCE/SVHC -CHNA-2015.PDF?LA=EN THE IMPLEMENTATION PLAN DEVELOPED TO ADDRESS THE IDENTIFIED HEALTH NEEDS LEVERAGES CURRENT UNDERSTANDING OF THE SOCIAL DETERMINANTS OF HEALTH AND CONSIDERS BOTH NATIONAL HEALTHCARE REFORM AND STATE INITIATIVES REFOCUSING HEALTHCARE DELIVERY ON POPULATION HEALTH, INCLUDING: -ENHANCE PROGRAMS DIRECTED AT THE SPECIFIC HEALTH NEEDS IDENTIFIED -INCREASE COLLABORATION WITH OTHER HEALTHCARE PROVIDERS AND COMMUNITY ORGANIZATIONS -FOSTER PUBLIC POLICY, EDUCATION AND ADVOCACY THAT CAN IMPACT THE SOCIAL DETERMINANTS OF HEALTH -CONTINUE DELIVERY OF QUALITY CARE THROUGHOUT THE REGION THE ACTIVITIES IN THE PLAN FALL INTO SEVERAL THEMES ORGANIZED BY THE PRIORITY HEALTH NEED ADDRESSED WHILE RECOGNIZING THAT MANY EFFORTS ADDRESS MULTIPLE PRIORITY HEALTH NEEDS. SVHC CANNOT ADDRESS THESE PRIORITY HEALTH NEEDS AND IMPROVE COMMUNITY HEALTH ALONE. CONTINUING TO FOSTER COLLABORATION WITH LOCAL ORGANIZATIONS AND ENGAGEMENT WITH MUNICIPALITIES AND COMMUNITY LEADERS IS KEY TO ACHIEVING SUCCESS. THE HEALTH OF THE COMMUNITIES SERVED BY SVHC WILL IMPROVE AS WE DEPLOY THE MULTI-YEAR IMPLEMENTATION PLAN THAT INCLUDES BOTH PROGRAMMATIC AND POLICY INITIATIVES. IN 2015, SVMC INVESTED $2.2 MILLION IN SUBSIDIZED HEALTHCARE AND $225,000 IN PHYSICIAN RECRUITING TO ADDRESS THE ACCESS TO HEALTHCARE ISSUE. IN ADDITION, SVMC INVESTED OVER $575,000 IN COMMUNITY HEALTH IMPROVEMENT SERVICES INCLUDING DIABETES EDUCATION, CHILD BIRTH CLASSES AND TRANSITIONAL CARE NURSES. THESE EFFORTS WERE BALANCED BY EFFORTS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH INCLUDING $75,000 TOWARDS ECONOMIC DEVELOPMENT AND ADDRESSING POVERTY AND COMMUNITY HEALTH. AN ADDITIONAL $25,000 WAS PROVIDED OF IN-KIND AND FINANCIAL SUPPORT FOR SOCIETIES AND PROGRAMS THAT RANGE FROM THE AMERICAN LUNG ASSOCIATION'S TOWER CLIMB EVENT TO BENNINGTON'S MAYFEST AND KOMEN'S RACE FOR A CURE FOR CANCER. THESE PROGRAMS ENGAGED LOCAL COALITIONS AND COUNCILS AND HAVE BEGUN TO EMBED HEALTHY LIFESTYLES INTO LOCAL POLICIES AND CITY PLANNING. INCLUDING CHARITY CARE ($1 MILLION) AND UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS ($13.5 MILLION), SVMC INVESTED $17.25 MILLION IN COMMUNITY BENEFIT IN 2015. SCHEDULE H, PART V, SECTION B, LINES 16A, 16B & 16C HTTP://SVHEALTHCARE.ORG/ACT53/FINANCIAL-INFORMATION/CHARITY-CARE/ 2 NORTHSHIRE CAMPUS 5957 MAIN STREET ROUTE 7A NORTH MANCHESTER CENTER VT 05255 PRIMARY CARE, LABORATORY X-RAY SERVICES DEERFIELD VALLEY CAMPUS 30 ROUTE 100 SOUTH WILMINGTON VT 05363 SAME-DAY CARE, LABORATORY ON-SITE X-RAY SERVICES SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25 OF THE FORM 990, WAS REDUCED BY BAD DEBT EXPENSE OF $5,112,021. SCHEDULE H, 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, WITH A NET SUBSIDY FROM RHCS OF $175,659. 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. SCHEDULE H, 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. SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: LINE 2 WAS CALCULATED USING THE BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION A, 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 14.4% OF THE POPULATION IN ITS SERVICE AREA FALLING BELOW THE FEDERAL POVERTY GUIDELINES. SCHEDULE H, PART III, SECTION A, 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 READS AS FOLLOWS: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CORPORATION RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SCHEDULE H, PART III, SECTION B, 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. SCHEDULE H, PART III, SECTION C, 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. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT: AS A NON-PROFIT, SOUTHWESTERN VERMONT MEDICAL CENTER STRIVES TO CREATE MEANINGFUL PUBLIC PARTICIPATION IN OUR STRATEGIC PLANNING, DECISION-MAKING AND IDENTIFICATION OF COMMUNITY NEEDS THROUGH A NUMBER OF CHANNELS. EACH OF THESE CHANNELS OFFERS OUR HOSPITAL AND HEALTH SYSTEM THE OPPORTUNITY TO HEAR A VARIETY OF VOICES FROM OUR COMMUNITIES. IN GENERAL, WE IDENTIFY COMMUNITY NEEDS IN SEVERAL WAYS: 1. THROUGH LISTENING TO THE COMMUNITY INPUT THROUGH OUR BOARD OF TRUSTEES, OUR MEDICAL STAFF, AND OUR CONNECTIONS WITH OUTSIDE COMMUNITY GROUPS. 2. THROUGH OUR MEDICAL STAFF DEVELOPMENT PLAN, WHICH COMPARES THE CURRENT STAFFING AT SVMC WITH POPULATION BASED STAFFING MODELS TO IDENTIFY AREAS OF SHORTAGE OR EXCESS PHYSICIAN SUPPLY. AS NEEDS ARE IDENTIFIED THEY ARE INCLUDED IN OUR PROCESS FOR CREATING THE HEALTH SYSTEM'S STRATEGIC PLAN. THE STRATEGIC PLAN PRIORITIZES NEEDS FOR OUR COMMUNITY BOTH FROM A SERVICE AND INFRASTRUCTURE PERSPECTIVE. THE PLAN PROVIDES THE HEALTH SYSTEM WITH A FRAMEWORK FOR ACHIEVING GOALS. 3. SEVEN SEPARATE, IN-DEPTH FOCUS GROUPS WERE CONDUCTED INVOLVING 89 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. MEMBERS INCLUDED STATE AND LOCAL PUBLIC HEALTH DEPARTMENTS, A WIDE VARIETY OF COMMUNITY LEADERS, AND REPRESENTATIVES OF THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. WE ENSURED THAT THE FOCUS GROUP DISCUSSIONS DID NOT EXCLUDE ANY POPULATIONS WITH HEALTH DISPARITIES OR GROUPS AT RISK OF NOT RECEIVING ADEQUATE MEDICAL CARE AS A RESULT OF BEING UNINSURED OR UNDERINSURED OR DUE TO GEOGRAPHIC, LANGUAGE, FINANCIAL OR OTHER BARRIERS. THE FOCUS GROUPS IDENTIFIED THE HEALTH NEEDS IN THE FOLLOWING COMMUNITY SEGMENTS: -PRE-K AND PARENTS -KIDS AND YOUTH (AGES 6-12) -TEENS AND YOUNG ADULT (AGES 13-20) -ADULTS (AGES 21-34) -MATURE ADULTS (AGES 35-64) -SENIORS (AGE >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 AND QUALITATIVE DATA, FOCUS GROUPS USED A STRUCTURED VOTING METHOD 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. SCHEDULE H, 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 FINANCIAL COUNSELOR WHO CAN HELP THEM FILE THE NECESSARY PAPERWORK TO QUALITY FOR ANY OF THE VARIED GOVERNMENT INSURANCE PROGRAMS AS WELL AS CHARITY CARE. WE MAKE EVERY EFFORT TO WORK WITH PATIENTS WHILE THEY ARE AT OUR FACILITIES. HOWEVER, WE ALSO FOLLOW UP AFTER A PATIENT VISITS OUR FACILITY TO SEE IF THE PATIENT HAS ANY ADDITIONAL QUESTIONS OR NEEDS FURTHER ASSISTANCE. WE HAVE A FULL-TIME COUNSELOR WHO REGULARLY MEETS WITH ANY PATIENTS WHO LACK INSURANCE TO HELP THEM UNDERSTAND THEIR OPTIONS FOR PAYING FOR CARE AS WELL AS COMPLETE ANY PAPERWORK THEY NEED TO QUALIFY. OUR SOCIAL SERVICES DEPARTMENT ALSO PERFORMS THESE TASKS. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION: SERVICE AREA: SOUTHWESTERN VERMONT MEDICAL CENTER IS THE ONLY HOSPITAL IN ITS SERVICE AREA. THE SERVICE AREA IS CENTERED ON BENNINGTON, VT., AND STRETCHES ABOUT 25 MILES TO THE EAST TO THE COMMUNITIES OF WILMINGTON, VT., AND THE DEERFIELD VALLEY. IT STRETCHES 30 MILES TO THE NORTH TO ENCOMPASS THE COMMUNITIES OF MANCHESTER 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 2010. CURRENT POPULATION OF SVMC'S PRIMARY SERVICE AREA IS 51,611. ACROSS OUR FULL SERVICE AREA INCLUDING FRINGE MARKETS THE POPULATION IS JUST UNDER 120,000. THE AVERAGE AGE OF RESIDENTS HAS ALSO INCREASE WITH 18% BEING 65 OR OLDER. THE POPULATION SVMC SERVES IS CONSIDERABLY OLDER THAN THAT IN THE REST OF VERMONT OR THE NATION. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH: AS A HEALTH CARE ORGANIZATION, SVHC FOCUSES ON COMMUNITY BUILDING ACTIVITIES THAT 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 IMPORTANT TO SVHC. SVHC ACCOMPLISHES THIS GOAL IN THREE KEY WAYS: PROVIDING OVERSIGHT OF MEDICAL CARE QUALITY, RECRUITING NEW PHYSICIANS, AND EMPLOYING PHYSICIANS IN NEEDED SPECIALTIES. IT IS HARDER TO RECRUIT AND KEEP PHYSICIANS IN RURAL COMMUNITIES THAN EVER BEFORE. IN MANY CASES, WITHOUT SUPPORT FROM THE HEALTH SYSTEM, OUR COMMUNITIES WOULD LOSE PRIMARY AND SPECIALTY CARE. SVHC SUPPORTS PRIMARY CARE PRACTICES IN THE DEERFIELD VALLEY AND BENNINGTON AS WELL PRACTICES IN PEDIATRICS, OBSTETRICS AND GYNECOLOGY, PSYCHIATRY AND INFECTIOUS DISEASE. IN FISCAL YEAR 2015, SVHC INVESTED $2,258,497 IN SUPPORTING THESE PROGRAMS. COMMUNITY SUPPORT, EDUCATION, SCREENINGS, AND SUPPORT GROUPS: ALTHOUGH PROVIDING GREAT HEALTH CARE IS OUR MISSION, SVHC IS DEVOTED TO SUPPORTING OUR COMMUNITIES IN MANY OTHER WAYS. WE WORK TO HELP PEOPLE LEARN TO LIVE LIVES. WE SUPPORT INITIATIVES TO INTRODUCE STUDENTS TO HEALTH CARE CAREERS AND PROVIDE JOB SHADOW OPPORTUNITIES. WE ALSO SUPPORT HAVING OUR STAFF SHARE THEIR EXPERTISE ON LOCAL COMMITTEES, BOARDS, AND COALITIONS. OUR EFFORTS INCLUDED: -PROVIDING A COORDINATOR TO HELP PEOPLE ENROLL IN MEDICAID, MEDICARE, OR CATAMOUNT HEALTH. -OPERATING THE PHYSICIAN FINDER LINE TO HELP PEOPLE FIND A PRIMARY CARE PROVIDER OR SPECIALIST. -PROVIDING THE TRANSITIONAL CARE NURSING PROGRAM TO FACILITATE A SAFER TRANSITION TO HOME OR SUBACUTE CARE FOR HOSPITAL PATIENTS -COORDINATING AND SUPPORTING WELLNESS ACTIVITIES. -TEACHING PEOPLE THE BENEFITS OF HEALTHIER EATING. -HELPING PEOPLE WITH DIABETES LEARN HOW DIET CAN HELP THEM MANAGE THEIR DISEASE. -SPONSORING THE HEALTHIER LIVING WORKSHOPS, IN CONJUNCTION WITH THE VERMONT DEPARTMENT OF HEALTH, TO HELP PEOPLE LEARN TO LIVE WITH A CHRONIC CONDITION. -SUPPORTING LOCAL YOGA -PROVIDING SPECIAL COURSES ON PARENTING AND CHILDBIRTH. -SPONSORING MEDQUEST CAMP, A WEEK-LONG IMMERSION INTO HEALTH CARE CAREERS FOR HIGH SCHOOL STUDENTS. -PROVIDING GRIEF SUPPORT GROUPS FOR ADULTS AND CHILDREN. -EDUCATING THE COMMUNITY ABOUT THE BENEFITS OF TIMELY HOSPICE CARE. -PROVIDING SPACE FOR THE FAMILIAL CANCER PROGRAM OF THE VERMONT CANCER CENTER SO THAT AREA RESIDENTS CAN RECEIVE GENETIC COUNSELING WITHOUT HAVING TO TRAVEL. -SUPPORTING EFFORTS TO IMPROVE SCHOOL LUNCHES BY PROVIDING TIME FOR A REGISTERED DIETITIAN TO WORK WITH COMMUNITY MEMBERS AND SCHOOL OFFICIALS AND PROVIDE NUTRITION ADVICE. -PROVIDING SPACE FOR A LOCAL SUPPORT GROUPS TO MEET. -PROVIDING JOB SHADOWING, PRECEPTORSHIPS, AND COMMUNITY SERVICE OPPORTUNITIES TO LOCAL HIGH SCHOOL AND COLLEGE STUDENTS. -PROVIDING EXPERTISE ON THE BOARD OF THE BENNINGTON COUNTY CHILD CARE ASSOCIATION. -PROVIDING ONGOING TRAINING AND SUPPORT FOR AREA RESCUE SQUADS. -PROVIDING FUNDING AND GUIDANCE FOR VISTA FELLOWS ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH. SVMC IS ENGAGED IN A BROAD ARRAY OF ECONOMIC ACTIVITIES ACROSS THE REGION, INCLUDING: -ASSISTING WITH OBTAINING COMMUNITY GRANTS -PARTNERING ON PRIMARY SCHOOL CURRICULUM -SUPPORTING THE BENNINGTON IDEA FUND MICROGRANT PROGRAM -PARTICIPATING IN THE LAUNCH OF A COWORKING SPACE FOR ENTREPRENEURS -DEVELOPING A PROGRAM TO PURCHASE AND REHABILITATE BLIGHTED DOWNTOWN HOMES OTHER INFORMATION: SVHC HAS RELATIONSHIPS WITH LOCAL ARMS OF FAITH-BASED ORGANIZATIONS THAT PROVIDE SURPLUS MEDICAL EQUIPMENT AND SURGICAL SUPPLIES TO DEVELOPING COUNTRIES. SCHEDULE H, 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 SOUTHWESTERN VERMONT HEALTH CARE CORPORATION (SVHC), SOUTHWESTERN VERMONT MEDICAL CENTER, INC. (SVMC), MOUNT ANTHONY HOUSING CORPORATION (MAHC), SOUTHWESTERN VERMONT HEALTH CARE AUXILIARY, INC. (SVHCA), SOUTHWESTERN VERMONT HEALTH CARE ENTERPRISES (SVHCE) AND SOUTHWESTERN VERMONT HEALTH CARE FOUNDATION (FOUNDATION). SOUTHWESTERN VERMONT HEALTH CARE CORPORATION (SVHC) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED UNDER THE LAWS OF THE STATE OF VERMONT FOR THE PURPOSE OF SERVING AS A PARENT ORGANIZATION FOR FOUR WHOLLY OWNED OR CONTROLLED SUBSIDIARY CORPORATIONS. ACTIVITIES PERFORMED BY SVHC INCLUDE MANAGING INVESTMENTS, FUNDRAISING, OPERATING AND MANAGING BUILDINGS AND EQUIPMENT OWNED AND LEASED BY SUBSIDIARIES AND OTHER RELATED ENTITIES. SVHC AND ITS SUBSIDIARIES ARE PROVIDERS OF HEALTH SERVICES WITH FACILITIES IN AND AROUND THE BENNINGTON, VERMONT, AREA. THE SUBSIDIARIES OF THE CORPORATION ARE: SOUTHWESTERN VERMONT MEDICAL CENTER, INC. (SVMC) IS A NOT-FOR-PROFIT, ACUTE CARE HOSPITAL WHICH PROVIDES DIAGNOSTIC AND TREATMENT SERVICES. MOUNT ANTHONY HOUSING CORPORATION (MAHC) IS A NOT-FOR PROFIT CORPORATION ORGANIZED FOR THE PURPOSE OF DEVELOPING, MANAGING AND OPERATING NURSING HOMES. SOUTHWESTERN VERMONT HEALTH CARE AUXILIARY, INC. (SVHCA) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED FOR THE PURPOSE OF SERVING AND ASSISTING SVHC AND ITS SUBSIDIARIES IN PROMOTING THE HEALTH AND WELFARE OF THE COMMUNITY IN ACCORDANCE WITH SVMC'S OBJECTIVES AND TO CONDUCT VARIOUS PHILANTHROPIC ACTIVITIES FOR SVMC. SOUTHWESTERN VERMONT HEALTH CARE ENTERPRISES (SVHCE) IS A FOR PROFIT CORPORATION ORGANIZED FOR THE PURPOSE OF PROVIDING FAMILY PRACTICE AND OTHER SPECIALTY PHYSICIAN SERVICES. SOUTHWESTERN VERMONT HEALTH CARE FOUNDATION (FOUNDATION) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED EXCLUSIVELY FOR CHARITABLE AND EDUCATIONAL PURPOSES FOR SVHC, IT'S SUCCESSORS, SUBSIDIARIES AND AFFILIATES. X X X X X false true false false false false false false false THOMAS DEE CEO 370991 0 66148 0 38734 0 74165 0 28429 0 578467 0 0 0 STEPHEN MAJETICH VP CFO 270949 0 37938 0 1165 0 8000 0 28361 0 346413 0 0 0 CAROL A CONROY VP CNO 205652 0 29879 0 2317 0 0 0 6164 0 244012 0 0 0 RICHARD OGILVIE VP CIO 141330 0 22384 0 17847 0 3152 0 20451 0 205164 0 0 0 MICHAEL ALGUS DIRECTOR/MED STAFF PRESIDENT 162139 0 3630 0 725 0 6927 0 22595 0 196016 0 0 0 JOHN MCLELLAN OBGYN PHYSICIAN 347509 0 0 0 0 0 8000 0 0 0 355509 0 0 0 THOMAS E AMES MEDICAL PHYSICIST 176726 0 0 0 1903 0 5328 0 1563 0 185520 0 0 0 RUDOLPH WEAVER DIRECTOR OF HR 79712 0 15724 0 75898 0 6433 0 21037 0 198804 0 0 0 SUSAN MONTEIL ADMIN DIRECTOR OF COMPLIANCE 139199 0 16324 0 500 0 3830 0 0 0 159853 0 0 0 SHEILA BONI ADMIN DIRECTOR OF NURSING 145488 0 15724 0 274 0 0 0 18466 0 179952 0 0 0 SCHEDULE J, PART 1, LINE 4B CONTRIBUTIONS TO NONQUALIFIED PLANS: $ 66,165 THOMAS DEE SCHEDULE J, PART II, COLUMN B(II) BONUS DETERMINATION: THE AMOUNT OF INCENTIVE COMPENSATION IS CALCULATED IN ACCORDANCE WITH THE FORMAL INCENTIVE COMPENSATION PROGRAM THAT WAS DEVELOPED BY SVHC'S HUMAN RESOURCE DEPARTMENT IN CONJUNCTION WITH OUR COMPENSATION CONSULTANT MIKE MACIEKOWICH OF ASTRON SOLUTIONS. THE ESSENCE OF THE PROGRAM IS TO REWARD OUR CEO FOR ACHIEVING POSITIVE RESULTS ON BOTH ORGANIZATIONAL AND INDIVIDUAL GOALS. GOALS ARE ESTABLISHED BY THE GOVERNANCE COMMITTEE PRIOR TO THE BEGINNING OF THE FISCAL YEAR. TYPICALLY THERE WILL BE FIVE TO SIX ORGANIZATIONAL GOALS AND EIGHT TO TEN INDIVIDUAL GOALS. SUCCESSFUL ACHIEVEMENT OF THESE GOALS RESULTS IN ADDITIONAL COMPENSATION FOR THE CEO; HOWEVER, NO PAYOUT IS MADE UNLESS SVHC'S FINANCIAL GOAL IS ACHIEVED. A VT EDUCATIONAL AND HEALTH BUILDING FINANCING AGENC 237154467 824166BR1 2008-03-20 8865000 CURRENT REFUND OF 1995 BONDS false false false A 0 0 8865000 0 0 8707360 135047 22593 0 0 0 0 2008 true false true true A 0 A false true true false 0 false 0 false false A false SCHEDULE K, PART IV, LINE 2C THE REBATE COMPUTATION WAS PERFORMED 4/15/15. FORM 990, PART III, LINE 1 ORGANIZATION'S MISSION: OUR MISSION: TO CARE FOR AND COMFORT OUR PATIENTS, RESIDENTS, AND THEIR LOVED ONES AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES WE SERVE. ALSO, TO PROMOTE AND SUPPORT THE DEVELOPMENT AND MAINTENANCE OF A HIGHLY EFFICIENT, PATIENT-FOCUSED, INTEGRATED HEALTHCARE DELIVERY SYSTEM. OUR VISION: TO MAKE THE COMMUNITIES WE SERVE THE HEALTHIEST IN THE NATION AND OUR HEALTH SYSTEM THE SAFEST IN THE NATION. OUR VALUES: KNOWN BY THE ACRONYM QUESTS, SVHC EXPECTS ITS EMPLOYEES TO MODEL THE FOLLOWING VALUES: QUALITY: ACHIEVING THE BEST POSSIBLE OUTCOMES AND SATISFYING THE CUSTOMER IN THE MOST COST-EFFECTIVE MANNER. EMPATHY: TREATING OTHERS IN A COMPASSIONATE AND SENSITIVE MANNER. SAFETY: PREVENTING HARM TO PATIENTS FROM TREATMENT THAT IS INTENDED TO HELP THEM AND TO EMPLOYEES FROM AN ENVIRONMENT THAT IS INTENDED TO SUPPORT THEM. TEAMWORK: HELPING EACH OTHER TO ACHIEVE SUCCESS. STEWARDSHIP: CONSERVING RESOURCES AND MAKING DECISIONS THAT ACHIEVE THE HIGHEST VALUE AT THE LOWEST COST. 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 3 MANAGEMENT DUTIES: SVMC CONTRACTED WITH DARTMOUTH HITCHCOCK MEDICAL CENTER FOR VP MEDICAL GROUP SERVICES. FORM 990, PART VI, SECTION A, LINES 6, 7A, & 7B 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 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 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 AUDIT AND FINANCE COMMITTEES. 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 CONFLICT OF INTEREST POLICY: OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY DISCLOSE INTERESTS WHICH COULD RESULT IN CONFLICTS. THE COMPLIANCE OFFICER MAINTAINS RECORDS ON THE COMPLETION OF THE CONFLICT OF INTEREST FORMS, ANY POTENTIAL CONFLICTS ARE DISCUSSED AT THE AUDIT AND COMPLIANCE MEETING AND THEN RECOMMENDATIONS ARE BROUGHT BEFORE THE FULL BOARD FOR A VOTE. IN THE CASE OF A POTENTIAL CONFLICT OF INTEREST, THE BOARD MEMBER ABSTAINS FROM ALL DISCUSSION AND CONSIDERATION OF THE ITEM THAT PRESENTS THE POTENTIAL CONFLICT. FORM 990, PART VI, SECTION B, LINES 15A & 15B COMPENSATION REVIEW: 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. THE PROCESS BEGINS WITH A REQUEST TO OUR COMPENSATION CONSULTANT MIKE MACIEKOWICH OF 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 MIKE MACIEKOWICH IN ATTENDANCE OR ON THE PHONE. IF MIKE MACIEKOWICH IS IN AGREEMENT HE WILL PROVIDE A WRITTEN LETTER CONFIRMING HIS 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. ERIC SEYFERTH, MD, RECEIVES COMPENSATION AS A PHYSICIAN. THOMAS DEE IS COMPENSATED AS THE CEO OF THE SOUTHWESTERN VERMONT HEALTHCARE SYSTEM. MICHAEL ALGUS RECEIVES COMPENSATION FOR HIS ROLE AS PRESIDENT OF MEDICAL STAFF. FORM 990, PART IX, LINE 11G OTHER FEES FOR SERVICES: PHYSICIAN SERVICE AGREEMENTS $ 22,407,735 PURCHASED SERVICES 9,918,851 SERVICE CONTRACTS 1,786,400 LOCUM FEES 1,723,719 CONTRACTED SALARIES 1,202,855 CONSULTANTS 591,160 COLLECTIONS 182,389 TRANSCRIPTION 7,890 -------------- TOTAL $ 37,820,999 FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: DEFINED BENEFIT PENSION COSTS $ (2,323,125) TRANSFER FROM AFFILIATES 1,177,207 CHANGE IN FV OF INTEREST RATE SWAP ( 394,500) -------------- TOTAL $ (1,540,418) SOUTHWESTERN VERMONT HEALTH CARE CORP 100 HOSPITAL DRIVE BENNINGTON VT 05201 030179435 MANAGEMENT VT 501(C)(3) 3 NA false MOUNT ANTHONY HOUSING CORPORATION 100 HOSPITAL DRIVE BENNINGTON VT 05201 030279740 NURSING HOMES VT 501(C)(3) 9 SVHC false SOUTHWESTERN VT HEALTHCARE AUXILIARY 100 HOSPITAL DRIVE BENNINGTON VT 05201 222563243 SUPPORT VT 501(C)(3) 9 SVHC false SOUTHWESTERN VT HEALTH CARE FOUNDATION 100 HOSPITAL DRIVE BENNINGTON VT 05201 453362785 FUNDRAISING VT 501(C)(3) 11 A I SVHC false SOUTHWESTERN VT HEALTHCARE ENTERPRISES 100 HOSPITAL DRIVE BENNINGTON VT 05201 030314501 HEALTHCARE VT SVHC C CORP false false false true true false false false false false true true true true true false true true true