2026-08-03T13:34:41-05:00 2025-09-30 161226221 FUSTCHARLES LLP 220 S WARREN STREET SYRACUSE NY 13202 990 2024-10-01 222563241 SOUTHWESTERN VERMONT MEDICAL CENTER SOUT 8024426361 100 HOSPITAL DRIVE BENNINGTON VT 05201 ROBERT LABA CFO 8024426361 2026-07-30 1 1 DESIREE M BENNETT P01263666 3154463600 2026-07-30 2024 2025-03-06 01:10:19Z ESTEVAN GARCIA MD DRPH 100 HOSPITAL DRIVE BENNINGTON VT 05201 240338604 0 X WWW.SVHEALTHCARE.ORG X 1912 VT SOUTHWESTERN VERMONT HEALTH CARE EXISTS TO PROVIDE EXCEPTIONAL HEALTH CARE AND COMFORT TO THE PEOPLE WE SERVE. 21 16 1229 36 0 0 3269014 4229799 222377718 234824637 3119052 1270089 10200 10300 228775984 240334825 8000 17575 0 0 84569436 85993814 0 0 0 140731342 150131262 225308778 236142651 3467206 4192174 134963149 135504687 81057781 75355953 53905368 60148734 X SOUTHWESTERN VERMONT HEALTH CARE EXISTS TO PROVIDE EXCEPTIONAL HEALTH CARE AND COMFORT TO THE PEOPLE WE SERVE. SEE SCHEDULE O FOR ADDITIONAL DETAILS. 0 0 156515889 17575 205449968 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, CANCER CENTER, A FAMILY CENTERED BIRTH PLACE, MINIMALLY INVASIVE AND OTHER SURGICAL SERVICES, A RENAL DIALYSIS UNIT, AND A FULL SERVICE ACCREDITED LABORATORY. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 50183830 29374669 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. 206699719 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 126 0 1 1229 1 0 0 0 0 0 0 0 0 0 0 0 0 X 21 16 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X ROBERT LABA 8024475011 100 HOSPITAL DRIVE BENNINGTON VT 05201 X THOMAS A DEE CEO 36.00 4.00 X X 665360 0 141489 STEPHEN KELLY VICE CHAIR 1.00 3.00 X X 0 0 0 DIMITRI GARDER SECRETARY 1.00 2.00 X X 0 0 0 ANGIE MARANO TRUSTEE 1.00 2.00 X 0 0 0 BRIAN BAREFOOT TRUSTEE 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 CONNIE JASTERMSKI TRUSTEE 1.00 2.00 X 0 0 0 GEORGE KEADY TRUSTEE 1.00 2.00 X 0 0 0 KRISTYN HARRINGTON TRUSTEE 1.00 2.00 X 0 0 0 ROBERT VAN DEGNA TRUSTEE 1.00 2.00 X 0 0 0 THOMAS H GREEN III CHAIR 1.00 3.00 X X 0 0 0 WAYNE GRANQUIST TRUSTEE 1.00 2.00 X 0 0 0 KEITH MICHL TRUSTEE 1.00 3.00 X 0 0 0 MATTHEW STANISHEWSKI TRUSTEE 1.00 2.00 X 0 321078 49813 STEPHAN LEBLANC TRUSTEE 1.00 2.00 X 0 1016111 54138 EDWARD MERRENS MD TRUSTEE 1.00 2.00 X 0 1051727 45892 REIJA RAWLE MD TRUSTEE 1.00 2.00 X 0 133864 9182 ROBIN SHER TRUSTEE 1.00 2.00 X 0 0 0 TOVE STIGUM TRUSTEE 1.00 2.00 X 0 0 0 ROBERT LABA CFO/TREASURER 26.00 14.00 X 381669 0 3790 KEVIN P DAILEY VP HR 39.00 1.00 X 371189 0 27791 PAMELA A DUCHENE CNO 40.00 X 329494 0 64555 LESLIE J KEEFE VP SVHC FOUNDATION 16.00 24.00 X 278031 0 73300 RICHARD J OGILVIE JR VP CIO 40.00 X 242288 0 29057 CARL DOBSON CMO 38.00 2.00 X 0 470244 45163 RONALD ZIMMERMAN VP SUPPORT SERVICES 40.00 0.00 X 253039 0 43292 JOHN P LABERT ANESTHESIA ASSISTANT 40.00 X 282706 0 27450 MARY E CAMPBELL ANESTHESIA ASSISTANT 40.00 X 257174 0 27450 KAREN WILLIS NURSE 40.00 X 309210 0 8201 LAUREN FELTZ ANESTHESIA ASSISTANT 40.00 X 202118 0 35533 CODY HOLLOWAY ANESTHESIA ASSISTANT 40.00 0.00 X 252549 0 34541 STEPHEN D MAJETICH FORMER OFFICER 0.00 0.00 X 273404 0 201 4098231 2993024 720838 122 1 1 0 DARTMOUTH HITCHCOCK MEDICAL CENTER ONE MEDICAL CENTER DRIVE LEBANON NH 03756 PSA AGREEMENT 32682346 DARTMOUTH HITCHCOCK MEDICAL CENTER ONE MEDICAL CENTER DRIVE LEBANON NH 03756 PURCHASED SVCS - LAB, TECH, ADMIN, PHARM 2861113 RENOVO SOLUTIONS LLC 4 EXECUTIVE CIRCLE SUITE 185 IRVINE CA 92614 BIOMEDICAL ENGINEERING 561261 CLARO HEALTHCARE LLC 22 S WACKER DRIVE SUITE 2800 CHICAGO IL 60606 INPATIENT CDI 557208 BRIAN MARCHENGIANI MACK BROTHERS ELEVATO PO BOX 132 HALIFAX VT 05358 CAPITAL EXPENDITURE 526324 19 624930 3604869 4229799 NET PATIENT SERV. REV 621990 187040704 187040704 FIXED PROSPECTIVE REV 621990 29162539 29162539 PHARMACY 456110 13772302 13772302 PROGRAM INCENTIVES 456110 1158791 1158791 3690301 3690301 234824637 376765 376765 10300 0 10300 10300 10300 883103 14000 0 3779 883103 10221 893324 893324 240334825 234824637 0 1280389 X 17575 17575 2985964 466310 2519654 63866892 53646825 10220067 1769932 1441815 328117 12555704 11007938 1547766 4815322 3874646 940676 310049 310049 165875 165875 117728 117728 25125 25125 169277 169277 66017816 64199479 1818337 238763 -2418 241181 6597386 2648608 3948778 4952180 4245855 706325 513232 492432 20800 2114 295 1819 1897776 1729743 168033 6480364 5871659 608705 1129193 3330 1125863 MEDICAL SUPPLIES & DRUG 37939333 35113999 2825334 PROVIDER TAX 12193627 12193627 BAD DEBTS 8502812 8502812 LICENSES, DUES, SUB. 1894784 284620 1610164 983828 960569 23259 236142651 206699719 29442932 0 364851 397655 5773013 8592129 18272821 22269634 3663615 3174274 2336093 2537076 83845123 11567838 67752666 72277285 24435697 11743730 12364393 14512904 134963149 135504687 18173981 17987913 487708 339766 24961333 21966694 12950000 0 24484759 35061580 81057781 75355953 X 53905368 60148734 53905368 60148734 134963149 135504687 X 4192174 1074798 976394 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 25125 25125 0 PART II-B, LINE 1: SVMC IS A MEMBER OF THE VERMONT ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF DUES PAID TO THESE ORGANIZATIONS ARE AVAILABLE FOR LOBBYING EXPENDITURES ON BEHALF OF SVMC, AND THE OTHER MEMBER ORGANIZATIONS IN FURTHERANCE OF THEIR EXEMPT PURPOSE. 12373755 1555720 375899 135969 14169405 11902528 26285 776378 331436 12373755 11656148 4757 485483 243860 11902528 12021533 91346 -2838372 -2381641 11656148 11765029 1744 1091480 836720 12021533 0.77820 0.22180 0 1 1 1555653 1555653 49773262 4086285 45686977 22833053 7264756 15568297 9683155 216797 9466358 72277285 DUE FROM AFFILIATES 9550266 FINANCE LEASE ASSETS 1924153 OTHER RECEIVABLES 2436734 OPERATING LEASE ASSETS 598484 OTHER ASSET 3267 14512904 FINANCE LEASE LIABILITY 2608217 DEFERRED COMPENSATION 1012261 EST AMT DUE TO THIRD PTY PYRS 1060211 ESTIMATED SELF-INS COSTS 1506117 ASSET RETIREMENT OBLIGATION 1214852 OPERATING LEASE LIABILITY 619742 DUE TO AFFILIATES 27040180 35061580 X 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: SVHC, SVMC, TWIN RIVERS, NBM, THE FOUNDATION, MAHC, SVHCNY, SVHCHF, SVHCF, AND SVHC REALTY, 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, 2025 AND 2024. 1 1 1 X 250.000000000000 1 X 1 1 1 0 1 1 1332239 1332239 0.00590 44745641 18770139 25975502 0.11410 46077880 18770139 27307741 0.12000 1482625 280 1482345 0.00650 11870432 6302345 5568087 0.02450 34432 34432 0.00020 13387489 6302625 7084864 0.03120 59465369 25072764 34392605 0.15120 1 8502812 1309433 39457884 51281792 -11823908 X 1 1 1 1 SOUTHWESTERN VERMONT MEDICAL CENTER 100 HOSPITAL DRIVE BENNINGTON VT 05201 SVHEALTHCARE.ORG 837 X X X SOLE COMMUNITY HOSPITAL SOUTHWESTERN VERMONT MEDICAL CENTER 1 0 0 1 X X X X X X X X X 24 1 0 0 1 X SEE PART V, PAGE 8 X 1 24 1 SEE PART V, PAGE 8 0 1 X 250.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X 1 X 0 X X X X 1 X 0 0 SOUTHWESTERN VERMONT MEDICAL CENTER PART V, SECTION B, LINE 5: SVMC PREPARES A CHNA EVERY THREE YEARS. THE LAST ASSESSMENT WAS PREPARED IN 2024. DURING THE 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 4 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. COMMUNITY HEALTH AND MEDICAL ACCESS SURVEY COMPLETED BY 822 RESPONDENTS EACH 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 5 PRIORTY HEALTH NEEDS WERE DERIVED:- MENTAL HEALTH SUPPORTS - SUBSTANCE USE DISORDER-CHALLENGES THRIVING AFFORDABLE HOUSING; FOOD INSECURITY; COST OF TRANSPORTATION; SOCIAL VULNERABILITY- COST OF CARE- ACCESS TO CARETHESE 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 2024 COMMUNITY HEALTH NEEDS ASSESSMENT WERE ADDRESSED BY A COMPREHESIVE IMPLEMENTATION PLAN TO BE ROLLED OUT OVER THE COURSE OF THE FOLLOWNG 3 YEARS.IN 2025, SVMC INVESTED $34.4 MILLION IN COMMUNITY BENEFITS ACROSS A WIDE ARRAY OF SERVICES, PROGRAMS AND INITIATIVES. SVMC PROVIDED $1.3 MILLION IN CHARITY CARE AND $26.0 MILLION IN UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. SVMC PROVIDED $5.6 MILLION IN SUBSIDIZED HEALTHCARE PROGRAMS.SVMC ALSO INVESTED $1.5 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 $128,000 TOWARDS ECONOMIC DEVELOPMENT AND POVERTY ALLEVIATION AND IN DIRECT COMMUNITY BASED HEALTH AND WELLNESS PROGRAMS.THE DIRECT COMMUNITY BASED EFFORTS OF $128,000 INCLUDED FUNDING TO THE BENNINGTON REGIONAL COMMISSION FOR A VOLUNTEER IN SERVICE TO AMERICA FELLOW TO WORK ON THE IMPACT OF THE OPIOD EPIDEMIC, HEALTH EQUITY, AND POVERTY ALLEVIATION. EFFORTS IN YOUTH ACTIVITIES AND WELLNESS INCLUDED FUNDING FOR SCHOLARSHIPS ALLOWING SPORTS AND YOUTH CENTERED EVENTS.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://SVMC.ORG/NEWS-EVENTS/HEALTHY-MAGAZINETHE CHNA IMPLEMENTATION PLAN FOR 2025 INCLUDED ACTIVITES TO ENHANCE DIABETES EDUCATION, ENSURE EFFECTIVE PATIENT TRANSITIONS OF CARE, AND ENGAGE COMMUNITY PARTNERS IN LIFTING THE HEALTH 0F 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). FORM 990, SCHEDULE H, PART V, LINE 7A, HOSPITAL FACILITY'S WEBSITE: HTTPS://SVMC.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FORM 990, SCHEDULE H, PART V, LINE 10A, IMPLEMENTATION STRATEGY WEBSITE: HTTPS://SVMC.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FORM 990, SCHEDULE H, PART V, LINE 16A, FAP WEBSITE: HTTPS://SVMC.ORG/PATIENTS-VISITORS/BILLING-INSURANCE FORM 990, SCHEDULE H, PART V, LINE 16B, FAP APPLICATION WEBSITE: HTTPS://SVMC.ORG/PATIENTS-VISITORS/BILLING-INSURANCE FORM 990, SCHEDULE H, PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://SVMC.ORG/PATIENTS-VISITORS/BILLING-INSURANCE 3 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 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 I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 8,502,812. 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, 2025. 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 15.4% 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 10 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 OF TRUSTEES, OUR MEDICAL STAFF, AND OUR CONNECTIONS WITH OUTSIDE COMMUNITYGROUPS.2. LEGISLATIVE UPDATES DURING WHICH SVMC HEARS FROM ELECTIVE OFFICIALS ABOUT NEEDS COMMUNICATED TO THEM FROM CONSTITUENTS.3. THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WHICH INCLUDED SURVEYS OF DISCUSSIONS THAT 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 CHNA IMPLEMENTATION 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 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 TWO FULL-TIME COUNSELORS WHO REGULARLY MEET 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 2025. THE CURRENT POPULATION OF SVMC'S PRIMARY SERVICE AREA IS 75,000. ACROSS OUR FULL SERVICE AREA, INCLUDING FRINGE MARKETS, THE POPULATION IS JUST UNDER 120,000. THE AVERAGE AGE OF RESIDENTS HAS ALSO INCREASED WITH 23% 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 2025, 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 SOUTHWESTERN VERMONT HEALTH CARE CORPORATION (SVHC), SOUTHWESTERN VERMONT MEDICAL CENTER, INC. (SVMC), MOUNT ANTHONY HOUSING CORPORATION (MAHC), SOUTHWESTERN VERMONT HEALTH CARE AUXILIARY, INC. (SVMCA), 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 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 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. 1 BENNINGTON COUNTY REGIONAL COMMISSION 111 SOUTH STREET STE 6 BENNINGTON VT 05201 030224444 501 (C) (3) 13500 0 VISTA SUPPORT BENNINGTON COUNTY REGIONAL COMMISSION 111 SOUTH STREET STE 6 BENNINGTON VT 05201 030224444 501 (C) (3) 4075 0 USDA RURAL DEVELOPMENT GRANT ASSISTANCE PART I, LINE 2: PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: CONTRIBUTIONS, SPONSORSHIPS AND OTHER IN-KIND SUPPORT WILL BE MADE WHEN THE ORGANIZATION TO BE FUNDED: 1. 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; 2. 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; 3. 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; 4. 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. X 1 1 X X X 1 1 0 0 0 0 0 0 0 EDWARD MERRENS MD TRUSTEE 0 796803 0 165000 0 89924 0 32970 0 12922 0 1097619 0 0 STEPHAN LEBLANC TRUSTEE 0 733963 0 155000 0 127148 0 32970 0 21168 0 1070249 0 0 THOMAS A DEE CEO 529163 0 122093 0 14104 0 108000 0 33489 0 806849 0 0 0 CARL DOBSON CMO 0 427225 0 19403 0 23616 0 17250 0 27913 0 515407 0 0 KEVIN P DAILEY VP HR 200328 0 110254 0 60607 0 6618 0 21173 0 398980 0 24537 0 PAMELA A DUCHENE CNO 299395 0 0 0 30099 0 28000 0 36555 0 394049 0 0 0 ROBERT LABA CFO/TREASURER 322700 0 0 0 58969 0 3564 0 226 0 385459 0 0 0 MATTHEW STANISHEWSKI TRUSTEE 0 297898 0 0 0 23180 0 19734 0 30079 0 370891 0 0 LESLIE J KEEFE VP SVHC FOUNDATION 237829 0 10100 0 30102 0 23276 0 50024 0 351331 0 457 0 KAREN WILLIS NURSE 309210 0 0 0 0 0 8000 0 201 0 317411 0 0 0 JOHN P LABERT ANESTHESIA ASSISTANT 282214 0 100 0 392 0 8000 0 19450 0 310156 0 0 0 RONALD ZIMMERMAN VP SUPPORT SERVICES 250982 0 0 0 2057 0 8000 0 35292 0 296331 0 0 0 CODY HOLLOWAY ANESTHESIA ASSISTANT 247326 0 5000 0 223 0 8000 0 26541 0 287090 0 0 0 MARY E CAMPBELL ANESTHESIA ASSISTANT 251996 0 5000 0 178 0 8000 0 19450 0 284624 0 0 0 STEPHEN D MAJETICH FORMER OFFICER 0 0 47250 0 226154 0 0 0 201 0 273605 0 0 0 RICHARD J OGILVIE JR VP CIO 210080 0 0 0 32208 0 2577 0 26480 0 271345 0 2831 0 LAUREN FELTZ ANESTHESIA ASSISTANT 201906 0 0 0 212 0 8000 0 27533 0 237651 0 0 0 PART I, LINE 1A THE ORGANIZATION PROVIDED A HOUSING ALLOWANCE TO ROBERT LABA, CFO IN THE AMOUNT OF $38,958. THIS AMOUNT IS INCLUDED IN HIS TAXABLE WAGES AND REPORTED IN SCHEDULE J, PART II, COLUMN (III) AS OTHER REPORTABLE COMPENSATION. PART I, LINES 4A-B 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 2024 AND AMOUNTS CREDITED UNDER THE PLAN ARE INCLUDED IN FORM 990, PART VII, SECTION A. THOMAS DEE - $100,000, PAM DUCHENE - $20,000, LESLIE KEEFE - $15,276, RICH OGILVIE - $855. A VT EDUCATIONAL AND HEALTH BUILDING FINANCE AGENCY 237154467 NONEAVAIL 2021-12-01 28027000 SEE PART VI 0 0 0 A 6300000 28027000 795702 288698 20642600 6300000 2024 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 1 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: VT EDUCATIONAL AND HEALTH BUILDING FINANCE AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/19/2025 SCHEDULE K, PART I, BOND (A) ISSUER NAME: VT EDUCATIONAL AND HEALTH BUILDING FINANCING AGENCY (F) DESCRIPTION OF PURPOSE: THE 2021 SERIES A BONDS WERE USED TO REPAY IN FULL THE 2008 SERIES A BONDS. THE SERIES B BONDS WERE ISSUED FOR PURPOSES OF RENOVATION AND EXPANSION OF THE SVMC EMERGENCY DEPARTMENT AND FUND OTHER CAPITAL NEEDS. 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 3 MANAGEMENT DUTIES: DARTMOUTH-HITCHCOCK MEDICAL CENTER EMPLOYS THE PHYSICIANS. AS PART OF THIS ARRANGEMENT, THE CMO IS AN EMPLOYEE OF DARTMOUTH-HITCHCOCK AND PERFORMS CERTAIN MANAGEMENT FUNCTIONS. THE CMO WAS COMPENSATED IN THE AMOUNT OF $427,842. 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. 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 FINANCE DEPARTMENT OF THE ORGANIZATION. THE DRAFT 990 IS THEN REVIEWED BY MANAGEMENT AND FINANCE. 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. BOARD LEADERSHIP REPRESENTATIVES REVIEW THE WAGE INFORMATION WITH THE CONSULTANTS TO ENSURE EXECUTIVE SALARIES FALL WITHIN THE TARGETED RANGE, AND THEN A CONTRACT IS DRAFTED. 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 WAS COMPENSATED AS THE CEO OF THE SOUTHWESTERN VERMONT HEALTHCARE SYSTEM (SVHC). STEPHAN LEBLANC IS COMPENSATED AS CHIEF STRATEGY OFFICER AT DARTMOUTH HEALTH . EDWARD MERRENS, REIJA RAWLE, MATTHEW STANISHEWSKI ARE COMPENSATED AS FULL TIME PHYSICIANS AT DARTMOUTH HEALTH. FORM 990, PART IX, LINE 11G DARTMOUTH PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 42,817,223. MANAGEMENT AND GENERAL EXPENSES 163,940. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,981,163. LOCUM FEES: PROGRAM SERVICE EXPENSES 4,025,614. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,025,614. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 3,339,335. MANAGEMENT AND GENERAL EXPENSES 95,719. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,435,054. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 14,017,307. MANAGEMENT AND GENERAL EXPENSES 1,558,678. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,575,985. FORM 990, PART XI, LINE 9: TRANSFER TO AFFILIATES 976,394. FORM 990, PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SOUTHWESTERN VERMONT HEALTH CARE CORP 100 HOSPITAL DRIVE BENNINGTON VT 05201 030179435 HOSPITAL VT 501(C)(3) LINE 3 D-HH 0 MOUNT ANTHONY HOUSING CORPORATION 100 HOSPITAL DRIVE BENNINGTON VT 05201 030279740 NURSING HOMES VT 501(C)(3) LINE 10 SVHC 0 SOUTHWESTERN VT HEALTHCARE 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 1 NORTHERN BERKSHIRE MEDICAL PC 375 MAIN STREET WILLIAMSTOWN MA 01267 814023607 HEALTHCARE MA 501(C)(3) LINE 10 SVMC 1 HOOSICK FALLS HEALTH CENTER INC 21 DANFORTH STREET HOOSICK FALLS NY 12090 141370000 NURSING HOMES NY 501(C)(3) LINE 3 SVHC 0 HOOSICK FALLS HEALTH CENTER FOUNDATION 21 DANFORTH STREET HOOSICK FALLS NY 12090 223186959 FUNDRAISING NY 501(C)(3) 7 HFHC 0 SVHC REALTY INC 100 HOSPITAL DRIVE BENNINGTON VT 05201 861399877 REAL ESTATE MANAGMENT VT 501(C)(3) LINE 12A, I SVHC 0 DARTMOUTH-HITCHCOCK HEALTH ONE 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 D-HH 0 CHESHIRE MEDICAL CENTER 580 COURT STREET KEENE NH 03431 020354549 HOSPITAL NH 501(C)(3) LINE 3 D-HH 0 MARY HITCHCOCK MEMORIAL HOSPITAL ONE MEDICAL CENTER DRIVE LEBANON NH 03756 020222140 HOSPITAL NH 501(C)(3) LINE 3 D-HH 0 DARTMOUTH-HITCHCOCK CLINIC ONE MEDICAL CENTER DRIVE LEBANON NH 03756 222519596 PHYSICIAN SERVICES NH 501(C)(3) LINE 10 D-HH 0 WINDSOR HOSPITAL CORPORATION 289 COUNTY ROAD WINDSOR VT 05089 030183721 HOSPITAL VT 501(C)(3) LINE 3 D-HH 0 ALICE PECK DAY MEMORIAL HOSPITAL 10 ALICE PECK DAY DRIVE LEBANON NH 03766 020222791 HOSPITAL NH 501(C)(3) LINE 3 D-HH 0 THE NEW LONDON HOSPITAL ASSOCIATION 273 COUNTY ROAD NEW LONDON NH 03257 020222171 HOSPITAL NH 501(C)(3) LINE 3 D-HH 0 VALLEY REGIONAL HEALTHCARE INC 243 ELM STREET CLAREMONT NH 03743 020397338 HOSPITAL NH 501(C)(3) LINE 3 D-HH 0 SOUTHWESTERN VT HEALTHCARE ENTERPRISES 100 HOSPITAL DRIVE BENNINGTON VT 05201 030314501 HEALTH CARE VT SVHC C 0 0 0 1 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 1 NORTHERN BERKSHIRE MEDICAL PC Q 575000 CASH TRANSACTION NORTHERN BERKSHIRE MEDICAL PC L 949461 FMV OF SERVICES TWIN RIVERS MEDICAL PC Q 1385011 CASH TRANSACTION TWIN RIVERS MEDICAL PC L 3010689 FMV OF SERVICES SOUTHWESTERN VERMONT HEALTH CARE CORP K 2047095 FMV OF SERVICES SOUTHWESTERN VERMONT HEALTH CARE CORP L 2948575 FMV OF SERVICES SOUTHWESTERN VERMONT HEALTH CARE CORP Q 928025 CASH TRANSACTION SCHEDULE R PART II- IDENFITICATION OF RELATED TAX-EXEMPT ORGANIZATIONS: 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.