2026-08-03T13:42:13-05:00 2025-09-30 161226221 FUSTCHARLES LLP 220 S WARREN STREET SYRACUSE NY 13202 990 2024-10-01 473028931 TWIN RIVERS MEDICAL PC TWIN 5186865770 16 DANFORTH STREET HOOSICK FALLS NY 12090 ROBERT LABA CFO 5186865770 2026-07-30 1 1 DESIREE M BENNETT P01263666 3154463600 2026-07-30 2024 2025-03-06 01:10:19Z CARL DOBSON 16 DANFORTH STREET HOOSICK FALLS NY 12090 2989462 0 X HTTP://RIVER.SVHEALTHCARE.ORG/TWINRIVER/ X 2015 NY TWIN RIVERS MEDICAL PC OPERATES A PRIMARY CARE PHYSICIAN PRACTICE OFFERING PRIMARY CARE TO CHILDREN, ADOLESCENTS AND ADULTS. 1 0 0 0 0 0 0 510 2121435 2988939 15 13 0 0 2121450 2989462 0 0 0 0 0 0 0 0 0 3813706 4951696 3813706 4951696 -1692256 -1962234 497239 609886 3328887 5403768 -2831648 -4793882 X TWIN RIVERS MEDICAL PC IS A FAMILY MEDICAL PRACTICE OFFERING PRIMARY CARE TO CHILDREN, ADOLESCENTS AND ADULTS FOR THE GREATER HOOSICK FALLS AND CAMBRIDGE COMMUNITIES. TWIN RIVERS MEDICAL PC OFFERS A FULL SPECTRUM OF HEALTH CARE INCLUDING PEDIATRICS, ADOLESCENT, AND ADULT MEDICINE. 0 0 4951696 2988939 TWIN RIVERS MEDICAL, P.C. IS A FAMILY MEDICINE PRACTICE OFFERING PRIMARY CARE TO CHILDREN, ADOLOSCENTS, AND ADULTS FOR THE GREATER HOOSICK FALLS AND CAMBRIDGE COMMUNITIES. THE PRACTICE WAS FORMED THROUGH THE MERGER OF MARTINEZ FAMILY PRACTICE AND VILLAGE PRIMARY CARE. TWIN RIVERS MEDICAL PC OFFERS A FULL SPECTRUM OF HEALTH CARE INCLUDING PEDIATRICS, ADOLESCENT AND ADULT MEDICINE. 4951696 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 1 0 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 NY X ROBERT LABA 8024475011 100 HOSPITAL DRIVE BENNINGTON VT 05201 X CARL DOBSON PRESIDENT 1.00 1.00 X X 0 470244 45163 ROBERT LABA CFO/TREASURER 1.00 39.00 X 0 381669 3790 STEPHEN D MAJETICH FORMER OFFICER 0.00 0.00 X 0 273404 201 0 1125317 49154 0 1 1 0 0 510 510 NET PATIENT SERVICE RE 621110 2988939 2988939 2988939 13 13 2989462 2988939 0 13 X 3766 3766 4241127 4241127 39435 39435 60431 60431 286781 286781 20416 20416 49075 49075 MEDICAL SUPPLIES & DRUG 201182 201182 NONMEDICAL SUPPLIES AND 47352 47352 LICENSES, DUES, SUB 2131 2131 4951696 4951696 0 0 32078 47997 28872 69525 186907 417465 16721 0 105530 31141 232661 74389 0 510 497239 609886 478 632 20000 12500 3308409 5390636 3328887 5403768 X -2831648 -4793882 -2831648 -4793882 497239 609886 -1962234 0 X X 0 1 X 1 0 X 59495 0 0 0 510 60005 2015761 2051532 1921408 2121435 2988939 11099075 2075256 2051532 1921408 2121435 2989449 11159080 0 0 0 11159080 40 11 8 15 13 87 40 11 8 15 13 87 2075296 2051543 1921416 2121450 2989462 11159167 1.00000 1.00000 0.00000 X 105530 31141 74389 74389 DUE TO AFFILIATES 5390636 5390636 X 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. SVHCE IS A FOR PROFIT ENTITY AND 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, 2025 AND 2024. 0 0 0 0 0 0 0 0 0 CARL DOBSON PRESIDENT 0 427225 0 19403 0 23616 0 17250 0 27913 0 515407 0 0 ROBERT LABA CFO/TREASURER 0 322700 0 0 0 58969 0 3564 0 226 0 385459 0 0 STEPHEN D MAJETICH FORMER OFFICER 0 0 0 47250 0 226154 0 0 0 201 0 273605 0 0 PART I, LINE 3 TOP MANAGEMENT OFFICIAL COMPENSATION DETERMINATION: SOUTHWESTERN VERMONT 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. 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 6 MEMBERS, STOCKHOLDERS, OR OTHER PERSONS: TWIN RIVERS MEDICAL PC IS ORGANIZED AS A STOCK CORPORATION. THE CORPORATION HAS ONE AUTHORIZED SHAREHOLDER. THE SOLE SHAREHOLDER/DIRECTOR IS AUTHORIZED TO TAKE SUCH ACTIONS AND EXECUTE SUCH DOCUMENTS AS THEY DEEM NECESSARY AND APPROPRIATE TO CARRY OUT THE PURPOSE OF THE ORGANIZATION. THE AFFAIRS OF THE CORPORATION SHALL BE MANAGED AND CONDUCTED BY A SOLE DIRECTOR, SUBJECT TO THE AUTHORITY AND DIRECTION OF THE SVMC BOARD. THE SHAREHOLDER MAY NOT SELL, ASSIGN, TRANSFER, PLEDGE OR GRANT ANY OTHER SECURITY INTEREST OR OTHERWISE ENCUMBER OR DISPOSE OF (COLLECTIVELY, TRANSFER) ANY SHARES OF THE CORPORATION, WHETHER BY DEATH, DEVISE OR OTHERWISE, EXCEPT TO A PHYSICIAN WHO MEETS THE REQUIREMENTS OF ARTICLE I, SECTION 1 OF THE CORPORATION'S BYLAWS, WHICH STATE AS FOLLOWS: "THE CORPORATION'S SHAREHOLDER SHALL BE REQUIRED TO MEET THE FOLLOWING CRITERIA: (I) IS AUTHORIZED BY LAW TO PRACTICE MEDICINE IN THE STATE OF NEW YORK AND DESIGNATED BY SOUTHWESTERN VERMONT MEDICAL CENTER ("SVMC") TO BE A SHAREHOLDER OF THE CORPORATION; (II) IS AN EMPLOYEE OF SVMC AND HAS EXECUTED AN EMPLOYMENT AGREEMENT WITH SVMC; (III) IS A MEMBER OF THE MEDICAL STAFF OF SVMC; (IV) IS ENGAGED IN THE PRACTICE OF MEDICINE IN THE CORPORATION WITHIN THIRTY (30) DAYS OF THE DATE SUCH SHARES ARE ISSUED; AND (V) SUBSCRIBES TO AND COMPLIES WITH THE SHAREHOLDER AGREEMENT WITH THE CORPORATION. UPON TERMINATION OF A SHAREHOLDER'S INTEREST IN THE CORPORATION, THE SHAREHOLDER SHALL BE ENTITLED TO RECEIVE ONLY ONE DOLLAR ($1.00) PER SHARE." THE SHAREHOLDER SHALL NOT ISSUE OR AUTHORIZE THE ISSUANCE OF ANY ADDITIONAL SHARES OR AMEND THE CERTIFICATE OF INCORPORATION OR BYLAWS IN A MANNER ADVERSE TO THE PURPOSES SET FORTH IN THIS AGREEMENT, THE CERTIFICATE OF INCORPORATION, THE BYLAWS OR WITHOUT THE PRIOR WRITTEN CONSENT OF THE CORPORATION AND SVMC. IN NOVEMBER 2022, THE BOARD OF TRUSTEES OF THE CORPORATION APPROVED AN AFFILIATION AND INTEGRATION AGREEMENT (THE AGREEMENT) WITH DARTMOUTH-HITCHCOCK HEALTH ('D-HH'). UNDER THE TERMS OF THE AGREEMENT, THE CORPORATION AND DHH WILL INTEGRATE THEIR GOVERNANCE STRUCTURES, COORDINATE THEIR FINANCIAL ACTIVITIES, AND CONSOLIDATE ADMINISTRATIVE FUNCTIONS OVER TIME TO THE EXTENT THAT EFFICIENCIES CAN BE ACHIEVED. THE AGREEMENT BECAME EFFECTIVE JULY 1, 2023, WHICH HAD D-HH AS THE SOLE CORPORATE MEMBER OF SVHC. FORM 990, PART VI, SECTION A, LINE 7A PLEASE SEE FORM 990, SECTION A, LINE 6 RESPONSE ABOVE. FORM 990, PART VI, SECTION A, LINE 7B PLEASE SEE FORM 990, SECTION A, LINE 6 RESPONSE ABOVE. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING WITH THE IRS, THE DRAFT 990 IS REVIEWED BY THE SOLE DIRECTOR OF TWIN RIVERS MEDICAL PC AS WELL AS THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS OF SOUTHWESTERN VERMONT HEALTH CARE CORP, A RELATED ORGANIZATION. 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 15B COMPENSATION REVIEW: THE ORGANIZATION'S CEO POSITION IS PAID BY SOUTHWESTERN VERMONT MEDICAL CENTER (SVMC) AND D-HH. THE PROCESS SVMC USES TO DETERMINE CEO COMPENSATION IS AS FOLLOWS: THE BOARD ENGAGES AN OUTSIDE CONSULTING FIRM TO REVIEW COMPARABLE SALARY DATA AND USES NATIONAL PROFESSIONAL ORGANIZATION SURVEY DATA IN THE DETERMINATION OF THE SALARY AND BENEFITS. PROCESS BEGINS WITH A REQUEST TO SVMC'S COMPENSATION CONSULTANT ASTRON SOLUTIONS TO PERFORM A MARKET ANALYSIS OF THE POSITION. THIS REPORT IS USED AS THE BASIS FOR STRUCTURING COMPENSATION 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. 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: THE ORGANIZATION 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. CARL DOBSON IS COMPENSATED AS THE CMO OF THE SOUTHWESTERN VERMONT HEALTHCARE SYSTEM. ROBERT LABA IS COMPENSATED AS THE CFO OF THE SOUTHWESTERN VERMONT HEALTHCARE SYSTEM. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,212,348. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,212,348. TRANSCRIPTION SERVICES: PROGRAM SERVICE EXPENSES 28,779. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,779. FORM 990, PART XII, LINE 2C: THE 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 SOUTHWESTERN VERMONT MEDICAL CENTER 100 HOSPITAL DRIVE BENNINGTON VT 05201 222563241 HEALTHCARE VT 501(C)(3) LINE 3 SVHC 0 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 VT C 0 0 0 0 1 1 0 0 0 0 0 1 0 1 0 1 1 0 0 1 SOUTHWESTERN VERMONT MEDICAL CENTER P 1385011 CASH TRANSACTION SOUTHWESTERN VERMONT MEDICAL CENTER M 3010689 FMV OF SERVICES