2024-08-14T16:00:45-05:00 2023-09-30 366055558 GRANT THORNTON LLP 75 STATE ST 13TH FLOOR BOSTON MA 02109 990 2022-10-01 861399877 SVHC REALTY INC SVHC 8024475011 100 HOSPITAL DRIVE BENNINGTON VT 05201 ROBERT LABA CFO 8024475011 2024-08-14 1 1 ERIN COUTURE P01390592 6177237900 2022 2024-08-08 14:25:15Z THOMAS DEE 100 HOSPITAL DRIVE BENNINGTON VT 05201 222950 0 X WWW.SVHEALTHCARE.ORG X 2020 VT SEE SCHEDULE O 4 2 0 2 0 0 0 0 335000 0 0 12950 50000 210000 385000 222950 0 0 0 0 214348 265026 0 0 0 718850 799986 933198 1065012 -548198 -842062 4395879 4737674 44793 1228650 4351086 3509024 X SEE SCHEDULE OSVHC REALTY, INC. WAS FORMED FOR THE PURPOSE OF ACTING AS A SUPPORTING ORGANIZATION TO SOUTHWESTERN VERMONT HEALTHCARE CORPORATION (SVHC), ITSELF A TAX-EXEMPT ENTITY, WHICH, AMONG OTHER ACTIVITIES, OPERATES SOUTHWESTERN VERMONT MEDICAL CENTER (SVMC) IN BENNINGTON, VERMONT. 0 0 951990 0 0 ACTIVITIES: 1. OPERATION OF A COVID-19 VACCINATION AND TESTING RESOURCE CENTER.2. OPEARTION OF A PFOA TESTING RESOURCE CENTER3. ARRANGING FOR AN AGREEMENT WITH THE TOWN OF BENNINGTON, VERMONT WHERE THE TOWN IS ALLOWED TO USE THE ATHLETIC FIELDS ON THE PROPERTY FOR PUBLIC USE IN VARIOUS RECREATION LEAGUES.4. THERE IS THE POTENTIAL TO LOCATE VARIOUS MEDICAL CLINICS AND/OR CHILD CARE FACILITIES OPERATED BY SVHC TO THE PROPERTY OWNED BY THE CORPORATION (THE PROPERTY OWNED IS WITHIN A 1/4 MILE OF THE MAIN HOSPITAL CAMPUS). 951990 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 2 1 0 0 0 0 1 1 1 1 0 0 1 0 1 1 0 0 0 X ROBERT LABA 8024475011 100 HOSPITAL DRIVE BENNINGTON VT 05201 X THOMAS A DEE PRESIDENT/CEO 1.00 43.00 X X 0 1408657 338381 KEVIN P DAILEY SECRETARY 1.00 39.00 X 0 390516 77691 RICHARD ADER CHAIR (THRU 9/23) 1.00 3.00 X 0 0 0 KATHLEEN FISHER TRUSTEE 1.00 3.00 X 0 0 0 STEPHEN KELLY TRUSTEE 1.00 3.00 X 0 0 0 STEPHEN D MAJETICH CFO/TREASURER 1.00 45.00 X 0 787033 148798 0 2586206 564870 0 0 1 0 0 210000 0 210000 210000 210000 12950 0 12950 12950 12950 222950 0 0 222950 214001 213165 836 51025 51025 43409 43409 401 401 82273 62273 20000 16285 16285 179212 179212 131 131 48376 48376 272486 272486 157413 157413 1065012 951990 113022 0 0 0 5289177 551503 4395879 4737674 0 0 0 0 0 0 4395879 4737674 24377 52921 0 0 0 511088 20416 664641 44793 1228650 X 4351086 3509024 4351086 3509024 4395879 4737674 -842062 0 X 0 1 X 1 0 X X 1 SOUTHWESTERN VERMONT HEALTH CARE CORPORATION 030179435 3 1 0 1065012 1 0 1065012 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 5241489 551503 4689986 47688 47688 0 0 4737674 DUE TO PARENT CORPORATION 664641 664641 X PART X, LINE 2: UNCERTAIN TAX POSITIONS: SVHC, SVMC, TWIN RIVERS, NBM, THE FOUNDATION, MAHC, SVHCNY, SVHCHF, SVHCF, AND SVHC REALITY, 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, 2023 (SUCCESSOR). 0 1 0 0 0 0 0 0 0 THOMAS A DEE PRESIDENT/CEO 0 440049 0 0 0 968608 0 308992 0 29389 0 1747038 0 641041 STEPHEN D MAJETICH CFO/TREASURER 0 397656 0 77500 0 311877 0 120012 0 28786 0 935831 0 261827 KEVIN P DAILEY SECRETARY 0 280496 0 54000 0 56020 0 55791 0 21900 0 468207 0 20186 PART I, LINE 3 TOP MANAGEMENT OFFICIAL COMPENSATION DETERMINATION: SOUTHWESTERN VERMONT MEDICAL CENTER, A RELATED ORGANIZATION, USES THE FOLLOWING TO ESTABLISH THE COMPANSTAION OF THE CEO, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD. PART I, LINE 4B CERTAIN LISTED INDIVIDUALS PARTICIPATED IN A NON-QUALIFIED DEFERRED COMPENSATION ARRANGEMENT IN CALENDAR YEAR 2022. UNDER THE TERMS OF THE PLAN, THE INDIVIDUAL BECOMES VESTED IF THEY REMAINED EMPLOYED THROUGH A TARGETED DATE OF THE PLAN. AMOUNTS VESTED IN THE PLAN DURING THE REPORTING PERIOD ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). AMOUNTS SUBJECT TO VESTED REQUIREMENTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C) AND INCLUDED BELOW. - THOMAS A. DEE: $300,992 - STEPHEN D. MAJETICH: $112,012 - KEVIN P. DAILEY: $47,791 FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: SVHC REALTY, INC. WAS FORMED TO ACT AS A SUPPORTING ORGANIZATION TO SOUTHWESTERN VERMONT HEALTHCARE CORPORATION (SVHC). 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 7A PURSUANT TO THE BYLAWS, THE BOARD DIRECTORS WILL BE APPOINTED BY THE SVHC BOARD OF TRUSTEES. AT LEAST ONE MEMBER OF THE BOARD OF DIRECTORS SHALL ALSO BE A MEMBER OF THE BOARD OF TRUSTEES OF SVHC. THE SVHC BOARD OF TRUSTEES SHALL HAVE THE ABILITY TO DESIGNATE A REPLACEMENT MEMBER SHOULD A VACANCY OCCUR ON THE BOARD. PURSUANT TO THE BYLAWS, THE PRESIDENT OF THE ORGANIZATION AT ALL TIMES WILL BE A CORPORATE OFFICER OF SVHC. 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 D-HH 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 7B PLEASE SEE FORM 990, SECTION A, LINE 7A 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 IRS. FORM 990, PART VI, SECTION B, LINE 12 MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ALTHOUGH SVHC REALTY, INC. ITSELF DOES NOT HAVE CONFLICT TO INTEREST POLICY, SOUTHWESTERN VERMONT HEALTHCARE CORPORATION (SVHC), PARENT CORPORATION TO SVHC REALTY, INC. AND ALSO A RECOGNIZED 501(C)(3) EXEMPT CORPORATION DOES MAINTAIN A CONFLICT OF INTEREST POLICY. THE SVHC CONFLICT OF INTEREST POLICY IS FOLLOWED BY SVHC REALTY. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION REVIEW: THE ORGANIZATION'S CEO AND OFFICER COMPENSATION IS PAID BY SOUTHWESTERN VERMONT MEDICAL CENTER (SVMC). THE PROCESS SVMC USES TO DETERMINE 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 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. 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: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENT, 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. KEVIN DAILEY IS COMPENSATED AS THE VP OF HR OF THE SOUTHWESTERN VERMONT MEDICAL CENTER. SOUTHWESTERN VERMONT HEALTH CARE CORP 100 HOSPITAL DRIVE BENNINGTON VT 05201 030179435 MANAGEMENT VT 501(C)(3) LINE 3 N/A 0 MOUNT ANTHONY HOUSING CORPORATION 100 HOSPITAL DRIVE BENNINGTON VT 05201 030279740 NURSING HOMES 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 NORTHERN BERKSHIRE MEDICAL PC 375 MAIN STREET WILLIAMSTOWN VT 01267 814023607 HEALTH CARE MA 501(C)(3) LINE 10 SVMC 0 TWIN RIVERS MEDICAL PC 2 SUNRISE DRIVE HOOSICK FALLS VT 12090 473028931 HEALTH CARE NY 501(C)(3) LINE 10 SVMC 0 HOOSICK FALLS HEALTH CENTER INC 21 DANFORTH STREET HOOSICK FALLS VT 12090 141370000 NURSING HOME NY 501(C)(3) LINE 3 SVHC 0 HOOSICK FALLS HEALTH CENTER FOUNDATION 21 DANFORTH STREET HOOSICK FALLS VT 12090 223186959 SUPPORT NY 501(C)(3) LINE 7 HFHC 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 STREET580 COURT STREET KEENE NH 03431 020354549 HOSPITAL NH 501(C)(3) LINE 3 D-HH 0 WINDSOR HOSPITAL CORPORATION 289 COUNTY ROAD WINDSOR VT 05089 030183721 HOSPITAL VT 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 10 ALICE PECK DAY DRIVE LEBANON NH 03766 222519596 PHYSICIAN SERVICES NH 501(C)(3) LINE 10 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 SOUTHWESTERN VT HEALTHCARE ENTERPRISE 100 HOSPITAL DRIVE BENNINGTON VT 05201 030314501 HEALTH CARE VT SVHC REALTY C 588000 1.00000 1 1 0 0 0 1 0 0 0 0 1 0 0 0 1 1 1 0 0 0 SCHEDULE R PART II - IDENTIFICATION 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.