2026-08-03T13:26:55-05:00 2025-09-30 161226221 FUSTCHARLES LLP 220 S WARREN STREET SYRACUSE NY 13202 990 2024-10-01 814023607 NORTHERN BERKSHIRE MEDICAL PC NORT 4134584452 375 MAIN STREET WILLIAMSTOWN MA 01267 ROBERT LABA CFO 4134584452 2026-07-30 1 1 DESIREE M BENNETT P01263666 3154463600 2026-07-30 2024 2025-03-06 01:10:19Z NORTHERN BERKSHIRE ORTHOPEDICS PC CARL DOBSON 375 MAIN STREET WILLIAMSTOWN MA 01267 863311 0 X WWW.ORTHONA.COM X 2016 MA NORTHERN BERKSHIRE MEDICAL PC OPERATES AN ORTHOPEDIC OFFICE IN WILLIAMSTOWN, MA. 1 0 4 0 0 0 0 0 763534 863298 21 13 0 0 763555 863311 0 0 0 0 350294 384672 0 0 0 1073500 852437 1423794 1237109 -660239 -373798 428121 381281 1689317 2016275 -1261196 -1634994 NORTHERN BERKSHIRE MEDICAL PC OPERATES AN ORTHOPEDIC OFFICE IN WILLIAMSTOWN, MA. 0 0 1237109 863298 OUR BOARD-CERTIFIED ORTHOPEDIC SURGEONS AND SPORTS MEDICINE DOCTORS PROVIDE THE MOST EFFECTIVE TREATMENTS FOR LONG-LASTING HEALING AND PAIN RELIEF. THEY TREAT ALL GENERAL ORTHOPEDIC CONDITIONS AND INJURIES AND PROVIDE EXPERT FRACTURE CARE, INCLUDING ARTHROSCOPIC SURGERY. OUR COMPREHENSIVE APPROACH TO MANAGING PATIENT CARE MAKES IT POSSIBLE FOR PATIENTS TO GET A PROMPT DIAGNOSIS AND TREATMENT PLAN. X-RAYS AND MINOR PROCEDURES SUCH AS CARPAL TUNNEL SURGERY, TRIGGER FINGER RELEASE, NEEDLE APONEURTOTOMY FOR THE TREATMENT OF DUPUYREN'S CONTRACTURE AND ORTHOVISC INJECTIONS ARE ALL AVAILABLE ON SITE. 1237109 1 0 0 0 0 0 0 0 0 0 1 0 0 1 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 4 1 0 0 0 0 0 0 0 0 0 0 0 0 X 1 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 MA 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 NET PATIENT SERVICE RE 621110 863298 863298 863298 13 13 863311 863298 0 13 X 281342 281342 6524 6524 76789 76789 20017 20017 3119 3119 621268 621268 57290 57290 1810 1810 71245 71245 23626 23626 13541 13541 MEDICAL SUPPLIES & DRUG 59035 59035 LICENSES, DUES, SUBS. 1503 1503 1237109 1237109 0 0 28712 57255 92763 89175 232716 63847 192495 168869 114151 65982 428121 381281 20261 21260 1669056 1995015 1689317 2016275 X -1261196 -1634994 -1261196 -1634994 428121 381281 -373798 0 X X 0 1 X 1 0 X 90080 0 0 0 0 90080 610913 797068 813444 763534 863298 3848257 700993 797068 813444 763534 863298 3938337 0 0 0 3938337 48 21 13 82 48 21 13 82 701041 797068 813444 763555 863311 3938419 1.00000 1.00000 0.00000 0.00000 X 203272 46675 156597 24597 14264 10333 4847 2908 1939 168869 OPERATING LEASE OBLIGATION 61982 SECURITY DEPOSIT 4000 65982 DUE TO AFFILIATES 1923342 OPERATING LEASE LIABILITY 62732 ESTIMATED SELF INSURANCE COSTS 8941 1995015 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. 1 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. PART I, LINE 4A IN FISCAL YEAR 2025, STEPHEN MAJETICH RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $226,154, WHICH IS INCLUDED IN HIS OTHER REPORTABLE COMPENSATION IN SCHEDULE J, PART II, COLUMN B(II). FORM 990, PART VI, SECTION A, LINE 6 NORTHERN BERKSHIRE 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 SOLE HOLDER OF THE ISSUED AND OUTSTANDING SHARES OF THE CORPORATION SHALL BE THAT INDIVIDUAL WHO IS (I) LICENSED TO PRACTICE OF MEDICINE IN THE COMMONWEALTH OF MASSACHUSETTS; (II) DESIGNATED BY SOUTHWESTERN VERMONT MEDICAL CENTER OR ITS SUCCESSOR ("SVMC") TO BE A SHAREHOLDER OF THE CORPORATION; (III) IS THE CHIEF MEDICAL OFFICER OR AN EMPLOYEE OF SVMC OR AN AFFILIATED ENTITY OR IS DEPLOYED TO SVMC OR AN AFFILIATED ENTITY UNDER A PROFESSIONAL SERVICES AGREEMENT WITH SVMC OR AN AFFILIATED ENTITY; AND (IV) SUBSCRIBES TO AND COMPLIES WITH THE STOCK TRANSFER AND INDEMNIFICATION AGREEMENT WITH SVMC OR ITS SUCCESSOR (HEREINAFTER REFERRED TO AS THE ELIGIBLE SHAREHOLDER). NO SUCH INDIVIDUAL MAY BE AN OFFICER, SHAREHOLDER, DIRECTOR OR EMPLOYEE OF ANY OTHER CORPORATION ENGAGED IN THE PRACTICE OF MEDICINE WITHOUT THE WRITTEN PRIOR APPROVAL OF THE PRESIDENT OF SVMC OR ITS SUCCESSOR. 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. ALL BY-LAWS OF THE CORPORATION SHALL BE SUBJECT TO ALTERATION OR REPEAL, AND NEW BY-LAWS MAY BE ADOPTED EITHER BY THE VOTE OF A MAJORITY OF THE OUTSTANDING SHARES OF THE CORPORATION ENTITLED TO VOTE IN RESPECT THEREOF, OR BY THE VOTE OF THE BOARD OF DIRECTORS, PROVIDED THAT IN EACH CASE NOTICE OF THE PROPOSED ALTERATION OR REPEAL OR OF THE PROPOSED NEW BY-LAWS BE INCLUDED IN THE NOTICE OF THE MEETING AT WHICH SUCH ALTERATION, REPEAL OR ADOPTION IS ACTED UPON, AND PROVIDED FURTHER THAT ANY SUCH ACTION BY THE BOARD OF DIRECTORS MAY BE CHANGED BY THE SHAREHOLDERS, EXCEPT THAT NO SUCH CHANGE SHALL AFFECT THE VALIDITY OF ANY ACTIONS THERETOFORE TAKEN PURSUANT TO THE BY-LAWS AS ALTERED, REPEALED OR ADOPTED BY THE BOARD OF DIRECTORS, AND PROVIDED STILL FURTHER THAN ANY AMENDMENT OF ARTICLE XI SHALL REQUIRE THE WRITTEN PRIOR APPROVAL OF THE PRESIDENT OF SOUTHWESTERN VERMONT MEDICAL CENTER OR ITS SUCCESSOR. 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 DHH 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 NORTHERN BERKSHIRE MEDICAL PC AS WELL AS THE FINANCE COMMITTEE AND FULL 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 OFFICER COMPENSATION IS PAID BY SOUTHWESTERN VERMONT MEDICAL CENTER (SVMC) AND D-HH. 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 CEO POSITION. THIS REPORT IS USED AS THE BASIS FOR STRUCTURING COMPENSATION 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: 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 PSA FEES: PROGRAM SERVICE EXPENSES 542,969. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 542,969. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 78,299. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 78,299. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. SOUTHWESTERN VERMONT HEALTH CARE CORPORATION 100 HOSPITAL DRIVE BENNINGTON VT 05201 030179435 MANAGMENT VT 501(C)(3) LINE 3 D-HH 0 SOUTHWESTERN VERMONT MEDICAL CENTER 100 HOSPITAL DRIVE BENNINGTON VT 05201 222563241 HOSPITAL VT 501(C)(3) LINE 3 SVHC 0 SOUTHWESTERN VT HEALTH CARE FOUNDATION 100 HOSPITAL DRIVE BENNINGTON VT 05201 453362785 FUNDRAISING VT 501(C)(3) LINE 12A, I SVHC 0 TWIN RIVERS MEDICAL PC 2 SUNRISE DRIVE HOOSICK FALLS NY 12090 473028931 HEALTH CARE NY 501(C)(3) LINE 10 SVMC 0 MOUNT ANTHONY HOUSING CORPORATION 160 HOSPITAL DRIVE BENNINGTON VT 05201 030279740 NURSING HOMES VT 501(C)(3) LINE 10 SVHC 0 HOOSICK FALLS HEALTH CENTER INC HOOSICK FALLS 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) LINE 7 HFHC 0 SVHC REALTY INC 100 HOSPITAL DRIVE BENNINGTON VT 05201 861399877 REAL ESTATE MANAGEMENT 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 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 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 VT 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 ALICE PECK DAY MEMORIAL HOSPITAL 10 ALICE PECK DAY DRIVE LEBANON NH 03756 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 HEALTHCARE VT SVHC C 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 0 0 1 SOUTHWESTERN VERMONT MEDICAL CENTER P 575000 CASH TRANSACTION SOUTHWESTERN VERMONT MEDICAL CENTER M 949461 FMV OF SERVICES 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.