2025-08-12T15:10:54-05:00 2024-09-30 161226221 FUSTCHARLES LLP 220 S WARREN STREET SYRACUSE NY 13202 990 2023-10-01 861399877 SVHC REALTY INC SVHC 8024475011 100 HOSPITAL DRIVE BENNINGTON VT 05201 ROBERT LABA CFO 8024475011 2025-08-12 1 1 THOMAS J GIUFRE P00841958 3154463600 2025-08-12 2023 2025-03-06 01:10:19Z THOMAS DEE 100 HOSPITAL DRIVE BENNINGTON VT 05201 269855 0 X WWW.SVHEALTHCARE.ORG X 2020 VT SVHC REALTY, INC. WAS FORMED TO ACT AS A SUPPORTING ORGANIZATION TO SOUTHWESTERN VERMONT HEALTHCARE CORPORATION. 6 2 0 2 0 0 0 0 0 0 12950 -19028 210000 259355 222950 240327 0 0 0 0 265026 245027 0 0 0 799986 619050 1065012 864077 -842062 -623750 4737674 4707846 1228650 1822572 3509024 2885274 SVHC REALTY,INC. WAS FORMED FOR THE PURPOSE OF ACTING AS A SUPPORTING ORGANIZATION TO SOUTHWESTERN VERMONT HEALTHCARE CORPORATION (SVHC), ITSELF A TAXEXEMPT ENTITY, WHICH, AMONG OTHER ACTIVITIES, OPERATES SOUTHWESTERN VERMONT MEDICAL CENTER (SVMC) IN BENNINGTON, VERMONT. 0 0 816976 240327 ACTIVITIES:1. OPERATION OF A VACCINATION AND TESTING RESOURCE CENTER, AS NEEDED.2. ARRANGING FOR AGREEMENT WITH THE TOWN OF BENNINGTON, WHERE THE TOWN IS ALLOWED TO USE THE ATHLETIC FIELDS ON THE PROPERTY FOR PUBLIC USE IN VARIOUS RECREATION LEAGUES.3. USED FOR FACILTY FILE/EQUIPMENT/FURNITURE STORAGE. 816976 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 6 2 1 0 0 0 0 1 1 1 1 0 0 1 0 1 1 0 1 0 X ROBERT LABA 8024475011 100 HOSPITAL DRIVE BENNINGTON VT 05201 X THOMAS A DEE PRESIDENT/CEO 1.00 39.00 X X 0 716001 368407 KEVIN P DAILEY SECRETARY 1.00 39.00 X X 0 411093 32125 ROBERT LABA VP/TREASURER 1.00 39.00 X X 0 97113 101 KATHLEEN FISHER TRUSTEE 1.00 4.00 X 0 0 0 STEPHEN KELLY CHAIR 1.00 3.00 X X 0 0 0 MICHAEL E BRADY TRUSTEE 1.00 3.00 X 0 177101 101 STEPHEN D MAJETICH FORMER OFFICER 1.00 39.00 X 0 545090 18870 0 1946398 419604 0 1 1 0 0 259355 0 259355 259355 259355 10500 29528 -19028 -19028 -19028 240327 0 0 240327 184231 183865 366 4502 4502 56294 56294 31360 31360 42737 42737 21854 21854 329936 329936 2294 2294 15375 15375 175494 175494 864077 816976 47101 0 5259349 551503 4737674 4707846 4737674 4707846 52921 62647 511088 511088 664641 1248837 1228650 1822572 X 3509024 2885274 3509024 2885274 4737674 4707846 -623750 0 X X 0 1 X 1 0 X X 1 (A) SOUTHWESTERN VERMONT HEALTH CARE CORPORATION 030179435 3 1 0 864079 1 0 864079 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 5241489 551503 4689986 17860 17860 4707846 DUE TO PARENT CORPORATION 1248837 1248837 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. 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, 2024. 0 1 0 0 0 0 0 0 0 THOMAS A DEE PRESIDENT/CEO 0 442030 0 230683 0 43288 0 335832 0 32575 0 1084408 0 0 STEPHEN D MAJETICH FORMER OFFICER 0 219436 0 63000 0 262654 0 5231 0 13639 0 563960 0 15972 KEVIN P DAILEY SECRETARY 0 296530 0 64400 0 50163 0 8000 0 24125 0 443218 0 18075 MICHAEL E BRADY TRUSTEE 0 176162 0 0 0 939 0 0 0 101 0 177202 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 4B CERTAIN INDIVIDUALS LISTED IN 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 2023, AND AMOUNTS CREDITED UNDER THE PLAN ARE INCLUDED IN FORM 990, PART VII, SECTION A FOR THE FOLLOWING: THOMAS A. DEE - $327,832 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 (DH). UNDER THE TERMS OF THE AGREEMENT, THE CORPORATION AND DH 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 DH 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 15B 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: 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. MICHAEL BRADY, DDS, RECEIVED COMPENSATION FOR HIS EMPLOYMENT WITH SOUTHWESTERN VERMONT MEDICAL CENTER. FORM 990, PART XII, LINE 2C: NO CHANGES FROM PRIOR YEAR. SOUTHWESTERN VERMONT HEALTH CARE CORP 100 HOSPITAL DRIVE BENNINGTON VT 05201 030179435 MANAGEMENT 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 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 MA 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 VT 501(C)(3) LINE 10 SVMC 0 HOOSICK FALLS HEALTH CENTER INC 21 DANFORTH STREET HOOSICK FALLS VT 12090 141370000 NURSING HOMES VT 501(C)(3) LINE 3 SVHC 0 HOOSICK FALLS HEALTH CENTER FOUNDATION 21 DANFORTH STREET HOOSICK FALLS VT 12090 223186959 SUPPORT VT 501(C)(3) LINE 7 HFHC 0 DARTMOUTH-HITCHCOCK 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 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 ONE MEDICAL CENTER 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 VALLEY REGIONAL HEALTHCARE INC 243 ELM STREET CLAREMONT NH 03743 020397338 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 C 0 0 0 0 0 1 0 0 0 0 1 0 0 1 1 0 1 0 0 0 SOUTHWESTERN VERMONT MEDICAL CENTER M 834197 COST SOUTHWESTERN VERMONT MEDICAL CENTER P 240000 COST 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.