4A (Expenses $ 125377370 including grants of $ 76900) (Revenue $ 164714788)
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, INCLUDING A CHEST PAIN UNIT, CANCER CENTER, A FAMILY CENTERED BIRTH PLACE, MINIMALLY INVASIVE AND OTHER SURGICAL SERVICES, A RENAL DIALYSIS UNIT, A FULL SERVICE ACCREDITED LABORATORY, PRIMARY CARE AND SPECIALIST PHYSICIANS. THERE ARE SATELLITE CAMPUSES IN DEERFIELD VALLEY, NORTHSHIRE AND POWNAL. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.

4B (Expenses $ 44792234 including grants of $ 0) (Revenue $ 29042475)
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.

SOUTHWESTERN VERMONT MEDICAL CENTER
PART V, SECTION B, LINE 5: DURING THE 2021 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 7 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. THE BENNINGTON COMMUNITY COLLABORATIVE, COMPRISED OF MULTIFUNCTIONAL LEADERS FROM THE REGION'S MEDICAL AND SOCIAL SERVICE AGENCIES INCLUDING HOUSING, FOOD INSECURITY, EDUCATION, CRIMINAL JUSTICE, AND TRANSPORTATION.5. COMMUNITY FORUMS HELD BY OTHER REGIONAL ORGANIZATIONS SUCH AS THE COUNCIL ON AGING, DEPARTMENT OF HEALTH, AND DESIGNATED MENTAL HEALTH AGENCY6. COMMUNITY HEALTH AND MEDICAL ACCESS SURVEY COMPLETED BY 1,632 RESPONDENTS7. FIVE SEPARATE, IN-DEPTH VIRTUAL FOCUS GROUPS INVOLVING COMMUNITY MEMBERS AND LEADERS FROM MULTIPLE REGIONS IN VERMONT, NEW YORK, AND MASSACHUSETTSEACH 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 4 PRIORTY HEALTH NEEDS WERE DERIVED:- MENTAL HEALTH SUPPORTS - PROMOTION OF HEALTHY BEHAVIORS AND PRIMARY PREVENTION ACTIVITIES - ACCESSIBILTY OF HIGH-QUALITY, CONVENIENT, AND AFFORDABLE CARE- SUBSTANCE USE PREVENTION, HARM REDUCTION, TREATMENT AND RECOVERY RESOURCESTHESE 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 2021 COMMUNITY HEALTH NEEDS ASSESSMENT WERE ADDRESSED BY A COMPREHESIVE IMPLEMENTATION PLAN IN 2022.IN 2022, SVMC INVESTED $21.7 MILLION IN COMMUNITY BENEFITS ACROSS A WIDE ARRAY OF SERVICES, PROGRAMS AND INITIATIVES. SVMC PROVIDED $1.8 MILLION IN CHARITY CARE AND $15.7 MILLION IN UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS. SVMC PROVIDED $4.2 MILLION IN SUBSIDIZED HEALTHCARE AND $352,000 IN PROVIDER RECRUITMENT TO ADDRESS ISSUES WITH HEALTHCARE ACCESS. SVMC ALSO INVESTED $1,012,000 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 $157,000 TOWARDS ECONOMIC DEVELOPMENT AND POVERTY ALLEVIATION AND IN DIRECT COMMUNITY BASED HEALTH AND WELLNESS PROGRAMS.THE ECONOMIC EFFORTS INCLUDED FUNDING TO THE BENNINGTON REGIONAL COMMISSION FOR A VOLUNTEER IN SERVICE TO AMERICA FELLOW TO WORK ON THE IMPACT OF THE OPIOID EPIDEMIC AND COVID ON HEALTH EQUITY, FUNDING TO THE BETTER BENNINGTON CORPORATION IN SUPPORT OF A HOUSING STUDY TO SPUR PUBLIC AND PRIVATE INVESTMENT IN HOUSING DEVELOPMENT, AND FUNDING TO LEVER, INC FOR START-UP ENTREPRENEURS.EFFORTS IN YOUTH ACTIVITIES AND WELLNESS INCLUDED FUNDING FOR SCHOLARSHIPS ALLOWING SPORTS AND ARTS INVOLVEMENT. FUNDS ALSO SUPPORTED AFTERSCHOOL AND SUMMER ACADEMIC ENRICHMENT. LASTLY FUNDS ALLOWED DEPLOYMENT OF AN INNOVATIVE MENTAL HEALTH APP FOR TEENS.BROADER EFFORTS WELLNESS AND HEALTH PROMOTION SUPPORTED ORGANIZATIONS ADDRESSING FOOD INSECURITY AND HEALTH SELF-ADVOCACY. FUNDS WERE USED TO DEVELOP 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://SVHEALTHCARE.ORG/HEALTHYTHE CHNA IMPLEMENTATION PLAN FOR 2022 WAS ALTERED TO RESPOND TO THE COMMUNITIES' ACUTE NEEDS AROUND COVID TESTING, VACCINATION, AND ACCURATE PANDEMIC INFORMATION. RESOURCES WERE DEPLOYED TO OPERATE A COVID RESOURCE CENTER THAT OBTAINED MORE THAN 50,000 SAMPLES FOR COVID TESTS AND VACCINATED AND/OR BOOSTED MORE THAN 45,000 PATIENTS. ADDITIONALLY, SVHC PROVIDED CLEAR, ACCURATE, AND ACTIONABLE INFORMATION THROUGH A MULTI-PRONGED COMMUNICATION STRATEGY INCLUDING: SIGNAGE, INTENSIFIED SOCIAL MEDIA PRESENCE, WEEKLY EMAIL NEWSLETTERS, PRINT MESSAGING, AND BROADCAST MESSAGING. IN COLLABORATION WITH THE SOUTHERN VERMONT CHAMBER OF COMMERCE AND CAT-TV, SVHC PRODUCED MANY COMMUNITY EDUCATION SHOWS FEATURING CLINICAL LEADERS AND INFECTIOUS DISEASE EXPERTS. SVHC HOSTED SEVERAL QUESTION AND ANSWER VIRTUAL COMMUNITY FORUMS ABOUT COVID-19 AS WELL AS SESSIONS WITH PRIMARY CARE AND SPECIALTY PHYSICIANS.AS AN ADDITIONAL EFFORT TO EDUCATE THE COMMUNITY, SVMC CREATED AN INTERACTIVE, MULTIPLATFORM MEDICAL-THEMED TALK SHOW WITH ITS CHIEF MEDICAL OFFICE DR. TREY DOBSON AS THE HOST. FORTY-FOUR 30-MINUTE EPISODES WERE PRODUCED DURING FY22. THE WEEKLY SHOW PROVIDES A BEHIND-THE-SCENES PERSPECTIVE ON HEALTHCARE, INCLUDING TOPICS LIKE MENTAL HEALTH, FOOD INSECURITY, EQUITABLE CARE, HEALTHY BEHAVIORS, YOUTH ENGAGEMENT, AND THE OPIOID CRISIS. THE SHOW WAS PRODUCED IN PARTNERSHIP WITH CATAMOUNT ACCESS TELEVISION (CAT-TV) AND IS BROADCAST ON CAT-TV, GREATER NORTHSHIRE ACCESS TELEVISION, WILLINET, FACEBOOK LIVE, YOUTUBE, PODCAST PLATFORMS AND SYNDICATED THROUGH THE VERMONT ACCESS NETWORK. THE RESOURCES UTILIZED TO ADDRESS THE COMMUNITY'S COVID NEEDS FOR TESTING, VACCINATION AND ACCURATE PANDEMIC INFORMATION TOTALED $1,059,694.

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).

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 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, 2022. 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 11.3% 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 14 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 OFTRUSTEES, OUR MEDICAL STAFF, AND OUR CONNECTIONS WITH OUTSIDE COMMUNITYGROUPS.2. LEGISLATIVE UPDATES DURING WHICH SVMC HEARS FROM ELECTIVE OFFICIALSABOUT NEEDS COMMUNICATED TO THEM FROM CONSTITUENTS.3. THE BENNINGTON COMMUNITY COLLABORATIVE COMPRISED OF LEADERS THAT SPANTHE REGION'S MEDICAL AND SOCIAL SERVICE AGENCIES INCLUDING HOUSING, FOODINSECURITY. EDUCATION, CRIMINAL JUSTICE AND TRANSPORTATION.4. ATTENDANCE AT COMMUNITY FORUMS HELD BY OTHER ORGANIZATIONS, FOREXAMPLE, THE HEALTHCARE TOWN HALL HOSTED BY THE BENNINGTON FREELIBRARY.5. THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WHICH INCLUDED SIX SEPARATE, IN-DEPTH FOCUS GROUPS INVOLVING MORE THAN 70 COMMUNITY MEMBERS AND LEADERS FROM MULTIPLE SECTORS IN VERMONT, NEW YORK, AND MASSACHUSETTS COMMUNITIES. THESE FOCUS GROUPS CONSISTED OF MEMBERS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY SVHC. MEMBERSINCLUDED STATE AND LOCAL PUBLIC HEALTH DEPARTMENTS, A WIDE VARIETY OF COMMUNITY LEADERS, AND REPRESENTATIVES OF THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. FOCUS GROUP DISCUSSIONS 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 FOCUS GROUPS IDENTIFIED THE HEALTH NEEDS IN THE FOLLOWINGDEMOGRAPHIC SEGMENTS:-POPULATION DEMOGRAPHICS-PRE-K AND PARENTS-CHILDREN AND YOUTH (AGES 6-12)-TEENS AND YOUNG ADULT (AGES 13-20)-ADULTS (AGES 21-34)-MATURE ADULTS (AGES 35-64)-SENIORS (AGE GREATER THAN 65)TO REDUCE THE LIST OF IDENTIFIED HEALTH NEEDS, SIMILAR HEALTH NEEDS IN EACH SEGMENT WERE GROUPED AND SIMILAR HEALTH NEEDS IN SEPARATE AGE SEGMENTS WERE COMBINED. FOCUS GROUPS REVIEWED QUANTITATIVE DATA TO FURTHER DEEPEN THEIR PERSPECTIVE OF THE HEALTH NEEDS OF THE COMMUNITY. AFTER CATALOGUING PREVALENT HEALTH NEEDS AND REVIEWING QUANTITATIVE ANDQUALITATIVE DATA, FOCUS GROUPS USED A STRUCTURED VOTING SYSTEM TO PRIORITIZE THE FINAL LIST OF THE MOST PRESSING COMMUNITY HEALTH NEEDS. FOCUS GROUPS ALSO DEVELOPED INITIAL RECOMMENDATIONS FOR THE IMPLEMENTATION PLAN TO ADDRESS THE MOST PRESSING HEALTH NEEDS IDENTIFIED. AS NEEDS ARE IDENTIFIED THROUGH THESE MECHANISMS THEY ARE INCLUDED IN THE PROCESS FOR CREATING THE HEALTH SYSTEM'S STRATEGIC PLAN. THE STRATEGIC 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 FORANY 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 A FULL-TIME COUNSELOR WHO REGULARLY MEETS 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 2019. THE CURRENT POPULATION OF SVMC'S PRIMARY SERVICE AREA IS 50,000. ACROSS OUR FULL SERVICE AREA, INCLUDING FRINGE MARKETS, THE POPULATION IS JUST UNDER 120,000. THE AVERAGE AGE OF RESIDENTS HAS ALSO INCREASED WITH 19% 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 2020, 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 SOUTHWESTERNVERMONT HEALTH CARE CORPORATION (SVHC), SOUTHWESTERN VERMONT MEDICALCENTER, 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 ORCONTROLLED SUBSIDIARY CORPORATIONS. ACTIVITIES PERFORMED BY SVHC INCLUDE:MANAGING INVESTMENTS; FUNDRAISING; OPERATING AND MANAGING BUILDINGS ANDEQUIPMENT 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 AUXILIARY, INC. (SVMCA) IS A NOT-FOR-PROFIT CORPORATION ORGANIZED FOR THE PURPOSE OF SERVING AND ASSISTING SVMC AND ITS SUBSIDIARIES IN PROMOTING THE HEALTH AND WELFARE OF THE COMMUNITY IN ACCORDANCE WITH SVMC'S OBJECTIVES AND TO CONDUCT VARIOUS PHILANTHROPIC ACTIVITIES FOR SVMC. THE SOUTHWESTERN VERMONT HEALTH CARE AUXILIARY BOARD OF DIRECTORS VOTED TO DISSOLVE THE CORPORATION ON 05/26/2022. ALL ASSETS WERE DISTRIBUTED TO SOUTHWESTERN VERMONT MEDICAL CENTER TO CARRY FORTH THE DUTIES AS DESCRIBED IN THE AUXILIARY'S MISSION STATEMENT.SOUTHWESTERN VERMONT HEALTH CARE ENTERPRISES (SVHCE) IS A FOR PROFIT CORPORATION ORGANIZED FOR THE PURPOSE OF PROVIDING FAMILY PRACTICE AND OTHER SPECIALTY PHYSICIAN SERVICES.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.