Civic Intelligence

Northern Berkshire Medical PC

990 • Fiscal year 2019 • EIN 81-4023607

Oct 01, 2018 to Sep 30, 2019 • Filed on Feb 19, 2020

375 Main StWilliamstown, MA 01267

(413) 458-4452

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

97th percentile

1.57x

Higher debt load relative to assets than 97% of similar nonprofits.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2019

Liabilities / Revenue

91st percentile

1.11x

Higher debt load relative to revenue than 91% of similar nonprofits.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2019

Net Margin

6th percentile

-51%

Higher net margin than 6% of similar nonprofits.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2019

Top Officer Pay

99th percentile

$492,814

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 58.1% of source-year revenue.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2019

Asset Growth

9th percentile

-20%

Faster asset growth than 9% of similar nonprofits.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2018 to 2019

Revenue Growth

20th percentile

-14%

Faster revenue growth than 20% of similar nonprofits.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2018 to 2019

Assets

Down

$603,537

Down $147,701 (-20%) from 2018

Net Assets

Down

-$341,469

Down $428,394 (-493%) from 2018

Liabilities

Up

$945,006

Up $280,693 (+42%) from 2018

Revenue

Down

$847,592

Down $140,551 (-14%) from 2018

Expenses

Up

$1,275,986

Up $29,036 (+2.3%) from 2018

Net Income

Down

-$428,394

Down $169,587 (-66%) from 2018

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$2.0M$1.0M$0-$1.0M-$2.0MAssets 2017: $885,108Liabilities 2017: $1,278,398Net Assets 2017: -$393,2902017Assets 2018: $751,238Liabilities 2018: $664,313Net Assets 2018: $86,9252018Assets 2019: $603,537Liabilities 2019: $945,006Net Assets 2019: -$341,4692019Assets 2020: $478,529Liabilities 2020: $1,201,201Net Assets 2020: -$722,6722020Assets 2021: $682,225Liabilities 2021: $1,042,762Net Assets 2021: -$360,5372021Assets 2022: $620,552Liabilities 2022: $1,428,303Net Assets 2022: -$807,7512022Assets 2023: $491,201Liabilities 2023: $1,092,158Net Assets 2023: -$600,9572023Assets 2024: $428,121Liabilities 2024: $1,689,317Net Assets 2024: -$1,261,1962024

Highlighted filing

2019

Assets$603,537
Liabilities$945,006
Net Assets-$341,469

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$2.0M$1.0M$0-$1.0MRevenue 2017: $837,194Expenses 2017: $1,230,484Net Income 2017: -$393,2902017Revenue 2018: $988,143Expenses 2018: $1,246,950Net Income 2018: -$258,8072018Revenue 2019: $847,592Expenses 2019: $1,275,986Net Income 2019: -$428,3942019Revenue 2020: $551,300Expenses 2020: $932,503Net Income 2020: -$381,2032020Revenue 2021: $701,041Expenses 2021: $1,045,776Net Income 2021: -$344,7352021Revenue 2022: $797,068Expenses 2022: $1,244,282Net Income 2022: -$447,2142022Revenue 2023: $813,444Expenses 2023: $1,215,677Net Income 2023: -$402,2332023Revenue 2024: $763,555Expenses 2024: $1,423,794Net Income 2024: -$660,2392024

Highlighted filing

2019

Revenue$847,592
Expenses$1,275,986
Net Income-$428,394
Jump To
Filing Snapshot
Filing Period
Oct 1, 2018 to Sep 30, 2019
Signed
Feb 19, 2020
Return Version
2018v3.3
Gross Receipts
$847,592
Mission and Program Overview

Mission

NONE.

Northern berkshire medical pc operates an orthopedic office in williamstown, ma.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$584,533$497,843▼ $86,690
Accounts Receivable$102,352$55,844▼ $46,508
Savings and Temporary Cash Investments$15,833$23,104▲ $7,271
Cash and Non-Interest-Bearing Accounts$48,520$17,462▼ $31,058
Prepaid Expenses and Deferred Charges$0$5,284▲ $5,284
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$751,238$603,537▼ $147,701
Other Assets Total$0$4,000▲ $4,000
Liabilities
Other Liabilities$617,497$909,491▲ $291,994
Accounts Payable and Accrued Expenses$46,816$35,515▼ $11,301
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$664,313$945,006▲ $280,693
Net Assets / Fund Balance
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Unrestricted Net Assets$86,925$-341,469▼ $428,394
Total Net Assets Fund Balance$86,925$-341,469▼ $428,394
Total Liabilities and Net Assets / Fund Balance$751,238$603,537▼ $147,701

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$301,471$72,269$373,740
Equipment$186,678$140,167$326,845
Other Land Buildings$9,694$3,231$12,925
Compensation and Service Providers

Board Members and Trustees

NameTitle
Carl DobsonPresident
Stephen MajetichCFO
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$847,539
Investment Income
$53
Other Revenue
$0
Change in Net Assets
$-428,394

Audited Revenue Reconciliation

Revenue per Audited Statements
$847,592
Total Revenue per Audited Statements
$847,592
Total Revenue per Form 990
$847,592
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$881,255
Salaries, Compensation, and Employee Benefits$394,731
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$635,127--$635,127
Other Salaries and Wages$306,046--$306,046
Depreciation Depletion$85,488$1,202-$86,690
Occupancy$67,861$954-$68,815
Other Employee Benefits$48,699--$48,699
Payroll Taxes$25,268--$25,268
Office Expenses$20,919$294-$21,213
Pension Plan Contributions$14,718--$14,718
Insurance$9,570--$9,570
Fees for Services Accounting-$5,497-$5,497
Other Expenses$840--$840
Fees for Services Legal-$629-$629
Travel$460$6-$466
Conferences and Meetings$182$3-$185
Total Functional Expenses$1,267,401$8,585$0$1,275,986

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$1,275,986
Total Expenses per Audited Statements$1,275,986
Total Expenses per Form 990$1,275,986
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliate$904,347
Estimated self-insurance costs$5,144
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
No
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6, 7A, & 7B

Members, stockholders, or other persons: 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.

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 C, Line 19

Document disclosure: the organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Northern Berkshire Medical Pc
EIN
81-4023607
In Care Of
% STEPHEN MAJETICH
Phone
4134584452
Address
375 MAIN ST, WILLIAMSTOWN, MA 01267
Doing Business As
Northern Berkshire Orthopedics Pc

Signing Officer

Name
Stephen Majetich
Title
CFO
Phone
4134584452
Signed
2020-02-19
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Carl Dobson
Formed
2016
Legal Domicile
Ma
Voting Board Members
1
Independent Board Members
1
Employees
9
Volunteers
1

Preparer

Firm
Bkd Llp
Address
910 E ST LOUIS 200/PO BOX 1190, SPRINGFIELD, MO 65806-2523
Preparer
Brian D Todd
Phone
4178658701
Supplemental Narrative

Additional Explanations

Form 990 Part IX Line 11G

Description:psa fees total fees:544535

Form 990 Part IX Line 11G

Description:purchased services total fees:74761

Form 990 Part IX Line 11G

Description:service contracts total fees:15650

Form 990 Part IX Line 11G

Description:collection fees total fees:181

Financial Statement Notes

Schedule D, Part X, Line 2

Uncertain tax positions: management has evaluated their income tax positions under the guidance included in asc 740. Based on their review, management has not identified any material uncertain tax positions to be recorded or disclosed in the financial statements.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0OUR 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, ARTHRITIS TREATMENT, JOINT REPLACEMENTS, AND SPORTS MEDICINE, 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 APONEUROTOMY FOR THE TREATMENT OF DUPUYTREN'S CONTRACTURE, AND ORTHOVISC INJECTIONS ARE ALL AVAILABLE ON SITE.
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IRS990/PYTotalRevenueAmt0988143
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IRS990/ReceivablesFromOfficersEtcGrp/BOYAmt00
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IRS990/RentalIncomeOrLossGrp/PersonalAmt00
IRS990/RentalIncomeOrLossGrp/RealAmt00
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IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0true
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt0847539
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IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt015833
IRS990/SavingsAndTempCashInvstGrp/EOYAmt023104
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IRS990ScheduleA/Total509Grp/TotalAmt02672580
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IRS990ScheduleD/EquipmentGrp/DepreciationAmt0140167
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0326845
IRS990ScheduleD/ExpensesSubtotalAmt01275986
IRS990ScheduleD/FederalIncomeTaxLiabilityAmt00
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt0301471
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt072269
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt0373740
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt09694
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt03231
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt012925
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0904347
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt15144
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0DUE TO AFFILIATE
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1Estimated self-insurance costs
IRS990ScheduleD/RevenueSubtotalAmt0847592
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PART X, LINE 2
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IRS990ScheduleD/TotalExpensesPerForm990Amt01275986
IRS990ScheduleD/TotalLiabilityAmt0909491
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0STEPHEN MAJETICH
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CFO
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0492814
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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0TOP MANAGEMENT OFFICIAL COMPENSATION DETERMINATION: SOUTHWESTERN VERMONT MEDICAL CENTER, A RELATED ORGANIZATION, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE CEO: WRITTEN EMPLOYMENT CONTRACT, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: CONTRIBUTIONS TO NONQUALIFIED PLANS: $ 35,017 STEPHEN MAJETICH
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt2BONUS DETERMINATION: ALL COMPENSATION IS PAID BY SOUTHWESTERN VERMONT MEDICAL CENTER, A RELATED ORGANIZATION. THE AMOUNT OF INCENTIVE COMPENSATION IS CALCULATED IN ACCORDANCE WITH THE FORMAL INCENTIVE COMPENSATION PROGRAM THAT WAS DEVELOPED BY SVHC'S HUMAN RESOURCE DEPARTMENT IN CONJUNCTION WITH OUR COMPENSATION CONSULTANT ASTRON SOLUTIONS. THE ESSENCE OF THE PROGRAM IS TO REWARD OUR CEO FOR ACHIEVING POSITIVE RESULTS ON BOTH ORGANIZATIONAL AND INDIVIDUAL GOALS. GOALS ARE ESTABLISHED BY THE GOVERNANCE COMMITTEE PRIOR TO THE BEGINNING OF THE FISCAL YEAR. TYPICALLY THERE WILL BE FIVE TO SIX ORGANIZATIONAL GOALS AND EIGHT TO TEN INDIVIDUAL GOALS. SUCCESSFUL ACHIEVEMENT OF THESE GOALS RESULTS IN ADDITIONAL COMPENSATION FOR THE CEO.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE J, PART I, LINE 3
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1SCHEDULE J, PART I, LINE 4B
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc2SCHEDULE J, PART II, COLUMN B (II)
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IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0MEMBERS, STOCKHOLDERS, OR OTHER PERSONS: 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1FORM 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2MONITORING 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3DOCUMENT DISCLOSURE: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4DESCRIPTION:PSA FEES TOTAL FEES:544535
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5DESCRIPTION:PURCHASED SERVICES TOTAL FEES:74761
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6DESCRIPTION:SERVICE CONTRACTS TOTAL FEES:15650
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7DESCRIPTION:COLLECTION FEES TOTAL FEES:181
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 6, 7A, & 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990 PART IX LINE 11G
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990 PART IX LINE 11G
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990 PART IX LINE 11G
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990 PART IX LINE 11G
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