2024-08-14T11:06:24-05:00 2023-09-30 920460586 PWC US TAX LLP 101 SEAPORT BLVD BOSTON MA 02210 990 2022-10-01 030306549 HELEN PORTER NURSING HOME INC HELE 8023884701 115 PORTER DRIVE MIDDLEBURY VT 05753 SCOTT COMEAU CFO 8023884701 2024-08-12 1 0 PAUL J TANIS P01441612 6175305000 2022 2024-08-08 14:25:15Z HELEN PORTER REHABILITATION & NURSIN BOB ORTMYER 115 PORTER DRIVE MIDDLEBURY VT 05753 12987655 0 X WWW.PORTERMEDICAL.ORG X 1986 VT OPERATION OF A 98-BED SKILLED NURSING HOME 13 12 158 53 0 0 1065882 945253 10687064 11997468 1019 44934 0 0 11753965 12987655 3840 5553 0 0 7441875 9165268 0 0 0 9281997 9691606 16727712 18862427 -4973747 -5874772 9495279 12351966 16327967 24824711 -6832688 -12472745 THE MISSION OF HELEN PORTER REHABILITATION AND NURSING IS TO IMPROVE THE HEALTH OF OUR COMMUNITY, ONE PERSON AT A TIME. 0 0 14858901 5553 11997468 OPERATED A LONG-TERM COMMUNITY ORIENTED 98 BED SKILLED NURSING HOME, CONSISTING OF 38 LONG-TERM CARE BEDS, 31 MEMORY CARE BEDS, 27 POST-ACUTE CARE BEDS, 2 END-OF-LIFE SUITES AND 1 END-OF-LIFE ROOM. THE FACILITY IS THE ONLY SKILLED NURSING FACILITY IN ADDISON COUNTY, VERMONT, AND ACCORDING TO MOST RECENT TOTALS, 65% OF RESIDENTS WERE ON MEDICAID. THE NURSING HOME PROVIDED SERVICES TO PATIENTS THAT TOTALED 31,755 RESIDENT DAYS DURING THE YEAR ENDING 9/30/2023. 14858901 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 8 0 1 158 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 12 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X SCOTT COMEAU CFO 8023884752 115 PORTER DRIVE MIDDLEBURY VT 05753 ALICIA GRANGENT DIRECTOR (AS OF 1/2023) 1.00 4.00 X 0 0 0 DR KRISTOFER ANDERSON DIRECTOR 15.00 30.00 X 0 347740 33531 JUDSON BARTLETT VICE CHAIR 1.00 4.00 X X 0 0 0 MEGAN BRAKELY DIRECTOR (AS OF 1/2023) 1.00 6.00 X 0 0 0 ANNE COLLINS DIRECTOR 1.00 4.00 X 0 0 0 SIVAN COTEL DIRECTOR 1.00 6.00 X 0 0 0 BILL CUNNINGHAM DIRECTOR (AS OF 1/2023) 1.00 4.00 X 0 0 0 MATTHEW CURRAN TREASURER 1.00 4.00 X X 0 0 0 KIM FARNHAM DIRECTOR (AS OF 1/2023) 1.00 4.00 X 0 0 0 RICHARD FOOTE DIRECTOR 1.00 4.00 X X 0 0 0 NICHOLAS LOVEJOY DIRECTOR/SECRETARY 1.00 4.00 X 0 0 0 LINDA SCHIFFER CHAIR 1.00 4.00 X X 0 0 0 HELENA VAN VOORST DIRECTOR 1.00 4.00 X 0 0 0 DR LINN LARSON DIRECTOR (TIL 12/2022) 1.00 4.00 X 0 4677 0 SARAH RAY DIRECTOR (TIL 12/2022) 1.00 4.00 X 0 0 0 AMEY RYAN DIRECTOR (TIL 12/2022) 1.00 4.00 X 0 0 0 DEBRA STENNER DIRECTOR (TIL 12/2022) 1.00 4.00 X 0 0 0 CHERYL MULLINS DIRECTOR (TIL 7/2023) 1.00 4.00 X 0 0 0 TOM THOMPSON PRESIDENT & COO (TIL 9/2023) 15.00 35.00 X 0 504516 46297 SCOTT COMEAU CFO 15.00 35.00 X 0 237564 38498 BOB ORTMYER PRESIDENT & COO (AS OF 9/2023) 15.00 35.00 X 0 358016 30296 LINDA HAVEY AVP OPERATIONS 15.00 35.00 X 0 232485 11111 MARY JANE NOTTONSON VP LONG TERM CARE 45.00 0.00 X 220520 0 36495 MICHAEL LEYDEN AVP OPERATIONS (TIL 7/2023) 15.00 30.00 X 0 220005 34708 SHEILLAGH CAMPIONE DIRECTOR OF NURSING 45.00 0.00 X 145496 0 24799 ARLENE MATHEWSON RN 45.00 0.00 X 139721 0 31858 ROXANNE SHANER RN 35.00 0.00 X 124131 0 15460 AIDA NIELSEN RN 45.00 0.00 X 119644 0 33376 ERICA MATHIS RN 45.00 0.00 X 119211 0 26384 JUDY PEEK-LEE FMR INTERIM CFO 0.00 50.00 X 0 409410 31192 868723 2314413 394005 10 1 1 0 CROSS COUNTRY STAFFING INC PO BOX 404674 ATLANTA GA 303844674 TEMP STAFF / TRAVELING NURSING 4999233 MEDICAL SOLUTIONS INC PO BOX 850737 MINNEAPOLIS MN 544850737 TEMP STAFF / TRAVELING NURSING 1201300 BREADLOAF COPORATION 1293 RTE 7 SOUTH MIDDLEBURY VT 05753 CONSTRUCTION SERVICES 223806 LAVALEEBRENSINGER PROFESSIONAL AS 155 DOW ST SUITE 400 MANCHESTER NH 03101 ARCHITECTURAL SERVICES 170396 4 50000 168925 726328 945253 PATIENT SERVICE REVENUE 623000 11996092 11996092 CAFETERIA 623000 1376 1376 11997468 44934 44934 12987655 11997468 0 44934 X 5553 5553 226737 202136 24601 7496768 6184119 1312649 87440 77951 9489 745803 467666 278137 608520 481265 127255 18922 18922 1617 1617 7393110 5780098 1613012 993732 977499 16233 301419 301419 5658 3984 1674 60849 48016 12833 255025 201240 53785 31593 31593 PROVIDER TAX 482114 380436 101678 LEASED EQUIPMENT 46893 21160 25733 BOOKS, DUES & SUBSCRIPT 18812 606 18206 FREIGHT 3081 174 2907 78781 26998 51783 18862427 14858901 4003526 0 1000 1340233 2967955 74398 5055344 5410298 16483 19718 57895 147477 8938678 6409014 2413332 2529664 577816 1170267 34176 31189 9495279 12351966 13830713 1240508 2197156 2054477 34176 31189 265922 21498537 16327967 24824711 X -7410504 -13645512 577816 1172767 -6832688 -12472745 9495279 12351966 X -5874772 234715 X 0 1 X 1 0 X SCHEDULE A, PART I, LINE 3 THE ORGANIZATION'S EXEMPTION IS BASED UPON BEING CLASSIFIED AS A HOSPITAL OR COOPERATIVE SERVICE ORGANIZATION DESCRIBED IN IRC SECTION 170(B)(1)(A)(III). SINCE THE ORGANIZATION IS NOT LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED BY THE STATE OF VERMONT AS A HOSPITAL, BUT RATHER, AS SKILLED NURSING FACILITY, SCHEDULE H IS NOT REQUIRED. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1617 1617 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO THE VERMONT ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS, A PORTION OF WHICH IS ATTRIBUTABLE TO LOBBYING EXPENSES. 0 1 X 216666 216666 6671665 5129539 1542126 1590923 1279475 311448 459424 459424 2529664 DUE TO RELATED PARTIES 21498537 21498537 X PART IV, LINE 2B: THE ORGANIZATION HOLDS FUNDS BELONGING TO RESIDENTS FOR THEIR PERSONAL USE. THE FUNDS ARE MADE AVAILABLE TO THE RESIDENTS AS REQUIRED OR NEEDED. PART X, LINE 2: HELEN PORTER NURSING HOME, INC. IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE UNIVERSITY OF VERMONT HEALTH NETWORK ("UVM HEALTH NETWORK"). PAGES 17 AND 18 OF THE CONSOLIDATED FINANCIAL STATEMENTS CONTAIN A FOOTNOTE INDICATING THAT NO PROVISION FOR FEDERAL INCOME TAXES HAS BEEN RECORDED. 0 1 0 0 0 0 0 1 1 1 TOM THOMPSON PRESIDENT & COO (TIL 9/2023) 0 369384 0 72839 0 62293 0 45944 0 353 0 550813 0 0 JUDY PEEK-LEE FMR INTERIM CFO 0 349587 0 37030 0 22793 0 14754 0 16438 0 440602 0 0 BOB ORTMYER PRESIDENT & COO (AS OF 9/2023) 0 296556 0 50753 0 10707 0 18618 0 11678 0 388312 0 0 DR KRISTOFER ANDERSON DIRECTOR 0 346574 0 0 0 1166 0 18300 0 15231 0 381271 0 0 SCOTT COMEAU CFO 0 199220 0 15444 0 22900 0 7382 0 31116 0 276062 0 0 MARY JANE NOTTONSON VP LONG TERM CARE 202263 0 17658 0 599 0 6829 0 29666 0 257015 0 0 0 MICHAEL LEYDEN AVP OPERATIONS (TIL 7/2023) 0 207210 0 12541 0 254 0 6803 0 27905 0 254713 0 0 LINDA HAVEY AVP OPERATIONS 0 216632 0 12541 0 3312 0 7021 0 4090 0 243596 0 0 ARLENE MATHEWSON RN 128671 0 5707 0 5343 0 4322 0 27536 0 171579 0 0 0 SHEILLAGH CAMPIONE DIRECTOR OF NURSING 135908 0 7500 0 2088 0 4378 0 20421 0 170295 0 0 0 AIDA NIELSEN RN 112330 0 4962 0 2352 0 4983 0 28393 0 153020 0 0 0 PART I, LINE 3 HELEN PORTER NURSING HOME RELIED ON THE UNIVERSITY OF VERMONT HEALTH NETWORK ("UVM HEALTH NETWORK"), PARENT OF ITS PARENT ORGANIZATION, PORTER MEDICAL CENTER, TO ESTABLISH SENIOR EXECUTIVE COMPENSATION. UVM HEALTH NETWORK UTILIZED THE FOLLOWING METHODS TO ESTABLISH COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PORTER MEDICAL CENTER, PARENT ORGANIZATION OF HELEN PORTER NURSING HOME, MAINTAINS A SUPPLEMENTAL RETIREMENT BENEFIT PLAN (SRP) UNDER CONTRACTUAL ARRANGEMENT WITH PRESIDENT AND COO THOMAS THOMPSON. PURSUANT TO THE TERMS OF THE SRP, PORTER MEDICAL CENTER MAKES ANNUAL CREDITS EQUAL TO 8.68% OF BASE SALARY. AMOUNTS DEFERRED DURING CALENDAR YEAR 2022 ARE INCLUDED ON SCHEDULE J, PART II, COLUMN C. AMOUNTS DEFERRED REMAIN SUBJECT TO FORFEITURE IF CERTAIN CONDITIONS ARE NOT MET. PART I, LINE 7 HELEN PORTER NURSING HOME PAID AWARDS TO CERTAIN MEMBERS OF UPPER MANAGEMENT (OFFICERS, VICE PRESIDENTS, PHYSICIAN CHAIRS AND SENIOR EXECUTIVES) THROUGH ITS ANNUAL VARIABLE PAY PLAN AS THE PLAN'S PERFORMANCE MEASURES WERE MET. THE MEASURES WERE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THESE MEASURES INCLUDED FINANCIAL, POPULATION HEALTH & QUALITY, AND OPERATIONAL RELATED METRICS. ADDITIONALLY, CERTAIN EMPLOYEES OF THE ORGANIZATION WERE ELIGIBLE TO RECEIVE DISCRETIONARY BONUSES FOR RETENTION AND TAKING ON EXTRA RESPONSIBILITIES. PART I, LINE 8 SALARIES AND OTHER FIXED AMOUNTS PAYABLE TO EXECUTIVES SUCH AS OFFICERS AND CERTAIN KEY EMPLOYEES ARE SET BY CONTRACTS THAT ARE NEGOTIATED AND ENTERED INTO PRIOR TO THE COMMENCEMENT OF EACH EXECUTIVES' EMPLOYMENT. THE TERMS OF SUCH CONTRACTS ARE APPROVED IN ADVANCE BY THE APPROPRIATE COMPENSATION COMMITTEE OR OTHER BOARD-AUTHORIZED BODY, WHICH OBTAINS AND RELIES ON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING SUCH OFFER, AND CONCURRENTLY DOCUMENTS ITS BASIS FOR DETERMINATION. A VERMONT EDUCATIONAL AND HEALTH BUILDINGS FINANCING AGENCY 237154467 NONEAVAIL 2015-08-01 3100000 REFUNDING 2005, 1997 BONDS 0 0 0 A 1045609 3100000 34525 3065475 1997 1 0 1 1 A 0 0 1 0 0 0 0 0 0 A 0 SCHEDULE K, PART I, COL (C) CUSIP # BECAUSE THE BONDS ARE HELD BY A PRIVATE FINANCIAL INSTITUTION AND WERE NEVER OFFERED TO THE PUBLIC, A CUSIP NUMBER WAS NOT ASSIGNED. FORM 990, PART VI, SECTION A, LINE 2 THE GOVERNING BODY FOR HELEN PORTER NURSING HOME, INC. IS IDENTICAL TO THAT OF PORTER HOSPITAL, INC. AS WELL AS THEIR PARENT ORGANIZATION, PORTER MEDICAL CENTER. TOM THOMPSON, SCOTT COMEAU, LINDA HAVEY, AND MICHAEL LEYDEN HAD AN EMPLOYMENT RELATIONSHIP WITH PORTER MEDICAL CENTER, AND DR. LINN LARSON HAD AN EMPLOYMENT RELATIONSHIP WITH PORTER HOSPITAL, INC. FORM 990, PART VI, SECTION A, LINE 6 PORTER MEDICAL CENTER, INC. IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE GOVERNING BODY OF HELEN PORTER NURSING HOME, INC. IS IDENTICAL TO THAT OF ITS PARENT ORGANIZATION, PORTER MEDICAL CENTER, INC. THE UNIVERSITY OF VERMONT HEALTH NETWORK, AS SOLE MEMBER OF PORTER MEDICAL CENTER, INC., HAS POWERS TO ELECT MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B UVM HEALTH NETWORK HAS THE POWER TO APPROVE SIGNIFICANT CORPORATE ACTIONS, INCLUDING ANNUAL OPERATING AND CAPITAL BUDGETS, STRATEGIC PLANS, THE APPOINTMENT OF THE CEO, THE INCURRENCE OF LONG-TERM INDEBTEDNESS, AMENDMENTS TO THE ORGANIZATION'S BYLAWS AND ARTICLES OF ORGANIZATION, AND APPROVAL OF MAJOR FINANCIAL DECISIONS INCLUDING MERGERS, BANKRUPTCIES, AND THE DEVELOPMENT OR TERMINATION OF PROGRAM SERVICES. UVM HEALTH NETWORK IS A VERMONT NON-PROFIT CORPORATION WHICH HAS BEEN RECOGNIZED BY THE IRS AS A 501(C)(3) ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 FOR HELEN PORTER NURSING HOME INC. IS PREPARED BY UVM MEDICAL CENTER STAFF AND REVIEWED BY PWC US TAX LLP. FOLLOWING OR CONCURRENT WITH PWC'S REVIEW, A DRAFT RETURN IS PRESENTED TO THE UVM HEALTH NETWORK AUDIT COMMITEE AND MANAGEMENT FOR REVIEW AND COMMENT. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO THE FORM BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH ANNUAL QUESTIONNAIRES AND CERTIFICATIONS REQUIRED OF ALL TRUSTEES, OFFICERS, AND OTHER INDIVIDUALS IN A POSITION TO EXERCISE INFLUENCE OVER THE AFFAIRS THE ORGANIZATION, THROUGH ONGOING DUTIES TO DISCLOSE TRANSACTIONS IN WHICH SUCH PERSONS HAVE A DIRECT OR INDIRECT FINANCIAL INTEREST, AND THROUGH ONGOING MONITORING EFFORTS BY THE ORGANIZATION'S CFO AND CONTROLLER. WHEN A POTENTIAL CONFLICT IS DISCLOSED OR OTHERWISE IDENTIFIED, THE BOARD OR AFFECTED BOARD COMMITTEE IS CHARGED WITH DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS, WITH THE INTERESTED PERSON BEING DISQUALIFIED FROM VOTING, PARTICIPATION, AND ATTENDANCE. IF THE BOARD OR BOARD COMMITTEE DETERMINES THAT A CONFLICT OF INTEREST DOES IN FACT EXIST, THEN SUCH PERSON IS RESTRICTED FROM PARTICIPATION IN ALL DELIBERATIONS PERTAINING TO THE PROPOSED TRANSACTION OR ARRANGEMENT AT ISSUE. THE REMAINING BOARD OR COMMITTEE MEMBERS MAY, AT THEIR DISCRETION, APPOINT A DISINTERESTED PERSON OR COMMITEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. THE MINUTES OF THE BOARD OR AFFECTED COMMITTEE SHALL CONTAIN THE NAME OF THE INTERESTED PERSON, THE NATURE OF THE INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT WAS PRESENT, AND THE DECISION AS TO WHETHER A CONFLICT EXISTED. VIOLATIONS OF THE CONFLICT OF INTEREST POLICY ARE SUBJECT TO DISCIPLINARY AND CORRECTIVE ACTION INCLUDING BUT NOT LIMITED TO TERMINATION. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DELEGATES THE SETTING OF EXECUTIVE COMPENSATION TO THE UNIVERSITY OF VERMONT (UVM) HEALTH NETWORK COMPENSATION COMMITTEE, AN INDEPENDENT COMMITTEE, UNDER PRINCIPLES DESCRIBED IN ITS CHARTER. THE UVM HEALTH NETWORK HAS ADOPTED A COMPENSATION PHILOSOPHY WHICH PROVIDES A FRAMEWORK FOR SETTING COMPENSATION FOR THE EXECUTIVIES OF UVM HEALTH NETWORK AND ITS AFFILIATED MEMBER ORGANIZATIONS. THE PARAMETERS OF THIS PHILOSOPHY INCLUDE UTILIZING APPROPRIATE NATIONAL AND REGIONAL PEER GROUPS. SALARIES ARE TARGETED AT THE 50TH PERCENTILE OF THE NATIONAL PEER GROUP, WITH PERFORMANCE BASED VARIABLE PAY OPPORTUNITIES TO ACHIEVE UP TO THE 65TH PERCENTILE, DEPENDING ON ORGANIZATION AND INDIVIDUAL RESULTS. COMPENSATION LEVELS ARE APPROVED BY THE NETWORK COMPENSATION COMMITTEE FOR THE UVM HEALTH NETWORK/DIRECT REPORTS AND THE AFFILIATED ORGANIZATIONS' CEOS. CALCULATIONS ARE PERFORMED USING THE SAME PHILOSOPHY FOR THE THIRD TIER OF LEADERSHIP, WITH THE EXCEPTION THAT THE LOCAL BOARDS APPROVE COMPENSATION FOR ALL NON-CEO POSITIONS. ALL ACTIONS TAKEN REGARDING EXECUTIVE COMPENSATION ARE CONTEMPORANEOUSLY DOCUMENTED BY THE APPROPRIATE ORGANIZATION. THIS REVIEW IS PERFORMED ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 262,408. MANAGEMENT AND GENERAL EXPENSES 1,613,012. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,875,420. TEMP STAFFING RN/LNA/LPN: PROGRAM SERVICE EXPENSES 5,517,690. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,517,690. FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS 216,306. PENSION ADJUSTMENT 57,781. OTHER COMPONENTS OF CURRENT PERIOD PENSION EXPENSE -8,350. INTER ORG ELIMINATIONS 594,953. CHANGE IN TEMP RESTRICTED NET ASSETS -625,975. THE UNIVERSITY OF VERMONT MEDICAL CENTER 111 COLCHESTER AVE BURLINGTON VT 05401 030219309 HOSPITAL VT 501(C)(3) 3 UVMHN 1 THE UNIVERSITY OF VERMONT MED CTR FDN INC 111 COLCHESTER AVE BURLINGTON VT 05401 263159849 FUNDRAISING VT 501(C)(3) 12A-I UVMMC 1 UNIVERSITY OF VERMONT HEALTH NETWORK INC 111 COLCHESTER AVE BURLINGTON VT 05401 452880726 HOLDING COMPANY VT 501(C)(3) 12A-I N/A 0 CENTRAL VERMONT MEDICAL CENTER 130 FISHCHER ROAD BERLIN VT 05602 222547186 HOSPITAL VT 501(C)(3) 3 UVMHN 1 UNIVERSITY HEALTH CENTER 111 COLCHESTER AVE BURLINGTON VT 05401 030229931 HOSPITAL VT 501(C)(3) 12C-III-FI UVMHNMG 1 COMMUNITY PROVIDERS INC 75 BEEKMAN STREET PLATTSBURGH NY 01290 222544844 HEALTH SVC COOR NY 501(C)(3) 12A-I UVMHN 1 CHAMPLAIN VALLEY PHYSICIANS HOSPITAL 75 BEEKMAN STREET PLATTSBURGH NY 12901 141338471 HOSPITAL NY 501(C)(3) 3 UVMHN 1 ELIZABETHTOWN COMMUNITY HOSPITAL 75 PARK STREET ELIZABETHTOWN NY 12932 141364513 HOSPITAL NY 501(C)(3) 3 UVMHN 1 EMERGENCY MEDICAL TRANSPORT OF CVPH INC 75 BEEKMAN STREET PLATTSBURGH NY 12901 061718419 AMBULANCE SVC NY 501(C)(3) 12B-II CPI 1 CVPH MEDICAL CENTER FOUNDATION 75 BEEKMAN STREET PLATTSBURGH NY 12901 141727048 HEALTH SVC SUPPORT NY 501(C)(3) 12B-II CVPH 1 UNIVERSITY MEDICAL EDUCATION ASSOCIATES 89 BEAUMONT AVENUE BURLINGTON VT 05405 237107832 EDUCATIONAL VT 501(C)(3) 10 UVMHNMG 1 ALICE HYDE MEDICAL CENTER 133 PARK STREET MALONE NY 12953 150346515 HOSPITAL NY 501(C)(3) 3 UVMHN 1 PORTER MEDICAL CENTER INC 115 PORTER DRIVE MIDDLEBURY VT 05753 030310862 SUPPORTING ORG VT 501(C)(3) 12B-II UVMHN 0 AUXILIARY OF PORTER MEDICAL CENTER 115 PORTER DRIVE MIDDLEBURY VT 05753 237363227 SUPPORTING ORG VT 501(C)(3) 12B-II PMC 1 PORTER HOSPITAL INC 37 PORTER DRIVE MIDDLEBURY VT 05753 030181058 HOSPITAL VT 501(C)(3) 3 PMC 1 LAKE CHAMPLAIN PHYSICIAN SERVICES PC 75 BEEKMAN STREET PLATTSBURGH NY 12901 273785445 PHYSICIAN SVC NY 501(C)(3) 12A-I CVPH 1 THE UNIVERSITY OF VERMONT HEALTH NETWORK MEDICAL GROUP INC 111 COLCHESTER AVE BURLINGTON VT 05401 030225105 PHYSICIAN SVC VT 501(C)(3) 12A-I UVMHN 1 UVMHN HOME HEALTH & HOSPICE 1110 PRIM ROAD COLCHESTER VT 05446 030179603 HOME HEALTHCARE VT 501(C)(3) 10 UVMHN 1 VMC INDEMNITY COMPANY INC 95 ST PAUL ST BURLINGTON VT 05401 831102018 INSURANCE VT 501(C)(3) 10 UVMHN 1 UVMHN VENTURES INC 111 COLCHESTER AVENUE BURLINGTON VT 05401 043380045 HOLDING COMPANY VT N/A C 1 UVMHN CREDENTIALING & ENROLLMENT 111 COLCHESTER AVENUE BURLINGTON VT 05401 030333056 ADMIN SVC VT N/A C 1 CHARITABLE REMAINDER TRUSTS (6) SUPPORT VT N/A T 1 PERPETUAL TRUSTS (10) SUPPORT VT N/A T 1 CHARITABLE IRREVOCABLE TRUSTS (8) SUPPORT VT N/A T 1 CHAMPLAIN VALLEY HEALTH NETWORK 75 BEEKMAN STREET PLATTSBURGH NY 12901 161586102 ADMIN SVC NY N/A C 1 MEDIQUEST INC PO BOX 1656 PLATTSBURGH NY 12901 141663061 MED OFFICE LEASE NY N/A C 1 YANKEE MEDICAL INC 276 NORTH AVENUE BURLINGTON VT 05401 030225363 HOME MEDICAL EQUIPMENT VT N/A C 1 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 PORTER HOSPITAL INC I 221572 FMV PORTER HOSPITAL INC P 11194375 FMV