2023-08-14T08:53:55-05:00 2022-09-30 920460586 PWC US TAX LLP 101 SEAPORT BLVD BOSTON MA 02210 990 2021-10-01 030306549 HELEN PORTER NURSING HOME INC HELE 8023884701 115 PORTER DRIVE MIDDLEBURY VT 05753 SCOTT COMEAU CFO 8023884701 2023-08-14 1 SCOTT COMEAU 999009999 PAUL J TANIS P01441612 6175305000 0 AAL1 IAL1 2021 2023-04-26 12:10:37Z HELEN PORTER REHABILITATION & NURSIN TOM THOMPSON 115 PORTER DRIVE MIDDLEBURY VT 05753 11753965 0 X WWW.PORTERMEDICAL.ORG X 1986 VT OPERATION OF A 98-BED SKILLED NURSING HOME 17 13 181 42 0 0 307180 1065882 9769809 10687064 457 1019 0 0 10077446 11753965 0 3840 0 0 9387479 7441875 0 0 5466 3213453 9281997 12600932 16727712 -2523486 -4973747 4208955 9495279 6630651 16327967 -2421696 -6832688 THE MISSION OF HELEN PORTER REHABILITATION AND NURSING IS TO IMPROVE THE HEALTH OF OUR COMMUNITY, ONE PERSON AT A TIME. 0 0 13890057 3840 10687064 OPERATED LONG-TERM COMMUNITY ORIENTED 98 BED SKILLED NURSING HOME. THE NURSING HOME PROVIDED SERVICES TO PATIENTS THAT TOTALED 30,689 RESIDENT DAYS DURING THE YEAR ENDED 9/30/2022. 13890057 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 13 0 1 181 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 13 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 DR ELYA VASILOU DIRECTOR 1.00 44.00 X 0 440002 49887 DR ANDREW MAHONEY DIRECTOR 1.00 44.00 X 0 324592 59247 DR KRISTOFER ANDERSON DIRECTOR 1.00 44.00 X 0 346235 32054 DR LINN LARSON DIRECTOR 1.00 2.00 X 0 8255 0 SIVAN COTEL DIRECTOR / CHAIR (PT YR) 1.00 4.00 X X 0 0 0 LINDA SCHIFFER CHAIR 1.00 2.00 X X 0 0 0 MATTHEW CURRAN TREASURER 1.00 2.00 X X 0 0 0 GRETCHEN AYER DIRECTOR 1.00 2.00 X 0 0 0 JUDSON BARTLETT VICE CHAIR 1.00 2.00 X X 0 0 0 ANNE COLLINS DIRECTOR 1.00 2.00 X 0 0 0 RICHARD FOOTE DIRECTOR 1.00 2.00 X 0 0 0 NICHOLAS LOVEJOY DIRECTOR / SECRETARY 1.00 2.00 X X 0 0 0 CHERYL MULLINS DIRECTOR 1.00 2.00 X 0 0 0 SARAH RAY DIRECTOR 1.00 2.00 X 0 0 0 AMEY RYAN DIRECTOR 1.00 2.00 X 0 0 0 DEBRA STENNER DIRECTOR 1.00 2.00 X 0 0 0 HELENA VAN VOORST DIRECTOR 1.00 2.00 X 0 0 0 MAUREEN MCLAUGHLIN TREASURER (PART YR) 1.00 2.00 X X 0 0 0 DR AMY GREGORY DIRECTOR (PART YR) 1.00 2.00 X 0 0 0 TOM THOMPSON PRESIDENT & COO 1.00 49.00 X 0 483330 48416 SCOTT COMEAU CFO 5.00 45.00 X 0 126103 20030 MARY JANE NOTTONSON VP LONG TERM CARE 40.00 0.00 X 174825 0 36423 MICHAEL LEYDEN AVP OPERATIONS 5.00 35.00 X 0 176912 30760 LINDA HAVEY AVP OPERATIONS 5.00 35.00 X 0 185973 7499 ARLENE MATHEWSON RN 40.00 0.00 X 141412 0 30687 AIDA NIELSEN LNA 40.00 0.00 X 127314 0 31950 MOSES MILLER RN 40.00 0.00 X 125593 0 15245 SARAH DUGAN LNA 40.00 0.00 X 114992 0 14984 ERICA MATHIS RN 40.00 0.00 X 108306 0 23197 JUDY PEEK-LEE FMR INTERIM CFO 0.00 50.00 X 0 138158 2426 792442 2229560 402805 9 1 1 1 CROSS COUNTRY STAFFING INC PO BOX 404678 ATLANTA GA 303844678 TRAVELING NURSING SERVICES 4232982 MEDICAL SOLUTIONS PO BOX 850737 MINNEAPOLIS MN 554850737 TRAVELING NURSING SERVICES 1198777 BREAD LOAF CORPORATION 1293 RT 7 SOUTH MIDDLEBURY VT 05753 CONSTRUCTION / ARCHITECTURE 382649 HEALTHDIRECT PO BOX 988 BUFFALO NY 14240 TRAVELING NURSING SERVICES 202272 FREEDOM HEALTHCARE STAFFING 2581 S PARKER RD STE 1100 AURORA CO 80014 TRAVELING NURSING SERVICES 185141 5 395023 670859 1065882 PATIENT SERVICE REVENUE 623000 10686473 10686473 CAFETERIA 623000 591 591 10687064 1019 1019 11753965 10687064 0 1019 X 3840 3840 261453 261453 6192055 5476509 715546 161474 156057 5417 404951 141329 263622 421942 392365 29577 28692 28692 1472 1472 6803177 6052615 745185 5377 975874 904618 71256 177502 177502 429609 429609 1556 539 1017 64876 54010 10847 19 233069 194030 38969 70 24339 24339 PROVIDER TAX 482114 482114 BOOKS, DUES & SUBSCRIPT 15306 2506 12800 LEASED EQUIPMENT 1694 1694 FREIGHT 1306 24 1282 41411 27807 13604 16727712 13890057 2832189 5466 13150 1138986 1340233 873068 5055344 16483 16483 56930 57895 8565493 6152161 2110338 2413332 577816 34176 4208955 9495279 1357779 13864889 2335808 2197156 64022 741973 2131069 265922 6630651 16327967 X -3067203 -7410504 645507 577816 -2421696 -6832688 4208955 9495279 X -4973747 562755 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 1472 1472 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 6632480 4937721 1694759 1567708 1214440 353268 148639 148639 2413332 PENSION OBLIGATION 265738 ESTIMATED THIRD-PARTY BILLINGS 184 265922 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 REQUESTED 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"). PAGE 18 OF THE CONSOLIDATED FINANCIAL STATEMENTS CONTAINS A FOOTNOTE INDICATING THAT NO PROVISION FOR FEDERAL INCOME TAXES HAS BEEN RECORDED. X 0 0 1 1 0 0 0 0 0 1 1 1 TOM THOMPSON PRESIDENT & COO 0 332859 0 89906 0 60565 0 48069 0 347 0 531746 0 0 DR ELYA VASILOU DIRECTOR 0 405722 0 0 0 34280 0 17400 0 32487 0 489889 0 0 DR ANDREW MAHONEY DIRECTOR 0 311059 0 0 0 13533 0 26100 0 33147 0 383839 0 0 DR KRISTOFER ANDERSON DIRECTOR 0 345075 0 0 0 1160 0 17400 0 14654 0 378289 0 0 MARY JANE NOTTONSON VP LONG TERM CARE 149957 0 24234 0 634 0 4878 0 31545 0 211248 0 0 0 MICHAEL LEYDEN AVP OPERATIONS 0 160471 0 13780 0 2661 0 5477 0 25283 0 207672 0 0 LINDA HAVEY AVP OPERATIONS 0 171850 0 13780 0 343 0 5500 0 1999 0 193472 0 0 ARLENE MATHEWSON RN 140914 0 0 0 498 0 4421 0 26266 0 172099 0 0 0 AIDA NIELSEN LNA 127175 0 0 0 139 0 5245 0 26705 0 159264 0 0 0 JUDY PEEK-LEE FMR INTERIM CFO 0 80365 0 56507 0 1286 0 0 0 2426 0 140584 0 0 PART I, LINE 1A PRESIDENT AND COO TOM THOMPSON RECEIVED COMPENSATION OF $1,400 TO COVER TAX PREPARATION AND FINANCIAL ADVISORY SERVICES. PART I, LINE 1B WHILE THERE IS NO ORGANIZATION-WIDE WRITTEN POLICY REGARDING SUCH PAYMENTS, THE AMOUNT IS PROVIDED BY CONTRACT, WHICH IS SUBJECT TO ANNUAL REVIEW. PERSONAL SERVICE COMPENSATION IS INCLUDED IN FORM W-2 AS TAXABLE INCOME. NO REIMBURSEMENT IS MADE UNDER AN ACCOUNTABLE PLAN AND THE COMPENSATION IS OFFERED ON A TAXABLE BASIS. THEREFORE, SUBSTANTIATION OF EXPENSE IS NOT REQUIRED. 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, LINES 4A-B SEVERANCE PAYMENTS RN MOSES MILLER ENTERED INTO A SEPARATION AGREEMENT EFFECTIVE 8/2021 UNDER WHICH HE RECEIVED EIGHTEEN (18) WEEKS CONTINUATION OF BASE WEEKLY SALARY, PLUS $250 PER WEEK TOWARD THE COST OF COBRA COVERAGE DURING THE SAME PERIOD. PAYMENTS MADE UNDER THIS AGREEMENT ARE INCLUDED IN THE AMOUNTS REPORTED IN FORM 990, PART VII, SECTION A, LINE 1A, COL (D). 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 TOM 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 2021 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 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. FORM 990, PART VII, SECTION A, LINE 5 JUDY PEEK-LEE RECEIVED OR ACCRUED COMPENSATION FROM KORN FERRY, AN UNRELATED MANAGEMENT CONSULTING FIRM, FOR SERVICES RENDERED TO THE ORGANIZATION AS INTERIM CFO OF PORTER MEDICAL CENTER, PRIOR TO HER EMPLOYMENT WITH THE UNIVERSITY OF VERMONT MEDICAL CENTER, INC., A RELATED ORGANIZATION. THE TOTAL AMOUNT CHARGED TO PORTER MEDICAL CENTER FOR SUCH SERVICES DURING CY 2021 WAS $132,298. THIS AMOUNT IS NOT INCLUDED IN THE COMPENSATION AMOUNTS REPORTED IN FORM 990, PART VII, SECTION A OR SCHEDULE J, PART II, AS THOSE AMOUNTS REPRESENT COMPENSATION PAID BY THE UNIVERSITY OF VERMONT MEDICAL CENTER FOR HER SERVICES AS AN EMPLOYEE. A VERMONT EDUCATIONAL AND HEALTH BUILDINGS FINANCING AGENCY 237154467 NONEAVAIL 2015-08-01 3100000 REFUNDING 2000 SERIES A BONDS 0 0 0 A 902844 3100000 34525 3065475 2015 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 1 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, MICHAEL LEYDEN, LINDA HAVEY, AND SCOTT COMEAU 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, AND AMENDMENTS TO THE ORGANIZATION'S BYLAWS AND ARTICLES OF ORGANIZATION. 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 PRICEWATERHOUSECOOPERS (PWC). 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 TEMP STAFFING RN/LNA/LPN/TECH: PROGRAM SERVICE EXPENSES 5,812,881. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,812,881. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 239,734. MANAGEMENT AND GENERAL EXPENSES 745,185. FUNDRAISING EXPENSES 5,377. TOTAL EXPENSES 990,296. FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS 500,000. PENSION ADJUSTMENT 27,807. OTHER COMPONENTS OF CURRENT PERIOD PENSION EXPENSE 34,945. ROUNDING VARIANCE 3. THE UNIVERSITY OF VERMONT MEDICAL CENTER 111 COLCHESTER AVE BURLINGTON VT 05401 030219309 HOSPITAL VT 501(C)(3) 3 UVMHN 1 UNIVERSITY OF VERMONT MED GROUP-NEW YORK 70 CONSTABLE STREET MALONE NY 12953 203905216 PHYSICIAN SVC NY 501(C)(3) 3 UVMHNMG 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 37 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 ADIRONDACK ACO LLC 75 BEEKMAN STREET PLATTSBURGH NY 12901 462840926 ACCOUNTABLE CARE NY N/A 0 0 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 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 PORTER HOSPITAL INC I 254337 FMV PORTER HOSPITAL INC P 6174675 FMV PORTER MEDICAL CENTER INC P 297462 FMV