2023-08-14T08:45:34-05:00 2022-09-30 920460586 PWC US TAX LLP 101 SEAPORT BLVD BOSTON MA 02210 990 2021-10-01 030179603 THE UNIVERSITY OF VERMONT HEALTH NETWORK HOME HEALTH & HOSPICE UNIV 8026581900 1110 PRIM ROAD COLCHESTER VT 05446 MICHAEL TOWLE VP OF FINANCE & ADMIN / CFO 8028604434 2023-08-14 1 MICHAEL TOWLE 999009999 PAUL J TANIS P01441612 6175305000 0 AAL1 IAL1 2021 2023-04-26 12:10:37Z CHRISTINE WERNEKE 1110 PRIM ROAD COLCHESTER VT 05446 52965713 0 X WWW.UVMHOMEHEALTH.ORG X 1934 VT THE UVMHNHHH CARES FOR INDIVIDUALS AND FAMILIES THROUGH HEALTH AND RELATED SERVICES IN HOME AND OTHER COMMUNITY SETTINGS FOR THE RESIDENTS OF CHITTENDEN AND GRAND ISLE COUNTIES. 14 9 527 210 0 0 2320440 2610676 27153943 23307995 657295 6889309 39412 70530 30171090 32878510 0 3500 0 0 24796575 26246907 0 0 259385 9038600 7249702 33835175 33500109 -3664085 -621599 37675315 29820859 7474099 10720502 30201216 19100357 X THE UVMHNHHH HELPS PEOPLE LIVE THEIR FULLEST LIVES BY PROVIDING INNOVATIVE, HIGH VALUE, COMPASSIONATE CARE WHEREVER THEY CALL HOME. 0 0 9535985 1229 8185976 HOME CARE SERVING 2,669 PATIENTS AND DOING 52,046 VISITS 5759042 743 4943734 VNA RESPITE HOUSE SERVING 375 PATIENTS AND 3,929 BED DAYS 5377573 693 4616270 HOSPICE END OF LIFE SERVING 431 PATIENTS AND 29,350 PER DIEM DAYS. 6479288 835 5562015 FAMILY & CHILDREN SERVICES SERVING 718 PATIENTS AND DOING 7,450 VISITS INCLUDING VIDEO VISITS; CHOICES FOR CARE HIGHEST NEEDS PERSONAL CARE SERVICES TO 248 PATIENTS; ADULT DAY PROGRAM SERVING 45 PATIENTS AT 1 LOCATION; ADULT AND PEDIATRIC HI TECH SERVICES TO 14 PATIENTS AND DOING 25,644 HOURS OF SERVICE; ANDERSON PARKWAY PERSONAL CARE SERVICES TO 9 DISABLED CLIENTS; CHOICES FOR CARE HOMEMAKER PROGRAM SERVICING 54 CLIENTS; SASH (SUPPORT AND SERVICES AT HOME) PROVIDING SERVICES AT 13 SENIOR HOUSING LOCATIONS. 6479288 835 5562015 27151888 1 1 0 0 0 0 0 1 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 23 0 1 527 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 9 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X MICHAEL TOWLE 8028604434 1110 PRIM ROAD COLCHESTER VT 05446 DR ELIZABETH MCGEE DIRECTOR (AS OF 9/22) 1.00 44.00 X 0 379281 60485 DR THOMAS PETERSON DIRECTOR 1.00 44.00 X 0 336806 38643 ADRIANNE JOHNSON ROSS PRESIDENT & COO 45.00 5.00 X X 254608 0 51951 TARA PACY CHAIR 1.00 44.00 X X 0 229932 46108 DR ANNETTE MACIAS-HOAG DIRECTOR (AS OF 9/22) 1.00 49.00 X 0 143804 16638 CATHERINE SIMONSON DIRECTOR 1.00 0.00 X 0 0 0 JAN DEMERS DIRECTOR 1.00 0.00 X 0 0 0 HEATHER RIDER HAMMOND VICE CHAIR 1.00 0.00 X X 0 0 0 PAM MACKENZIE DIRECTOR 1.00 0.00 X 0 0 0 CJ CHARLEBOIS MELENDY TREASURER 1.00 0.00 X X 0 0 0 JILL KAPLAN DIRECTOR (AS OF 12/21) 1.00 0.00 X 0 0 0 ALEXANDER WATSON DIRECTOR (AS OF 9/22) 1.00 0.00 X 0 0 0 ERIKA SCHRAMM SECRETARY 1.00 0.00 X X 0 0 0 BRIAN HARWOOD DIRECTOR 1.00 0.00 X 0 0 0 LINDA TARR-WHELAN DIRECTOR (TIL 12/21) 1.00 0.00 X 0 0 0 ALLIE STICKNEY DIRECTOR (TIL 12/21) 1.00 2.00 X 0 0 0 MICHAEL TOWLE VP FINANCE & STRAT 45.00 5.00 X 140885 117614 46056 JAMES MANAHAN VP FINANCE & STRAT (TIL 2/22) 45.00 0.00 X 155752 27907 3677 GRETCHEN BATES VP CLINICAL OPERATIONS 45.00 0.00 X 170823 0 5108 HEATHER FILONOW DIR COMM CARE 45.00 0.00 X 140411 0 13853 LINDSAY GAGNON NURSE PRACTITIONER 45.00 0.00 X 112050 0 32704 GALE SMITH HOSPICE NURSE III 45.00 0.00 X 110261 0 12086 DIANE HEBDA CLINICAL TEAM MGR (TIL 11/21) 45.00 0.00 X 107730 0 19740 1192520 1235344 347049 58 0 1 0 CROSS COUNTRY STAFFING INC PO BOX 404674 ATLANTA GA 30384 TRAVELING NURSING SERVICES 785962 BARTON ASSOCIATES INC PO BOX 417844 BOSTON MA 022417844 PHYSICIAN STAFFING 551779 BERRY DUNN MCNEIL & PARKER LLC PO BOX 404674 PORTLAND ME 041041100 MGMT STAFFING AND ACCOUNTING 393486 ACCOUNTEMPS 12400 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 ADMINISTRATIVE STAFFING 183972 4 604277 2006399 17130 2610676 PATIENT SERVICE REVENUE 621610 23307995 23307995 23307995 623167 623167 26349135 20082993 6266142 6266142 6266142 74740 4210 70530 70530 32878510 23307995 0 6959839 3500 3500 684110 684110 21102312 18272715 2631614 197983 635092 572663 55921 6508 2423322 2110864 293485 18973 1402071 1233822 154228 14021 18264 166 14287 3811 1773187 774963 998224 3448 3448 1693266 1276848 410717 5701 502041 55440 446601 435427 354826 79314 1287 467768 463620 3939 209 59965 52769 6596 600 607882 534936 66867 6079 42125 42125 PROVIDER TAX 1084666 1084666 OPERATING LEASES 305468 305468 PROFESSIONAL DUES & SUB 207315 14805 192431 79 RECRUITMENT 4732 4732 44148 39817 197 4134 33500109 27151888 6088836 259385 527 2 2059275 3413409 393782 4111318 3207837 305470 383888 16918361 10821740 6510347 6096621 24284791 16709297 9805 9805 37675315 29820859 6071778 10021396 13175 368318 1389146 330788 7474099 10720502 X 17138479 8773096 13062737 10327261 30201216 19100357 37675315 29820859 X -621599 -11019394 540134 X 0 1 X 1 1 1 X 3171759 3700141 4411462 2320440 2610676 16214478 30308520 36654717 25996696 27153943 23307995 143421871 33480279 40354858 30408158 29474383 25918671 159636349 0 0 0 159636349 520465 1103762 524285 538126 623167 3309805 520465 1103762 524285 538126 623167 3309805 48326 38829 38932 70530 196617 339748 108549 448297 34340492 41615495 30971272 30051441 26612368 163591068 0.97580 0.97800 0.02020 0.01800 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS PROGRAM REVENUE - 2017 AMOUNT: $ 339,748. 2018 AMOUNT: $ 108,549. SCHEDULE A, PART III, COLUMN (C) THE NUMBERS IN COLUMN (C), YEAR 2018, CONTAIN AMOUNTS FOR THE PERIOD 7/1/2018 - 9/30/2019, AS A SHORT PERIOD RETURN WAS FILED FOR THE 7/1/2018 - 9/30/2018 PERIOD. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9805 0 11918726 -1978144 405487 17655 9517440 10185809 1951268 218351 11918726 10044070 453357 311618 10185809 9647443 500 737994 341867 10044070 9709546 11134 803208 876445 9647443 0.00000 0.48045 0.51955 0 0 329882 329882 9172191 4134341 5037850 7416288 6687399 728889 6096621 DUE TO AFFILIATES 330788 330788 X PART V, LINE 4: THE FUNDS ARE INTENDED TO FUND PROGRAMS IN FURTHERANCE OF THE ORGANIZATION'S EXEMPT PURPOSE. PART X, LINE 2: THE UNIVERSITY OF VERMONT HEALTH NETWORK HOME HEALTH & HOSPICE 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. FUN RUN 74740 74740 4210 74740 74740 4210 4210 70530 0 1 0 0 0 0 0 1 0 DR ELIZABETH MCGEE DIRECTOR (AS OF 9/22) 0 354496 0 0 0 24785 0 26100 0 34385 0 439766 0 0 DR THOMAS PETERSON DIRECTOR 0 270342 0 54369 0 12095 0 32681 0 5962 0 375449 0 0 ADRIANNE JOHNSON ROSS PRESIDENT & COO 224355 0 29455 0 798 0 15662 0 36289 0 306559 0 0 0 MICHAEL TOWLE VP FINANCE & STRAT 68776 102825 72071 0 38 14789 0 7777 17583 20696 158468 146087 0 0 TARA PACY CHAIR 0 199227 0 14251 0 16454 0 24627 0 21481 0 276040 0 0 JAMES MANAHAN VP FINANCE & STRAT (TIL 2/22) 155712 19501 0 5000 40 3406 0 0 2827 850 158579 28757 0 0 GRETCHEN BATES VP CLINICAL OPERATIONS 149136 0 21597 0 90 0 0 0 5108 0 175931 0 0 0 DR ANNETTE MACIAS-HOAG DIRECTOR (AS OF 9/22) 0 109246 0 20000 0 14558 0 10043 0 6595 0 160442 0 0 HEATHER FILONOW DIR COMM CARE 128308 0 10235 0 1868 0 0 0 13853 0 154264 0 0 0 PART I, LINE 3 THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE COMPENSATION AND PERFORMANCE OF THE PRESIDENT ON AN ANNUAL BASIS. THE BOARD EXECUTIVE COMMITTEE RELIES ON COMPARATIVE DATA AND EXISTING EMPLOYMENT AGREEMENTS IN THEIR REVIEW AND APPROVAL PROCESS. THE UVM HEALTH NETWORK, THROUGH ITS COMPENSATION COMMITTEE, RETAINS FINAL DISCRETION OVER COMPENSATION OF THE ORGANIZATION'S EXECUTIVES INCLUDING BUT NOT LIMITED TO THE PRESIDENT, AND REVIEWS ANY RECOMMENDATION BY THE EXECUTIVE COMMITTEE OF THE UVMHNHHH BOARD OF DIRECTORS. AFTER MAKING ANY APPROPRIATE MODIFICATIONS AND DETERMINING THAT THE TOTAL COMPENSATION TO BE PAID IS REASONABLE, APPROPRIATE, AND CONSISTENT WITH THE BOARD'S COMPENSATION POLICIES, THE NETWORK EXECUTIVE COMMITTEE APPROVES THE PRESIDENT'S COMPENSATION. PART I, LINE 4B THE UNIVERSITY OF VERMONT HEALTH NETWORK, BY AND THROUGH ITS AFFILIATED SUBSIDIARIES, MAINTAINED A SUPPLEMENTAL RETIREMENT BENEFIT PLAN (SRP) UNDER CONTRACTUAL ARRANGEMENTS WITH SEVERAL PERSONS LISTED ON FORM 990, PART VII, AND SECTION A, LINE 1A. PURSUANT TO THE TERMS OF THE SRP, ANNUAL CREDITS WERE MADE EQUAL TO A FIXED PERCENTAGE OF BASE SALARY. THE FOLLOWING PERSONS PARTICIPATED IN THE SRP IN CALENDAR YEAR 2021 AND THEIR RESPECTIVE FIXED PERCENTAGE IS DESIGNATED IN PARENTHESES: ANNETTE MACIAS-HOAG (8.68%); AND ADRIANNE JOHNSON ROSS (3.97%). THE AMOUNT DEFERRED FOR CALENDAR YEAR 2021 IS INCLUDED ON SCHEDULE J, PART II, COLUMN C. AMOUNTS DEFERRED REMAIN SUBJECT TO FORFEITURE IF CERTAIN CONDITIONS ARE NOT MET. PART I, LINE 7 UVMHNHHH PAID AWARDS TO CERTAIN MEMBERS OF UPPER MANAGEMENT IN ACCORDANCE WITH THE ANNUAL VARIABLE PAY PLAN OF ITS PARENT ORGANIZATION, THE UVM HEALTH NETWORK, AS THE PLAN'S PERFORMANCE MEASURES WERE MET. THE MEASURES WERE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE NETWORK'S BOARD OF TRUSTEES. THESE MEASURES INCLUDED FINANCIAL, POPULATION HEALTH & QUALITY, AND OPERATIONAL RELATED METRICS. ADDITIONALLY, DISCRETIONARY BONUSES OF SMALLER AMOUNTS WERE AWARDED AT THE DISCRETION OF MANAGEMENT FOR ASSUMING EXTRA RESPONSIBILITIES OR WORKING EXTRA SHIFTS. FORM 990, PART VI, SECTION A, LINE 2 DR. ELIZABETH MCGEE AND DR. THOMAS PETERSON WERE EMPLOYED BY THE UNIVERSITY OF VERMONT HEALTH NETWORK MEDICAL GROUP, INC., A RELATED ORGANIZATION AT WHICH DR. THOMAS PETERSON SERVED AS AN OFFICER. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS THE UNIVERSITY OF VERMONT HEALTH NETWORK, INC. FORM 990, PART VI, SECTION A, LINE 7A AS SOLE MEMBER, THE UVM HEALTH NETWORK HAS ALL OF THE POWERS RESERVED TO MEMBERS OF A VERMONT NON-PROFIT CORPORATION INCLUDING THE POWER TO ELECT DIRECTORS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, THE MEMBER RETAINS FINAL APPROVAL AUTHORITY OVER THE FOLLOWING ACTIONS OF THE CORPORATION: A. ELECTION OF DIRECTORS OF THE CORPORATION; B. ADOPTION OF THE ANNUAL OPERATING AND CAPITAL BUDGETS OF THE CORORATION; C. ADOPTION OF STRATEGIC PLANS; D. SALE, LEASE, DISPOSITION, MORTGAGE, OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE COPORATION; E. ANY MERGER, CONSOLIDATION, BUSINESS COMBINATION OR JOINT VENTURE, OR THE CREATION OR ACQUISITION OF ANY SUBSIDIARY ORGANIZATION; F. FILING OF A VOLUNTARY PETITION OR APPLICATION UNDER FEDERAL OR STATE BANKRUPTCY LAW; G. COMMENCEMENT OF ANY PROJECT OR THE MAKING OF ANY EXPENDITURE REQUIRING ISSUANCE OF A CERTIFICATE OF NEED; H. AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS; I. INCURRENCE OF ANY LONG-TERM INDEBTEDNESS; J. DEVELOPING OR TERMINATING PROGRAMS AND SERVICES; AND K. ELECTION OR APPOINTMENT, BUT NOT TERMINATION, OF THE PRESIDENT / COO OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 FOR UVMHNHHH IS PREPARED BY STAFF FROM THE UVM MEDICAL CENTER AND REVIEWED BY PRICEWATERHOUSECOOPERS (PWC). FOLLOWING PWC'S REVIEW, THE RETURN IS REVIEWED BY MEMBERS OF UVMHNHHH AND SENIOR LEADERSHIP. THE FORM 990, ONCE COMPLETED, IS PROVIDED TO ALL DIRECTORS OF UVMHNHHH PRIOR TO THE FORM BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C UVMHNHHH HAS TWO POLICIES FOR CONFLICT OF INTEREST, ONE FOR BOARD MEMBERS AND ONE FOR STAFF INCLUDING OFFICERS AND HIGHLY COMPENSATED EMPLOYEES. UVMHNHHH MONITORS COMPLIANCE OF ITS BOARD MEMBERS WITH ITS CONFLICT OF INTEREST POLICY REQUIRING A YEARLY SIGNED CONFLICT OF INTEREST FORM WHERE BOARD MEMBERS ACKNOWLEDGE READING THE POLICY AND DISCLOSE POTENTIAL CONFLICTS OF INTEREST. THE BOARD MEMBER THEN SIGNS AND DATES A FORM INDICATING THAT THE BOARD MEMBER IS NOT ENGAGED IN ACTIONS CONTRAVENING THE POLICY. EMPLOYEES ARE REQUIRED TO NOTIFY UVMHNHHH IF CONFLICTS ARISE. FAILURE TO DO SO IS SUBJECT TO RAMIFICATIONS UP TO AND INCLUDING TERMINATION. BOARD MEMBERS HAVING A POSSIBLE CONFLICT OF INTEREST IN ANY MATTER ARE PROHIBITED FROM VOTING OR USING HIS OR HER PERSONAL INFLUENCE ON THE MATTER AND HE OR SHE IS NOT COUNTED IN DETERMINING THE QUORUM FOR THE MEETING, EVEN WHEN PERMITTED BY LAW. UVMNHHH MONITORS COMPLIANCE OF ITS STAFF BY SOLICITING SIGNATURE OF A CONFLICT OF INTEREST FORM, WHEREIN THE STAFF MEMBER AGREES TO DISCLOSE ANY OUTSIDE WORKING RELATIONSHIP THAT HAS ACTUAL OR PERCEIVED POTENTIAL FOR ADVERSARIAL OR COMPETITIVE CONFLICT WITH UVMNHHH. STAFF WHO WISH TO PARTICIPATE IN SUCH A RELATIONSHIP MUST DISCLOSE SUCH INTENTION FOR REVIEW AND DECISION BY TWO OR MORE MEMBERS OF THE MANAGEMENT TEAM PRIOR TO ENGAGING IN SUCH RELATIONSHIP. STAFF MUST DISCLOSE TO THEIR IMMEDIATE SUPERVISOR ANY AFFLIATIONS THAT THEY OR THEIR IMMEDIATE FAMILY HAVE WITH ANY FIRM THAT DOES BUSINESS WITH OR THAT COMPETES WITH UVMHNHHH, AND ANY FAMILY RELATIONSHIP WITH EITHER AN EMPLOYEE OR A CLIENT OF UVMHNHHH. FAILURE TO COMPLY IS SUBJECT TO RAMIFICATIONS UP TO AND INCLUDING TERMINATION. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE COMPENSATION AND PERFORMANCE OF THE PRESIDENT AS WELL AS THE PRESIDENT'S PROPOSALS REGARDING OTHER KEY EMPLOYEES ON AN ANNUAL BASIS. THE BOARD EXECUTIVE COMMITTEE RELIES ON COMPARATIVE DATA AND EXISTING AGENCY POLICIES IN THEIR REVIEW AND APPROVAL PROCESS. THE UVM HEALTH NETWORK, THROUGH ITS COMPENSATION COMMITTEE, RETAINS FINAL DISCRETION OVER COMPENSATION OF THE ORGANIZATION'S EXECUTIVES INCLUDING BUT NOT LIMITED TO THE PRESIDENT, CHIEF OPERATING OFFICER, AND CHIEF FINANCIAL OFFICER, AND REVIEWS ANY RECOMMENDATION BY THE EXECUTIVE COMMITTEE OF THE UVMHNHHH BOARD OF DIRECTORS. AFTER MAKING ANY APPROPRIATE MODIFICATIONS AND DETERMINING THAT THE TOTAL COMPENSATION TO BE PAID TO EACH EXECUTIVE IS REASONABLE, APPROPRIATE, AND CONSISTENT WITH THE BOARD'S COMPENSATION POLICIES, THE NETWORK EXECUTIVE COMMITTEE APPROVES THE COMPENSATION OF SUCH EMPLOYEES AND CONTEMPORANEOUSLY SUBSTANTIATES THE DELIBERATION AND DECISION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNANCE DOCUMENTS CONSIST OF THE ARTICLES OF INCORPORATION AND BYLAWS. THE ARTICLES OF INCORPORATION ARE FILED WITH THE VERMONT SECRETARY OF STATE AND ARE PUBLICLY AVAILABLE THROUGH THAT OFFICE. THE BYLAWS ARE NOT PUBLICLY POSTED, BUT THE ORGANIZATION WILL FURNISH A COPY TO ANY MEMBER OF THE PUBLIC WHO REQUESTS ONE. THE CONFLICT OF INTEREST POLICY IS NOT PUBLICLY POSTED, BUT THE ORGANIZATION WILL FURNISH A COPY TO ANY MEMBER OF THE PUBLIC WHO REQUESTS ONE. WITH THE ENACTMENT OF VERMONT'S ACT 48 IN MAY 2011 THE GREEN MOUNTAIN CARE BOARD (GMCB) BECAME THE REGULATORY BODY OVERSEEING HOSPITALS IN THE STATE OF VERMONT. AS A RESULT, THE BUDGETS FOR SEVERAL HOSPITAL ORGANIZATIONS AFFILIATED WITH UVMHNHHH ARE SUBJECT TO REVIEW BY THE GMCB ON AN ANNUAL BASIS. ONGOING DISCLOSURE OF OPERATING RESULTS IS ALSO REQUIRED, AND THE AFFILIATED HOSPITALS SUBMIT FINANCIAL STATEMENTS REGULARLY THROUGHOUT THE YEAR. THE UVM HEALTH NETWORK REGULARLY DISCLOSES ITS CONSOLIDATED FINANCIAL RESULTS ON ITS WEBSITES AND SUBMITS PRESS RELEASES RELATING TO PERFORMANCE ON A REGULAR BASIS TO LOCAL MEDIA OUTLETS. FORM 990, PART XI, LINE 9: NET ASSET TRANSFER 535,129. UNDETERMINED VARIANCE 5,005. UVM HEALTH NETWORK MEDICAL GROUP INC 111 COLCHESTER AVENUE BURLINGTON VT 05401 030225105 PHYSICIAN SVC VT 501(C)(3) 12A-I 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 AVENUE BURLINGTON VT 05401 263159849 FUNDRAISING VT 501(C)(3) 12A-I UVMMC 1 UVMMC AUXILLARY INC 111 COLCHESTER AVENUE BURLINGTON VT 05401 208022004 SERVICE VT 501(C)(3) 12C-III-FI N/A 0 UNIVERSITY OF VERMONT HEALTH NETWORK INC 111 COLCHESTER AVENUE BURLINGTON VT 05401 452880726 HOLDING COMPANY VT 501(C)(3) 12A-I N/A 0 CENTRAL VERMONT MEDICAL CENTER 130 FISHER ROAD BERLIN VT 05602 222547186 HOSPITAL VT 501(C)(3) 3 UVMHN 1 UNIVERSITY HEALTH CENTER 111 COLCHESTER AVENUE BURLINGTON VT 05401 030229931 HOSPITAL VT 501(C)(3) 12C-III-FI UVMHNMG 1 COMMUNITY PROVIDERS INC 75 BEEKMAN STREET PLATTSBURGH NY 12901 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 COOR NY 501(C)(3) 12B-II CVPH 1 UNIVERSITY MEDICAL EDUCATION ASSOCIATES 89 BEUMONT 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) 12-BII UVMHN 1 HELEN PORTER NURSING HOME 37 PORTER DRIVE MIDDLEBURY VT 05753 030306549 NURSING HOME VT 501(C)(3) 3 PMC 1 AUXILIARY OF PORTER MEDICAL CENTER 37 PORTER DRIVE MIDDLEBURY VT 05753 237363227 SUPPORTING ORG VT 501(C)(3) 12-B,II PMC 1 PORTER HOSPITAL INC 37 PORTER DRIVE MIDDLEBURY VT 05753 030181058 HOSPITAL VT 501(C)(3) 3 PMC 1 THE UNIVERSITY OF VERMONT MEDICAL CENTER 111 COLCHESTER AVENUE BURLINGTON VT 05401 030219309 HOSPITAL VT 501(C)(3) 3 UVMHN 1 LAKE CHAMPLAIN PHYSICIAN SERVICES PC 75 BEEKMAN STREET PLATTSBURGH NY 12901 273785445 PHYSICIAN SVC NY 501(C)(3) 12A-I CVPH 1 VMC INDEMNITY COMPANY INC 95 ST PAUL ST BURLINGTON VT 05401 831102018 INSURANCE VT 501(C)(3) 12A-I UVMHN 1 ADIRONDACK ACO LLC 75 BEEKMAN STREET PLATTSBURGH NY 12901 462840926 ACCOUNTABLE CARE NY N/A N/A 0 0 UVMHN VENTURES INC 111 COLCHESTER AVENUE BURLINGTON VT 05401 043380045 HOLDING COMPANY VT N/A C 1 UVM HEALTH NETWORK 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 SVCS 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 1 0 0 0 1 0 0 0 0 0 0 1 0 1 0 THE UNIVERSITY OF VERMONT MEDICAL CENTER I 125108 FMV THE UNIVERSITY OF VERMONT MEDICAL CENTER P 616137 FMV THE UNIVERSITY OF VERMONT HEALTH NETWORK R 55274 FMV THE UNIVERSITY OF VERMONT HEALTH NETWORK E 3000000 FMV THE UNIVERSITY OF VERMONT HEALTH NETWORK P 2779968 FMV