2025-08-11T07:58:00-05:00 2024-09-30 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2023-10-01 030266986 Northwestern Medical Center NORT 8025245911 133 Fairfield St St Albans VT 05478 Stephanie Breault CFO 8025245911 2025-08-08 1 1 Barbara J McGuan CPA P00219457 2077752387 2025-08-08 2023 2025-03-06 01:10:19Z Peter Wright 133 Fairfield St St Albans VT 05478 144667351 0 X www.northwesternmedicalcenter.org X 1977 VT Northwestern Medical Center's mission is to provide exceptional healthcare for our community. 11 10 911 80 0 0 274978 401810 122682296 132629183 4065003 2231098 711818 727538 127734095 135989629 83570 53000 0 0 65533892 73679306 0 0 0 65814750 62756673 131432212 136488979 -3698117 -499350 168086440 183412477 46260388 48635152 121826052 134777325 X Northwestern Medical Center's mission is to provide exceptional healthcare for our community. 0 0 110495619 53000 133362587 Providing inpatient and outpatient services to the general public in an acute care community hospital. The Hospital publishes an annual report. Please refer to the annual report for additional explanation of the Hospital's programs and achievements. Charity Care - The Hospital provides care to patients who meet certain criteria under its charity care policy. Because the Hospital does not pursue collection or amounts determined to qualify as charity care they are not reported in revenue. The Hospital maintains records to identify and monitor the level of charity care it provides. The records include the amount of charges foregone for services and supplies furnished under its charity care policy, the estimated cost of those services and supplies and equivalent service statistics. The following information measures the level of charity care provided during the year ended September 30, 2024.See continuation on Schedule O. Estimated costs and expenses incurred to provide charity care: $445,000Number of charity care patients served: 916The Hospital provides health care services to residents of St. Albans, Vermont, and the surrounding area, without regard to the individual's ability to pay for their services. 110495619 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 130 0 1 911 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 11 10 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 VT X Stephanie Breault CPA 8025245911 133 Fairfield Street St Albans VT 05478 Jake Holzscheiter Immediate Past President 5.00 0.00 X X 0 0 0 John Casavant President 5.00 0.00 X X 0 0 0 Dawn Bugbee Treasurer 5.00 0.00 X X 0 0 0 Barbara Toof Vice President 5.00 0.00 X X 0 0 0 Corey Parent Secretary 5.00 0.00 X X 0 0 0 Coleen Condon Member 5.00 0.00 X 0 0 0 Erin Creley Member 5.00 0.00 X 0 0 0 Nick Hadden Member 5.00 0.00 X 0 0 0 Dr Anna Royer Member 5.00 0.00 X 362787 0 34038 Dr Meredith Roberts Member 5.00 0.00 X 0 0 0 Karyn Rocheleau Member 5.00 0.00 X 0 0 0 Matthew Habedank Past Member 5.00 0.00 X 0 0 0 Peter Wright CEO 40.00 0.00 X 425332 0 17973 Stephanie Breault CFO 40.00 0.00 X 236333 0 38684 Dr Lawrence Sullivan Surgeon 40.00 0.00 X 867154 0 45051 Dr Robert Beattie Surgeon 40.00 0.00 X 672922 0 40313 Dr Gregory Brophey Surgeon 40.00 0.00 X 654284 0 42592 Dr Nathan Mauser Surgeon 40.00 0.00 X 603145 0 28639 Dr Kahren Aydinyan Surgeon 40.00 0.00 X 571794 0 39716 4393751 0 287006 144 0 1 0 Shiftwise PO Box 70870 St Paul MN 55170 Traveler Staffing 4482411 EF Wall & Associates 131 South Main St Barre VT 05641 Project Management 2764098 University of Vermont Medical Center PO Box 1902 Burlington VT 05402 Various Medical Services 2020067 Clinical Colleagues 1121 N Bethlehem Pike Suite 60-234 Spring House PA 19477 Anesthesia Services 1747830 ImageFirst 900 E 8th Ave Ste 200 King of Prussia PA 19406 Laundry Services 789867 10 110141 164499 127170 401810 Net Patient Service Revenue 621110 125420347 125420347 Other Operating Revenue 621110 6615621 6615621 Cafeteria 621110 593215 593215 132629183 1696493 1696493 733404 0 733404 733404 733404 9178846 8680 8652921 0 525925 8680 534605 534605 18119 110141 24393 -6274 -6274 816 408 408 408 135989629 132769372 0 2818447 X 53000 53000 1115147 892118 223029 58136792 46509433 11627359 2510297 2008238 502059 7979008 6383207 1595801 3938062 3150450 787612 468333 374666 93667 180794 144635 36159 155775 124620 31155 26319 26319 172441 172441 24535038 19628030 4907008 198078 158462 39616 623251 498601 124650 2048054 1638443 409611 251844 201475 50369 550093 440074 110019 6284618 5027694 1256924 1853585 1482868 370717 Supplies 16344086 13075269 3268817 Health Care Improvement 7112742 7112742 Miscellaneous Expenses 1516082 1243162 272920 Dues & Subscriptions 435540 348432 87108 136488979 110495619 25993360 0 X 3015 3190 14521891 11253065 13400988 14887531 153968 2388915 2540032 1320443 744664 158732939 87080269 71107717 71652670 57002444 72685988 947731 726717 7393296 8764652 168086440 183412477 11536809 12641523 24946078 23269536 1384874 1289111 8392627 11434982 46260388 48635152 X 118913125 131791013 2912927 2986312 121826052 134777325 168086440 183412477 X -499350 14139860 -689237 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 26319 26319 0 Part II-B, Line 1: Northwestern Medical Center is a member of the Vermont Association of Hospitals and Health Systems and the American Hospital Association. A portion of the dues paid to these organizations is available for lobbying expenditures on behalf of Northwestern Medical Center and other member organizations in furtherance of their exempt purposes. 1141701 166197 1307898 1093538 48163 1141701 1335762 -242224 1093538 1142938 192824 1335762 1145463 -2525 1142938 0.00000 1.00000 0.00000 1 0 1020531 1020531 99034659 44450898 54583761 53711006 39687440 14023566 4966743 2941931 2024812 71652670 Estimated Third-Party Settlements 3617879 Deferred Compensation 7080894 Lease Liabilities 736209 11434982 149292612 14139860 190998 14330858 134961754 172441 855434 1027875 135989629 136341339 24801 24801 136316538 172441 172441 136488979 Part V, Line 4: The Organization intends to use the endowment funds in the manner prescribed by the donors. Part XI, Line 2d - Other Adjustments: Appreciation in Beneficial Interest in Perpetual Trusts 166,197. Fundraising Expenses 24,393. Gaming Expenses 408. Part XI, Line 4b - Other Adjustments: Unrealized Loss on Interest Rate Swaps 855,434. Part XII, Line 2d - Other Adjustments: Fundraising Expenses 24,393. Gaming Expenses 408. Schedule D, Part V, Line 3a(i) The Organization has Beneficial Interest in Trusts which are not held at nor in the possession of the Organization. Jim Bashaw Cancer - Run for Jim 63115 62288 827 2308 Community Partners Golf Tournament 54082 38530 15552 1600 8227 4192 4775 1 11063 9323 1740 632 2306 353 128260 110141 18119 1600 8859 6498 7436 24393 -6274 1 1 1 X 400.000000000000 1 X 1 1 1 0 0 425340 425340 0.00310 28049930 13890718 14159212 0.10370 28475270 13890718 14584552 0.10680 90360 90360 0.00070 335851 271756 64095 0.00050 53000 53000 0.00040 479211 271756 207455 0.00160 28954481 14162474 14792007 0.10840 1 0 19765492 30995345 -11229853 X 1 1 1 1 Northwestern Medical Center 133 Fairfield Street St Albans VT 05478 www.northwesternmedicalcenter.org 966 X X X Northwestern Medical Center 1 0 0 1 X X X X X X X X X 23 1 0 1 1 X See Part V, Page 8 X X 1 23 1 See Part V, Page 8 0 1 X 400.000000000000 400.000000000000 X X X X X X 1 1 X X X X 1 X See Part V, Page 8 X See Part V, Page 8 X See Part V, Page 8 X X X X X 1 X 0 X X X X 1 X 0 0 Northwestern Medical Center Part V, Section B, Line 5: As part of our FY 2024 Community Health Needs Assessment (CHNA), the NMC CHNA Steering Committee worked diligently to ensure that we collected information about health needs from a wide variety of community groups and members. Our methodology included both primary and secondary data sources. We conducted:- 15 Key Informant Interviews with representatives from service organizations, municipalities and advocacy groups, - 4 Focus Groups conducted with BIPOC Identifying Community Members, In-home Caregivers, Persons Experiencing Financial Insecurity and Rural Youth, - Received over 400 community surveys, - Evaluated 70+ Key Performance Indicators. We considered the collected data in alignment with the US Department of Health and Human Services Healthy People 2030 framework, to re-center our questions and data on health equity and the Social Determinants of Health Domains. Northwestern Medical Center Part V, Section B, Line 6b: Center for Rural Studies at the University of VermontChamplain Islanders Developing Essential ResourcesChamplain Valley Office of Economic OpportunityNorthwest Counseling and Support ServicesNorthwest Regional Planning CommissionNorthern Tier Center for HealthSt. Paul's United Methodist ChurchSpectrum Youth ServicesUnited Way of Northwest VermontVermont Department of HealthVermont National Guard Northwestern Medical Center Part V, Section B, Line 7d: In addition to making the Community Health Needs Assessment widely available via the hospital website and in response to requests, Northwestern Medical Center provided overviews of the Community Health Needs Assessment to members of the community through presentations at groups such as the Board of Directors of Northwestern Medical Center, and at the CAIRES Accountable Community for Health (ACH), which has leadership representatives from Franklin County Home Health Agency; Northwestern Counseling & Support Services, NOTCH (Northern Tier Centers for Health Federally Qualified Health Centers), Franklin Grand Isle Community Action (CVOEO) and the Supervisory Unions. The priorities of the Community Health Needs Assessment are frequently referenced in other hospital documents, plans, publications, and presentations as we work to integrate these findings into our efforts to care for our community. Northwestern Medical Center Part V, Section B, Line 11: NMC is addressing the significant needs identified in its most recently conducted CHNA through a variety of initiatives including: Access to Care: Equitable access to care by being able to access the right care, including social services, at the right time in a culturally appropriate and person-centered way, no matter who you are.In Process:- Invest in our workforce to attract and retain employees that deliver care in our community. ie. LNA to RN Program, retention bonuses, education incentives.- Emphasizing patient flow and proper placement in long term care and inpatient mental health, leading to greater access to acute hospital beds.- Improve access to mammograms by expanding hours of operation to include evening and weekends.- Onboarding providers in cardiology, urology, orthopedics, general surgery, pulmonology and ENT, expanded rehab services, pediatric inpatient, tele-ICU.- Established a pediatric developmental clinic.Goals:- Support our patients in finding a Primary Care Provider.- Continue to increase access to local specialty care service lines in our community, including OBGYN, oncology and ophthalmology.- Provide access to care that is culturally appropriate, and person centered. Providing health care services that meet the needs of all people. - Collecting and utilizing SOGI data to create a more inclusive and patient centered experience. - Expand interpreter services to include more in-person support and options. Affordability: Rising prices including gas, groceries, day care, housing, health care insurance premiums, and the cost of healthcare are forcing people to make choices between basic needs and accessing healthcare.In process:- Working to maintain our status as the lowest cost outpatient hospital and the second lowest cost inpatient hospital in the state.- NMC provides pricing transparency and a cost estimator for services on our website. - NMC adopted a new financial assistance policy in response to the new law regarding charity care and financial assistance.- We have certified assisters through VT Health Connect to support patients who are eligible for insurance by helping them enroll in Dr. Dinosaur and Medicaid.- Identify in Meditech if patient's preferred language is non-English so we can we translate the bill into their preferred language.- NMC has a Community Fund to help patients access resources for medically necessary items to support their health. Participating in the New England Collaborative Health Network to reduce avoidable costs.Goals:- Communicate the new financial assistance policy to the community in ways that reach the affected population. - Explore the proposed AHEAD model to be able to reduce health care costs, improve patient experience, increase equity, and improve population health.Mental Health and Substance Abuse: Focus on the prevention, screening, assessment, and treatment of mental disorders and behavioral conditions. Strategies to prevent drug and alcohol use at the school, family, and community level and helping people with these disorders get treatment.In Process:- Hosting an embedded Recovery Coach in the Emergency Department. - Renovation of Emergency Department installed safe suite for patients experiencing a mental health crisis or substance use disorder. - We partner with NCSS for crisis support in the Emergency Department and the inpatient units. - Donations to community organizations who are actively working in mental health and substance use disorders.- Actively advocating for an expansion of mental health beds in the state.Goals: - Strengthen partnership with NCSS for crisis support in the Emergency Department and the inpatient units.- Actively seeking to build employment opportunities for people in recovery at NMC.Safety and Belonging: Physical and emotional safety in the community, including neighborhoods, schools, institutions, and family structures. Accepting and celebrating differences and embracing belonging.In process:- Continued work on annual plans for Diversity, Equity, Inclusion and Belonging as both a care provider and an employer. - Use Health Related Social Needs (HRSN) screenings in the PCU to address our patient's needs through programs like the Food Bags.- Implement AVADE staff training to keep staff members and patients safer.- Installing zero tolerance for workplace violence signage throughout the organization.Goals:- Collecting and utilizing SOGI data to create a more inclusive and patient centered experience. - Sharing the results of the NMC Workplace Violence Survey. - Create safe spaces by having opportunities for modeling our differences as staff, medical staff, and administration, ie. Encourage pronoun usage in our communications, consider opportunities for showing our support of difference by flying certain flags, displaying art from other cultures, or posting "welcome" in different languages.- Enhance the patient comfort kits to provide a wider array or culturally significant items (i.e. bonnet, Abenaki prayer ties, lotion, etc.)Community Gathering and Connectedness: Feeling connected to place and community through the arts, cultural events, accessible transportation, community input and gathering, and public recreation spaces.In process: - Expanded NMC events for staff and community holiday events, celebrations, sporting events, etc.- Evolving the Patient Family Advisory Council PFAC to have more opportunity to shape our care delivery system.- Provide Grand Rounds for providers on current topics on healthcare. - The Population Health Department work with the Accountable Community for Health CAIRES Circle.- Opened the Conference Center back up to the community for meetings.- The first annual Long Term Health Care Summit established and hosted. - NMC donates to target organizations who are actively working in these areas.Goals:- Reinvent the fall meeting of the NMC Incorporators to serve as an annual meeting with the community.NMC's CHNA also addressed several additional items that NMC is working with other community partners to lead the CAIRES ACH. The mission of the CAIRES ACH is to design health and service systems together with communities to be equitable, responsible, and adaptable. Our vision is that Grand Isle and Franklin Counties will be inclusive, self-determined, healthy communities where everyone is well, safe, nurtured, and respected. To encourage collaboration and reduce the impact hierarchies of systemic oppression have on communities. The structure of the ACH de-centralizes decision making. The ACH is made of three group types with specific purposes and decision-making powers.- The CAIRES Circle is focused on the ongoing sustainability of the ACH and supports collaboration across workgroups.- Workgroups are formed around specific areas of focus and make decisions related to workgroup goals.- The Production Team provides organization and administrative support across the ACH to support the shared vision and mission of the ACH.NMC's Manager of Population Health serves on the Production Team and attends the CAIRES Circle with members of NMC's senior leadership team. Part V, line 10a, Hospital facility's website: https://www.northwesternmedicalcenter.org/ Part V, line 17a, Hospital facility's website: https://www.northwesternmedicalcenter.org/ Part V, line 16a, FAP website: https://www.northwesternmedicalcenter.org/patients-visitors/pay-an-nmc-bill/free-care-discount-policy/ Part V, line 16b, FAP Application website: https://www.northwesternmedicalcenter.org/patients-visitors/pay-an-nmc-bill/free-care-discount-policy/ Part V, line 16c, FAP Plain Language Summary website: https://www.northwesternmedicalcenter.org/patients-visitors/pay-an-nmc-bill/free-care-discount-policy/ 8 1 - Northwestern Medical Center Pediatrics 11 Crest Road St Albans VT 05478 Pediatrics 2 - Northwestern Walk-in Clinic 927 Ethan Allen Hwy Ste 2 Georgia VT 05468 Diagnostic Imaging, Physical Therapy & Urgent Care 3 - Northwestern Georgia Health Center 4178 Highbridge Road Georgia VT 05486 Primary Care 4 - Northwestern Comprehensive Pain 17-19 Catherine Street St Albans VT 05478 Pain Care 5 - Northwestern Ophthalmology 53 Fairfax Road St Albans VT 05478 Ophthalmology 6 - Physical Therapy Services 44 Center Street Enosburg VT 05450 Physical Therapy 7 - Branon's Pools & Spa 248 North Main Street St Albans VT 05478 Physical Therapy 8 - Northwestern Medical Center Pediatrics 12 First Street Swanton VT 05488 Pediatrics Part I, Line 3c: Determining eligibility for free care and/or discounted care is not solely determined by Federal Poverty Guidelines (FPG). Other considerations, such as net worth, other financial obligations, and outstanding medical bills are reviewed in addition to income. Part I, Line 7g: Subsidized health services includes the Medicare shortfall from physician practices that are not included in the Hospital's cost reporting reflected on Part III, Line 7. Part III, Line 4: See Pages 7-13, and 17-18 of the attached audited financial statements. Part III, Line 8: The cost was determined using the cost to charge ratio.The Medicare shortfall of $11,229,853 reported on line 7 of Part III, does not represent all Medicare services provided by the Hospital, as required by IRS instructions. When taking all Medicare services into account, the Hospital calculated a different Medicare shortfall using an internal costing methodology. Part III, Line 9b: During the collection process, financial assistance, a payment plan or a discount may be offered to the patient, if appropriate, and in accordance with established hospital policy. Part VI, Line 2: In alignment with the Federal mandate, Northwestern Medical Center conducted a comprehensive Community Health Needs Assessment in 2024. This document was formally approved by the Hospital's Board of Directors, placing it in the Hospital's 2024 Fiscal Year. This document replaces the previous Community Health Needs Assessment which was approved in the Hospital's 2022 Fiscal Year.Five top priorities were identified: Access to Care, Affordability, Mental Health and Substance Abuse, Safety and Belonging, and Community Gathering and Connectedness. Community wide action plans incorporating multiple partners have been created to help address each of these priorities. The current (and previous) assessment is available free of charge on the Hospital website and the Hospital's Community Relations Office is available to provide free printed copies as requested. Part VI, Line 3: The Hospital uses a variety of methods of communication to inform and educate patients about its financial assistance program. For example, information related to financial assistance and charity care is available on the Hospital's website and patient portal, included on the back of patient statements, posted on signs at registration areas, and patients may speak on the phone with a collection specialist. The Hospital's financial assistance program is also widely publicized within the community, including published information regularly placed in the local newspaper and information brochures displayed at local United Way and Department of Health offices. Part VI, Line 4: The Hospital serves the greater Franklin and Grand Isle counties in northwestern Vermont. The service area consists of approximately 56,000 people and the area is primarily rural and agricultural in nature with some light industry. Part VI, Line 5: The Hospital maintains an open medical staff and a community based Board of Directors. The Hospital's Board of Directors is elected by the Hospital's Board of Incorporators, which consists of approximately 150 local residents. The Hospital created and funds a program known as The Center for Health and Wellness, which is committed to a collaborative approach to community health improvement. 1 Scholarships 3 12000 Bashaw Grants 82 41000 Part I, Line 2: All grants are periodically reviewed for compliance with NMC's grant policy. Assistance is given with appropriate management approval for the benefit of 501(c)(3) public charities, government agencies and individuals whom have been determined to meet the criteria of need stated in NMC's grant policy. Special purpose grants, such as scholarships, are sent directly to educational institutions or loan agencies. After the approval process has been completed by management, request for grant payment is submitted to Finance to release the grant funds according to the required information and approval provided. 1 X X X X 0 0 0 0 0 0 0 1 0 Dr Lawrence Sullivan Surgeon 553939 0 246535 0 66680 0 6600 0 38451 0 912205 0 0 0 Dr Robert Beattie Surgeon 672922 0 0 0 0 0 5000 0 35313 0 713235 0 0 0 Dr Gregory Brophey Surgeon 412358 0 183856 0 58070 0 6600 0 35992 0 696876 0 0 0 Dr Nathan Mauser Surgeon 588145 0 0 0 15000 0 6600 0 22039 0 631784 0 0 0 Dr Kahren Aydinyan Surgeon 449919 0 121875 0 0 0 6100 0 33616 0 611510 0 0 0 Peter Wright CEO 395332 0 0 0 30000 0 6600 0 11373 0 443305 0 0 0 Dr Anna Royer Member 331683 0 31104 0 0 0 6600 0 27438 0 396825 0 0 0 Stephanie Breault CFO 236333 0 0 0 0 0 4829 0 33855 0 275017 0 0 0 Part I, Line 7 Dr. Lawrence Sullivan, Dr. Gregory Brophey, Dr. Kahren Aydinyan, and Dr. Anna Royer received bonuses from an incentive compensation plan. A Vermont Educational & Health Building Financing Agency 237154467 NoneAvail 2016-06-01 35000000 Refund 2012A Bond and New Capital Projects 0 0 0 A 11591869 35000000 235906 17429519 17334575 2017 1 0 1 1 A 0 0 0 0 0 0 1 A 0 0 0 1 1 1 People's United Bank 12.000000000000 1 0 0 0 1 A 1 Form 990, Part V, Line 13a VT Form 990, Part VI, Section A, line 6 The organization has a maximum of 150 members, elected at the annual meeting from a slate of candidates nominated by the Nominating Committee. Other candidates for membership may be nominated from the floor at the annual meeting. Any person whose term as a Corporation Director has expired shall automatically become a member if that person consents to become a member. Form 990, Part VI, Section A, line 7a The membership elects a presiding membership officer, an alternate presiding membership officer and a membership secretary. Said officers are designated as Chair, Vice Chair and Recording Secretary of the membership. Form 990, Part VI, Section B, line 11b The entire Form 990 is provided to the full Board of Directors for review. The Board has the opportunity to ask questions and the Board votes on giving Administration approval to file the return in advance. Form 990, Part VI, Section B, line 12c Each Board Member and each member of the management team completes an annual statement attesting that they have received a copy of the policy and that they have read and understand it and will comply with it. Each person also completes a conflict of interest survey to identify potential conflicts and relevant financial interests. Each person also provides a listing of immediate family members, including spouse, children, grandchildren, parents, siblings, and any other person(s) living in their household. All disclosures are reviewed; determination of conflicts for Board Members are voted on by the remaining Board Members and determination of conflicts by the management staff is voted on by the senior leadership team. Those with conflicts are not allowed to participate in discussion and/or votes related to the conflict. A full copy of the policy can be provided upon request. Form 990, Part VI, Section B, line 15 Beginning in December 2020, the CEO is now an employee of Northwestern Medical Center. Respective contracts, including compensation, are approved by the Board of Directors on an annual basis. Form 990, Part VI, Section C, line 19 Northwestern Medical Center does not formally make its governing documents and conflict of interest policy available to the public. Financial information is available to the public through the annual tax return filing, annual Medicare and Medicaid cost report filing, and financial data published by the Green Mountain Care Board and available on the Hospital's website, as well as summarized financial information and statistics published in the Hospital's annual report distributed to local communities and published on the Hospital's website. Form 990, Part IX, line 11g Other Professional Services: Program service expenses 16,606,152. Management and general expenses 4,151,539. Fundraising expenses 0. Total expenses 20,757,691. Maintenance Contracts: Program service expenses 3,021,878. Management and general expenses 755,469. Fundraising expenses 0. Total expenses 3,777,347. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Northwestern Medical Center 133 Fairfield St. St. Albans, VT 05478 EIN: 03-0266986 Northwestern Medical Center is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Form 990, Part XI, line 9: Unrealized Loss on Interest Rate Swaps -855,434. Appreciation in Beneficial Interest in Perpetual Trusts 166,197. Northwestern Medical Center Auxiliary Inc 133 Fairfield St St Albans VT 05478 030278425 Promotion and Support of Northwestern Medical Center VT 501(c)(3) Line 12a, I Northwestern Medical Center 1 Charitable Remainder Trust Trust VT Northwestern Medical Center 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0