FURP.ORG / PUBLIC DATA EXPLORER

CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER (EIN 14-1338471)
Tax period
2023-10-01 to 2024-09-30
Filed
2025-08-11
IRS object ID
202522239349302162
Schema version
2023v6.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-08-11T14:35:38-05:00ReturnTs
Tax Period End2024-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161226221PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FUSTCHARLES LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1220 S WARREN STREETAddressLine1Txt
CitySYRACUSECityNm
State AbbreviationNYStateAbbreviationCd
ZIP13202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN141338471EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHAMPLAIN VALLEY PHYSICIANS HOSPITALBusinessNameLine1Txt
Business Name Line2MEDICAL CENTERBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCHAMBusinessNameControlTxt
Phone5185612000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line175 BEEKMAN STREETAddressLine1Txt
CityPLATTSBURGHCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12901ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMATEJ KOLLARPersonNm
Person TitleVP/CFOPersonTitleTxt
Phone5185612000PhoneNum
Signature2025-08-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTHOMAS J GIUFREPreparerPersonNm
PTINP00841958PTIN
Phone3154463600PhoneNum
Preparation2025-08-04PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMATEJ KOLLARPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line175 BEEKMAN STREETAddressLine1Txt
CityPLATTSBURGHCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12901ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$470,204,567GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CVPH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1903FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionCVPH MEDICAL CENTER'S MISSION IS TO PROVIDE QUALITY HEALTH CARE FOR THE NORTH COUNTRY REGION IN UPSTATE NEW YORK.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee2541TotalEmployeeCnt
Total Volunteers300TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,008,072PYContributionsGrantsAmt
CY Contributions Grants$6,453,980CYContributionsGrantsAmt
PY Program Service Revenue$413,001,419PYProgramServiceRevenueAmt
CY Program Service Revenue$457,538,161CYProgramServiceRevenueAmt
PY Investment Income-$1,444,650PYInvestmentIncomeAmt
CY Investment Income$490,899CYInvestmentIncomeAmt
PY Other Revenue$5,437,415PYOtherRevenueAmt
CY Other Revenue$5,319,026CYOtherRevenueAmt
PY Total Revenue$419,002,256PYTotalRevenueAmt
CY Total Revenue$469,802,066CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$254,429,395PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$264,855,210CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$203,982,753PYOtherExpensesAmt
CY Other Expenses$207,318,962CYOtherExpensesAmt
PY Total Expenses$458,412,148PYTotalExpensesAmt
CY Total Expenses$472,174,172CYTotalExpensesAmt
PY Revenues Less Expenses-$39,409,892PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,372,106CYRevenuesLessExpensesAmt
Total Assets BOY$201,322,411TotalAssetsBOYAmt
Total Assets EOY$208,980,876TotalAssetsEOYAmt
Total Liabilities BOY$197,241,330TotalLiabilitiesBOYAmt
Total Liabilities EOY$207,977,249TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,081,081NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,003,627NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCVPH MEDICAL CENTER'S MISSION IS TO PROVIDE QUALITY HEALTH CARE FOR THE NORTH COUNTRY REGION IN UPSTATE NEW YORK.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$377,006,389ExpenseAmt
Revenue$462,893,337RevenueAmt
DescSEE SCHEDULE OSEVERAL OUTPATIENT FACILITIES WHERE SERVICES ARE PROVIDED TO ITS PATIENTS INCLUDING: AMBULATORY SURGERY, PHYSICAL AND OCCUPATIONAL THERAPY, REHABILITATION, RENAL DIALYSIS, AND DIAGNOSTIC IMAGING. CVPH ALSO OPERATES HEALTH CLINICS LOCATED IN OUTLYING GEOGRAPHIC AREAS, TO BETTER SERVE THE HEALTH NEEDS OF CVPH'S RURAL COMMUNITY SERVICE AREA. THROUGH ITS VARIOUS LOCATIONS, OUTREACH ACTIVITIES, AND SUPPORT GROUPS, CVPH IS ACTIVE IN THE COMMUNITY IN PROMOTING HEALTH AND WELLNESS OF THE BODY, MIND, AND SPIRIT. CVPH PROVIDES ONGOING MEDICAL EDUCATION TO ITS MEDICAL STAFF, IN ADDITION TO OFFERING AN X-RAY TECHNOLOGY PROGRAM FOR ENROLLED STUDENTS. CVPH MAINTAINS A COMPREHENSIVE MEDICAL LIBRARY AND HAVE MADE AVAILABLE WEB-BASED LINKS FOR THE COMMUNITY TO EASILY ACCESS HEALTH AND WELLNESS INFORMATION AND EDUCATIONAL MATERIALS. CVPH ACCEPTS NUMEROUS INSURANCE PLANS, AND IS MEDICARE AND MEDICAID APPROVED. ADDITIONALLY, CVPH HAS A CHARITY CARE POLICY TO ACCOMMODATE PATIENTS WHOSE FINANCIAL MEANS ARE WITHIN SPECIFIED GUIDELINES.Desc
Total Program Service Expenses$377,006,389TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document133IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2541EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMATEJ KOLLAR CFOPersonNm
Phone5185627047PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line175 BEEKMAN STREETAddressLine1Txt
CityPLATTSBURGHCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12901ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ELIZABETH GOERLITZ-CORYER
DIRECTOR1.00Yes (X)$0$0$0
BETSY VICENCIO
CHAIR2.00Yes (X)$0$0$0Yes (X)
JOANN GLEESON-KREIG PHD
DIRECTOR1.00Yes (X)$0$0$0
JOHN MCAULIFFE MD
MEMBER AT LARGE1.00Yes (X)$0$0$0
KELLY DONOGHUE
DIRECTOR1.00Yes (X)$0$0$0
LEE PRAY
DIRECTOR1.00Yes (X)$0$0$0
LINDA BOURGEOIS
SECRETARY2.00Yes (X)$0$0$0Yes (X)
NEIL FESETTE
MEMBER AT LARGE1.00Yes (X)$0$0$0
PAOLO FEDI MD
VICE CHAIR THRU 1/1/241.00Yes (X)$56,414$0$0Yes (X)
RICHARD WEBBER MD
DIRECTOR1.00Yes (X)$0$0$0
RICHELLE GREGORY
DIRECTOR1.00Yes (X)$0$0$0
TOM RECNY
TREASURER2.00Yes (X)$0$0$0Yes (X)
JOE DONNERY DPM
VICE CHAIR2.00Yes (X)$0$0$0Yes (X)
NILES GRAHAM
DIRECTOR1.00Yes (X)$0$0$0
MOLLY RYAN
DIRECTOR1.00Yes (X)$0$0$0
WOUTER RIETSEMAMD
VP POPULATION HEALTH & INFORMATION SVCS48.00$343,320$0$80,914Yes (X)2.00
MICHELLE LEBEAU
PRESIDENT/CEO48.00$610,683$0$113,166Yes (X)2.00
MATEJ KOLLAR
VP/CFO30.00$323,937$0$53,305Yes (X)20.00
LISA MARK
VP MEDICAL AFFAIRS/CHIEF M44.00$0$462,496$50,6101.00Yes (X)
KERRY HALEY
AVP OF PHILANTHROPY50.00$168,605$0$43,986Yes (X)
MATTHEW JONES
AVP OF PROFESSIONAL SERVIC40.00$0$217,739$18,846Yes (X)
DR JASON SANDERS
UVMMG PRESIDENT & CEO1.00$0$508,675$95,55149.00Yes (X)
AMY PUTNAM
VP MEDICAL GROUP NETWORK DEPARTMENTS1.00$0$284,720$55,36049.00Yes (X)
CARLYN HAAG
CHIEF NURSING OFFICER40.00$202,662$0$15,207Yes (X)
VINCENT LUDGEWIG
PHARMACIST40.00$316,830$0$57,444Yes (X)
NANCY ZIMUCHA
REGIONAL VP EDI TIL 4/202340.00$280,477$0$33,380Yes (X)
CARRIE HOWARD-CANNING
NETWORK CHIEF NURSING OFFICER40.00$270,545$0$52,672Yes (X)
SHAWN ROGERS
CHIEF TRANSFORMATION OFFICER40.00$263,500$0$53,905Yes (X)
BRENDA MURPHY
CHIEF QUALITY AND SAFETY OFFICER40.00$262,471$0$31,910Yes (X)
CHRISTOPHER HICKEY
FORMER SVP/CFO5.00$212,356$0$36,7725.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,311,800TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,473,630TotReportableCompRltdOrgAmt
Total Other Compensation$793,028TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K553IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HEALTHCARE WORKFORCE LOGISTICS
PO BOX 860573MINNEAPOLISMN55486PHYSICIAN SERVICES$4,499,377
ASSOCIATES IN RADIOLOGY
PO BOX 2007EAST SYRACUSENY13057RADIOLOGY SERVICES$3,107,664
E4H-ENVIROMENTS FOR HEALTH
185 TALCOTT ROADWILLISTONVT05495ARCHITECTUAL SERVICES$238,089
JGD DEVELOPMENT CO LLC
16 DEGRANDPRE WAY STE 16APLATTSBURGHNY12901CONSTRUCTION SERVICES$197,811
SUNY PLATTSBURGH S&H CENTER
SPEECH AND HEARING CENTER 101 BROADPLATTSBURGHNY12901SPEECH PATHOLOGY$196,334
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Related Organizations$25,000RelatedOrganizationsAmt
Government Grants$401,906GovernmentGrantsAmt
All Other Contributions$6,027,074AllOtherContributionsAmt
Total Contributions$6,453,980TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621990$438,877,014$438,877,014
OP PHARMACY REVENUE456110$13,762,671$13,762,671
340B REVENUE456110$4,290,977$4,290,977
BLOOD BANK621500$306,564$306,564
DIALYSIS621500$300,935$300,935
FieldValueIRS element (for citing)
Total Program Service Revenue$457,538,161TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$457,678TotalRevenueColumnAmt
Exclusion$457,678ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$44,374RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$80,524RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$36,150RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$36,150TotalRevenueColumnAmt
Exclusion-$36,150ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$355,198SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$321,977SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$33,221SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$33,221TotalRevenueColumnAmt
Exclusion$33,221ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA SALES900099$1,683,208$1,683,208
INICIATIVE/CME PAYMENTS900099$869,431$869,431
MED SURG SUPPLIES900099$143,953$143,953

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,658,584TotalRevenueColumnAmt
Related Or Exempt Func Income$2,658,584RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,355,176OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$469,802,066TotalRevenueColumnAmt
Related Or Exempt Func Income$462,893,337RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$454,749ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,012,198TotalAmt
Program Services$1,693,641ProgramServicesAmt
Management And General$318,557ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$43,223TotalAmt
Program Services$36,380ProgramServicesAmt
Management And General$6,843ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$198,082,813TotalAmt
Program Services$167,254,411ProgramServicesAmt
Management And General$30,828,402ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,317,196TotalAmt
Program Services$1,813,466ProgramServicesAmt
Management And General$1,503,730ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$48,303,833TotalAmt
Program Services$39,860,211ProgramServicesAmt
Management And General$8,443,622ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,095,947TotalAmt
Program Services$7,991,435ProgramServicesAmt
Management And General$5,104,512ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$335,881TotalAmt
Program Services$3,362ProgramServicesAmt
Management And General$332,519ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total-$176,930TotalAmt
Management And General-$176,930ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$23,567TotalAmt
Management And General$23,567ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$59,121,189TotalAmt
Program Services$51,769,576ProgramServicesAmt
Management And General$7,351,613ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$150,459TotalAmt
Program Services$99,800ProgramServicesAmt
Management And General$50,659ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$302,756TotalAmt
Program Services$260,609ProgramServicesAmt
Management And General$42,147ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,887,386TotalAmt
Program Services$4,921,155ProgramServicesAmt
Management And General$2,966,231ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,577,356TotalAmt
Program Services$1,192,275ProgramServicesAmt
Management And General$385,081ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,718,771TotalAmt
Management And General$2,718,771ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,789,912TotalAmt
Management And General$10,789,912ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,369,761TotalAmt
Program Services$3,234,823ProgramServicesAmt
Management And General$1,134,938ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & PHAR$74,689,571$72,269,676$2,419,895
SHARED SERVICES$18,317,185$0$18,317,185
BAD DEBTS$14,650,634$14,650,634
MAINTENANCE & REPAIRS$7,961,328$5,656,396$2,304,932

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,600,136TotalAmt
Program Services$4,298,539ProgramServicesAmt
Management And General$301,597ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$472,174,172TotalAmt
Program Services$377,006,389ProgramServicesAmt
Management And General$95,167,783ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,922,018BOYAmt
EOY$11,015,187EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$52,867,970BOYAmt
EOY$61,104,972EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,651,595BOYAmt
EOY$8,564,180EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$20,446,458BOYAmt
EOY$21,421,577EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$235,113,026LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$158,502,153LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$79,095,314BOYAmt
EOY$76,610,873EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$10,175,849BOYAmt
EOY$11,751,793EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$23,163,207BOYAmt
EOY$18,512,294EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$201,322,411BOYAmt
EOY$208,980,876EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$32,824,943BOYAmt
EOY$37,526,123EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,727,444BOYAmt
EOY$21,487,978EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$34,130,585BOYAmt
EOY$32,778,182EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$107,558,358BOYAmt
EOY$116,184,966EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$197,241,330BOYAmt
EOY$207,977,249EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,737,138BOYAmt
EOY-$340,316EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,343,943BOYAmt
EOY$1,343,943EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,081,081BOYAmt
EOY$1,003,627EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$201,322,411BOYAmt
EOY$208,980,876EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,372,106ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$861,257NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,566,605OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,006,147BeginningYearBalanceAmt
Investment Earnings Or Losses$332,866InvestmentEarningsOrLossesAmt
Other Expenditures$12,464OtherExpendituresAmt
End Year Balance$6,326,548EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$26,411,510BeginningYearBalanceAmt
Contributions$1,521,820ContributionsAmt
Investment Earnings Or Losses$2,025,655InvestmentEarningsOrLossesAmt
Other Expenditures$23,932,788OtherExpendituresAmt
Administrative Expenses$20,050AdministrativeExpensesAmt
End Year Balance$6,006,147EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$43,598,405BeginningYearBalanceAmt
Contributions$437,820ContributionsAmt
Investment Earnings Or Losses-$7,624,715InvestmentEarningsOrLossesAmt
Other Expenditures$10,000,000OtherExpendituresAmt
End Year Balance$26,411,510EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$37,668,274BeginningYearBalanceAmt
Contributions$443,568ContributionsAmt
Investment Earnings Or Losses$5,486,563InvestmentEarningsOrLossesAmt
End Year Balance$43,598,405EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$35,932,200BeginningYearBalanceAmt
Contributions$226,280ContributionsAmt
Investment Earnings Or Losses$1,526,118InvestmentEarningsOrLossesAmt
Administrative Expenses$16,324AdministrativeExpensesAmt
End Year Balance$37,668,274EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.21243BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.78757PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,280,000OtherCostOrOtherBasisAmt
Book Value$3,280,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$108,913,313OtherCostOrOtherBasisAmt
Depreciation$61,073,427DepreciationAmt
Book Value$47,839,886BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,915,480OtherCostOrOtherBasisAmt
Depreciation$2,124,318DepreciationAmt
Book Value$1,791,162BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$111,828,221OtherCostOrOtherBasisAmt
Depreciation$92,982,055DepreciationAmt
Book Value$18,846,166BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,176,012OtherCostOrOtherBasisAmt
Depreciation$2,322,353DepreciationAmt
Book Value$4,853,659BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$76,610,873TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
OPERATING LEASE RIGHT OF USE ASSETS$16,727,992
FINANCE LEASE RIGHT OF USE ASSETS$438,383
NOTES RECEIVABLE AND OTHER ASSETS$197,825
DUE FROM RELATED PARTIES$1,148,094
FieldValueIRS element (for citing)
Total Book Value Other Assets$18,512,294TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
ACCRUED PENSION COSTS$6,847,056
DUE TO RELATED PARTIES$73,613,218
L-T COMPENSATION RELATED$7,809,163
OTHER LIABILITIES$3,586,846
LEASE LIABILITIES$17,631,998
CONTRACT LIABILITIES$50,379
ESTIMATED THIRD PARTY SETTLEMENT$5,156,038
ESTIMATES INCURRED BUT UNREPORTED MEDICAL CLAIMS$1,490,268
FieldValueIRS element (for citing)
Total Liability$116,184,966TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:CERTAIN BOARD-DESIGNATED FUNDS HAVE BEEN ESTABLISHED TO MEET SPECIFIC CURRENT AND FUTURE NEEDS OF THE HOSPITAL OR TO ADEQUATELY DISCHARGE FUTURE LIABILITES. THESE FUNDS INCLUDE THE PLANT AND CAPITAL IMPROVEMENT FUNDS, WHICH ARE DESIGNATED FOR SPECIFIC PROJECTS SUCH AS THE SURGICAL CENTER CONSTRUCTION, AND DESIGNATED FUNDS FOR BOTH SELF-INSURANCE AND FOR CVPH'S VARIOUS EMPLOYEE BENEFIT PLANS. TEMPORARILY RESTRICTED NET ASSETS ARE INTENDED FOR THE PURCHASE OF PROPERTY AND EQUIPMENT. PERMANENTLY RESTRICTED NET ASSETS ARE TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE TO SUPPORT HEALTH CARE SERVICES, INCLUDING MEDICAL SERVICES PROVIDED TO CHILDREN, AND PROVIDING FOR CHARITY CARE.
PART X, LINE 2:CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE UNIVERSITY OF VERMONT HEALTH NETWORK. PAGE 18 OF THE CONSOLIDATED FINANCIAL STATEMENTS CONTAIN A FOOTNOTE INDICATING THAT NO PROVISION FOR FEDERAL INCOME TAXES HAS BEEN RECORDED.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,046,001TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,046,001NetCommunityBenefitExpnsAmt
Total Expense0.00230TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$68,367,210TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$55,107,764DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,259,446NetCommunityBenefitExpnsAmt
Total Expense0.02900TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$69,413,211TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$55,107,764DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,305,447NetCommunityBenefitExpnsAmt
Total Expense0.03130TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$57,961TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$57,961NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,312,126TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,312,126NetCommunityBenefitExpnsAmt
Total Expense0.00290TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$51,044,721TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,250,872DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,793,849NetCommunityBenefitExpnsAmt
Total Expense0.05200TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$45,519TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$45,519NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$52,460,327TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,250,872DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,209,455NetCommunityBenefitExpnsAmt
Total Expense0.05510TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$121,873,538TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$82,358,636DirectOffsettingRevenueAmt
Net Community Benefit Expns$39,514,902NetCommunityBenefitExpnsAmt
Total Expense0.08640TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$4,268,843BadDebtExpenseAmt
Bad Debt Expense Attributable$1,707,537BadDebtExpenseAttributableAmt
Reimbursed By Medicare$88,754,988ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$119,352,220CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$30,597,232MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 PET SCAN LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesIMAGING SERVICESPrimaryActivitiesTxt
Org Profit Or Ownership0.49000OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.00000OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.51000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line175 BEEKMAN STAddressLine1Txt
CityPLATTSBURGHCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12901ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE PART V, SECTION COtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt23ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDPART V, SECTION B, LINE 5: INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY WAS OBTAINED AS PART OF THE CHNA PROCESS. THE UNIVERSITY OF VERMONT HEALTH NETWORK- CHAMPLAIN VALLEY PHYSICIANS HOSPITAL (UVMHN-CVPH) AND CLINTON COUNTY HEALTH DEPARTMENT (CCHD), LEAD ENTITIES IN THE PROCESS, FACILITATED/ COMPLETED THE FOLLOWING ACTIVITIES WITH THE CLINTON COUNTY COMMUNITY:TWO COMMUNITY BASED, HEALTH FOCUSED SURVEYS; A REVIEW OF OVER 300 HEALTH DATA ANALYSIS;A COMMUNITY HEALTH PRIORITY SETTING SESSION; A PRIORITY AND FOCUS AREA FINALIZATION PROCESS; AND CREATION OF SHARED ACTION PLANS.HEALTH INDICATORS FROM SCORES OF RESOURCES WERE CONSIDERED IN THE PROCESS, INCLUDING DATA FROM THE NYS PREVENTION AGENDA DASHBOARD, COMMUNITY HEALTH INDICATOR REPORTS, NYS OFFICE OF MENTAL HEALTH, DIVISION OF CRIMINAL JUSTICE SERVICES, NYS EXPANDED BEHAVIORAL RISK FACTOR SURVEY, USDA ECONOMIC RESEARCH SERVICE, AMERICAN COMMUNITY SURVEY, HEALTH RESOURCES AND SERVICES ADMINISTRATION, CENTER FOR HEALTH WORKFORCE STUDIES AND OTHERS. LOCALLY GENERATED AND/ OR COLLECTED DATA WERE ALSO CONSIDERED, WHEN AVAILABLE. PRIMARY DATA INCLUDED FEEDBACK FROM RESIDENT SURVEYS RELATED TO HEALTH, SOCIAL AND ENVIRONMENTAL CONCERNS AS WELL AS QUALITATIVE PROGRAM DATA FROM VARIOUS COMMUNITY BASED ORGANIZATIONS AND CCHD. THE SELECTED PRIORITY AREAS REFLECT CONTINUED COMMITMENT TO THE PRIORITIES SELECTED IN THE 2016 AND 2019 COMMUNITY HEALTH ASSESSMENT PROCESSES. WHILE THE LOCAL PROCESS THAT HAS BEEN INSTITUTED BY THE LEAD PARTNERS OVER MANY YEARS OF COLLABORATION WAS MAINTAINED THIS CYCLE, SEVERAL INTENTIONAL ADJUSTMENTS WERE MADE TO INCREASE INCLUSIVITY AND PARTICIPATION OVER THE YEAR AS WELL AS TO BETTER UNDERSTAND RESIDENTS' EXPERIENCE AND EXISTING HEALTH INEQUITIES. DEMONSTRATIVE CHANGES OF PROCESS QUALITY IMPROVEMENT INCLUDE: MODIFYING SURVEY TOOLS TO BETTER IDENTIFY SUBPOPULATIONS WHILE MAINTAINING ANONYMITY OF RESPONDENTS, EXTENDING INVITATIONS TO PARTICIPATE IN THE COMMUNITY HEALTH PRIORITY SETTING SESSION TO MORE STAKEHOLDERS, AND EXPANDING THE DISCUSSION AROUND INEQUITIES AND DISPARITIES THROUGHOUT THE ASSESSMENT AND PLANNING PROCESS. PARTICIPATION IN HEALTH PRIORITY SELECTION REPRESENTED AT LEAST 18 DISTINCT COMMUNITY SECTORS INCLUDING HEALTHCARE (CLINICAL, POPULATION AND PUBLIC HEALTH), BUSINESS, COMMUNITY BASED ORGANIZATION/SERVICE, HOUSING, HUMAN SERVICES, AND MENTAL/BEHAVIORAL HEALTH. THESE VERY PARTNERS CONTRIBUTE ACTIVITES AND RESOURCES TO CREAYSE LOCAL ACTION PLANS AND ARE NOTED THROUGHOUT THE DOCUMENT AS "RESOURCES AND ASSETS AND "RESPONSIBLE PARTIES". THE RESULTING ACTION PLANS DEATURE IN-PROGRESS AND PLANNED WORK RELATED TO THE SELECTED HEALTH PRIORITIES AND INTENDED TO ALTER HEALTH OUTCOMES FOR THE BETTER OF ALL RESIDENTS. FEATURED INTERVENTIONS REFLECT A RANGE OF ACTIVITIES AND APPROACHES THAT FALL ACROSS THE HEALTH IMPACT PYRAMID AND INCLUDE SERVICE INFRASTRUCTURE, PROGRAM DEVELOPMENT AND EDUCATION; MANY WILL REQUIRE HIGH LEVEL, CROSS-SECTOR COLLABORATIONS.ONGOING OVERSIGHT OF HEALTH IMPROVEMENT PROGRESS WILL CONTINUE TO BE MANAGED BY THE ACTION FOR HEALTH CONSORTIUM, WHICH ORGANIZES BI-MONTHLY MEETINGS UTILIZING THE NYS PREVENTION AGENDA AS ITS FRAMEWORK. A FORMAL PROGRESS UPDATE IS CAPTURED ANNUALLY AND THIS PROGRESS IS SHARED WITH HEALTH STAKEHOLDERS AND THE COMMUNITY BY CCHD AND UVMHN-CVPH. THESE UPDATES SERVE AS AN OPPORTUNITY TO CELEBRATE SUCCESS JUST AS MUCH AS A MEANS TO ADJUST COURSE BASED ON EMERGING NEEDS AND NEW RESOURCES IN CLINTON COUNTY. CCHD AND UVMHN-CVPH HAVE AND WILL CONTINUE TO EVALUATE THE LOCAL COLLABORATIVE APPROACH TO COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT PLANNING. AT PRESENT, DIRECT STAKEHOLDER FEEDBACK AND PARTICIPATION TRENDS ALONG WITH EMERGING BEST-PRACTICES GREATLY INFORM AND INFLUENCE THE LOCAL PROCESS. THE LEAD ENTITIES MONITOR AWARENESS AND USE OF THE RESULTING ASSESSMENT DOCUMENTS AMONG PARTNERS, STRIVING TO CONTINUALLY INCREASE BOTH PROCESS MEASURES.
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDPART V, SECTION B, LINE 6A: CVPH IS PART OF THE ADIRONDACK RURAL HEALTH NETWORK. ADIRONDACK RURAL HEALTH NETWORK: THE ADIRONDACK RURAL HEALTH NETWORK (ARHN) IS A PROGRAM OF THE ADIRONDACK HEALTH INSTITUTE, INC. (AHI). AHI IS A JOINT VENTURE OF ADIRONDACK HEALTH (ADIRONDACK MEDICAL CENTER), THE UNIVERSITY OF VERMONT HEALTH NETWORK - CHAMPLAIN VALLEY PHYSICIANS HOSPITAL, GLENS FALLS HOSPITAL, HUDSON HEADWATERS HEALTH NETWORK AND ST. LAWRENCE HEALTH SYSTEM. THE MISSION OF AHI IS TO LEAD AND WORK COLLABORATIVELY WITH COMMUNITY PARTNERS ON INNOVATIVE INITIATIVES THAT ADVANCE QUALITY, IMPROVE ACCESS AND AFFORDABILITY, AND TRANSFORM HEALTHCARE DELIVERY IN THE ADIRONDACK REGION.THE ADIRONDACK RURAL HEALTH NETWORK (ARHN) PROVIDES A FORUM FOR LOCAL PUBLIC HEALTH SERVICES, COMMUNITY HEALTH CENTERS, HOSPITALS, COMMUNITY MENTAL HEALTH PROGRAMS, EMERGENCY MEDICAL SERVICES, AND OTHER COMMUNITY-BASED ORGANIZATIONS TO ADDRESS RURAL HEALTHCARE DELIVERY BARRIERS, IDENTIFY REGIONAL HEALTH NEEDS AND SUPPORT THE NYS PREVENTION AGENDA TO IMPROVE HEALTH CARE IN THE REGION. THE ARHN REGION INCLUDES NEW YORK'S CLINTON, ESSEX, FRANKLIN, FULTON, HAMILTON, WARREN, AND WASHINGTON COUNTIES.SINCE 2002, ARHN HAS BEEN RECOGNIZED AS THE LEADING SPONSOR OF FORMAL COMMUNITY HEALTH PLANNING IN THE REGION WORKING WITH SEVERAL LOCAL HEALTH DEPARTMENTS. THE COMMUNITY HEALTH ASSESSMENT (CHA) COMMITTEE, FACILITATED BY ARHN, IS MADE UP OF HOSPITALS AND COUNTY HEALTH DEPARTMENTS WORKING TOGETHER UTILIZING A SYSTEMATIC APPROACH TO COMMUNITY HEALTH PLANNING. THE CHA COMMITTEE IS MADE UP OF MEMBERS FROM ADIRONDACK HEALTH, CLINTON COUNTY HEALTH DEPARTMENT, ESSEX COUNTY PUBLIC HEALTH, FRANKLIN COUNTY PUBLIC HEALTH, FULTON COUNTY PUBLIC HEALTH, GLENS FALLS HOSPITAL, HAMILTON COUNTY PUBLIC HEALTH SERVICES, NATHAN LITTAUER HOSPITAL AND NURSING HOME, UVM HEALTH NETWORK - CVPH, WARREN COUNTY HEALTH SERVICES, WASHINGTON COUNTY PUBLIC HEALTH SERVICES, UVM HEALTH NETWORK - ELIZABETHTOWN COMMUNITY HOSPITAL, AND UVM HEALTH NETWORK ALICE HYDE MEDICAL CENTER.
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDPART V, SECTION B, LINE 6B: THE CHNA IS A JOINT EFFORT WITH THE CLINTON COUNTY HEALTH DEPARTMENT. IN ADDITION, CLINTON COUNTY ACTION FOR HEALTH CONSORTIUM IS A KEY PART OF THE PROCESS, AND THEIR PURPOSE IS DESCRIBED BELOW.CLINTON COUNTY ACTION FOR HEALTH CONSORTIUM: THE CLINTON COUNTY ACTION FOR HEALTH (AFH) CONSORTIUM IS A MULTI-SECTOR, MULTI-DISCIPLINARY COLLECTION OF LOCAL HEALTH SYSTEM PARTNERS WORKING TOWARDS COMMUNITY HEALTH IMPROVEMENT AND FACILITATED BY CCHD. THE PRIMARY WORK OF THE GROUP HAS BEEN BUILT AROUND DATA DRIVEN IDENTIFIED NEEDS (NYS PREVENTION AGENDA) AND AVAILABLE COMMUNITY RESOURCES. PARTNERS IN THE EFFORT INCLUDE: MUNICIPALITIES, BUSINESSES, GRASSROOTS COMMUNITY GROUPS, HEALTH CARE PROVIDERS, THE LOCAL HOSPITAL, CHAMBER OF COMMERCE, HUMAN SERVICE AGENCIES, SCHOOLS AND LOCAL NOT-FOR-PROFITS. THE GROUP HAS EXISTED FOR OVER A DECADE AND PRESENTLY HAS APPROXIMATELY FORTY MEMBERS THAT HAVE FORMALLY COMMITTED TO ITS PURPOSE BY SIGNING AFH PARTNERSHIP LETTERS. RECRUITMENT OF NEW MEMBERS IS ONGOING. THE AFH CONSORTIUM HAS INCREASED COMMUNITY OWNERSHIP AND COMMITMENT TO THE SHARED HEALTH IMPROVEMENT GOALS AND TO THE WORK CAPTURED IN THE CHIP. IN FACILITATING THESE EFFORTS, THE CCHD HAS STRENGTHENED ITS ABILITY TO LEVERAGE RESOURCES FROM PUBLIC HEALTH PARTNERS AND PRIVATE ENTITIES ALIKE. SIGNIFICANT PROGRESS ON THE COUNTY'S CHIP HAS BEEN MADE CAPITALIZING ON THIS SYSTEM OF PARTNERSHIP CREATED THROUGH THE CONSORTIUM. THE AFH CONSORTIUM MEETS BIMONTHLY FOR UPDATES, ISSUE DISCUSSION, AND INFORMATION SHARING. A MINIMUM OF SIX MEETING ARE SCHEDULED EACH YEAR, WITH ADDITIONAL GATHERINGS SCHEDULED AS NEEDED. SUBCOMMITTEES OF MEMBERS WITH EXPERTISE RELATED TO SELECTED PRIORITY AREAS MEET MORE FREQUENTLY AND KEEP THE GROUP APPRISED OF THEIR WORK. CCHD TRACKS PROGRESS ON THE CHIP CONTINUALLY AND PREPARES A YEAR-END REPORT WHICH INCLUDES UPDATES ON WORK RELATED TO THE TWO FEATURED PRIORITY AREAS AND A SUMMARY OF ACCOMPLISHMENTS BY LOCAL PARTNERS RELATED TO EACH OF THE NYSDOH PREVENTION PLAN PRIORITY AREAS. CAPTURED ACTIVITIES DEMONSTRATE WORK ON ALL TIERS OF THE PUBLIC HEALTH IMPACT PYRAMID. MORE INFORMATION ON THE PUBLIC HEALTH PYRAMID IS INCLUDED IN THE COMMUNITY HEALTH IMPROVEMENT PLAN.
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDPART V, SECTION B, LINE 11: THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY WERE IDENTIFIED AS FOLLOWS, MODELED AFTER THE NEW YORK STATE PREVENTION AGENDA:1. PREVENT CHRONIC DISEASESA. FOCUS AREA: HEALTHY EATING AND FOOD SECURITYB. FOCUS AREA: PHYSICAL ACTIVITYC. FOCUS AREA: CHRONIC DISEASE PREVENTIVE CARE AND MANAGEMENTD. FOCUS AREA: TOBACCO PREVENTION2. PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERSA. FOCUS AREA: PROMOTE WELL-BEINGB. FOCUS AREA: PREVENT MENTAL AND SUBSTANCE USE DISORDERS AND PREVENTION3. DISPARITIESA. INCOMEB. GEOGRAPHIC LOCATIONC. AGEAS DOCUMENTED IN THE COMMUNITY HEALTH IMPROVEMENT PLAN 2023 ANNUAL REPORT, HIGHLIGHTS FROM THE ONGOING WORK TO ADDRESS THESE NEEDS INCLUDE: -STRENGTHENED RELATIONSHIP ACROSS CLINTON/ESSEX/FRANKLIN COUNTIES WITH COMMUNITY AGENCY SERVING VULNERABLE POPULATIONS.- CHAMPLAIN VALLEY FAMILY CENTER PROVIDES ON-SITE FULL-TIME PEER ENGAGEMENT SERVICES WITH A RECOVERY COACH- INCREASED COVERAGE IN ED FOR CRISIS TO IMPROVE DISCHARGE PLANNING AND COMMUNITY CONNECTIONS- INCREASED FOCUS ON EMPLOYEE WELLBEING- ED PARTNERSHIP WITH ALLIANCE FOR POSITIVE HEALTH TO PROVIDE NARCAN IN ED TO PATIENTS AND FAMILIES. - ED SOCIAL WORK POSITION FILLED WITH A PRIMARY FOCUS ON HIGH UTILIZATION, COMMUNITY CONNECTIONS, AND HIGH-RISK READMISSION CASES.INVESTMENTS IN:- MEDICAL VILLAGE SPACE ON THE CVPH MENTAL HEALTH UNIT - FIREARM SAFETY AWARENESS IN CLINTON COUNTY- CYCLING WITHOUT AGE ADIRONDACK COAST - NATIONAL ALLIANCE ON MENTAL ILLNESS: CHAMPLAIN VALLEY HOPE BOXES- TOWN OF PLATTSBURGH PARK REVITALIZATION
PART V, LINE 7A, HOSPITAL FACILITY'S WEBSITE:HTTPS://WWW.CVPH.ORG/ABOUT-CVPH/PARTNERSHIPS#CHA
PART V, LINE 7B, OTHER WEBSITES FOR CHNA REPORT:HTTPS://HEALTH.CLINTONCOUNTYNY.GOV/COMMUNITYHEALTHASSESSMENT
PART V, LINE 10A, MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY'S WEBSITE:HTTPS://WWW.CVPH.ORG/DATA/FILES/CVPH-CHIP-2023-ANNUAL-REPORT-9_24.PDF
PART V, LINE 16A, FAP WEBSITE:HTTPS://WWW.CVPH.ORG/PATIENTS-AND-VISITORS/PATIENTS/FINANCIAL-ASSISTANCE
PART V, LINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.CVPH.ORG/PATIENTS-AND-VISITORS/PATIENTS/FINANCIAL-ASSISTANCE
PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:HTTPS://WWW.CVPH.ORG/PATIENTS-AND-VISITORS/PATIENTS/FINANCIAL-ASSISTANCE
FieldValueIRS element (for citing)
Facility10FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - CVPH AMBULATORY SURGERY CENTER
77 PLAZA BLVDPLATTSBURGHNY12901AMBULATORY SURGERY
2 - CVPH DIAGNOSTIC CENTER
89 PLAZA BLVDPLATTSBURGHNY12901LAB & IMAGING SERVICES
3 - NORTH COUNTRY REGIONAL BLOOD DONOR CENTE
85 PLAZA BOULEVARDPLATTSBURGHNY12901BLOOD DONATION CENTER
4 - CVPH SPORTS MEDICAL AND REHABILITATION
295 NEW YORK RDPLATTSBURGHNY12901PHYSICAL AND OCCUPATIONAL THERAPY, EXERCISE AND WELLNESS
5 - FAMILY MEDICINE CENTER
159 MARGARET STREET SUITE 100PLATTSBURGHNY12901PRIMARY CARE
6 - MOBILE HEALTH SCREENING VAN
75 BEEKMAN STPLATTSBURGHNY12901LAB AND DIAGNOSTIC IMAGING
7 - CVPH GASTROENTEROLOGY
77 PLAZA BLVDPLATTSBURGHNY12901GASTROENTEROLOGY
8 - CVPH OCCUPATIONAL HEALTH AND WELLNESS
23 HAMMOND LANEPLATTSBURGHNY12901EMPLOYEE HEALTH
9 - CVPH OPEN MRI
118 CONSUMER SQUAREPLATTSBURGHNY12901MAGNETIC RESONANCE IMAGING
10 - CVPH UROLOGY
15 DEPRANDPRE WAYPLATTSBURGHNY12901UROLOGY

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:THE RCC-PERCENTAGE WAS CALCULATED AS FOLLOWS: THE FACILITY'S ADJUSTED PATIENT CARE COST OF 426,210,899 WAS DIVIDED BY THE GROSS PATIENT CHARGES OF 1,492,045,086 TO DETERMINE THE RCC OF 29.14%.
PART I, LN 7 COL(F):AMOUNT OF BAD DEBT EXPENSE INCLUDED IN FORM 990 PART IX LINE 25 COLUMN (A), BUT REMOVED FROM THIS FIGURE FOR PURPOSES OF CALCULATING THE RCC PERCENTAGE WAS $4,268,843 AS REFLECTED ON PART IX LINE 24(E).PART III, LINE 3:IN ACCORDANCE WITH IRS 990 INSTRUCTIONS, CVPH APPLIED THE CALCULATED RATIO OF COST TO CHARGES TO THE FACILITY'S 2024 BAD DEBT EXPENSE OF $14,650,634 IN ORDER TO CALCULATE THE BAD DEBT EXPENSE (AT COST) AS REPORTED ON PART III LINE 2. THE RCC USED WAS 29.14%. THEREFORE, THE BAD DEBT EXPENSE (AT COST) FOR 2024 WAS $4,268,843. WE ATTRIBUTE APPROXIMATELY 40% OF THIS AMOUNT TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, CAUSING THE PORTION OF BAD DEBT AS A COMMUNITY BENEFIT TO BE $1,707,537.
PART III, LINE 4:THE BAD DEBT EXPENSE FOOTNOTE IS DISCLOSED IN ATTACHED AUDITED FINANCIAL STATEMENTS ON PAGE 26.
PART III, LINE 8:USED MEDICARE ONLY TOTAL CHARGES FROM INSTITUTIONAL COST REPORT FOR 2024 AND APPLIED THE RATIO OF COST TO CHARGES FROM THE 2024 COST REPORT DATA. APPROXIMATELY 42% OF OUR REVENUE IS DERIVED FROM MEDICARE PATIENTS. WE FEEL THE SHORTFALL FROM THIS PROGRAM IS DIRECTLY A COMMUNITY BENEFIT IN THAT WE ARE A SOLE COMMUNITY HOSPITAL.
PART III, LINE 9B:CVPH HAS A FORMAL CREDIT AND COLLECTION POLICY. ALL PATIENT ACCOUNTS WILL BE BILLED AND FOLLOWED UP ON IN A TIMELY FASHION. ALL DISCOUNTS WILL BE APPLIED AND OFFERED PER POLICY, UNIFORMLY AND WITHOUT PREJUDICE OR DISCRIMINATION. THE POLICY CONSISTS OF DOCUMENTED PROCEDURES FOR INSURANCE, CREDIT BALANCES, SELF PAY OUTPATIENT, AND SELF PAY INPATIENT (NO INSURANCE & AFTER INSURANCE). THERE ARE SPECIFIED PAYMENT ARRANGEMENTS THAT ARE OFFERED AND THE TIME FRAME ALLOTTED FOR REPAYMENT IS GRADUATED BASED ON THE AMOUNT OWED, RANGING FROM 30 DAYS TO 36 MONTHS. CUSTOMER SERVICE REPRESENTATIVES PLACE PHONE CALLS TO PATIENTS TO RESOLVE ACCOUNTS OR ESTABLISH PAYMENT ARRANGEMENTS. AFTER ACCOUNTS HAVE BEEN AT THE PRIMARY BAD DEBT AGENCY FOR A PERIOD OF 6 MONTHS WITHOUT PAYMENTS, THE ACCOUNTS ARE FORWARDED TO A SECOND PLACEMENT AGENCY FOR ATTEMPTED RECOVERY. AS AN ACCOMMODATION TO PATIENTS AND FAMILIES, COLLECTION ACTIVITY WAS SUSPENDED IN MARCH 2020 IN RECOGNITION OF THE FINANCIAL CHALLENGES ASSOCIATED WITH THE COVID-19 PANDEMIC. COLLECTION ACTIVITIES RESUMED IN JULY 2020.
PART VI, LINE 2:CVPH WORKS COLLABORATIVELY TO ASSESS HEALTH NEEDS AND THEN IMPLEMENT STRATEGIES TO ADDRESS THE HEALTH PRIORITIES OF THE COMMUNITY IT SERVES. CVPH HAS WORKED WITH OTHER HOSPITALS, HEALTH DEPARTMENTS, AND AGENCIES IN CLINTON, ESSEX, AND FRANKLIN COUNTIES THROUGH PARTICIPATION IN A VARIETY OF PROGRAMS. BY BRINGING THE VARIOUS PROVIDERS TOGETHER FROM A THREE-COUNTY AREA, IT IS BELIEVED THAT THIS PROVIDES A BROADER, MORE REPRESENTATIVE DETERMINATION OF THE NEEDS THAT EXIST. A FOUR-STEP PROCESS IS USED TO ESTABLISH PRIORITIES AS PART OF THE FORMALIZED COMMUNITY HEALTH ASSESSMENT. DATA IS COMPILED AND ANALYZED, PRIORITIES ARE DETERMINED, FOCUS GROUPS SEEK CONSENSUS AND REPORT OUT, DATA IS FURTHER WEIGHTED AND A FINAL SELECTION OF PRIORITIES IS MADE. TO THAT END, CVPH HAS DIRECTED RESOURCES TO SUPPORT OF THE ADIRONDACK REGION MEDICAL HOME, PHYSICIAN RECRUITMENT, ITS DIABETES EDUCATION CENTER AND COMMUNITY EFFORT RELATED TO THE IMPORTANCE OF PROPER NUTRITION AND EXERCISE. WORKING INDEPENDENTLY, CVPH ASSESSES NEEDS BY ENCOURAGING AN OPEN DIALOGUE WITH ITS VARIOUS COMMUNITY CONSTITUENCIES. THE MEDICAL CENTER HOSTS MEETINGS, VISITS CLUBS AND ORGANIZATIONS, SURVEYS ITS PATIENTS, AND ENCOURAGES FEEDBACK THROUGH ITS WEB SITE AND PATIENT ADVOCATE ROLES. CVPH IS A VOLUNTARY, NOT-FOR-PROFIT, ARTICLE 28 ORGANIZATION THAT IS GOVERNED BY A VOLUNTARY BOARD OF DIRECTORS AND IS LICENSED FOR 300 BEDS. CVPH IS LOCATED AT 75 BEEKMAN STREET IN PLATTSBURGH, NEW YORK WITH SATELLITE SERVICES AT A NUMBER OF OTHER AUTHORIZED LOCATIONS WITHIN THE PLATTSBURGH AREA. CVPH IS PART OF THE UNIVERSITY OF VERMONT HEALTH NETWORK, WHICH IS COMPRISED OF SIX HOSPITALS, A HOME HEALTH AND HOSPICE AGENCY, AND AN EMPLOYED MEDICAL GROUP. IT IS AFFILIATED WITH AN ACADEMIC MEDICAL CENTER IN BURLINGTON, VERMONT. CVPH OFFERS A VARIETY OF SERVICES INCLUDING CARDIOVASCULAR, ORTHOPEDICS, OBSTETRICS, PSYCHIATRY, LONG TERM CARE, AND PRIMARY CARE. IT HAS A FAMILY MEDICINE RESIDENCY PROGRAM TO HELP ADDRESS PRIMARY CARE SHORTAGES IN THE COMMUNITY. CVPH PROVIDES CANCER SERVICES THROUGH THE FITZPATRICK CANCER CENTER. IN ADDITION, CVPH HAS A ROBUST MEDICAL HOME AS WELL AS THE ADIRONDACK REGION ACO WHICH ARE KEY PARTNERS IN ADDRESSING COMMUNITY HEALTH NEEDS.
PART VI, LINE 3:THE FOLLOWING INFORMATION IS LISTED ON EVERY PATIENT STATEMENT: "FINANCIAL AID MAY BE AVAILABLE TO QUALIFIED PATIENTS. PLEASE CALL OUR OFFICE AT 562-7074 TO SEE IF YOU QUALIFY." WE ALSO HAVE INFORMATIONAL FLYERS AT THE CASHIERS DESK AND SEVERAL OTHER AREAS IN THE HOSPITAL. AT TIME OF REGISTRATION FOR EVERY SELF PAY PATIENT, WE ASK PERMISSION TO HAVE THE PATIENT CONTACTED TO SEE IF THEY QUALIFY FOR MEDICAID. ALSO WHEN MAKING A CALL TO COLLECT ON PATIENT ACCOUNTS, THE PATIENT IS OFFERED TO TAKE PART IN CVPH'S CARES PROGRAM WHERE APPROPRIATE TO DO SO.
PART VI, LINE 4:THE PRIMARY SERVICE AREA FOR CVPH IS DEFINED AS CLINTON COUNTY. CVPH'S SECONDARY SERVICE AREA FOR TERTIARY SERVICES NOT AVAILABLE IN THOSE COMMUNITIES ARE ESSEX, FRANKLIN, AND EASTERN ST. LAWRENCE COUNTIES. THE DEMOGRAPHIC CHARACTERISTICS AND HEALTH NEEDS OF THESE COUNTIES REFLECT THOSE IN CLINTON COUNTY. OUR PAYER MIX CONSINSTS OF APPROXIMATELY 55% MEDICARE AND MEDICAID PROGRAMS. CVPH IS THE ONLY HOSPITAL IN CLINTON COUNTY. CLINTON COUNTY'S POPULATION IS 80,320. SIMILAR TO THE REST OF UPSTATE NEW YORK, CLINTON COUNTY'S POPULATION IS LIMITED IN ITS ETHNIC AND RACIAL DIVERSITY; OVER 90% OF RESIDENTS ARE WHITE/NON-HISPANICS, FOLLOWED BY 4.2% BLACK/AFRICAN AMERICAN, NON-HISPANICS AND 2.8% HISPANIC/LATINOS. WHILE THERE ARE NO SIGNIFICANT HEALTH DISPARITIES BASED ON RACE AND ETHNICITY IN CLINTON COUNTY, THERE ARE ACCESS TO CARE ISSUES. IN FACT, IN A RECENT RESIDENT SURVEY, OVER 60% OF THE RESPONDENTS REPORTED EXPERIENCING AT LEAST ONE BARRIER TO MEDICAL CARE FOR THEMSELVES OR THEIR FAMILY IN THE PAST YEAR. THE MOST COMMONLY REPORTED BARRIERS INCLUDED: NO APPOINTMENTS AVAILABLE (TO A SPECIALIST (32.8%), NO SPECIALIST AVAILABLE LOCALLY (32.8%), INSURANCE WAS NOT ACCEPTED (27.8%), CO-PAYS OR DEDUCTIBLES WERE TOO HIGH (25.7%), AND NO APPOINTMENT WAS AVAILABLE FOR PRIMARY CARE (23.2%). THE PERCENTAGE OF ADULTS WITH HEALTH INSURANCE IN CLINTON COUNTY IS AT 94.17%, WITH 78.3% OF THE POPULATION HAVING A REGULAR HEALTH CARE PROVIDER. THE RATE OF AGE-ADJUSTED PREVENTABLE HOSPITALIZATIONS PER 10,000 POPULATION AMONG THOSE 18 YEARS OF AGE AND OLDER (121.0) IS HIGHER THAN THE RATE FOR UPSTATE NEW YORK (120.4), AND THE PREVENTION AGENDA BENCHMARK (115.0) RATE. THE RATE OF ED VISITS PER 10,000 POPULATION IN CLINTON COUNTY (4,970.3) IS HIGHER THAN THE ARHN REGION (4,964.3) AND SIGNIFICANTLY HIGHER THAN UPSTATE NEW YORK (3,843). OVER 16.8% OF THE POPULATION IS 65 YEARS OF AGE AND OLDER; THIS DEMOGRAPHIC HAS BEEN INCREASING OVER MULTIPLE ASSESSMENTS. THE PERCENTAGE OF ADULTS 18 YEARS OF AGE AND OLDER IN CLINTON COUNTY WITH A DISABILITY (25.7%) IS HIGHER THAN THE ARHN REGION (29.2%) AND UPSTATE NEW YORK (24.6%).HOUSEHOLD INCOME ON AVERAGE IS $75,442, WITH PER CAPITA INCOME AT $29,960. THE PERCENTAGE OF INDIVIDUALS IN CLINTON COUNTY LIVING BELOW THE FEDERAL POVERTY LEVEL HAS REMAINED STABLE AT 12.3%. IN TOTAL, THERE ARE 31,392 HOUSEHOLDS IN CLINTON COUNTY. THE PERCENTAGE OF INDIVIDUALS ENROLLED IN MEDICAID IS 23.3%.OF THE TOTAL POPULATION IN CLINTON COUNTY, APPROXIMATELY 35.3% OF INDIVIDUALS 25 YEARS OF AGE AND OLDER HAVE A HIGH SCHOOL DIPLOMA OR EQUIVALENT. ANOTHER 35.3% HAVE AN ASSOCIATE'S OR BACHELOR'S DEGREE OR HIGHER. THE HIGHEST PERCENTAGE OF WORKING INDIVIDUALS ARE IN THE FIELD OF EDUCATION (26.6%), FOLLOWED BY RETAIL TRADE (13.4%) AND MANUFACTURING (12.5%).
PART VI, LINE 5:CVPH MEDICAL CENTER PLAYS AN IMPORTANT ROLE IN PROMOTING HEALTH IN THE COMMUNITY BY, FOR INSTANCE, HOSTING FREE COMMUNITY LECTURES, SUPPORT GROUPS, AND SCREENINGS. CVPH SPONSORS A NUMBER OF FREE SUPPORT GROUPS INCLUDING PROGRAMS ON DIABETES, MULTIPLE CANCER GROUPS, AND BEREAVEMENT. AN ARRAY OF FOCUSED CLASSES ARE HELD FOR EXPECTANT MOTHERS AS PART OF AN OVERALL CHILDBIRTH EDUCATION INITIATIVE. REGULAR CAR-SEAT SAFETY CHECKS ARE HELD TO ENSURE THAT INFANTS AND TODDLERS ARE APPROPRIATELY SECURED IN THEIR VEHICLES. CVPH AND THE FOUNDATION OF CVPH WORKS IN CONJUNTION WITH THE ADIRONDACK SAFE KIDS NETWORK FOR AN ANNUAL BIKE AND SKATEBOARD SAFETY FAIR THAT DISTRIBUTES HUNDREDS OF FREE SAFETY HELMETS. CVPH IS A REGULAR PARTICIPANT AT VARIOUS HEALTH FAIRS IN THE REGION DISPENSING EDUCATION INFORMATION AND PROVIDING FREE HEALTH SCREENINGS. CVPH ALSO WORKS WITH OTHER AGENCIES TO FACILITATE INSURANCE COVERAGE FOR ELIGIBLE INDIVIDUALS AND FAMILIES. CVPH MEDICAL CENTER OVERSEES THE NEW YORK STATE GRANT-FUNDED CANCER SERVICES PROGRAM (CSP) OF CLINTON COUNTY. THE PROGRAM PROVIDES CLINTON COUNTY RESIDENTS WHO HAVE NO INSURANCE OR WHO ARE UNDERINSURED WITH FREE SCREENINGS FOR BREAST, CERVICAL AND COLORECTAL CANCERS. THE SERVICES ARE PROVIDED VIA LOCAL PROVIDERS AND CLINICS. CVPH ALSO PARTICIPATES IN THE ACTION FOR HEALTH COALITION. THIS GROUP HAS AN ACTIVE ROLE IN TRACKING PROGRESS MADE IN IMPLEMENTING CHANGES TO IMPACT THE HEALTH OF THE COMMUNITY AS WELL AS MAKING ADJUSTMENTS TO THE STRATEGIES IDENTIFIED TO ADDRESS THESE NEEDS. SOME OF THE ACCOMPLISHMENTS OF THE ACTION FOR HEALTH COALITION INCLUDE CVPH HOSTING NEW VISIONS PROGRAM FOR SELECTED COLLEGE BOUND HIGH SCHOOL SENIORS PLANNING TO MAJOR IN A HEALTH RELATED FIELD OF STUDY, MOVING TOBACCO PRODUCTS OUT OF SIGHT IN MANY RETAIL ESTABLISHMENTS, IMPROVING NUTRITION IN SCHOOLS, AND FOCUSING ON POSITIVELY IMPACTING CHRONIC DISEASE MANAGEMENT IN CLINTON COUNTY.
PART VI, LINE 6:CVPH MEDICAL CENTER, IS A MEMBER OF THE UNIVERSITY OF VERMONT HEALTH NETWORK (FORMERLY FLETCHER ALLEN PARTNERS, INC.), ALSO COVERING THE BURLINGTON AND BERLIN, VERMONT AREAS.CVPH IS A VOLUNTARY, NOT-FOR-PROFIT, ARTICLE 28 ORGANIZATION THAT IS GOVERNED BY A VOLUNTARY BOARD OF DIRECTORS AND IS LICENSED FOR 300 BEDS. CVPH IS LOCATED AT 75 BEEKMAN STREET IN PLATTSBURGH, NEW YORK WITH SATELLITE SERVICES AT A NUMBER OF OTHER AUTHORIZED LOCATIONS WITHIN THE PLATTSBURGH AREA. CVPH IS PART OF THE UNIVERSITY OF VERMONT HEALTH NETWORK, WHICH IS COMPRISED OF SIX HOSPITALS, A HOME HEALTH AND HOSPICE AGENCY, AND AN EMPLOYED MEDICAL GROUP. IT IS AFFILIATED WITH AN ACADEMIC MEDICAL CENTER IN BURLINGTON, VERMONT. CVPH OFFERS A VARIETY OF SERVICES INCLUDING CARDIOVASCULAR, ORTHOPEDICS, OBSTETRICS, PSYCHIATRY, LONG TERM CARE, AND PRIMARY CARE. IT HAS A FAMILY MEDICINE RESIDENCY PROGRAM TO HELP ADDRESS PRIMARY CARE SHORTAGES IN THE COMMUNITY. CVPH PROVIDES CANCER SERVICES THROUGH THE FITZPATRICK CANCER CENTER. IN ADDITION, CVPH HAS A ROBUST MEDICAL HOME AS WELL AS THE ADIRONDACK REGION ACO WHICH ARE KEY PARTNERS IN ADDRESSING COMMUNITY HEALTH NEEDS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract ExceptionYes (1)InitialContractExceptionInd
Rebuttable Presumption ProcYes (1)RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHELLE LEBEAU
PRESIDENT/CEO$503,752$0$64,499$0$42,432$0$84,670$0$28,496$0$723,849$0$0$0
DR JASON SANDERS
UVMMG PRESIDENT & CEO$0$407,420$0$89,269$0$11,986$0$58,037$0$37,514$0$604,226$0$0
LISA MARK
VP MEDICAL AFFAIRS/CHIEF M$0$428,756$0$32,267$0$1,473$0$19,800$0$30,810$0$513,106$0$0
WOUTER RIETSEMAMD
VP POPULATION HEALTH & INFORMATION S$291,846$0$23,471$0$28,003$0$54,448$0$26,466$0$424,234$0$0$0
MATEJ KOLLAR
VP/CFO$277,133$0$23,695$0$23,109$0$19,737$0$33,568$0$377,242$0$0$0
VINCENT LUDGEWIG
PHARMACIST$313,338$0$2,750$0$742$0$29,578$0$27,866$0$374,274$0$0$0
AMY PUTNAM
VP MEDICAL GROUP NETWORK DEPARTMENTS$0$245,473$0$19,891$0$19,356$0$18,807$0$36,553$0$340,080$0$0
CARRIE HOWARD-CANNING
NETWORK CHIEF NURSING OFFICER$211,682$0$0$0$58,863$0$21,614$0$31,058$0$323,217$0$0$0
SHAWN ROGERS
CHIEF TRANSFORMATION OFFICER$242,173$0$18,974$0$2,353$0$21,614$0$32,291$0$317,405$0$0$0
NANCY ZIMUCHA
REGIONAL VP EDI TIL 4/2023$64,605$0$20,000$0$195,872$0$27,497$0$5,883$0$313,857$0$0$0
BRENDA MURPHY
CHIEF QUALITY AND SAFETY OFFICER$220,462$0$18,300$0$23,709$0$27,497$0$4,413$0$294,381$0$0$0
CHRISTOPHER HICKEY
FORMER SVP/CFO$201,211$0$0$0$11,145$0$11,124$0$25,648$0$249,128$0$0$0
MATTHEW JONES
AVP OF PROFESSIONAL SERVIC$0$204,794$0$12,508$0$437$0$6,208$0$12,638$0$236,585$0$0
CARLYN HAAG
CHIEF NURSING OFFICER$192,890$0$9,489$0$283$0$14,872$0$335$0$217,869$0$0$0
KERRY HALEY
AVP OF PHILANTHROPY$159,057$0$9,058$0$490$0$13,620$0$30,366$0$212,591$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3CHAMPLAIN VALLEY PHYSICIANS HOSPITAL RELIED ON THE UNIVERSITY OF VERMONT HEALTH NETWORK ("UVM HEALTH NETWORK"), THE PARENT ORGANIZATION, 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-BREGIONAL VP OF EQUITY, DIVERSITY & INCLUSION NANCY ZIMUCHA ENTERED INTO AN AGREEMENT EFFECTIVE 4/2023 UNDER WHICH SHE RECEIVED TWO PAYMENTS. PAYMENTS MADE UNDER THIS AGREEMENT WERE MADE IN THE 2023 CALENDAR YEAR AND ARE THEREFORE INCLUDED IN THE AMOUNTS REPORTED HEREIN. THE UNIVERSITY OF VERMONT HEALTH NETWORK, BY AND THROUGH ITS AFFILIATED SUBSIDIARIES, MAINTAINS A SUPPLEMENTAL RETIREMENT BENEFIT PLAN (SRP) UNDER CONTRACTUAL ARRANGEMENTS WITH SEVERAL PERSONS LISTED ON FORM 990, PART VII, 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 2023, AND THEIR RESPECTIVE FIXED PERCENTAGE IS DESIGNATED IN PARENTHESES: JASON SANDERS (8.68%); AND MICHELLE LEBEAU (10.04%). DEFERRED AMOUNTS VEST ON THE EARLIER OF: (I) JANUARY 1 OF THE THIRD PLAN YEAR AFTER THE PLAN YEAR FOR WHICH THE ACCOUNT WAS CREATED; OR (II) THE PARTICIPANT'S 65TH BIRTHDAY. FOR THE PLANS NOTED ABOVE, AMOUNTS DEFERRED DURING CALENDAR YEAR 2023 ARE INCLUDED ON SCHEDULE J, PART II, COLUMN C. AMOUNTS DEFERRED REMAIN SUBJECT TO FORFEITURE IF CERTAIN CONDITIONS ARE NOT MET.
PART I, LINE 7CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER PAID AWARDS TO CERTAIN MEMBERS OF UPPER MANAGEMENT (DIRECTORS, 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 TRUSTEES. THESE MEASURES INCLUDED FINANCIAL, POPULATION HEALTH & QUALITY, AND OPERATIONAL RELATED METRICS.
PART I, LINE 8SALARIES 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
COUNTY OF CLINTON INDUSTRIAL DEVELOPMENT AGENCY
A146035154187476AD82007-06-07$19,565,000CONSTRUCTION OF SURGICAL SVC WING000
COUNTY OF CLINTON INDUSTRIAL DEVELOPMENT AGENCY
B146035154187476AB22006-12-19$12,650,000REFINANCE SERIES 1997 BONDS000
COUNTY OF CLINTON INDUSTRIAL DEVELOPMENT AGENCY
C146035154187476AE62007-06-25$12,505,000RENOVATION OF SURGICAL AREA000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRefunding EscrowRefundingEscrowAmt
A$19,565,000$1,172,250$1,340,812$17,051,938200900Yes (1)Yes (1)
B$12,650,000$138,39519980Yes (1)Yes (1)Yes (1)$12,511,605
C$12,505,000$727,569$811,805$10,965,626200900Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000Yes (1)0Yes (1)
B0000Yes (1)0Yes (1)
C0000Yes (1)0Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
KEY BANK
A000Yes (1)Yes (1)Yes (1)35.0000000000000000Yes (1)
KEY BANK
B000Yes (1)Yes (1)Yes (1)11.0000000000000000Yes (1)
KEY BANK
C000Yes (1)Yes (1)Yes (1)35.0000000000000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0
C0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDATE REBATE COMPUTATION PERFORMEDFormAndLineReferenceDesc
ExplanationISSUER NAME: COUNTY OF CLINTON INDUSTRIAL DEVELOPMENT AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/16/2010 ISSUER NAME: COUNTY OF CLINTON INDUSTRIAL DEVELOPMENT AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2011 ISSUER NAME: COUNTY OF CLINTON INDUSTRIAL DEVELOPMENT AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/25/2012ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonREAGAN FESETTEPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionDAUGHTERRelationshipDescriptionTxt
Transaction$43,223TransactionAmt
TransactionREAGAN FESETTE IS EMPLOYED BY CVPH AS AN OCCUPATIONAL THERAPIST; HER FATHER, NEIL FESETTE SERVES ON THE BOARD.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4EFFECTIVE JANUARY 1, 2024, THE BYLAWS FOR THE CHAMPLAIN VALLEY PHYSICIANS MEDICAL CENTER ("CVPH") WERE AMENDED IN CONNECTION WITH A NETWORK-WIDE EFFORT TO PROMOTE EFFICIENCY AND STANDARDIZATION IN THE DELIVERY OF MEDICAL SERVICES THROUGH THE CREATION OF A SINGLE, UNIFIED MEDICAL STAFF (THE "MEDICAL STAFF"). THE AMENDMENTS REMOVE PROVISIONS IN THE BYLAWS RELATING TO THE ADMINISTRATION OF A SEPARATE MEDICAL STAFF, INCLUDING PROVISIONS GRANTING THE BOARD OF TRUSTEES AUTHORITY TO APPROVE MEDICAL STAFF AND CREDENTIALS. IN THE PLACE OF THESE PROVISIONS, ADDITIONAL PROVISIONS WERE ADDED RELATING TO THE ADMINISTRATION OF A CAMPUS ADVISORY COMMITTEE OF THE MEDICAL STAFF. THE CHAIR OF THE CAMPUS ADVISORY COMMITTEE SHALL SERVE EX OFFICIO, WITHOUT VOTE, ON THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 6THE UNIVERSITY OF VERMONT HEALTH NETWORK, INC. (UVMHN) IS THE VOTING MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE UNIVERSITY OF VERMONT HEALTH NETWORK SHALL ELECT THE DIRECTORS TO HOLD OFFICE ANNUALLY. EACH DIRECTOR SHALL HOLD OFFICE UNTIL THE EXPIRATION OF THE TERM AND UNTIL A SUCCESSOR HAS BEEN ELECTED AND SHALL HAVE QUALIFIED, OR UNTIL THE DIRECTOR'S PRIOR RESIGNATION OR REMOVAL.
FORM 990, PART VI, SECTION A, LINE 7BUVM 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 UVM MEDICAL CENTER'S BYLAWS AND ARTICLES OF THE ORGANIZATION, AND APPROVAL OF MAJOR FINANCIAL DECISIONS INCLUDING MERGERS, BANKRUPTCIES, AND THE DEVELOPMENT OR TERMINATION OF PROGRAM SERVICES. UVM HEALTH NETWORK IS A 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 11BCVPH PROVIDES AN ELECTRONIC COPY OF FORM 990 TO EACH BOARD MEMBER PRIOR TO THE FORM BEING FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH THE UVM HEALTH NETWORK'S CONFLICT OF INTEREST POLICY, WHICH IT HAS ADOPTED. IN ACCORDANCE WITH THE POLICY, TRUSTEES, OFFICERS, KEY EMPLOYEES AND PHYSICIANS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE AND CERTIFICATION UPON HIRING, AT LEAST ANNUALLY, PRIOR TO PARTICIPATING IN ANY DECISION THAT MAY BE AFFECTED BY A PERSONAL INTEREST, AND WHENEVER A POTENTIALLY CONFLICTING INTEREST FIRST ARISES. CONFLICT OF INTEREST DISCLOSURES AND CERTIFICATIONS MAY BE MADE ONLINE OR IN WRITING AND ARE REGULARLY REVIEWED BY THE GENERAL COUNSEL. THE CONFLICT OF INTEREST POLICY IS ENFORCED BY THE OFFICE OF GENERAL COUNSEL AND OVERSEEN BY A FIVE-PERSON CONFLICT OF INTEREST COMMITTEE. THE GENERAL COUNSEL REPORTS AT LEAST QUARTERLY ON CONFLICT OF INTEREST ISSUES TO THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES. CONFLICTS OF INTEREST ARE MANAGED IN ACCORDANCE WITH THE POLICY, WHICH PROVIDES FOR A VARIETY OF REMEDIES TO ADDRESS CONFLICTS OF INTEREST. IN ADDITION, "DISQUALIFIED PERSONS", CONSISTING OF TRUSTEES, OFFICERS AND KEY EMPLOYEES ARE SUBJECT TO SPECIAL PROCEDURES TO COMPLY WITH THE INTERMEDIATE SANCTION RULES, AS OUTLINED IN THE CONFLICT OF INTEREST POLICY. REMEDIES TO ADDRESS CONFLICTS OF INTEREST MAY INCLUDE THE FOLLOWING: RECUSAL FROM DECISION MAKING, DISCLOSURE TO APPROPRIATE PARTIES, COMMITTEE PARTICIPATION LIMITS AND REQUESTED DIVESTITURE. AN APPEALS PROCESS EXISTS SHOULD THE INDIVIDUAL REQUEST A SECONDARY REVIEW BE PERFORMED.
FORM 990, PART VI, SECTION B, LINE 15CHAMPLAIN VALLEY PHYSICIANS HOSPITAL DELEGATES THE SETTING OF EXECUTIVE COMPENSATION TO THE UVM HEALTH NETWORK COMPENSATION COMMITTEE, AN INDEPENDENT COMMITTEE, UNDER PRINCIPLES DESCRIBED IN ITS CHARTER. THE HEALTH NETWORK HAS ADOPTED A COMPENSATION PHILOSOPHY WHICH PROVIDES A FRAMEWORK FOR SETTING COMPENSATION FOR THE EXECUTIVES OF UVM HEALTH NETWORK, ITS AFFILIATED HOSPITALS, AND ITS MEDICAL GROUP. 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 AFFILIATE HOSPITAL CEOS. CALCULATIONS ARE PERFORMED USING THE SAME PHILOSPHY FOR THE THIRD TIER OF LEADERSHIP. 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 19CVPH MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. PARTIES DESIRING COPIES OF SUCH DOCUMENTS MUST PRESENT THEMSELVES AT THE ADMINISTRATIVE OFFICES OF CVPH OR BY SENDING A REQUEST IN WRITING TO CVPH ADMINISTRATIVE OFFICES. THE ORGANIZATION HAS INSTRUCTIONS POSTED ON ITS WEBSITE FOR THOSE SEEKING COPIES OF DOCUMENTS.
FORM 990, PART IX, LINE 11GPURCHASED SERVICES: PROGRAM SERVICE EXPENSES 8,835,013. MANAGEMENT AND GENERAL EXPENSES 3,696,198. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,531,211. TRAVELLER/AGENCY FEES: PROGRAM SERVICE EXPENSES 42,934,563. MANAGEMENT AND GENERAL EXPENSES 3,655,415. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,589,978.
FORM 990, PART XI, LINE 9:CHANGE IN FAIR VALUE OF INTEREST RATE SWAP -1,106,645. TRANSFERS FROM PARENT -1,610,664. PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COSTS 1,150,704.
SCHEDULE H, PART V, SECTION B, LINE 11EACH PRIORITY-SPECIFIC ACTION PLAN INCLUDES FOCUS AREAS, GOALS, OBJECTIVES, AND MEASURES FOR EVIDENCE-BASED INTERVENTIONS TO TRACK THEIR IMPACTS INCLUDING REDUCTIONS IN HEALTH DISPARITIES AMONG RACIAL, ETHNIC, AND SOCIOECONOMIC GROUPS, AGE GROUPS, AND PERSONS WITH DISABILITIES. CCHD AND CVPH USE THE PREVENTION AGENDA AS A FRAMEWORK FOR ASSESSING HEALTH, IDENTIFYING LOCAL HEALTH PRIORITIES AND PLANNING COLLABORATIVE HEALTH IMPROVEMENT EFFORTS WITHIN CLINTON COUNTY. CVPH AND CCHD UNDERSTAND THE KEY TO SUCCESSFULLY IMPACTING THE HEALTH OF CLINTON COUNTY IS PARTNERING WITH THE COMMUNITY AND ITS ORGANIZATIONS AND COMBINING RESOURCES. IT IS THE INTENT OF THE LEAD PARTNERS THAT ACTION PLANS CAPTURE THE PARTNERSHIP, CONTRIBUTIONS AND SUPPORT OF MANY COMMUNITY ORGANIZATIONS TO STRENGTHEN THE IMPACT OF THE PLANNED INTERVENTIONS AND ASSURE THE RESPONSIBLE USE OF LIMITED RESOURCES. CLINTON COUNTY IS FORTUNATE TO HAVE DEVELOPED A STRONG NETWORK OF PARTNERS REPRESENTING MANY DIFFERENT COMMUNITY SECTORS AND OFFERING A VARIETY OF ASSETS AND CAPACITIES FOR ACHIEVING ITS SHARED VISION FOR COMMUNITY HEALTH. LEAD STAFF FROM CCHD AND CVPH HAVE WORKED WITH PARTNERS TO COLLECT AND ORGANIZE ACTIVITIES AND INTERVENTIONS THAT WILL ADDRESS THE IDENTIFIED HEALTH PRIORITIES. THIS WAS DONE UTILIZING A VARIETY OF METHODS: REVIEW OF CURRENT CHIP/IS ACTIVITIES AND PROGRESS AS WELL AS THOSE OF OTHER SHARED WORK PLANS (IE. COMMUNITY SERVICES PLAN), INDIVIDUAL MEETINGS WITH KEY PARTNERS, EMAILS SOLICITING SUGGESTIONS AND CONTRIBUTIONS OF RELATED ACTIVITIES FROM AFH PARTICIPANTS, AND REVIEW OF INFORMATION COLLECTED FROM THE PRIORITY SETTING EVENT AND DIRECTLY FROM RESIDENTS THROUGH THE SURVEY PROCESS. INFORMATION WAS THEN ORGANIZED BY GOALS/ OBJECTIVES WITHIN EACH FOCUS AREA, RESULTING IN FIVE ACTION PLANS AND FORMATTED FOLLOWING NYSDOH GUIDANCE AND PROVIDED TOOLS. THESE ACTION PLANS BECOME CCHD'S CHIP AND CVPH'S IS FOR THE NEXT THREE YEARS. IT IS IMPOSSIBLE TO FEATURE ALL THE HEALTH IMPROVEMENT WORK THAT WILL OCCUR IN CLINTON COUNTY OVER THE NEXT THREE YEARS IN THE ACTION PLANS. MUCH THOUGHT IS GIVEN TO THE FEATURED INTERVENTIONS; OFTEN IT IS THE ITEMS THAT BEST DEMONSTRATE THE LOCAL COMMITMENT TO COLLECTIVE IMPACT WORK, INNOVATION, AND CROSS-SYSTEM COLLABORATION. THERE IS ALSO AN INTENTIONAL BLEND OF ACTIVITIES THAT WILL VARY IN DURATION. AS SUCH, THERE WILL BE PROGRESS TO ACKNOWLEDGE AND CELEBRATE PERPETUALLY. THIS ALSO ALLOWS NEW INTERVENTIONS TO BE CONSIDERED AND ADDED REGULARLY BASED ON EMERGING LOCAL NEEDS AND RESOURCES. TARGET PROGRAMS AND LOCATIONS FOR THE FEATURED INTERVENTIONS ARE DETERMINED BY A NUMBER OF FACTORS INCLUDING REVIEW OF HEALTH INDICATOR DATA, ESPECIALLY TO IDENTIFY HIGH NEEDS POPULATIONS AND AREAS WITHIN THE COUNTY, AND FEASIBILITY OF ACTIVITIES MEETING SUCCESS (EXISTENCE OF POTENTIAL SITES, ACCESSIBILITY, RECEPTIVENESS, ETC.). FEATURED INTERVENTIONS AND PROJECTED OUTCOMES ARE INFLUENCED BY PARTNER RESOURCES INCLUDING STAFF, FUNDING AND EXPERTISE. SOME INTERVENTIONS THAT THE HOSPITAL HAS A ROLE IN ARE AS FOLLOWS: - CREATE AND SUSTAIN INCLUSIVE, HEALTHY PUBLIC SPACES (FOCUS AREA - PROMOTE WELLBEING) - INCREASE AVAILABILITY OF/ACCESS AND LINKAGES TO MEDICATION-ASSISTED TREATMENT (MAT) INCLUDING BUPRENORPHINE (FOCUS AREA - PREVENT MENTAL AND SUBSTANCE USE DISORDERS) - BUILD SUPPORT SYSTEMS TO CARE FOR OPIOID USERS OR AT RISK OF AN OVERDOSE. (FOCUS AREA - PREVENT MENTAL AND SUBSTANCE USE DISORDERS) - INTEGRATE TRAUMA INFORMED APPROACHES IN TRAINING STAFF AND IMPLEMENTING PROGRAM AND POLICY(FOCUS AREA - PREVENT MENTAL AND SUBSTANCE USE DISORDERS) - PROMOTE A TEAM-BASED APPROACH (WHICH MAY INCLUDE PHARMACIST, COMMUNITY HEALTH WORKER, REGISTERED DIETITIAN, PODIATRIST, AND OTHER HEALTH WORKERS) TO CHRONIC DISEASE CARE TO IMPROVE HEALTH OUTCOMES (FOCUS AREA - CHRONIC DISEASE PREVENTATIVE CARE AND MANAGEMENT) - EXPAND ACCESS TO EVIDENCE-BASED SELF-MANAGEMENT INTERVENTIONS FOR INDIVIDUALS WITH CHRONIC DISEASE (ARTHRITIS, ASTHMA, CARDIOVASCULAR DISEASE, DIABETES, PREDIABETES, AND OBESITY) WHOSE CONDITION(S) IS NOT WELL-CONTROLLED WITH GUIDELINES-BASED MEDICAL MANAGEMENT ALONE. (FOCUS AREA - CHRONIC DISEASE PREVENTATIVE CARE AND MANAGEMENT)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1VALCOUR IMAGING LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line116 DEGRANDPRE WAY SUITE 400AddressLine1Txt
CityPLATTSBURGCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12901ZIPCd
FieldValueIRS element (for citing)
Primary ActivitiesDIAGNOSTIC IMAGINGPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CVPHBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
UVM HEALTH NETWORK MEDICAL GROUP INC
111 COLCHESTER AVEBURLINGTONVT05401030225105PHYSICIAN SERVICESVTUVMHNYes (1)
UNIV OF VT MED CTR FOUNDATION INC -
111 COLCHESTER AVEBURLINGTONVT05401263159849FUNDRAISINGVTUVMHNMGYes (1)
UNIV OF VT MED CTR AUIXILLIARY INC-
111 COLCHESTER AVEBURLINGTONVT05401208022004SERVICEVT0N/A
UNIV OF VT HEALTH NETWORK
111 COLCHESTER AVEBURLINGTONVT05401452880726HOLDING COMPANYVT0N/A
CENTRAL VT MEDICAL CENTER
111 COLCHESTER AVEBURLINGTONVT05401222547186HOSPITALVTUVMHNYes (1)
UNIVERSITY HEALTH CENTER
111 COLCHESTER AVEBURLINGTONVT05401030229931HOSPITALVTUVMHNMGYes (1)
COMMUNITY PROVIDERS INC
75 BEEKMAN STPLATTSBURGHNY12901222544844HLTH SVC COORDNYUVMHNYes (1)
ELIZABETHTOWN COMMNITY HOSPITAL
75 PARK STELIZABETHTOWNNY12901141364513HOSPITALNYUVMHNYes (1)
EMERGENCY MEDICAL TRANSPORT OF CVPH INC -
75 BEEKMAN STPLATTSBURGHNY12901061718419AMBULANCE SVCNYCPIYes (1)
CVPH MEDICAL CENTER FOUNDATION
75 BEEKMAN STPLATTSBURGHNY12901141727048HLTH SVC COORDNYCVPHYes (1)
LAKE CHAMPLAIN PHYSICIAN SERVICES PC
75 BEEKMAN STPLATTSBURGHNY12901273785445PHYSICIAN SERVICESNYCVPHYes (1)
UNIVERSITY MEDICAL EDUCATION ASSOCIATES
89 BEAUMONT AVENUEBURLINGTONVT05401237107832EDUCATIONALVTUVMHNMGYes (1)
ALICE HYDE MEDICAL CENTER
133 PARK STREETMALONENY12953150346515HOSPITALNYUVMHNYes (1)
PORTER MEDICAL CENTER INC
115 PORTER DRIVEMIDDLEBURYVT05753030310862SUPPORTING ORGANIZATIONVTUVMHNYes (1)
HELEN PORTER NURSING HOME
37 PORTER DRIVEMIDDLEBURYVT05753030306549NURSING HOMEVTPMCYes (1)
AUXILLARY OF PORTER MEDICAL CENTER
37 PORTER DRIVEMIDDLEBURYVT05753237363227SUPPORTING ORGANIZATIONVTPMCYes (1)
PORTER HOSPITAL
37 PORTER DRIVEMIDDLEBURYVT05753030181058HOSPITALVTPMCYes (1)
UVMHN HOME HEALTH AND HOSPICE
1110 PRIM ROADDCOLCHESTERVT05446030179603HOME HEALTHCAREVTUVMHNYes (1)
VMC INDEMNITY COMPANY INC
95 ST PAUL STBURLINGTONVT05401831102018INSURANCEVTUVMHNYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
UVMHN VENTURES INC
111 COLCHESTER AVEBURLINGTONVT05401043380045HOLDING COMPANYVTUVMHNC0
UVMHN CREDENTIALING & ENROLLMENT
111 COLCHESTER AVEBURLINGTONVT05401030333056ADMIN SVCVTUVMHN VENTURESC0
CHARITABLE REMAINDER TRUST (6)
111 COLCHESTER AVEBURLINGTONVT05401SUPPORTVTUVMMCCVMCT0
PERPETUAL TRUST (10)
111 COLCHESTER AVEBURLINGTONVT05401SUPPORTVTUVMMCT0
CHARITABLE IRREVOCABLE TRUST (8)
111 COLCHESTER AVEBURLINGTONVT05401SUPPORTVTUVMMCCVMCT0
CHAMPLAIN VALLEY HEALTH NETWORK
75 BEEKMAN STREETPLATTSBURGHNY12901161586102ADMIN SVCNYC0N/A
MEDIQUEST INC
PO BOX 1656PLATTSBURGHNY12901141663061MED OFFICE LEASENYCPIC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset ExchangeYes (1)AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
THE UNIVERSITY OF VERMONT HEALTH NETWORK
P$21,543,031FMV
THE UNIVERSITY OF VERMONT MEDICAL CENTER
P$127,071,392FMV
VMCIC
M$2,915,594FMV
ALICE HYDE MEDICAL CENTER
Q$1,858,088FMV
THE UNIVERSITY OF VERMONT MEDICAL CENTER
Q$7,183,239FMV
THE UNIVERSITY OF VERMONT MEDICAL CENTER
I$826,731FMV