2025-08-11T14:35:38-05:00 2024-09-30 161226221 FUSTCHARLES LLP 220 S WARREN STREET SYRACUSE NY 13202 990 2023-10-01 141338471 CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER CHAM 5185612000 75 BEEKMAN STREET PLATTSBURGH NY 12901 MATEJ KOLLAR VP/CFO 5185612000 2025-08-04 1 1 THOMAS J GIUFRE P00841958 3154463600 2025-08-04 2023 2025-03-06 01:10:19Z MATEJ KOLLAR 75 BEEKMAN STREET PLATTSBURGH NY 12901 470204567 0 X WWW.CVPH.ORG X 1903 NY CVPH MEDICAL CENTER'S MISSION IS TO PROVIDE QUALITY HEALTH CARE FOR THE NORTH COUNTRY REGION IN UPSTATE NEW YORK. 12 11 2541 300 0 0 2008072 6453980 413001419 457538161 -1444650 490899 5437415 5319026 419002256 469802066 0 0 0 0 254429395 264855210 0 0 0 203982753 207318962 458412148 472174172 -39409892 -2372106 201322411 208980876 197241330 207977249 4081081 1003627 X CVPH MEDICAL CENTER'S MISSION IS TO PROVIDE QUALITY HEALTH CARE FOR THE NORTH COUNTRY REGION IN UPSTATE NEW YORK. 0 0 377006389 462893337 SEE 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. 377006389 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 133 0 1 2541 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X MATEJ KOLLAR CFO 5185627047 75 BEEKMAN STREET PLATTSBURGH NY 12901 ELIZABETH GOERLITZ-CORYER DIRECTOR 1.00 X 0 0 0 BETSY VICENCIO CHAIR 2.00 X X 0 0 0 JOANN GLEESON-KREIG PHD DIRECTOR 1.00 X 0 0 0 JOHN MCAULIFFE MD MEMBER AT LARGE 1.00 X 0 0 0 KELLY DONOGHUE DIRECTOR 1.00 X 0 0 0 LEE PRAY DIRECTOR 1.00 X 0 0 0 LINDA BOURGEOIS SECRETARY 2.00 X X 0 0 0 NEIL FESETTE MEMBER AT LARGE 1.00 X 0 0 0 PAOLO FEDI MD VICE CHAIR THRU 1/1/24 1.00 X X 56414 0 0 RICHARD WEBBER MD DIRECTOR 1.00 X 0 0 0 RICHELLE GREGORY DIRECTOR 1.00 X 0 0 0 TOM RECNY TREASURER 2.00 X X 0 0 0 JOE DONNERY DPM VICE CHAIR 2.00 X X 0 0 0 NILES GRAHAM DIRECTOR 1.00 X 0 0 0 MOLLY RYAN DIRECTOR 1.00 X 0 0 0 WOUTER RIETSEMAMD VP POPULATION HEALTH & INFORMATION SVCS 48.00 2.00 X 343320 0 80914 MICHELLE LEBEAU PRESIDENT/CEO 48.00 2.00 X 610683 0 113166 MATEJ KOLLAR VP/CFO 30.00 20.00 X 323937 0 53305 LISA MARK VP MEDICAL AFFAIRS/CHIEF M 44.00 1.00 X 0 462496 50610 KERRY HALEY AVP OF PHILANTHROPY 50.00 X 168605 0 43986 MATTHEW JONES AVP OF PROFESSIONAL SERVIC 40.00 X 0 217739 18846 DR JASON SANDERS UVMMG PRESIDENT & CEO 1.00 49.00 X 0 508675 95551 AMY PUTNAM VP MEDICAL GROUP NETWORK DEPARTMENTS 1.00 49.00 X 0 284720 55360 CARLYN HAAG CHIEF NURSING OFFICER 40.00 X 202662 0 15207 VINCENT LUDGEWIG PHARMACIST 40.00 X 316830 0 57444 NANCY ZIMUCHA REGIONAL VP EDI TIL 4/2023 40.00 X 280477 0 33380 CARRIE HOWARD-CANNING NETWORK CHIEF NURSING OFFICER 40.00 X 270545 0 52672 SHAWN ROGERS CHIEF TRANSFORMATION OFFICER 40.00 X 263500 0 53905 BRENDA MURPHY CHIEF QUALITY AND SAFETY OFFICER 40.00 X 262471 0 31910 CHRISTOPHER HICKEY FORMER SVP/CFO 5.00 5.00 X 212356 0 36772 3311800 1473630 793028 553 1 1 0 HEALTHCARE WORKFORCE LOGISTICS PO BOX 860573 MINNEAPOLIS MN 55486 PHYSICIAN SERVICES 4499377 ASSOCIATES IN RADIOLOGY PO BOX 2007 EAST SYRACUSE NY 13057 RADIOLOGY SERVICES 3107664 E4H-ENVIROMENTS FOR HEALTH 185 TALCOTT ROAD WILLISTON VT 05495 ARCHITECTUAL SERVICES 238089 JGD DEVELOPMENT CO LLC 16 DEGRANDPRE WAY STE 16A PLATTSBURGH NY 12901 CONSTRUCTION SERVICES 197811 SUNY PLATTSBURGH S&H CENTER SPEECH AND HEARING CENTER 101 BROAD PLATTSBURGH NY 12901 SPEECH PATHOLOGY 196334 9 25000 401906 6027074 6453980 NET PATIENT SERVICE REVENUE 621990 438877014 438877014 OP PHARMACY REVENUE 456110 13762671 13762671 340B REVENUE 456110 4290977 4290977 BLOOD BANK 621500 306564 306564 DIALYSIS 621500 300935 300935 457538161 457678 457678 44374 80524 -36150 -36150 -36150 355198 321977 33221 33221 33221 CAFETERIA SALES 900099 1683208 1683208 INICIATIVE/CME PAYMENTS 900099 869431 869431 MED SURG SUPPLIES 900099 143953 143953 2658584 2658584 5355176 469802066 462893337 0 454749 X 2012198 1693641 318557 43223 36380 6843 198082813 167254411 30828402 3317196 1813466 1503730 48303833 39860211 8443622 13095947 7991435 5104512 335881 3362 332519 -176930 -176930 23567 23567 59121189 51769576 7351613 150459 99800 50659 302756 260609 42147 7887386 4921155 2966231 1577356 1192275 385081 2718771 2718771 10789912 10789912 4369761 3234823 1134938 MEDICAL SUPPLIES & PHAR 74689571 72269676 2419895 SHARED SERVICES 18317185 0 18317185 BAD DEBTS 14650634 14650634 MAINTENANCE & REPAIRS 7961328 5656396 2304932 4600136 4298539 301597 472174172 377006389 95167783 0 7922018 11015187 52867970 61104972 7651595 8564180 20446458 21421577 235113026 158502153 79095314 76610873 10175849 11751793 23163207 18512294 201322411 208980876 32824943 37526123 22727444 21487978 34130585 32778182 107558358 116184966 197241330 207977249 X 2737138 -340316 1343943 1343943 4081081 1003627 201322411 208980876 X -2372106 861257 -1566605 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6006147 332866 12464 6326548 26411510 1521820 2025655 23932788 20050 6006147 43598405 437820 -7624715 10000000 26411510 37668274 443568 5486563 43598405 35932200 226280 1526118 16324 37668274 0.21243 0.78757 0 1 1 3280000 3280000 108913313 61073427 47839886 3915480 2124318 1791162 111828221 92982055 18846166 7176012 2322353 4853659 76610873 OPERATING LEASE RIGHT OF USE ASSETS 16727992 FINANCE LEASE RIGHT OF USE ASSETS 438383 NOTES RECEIVABLE AND OTHER ASSETS 197825 DUE FROM RELATED PARTIES 1148094 18512294 ACCRUED PENSION COSTS 6847056 DUE TO RELATED PARTIES 73613218 L-T COMPENSATION RELATED 7809163 OTHER LIABILITIES 3586846 LEASE LIABILITIES 17631998 CONTRACT LIABILITIES 50379 ESTIMATED THIRD PARTY SETTLEMENT 5156038 ESTIMATES INCURRED BUT UNREPORTED MEDICAL CLAIMS 1490268 116184966 X 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. 1 1 1 X 250.000000000000 1 X 1 1 0 1 1 1046001 0 1046001 0.00230 68367210 55107764 13259446 0.02900 69413211 55107764 14305447 0.03130 57961 57961 0.00010 1312126 1312126 0.00290 51044721 27250872 23793849 0.05200 45519 45519 0.00010 52460327 27250872 25209455 0.05510 121873538 82358636 39514902 0.08640 1 4268843 1707537 88754988 119352220 -30597232 X 1 1 1 PET SCAN LLC IMAGING SERVICES 0.49000 0.00000 0.51000 1 1 CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MED 75 BEEKMAN ST PLATTSBURGH NY 12901 X X X X CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MED 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X 1 23 1 SEE PART V, SECTION C 0 1 X 250.000000000000 400.000000000000 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X 1 X 0 0 CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MED PART 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 MED PART 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 MED PART 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 MED PART 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 10 1 - CVPH AMBULATORY SURGERY CENTER 77 PLAZA BLVD PLATTSBURGH NY 12901 AMBULATORY SURGERY 2 - CVPH DIAGNOSTIC CENTER 89 PLAZA BLVD PLATTSBURGH NY 12901 LAB & IMAGING SERVICES 3 - NORTH COUNTRY REGIONAL BLOOD DONOR CENTE 85 PLAZA BOULEVARD PLATTSBURGH NY 12901 BLOOD DONATION CENTER 4 - CVPH SPORTS MEDICAL AND REHABILITATION 295 NEW YORK RD PLATTSBURGH NY 12901 PHYSICAL AND OCCUPATIONAL THERAPY, EXERCISE AND WELLNESS 5 - FAMILY MEDICINE CENTER 159 MARGARET STREET SUITE 100 PLATTSBURGH NY 12901 PRIMARY CARE 6 - MOBILE HEALTH SCREENING VAN 75 BEEKMAN ST PLATTSBURGH NY 12901 LAB AND DIAGNOSTIC IMAGING 7 - CVPH GASTROENTEROLOGY 77 PLAZA BLVD PLATTSBURGH NY 12901 GASTROENTEROLOGY 8 - CVPH OCCUPATIONAL HEALTH AND WELLNESS 23 HAMMOND LANE PLATTSBURGH NY 12901 EMPLOYEE HEALTH 9 - CVPH OPEN MRI 118 CONSUMER SQUARE PLATTSBURGH NY 12901 MAGNETIC RESONANCE IMAGING 10 - CVPH UROLOGY 15 DEPRANDPRE WAY PLATTSBURGH NY 12901 UROLOGY 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. 1 X X X X X 1 1 0 0 0 1 0 1 1 1 MICHELLE LEBEAU PRESIDENT/CEO 503752 0 64499 0 42432 0 84670 0 28496 0 723849 0 0 0 DR JASON SANDERS UVMMG PRESIDENT & CEO 0 407420 0 89269 0 11986 0 58037 0 37514 0 604226 0 0 LISA MARK VP MEDICAL AFFAIRS/CHIEF M 0 428756 0 32267 0 1473 0 19800 0 30810 0 513106 0 0 WOUTER RIETSEMAMD VP POPULATION HEALTH & INFORMATION S 291846 0 23471 0 28003 0 54448 0 26466 0 424234 0 0 0 MATEJ KOLLAR VP/CFO 277133 0 23695 0 23109 0 19737 0 33568 0 377242 0 0 0 VINCENT LUDGEWIG PHARMACIST 313338 0 2750 0 742 0 29578 0 27866 0 374274 0 0 0 AMY PUTNAM VP MEDICAL GROUP NETWORK DEPARTMENTS 0 245473 0 19891 0 19356 0 18807 0 36553 0 340080 0 0 CARRIE HOWARD-CANNING NETWORK CHIEF NURSING OFFICER 211682 0 0 0 58863 0 21614 0 31058 0 323217 0 0 0 SHAWN ROGERS CHIEF TRANSFORMATION OFFICER 242173 0 18974 0 2353 0 21614 0 32291 0 317405 0 0 0 NANCY ZIMUCHA REGIONAL VP EDI TIL 4/2023 64605 0 20000 0 195872 0 27497 0 5883 0 313857 0 0 0 BRENDA MURPHY CHIEF QUALITY AND SAFETY OFFICER 220462 0 18300 0 23709 0 27497 0 4413 0 294381 0 0 0 CHRISTOPHER HICKEY FORMER SVP/CFO 201211 0 0 0 11145 0 11124 0 25648 0 249128 0 0 0 MATTHEW JONES AVP OF PROFESSIONAL SERVIC 0 204794 0 12508 0 437 0 6208 0 12638 0 236585 0 0 CARLYN HAAG CHIEF NURSING OFFICER 192890 0 9489 0 283 0 14872 0 335 0 217869 0 0 0 KERRY HALEY AVP OF PHILANTHROPY 159057 0 9058 0 490 0 13620 0 30366 0 212591 0 0 0 PART I, LINE 3 CHAMPLAIN 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-B REGIONAL 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 7 CHAMPLAIN 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 8 SALARIES AND OTHER FIXED AMOUNTS PAYABLE TO EXECUTIVES SUCH AS OFFICERS AND CERTAIN KEY EMPLOYEES ARE SET BY CONTRACTS THAT ARE NEGOTIATED AND ENTERED INTO PRIOR TO THE COMMENCEMENT OF EACH EXECUTIVES' EMPLOYMENT. THE TERMS OF SUCH CONTRACTS ARE APPROVED IN ADVANCE BY THE APPROPRIATE COMPENSATION COMMITTEE OR OTHER BOARD-AUTHORIZED BODY, WHICH OBTAINS AND RELIES ON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING SUCH OFFER, AND CONCURRENTLY DOCUMENTS ITS BASIS FOR DETERMINATION. A COUNTY OF CLINTON INDUSTRIAL DEVELOPMENT AGENCY 146035154 187476AD8 2007-06-07 19565000 CONSTRUCTION OF SURGICAL SVC WING 0 0 0 B COUNTY OF CLINTON INDUSTRIAL DEVELOPMENT AGENCY 146035154 187476AB2 2006-12-19 12650000 REFINANCE SERIES 1997 BONDS 0 0 0 C COUNTY OF CLINTON INDUSTRIAL DEVELOPMENT AGENCY 146035154 187476AE6 2007-06-25 12505000 RENOVATION OF SURGICAL AREA 0 0 0 A 19565000 1172250 1340812 17051938 2009 0 0 1 1 B 12650000 12511605 138395 1998 0 1 1 1 C 12505000 727569 811805 10965626 2009 0 0 1 1 A 0 0 0 0 1 0 1 B 0 0 0 0 1 0 1 C 0 0 0 0 1 0 1 A 0 0 0 1 1 1 KEY BANK 35.000000000000 0 0 0 0 1 B 0 0 0 1 1 1 KEY BANK 11.000000000000 0 0 0 0 1 C 0 0 0 1 1 1 KEY BANK 35.000000000000 0 0 0 0 1 A 0 B 0 C 0 DATE REBATE COMPUTATION PERFORMED ISSUER 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: 06/25/2012 REAGAN FESETTE DAUGHTER 43223 REAGAN FESETTE IS EMPLOYED BY CVPH AS AN OCCUPATIONAL THERAPIST; HER FATHER, NEIL FESETTE SERVES ON THE BOARD. 0 FORM 990, PART VI, SECTION A, LINE 4 EFFECTIVE 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 6 THE UNIVERSITY OF VERMONT HEALTH NETWORK, INC. (UVMHN) IS THE VOTING MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE 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 7B UVM HEALTH NETWORK HAS THE POWER TO APPROVE SIGNIFICANT CORPORATE ACTIONS, INCLUDING ANNUAL OPERATING AND CAPITAL BUDGETS, STRATEGIC PLANS, THE APPOINTMENT OF THE CEO, THE INCURRENCE OF LONG-TERM INDEBTEDNESS, AMENDMENTS TO 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 11B CVPH PROVIDES AN ELECTRONIC COPY OF FORM 990 TO EACH BOARD MEMBER PRIOR TO THE FORM BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C THE 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 15 CHAMPLAIN 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 19 CVPH 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 11G PURCHASED 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 11 EACH 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) VALCOUR IMAGING LLC 16 DEGRANDPRE WAY SUITE 400 PLATTSBURG NY 12901 DIAGNOSTIC IMAGING NY CVPH UVM HEALTH NETWORK MEDICAL GROUP INC 111 COLCHESTER AVE BURLINGTON VT 05401 030225105 PHYSICIAN SERVICES VT UVMHN 1 UNIV OF VT MED CTR FOUNDATION INC - 111 COLCHESTER AVE BURLINGTON VT 05401 263159849 FUNDRAISING VT UVMHNMG 1 UNIV OF VT MED CTR AUIXILLIARY INC- 111 COLCHESTER AVE BURLINGTON VT 05401 208022004 SERVICE VT N/A 0 UNIV OF VT HEALTH NETWORK 111 COLCHESTER AVE BURLINGTON VT 05401 452880726 HOLDING COMPANY VT N/A 0 CENTRAL VT MEDICAL CENTER 111 COLCHESTER AVE BURLINGTON VT 05401 222547186 HOSPITAL VT UVMHN 1 UNIVERSITY HEALTH CENTER 111 COLCHESTER AVE BURLINGTON VT 05401 030229931 HOSPITAL VT UVMHNMG 1 COMMUNITY PROVIDERS INC 75 BEEKMAN ST PLATTSBURGH NY 12901 222544844 HLTH SVC COORD NY UVMHN 1 ELIZABETHTOWN COMMNITY HOSPITAL 75 PARK ST ELIZABETHTOWN NY 12901 141364513 HOSPITAL NY UVMHN 1 EMERGENCY MEDICAL TRANSPORT OF CVPH INC - 75 BEEKMAN ST PLATTSBURGH NY 12901 061718419 AMBULANCE SVC NY CPI 1 CVPH MEDICAL CENTER FOUNDATION 75 BEEKMAN ST PLATTSBURGH NY 12901 141727048 HLTH SVC COORD NY CVPH 1 LAKE CHAMPLAIN PHYSICIAN SERVICES PC 75 BEEKMAN ST PLATTSBURGH NY 12901 273785445 PHYSICIAN SERVICES NY CVPH 1 UNIVERSITY MEDICAL EDUCATION ASSOCIATES 89 BEAUMONT AVENUE BURLINGTON VT 05401 237107832 EDUCATIONAL VT UVMHNMG 1 ALICE HYDE MEDICAL CENTER 133 PARK STREET MALONE NY 12953 150346515 HOSPITAL NY UVMHN 1 PORTER MEDICAL CENTER INC 115 PORTER DRIVE MIDDLEBURY VT 05753 030310862 SUPPORTING ORGANIZATION VT UVMHN 1 HELEN PORTER NURSING HOME 37 PORTER DRIVE MIDDLEBURY VT 05753 030306549 NURSING HOME VT PMC 1 AUXILLARY OF PORTER MEDICAL CENTER 37 PORTER DRIVE MIDDLEBURY VT 05753 237363227 SUPPORTING ORGANIZATION VT PMC 1 PORTER HOSPITAL 37 PORTER DRIVE MIDDLEBURY VT 05753 030181058 HOSPITAL VT PMC 1 UVMHN HOME HEALTH AND HOSPICE 1110 PRIM ROADD COLCHESTER VT 05446 030179603 HOME HEALTHCARE VT UVMHN 1 VMC INDEMNITY COMPANY INC 95 ST PAUL ST BURLINGTON VT 05401 831102018 INSURANCE VT UVMHN 1 UVMHN VENTURES INC 111 COLCHESTER AVE BURLINGTON VT 05401 043380045 HOLDING COMPANY VT UVMHN C 0 UVMHN CREDENTIALING & ENROLLMENT 111 COLCHESTER AVE BURLINGTON VT 05401 030333056 ADMIN SVC VT UVMHN VENTURES C 0 CHARITABLE REMAINDER TRUST (6) 111 COLCHESTER AVE BURLINGTON VT 05401 SUPPORT VT UVMMCCVMC T 0 PERPETUAL TRUST (10) 111 COLCHESTER AVE BURLINGTON VT 05401 SUPPORT VT UVMMC T 0 CHARITABLE IRREVOCABLE TRUST (8) 111 COLCHESTER AVE BURLINGTON VT 05401 SUPPORT VT UVMMCCVMC T 0 CHAMPLAIN VALLEY HEALTH NETWORK 75 BEEKMAN STREET PLATTSBURGH NY 12901 161586102 ADMIN SVC NY N/A C 0 MEDIQUEST INC PO BOX 1656 PLATTSBURGH NY 12901 141663061 MED OFFICE LEASE NY CPI C 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 1 0 1 THE UNIVERSITY OF VERMONT HEALTH NETWORK P 21543031 FMV THE UNIVERSITY OF VERMONT MEDICAL CENTER P 127071392 FMV VMCIC M 2915594 FMV ALICE HYDE MEDICAL CENTER Q 1858088 FMV THE UNIVERSITY OF VERMONT MEDICAL CENTER Q 7183239 FMV THE UNIVERSITY OF VERMONT MEDICAL CENTER I 826731 FMV