COPLEY HOSPITAL INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: COPLEY HOSPITAL INC (EIN 03-0179423)
Tax period: 2019-10-01 to 2020-09-30
Filed: 2021-08-13
IRS object ID: 202142259349300814
Schema version: 2019v5.2
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-08-13T12:16:12-05:00	ReturnTs
Tax Period End	2020-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	910 E ST LOUIS 200/PO BOX 1190	AddressLine1Txt
City	SPRINGFIELD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	658062523	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	030179423	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COPLEY HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% ANGELA LAMELL	InCareOfNm
Business Name Control	COPL	BusinessNameControlTxt
Phone	8028888888	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	528 WASHINGTON HIGHWAY	AddressLine1Txt
City	MORRISVILLE	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05661	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOSEPH WOODIN	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	8028888888	PhoneNum
Signature	2021-07-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brian D Todd	PreparerPersonNm
PTIN	P00422601	PTIN
Phone	4178658701	PhoneNum

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JOSEPH WOODIN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	528 WASHINGTON HIGHWAY	AddressLine1Txt
City	MORRISVILLE	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05661	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$74,484,356	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.COPLEYVT.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1934	FormationYr
Legal Domicile State	VT	LegalDomicileStateCd
Activity Or Mission	COPLEY IS DEDICATED TO HELPING PEOPLE LIVE HEALTHIER LIVES; PROVIDING EXCEPTIONAL CARE, SUPERIOR SERVICE AND ASSURING PEOPLE HAVE ACCESS TO AFFORDABLE HEALTH CARE.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	563	TotalEmployeeCnt
Total Volunteers	20	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$356,332	PYContributionsGrantsAmt
CY Contributions Grants	$1,211,832	CYContributionsGrantsAmt
PY Program Service Revenue	$68,127,051	PYProgramServiceRevenueAmt
CY Program Service Revenue	$73,137,260	CYProgramServiceRevenueAmt
PY Investment Income	$50,442	PYInvestmentIncomeAmt
CY Investment Income	$103,713	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$7,744	CYOtherRevenueAmt
PY Total Revenue	$68,533,825	PYTotalRevenueAmt
CY Total Revenue	$74,460,549	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$37,974,216	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$39,885,088	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$32,325,115	PYOtherExpensesAmt
CY Other Expenses	$36,884,202	CYOtherExpensesAmt
PY Total Expenses	$70,299,331	PYTotalExpensesAmt
CY Total Expenses	$76,769,290	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,765,506	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$2,308,741	CYRevenuesLessExpensesAmt
Total Assets BOY	$54,544,853	TotalAssetsBOYAmt
Total Assets EOY	$81,994,926	TotalAssetsEOYAmt
Total Liabilities BOY	$16,683,576	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$46,310,114	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$37,861,277	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$35,684,812	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO HELP PEOPLE LIVE HEALTHIER LIVES BY PROVIDING EXCEPTIONAL CARE AND SUPERIOR SERVICE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$69,138,894	ExpenseAmt
Revenue	$73,137,260	RevenueAmt
Desc	COPLEY HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT IS CRITICAL TO THE HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	Desc
Total Program Service Expenses	$69,138,894	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	101	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	563	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ANGELA LAMELL	PersonNm
Phone	8028888222	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	528 WASHINGTON HIGHWAY	AddressLine1Txt
City	MORRISVILLE	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05661	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BRIAN AROS
ORTHOPEDIC SURGEON	40.0	0.0	Yes (X)	$813,767	$0	$44,098
JOHN MACY
ORTHOPEDIC SURGEON	40.0	0.0	Yes (X)	$713,640	$0	$36,853
JOSEPH MCLAUGHLIN
TRUSTEE BEG 02/20	39.8	0.2		$632,634	$0	$51,671	Yes (X)
NICHOLAS ANTELL
ORTHOPEDIC SURGEON	40.0	0.0	Yes (X)	$590,578	$0	$42,707
BRYAN MONIER
ORTHOPEDIC SURGEON	40.0	0.0	Yes (X)	$481,913	$0	$32,166
DONALD DUPUIS
GENERAL SURGEON	40.0	0.0	Yes (X)	$439,230	$0	$46,337
VERA JONES
COO	38.0	2.0		$217,178	$0	$16,561		Yes (X)
ARTHUR MATHISEN
FORMER CEO	38.0	2.0		$206,010	$0	$8,633			Yes (X)
LORI PROFOTA
CNO	38.0	2.0		$180,109	$0	$28,284		Yes (X)
DEBRALEE DORAIN
CFO END 04/20	38.0	2.0		$172,919	$0	$7,440		Yes (X)
KEVIN DORAIN
FORMER INTERIM CO-CFO	0.0	0.0		$105,610	$0	$30,002			Yes (X)
JOSEPH WOODIN
CEO	38.0	2.0		$121,497	$0	$633	Yes (X)	Yes (X)
CARL SZLACHETKA
CHAIR/TREASURER BEGIN 01/20	3.8	0.2		$0	$0	$0	Yes (X)	Yes (X)
KATHY DEMARS
VICE CHAIR/CHAIR BEGIN 01/20	1.8	0.2		$0	$0	$0	Yes (X)	Yes (X)
WALTER FRAME
TREASURER/TRUSTEE BEGIN 01/20	1.8	0.2		$0	$0	$0	Yes (X)
SHARON GREEN
SECRETARY	1.8	0.2		$0	$0	$0	Yes (X)	Yes (X)
HENRY BINDER MD
TRUSTEE	1.8	0.2		$0	$0	$0	Yes (X)
DAVID BISBEE MD
TRUSTEE END 01/20	1.8	0.2		$0	$0	$0	Yes (X)
BOB BLEIMEISTER
TRUSTEE	1.8	0.2		$0	$0	$0	Yes (X)
IRA MARVIN
TRUSTEE END 03/20	1.8	0.2		$0	$0	$0	Yes (X)
ELAINE NICHOLS
TRUSTEE END 12/19	1.8	0.2		$0	$0	$0	Yes (X)
DAN NOYES
TRUSTEE	1.8	0.2		$0	$0	$0	Yes (X)
NANCY PUTNAM
TRUSTEE END 12/19	1.8	0.2		$0	$0	$0	Yes (X)
JAN ROY
TRUSTEE	1.8	0.2		$0	$0	$0	Yes (X)
DAVID SILVERMAN
TRUSTEE/VICE CHAIR BEGIN 01/20	1.8	0.2		$0	$0	$0	Yes (X)	Yes (X)
JAMEY VENTURA
TRUSTEE	1.8	0.2		$0	$0	$0	Yes (X)
RICHARD WESTMAN
TRUSTEE	1.8	0.2		$0	$0	$0	Yes (X)
ANNIE BONGIORNO
TRUSTEE BEG 11/19	1.8	0.2		$0	$0	$0	Yes (X)
DEBORAH POMEROY
TRUSTEE BEG 01/20	1.8	0.2		$0	$0	$0	Yes (X)
CHRIS TOWNE
TRUSTEE BEG 01/20	1.8	0.2		$0	$0	$0	Yes (X)
JEFFREY HEBERT
CFO BEGINNING 04/20	38.0	2.0		$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,675,085	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$345,385	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	55	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
APOGEE MEDICAL MANAGEMENT INC
15059 N SCOTTSDALE RD STE 600	SCOTTSDALE	AZ	85254	PHYSICIAN SERVICES	$554,540
CPSI
PO BOX 850309	MOBILE	AL	36685	SOFTWARE SUPPORT	$310,867
FLETCHER ALLEN HEALTH CARE
111 COLCHESTER AVENUE	BURLINGTON	VT	05401	LAB SERVICES	$294,176
UNIVERSITY OF VERMONT TSPIMF
PO BOX 1389	WILLISTON	VT	05495	BIOMED SERVICES	$260,815
HP CUMMINGS CONSTRUCTION CO
PO BOX 269	WOODSVILLE	NH	03785	CONSTRUCTION SERVICE	$256,227

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	18	CntrctRcvdGreaterThan100KCnt
Related Organizations	$359,778	RelatedOrganizationsAmt
Government Grants	$852,054	GovernmentGrantsAmt
Total Contributions	$1,211,832	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	621400	$68,394,903	$68,394,903
FIXED PROSPECTIVE REVENUE	621400	$3,666,903	$3,666,903
CAFETERIA	722514	$331,278	$331,278
MANAGEMENT FEE REVENUE	541610	$74,721	$74,721
EHR INCENTIVE REVENUE	624100	$62,270	$62,270

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$607,185	TotalRevenueColumnAmt
Related Or Exempt Func Income	$607,185	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$73,137,260	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$118,720	TotalRevenueColumnAmt
Exclusion	$118,720	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$7,744	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$7,744	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,744	TotalRevenueColumnAmt
Exclusion	$7,744	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$8,800	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$23,807	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$15,007	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$15,007	TotalRevenueColumnAmt
Exclusion	-$15,007	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$74,460,549	TotalRevenueColumnAmt
Related Or Exempt Func Income	$73,137,260	RelatedOrExemptFuncIncomeAmt
Exclusion	$111,457	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,428,926	TotalAmt
Program Services	$892,697	ProgramServicesAmt
Management And General	$536,229	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$466,485	TotalAmt
Program Services	$116,230	ProgramServicesAmt
Management And General	$350,255	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$31,229,536	TotalAmt
Program Services	$29,385,115	ProgramServicesAmt
Management And General	$1,844,421	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$909,541	TotalAmt
Program Services	$852,627	ProgramServicesAmt
Management And General	$56,914	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,651,201	TotalAmt
Program Services	$3,368,556	ProgramServicesAmt
Management And General	$282,645	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,199,399	TotalAmt
Program Services	$2,011,051	ProgramServicesAmt
Management And General	$188,348	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$29,424	TotalAmt
Management And General	$29,424	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$24,778	TotalAmt
Management And General	$24,778	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$53,696	TotalAmt
Management And General	$53,696	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$30,841	TotalAmt
Program Services	$23,310	ProgramServicesAmt
Management And General	$7,531	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$7,175,376	TotalAmt
Program Services	$5,423,153	ProgramServicesAmt
Management And General	$1,752,223	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$85,724	TotalAmt
Program Services	$64,790	ProgramServicesAmt
Management And General	$20,934	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,224,906	TotalAmt
Program Services	$528,387	ProgramServicesAmt
Management And General	$696,519	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,925,806	TotalAmt
Program Services	$844,468	ProgramServicesAmt
Management And General	$1,081,338	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$30,403	TotalAmt
Program Services	$21,006	ProgramServicesAmt
Management And General	$9,397	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$126,242	TotalAmt
Program Services	$108,711	ProgramServicesAmt
Management And General	$17,531	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$126,029	TotalAmt
Program Services	$126,029	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,789,868	TotalAmt
Program Services	$2,576,237	ProgramServicesAmt
Management And General	$213,631	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,033,833	TotalAmt
Program Services	$854,015	ProgramServicesAmt
Management And General	$179,818	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS	$14,700,952	$14,700,952
PROVIDER TAX	$3,985,329	$3,985,329
BAD DEBT	$2,949,724	$2,949,724
LICENSES, DUES, SUBSCRIPTIONS	$337,654	$110,938	$226,716

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$253,617	TotalAmt
Program Services	$195,569	ProgramServicesAmt
Management And General	$58,048	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$76,769,290	TotalAmt
Program Services	$69,138,894	ProgramServicesAmt
Management And General	$7,630,396	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,650	BOYAmt
EOY	$2,400	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$11,498,004	BOYAmt
EOY	$38,877,344	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,439,899	BOYAmt
EOY	$5,013,731	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,997,420	BOYAmt
EOY	$2,484,173	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,534,559	BOYAmt
EOY	$1,862,386	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$58,108,138	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$32,973,671	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$25,814,323	BOYAmt
EOY	$25,134,467	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$4,868,431	BOYAmt
EOY	$5,000,707	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,389,567	BOYAmt
EOY	$3,619,718	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$54,544,853	BOYAmt
EOY	$81,994,926	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$6,144,874	BOYAmt
EOY	$8,484,792	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$2,896,587	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$7,910,328	BOYAmt
EOY	$7,454,107	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$5,037,900	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,628,374	BOYAmt
EOY	$22,436,728	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$16,683,576	BOYAmt
EOY	$46,310,114	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$32,992,846	BOYAmt
EOY	$30,684,105	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,868,431	BOYAmt
EOY	$5,000,707	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$37,861,277	BOYAmt
EOY	$35,684,812	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$54,544,853	BOYAmt
EOY	$81,994,926	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$2,308,741	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$132,276	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$30,841	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$10,913	OtherActivitiesAmt
Total Lobbying Expenditures	$41,754	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	OTHER LOBBYING ACTIVITIES: DIRECT CONTACT WITH LEGISLATORS: THE HOSPITAL ENGAGED A LAW FIRM FOR $30,841 FOR LOBBYING SERVICES. OTHER LOBBYING ACTIVITIES: THE ORGANIZATION ALSO PAYS DUES TO VARIOUS ORGANIZATIONS, A PORTION ($10,913) OF WHICH IS ATTRIBUTABLE TO LOBBYING EXPENSES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,644,722	BeginningYearBalanceAmt
Contributions	$3,000	ContributionsAmt
Investment Earnings Or Losses	$117,857	InvestmentEarningsOrLossesAmt
End Year Balance	$4,765,579	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,495,575	BeginningYearBalanceAmt
Contributions	$12,098	ContributionsAmt
Investment Earnings Or Losses	$137,049	InvestmentEarningsOrLossesAmt
End Year Balance	$4,644,722	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,362,185	BeginningYearBalanceAmt
Contributions	$2,352	ContributionsAmt
Investment Earnings Or Losses	$131,038	InvestmentEarningsOrLossesAmt
End Year Balance	$4,495,575	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,252,651	BeginningYearBalanceAmt
Contributions	$414	ContributionsAmt
Investment Earnings Or Losses	$109,120	InvestmentEarningsOrLossesAmt
End Year Balance	$4,362,185	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,147,113	BeginningYearBalanceAmt
Contributions	$696	ContributionsAmt
Investment Earnings Or Losses	$104,842	InvestmentEarningsOrLossesAmt
End Year Balance	$4,252,651	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,096,205	OtherCostOrOtherBasisAmt
Book Value	$1,096,205	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,400,644	OtherCostOrOtherBasisAmt
Depreciation	$13,799,878	DepreciationAmt
Book Value	$17,600,766	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$723,596	OtherCostOrOtherBasisAmt
Depreciation	$454,332	DepreciationAmt
Book Value	$269,264	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,886,289	OtherCostOrOtherBasisAmt
Depreciation	$18,145,432	DepreciationAmt
Book Value	$5,740,857	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,001,404	OtherCostOrOtherBasisAmt
Depreciation	$574,029	DepreciationAmt
Book Value	$427,375	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$25,134,467	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	INTEREST IN CHSI	Desc
Book Value	$5,000,707	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$5,000,707	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTY PAYORS	$1,790,000
ESTIMATED SELF INSURANCE	$911,741
PROVIDER RELIEF FUNDS	$5,862,305
CONTRACT LIABILITIES	$13,872,682

Field	Value	IRS element (for citing)
Total Liability	$22,436,728	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$71,510,825	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	-$2,949,724	OtherRevenueAmt
Revenue Not Reported	-$2,949,724	RevenueNotReportedAmt
Revenue Subtotal	$74,460,549	RevenueSubtotalAmt
Total Revenue Per Form990	$74,460,549	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$73,819,566	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$73,819,566	ExpensesSubtotalAmt
Other Expenses Not Included	$2,949,724	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$2,949,724	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$76,769,290	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	INTENDED USES OF THE ENDOWMENT FUNDS: THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS IS TO HELP SERVE THE LONG-TERM VIABILITY OF COPLEY HOSPITAL, INC. THESE ENDOWMENT FUNDS ARE HELD BY COPLEY HEALTH SYSTEM, INC.
SCHEDULE D, PART XI, LINE 2D	AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990 PART VIII, LINE 12: $ (2,949,724) BAD DEBT EXPENSE
SCHEDULE D, PART XII, LINE 4B	AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25 BUT NOT ON LINE 1: $ 2,949,724 BAD DEBT EXPENSE

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	false	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$508,483	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$508,483	NetCommunityBenefitExpnsAmt
Total Expense	0.00690	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,485,702	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,783,736	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,701,966	NetCommunityBenefitExpnsAmt
Total Expense	0.14500	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,994,185	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,783,736	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,210,449	NetCommunityBenefitExpnsAmt
Total Expense	0.15190	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$128,752	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$88,325	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,428	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$128,752	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$88,325	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,428	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,122,937	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,872,061	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,250,877	NetCommunityBenefitExpnsAmt
Total Expense	0.15240	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$2,949,724	BadDebtExpenseAmt
Bad Debt Expense Attributable	$268,425	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$17,181,822	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$18,722,531	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,540,709	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COPLEY HOSPITAL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	528 WASHINGTON HIGHWAY	AddressLine1Txt
City	MORRISVILLE	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05661	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.COPLEYVT.ORG	WebsiteAddressTxt
State License	891	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	COPLEY HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	17	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5	COMMUNITY INPUT: THE HOSPITAL'S "LOCAL EXPERTS" COME FROM AN ADVISORY GROUP OF AT LEAST 15 LOCAL RESIDENTS, INCLUSIVE OF AT LEAST ONE MEMBER SELF-IDENTIFYING WITH EACH OF THE FIVE QUORUM WRITTEN COMMENT SOLICITATION CLASSIFICATIONS, WITH WHOM THE HOSPITAL SOLICITED TO PARTICIPATE IN THE QUORUM/HOSPITAL CHNA PROCESS. THE HOSPITAL ASKED ALL PARTICIPATING IN THE WRITTEN COMMENT SOLICITATION PROCESS TO SELF-IDENTIFY THEMSELVES INTO ANY OF THE FOLLOWING REPRESENTATIVE CLASSIFICATIONS, WHICH IS DETAILED IN AN APPENDIX TO THE CHNA REPORT. WRITTEN COMMENT PARTICIPANTS SELF-IDENTIFIED INTO THE FOLLOWING CLASSIFICATIONS: 1. PUBLIC HEALTH - PERSONS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH 2. DEPARTMENTS AND AGENCIES - FEDERAL, TRIBAL, REGIONAL, STATE, OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES, WITH CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY 3. PRIORITY POPULATIONS - LEADERS, REPRESENTATIVES, OR MEMBERS OF MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE NEEDS IN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY. ALSO, IN OTHER FEDERAL REGULATIONS THE TERM PRIORITY POPULATIONS, WHICH INCLUDE RURAL RESIDENTS AND LGBT INTERESTS, IS EMPLOYED AND FOR CONSISTENCY IS INCLUDED IN THIS DEFINITION 4. CHRONIC DISEASE GROUPS - REPRESENTATIVE OF OR MEMBER OF CHRONIC DISEASE GROUP OR ORGANIZATION, INCLUDING MENTAL AND ORAL HEALTH 5. BROAD INTEREST OF THE COMMUNITY - INDIVIDUALS, VOLUNTEERS, CIVIC LEADERS, MEDICAL PERSONNEL, AND OTHERS TO FULFILL THE SPIRIT OF BROAD INPUT REQUIRED BY THE FEDERAL REGULATIONS THE METHODOLOGY ALSO TOOK A COMPREHENSIVE APPROACH TO ASSESS COMMUNITY HEALTH NEEDS BY PERFORMING SEVERAL INDEPENDENT DATA ANALYSES BASED ON SECONDARY SOURCE DATA, AUGMENTING THIS WITH LOCAL EXPERT ADVISOR OPINIONS, AND RESOLVING ANY DATA INCONSISTENCY OR DISCREPANCIES BY REVIEWING THE COMBINED OPINIONS FORMED FROM LOCAL EXPERTS. THE METHODOLOGY RELIES ON SECONDARY SOURCE DATA, AND MOST SECONDARY SOURCES USE THE COUNTY AS THE SMALLEST UNIT OF ANALYSIS. MOST DATA USED IN THE ANALYSIS IS AVAILABLE FROM PUBLIC INTERNET SOURCES AND PROPRIETARY DATA. DATA SOURCES INCLUDED: WWW. COUNTYHEALTHRANKINGS.ORG; IBM WATSON HEALTH (FORMERLY KNOWN AS TRUVEN HEALTH ANALYTICS); WWW.HEALTHVERMONT.GOV; AND WWW. WORLDLIFEEXPECTANCY.COM/USA-HEALTH-RANKINGS. COPLEY HOSPITAL DEPLOYED A CHNA ROUND 1 SURVEY TO OUR LOCAL EXPERT ADVISORS TO GAIN INPUT ON LOCAL HEALTH NEEDS AND THE NEEDS OF PRIORITY POPULATIONS. LOCAL EXPERT ADVISORS WERE LOCAL INDIVIDUALS SELECTED ACCORDING TO CRITERIA REQUIRED BY THE FEDERAL GUIDELINES AND REGULATIONS AND THE HOSPITALS DESIRE TO REPRESENT THE REGIONS GEOGRAPHICALLY AND ETHNICALLY DIVERSE POPULATION. THE HOSPITAL RECEIVED COMMUNITY INPUT FROM 78 LOCAL EXPERT ADVISORS. SURVEY RESPONSES STARTED FEBRUARY 19, 2018 AND ENDED WITH THE LAST RESPONSE ON MARCH 12, 2018. A COMMUNITY SURVEY WAS ALSO COMPLETED IN THE SAME TIME PERIOD AS THE LOCAL EXPERT SURVEYS AND RECEIVED 172 RESPONSES. INFORMATION GAINED FROM THE COMMUNITY SURVEY CAN BE FOUND IN APPENDIX A OF THE HOSPITALS CHNA. WHILE THE ROUND 1 SURVEY WAS OPEN TO THE LOCAL EXPERTS, A COMMUNITY SURVEY WAS SOLICITED TO THE COPLEY HOSPITALS SERVICE AREA RESIDENTS TO HELP UNDERSTAND THE OVERALL HEALTH NEEDS AND CHALLENGES FACING THE LOCAL POPULATION TO ENSURE THE APPROPRIATE HEALTH NEEDS WERE IDENTIFIED FOR THE 2018 CHNA. THE SURVEY WAS OPEN TO ANY AREA RESIDENT OVER 18 YEARS OF AGE. 172 SURVEYS WERE COMPLETED. THE TOP THREE PRIORITY POPULATIONS IN THE AREA ARE RESIDENTS OF RURAL AREAS, LOW-INCOME GROUPS, AND CHILDREN. WHEN THE ROUND 1 SURVEY AND DATA ANALYSIS WAS COMPLETE, THE HOSPITAL PUT THE INFORMATION AND SUMMARY CONCLUSIONS BEFORE OUR LOCAL EXPERT ADVISORS WHO WERE ASKED TO AGREE OR DISAGREE WITH THE SUMMARY CONCLUSIONS. THEY WERE FREE TO AUGMENT POTENTIAL CONCLUSIONS WITH ADDITIONAL COMMENTS OF NEED. CONSULTATION WITH LOCAL EXPERTS OCCURRED AGAIN VIA AN INTERNET-BASED SURVEY BEGINNING MARCH 26, 2018 AND ENDING APRIL 9, 2018. 58 OF THE ORIGINAL 78 LOCAL EXPERT ADVISORS RESPONDED TO THE ROUND 2 SURVEY. HAVING TAKEN STEPS TO IDENTIFY POTENTIAL COMMUNITY NEEDS, THE LOCAL EXPERTS THEN PARTICIPATED IN A STRUCTURED COMMUNICATION TECHNIQUE CALLED A WISDOM OF CROWDS METHOD. THE PREMISE OF THIS APPROACH RELIES ON A PANEL OF EXPERTS WITH THE ASSUMPTION THAT THE COLLECTIVE WISDOM OF PARTICIPANTS IS SUPERIOR TO THE OPINION OF ANY ONE INDIVIDUAL, REGARDLESS OF THEIR PROFESSIONAL CREDENTIALS. THROUGH THE "WISDOM OF CROWDS" PROCESS, EACH LOCAL EXPERT HAD THE OPPORTUNITY TO INTRODUCE NEEDS PREVIOUSLY UNIDENTIFIED AND TO CHALLENGE CONCLUSIONS DEVELOPED FROM THE DATA ANALYSIS. A SUMMARY OF ALL NEEDS IDENTIFIED BY ANY OF THE ANALYZED DATA SETS WAS DEVELOPED. THE LOCAL EXPERTS THEN ALLOCATED 100 POINTS AMONG THE POTENTIAL SIGNIFICANT NEED CANDIDATES, INCLUDING THE OPPORTUNITY TO AGAIN PRESENT ADDITIONAL NEEDS THAT WERE NOT IDENTIFIED FROM THE DATA. A RANK ORDER OF PRIORITIES EMERGED, WITH SOME NEEDS RECEIVING NONE OR VIRTUALLY NO SUPPORT, AND OTHER NEEDS RECEIVING IDENTICAL POINT ALLOCATIONS. THE RANKED NEED WERE DIVIDED INTO TWO GROUPS: SIGNIFICANT AND OTHER IDENTIFIED NEEDS. OUR CRITERIA FOR IDENTIFYING AND PRIORITIZING SIGNIFICANT NEEDS WAS BASED ON A DESCENDING FREQUENCY RANK ORDER OF THE NEEDS BASED ON TOTAL POINTS CAST BY THE LOCAL EXPERTS, FURTHER RANKED BY A DESCENDING FREQUENCY COUNT OF THE NUMBER OF LOCAL EXPERTS CASTING ANY POINTS FOR THE NEED. BY OUR DEFINITION, A SIGNIFICANT NEED HAD TO INCLUDE ALL RANK ORDERED NEEDS UNTIL AT LEAST FIFTY PERCENT (50%) OF ALL POINTS WERE INCLUDED AND TO THE EXTENT POSSIBLE, REPRESENTED POINTS ALLOCATED BY A MAJORITY OF VOTING LOCAL EXPERTS. THE DETERMINATION OF THE BREAK POINT - SIGNIFICANT AS OPPOSED TO OTHER - WAS A QUALITATIVE INTERPRETATION WHERE A REASONABLE BREAK POINT IN RANK ORDER OCCURRED.
SCHEDULE H, PART V, SECTION B, LINE 6B	CHNA CONDUCTED WITH OTHER ORGANIZATIONS: THE HOSPITAL COLLABORATED AND OBTAINED ASSISTANCE IN CONDUCTING THIS CHNA FROM QUORUM HEALTH RESOURCES. OUR STEERING COMMITTEE INCLUDED THE VERMONT DEPARTMENT OF HEALTH FIELD DIRECTOR FOR THE MORRISVILLE, VT AREA AND THE MORRISVILLE AREA FACILITATOR FOR THE VERMONT STATE BLUEPRINT FOR HEALTH. LOCAL AREA EXPERTS CAME FROM THE UNIFIED COMMUNITY COLLABORATIVE (UCC) WHICH INCLUDES REPRESENTATIVES FROM COMMUNITY, REGIONAL AND STATE ORGANIZATIONS AND AGENCIES INVOLVED IN THE SOCIAL DETERMINANTS OF HEALTH.
SCHEDULE H, PART V, SECTION B, LINE 7A	CHNA URL: HTTPS://WWW.COPLEYVT.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
SCHEDULE H, PART V, SECTION B, LINE 10A	IMPLEMENTATION STRATEGY URL: HTTPS://WWW.COPLEYVT.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
SCHEDULE H, PART V, SECTION B, LINE 11	ADDRESSING IDENTIFIED NEEDS: 1. PREVENTATIVE CARE COPLEY HOSPITAL SERVICES, PROGRAMS, AND RESOURCES AVAILABLE TO RESPOND TO THIS NEED INCLUDE: - SCREENING AVAILABILITY AT COPLEY HOSPITALS WOMEN CENTER [NOTE: SCREENING DEFINED AS SCREENING FOR SUBSTANCE ABUSE, MENTAL HEALTH, ADVERSE CHILDHOOD EVENTS, SMOKING, FOOD INSECURITY, HOUSING, BP AND BMI. NOTE: ADVERSE CHILDHOOD EVENTS SCREENING IS PERFORMED BY THE PROVIDER, WITH REFERRALS MADE TO THE SOCIAL WORKER AT TWC]. - PREVENTION EDUCATION/AWARENESS PROMOTED THROUGH HOSPITALS SOCIAL MEDIA THROUGH COLLABORATIVE COMMUNITY BLOG LIVEWELLLAMOILLE.COM. - PREVENTION/EDUCATION AWARENESS PROGRAM THROUGH THE LAUNCH OF RISE VT - SOCIAL WORKER WORKING WITH INPATIENTS AND EMERGENCY DEPARTMENT PATIENTS TO SCREEN AND PROVIDE REFERRALS. [NOTE: SCREENING DEFINED AS SCREENING FOR SUBSTANCE ABUSE, MENTAL HEALTH, SMOKING, FOOD INSECURITY AND HOUSING]. - REFERRAL AND RESOURCE SPECIALIST IN EMERGENCY DEPARTMENT; CONTINUE FOCUS ON SUPER-UTILIZERS IN EMERGENCY DEPARTMENT AND INPATIENT POPULATION. - STANDARDIZED FALL RISK SCREENING TOOL FOR TARGETED POPULATIONS 65+ WITH IMPLEMENTATION SCHEDULED IN FY2020-FY2021. - 100% OF TARGETED PATIENT POPULATION IN THE EMERGENCY DEPARTMENT WILL BE SCREENED FOR CHRONIC HEALTH CONDITIONS AND SOCIAL DETERMINANTS OF HEALTH (SDOHS) [NOTE: SCREENING DEFINED AS SCREENING FOR SUBSTANCE ABUSE, MENTAL HEALTH, ADVERSE CHILDHOOD EVENTS, SMOKING, FOOD INSECURITY, HOUSING, AND BP]. ADDITIONALLY, COPLEY HOSPITAL PLANS TO TAKE THE FOLLOWING STEPS TO ADDRESS THIS NEED: - EVALUATE OPTIONS TO INCREASE TRANSPORTATION ASSISTANCE TO IMPROVE ACCESS TO CARE. - THE WOMENS CENTER PROVIDES DENTAL HEALTH REFERRAL OPTIONS AS PART OF PRE-NATAL CARE. - 100% OF TARGETED PATIENT POPULATION IN OUTPATIENT CLINICS WILL ROUTINELY RECEIVE BLOOD PRESSURE SCREENING. 2. MENTAL HEALTH - LOCAL EXPERT CONCERN COPLEY HOSPITAL SERVICES, PROGRAMS, AND RESOURCES AVAILABLE TO RESPOND TO THIS NEED INCLUDE: - SCREENING AVAILABILITY AT COPLEY HOSPITALS WOMEN CENTER [NOTE: SCREENING DEFINED AS SCREENING FOR SUBSTANCE ABUSE, MENTAL HEALTH, ADVERSE CHILDHOOD EVENTS, SMOKING, FOOD INSECURITY, HOUSING, BP AND BMI. NOTE: ADVERSE CHILDHOOD EVENTS SCREENING IS PERFORMED BY THE PROVIDER, WITH REFERRALS MADE TO THE SOCIAL WORKER AT TWC]. - COPLEY HOSPITAL PARTNERS WITH THE MOBILE CRISIS TEAM (LAMOILLE COUNTY MENTAL HEALTH) TO ASSIST WITH PEOPLE PRESENTING IN THE ER WITH A MENTAL HEALTH CRISIS. THE MOBILE CRISIS TEAM OFFERS EMERGENCY AND CRISIS SERVICES TO ANYONE WHO LIVES IN LAMOILLE COUNTY, 24 HOURS A DAY, 7 DAYS A WEEK. THEY ALSO SERVE CHILDREN IN THE SURROUNDING TOWNS INCLUDING: HARDWICK, CRAFTSBURY, GREENSBORO, STANNARD, AND WOODBURY. - TRAINED HOSPITAL STAFF AS PATIENT SITTERS AND ESTABLISHMENT OF SITTER PROGRAM. - DEVELOPED MENTAL HEALTH SAFE ROOM IN EMERGENCY DEPARTMENT. - REFERRAL AND RESOURCE SPECIALIST IN EMERGENCY DEPARTMENT FULL-TIME. - PARTNERED WITH LAMOILLE COUNTY MENTAL HEALTH ON THE ZERO SUICIDE PROGRAM (SCREENING, INTERVENTION, SAFE TRANSITION OF CARE). - PROVIDES MENTAL HEALTH AWARENESS EDUCATION FOR TARGETED STAFF. ADDITIONALLY, COPLEY HOSPITAL PLANS TO TAKE THE FOLLOWING STEPS TO ADDRESS THIS NEED: - EVALUATE OPTIONS FOR INCREASING TRANSPORTATION PROGRAMS (RURAL COMMUNITY TRANSPORTATION, OTHERS) TO ASSIST WITH GETTING PATIENTS TO NEEDED MENTAL HEALTH AND BEHAVIORAL HEALTH APPOINTMENTS. - OFFER DE-ESCALATION TRAINING WITH COMMUNITY ORGANIZATIONS TO BUILD APPROPRIATE SKILLS IN THE COMMUNITY. - EVALUATE MENTAL HEALTH RESOURCES IN THE EMERGENCY DEPARTMENT. 3. CHRONIC HEALTH CONDITIONS COPLEY HOSPITAL SERVICES, PROGRAMS, AND RESOURCES AVAILABLE TO RESPOND TO THIS NEED INCLUDE: - SCREENING AVAILABILITY AT COPLEY HOSPITALS WOMEN CENTER [NOTE: SCREENING DEFINED AS SCREENING FOR SUBSTANCE ABUSE, MENTAL HEALTH, ADVERSE CHILDHOOD EVENTS, SMOKING, FOOD INSECURITY, HOUSING, BP AND BMI. NOTE: ADVERSE CHILDHOOD EVENTS SCREENING IS PERFORMED BY THE PROVIDER, WITH REFERRALS MADE TO THE SOCIAL WORKER AT TWC]. - INCREASED SERVICES AVAILABLE VIA TELEMEDICINE, INCLUDING PULMONOLOGY AND NEPHROLOGY. - COLLABORATION WITH CENTRAL VERMONT MEDICAL CENTER FOR ONCOLOGY SERVICES AVAILABLE AT COPLEY HOSPITAL. - REFERRAL AND RESOURCE SPECIALIST IN EMERGENCY DEPARTMENT FULL TIME. - WORKFORCE WELLNESS PROGRAM AVAILABLE TO AREA BUSINESSES. - CARDIAC/PULMONARY REHABILITATION PROGRAM FOR PERSONS THAT EXPERIENCED AN EVENT OR HAS A QUALIFYING CONDITION. - PREVENTION/EDUCATION AND AWARENESS MESSAGING VIA SOCIAL MEDIA AND LIVEWELLLAMOILLE.COM BLOG. - INCREASE WORKFORCE WELLNESS SERVICE AREA TO OFFER TOBACCO CESSATION AND CHRONIC DISEASE PREVENTION/MANAGEMENT AT WORKSITES THROUGHOUT THE SERVICE AREA. - DISCHARGE PLANNING THAT INCLUDES SCHEDULING PRIMARY CARE FOLLOW-UP PRIOR TO DISCHARGE. ADDITIONALLY, COPLEY HOSPITAL PLANS TO TAKE THE FOLLOWING STEPS TO ADDRESS THIS NEED: - EVALUATE OPTIONS FOR INCREASING TRANSPORTATION ASSISTANCE (RURAL COMMUNITY TRANSPORTATION, OTHERS). - 100% SCREENING OF TARGETED PATIENT POPULATIONS IN THE EMERGENCY DEPARTMENT [100% OF TARGETED PATIENT POPULATION IN THE EMERGENCY DEPARTMENT WILL BE SCREENED BY CHRONIC HEALTH CONDITIONS AND SOCIAL DETERMINANTS WITH HEALTH (SDOHS). SCREENING DEFINED AS SCREENING FOR SUBSTANCE ABUSE, MENTAL HEALTH, ADVERSE CHILDHOOD EVENTS, SMOKING, FOOD INSECURITY, HOUSING, AND BLOOD PRESSURE (BP)]. - 100% OF TARGETED PATIENT POPULATION IN OUTPATIENT CLINICS WILL ROUTINELY RECEIVE BLOOD PRESSURE SCREENING. - 100% OF IDENTIFIED INPATIENT POPULATION WILL BE EVALUATED USING READMISSION RISK ASSESSMENT TOOL. 4. SUBSTANCE USE/ABUSE COPLEY HOSPITAL SERVICES, PROGRAMS, AND RESOURCES AVAILABLE TO RESPOND TO THIS NEED INCLUDE: - PROVIDES SBIRT/ACES SCREENINGS AT THE COPLEY HOSPITAL WOMENS HEALTH CENTER. - REFERRALS TO MEDICATION ASSISTANCE TREATMENT (MAT) PROGRAM. - COPLEY HOSPITAL PARTNERS WITH THE MOBILE CRISIS TEAM (LAMOILLE COUNTY MENTAL HEALTH) TO ASSIST THE PEOPLE PRESENTING IN THE ER WITH A MENTAL HEALTH CRISIS. THE MOBILE CRISIS TEAM OFFERS EMERGENCY AND CRISIS SERVICES TO ANYONE WHO LIVES IN LAMOILLE COUNTY, 24 HOURS A DAY, 7 DAYS A WEEK. THEY ALSO SERVE CHILDREN IN THE SURROUNDING TOWNS INCLUDING: HARDWICK, CRAFTSBURY, GREENSBORO, STANNARD, AND WOODBURY. - PLACED REFERRAL AND RESOURCE SPECIALIST IN EMERGENCY DEPARTMENT. - MENTAL HEALTH AWARENESS EDUCATION FOR HOSPITAL STAFF. - EVALUATED ABILITY TO PRESCRIBE AND/OR DISTRIBUTE NALOXONE THROUGH THE EMERGENCY DEPARTMENT. - INSTALLED A PRESCRIPTION DRUG DROP-BOX FOR PEOPLE TO SAFELY DISPOSE OF UNUSED AND/OR EXPIRED PRESCRIPTION DRUGS. - IMPLEMENTED COLLABORATION WITH NORTH CENTRAL VERMONT RECOVERY CENTER COACHES PROGRAM FOR TARGETED PATIENT POPULATION IN THE EMERGENCY DEPARTMENT. ADDITIONALLY, COPLEY HOSPITAL PLANS TO TAKE THE FOLLOWING STEPS TO ADDRESS THIS NEED: - EVALUATE OPTIONS FOR INCREASING TRANSPORTATION PROGRAMS (RURAL COMMUNITY TRANSPORTATION, OTHERS). 5. REDUCING COST OF HEALTHCARE COPLEY HOSPITAL SERVICES, PROGRAMS, AND RESOURCES AVAILABLE TO RESPOND TO THIS NEED INCLUDE: - FINANCIAL ASSISTANCE PROGRAM OFFERED AT COPLEY HOSPITAL. - RESOURCES TO ASSIST PATIENTS WITH ENROLLING FOR INSURANCE THROUGH VERMONT HEALTH CONNECT. - CONTINUED FOCUS ON CONNECTING SUPER UTILIZERS OF THE EMERGENCY DEPARTMENT TO NEEDED SOCIAL SERVICES. - CONTINUED COLLABORATION WITH COMMUNITY CARE MANAGEMENT TEAM TO REFER COMPLEX PATIENTS TO APPROPRIATE SERVICES. - ONGOING IMPLEMENTATION OF INPATIENT READMISSION RISK ASSESSMENT TOOL TO HELP REDUCE 30 DAY ALL CAUSE READMISSIONS. COPLEY HOSPITAL DOES NOT INTEND TO DEVELOP AN IMPLEMENTATION STRATEGY FOR THIS SIGNIFICANT NEED. DUE TO A RELATIVE LACK OF IDENTIFIED EFFECTIVE INTERVENTIONS AT THE HOSPITAL LEVEL OTHER THAN ADDRESSING CHRONIC CONDITIONS, PREVENTATIVE CARE AND IDENTIFYING PEOPLE AT RISK TO ADDRESS THE NEED, WE ARE CHOOSING NOT TO DEVELOP AN IMPLEMENTATION STRATEGY AT THIS TIME. WE FEEL WE CAN HAVE A GREATER IMPACT BY PUTTING ATTENTION AND RESOURCES TOWARD OTHER SIGNIFICANT NEEDS AS OUTLINED. 6.HOUSING INSECURITY - LOCAL EXPERT CONCERN COPLEY HOSPITAL SERVICES, PROGRAMS, AND RESOURCES AVAILABLE TO RESPOND TO THIS NEED INCLUDE: - PROVIDE LAUNDRY SERVICE FOR WARMING SHELTER. - PROVIDE SCREENING FOR HOUSING INSECURITY AT THE WOMENS CENTER AND WITH TARGETED POPULATION IN THE EMERGENCY DEPARTMENT. COPLEY HOSPITAL DOES NOT INTEND TO DEVELOP AN IMPLEMENTATION STRATEGY FOR THIS SIGNIFICANT NEED DUE TO A LACK OF IDENTIFIED EFFECTIVE INTERVENTIONS TO ADDRESS THE NEED, AND THE AVAILABILITY OF OTHER ORGANIZATIONS TO ADDRESS THIS NEED, WE ARE CHOOSING NOT TO DEVELOP AN IMPLEMENTATION STRATEGY AT THIS TIME. WE FEEL WE CAN HAVE A GREATER IMPACT BY PUTTING ATTENTION AND RESOURCES TOWARD OTHER SIGNIFICANT NEEDS FOR WHICH WE ARE BETTER QUALIFIED TO SERVE.
SCHEDULE H, PART V, SECTION B, LINES 16A-C	FAP, APPLICATION, AND PLS URL: WWW.COPLEYVT.ORG/FOR-PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MANSFIELD ORTHOPAEDICS
555 WASHINGTON HIGHWAY	MORRISVILLE	VT	05661	OUTPATIENT ORTHOPAEDIC, REHAB AND RADIOLOGY SERVICES
MANSFIELD ORTHOPAEDICS
6 NORTH MAIN STREET	WATERBURY	VT	05676	OUTPATIENT ORTHOPAEDIC, RADIOLOGY SERVICES

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C:	ELIGIBILITY FOR FREE CARE: IN ADDITION TO INCOME, COPLEY USES OTHER FACTORS IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE, INCLUDING RESIDENCY STATUS FOR NON-EMERGENT SERVICES AND AN ASSET THRESHOLD.
SCHEDULE H, PART I, LINE 7:	COSTING METHODOLOGY: THE COST TO CHARGE RATIO COMPUTED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION ON IRS WORKSHEETS 1 AND 3.
SCHEDULE H, PART I, LINE 7, COLUMN F	PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990.
SCHEDULE H, PART III, SECTION A, LINE 2	BAD DEBT EXPENSE: THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED SEPTEMBER 30, 2020. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.
SCHEDULE H, PART III, SECTION A, LINE 3	BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: COPLEY HOSPITAL, INC ESTIMATES THAT APPROXIMATELY 9.1% OF THE PATIENT ACCOUNTS WRITTEN OFF TO BAD DEBTS MAY QUALIFY FOR CHARITY CARE OR OTHER ASSISTANCE BUT CHOSE NOT TO APPLY. THEREFORE, THE BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING 9.1% OF THE AMOUNT REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. SECTION A, LINE 2.
SCHEDULE H, PART III, SECTION A, LINE 4	BAD DEBT EXPENSE FOOTNOTE: THE AUDIT FOOTNOTE ADDRESSING BAD DEBT EXPENSE AND PATIENT ACCOUNTS RECEIVABLE IS FOUND ON PAGE 10 OF THE AUDITED FINANCIAL STATEMENTS UNDER NOTE 1, SUBTITLED "PATIENT ACCOUNTS RECEIVABLE."
SCHEDULE H, PART III, SECTION B, LINE 8	COMMUNITY BENEFIT: SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.
SCHEDULE H, PART III, SECTION C, LINE 9B	COLLECTION POLICY: FINANCIAL ASSISTANCE IS AVAILABLE TO GUARANTORS WHO MEET THE ELIGIBILITY REQUIREMENTS. INCOME LEVEL, HOUSEHOLD SIZE, RESIDENCY STATUS, ETC, DETERMINE ELIGIBILITY. FEDERAL POVERTY LEVEL GUIDELINES ARE UTILIZED TO DETERMINE THE AMOUNT OF ASSISTANCE A HOUSEHOLD MAY BE ELIGIBLE FOR. FOR THE PATIENTS CONVENIENCE, ALL STATEMENTS HAVE AN ABBREVIATED VERSION OF THE FINANCIAL ASSISTANCE APPLICATION ON THE BACK.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT: COPLEY GATHERS AND ANALYZES INFORMATION ABOUT THE GREATER LAMOILLE VALLEY COMMUNITY AND ITS HEALTHCARE NEEDS THROUGH VARIOUS MEANS, INCLUDING: ANALYZING AND RESPONDING TO HEALTH TRENDS IN OUR PATIENTS; THROUGH AGGREGATE DATA FROM OUR QUALITY AND WELLNESS INITIATIVES, THE ONECARE VERMONT ACCOUNTABLE CARE ORGANIZATION, THE VERMONT STATE BLUEPRINT FOR HEALTH AND FROM THE UNIFIED COMMUNITY COLLABORATIVE (UCC) WHICH INCLUDES REPRESENTATIVES FROM COMMUNITY, REGIONAL AND STATE ORGANIZATIONS AND AGENCIES INVOLVED IN THE SOCIAL DETERMINANTS OF HEALTH. WE ALSO REVIEW RELEVANT DATA FROM THE VERMONT DEPARTMENT OF HEALTH, CENTERS FOR MEDICARE AND MEDICAID SERVICES, AND THE FEDERAL CENTERS FOR DISEASE CONTROL.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: INFORMATION ABOUT COPLEYS CHARITABLE CARE POLICY, WHICH INCLUDES HELPING PATIENTS APPLY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS, IS POSTED BY EACH REGISTRATION DESK (MAIN LOBBY AND EMERGENCY DEPARTMENT). IT IS ALSO AVAILABLE, ALONG WITH THE APPLICATION FORM, ONLINE ON THE HOSPITALS WEBSITE IN ADDITION TO THE "HOSPITAL REPORT CARD" WEBSITE OF THE GREEN MOUNTAIN CARE BOARD. DETAILS ARE ALSO INCLUDED IN THE PATIENT GUIDE FOR INPATIENTS, FAMILIES AND VISITORS. COPLEYS CHARITABLE CARE PROGRAM IS ALSO PROMOTED IN OUR PHILANTHROPY EFFORTS AS MANY DONORS GIVE TO THE PROGRAM. ALL CARE PROVIDERS MAY REFER PATIENTS TO THE HOSPITALS PATIENT FINANCIAL SERVICES COUNSELORS OR TO PATIENT AND FAMILY SERVICES TO CONNECT THEM TO ASSISTANCE.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION: COPLEY HOSPITAL, DEFINES ITS SERVICE AREA AS LAMOILLE, AND PARTS OF ORLEANS AND CALEDONIA COUNTIES IN VERMONT, WHICH INCLUDES THE TOWNS OF BELVEDIRE, CAMBRIDGE, JEFFERSONVILLE, WATERVILLE, EDEN, EDEN MILLS, HYDE PARK, JOHNSON, ELMORE, MORRISTOWN, MOSCOW, NORTH HYDE PARK, STOWE, WOLCOTT, CRAFTSBURY, GREENSBORO, HARDWICK AND STANNARD. COPLEY SERVES A POPULATION OF 30,387 PEOPLE. LAMOILLE COUNTY IS ONE OF THE FEW COUNTIES SEEING POPULATION GROWN IN VERMONT, WITH AN ESTIMATED POPULATION OF 30,849 BY 2022. THE COMMUNITY IS PREDOMINANTLY WHITE, NON-HISPANIC, WITH A MEDIAN AGE OF 47.3 AND A MEDIAN HOUSEHOLD INCOME OF $53,086 COMPARED TO THE VERMONT MEDIAN HOUSEHOLD INCOME OF $59,175. THE AREA HAS POCKETS OF GREAT WEALTH AND GREAT POVERTY. THE TOP THREE PRIORITY POPULATIONS ARE RESIDENTS OF RURAL AREAS, LOW-INCOME GROUPS, AND CHILDREN. NEARLY 17% OF THE HOSPITALS SERVICE AREA IS GREATER THAN 65 YEARS OF AGE, WITH 18.5% WOMEN OF CHILD-BEARING AGE. NEARLY 31% OF ADULTS 25 YEARS OF AGE OR OLDER IN THE AREA HOLD A HIGH SCHOOL DEGREE, WITH 29% HAVING SOME COLLEGE EXPERIENCE OR AN ASSOCIATES DEGREE AND 34% HOLDING A BACHELORS DEGREE OR HIGHER. THE MAJOR INDUSTRY IS ACCOMMODATIONS AND FOOD SERVICE, FOLLOWED BY HEALTH AND SOCIAL ASSISTANCE. RECENT STUDIES INDICATE LAMOILLE COUNTY HAS THE HIGHEST RATE OF SUICIDE IN THE STATE. THE LEADING CAUSES OF DEATH ARE FROM CANCER, HEART DISEASE, AND LUNG DISEASE. ADVERSE METRICS IMPACTING MORE THAN 30% OF THE POPULATION AND STATISTICALLY SIGNIFICANTLY DIFFERENT FROM THE NATIONAL AVERAGE INCLUDE: - BMI IN MORBID/OBESE RANGE AT 10% ABOVE AVERAGE, IMPACTING 33.7% - ROUTINE CHOLESTEROL SCREENING = 9.8% BELOW AVERAGE, IMPACTING 40.0% - CANCER SCREEN: PAP/CERV TEST 2 YR = 9.1% BELOW AVERAGE, IMPACTING 43.8% - OB/GYN 1+ VISIT = 11.5% BELOW AVERAGE, IMPACTING 34.0%. BENEFICIAL METRICS IMPACTING MORE THAN 30% OF THE POPULATION AND STATISTICALLY SIGNIFICANTLY DIFFERENT FROM THE NATIONAL AVERAGE INCLUDE: - CONSUMED ALCOHOL IN THE PAST 30 DAYS = 18.3% BELOW AVERAGE, IMPACTING 43.9% - NP/PA VISIT IN THE LAST 6 MONTHS = 10.7% ABOVE AVERAGE, IMPACTING 45.9% RECENT STUDIES INDICATE LAMOILLE COUNTY HAS THE HIGHEST RATE OF SUICIDE IN THE STATE.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: THE HOSPITAL IS GOVERNED BY A VOLUNTEER BOARD OF TRUSTEES MADE UP OF LOCAL CITIZENS REPRESENTING A CROSS SECTION OF THE COMMUNITY SERVED. THE BOARD HOLDS A PUBLIC ANNUAL MEETING IN JANUARY AND ITS ETHICS COMMITTEE HOSTS AN ANNUAL PUBLIC FORUM ON A TOPIC PERTINENT TO POPULATION HEALTH. COPLEY CONTINUES TO WORK COLLABORATIVELY WITH OTHER ORGANIZATIONS TO IDENTIFY AND ADDRESS COMMUNITY HEALTH NEEDS. OUR COLLABORATIONS INCLUDE BUT ARE NOT LIMITED TO THE UNIFIED COMMUNITY COLLABORATIVE (UCC) WHICH INCLUDES REPRESENTATIVES FROM COMMUNITY, REGIONAL AND STATE ORGANIZATIONS AND AGENCIES INVOLVED IN THE SOCIAL DETERMINANTS OF HEALTH; PRIMARY CARE PRACTICES; LAMOILLE HORNE HEALTH AND HOSPICE; LONG-TERM RESIDENTIAL CARE FACILITIES THE MANOR AND THE GREENSBORO NURSING HORNE; LAMOILLE COUNTY MENTAL HEALTH; COMMUNITY HEALTH SERVICES OF LAMOILLE VALLEY BEHAVIORAL HEALTH & WELLNESS; HEALTHY LAMOILLE VALLEY; PEOPLE IN PARTNERSHIP; THE MORRISVILLE DISTRICT OFFICE OF THE VERMONT DEPARTMENT OF HEALTH; THE LAMOILLE COMMUNITY HOUSE (WARMING SHELTER); UNITED WAY; CLARINA HOWARD NICHOLS CENTER; THE NORTH CENTRAL VERMONT RECOVERY CENTER; AND OTHERS. COPLEY HOSPITAL PROVIDES NEEDED MEDICAL SERVICES, REGARDLESS OF ABILITY TO PAY. SERVICES INCLUDES 24 HOURS/7 DAYS A WEEK EMERGENCY SERVICES, WOMENS AND CHILDRENS SERVICES, GENERAL SURGERY, LABORATORY SERVICES, DIAGNOSTIC IMAGING, ORTHOPAEDICS, AND REHABILITATION. COPLEY CONTINUES ITS PARTNERSHIP WITH DARTMOUTH HITCHCOCK CONNECTED CARE TO DELIVER NEEDED SERVICES IN THE AREA WITH TELEMEDICINE; INCLUDING RHEUMATOLOGY, NEPHROLOGY AND PULMONOLOGY. IN CONJUNCTION WITH COMMUNITY HEALTH SERVICES OF LAMOILLE VALLEY, COPLEY HAS PLACED A RESOURCE REFERRAL SPECIALIST IN THE ER. THIS SPECIALIST WORKS CLOSELY WITH OUR SOCIAL WORKER AND OUR UTILIZATION REVIEW NURSE TO SCREEN AND CONNECT PATIENTS TO NEEDED SERVICES AND COMMUNITY RESOURCES TO ADDRESS A VARIETY OF ISSUES INCLUDING QUIT SMOKING, FUEL INSECURITY, FOOD INSECURITY, HOMELESSNESS OR INADEQUATE HOUSING, SUBSTANCE ABUSE, MENTAL HEALTH AND/OR LONG TERM MANAGEMENT OF COMPLEX CONDITIONS. AN ONGOING INITIATIVE FOCUSES ON IDENTIFYING PATIENTS WITH COMPLEX HEALTH ISSUES THAT ARE HIGH UTILIZERS OF EMERGENCY SERVICES AND CONNECTING THEM WITH A DEDICATED CASE WORKER TO DEVELOP A COORDINATED CARE PLAN. THIS EFFORT HAS RESULTED IN A SIGNIFICANT REDUCTION IN AVOIDABLE USE OF THE EMERGENCY ROOM, CREATING A POTENTIAL - SAVINGS FOR THE AREAS HEALTHCARE SYSTEM. TO HELP ADDRESS HOMELESSNESS IN THE AREA, COPLEY PROVIDES LAUNDRY SERVICES TO A GRASSROOTS WARMING SHELTER THAT OPENED IN THE AREA. ALL OF THESE EFFORTS IMPROVE TRANSITIONS IN CARE AND OUTCOMES, WITH THE GOAL BEING THE IMPROVEMENT OF THE HEALTH OF OUR COMMUNITY. AS ONE OF THE LARGEST EMPLOYERS IN THE AREA, THE HOSPITAL IS INVESTING IN EDUCATION AND TRAINING IN SUPPORT OF RECRUITMENT AND RETENTION. COPLEY PARTNERS WITH VERMONT TECHNICAL COLLEGE, NORTHERN VERMONT UNIVERSITY & LAMOILLES WORKFORCE DEVELOPMENT GROUP TO OFFER AN ASSOCIATE DEGREE IN NURSING PROGRAM HERE IN LAMOILLE COUNTY. THE HOSPITAL WORKS WITH MANY EDUCATIONAL INSTITUTIONS, OFFERING ONSITE CLINICAL ROTATIONS ALONG WITH 8 GRADUATE PROGRAMS IN NURSING, MEDICINE AND HEALTHCARE ADMINISTRATION. THE HOSPITAL CONTINUES TO BE A KEY PARTNER IN THE LAMOILLE COUNTY CHAPTER OF RISE VERMONT, A STATE-WIDE INITIATIVE WITH THE STATES ACCOUNTABLE CARE ORGANIZATION. RISEVT SUPPORTS AND INSPIRES RESIDENTS TO HAVE FUN, PLAY MORE, EAT WELL AND FEEL GOOD BY AMPLIFYING AND SUPPORTING EFFORTS UNDERWAY IN THE COMMUNITY. THE RISEVT PROGRAM MANAGER IS EMPLOYED BY THE HOSPITAL. RISEVT OPERATED WELLNESS PROGRAMMING IN THE TOWNS OF MORRISVILLE AND JOHNSON, AND ATTENDS MULTIPLE HEALTH AND WELLNESS EVENTS ACROSS OUR SERVICE AREA THROUGHOUT THE YEAR. THE HOSPITAL REGULARLY PROMOTES HEALTHY LIFESTYLE CHOICES AND PREVENTATIVE INFORMATION VIA SOCIAL MEDIA OUTLETS, INCLUDING AN AWARD-WINNING COLLABORATIVE COMMUNITY BLOG (LIVEWELLLAMOILLE.COM), COMMUNITY NEWSLETTERS, INFORMATION DISTRIBUTED ON THE HOSPITAL CAMPUS, AND A YEAR-LONG SERIES OF INFORMATIONAL SEMINARS THAT COVER A RANGE OF TIMELY HEALTH AND WELLNESS TOPICS. WE PROMOTE AND SUPPORT HEALTHY, FAMILY-FRIENDLY ACTIVITIES AND EVENTS TO ENCOURAGE HEALTHY LIFESTYLE CHOICES.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (true)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOSEPH MCLAUGHLIN
TRUSTEE BEG 02/20	$561,702	$0	$32,594	$0	$38,338	$0	$10,800	$0	$40,871	$0	$684,305	$0	$0	$0
VERA JONES
COO	$206,638	$0	$0	$0	$10,540	$0	$7,960	$0	$8,601	$0	$233,739	$0	$0	$0
ARTHUR MATHISEN
FORMER CEO	$136,895	$0	$26,667	$0	$42,448	$0	$5,572	$0	$3,061	$0	$214,643	$0	$0	$0
LORI PROFOTA
CNO	$179,404	$0	$0	$0	$705	$0	$7,452	$0	$20,832	$0	$208,393	$0	$0	$0
DEBRALEE DORAIN
CFO END 04/20	$172,777	$0	$0	$0	$142	$0	$6,707	$0	$733	$0	$180,359	$0	$0	$0
BRIAN AROS
ORTHOPEDIC SURGEON	$605,326	$0	$180,067	$0	$28,374	$0	$10,800	$0	$33,298	$0	$857,865	$0	$0	$0
JOHN MACY
ORTHOPEDIC SURGEON	$604,989	$0	$50,000	$0	$58,651	$0	$10,800	$0	$26,053	$0	$750,493	$0	$0	$0
NICHOLAS ANTELL
ORTHOPEDIC SURGEON	$483,176	$0	$50,000	$0	$57,402	$0	$10,800	$0	$31,907	$0	$633,285	$0	$0	$0
BRYAN MONIER
ORTHOPEDIC SURGEON	$449,955	$0	$0	$0	$31,958	$0	$2,308	$0	$29,858	$0	$514,079	$0	$0	$0
DONALD DUPUIS
GENERAL SURGEON	$408,415	$0	$0	$0	$30,815	$0	$10,800	$0	$35,537	$0	$485,567	$0	$0	$0
KEVIN DORAIN
FORMER INTERIM CO-CFO	$105,443	$0	$0	$0	$167	$0	$4,410	$0	$25,592	$0	$135,612	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 5A	COMPENSATION CONTINGENT ON REVENUES: INCENTIVE BONUSES ARE PAID TO OUR ORTHOPEDIC SURGEONS BASED UPON GROSS REVENUE PRODUCED INDIVIDUALLY FOR THE HOSPITAL. THE BONUS IS 20% OF THE EXCESS REVENUE PRODUCED OVER THAT LEVEL.
SCHEDULE J, PART I, LINE 7	NONFIXED PAYMENTS: DURING CALENDAR YEAR 2019, ARTHUR MATHISEN, PRESIDENT & CEO, RECEIVED A BONUS OF $26,667. MR. MATHISEN IS ELIGIBLE FOR A QUARTERLY BONUS OF UP TO $10,000 PER QUARTER BASED ON HIS CONTRACT. QUARTERLY INCENTIVES ARE REVIEWED AND EVALUATED BY THE COMPENSATION COMMITTEE AND ARE SUBJECT TO FINAL APPROVAL BY THE BOARD.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
DAVID VINICK
SEE PART V	$116,230	EMPLOYMENT	false
DIANE SZLACHETKA
SEE PART V	$27,769	INDEPENDENT CONTRACTOR	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV, COLUMN (B)	FormAndLineReferenceDesc
Explanation	RELATIONSHIP BETWEEN INTERESTED PERSON: 1) DAVID VINICK IS A FAMILY MEMBER OF SHARON GREENE, BOARD SECRETARY 2) DIANE SZLACHETKA IS A FAMILY MEMBER OF CARL SZLACHETKA, BOARD TREASURER 3) KATHERINE MARVIN IS A FAMILY MEMBER OF IRA MARVIN, BOARD TRUSTEE TREASURER	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A	PROGRAM SERVICE ACCOMPLISHMENTS: FURTHER, OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT, PROVIDING HEALTHCARE SERVICES AND HEALTHCARE EDUCATION IN KEEPING WITH THE HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY. THE HOSPITAL OFFERS FREE CARE AND OR SUBSIDIZED CARE, CARE PROVIDED TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS TO SUPPORT THE COMMUNITY AND ARE CONSIDERED WHERE THE NEED AND/OR INDIVIDUAL'S INABILITY TO PAY COEXISTS. COPLEY HOSPITAL SERVES AS A VITAL RESOURCE FOR RURAL NORTH CENTRAL VERMONT. A CRITICAL ACCESS HOSPITAL, COPLEY PROVIDES A 25-BED ACUTE CARE INPATIENT UNIT INCLUDING A BIRTHING CENTER, A WIDE RANGE OF OUTPATIENT SERVICES AND 24/7 EMERGENCY SERVICES IN ADDITION TO LABORATORY SERVICES, DIAGNOSTIC IMAGING AND REHABILITATION SERVICES. SERVICES INCLUDE CARDIOLOGY, GENERAL SURGERY, OBSTETRICS/GYNECOLOGY, ONCOLOGY, ORTHOPEDICS, NEUROLOGY AND TELE-MEDICINE (RHEUMATOLOGY,NEPHROLOGY AND PULMONOLOGY). OUR REHABILITATION SERVICES INCLUDE PHYSICAL, OCCUPATIONAL, SPEECH & LANGUAGE, CARDIAC, PULMONARY, AND WORK CONDITIONING. OUR HOSPITAL SERVICE AREA HAS A POPULATION OF JUST OVER 30,000 PEOPLE, ACROSS MORE THAN 459 SQUARE MILES. COPLEY COLLABORATES WITH OTHER HEALTHCARE PROVIDERS, SOCIAL SERVICE AGENCIES, NOT-FOR-PROFIT ORGANIZATIONS AND BUSINESSES TO FULFILL OURISSION OF HELPING PEOPLE LIVE HEALTHIER LIVES. THE CLOSEST HOSPITAL IS 45 MINUTES TO ONE HOUR AWAY. IN FISCAL YEAR 2020, COPLEY HAD NEARLY 75,500 OUTPATIENT VISITS AND MORE THAN 1,800 INPATIENT ADMISSIONS TOTALING 5,483 PATIENT DAYS. WE PERFORMED 2,145 SURGERIES AND 1,523 PROCEDURES AND HAD 11,278 EMERGENCY ROOM VISITS. OUR CHARITABLE CARE PROGRAM IS AVAILABLE TO PATIENTS WHO ARE UNINSURED, UNDERINSURED, OR HAVE OTHERWISE DEMONSTRATED THEY DO NOT HAVE FINANCIAL RESOURCES TO FULLY PAY FOR THEIR HOSPITAL CARE.
FORM 990, PART V, LINE 2A	W-2'S FILED: COPLEY HOSPITAL, INC ALSO FILES W-2'S FOR ITS RELATED ORGANIZATIONS. THE TOTAL NUMBER OF W-2'S FILED ON THE W-3 INCLUDES THESE W-2'S. THE COMPENSATION, EMPLOYEE BENEFITS AND PAYROLL TAXES AMOUNTS ARE THEN ALLOCATED TO THE ORGANIZATION FOR THE AMOUNT THAT REPRESENTS WORK PERFORMED FOR THE ORGANIZATION. THE AMOUNT INCLUDED ON LINE 2A INCLUDES ONLY EMPLOYEES ALLOCATED TO COPLEY HOSPITAL. THE AMOUNT REPORTED ON PART IX INCLUDES ONLY THOSE AMOUNTS ALLOCATED TO WORK PERFORMED DIRECTLY FOR COPLEY HOSPITAL, INC. THE HIGHEST PAID EMPLOYEES ARE DETERMINED BY THE WORK PERFORMED FOR EACH ORGANIZATION. THEREFORE, THE FIVE HIGHEST PAID EMPLOYEES LISTED ON PART VII AND SCHEDULE J ARE THOSE EMPLOYEES WHO WORK DIRECTLY FOR COPLEY HOSPITAL, INC.
FORM 990, PART VI, SECTION A, LINES 6, 7A & 7B	MEMBERS/STOCKHOLDERS: COPLEY HOSPITAL, INC. IS A MEMBER ORGANIZATION WHOSE SOLE CORPORATE MEMBER IS COPLEY HEALTH SYSTEMS, INC. COPLEY HEALTH SYSTEMS, INC. AND THE HOSPITAL SHARE THE SAME BOARD OF TRUSTEES. EACH YEAR, THE MEMBERS OF COPLEY HEALTH SYSTEMS, INC. WILL HOLD AN ANNUAL MEETING. THE PURPOSES OF THE ANNUAL MEETING SHALL INCLUDE THE ELECTION OF MEMBERS TO THE CORPORATION, THE ELECTION OF TRUSTEES TO THE CORPORATIONS BOARD OF TRUSTEES, THE ELECTION OF THE COMMUNITY MEMBER AT LARGE OF THE GOVERNANCE AND BYLAWS COMMITTEE, AND THE TRANSACTION OF SUCH OTHER BUSINESS AS MAY PROPERLY COME BEFORE THE MEMBERSHIP. THE BOARD SHALL CONSIST OF UP TO TWENTY-ONE ELECTED MEMBERS, THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND THE PRESIDENT OF THE MEDICAL STAFF OF COPLEY HOSPITAL, INC., ALL AS VOTING MEMBERS. ALL TRUSTEES MUST BE MEMBERS OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B	REVIEW OF FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, A TENTATIVE DRAFT OF THE 990 IS REVIEWED BY THE BOARD OF DIRECTORS. A COMPLETE COPY OF THE FORM IS MADE AVAILABLE TO ALL MEMBERS OF THE GOVERNING BODY THROUGH THE FINANCE OFFICE.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY: THE GOVERNANCE COMMITTEE REVIEWS THE STATEMENTS AND SURVEYS COMPLETED BY INTERESTED PERSONS AND MAINTAINS A LIST OF INDIVIDUALS WHO MAY BE CONSIDERED DISQUALIFIED PERSONS UNDER IRS REGULATIONS. THE GOVERNANCE COMMITTEE REPORTS THE RESULTS OF ITS REVIEWS ANNUALLY TO THE BOARD. THE INTERNAL COMPLIANCE COMMITTEE OF THE CORPORATION REVIEWS ANY POTENTIAL CONFLICT OF INTEREST WHICH INVOLVES AN INTERESTED PERSON WHO IS NOT A TRUSTEE OR OFFICER OF THE CORPORATION. THE INTERNAL COMPLIANCE COMMITTEE REPORTS THE RESULTS OF ITS REVIEWS ANNUALLY TO THE BOARD.
FORM 990, PART VI, SECTION B, LINES 15A & 15B	COMPENSATION REVIEW: THE ORGANIZATION'S CEO IS PAID BY COPLEY HOSPITAL, A RELATED ORGANIZATION. THE CEO'S PAY IS DETERMINED BY USING MARKET SURVEY COMPENSATION DATA FROM THE NNE HEALTHCARE COMP SURVEY. THE CEO'S COMPENSATION IS ALSO APPROVED BY THE BOARD. SENIOR LEADERSHIP AND OTHER HIGHLY COMPENSATED INDIVIDUALS HAVE THEIR PAY RANGES DETERMINED THROUGHT MARKET DATA FROM THE NNE HEALTHCARE COMPENSATION SURVEY.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENT DISCLOSURE: THE GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. THE CONFLICT OF INTEREST POLICY AND MATRIX ARE AVAILABLE UPON REQUEST. THE FINANCIAL STATEMENTS ARE SUMMARIZED IN AN ANNUAL REPORT THAT IS AVAILABLE TO THE PUBLIC. THE HOSPITAL ALSO SUBMITS BOTH THEIR BUDGET AND ACTUAL FINANCIAL INFORMATION TO THE STATE OF VERMONTS DEPARTMENT OF FINANCIAL REGULATION.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS: $132,276 CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF COPLEY HEALTH SYSTEMS, INC.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
LAMOILLE HOUSING CORPORATION
528 WASHINGTON HIGHWAY	MORRISVILLE	VT	05661	030270255	HUD HOUSING	VT	501(C)(3)	10	CHSI	false
COPLEY HEALTH SYSTEMS INC
528 WASHINGTON HIGHWAY	MORRISVILLE	VT	05661	030301457	SUPPORT	VT	501(C)(3)	12B II	NA	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTH CENTER BUILDING INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	528 WASHINGTON HIGHWAY	AddressLine1Txt
City	MORRISVILLE	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05661	ZIPCd

Field	Value	IRS element (for citing)
EIN	030220357	EIN
Primary Activities	BUILDING RENTAL	PrimaryActivitiesTxt
Legal Domicile State	VT	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CHSI	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C CORP	EntityTypeTxt
Controlled Organization	false	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd