2025-08-12T15:59:26+00:00 2024-09-30 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-10-01 030179423 Copley Hospital Inc COPL 8028888888 528 WASHINGTON HIGHWAY MORRISVILLE VT 05661 JOSEPH WOODIN CEO 8028888888 2025-08-12 true true Brian Todd P00422601 4178658701 2025-08-12 2023 2025-03-06 01:10:19Z JOSEPH WOODIN 528 WASHINGTON HIGHWAY MORRISVILLE VT 05661 107920920 false X WWW.COPLEYVT.ORG X 1934 VT COPLEY IS DEDICATED TO HELPING PEOPLE LIVE HEALTHIER LIVES; PROVIDING EXCEPTIONAL CARE, SUPERIOR SERVICE AND ASSURING PEOPLE HAVE ACCESS TO AFFORDABLE HEALTH CARE. 18 16 676 56 0 0 318407 2140063 98020958 105564636 103142 -90333 7563 12542 98450070 107626908 0 0 0 0 53826444 56925735 0 0 45976196 47155752 99802640 104081487 -1352570 3545421 78337251 93963237 31500913 43379259 46836338 50583978 COPLEY HOSPITAL IS DEDICATED TO HELPING PEOPLE LIVE HEALTHIER LIVES BY PROVIDING EXCEPTIONAL CARE, SUPERIOR SERVICE AND ASSURING EVERYONE HAS ACCESS TO AFFORDABLE, HIGH-QUALITY HEALTH CARE. false false 87389956 0 105564636 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. 87389956 true true false true false false false false true true true false true true false true false false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true X 88 0 true 676 true false false false false false false false false false false false false X 18 16 false false false false true true false true true false false true true true true true true true true false X ANGELA LAMELL 8028888222 528 WASHINGTON HIGHWAY MORRISVILLE VT 05661 ANNE BONGIORNO VICE CHAIR 1.8 0.2 X X 0 0 0 BOB BLEIMEISTER TREASURER 1.8 0.2 X X 0 0 0 DEBORAH POMEROY SECRETARY 1.8 0.2 X X 0 0 0 JOSEPH WOODIN CEO 37.0 3.0 X X 549417 0 21957 KATHY DEMARS TRUSTEE / CHAIR BEG 02/24 1.8 0.2 X X 0 0 0 NANCY BANKS CHAIR END 02/24 1.8 0.2 X X 0 0 0 ALDEN LAUNER TRUSTEE 1.8 0.2 X 0 0 0 BETHANY SALVAS TRUSTEE BEG 02/24 1.8 0.2 X 0 0 0 CAMERON PAGE TRUSTEE 1.8 0.2 X 0 0 0 CARL SZLACHETKA TRUSTEE 3.8 1.2 X 0 0 0 CHRISTOPHER TOWNE TRUSTEE 1.8 0.2 X 0 0 0 DAN NOYES TRUSTEE 1.8 0.2 X 0 0 0 DAVID SILVERMAN TRUSTEE END 02/24 1.8 0.2 X 0 0 0 DIANE COTE TRUSTEE 1.8 0.2 X 0 0 0 FRANCIS LANDREY TRUSTEE BEG 02/24 1.8 0.2 X 0 0 0 J MARTIN LINSEISEN MD TRUSTEE END 02/24 39.8 0.2 X 404314 0 52647 JAMES HODGE TRUSTEE BEG 02/24 1.8 0.2 X 0 0 0 KRISTEN SHARPLESS TRUSTEE END 06/24 1.8 0.2 X 0 0 0 MIKE FEULNER TRUSTEE 1.8 0.2 X 0 0 0 NAN CARLE BEAUREGARD TRUSTEE 1.8 1.2 X 0 0 0 PAMELA STANYON TRUSTEE 1.8 0.2 X 0 0 0 TRAVIS KNAPP TRUSTEE BEG 02/24 / ANESTHESIA DIRECTOR 39.8 0.2 X 427820 0 53221 WALTER FRAME TRUSTEE END 02/24 1.8 1.2 X 0 0 0 JEFFREY HEBERT CFO 37.0 3.0 X 260707 0 11409 LORI PROFOTA CNO END 02/24 38.0 2.0 X 218967 0 38976 SAMANTHA ALLAIRE NURSE MGR / INTERIM CNO BEG 07/23 38.0 2.0 X 87364 0 41057 WAYNE STOCKBRIDGE CHIEF ADMIN & HR OFFICER 37.0 3.0 X 249773 0 50539 BRIAN AROS ORTHOPEDIC SURGEON 40.0 0.0 X 1003388 0 50858 BRYAN MONIER ORTHOPEDIC SURGEON 40.0 0.0 X 608688 0 50531 JOHN MACY ORTHOPEDIC SURGEON 40.0 0.0 X 881221 0 41559 JOSEPH MCLAUGHLIN ORTHOPEDIC SURGEON 40.0 0.0 X 779567 0 51736 NICHOLAS ANTELL ORTHOPEDIC SURGEON 40.0 0.0 X 667434 0 41077 6138660 0 505567 97 false true false MEDEFIS INC PO BOX 5068 NEW YORK NY 10087 CONTRACTED LABOR 5816919 BERSTEIN-MAGOON-GAY LLC PO BOX 830460 PHILADELPHIA PA 19182 LAUNDRY SERVICES 528978 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 CONTRACTED LABOR-PROVIDERS 424001 FORVIS MAZARS LLP PO BOX 200870 DALLAS TX 753200870 AUDIT/TAX SERVICES 261961 UNIVERSITY MEDICAL CENTER PO BOX 1902 BURLINGTON VT 05402 LAB SERVICES 259079 9 1080748 1059315 2140063 PATIENT SERVICE REVENUE 621400 98232533 98232533 FIXED PROSPECTIVE REVENUE 621400 5027752 5027752 OTHER REVENUE 621400 1656589 1656589 CAFETERIA 722514 498762 498762 MANAGEMENT FEE REVENUE 541610 149000 149000 0 0 0 0 105564636 162639 162639 12542 12542 0 12542 12542 41040 294012 0 -252972 -252972 -252972 0 0 0 0 0 107626908 105564636 0 -77791 X 2468168 1324365 1143803 43818288 37391408 6426880 1489758 1262112 227646 6279935 5283484 996451 2869586 2402713 466873 47286 47286 128151 128151 12728267 10393491 2334776 0 48752 14946 33806 1382638 423892 958746 2400317 735894 1664423 56695 17382 39313 67073 20563 46510 193371 161910 31461 3068709 2811668 257041 1960078 600924 1359154 MEDICAL SUPPLIES & DRUGS 18454970 18454970 PROVIDER TAX 5856254 5856254 REPAIRS & MAINTENANCE 393637 120682 272955 LICENSES, DUES, & SUBSCRIPTIONS 225259 69060 156199 144295 44238 100057 0 104081487 87389956 16691531 0 3000 3000 11255543 17543166 16231085 17331258 0 0 0 0 2640515 2583760 2447281 2488102 80119526 40321922 33188132 39797604 6776801 6979020 0 73250 70250 5721644 7167077 78337251 93963237 10675283 10868106 0 0 10232502 14536353 145972 77686 10447156 17897114 31500913 43379259 X 40059537 43604958 6776801 6979020 46836338 50583978 78337251 93963237 X 3545421 202219 X true X true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 23770 23770 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION PAYS DUES TO THE VERMONT ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS (VAHHS) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA). A PORTION OF THESE DUES, TOTALING $23,770, ARE ATTRIBUTABLE TO LOBBYING PURPOSES. 5249881 31730 -2900599 2381012 5034191 31180 184510 5249881 4866658 40000 127533 5034191 4765579 300 100779 4866658 4644722 3000 117857 4765579 0.0 1.0 0.0 false true true 1840040 1840040 48533340 20683010 27850330 27374181 18772391 8601790 2371965 866521 1505444 39797604 INTEREST IN CHSI 6979020 F 6979020 DEFERRED COMPENSATION PLAN ASSETS 4022686 RIGHT-OF-USE ASSETS 2125237 OTHER RECEIVABLES 631256 DUE FROM AFFILIATE 387898 7167077 DUE TO THIRD PARTY PAYORS 6942000 DEFERRED COMPENSATION 4022686 ESTIMATED SELF-INSURANCE 3307191 LEASE LIABILITIES 2125237 ASSET RETIREMENT OBLIGATION 1500000 17897114 107626908 0 0 107626908 0 0 107626908 104081487 0 0 104081487 0 0 104081487 Schedule D, Part V, Line 4 Intended uses of 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. true true X true X 300 true X 600 false true true false true true 963884 963884 0.0093 18488252 13820685 4667567 0.0448 0 0.0 0 0 19452136 13820685 5631451 0.0541 3594 550 3044 0.0000 0 0.0 5752220 1043383 4708837 0.0452 0 0.0 0 0.0 0 0 5755814 1043933 4711881 0.0453 0 0 25207950 14864618 10343332 0.0994 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 5155785 469176 26757769 26844197 -86428 X true true 1 1 COPLEY HOSPITAL INC 528 WASHINGTON HIGHWAY MORRISVILLE VT 05661 WWW.COPLEYVT.ORG 891 X X X X COPLEY HOSPITAL INC 1 false false true X X X X X X X X X 23 true false false true X HTTPS://WWW.COPLEYVT.ORG/ABOUT-US/NEWSLETTER X true 23 true HTTPS://WWW.COPLEYVT.ORG/ABOUT-US/NEWSLETTER/ false true X 300.0 600.0 X X true true X X X true X WWW.COPLEYVT.ORG/FOR-PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/ASSISTANCE-PROGRAMS/ X WWW.COPLEYVT.ORG/FOR-PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/ASSISTANCE-PROGRAMS/ X WWW.COPLEYVT.ORG/FOR-PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/ASSISTANCE-PROGRAMS/ X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - COPLEY HOSPITAL. COMMUNITY INPUT: THE INFORMATION CONTAINED IN THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS OBTAINED PRIMARILY THROUGH A COMMUNITY SURVEY TAKEN BETWEEN MAY 23 AND JUNE 24, 2024. OTHER INFORMATION WAS OBTAINED THROUGH REPORTS DEVELOPED BY THE STATE OF VERMONT, THE FEDERAL GOVERNMENT, INDEPENDENT RESEARCH ORGANIZATIONS, AND LOCAL NONPROFIT AGENCIES SERVING PEOPLE WITHIN OUR SERVICE AREA. COMMUNITY HEALTH NEEDS ASSESSMENT SURVEYS: THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY WAS OPEN FOR RESPONSES BETWEEN MAY 23 AND JUNE 24, 2024 AND WAS CONDUCTED THROUGH SURVEY MONKEY AS WELL AS PRINTED COPIES MADE AVAILABLE AT THE HOSPITAL AND SATELLITE OFFICES. THE LINK TO THE SURVEY MONKEY SURVEY WAS DISTRIBUTED VIA EMAIL TO COPLEY HOSPITAL TRUSTEES, COMMITTEE MEMBERS AND AMBASSADORS, LOCAL PROVIDERS, AND DIRECTLY TO MEMBERS OF THE COMMUNITY. IT WAS ALSO AVAILABLE ON OUR WEBSITE, FACEBOOK PAGE, AND ON FRONT PORCH FORUM, A COMMUNITY BULLETIN BOARD FREQUENTED BY NUMEROUS PEOPLE WITHIN OUR SERVICE AREA. ALTHOUGH HUNDREDS OF SURVEYS WERE GIVEN OUT AND THE LINK WAS AVAILABLE TO THOUSANDS OF RESIDENTS, WHEN THE SURVEY CLOSED, WE HAD RECEIVED JUST UNDER 300 RESPONSES. OF THOSE RESPONDING, 42 PERCENT WERE AGE 65 OR OLDER; 26 PERCENT WERE BETWEEN THE AGES OF 55-64; 13 PERCENT WERE BETWEEN THE AGES OF 45-54; 12 PERCENT WERE BETWEEN THE AGES 35-44; AND SIX PERCENT WERE BETWEEN THE AGES 18-34. (ONE PERCENT OF SURVEY RESPONDENTS DID NOT INDICATE THEIR AGE.) Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - COPLEY HOSPITAL. HEALTHCARE NEED #1: ACCESS TO PRIMARY CARE VERMONT IS AMONG THE MOST RURAL STATES IN THE NATION BASED ON THE SIZE OF ITS CITIES AND TOWNS, AND ACCESS TO A PHYSICIAN FOR PRIMARY AND PREVENTATIVE CARE IS CONSISTENTLY A MAJOR CONCERN. WHILE VERMONT REMAINS ONE OF THE HEALTHIEST STATES IN THE COUNTRY, IT IS ALSO THE THIRD OLDEST STATE IN THE COUNTRY (DATAPANDAS.ORG 2024), NOT ONLY IN TERMS OF ITS GENERAL POPULATION, BUT ALSO ITS PHYSICIANS AND PRIMARY CARE PROVIDERS. ACCORDING TO THE VERMONT DEPARTMENT OF HEALTH (2023), BASED ON THE MOST RECENTLY AVAILABLE STATISTICS: OF 2,633 PHYSICIANS PROVIDING PATIENT CARE IN VERMONT 2,470 IDENTIFY AS MEDICAL DOCTORS AND 163 AS DOCTORS OF OSTEOPATHY. 572 OF THESE PROVIDE TELEMEDICINE SERVICES ONLY. ALSO: - 566 PHYSICIANS PROVIDE MAINLY PRIMARY CARE, AND 584 PHYSICIANS PROVIDE "ANY" PRIMARY CARE, CORRESPONDING TO 426.3 FULL TIME EQUIVALENTS (FTES). THESE NUMBERS ARE DOWN FROM 615 PHYSICIANS PROVIDING MAINLY PRIMARY CARE; 627 PROVIDING "ANY" PRIMARY CARE; AND 435.9 FULL TIME EQUIVALENTS (FTES) IN 2018. THE NUMBER OF PRACTICING PHYSICIANS IN VERMONT HAS BEEN TRENDING DOWNWARD FOR MORE THAN A DECADE AS PHYSICIANS RETIRE OR REDUCE THE NUMBER OF PATIENTS THEY SEE. - 2,067 PHYSICIANS PROVIDE MAINLY SPECIALTY CARE. EXCLUDING RADIOLOGISTS, PATHOLOGISTS, AND TELEMEDICINE, 1,398 PHYSICIANS PROVIDE "ANY" SPECIALTY CARE, CORRESPONDING TO 974.2 FTES. UNLIKE THE DOWNWARD TREND IN PHYSICIANS OFFERING PRIMARY CARE, THIS IS AN INCREASE FROM 2018, WITH AN ADDITIONAL LARGE JUMP IN TELEMEDICINE PROVIDERS IN MULTIPLE SPECIALTIES. - 33 PERCENT OF VERMONT PRIMARY CARE PHYSICIANS ARE OVER AGE 60, A DECREASE FROM THE 36 PERCENT WHO WERE OVER AGE 60 IN 2018. WHILE THIS APPEARS TO BE A POSITIVE TREND, IT MAY ACTUALLY BE AN INDICATOR THAT SOME OLDER PHYSICIANS ARE BEGINNING TO LEAVE ACTIVE PRACTICE. IN LAMOILLE COUNTY, 37 PERCENT OF PRIMARY CARE PHYSICIANS ARE OVER AGE 60. - THE PREVALENCE OF TELEMEDICINE HAS INCREASED SIGNIFICANTLY SINCE 2018, MOSTLY IN RADIOLOGY, BUT NOW ALSO IN EMERGENCY MEDICINE, INTERNAL MEDICINE SUB-SPECIALTIES, NEUROLOGY, AND OTHER SPECIALTIES. - IN LAMOILLE COUNTY, 85 PERCENT OF PRIMARY CARE PHYSICIANS (IN OFFICE SETTINGS) CONTINUE TO ACCEPT NEW PATIENTS; 85 PERCENT ACCEPT NEW MEDICAID PATIENTS; AND 84 PERCENT ACCEPT NEW MEDICARE PATIENTS. THESE PERCENTAGES ARE ABOVE (BETTER THAN) THE OVERALL VERMONT AVERAGES. - VERMONT SAW A DECREASE OF 9.6 PRIMARY CARE FTES BETWEEN 2018 AND 2020, A 2 PERCENT DROP, AS SOME PHYSICIANS HAVE RETIRED OR REDUCED THEIR WORK HOURS. CONVERSELY, THERE IS AN INCREASE OF 42.1 FTES IN SPECIALTY CARE. IN LAMOILLE COUNTY, THERE ARE 14.5 FTE PHYSICIANS (DOWN FROM 16 IN 2021), RESULTING IN A RATIO (PHYSICIANS TO THE GENERAL POPULATION) OF 1:1,786. IN 2021 THE RATIO WAS 1:1,578. ON A NATIONAL LEVEL, THE NUMBER OF PRIMARY CARE PROVIDERS DECREASED 13% BETWEEN 2022 AND 2023 - A NATIONWIDE DECLINE OF OVER 107,000 PROVIDERS. WHILE THE TRENDS BOTH NATIONALLY AND LOCALLY ARE NOT PARTICULARLY PROMISING, VERMONT REMAINS AMONG THE MOST HEALTHY STATES IN THE COUNTRY. AS OUR POPULATION AND ITS MEDICAL PROVIDERS AGE, HOWEVER, ACCESS TO PRIMARY AND PREVENTATIVE CARE WILL CONTINUE TO BE A CONCERN. ACCESS TO PREVENTATIVE CARE REMAINS AN IMPORTANT COMPONENT OF COPLEY'S COMMITMENT TO PROVIDING HEALTHCARE TO THE PEOPLE WITHIN OUR SERVICE AREA. OUR GOAL FOR THE PAST FEW YEARS HAS BEEN - AND REMAINS - TO INCREASE THE USE OF PRIMARY CARE TO IMPROVE THE HEALTH AND HEALTH-RELATED HABITS OF BOTH PATIENTS AND NON- PATIENTS; AND TO DECREASE AVOIDABLE (AND EXPENSIVE) VISITS TO THE EMERGENCY DEPARTMENT (ED). TO ACCOMPLISH THIS GOAL, WE CONTINUE TO WORK WITH OTHER AREA MEDICAL SERVICE PROVIDERS TO EXAMINE AVAILABLE DATA (E.G. TRANSPORTATION AVAILABILITY, CARE COORDINATION BETWEEN AGENCIES, ETC.) IN ORDER TO BETTER UNDERSTAND THE NEEDS OF OUR SERVICE AREA; WE CONTINUE TO SCREEN PATIENTS WHO PRESENT AT THE ED TO DETERMINE IF THEY HAVE A PRIMARY CARE PROVIDER; AND WE CONTINUE TO UTILIZE THE SERVICES OF AN IMBEDDED SOCIAL WORKER TO CONNECT ED PATIENTS TO PROVIDERS AND PROGRAMS THAT COULD BE OF HELP TO THEM. BY IDENTIFYING AND REMOVING THE BARRIERS THAT PREVENT PATIENTS FROM GETTING THE CARE THEY NEED AND IDENTIFYING (AND PARTNERING WITH) COMMUNITY AGENCIES THAT PROVIDE CARE THAT IS NOT WITHIN COPLEY'S PURVIEW, WE HAVE BEEN ABLE TO CONNECT PATIENTS TO THE KINDS OF PREVENTATIVE CARE THEY NEED, WHICH IN TURN HAS REDUCED THE NUMBERS OF PATIENTS PRESENTING AT THE ED. Schedule H, Part V, Section B, Line 11 Facility , 2 Facility , 2 - COPLEY HOSPITAL. HEALTHCARE NEED #2: SUBSTANCE ABUSE SUBSTANCE ABUSE WAS IDENTIFIED AS OUR COMMUNITY'S SECOND MOST CHALLENGING HEALTH CONCERN IN 2024, MOVING UP TWO NOTCHES FROM NUMBER FOUR IN 2018 AND ONE NOTCH FROM NUMBER THREE IN 2021. ACCORDING TO MOST EXPERTS, IT IS A PROBLEM THAT CONTINUES TO IMPACT COMMUNITIES ACROSS THE UNITED STATES. THE NATIONAL INSTITUTES OF HEALTH (2024) FOUND THAT INDIVIDUALS SUFFERING FROM SUBSTANCE ABUSE OFTEN FACE OBSTACLES FOR OBTAINING CARE DUE TO "INSTITUTIONAL ENVIRONMENT." INSTITUTIONAL ENVIRONMENT REFERS TO FACTORS LIKE LACK OF SUPPORT FROM A PHYSICIAN'S INSTITUTION OR EMPLOYER; INSUFFICIENT RESOURCES SUCH AS STAFF AND TRAINING; CHALLENGES IN ORGANIZATIONAL CULTURE; AND COMPETING DEMANDS. THIS REASON (INSTITUTIONAL ENVIRONMENT) WAS CITED IN 81 PERCENT OF STUDIES PUBLISHED ON THIS TOPIC OVER THE PAST 61 YEARS, FOLLOWED BY INSUFFICIENT SKILL (74%), LACK OF COGNITIVE CAPACITY TO MANAGE A CERTAIN LEVEL OF CARE (74%), AND INADEQUATE KNOWLEDGE (72%). OTHER STUDIES CITED NEGATIVE SOCIAL INFLUENCES - OR BELIEFS ABOUT PUBLIC AND COMMUNITY ACCEPTANCE OF ADDICTION CARE - AS WELL AS FEAR OF HARMING THE PATIENT-PHYSICIAN RELATIONSHIP AS DETERRENTS FOR PHYSICIANS TO INTERVENE IN ADDICTION. THE NATIONAL INSTITUTES OF HEALTH GOES ON TO SAY THAT IN 2022: - NEARLY 49 MILLION PEOPLE IN THE U.S. HAD AT LEAST ONE SUBSTANCE USE DISORDER, THOUGH ONLY AROUND A QUARTER OF THEM (13 MILLION PEOPLE) RECEIVED TREATMENT; AND - MORE THAN NINE MILLION ADULTS NEEDED TREATMENT FOR OPIOID USE DISORDER BUT FEWER THAN HALF (AROUND 46 PERCENT) RECEIVED ANY FORM OF TREATMENT. SUBSTANCE ABUSE IS DEFINED BY THE NATIONAL CENTER FOR BIOTECHNOLOGY INFORMATION AS "A MALADAPTIVE PATTERN OF SUBSTANCE USE LEADING TO CLINICALLY SIGNIFICANT IMPAIRMENT OR DISTRESS, AS MANIFESTED BY ONE (OR MORE) OF THE FOLLOWING, OCCURRING WITHIN A 12-MONTH PERIOD:" - RECURRENT SUBSTANCE USE RESULTING IN A FAILURE TO FULFILL MAJOR ROLE OBLIGATIONS AT WORK, SCHOOL, OR HOME (E.G., REPEATED ABSENCES OR POOR WORK PERFORMANCE RELATED TO SUBSTANCE USE; SUBSTANCE-RELATED ABSENCES, SUSPENSIONS, OR EXPULSIONS FROM SCHOOL; NEGLECT OF CHILDREN OR HOUSEHOLD). - RECURRENT SUBSTANCE USE IN SITUATIONS IN WHICH IT IS PHYSICALLY HAZARDOUS (E.G., DRIVING AN AUTOMOBILE OR OPERATING MACHINERY WHEN IMPAIRED BY SUBSTANCE ABUSE). - RECURRENT SUBSTANCE-RELATED LEGAL PROBLEMS (E.G., ARRESTS FOR SUBSTANCE-RELATED DISORDERLY CONDUCT). - CONTINUED SUBSTANCE USE DESPITE HAVING PERSISTENT OR RECURRENT SOCIAL OR INTERPERSONAL PROBLEMS CAUSED OR EXACERBATED BY THE EFFECTS OF THE SUBSTANCE (E.G., ARGUMENTS WITH SPOUSE ABOUT CONSEQUENCES OF INTOXICATION, PHYSICAL FIGHTS). IN VERMONT:* - DRUG OVERDOSE DEATHS INVOLVING DRUGS OF ALL KINDS TOTALED 151 IN 2018; 244 IN 2021; AND 264 IN 2022. OF THOSE DEATHS, 91 PERCENT WERE DUE TO MISUSE OF OPIOIDS. THE PERCENTAGE OF FENTANYL INVOLVEMENT IN OPIOID-RELATED DEATHS WAS 93 PERCENT IN 2022, COMPARED TO 94 PERCENT IN 2021. COCAINE (49 PERCENT IN 2022, VERSUS 46 PERCENT IN 2021) AND METHAMPHETAMINE (8 PERCENT IN 2022, VERSUS 10 PERCENT IN 2021) WERE ALSO SIMILAR. THE MAJORITY OF THOSE DEATHS (98%) WERE DETERMINED TO BE "ACCIDENTAL OR UNDETERMINED." - THE RATE OF OPIOID RELATED DEATHS PER 100,000 PEOPLE WAS 37. - EMS CALLS INVOLVING NALOXONE ADMINISTRATION PER 10,000 PEOPLE WAS 8.8. - 20 PERCENT OF ADOLESCENTS IN GRADES 9-12 REPORTED USING MARIJUANA. - IN LAMOILLE COUNTY, THERE WERE 8 REPORTED DEATHS DUE TO MISUSE OF OPIOIDS (2022). *HEALTHVERMONT.GOV - 2023 AS WELL, ACCORDING TO THE VERMONT DEPARTMENT OF HEALTH (2024): - WHILE MARIJUANA USE AMONG YOUTH AND ADULTS IS INCREASING, USE PRIOR TO AGE 13 IS DECREASING. STILL, THE PERCENTAGE OF VERMONTERS WHO TRY CANNABIS FOR THE FIRST TIME BETWEEN THE AGES OF 12 AND 17 IS HIGHER IN VERMONT THAN IN THE COUNTRY OVERALL. - VAPING USE AMONG HIGH SCHOOL STUDENTS CONTINUES TO INCREASE. AS OF 2021, 16 PERCENT OF VERMONT HIGH SCHOOL STUDENTS SAID THEY USED E-CIGARETTES AT LEAST ONCE IN THE PAST 30 DAYS. OF THOSE STUDENTS, 30 PERCENT DID SO DAILY. - THE RATE OF E-CIGARETTE USE IN THE STATE DOUBLED FROM THREE TO SIX PERCENT OF ADULT RESPONDENTS BETWEEN 2016 AND 2022. DURING THAT SAME TIME PERIOD, CIGARETTE USE DROPPED FROM 17 TO 13 PERCENT AMONG SURVEY RESPONDENTS. TO ADDRESS THIS ONGOING PROBLEM, PATIENTS WHO PRESENT AT COPLEY'S EMERGENCY DEPARTMENT (ED) HAVE A NUMBER OF SERVICES AND PROGRAMS AVAILABLE TO THEM, INCLUDING REFERRALS TO A RECOVERY COACH THROUGH THE NORTH CENTRAL VERMONT RECOVERY CENTER (NCVRC). A RECOVERY COACH HELPS PATIENTS CREATE A PERSONAL PLAN FOR RECOVERY BY SETTING REALISTIC GOALS (OFTEN WITH THE ASSISTANCE OF A "PEER" WHO HAS BEEN THROUGH THE PROCESS); AND BY EXPLORING STEPS AND SERVICES THAT ARE AVAILABLE TO THEM TO AID IN RECOVERY FROM VARIOUS FORMS OF ADDICTION AND SUBSTANCE MISUSE. ACCORDING TO NCVRC, COPLEY'S ED CALLED ON THE RECOVERY COACH IN THE EMERGENCY DEPARTMENT (RCED) TEAM 191 TIMES FOR 129 UNIQUE PATIENTS LAST YEAR (JULY 2023 - JUNE 2024)., COMPARED WITH 146 TIMES FOR 86 UNIQUE PATIENTS IN 2020. Schedule H, Part V, Section B, Line 11 Facility , 3 Facility , 3 - COPLEY HOSPITAL. HEALTHCARE NEED #3: MENTAL HEALTH AS IN THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT, MENTAL HEALTH ISSUES WERE IDENTIFIED BY SURVEY RESPONDENTS AS ONE OF OUR SERVICE AREA'S MOST PRESSING CONCERNS. MENTAL HEALTH ISSUES INCLUDE DEPRESSION AND OTHER ILLNESSES LEADING TO SELF-HARM AND/OR TO SUICIDE. AS OF 2023, THE RATE OF SUICIDE DEATHS IN VERMONT WAS 19 PER 100,000 PEOPLE - DOWN FROM 22 PER 100,000 PEOPLE IN 2021. THE RATE IS HIGHEST AMONG VERMONTERS BETWEEN THE AGES OF 25-44, AND OVER AGE 65. MALES ARE FOUR TIMES MORE LIKELY TO DIE BY SUICIDE THAN FEMALES.* *VERMONT DEPARTMENT OF HEALTH 2023 AMONG VERMONT ADULTS WHO REPORTED SYMPTOMS OF ANXIETY AND/OR DEPRESSIVE DISORDER, 34 PERCENT REPORTED NEEDING, BUT NOT RECEIVING, COUNSELING OR THERAPY (SOURCE: KAISER FAMILY FOUNDATION 2024). ACCORDING TO KAISER, THE STATES WITH THE HIGHEST PERCENTAGE OF ADULTS REPORTING SYMPTOMS OF ANXIETY AND/ OR DEPRESSIVE DISORDER BUT NOT RECEIVING CARE ARE WASHINGTON DC (49.3%), ARKANSAS (38.4%), KANSAS (37.7%), ALASKA (36.8%), AND UTAH (35.9%). SUICIDE IS ONE OF THE LEADING CAUSES OF DEATH IN THE U.S. AND HAS INCREASED IN ALMOST EVERY STATE OVER TIME, MAKING IT A SERIOUS PUBLIC HEALTH CONCERN. WHILE SUICIDE IS OFTEN LINKED TO UNDERLYING MENTAL HEALTH CONDITIONS, OTHER FACTORS CAN ALSO CONTRIBUTE, INCLUDING ISOLATION, RELATIONSHIP STRUGGLES, FINANCIAL OR HOUSING INSECURITY, OR PROBLEMS WITH PHYSICAL HEALTH. MANY OF THESE CONDITIONS WERE EXACERBATED ACROSS THE COUNTRY, AS WELL AS HERE IN VERMONT, DURING THE 2020-21 COVID PANDEMIC. ACCORDING TO THE KAISER FAMILY FOUNDATION (2024): - 17.5 PERCENT OF VERMONT ADOLESCENTS AND 8.7 PERCENT OF ADULTS REPORTED A MAJOR DEPRESSIVE EPISODE WITHIN THE PAST 30 DAYS. OF NOTE: 9.7 PERCENT OF ADOLESCENTS REPORTING A MAJOR DEPRESSIVE EPISODE WERE MALE, COMPARED WITH 25.5 PERCENT FOR FEMALES. - 5.7 PERCENT OF VERMONTERS REPORTED HAVING HAD SERIOUS THOUGHTS OF COMMITTING SUICIDE. - IN VERMONT, 51.0 PERCENT OF ADULTS WITH MILD MENTAL ILLNESS; 44.3 PERCENT OF ADULTS WITH MODERATE MENTAL ILLNESS; AND 25.6 PERCENT OF ADULTS WITH SERIOUS MENTAL ILLNESS IN THE PAST YEAR DID NOT RECEIVE MENTAL HEALTH TREATMENT. ACCORDING TO STACKER.COM (2024), IN LAMOILLE COUNTY: - THERE ARE 192 RESIDENTS FOR EVERY ONE MENTAL HEALTH CARE PROVIDER. - RESIDENTS REPORT AN AVERAGE OF 4.6 POOR MENTAL HEALTH DAYS PER MONTH. - ABOUT 6 PERCENT OF RESIDENTS LACK HEALTH INSURANCE. CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) REQUIRES THAT ALL ADULT EMERGENCY DEPARTMENT (ED) PATIENTS ARE SCREENED USING THE COLUMBIA SUICIDE SEVERITY RATING SCALE - A FIVE-QUESTION SCALE THAT CAN TRIGGER REFERRAL TO CRISIS SERVICES. WHEN MENTAL HEALTH ISSUES PRESENT, PATIENTS ARE REFERRED TO THE MOBILE CRISIS TEAM AND/OR TO OUTPATIENT MENTAL HEALTH SERVICES. COPLEY HAS ENGAGED A FULL TIME EMERGENCY ROOM CARE COORDINATOR/SOCIAL WORKER WHO IS EMBEDDED INTO THE ED DURING THE DAY AND WHO SERVES AS A LIAISON WITH OUR COMMUNITY PARTNERS. APPROXIMATELY 125 REFERRALS TO VARIOUS CARE PROVIDERS ARE MADE EACH MONTH. COPLEY HOSPITAL DOES NOT YET HAVE, BUT WOULD BENEFIT FROM ENGAGING, AN EVENING ED CARE COORDINATOR. PATIENTS WHO PRESENT AT OUR ED AND UNDERGO SCREENING ARE OFTEN REFERRED TO A CARE COORDINATOR, WHO ATTEMPTS TO CONNECT THE PATIENT WITH INDIVIDUALS AND SERVICES THAT CAN HELP THEM ADDRESS THE ISSUES WITH WHICH THEY ARE STRUGGLING. A TOTAL OF 639 REFERRALS WERE MADE BY COPLEY'S ED CARE COORDINATOR BETWEEN MARCH 11 - AUGUST 11, 2024. THE TOP FIVE REFERRALS INCLUDE CONNECTING PATIENTS TO A PRIMARY CARE PROVIDER, DENTIST, SUPPORT SERVICES FOR SUBSTANCE USE AND MENTAL HEALTH, HOME HEALTH/NURSING HOME AND TRANSPORTATION. Schedule H, Part V, Section B, Line 11 Facility , 4 Facility , 4 - COPLEY HOSPITAL. HEALTHCARE NEEDS #4: OBESITY / NUTRITION / FOOD INSECURITY OBESITY, NUTRITION, AND FOOD INSECURITY TOOK THE NUMBER FOUR SPOT IN OUR 2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SURVEY, INDICATING A FAIRLY HIGH LEVEL OF CONCERN AMONG PEOPLE IN OUR SERVICE AREA ABOUT THE GROWING PROBLEM OF POOR NUTRITION. ACCORDING TO AMERICA'S HEALTH RANKINGS (2024), 11.2 PERCENT OF LAMOILLE COUNTY RESIDENTS SUFFER FROM FOOD INSECURITY, WHICH IS DEFINED AS "HOUSEHOLDS THAT ARE UNABLE TO PROVIDE ADEQUATE FOOD FOR ONE OR MORE HOUSEHOLD MEMBERS DUE TO LACK OF RESOURCES." IN VERMONT AS A WHOLE, THE RATE OF FOOD INSECURITY IS 8 PERCENT (THE 4TH BEST RANKING IN THE UNITED STATES). DESPITE VERMONT'S HIGH RANKING, HOWEVER, RESPONDENTS TO OUR 2024 CHNA SURVEY INDICATED THAT OBESITY/NUTRITION/FOOD INSECURITY IS AN ONGOING CONCERN. FOOD INSECURITY IS NOT ONLY A LEADING CAUSE OF OBESITY AND POOR NUTRITION, BUT ALSO DENTAL ISSUES. GOOD FOOD IS EXPENSIVE. INEXPENSIVE FOOD IS GENERALLY HIGH IN BOTH SODIUM AND FAT. THERE ARE SEVERAL PROGRAMS, SUCH AS SNAP (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM), THAT ENCOURAGE THE PURCHASE AND CONSUMPTION OF HEALTHY FOODS, AND MOST SNAP BENEFITS ARE NOW ACCEPTED AT GROCERY STORES AND LOCAL FARMERS' MARKETS. THE VERMONT FOODBANK, WHICH IS THE STATE'S LARGEST ANTI-HUNGER ORGANIZATION, NOTES THAT FOOD INSECURITY CAN BE MEASURED IN PART BY THE NUMBER OF HOUSEHOLDS THAT ARE SERVED AT ITS FRESH FOOD DIRECT DISTRIBUTION SITES. OVER THE FIRST THREE MONTHS OF 2024, THE AVERAGE NUMBER OF HOUSEHOLDS SEEKING FOOD PER MONTH WAS 8,280 COMPARED TO 5,694 HOUSEHOLDS A MONTH DURING THE SAME PERIOD IN 2020. ACCORDING TO THE FOODBANK, BEFORE THE PANDEMIC THEY WERE DISTRIBUTING ABOUT 11 MILLION POUNDS OF FOOD ANNUALLY, WHEREAS AT THE HEIGHT OF THE PANDEMIC THEY WERE DISTRIBUTING ROUGHLY 20 MILLION POUNDS.* *VERMONT PUBLIC, 2024 UNFORTUNATELY, WHILE FOODBANK DISTRIBUTIONS BEGAN TO DECREASE TOWARDS THE END OF THE PANDEMIC, THEY RETURNED ONCE AGAIN TO HIGHER LEVELS FOLLOWING THE FLOODS THAT TOOK PLACE IN THE SUMMER OF 2023. ACCORDING TO THE FOODBANK: - A 2022 UVM STUDY SHOWED THAT TWO IN FIVE PEOPLE IN VERMONT HAD EXPERIENCED FOOD INSECURITY IN THE PAST YEAR. - IN THE LAST FIVE MONTHS OF 2023, THE FOODBANK DISTRIBUTED AN AVERAGE OF 1.3 MILLION POUNDS OF FOOD PER MONTH. - AS PANDEMIC-ERA SUPPORT PROGRAMS HAVE EXPIRED, [SOME VERMONTERS] ARE STILL STRUGGLING TO BECOME FOOD SECURE. OBESITY IS DEFINED (IN ADULTS) AS PEOPLE WHO HAVE A BODY MASS INDEX OF 30.0 OR HIGHER BASED ON REPORTED HEIGHT AND WEIGHT. UNDER THIS DEFINITION, 33.6 PERCENT OF AMERICANS ARE OBESE, AND 26.8 PERCENT OF VERMONTERS ARE OBESE (THE 3RD BEST RANKING IN THE UNITED STATES). IN VERMONT, 13.0% OF YOUTH AGES 10 TO 17 SUFFER FROM OBESITY, GIVING VERMONT A RANKING OF 5 AMONG THE 50 STATES AND D.C. AMONG ADULTS, HOWEVER, THAT NUMBER JUMPS TO NEARLY 27%, GIVING VERMONT A RANKING OF 49 AMONG THE 50 STATES AND D.C.** **ROBERT WOOD JOHNSON FOUNDATION, 2024 OBESITY INCREASES THE RISK OF MANY SERIOUS DISEASES AND HEALTH CONDITIONS SUCH AS HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, TYPE 2 DIABETES, CORONARY ARTERY DISEASE, STROKE, GALLBLADDER DISEASE, AND SOME CANCERS. Schedule H, Part V, Section B, Line 11 Facility , 5 Facility , 5 - COPLEY HOSPITAL. HEALTHCARE NEED #5: LACK OF DENTAL CARE ACCORDING TO THE JOURNAL OF MULTIDISCIPLINARY CARE (DECISIONS IN DENTISTRY - JANUARY 2024) "APPROXIMATELY 46 MILLION PEOPLE IN RURAL AMERICA FACE SIGNIFICANT BARRIERS TO ORAL HEALTHCARE, AS REVEALED BY THE 2023 STATE OF ORAL HEALTH EQUITY IN AMERICA (SOHEA) SURVEY CONDUCTED BY CAREQUEST INSTITUTE FOR ORAL HEALTH. THE REPORT HIGHLIGHTS THAT 40% OF ADULTS IN RURAL AREAS HAVEN'T RECEIVED PROFESSIONAL DENTAL CARE IN MORE THAN A YEAR, SURPASSING THE FIGURES FOR URBAN (35%) AND SUBURBAN (30%) RESIDENTS. CHALLENGES IN RURAL ORAL HEALTHCARE INCLUDE PROVIDER SHORTAGES, LACK OF INSURANCE COVERAGE, AND TRANSPORTATION BARRIERS. THE FINDINGS INDICATE THAT 34 PERCENT OF RURAL INDIVIDUALS RATE THEIR ORAL HEALTH AS FAIR OR POOR, COMPARED TO 27 PERCENT AND 24 PERCENT FOR URBAN AND SUBURBAN RESIDENTS, RESPECTIVELY. FURTHERMORE, 67 PERCENT OF RURAL AREAS ARE IDENTIFIED AS DENTAL HEALTH PROFESSIONAL SHORTAGE AREAS. DENTAL INSURANCE COVERAGE IS LACKING FOR 34 PERCENT OF RURAL RESIDENTS." ALTHOUGH MEDICINE AND DENTISTRY HAVE REMAINED SEPARATE FOR MANY YEARS - SEPARATE INSURANCE, SEPARATE SCHOOLS, SEPARATE BUILDINGS - THERE IS A CONNECTION BETWEEN THE HEALTH OF THE MOUTH AND THE HEALTH OF THE BODY. PEOPLE WHO ARE MISSING TEETH OR WHO EXPERIENCE MOUTH PAIN CAN FIND IT DIFFICULT TO EAT HEALTHY FOOD LIKE WHOLE GRAINS, FRUITS, AND VEGETABLES. INFECTIONS IN THE MOUTH CAN ALSO SPREAD TO OTHER PARTS OF THE BODY, AND CAN INCREASE A PERSON'S RISK FOR HEART ATTACK OR STROKE. PEOPLE WITH DIABETES ARE ALSO MORE AT RISK FOR DENTAL PROBLEMS, WHICH CAN LEAD TO DIFFICULTY IN CONTROLLING BLOOD SUGAR LEVELS. SOME STUDIES HAVE LINKED PERIODONTAL DISEASE TO LOW BIRTH WEIGHT AND PRETERM BIRTH. AND THE BACTERIA THAT CAUSES DENTAL DECAY CAN BE PASSED FROM CAREGIVER TO CHILD. IT IS RECOMMENDED THAT CHILDREN HAVE THEIR FIRST DENTAL VISIT BY AGE ONE, BUT MANY CHILDREN DO NOT HAVE THEIR FIRST VISIT UNTIL AFTER AGE THREE.* *VERMONT DEPARTMENT OF HEALTH, 2024 ACCORDING TO THE VERMONT DEPARTMENT OF HEALTH (2024): - THE PERCENTAGE OF THIRD GRADE CHILDREN WITH DENTAL DECAY INCREASED FROM 37 PERCENT IN 2017 TO 48 PERCENT IN 2023, SIGNIFICANTLY ABOVE THE VERMONT DEPARTMENT OF HEALTH'S GOAL OF 30 PERCENT. - THE PERCENTAGE OF CHILDREN IN GRADES 1-6 USING THE STATE'S DENTAL SYSTEM DECREASED FROM 78 PERCENT IN 2017 TO 71 PERCENT IN 2023, SLIGHTLY BELOW THE VERMONT DEPARTMENT OF HEALTHS GOAL OF 80 PERCENT. - THE PERCENTAGE OF CHILDREN IN GRADES 7-12 USING THE STATE'S DENTAL SYSTEM DECREASED FROM 62 PERCENT IN 2017 TO 58 PERCENT IN 2023, SIGNIFICANTLY BELOW THE VERMONT DEPARTMENT OF HEALTH'S GOAL OF 70 PERCENT. - THE PERCENTAGE OF ADULTS USING THE STATE'S DENTAL SYSTEM DECREASED FROM 72 PERCENT IN 2017 TO 68 PERCENT IN 2022, BELOW THE VERMONT DEPARTMENT OF HEALTH'S GOAL OF 85 PERCENT. - 56 PERCENT OF VERMONT RESIDENTS WHO GET THEIR WATER FROM A PUBLIC WATER SYSTEM BENEFITED FROM SYSTEMS WITH FLUORIDATED WATER, WELL BELOW THE NATIONAL HEALTHY PEOPLE 2030 TARGET OF 77.1 PERCENT. IN FACT, VERMONT RANKS 41 OUT OF 50 WHEN IT COMES TO THIS PERCENTAGE (CDC, 2018). THE PERCENTAGE OF VERMONTERS SERVED BY FLUORIDATED WATER SYSTEMS HAS STAYED CONSISTENT SINCE 2011. - IN 2000, 61 PERCENT OF VERMONT ADULTS' AGES 45-64 HAD AT LEAST ONE TOOTH EXTRACTED BECAUSE OF TOOTH DECAY OR GUM DISEASE. THAT PERCENTAGE HAS DECREASED SIGNIFICANTLY OVER TIME TO 42 PERCENT IN 2022, WHICH IS GREAT NEWS, BUT IT DOESN'T TELL THE WHOLE STORY. WHEN THE OVERALL PERCENTAGE IS BROKEN DOWN, A DISPARITY EXISTS IN ORAL HEALTH OUTCOMES; THERE ARE HIGHER RATES OF TOOTH EXTRACTION FOR INDIVIDUALS WITH LESS EDUCATION AND LOWER INCOMES COMPARED TO THOSE WITH MORE EDUCATION AND HIGHER INCOMES. IN ORDER TO ADDRESS THESE DISPARITIES, VERMONT NEEDS TO IDENTIFY WHY ITS ORAL HEALTH CARE SYSTEM IS NOT WORKING FOR LOWER INCOME/EDUCATED VERMONTERS. LACK OF DENTAL CARE IN VERMONT IS NOT A NEW PROBLEM. ACCORDING TO A REPORT ISSUED BY THE GREEN MOUNTAIN CARE BOARD (GMCB) IN 2015: - MEDICAID ELIGIBLE UTILIZATION OF ORAL HEALTH SERVICES IS LOW AS COMPARED TO UTILIZATION OF ORAL HEALTH SERVICES BY INDIVIDUALS WITH PRIVATE INSURANCE, HOWEVER, WHILE INDIVIDUALS WITH PRIVATE DENTAL HEALTH INSURANCE UTILIZE SERVICES AT A HIGHER RATE, THEY ARE STILL SIGNIFICANTLY BELOW DESIRED LEVELS. - MEDICAID ELIGIBLES ENCOUNTER GREATER BARRIERS TO ACCESS THAN THEIR PRIVATELY INSURED COUNTERPARTS, INCLUDING A LIMITED NUMBER OF DENTISTS WILLING TO TAKE NEW MEDICAID PATIENTS. - A SIGNIFICANT PERCENT OF THE POPULATION STILL REMAINS UNINSURED FOR ORAL HEALTH SERVICES, WITH GREATER THAN HALF OF VERMONTERS WITHOUT ORAL HEALTH INSURANCE. - FOR THOSE INTERESTED IN ACCESSING ORAL HEALTH SERVICES, COST OF CARE IS A BARRIER. - HALF OF THE PRIMARY CARE DENTIST POPULATION IS AGE 55 OR OVER INDICATING A LARGE PROPORTION OF THE VERMONT DENTIST WORKFORCE IS APPROACHING RETIREMENT. AS THE DENTIST POPULATION SHRINKS, ACCESS WILL BECOME MORE LIMITED REGARDLESS OF INSURANCE STATUS. - SIGNIFICANT NUMBERS OF ADULTS 18-64 HAVE LOST ALL THEIR NATURAL TEETH TO DECAY OR DISEASE AND DO NOT ACCESS RECOMMENDED PREVENTATIVE SERVICES SUCH AS SEMI-ANNUAL CLEANINGS. 2 MANSFIELD ORTHOPAEDICS 555 WASHINGTON HIGHWAY MORRISVILLE VT 05661 OUTPATIENT ORTHOPAEDIC, REHAB AND RADIOLOGY SERVICES MANSFIELD ORTHOPAEDICS 1979 WATERBURY-STOWE ROAD WATERBURY VT 05677 OUTPATIENT ORTHOPAEDIC, RADIOLOGY SERVICES 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 7f 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, 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, Line 4 BAD DEBT EXPENSE FOOTNOTE THE AUDIT FOOTNOTE ADDRESSING BAD DEBT EXPENSE AND PATIENT ACCOUNTS RECEIVABLE IS FOUND ON PAGE 8 OF THE AUDITED FINANCIAL STATEMENTS UNDER NOTE 1, SUBTITLED "PATIENT ACCOUNTS RECEIVABLE." Schedule H, Part III, 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, 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 PATIENT'S 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 COPLEY'S 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 HOSPITAL'S 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. COPLEY'S 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 HOSPITAL'S 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 BELVIDERE, 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 25,977 PEOPLE.THE COMMUNITY IS PREDOMINANTLY WHITE, NON-HISPANIC, WITH A MEDIAN AGE OF 41 AND A MEDIAN HOUSEHOLD INCOME OF $69,886. THE AREA HAS POCKETS OF GREAT WEALTH AND GREAT POVERTY. NEARLY 19.5% OF THE HOSPITAL'S SERVICE AREA IS GREATER THAN 65 YEARS OF AGE WHICH HAS BEEN GROWING. NEARLY 94.2% OFADULTS 25 YEARS OF AGE OR OLDER IN THE AREA HOLD A HIGH SCHOOL DEGREE, 42.8% HOLDING A BACHELOR'S DEGREE OR HIGHER. THE MAJOR INDUSTRY IS ACCOMMODATIONS AND FOOD SERVICE, FOLLOWED BY HEALTH AND SOCIAL ASSISTANCE. OUT OF 14 VERMONT COUNTIES, LAMOILLE COUNTY RANKED 3RD HIGHEST IN "HEALTH OUTCOMES" (AS DEFINED BY REPORTED PREMATURE DEATHS, POOR HEALTH DAYS, POOR PHYSICAL HEALTH DAYS, POOR MENTAL HEALTH DAYS AND LOW WEIGHT BIRTHS); AND 9TH HIGHEST IN "HEALTH FACTORS" (AS DEFINED BY NUMBERS OF PEOPLE WHO REPORT SMOKING, DRINKING, OBESITY, STDS, AND TEEN BIRTHS; AS WELL AS HOUSING COSTS, PHYSICAL ENVIRONMENT AND SOCIO/ECONOMIC FACTORS). THE TOP 3 HEALTHCARE NEEDS IDENTIFIED FOR OUR COMMUNITY INCLUDE: ACCESS TO PRIMARY CARE, SUBSTANCE ABUSE AND MENTAL HEALTH. 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, WOMEN'S AND CHILDREN'S 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 AREA'S 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 & LAMOILLE'S 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 STATE'S 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 H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 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, 2024. 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 V, Section B, Line 16a FAP website - COPLEY HOSPITAL, INC: Line 16a URL: WWW.COPLEYVT.ORG/FOR-PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/ASSISTANCE-PROGRAMS/; Schedule H, Part V, Section B, Line 16b FAP Application website - COPLEY HOSPITAL, INC: Line 16b URL: WWW.COPLEYVT.ORG/FOR-PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/ASSISTANCE-PROGRAMS/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - COPLEY HOSPITAL, INC: Line 16c URL: WWW.COPLEYVT.ORG/FOR-PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/ASSISTANCE-PROGRAMS/; X X X X X X false false false true false false false false false JOSEPH WOODIN CEO 502919 0 0 0 46498 0 4910 0 17047 0 571374 0 0 0 TRAVIS KNAPP TRUSTEE BEG 02/24 / ANESTHESIA DIRECTOR 406982 0 0 0 20838 0 12369 0 40852 0 481041 0 0 0 J MARTIN LINSEISEN MD TRUSTEE END 02/24 393316 0 0 0 10998 0 11300 0 41347 0 456961 0 0 0 JEFFREY HEBERT CFO 250292 0 0 0 10415 0 10241 0 1168 0 272116 0 0 0 LORI PROFOTA CNO END 02/24 216586 0 0 0 2381 0 6238 0 32738 0 257943 0 0 0 WAYNE STOCKBRIDGE CHIEF ADMIN & HR OFFICER 218340 0 0 0 31433 0 8647 0 41892 0 300312 0 0 0 NICHOLAS ANTELL ORTHOPEDIC SURGEON 574186 0 50000 0 43248 0 9750 0 31327 0 708511 0 0 0 BRIAN AROS ORTHOPEDIC SURGEON 747616 0 175302 0 80470 0 10250 0 40608 0 1054246 0 0 0 JOHN MACY ORTHOPEDIC SURGEON 810525 0 50000 0 20696 0 9000 0 32559 0 922780 0 0 0 JOSEPH MCLAUGHLIN ORTHOPEDIC SURGEON 645091 0 50000 0 84476 0 11250 0 40486 0 831303 0 0 0 BRYAN MONIER ORTHOPEDIC SURGEON 569979 0 0 0 38709 0 10010 0 40521 0 659219 0 0 0 Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization INCENTIVE BONUSES ARE PAID TO OUR ORTHOPEDIC SURGEONS BASED UPON GROSS REVENUE PRODUCED INDIVIDUALLY FOR THE HOSPITAL. Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS 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, AND NEUROLOGY. 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 OUR MISSION OF HELPING PEOPLE LIVE HEALTHIER LIVES. THE CLOSEST HOSPITAL IS 45 MINUTES TO ONE HOUR AWAY. IN FISCAL YEAR 2024, COPLEY HAD 108,061 OUTPATIENT VISITS AND 1,396 INPATIENT ADMISSIONS TOTALING 6,062 PATIENT DAYS. WE PERFORMED 2,526 SURGERIES AND 1,553 PROCEDURES AND HAD 13,627 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, Line 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 CORPORATION'S 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, Line 11b Review of form 990 by governing body 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, 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, Line 15a Process to establish compensation of top management official THE CEO'S COMPENSATION IS DETERMINED BY USING MARKET SURVEY DATA FROM THE NNE HEALTHCARE COMP SURVEY, IT IS ALSO APPROVED BY THE BOARD. SENIOR LEADERSHIP AND OTHER HIGHLY COMPENSATED INDIVIDUALS HAVE THEIR PAY RANGES DETERMINED THROUGH MARKET DATA FROM THE NNE HEALTHCARE COMPENSATION SURVEY. Form 990, Part VI, Line 15b Process to establish compensation of other employees HUMAN RESOURCES REVIEWS MARKET SURVEY DATA FROM NNE HEALTHCARE COMP SURVEY TO DETERMINE EACH SENIOR OFFICERS POSITION UPON HIRE. Form 990, Part VI, Line 19 Required documents available to the public 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 VERMONT'S DEPARTMENT OF FINANCIAL REGULATION. Form 990, Part IX, Line 11g Other Fees CONTRACT LABOR - Total Expense: 6741841, Program Service Expense: 5911575, Management and General Expenses: 830266, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 3959696, Program Service Expense: 2462081, Management and General Expenses: 1497615, Fundraising Expenses: ; PHYSICIAN SERVICES - Total Expense: 1184170, Program Service Expense: 1184170, Management and General Expenses: , Fundraising Expenses: ; LAB SERVICES - Total Expense: 490452, Program Service Expense: 490452, Management and General Expenses: , Fundraising Expenses: ; OTHER SERVICES - Total Expense: 352108, Program Service Expense: 345213, Management and General Expenses: 6895, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN INTEREST IN NA OF CHSI - 202219; LAMOILLE HOUSING CORPORATION 528 WASHINGTON HIGHWAY MORRISVILLE VT 05661 030272055 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) NA false COPLEY WOODLANDS 125 THOMAS LANE STOWE VT 05672 030352086 HOUSING VT 501(c)(3) 10 CHSI false HEALTH CENTER BUILDING INC 528 WASHINGTON HIGHWAY MORRISVILLE VT 05661 030220357 BUILDING RENTAL VT CHSI C Corporation false false false true false false false false false false false true true false false true false true false false