2020-08-14T09:28:12-05:00 2019-09-30 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2018-10-01 036013761 Northeastern Vermont Regional Hosp Inc NORT 8027487520 Hospital Drive PO Box 905 St Johnsbury VT 058190905 Robert Hersey CFO 8027487520 2020-08-13 1 Joseph R Byrne P01289281 2077752387 2020-08-13 69.49.157.66 2020-08-13 14:20:31 ED P C4707E3AC495039012926C06CAF0FE7A77282DC5 E7B858A5D43A1C12EA56452E98FB06825C34A804 2018 2020-09-23 17:36:50Z Shawn Tester Hospital Drive PO Box 905 St Johnsbury VT 058190905 95565993 0 X www.nvrh.org X 1967 VT Critical Access Hospital 18 17 692 135 2273197 209795 25193 24951 84377623 90094533 931642 398680 121521 121768 85455979 90639932 155537 153475 0 0 50776132 52581764 0 0 0 32590621 36345744 83522290 89080983 1933689 1558949 65818026 68670063 24919713 26314944 40898313 42355119 X Northeastern Vermont Regional Hospital, Inc. is dedicated to improving the health of all people in the communities it serves. 0 0 76600437 153475 90094533 Northeastern Vermont Regional Hospital, Inc. is a full service, state of the art, Critical Access Hospital. The Hospital makes its services available to approximately 30,000 residents of the greater St. Johnsbury community. Inpatient services include medical and surgical, intensive care, pediatrics, and obstetrics. The emergency room at NVRH is fully staffed by full-time board certified/eligible physicians. The Ambulatory Surgery Unit has space for 16 pre- and post-operative patients. Over 95% of our surgeries and procedures are conducted through day surgery. These services are supported by the laboratory, diagnostic imaging, MRI, CT scan, cardiac services, rehabilitation, respiratory, and other ancillary services. Surgical specialties include general surgery, neurosurgery, oral/maxillofacial, otolaryngology, obstetrics/gynecology, orthopedics, ophthalmology, and urology. NVRH is one of two Vermont hospitals to have been awarded the international baby-friendly designation by the World Health Organization.NVRH's charity care program is available to patients who are uninsured, underinsured, or have otherwise demonstrated they don't have the financial resources to fully pay for their hospital care. Patients with income levels below 200% of the federal poverty guideline for the applicable family size have their hospital bill discounted by 100%. Patients with income levels between 200% and 400% of the federal poverty guideline receive a discount on their hospital bill between 85% and 47%. Foregone charges, based on established rates, furnished under NVRH's free care program amounted to $3,141,595 during the year ended September 30, 2019. The emergency room at NVRH is fully staffed by full-time physicians and specialized nurses who are trained to deal with all aspects of medical care. Emergency room staff provide pre-hospital provider training and support, participation in local education programs, hospital continuing medical education and quality assurance programs. Care provided by the emergency room is coordinated with appropriate local physician practices. The NVRH pharmacy provides pharmaceutical services for patients, including a complete patient medication profile and computerized monitoring. Our pharmacy staff is a vital component of the healthcare team, consulting with physicians and other health professionals to ensure that patients receive the appropriate drug therapies. NVRH owns four Rural Health Clinics that are staffed with a combination of medical doctors, nurse practitioners, physician assistants and nurse midwives in order to meet the need of our patients. The four clinics include:1. Corner Medical - a family practice.2. Kingdom Internal Medicine3. St. Johnsbury Pediatrics4. Womans Wellness Center - providing a full OB/GYN care. 76600437 1 1 0 1 0 0 0 1 0 0 1 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 149 0 1 692 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 18 17 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 0 1 1 0 VT X Robert Hersey 8027487520 Hospital Drive PO Box 905 St Johnsbury VT 058190905 Thomas Robinson President 2.00 0.10 X X 0 0 0 Jane Arthur Vice President 8.00 0.10 X X 0 0 0 Martha Davis Treasurer 8.00 0.10 X X 0 0 0 Catherine Boykin Trustee 2.00 0.10 X 0 0 0 Judy Desrochers Trustee 2.00 0.10 X 0 0 0 Steve Feltus Trustee 2.00 0.10 X 0 0 0 John Goodrich Trustee 2.00 0.10 X 0 0 0 Barbara Hatch Trustee 2.00 0.10 X 0 0 0 Terry Hoffer Trustee 2.00 0.10 X 0 0 0 Deborah Hunt Trustee 2.00 0.10 X 0 0 0 Joseph Kasprzak Trustee 2.00 0.10 X 0 0 0 Darcie McCann Trustee 2.00 0.10 X 0 0 0 Steve McConnell Trustee 2.00 0.10 X 0 0 0 Steve Nichols Trustee 2.00 0.10 X 0 0 0 Ken Norris Trustee 2.00 0.10 X 0 0 0 Mary Parent Trustee 2.00 0.10 X 0 0 0 Ryan Sexton MD Trustee, Med. Staff President 40.00 0.10 X 449276 0 42084 Kimberly Gilding Trustee 2.00 0.10 X 0 0 0 Terry Larsen DO Past Trustee 40.00 0.10 X 282256 0 42191 Jeffrey Moore Past Trustee 2.00 0.10 X 0 0 0 Gary Simpson Past Trustee 2.00 0.10 X 0 0 0 Shawn Tester CEO 40.00 1.00 X 25000 0 0 Paul Bengtson Past CEO 40.00 1.00 X 427836 0 34185 Robert Hersey CFO 40.00 1.00 X 223824 0 32742 Matthew Prohaska MD Physician 40.00 0.00 X 779414 0 47401 Richard Gagnon MD Physician 40.00 0.00 X 469257 0 32885 Eugene Dixon MD Physician 40.00 0.00 X 429890 0 22652 Michael Lahey MD Physician 40.00 0.00 X 360010 0 45795 Craig Dreisbach MD Physician 40.00 0.00 X 349451 0 31545 3796214 0 331480 77 0 1 0 Dan Wyand PT & Associates PLLC 2020 Trestle Road Danville VT 05828 Physical Therapy 2203468 HP Cummings Construction PO Box 269 Woodsville NH 037850269 Construction Project 1932806 Vermont Radiologists PO Box 217 St Johnsbury VT 05819 Diagnostic Imaging Services 1694873 Comphealth Inc PO Box 972651 Dallas TX 753972651 Temporary Doctors 967990 Dartmouth-Hitchcock One Medical Center Drive Lebanon NH 03766 Leased Staff/Services 887373 23 24951 24951 24951 Patient Service Rev. 622100 177779613 175506416 2273197 Other Patient Service Revenue 622100 5409790 4965683 444107 Provision for Bad Debts 622100 -3270152 -3270152 Contractual/Char. Adj. 622100 -89824718 -89824718 90094533 617435 617435 121768 0 121768 121768 121768 4707306 4919977 6084 -212671 -6084 -218755 -218755 90639932 87377229 2273197 964555 X 153475 153475 1559392 815807 743585 38675507 35005176 3670331 1638170 1431316 206854 7947539 6899019 1048520 2761156 2386183 374973 109927 27694 82233 24327 24327 70800 70800 101580 101580 10921423 10248156 673267 93345 4670 88675 4671887 1887494 2784393 70322 14621 55701 2604126 2063617 540509 233329 204843 28486 55742 23661 32081 234922 125756 109166 3399146 1719120 1680026 1266119 1101080 165039 Medical Supplies 7804962 7804962 Medicaid Provider Tax 4683787 4683787 89080983 76600437 12480546 0 X 1311 1748 7996557 6483494 9520259 11184875 1342746 1429788 585619 733320 67401011 44384831 23141657 23016180 17729320 18198266 99900 359900 0 1077083 5400657 6185409 65818026 68670063 7841877 8390849 292292 361203 10687212 9944653 6098332 7618239 24919713 26314944 X 39037435 40627061 1420133 1286003 440745 442055 40898313 42355119 65818026 68670063 X 1558949 37129 -139272 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 12407 12407 89068576 89080983 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 15460 11931 13040 12407 52838 250000 250000 250000 250000 1000000 1500000 X 0 37570 37570 31740795 18386619 13354176 1082477 744753 337724 31753664 24215055 7538609 2786505 1038404 1748101 23016180 Beneficial Interest in Net Assets of Parent 1162328 Due from Parent 3810646 Deferred Compensation 1212435 6185409 Deferred Compensation 1212435 Estimated Third-Party Payor Settlements 6405804 7618239 90436209 37129 37129 90399080 101580 139272 240852 90639932 88979403 0 88979403 101580 101580 89080983 Part III, Line 4: In 2008, the Organization received a donation of a piece of art work that it hangs in its hallways along with other paintings from local artists. These paintings are put on display to help provide an additional community benefit to the public. Part XI, Line 4b - Other Adjustments: Change in Beneficial Interest in Net Assets of Parent 139,272. 1 1 1 X 1 X 1 1 0 0 1345838 1345838 0.01510 20307410 13172346 7135064 0.08010 21653248 13172346 8480902 0.09520 27 124059 1700817 409614 1291203 0.01450 2 10882 197751 197751 0.00220 16251806 12400893 3850913 0.04320 8 25 214527 214527 0.00240 37 134966 18364901 12810507 5554394 0.06230 37 134966 40018149 25982853 14035296 0.15750 3 15 23052 0 23052 0.00030 3 15 23052 23052 0.00030 1 1400911 24314544 24314544 X 1 1 1 1 Northeastern Vermont Regional Hospital Inc 1315 Hospital Dr PO Box 905 St Johnsbury VT 058190905 www.nvrh.org 833 X X X X Northeastern Vermont Regional Hospital 1 0 0 1 X X X X X X X X X 17 1 0 0 1 X www.nvrh.org/community-health-needs-assessment/ X 1 17 1 www.nvrh.org/community-health-needs-assessment/ 0 1 X 200.000000000000 400.000000000000 X 1 1 X X X X 1 X www.nvrh.org/patients-visitors/billing-financial/ X www.nvrh.org/patients-visitors/billing-financial/ X www.nvrh.org/patients-visitors/billing-financial/ X X X X X 1 X 0 X X X X 1 X 0 0 Northeastern Vermont Regional Hospital Part V, Section B, Line 5: NVRH conducted a CHNA in 2018. This is the third assessment done using the ACA requirement and guidelines. The 2018 CHNA builds on the foundation of the previous assessments. The CHNA used the framework of our regional accountable health community, NEK Prosper. NEK Prosper uses the frameworks of the accountable health community model, Collective Impact, and Results Based Accountability. Likewise, the 2018 NVRH CHNA and companion Implementation Plan use these frameworks. Additionally, the 2018 CHNA is informed by the data compiled, and the community engagement work already done by NEK Prosper, and the overall mission of NEK Prosper to reduce poverty in the region. Although both the population and the percentage of those in poverty are declining for Caledonia and Essex Counties (Source: Vermont State Data Center), we also know that based on the most often used proxy for socio-economic status - income - our region is well below the average and median income compared to the rest of Vermont. Additionally, data shows that the population of Vermont, and our region, is aging faster than other states. Thus, once again low-income families, and older adults were identified as our most vulnerable; consequently, primary source data collection targeted groups of low-income parents and older adults.The entire CHNA and methodology is available at: www.nvrh.org/community-health-needs-assessment/ Northeastern Vermont Regional Hospital Part V, Section B, Line 11: An update and current evaluation to the CHNA Implementation Plan is available at www.nvrh.org/community-health-needs-assessment/In recognition of the importance of the social determinants of health in overall health and well-being, NVRH has taken the lead in creating NEK Prosper. NEK Prosper uses the framework of Accountable Health Communities, the elements of Collective Impact, and the principles of Results Based Accountability. Key organizations joining NVRH to address the root cause of poor health are the regional mental health organization, housing organization, community action organizations, FQHC organizations, council on aging, and the Vermont Foodbank. Many other state agencies and community based non-profits make up the body of NEK Prosper. NEK Prosper has identified five outcomes for our community: well-nourished, well-housed, physically healthy, mentally healthy, and financially secure. Workgroups have formed in NEK Prosper to provide strategic direction and results-based focus in each outcome area. 10 1 - NVRH - Corner Medical 195 Industrial Parkway Lyndonville VT 05849 Outpatient Physician Clinic 2 - NVRH - St Johnsbury Pediatrics 97 Sherman Drive St Johnsbury VT 05819 General Pediatric Services 3 - Occupational Medicine at NVRH 1280 Hospital Drive St Johnsbury VT 05819 Work-Related Med Needs Clinic 4 - Women's Wellness Center 1315 Hospital Dr PO Box 905 St Johnsbury VT 058190905 OB/GYN Care Facility 5 - NVRH- Orthopedics- Medical Arts Building 1280 Hospital Drive St Johnsbury VT 05819 Orthopedic & Rehab Center 6 - NVRH - Orthopedics - Fracture Clinic 4 Sherman Drive St Johnsbury VT 05819 Fracture Clinic 7 - NVRH - Physical Therapy - Lyndonville 195 Industrial Parkway Lyndonville VT 05849 Physical Therapy Center 8 - NVRH - Physical Therapy - St Johnsbury 97 Sherman Drive St Johnsbury VT 05819 Physical Therapy Center 9 - NVRH - Kingdom Internal Medicine 714 Breezy Hill Road St Johnsbury VT 05819 Outpatient Physician Clinic 10 - NVRH - Northern Physical Therapy 529 Main Street Lyndonville VT 05851 Physical Therapy Center Part I, Line 7: The Organization used three different methods to allocate costs reported in the table: four physician clinics are rural health clinics: NVRH - Corner Medical, NVRH - St Johnsbury Pediatrics, NVRH - Kingdom Internal Medicine, and NVRH - Women's Wellness. Costs for these clinics were taken directly from the Medicare cost report. Costs for other reported programs were direct costs for the program plus an allocation of indirect costs based on a ratio of direct to indirect costs taken from the Medicare cost report. A cost to charge ratio was used to determine the cost of bad debts and free care for all programs reported on the table. Part I, Line 7g: The Organization included as subsidized health services costs attributable to four physician clinics. 1. NVRH - Corner Medical, a primary care physician clinic. Total costs related to this physician clinic were $4,657,952.2. NVRH - St Johnsbury Pediatrics, a pediatric physician clinic. Total costs related to this physician clinic were $2,872,353. 3. NVRH - Women's Wellness Center, an obstetrician/gynecological physician clinic. Total costs related to this physician clinic were $3,782,968.4. NVRH - Kingdom Internal Medicine, a primary care physician clinic. Total costs related to this physician clinic were $2,778,488. Part II, Community Building Activities: Physical Improvements/HousingNVRH Community Garden:NVRH has provided garden space on our campus for community use for 31 years. There are currently 23 garden spots. The garden spots are provided free of charge on a first come, first served basis. The community benefit value is based on the staff time to coordinate the assignment of spots and other correspondence with the gardeners.Workforce development:NVRH is located in a rural area with limited access to public transportation. Poverty is also our primary health disparity. We have listened to our community and they tell us they need access to services that are close to home. NVRH takes the lead in recruiting both primary care and specialty physicians and mid level providers to fill the need for access to services close to home. The value listed in this section is related to the costs associated with recruiting primary care and specialty providers; as well as loan repayment for many of our providers (MD, NP, PA, etc). We also support an Associate Degree Nursing Program. Part III, Line 4: Patient accounts receivable are stated at the amount management expects to collect from outstanding balances. Management provides for probable uncollectible amounts through a charge to operations and a credit to a valuation allowance based on its assessment of payor mix, aged accounts receivable and historical adjustments. Balances that are still outstanding after management has used reasonable collection efforts are written off through a charge to the valuation allowance and a credit to patient accounts receivable.In evaluating the collectibility of accounts receivable, the Hospital analyzes past results and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Hospital records a provision for bad debts in the period of service based on past experience, which indicates that many patients are unable or unwilling to pay amounts for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or eligible) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged against the allowance for doubtful accounts. Part III, Line 8: All Medicare allowable costs were taken directly from the Medicare cost report. Part III, Line 9b: NVRH provides care to all patients regardless of their ability to pay for services. Patients who indicate they have no insurance receive information about NVRH's Patient Assistance program, including the income level eligibility guidelines, with their first bill and with all subsequent bills. Patient Assistance is provided to those patients who, through a written documentation process, are identified as financially needy. Patients that have qualified for 100% Patient Assistance are not billed for subsequent services for one year. After one year, those patients go through the qualification process again. Financial assistance applications are made readily available to patients. There are signs posted throughout the hospital and clinics as well as links on our website. Part VI, Line 2: Assessment of community needs is an ongoing process at Northeastern Vermont Regional Hospital. Northeastern Vermont Regional Hospital achieves openness, inclusiveness, and public participation in our strategic planning and decision making in a variety of ongoing and deliberate ways.NVRH governance structure includes the Northeastern Vermont Regional Corp. (NVRC) Corporators. The over 250 Corporators, representing all the towns in our service area, are an invaluable source of wisdom and perspective for hospital leadership. They are key links in the essential communication system between members of our community and the Hospital.Because the Corporators represent the community, they act as our eyes and ears on the street. The quarterly Corporators meetings are an opportunity for two-way sharing of information. The Corporators share their needs and concerns, as well as the needs and concerns of their families, friends, and neighbors. In return, the Corporators are updated on hospital services, as well as state and national healthcare issues.The Hospital participates in formal community assessments that are conducted every few years by various community organizations including the Regional Prevention Partnership - Northeast Prevention Coalition, the Housing Coalition, and the Vermont Departments of Health. Hospital staff are active members and partners with these coalitions and organizations.Formal community assessments begin with identifying a problem or purpose. The purpose could be broad, such as "what are the top priorities in our community or it could be more specific based on the missions of the Organization. The local prevention coalitions conduct ongoing community engagement activities, including surveys, public forums, community dinners, and listenting sessions.The next step is developing a community profile using primary source data. Primary source data is primarily obtained from the Vermont Department of Human Services Community Profiles. These profiles compile data from a variety of sources including the Behavioral Risk Factor Surveillance System (BRFSS), U.S. Census, the Vermont Health Care Cost and Utilization Project, and several other state and national data sources.Secondary data is gathered by identifying and getting input from key stakeholders including community leaders, relevant organizations, and community members. Input is gathered by using one on one interviews, surveys (including using online tools like Survey Monkey), and focus forums for all key stakeholder groups.Inventories of existing services, and gap and/or asset mapping are also typically part of the community assessment process.As primary and secondary data is gathered the analyzing phase kicks in. Sometimes the focus of an assessment may shift if data reveals a new or more urgent health priority.Reporting the results of the assessment is an important piece of the process. Every effort is made to get summaries and reports back to interested community members and organizations. More and more often, the Hospital and partner organizations are using Collective Impact principles when designing community interventions or deciding on which health services to add or enhance. Collective Impact starts with community engagement and buy in, but goes beyond to ensure that knowledge, power, credit, and results are shared fairly between "experts and community members. Part VI, Line 3: A summary of NVRH's Patient Assistance Program and the income eligibility guidelines are included in the first and all subsequent bills sent to patients identified as self pay. The phone number of a financial counselor is also provided. The counselor is available to discuss eligibility guidelines and the qualification process. The counselor also discusses with patients the availability of Medicaid and other State assistance programs. Information about the NVRH Patient Assistance Program is also available on the NVRH website. Patients can also learn about NVRH's Patient Assistance program via a link to the State's Green Mountain Care Board.The Patient Assistance Program is available to hospital patients as well as patients of all NVRH-owned physician practices. Part VI, Line 4: Northeastern Vermont Regional Hospital (NVRH) serves about 30,000 people in Caledonia and southern Essex counties in the northeast corner of Vermont. The Hospital is located about 50 miles from the Canadian border to the north, and about 15 miles from the New Hampshire border to the east. Only 3 towns in our service area have a population of more than 2,000 people.Our area is divided equally between males and females. The area is predominately white (95%) and English is the predominant language. The median income is below the state average at $46,931 per household ($56,104 Vermont). Just over half of our residents have a high school diploma or less, under 28% have completed a four year college degree.Education, healthcare, and social services are the largest employment sectors, followed by retail and then manufacturing. There are three public school supervisory unions, and numerous private and independent schools. There are 3 colleges located in our service area. Part VI, Line 5: The Hospital also promoted health and safety throughout the community through the following programs:1. Baby Sitting Course2. Bike Safety Fair3. Blood Drawings at NVRH4. Energize 3655. Community Connections6. Community Gardens 7. Community Wellness Calendar8. Healthier Living Workshop/ Chronic Pain / DPP9. Harm Reduction - Medication Drop Box10. Lactation Services11. Healthy Homes12. No Sugar Added Obesity Preventions and Reduction13. Regional Prevention and Tobacco14. Radio Education Program15. Support Group Diabetes16. Taxi Vouchers17. Reach Out and Read18. Veggie Van Go 1 Northern Counties Health Care Inc 165 Sherman Drive St Johnsbury VT 05819 510199559 501(c)(3) 130380 Community Benefit Grant 1 0 Part I, Line 2: The Hospital only awards grants to qualifying public charities exempt under 501(c)(3). Organizations receiving a grant must sign a grant agreement that details how the funds may be used. Additional monitoring is not deemed necessary. X X X X 0 0 0 0 0 0 0 1 0 Ryan Sexton MD Trustee, Med. Staff President 420507 0 28000 0 769 0 12375 0 29709 0 491360 0 0 0 Terry Larsen DO Past Trustee 262822 0 0 0 19434 0 12375 0 29816 0 324447 0 0 0 Paul Bengtson Past CEO 368441 0 0 0 59395 0 12375 0 21810 0 462021 0 0 0 Robert Hersey CFO 191106 0 10000 0 22718 0 9582 0 23160 0 256566 0 0 0 Matthew Prohaska MD Physician 527538 0 250835 0 1041 0 12375 0 35026 0 826815 0 0 0 Richard Gagnon MD Physician 456037 0 0 0 13220 0 12375 0 20510 0 502142 0 0 0 Eugene Dixon MD Physician 425823 0 0 0 4067 0 12375 0 10277 0 452542 0 0 0 Michael Lahey MD Physician 340934 0 0 0 19076 0 10272 0 35523 0 405805 0 0 0 Craig Dreisbach MD Physician 339819 0 0 0 9632 0 12375 0 19170 0 380996 0 0 0 Part I, Line 7 Dr. Prohaska's contract includes extra compensation for RVUs produced in excess of target RVUs. Dr. Sexton's incentive was based on several factors including, recruitment of providers, additional clinical training, clinical improvements, and patient satisfaction improvements. Robert Hersey's incentive was performance-based and determined by the Hospital's CEO. A Vermont Educational And Health Buildings Financing Agency 237154467 2016-04-01 12605000 Refinancing of 2004 & 2009 Series A Bonds 0 0 0 A 2512139 12605000 162039 12442961 2016 1 0 1 1 A 0 0 0 0 0 0 1 A 0 0 1 0 1 0 0 0 1 A 1 Kara Sexton Family Member of Ryan Sexton MD, Trustee 146206 Employment 0 Form 990, Part VI, Section A, line 6 The sole member of the Organization is Northeastern Vermont Regional Corp. Form 990, Part VI, Section A, line 7a All trustees shall be elected by the member of the Organization. Form 990, Part VI, Section B, line 11b The process for reviewing the Organization's 990 evolves from oversight for utilized numbers from the TB which have been audited. Schedules to support various aspects of the tax return are prepared by several finance department staff, and Bob Hersey, as CFO, reviews the information which is submitted to the auditors. In addition, prior to the document's filing, the draft Form 990 is reviewed by the Organization's CEO, CFO, and Treasurer. A copy of Form 990 is provided to the Organization's board on the closest meeting date after the filing of the return. Form 990, Part VI, Section B, line 12c The organization monitors and enforces compliance with the conflict of interest policy by requiring directors and trustees to complete an annual questionnaire. Board members disclose any potential conflict prior to voting. Significant conflicts of interest would be discussed with legal counsel prior to board action. Form 990, Part VI, Section B, line 15 A compensation committee sets the compensation level for the Organization's CEO. The CEO is charged with determining the compensation level for the Organization's CFO. The basis for arriving at the CFO and CEO's compensation is determined by using comparable compensation data of the CEOs and CFOs from other similar sized Vermont hospitals. The Organization obtains this data by examining other Vermont hospital Form 990s. Compensation for all other key employees is based on the Vermont and New Hampshire annual wage survey. The CEO has the final determination for the appropriate level of compensation for all other employees. Form 990, Part VI, Section C, line 19 The Organization makes its financial statements available to the public upon request as well as through the publishing of its annual report on its website. The Organization makes its governing documents and conflict of interest policy available to the public upon request. Form 990, Part IX, line 11g Purchased Services: Program service expenses 4,886,247. Management and general expenses 666,517. Fundraising expenses 0. Total expenses 5,552,764. Physician Fees: Program service expenses 4,619,008. Management and general expenses 6,750. Fundraising expenses 0. Total expenses 4,625,758. Lab Fees: Program service expenses 742,901. Management and general expenses 0. Fundraising expenses 0. Total expenses 742,901. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Northeastern Vermont Regional Hospital, Inc. 1315 Hospital Drive St. Johnsbury, VT 05819-0905 EIN: 03-6013761 Northeastern Vermont Regional Hospital, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Form 990, Part XI, line 9: Change in Beneficial Interest in Net Assets of Parent -139,272. Northeastern Vermont Regional Corp 1315 Hospital Drive St Johnsbury VT 058190905 222583253 Health Care Services VT 501(c)3 11, Type II N/A 0 Northeastern Health Enterprises Inc 1315 Hospital Drive St Johnsbury VT 05819 030294757 Management Services VT N/A C 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0