2020-08-17T10:04:41-05:00 2019-09-30 134008324 PRICEWATERHOUSECOOPERS LLP 101 SEAPORT BLVD BOSTON MA 02210 990 2018-10-01 030219309 THE UNIVERSITY OF VERMONT MEDICAL CENTER UNIV 8028475959 111 COLCHESTER AVENUE BURLINGTON VT 05401 DR STEPHEN M LEFFLER PRESIDENT & CHIEF OPERATING OFFICER 8028475959 2020-08-12 1 PAUL J TANIS P01441612 6175305000 155.201.42.78 2020-08-17 10:03:50 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 2C883590389251FE1FB03F52C491E2073105B68D 2018 2020-09-23 17:36:50Z DR STEPHEN M LEFFLER 111 COLCHESTER AVENUE BURLINGTON VT 05401 1616374096 0 X WWW.UVMHEALTH.ORG/MEDCENTER X 1968 VT TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE BY INTEGRATING PATIENT CARE, EDUCATION, AND RESEARCH IN A CARING ENVIRONMENT. 19 16 8686 747 129872 0 9835116 17199818 1400109690 1477791395 23024649 34421871 630956 116499 1433600411 1529529583 2136248 2203682 0 0 784784478 832147624 0 0 4655675 573692393 632849618 1360613119 1467200924 72987292 62328659 1676785691 1695000215 705751679 661290880 971034012 1033709335 X SEE SCHEDULE O 0 0 364741467 706383 473701125 INPATIENT SERVICES. FOR MORE INFORMATION, SEE SCHEDULE O. 528262232 1023068 686070648 OUTPATIENT SERVICES. FOR MORE INFORMATION, SEE SCHEDULE O. 244869469 474231 318019622 PROFESSIONAL SERVICES. FOR MORE INFORMATION, SEE SCHEDULE O. 1137873168 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 1 0 0 0 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 0 0 1 512 0 1 8686 1 1 1 1 BD 0 0 0 1 1 0 0 0 0 0 0 X 19 16 1 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY VT X RICHARD VINCENT 8028472089 111 COLCHESTER AVENUE BURLINGTON VT 05401 X DR JOHN BRUMSTED CEO 8.00 42.00 X X 2005831 0 214241 TIMOTHY DAVIS SECRETARY UNTIL 12/18/TRUSTEE1-3/19 2.00 2.00 X X 0 0 0 PATRICIA DONEHOWER VICE CHR(TIL12/18)/TRUSTEE 2.00 0.00 X X 0 0 0 KERIN STACKPOLE SECRETARY (AS OF 1/19) 2.00 0.00 X X 0 0 0 ALLIE STICKNEY CHAIR 2.00 2.00 X X 0 0 0 ANGELA BATISTA TRUSTEE (AS OF 1/19) 2.00 0.00 X 0 0 0 DR KYM BOYMAN TRUSTEE 2.00 0.00 X 0 0 0 HAL COLSTON TRUSTEE (AS OF 1/19) 2.00 0.00 X 0 0 0 ROSEMARY DALE TRUSTEE (AS OF 6/19) 2.00 0.00 X 0 0 0 JOHN DWYER TRUSTEE 2.00 0.00 X 0 0 0 KATHLEEN SCOTTIE EMERY-GINN TRUSTEE 2.00 2.00 X 0 0 0 JOHN EVANS PHD TRUSTEE 2.00 0.00 X 0 0 0 JAMES FOSTER TRUSTEE 2.00 1.00 X 0 0 0 DR JOSEPH HAGAN TRUSTEE 2.00 0.00 X 0 0 0 DR VIRGINIA HOOD TRUSTEE 2.00 33.00 X 0 149779 12595 DR MARTIN LEWINTER TRUSTEE 2.00 33.00 X 0 119830 21986 THOMAS LITTLE TRUSTEE 2.00 0.00 X 0 0 0 GRETCHEN MORSE TRUSTEE (UNTIL 12/18) 2.00 2.00 X 0 0 0 JOHN NEUHAUSER PHD TRUSTEE (UNTIL 12/18) 2.00 0.00 X 0 0 0 DR RICHARD PAGE TRUSTEE (AS OF 10/18) 2.00 0.00 X 0 0 0 PATRICIA PRELOCK PHD TRUSTEE (UNTIL 6/19) 2.00 0.00 X 0 0 0 ALY RICHARDS TRUSTEE (AS OF 3/19) 2.00 0.00 X 0 0 0 GLEN WRIGHT TRUSTEE 2.00 1.00 X 0 0 0 DR STEPHEN M LEFFLER SEE SCH O FOR TITLE 43.00 7.00 X 745101 0 45897 RICHARD J VINCENT SVP/CFO 48.00 2.00 X 569916 0 51379 EILEEN WHALEN PRESIDENT AND COO (UNTIL 6/19) 45.00 5.00 X 949632 0 45815 THERESA ALBERGHINI DIPALMA NETWORK SVP EXTERNAL RELAT 13.00 37.00 X 502999 0 64931 ADAM P BUCKLEY NETWORK CIO 13.00 37.00 X 625307 0 49373 DR CLAUDE DESCHAMPS PRES/CEO OF UVMHN MG 10.00 40.00 X 620572 0 30259 DR ISABELLE DESJARDINS CHIEF MEDICAL OFFICER 50.00 0.00 X 523275 0 50564 MARY KATE FITZPATRICK CHIEF NURSING OFFICER 50.00 0.00 X 493631 0 32095 DOUGLAS A GENTILE NETWORK CHIEF MEDICAL INFO 25.00 25.00 X 547386 0 46066 LISA L GOODRICH VP MEDICAL GROUP OPERATION 25.00 25.00 X 464276 0 50959 LAURIE A GUNN VP EMPLOYEE PATIENT&FAMILY EXPERIENCE 50.00 0.00 X 382379 0 51056 TODD KEATING NETWORK CFO 8.00 42.00 X 865295 0 29301 SPENCER KNAPP NETWORK GENERAL COUNSEL (TIL 9/18) 8.00 42.00 X 574746 0 40939 DAWN LEBARON VP HOSPITAL SERVICES 50.00 0.00 X 360362 0 42857 KEVIN P MCATEER CHIEF DEVELOPMENT OFFICER 25.00 25.00 X 405148 0 42015 CHARLES M MICELI NETWORK CHIEF SUPPLY CHAIN 13.00 37.00 X 392071 0 44640 ERIC MILLER SEE SCH O FOR TITLE 8.00 42.00 X 357448 0 39167 TODD B MOORE SVP ACCOUNTABLE CARE & REV 0.00 50.00 X 584636 0 51282 JERALD NOVAK NETWORK CHIEF PEOPLE OFFICER 8.00 42.00 X 550336 0 45840 CHRISTINA OLIVER VP CLINICAL SERVICES 50.00 0.00 X 345562 0 51629 DR HOWARD M SCHAPIRO SEE SCH O FOR TITLE 10.00 40.00 X 635089 0 55340 MARC STANISLAS NETWORK VP TREASURY &FINAN 13.00 37.00 X 355289 0 49408 JEFFREY WASSERMAN EXECUTIVE DIRECTOR UVMHN MG 5.00 45.00 X 526196 0 48125 BONITA BRODT NETWORK VP COMM & ENGAGE STRATG 8.00 42.00 X 303038 0 36535 LORI BOISJOLI NETWORK VP, APPLICATION PORTFOLIO 8.00 42.00 X 341309 0 43806 DR MORDECHAI BRONNER PHYSICIAN ANESTHESIA 45.00 0.00 X 369274 0 46281 RAY KELLER DIR MEDICAL INFORMATICS 45.00 0.00 X 302581 0 26564 DR THOMAS KRISTIANSEN PHYSICIAN ORTHO 45.00 0.00 X 316306 0 37021 JOHN GRIECO FMR NETWORK CTO AND VP 8.00 42.00 X 330080 0 44881 JULIE MORSE FMR VP NURSING 50.00 0.00 X 206146 0 53968 ANNA T NOONAN FMR NETWORK VP QUALITY & OP EF 0.00 50.00 X 0 628905 62679 16551217 898514 1659494 665 1 1 0 THE WHITING-TURNER CONTRACTING COMPANY PO BOX 17596 BALTIMORE MD 21297 CONSTRUCTION 45134079 CROSS COUNTRY STAFFING INC PO BOX 404674 ATLANTA GA 303844674 TRAVELING NURSING SERVICES 15607425 CUMBERLAND CONSULTING GROUP LLC 720 COOL SPRINGS BLVD FRANKLIN TN 37067 HEALTHCARE CONSULTING SERVICES 10362093 FARRINGTON CONSTRUCTION CO 4788 SPEAR STREET SHELBURNE VT 05482 CONSTRUCTION 4198745 MAYO MEDICAL LABORATORIES INC PO BOX 9146 MINNEAPOLIS MN 554809146 LABORATORY SERVICES 2806951 181 489188 213200 16497430 410187 17199818 PATIENT SERVICES 900099 1142491459 1142491459 FIXED PROSPECTIVE PAYMENTS 900099 141423105 141423105 PATIENT SERVICES - PHARMACY 446110 105604019 105604019 ALL OTHER PROGRAM SERVICES 900099 81504125 81504125 CAFETERIA 900099 6768687 6768687 1477791395 28698240 129872 28568368 8758 8758 1113005 994687 118318 118318 118318 89000235 2519051 83567177 2237236 5433058 281815 5714873 5714873 39757 489188 45413 -5656 -5656 ARBITRAGE REBATE 900099 3837 3837 3837 1529529583 1477791395 129872 34408498 1760391 1760391 443291 443291 15191721 15191721 378572 378572 636253760 524281139 110299107 1673514 43448107 39007910 4371364 68833 95454517 77312768 17786578 355171 41420947 36271507 5077111 72329 5806822 5806822 1643205 1643205 72000 72000 1053928 1053928 73492973 34344496 37954771 1193706 1360479 8538 1351341 600 243206720 237710229 5227061 269430 32709485 1766438 30943047 22423324 6852732 15422169 148423 3989475 2539584 1227964 221927 4358346 4217936 107061 33349 14740992 7584992 7153931 2069 52681933 28917637 23756943 7353 16683322 13028742 3646409 8171 PROVIDER TAX 72231105 72231105 0 0 ALL OTHER EXPENSES 52618748 21905029 30117311 596408 CONTRACT MAINTENANCE 17728363 11261734 6462237 4392 AFFILIATION COMMITMENT 16048398 16048398 0 0 1467200924 1137873168 324672081 4655675 1069737 629277 159307965 74307286 4798255 4311426 178766185 202774702 21528121 20544939 29746764 30072851 27015215 34762877 1369026158 721742634 584717003 647283524 613999002 617689317 43231979 50394851 12605465 12229165 1676785691 1695000215 169194737 141937721 6259830 5960410 358702500 352462500 132419823 118748117 39174789 42182132 705751679 661290880 X 895731915 960940228 44932538 42596073 30369559 30173034 971034012 1033709335 1676785691 1695000215 X 62328659 -194882 541546 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 112709 0 1 244827 357536 0 LOBBYING ACTIVITY SCHEDULE C, PART II-B THE UNIVERSITY OF VERMONT MEDICAL CENTER, INC. REGULARLY MONITORS THE WORK OF THE VERMONT STATE GOVERNEMENT AND THE NEW YORK STATE GOVERNMENT TO IDENTIFY ISSUES THAT DIRECTLY AFFECT THE ORGANIZATION AND THE MEMBER ORGANIZATIONS OF THE UNIVERSITY OF VERMONT HEALTH NETWORK. COSTS ASSOCIATED WITH THESE ACTIVITIES INCLUDE CONSULTING AND STAFF COSTS AND ARE REPORTED ON LINE G. UVMMC ALSO BELONGS TO ORGANIZATIONS THAT LOBBY ON BEHALF OF THEIR MEMBERS. THESE COSTS ARE INCLUDED ON LINE I. THE LOBBYING ACTIVITIES ENGAGED IN BY UVMMC BENEFIT THE MEMBER ORGANIZATIONS OF THE UVM HEALTH NETWORK LOCATED IN VERMONT AND NORTHERN NEW YORK STATE. 38361267 83106 2419332 1402064 39461641 36335521 214155 3203413 1391822 38361267 33195064 280146 3368944 508633 36335521 32294841 394821 1703483 1198081 33195064 31123368 1336464 429034 594025 32294841 0.46890 0.53110 0 0 26043784 26043784 785253392 333641927 451611465 68446029 46751589 21694440 399759100 331286526 68472574 89523853 10062592 79461261 647283524 BENEFICIAL INTEREST IN HEALTH NETWORK INVESTMENT POOL 617689317 F 617689317 ASSET RETIREMENT OBLIGATION 1920710 ESTIMATED CLAIMS 7012870 SWAP LIABILITY 13568654 ESTIMATED 3RD PARTY SETTLEMENT 17160971 PENSION OBLIGATION 2518927 42182132 X PART V, LINE 4: THE FUNDS, AND ALL NET EARNINGS IN ADDITION THERETO, ARE HELD TO BENEFIT CHARITY, EDUCATION, RESEARCH AND CHILDREN'S PROGRAMS. PART X, LINE 2: THE UNIVERSITY OF VERMONT MEDICAL CENTER, INC. IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE UNIVERSITY OF VERMONT HEALTH NETWORK ("UVM HEALTH NETWORK"). THE FINANCIAL STATEMENT FOOTNOTE STATES: UVM HEALTH NETWORK ACCOUNTS FOR RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION (ASC) 740 INCOME TAXES, WHICH ADDRESSES HOW TO ACCOUNT FOR AND REPORT THE EFFECTS OF TAXES BASED ON INCOME. NO PROVISION FOR UNCERTAIN TAX POSITIONS IS RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 PROGRAM SERVICES SELF INSURANCE 11585317 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS 46430693 0 0 0 0 0 0 58016010 0 58016010 1 0 1 1 0 0 BIG CHANGE ROUNDUP 386552 380811 5741 GOLF TOURNAMENT 142393 108377 34016 18650 10426 16337 528945 489188 39757 18650 10426 16337 45413 -5656 SCHEDULE G, PART II, LINE 11 THE NET INCOME AMOUNT FROM FUNDRAISING EVENTS IS NET OF CHARITABLE CONTRIBUTIONS. 1 1 X 1 X 1 X 1 1 1 0 1 1 12084497 737644 11346853 0.00770 45512 252683185 95062484 157620701 0.10740 0 0 45512 264767682 95800128 168967554 0.11510 4309207 4309207 0.00290 94572817 40333368 54239449 0.03700 165882136 115891679 49990457 0.03410 131846 193112 0 0.00000 1727551 1727551 0.00120 266623557 156418159 110266664 0.07520 45512 531391239 252218287 279234218 0.19030 1 31586779 668602 265733557 337897403 -72163846 X 1 1 1 1 UNIVERSITY OF VERMONT MEDICAL CENTER 111 COLCHESTER AVE BURLINGTON VT 05401 WWW.UVMHEALTH.ORG 860 X X X X X X UNIVERSITY OF VERMONT MEDICAL CENTER 1 0 0 1 X X X X X X X X X X 18 1 0 1 1 X SEE PART V X 1 16 1 SEE PART V 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X HTTPS://UVMHEALTH.ORG/MEDCENTER/PAGES/PATIENTS-AND-VISITORS/BILLING-INSURAN X HTTPS://UVMHEALTH.ORG/MEDCENTER/DOCUMENTS/PFAP_APPLICATION_REVISED_MAR_9_20 X HTTPS://WWW.UVMHEALTH.ORG/MEDCENTER/DOCUMENTS/PFAP_SUMMARY_052015.PDF X X X X X X X 1 X 0 X X X X 1 X 0 0 UNIVERSITY OF VERMONT MEDICAL CENTER PART V, SECTION B, LINE 3J: APPENDIX K OF THE 2016 CHNA DESCRIBES IN DETAIL A NUMBER OF ONGOING PROGRAMS AND ONE TIME FUNDING THAT HAS OCCURRED AS A RESULT OF THE 2013 CHNA PROCESS. SIGNIFICANT INVESTMENT HAS OCCURRED, AND ALTHOUGH IT TAKES TIME TO EVALUATE WHETHER OR NOT ACTIONS ARE MOVING THE NEEDLE ON ISSUES, THE ORGANIZATION FIRMLY BELIEVES THAT THE ACTIONS TAKEN AND FUNDING PROVIDED HAVE HAD A POSITIVE IMPACT ON THE COMMUNITY. UNIVERSITY OF VERMONT MEDICAL CENTER PART V, SECTION B, LINE 5: UVM MEDICAL CENTER TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY WE SERVE IN MANY DIFFERENT WAYS. THE 2016 ASSESSMENT WAS PLANNED IN COLLABORATION WITH THE FOLLOWING COMMUNITY PARTNERS: CHITTENDEN COUNTY REGIONAL PLANNING COMMISSION, COMMUNITY HEALTH CENTERS OF VERMONT, HOWARD CENTER, ONECARE VERMONT, UNITED WAY OF NORTHEAST VERMONT, VERMONT DEPARTMENT OF HEALTH, AND THE VISITING NURSE ASSOCIATION OF CHITTENDEN AND GRAND ISLE COUNTIES.A COMMUNITY SURVEY WAS ADMINISTERED ONLINE DURING THE TWO YEAR PERIOD PRIOR TO ITS PUBLICATION. 1,556 SURVEYS WERE COMPLETED BY ADULT RESIDENTS OF CHITTENDEN AND GRAND ISLE COUNTIES. PAPER SURVEYS WERE DISTRIBUTED WITH TRANSLATED SURVEYS MADE AVAILABLE AT SIX ESL CLASSES IN COLLABORATION WITH THE VERMONT REFUGEE RESETTLEMENT PROGRAM. INTERVIEWS WITH TWENTY SEVEN COMMUNITY LEADERS WERE COMPLETED. LEADERS WERE ASKED QUESTIONS ABOUT THEIR VISION FOR A HEALTHY COMMUNITY, ASSETS AND CHALLENGES IN THEIR COMMUNITY, AND BARRIERS TO HEALTH. LEADERS WERE SELECTED BASED ON VARIOUS AGE GROUPS SERVED (SENIORS, CHILDREN, FAMILIES), AS WELL AS A MIX OF SUBJECT AREAS (LOW-INCOME, REFUGEES, MENTAL HEALTH, SUBSTANCE ABUSE). LEADERS REPRESENTED LOCAL AND STATE GOVERNMENT (AGENCY OF HUMAN SERVICES, DEPARTMENT OF HEALTH, DISTRICT ATTORNEY AND MAYOR OF BURLINGTON), YOUTH ORGANIZATIONS(BOYS & GIRLS CLUB, KIDSAFE COLLABORATIVE, SPECTRUM YOUTH), HEALTH CARE PROVIDERS (UVM MEDICAL CENTER, COMMUNITY HEALTH CENTERS OF BURLINGTON), SENIOR ORGANIZATIONS (C.I.D.E.R, AGE WELL), HOUSING AND HOMELESSNESS (CHAMPLAIN HOUSING TRUST, COTS), LGBTQ COMMUNITY(PRIDE CENTER OF VERMONT), MENTAL HEALTH AND SUBSTANCE ABUSE (HOWARD CENTER, NORTHWESTERN COUNSELING), AND BUSINESS (CHAMBER OF COMMERCE). ADDITIONALLY, A COMMUNITY BREAKFAST WAS HELD WITH 92 COMMUNITY LEADERS ATTENDING FOR IN-DEPTH DISCUSSIONS ON COMMUNITY NEEDS. IN ADDITION, A FOCUS GROUP OF 15 COMMUNITY MEMBERS, PRIMARILY WITH LOWER INCOME LEVELS, WAS CONVENED. UNIVERSITY OF VERMONT MEDICAL CENTER PART V, SECTION B, LINE 11: UVM MEDICAL CENTER'S 2016 CHNA IMPLEMENTATION STRATEGY PRIORITIZED THE FOLLOWING NINE COMMUNITY NEEDS: ACCESS TO HEALTHY FOOD, AFFORDABLE HOUSING, CHRONIC CONDITIONS, EARLY CHILDHOOD AND FAMILY SUPPORTS, HEALTHY AGING, MENTAL HEALTH, ORAL HEALTH, REMOVING BARRIERS TO CARE, AND SUBSTANCE ABUSE. NEEDS ARE BEING ADDRESSED THROUGH A HOSPITAL-WIDE INTERNAL COMMITTEE, FUNDING TO EXTERNAL ORGANIZATIONS ENGAGED IN SELECTED PRIORITY NEEDS, COLLABORATION ON COMMUNITY WIDE COALITIONS AND INITIATIVES, ONGOING PROGRAMS THAT ADDRESS NEEDS, AND INTERNAL STRATEGIC ALIGNMENT.TWO COMMUNITY NEEDS WERE IDENTIFIED IN THE 2016 ASSESSMENT THAT WERE NOTINCLUDED IN THE IMPLEMENTATION STRATEGY: ECONOMIC OPPORTUNITIES AND SEXUALLY TRANSMITTED INFECTIONS AND TEEN BIRTHS. ALTHOUGH UVM MEDICAL CENTER'S ROLE AS A MAJOR ECONOMIC ENGINE WITHIN THE COMMUNITY IS ACKNOWLEDGED, THE STEERING COMMITTEE DECIDED THAT THE MEDICAL CENTER COULD MORE EFFECTIVELY LEAD THE FOCUS ON OTHER HEALTH-RELATED IDENTIFIED NEEDS. AS FOR STIS AND TEEN BIRTHS, THE GROUP AGREED THAT ALTHOUGH THE TREND IS MOVING IN A NEGATIVE DIRECTION, IT REPRESENTS A SMALL PERCENTAGE OF THE POPULATION AND OTHERS IN THE COMMUNITY ARE ADDRESSING THIS NEED. UNIVERSITY OF VERMONT MEDICAL CENTER PART V, SECTION B, LINE 16J: IN ADDITION TO POSTING OUR GUIDELINES AND PLAIN LANGUAGE SUMMARY ONLINE, AT THE TIME OF SERVICE, REGISTRATION AND CHECK-IN STAFF PROVIDE A COPY OF THE PLAIN LANGUAGE SUMMARY TO ALL PATIENTS WHO HAVE OR WILL HAVE A BALANCE AND TO THOSE WHO EXPRESS FINANCIAL HARDSHIP. ADDITIONALLY, PLAIN LANGUAGE SUMMARIES ALONG WITH RACK CARDS REFERENCING OUR ASSISTANCE PROGRAM ARE PLACED IN ALL REGISTRATION WAITING ROOMS. FROM REGISTRATION, PATIENTS ARE ROUTINELY REFERRED TO OUR FINANCIAL ADVOCACY DEPARTMENT OR COMMUNITY HEALTH IMPROVEMENT. BOTH AREAS PROVIDE KNOWLEDGE AND ASSISTANCE IN THE APPLICATION PROCESS FOR CHARITY AND OTHER APPLICABLE FUNDING SOURCES. ADVOCATES ACTIVELY EDUCATE ALL INPATIENT, OBSERVATION AND OUTPATIENT INVASIVE SERVICE PATIENTS OF OUR PROGRAM, PRIOR TO OR CONCURRENT WITH THE PATIENTS' STAY, SUBSEQUENTLY AIDING IN THE APPLICATION PROCESS FOR STATE AID AND UVM MEDICAL CENTER'S FINANCIAL PROGRAM. PART V, PART B, LINE 15E WHILE THE ASSISTANCE POLICY DOES NOT PROVIDE A LIST OF "EXTERNAL" CONTACT INFORMATION FOR NON UVM MEDICAL CENTER PARTIES OR AGENCIES WHO MAY ASSIST PATIENTS IN THE APPLICATION PROCESS, APPLICATION COMPLETION AID IS WELL PUBLISHED WITH MULTIPLE INTERNAL, ORGANIZATIONAL AND UVM MEDICAL CENTER COMMUNITY HEALTH ASSISTANCE TEAM MEMBERS AVAILABLE TO ASSIST OUR PATIENTS. IT IS ALSO IMPORTANT TO NOTE, PATIENTS ARE REVIEWED IN ADVANCE OF SERVICE FOR POTENTIAL HARDSHIP; THE UNINSURED AND UNDERINSURED PATIENTS WHO ARE IDENTIFIED ARE ACTIVELY COUNSELED WITH HELP FOR GOVERNMENT AND EXCHANGE PROGRAMS AS WELL AS ASSISTANCE IN THE UVM MEDICAL CENTER FINANCIAL ASSISTANCE PROGRAM. PART V SECTION B LINE 7A AND 10A HOSPITAL FACILITY WEBSITE HTTPS://WWW.UVMHEALTH.ORG/MEDCENTER/PAGES/ABOUT-UVM-MEDICAL-CENTER/THE-COMMUNITY/NEEDS-ASSESSMENT.ASPX 6 1 - UVM MEDICAL CENTER DIALYSIS S BURLINGTON 35 JOY DRIVE SOUTH BURLINGTON VT 05403 DIALYSIS 2 - UVM MEDICAL CENTER DIALYSIS RUTLAND 160 ALLEN STREET RUTLAND VT 05701 DIALYSIS 3 - UVM MEDICAL CENTER DIALYSIS BERLIN 130 FISHER ROAD BERLIN VT 05602 DIALYSIS 4 - UVM MEDICAL CENTER DIALYSIS ST ALBANS 7-8 CREST ROAD ST ALBANS VT 05478 DIALYSIS 5 - UVM MEDICAL CENTER DIALYSIS BURLINGTON 111 COLCHESTER AVE BURLINGTON VT 05401 DIALYSIS 6 - UVM MEDICAL CENTER DIALYSIS NEWPORT 189 PROUTY DRIVE NEWPORT VT 05855 DIALYSIS PART I, LINE 3C: TO QUALIFY FOR FINANCIAL ASSISTANCE, AN ELIGIBLE PATIENT MUST PASS BOTH AN INCOME AND ASSETS TEST. INCOME IS SET AT A MAXIMUM OF 400% FPLG AND THE ASSETS TEST IS SET AT 400% OF THE VERMONT MEDICAID ASSISTANCE RESOURCE MAXIMUM-HOUSEHOLD, PUBLISHED BY THE VERMONT DEPARTMENT OF CHILDREN & FAMILIES. WHEN ASSETS EXCEED 400%, THE APPLICATION IS DENIED. IF THEY DO NOT EXCEED, ASSISTANCE IS GRANTED BASED UPON THE PATIENT'S INCOME FPLG. PART I, LN 7 COL(F): THE PROVISION FOR BAD DEBT INCLUDED ON FORM 990, PART IX, LINE 25 BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE AMOUNT REPORTED ON LINE 7(F) IS $0. ALL PATIENT RELATED BAD DEBT IS SHOWN AS A DEDUCTION FROM PATIENT REVENUE. PART I, LINE 7 UVM MEDICAL CENTER UTILIZED THE AXIOM COST ACCOUNTING SYSTEM TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE ON LINE 7. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS, INCLUDING, BUT NOT LIMITED TO, INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED AND SELF PAY. THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 WAS ALSO UTILIZED FOR SOME OF THE FIGURES REPORTED IN THE TABLE ON LINE 7.THE UNIVERSITY OF VERMONT MEDICAL CENTER'S ANNUAL MEDICAID PROVIDER TAX IS ASSESSED ON VERMONT ACUTE CARE HOSPITALS BY THE STATE OF VERMONT. THE TAX ASSESSMENT IS CALCULATED AS 6% OF A HOSPITAL'S BASE YEAR NET PATIENT CARE REVENUE. PART III, LINE 2: UVM MEDICAL CENTER'S FINANCIAL STATEMENTS INCLUDE A FOOTNOTE DESCRIBING BAD DEBT EXPENSE. RECEIVABLES ARE REPORTED NET OF AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE PROVISION FOR PATIENT RELATED BAD DEBTS IS REPORTED AS A DEDUCTION FROM GROSS REVENUE. THIS EXPENSE IS DETERMINED AS A PERCENTAGE OF GROSS PATIENT SERVICE REVENUE BASED ON ACTUAL WRITE-OFF HISTORY, REVIEWED ON A QUARTERLY BASIS AND ADJUSTED ON A SEMI-ANNUAL BASIS. PART III, LINE 3: THE AMOUNT OF BAD DEBT REPORTED ON PART III, LINE 2 REPRESENTS THE TOTAL PROVISION FOR BAD DEBT ON THE INCOME STATEMENT. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE NETTED AGAINST THE TOTAL GROSS CHARGES WHEN DETERMINING BAD DEBT EXPENSE. THE $668,602 REFLECTS THE ADJUSTED BAD DEBT EXPENSE FOR ALL PATIENTS WHO SUBMITTED AN INITIAL APPLICATION, HOWEVER, UPON FOLLOW-UP DID NOT RESPOND TO REQUESTS FOR ADDITIONAL INFORMATION OR SUPPORTING DOCUMENTATION. UVM MEDICAL CENTER HAS A DATABASE WHICH TRACKS ALL APPLICATIONS AND THEIR STATUS; A QUERY EXTRACTED ALL INCOMPLETE/NON RESPONSIVE ARCHIVED APPLICATIONS PROVIDING A LIST OF PATIENTS & DEPENDENTS. SUBSEQUENTLY, A QUERY OF ASSOCIATED PATIENT SERVICES FROM 10/1/18-9/30/19 FOR "SELF-PAY AND COLLECTION ACCOUNTS WAS EXTRACTED FROM THE BILLING SYSTEM.UVM MEDICAL CENTER ATTEMPTS TO ENSURE THAT CONSPICUOUS DISPLAY OF OUR FINANCIAL ASSISTANCE POLICY APPEARS THROUGHOUT OUR FACILITY. PART III, LINE 4: THE ORGANIZATION'S BAD DEBT EXPENSE IS ADDRESSED ON PAGES 46-47, IN FOOTNOTE 19 OF ITS MOST RECENT AUDITED FINANCIAL STATEMENTS. PART III, LINE 8: THE AMOUNT REPORTED IN PART III, LINE 6, MEDICARE ALLOWABLE COSTS OF CARE, IS DERIVED FROM UVM MEDICAL CENTER'S FYE 9/30/19 MEDICARE COST REPORT, WORKSHEET D-1, COMPUTATION OF INPATIENT OPERATING COSTS, WORKSHEET E PART B, CALCULATION OF OUTPATIENT SETTLEMENT, AND WORKSHEET I-4, COMPUTATION OF AVERAGE COST PER TREATMENT FOR OUTPATIENT RENAL DIALYSIS. WHILE UVM MEDICAL CENTER HAS HISTORICALLY FOLLOWED THE CATHOLIC HOSPITAL ASSOCIATION'S GUIDANCE AND HAS NOT CONSIDERED ANY MEDICARE SHORTFALL (REPORTED IN PART III, LINE 7) AS A COMMUNITY BENEFIT, IT IS LIKELY THAT SOME PORTION OF MEDICARE PATIENTS WOULD HAVE QUALIFIED FOR CHARITY CARE UNDER OUR POLICIES IN THE ABSENCE OF MEDICARE COVERAGE, SUCH THAT SHORTFALLS ASSOCIATED WITH THOSE PATIENTS WOULD OTHERWISE HAVE BEEN INCLUDED IN OUR COMMUNITY BENEFITS. PART III, LINE 9B: THE UVM MEDICAL CENTER CREDIT AND COLLECTIONS POLICY IS DETACHED IN TERMS OF WHETHER PATIENTS QUALIFY FOR ASSISTANCE. INVOICES OF PATIENTS WHO DO QUALIFY OR ARE KNOWN TO QUALIFY WILL NOT AGE TO COLLECTIONS. BALANCES THAT REMAIN UNPAID AFTER THE APPROPRIATE DISCOUNT HAS BEEN ADJUSTED WILL AGE TO COLLECTIONS.AN EXTENSION OF UP TO 120 DAYS CAN BE GRANTED IN THE COLLECTION AGENCY WINDOW WHEN PATIENTS APPLY AND ARE APPROVED FOR ASSISTANCE WITHIN THE APPLICATION WINDOW.THE COLLECTION PROCESS IN PLACE AT UVM MEDICAL CENTER INCLUDES GENERATION OF MONTHLY STATEMENTS, FOLLOWED BY A PRE-COLLECTION LETTER OVER THE COURSE OF 120 DAYS. IN THE CASE OF UNDELIVERABLE MAIL, EFFORTS WILL BE MADE TO REACH THE PATIENT BY TELEPHONE. IF A NEW BILLING ADDRESS IS OBTAINED, THE 120 DAY WINDOW WILL BEGIN AGAIN. IF NO CONTACT CAN BE MADE AND PAYMENT IS NOT RECEIVED WITHIN THE REVISED 120 DAY WINDOW, THE ACCOUNT WILL BE REFERRED TO A COLLECTION AGENCY. IF CONTACT IS MADE, THE PATIENT WILL BE OFFERED A BUDGET PLAN. ALL STATEMENTS, LETTERS AND CONTACT WILL INCLUDE THE FACT THAT FINANCIAL ASSISTANCE IS AVAILABLE. SCHEDULE H PART V: IN ADDITION TO THE FACILITIES OPERATED BY THE UNIVERSITY OF VERMONT MEDICAL CENTER, INC. (UVM MEDICAL CENTER) LISTED IN SECTION A AND SECTION D, UVM MEDICAL CENTER OPERATES 30 ADDITIONAL CLINIC SITES AROUND ITS SERVICE AREA. EACH OF THESE SITES IS COVERED UNDER THE UVM MEDICAL CENTER HOSPITAL LICENSE. ALL LISTED OR NON-LISTED FACILITIES OPERATED BY UVM MEDICAL CENTER OR ITS SUBSIDIARIES FOLLOW ALL OF THE SAME POLICIES AND PROCEDURES AS THE UVM MEDICAL CENTER. PART VI, LINE 2: NEEDS ASSESSMENT: UVM HEALTH NETWORK AND UVM MEDICAL CENTER WORK DILIGENTLY TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE. THE CREATION OF THE NETWORK STRATEGIC PLAN INCLUDES COMMUNITY AS ONE OF THREE PILLARS. GATHERING INFORMATION FOR THIS PILLAR INVOLVES QUERYING KEY LEADERS AND BOARD MEMBERS OF EACH OF OUR ORGANIZATIONS REGARDING THE MOST PRESSING NEEDS THEY HAVE BECOME AWARE OF IN THE COURSE OF THEIR WORK. INFORMATION MAY COME FROM CIRCUMSTANCES ENCOUNTERED, KNOWLEDGE OF THE STATE OF THE COMMUNITY, WORK WITH LOCAL AND STATE OFFICIALS, AND THE EFFORTS OF LOCAL AGENCIES, TO NAME A FEW. THE KNOWLEDGE GAINED FROM THIS PROCESS IS USED TO CREATE THE NETWORK'S STRATEGIC PLAN WHICH THEN IS FURTHER REFINED FOR THE MEDICAL CENTER SPECIFICALLY. THE STRATEGIC PLAN BECOMES THE BACKDROP AGAINST WHICH ALL WORK FOR THE NEXT YEAR IS ASSESSED. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: UVM MEDICAL CENTERUTILIZES A VARIETY OF METHODS TO INFORM, EDUCATE AND ASSIST PATIENTS INIDENTIFYING PAYMENT SOURCES, INCLUDING STATE / FEDERAL PROGRAMS AS WELLAS OUR PATIENT ASSISTANCE PROGRAM.INFORM & EDUCATE:PATIENT EDUCATION IS PROVIDED ACROSS THE CONTINUUM OF CARE. PATIENTBENEFIT ADVISORS, FINANCIAL ADVOCATES, REGISTRARS, CASE MANAGERS, SOCIALWORKERS AND CUSTOMER SERVICE REPRESENTATIVES ACTIVELY INFORM AND EDUCATE PATIENTS ON THE PROGRAM, GUIDELINES, REQUIREMENTS FROM:- PRE-ARRIVAL SCREENING/REGISTRATION TO POINT OF SALE EDUCATION ATREGISTRATION- AT THE BEDSIDE OF AN INPATIENT OR OBSERVATION PATIENT- AFTER DISCHARGE WITH CONTINUED FOLLOW-UP BY FINANCIAL ADVOCATES AND- DURING THE SELF-PAY BILLING FOLLOW-UP PROCESS.PATIENTS ARE INFORMED OF THE PROGRAM, APPLICATIONS AND ASSISTANCE WITHCOMPLETION ARE PROVIDED WITH FINANCIAL ADVOCATES ALSO PROVIDING EDUCATIONAND ASSISTANCE FOR MEDICAID AND HEALTH INFORMATION EXCHANGE PROGRAMS,ALONG WITH ASSISTANCE IN APPLYING FOR THE UVM MEDICAL CENTER FINANCIALASSISTANCE PROGRAM. PATIENTS ARE ROUTINELY REFERRED TO ADVOCATES ANDADVISORS IN ADVANCE OF SERVICE WITH ADVOCATES ACTIVELY ASSISTING PATIENTSWHO ARE ADMITTED TO THE ORGANIZATION URGENTLY OR EMERGENTLY. POLICIES,SUMMARIES AND APPLICATIONS ARE AVAILABLE AT ALL REGISTRATION LOCATIONS,THEY ARE REFERENCED IN ALL INTERVIEW PROCESSES AND FURTHER AVAILABLE INTHE WAITING AREAS. OUR ORGANIZATIONAL WEBSITES PROVIDE EDUCATION, APPLICATIONS, POLICIES, SUMMARIES, FAQ DOCUMENTS ALONG WITH CONTACTINFORMATION AS A PASSIVE MEANS OF COMMUNICATION IN ADDITION TO THE ACTIVEEDUCATION REFERENCED PREVIOUSLY. OUR BILLING STATEMENTS REFLECTFINANCIAL ASSISTANCE HELP AND OUR COMMUNITY BENEFIT TEAM EDUCATE WITHINTHE COMMUNITY ON OUR PROGRAMS. APPLICATIONS AND INFORMATION AREADDITIONALLY AVAILABLE IN THE LOCAL COMMUNITY HEALTH CENTERS.ASSIST:- ALL INPATIENT AND OUTPATIENT PROCEDURES ARE FINANCIALLY SCREENED TOIDENTIFY THE UNDERINSURED OR UNINSURED PATIENT POPULATION. PRIOR TOSERVICE, CONCURRENT WITH SERVICE AND POST SERVICE, OUR PATIENT FINANCIALCOUNSELORS WILL CALL AND/OR MEET WITH PATIENTS AND FAMILIES TO EDUCATETHEM ON THE AVAILABLE PROGRAMS AND WHERE APPLICABLE, ASSIST IN THEAPPLICATION PROCESS. THIS INCLUDES STATE AND FEDERAL AID APPLICATIONS ANDTHE UVM MEDICAL CENTER CHARITY APPLICATION PROCESS.- OUR FINANCIAL COUNSELORS/ADVOCATES HAVE BEEN CERTIFIED AS ASSISTERS INTHE STATE OF VT AND WILL ADDITIONALLY AID PATIENTS IN THE APPLICATIONPROCESS FOR HEALTH EXCHANGE INSURANCE, MEDICAID AND THE FINANCIAL ASSISTANCE PROGRAMS. COUNSELORS WILL ADDITIONALLY MEET WITH PATIENTS ATTHE BEDSIDE TO HELP COMPLETE THE APPLICATIONS, PROVIDE DETAILS ONSUPPORTING DOCUMENTATION NEEDS AND FACILITATE AND EXPEDITE THE REVIEWPROCESS UNTIL A NOTICE OF DECISION HAS BEEN RECEIVED.- OUR COMMUNITY HEALTH IMPROVEMENT OFFICE PROVIDES EDUCATION AND APPLICATION ASSISTANCE FOR A VARIETY OF PROGRAMS, INCLUDING THE STATE AND FEDERAL MEDICAID APPLICATION PROCESS, THE PATIENT ASSISTANCE PROGRAM APPLICATION (CHARITY) AS WELL AS ASSIST WITH FINANCIAL ASSISTANCE TO PATIENTS FOR PHARMACEUTICALS. PROCESSES HAVE BEEN ESTABLISHED TO REFER URGENT CARE AND EMERGENCY DEPARTMENT PATIENTS TO THE PROGRAM, WHERE CASE MANAGERS ASSIST IN BOTH THE APPLICATION PROCESS AND COMMUNITY RESOURCE NEEDS IDENTIFICATION. ADDITIONALLY, THE CASE MANAGERS RECEIVE AND REVIEW REPORTS FOR THE UNINSURED EMERGENCY PATIENTS WHO HAVE FREQUENTED THE EMERGENCY DEPARTMENT MORE THAN 1 TIME PER MONTH. THE MANAGERS WILL THEN REACH OUT TO THE PATIENTS, SEEKING TO ASSIST PATIENTS IN IDENTIFYING FINANCIAL SPONSORSHIP. PART VI, LINE 4: COMMUNITY INFORMATION: UVM MEDICAL CENTER IS BOTH A COMMUNITY HOSPITALAND, IN PARTNERSHIP WITH THE UNIVERSITY OF VERMONT, THE STATE'S ONLYACADEMIC MEDICAL CENTER. IN ITS COMMUNITY HOSPITAL ROLE, UVM MEDICALCENTER SERVES APPROXIMATELY 168,000 RESIDENTS IN CHITTENDEN AND GRANDISLE COUNTIES AND PROVIDES PRIMARY CARE SERVICES AT ELEVEN VERMONT SITES.THE ORGANIZATION ALSO OFFERS FREE TO THE COMMUNITY A WIDE RANGE OFHEALTH, PREVENTION AND WELLNESS PROGRAMS, ALL OF WHICH HELP TO LIMIT THENEED FOR MORE EXPENSIVE ACUTE CARE. AS A REGIONAL REFERRAL CENTER, UVMMEDICAL CENTER PROVIDES ADVANCED-LEVEL CARE TO A POPULATION OF APPROXIMATELY ONE MILLION PEOPLE THROUGHOUT VERMONT AND NORTHERN NEW YORK. UVM MEDICAL CENTER EXTENDS BEYOND ITS FOUR MAIN CAMPUSES IN THE BURLINGTON AREA TO INCLUDE MORE THAN 30 PATIENT CARE SITES AND OVER 100 OUTREACH CLINICS, PROGRAMS AND SERVICES THROUGHOUT THE REGION. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH: UVM MEDICAL CENTER IS GOVERNED BY A BOARD OF COMMUNITY VOLUNTEERS FROM OUR SERVICE AREA, INCLUDING OUR PRIMARY, SECONDARY AND TERTIARY REFERRAL REGION. THE MAJORITY OF BOARD MEMBERS ARE INDEPENDENT AND NOT DIRECTLY AFFILIATED WITH THE ORGANIZATION. UVM MEDICAL CENTER'S MEDICAL STAFF IS AN "OPEN STAFF" MODEL WITH MEMBERSHIP GOVERNED BY THE MEDICAL STAFF'S BY-LAWS, AND INCLUDES APPROXIMATELY 720 EMPLOYED PHYSICIANS AND 170 COMMUNITY-BASED PHYSICIANS. AS A NON-PROFIT, ANY SURPLUS FUNDS GENERATED BY UVM MEDICAL CENTER ARE RE-INVESTED IN OUR ORGANIZATION TO SUPPORT OUR MISSION. PLEASE SEE SCHEDULE O FOR A MORE DETAILED DESCRIPTION OF UVM MEDICAL CENTER'S ROLE IN OUR REGIONAL HEALTH CARE SYSTEM AND OUR COMMUNITY BENEFIT ACTIVITIES. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM: AS OF OCTOBER 1, 2011, THE UNIVERSITY OF VERMONT MEDICAL CENTER, INC. (UVM MEDICAL CENTER) AND THE UNIVERSITY OF VERMONT HEALTH NETWORK-CENTRAL VERMONT MEDICAL CENTER, INC. (UVM HEALTH NETWORK-CENTRAL VERMONT MEDICAL CENTER), BECAME MEMBERS OF THE UNIVERSITY OF VERMONT HEALTH NETWORK, (UVM HEALTH NETWORK), AN INTEGRATED SYSTEM OF CARE SERVING THE COMMUNITIES OF VERMONT AND NORTHERN NEW YORK. ON JANUARY 1, 2013 UVM HEALTH NETWORK BECAME THE SOLE MEMBER OF COMMUNITY PROVIDERS, INC. (CPI), THE SOLE MEMBER OF CENTRAL VERMONT PHYSICIANS HOSPITAL (CVPH), ELIZABETHTOWN COMMUNITY HOSPITAL (ECH) AND ALICE HYDE MEDICAL CENTER (AHMC). ON APRIL 1, 2017, UVM HEALTH NETWORK BECAME THE SOLE MEMBER OF PORTER MEDICAL CENTER, INC. ON JANUARY 1, 2018 UVM HEALTH NETWORK ALSO BECAME THE SOLE MEMBER OF UVM HEALTH NETWORK HOME HEALTH & HOSPICE. UVM HEALTH NETWORK IS CARRYING OUT CENTRALIZED ACTIVITIES FOR THE BENEFIT OF PATIENTS OF ALL PARTNER ORGANIZATIONS, INCLUDING IMPROVING ACCESS TO LOCAL CARE, COST SAVINGS THROUGH GREATER JOINT PURCHASING POWER, ENHANCING INFORMATION TECHNOLOGY, INCREASING ACADEMIC OPPORTUNITIES FOR PHYSICIANS, ENGAGING IN REGIONAL STRATEGIC PLANNING, AND PARTICIPATING IN JOINT QUALITY AND CLINICAL INITIATIVES, AND COLLABORATIVE EFFORTS. UVM MEDICAL CENTER REGULARLY PARTNERS WITH OTHER ORGANIZATIONS AND PROVIDERS TO HELP MEET THE NEEDS OF OUR COMMUNITY. THIS INCLUDES WORKING WITH OTHER ORGANIZED SYSTEMS OF CARE (LIKE HOME HEALTH AGENCIES, OTHER VERMONT HOSPITALS, AND PHYSICIAN PRACTICES), AS WELL AS COMMUNITY-BASED ORGANIZATIONS WHOSE MISSIONS ARE SIMILAR TO OURS. FOR EXAMPLE, UVM MEDICAL CENTER COLLABORATES WITH COMMUNITY PARTNERS TO REGULARLY ASSESS COMMUNITY AND HEALTH CARE NEEDS, WHICH HELPS GUIDE OUR ORGANIZATION'S PRIORITIES. PLEASE READ FORM 990 PART III NARRATIVE IN SCHEDULE O FOR ADDITIONAL INFORMATION ON THE UVM MEDICAL CENTER'S INTERACTIONS IN AND WITH ITS COMMUNITY. PART VI, LINE 7 THE UNIVERSITY OF VERMONT MEDICAL, INC. FILES A COMMUNITY BENEFIT REPORT WITH THE STATE OF VERMONT. 1 AMERICAN CANCER SOCIETY 30 SPEEN STREET FRAMINGHAM MA 01701 131788491 501(C)(3) 51750 COMMUNITY HEALTH IMPROVEMENT ANEW PLACE PO BOX 1481 BURLINGTON VT 05401 030287599 501(C)(3) 50000 COMMUNITY HEALTH IMPROVEMENT AREA HEALTH EDUCATION CENTER 1 SO PROSPECT ST BURLINGTON VT 05401 030179440 501(C)(3) 260000 COMMUNITY HEALTH IMPROVEMENT BOYS AND GIRLS CLUB OF BURLINGTON INC 62 OAK STREET BURLINGTON VT 05401 030179307 501(C)(3) 41000 COMMUNITY HEALTH IMPROVEMENT BUILDING BRIGHT FUTURES 600 BLAIR PARK RD WILLISTON VT 05495 452392293 501(C)(3) 70000 COMMUNITY HEALTH IMPROVEMENT BURLINGTON HOUSING AUTHORITY 65 MAIN STREET BURLINGTON VT 05401 030216305 OTHER GOV'T 50000 COMMUNITY HEALTH IMPROVEMENT CENTER FOR HEALTH AND LEARNING 28 VERNON ST SUITE 319 BRATTLEBORO VT 05301 030351024 501(C)(3) 95622 COMMUNITY HEALTH IMPROVEMENT COMMUNITY HEALTH CENTERS OF BURLINGTON 617 RIVERSIDE AVENUE BURLINGTON VT 05401 237182584 501(C)(3) 102500 COMMUNITY HEALTH IMPROVEMENT CHAMPLAIN VALLEY PHYSICIANS HOSPITAL 75 BEEKMAN ST PLATTSBURGH NY 12903 141727048 501(C)(3) 26000 COMMUNITY HEALTH IMPROVEMENT FLYNN CENTER INC 153 MAIN STREET BURLINGTON VT 05401 030277052 501(C)(3) 13000 COMMUNITY HEALTH IMPROVEMENT HOWARD CENTER 208 FLYNN AVENUE BURLINGTON VT 05401 030179433 501(C)(3) 154000 COMMUNITY HEALTH IMPROVEMENT HUNGER FREE VERMONT 33 EASTWOOD DRIVE 100 SO BURL VT 05403 030336357 501(C)(3) 100000 COMMUNITY HEALTH IMPROVEMENT KIDSAFE COLLABORATIVE 45 KILBURN STREET BURLINGTON VT 05401 030303867 501(C)(3) 28000 COMMUNITY HEALTH IMPROVEMENT MERCY CONNECTIONS INC 255 SOUTH CAMPLAIN ST SUITE 8 BURLINGTON VT 05401 030369962 501(C)(3) 15250 COMMUNITY HEALTH IMPROVEMENT NATIONAL ACADEMY OF SCIENCES 500 FIFTH ST NW KECK 830 WASHINGTON DC 20001 530196932 501(C)(3) 15000 COMMUNITY HEALTH IMPROVEMENT NFI VT INC 30 AIRPORT ROAD SO BURL VT 05403 030304434 501(C)(3) 50000 COMMUNITY HEALTH IMPROVEMENT PATHWAYS VERMONT INC 125 COLLEGE ST STE 2 BURLINGTON VT 05401 300604758 501(C)(3) 50000 COMMUNITY HEALTH IMPROVEMENT SPECIAL OLYMPICS VERMONT 16 GREGORY DRIVE SUITE 2 SO BURL VT 05403 237231535 501(C)(3) 57500 COMMUNITY HEALTH IMPROVEMENT UNITED WAY OF CHITTENDEN COUNTY 412 FARRELL STREET SO BURL VT 05403 030217229 501(C)(3) 35000 COMMUNITY HEALTH IMPROVEMENT UVM FOUNDATION 411 MAIN STREET BURLINGTON VT 05401 451556038 501(C)(3) 310572 COMMUNITY HEALTH IMPROVEMENT VT BUSINESS ROUNDTABLE 30 KIMBALL AVENUE SUITE 300 SO BURL VT 05403 222867726 501(C)(3) 50000 COMMUNITY HEALTH IMPROVEMENT VERMONT CHAMBER FOUNDATION PO BOX 37 MONTPELIER VT 05601 030335635 501(C)(3) 20000 COMMUNITY HEALTH IMPROVEMENT 22 0 NURSING SCHOLARSHIPS 25 90625 ALLIED HEALTH SCHOLARSHIPS 21 60267 ENDOWMENT SCHOLARSHIPS 7 10000 SOCIAL WORK INDIGENT NON-CASH 214 282398 FMV PHARMACEUTICALS, CREMATION SVCS, MEDICAL SUPPLIES, ETC. PART I, LINE 2: UNIVERSITY OF VERMONT MEDICAL CENTER, INC. (UVM MEDICAL CENTER) REQUIRES ITS GRANTEES TO PROVIDE SEMI-ANNUAL AND FINAL REPORTS WITH PERCENTAGES OF AWARD GOALS COMPLETED AS OF THE REPORT DATE. SCHOLARSHIP MONITORING THE ORGANIZATION REQUIRES STRICT APPLICATION AND APPROVAL CRITERIA FOR SCHOLARSHIP RECIPIENTS TO MAINTAIN THE INTEGRITY OF EACH RESPECTIVE AWARD. NURSING SCHOLARSHIPS: NURSING SCHOOL ASSISTANCE IS AWARDED TO APPLICANTS IN ORDER FOR THEM TO OBTAIN A DEGREE IN NURSING. FOR THE APPLICANT TO QUALIFY FOR THE SCHOLARSHIP, HE/SHE MUST AGREE TO USE IT TO HELP FURTHER UVM MEDICAL CENTER'S CHARITABLE STATUS. THIS IS DONE BY HAVING THE APPLICANT COMMIT TO TWO YEARS OF SERVICE AT THE ORGANIZATION AFTER SUCCESSFUL COMPLETION OF THE DEGREE PROGRAM. IN ADDITION, A WRITTEN PROPOSAL STATING HOW ATTAINMENT OF THE DEGREE WILL BENEFIT NURSING AT THE ORGANIZATION IS REQUIRED. ALLIED HEALTH SCHOLARSHIPS: ALLIED HEALTH SCHOLARSHIPS ARE AWARDED TO SUPPORT THE CAREER DEVELOPMENT OF UVM MEDICAL CENTER'S EMPLOYEES IN POSITION CATEGORIES WHERE CURRENT AND PROJECTED SHORTAGES EXIST. FOR THE APPLICANT TO QUALIFY FOR THE SCHOLARSHIP, HE OR SHE MUST BE AN EMPLOYEE OF UVM MEDICAL CENTER FOR ONE YEAR OR MORE, COMPLETE AN APPLICATION AND WRITTEN ESSAY, HAVE A HISTORY OF SOLID JOB PERFORMANCE, BE ACCEPTED INTO AN APPROVED ACADEMIC PROGRAM, AND PROVIDE TWO LETTERS OF RECOMMENDATION. ONCE THE SCHOLARSHIP IS AWARDED, RECIPIENTS MUST SIGN AN AGREEMENT TO WORK FOR UVM MEDICAL CENTER FOR A MINIMUM OF THREE YEARS UPON GRADUATION, TAKE A MINIMUM OF SIX CREDIT HOURS EACH SEMESTER, MAINTAIN HIGH GRADES, AND WORK A MINIMUM OF 20 HOURS PER WEEK. SCHOLARSHIPS FROM THE NURSING EDUCATION ENDOWMENT FUND AND THE MARY FLETCHER HOSPITAL SCHOOL OF NURSING ALUMNI FUND: ASSISTANCE FROM THE NURSING EDUCATION ENDOWMENT FUND IS AWARDED TO ELIGIBLE APPLICANTS GOING INTO THE NURSING FIELD. APPLICANTS MUST BE EMPLOYED AT LEAST TWO YEARS AT UVM MEDICAL CENTER, WORK AT LEAST 40 HOURS PER PAY PERIOD, BE ENROLLED IN A NURSING CERTIFICATE, DEGREE OR DOCTORATE PROGRAM, AND HAVE NO CURRENT DISCIPLINARY ACTION IN THEIR FILE. DECISION TO APPROVE FUNDING IS BASED ON THE APPLICANT'S COMPLETED APPLICATION FORM, TWO LETTERS OF RECOMMENDATION, AND COMMITMENT TO TWO YEARS OF SERVICE AT UVM MEDICAL CENTER AFTER SUCCESSFUL COMPLETION OF THE DEGREE PROGRAM. ASSISTANCE FROM THE MARY FLETCHER HOSPITAL SCHOOL OF NURSING ALUMNI FUND IS ALSO AWARDED TO ELIGIBLE APPLICANTS GOING INTO THE NURSING FIELD. APPLICANTS MUST BE ENROLLED IN EITHER A FORMAL OR CONTINUING EDUCATION PROGRAM RELATED TO SOME ASPECT OF HEALTH CARE (FOR EXAMPLE, HOLISTIC NURSING, CHILD-BIRTH EDUCATION, CHEMICAL DEPENDENCY, NURSE PRACTITIONER). IN ADDITION, APPLICANTS MUST MEET THE FOLLOWING REQUIREMENTS: BE EMPLOYED BY UVM MEDICAL CENTER FOR AT LEAST ONE YEAR, AND PROVIDE A COMPLETED APPLICATION FORM, RESUME, WRITTEN ESSAY AND TWO LETTERS OF RECOMMENDATION. SOCIAL WORK INDIGENT NON-CASH MONITORING COSTS ARE CATALOGUED AND TRACKED THROUGH A COORDINATED PROCESS THAT INCLUDES CASE MANAGEMENT AND FINANCIAL SPECIALISTS IN ORDER TO CONFIRM ELIGIBILITY OF RECIPIENTS AND COMPLIANCE WITH POLICY. X 0 0 X X X X 0 1 0 0 0 0 0 1 0 DR JOHN BRUMSTED CEO 1012428 0 428283 0 565120 0 187243 0 26998 0 2220072 0 287334 0 DR VIRGINIA HOOD TRUSTEE 0 134679 0 0 0 15100 0 11484 0 1111 0 162374 0 0 DR STEPHEN M LEFFLER SEE SCH O FOR TITLE 510483 0 157575 0 77043 0 24750 0 21147 0 790998 0 0 0 RICHARD J VINCENT SVP/CFO 399653 0 87570 0 82693 0 24750 0 26629 0 621295 0 0 0 EILEEN WHALEN PRESIDENT AND COO (UNTIL 6/19) 642385 0 185456 0 121791 0 24750 0 21065 0 995447 0 0 0 THERESA ALBERGHINI DIPALMA NETWORK SVP EXTERNAL RELAT 326566 0 101301 0 75132 0 43000 0 21931 0 567930 0 0 0 ADAM P BUCKLEY NETWORK CIO 431485 0 127064 0 66758 0 19250 0 30123 0 674680 0 0 0 DR CLAUDE DESCHAMPS PRES/CEO OF UVMHN MG 370242 0 173488 0 76842 0 24750 0 5509 0 650831 0 0 0 DR ISABELLE DESJARDINS CHIEF MEDICAL OFFICER 380724 0 85079 0 57472 0 24750 0 25814 0 573839 0 0 0 MARY KATE FITZPATRICK CHIEF NURSING OFFICER 343185 0 75269 0 75177 0 19250 0 12845 0 525726 0 0 0 DOUGLAS A GENTILE NETWORK CHIEF MEDICAL INFO 377864 0 66240 0 103282 0 24750 0 21316 0 593452 0 0 0 LISA L GOODRICH VP MEDICAL GROUP OPERATION 334534 0 66297 0 63445 0 24750 0 26209 0 515235 0 0 0 LAURIE A GUNN VP EMPLOYEE PATIENT&FAMILY EXPERIENC 295512 0 53209 0 33658 0 24750 0 26306 0 433435 0 0 0 TODD KEATING NETWORK CFO 583615 0 193123 0 88557 0 24750 0 4551 0 894596 0 0 0 SPENCER KNAPP NETWORK GENERAL COUNSEL (TIL 9/18) 308602 0 129688 0 136456 0 24750 0 16189 0 615685 0 0 0 DAWN LEBARON VP HOSPITAL SERVICES 246568 0 44202 0 69592 0 31409 0 11448 0 403219 0 0 0 KEVIN P MCATEER CHIEF DEVELOPMENT OFFICER 287074 0 50297 0 67777 0 19250 0 22765 0 447163 0 0 0 CHARLES M MICELI NETWORK CHIEF SUPPLY CHAIN 286799 0 48051 0 57221 0 24750 0 19890 0 436711 0 0 0 ERIC MILLER SEE SCH O FOR TITLE 272244 0 59982 0 25222 0 19250 0 19917 0 396615 0 0 0 TODD B MOORE SVP ACCOUNTABLE CARE & REV 403603 0 118214 0 62819 0 24750 0 26532 0 635918 0 0 0 JERALD NOVAK NETWORK CHIEF PEOPLE OFFICER 380393 0 111518 0 58425 0 19250 0 26590 0 596176 0 0 0 CHRISTINA OLIVER VP CLINICAL SERVICES 250348 0 44202 0 51012 0 32020 0 19609 0 397191 0 0 0 DR HOWARD M SCHAPIRO SEE SCH O FOR TITLE 415401 0 150876 0 68812 0 33000 0 22340 0 690429 0 0 0 MARC STANISLAS NETWORK VP TREASURY &FINAN 243205 0 44107 0 67977 0 23982 0 25426 0 404697 0 0 0 JEFFREY WASSERMAN EXECUTIVE DIRECTOR UVMHN MG 366099 0 95448 0 64649 0 24750 0 23375 0 574321 0 0 0 BONITA BRODT NETWORK VP COMM & ENGAGE STRATG 236175 0 39984 0 26879 0 15934 0 20601 0 339573 0 0 0 LORI BOISJOLI NETWORK VP, APPLICATION PORTFOLIO 260045 0 37698 0 43566 0 18536 0 25270 0 385115 0 0 0 DR MORDECHAI BRONNER PHYSICIAN ANESTHESIA 322397 0 0 0 46877 0 19250 0 27031 0 415555 0 0 0 RAY KELLER DIR MEDICAL INFORMATICS 266634 0 22172 0 13775 0 24750 0 1814 0 329145 0 0 0 DR THOMAS KRISTIANSEN PHYSICIAN ORTHO 274788 0 0 0 41518 0 33000 0 4021 0 353327 0 0 0 JOHN GRIECO FMR NETWORK CTO AND VP 281972 0 46960 0 1148 0 19250 0 25631 0 374961 0 0 0 JULIE MORSE FMR VP NURSING 177927 0 18146 0 10073 0 23569 0 30399 0 260114 0 0 0 ANNA T NOONAN FMR NETWORK VP QUALITY & OP EF 0 325995 0 274143 0 28767 0 29742 0 32937 0 691584 0 0 SCHEDULE J, PART I, QUESTION 1A PERSONAL SERVICE COMPENSATION CERTAIN UVM MEDICAL CENTER OFFICERS AND KEY EMPLOYEES RECEIVED COMPENSATION OF $1,400 TO COVER TAX PREPARATION AND FINANCIAL ADVISORY SERVICES. WHILE THERE IS NO ORGANIZATION-WIDE WRITTEN POLICY REGARDING PAYMENT, THE AMOUNT IS INCLUDED IN THE RESPECTIVE INDIVIDUAL'S EMPLOYMENT CONTRACT WHICH IS DETERMINED THROUGH ANNUAL REVIEW (AS DISCUSSED IN SCHEDULE O). PERSONAL SERVICE COMPENSATION IS A FLAT AMOUNT INCLUDED IN THE INDIVIDUAL'S RESPECTIVE FORM W-2 AS TAXABLE INCOME. NO REIMBURSEMENT IS MADE UNDER AN ACCOUNTABLE PLAN; THEREFORE, SUBSTANTIATION OF EXPENSE IS UNNECESSARY. COMPENSATION DETERMINATION SCHEDULE J, PART I, QUESTION 3 THE UNIVERSITY OF VERMONT MEDICAL CENTER, INC. ("UVM MEDICAL CENTER") RELIED ON UNIVERSITY OF VERMONT HEALTH NETWORK ("UVM HEALTH NETWORK"), THE PARENT ORGANIZATION OF UVM MEDICAL CENTER, TO ESTABLISH SENIOR VICE PRESIDENT COMPENSATION. UVM HEALTH NETWORK UTILIZED THE FOLLOWING METHODS TO ESTABLISH COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE SCHEDULE J, PART I, QUESTION 4B DURING CALENDAR YEAR 2015, THE UNIVERSITY OF VERMONT MEDICAL CENTER, INC. ENTERED INTO A SUPPLEMENTAL RETIREMENT BENEFIT PLAN (SRP) WITH CHIEF EXECUTIVE OFFICER BRUMSTED. UNDER THE TERMS OF THE SRP, UVM MEDICAL CENTER MAKES ANNUAL CREDITS EQUAL TO 15% OF THE CEO'S BASE SALARY FOR EACH YEAR THROUGH THE PLAN YEAR ENDING SEPTEMBER 30, 2019. THE AMOUNT DEFERRED FOR CALENDAR YEAR 2018 IS REPORTED ON SCHEDULE J, PART II, COLUMN C. A DISTRIBUTION OF $371,381 IN CALENDAR 2018 IS REPORTED IN COLUMN B(III). AMOUNTS DEFERRED REMAIN SUBJECT TO FORFEITURE IF CERTAIN CONDITIONS ARE NOT MET. NON-FIXED PAYMENTS SCHEDULE J, PART I, QUESTION 7 UVM MEDICAL CENTER PAID A LUMP-SUM INCENTIVE AWARD TO UPPER MANAGEMENT (DIRECTORS, VICE PRESIDENTS, PHYSICIAN CHAIRS AND SENIOR EXECUTIVES) THROUGH ITS ANNUAL VARIABLE PAY PLAN AS THE PLAN'S ORGANIZATIONAL PERFORMANCE MEASURES WERE MET. THE MEASURES WERE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THESE MEASURES INCLUDED FINANCIAL, POPULATION HEALTH & QUALITY, AND OPERATIONAL RELATED METRICS. A VEHBFA SERIES 2008A & SERIES 2004B 237154467 924166CJ8 2008-05-21 215386067 REFUND BONDS ISSUED 4/15/2004 0 0 0 B VEHBFA SERIES 2016A 237154467 924166HJ3 2016-02-03 203831137 REFUND BONDS ISSUED 4/15/04,1/25/07 0 0 0 C VEHBFA SERIES 2015A 237154467 000000000 2015-01-08 23840000 REFUND BONDS ISSUED 4/15/2004 0 0 0 D VEHBFA SERIES 2013A 237154467 000000000 2013-03-05 29500000 REFUND BONDS ISSUED 2000 0 0 0 A 22981067 137700000 215386067 8880529 24978 213225000 2005 1 0 1 1 B 10585000 203852365 1915049 5893332 250340345 2005 1 1 1 1 C 8260000 23840000 183840 23656160 1985 1 0 1 1 D 2112500 29500000 263962 29236038 2005 1 0 1 1 A 0 0 1 1 0 0 0 0 B 0 0 1 1 0 0 0 0 A 1 1 1 CITIBANK 14.100000000000 1 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 1 0 0 0 0 0 1 D 0 0 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: VEHBFA SERIES 2016A DATE THE REBATE COMPUTATION WAS PERFORMED: 02/03/2018 ISSUER NAME: VEHBFA SERIES 2016B DATE THE REBATE COMPUTATION WAS PERFORMED: 07/28/2018 PARTS I & II DIFFERENCE IN ISSUE PRICE AND PROCEEDS BOND SERIES 2016A ISSUE PRICE $203,831,137 DIFFERS FROM PART II TOTAL PROCEEDS $203,852,365 AS A RESULT OF INVESTMENT EARNINGS. BOND SERIES 2016B ISSUE PRICE $101,572,833 DIFFERS FROM PART II TOTAL PROCEEDS $101,844,192 AS A RESULT OF INVESTMENT EARNINGS. PART III, LINES 4-6 2016A ISSUANCE: THE 2016A BONDS WERE OBTAINED TO REFUND BOTH THE 2004B AND 2007A BOND ISSUANCES. REFUNDING ESCROWS WERE SET UP INDIVIDUALLY. THE 2007A SERIES BONDS WERE COMPLETELY PAID OFF IN FY17. THE 2004B SERIES WERE COMPLETELY PAID OFF IN FY18. 2016B ISSUANCE: EQUITY IS PRESENT IN THE PROJECT AND IS FIRST DIRECTED TO PRIVATE BUSINESS USE. A VEHBFA SERIES 2016B 237154467 924166JA0 2016-07-28 101572833 CONSTRUCTION INPATIENT BED TOWER 0 0 0 A 101844192 7305877 366636 94136912 2019 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 1 0 0 0 0 1 A 1 MARIA MCCLELLAN FAMILY MEMBER OF OFFICER AND TRUSTEE 155868 WAGES FROM UVM MEDICAL CENTER 0 BRIGITTE BARRETTE FAMILY MEMBER OF KEY EMPLOYEE 40918 WAGES FROM UVM MEDICAL CENTER 0 MATTHEW NOONAN FAMILY MEMBER OF FORMER KEY EMPLOYEE 179650 WAGES FROM UVM MEDICAL CENTER 0 SUBSTANTIAL DONOR SUBSTANTIAL DONOR 6635454 CONSTRUCTION 0 SUBSTANTIAL DONOR SUBSTANTIAL DONOR 194971 LEGAL 0 SUBSTANTIAL DONOR SUBSTANTIAL DONOR 1655500 CONSULTING SERVICES 0 SUBSTANTIAL DONOR SUBSTANTIAL DONOR 395858 MECHANICAL SERVICES 0 X 6 0 X 40 COST X 16769 COST X 15 364195 SALE PRICE LESS FEES X 4 230 COST X EQUIPMENT 1 24112 COST X GIFT CERTIFICATES 46 4841 COST 0 0 1 0 PART I, LINE 33: SCHEDULE M, PART I, COLUMN B UNIVERSITY OF VERMONT MEDICAL CENTER, INC. (UVM MEDICAL CENTER) IS REPORTING THE TOTAL NUMBER OF CONTRIBUTIONS. SCHEDULE M, PART 1, LINE 1 WORKS OF ART UVM MEDICAL CENTER MAINTAINS A COLLECTION OF ART THAT THEY ROTATE THROUGHOUT THE ORGANIZATION'S FACILITIES. THE PURPOSE OF HANGING THE ART IS TO BRIGHTEN UP THE HEALTH SERVICE FACILITY AND CREATE A POSITIVE, UPLIFTING ENVIRONMENT. IN ACCORDANCE WITH ACCCOUNTING PRINCIPLES, UVM MEDICAL CENTER DOES NOT VALUE THIS COLLECTION IN ITS FINANCIAL STATEMENTS. SCHEDULE M, PART 1, LINE 33 UVM MEDICAL CENTER DOES NOT RECORD REVENUE FOR SOME GIFTS-IN-KIND UNTIL THEY ARE SOLD. THEREFORE, REVENUE FOR THESE GIFTS IS NOT INCLUDED ON FORM 990, PART VIII, LINE 1. NUMBER OF VOLUNTEERS FORM 990, PART I, LINE 6 THE TOTAL NUMBER OF VOLUNTEERS INCLUDES NON-COMPENSATED MEMBERS OF THE BOARD OF TRUSTEES. IN ADDITION, VOLUNTEERS WORK IN OVER 50 DEPARTMENTS TO SUPPORT THE WORK OF EMPLOYEES TO MEET PATIENT NEEDS AND ENHANCE THE PATIENT EXPERIENCE AT THE UNIVERSITY OF VERMONT MEDICAL CENTER, INC. (UVM MEDICAL CENTER). COMMUNITY BENEFIT REPORT FORM 990, PART III UVM MEDICAL CENTER IS BOTH A COMMUNITY HOSPITAL AND, IN PARTNERSHIP WITH THE UNIVERSITY OF VERMONT, THE STATE'S ONLY ACADEMIC MEDICAL CENTER. IT IS OUR MISSION TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE BY INTEGRATING PATIENT CARE, EDUCATION AND RESEARCH IN A CARING ENVIRONMENT. IN ITS COMMUNITY HOSPITAL ROLE, UVM MEDICAL CENTER SERVES APPROXIMATELY 168,000 RESIDENTS IN CHITTENDEN AND GRAND ISLE COUNTIES AND PROVIDES PRIMARY CARE SERVICES AT ELEVEN VERMONT SITES. THE ORGANIZATION ALSO OFFERS FREE TO THE COMMUNITY A WIDE RANGE OF HEALTH, PREVENTION AND WELLNESS PROGRAMS, ALL OF WHICH HELP TO LIMIT THE NEED FOR MORE EXPENSIVE ACUTE CARE. THROUGH A VITAL PARTNERSHIP, UVM MEDICAL CENTER, THE UNIVERSITY OF VERMONT COLLEGE OF MEDICINE AND THE UNIVERSITY OF VERMONT COLLEGE OF NURSING AND HEALTH SCIENCES FORM VERMONT'S ACADEMIC MEDICAL CENTER - ONE OF ONLY APPROXIMATELY 130 SUCH CENTERS IN THE COUNTRY. TOGETHER, THESE INSTITUTIONS ARE COMMITTED TO HELPING IMPROVE OUR REGION'S QUALITY OF LIFE WITH INNOVATIONS IN MEDICINE AND HEALTH CARE THAT ARISE FROM NEW KNOWLEDGE AND DISCOVERY. THROUGH ITS ALLIANCE WITH THE UNIVERSITY OF VERMONT, UVM MEDICAL CENTER IS ABLE TO PROVIDE THE BEST PATIENT CARE POSSIBLE BY BRINGING MEDICAL EDUCATION AND RESEARCH TO THE BEDSIDE, THE DOCTOR'S OFFICE AND INTO THE COMMUNITY. AS A REGIONAL REFERRAL CENTER, UVM MEDICAL CENTER PROVIDES ADVANCED-LEVEL CARE TO A POPULATION OF APPROXIMATELY ONE MILLION PEOPLE THROUGHOUT VERMONT AND NORTHERN NEW YORK. THE MEDICAL CENTER EXTENDS BEYOND ITS THREE MAIN CAMPUSES IN THE BURLINGTON AREA TO INCLUDE MORE THAN 30 PATIENT CARE SITES AND 68 OUTREACH CLINICS, PROGRAMS AND SERVICES THROUGHOUT THE REGION. THE UVM MEDICAL CENTER'S MILLER BUILDING OPENED ON JUNE 1, 2019, AND IS PLAYING A BIG ROLE IN ACHIEVING THE GOAL OF ENHANCING CARE FOR THE COMMUNITY BY PROVIDING 128 SINGLE-BED ROOMS AND FACILITATING THE CREATION OF MANY MORE PRIVATE ROOMS THROUGHOUT THE HOSPITAL. EVIDENCE-BASED STUDIES SHOW THAT PRIVATE ROOMS WITH AMPLE ROOM FOR FAMILIES CAN PROMOTE BETTER HEALING, REDUCE MEDICAL ERRORS, IMPROVE SLEEP QUALITY AND FACILITATE GREATER INVOLVEMENT OF FAMILIES AND CARE TEAMS. THE NEW SPACE WAS DESIGNED WITH INPUT FROM FORMER PATIENTS AND FAMILIES. IT BRINGS CAREGIVERS CLOSER TO THEIR PATIENTS, AND SUPPORTS THE COLLABORATIVE MODEL OF PATIENT-AND FAMILY-CENTERED CARE. EACH OF THESE RESPONSIBILITIES IS EQUALLY IMPORTANT IN FULFILLING UVM MEDICAL CENTER'S MISSION. 1. PATIENT CARE - SERVING A POPULATION OF APPROXIMATELY ONE MILLION THROUGHOUT VERMONT AND NORTHERN NEW YORK, UVM MEDICAL CENTER PROVIDES A FULL RANGE OF SERVICES COVERING EVERY MAJOR AREA OF MEDICINE. THE MEDICAL CENTER AVERAGES MORE THAN A MILLION PATIENT VISITS EACH YEAR, INCLUDING INPATIENT, OUTPATIENT, EMERGENCY DEPARTMENT AND PHYSICIAN OFFICE VISITS. UVM MEDICAL CENTER IS AT THE LEADING EDGE OF HEALTH CARE INNOVATIONS, INCLUDING HAVING IMPLEMENTED A SYSTEM-WIDE ELECTRONIC HEALTH RECORD THAT SUPPORTS IMPROVED HEALTH CARE FOR OUR COMMUNITIES AND SERVING AS ONE OF THE FIRST TWO PILOT SITES FOR THE VERMONT BLUEPRINT FOR HEALTH, A STATEWIDE PUBLIC/PRIVATE PARTNERSHIP FOCUSED ON ENSURING THAT ALL VERMONTERS HAVE ACCESS TO PRIMARY CARE SERVICES USING THE "PATIENT-CENTERED MEDICAL HOME" CARE DELIVERY MODEL. IN LINE WITH THE BLUEPRINT, UVM MEDICAL CENTER HAS IMPLEMENTED A COMMUNITY HEALTH TEAM TO SERVE ALL OF OUR PRIMARY CARE PRACTICES, ALL OF WHICH HAVE BEEN RECOGNIZED BY THE NATIONAL COMMITTEE ON QUALITY ASSURANCE AS PATIENT-CENTERED MEDICAL HOMES. 2. EDUCATION - AS AN ACADEMIC MEDICAL CENTER, WE HAVE THE SPECIAL RESPONSIBILITY OF EDUCATING THE NEXT GENERATION OF DOCTORS, NURSES AND ALLIED HEALTH PROFESSIONALS. THE VAST MAJORITY OF UVM MEDICAL CENTER DOCTORS NOT ONLY TAKE CARE OF PATIENTS, THEY ALSO TEACH MEDICAL STUDENTS THROUGH THEIR POSITIONS AS MEMBERS OF THE UNIVERSITY OF VERMONT COLLEGE OF MEDICINE FACULTY. A NUMBER OF UVM MEDICAL CENTER NURSES AND ALLIED HEALTH PROFESSIONALS ALSO TEACH AT THE UNIVERSITY OF VERMONT COLLEGE OF NURSING AND HEALTH SCIENCES. UVM MEDICAL CENTER SERVES AS THE CLINICAL TRAINING SITE FOR THE APPROXIMATELY 465 MEDICAL STUDENTS AND 1,200 NURSING AND ALLIED HEALTH STUDENTS WHO ATTEND THE UNIVERSITY OF VERMONT. ADDITIONALLY, UVM MEDICAL CENTER IS THE TRAINING SITE FOR APPROXIMATELY 330 RESIDENTS AND FELLOWS. PATIENTS BENEFIT FROM HAVING RESIDENTS, MEDICAL STUDENTS AND NURSING AND ALLIED HEALTH STUDENTS AS PART OF THEIR CARE TEAM. IN COLLABORATION WITH THE UNIVERSITY OF VERMONT, UVM MEDICAL CENTER CONTINUES TO USE THE DEVELOPMENT OF A SIMULATION CENTER THAT INCLUDES 9,000 SQUARE FEET OF TEACHING SPACE WITH FULLY-FUNCTIONING HOSPITAL ROOMS AND HIGH-TECH MANNEQUINS THAT SIMULATE ALL KINDS OF DISEASES AND INJURIES. THE SIMULATION CENTER ALSO HAS HANDS-ON LABS FOR SKILL-BUILDING AS WELL AS A VIRTUAL REALITY TRAINER THAT IMPROVES ON OLD TEACHING METHODS. IN ADDITION TO BEING USED TO TRAIN FUTURE DOCTORS AND NURSES, THE NEW FACILITY IS OPEN TO ALL VERMONT MEDICAL PROFESSIONALS, INCLUDING EMERGENCY MEDICAL TECHNICIANS AND VERMONT NATIONAL GUARD MEDICS. 3. RESEARCH - A CORE MISSION OF THE ACADEMIC MEDICAL CENTER IS TO ADVANCE MEDICAL KNOWLEDGE THROUGH RESEARCH, SO IN ADDITION TO TEACHING AND TRAINING, MANY OF OUR PHYSICIANS, NURSES AND OTHER PROVIDERS ENGAGE IN BIOMEDICAL RESEARCH, SEEKING NEW CURES AND MORE EFFECTIVE TREATMENTS. THERE ARE OVER 1,000 ACTIVE CLINICAL TRIALS AT THE UNIVERSITY OF VERMONT AND UVM MEDICAL CENTER. CLINICAL TRIALS ARE RESEARCH STUDIES CONDUCTED USING VOLUNTEERS. EACH STUDY ANSWERS SCIENTIFIC QUESTIONS AND TRIES TO FIND BETTER WAYS TO PREVENT, SCREEN FOR, DIAGNOSE, OR TREAT A DISEASE. THIS ACTIVE RESEARCH PROGRAM HAS A DIRECT BENEFIT TO PATIENTS AT UVM MEDICAL CENTER, WHO HAVE ACCESS TO THE LATEST TREATMENTS AND TECHNOLOGY AND WHO ARE CARED FOR BY SOME OF THE LEADING EXPERTS IN THEIR FIELD. THE ACADEMIC MEDICAL CENTER IS ALSO ACTIVELY ENGAGED IN POPULATION-BASED HEALTH RESEARCH, INCLUDING EVALUATING VERMONT BLUEPRINT FOR HEALTH PILOT PROJECTS INVOLVING THE DEVELOPMENT AND IMPACT OF PATIENT-CENTERED MEDICAL HOMES WITHIN THE STATE. 4. COMMUNITY BENEFIT - IN ADDITION TO DELIVERING HEALTH CARE, EDUCATING HEALTH CARE PROFESSIONALS, AND RESEARCHING NEW KNOWLEDGE, UVM MEDICAL CENTER ALSO LIVES ITS MISSION - TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES IT SERVES - BY REACHING OUT TO HELP PEOPLE TAKE CARE OF THEIR HEALTH. THESE EFFORTS INCLUDE, BUT ARE NOT LIMITED TO: COMMUNITY WELLNESS AND EDUCATION - UVM MEDICAL CENTER OFFERS NUMEROUS FREE HEALTH EDUCATION CLASSES, IN WHICH HEALTH PROFESSIONALS PROVIDE INFORMATION ON A VARIETY OF TOPICS. MANY OTHER HEALTH AND WELLNESS PROGRAMS OFFERED THROUGHOUT THE YEAR SERVE AS A VALUABLE RESOURCE TO OUR COMMUNITY, RANGING FROM CHILD PASSENGER CAR SEAT SAFETY CHECKS TO FREE BLOOD PRESSURE SCREENINGS, TOBACCO CESSATION CLASSES, AND WORKSHOPS FOR SENIORS. FRYMOYER COMMUNITY HEALTH RESOURCE CENTER - PATIENTS, FAMILIES AND THE PUBLIC ARE MORE INTERESTED THAN EVER IN GAINING ACCESS TO THE LATEST HEALTH INFORMATION AVAILABLE. THE FRYMOYER COMMUNITY HEALTH RESOURCE CENTER AT UVM MEDICAL CENTER OFFERS THE COMMUNITY EASY, FREE, GUIDED ACCESS TO THE BEST INFORMATION ABOUT HEALTH AND MEDICINE. COLLABORATIVE EFFORTS - UVM MEDICAL CENTER REGULARLY PARTNERS WITH OTHER ORGANIZATIONS AND PROVIDERS TO HELP MEET THE NEEDS OF OUR COMMUNITY. THIS INCLUDES WORKING WITH OTHER ORGANIZED SYSTEMS OF CARE (SUCH AS HOME HEALTH AGENCIES, OTHER VERMONT HOSPITALS, AND PHYSICIAN PRACTICES), AS WELL AS COMMUNITY-BASED ORGANIZATIONS WHOSE MISSIONS ARE SIMILAR TO OURS. FOR EXAMPLE, UVM MEDICAL CENTER COLLABORATES WITH COMMUNITY PARTNERS TO REGULARLY ASSESS COMMUNITY AND HEALTH CARE NEEDS, WHICH HELPS GUIDE OUR ORGANIZATION'S PRIORITIES. OUR COMMUNITY BENEFITS FALL INTO FOUR GENERAL CATEGORIES: *DIRECT FINANCIAL ASSISTANCE TO PATIENTS. THIS REPRESENTS FREE CARE GIVEN TO PATIENTS WHO QUALIFY UNDER UVM MEDICAL CENTER'S "PATIENT ASSISTANCE PROGRAM" POLICY. THAT POLICY OFFERS FREE CARE TO PATIENTS UNDER 200% OF THE FEDERAL POVERTY LEVEL (FPL), WITH PATIENTS BETWEEN 200% AND 400% FPL PAYING A SLIDING-SCALE DEDUCTIBLE ONLY. FOR FY 2018, WE CALCULATED THIS AMOUNT AT APPROXIMATELY $12.1 MILLION IN ACTUAL COSTS (NOT CHARGES)(SEE SCHEDULE H, LINE 7A, COLUMN E). *SUBSIDIZED PROGRAMS. THESE INCLUDE RESEARCH ACTIVITIES AND EDUCATION AND TRAINING PROGRAMS FOR HEALTH PROFESSIONALS THAT ARE NOT FULLY REIMBURSED THROUGH OTHER MEANS, AS WELL AS SUBSIDIES TO SUPPORT HEALTH SERVICES THAT BENEFIT OUR COMMUNITY, INCLUDING THE UNINSURED AND LOW-INCOME INDIVIDUALS. THOSE SERVICES INCLUDE MENTAL HEALTH SERVICES, EMERGENCY SERVICES AND CRITICAL CARE TRANSPORTATION SERVICES. FOR FY 2018, WE CALCULATED THESE SUBSIDIES AT APPROXIMATELY $3.8 MILLION IN COMMUNITY BENEFIT (SEE SCHEDULE H, LINE 7G, COLUMN E). *COMMUNITY PROGRAMS AND DIRECT GRANTS. THESE INCLUDE, FOR EXAMPLE, COMMUNITY HEALTH SERVICES (HEALTH EDUCATION CLASSES, SUPPORT GROUPS, SCREENING SERVICES, FREE CLINICS, ETC.), FINANCIAL CONTRIBUTIONS AND IN-KIND DONATIONS (CASH DONATIONS, GRANTS, IN-KIND SUPPORT SUCH AS MEETING ROOMS, PARKING VOUCHERS, ETC.), COMMUNITY-BUILDING AND LEADERSHIP ACTIVITIES (INCLUDING ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT, ECONOMIC DEVELOPMENT, AND ENVIRONMENTAL IMPROVEMENTS), AND COMMUNITY BENEFIT OPERATIONS (INCLUDING COSTS ASSOCIATED WITH OUR OFFICE OF COMMUNITY HEALTH IMPROVEMENT, COMMUNITY NEEDS ASSESSMENTS, ETC.). FOR FY 2018, WE CALCULATED THE VALUE OF THESE COMMUNITY PROGRAMS AND GRANTS AT $6.6 MILLION (SEE SCHEDULE H, LINE 7E AND 7I, COLUMN E). *MEDICAID AND OTHER PUBLIC PROGRAM UNDERPAYMENTS. THESE INCLUDE UNDERPAYMENTS FROM VERMONT'S MEDICAID PROGRAM AS WELL AS SEVERAL SMALLER PUBLIC PROGRAMS (FOR EXAMPLE, LADIES FIRST). THESE DO NOT INCLUDE ANY UNDERPAYMENTS BY MEDICARE. FOR FY 2018, WE CALCULATED THIS AMOUNT AT $140 MILLION (SEE SCHEDULE H, LINE 7B, COLUMN E). OUR TOTAL NET COMMUNITY BENEFIT SPENDING IN FY 2018 WAS $211 MILLION. THIS REPRESENTS APPROXIMATELY 15.5% OF UVM MEDICAL CENTER'S TOTAL PROGRAM SERVICE EXPENSE IN FY 2018 (SEE SCHEDULE H, LINE 7K, COLUMN F). ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 ACADEMIC MEDICAL CENTER AND COMMUNITY HOSPITAL. MISSION: TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE BY INTEGRATING PATIENT CARE, EDUCATION, AND RESEARCH IN A CARING ENVIRONMENT. VISION: WORKING TOGETHER, WE IMPROVE PEOPLE'S LIVES. STATEMENT OF VALUES: *WE RESPECT THE DIGNITY OF ALL INDIVIDUALS AND ARE RESPONSIVE TO THEIR PHYSICAL, EMOTIONAL, SPIRITUAL AND SOCIAL NEEDS AND CULTURAL DIVERSITY. *WE ARE JUST AND PRUDENT STEWARDS OF LIMITED NATURAL AND FINANCIAL RESOURCES. *WE FOSTER A CLIMATE WHICH ENCOURAGES BOTH THOSE RECEIVING AND PROVIDING CARE TO MAKE RESPONSIBLE CHOICES. *WE STRIVE FOR EXCELLENCE IN QUALITY AND CARE AND SEEK TO CONTINUOUSLY LEARN AND IMPROVE. *WE ACKNOWLEDGE A PARTNERSHIP WITH THE COMMUNITY TO ENSURE THE BEST POSSIBLE CARE AT THE RIGHT TIME, IN THE RIGHT PLACE, AND BY THE RIGHT PROVIDER. *WE ARE CARING AND COMPASSIONATE TO EACH OTHER AND TO THOSE WE SERVE. *WE COMMUNICATE OPENLY AND HONESTLY WITH THE COMMUNITY WE SERVE. PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A-4C THE UNIVERSITY OF VERMONT MEDICAL CENTER, INC. (UVM MEDICAL CENTER) IS A TERTIARY CARE TEACHING HOSPITAL THAT, IN AFFILIATION WITH THE UNIVERSITY OF VERMONT, SERVES AS VERMONT'S ONLY ACADEMIC MEDICAL CENTER. AS ARTICULATED IN OUR MISSION STATEMENT, OUR FOCUS IS ON IMPROVING THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE BY INTEGRATING PATIENT CARE, EDUCATION, AND RESEARCH IN A CARING ENVIRONMENT. THESE EFFORTS ARE RECOGNIZED IN OUR 501(C)(3) STATUS AS A CHARITABLE AND EDUCATIONAL ORGANIZATION. AS A CHARITABLE ORGANIZATION, THE PROMOTION OF HEALTH THROUGH OUR ACADEMIC MISSION - HEALTH CARE DELIVERY, RESEARCH AND EDUCATION - IS OUR PRIMARY WORK. IN ADDITION TO THE COMMUNITY BENEFITS WE PROVIDE, UVM MEDICAL CENTER OFFERS THE BROAD RANGE AND SCOPE OF SERVICES NECESSARY TO ACHIEVE THAT GOAL. THIS INCLUDES A FULL-TIME EMERGENCY DEPARTMENT THAT IS CERTIFIED AS A LEVEL 1 TRAUMA CENTER BY THE AMERICAN COLLEGE OF SURGEONS, AS WELL AS NON-EMERGENCY SERVICES, ALL OF WHICH ARE AVAILABLE TO ALL PATIENTS REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY; AN OPEN MEDICAL STAFF THAT INCLUDES APPROXIMATELY 670 PHYSICIANS EMPLOYED BY UVM MEDICAL CENTER'S FACULTY PRACTICE (THE UNIVERSITY OF VERMONT MEDICAL GROUP), AS WELL AS ABOUT 160 COMMUNITY PHYSICIANS; AND AN INDEPENDENT BOARD OF TRUSTEES THAT REPRESENTS OUR COMMUNITY AS A WHOLE. IN TERMS OF PROGRAM SERVICES, UVM MEDICAL CENTER'S THREE LARGEST PROGRAMS (BY EXPENSES AND REVENUES) ARE OUR ACTUAL HEALTH CARE DELIVERY SERVICES, AS FOLLOWS: INPATIENT SERVICES: SERVICES PROVIDED TO THOSE PATIENTS WHO REQUIRE ACUTE-CARE SERVICES IN A HOSPITAL SETTING. THESE SERVICES INCLUDE, FOR EXAMPLE, OUR LABOR AND DELIVERY UNIT, NURSING UNITS FOR GENERAL MEDICAL AND SURGICAL ISSUES, AND OUR INTENSIVE CARE UNITS (INCLUDING A PEDIATRIC ICU, A NEONATAL ICU, A SURGICAL ICU AND A MEDICAL ICU). OUTPATIENT SERVICES: SERVICES PROVIDED TO THOSE PATIENTS WHO REQUIRE CARE, ON A WALK-IN BASIS, EITHER IN THE HOSPITAL OR IN ONE OF OUR MANY CLINIC SETTINGS. THESE INCLUDE ROUTINE PHYSICIAN VISITS, LABORATORY TESTS, CLINIC VISITS, EMERGENCY ROOM VISITS, AND MEDICAL EQUIPMENT AND SUPPLIES. PROFESSIONAL SERVICES: SERVICES DELIVERED BY MEMBERS OF THE UVM MEDICAL GROUP, OUR EMPLOYED GROUP OF PHYSICIANS. FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING INDIVIDUALS SERVED AT VERMONT MANAGED CARE INDEMNITY COMPANY, A RELATED ORGANIZATION: DR. JOHN BRUMSTED, DR. PAUL DANIELSON, STEPHEN LEFFLER, DR. CLAUDE DESCHAMPS, EILEEN WHALEN, TODD KEATING, DR. HOWARD SCHAPIRO, AND ANNA T. NOONAN. THE FOLLOWING INDIVIDUALS SERVED AT THE UNIVERSITY OF VERMONT HEALTH VENTURES, A RELATED ORGANIZATION: DR. JOHN BRUMSTED, TODD KEATING, AND DR. HOWARD SCHAPIRO. TRUSTEES MARTIN LEWINTER AND VIRGINIA HOOD ARE EMPLOYEES OF UVMHN MEDICAL GROUP, A RELATED ORGANIZATION, AT WHICH RICHARD VINCENT IS AN OFFICER, AND DR. CLAUDE DESCHAMPS IS AN OFFICER AND DIRECTOR. THE FOLLOWING INDIVIDUALS HAVE A WORKING RELATIONSHIP AT THE UVM HEALTH NETWORK: OFFICERS BRUMSTED AND WHALEN SERVE AS OFFICERS OF THE HEALTH NETWORK AND SERVE ON THE NETWORK LEADERSHIP COUNCIL (NLC); OFFICERS BRUMSTED AND EMERY-GINN BOTH SERVE AS OFFICERS ON THE HEALTH NETWORK BOARD; KEY EMPLOYEES BUCKLEY, DESCHAMPS, KEATING, KNAPP, MOORE, SCHAPIRO AND ALBERGHINI DIPALMA SERVE AS KEY EMPLOYEES OF THE HEALTH NETWORK AND ITS NLC. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE REVISED DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2019, REFLECTING A (1) MEANS BY WHICH THE CORPORATION CAN OBJECT TO THE MEMBER'S DISAPPROVAL OF AN ACTION; (2) CHANGE IN BOARD COMPOSITION TO INCLUDE THE PRESIDENT/COO OF THE CORPORATION; AND (3) CHANGE IN THE ROLE OF OFFICERS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 6 THE UNIVERSITY OF VERMONT HEALTH NETWORK INC. (UVM HEALTH NETWORK) IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A UVM HEALTH NETWORK HAS POWERS TO ELECT UVM MEDICAL CENTER'S BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B UVM HEALTH NETWORK HAS THE POWER TO APPROVE SIGNIFICANT CORPORATE ACTIONS, INCLUDING ANNUAL OPERATING AND CAPITAL BUDGETS, STRATEGIC PLANS, THE APPOINTMENT OF THE CEO, THE INCURRENCE OF LONG-TERM INDEBTEDNESS, AND AMENDMENTS TO UVM MEDICAL CENTER'S BYLAWS AND ARTICLES OF ORGANIZATION. UVM HEALTH NETWORK IS A VERMONT NON-PROFIT CORPORATION WHICH HAS BEEN RECOGNIZED BY THE IRS AS A 501(C)(3) ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11B THE UNIVERSITY OF VERMONT MEDICAL CENTER, INC.'S (UVM MEDICAL CENTER'S) FORM 990 IS PREPARED BY UVM MEDICAL CENTER STAFF AND REVIEWED BY PRICEWATERHOUSECOOPERS (PWC). FOLLOWING PWC'S REVIEW, THE RETURN IS REVIEWED BY UVM MEDICAL CENTER'S SENIOR LEADERSHIP. FINALLY, UVM MEDICAL CENTER'S MANAGEMENT PRESENTS THE FORM 990 TO THE AUDIT COMMITTEE FOR REVIEW AND COMMENT. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF TRUSTEES OF THE UVM MEDICAL CENTER BOARD OF TRUSTEES PRIOR TO THE FORM BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH THE UVM HEALTH NETWORK'S CONFLICT OF INTEREST POLICY, WHICH IT HAS ADOPTED. IN ACCORDANCE WITH THE POLICY, TRUSTEES, OFFICERS, KEY EMPLOYEES AND PHYSICIANS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE AND CERTIFICATION UPON HIRING, AT LEAST ANNUALLY, PRIOR TO PARTICIPATING IN ANY DECISION THAT MAY BE AFFECTED BY A PERSONAL INTEREST, AND WHENEVER A POTENTIALLY CONFLICTING INTEREST FIRST ARISES. CONFLICT OF INTEREST DISCLOSURES AND CERTIFICATIONS MAY BE MADE ONLINE OR IN WRITING AND ARE REGULARLY REVIEWED BY THE GENERAL COUNSEL. THE CONFLICT OF INTEREST POLICY IS ENFORCED BY THE OFFICE OF GENERAL COUNSEL AND OVERSEEN BY A FIVE-PERSON CONFLICT OF INTEREST COMMITTEE. THE GENERAL COUNSEL REPORTS AT LEAST QUARTERLY ON CONFLICT OF INTEREST ISSUES TO THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES. CONFLICTS OF INTEREST ARE MANAGED IN ACCORDANCE WITH THE POLICY, WHICH PROVIDES FOR A VARIETY OF REMEDIES TO ADDRESS CONFLICTS OF INTEREST. IN ADDITION, "DISQUALIFIED PERSONS", CONSISTING OF TRUSTEES, OFFICERS AND KEY EMPLOYEES ARE SUBJECT TO SPECIAL PROCEDURES TO COMPLY WITH THE INTERMEDIATE SANCTION RULES, AS OUTLINED IN THE CONFLICT OF INTEREST POLICY. REMEDIES TO ADDRESS CONFLICTS OF INTEREST MAY INCLUDE THE FOLLOWING: RECUSAL FROM DECISION MAKING, DISCLOSURE TO APPROPRIATE PARTIES, COMMITTEE PARTICIPATION LIMITS AND REQUESTED DIVESTITURE. AN APPEALS PROCESS EXISTS SHOULD THE INDIVIDUAL REQUEST A SECONDARY REVIEW BE PERFORMED. FORM 990, PART VI, SECTION B, LINE 15 UVM MEDICAL CENTER DELEGATES THE SETTING OF EXECUTIVE COMPENSATION TO THE UVM HEALTH NETWORK COMPENSATION COMMITTEE, AN INDEPENDENT COMMITTEE, UNDER PRINCIPLES DESCRIBED IN ITS CHARTER. THE HEALTH NETWORK HAS ADOPTED A COMPENSATION PHILOSOPHY WHICH PROVIDES A FRAMEWORK FOR SETTING COMPENSATION FOR THE EXECUTIVES OF UVM HEALTH NETWORK, ITS AFFILIATED HOSPITALS, AND ITS MEDICAL GROUP. THE PARAMETERS OF THIS PHILOSOPHY INCLUDE UTILIZING APPROPRIATE NATIONAL AND REGIONAL PEER GROUPS. SALARIES ARE TARGETED AT THE 50TH PERCENTILE OF THE NATIONAL PEER GROUP, WITH PERFORMANCE BASED VARIABLE PAY OPPORTUNITIES TO ACHIEVE UP TO THE 65TH PERCENTILE, DEPENDING ON ORGANIZATION AND INDIVIDUAL RESULTS. COMPENSATION LEVELS ARE APPROVED BY THE NETWORK COMPENSATION COMMITTEE FOR THE UVM HEALTH NETWORK/DIRECT REPORTS AND THE AFFILIATE HOSPITAL CEOS. CALCULATIONS ARE PERFORMED USING THE SAME PHILOSPHY FOR THE THIRD TIER OF LEADERSHIP, WITH THE EXCEPTION THAT THE LOCAL BOARDS APPROVE COMPENSATION FOR ALL NON-CEO POSITIONS. ALL ACTIONS TAKEN REGARDING EXECUTIVE COMPENSATION ARE CONTEMPORANEOUSLY DOCUMENTED BY THE APPROPRIATE ORGANIZATION. THIS REVIEW IS PERFORMED ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 GOVERNANCE DOCUMENTS CONSIST OF THE ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS. THE ARTICLES OF INCORPORATION ARE FILED WITH THE VERMONT SECRETARY OF STATE AND ARE PUBLICLY AVAILABLE THROUGH THAT OFFICE. THE BYLAWS ARE NOT PUBLICLY POSTED, BUT A COPY WOULD BE FURNISHED TO ANY MEMBER OF THE PUBLIC WHO REQUESTED ONE. THE CONFLICT OF INTEREST POLICY IS NOT PUBLICLY POSTED, BUT A COPY WOULD BE FURNISHED TO ANY MEMBER OF THE PUBLIC WHO REQUESTED ONE. WITH THE ENACTMENT OF VERMONT'S ACT 48 IN MAY 2011, THE GREEN MOUNTAIN CARE BOARD (GMCB) BECAME THE REGULATORY BODY OVERSEEING HOSPITALS IN THE STATE OF VERMONT. AS A RESULT, THE BUDGET FOR UVM MEDICAL CENTER IS SUBJECT TO REVIEW BY THE GMCB ON AN ANNUAL BASIS. ONGOING DISCLOSURE OF OPERATING RESULTS IS ALSO REQUIRED AND UVM MEDICAL CENTER SUBMITS ITS FINANCIAL STATEMENTS REGULARLY THROUGHOUT THE YEAR. UVM MEDICAL CENTER ALSO REGULARLY DISCLOSES ITS FINANCIAL RESULTS ON ITS WEBSITE AND SUBMITS PRESS RELEASES RELATING TO PERFORMANCE ON A REGULAR BASIS TO LOCAL NEWS ORGANIZATIONS. THE ANNUAL EXTERNAL AUDIT OF THE UVM HEALTH NETWORK IS ALSO POSTED ON THE WEB SITE AND IS ATTACHED TO THE CURRENT YEAR'S FORM 990. PART VII SECTION A TITLE DR. STEPHEN M. LEFFLER DR. LEFFLER SERVED AS NETWORK SENIOR VICE PRESIDENT OF CQO AND CPHO UNTIL JUNE 2019 WHEN HE WAS APPOINTED INTERIM PRESIDENT AND CHIEF OPERATING OFFICER. PART VII SECTION A ERIC MILLER SERVED AS NETWORK ASSOCIATE GENERAL COUNSEL UNTIL SEPTEMBER 2018 WHEN HE WAS APPOINTED NETWORK GENRAL COUNSEL. PART VII SECTION A DR. HOWARD M. SCHAPIRO SERVED AS NETWORK CHIEF CLINICAL INTEGRITY OFFICER UNTIL MARCH 2019 WHEN HE WAS APPOINTED SVP CQO/CPHO. FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS -9,247,009. PENSION ADJUSTMENT 2,020,000. ASSETS RELEASED FROM RESTRICTIONS 8,086,784. CHANGE IN PERPETUAL TRUSTS 363,275. TRANSFER OF ASSETS- UVMMG NY -600,824. ELIMINATIONS AND OTHER -80,680. 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