CENTRAL VERMONT MEDICAL CENTER INC HCSR: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: CENTRAL VERMONT MEDICAL CENTER INC HCSR (EIN 22-2547186)
Tax period: 2017-10-01 to 2018-09-30
Filed: 2019-08-15
IRS object ID: 201922279349301302
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-08-15T08:34:55-05:00	ReturnTs
Tax Period End	2018-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	101 SEAPORT BLVD SUITE 500	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02210	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	222547186	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CENTRAL VERMONT MEDICAL CENTER INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% STEPHEN KENNEY CFO	InCareOfNm
Business Name Control	CENT	BusinessNameControlTxt
Phone	8023714100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	130 FISHER ROAD	AddressLine1Txt
City	BERLIN	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05602	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	STEPHEN KENNEY	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8023744443	PhoneNum
Signature	2019-08-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	PAUL TANIS 08142019	PreparerPersonNm
PTIN	P01441612	PTIN
Phone	6175305000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.125.77	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	04363820192275000013	FederalOriginalSubmissionId
Federal Original Submission Id	2019-08-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	5477481CA79227C5174834DE40144B170BD12694	AtSubmissionCreationDeviceId
At Submission Filing Device Id	1563161100844465C8187993E1FFC143BF1C91FB	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Ms Anna T Noonan	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	130 Fisher Road	AddressLine1Txt
City	Berlin	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05602	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$224,914,802	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CVMC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1963	FormationYr
Legal Domicile State	VT	LegalDomicileStateCd
Activity Or Mission	WE WORK COLLABORATIVELY TO MEET THE NEEDS AND IMPROVE THE HEALTH AND IMPROVE THE HEALTH OF THE RESIDENTS OF CENTRAL VERMONT.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	2043	TotalEmployeeCnt
Total Volunteers	173	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$157,477	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$714,818	PYContributionsGrantsAmt
CY Contributions Grants	$648,136	CYContributionsGrantsAmt
PY Program Service Revenue	$202,889,273	PYProgramServiceRevenueAmt
CY Program Service Revenue	$210,796,054	CYProgramServiceRevenueAmt
PY Investment Income	$1,273,328	PYInvestmentIncomeAmt
CY Investment Income	$11,617,315	CYInvestmentIncomeAmt
PY Other Revenue	$223,710	PYOtherRevenueAmt
CY Other Revenue	$308,676	CYOtherRevenueAmt
PY Total Revenue	$205,101,129	PYTotalRevenueAmt
CY Total Revenue	$223,370,181	CYTotalRevenueAmt
PY Grants And Similar Paid	$636,491	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$559,268	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$139,595,585	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$138,210,840	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$17,642	CYTotalFundraisingExpenseAmt
PY Other Expenses	$65,207,132	PYOtherExpensesAmt
CY Other Expenses	$80,491,266	CYOtherExpensesAmt
PY Total Expenses	$205,439,208	PYTotalExpensesAmt
CY Total Expenses	$219,261,374	CYTotalExpensesAmt
PY Revenues Less Expenses	-$338,079	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,108,807	CYRevenuesLessExpensesAmt
Total Assets BOY	$180,162,668	TotalAssetsBOYAmt
Total Assets EOY	$172,815,634	TotalAssetsEOYAmt
Total Liabilities BOY	$89,939,402	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$80,766,274	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$90,223,266	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$92,049,360	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$143,930,544	ExpenseAmt
Grant	$559,268	GrantAmt
Revenue	$158,427,700	RevenueAmt
Desc	HOSPITAL SERVICES: INPATIENT, OUTPATIENT, AND 24/7 EMERGENCY DEPARTMENT SERVICES: CVMC HAS 122 LICENSED BEDS TO PROVIDE FOR A FULL SPECTRUM OF INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES. 18,748 INPATIENT DAYS, MORE THAN 245,000 OUTPATIENT PROCEDURES, AND 24,753 EMERGENCY ROOM VISITS WERE RECORDED DURING FISCAL YEAR 2018. OUTPATIENT ANCILLARY SERVICE UNITS MAKE UP THE MAJORITY OF SERVICE VOLUME, INCLUDING 40,014 RADIOLOGY PROCEDURES, 470,924 LAB TESTS, 15,686 CARDIOLOGY TESTS, AND 142,273 UNITS OF PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY. EMERGENCY DEPARTMENT: THE ER IS OPEN 24 HOURS A DAY 365 DAYS A YEAR. THE NUMBER OF PATIENTS SEEN IN THE ER IN FISCAL YEAR 18 WAS 24,753. THE CANCER TREATMENT CENTER PROVIDED 5,056 ONCOLOGY AND RADIATION TREATMENTS. THE HOSPITAL ALSO HAS BEEN ACTIVE IN ITS OUTREACH TO CENTRAL VERMONT'S UNINSURED AND UNDER INSURED RESIDENTS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$46,334,921	ExpenseAmt
Revenue	$37,099,565	RevenueAmt
Desc	MEDICAL GROUP PRACTICES: AT THE END OF THE FISCAL YEAR WE HAD 25 PRIMARY CARE, INFIRMARY, AND SPECIALTY PRACTICES. THIS INCLUDED 7 PRIMARY AND FAMILY CARE CLINICS, 1 PEDIATRIC CLINICS, AS WELL AS SPECIALTY CLINICS FOR UROLOGY, PODIATRY, RHEUMATOLOGY, ENDOCRINOLOGY, ORTHOPAEDICS, PSYCHOLOGY, AND OBSTETRICS/ GYNECOLOGY. THERE WERE A TOTAL OF 226,624 PRACTICE VISITS DURING FISCAL YEAR 2018.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$17,069,933	ExpenseAmt
Revenue	$15,268,791	RevenueAmt
Desc	Woodridge Rehab & Nursing is a Medicare-certified 153-bed Skilled Nursing Facility located on the campus of Central Vermont Medical Center. Approximately two-thirds of the facilities beds are dedicated to long term care, including palliative care/end of life care and the other one-third provide short term rehabilitation therapy and post-acute care for a great variety of medical care categories, including pain management and wound care. The facility provides "person-centered", round the clock nursing care and social services support complementing daily, robust activities programs, fine dining and has a full compliment of support services including housekeeping/laundry, maintenance and transportation. Many other amenities are available to facility residents.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$207,335,398	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	90	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2043	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	false	WhistleblowerPolicyInd
Document Retention Policy	false	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	VT	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	STEPHEN KENNEY CFO	PersonNm
Phone	8023714443	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	130 FISHER RD	AddressLine1Txt
City	Berlin	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05602	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHRISTOPHER BARBIERI
TRUSTEE, Until 3/12/18	1.0	0.0	Yes (X)	$0	$0	$0
JOHN BRUMSTED MD
TRUSTEE	6.0	44.0	Yes (X)	$0	$1,813,087	$213,890
JEREMIAH ECKHAUS MD
TRUSTEE, PRES-ELECT MED STAFF	50.0	0.0	Yes (X)	$236,058	$0	$40,884
MICHAEL DELLIPRISCOLI
TRUSTEE, IMMEDIATE PAST CHAIR	1.0	2.0	Yes (X)	$0	$0	$0
MARK DEPMAN MD
TRUSTEE, REGNAL PHYS LEADER	44.0	6.0	Yes (X)	$367,662	$0	$40,506
SARAH FIELD
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
THOMAS GOLONKA
TRUSTEE, CHAIR-ELECT	1.0	2.0	Yes (X)	$0	$0	$0
JOYCE JUDY
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
MARY MOULTON
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
MARTA MURPHY MARBLE
TRUSTEE, CHAIR	1.0	2.0	Yes (X)	$0	$0	$0
ANNA T NOONAN
TRUSTEE, PRESIDENT/COO	35.0	15.0	Yes (X)	$282,587	$191,724	$73,067	Yes (X)
CATHY PALMER MD
TRUSTEE	3.0	42.0	Yes (X)	$30,000	$228,946	$40,644
TONI KAEDING
TRUSTEE, AS OF 04/2018	1.0	0.0	Yes (X)	$0	$0	$0
SANDY ROUSSE
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
CONNIE COLMAN
TRUSTEE, AS OF 04/2018	1.0	0.0	Yes (X)	$0	$0	$0
PAULETTE THABAULT
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
MARILYN WHITE
TRUSTEE	1.0	0.0	Yes (X)	$0	$0	$0
CORY RICHARDSON
TRUSTEE, AS OF 04/2018	1.0	0.0	Yes (X)	$0	$0	$0
CHEYENNE HOLLAND
TREASURER, CFO, UNTIL 07/2018	50.0	0.0		$268,444	$0	$63,717	Yes (X)
TODD KEATING
INTERIM TREASURER,CFO 7/2018	10.0	40.0		$0	$925,390	$28,597	Yes (X)
PHILIP BROWN DO
CHIEF MEDICAL OFF,UNTIL 3/2018	50.0	0.0		$315,055	$0	$34,532		Yes (X)
RICHARD MORLEY
VP SUPPORT SRVCS, UNITL 2/2018	50.0	0.0		$242,817	$0	$22,767		Yes (X)
MATTHEW CHOATE
CHIEF NURSING OFFICER	50.0	0.0		$173,181	$0	$30,047		Yes (X)
ROBERT PATTERSON
VP OF HR & CLINICAL OPERATIONS	50.0	0.0		$224,286	$0	$40,879		Yes (X)
DAVID TURNER
VP PHYSICIAN SERVICES	50.0	0.0		$188,770	$0	$13,427		Yes (X)
JUDITH TARR TARTAGLIA
TRUSTEE, PRES/CEO UNTIL 3/2017	45.0	5.0		$367,062	$0	$14,701			Yes (X)
CHRISTIAN BEAN MD
PHYSICIAN	50.0	0.0		$578,075	$0	$63,332			Yes (X)
JOHN BRAUN MD
PHYSICIAN	50.0	0.0		$506,542	$0	$23,812			Yes (X)
CHRISTOPHER MERIAM MD
PHYSICIAN	50.0	0.0		$586,215	$0	$67,459			Yes (X)
SARA GRAVES MD
PHYSICIAN	50.0	0.0		$481,168	$0	$47,529			Yes (X)
NANCY LOTHIAN
CHIEF OPERATING OFFICER	0.0	0.0		$310,007	$0	$30,757				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,157,929	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,159,147	TotReportableCompRltdOrgAmt
Total Other Compensation	$890,547	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	181	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
E F WALL ASSOCIATES INC
131 SOUTH MAIN ST PO BOX 259	BARRE	VT	05641	CONSTRUCTION CNTRCTR	$640,260
MARCAM ASSOCIATES LLC
PO BOX 60	ROCHESTER	NH	03866	AR BILLING/COLLECT	$698,223
KLEEN LD DBA KLEEN LAUNDRY
1 FOUNDRY STREET	LEBANON	NH	03766	LAUNDRY SERVICES	$481,525
VISTA STAFFING SOLUTIONS INC
275 EAST 200 SOUTH	SALT LAKE CITY	UT	84111	PHYSICIAN STAFFING	$477,976
MEDICAL SOLUTIONS
1010 NORTH 102ND STREET	OMAHA	NE	68114	NURSE STAFFING	$554,995

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	21	CntrctRcvdGreaterThan100KCnt
Related Organizations	$30,948	RelatedOrganizationsAmt
Government Grants	$422,006	GovernmentGrantsAmt
All Other Contributions	$195,182	AllOtherContributionsAmt
Total Contributions	$648,136	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	900099	$168,947,777	$168,947,777
REV FROM MANAGED CARE AND CAPITATED	900099	$31,293,809	$31,293,809
340B CONTRACT PHARMACY REVENUE	900099	$6,416,021	$6,416,021
CONTRACT SERVICE REVENUE	900099	$1,245,303	$1,245,303
CAFETERIA REVENUE	900099	$1,063,460	$1,063,460

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,829,684	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,829,684	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$210,796,054	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,198,561	TotalRevenueColumnAmt
Exclusion	$10,198,561	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$434,543	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$125,867	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$308,676	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$308,676	TotalRevenueColumnAmt
Exclusion	$308,676	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,418,754	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$1,418,754	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,418,754	TotalRevenueColumnAmt
Exclusion	$1,418,754	ExclusionAmt

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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

Net Income Or Loss NetIncomeOrLossGrp

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

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

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$223,370,181	TotalRevenueColumnAmt
Related Or Exempt Func Income	$210,796,054	RelatedOrExemptFuncIncomeAmt
Exclusion	$11,925,991	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$559,268	TotalAmt
Program Services	$559,268	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,482,600	TotalAmt
Program Services	$658,603	ProgramServicesAmt
Management And General	$1,823,997	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$260,209	TotalAmt
Management And General	$260,209	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$107,794,452	TotalAmt
Program Services	$103,493,966	ProgramServicesAmt
Management And General	$4,286,375	ManagementAndGeneralAmt
Fundraising	$14,111	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,936,329	TotalAmt
Program Services	$5,593,443	ProgramServicesAmt
Management And General	$342,128	ManagementAndGeneralAmt
Fundraising	$758	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,578,531	TotalAmt
Program Services	$13,736,469	ProgramServicesAmt
Management And General	$840,203	ManagementAndGeneralAmt
Fundraising	$1,859	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,158,719	TotalAmt
Program Services	$6,745,228	ProgramServicesAmt
Management And General	$412,577	ManagementAndGeneralAmt
Fundraising	$914	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$146,154	TotalAmt
Management And General	$146,154	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$70,152	TotalAmt
Management And General	$70,152	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$196,448	TotalAmt
Program Services	$5,560	ProgramServicesAmt
Management And General	$190,888	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$12,356,032	TotalAmt
Program Services	$10,998,969	ProgramServicesAmt
Management And General	$1,357,063	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$793,423	TotalAmt
Program Services	$135,878	ProgramServicesAmt
Management And General	$657,545	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$30,041,803	TotalAmt
Program Services	$29,793,454	ProgramServicesAmt
Management And General	$248,349	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,858,431	TotalAmt
Program Services	$2,402,142	ProgramServicesAmt
Management And General	$456,289	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,592,942	TotalAmt
Program Services	$5,467,187	ProgramServicesAmt
Management And General	$125,755	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$126,288	TotalAmt
Program Services	$96,888	ProgramServicesAmt
Management And General	$29,400	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$503,724	TotalAmt
Program Services	$484,482	ProgramServicesAmt
Management And General	$19,242	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$490,157	TotalAmt
Program Services	$490,157	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,984,496	TotalAmt
Program Services	$9,984,496	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$660,454	TotalAmt
Program Services	$469,555	ProgramServicesAmt
Management And General	$190,899	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT EXPENSE	$4,232,051	$4,232,051
STATE TAX ASSESMENT	$11,510,964	$11,510,964
DUES & FEES	$622,419	$304,063	$318,356
SUNDRY EXPENSE	$114,197	$70,239	$43,958

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$191,131	TotalAmt
Program Services	$102,336	ProgramServicesAmt
Management And General	$88,795	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$219,261,374	TotalAmt
Program Services	$207,335,398	ProgramServicesAmt
Management And General	$11,908,334	ManagementAndGeneralAmt
Fundraising	$17,642	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$25,366,122	BOYAmt
EOY	$8,891,033	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$25,238,575	BOYAmt
EOY	$20,572,298	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,852,885	BOYAmt
EOY	$3,376,944	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,172,245	BOYAmt
EOY	$4,199,147	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,834,543	BOYAmt
EOY	$1,433,975	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$175,070,341	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$106,487,678	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$71,396,584	BOYAmt
EOY	$68,582,663	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$47,606,209	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$62,488,384	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,695,505	BOYAmt
EOY	$3,271,190	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$180,162,668	BOYAmt
EOY	$172,815,634	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$37,941,501	BOYAmt
EOY	$42,049,256	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$682,081	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$18,899,157	BOYAmt
EOY	$16,308,604	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$32,416,663	BOYAmt
EOY	$22,408,414	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$89,939,402	BOYAmt
EOY	$80,766,274	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$80,671,395	BOYAmt
EOY	$82,560,540	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,290,378	BOYAmt
EOY	$6,215,144	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,261,493	BOYAmt
EOY	$3,273,676	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$90,223,266	BOYAmt
EOY	$92,049,360	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$180,162,668	BOYAmt
EOY	$172,815,634	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$4,108,807	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$8,741,939	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$6,459,226	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$27,210	OtherActivitiesAmt
Total Lobbying Expenditures	$27,210	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	SCHEDULE C, PART II-B, LINE 1I CENTRAL VERMONT MEDICAL CENTER IS A MEMBER OF, AND PAYS DUES TO, THE VERMONT ASSOCIATION OF HOSPITALS AND HEALTH SERVICE PROVIDERS AS WELL AS THE AMERICAN HOSPITAL ASSOCIATION, AND THE VERMONT HEALTH CARE ASSOCIATION. A PORTION OF THE DUES IS USED FOR LOBBYING PURPOSES.	ExplanationTxt

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,997,540	BeginningYearBalanceAmt
Investment Earnings Or Losses	$193,692	InvestmentEarningsOrLossesAmt
End Year Balance	$8,191,232	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,988,798	BeginningYearBalanceAmt
Investment Earnings Or Losses	$358,742	InvestmentEarningsOrLossesAmt
Other Expenditures	$350,000	OtherExpendituresAmt
End Year Balance	$7,997,540	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,726,226	BeginningYearBalanceAmt
Investment Earnings Or Losses	$306,265	InvestmentEarningsOrLossesAmt
Other Expenditures	$43,693	OtherExpendituresAmt
End Year Balance	$7,988,798	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,130,234	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$366,990	InvestmentEarningsOrLossesAmt
Other Expenditures	$37,018	OtherExpendituresAmt
End Year Balance	$7,726,226	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,489,540	BeginningYearBalanceAmt
Investment Earnings Or Losses	$676,127	InvestmentEarningsOrLossesAmt
Other Expenditures	$35,433	OtherExpendituresAmt
End Year Balance	$8,130,234	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.38000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.62000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,510,000	OtherCostOrOtherBasisAmt
Book Value	$5,510,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$55,954,845	OtherCostOrOtherBasisAmt
Depreciation	$33,842,014	DepreciationAmt
Book Value	$22,112,831	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,135,417	OtherCostOrOtherBasisAmt
Depreciation	$14,781,143	DepreciationAmt
Book Value	$16,354,274	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$75,547,496	OtherCostOrOtherBasisAmt
Depreciation	$54,065,566	DepreciationAmt
Book Value	$21,481,930	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,922,583	OtherCostOrOtherBasisAmt
Depreciation	$3,798,955	DepreciationAmt
Book Value	$3,123,628	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$68,582,663	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	NETWORK INVESTMENT POOL	Desc
Book Value	$62,488,384	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$62,488,384	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
ACCRUED PENSION LIABILITY	$19,662,083
OTHER LIABILITIES	$2,746,331

Field	Value	IRS element (for citing)
Total Liability	$22,408,414	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

ENDOWMENT FUNDS

SCHEDULE D, PART V, LINE 4 CVMC HAS ENDOWMENT INVESTMENTS AND SPENDING POLICIES THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING FOR CAPITAL AND OPERATIONAL PROGRAMS PERTAINING TO THE DELIVERY OF HOSPITAL AND SKILLED NURSING CARE SERVICES AS WELL AS INTERNAL MEDICINE, FAMILY AND SPECIALTY PHYSICIAN SERVICES IN ORDER TO MEET THE HEALTH CARE NEEDS OF THE CENTRAL VERMONT COMMUNITY.

ASC 740 DISCLOSURE

SCHEDULE D, PART X, LINE 2, FIN 48 (ASC 740) CENTRAL VERMONT MEDICAL CENTER, INC. IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE UNIVERSITY OF VERMONT HEALTH NETWORK ("UVM HEALTH NETWORK"). THE 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.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,412,830	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,412,830	NetCommunityBenefitExpnsAmt
Total Expense	0.01120	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$49,130,722	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,752,125	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,378,597	NetCommunityBenefitExpnsAmt
Total Expense	0.11340	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,543,552	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,752,125	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,791,427	NetCommunityBenefitExpnsAmt
Total Expense	0.12460	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,911	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$63,911	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$388,199	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$388,199	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$49,688,042	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,197,607	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,490,435	NetCommunityBenefitExpnsAmt
Total Expense	0.02550	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$558,918	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$558,918	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,699,070	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,197,607	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,501,463	NetCommunityBenefitExpnsAmt
Total Expense	0.03020	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$102,242,622	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$68,949,732	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,292,890	NetCommunityBenefitExpnsAmt
Total Expense	0.15480	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,232,051	BadDebtExpenseAmt
Bad Debt Expense Attributable	$84,641	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$50,559,218	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$97,607,836	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$47,048,618	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CENTRAL VERMONT MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	130 FISHER ROAD	AddressLine1Txt
City	BERLIN	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05602	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.CVMC.ORG	WebsiteAddressTxt
State License	470001	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CENTRAL VERMONT MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.CVMC.ORG/ABOUT-CVMC/COMMUNITY	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	HTTP://WWW.GMCBOARD.VERMONT.GOV	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 5	CVMC INVITED A WIDE VARIETY OF PUBLIC HEALTH PROFESSIONALS, COMMUNITY LEADERS, HUMAN SERVICE PROVIDERS, AND CVMC STAFF MEMBERS TO SERVE AS A STEERING COMMITTEE THROUGHOUT THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. MEETINGS WERE HELD THROUGHOUT 2016 FOR THE COMMITTEE MEMBERS TO DELIBERATE OVER ALL COMMUNITY HEALTH CONCERNS AND REVIEW PERTINENT DATA AND INFORMATION. INPUT WAS PROVIDED BY: A. WASHINGTON COUNTY MENTAL HEALTH SERVICES B. CENTRAL VERMONT HOME HEALTH & HOSPICE C. PEOPLES HEALTH AND WELLNESS CLINIC D. U32 HIGH SCHOOL E. CENTRAL VERMONT COUNCIL ON AGING F. GREEN MOUNTAIN UNITED WAY G. VERMONT DEPARTMENT OF HEALTH H. CENTRAL VERMONT MEDICAL CENTER - LEADERSHIP, MEDICAL STAFF & COMMUNITY HEALTH TEAM I. FAMILY CENTER OF WASHINGTON COUNTY J. CENTRAL VERMONT NEW DIRECTIONS COALITION K. CENTRAL VERMONT REGIONAL PLANNING COMMISSION CENTER
PART V, LINE 10A	COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY WEBSITE: https://gmcboard.vermont.gov/sites/gmcb/files/files/hospital-budget/2016%2 0CVMC%20CHNA.pdf
PART V, LINE 11	AT CENTRAL VERMONT MEDICAL CENTER (CVMC), WE COLLABORATE WITH OTHER NON-PROFITS, BUSINESSES, COMMUNITY LEADERS, AND GOVERNMENTAL AGENCIES TO PROVIDE A VARIETY OF PROGRAMS AND EDUCATIONAL OFFERINGS INTENDED TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. DRUG ABUSE CVMC CONTINUES TO WORK WITH COMMUNITY PARTNERS INCLUDING THE VERMONT DEPARTMENT OF HEALTH ALCOHOL AND DRUG ABUSE PROGRAM, WASHINGTON COUNTY MENTAL HEALTH SERVICES, CENTRAL VERMONT SUBSTANCE ABUSE SERVICES, TREATMENT ASSOCIATES AND CENTRAL VERMONT ADDICTION MEDICINE TO INCREASE ACCESS TO CARE AND SUPPORT TRANSITIONS OF CARE AS INDIVIDUALS MOVE THROUGH THE TREATMENT CYCLE. IT IS IMPORTANT THAT COMMUNITY MEMBERS HAVE KNOWLEDGE OF THE RESOURCES THAT ARE CURRENTLY AVAILABLE TO THEM. CVMC SPONSORS THE WASHINGTON COUNTY SUBSTANCE ABUSE REGIONAL PARTNERSHIP (WCSARP), WHICH MEETS MONTHLY TO COORDINATE SERVICES, SOLVE ACCESS AND CARE MANAGEMENT PROBLEMS, AND ERASE BOUNDARIES OF CARE. THE GROUP INCLUDES, AMONG OTHERS, THE AGENCY FOR HUMAN SERVICES BARRE HSA, VERMONT DEPARTMENT OF HEALTH, LOCAL HUB-AND-SPOKE PARTNERS, THE DESIGNATED AGENCIES FOR MENTAL HEALTH AND SUBSTANCE ABUSE (WASHINGTON COUNTY MENTAL HEALTH SERVICES, CENTRAL VERMONT SUBSTANCE ABUSE SERVICES), PREVENTION PARTNERS, THE TURNING POINT RECOVERY CENTER, THE YOUTH SERVICES BUREAU, RESIDENTIAL CARE PROVIDERS, AND LOCAL LAW ENFORCEMENT. THREE IMPORTANT PROGRAMS EMERGED OUT OF GAPS IDENTIFIED BY WCSARP: CVMC'S EMERGENCY DEPARTMENT INITIATED AN ALCOHOL WITHDRAWAL PROTOCOL IN COLLABORATION WITH WASHINGTON COUNTY MENTAL HEALTH SERVICES AND THE TURNING POINT RECOVERY CENTER TO PROVIDE 24/7 COMMUNITY-LOCATED SUPERVISED MEDICALLY ASSISTED WITHDRAWAL (MAW); . THE EMERGENCY DEPARTMENT HAS ALSO INITIATED THE STATE'S FIRST RAPID ACCESS TO MEDICATION ASSISTED TREATMENT (RAM) TO PROVIDE IMMEDIATE 24/7 INDUCTION WITH BUPRENORPHINE LINKED TO RAPID HUB-AND-SPOKE ACCESS; . THE TURNING POINT CENTER IS CURRENTLY MANAGING A VERMONT OPIOID STATE RESPONSE PROJECT TO BRING PEER RECOVERY SUPPORTS INTO THE EMERGENCY DEPARTMENT AND HOSPITAL INPATIENT UNITS TO ASSURE STABLE TRANSITIONS TO THE COMMUNITY. MENTAL HEALTH CVMC, IN PARTNERSHIP WITH WASHINGTON COUNTY MENTAL HEALTH SERVICES, HAS CREATED A MODEL OF EMBEDDING BEHAVIORAL HEALTH PRACTITIONERS WITHIN CVMC PRIMARY CARE PRACTICES. IN ADDITION, WE ARE PILOTING AN INTEGRATED HEALTH HOME THAT PROMOTES A MODEL OF HEALTH CARE THAT INTEGRATES THE SOCIAL DETERMINANTS OF HEALTH WITH SPECIALIZED TREATMENT FOR INDIVIDUALS WITH COMPLEX PHYSICAL HEALTH, MENTAL HEALTH, DEVELOPMENTAL AND SUBSTANCE ABUSE CHALLENGES. CVMC IN COLLABORATION WITH THE FAMILY CENTER OF WASHINGTON COUNTY AND WASHINGTON COUNTY MENTAL HEALTH SERVICES INITIATED THE ADVERSE CHILDHOOD EXPERIENCES (ACES) PROJECT. THE GOAL USE OF FAMILY SUPPORT SPECIALISTS EMBEDDED IN CVMC'S PEDIATRIC PRACTICE, TARGETING AGE GROUPS 0-36 MONTHS TO PROMOTE CHILD AND FAMILY PROTECTIVE FACTORS, PREVENT AND MITIGATE TOXIC STRESS, AND PROMOTE HEALTHY CHILD DEVELOPMENT FOR A PERIOD OF ONE YEAR. TOBACCO USE CVMC OFFERS A TOBACCO CESSATION PROGRAM ON AND OFF SITE THROUGHOUT THE YEAR. CURRENTLY, WE ARE ABLE TO ASSIST PARTICIPANTS WITH SUPPORT AND FREE NICOTINE REPLACEMENT THERAPY SUCH AS GUM, PATCHES AND LOZENGES. IN ADDITION, SBIRT CLINICIANS, ALSO TRAINED AS TOBACCO TREATMENT SPECIALISTS, PROVIDE INDIVIDUAL TOBACCO CESSATION COUNSELING TO PROMOTE SUCCESSFUL QUITTING. THROUGH THE CVMC SELF-MANAGEMENT PROGRAM, WE CONTINUE TO ATTEND LOCAL EMPLOYERS' WELLNESS FAIRS, INCLUDING: STATE EMPLOYEE WELLNESS, WASHINGTON COUNTY MENTAL HEALTH SERVICES AND COMMUNITY BASED OUTREACH (BARRE HERITAGE FESTIVAL, MONTPELIER ALIVE). OUR OUTREACH WORK SERVES AS A TOOL FOR EDUCATING AND NETWORKING WITH COMMUNITY MEMBERS. WE ARE CONTINUING TO WORK WITH OUR LOCAL PARTNERS, CONNECT WITH LOCAL COLLABORATIVES AND WORKGROUPS TO EXPAND OUR REACH AND SERVICE TO DIFFERENT POPULATIONS. HEALTHY DIETS CVMC RECOGNIZES THE IMPORTANCE OF INSPIRING HEALTHY LIFESTYLE CHANGES AND PROVIDING RESOURCES TO THE COMMUNITY TO ASSIST PEOPLE TRYING TO STAY HEALTHY THROUGH COMMUNITY HEALTH FAIRS. HEALTH FAIRS ARE A WAY TO MAKE IMPORTANT SCREENINGS (BLOOD PRESSURE CHECKS, BODY COMPOSITION) ASSESSABLE TO THE GENERAL POPULATION FOR LITTLE OR NO COST. CVMC CHOSE THREE UNIQUE POPULATIONS TO PROMOTE HEALTH (MONTPELIER, NORTHFIELD, AND BARRE) AND BY TAILORING CONTENT FOR EACH ONE LED TO HIGH VOLUME COMMUNITY PARTICIPATION RATES STAFFED BY REGISTERED DIETITIANS, NURSES, AND CERTIFIED HEALTH WELLNESS COACHES. CONSISTENTLY PROVIDED WAS PROACTIVE INFORMATION SUCH AS NUTRITIONAL DISPLAYS, RECIPES, SMOOTHIE BIKE, HEALTHY LIVING WORKSHOPS, WORKSITE WELLNESS IDEA, AND WALKING EXERCISE PROGRAMS. BEING PRESENT AND OFFERING ENGAGING ACTIVITIES PROVIDED THE COMMUNITY THE VENUE TO ASK HEALTH-RELATED QUESTIONS, IDEAS FOR NEEDED RESOURCES, AND MAKE CONNECTIONS FOR MEMBERS THAT MAY NOT ASK OTHERWISE. YOUTH PARTICIPATION IN PHYSICAL ACTIVITIES CVMC'S POPULATION HEALTH MANAGEMENT GOALS REVOLVE AROUND THE IDENTIFICATION OF RISK FACTORS THAT, IF ADDRESSED EARLY, CAN REDUCE THE PREVALENCE OF CHRONIC MEDICAL CONDITIONS LATER IN LIFE. PANEL MANAGEMENT EFFORTS CONTINUE WITHIN OUR CVMC PEDIATRIC PRIMARY CARE PRACTICE TO IDENTIFY CHILDREN THAT ARE OVERDUE FOR WELL-CHILD VISITS AND PROVIDE OUTREACH TO ENCOURAGE THEM TO ATTEND. BODY MASS INDEX IS CALCULATED AT EACH WELL-CHILD VISIT AND EDUCATION IS PROVIDED AROUND THE IMPORTANCE OF PHYSICAL ACTIVITY FOR OUR PEDIATRIC PATIENTS. IN ADDITION, THE CVMC SCHOOL-BASED HEALTH PROGRAM, AN EXTENSION OF OUR PEDIATRIC PRIMARY CARE PRACTICE AND OPERATES TWO DAYS EACH WEEK AT THE BARRE CITY ELEMENTARY AND MIDDLE SCHOOL, OFFERS THE BENEFIT OF BEING EMBEDDED IN THE SCHOOL SETTING. THIS PROVIDES GREATER OPPORTUNITIES FOR OUR PEDIATRIC CLINICIANS TO DISCUSS AND PROMOTE THE IMPORTANCE OF PHYSICAL ACTIVITY AND HOW IT IMPACTS OVERALL HEALTH AND WELL-BEING WITH OUR PEDIATRIC PATIENTS.
NEEDS NOT BEING ADDRESSED	OUR COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED ADDITIONAL DETERMINANTS OF HEALTH THAT FALL OUTSIDE THE REALM OF OUR CAPABILITIES AT CVMC. A PROMINENT NEED THAT WE ARE NOT DIRECTLY ADDRESSING IS ORAL HEALTH. SEVERAL OF OUR PHYSICIANS HAVE UNDERGONE FLUORIDE TREATMENT TRAINING, AND ARE ABLE TO PROVIDE THIS SERVICE FOR CHILDREN UP TO FOUR YEARS OF AGE WHO DO NOT HAVE ACCESS TO DENTAL CARE. HOWEVER, ONE OUT OF FOUR ADULTS IN WASHINGTON COUNTY HAS NOT VISITED A DENTIST IN THE LAST YEAR. AS A MEDICAL HOSPITAL, WE DO NOT HAVE THE FACILITIES OR EXPERTISE TO ADDRESS THIS NEED DIRECTLY. WITH THIS SAID, IT IS IMPORTANT THAT WE RECOGNIZE ALL FACTORS THAT MAY BE AFFECTING THE OVERALL HEALTH OF PATIENTS WALKING THROUGH OUR DOORS AT CVMC. WE INTEND TO CONTINUE COLLABORATION WITH COMMUNITY FACILITIES SUCH AS THE HEALTH CENTER IN PLAINFIELD AND THE PEOPLE'S HEALTH AND WELLNESS CENTER IN BARRE THAT OFFER DENTAL CARE. OTHER AREAS WERE IDENTIFIED WHICH WE HAVE CHOSEN TO ACKNOWLEDGE, BUT NOT ADDRESS DIRECTLY AS PART OF OUR STRATEGIC PLAN. SOME OF THOSE NEEDS WERE: - INCREASE AVAILABLE HOUSING FOR THOSE IN NEED - DECREASE TEENAGE PREGNANCIES - DECREASE UNPLANNED PREGNANCIES - EXPAND SERVICES TARGETING THE ELDERLY IN OUR COMMUNITY - INCREASE THE NUMBER OF WALKING PATHS AND/OR BIKE LANES IN OUR COMMUNITY - INCREASE AVAILABILITY TO MENTAL HEALTH SERVICES MENTAL HEALTH HAS BEEN IDENTIFIED AS THE COSTLIEST MEDICAL CONDITION IN THE COUNTRY AND AN AREA THAT SUFFERS FROM INADEQUATE CAPACITY. - CVMC IS WORKING ALONGSIDE WASHINGTON COUNTY MEDICAL HEALTH SERVICES TO INTEGRATE MENTAL HEALTH PRACTITIONERS INTO EVERY PRIMARY CARE PRACTICE - FAMILY PSYCHIATRY ADOPTED A FORMAL STANDARDIZED DEPRESSION SCREENING FOR PATIENTS AGED 12 AND OLDER - CVMC, IN COLLABORATION WITH WASHINGTON COUNTY MENTAL HEALTH SERVICES, IS OFFERING ADDITIONAL PRE-NATAL AND POSTPARTUM SUPPORT FOR WOMEN WITH A HISTORY OF, OR AT RISK FOR DEPRESSION. PART V, LINE 16A & 16B https://www.cvmc.org/sites/default/files/documents/CVMC-Financial-Assistan ce-Policy.pdf HTTPS://WWW.CVMC.ORG/SITES/DEFAULT/FILES/DOCUMENTS/FINANCIAL-ASSISTANCE-AP PLICATION-JANUARY-2018.PDF
PART V, LINE 16C - FAP PLAIN LANGUAGE SUMMARY	HTTPS://WWW.CVMC.ORG/SITES/DEFAULT/FILES/DOCUMENTS/FINANCIAL-ASSISTANCE-PO LICY-V2016.PDF
PART V, LINE 16J	IN ADDITION TO HAVING THE APPLICATION FOR FINANCIAL ASSISTANCE AS WELL AS THE SLIDING SCALE GRID OF HOW FINANCIAL ASSISTANCE IS AWARDED CVMC HAS COMPREHENSIVE INFORMATION ON THE WEBSITE ABOUT THE POLICY, MATERIALS REQUIRED TO APPLY AND CONTACT INFORMATION FOR THE FINANCIAL COUNSELORS SO THAT INTERESTED INDIVIDUALS CAN APPLY. ADDITIONALLY, THERE IS REFERENCE MADE TO THE POLICY ON PATIENT'S BILLS AS WELL AS APPLICATIONS AND INFORMATION AVAILABLE IN REGISTRATION AREAS IN THE HOSPITAL AND CLINIC LOCATIONS. CVMC ALSO EMPLOYS A TEAM OF FINANCIAL COUNSELORS THAT WORK WITH PATIENTS THROUGHOUT THEIR VISIT TO ENSURE THAT WE COMMUNICATE WITH AS MANY ELIGIBLE INDIVIDUALS AS POSSIBLE. THESE FINANCIAL COUNSELORS ALSO WORK WITH PATIENTS TO EXPLORE THE OTHER OPPORTUNITIES AVAILABLE TO INDIVIDUALS IN NEED THROUGHOUT THE STATE OF VERMONT.
PART V, LINE 18F	CVMC DID NOT INITIATE ANY OF THE ACTIONS DESCRIBED IN SCHEDULE H, PART V, SECTION B, LINE 18. HOWEVER, IF THE HOSPITAL HAD UNDERTAKEN ANY OF THE LISTED ACTIONS, IT WOULD HAVE FIRST NOTIFIED PATIENTS OF ITS FINANCIAL ASSISTANCE POLICY ON ADMISSION, PRIOR TO DISCHARGE, AND IN COMMUNICATIONS WITH THE PATIENTS REGARDING THEIR BILLS. ADDITIONALLY, CVMC WOULD HAVE DOCUMENTED ITS DETERMINATION OF WHETHER PATIENTS WERE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CVMC - WOODRIDGE NURSING HOME	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	142 Woodridge Drive	AddressLine1Txt
City	BERLIN	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05602	ZIPCd

Field	Value	IRS element (for citing)
Facility	SKILLED NURSING FACILITY	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART VI, LINE 1	THE ORGANIZATION'S REQUIRED SCHEDULE H SPECIFIC LINE ITEM DESCRIPTIONS ARE AS FOLLOWS:
PART I, LINES 3A-C:	PATIENT ELIGIBILITY: ELIGIBILITY FOR FINANCIAL ASSISTANCE WILL BE CONSIDERED FOR THOSE INDIVIDUALS WHO ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR ANY GOVERNMENT HEALTH CARE BENEFIT PROGRAM, AND WHO ARE UNABLE TO PAY FOR THEIR CARE, BASED UPON A DETERMINATION OF FINANCIAL NEED IN ACCORDANCE WITH THIS POLICY. THE GRANTING OF CHARITY SHALL BE BASED ON AN INDIVIDUALIZED DETERMINATION OF FINANCIAL NEED, AND SHALL NOT TAKE INTO ACCOUNT AGE, GENDER, RACE, SOCIAL OR IMMIGRANT STATUS, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, OR RELIGIOUS AFFILIATION. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON BOTH AN INCOME TEST AND A REVIEW OF LIQUID ASSETS. -INCOME TEST: THIS PROGRAM IS LIMITED TO PATIENTS WITH DEMONSTRATED FINANCIAL NEED EITHER DUE TO LIMITED INCOME OR IF THEIR MEDICAL BILLS ARE AN EXCESSIVE PORTION OF THEIR INCOME. THE MOST RECENTLY PUBLISHED FEDERAL PROVIDER GUIDELINES WILL BE USED AS THE PRIMARY DETERMINANT. PATIENTS WHOSE HOUSEHOLD INCOME IS AT OR BELOW 400% OF THE FEDERAL POVERTY LEVEL GUIDELINES (FPLG), AS ADJUSTED FOR HOUSEHOLD SIZE, MAY PASS THE INCOME TEST AND ARE CONSIDERED FOR CHARITY CARE ASSISTANCE. -NON-CUSTODIAL PARENTS MAY HAVE THEIR INCOME ADJUSTED FOR CHILD SUPPORT WHEN SUPPORTING DOCUMENTATION OF PAYMENT IS PROVIDED. -PATIENTS MAY HAVE THEIR INCOME ADJUSTED FOR ALIMONY WHEN SUPPORTING DOCUMENTATION OF PAYMENT IS PROVIDED. -DEPENDENTS MAY BE INCLUDED WITHIN THE HOUSEHOLD WHEN MORE THAN 50% OF THE SUPPORT IS PROVIDED BY THE GUARANTOR. TO QUALIFY FOR THIS HOUSEHOLD EXTENSION, THE DEPENDENT MUST BE LISTED AS A DEPENDENT ON THE FEDERAL INCOME TAX RETURN. EXCLUSIONS: -PRIMARY RESIDENCE, ASSETS HELD IN A TAX DEFERRED COMPARABLE RETIREMENT SAVINGS ACCOUNT AND COLLEGE SAVINGS ACCOUNTS HELD BY THE PATIENT FOR THE PATIENT ARE EXCLUDED FROM THE ASSETS REVIEW. -ACCOUNTS ALREADY REFERRED TO A COLLECTION AGENCY GREATER THAN 120 DAYS FROM PLACEMENT TO AGENCY, UNLESS REFERRED IN ERROR; -SERVICES REIMBURSED DIRECTLY TO THE PATIENT(S) BY AN INSURANCE CARRIER OR ALREADY COVERED BY ANOTHER THIRD PARTY. RESIDENCY CRITERIA: PATIENTS MUST RESIDE WITHIN THE CENTRAL VERMONT MEDICAL CENTER SERVICE AREA, UNLESS MEDICAL SERVICES WERE URGENT OR EMERGENT IN NATURE. SCHEDULED SERVICES FOR PATIENTS RESIDING OUTSIDE OF THE CVMC SERVICE AREA ARE NOT ELIGIBLE FOR FINANCIAL ASSISTANCE. FINANCIAL ASSISTANCE FOR RESIDENTS OUTSIDE OF THE CVMC SERVICE AREA WILL BE GRANTED ONLY IN UNIQUE CIRCUMSTANCES AND WITH APPROPRIATE APPROVAL. INTERNATIONAL PATIENTS WHO ARE NOT LEGAL, PERMANENT RESIDENTS DO NOT QUALIFY FOR FINANCIAL ASSISTANCE. THESE PATIENTS SHOULD BE COVERED BY TRAVELER COVERAGE. VERMONT RESIDENTS AND COLLEGE STUDENTS WHO RESIDE IN VERMONT PART-TIME MUST LIVE IN OUR SERVICE AREA GREATER THAN 6 MONTHS PER ANNUM TO MEET THE RESIDENCY REQUIREMENT. PROOF OF RESIDENCY MAY BE ESTABLISHED BY ONE OF IS REQUIRED BY ONE OF THE FOLLOWING: -VERMONT SERVICE AREA DRIVERS LICENSE, TAX BILL WITH VERMONT SERVICE AREA ADDRESS, LEASE FOR VERMONT SERVICE AREA PROPERTY OR A VERMONT SERVICE AREA UTILITY BILL; -POTENTIAL EXCEPTIONS MAY BE CONSIDERED ON AN INDIVIDUAL CASE-BY-CASE. PUBLIC HEALTH CARE PROGRAM/HEALTHCARE EXCHANGE CRITERION: PATIENTS APPLYING FOR CENTRAL VERMONT MEDICAL CENTER FINANCIAL ASSISTANCE ARE REVIEWED FOR THEIR POTENTIAL ELIGIBILITY FOR STATE OR FEDERAL HEALTHCARE PROGRAM BENEFITS AND/OR BENEFITS OFFERED THROUGH THE VERMONT HEALTHCARE EXCHANGE PROGRAMS. ANY PATIENT IDENTIFIED WITH POTENTIAL TO BE GRANTED SUCH ASSISTANCE WILL BE INSTRUCTED TO APPLY. FOR THOSE PATIENTS IDENTIFIED AS CANDIDATES FOR ELIGIBILITY FOR THE VERMONT HEALTHCARE EXCHANGE PROGRAM; APPLICATION FOR AND COMPLIANCE WITH THOSE PROGRAM GUIDELINES IS A PRE-REQUISITE FOR CENTRAL VERMONT MEDICAL CENTER PATIENT FINANCIAL ASSISTANCE. DETERMINATION OF FINANCIAL NEED: FINANCIAL NEED WILL BE DETERMINED IN ACCORDANCE WITH PROCEDURES THAT INVOLVE AN INDIVIDUAL ASSESSMENT OF FINANCIAL NEED WHICH WILL INCLUDE THE FOLLOWING: NOTE, IN THE CASE OF PRESUMPTIVE CHARITY, THE APPLICATION PROCESS MAY BE EXCLUDED. -INCLUDE AN APPLICATION PROCESS, IN WHICH THE PATIENT OR THE PATIENTS GUARANTOR ARE REQUIRED TO COOPERATE AND SUPPLY PERSONAL, FINANCIAL AND OTHER INFORMATION AND DOCUMENTATION RELEVANT TO MAKING A DETERMINATION OF FINANCIAL NEED; -INCLUDE THE USE OF EXTERNAL PUBLICLY-AVAILABLE DATA SOURCES THAT PROVIDE INFORMATION ON A PATIENTS OR A PATIENTS GUARANTORS ABILITY TO PAY. CENTRAL VERMONT MEDICAL CENTER RESERVES THE RIGHT TO OBTAIN A CREDIT REPORT, WHEN APPROVAL FROM THE PATIENT IS GRANTED, BEFORE FINANCIAL ASSISTANCE IS AUTHORIZED. -INCLUDE REASONABLE EFFORTS BY CENTRAL VERMONT MEDICAL CENTER TO EXPLORE APPROPRIATE ALTERNATIVE SOURCES OF PAYMENT AND COVERAGE FROM PUBLIC AND PRIVATE PAYMENT PROGRAMS, AND TO ASSIST PATIENTS TO APPLY FOR SUCH PROGRAMS; -TAKE INTO ACCOUNT THE PATIENTS AVAILABLE ASSETS, AND ALL OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT; AND -INCLUDE A REVIEW OF THE PATIENTS CENTRAL VERMONT MEDICAL CENTER OUTSTANDING ACCOUNTS RECEIVABLE FOR PRIOR SERVICES RENDERED AND THE PATIENTS PAYMENT HISTORY. IT IS PREFERRED BUT NOT REQUIRED THAT A REQUEST FOR FINANCIAL ASSISTANCE AND A DETERMINATION OF FINANCIAL NEED OCCUR PRIOR TO RENDERING OF SERVICES. A PATIENT MUST HAVE A CURRENT PATIENT BALANCE THAT IS DUE TO CENTRAL VERMONT MEDICAL CENTER, AN EXPECTATION THAT AN ACCOUNT CURRENTLY PENDING INSURANCE WILL LEAVE A BALANCE THAT IS DUE TO CENTRAL VERMONT MEDICAL CENTER, OR A FUTURE SCHEDULED SERVICE AT CENTRAL VERMONT MEDICAL CENTER THAT IS EXPECTED TO LEAVE A PATIENT BALANCE. HOWEVER, THE DETERMINATION MAY BE DONE AT ANY POINT IN THE BILLING CYCLE. THE NEED FOR CHARITY ASSISTANCE SHALL BE RE-EVALUATED AT EACH SUBSEQUENT TIME OF SERVICE IF THE LAST FINANCIAL EVALUATION WAS COMPLETED MORE THAN SIX MONTHS PRIOR, OR AT ANY TIME ADDITIONAL INFORMATION RELEVANT TO THE ELIGIBILITY OF THE PATIENT FOR CHARITY BECOMES KNOWN. RE-EVALUATION OF PATIENTS WHOSE AGE EXCEEDS 65 AND WHOSE INCOME IS FIXED BELOW 400% FPLG SHALL OCCUR ANNUALLY. NOTE: IT IS PERMISSIBLE FOR PATIENTS TO SUBMIT NEW SUPPORTING FINANCIAL DOCUMENTATION PROVIDED THE APPLICATION ON FILE IS LESS THAN ONE YEAR OLD. CENTRAL VERMONT MEDICAL CENTERS VALUE OF HUMAN DIGNITY AND STEWARDSHIP SHALL BE REFLECTED IN THE APPLICATION PROCESS, FINANCIAL NEED DETERMINATION AND GRANTING OF FINANCIAL ASSISTANCE. REQUESTS FOR CHARITY SHALL BE PROCESSED PROMPTLY AND CVMC SHALL NOTIFY THE PATIENT/APPLICANT OF DECISION IN WRITING WITHIN 30 DAYS OF RECEIPT OF A COMPLETED APPLICATION.
PART I, LINE 7G	FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2018 CENTRAL VERMONT MEDICAL CENTER INCLUDED PHYSICIAN CLINIC EXPENSES IN SUBSIDIZED HEALTH SERVICES. CENTRAL VERMONT MEDICAL CENTER PHYSICIANS INCURRED $49,688,042 OF COSTS ASSOCIATED WITH PROVIDING OUTPATIENT CLINIC SERVICES. NEARLY ALL OF THE EXPENSES INCLUDED AS SUBSIDIZED HEALTH SERVICES ARE ATTRIBUTABLE TO PHYSICIAN CLINICS. AS A RESULT OF THE UNIQUE GEOGRAPHY AND POPULATION DENSITY OF THE COMMUNITY THAT CVMC SERVES, WE CONSIDER ALL OF THE PRIMARY AND SPECIALTY OUTPATIENT CARE PROVIDED BY OUR EMPLOYED GROUP OF PHYSICIANS TO BE SUBSIDIZED. IT HAS BEEN APPARENT OVER THE LAST 16 YEARS THAT THERE ARE NO NEW, UNAFFILIATED PROVIDERS COMING INTO THE CVMC SERVICE AREA AND STARTING PRACTICES. ADDITIONALLY THE MAJORITY OF THE INDEPENDENT PRACTICES THAT WERE ESTABLISHED IN THE CVMC SERVICE AREA HAVE JOINED CVMC DUE TO MANY REASONS INCLUDING ECONOMIC VIABILITY AND SUCCESSION PLANNING. AS A RESULT OF THIS SHIFT, WHICH IS COMMON NOT ONLY IN THE NORTHEAST BUT ACROSS THE UNITED STATES, CVMC'S EMPLOYED PHYSICIANS MAKE UP THE MAJORITY AND IN SOME CASES THE ENTIRETY OF THE OUTPATIENT CARE SERVICES IN OUR COMMUNITY. WERE CVMC TO CEASE THE PROVISION OF THESE SERVICES, THERE IS NO WAY THAT THE COMMUNITY AS IT EXISTS TODAY WOULD HAVE THE CAPACITY TO ABSORB THE PATIENTS AND PROVIDE THE NECESSARY CARE. GIVEN THE HISTORIC LACK OF PROVIDERS ESTABLISHING NEW PRACTICES IN THE AREA, THE PATIENTS CURRENTLY SERVED BY THESE SUBSIDIZED HEALTH SERVICES WOULD END UP RECEIVING CARE FROM THE FEDERALLY QUALIFIED HEALTH CENTER WITHIN OUR SERVICE AREA, THE CVMC EMERGENCY DEPARTMENT, OR RECEIVING CARE FROM PROVIDERS OF NEIGHBORING HOSPITALS AND HEALTH SERVICE AREAS.
PART I, LINE 7, COLUMN F:	THE PROVISION FOR BAD DEBT INCLUDED ON FORM 990, PART IX, LINE 25 BUT SUBTRACTED FOR PURPOSE OF CALCULATING THE AMOUNT REPORTED ON LINE 7(F) IS $4,232,051.
PART I, LINE 7:	CVMC FOLLOWS THE IRS GUIDELINE FOR THE COMPLETION OF SCHEDULE H, PART I, LINES 7A-K, COLUMNS A-F. CVMC'S COST-TO-CHARGE RATIO IS USED FOR EACH OF THESE CALCULATIONS.
PART III, LINE 2:	BAD DEBT EXPENSE WAS CALCULATED BY TAKING THE CHARGES THAT WERE WRITTEN OFF TO ALLOWANCE TO BAD DEBT RESERVE AND REDUCING BY ANY RECOVERIES. THE BAD DEBT RESERVE IS BASED ON AN EVALUATION OF THE COLLECTABILITY OF ACCOUNTS RECEIVABLE. CVMC ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR CATEGORIES OF REVENUE TO ESTIMATE THE APPROPRIATE BAD DEBT RESERVE. MANAGEMENT REGULARLY REVIEWS ACCOUNTS RECEIVABLE DATA AND THE BAD DEBT RESERVE FOR REASONABLENESS.
PART III, LINE 3:	THE AMOUNT ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR CHARITY CARE WAS CALCULATED USING A PERCENTAGE OF COLLECTION CASES WHEREBY THE COLLECTION AGENCY HAS, UPON FURTHER COLLECTION ACTIVITY BEEN INFORMED THAT THE PATIENT REQUESTED FINANCIAL ASSISTANCE WITH HIS/HER BILL. THIS PERCENTAGE IS APPROXIMATELY 2% OF ALL COLLECTION CALL ACTIVITY. THIS PERCENTAGE WAS CALCULATED FROM THE NUMBER OF CALLS WITH A REQUEST FOR FINANCIAL ASSISTANCE LISTED ON THE COLLECTION AGENCY'S LOG AS A PERCENTAGE OF THE TOTAL NUMBER OF CALLS THE COLLECTION AGENCY MADE.
PART III, LINE 4:	PLEASE REFERENCE FOOTNOTE NUMBER 19 ON PAGE 46-47 IN THE FISCAL YEAR 2018 AUDITED CONSOLIDATED FINANCIAL STATEMENTS.
PART III, LINE 8:	SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS SUCH AS MEDICARE IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD TO WHICH TAX-EXEMPT HOSPITALS ARE HELD. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. CVMC DETERMINES THE ALLOWABLE MEDICARE COSTS BY USING A COST TO CHARGE RATIO CALCULATION.
PART III, LINE 9B:	PAYMENT FOR SERVICES PROVIDED BY CENTRAL VERMONT MEDICAL CENTER IS DUE IN FULL AT THE TIME OF SERVICE. THE ORGANIZATION MAY DEFER PAYMENT TO SUBMIT CLAIMS TO INSURERS, AND WILL WORK WITH THEM TO FACILITATE TIMELY PROCESSING. THE ORGANIZATION WILL SUBMIT CLAIMS TO INSURERS AND FACILITATE TIMELY PAYMENT FOR ITS SERVICES WHEREVER POSSIBLE. PAYMENT PENALTIES ASSESSED BY THE PATIENTS INSURER APPLIED AS THEIR OBLIGATION TO THE HOSPITAL, PRACTICES OR NURSING HOME IS THE GUARANTORS RESPONSIBILITY. THE GUARANTOR IS RESPONSIBLE FOR COMPLYING WITH ALL PRE-AUTHORIZATION, PRE-CERTIFICATION, PHYSICIAN REFERRAL, AND OTHER POLICY REQUIREMENTS. THE PATIENTS INSURANCE POLICY IS AN AGREEMENT BETWEEN THE PATIENT/GUARANTOR AND THE INSURANCE CARRIER; IT IS NOT AN AGREEMENT BETWEEN THE ORGANIZATION AND THE INSURANCE CARRIER. CVMC (MARCAM) BILLING STAFF WILL ADHERE TO ALL LOCAL, STATE AND FEDERAL COLLECTION LAWS AND REGULATIONS REGARDING CREDIT AND COLLECTIONS. THE FAIR DEBT COLLECTION PRACTICES ACT AND THE 501R REGULATIONS ARE THE CURRENT STANDARD. THE ORGANIZATION UTILIZES A GUARANTOR BILLING SYSTEM. ADULT PATIENTS WILL BE RESPONSIBLE FOR THEMSELVES, AS WELL AS THEIR MINOR CHILDREN. TO COMPLY WITH HIPAA PRIVACY STANDARDS, MARRIED COUPLES WILL MAINTAIN SEPARATE GUARANTOR STATUS. STATEMENTS WILL BE SENT AFTER INSURANCES HAVE ACTED ON THE CLAIMS, OR IF THERE IS NO RESPONSE FROM THE INSURANCE COMPANY AFTER A REASONABLE TIME. IF THERE IS NO INSURANCE, STATEMENTS ARE SENT AS SOON AS THE CHARGES HAVE BEEN ENTERED AND THE ACCOUNT HAS BEEN FINALIZED. EACH GUARANTOR WILL BE SENT AN ITEMIZED FIRST STATEMENT AND A COMBINED STATEMENT GOING FORWARD UNLESS WE RECEIVE RETURNED MAIL WITH NO FORWARDING ADDRESS. WE WILL ALSO ATTEMPT TO CONTACT THE GUARANTOR BY TELEPHONE IF THE BILL IS NOT PAID WITHIN 30 DAYS OF THE FIRST STATEMENT MAILING. ALL STATEMENTS INDICATE THAT FINANCIAL ASSISTANCE IS AVAILABLE, AND THE PHONE NUMBER TO CONTACT A FINANCIAL COUNSELOR IS INCLUDED. AFTER 120 DAYS FROM THE DATE OF THE FIRST STATEMENT BILLING THE ACCOUNT WILL COME UP FOR REVIEW FOR PLACEMENT WITH OUR COLLECTION AGENCY. IF THE PATIENT DOES NOT PAY THE ACCOUNT IN FULL, SET UP A MONTHLY PAYMENT PLAN, OR APPLY FOR FINANCIAL AID OR OTHER STATE PROGRAM, THE BALANCE MAY THEN BE SENT TO OUR COLLECTION AGENCY OR ATTORNEY. WE MAY FILE A PROPERTY LIEN AGAINST ATTACHABLE ASSETS IN ORDER TO SECURE OUR INTEREST. GUARANTORS WHO ARE IDENTIFIED BY THE ORGANIZATION AS POTENTIALLY ELIGIBLE FOR OUR FINANCIAL ASSISTANCE PROGRAM WILL BE ENCOURAGED TO APPLY. GUARANTORS MAY ALSO INITIATE AND REQUEST CONSIDERATION FOR THE FINANCIAL AID PROGRAM BY REQUESTING AN APPLICATION FROM THE ORGANIZATION. THE PROGRAM IS ADMINISTERED BY THE PATIENT FINANCIAL SERVICES DEPARTMENT IN ACCORD WITH THE ORGANIZATIONS FINANCIAL AID POLICY (A-119). PROCEDURE 1. GUARANTORS SHALL BE BILLED FOR BALANCES WHICH ARE DETERMINED TO BE THEIR RESPONSIBILITY. THIS DETERMINATION WILL BE MADE ACCORDING TO THE FOLLOWING STANDARDS: A. THERE WAS NO INSURANCE COVERAGE FOR SERVICES RENDERED. B. INSURANCE WAS BILLED AND THE ENTIRE BALANCE WAS NOT SATISFIED BY THE INSURER BECAUSE THE PATIENT HAD OUT-OF-POCKET EXPENSES (CO-PAYMENT, CO-INSURANCE, DEDUCTIBLE, AND COST-SHARE) TO BE SATISFIED IN ACCORDANCE WITH THEIR INSURANCE POLICY PROVISIONS. C. INSURANCE WAS BILLED AND THE ENTIRE BALANCE WAS NOT SATISFIED BY THE INSURER BECAUSE THE PATIENT DID NOT COMPLY WITH THE INSURANCE POLICY REQUIREMENTS. D. INSURANCE WAS BILLED AND THE ENTIRE BALANCE WAS NOT SATISFIED BY THE INSURER BECAUSE THE SERVICES PROVIDED WERE NOT COVERED UNDER THE PATIENTS POLICY. E. INSURANCE WAS BILLED, BUT THE INSURANCE CARRIER DOES NOT RESPOND IN A TIMELY MANNER. F. THE GUARANTOR REFUSES TO ACCEPT A REASONABLE SETTLEMENT OFFER WHICH INCLUDES PAYMENT FOR OUR SERVICES (EX: THIRD PARTY LIABILITY CLAIMS). ONCE THE SELF-PAY BALANCE HAS BEEN DETERMINED, MONTHLY STATEMENTS WILL BE GENERATED TO INFORM THE GUARANTOR OF THEIR OBLIGATIONS TO THE ORGANIZATION AND TO REQUEST PAYMENT. 2. UNLESS STATEMENTS ARE RETURNED DUE TO AN INCORRECT ADDRESS, A MINIMUM OF FOUR STATEMENTS WILL BE SENT TO THE GUARANTOR FOR EACH ACCOUNT BEFORE THE ACCOUNT IS ELIGIBLE FOR BAD DEBT WRITE-OFF AND ASSIGNED TO A THIRD PARTY COLLECTION VENDOR. ACCOUNTS IN EXCESS OF $500 WITH INCORRECT ADDRESSES WILL BE RESEARCHED TO OBTAIN A CORRECT ADDRESS, AND ATTEMPTS WILL BE MADE TO CONTACT THE GUARANTOR BY TELEPHONE PRIOR TO REFERRING THEM TO COLLECTIONS. BILLING OF DECEASED PATIENTS WILL CONTINUE AS WITH OTHER PATIENTS UNLESS IT IS ESTABLISHED THAT THE PATIENT LEFT NO ESTATE OR THAT AVAILABLE ESTATE FUNDS HAVE BEEN EXHAUSTED. 3. GUARANTORS WHO WISH TO ESTABLISH A MONTHLY PAYMENT ARRANGEMENT MUST CONTACT THE ORGANIZATION TO REQUEST ONE. BOTH THE ORGANIZATION AND THE GUARANTOR MUST AGREE ON THE TERMS OF PAYMENT. FAILURE TO ABIDE BY THE TERMS OF PAYMENT WILL RESULT IN REFERRAL TO A THIRD PARTY COLLECTION VENDOR. (SEE ATTACHMENT I: PAYMENT ARRANGEMENT PROCESSES AND PROCEDURES) 4. THIRD PARTY LIABILITY AND LITIGATION ACCOUNTS ARE TO BE CONSIDERED AS THE GUARANTORS RESPONSIBILITY. GUARANTORS WILL BE BILLED AND THE ACCOUNTS MOVED TO BAD DEBT IF NO WRITTEN GUARANTEE IS RECEIVED FROM THE GUARANTOR OR THIRD PARTY, NO ARRANGEMENTS ARE MADE, NO LETTER OF PROTECTION IS RECEIVED FROM THE GUARANTORS ATTORNEY, OR PAYMENT IN FULL IS NOT RECEIVED. THE ORGANIZATION RESERVES ITS RIGHT AND RESPONSIBILITY TO REPORT THIRD PARTY LIABILITY TO PRIMARY MEDICAL INSURANCE CARRIERS. THE ORGANIZATION MAY UTILIZE ITS COLLECTION ATTORNEY TO SECURE ITS INTERESTS IN ANY SETTLEMENT. THE ORGANIZATION SHALL FILE LIENS AS ALLOWED BY LAW. 5. ACCOUNTS WILL BE REFERRED TO BAD DEBT IF THE GUARANTOR IS UNCOOPERATIVE, THE ORGANIZATIONS INTERESTS ARE UNSECURED AND IN DANGER OF BEING LOST, ACCEPTABLE ARRANGEMENTS HAVE NOT BEEN MADE, ARRANGEMENTS ARE IN DEFAULT, OR IF THE DEBTOR CANNOT BE REACHED BY MAIL OR TELEPHONE. THE CATEGORIES OF WRITE OFF ARE AS FOLLOWS: A. MEDICARE BAD DEBT B. NON-MEDICARE BAD DEBT C. UNCOLLECTIBLE BANKRUPT, DECEASED WITH NO ESTATE, NOT BILLABLE. 6. SETTLEMENT ON OBLIGATIONS WILL BE CONSIDERED ON AN INDIVIDUAL BASIS. THE GUARANTORS CIRCUMSTANCES, THE ORGANIZATIONS DEBT, THE LIKELINESS OF RECEIVING PAYMENT IN FULL AND OTHER CONCERNS WILL BE CONSIDERED. THE FINANCIAL COUNSELING TEAM LEAD IS RESPONSIBLE FOR NEGOTIATING AND APPROVING ALL OFFERS UP TO $5,000 IN LOSS. THE DIRECTOR OF PATIENT ACCESS WILL NEGOTIATE AND APPROVE ALL OFFERS UP TO $10,000 IN LOSS. THE CHIEF FINANCIAL OFFICER WILL APPROVE ALL LOSSES IN EXCESS OF $10,000. CVMC WILL OFFER A 30% PROMPT PAY DISCOUNT FOR CHARGES FOR WHICH NO INSURANCE COVERAGE IS AVAILABLE AND A 10% DISCOUNT FOR PATIENT BALANCES AFTER INSURANCE PAYMENTS AND ADJUSTMENTS. PROMPT PAYMENT MEANS PAYMENT OF THE AGREED-UPON AMOUNT WITHIN 10 WORKING DAYS FROM THE TIME WE OFFER A DISCOUNT TO THE GUARANTOR. 7. RESPONSIBILITY FOR DETERMINING THE GUARANTOR FOR AN ACCOUNT WILL BE BASED ON THE GUARANTOR ASSIGNMENT POLICY. THE ORGANIZATIONS POSITION ON DIVORCE DECREES IS THAT THE GUARANTOR IS THE PERSON WHO RECEIVED THE SERVICE OR THE PARENT WHO BRINGS THE CHILD IN FOR SERVICES AND SIGNS THE CONSENT (NOT THE SUBSCRIBER OF INSURANCE). THE ORGANIZATION CANNOT ENFORCE DIVORCE DECREES SINCE THEY ARE AN AGREEMENT BETWEEN THE DIVORCING PARTIES AND THE COURT SYSTEM. 8. PAYMENT FOR COSMETIC SERVICES OR SERVICES WHICH ARE NOT MEDICALLY NECESSARY IS DUE ON OR BEFORE THE DAY SERVICES ARE PROVIDED. EXCEPTIONS MUST BE APPROVED BY THE DIRECTOR OF ACCESS OR ADMINISTRATION. 9. ALL COLLECTION ACTIVITY PRIOR TO REFERRAL TO AN OUTSIDE COLLECTION AGENCY OR ATTORNEY WILL BE DOCUMENTED IN THE ACCOUNT NOTES.
NEEDS ASSESSMENT	PART VI, LINE 2 THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED USING BOTH QUALITATIVE AND QUANTITATIVE RESEARCH TECHNIQUES. INITIALLY, MEMBERS OF THE CVMC STEERING COMMITTEE GAVE VERBAL REPORTS ON THE ISSUES THEY BELIEVED TO BE THE MOST PRESSING IN THEIR ORGANIZATIONS OR IN THE GENERAL CENTRAL VERMONT COMMUNITY. FROM THERE, THE STEERING COMMITTEE REVIEWED THE RECOMMENDED LIST OF HEALTH AND SOCIOECONOMIC INDICATORS PROVIDED BY THE VERMONT DEPARTMENT OF HEALTH, AND GATHERED DATA PERTAINING TO POPULATION DEMOGRAPHICS, ACCESS TO HEALTH SERVICES, MATERNAL AND CHILD HEALTH, HEALTH STATUS AND PREVENTION, AND SOCIAL ENVIRONMENTAL MEASURES TO EVALUATE THESE CONCERNS. THIS SECONDARY RESEARCH COUPLED WITH THE STEERING COMMITTEE'S CONCERNS ALLOWED SIGNIFICANT CONCLUSIONS TO BE DRAWN AND CVMC'S PRIORITY HEALTH NEEDS TO BE SELECTED. IN ADDITION TO THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT, CVMC REGULARY MONITORS THE HEALTH NEEDS OF THE CENTRAL VERMONT COMMUNITY, THROUGHT THE COMMUNITY ALLIANCE FOR HEALTH EXCELLENCE COMMITTE (CAHE) WICH MEETS MONTHLY AND BRINGS LEADERS AND COMMUNITY PROVIDERS OF 17 DIFFERENT HEALTH CARE ORGANIZATIONS TOGETHER TO DIALOGUE AND MAKE DECIDIONS AT THE COMMUNITY LEVEL TO IMPROVE THE HEALTH CARE AND EXPERIENCE OF CARE FOR THOSE IN OUR COMMUNITY. CURRENT CAHE PROJECTS INCLUDE CARE NAVIGATION, CHRONIC HEART FAILURE, HOSPICE AND PALLIATIVE CARE AND ACES PILOT PROJECT. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE AT THE FOLLOWING WEB ADDRESS: HTTP://WWW.CVMC.ORG/SITE/DEFAULT/FILES/DOCUMENTS/COMMUNITY-HEALTH-NEEDS-AS SESSMENT-2016.PDF
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	PART VI, LINE 3 CVMC'S FINANCIAL ASSISTANCE SUMMARIES ARE POSTED IN ALL PATIENT ADMISSION PACKETS AND ON THE CVMC WEBSITE. CVMC ALSO PROVIDES CONSPICUOUS DISPLAYS REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE FACILITY. ALL PATIENT INVOICES LIST THE PHONE NUMBER FOR CONTACTING CVMC PATIENT FINANCIAL SERVICES FOR FINANCIAL ASSISTANCE IF PATIENTS ARE UNABLE TO PAY THEIR BILL. PATIENT FINANCIAL SERVICES HAS APPLICATIONS FOR ALL STATE FINANCIAL AID PROGRAMS ON FILE AND EMPLOYS THREE FINANCIAL COUNSELORS WHO WILL SIT DOWN WITH PATIENTS TO HELP THEM DETERMINE WHICH PROGRAMS THEY QUALIFY FOR, AS WELL AS HELP THEM FILL OUT THESE FORMS. PATIENT FINANCIAL SERVICES PROACTIVELY SCREENS PATIENT BILLING INFORMATION TO IDENTIFY INDIVIDUALS WHO MAY BE ELIGIBLE FOR STATE OR CVMC ASSISTANCE, AND WILL EITHER VISIT THAT PATIENT IN THE HOSPITAL, CALL THEM AT HOME, OR MAIL THEM THE INFORMATION.
COMMUNITY INFORMATION	PART VI, LINE 4 CENTRAL VERMONT MEDICAL CENTER IS THE ONLY HOSPITAL LOCATED IN OUR IMMEDIATE SERVICE AREA OF WASHINGTON COUNTY AND PARTS OF ORANGE COUNTY. THIS SERVICE AREA CONSISTS OF 23 TOWNS WITH A TOTAL POPULATION OF APPROXIMATELY 63,730. INCLUDED IN THIS SERVICE AREA IS THE FEDERALLY DESIGNATED ORWELL TOWN MEDICALLY UNDERSERVED AREA. VITAL STATISTICS: 96% WHITE 24% UNDER THE AGE OF 18 56% AGED 18 TO 64 20% OVER THE AGE OF 65 MEDIAN HOUSEHOLD INCOME OF $60,602 9.4% LIVE BELOW THE POVERTY LEVEL 3.5% NON ENGLISH SPEAKING HOUSEHOLDS ACCESS TO HEALTHCARE: 2.4% UNINSURED 17.9% MEDICAID (OR OTHER STATE PROGRAMS) RECIPIENTS 28.6% MEDICARE 51.1% PRIVATE INSURANCE
PROMOTION OF COMMUNITY HEALTH	PART VI, LINE 5 CENTRAL VERMONT MEDICAL CENTER IS THE ONLY HOSPITAL AND EMERGENCY CARE FACILITY LOCATED IN OUR IMMEDIATE SERVICE AREA. ALL OF ITS SERVICES, INCLUDING EMERGENCY CARE, ARE PROVIDED TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. CENTRAL VERMONT MEDICAL CENTER (CVMC) IS THE ADMINISTRATIVE ENTITY FOR THE VERMONT BLUEPRINT FOR HEALTH, PATIENT CENTERED MEDICAL HOMES FOR THE BARRE HEALTH SERVICE AREA (HSA). THE GOAL OF THE VERMONT BLUEPRINT FOR HEALTH, PASSED BY THE VERMONT LEGISLATURE IN 2010, IS TO SUPPORT VERMONT'S EFFORTS TO DEVELOP A COMPREHENSIVE, PROACTIVE SYSTEM OF CARE THAT IMPROVES THE QUALITY OF LIFE FOR PEOPLE WITH, OR AT RISK FOR CHRONIC CONDITIONS. IN A PATIENT CENTERED MEDICAL HOME, PATIENTS HAVE ACCESS TO A COMMUNITY HEALTH TEAM, WHICH CONSISTS OF A NURSE, OR DIETITIAN OR CLINICAL SOCIAL WORKER OR WELLNESS COACH. THIS TEAM WORKS WITH THE PATIENT TO HELP SET REALISTIC GOALS AND TIMELINES AND PROVIDES ONE-ON-ONE SUPPORT. THEY ALSO WORK WITH A BROAD BASE OF COMMUNITY SERVICES TO PROVIDE EACH PATIENT WITH INDIVIDUAL SUPPORT AND CARE. AT THE END OF 2018, OVER 50 PRIMARY CARE PROVIDERS WERE ALL PART OF A RECOGNIZED NATIONAL COMMITTEE FOR QUALITY ASSURANCE, PATIENT CENTERED MEDICAL HOME IN THE BARRE HSA CARING FOR OVER 30,000 PATIENTS. THERE ARE 17 COMMUNITY HEALTH TEAM STAFF MEMBERS IN THE CVMC PRACTICES. CVMC IS PROUD TO BE A PARTICIPANT IN THE VERMONT BLUEPRINT FOR HEALTH. IN ADDITION TO FINANCIAL ASSISTANCE AND SLIDING SCALE DISCOUNTS (SEE SCHEDULE H, PART I, LINES 3A & B), CVMC OFFERS NO INTEREST MONTHLY PAYMENT PLANS FOR PATIENTS WHO CANNOT PAY THEIR OUTSTANDING BALANCE IN FULL BUT ARE ABLE TO PAY OVER TIME. CVMC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. CVMC APPLIES SURPLUS FUNDS TO IMPROVEMENTS IN PATIENT CARE, SUCH AS NEW TECHNOLOGIES (MRI), FACILITIES AND SERVICES. THE MAJORITY OF THE CVMC'S GOVERNING BODY (BOARD OF TRUSTEES) IS COMPRISED OF INDIVIDUALS WHO RESIDE IN CVMC'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES, FAMILY MEMBERS, NOR CONTRACTORS OF THE ORGANIZATION. CVMC ACTIVELY PARTNERS WITH MANY COMMUNITY ORGANIZATIONS, SUCH AS WASHINGTON COUNTY MENTAL HEALTH SERVICES, THE PEOPLE'S HEALTH AND WELLNESS CLINIC, CENTRAL VERMONT HOME HEALTH & HOSPICE, AND GREEN MOUNTAIN UNITED WAY, TO IMPROVE THE HEALTH AND WELLBEING OF OUR COMMUNITY. ONE EXAMPLE IS OUR FREE WOMEN'S HEALTH CLINICS WITH FINANCIAL SUPPORT FROM THE SUSAN G. KOMEN FOR THE CURE THAT CVMC SPONSORS ALONG WITH THE PEOPLE'S HEALTH AND WELLNESS CLINIC. CVMC APPLIES SURPLUS FUNDS TO REVITALIZE FACILITIES, PURCHASE EQUIPMENT, AND TO ENHANCE PROGRAMS TO BETTER SERVE OUR PATIENTS.
AFFILIATED HEALTH CARE SYSTEM	PART VI, LINE 6 AS OF OCTOBER 1, 2011, CENTRAL VERMONT MEDICAL CENTER, INC. (CVMC) AND THE UNIVERSITY OF VERMONT MEDICAL CENTER BECAME MEMBERS OF THE UNIVERSITY OF VERMONT HEALTH NETWORK, AN INTEGRATED SYSTEM OF CARE SERVING THE COMMUNITIES OF VERMONT AND NORTHERN NEW YORK. THE UNIVERSITY OF VERMONT HEALTH NETWORK IS CARRYING OUT CENTRALIZED ACTIVITIES FOR THE BENEFIT OF PATIENTS OF 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. SINCE THE HEALTH NETWORK'S INCEPTION, CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER, ELIZABETH COMMUNITY HOSPITAL, ALICE HYDE MEDICAL CENTER, AND PORTER MEDICAL CENTER HAVE ALSO JOINED.
STATE FILING OF COMMUNITY BENEFIT REPORT	PART VI, LINE 7 VT

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
PEOPLES HEALTH AND WELLNESS CENTER
553 North Main St Suite 5	Barre	VT	05641	030343290	501(c)(3)	$21,000	HEALTH CARE FOR THE UNINSURED
AREA HLTH EDU CNTRS PRM UNIV VT COL OF MED
UHC CMP Arnld 51 SPrpct	Brlngtn	VT	05401	030179440	501(c)(3)	$26,780	EDU LOAN RPMT TO HLTHCR PRFSNLS
Washington County Mental Health Services Inc
PO Box 647	Montpelier	VT	056010647	030215872	501(c)(3)	$500,000	Support mission for mental health and substance abuse treatment services.

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS	FormAndLineReferenceDesc
Explanation	SCHEDULE I, PART I, LINE 2 CENTRAL VERMONT MEDICAL CENTER OCCASIONALLY GRANTS FUNDS TO ORGANIZATIONS THAT SUPPORT CVMC'S EXEMPT PURPOSE OF SERVING THE HEALTHCARE NEEDS OF CENTRAL VERMONT RESIDENTS. GRANT FUNDS ARE APPROVED AND OVERSEEN BY THE BOARD.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN BRUMSTED MD
TRUSTEE	$0	$1,023,959	$0	$613,889	$0	$175,239	$0	$186,643	$0	$27,247	$0	$2,026,977	$0	$0
JEREMIAH ECKHAUS MD
TRUSTEE, PRES-ELECT MED STAFF	$201,840		$33,925		$293		$13,376	$0	$27,508	$0	$276,942	$0	$0	$0
MARK DEPMAN MD
TRUSTEE, REGNAL PHYS LEADER	$323,662	$0	$16,213	$0	$27,787	$0	$18,000	$0	$22,506	$0	$408,168	$0	$0	$0
ANNA T NOONAN
TRUSTEE, PRESIDENT/COO	$144,211	$164,576	$135,376	$0	$3,000	$27,148	$17,654	$20,314	$14,187	$20,912	$314,428	$232,950	$0	$0
CATHY PALMER MD
TRUSTEE	$30,000	$221,238	$0		$0	$7,708	$0	$16,320	$0	$24,324	$30,000	$269,590	$0	$0
JUDITH TARR TARTAGLIA
TRUSTEE, PRES/CEO UNTIL 3/2017	$293,819	$0	$34,696	$0	$38,547	$0	$6,601	$0	$8,100	$0	$381,763	$0	$0	$0
CHEYENNE HOLLAND
TREASURER, CFO, UNTIL 07/2018	$261,693	$0	$0	$0	$6,751	$0	$33,900	$0	$29,817	$0	$332,161	$0	$0	$0
NANCY LOTHIAN
CHIEF OPERATING OFFICER	$246,521	$0	$29,550	$0	$33,936	$0	$18,000	$0	$12,757	$0	$340,764	$0	$0	$0
PHILIP BROWN DO
CHIEF MEDICAL OFF,UNTIL 3/2018	$315,055	$0	$0	$0	$0	$0	$4,498	$0	$30,034	$0	$349,587	$0	$0	$0
RICHARD MORLEY
VP SUPPORT SRVCS, UNITL 2/2018	$204,306	$0	$300	$0	$38,211	$0	$0	$0	$22,767	$0	$265,584	$0	$0	$0
MATTHEW CHOATE
CHIEF NURSING OFFICER	$170,790	$0	$0	$0	$2,391	$0	$10,502	$0	$19,545	$0	$203,228	$0	$0	$0
CHRISTIAN BEAN MD
PHYSICIAN	$440,469	$0	$86,198	$0	$51,408	$0	$34,761	$0	$28,571	$0	$641,407	$0	$0	$0
JOHN BRAUN MD
PHYSICIAN	$460,166	$0	$46,065	$0	$311	$0	$19,810	$0	$4,002	$0	$530,354	$0	$0	$0
CHRISTOPHER MERIAM MD
PHYSICIAN	$443,812	$0	$81,134	$0	$61,269	$0	$38,785	$0	$28,674	$0	$653,674	$0	$0	$0
SARA GRAVES MD
PHYSICIAN	$395,483	$0	$37,385	$0	$48,300	$0	$18,623	$0	$28,906	$0	$528,697	$0	$0	$0
ROBERT PATTERSON
VP OF HR & CLINICAL OPERATIONS	$196,548	$0	$19,253	$0	$8,485	$0	$14,108	$0	$26,771	$0	$265,165	$0	$0	$0
DAVID TURNER
VP PHYSICIAN SERVICES	$171,066	$0	$16,472	$0	$1,232	$0	$10,790	$0	$2,637	$0	$202,197	$0	$0	$0
TODD KEATING
INTERIM TREASURER,CFO 7/2018	$0	$568,728	$0	$270,066	$0	$86,596	$0	$23,430	$0	$5,167	$0	$953,987	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART I, LINE 3	FormAndLineReferenceDesc
Explanation	IN ADDITION TO THE TOOLS AND PROCESSES IDENTIFIED IN PART I, CVMC RECEIVES GUIDANCE REGARDING ITS PRESIDENT'S COMPENSATION FROM THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF THE UNIVERSITY OF VERMONT HEALTH NETWORK, WHICH IS THE SOLE MEMBER OF THE HOSPITAL. THAT NETWORK COMPENSATION COMMITTEE UTILIZES THE FOLLOWING METHODS TO ESTABLISH THE GUIDANCE: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE EXECUTIVE BENEFITS SCHEDULE J, PART I, LINE 4B CERTAIN LISTED INDIVIDUALS PARTICIPATED IN THE UVM MEDICAL CENTER EXECUTIVE BENEFIT PLAN UNDER WHICH PARTICIPANTS ARE CREDITED A BENEFIT ALLOWANCE EQUAL TO A SPECIFIED PERCENTAGE OF BASE PAY. UNDER THE PLAN, PARTICIPANTS MAY ELECT TO HAVE THE AMOUNT OF THE BENEFIT ALLOWANCE DEFERRED TO A CAPITAL ACCUMULATION ACCOUNT SUBJECT TO SECTION 457(F). NO AMOUNTS WERE DEFERRED TO OR PAID FROM A CAPITAL ACCUMULATION ACCOUNT IN CALENDAR 2017. DURING CALENDAR YEAR 2015, THE UNIVERSITY OF VERMONT MEDICAL CENTER, INC. ENTERED INTO A SUPPLEMENTAL RETIREMENT BENEFIT PLAN (SRP) WITH PRESIDENT BRUMSTED. UNDER THE TERMS OF THE SRP, UVM MEDICAL CENTER MAKES ANNUAL CREDITS EQUAL TO 15% OF THE PRESIDENT'S BASE SALARY FOR EACH YEAR THROUGH THE PLAN YEAR ENDING SEPTEMBER 30, 2019. THE AMOUNT DEFERRED FOR CY17 IS REPORTED ON SCHEDULE J, PART II, COLUMN C. AMOUNTS DEFERRED REMAIN SUBJECT TO FORFEITURE IF CERTAIN CONDITIONS ARE NOT MET.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	SUBSTANTIAL DONOR	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SUBSTANTIAL CONTRIBUTOR	RelationshipDescriptionTxt
Transaction	$797,108	TransactionAmt
Transaction	SERVICES	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DESCRIPTION OF THE ORGANIZATION'S MISSION	FORM 990, PART III, LINE 1 CENTRAL VERMONT MEDICAL CENTER TRUSTEES AND ITS STAFF ARE COMMITTED TO PROVIDING EXCELLENT CARE TO CENTRAL VERMONTERS. TO STAY ABREAST OF BEST PRACTICES, CVMC COLLABORATES WITH MANY HEALTHCARE ENTITIES TO ENSURE THIS COMMITMENT. PARTICIPATING IN THE JOINT COMMISSION ACCREDITATIONS PROCESS IS ONE MEASURE OF HOW CVMC CONTINUOUSLY STRIVES TO IMPROVE THE SAFETY AND QUALITY OF CARE PROVIDED TO ITS PATIENTS. THE HOSPITAL AND THE PHYSICIAN PRACTICE GROUPS (CVMGP, CENTRAL VERMONT MEDICAL GROUP PRACTICES) WERE ACCREDITED IN JANUARY 2016 FOR A THREE YEAR PERIOD. JOINT COMMISSION ACCREDITATION IS THE EQUIVALENT OF THE GOOD HOUSEKEEPING "SEAL OF APPROVAL" FOR MEDICAL CENTERS. THE JOINT COMMISSION EVALUATES THE QUALITY AND SAFETY OF CARE PROVIDED BY HEALTH CARE ORGANIZATIONS. TO EARN AND MAINTAIN ACCREDITATION, ORGANIZATIONS MUST HAVE AN EXTENSIVE ON-SITE REVIEW BY A TEAM OF JOINT COMMISSION HEALTH CARE PROFESSIONALS AT LEAST ONCE EVERY THREE YEARS. THE PURPOSE OF THE REVIEW IS TO EVALUATE THE ORGANIZATION'S PERFORMANCE IN AREAS THAT AFFECT PATIENT CARE. ACCREDITATION IS AWARDED BASED ON HOW WELL THE ORGANIZATION MEETS THE JOINT COMMISSION STANDARDS. CVMC PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. ALL OF CVMC'S SERVICES, INCLUDING EMERGENCY CARE, ARE PROVIDED TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. FORM 990, PART VI, LINE 2 THERE IS A BUSINESS RELATIONSHIP BETWEEN DR. JOHN BRUMSTED AN OFFICER OF THE UNIVERSTIY OF VERMONT MEDICAL CENTER (UVMMC), DR. CATHY PALMER AN EMPLOYEE OF UVMMC AND TODD KEATING, INTERIM TREASURER, CFO OF CENTRAL VERMONT MEDICAL CENTER INC. (CVMC). DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS Form 990, Part VI, Line 6 THE UNIVERSITY OF VERMONT HEALTH NETWORK IS THE SOLE MEMBER AND PARENT CORPORATION OF CENTRAL VERMONT MEDICAL CENTER, INC. (CVMC). THE UNIVERSITY OF VERMONT 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.
ELECTION OF GOVERNING BODY & GOVERNANCE DECISIONS	FORM 990, PART VI, LINE 7A & 7B THE UNIVERSITY OF VERMONT HEALTH NETWORK HOLDS THE POWER TO ELECT CVMC'S BOARD OF TRUSTEES AND 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 CVMC'S BYLAWS AND ARTICLES OF ORGANIZATION.
DESCRIPTION OF PROCESS USED BY MGMNT &/OR GOVERNING BODY TO REVIEW 990	FORM 990, PART VI, LINE 11B THE FORM 990 IS PREPARED BY THE ACCOUNTING MANAGER AND REVIEWED IN DETAIL BY CVMC'S OUTSIDE TAX ADVISORS BEFORE BEING REVIEWED BY THE OFFICERS OF THE CORPORATION AND BY THE OTHER MEMBERS OF THE SENIOR MANAGEMENT TEAM. THE ACCOUNTING MANAGER PROVIDES REGULATORY UPDATES REGARDING THE FORM 990 TO THE FINANCE COMMITTEE AND MAKES AVAILABLE TO THE FINANCE COMMITTEE THE FORM 990 ALONG WITH HIGHLIGHTS OF ALL SIGNIFICANT PARTS OF THE FORM 990. THE BOARD OF TRUSTEES IS ALSO PROVIDED VIA EMAIL A COPY OF THE "AS FILED" FORM 990 BEFORE IT IS FILED WITH THE IRS, WITH A STATEMENT NOTATING THAT SCHEDULE B IS NOT FOR PUBLIC VIEWING. THE FORM 990 IS ALSO AVAILABLE IN HARD COPY FOR THOSE THAT DO NOT HAVE ACCESS TO EMAIL.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST	FORM 990, PART VI, LINE 12C THE COMPLIANCE OFFICER FOR CVMC MAINTAINS THE CONFLICT OF INTEREST STATEMENTS AND REGULARLY MONITORS THEM AS WELL AS ANY OTHER ACTIVITIES THAT MAY CONSTITUTE A CONFLICT OF INTEREST. THE ORGANIZATION'S PRACTICE IS TO SEND OUT ANNUAL DISCLOSURE QUESTIONNAIRES TO BOARD OF TRUSTEE MEMBERS, SENIOR OFFICERS, AND DIRECTORS OF THE ORGANIZATION OR OTHER INDIVIDUALS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION WHO HAVE A DIRECT OR INDIRECT FINANCIAL INTEREST, AS DEFINED BELOW, AS AN "INTERESTED PERSON." THIS DEFINITION SHALL ALSO INCLUDE MEMBERS OF THE ORGANIZATION'S LEADERSHIP GROUP, MEDICAL DIRECTORS AND ANY EMPLOYEES INVOLVED WITH RECOMMENDING OR PURCHASING PRODUCTS/SERVICES. THE RESPONSES ARE TAKEN TO THE GOVERNANCE AND HUMAN RESOURCES COMMITTEE OF THE BOARD OF TRUSTEES TO DETERMINE IF A CONFLICT OF INTEREST EXISTS. THE GOVERNANCE AND HUMAN RESOURCES COMMITTEE SHALL MAINTAIN A LIST OF INDIVIDUALS WHO MAY BE CONSIDERED DISQUALIFIED PERSONS UNDER IRS REGULATIONS. THE GOVERNANCE AND HUMAN RESOURCES COMMITTEE SHALL REPORT THE RESULTS OF ITS REVIEW ANNUALLY TO THE BOARD OF TRUSTEES. IF THERE IS ANY POSSIBILITY OF FINANCIAL GAIN BY A TRUSTEE AND OR EMPLOYEE FROM ANY DECISION THAT IS TO BE DELIBERATED ON, THEN THAT TRUSTEE/EMPLOYEE MAY MAKE A PRESENTATION, BUT IS THEN REMOVED FROM THOSE DISCUSSIONS TO ENSURE THAT THE TRUSTEE/EMPLOYEE WILL NOT TAKE PART IN ANY DELIBERATIONS THAT HE OR SHE MIGHT PERSONALLY GAIN FROM. THE TRUSTEE/EMPLOYEE OPERATING UNDER A CONFLICT IS PROHIBITED FROM VOTING ON ANY MATTER TO WHICH THE CONFLICT RELATES.
WHISTLEBLOWER & DOCUMENT RETENTION - DESTRUCTION POLICIES	FORM 990, PART VI, LINES 13 & 14 CVMC HAS BOTH A WHISTLEBLOWER AND A DOCUMENT RETENTION - DESTRUCTION POLICY. THESE POLICIES ARE EFFECTIVE WITHOUT FORMAL BOARD APPROVAL.
OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN	FORM 990, PART VI, LINES 15A & 15B THE PROCESS FOR DETERMINING COMPENSATION FOR THE ORGANIZATION'S PRESIDENT/COO AND CFO INCLUDES A REVIEW AND APPROVAL BY THE BOARD OF TRUSTEES. AN INDEPENDENT COMPENSATION STUDY IS ALSO PERIODICALLY PERFORMED. THE MOST RECENT STUDY WAS PERFORMED IN 2017. THIS STUDY INCLUDED COMPENSATION DATA FOR CHIEF EXECUTIVE OFFICERS AND VICE PRESIDENTS. INDEPENDENT RESEARCH IS COMPLEMENTED BY A MARKET STUDY ANALYSIS PERFORMED BY THE HUMAN RESOURCES DEPARTMENT AND REVIEWED BY THE BOARD OF TRUSTEES. MARKET STUDY DATA COMES FROM, BUT IS NOT LIMITED TO, HFMA, VAHHS, NEAH, AHA, INDUSTRY SPECIFIC COMPENSATION SURVEYS AND OTHER HEALTHCARE SOURCES. THE COMPENSATION OF OTHER KEY EMPLOYEES OF THE ORGANIZATION IS DETERMINED THROUGH MARKET STUDY ANALYSIS PERFORMED BY THE HUMAN RESOURCES DEPARTMENT AND REVIEWED BY THE BOARD OF TRUSTEES IF NECESSARY. IN ADDITION TO THE TOOLS AND PROCESSES IDENTIFIED IN SCHEDULE J, PART I, CVMC RECEIVES GUIDANCE REGARDING ITS PRESIDENT'S COMPENSATION FROM THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF THE UNIVERSITY OF VERMONT HEALTH NETWORK, WHICH IS THE SOLE MEMBER OF THE HOSPITAL. THAT NETWORK COMPENSATION COMMITTEE UTILIZES THE FOLLOWING METHODS TO ESTABLISH THE GUIDANCE: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC	FORM 990, PART VI, LINE 19 THE ORGANIZATION MAKES AVAILABLE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE GENERAL PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS OF THE ORGANIZATION FOR FY2018 CAN ALSO BE FOUND ON THE WEBSITE. WWW.CVMC.ORG FORM 990, PART VII THREE PHYSICIANS SERVING AS BOARD MEMBERS, DR. PALMER, DR. DEPMAN AND DR. ECKHAUS, RECEIVE COMPENSATION FROM THE ORGANIZATION FOR THEIR SERVICES AS PHYSICIANS. THIS COMPENSATION IS NOT RELATED TO THEIR PARTICIPATION AS MEMBERS OF THE BOARD OF TRUSTEES.
OTHER CHANGES IN NET ASSETS	FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES: CHANGE IN MINIMUM PENSION LIABILITY $7,018,473 FUNDS RELEASED FROM TEMP RESTRICTED ASSETS (571,429) CHANGE IN PERPETUAL TRUST 12,182 -------------------------------------- TOTAL: $6,459,226
CIRCULAR A-133 AUDIT	FORM 990, PART XII, LINE 3B: DURING FY18, CVMC DID NOT REACH THE LEVEL REQUIRED TO WARRANT AN AUDIT UNDER OMB CIRCULAR A-133. HOWEVER, BECAUSE OF CVMC'S AFFILIATION WITH THE UNIVERSITY OF VERMONT MEDICAL CENTER, CVMC WAS INCLUDED IN THE A-133 THAT WAS PERFORMED FOR THE UNIVERSITY OF VERMONT MEDICAL CENTER.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
UNIVERSITY OF VERMONT MEDICAL CENTERINC
111 COLCHESTER AVE	BURLINGTON	VT	05401	030219309	HOSPITAL	VT	501(c)(3)	3	UVMHN	Yes (true)
UNIV OF VERMONT HEALTH NETWORK INC
111 COLCHESTER AVE	BURLINGTON	VT	05401	452880726	HOLDING CO	VT	501(C)(3)	12A-I	NA	false
UNIV OF VERMONT MEDICAL GROUP - NEW YORK
183 PARK STREET	MALONE	NY	12953	203905216	PHYS SVCS	NY	501(C)(3)	3	UVMMG	Yes (true)
UNIVERSITY OF VERMONT MEDICAL GROUP
111 COLCHESTER AVE	BURLINGTON	VT	05401	030225105	PHYS SVCS	VT	501(C)(3)	12A-I	UVMHN	Yes (true)
UNIV OF VERMONT MEDICAL CTR FDN INC
111 COLCHESTER AVE	BURLINGTON	VT	05401	263159849	FUNDRAISING	VT	501(C)(3)	12A-I	UVMMC	Yes (true)
CENTRAL VERMONT HOSPITAL AUXILIARY
130 FISHER RD	BERLIN	VT	05602	030264240	SERVICE	VT	501(C)(3)	12D-III-O	NA	false
COMMUNITY PROVIDERS INC
75 BEEKMAN ST	PLATTSBURGH	NY	12901	222544844	HLTH SVC COOR	NY	501(C)(3)	12A-I	UVMHN	Yes (true)
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL
75 BEEKMAN STREET	PLATTSBURGH	NY	12901	141338471	HOSPITAL	NY	501(C)(3)	3	CPI	Yes (true)
ELIZABETHTOWN COMMUNITY HOSPITAL
75 PARK STREET	ELIZABETHTOWN	NY	12932	141364513	HOSPITAL	NY	501(C)(3)	3	CPI	Yes (true)
EMERGENCY MEDICAL TRANSPORT OF CVPH INC
75 BEEKMAN ST	PLATTSBURGH	NY	12901	061718419	AMBULANCE SVC	NY	501(C)(3)	12B-II	CPI	Yes (true)
CVPH MEDICAL CENTER FOUNDATION
75 BEEKMAN ST	PLATTSBURGH	NY	12901	141727048	HLTH SVC SUPP	NY	501(c)(3)	12B-II	CVPH	Yes (true)
UNIVERSITY MEDICAL EDUCATION ASSOCIATES
89 BEAUMONT AVE	BURLINGTON	VT	05405	237107832	EDUCATIONAL	VT	501(C)(3)	11	UVMMG	Yes (true)
UNIVERSITY HEALTH CENTER
111 CoOLCHESTER AVE	BURLINGTON	VT	05401	030229931	HOSPITAL	VT	501(C)(3)	12C-III-FI	UVMMG	Yes (true)
ALICE HYDE MEDICAL CENTER
133 PARK STREET	MALONE	NY	12953	150346515	HOSPITAL	NY	501(C)(3)	3	CPI	Yes (true)
PORTER MEDICAL CENTER INC
115 PORTER DRIVE	MIDDLEBURY	VT	05753	030310862	SUPPTG ORG	VT	501(C)(3)	12-BII	UVMHN	Yes (true)
HELEN PORTER NURSING HOME
37 PORTER DRIVE	MIDDLEBURY	VT	05753	030306549	NURSING HOME	VT	501(C)(3)	3	PMC	Yes (true)
AUXILIARY OF PORTER MEDICAL CENTER
37 PORTER DRIVE	MIDDLEBURY	VT	05753	237363227	SUPPORTG ORG	VT	501(C)(3)	12-B,II	PMC	Yes (true)
PORTER HOSPITAL INC
37 PORTER DRIVE	MIDDLEBURY	VT	05753	030181058	HOSPITAL	VT	501(C)(3)	3	PMC	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ONECARE VERMONT ACCOUNTABLE CA
111 COLCHESTER AVENUE	BURLINGTON	VT	05401	455399218	ACCOUNTABLE C	VT	NA
ADIRONDACKS ACO LLC
75 BEEKMAN STREET	PLATTSBURGH	NY	12901	462840926	ACCOUNTABLE C	NY	NA
OBNET SERVICES LLC
ONE MEDICAL CENTER DR	LEBANON	NH	03756	043746287	HEALTH RESEAR	NH	NA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
CHARITABLE IRREVOCABLE TRUST (7)
SUPPORT	VT	UVMMCCVMC	TRUST
UNIV OF VT MED CTR HEALTH VENT INC
HOLDING COMPA	VT	UVMMC	C CORP	111 COLCHESTER AVE	BURLINGTON	VT	05401	043380045
VMC INDEMNITY COMPANY LTD
CAPTIVE INSUR		UVMMC	C CORP					999999999	PO BOX HM 3103 25 CHURCH ST HM F	HAMILTON	BD	HM FX FR	BD
VERMONT MANAGED CARE
ADMIN SERVICE	VT	UVMMCHV	C CORP	111 COLCHESTER AVE	BURLINGTON	VT	05401	030333056
CHARITABLE REMAINDER TRUST (5)
SUPPORT	VT	UVMMCCVMC	TRUST
PERPETUAL TRUST (4)
SUPPORT	VT	UVMMC	TRUST
CHAMPLAIN VALLEY HEALTH NETWORK
ADMIN SERVICE	NY	NA	C CORP	75 BEEKMAN STREET	PLATTSBURGH	NY	12901	161586102
MEDQUEST INC
MED OFFICE LE	NY	NA	C CORP	PO BOX 1656	PLATTSBURGH	NY	12901	141663061

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

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
UNIVERSITY OF VERMONT MEDICAL CENTER
IJMOQ	$7,500,000	FMV
PERPETUAL TRUSTS
S	$148,657	FMV

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule R, Part IV, Line 1	University of Vermont Medical Center, Inc. (UVM Medical Center) has a beneficial interest in four of these trusts. CVMC has a beneficial interest in three of these trusts.
Schedule R, Part V, Transaction K	UVM Medical Center leases and shares facilities, equipment, and other assets with CVMC. The value of these transactions is indeterminable.