2018-08-13T07:33:31-05:00 2017-09-30 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2016-10-01 030181058 Porter Hospital Inc PORT 8023884701 115 Porter Drive Middlebury VT 05753 Jennifer Bertrand CFO 8023884701 2018-08-10 1 Barbara J McGuan CPA P00219457 2077752387 2018-08-10 2016 2022-09-23 18:48:47Z Fred Kniffin 115 Porter Drive Middlebury VT 05753 85198453 0 X www.portermedical.org X 1925 VT Critical Access Hospital 18 15 699 83 955 -261 279335 437310 80161039 83995081 -119958 549852 84610 31511 80405026 85013754 6667 7110 0 0 41145511 44078674 0 0 0 34354026 34663963 75506204 78749747 4898822 6264007 57191847 63551465 28990432 29225438 28201415 34326027 X The mission of Porter Medical Center and its subsidiary companies is to improve the health of our community, one patient at a time. 1 1 73571613 7110 83995081 Porter Hospital, Inc. ("Porter") operates a not-for profit critical access hospital with patient care services including emergency room, maternity and medical/surgical inpatient and outpatient care, and ancillary services including rehabilitation, laboratory testing, and diagnostic imaging services. As a critical access hospital, Porter staffs a total of 25 beds. Of the 25 beds, six beds are located in the maternity unit, and the remaining beds are located on the Medical/Surgical unit. Porter recorded approximately 6,009 inpatient days during the year. Emergency Room visits totaled 14,100 for the year. Surgeries for the year totaled 3,807. Support services for both inpatients and outpatients include but are not limited to laboratory, Diagnostic Imaging services, cardiac services, and rehabilitation facilities. Imaging includes radiology, nuclear medicine, MRI, ultrasound, and CT Scan. Porter provides free care to patients who meet certain criteria. Foregone charges furnished under Porter's Free care policy amounted to $1,622,357, with a cost of $689,176 for the fiscal year ending 9/30/17. Porter provides a number of community health outreach programs to the general public for free or at minimal charge. The programs include but are not limited to diabetes education, breast cancer screening, prenatal classes, breastfeeding classes, and CPR coerces. Porter provides clinical office space to the Open Door Clinic. Finally, Porter has partnered with local career center, as well as colleges to provided clinical exposure to their students with goals of developing future healthcare workers for the community. 73571613 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 130 0 1 699 1 0 0 0 0 0 0 0 0 0 0 X 18 15 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 VT X Jennifer Bertrand 8023888878 115 Porter Drive Middlebury VT 05753 Kristofer Anderson MD Director 40.00 2.00 X 332115 0 18929 Judson Bartlett Past Vice-Chair 1.00 2.00 X X 0 0 0 John Brumsted MD CEO UVM Health Network 2.00 48.00 X 0 1887039 213152 Anne Collins Director 1.00 2.00 X 0 0 0 Sivan Cotel Vice-Chair 1.00 2.00 X X 0 0 0 Peter DeGraff Director 1.00 2.00 X 0 0 0 Kim Downs-Burns Director 1.00 2.00 X 0 0 0 Richard Foote Director 1.00 2.00 X 0 0 0 Lewis Holmes MD Director 40.00 2.00 X 148971 0 6527 James Keyes Treasurer 1.00 2.00 X X 0 0 0 Stephen Koller MD Director 1.00 2.00 X 0 0 0 Linn Larson MD Director 1.00 2.00 X 0 0 0 Kate McIntosh Director 1.00 2.00 X 0 0 0 Maureen Mclaughlin Chairperson 3.00 2.00 X X 0 0 0 Cheryl Mullins Director 1.00 2.00 X 0 0 0 Linda Schiffer Director 1.00 2.00 X 0 0 0 Steve Terry Director 1.00 2.00 X 0 0 0 Bill Townsend Director 1.00 2.00 X 0 0 0 Sherry Greifzu Past Director 1.00 2.00 X 0 0 0 Michael Kiernan MD Past Director 40.00 2.00 X 219073 0 33377 Robert Thorn Past Director 1.00 2.00 X 0 0 0 Fred Kniffin MD CEO 40.00 2.00 X 42392 294684 31429 Jennifer Bertrand CFO 40.00 2.00 X 0 126233 11403 Eric Benz MD Orthopedic Surgeon 40.00 0.00 X 558180 0 8882 Benjamin Rosenberg MD Orthopedic Surgeon 40.00 0.00 X 535170 0 8832 Gavin Noble MD MD Cardiology 40.00 0.00 X 401119 0 51658 Mario Capparuccini MD MD Hospitalist 40.00 0.00 X 324222 0 33249 Jessica Wagener MD MD Emergency Department 40.00 0.00 X 260476 0 39194 James Daily Former President/CEO 0.00 0.00 X 0 385628 0 Lynn Boggs Former President/CEO 0.00 0.00 X 0 371901 4754 Steve Ciampa Former CFO 0.00 0.00 X 0 177601 12370 2821718 3243086 473756 64 1 1 0 Medical Solutions LLC PO Box 74569 Chicago IL 60696 Temporary Labor 2438188 University of Vermont Medical Center PO Box 1902 Burlington VT 05402 Lab Services 724279 Medical Information Tech Inc 1 Meditech Circle Westwood MA 02090 IT Support Services 317698 Alliance Healthcare Service 100 Bayview Cirle Suite 400 Newport Beach CA 92660 Radiology Services 281200 Marcam Associates PO Box 60 Rochester NH 03866 Collection Services 279036 61 437310 437310 Patient Revenue 621110 166215608 166215608 Miscellaneous Revenue 621110 5822414 5615836 955 205623 Pharmacy Sales 621110 3025446 3025446 Provision for Bad Debt 621110 -3658766 -3658766 Contractual/Charity Care Adj. 621110 -87409621 -87409621 83995081 604912 604912 156645 125134 31511 31511 31511 4505 59565 -55060 -55060 -55060 85013754 80763057 955 3812432 X 7110 7110 804794 758991 45803 33454855 30855776 2599079 1455770 1342672 113098 6105028 5630734 474294 2258227 2082787 175440 4045472 3731183 314289 161623 149067 12556 64326 59329 4997 9027921 8326548 701373 68283 62978 5305 1945734 1794572 151162 229251 211441 17810 2659551 2452933 206618 124059 114421 9638 81622 75281 6341 369471 340767 28704 2852124 2630545 221579 1159077 1069029 90048 Medical Supplies 7386343 7386343 Medicare Provider Tax 4489106 4489106 78749747 73571613 5178134 0 X 22168 10217 14449716 18708675 10463286 10962468 19863 19283 1547676 1543327 678754 1439577 52649498 33562318 19849135 19087180 5641277 5928256 3327709 3685568 1192263 2166914 57191847 63551465 7533155 8700628 12002820 11642410 787039 491659 8667418 8390741 28990432 29225438 X 24442649 30264647 313375 375811 3445391 3685569 28201415 34326027 57191847 63551465 X 6264007 -139396 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 13570 13570 0 Part II-B, Line 1: The Organization pays dues to various associations, a portion of which is attributable to lobbying expenses. 3445391 240178 3685569 3549614 -104223 3445391 3603171 -53557 3549614 3423515 179656 3603171 3096516 326999 3423515 0.00000 1.00000 0.00000 1 0 26796062 13934162 12861900 23398702 18348492 5050210 2454734 1279664 1175070 19087180 Beneficial Interest in Trusts 3685568 F 3685568 Estimated Third Party Settlements 1974180 Deferred Compensation 941558 Due to Affiliate 746579 Liability for Pension Benefits 4728424 8390741 Part V, Line 4: Income from endowments supports the Organization's mission by providing funds for charity care and additionally offsets a portion of the Organization's operating expenses. 1 1 1 X 1 X 1 1 1 0 0 692917 692917 0.00880 11964539 8955306 3009233 0.03820 12657456 8955306 3702150 0.04700 137464 137464 0.00170 287234 287234 0.00360 7110 7110 0.00010 431808 431808 0.00540 13089264 8955306 4133958 0.05240 1 1554244 0 16568574 15711732 856842 X 1 1 1 1 Porter Hospital Inc 115 Porter Drive Middlebury VT 05753 www.portermedical.org 833 X X X X Porter Hospital Inc 1 0 0 1 X X X X X X X X X 14 1 0 0 1 X http://www.portermedical.org/ADDISON%20COUNTY%20needs%20update%202015.pdf X 1 14 1 http://www.portermedical.org/CHNA%20Implementation%20Report.pdf 1 0 1 X 200.000000000000 350.000000000000 X X X X 1 1 X X X X 1 X http://portermedical.org/patient_financial_information.html X http://portermedical.org/patient_financial_information.html X http://portermedical.org/patient_financial_information.html X X X X X 1 X 0 X X X X 1 X 1 1 Porter Hospital, Inc. Part V, Section B, Line 5: At the outset of the original CHNA project, a number of resources were read, reviewed and/or reevaluated in order to better prepare for our interviews and position ourselves to assess and draw meaningful conclusions from our findings. Included in this review were: Porter Medical Center's Act 53 Community Needs Assessment, Healthy Vermonters 2020, The Health Disparities of Vermonters, 2012, AHEC's 2012 Snapshot of the Vermont Primary Care Workforce, and Vermont's Blueprint for Health.Interviews, information and data were collected from a variety of sources and individuals throughout our community, including information from the newly formed (2015) "Community Health Action Team" (CHAT) which is comprised of the following organizations:- Porter Hospital- Porter Practice Management- Helen Porter Healthcare & Rehabilitation Center- Counseling Service of Addison County- Addison County Home Health & Hospice- Open Door Clinic- Elderly Services- SASH- VCCI- Department of Health- Agency of Human Services- Turning Point Center- Addison Respite Care Home- United Way of Addison County- Parent Child Center- Mountain Health Center FQHC- Rainbow Pediatrics- Middlebury Family Health/Health First- Blueprint Project Manager- Blueprint Practice Facilitator- OneCare VT Porter Hospital, Inc. Part V, Section B, Line 11: Please see attached Community Health Needs Assessment & Implementation Plan. The Hospital's CHNA & Implementation Plan can also be accessed via the Hospital's website - www.portermedical.org. Porter Hospital, Inc. Part V, Section B, Line 23: The Organization does bill gross charges to patients when the patient has no form of insurance. The Organization will and does provide discounts as needed to patients that are in the position of having no insurance. These discounts range from 20% to 100% of the charge depending upon financial need. Porter Hospital, Inc. Part V, Section B, Line 24: The Organization will initially bill a patient not having insurance the Organization's standard and customary gross charges. Upon knowledge that the patient may be medically indigent and require financial assistance, the Organization will initiate the process of financial counseling and assistance. The patient would receive an adjusted bill reflective of the financial assistance rewarded based off of the patients eligibility dermination, i.e. a zero bill for 100% free care or discounted bill. 10 1 - UVMHN-PMC Orthopedics 1436 Exchange Street Middlebury VT 05753 Physician Clinic 2 - UVMHN-PMC Primary Care-Middlebury 82 Catamount Park Middlebury VT 05753 Family Physician Clinic 3 - UVMHN-PMC Primary Care-Vergennes 10 North Street Vergennes VT 05491 Family Physician Clinic 4 - UVMHN-PMC Pediatric Primary Care 1330 Exchange Street 201 Middlebury VT 05753 Physician Clinic 5 - UVMHN-PMC Primary Care-Brandon 61 Court Drive Brandon VT 05733 Family Physician Clinic 6 - UVMHN-PMC Ear Nose & Throat 1330 Exchange Street 202 Middlebury VT 05753 Physician Clinic 7 - UVMHN-PMC Primary Care-Bristol 61 Pine Street Bristol VT 05443 Physician Clinic 8 - UVMHN-PMC Cardiology 115 Porter Drive Middlebury VT 05753 Physician Clinic 9 - UVMHN-PMC Podiatry 76 Court Street Middlebury VT 05753 Physician Clinic 10 - UVMHN-PMC Women's Health 116 Porter Drive Middlebury VT 05753 Physician Clinic Part I, Line 6a: An annual report to the Community was prepared by Porter Medical Center, the parent corporation of Porter of Porter Hospital, Inc. Part I, Line 7: The Organization used a cost-to-charge ratio as its methodology for calculating amounts on Lines 7a & 7b. An actual costing methodology was used to calculate the amounts on lines 7f & 7i. Part III, Line 2: The Organization used the cost-to-charge ratio as its costing methodology to calculate bad debt expense at cost. Part III, Line 4: Accounts receivable are reduced by an allowance for doubtful accounts. UVM Health Network analyzes its past history for patients with self-pay balances, either after third party insurance payment (deductible and co-pay balances) or those without insurance. UVM Health Network records and allowance for doubtful accounts in the period of service based on past experience of patients unwilling to pay a portion of their bill for which they are financially responsible.Bad debt expense for nonpatient related accounts receivable is reflected in total operating expenses on the statement of operations. Patient related bad debt is reflected as a reduction in patient service revenue on the statement of operations. The Organization used the Medicare Cost Report to report Medicare allowable costs of care related to the payments on Schedule H, Part III, Section B. Medicare, Line 6. Part III, Line 9b: Porter Hospital, Inc. recognizes that it has a responsibility to provide care to all patients regardless of their ability to pay and make available financial assistance for those patients that have been identified as financially needy through written documentation. Information regarding financial assistance is made available upon request. Part VI, Line 2: Please see attached Community Health Needs Assessment & Implementation Plan. The Hospital's CHNA & Implementation Plan can also be accessed via the Hospital's website - www.portermedical.org. Part VI, Line 3: Porter Hospital's Financial Assistance Program is posted on the Porter Medical Center Web Site. In addition, a brochure about your rights and responsibilities as a patient is available to all patients. The brochure states that the patient has the right to receive the most appropriate medical treatment available regardless of ability to pay and receive information about financial assistance, and this language is also posted in all patient registration areas. Part VI, Line 4: Porter Hospital, Inc. is the major provider of health care in Addison County, Vermont. Porter Hospital, Inc. also provides services to residents of northern Rutland County, Vermont, Essex County, New York and elsewhere in this region. Part VI, Line 5: Porter Hospital, Inc. provides rent free clinic space and vouchers for no-cost ancillary services to the local Open Door Clinic in its role as a catalyst in the delivery of health care services to its entire community.Porter Hospital, Inc. offers free and low cost community education programs on health care topics including memory loss, dementia, breast cancer screening, basic diabetes, CPR, smoking cessation, parenting, prenatal exercise and breast feeding.A majority of the governing body is comprised of persons who reside in its service area and who are neither employees nor contractors of Porter Hospital, Inc. nor family members thereof. Medical staff privileges are extended to all qualified physicians in the community.Surplus funds are invested in technology, facilities and programs. Porter Hospital and the local Career Center collaborate on a new Health Careers Education program. Part VI, Line 6: Porter Hospital, Inc. and Helen Porter Nursing Home, Inc. are wholly owned subsidiaries of Porter Medical Center. All corporations are affiliates of the University of Vermont Health Network effective April 2017. Through its subsidiaries, Porter Medical Center provides a continuum of health services including in-patient care, out-patient care, short-term rehabilitation, long-term rehabilitation, long-term care, dementia care, wellness programs and prevention programs. Part VI, Line 7, Reports Filed With States VT 1 Open Door Clinic 100 Porter Drive Middlebury VT 05753 030359531 501(c)(3) 0 7110 FMV Use of space on Hospital Campus Operational Assistance 1 0 Part I, Line 2: Porter Hospital provides physician office space on campus as well as at one of Porter Hospital's off-site physician practice office to the Open Door Clinic. Porter Hospital provides this in-kind, non-cash assistance to further the mission of out-reach to the medically needy within the Addison County healthcare community. This support dovetails with the mission of the Blueprint for Health to stabilize chronic health conditions for the most fragile social-economic population. 1 1 0 0 0 0 0 1 0 Kristofer Anderson MD Director 321400 0 10000 0 715 0 10600 0 8329 0 351044 0 0 0 John Brumsted MD CEO UVM Health Network 0 1024109 0 694095 0 168835 0 186083 0 27069 0 2100191 0 0 Lewis Holmes MD Director 148971 0 0 0 0 0 5959 0 568 0 155498 0 0 0 Michael Kiernan MD Past Director 218170 0 0 0 903 0 9022 0 24355 0 252450 0 0 0 Fred Kniffin MD CEO 31602 240801 0 0 10790 53883 0 13250 3411 14768 45803 322702 0 0 Eric Benz MD Orthopedic Surgeon 517770 0 0 0 40410 0 7950 0 932 0 567062 0 0 0 Benjamin Rosenberg MD Orthopedic Surgeon 514188 0 0 0 20982 0 7950 0 882 0 544002 0 0 0 Gavin Noble MD MD Cardiology 353497 0 29630 0 17992 0 7950 0 43708 0 452777 0 0 0 Mario Capparuccini MD MD Hospitalist 321891 0 0 0 2331 0 7950 0 25299 0 357471 0 0 0 Jessica Wagener MD MD Emergency Department 214584 0 0 0 45892 0 10600 0 28594 0 299670 0 0 0 James Daily Former President/CEO 0 6312 0 0 0 379316 0 0 0 0 0 385628 0 359150 Lynn Boggs Former President/CEO 0 130582 0 0 0 241319 0 0 0 4754 0 376655 0 0 Steve Ciampa Former CFO 0 143510 0 10000 0 24091 0 5381 0 6989 0 189971 0 0 Part I, Line 3 Porter Medical Center (PMC), a related organization, establishes the compensation for the Organization's CEO. Porter Medical Center uses a variety of resources to establish compensation as follows: 1. Independent compensation consultant 2. Written employment contract 3. Approval by the PMC Board Part I, Lines 4a-b Lynn Boggs, former CEO, received $230,243 for severance compensation. James Daily, former President/CEO, received a payout of $359,150 from his 457(f) deferred compensation plan. Part I, Line 7 Kristofer Anderson, M.D., Gavin Noble, M.D., received bonuses which were based on their productivity and quality. A Vermont Educational and Health Buildings Financing Agency 237154467 2015-08-06 12650000 Refund 2006 Series A Bonds 0 0 0 A 1007590 12650000 138787 12511213 2015 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 1 0 0 0 0 0 A 0 Form 990, Part III, line 2 Porter Hospital introduced a new service line, Porter Express Care, in June 2017. The primary goal of this service is to build upon our existing primary care network and ensure appropriate access to high quality, "urgent medical care" in a setting that is both more convenient and less expensive than a traditional emergency department. Form 990, Part III, line 3 During the 2017 fiscal year, Infusion Services were expanded to include treatments for anemia, heart failure, bacteria infections and oncology support care. Additionally, the demand for this service within the community prompted the need to expand the hours of service from three to five days per week. By extending the hours of operations and expanding the treatment options we are able to better serve the needs within the community. Form 990, Part VI, Section A, line 4 Porter Medical Center and its Subsidiaries (Porter Hospital and Helen Porter Nursing Home) entered into an active parent governance relationship with the University of Vermont Health Network as of April 1, 2017. As a result of the formal affiliation with the University of Vermont Health Network, Porter Medical Center updated its governing documents to reflect the new relationship with the University of Vermont Health Network including the University of Vermont Health Network's reserve powers with Porter Medical Center. The update to the governing documents also reflects the University of Vermont Health Network as the sole member of Porter Medical Center. Form 990, Part VI, Section A, line 6 Prior to April 1, 2017, Porter Medical Center did have members; however, with the affiliation the University of Vermont Health Network became the sole member of Porter Medical Center. Form 990, Part VI, Section A, line 7a The University of Vermont Health Network, as Porter Medical Center's sole member, has reserve powers that allow the University of Vermont Health Network to refuse the acceptance of new board members appointed by the Porter Medical Center Board of Directors if The University of Vermont Health Network does not agree with the choice of appointments. As a result, the process of appointing members to the governing body is a collaboration of the Porter Medical Center Board of Directors and the University of Vermont Health Network. Form 990, Part VI, Section A, line 7b The University of Vermont Health Network has certain reserve powers that require it to approve certain decisions made the Porter Medical Center Board of Directors. Form 990, Part VI, Section B, line 11b The Form 990 is presented the completed Form 990 to the UVMHN/PMC Finance Committee and management and make electronic copy available to all Board Members prior to filing. Form 990, Part VI, Section B, line 12c The Organization's CFO and Controller are responsible for regularly and consistently monitoring and enforcing compliance with the conflict of interest policy. When bids are solicited to include the business of a Board member, those bids are reviewed by the Board of Directors to assure adherence to the Hospital's lowest bid policy. When an issue comes up to a vote and it is connected, in any way, to the business of a Board member, the member must recuse him/herself from the vote. Form 990, Part VI, Section B, line 15a The Organization's executive committee reviews comparative data prepared by a consultant prior to referral of compensation to the board of directors. The board of directors review the findings of the consultant and vote to approve the salary of the CEO. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part IX, line 11g Purchased Services: Program service expenses 8,326,548. Management and general expenses 701,373. Fundraising expenses 0. Total expenses 9,027,921. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Porter Hospital, Inc. 115 Porter Drive Middlebury, VT 05753 EIN 03-0181058 Porter Hospital, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Form 990, Part XI, line 9: Change in Net Assets to Recognize Funded Status of Pension Plan 1,171,382. Change in Beneficial Interest in Perpetual Trusts 240,178. Equity Transfer to Affiliate -1,550,956. Porter Medical Center Inc 37 Porter Drive Middlebury VT 05753 030310862 Holding Company for Subsidiaries VT 501(c)(3) Line 12b, II N/A 0 Helen Porter Nursing Home Inc dba Helen Porter Nursing and Rehabilitation 30 Porter Drive Middlebury VT 05753 030306549 Nursing Home VT 501(c)(3) Line 3 Porter Medical Center Inc 0 Auxiliary of Porter Medical Center 37 Porter Drive Middlebury VT 05753 237363227 Supporting Organization VT 501(c)(3) Line 12b, II Porter Medical Center Inc 0 Univ of Vermont Health Network Inc 111 Colchester Ave Burlington VT 05401 452880726 Parent Organization VT 501(c)(3) Line 12a, I NA 0 Univ of Vermont Medical Group 111 Colchester Ave Burlington VT 05401 030225105 Physician Services VT 501(c)(3) Line 12a, I UVM HLTH Net 0 Univ of Vermont Med Group-New York 183 Park Street Malone NY 12953 203905216 Physician Services NY 501(c)(3) Line 3 UVMMG 0 Univ of Vermont Med CTR FDN Inc 111 Colchester Ave Burlington VT 05401 263159849 Fundraising VT 501(c)(3) Line 12a, I UVMMC 0 Univ of Vermont Medical Center 111 Colchester Ave Burlington VT 05401 030219309 Hospital VT 501(c)(3) Line 3 UVM HLTH Net 0 Central Vermont Medical Center 130 Fisher Road Berlin VT 05602 222547186 Hospital VT 501(c)(3) Line 3 UVM HLTH Net 0 Community Providers Inc 75 Beekman Street Plattsburgh NY 12901 222544844 Health Service Coordinator NY 501(c)(3) Line 12a, I UVM HLTH Net 0 Champlain Valley Phys Hospital 75 Beekman Street Plattsburgh NY 12901 141338471 Health Service Support NY 501(c)(3) Line 3 CPI 0 Elizabethtown Community Hospital 75 Park Street Elizabethtown NY 12932 141364513 Hospital NY 501(c)(3) Line 3 CPI 0 Emergency Medical Transport of CVPH Inc 75 Beekman Street Plattsburgh NY 12901 061718419 Ambulance Service NY 501(c)(3) Line 12b, II CPI 0 CVPH Medical Center Foundation 75 Beekman Street Plattsburgh NY 12901 141727048 Health Service Support NY 501(c)(3) Line 12b, II CVPH 0 University Health Center 111 Colchester Ave Burlington VT 05401 030229931 Hospital VT 501(c)(3) Line 12c, III-FI UVMMG 0 University Medical Education Associates 89 Beaumont Avenue Burlington VT 05401 237107832 Educational VT 501(c)(3) Line 10 UVMMG 0 Alice Hyde Medical Center 133 Park Street Malone NY 12953 150346515 Hospital NY 501(c)(3) Line 3 CPI 0 University of Vermont Med CTR Aux Inc 111 Colchester Ave Burlington VT 05401 208022004 Service VT 501(c)(3) Line 12c, III-FI NA 0 Onecare Vermont ACO LLC 111 Colcester Ave Burlington VT 05401 455399218 Accountable Care VT NA Related 0 0 Adirondack ACO LLC 75 Beekman Street Plattsburgh NY 12901 462840926 Accountable Care NY NA N/A 0 0 Obnet Services LLC 1 Med Ctr Dr Lebanon NH 03766 043746287 Health Research NH UVMMC Related 0 0 UVMMC Health Ventures Inc 111 Colchester Ave Burlington VT 05401 043380045 Holding Company VT UVMMC C 0 VMC Indemnity Company LTD PO Box HM 3103 25 Church Street Hamilton HM FX BD Captive Insurance BD UVMMC C 0 Vermont Managed Care Inc 111 Colchester Ave Burlington VT 05401 030333056 Admin Services VT UVM HLTH VENT C 0 Charitable Remainder Trust (5) Support VT UVMMCCVMC T 0 Prepetural Trust (4) Support VT UVMMC T 0 Charitable Irrevocable Trust (7) Support VT CVMCUVMMC T 0 Champlain Valley Health Network 75 Beekman Street Plattsburgh NY 12901 161586102 Admin Service NY CPI C 0 Mediquest Inc PO Box 1656 Plattsburgh NY 12901 141663061 Med Office Lease NY CPI C 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 0