CENTRAL VERMONT MEDICAL CENTER INC HCSR: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- CENTRAL VERMONT MEDICAL CENTER INC HCSR (EIN 22-2547186)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-08-15
- IRS object ID
- 201742279349300134
- Schema version
- 2015v3.0
- 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 G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-08-15T10:18:55-04:00 | ReturnTs |
| Tax Period End | 2016-09-30 | 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 BOULEVARD | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-10-01 | 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 | % CHEYENNE HOLLAND 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 | CHEYENNE HOLLAND | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8023714100 | PhoneNum |
| Signature | 2017-08-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PAUL TANIS | PreparerPersonNm |
| PTIN | P01441612 | PTIN |
| Phone | 6175305000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Ms Nancy Lothian | 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 | $201,591,119 | 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 | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 1927 | TotalEmployeeCnt |
| Total Volunteers | 152 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,095,416 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,449,336 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $180,996,141 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $198,325,656 | CYProgramServiceRevenueAmt |
| PY Investment Income | $407,448 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,278,579 | CYInvestmentIncomeAmt |
| PY Other Revenue | $333,602 | PYOtherRevenueAmt |
| CY Other Revenue | $252,959 | CYOtherRevenueAmt |
| PY Total Revenue | $182,832,607 | PYTotalRevenueAmt |
| CY Total Revenue | $201,306,530 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $30,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $184,700 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $115,346,402 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $132,031,942 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $181,961 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $60,926,432 | PYOtherExpensesAmt |
| CY Other Expenses | $65,277,173 | CYOtherExpensesAmt |
| PY Total Expenses | $176,302,834 | PYTotalExpensesAmt |
| CY Total Expenses | $197,493,815 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,529,773 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,812,715 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $152,894,915 | TotalAssetsBOYAmt |
| Total Assets EOY | $166,943,607 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $75,047,253 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $92,154,641 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $77,847,662 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $74,788,966 | 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 | $126,971,344 | ExpenseAmt |
| Grant | $184,700 | GrantAmt |
| Revenue | $146,426,214 | 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. 18,844 INPATIENT DAYS, MORE THAN 239,000 OUTPATIENT PROCEDURES, AND 25,244 EMERGENCY ROOM VISITS WERE RECORDED DURING FISCAL YEAR 2016. OUTPATIENT ANCILLARY SERVICE UNITS MAKE UP THE MAJORITY OF SERVICE VOLUME, INCLUDING 36,079 RADIOLOGY PROCEDURES, 485,318 LAB TESTS, 16,612 CARDIOLOGY TESTS, AND 137,093 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 16 WAS 25,244. THE CANCER TREATMENT CENTER PROVIDED 4,236 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 | $41,206,527 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $38,152,436 | RevenueAmt |
| Desc | MEDICAL GROUP PRACTICES: AT THE END OF THE FISCAL YEAR WE HAD 26 PRIMARY CARE, INFIRMARY, AND SPECIALTY PRACTICES. THIS INCLUDED 7 PRIMARY AND FAMILY CARE CLINICS, 2 PEDIATRIC CLINICS, AS WELL AS SPECIALTY CLINICS FOR UROLOGY, PODIATRY, RHEUMATOLOGY, ENDOCRINOLOGY, ORTHOPAEDICS, PSYCHOLOGY, AND OBSTETRICS/ GYNECOLOGY. THERE WERE A TOTAL OF 216,786 PRACTICE VISITS DURING FISCAL YEAR 2016. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $16,626,938 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $13,747,006 | RevenueAmt |
| Desc | WOODRIDGE SKILLED NURSING FACILITY: CVMC ALSO OPERATES A 153 LICENSED BED SKILLED NURSING FACILITY. THE FACILITY CONCENTRATES ITS SERVICES TO PALLIATIVE CARE, REHABILITATION, PAIN MANAGEMENT, AND ADVANCED WOUND CARE. 42,962 PATIENT DAYS WERE RECORDED IN FISCAL YEAR 2016. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $184,804,809 | 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 | false | 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 | Yes (true) | 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 | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| 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 | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | 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 | 102 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1927 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| 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 | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 | CHEYENNE HOLLAND 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 (33 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 |
|---|---|---|---|---|---|---|---|---|---|
| Mark Crane MD | |||||||||
| Trustee, until 9/22/16 | 3.0 | 0.0 | Yes (X) | $62,600 | $0 | $0 | |||
| Sandy Rousse | |||||||||
| Trustee, as of 12/9/15 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Thomas Robbins | |||||||||
| Trustee, Until 5/1/16 | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Marta Marble | |||||||||
| Trustee, Chair-Elect | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Robin Nicholson | |||||||||
| Trustee, until 12/9/15 | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Judith Tarr Tartaglia | |||||||||
| Trustee, President/CEO | 45.0 | 5.0 | Yes (X) | $475,900 | $0 | $27,485 | Yes (X) | ||
| Mark Depman MD | |||||||||
| Trustee, Medical Director EMS | 50.0 | 0.0 | Yes (X) | $385,566 | $0 | $20,692 | |||
| Michael Dellipriscoli | |||||||||
| TRUSTEE, Chair | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Laura Plude | |||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Carol Welch | |||||||||
| TRUSTEE, until 12/9/15 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Greg Voorheis | |||||||||
| Trustee, Immediate Past Chair | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Steven Shea | |||||||||
| Trustee | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Christopher Barbieri | |||||||||
| Trustee | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Heidi Pelletier | |||||||||
| Trustee, until 12/9/15 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Marilyn White | |||||||||
| Trustee, as of 12/9/15 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| John Brumsted MD | |||||||||
| Trustee | 6.0 | 44.0 | Yes (X) | $0 | $1,976,486 | $209,789 | |||
| Joyce Judy | |||||||||
| Trustee | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Sarah Field | |||||||||
| Trustee | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Cathy Palmer MD | |||||||||
| Trustee,PRES CVMC MED STAFF | 3.0 | 42.0 | Yes (X) | $15,000 | $236,026 | $42,497 | |||
| Thomas Golonka | |||||||||
| Trustee | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JEREMIAH ECKHAUS MD | |||||||||
| SEE SCHEDULE O | 50.0 | 0.0 | Yes (X) | $198,224 | $0 | $38,936 | |||
| Nancy Lothian | |||||||||
| Chief Operating Officer | 50.0 | 0.0 | $342,526 | $0 | $17,545 | Yes (X) | |||
| Cheyenne Holland | |||||||||
| TREASURER, CFO/VP FISCAL SRVS | 50.0 | 0.0 | $284,736 | $0 | $43,861 | Yes (X) | |||
| Katherine Borne | |||||||||
| SECRETARY, EXECUTIVE ASSISTANT | 50.0 | 0.0 | $83,130 | $0 | $20,018 | Yes (X) | |||
| Philip Brown DO | |||||||||
| VP Medical Affairs | 50.0 | 0.0 | $354,010 | $0 | $28,012 | Yes (X) | |||
| Richard Morley | |||||||||
| VP Support Services | 50.0 | 0.0 | $239,562 | $0 | $26,033 | Yes (X) | |||
| Karin Morrow | |||||||||
| Chief Nursing Officer | 50.0 | 0.0 | $194,887 | $0 | $8,270 | Yes (X) | |||
| David Turner | |||||||||
| VP Physician Services | 50.0 | 0.0 | $196,515 | $0 | $12,987 | Yes (X) | |||
| Daniel Wilson MD | |||||||||
| Medical Director Psych | 50.0 | 0.0 | $318,920 | $0 | $31,885 | Yes (X) | |||
| Mahlon Bradley MD | |||||||||
| Physician | 50.0 | 0.0 | $508,952 | $0 | $45,970 | Yes (X) | |||
| Jared Blum MD | |||||||||
| Physician | 50.0 | 0.0 | $330,817 | $0 | $44,123 | Yes (X) | |||
| John Braun MD | |||||||||
| PHYSICIAN | 50.0 | 0.0 | $492,087 | $0 | $15,700 | Yes (X) | |||
| Javad Mashkuri MD | |||||||||
| Physician | 50.0 | 0.0 | $324,086 | $0 | $42,531 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,807,518 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,212,512 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $676,334 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 156 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | 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 SERVICE | $2,318,033 |
| WEATHERBY LOCUMS | |||||
| 5352 NORTHWEST 21ST TERR | FORT LAUDERDALE | FL | 33309 | PHYSICIAN STAFFING | $470,875 |
| CONNOR CONTRACTING INC | |||||
| 1100 US ROUTE 2 | BERLIN | VT | 05602 | CONSTRUCTION SERVICE | $582,200 |
| BENOIT ELECTRIC | |||||
| 254 INDUSTRIAL LN | BARRE | VT | 05641 | ELECTRICAL SERVICES | $458,071 |
| J CRONAN SECURITY INVESTIGATIONS | |||||
| 332 W LAKESHORE DRIVE | COLCHESTER | VT | 05446 | SECURITY SERVICES | $443,430 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 31 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $21,547 | FundraisingAmt |
| Government Grants | $623,772 | GovernmentGrantsAmt |
| All Other Contributions | $804,017 | AllOtherContributionsAmt |
| Noncash Contributions | $192,856 | NoncashContributionsAmt |
| Total Contributions | $1,449,336 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 900099 | $187,055,033 | $187,055,033 |
| REV FROM MANAGED CARE AND CAPITATED | 900099 | $2,101,045 | $2,101,045 |
| 340B CONTRACT PHARMACY REVENUE | 900099 | $4,832,409 | $4,832,409 |
| MEANINGFUL USE | 900099 | $614,500 | $614,500 |
| CAFETERIA REVENUE | 900099 | $1,100,862 | $1,100,862 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,621,807 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,621,807 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $198,325,656 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,278,579 | TotalRevenueColumnAmt |
| Exclusion | $1,278,579 | 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 | $527,195 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $272,138 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $255,057 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $255,057 | TotalRevenueColumnAmt |
| Exclusion | $255,057 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $10,353 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $21,547 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $12,451 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,098 | TotalRevenueColumnAmt |
| Exclusion | -$2,098 | ExclusionAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
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 | $201,306,530 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $198,325,656 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,531,538 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,700 | TotalAmt |
| Program Services | $184,700 | 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 | $2,876,213 | TotalAmt |
| Program Services | $635,185 | ProgramServicesAmt |
| Management And General | $2,241,028 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,141 | TotalAmt |
| Program Services | $35,141 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,071,105 | TotalAmt |
| Program Services | $98,177,352 | ProgramServicesAmt |
| Management And General | $3,749,054 | ManagementAndGeneralAmt |
| Fundraising | $144,699 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,649,907 | TotalAmt |
| Program Services | $6,261,311 | ProgramServicesAmt |
| Management And General | $379,430 | ManagementAndGeneralAmt |
| Fundraising | $9,166 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,808,968 | TotalAmt |
| Program Services | $12,987,374 | ProgramServicesAmt |
| Management And General | $802,582 | ManagementAndGeneralAmt |
| Fundraising | $19,012 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,590,608 | TotalAmt |
| Program Services | $6,205,477 | ProgramServicesAmt |
| Management And General | $376,047 | ManagementAndGeneralAmt |
| Fundraising | $9,084 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $546,421 | TotalAmt |
| Management And General | $546,421 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,352 | TotalAmt |
| Management And General | $163,352 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,000 | TotalAmt |
| Management And General | $5,000 | 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 | $105,660 | TotalAmt |
| Program Services | $10,955 | ProgramServicesAmt |
| Management And General | $94,705 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,694,652 | TotalAmt |
| Program Services | $7,666,860 | ProgramServicesAmt |
| Management And General | $2,027,792 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,090,544 | TotalAmt |
| Program Services | $143,513 | ProgramServicesAmt |
| Management And General | $947,031 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,558,945 | TotalAmt |
| Program Services | $26,272,428 | ProgramServicesAmt |
| Management And General | $286,517 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,289,283 | TotalAmt |
| Program Services | $2,194,036 | ProgramServicesAmt |
| Management And General | $95,247 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,113,648 | TotalAmt |
| Program Services | $5,989,076 | ProgramServicesAmt |
| Management And General | $124,572 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,581 | TotalAmt |
| Program Services | $67,377 | ProgramServicesAmt |
| Management And General | $40,204 | 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 | $596,860 | TotalAmt |
| Program Services | $549,336 | ProgramServicesAmt |
| Management And General | $47,524 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $752,889 | TotalAmt |
| Program Services | $752,889 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,715,867 | TotalAmt |
| Program Services | $9,715,867 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $775,306 | TotalAmt |
| Program Services | $625,768 | ProgramServicesAmt |
| Management And General | $149,538 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $5,191,108 | $5,191,108 | |
| STATE NURSING BED TAX ASMNT | $754,688 | $754,688 | |
| DUES & FEES | $567,404 | $266,284 | $301,120 |
| SUNDRY EXPENSE | $93,734 | $68,371 | $25,363 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,231 | TotalAmt |
| Program Services | $49,713 | ProgramServicesAmt |
| Management And General | $104,518 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $197,493,815 | TotalAmt |
| Program Services | $184,804,809 | ProgramServicesAmt |
| Management And General | $12,507,045 | ManagementAndGeneralAmt |
| Fundraising | $181,961 | 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 | $20,494,662 | BOYAmt |
| EOY | $18,338,172 | 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 | $17,370,365 | BOYAmt |
| EOY | $22,586,553 | 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 | $1,219,958 | BOYAmt |
| EOY | $1,184,660 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,323,890 | BOYAmt |
| EOY | $4,065,469 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,569,997 | BOYAmt |
| EOY | $1,476,111 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $168,562,435 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $93,938,760 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,114,385 | BOYAmt |
| EOY | $74,623,675 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,270,169 | BOYAmt |
| EOY | $42,768,290 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $1,531,489 | BOYAmt |
| EOY | $1,900,677 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,894,915 | BOYAmt |
| EOY | $166,943,607 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,536,484 | BOYAmt |
| EOY | $29,733,965 | 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 | $10,112,510 | BOYAmt |
| EOY | $1,662,941 | 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 | $9,094,138 | BOYAmt |
| EOY | $16,437,800 | 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 | $33,304,121 | BOYAmt |
| EOY | $44,319,935 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,047,253 | BOYAmt |
| EOY | $92,154,641 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,448,151 | BOYAmt |
| EOY | $65,547,044 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,073,037 | BOYAmt |
| EOY | $5,805,106 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,326,474 | BOYAmt |
| EOY | $3,436,816 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,847,662 | BOYAmt |
| EOY | $74,788,966 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,894,915 | BOYAmt |
| EOY | $166,943,607 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,812,715 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,320,182 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$10,191,593 | 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
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
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 | $25,147 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $25,147 | 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, THE VERMONT HEALTH CARE ASSOCIATION, AND THE MEDICAL GROUP MANAGEMENT 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 | $7,726,226 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $306,265 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $43,693 | OtherExpendituresAmt |
| End Year Balance | $7,988,798 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,318,467 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $810,401 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $639,328 | OtherExpendituresAmt |
| End Year Balance | $7,489,540 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,346,576 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $437,354 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $465,463 | OtherExpendituresAmt |
| End Year Balance | $7,318,467 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.43000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.57000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
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 | $55,630,764 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,156,916 | DepreciationAmt |
| Book Value | $25,473,848 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,824,948 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,972,213 | DepreciationAmt |
| Book Value | $14,852,735 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $71,660,926 | OtherCostOrOtherBasisAmt |
| Depreciation | $48,504,416 | DepreciationAmt |
| Book Value | $23,156,510 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,935,797 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,305,215 | DepreciationAmt |
| Book Value | $5,630,582 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $74,623,675 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED PENSION LIABILITY | $42,903,233 |
| OTHER LIABILITIES | $1,416,702 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $44,319,935 | 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 G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $31,900 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $21,547 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $10,353 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $200 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $8,582 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $2,252 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $1,417 | OtherDirectExpensesEvent1Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $31,900 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $21,547 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $10,353 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $200 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $8,582 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $2,252 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $1,417 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $12,451 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$2,098 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| 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 | $1,120,415 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,120,415 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00580 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $47,151,074 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,244,082 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,906,992 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08270 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $48,271,489 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,244,082 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,027,407 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08850 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $66,851 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $66,851 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $361,397 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $361,397 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $44,489,083 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $34,744,432 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,744,651 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05070 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $45,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $45,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $44,962,331 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $34,744,432 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,217,899 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05310 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $93,233,820 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $65,988,514 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,245,306 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14160 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,191,108 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $103,822 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $66,571,000 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $83,536,420 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$16,965,420 | 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| 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 |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 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 |
| PART V, LINE 10A | COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY WEBSITE: HTTPS://WWW.CVMC.ORG/SITES/DEFAULT/FILES/DOCUMENTS/COMMUNITY-NEEDS-ASSESSM ENT-2016.PDF |
| PART V, LINE 11 | The following implementation plan outlines the logistics and remedies concerning the priority areas agreed upon by the CVMC Steering Committee. At Central Vermont Medical Center, 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. Our affiliation, beginning in 2011 with the University of Vermont Medical Center, Champlain Valley Physicians Hospital Medical Center, Elizabethtown Community Hospital, and Alice Hyde Medical Center, under the University of Vermont Health Network, has increased our reach and capabilities as the primary medical center in central Vermont. This connection with the University of Vermont Health Network has been a significant step in promoting regional strategic planning, improving access to local care, enhancing information technology, and encouraging joint quality and clinical initiatives. Together, our organizations have worked to align with the state and federal health care reform agendas that promote enhanced integration and build upon our existing clinical partnerships. A number of CVMC staff members serve on boards of other mission-related community organizations and planning groups such as the Vermont Blueprint for Health, Central Vermont Health Care Coalition, Central Vermont Substance Abuse Services, Green Mountain United Way, Peoples Health & Wellness Clinic, Vermont Dietetic Association, Vermont Ethics Network, Vermont Medical Society Board, and many more. This implementation plan points to and acknowledges the valuable work of many efforts already underway throughout the county to address community health. Our Community Health Team has discussed regional strategies that are working, gaps that remain, and opportunities for improvement. Based on these recommendations, we have developed the following measures to address those areas for improvement that require more attention and collaboration. Drug Abuse Why address it? By addressing barriers to treatment and collaborating with community partners, CVMC will potentially decrease the prevalence of drug abuse, thus decreasing the number of safety and health concerns associated with it. CVMC is working with community partners including the Vermont Department of Health Alcohol and Drug Abuse Program, Washington County Mental Health Services, Central Vermont Substance Abuse Services 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. Current initiatives * Continue expanding Screening Brief Intervention and Referral to Treatment (SBIRT) model into seven medical homes throughout the CVMC Medical Group Practices. Increase communication and integrated care at each medical home with four masters level behavioral health counselors, offering onsite counseling services with documentation in their medical record. * Continue Screening Brief Intervention and Referral to Treatment (SBIRT) model in our Womens Health Clinic at CVMC. Increase communication and integrated care with immediate access to a licensed behavioral health counselor for interventions. * Continue Screening Brief Intervention and Referral to Treatment (SBIRT) model in our Emergency Department at CVMC. Two masters level behavioral health clinicians offer immediate interventions for patients scoring positive for drug use behaviors with an option to engage in free brief treatment. * Continue expanding Screening Brief Intervention and Referral to Treatment (SBIRT) model to our inpatient units at CVMC. One masters level behavioral health counselor could offer immediate interventions for patients scoring positive for drug use behaviors with an option to engage in free brief treatment. The Central Vermont Community Response Team (CVCRT) continues to meet monthly to provide wraparound services for pregnant and parenting women. This team is represented by 16 community agencies in Washington County and provides case management, advocacy and assistance to women in overcoming barriers to health and wellbeing. Clinical oversight of clinical interventions, ongoing training and support to medical staff, quality improvement and data management. Development of clinical intervention tools for medical providers to use during brief interventions and give to patients as resources. * Continue to coordinate efforts with Central Vermont Addiction Medicine (CVAM): The staff of the Central Vermont Medication Assisted Treatment (MAT) Team has been working with the staff at CVAM to ensure that there is no wait list for individuals who are seeking MAT. Currently, most new patients are seen and inducted on buprenorphine or methadone in less than 48 hours. * Continue work with the Central Vermont Opiate Addiction Steering Committee, which is working with the United Way to develop a comprehensive online resource for individuals and families struggling with addiction. This will also serve as a tool for educating community members, and will contain information about prevention efforts around central Vermont. Advance action Expand facilitation and leadership of the Washington County Substance Abuse Regional Partnership Committee to identify barriers to treatment and gaps in services. This multidisciplinary team, consisting of physicians, drug treatment facilities leadership, drug counselors, ADAP representatives, and our community mental health agency, meets monthly at CVMC to strengthen Washington Countys response to our current drug epidemic. * Continue development of parenting groups in conjunction with Treatment Associates and Central Vermont Addiction Medicine. * Expand supports for patients under the age of 18 that may be in need of medication-assisted treatment. * Engage practitioners: By increasing the MAT Team support, we are hopeful that we can encourage more practitioners to provide MAT to their patients. * Ongoing education: By continuing with the Office Based Opioid Treatment (OBOT) Learning Collaborative in conjunction with Dartmouth Hitchcock Medical Center, we can continue to educate providers on new forms of treatment, which will help improve access to care. One example of this is the use of Vivitrol, an injectable medication that blocks the opioid receptors for an individual for 30 days. Patients receiving this type of treatment can be supported by the MAT Team. * Through promotion on hospital bulletins and media centers, ensure that the public is aware of organizations such as Central Vermont Substance Abuse Services, and online resources being created by groups such as the Central Vermont Opioid Addiction Steering Committee and Washington County Regional Substance Abuse Partnership. * Continue development of a local safe harbor bridge program that offers 24/7 referral, screening, and assessment services for individuals needing medically assisted withdrawal and/or substance abuse treatment. * Continue development and support of Project Safe Catch, which is a drug amnesty program that offers addicts immediate access to substance abuse treatment in lieu of an arrest or penalty. Mental Health Why address it? As mentioned earlier in this report, according to a recent study conducted by the National Institute of Mental Health, almost half of all Americans have experienced a mental disorder at some point in their lives and almost 30% suffer from one in any given year. These problems typically take a toll on overall health. For example, patients diagnosed with a serious mental disorder die 25 years earlier than the general population. Care costs for mental health conditions are significant. The United States spent an estimated $201 billion on mental health disorders like anxiety and depression in 2013, according to an analysis published in The Journal Health Affairs, making it the costliest medical condition in the country.* |
| Current Initiatives | * Family Psychiatry, a CVMC Medical Group practice, adopted formal standardized depression screening for patients 12 and older. CVMC, in partnership with Washington County Mental Health Services, is working to integrate behavioral health practitioners into every primary care practice. * CVMC has piloted standardized trauma screening in collaboration with Washington County Mental Health into one of its primary care practices, identifying patients with a history of trauma and connecting them with services. * CVMC is partnering with Washington County Mental Health Services to pilot 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 Washington County Mental Health Services, has developed a Doula Project to support every prenatal patient seen through Central Vermont Womens Health. Research shows that doula labor support decreases the risk for postpartum depression. * CVMC, in collaboration with Washington County Mental Health Services, is offering additional prenatal and postpartum support for women with a history of depression or are at risk of postpartum depression. Those services include: case management collaboration with other community agencies prenatal yoga childbirth education referral to other Washington County Mental Health Services Programs and counseling additional postpartum support up to one year postpartum *Source: http://www.huffingtonpost.com/entry/highest-health-costs-mental_us_574302b 8e4b045cc9a716371 Advance Action CVMC Pediatric practices are planning to pilot trauma screening in collaboration with Washington County Mental Health Services and the Washington County Family Center Tobacco Use Why address it? Tobacco use is the leading cause of preventable death, but hundreds of Vermonters still die each year from tobacco-related diseases. Countless other lives, including those of friends and families of smokers, are touched by the negative effects of tobacco use in our state. Smoking leads to or complicates asthma, heart disease, cancer, lung diseases, stroke, low birth weight in babies, and infant mortality. The most recent prevalence of adult smoking in Vermont was 18% in 2014. This is the same as the national prevalence and equates to about 81,000 adult smokers in Vermont. In the last 25 years, there has been a gradual decline in smoking from a high of 24% in 1996. Current Initiatives * Continue to coordinate efforts with large and small local businesses. The BlueCross BlueShield of Vermont wellness coordinator has been working with the CVMC Tobacco Cessation program for several years now and offers a cessation class twice a year. Currently, we are able to assist participants with support and free nicotine replacement therapy such as gum, patches and lozenges. * Continue to attend local employers wellness fairs, including: The National Life Group, Washington County Mental Health Services and Norwich University. This also serves as a tool for educating community members. Advance action * Continue to add Freshstart (tobacco cessation) leaders in order to increase cessation services to Washington County residents including outlying areas. * Continuing education via webinar invitations through the Vermont Department of Health. * Through promotion on CVMC/Medical Group Practices bulletins and CVMCs web site, ensure that the general public is aware of 802Quits.org, an in-person, phone line and online support for tobacco cessation services. Healthy Diets Why address it? Obesity is one of the most serious health threats facing our nation. According to the U.S. Centers for Disease Control and Prevention, more than two-thirds of American adults and one-third of American youth are now obese or overweight. Obesity-related conditions make up several of the leading causes of death in the U.S. High rates of obesity are largely responsible for the United States declining health outcomes and rapidly rising healthcare costs. Lack of availability and affordability of healthy food contributes to the obesity epidemic. *Source: http://publichealthlawcenter.org/topics/healthy-eating Current Initiatives * Continue Fitness4Wellness pilot, CVMC Rehab and Community Health Team collaboration project. Ten- week wellness program for patients to improve their physical abilities through physical therapy as well as build new, healthier behaviors such as healthy eating through health coaching. * Continue Winning Strategies for Weight Loss, free weekly one-hour classes, targeting people with a BMI > 30. Providing education on healthy eating, a variety of nutrition topics, activity and making better lifestyle choices. Weekly action planning is also incorporated. * Continue YMCA Diabetes Prevention Program, a year-long program, hourly for 25 sessions. Targeted for people with pre-diabetes and/or a BMI > 25. Overall goal is to prevent developing diabetes with a population that is at high risk for this chronic disease. Focus is on modest weight loss of 7% body weight, and increasing weekly activity to 150 minutes. Statistics show a 58% reduction in developing diabetes if overall goals met. * Continue Healthy Eating/Healthy Living for Kids, shared medical visits with a nurse practitioner and CVMCs registered dietitian for children and their families who would benefit from better food choices and fitness practices. * Health Care Share: In partnership with Vermont Youth Conservation Corps, CVMC provides funding for the delivery of freshly harvested, organic vegetables to 150 families in need for 12 weeks. An educational binder with information on the nutritional value and preparation of the vegetables is distributed on the initial delivery in early July. In 2015, CVMC partnered with the Vermont Food Bank and the Hunger Mountain Coop to bring produce and dry food staples to CVMC for monthly food shelfs between January and June 2016. Free cooking classes were also held in CVMCs kitchen (Learning Kitchen) in collaboration with the University of Vermont Extension Program and the Vermont Food Bank. Advance Action Implement a standardized food security tool within primary care to identify additional families that may benefit from the Health Care Share program Youth Participation in Physical Activities Why address it? Nationwide, there has been an increase in overweight and obesity rates among adolescents over the last 30 years. In Vermont, approximately 13% of high school students are obese. According to the most recent Vermont Youth Risk Behavior Survey, high school students reporting 60 minutes of physical activity on all of the past seven days were less likely to be obese compared to the Vermont average. Participation in regular physical activity among the youth population results in many positive health and well-being outcomes, not only during childhood and adolescence, but also into adulthood. CVMCs 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. Continue current initiatives * Continue offering Healthy Eating/Healthy Living for Kids. This program includes six 90-minute sessions and is offered several times per year to pre-teens and their parents. The focus is to provide basic education on healthy lifestyle changes in both eating habits and activity. Action planning is incorporated to help with setting realistic goals. Each session includes private one-on-one time with a nurse practitioner and a dietitian. The sessions are held at the CVMC Pediatrics practices. * Continue our panel management efforts within our CVMC Pediatric Primary Care practices 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. The CVMC School-Based Health Center is an extension of our pediatric primary care practices and operates two days each week at the Barre City Elementary and Middle School. One benefit of being embedded in the school setting is that it provides more 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. The annual CVMC Fun Run and Walk offers our communitys youth population an opportunity to participate in a five-mile race around Berlin Pond, the proceeds of which go to the Health Care Share program. Advance Action * Work with our two Pediatrics practices to further incorporate patient self-management goals and quality measures pertaining to increased physical activity for our pediatric patient population. * Increase our involvement in the creation and promotion of new community |
| 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 Peoples 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 MENTAL HEALTH HAS BEEN IDENTIFIED AS THE COSTLIEST MEDICAL CONDITION IN THE COUNTRY. MENTAL HEALTH HAS ALSO BEEN IDENTIFIED AS AN AREA THAT SUFFERS FROM INADEQUATE CAPACITY. CURRENT INITIATIVES UNDERTAKEN TO ASSIST IN SERVING THIS IMPORTANT NEED ARE: o CVMC IS WORKING ALONGSIDE WASHINGTON COUNTY MENTAL HEALTH SERVICES TO INTEGRATE MENTAL HEALTH PRACTITIONERS INTO EVERY PRIMARY CARE PRACTICE o FAMILY PSYCHIATRY ADOPTED A FORMAL STANDIZED DEPRESSION SCREENING FOR PATIENTS AGED 12 AND OLDER o CVMC, IN COLLABORATION WITH WASHINGTON COUNTY MENTAL HEALTH SERVICES, IS OFFERING ADDITIONAL PRE-NATAL & POSTPARTUM SUPPORT FOR WOMEN WITH A HISTORY OF, OR AT A RISK FOR DEPRESSION. A NEW 25-BED INTENSIVE-CARE PSYCHIATRIC HOSPITAL WAS CONSTRUCTED ADJACENT TO CVMC IN BERLIN. THIS $28.5 MILLION FACILITY IS PART OF A STATEWIDE NETWORK OF MENTAL HEALTH FACILITIES WHICH REPLACE THE VERMONT STATE HOSPITAL IN WATERBURY AND OPENED TO PATIENTS IN 2014. MENTAL HEALTH HAS BEEN ACKNOWLEDGED AS A PRESSING ISSUE STATEWIDE. OUR COMMUNITY HOPES THIS NEW FACILITY WILL CONTINUE TO ALLEVIATE SOME OF THE CURRENT DEMAND FOR INPATIENT CARE FOR SEVERE MENTAL HEALTH NEED. AS EXPECTED, 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 WILL BE 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 PLAINFIELD HEALTH CENTER THAT OFFER DENTAL CARE. OTHER AREAS DEEMED OUTSIDE OUR SCOPE OR ABILITY TO INFLUENCE INCLUDE: AFFORDABLE HOUSING, TEEN PREGNANCIES, UNPLANNED PREGNANCIES, SERVICES FOR THE ELDERY, AND WALKING ON PATHS/BIKE LANES. PART V, LINE 16B - FAP APPLICATION WEBSITE HTTPS://WWW.CVMC.ORG/SITES/DEFAULT/FILES/DOCUMENTS/FINANCIAL-ASSISTANCE-AP PLICATION-V2016.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 16I | 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 18E | 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. |
| PART V, LINE 22D | The average generally billed (AGB) to patients is calculated using the Look-Back method; actual claims paid to the organization by Medicare only or claims paid to the organization by Medicare together with all private health insurer, including any associated portions of these claims paid or owed by beneficiaries. Central Vermont Medical Center uses the combined Medicare and private health insurer look-back method calculation. This forms the minimum grant percentage awarded to patients who qualify for assistance. Calculation: Allowed claims/gross charges for prior fiscal year The amount generally billed for the previous fiscal year shall be applied to the 351 400% FPLG level. Additional discounts shall apply to each FPLG category up to a maximum assistance grant of 100% for <200% FPLG. FPLG <= 200% 201%-250% 251%-300% 301%-350% 351%-400% Grant 100% 85% 75% 65% Maximum AGB The patient grant is applied against all current balances (i.e. hospital and medical group) and extends for a coverage window of 6 months, 12 months for aged >65 years on a fixed income. When the grant period has closed, patients will be required to re-apply for financial assistance and based upon their financial status, may have their grant category adjusted. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 27 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (27 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| CVMC - WOODRIDGE NURSING HOME | ||||
| 130 FISHER ROAD | BERLIN | VT | 05602 | SKILLED NURSING FACILITY |
| CVMC WOMEN'S HEALTH | ||||
| 130 FISHER ROAD SUITE 1-4 | BERLIN | VT | 05602 | MEDICAL GROUP PRACTICE |
| CVMC PEDIATRICS PRIMARY CARE - BERLIN | ||||
| 246 GRANGER ROAD SUITE 1 | BERLIN | VT | 05602 | MEDICAL GROUP PRACTICE |
| CVMC FAMILY MEDICINE - WATERBURY | ||||
| 130 SOUTH MAIN STREET | WATERBURY | VT | 05676 | MEDICAL GROUP PRACTICE |
| CVMC ADULT PRIMARY CARE - BERLIN | ||||
| 130 FISHER ROAD MOB-B SUITE 3 | BERLIN | VT | 05602 | MEDICAL GROUP PRACTICE |
| CVMC INTEGRATIVE FAM MED - MONTPELIER | ||||
| 156 MAIN STREET | MONTPELIER | VT | 05602 | MEDICAL GROUP PRACTICE |
| CVMC FAMILY MEDICINE - BERLIN | ||||
| 246 GRANGER RD SUITE 2 | BERLIN | VT | 05641 | MEDICAL GROUP PRACTICE |
| CVMC ADULT PRIMARY CARE - BARRE | ||||
| 225 SOUTH MAIN STREET | BARRE | VT | 05641 | MEDICAL GROUP PRACTICE |
| CVMC CARDIOLOGY | ||||
| 130 FISHER ROAD SUITE 1-2 | BERLIN | VT | 05602 | MEDICAL GROUP PRACTICE |
| GREEN MOUNTAIN FAMILY PRACTICE | ||||
| 87 PAINE MOUNTAIN DRIVE | NORTHFIELD | VT | 05663 | MEDICAL GROUP PRACTICE |
| CVMC PEDIATRICS PRIMARY CARE - BARRE | ||||
| 225 SOUTH MAIN STREET | BARRE | VT | 05641 | MEDICAL GROUP PRACTICE |
| CVMC FAMILY PSYCHIATRY | ||||
| 82 EAST VIEW LANE SUITE 3 | BERLIN | VT | 05641 | MEDICAL GROUP PRACTICE |
| CVMC FAMILY MEDICINE - MAD RIVER | ||||
| 859 OLD COUNTY ROAD | WAITSFIELD | VT | 05673 | MEDICAL GROUP PRACTICE |
| CVMC UROLOGY | ||||
| 130 FISHER RD MOB-C SUITE 1 | BERLIN | VT | 05602 | MEDICAL GROUP PRACTICE |
| CVMC NEUROLOGY | ||||
| 130 FISHER ROADM MOB-A SUITE 1 | BERLIN | VT | 05602 | MEDICAL GROUP PRACTICE |
| NORWICH UNIVERSITY HEALTH SERVICES | ||||
| 63 CRESCENT AVENUE | NORTHFIELD | VT | 05663 | MEDICAL INFIRMARY |
| CVMC ORTHOPEDICS & SPINE MEDICINE | ||||
| 1311 BARRE MONTPELIER RD SUITE 400 | BERLIN | VT | 05602 | MEDICAL GROUP PRACTICE |
| CVMC ORTHOPEDICS & SPORTS MEDICINE | ||||
| 1311 BARRE MONTPELIER RD SUITE 400 | BERLIN | VT | 05602 | MEDICAL GROUP PRACTICE |
| CVMC RHEUMATOLOGY | ||||
| 130 FISHER ROAD MOB-B SUITE 2-3 | BERLIN | VT | 05602 | MEDICAL GROUP PRACTICE |
| CVMC EXPRESS CARE - BERLIN | ||||
| 1311 BARRE MONTPELIER ROAD SUITE 2 | BERLIN | VT | 05602 | MEDICAL GROUP PRACTICE |
| CVMC ORTHOPEDICS & PODIATRY | ||||
| 1311 BARRE MONTPELIER RD SUITE 400 | BERLIN | VT | 05602 | MEDICAL GROUP PRACTICE |
| CVMC ENDOCRINOLOGY | ||||
| 130 FISHER ROAD MOB-C SUITE 1 | BERLIN | VT | 05602 | MEDICAL GROUP PRACTICE |
| CVMC WOUND CARE CENTER | ||||
| 1311 BARRE MONTPELIER ROAD SUITE 2 | BERLIN | VT | 05602 | MEDICAL GROUP PRACTICE |
| GRANITE CITY PRIMARY CARE | ||||
| 14 NORTH MAIN STREET SUITE 4002 | BARRE | VT | 05641 | MEDICAL GROUP PRACTICE |
| CVMC EXPRESS CARE - WATERBURY | ||||
| 76 MCNEIL RD SUITE 1 | WATERBURY CTR | VT | 05677 | MEDICAL GROUP PRACTICE |
| CVMC ORTHOPEDICS & SPINE MEDICINE | ||||
| 76 MCNEIL ROAD SUITE 2 | WATERBURY CTR | VT | 05677 | MEDICAL GROUP PRACTICE |
| CVMC OCCUPATIONAL MEDICINE | ||||
| 244 GRANGER ROAD | BERLIN | VT | 05602 | MEDICAL GROUP PRACTICE |
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, 2016 CENTRAL VERMONT MEDICAL CENTER INCLUDED PHYSICIAN CLINIC EXPENSES IN SUBSIDIZED HEALTH SERVICES. CENTRAL VERMONT MEDICAL CENTER PHYSICIANS INCURRED $44,489,083 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 15 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 $5,191,108. |
| 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 18 ON PAGE 41-42 IN THE FISCAL YEAR 2016 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 66,280. INCLUDED IN THIS SERVICE AREA IS THE FEDERALLY DESIGNATED ORWELL TOWN MEDICALLY UNDERSERVED AREA. VITAL STATISTICS: 96% WHITE 68% RURAL 19% UNDER THE AGE OF 20 63% AGED 18 TO 64 18% OVER THE AGE OF 65 MEDIAN HOUSEHOLD INCOME OF $55,176 11% LIVE BELOW THE POVERTY LEVEL 5.4% NON ENGLISH SPEAKING HOUSEHOLDS ACCESS TO HEALTHCARE: 2% UNINSURED 20% MEDICAID (OR OTHER STATE PROGRAMS) RECIPIENTS 42.3% MEDICARE 35.7% PRIVATE INSURANCE CHRONIC HEALTH CONDITIONS (ADULTS AGED 20+): 15% OBESITY RATE 6.9% LIVING WITH DIABETES 8% SMOKING RATE |
| 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 VERMONT BLUEPRINT FOR HEALTH MULTI-PAYER PRIMARY CARE PRACTICES (PATIENT CENTERED MEDICAL HOME) FOR THE BARRE HEALTH SERVICES 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 RECEIVE CARE FROM A COMMUNITY HEALTH TEAM, WHICH CONSISTS OF NURSES, REGISTERED DIETICIANS, CERTIFIED DIABETES EDUCATORS, SOCIAL WORKERS AND A WELLNESS COACH. THIS TEAM WORKS WITH THE PATIENT TO HELP SET REALISTIC OUTCOMES, 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. THERE ARE 50 PRIMARY CARE PROVIDERS WHO ARE PARTICIPATING IN THE PCMH IN THE BARRE HSA CARING FOR OVER 55,000 PATIENTS. THERE ARE 15 COMMUNITY HEALTH TEAM MEMBERS IN THE CVMC PRACTICES. CVMC IS PROUD TO BE A PARTICIPANT IN THE VERMONT BLUEPRINT FOR HEALTH WITH THE PCMH. 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 (A NEW THERAPEUTIC POOL AND WELLNESS FACILITY FOR AQUATIC AND OTHER REHAB THERAPY SERVICES). THE MAJORITY OF THE CVMC'S GOVERNING BODY (BOARD OF TRUSTEES) IS COMPRISED OF PERSONS 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 AND 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 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, AND ALICE HYDE 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) | $20,000 | 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) | $25,000 | EDU LOAN RPMT TO HLTHCR PRFSNLS |
| Green Mountain Transit | |||||||
| 15 INDUSTRIAL PARKWAY | BURLINGTON | VT | 05401 | 030231413 | GOVERNMENT | $126,000 | TRANSPORATION |
| 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 Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| 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 (16 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Philip Brown DO | ||||||||||||||
| VP Medical Affairs | $306,023 | $0 | $43,489 | $0 | $4,498 | $0 | $0 | $0 | $28,012 | $0 | $382,022 | $0 | $0 | $0 |
| Nancy Lothian | ||||||||||||||
| Chief Operating Officer | $294,067 | $0 | $29,040 | $0 | $19,419 | $0 | $0 | $0 | $17,545 | $0 | $360,071 | $0 | $0 | $0 |
| Cheyenne Holland | ||||||||||||||
| TREASURER, CFO/VP FISCAL SRVS | $241,152 | $0 | $24,223 | $0 | $19,361 | $0 | $15,724 | $0 | $28,137 | $0 | $328,597 | $0 | $0 | $0 |
| Richard Morley | ||||||||||||||
| VP Support Services | $198,583 | $0 | $37,391 | $0 | $3,588 | $0 | $0 | $0 | $26,033 | $0 | $265,595 | $0 | $0 | $0 |
| Judith Tarr Tartaglia | ||||||||||||||
| Trustee, President/CEO | $395,455 | $0 | $54,447 | $0 | $25,998 | $0 | $0 | $0 | $27,485 | $0 | $503,385 | $0 | $0 | $0 |
| Daniel Wilson MD | ||||||||||||||
| Medical Director Psych | $302,691 | $0 | $13,133 | $0 | $3,096 | $0 | $0 | $0 | $31,885 | $0 | $350,805 | $0 | $0 | $0 |
| Mark Depman MD | ||||||||||||||
| Trustee, Medical Director EMS | $333,868 | $0 | $31,520 | $0 | $20,178 | $0 | $0 | $0 | $20,692 | $0 | $406,258 | $0 | $0 | $0 |
| Mahlon Bradley MD | ||||||||||||||
| Physician | $461,634 | $0 | $44,397 | $0 | $2,921 | $0 | $15,900 | $0 | $30,070 | $0 | $554,922 | $0 | $0 | $0 |
| Jared Blum MD | ||||||||||||||
| Physician | $297,030 | $0 | $24,653 | $0 | $9,134 | $0 | $15,900 | $0 | $28,223 | $0 | $374,940 | $0 | $0 | $0 |
| John Braun MD | ||||||||||||||
| PHYSICIAN | $472,133 | $0 | $19,954 | $0 | $0 | $0 | $12,622 | $0 | $3,078 | $0 | $507,787 | $0 | $0 | $0 |
| John Brumsted MD | ||||||||||||||
| Trustee | $0 | $979,064 | $0 | $492,000 | $0 | $505,422 | $0 | $180,678 | $0 | $29,111 | $0 | $2,186,275 | $0 | $254,950 |
| Javad Mashkuri MD | ||||||||||||||
| Physician | $283,382 | $0 | $22,704 | $0 | $18,000 | $0 | $15,900 | $0 | $26,631 | $0 | $366,617 | $0 | $0 | $0 |
| Cathy Palmer MD | ||||||||||||||
| Trustee,PRES CVMC MED STAFF | $15,000 | $215,029 | $0 | $0 | $0 | $20,997 | $0 | $16,485 | $0 | $26,012 | $15,000 | $278,523 | $0 | $0 |
| Karin Morrow | ||||||||||||||
| Chief Nursing Officer | $178,860 | $0 | $16,027 | $0 | $0 | $0 | $0 | $0 | $8,270 | $0 | $203,157 | $0 | $0 | $0 |
| David Turner | ||||||||||||||
| VP Physician Services | $167,026 | $0 | $28,991 | $0 | $498 | $0 | $10,646 | $0 | $2,341 | $0 | $209,502 | $0 | $0 | $0 |
| JEREMIAH ECKHAUS MD | ||||||||||||||
| SEE SCHEDULE O | $189,156 | $0 | $8,798 | $0 | $270 | $0 | $11,374 | $0 | $27,562 | $0 | $237,160 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SUPPLEMENTAL RETIREMENT BENEFIT PLAN (SRP) | FormAndLineReferenceDesc |
| Explanation | SCHEDULE J, PART I, LINE 4B DURING CALENDAR YEAR 2012, UNIVERSITY OF VERMONT MEDICAL CENTER, INC. ("UVM MEDICAL CENTER") ENTERED INTO A SUPPLEMENTAL RETIREMENT BENEFIT PLAN (SRP) WITH PRESIDENT BRUMSTED. UNDER THE SRP, UVM MEDICAL CENTER MAKES ANNUAL CREDITS EQUAL TO 10% OF THE PRESIDENTS BASE SALARY FOR EACH YEAR THROUGH THE PLAN YEAR ENDING SEPTEMBER 30, 2015. IN CALENDAR YEAR 2015, ALL AMOUNTS WERE PAID OUT THAT HAD BEEN CREDITED TO PRESIDENT BRUMSTED'S ACCOUNT. TOTAL AMOUNT OF PAYOUT WAS $341,852, WHICH INCLUDED $254,950 REPORTED AS DEFERRED IN COLUMN C OF PRIOR YEAR 990 RETURNS. DURING CALENDAR YEAR 2015, THE UNIVERSITY OF VERMONT MEDICAL CENTER, INC. ENTERED INTO A REVISED SUPPLEMENTAL RETIREMENT BENEFIT PLAN (SRP) WITH PRESIDENT BRUMSTED. UNDER THE TERMS OF THE NEW 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 CY15 IS REPORTED ON SCHEDULE J, PART II, COLUMN C. AMOUNTS DEFERRED REMAIN SUBJECT TO FORFEITURE IF CERTAIN CONDITIONS ARE NOT MET. The CEO of CVMC participates in a split dollar life insurance arrangement. The value of the premium is included in her taxable compensation in Schedule J, Part II, column (B)(iii). | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VT Educational & Health Bldgs Finance Authority | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 237154467 | BondIssuerEIN |
| CUSIP | 000000000 | CUSIPNum |
| Bond Issued | 2009-05-13 | BondIssuedDt |
| Issue Price | $21,023,997 | IssuePriceAmt |
| Purpose | SEE SCH K, PART VI | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | Yes (true) | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $19,365,897 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $21,028,838 | TotalProceedsAmt |
| In Reserve Fund | $0 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $0 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $144,996 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $8,000,000 | CapitalExpendituresAmt |
| Other Spent Proceeds | $12,879,001 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2009 | SubstantialCompletionYr |
| Current Refunding | Yes (true) | CurrentRefundingInd |
| Advance Refunding | false | AdvanceRefundingInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | Yes (true) | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (true) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (true) | EngageBondCounselContractsInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0 | PrivateBusUseByOthersPct |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | false | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | Yes (true) | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K, PART I, LINE A, COLUMN F | DESCRIPTION OF PURPOSE THE VEHBFA 2009 SERIES A&B BOND ISSUANCE WAS ISSUED ON 5/13/2009 TO SATISFY (REFINANCE) 2005 DEBT WITH VEHBFA. THE 2005 DEBT FINANCED THE CONSTRUCTION AND EQUIPMENT OF A RENOVATION AND MODERNIZATION PROJECT. $12,879,001 OF THE VEHBFA 2009 SERIES A&B BOND ISSUANCE WAS USED TO REFUND THE 2005 DEBT. THE REFUND OCCURRED ON MAY 31, 2009. THE REMAINDER WAS USED TO CONSTRUCT AND EQUIP A CANCER TREATMENT CENTER. SCHEDULE K, PART IV, COLUMN A, LINE 2C REBATE COMPUTATION DATE A REBATE COMPUTATION WAS PERFORMED IN AUGUST, 2014. |
| SCHEDULE K, PART II, LINE B, COLUMN A | TOTAL PROCEEDS OF ISSUE INCLUDE $4,841 OF INTEREST INCOME. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Matt Tarr | |||
| See Schedule L, Part V | $35,141 | Wages & Benefits | false |
| SUBSTANTIAL DONOR | |||
| SUBSTANTIAL CONTRIBUTOR | $582,200 | SERVICES | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV, COLUMN B | FormAndLineReferenceDesc |
| Explanation | RELATIONSHIP BETWEEN PARTIES: MATT TARR IS AN EMPLOYEE OF CVMC AND IS THE SON OF JUDITH TARR TARTAGLIA, AN OFFICER OF THE ORGANIZATION. | ExplanationTxt |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $192,856 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | NET PROCEEDS | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp | |
| Drugs And Medical Supplies | DrugsAndMedicalSuppliesGrp | |
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp | |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE M, PART I, COLUMN (B) | FormAndLineReferenceDesc |
| Explanation | THE AMOUNTS LISTED IN COLUMN (B) REPRESENT TOTAL NUMBER OF CONRIBUTIONS RECEIVED, NOT INDIVIDUAL ITEMS. | ExplanationTxt |
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) AND DR. CATHY PALMER AN EMPLOYEE OF UVMMC. 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 THE EXCEPTION OF SCHEDULE B. 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 CEO, CFO, AND COO 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 2016. 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. |
| 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. WITHIN THE ANNUAL PUBLICATION OF THE ORGANIZATION'S ANNUAL REPORT THERE ARE HIGHLIGHTS OF THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ANNUAL REPORT IS ALSO AVAILABLE IN A PDF FORMAT ON THE ORGANIZATION'S WEBSITE. COMPENSATION OF TRUSTEES FORM 990, PART VII Two physicians serving as Board members, Dr. Palmer, and Dr. Crane, 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. AS OF 9/22/16, JEREMIAH ECKHAUS, MD BECAME THE PRESIDENT ELECT OF THE CVMC MED STAFF. |
| OTHER CHANGES IN NET ASSETS | FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES: CHANGE IN MINIMUM PENSION LIABILITY ($10,762,260) FUNDS RELEASED FROM THE CVMC ENDOWMENT ($359,643) GIFTS AND INVESTMENT INCOME $1,306,170 LOSS ON EXTINGUISHMENT OF DEBT ($375,860) -------------- TOTAL: ($10,191,593) |
| CIRCULAR A-133 AUDIT | FORM 990, PART XII, LINE 3B: DURING FY16, 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 (14 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) | 11a-I | NA | false |
| Univ of Vermont Medical Group - New York | ||||||||||
| 70 fCONSTABLE 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) | 11a-I | UVMHN | Yes (true) |
| Univ of Vermont Medical Ctr Fdn inc | ||||||||||
| 111 Colchester Ave | Burlington | VT | 05401 | 263159849 | Fundraising | VT | 501(c)(3) | 11a-I | UVMMC | Yes (true) |
| Central Vermont Hospital Auxiliary | ||||||||||
| 130 Fisher Rd | Berlin | VT | 05602 | 030264240 | Service | VT | 501(c)(3) | 11d-III-O | NA | false |
| Community Providers Inc | ||||||||||
| 75 Beekman St | Plattsburgh | NY | 12901 | 222544844 | Hlth Svc Coor | NY | 501(c)(3) | 11a-I | UVMHN | Yes (true) |
| Champlain Valley Physicians Hospital | ||||||||||
| 75 Beekman St | 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) | 11b-II | CPI | Yes (true) |
| CVPH Medical Center Foundation | ||||||||||
| 75 Beekman St | Plattsburgh | NY | 12901 | 141727048 | HLTH SVC COOR | NY | 501(c)(3) | 11B-II | CVPH | Yes (true) |
| University Medical Education Association | ||||||||||
| 89 Beaumont Ave | Burlington | VT | 05405 | 237107832 | Educational | VT | 501(c)(3) | 9 | UVMMG | Yes (true) |
| University Health Center | ||||||||||
| 111 Colchester Ave | Burlington | VT | 05401 | 030229931 | Hospital | VT | 501(c)(3) | 11c-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) |
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 | Predominant Income TypePredominantIncomeTypeTxt |
|---|---|---|---|---|---|---|---|---|
| ONECARE VERMONT ACCOUNTABLE CA | ||||||||
| 111 COLCHESTER AVENUE | BURLINGTON | VT | 05401 | 455399218 | ACCOUNTABLE CARE | VT | NA | N/A |
| OBNET SERVICES LLC | ||||||||
| ONE MEDICAL CENTER DR | LEBANON | NH | 03756 | 043746287 | HEALTH RESEARCH | NH | NA | N/A |
| ADIRONDACK ACO LLC | ||||||||
| 75 BEEKMAN STREET | PLATTSBURGH | NY | 12901 | 462840926 | ACCOUNTABLE CARE | NY | NA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | 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 | Yes (true) | ||||||||||
| UNIV OF VT MED CTR HEALTH VENT INC | ||||||||||||||
| Holding CoMPANY | VT | UVMMC | C Corp | Yes (true) | 111 Colchester Ave | Burlington | VT | 05401 | 043380045 | |||||
| VMC Indemnity Company LTD | ||||||||||||||
| Captive InsurANCE | UVMMC | C Corp | Yes (true) | PO BOX HM 3103 25 Church St HM F | Hamilton | BD | HM FX FR | BD | ||||||
| VERMONT MANAGED CARE INC | ||||||||||||||
| ADMIN SERVICES | VT | UVMMCHV | C Corp | Yes (true) | 111 Colchester Ave | Burlington | VT | 05401 | 030333056 | |||||
| Charitable Remainder Trust (5) | ||||||||||||||
| Support | VT | UVMMCCVMC | Trust | Yes (true) | ||||||||||
| Perpetual Trust (4) | ||||||||||||||
| Support | VT | UVMMC | Trust | Yes (true) | ||||||||||
| CHAMPLAIN VALLEY HEALTH NETWORK | ||||||||||||||
| ADMIN SERVICE | NY | NA | C CORP | Yes (true) | 75 BEEKMAN STREET | PLATTSBURGH | NY | 12901 | 161586102 | |||||
| MEDQUEST INC | ||||||||||||||
| MED OFFICE LEASE | NY | NA | C CORP | Yes (true) | 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 | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UNIVERSITY OF VERMONT MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | IJMOQ | TransactionTypeTxt |
| Involved | $2,842,018 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |
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. |
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