CENTRAL VERMONT MEDICAL CENTER INC HCSR: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- CENTRAL VERMONT MEDICAL CENTER INC HCSR (EIN 22-2547186)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-08-15
- IRS object ID
- 201622289349304282
- Schema version
- 2014v6.0
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-15T13:20:06-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | 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 | 2014-10-01 | 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 | % JASON IRWIN CONTROLLER | 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 | 2016-07-27 | 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 | 2014 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Ms Judith Tarr Tartaglia | 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 | $183,113,973 | 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 | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 1819 | TotalEmployeeCnt |
| Total Volunteers | 159 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,590,011 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,095,416 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $169,558,614 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $180,996,141 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,202,128 | PYInvestmentIncomeAmt |
| CY Investment Income | $407,448 | CYInvestmentIncomeAmt |
| PY Other Revenue | $337,039 | PYOtherRevenueAmt |
| CY Other Revenue | $333,602 | CYOtherRevenueAmt |
| PY Total Revenue | $173,687,792 | PYTotalRevenueAmt |
| CY Total Revenue | $182,832,607 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $35,040 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $30,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $107,800,901 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $115,346,402 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $188,687 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $57,225,316 | PYOtherExpensesAmt |
| CY Other Expenses | $60,926,432 | CYOtherExpensesAmt |
| PY Total Expenses | $165,061,257 | PYTotalExpensesAmt |
| CY Total Expenses | $176,302,834 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,626,535 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,529,773 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $155,735,636 | TotalAssetsBOYAmt |
| Total Assets EOY | $152,894,915 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $68,317,717 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $75,047,253 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $87,417,919 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $77,847,662 | 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 | $116,960,605 | ExpenseAmt |
| Grant | $30,000 | GrantAmt |
| Revenue | $135,869,385 | 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. 18,357 INPATIENT DAYS, MORE THAN 202,000 OUTPATIENT PROCEDURES, AND 24,784 EMERGENCY ROOM VISITS WERE RECORDED DURING FISCAL YEAR 2015. OUTPATIENT ANCILLARY SERVICE UNITS MAKE UP THE MAJORITY OF SERVICE VOLUME, INCLUDING 30,338 RADIOLOGY PROCEDURES, 480,341 LAB TESTS, 14,807 CARDIOLOGY TESTS, AND 127,368 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 15 WAS 24,784. THE CANCER TREATMENT CENTER PROVIDED 4,838 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 | $33,600,257 | ExpenseAmt |
| Revenue | $30,586,788 | RevenueAmt |
| Desc | MEDICAL GROUP PRACTICES: AT THE END OF THE FISCAL YEAR WE HAD 22 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 192,997 PRACTICE VISITS DURING FISCAL YEAR 2015. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $15,290,097 | ExpenseAmt |
| Revenue | $14,539,968 | 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. 43,955 PATIENT DAYS WERE RECORDED IN FISCAL YEAR 2015. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $165,850,959 | 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 | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 82 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1819 | 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 | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | 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 | Yes (true) | 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 | JASON IRWIN CONTROLLER | PersonNm |
| Phone | 8023714225 | 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 (34 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, Pres CVMC Med Staff | 1.0 | 0.0 | Yes (X) | $57,650 | $0 | $0 | |||
| Stephen Martin | |||||||||
| Trustee until 12/11/14 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Thomas Robbins | |||||||||
| Trustee, Immediate Past Chair | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Marta Marble | |||||||||
| Trustee | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Robin Nicholson | |||||||||
| Trustee | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Judith Tarr Tartaglia | |||||||||
| Trustee, President/CEO | 48.0 | 2.0 | Yes (X) | $467,091 | $0 | $27,201 | Yes (X) | ||
| Mark Depman MD | |||||||||
| Trustee, Medical Director EMS | 50.0 | 0.0 | Yes (X) | $378,396 | $0 | $24,112 | |||
| Michael Dellipriscoli | |||||||||
| TRUSTEE, Chair Elect | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| Laura Plude | |||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Carol Welch | |||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Greg Voorheis | |||||||||
| Trustee, 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 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Joseph Pekala MD | |||||||||
| Trustee until 12/11/14 | 1.0 | 44.0 | Yes (X) | $30,000 | $559,225 | $21,511 | |||
| John Brumsted MD | |||||||||
| Trustee | 1.0 | 49.0 | Yes (X) | $0 | $1,498,888 | $154,551 | |||
| Joyce Judy | |||||||||
| Trustee | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Dennis Minoli | |||||||||
| Trustee until 12/11/14 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Donald Carpenter | |||||||||
| Trustee until 12/11/14 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Sarah Field | |||||||||
| Trustee as of 12/2014 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Cathy Palmer MD | |||||||||
| Trustee as of 12/2014 | 1.0 | 44.0 | Yes (X) | $0 | $259,648 | $35,557 | |||
| Thomas Golonka | |||||||||
| Trustee as of 12/2014 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Nancy Lothian | |||||||||
| Chief Operating Officer | 50.0 | 0.0 | $358,493 | $0 | $18,144 | Yes (X) | |||
| Cheyenne Holland | |||||||||
| TREASURER, CFO/VP FISCAL SRVS | 50.0 | 0.0 | $305,539 | $0 | $41,592 | Yes (X) | |||
| Katherine Borne | |||||||||
| SECRETARY, EXECUTIVE ASSISTANT | 50.0 | 0.0 | $89,246 | $0 | $19,675 | Yes (X) | |||
| Philip Brown DO | |||||||||
| VP Medical Affairs | 50.0 | 0.0 | $342,416 | $0 | $26,731 | Yes (X) | |||
| Richard Morley | |||||||||
| VP Support Services | 50.0 | 0.0 | $218,579 | $0 | $24,147 | Yes (X) | |||
| Karin Morrow | |||||||||
| Chief Nursing Officer | 50.0 | 0.0 | $176,544 | $0 | $7,870 | Yes (X) | |||
| David Turner | |||||||||
| VP Physician Services | 50.0 | 0.0 | $162,526 | $0 | $8,601 | Yes (X) | |||
| Janusz Porowski MD | |||||||||
| Physician | 50.0 | 0.0 | $324,698 | $0 | $18,422 | Yes (X) | |||
| Mahlon Bradley MD | |||||||||
| Physician | 50.0 | 0.0 | $489,955 | $0 | $34,451 | Yes (X) | |||
| Peter Thomashow MD | |||||||||
| Physician | 50.0 | 0.0 | $342,060 | $0 | $31,351 | Yes (X) | |||
| John Braun MD | |||||||||
| PHYSICIAN | 50.0 | 0.0 | $499,488 | $0 | $22,739 | Yes (X) | |||
| Javad Mashkuri MD | |||||||||
| Physician | 50.0 | 0.0 | $344,954 | $0 | $44,798 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,587,635 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,317,761 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $561,453 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 127 | 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 CNTRCTR | $1,772,043 |
| WEATHERBY LOCUMS | |||||
| 5352 NORTHWEST 21ST TERR | FORT LAUDERDALE | FL | 33309 | PHYSICIAN STAFFING | $676,941 |
| CAPITOL EARTHMOVING | |||||
| 131 SOUTH MAIN ST | BARRE | VT | 05641 | GENERAL CONTRACTOR | $672,672 |
| BENOIT ELECTRIC | |||||
| 254 INDUSTRIAL LN | BARRE | VT | 05641 | ELECTRICAL CNTRCTR | $562,976 |
| J CRONAN SECURITY INVESTIGATIONS | |||||
| 332 W LAKESHORE DRIVE | COLCHESTER | VT | 05446 | SECURITY SERVICES | $439,917 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 25 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $16,610 | FundraisingAmt |
| Government Grants | $616,691 | GovernmentGrantsAmt |
| All Other Contributions | $462,115 | AllOtherContributionsAmt |
| Total Contributions | $1,095,416 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 900099 | $169,472,810 | $169,472,810 |
| REV FROM MANAGED CARE AND CAPITATED | 900099 | $1,766,185 | $1,766,185 |
| 340B CONTRACT PHARMACY REVENUE | 900099 | $4,740,633 | $4,740,633 |
| MEANINGFUL USE | 900099 | $1,118,035 | $1,118,035 |
| CAFETERIA REVENUE | 900099 | $974,603 | $974,603 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,923,875 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,923,875 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $180,996,141 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $407,448 | TotalRevenueColumnAmt |
| Exclusion | $407,448 | 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 | $606,218 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $270,117 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $336,101 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $336,101 | TotalRevenueColumnAmt |
| Exclusion | $336,101 | 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 | $8,750 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $16,610 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $11,249 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,499 | TotalRevenueColumnAmt |
| Exclusion | -$2,499 | 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 | $182,832,607 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $180,996,141 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $741,050 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,000 | TotalAmt |
| Program Services | $30,000 | 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 | $4,413,087 | TotalAmt |
| Program Services | $2,281,194 | ProgramServicesAmt |
| Management And General | $2,131,893 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,569 | TotalAmt |
| Program Services | $36,569 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,538,216 | TotalAmt |
| Program Services | $84,341,842 | ProgramServicesAmt |
| Management And General | $3,047,431 | ManagementAndGeneralAmt |
| Fundraising | $148,943 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,716,607 | TotalAmt |
| Program Services | $5,507,870 | ProgramServicesAmt |
| Management And General | $199,010 | ManagementAndGeneralAmt |
| Fundraising | $9,727 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,606,618 | TotalAmt |
| Program Services | $11,553,610 | ProgramServicesAmt |
| Management And General | $33,260 | ManagementAndGeneralAmt |
| Fundraising | $19,748 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,035,305 | TotalAmt |
| Program Services | $5,698,823 | ProgramServicesAmt |
| Management And General | $326,213 | ManagementAndGeneralAmt |
| Fundraising | $10,269 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,250 | TotalAmt |
| Management And General | $174,250 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $185,401 | TotalAmt |
| Management And General | $185,401 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,000 | TotalAmt |
| Management And General | $57,000 | 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 | $134,951 | TotalAmt |
| Program Services | $6,165 | ProgramServicesAmt |
| Management And General | $128,786 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,441,549 | TotalAmt |
| Program Services | $8,678,545 | ProgramServicesAmt |
| Management And General | $1,763,004 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,187,677 | TotalAmt |
| Program Services | $147,742 | ProgramServicesAmt |
| Management And General | $1,039,935 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,660,123 | TotalAmt |
| Program Services | $22,433,958 | ProgramServicesAmt |
| Management And General | $226,165 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,836,676 | TotalAmt |
| Program Services | $1,763,727 | ProgramServicesAmt |
| Management And General | $72,949 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,003,197 | TotalAmt |
| Program Services | $5,880,499 | ProgramServicesAmt |
| Management And General | $122,698 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,867 | TotalAmt |
| Program Services | $95,582 | ProgramServicesAmt |
| Management And General | $37,285 | 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 | $525,437 | TotalAmt |
| Program Services | $487,494 | ProgramServicesAmt |
| Management And General | $37,943 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,042,882 | TotalAmt |
| Program Services | $1,042,882 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,770,913 | TotalAmt |
| Program Services | $9,770,913 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $849,822 | TotalAmt |
| Program Services | $587,429 | ProgramServicesAmt |
| Management And General | $262,393 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $4,271,792 | $4,271,792 | |
| STATE NURSING BED TAX ASMNT | $753,463 | $753,463 | |
| DUES & FEES | $667,919 | $335,178 | $332,741 |
| MISCELLANEOUS EXPENSE | $230,513 | $145,682 | $84,831 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $176,302,834 | TotalAmt |
| Program Services | $165,850,959 | ProgramServicesAmt |
| Management And General | $10,263,188 | ManagementAndGeneralAmt |
| Fundraising | $188,687 | 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 | $20,677,367 | BOYAmt |
| EOY | $20,494,662 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,913,054 | BOYAmt |
| EOY | $17,370,365 | 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 | $1,486,230 | BOYAmt |
| EOY | $1,219,958 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,849,600 | BOYAmt |
| EOY | $3,323,890 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,793,921 | BOYAmt |
| EOY | $1,569,997 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $155,631,693 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $87,517,308 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,070,774 | BOYAmt |
| EOY | $68,114,385 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,396,088 | BOYAmt |
| EOY | $39,270,169 | 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 | $1,538,602 | BOYAmt |
| EOY | $1,531,489 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $155,735,636 | BOYAmt |
| EOY | $152,894,915 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,693,942 | BOYAmt |
| EOY | $25,583,108 | 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 | $18,809,305 | BOYAmt |
| EOY | $16,160,024 | 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 | $0 | BOYAmt |
| EOY | $0 | 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 | $25,814,470 | BOYAmt |
| EOY | $33,304,121 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,317,717 | BOYAmt |
| EOY | $75,047,253 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,640,363 | BOYAmt |
| EOY | $69,448,151 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,676,250 | BOYAmt |
| EOY | $5,073,037 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,101,306 | BOYAmt |
| EOY | $3,326,474 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,417,919 | BOYAmt |
| EOY | $77,847,662 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $155,735,636 | BOYAmt |
| EOY | $152,894,915 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,529,773 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$3,222,277 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$12,877,753 | 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 | $24,173 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $24,173 | 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 | $8,130,234 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$366,990 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $37,018 | OtherExpendituresAmt |
| End Year Balance | $7,726,226 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,037,955 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $38,427 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $729,806 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $7,346,576 | 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 | $52,866,209 | OtherCostOrOtherBasisAmt |
| Depreciation | $28,481,216 | DepreciationAmt |
| Book Value | $24,384,993 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,867,559 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,162,000 | DepreciationAmt |
| Book Value | $10,705,559 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $69,397,844 | OtherCostOrOtherBasisAmt |
| Depreciation | $44,769,570 | DepreciationAmt |
| Book Value | $24,628,274 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,990,081 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,104,522 | DepreciationAmt |
| Book Value | $2,885,559 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $68,114,385 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED PENSION LIABILITY | $32,309,253 |
| OTHER LIABILITIES | $994,868 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $33,304,121 | 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 THE UNIVERSITY OF VERMONT HEALTH NETWORK ACCOUNTS FOR RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ASC 740. NO PROVISION FOR UNCERTAIN TAX POSITIONS IS RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. CENTRAL VERMONT MEDICAL CENTER IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF THE UNIVERSITY OF VERMONT HEALTH NETWORK. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $25,360 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $16,610 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $8,750 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $8,309 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $336 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $2,604 | OtherDirectExpensesEvent1Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $25,360 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $16,610 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $8,750 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $8,309 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $336 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $2,604 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $11,249 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$2,499 | 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 | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $909,647 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $909,647 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $41,983,045 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,421,944 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,561,101 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07300 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $42,892,692 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,421,944 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,470,748 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07830 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $49,670 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $49,670 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $322,201 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $322,201 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,154,486 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,684,181 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,470,305 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04340 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $30,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,556,357 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $28,684,181 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,872,176 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04580 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $79,449,049 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $58,106,125 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,342,924 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12410 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,271,792 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $85,436 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $59,815,804 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $78,734,908 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$18,919,104 | 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 | 12 | 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 | 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 | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SECTION C | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| 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 (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 5 | CVMC INVITED A WIDE VARIETY OF PUBLIC HEALTH PROFESSIONALS, COMMUNITY LEADERS, HUMAN SERVICE PROVIDERS, AND CVMC STAFF MEMBERS TO SERVE AS A STEERING COMMITTEE THROUGHOUT THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. MEETINGS WERE HELD THROUGHOUT 2012 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 B. CENTRAL VERMONT HOME HEALTH & HOSPICE C. PEOPLES HEALTH AND WELLNESS 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 PART V, LINE 10A - Community Health Needs Assessment AND IMPLEMENTATION STRATEGY Website: http://www.cvmc.org/sites/default/files/documents/CVMC%20CHNA%202013.pdf PART V, LINE 11 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 (FORMERLY FLETCHER ALLEN HEALTH CARE), CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER, AND ELIZABETHTOWN COMMUNITY HOSPITAL UNDER THE UNIVERSITY OF VERMONT HEALTH NETWORK (FORMERLY FLETCHER ALLEN PARTNERS) HAS INCREASED OUR REACH AND CAPABILITIES AS THE PRIMARY MEDICAL CENTER IN CENTRAL VERMONT. THIS CONNECTION WITH THE UNIVERSITY OF VERMONT MEDICAL CENTER 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, PEOPLE'S HEALTH & WELLNESS CLINIC, VERMONT DIETETIC ASSOCIATION, VERMONT ETHICS NETWORK, VERMONT MEDICAL SOCIETY BOARD, AND MANY MORE. THIS COMMUNITY INVOLVMENT HELPS TO SUPPORT THE VALUABLE WORK BEING DONE BY CVMC THROUGHOUT THE COUNTY TO ADDRESS COMMUNITY HEALTH. OUR STEERING COMMITTEE DISCUSSED REGIONAL STRATEGIES THAT ARE WORKING, GAPS THAT REMAIN, AND OPPORTUNITIES FOR IMPROVEMENT. FROM THIS POINT, WE HAVE DEVELOPED THE FOLLOWING MEASURES TO ADDRESS THOSE AREAS FOR IMPROVEMENT THAT REQUIRE MORE ATTENTION AND COLLABORATION: - PROMOTE HEALTHY LIFESTYLES Alcohol abuse, tobacco use, and marijuana use are barriers to improving the overall health of the CVMC community. In attending to these issues, CVMC will potentially decrease the number of chronic diseases developed down the road. CVMC is working with community partners including the Vermont Department of Health, local schools and area recreation departments to make it easier for people to make healthy choices and eliminate unhealthy habits. It is important that community members have knowledge of the resources that are currently available to them. o Tobacco Cessation Classes: Free 4-week sessions offered monthly at CVMC with special attention given to developing a quitting strategy, including dealing with weight control and managing stress. CVMC will continue to promote the start of a tobacco-free lifestyle by widely publicizing the workshop throughout the medical center and community. o Promote Healthy Lifestyles: Make community members aware of various types of exercises and places they can go to exercise, i.e. CVMC walking trail, parks, fitness classes, etc. Sponsor community activities that encourage physical fitness and exercise for families. o Health Care Share: In partnership with Vermont Youth Conservation Corps, CVMC provides freshly harvested, organic vegetables to families in need for 12 weeks. An educational newsletter with information on ways to prepare the vegetables is distributed along with the produce each week. o Continue CVMC's wellness initiative for employees. This program helps to build awareness and accountability for personal health via consistent medical and dental preventative care, and continuous assessment of health risks. o The addition of panel coordinators to our Primary Care Physician and National Committee for Quality Assurance certified practice locations will exponentially increase wellness and prevention efforts. This will be achieved through improved identification of patients who missed or are overdue for appointments, pre-visit planning (ensuring patient referrals, scheduled lab/diagnostic tests are acted upon and/or routine screening are identified in advance for the provider to have discussions with patient about) and overall coordination of care. Advance action o Engage practitioners: Informing adolescents on the dangers of alcohol and drug abuse to prevent habits from forming and developmental damage from taking place. Increase practitioner recommendation and referral for continued care of mental health and substance abuse issues. o Through promotion on hospital bulletins and media center, ensure that the public is aware of organizations such as Central Vermont Substance Abuse Services, and tools such as alcoholscreening.org made available through website links by the Vermont Department of Health. |
| - INCREASE IMMUNIZATION RATES | Vaccines are one of today's most successful and cost-effective public health tools for preventing disease and death. Increasing immunization coverage will improve community healthy by preventing and reducing the spread of serious disease in children and adults. Several CVMC practices have been recognized by the State of Vermont for their work on ensuring that both adults and children receive recommended vaccines. However, Vermont has one of the highest rates in the country of children who are not vaccinated according to the schedule recommended by the Centers for Disease Control and Prevention. The percentage of 19-35 month old children who receive recommended vaccines (41%) is notably lower than the nationwide average (57%). CVMC is obliged to promote and educate our community on the benefits of vaccination. Implementation steps: o Associates in Pediatrics in Barre and Berlin and other CVMC practices to continue to reach out and send reminders to families who have missed or are overdue for vaccination appointments. Practices will focus on listening to the concerns and questions of parents and responding to help them understand that vaccination improves the health of everyone in the community. o Continue efforts with the Vermont Department of Health to increase completeness of reporting into the Vermont Immunization Registry. o Communication with Washington school system concerning enrolled students vaccination statuses o Associates in Pediatrics in Barre and Berlin have added "well child check" reminders to parents who have missed or are overdue for pediatric appointments. o CVMC plans to provide a link to the web-based public information campaign, It's OK to Ask, recently launched by the Vermont Department of Health. The website has research-based medical information and video discussions among Vermont moms to educate the public about childhood immunizations. o Include information on vaccines and their recommended schedules for newborns into the curriculum of CVMC's Childbirth and Prenatal Education classes. As Vermont allows exemption from vaccines due to philosophical and religious reasoning, it is especially important for CVMC staff to inform parents and guardians of the risks of not vaccinating children. - IMPROVE PRENATAL AND MATERNAL HEALTH Low birth weight babies born weighing less than 5.5 pounds are at a higher risk of preterm birth after less than 37 weeks of pregnancy, infant mortality, cognitive and developmental delays, respiratory conditions, and long-term health complications. Considering that smoking is the most preventable cause of low birth weight in babies, this is a definite area to be addressed. In previous years, Washington County had higher rates of low weight infants born than the statewide average. Our community has improved from this point and now the rate of low birth weight babies in Washington County is 16.4% lower than the Vermont statewide average. CVMC plans to continue on this path of improvement and increase the percentage of mothers who do not smoke during pregnancy (85.1%) to the Healthy Vermonters 2020 Goal (90%). The following implementation steps focus on preventing risk behaviors in pregnant women and increasing early prenatal care and counseling. Continue current initiatives o Encourage women to take part in Centering Pregnancy: Monthly group meetings offered at Central Vermont Women's Health. Physical and emotional issues important to expectant mothers are discussed, along with good health guidelines including diet, stress management, exercise, dangers of risk behaviors, and smoking cessation. o Childbirth Education Classes: On-going sessions of prenatal education and birthing classes offered at CVMC. Pregnant women are informed of the risks involved with tobacco, alcohol, and substance abuse. |
| o Prenatal Yoga: Classes held weekly at CVMC to ease the | discomforts of pregnancy and prepare women physically and emotionally for birth. This programming at CVMC provides opportunity for pregnant women to engage in healthy behavior and relaxation. Advance action o Encourage utilization of and enrollment in Medicaid and Dr. Dynasaur program so that pregnant women have access to hospital services, health education, nutritious foods, nutritional counseling, breastfeeding support, and connections to other community resources. CVMC staff are aware of these programs and will inform patients of these programs when a need is identified. o Practitioners actively motivate pregnant women to quit smoking and take part in CVMC cessation classes or participate in statewide Vermont Quit Network program. - IMPROVE ACCESS TO TRANSPORTATION More than 90% of Washington County's land mass does not receive regular public transit service. CVMC believes we must be especially aware of low-income households, zero-vehicle households, adults 65 and older, and persons with disabilities in these areas. It is important that all people have the opportunity to utilize the resources at CVMC and other health care organizations in central Vermont. This is only possible if individuals and families feel comfortable and are easily able to get to and from these facilities. Implementation steps: Continue current initiatives o In December 2012, CVMC donated $10,000 to GMTA to support shuttle routes. As GMTA is the primary public transit provider and Medicaid broker for all of Washington County (including the three towns in Orange County), this money will ultimately work to ensure those who do not have their own transportation have access to healthcare facilities. o In 2012, our Service Recovery Budget was $3,000. This fund provides patients in need with bus tokens, gas cards, and meal cards at CVMC. We take responsibility to ensure that patients with no means of transportation are able to return home safely. o Increase dispersion and frequency of media promotion throughout the CVMC campus to inform the public of GMTA transportation assistance programs. Discuss such promotion with other health care facilities on Barre Hospital Hill so that regular routes, as well as demand services are presented throughout the community. o Fortify communication with seniors, persons with disabilities, pregnant women/single mothers, and low-income advocacy groups to prevent major pitfalls in access to CVMC. o Identify populations that continue to struggle with current service (route location, frequency, and affordability) through survey conducted by CVMC. - FIGHT THE EPIDEMIC OF YOUTH OBESITY CVMC must continue to fight the epidemic of youth obesity to prevent development of chronic disease in the future. Over the past several decades, major societal changes have affected the nutritional habits and physical activity of the youth of Vermont. Washington County's youth obesity rates are below the national average but these levels are still too high. Our review of community data revealed physical activity and healthy diet with fruits and vegetables to be areas where our community can still improve. CVMC believes every effort put into assuring healthy lifestyles our youth will be repaid many times over in their health and success down the road in life. We resolve to work within central Vermont to increase access to healthy foods and nutritional education as well as encourage active lifestyles in the community. - Implementation steps: Continue current initiatives o Promote and advertise Healthy Living for Kids: CVMC programming offered as a fun way for families with children who struggle with weight issues to learn about healthy food choices and lifestyle changes. Each session includes private one-on-one time with a nurse practitioner and dietician. Meetings are held at CVMC medical practices throughout the year based on age and gender. o Increase the frequency of youth events like Food & Nutrition Story Time-Stone Soup: A fun and educational story hour for children and their care providers to learn about nutritious ingredients with a CVMC Registered Dietitian and enjoy vegetable soup prepared by CVMC chefs. o Registered Dieticians at CVMC Medical Group Practice locations will continue to work aggressively with patient referrals to address childhood obesity through diet and play. o Work with community groups to promote and ensure youth access to local parks, recreation spaces, and fitness events. Advertise outside programming throughout CVMC to endorse physical activity. o Increase participation in free and reduced school meal program. All school-aged children should have access to healthy food choices and daily physical activity during the school day. o Work with Associates in Pediatrics to focus on office visit goals for all children and adolescents: o Assess dietary and physical activity behaviors o Calculate and plot BMI once a year o Counsel families to help maintain or achieve healthy weight o Counsel families to develop healthy nutrition and physical activity behaviors |
| PART V, LINE 11 (continued) | MENTAL HEALTH IS AN ISSUE THAT WAS IDENTIFIED IN THIS ASSESSMENT AS AN AREA OF NEED BUT WAS NOT PRIORITIZED OR INCLUDED IN OUR IMPLEMENTATION PLAN. WHEN WASHINGTON COUNTY YOUTH WERE SURVEYED THROUGH THE 2011 YOUTH RISK BEHAVIOR SURVEY, 23% OF STUDENTS REPORTED THAT THEY FELT SAD OR HOPELESS ALMOST EVERY DAY FOR TWO WEEKS OR MORE IN THE PAST 12 MONTHS. EVEN MORE TROUBLING IS THE STATISTIC THAT 11% OF WASHINGTON COUNTY STUDENTS REPORTED HAVING MADE A SUICIDE PLAN IN THE PAST 12 MONTHS. WITH THIS EVIDENCE AND MORE, WE RECOGNIZED COMMUNITY MENTAL HEALTH AS AN AREA WHERE IMPROVEMENT IS CERTAINLY NECESSARY BUT AS AN AREA MORE SUITED FOR COLLABORATIVE COMMUNITY AND STATE EFFORTS, WHERE CVMC DOES NOT INTEND TO IMPLEMENT INDEPENDENT IMMEDIATE ACTION. CURRENT AVAILABLE SOURCES OF CARE ARE WASHINGTON COUNTY MENTAL HEALTH SERVICE, CVMC FAMILY PSYCHIATRY ASSOCIATES, CVMC'S INPATIENT PSYCHIATRY DEPARTMENT, AND THE HEALTH CENTER IN PLAINFIELD. A SIGNIFICANT REASON WHY IMPLEMENTATION STEPS FOR MENTAL HEALTH ARE NOT INCLUDED IN THIS REPORT IS THAT 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. |
| PART V, Line 16B - FAP APPLICATION WEBSITE | http://www.cvmc.org/sites/default/files/documents/REVISED%20HAP%20APPLICAT ION%20April%202014.pdf PART V, LINE 16C - FAP PLAIN LANGUAGE SUMMARY http://www.cvmc.org/sites/default/files/documents/HAP%20Financial%20Aid%20 Policy.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 | CVMC uses 75% of gross charges as a basis for billing FAP-eligible individuals. Sliding scale discounts are provided on this 75% of gross charges for FAP-eligible individuals. Senior leadership determined that this would be a reasonable basis for billing to ensure that FAP-eligible individuals are never charged more for emergency and other medically necessary care than the amounts billed to those who have insurance. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 24 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 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 | ||||
| 195 HOSPITAL LOOP 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 | ||||
| 82 EAST VIEW LANE SUITE 3 | BARRE | 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 2-1 | BERLIN | VT | 05602 | MEDICAL GROUP PRACTICE |
| GREEN MOUNTAIN FAMILY PRACTICE | ||||
| 63 CRESCENT AVENUE | NORTHFIELD | VT | 05663 | MEDICAL GROUP PRACTICE |
| CVMC PEDIATRICS PRIMARY CARE - BARRE | ||||
| 225 SOUTH MAIN STREET | BARRE | VT | 05641 | MEDICAL GROUP PRACTICE |
| CVMC FAMILY PSYCHIATRY | ||||
| 77 VINE STREET | BARRE | VT | 05641 | MEDICAL GROUP PRACTICE |
| CVMC FAMILY MEDICINE - MAD RIVER | ||||
| 859 OLD COUNTY ROAD | WAITSFIELD | VT | 05673 | MEDICAL GROUP PRACTICE |
| CVMC UROLOGY | ||||
| 286 HOSPITAL LOOP SUITE 1 | BERLIN | VT | 05602 | MEDICAL GROUP PRACTICE |
| CVMC NEUROLOGY | ||||
| 130 FISHER ROAD | BERLIN | VT | 05602 | MEDICAL GROUP PRACTICE |
| NORWICH INFIRMARY | ||||
| 63 CRESCENT AVENUE | NORTHFIELD | VT | 05663 | MEDICAL INFIRMARY |
| CVMC ORTHOPEDICS & SPINE MEDICINE | ||||
| 244 GRANGER ROAD | BERLIN | VT | 05602 | MEDICAL GROUP PRACTICE |
| CVMC ORTHOPEDICS & SPORTS MEDICINE | ||||
| 130 FISHER ROAD MOB-B SUITE 2-3 | BERLIN | VT | 05602 | MEDICAL GROUP PRACTICE |
| CVMC RHEUMATOLOGY | ||||
| 130 FISHER ROAD BLD B SUITE 2-3 | BERLIN | VT | 05602 | MEDICAL GROUP PRACTICE |
| CVMC EXPRESS CARE | ||||
| 1311 BARRE MONTPELIER ROAD SUITE 2 | BERLIN | VT | 05602 | MEDICAL GROUP PRACTICE |
| CVMC ORTHOPAEDICS - PODIATRY | ||||
| 130 FISHER ROAD MOB B SUITE 4 | 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 | BERLIN | VT | 05602 | MEDICAL GROUP PRACTICE |
| GRANITE CITY PRIMARY CARE | ||||
| 14 NORTH MAIN STREET SUITE 4002 | BARRE | VT | 05641 | MEDICAL GROUP PRACTICE |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| REQUIRED DESCRIPTIONS | SCHEDULE H, PART VI, LINE 1 THE ORGANIZATION'S REQUIRED SCHEDULE H SPECIFIC LINE ITEM DESCRIPTIONS ARE AS FOLLOWS: PART I, LINES 3A-C: CVMC HAS A SLIDING SCALE BASED ON INCOME AND ASSETS FOR DETERMINING FREE CARE AS WELL AS DISCOUNTED CARE. FOR INDIVIDUALS WITH INCOME UP TO 200% OF THE FEDERAL POVERTY LEVEL (FPL), FREE CARE IS PROVIDED. FOR INDIVIDUALS WITH INCOME UP FROM 201% TO 250% OF THE FPL, AN 85% DISCOUNT IS GIVEN, FOR INDIVIDUALS WITH INCOME FROM 251% TO 300% OF THE FPL, A DISCOUNT OF 75% IS GIVEN, FOR INDIVIDUALS WITH INCOME FROM 301% TO 350% OF THE FPL A 65% DISCOUNT IS GIVEN, AND FOR INDIVIDUALS WITH INCOME FROM 351% TO 400% OF THE FPL A 55% DISCOUNT IS GIVEN. ASSETS INCLUDING CASH, SAVINGS, CHECKING ACCOUNTS, MONEY MARKET ACCOUNTS, CERTIFICATES OF DEPOSIT, TERM CERTIFICATES, STOCKS, BONDS, MUTUAL FUNDS, OTHER LIQUID ASSETS, SECONDARY HOMES, AND RENTAL PROPERTIES MAY ALSO BE CONSIDERED IN THE FINANCIAL CALCULATION FOR INDIVIDUALS REQUESTING ASSISTANCE. PART I, LINE 7G: FOR THE FISCAL YEAR ENDED SEPTEMBER 30, 2015 CENTRAL VERMONT MEDICAL CENTER INCLUDED PHYSICIAN CLINIC EXPENSES IN SUBSIDIZED HEALTH SERVICES. CENTRAL VERMONT MEDICAL CENTER PHYSICIANS INCURRED $36,154,486 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 $4,271,792. 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 17 ON PAGE 37 IN THE FISCAL YEAR 2015 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: CVMC'S CREDIT AND COLLECTION POLICY FOR FINANCIAL ASSISTANCE STATES THAT CVMC WILL NOTIFY PATIENTS OF THE ASSISTANCE PROGRAM PRIOR TO SENDING ACCOUNTS TO COLLECTIONS. CVMC'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FREE CARE OR FINANCIAL ASSISTANCE. CVMC IS DILIGENT IN IDENTIFYING WHO QUALIFIES FOR FREE CARE AND/OR FINANCIAL ASSISTANCE. CVMC WILL NOT PURSUE COLLECTION FOR FREE CARE PATIENTS. ALSO, CVMC'S COLLECTION PRACTICES FOR FINANCIAL AID CASES INCLUDE MONITORING AND FOLLOWING UP TO ENSURE THAT THE PLAN IS CURRENT AND MATCHES THE PATIENT'S ECONOMIC NEEDS. |
| 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, AND RESPONDS TO THOSE NEEDS AS SOON AS POSSIBLE WHEN DOING SO IS FEASIBLE. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE AT THE FOLLOWING WEB ADDRESS: http://www.cvmc.org/documents/community-health-needs-assessment-2013 |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PART VI, LINE 3 CVMC'S FINANCIAL ASSISTANCE POLICIES 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 64,239. INCLUDED IN THIS SERVICE AREA IS THE FEDERALLY DESIGNATED ORWELL TOWN MEDICALLY UNDERSERVED AREA. VITAL STATISTICS: 97.1% WHITE 68% RURAL 20% UNDER THE AGE OF 20 66% AGED 18 TO 64 14% OVER THE AGE OF 65 MEDIAN HOUSEHOLD INCOME OF $52,832 9.7% LIVE BELOW THE POVERTY LEVEL 6.1% NON ENGLISH SPEAKING HOUSEHOLDS ACCESS TO HEALTHCARE: 9.1% UNINSURED 16.1% MEDICAID (OR OTHER STATE PROGRAMS) RECIPIENTS 62.6% PRIVATE INSURANCE CHRONIC HEALTH CONDITIONS (ADULTS AGED 20+): 20% OBESITY RATE 6.9% LIVING WITH DIABETES 21% 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 A NURSE (CERTIFIED IN DIABETES EDUCATION), A DIETITIAN, A MEDICAL SOCIAL WORKER AND A HEALTH EDUCATOR. 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. AT THE END OF 2012, THERE WERE 50 PRIMARY CARE PROVIDERS WHO ARE PARTICIPATING IN THE PCMH IN THE BARRE HSA CARING FOR OVER 60,000 PATIENTS. THERE ARE 9 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 (FORMERLY FLETCHER ALLEN HEALTH CARE, INC.) BECAME MEMBERS OF THE UNIVERSITY OF VERMONT HEALTH NETWORK (FORMERLY FLETCHER ALLEN PARTNERS, INC.), 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. 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 (2 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) | $10,000 | EDU LOAN RPMT TO HLTHCR PRFSNLS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | 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 | $323,879 | $0 | $13,866 | $0 | $4,671 | $0 | $0 | $0 | $26,731 | $0 | $369,147 | $0 | $0 | $0 |
| Nancy Lothian | ||||||||||||||
| Chief Operating Officer | $296,397 | $0 | $43,122 | $0 | $18,974 | $0 | $0 | $0 | $18,144 | $0 | $376,637 | $0 | $0 | $0 |
| Cheyenne Holland | ||||||||||||||
| TREASURER, CFO/VP FISCAL SRVS | $256,807 | $0 | $35,644 | $0 | $13,088 | $0 | $14,721 | $0 | $26,871 | $0 | $347,131 | $0 | $0 | $0 |
| Richard Morley | ||||||||||||||
| VP Support Services | $201,039 | $0 | $13,961 | $0 | $3,579 | $0 | $0 | $0 | $24,147 | $0 | $242,726 | $0 | $0 | $0 |
| Judith Tarr Tartaglia | ||||||||||||||
| Trustee, President/CEO | $411,351 | $0 | $30,669 | $0 | $25,071 | $0 | $0 | $0 | $27,201 | $0 | $494,292 | $0 | $0 | $0 |
| Janusz Porowski MD | ||||||||||||||
| Physician | $293,629 | $0 | $10,095 | $0 | $20,974 | $0 | $0 | $0 | $18,422 | $0 | $343,120 | $0 | $0 | $0 |
| Mark Depman MD | ||||||||||||||
| Trustee, Medical Director EMS | $329,081 | $0 | $30,020 | $0 | $19,295 | $0 | $0 | $0 | $24,112 | $0 | $402,508 | $0 | $0 | $0 |
| Mahlon Bradley MD | ||||||||||||||
| Physician | $478,389 | $0 | $9,804 | $0 | $1,762 | $0 | $6,696 | $0 | $27,755 | $0 | $524,406 | $0 | $0 | $0 |
| Peter Thomashow MD | ||||||||||||||
| Physician | $336,163 | $0 | $0 | $0 | $5,897 | $0 | $0 | $0 | $31,351 | $0 | $373,411 | $0 | $0 | $0 |
| John Braun MD | ||||||||||||||
| PHYSICIAN | $492,841 | $0 | $6,647 | $0 | $0 | $0 | $19,816 | $0 | $2,923 | $0 | $522,227 | $0 | $0 | $0 |
| Joseph Pekala MD | ||||||||||||||
| Trustee until 12/11/14 | $30,000 | $499,930 | $0 | $0 | $0 | $59,295 | $0 | $18,200 | $0 | $3,311 | $30,000 | $580,736 | $0 | $0 |
| John Brumsted MD | ||||||||||||||
| Trustee | $0 | $982,343 | $0 | $361,620 | $0 | $154,925 | $0 | $129,600 | $0 | $24,951 | $0 | $1,653,439 | $0 | $0 |
| Javad Mashkuri MD | ||||||||||||||
| Physician | $307,091 | $0 | $20,363 | $0 | $17,500 | $0 | $19,237 | $0 | $25,561 | $0 | $389,752 | $0 | $0 | $0 |
| Cathy Palmer MD | ||||||||||||||
| Trustee as of 12/2014 | $0 | $215,214 | $0 | $0 | $0 | $44,434 | $0 | $11,000 | $0 | $24,557 | $0 | $295,205 | $0 | $0 |
| Karin Morrow | ||||||||||||||
| Chief Nursing Officer | $176,544 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $7,870 | $0 | $184,414 | $0 | $0 | $0 |
| David Turner | ||||||||||||||
| VP Physician Services | $162,177 | $0 | $0 | $0 | $349 | $0 | $6,452 | $0 | $2,149 | $0 | $171,127 | $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 ITS PRESIDENT, DR. BRUMSTED. UNDER THE SRP, UVM MEDICAL CENTER MAKES ANNUAL DEFERRALS EQUAL TO 10% OF THE PRESIDENT'S BASE SALARY FOR EACH YEAR THROUGH THE PLAN YEAR ENDING SEPTEMBER 30, 2015. THIS AMOUNT IS INCLUDED IN SCHEDULE J, PART II, COLUMN C. AMOUNTS DEFERRED ARE 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 |
| 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 | $11,303,348 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, PART I, LINE A, COLUMN F | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Matt Tarr | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | See Schedule L, Part V | RelationshipDescriptionTxt |
| Transaction | $36,569 | TransactionAmt |
| Transaction | Wages & Benefits | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
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 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 2013 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. 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 CONTROLLER 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 CONTROLLER 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. 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 2013. 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. Pekala, 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. |
| OTHER CHANGES IN NET ASSETS | FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES: CHANGE IN MINIMUM PENSION LIABILITY ($11,804,221) FUNDS RELEASED FROM THE CVMC ENDOWMENT ($1,073,533) -------------- TOTAL: ($12,877,754) |
| CIRCULAR A-133 AUDIT | FORM 990, PART XII, LINE 3B: DURING FY15, 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 (13 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 | NA | false |
| Univ of Vermont Medical Group - New York | ||||||||||
| 183 Park Street | Malone | NY | 12953 | 203905216 | PHYS SVCS | NY | 501(c)(3) | 3 | UVMMG | Yes (true) |
| University of Vermont Medical Group | ||||||||||
| 111 Colchester Ave | Burlington | VT | 05401 | 030225105 | PHYS SVCS | VT | 501(c)(3) | 11a | UVMMC | Yes (true) |
| Univ of Vermont Medical Ctr Fdn inc | ||||||||||
| 111 Colchester Ave | Burlington | VT | 05401 | 263159849 | Fundraising | VT | 501(c)(3) | 11a | UVMMC | Yes (true) |
| Central Vermont Hospital Auxiliary | ||||||||||
| 130 Fisher Rd | Berlin | VT | 05602 | 030264240 | Service | VT | 501(c)(3) | 11d | NA | false |
| Community Providers Inc | ||||||||||
| 75 Beekman St | Plattsburgh | NY | 12901 | 222544844 | Hlth Svc Coor | NY | 501(c)(3) | 11a | 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 | CPI | Yes (true) |
| CVPH Medical Center Foundation | ||||||||||
| 75 Beekman St | Plattsburgh | NY | 12901 | 141727048 | Health Svc Su | NY | 501(c)(3) | 11B | 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 | UVMMG | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt |
|---|---|---|---|---|
| ONECARE VERMONT ACCOUNTABLE CA | ||||
| 455399218 | ACCOUNTABLE C | VT | NA | N/A |
| ADIRONDACKS ACO LLC | ||||
| 462840926 | ACCOUNTABLE C | NY | NA | N/A |
| OBNET SERVICES LLC | ||||
| 043746287 | HEALTH RESEAR | NH | 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 | NA | C Corp | Yes (true) | 111 Colchester Ave | Burlington | VT | 05401 | 043380045 | |||||
| VMC Indemnity Company LTD | ||||||||||||||
| Captive Insurance | NA | C Corp | Yes (true) | 999999999 | PO BOX HM 3103 25 Church St HM F | Hamilton | BD | HM FX FR | BD | |||||
| Vermont Managed Care | ||||||||||||||
| Managed Care | VT | NA | 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 | NA | 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 | $2,683,281 | 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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