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            <AddressLine1>PO Box 1902</AddressLine1>
            <City>Burlington</City>
            <State>VT</State>
            <ZIPCode>054021902</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Medical Services</DescriptionOfServices>
        <Compensation>432075</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>CPSG Inc</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 749</AddressLine1>
            <City>Morrisville</City>
            <State>VT</State>
            <ZIPCode>05561</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Grant &amp; Physician Services</DescriptionOfServices>
        <Compensation>412413</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Apogee Medical Equipment</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2525 E Camelback Road Suite 1100</AddressLine1>
            <City>Phoenix</City>
            <State>AZ</State>
            <ZIPCode>85016</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Hospitalist Services</DescriptionOfServices>
        <Compensation>352950</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Green Mountain General Surgery</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>530 Washington Highway</AddressLine1>
            <City>Morrisville</City>
            <State>VT</State>
            <ZIPCode>05661</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Physician Services</DescriptionOfServices>
        <Compensation>310488</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Comphealth Medical Staffing</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO Box 972670</AddressLine1>
            <City>Dallas</City>
            <State>TX</State>
            <ZIPCode>75397</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Contracted Labor</DescriptionOfServices>
        <Compensation>293284</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>16</NumberOfContractorsGT100K>
      <RelatedOrganizations>1781747</RelatedOrganizations>
      <AllOtherContributions>339763</AllOtherContributions>
      <NoncashContributions>330288</NoncashContributions>
      <TotalContributions>2121510</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Gross Patient Revenue</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>88584632</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>88584632</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Miscellaneous Revenue</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>500288</TotalRevenueColumn>
        <ExclusionAmount>500288</ExclusionAmount>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Cafeteria Revenue</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>292101</TotalRevenueColumn>
        <ExclusionAmount>292101</ExclusionAmount>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Provision for Bad Debt</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>-2351830</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>-2351830</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>Contractual /Char. Adj</Description>
        <BusinessCode>621400</BusinessCode>
        <TotalRevenueColumn>-34834125</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>-34834125</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>52191066</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>87926</TotalRevenueColumn>
        <ExclusionAmount>87926</ExclusionAmount>
      </InvestmentIncome>
      <GrossRents>
        <Real>39605</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>0</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>39605</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>39605</TotalRevenueColumn>
        <ExclusionAmount>39605</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Other>116552</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Other>496</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Other>116056</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>116056</TotalRevenueColumn>
        <ExclusionAmount>116056</ExclusionAmount>
      </NetGainOrLossInvestments>
      <TotalRevenue>
        <TotalRevenueColumn>54556163</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>51398677</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>1035976</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>309326</Total>
        <ProgramServices>309326</ProgramServices>
      </GrantsToDomesticOrgs>
      <CompCurrentOfficersDirectors>
        <Total>819638</Total>
        <ProgramServices>335976</ProgramServices>
        <ManagementAndGeneral>483662</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>22704056</Total>
        <ProgramServices>20877580</ProgramServices>
        <ManagementAndGeneral>1826476</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>558158</Total>
        <ProgramServices>518720</ProgramServices>
        <ManagementAndGeneral>39438</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>3736406</Total>
        <ProgramServices>3410700</ProgramServices>
        <ManagementAndGeneral>325706</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>1521190</Total>
        <ProgramServices>1373109</ProgramServices>
        <ManagementAndGeneral>148081</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>65505</Total>
        <ManagementAndGeneral>65505</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>46190</Total>
        <ManagementAndGeneral>46190</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>18668</Total>
        <ManagementAndGeneral>18668</ManagementAndGeneral>
      </FeesForServicesLobbying>
      <FeesForServicesOther>
        <Total>6466397</Total>
        <ProgramServices>5856440</ProgramServices>
        <ManagementAndGeneral>609957</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>172074</Total>
        <ManagementAndGeneral>172074</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>1557168</Total>
        <ProgramServices>1192123</ProgramServices>
        <ManagementAndGeneral>365045</ManagementAndGeneral>
      </OfficeExpenses>
      <Occupancy>
        <Total>1641809</Total>
        <ProgramServices>1292928</ProgramServices>
        <ManagementAndGeneral>348881</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>47947</Total>
        <ProgramServices>21393</ProgramServices>
        <ManagementAndGeneral>26554</ManagementAndGeneral>
      </Travel>
      <Interest>
        <Total>58310</Total>
        <ProgramServices>58310</ProgramServices>
      </Interest>
      <DepreciationDepletion>
        <Total>1976773</Total>
        <ProgramServices>1800473</ProgramServices>
        <ManagementAndGeneral>176300</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>579480</Total>
        <ProgramServices>530617</ProgramServices>
        <ManagementAndGeneral>48863</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Medical Supplies</Description>
        <Total>6808850</Total>
        <ProgramServices>6808715</ProgramServices>
        <ManagementAndGeneral>135</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Service Provider Tax</Description>
        <Total>2829517</Total>
        <ProgramServices>2829517</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Dues &amp; Subscriptions</Description>
        <Total>210966</Total>
        <ProgramServices>78390</ProgramServices>
        <ManagementAndGeneral>132576</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Education</Description>
        <Total>125042</Total>
        <ProgramServices>117099</ProgramServices>
        <ManagementAndGeneral>7943</ManagementAndGeneral>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>52253470</Total>
        <ProgramServices>47411416</ProgramServices>
        <ManagementAndGeneral>4842054</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>2375</BOY>
        <EOY>2375</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>10004309</BOY>
        <EOY>11763866</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>3757799</BOY>
        <EOY>4152112</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>1757339</BOY>
        <EOY>2404734</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>1174467</BOY>
        <EOY>1202645</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>33615742</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>21144460</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>11820206</BOY>
        <EOY>12471282</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsOtherSecurities>
        <BOY>3903840</BOY>
        <EOY>4514320</EOY>
      </InvestmentsOtherSecurities>
      <OtherAssetsTotal>
        <BOY>1244814</BOY>
        <EOY>976645</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>33665149</BOY>
        <EOY>37487979</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>4479424</BOY>
        <EOY>5125883</EOY>
      </AccountsPayableAccruedExpenses>
      <MortNotesPyblSecuredInvestProp>
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        <EOY>3181254</EOY>
      </MortNotesPyblSecuredInvestProp>
      <OtherLiabilities>
        <BOY>2547767</BOY>
        <EOY>3023683</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>10421163</BOY>
        <EOY>11330820</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>19340146</BOY>
        <EOY>21642839</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>110214</BOY>
        <EOY>608577</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>3793626</BOY>
        <EOY>3905743</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>23243986</BOY>
        <EOY>26157159</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>33665149</BOY>
        <EOY>37487979</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>2302693</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>610480</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementBoth>X</FinancialStatementBoth>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
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      <PaidStaffOrManagement>0</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>0</GrantsOtherOrganizations>
      <DirectContactLegislators>1</DirectContactLegislators>
      <DirectContactLegislatorsAmount>18668</DirectContactLegislatorsAmount>
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      <OtherActivities>1</OtherActivities>
      <OtherActivitiesAmount>16240</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>34908</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>Explanation of Lobbying Activities:</Identifier>
        <ReturnReference>Part II-B, Line 1:</ReturnReference>
        <Explanation>The Organization pays dues to various organizations, a portion (16,240) of which is attributable to lobbying expenses. The Hospital also engaged a law firm for 18,668 for lobbying services.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <BookValue>158876</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>16398635</OtherCostOrOtherBasis>
        <Depreciation>9635830</Depreciation>
        <BookValue>6762805</BookValue>
      </Buildings>
      <Equipment>
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        <BookValue>4884202</BookValue>
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      <OtherLandBuildings>
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        <BookValue>665399</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>12471282</TotalOfBookValueLandBuildings>
      <OtherSecurities>
        <Description>Beneficial Interest in Net Assets of Copley Health Systems, Inc.</Description>
        <BookValue>4514320</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
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      <TotalOfBookValueSecurities>4514320</TotalOfBookValueSecurities>
      <OtherLiabilities>
        <Description>Deferred Compensation</Description>
        <Amount>956296</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Estimated Third Party Payor Settlements</Description>
        <Amount>2000000</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Due to Related Parties</Description>
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      </OtherLiabilities>
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      <ExcessOrDeficitForYear>2302693</ExcessOrDeficitForYear>
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      <TotalAdjustments>610480</TotalAdjustments>
      <ExcessOrDeficitPerFS>2913173</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>55166643</TotRevenueEtcAuditedFinclStmt>
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      <RevenueNotRptdF990>610480</RevenueNotRptdF990>
      <RevenueSubtotal>54556163</RevenueSubtotal>
      <RevenueNotRptdOnFinStmt>0</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>54556163</TotalRevenuePerForm990>
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      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
      <ExpensesSubtotal>52253470</ExpensesSubtotal>
      <ExpensesNotRptdOnFinStmt>0</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>52253470</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8 - Other Adjustments:</Identifier>
        <Explanation>Change in beneficial interest in net assets of Copley Health Systems, Inc. 610,480.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 2d - Other Adjustments:</Identifier>
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      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
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      <WrittenPolicy>1</WrittenPolicy>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <OtherPercentage>
        <Other>X</Other>
        <FreeOtherPercentage>250.000000000000</FreeOtherPercentage>
      </OtherPercentage>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
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      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <PersonsServed>2520</PersonsServed>
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      </CharityCareAtCost>
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      </UnreimbursedMedicaid>
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      </TotalCharityCare>
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      </CommunityHealthServices>
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      </CashAndInKindContributions>
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      </TotalOtherBenefits>
      <TotalCommunityBenefits>
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      <AmountAttributableTo>0</AmountAttributableTo>
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      <Form990ScheduleHPartVSectionA>
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        </Name>
        <Address>
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          <City>Morrisville</City>
          <State>VT</State>
          <ZIPCode>05661</ZIPCode>
        </Address>
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        <HowDataObtained>X</HowDataObtained>
        <CommunityHealthNeeds>X</CommunityHealthNeeds>
        <OtherHealthIssues>X</OtherHealthIssues>
        <IdentifyingProcess>X</IdentifyingProcess>
        <ConsultingProcess>X</ConsultingProcess>
        <InformationGaps>X</InformationGaps>
        <NeedsAssessmentConducted>10</NeedsAssessmentConducted>
        <TakeIntoAccount>1</TakeIntoAccount>
        <OtherFacilities>0</OtherFacilities>
        <CHNAWidelyAvailable>1</CHNAWidelyAvailable>
        <OwnWebsite>X</OwnWebsite>
        <OnRequest>X</OnRequest>
        <OtherMethod>X</OtherMethod>
        <AdoptImplementStrategy>X</AdoptImplementStrategy>
        <ExecuteImplementStrategy>X</ExecuteImplementStrategy>
        <DevelopCommunityPlan>X</DevelopCommunityPlan>
        <ParticipateCommunityPlan>X</ParticipateCommunityPlan>
        <PrioritizeHealthNeeds>X</PrioritizeHealthNeeds>
        <PrioritizeServices>X</PrioritizeServices>
        <AllNeedsAddressed>0</AllNeedsAddressed>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
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        <IncomeLevel>X</IncomeLevel>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AttachedToInvoices>X</AttachedToInvoices>
        <PostedInEmergencyRoom>X</PostedInEmergencyRoom>
        <PostedInAdmissionOffice>X</PostedInAdmissionOffice>
        <ProvidedOnAdmission>X</ProvidedOnAdmission>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <CollectionActivities>1</CollectionActivities>
        <ReportToCreditAgency>X</ReportToCreditAgency>
        <NotifyUponAdmission>X</NotifyUponAdmission>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>1</NondiscrimEmergencyCarePolicy>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>1</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 7: A cost accounting system was used to calculate the amounts reported in the table. The cost accounting system addresses all patient segments. A cost-to-charge ratio was used. The ratio was derived from Worksheet 2.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, Line 7g: All costs reported on Part I, Line 7g are attributable to a physician clinic.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 4: Patient accounts receivable are reduced by an allowance for doubtful accounts. In evaluating collectibility of accounts receivable, the Hospital analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provisions for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Hospital records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts.The Organization utilized a cost to charge ratio as the costing methodology used to determine the amount of bad debt expense at cost.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part III, Line 9b: Financial Assistance is available to guarantors who meet the eligibility requirements. Income level, household size, residency status, etc, determine eligibility. Federal Poverty Level guidelines are utilized to determine the amount of assistance a household may be eligible for. For the patient's convenience, all statements have an abbreviated version of the Financial Assistance Application on the back. Copley personnel also help patients review and apply for appropriate state-sponsored programs.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Copley Hospital, Inc.</Identifier>
        <Explanation>Part V, Section B, Line 3: In March 2011, Copley Hospital engaged Toby Knox and Associates, LLC (TKA) to conduct a formal Community Healthcare Needs Assessment. The assessment process invited feedback from community stakeholders as well as reviewing relevant data and publications published by government and non-profit agencies from within the Copley community and statewide. A survey tool designed to ascertain the most pressing health and wellness needs in the Copley community was distributed by mail and email to 153 individual stakeholders representing the broad interests of the community served by Copley Hospital, including:School NursesStaff or local non-profit organizationsVermont Health Department staffAuxiliary BoardCopley Foundation CommitteeCopley Health System TrusteesTown Health OfficersCopley Medical StaffA second survey was administered at the 2011 town meetings in the towns of Morristown, Cambridge, Hyde Park, Wolcott, Waterville and Stowe. In September 2011, Copley created a multi-disciplinary advisory committee, called the Community Assessment Steering Committee (CASC), consisting of the hospital's community health team, community leaders and members of the Integrated Health Systems team of the Copley Service Area Blueprint for Health program. This team includes:Dawn Archbold, Executive Director, United Way of Lamoille CountyKathy Demars and Jen Beebe, Lamoille Home Health &amp; HospiceLorrie Dupuis, Blueprint Community Health Team LeaderHayley Hamilton, Clinical Director, Behavioral Health &amp; WellnessClaire Hancock, Case Manager, Copley Hospital Patient &amp; Family ServicesKathleen Hentcy, VDH Public Health SpecialistLeah Hollenberger, (Chair), VP Community Relations for Copley Health SystemsScott Johnson, Lamoille Family Center &amp; Lamoille Valley Housing &amp; HomelessJina Cate, Interim Chief Nursing Officer, Copley HospitalDeb Krempecke, Lamoille Community Food ShareKrystina Laychak, Director of Nursing, The ManorCindy Locke, Lamoille Regional Chamber of CommerceElise McKenna, Copley Service Area Blueprint Program Project MgrMark Nash, Dept. of VT Health AccessKathy Paquet, Central Vermont Council on AgingTammy Preston, Northern Counties Health CareSusan Ridzon, Blue Cross Blue Shield of VTSharon Robitlle, RN, Copley Hospital Patient &amp; Family ServicesMichelle Salvador, VDH Substance Abuse Prevention ConsultantJanice Sawtell, Blue Cross Blue Shield of VTLinda Shaw, RN, Copley Hospital Wellness Center Valerie Valcour, VDH Morrisville Field DirectorSavi Van Sluytman, Lamoille Community ConnectionsNancy Wagner, RD, Copley Hospital Wellness Center In February 2012, an updated survey tool was created based on the CASC's recommendations. It was distributed by mail and email and also administered in person to clients of:Hardwick Food ShareJohnson Food ShareLamoille Community Food ShareCentral Vermont Community Action Council Central Vermont Adult Basic EducationHardwick Area Health CenterMorrisville Family HealthcareStowe Family PracticeLeadership LamoilleCopley Hospital staff conducted a secondary data review in Spring 2012 based on benchmarking guidelines suggested by the Vermont Department of Health and CASC. Data sources reviewed included:Center for Rural Studies, UVMVermont Department of Labor Economic Demographic Profile 2011U.S Bureau of Labor StatisticsU.S Census Bureau 2000 and 2010American Community Survey 2005-2009Vermont Department of Health: Health and Healthcare Trends in Vermont 2010Vermont Department of Health: Physician Survey 2010Vermont Department of Health: Behavioral Risk Factor Surveillance System (BRFSS) 2010VPQHC: Vermont Health Care Quality Report 2010Vermont Office of Health Access: Study of the Uninsured and Underinsured 2011AHEC: The Primary Care Workforce 2011 SnapshotVermont Department of Health: 2009 Dentist Survey Statistical ReportCenters for Disease Control and Prevention, Nat'l Center for Health StatisticsKaiser Family Foundation: www.statehealthfacts.org 2010 dataVermont Agency of Human Services Department of Disabilities, Aging &amp; Independence: State of Vermont 2006-2014 Shaping the Future of Long Term Care and Independent LivingVermont Housing Finance AgencyVoices for Vermont Kids, 2007-2009Copley Hospital Quality Reports2011 Hospital Report Card, www.copleyvt.org2012 County Health Ranking from the University of Wisconsin Population Health InstituteNational Center for Health Statistics, Centers for Disease Control: Vital Statistics Reporting System, Community Health Status Report 20092012 County Health Rankings, Dartmouth Atlas of HealthVermont AHEC Search Handbook 2012Vermont Department of Health, Health Status of Vermonters, Appendix, 2008EPA Air Quality DatabaseVermont Department of Health, Health Disparities/Health Status Report 2008</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Copley Hospital, Inc.</Identifier>
        <Explanation>Part V, Section B, Line 5c: A copy of Copley Hospital's 2012 Community Healthcare Needs Assessment is available on the hospital's website, www.copleyvt.org/Aboutus. The public was invited to hear highlights from the assessment as part of the Hospital's annual Community Forum, held September 27, 2012.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Copley Hospital, Inc.</Identifier>
        <Explanation>Part V, Section B, Line 7: The Hospital adopted an implementation strategy to address the top three needs of the community, as recommended by the CASC. Other needs are being addressed by the hospital without being specifically addressed in the implementation strategy. The Hospital is not treating Obesity and Nutrition as a separate priority as obesity is included in our Blueprint integrated health system goal of "improving residents' self management of chronic conditions." Our Healthier Living Workshops, the Workforce Wellness Program and the Pediatric Outreach Programs currently underway all address obesity. Copley Hospital does provide a health recipe in each edition of the Copley Courier, the hospital's newsletter distributed through community newspapers (circulation ~25,000 quarterly). In addition, healthy living tips are shared quarterly with the HOPE Health Newsletter, distributed to Copley's 475 employees, and 400 friends of Copley; it is also available in the hospital's common areas. In addition, a Copley Hospital employee serves on the Lamoille Fit and Health Council and Copley Hospital has advocated to town officials for the adoption of a Town Wellness Plan crafted by the Fit and Healthy Council. The Town Wellness Plan encourages community development and zoning policies that encourage pedestrian and bicycling infrastructure, mixed-use development that provides opportunities for people to be physically active as part of their daily routine, and access to safe, well-maintained parks and recreation facilities. Mental Health and Substance Abuse are being addressed separately, because of the work being done in the community by Lamoille Community Connections (the Vermont Department of Mental Health Designated Agency), CHSLV's Behavioral Health and Wellness and independent practitioners and Copley Hospital along with Lamoille Prevention Campaign and Lamoille Home Health &amp; Hospice. Copley Hospital has served as the fiscal agent for the Lamoille Prevention Campaign and hospital representatives are active with the organization. The Hospital is distributing Lamoille Prevention Campaign materials to our employees and in our common areas. The campaign's focus is to reduce underage drinking in Lamoille County. In addition, the mental health agencies are working to improve access to behavioral health resources for all residents. Copley Hospital is contributing to this by having our Diabetes Educator and Registered Dietitian screen all Wellness Center referrals for depression and refer to a behavioral health professional as needed. We have helped Lamoille Community Connections establish the A.S.A.P. public inebriate program, which provides a safe environment to sober-up followed by next day assessment and counseling. Although not part of the CASC discussion, Copley Hospital is helping to address mental health concerns in the community. Copley Hospital is collaborating with the state of Vermont to provide key services to replace psychiatric beds lost due to the closing of Vermont State Hospital as a result of Hurricane Irene. An 8 bed psychiatric hospital is being built in the hospital's service area, with the hospital providing pharmacy, environmental services, food services and medical care for the next several years until a new state hospital can be built.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Copley Hospital, Inc.</Identifier>
        <Explanation>Part V, Section B, Line 19d: Financial assistance applications must be completed to determine eligibility for assistance and therefore applicability of the limitation on charges under 501(r)(5). If not eligible, discount is granted for prompt payment similar to the average negotiated commercial discount rate for prompt payment of a clean claim.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Copley Hospital, Inc.</Identifier>
        <Explanation>Part V, Section B, Line 21: If patients do not pay promptly, then the discount on gross charges is waived, as it would be under contractual arrangements with commercial insurers if they did not pay promptly.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 2: Copley Hospital is part of an Integrated Health Systems (I.H.S.) team in our community. Together we are working to address community healthcare. Reaching out to the community to achieve meaningful public participation is integral to Copley's mission and to inform the I.H.S. Copley completed a Community Healthcare Needs Assessment in 2011 and will update the document in 2012. For our assessments, Copley gathers and analyzes information about the greater Lamoille Valley community and its healthcare needs through various means including: - Analyzing and responding to health trends in our patients, through aggregate data from our Workplace Wellness program and through aggregate data from our I.H.S. team with the Copley Service Area Blueprint for Health initiative.- We survey community members, community leaders, including health and community service providers, school administrators and others who have knowledge of and serve to meet population-based health needs. We review data of Vermonters' health, health practices and behavioral risks published by Vermont Department of Health, BISHCA, Blueprint and Federal Centers for Disesase Control. We have formed a community based advisory committee to develop an implementation plan to address identified community health needs. - We also host an annual Community Forum that is open to the public to discuss community health needs. - The Hospital is governed by a volunteer board of trustees made up of local citizens representing a cross section of the community served. - We maintain involvement in a number of community groups within our service area. - Copley continues to work collaboratively with other organizations to identify and address community health needs. Our collaborations include but are not limited to the Integrated Health Team of the Copley Area Blueprint for Health Initiative, Lamoille Home Health and Hospice, The Manor (long term residential care), Lamoille Community Connections, Behavioral Health and Wellness, Lamoille Prevention Campaign (substance abuse), the Morrisville district office of the Vermont Department of Health, United Way, Lamoille Valley Fit and Healthy Council, Lamoille Valley Tobacco Task Force, and Leadership Lamoille through the Chamber of Commerce.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 3: Information about Copley's Charitable Care policy, which includes helping patients apply for assistance under federal, state or local government programs, is posted by each registration desk (Main Lobby and Emergency Department). It is also available, along with the application form, online on the Hospital's website in addition to the "Hospital Report Card" website of the Vermont Department of Banking, Insurance, Securities and Health Care Administration. Details are also included in the Patient Guide for inpatients, families and visitors.Copley's Charitable Care program is also promoted in our philanthropy efforts as many donors give to the program. All care providers may refer patients to the Hospital's Patient Financial Services counselors or to Patient and Family Services to connect them to assistance.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 4: Copley Health Systems (CHS) is an essential health care resource in the rural greater Lamoille County area of Vermont. Our services include a 25-bed Critical Access community hospital, low-income elderly housing and an independent living facility. Copley Hospital's services include 24 hour/7 days a week emergency services, women's and children's services, general surgery, primary care including laboratory services and diagnostic imaging; and an excellent orthopaedic service given our proximity to major ski areas. Our patients are largely the elderly and low-income families in a rural area. Nearly a third are below 200% of poverty level. We serve all patients, regardless of ability to pay. Chronic health conditions impact many adults in our area. We are working to increase access to healthcare and work with members of our community to improve their self management of chronic conditions such as diabetes, high blood pressure, high cholesterol, asthma and obesity. We are also helping people quit tobacco. Copley provides services for residents whose next nearest hospital may be an hour away in good weather.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Copley Professional Services Group Inc</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>530 Washington Highway No 12</AddressLine1>
          <City>Morrisville</City>
          <State>VT</State>
          <ZIPCode>05661</ZIPCode>
        </AddressUS>
        <EINOfRecipient>043358048</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>309326</AmountOfCashGrant>
        <PurposeOfGrant>Support obstetrics and gynecology services to residents of Lamoille County.</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>1</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>Procedure for Monitoring Grants in the U.S.:</Identifier>
        <ReturnReference>Part I, Line 2:</ReturnReference>
        <Explanation>Schedule I, Part I, Line 2: The Organization obtains financial information from the grantee to determine the amount of funds to be granted.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>1</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Melvyn Patashnick</NamePerson>
        <BaseCompensationFilingOrg>228035</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>34110</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9800</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>20448</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>292393</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Brian Smale MD</NamePerson>
        <BaseCompensationFilingOrg>310488</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>310488</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Rassoul Rangaviz</NamePerson>
        <BaseCompensationFilingOrg>162571</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>326</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>6703</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>21669</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>191269</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Bryan Huber MD</NamePerson>
        <BaseCompensationFilingOrg>506986</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>59000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>54841</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9800</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>29846</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>660473</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Eric Mullins</NamePerson>
        <BaseCompensationFilingOrg>512247</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>27097</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>24103</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9800</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>24871</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>598118</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Sarah Blair</NamePerson>
        <BaseCompensationFilingOrg>271589</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>16730</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9800</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>9271</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>307390</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Mirjam McCormack</NamePerson>
        <BaseCompensationFilingOrg>284733</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>288</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9800</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>27706</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>322527</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>John Kaeding MD</NamePerson>
        <BaseCompensationFilingOrg>246870</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>18216</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9800</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>23078</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>297964</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 5</ReturnReference>
        <Explanation>Bryan Huber, a highest compensated employee, received a bonus of $59,000. Eric Mullins, a highest compensated employee, received a bonus of $27,097. Each of the individuals were paid an incentive bonus based upon the gross revenue they produced individually for the hospital. The bonus is triggered when the individual produces a certain level of revenue. The bonus is 20% of the excess revenue produced over that level. There is a cap on the amount of bonus the indivdual can receive.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>Form 990, Part VII, Line 5: Dr. Brian Smale, a member of the board of trustees is an owner of Green Mountain General Surgery. Copley Hospital paid Green Mountain General Surgery for surgical services that Dr. Smale provided through his Organization to the Hospital. Copley Hospital paid Green Mountain General Surgery $310,488 for these services. Dr. Smale's compensation for services rendered specifically to the Hospital was not available as Green Mountain General Surgery is an unrelated organization.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Green Mountain General Surgery</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>An Entity more than 35% owned by Brian Smale, Trustee of the Organization</Relationship>
        <AmountOfTransaction>310488</AmountOfTransaction>
        <DescriptionOfTransaction>Independent Contractor Arrangement</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>Medical Equipment</Description>
        <NumberOfContributions>2</NumberOfContributions>
        <NoncashContribsRptdF990>330288</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Fair Market Value</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <NumberOf8283Received>0</NumberOf8283Received>
      <AnyPropertyThatMustBeHeld>0</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>1</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>0</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 4</ReturnReference>
        <Explanation>The bylaws were amended in January of 2012 as a result of a change in the composition of the board. The Hospital's auxiliary no longer has representation on the board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 6</ReturnReference>
        <Explanation>Copley Hospital, Inc. is a member organization whose sole corporate member is Copley Health Systems, Inc. Copley Health Systems, Inc. and the Hospital share the same board of trustees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7a</ReturnReference>
        <Explanation>Copley Hospital, Inc. shares the same board as Copley Health Systems, Inc. Each year, the members of Copley Health Systems, Inc. will hold an annual meeting. The purposes of the annual meeting shall include the election of members to the Corporation, the election of Trustees to the Corporation's Board of Trustees, the election of the community member at large of the governance and bylaws committee, and the transaction of such other business as may properly come before the membership. The Board shall consist of up to twenty-one elected members, the Chief Executive Officer of the Corporation and the President of the Medical Staff of Copley Hospital, Inc., all as voting members. All Trustees must be members of the Corporation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>The finance committee reviews the Form 990 prior to submission. A complete copy of the form is made available to all members of the governing body through the finance office.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>The Governance Committee reviews the statements and surveys completed by interested persons and maintains a list of individuals who may be considered disqualified persons under IRS regulations. The Governance Committee reports the results of its reviews annually to the Board. The internal Compliance Committee of the Corporation reviews any potential conflict of interest which involves an interested person who is not a trustee or officer of the Corporation. The internal Compliance Committee reports the results of its reviews annually to the Board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>The CEO's pay is determined through the use of an outside compensation firm. Senior leadership and other highly compensated individuals have their pay ranges determined through market data from Astron Solutions. The compensation for the CEO is approved by the Board.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>The governing documents are made available upon request. The conflict of interest policy and Matrix are available upon request. The financial statements are summarized in an annual report that is available to the public. The Hospital also submits both their budget and actual financial information to the State of Vermont's Department of Banking, Insurance, Securities &amp; Health Care Administration.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 5:</ReturnReference>
        <Explanation>Change in beneficial interest in net assets of Copley Health Systems, Inc. 610,480. Total to Form 990, Part XI, Line 5: 610,480.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Oversight of Audit</Identifier>
        <ReturnReference>Form 990, Part XII, Line 2c:</ReturnReference>
        <Explanation>The audit process has not changed from prior year.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Lamoille Area Housing Corporation Copley Terrace Project</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>528 Washington Highway</AddressLine1>
          <City>Morrisville</City>
          <State>VT</State>
          <ZIPCode>05661</ZIPCode>
        </AddressUS>
        <EIN>030270255</EIN>
        <PrimaryActivities>Subsidized Elderly Housing</PrimaryActivities>
        <LegalDomicileState>VT</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>Line 9</PublicCharityStatus>
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          <State>VT</State>
          <ZIPCode>05661</ZIPCode>
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        <EIN>030301457</EIN>
        <PrimaryActivities>Support of Copley Hospital</PrimaryActivities>
        <LegalDomicileState>VT</LegalDomicileState>
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        <AddressUS>
          <AddressLine1>528 Washington Highway</AddressLine1>
          <City>Morrisville</City>
          <State>VT</State>
          <ZIPCode>05661</ZIPCode>
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        <LegalDomicileState>VT</LegalDomicileState>
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      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
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      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
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        <MethodOfAmtDetermination>FMV</MethodOfAmtDetermination>
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