ELIZABETHTOWN COMMUNITY HOSPITAL: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- ELIZABETHTOWN COMMUNITY HOSPITAL (EIN 14-1364513)
- Tax period
- 2024-10-01 to 2025-09-30
- Filed
- 2026-08-13
- IRS object ID
- 202602259349301100
- Schema version
- 2024v5.5
- 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 J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-08-13T07:04:51-05:00 | ReturnTs |
| Tax Period End | 2025-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161226221 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FUSTCHARLES LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 S WARREN STREET | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141364513 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELIZABETHTOWN COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ELIZ | BusinessNameControlTxt |
| Phone | 5188736377 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 PARK STREET PO BOX 277 | AddressLine1Txt |
| City | ELIZABETHTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12932 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT ORTMYER | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 5188733002 | PhoneNum |
| Signature | 2026-08-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS J GIUFRE | PreparerPersonNm |
| PTIN | P00841958 | PTIN |
| Phone | 3154463600 | PhoneNum |
| Preparation | 2026-08-06 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROBERT ORTMYER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 PARK STREET PO BOX 277 | AddressLine1Txt |
| City | ELIZABETHTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12932 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $101,416,234 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | ECH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1926 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO PROMOTE WELLNESS IN THE COMMUNITIES WE SERVE BY PROVIDING QUALITY HEALTHCARE WITH SKILL, COMPASSION AND DIGNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 436 | TotalEmployeeCnt |
| Total Volunteers | 17 | TotalVolunteersCnt |
| Total Gross UBI | -$173,946 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $538,415 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,362,883 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $82,035,231 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $84,342,306 | CYProgramServiceRevenueAmt |
| PY Investment Income | $679,067 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,389,660 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,766,163 | PYOtherRevenueAmt |
| CY Other Revenue | -$131,011 | CYOtherRevenueAmt |
| PY Total Revenue | $86,018,876 | PYTotalRevenueAmt |
| CY Total Revenue | $93,963,838 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $36,084,924 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $48,591,871 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $90,576 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $30,381,811 | PYOtherExpensesAmt |
| CY Other Expenses | $27,781,451 | CYOtherExpensesAmt |
| PY Total Expenses | $66,466,735 | PYTotalExpensesAmt |
| CY Total Expenses | $76,373,322 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $19,552,141 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $17,590,516 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $108,442,995 | TotalAssetsBOYAmt |
| Total Assets EOY | $125,316,621 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $26,566,273 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $23,793,477 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $81,876,722 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $101,523,144 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF ECH IS TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITY AND TO PROVIDE QUALITY HEALTHCARE WITH SKILL, COMPASSION AND DIGNITY. IN CREATING OUR COMMUNITY BENEFITS PLAN WE KEEP THIS MISSION IN MIND, CONTINUALLY LOOKING FOR WAYS TO MEET COMMUNITY HEALTH NEEDS AND TO BE A GOOD NEIGHBOR. ECH IS DRIVEN BY PEOPLE WHO LIVE IN THE SERVICE AREA AND WHO WANT TO SEE THEIR FRIENDS AND NEIGHBORS GET THE CARE AND SERVICES THEY NEED. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $5,426,582 | ExpenseAmt |
| Revenue | $7,896,268 | RevenueAmt |
| Desc | INPATIENT: A 25-BED NURSING UNIT PROVIDING ACUTE AND SUB ACUTE CARE. SERVICES PROVIDED TO THOSE PATIENTS WHO REQUIRE SERVICES IN A HOSPITAL SETTING. THESE SERVICES INCLUDE NURSING UNITS FOR GENERAL MEDICAL AND SURGICAL ISSUES, ALONG WITH REHABILITATION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $46,243,693 | ExpenseAmt |
| Revenue | $67,289,611 | RevenueAmt |
| Desc | OUTPATIENT: SERVICES PROVIDED TO THOSE PATIENTS WHO REQUIRE CARE, ON A WALK-IN BASIS, EITHER IN THE HOSPITAL OR IN ONE OF THE CLINIC SETTINGS. THESE INCLUDE ROUTINE OFFICE VISITS, LABORATORY TESTS, RADIOLOGY EXAMS, OP REHABILITATION, CLINIC VISITS, AND EMERGENCY ROOM VISITS. ECH OPERATES THE ELIZABETHTOWN COMMUNITY HEALTH CENTER, THE HIGH PEAKES HEALTH CENTER, THE SMITH HOUSE HEALTH CENTER, THE AU SABLE FORKS HEALTH CENTER, THE WESTPORT HEALTH CENTER, AND THE COWN POINT HEALTH CENTER. WE ALSO OPERATE AN OUTPATIENT CHEMOTHERAPY PROGRAM. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,292,606 | ExpenseAmt |
| Revenue | $9,156,427 | RevenueAmt |
| Desc | PROFESSIONAL: SERVICES DELIVERED BY MEMBERS OF THE UNIVERSITY OF VERMONT HEALTH NETWORK MEDICAL GROUP, OUR EMPLOYED GROUP OF PHYSICIANS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $57,962,881 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 28 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 436 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCOTT COMEAU CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5188733136 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 PARK STREET PO BOX 277 | AddressLine1Txt |
| City | ELIZABETHTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12932 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BOB ORTMYER | ||||||||||
| PRESIDENT | 10.00 | 40.00 | Yes (X) | Yes (X) | $558,597 | $0 | $65,520 | |||
| SUSAN ALLOTT | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| STEVEN CACCHIO | ||||||||||
| CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| EVAN GEORGE | ||||||||||
| VICE CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH BOGARDUS PHD | ||||||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ALAN JONES | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHARLES WALTER LENDER | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| TERRI MORSE | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MEGAN MURPHY | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| LYNNE REALE | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| WILLIAM TANSEY | ||||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| DR ROB DEMURO | ||||||||||
| MED STAFF PRESIDENT | 1.00 | 44.00 | Yes (X) | Yes (X) | $0 | $452,188 | $49,932 | |||
| ROLAND ALLEN | ||||||||||
| TRUSTEE (TIL 10/2024) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| SCOTT COMEAU | ||||||||||
| CFO | 10.00 | 40.00 | Yes (X) | Yes (X) | $0 | $304,915 | $43,781 | |||
| DR RAMSEY HERRINGTON | ||||||||||
| MG PRESIDENT & CEO (AS OF 7/2025) | 1.00 | 49.00 | $0 | $703,586 | $73,632 | Yes (X) | ||||
| MATTHEW NOLAN | ||||||||||
| CHIEF OPERATING OFFICER | 45.00 | 0.00 | $286,705 | $0 | $15,429 | Yes (X) | ||||
| JULIE TROMBLEE | ||||||||||
| CHIEF NURSING OFFICER | 45.00 | 0.00 | $239,470 | $0 | $13,803 | Yes (X) | ||||
| DR JASON SANDERS | ||||||||||
| UVMMG PRESIDENT & CEO (TIL 3/2025) | 2.00 | 48.00 | $0 | $650,982 | $100,184 | Yes (X) | ||||
| AMY PUTNAM | ||||||||||
| VP MEDICAL GROUP NETWORK DEPARTMENTS | 2.00 | 48.00 | $0 | $326,449 | $57,023 | Yes (X) | ||||
| JAMES L'EPISCOPO | ||||||||||
| PHYSICIAN ASSISTANT | 45.00 | 0.00 | $194,048 | $0 | $19,861 | Yes (X) | ||||
| MICHELLE MEACHEM | ||||||||||
| DIRECTOR OF HUMAN RESOURCES | 45.00 | 0.00 | $185,205 | $0 | $10,525 | Yes (X) | ||||
| FRANK COOLIDGE | ||||||||||
| REGISTERED NURSE | 45.00 | 0.00 | $173,295 | $0 | $8,581 | Yes (X) | ||||
| GRANT MARTIN | ||||||||||
| INFORMATION TECHNOLOGY | 40.00 | 5.00 | $169,068 | $11,263 | $38,623 | Yes (X) | ||||
| JULIE ANDERSON | ||||||||||
| PHYSICIAN ASSISTANT | 45.00 | 0.00 | $157,357 | $0 | $11,065 | Yes (X) | ||||
| JOHN REMILLARD | ||||||||||
| FMR PRESIDENT, ECH | 0.00 | 35.00 | $0 | $196,500 | $6,060 | Yes (X) | ||||
| DR DAVID CLAUSS | ||||||||||
| FORMER MEDICAL DIRECTOR | 1.00 | 49.00 | $0 | $728,403 | $129,704 | Yes (X) | ||||
| IL CHON | ||||||||||
| FORMER CHIEF MEDICAL OFFICER | 45.00 | 0.00 | $0 | $617,115 | $57,037 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,963,745 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,991,401 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $700,760 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 61 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| E4H-ENVIRONMENTS FOR HEALTH ARCHITECTURE | |||||
| 185 TALCOTT ROAD | WILLISTON | VT | 05495 | ARCHITECTURAL SERVICES | $331,803 |
| MAZARS USA LLP | |||||
| 300 UNIVERSITY AVE SUITE 100 | SACRAMENTO | CA | 95825 | ACCOUNTING/CONSULTING SERVICES | $139,748 |
| AYA LOCUMS LLC | |||||
| 5930 CORNERSTONE COURT WEST SUITE | SAN DIEGO | CA | 92121 | MEDICAL STAFFING | $101,100 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $2,072 | FundraisingAmt |
| Government Grants | $6,298,585 | GovernmentGrantsAmt |
| All Other Contributions | $62,226 | AllOtherContributionsAmt |
| Noncash Contributions | $25,062 | NoncashContributionsAmt |
| Total Contributions | $6,362,883 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT CARE | 621900 | $79,920,953 | $79,920,953 |
| PHARMACY REVENUE | 456100 | $1,958,061 | $1,958,061 |
| PROGRAM INCENTIVES/PREMIUM REVENU | 621900 | $1,191,124 | $1,191,124 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,272,168 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,272,168 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $84,342,306 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,554,371 | TotalRevenueColumnAmt |
| Exclusion | $1,554,371 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $608,199 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $751,846 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$143,647 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$143,647 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$173,946 | UnrelatedBusinessRevenueAmt |
| Exclusion | $30,299 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,526,706 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,691,417 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,835,289 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,835,289 | TotalRevenueColumnAmt |
| Exclusion | $1,835,289 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $21,769 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $2,072 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $9,133 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,636 | TotalRevenueColumnAmt |
| Exclusion | $12,636 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $93,963,838 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $84,342,306 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$173,946 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,432,595 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,280,010 | TotalAmt |
| Management And General | $1,280,010 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,362,240 | TotalAmt |
| Program Services | $28,062,251 | ProgramServicesAmt |
| Management And General | $12,230,037 | ManagementAndGeneralAmt |
| Fundraising | $69,952 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,294,322 | TotalAmt |
| Program Services | $1,220,124 | ProgramServicesAmt |
| Management And General | $71,194 | ManagementAndGeneralAmt |
| Fundraising | $3,004 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,529,156 | TotalAmt |
| Program Services | $2,918,075 | ProgramServicesAmt |
| Management And General | $602,615 | ManagementAndGeneralAmt |
| Fundraising | $8,466 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,126,143 | TotalAmt |
| Program Services | $1,830,674 | ProgramServicesAmt |
| Management And General | $288,828 | ManagementAndGeneralAmt |
| Fundraising | $6,641 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194,658 | TotalAmt |
| Management And General | $194,658 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $170,359 | TotalAmt |
| Management And General | $170,359 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,811 | TotalAmt |
| Management And General | $10,811 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,938 | TotalAmt |
| Program Services | $46,938 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,562,086 | TotalAmt |
| Program Services | $5,881,247 | ProgramServicesAmt |
| Management And General | $680,834 | ManagementAndGeneralAmt |
| Fundraising | $5 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,635,981 | TotalAmt |
| Program Services | $1,251,162 | ProgramServicesAmt |
| Management And General | $383,072 | ManagementAndGeneralAmt |
| Fundraising | $1,747 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,478 | TotalAmt |
| Management And General | $7,478 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,037,949 | TotalAmt |
| Program Services | $422,259 | ProgramServicesAmt |
| Management And General | $615,690 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,883 | TotalAmt |
| Program Services | $163,768 | ProgramServicesAmt |
| Management And General | $62,373 | ManagementAndGeneralAmt |
| Fundraising | $742 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,073 | TotalAmt |
| Program Services | $84,073 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,177 | TotalAmt |
| Program Services | $87,761 | ProgramServicesAmt |
| Management And General | $70,416 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,213,822 | TotalAmt |
| Program Services | $2,547,711 | ProgramServicesAmt |
| Management And General | $666,111 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $562,345 | TotalAmt |
| Program Services | $687 | ProgramServicesAmt |
| Management And General | $561,658 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $7,955,013 | $7,951,641 | $3,372 | |
| BAD DEBT EXPENSE | $4,995,863 | $4,995,863 | ||
| PROVIDER TAX | $281,906 | $281,906 | ||
| BOOKS, DUES & SUBSCRIPT | $126,095 | $69,431 | $56,662 | $2 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $511,014 | TotalAmt |
| Program Services | $147,310 | ProgramServicesAmt |
| Management And General | $363,687 | ManagementAndGeneralAmt |
| Fundraising | $17 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,373,322 | TotalAmt |
| Program Services | $57,962,881 | ProgramServicesAmt |
| Management And General | $18,319,865 | ManagementAndGeneralAmt |
| Fundraising | $90,576 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,551,099 | BOYAmt |
| EOY | $8,069,587 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,557,788 | BOYAmt |
| EOY | $8,254,507 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $4,146,263 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,897,747 | BOYAmt |
| EOY | $10,041,582 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $957,434 | BOYAmt |
| EOY | $1,313,479 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,934,848 | BOYAmt |
| EOY | $2,011,554 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $69,378,663 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $35,438,561 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,358,632 | BOYAmt |
| EOY | $33,940,102 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,647,450 | BOYAmt |
| EOY | $56,919,322 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $537,997 | BOYAmt |
| EOY | $620,225 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,442,995 | BOYAmt |
| EOY | $125,316,621 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,563,051 | BOYAmt |
| EOY | $5,389,465 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,941 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,555,440 | BOYAmt |
| EOY | $10,689,460 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,416,841 | BOYAmt |
| EOY | $7,714,552 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,566,273 | BOYAmt |
| EOY | $23,793,477 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,702,775 | BOYAmt |
| EOY | $100,316,263 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,173,947 | BOYAmt |
| EOY | $1,206,881 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,876,722 | BOYAmt |
| EOY | $101,523,144 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,442,995 | BOYAmt |
| EOY | $125,316,621 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $17,590,516 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,960,857 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $95,049 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | 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) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $10,811 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $10,811 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE AMOUNT REFLECTED ON PART II-B, LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES PAID TO HEALTH CARE ASSOCIATION OF NYS (HANY), AMERICAN HOSPITAL ASSOCIATION (AHA), AND IROQUOIS HEALTHCARE ALLIANCE ATTRIBUTABLE TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,173,947 | BeginningYearBalanceAmt |
| Contributions | $324,074 | ContributionsAmt |
| Investment Earnings Or Losses | $50,968 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $339,468 | OtherExpendituresAmt |
| Administrative Expenses | $2,641 | AdministrativeExpensesAmt |
| End Year Balance | $1,206,880 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,180,437 | BeginningYearBalanceAmt |
| Contributions | $137,598 | ContributionsAmt |
| Investment Earnings Or Losses | $158,313 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $288,060 | OtherExpendituresAmt |
| Administrative Expenses | $14,341 | AdministrativeExpensesAmt |
| End Year Balance | $1,173,947 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,031,571 | BeginningYearBalanceAmt |
| Contributions | $280,840 | ContributionsAmt |
| Investment Earnings Or Losses | $70,093 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $202,067 | OtherExpendituresAmt |
| End Year Balance | $1,180,437 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,230,200 | BeginningYearBalanceAmt |
| Contributions | $600,318 | ContributionsAmt |
| Investment Earnings Or Losses | -$145,736 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $653,211 | OtherExpendituresAmt |
| End Year Balance | $1,031,571 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,658,795 | BeginningYearBalanceAmt |
| Contributions | $3,105,896 | ContributionsAmt |
| Investment Earnings Or Losses | $115,670 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,650,161 | OtherExpendituresAmt |
| End Year Balance | $1,230,200 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.29070 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.70930 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,279,731 | OtherCostOrOtherBasisAmt |
| Book Value | $1,279,731 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $43,091,125 | OtherCostOrOtherBasisAmt |
| Depreciation | $20,272,055 | DepreciationAmt |
| Book Value | $22,819,070 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,381,272 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,147,965 | DepreciationAmt |
| Book Value | $3,233,307 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,626,535 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,018,541 | DepreciationAmt |
| Book Value | $6,607,994 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $33,940,102 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $1,948,962 |
| THIRD PARTY PAYOR SETTLEMENTS | $5,464,404 |
| OPERATING LEASE LIABILITY | $301,186 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,714,552 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | CERTAIN BOARD-DESIGNATED FUNDS HAVE BEEN ESTABLISHED TO MEET SPECIFIC CURRENT AND FUTURE NEEDS OF THE HOSPITAL OR TO ADEQUATELY DISCHARGE FUTURE LIABILITES. THESE FUNDS INCLUDE THE PLANT AND CAPITAL IMPROVEMENT FUNDS, WHICH ARE DESIGNATED FOR SPECIFIC PROJECTS SUCH AS THE SURGICAL CENTER CONSTRUCTION, AND DESIGNATED FUNDS FOR BOTH SELF-INSURANCE AND FOR CVPH'S VARIOUS EMPLOYEE BENEFIT PLANS. TEMPORARILY RESTRICTED NET ASSETS ARE INTENDED FOR THE PURCHASE OF PROPERTY AND EQUIPMENT. PERMANENTLY RESTRICTED NET ASSETS ARE TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE TO SUPPORT HEALTH CARE SERVICES, INCLUDING MEDICAL SERVICES PROVIDED TO CHILDREN, AND PROVIDING FOR CHARITY CARE. |
| PART X, LINE 2: | ELIZABETHTOWN COMMUNITY HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE UNIVERSITY OF VERMONT HEALTH NETWORK. PAGE 17 OF THE CONSOLIDATED FINANCIAL STATEMENTS CONTAIN A FOOTNOTE INDICATING THAT NO PROVISION FOR FEDERAL INCOME TAXES HAS BEEN RECORDED, AND THAT NO UNCERTAIN TAX POSITIONS WERE TAKEN. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF | Event1Nm |
| Gross Receipts Event1 | $23,841 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $2,072 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $21,769 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $700 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $954 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $3,840 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $1,950 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $1,689 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $23,841 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $2,072 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $21,769 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $700 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $954 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $3,840 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $1,950 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $1,689 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $9,133 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $12,636 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $395,112 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $395,112 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00550 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,542,192 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,814,978 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,727,214 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08020 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $232,764 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $232,764 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,170,068 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,814,978 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,355,090 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08900 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $69,221 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $69,221 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $599,101 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $599,101 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00840 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,967,871 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,270,169 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,697,702 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09380 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $63,348 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $63,348 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,699,541 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,270,169 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,429,372 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10410 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,869,609 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,085,147 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,784,462 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.19310 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,046,025 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $164,201 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $21,825,775 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $21,673,597 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $152,178 | 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 (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | 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 | ELIZABETHTOWN COMMUNITY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 PARK STREET PO BOX 277 | AddressLine1Txt |
| City | ELIZABETHTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12932 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | 25 BEDS (ACUTE & SWING), 6 HEALTHCENTERS, CT, LAB, PHARM. PT. AMB SURG. | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELIZABETHTOWN COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE PART V, SECTION C | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 23 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | 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 (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ELIZABETHTOWN COMMUNITY HOSPITAL | PART V, SECTION B, LINE 5: EXECUTIVES FROM THE FOLLOWING INSTITUTIONS: ADIRONDACK HEALTH, ADIRONDACK MEDICAL CENTER, ADIRONDACK RURAL HEALTH NETWORK AND ESSEX COUNTY PUBLIC HEALTH. |
| ELIZABETHTOWN COMMUNITY HOSPITAL | PART V, SECTION B, LINE 6B: COUNTY HEALTH DEPARTMENT |
| ELIZABETHTOWN COMMUNITY HOSPITAL | PART V, SECTION B, LINE 7D: ESSEX COUNTY PUBLIC HEALTH |
| ELIZABETHTOWN COMMUNITY HOSPITAL | PART V, SECTION B, LINE 11: COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY:IN CALENDAR YEAR 2024 ECH TOOK GREAT STRIDES TOWARDS THE GOALS AND OBJECTIVES LAID OUT IN THERE MOST RECENT CHNA. IN OUR WORK TO REDUCE THE RISK OF CHRONIC DISEASE, WE HOSTED TWO ANNUAL FALL HEALTH SCREENING EVENTS OFFERING FREE A1C AND LIPID BLOOD DRAWS AS WELL AS A FREE EKG. WE ALSO HOSTED TWO FREE ANNUAL HEART HEALTH EVENTS IN FEBRUARY WITH 69 COMMUNITY MEMBERS. WE CONTINUE TO STRIVE TO TREAT THE WHOLE PERSON. FOOD INSECURITY IS A CHALLENGE THAT MANY IN OUR COMMUNITY FACE. WE CONNECTED WITH LOCAL SCHOOLS AND OTHER DISTRIBUTION CENTERS TO EDUCATE AND ADVERTISE ACCESS TO THE PANTY. WE ALSO DELIVERED FOOD TO ANY OF OUR LOCATIONS TO INCREASE ACCESS FOR THOSE WITH TRANSPORTATION CHALLENGES. IN CY 2024, 235 FAMILIES AND 571 INDIVIDUALS WERE SERVED BY THE FOOD PANTY OPERATING OUT OF THE CROWN POINT HEALTH CENTER, 8,522 POUNDS OF FOOD WAS GIVEN OUT. ADDITIONALLY, WE INCREASED ACCESS TO WOMEN'S HEALTH BY PARTNERING WITH PORTER MEDICAL CENTER TO OFFER OB/GYN CARE AT ITS TICONDEROGA HOSPITALS TWO DAYS A MONTH. WE CURRENTLY HAVE TWO MDS AND ONE NP WORKING AT THE TICONDEROGA OUTPATIENT CLINIC. FINALLY, TO INCREASE AWARENESS AND ACCESS TO CARE FOR THOSE SUFFERING WITH MENTAL HEALTH ISSUES WE OFFERED OUR SECOND ANNUAL MENTAL HEALTH FAIR IN PARTNERSHIP WITH KEY AGENCIES AND COMMUNITY PARTNERS. |
| ELIZABETHTOWN COMMUNITY HOSPITAL | PART V, SECTION B, LINE 13B: TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE FROM ELIZABETHTOWN COMMUNITY HOSPITAL, YOUR INCOME SHOULD BE AT OR BELOW THE YEARLY GUIDELINES BELOW. IF YOUR INCOME EXCEEDS THE GUIDELINES (400%) BUT YOU HAVE EXTENUATING CIRCUMSTANCES, AN APPLICATION MAY BE CONSIDERED WHEN SUBMITTED WITH A LETTER EXPLAINING YOUR EXTENUATING CIRCUMSTANCES. |
| PART V, LINE 7A, HOSPITAL FACILITY'S WEBSITE: | HTTPS://WWW.UVMHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT |
| PART V, LINE 7B, OTHER WEBSITES FOR CHNA REPORT: | HTTPS://ESSEXCOUNTYNY.GOV/HEALTH/WP-CONTENT/UPLOADS/ESSEX-COUNTY-NY-CHA-2022_CHIP-2022-2024.PDFHTTPS://WWW.ADIRONDACKHEALTH.ORG/ABOUT/ABOUT-US |
| PART V, LINE 10A, MOST RECENTLY ADOPTED IMPLEMENTATION STARTEGY'S WEBSITE: | HTTPS://WWW.UVMHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT |
| PART V, LINE 16A, FAP WEBSITE | HTTPS://WWW.UVMHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE |
| PART V, LINE 16B, FAP APPLICATION WEBSITE: | HTTPS://WWW.UVMHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE |
| PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: | HTTPS://WWW.UVMHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - ELIZABETHTOWN COMMUNITY HEALTH CENTER | ||||
| 66 PARK STREET | ELIZABETHTOWN | NY | 12932 | PRIMARY CARE HEALTH CENTER |
| 2 - HIGH PEAKS HEALTH CENTER | ||||
| 18 COMMUNITY CIRCLE | WILMINGTON | NY | 12997 | PRIMARY CARE HEALTH CENTER |
| 3 - SMITH HOUSE HEALTH CENTER | ||||
| 39 FARRELL ROAD | WILLSBORO | NY | 12996 | PRIMARY CARE HEALTH CENTER |
| 4 - WESTPORT HEALTH CENTER | ||||
| 6097 NYS ROUTE 9N | WESTPORT | NY | 12993 | PRIMARY CARE HEALTH CENTER |
| 5 - AU SABLE FORKS HEALTH CENTER | ||||
| 15 PLEASANT STREET | AU SABLE FORKS | NY | 12912 | PRIMARY CARE HEALTH CENTER |
| 6 - CROWN POINT HEALTH CENTER | ||||
| 2679 MAIN STREET | CROWN POINT | NY | 12928 | PRIMARY CARE HEALTH CENTER |
| 7 - ECH TICONDEROGA OUTPATIENT CAMPUS | ||||
| 101 ADIRONDACK DRIVE SUITE 1 | TICONDEROGA | NY | 12883 | MEDICAL FACILITY OP CAMPUS |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 4,995,863. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | THE HOSPITAL STAFF PARTICIPATES IN MANY LOCAL EVENTS THAT PROVIDE COMMUNITY MEMBERS THE OPPORTUNITY TO LEARN ABOUT THE HOSPITAL AND ABOUT IMPORTANT HEALTH SCREENINGS. IN ADDITION, THE HOSPITAL HOSTS EVENTS AND OFFERS TRAINING AND SUPPORT SERVICES TO OTHER HEALTH-ORIENTED ORGANIZATIONS. ECH PARTICIPATES IN THE FOLLOWING:(1) PROVIDES ADVANCED LIFE SUPPORT TRAINING FOR REGIONAL EMERGENCY MEDICAL TECHNICIANS. (2) PROVIDES MEDICAL DIRECTORSHIP TO SEVERAL LOCAL EMS AGENCIES, PROVIDES MONTHLY COURSES AND EDUCATION FOR CME CREDITS. (3) OFFERS FREE DIABETES HEALTH SCREENINGS AT COMMUNITY HEALTH EVENTS. (4) LENDS SPACE TO THE NORTH COUNTRY REGIONAL BLOOD DONOR CENTER FOR BLOOD DRIVES. (5) MEETING SPACE IS DONATED ON A MONTHLY BASIS TO EMS SQUADS. TECHNOLOGICAL CAPABILITIES ALLOW FOR DISTANCE TRAINING / EDUCATION. (6) WORKS WITH THE CANCER SCREENING PROGRAM TO PROVIDE INFORMATION ABOUT MAMMOGRAMS AND BONE DENSITY SCREENING AT THE ANNUAL BREAST CANCER AWARENESS EVENT. (7) HOSTS THE ESSEX COUNTY DIABETES SUPPORT GROUP MEETINGS IN THE HOSPITAL BOARDROOM. (8) EMPLOYEES FROM THROUGHOUT THE HOSPITAL USE HOSPITAL PAID TIME TO LEND THEIR EXPERTISE AND INCREASE THEIR INTERESTS IN SUCH AREAS AS THE ESSEX CO. HEALTHY LIVING PARTNERSHIP, BEHAVIOR HEALTH SERVICES NORTH, RETIRED SENIOR VOLUNTEER PROGRAM, TASK FORCE AGAINST DOMESTIC VIOLENCE, KIWANIS AND NORTH COUNTRY LIFE FLIGHT. (9) ECH'S CLINICAL STAFF COMPLETES ADDITIONAL TRAINING EACH YEAR (ACLS, PALS, BLS, VARIOUS RN / NURSING TRAINING PROGRAMS, CHEMOTHERAPY EDUCATION, PHYSICIAN EDUCATION, INFECTION CONTROL TRAINING, RADIOLOGY DEPARTMENT CONTINUING EDUCATION, LAB STAFF EDUCATION, ETC.) (10) MEETING SPACE FOR AA AND NA. (11) EACH YEAR, THE HOSPITAL ALSO HOSTS EVENTS THAT OFFER FREE HEALTH SCREENINGS TO LOCAL RESIDENTS. THE COMMUNITY HEALTH SCREENINGS ARE COORDINATED BY PUBLIC RELATIONS STAFF BUT ARE DEPENDENT UPON CLINICAL STAFF TO PERFORM EXAMS AND INTERPRET THE RESULTS. EACH EVENT IS STAFFED BY 5-8 CLINICAL STAFF MEMBERS FOR APPROXIMATELY 3-4 HOURS PER EVENT. (1) FALL HEALTH SCREENING (SEPTEMBER) IS A FREE, ANNUAL EVENT SPONSORED BY THE HOSPITAL. PARTICIPANTS RECEIVE A BASIC PHYSICAL / HEALTH SCREENING (EKG, BLOOD WORK, BLOOD PRESSURE, LAB TESTING, PHYSICIAN REVIEW AND REPORTING) AT NO COST. EVENT IS ARRANGED, COORDINATED AND PROMOTED BY ECH PUBLIC RELATIONS STAFF. IN 2025, THERE WERE 62 PARTICIPANTS AS THE EVENT REQUIRED APPOINTMENTS. (2) IN OCTOBER THE HOSPITAL HOSTS AN EVENT CO-SPONSORED BY THE CANCER SERVICES SCREENING PROGRAM OF ESSEX AND FRANKLIN COUNTIES. WOMEN WHO QUALIFIED (UN- OR UNDER-INSURED) WERE ABLE TO RECEIVE A CLINICAL BREAST EXAM AND MAMMOGRAM AT NO COST TO THEM, THROUGH THE CANCER SERVICES SCREENING PROGRAM OF ESSEX AND FRANKLIN COUNTIES. IN 2025, 10 FREE MAMMOGRAMS WERE COMPLETED DUE TO REQUIRED APPOINTMENTS. |
| PART III, LINE 4: | THE BAD DEBT INCLUDED ON LINE 2 IS DETERMINED AT COST. FINANCIAL STATEMENT FOOTNOTE FOR BAD DEBT EXPENSE:PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES PAST PAYMENT HISTORY AND IDENTIFIES TRENDS FOR EACH MAJOR PAYOR SOURCE OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH 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 AND 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, THE HOSPITAL ALSO ANALYZES AMOUNTS DUE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE BASED ON PAST EXPERIENCE, INCLUDING CONSIDERATION OF CURRENT BUSINESS AND ECONOMIC CONDITIONS. WHEN THE HOSPITAL ESTABLISHES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS THE HOSPITAL TAKES INTO CONSIDERATION THE FACT THAT MANY SELF-PAY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS 34.2% AND 28.9% OF THE RELATED PATIENT ACCOUNTS RECEIVABLE, NET OF CONTRACTUAL ALLOWANCES AT SEPTEMBER 30, 2025 AND 2024, RESPECTIVELY. |
| PART III, LINE 8: | USED MEDICARE ONLY TOTAL CHARGES FROM REVENUE REPORT FOR 2025 AND APPLIED THE RATIO OF COST TO CHARGES FROM THE 2024 COST REPORT DATA. |
| PART III, LINE 9B: | THE ELIZABETHTOWN COMMUNITY HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM OFFERS FREE OR REDUCED CARE TO OUR PATIENTS WHO ARE UNINSURED OR UNDERINSURED AND MEET THE INCOME ELIGIBILITY CRITERIA SET BY THE FOLLOWING GUIDELINES. THE FREE OR REDUCED CARE APPLIES ONLY TO THE SERVICES PROVIDED BY THE ELIZABETHTOWN COMMUNITY HOSPITAL, WESTPORT HEALTH CENTER, ELIZABETHTOWN COMMUNITY HEALTH CENTER, HIGH PEAKS HEALTH CENTER, AU SABLE FORKS HEALTH CENTER, SMITH HOUSE HEALTH CENTER, AND CROWN POINT HEALTH CENTER. |
| PART VI, LINE 2: | A NUMBER OF COMMUNITY PARTNERS ARE INVOLVED IN ASSESSING COMMUNITY HEALTH NEEDS WITHIN THE HOSPITAL'S SERVICE AREA. MEETINGS CONTINUED VIRTUALLY EACH QUARTER IN 2024-2025.IN ADDITION TO ITS ESTABLISHED RELATIONSHIPS WITH OTHER HOSPITALS, COMMUNITY ORGANIZATIONS AND HEALTHCARE-BASED ORGANIZATIONS (EMS, PUBLIC HEALTH, MENTAL HEALTH, ETC.), ELIZABETHTOWN COMMUNITY HOSPITAL HAS PARTNERED WITH TWO REGIONAL GROUPS TO ASSESS THE REGION'S COMMUNITY HEALTH NEEDS - THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS COMMITTEE, AND THE ADIRONDACK RURAL HEALTH NETWORK.MOBILIZING FOR ACTION THROUGH PLANNING & PARTNERSHIP (MAPP): AGENCY REPRESENTATIVES FROM CLINTON, ESSEX, AND FRANKLIN COUNTIES MEET TO APPLY COMMUNITY BASED APPROACHES TO LOCAL HEALTH ISSUES. THE MAPP GROUP HAS WORKED TO CULL INFORMATION THROUGH ASSESSMENTS OF THE LOCAL PUBLIC HEALTH SYSTEMS, A CDC LOCAL PUBLIC HEALTH INDICATOR SURVEY, A QUALITY OF LIFE SURVEY OF SENIORS AND PARENTS WITH CHILDREN, AND FOCUS GROUPS. THE MAPP GROUP SHARES UPDATED INFORMATION ON A CONTINUAL BASIS TO REASSESS PRIORITIES AND GAUGE PROGRAM SUCCESS.ADIRONDACK RURAL HEALTH NETWORK (ARHN): THE ADIRONDACK RURAL HEALTH NETWORK IS A PARTNERSHIP OF PUBLIC, PRIVATE AND NON-PROFIT ORGANIZATIONS IN UPSTATE NEW YORK. ARHN MEMBERS COLLABORATE TO DEVELOP STRATEGIES ALONG WITH IMPLEMENTING, MONITORING AND EVALUATING VARIOUS INITIATIVES. THIS GROUP CONTINUES TO MEET ON A (ROUGHLY) QUARTERLY BASIS IN ORDER TO SHARE INFORMATION, STATISTICS, SUCCESSES, CHALLENGES AND OUTCOMES. ELIZABETHTOWN COMMUNITY HOSPITAL (ECH): IN ADDITION TO PARTNERSHIPS WITH THE ARHN AND THE MAPP PROCESSES, ECH INDEPENDENTLY SEEKS THE VIEWS OF COMMUNITY MEMBERS TO GAIN THEIR THOUGHTS REGARDING HEALTH CARE IN THEIR COMMUNITY AND GAIN FEEDBACK REGARDING ECH SERVICES. THROUGHOUT 2024-2025 MANY DIFFERENT METHODS WERE USED TO COMMUNICATE WITH AREA RESIDENTS. EACH YEAR THE HOSPITAL ADMINISTRATOR ATTENDS TOWN BOARD MEETINGS THROUGHOUT ESSEX COUNTY IN AN EFFORT TO UPDATE TOWN LEADERS AND COMMUNITY MEMBERS ABOUT THE HOSPITAL, ITS PLANS FOR THE FUTURE; AND TO ADDRESS ANY QUESTIONS. ANNUALLY, THE ADMINISTRATOR MEETS WITH EMS AND FIRE DEPARTMENTS WITHIN THE HOSPITAL SERVICE AREA TO ENCOURAGE OPEN COMMUNICATION AND FOSTER A GOOD WORKING RELATIONSHIP. THE ECH BOARD OF DIRECTORS IS COMPOSED OF 14 REPRESENTATIVES OF EITHER A SPECIFIC COMMUNITY AND/OR ORGANIZATION, INCLUDING THE ESSEX COUNTY OFFICE FOR THE AGING, TOWN OF ELIZABETHTOWN SUPERVISORS OFFICE, AND ESSEX COUNTY MENTAL HEALTH. A PLANNING COMMITTEE, COMPRISED OF BOARD MEMBERS, IDENTIFIES GAPS IN SERVICE AND DEVELOPS GOALS TO FILL THESE NEEDS. PATIENT SATISFACTION SURVEYS ARE CONDUCTED FOR EACH DEPARTMENT ON A CONTINUAL BASIS. |
| PART VI, LINE 4: | ELIZABETHTOWN COMMUNITY HOSPITAL'S PRIMARY SERVICE AREA HAS REMAINED UNCHANGED FOR 2025 PLANNING PURPOSES. IT IS COMPOSED OF TWENTY-TWO ZIP CODES IN NORTHEASTERN ESSEX COUNTY. THE HOSPITAL IS LOCATED 45-60 MINUTES AWAY FROM ANY OTHER HOSPITAL; THROUGH A MOUNTAINOUS REGION AND MOSTLY ALONG A SERIES OF SECONDARY ROADS.BASED ON U.S. CENSUS FOR 2020, 37,381 PEOPLE LIVE WITHIN ESSEX COUNTY OF WHICH 51.8% ARE MALE AND 48.2% ARE FEMALE. PEOPLE OVER THE AGE OF 65 CONSTITUTE 25% OF THE POPULATION AND INDIVIDUALS UNDER THE AGE OF 25 MAKE UP 21% OF THE POPULATION.ETHNICALLY, 92.0% OF THE POPULATION IS WHITE, NON-HISPANIC. |
| PART VI, LINE 5: | THE HOSPITAL STAFF PARTICIPATES IN MANY LOCAL EVENTS THAT PROVIDE COMMUNITY MEMBERS THE OPPORTUNITY TO LEARN ABOUT THE HOSPITAL AND ABOUT IMPORTANT HEALTH SCREENINGS. IN ADDITION, THE HOSPITAL HOSTS EVENTS AND OFFERS TRAINING AND SUPPORT SERVICES TO OTHER HEALTH-ORIENTED ORGANIZATIONS. ECH PARTICIPATES IN THE FOLLOWING:(1) PROVIDES ADVANCED LIFE SUPPORT TRAINING FOR REGIONAL EMERGENCY MEDICAL TECHNICIANS. (2) PROVIDES MEDICAL DIRECTORSHIP TO SEVERAL LOCAL EMS AGENCIES, PROVIDES MONTHLY COURSES AND EDUCATION FOR CME CREDITS. (3) OFFERS FREE DIABETES HEALTH SCREENINGS AT COMMUNITY HEALTH EVENTS. (4) LENDS SPACE TO THE NORTH COUNTRY REGIONAL BLOOD DONOR CENTER FOR BLOOD DRIVES. (5) MEETING SPACE IS DONATED ON A MONTHLY BASIS TO EMS SQUADS. TECHNOLOGICAL CAPABILITIES ALLOW FOR DISTANCE TRAINING / EDUCATION. (6) WORKS WITH THE CANCER SCREENING PROGRAM TO PROVIDE INFORMATION ABOUT MAMMOGRAMS AND BONE DENSITY SCREENING AT THE ANNUAL BREAST CANCER AWARENESS EVENT. (7) HOSTS THE ESSEX COUNTY DIABETES SUPPORT GROUP MEETINGS IN THE HOSPITAL BOARDROOM. (8) EMPLOYEES FROM THROUGHOUT THE HOSPITAL USE HOSPITAL PAID TIME TO LEND THEIR EXPERTISE AND INCREASE THEIR INTERESTS IN SUCH AREAS AS THE ESSEX CO. HEALTHY LIVING PARTNERSHIP, BEHAVIOR HEALTH SERVICES NORTH, RETIRED SENIOR VOLUNTEER PROGRAM, TASK FORCE AGAINST DOMESTIC VIOLENCE, KIWANIS AND NORTH COUNTRY LIFE FLIGHT. (9) ECH'S CLINICAL STAFF COMPLETES ADDITIONAL TRAINING EACH YEAR (ACLS, PALS, BLS, VARIOUS RN / NURSING TRAINING PROGRAMS, CHEMOTHERAPY EDUCATION, PHYSICIAN EDUCATION, INFECTION CONTROL TRAINING, RADIOLOGY DEPARTMENT CONTINUING EDUCATION, LAB STAFF EDUCATION, ETC.) (10) MEETING SPACE FOR AA AND NA. (11) THE COMMUNITY HEALTH FAIR HELD ALLOWED FOR COMMUNITY MEMBERS TO LEARN ABOUT AVAILABLE RESOURCES PERTAINING TO HEALTH AND WELLNESS. ELIZABETHTOWN COMMUNITY HOSPITAL WAS ABLE TO EDUCATE 125 PARTICIPANTS ABOUT THE SERVICES OFFERED AT THE HOSPITAL AND SIX PRIMARY CARE SITES. THE 2024 COMMUNITY HEALTH FAIR WAS CO-SPONSORED BY ADIRONDACK HEALTH INSTITUTE, FIDELIS, AND THE HOSPITAL'S AUXILIARY. CLINICAL STAFF WAS ON SITE CONDUCTING BLOOD PRESSURE SCREENS, ISS TEAM MEMBERS WERE AVAILABLE FOR PEOPLE WANTING TO ENROLL IN THE PATIENT PORTAL. HEALTHY REFRESHMENTS WERE PROVIDED AND NUTRITION EDUCATION WAS AVAILABLE WITH A DIABETIC EDUCATOR. EACH YEAR, THE HOSPITAL ALSO HOSTS EVENTS THAT OFFER FREE HEALTH SCREENINGS TO LOCAL RESIDENTS. THE COMMUNITY HEALTH SCREENINGS ARE COORDINATED BY PUBLIC RELATIONS STAFF BUT ARE DEPENDENT UPON CLINICAL STAFF TO PERFORM EXAMS AND INTERPRET THE RESULTS. EACH EVENT IS STAFFED BY 5-8 CLINICAL STAFF MEMBERS FOR APPROXIMATELY 3-4 HOURS PER EVENT. (1) FALL HEALTH SCREENING (SEPTEMBER) IS A FREE, ANNUAL EVENT SPONSORED BY THE HOSPITAL. PARTICIPANTS RECEIVE A BASIC PHYSICAL / HEALTH SCREENING (EKG, BLOOD WORK, BLOOD PRESSURE, LAB TESTING, PHYSICIAN REVIEW AND REPORTING) AT NO COST. EVENT IS ARRANGED, COORDINATED AND PROMOTED BY ECH PUBLIC RELATIONS STAFF. IN 2025, THERE WERE 62 PARTICIPANTS. (2) IN OCTOBER THE HOSPITAL HOSTS AN EVENT CO-SPONSORED BY THE CANCER SERVICES SCREENING PROGRAM OF ESSEX AND FRANKLIN COUNTIES AND THE HOSPITAL'S AUXILIARY. THE EVENING FEATURES A SPEAKER, ALONG WITH THE OPPORTUNITY TO TAKE PART IN A FREE HEALTH SCREENING. WOMEN WHO QUALIFIED (UN- OR UNDER-INSURED) WERE ABLE TO RECEIVE A CLINICAL BREAST EXAM AND MAMMOGRAM AT NO COST TO THEM, THROUGH THE CANCER SERVICES SCREENING PROGRAM OF ESSEX AND FRANKLIN COUNTIES. IN 2025 THERE WERE 10 PARTICIPANTS. |
| PART VI, LINE 6: | THE UNIVERSITY OF VERMONT HEALTH NETWORK, A NOT-FOR-PROFIT CORPORATION, IS THE SOLE MEMBER OF THE HOSPITAL, ELIZABETHTOWN COMMUNITY HOSPITAL, LOCATED IN ELIZABETHTOWN, NEW YORK. ADDITIONAL AFFILIATES INCLUDE CHAMPLAIN VALLEY PHYSICIANS HOSPITAL, ALICE HYDE MEDICAL CENTER, CENTRAL VERMONT MEDICAL CENTER, PORTER MEDICAL CENTER AND HOME HEALTH AND HOSPICE. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | NY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal Services | Yes (X) | PersonalServicesInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | 0 | SubstantiationRequiredInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | Yes (1) | InitialContractExceptionInd |
| Rebuttable Presumption Proc | Yes (1) | RebuttablePresumptionProcInd |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR DAVID CLAUSS | ||||||||||||||
| FORMER MEDICAL DIRECTOR | $0 | $519,360 | $0 | $175,087 | $0 | $33,956 | $0 | $94,194 | $0 | $35,510 | $0 | $858,107 | $0 | $16,920 |
| DR RAMSEY HERRINGTON | ||||||||||||||
| MG PRESIDENT & CEO (AS OF 7/2025) | $0 | $461,293 | $0 | $174,675 | $0 | $67,618 | $0 | $31,050 | $0 | $42,582 | $0 | $777,218 | $0 | $0 |
| DR JASON SANDERS | ||||||||||||||
| UVMMG PRESIDENT & CEO (TIL 3/2025) | $0 | $426,547 | $0 | $214,352 | $0 | $10,083 | $0 | $61,575 | $0 | $38,609 | $0 | $751,166 | $0 | $0 |
| IL CHON | ||||||||||||||
| FORMER CHIEF MEDICAL OFFICER | $0 | $409,174 | $0 | $51,765 | $0 | $156,176 | $0 | $20,700 | $0 | $36,337 | $0 | $674,152 | $0 | $0 |
| BOB ORTMYER | ||||||||||||||
| PRESIDENT | $389,179 | $0 | $116,095 | $0 | $53,323 | $0 | $49,798 | $0 | $15,722 | $0 | $624,117 | $0 | $8,627 | $0 |
| DR ROB DEMURO | ||||||||||||||
| MED STAFF PRESIDENT | $0 | $320,643 | $0 | $17,536 | $0 | $114,009 | $0 | $20,700 | $0 | $29,232 | $0 | $502,120 | $0 | $0 |
| AMY PUTNAM | ||||||||||||||
| VP MEDICAL GROUP NETWORK DEPARTMENTS | $0 | $247,923 | $0 | $49,912 | $0 | $28,614 | $0 | $19,634 | $0 | $37,389 | $0 | $383,472 | $0 | $0 |
| SCOTT COMEAU | ||||||||||||||
| CFO | $0 | $261,093 | $0 | $41,293 | $0 | $2,529 | $0 | $12,432 | $0 | $31,349 | $0 | $348,696 | $0 | $0 |
| MATTHEW NOLAN | ||||||||||||||
| CHIEF OPERATING OFFICER | $224,247 | $0 | $39,239 | $0 | $23,219 | $0 | $12,893 | $0 | $2,536 | $0 | $302,134 | $0 | $0 | $0 |
| JULIE TROMBLEE | ||||||||||||||
| CHIEF NURSING OFFICER | $200,928 | $0 | $36,061 | $0 | $2,481 | $0 | $10,779 | $0 | $3,024 | $0 | $253,273 | $0 | $0 | $0 |
| GRANT MARTIN | ||||||||||||||
| INFORMATION TECHNOLOGY | $168,759 | $11,263 | $0 | $0 | $309 | $0 | $7,982 | $826 | $27,403 | $2,412 | $204,453 | $14,501 | $0 | $0 |
| JAMES L'EPISCOPO | ||||||||||||||
| PHYSICIAN ASSISTANT | $186,707 | $0 | $1,306 | $0 | $6,035 | $0 | $8,548 | $0 | $11,313 | $0 | $213,909 | $0 | $0 | $0 |
| JOHN REMILLARD | ||||||||||||||
| FMR PRESIDENT, ECH | $0 | $196,500 | $0 | $0 | $0 | $0 | $0 | $5,985 | $0 | $75 | $0 | $202,560 | $0 | $0 |
| MICHELLE MEACHEM | ||||||||||||||
| DIRECTOR OF HUMAN RESOURCES | $165,505 | $0 | $15,467 | $0 | $4,233 | $0 | $8,221 | $0 | $2,304 | $0 | $195,730 | $0 | $0 | $0 |
| FRANK COOLIDGE | ||||||||||||||
| REGISTERED NURSE | $164,914 | $0 | $1,225 | $0 | $7,156 | $0 | $7,760 | $0 | $821 | $0 | $181,876 | $0 | $0 | $0 |
| JULIE ANDERSON | ||||||||||||||
| PHYSICIAN ASSISTANT | $153,528 | $0 | $1,306 | $0 | $2,523 | $0 | $7,126 | $0 | $3,939 | $0 | $168,422 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1B | (1A) PERSONAL SERVICE COMPENSATION CERTAIN ELIZABETHTOWN COMMUNITY HOSPITAL OFFICERS, TRUSTEES, KEY EMPLOYEES, AND HIGHLY COMPENSATED EMPLOYEES RECEIVED COMPENSATION OF $1,400 TO COVER TAX PREPARATION AND FINANCIAL ADVISORY SERVICES. WHILE THERE IS NO ORGANIZATION-WIDE WRITTEN POLICY REGARDING SUCH PAYMENTS, THE AMOUNT IS INCLUDED IN EACH INDIVIDUAL'S EMPLOYMENT CONTRACT, WHICH IS SUBJECT TO ANNUAL REVIEW (AS DISCUSSED IN SCHEDULE O). PERSONAL SERVICE COMPENSATION IS INCLUDED IN EACH INDIVIDUAL'S FORM W-2 AS TAXABLE INCOME. NO REIMBURSEMENT IS MADE UNDER AN ACCOUNTABLE PLAN AND THE COMPENSATION IS OFFERED ON A TAXABLE BASIS. THEREFORE, SUBSTANTIATION OF EXPENSE IS NOT REQUIRED. |
| PART I, LINE 3 | ELIZABETHTOWN COMMUNITY HOSPITAL RELIED ON THE UNIVERSITY OF VERMONT HEALTH NETWORK ("UVM HEALTH NETWORK"), THE PARENT ORGANIZATION, TO ESTABLISH SENIOR EXECUTIVE COMPENSATION. UVM HEALTH NETWORK UTILIZED THE FOLLOWING METHODS TO ESTABLISH COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| PART I, LINE 4B | THE UNIVERSITY OF VERMONT HEALTH NETWORK, BY AND THROUGH ITS AFFILIATED SUBSIDIARIES, MAINTAINS A SUPPLEMENTAL RETIREMENT BENEFIT PLAN (SRP) UNDER CONTRACTUAL ARRANGEMENTS WITH SEVERAL PERSONS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A. PURSUANT TO THE TERMS OF THE SRP, ANNUAL CREDITS WERE MADE EQUAL TO A FIXED PERCENTAGE OF BASE SALARY. THE FOLLOWING PERSONS PARTICIPATED IN THE SRP IN CALENDAR YEAR 2024, AND THEIR RESPECTIVE FIXED PERCENTAGE IS DESIGNATED IN PARENTHESES: DR. JASON SANDERS (8.68%); BOB ORTMYER (6.42%); AND DR. DAVID CLAUSS (10.04%). DEFERRED AMOUNTS VEST ON THE EARLIER OF: (I) JANUARY 1 OF THE THIRD PLAN YEAR AFTER THE PLAN YEAR FOR WHICH THE ACCOUNT WAS CREATED; OR (II) THE PARTICIPANT'S 65TH BIRTHDAY. SRP DISTRIBUTIONS ARE REFLECTED IN SCH J, PART II, COL (B)(III) AND (F). FOR THE PLANS NOTED ABOVE, AMOUNTS DEFERRED DURING CALENDAR YEAR 2024 ARE INCLUDED ON SCH J, PART II, COL C. AMOUNTS DEFERRED REMAIN SUBJECT TO FOREITURE IF CERTAIN CONDITIONS ARE NOT MET. |
| PART I, LINE 7 | ELIZABETHTOWN COMMUNITY HOSPITAL PAID AWARDS TO CERTAIN MEMBERS OF UPPER MANAGEMENT (DIRECTORS, VICE PRESIDENTS, PHYSICIAN CHAIRS AND SENIOR EXECUTIVES) THROUGH ITS ANNUAL VARIABLE PAY PLAN AS THE PLAN'S PERFORMANCE MEASURES WERE MET. THE MEASURES WERE REVIWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THESE MEASURES INCLUDED FINANCIAL, POPULATION HEALTH & QUALITY, AND OPERATIONAL RELATED METRICS. |
| PART I, LINE 8 | SALARIES AND OTHER FIXED AMOUNTS PAYABLE TO EXECUTIVES SUCH AS OFFICERS AND CERTAIN KEY EMPLOYEES ARE SET BY CONTRACTS THAT ARE NEGOTIATED AND ENTERED INTO PRIOR TO THE COMMENCEMENT OF EACH EXECUTIVES' EMPLOYMENT. THE TERMS OF SUCH CONTRACTS ARE APPROVED IN ADVANCE BY THE APPROPRIATE COMPENSATION COMMITTEE OR OTHER BOARD-AUTHORIZED BODY, WHICH OBTAINS AND RELIES ON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING SUCH OFFER, AND CONCURRENTLY DOCUMENTS ITS BASIS FOR DETERMINATION. |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 57 | ContributionCnt |
| Noncash Contributions Rpt F990 | $24,863 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | BRASS BELL | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $200 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE AMOUNTS LISTED IN PART I, COLUMN (B) IS THE NUMBER OF ITEMS/STOCKS DONATED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | DR. ROB DEMURO AND DR. RAMSEY HERRINGTON EMPLOYED BY THE UNIVERSITY OF VERMONT HEALTH NETWORK MEDICAL GROUP, INC A RELATED ORGANIZATION WHERE DR. RAMSEY HERRINGTON AND DR. JASON SANDERS ALSO SERVED AS A TRUSTEE, DIRECTOR, OR OFFICER. SCOTT COMEAU WAS EMPLOYED BY PORTER MEDICAL CENTER WHERE SCOTT COMEAU AND BOB ORTMYER SERVED AS A TRUSTEE, DIRECTOR, OR OFFICER. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE UNIVERSITY OF VERMONT HEALTH NETWORK (UVMHN) IS THE SOLE MEMBER OF ELIZABETHTOWN COMMUNITY HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7A | UVM HEALTH NETWORK HAS POWERS TO ELECT ELIZABETHTOWN COMMUNITY HOSPITAL'S BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION A, LINE 7B | UVM HEALTH NETWORK HAS THE POWER TO APPROVE SIGNIFICANT CORPORATE ACTIONS, INCLUDING ANNUAL OPERATING AND CAPITAL BUDGETS, STRATEGIC PLANS, THE APPOINTMENT OF THE CEO, THE INCURRENCE OF LONG-TERM INDEBTEDNESS, AMENDMENTS TO ELIZABETHTOWN COMMUNITY HOSPITAL'S BYLAWS AND ARTICLES OF THE ORGANIZATION, AND APPROVAL OF MAJOR FINANCIAL DECISIONS INCLUDING MERGERS, BANKRUPTCIES, AND THE DEVELOPMENT OR TERMINATION OF PROGRAM SERVICES. UVM HEALTH NETWORK IS A NON-PROFIT CORPORATION WHICH HAS BEEN RECOGNIZED BY THE IRS AS A 501(C)(3) ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 WILL BE PROVIDED TO THE BOARD PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH THE UVM HEALTH NETWORK'S CONFLICT OF INTEREST POLICY, WHICH IT HAS ADOPTED. IN ACCORDANCE WITH THE POLICY, TRUSTEES, OFFICERS, KEY EMPLOYEES AND PHYSICIANS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE AND CERTIFICATION UPON HIRING, AT LEAST ANNUALLY, PRIOR TO PARTICIPATING IN ANY DECISION THAT MAY BE AFFECTED BY A PERSONAL INTEREST, AND WHENEVER A POTENTIALLY CONFLICTING INTEREST FIRST ARISES. CONFLICT OF INTEREST DISCLOSURES AND CERTIFICATIONS MAY BE MADE ONLINE OR IN WRITING AND ARE REGULARLY REVIEWED BY THE GENERAL COUNSEL. THE CONFLICT OF INTEREST POLICY IS ENFORCED BY THE OFFICE OF GENERAL COUNSEL AND OVERSEEN BY A FIVE-PERSON CONFLICT OF INTEREST COMMITTEE. THE GENERAL COUNSEL REPORTS AT LEAST QUARTERLY ON CONFLICT OF INTEREST ISSUES TO THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES. CONFLICTS OF INTEREST ARE MANAGED IN ACCORDANCE WITH THE POLICY, WHICH PROVIDES FOR A VARIETY OF REMEDIES TO ADDRESS CONFLICTS OF INTEREST. IN ADDITION, "DISQUALIFIED PERSONS", CONSISTING OF TRUSTEES, OFFICERS AND KEY EMPLOYEES ARE SUBJECT TO SPECIAL PROCEDURES TO COMPLY WITH THE INTERMEDIATE SANCTION RULES, AS OUTLINED IN THE CONFLICT OF INTEREST POLICY. REMEDIES TO ADDRESS CONFLICTS OF INTEREST MAY INCLUDE THE FOLLOWING: RECUSAL FROM DECISION MAKING, DISCLOSURE TO APPROPRIATE PARTIES, COMMITTEE PARTICIPATION LIMITS AND REQUESTED DIVESTITURE. AN APPEALS PROCESS EXISTS SHOULD THE INDIVIDUAL REQUEST A SECONDARY REVIEW BE PERFORMED. |
| FORM 990, PART VI, SECTION B, LINE 15 | ELIZABETHTOWN COMMUNITY HOSPITAL DELEGATES THE SETTING OF EXECUTIVE COMPENSATION TO THE UVM HEALTH NETWORK COMPENSATION COMMITTEE, AN INDEPENDENT COMMITTEE, UNDER PRINCIPLES DESCRIBED IN ITS CHARTER. THE HEALTH NETWORK HAS ADOPTED A COMPENSATION PHILOSOPHY WHICH PROVIDES A FRAMEWORK FOR SETTING COMPENSATION FOR THE EXECUTIVES OF UVM HEALTH NETWORK, ITS AFFILIATED HOSPITALS, AND ITS MEDICAL GROUP. THE PARAMETERS OF THIS PHILOSOPHY INCLUDE UTILIZING APPROPRIATE NATIONAL AND REGIONAL PEER GROUPS. SALARIES ARE TARGETED AT THE 50TH PERCENTILE OF THE NATIONAL PEER GROUP, WITH PERFORMANCE BASED VARIABLE PAY OPPORTUNITIES TO ACHIEVE UP TO THE 65TH PERCENTILE, DEPENDING ON ORGANIZATION AND INDIVIDUAL RESULTS. COMPENSATION LEVELS ARE APPROVED BY THE NETWORK COMPENSATION COMMITTEE FOR THE UVM HEALTH NETWORK/DIRECT REPORTS AND THE AFFILIATE HOSPITAL CEOS. CALCULATIONS ARE PERFORMED USING THE SAME PHILOSPHY FOR THE THIRD TIER OF LEADERSHIP. ALL ACTIONS TAKEN REGARDING EXECUTIVE COMPENSATION ARE CONTEMPORANEOUSLY DOCUMENTED BY THE APPROPRIATE ORGANIZATION. THIS REVIEW IS PERFORMED ANNUALLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THESE DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. |
| FORM 990, PART XI, LINE 9: | TRANSFER OF NET ASSETS 95,049. |
| FORM 990, PART XII, LINE 2C | THE FINANCE COMMITTEE (BOARD OF DIRECTORS) ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT, AND SELECTION OF AN INDEPENDENT ACCOUNTANT. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (20 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 | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| UVM HEALTH NETWORK MEDICAL GROUP INC | |||||||||||
| 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 030225105 | PHYSICIAN SERVICES | VT | 501(C)(3) | LINE 12B, II | UVMHN | Yes (1) | |
| UNIV OF VT MED CTR FOUNDATION INC | |||||||||||
| 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 263159849 | FUNDRAISING | VT | 501(C)(3) | LINE 12B, II | UVMMC | Yes (1) | |
| UNIV OF VT MED CTR AUXILLIARY INC | |||||||||||
| 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 208022004 | SERVICE | VT | 501(C)(3) | LINE 12D, III-O | 0 | N/A | |
| UNIV OF VT HEALTH NETWORK | |||||||||||
| 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 452880726 | HOLDING COMPANY | VT | 501(C)(3) | LINE 12B, II | 0 | N/A | |
| CENTRAL VT MEDICAL CENTER | |||||||||||
| 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 222547186 | HOSPITAL | VT | 501(C)(3) | LINE 3 | UVMHN | Yes (1) | |
| UNIVERSITY HEALTH CENTER | |||||||||||
| 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 030229931 | HOSPITAL | VT | 501(C)(3) | LINE 12A, I | UVMMC | Yes (1) | |
| COMMUNITY PROVIDERS INC | |||||||||||
| 75 BEEKMAN STREET | PLATTSBURGH | NY | 12901 | 222544844 | HLTH SVC COORD | NY | 501(C)(3) | LINE 12B, II | UVMHN | Yes (1) | |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL | |||||||||||
| 75 BEEKMAN STREET | PLATTSBURGH | NY | 12901 | 141338471 | HOSPITAL | NY | 501(C)(3) | LINE 3 | UVMHN | Yes (1) | |
| EMERGENCY MEDICAL TRANSPORT OF CVPH INC | |||||||||||
| 75 BEEKMAN STREET | PLATTSBURGH | NY | 12901 | 061718419 | AMBULANCE SVC | NY | 501(C)(3) | LINE 12C, III-FI | CPI | Yes (1) | |
| CVPH MEDICAL CENTER FOUNDATION | |||||||||||
| 75 BEEKMAN STREET | PLATTSBURGH | NY | 12901 | 141727048 | HLTH SVC COORD | NY | 501(C)(3) | LINE 12C, III-FI | CVPH | Yes (1) | |
| UNIVERSITY MEDICAL EDUCATION ASSOCIATES | |||||||||||
| 89 BEAUMONT AVENUE | BURLINGTON | VT | 05401 | 237107832 | EDUCATIONAL | VT | 501(C)(3) | LINE 11 | UVMHNMG | Yes (1) | |
| ALICE HYDE MEDICAL CENTER | |||||||||||
| 133 PARK STREET | MALONE | NY | 12953 | 150346515 | HOSPITAL | NY | 501(C)(3) | LINE 3 | UVMHN | Yes (1) | |
| PORTER MEDICAL CENTER INC | |||||||||||
| 115 PORTER DRIVE | MIDDLEBURY | VT | 05753 | 030310862 | SUPPTG ORG | VT | 501(C)(3) | LINE 12C, III-FI | UVMHN | Yes (1) | |
| HELEN PORTER NURSING HOME | |||||||||||
| 37 PORTER DRIVE | MIDDLEBURY | VT | 05753 | 030306549 | NURSING HOME | VT | 501(C)(3) | LINE 3 | PMC | Yes (1) | |
| AUXILIARY OF PORTER MEDICAL CENTER | |||||||||||
| 37 PORTER DRIVE | MIDDLEBURY | VT | 05753 | 237363227 | SUPPTG ORG | VT | 501(C)(3) | LINE 12C, III-FI | PMC | Yes (1) | |
| PORTER HOSPITAL INC | |||||||||||
| 37 PORTER DRIVE | MIDDLEBURY | VT | 05753 | 030181058 | HOSPITAL | VT | 501(C)(3) | LINE 3 | PMC | Yes (1) | |
| THE UNIVERSITY OF VERMONT MEDICAL CENTER INC | |||||||||||
| 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 030219309 | HOSPITAL | VT | 501(C)(3) | LINE 3 | Yes (1) | N/A | |
| UVMHN HOME HEALTH AND HOSPICE | |||||||||||
| 1110 PRIM ROAD | COLCHESTER | VT | 05446 | 030179603 | HOME HEALTH CARE | VT | 501(C)(3) | LINE 10 | UVMHN | Yes (1) | |
| LAKE CHAMPLAIN PHYSICIAN SERVICES | |||||||||||
| 75 BEEKMAN STREET | PLATTSBURGH | NY | 12901 | 273785445 | PHYSICIAN SERVICES | NY | 501(C)(3) | LINE 12A, I | CVPH | Yes (1) | |
| VMC INDEMNITY COMPANY INC | |||||||||||
| 95 ST PAUL ST | BURLINGTON | VT | 05401 | 831102018 | INSURANCE | VT | 501(C)(3) | LINE 12A, I | UVMHN | Yes (1) | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|
| UVMHN VENTURES INC | ||||||||||
| 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 043380045 | HOLDING COMPANY | VT | UVMHN | C | 0 | |
| UNIV OF VT MED HEALTH NETWORK CREDENTIALING & ENROLLMENT | ||||||||||
| 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 030333056 | ADMIN SVC | VT | UVMHN VENTURES | C | 0 | |
| CHARITABLE REMAINDER TRUST (6) | ||||||||||
| SUPPORT | VT | UVMMCCVMC | T | 0 | ||||||
| PERPETUAL TRUST (10) | ||||||||||
| SUPPORT | VT | UVMMC | T | 0 | ||||||
| CHARITABLE IRREVOCABLE TRUST (8) | ||||||||||
| SUPPORT | VT | UVMMCCVMC | T | 0 | ||||||
| CHAMPLAIN VALLEY HEALTH NETWORK | ||||||||||
| 75 BEEKMAN STREET | PLATTSBURGH | NY | 12901 | 161586102 | ADMIN SVC | NY | C | 0 | N/A | |
| MEDIQUEST INC | ||||||||||
| PO BOX 1656 | PLATTSBURGH | NY | 12901 | 141663061 | MED OFFICE LEASE | NY | C | 0 | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| UNIVERSITY OF VERMONT MEDICAL CENTER INC | ||
| I | $134,701 | FMV |
| UNIVERSITY OF VERMONT MEDICAL CENTER INC | ||
| P | $16,068,886 | FMV |
| UNIVERSITY OF VERMONT HEALTH NETWORK | ||
| B | $70,000 | FMV |
| UNIVERSITY OF VERMONT HEALTH NETWORK | ||
| P | $3,725,760 | FMV |
| VMC INDEMNITY COMPANY | ||
| M | $354,842 | FMV |
| UNIVERSITY OF VERMONT HEALTH NETWORK | ||
| R | $294,525 | FMV |
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