2026-08-13T07:04:51-05:00 2025-09-30 161226221 FUSTCHARLES LLP 220 S WARREN STREET SYRACUSE NY 13202 990 2024-10-01 141364513 ELIZABETHTOWN COMMUNITY HOSPITAL ELIZ 5188736377 75 PARK STREET PO BOX 277 ELIZABETHTOWN NY 12932 ROBERT ORTMYER PRESIDENT 5188733002 2026-08-06 1 1 THOMAS J GIUFRE P00841958 3154463600 2026-08-06 2024 2025-03-06 01:10:19Z ROBERT ORTMYER 75 PARK STREET PO BOX 277 ELIZABETHTOWN NY 12932 101416234 0 X ECH.ORG X 1926 NY TO PROMOTE WELLNESS IN THE COMMUNITIES WE SERVE BY PROVIDING QUALITY HEALTHCARE WITH SKILL, COMPASSION AND DIGNITY. 10 10 436 17 -173946 0 538415 6362883 82035231 84342306 679067 3389660 2766163 -131011 86018876 93963838 0 0 0 0 36084924 48591871 0 0 90576 30381811 27781451 66466735 76373322 19552141 17590516 108442995 125316621 26566273 23793477 81876722 101523144 X 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. 0 0 5426582 7896268 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. 46243693 67289611 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. 6292606 9156427 PROFESSIONAL: SERVICES DELIVERED BY MEMBERS OF THE UNIVERSITY OF VERMONT HEALTH NETWORK MEDICAL GROUP, OUR EMPLOYED GROUP OF PHYSICIANS. 57962881 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 28 0 1 436 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 10 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X X SCOTT COMEAU CFO 5188733136 75 PARK STREET PO BOX 277 ELIZABETHTOWN NY 12932 BOB ORTMYER PRESIDENT 10.00 40.00 X X 558597 0 65520 SUSAN ALLOTT TRUSTEE 1.00 0.00 X 0 0 0 STEVEN CACCHIO CHAIR 1.00 0.00 X X 0 0 0 EVAN GEORGE VICE CHAIR 1.00 0.00 X X 0 0 0 JOSEPH BOGARDUS PHD SECRETARY 1.00 0.00 X X 0 0 0 ALAN JONES TRUSTEE 1.00 0.00 X 0 0 0 CHARLES WALTER LENDER TRUSTEE 1.00 0.00 X 0 0 0 TERRI MORSE TRUSTEE 1.00 0.00 X 0 0 0 MEGAN MURPHY TRUSTEE 1.00 0.00 X 0 0 0 LYNNE REALE TRUSTEE 1.00 0.00 X 0 0 0 WILLIAM TANSEY TRUSTEE 1.00 0.00 X 0 0 0 DR ROB DEMURO MED STAFF PRESIDENT 1.00 44.00 X X 0 452188 49932 ROLAND ALLEN TRUSTEE (TIL 10/2024) 1.00 0.00 X 0 0 0 SCOTT COMEAU CFO 10.00 40.00 X X 0 304915 43781 DR RAMSEY HERRINGTON MG PRESIDENT & CEO (AS OF 7/2025) 1.00 49.00 X 0 703586 73632 MATTHEW NOLAN CHIEF OPERATING OFFICER 45.00 0.00 X 286705 0 15429 JULIE TROMBLEE CHIEF NURSING OFFICER 45.00 0.00 X 239470 0 13803 DR JASON SANDERS UVMMG PRESIDENT & CEO (TIL 3/2025) 2.00 48.00 X 0 650982 100184 AMY PUTNAM VP MEDICAL GROUP NETWORK DEPARTMENTS 2.00 48.00 X 0 326449 57023 JAMES L'EPISCOPO PHYSICIAN ASSISTANT 45.00 0.00 X 194048 0 19861 MICHELLE MEACHEM DIRECTOR OF HUMAN RESOURCES 45.00 0.00 X 185205 0 10525 FRANK COOLIDGE REGISTERED NURSE 45.00 0.00 X 173295 0 8581 GRANT MARTIN INFORMATION TECHNOLOGY 40.00 5.00 X 169068 11263 38623 JULIE ANDERSON PHYSICIAN ASSISTANT 45.00 0.00 X 157357 0 11065 JOHN REMILLARD FMR PRESIDENT, ECH 0.00 35.00 X 0 196500 6060 DR DAVID CLAUSS FORMER MEDICAL DIRECTOR 1.00 49.00 X 0 728403 129704 IL CHON FORMER CHIEF MEDICAL OFFICER 45.00 0.00 X 0 617115 57037 1963745 3991401 700760 61 1 1 0 E4H-ENVIRONMENTS FOR HEALTH ARCHITECTURE 185 TALCOTT ROAD WILLISTON VT 05495 ARCHITECTURAL SERVICES 331803 MAZARS USA LLP 300 UNIVERSITY AVE SUITE 100 SACRAMENTO CA 95825 ACCOUNTING/CONSULTING SERVICES 139748 AYA LOCUMS LLC 5930 CORNERSTONE COURT WEST SUITE SAN DIEGO CA 92121 MEDICAL STAFFING 101100 5 2072 6298585 62226 25062 6362883 PATIENT CARE 621900 79920953 79920953 PHARMACY REVENUE 456100 1958061 1958061 PROGRAM INCENTIVES/PREMIUM REVENU 621900 1191124 1191124 1272168 1272168 84342306 1554371 1554371 608199 751846 -143647 -143647 -173946 30299 8526706 6691417 1835289 1835289 1835289 21769 2072 9133 12636 12636 93963838 84342306 -173946 3432595 1280010 1280010 40362240 28062251 12230037 69952 1294322 1220124 71194 3004 3529156 2918075 602615 8466 2126143 1830674 288828 6641 194658 194658 170359 170359 10811 10811 46938 46938 6562086 5881247 680834 5 1635981 1251162 383072 1747 7478 7478 1037949 422259 615690 226883 163768 62373 742 84073 84073 158177 87761 70416 3213822 2547711 666111 562345 687 561658 MEDICAL SUPPLIES 7955013 7951641 3372 BAD DEBT EXPENSE 4995863 4995863 PROVIDER TAX 281906 281906 BOOKS, DUES & SUBSCRIPT 126095 69431 56662 2 511014 147310 363687 17 76373322 57962881 18319865 90576 4551099 8069587 8557788 8254507 4146263 9897747 10041582 957434 1313479 1934848 2011554 69378663 35438561 30358632 33940102 51647450 56919322 537997 620225 108442995 125316621 6563051 5389465 30941 0 11555440 10689460 8416841 7714552 26566273 23793477 X 80702775 100316263 1173947 1206881 81876722 101523144 108442995 125316621 X 17590516 1960857 95049 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 10811 10811 0 PART II-B, LINE 1: 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. 1173947 324074 50968 339468 2641 1206880 1180437 137598 158313 288060 14341 1173947 1031571 280840 70093 202067 1180437 1230200 600318 -145736 653211 1031571 1658795 3105896 115670 3650161 1230200 0.29070 0.70930 0 0 1279731 1279731 43091125 20272055 22819070 16381272 13147965 3233307 8626535 2018541 6607994 33940102 DUE TO AFFILIATES 1948962 THIRD PARTY PAYOR SETTLEMENTS 5464404 OPERATING LEASE LIABILITY 301186 7714552 X 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. GOLF 23841 2072 21769 700 954 3840 1950 1689 23841 2072 21769 700 954 3840 1950 1689 9133 12636 1 1 1 X 250.000000000000 1 X 1 1 1 0 1 1 395112 395112 0.00550 11542192 5814978 5727214 0.08020 232764 232764 0.00330 12170068 5814978 6355090 0.08900 69221 69221 0.00100 599101 599101 0.00840 23967871 17270169 6697702 0.09380 63348 63348 0.00090 24699541 17270169 7429372 0.10410 36869609 23085147 13784462 0.19310 1 2046025 164201 21825775 21673597 152178 X 1 1 1 1 ELIZABETHTOWN COMMUNITY HOSPITAL 75 PARK STREET PO BOX 277 ELIZABETHTOWN NY 12932 X X X 25 BEDS (ACUTE & SWING), 6 HEALTHCENTERS, CT, LAB, PHARM. PT. AMB SURG. ELIZABETHTOWN COMMUNITY HOSPITAL 1 0 0 1 X X X X X X X X 22 1 1 1 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X X 1 23 1 SEE PART V, SECTION C 0 1 X 250.000000000000 400.000000000000 X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X 1 0 X X X 1 X 0 0 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 7 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 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 X 0 0 0 1 0 0 0 0 0 1 1 1 DR DAVID CLAUSS FORMER MEDICAL DIRECTOR 0 519360 0 175087 0 33956 0 94194 0 35510 0 858107 0 16920 DR RAMSEY HERRINGTON MG PRESIDENT & CEO (AS OF 7/2025) 0 461293 0 174675 0 67618 0 31050 0 42582 0 777218 0 0 DR JASON SANDERS UVMMG PRESIDENT & CEO (TIL 3/2025) 0 426547 0 214352 0 10083 0 61575 0 38609 0 751166 0 0 IL CHON FORMER CHIEF MEDICAL OFFICER 0 409174 0 51765 0 156176 0 20700 0 36337 0 674152 0 0 BOB ORTMYER PRESIDENT 389179 0 116095 0 53323 0 49798 0 15722 0 624117 0 8627 0 DR ROB DEMURO MED STAFF PRESIDENT 0 320643 0 17536 0 114009 0 20700 0 29232 0 502120 0 0 AMY PUTNAM VP MEDICAL GROUP NETWORK DEPARTMENTS 0 247923 0 49912 0 28614 0 19634 0 37389 0 383472 0 0 SCOTT COMEAU CFO 0 261093 0 41293 0 2529 0 12432 0 31349 0 348696 0 0 MATTHEW NOLAN CHIEF OPERATING OFFICER 224247 0 39239 0 23219 0 12893 0 2536 0 302134 0 0 0 JULIE TROMBLEE CHIEF NURSING OFFICER 200928 0 36061 0 2481 0 10779 0 3024 0 253273 0 0 0 GRANT MARTIN INFORMATION TECHNOLOGY 168759 11263 0 0 309 0 7982 826 27403 2412 204453 14501 0 0 JAMES L'EPISCOPO PHYSICIAN ASSISTANT 186707 0 1306 0 6035 0 8548 0 11313 0 213909 0 0 0 JOHN REMILLARD FMR PRESIDENT, ECH 0 196500 0 0 0 0 0 5985 0 75 0 202560 0 0 MICHELLE MEACHEM DIRECTOR OF HUMAN RESOURCES 165505 0 15467 0 4233 0 8221 0 2304 0 195730 0 0 0 FRANK COOLIDGE REGISTERED NURSE 164914 0 1225 0 7156 0 7760 0 821 0 181876 0 0 0 JULIE ANDERSON PHYSICIAN ASSISTANT 153528 0 1306 0 2523 0 7126 0 3939 0 168422 0 0 0 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. X 57 24863 FMV X BRASS BELL 1 200 FMV 0 0 0 PART I, COLUMN (B): THE AMOUNTS LISTED IN PART I, COLUMN (B) IS THE NUMBER OF ITEMS/STOCKS DONATED. 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. 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