CENTRAL VERMONT MEDICAL CENTER INC HCSR: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
CENTRAL VERMONT MEDICAL CENTER INC HCSR (EIN 22-2547186)
Tax period
2024-10-01 to 2025-09-30
Filed
2026-08-13
IRS object ID
202622259349300542
Schema version
2024v5.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2026-08-13T11:05:47-05:00ReturnTs
Tax Period End2025-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PWC US TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1101 SEAPORT BLVD SUITE 500AddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02210ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN222547186EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL VERMONT MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% KIMBERLY PATNAUDEInCareOfNm
Business Name ControlCENTBusinessNameControlTxt
Phone8023714100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1130 FISHER ROADAddressLine1Txt
CityBERLINCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05602ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKIMBERLY PATNAUDEPersonNm
Person TitleCFOPersonTitleTxt
Phone8023744443PhoneNum
Signature2026-08-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPAUL J TANISPreparerPersonNm
PTINP01441612PTIN
Phone6175305000PhoneNum
Preparation2026-08-12PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARC KOSAKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1130 FISHER ROADAddressLine1Txt
CityBERLINCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05602ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$345,605,770GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CVMC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1963FormationYr
Legal Domicile StateVTLegalDomicileStateCd
Activity Or MissionCVMC WORKS COLLABORATIVELY TO MEET THE NEEDS AND IMPROVE THE HEALTH OF THE RESIDENTS OF CENTRAL VERMONT.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee1844TotalEmployeeCnt
Total Volunteers129TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,240,649PYContributionsGrantsAmt
CY Contributions Grants$1,403,190CYContributionsGrantsAmt
PY Program Service Revenue$315,431,660PYProgramServiceRevenueAmt
CY Program Service Revenue$328,360,343CYProgramServiceRevenueAmt
PY Investment Income$2,868,784PYInvestmentIncomeAmt
CY Investment Income$3,841,677CYInvestmentIncomeAmt
PY Other Revenue$370,305PYOtherRevenueAmt
CY Other Revenue$525,258CYOtherRevenueAmt
PY Total Revenue$319,911,398PYTotalRevenueAmt
CY Total Revenue$334,130,468CYTotalRevenueAmt
PY Grants And Similar Paid$63,505PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$340,549CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$183,350,803PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$181,909,660CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$262,418CYTotalFundraisingExpenseAmt
PY Other Expenses$140,478,054PYOtherExpensesAmt
CY Other Expenses$149,936,033CYOtherExpensesAmt
PY Total Expenses$323,892,362PYTotalExpensesAmt
CY Total Expenses$332,186,242CYTotalExpensesAmt
PY Revenues Less Expenses-$3,980,964PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,944,226CYRevenuesLessExpensesAmt
Total Assets BOY$176,619,849TotalAssetsBOYAmt
Total Assets EOY$189,524,709TotalAssetsEOYAmt
Total Liabilities BOY$87,255,589TotalLiabilitiesBOYAmt
Total Liabilities EOY$96,663,232TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$89,364,260NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$92,861,477NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$185,221,044ExpenseAmt
Grant$206,900GrantAmt
Revenue$251,450,811RevenueAmt
DescHOSPITAL SERVICES: INPATIENT, OUTPATIENT, AND 24/7 EMERGENCY DEPARTMENT SERVICES: CVMC HAS 122 LICENSED BEDS TO PROVIDE FOR A FULL SPECTRUM OF INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES. 16,458 INPATIENT DAYS, MORE THAN 250,000 OUTPATIENT PROCEDURES, AND 28,163 EMERGENCY ROOM VISITS WERE RECORDED DURING FISCAL YEAR 2025. OUTPATIENT ANCILLARY SERVICE UNITS MAKE UP THE MAJORITY OF SERVICE VOLUME, INCLUDING 42,184 RADIOLOGY PROCEDURES, 555,601 LAB TESTS, 20,524 CARDIOLOGY TESTS, AND 153,143 UNITS OF PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY. EMERGENCY DEPARTMENT: THE ER IS OPEN 24 HOURS A DAY 365 DAYS A YEAR. THE NUMBER OF PATIENTS SEEN IN THE ER IN FISCAL YEAR 2025 WAS 28,029. THE CANCER TREATMENT CENTER PROVIDED 2,471 ONCOLOGY AND RADIATION TREATMENTS. THE HOSPITAL ALSO HAS BEEN ACTIVE IN ITS OUTREACH TO CENTRAL VERMONT'S UNINSURED AND UNDER INSURED RESIDENTS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$83,524,937ExpenseAmt
Grant$0GrantAmt
Revenue$50,254,000RevenueAmt
DescMEDICAL GROUP PRACTICES: AT THE END OF THE FISCAL YEAR WE HAD 25 PRIMARY CARE, INFIRMARY, AND SPECIALTY PRACTICES. THIS INCLUDED 10 PRIMARY AND FAMILY CARE CLINICS, 1 PEDIATRIC CLINIC, AS WELL AS SPECIALTY CLINICS FOR UROLOGY, CARDIOLOGY, PODIATRY, RHEUMATOLOGY, ENT, ENDOCRINOLOGY, ORTHOPAEDICS, PSYCHOLOGY, AND OBSTETRICS/ GYNECOLOGY. THERE WERE A TOTAL OF 613,433 PRACTICE VISITS DURING FISCAL YEAR 2025.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$25,775,789ExpenseAmt
Grant$2,000GrantAmt
Revenue$26,838,113RevenueAmt
DescWOODRIDGE REHAB & NURSING IS A MEDICARE-CERTIFIED 153-LICENSED BED SKILLED NURSING FACILITY LOCATED ON THE CAMPUS OF CENTRAL VERMONT MEDICAL CENTER. APPROXIMATELY TWO-THIRDS OF THE FACILITIES BEDS ARE DEDICATED TO LONG TERM CARE, INCLUDING PALLIATIVE CARE/END OF LIFE CARE AND THE OTHER ONE-THIRD PROVIDE SHORT TERM REHABILITATION THERAPY AND POST-ACUTE CARE FOR A GREAT VARIETY OF MEDICAL CARE CATEGORIES, INCLUDING PAIN MANAGEMENT AND WOUND CARE. THE FACILITY PROVIDES "PERSON-CENTERED", ROUND THE CLOCK NURSING CARE AND SOCIAL SERVICES SUPPORT COMPLEMENTING DAILY, ROBUST ACTIVITIES PROGRAMS, FINE DINING AND HAS A FULL COMPLIMENT OF SUPPORT SERVICES INCLUDING HOUSEKEEPING/LAUNDRY, MAINTENANCE AND TRANSPORTATION. MANY OTHER AMENITIES ARE AVAILABLE TO FACILITY RESIDENTS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$294,521,770TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document113IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1844EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldVTStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKIMBERLY PATNAUDEPersonNm
Phone8023714443PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1130 FISHER RDAddressLine1Txt
CityBerlinCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05602ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DR SUNIL EAPPEN
TRUSTEE3.047.0Yes (X)$0$2,009,470$226,275
ANNA T NOONAN
PRESIDENT & COO/TRUSTEE45.05.0Yes (X)$594,284$0$112,264Yes (X)
RYAN CLOUSER MD
TRUSTEE45.05.0Yes (X)$0$457,653$60,109
DR BENJAMIN SMITH
TRUSTEE (AS OF 3/2025)1.044.0Yes (X)$0$406,794$56,828
KIMBERLY PATNAUDE
TREASURER, CFO50.00.0$331,379$0$43,401Yes (X)
JAMES ALVAREZ
VP SUPPORT SERVICES50.00.0$320,082$0$36,205Yes (X)
SCOTT ROBERT NELSON MD
TRUSTEE (UNTIL 2/2025)45.05.0Yes (X)$0$284,847$53,807
MATTHEW CHOATE
VP PATIENT CARE SERVICES50.00.0$301,043$0$34,706Yes (X)
JOSEPH JOHNSTON
VP CLINICAL OPERATIONS50.00.0$274,970$0$46,191Yes (X)
ROBERT ROBINSON MD
PHYSICIAN50.00.0$260,415$0$26,698Yes (X)
HELEN HOLLENBACH
PHYSICIAN ASST.50.00.0$211,480$0$43,370Yes (X)
SHANNON RIVARD
NURSE PRACTITIONER50.00.0$186,436$0$45,940Yes (X)
CHRISTOPHER AUBIN
PHYSICIAN ASST.50.00.0$190,749$0$33,740Yes (X)
WILLIAM KOWALEWSKI - ADMINVP
AGING SVCS WDR (UNTIL 12/2024)50.00.0$208,775$0$15,520Yes (X)
ANNE LEWIS
NURSE MANAGER50.00.0$187,912$0$36,342Yes (X)
LISA MULLER
TRUSTEE1.00.0Yes (X)$0$0$0
JOYCE JUDY
TRUSTEE, CHAIR1.00.0Yes (X)$0$0$0Yes (X)
KRISTIN CARLSON
TRUSTEE (AS OF 1/2025)1.00.0Yes (X)$0$0$0
SANDY ROUSSE
TRUSTEE (UNTIL 12/2024)1.00.0Yes (X)$0$0$0
CONSTANCE COLMAN
TRUSTEE, SECRETARY1.00.0Yes (X)$0$0$0Yes (X)
JOAN MARIE MISEK
TRUSTEE1.00.0Yes (X)$0$0$0
ERICA METZGER HARE
TRUSTEE, CHAIR ELECT1.00.0Yes (X)$0$0$0Yes (X)
MICHAEL DELLIPRISCOLI
TRUSTEE1.00.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,067,525TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,158,764TotReportableCompRltdOrgAmt
Total Other Compensation$871,396TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K218IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CROSS COUNTRY STAFFING INC
PO BOX 404674ATLANTAGA303844678CLINICAL STAFFING$17,253,871
ENGELBERTH CONSTRUCTION INC
150 WATER TOWER CIRCLECOLCHESTERVT05446CONSTRUCTION$949,828
HEALTHCARE WORKFORCE LOGISTICS LLC
2655 NORTHWINDS PARKWAYALPHARETTAGA30009CLINICAL STAFFING$940,013
MORRISON MANAGEMENT SPECIALISTS
PO BOX 102289ATLANTAGA303682289KITCHEN MGMT$931,385
HAYES LOCUMS
PO BOX 844543DALLASTX752844543PHYSICIAN STAFFING$805,564
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K30CntrctRcvdGreaterThan100KCnt
Related Organizations$40,000RelatedOrganizationsAmt
Government Grants$955,977GovernmentGrantsAmt
All Other Contributions$407,213AllOtherContributionsAmt
Noncash Contributions$10,000NoncashContributionsAmt
Total Contributions$1,403,190TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE900099$235,537,525$235,537,525
REV FROM MANAGED CARE AND CAPITATED900099$68,485,556$68,485,556
340B CONTRACT PHARMACY REVENUE900099$15,247,290$15,247,290
BLUEPRINT PMPM900099$854,972$854,972
OTHER CONTRACT/CLIENT REVENUE900099$1,502,814$1,502,814

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,732,186TotalRevenueColumnAmt
Related Or Exempt Func Income$6,732,186RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$328,360,343TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,581,946TotalRevenueColumnAmt
Exclusion$3,581,946ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$624,489RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$99,231RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$525,258RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$525,258TotalRevenueColumnAmt
Exclusion$525,258ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$11,635,802SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$11,376,071SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$259,731SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$259,731TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$334,130,468TotalRevenueColumnAmt
Related Or Exempt Func Income$328,360,343RelatedOrExemptFuncIncomeAmt
Exclusion$4,107,204ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$323,049TotalAmt
Program Services$323,049ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$17,500TotalAmt
Program Services$17,500ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,079,065TotalAmt
Management And General$2,079,065ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$143,090,104TotalAmt
Program Services$135,299,719ProgramServicesAmt
Management And General$7,586,642ManagementAndGeneralAmt
Fundraising$203,743FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,654,817TotalAmt
Program Services$6,202,384ProgramServicesAmt
Management And General$443,093ManagementAndGeneralAmt
Fundraising$9,340FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$20,359,653TotalAmt
Program Services$18,975,485ProgramServicesAmt
Management And General$1,355,594ManagementAndGeneralAmt
Fundraising$28,574FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,726,021TotalAmt
Program Services$9,064,790ProgramServicesAmt
Management And General$647,581ManagementAndGeneralAmt
Fundraising$13,650FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$422,295TotalAmt
Management And General$422,295ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$26,446TotalAmt
Management And General$26,446ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$2,365TotalAmt
Management And General$2,365ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$50,876,745TotalAmt
Program Services$28,768,045ProgramServicesAmt
Management And General$22,105,574ManagementAndGeneralAmt
Fundraising$3,126FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$13,417TotalAmt
Management And General$12,943ManagementAndGeneralAmt
Fundraising$474FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,160,004TotalAmt
Program Services$2,568,208ProgramServicesAmt
Management And General$590,396ManagementAndGeneralAmt
Fundraising$1,400FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,336,121TotalAmt
Program Services$1,280,953ProgramServicesAmt
Management And General$55,168ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,744,994TotalAmt
Program Services$8,574,988ProgramServicesAmt
Management And General$170,006ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$89,230TotalAmt
Program Services$74,633ProgramServicesAmt
Management And General$14,194ManagementAndGeneralAmt
Fundraising$403FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$997,350TotalAmt
Program Services$757,866ProgramServicesAmt
Management And General$238,730ManagementAndGeneralAmt
Fundraising$754FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$66,652TotalAmt
Program Services$66,652ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,428,178TotalAmt
Program Services$7,428,178ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,076,606TotalAmt
Program Services$647,620ProgramServicesAmt
Management And General$428,986ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL & SURGICAL SUPPLIES$48,552,195$48,552,195
STATE TAX ASSESSMENT$17,349,669$17,349,669
MAINTENANCE & REPAIRS$4,195,191$4,093,608$101,583
FOOD EXPENSE$2,273,960$2,200,663$72,343$954

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,324,615TotalAmt
Program Services$2,275,565ProgramServicesAmt
Management And General$1,049,050ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$332,186,242TotalAmt
Program Services$294,521,770ProgramServicesAmt
Management And General$37,402,054ManagementAndGeneralAmt
Fundraising$262,418FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$15,153,712BOYAmt
EOY$18,133,385EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$49,665BOYAmt
EOY$596,575EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$26,348,766BOYAmt
EOY$23,740,615EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$3,148,010BOYAmt
EOY$1,762,423EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,903,453BOYAmt
EOY$5,022,452EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$711,727BOYAmt
EOY$754,017EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$197,409,651LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$137,452,688LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$54,347,613BOYAmt
EOY$59,956,963EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$59,526,176BOYAmt
EOY$64,836,329EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$12,430,727BOYAmt
EOY$14,721,950EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$176,619,849BOYAmt
EOY$189,524,709EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$63,577,494BOYAmt
EOY$61,530,339EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY-$27,016BOYAmt
EOY$42,973EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$81,235BOYAmt
EOY$60,455EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$9,055,052BOYAmt
EOY$7,456,181EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,568,824BOYAmt
EOY$27,573,284EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$87,255,589BOYAmt
EOY$96,663,232EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$79,459,751BOYAmt
EOY$82,269,997EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,904,509BOYAmt
EOY$10,591,480EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$89,364,260BOYAmt
EOY$92,861,477EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$176,619,849BOYAmt
EOY$189,524,709EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,944,226ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,655,149NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$102,158OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$26,446OtherActivitiesAmt
Total Lobbying Expenditures$26,446TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 Tax0Form4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceLOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationSCHEDULE C, PART II-B, LINE 1I CENTRAL VERMONT MEDICAL CENTER IS A MEMBER OF, AND PAYS DUES TO, THE VERMONT ASSOCIATION OF HOSPITALS AND HEALTH SERVICE PROVIDERS AS WELL AS THE AMERICAN HOSPITAL ASSOCIATION, AND THE VERMONT HEALTH CARE ASSOCIATION. A PORTION OF THE DUES IS USED FOR LOBBYING PURPOSES.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,388,705BeginningYearBalanceAmt
Investment Earnings Or Losses$945,165InvestmentEarningsOrLossesAmt
Other Expenditures$30,934OtherExpendituresAmt
Administrative Expenses$45,993AdministrativeExpensesAmt
End Year Balance$10,256,943EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,686,327BeginningYearBalanceAmt
Investment Earnings Or Losses$1,778,218InvestmentEarningsOrLossesAmt
Other Expenditures$34,180OtherExpendituresAmt
Administrative Expenses$41,660AdministrativeExpensesAmt
End Year Balance$9,388,705EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,959,979BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$820,432InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$53,432OtherExpendituresAmt
Administrative Expenses$40,651AdministrativeExpensesAmt
End Year Balance$7,686,328EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,660,412BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses-$1,640,633InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$59,800AdministrativeExpensesAmt
End Year Balance$6,959,979EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,967,045BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$779,068InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$40,000OtherExpendituresAmt
Administrative Expenses$45,701AdministrativeExpensesAmt
End Year Balance$8,660,412EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.37260PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.62740TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,510,000OtherCostOrOtherBasisAmt
Book Value$5,510,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$124,635,055OtherCostOrOtherBasisAmt
Depreciation$91,270,347DepreciationAmt
Book Value$33,364,708BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,503,303OtherCostOrOtherBasisAmt
Depreciation$4,209,369DepreciationAmt
Book Value$293,934BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$55,807,677OtherCostOrOtherBasisAmt
Depreciation$41,972,972DepreciationAmt
Book Value$13,834,705BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,953,616OtherCostOrOtherBasisAmt
Book Value$6,953,616BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$59,956,963TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescNETWORK INVESTMENT POOLDesc
Book Value$64,836,329BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$64,836,329TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
OPR LEASE ROU ASSETS,NET$12,602,808
INVESTMENT 457 PLAN$2,119,142
FieldValueIRS element (for citing)
Total Book Value Other Assets$14,721,950TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
OTHER LIABILITIES$14,975,556
LEASE LIABILITY - OPERATING$12,597,728
FieldValueIRS element (for citing)
Total Liability$27,573,284TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ENDOWMENT FUNDSSCHEDULE D, PART V, LINE 4 CVMC HAS ENDOWMENT INVESTMENTS AND AN INVESTMENT SPENDING POLICY THAT GUIDES THE DISTRIBUTION OF THE FUNDS TO SUPPORT THE MISSION OF CENTRAL VERMONT MEDICAL CENTER.
ASC 740 DISCLOSURESCHEDULE D, PART X, LINE 2, FIN 48 (ASC 740) CENTRAL VERMONT MEDICAL CENTER, INC. IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE UNIVERSITY OF VERMONT HEALTH NETWORK ("UVM HEALTH NETWORK"). PAGE 17 OF THE CONSOLIDATED FINANCIAL STATEMENTS CONTAINS A FOOTNOTE INDICATING THAT NO PROVISION FOR FEDERAL INCOME TAXES HAS BEEN RECORDED.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,316,445TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,316,445NetCommunityBenefitExpnsAmt
Total Expense0.00700TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$66,346,636TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,009,918DirectOffsettingRevenueAmt
Net Community Benefit Expns$38,336,718NetCommunityBenefitExpnsAmt
Total Expense0.11540TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$68,663,081TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,009,918DirectOffsettingRevenueAmt
Net Community Benefit Expns$40,653,163NetCommunityBenefitExpnsAmt
Total Expense0.12240TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,914TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,914NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,100,482TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,100,482NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,345,917TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,289,747DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,056,170NetCommunityBenefitExpnsAmt
Total Expense0.00920TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$365,549TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,500DirectOffsettingRevenueAmt
Net Community Benefit Expns$348,049NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,816,862TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,307,247DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,509,615NetCommunityBenefitExpnsAmt
Total Expense0.01360TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$82,479,943TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,317,165DirectOffsettingRevenueAmt
Net Community Benefit Expns$45,162,778NetCommunityBenefitExpnsAmt
Total Expense0.13600TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$2,711TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,711NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served100PersonsServedCnt
Total Community Benefit Expns$1,512TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,512NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served100PersonsServedCnt
Total Community Benefit Expns$4,223TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,223NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$9,458,977BadDebtExpenseAmt
Bad Debt Expense Attributable$189,180BadDebtExpenseAttributableAmt
Reimbursed By Medicare$60,845,504ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$162,495,904CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$101,650,400MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL VERMONT MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1130 FISHER ROADAddressLine1Txt
CityBERLINCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05602ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.UVMHEALTH.ORGWebsiteAddressTxt
State License47001StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL VERMONT MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted24CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SECTION COwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE SECTION COtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt25ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 3EIN ACCORDANCE WITH THE REQUIREMENTS OF THE AFFORDABLE CARE ACT AND IN SUPPORT OF ITS COMMUNITY MISSION, CENTRAL VERMONT MEDICAL CENTER (CVMC) COMPLETED A FY2025/TY2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND A CORRESPONDING THREE-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN. THIS ASSESSMENT REPRESENTS A CONTINUATION OF CVMC'S LONGSTANDING CHNA PROCESS, WITH PRIOR ASSESSMENTS CONDUCTED EVERY THREE YEARS SINCE 2013. THE FY2025 CHNA BUILDS ON EARLIER FINDINGS TO FURTHER STRENGTHEN COMMUNITY AND POPULATION HEALTH STRATEGIES, WITH A SUSTAINED EMPHASIS ON SOCIAL DRIVERS OF HEALTH AND ADVANCING HEALTH EQUITY ACROSS CENTRAL VERMONT. THE FY2025 CHNA FOCUSES ON CVMC'S PRIMARY SERVICE AREA OF WASHINGTON COUNTY AND WAS CONDUCTED BETWEEN NOVEMBER 2024 AND JUNE 2025. CVMC PARTNERED WITH THRIVE, CENTRAL VERMONT'S ACCOUNTABLE COMMUNITY FOR HEALTH, AND CONVENED A MULTI-SECTOR STEERING COMMITTEE OF HOSPITAL LEADERS AND COMMUNITY PARTNERS TO GUIDE THE PROCESS. CVMC CONTRACTED WITH BUILD COMMUNITY, A WOMAN-OWNED RESEARCH FIRM SPECIALIZING IN EQUITY-CENTERED COMMUNITY RESEARCH, TO CONDUCT THE ASSESSMENT, ANALYZE FINDINGS, AND SUPPORT REPORTING. THE CHNA INCORPORATED ROBUST PRIMARY AND SECONDARY DATA COLLECTION, INCLUDING SURVEYS OF 1,312 COMMUNITY RESIDENTS, 186 KEY STAKEHOLDERS, AND MULTIPLE COMMUNITY CONVERSATIONS AND LISTENING SESSIONS. REPRESENTATIVES FROM CVMC, THRIVE, AND THE COLLABORATIVE ACTION NETWORK (CAN) REVIEWED CHNA FINDINGS IN ALIGNMENT WITH STATEWIDE HEALTH DATA AND PRIORITIES, INCLUDING THE VERMONT DEPARTMENT OF HEALTH'S STATE HEALTH IMPROVEMENT PLAN. TO DETERMINE PRIORITY FOCUS AREAS, PARTNERS APPLIED STANDARDIZED CRITERIA ASSESSING THE SCOPE OF NEED, SEVERITY OF IMPACT, EXISTING DISPARITIES, FEASIBILITY OF ACTION, AVAILABILITY OF COMMUNITY RESOURCES, AND READINESS FOR COLLECTIVE IMPACT. THROUGH THIS PRIORITIZATION PROCESS, CVMC IDENTIFIED FOUR PRIMARY COMMUNITY HEALTH PRIORITIES FOR THE 2025-2028 CYCLE: -ACCESS TO CARE -COST OF LIVING -HOUSING -MENTAL HEALTH AND SUBSTANCE USE DISORDERS WHILE NOT DESIGNATED AS A STANDALONE PRIORITY, CVMC ALSO RECOGNIZES THE GROWING AND COMPLEX NEEDS OF OLDER ADULTS AND IS COMMITTED TO ADDRESSING AGING-RELATED HEALTH AND SOCIAL CONCERNS THROUGH INTEGRATED STRATEGIES ACROSS ALL PRIORITY AREAS. OVERALL, THE 2025 CHNA CONFIRMS THAT WASHINGTON COUNTY CONTINUES TO EXPERIENCE BETTER OVERALL HEALTH OUTCOMES AND HIGHER LIFE EXPECTANCY THAN STATE AND NATIONAL AVERAGES, SUPPORTED BY STRONG COMMUNITY CONDITIONS, ACCESS TO HEALTHCARE SERVICES, AND A COLLABORATIVE NETWORK OF HEALTH AND HUMAN SERVICE PROVIDERS. HOWEVER, THE ASSESSMENT ALSO HIGHLIGHTS PERSISTENT AND WIDENING DISPARITIES WITHIN THE COUNTY, WITH SIGNIFICANT VARIATION IN LIFE EXPECTANCY, ECONOMIC STABILITY, HOUSING SECURITY, AND ACCESS TO CARE ACROSS ZIP CODES AND POPULATION GROUPS. MANY OF THESE CHALLENGES WERE EXACERBATED BY THE COVID-19 PANDEMIC, REPEATED FLOODING EVENTS, AND RISING COSTS OF LIVING, PLACING INCREASED STRAIN ON INDIVIDUALS, FAMILIES, AND SERVICE SYSTEMS. THE FY2025 CHNA ALIGNS CLOSELY WITH VERMONT DEPARTMENT OF HEALTH PRIORITIES AND REINFORCES THE IMPORTANCE OF COORDINATED ACTION AMONG HOSPITALS, PUBLIC HEALTH AGENCIES, AND COMMUNITY-BASED ORGANIZATIONS. AS A RESULT OF THE CHNA PROCESS, CVMC AND ITS PARTNERS HAVE CONTINUED TO MAKE TARGETED INVESTMENTS IN COMMUNITY BENEFIT PROGRAMS, PARTNERSHIPS, AND INITIATIVES TO ADDRESS IDENTIFIED NEEDS. WHILE LONG-TERM OUTCOMES WILL BE EVALUATED OVER TIME, CVMC REMAINS COMMITTED TO ADVANCING EQUITABLE ACCESS TO CARE, STRENGTHENING COMMUNITY RESILIENCE, AND IMPROVING HEALTH AND WELLBEING FOR ALL CENTRAL VERMONTERS.
PART V, SECTION B, LINE 5CENTRAL VERMONT MEDICAL CENTER (CVMC) TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH A COMPREHENSIVE, MULTI-METHOD COMMUNITY ENGAGEMENT PROCESS CONDUCTED BETWEEN NOVEMBER 2024 AND JUNE 2025. THE FY2025/TY2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCORPORATED BOTH PRIMARY AND SECONDARY DATA AND WAS CONDUCTED IN COLLABORATION WITH COMMUNITY PARTNERS TO ENSURE THAT IDENTIFIED HEALTH NEEDS REFLECTED DATA-DRIVEN FINDINGS AS WELL AS LIVED EXPERIENCE. PRIMARY DATA COLLECTION INCLUDED DIRECT ENGAGEMENT WITH COMMUNITY RESIDENTS, HEALTH AND HUMAN SERVICE PROVIDERS, PUBLIC HEALTH PROFESSIONALS, AND COMMUNITY LEADERS. CVMC RECEIVED INPUT FROM MORE THAN 1,500 INDIVIDUALS THROUGH MULTIPLE MECHANISMS, INCLUDING A COMMUNITY SURVEY COMPLETED BY 1,312 RESIDENTS OF WASHINGTON COUNTY AND AN ELECTRONIC KEY STAKEHOLDER SURVEY COMPLETED BY 186 REPRESENTATIVES FROM HEALTHCARE, PUBLIC HEALTH, SOCIAL SERVICE, EDUCATION, HOUSING, AND COMMUNITY-BASED ORGANIZATIONS. ADDITIONAL QUALITATIVE INPUT WAS GATHERED THROUGH COMMUNITY CONVERSATIONS, LISTENING SESSIONS, AND SMALL-GROUP DISCUSSIONS WITH SERVICE PROVIDERS AND COMMUNITY LEADERS. SPECIAL EFFORTS WERE MADE TO SOLICIT INPUT FROM AND INCORPORATE THE PERSPECTIVES OF UNDERSERVED AND HISTORICALLY MARGINALIZED POPULATIONS, INCLUDING INDIVIDUALS WITH LOW INCOME, OLDER ADULTS, PEOPLE EXPERIENCING HOUSING INSTABILITY, PEOPLE WITH DISABILITIES, LGBTQIA+ COMMUNITY MEMBERS, AND PEOPLE OF COLOR. INPUT FOCUSED ON HEALTH CONCERNS, BARRIERS TO CARE, SERVICE GAPS, AND COMMUNITY-IDENTIFIED PRIORITIES AND SOLUTIONS. CVMC CONVENED A CHNA STEERING COMMITTEE COMPOSED OF HOSPITAL LEADERSHIP AND REGIONAL PARTNERS TO PROVIDE OVERSIGHT AND GUIDANCE THROUGHOUT THE ASSESSMENT PROCESS. THE STEERING COMMITTEE INCLUDED REPRESENTATIVES FROM CVMC, THE VERMONT DEPARTMENT OF HEALTH, WASHINGTON COUNTY MENTAL HEALTH SERVICES, GREEN MOUNTAIN UNITED WAY, AND THE UNIVERSITY OF VERMONT HEALTH NETWORK. A SUBCOMMITTEE OF THRIVE-THE REGION'S ACCOUNTABLE COMMUNITY FOR HEALTH-MET REGULARLY WITH CVMC TO REVIEW FINDINGS AND GUIDE THE CHNA PROCESS, HELPING TO ENSURE REGIONAL ALIGNMENT AND COLLECTIVE IMPACT. IN ADDITION TO STEERING COMMITTEE MEMBERS, CVMC CONSULTED WITH A BROAD RANGE OF ORGANIZATIONS AND INDIVIDUALS REPRESENTING THE COMMUNITY, AS DOCUMENTED IN THE CHNA'S KEY STAKEHOLDER SURVEY PARTICIPANT LIST. THESE CONSULTEES INCLUDED REPRESENTATIVES FROM PUBLIC HEALTH AGENCIES, HOSPITALS AND CLINICS, BEHAVIORAL HEALTH PROVIDERS, HOUSING AND HOMELESSNESS ORGANIZATIONS, FOOD ACCESS PROGRAMS, SOCIAL SERVICE AGENCIES, SCHOOLS AND SCHOOL DISTRICTS, EMERGENCY MEDICAL SERVICES, FAITH-BASED ORGANIZATIONS, MUNICIPAL LEADERSHIP, ADVOCACY ORGANIZATIONS, AND PRIVATE CITIZENS. TOGETHER, THESE INDIVIDUALS REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY SERVED BY CVMC. OVERALL, CVMC SYSTEMATICALLY INTEGRATED QUANTITATIVE DATA AND EXTENSIVE COMMUNITY INPUT INTO THE IDENTIFICATION AND PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS FOR THE FY2025/TY2024 CHNA, ENSURING THAT COMMUNITY VOICES MEANINGFULLY INFORMED COMMUNITY HEALTH PLANNING AND FUTURE IMPLEMENTATION STRATEGIES.
PART V, SECTION B, LINE 6BTHE FY2025/TY2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR CENTRAL VERMONT MEDICAL CENTER (CVMC) WAS CONDUCTED IN COLLABORATION WITH MULTIPLE ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES. CONSISTENT WITH PRIOR CHNA CYCLES (INCLUDING THE 2022-2025 CHNA), CVMC PARTNERED WITH THRIVE, THE REGIONAL ACCOUNTABLE COMMUNITY FOR HEALTH SERVING CENTRAL VERMONT. THRIVE IS A MULTI AGENCY COALITION COMPOSED OF HEALTH PROVIDERS, SOCIAL SERVICE AGENCIES, GOVERNMENT ENTITIES, CIVIC ORGANIZATIONS, FAITH BASED ORGANIZATIONS, AND OTHER COMMUNITY PARTNERS FOCUSED ON IMPROVING HEALTH FOR RESIDENTS OF WASHINGTON COUNTY AND SURROUNDING AREAS. THROUGH THRIVE'S GOVERNANCE AND ADVISORY STRUCTURE, REPRESENTATIVES FROM A BROAD RANGE OF NON HOSPITAL ORGANIZATIONS PARTICIPATED IN CHNA LEADERSHIP, OVERSIGHT, DATA REVIEW, AND PRIORITY SETTING. ORGANIZATIONS REPRESENTED DURING THE FY2025 CHNA PROCESS INCLUDED, BUT WERE NOT LIMITED TO: . GREEN MOUNTAIN UNITED WAY . VERMONT DEPARTMENT OF HEALTH (INCLUDING THE BARRE LOCAL HEALTH OFFICE) . WASHINGTON COUNTY MENTAL HEALTH SERVICES . CENTRAL VERMONT PREVENTION COALITION . FAMILY CENTER OF WASHINGTON COUNTY . PEOPLE'S HEALTH & WELLNESS CLINIC . CAPSTONE COMMUNITY ACTION . DOWNSTREET HOUSING & COMMUNITY DEVELOPMENT . TURNING POINT CENTER OF CENTRAL VERMONT . MONTPELIER AND BARRE COMMUNITY JUSTICE CENTERS . GOOD BEGINNINGS OF CENTRAL VERMONT . VERMONT FOODBANK . MOSAIC VERMONT . COMMUNITY FAITH BASED AND CIVIC ORGANIZATIONS, MUNICIPAL PARTNERS, AND EDUCATION PARTNERS THESE ORGANIZATIONS CONTRIBUTED SUBJECT MATTER EXPERTISE, COMMUNITY PERSPECTIVES, AND GUIDANCE ON IDENTIFYING AND PRIORITIZING COMMUNITY HEALTH NEEDS. IN ADDITION, CVMC ENGAGED BUILD COMMUNITY, A NON HOSPITAL, WOMAN OWNED RESEARCH AND PLANNING FIRM, TO SERVE AS THE EXTERNAL RESEARCH PARTNER FOR THE FY2025 CHNA. BUILD COMMUNITY WAS RESPONSIBLE FOR PRIMARY AND SECONDARY DATA COLLECTION, COMMUNITY ENGAGEMENT ACTIVITIES, ANALYSIS, AND PREPARATION OF THE CHNA REPORT. THIS COLLABORATIVE, MULTI SECTOR APPROACH REFLECTS CONTINUITY WITH PRIOR CHNA CYCLES, DURING WHICH CVMC SIMILARLY PARTNERED WITH THRIVE, COMMUNITY BASED ORGANIZATIONS, PUBLIC AGENCIES, AND COMMUNITY RESIDENTS TO ASSESS NEEDS AND INFORM COMMUNITY HEALTH IMPROVEMENT PLANNING.
PART V, SECTION B, LINES 7A, 7B AND 10ACOMMUNITY HEALTH NEEDS ASSESSMENT HTTPS://WWW.UVMHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT IMPLEMENTATION STRATEGY HTTPS://WWW.UVMHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT HOSPITAL FACILITY WEBSITE: HTTPS://WWW.UVMHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL- ASSISTANCE
PART V, SECTION B, LINE 11CENTRAL VERMONT MEDICAL CENTER (CVMC) ADDRESSES THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY ADOPTED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THROUGH IMPLEMENTATION OF ITS COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), DEVELOPED IN PARTNERSHIP WITH THRIVE, THE REGION'S ACCOUNTABLE COMMUNITY FOR HEALTH. THE ACTIVITIES DESCRIBED BELOW ARE BASED ON THE PRIORITIES AND IMPLEMENTATION STRATEGIES IDENTIFIED IN THE 2022-2025 CHNA CYCLE, WHICH REMAINED IN EFFECT FOR THE MAJORITY OF THE REPORTING PERIOD. ALTHOUGH CVMC COMPLETED A NEW CHNA IN 2025, THE UPDATED CHNA WAS NOT FORMALLY ADOPTED BY THE BOARD OF TRUSTEES OF THE UNIVERSITY OF VERMONT HEALTH NETWORK - CENTRAL VERMONT MEDICAL CENTER UNTIL SEPTEMBER 10, 2025. THEREFORE, THE PROGRAMS, INITIATIVES, AND OUTCOMES REPORTED BELOW PRIMARILY REFLECT EFFORTS UNDERTAKEN TO ADDRESS THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA AND CORRESPONDING 2022-2025 COMMUNITY HEALTH IMPROVEMENT PLAN. THESE PRIORITY AREAS INCLUDED DIVERSITY, EQUITY AND INCLUSION; CHRONIC DISEASE PREVENTION; MENTAL HEALTH; SOCIAL DRIVERS OF HEALTH; AND SUBSTANCE USE DISORDERS. CVMC ADDRESSES THESE NEEDS THROUGH HOSPITAL-BASED PROGRAMS, COMMUNITY PARTNERSHIPS, REGIONAL COALITIONS, AND POPULATION HEALTH INITIATIVES DESIGNED TO IMPROVE HEALTH OUTCOMES AND ADVANCE HEALTH EQUITY THROUGHOUT CENTRAL VERMONT. DIVERSITY, EQUITY AND INCLUSION CVMC CONTINUED EFFORTS TO CREATE AN INCLUSIVE CARE ENVIRONMENT THAT HONORS THE DIVERSITY OF THE COMMUNITY, INCREASES CULTURAL AWARENESS AND HUMILITY, AND ADVANCES HEALTH EQUITY. DURING 2025, MORE THAN 90% OF CVMC LEADERS COMPLETED FACILITATOR-LED TRAINING ON UNCONSCIOUS BIAS AND MICROAGGRESSIONS, AND NEARLY 25% OF THE WORKFORCE COMPLETED AT LEAST ONE CULTURE, EXPERIENCE AND COMMUNITY HEALTH (CECH) EDUCATIONAL OFFERING. DIVERSITY, EQUITY, AND INCLUSION PRINCIPLES WERE INCORPORATED INTO TEAM HUDDLES AND HEART CHATS, REINFORCING EVERYDAY INCLUSION PRACTICES. CVMC ALSO IMPLEMENTED A MULTI-MONTH MICROAGGRESSIONS EDUCATION SERIES, FACILITATED CASE-BASED LEARNING OPPORTUNITIES, EXPANDED LANGUAGE ACCESS AWARENESS, AND PARTICIPATED IN SYSTEM-WIDE HEALTH EQUITY INITIATIVES. THESE EFFORTS SUPPORT THE CHNA GOAL OF REDUCING DISPARITIES IN CARE AND IMPROVING EQUITABLE ACCESS AND PATIENT EXPERIENCE. CHRONIC DISEASE PREVENTION TO ADDRESS CHRONIC DISEASE PREVENTION AND IMPROVE CARE COORDINATION, CVMC PARTICIPATES IN THE VERMONT TEAM-BASED CARE INITIATIVE AND SUPPORTS INTEGRATED, TEAM-BASED MODELS OF CARE. THROUGH COLLABORATION WITH COMMUNITY PARTNERS, CVMC HELPED DEVELOP A REGIONAL ECOSYSTEM MAP OF CASE MANAGEMENT SERVICES, ESTABLISHED A LEAD CASE MANAGER FRAMEWORK, AND ADVANCED SHARED CARE PLANNING EFFORTS DESIGNED TO IMPROVE COORDINATION FOR INDIVIDUALS WITH COMPLEX HEALTH NEEDS. CVMC'S INTEGRATED CARE MANAGEMENT TEAM, IN PARTNERSHIP WITH BLUEPRINT FOR HEALTH, PROVIDES COORDINATED CARE FOR PATIENTS WITH CHRONIC CONDITIONS INCLUDING DIABETES, HYPERTENSION, AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD). THE PROGRAM CONNECTS PATIENTS TO CLINICAL, BEHAVIORAL HEALTH, AND COMMUNITY-BASED SUPPORTS WHILE ADDRESSING BARRIERS TO CARE AND SOCIAL NEEDS THAT IMPACT HEALTH OUTCOMES. CVMC ALSO SUPPORTS DISEASE PREVENTION AND SELF-MANAGEMENT THROUGH MYHEALTHYVT, WHICH PROVIDES OUTREACH, EDUCATION, AND EVIDENCE-BASED HEALTH PROMOTION PROGRAMS THROUGHOUT THE SERVICE AREA. MENTAL HEALTH IMPROVING ACCESS TO MENTAL HEALTH SERVICES REMAINS A KEY PRIORITY IDENTIFIED IN THE CHNA. CVMC HAS IMPLEMENTED PRIMARY CARE MENTAL HEALTH INTEGRATION (PCMHI) IN ALL PRIMARY CARE PRACTICES, EMBEDDING BEHAVIORAL HEALTH SERVICES WITHIN PRIMARY CARE SETTINGS AND IMPROVING ACCESS TO MENTAL HEALTH EVALUATION, TREATMENT, AND CARE COORDINATION. IN 2025, 954 UNIQUE PATIENTS RECEIVED PCMHI SERVICES, REPRESENTING A 74% INCREASE COMPARED TO 2024. THIS INTEGRATED MODEL SUPPORTS EARLY INTERVENTION, REDUCES BARRIERS TO TREATMENT, AND STRENGTHENS COORDINATION BETWEEN PRIMARY CARE AND BEHAVIORAL HEALTH PROVIDERS. SOCIAL DRIVERS OF HEALTH CVMC ADDRESSES SOCIAL DRIVERS OF HEALTH THROUGH PARTNERSHIPS THAT IMPROVE ACCESS TO FOOD, TRANSPORTATION, COMMUNITY RESOURCES, AND SUPPORTIVE SERVICES. AS FISCAL SPONSOR AND CONVENER OF THRIVE, CVMC COLLABORATES WITH HEALTHCARE, PUBLIC HEALTH, SOCIAL SERVICE, EDUCATION, AND COMMUNITY PARTNERS TO ADDRESS SOCIAL CONDITIONS THAT INFLUENCE HEALTH AND WELL-BEING. THRIVE ALSO PARTNERED WITH CVMC IN CONDUCTING THE CHNA AND DEVELOPING THE CHIP. FOOD INSECURITY INITIATIVES INCLUDE THE HEALTH CARE SHARES PROGRAM, OPERATED IN PARTNERSHIP WITH THE VERMONT YOUTH CONSERVATION CORPS, AND SPONSORSHIP OF THE VERMONT FOODBANK VEGGIE VAN GO PROGRAM. DURING FY2025, VEGGIE VAN GO SERVED 6,378 HOUSEHOLDS ACROSS CENTRAL VERMONT, A 13% INCREASE FROM THE PRIOR YEAR. TRANSPORTATION BARRIERS ARE ADDRESSED THROUGH PARTNERSHIPS WITH VERMONT RIDE NETWORK AND COMMUNITY RIDES VERMONT. THESE PROGRAMS PROVIDE TRANSPORTATION TO MEDICAL APPOINTMENTS AND OTHER HEALTHCARE SERVICES, INCLUDING WHEELCHAIR-ACCESSIBLE TRANSPORTATION AND ZERO-EMISSION VEHICLE TRANSPORTATION OPTIONS FOR COMMUNITY MEMBERS WITH LIMITED ACCESS TO CARE. SUBSTANCE USE DISORDERS THE CHNA IDENTIFIED SUBSTANCE USE DISORDERS AS A SIGNIFICANT COMMUNITY HEALTH NEED. CVMC ADDRESSES THIS PRIORITY THROUGH PREVENTION, TREATMENT, RECOVERY SUPPORT, HARM REDUCTION, AND COMMUNITY COLLABORATION. THROUGH THE BLUEPRINT FOR HEALTH SPOKE PROGRAM, CVMC PROVIDES INTEGRATED SERVICES FOR INDIVIDUALS RECEIVING MEDICATION FOR OPIOID USE DISORDER, INCLUDING COUNSELING, CARE COORDINATION, AND CONNECTIONS TO RECOVERY RESOURCES. CVMC ALSO SUPPORTS THE CENTRAL VERMONT PREVENTION COALITION (CVPC), A REGIONAL COALITION REPRESENTING MORE THAN 115 PARTNER ORGANIZATIONS WORKING TO PREVENT SUBSTANCE MISUSE AND STRENGTHEN RECOVERY SYSTEMS. DURING 2025, CVPC IMPLEMENTED THE FIRST YEAR OF THE FUTURE VERMONT GRANT, WHICH FOCUSES ON YOUTH PREVENTION, FAMILY ENGAGEMENT, RECOVERY SUPPORT, AND COORDINATED COMMUNITY INTERVENTION STRATEGIES. ADDITIONAL INITIATIVES INCLUDE PROJECT BEACON, WHICH SUPPORTS OVERDOSE SURVIVORS THROUGH NALOXONE DISTRIBUTION, HARM REDUCTION EDUCATION, AND CONNECTIONS TO TREATMENT AND RECOVERY SERVICES, AND THE RESOURCES AND OPTIONS FOR ALCOHOL DRINKING (ROAD) PROGRAM, WHICH EXPANDS EVIDENCE-BASED TREATMENT AND SUPPORT FOR INDIVIDUALS WITH ALCOHOL USE DISORDER. THROUGH ROAD, 17% OF PATIENTS SCREENING POSITIVE FOR ALCOHOL USE DISORDER IN CVMC PRIMARY CARE PRACTICES RECEIVED EVIDENCE-BASED MEDICATION TREATMENT, COMPARED WITH A NATIONAL RATE OF APPROXIMATELY 2%. NEEDS NOT BEING ADDRESSED CVMC IS ACTIVELY ADDRESSING ALL SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS MOST RECENT CHNA THROUGH DIRECT PROGRAMS, COLLABORATIVE INITIATIVES, AND COMMUNITY PARTNERSHIPS. BECAUSE MANY HEALTH ISSUES-PARTICULARLY THOSE RELATED TO HEALTH EQUITY, CHRONIC DISEASE, BEHAVIORAL HEALTH, SUBSTANCE USE, AND SOCIAL DRIVERS OF HEALTH-ARE COMPLEX AND INFLUENCED BY MULTIPLE FACTORS, PROGRESS REQUIRES LONG-TERM COLLABORATION ACROSS HEALTHCARE, PUBLIC HEALTH, SOCIAL SERVICE, EDUCATION, GOVERNMENT, AND COMMUNITY ORGANIZATIONS. ACCORDINGLY, CVMC CONTINUES TO WORK WITH THRIVE AND NUMEROUS COMMUNITY PARTNERS TO ADVANCE SUSTAINABLE, COMMUNITY-WIDE SOLUTIONS. AT THIS TIME, NO SIGNIFICANT CHNA HEALTH NEED HAS BEEN IDENTIFIED AS WHOLLY UNADDRESSED.
PART V, SECTION B, LINE 15EFROM REGISTRATION, PATIENTS ARE ROUTINELY REFERRED TO THE CVMC FINANCIAL ADVOCACY DEPARTMENT OR COMMUNITY HEALTH IMPROVEMENT DEPARTMENT. BOTH AREAS PROVIDE KNOWLEDGE AND ASSISTANCE IN THE APPLICATION PROCESS FOR CHARITY AND OTHER APPLICABLE FUNDING SOURCES. ADVOCATES ACTIVELY EDUCATE ALL INPATIENT, OBSERVATION AND OUTPATIENT INVASIVE SERVICE PATIENTS OF OUR PROGRAM, PRIOR TO OR CONCURRENT WITH THE PATIENTS' STAY, SUBSEQUENTLY AIDING IN THE APPLICATION PROCESS FOR STATE AID AND CENTRAL VERMONT MEDICAL CENTER'S FINANCIAL PROGRAM. WHILE THE ASSISTANCE POLICY DOES NOT PROVIDE A LIST OF "EXTERNAL" CONTACT INFORMATION FOR NON-CENTRAL VERMONT MEDICAL CENTER PARTIES OR AGENCIES WHO MAY ASSIST PATIENTS IN THE APPLICATION PROCESS, APPLICATION COMPLETION AID IS WELL PUBLISHED WITH MULTIPLE INTERNAL, ORGANIZATIONAL AND CENTRAL VERMONT MEDICAL CENTER COMMUNITY HEALTH ASSISTANCE TEAM MEMBERS AVAILABLE TO ASSIST OUR PATIENTS. IT IS ALSO IMPORTANT TO NOTE, PATIENTS ARE REVIEWED IN ADVANCE OF SERVICE FOR POTENTIAL HARDSHIP; THE UNINSURED AND UNDERINSURED PATIENTS WHO ARE IDENTIFIED ARE ACTIVELY COUNSELED WITH HELP FOR GOVERNMENT AND EXCHANGE PROGRAMS AS WELL AS ASSISTANCE IN THE CENTRAL VERMONT MEDICAL CENTER FINANCIAL ASSISTANCE PROGRAM.
PART V, SECTION B, LINES 16A, 16B & 16C:FINANCIAL ASSISTANCE POLICY (FAP) RESOURCES THE FAP, THE FAP APPLICATION FORM, AND A PLAIN LANGUAGE SUMMARY OF THE FAP IS AVAILABLE AND PUBLISHED ON THE UNIVERSITY OF VERMONT HEALTH NETWORK FINANCIAL ASSISTANCE WEBPAGE LOCATED AT: https://www.uvmhealth.org/patients-visitors/billing-insurance/ financial-assistance
PART V, SECTION B, LINE 16JWHILE THE FINANCIAL ASSISTANCE POLICY DOES NOT PROVIDE A LIST OF "EXTERNAL" CONTACT INFORMATION FOR NON-CENTRAL VERMONT MEDICAL CENTER PARTIES OR AGENCIES WHO MAY ASSIST PATIENTS IN THE APPLICATION PROCESS; THE APPLICATION COMPLETION AID IS WELL PUBLISHED WITH MULTIPLE EXTERNAL ORGANIZATIONS AND THE CENTRAL VERMONT MEDICAL CENTER COMMUNITY HEALTH ASSISTANCE TEAM MEMBERS ARE AVAILABLE TO ASSIST OUR PATIENTS AND COMMUNITY MEMBERS. IT IS ALSO IMPORTANT TO NOTE, PATIENTS ARE REVIEWED IN ADVANCE OF SERVICE FOR POTENTIAL HARDSHIP; THE UNINSURED AND UNDERINSURED PATIENTS WHO ARE IDENTIFIED ARE ACTIVELY COUNSELED WITH HELP FOR GOVERNMENT AND EXCHANGE PROGRAMS AS WELL AS ASSISTANCE IN THE CENTRAL VERMONT MEDICAL CENTER FINANCIAL ASSISTANCE PROGRAM.
PART V, SECTION B, LINE 18FCVMC DID NOT INITIATE ANY OF THE ACTIONS DESCRIBED IN SCHEDULE H, PART V, SECTION B, LINE 18. HOWEVER, IF THE HOSPITAL HAD UNDERTAKEN ANY OF THE LISTED ACTIONS, THE FACILITY WOULD HAVE FIRST NOTIFIED PATIENTS OF ITS FINANCIAL ASSISTANCE POLICY ON ADMISSION, PRIOR TO DISCHARGE, AND IN COMMUNICATIONS WITH THE PATIENTS REGARDING THEIR BILLS. ADDITIONALLY, CVMC WOULD HAVE DOCUMENTED DETERMINATION OF WHETHER PATIENTS WERE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY.
PART V, SECTION B, LINE 20ATHE CENTRAL VERMONT MEDICAL CENTER'S BAD DEBT POLICY PROVIDES THAT CVMC SHALL NOT TAKE ANY EXTRAORDINARY COLLECTION ACTIONS.
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Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART VI, LINE 1THE ORGANIZATION'S REQUIRED SCHEDULE H SPECIFIC LINE ITEM DESCRIPTIONS ARE AS FOLLOWS:
PART I, LINES 3A-C:ELIGIBILITY FOR FINANCIAL ASSISTANCE WILL BE CONSIDERED FOR THOSE WHO ARE UNINSURED, UNDERINSURED, AND INELIGIBLE FOR ANY GOVERNMENT HEALTH CARE BENEFIT PROGRAM. TO QUALIFY FOR FINANCIAL ASSISTANCE, AN ELIGIBLE PATIENT MUST PASS BOTH AN INCOME AND ASSETS TEST. THE INCOME TEST IS SET AT A MAXIMUM OF 400% FEDERAL POVERTY LEVEL GUIDELINES (FPLG) AND THE ASSET TEST ALLOWS LIQUID ASSETS EQUAL TO INCOME LEVELS OF 400% OF THE FEDERAL POVERTY LEVEL, ADJUSTED TO HOUSEHOLD SIZE. IF ASSETS ARE BELOW THE GUIDELINE, THE PATIENT PASSES THE ASSET TEST. ADDITIONALLY AND INDEPENDENTLY, FINANCIAL ASSISTANCE IS AVAILABLE TO MEDICALLY INDIGENT INDIVIDUALS WHOSE HOSPITAL BILLS EXCEED 20% OF ANNUAL HOUSHOLD INCOME. PATIENTS MUST RESIDE WITHIN CENTRAL VERMONT MEDICAL CENTER'S SERVICE AREA, WHICH INCLUDES ALL OF VERMONT AND SELECT COUNTIES IN NEW YORK AND NEW HAMPSHIRE, UNLESS MEDICAL SERVICES WERE URGENT OR EMERGENT IN NATURE. FINANCIAL ASSISTANCE FOR RESIDENTS OUTSIDE OF CVMC'S SERVICE AREA WILL BE GRANTED IN UNIQUE CIRCUMSTANCES AND WITH APPROPRIATE APPROVAL.
PART I, LINE 7:CENTRAL VERMONT MEDICAL CENTER USES THE AXIOM COST ACCOUNTING SYSTEM TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE ON LINE 7. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS, INCLUDING, BUT NOT LIMITED TO, INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED AND SELF PAY. THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 WAS ALSO USED FOR SOME OF THE FIGURES REPORTED IN THE TABLE ON LINE 7. THE CENTRAL VERMONT MEDICAL CENTER'S ANNUAL MEDICAID PROVIDER TAX IS ASSESSED ON VERMONT ACUTE CARE HOSPITALS BY THE STATE OF VERMONT. THE TAX ASSESSMENT IS CALCULATED AS 6% OF A HOSPITAL'S BASE YEAR NET PATIENT CARE REVENUE.
PART I, LINE 7, COLUMN (F):THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE AMOUNT REPORTED ON LINE 7(F) IS $0. PATIENT-RELATED BAD DEBT IN THE AMOUNT OF $9,458,977 IS NETTED FROM PATIENT REVENUE IN PART VIII, LINE 2.
PART III, LINE 2:CENTRAL VERMONT MEDICAL CENTER'S FINANCIAL STATEMENTS INCLUDE A FOOTNOTE DESCRIBING BAD DEBT EXPENSE. RECEIVABLES ARE REPORTED NET OF AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE PROVISION FOR PATIENT RELATED BAD DEBT IS REPORTED AS A DEDUCTION FROM GROSS REVENUE. THIS EXPENSE IS DETERMINED AS A PERCENTAGE OF GROSS PATIENT SERVICE REVENUE BASED ON ACTUAL WRITE-OFF HISTORY, REVIEWED ON A QUARTERLY BASIS AND ADJUSTED ON A SEMI-ANNUAL BASIS.
PART III, LINE 3:DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE NETTED AGAINST THE TOTAL GROSS CHARGES WHEN DETERMINING BAD DEBT EXPENSE. THE $189,180 REFLECTS THE ADJUSTED BAD DEBT EXPENSE FOR ALL PATIENTS WHO SUBMITTED AN INITIAL APPLICATION, BUT UPON FOLLOW-UP, DID NOT RESPOND TO REQUESTS FOR ADDITIONAL INFORMATION OR SUPPORTING DOCUMENTATION.
PART III, LINE 4:PLEASE REFERENCE FOOTNOTE NUMBER 4 ON PAGE 17 IN THE FISCAL YEAR 2025 AUDITED CONSOLIDATED FINANCIAL STATEMENTS.
PART III, LINE 8:THE AMOUNT REPORTED IN PART III, LINE 6, MEDICARE ALLOWABLE COSTS OF CARE, IS DERIVED FROM CENTRAL VERMONT MEDICAL CENTER'S FYE 9/30/25 MEDICARE COST REPORT, WORKSHEET D-1, COMPUTATION OF INPATIENT OPERATING COSTS, AND WORKSHEET E PART B, CALCULATION OF OUTPATIENT SETTLEMENT. WHILE CVMC HAS HISTORICALLY FOLLOWED THE CATHOLIC HOSPITAL ASSOCIATION'S GUIDANCE AND HAS NOT CONSIDERED ANY MEDICARE SHORTFALL (REPORTED IN PART III, LINE 7) AS A COMMUNITY BENEFIT, IT IS LIKELY THAT SOME PORTION OF MEDICARE PATIENTS WOULD HAVE QUALIFIED FOR CHARITY CARE UNDER OUR POLICIES IN THE ABSENCE OF MEDICARE COVERAGE, SUCH THAT SHORTFALLS ASSOCIATED WITH THOSE PATIENTS WOULD OTHERWISE HAVE BEEN INCLUDED IN OUR COMMUNITY BENEFITS.
PART III, LINE 9B:THE COLLECTION PROCESS IN PLACE AT CENTRAL VERMONT MEDICAL CENTER (CVMC) INCLUDES GENERATION OF MONTHLY STATEMENTS, FOLLOWED BY A PRE-COLLECTION LETTER OVER THE COURSE OF 120 DAYS. IN THE CASE OF UNDELIVERABLE MAIL, EFFORTS WILL BE MADE TO REACH THE PATIENT BY TELEPHONE. IF A NEW BILLING ADDRESS IS OBTAINED, THE 120 DAY WINDOW WILL BEGIN AGAIN. IF NO CONTACT CAN BE MADE AND PAYMENT IS NOT RECEIVED WITHIN THE REVISED 120 DAY WINDOW, THE ACCOUNT WILL BE REFERRED TO A COLLECTION AGENCY. IF CONTACT IS MADE, THE PATIENT WILL BE OFFERED A BUDGET PLAN. ALL STATEMENTS, LETTERS AND CONTACT WILL INCLUDE THE FACT THAT FINANCIAL ASSISTANCE IS AVAILABLE. REASONABLE EFFORTS WILL BE MADE TO DETERMINE IF A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE PRIOR TO BALANCE TRANSFER TO COLLECTIONS. REASONABLE EFFORTS MAY INCLUDE THE USE OF PRESUMPTIVE SCORING, THE NOTIFICATION AND PROCESSING OF APPLICATIONS AND NOTIFICATION BEFORE, DURING AND AFTER CARE. CVMC WILL PROCESS APPLICATIONS SUBMITTED BY INDIVIDUALS DURING THE APPLICATION PERIOD WHICH BEGINS ON THE DATE A BILLING STATEMENT FOR THE PATIENT BALANCE OF CARE IS PRESENTED AND ENDS 240 DAYS LATER. IF AT THE END OF THE 120 NOTIFICATION PERIOD AND ACCOUNT HAS BEEN REFERRED TO A COLLECTION AGENCY AND AN APPLICATION IS RECEIVED AND GRANTED WITHIN THE 240 DAY APPLICATION PERIOD, ACCOUNTS SHALL BE RECALLED FROM THE AGENCY AND PROCESSED UNDER THE FINANCIAL ASSISTANCE PROGRAM.
NEEDS ASSESSMENTPART VI, LINE 2 CENTRAL VERMONT MEDICAL CENTER (CVMC) REGULARLY ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH ONGOING DATA ANALYSIS, COMMUNITY ENGAGEMENT, AND CROSS-SECTOR COLLABORATION. THE 2025 CHNA WAS CONDUCTED IN PARTNERSHIP WITH THRIVE, THE REGIONAL ACCOUNTABLE COMMUNITY FOR HEALTH, AND AN INDEPENDENT RESEARCH FIRM, BUILD COMMUNITY. THE ASSESSMENT INCLUDED AN EXTENSIVE REVIEW OF PRIMARY AND SECONDARY DATA, HEALTH TRENDS, DEMOGRAPHIC AND SOCIOECONOMIC INDICATORS, AND THE SOCIAL DRIVERS OF HEALTH AFFECTING RESIDENTS IN CVMC'S SERVICE AREA. PRIMARY DATA COLLECTION METHODS INCLUDED BROAD COMMUNITY ENGAGEMENT, SUCH AS AN ONLINE COMMUNITY SURVEY WITH MORE THAN 1,300 RESIDENTS, A KEY STAKEHOLDER SURVEY WITH 186 INDIVIDUALS REPRESENTING HEALTH CARE PROVIDERS, SOCIAL SERVICE ORGANIZATIONS, GOVERNMENT AGENCIES, AND COMMUNITY GROUPS, AS WELL AS COMMUNITY CONVERSATIONS AND LISTENING SESSIONS WITH PROFESSIONALS SERVING PRIORITY POPULATIONS, INCLUDING OLDER ADULTS. THESE METHODS WERE USED TO GATHER INPUT ON UNMET HEALTH AND SOCIAL NEEDS, BARRIERS TO ACCESSING SERVICES, SERVICE DELIVERY GAPS, AND OPPORTUNITIES FOR IMPROVEMENT. SECONDARY DATA SOURCES INCLUDED LOCAL, STATE, AND NATIONAL PUBLIC HEALTH AND DEMOGRAPHIC DATA, INCLUDING INFORMATION FROM THE U.S. CENSUS BUREAU, CENTERS FOR DISEASE CONTROL AND PREVENTION, VERMONT DEPARTMENT OF HEALTH, HEALTH RESOURCES AND SERVICES ADMINISTRATION, AND OTHER RECOGNIZED DATA SETS. DATA WERE ANALYZED AT THE COUNTY, ZIP CODE, AND CENSUS TRACT LEVELS TO IDENTIFY DISPARITIES, EMERGING TRENDS, AND AREAS OF HIGHER UNMET NEED. THE ASSESSMENT INCORPORATED FRAMEWORKS SUCH AS SOCIAL DRIVERS OF HEALTH, THE UNMET NEED SCORE, AND THE SOCIAL VULNERABILITY INDEX TO BETTER UNDERSTAND DIFFERENCES IN HEALTH OUTCOMES AND ACCESS ACROSS COMMUNITIES. CVMC AND THRIVE ALIGNED CHNA FINDINGS WITH THE VERMONT DEPARTMENT OF HEALTH STATE HEALTH IMPROVEMENT PLAN (SHIP) TO SUPPORT COORDINATED COMMUNITY HEALTH PLANNING AND PRIORITIZATION. THE RESULTS OF THE CHNA ARE USED TO INFORM CVMC'S COMMUNITY HEALTH IMPROVEMENT PLAN AND TO GUIDE COMMUNITY BENEFIT INVESTMENTS AND PARTNERSHIPS. BEYOND THE FORMAL CHNA PROCESS, CVMC CONTINUOUSLY MONITORS COMMUNITY HEALTH NEEDS THROUGH ITS ROLE AS A PARTNER AND FISCAL SPONSOR OF THRIVE. THRIVE CONVENES A MULTI-SECTOR LEADERSHIP PARTNERSHIP THAT INCLUDES HEALTH CARE PROVIDERS, MENTAL HEALTH AND SUBSTANCE USE TREATMENT ORGANIZATIONS, SOCIAL SERVICE AGENCIES, GOVERNMENT ENTITIES, INSURERS, HOUSING ORGANIZATIONS, AND COMMUNITY-BASED NONPROFITS. THESE PARTNERS MEET REGULARLY TO SHARE DATA, IDENTIFY EMERGING ISSUES, COORDINATE SERVICES, AND SUPPORT SYSTEM-LEVEL SOLUTIONS TO IMPROVE ACCESS TO CARE, REDUCE DISPARITIES, AND ADDRESS UPSTREAM SOCIAL AND ECONOMIC FACTORS AFFECTING HEALTH. THROUGH THIS COMBINATION OF PERIODIC COMPREHENSIVE ASSESSMENT AND ONGOING COLLABORATIVE ENGAGEMENT, CVMC MAINTAINS A DYNAMIC UNDERSTANDING OF THE HEALTH CARE AND HEALTH-RELATED NEEDS OF CENTRAL VERMONT RESIDENTS AND ADAPTS STRATEGIES TO RESPOND TO EVOLVING COMMUNITY CONDITIONS. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE AT THE FOLLOWING WEB ADDRESS: https://www.uvmhealth.org/sites/default/files/2025-09/CVMC-Community-Healt h-Needs-Assessment-2025.pdf
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: CENTRAL VERMONT MEDICAL CENTER USES A VARIETY OF METHODS TO INFORM, EDUCATE AND ASSIST PATIENTS IN IDENTIFYING PAYMENT SOURCES, INCLUDING STATE / FEDERAL PROGRAMS AS WELL AS OUR PATIENT ASSISTANCE PROGRAM. INFORM & EDUCATE: PATIENT EDUCATION IS PROVIDED ACROSS THE CONTINUUM OF CARE. PATIENT BENEFIT ADVISORS, FINANCIAL ADVOCATES, REGISTRARS, CASE MANAGERS, SOCIAL WORKERS AND CUSTOMER SERVICE REPRESENTATIVES ACTIVELY INFORM AND EDUCATE PATIENTS ON THE PROGRAM, GUIDELINES, REQUIREMENTS FROM: - PRE-ARRIVAL SCREENING/REGISTRATION TO POINT OF SALE EDUCATION AT REGISTRATION - AT THE BEDSIDE OF AN INPATIENT OR OBSERVATION PATIENT, AFTER DISCHARGE WITH CONTINUED FOLLOW-UP BY FINANCIAL ADVOCATES AND DURING THE SELF-PAY BILLING FOLLOW-UP PROCESS. PATIENTS ARE INFORMED OF THE PROGRAM, APPLICATIONS AND ASSISTANCE WITH COMPLETION ARE PROVIDED WITH FINANCIAL ADVOCATES ALSO PROVIDING EDUCATION AND ASSISTANCE FOR MEDICAID AND HEALTH INFORMATION EXCHANGE PROGRAMS, ALONG WITH ASSISTANCE IN APPLYING FOR THE CENTRAL VERMONT MEDICAL CENTER FINANCIAL ASSISTANCE PROGRAM. PATIENTS ARE ROUTINELY REFERRED TO ADVOCATES AND ADVISORS IN ADVANCE OF SERVICE WITH ADVOCATES ACTIVELY ASSISTING PATIENTS WHO ARE ADMITTED TO THE ORGANIZATION URGENTLY OR EMERGENTLY. POLICIES, SUMMARIES AND APPLICATIONS ARE AVAILABLE AT ALL REGISTRATION LOCATIONS, THEY ARE REFERENCED IN ALL INTERVIEW PROCESSES AND FURTHER AVAILABLE IN THE WAITING AREAS. OUR ORGANIZATIONAL WEBSITES PROVIDE EDUCATION, APPLICATIONS, POLICIES, SUMMARIES, AND FAQ DOCUMENTS ALONG WITH CONTACT INFORMATION AS A PASSIVE MEANS OF COMMUNICATION IN ADDITION TO THE ACTIVE EDUCATION REFERENCED PREVIOUSLY. OUR BILLING STATEMENTS REFLECT FINANCIAL ASSISTANCE HELP AND OUR COMMUNITY BENEFIT TEAM EDUCATE WITHIN THE COMMUNITY ON OUR PROGRAMS. APPLICATIONS AND INFORMATION ARE ADDITIONALLY AVAILABLE IN THE LOCAL COMMUNITY HEALTH CENTERS. ASSIST: - ALL INPATIENT AND OUTPATIENT PROCEDURES ARE FINANCIALLY SCREENED TO IDENTIFY THE UNDERINSURED OR UNINSURED PATIENT POPULATION. PRIOR TO SERVICE, CONCURRENT WITH SERVICE AND POST SERVICE, OUR PATIENT FINANCIAL COUNSELORS WILL CALL AND/OR MEET WITH PATIENTS AND FAMILIES TO EDUCATE THEM ON THE AVAILABLE PROGRAMS AND WHERE APPLICABLE, ASSIST IN THE APPLICATION PROCESS. THIS INCLUDES STATE AND FEDERAL AID APPLICATIONS AND THE CENTRAL VERMONT MEDICAL CENTER CHARITY APPLICATION PROCESS. - OUR FINANCIAL COUNSELORS /ADVOCATES HAVE BEEN CERTIFIED AS ASSISTERS IN THE PROCESS FOR HEALTH EXCHANGE INSURANCE, MEDICAID AND THE FINANCIAL ASSISTANCE PROGRAMS. COUNSELORS WILL ADDITIONALLY MEET WITH PATIENTS AT THE BEDSIDE TO HELP COMPLETE THE APPLICATIONS, PROVIDE DETAILS ON SUPPORTING DOCUMENTATION NEEDS AND FACILITATE AND EXPEDITE THE REVIEW PROCESS UNTIL A NOTICE OF DECISION HAS BEEN RECEIVED.
COMMUNITY INFORMATIONPART VI, LINE 4 COMMUNITY INFORMATION CENTRAL VERMONT MEDICAL CENTER (CVMC) PRIMARILY SERVES RESIDENTS OF WASHINGTON COUNTY, WITH A SECONDARY SERVICE AREA INCLUDING NEIGHBORING COMMUNITIES IN CALEDONIA, CHITTENDEN, LAMOILLE, AND ORANGE COUNTIES. DEMOGRAPHICS . POPULATION GROWTH HAS REMAINED LIMITED. WASHINGTON COUNTY HAD AN ESTIMATED POPULATION OF 59,958 RESIDENTS IN 2023, REFLECTING APPROXIMATELY 1% TOTAL GROWTH FROM 2010 TO 2023, COMPARED TO FASTER GROWTH NATIONALLY. VERMONT AND WASHINGTON COUNTY CONTINUE TO GROW MORE SLOWLY THAN THE NATION OVERALL. . THE POPULATION IS AGING RAPIDLY. FROM 2010 TO 2023, THE NUMBER OF ADULTS AGED 65 OR OLDER INCREASED BY MORE THAN 50% IN BOTH WASHINGTON COUNTY (52.1%) AND VERMONT OVERALL (53.8%). NEARLY 1 IN 5 RESIDENTS (ABOUT 21%) IN WASHINGTON COUNTY ARE NOW AGE 65 OR OLDER, COMPARED TO 16.8% NATIONALLY. THE MEDIAN AGE IN WASHINGTON COUNTY IS 43.7, SEVERAL YEARS OLDER THAN THE NATIONAL MEDIAN. . THE YOUTH POPULATION IS PROPORTIONALLY SMALLER. CHILDREN UNDER AGE 18 REPRESENT 18.3% OF WASHINGTON COUNTY RESIDENTS, COMPARED TO 22.2% NATIONALLY, REFLECTING BOTH LOW BIRTH RATES AND OUT-MIGRATION OF YOUNGER ADULTS. . RACIAL AND ETHNIC DIVERSITY IS INCREASING, THOUGH THE POPULATION REMAINS PREDOMINANTLY WHITE. BETWEEN 2010 AND 2023, THE SHARE OF RESIDENTS IDENTIFYING AS MULTIRACIAL AND LATINX INCREASED, WHILE THE PROPORTION IDENTIFYING AS WHITE DECLINED. DESPITE THESE SHIFTS, WASHINGTON COUNTY RESIDENTS IDENTIFYING AS WHITE STILL REPRESENT OVER 90% OF THE POPULATION, ALTHOUGH THIS SHARE CONTINUES TO TREND DOWNWARD. . APPROXIMATELY 14.2% OF WASHINGTON COUNTY RESIDENTS LIVE WITH A DISABILITY, WHICH IS SLIGHTLY HIGHER THAN THE NATIONAL AVERAGE (13.0%) AND REFLECTS THE COUNTY'S OLDER AGE PROFILE. DISABILITY PREVALENCE IS SUBSTANTIALLY HIGHER AMONG OLDER ADULTS (30.1% OF RESIDENTS AGE 65+). . POVERTY LEVELS ARE BELOW NATIONAL AVERAGES BUT VARY SIGNIFICANTLY BY LOCATION AND POPULATION. - 9.4% OF WASHINGTON COUNTY RESIDENTS LIVE IN POVERTY, COMPARED TO 10.3% STATEWIDE AND 12.4% NATIONALLY. - 10.7% OF CHILDREN AND 9.2% OF ADULTS AGE 65+ IN WASHINGTON COUNTY LIVE IN POVERTY. - SUBSTANTIAL VARIATION EXISTS BY ZIP CODE, WITH HIGHER POVERTY AND CHILD POVERTY RATES IN COMMUNITIES SUCH AS BARRE, ROXBURY, NORTHFIELD, AND MARSHFIELD, ILLUSTRATING LOCALIZED SOCIOECONOMIC DISPARITIES. . HOUSING COST BURDEN REMAINS A SIGNIFICANT CHALLENGE. - APPROXIMATELY 26% OF HOMEOWNERS IN WASHINGTON COUNTY ARE HOUSING COST BURDENED (SPENDING 30% OR MORE OF INCOME ON HOUSING). - 42.9% OF RENTERS ARE COST BURDENED, MEANING NEARLY 1 IN 2 RENTER HOUSEHOLDS EXPERIENCES HOUSING-RELATED FINANCIAL STRAIN. ALTHOUGH THIS REPRESENTS A SLIGHT IMPROVEMENT SINCE THE PRIOR CHNA, HOUSING AFFORDABILITY REMAINS A KEY DRIVER OF INSTABILITY. ACCESS TO HEALTH CARE . INSURANCE COVERAGE IS HIGH. IN 2023, 97.1% OF WASHINGTON COUNTY RESIDENTS HAD HEALTH INSURANCE, EXCEEDING STATE AND NATIONAL BENCHMARKS AND SURPASSING THE HEALTHY PEOPLE 2030 GOAL. EMPLOYER-SPONSORED INSURANCE REMAINS THE MOST COMMON SOURCE OF COVERAGE, WHILE MEDICARE ENROLLMENT INCREASED TO 23.3%, REFLECTING THE COUNTY'S AGING POPULATION. . PRIMARY CARE AVAILABILITY EXCEEDS NATIONAL LEVELS BUT ACCESS CHALLENGES PERSIST. WASHINGTON COUNTY HAS MORE PRIMARY CARE PHYSICIANS PER 100,000 RESIDENTS THAN THE NATIONAL AVERAGE, THOUGH THE RATE HAS DECLINED SLIGHTLY SINCE 2018. DESPITE THIS RELATIVE AVAILABILITY, ONLY APPROXIMATELY 70% OF ADULTS ACCESSED ROUTINE PRIMARY CARE IN 2022, WHICH IS BELOW BOTH STATE AND NATIONAL AVERAGES. . DENTAL CARE ACCESS IS BETTER THAN STATE AND NATIONAL NORMS BUT REMAINS UNMET FOR MANY. ABOUT 69.1% OF ADULTS RECEIVED DENTAL CARE IN 2022, HIGHER THAN VERMONT AND U.S. AVERAGES, YET ROUGHLY 3 IN 10 ADULTS DID NOT OBTAIN NEEDED DENTAL SERVICES. . BARRIERS TO CARE INCLUDE PROVIDER SHORTAGES, COST, TRANSPORTATION, AND WAIT TIMES. COMMUNITY MEMBERS AND STAKEHOLDERS CONSISTENTLY IDENTIFIED LONG WAIT TIMES, LIMITED PROVIDERS ACCEPTING MEDICAID OR MEDICARE, RISING OUT-OF-POCKET COSTS, AND TRANSPORTATION CHALLENGES-PARTICULARLY FOLLOWING CLINIC CLOSURES AND IN RURAL AREAS-AS KEY BARRIERS TO ACCESSING TIMELY AND PREVENTIVE CARE.
PROMOTION OF COMMUNITY HEALTHPART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH AS A PARTNER IN THE UNIVERSITY OF VERMONT HEALTH NETWORK, CENTRAL VERMONT MEDICAL CENTER (CVMC) ADVANCES ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY THROUGH REGION-WIDE COLLABORATION, OPEN ACCESS TO CARE, STRONG COMMUNITY GOVERNANCE, AND TARGETED INVESTMENTS ALIGNED WITH IDENTIFIED COMMUNITY HEALTH NEEDS. CVMC SERVES AS THE PRIMARY HEALTHCARE PROVIDER FOR APPROXIMATELY 66,000 RESIDENTS ACROSS 26 CENTRAL VERMONT COMMUNITIES AND IS COMMITTED TO IMPROVING POPULATION HEALTH, ADVANCING HEALTH EQUITY, AND ADDRESSING BOTH CLINICAL AND SOCIAL DRIVERS OF HEALTH. CVMC CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS IN COLLABORATION WITH COMMUNITY PARTNERS AND RESIDENTS TO IDENTIFY PRIORITY HEALTH NEEDS AND GUIDE COMMUNITY BENEFIT INVESTMENTS. FINDINGS FROM THE 2022-2025 CHNA CYCLE AND THE FINALIZED 2025 CHNA IDENTIFIED PRIORITY AREAS INCLUDING ACCESS TO CARE AND SERVICES, MENTAL HEALTH AND SUBSTANCE USE DISORDERS, HOUSING AND COST OF LIVING, CHRONIC DISEASE PREVENTION, AND SOCIAL DRIVERS OF HEALTH. THESE FINDINGS DIRECTLY INFORM CVMC'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) AND ASSOCIATED STRATEGIES. CVMC IS A FISCAL SPONSOR AND LEAD CONVENER FOR THRIVE, THE ACCOUNTABLE COMMUNITY FOR HEALTH IN CENTRAL VERMONT. THROUGH THRIVE, CVMC COLLABORATES WITH HEALTH CARE PROVIDERS, SOCIAL SERVICE AGENCIES, GOVERNMENT ENTITIES, AND COMMUNITY-BASED ORGANIZATIONS TO ADVANCE COLLECTIVE IMPACT AND IMPROVE COMMUNITY WELLBEING. NO SINGLE ORGANIZATION CAN ADDRESS POPULATION HEALTH NEEDS ALONE; CVMC'S LEADERSHIP ROLE SUPPORTS COORDINATED, REGIONAL SOLUTIONS. IN ADDITION, CVMC SERVES AS THE ADMINISTRATIVE ENTITY FOR THE VERMONT BLUEPRINT FOR HEALTH FOR THE BARRE HEALTH SERVICE AREA, SUPPORTING PATIENT-CENTERED MEDICAL HOMES AND COMMUNITY HEALTH TEAMS FOCUSED ON CHRONIC DISEASE MANAGEMENT, MENTAL HEALTH INTEGRATION, AND CARE COORDINATION. COMMUNITY HEALTH TEAMS PROVIDE MULTIDISCIPLINARY SUPPORT-INCLUDING NURSING, DIETETICS, CARE MANAGEMENT, WELLNESS COACHING, AND SOCIAL WORK-AT NO COST TO PATIENTS WITHIN PRIMARY CARE PRACTICES AND WOMEN'S HEALTH SETTINGS. THE MAJORITY OF CVMC'S GOVERNING BODY IS COMPOSED OF INDIVIDUALS WHO RESIDE WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NOT EMPLOYEES, CONTRACTORS, OR FAMILY MEMBERS, ENSURING STRONG COMMUNITY OVERSIGHT AND ACCOUNTABILITY. CVMC PARTICIPATES IN THE UNIVERSITY OF VERMONT HEALTH UNIFIED MEDICAL STAFF. MEDICAL STAFF MEMBERSHIP AND CLINICAL PRIVILEGES ARE AVAILABLE TO QUALIFIED PHYSICIANS AND OTHER ELIGIBLE PRACTITIONERS WHO MEET THE QUALIFICATIONS, STANDARDS, AND REQUIREMENTS ESTABLISHED IN THE MEDICAL STAFF BYLAWS AND CREDENTIALING POLICIES. APPLICATIONS FOR MEMBERSHIP AND PRIVILEGES ARE EVALUATED THROUGH A CREDENTIALING AND PEER REVIEW PROCESS AND ARE CONSIDERED WITHOUT DISCRIMINATION ON ANY BASIS PROHIBITED BY LAW. CLINICAL PRIVILEGES MAY BE GRANTED IN DEPARTMENTS AND SPECIALTIES FOR WHICH CVMC HAS ESTABLISHED PRIVILEGING CRITERIA AND HAS THE FACILITIES, RESOURCES, AND SUPPORT SERVICES NECESSARY TO PROVIDE CARE SAFELY AND EFFECTIVELY. CVMC ACTIVELY COLLABORATES WITH A BROAD NETWORK OF COMMUNITY PARTNERS TO FURTHER ITS CHARITABLE MISSION, INCLUDING BUT NOT LIMITED TO CENTRAL VERMONT HOME HEALTH AND HOSPICE, GREEN MOUNTAIN UNITED WAY, PEOPLE'S HEALTH AND WELLNESS CLINIC, VERMONT DEPARTMENT OF HEALTH, WASHINGTON COUNTY MENTAL HEALTH SERVICES, CENTRAL VERMONT PREVENTION COALITION, VERMONT FOODBANK, FAMILY CENTER OF WASHINGTON COUNTY, DOWNSTREET HOUSING AND COMMUNITY DEVELOPMENT, TURNING POINT CENTER OF CENTRAL VERMONT, AND LOCAL EMERGENCY MEDICAL SERVICES AND FOOD PANTRIES. COMMUNITY BENEFIT ACTIVITIES AND INVESTMENTS IN 2023 AND 2024 SUPPORTED SUBSTANCE USE PREVENTION AND RECOVERY, FOOD SECURITY, TRANSPORTATION ACCESS, HOUSING STABILITY, WORKFORCE DEVELOPMENT, AND EMERGENCY RESPONSE. THESE EFFORTS INCLUDED CONVENING THE CENTRAL VERMONT PREVENTION COALITION, SUPPORTING HARM REDUCTION AND OVERDOSE PREVENTION INITIATIVES, EXPANDING FOOD ACCESS PROGRAMS SUCH AS HEALTH CARE SHARES AND VEGGIE VAN GO, AND PARTNERING TO ADDRESS BARRIERS RELATED TO TRANSPORTATION, HOUSING, AND ECONOMIC INSTABILITY. CVMC ALSO APPLIES SURPLUS FUNDS TO IMPROVE COMMUNITY HEALTH BY REINVESTING IN FACILITY UPGRADES, EQUIPMENT PURCHASES, STAFF EDUCATION, AND PROGRAM ENHANCEMENTS THAT STRENGTHEN PATIENT- AND FAMILY-CENTERED CARE AND ENSURE ACCESS TO HIGH-QUALITY SERVICES FOR THE COMMUNITY. FINALLY, CVMC ADVANCES COMMUNITY HEALTH THROUGH WORKFORCE DEVELOPMENT AND EDUCATION. IN RECENT YEARS, THE ORGANIZATION EXPANDED HEALTHCARE CAREER PATHWAY PROGRAMS IN PARTNERSHIP WITH VERMONT EDUCATIONAL INSTITUTIONS, FOCUSING ON LICENSED PRACTICAL NURSING, REGISTERED NURSING, SURGICAL TECHNOLOGY, AND OTHER CRITICAL ROLES. THESE PROGRAMS SUPPORT ECONOMIC STABILITY, WORKFORCE CAPACITY, AND LONG-TERM ACCESS TO CARE IN CENTRAL VERMONT. THROUGH COLLABORATIVE GOVERNANCE, STRATEGIC REINVESTMENT OF RESOURCES, AND PARTNERSHIPS ADDRESSING BOTH HEALTHCARE AND SOCIAL NEEDS, CENTRAL VERMONT MEDICAL CENTER CONTINUES TO FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH AND WELLBEING OF THE COMMUNITIES IT SERVES.
AFFILIATED HEALTH CARE SYSTEMPART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: AS OF OCTOBER 1, 2011, CENTRAL VERMONT MEDICAL CENTER, INC. (CVMC) AND THE UNIVERSITY OF VERMONT MEDICAL CENTER (UVMMC) BECAME MEMBERS OF THE UNIVERSITY OF VERMONT HEALTH NETWORK (UVMHN), AN INTEGRATED SYSTEM OF CARE SERVING THE COMMUNITIES OF VERMONT AND NORTHERN NEW YORK. THE UNIVERSITY OF VERMONT HEALTH NETWORK IS CARRYING OUT CENTRALIZED ACTIVITIES FOR THE BENEFIT OF PATIENTS OF PARTNER ORGANIZATIONS, INCLUDING IMPROVING ACCESS TO LOCAL CARE, COST SAVINGS THROUGH GREATER JOINT PURCHASING POWER, ENHANCING INFORMATION TECHNOLOGY, INCREASING ACADEMIC OPPORTUNITIES FOR PHYSICIANS, ENGAGING IN REGIONAL STRATEGIC PLANNING, AND PARTICIPATING IN JOINT QUALITY AND CLINICAL INITIATIVES. SINCE THE HEALTH NETWORK'S INCEPTION, CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER, ELIZABETH COMMUNITY HOSPITAL, ALICE HYDE MEDICAL CENTER, PORTER MEDICAL CENTER, AND UVM HEALTH NETWORK HOME HEALTH & HOSPICE HAVE ALSO JOINED.
STATE FILING OF COMMUNITY BENEFIT REPORTPART VI, LINE 7 THE CENTRAL VERMONT MEDICAL FILES A COMMUNITY BENEFIT REPORT WITH THE STATE OF VERMONT.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescPurpose Of GrantPurposeOfGrantTxt
PEOPLES HEALTH AND WELLNESS CENTER
51 CHURCH STBARREVT05641030343290501(c)(3)$35,000FMVHEALTH CARE FOR THE UNINSURED
ONE ARTS COMMUNITY SCHOOLS
PO BOX 532BURLINGTONVT05401863243278501(C)(3)$150,000FMVCOMMUNITY SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescRecipientRecipientCntNon Cash AssistanceNonCashAssistanceDesc
PEOPLES HEALTH AND WELLNESS CENTER$35,000FMV
ENDOWMENT SCHOLARSHIPS$17,500FMV7SCHOLARSHIPS

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTSFormAndLineReferenceDesc
ExplanationSCHEDULE I, PART I, LINE 2 CENTRAL VERMONT MEDICAL CENTER OCCASIONALLY PROVIDES GRANT FUNDING TO ORGANIZATIONS WHOSE ACTIVITIES FURTHER THE HOSPITAL'S CHARITABLE PURPOSE OF SERVING THE HEALTH CARE NEEDS OF RESIDENTS OF CENTRAL VERMONT. GRANT FUNDS ARE AWARDED TO ORGANIZATIONS WITH PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), INCLUDING, BUT NOT LIMITED TO, INITIATIVES THAT IMPROVE ACCESS TO CARE, ADVANCE HEALTH EQUITY, SUPPORT POPULATION HEALTH, OR ADDRESS SOCIAL DETERMINANTS OF HEALTH. ALL GRANT AWARDS ARE SUBJECT TO REVIEW, APPROVAL, AND OVERSIGHT BY THE HOSPITAL'S BOARD.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Personal ServicesYes (X)PersonalServicesInd
Written Policy Ref T And E ExpnssfalseWrittenPolicyRefTAndEExpnssInd
Substantiation RequiredfalseSubstantiationRequiredInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RYAN CLOUSER MD
TRUSTEE$0$365,525$0$66,386$0$25,742$0$24,150$0$35,959$0$517,762$0$0
DR BENJAMIN SMITH
TRUSTEE (AS OF 3/2025)$0$392,058$0$0$0$14,736$0$20,700$0$36,128$0$463,622$0$0
ANNA T NOONAN
PRESIDENT & COO/TRUSTEE$379,392$0$128,425$0$86,467$0$76,788$0$35,476$0$706,548$0$48,724$0
MATTHEW CHOATE
VP PATIENT CARE SERVICES$242,639$0$46,243$0$12,161$0$18,297$0$16,409$0$335,749$0$0$0
JAMES ALVAREZ
VP SUPPORT SERVICES$248,457$0$46,166$0$25,459$0$12,729$0$23,476$0$356,287$0$0$0
DR SUNIL EAPPEN
TRUSTEE$0$1,366,935$0$596,073$0$46,462$0$189,967$0$36,308$0$2,235,745$0$0
KIMBERLY PATNAUDE
TREASURER, CFO$287,891$0$40,707$0$2,781$0$17,108$0$26,293$0$374,780$0$0$0
ROBERT ROBINSON MD
PHYSICIAN$247,445$0$0$0$12,970$0$13,563$0$13,135$0$287,113$0$0$0
ANNE LEWIS
NURSE MANAGER$183,337$0$0$0$4,575$0$11,004$0$25,338$0$224,254$0$0$0
HELEN HOLLENBACH
PHYSICIAN ASST.$144,736$0$0$0$66,744$0$12,510$0$30,860$0$254,850$0$0$0
CHRISTOPHER AUBIN
PHYSICIAN ASST.$155,213$0$10,000$0$25,536$0$1,878$0$31,862$0$224,489$0$0$0
SCOTT ROBERT NELSON MD
TRUSTEE (UNTIL 2/2025)$0$246,379$0$0$0$38,468$0$17,031$0$36,776$0$338,654$0$0
WILLIAM KOWALEWSKI - ADMINVP
AGING SVCS WDR (UNTIL 12/2024)$172,868$0$31,445$0$4,462$0$12,441$0$3,079$0$224,295$0$0$0
JOSEPH JOHNSTON
VP CLINICAL OPERATIONS$230,490$0$43,198$0$1,282$0$7,739$0$38,452$0$321,161$0$0$0
SHANNON RIVARD
NURSE PRACTITIONER$142,559$43,877$11,491$34,449$232,376

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINES 1A AND 1BCERTAIN CENTRAL VERMONT MEDICAL CENTER OFFICERS, TRUSTEES, KEY EMPLOYEES, AND HIGHLY COMPENSATED EMPLOYEES RECEIVED COMPENSATION OF $1,400 TO COVER TAX PREPARATION AND FINANCIAL ADVISORY SERVICES. ONE OFFICER RECEIVED THIS BENEFIT IN CALENDAR YEAR 2024. 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.
SCHEDULE J, PART I, LINE 3CVMC RECEIVES GUIDANCE REGARDING ITS PRESIDENT'S COMPENSATION FROM THE UVM HEALTH NETWORK COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, WHICH IS THE SOLE MEMBER OF THE HOSPITAL, THAT NETWORK COMPENSATION COMMITTEE UTILIZES THE FOLLOWING METHODS TO ESTABLISH THE GUIDANCE: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
SCHEDULE J, PART I, LINE 4BTHE 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: ANNA T. NOONAN (8.68%) AND SUNIL EAPPEN (12.24%). 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. ANNA T. NOONAN RECEIVED SRP DISTRIBUTIONS REFLECTED IN SCH J, PART II, COL (B)(III) AND (F). FOR THE PLANS NOTED ABOVE, THE AMOUNT DEFERRED FOR CALENDAR YEAR 2024 IS INCLUDED ON SCHEDULE J, PART II, COLUMN C. AMOUNTS DEFERRED REMAIN SUBJECT TO FORFEITURE IF CERTAIN CONDITIONS ARE NOT MET.
SCHEDULE J, PART I, LINE 7CENTRAL VERMONT MEDICAL CENTER, INC (CVMC) HAS AN ANNUAL PERFORMANCE INCENTIVE PLAN. PERFORMANCE TARGETS AND PAYOUT METRICS ARE ESTABLISHED AND APPROVED BY THE UVM HEALTH NETWORK COMPENSATION COMMITTEE AT THE BEGINNING OF EACH PERFORMANCE CYCLE.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonSUBSTANTIAL DONORPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSUBSTANTIAL CONTRIBUTORRelationshipDescriptionTxt
Transaction$2,202,865TransactionAmt
TransactionCONSTRUCTION SERVICESTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DESCRIPTION OF THE ORGANIZATION'S MISSIONFORM 990, PART III, LINE 1 CENTRAL VERMONT MEDICAL CENTER IS THE PRIMARY HEALTH CARE PROVIDER FOR 66,000 PEOPLE WHO LIVE AND WORK IN THE 26 COMMUNITIES OF CENTRAL VERMONT. WE PROVIDE A COMPREHENSIVE RANGE OF SERVICES THROUGH OUR HOSPITAL, 25 COMMUNITY-BASED MEDICAL PRACTICES, AND 153-BED SKILLED NURSING FACILITY. CENTRAL VERMONT MEDICAL CENTER HOSPITAL PROVIDES 24-HOUR EMERGENCY CARE, WITH A FULL SPECTRUM OF INPATIENT (LICENSED FOR 122 BEDS) AND OUTPATIENT SERVICES, CLOSE TO HOME. CENTRAL VERMONT MEDICAL CENTER NAMED ONE OF THE NATION'S TOP 100 RURAL & COMMUNITY HOSPITALS BY THE NATIONAL RURAL HEALTH ASSOCIATION (NRHA). TOP 100 RURAL COMMUNITY HOSPITALS ARE THOSE ACHIEVING SUCCESS IN OVERALL PERFORMANCE BASED ON A COMPOSITE RATING FROM EIGHT INDICATORS OF STRENGTH - INPATIENT MARKET SHARE, OUTPATIENT MARKET SHARE, QUALITY, OUTCOMES, PATIENT PERSPECTIVES, COSTS, CHARGES AND FINANCIAL STABILITY. IN ADDITION, CENTRAL VERMONT MEDICAL CENTER RECEIVED THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES-RESUSCITATION SILVER QUALITY ACHIEVEMENT AWARD. THIS AWARD ACKNOWLEDGES CVMC'S DEDICATION TO IMPROVING SURVIVAL RATES FOR IN-HOSPITAL CARDIAC ARREST PATIENTS BY CONSISTENTLY FOLLOWING THE LATEST RESEARCH-BASED TREATMENT GUIDELINES. THESE GUIDELINES FOCUS ON PATIENT SAFETY, TIMELY MEDICAL EMERGENCY TEAM RESPONSE, EFFECTIVE CPR, AND COMPREHENSIVE POST-RESUSCITATION CARE. THE CENTRAL VERMONT MEDICAL CENTER PROFESSIONAL STAFF INCLUDES OVER 175 PHYSICIANS AND 90 ADVANCED PRACTICE PROVIDERS REPRESENTING 25 MEDICAL SPECIALTIES. CENTRAL VERMONT MEDICAL CENTER'S WOODRIDGE REHABILITATION AND NURSING IS A LONG-TERM AND SHORT-TERM FACILITY ON OUR MAIN CAMPUS LICENSED FOR 153 SKILLED NURSING BEDS. COMBINED AS CENTRAL VERMONT MEDICAL CENTER (HOSPITAL, 28 MEDICAL PRACTICES, AND WOODRIDGE REHABILITATION AND NURSING) ARE A CRITICAL SOURCE OF HIGH QUALITY CARE, CLOSE TO HOME. WITH OVER 1,700 EMPLOYEES (FROM WASHINGTON, ORANGE, LAMOILLE, CHITTENDEN COUNTIES AND MORE), CENTRAL VERMONT MEDICAL CENTER IS THE LARGEST PRIVATE EMPLOYER IN CENTRAL VERMONT.
GOVERNING BODY AND MANAGEMENTFORM 990, PART VI, LINE 2 THERE IS A BUSINESS RELATIONSHIP BETWEEN DR. SUNIL EAPPEN, OFFICER OF THE UNIVERSITY OF VERMONT MEDICAL CENTER (UVMMC), DR. RYAN CLOUSER, AN OFFICER OF CVMC, DR. BENJAMIN SMITH, A TRUSTEE OF CVMC, AND DR. SCOTT (ROBERT) NELSON, AN OFFICER OF CVMC.
CHANGES TO GOVERNING DOCUMENTSFORM 990, PART VI, LINE 4 EFFECTIVE DURING FISCAL YEAR 2025, THE BYLAWS FOR CVMC WERE AMENDED TO REVISE THE MINIMUM NUMBER OF VOTING TRUSTEES SERVING ON THE BOARD OF TRUSTEES. THE AMENDEMENT CHANGED THE GOVERNING PROVISIONS RELATED TO THE COMPOSITION OF THE ORGANIZATION'S VOTING GOVERNING BODY BY ESTABLISHING A MINIMUM OF EIGHT (8) VOTING TRUSTEES. NO OTHER SUBSTANTIVE CHANGES TO THE GOVERNANCE STRUCTURE WERE MADE.
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PART VI, LINE 6 THE UNIVERSITY OF VERMONT HEALTH NETWORK IS THE SOLE MEMBER AND PARENT CORPORATION OF CENTRAL VERMONT MEDICAL CENTER, INC. (CVMC). THE UNIVERSITY OF VERMONT HEALTH NETWORK IS A VERMONT NON-PROFIT CORPORATION WHICH HAS BEEN RECOGNIZED BY THE IRS AS A 501(C)(3) ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION.
ELECTION OF GOVERNING BODY & GOVERNANCE DECISIONSFORM 990, PART VI, LINE 7A & 7B THE UNIVERSITY OF VERMONT HEALTH NETWORK HOLDS THE POWER TO ELECT CVMC'S BOARD OF TRUSTEES AND TO APPROVE SIGNIFICANT CORPORATE ACTIONS, INCLUDING ANNUAL OPERATING AND CAPITAL BUDGETS, STRATEGIC PLANS, THE APPOINTMENT OF THE PRESIDENT/COO, THE INCURRENCE OF LONG-TERM INDEBTEDNESS, AND AMENDMENTS TO CVMC'S BYLAWS AND ARTICLES OF ORGANIZATION.
DESCRIPTION OF PROCESS USED BY MGMNT &/OR GOVERNING BODY TO REVIEW 990FORM 990, PART VI, LINE 11B THE FORM 990 IS PREPARED BY THE ACCOUNTING MANAGER AND REVIEWED IN DETAIL BY CVMC'S OUTSIDE TAX ADVISORS BEFORE BEING REVIEWED BY THE OFFICERS OF THE CORPORATION AND BY THE OTHER MEMBERS OF THE SENIOR MANAGEMENT TEAM. THE ACCOUNTING MANAGER PROVIDES REGULATORY UPDATES REGARDING THE FORM 990 TO THE EXECUTIVE COMMITTEE AND MAKES AVAILABLE TO THE EXECUTIVE COMMITTEE THE FORM 990 ALONG WITH HIGHLIGHTS OF ALL SIGNIFICANT PARTS OF THE FORM 990. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF TRUSTEES PRIOR TO THE FORM BEING FILED WITH THE IRS.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTFORM 990, PART VI, LINE 12C THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH THE UVM HEALTH NETWORK'S (UVMHN) 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 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.
WHISTLEBLOWER & DOCUMENT RETENTION - DESTRUCTION POLICIESFORM 990, PART VI, LINES 13 & 14 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.
OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUNFORM 990, PART VI, LINES 15A & 15B THE PROCESS FOR DETERMINING COMPENSATION FOR THE ORGANIZATION'S PRESIDENT/COO IS HANDLED BY THE UVM HEALTH NETWORK (UVMHN) COMPENSATION COMMITTEE. THE COMMITTEE MEETS ANNUALLY AND UTILIZES SURVEY DATA TO MAKE A TOTAL COMPENSATION RECOMMENDATION. IF NECESSARY, THE UVMHN COMPENSATION COMMITTEE WILL ENGAGE WITH AN INDEPENDENT CONSULTING FIRM, INTEGRATED HEALTHCARE STRATEGIES (IHS)/GALLAGER, WITH NATIONAL EXPERTISE IN HEALTH CARE COMPENSATION. THE UVMHN COMPENSATION COMMITTEE RECOMMENDS AND APPROVES THE COMPENSATION. AN ANALYSIS IS PERFORMED ANNUALLY BY THE UVMHN COMPENSATION COMMITTEE TO EVALUATE CVMC SENIOR LEADERSHIP COMPENSATION. RECOMMENDATIONS ARE REVIEWED BY THE PRESIDENT AND THE EXECUTIVE COMMITTEE OF THE CVMC BOARD OF TRUSTEES. MARKET STUDY DATA COMES FROM, BUT IS NOT LIMITED TO, WILLIS TOWERS WATSON, MERCER, GALLAGHER, AND SULLIVAN COTTER. THE COMPENSATION OF OTHER KEY EMPLOYEES OF THE ORGANIZATION IS DETERMINED THROUGH MARKET STUDY ANALYSIS PERFORMED BY THE UVMHN COMPENSATION COMMITTEE.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLICFORM 990, PART VI, LINE 19 THE ORGANIZATION MAKES AVAILABLE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE GENERAL PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS OF THE ORGANIZATION FOR FY2025 CAN ALSO BE FOUND ON THE WEBSITE, https://www.uvmhealth.org/about-us/financials
COMPENSATIONFORM 990, PART VII THREE PHYSICIANS SERVING AS BOARD MEMBERS, DR. CLOUSER, DR. SMITH, AND DR. NELSON, RECEIVE COMPENSATION FROM A RELATED ORGANIZATION (UVMMG) FOR THEIR SERVICES AS PHYSICIANS. THIS COMPENSATION IS NOT RELATED TO THEIR PARTICIPATION AS MEMBERS OF THE BOARD OF TRUSTEES.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES: CHANGE IN MINIMUM PENSION LIABILITY $ (61,089) TRANSFER OF NET ASSETS (1,215,598) ASSETS RELEASED FROM CAPITAL 487,558 OTHER CHANGES OF NET ASSETS WITH DONOR RESTRICTIONS 686,971 ------------------------------------------------------------------------- TOTAL: $ (102,158)
CIRCULAR A-133 AUDITFORM 990, PART XII, LINE 3B: DURING FY25, CVMC DID NOT REACH THE LEVEL REQUIRED TO WARRANT AN AUDIT UNDER OMB CIRCULAR A-133. HOWEVER, BECAUSE OF CVMC'S AFFILIATION WITH THE UNIVERSITY OF VERMONT HEALTH NETWORK, CVMC WAS INCLUDED IN THE A-133 WHICH WAS PERFORMED FOR THE UNIVERSITY OF VERMONT MEDICAL CENTER.
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:50876745

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (20 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
UNIVERSITY OF VERMONT MEDICAL CENTERINC
111 COLCHESTER AVEBURLINGTONVT05401030219309HOSPITALVT501(c)(3)3UVMHNYes (true)
UNIV OF VERMONT HEALTH NETWORK INC
111 COLCHESTER AVEBURLINGTONVT05401452880726HOLDING COVT501(C)(3)12A-INAfalse
UNIVERSITY OF VERMONT MEDICAL GROUP
111 COLCHESTER AVEBURLINGTONVT05401030225105PHYS SVCSVT501(C)(3)12A-IUVMHNYes (true)
UNIV OF VERMONT MEDICAL CTR FDN INC
111 COLCHESTER AVEBURLINGTONVT05401263159849FUNDRAISINGVT501(C)(3)12A-IUVMMCYes (true)
CENTRAL VERMONT HOSPITAL AUXILIARY
130 FISHER RDBERLINVT05602030264240SERVICEVT501(C)(3)12D-III-ONAfalse
COMMUNITY PROVIDERS INC
75 BEEKMAN STPLATTSBURGHNY12901222544844HLTH SVC COORNY501(C)(3)12A-IUVMHNYes (true)
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL
75 BEEKMAN STREETPLATTSBURGHNY12901141338471HOSPITALNY501(C)(3)3CPIYes (true)
ELIZABETHTOWN COMMUNITY HOSPITAL
75 PARK STREETELIZABETHTOWNNY12932141364513HOSPITALNY501(C)(3)3CPIYes (true)
EMERGENCY MEDICAL TRANSPORT OF CVPH INC
75 BEEKMAN STPLATTSBURGHNY12901061718419AMBULANCE SVCNY501(C)(3)12B-IICPIYes (true)
CVPH MEDICAL CENTER FOUNDATION
75 BEEKMAN STPLATTSBURGHNY12901141727048HLTH SVC SUPPNY501(c)(3)12B-IICVPHYes (true)
UNIVERSITY MEDICAL EDUCATION ASSOCIATES
89 BEAUMONT AVEBURLINGTONVT05405237107832EDUCATIONALVT501(C)(3)11UVMMGYes (true)
UNIVERSITY HEALTH CENTER
111 CoOLCHESTER AVEBURLINGTONVT05401030229931HOSPITALVT501(C)(3)12C-III-FIUVMMGYes (true)
ALICE HYDE MEDICAL CENTER
133 PARK STREETMALONENY12953150346515HOSPITALNY501(C)(3)3CPIYes (true)
PORTER MEDICAL CENTER INC
115 PORTER DRIVEMIDDLEBURYVT05753030310862SUPPTG ORGVT501(C)(3)12-BIIUVMHNYes (true)
HELEN PORTER NURSING HOME
37 PORTER DRIVEMIDDLEBURYVT05753030306549NURSING HOMEVT501(C)(3)3PMCYes (true)
AUXILIARY OF PORTER MEDICAL CENTER
37 PORTER DRIVEMIDDLEBURYVT05753237363227SUPPORTG ORGVT501(C)(3)12-B,IIPMCYes (true)
PORTER HOSPITAL INC
37 PORTER DRIVEMIDDLEBURYVT05753030181058HOSPITALVT501(C)(3)3PMCYes (true)
VMC INDEMNITY COMPANY INC
95 ST PAUL STBURLINGTONVT05401831102018INSURANCEVT501(C)(3)12A-IUVMHNYes (true)
LAKE CHAMPLAIN PHYSICIANS SERVICES PC
75 BEEKMAN STREETPLATTSBURGHNY12901273785445PHYSICIAN SVCNY501(C)(3)12A-ICVPHYes (true)
UVMHN HOME HEALTHCARE & HOSPICE
1110 PRIM ROADCOLCHESTERVT05446030179603HOME HEALTHVT501(C)(3)10UVMHNYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Primary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEIN
CHARITABLE IRREVOCABLE TRUST (8)
SUPPORTVTUVMMCCVMCTRUST
UNIV OF VT MED CTR HEALTH VENT INC
COMPANYVTUVMMCC CORP111 COLCHESTER AVEBURLINGTONVT05401043380045
CHARITABLE REMAINDER TRUST (6)
SUPPORTVTUVMMCCVMCTRUST
PERPETUAL TRUST (10)
SUPPORTVTUVMMCTRUST
CHAMPLAIN VALLEY HEALTH NETWORK
ADMIN SERVICENYNAC CORP75 BEEKMAN STREETPLATTSBURGHNY12901161586102
MEDQUEST INC
LEASENYNAC CORPPO BOX 1656PLATTSBURGHNY12901141663061
UVMHN CREDENTIALING & ENROLLMENT
ADMIN SVCVTUVMHN VENTURESC CORP111 COLCHESTER AVEBURLINGTONVT05401030333056
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
UNIVERSITY OF VERMONT MEDICAL CENTER
I$429,161FMV
UNIVERSITY OF VERMONT MEDICAL CENTER
A$151,468FMV
UNIVERSITY OF VERMONT MEDICAL CENTER
P$43,810,675FMV
VMC INDEMNITY COMPANY
M$614,847FMV

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART IV, LINE 1FormAndLineReferenceDesc
ExplanationUNIVERSITY OF VERMONT MEDICAL CENTER, INC. (UVM MEDICAL CENTER) HAS A BENEFICIAL INTEREST IN FOUR OF THESE TRUSTS. CVMC HAS A BENEFICIAL INTEREST IN THREE OF THESE TRUSTS.ExplanationTxt

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