2024-08-12T15:47:38+00:00 2023-09-30 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2022-10-01 030185556 NORTH COUNTRY HOSPITAL & HEALTH CENTER INC NORT 8023347331 189 PROUTY DR NEWPORT VT 05855 FRED SCHAFFNER CFO 8023343210 2024-08-12 true true Brian Todd P00422601 4178658701 2022 2024-08-08 14:25:15Z THOMAS E FRANK 189 PROUTY DR NEWPORT VT 05855 103506196 false X WWW.NCHSI.ORG X 1919 VT TO PROVIDE HEALTH CARE SERVICES TO THE RESIDENTS OF ORLEANS AND ESSEX COUNTIES, ENSURING THAT HEALTH CARE IS AVAILABLE TO ALL PEOPLE. 14 12 698 30 11157 0 937435 692705 90152538 98685263 4334697 1858371 38949 -114454 95463619 101121885 0 0 0 53028121 61266882 0 0 0 47446442 46813889 100474563 108080771 -5010944 -6958886 114172265 102310337 50889063 42383699 63283202 59926638 QUALITY PATIENT CARE IS OUR GREATEST COMMITMENT, EMPLOYEES ARE OUR GREATEST ASSET, EXCELLENT PATIENT EXPERIENCE IS OUR GREATEST ACCOMPLISHMENT, AND THE HEALTH OF OUR COMMUNITY IS OUR GREATEST RESPONSIBILITY. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. false false 53000239 70894496 THE HOSPITAL OFFERS OUTPATIENT SERVICES INCLUDING EMERGENCY ROOM, LAB WORK, DIAGNOSTIC IMAGING (X-RAY, CT SCAN, MRI, MAMMOGRAMS, NUCLEAR IMAGING ULTRASOUND), OUTPATIENT SURGERIES, PULMONARY, CARDIAC CARE AND THERAPY SERVICES (PHYSICAL, SPEECH AND REHABILITATIVE). 26514541 11873266 THE HOSPITAL'S PHYSICIAN PRACTICE CLINICS PROVIDE INTERNAL MEDICINE RADIOLOGY PROGRAM, PSYCHIATRIC, OB/GYN, NEUROLOGY, ORTHOPEDICS, OCCUPATIONAL HEALTH, PULMONARY-SLEEP, AND SURGICAL SERVICES. 11899814 15917501 INPATIENT HOSPITAL CARE WAS PROVIDED AT A CRITICAL ACCESS HOSPITAL TOTALING 5,966 PATIENT DAYS FOR THE YEAR. THE HOSPITAL'S INPATIENT CARE SERVICES INCLUDE A 24 HOUR EMERGENCY DEPARTMENT, MEDICAL AND SURGICAL SERVICES, INTENSIVE CARE UNITS, BIRTHING CENTER, CLINICAL LABORATORY, MRI AND ULTRASOUND, NEUROLOGY, ORTHOPEDICS, PHARMACY, REHABILITATION SERVICES, OCCUPATIONAL AND PHYSICAL THERAPY AMONG OTHERS. THE HOSPITAL ALSO PROVIDED COMMUNITY GRANTS. 91414594 true true false true false false false false true true false false false true false false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true false false false true 63 0 true 698 true true true false false false false false false false false false false false X 14 12 false false false false true true true true true false false true true true true true true true true false VT X FRED SCHAFFNER 8023343210 189 PROUTY DRIVE NEWPORT VT 05855 DWIGHT BRIAN NALL PRESIDENT & CEO END 10/22 40.0 2.0 X X 372732 0 34770 GARY GILLESPIE VICE CHAIR END 10/22 5.0 2.0 X X 0 0 0 GREGORY WALKER MD MEDICAL STAFF PRESIDENT 40.0 2.0 X X 592818 0 50735 KYLE KOVACEVICH CFO BEG 09/23 40.0 2.0 X X 0 0 0 LOUISE BONVECHIO FINANCE VICE CHAIR & TREASURER 5.0 2.0 X X 0 0 0 NANCY BULLOCK SECRETARY/CLERK 5.0 2.0 X X 0 0 0 PETER STUART MD MEDICAL STAFF VICE PRESIDENT 40.0 2.0 X X 548999 0 28209 STEVE WRIGHT VICE CHAIR BEG 01/23 5.0 2.0 X X 0 0 0 THOMAS FRANK PRESIDENT & CEO BEG 04/23 40.0 2.0 X X 0 0 0 ANDRE MESSIER TRUSTEE END 01/23 5.0 2.0 X 0 0 0 ELLEN STANLEY TRUSTEE BEG 02/23 5.0 2.0 X 0 0 0 FRANK KNOLL CHAIR 10.0 2.0 X 0 0 0 JANET OSBORNE TRUSTEE 5.0 2.0 X 0 0 0 JENNIFER HARLOW-JACOBS TRUSTEE 5.0 2.0 X 0 0 0 JOHN MONETTE TRUSTEE 5.0 2.0 X 0 0 0 STACEY CHARBONEAU TRUSTEE 5.0 2.0 X 0 0 0 WILLIAM PECK TRUSTEE 5.0 2.0 X 0 0 0 TRACEY PAUL CFO & COO 40.0 2.0 X 240392 0 49431 MEGAN SARGENT VP PATIENT CARE SERVICES 40.0 0.0 X 175356 0 40668 PAUL GIORDANO VP OF HUMAN RESOURCES 40.0 0.0 X 174199 0 29128 STEVEN PERLIN MD CHIEF MEDICAL OFFICER 20.0 2.0 X 165223 0 5437 GENE WU MD PHYSICIAN 40.0 0.0 X 543951 0 26019 MARC BOUCHARD MD PHYSICIAN 40.0 0.0 X 569208 0 56375 MATTHEW KELLEY MD PHYSICIAN 40.0 0.0 X 535071 0 41813 RUSSELL SARVER MD PHYSICIAN 40.0 0.0 X 519553 0 36900 STEPHANE MULLIGAN MD PHYSICIAN 40.0 0.0 X 665388 0 45215 5102890 0 444700 75 false true false MEDEFIS PO BOX 5068 NEW YORK NY 100875068 LOCUM NURSING 4387894 NORTH COUNTRY RADIOLOGY PC PO BOX 906 NEWPORT VT 05855 RADIOLOGIST 1308270 AVANT HEALTHCARE PROFESSIONALS PO BOX 744554 ATLANTA GA 303744554 LOCUM NURSING 1064669 COMPHEALTH MEDICAL STAFFING PO BOX 972670 DALLAS TX 753972670 LOCUM NURSING 650204 COMPHEALTH PO BOX 972651 DALLAS TX 753972651 LOCUM NURSING 637100 7 0 0 0 0 685630 7075 692705 PATIENT SERVICE REVENUE 624100 83618403 83618403 FIXED PROSPECTIVE REVENUE 624100 10304980 10304980 OTHER PATIENT SERVICE REVENUE 624100 2432609 2432609 340B PHARMACY 456110 2066053 2066053 CAFETERIA 722514 263218 263218 0 0 0 0 98685263 1386720 1386720 0 0 2855962 0 2373876 10435 482086 -10435 471651 471651 ADMIN SERVICES 561000 6020 6020 HOUSEKEEPING 812900 5137 5137 LOSS ON INVEST IN EQUITY 900099 -125611 -125611 0 0 0 0 -114454 101121885 98685263 11157 1732760 X 2508097 1810772 697325 44422319 34902924 9519395 1805606 1429191 376415 9470329 7465473 2004856 3060531 2405203 655328 55133 55133 111676 111676 199365 199365 70642 70642 16382713 16364560 18153 0 149342 149342 4830891 3782431 1048460 2592 2592 1508562 1414256 94306 88730 83117 5613 120443 120443 877724 783236 94488 3374957 3011638 363319 1163845 1163845 MEDICAL SUPPLIES & DRUGS 8263148 8263148 PROVIDER TAX 5084502 5084502 REPAIRS & MAINTENANCE 4050791 4012275 38516 LICENSES, DUES, SUBSCRIPTION 478833 478833 0 0 0 0 108080771 91414594 16666177 0 612497 280398 18635925 13371388 238020 41414 26765731 15196564 0 0 0 0 0 0 2753147 2702024 1107266 965263 81186062 58879253 22672550 22306809 37213910 42137788 514707 389499 990416 1100048 0 0 2668096 3819142 114172265 102310337 28851753 22266901 0 0 3711257 21926 13548055 12644497 0 0 0 0 4510718 5710354 0 0 267280 1740021 50889063 42383699 X 58385496 54545678 4897706 5380960 63283202 59926638 114172265 102310337 X -6958886 3321982 280340 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 16783 16783 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION PAYS DUES TO THE VERMONT ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS, WHICH HAS REPORTED THAT APPROXIMATELY 9.36% OF DUES SUPPORT LOBBYING EFFORTS. IN ADDITION, THE ORGANIZATION PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION, WHICH HAS REPORTED THAT APPROXIMATELY 27.29% OF DUES SUPPORT LOBBYING EFFORTS. 3907321 373622 4280943 4511361 -604040 3907321 3761813 749548 4511361 3509533 252280 3761813 3458184 51349 3509533 0.0 0.2298 0.7702 false false 405921 405921 46425655 35442152 10983503 185772 185772 0 29074939 21460934 7614005 5093775 1790395 3303380 22306809 DUE TO 3RD PARTY PAYER 1226833 ROU LIABILITY 513188 1740021 104170311 2948360 100066 3048426 101121885 0 0 101121885 108010129 0 0 108010129 70642 0 70642 108080771 Schedule D, Part V, Line 4 ENDOWMENT FUNDS NORTH COUNTRY HEALTH SYSTEMS (NCHS), A RELATED ORGANIZATION, HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS AND OTHER ITEMS SUPPORTED BY ITS ENDOWMENT WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT. UNDER NCHS'S POLICIES, THE PRIMARY INVESTMENT GOAL IS GROWTH IN THE ENDOWMENT ACCOUNTS. NCHS EXPECTS ITS ENDOWMENT FUNDS TO PROVIDE AN AVERAGE RATE OF RETURN THAT EXCEEDS BENCHMARK RETURNS INDICATED FOR VARIOUS ASSET CLASSES. Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENTS - 170708 INVESTMENT MANAGEMENT FEES - -70642 true true X true X 300 false true true true false true true 462278 0 462278 0.0043 32026862 11639927 20386935 0.1886 0 0 0 0.0 0 0 32489140 11639927 20849213 0.1929 67623 0 67623 0.0006 132844 0 132844 0.0012 20290157 10836030 9454127 0.0875 0 0 0 0.0 110122 0 110122 0.0010 0 0 20600746 10836030 9764716 0.0903 0 0 53089886 22475957 30613929 0.2833 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 2046166 282371 22668781 25956486 -3287705 X true true 1 1 NORTH COUNTRY HOSPITAL 189 PROUTY DRIVE NEWPORT VT 05855 NCHSI.ORG 832 X X X X NORTH COUNTRY HOSPITAL 1 false false true X X X X X X X X X 21 true false false true X HTTPS://WWW.NORTHCOUNTRYHOSPITAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ X true 21 true HTTPS://WWW.NORTHCOUNTRYHOSPITAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ false true X 300.0 X X X X X X true true X X X true X HTTPS://WWW.NORTHCOUNTRYHOSPITAL.ORG/FINANCIAL-SERVICES/ X HTTPS://WWW.NORTHCOUNTRYHOSPITAL.ORG/FINANCIAL-SERVICES/ X HTTPS://WWW.NORTHCOUNTRYHOSPITAL.ORG/FINANCIAL-SERVICES/ X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - NORTH COUNTRY HOSPITAL. IN KEEPING WITH THE GUIDELINES FOR A COMPREHENSIVE CHNA, A NUMBER OF KEY COMMUNITY STAKEHOLDERS WHO REPRESENT THE BROAD INTEREST OF THE NEWPORT HOSPITAL SERVICE AREA, INCLUDING LEADERS AND REPRESENTATIVES OF ORGANIZATIONS THAT SERVE VARIOUS SEGMENTS OF THE POPULATION IN THE NCH SERVICE AREA WERE INVITED TO PARTICIPATE ON THE CHNA ADVISORY TEAM. WITH THE NCH CORE TEAM AS A SUBGROUP OF THE CHNA ADVISORY TEAM, CHNA ADVISORY TEAM MEMBERS PLAYED AN INTEGRAL ROLE IN DISTRIBUTING THE QUANTITATIVE SURVEY, RECRUITING PARTICIPANTS IN FOCUS GROUP DISCUSSIONS AND TOWN HALLS, AND CREATING AWARENESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT WITHIN THE COMMUNITY. ADVISORY TEAM MEMBERS WILL ALSO PLAY A CRITICAL ROLE IN THE FINAL IMPLEMENTATION PLAN AND ACTIONS, USING EACH OTHER'S EXPERTISE TO ACHIEVE GOALS OF COMMUNITY HEALTH IMPROVEMENT. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - NORTH COUNTRY HOSPITAL. AFTER REVIEW OF THE COMBINATION OF DATA AND THE RESULTS OF THE COMMUNITY SURVEY AND FOCUS GROUP PROCESSES, THE ADVISORY TEAM PRIORITIZED THE FOLLOWING AS KEY HEALTH CONCERNS RECOMMENDED FOR DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR THE 2021 NCH COMMUNITY HEALTH NEEDS ASSESSMENT: - AFFORDABLE HOUSING - EMPLOYMENT - REGULAR MEDICAL CARE - MENTAL HEALTH SERVICES - THE USE OF ILLEGAL DRUGS OR PRESCRIPTION DRUGS TAKEN IN A WAY NOT RECOMMENDED BY A DOCTOR - STRESS, ANXIETY, OR DEPRESSION - URGENT CARE/WALK IN CLINIC - EMERGENCY MENTAL HEALTH SERVICES THE RESULTS OF THE QUANTITATIVE SURVEY PROVIDE A CLEAR PICTURE OF THE NEEDS AND PRIORITIES OF THE COMMUNITY SERVED BY NCH. ADDITIONAL CONCERNS EMERGED THROUGH THIS PROCESS THAT IMPACT THE IDENTIFIED PRIORITY AREAS. THESE INCLUDE: - THE PERCEIVED ASSOCIATION BETWEEN MENTAL HEALTH AND SUBSTANCE ABUSE - FINANCIAL HARDSHIP AND THE TRICKLE DOWN IMPACTS (CHILD CARE, TRANSPORTATION, ETC.) - LIMITED EMPLOYMENT OPPORTUNITIES - BARRIERS TO CARE CAUSED BY THE ABOVE CHALLENGES Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - NORTH COUNTRY HOSPITAL. EVERY PATIENT THAT IS FLAGGED FOR COLLECTION IS INVITED TO A FINANCIAL AID APPOINTMENT. 7 NORTH COUNTRY PRIMARY CARE BARTON 488 ELM ST BARTON VT 05822 FAMILY MED, NEWBORN CARE, PEDIATRICS, GERIATRICS, ETC NORTH COUNTRY PRIMARY CARE NEWPORT 186 MEDICAL VILLAGE DRIVE NEWPORT VT 05855 FAMILY CARE, NEWBORN CARE, PEDIATRICS, GERIATRICS, ETC. NORTH COUNTRY HOSPITAL OBGYN SERVICES 81 MEDICAL VILLAGE DRIVE SUITE 2 NEWPORT VT 05855 OB/GYN SERVICES NORTH COUNTRY SURGICAL SERVICES 41 MEDICAL VILLAGE DR NEWPORT VT 05855 SURGERY NORTH COUNTRY ORTHOPEDICS 81 MEDICAL VILLAGE DR SUITE 1 NEWPORT VT 05855 ORTHOPEDICS NORTH COUNTRY NEUROLOGY SERVICES MEDICAL ARTS BLDG 2ND FLOOR 189 PRO UTY NEWPORT VT 05855 NEUROLOGY NORTH COUNTRY PEDIATRICS 121 MEDICAL VILLAGE DR NEWPORT VT 05855 NEWBORN CARE, PEDIATRICS Schedule H, Part I, Line 7g SUBSIDIZED SERVICES AMOUNTS USED IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G PRIMARILY CAME FROM COSTS ASSOCIATED WITH RURAL HEALTH CENTERS (RHCS). NORTH COUNTRY HOSPITAL PROVIDES PRIMARY CARE SERVICES TO THE SURROUNDING COMMUNITIES AT THE CENTERS. THESE SERVICES ARE PROVIDED IN RURAL AREAS WHERE THERE WOULD BE A SHORTAGE OF QUALITY MEDICAL CARE WITHOUT THE SERVICES. NORTH COUNTRY HOSPITAL CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED. Schedule H, Part I, Line 7f PERCENT OF TOTAL EXPENSE TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1, 3, AND 6. Schedule H, Part II Community Building Activities OUR ORGANIZATION'S COMMUNITY-BUILDING ACTIVITIES INCLUDE ACTIVE PARTICIPATION BY HOSPITAL STAFF ON A NUMBER OF ECONOMIC-BUILDING COLLABORATIONS SUCH AS THE LOCAL ROTARY AND CHAMBER OF COMMERCE AS WELL AS ON LOCAL PARTNERSHIPS SUCH AS THOSE THAT FOCUS ON PREVENTION AND REDUCTION OF DOMESTIC VIOLENCE, PREVENTION/REDUCTION OF ALCOHOL, DRUGS AND TOBACCO, PROMOTION OF PHYSICAL ACTIVITY AND HEALTHY LIFESTYLE CHOICES. THE HOSPITAL ALSO PROVIDES MEETING SPACE AT NO CHARGE FOR NUMEROUS AGENCIES AND GROUPS THAT TARGET VARIOUS ASPECTS OF COMMUNITY HEALTH SUCH AS ALCOHOLICS ANONYMOUS, EARLY CHILDHOOD DEVELOPMENT, GRIEVING SUPPORT GROUPS, DRIVING SAFETY COURSES, YOUTH BEHAVIOR SUPPORT TEAMS AND YOUTH COURT DIVERSION TEAMS. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED SEPTEMBER 30, 2023. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE ORGANIZATION HAS ESTIMATED THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY FOR LINE 3 BY UTILIZING DATA FROM THE U.S. CENSUS BUREAU. THE ORGANIZATION ESTIMATED THE PERCENTAGE BY OBTAINING THE PERCENT OF THE POPULATION IN ITS SERVICE AREA FALLING BELOW THE FEDERAL POVERTY GUIDELINES. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE, THAT NOTE CAN BE FOUND ON PAGE 10 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE COMMUNITY IS BETTER SERVED WITH PROVIDERS AVAILABLE IN THE ORGANIZATION'S REMOTE REGION. THE ENTIRETY OF ANY SHORTFALL REPORTED SHOULD BE TREATED AS COMMUNITY BENEFIT. THE ORGANIZATION ACCEPTS ALL MEDICARE PATIENTS KNOWING THAT THERE WILL LIKELY BE SHORTFALLS. ADDITIONALLY, TREATING MEDICARE PATIENTS IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance WHEN IDENTIFIED AS A POSSIBLE WRITE OFF TO MEDICARE BAD DEBT, AN ACCOUNT MUST MEET MEDICARE'S CRITERIA FOR REPORTING ON THE COST REPORT. AN ACCOUNT FOR A MEDICARE PATIENT MUST UNDERGO HOSPITAL COLLECTION EFFORTS FOR AT LEAST 120 DAYS FROM THE INITIAL DATE OF BILLING TO THE PATIENT BEFORE BEING CONSIDERED FOR WRITE-OFF TO A THIRD PARTY AGENCY. THESE MEDICARE ACCOUNTS WILL BE CLOSED AND RETURNED BY THE AGENCIES AFTER 120 DAYS FROM PLACEMENT IF COLLECTION EFFORTS FAIL AND THEY ARE DEEMED UNCOLLECTIBLE. IF A MEDICARE PATIENT IS DECEASED AND NO ESTATE CAN BE IDENTIFIED, IT WILL BE DEEMED UNCOLLECTIBLE AND MAY BE DIRECTLY CONSIDERED FOR WRITE-OFF RATHER THAN TURNED OVER TO A THIRD PARTY AGENCY. IF A MEDICARE PATIENT FILES FOR BANKRUPTCY, THE ACCOUNTS WILL BE DEEMED UNCOLLECTIBLE AND WILL BE DIRECTLY CONSIDERED FOR WRITE-OFF. IF A MEDICARE PATIENT QUALIFIES FOR FREE CARE UNDER THE HOSPITAL'S GUIDELINES, THE ACCOUNT(S) WILL BE DEEMED UNCOLLECTIBLE AND WILL BE WRITTEN OFF TO THE APPROPRIATE PAT CODE(S). WHEN A MEDICARE ACCOUNT IS DEEMED UNCOLLECTIBLE, THE DEDUCTIBLE AND/OR COINSURANCE AMOUNTS WILL BE WRITTEN OFF USING THE APPROPRIATE PAT CODE(S). NON COVERED AMOUNTS DO NOT QUALIFY FOR MEDICARE BAD DEBT. ALL SUPPORTING DOCUMENTATION REGARDING DEDUCTIBLE AND COINSURANCE AMOUNTS WILL BE COLLECTED AND FILED FOR COST REPORTING PURPOSES. THE HOSPITAL ALSO COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT TO COMPLY WITH IRS 501(R) REQUIREMENTS. Schedule H, Part V, Section B, Line 16a FAP website - NORTH COUNTRY HOSPITAL: Line 16a URL: HTTPS://WWW.NORTHCOUNTRYHOSPITAL.ORG/FINANCIAL-SERVICES/; Schedule H, Part V, Section B, Line 16b FAP Application website - NORTH COUNTRY HOSPITAL: Line 16b URL: HTTPS://WWW.NORTHCOUNTRYHOSPITAL.ORG/FINANCIAL-SERVICES/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - NORTH COUNTRY HOSPITAL: Line 16c URL: HTTPS://WWW.NORTHCOUNTRYHOSPITAL.ORG/FINANCIAL-SERVICES/; Schedule H, Part VI, Line 2 Needs assessment THE HOSPITAL ACTIVELY PARTICIPATES IN A NUMBER OF COMMUNITY PARTNERSHIPS THAT FOCUS ON VARIOUS ASPECTS OF LOCAL HEALTH NEEDS - INCLUDING, FOR EXAMPLE, HEALTH DISPARITIES, ALCOHOL, DRUG AND TOBACCO PREVENTION, PROMOTING HEALTHY EATING AND PHYSICAL ACTIVITY. THE VT DEPARTMENT OF HEALTH REMAINS AN EXCELLENT AND VERY THOROUGH DATA SOURCE, WITH DATA AVAILABLE STATEWIDE, BY COUNTY AND BY SCHOOL SUPERVISORY DISTRICTS. DATA IS AVAILABLE ACROSS THE LIFESPAN AND INCLUDES, FOR EXAMPLE TOPICS SUCH AS COMMUNICABLE DISEASE, CHRONIC DISEASE, OCCUPATIONAL HEALTH DATA, RISK FACTORS SUCH AS ALCOHOL, DRUG AND TOBACCO USE, OBESITY, LIFESTYLE CHOICES. DATA REGARDING SOCIOECONOMIC STATUS AND EDUCATION LEVEL IS ALSO READILY AVAILABLE, AGAIN FOR THE STATE AS WELL AS BY COUNTY AND SCHOOL DISTRICT. ALL DATA IS EASILY ACCESSIBLE ONLINE AT WWW.HEALTHVERMONT.GOV AND AT HUMANSERVICES.VERMONT.GOV. THE HOSPITAL ALSO COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT TO COMPLY WITH NEW IRS 501(R) REQUIREMENTS. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance FOR BALANCES OVER $500.00 A HELP IS AVAILABLE LETTER IS MAILED WITH THE INITIAL BILL, REGARDLESS OF WHETHER THE BALANCE IS SELF-PAY, PRIMARY OR AFTER INSURANCE. IN ADDITION, OUR COLLECTION LETTERS ALL REFER TO OUR FREE CARE PROGRAM ASKING THE PATIENT TO CALL TO DISCUSS THIS AND OTHER OPTIONS. WHEN FREE CARE IS DISCUSSED WITH THE PATIENT, IT IS EXPLAINED THAT THEY ARE REQUIRED TO APPLY FOR OTHER ASSISTANCE AND WE OFFER OUR HELP IN THE APPLICATION PROCESS. FOR SELF-PAY PATIENTS THAT ARE IP, ONE OF THE FINANCIAL COUNSELORS ATTEMPTS TO DISCUSS MEDICAID AS WELL AS FREE CARE. Schedule H, Part VI, Line 4 Community information WE SERVE TWO OF THE MOST ECONOMICALLY CHALLENGED COUNTIES IN VERMONT. WITH A TOTAL OF APPROXIMATELY 30,000 RESIDENTS IN OUR SERVICE AREA, OUR POPULATION, AS COMPARED TO VT AND THE US, HAS A SIGNIFICANTLY HIGHER PERCENTAGE OF PERSONS LIVING UNDER THE FEDERAL POVERTY LEVEL AND A VERY HIGH RATE OF ADULTS AGE 25+ WITHOUT A HIGH SCHOOL EDUCATION, WHILE THE MEDIAN HOUSEHOLD INCOME IS SIGNIFICANTLY LOWER, AGAIN AS COMPARED TO VT AND THE US. OUR REGION CONSISTENTLY HAS ONE OF THE HIGHEST RATES OF UNEMPLOYMENT IN THE STATE. THIS PRIMARILY WHITE POPULATION IS FOUND IN VERY SMALL COMMUNITIES SCATTERED OVER A RURAL, MOUNTAINOUS, AND LAKE-DOTTED AREA, MAKING TRAVELING AND NETWORKING A CHALLENGE, PARTICULARLY IN THE HARSH WINTER MONTHS. Schedule H, Part VI, Line 5 Promotion of community health IN ADDITION TO THE COMMUNITY BUILDING ACTIVITIES LISTED ON PART II, OTHER COMMUNITY BENEFITS INCLUDE ACTIVITIES SUCH AS PROVIDING SKILLED NURSING SERVICES WHILE ACUTELY ILL PATIENTS ARE TRANSFERRED BY AMBULANCE TO A TERTIARY CARE CENTER, PROVIDING SUPPORT AND SUPERVISION IN THE EDUCATION OF STUDENT NURSES AND MEDICAL STUDENTS, DONATING SUPPLIES AND EQUIPMENT TO OTHER NON-PROFIT ORGANIZATIONS FOR THEIR CONTINUED USE, ACTIVE PARTICIPATION ON THE BOARDS OF SEVERAL HEALTH RELATED AGENCIES SUCH AS THE VISITING NURSE ASSOCIATION, THE DOMESTIC VIOLENCE TASK FORCE, AND THE AREA AGENCY ON AGING. THE ORGANIZATION ALSO IMPLEMENTS A HELP LINE FOR THE HOMEBOUND OR FRAIL INDIVIDUALS WHO LIVE ALONE. A NUMBER OF LOCAL RESIDENTS RECEIVE THIS SERVICE AT NO COST TO THEM. Schedule H, Part VI, Line 6 Affiliated health care system NORTH COUNTRY HEALTH SYSTEMS, INC. AND ITS SUBSIDIARY COLLECTIVELY DO BUSINESS AS NORTH COUNTRY HEALTH SYSTEM (NCHS). NORTH COUNTRY HEALTH SYSTEMS, INC. (HEALTH SYSTEM) IS THE PARENT HOLDING COMPANY FOR ITS WHOLLY OWNED SUBSIDIARY, NORTH COUNTRY HOSPITAL AND HEALTH CENTER, INC. (HOSPITAL). NORTH COUNTRY HOSPITAL AND HEALTH CENTER, INC. OPERATES A 25-BED ACUTE ARE HOSPITAL FACILITY IN NEWPORT, VERMONT. THE HOSPITAL PRIMARILY EARNS REVENUES BY PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES TO PATIENTS IN NEWPORT, VERMONT, AND THE SURROUNDING AREA. THE HOSPITAL ALSO OPERATES A NUMBER OF PHYSICIAN CLINICS IN THE SAME GEOGRAPHIC AREA. X X false false false true false false false true false DWIGHT BRIAN NALL PRESIDENT & CEO END 10/22 372547 0 185 0 0 0 12200 0 22570 0 407502 0 0 0 GREGORY WALKER MD MEDICAL STAFF PRESIDENT 511830 0 15762 0 65226 0 22875 0 27860 0 643553 0 0 0 PETER STUART MD MEDICAL STAFF VICE PRESIDENT 461929 0 48105 0 38965 0 22875 0 5334 0 577208 0 0 0 TRACEY PAUL CFO & COO 237892 0 2500 0 0 0 17560 0 31871 0 289823 0 0 0 MEGAN SARGENT VP PATIENT CARE SERVICES 167770 0 1500 0 6086 0 7619 0 33049 0 216024 0 0 0 PAUL GIORDANO VP OF HUMAN RESOURCES 172492 0 0 0 1707 0 4359 0 24769 0 203327 0 0 0 STEVEN PERLIN MD CHIEF MEDICAL OFFICER 165223 0 0 0 0 0 3837 0 1600 0 170660 0 0 0 MARC BOUCHARD MD PHYSICIAN 559208 0 10000 0 0 0 22081 0 34294 0 625583 0 0 0 MATTHEW KELLEY MD PHYSICIAN 466705 0 52243 0 16123 0 7625 0 34188 0 576884 0 0 0 GENE WU MD PHYSICIAN 473850 0 3361 0 66740 0 21350 0 4669 0 569970 0 0 0 RUSSELL SARVER MD PHYSICIAN 477216 0 0 0 42337 0 12016 0 24884 0 556453 0 0 0 STEPHANE MULLIGAN MD PHYSICIAN 636000 0 0 0 29388 0 10625 0 34590 0 710603 0 0 0 Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization PHYSICIANS EARN COMPENSATION BASED UPON THEIR PRODUCTIVITY AGAINST ESTABLISHED TARGETS. INCREASED PRODUCTIVITY IS DIRECTLY RELATED TO INCREASED REVENUES FOR THE ORGANIZATION. VP/DIRECTOR INCENTIVES ARE ALSO BASED ON REVENUES AND PERFORMANCE. Schedule J, Part I, Line 7 Non-fixed payments THE SENIOR TEAM AND CERTAIN DOCTORS ARE GIVEN BONUSES BASED ON SPECIFIC PROGRAM PERFORMANCE. A VERMONT EDUCATIONAL AND HEALTH BUILDINGS FINANCING AGENCY 237154467 2016-06-01 18743131 BOND REFUNDING- NORTH COUNTRY HOSPITAL false false false A 6038855 18743131 222402 true false true true A false false false false 0.0 false false true A false false false true true true PEOPLES false false false false false false A false Schedule K, Part IV, Line 2c DATE OF REBATE COMPUTATION A REBATE CALCULATION WAS PERFORMED FOR THE BONDS AS OF 6/7/2017. NO REBATE DUE. Form 990, Part III, Line 1 ORGANIZATION'S MISSION OUR MISSION: OUR MISSION IS TO PROVIDE EXCEPTIONAL CARE THAT MAKES A DIFFERENCE IN THE LIVES OF OUR PATIENTS AND COMMUNITY. VISION: WE WILL BE REGARDED AS AN EXCEPTIONAL COMMUNITY RESOURCE THAT HAS SIGNIFICANTLY IMPROVED THE HEALTH OF THE COMMUNITY. OUR VALUES: - QUALITY PATIENT CARE IS OUR GREATEST COMMITMENT - EMPLOYEES ARE OUR GREATEST ASSETS - EXCELLENT PATIENT EXPERIENCE IS OUR GREATEST ACCOMPLISHMENT - THE HEALTH OF THE COMMUNITY IS OUR GREATEST RESPONSIBILITY Form 990, Part VI, Line 6 7a, & 7b - MEMBERS / STOCKHOLDERS / OTHER PERSONS THE SOLE MEMBER OF THE HOSPITAL SHALL BE NORTH COUNTRY HEALTH SYSTEMS, INC., A VERMONT NOT-FOR-PROFIT CORPORATION, ACTING THROUGH ITS BOARD OF TRUSTEES AND HEREINAFTER REFERRED TO AS THE MEMBER WHEN ACTING IN ITS CAPACITY AS SUCH. THE MEMBER SHALL HAVE THE EXCLUSIVE RIGHT TO ENJOY AND EXERCISE ALL RIGHTS AND POWERS CONFERRED ON MEMBERS OF NON-PROFIT CORPORATIONS UNDER THE LAWS OF THE STATE OF VERMONT, SUBJECT TO THE TERMS AND CONDITIONS OF THE AFFILIATION. THE MEMBER SHALL HAVE SUCH OTHER POWERS AS ARE SPECIFIED IN THE ARTICLES OF ASSOCIATION AND IN THESE BYLAWS, INCLUDING, WITHOUT THE POWER TO ELECT AND REMOVE TRUSTEES AND TO AMEND AND RESTATE THE ARTICLES OF ASSOCIATION. TWELVE OF THE TRUSTEES SHALL BE ELECTED BY THE MEMBER. THE AUTHORITY OF THE BOARD OF TRUSTEES TO EXERCISE THE FOLLOWING POWERS IS CONDITIONED ON THE PRIOR APPROVAL OF THE MEMBER: (1) THE ADOPTION OF ANNUAL OPERATING BUDGETS; (2) THE ADOPTION OF CAPITAL BUDGETS; (3) ANY VOLUNTARY DISSOLUTION, MERGER, OR CONSOLIDATION OF THE HOSPITAL OR THE SALE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE HOSPITAL'S ASSETS, OR THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OR AFFILIATE CORPORATION OF THE HOSPITAL; (4) ANY AGREEMENT OR TRANSACTION, EITHER OF WHICH IS OF A MATERIAL NATURE, WITH ANOTHER CORPORATION CONTROLLED DIRECTLY BY OR AFFILIATED WITH THE MEMBER; AND (5) THE BORROWING OF ANY SUM IN EXCESS OF $100,000 WHICH HAS A STATED TERM GREATER THAN ONE YEAR OR WHICH IS SECURED BY A MORTGAGE OF ALL OR ANY PORTION OF THE HOSPITAL'S REAL PROPERTY OR BY A SECURITY INTEREST IN THE HOSPITAL'S ASSETS OR REVENUES, BUT NOT INCLUDING ANY BORROWING OF LESS THAN $ 100,000 TO PURCHASE OR LEASE EQUIPMENT OR OTHER PERSONAL PROPERTY THAT IS SECURED SOLELY BY A PURCHASE MONEY TITLE RETENTION OR OTHER FORM OF SECURITY INSTRUMENT OR AGREEMENT IN THE EQUIPMENT OR PERSONAL PROPERTY BEING ACQUIRED. Form 990, Part VI, Line 15a & 15b - COMPENSATION REVIEW THE BOARD ANNUALLY REVIEWS THE CEO AND SENIOR TEAM SALARIES USING COMPARABILITY DATA. THE REVIEW PROCESS IS DOCUMENTED IN THE BOARD MINUTES. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S MANAGEMENT AND FINANCE TEAM IN DETAIL. AFTER IT HAS BEEN REVIEWED, IT IS THEN PROVIDED TO THE FULL BOARD. Form 990, Part VI, Line 12c Conflict of interest policy IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE BOARD, COMMITTEE, OR OTHER INDIVIDUALS WHO, ON BEHALF OF THE CORPORATION, ARE CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. IN THE EVENT THAT A TRUSTEE, OFFICER, COMMITTEE MEMBER OR MEMBER OF THE CORPORATION'S LEADERSHIP GROUP BECOMES CONCERNED THAT ANOTHER INTERESTED PERSON HAS AN UNDISCLOSED FINANCIAL INTEREST OR IS EXERTING INAPPROPRIATE INFLUENCE RELATED TO A FINANCIAL INTEREST, THIS CONCERN SHOULD BE RAISED WITH THE CHAIR OF THE APPROPRIATE BOARD OR COMMITTEE OR, IF INVOLVING THE LEADERSHIP GROUP, AN APPROPRIATE CORPORATE OFFICER. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON BY THE REMAINING BOARD OR COMMITTEE MEMBERS. IT SHALL BE THE RESPONSIBILITY OF THE CHAIR OF THE BOARD OR COMMITTEE TO INSTRUCT AN INTERESTED PERSON ON THE RESTRICTIONS ON HIS OR HER PARTICIPATION PURSUANT TO THIS POLICY IN ANY FURTHER CONSIDERATION OF THE SUBJECT MATTER OF THE CONFLICT OF INTEREST AND TO ENFORCE THESE RESTRICTIONS. AWARENESS/COMPLIANCE WITH POLICY EACH INTERESTED PERSON SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. EACH INTERESTED PERSON SHALL DISCLOSE ON AN ANNUAL SURVEY FORM POTENTIAL CONFLICTS OF INTEREST AND FINANCIAL INTERESTS RELEVANT TO THIS POLICY. EACH INTERESTED PERSON SHALL ALSO PROVIDE ON AN ANNUAL SURVEY FORM A LIST OF IMMEDIATE FAMILY MEMBERS, INCLUDING SPOUSE, CHILDREN, GRANDCHILDREN, PARENTS, SIBLINGS AND ANY OTHER PERSON WHO LIVES IN HIS/HER HOUSEHOLD, IN ORDER THAT THE CORPORATION MAY HAVE A RECORD OF ALL INDIVIDUALS WHO MAY BE CONSIDERED DISQUALIFIED PERSONS UNDER INTERNAL REVENUE SERVICE REGULATIONS FOR THE PURPOSE OF ENSURING COMPLIANCE WITH TAX EXEMPT STATUS REQUIREMENTS FOR CHARITABLE ORGANIZATIONS. PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT INVOLVES THE CONFLICT OF INTEREST. THE CHAIR OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, INCLUDING A CONSIDERATION OF INDEPENDENT COMPARABILITY DATA, VALUATIONS OR APPRAISALS, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE (OR QUORUM) OF ALL OF THE DISINTERESTED TRUSTEES OR COMMITTEE MEMBERS (REGARDLESS OF THE NUMBER PRESENT AT A MEETING): (I) WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND FOR ITS OWN BENEFIT, (II) WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION, AND (III) WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATIONS. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO BE VIEWED BY THE PUBLIC UPON AN APPOINTMENT WITH THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER OR ASSISTANT. Form 990, Part VII, Section A BOARD OF DIRECTORS NORTH COUNTRY HOSPITAL AND HEALTH CENTER AND NORTH COUNTRY HEALTH SYSTEMS SHARE A BOARD OF DIRECTORS. NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR DUTIES AS DIRECTORS. DWIGHT NALL, CEO, WORKS APPROXIMATELY 40 HOURS PER WEEK BETWEEN NORTH COUNTRY HOSPITAL AND HEALTH CENTER AND NORTH COUNTRY HEALTH SYSTEMS. HE IS COMPENSATED FOR HIS DUTIES IN THAT CAPACITY. PETER STUART AND GREGORY WALKER ARE COMPENSATED AS EMPLOYEES OF NORTH COUNTRY HOSPITAL. THEY DO NOT RECEIVE ANY COMPENSATION FOR THEIR DUTIES AS BOARD OF DIRECTORS MEMBERS. Form 990, Part IX, Line 11g Other Fees CONTRACT SERVICES - Total Expense: 7560284, Program Service Expense: 7560284, Management and General Expenses: , Fundraising Expenses: ; PHYSICIAN SERVICES - Total Expense: 7039509, Program Service Expense: 7039509, Management and General Expenses: , Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 1616968, Program Service Expense: 1599122, Management and General Expenses: 17846, Fundraising Expenses: ; CONSULTING SERVICES - Total Expense: 165645, Program Service Expense: 165645, Management and General Expenses: , Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 307, Program Service Expense: , Management and General Expenses: 307, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN FAIR VALUE OF INTEREST RATE SWAP - 170708; CHANGE IN INTEREST IN NET ASSETS OF NCHS - 109632; NORTH COUNTRY HEALTH SYSTEMS 189 PROUTY DRIVE NEWPORT VT 05829 222566964 PARENT/FUNDRS VT 501(c)(3) Type II NA false NORTHEAST KINGDOM HLTHCARE COL 55 SHERMAN DRIVE ST JOHNSBURY VT 05819 030185556 SLEEP LAB SVC VT NA Related -64775 976514 false true 0.6000 false false false false false false false false false false false false true true true false true false false