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CENTRAL VERMONT MEDICAL CENTER INC HCSR: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
CENTRAL VERMONT MEDICAL CENTER INC HCSR (EIN 22-2547186)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-08-14
IRS object ID
202432279349301843
Schema version
2022v5.0
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)
Return2024-08-14T13:08:56-05:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

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 Line12001 MARKET ST SUITE 1800AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

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 PATNAUDE CFOInCareOfNm
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
Signature2024-08-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPAUL J TANISPreparerPersonNm
PTINP01441612PTIN
Phone2673303000PhoneNum
Preparation2024-08-14PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMRS ANNA T NOONANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1130 FISHER ROADAddressLine1Txt
CityBERLINCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05602ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$274,137,880GrossReceiptsAmt
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 Body14VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee1929TotalEmployeeCnt
Total Volunteers87TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,297,264PYContributionsGrantsAmt
CY Contributions Grants$5,735,940CYContributionsGrantsAmt
PY Program Service Revenue$256,969,393PYProgramServiceRevenueAmt
CY Program Service Revenue$267,562,051CYProgramServiceRevenueAmt
PY Investment Income$2,304,410PYInvestmentIncomeAmt
CY Investment Income$512,838CYInvestmentIncomeAmt
PY Other Revenue$235,551PYOtherRevenueAmt
CY Other Revenue$249,045CYOtherRevenueAmt
PY Total Revenue$265,806,618PYTotalRevenueAmt
CY Total Revenue$274,059,874CYTotalRevenueAmt
PY Grants And Similar Paid$183,698PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$70,603CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$152,188,161PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$159,296,124CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$169,265CYTotalFundraisingExpenseAmt
PY Other Expenses$124,870,185PYOtherExpensesAmt
CY Other Expenses$131,613,383CYOtherExpensesAmt
PY Total Expenses$277,242,044PYTotalExpensesAmt
CY Total Expenses$290,980,110CYTotalExpensesAmt
PY Revenues Less Expenses-$11,435,426PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$16,920,236CYRevenuesLessExpensesAmt
Total Assets BOY$173,786,081TotalAssetsBOYAmt
Total Assets EOY$162,943,741TotalAssetsEOYAmt
Total Liabilities BOY$82,407,234TotalLiabilitiesBOYAmt
Total Liabilities EOY$93,127,363TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$91,378,847NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$69,816,378NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$169,605,209ExpenseAmt
Grant$66,103GrantAmt
Revenue$201,458,611RevenueAmt
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. 20,375 INPATIENT DAYS, MORE THAN 250,000 OUTPATIENT PROCEDURES, AND 27,666 EMERGENCY ROOM VISITS WERE RECORDED DURING FISCAL YEAR 2023. OUTPATIENT ANCILLARY SERVICE UNITS MAKE UP THE MAJORITY OF SERVICE VOLUME, INCLUDING 42,139 RADIOLOGY PROCEDURES, 491,931 LAB TESTS, 18,505 CARDIOLOGY TESTS, AND 150,221 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 2023 WAS 27,666. THE CANCER TREATMENT CENTER PROVIDED 4,245 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$71,574,367ExpenseAmt
Grant$4,500GrantAmt
Revenue$46,279,352RevenueAmt
DescMEDICAL GROUP PRACTICES: AT THE END OF THE FISCAL YEAR WE HAD 28 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 583,822 PRACTICE VISITS DURING FISCAL YEAR 2023.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$22,396,018ExpenseAmt
Revenue$19,824,088RevenueAmt
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$263,575,594TotalProgramServiceExpensesAmt
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 IndividualsfalseGrantsToIndividualsInd
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 Document111IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1929EmployeeCnt
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 Members14GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
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 PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
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 PATNAUDE CFOPersonNm
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 (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndOfficerOfficerIndKey EmployeeKeyEmployeeInd
JOHN BRUMSTED MD
TRUSTEE, UNTIL 11/226.044.0Yes (X)$0$1,787,177$68,822
CHRISTIAN BEAN MD
PHYSICIAN50.00.0$0$594,314$55,962Yes (X)
CHRISTOPHER MERIAM MD
TRUSTEE,FMR PRES MED,UNTIL6/2345.05.0Yes (X)$0$587,496$54,564
SARA GRAVES MD
PHYSICIAN50.00.0$0$575,318$52,878Yes (X)
ANNA T NOONAN
TRUSTEE, PRESIDENT/COO35.015.0Yes (X)$524,507$0$88,509Yes (X)
JOHN BEGLY MD
PHYSICIAN50.00.0$0$531,029$59,885Yes (X)
NEJAT ZEYNELOGLU MD
CHIEF MEDICAL OFFICER50.00.0$417,104$0$23,916Yes (X)
BENJAMIN SMITH MD
PHYSICIAN50.00.0$0$386,444$52,248Yes (X)
JOHN MOTLEY MD
PHYSICIAN50.00.0$0$378,323$57,658Yes (X)
KIMBERLY PATNAUDE
TREASURER, CFO/VP FISCAL SVCS50.00.0$302,779$0$39,400Yes (X)
ROBERT PATTERSON
VP HR & CLINICL OPERATIONS50.00.0$273,618$0$46,263Yes (X)
JAMES ALVAREZ
VP SUPPORT SERVICES50.00.0$281,781$0$34,039Yes (X)
ANNA HANKINS MD
TRUSTEE, PRESIDENT MED STAFF45.05.0Yes (X)$0$266,235$48,637
MATTHEW CHOATE
VP PATIENT CARE SERVICES50.00.0$267,720$0$40,205Yes (X)
SUNIL EAPPEN MD
TRUSTEE, AS OF 11/226.044.0Yes (X)$0$286,769$17,826
WILLIAM KOWALEWSKI
ADMIN/VP AGING SVCS WDR50.00.0$184,103$0$12,149Yes (X)
LISA MULLER
TRUSTEE1.00.0Yes (X)$0$0$0
THOMAS GOLONKA
TRUSTEE, IMMEDIATE FRMR CHAIR1.00.0Yes (X)$0$0$0
JOYCE JUDY
TRUSTEE, CHAIR-ELECT1.02.0Yes (X)$0$0$0Yes (X)
MARY MOULTON
TRUSTEE1.00.0Yes (X)$0$0$0
TONI KAEDING
TRUSTEE1.00.0Yes (X)$0$0$0
SANDY ROUSSE
TRUSTEE1.00.0Yes (X)$0$0$0
CONNIE COLMAN
TRUSTEE, SECRETARY1.00.0Yes (X)$0$0$0Yes (X)
PAULETTE THABAULT
TRUSTEE, CHAIR1.00.0Yes (X)$0$0$0Yes (X)
JOAN MARIE MISEK
TRUSTEE1.00.0Yes (X)$0$0$0
CHARLES MARTEL JR
TRUSTEE, AS OF 12/221.00.0Yes (X)$0$0$0
ERICA METZGER HARE
TRUSTEE, AS OF 12/221.00.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,251,612TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,393,105TotReportableCompRltdOrgAmt
Total Other Compensation$752,961TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K178IndivRcvdGreaterThan100KCnt
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
MEDICAL SOLUTIONS
1010 NORTH 102ND STREET SUITE 300OMAHANE68114CLINICAL STAFFING$8,304,589
AMN HEALTHCARE ALLIED INC
PO BOX 281939ATLANTAGA303841939NURSE STAFFING$1,087,706
CROSS COUNTRY STAFFING INC
PO BOX 404674ATLANTAGA303844678CLINICAL STAFFING$12,634,206
E4H-ENVIRONMENTS FOR HEALTH ARCHITE
PO BOX 779062CHICAGOIL606779062ARCHITECTURE$957,640
WEATHERBY LOCUMS INC
PO BOX 972633DALLASTX753972633PHYSICIAN STAFFING$535,504
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K25CntrctRcvdGreaterThan100KCnt
Related Organizations$25,000RelatedOrganizationsAmt
Government Grants$5,504,529GovernmentGrantsAmt
All Other Contributions$206,411AllOtherContributionsAmt
Total Contributions$5,735,940TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE900099$191,280,298$191,280,298
REV FROM MANAGED CARE AND CAPITATED900099$60,845,212$60,845,212
340B CONTRACT PHARMACY REVENUE900099$9,058,271$9,058,271
BLUEPRINT PMPM900099$1,143,980$1,143,980
OTHER CONTRACT/CLIENT REVENUE900099$903,401$903,401

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,330,889TotalRevenueColumnAmt
Related Or Exempt Func Income$4,330,889RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$267,562,051TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$512,838TotalRevenueColumnAmt
Exclusion$512,838ExclusionAmt

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$327,051RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$78,006RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$249,045RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$249,045TotalRevenueColumnAmt
Exclusion$249,045ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
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$274,059,874TotalRevenueColumnAmt
Related Or Exempt Func Income$267,562,051RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$761,883ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$70,603TotalAmt
Program Services$70,603ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$2,201,411TotalAmt
Management And General$2,201,411ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$124,929,015TotalAmt
Program Services$118,333,508ProgramServicesAmt
Management And General$6,463,510ManagementAndGeneralAmt
Fundraising$131,997FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,130,757TotalAmt
Program Services$4,775,729ProgramServicesAmt
Management And General$349,701ManagementAndGeneralAmt
Fundraising$5,327FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$18,569,633TotalAmt
Program Services$17,284,689ProgramServicesAmt
Management And General$1,265,664ManagementAndGeneralAmt
Fundraising$19,280FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,465,308TotalAmt
Program Services$7,879,543ProgramServicesAmt
Management And General$576,976ManagementAndGeneralAmt
Fundraising$8,789FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$75,796TotalAmt
Management And General$75,796ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$26,900TotalAmt
Management And General$26,900ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$29,063TotalAmt
Management And General$29,063ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$47,371,304TotalAmt
Program Services$34,293,171ProgramServicesAmt
Management And General$13,076,129ManagementAndGeneralAmt
Fundraising$2,004FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$277,889TotalAmt
Program Services$85ProgramServicesAmt
Management And General$277,804ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,827,426TotalAmt
Program Services$2,374,515ProgramServicesAmt
Management And General$451,811ManagementAndGeneralAmt
Fundraising$1,100FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,776,099TotalAmt
Program Services$1,716,402ProgramServicesAmt
Management And General$59,697ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,463,892TotalAmt
Program Services$7,322,079ProgramServicesAmt
Management And General$141,813ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$109,988TotalAmt
Program Services$92,041ProgramServicesAmt
Management And General$17,729ManagementAndGeneralAmt
Fundraising$218FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$762,802TotalAmt
Program Services$642,689ProgramServicesAmt
Management And General$120,113ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$433,971TotalAmt
Program Services$433,971ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,844,620TotalAmt
Program Services$6,844,620ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,069,614TotalAmt
Program Services$749,113ProgramServicesAmt
Management And General$320,501ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
STATE TAX ASSESSMENT$14,427,610$14,427,610
MAINTENANCE & REPAIRS$3,251,031$3,178,687$72,344
MEDICAL & SURGICAL SUPPLIES$39,577,462$39,577,462
FOOD EXPENSE$1,758,856$1,646,497$112,359

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,529,060TotalAmt
Program Services$1,932,580ProgramServicesAmt
Management And General$1,595,930ManagementAndGeneralAmt
Fundraising$550FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$290,980,110TotalAmt
Program Services$263,575,594ProgramServicesAmt
Management And General$27,235,251ManagementAndGeneralAmt
Fundraising$169,265FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,485,274BOYAmt
EOY$14,520,703EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$51,848EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$32,815,623BOYAmt
EOY$21,840,182EOYAmt

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$173,877BOYAmt
EOY$783,432EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,582,065BOYAmt
EOY$5,236,018EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,285,439BOYAmt
EOY$1,404,735EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$184,400,420LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$127,653,420LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$61,048,229BOYAmt
EOY$56,747,000EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$51,111,852BOYAmt
EOY$51,320,949EOYAmt

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$14,283,722BOYAmt
EOY$11,038,874EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$173,786,081BOYAmt
EOY$162,943,741EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$49,035,781BOYAmt
EOY$60,389,220EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$122,011EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$24,751BOYAmt
EOY$71,285EOYAmt

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$18,263,760BOYAmt
EOY$11,731,520EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,082,942BOYAmt
EOY$20,813,327EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$82,407,234BOYAmt
EOY$93,127,363EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$83,955,738BOYAmt
EOY$61,753,099EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,423,109BOYAmt
EOY$8,063,279EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$91,378,847BOYAmt
EOY$69,816,378EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$173,786,081BOYAmt
EOY$162,943,741EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$16,920,236ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$6,282,704NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$10,924,937OtherChangesInNetAssetsAmt
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$29,063OtherActivitiesAmt
Total Lobbying Expenditures$29,063TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

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$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,058,522BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$380,580InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$421,217OtherExpendituresAmt
Administrative Expenses$50,840AdministrativeExpensesAmt
End Year Balance$7,967,045EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,330,090BeginningYearBalanceAmt
Contributions$274,389ContributionsAmt
Investment Earnings Or Losses$549,557InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$2,050,133OtherExpendituresAmt
Administrative Expenses$45,381AdministrativeExpensesAmt
End Year Balance$8,058,522EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.45720PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.54280TermEndowmentBalanceEOYPct
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$118,774,056OtherCostOrOtherBasisAmt
Depreciation$82,647,835DepreciationAmt
Book Value$36,126,221BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,340,349OtherCostOrOtherBasisAmt
Depreciation$4,125,972DepreciationAmt
Book Value$214,377BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$49,082,009OtherCostOrOtherBasisAmt
Depreciation$40,879,613DepreciationAmt
Book Value$8,202,396BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,694,006OtherCostOrOtherBasisAmt
Book Value$6,694,006BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$56,747,000TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescNETWORK INVESTMENT POOLDesc
Book Value$51,320,949BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$51,320,949TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
OPR LEASE ROU ASSETS,NET$7,904,471
INVESTMENT 457 PLAN$3,134,403
FieldValueIRS element (for citing)
Total Book Value Other Assets$11,038,874TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
OTHER LIABILITIES$4,881,505
LEASE LIABILITY - OPERATING$7,803,345
PENSION OBLIGATIONS$8,128,477
FieldValueIRS element (for citing)
Total Liability$20,813,327TotalLiabilityAmt
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"). PAGES 17 AND 18 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
Percent200Yes (X)Percent200Ind
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 CareYes (true)UnableToProvideCareInd
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$1,495,928TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,495,928NetCommunityBenefitExpnsAmt
Total Expense0.00510TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$64,188,833TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,711,595DirectOffsettingRevenueAmt
Net Community Benefit Expns$36,477,238NetCommunityBenefitExpnsAmt
Total Expense0.12540TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$65,684,761TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$27,711,595DirectOffsettingRevenueAmt
Net Community Benefit Expns$37,973,166NetCommunityBenefitExpnsAmt
Total Expense0.13050TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$114,970TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$114,970NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$342,670TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$342,670NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,599,551TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,363,492DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,236,059NetCommunityBenefitExpnsAmt
Total Expense0.01110TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$149,171TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$30,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$119,171NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,206,362TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,393,492DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,812,870NetCommunityBenefitExpnsAmt
Total Expense0.01310TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$76,891,123TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$35,105,087DirectOffsettingRevenueAmt
Net Community Benefit Expns$41,786,036NetCommunityBenefitExpnsAmt
Total Expense0.14360TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$8,327,903BadDebtExpenseAmt
Bad Debt Expense Attributable$166,558BadDebtExpenseAttributableAmt
Reimbursed By Medicare$60,576,490ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$141,862,215CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$81,285,725MedicareSurplusOrShortfallAmt

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.CVMC.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 Conducted21CHNAConductedYr
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 Adpt21ImplementationStrategyAdptYr
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 Care200.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 (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 3EIN ACCORDANCE WITH REQUIREMENTS SET FORTH IN THE AFFORDABLE CARE ACT AND IN SUPPORT OF ITS COMMUNITY MISSION, CENTRAL VERMONT MEDICAL CENTER (CVMC) COMPLETED A 2022-2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND A SUPPORTING THREE-YEAR IMPLEMENTATION PLAN. THE CURRENT CHNA IS A CONTINUATION OF PAST ASSESSMENTS CONDUCTED SINCE ITS INCEPTION IN 2013. THE CHNA SEEKS TO EXPAND UPON PAST ASSESSMENTS TO STRENGTHEN COMMUNITY AND POPULATION HEALTH MANAGEMENT STRATEGIES, WITH A FOCUS ON SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY, WHICH IS CONSISTENT WITH PRIOR ASSESSMENTS. THE 2022-2025 CHNA FOCUSES ON CVMC'S PRIMARY SERVICE AREA IN WASHINGTON COUNTY. THE 2022-2025 CHNA IS BEING CONDUCTED IN COLLABORATION WITH THRIVE, CENTRAL VERMONT'S ACCOUNTABLE COMMUNITY FOR HEALTH. CVMC HAS ALSO CONTRACTED WITH COMMUNITY RESEARCH CONSULTING (CRC) WHO ASSISTED IN CONDUCTING THE CURRENT CHNA AND OVERSEES THE FY2023 CHNA RESEARCH AND REPORTING. REPRESENTATIVES FROM CVMC, THRIVE, AND COMMUNITY ACTION NETWORK (CAN) REVIEWED THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FINDINGS IN CONJUNCTION WITH THE VERMONT DEPARTMENT OF HEALTH 2019-23 STATE HEALTH IMPROVEMENT PLAN (SHIP) TO DETERMINE THE MOST PRESSING NEEDS IMPACTING RESIDENTS ACROSS WASHINGTON COUNTY AND THE CVMC SERVICE AREA. THE FOLLOWING CRITERIA WERE APPLIED TO DETERMINE PRIORITIES ON WHICH TO FOCUS COMMUNITY WIDE HEALTH IMPROVEMENT EFFORTS. CHNA FINDINGS PRIORITIZATION CRITERIA: - SCOPE: HOW MANY PEOPLE ARE AFFECTED? - SEVERITY: HOW CRITICAL IS THE ISSUE? - ABILITY TO IMPACT: CAN WE ACHIEVE THE DESIRED OUTCOME? - COMMUNITY READINESS: IS THE COMMUNITY PREPARED TO TAKE ACTION? APPLYING THESE CRITERIA TO THE LIST OF TOP HEALTH NEEDS IDENTIFIED BY THE CHNA RESEARCH, THRIVE AND CAN MEMBERS RANKED AND ORDERED THE COMMUNITY'S HEALTH NEEDS IN THE FOLLOWING ORDER. 1. DIVERSITY, EQUITY AND INCLUSION 2. CHRONIC DISEASE PREVENTION 3. MENTAL HEALTH 4. SUBSTANCE USE DISORDERS 5. SOCIAL DRIVERS OF HEALTH THE 2022-2025 CHNA PRELIMINARY FINDINGS: OVERALL, WASHINGTON COUNTY CONTINUES TO BE A HEALTHIER COMMUNITY, SUPPORTED BY NATURAL RESOURCES, BETTER ACCESS TO HEALTHCARE, AND A COLLABORATIVE NETWORK OF HEALTH AND SOCIAL SERVICE PROVIDERS. THE TOP AREAS OF HEALTH NEED ARE CONSISTENT WITH THE 2022-2025 CHNA PRIORITY AREAS AND HAVE BEEN GREATLY IMPACTED BY THE COVID-19 PANDEMIC. THE 2022-2025 CHNA PRIORITIZED THE HEALTH NEEDS AND ALIGNED WITH THE VERMONT DEPARTMENT OF HEALTH SHIP PRIORITIES, PROMOTING COLLABORATION BETWEEN PUBLIC HEALTH, HOSPITAL, AND COMMUNITY BASED ORGANIZATIONS. AS A RESULT OF THE CHNA PROCESS, SIGNIFICANT INVESTMENT HAS OCCURRED WITHIN THE COMMUNITY. ALTHOUGH IT TAKES TIME TO EVALUATE WHETHER OR NOT SPECIFIC ACTIONS ARE MOVING THE NEEDLE ON ISSUES, THE ORGANIZATION FIRMLY BELIEVES THAT THE ACTIONS TAKEN AND FUNDING PROVIDED HAVE HAD A POSITIVE IMPACT ON THE COMMUNITY.
PART V, SECTION B, LINE 5THE CHNA INCLUDED AN IN-DEPTH REVIEW OF PRIMARY AND SECONDARY DATA TO COLLECT AND ANALYZE HEALTH TRENDS, SOCIO-ECONOMIC DATA, AND STAKEHOLDER PERSPECTIVES, TO INFORM COMMUNITY HEALTH PLANNING. PRIMARY STUDY METHODS WERE USED TO SOLICIT INPUT FROM HEALTH CARE CONSUMERS AND KEY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. SECONDARY STUDY METHODS WERE USED TO IDENTIFY AND ANALYZE STATISTICAL DEMOGRAPHIC AND HEALTH TRENDS. COMMUNITY ENGAGEMENT WAS AN INTEGRAL PART OF THE CHNA WITH WIDE PARTICIPATION BY MORE THAN 1,500 COMMUNITY STAKEHOLDERS WHO PARTICIPATED IN SURVEYS, FOCUS GROUPS, PLANNING MEETINGS, AND OTHER DIALOGUE. SPECIFIC CHNA STUDY METHODS INCLUDED: -AN ANALYSIS OF SECONDARY DATA SOURCES, INCLUDING NATIONAL AND STATE HEALTH STATISTICS, DEMOGRAPHIC AND SOCIAL MEASURES, AND HEALTH CARE UTILIZATION DATA. -AN ELECTRONIC KEY STAKEHOLDER SURVEY WITH 171 COMMUNITY REPRESENTATIVES TO SOLICIT INFORMATION ABOUT PERCEIVED HEALTH PRIORITIES, PERSPECTIVES ON EMERGING HEALTH TRENDS, AND RECOMMENDATIONS TO ADVANCE COMMUNITY HEALTH AND WELL-BEING STRATEGIES. -A COMMUNITY MEMBER SURVEY COMPLETED BY 1,344 RESIDENTS TO COLLECT COMMUNITY PERSPECTIVES ON HEALTH CONCERNS, BARRIERS TO CARE, AND RECOMMENDATIONS, AND RELATED INSIGHTS. -VIRTUAL FOCUS GROUPS WITH INDIVIDUALS REPRESENTING BLACK, INDIGENOUS, AND PEOPLE OF COLOR (BIPOC) AND LGBTQIA+ COMMUNITIES. -INDIVIDUAL AND SMALL GROUP INTERVIEWS WITH HEALTH AND SOCIAL SERVICE AGENCY REPRESENTATIVES, INCLUDING CVMC, CENTRAL VERMONT HOME HEALTH AND HOSPICE, GREEN MOUNTAIN UNITED WAY, PEOPLE'S HEALTH AND WELLNESS CLINIC, TURNING POINT OF CENTRAL VERMONT, AND WASHINGTON COUNTY SUBSTANCE ABUSE REGIONAL PARTNERSHIP. INPUT WAS RECEIVED FROM PERSONS REPRESENTING BROAD INTERESTS OF THE COMMUNITY, INCLUDING LEADERS WITH SPECIAL KNOWLEDGE AND OR EXPERTISE AS WELL AS COMMUNITY RESIDENTS. THE CHNA COMMUNITY STEERING GROUP DISTRIBUTED A COMMUNITY SURVEY THAT WAS COMPLETED BY MORE THAN 1,500 RESIDENTS. IN ADDITION, THE GROUP CIRCULATED A KEY INFORMANT SURVEY THROUGH THRIVE TO COMMUNITY MEMBERS WITH SPECIAL KNOWLEDGE OF COMMUNITY HEALTH STATUS, AND CONDUCTED ADDITIONAL INTERVIEWS WITH 33 KEY INFORMANT STAKEHOLDERS TO OBTAIN A BETTER UNDERSTANDING OF NEEDS AMONG UNDERSERVED POPULATIONS. INPUT WAS COLLECTED, STARTING IN THE BEGINNING OF FALL 2021 AND CONCLUDING DURING THE SUMMER OF 2022.
PART V, SECTION B, LINE 6BTHE 2022-2025 CHNA WAS CONDUCTED IN COLLABORATION WITH THRIVE, THE REGIONAL ACCOUNTABLE COMMUNITY FOR HEALTH. THIS MULTI-AGENCY COALITION, MADE UP OF HEALTH PROVIDERS, SOCIAL SERVICE AGENCIES, GOVERNMENT, CIVIC, AND RELIGIOUS ENTITIES, AND NUMEROUS OTHER COMMUNITY PARTNERS, IS DEDICATED TO IMPROVING HEALTH FOR THE RESIDENTS OF WASHINGTON AND NORTHERN ORANGE COUNTIES. THRIVE MEMBERS PLAYED AN INTEGRAL ROLE IN OVERSEEING DATA COLLECTION AND REVIEWING FINDINGS TO DETERMINE COMMUNITY HEALTH PRIORITIES BASED ON THE CHNA STUDY. IN ADDITION TO THRIVE MEMBERS, MORE THAN 1,500 COMMUNITY RESIDENTS SHARED THEIR PERSPECTIVES ON COMMUNITY NEEDS THROUGH SURVEYS AND OPEN DIALOGUE. WE VALUE THIS FEEDBACK AND RECOGNIZE THAT ALL COMMUNITY STAKEHOLDERS PLAY AN INTEGRAL PART IN ADVANCING THE HEALTH OF CENTRAL VERMONT. THE CHNA REPORT PROVIDES AN IN-DEPTH VIEW OF THE MANY FACTORS THAT INFLUENCE HEALTH IN OUR COMMUNITY. KNOWING THAT SOCIAL AND ECONOMIC MEASURES OFTEN IMPACT HEALTH MORE THAN HEALTH CARE DELIVERY ALONE, WE SOUGHT TO DEMONSTRATE THE CORRELATION BETWEEN HEALTH DISPARITIES AND SOCIAL DRIVERS OF THE HEALTH ENVIRONMENTAL FACTORS THAT IMPACT OUR HEALTH. IN RESPONSE TO THE FINDINGS FROM THE CHNA REPORT, CENTRAL VERMONT MEDICAL CENTER (CVMC) WORKED WITH OUR COMMUNITY PARTNERS TO OUTLINE A PLAN TO GUIDE OUR COMMUNITY HEALTH AND BENEFIT ACTIVITIES FOR THE 2022-2025 PLANNING CYCLE. THROUGHOUT THIS PLANNING CYCLE, CVMC WILL CONTINUE TO EVALUATE OUR ACTIVITIES AND TRACK OUR PROGRESS TOWARD IMPROVING THE ISSUES THAT MOST IMPACT THE HEALTH OF OUR COMMUNITY. IN DOING SO, CVMC WILL CONTINUE TO COLLABORATE WITH OUR PARTNERS, EDUCATE OUR POLICY MAKERS, AND ENGAGE COMMUNITY RESIDENTS TO PROMOTE HEALTH FOR ALL RESIDENTS OF CENTRAL VERMONT.
PART V, SECTION B, LINES 7A, 7B AND 10ACOMMUNITY HEALTH NEEDS ASSESSMENT https://www.cvmc.org/about-cvmc/community/community-health-needs-assessmen t https://gmcboard.vermont.gov/sites/gmcb/files/documents/CVMC_2022_CHNA_Fin al_Report_-_2022-06-16.pdf IMPLEMENTATION STRATEGY https://www.cvmc.org/about-cvmc/community/community-health-needs-assessmen t HOSPITAL FACILITY WEBSITE: https://www.cvmc.org/sites/default/files/documents/CVMC-Financial-Assistan ce-Policy.pdf
PART V, SECTION B, LINE 11CENTRAL VERMONT MEDICAL CENTER'S 2022-2025 CHNA IMPLEMENTATION STRATEGY WAS APPROVED BY THE BOARD OF DIRECTORS FEBRUARY 2022. THIS SPECIFIC IMPLEMENTATION STRATEGY SET OUT THE FOLLOWING OBJECTIVES TO EXPAND ACCESS TO HIGH-QUALITY, COMPREHENSIVE MENTAL HEALTH RESOURCES TO IMPROVE THE HEALTH AND WELL-BEING OF PATIENTS, THEIR FAMILIES, AND COMMUNITY MEMBERS IN WASHINGTON COUNTY: DIVERSITY, EQUITY, AND INCLUSION: GOAL: CREATE A CARE ENVIRONMENT THAT HONORS THE DIVERSITY OF OUR COMMUNITY, CONTINUALLY EXPANDS CULTURAL KNOWLEDGE, AND ADAPTS SERVICES TO MEET THE CULTURALLY UNIQUE NEEDS OF PATIENTS, WOODRIDGE RESIDENTS, STAFF AND OUR COMMUNITY. OBJECTIVE 1: INCREASE CULTURAL AWARENESS AND HUMILITY AMONG STAFF AND PROVIDERS. STRATEGY 1: PROVIDE OPPORTUNITIES FOR LEADERSHIP, STAFF, PROVIDERS AND COMMUNITY STAKEHOLDERS TO CONNECT, SHARE AND LEARN VIA CROSS-CULTURAL ENGAGEMENT IN A SAFE, INCLUSIVE ENVIRONMENT. STRATEGY 2: INCORPORATE DIVERSE STAKEHOLDERS ON HOSPITAL-WIDE COMMITTEES TO DEVLEOP ORGANIZATIONSL PRORITIES FOR ENSURING HIGH-QUALITY OF CARE. -PATIENT AND FAMILY ADVISORS HAVE BEEN RECRUITED TO SIT ON COMMITTEES AND BRING THE PATIENT EXPERIENCE TO IMPROVEMENT EFFORTS. -IN FY23, CVMC HAD 27 PATIENT AND FAMILY ADVISOR ENGAGEMENTS AND AIMS TO INCREASE THAT BY 25% IN FY24. STRATEGY 3: MONITOR AND TRACK PATIENT EXPERIENCE SURVEYS TO ENSURE MEMBERS OF THE BIPOC COMMUNITY WHO RECEIVE CARE AT CVMC EXPERIENCE EQUITABLE CARE. OBJECTIVE 2: REDUCE DISPARTITIES IN OUTCOMES AMONG VULNERABLE PATIENT POPULATIONS. STRATEGY 1: ACCURATELY COLLECT SEXUAL ORIENTATION AND GENDER IDENTITY (SOGI) AND RACE ETHNICITY AND LANGUAGE (REAL) DATA IN MEDICAL RECORDS. -CVMC HAS A PROCESS TO ASSESS AND COLLECT SOGI DATA UPON ADMISSION. WE LEVERAGE STRATUS IPADS FOR INTERPRETER SERVICES TO ENSURE ALL PATIENTS HAVE ACCESS TO CLEAR COMMUNICATON WITH THEIR CARE TEAM MEMBERS. STRATEGY 2: TRACK AND COMPARE PATIENT TREATMENT AND OUTCOMES ACROSS VULNERABLE POPULATIONS. -CVMC RECEIVED A GRANT THROUGH THE VERMONT PROGRAM FOR QUALITY IN HEALTH CARE TO ADDRESS DISPARITIES IN RATES OF SCREENING FOR COLON CANCER. EARLY DATA INDICATES PATIENTS WITH MEDICAID ARE SCREENED AT A RATE 20% LOWER THAN THE GENRERAL POPULATION. -THE GRANT EFFORTS INCLUDED INCORPORATION OF AN ALGORITHM FOR SELECTING THE MOST APPROPRIATE COLON CANCER SCREENING METHOD, PROVIDER-FACING AND PATIENT-FACING EDUCATION SHEETS, AND A CONVERSATION DECISION AID TO HELP GUIDE PROVIDERS AND PATIENTS IN MAKING THE BEST CHOICE FOR THE PATIENT. OVER THE YEAR, WE OBSERVED FECAL IMMUNOCHEMICAL TESTS (FIT) BECOMING A LARGER PERCENTAGE OF COMPLETED COLON CANCER SCREENING STUDIES. THIS WORK IS ADVANCING HEALTH EQUITY BY INCREASING ACCESS TO LOWER BARRIER OPTIONS FOR THIS PREVENTIVE SERVICE. STRATEGY 3: REVIEW HOSPITAL-WIDE PROCESSES TO INCORPROATE CULTURALLY AND LINGUISTAICALLY APPROPRIATE SERVICES (CLAS). -CVMC USES BOTH IN-PERSON INTERPRETERS AS WELL AS IPADS TO INCORPORATE TELEVIDEO INTERPRETERS FOR NON-ENGLISH-SPEAKING INDIVIDUALS. OBJECTIVE 3: ENCOURAGE AND SEEK INPUT TO IMPROVE HEALTH EQUITY. STRATEGY 1: INCORPORATE OPPORTUNITIES FOR QUALITATIVE INPUT FROM PATIENTS, WOODRIDGE RESIDENTS, STAFF, PROVIDERS AND COMMUNITY STAKEHOLDERS. -VTCHEP GRANT FUNDING OF SEVERAL PROJECTS SUPPORTING DIVERSE POPULATIONS. -THROUGH THE VTCHEP GRANT, CVMC AND THRIVE ACCOUNTABLE COMMUNITY FOR HEALTH SUPPORTED SEVERAL ACTIVE LISTENING AND LEARNING SESSIONS WITH DIVERSE STAKEHOLDERS, INCLUDING: -74 COMMUNITY MEMBERS ENGAGED IN CONVERSATIONS AROUND DIVERSITY, HEALTH EQUITY AND THEIR EXPERIENCES WITHIN OUR SYSTEM OF CARE. -27 STAFF MEMBERS ACROSS SIX THRIVE LEADERSHIP PARTNER ORGANIZATIONS ENGAGED IN COFFEE AND CHAT CONVERSATIONS. THE TESTIMONIALS AND UNIQUE STORIES ARE THE FRAMEWORK FOR THE CREATION OF A THRIVE EQUITY COMMITMENT. STRATEGY 2: SUPPORT AND CULTIVATE OPPORTUNITES FOR COMMUNITY-WIDE CROSS-CULTURAL ENGAGEMENT. THE PROGRESS FOR THIS WORK IS CAPTURED THROUGHOUT ALL ACTIVITIES. STRATEGY 3: INVITE DIVERSE STAKEHOLDERS TO SERVE ON COMMITTEES THAT ADVANCE PATIENT CARE AND INFORM HOSPITAL-WIDE POLICIES. -THE DIRECTOR OF PATIENT EXPERIENCE IS ACTIVELY RECRUITING PATIENT AND FAMILY ADVISORS TO SIT ON COMMITTEES AND BRING THE PATIENT EXPERIENCE TO IMPROVEMENT EFFORTS. OBJECTIVE 4: INCREASE DIVERSITY OF STAFF AND PROVIDERS. STRATEGY 1: MODIFY RECRUITMENT AND HIRING PROCESSES TO ATTRACT AND SUPPORT DIVERSE STAFF AND INVEST IN WORKFORCE CAREER LADDERS FOR ENTRY-LEVEL POSITIONS: -MEDICAL ASSISTANT PROGRAM -LICENSED NURSE ASSISTANT PROGRAM -LICENSED PRACTICAL NURSE -PHLEBOTOMY PROGRAM -RESPIRATORY THERAPY PROGRAM -ASSOCIATE DEGREE NURSE -ACCELERATED BACHELOR OF SCIENCE IN NURSING (ABSN) STRATEGY 2: GROW WORKFORCE PIPLINES, INCLUDING INTERNATIONAL STAFF RECRUITMENT, TO SHEPHERD DIVERSE CANDIDIDATES THROUGH HIRING AND SUCCESSFUL LONG-TERM EMPLOYMENT. -CVMC HAS SIGNED A CONTRACT WITH AVANTE TO SOURCE INTERNATIONS RNS. -CVMC HAS HOSTED SEVERAL WORKFORCE DEVELOPMENT PATHWAY INFORMATION SESSIONS DEDICATED TO HELPING EMPLOYEES LEARN ABOUT OTHER OPPORTUNITIES AND GROW THEIR OWN CAREER. OBJECTIVE 5: SUPPORT A SUSTAINABLE AND EQUITABLE COMMUNITY. STRATEGY 1: EVALUATE HIRING AND SUPPLY CHAIN PROCESSES. -THE NUTRITION AND FOOD SERVICES DEPARTMENT LAUNCHED AN INITIATIVE TO OFFER CULTURAL RECOGNITIONS OF CAFETERIA MEAL OFFERINGS THROUGHOUT THE YEAR. -HUMAN RESOURCES IS NOW COLLECTING STAFF DIVERSITY DATA TO BETTER UNDERSTAND: EXISTING WORKFORCE DIMENSIONS OF DIVERSITY AND MEASURE MEANINGFUL CHANGE OVER TIME. -MEASURING THE RATE OF SELF-REPORTING BY STAFF OF RACE/ETHNICITY WITHIN WORKDAY. MEASURED AS THE PERCENTAGE OF STAFF FOR WHICH RACE/ETHNICITY DATA IN WORKDAY WAS LEFT BLANK. THE BASELINE IS 5%. STRATEGY 2: PURCHASE GOODS FROM LOCAL AND DIVERSE VENDORS. -LOCALLY SOURCED FOOD VENDORS INCLUDE: MAPLE WIND FARM, PAUL MAZZA PRODUCE, CABOT CREAMERS, BLACK RIVER PRODUCE AND MEATS, AND MACKENZIE MEATS, AMONG OTHERS. -MAPLE WIND FARM WAS THE MOST RECENT ADDITION IN 2023 AS A LOCAL AND SUSTAINABLE SOURCE FOR FRESH EGGS AND FRESH CHICKEN USED IN THE KITCHEN AT CVMC. -PARTICIPATE IN THE VERMONT FRESH NETWORK, AS WELL AS THE HEALTHLY FOOD IN HEALTH CARE PLEDGE THROUGH THE "HEALTH CARE WITHOUT HARM" NATIONAL ORGANIZATION. STRATEGY 3: CONTRIBUTE EXPERTISE TO ADVANCE COMMUNITY INITIATIVES. -SUPPORTED THE WASHINGTON COUNTY CRISIS INTERVENTION TEAM (CIT) BY PROVIDING STAFF EXPERTISE AND SUPPORT. -AS A MEMBER FOR THRIVE, CVMC PROVIDED $25,000 OF VTCHEP FUNDS IN SUPPORT TO NINE ORGANIZATIONS AND PROJECTS THAT DIRECTLY SUPPORT DIVERSE AND UNDERSERVED POPULATIONS WITHIN OUR COMMUNITY. CHRONIC DISEASE PREVENTION: GOAL: IDENTIFY BARRIERS AND CHANGE PROCESSES TO ENSURE EQUITABLE ACCESS TO HEALTH CARE AND COMMUNITY-BASED SERVICES. OBJECTIVE 1: PROMOTE UVM HEALTH NETWORK POPULATION HEALTH MANAGEMENT STRATEGY THROUGH IMPROVED CLINICAL COMMUNICATION AND COORDINATION OF CARE. STRATEGY 1: CONTINUE THE DEVELOPMENT AND IMPLEMENTATION OF OUR PRIMARY CARE DELIVERY MODEL AND THE UVM HEALTH NETWORK POPULATION HEALTH SERVICES ORGANIZATION (PHSO). THE INTENT IS TO CREATE AN EXTENDED CARE TEAM OF RESOURCES INCLUDING CARE COORDINATION, SOCIAL SERVICES, HEALTH COACHING, AND MENTAL HEALTH AND RESOURCE COORDINATION TO POSITIVELY IMPACT CLINICAL HEALTH OUTCOMES FOR OUR PATIENTS, WOODRIDGE RESIDENTS AND OUR COMMUNITY, WHILE MAXIMIZING THE VALUE OF THE SERVICES WE PROVIDE. -CONTINUE TO SUPPORT THE DEVELOPMENT AND IMPLEMENTATION OF THE PHSO AND ASSOCIATED HIGH VALUE CARE WORKFLOWS. SCREENINGS FOR SOCIAL DETERMINANTS OF HEALTH (SDOH) AND BEHAVIORAL HEALTH CONCERNS HAVE BEEN STANDARIZED AND CAPTURED DISCRETELY WITHIN THE MEDICAL RECORD. RISK-BASED ALGORITHMS ARE BEING LEVERAGED TO ASSIGN PATIENTS INTO A VALUE-BASED CARE PATHWAY AND ALIGN SCHEDULED VISIT VOLUMES, CARE MANAGEMENT AND ADDITIONAL RESOURCES TO SUPPORT THE PATIENT IN MANAGING THEIR HEALTH, BASED ON THEIR LEVEL OF NEED. -PARTICIPATING AND ACTIVELY PROMOTING USE OF E-CONSULTS TO IMPROVE ACCESS TO SPECIALTY CARE. RATHER THAN PLACING A REFERRAL AND WAITING FOR THE PATIENT TO BE SEEN, A PROVIDER CAN SEND A VERY TARGETED QUESTION TO A SPECIALIST AND RECEIVE A RESPONSE THAT CAN BE INCORPORATED INTO THE PATIENT CARE PLAN, AVOIDING FURTHER DELAYS. OBJECTIVE 2: REDUCE DISPARITIES IN CHRONIC DISEASE PREVALENCE AND DEATH RATES. STRATEGY 1: CVMC PRIMARY CARE AND COMMUNITY PARTNERS WILL IDENTIFY COLLABORATIVE OPPORTUNITIES TO IMPROVE CARE AND SERVICE. -CVMC LAUNCHED 12 EVIDENCE-BASED HEALTHY LIVING WORKSHOPS AIMED AT IMPROVING HEALTH AND WELL-BEING. WORKSHOPS FOCUS ON CONDITIONS OF HIGH BLOOD PRESSURE, CHRONIC PAIN MANAGEMENT, DIABETES PREVENTION, DIABETES SELF-MANAGEMENT AND TOBACCO CESSATION AND SUPPORT PARTICIPATS IN LEARNING THE SKILLS AND BEHAVOIRS NEEDED FOR SUSTAINED HEALTH. -WORK ADVANCES WITH OUR LOCAL PARTNERS AT CENTRAL VERMONT HOME HEALTH AND HOSPICE (CVHHH), WASHINGTON COUNTY MENTAL HEALTH SERVICES (WCMHS), WOODRIDGE AND LOCAL SKILLED NURSING FACILITIES TO IMPROVE CARE COORDINATION AND TRANSITIONS OF CARE TO GET PATIENTS TO THE APPROPRIATE CARE SETTIN
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 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, 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. 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 CENTRAL VERMONT MEDICAL CENTER FINANCIAL ASSISTANCE WEBPAGE LOCATED AT: https://www.cvmc.org/patients-visitors/patient-financial-services/patient- financial-service-documents
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 20A THE 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)

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SCHEDULE H, PART VI, LINE 1THE ORGANIZATION'S REQUIRED SCHEDULE H SPECIFIC LINE ITEM DESCRIPTIONS ARE AS FOLLOWS:
PART I, LINES 3A-C:TO QUALIFY FOR FINANCIAL ASSISTANCE, AN ELIGIBLE PATIENT MUST PASS BOTH AN INCOME AND ASSETS TEST. INCOME IS SET AT A MAXIMUM OF 400% OF FEDERAL POVERTY LEVEL GUIDELINES ("FPLG") AND THE ASSETS TEST IS SET AT $50,000 LIQUID ASSETS, AS FURTHER DEFINED AND DESCRIBED IN THE POLICY. ASSISTANCE IS GRANTED BASED UPON THE PATIENT'S INCOME FPLG.
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 $8,327,903 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 $166,558 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 25 IN THE FISCAL YEAR 2023 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 9/30/23 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 THE COMPREHENSIVE 2022-2025 CHNA INCLUDED AN IN-DEPTH REVIEW OF PRIMARY AND SECONDARY DATA, HEALTH TRENDS, SOCIO-ECONOMIC STATISTICS, STAKEHOLDER PERCEPTIONS AND OTHER INFORMATION. CVMC AND THRIVE ANALYZED THE DATA TO ALIGN WITH THE VERMONT DEPARTMENT OF HEALTH STATE HEALTH IMPROVEMENT PLAN (SHIP) TO INFORM COMMUNITY HEALTH PLANNING. PRIMARY STUDY METHODS WERE USED TO SOLICIT INPUT FROM HEALTH CARE CONSUMERS AND KEY COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. SECONDARY STUDY METHODS WERE USED TO IDENTIFY AND ANALYZE STATISTICAL DEMOGRAPHIC AND HEALTH TRENDS. COMMUNITY ENGAGEMENT WAS AN INTEGRAL PART OF THE 2022-2025 CHNA WITH WIDE PARTICIPATION FROM NEARLY 1,500 COMMUNITY STAKEHOLDERS WHO PARTICIPATED IN SURVEYS, FOCUS GROUPS, PLANNING MEETINGS, AND OTHER DIALOGUE. IN ADDITION TO THE TRIENNIAL CHNA, CVMC REGULARY MONITORS THE HEALTH NEEDS OF THE CENTRAL VERMONT COMMUNITY, THROUGH THRIVE, THE REGIONAL ACCOUNTABLE COMMUNITY FOR HEALTH (ACH). THRIVE MEMBERS HOLD REGULAR MEETINGS TO SUPPORT THE INTEGRATION OF HIGH-QUALITY MEDICAL CARE, MENTAL HEALTH AND SUBSTANCE USE TREATMENT SERVICES, AND SOCIAL SERVICES, BOTH GOVERNMENTAL AND NON-GOVERNMENTAL, FOR THOSE IN NEED OF CARE. THRIVE ALSO STRIVES TO SUPPORT COMMUNITY WIDE PREVENTION EFFORTS ACROSS ITS DEFINED GEOGRAPHIC AREA TO REDUCE DISPARITIES IN THE DISTRIBUTION OF HEALTH AND WELLNESS. THE FOLLOWING ORGANIZATIONS AND AGENCIES ARE COLLECTIVELY REFERRED TO AS THE LEADERSHIP PARTNERS TEAM OF THRIVE: -BLUECROSS/BLUESHIELD OF VERMONT -CAPSTONE COMMUNITY ACTION -CENTRAL VERMONT COUNCIL ON AGING -CENTRAL VERMONT HOME HEALTH & HOSPICE -CENTRAL VERMONT MEDICAL CENTER -CENTRAL VERMONT REGIONAL PLANNING COMMISSION -DOWNSTREET HOUSING & COMMUNITY DEVELOPMENT -FAMILY CENTER OF WASHINGTON COUNTY -GOOD SAMARITAN HAVEN -GREEN MOUNTAIN UNITED WAY -ONE CARE VERMONT -PEOPLE'S HEALTH & WELLNESS CLINIC -VERMONT AGENCY OF HUMAN SERVICES -VERMONT DEPARTMENT OF HEALTH -VERMONT FOODBANK -WASHINGTON COUNTY MENTAL HEALTH SERVICES THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE AT THE FOLLOWING WEB ADDRESS: https://www.cvmc.org/about-cvmc/community/community-health-needs-assessmen t
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 PRIMARILY SERVES RESIDENTS OF WASHINGTON COUNTY AND NEIGHBORING COMMUNITIES IN CALEDONIA, CHITTENDEN, LAMOILLE, AND ORANGE COUNTIES. DEMOGRAPHICS: -SINCE 2010, VERMONT SAW A SMALLER INCREASE IN POPULATION (+2.8%) THAN US OVERALL (+7.4%). THE WASHINGTON COUNTY POPULATION WAS GENERALLY STAGNANT, INCREASINGLY 0.5% OR 273 PEOPLE FROM 2010, ENDING WITH A POPULATION OF 59,807. -FROM 2010 TO 2020, THE WHITE POPULATION DECLINES -5.3%. THE LARGEST POPULATION INCREASES WERE SEEN AMONG MULTIRACIAL (+2,642 PEOPLE) AND OTHER RACE (+316 PEOPLE) INDIVIDUALS. DESPITE INCREASING DIVERSITY, THE WHITE POPLUATION IN WASHINGTON COUNTY IS APPROXIMATELY 90% OF RESIDENTS. -APPROXIMATELY 19% OF WASHINGTON COUNTY AND VERMONT RESIDENTS ARE AGED 65 OR OLDER COMPARED TO 15.6% NATIONWIDE. THE YOUTH POPULATION UNDER AGE 18 IS PROPORTIONATELY SMALLER IN WASHINGTON COUTY AND VERMONT THAN THE NATION, ESTIMATED AT 19% VERSUS 22.6%. -APPROXIMATELY 11% OF VERMONT AND WASHINGTON COUNTY RESIDENTS LIVE IN POVERTY COMPARED TO 13.4% NATIONALLY. -WITHIN WASHINGTON COUNTY, CHILDHOOD POVERTY IS HIGHER IN THE CABOT ZIP CODE 05647 (33.5%), WATERBURY CENTER ZIP CODE 05677 (27.0%), AND BARRE ZIP CODE 05641 (24.8%). -SINCE THE 2019 CHNA THE WASHINGTON COUNTY, POVERTY DECLINES FOR WHITE, BLACK/AFRICAN AMERICAN, AND LATINX RESIDENTS BUT INCREASED FOR ASIAN AND MULTIRACIAL RESIDENTS. NOTABLE, THE PROPORTION OF ASIAN RESIDENTS LIVING IN POVERTY INCREASED FROM 13.6% TO 22.4%. -IN WASHINGTON COUNTY, THE PERCENTAGE OF BLACK/AFRICAN AMERICAN RESIDENTS LIVING IN PVOVERTY (13.5%) DECLINED AND IS ONLY SLIGHTLY HIGHER THAN THE PERCENTAGE FOR WHITE RESIDENTS (10.1%), BUT THE MEDIAN HOUSEHOLD INCOME FOR BLACK/AFRICAN AMERICANS ($27,273) IS LESS THAN HALF THE MEDIAN INCOME FOR WHITES ($63,454). -APPROXIMATELY 29% OF HOMEOWNERS IN WASHINGTON COUNTY ARE CONSIDERED HOUSING COST BURDENED, A DECREASE FROM THE 2019 CHNA FINDING (31.2%) AND A SIMILAR PROPORTION AS THE STATE AND NATION OVERALL. -THE PERCENTAGE OF RENTERS COST BURDENED BY THEIR MONTHLY RENT EXPENSE DECLINED FROM THE 2019 CHNA, FROM 47.3% TO 42.9%, BUT STILL REPRESENTS MORE THAN 1 IN 4 RENTAL HOUSEHOLDS. -AS OF 2019, 12% OF VERMONT ADULTS HAD A CURRENT ASTHMA DIAGNOSIS COMPARED TO 8.9% NATIONALLY. WITHIN WASHINGTON COUNTY, AN ESTIMATED 10.7% OF ADULTS HAD AN ASTHMA DIAGNOSIS. ACCESS TO HEALTH CARE: -WASHINGTON COUNTY CONTINUES TO HAVE A LOWER PERCENTAGE OF UNINSURED RESIDENTS THAN THE STATE AND NATION AND MEETS THE HEALTHY PEOPLE 2030 GOAL OF 92.1% INSURED RESIDENTS. -CONSISTENT WITH PRIOR YEARS OF DATA, 25.5% OF RESIDENTS HAVE MEDICAID INSURANCE (ALONE OR IN COMBINATION WITH OTHER INSURANCE). THE PERCENTAGE OF MEDICARE INSURED RESIDENTS INCREASED SLIGHTLY FROM THE 2019 CHNA FROM 19.7% TO 20.9%, A FINDING CONSISTENT WITH THE COUNTY'S AGING DEMOGRAPHIC. -WASHINGON COUNTY HAS LOW UNINSURED PERCENTAGES ACROSS ALL REPORTED RACIAL AND ETHNIC GROUPS, EXCLUDING ASIANS. THE PERCENTAGE OF UNINSURED WASHINGTON COUNTY ASIAN RESIDENTS (13.2%) MORE THAN TRIPLED FROM FIVE YEARS AGO (3.8%) AND IS MORE THAN DOUBLE THE STATEWIDE PERCENTAGE (4.8%). -WASHINGTON COUNTY HAS MORE PRIMARY CARE PROVIDERS THAN THE REST OF THE STATE, AND THE RATE OF PROVIDERS INCREASED FROM THE 2019 CHNA, FROM 102.4 TO 106.6 PER 100,000. DESPITE HAVING BETTER AVAILABILITY OF PRIMARY CARE PROVIDERS, BOTH WASHINGTON COUNTY AND VERMONT OVERALL HAVE SLIGHTLY LOWER PERCENTAGES OF ADULTS ACCESSING ROUTINE CARE (72%-72.5%) COMPARED TO THE NATION (75%).
PROMOTION OF COMMUNITY HEALTHPART VI, LINE 5 AS A PARTNER IN THE UNIVERSITY OF VERMONT HEALTH NETWORK, CENTRAL VERMONT MEDICAL CENTER IS PART OF A REGION-WIDE EFFORT TO TRANSFORM HEALTH CARE THAT IS TRANSLATING TO BETTER CARE HERE IN OUR LOCAL CENTRAL VERMONT COMMUNITIES. IN ADDITION TO OUR NETWORK PARTNERSHIP, WE BELIEVE THAT MAINTAINING THE HIGHEST QUALITY CARE FOR OUR PATIENTS ALSO DEPENDS ON OUR SUPPORT AND COLLABORATION WITH THE MANY LOCAL ORGANIZATIONS THROUGHOUT CENTRAL VERMONT THAT ARE ALSO PROVIDING VITAL SERVICES TO OUR COMMUNITY. SOME OF OUR COMMUNITY PARTNERS INCLUDE: A. CENTRAL VERMONT HOME HEALTH AND HOSPICE B. GREEN MOUNTAIN TRANSIT AUTHORITY (GMTA) C. GREEN MOUNTAIN UNITY WAY D. PEOPLE'S HEALTH AND WELLNESS CLINIC (PHWC) E. PHARMACIES F. VERMONT STATE DEPARTMENT OF HEALTH G. WASHINGTON COUNTY MENTAL HEALTH THE MAJORITY OF CVMC'S GOVERNING BODY (BOARD OF TRUSTEES) IS COMPRISED OF INDIVIDUALS WHO RESIDE IN CVMC'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES, FAMILY MEMBERS, NOR CONTRACTORS OF THE ORGANIZATION. CVMC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. CENTRAL VERMONT MEDICAL CENTER (CVMC) IS ALSO THE ADMINISTRATIVE ENTITY FOR THE VERMONT BLUEPRINT FOR HEALTH, PATIENT CENTERED MEDICAL HOMES FOR THE BARRE HEALTH SERVICE AREA (HSA). THE GOAL OF THE VERMONT BLUEPRINT FOR HEALTH, PASSED BY THE VERMONT LEGISLATURE IN 2010, IS TO SUPPORT VERMONT'S EFFORTS TO DEVELOP A COMPREHENSIVE, PROACTIVE SYSTEM OF CARE THAT IMPROVES THE QUALITY OF LIFE FOR PEOPLE WITH, OR AT RISK FOR CHRONIC CONDITIONS. AT THE END OF 2020, OVER 50 PRIMARY CARE PROVIDERS WERE ALL PART OF A RECOGNIZED NATIONAL COMMITTEE FOR QUALITY ASSURANCE, PATIENT CENTERED MEDICAL HOME IN THE BARRE HSA CARING FOR OVER 30,000 PATIENTS. THE CVMC COMMUNITY HEALTH TEAM (CHT) IS A PATIENT-CENTERED MULTIDISCIPLINARY TEAM THAT STRIVES TO IMPROVE THE PRIMARY HEALTH AND WELLNESS FOR ALL PATIENTS IN CENTRAL VERMONT. CHT IS COMMITTED TO REMOVING HEALTH BARRIERS BY OFFERING SERVICE FREE OF CHARGE, WHICH CONSISTS OF A NURSE, OR DIETITIAN, OR WELLNESS COACH, OR CLINICAL SOCIAL WORKER IN THE COMFORT OF YOUR PRIMARY CARE OFFICE. CHT SERVICES CAN HELP INDIVIDUALS OR FAMILY MEMBERS IMPROVE THEIR CHANCES FOR REACHING HEALTH GOALS, WHILE PROVIDING ONE-ON-ONE SUPPORT. THE CHT TEAM WORKS WITHIN THE CVMC PRIMARY CARE PRACTICES AROUND CENTRAL VERMONT, AS WELL AS WOMEN'S HEALTH. CVMC APPLIES SURPLUS FUNDS TO REVITALIZE FACILITIES, PURCHASE EQUIPMENT, STAFF EDUCATION AND TO ENHANCE PROGRAMS TO PROVIDE BETTER PATIENT AND FAMILY CENTERED CARE (PFCC). DURING FY 2023 CVMC CONTINUED TO EXPAND THE HEALTH CARE CAREER PATHWAY EDUCATION PROGRAMS. IN PARTNERSHIP WITH VERMONT COLLEGES AND UNIVERSITIES, CVMC WAS ABLE TO OFFER SEVEN TRAINING PROGRAMS IN 2023 WITH FORTY-SEVEN PARTICIPANS AND IS AIMING TO INCREASE THESE NUMBERS IN 2024. PROGRAM FOCUS AREAS INCLUDED LICENSED PRACTICAL NURSING, REGISTERED NURSING AND SURGICAL TECHNOLOGIES. THE BENEFITS AND SUCCESS OF CVMC'S APPROACH HAVE BEEN RECOGNIZED AS A TEMPLATE TO BE EMULATED ACROSS THE UVM HEALTH NETWORK ECOSYSTEM. IN JULY 2023, CENTRAL VERMONT EXPERIENCED SEVERSE FLOODING RESULTING IN ROAD, SCHOOL AND BUSINESS CLOSURES, AND EVACUATION OF MANY COMMUNITY MEMBERS FROM THEIR HOMES WHILE OTHERS FOUND THEMSELVES STRANDED IN PLACE. THE CVMC TEAM WORKED TOGETHER TO MAINTAIN OPERATIONS AND SUPPORT THOSE IN NEED, WITH STAFF WORKING BEYOND THEIR SCHEDULED SHIFTS AND OTHERS NAVIGATING THE MOST OBSCURE ROUTES TO BYPASS HIGH WATER AND MAKE IT INTO WORK SAFELY. THE CVMC PHARMACY TEAM QUICKLY ESTABLISHED A PROCESS TO PROVIDE 72-HOUR REFILLS FOR PATIENTS WHO RAN OUT OR LOST THEIR MEDICATIONS AS A RESULT FROM FLOODING. CVMC STAFF ESTABLISHED FLOOD RELIEF POP UP FIRST AID/PERSONAL PROTECTIVE EQUIPMENT (PPE) STATIONS IN COMMUNITY CENTERS TO ASSIST THOSE WHO NEEDED MEDICAL ATTENTION WITH MANY PROVIDERS AND STAFF VOLUNTERRING THEIR TIME TO SUPPORT THIS EFFORT. MEMBERS OF THRIVE, OUR ACCOUNTABLE COMMUNITY FOR HEALTH, MET REGULARLY TO IDENTIFY COMMUNITY NEEDS AND MOBILIZE THEIR RESOURCES TO SUPPORT THOSE IMPACTED BY THE FLOODING AS WELL.
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

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1PEOPLES HEALTH AND WELLNESS CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line151 CHURCH STAddressLine1Txt
CityBARRECityNm
State AbbreviationVTStateAbbreviationCd
ZIP05641ZIPCd
FieldValueIRS element (for citing)
Recipient EIN030343290RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$25,000CashGrantAmt
Purpose Of GrantHEALTH CARE FOR THE UNINSUREDPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

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 GRANTS FUNDS TO ORGANIZATIONS THAT SUPPORT CVMC'S EXEMPT PURPOSE OF SERVING THE HEALTHCARE NEEDS OF CENTRAL VERMONT RESIDENTS. GRANT FUNDS ARE APPROVED AND OVERSEEN BY THE BOARD.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (16 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
JOHN BRUMSTED MD
TRUSTEE, UNTIL 11/22$0$1,054,101$0$345,321$0$387,755$0$36,600$0$32,222$0$1,855,999$0$0
ANNA T NOONAN
TRUSTEE, PRESIDENT/COO$346,920$0$71,051$0$106,536$0$51,336$0$37,173$0$613,016$0$49,631$0
MATTHEW CHOATE
VP PATIENT CARE SERVICES$240,620$0$26,214$0$886$0$16,396$0$23,809$0$307,925$0$0$0
CHRISTOPHER MERIAM MD
TRUSTEE,FMR PRES MED,UNTIL6/23$0$522,377$0$0$0$65,119$0$18,300$0$36,264$0$642,060$0$0
ROBERT PATTERSON
VP HR & CLINICL OPERATIONS$245,265$0$26,666$0$1,687$0$16,679$0$29,584$0$319,881$0$0$0
JAMES ALVAREZ
VP SUPPORT SERVICES$244,157$0$26,428$0$11,196$0$11,375$0$22,664$0$315,820$0$0$0
SUNIL EAPPEN MD
TRUSTEE, AS OF 11/22$0$99,916$0$180,000$0$6,853$0$14,924$0$2,902$0$304,595$0$0
KIMBERLY PATNAUDE
TREASURER, CFO/VP FISCAL SVCS$272,241$0$29,523$0$1,015$0$14,468$0$24,932$0$342,179$0$0$0
CHRISTIAN BEAN MD
PHYSICIAN$0$553,942$0$0$0$40,372$0$18,300$0$37,662$0$650,276$0$0
JOHN BEGLY MD
PHYSICIAN$0$487,980$0$0$0$43,049$0$18,300$0$41,585$0$590,914$0$0
JOHN MOTLEY MD
PHYSICIAN$0$307,903$0$0$0$70,420$0$18,300$0$39,358$0$435,981$0$0
BENJAMIN SMITH MD
PHYSICIAN$0$367,857$0$0$0$18,587$0$18,300$0$33,948$0$438,692$0$0
SARA GRAVES MD
PHYSICIAN$0$534,748$0$0$0$40,570$0$18,300$0$34,578$0$628,196$0$0
ANNA HANKINS MD
TRUSTEE, PRESIDENT MED STAFF$0$236,890$0$0$0$29,345$0$16,357$0$32,280$0$314,872$0$0
NEJAT ZEYNELOGLU MD
CHIEF MEDICAL OFFICER$367,041$0$49,145$0$918$0$0$0$23,916$0$441,020$0$0$0
WILLIAM KOWALEWSKI
ADMIN/VP AGING SVCS WDR$164,380$0$17,824$0$1,899$0$8,835$0$3,314$0$196,252$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 2022, 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 2022 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 (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
SUBSTANTIAL DONOR
SUBSTANTIAL CONTRIBUTOR$221,481SERVICESfalse
SUBSTANTIAL DONOR
SUBSTANTIAL CONTRIBUTOR$126,008SERVICESfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 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 SERVING MORE THAN 66,000 PEOPLE WHO LIVE, AND WORK, AND PLAY IN THE 26 COMMUNITIES OF CENTRAL VERMONT. 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 HOSPITAL HAS RECEIVED FIVE STAR CMS HOSPITAL CARE RATINGS FOR THREE YEARS IN A ROW 2020-2022 AND IS A HIGH PERFORMING HOSPITAL OF THE US NEWS FOR COPD, PNEUMONIA, AND HIP FRACTURE FOR 2022-23. THE CENTRAL VERMONT MEDICAL CENTER PROFESSIONAL STAFF INCLUDES OVER 175 PHYSICIANS AND 70 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. CVMC WOODRIDGE REHABILITATION AND NURSING EARNED BEST NURSING HOMES STATUS BY ACHIEVING A RATING OF "HIGH PERFORMING," THE HIGHEST POSSIBLE RATING, FOR SHORT-TERM REHABILITATION. U.S. NEWS GIVES THE DESIGNATION OF BEST NURSING HOME ONLY TO THOSE HOMES THAT SATISFY U.S. NEWS'S ASSESSMENT OF THE APPROPRIATE USE OF KEY SERVICES AND CONSISTENT PERFORMANCE IN QUALITY MEASURES. 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 DRS. JOHN BRUMSTED AND SUNIL EAPPEN, OFFICERS OF THE UNIVERSITY OF VERMONT MEDICAL CENTER (UVMMC), DR. ANNA HANKINS, AN OFFICER OF CVMC, AND DR. CHRISTOPHER MERIAM AN OFFICER OF CVMC.
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 CVMC HAS BOTH A WHISTLEBLOWER AND A DOCUMENT RETENTION - DESTRUCTION POLICY. THESE POLICIES ARE EFFECTIVE WITHOUT FORMAL BOARD APPROVAL.
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 COMITTEE 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 FY2023 CAN ALSO BE FOUND ON THE WEBSITE, https://www.cvmc.org/about-cvmc/reports-and-publications
COMPENSATIONFORM 990, PART VII THREE PHYSICIANS SERVING AS BOARD MEMBERS, DR. MERIAM, DR. HANKINS, AND DR. ECKHAUS, 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 $(10,015,488) TRANSFER OF NET ASSETS (1,606,743) ASSETS RELEASED FROM CAPITAL 57,124 OTHER CHANGES OF NET ASSETS WITH DONOR RESTRICTIONS 640,170 ------------------------------------------------------------------------- TOTAL: $(10,924,937)
CIRCULAR A-133 AUDITFORM 990, PART XII, LINE 3B: DURING FY23, 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 THAT WAS PERFORMED FOR THE UNIVERSITY OF VERMONT MEDICAL CENTER.
CHANGES TO GOVERNING DOCUMENTSForm 990, Part VI, Line 4 EFFECTIVE OCTOBER 1, 2022, THE CERTIFICATE OF INCORPORATION AND THE BYLAWS OF THE UNIVERSITY OF VERMONT HEALTH NETWORK, INC. (THE "NETWORK") WERE AMENDED AND RESTATED TO FACILITATE TIMELY DECISION MAKING AND TO CLARIFY ROLES AND RELATIONSHIPS BETWEEN THE NETWORK AND ITS HOSPITAL AND HOME HEALTH CARE SUBSIDIARIES (THE "AFFILIATES"), INCLUDING CENTRAL VERMONT MEDICAL CENTER ("CVMMC"). CORRESPONDING AMENDMENTS WERE MADE TO THE ORGANIZATIONAL DOCUMENTS OF THE AFFILIATES. CVMMC'S DOCUMENTS CHANGED IN THE FOLLOWING SIGNIFICANT RESPECTS: FIRST, THE CERTIFICATE OF INCORPORATION AND BYLAWS WERE AMENDED TO CREATE RESERVED POWERS OF THE NETWORK BOARD. THESE RESERVED POWERS INCLUDE: THE NETWORK'S ELECTION OF TRUSTEES FOR CVMMC FROM NOMINEES SUBMITTED BY CVMMC; ADOPTION OF ANNUAL OPERATING AND CAPITAL BUDGETS; ADOPTION OF STRATEGIC PLANS; AND APPROVAL OF MAJOR FINANCIAL DECISIONS INCLUDING MERGERS, BANKRUPTCIES, COMMENCEMENT OF PROJECTS REQUIRING THE ISSUANCE OF A CERTIFICATE OF NEED, THE INCURRENCE OF LONG-TERM INDEBTEDNESS, AND THE DEVELOPMENT OR TERMINATION OF PROGRAMS OR SERVICES. ADDITIONALLY, THE COMPENSATION COMMITTEE OF THE NETWORK IS GRANTED RESPONSIBILITY FOR DETERMINING COMPENSATION AND BENEFITS FOR CVMMC'S PRESIDENT AND ANY OTHER EXECUTIVE CLASSIFIED AS A "DISQUALIFIED PERSON" UNDER APPLICABLE LAW.
FORM 990 PART IX LINE 11GDESCRIPTION:ALLOCATION OF SHARED SERVICES TOTAL FEES:11813969
FORM 990 PART IX LINE 11GDESCRIPTION:AGENCY FEES TOTAL FEES:1714747
FORM 990 PART IX LINE 11GDESCRIPTION:LAUNDRY/LINENS/UNIFORMS TOTAL FEES:246554
FORM 990 PART IX LINE 11GDESCRIPTION:TRAVELER EXPENSES TOTAL FEES:25116993
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER EXPENSES TOTAL FEES:8479041

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 (8 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
YANKEE MEDICAL INC
EQUIPVTUVMHN VENTURESC CORP276 NORTH AVENUEBURLINGTONVT05401030225363
UVMHN CREDENTIALING & ENROLLMENT
ADMIN SVCVTUVMHN VENTURESC CORP111 COLCHESTER AVEBURLINGTONVT05401030333056
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
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 OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
UNIVERSITY OF VERMONT MEDICAL CENTER
I$437,012FMV
UNIVERSITY OF VERMONT MEDICAL CENTER
p$43,334,249FMV

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