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NORTHEASTERN VERMONT REGIONAL HOSPITAL INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
NORTHEASTERN VERMONT REGIONAL HOSPITAL INC (EIN 03-6013761)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-08-14
IRS object ID
202432279349302313
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)
Return2024-08-14T15:56:14-05:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010523282PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Berry Dunn McNeil & Parker LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12211 Congress StAddressLine1Txt
CityPortlandCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN036013761EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Northeastern Vermont Regional Hosp IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone8027487520PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Hospital Drive PO Box 905AddressLine1Txt
CitySt JohnsburyCityNm
State AbbreviationVTStateAbbreviationCd
ZIP058190905ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAndre BissonnettePersonNm
Person TitleCFOPersonTitleTxt
Phone8027487520PhoneNum
Signature2024-08-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBarbara J McGuan CPAPreparerPersonNm
PTINP00219457PTIN
Phone2077752387PhoneNum
Preparation2024-08-14PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerShawn TesterPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Hospital Drive PO Box 905AddressLine1Txt
CitySt JohnsburyCityNm
State AbbreviationVTStateAbbreviationCd
ZIP058190905ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$122,682,588GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.nvrh.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1967FormationYr
Legal Domicile StateVTLegalDomicileStateCd
Activity Or MissionCritical Access HospitalActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee825TotalEmployeeCnt
Total Volunteers121TotalVolunteersCnt
Total Gross UBI$2,777,513TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$113,267NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,580,047PYContributionsGrantsAmt
CY Contributions Grants$4,481,463CYContributionsGrantsAmt
PY Program Service Revenue$111,322,974PYProgramServiceRevenueAmt
CY Program Service Revenue$116,927,481CYProgramServiceRevenueAmt
PY Investment Income$803,781PYInvestmentIncomeAmt
CY Investment Income$918,110CYInvestmentIncomeAmt
PY Other Revenue$92,609PYOtherRevenueAmt
CY Other Revenue$78,576CYOtherRevenueAmt
PY Total Revenue$114,799,411PYTotalRevenueAmt
CY Total Revenue$122,405,630CYTotalRevenueAmt
PY Grants And Similar Paid$318,437PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$242,077CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$68,868,484PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$71,795,590CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$44,982,412PYOtherExpensesAmt
CY Other Expenses$49,195,495CYOtherExpensesAmt
PY Total Expenses$114,169,333PYTotalExpensesAmt
CY Total Expenses$121,233,162CYTotalExpensesAmt
PY Revenues Less Expenses$630,078PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,172,468CYRevenuesLessExpensesAmt
Total Assets BOY$84,173,742TotalAssetsBOYAmt
Total Assets EOY$81,419,097TotalAssetsEOYAmt
Total Liabilities BOY$34,240,519TotalLiabilitiesBOYAmt
Total Liabilities EOY$27,149,442TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$49,933,223NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$54,269,655NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionNortheastern Vermont Regional Hospital, Inc. is committed to improving the health and wellbeing of all.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$96,550,383ExpenseAmt
Grant$242,077GrantAmt
Revenue$116,927,481RevenueAmt
DescNortheastern Vermont Regional Hospital, Inc. is a full service, state of the art, Critical Access Hospital. The Hospital makes its services available to approximately 30,000 residents of the greater St. Johnsbury community. Inpatient services include medical and surgical, intensive care, pediatrics, and obstetrics. The emergency room at NVRH is fully staffed by full-time board certified/eligible physicians. The Ambulatory Surgery Unit has space for 16 pre- and post-operative patients. Over 95% of our surgeries and procedures are conducted through day surgery. These services are supported by the laboratory, diagnostic imaging, MRI, CT scan, cardiac services, rehabilitation, respiratory, and other ancillary services. Surgical specialties include general surgery, neurosurgery, oral/maxillofacial, otolaryngology, obstetrics/gynecology, orthopedics, ophthalmology, and urology. NVRH is one of two Vermont hospitals to have been awarded the international baby-friendly designation by the World Health Organization.NVRH's charity care program is available to patients who are uninsured, underinsured, or have otherwise demonstrated they don't have the financial resources to fully pay for their hospital care. Patients with income levels below 200% of the federal poverty guideline for the applicable family size have their hospital bill discounted by 100%. Patients with income levels between 200% and 400% of the federal poverty guideline receive a discount on their hospital bill between 85% and 47%. Foregone charges, based on established rates, furnished under NVRH's free care program amounted to $1,865,568 during the year ended September 30, 2023.The emergency room at NVRH is fully staffed by full-time physicians and specialized nurses who are trained to deal with all aspects of medical care. Emergency room staff provide pre-hospital provider training and support, participation in local education programs, hospital continuing medical education and quality assurance programs. Care provided by the emergency room is coordinated with appropriate local physician practices. The NVRH pharmacy provides pharmaceutical services for patients, including a complete patient medication profile and computerized monitoring. Our pharmacy staff is a vital component of the healthcare team, consulting with physicians and other health professionals to ensure that patients receive the appropriate drug therapies. NVRH owns four Rural Health Clinics that are staffed with a combination of medical doctors, nurse practitioners, physician assistants and nurse midwives in order to meet the needs of our patients. The four clinics include:1. Corner Medical - a family practice.2. Kingdom Internal Medicine3. St. Johnsbury Pediatrics4. Women's Wellness Center - providing full OB/GYN care.Desc
Total Program Service Expenses$96,550,383TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of ArtYes (1)CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document156IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee825EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldVTStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Andre BissonnetteBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8027487520PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Hospital Drive PO Box 905AddressLine1Txt
CitySt JohnsburyCityNm
State AbbreviationVTStateAbbreviationCd
ZIP058190905ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Mary Parent
President of the Board, Past VP0.500.25Yes (X)Yes (X)$0$0$0
John Kascenska
Vice Chair0.500.25Yes (X)Yes (X)$0$0$0
Sara Simpson
Secretary0.500.25Yes (X)Yes (X)$0$0$0
Joe Kasprzak
Treasurer0.500.25Yes (X)Yes (X)$0$0$0
Thaddeus Richardson
Trustee/Past Vice Chair0.500.25Yes (X)Yes (X)$0$0$0
Betsy Bailey
Trustee0.500.25Yes (X)$0$0$0
Mark Bowen
Trustee0.500.25Yes (X)$0$0$0
Peter Crosby
Trustee0.500.25Yes (X)$0$0$0
Warren Dow
Trustee0.500.25Yes (X)$0$0$0
Steve Feltus
Trustee0.500.25Yes (X)$0$0$0
John Goodrich
Trustee0.500.25Yes (X)$0$0$0
Barbara Hatch
Trustee0.500.25Yes (X)$0$0$0
Terry Hoffer
Trustee0.500.25Yes (X)$0$0$0
Lorraine Matteis
President of the Auxiliary0.500.25Yes (X)$0$0$0
Steven McConnell
Trustee0.500.25Yes (X)$0$0$0
Natalie Morris
Trustee0.500.25Yes (X)$0$0$0
Kinsley Sicard
Trustee0.500.25Yes (X)$0$0$0
Dr Joshua Kantrowitz
Med Staff President40.000.25Yes (X)$240,859$0$44,207
Dr Amanda Van Straten
Med Staff President Elect(VP)40.000.25Yes (X)$273,276$0$43,598
Jane Arthur
Past President0.500.25Yes (X)Yes (X)$0$0$0
Judythe Desrochers
Past Treasurer0.500.25Yes (X)Yes (X)$0$0$0
Elaine Bixby
Past Trustee0.500.25Yes (X)$0$0$0
Shawn Tester
CEO40.000.25Yes (X)$367,733$0$46,893
Andre Bissonnette
CFO40.000.25Yes (X)$100,739$0$16,961
Dr Matthew G Prohaska
Physician40.000.25$878,794$0$49,371Yes (X)
Dr Ryan Sexton
Physician40.000.25$475,859$0$47,673Yes (X)
Dr Eugene J Dixon
Physician40.000.25$482,587$0$34,838Yes (X)
Dr Jeremy M Korsh
Physician40.000.25$676,260$0$42,742Yes (X)
Dr David V Dent
Physician40.000.25$463,191$0$45,059Yes (X)
Robert Hersey
Former CFO/Finance Projects Specialist30.000.25$184,151$0$31,058Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,143,449TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$402,400TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K118IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Dan Wyand
2020 Trestle RoadDanvilleVT05828Physical Therapy$2,467,920
Vermont Radiologists
393 Lower Moulton LaneStoweVT05672Radiologist Services$2,145,712
UVM Medical Center
111 Colchester AvenueBurlingtonVT05402Lab Services$792,500
Dartmouth Hitchcock
One Medical Center DriveLebanonNH03766Cardiology / Medical Services$593,497
RN Network
2600 K AvenuePlanoTX75074Nurse Travelers$588,187
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K25CntrctRcvdGreaterThan100KCnt
Fundraising$68,010FundraisingAmt
Government Grants$4,195,578GovernmentGrantsAmt
All Other Contributions$217,875AllOtherContributionsAmt
Total Contributions$4,481,463TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Patient Service Revenue621110$245,078,523$242,304,851$2,773,672
Fixed Prospective Revenue621110$10,239,246$10,239,246
Other Patient Service Revenue621110$4,763,525$4,303,727$459,798
Contractual/Char. Adj.621110-$143,153,813-$143,153,813
FieldValueIRS element (for citing)
Total Program Service Revenue$116,927,481TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$641,557TotalRevenueColumnAmt
Unrelated Business Revenue$3,841UnrelatedBusinessRevenueAmt
Exclusion$637,716ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$97,137RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$97,137RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$97,137TotalRevenueColumnAmt
Exclusion$97,137ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$261,060SecuritiesAmt
Other$265,250OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities-$33,216SecuritiesAmt
Other$282,973OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$294,276SecuritiesAmt
Other-$17,723OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$276,553TotalRevenueColumnAmt
Exclusion$276,553ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$8,640FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$68,010ContriRptFundraisingEventAmt
Fundraising Direct Expenses$27,201FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$18,561TotalRevenueColumnAmt
Exclusion-$18,561ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$122,405,630TotalRevenueColumnAmt
Related Or Exempt Func Income$113,694,011RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,777,513UnrelatedBusinessRevenueAmt
Exclusion$1,452,643ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$242,077TotalAmt
Program Services$242,077ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,134,266TotalAmt
Program Services$601,940ProgramServicesAmt
Management And General$532,326ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$53,972,214TotalAmt
Program Services$44,730,034ProgramServicesAmt
Management And General$9,242,180ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,257,422TotalAmt
Program Services$1,868,450ProgramServicesAmt
Management And General$388,972ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,658,395TotalAmt
Program Services$8,802,166ProgramServicesAmt
Management And General$1,856,229ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,773,293TotalAmt
Program Services$3,106,543ProgramServicesAmt
Management And General$666,750ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$100,429TotalAmt
Management And General$100,429ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$177,759TotalAmt
Management And General$177,759ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$107,494TotalAmt
Management And General$107,494ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$60,882TotalAmt
Management And General$60,882ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$14,470,118TotalAmt
Program Services$12,725,510ProgramServicesAmt
Management And General$1,744,608ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$77,910TotalAmt
Program Services$336ProgramServicesAmt
Management And General$77,574ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,007,954TotalAmt
Program Services$305,952ProgramServicesAmt
Management And General$702,002ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$450,401TotalAmt
Program Services$2,969ProgramServicesAmt
Management And General$447,432ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,480,121TotalAmt
Program Services$2,199,747ProgramServicesAmt
Management And General$3,280,374ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$64,820TotalAmt
Program Services$33,383ProgramServicesAmt
Management And General$31,437ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$83,696TotalAmt
Program Services$59,092ProgramServicesAmt
Management And General$24,604ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$415,298TotalAmt
Management And General$415,298ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,426,204TotalAmt
Program Services$1,807,659ProgramServicesAmt
Management And General$2,618,545ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,536,623TotalAmt
Program Services$744,100ProgramServicesAmt
Management And General$792,523ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$12,428,049$12,428,049
Medicaid Provider Tax$6,377,974$6,377,974
Miscellaneous Expense$1,575,153$505,521$1,069,632
Employee Recruitment/Re$354,610$8,881$345,729

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$121,233,162TotalAmt
Program Services$96,550,383ProgramServicesAmt
Management And General$24,682,779ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,648BOYAmt
EOY$1,698EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$10,654,434BOYAmt
EOY$8,758,210EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$711,915EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$11,930,767BOYAmt
EOY$11,100,071EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,463,406BOYAmt
EOY$1,366,840EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$817,474BOYAmt
EOY$1,022,418EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$74,054,415LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$49,502,579LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$23,299,362BOYAmt
EOY$24,551,836EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$20,295,045BOYAmt
EOY$22,593,774EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$334,900BOYAmt
EOY$334,900EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$724,583BOYAmt
EOY$1,220,672EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$14,652,123BOYAmt
EOY$9,756,763EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$84,173,742BOYAmt
EOY$81,419,097EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,236,103BOYAmt
EOY$10,074,343EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$694,798BOYAmt
EOY$374,190EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,817,073BOYAmt
EOY$7,008,702EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,492,545BOYAmt
EOY$9,692,207EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$34,240,519BOYAmt
EOY$27,149,442EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$47,820,854BOYAmt
EOY$49,520,765EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,112,369BOYAmt
EOY$4,748,890EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$49,933,223BOYAmt
EOY$54,269,655EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$84,173,742BOYAmt
EOY$81,419,097EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,172,468ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,470,092NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$127,841PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$1,566,031OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)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

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$16,929FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$16,929FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$121,216,233FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$121,233,162FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,000,000CurrentYearMinus3Amt
Current Year Minus2$1,000,000CurrentYearMinus2Amt
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$4,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$10,114CurrentYearMinus3Amt
Current Year Minus2$11,266CurrentYearMinus2Amt
Current Year Minus1$14,873CurrentYearMinus1Amt
Current Year$16,929CurrentYearAmt
Total$53,182TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$250,000CurrentYearMinus3Amt
Current Year Minus2$250,000CurrentYearMinus2Amt
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$1,000,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Collection Used Pub ExhibitionYes (X)CollectionUsedPubExhibitionInd
Solicited Assets Sale0SolicitedAssetsSaleInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$37,570OtherCostOrOtherBasisAmt
Book Value$37,570BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$36,605,581OtherCostOrOtherBasisAmt
Depreciation$21,814,088DepreciationAmt
Book Value$14,791,493BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,155,412OtherCostOrOtherBasisAmt
Depreciation$949,206DepreciationAmt
Book Value$206,206BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$33,801,383OtherCostOrOtherBasisAmt
Depreciation$25,511,964DepreciationAmt
Book Value$8,289,419BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,454,469OtherCostOrOtherBasisAmt
Depreciation$1,227,321DepreciationAmt
Book Value$1,227,148BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$24,551,836TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Beneficial Interest in Net Assets of Parent$3,875,323
Due from Parent$3,518,804
Deferred Compensation$1,862,636
Estimated Malpractice Liability$500,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$9,756,763TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Deferred Compensation$1,862,636
Estimated Third-Party Payor Settlements$4,588,170
Capital Lease Obligation$2,741,401
Estimated Malpractice Liability$500,000
FieldValueIRS element (for citing)
Total Liability$9,692,207TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$126,186,490TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,470,092NetUnrealizedGainsInvstAmt
Other Revenue$2,371,650OtherRevenueAmt
Revenue Not Reported$3,841,742RevenueNotReportedAmt
Revenue Subtotal$122,344,748RevenueSubtotalAmt
Investment Expenses Not Incld$60,882InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$60,882RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$122,405,630TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$121,199,481TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$27,201OtherExpensesIncludedAmt
Expenses Not Reported$27,201ExpensesNotReportedAmt
Expenses Subtotal$121,172,280ExpensesSubtotalAmt
Investment Expenses Not Incld2$60,882InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$60,882ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$121,233,162TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part III, Line 4:In 2008, the Organization received a donation of a piece of art work that it hangs in its hallways along with other paintings from local artists. These paintings are put on display to help provide an additional community benefit to the public.
Part XI, Line 2d - Other Adjustments:Change in Beneficial Interest in Net Assets of Parent 2,344,449. Fundraising Expenses 27,201.
Part XII, Line 2d - Other Adjustments:Fundraising Expenses 27,201.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GalaEvent1Nm
Gross Receipts Event1$76,650GrossReceiptsEvent1Amt
Charitable Contri Event1$68,010CharitableContriEvent1Amt
Gross Revenue Event1$8,640GrossRevenueEvent1Amt
Rent Facility Costs Event1$6,431RentFacilityCostsEvent1Amt
Food And Beverage Event1$14,966FoodAndBeverageEvent1Amt
Entertainment Event1$2,500EntertainmentEvent1Amt
Other Direct Expenses Event1$3,304OtherDirectExpensesEvent1Amt
Gross Receipts Total$76,650GrossReceiptsTotalAmt
Charitable Contributions Tot$68,010CharitableContributionsTotAmt
Gross Revenue Total Events$8,640GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$6,431RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$14,966FoodAndBeverageTotalEventsAmt
Entertainment Total Events$2,500EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$3,304OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$27,201DirectExpenseSummaryEventsAmt
Net Income Summary-$18,561NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$782,613TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$782,613NetCommunityBenefitExpnsAmt
Total Expense0.00650TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,352,820TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,641,250DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,711,570NetCommunityBenefitExpnsAmt
Total Expense0.10490TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,135,433TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,641,250DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,494,183NetCommunityBenefitExpnsAmt
Total Expense0.11140TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs24ActivitiesOrProgramsCnt
Persons Served174560PersonsServedCnt
Total Community Benefit Expns$1,777,652TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$566,428DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,211,224NetCommunityBenefitExpnsAmt
Total Expense0.01000TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$64,786TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$64,786NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,051,708TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,566,992DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,484,716NetCommunityBenefitExpnsAmt
Total Expense0.03700TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$293,069TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$293,069NetCommunityBenefitExpnsAmt
Total Expense0.00240TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs24ActivitiesOrProgramsCnt
Persons Served174560PersonsServedCnt
Total Community Benefit Expns$17,187,215TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,133,420DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,053,795NetCommunityBenefitExpnsAmt
Total Expense0.04990TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs24ActivitiesOrProgramsCnt
Persons Served174560PersonsServedCnt
Total Community Benefit Expns$45,322,648TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$25,774,670DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,547,978NetCommunityBenefitExpnsAmt
Total Expense0.16130TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$435,543TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$435,543NetCommunityBenefitExpnsAmt
Total Expense0.00360TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$435,543TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$435,543NetCommunityBenefitExpnsAmt
Total Expense0.00360TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Reimbursed By Medicare$22,239,038ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$22,239,038CostOfCareReimbursedByMedcrAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Northeastern Vermont Regional Hospital IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11315 Hospital Dr PO Box 905AddressLine1Txt
CitySt JohnsburyCityNm
State AbbreviationVTStateAbbreviationCd
ZIP058190905ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.nvrh.orgWebsiteAddressTxt
State License833StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Northeastern Vermont Regional HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)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 Conducted20CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.nvrh.org/community-health-needs-assessment/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt20ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLwww.nvrh.org/community-health-needs-assessment/StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.nvrh.org/patients-visitors/billing-financial/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.nvrh.org/patients-visitors/billing-financial/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.nvrh.org/patients-visitors/billing-financial/FAPSummaryOnWebsiteURLTxt
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 Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Northeastern Vermont Regional HospitalPart V, Section B, Line 5: NVRH conducted a CHNA in 2021. This is the fourth assessment done using the ACA requirement and guidelines. The 2021 CHNA builds on the foundation of the previous assessments. The CHNA used the framework of our regional accountable health community, NEK Prosper. NEK Prosper uses the frameworks of the accountable health community model, Collective Impact, and Results Based Accountability. Likewise, the 2021 NVRH CHNA and companion Implementation Plan use these frameworks. Additionally, the 2021 CHNA is informed by the data compiled, and the community engagement work already done by NEK Prosper, and the overall mission of NEK Prosper to reduce poverty and enhance health equity in the region. Caledonia and Essex Counties, based on the most often used proxy for socio-economic status - income are often below the average and median income compared to the rest of Vermont (Source: Vermont State Data Center). Additionally, data shows that the population of Vermont, and our region, is aging faster than other states. Thus, once again low-income families, and older adults were identified as our most vulnerable; consequently, primary source data collection targeted groups of low-income parents and older adults.The entire CHNA and methodology is available at: www.nvrh.org/community-health-needs-assessment/
Northeastern Vermont Regional HospitalPart V, Section B, Line 11: An update and current evaluation to the CHNA Implementation Plan is available atwww.nvrh.org/community-health-needs-assessment/ In recognition of the importance of the social determinants of health in overall health and well-being, NVRH had taken the lead in creating NEK Prosper in 2014. NEK Prosper uses the framework of Accountable Health Communities, the elements of Collective Impact, and the principles of Results Based Accountability. Key organizations that comprise the backbone organizations and leadership team to address the root cause of poor health are the regional mental health agency, housing organization, community action program, Federally-Qualified Health Center, Council on Aging, and the Vermont Foodbank. Many other state agencies and community based non-profits make up the body of NEK Prosper. NEK Prosper has identified five outcomes for our community: well-nourished, well-housed, physically healthy, mentally healthy, and financially secure. Workgroups were formed in the NEK Prosper structure to provide strategic direction and results-based focus in each outcome area, and continue to support the grassroots efforts to improve conditions that impact health.
FieldValueIRS element (for citing)
Facility10FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - NVRH - Corner Medical
195 Industrial ParkwayLyndonvilleVT05849Outpatient Physician Clinic
2 - NVRH - St Johnsbury Pediatrics
97 Sherman DriveSt JohnsburyVT05819General Pediatric Services
3 - Occupational Medicine at NVRH
1280 Hospital DriveSt JohnsburyVT05819Work-Related Med Needs Clinic
4 - Women's Wellness Center
1315 Hospital Dr PO Box 905St JohnsburyVT058190905OB/GYN Care Facility
5 - NVRH- Orthopedics- Medical Arts Building
1280 Hospital DriveSt JohnsburyVT05819Orthopedic & Rehab Center
6 - NVRH - Orthopedics - Fracture Clinic
4 Sherman DriveSt JohnsburyVT05819Fracture Clinic
7 - NVRH - Physical Therapy - Lyndonville
195 Industrial ParkwayLyndonvilleVT05849Physical Therapy Center
8 - NVRH - Physical Therapy - St Johnsbury
97 Sherman DriveSt JohnsburyVT05819Physical Therapy Center
9 - NVRH - Kingdom Internal Medicine
714 Breezy Hill RoadSt JohnsburyVT05819Outpatient Physician Clinic
10 - NVRH - Northern Physical Therapy
529 Main StreetLyndonvilleVT05851Physical Therapy Center

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:The Organization used three different methods to allocate costs reported in the table: four physician clinics are rural health clinics: NVRH - Corner Medical, NVRH - St Johnsbury Pediatrics, NVRH - Kingdom Internal Medicine, and NVRH - Women's Wellness Center. Costs for these clinics were taken directly from the Medicare cost report. Costs for other reported programs were direct costs for the program plus an allocation of indirect costs based on a ratio of direct to indirect costs taken from the Medicare cost report. A cost to charge ratio was used to determine the cost of bad debts and free care for all programs reported on the table.
Part I, Line 7g:The Organization included as subsidized health services costs attributable to four physician clinics.1. NVRH - Corner Medical, a primary care physician clinic. Total subsidized costs related to this physician clinic were $2,032,862.2. NVRH - St Johnsbury Pediatrics, a pediatric physician clinic. Total subsidized costs related to this physician clinic were $786,799.3. NVRH - Women's Wellness Center, an obstetrician/gynecological physician clinic. Total subsidized costs related to this physician clinic were $27,207.4. NVRH - Kingdom Internal Medicine, a primary care physician clinic. Total subsidized costs related to this physician clinic were $1,637,847.
Part II, Community Building Activities:Physical Improvements/HousingNVRH Community Garden:NVRH has provided garden space on our campus for community use for 34 years. There are currently 28 garden spots. The garden spots are provided free of charge on a first come, first served basis. The community benefit value is based on the staff time to coordinate the assignment of spots and other correspondence with the gardeners. Workforce development:NVRH is located in a rural area with limited access to public transportation. Poverty is also our primary health disparity. We have listened to our community and they tell us they need access to services that are close to home. NVRH takes the lead in recruiting both primary care and specialty physicians and mid-level providers to fill the need for access to services close to home. The value listed in this section is related to the costs associated with recruiting primary care and specialty providers; as well as loan repayment for many of our providers (MO, NP, PA, etc). We also support an Career Advancement Program to grow the nursing workforce, including Medical Assistants and nursing of all ranks. Additionally, NVRH supports LNA interns, both high school and adult learners, as well as other job shadow opportunities across all healthcare professions.
Part III, Line 4:Please refer to pages 12-16 of the attached audited financial statements.
Part III, Line 8:All Medicare allowable costs were taken directly from the Medicare cost report.
Part III, Line 9b:NVRH provides care to all patients regardless of their ability to pay for services. Patients who indicate they have no insurance receive information about NVRH's Patient Assistance program, including the income level eligibility guidelines, with their first bill and with all subsequent bills. Patient Assistance is provided to those patients who, through a written documentation process, are identified as financially needy. Patients who have qualified for 100% Patient Assistance are not billed for subsequent services for one year. After one year, those patients go through the qualification process again. Financial assistance applications are made readily available to patients, in addition, signs are posted throughout the hospital and clinics and linked on our website.
Part VI, Line 2:Assessment of community needs is an ongoing process at Northeastern Vermont Regional Hospital. Northeastern Vermont Regional Hospital (NVRH). NVRH achieves openness, inclusiveness, and public participation in strategic planning and decision-making in deliberate ways. NVRH governance structure includes the Northeastern Vermont Regional Corp. (NVRC) Corporators. The nearly 250 Corporators, representing all the towns in our service area, are an invaluable source of wisdom and perspective for hospital leadership. Corporators are key links representing the community, serving as our eyes and ears in the region. The quarterly Corporators meetings are an opportunity for two-way sharing of information. The Corporators share their needs and concerns, as well as those of their families, friends, and neighbors. In return, the Corporators are updated on hospital services, facility enhancements, community health efforts, and other educational topics that enhance their understanding of healthcare and social care. Additionally, Corporator meetings will highlight state and national healthcare issues to provide additional context on the current landscape. The Hospital participates in formal community assessments that are conducted every few years by various community organizations, including the Northeast Prevention Coalition, the Housing Coalition, and the Vermont Department of Health. Hospital staff are active members and partners with these coalitions and organizations. Formal community assessments begin with identifying a problem or purpose. The purpose could be broad, such as "what are the top priorities in our community or it could be more specific based on the mission of the organization. The local prevention coalitions conduct ongoing community engagement activities, including surveys, public forums, community dinners, and listening sessions.The next step is developing a community profile using secondary source data. Secondary source data is primarily obtained from the Vermont Department of Human Services Community Profiles. These profiles compile data from a variety of sources including the Behavioral Risk Factor Surveillance System (BRFSS), U.S. Census, the Vermont Health Care Cost and Utilization Project, and several other state and national data sources. Primary data is also gathered by identifying and getting input from key stakeholders including community leaders, relevant organizations, and community members. Input is gathered by using one-on-one interviews, surveys (including using online tools like Survey Monkey), and focus forums for all key stakeholder groups. Inventories of existing services, and gap and/or asset mapping are also typically part of the community assessment process.Upon compiling primary and secondary data, a deep analysis is then conducted. Sometimes the focus of an assessment may shift if data reveals a new or more urgent health priority. Reporting the results of the assessment is an important piece of the process. Every effort is made to get summaries and reports back to interested community members and organizations. The 2021 Community Needs Health Assessment Report and Implementation plan can be accessed here: https://nvrh.org/community-health-needs-assessment/ More and more often, the Hospital and partner organizations are using Collective Impact principles when designing community interventions or deciding on which health services to add or enhance. Collective Impact starts with community engagement and buy in, but goes beyond to ensure that knowledge, power, credit, and results are shared fairly between "experts and community members. For FY 2024, NVRH engaged several local health and human service partners to collaborate on one regional Community Health Needs Assessment, streamlining resource and creating additional alignment for collective impact efforts.
Part VI, Line 3:A summary of NVRH's Patient Assistance Program and the income eligibility guidelines are included in the first and all subsequent bills sent to patients identified as self-pay. The phone number of a financial counselor is also provided. The counselor is available to discuss eligibility guidelines and the qualification process. The counselor also discusses with patients the availability of Medicaid and other State assistance programs. Information about the NVRH Patient Assistance Program is also available on the NVRH website. Patients can also learn about NVRH's Patient Assistance program via a link to the State's Green Mountain Care Board. The Patient Assistance Program is available to hospital patients as well as patients of all NVRH-owned physician practices.
Part VI, Line 4:NVRH serves about 30,000 people in Caledonia and Southern Essex Counties in the northeast corner of Vermont. The Hospital is located about 50 miles from the Canadian border to the north, and about 15 miles from the New Hampshire border to the east. Only 3 towns in our service area have a population of more than 2,000 people. Our area is divided equally between males and females. The area is predominately white (95%) and English is the predominant language. The median income is below the state average at $49,758 per household ($64,994 Vermont). Nearly 91% of our adult population ages 25 and older have a high school diploma, and just under 25% have completed a four year college degree, compared to the state average of 33%. Education, healthcare, and social services are the largest employment sectors, followed by retail and then manufacturing. There are three public school supervisory unions, and numerous private and independent schools. There are 3 colleges located in our service area.
Part VI, Line 5:The Hospital also promoted health and safety throughout the community through the following programs:1. Bike Safety Fair2. Blood Drawings at NVRH3. Health Care Shares4. Community Connections5. Community Gardens6. Community Wellness Calendar7. Diabetes and Nutrition Community-based Outreach and Education8. Healthier Living Workshop/Chronic Pain/Diabetes Prevention Program/Tobacco Cessation9. Harm Reduction - Medication and Syringe Drop Boxes10. Lactation Services11. Healthy Homes12. NEK Prosper13. No Sugar Added Obesity Prevention and Reduction14. Substance Misuse Prevention15. Radio Education Program16. Transportation Vouchers17. Veggie Van Go18. Rides to work initiative

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
Northern Counties Health Care Inc
165 Sherman DriveSt JohnsburyVT05819510199559501(c)(3)$203,925$0Community Benefit Grant
Northern Vermont University
1001 College RdLyndonvilleVT05851030213787University$0$16,260Support of their nursing programCost2 complete beds
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe Hospital only awards grants to qualifying public charities exempt under 501(c)(3). Organizations receiving a grant must sign a grant agreement that details how the funds may be used. Additional monitoring is not deemed necessary.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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
Dr Matthew G Prohaska
Physician$645,615$0$186,188$0$46,991$0$12,321$0$37,050$0$928,165$0$0$0
Dr Jeremy M Korsh
Physician$441,684$0$228,787$0$5,789$0$12,248$0$30,494$0$719,002$0$0$0
Dr Ryan Sexton
Physician$423,069$0$39,037$0$13,753$0$13,203$0$34,470$0$523,532$0$0$0
Dr Eugene J Dixon
Physician$468,651$0$0$0$13,936$0$13,425$0$21,413$0$517,425$0$0$0
Dr David V Dent
Physician$445,015$0$0$0$18,176$0$11,278$0$33,781$0$508,250$0$0$0
Shawn Tester
CEO$348,647$0$17,240$0$1,846$0$13,444$0$33,449$0$414,626$0$0$0
Dr Amanda Van Straten
Med Staff President Elect(VP)$257,181$0$0$0$16,095$0$12,430$0$31,168$0$316,874$0$0$0
Dr Joshua Kantrowitz
Med Staff President$234,928$0$0$0$5,931$0$10,840$0$33,367$0$285,066$0$0$0
Robert Hersey
Former CFO/Finance Projects Speciali$147,284$0$0$0$36,867$0$6,895$0$24,163$0$215,209$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 7FormAndLineReferenceDesc
ExplanationDuring 2022, bonuses were awarded to Shawn Tester and Dr. Ryan Sexton based on incentive goals. Dr. Jeremy Korsh and Dr. Matthew Prohaska were awarded bonuses based on productivity goals.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Vermont Educational And Health Buildings Financing AgencyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN237154467BondIssuerEIN
Bond Issued2016-04-01BondIssuedDt
Issue Price$12,605,000IssuePriceAmt
PurposeRefinancing of 2004 & 2009 Series A BondsPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$5,499,271RetiredAmt
Total Proceeds$12,605,000TotalProceedsAmt
Issuance Costs From Proceeds$162,039IssuanceCostsFromProceedsAmt
Other Spent Proceeds$12,442,961OtherSpentProceedsAmt
Substantial Completion2016SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6The sole member of the Organization is Northeastern Vermont Regional Corp.
Form 990, Part VI, Section A, line 7aAll trustees shall be elected by the member of the Organization.
Form 990, Part VI, Section B, line 11bThe process for reviewing the Organization's 990 evolves from oversight for utilized numbers from the TB which have been audited. Schedules to support various aspects of the tax return are prepared by community health team, finance department staff and Andre Bissonnette CFO reviewed the 2022 (FY23) information which is submitted to the auditors. A copy of Form 990 is provided to the Organization's board on the closest meeting date after the filing of the return.
Form 990, Part VI, Section B, line 12cThe Organization monitors potential conflicts of interest by requiring directors and trustees to complete an annual questionnaire. Board members disclose any potential conflicts prior to voting. Significant conflicts of interest would be discussed with legal counsel prior to board action. During FY23, the Organization implemented a new written conflict of interest policy which applies to the Board of Directors and various other members of Hospital leadership.
Form 990, Part VI, Section B, line 15A compensation committee sets the compensation level for the Organization's CEO. The CEO is charged with determining the compensation level for the Organization's CFO. The basis for arriving at the CFO and CEO's compensation is determined by using comparable compensation data of the CEOs and CFOs from other similar sized Vermont hospitals. The Organization obtains this data by examining other Vermont hospital Form 990s. Compensation for all other key employees is based on the Vermont and New Hampshire annual wage survey. The CEO has the final determination for the appropriate level of compensation for all other employees.
Form 990, Part VI, Section C, line 19The Organization makes its financial statements available to the public upon request as well as through the publishing of its annual report on its website. The Organization makes its governing documents and conflict of interest policy available to the public upon request.
Form 990, Part IX, line 11gPurchased Services: Program service expenses 4,776,128. Management and general expenses 1,671,921. Fundraising expenses 0. Total expenses 6,448,049. Other Fees: Program service expenses 6,465,101. Management and general expenses 72,687. Fundraising expenses 0. Total expenses 6,537,788. Lab Fees: Program service expenses 984,164. Management and general expenses 0. Fundraising expenses 0. Total expenses 984,164. Physician Fees: Program service expenses 500,117. Management and general expenses 0. Fundraising expenses 0. Total expenses 500,117.
Form 990, Part X, Line 10: Land, Buildings, and EquipmentSection 1.263(a)-3(n) Election: Northeastern Vermont Regional Hospital, Inc. 1315 Hospital Drive St. Johnsbury, VT 05819-0905 EIN: 03-6013761 Northeastern Vermont Regional Hospital, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).
Form 990, Part XI, line 9:Change in Beneficial Interest in Net Assets of Parent 2,344,449. Transfer to Parent -778,418.
Form 990, Part XI, Line 8: Prior Period AdjustmentDuring the 2023 Financial Statement Audit, the prior year net assets were increased by $127,841. This is change is due to decrease in deferred revenue and reallocating the $127,841 as Net Assets with Donor Restriction.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Northeastern Vermont Regional CorpBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11315 Hospital DriveAddressLine1Txt
CitySt JohnsburyCityNm
State AbbreviationVTStateAbbreviationCd
ZIP058190905ZIPCd
FieldValueIRS element (for citing)
EIN222583253EIN
Primary ActivitiesHealth Care ServicesPrimaryActivitiesTxt
Legal Domicile StateVTLegalDomicileStateCd
Exempt Code Section501(c)3ExemptCodeSectionTxt
Public Charity StatusLine 12bPublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxt
Charitable Remainder Trust (1)
Deferred AnnuityVTNortheastern Vermont Regional Corp0
Northeast Health Enterprises Inc
Inactive CorporationVT01315 Hospital DriveSt JohnsburyVT05819030294757N/AC
Northeast Regional Investment Development Corporation
Inactive CorporationVT01315 Hospital DriveSt JohnsburyVT05819030294758N/AC
Northeast Vermont Health Care Systems Inc
Inactive CorporationVT01315 Hospital DriveSt JohnsburyVT05819030294756N/AC
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd