COPLEY HOSPITAL INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: COPLEY HOSPITAL INC (EIN 03-0179423)
Tax period: 2022-10-01 to 2023-09-30
Filed: 2024-08-12
IRS object ID: 202442259349302074
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-08-12T15:38:45+00:00	ReturnTs
Tax Period End	2023-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Forvis Mazars LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	910 E St Louis 200 PO Box 1190	AddressLine1Txt
City	Springfield	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	658062523	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	030179423	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Copley Hospital Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	COPL	BusinessNameControlTxt
Phone	8028888888	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	528 WASHINGTON HIGHWAY	AddressLine1Txt
City	MORRISVILLE	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05661	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOSEPH WOODIN	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	8028888888	PhoneNum
Signature	2024-08-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brian Todd	PreparerPersonNm
PTIN	P00422601	PTIN
Phone	4178658701	PhoneNum

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2024-08-08 14:25:15Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JOSEPH WOODIN	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	528 WASHINGTON HIGHWAY	AddressLine1Txt
City	MORRISVILLE	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05661	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$98,493,744	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.COPLEYVT.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1934	FormationYr
Legal Domicile State	VT	LegalDomicileStateCd
Activity Or Mission	COPLEY IS DEDICATED TO HELPING PEOPLE LIVE HEALTHIER LIVES; PROVIDING EXCEPTIONAL CARE, SUPERIOR SERVICE AND ASSURING PEOPLE HAVE ACCESS TO AFFORDABLE HEALTH CARE.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	680	TotalEmployeeCnt
Total Volunteers	44	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,023,536	PYContributionsGrantsAmt
CY Contributions Grants	$318,407	CYContributionsGrantsAmt
PY Program Service Revenue	$92,793,079	PYProgramServiceRevenueAmt
CY Program Service Revenue	$98,020,958	CYProgramServiceRevenueAmt
PY Investment Income	$159,194	PYInvestmentIncomeAmt
CY Investment Income	$103,142	CYInvestmentIncomeAmt
PY Other Revenue	$7,022	PYOtherRevenueAmt
CY Other Revenue	$7,563	CYOtherRevenueAmt
PY Total Revenue	$94,982,831	PYTotalRevenueAmt
CY Total Revenue	$98,450,070	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$49,378,259	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$53,826,444	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$45,957,144	PYOtherExpensesAmt
CY Other Expenses	$45,976,196	CYOtherExpensesAmt
PY Total Expenses	$95,335,403	PYTotalExpensesAmt
CY Total Expenses	$99,802,640	CYTotalExpensesAmt
PY Revenues Less Expenses	-$352,572	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,352,570	CYRevenuesLessExpensesAmt
Total Assets BOY	$76,557,039	TotalAssetsBOYAmt
Total Assets EOY	$78,337,251	TotalAssetsEOYAmt
Total Liabilities BOY	$28,894,910	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$31,500,913	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$47,662,129	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$46,836,338	NetAssetsOrFundBalancesEOYAmt
Mission	COPLEY HOSPITAL IS DEDICATED TO HELPING PEOPLE LIVE HEALTHIER LIVES BY PROVIDING EXCEPTIONAL CARE, SUPERIOR SERVICE AND ASSURING EVERYONE HAS ACCESS TO AFFORDABLE, HIGH-QUALITY HEALTH CARE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$87,128,915	ExpenseAmt
Revenue	$98,020,958	RevenueAmt
Desc	COPLEY HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT IS CRITICAL TO THE HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	Desc
Total Program Service Expenses	$87,128,915	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	90	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	680	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ANGELA LAMELL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8028888222	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	528 WASHINGTON HIGHWAY	AddressLine1Txt
City	MORRISVILLE	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05661	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
ANNE BONGIORNO
TRUSTEE / VICE CHAIR BEG 01/23	1.8	0.2	Yes (X)	Yes (X)	$0	$0	$0
BOB BLEIMEISTER
TRUSTEE / TREASURER BEG 01/23	1.8	0.2	Yes (X)	Yes (X)	$0	$0	$0
CARL SZLACHETKA
TREASURER / TRUSTEE BEG 01/23	3.8	1.2	Yes (X)	Yes (X)	$0	$0	$0
DAVID SILVERMAN
CHAIR / TRUSTEE BEG 01/23	1.8	0.2	Yes (X)	Yes (X)	$0	$0	$0
DEBORAH POMEROY
SECRETARY	1.8	0.2	Yes (X)	Yes (X)	$0	$0	$0
JOSEPH WOODIN
CEO	37.0	3.0	Yes (X)	Yes (X)	$611,117	$0	$29,046
NANCY BANKS
VICE CHAIR / CHAIR BEG 01/23	1.8	0.2	Yes (X)	Yes (X)	$0	$0	$0
ALDEN LAUNER
TRUSTEE	1.8	0.2	Yes (X)		$0	$0	$0
CAMERON PAGE
TRUSTEE	1.8	0.2	Yes (X)		$0	$0	$0
CHRISTOPHER TOWNE
TRUSTEE	1.8	0.2	Yes (X)		$0	$0	$0
DAN NOYES
TRUSTEE	1.8	0.2	Yes (X)		$0	$0	$0
DIANE COTE
TRUSTEE	1.8	0.2	Yes (X)		$0	$0	$0
HENRY BINDER MD
TRUSTEE END 01/23	1.8	0.2	Yes (X)		$0	$0	$0
J MARTIN LINSEISEN MD
TRUSTEE	39.8	0.2	Yes (X)		$389,954	$0	$42,676
KATHY DEMARS
TRUSTEE	1.8	0.2	Yes (X)		$0	$0	$0
KRISTEN SHARPLESS
TRUSTEE	1.8	0.2	Yes (X)		$0	$0	$0
MIKE FEULNER
TRUSTEE - BEG 01/23	1.8	0.2	Yes (X)		$0	$0	$0
NAN CARLE BEAUREGARD
TRUSTEE - BEG 01/23	1.8	0.2	Yes (X)		$0	$0	$0
PAMELA STANYON
TRUSTEE	1.8	0.2	Yes (X)		$0	$0	$0
WALTER FRAME
TRUSTEE	1.8	1.2	Yes (X)		$0	$0	$0
JEFFREY HEBERT
CFO	37.0	3.0		Yes (X)	$255,919	$0	$11,385
LORI PROFOTA
CNO	38.0	2.0		Yes (X)	$191,381	$0	$31,811
WAYNE STOCKBRIDGE
CHIEF ADMIN & HR OFFICER	37.0	3.0		Yes (X)	$198,828	$0	$45,650
BRIAN AROS
ORTHOPEDIC SURGEON	40.0	0			$841,875	$0	$46,517	Yes (X)
BRYAN MONIER
ORTHOPEDIC SURGEON	40.0	0			$592,114	$0	$47,477	Yes (X)
JOHN MACY
ORTHOPEDIC SURGEON	40.0	0			$807,296	$0	$42,018	Yes (X)
JOSEPH MCLAUGHLIN
ORTHOPEDIC SURGEON	40.0	0			$740,747	$0	$46,333	Yes (X)
NICHOLAS ANTELL
ORTHOPEDIC SURGEON	40.0	0			$665,500	$0	$45,522	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,294,733	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$388,436	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	98	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MEDEFIS INC
PO BOX 5068	NEW YORK	NY	10087	CONTRACTED LABOR	$8,614,004
VACO LLC
PO BOX 667	BRENTWOOD	TN	37024	IT CONSULTING	$512,653
BERSTEIN-MAGOON-GAY LLC
PO BOX 830460	PHILADELPHIA	PA	19182	LAUNDRY SERVICES	$498,364
UNIVERSITY MEDICAL CENTER
PO BOX 1902	BURLINGTON	VT	05402	LAB SERVICES	$267,312
FORVIS MAZARS LLP
PO BOX 200870	DALLAS	TX	75320	AUDIT/TAX SERVICES	$248,881

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	10	CntrctRcvdGreaterThan100KCnt
Related Organizations	$318,407	RelatedOrganizationsAmt
Total Contributions	$318,407	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	621400	$90,065,824	$90,065,824
FIXED PROSPECTIVE REVENUE	621400	$6,134,878	$6,134,878
OTHER REVENUE	621400	$1,270,491	$1,270,491
CAFETERIA	722514	$467,765	$467,765
MANAGEMENT FEE REVENUE	541610	$82,000	$82,000

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$98,020,958	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$143,816	TotalRevenueColumnAmt
Exclusion	$143,816	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$7,563	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$7,563	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,563	TotalRevenueColumnAmt
Exclusion	$7,563	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$3,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$43,674	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$40,674	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$40,674	TotalRevenueColumnAmt
Exclusion	-$40,674	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$98,450,070	TotalRevenueColumnAmt
Related Or Exempt Func Income	$98,020,958	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$110,705	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,807,767	TotalAmt
Program Services	$655,822	ProgramServicesAmt
Management And General	$1,151,945	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$19,681	TotalAmt
Program Services	$19,681	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$42,534,422	TotalAmt
Program Services	$36,109,720	ProgramServicesAmt
Management And General	$6,424,702	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$939,614	TotalAmt
Program Services	$800,896	ProgramServicesAmt
Management And General	$138,718	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,606,436	TotalAmt
Program Services	$4,694,193	ProgramServicesAmt
Management And General	$912,243	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,918,524	TotalAmt
Program Services	$2,423,716	ProgramServicesAmt
Management And General	$494,808	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$21,631	TotalAmt
Management And General	$21,631	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$100,131	TotalAmt
Management And General	$100,131	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$14,179,425	TotalAmt
Program Services	$12,009,385	ProgramServicesAmt
Management And General	$2,170,040	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$120,683	TotalAmt
Program Services	$100,222	ProgramServicesAmt
Management And General	$20,461	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,087,688	TotalAmt
Program Services	$903,282	ProgramServicesAmt
Management And General	$184,406	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,157,043	TotalAmt
Program Services	$1,791,337	ProgramServicesAmt
Management And General	$365,706	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$72,676	TotalAmt
Program Services	$60,354	ProgramServicesAmt
Management And General	$12,322	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$81,447	TotalAmt
Program Services	$67,638	ProgramServicesAmt
Management And General	$13,809	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$206,862	TotalAmt
Program Services	$171,791	ProgramServicesAmt
Management And General	$35,071	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,047,395	TotalAmt
Program Services	$2,766,271	ProgramServicesAmt
Management And General	$281,124	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,242,776	TotalAmt
Program Services	$1,032,075	ProgramServicesAmt
Management And General	$210,701	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS	$17,451,645	$17,451,645
PROVIDER TAX	$5,405,174	$5,405,174
REPAIRS & MAINTENANCE	$375,850	$312,128	$63,722
LICENSES, DUES, & SUBSCRIPTIONS	$302,071	$250,858	$51,213

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$123,699	TotalAmt
Program Services	$102,727	ProgramServicesAmt
Management And General	$20,972	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$99,802,640	TotalAmt
Program Services	$87,128,915	ProgramServicesAmt
Management And General	$12,673,725	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,900	BOYAmt
EOY	$3,000	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$16,664,514	BOYAmt
EOY	$11,255,543	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$12,922,197	BOYAmt
EOY	$16,231,085	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,620,459	BOYAmt
EOY	$2,640,515	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,358,579	BOYAmt
EOY	$2,447,281	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$72,456,069	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$39,267,937	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$31,324,543	BOYAmt
EOY	$33,188,132	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$6,250,022	BOYAmt
EOY	$6,776,801	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$73,250	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,413,825	BOYAmt
EOY	$5,721,644	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$76,557,039	BOYAmt
EOY	$78,337,251	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$7,823,609	BOYAmt
EOY	$10,675,283	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$10,821,833	BOYAmt
EOY	$10,232,502	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$143,426	BOYAmt
EOY	$145,972	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,106,042	BOYAmt
EOY	$10,447,156	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$28,894,910	BOYAmt
EOY	$31,500,913	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$41,412,107	BOYAmt
EOY	$40,059,537	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,250,022	BOYAmt
EOY	$6,776,801	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$47,662,129	BOYAmt
EOY	$46,836,338	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$76,557,039	BOYAmt
EOY	$78,337,251	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$1,352,570	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$526,779	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	Yes (true)	AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$11,881	OtherActivitiesAmt
Total Lobbying Expenditures	$11,881	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 OTHER LOBBYING ACTIVITIES:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION PAYS DUES TO THE VERMONT ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS (VAHHS) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA). A PORTION OF THESE DUES, TOTALING $11,881, ARE ATTRIBUTABLE TO LOBBYING PURPOSES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,034,191	BeginningYearBalanceAmt
Contributions	$31,180	ContributionsAmt
Investment Earnings Or Losses	$184,510	InvestmentEarningsOrLossesAmt
End Year Balance	$5,249,881	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,866,658	BeginningYearBalanceAmt
Contributions	$40,000	ContributionsAmt
Investment Earnings Or Losses	$127,533	InvestmentEarningsOrLossesAmt
End Year Balance	$5,034,191	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,765,579	BeginningYearBalanceAmt
Contributions	$300	ContributionsAmt
Investment Earnings Or Losses	$100,779	InvestmentEarningsOrLossesAmt
End Year Balance	$4,866,658	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,644,722	BeginningYearBalanceAmt
Contributions	$3,000	ContributionsAmt
Investment Earnings Or Losses	$117,857	InvestmentEarningsOrLossesAmt
End Year Balance	$4,765,579	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,495,575	BeginningYearBalanceAmt
Contributions	$12,098	ContributionsAmt
Investment Earnings Or Losses	$137,049	InvestmentEarningsOrLossesAmt
End Year Balance	$4,644,722	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,096,205	OtherCostOrOtherBasisAmt
Book Value	$1,096,205	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,839,181	OtherCostOrOtherBasisAmt
Depreciation	$19,221,083	DepreciationAmt
Book Value	$22,618,098	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$734,490	OtherCostOrOtherBasisAmt
Depreciation	$569,559	DepreciationAmt
Book Value	$164,931	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,586,877	OtherCostOrOtherBasisAmt
Depreciation	$18,689,555	DepreciationAmt
Book Value	$6,897,322	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,199,316	OtherCostOrOtherBasisAmt
Depreciation	$787,740	DepreciationAmt
Book Value	$2,411,576	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$33,188,132	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	INTEREST IN CHSI	Desc
Book Value	$6,776,801	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$6,776,801	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
DEFERRED COMPENSATION PLAN ASSETS	$3,321,584
OTHER RECEIVABLES	$1,447,683
DUE FROM AFFILIATE	$363,755
DUE FROM THIRD PARTY
RIGHT-OF-USE ASSETS	$588,622

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$5,721,644	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
DEFERRED COMPENSATION	$3,321,584
DUE TO THIRD PARTY PAYORS	$3,094,030
ESTIMATED SELF-INSURANCE	$1,942,920
ASSET RETIREMENT OBLIGATION	$1,500,000
LEASE LIABILITIES	$588,622
CONTRACT LIABILITIES

Field	Value	IRS element (for citing)
Total Liability	$10,447,156	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$98,450,070	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$98,450,070	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$98,450,070	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$99,802,640	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$99,802,640	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$99,802,640	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part V, Line 4 INTENDED USES OF THE ENDOWMENT FUNDS	FormAndLineReferenceDesc
Explanation	THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS IS TO HELP SERVE THE LONG-TERM VIABILITY OF COPLEY HOSPITAL, INC. THESE ENDOWMENT FUNDS ARE HELD BY COPLEY HEALTH SYSTEM, INC.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	false	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$628,117	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$628,117	NetCommunityBenefitExpnsAmt
Total Expense	0.0063	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,124,745	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,967,283	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,157,462	NetCommunityBenefitExpnsAmt
Total Expense	0.0316	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$19,752,862	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,967,283	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,785,579	NetCommunityBenefitExpnsAmt
Total Expense	0.0379	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$75,034	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,100	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$73,934	NetCommunityBenefitExpnsAmt
Total Expense	0.0007	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,074,617	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$931,168	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,143,449	NetCommunityBenefitExpnsAmt
Total Expense	0.0515	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$6,149,651	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$932,268	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,217,383	NetCommunityBenefitExpnsAmt
Total Expense	0.0523	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$25,902,513	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,899,551	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,002,962	NetCommunityBenefitExpnsAmt
Total Expense	0.0902	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$4,320,008	BadDebtExpenseAmt
Bad Debt Expense Attributable	$393,121	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$28,655,368	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$28,513,793	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$141,575	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COPLEY HOSPITAL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	528 WASHINGTON HIGHWAY	AddressLine1Txt
City	MORRISVILLE	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05661	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.COPLEYVT.ORG	WebsiteAddressTxt
State License	891	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	COPLEY HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	20	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.COPLEYVT.ORG/ABOUT-US/NEWSLETTER	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	20	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.COPLEYVT.ORG/ABOUT-US/NEWSLETTER/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.COPLEYVT.ORG/FOR-PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.COPLEYVT.ORG/FOR-PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.COPLEYVT.ORG/FOR-PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - COPLEY HOSPITAL. COMMUNITY INPUT: THE INFORMATION CONTAINED IN THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT WAS OBTAINED PRIMARILY THROUGH TWO COMMUNITY SURVEYS TAKEN BETWEEN APRIL 9, 2021 AND MAY 20, 2021. OTHER INFORMATION WAS OBTAINED THROUGH REPORTS DEVELOPED BY THE STATE OF VERMONT, THE FEDERAL GOVERNMENT, INDEPENDENT RE- SEARCH ORGANIZATIONS, AND LOCAL NONPROFIT AGENCIES SERVING PEOPLE WITHIN OUR SERVICE AREA. BECAUSE OF THE COVID-19 PANDEMIC, TRADITIONAL FACE-TO-FACE AND IN-PERSON INFORMATION GATHERING AVENUES AND TECHNIQUES WERE NOT AVAILABLE TO US. COMMUNITY HEALTH NEEDS ASSESSMENT SURVEYS: THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT SURVEYS WERE OPEN FOR RESPONSES BETWEEN APRIL 9 AND MAY 20, 2021 THROUGH "SURVEY MONKEY" AS WELL AS VIA PRINTED COPIES MADE AVAILABLE AT THE HOSPITAL AND SATELLITE OFFICES. THE LINK TO THE SURVEY MONKEY SURVEYS WAS DISTRIBUTED VIA EMAIL TO COPLEY HOSPITAL TRUSTEES, COMMITTEE MEMBERS AND AMBASSADORS, MEDICAL PROVIDERS, AND DIRECTLY TO MEMBERS OF THE COMMUNITY. IT WAS ALSO AVAILABLE ON OUR FACEBOOK PAGE AND ON FRONT PORCH FORUM, A COMMUNITY BULLETIN BOARD FREQUENTED BY NUMEROUS PEOPLE WITHIN OUR SERVICE AREA. HUNDREDS OF SURVEYS WERE SENT OUT AND THE LINK WAS AVAILABLE TO THOUSANDS OF RESIDENTS, HOWEVER THE RESPONSE RATE WAS LIGHT, WITH ONLY 159 PEOPLE RESPONDING. OF THOSE RESPONDING, 34% WERE BETWEEN THE AGES OF 54-65, AND 30% WERE BETWEEN THE AGES OF 44-55. ONLY FIVE PERCENT OF RESPONSES WERE AGE 65 OR OLDER.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - COPLEY HOSPITAL. HEALTHCARE NEED #1: MENTAL HEALTH AS IN THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT, MENTAL HEALTH ISSUES WERE IDENTIFIED BY SURVEY RESPONDENTS AS ONE OF OUR SERVICE AREA'S MOST PRESSING CONCERNS. MENTAL HEALTH ISSUES INCLUDE DEPRESSION AND OTHER ILLNESSES LEADING TO SELF-HARM AND/OR TO SUICIDE. AS OF 2019, THE RATE OF SUICIDE DEATHS IN VERMONT WAS 16 PER 100,000 PEOPLE - UP FROM 15.3 IN 2015. THE STATE RATE OF SUICIDE DEATHS IS 13.9. THE HEALTHY VERMONTERS 2020 TARGET IS 11.7 DEATHS PER 100,000. AMONG VERMONT ADULTS WHO REPORTED SYMPTOMS OF ANXIETY AND/OR DEPRESSIVE DISORDER, 24.2% REPORTED NEEDING, BUT NOT RECEIVING, COUNSELING OR THERAPY (SOURCE: KAISER FAMILY FOUNDATION APRIL 2021). ACCORDING TO KAISER, THE STATES WITH THE HIGHEST PERCENTAGE OF ADULTS REPORTING SYMPTOMS OF ANXIETY AND/OR DEPRESSIVE DISORDER BUT NOT RECEIVING CARE ARE VERMONT(38.8%), SOUTH DAKOTA(35.9%), IDAHO(32.5%), CONNECTICUT(31.9%), AND LOUISIANA(31.6%). SUICIDE IS ONE OF THE LEADING CAUSES OF DEATH IN THE U.S. AND HAS INCREASED IN ALMOST EVERY STATE OVER TIME, MAKING IT A SERIOUS PUBLIC HEALTH CONCERN. WHILE SUICIDE IS OFTEN LINKED TO UNDERLYING MENTAL HEALTH CONDITIONS, OTHER FACTORS CAN ALSO CONTRIBUTE, INCLUDING ISOLATION, RELATIONSHIP STRUGGLES, FINANCIAL OR HOUSING INSECURITY, OR PROBLEMS WITH PHYSICAL HEALTH. MANY OF THESE CONDITIONS WERE EXACERBATED ACROSS THE COUNTRY AS WELL AS HERE IN VERMONT DURING THE 2020-21 COVID PANDEMIC. ACCORDING TO THE KAISER FAMILY FOUNDATION (2021): - 22.4 PERCENT OF VERMONTERS REPORT BEING DEPRESSED (2020); 14% REPORTED FREQUENT MENTAL DISTRESS. - IN VERMONT, 51.0% OF ADULTS WITH MILD MENTAL ILLNESS; 44.3% OF ADULTS WITH MODERATE MENTAL ILLNESS; AND 25.6% OF ADULTS WITH SERIOUS MENTAL ILLNESS IN THE PAST YEAR DID NOT RECEIVE MENTAL HEALTH TREATMENT. WHEN PATIENTS COME TO COPLEY'S EMERGENCY DEPARTMENT (ED), 85% ARE SCREENED FOR SUICIDALITY USING THE COLUMBIA SUICIDE SEVERITY RATING SCALE. (NOT ALL ER PATIENTS REQUIRE THIS KIND OF SCREENING). PATIENTS ARE ALSO ASKED ABOUT THEIR HOUSING SITUATION WHEN THEY VISIT THE ED (E.G. DO THEY LIVE WITH OTHERS? DO THEY LIVE ALONE?). THEY ARE NOT SCREENED FOR HOUSING OR FOOD INSECURITY UNLESS THEY ARE REFERRED TO THE COMMUNITY REFERRAL SPECIALIST FOR AN IDENTIFIED NEED. THE SPECIALIST THEN SCREENS THEM FOR THOSE SOCIAL DETERMINANTS. WHEN MENTAL HEALTH ISSUES PRESENT, PATIENTS ARE REFERRED TO THE MOBILE CRISIS TEAM AND/OR TO OUTPATIENT MENTAL HEALTH SERVICES. COPLEY HAS ENGAGED A FULL TIME DAY EMERGENCY ROOM CARE COORDINATOR/SOCIAL WORKER WHO IS EMBEDDED INTO THE ED AND WHO SERVES AS A LIAISON WITH OUR COMMUNITY PARTNERS. APPROXIMATELY 100 REFERRALS TO VARIOUS CARE PROVIDERS ARE MADE EACH MONTH. COPLEY HOSPITAL DOES NOT YET HAVE, BUT WOULD BENEFIT FROM ENGAGING, AN EVENING ED CARE COORDINATOR, AS A NUMBER OF WORKING INDIVIDUALS/ FAMILIES COME TO THE ED IN THE EVENING. WORTH NOTING: DURING THE COVID PANDEMIC, COPLEY HAS NOT SEEN AS MANY MENTAL HEALTH PATIENTS AS IT DOES IN A TYPICAL YEAR. WHILE THE TRENDS (PRIOR TO COVID) INDICATED A RISE IN SUICIDE AND MENTAL HEALTH OCCURRENCES IN THE WINTER MONTHS, COPLEY CURRENTLY CONTINUES TO SEE MORE PATIENTS WITH THESE SYMPTOMS IN THE SUMMER MONTHS. PATIENTS WHO DO PRESENT AT OUR ED AND UNDERGO SCREENING ARE OFTEN REFERRED TO A COMMUNITY REFERRAL SPECIALIST WHO CONNECTS THEM TO OTHER INDIVIDUALS AND SERVICES THAT CAN HELP THEM ADDRESS THE ISSUES WITH WHICH THEY ARE STRUGGLING. IN MANY CASES, THESE PATIENTS ARE UNAWARE OF THE SERVICES THAT ARE AVAILABLE TO THEM. DESPITE THE COVID-19 PANDEMIC, A TOTAL OF 1,222 REFERRALS WERE MADE TO THE COMMUNITY REFERRAL SPECIALIST BETWEEN MAY OF 2019 AND MAY OF 2020 AND ACCORDING TO THE COMMUNITY REFERRAL SPECIALIST, 1,369 REFERRALS WERE MADE BETWEEN MAY 1, 2020 - APRIL 30, 2021. THE REASONS FOR THE REFERRAL INCLUDED CONNECTING PATIENTS TO A PRIMARY CARE PRACTITIONER, FINDING A MENTAL HEALTH COUNSELOR, FINDING A DENTIST, HOUSING INSECURITY, LACK OF TRANSPORTATION, FOOD INSECURITY, DOMESTIC VIOLENCE, CHILD ENDANGERMENT, AND OTHER SUPPORT SERVICES. HEALTHCARE NEEDS # 2 AND 4: OBESITY / POOR EATING HABITS OBESITY AND POOR EATING HABITS TOOK THE NUMBER TWO AND FOUR SPOTS IN OUR 2021 COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY, INDICATING A FAIRLY HIGH LEVEL OF CONCERN AMONG PEOPLE IN OUR SERVICE AREA ABOUT THE GROWING PROBLEM OF POOR NUTRITION AND FOOD INSECURITY. ACCORDING TO AMERICA'S HEALTH RANKINGS (2020), 26.6% OF VERMONTERS ARE CLINICALLY DEFINED AS "OBESE." ACCORDING TO THE NATIONAL CENTERS FOR DISEASE CONTROL AND PREVENTION: - 55% OF VERMONT ADULTS ARE OVERWEIGHT OR OBESE. - 26% OF VERMONT HIGH-SCHOOL STUDENTS ARE OVERWEIGHT OR AT RISK OF BECOMING OVERWEIGHT. - 30% OF LOW-INCOME CHILDREN BETWEEN 2 AND 5 YEARS OF AGE IN VERMONT ARE OVERWEIGHT OR AT RISK OF BECOMING OVERWEIGHT. IN VERMONT, 14% OF YOUTH BETWEEN THE AGES 10 TO 17 HAVE OBESITY, GIVING VERMONT A RANKING OF 28 AMONG THE 50 STATES AND D.C.; AND THE HIGHEST RANKING (1) AMONG THE SIX NEW ENGLAND STATES. (SOURCE: ROBERT WOOD JOHNSON FOUNDATION, 2020) OBESITY INCREASES THE RISK OF MANY SERIOUS DISEASES AND HEALTH CONDITIONS SUCH AS HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, TYPE 2 DIABETES, CORONARY ARTERY DISEASE, STROKE, GALLBLADDER DISEASE, AND SOME CANCERS. FOOD INSECURITY: FOOD INSECURITY IS NOT ONLY A LEADING CAUSE OF OBESITY AND POOR NUTRITION, BUT ALSO DENTAL ISSUES. GOOD FOOD IS EXPENSIVE. INEXPENSIVE FOOD IS GENERALLY HIGH SODIUM AND FAT. THERE ARE SEVERAL PROGRAMS SUCH AS SNAP (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM) THAT ENCOURAGE THE PURCHASE AND CONSUMPTION OF HEALTHY FOODS, AND MOST SNAP BENEFITS ARE NOW ACCEPTED AT LOCAL FARMERS' MARKETS. THROUGH REFERRALS TO THE RECOVERY CENTER AND THE COMMUNITY REFERRAL SPECIALIST, COPLEY PUTS PATIENTS IN TOUCH WITH THESE PROGRAMS. COPLEY ALSO PARTICIPATED IN VT EVERYONE EATS! VT EVERYONE EATS! (VEE) PROVIDES NUTRITIOUS MEALS TO VERMONTERS IN NEED OF FOOD ASSISTANCE, AS WELL AS A STABILIZING SOURCE OF INCOME FOR VERMONT RESTAURANTS, FARMERS, AND FOOD PRODUCERS. FUNDED BY THE VERMONT LEGISLATURE TO ADDRESS COVID IMPACTS, VEE IS ADMINISTERED BY SOUTHEASTERN VERMONT COMMUNITY ACTION, SEVCA. FINALLY, THE VT FOODBANK'S VEGGIE VAN GO PROGRAM MAKES DELIVERIES OF FRESH FOOD AND PRODUCE TO SCHOOLS AND HOSPITALS ACROSS VERMONT. COPLEY IS CURRENTLY EXPLORING A COLLABORATION WITH THIS PROGRAM. HEALTHCARE NEED #3: SUBSTANCE ABUSE SUBSTANCE ABUSE WAS IDENTIFIED AS OUR COMMUNITY'S THIRD MOST CHALLENGING HEALTH CONCERN IN 2021, MOV- ING UP A NOTCH FROM NUMBER FOUR IN 2018. ACCORDING TO MOST EXPERTS, IT IS A PROBLEM THAT CONTINUES TO IMPACT COMMUNITIES ACROSS THE UNITED STATES. SUBSTANCE ABUSE IS DEFINED AS "A MALADAPTIVE PATTERN OF SUBSTANCE USE LEADING TO CLINICALLY SIGNIFICANT IMPAIRMENT OR DISTRESS, AS MANIFESTED BY ONE (OR MORE) OF THE FOLLOWING, OCCURRING WITHIN A 12-MONTH PERIOD". - RECURRENT SUBSTANCE USE RESULTING IN A FAILURE TO FULFILL MAJOR ROLE OBLIGATIONS AT WORK, SCHOOL, OR HOME (E.G., REPEATED ABSENCES OR POOR WORK PERFORMANCE RELATED TO SUBSTANCE USE; SUBSTANCE-RELATED ABSENCES, SUSPENSIONS, OR EXPULSIONS FROM SCHOOL; NEGLECT OF CHILDREN OR HOUSEHOLD). - RECURRENT SUBSTANCE USE IN SITUATIONS IN WHICH IT IS PHYSICALLY HAZARDOUS (E.G., DRIVING AN AUTOMOBILE OR OPERATING MACHINERY WHEN IMPAIRED BY SUBSTANCE ABUSE). - RECURRENT SUBSTANCE-RELATED LEGAL PROBLEMS (E.G., ARRESTS FOR SUBSTANCE-RELATED DISORDERLY CONDUCT). - CONTINUED SUBSTANCE USE DESPITE HAVING PERSISTENT OR RECURRENT SOCIAL OR INTERPERSONAL PROBLEMS CAUSED OR EXACERBATED BY THE EFFECTS OF THE SUBSTANCE (E.G., ARGUMENTS WITH SPOUSE ABOUT CONSEQUENCES OF INTOXICATION, PHYSICAL FIGHTS). - DRUG OVERDOSE DEATHS INVOLVING OPIOIDS TOTALED 127 IN 2018 (A RATE OF 22.8 PER 100,000 STANDARD POPULATION) AND HAVE REMAINED STEADY SINCE 2016. - DEATHS INVOLVING SYNTHETIC OPIOIDS OTHER THAN METHADONE (MAINLY FENTANYL AND FENTANYL ANALOGS) HAVE TRENDED UP FROM 33 (A RATE OF 5.6) IN 2015 TO 106 (A RATE OF 19.3) IN 2018. - HEROIN-INVOLVED DEATHS ARE ALSO RISING WITH 68 DEATHS (A RATE OF 12.5) IN 2018. - PRESCRIPTION OPIOIDS HAVE REMAINED STEADY WITH 27 DEATHS (A RATE OF 4.4) IN 2018. AS WELL, ACCORDING TO THE VERMONT DEPARTMENT OF HEALTH: - MARIJUANA USE AMONG YOUTH AND ADULTS IS INCREASING. - VAPING USE AMONG HIGH SCHOOL STUDENTS INCREASED EIGHT-FOLD BETWEEN 2017 AND 2019. - AMONG HIGH SCHOOL STUDENTS, PEER AND PERCEIVED PARENTAL DISAPPROVAL OF MARIJUANA USE HAVE DECREASED OVER THE PAST DECADE. - OVER THE PAST FIVE YEARS, TWO-THIRDS OF OPERATORS INVOLVED IN FATAL CRASHES SUSPECTED OF DRIVING UNDER THE INFLUENCE OF DRUGS HAD THC IN THEIR SYSTEMS.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - COPLEY HOSPITAL, CONTINUED. RECOVERY SERVICES: TO ADDRESS THIS GROWING PROBLEM, PATIENTS WHO PRESENT AT OUR ED HAVE A NUMBER OF SERVICES AND PROGRAMS AVAILABLE TO THEM, INCLUDING REFERRALS TO A RECOVERY COACH THROUGH THE NORTH CENTRAL VERMONT RECOVERY CENTER (NCVRC). A RECOVERY COACH HELPS PATIENTS CREATE A PERSONAL PLAN FOR RECOVERY BY SETTING REALISTIC GOALS (OFTEN WITH THE ASSISTANCE OF A "PEER" WHO HAS BEEN THROUGH THE PROCESS); AND BY EXPLORING STEPS AND SERVICES THAT ARE AVAILABLE TO THEM TO AID IN RECOVERY FROM VARIOUS FORMS OF ADDICTION AND SUBSTANCE MISUSE. ACCORDING TO THE NCVRC, THE COPLEY'S ED CALLED ON THEM 146 TIMES FOR 86 UNIQUE PATIENTS (2020); AND 78 TIMES FOR 63 UNIQUE PATIENTS (JAN - JULY 2021). COPLEY MAKES HARM REDUCTION KITS (HRKS) CONTAINING NARCAN (AND ASSOCIATED LITERATURE) AVAILABLE AS WELL AS REFERRALS TO ORGANIZATIONS THAT CAN HELP, SUCH AS THE HOWARD CENTER, WHICH PROVIDES A CLEAN NEEDLE EXCHANGE BUS. COPLEY HAS PARTNERED WITH THE RECOVERY CENTER TO CREATE THESE HRKS AND TO DISTRIBUTE THEM TO ALL EMS AND FIRST RESPONDERS IN THE AREA. COPLEY ALSO HAS A DROP BOX WHERE UNUSED AND/OR UNWANTED PRESCRIPTION MEDS AND OPIOIDS CAN BE DROPPED OFF. ACCESS TO PREVENTATIVE CARE: WHILE ACCESS TO PREVENTATIVE CARE FELL TO THE NUMBER FIVE SPOT IN OUR COMMUNITIES' LIST OF PRIMARY CONCERNS, IT REMAINS AN IMPORTANT COMPONENT OF COPLEY'S COMMITMENT TO PROVIDING HEALTHCARE TO THE PEOPLE WITHIN OUR SERVICE AREA. OUR GOAL FOR THE PAST FEW YEARS HAS BEEN - AND REMAINS - TO INCREASE THE USE OF PRIMARY CARE TO IMPROVE THE HEALTH AND HEALTH-RELATED HABITS OF BOTH PATIENTS AND NON-PATIENTS; AND TO DECREASE AVOIDABLE (AND EXPENSIVE) VISITS TO THE EMERGENCY DEPARTMENT. TO ACCOMPLISH THIS GOAL, WE CONTINUE TO WORK WITH OTHER AREA MEDICAL SERVICE PROVIDERS TO EXAMINE AVAILABLE DATA (E.G. TRANSPORTATION AVAILABILITY, CARE COORDINATION BETWEEN AGENCIES, ETC.) IN ORDER TO BETTER UNDERSTAND THE NEEDS OF OUR SERVICE AREA; WE CONTINUE TO SCREEN PATIENTS WHO PRESENT AT THE ED TO DETERMINE IF THEY HAVE A PERSONAL CARE PRACTITIONER; AND WE CONTINUE TO UTILIZE THE SERVICES OF AN IMBEDDED SOCIAL WORKER TO CONNECT ED PATIENTS TO PROVIDERS AND PROGRAMS THAT COULD BE OF HELP TO THEM. BY IDENTIFYING AND REMOVING THE BARRIERS THAT PREVENT PATIENTS FROM GETTING THE CARE THEY NEED AND IDENTIFYING (AND PARTNERING WITH) COMMUNITY AGENCIES THAT PROVIDE CARE THAT IS NOT WITHIN COPLEY'S PURVIEW, WE HAVE BEEN ABLE TO CONNECT PATIENTS TO THE KINDS OF PREVENTATIVE CARE THEY NEED. ACCESS TO PREVENTATIVE CARE DURING COVID-19: ACCESS TO PREVENTATIVE CARE DURING THE COVID-19 PANDEMIC WAS (AND REMAINS) OF GREAT CONCERN TO THE COMMUNITIES WITHIN OUR SERVICE AREA, AND COPLEY HAS REMAINED ON THE FRONT LINES OF PROVIDING CARE TO THE COMMUNITIES WE SERVE. THROUGH PARTNERSHIPS AND COLLABORATION WITH LOCAL ORGANIZATIONS AND OTHER CARE PROVIDERS, OVER 14,000 VACCINE DOSES WERE GIVEN TO COMMUNITY MEMBERS (AS OF AUGUST, 2021) WITH NUMEROUS AREA VOLUNTEERS AND ORGANIZATIONS PARTICIPATING. COPLEY ALSO WORKED CLOSELY WITH OVER FORTY AREA ORGANIZATIONS AS PART OF A COVID RESPONSE TEAM THAT MET REGULARLY TO ASSESS THE NEEDS OF OUR SERVICE AREA, SHARE UPDATES, PROCURE PERSONAL PROTECTIVE EQUIPMENT, AND OVERCOME BARRIERS AND OBSTACLES IN ORDER TO COORDINATE AND PROVIDE CARE TO THOSE WHO NEEDED IT. AS THE PANDEMIC HAS STRETCHED INTO THE FALL OF 2021, THOSE EFFORTS ARE CONTINUING. WHICH IN TURN HAS REDUCED THE NUMBERS OF PATIENTS PRESENTING AT THE ED.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MANSFIELD ORTHOPAEDICS
555 WASHINGTON HIGHWAY	MORRISVILLE	VT	05661	OUTPATIENT ORTHOPAEDIC, REHAB AND RADIOLOGY SERVICES
MANSFIELD ORTHOPAEDICS
6 NORTH MAIN STREET	WATERBURY	VT	05676	OUTPATIENT ORTHOPAEDIC, RADIOLOGY SERVICES

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c ELIGIBILITY FOR FREE CARE	IN ADDITION TO INCOME, COPLEY USES OTHER FACTORS IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE, INCLUDING RESIDENCY STATUS FOR NON-EMERGENT SERVICES AND AN ASSET THRESHOLD.
Schedule H, Part I, Line 7 COSTING METHODOLOGY	THE COST TO CHARGE RATIO COMPUTED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION ON IRS WORKSHEETS 1 AND 3.
Schedule H, Part I, Line 7f PERCENT OF TOTAL EXPENSE	TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990.
Schedule H, Part III, Line 2 BAD DEBT EXPENSE	THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED SEPTEMBER 30, 2022. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.
Schedule H, Part III, Line 3 BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE	COPLEY HOSPITAL, INC ESTIMATES THAT APPROXIMATELY 9.1% OF THE PATIENT ACCOUNTS WRITTEN OFF TO BAD DEBTS MAY QUALIFY FOR CHARITY CARE OR OTHER ASSISTANCE BUT CHOSE NOT TO APPLY. THEREFORE, THE BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING 9.1% OF THE AMOUNT REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. SECTION A, LINE 2.
Schedule H, Part III, Line 4 BAD DEBT EXPENSE FOOTNOTE	THE AUDIT FOOTNOTE ADDRESSING BAD DEBT EXPENSE AND PATIENT ACCOUNTS RECEIVABLE IS FOUND ON PAGE 8 OF THE AUDITED FINANCIAL STATEMENTS UNDER NOTE 1, SUBTITLED "PATIENT ACCOUNTS RECEIVABLE."
Schedule H, Part III, Line 8 COMMUNITY BENEFIT	SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.
Schedule H, Part III, Line 9b COLLECTION POLICY	FINANCIAL ASSISTANCE IS AVAILABLE TO GUARANTORS WHO MEET THE ELIGIBILITY REQUIREMENTS. INCOME LEVEL, HOUSEHOLD SIZE, RESIDENCY STATUS, ETC, DETERMINE ELIGIBILITY. FEDERAL POVERTY LEVEL GUIDELINES ARE UTILIZED TO DETERMINE THE AMOUNT OF ASSISTANCE A HOUSEHOLD MAY BE ELIGIBLE FOR. FOR THE PATIENT'S CONVENIENCE, ALL STATEMENTS HAVE AN ABBREVIATED VERSION OF THE FINANCIAL ASSISTANCE APPLICATION ON THE BACK.
Schedule H, Part VI, Line 2 NEEDS ASSESSMENT	COPLEY GATHERS AND ANALYZES INFORMATION ABOUT THE GREATER LAMOILLE VALLEY COMMUNITY AND ITS HEALTHCARE NEEDS THROUGH VARIOUS MEANS, INCLUDING: ANALYZING AND RESPONDING TO HEALTH TRENDS IN OUR PATIENTS; THROUGH AGGREGATE DATA FROM OUR QUALITY AND WELLNESS INITIATIVES, THE ONECARE VERMONT ACCOUNTABLE CARE ORGANIZATION, THE VERMONT STATE BLUEPRINT FOR HEALTH AND FROM THE UNIFIED COMMUNITY COLLABORATIVE (UCC) WHICH INCLUDES REPRESENTATIVES FROM COMMUNITY, REGIONAL AND STATE ORGANIZATIONS AND AGENCIES INVOLVED IN THE SOCIAL DETERMINANTS OF HEALTH. WE ALSO REVIEW RELEVANT DATA FROM THE VERMONT DEPARTMENT OF HEALTH, CENTERS FOR MEDICARE AND MEDICAID SERVICES, AND THE FEDERAL CENTERS FOR DISEASE CONTROL.
Schedule H, Part VI, Line 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	INFORMATION ABOUT COPLEY'S CHARITABLE CARE POLICY, WHICH INCLUDES HELPING PATIENTS APPLY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS, IS POSTED BY EACH REGISTRATION DESK (MAIN LOBBY AND EMERGENCY DEPARTMENT). IT IS ALSO AVAILABLE, ALONG WITH THE APPLICATION FORM, ONLINE ON THE HOSPITAL'S WEBSITE IN ADDITION TO THE "HOSPITAL REPORT CARD" WEBSITE OF THE GREEN MOUNTAIN CARE BOARD. DETAILS ARE ALSO INCLUDED IN THE PATIENT GUIDE FOR INPATIENTS, FAMILIES AND VISITORS. COPLEY'S CHARITABLE CARE PROGRAM IS ALSO PROMOTED IN OUR PHILANTHROPY EFFORTS AS MANY DONORS GIVE TO THE PROGRAM. ALL CARE PROVIDERS MAY REFER PATIENTS TO THE HOSPITAL'S PATIENT FINANCIAL SERVICES COUNSELORS OR TO PATIENT AND FAMILY SERVICES TO CONNECT THEM TO ASSISTANCE.
Schedule H, Part VI, Line 4 COMMUNITY INFORMATION	COPLEY HOSPITAL, DEFINES ITS SERVICE AREA AS LAMOILLE, AND PARTS OF ORLEANS AND CALEDONIA COUNTIES IN VERMONT, WHICH INCLUDES THE TOWNS OF BELVIDERE, CAMBRIDGE, JEFFERSONVILLE, WATERVILLE, EDEN, EDEN MILLS, HYDE PARK, JOHNSON, ELMORE, MORRISTOWN, MOSCOW, NORTH HYDE PARK, STOWE, WOLCOTT, CRAFTSBURY, GREENSBORO, HARDWICK AND STANNARD. COPLEY SERVES A POPULATION OF 30,387 PEOPLE. LAMOILLE COUNTY IS ONE OF THE FEW COUNTIES SEEING POPULATION GROWN IN VERMONT, WITH AN ESTIMATED POPULATION OF 30,849 BY 2022. THE COMMUNITY IS PREDOMINANTLY WHITE, NON-HISPANIC, WITH A MEDIAN AGE OF 40.9 AND A MEDIAN HOUSEHOLD INCOME OF $64,003. THE AREA HAS POCKETS OF GREAT WEALTH AND GREAT POVERTY. THE TOP THREE PRIORITY POPULATIONS ARE RESIDENTS OF RURAL AREAS, LOW-INCOME GROUPS, AND CHILDREN. NEARLY 15.53% OF THE HOSPITAL'S SERVICE AREA IS GREATER THAN 65 YEARS OF AGE. NEARLY 93% OF ADULTS 25 YEARS OF AGE OR OLDER IN THE AREA HOLD A HIGH SCHOOL DEGREE, 38% HOLDING A BACHELOR'S DEGREE OR HIGHER. THE MAJOR INDUSTRY IS ACCOMMODATIONS AND FOOD SERVICE, FOLLOWED BY HEALTH AND SOCIAL ASSISTANCE. THE LEADING CAUSES OF DEATH ARE FROM CANCER, HEART DISEASE, AND LUNG DISEASE. ADVERSE METRICS IMPACTING MORE THAN 30% OF THE POPULATION AND STATISTICALLY SIGNIFICANTLY DIFFERENT FROM THE NATIONAL AVERAGE INCLUDE: - BMI IN MORBID/OBESE RANGE AT 10% ABOVE AVERAGE, IMPACTING 33.7% - ROUTINE CHOLESTEROL SCREENING = 9.8% BELOW AVERAGE, IMPACTING 40.0% - CANCER SCREEN: PAP/CERV TEST 2 YR = 9.1% BELOW AVERAGE, IMPACTING 43.8% - OB/GYN 1+ VISIT = 11.5% BELOW AVERAGE, IMPACTING 34.0% BENEFICIAL METRICS IMPACTING MORE THAN 30% OF THE POPULATION AND STATISTICALLY SIGNIFICANTLY DIFFERENT FROM THE NATIONAL AVERAGE INCLUDE: - CONSUMED ALCOHOL IN THE PAST 30 DAYS = 18.3% BELOW AVERAGE, IMPACTING 43.9% - NP/PA VISIT IN THE LAST 6 MONTHS = 10.7% ABOVE AVERAGE, IMPACTING 45.9% RECENT STUDIES INDICATE LAMOILLE COUNTY HAS THE HIGHEST RATE OF SUICIDE IN THE STATE.
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH	THE HOSPITAL IS GOVERNED BY A VOLUNTEER BOARD OF TRUSTEES MADE UP OF LOCAL CITIZENS REPRESENTING A CROSS SECTION OF THE COMMUNITY SERVED. THE BOARD HOLDS A PUBLIC ANNUAL MEETING IN JANUARY AND ITS ETHICS COMMITTEE HOSTS AN ANNUAL PUBLIC FORUM ON A TOPIC PERTINENT TO POPULATION HEALTH. COPLEY CONTINUES TO WORK COLLABORATIVELY WITH OTHER ORGANIZATIONS TO IDENTIFY AND ADDRESS COMMUNITY HEALTH NEEDS. OUR COLLABORATIONS INCLUDE BUT ARE NOT LIMITED TO THE UNIFIED COMMUNITY COLLABORATIVE (UCC) WHICH INCLUDES REPRESENTATIVES FROM COMMUNITY, REGIONAL AND STATE ORGANIZATIONS AND AGENCIES INVOLVED IN THE SOCIAL DETERMINANTS OF HEALTH; PRIMARY CARE PRACTICES; LAMOILLE HORNE HEALTH AND HOSPICE; LONG-TERM RESIDENTIAL CARE FACILITIES THE MANOR AND THE GREENSBORO NURSING HORNE; LAMOILLE COUNTY MENTAL HEALTH; COMMUNITY HEALTH SERVICES OF LAMOILLE VALLEY BEHAVIORAL HEALTH & WELLNESS; HEALTHY LAMOILLE VALLEY; PEOPLE IN PARTNERSHIP; THE MORRISVILLE DISTRICT OFFICE OF THE VERMONT DEPARTMENT OF HEALTH; THE LAMOILLE COMMUNITY HOUSE (WARMING SHELTER); UNITED WAY; CLARINA HOWARD NICHOLS CENTER; THE NORTH CENTRAL VERMONT RECOVERY CENTER; AND OTHERS. COPLEY HOSPITAL PROVIDES NEEDED MEDICAL SERVICES, REGARDLESS OF ABILITY TO PAY. SERVICES INCLUDES 24 HOURS/7 DAYS A WEEK EMERGENCY SERVICES, WOMEN'S AND CHILDREN'S SERVICES, GENERAL SURGERY, LABORATORY SERVICES, DIAGNOSTIC IMAGING, ORTHOPAEDICS, AND REHABILITATION. COPLEY CONTINUES ITS PARTNERSHIP WITH DARTMOUTH HITCHCOCK CONNECTED CARE TO DELIVER NEEDED SERVICES IN THE AREA WITH TELEMEDICINE; INCLUDING RHEUMATOLOGY, NEPHROLOGY AND PULMONOLOGY. IN CONJUNCTION WITH COMMUNITY HEALTH SERVICES OF LAMOILLE VALLEY, COPLEY HAS PLACED A RESOURCE REFERRAL SPECIALIST IN THE ER. THIS SPECIALIST WORKS CLOSELY WITH OUR SOCIAL WORKER AND OUR UTILIZATION REVIEW NURSE TO SCREEN AND CONNECT PATIENTS TO NEEDED SERVICES AND COMMUNITY RESOURCES TO ADDRESS A VARIETY OF ISSUES INCLUDING QUIT SMOKING, FUEL INSECURITY, FOOD INSECURITY, HOMELESSNESS OR INADEQUATE HOUSING, SUBSTANCE ABUSE, MENTAL HEALTH AND/OR LONG TERM MANAGEMENT OF COMPLEX CONDITIONS. AN ONGOING INITIATIVE FOCUSES ON IDENTIFYING PATIENTS WITH COMPLEX HEALTH ISSUES THAT ARE HIGH UTILIZERS OF EMERGENCY SERVICES AND CONNECTING THEM WITH A DEDICATED CASE WORKER TO DEVELOP A COORDINATED CARE PLAN. THIS EFFORT HAS RESULTED IN A SIGNIFICANT REDUCTION IN AVOIDABLE USE OF THE EMERGENCY ROOM, CREATING A POTENTIAL - SAVINGS FOR THE AREA'S HEALTHCARE SYSTEM. TO HELP ADDRESS HOMELESSNESS IN THE AREA, COPLEY PROVIDES LAUNDRY SERVICES TO A GRASSROOTS WARMING SHELTER THAT OPENED IN THE AREA. ALL OF THESE EFFORTS IMPROVE TRANSITIONS IN CARE AND OUTCOMES, WITH THE GOAL BEING THE IMPROVEMENT OF THE HEALTH OF OUR COMMUNITY. AS ONE OF THE LARGEST EMPLOYERS IN THE AREA, THE HOSPITAL IS INVESTING IN EDUCATION AND TRAINING IN SUPPORT OF RECRUITMENT AND RETENTION. COPLEY PARTNERS WITH VERMONT TECHNICAL COLLEGE, NORTHERN VERMONT UNIVERSITY & LAMOILLE'S WORKFORCE DEVELOPMENT GROUP TO OFFER AN ASSOCIATE DEGREE IN NURSING PROGRAM HERE IN LAMOILLE COUNTY. THE HOSPITAL WORKS WITH MANY EDUCATIONAL INSTITUTIONS, OFFERING ONSITE CLINICAL ROTATIONS ALONG WITH 8 GRADUATE PROGRAMS IN NURSING, MEDICINE AND HEALTHCARE ADMINISTRATION. THE HOSPITAL CONTINUES TO BE A KEY PARTNER IN THE LAMOILLE COUNTY CHAPTER OF RISE VERMONT, A STATE-WIDE INITIATIVE WITH THE STATE'S ACCOUNTABLE CARE ORGANIZATION. RISEVT SUPPORTS AND INSPIRES RESIDENTS TO HAVE FUN, PLAY MORE, EAT WELL AND FEEL GOOD BY AMPLIFYING AND SUPPORTING EFFORTS UNDERWAY IN THE COMMUNITY. THE RISEVT PROGRAM MANAGER IS EMPLOYED BY THE HOSPITAL. RISEVT OPERATED WELLNESS PROGRAMMING IN THE TOWNS OF MORRISVILLE AND JOHNSON, AND ATTENDS MULTIPLE HEALTH AND WELLNESS EVENTS ACROSS OUR SERVICE AREA THROUGHOUT THE YEAR. THE HOSPITAL REGULARLY PROMOTES HEALTHY LIFESTYLE CHOICES AND PREVENTATIVE INFORMATION VIA SOCIAL MEDIA OUTLETS, INCLUDING AN AWARD-WINNING COLLABORATIVE COMMUNITY BLOG (LIVEWELLLAMOILLE.COM), COMMUNITY NEWSLETTERS, INFORMATION DISTRIBUTED ON THE HOSPITAL CAMPUS, AND A YEAR-LONG SERIES OF INFORMATIONAL SEMINARS THAT COVER A RANGE OF TIMELY HEALTH AND WELLNESS TOPICS. WE PROMOTE AND SUPPORT HEALTHY, FAMILY-FRIENDLY ACTIVITIES AND EVENTS TO ENCOURAGE HEALTHY LIFESTYLE CHOICES.
Schedule H, Part V, Section B, Line 16a FAP website	- COPLEY HOSPITAL, INC: Line 16a URL: WWW.COPLEYVT.ORG/FOR-PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- COPLEY HOSPITAL, INC: Line 16b URL: WWW.COPLEYVT.ORG/FOR-PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- COPLEY HOSPITAL, INC: Line 16c URL: WWW.COPLEYVT.ORG/FOR-PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/;

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (true)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOSEPH WOODIN
CEO	$457,333	$0	$0	$0	$153,784	$0	$9,379	$0	$19,667	$0	$640,163	$0	$0	$0
J MARTIN LINSEISEN MD
TRUSTEE	$387,995	$0	$0	$0	$1,960	$0	$10,245	$0	$32,431	$0	$432,631	$0	$0	$0
JEFFREY HEBERT
CFO	$244,898	$0	$0	$0	$11,020	$0	$9,691	$0	$1,694	$0	$267,304	$0	$0	$0
LORI PROFOTA
CNO	$189,604	$0	$0	$0	$1,777	$0	$4,042	$0	$27,769	$0	$223,193	$0	$0	$0
WAYNE STOCKBRIDGE
CHIEF ADMIN & HR OFFICER	$195,236	$0	$0	$0	$3,592	$0	$8,633	$0	$37,017	$0	$244,478	$0	$0	$0
NICHOLAS ANTELL
ORTHOPEDIC SURGEON	$574,227	$0	$50,000	$0	$41,273	$0	$9,750	$0	$35,772	$0	$711,022	$0	$0	$0
BRIAN AROS
ORTHOPEDIC SURGEON	$693,121	$0	$116,195	$0	$32,559	$0	$10,230	$0	$36,287	$0	$888,393	$0	$0	$0
JOHN MACY
ORTHOPEDIC SURGEON	$669,702	$0	$50,000	$0	$87,594	$0	$9,000	$0	$33,018	$0	$849,315	$0	$0	$0
JOSEPH MCLAUGHLIN
ORTHOPEDIC SURGEON	$638,770	$0	$28,223	$0	$73,754	$0	$10,250	$0	$36,083	$0	$787,080	$0	$0	$0
BRYAN MONIER
ORTHOPEDIC SURGEON	$571,205	$0	$0	$0	$20,910	$0	$10,010	$0	$37,467	$0	$639,591	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule J, Part I, Line 5a COMPENSATION CONTINGENT ON REVENUES:	FormAndLineReferenceDesc
Explanation	INCENTIVE BONUSES ARE PAID TO OUR ORTHOPEDIC SURGEONS BASED UPON GROSS REVENUE PRODUCED INDIVIDUALLY FOR THE HOSPITAL. THE BONUS IS 20% OF THE EXCESS REVENUE PRODUCED OVER THAT LEVEL.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DIANE SZLACHETKA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V	RelationshipDescriptionTxt
Transaction	$19,681	TransactionAmt
Transaction	INDEPENDENT CONTRACTOR	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule L, Part IV, Column (b) RELATIONSHIP BETWEEN INTERESTED PERSON:	FormAndLineReferenceDesc
Explanation	DIANE SZLACHETKA IS A FAMILY MEMBER OF CARL SZLACHETKA, BOARD MEMBER.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS	COPLEY HOSPITAL SERVES AS A VITAL RESOURCE FOR RURAL NORTH CENTRAL VERMONT. A CRITICAL ACCESS HOSPITAL, COPLEY PROVIDES A 25-BED ACUTE CARE INPATIENT UNIT INCLUDING A BIRTHING CENTER, A WIDE-RANGE OF OUTPATIENT SERVICES AND 24/7 EMERGENCY SERVICES IN ADDITION TO LABORATORY SERVICES, DIAGNOSTIC IMAGING AND REHABILITATION SERVICES. SERVICES INCLUDE CARDIOLOGY, GENERAL SURGERY, OBSTETRICS/GYNECOLOGY, ONCOLOGY, ORTHOPEDICS, AND NEUROLOGY. OUR REHABILITATION SERVICES INCLUDE PHYSICAL, OCCUPATIONAL, SPEECH & LANGUAGE, CARDIAC, PULMONARY, AND WORK CONDITIONING. OUR HOSPITAL SERVICE AREA HAS A POPULATION OF JUST OVER 30,000 PEOPLE, ACROSS MORE THAN 459 SQUARE MILES. COPLEY COLLABORATES WITH OTHER HEALTHCARE PROVIDERS, SOCIAL SERVICE AGENCIES, NOT-FOR-PROFIT ORGANIZATIONS AND BUSINESSES TO FULFILL OUR MISSION OF HELPING PEOPLE LIVE HEALTHIER LIVES. THE CLOSEST HOSPITAL IS 45 MINUTES TO ONE HOUR AWAY. IN FISCAL YEAR 2023, COPLEY HAD NEARLY 105,133 OUTPATIENT VISITS AND MORE THAN 1,467 INPATIENT ADMISSIONS TOTALING 5,822 PATIENT DAYS. WE PERFORMED 2,435 SURGERIES AND 1,255 PROCEDURES AND HAD 13,901 EMERGENCY ROOM VISITS. OUR CHARITABLE CARE PROGRAM IS AVAILABLE TO PATIENTS WHO ARE UNINSURED, UNDERINSURED, OR HAVE OTHERWISE DEMONSTRATED THEY DO NOT HAVE FINANCIAL RESOURCES TO FULLY PAY FOR THEIR HOSPITAL CARE.
Form 990, Part V, Line 2a W-2'S FILED	COPLEY HOSPITAL, INC ALSO FILES W-2'S FOR ITS RELATED ORGANIZATIONS. THE TOTAL NUMBER OF W-2'S FILED ON THE W-3 INCLUDES THESE W-2'S. THE COMPENSATION, EMPLOYEE BENEFITS AND PAYROLL TAXES AMOUNTS ARE THEN ALLOCATED TO THE ORGANIZATION FOR THE AMOUNT THAT REPRESENTS WORK PERFORMED FOR THE ORGANIZATION. THE AMOUNT INCLUDED ON LINE 2A INCLUDES ONLY EMPLOYEES ALLOCATED TO COPLEY HOSPITAL. THE AMOUNT REPORTED ON PART IX INCLUDES ONLY THOSE AMOUNTS ALLOCATED TO WORK PERFORMED DIRECTLY FOR COPLEY HOSPITAL, INC. THE HIGHEST PAID EMPLOYEES ARE DETERMINED BY THE WORK PERFORMED FOR EACH ORGANIZATION. THEREFORE, THE FIVE HIGHEST PAID EMPLOYEES LISTED ON PART VII AND SCHEDULE J ARE THOSE EMPLOYEES WHO WORK DIRECTLY FOR COPLEY HOSPITAL, INC.
Form 990, Part VI, Line 6 7A & 7B - MEMBERS/ STOCKHOLDERS	COPLEY HOSPITAL, INC. IS A MEMBER ORGANIZATION WHOSE SOLE CORPORATE MEMBER IS COPLEY HEALTH SYSTEMS, INC. COPLEY HEALTH SYSTEMS, INC. AND THE HOSPITAL SHARE THE SAME BOARD OF TRUSTEES. EACH YEAR, THE MEMBERS OF COPLEY HEALTH SYSTEMS, INC. WILL HOLD AN ANNUAL MEETING. THE PURPOSES OF THE ANNUAL MEETING SHALL INCLUDE THE ELECTION OF MEMBERS TO THE CORPORATION, THE ELECTION OF TRUSTEES TO THE CORPORATION'S BOARD OF TRUSTEES, THE ELECTION OF THE COMMUNITY MEMBER AT LARGE OF THE GOVERNANCE AND BYLAWS COMMITTEE, AND THE TRANSACTION OF SUCH OTHER BUSINESS AS MAY PROPERLY COME BEFORE THE MEMBERSHIP. THE BOARD SHALL CONSIST OF UP TO TWENTY-ONE ELECTED MEMBERS, THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND THE PRESIDENT OF THE MEDICAL STAFF OF COPLEY HOSPITAL, INC., ALL AS VOTING MEMBERS. ALL TRUSTEES MUST BE MEMBERS OF THE CORPORATION.
Form 990, Part VI, Line 15 PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL	THE CEO'S PAY IS DETERMINED BY USING MARKET SURVEY COMPENSATION DATA FROM THE NNE HEALTHCARE COMP SURVEY. THE CEO'S COMPENSATION IS ALSO APPROVED BY THE BOARD. SENIOR LEADERSHIP AND OTHER HIGHLY COMPENSATED INDIVIDUALS HAVE THEIR PAY RANGES DETERMINED THROUGH MARKET DATA FROM THE NNE HEALTHCARE COMPENSATION SURVEY.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, A TENTATIVE DRAFT OF THE 990 IS REVIEWED BY THE BOARD OF DIRECTORS. A COMPLETE COPY OF THE FORM IS MADE AVAILABLE TO ALL MEMBERS OF THE GOVERNING BODY THROUGH THE FINANCE OFFICE.
Form 990, Part VI, Line 12c Conflict of interest policy	THE GOVERNANCE COMMITTEE REVIEWS THE STATEMENTS AND SURVEYS COMPLETED BY INTERESTED PERSONS AND MAINTAINS A LIST OF INDIVIDUALS WHO MAY BE CONSIDERED DISQUALIFIED PERSONS UNDER IRS REGULATIONS. THE GOVERNANCE COMMITTEE REPORTS THE RESULTS OF ITS REVIEWS ANNUALLY TO THE BOARD. THE INTERNAL COMPLIANCE COMMITTEE OF THE CORPORATION REVIEWS ANY POTENTIAL CONFLICT OF INTEREST WHICH INVOLVES AN INTERESTED PERSON WHO IS NOT A TRUSTEE OR OFFICER OF THE CORPORATION. THE INTERNAL COMPLIANCE COMMITTEE REPORTS THE RESULTS OF ITS REVIEWS ANNUALLY TO THE BOARD.
Form 990, Part VI, Line 19 Required documents available to the public	THE GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. THE CONFLICT OF INTEREST POLICY AND MATRIX ARE AVAILABLE UPON REQUEST. THE FINANCIAL STATEMENTS ARE SUMMARIZED IN AN ANNUAL REPORT THAT IS AVAILABLE TO THE PUBLIC. THE HOSPITAL ALSO SUBMITS BOTH THEIR BUDGET AND ACTUAL FINANCIAL INFORMATION TO THE STATE OF VERMONT'S DEPARTMENT OF FINANCIAL REGULATION.
Form 990, Part IX, Line 11g Other Fees	PURCHASED SERVICES - Total Expense: 10838317, Program Service Expense: 9001222, Management and General Expenses: 1837095, Fundraising Expenses: ; CONTRACT LABOR - Total Expense: 1672500, Program Service Expense: 1385675, Management and General Expenses: 286825, Fundraising Expenses: ; PHYSICIAN SERVICES - Total Expense: 774820, Program Service Expense: 774820, Management and General Expenses: , Fundraising Expenses: ; LAB SERVICES - Total Expense: 621691, Program Service Expense: 621691, Management and General Expenses: , Fundraising Expenses: ; OTHER SERVICES - Total Expense: 272097, Program Service Expense: 225977, Management and General Expenses: 46120, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN INTEREST IN NA OF CHSI - 526779;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
LAMOILLE HOUSING CORPORATION
528 WASHINGTON HIGHWAY	MORRISVILLE	VT	05661	030270255	HUD HOUSING	VT	501(c)(3)	10	CHSI	false
COPLEY HEALTH SYSTEMS INC
528 WASHINGTON HIGHWAY	MORRISVILLE	VT	05661	030301457	SUPPORT	VT	501(c)(3)		NA	false
COPLEY WOODLANDS
125 THOMAS LANE	STOWE	VT	05672	030352086	HOUSING	VT	501(c)(3)	10	CHSI	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTH CENTER BUILDING INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	528 WASHINGTON HIGHWAY	AddressLine1Txt
City	MORRISVILLE	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05661	ZIPCd

Field	Value	IRS element (for citing)
EIN	030220357	EIN
Primary Activities	BUILDING RENTAL	PrimaryActivitiesTxt
Legal Domicile State	VT	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CHSI	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C Corporation	EntityTypeTxt
Controlled Organization	false	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd