PORTER HOSPITAL INC HCSR: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- PORTER HOSPITAL INC HCSR (EIN 03-0181058)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-08-14
- IRS object ID
- 202302269349300235
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-14T09:32:04-05:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 920460586 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PWC US TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SEAPORT BLVD | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 030181058 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PORTER HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PORT | BusinessNameControlTxt |
| Phone | 8023884701 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 115 PORTER DRIVE | AddressLine1Txt |
| City | MIDDLEBURY | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05753 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SCOTT COMEAU | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8023884752 | PhoneNum |
| Signature | 2023-08-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SCOTT | PersonFirstNm |
| Person Last | COMEAU | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PAUL J TANIS | PreparerPersonNm |
| PTIN | P01441612 | PTIN |
| Phone | 6175305000 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TOM THOMPSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 115 PORTER DRIVE | AddressLine1Txt |
| City | MIDDLEBURY | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05753 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $112,024,240 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PORTERMEDICAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1941 | FormationYr |
| Legal Domicile State | VT | LegalDomicileStateCd |
| Activity Or Mission | OPERATION OF A CRITICAL ACCESS HOSPITAL, IN LINE WITH OUR MISSION TO IMPROVE THE HEALTH OF OUR COMMUNITY, ONE PERSON AT A TIME. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 680 | TotalEmployeeCnt |
| Total Volunteers | 40 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,157,545 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,426,280 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $96,925,189 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $100,695,971 | CYProgramServiceRevenueAmt |
| PY Investment Income | $607,439 | PYInvestmentIncomeAmt |
| CY Investment Income | $927,280 | CYInvestmentIncomeAmt |
| PY Other Revenue | $18,284 | PYOtherRevenueAmt |
| CY Other Revenue | $949,809 | CYOtherRevenueAmt |
| PY Total Revenue | $99,708,457 | PYTotalRevenueAmt |
| CY Total Revenue | $106,999,340 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $54,369 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $56,506,626 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $65,429,255 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $77,904 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $35,101,395 | PYOtherExpensesAmt |
| CY Other Expenses | $36,573,454 | CYOtherExpensesAmt |
| PY Total Expenses | $91,608,021 | PYTotalExpensesAmt |
| CY Total Expenses | $102,057,078 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,100,436 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,942,262 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $83,460,872 | TotalAssetsBOYAmt |
| Total Assets EOY | $76,238,721 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $28,415,891 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $22,549,146 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $55,044,981 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $53,689,575 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OPERATION OF A CRITICAL ACCESS HOSPITAL, IN LINE WITH OUR MISSION TO IMPROVE THE HEALTH OF OUR COMMUNITY, ONE PERSON AT A TIME. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $84,465,867 | ExpenseAmt |
| Grant | $54,369 | GrantAmt |
| Revenue | $101,424,664 | RevenueAmt |
| Desc | PORTER HOSPITAL, INC. ("PORTER") OPERATES A NOT-FOR PROFIT CRITICAL ACCESS HOSPITAL WITH PATIENT CARE SERVICES INCLUDING EMERGENCY ROOM, MATERNITY AND MEDICAL/SURGICAL INPATIENT AND OUTPATIENT CARE, AND ANCILLARY SERVICES INCLUDING REHABILITATION, LABORATORY TESTING, AND DIAGNOSTIC IMAGING SERVICES. AS A CRITICAL ACCESS HOSPITAL, PORTER STAFFS A TOTAL OF 25 BEDS. OF THE 25 BEDS, SIX BEDS ARE LOCATED IN THE MATERNITY UNIT, AND THE REMAINING BEDS ARE LOCATED ON THE MEDICAL/SURGICAL UNIT. PORTER RECORDED APPROXIMATELY 6,064 INPATIENT DAYS DURING THE YEAR. EMERGENCY ROOM VISITS TOTALED 12,841 FOR THE YEAR. SURGERIES FOR THE YEAR TOTALED 4,821. SUPPORT SERVICES FOR BOTH INPATIENTS AND OUTPATIENTS INCLUDE BUT ARE NOT LIMITED TO LABORATORY, DIAGNOSTIC IMAGING SERVICES, CARDIAC SERVICES, AND REHABILITATION FACILITIES. IMAGING INCLUDES RADIOLOGY, NUCLEAR MEDICINE, MRI, ULTRASOUND, AND CT SCAN. PORTER PROVIDES FREE CARE TO PATIENTS WHO MEET CERTAIN CRITERIA. PORTER PROVIDES A NUMBER OF COMMUNITY HEALTH OUTREACH PROGRAMS TO THE GENERAL PUBLIC FOR FREE. THE PROGRAMS INCLUDE BUT ARE NOT LIMITED TO DIABETES EDUCATION, BREAST CANCER SCREENING, PRENATAL CLASSES, BREASTFEEDING CLASSES, AND CPR COURSES. PORTER PROVIDES CLINICAL OFFICE SPACE TO THE OPEN DOOR CLINIC, WHICH PROVIDES ACCESS TO FREE QUALITY HEALTHCARE SERVICES TO THOSE WHO ARE UNINSURED OR UNDERINSURED UNTIL A PERMANENT HEALTH CARE PROVIDER CAN BE ESTABLISHED. FINALLY, PORTER HAS PARTNERED WITH LOCAL CAREER CENTERS, AS WELL AS COLLEGES TO PROVIDED CLINICAL EXPOSURE TO THEIR STUDENTS WITH GOALS OF DEVELOPING FUTURE HEALTHCARE WORKERS FOR THE COMMUNITY. | Desc |
| Total Program Service Expenses | $84,465,867 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 81 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 680 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCOTT COMEAU CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8023884752 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 115 PORTER DRIVE | AddressLine1Txt |
| City | MIDDLEBURY | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05753 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| DR LINN LARSON | ||||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $8,255 | $0 | $0 | ||||
| DR ELYA VASILOU | ||||||||||
| DIRECTOR | 1.00 | 44.00 | Yes (X) | $0 | $440,002 | $49,887 | ||||
| DR ANDREW MAHONEY | ||||||||||
| DIRECTOR | 1.00 | 44.00 | Yes (X) | $0 | $324,592 | $59,247 | ||||
| DR KRISTOFER ANDERSON | ||||||||||
| DIRECTOR | 1.00 | 44.00 | Yes (X) | $0 | $346,235 | $32,054 | ||||
| DR AMY GREGORY | ||||||||||
| DIRECTOR (PART YR) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| MAUREEN MCLAUGHIN | ||||||||||
| TREASURER (PART YR) | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| HELENA VAN VOORST | ||||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| DEBRA STENNER | ||||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| SARAH RAY | ||||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHERYL MULLINS | ||||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| NICHOLAS LOVEJOY | ||||||||||
| DIRECTOR / SECRETARY | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| ANNE COLLINS | ||||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JUDSON BARTLETT | ||||||||||
| VICE CHAIR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| GRETCHEN AYER | ||||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| MATTHEW CURRAN | ||||||||||
| TREASURER | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| LINDA SCHIFFER | ||||||||||
| CHAIR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| SIVAN COTEL | ||||||||||
| DIRECTOR / CHAIR (PT YR) | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| AMEY RYAN | ||||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD FOOTE | ||||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| TOM THOMPSON | ||||||||||
| PRESIDENT & COO | 10.00 | 40.00 | $0 | $483,330 | $48,416 | Yes (X) | ||||
| SCOTT COMEAU | ||||||||||
| CFO | 25.00 | 25.00 | $0 | $126,103 | $20,030 | Yes (X) | ||||
| MICHAEL LEYDEN | ||||||||||
| AVP OPERATIONS | 30.00 | 10.00 | $0 | $176,912 | $30,760 | Yes (X) | ||||
| LINDA HAVEY | ||||||||||
| AVP OPERATIONS | 30.00 | 10.00 | $0 | $185,973 | $7,499 | Yes (X) | ||||
| AMY BISHOP | ||||||||||
| CRNA | 40.00 | 0.00 | $274,171 | $0 | $43,425 | Yes (X) | ||||
| WILLIAM HARRINGTON | ||||||||||
| CRNA | 40.00 | 0.00 | $299,211 | $0 | $11,005 | Yes (X) | ||||
| ERIC BERG | ||||||||||
| CRNA | 40.00 | 0.00 | $308,623 | $0 | $14,143 | Yes (X) | ||||
| DAVID J MYERS | ||||||||||
| CRNA | 40.00 | 0.00 | $190,640 | $0 | $34,977 | Yes (X) | ||||
| RENEE MOSIER | ||||||||||
| PHARMACY DIR | 40.00 | 0.00 | $180,187 | $0 | $32,922 | Yes (X) | ||||
| JUDY PEEK-LEE | ||||||||||
| FMR INTERIM CFO | 0.00 | 50.00 | $0 | $138,158 | $2,426 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,261,087 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,221,305 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $386,791 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 37 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CROSS COUNTRY STAFFING INC | |||||
| PO BOX 404678 | ATLANTA | GA | 303844768 | TRAVELING NURSING SERVICES | $7,443,090 |
| MEDICAL SOLUTIONS | |||||
| PO BOX 850737 | MINNEAPOLIS | MN | 554850737 | TRAVELING NURSING SERVICES | $1,996,938 |
| ALLIANCE HEALTHCARE SERVICES INC | |||||
| PO BOX 735714 | DALLAS | TX | 753735714 | RADIOLOGY SERVICES | $1,197,110 |
| MAYO COLLABORATIVE SERVICES INC | |||||
| PO BOX 9146 | MINNEAPOLIS | MN | 554809146 | LABORATORY SERVICES | $643,303 |
| MIDDLEBURY REGIONAL EMS INC | |||||
| PO BOX 8648 | ESSEX JUNCTION | VT | 05452 | AMBULANCE / TRANSPORT SERVICES | $349,373 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 41 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $83,202 | RelatedOrganizationsAmt |
| Government Grants | $3,518,623 | GovernmentGrantsAmt |
| All Other Contributions | $824,455 | AllOtherContributionsAmt |
| Total Contributions | $4,426,280 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 900099 | $77,563,891 | $77,563,891 |
| FIXED PROSPECTIVE PAYMENTS | 900099 | $20,810,103 | $20,810,103 |
| PATIENT SERVICES - PHARMACY | 446110 | $1,510,708 | $1,510,708 |
| DSH REVENUE | 900099 | $811,269 | $811,269 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $100,695,971 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $476,934 | TotalRevenueColumnAmt |
| Exclusion | $476,934 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $11,659 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $11,659 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,659 | TotalRevenueColumnAmt |
| Exclusion | $11,659 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,475,246 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,009,634 | SecuritiesAmt |
| Other | $15,266 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $465,612 | SecuritiesAmt |
| Other | -$15,266 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $450,346 | TotalRevenueColumnAmt |
| Exclusion | $450,346 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| OTHER MISC REVENUE | 900099 | $728,693 | $728,693 | |
| CAFETERIA | 900099 | $209,457 | $209,457 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $938,150 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $106,999,340 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $101,424,664 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,148,396 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,369 | TotalAmt |
| Program Services | $54,369 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,974 | TotalAmt |
| Management And General | $6,974 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,200,097 | TotalAmt |
| Program Services | $49,172,196 | ProgramServicesAmt |
| Management And General | $6,027,901 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,174,686 | TotalAmt |
| Program Services | $1,898,837 | ProgramServicesAmt |
| Management And General | $275,849 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,266,957 | TotalAmt |
| Program Services | $4,366,321 | ProgramServicesAmt |
| Management And General | $900,636 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,780,541 | TotalAmt |
| Program Services | $2,383,217 | ProgramServicesAmt |
| Management And General | $397,324 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,978 | TotalAmt |
| Management And General | $83,978 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,524 | TotalAmt |
| Management And General | $60,524 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,011 | TotalAmt |
| Management And General | $9,011 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,120 | TotalAmt |
| Management And General | $15,120 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,537,277 | TotalAmt |
| Program Services | $5,899,577 | ProgramServicesAmt |
| Management And General | $5,561,554 | ManagementAndGeneralAmt |
| Fundraising | $76,146 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,722 | TotalAmt |
| Program Services | $75,285 | ProgramServicesAmt |
| Management And General | $50,437 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,811,411 | TotalAmt |
| Program Services | $10,254,988 | ProgramServicesAmt |
| Management And General | $556,423 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,520,195 | TotalAmt |
| Program Services | $24,603 | ProgramServicesAmt |
| Management And General | $1,495,592 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,867,989 | TotalAmt |
| Program Services | $726,389 | ProgramServicesAmt |
| Management And General | $1,141,600 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,318 | TotalAmt |
| Program Services | $66,728 | ProgramServicesAmt |
| Management And General | $14,590 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,211 | TotalAmt |
| Program Services | $193,369 | ProgramServicesAmt |
| Management And General | $7,842 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $271,600 | TotalAmt |
| Program Services | $226,134 | ProgramServicesAmt |
| Management And General | $45,466 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,929,571 | TotalAmt |
| Program Services | $2,437,403 | ProgramServicesAmt |
| Management And General | $490,410 | ManagementAndGeneralAmt |
| Fundraising | $1,758 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $319,356 | TotalAmt |
| Program Services | $238,457 | ProgramServicesAmt |
| Management And General | $80,899 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICARE PROVIDER TAX | $5,587,514 | $5,587,514 | |
| LEASED EQUIPMENT | $473,322 | $388,134 | $85,188 |
| BOOKS, DUES & SUBSCRIPT | $203,556 | $37,175 | $166,381 |
| FREIGHT | $127,991 | $123,836 | $4,155 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $346,788 | TotalAmt |
| Program Services | $311,335 | ProgramServicesAmt |
| Management And General | $35,453 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,057,078 | TotalAmt |
| Program Services | $84,465,867 | ProgramServicesAmt |
| Management And General | $17,513,307 | ManagementAndGeneralAmt |
| Fundraising | $77,904 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,971 | BOYAmt |
| EOY | $19,595 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,901,493 | BOYAmt |
| EOY | $7,666,579 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,155,944 | BOYAmt |
| EOY | $17,034,121 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,167,561 | BOYAmt |
| EOY | $2,435,609 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $481,697 | BOYAmt |
| EOY | $1,362,795 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $60,077,676 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $46,163,640 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,562,683 | BOYAmt |
| EOY | $13,914,036 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,826,884 | BOYAmt |
| EOY | $27,790,928 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,993,379 | BOYAmt |
| EOY | $4,793,323 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,291,260 | BOYAmt |
| EOY | $1,221,735 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,460,872 | BOYAmt |
| EOY | $76,238,721 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,482,999 | BOYAmt |
| EOY | $10,139,416 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $3,447 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,530,945 | BOYAmt |
| EOY | $8,965,927 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,401,947 | BOYAmt |
| EOY | $3,440,356 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,415,891 | BOYAmt |
| EOY | $22,549,146 | 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 | $49,584,235 | BOYAmt |
| EOY | $47,932,940 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,460,746 | BOYAmt |
| EOY | $5,756,635 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,044,981 | BOYAmt |
| EOY | $53,689,575 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,460,872 | BOYAmt |
| EOY | $76,238,721 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $4,942,262 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$6,173,632 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$124,036 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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 | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $9,011 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $9,011 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAYS DUES TO THE VERMONT ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS, A PORTION OF WHICH IS ATTRIBUTABLE TO LOBBYING EXPENSES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,111,060 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $215,550 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $415,605 | OtherExpendituresAmt |
| End Year Balance | $4,911,005 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,965,823 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,546,430 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $401,193 | OtherExpendituresAmt |
| End Year Balance | $5,111,060 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,834,593 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $518,448 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $387,218 | OtherExpendituresAmt |
| End Year Balance | $3,965,823 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,801,633 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $416,015 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $383,055 | OtherExpendituresAmt |
| End Year Balance | $3,834,593 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,685,569 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $508,630 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $392,566 | OtherExpendituresAmt |
| End Year Balance | $3,801,633 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,987,420 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,921,447 | DepreciationAmt |
| Book Value | $9,065,973 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,557,131 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,640,060 | DepreciationAmt |
| Book Value | $3,917,071 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,533,125 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,602,133 | DepreciationAmt |
| Book Value | $930,992 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,914,036 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BENEFICIAL INTEREST IN PERPETUAL TRUSTS | Desc |
| Book Value | $4,793,323 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $4,793,323 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| ESTIMATED THIRD PARTY SETTLEMENTS | $740,297 |
| LIABILITY FOR PENSION BENEFITS | $1,446,309 |
| RT OF USE OPERATING LEASE OBLIGATION | $1,239,864 |
| CONTRACT LIABILITIES | $13,886 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,440,356 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | INCOME FROM ENDOWMENTS HELD AND ADMINISTERED BY MIDDLEBURY COLLEGE SUPPORTS THE ORGANIZATION'S MISSION BY PROVIDING FUNDS FOR CHARITY CARE AND ADDITIONALLY OFFSETS A PORTION OF THE ORGANIZATION'S OPERATING EXPENSES. |
| PART X, LINE 2: | PORTER HOSPITAL, INC. IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE UNIVERSITY OF VERMONT HEALTH NETWORK ("UVM HEALTH NETWORK"). PAGE 18 OF THE CONSOLIDATED FINANCIAL STATEMENTS CONTAINS A FOOTNOTE INDICATING THAT NO PROVISION FOR FEDERAL INCOME TAXES HAS BEEN RECORDED. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 360.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $762,022 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $762,022 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00750 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,714,349 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,913,948 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,800,401 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09600 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,476,371 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,913,948 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,562,423 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10350 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $855,049 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $677,862 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $177,187 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $77,205 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $77,205 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,815,697 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,028,139 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,787,558 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01750 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $54,369 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $54,369 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,802,320 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,706,001 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,096,319 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02050 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,278,691 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,619,949 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,658,742 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12400 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,912,612 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $27,949 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $16,141,839 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $21,033,121 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,891,282 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | 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 | PORTER HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 115 PORTER DRIVE | AddressLine1Txt |
| City | MIDDLEBURY | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05753 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.PORTERMEDICAL.ORG | WebsiteAddressTxt |
| State License | 899 | 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 | PORTER HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | 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 |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 20 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 360.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | 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 Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PORTER HOSPITAL, INC. | PART V, SECTION B, LINE 3J: THE CHNA CONDUCTED IN FY 2021 / TY 2020 CONTAINS INFORMATION AND ANALYSIS THAT EXTENDS BEYOND THE SUBJECTS DESCRIBED IN PART V, LINE 3, INCLUDING BUT NOT LIMITED TO: SECONDARY DATA SOURCES, MORTALITY STATISTICS, KEY HEALTH AND WELLBEING INDICATORS AND THEIR SOURCES, AND A DISCUSSION OF THE IMPACT OF COVID-19 ON THE COMMUNITY. |
| PORTER HOSPITAL, INC. | PART V, SECTION B, LINE 5: THE CHNA DATA COLLECTION PROCESS CONSISTED OF A CHNA SURVEY COMPLETED BY 761 RESPONDENTS, FIVE SEPARATE FOCUS GROUP SESSIONS IN WHICH 14 PERSONS PARTICIPATED, AND STAKEHOLDER INTERVIEWS WITH 33 REPRESENTATIVES FROM 23 COMMUNITY ORGANIZATIONS. THE SURVEYS WERE CONDUCTED IN FEBRUARY AND MARCH 2021 AND WERE PRIMARILY COLLECTED ONLINE. THE SURVEY WAS MADE AVAILABLE IN ENGLISH AND IN SPANISH. THE SURVEYS WERE PUBLICIZED THROUGH ELECTRONIC MAILING LISTS, ONLINE COMMUNITY MESSAGE BOARDS, SOCIAL MEDIA, AND THE PORTER HOSPITAL WEBSITE. HOWEVER, PAPER SURVEYS WERE MADE AVAILABLE BY REQUEST AND DISTRIBUTED LOCALLY AT OPEN DOOR CLINIC AND MIDDLEBURY LAUNDROMAT. PAPER SURVEYS WERE ALSO OFFERED TO INDIVIDUALS WHO RECEIVED HOME-BOUND COVID-19 VACCINATIONS.FOCUS GROUPS WERE HELD IN MAY 2021. PARTICIPANTS WERE RECRUITED VIA FLYERS SENT TO COMMUNITY PARTNERS, THROUGH COMMUNITY MEMBERS IDENTIFIED BY COMMUNITY PARTNERS, AND VIA ONLINE MESSAGE BOARDS. FOCUS GROUP DISCUSSIONS WERE GUIDED BY AN IN-DEPTH QUESTIONNAIRE, A COPY OF WHICH IS INCLUDED AS AN APPENDIX TO THE CHNA. CROSS-SECTOR STAKEHOLDERS WERE INTERVIEWED AT EXISTING MEETINGS SUCH AS THAT OF THE COMMUNITY HEALTH ACTION TEAM, BUILDING BRIGHT FUTURES GROUP, SUBSTANCE USE TREATMENT AND RECOVERY COMMITTEE, OR WERE CONDUCTED SEPARATELY TO INTERESTED INDIVIDUALS. STAKEHOLDER ORGANIZATIONS REPRESENTED MANY ASPECTS OF THE COMMUNITY AND INCLUDED: PARENT CHILD CENTER, BUILDING BRIGHT FUTURES, UNITED WAY OF ADDISON COUNTY, MARY HOGAN, MARY JOHNSON, ADDISON COUNTY SCHOOL DISTRICTS, END OF LIFE SERVICES, ADDISON COUNTY HOME HEALTH AND HOSPICE, COUNSELING SERVICES OF ADDISON COUNTY, FIELD SERVICES, PRIVATE PT PRACTICE, MOUNTAIN HEALTH CENTER, GIVING FRIDGE, TURNING POINT CENTER, DEPARTMENT FOR CHILDREN AND FAMILIES, VERMONT DEPARTMENT OF HEALTH, RESIDENCE AT OTTER CREEK, SAVIDA, BRISTOL FAMILY CENTER, PREGNANCY RESOURCE CENTER, NORTHERN LIGHTS AT CCV, AND MOUNT ABRAHAM UNIFIED SCHOOL DISTRICT. |
| PORTER HOSPITAL, INC. | PART V, SECTION B, LINE 6B: THE TY 2020/FY 2021 CHNA WAS CONDUCTED WITH THE ASSISTANCE OF COMMUNITY ORGANIZATIONS SUCH AS UNITED WAY OF ADDISON COUNTY, THE DEPARTMENT OF HEALTH, MIDDLEBURY COLLEGE, BLUEPRINT FOR HEALTH, AND ADDISON COUNTY HOME HEALTH AND HOSPICE, ALL OF WHICH CONTRIBUTED MEMBERS TO THE CHNA STEERING COMMITTEE. ADDITIONALLY, MIDDLEBURY COLLEGE STUDENTS SERVED IMPORTANT ROLES IN THE AREAS OF DATA COLLECTION AND ANALYSIS. FINALLY, THE LOCAL ORGANIZATIONS LISTED IN THE PREVIOUS DISCLOSURE CONTRIBUTED TO THE STAKEHOLDER MEETINGS. |
| PORTER HOSPITAL, INC. | PART V, SECTION B, LINE 11: PARTICIPANTS IN THE CHNA DATA COLLECTION PROCESSES DESCRIBED ABOVE IDENTIFIED CONCERNS AROUND THE FOLLOWING AREAS: SUBSTANCE ABUSE, INCLUDING CONCERNS ABOUT STIGMA SURROUNDING TREATMENT, AS WELL AS THE AVAILABILITY AND AFFORDABILITY OF TREATMENT;HEALTHY EATING, PRIMARILY CONCERNED AROUND AFFORDABILITY OF HEALTHY FOODS;MENTAL HEALTH, INCLUDING CONCERNS ABOUT AFFORDABILITY AND A NEED FOR MORE RESOURCES SUCH AS MENTAL HEALTH CLINICIANS;HEALTH CARE, INCLUDING CONCERNS ABOUT AFFORDABILITY, THE NEED FOR MORE PRIMARY CARE PROVIDERS, AND WELLNESS CENTERED CARE, AS WELL AS BARRIERS SUCH AS TRANSPORTATION AND LACK OF HEALTH INSURANCEENVIRONMENTAL ISSUES SUCH AS CLIMATE CHANGE AND STREET SAFETY; ANDHOUSING, INCLUDING LACK OF AFFORDABLE UNITS, SPACE TO RENT, SOBER HOUSING, AND HOUSING FOR ELDERS.A COMMUNITY MEETING WAS HELD TO PRESENT THE INFORMATION FROM THE CHNA SURVEY, FOCUS GROUPS, AND STAKEHOLDER MEETINGS WHERE 32 COMMUNITY LEADERS WERE PRESENT. ONCE THE INFORMATION WAS PRESENTED, LEADERS BROKE OUT INTO GROUPS TO IDENTIFY THE TOP THREE PRIORITIES TO BE ADDRESSED IN THE IMPLEMENTATION STRATEGY. THE TOP THREE PRIORITIES SELECTED WERE ACCESS TO MENTAL HEALTH SERVICES (72%), ACCESS TO HEALTHCARE SERVICES (60%), AND HOUSING (44%). THE IMPLEMENTATION STRATEGY CONTAINS THE FOLLOWING OBJECTIVES WITH RESPECT TO THESE PRIORITIES AND CONTAINS METRICS AND BENCHMARKS TO ESTABLISH PROGRESS.ACCESS TO MENTAL HEALTH SERVICES:- ADVANCE MENTAL WELLNESS THROUGH EQUITABLE ACCESS TO A TIMELY, RESPONSIVE, AND INTEGRATED SYSTEM;- STRONG CROSS-ORGANIZATION COMMITMENT AND ENGAGEMENT TO INCREASE ACCESS TO MENTAL HEALTH CARE; AND- CULTIVATE RESILIENT COMMUNITIES TO SUPPORT MENTAL AND SOCIAL WELLBEING.ACCESS TO HEALTHCARE SERVICES:- ENHANCE USE OF TECHNOLOGY AND ELECTRONIC HEALTH RECORD SYSTEMS TO IMPROVE ACCESS, EFFECTIVENESS, OUTREACH, AND OVERALL QUALITY OF CARE;- EXPAND WORKFORCE RECRUITMENT AND RETENTION EFFORTS TO INCREASE CAPACITY; - REIMAGINE HEALTH CARE TO INCREASE ACCESS TO SERVICES; AND- IMPROVE EQUITY IN THE HEALTH CARE SYSTEM BY DEVELOPING A COLLECTIVE APPROACH AND COORDINATED IMPACT WITHIN THE COMMUNITY.HOUSING:- STRONG CROSS-ORGANIZATIONAL COMMITMENT AND ENGAGEMENT TO EXPAND OPPORTUNITIES FOR AFFORDABLE AND QUALITY HOUSING IN ADDISON COUNTY;- REDUCE DISPLACEMENT AND HOMELESSNESS IN ADDISION COUNTY; AND- PROMOTE A SAFE ENVIRONMENT FOR YOUTH, FAMILIES, AND OLDER VERMONTERS IN THE HOME SETTING.GIVEN THE NUMBER OF INDIVIDUALS AND ORGANIZATIONS INCLUDED IN THE CHNA PROCESS AND THE VAST ARRAY OF VIEWPOINTS REPRESENTED, THE ORGANIZATION WAS UNABLE TO ADDRESS ALL OF THE NEEDS IDENTIFIED THROUGHOUT THE CHNA PROCESS. THE GROUP THEREFORE FOCUSED IMPLEMENTATION EFFORTS ON THE TOP THREE NEEDS AS DETERMINED BY CONSENSUS AT THE COMMUNITY MEETING DESCRIBED ABOVE. |
| PORTER HOSPITAL, INC. | PART V, SECTION B, LINE 13H: PATIENTS WHOSE FAMILY INCOME IS ABOVE 360% OF THE FEDERAL POVERTY GUIDELINES MAY BE ELIGIBLE TO RECEIVE ASSISTANCE ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES AT THE DISCRETION OF PORTER HOSPITAL. |
| PORTER HOSPITAL, INC. | PART V, SECTION B, LINE 15E: ELIGIBILITY VERIFICATION MAY INCLUDE WRITTEN DOCUMENTATION FROM THE OPEN DOOR CLINIC (A LOCAL, FREE HEALTH CLINIC FOR UNINSURED AND UNDER-INSURED ADULTS IN ADDISON COUNTY, VERMONT) OF FINANCIAL INFORMATION IN LIEU OF INCOME VERIFICATION. WHILE THE FINANCIAL ASSISTANCE POLICY DOES NOT PROVIDE A LIST OF "EXTERNAL" CONTACT INFORMATION FOR ORGANIZATIONS AGENCIES WHO MAY ASSIST PATIENTS IN THE APPLICATION PROCESS, APPLICATION COMPLETION AID IS WELL PUBLISHED WITH MULTIPLE INTERNAL, ORGANIZATIONAL AND PROVIDED BY STAFF MEMBERS AVAILABLE TO ASSIST OUR PATIENTS. IT IS ALSO IMPORTANT TO NOTE, WHENEVER POSSIBLE, PATIENTS ARE REVIEWED IN ADVANCE OF SERVICE FOR POTENTIAL HARDSHIP; THE UNINSURED AND UNDERINSURED PATIENTS WHO ARE IDENTIFIED ARE ACTIVELY COUNSELED WITH HELP FOR GOVERNMENT AND EXCHANGE PROGRAMS AS WELL AS ASSISTANCE UNDER THE FINANCIAL ASSISTANCE PROGRAM. |
| PORTER HOSPITAL, INC. | PART V, SECTION B, LINE 16J: PORTER HOSPITAL MAKES ADDITIONAL EFFORTS TO ENGAGE PATIENTS IN FINANCIAL COUNSELING AND DETERMINATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE AS FOLLOWS: - SIGNAGE HAS BEEN POSTED IN ALL WAITING AREAS OF THE ORGANIZATION REGARDING FINANCIAL ASSISTANCE BEING OFFERED. - NOTICE OF AVAILABILITY OF FINANCIAL ASSISTANCE HAS BEEN ADDED TO THE PATIENT PORTAL ALONG WITH A PHONE NUMBER FOR ASSISTANCE ALONG WITH OUR WEBSITE ADDRESS FOR APPLICATION. - OUTPATIENT PREREGISTRATION CALLS NOTIFY PATIENTS OF AVAILABILITY OF FINANCIAL ASSISTANCE. - REGISTRATION AREAS NOTIFY PATIENTS OF AVAILABILITY OF FINANCIAL ASSISTANCE AS WELL AS HAVING APPLICATIONS READILY AVAILABLE. - EVERY STATEMENT HAS THE NOTICE OF AVAILABILITY OF FINANCIAL ASSISTANCE ALONG WITH A PHONE NUMBER TO CALL FOR ASSISTANCE AND A WEBSITE TO VISIT FOR AN APPLICATION. - THE UVMHN CUSTOMER SERVICE DEPARTMENT MAKES A REASONABLE EFFORT TO CALL PATIENTS FOR COLLECTIONS OF SELF-PAY BALANCES AND NOTIFICATION OF FINANCIAL ASSISTANCE. |
| PORTER HOSPITAL, INC. | PART V, SECTION B, LINE 20E: (ALSO APPLICABLE TO LINE 20A) PORTER HOSPITAL DOES NOT TAKE ANY EXTRAORDINARY COLLECTION ACTIONS. |
| PART V, SECTION B, LINES 7A, 10A, AND 16A-16C: HOSPITAL FACILITY'S WEBSITE | CHNA AND IMPLEMENTATION STRATEGY:WWW.PORTERMEDICAL.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/FINANCIAL ASSISTANCE POLICY, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY: WWW.PORTERMEDICAL.ORG/PATIENTS-VISITORS/PATIENT-FINANCIAL-SERVICES/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - UVMHN-PMC ORTHOPEDICS | ||||
| 2436 EXCHANGE STREET | MIDDLEBURY | VT | 05753 | PHYSICIAN CLINIC |
| 2 - UVMHN-PMC PRIMARY CARE-MIDDLEBURY | ||||
| 82 CATAMOUNT PARK | MIDDLEBURY | VT | 05753 | FAMILY PHYSICIAN CLINIC |
| 3 - UVMHN-PMC PRIMARY CARE-VERGENNES | ||||
| 10 NORTH STREET | VERGENNES | VT | 05491 | FAMILY PHYSICIAN CLINIC |
| 4 - UVMHN-PMC PEDIATRIC PRIMARY CARE | ||||
| 1330 EXCHANGE STREET 201 | MIDDLEBURY | VT | 05753 | PHYSICIAN CLINIC |
| 5 - UVMHN-PMC PRIMARY CARE-BRANDON | ||||
| 61 COURT DRIVE | BRANDON | VT | 05733 | FAMILY PHYSICIAN CLINIC |
| 6 - UVMHN-PMC EAR NOSE & THROAT | ||||
| 1330 EXCHANGE STREET 202 | MIDDLEBURY | VT | 05753 | PHYSICIAN CLINIC |
| 7 - UVMHN-PMC PRIMARY CARE-BRISTOL | ||||
| 61 PINE STREET | BRISTOL | VT | 05443 | PHYSICIAN CLINIC |
| 8 - UVMHN-PMC CARDIOLOGY | ||||
| 115 PORTER DRIVE | MIDDLEBURY | VT | 05753 | PHYSICIAN CLINIC |
| 9 - UVMHN-PMC PODIATRY | ||||
| 76 COURT STREET | MIDDLEBURY | VT | 05753 | PHYSICIAN CLINIC |
| 10 - UVMHN-PMC WOMEN'S HEALTH | ||||
| 116 PORTER DRIVE | MIDDLEBURY | VT | 05753 | PHYSICIAN CLINIC |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | ALL UNINSURED PATIENTS AND PATIENTS HAVING A BALANCE AFTER INSURANCE ARE ELIGIBLE TO SUBMIT A FINANCIAL ASSISTANCE APPLICATION. IN ADDITION TO THE INCOME TEST BASED ON FEDERAL POVERTY GUIDELINES DESCRIBED IN SCHEDULE H, PART I, ELIGIBILITY IS PREDICATED UPON AN ASSET LEVEL WITHIN THE LIMITATIONS SET FORTH BY THE CMS MEDICARE LOW INCOME BENEFICIARY LIMITS. ADDITIONALLY, CATASTROPHIC FINANCIAL ASSISTANCE IS AVAILABLE TO THE MEDICALLY INDIGENT. FINALLY, PATIENTS WHOSE FAMILY INCOME IS ABOVE 360% OF THE FEDERAL POVERTY GUIDELINES, OR WHO OTHERWISE DO NOT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE TESTS DESCRIBED ABOVE, WERE ELIGIBLE TO RECEIVE ASSISTANCE ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES AT THE THE DISCRETION OF PORTER HOSPITAL. |
| PART I, LINE 7: | THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR THE PURPOSES OF CALCULATING AMOUNTS ON LINES 7A AND 7B. AN ACTUAL COSTING METHOD WAS USED TO CALCULATE AMOUNTS ON LINES 7E, 7F, 7G AND 7I. |
| PART I, LINE 7G: | SUBSIDIZED HEALTH SERVICES PROVIDED DESPITE A LOSS TO THE ORGANIZATION INCLUDED SERVICES PROVIDED TO PUBLIC AGENCIES AS WELL AS DEPARTMENTS MEETING NEEDS THAT ARE NOT OTHERWISE AVAILABLE IN THE COMMUNITY SUCH AS DELIVERY, NEWBORN AND POSTPARTUM SERVICES, AND SERVICES RELATED TO MENTAL HEALTH. DUE TO A CHANGE IN THE ORGANIZATION'S MEDICAL RECORDS AND BILLING SYSTEM, EXPENSE DATA FOR THESE SERVICES IS ONLY AVAILABLE FOR THE PERIOD FROM 11/6/2021 THROUGH 9/30/2022. THESE AMOUNTS ARE REPORTED ON SCH H, PART I, LINE 7G. ACTUAL EXPENSES FOR THE ENTIRE YEAR (10/1/2021-9/30/2022) CANNOT BE ACCURATELY ASCERTAINED, BUT THEY ARE MOST LIKELY HIGHER THAN THOSE REPORTED. |
| PART I, LN 7 COL(F): | THE PROVISION FOR BAD DEBT SUBTRACTED FOR PURPOSES OF OF CALCULATING THE AMOUNT REPORTED ON LINE 7(F) IS $0. BAD DEBT IS DEDUCTED FROM PATIENT SERVICE REVENUE REPORTED ON FORM 990, PART VIII. |
| PART III, LINE 2: | THE ORGANIZATION USED THE COST-TO-CHARGE RATIO AS ITS COSTING METHODOLOGY TO CALCULATE BAD DEBT EXPENSE AT COST. |
| PART III, LINE 3: | DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE NETTED AGAINST THE TOTAL GROSS CHARGES WHEN DETERMINING BAD DEBT EXPENSE. THE $27,949 REFLECTS THE ADJUSTED BAD DEBT EXPENSE FOR ALL PATIENTS WHO SUBMITTED AN INITIAL APPLICATION, BUT UPON FOLLOW-UP, DID NOT RESPOND TO REQUESTS FOR ADDITIONAL INFORMATION OR SUPPORTING DOCUMENTATION. PORTER HOSPITAL HAS A DATABASE WHICH TRACKS ALL APPLICATIONS AND THEIR STATUS; A QUERY EXTRACTED ALL INCOMPLETE/NON RESPONSIVE ARCHIVED APPLICATIONS PROVIDING A LIST OF PATIENTS & DEPENDENTS. SUBSEQUENTLY, A QUERY OF ASSOCIATED PATIENT SERVICES FROM 10/1/21-9/30/22 FOR "SELF-PAY AND COLLECTION ACCOUNTS WAS EXTRACTED FROM THE BILLING SYSTEM. |
| PART III, LINE 4: | THE ORGANIZATION'S BAD DEBT EXPENSE IS ADDRESSED ON PAGE 27 IN FOOTNOTE 5 OF ITS MOST RECENT AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | THE AMOUNT REPORTED IN PART III, LINE 6, MEDICARE ALLOWABLE COSTS OF CARE, IS DERIVED FROM PORTER HOSPITAL'S FYE 9/30/22 MEDICARE COST REPORT, WORKSHEETS E-1 THROUGH E-3. WHILE PORTER HOSPITAL HAS FOLLOWED THE CATHOLIC HOSPITAL ASSOCIATION'S GUIDANCE AND HAS NOT CONSIDERED ANY MEDICARE SHORTFALL (REPORTED IN PART III, LINE 7) AS A COMMUNITY BENEFIT, IT IS LIKELY THAT SOME PORTION OF MEDICARE PATIENTS WOULD HAVE QUALIFIED FOR CHARITY CARE UNDER OUR POLICIES IN THE ABSENCE OF MEDICARE COVERAGE, SUCH THAT SHORTFALLS ASSOCIATED WITH THOSE PATIENTS WOULD OTHERWISE HAVE BEEN INCLUDED IN OUR COMMUNITY BENEFITS. |
| PART III, LINE 9B: | THE ORGANIZATION'S WRITTEN DEBT COLLECTION POLICY PROVIDES THAT PATIENTS INDICATING AN INABILITY TO MEET THEIR FINANCIAL OBLIGATIONS ARE TO BE REFERRED TO THE PATIENT FINANCIAL ADVOCATE. THE POLICY PROVIDES FURTHER THAT PATIENTS WHO APPLY UNDER THE FINANCIAL ASSISTANCE POLICY ARE NOT CHARGED MORE THAN AMOUNTS GENERALLY BILLED AND QUALIFY FOR A SLIDING SCALE DISCOUNT. THE BILLING AND COLLECTIONS PROCESS IS EXTENDED FOR UP TO THE LATTER OF 240 DAYS OR SIX WEEKS AFTER A PATIENT HAS REQUESTED A FINANCIAL ASSISTANCE APPLICATION FOR PATIENTS REQUESTING A FINANCIAL ASSISTANCE APPLICATION. ONCE A PATIENT IS DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE, ALL PAYMENTS MADE IN EXCESS OF THE FAP-ELIGIBLE AMOUNT ARE FUNDED AND THE FAP-ELIGIBLE AMOUNT IS NOT PURSUED. |
| PART VI, LINE 2: | PORTER HOSPITAL PARTNERS WITH A NUMBER OF COMMUNITY HEALTH RESOURCE GROUPS INCLUDING MY HEALTHY VERMONT, THE VERMONT PUBLIC HEALTH INSTITUTE, AND THE VERMONT DEPARTMENT OF HEALTH DISTRICT OFFICES TO ADDRESS THE NEEDS OF ADDISON COUNTY, VERMONT AND SURROUNDING AREAS. RECENT COLLABORATIONS HAVE INCLUDED A FOOD BAGS PROJECT PILOTED AT PORTER WOMEN'S HEALTH, AND ADMINISTRATION OF VERMONT COMMUNITY HEALTH PARTNERSHIP GRANTS. ADDITIONALLY, PORTER HOSPITAL OFFERS FREE TO THE COMMUNITY A WIDE RANGE OF HEALTH, PREVENTION AND WELLNESS PROGRAMS DESIGNED TO ADDRESS THE HEALTH CARE NEEDS OF THE COMMUNITY AND LIMIT THE NEED FOR MORE EXPENSIVE ACUTE CARE. CURRENT PROGRAMS ARE LISTED AT THE PORTER WEBSITE AT WWW.PORTERMEDICAL.ORG/CATEGORY/CLASSES-EVENTS. FINALLY, PORTER HOSPITAL HAS A COMMUNITY DEVELOPMENT COUNCIL THAT CONSISTS OF COMMUNITY MEMBERS AND PORTER STAFF WORKING TOGETHER TO DRIVE COMMUNITY ENGAGEMENT AND CREATE OPPORTUNITIES TO SUPPORT PORTER AND EXPAND PATIENT ACCESS. |
| PART VI, LINE 3: | PORTER HOSPITAL ("PORTER") UTILIZES A VARIETY OF METHODS TO INFORM, EDUCATE, AND ASSIST PAYMENTS IN IDENTIFYING PAYMENT SOURCES, INCLUDING STATE / FEDERAL PROGRAMS AND ITS FINANCIAL ASSISTANCE POLICY. PORTER WIDELY PUBLICIZES ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE, WHICH INCLUDES THE POLICY, THE APPLICATION, AND PLAIN LANGUAGE SUMMARY IN BOTH ENGLISH AND SPANISH. PAPER COPIES ARE AVAILABLE WITHOUT CHARGE AT LOCATIONS THROUGHOUT THE HOSPITAL INCLUDING BUT NOT LIMITED TO REGISTRATIONS DESKS IN THE ER AS WELL AS OFFSITE LOCATIONS. INDIVIDUALS ARE NOTIFIED ABOUT THE FAP WITH BILLING NOTICES AND OTHER BROCHURES PLACED THROUGHOUT PORTER FACILITIES.PORTER MAINTAINS ITS OWN HEALTH ASSISTANCE PROGRAM TO HELP ELIGIBLE LOW AND MIDDLE INCOME FAMILIES OBTAIN PRESCRIPTION MEDICATIONS, EYEGLASSES, AND MEDICAL EQUIPMENT AT NO COST. THE HEALTH ASSISTANCE PROGRAM ALSO PROVIDES ASSISTANCE WITH ENROLLMENT IN STATE AND FEDERAL PROGRAMS, INCLUDING OBTAINING INSURANCE THROUGH THE VERMONT HEALTH CONNECT EXCHANGE, AND PROVIDES ADVOCACY AND SUPPORT WITH OBTAINING OTHER HEALTH CARE RELATED RESOURCES.ADDITIONALLY, PORTER'S OFFICE OF PATIENT AND FAMILY ADVOCACY IS AVAILABLE TO HELP WITH CONCERNS ABOUT DELIVERY OF CARE, INCLUDING BUT NOT LIMITED TO COSTS. |
| PART VI, LINE 4: | ADDISON COUNTY IS LOCATED IN THE LOWER CHAMPLAIN VALLEY OF VERMONT WITH LAKE CHAMPLAIN AND THE ADIRONDACKS TO THE WEST AND THE GREEN MOUNTAINS TO THE EAST. THE UNIQUE LANDSCAPE OF ADDISON COUNTY, THE FARMLANDS OF THE CHAMPLAIN VALLEY, AND THE PREDOMINATELY WOODED SETTINGS NEAR THE GREEN MOUNTAINS PROMOTE A BLEND OF LIGHT INDUSTRY AND FARMING. THE MAJOR EMPLOYERS IN THE COUNTY INCLUDE MIDDLEBURY COLLEGE, PORTER MEDICAL CENTER (AND ITS AFFILIATES INCLUDING PORTER HOSPITAL), AND COLLINS AEROSPACE.PORTER HOSPITAL SERVES 36,777 RESIDENTS LOCATED IN ADDISON COUNTY, VERMONT, WHICH COMPRISES APPROXIMATELY 6% OF THE STATE'S TOTAL POPULATION. AS OF 2019, A VAST MAJORITY (94.5%) OF ADDISON COUNTY RESIDENTS WERE WHITE, NON-HISPANIC. HISPANIC OR LATINO RESIDENTS ARE ADDISON COUNTY'S MORE PREVALENT MINORITY POPULATION AT 2.3%. THE US CENSUS BUREAU ESTIMATES THAT 4.7% OF ADDISON COUNTY RESIDENTS UNDER THE AGE OF 65 WERE UNINSURED IN 2019. 93.5% OF THE POPULATION HAS A HIGH SCHOOL DIPLOMA OR HIGHER, 39.6% OF THE POPULATION HAS A BACHELOR'S DEGREE OR HIGHER, AND 7.9% OF THE POPULATION IS UNDER THE FEDERAL POVERTY LEVEL. THE MEDIAN HOUSEHOLD INCOME AS OF 2019 WAS $68,825. |
| PART VI, LINE 5: | IN ADDITION TO THE COLLABORATIONS AND PARTNERSHIPS DESCRIBED PREVIOUSLY:PORTER HOSPITAL ("PORTER") PROVIDES RENT-FREE CLINIC SPACE AND VOUCHERS FOR NO-COST ANCILLARY SERVICES TO THE LOCAL OPEN DOOR CLINIC IN ITS ROLE AS A CATALYST IN THE DELIVERY OF HEALTH CARE SERVICES TO ITS ENTIRE COMMUNITY. PORTER OFFERS FREE AND LOW COST COMMUNITY EDUCATION PROGRAMS ON HEALTH CARE TOPICS INCLUDING MEMORY LOSS, DEMENTIA, BREAST CANCER SCREENING, BASIC DIABETES, CPR, SMOKING CESSATION, NUTRITION, PHYSICAL FITNESS, PARENTING, PRENATAL EXERCISE AND BREASTFEEDING. A MAJORITY OF THE GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN ITS SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF PORTER NOR FAMILY MEMBERS THEREOF. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. SURPLUS FUNDS ARE INVESTED IN TECHNOLOGY, FACILITIES AND PROGRAMS. |
| PART VI, LINE 6: | ON APRIL 1, 2017, THE UNIVERSITY OF VERMONT HEALTH NETWORK ("UVMHN") BECAME THE SOLE MEMBER OF PORTER MEDICAL CENTER, INC., THE PARENT ORGANIZATION FOR BOTH PORTER HOSPITAL AND HELEN PORTER NURSING HOME, INC. WITH SIX HOSPITALS ACROSS VERMONT AND NORTHERN NEW YORK, AS WELL AS A MEDICAL GROUP, AND AFFILIATED CLINICS, NURSING HOMES, AND NON-HOSPITAL FACILITIES, UVMHN COMPRISES AN INTEGRATED SYSTEM OF CARE SERVING ITS COMMUNITIES. UVMHN CARRIES OUT CENTRALIZED ACTIVITIES FOR THE BENEFIT OF PATIENTS OF ALL PARTNER ORGANIZATIONS, INCLUDING IMPROVING ACCESS TO LOCAL CARE, COST SAVINGS THROUGH GREATER JOINT PURCHASING POWER, ENHANCING INFORMATION TECHNOLOGY, INCREASING ACADEMIC OPPORTUNITIES FOR PHYSICIANS, ENGAGING IN REGIONAL STRATEGIC PLANNING, AND PARTICIPATING IN JOINT QUALITY AND CLINICAL INITIATIVES, AND COLLABORATIVE EFFORTS. PORTER HOSPITAL REGULARLY PARTNERS WITH OTHER ORGANIZATIONS AND PROVIDERS TO HELP MEET THE NEEDS OF ITS COMMUNITY. THIS INCLUDES WORKING WITH OTHER ORGANIZED SYSTEMS OF CARE (LIKE HOME HEALTH AGENCIES AND PHYSICIAN PRACTICES), AS WELL AS COMMUNITY-BASED ORGANIZATIONS WHOSE MISSIONS ARE SIMILAR. FOR EXAMPLE, PORTER HOSPITAL COLLABORATES WITH COMMUNITY PARTNERS TO REGULARLY ASSESS COMMUNITY AND HEALTH CARE NEEDS, WHICH HELPS GUIDE THE ORGANIZATION'S PRIORITIES. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | VT |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUDSON HEADWATERS HEALTH NETWORK | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9 CAREY ROAD | AddressLine1Txt |
| City | QUEENSBURY | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12804 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 141628237 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $14,700 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | COMMUNITY HEALTH IMPROVEMENT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | IN FY 2021-2022, THE ORGANIZATION RELIED ON THE UVM HEALTH NETWORK AND ITS AFFILIATED ORGANIZATIONS FOR SELECTION AND MONITORING OF THE GRANT TO HUDSON HEADWATERS HEALTH NETWORK DESCRIBED IN SCH I, PART II. THE REMAINING GRANTS IN SMALLER AMOUNTS WERE MADE FOR COMMUNITY BENEFIT AS SELECTED BY THE ORGANIZATION'S COMMUNITY BENEFIT STAFF. THE ORGANIZATION HAS MORE RECENTLY IMPLEMENTED SOFTWARE FOR THE PURPOSES OF MONITORING GRANTS AND THE USE OF GRANT FUNDS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Personal Services | Yes (X) | PersonalServicesInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | 0 | SubstantiationRequiredInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TOM THOMPSON | ||||||||||||||
| PRESIDENT & COO | $0 | $332,859 | $0 | $89,906 | $0 | $60,565 | $0 | $48,069 | $0 | $347 | $0 | $531,746 | $0 | $0 |
| DR ELYA VASILOU | ||||||||||||||
| DIRECTOR | $0 | $405,722 | $0 | $0 | $0 | $34,280 | $0 | $17,400 | $0 | $32,487 | $0 | $489,889 | $0 | $0 |
| DR ANDREW MAHONEY | ||||||||||||||
| DIRECTOR | $0 | $311,059 | $0 | $0 | $0 | $13,533 | $0 | $26,100 | $0 | $33,147 | $0 | $383,839 | $0 | $0 |
| DR KRISTOFER ANDERSON | ||||||||||||||
| DIRECTOR | $0 | $345,075 | $0 | $0 | $0 | $1,160 | $0 | $17,400 | $0 | $14,654 | $0 | $378,289 | $0 | $0 |
| ERIC BERG | ||||||||||||||
| CRNA | $303,599 | $0 | $0 | $0 | $5,024 | $0 | $12,075 | $0 | $2,068 | $0 | $322,766 | $0 | $0 | $0 |
| AMY BISHOP | ||||||||||||||
| CRNA | $269,330 | $0 | $0 | $0 | $4,841 | $0 | $8,530 | $0 | $34,895 | $0 | $317,596 | $0 | $0 | $0 |
| WILLIAM HARRINGTON | ||||||||||||||
| CRNA | $279,330 | $0 | $15,000 | $0 | $4,881 | $0 | $9,022 | $0 | $1,983 | $0 | $310,216 | $0 | $0 | $0 |
| DAVID J MYERS | ||||||||||||||
| CRNA | $186,120 | $0 | $0 | $0 | $4,520 | $0 | $5,661 | $0 | $29,316 | $0 | $225,617 | $0 | $0 | $0 |
| RENEE MOSIER | ||||||||||||||
| PHARMACY DIR | $179,953 | $0 | $0 | $0 | $234 | $0 | $7,053 | $0 | $25,869 | $0 | $213,109 | $0 | $0 | $0 |
| MICHAEL LEYDEN | ||||||||||||||
| AVP OPERATIONS | $0 | $160,471 | $0 | $13,780 | $0 | $2,661 | $0 | $5,477 | $0 | $25,283 | $0 | $207,672 | $0 | $0 |
| LINDA HAVEY | ||||||||||||||
| AVP OPERATIONS | $0 | $171,850 | $0 | $13,780 | $0 | $343 | $0 | $5,500 | $0 | $1,999 | $0 | $193,472 | $0 | $0 |
| JUDY PEEK-LEE | ||||||||||||||
| FMR INTERIM CFO | $0 | $80,365 | $0 | $56,507 | $0 | $1,286 | $0 | $0 | $0 | $2,426 | $0 | $140,584 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | PRESIDENT AND COO TOM THOMPSON RECEIVED COMPENSATION OF $1,400 TO COVER TAX PREPARATION AND FINANCIAL ADVISORY SERVICES. |
| PART I, LINE 1B | WHILE THERE IS NO ORGANIZATION-WIDE WRITTEN POLICY REGARDING SUCH PAYMENTS, THE AMOUNT IS PROVIDED BY CONTRACT, WHICH IS SUBJECT TO ANNUAL REVIEW. PERSONAL SERVICE COMPENSATION IS INCLUDED IN FORM W-2 AS TAXABLE INCOME. NO REIMBURSEMENT IS MADE UNDER AN ACCOUNTABLE PLAN AND THE COMPENSATION IS OFFERED ON A TAXABLE BASIS. THEREFORE, SUBSTANTIATION OF EXPENSE IS NOT REQUIRED. |
| PART I, LINE 3 | PORTER HOSPITAL CENTER RELIED ON THE UNIVERSITY OF VERMONT HEALTH NETWORK ("UVM HEALTH NETWORK"), PARENT OF PORTER HOSPITAL'S PARENT ORGANIZATION, PORTER MEDICAL CENTER, TO ESTABLISH SENIOR EXECUTIVE COMPENSATION. UVM HEALTH NETWORK UTILIZED THE FOLLOWING METHODS TO ESTABLISH COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| PART I, LINE 4B | PORTER MEDICAL CENTER, PARENT ORGANIZATION OF PORTER HOSPITAL, MAINTAINS A SUPPLEMENTAL RETIREMENT BENEFIT PLAN (SRP) UNDER CONTRACTUAL ARRANGEMENT WITH PRESIDENT AND COO TOM THOMPSON. PURSUANT TO THE TERMS OF THE SRP, PORTER MEDICAL CENTER MAKES ANNUAL CREDITS EQUAL TO 8.68% OF BASE SALARY. AMOUNTS DEFERRED DURING CALENDAR YEAR 2021 ARE INCLUDED ON SCHEDULE J, PART II, COLUMN C. AMOUNTS DEFERRED REMAIN SUBJECT TO FORFEITURE IF CERTAIN CONDITIONS ARE NOT MET. |
| PART I, LINE 7 | PORTER HOSPITAL PAID AWARDS TO CERTAIN MEMBERS OF UPPER MANAGEMENT (OFFICERS, VICE PRESIDENTS, PHYSICIAN CHAIRS AND SENIOR EXECUTIVES) THROUGH ITS ANNUAL VARIABLE PAY PLAN AS THE PLAN'S PERFORMANCE MEASURES WERE MET. THE MEASURES WERE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THESE MEASURES INCLUDED FINANCIAL, POPULATION HEALTH & QUALITY, AND OPERATIONAL RELATED METRICS. ADDITIONALLY, CERTAIN EMPLOYEEES OF THE ORGANIZATION WERE ELIGIBLE TO RECEIVE DISCRETIONARY BONUSES FOR TAKING ON EXTRA RESPONSIBILITIES. |
| FORM 990, PART VII, SECTION A, LINE 5 | JUDY PEEK-LEE RECEIVED OR ACCRUED COMPENSATION FROM KORN FERRY, AN UNRELATED MANAGEMENT CONSULTING FIRM, FOR SERVICES RENDERED TO THE ORGANIZATION AS INTERIM CFO OF PORTER MEDICAL CENTER, PRIOR TO HER EMPLOYMENT WITH THE UNIVERSITY OF VERMONT MEDICAL CENTER, INC., A RELATED ORGANIZATION. THE TOTAL AMOUNT CHARGED TO PORTER MEDICAL CENTER FOR SUCH SERVICES DURING CY 2021 WAS $132,298. THIS AMOUNT IS NOT INCLUDED IN THE COMPENSATION AMOUNTS REPORTED IN FORM 990, PART VII, SECTION A OR SCHEDULE J, PART II, AS THOSE AMOUNTS REPRESENT COMPENSATION PAID BY THE UNIVERSITY OF VERMONT MEDICAL CENTER FOR HER SERVICES AS AN EMPLOYEE. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VERMONT EDUCATIONAL HEALTH BUILDINGS AND FINANCING AGENCY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 237154467 | BondIssuerEIN |
| CUSIP | NONEAVAIL | CUSIPNum |
| Bond Issued | 2015-08-06 | BondIssuedDt |
| Issue Price | $12,650,000 | IssuePriceAmt |
| Purpose | REFUND 2006 SERIES A BONDS | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $3,684,186 | RetiredAmt |
| Total Proceeds | $12,650,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $138,787 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $12,511,213 | OtherSpentProceedsAmt |
| Substantial Completion | 2015 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K, PART I, COL (C) CUSIP # | FormAndLineReferenceDesc |
| Explanation | BECAUSE THE BONDS ARE HELD BY A PRIVATE FINANCIAL INSTITUTION AND WERE NEVER OFFERED TO THE PUBLIC, A CUSIP NUMBER WAS NOT ASSIGNED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | THE GOVERNING BODY FOR PORTER HOSPITAL, INC. IS IDENTICAL TO THAT OF HELEN PORTER NURSING HOME, INC. AS WELL AS THEIR PARENT ORGANIZATION, PORTER MEDICAL CENTER. TOM THOMPSON, MICHAEL LEYDEN, LINDA HAVEY, AND SCOTT COMEAU HAD AN EMPLOYMENT RELATIONSHIP WITH PORTER MEDICAL CENTER. |
| FORM 990, PART VI, SECTION A, LINE 6 | PORTER MEDICAL CENTER, INC. IS THE SOLE MEMBER OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE GOVERNING BODY OF PORTER HOSPITAL, INC. IS IDENTICAL TO THAT OF ITS PARENT ORGANIZATION, PORTER MEDICAL CENTER, INC. THE UNIVERSITY OF VERMONT HEALTH NETWORK, AS SOLE MEMBER OF PORTER MEDICAL CENTER, INC., HAS POWERS TO ELECT MEMBERS OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7B | UVM HEALTH NETWORK HAS THE POWER TO APPROVE SIGNIFICANT CORPORATE ACTIONS, INCLUDING ANNUAL OPERATING AND CAPITAL BUDGETS, STRATEGIC PLANS, THE APPOINTMENT OF THE CEO, THE INCURRENCE OF LONG-TERM INDEBTEDNESS, AND AMENDMENTS TO THE ORGANIZATION'S BYLAWS AND ARTICLES OF ORGANIZATION. UVM HEALTH NETWORK IS A VERMONT NON-PROFIT CORPORATION WHICH HAS BEEN RECOGNIZED BY THE IRS AS A 501(C)(3) ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 FOR PORTER HOSPITAL, INC. IS PREPARED BY UVM MEDICAL CENTER STAFF AND REVIEWED BY PRICEWATERHOUSECOOPERS (PWC). FOLLOWING OR CONCURRENT WITH PWC'S REVIEW, A DRAFT RETURN IS PRESENTED TO THE UVM HEALTH NETWORK AUDIT COMMITTEE AND MANAGEMENT FOR REVIEW AND COMMENT. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO THE FORM BEING FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH ANNUAL QUESTIONNAIRES AND CERTIFICATIONS REQUIRED OF ALL TRUSTEES, OFFICERS, AND OTHER INDIVIDUALS IN A POSITION TO EXERCISE INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION, THROUGH ONGOING DUTIES TO DISCLOSE TRANSACTIONS IN WHICH SUCH PERSONS HAVE A DIRECT OR INDIRECT FINANCIAL INTEREST, AND THROUGH ONGOING MONITORING EFFORTS BY THE ORGANIZATION'S CFO AND CONTROLLER. WHEN A POTENTIAL CONFLICT IS DISCLOSED OR OTHERWISE IDENTIFIED, THE BOARD OR AFFECTED BOARD COMMITTEE IS CHARGED WITH DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS, WITH THE INTERESTED PERSON BEING DISQUALIFIED FROM VOTING, PARTICIPATION, AND ATTENDANCE. IF THE BOARD OR BOARD COMMITTEE DETERMINES THAT A CONFLICT OF INTEREST DOES IN FACT EXIST, THEN SUCH PERSON IS RESTRICTED FROM PARTICIPATION IN ALL DELIBERATIONS PERTAINING TO THE PROPOSED TRANSACTION OR ARRANGEMENT AT ISSUE. THE REMAINING BOARD OR COMMITTEE MEMBERS MAY, AT THEIR DISCRETION, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. THE MINUTES OF THE BOARD OR AFFECTED COMMITTEE SHALL CONTAIN THE NAME OF THE INTERESTED PERSON, THE NATURE OF THE INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT WAS PRESENT, AND THE DECISION AS TO WHETHER A CONFLICT EXISTED. VIOLATIONS OF THE CONFLICT OF INTEREST POLICY ARE SUBJECT TO DISCIPLINARY AND CORRECTIVE ACTION INCLUDING BUT NOT LIMITED TO TERMINATION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION DELEGATES THE SETTING OF EXECUTIVE COMPENSATION TO THE UVM HEALTH NETWORK COMPENSATION COMMITTEE, AN INDEPENDENT COMMITTEE, UNDER PRINCIPLES DESCRIBED IN ITS CHARTER. THE UVM HEALTH NETWORK HAS ADOPTED A COMPENSATION PHILOSOPHY WHICH PROVIDES A FRAMEWORK FOR SETTING COMPENSATION FOR THE EXECUTIVES OF UVM HEALTH NETWORK AND ITS AFFILIATED MEMBER ORGANIZATIONS. THE PARAMETERS OF THIS PHILOSOPHY INCLUDE UTILIZING APPROPRIATE NATIONAL AND REGIONAL PEER GROUPS. SALARIES ARE TARGETED AT THE 50TH PERCENTILE OF THE NATIONAL PEER GROUP, WITH PERFORMANCE BASED VARIABLE PAY OPPORTUNITIES TO ACHIEVE UP TO THE 65TH PERCENTILE, DEPENDING ON ORGANIZATION AND INDIVIDUAL RESULTS. COMPENSATION LEVELS ARE APPROVED BY THE NETWORK COMPENSATION COMMITTEE FOR THE UVM HEALTH NETWORK/DIRECT REPORTS AND THE AFFILIATED ORGANIZATIONS' CEOS. CALCULATIONS ARE PERFORMED USING THE SAME PHILOSOPHY FOR THE THIRD TIER OF LEADERSHIP, WITH THE EXCEPTION THAT THE LOCAL BOARDS APPROVE COMPENSATION FOR ALL NON-CEO POSITIONS. ALL ACTIONS TAKEN REGARDING EXECUTIVE COMPENSATION ARE CONTEMPORANEOUSLY DOCUMENTED BY THE APPROPRIATE ORGANIZATION. THIS REVIEW IS PERFORMED ANNUALLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | NET ALLOCATION FOR HN SHARED SERVICES: PROGRAM SERVICE EXPENSES 3,366,033. MANAGEMENT AND GENERAL EXPENSES 4,519,372. FUNDRAISING EXPENSES 76,146. TOTAL EXPENSES 7,961,551. COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 410,139. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 410,139. GROUNDSKEEPING: PROGRAM SERVICE EXPENSES 58,090. MANAGEMENT AND GENERAL EXPENSES 131,127. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 189,217. CONSULTING FEES: PROGRAM SERVICE EXPENSES 1,275. MANAGEMENT AND GENERAL EXPENSES 136,280. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 137,555. FREIGHT: PROGRAM SERVICE EXPENSES 72,236. MANAGEMENT AND GENERAL EXPENSES 1,608. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,844. ACO PARTICIPATION FEES: PROGRAM SERVICE EXPENSES 54,583. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 54,583. HAZARDOUS WASTE DISPOSAL SERVICES: PROGRAM SERVICE EXPENSES 36,707. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,707. INTERPRETER SERVICES: PROGRAM SERVICE EXPENSES 15,388. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,388. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 2,295,265. MANAGEMENT AND GENERAL EXPENSES 363,028. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,658,293. |
| FORM 990, PART XI, LINE 9: | TRANSFER OF NET ASSETS -299,929. OTHER COMPONENTS OF CURRENT PERIOD PENSION EXPENSE 209,722. PENSION PLAN ADJUSTMENT 166,882. CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS -200,055. ROUNDING VARIANCE -656. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (20 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 | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| THE UNIVERSITY OF VERMONT MEDICAL CENTER | |||||||||||
| 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 030219309 | HOSPITAL | VT | 501(C)(3) | 3 | UVMHN | Yes (1) | |
| UNIVERSITY OF VERMONT MED GROUP-NEW YORK | |||||||||||
| 70 CONSTABLE STREET | MALONE | NY | 12953 | 203905216 | PHYSICIAN SVC | NY | 501(C)(3) | 3 | UVMHNMG | Yes (1) | |
| THE UNIVERSITY OF VERMONT MED CTR FDN INC | |||||||||||
| 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 263159849 | FUNDRAISING | VT | 501(C)(3) | 12A-I | UVMMC | Yes (1) | |
| UNIVERSITY OF VERMONT HEALTH NETWORK INC | |||||||||||
| 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 452880726 | HOLDING COMPANY | VT | 501(C)(3) | 12A-I | 0 | N/A | |
| CENTRAL VERMONT MEDICAL CENTER | |||||||||||
| 130 FISHCHER ROAD | BERLIN | VT | 05602 | 222547186 | HOSPITAL | VT | 501(C)(3) | 3 | UVMHN | Yes (1) | |
| UNIVERSITY HEALTH CENTER | |||||||||||
| 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 030229931 | HOSPITAL | VT | 501(C)(3) | 12C-III-FI | UVMHNMG | Yes (1) | |
| COMMUNITY PROVIDERS INC | |||||||||||
| 75 BEEKMAN STREET | PLATTSBURGH | NY | 01290 | 222544844 | HEALTH SVC COOR | NY | 501(C)(3) | 12A-I | UVMHN | Yes (1) | |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL | |||||||||||
| 75 BEEKMAN STREET | PLATTSBURGH | NY | 12901 | 141338471 | HOSPITAL | NY | 501(C)(3) | 3 | UVMHN | Yes (1) | |
| ELIZABETHTOWN COMMUNITY HOSPITAL | |||||||||||
| 75 PARK STREET | ELIZABETHTOWN | NY | 12932 | 141364513 | HOSPITAL | NY | 501(C)(3) | 3 | UVMHN | Yes (1) | |
| EMERGENCY MEDICAL TRANSPORT OF CVPH INC | |||||||||||
| 75 BEEKMAN STREET | PLATTSBURGH | NY | 12901 | 061718419 | AMBULANCE SVC | NY | 501(C)(3) | 12B-II | CPI | Yes (1) | |
| CVPH MEDICAL CENTER FOUNDATION | |||||||||||
| 75 BEEKMAN STREET | PLATTSBURGH | NY | 12901 | 141727048 | HEALTH SVC SUPPORT | NY | 501(C)(3) | 12B-II | CVPH | Yes (1) | |
| UNIVERSITY MEDICAL EDUCATION ASSOCIATES | |||||||||||
| 89 BEAUMONT AVENUE | BURLINGTON | VT | 05405 | 237107832 | EDUCATIONAL | VT | 501(C)(3) | 10 | UVMHNMG | Yes (1) | |
| ALICE HYDE MEDICAL CENTER | |||||||||||
| 133 PARK STREET | MALONE | NY | 12953 | 150346515 | HOSPITAL | NY | 501(C)(3) | 3 | UVMHN | Yes (1) | |
| PORTER MEDICAL CENTER INC | |||||||||||
| 115 PORTER DRIVE | MIDDLEBURY | VT | 05753 | 030310862 | SUPPORTING ORG | VT | 501(C)(3) | 12B-II | UVMHN | 0 | |
| HELEN PORTER NURSING HOME | |||||||||||
| 37 PORTER DRIVE | MIDDLEBURY | VT | 05753 | 030306549 | NURSING HOME | VT | 501(C)(3) | 3 | PMC | Yes (1) | |
| AUXILIARY OF PORTER MEDICAL CENTER | |||||||||||
| 37 PORTER DRIVE | MIDDLEBURY | VT | 05753 | 237363227 | SUPPORTING ORG | VT | 501(C)(3) | 12B-II | PMC | Yes (1) | |
| LAKE CHAMPLAIN PHYSICIAN SERVICES PC | |||||||||||
| 75 BEEKMAN STREET | PLATTSBURGH | NY | 12901 | 273785445 | PHYSICIAN SVC | NY | 501(C)(3) | 12A-I | CVPH | Yes (1) | |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK MEDICAL GROUP INC | |||||||||||
| 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 030225105 | PHYSICIAN SVC | VT | 501(C)(3) | 12A-I | UVMHN | Yes (1) | |
| UVMHN HOME HEALTH & HOSPICE | |||||||||||
| 1110 PRIM ROAD | COLCHESTER | VT | 05446 | 030179603 | HOME HEALTHCARE | VT | 501(C)(3) | 10 | UVMHN | Yes (1) | |
| VMC INDEMNITY COMPANY INC | |||||||||||
| 95 ST PAUL ST | BURLINGTON | VT | 05401 | 831102018 | INSURANCE | VT | 501(C)(3) | 10 | UVMHN | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADIRONDACK ACO LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 BEEKMAN STREET | AddressLine1Txt |
| City | PLATTSBURGH | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 462840926 | EIN |
| Primary Activities | ACCOUNTABLE CARE | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| UVMHN VENTURES INC | |||||||||
| 111 COLCHESTER AVENUE | BURLINGTON | VT | 05401 | 043380045 | HOLDING COMPANY | VT | N/A | C | 0 |
| UVMHN CREDENTIALING & ENROLLMENT | |||||||||
| 111 COLCHESTER AVENUE | BURLINGTON | VT | 05401 | 030333056 | ADMIN SVC | VT | N/A | C | 0 |
| CHARITABLE REMAINDER TRUSTS (6) | |||||||||
| SUPPORT | VT | N/A | T | 0 | |||||
| PERPETUAL TRUSTS (10) | |||||||||
| SUPPORT | VT | N/A | T | 0 | |||||
| CHARITABLE IRREVOCABLE TRUSTS (8) | |||||||||
| SUPPORT | VT | N/A | T | 0 | |||||
| CHAMPLAIN VALLEY HEALTH NETWORK | |||||||||
| 75 BEEKMAN STREET | PLATTSBURGH | NY | 12901 | 161586102 | ADMIN SVC | NY | N/A | C | 0 |
| MEDIQUEST INC | |||||||||
| PO BOX 1656 | PLATTSBURGH | NY | 12901 | 141663061 | MED OFFICE LEASE | NY | N/A | C | 0 |
| YANKEE MEDICAL INC | |||||||||
| 276 NORTH AVENUE | BURLINGTON | VT | 05401 | 030225363 | HOME MEDICAL EQUIPMENT | VT | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HELEN PORTER NURSING HOME INC | ||
| I | $254,337 | FMV |
| HELEN PORTER NURSING HOME INC | ||
| Q | $6,174,675 | FMV |
| PORTER MEDICAL CENTER INC | ||
| P | $215,175 | FMV |
| PORTER MEDICAL CENTER INC | ||
| K | $84,720 | FMV |
| UNIVERSITY OF VERMONT HEALTH NETWORK INC | ||
| P | $7,961,551 | FMV |