2025-08-12T13:37:55-05:00 2024-09-30 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2023-10-01 036013761 Northeastern Vermont Regional Hosp Inc NORT 8027487520 Hospital Drive PO Box 905 St Johnsbury VT 058190905 Andre Bissonnette CFO 8027487520 2025-08-08 1 1 Melissa Magoon CPA P01712842 2077752387 2025-08-08 2023 2025-03-06 01:10:19Z Shawn Tester Hospital Drive PO Box 905 St Johnsbury VT 058190905 132910894 0 X www.nvrh.org X 1967 VT Critical Access Hospital 20 17 843 140 2685336 112207 4481463 1954595 116927481 127256921 918110 2325914 78576 17142 122405630 131554572 242077 13792 0 0 71795590 78789276 0 0 0 49195495 50698828 121233162 129501896 1172468 2052676 81419097 91299615 27149442 30176077 54269655 61123538 X Northeastern Vermont Regional Hospital, Inc. is committed to improving the health and wellbeing of all. 0 0 101302123 13792 127256921 Northeastern Vermont Regional Hospital, Inc. is a full service, state of the art, Critical Access Hospital. The Hospital makes its services available to approximately 30,000 residents of the greater St. Johnsbury community. Inpatient services include medical and surgical, intensive care, pediatrics, and obstetrics. The emergency room at NVRH is fully staffed by full-time board certified/eligible physicians. The Ambulatory Surgery Unit has space for 16 pre- and post-operative patients. Over 95% of our surgeries and procedures are conducted through day surgery. These services are supported by the laboratory, diagnostic imaging, MRI, CT scan, cardiac services, rehabilitation, respiratory, and other ancillary services. Surgical specialties include general surgery, oral/maxillofacial, otolaryngology, obstetrics/gynecology, orthopedics, ophthalmology, and urology. NVRH is one of two Vermont hospitals to have been awarded the international baby-friendly designation by the World Health Organization.NVRH's charity care program is available to patients who are uninsured, underinsured, or have otherwise demonstrated they don't have the financial resources to fully pay for their hospital care. Patients with income levels below 250% of the federal poverty guideline for the applicable family size have their hospital bill discounted by 100%. Patients with income levels between 251% and 400% of the federal poverty guideline receive a discount on their hospital bill between 70% and 50%. Foregone charges, based on established rates, furnished under NVRH's free care program amounted to $2,077,224 during the year ended September 30, 2024.The emergency room at NVRH is fully staffed by full-time physicians and specialized nurses who are trained to deal with all aspects of medical care. Emergency room staff provide pre-hospital provider training and support, participation in local education programs, hospital continuing medical education and quality assurance programs. Care provided by the emergency room is coordinated with appropriate local physician practices. The NVRH pharmacy provides pharmaceutical services for patients, including a complete patient medication profile and computerized monitoring. Our pharmacy staff is a vital component of the healthcare team, consulting with physicians and other health professionals to ensure that patients receive the appropriate drug therapies. NVRH owns four Rural Health Clinics that are staffed with a combination of medical doctors, nurse practitioners, physician assistants and nurse midwives in order to meet the needs of our patients. The four clinics include:1. Corner Medical - a family practice.2. Kingdom Internal Medicine3. St. Johnsbury Pediatrics4. Women's Wellness Center - providing full OB/GYN care. 101302123 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 1 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 145 0 1 843 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 20 17 0 0 1 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 1 1 VT X Andre Bissonnette 8027487520 Hospital Drive PO Box 905 St Johnsbury VT 058190905 John Kascenska President of the Board, Past VP 0.50 0.25 X X 0 0 0 Warren Dow Vice Chair 0.50 0.25 X X 0 0 0 Joe Kasprzak Treasurer 0.50 0.25 X X 0 0 0 Sara Simpson Secretary 0.50 0.25 X X 0 0 0 Mark Bowen Trustee 0.50 0.25 X 0 0 0 Susan Carr President of the Auxiliary 0.50 0.25 X 0 0 0 Peter Crosby Trustee 0.50 0.25 X 0 0 0 Dan Daley Trustee 0.50 0.25 X 0 0 0 Steve Feltus Trustee 0.50 0.25 X 0 0 0 John Goodrich Trustee 0.50 0.25 X 0 0 0 Barbara Hatch Trustee 0.50 0.25 X 0 0 0 Steven McConnell Trustee 0.50 0.25 X 0 0 0 Natalie Morris Trustee 0.50 0.25 X 0 0 0 Hank Parker Trustee 0.50 0.25 X 0 0 0 Thaddeus Richardson Trustee 0.50 0.25 X 0 0 0 Kinsley Sicard Trustee 0.50 0.25 X 0 0 0 Cynthia Stuart Trustee 0.50 0.25 X 0 0 0 Betsy Bailey Past Trustee 0.50 0.25 X 0 0 0 Terry Hoffer Past Trustee 0.50 0.25 X 0 0 0 Dr Joshua Kantrowitz Past Med Staff President 40.00 0.25 X 251663 0 40691 Lorraine Matteis Past President of the Auxiliary 0.50 0.25 X 0 0 0 Mary Parent Past President of the Board, Past VP 0.50 0.25 X 0 0 0 Shawn Tester CEO 40.00 0.25 X X 400562 0 46950 Dr Justin Katz Med Staff President Elect (VP) 40.00 0.25 X 73144 0 3979 Dr Amanda Van Straten Med Staff President 40.00 0.25 X 267393 0 43921 Andre Bissonnette CFO 40.00 0.25 X 247887 0 42703 Dr David V Dent Physician 40.00 0.25 X 470036 0 35922 Dr Eugene J Dixon Physician 40.00 0.25 X 500320 0 36167 Dr Jeremy M Korsh Physician 40.00 0.25 X 882480 0 42766 Dr Matthew G Prohaska Physician 40.00 0.25 X 1018278 0 50035 Dr Ryan Sexton Physician 40.00 0.25 X 478204 0 55030 4589967 0 398164 145 0 1 0 Dan Wyand 2020 Trestle Road Danville VT 05828 Physical Therapy 2566632 Vermont Radiologists 393 Lower Moulton Lane Stowe VT 05672 Radiologist Services 2386660 HP Cumming Construction 5 High Street Woodsville NH 03785 Construction Services 2311248 Dartmouth Hitchcock One Medical Center Drive Lebanon NH 03766 Cardiology / Medical Services 733295 Northern Counties Healthcare 165 Sherman Drive St Johnsbury VT 05819 Healthcare Services 653681 16 72500 100000 1338830 443265 1954595 Patient Service Revenue 621110 264111548 261415034 2696514 Fixed Prospective Revenue 621110 10500689 10500689 Other Patient Service Revenue 621110 5754521 5234625 519896 Contractual/Char. Adj. 621110 -153109837 -153109837 127256921 712737 -11178 723915 20231 0 20231 20231 20231 2887548 52012 1250719 75664 1636829 -23652 1613177 1613177 26850 72500 29939 -3089 -3089 131554572 124040511 2685336 2874130 X 13792 13792 1418893 680791 738102 57717671 47558332 10159339 2427993 1999107 428886 13195736 10817578 2378158 4028983 3290421 738562 117187 117187 147218 147218 143720 143720 72455 72455 14263107 9564487 4698620 79314 42196 37118 755782 402088 353694 394010 209620 184390 5801551 3086517 2715034 74271 39513 34758 78617 41825 36792 238346 238346 4722578 1957349 2765229 1827189 785043 1042146 Medical Supplies 12993569 12993569 Medicaid Provider Tax 6652495 6652495 Miscellaneous Expense 1804922 884103 920819 Employee Recruitment/Re 532497 283297 249200 129501896 101302123 28199773 0 X 1698 1650 7518102 4373605 711915 283324 11100071 17035741 1366840 1436487 1022418 1020546 76394326 47703661 24551836 28690665 23833882 30092012 334900 334900 1220672 967679 9756763 7063006 81419097 91299615 10074343 10999376 374190 550931 7008702 6182233 9692207 12443537 27149442 30176077 X 49520765 55598403 4748890 5525135 54269655 61123538 81419097 91299615 X 2052676 4060307 740900 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16786 16786 129485110 129501896 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 11266 14873 16929 16786 59854 250000 250000 250000 250000 1000000 1500000 365356 365356 41669085 24008355 17660730 1155413 999279 156134 28934956 21341979 7592977 4269516 1354048 2915468 28690665 Beneficial Interest in Net Assets of Parent 4616223 Deferred Compensation 2446783 7063006 Deferred Compensation 2446783 Estimated Third-Party Payor Settlements 3389121 Capital Lease Obligation 1306619 Estimated Malpractice Liability 4425000 Due to Related Parties 876014 12443537 136313263 4060307 770839 4831146 131482117 72455 72455 131554572 129459380 29939 29939 129429441 72455 72455 129501896 Part XI, Line 2d - Other Adjustments: Change in Beneficial Interest in Net Assets of Parent 740,900. Fundraising Expenses 29,939. Part XII, Line 2d - Other Adjustments: Fundraising Expenses 29,939. Gala 99350 72500 26850 6458 14411 3550 5520 99350 72500 26850 6458 14411 3550 5520 29939 -3089 1 1 1 X 1 X 1 1 0 0 882596 882596 0.00680 27621696 13405904 14215792 0.10980 28504292 13405904 15098388 0.11660 2347066 976418 1370648 0.01060 67655 67655 0.00050 17025789 12404947 4620842 0.03570 87424 87424 0.00070 19527934 13381365 6146569 0.04750 48032226 26787269 21244957 0.16410 4 25 595123 595123 0.00460 4 25 595123 595123 0.00460 1 22181648 22181648 X 1 1 1 1 Northeastern Vermont Regional Hospital Inc 1315 Hospital Dr PO Box 905 St Johnsbury VT 058190905 www.nvrh.org 833 X X X X Northeastern Vermont Regional Hospital 1 0 0 1 X X X X X X X X X 23 1 0 0 1 X www.nvrh.org/community-health-needs-assessment/ X 1 24 1 www.nvrh.org/community-health-needs-assessment/ 0 1 X 200.000000000000 400.000000000000 X 1 1 X X X X 1 X https://nvrh.org/patients-visitors/billing-financial/ X https://nvrh.org/patients-visitors/billing-financial/ X https://nvrh.org/patients-visitors/billing-financial/ X X X X X 1 X 0 X X X X 1 X 0 0 Northeastern Vermont Regional Hospital Part V, Section B, Line 5: The driving purpose of the NVRH Community Health Needs Assessment (CHNA) for 2024-2027 is to identify, prioritize, address, and communicate the current health needs of the broader community served by NVRH and the surrounding region. The Patient Protection and Affordable Care Act (ACA) of 2010 required all tax-exempt hospitals in the United States to conduct a CHNA every three years, and the 2024 NVRH CHNA is the fifth assessment achieved according to ACA federal guidelines.NVRH engaged several partner organizations to engage in the "Northeast Kingdom Coordinated CHNA". A Steering Committee formed in January 2024 and led this inaugural CHNA approach. The participating member organizations include NVRH, North Country Hospital, Northeast Kingdom Human Services, Northern Counties Health Care, Northeast Kingdom Community Action, Northeast Kingdom Council on Aging, and the Vermont Department of Health. Between February and May, extensive secondary data analysis occurred. Primary data collection approaches were developed and implemented between April and August, including a community survey with 414 responses, and 4 focus groups for a total 20 participants. Final data analysis and development of the HSA-level report occurred between August and September 2024, including various forms of input from residents and professionals who have working knowledge and/or reside in the health service area. The NVRH Board of Trustees adopted this report on September 25, 2024. NVRH made this report publicly available following Board adoption.The entire CHNA and methodology is available at: www.nvrh.org/community-health-needs-assessment/ Northeastern Vermont Regional Hospital Part V, Section B, Line 11: An update and current evaluation to the CHNA Implementation Plan is available atwww.nvrh.org/community-health-needs-assessment/ In recognition of the importance of the social determinants of health in overall health and well-being, NVRH had taken the lead in creating NEK Prosper in 2014. NEK Prosper uses the framework of Accountable Health Communities, the elements of Collective Impact, and the principles of Results Based Accountability. Key organizations that comprise the backbone organizations and leadership team to address the root cause of poor health are the regional mental health agency, housing organization, community action program, Federally-Qualified Health Center, Council on Aging, and the Vermont Foodbank. Many other state agencies and community based non-profits make up the body of NEK Prosper. NEK Prosper has identified five outcomes for our community: well-nourished, well-housed, physically healthy, mentally healthy, and financially secure. Workgroups were formed in the NEK Prosper structure to provide strategic direction and results-based focus in each outcome area, and continue to support the grassroots efforts to improve conditions that impact health.NVRH's recent CHNA report identified priority health needs that will be addressed both by the hospital as well as NEK Prosper's leadership team members have committed to centering and aligning all community health work and health equity intitiatives in the health service area with this report to collectively improve these priority areas. 10 1 - NVRH - Corner Medical 195 Industrial Parkway Lyndonville VT 05849 Outpatient Physician Clinic 2 - NVRH - St Johnsbury Pediatrics 97 Sherman Drive St Johnsbury VT 05819 General Pediatric Services 3 - Occupational Medicine at NVRH 1290 Hospital Drive St Johnsbury VT 05819 Work-Related Med Needs Clinic 4 - Women's Wellness Center 1315 Hospital Dr PO Box 905 St Johnsbury VT 058190905 OB/GYN Care Facility 5 - NVRH - Medical Arts Building 1290 Hospital Drive St Johnsbury VT 05819 Surgical Group, Podiatry, and Neurology Services 6 - NVRH - Orthopedics - Fracture Clinic 4 Sherman Drive St Johnsbury VT 05819 Fracture Clinic 7 - NVRH - Physical Therapy - Lyndonville 195 Industrial Parkway Lyndonville VT 05849 Physical Therapy Center 8 - NVRH - Physical Therapy - St Johnsbury 97 Sherman Drive St Johnsbury VT 05819 Physical Therapy Center 9 - NVRH - Kingdom Internal Medicine 714 Breezy Hill Road St Johnsbury VT 05819 Outpatient Physician Clinic 10 - NVRH - Northern Physical Therapy 529 Main Street Lyndonville VT 05851 Physical Therapy Center Part I, Line 7: The Organization used three different methods to allocate costs reported in the table: four physician clinics are rural health clinics: NVRH - Corner Medical, NVRH - St Johnsbury Pediatrics, NVRH - Kingdom Internal Medicine, and NVRH - Women's Wellness Center. Costs for these clinics were taken directly from the Medicare cost report. Costs for other reported programs were direct costs for the program plus an allocation of indirect costs based on a ratio of direct to indirect costs taken from the Medicare cost report. A cost to charge ratio was used to determine the cost of bad debts and free care for all programs reported on the table. Part I, Line 7g: The Organization included as subsidized health services costs attributable to four physician clinics.1. NVRH - Corner Medical, a primary care physician clinic. Total subsidized costs related to this physician clinic were $1,405,589.2. NVRH - St Johnsbury Pediatrics, a pediatric physician clinic. Total subsidized costs related to this physician clinic were $1,367,105.3. NVRH - Women's Wellness Center, an obstetrician/gynecological physician clinic. Total subsidized costs related to this physician clinic were $727,395.4. NVRH - Kingdom Internal Medicine, a primary care physician clinic. Total subsidized costs related to this physician clinic were $1,041,474. Part II, Community Building Activities: Physical Improvements/HousingNVRH Community Garden:NVRH has provided garden space on our campus for community use for 34 years. There are currently 28 garden spots. The garden spots are provided free of charge on a first come, first served basis. The community benefit value is based on the staff time to coordinate the assignment of spots and other correspondence with the gardeners. Workforce development:NVRH is located in a rural area with limited access to public transportation. Poverty is also our primary health disparity. We have listened to our community and they tell us they need access to services that are close to home. NVRH takes the lead in recruiting both primary care and specialty physicians and mid-level providers to fill the need for access to services close to home. The value listed in this section is related to the costs associated with recruiting primary care and specialty providers; as well as loan repayment for many of our providers (MO, NP, PA, etc). We also support an Career Advancement Program to grow the nursing workforce, including Medical Assistants and nursing of all ranks. Additionally, NVRH supports LNA interns, both high school and adult learners, as well as other job shadow opportunities across all healthcare professions. Part III, Line 4: Please refer to pages 11-15 of the attached audited financial statements. Part III, Line 8: All Medicare allowable costs were taken directly from the Medicare cost report. Part III, Line 9b: NVRH provides care to all patients regardless of their ability to pay for services. Patients who indicate they have no insurance receive information about NVRH's Patient Assistance program, including the income level eligibility guidelines, with their first bill and with all subsequent bills. Patient Assistance is provided to those patients who, through a written documentation process, are identified as financially needy. Patients who have qualified for 100% Patient Assistance are not billed for subsequent services for one year. After one year, those patients go through the qualification process again. Financial assistance applications are made readily available to patients, in addition, signs are posted throughout the hospital and clinics and linked on our website. Part VI, Line 2: Assessment of community needs is an ongoing process at Northeastern Vermont Regional Hospital. Northeastern Vermont Regional Hospital (NVRH). NVRH achieves openness, inclusiveness, and public participation in strategic planning and decision-making in deliberate ways. NVRH governance structure includes the Northeastern Vermont Regional Corp. (NVRC) Corporators. The nearly 250 Corporators, representing all the towns in our service area, are an invaluable source of wisdom and perspective for hospital leadership. Corporators are key links representing the community, serving as our eyes and ears in the region. The quarterly Corporators meetings are an opportunity for two-way sharing of information. The Corporators share their needs and concerns, as well as those of their families, friends, and neighbors. In return, the Corporators are updated on hospital services, facility enhancements, community health efforts, and other educational topics that enhance their understanding of healthcare and social care. Additionally, Corporator meetings will highlight state and national healthcare issues to provide additional context on the current landscape. The Hospital participates in formal community assessments that are conducted every few years by various community organizations, including the Northeast Prevention Coalition, the Housing Coalition, and the Vermont Department of Health. Hospital staff are active members and partners with these coalitions and organizations. Formal community assessments begin with identifying a problem or purpose. The purpose could be broad, such as "what are the top priorities in our community or it could be more specific based on the mission of the organization. The local prevention coalitions conduct ongoing community engagement activities, including surveys, public forums, community dinners, and listening sessions.The next step is developing a community profile using secondary source data. Secondary source data is primarily obtained from the Vermont Department of Human Services Community Profiles. These profiles compile data from a variety of sources including the Behavioral Risk Factor Surveillance System (BRFSS), U.S. Census, the Vermont Health Care Cost and Utilization Project, and several other state and national data sources. Primary data is also gathered by identifying and getting input from key stakeholders including community leaders, relevant organizations, and community members. Input is gathered by using one-on-one interviews, surveys (including using online tools like Survey Monkey), and focus forums for all key stakeholder groups. Inventories of existing services, and gap and/or asset mapping are also typically part of the community assessment process.Upon compiling primary and secondary data, a deep analysis is then conducted. Sometimes the focus of an assessment may shift if data reveals a new or more urgent health priority. Reporting the results of the assessment is an important piece of the process. Every effort is made to get summaries and reports back to interested community members and organizations. The 2024 Community Needs Health Assessment Report and Implementation plan can be accessed here: https://nvrh.org/community-health-needs-assessment/ More and more often, the Hospital and partner organizations are using Collective Impact principles when designing community interventions or deciding on which health services to add or enhance. Collective Impact starts with community engagement and buy in, but goes beyond to ensure that knowledge, power, credit, and results are shared fairly between "experts and community members. For FY 2024, NVRH engaged several local health and human service partners to collaborate on one regional Community Health Needs Assessment, streamlining resource and creating additional alignment for collective impact efforts. Part VI, Line 3: A summary of NVRH's Patient Assistance Program and the income eligibility guidelines are included in the first and all subsequent bills sent to patients identified as self-pay. The phone number of a financial counselor is also provided. The counselor is available to discuss eligibility guidelines and the qualification process. The counselor also discusses with patients the availability of Medicaid and other State assistance programs. Information about the NVRH Patient Assistance Program is also available on the NVRH website. Patients can also learn about NVRH's Patient Assistance program via a link to the State's Green Mountain Care Board. The Patient Assistance Program is available to hospital patients as well as patients of all NVRH-owned physician practices. Part VI, Line 4: NVRH serves about 30,000 people in Caledonia and Southern Essex Counties in the northeast corner of Vermont. The Hospital is located about 50 miles from the Canadian border to the north, and about 15 miles from the New Hampshire border to the east. Only 3 towns in our service area have a population of more than 2,000 people. Our area is divided equally between males and females. The area is predominately white (95%) and English is the predominant language. The median income is below the state average at $49,758 per household ($64,994 Vermont). Nearly 91% of our adult population ages 25 and older have a high school diploma, and just under 25% have completed a four year college degree, compared to the state average of 33%. Education, healthcare, and social services are the largest employment sectors, followed by retail and then manufacturing. There are three public school supervisory unions, and numerous private and independent schools. There are 3 colleges located in our service area. Part VI, Line 5: The Hospital also promoted health and safety throughout the community through the following programs:1. Bike Safety Fair2. Blood Drawings at NVRH3. Health Care Shares4. Community Connections5. Community Gardens6. Community Wellness Calendar7. Diabetes and Nutrition Community-based Outreach and Education8. Healthier Living Workshop/Chronic Pain/Diabetes Prevention Program/Tobacco Cessation9. Harm Reduction - Medication and Syringe Drop Boxes10. Lactation Services11. Healthy Homes12. NEK Prosper13. No Sugar Added Obesity Prevention and Reduction14. Substance Misuse Prevention15. Radio Education Program16. Transportation Vouchers17. Veggie Van Go18. Rides to work initiative X X X X 0 0 0 0 0 0 0 1 0 Dr Matthew G Prohaska Physician 688273 0 275902 0 54103 0 12481 0 37554 0 1068313 0 0 0 Dr Jeremy M Korsh Physician 514964 0 366922 0 594 0 12388 0 30378 0 925246 0 0 0 Dr Eugene J Dixon Physician 486630 0 0 0 13690 0 14716 0 21451 0 536487 0 0 0 Dr Ryan Sexton Physician 434144 0 43200 0 860 0 14402 0 40628 0 533234 0 0 0 Dr David V Dent Physician 458725 0 0 0 11311 0 12932 0 22990 0 505958 0 0 0 Shawn Tester CEO 363192 0 28411 0 8959 0 14295 0 32655 0 447512 0 0 0 Dr Amanda Van Straten Med Staff President 261377 0 0 0 6016 0 12207 0 31714 0 311314 0 0 0 Dr Joshua Kantrowitz Past Med Staff President 241918 0 8500 0 1245 0 11500 0 29191 0 292354 0 0 0 Andre Bissonnette CFO 244791 0 0 0 3096 0 11215 0 31488 0 290590 0 0 0 Part I, Line 7 During 2023, bonuses were awarded to Shawn Tester, Dr. Joshua Kantrowitz, and Dr. Ryan Sexton based on incentive goals. Dr. Jeremy Korsh and Dr. Matthew Prohaska were awarded bonuses based on productivity goals. A Vermont Educational And Health Buildings Financing Agency 237154467 2016-04-01 12605000 Refinancing of 2004 & 2009 Series A Bonds 0 0 0 A 6338535 12605000 162039 12442961 2016 1 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 Form 990, Part VI, Section A, line 4 During the year, the Organization amended their bylaws to change to the term of the medical staff representative on the Board of Trustees from a maximum of two years to three years. Form 990, Part VI, Section A, line 6 The sole member of the Organization is Northeastern Vermont Regional Corp. Form 990, Part VI, Section A, line 7a All trustees shall be elected by the member of the Organization. Form 990, Part VI, Section B, line 11b The process for reviewing the Organization's 990 evolves from oversight for utilized numbers from the TB which have been audited. Schedules to support various aspects of the tax return are prepared by community health team, finance department staff and Andre Bissonnette CFO reviewed the 2023 (FY24) information which is submitted to the auditors. A copy of Form 990 is provided to the Organization's board on the closest meeting date after the filing of the return. Form 990, Part VI, Section B, line 12c The Organization monitors potential conflicts of interest by requiring directors and trustees to complete an annual questionnaire. Board members disclose any potential conflicts prior to voting. Significant conflicts of interest would be discussed with legal counsel prior to board action. During FY23, the Organization implemented a new written conflict of interest policy which applies to the Board of Directors and various other members of Hospital leadership. Form 990, Part VI, Section B, line 15 A compensation committee sets the compensation level for the Organization's CEO. The CEO is charged with determining the compensation level for the Organization's CFO. The basis for arriving at the CFO and CEO's compensation is determined by using comparable compensation data of the CEOs and CFOs from other similar sized Vermont hospitals. The Organization obtains this data by examining other Vermont hospital Form 990s. Compensation for all other key employees is based on the Vermont and New Hampshire annual wage survey. The CEO has the final determination for the appropriate level of compensation for all other employees. Form 990, Part VI, Section C, line 19 The Organization makes its financial statements available to the public upon request as well as through the publishing of its annual report on its website. The Organization makes its governing documents and conflict of interest policy available to the public upon request. Form 990, Part IX, line 11g Purchased Services: Program service expenses 4,119,808. Management and general expenses 3,623,961. Fundraising expenses 0. Total expenses 7,743,769. Other Fees: Program service expenses 1,221,700. Management and general expenses 1,074,659. Fundraising expenses 0. Total expenses 2,296,359. Lab Fees: Program service expenses 995,965. Management and general expenses 0. Fundraising expenses 0. Total expenses 995,965. Physician Fees: Program service expenses 3,227,014. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,227,014. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Northeastern Vermont Regional Hospital, Inc. 1315 Hospital Drive St. Johnsbury, VT 05819-0905 EIN: 03-6013761 Northeastern Vermont Regional Hospital, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Form 990, Part XI, line 9: Change in Beneficial Interest in Net Assets of Parent 740,900. Northeastern Vermont Regional Corp 1315 Hospital Drive St Johnsbury VT 058190905 222583253 Health Care Services VT 501(c)3 Line 12b N/A 0 Charitable Remainder Trust (1) Deferred Annuity VT Northeastern Vermont Regional Corp 0 Northeast Health Enterprises Inc 1315 Hospital Drive St Johnsbury VT 05819 030294757 Inactive Corporation VT N/A C 0 Northeast Regional Investment Development Corporation 1315 Hospital Drive St Johnsbury VT 05819 030294758 Inactive Corporation VT N/A C 0 Northeast Vermont Health Care Systems Inc 1315 Hospital Drive St Johnsbury VT 05819 030294756 Inactive Corporation VT N/A C 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 1 0 0 1 0