STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

NORTHEASTERN VERMONT REGIONAL HOSPITAL INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
NORTHEASTERN VERMONT REGIONAL HOSPITAL INC (EIN 03-6013761)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-13
IRS object ID
202142259349300704
Schema version
2019v5.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-08-13T06:39:58-05:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010523282PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1100AddressLine1Txt
CityPortlandCityNm
State AbbreviationMEStateAbbreviationCd
ZIP041041100ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN036013761EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRobert HerseyPersonNm
Person TitleCFOPersonTitleTxt
Phone8027487520PhoneNum
Signature2021-08-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBarbara J McGuan CPAPreparerPersonNm
PTINP00219457PTIN
Phone2077752387PhoneNum
Preparation2021-08-12PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerShawn TesterPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Hospital Drive PO Box 905AddressLine1Txt
CitySt JohnsburyCityNm
State AbbreviationVTStateAbbreviationCd
ZIP058190905ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$125,747,051GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.nvrh.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1967FormationYr
Legal Domicile StateVTLegalDomicileStateCd
Activity Or MissionCritical Access HospitalActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee739TotalEmployeeCnt
Total Volunteers152TotalVolunteersCnt
Total Gross UBI$1,818,833TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$30,073NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$24,951PYContributionsGrantsAmt
CY Contributions Grants$490,416CYContributionsGrantsAmt
PY Program Service Revenue$90,094,533PYProgramServiceRevenueAmt
CY Program Service Revenue$93,389,953CYProgramServiceRevenueAmt
PY Investment Income$398,680PYInvestmentIncomeAmt
CY Investment Income-$584,866CYInvestmentIncomeAmt
PY Other Revenue$121,768PYOtherRevenueAmt
CY Other Revenue$94,766CYOtherRevenueAmt
PY Total Revenue$90,639,932PYTotalRevenueAmt
CY Total Revenue$93,390,269CYTotalRevenueAmt
PY Grants And Similar Paid$153,475PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$141,855CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$52,581,764PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$55,182,917CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$36,345,744PYOtherExpensesAmt
CY Other Expenses$37,137,126CYOtherExpensesAmt
PY Total Expenses$89,080,983PYTotalExpensesAmt
CY Total Expenses$92,461,898CYTotalExpensesAmt
PY Revenues Less Expenses$1,558,949PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$928,371CYRevenuesLessExpensesAmt
Total Assets BOY$68,670,063TotalAssetsBOYAmt
Total Assets EOY$91,661,901TotalAssetsEOYAmt
Total Liabilities BOY$26,314,944TotalLiabilitiesBOYAmt
Total Liabilities EOY$45,718,375TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$42,355,119NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$45,943,526NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionNortheastern Vermont Regional Hospital, Inc. is dedicated to improving the health of all people in the communities it serves.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$79,374,289ExpenseAmt
Grant$141,855GrantAmt
Revenue$93,389,953RevenueAmt
DescNortheastern Vermont Regional Hospital, Inc. is a full service, state of the art, Critical Access Hospital. The Hospital makes its services available to approximately 30,000 residents of the greater St. Johnsbury community. Inpatient services include medical and surgical, intensive care, pediatrics, and obstetrics. The emergency room at NVRH is fully staffed by full-time board certified/eligible physicians. The Ambulatory Surgery Unit has space for 16 pre- and post-operative patients. Over 95% of our surgeries and procedures are conducted through day surgery. These services are supported by the laboratory, diagnostic imaging, MRI, CT scan, cardiac services, rehabilitation, respiratory, and other ancillary services. Surgical specialties include general surgery, neurosurgery, oral/maxillofacial, otolaryngology, obstetrics/gynecology, orthopedics, ophthalmology, and urology. NVRH is one of two Vermont hospitals to have been awarded the international baby-friendly designation by the World Health Organization.NVRH's charity care program is available to patients who are uninsured, underinsured, or have otherwise demonstrated they don't have the financial resources to fully pay for their hospital care. Patients with income levels below 200% of the federal poverty guideline for the applicable family size have their hospital bill discounted by 100%. Patients with income levels between 200% and 400% of the federal poverty guideline receive a discount on their hospital bill between 85% and 47%. Foregone charges, based on established rates, furnished under NVRH's free care program amounted to $2,623,396 during the year ended September 30, 2020.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
DescThe 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 need of our patients. The four clinics include:1. Corner Medical - a family practice.2. Kingdom Internal Medicine3. St. Johnsbury Pediatrics4. Womans Wellness Center - providing a full OB/GYN care.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$79,374,289TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of ArtYes (1)CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document151IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee739EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldVTStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Robert HerseyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8027487520PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Jane Arthur
President8.000.10Yes (X)Yes (X)$0$0$0
Martha Davis
Treasurer8.000.10Yes (X)Yes (X)$0$0$0
Thomas Robinson
Trustee, Past President2.000.10Yes (X)Yes (X)$0$0$0
Barbara Hatch
Trustee2.000.10Yes (X)$0$0$0
Catherine Boykin
Trustee2.000.10Yes (X)$0$0$0
Darcie McCann
Trustee2.000.10Yes (X)$0$0$0
Deborah Hunt
Trustee2.000.10Yes (X)$0$0$0
John Goodrich
Trustee2.000.10Yes (X)$0$0$0
John Kascenska
Trustee2.000.10Yes (X)$0$0$0
Joseph Kasprzak
Trustee2.000.10Yes (X)$0$0$0
Judy Desrochers
Trustee2.000.10Yes (X)$0$0$0
Mary Parent
Trustee2.000.10Yes (X)$0$0$0
Steve Feltus
Trustee2.000.10Yes (X)$0$0$0
Steve McConnell
Trustee2.000.10Yes (X)$0$0$0
Terry Hoffer
Trustee2.000.10Yes (X)$0$0$0
Thaddeus Richardson
Trustee2.000.10Yes (X)$0$0$0
Lorraine Matteis
President of the Auxiliary2.000.10Yes (X)$0$0$0
Ryan Sexton MD
Trustee, Med. Staff President40.000.10Yes (X)$454,047$0$53,048
Ken Norris
Past Trustee2.000.10Yes (X)$0$0$0
Steve Nichols
Past Trustee2.000.10Yes (X)$0$0$0
Kimberly Gilding
Past President of the Auxiliary2.000.10Yes (X)$0$0$0
Shawn Tester
CEO40.001.00Yes (X)$321,799$0$45,926
Robert Hersey
CFO40.001.00Yes (X)$218,047$0$33,297
Matthew Prohaska MD
Physician40.000.00$690,569$0$60,198Yes (X)
Eugene Dixon MD
Physician40.000.00$441,871$0$37,169Yes (X)
Michael Lahey MD
Physician40.000.00$436,800$0$55,744Yes (X)
Richard Gagnon MD
Physician40.000.00$419,743$0$37,997Yes (X)
Joshua Spicer MD
Physician40.000.00$395,477$0$52,406Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,378,353TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$375,785TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K91IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Dan Wyand PT & Associates PLLC
2020 Trestle RoadDanvilleVT05828Physical Therapy$2,258,508
Vermont Radiologists
PO Box 217St JohnsburyVT05819Diagnostic Imaging Services$1,905,940
HP Cummings Construction
PO Box 269WoodsvilleNH037850269Construction Project$915,728
Weatherby Locums Inc
PO Box 972633DallasTX753972633Leased Staff/Services$861,562
Comphealth Inc
PO Box 972651DallasTX753972651Temporary Doctors$746,656
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
Government Grants$143,534GovernmentGrantsAmt
All Other Contributions$346,882AllOtherContributionsAmt
Noncash Contributions$158,382NoncashContributionsAmt
Total Contributions$490,416TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Patient Service Rev.621110$169,222,081$167,403,248$1,818,833
Other Patient Service Revenue621110$7,614,200$7,187,325$426,875
Provision for Bad Debts621110-$2,570,476-$2,570,476
Contractual/Char. Adj.621110-$80,875,852-$80,875,852
FieldValueIRS element (for citing)
Total Program Service Revenue$93,389,953TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$486,060TotalRevenueColumnAmt
Exclusion$486,060ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$94,766RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$94,766RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$94,766TotalRevenueColumnAmt
Exclusion$94,766ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$31,265,395SecuritiesAmt
Other$20,461OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$32,356,782SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$1,091,387SecuritiesAmt
Other$20,461OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,070,926TotalRevenueColumnAmt
Exclusion-$1,070,926ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$93,390,269TotalRevenueColumnAmt
Related Or Exempt Func Income$91,144,245RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,818,833UnrelatedBusinessRevenueAmt
Exclusion-$63,225ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$141,855TotalAmt
Program Services$141,855ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,126,164TotalAmt
Program Services$507,095ProgramServicesAmt
Management And General$619,069ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$41,092,590TotalAmt
Program Services$36,644,844ProgramServicesAmt
Management And General$4,447,746ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,731,248TotalAmt
Program Services$1,507,367ProgramServicesAmt
Management And General$223,881ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,306,990TotalAmt
Program Services$7,190,389ProgramServicesAmt
Management And General$1,116,601ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,925,925TotalAmt
Program Services$2,517,494ProgramServicesAmt
Management And General$408,431ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$134,015TotalAmt
Management And General$134,015ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$13,163TotalAmt
Management And General$13,163ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$119,703TotalAmt
Management And General$119,703ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$60,251TotalAmt
Management And General$60,251ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,193,628TotalAmt
Program Services$9,208,337ProgramServicesAmt
Management And General$985,291ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$93,889TotalAmt
Program Services$2,366ProgramServicesAmt
Management And General$91,523ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,567,037TotalAmt
Program Services$3,030,712ProgramServicesAmt
Management And General$1,536,325ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$390,781TotalAmt
Program Services$8,305ProgramServicesAmt
Management And General$382,476ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,497,128TotalAmt
Program Services$3,268,708ProgramServicesAmt
Management And General$1,228,420ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$41,443TotalAmt
Program Services$27,709ProgramServicesAmt
Management And General$13,734ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$47,172TotalAmt
Program Services$22,420ProgramServicesAmt
Management And General$24,752ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$231,981TotalAmt
Program Services$136,505ProgramServicesAmt
Management And General$95,476ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,196,677TotalAmt
Program Services$1,881,023ProgramServicesAmt
Management And General$1,315,654ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,006,062TotalAmt
Program Services$1,847,553ProgramServicesAmt
Management And General$158,509ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$6,462,827$6,462,827
Medicaid Provider Tax$4,968,780$4,968,780
UBI Tax$112,589$112,589

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$92,461,898TotalAmt
Program Services$79,374,289ProgramServicesAmt
Management And General$13,087,609ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,748BOYAmt
EOY$1,658EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,483,494BOYAmt
EOY$30,141,879EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$11,184,875BOYAmt
EOY$10,088,018EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,429,788BOYAmt
EOY$1,561,263EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$733,320BOYAmt
EOY$587,732EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$69,899,122LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$47,443,450LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$23,016,180BOYAmt
EOY$22,455,672EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$18,198,266BOYAmt
EOY$19,383,016EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$359,900BOYAmt
EOY$259,900EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,077,083BOYAmt
EOY$959,583EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,185,409BOYAmt
EOY$6,223,180EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$68,670,063BOYAmt
EOY$91,661,901EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$8,390,849BOYAmt
EOY$9,669,638EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$361,203BOYAmt
EOY$635,508EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,944,653BOYAmt
EOY$9,379,959EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,618,239BOYAmt
EOY$26,033,270EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$26,314,944BOYAmt
EOY$45,718,375EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$40,627,061BOYAmt
EOY$44,226,805EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,728,058BOYAmt
EOY$1,716,721EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$42,355,119BOYAmt
EOY$45,943,526EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$68,670,063BOYAmt
EOY$91,661,901EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$928,371ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,678,638NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$18,602OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

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

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$10,114FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$10,114FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$92,451,784FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$92,461,898FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

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

Grassroots Nontaxable GrassrootsNontaxableGrp

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

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

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

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

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

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

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

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$11,931CurrentYearMinus3Amt
Current Year Minus2$13,040CurrentYearMinus2Amt
Current Year Minus1$12,407CurrentYearMinus1Amt
Current Year$10,114CurrentYearAmt
Total$47,492TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

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

Schedule D IRS990ScheduleD

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

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$33,290,211OtherCostOrOtherBasisAmt
Depreciation$19,301,149DepreciationAmt
Book Value$13,989,062BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,156,277OtherCostOrOtherBasisAmt
Depreciation$793,791DepreciationAmt
Book Value$362,486BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$33,510,077OtherCostOrOtherBasisAmt
Depreciation$26,263,138DepreciationAmt
Book Value$7,246,939BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,904,987OtherCostOrOtherBasisAmt
Depreciation$1,085,372DepreciationAmt
Book Value$819,615BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$22,455,672TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Beneficial Interest in Net Assets of Parent$1,143,726
Due from Parent$3,616,024
Deferred Compensation$1,463,430
FieldValueIRS element (for citing)
Total Book Value Other Assets$6,223,180TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Deferred Compensation$1,463,430
Estimated Third-Party Payor Settlements$4,580,535
CARES Act Funding$6,263,821
Medicare Accelerated Payments$13,725,484
FieldValueIRS element (for citing)
Total Liability$26,033,270TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$95,990,054TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$2,678,638NetUnrealizedGainsInvstAmt
Revenue Not Reported$2,678,638RevenueNotReportedAmt
Revenue Subtotal$93,311,416RevenueSubtotalAmt
Investment Expenses Not Incld$60,251InvestmentExpensesNotIncldAmt
Other Revenues Not Included$18,602OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$78,853RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$93,390,269TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$92,375,537TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$92,375,537ExpensesSubtotalAmt
Investment Expenses Not Incld2$60,251InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$26,110OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$86,361ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$92,461,898TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part III, Line 4:In 2008, the Organization received a donation of a piece of art work that it hangs in its hallways along with other paintings from local artists. These paintings are put on display to help provide an additional community benefit to the public.
Part XI, Line 4b - Other Adjustments:Change in Beneficial Interest in Net Assets of Parent 18,602.
Part XII, Line 4b - Other Adjustments:Non - Operating Facility Expense 26,110.

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,212,583TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,212,583NetCommunityBenefitExpnsAmt
Total Expense0.01310TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,484,630TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,988,944DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,495,686NetCommunityBenefitExpnsAmt
Total Expense0.09190TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,697,213TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,988,944DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,708,269NetCommunityBenefitExpnsAmt
Total Expense0.10500TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs25ActivitiesOrProgramsCnt
Persons Served62445PersonsServedCnt
Total Community Benefit Expns$1,291,349TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$323,739DirectOffsettingRevenueAmt
Net Community Benefit Expns$967,610NetCommunityBenefitExpnsAmt
Total Expense0.01050TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$131,049TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$131,049NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,257,783TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,386,979DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,870,804NetCommunityBenefitExpnsAmt
Total Expense0.06350TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Total Community Benefit Expns$75,088TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$75,088NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs33ActivitiesOrProgramsCnt
Persons Served62445PersonsServedCnt
Total Community Benefit Expns$18,755,269TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,710,718DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,044,551NetCommunityBenefitExpnsAmt
Total Expense0.07620TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs33ActivitiesOrProgramsCnt
Persons Served62445PersonsServedCnt
Total Community Benefit Expns$40,452,482TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,699,662DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,752,820NetCommunityBenefitExpnsAmt
Total Expense0.18120TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$370,353TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$370,353NetCommunityBenefitExpnsAmt
Total Expense0.00400TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$370,353TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$370,353NetCommunityBenefitExpnsAmt
Total Expense0.00400TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$1,188,123BadDebtExpenseAmt
Reimbursed By Medicare$23,537,025ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$23,537,025CostOfCareReimbursedByMedcrAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

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

US Address USAddress

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Northeastern Vermont Regional HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted17CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.nvrh.org/community-health-needs-assessment/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt17ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLwww.nvrh.org/community-health-needs-assessment/StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.nvrh.org/patients-visitors/billing-financial/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.nvrh.org/patients-visitors/billing-financial/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.nvrh.org/patients-visitors/billing-financial/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Northeastern Vermont Regional HospitalPart V, Section B, Line 5: NVRH conducted a CHNA in 2018. This is the third assessment done using the ACA requirement and guidelines. The 2018 CHNA builds on the foundation of the previous assessments. The CHNA used the framework of our regional accountable health community, NEK Prosper. NEK Prosper uses the frameworks of the accountable health community model, Collective Impact, and Results Based Accountability. Likewise, the 2018 NVRH CHNA and companion Implementation Plan use these frameworks. Additionally, the 2018 CHNA is informed by the data compiled, and the community engagement work already done by NEK Prosper, and the overall mission of NEK Prosper to reduce poverty in the region. Although both the population and the percentage of those in poverty are declining for Caledonia and Essex Counties (Source: Vermont State Data Center), we also know that based on the most often used proxy for socio-economic status - income - our region is well below the average and median income compared to the rest of Vermont. Additionally, data shows that the population of Vermont, and our region, is aging faster than other states. Thus, once again low-income families, and older adults were identified as our most vulnerable; consequently, primary source data collection targeted groups of low-income parents and older adults.The entire CHNA and methodology is available at: www.nvrh.org/community-health-needs-assessment/
Northeastern Vermont Regional HospitalPart V, Section B, Line 11: An update and current evaluation to the CHNA Implementation Plan is available at www.nvrh.org/community-health-needs-assessment/In recognition of the importance of the social determinants of health in overall health and well-being, NVRH has taken the lead in creating NEK Prosper. NEK Prosper uses the framework of Accountable Health Communities, the elements of Collective Impact, and the principles of Results Based Accountability. Key organizations joining NVRH to address the root cause of poor health are the regional mental health organization, housing organization, community action organizations, FQHC organizations, 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 have formed in NEK Prosper to provide strategic direction and results-based focus in each outcome area.
FieldValueIRS element (for citing)
Facility10FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

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

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:The Organization used three different methods to allocate costs reported in the table: four physician clinics are rural health clinics: NVRH - Corner Medical, NVRH - St Johnsbury Pediatrics, NVRH - Kingdom Internal Medicine, and NVRH - Women's Wellness. 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 costs related to this physician clinic were $2,474,170.2. NVRH - St Johnsbury Pediatrics, a pediatric physician clinic. Total costs related to this physician clinic were $1,268,744.3. NVRH - Women's Wellness Center, an obstetrician/gynecological physician clinic. Total costs related to this physician clinic were $2,115,449.4. NVRH - Kingdom Internal Medicine, a primary care physician clinic.Total costs related to this physician clinic were $1,337,799.
Part II, Community Building Activities:Physical Improvements/HousingNVRH Community Garden:NVRH has provided garden space on our campus for community use for 32 years. There are currently 23 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 (MD, NP, PA, etc). We also support an Associate Degree Nursing Program.
Part III, Line 4:Patient accounts receivable are stated at the amount management expects to collect from outstanding balances. Management provides for probable uncollectible amounts through a charge to operations and a credit to a valuation allowance based on its assessment of payor mix, aged accounts receivable and historical adjustments. Balances that are still outstanding after management has used reasonable collection efforts are written off through a charge to the valuation allowance and a credit to patient accounts receivable.In evaluating the collectibility of accounts receivable, the Hospital analyzes past results and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Hospital records a provision for bad debts in the period of service based on past experience, which indicates that many patients are unable or unwilling to pay amounts for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or eligible) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged against the allowance for doubtful accounts.
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 that 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. There are signs posted throughout the hospital and clinics as well as links on our website.
Part VI, Line 2:Assessment of community needs is an ongoing process at Northeastern Vermont Regional Hospital. Northeastern Vermont Regional Hospital achieves openness, inclusiveness, and public participation in our strategic planning and decision making in a variety of ongoing and deliberate ways. NVRH governance structure includes the Northeastern Vermont Regional Corp. (NVRC) Corporators. The over 250 Corporators, representing all the towns in our service area, are an invaluable source of wisdom and perspective for hospital leadership. They are key links in the essential Because the Corporators represent the community, they act as our eyes and ears on the street. The quarterly Corporators meetings are an opportunity for two-way sharing of information. The Corporators share their needs and concerns, as well as the needs and concerns of their families, friends, and neighbors. In return, the Corporators are updated on hospital services, as well as state and national healthcare issues. The Hospital participates in formal community assessments that are conducted every few years by various community organizations including the Regional Prevention Partnership - Northeast Prevention Coalition, the Housing Coalition, and the Vermo2nt Departments 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 missions of the Organization. The local prevention coalitions conduct ongoing community engagement activities, including surveys, public forums, community dinners, and listenting sessions.The next step is developing a community profile using primary source data. Primary 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. Secondary data is 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.As primary and secondary data is gathered the analyzing phase kicks in. Sometimes the focus of an assessment may shift if data reveals a new or more urgent health priority. Reporting the results of the assessment is an important piece of the process. Every effort is made to get summaries and reports back to interested community members and organizations. The 2021 Community Needs Health Assessment Report and Implementation plan were recently completed. The link to access those document are noted 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.
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:Northeastern Vermont Regional Hospital (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 $47,456 per household ($61,973 Vermont). Just over half of our residents have a high school diploma or less, under 28% have completed a four year college degree. 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. Baby Sitting Course2. Bike Safety Fair3. Blood Drawings at NVRH4. Health Care Shares5. Community Connections6. Community Gardens7. Community Wellness Calendar8. Healthier Living Workshop/ Chronic Pain / DPP9. Harm Reduction - Medication Drop Box10. Lactation Services11. Healthy Homes12. NEK Prosper12. No Sugar Added Obesity Preventions and Reduction13. Regional Prevention and Tobacco14. Radio Education Program15. Support Group Diabetes16. Taxi Vouchers17. Reach Out and Read18. Veggie Van Go

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Northern Counties Health Care Inc
165 Sherman DriveSt JohnsburyVT05819510199559501(c)(3)$113,015Community Benefit Grant
UVM Office of Primary Care & AHEC Program
1 So Prospect StreetBurlingtonVT05401030179440501(c)(3)$28,840General Support
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Ryan Sexton MD
Trustee, Med. Staff President$415,882$0$0$0$38,165$0$16,635$0$36,413$0$507,095$0$0$0
Shawn Tester
CEO$301,923$0$0$0$19,876$0$13,962$0$31,964$0$367,725$0$0$0
Robert Hersey
CFO$196,995$0$0$0$21,052$0$9,407$0$23,890$0$251,344$0$0$0
Matthew Prohaska MD
Physician$660,346$0$0$0$30,223$0$24,115$0$36,083$0$750,767$0$0$0
Eugene Dixon MD
Physician$430,074$0$0$0$11,797$0$17,392$0$19,777$0$479,040$0$0$0
Michael Lahey MD
Physician$377,190$0$0$0$59,610$0$14,832$0$40,912$0$492,544$0$0$0
Richard Gagnon MD
Physician$411,554$0$0$0$8,189$0$16,498$0$21,499$0$457,740$0$0$0
Joshua Spicer MD
Physician$394,745$0$0$0$732$0$16,323$0$36,083$0$447,883$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$3,089,628RetiredAmt
Total Proceeds$12,605,000TotalProceedsAmt
Issuance Costs From Proceeds$162,039IssuanceCostsFromProceedsAmt
Other Spent Proceeds$12,442,961OtherSpentProceedsAmt
Substantial Completion2016SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonKara SextonPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFamily Member of Ryan Sexton MD, TrusteeRelationshipDescriptionTxt
Transaction$123,800TransactionAmt
TransactionEmploymentTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)Steris Sterilizer1$143,534FMV
Yes (X)Supplies/Minor Equipment1$14,848FMV
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6The sole member of the Organization is Northeastern Vermont Regional Corp.
Form 990, Part VI, Section A, line 7aAll trustees shall be elected by the member of the Organization.
Form 990, Part VI, Section B, line 11bThe process for reviewing the Organization's 990 evolves from oversight for utilized numbers from the TB which have been audited. Schedules to support various aspects of the tax return are prepared by several finance department staff, and Bob Hersey, as CFO, reviews the information which is submitted to the auditors. In addition, prior to the document's filing, the draft Form 990 is reviewed by the Organization's CEO, CFO, and Treasurer. A copy of Form 990 is provided to the Organization's board on the closest meeting date after the filing of the return.
Form 990, Part VI, Section B, line 12cThe organization monitors and enforces compliance with the conflict of interest policy by requiring directors and trustees to complete an annual questionnaire. Board members disclose any potential conflict prior to voting. Significant conflicts of interest would be discussed with legal counsel prior to board action.
Form 990, Part VI, Section B, line 15A compensation committee sets the compensation level for the Organization's CEO. The CEO is charged with determining the compensation level for the Organization's CFO. The basis for arriving at the CFO and CEO's compensation is determined by using comparable compensation data of the CEOs and CFOs from other similar sized Vermont hospitals. The Organization obtains this data by examining other Vermont hospital Form 990s. Compensation for all other key employees is based on the Vermont and New Hampshire annual wage survey. The CEO has the final determination for the appropriate level of compensation for all other employees.
Form 990, Part VI, Section C, line 19The Organization makes its financial statements available to the public upon request as well as through the publishing of its annual report on its website. The Organization makes its governing documents and conflict of interest policy available to the public upon request.
Form 990, Part IX, line 11gPurchased Services: Program service expenses 3,363,618. Management and general expenses 971,946. Fundraising expenses 0. Total expenses 4,335,564. Other Fees: Program service expenses 4,783,137. Management and general expenses 13,345. Fundraising expenses 0. Total expenses 4,796,482. Lab Fees: Program service expenses 430,242. Management and general expenses 0. Fundraising expenses 0. Total expenses 430,242. Physician Fees: Program service expenses 631,340. Management and general expenses 0. Fundraising expenses 0. Total expenses 631,340.
Form 990, Part X, Line 10: Land, Buildings, and EquipmentSection 1.263(a)-3(n) Election: Northeastern Vermont Regional Hospital, Inc. 1315 Hospital Drive St. Johnsbury, VT 05819-0905 EIN: 03-6013761 Northeastern Vermont Regional Hospital, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).
Form 990, Part XI, line 9:Change in Beneficial Interest in Net Assets of Parent -18,602.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Northeastern Health Enterprises IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11315 Hospital DriveAddressLine1Txt
CitySt JohnsburyCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05819ZIPCd
FieldValueIRS element (for citing)
EIN030294757EIN
Primary ActivitiesManagement ServicesPrimaryActivitiesTxt
Legal Domicile StateVTLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd