COPLEY HOSPITAL INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: COPLEY HOSPITAL INC (EIN 03-0179423)
Tax period: 2023-10-01 to 2024-09-30
Filed: 2025-08-12
IRS object ID: 202542249349302414
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-08-12T15:59:26+00:00	ReturnTs
Tax Period End	2024-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	030179423	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOSEPH WOODIN	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	8028888888	PhoneNum
Signature	2025-08-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

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

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brian Todd	PreparerPersonNm
PTIN	P00422601	PTIN
Phone	4178658701	PhoneNum
Preparation	2025-08-12	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$107,920,920	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.COPLEYVT.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1934	FormationYr
Legal Domicile State	VT	LegalDomicileStateCd
Activity Or Mission	COPLEY IS DEDICATED TO HELPING PEOPLE LIVE HEALTHIER LIVES; PROVIDING EXCEPTIONAL CARE, SUPERIOR SERVICE AND ASSURING PEOPLE HAVE ACCESS TO AFFORDABLE HEALTH CARE.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	676	TotalEmployeeCnt
Total Volunteers	56	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$318,407	PYContributionsGrantsAmt
CY Contributions Grants	$2,140,063	CYContributionsGrantsAmt
PY Program Service Revenue	$98,020,958	PYProgramServiceRevenueAmt
CY Program Service Revenue	$105,564,636	CYProgramServiceRevenueAmt
PY Investment Income	$103,142	PYInvestmentIncomeAmt
CY Investment Income	-$90,333	CYInvestmentIncomeAmt
PY Other Revenue	$7,563	PYOtherRevenueAmt
CY Other Revenue	$12,542	CYOtherRevenueAmt
PY Total Revenue	$98,450,070	PYTotalRevenueAmt
CY Total Revenue	$107,626,908	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$53,826,444	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$56,925,735	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$45,976,196	PYOtherExpensesAmt
CY Other Expenses	$47,155,752	CYOtherExpensesAmt
PY Total Expenses	$99,802,640	PYTotalExpensesAmt
CY Total Expenses	$104,081,487	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,352,570	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,545,421	CYRevenuesLessExpensesAmt
Total Assets BOY	$78,337,251	TotalAssetsBOYAmt
Total Assets EOY	$93,963,237	TotalAssetsEOYAmt
Total Liabilities BOY	$31,500,913	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$43,379,259	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$46,836,338	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$50,583,978	NetAssetsOrFundBalancesEOYAmt
Mission	COPLEY HOSPITAL IS DEDICATED TO HELPING PEOPLE LIVE HEALTHIER LIVES BY PROVIDING EXCEPTIONAL CARE, SUPERIOR SERVICE AND ASSURING EVERYONE HAS ACCESS TO AFFORDABLE, HIGH-QUALITY HEALTH CARE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$87,389,956	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$105,564,636	RevenueAmt
Desc	COPLEY HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT IS CRITICAL TO THE HOSPITAL, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	Desc
Total Program Service Expenses	$87,389,956	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	88	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	676	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	8028888222	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
ANNE BONGIORNO
VICE CHAIR	1.8	0.2	Yes (X)	Yes (X)	$0	$0	$0
BOB BLEIMEISTER
TREASURER	1.8	0.2	Yes (X)	Yes (X)	$0	$0	$0
DEBORAH POMEROY
SECRETARY	1.8	0.2	Yes (X)	Yes (X)	$0	$0	$0
JOSEPH WOODIN
CEO	37.0	3.0	Yes (X)	Yes (X)	$549,417	$0	$21,957
KATHY DEMARS
TRUSTEE / CHAIR BEG 02/24	1.8	0.2	Yes (X)	Yes (X)	$0	$0	$0
NANCY BANKS
CHAIR END 02/24	1.8	0.2	Yes (X)	Yes (X)	$0	$0	$0
ALDEN LAUNER
TRUSTEE	1.8	0.2	Yes (X)		$0	$0	$0
BETHANY SALVAS
TRUSTEE BEG 02/24	1.8	0.2	Yes (X)		$0	$0	$0
CAMERON PAGE
TRUSTEE	1.8	0.2	Yes (X)		$0	$0	$0
CARL SZLACHETKA
TRUSTEE	3.8	1.2	Yes (X)		$0	$0	$0
CHRISTOPHER TOWNE
TRUSTEE	1.8	0.2	Yes (X)		$0	$0	$0
DAN NOYES
TRUSTEE	1.8	0.2	Yes (X)		$0	$0	$0
DAVID SILVERMAN
TRUSTEE END 02/24	1.8	0.2	Yes (X)		$0	$0	$0
DIANE COTE
TRUSTEE	1.8	0.2	Yes (X)		$0	$0	$0
FRANCIS LANDREY
TRUSTEE BEG 02/24	1.8	0.2	Yes (X)		$0	$0	$0
J MARTIN LINSEISEN MD
TRUSTEE END 02/24	39.8	0.2	Yes (X)		$404,314	$0	$52,647
JAMES HODGE
TRUSTEE BEG 02/24	1.8	0.2	Yes (X)		$0	$0	$0
KRISTEN SHARPLESS
TRUSTEE END 06/24	1.8	0.2	Yes (X)		$0	$0	$0
MIKE FEULNER
TRUSTEE	1.8	0.2	Yes (X)		$0	$0	$0
NAN CARLE BEAUREGARD
TRUSTEE	1.8	1.2	Yes (X)		$0	$0	$0
PAMELA STANYON
TRUSTEE	1.8	0.2	Yes (X)		$0	$0	$0
TRAVIS KNAPP
TRUSTEE BEG 02/24 / ANESTHESIA DIRECTOR	39.8	0.2	Yes (X)		$427,820	$0	$53,221
WALTER FRAME
TRUSTEE END 02/24	1.8	1.2	Yes (X)		$0	$0	$0
JEFFREY HEBERT
CFO	37.0	3.0		Yes (X)	$260,707	$0	$11,409
LORI PROFOTA
CNO END 02/24	38.0	2.0		Yes (X)	$218,967	$0	$38,976
SAMANTHA ALLAIRE
NURSE MGR / INTERIM CNO BEG 07/23	38.0	2.0		Yes (X)	$87,364	$0	$41,057
WAYNE STOCKBRIDGE
CHIEF ADMIN & HR OFFICER	37.0	3.0		Yes (X)	$249,773	$0	$50,539
BRIAN AROS
ORTHOPEDIC SURGEON	40.0	0.0			$1,003,388	$0	$50,858	Yes (X)
BRYAN MONIER
ORTHOPEDIC SURGEON	40.0	0.0			$608,688	$0	$50,531	Yes (X)
JOHN MACY
ORTHOPEDIC SURGEON	40.0	0.0			$881,221	$0	$41,559	Yes (X)
JOSEPH MCLAUGHLIN
ORTHOPEDIC SURGEON	40.0	0.0			$779,567	$0	$51,736	Yes (X)
NICHOLAS ANTELL
ORTHOPEDIC SURGEON	40.0	0.0			$667,434	$0	$41,077	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,138,660	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$505,567	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	97	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MEDEFIS INC
PO BOX 5068	NEW YORK	NY	10087	CONTRACTED LABOR	$5,816,919
BERSTEIN-MAGOON-GAY LLC
PO BOX 830460	PHILADELPHIA	PA	19182	LAUNDRY SERVICES	$528,978
WEATHERBY LOCUMS INC
PO BOX 972633	DALLAS	TX	753972633	CONTRACTED LABOR-PROVIDERS	$424,001
FORVIS MAZARS LLP
PO BOX 200870	DALLAS	TX	753200870	AUDIT/TAX SERVICES	$261,961
UNIVERSITY MEDICAL CENTER
PO BOX 1902	BURLINGTON	VT	05402	LAB SERVICES	$259,079

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	9	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,080,748	RelatedOrganizationsAmt
Government Grants	$1,059,315	GovernmentGrantsAmt
Total Contributions	$2,140,063	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	621400	$98,232,533	$98,232,533
FIXED PROSPECTIVE REVENUE	621400	$5,027,752	$5,027,752
OTHER REVENUE	621400	$1,656,589	$1,656,589
CAFETERIA	722514	$498,762	$498,762
MANAGEMENT FEE REVENUE	541610	$149,000	$149,000

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

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

Field	Value	IRS element (for citing)
Total Program Service Revenue	$105,564,636	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$162,639	TotalRevenueColumnAmt
Exclusion	$162,639	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$12,542	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$12,542	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,542	TotalRevenueColumnAmt
Exclusion	$12,542	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$41,040	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$294,012	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$252,972	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$252,972	TotalRevenueColumnAmt
Exclusion	-$252,972	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

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

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

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$107,626,908	TotalRevenueColumnAmt
Related Or Exempt Func Income	$105,564,636	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$77,791	ExclusionAmt

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,468,168	TotalAmt
Program Services	$1,324,365	ProgramServicesAmt
Management And General	$1,143,803	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$43,818,288	TotalAmt
Program Services	$37,391,408	ProgramServicesAmt
Management And General	$6,426,880	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,489,758	TotalAmt
Program Services	$1,262,112	ProgramServicesAmt
Management And General	$227,646	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,279,935	TotalAmt
Program Services	$5,283,484	ProgramServicesAmt
Management And General	$996,451	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,869,586	TotalAmt
Program Services	$2,402,713	ProgramServicesAmt
Management And General	$466,873	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$47,286	TotalAmt
Management And General	$47,286	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$128,151	TotalAmt
Management And General	$128,151	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$12,728,267	TotalAmt
Program Services	$10,393,491	ProgramServicesAmt
Management And General	$2,334,776	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$48,752	TotalAmt
Program Services	$14,946	ProgramServicesAmt
Management And General	$33,806	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,382,638	TotalAmt
Program Services	$423,892	ProgramServicesAmt
Management And General	$958,746	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,400,317	TotalAmt
Program Services	$735,894	ProgramServicesAmt
Management And General	$1,664,423	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$56,695	TotalAmt
Program Services	$17,382	ProgramServicesAmt
Management And General	$39,313	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$67,073	TotalAmt
Program Services	$20,563	ProgramServicesAmt
Management And General	$46,510	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$193,371	TotalAmt
Program Services	$161,910	ProgramServicesAmt
Management And General	$31,461	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,068,709	TotalAmt
Program Services	$2,811,668	ProgramServicesAmt
Management And General	$257,041	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,960,078	TotalAmt
Program Services	$600,924	ProgramServicesAmt
Management And General	$1,359,154	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS	$18,454,970	$18,454,970
PROVIDER TAX	$5,856,254	$5,856,254
REPAIRS & MAINTENANCE	$393,637	$120,682	$272,955
LICENSES, DUES, & SUBSCRIPTIONS	$225,259	$69,060	$156,199

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$144,295	TotalAmt
Program Services	$44,238	ProgramServicesAmt
Management And General	$100,057	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$104,081,487	TotalAmt
Program Services	$87,389,956	ProgramServicesAmt
Management And General	$16,691,531	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$11,255,543	BOYAmt
EOY	$17,543,166	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$16,231,085	BOYAmt
EOY	$17,331,258	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,640,515	BOYAmt
EOY	$2,583,760	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,447,281	BOYAmt
EOY	$2,488,102	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$80,119,526	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$40,321,922	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$33,188,132	BOYAmt
EOY	$39,797,604	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$6,776,801	BOYAmt
EOY	$6,979,020	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$73,250	BOYAmt
EOY	$70,250	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$5,721,644	BOYAmt
EOY	$7,167,077	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$78,337,251	BOYAmt
EOY	$93,963,237	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$10,675,283	BOYAmt
EOY	$10,868,106	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$10,232,502	BOYAmt
EOY	$14,536,353	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$145,972	BOYAmt
EOY	$77,686	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,447,156	BOYAmt
EOY	$17,897,114	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$31,500,913	BOYAmt
EOY	$43,379,259	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$40,059,537	BOYAmt
EOY	$43,604,958	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,776,801	BOYAmt
EOY	$6,979,020	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$46,836,338	BOYAmt
EOY	$50,583,978	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$78,337,251	BOYAmt
EOY	$93,963,237	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$3,545,421	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$202,219	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	Yes (true)	AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

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

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

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$23,770	OtherActivitiesAmt
Total Lobbying Expenditures	$23,770	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION PAYS DUES TO THE VERMONT ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS (VAHHS) AND THE AMERICAN HOSPITAL ASSOCIATION (AHA). A PORTION OF THESE DUES, TOTALING $23,770, ARE ATTRIBUTABLE TO LOBBYING PURPOSES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,249,881	BeginningYearBalanceAmt
Contributions	$31,730	ContributionsAmt
Investment Earnings Or Losses	-$2,900,599	InvestmentEarningsOrLossesAmt
End Year Balance	$2,381,012	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,840,040	OtherCostOrOtherBasisAmt
Book Value	$1,840,040	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$48,533,340	OtherCostOrOtherBasisAmt
Depreciation	$20,683,010	DepreciationAmt
Book Value	$27,850,330	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,374,181	OtherCostOrOtherBasisAmt
Depreciation	$18,772,391	DepreciationAmt
Book Value	$8,601,790	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,371,965	OtherCostOrOtherBasisAmt
Depreciation	$866,521	DepreciationAmt
Book Value	$1,505,444	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$39,797,604	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	INTEREST IN CHSI	Desc
Book Value	$6,979,020	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$6,979,020	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
DEFERRED COMPENSATION PLAN ASSETS	$4,022,686
RIGHT-OF-USE ASSETS	$2,125,237
OTHER RECEIVABLES	$631,256
DUE FROM AFFILIATE	$387,898

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$7,167,077	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTY PAYORS	$6,942,000
DEFERRED COMPENSATION	$4,022,686
ESTIMATED SELF-INSURANCE	$3,307,191
LEASE LIABILITIES	$2,125,237
ASSET RETIREMENT OBLIGATION	$1,500,000

Field	Value	IRS element (for citing)
Total Liability	$17,897,114	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$107,626,908	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$107,626,908	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$107,626,908	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$104,081,487	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$104,081,487	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$104,081,487	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	600	DiscountedCareOtherPct

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$963,884	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$963,884	NetCommunityBenefitExpnsAmt
Total Expense	0.0093	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,488,252	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,820,685	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,667,567	NetCommunityBenefitExpnsAmt
Total Expense	0.0448	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$19,452,136	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,820,685	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,631,451	NetCommunityBenefitExpnsAmt
Total Expense	0.0541	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,594	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$550	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,044	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

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

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,752,220	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,043,383	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,708,837	NetCommunityBenefitExpnsAmt
Total Expense	0.0452	TotalExpensePct

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

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

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$5,755,814	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,043,933	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,711,881	NetCommunityBenefitExpnsAmt
Total Expense	0.0453	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$25,207,950	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,864,618	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,343,332	NetCommunityBenefitExpnsAmt
Total Expense	0.0994	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

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

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$5,155,785	BadDebtExpenseAmt
Bad Debt Expense Attributable	$469,176	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$26,757,769	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$26,844,197	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$86,428	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	23	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.COPLEYVT.ORG/ABOUT-US/NEWSLETTER	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.COPLEYVT.ORG/ABOUT-US/NEWSLETTER/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	600.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.COPLEYVT.ORG/FOR-PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/ASSISTANCE-PROGRAMS/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.COPLEYVT.ORG/FOR-PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/ASSISTANCE-PROGRAMS/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
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Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - COPLEY HOSPITAL. COMMUNITY INPUT: THE INFORMATION CONTAINED IN THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS OBTAINED PRIMARILY THROUGH A COMMUNITY SURVEY TAKEN BETWEEN MAY 23 AND JUNE 24, 2024. OTHER INFORMATION WAS OBTAINED THROUGH REPORTS DEVELOPED BY THE STATE OF VERMONT, THE FEDERAL GOVERNMENT, INDEPENDENT RESEARCH ORGANIZATIONS, AND LOCAL NONPROFIT AGENCIES SERVING PEOPLE WITHIN OUR SERVICE AREA. COMMUNITY HEALTH NEEDS ASSESSMENT SURVEYS: THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY WAS OPEN FOR RESPONSES BETWEEN MAY 23 AND JUNE 24, 2024 AND WAS CONDUCTED THROUGH SURVEY MONKEY AS WELL AS PRINTED COPIES MADE AVAILABLE AT THE HOSPITAL AND SATELLITE OFFICES. THE LINK TO THE SURVEY MONKEY SURVEY WAS DISTRIBUTED VIA EMAIL TO COPLEY HOSPITAL TRUSTEES, COMMITTEE MEMBERS AND AMBASSADORS, LOCAL PROVIDERS, AND DIRECTLY TO MEMBERS OF THE COMMUNITY. IT WAS ALSO AVAILABLE ON OUR WEBSITE, FACEBOOK PAGE, AND ON FRONT PORCH FORUM, A COMMUNITY BULLETIN BOARD FREQUENTED BY NUMEROUS PEOPLE WITHIN OUR SERVICE AREA. ALTHOUGH HUNDREDS OF SURVEYS WERE GIVEN OUT AND THE LINK WAS AVAILABLE TO THOUSANDS OF RESIDENTS, WHEN THE SURVEY CLOSED, WE HAD RECEIVED JUST UNDER 300 RESPONSES. OF THOSE RESPONDING, 42 PERCENT WERE AGE 65 OR OLDER; 26 PERCENT WERE BETWEEN THE AGES OF 55-64; 13 PERCENT WERE BETWEEN THE AGES OF 45-54; 12 PERCENT WERE BETWEEN THE AGES 35-44; AND SIX PERCENT WERE BETWEEN THE AGES 18-34. (ONE PERCENT OF SURVEY RESPONDENTS DID NOT INDICATE THEIR AGE.)
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - COPLEY HOSPITAL. HEALTHCARE NEED #1: ACCESS TO PRIMARY CARE VERMONT IS AMONG THE MOST RURAL STATES IN THE NATION BASED ON THE SIZE OF ITS CITIES AND TOWNS, AND ACCESS TO A PHYSICIAN FOR PRIMARY AND PREVENTATIVE CARE IS CONSISTENTLY A MAJOR CONCERN. WHILE VERMONT REMAINS ONE OF THE HEALTHIEST STATES IN THE COUNTRY, IT IS ALSO THE THIRD OLDEST STATE IN THE COUNTRY (DATAPANDAS.ORG 2024), NOT ONLY IN TERMS OF ITS GENERAL POPULATION, BUT ALSO ITS PHYSICIANS AND PRIMARY CARE PROVIDERS. ACCORDING TO THE VERMONT DEPARTMENT OF HEALTH (2023), BASED ON THE MOST RECENTLY AVAILABLE STATISTICS: OF 2,633 PHYSICIANS PROVIDING PATIENT CARE IN VERMONT 2,470 IDENTIFY AS MEDICAL DOCTORS AND 163 AS DOCTORS OF OSTEOPATHY. 572 OF THESE PROVIDE TELEMEDICINE SERVICES ONLY. ALSO: - 566 PHYSICIANS PROVIDE MAINLY PRIMARY CARE, AND 584 PHYSICIANS PROVIDE "ANY" PRIMARY CARE, CORRESPONDING TO 426.3 FULL TIME EQUIVALENTS (FTES). THESE NUMBERS ARE DOWN FROM 615 PHYSICIANS PROVIDING MAINLY PRIMARY CARE; 627 PROVIDING "ANY" PRIMARY CARE; AND 435.9 FULL TIME EQUIVALENTS (FTES) IN 2018. THE NUMBER OF PRACTICING PHYSICIANS IN VERMONT HAS BEEN TRENDING DOWNWARD FOR MORE THAN A DECADE AS PHYSICIANS RETIRE OR REDUCE THE NUMBER OF PATIENTS THEY SEE. - 2,067 PHYSICIANS PROVIDE MAINLY SPECIALTY CARE. EXCLUDING RADIOLOGISTS, PATHOLOGISTS, AND TELEMEDICINE, 1,398 PHYSICIANS PROVIDE "ANY" SPECIALTY CARE, CORRESPONDING TO 974.2 FTES. UNLIKE THE DOWNWARD TREND IN PHYSICIANS OFFERING PRIMARY CARE, THIS IS AN INCREASE FROM 2018, WITH AN ADDITIONAL LARGE JUMP IN TELEMEDICINE PROVIDERS IN MULTIPLE SPECIALTIES. - 33 PERCENT OF VERMONT PRIMARY CARE PHYSICIANS ARE OVER AGE 60, A DECREASE FROM THE 36 PERCENT WHO WERE OVER AGE 60 IN 2018. WHILE THIS APPEARS TO BE A POSITIVE TREND, IT MAY ACTUALLY BE AN INDICATOR THAT SOME OLDER PHYSICIANS ARE BEGINNING TO LEAVE ACTIVE PRACTICE. IN LAMOILLE COUNTY, 37 PERCENT OF PRIMARY CARE PHYSICIANS ARE OVER AGE 60. - THE PREVALENCE OF TELEMEDICINE HAS INCREASED SIGNIFICANTLY SINCE 2018, MOSTLY IN RADIOLOGY, BUT NOW ALSO IN EMERGENCY MEDICINE, INTERNAL MEDICINE SUB-SPECIALTIES, NEUROLOGY, AND OTHER SPECIALTIES. - IN LAMOILLE COUNTY, 85 PERCENT OF PRIMARY CARE PHYSICIANS (IN OFFICE SETTINGS) CONTINUE TO ACCEPT NEW PATIENTS; 85 PERCENT ACCEPT NEW MEDICAID PATIENTS; AND 84 PERCENT ACCEPT NEW MEDICARE PATIENTS. THESE PERCENTAGES ARE ABOVE (BETTER THAN) THE OVERALL VERMONT AVERAGES. - VERMONT SAW A DECREASE OF 9.6 PRIMARY CARE FTES BETWEEN 2018 AND 2020, A 2 PERCENT DROP, AS SOME PHYSICIANS HAVE RETIRED OR REDUCED THEIR WORK HOURS. CONVERSELY, THERE IS AN INCREASE OF 42.1 FTES IN SPECIALTY CARE. IN LAMOILLE COUNTY, THERE ARE 14.5 FTE PHYSICIANS (DOWN FROM 16 IN 2021), RESULTING IN A RATIO (PHYSICIANS TO THE GENERAL POPULATION) OF 1:1,786. IN 2021 THE RATIO WAS 1:1,578. ON A NATIONAL LEVEL, THE NUMBER OF PRIMARY CARE PROVIDERS DECREASED 13% BETWEEN 2022 AND 2023 - A NATIONWIDE DECLINE OF OVER 107,000 PROVIDERS. WHILE THE TRENDS BOTH NATIONALLY AND LOCALLY ARE NOT PARTICULARLY PROMISING, VERMONT REMAINS AMONG THE MOST HEALTHY STATES IN THE COUNTRY. AS OUR POPULATION AND ITS MEDICAL PROVIDERS AGE, HOWEVER, ACCESS TO PRIMARY AND PREVENTATIVE CARE WILL CONTINUE TO BE A CONCERN. ACCESS TO PREVENTATIVE CARE REMAINS AN IMPORTANT COMPONENT OF COPLEY'S COMMITMENT TO PROVIDING HEALTHCARE TO THE PEOPLE WITHIN OUR SERVICE AREA. OUR GOAL FOR THE PAST FEW YEARS HAS BEEN - AND REMAINS - TO INCREASE THE USE OF PRIMARY CARE TO IMPROVE THE HEALTH AND HEALTH-RELATED HABITS OF BOTH PATIENTS AND NON- PATIENTS; AND TO DECREASE AVOIDABLE (AND EXPENSIVE) VISITS TO THE EMERGENCY DEPARTMENT (ED). TO ACCOMPLISH THIS GOAL, WE CONTINUE TO WORK WITH OTHER AREA MEDICAL SERVICE PROVIDERS TO EXAMINE AVAILABLE DATA (E.G. TRANSPORTATION AVAILABILITY, CARE COORDINATION BETWEEN AGENCIES, ETC.) IN ORDER TO BETTER UNDERSTAND THE NEEDS OF OUR SERVICE AREA; WE CONTINUE TO SCREEN PATIENTS WHO PRESENT AT THE ED TO DETERMINE IF THEY HAVE A PRIMARY CARE PROVIDER; AND WE CONTINUE TO UTILIZE THE SERVICES OF AN IMBEDDED SOCIAL WORKER TO CONNECT ED PATIENTS TO PROVIDERS AND PROGRAMS THAT COULD BE OF HELP TO THEM. BY IDENTIFYING AND REMOVING THE BARRIERS THAT PREVENT PATIENTS FROM GETTING THE CARE THEY NEED AND IDENTIFYING (AND PARTNERING WITH) COMMUNITY AGENCIES THAT PROVIDE CARE THAT IS NOT WITHIN COPLEY'S PURVIEW, WE HAVE BEEN ABLE TO CONNECT PATIENTS TO THE KINDS OF PREVENTATIVE CARE THEY NEED, WHICH IN TURN HAS REDUCED THE NUMBERS OF PATIENTS PRESENTING AT THE ED.
Schedule H, Part V, Section B, Line 11 Facility , 2	Facility , 2 - COPLEY HOSPITAL. HEALTHCARE NEED #2: SUBSTANCE ABUSE SUBSTANCE ABUSE WAS IDENTIFIED AS OUR COMMUNITY'S SECOND MOST CHALLENGING HEALTH CONCERN IN 2024, MOVING UP TWO NOTCHES FROM NUMBER FOUR IN 2018 AND ONE NOTCH FROM NUMBER THREE IN 2021. ACCORDING TO MOST EXPERTS, IT IS A PROBLEM THAT CONTINUES TO IMPACT COMMUNITIES ACROSS THE UNITED STATES. THE NATIONAL INSTITUTES OF HEALTH (2024) FOUND THAT INDIVIDUALS SUFFERING FROM SUBSTANCE ABUSE OFTEN FACE OBSTACLES FOR OBTAINING CARE DUE TO "INSTITUTIONAL ENVIRONMENT." INSTITUTIONAL ENVIRONMENT REFERS TO FACTORS LIKE LACK OF SUPPORT FROM A PHYSICIAN'S INSTITUTION OR EMPLOYER; INSUFFICIENT RESOURCES SUCH AS STAFF AND TRAINING; CHALLENGES IN ORGANIZATIONAL CULTURE; AND COMPETING DEMANDS. THIS REASON (INSTITUTIONAL ENVIRONMENT) WAS CITED IN 81 PERCENT OF STUDIES PUBLISHED ON THIS TOPIC OVER THE PAST 61 YEARS, FOLLOWED BY INSUFFICIENT SKILL (74%), LACK OF COGNITIVE CAPACITY TO MANAGE A CERTAIN LEVEL OF CARE (74%), AND INADEQUATE KNOWLEDGE (72%). OTHER STUDIES CITED NEGATIVE SOCIAL INFLUENCES - OR BELIEFS ABOUT PUBLIC AND COMMUNITY ACCEPTANCE OF ADDICTION CARE - AS WELL AS FEAR OF HARMING THE PATIENT-PHYSICIAN RELATIONSHIP AS DETERRENTS FOR PHYSICIANS TO INTERVENE IN ADDICTION. THE NATIONAL INSTITUTES OF HEALTH GOES ON TO SAY THAT IN 2022: - NEARLY 49 MILLION PEOPLE IN THE U.S. HAD AT LEAST ONE SUBSTANCE USE DISORDER, THOUGH ONLY AROUND A QUARTER OF THEM (13 MILLION PEOPLE) RECEIVED TREATMENT; AND - MORE THAN NINE MILLION ADULTS NEEDED TREATMENT FOR OPIOID USE DISORDER BUT FEWER THAN HALF (AROUND 46 PERCENT) RECEIVED ANY FORM OF TREATMENT. SUBSTANCE ABUSE IS DEFINED BY THE NATIONAL CENTER FOR BIOTECHNOLOGY INFORMATION AS "A MALADAPTIVE PATTERN OF SUBSTANCE USE LEADING TO CLINICALLY SIGNIFICANT IMPAIRMENT OR DISTRESS, AS MANIFESTED BY ONE (OR MORE) OF THE FOLLOWING, OCCURRING WITHIN A 12-MONTH PERIOD:" - RECURRENT SUBSTANCE USE RESULTING IN A FAILURE TO FULFILL MAJOR ROLE OBLIGATIONS AT WORK, SCHOOL, OR HOME (E.G., REPEATED ABSENCES OR POOR WORK PERFORMANCE RELATED TO SUBSTANCE USE; SUBSTANCE-RELATED ABSENCES, SUSPENSIONS, OR EXPULSIONS FROM SCHOOL; NEGLECT OF CHILDREN OR HOUSEHOLD). - RECURRENT SUBSTANCE USE IN SITUATIONS IN WHICH IT IS PHYSICALLY HAZARDOUS (E.G., DRIVING AN AUTOMOBILE OR OPERATING MACHINERY WHEN IMPAIRED BY SUBSTANCE ABUSE). - RECURRENT SUBSTANCE-RELATED LEGAL PROBLEMS (E.G., ARRESTS FOR SUBSTANCE-RELATED DISORDERLY CONDUCT). - CONTINUED SUBSTANCE USE DESPITE HAVING PERSISTENT OR RECURRENT SOCIAL OR INTERPERSONAL PROBLEMS CAUSED OR EXACERBATED BY THE EFFECTS OF THE SUBSTANCE (E.G., ARGUMENTS WITH SPOUSE ABOUT CONSEQUENCES OF INTOXICATION, PHYSICAL FIGHTS). IN VERMONT:* - DRUG OVERDOSE DEATHS INVOLVING DRUGS OF ALL KINDS TOTALED 151 IN 2018; 244 IN 2021; AND 264 IN 2022. OF THOSE DEATHS, 91 PERCENT WERE DUE TO MISUSE OF OPIOIDS. THE PERCENTAGE OF FENTANYL INVOLVEMENT IN OPIOID-RELATED DEATHS WAS 93 PERCENT IN 2022, COMPARED TO 94 PERCENT IN 2021. COCAINE (49 PERCENT IN 2022, VERSUS 46 PERCENT IN 2021) AND METHAMPHETAMINE (8 PERCENT IN 2022, VERSUS 10 PERCENT IN 2021) WERE ALSO SIMILAR. THE MAJORITY OF THOSE DEATHS (98%) WERE DETERMINED TO BE "ACCIDENTAL OR UNDETERMINED." - THE RATE OF OPIOID RELATED DEATHS PER 100,000 PEOPLE WAS 37. - EMS CALLS INVOLVING NALOXONE ADMINISTRATION PER 10,000 PEOPLE WAS 8.8. - 20 PERCENT OF ADOLESCENTS IN GRADES 9-12 REPORTED USING MARIJUANA. - IN LAMOILLE COUNTY, THERE WERE 8 REPORTED DEATHS DUE TO MISUSE OF OPIOIDS (2022). *HEALTHVERMONT.GOV - 2023 AS WELL, ACCORDING TO THE VERMONT DEPARTMENT OF HEALTH (2024): - WHILE MARIJUANA USE AMONG YOUTH AND ADULTS IS INCREASING, USE PRIOR TO AGE 13 IS DECREASING. STILL, THE PERCENTAGE OF VERMONTERS WHO TRY CANNABIS FOR THE FIRST TIME BETWEEN THE AGES OF 12 AND 17 IS HIGHER IN VERMONT THAN IN THE COUNTRY OVERALL. - VAPING USE AMONG HIGH SCHOOL STUDENTS CONTINUES TO INCREASE. AS OF 2021, 16 PERCENT OF VERMONT HIGH SCHOOL STUDENTS SAID THEY USED E-CIGARETTES AT LEAST ONCE IN THE PAST 30 DAYS. OF THOSE STUDENTS, 30 PERCENT DID SO DAILY. - THE RATE OF E-CIGARETTE USE IN THE STATE DOUBLED FROM THREE TO SIX PERCENT OF ADULT RESPONDENTS BETWEEN 2016 AND 2022. DURING THAT SAME TIME PERIOD, CIGARETTE USE DROPPED FROM 17 TO 13 PERCENT AMONG SURVEY RESPONDENTS. TO ADDRESS THIS ONGOING PROBLEM, PATIENTS WHO PRESENT AT COPLEY'S EMERGENCY DEPARTMENT (ED) HAVE A NUMBER OF SERVICES AND PROGRAMS AVAILABLE TO THEM, INCLUDING REFERRALS TO A RECOVERY COACH THROUGH THE NORTH CENTRAL VERMONT RECOVERY CENTER (NCVRC). A RECOVERY COACH HELPS PATIENTS CREATE A PERSONAL PLAN FOR RECOVERY BY SETTING REALISTIC GOALS (OFTEN WITH THE ASSISTANCE OF A "PEER" WHO HAS BEEN THROUGH THE PROCESS); AND BY EXPLORING STEPS AND SERVICES THAT ARE AVAILABLE TO THEM TO AID IN RECOVERY FROM VARIOUS FORMS OF ADDICTION AND SUBSTANCE MISUSE. ACCORDING TO NCVRC, COPLEY'S ED CALLED ON THE RECOVERY COACH IN THE EMERGENCY DEPARTMENT (RCED) TEAM 191 TIMES FOR 129 UNIQUE PATIENTS LAST YEAR (JULY 2023 - JUNE 2024)., COMPARED WITH 146 TIMES FOR 86 UNIQUE PATIENTS IN 2020.
Schedule H, Part V, Section B, Line 11 Facility , 3	Facility , 3 - COPLEY HOSPITAL. HEALTHCARE NEED #3: MENTAL HEALTH AS IN THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT, MENTAL HEALTH ISSUES WERE IDENTIFIED BY SURVEY RESPONDENTS AS ONE OF OUR SERVICE AREA'S MOST PRESSING CONCERNS. MENTAL HEALTH ISSUES INCLUDE DEPRESSION AND OTHER ILLNESSES LEADING TO SELF-HARM AND/OR TO SUICIDE. AS OF 2023, THE RATE OF SUICIDE DEATHS IN VERMONT WAS 19 PER 100,000 PEOPLE - DOWN FROM 22 PER 100,000 PEOPLE IN 2021. THE RATE IS HIGHEST AMONG VERMONTERS BETWEEN THE AGES OF 25-44, AND OVER AGE 65. MALES ARE FOUR TIMES MORE LIKELY TO DIE BY SUICIDE THAN FEMALES.* *VERMONT DEPARTMENT OF HEALTH 2023 AMONG VERMONT ADULTS WHO REPORTED SYMPTOMS OF ANXIETY AND/OR DEPRESSIVE DISORDER, 34 PERCENT REPORTED NEEDING, BUT NOT RECEIVING, COUNSELING OR THERAPY (SOURCE: KAISER FAMILY FOUNDATION 2024). ACCORDING TO KAISER, THE STATES WITH THE HIGHEST PERCENTAGE OF ADULTS REPORTING SYMPTOMS OF ANXIETY AND/ OR DEPRESSIVE DISORDER BUT NOT RECEIVING CARE ARE WASHINGTON DC (49.3%), ARKANSAS (38.4%), KANSAS (37.7%), ALASKA (36.8%), AND UTAH (35.9%). SUICIDE IS ONE OF THE LEADING CAUSES OF DEATH IN THE U.S. AND HAS INCREASED IN ALMOST EVERY STATE OVER TIME, MAKING IT A SERIOUS PUBLIC HEALTH CONCERN. WHILE SUICIDE IS OFTEN LINKED TO UNDERLYING MENTAL HEALTH CONDITIONS, OTHER FACTORS CAN ALSO CONTRIBUTE, INCLUDING ISOLATION, RELATIONSHIP STRUGGLES, FINANCIAL OR HOUSING INSECURITY, OR PROBLEMS WITH PHYSICAL HEALTH. MANY OF THESE CONDITIONS WERE EXACERBATED ACROSS THE COUNTRY, AS WELL AS HERE IN VERMONT, DURING THE 2020-21 COVID PANDEMIC. ACCORDING TO THE KAISER FAMILY FOUNDATION (2024): - 17.5 PERCENT OF VERMONT ADOLESCENTS AND 8.7 PERCENT OF ADULTS REPORTED A MAJOR DEPRESSIVE EPISODE WITHIN THE PAST 30 DAYS. OF NOTE: 9.7 PERCENT OF ADOLESCENTS REPORTING A MAJOR DEPRESSIVE EPISODE WERE MALE, COMPARED WITH 25.5 PERCENT FOR FEMALES. - 5.7 PERCENT OF VERMONTERS REPORTED HAVING HAD SERIOUS THOUGHTS OF COMMITTING SUICIDE. - IN VERMONT, 51.0 PERCENT OF ADULTS WITH MILD MENTAL ILLNESS; 44.3 PERCENT OF ADULTS WITH MODERATE MENTAL ILLNESS; AND 25.6 PERCENT OF ADULTS WITH SERIOUS MENTAL ILLNESS IN THE PAST YEAR DID NOT RECEIVE MENTAL HEALTH TREATMENT. ACCORDING TO STACKER.COM (2024), IN LAMOILLE COUNTY: - THERE ARE 192 RESIDENTS FOR EVERY ONE MENTAL HEALTH CARE PROVIDER. - RESIDENTS REPORT AN AVERAGE OF 4.6 POOR MENTAL HEALTH DAYS PER MONTH. - ABOUT 6 PERCENT OF RESIDENTS LACK HEALTH INSURANCE. CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) REQUIRES THAT ALL ADULT EMERGENCY DEPARTMENT (ED) PATIENTS ARE SCREENED USING THE COLUMBIA SUICIDE SEVERITY RATING SCALE - A FIVE-QUESTION SCALE THAT CAN TRIGGER REFERRAL TO CRISIS SERVICES. WHEN MENTAL HEALTH ISSUES PRESENT, PATIENTS ARE REFERRED TO THE MOBILE CRISIS TEAM AND/OR TO OUTPATIENT MENTAL HEALTH SERVICES. COPLEY HAS ENGAGED A FULL TIME EMERGENCY ROOM CARE COORDINATOR/SOCIAL WORKER WHO IS EMBEDDED INTO THE ED DURING THE DAY AND WHO SERVES AS A LIAISON WITH OUR COMMUNITY PARTNERS. APPROXIMATELY 125 REFERRALS TO VARIOUS CARE PROVIDERS ARE MADE EACH MONTH. COPLEY HOSPITAL DOES NOT YET HAVE, BUT WOULD BENEFIT FROM ENGAGING, AN EVENING ED CARE COORDINATOR. PATIENTS WHO PRESENT AT OUR ED AND UNDERGO SCREENING ARE OFTEN REFERRED TO A CARE COORDINATOR, WHO ATTEMPTS TO CONNECT THE PATIENT WITH INDIVIDUALS AND SERVICES THAT CAN HELP THEM ADDRESS THE ISSUES WITH WHICH THEY ARE STRUGGLING. A TOTAL OF 639 REFERRALS WERE MADE BY COPLEY'S ED CARE COORDINATOR BETWEEN MARCH 11 - AUGUST 11, 2024. THE TOP FIVE REFERRALS INCLUDE CONNECTING PATIENTS TO A PRIMARY CARE PROVIDER, DENTIST, SUPPORT SERVICES FOR SUBSTANCE USE AND MENTAL HEALTH, HOME HEALTH/NURSING HOME AND TRANSPORTATION.
Schedule H, Part V, Section B, Line 11 Facility , 4	Facility , 4 - COPLEY HOSPITAL. HEALTHCARE NEEDS #4: OBESITY / NUTRITION / FOOD INSECURITY OBESITY, NUTRITION, AND FOOD INSECURITY TOOK THE NUMBER FOUR SPOT IN OUR 2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SURVEY, INDICATING A FAIRLY HIGH LEVEL OF CONCERN AMONG PEOPLE IN OUR SERVICE AREA ABOUT THE GROWING PROBLEM OF POOR NUTRITION. ACCORDING TO AMERICA'S HEALTH RANKINGS (2024), 11.2 PERCENT OF LAMOILLE COUNTY RESIDENTS SUFFER FROM FOOD INSECURITY, WHICH IS DEFINED AS "HOUSEHOLDS THAT ARE UNABLE TO PROVIDE ADEQUATE FOOD FOR ONE OR MORE HOUSEHOLD MEMBERS DUE TO LACK OF RESOURCES." IN VERMONT AS A WHOLE, THE RATE OF FOOD INSECURITY IS 8 PERCENT (THE 4TH BEST RANKING IN THE UNITED STATES). DESPITE VERMONT'S HIGH RANKING, HOWEVER, RESPONDENTS TO OUR 2024 CHNA SURVEY INDICATED THAT OBESITY/NUTRITION/FOOD INSECURITY IS AN ONGOING CONCERN. FOOD INSECURITY IS NOT ONLY A LEADING CAUSE OF OBESITY AND POOR NUTRITION, BUT ALSO DENTAL ISSUES. GOOD FOOD IS EXPENSIVE. INEXPENSIVE FOOD IS GENERALLY HIGH IN BOTH SODIUM AND FAT. THERE ARE SEVERAL PROGRAMS, SUCH AS SNAP (SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM), THAT ENCOURAGE THE PURCHASE AND CONSUMPTION OF HEALTHY FOODS, AND MOST SNAP BENEFITS ARE NOW ACCEPTED AT GROCERY STORES AND LOCAL FARMERS' MARKETS. THE VERMONT FOODBANK, WHICH IS THE STATE'S LARGEST ANTI-HUNGER ORGANIZATION, NOTES THAT FOOD INSECURITY CAN BE MEASURED IN PART BY THE NUMBER OF HOUSEHOLDS THAT ARE SERVED AT ITS FRESH FOOD DIRECT DISTRIBUTION SITES. OVER THE FIRST THREE MONTHS OF 2024, THE AVERAGE NUMBER OF HOUSEHOLDS SEEKING FOOD PER MONTH WAS 8,280 COMPARED TO 5,694 HOUSEHOLDS A MONTH DURING THE SAME PERIOD IN 2020. ACCORDING TO THE FOODBANK, BEFORE THE PANDEMIC THEY WERE DISTRIBUTING ABOUT 11 MILLION POUNDS OF FOOD ANNUALLY, WHEREAS AT THE HEIGHT OF THE PANDEMIC THEY WERE DISTRIBUTING ROUGHLY 20 MILLION POUNDS.* VERMONT PUBLIC, 2024 UNFORTUNATELY, WHILE FOODBANK DISTRIBUTIONS BEGAN TO DECREASE TOWARDS THE END OF THE PANDEMIC, THEY RETURNED ONCE AGAIN TO HIGHER LEVELS FOLLOWING THE FLOODS THAT TOOK PLACE IN THE SUMMER OF 2023. ACCORDING TO THE FOODBANK: - A 2022 UVM STUDY SHOWED THAT TWO IN FIVE PEOPLE IN VERMONT HAD EXPERIENCED FOOD INSECURITY IN THE PAST YEAR. - IN THE LAST FIVE MONTHS OF 2023, THE FOODBANK DISTRIBUTED AN AVERAGE OF 1.3 MILLION POUNDS OF FOOD PER MONTH. - AS PANDEMIC-ERA SUPPORT PROGRAMS HAVE EXPIRED, [SOME VERMONTERS] ARE STILL STRUGGLING TO BECOME FOOD SECURE. OBESITY IS DEFINED (IN ADULTS) AS PEOPLE WHO HAVE A BODY MASS INDEX OF 30.0 OR HIGHER BASED ON REPORTED HEIGHT AND WEIGHT. UNDER THIS DEFINITION, 33.6 PERCENT OF AMERICANS ARE OBESE, AND 26.8 PERCENT OF VERMONTERS ARE OBESE (THE 3RD BEST RANKING IN THE UNITED STATES). IN VERMONT, 13.0% OF YOUTH AGES 10 TO 17 SUFFER FROM OBESITY, GIVING VERMONT A RANKING OF 5 AMONG THE 50 STATES AND D.C. AMONG ADULTS, HOWEVER, THAT NUMBER JUMPS TO NEARLY 27%, GIVING VERMONT A RANKING OF 49 AMONG THE 50 STATES AND D.C.* **ROBERT WOOD JOHNSON FOUNDATION, 2024 OBESITY INCREASES THE RISK OF MANY SERIOUS DISEASES AND HEALTH CONDITIONS SUCH AS HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, TYPE 2 DIABETES, CORONARY ARTERY DISEASE, STROKE, GALLBLADDER DISEASE, AND SOME CANCERS.
Schedule H, Part V, Section B, Line 11 Facility , 5	Facility , 5 - COPLEY HOSPITAL. HEALTHCARE NEED #5: LACK OF DENTAL CARE ACCORDING TO THE JOURNAL OF MULTIDISCIPLINARY CARE (DECISIONS IN DENTISTRY - JANUARY 2024) "APPROXIMATELY 46 MILLION PEOPLE IN RURAL AMERICA FACE SIGNIFICANT BARRIERS TO ORAL HEALTHCARE, AS REVEALED BY THE 2023 STATE OF ORAL HEALTH EQUITY IN AMERICA (SOHEA) SURVEY CONDUCTED BY CAREQUEST INSTITUTE FOR ORAL HEALTH. THE REPORT HIGHLIGHTS THAT 40% OF ADULTS IN RURAL AREAS HAVEN'T RECEIVED PROFESSIONAL DENTAL CARE IN MORE THAN A YEAR, SURPASSING THE FIGURES FOR URBAN (35%) AND SUBURBAN (30%) RESIDENTS. CHALLENGES IN RURAL ORAL HEALTHCARE INCLUDE PROVIDER SHORTAGES, LACK OF INSURANCE COVERAGE, AND TRANSPORTATION BARRIERS. THE FINDINGS INDICATE THAT 34 PERCENT OF RURAL INDIVIDUALS RATE THEIR ORAL HEALTH AS FAIR OR POOR, COMPARED TO 27 PERCENT AND 24 PERCENT FOR URBAN AND SUBURBAN RESIDENTS, RESPECTIVELY. FURTHERMORE, 67 PERCENT OF RURAL AREAS ARE IDENTIFIED AS DENTAL HEALTH PROFESSIONAL SHORTAGE AREAS. DENTAL INSURANCE COVERAGE IS LACKING FOR 34 PERCENT OF RURAL RESIDENTS." ALTHOUGH MEDICINE AND DENTISTRY HAVE REMAINED SEPARATE FOR MANY YEARS - SEPARATE INSURANCE, SEPARATE SCHOOLS, SEPARATE BUILDINGS - THERE IS A CONNECTION BETWEEN THE HEALTH OF THE MOUTH AND THE HEALTH OF THE BODY. PEOPLE WHO ARE MISSING TEETH OR WHO EXPERIENCE MOUTH PAIN CAN FIND IT DIFFICULT TO EAT HEALTHY FOOD LIKE WHOLE GRAINS, FRUITS, AND VEGETABLES. INFECTIONS IN THE MOUTH CAN ALSO SPREAD TO OTHER PARTS OF THE BODY, AND CAN INCREASE A PERSON'S RISK FOR HEART ATTACK OR STROKE. PEOPLE WITH DIABETES ARE ALSO MORE AT RISK FOR DENTAL PROBLEMS, WHICH CAN LEAD TO DIFFICULTY IN CONTROLLING BLOOD SUGAR LEVELS. SOME STUDIES HAVE LINKED PERIODONTAL DISEASE TO LOW BIRTH WEIGHT AND PRETERM BIRTH. AND THE BACTERIA THAT CAUSES DENTAL DECAY CAN BE PASSED FROM CAREGIVER TO CHILD. IT IS RECOMMENDED THAT CHILDREN HAVE THEIR FIRST DENTAL VISIT BY AGE ONE, BUT MANY CHILDREN DO NOT HAVE THEIR FIRST VISIT UNTIL AFTER AGE THREE.* *VERMONT DEPARTMENT OF HEALTH, 2024 ACCORDING TO THE VERMONT DEPARTMENT OF HEALTH (2024): - THE PERCENTAGE OF THIRD GRADE CHILDREN WITH DENTAL DECAY INCREASED FROM 37 PERCENT IN 2017 TO 48 PERCENT IN 2023, SIGNIFICANTLY ABOVE THE VERMONT DEPARTMENT OF HEALTH'S GOAL OF 30 PERCENT. - THE PERCENTAGE OF CHILDREN IN GRADES 1-6 USING THE STATE'S DENTAL SYSTEM DECREASED FROM 78 PERCENT IN 2017 TO 71 PERCENT IN 2023, SLIGHTLY BELOW THE VERMONT DEPARTMENT OF HEALTHS GOAL OF 80 PERCENT. - THE PERCENTAGE OF CHILDREN IN GRADES 7-12 USING THE STATE'S DENTAL SYSTEM DECREASED FROM 62 PERCENT IN 2017 TO 58 PERCENT IN 2023, SIGNIFICANTLY BELOW THE VERMONT DEPARTMENT OF HEALTH'S GOAL OF 70 PERCENT. - THE PERCENTAGE OF ADULTS USING THE STATE'S DENTAL SYSTEM DECREASED FROM 72 PERCENT IN 2017 TO 68 PERCENT IN 2022, BELOW THE VERMONT DEPARTMENT OF HEALTH'S GOAL OF 85 PERCENT. - 56 PERCENT OF VERMONT RESIDENTS WHO GET THEIR WATER FROM A PUBLIC WATER SYSTEM BENEFITED FROM SYSTEMS WITH FLUORIDATED WATER, WELL BELOW THE NATIONAL HEALTHY PEOPLE 2030 TARGET OF 77.1 PERCENT. IN FACT, VERMONT RANKS 41 OUT OF 50 WHEN IT COMES TO THIS PERCENTAGE (CDC, 2018). THE PERCENTAGE OF VERMONTERS SERVED BY FLUORIDATED WATER SYSTEMS HAS STAYED CONSISTENT SINCE 2011. - IN 2000, 61 PERCENT OF VERMONT ADULTS' AGES 45-64 HAD AT LEAST ONE TOOTH EXTRACTED BECAUSE OF TOOTH DECAY OR GUM DISEASE. THAT PERCENTAGE HAS DECREASED SIGNIFICANTLY OVER TIME TO 42 PERCENT IN 2022, WHICH IS GREAT NEWS, BUT IT DOESN'T TELL THE WHOLE STORY. WHEN THE OVERALL PERCENTAGE IS BROKEN DOWN, A DISPARITY EXISTS IN ORAL HEALTH OUTCOMES; THERE ARE HIGHER RATES OF TOOTH EXTRACTION FOR INDIVIDUALS WITH LESS EDUCATION AND LOWER INCOMES COMPARED TO THOSE WITH MORE EDUCATION AND HIGHER INCOMES. IN ORDER TO ADDRESS THESE DISPARITIES, VERMONT NEEDS TO IDENTIFY WHY ITS ORAL HEALTH CARE SYSTEM IS NOT WORKING FOR LOWER INCOME/EDUCATED VERMONTERS. LACK OF DENTAL CARE IN VERMONT IS NOT A NEW PROBLEM. ACCORDING TO A REPORT ISSUED BY THE GREEN MOUNTAIN CARE BOARD (GMCB) IN 2015: - MEDICAID ELIGIBLE UTILIZATION OF ORAL HEALTH SERVICES IS LOW AS COMPARED TO UTILIZATION OF ORAL HEALTH SERVICES BY INDIVIDUALS WITH PRIVATE INSURANCE, HOWEVER, WHILE INDIVIDUALS WITH PRIVATE DENTAL HEALTH INSURANCE UTILIZE SERVICES AT A HIGHER RATE, THEY ARE STILL SIGNIFICANTLY BELOW DESIRED LEVELS. - MEDICAID ELIGIBLES ENCOUNTER GREATER BARRIERS TO ACCESS THAN THEIR PRIVATELY INSURED COUNTERPARTS, INCLUDING A LIMITED NUMBER OF DENTISTS WILLING TO TAKE NEW MEDICAID PATIENTS. - A SIGNIFICANT PERCENT OF THE POPULATION STILL REMAINS UNINSURED FOR ORAL HEALTH SERVICES, WITH GREATER THAN HALF OF VERMONTERS WITHOUT ORAL HEALTH INSURANCE. - FOR THOSE INTERESTED IN ACCESSING ORAL HEALTH SERVICES, COST OF CARE IS A BARRIER. - HALF OF THE PRIMARY CARE DENTIST POPULATION IS AGE 55 OR OVER INDICATING A LARGE PROPORTION OF THE VERMONT DENTIST WORKFORCE IS APPROACHING RETIREMENT. AS THE DENTIST POPULATION SHRINKS, ACCESS WILL BECOME MORE LIMITED REGARDLESS OF INSURANCE STATUS. - SIGNIFICANT NUMBERS OF ADULTS 18-64 HAVE LOST ALL THEIR NATURAL TEETH TO DECAY OR DISEASE AND DO NOT ACCESS RECOMMENDED PREVENTATIVE SERVICES SUCH AS SEMI-ANNUAL CLEANINGS.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MANSFIELD ORTHOPAEDICS
555 WASHINGTON HIGHWAY	MORRISVILLE	VT	05661	OUTPATIENT ORTHOPAEDIC, REHAB AND RADIOLOGY SERVICES
MANSFIELD ORTHOPAEDICS
1979 WATERBURY-STOWE ROAD	WATERBURY	VT	05677	OUTPATIENT ORTHOPAEDIC, RADIOLOGY SERVICES

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c ELIGIBILITY FOR FREE CARE	IN ADDITION TO INCOME, COPLEY USES OTHER FACTORS IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE, INCLUDING RESIDENCY STATUS FOR NON-EMERGENT SERVICES AND AN ASSET THRESHOLD.
Schedule H, Part I, Line 7 COSTING METHODOLOGY	THE COST TO CHARGE RATIO COMPUTED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION ON IRS WORKSHEETS 1 AND 3.
Schedule H, Part I, Line 7f PERCENT OF TOTAL EXPENSE	TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990.
Schedule H, Part III, Line 3 BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE	COPLEY HOSPITAL, INC ESTIMATES THAT APPROXIMATELY 9.1% OF THE PATIENT ACCOUNTS WRITTEN OFF TO BAD DEBTS MAY QUALIFY FOR CHARITY CARE OR OTHER ASSISTANCE BUT CHOSE NOT TO APPLY. THEREFORE, THE BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING 9.1% OF THE AMOUNT REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. SECTION A, LINE 2.
Schedule H, Part III, Line 4 BAD DEBT EXPENSE FOOTNOTE	THE AUDIT FOOTNOTE ADDRESSING BAD DEBT EXPENSE AND PATIENT ACCOUNTS RECEIVABLE IS FOUND ON PAGE 8 OF THE AUDITED FINANCIAL STATEMENTS UNDER NOTE 1, SUBTITLED "PATIENT ACCOUNTS RECEIVABLE."
Schedule H, Part III, Line 8 COMMUNITY BENEFIT	SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.
Schedule H, Part III, Line 9b COLLECTION POLICY	FINANCIAL ASSISTANCE IS AVAILABLE TO GUARANTORS WHO MEET THE ELIGIBILITY REQUIREMENTS. INCOME LEVEL, HOUSEHOLD SIZE, RESIDENCY STATUS, ETC, DETERMINE ELIGIBILITY. FEDERAL POVERTY LEVEL GUIDELINES ARE UTILIZED TO DETERMINE THE AMOUNT OF ASSISTANCE A HOUSEHOLD MAY BE ELIGIBLE FOR. FOR THE PATIENT'S CONVENIENCE, ALL STATEMENTS HAVE AN ABBREVIATED VERSION OF THE FINANCIAL ASSISTANCE APPLICATION ON THE BACK.
Schedule H, Part VI, Line 2 NEEDS ASSESSMENT	COPLEY GATHERS AND ANALYZES INFORMATION ABOUT THE GREATER LAMOILLE VALLEY COMMUNITY AND ITS HEALTHCARE NEEDS THROUGH VARIOUS MEANS, INCLUDING: ANALYZING AND RESPONDING TO HEALTH TRENDS IN OUR PATIENTS; THROUGH AGGREGATE DATA FROM OUR QUALITY AND WELLNESS INITIATIVES, THE ONECARE VERMONT ACCOUNTABLE CARE ORGANIZATION, THE VERMONT STATE BLUEPRINT FOR HEALTH AND FROM THE UNIFIED COMMUNITY COLLABORATIVE (UCC) WHICH INCLUDES REPRESENTATIVES FROM COMMUNITY, REGIONAL AND STATE ORGANIZATIONS AND AGENCIES INVOLVED IN THE SOCIAL DETERMINANTS OF HEALTH. WE ALSO REVIEW RELEVANT DATA FROM THE VERMONT DEPARTMENT OF HEALTH, CENTERS FOR MEDICARE AND MEDICAID SERVICES, AND THE FEDERAL CENTERS FOR DISEASE CONTROL.
Schedule H, Part VI, Line 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	INFORMATION ABOUT COPLEY'S CHARITABLE CARE POLICY, WHICH INCLUDES HELPING PATIENTS APPLY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS, IS POSTED BY EACH REGISTRATION DESK (MAIN LOBBY AND EMERGENCY DEPARTMENT). IT IS ALSO AVAILABLE, ALONG WITH THE APPLICATION FORM, ONLINE ON THE HOSPITAL'S WEBSITE IN ADDITION TO THE "HOSPITAL REPORT CARD" WEBSITE OF THE GREEN MOUNTAIN CARE BOARD. DETAILS ARE ALSO INCLUDED IN THE PATIENT GUIDE FOR INPATIENTS, FAMILIES AND VISITORS. COPLEY'S CHARITABLE CARE PROGRAM IS ALSO PROMOTED IN OUR PHILANTHROPY EFFORTS AS MANY DONORS GIVE TO THE PROGRAM. ALL CARE PROVIDERS MAY REFER PATIENTS TO THE HOSPITAL'S PATIENT FINANCIAL SERVICES COUNSELORS OR TO PATIENT AND FAMILY SERVICES TO CONNECT THEM TO ASSISTANCE.
Schedule H, Part VI, Line 4 COMMUNITY INFORMATION	COPLEY HOSPITAL, DEFINES ITS SERVICE AREA AS LAMOILLE, AND PARTS OF ORLEANS AND CALEDONIA COUNTIES IN VERMONT, WHICH INCLUDES THE TOWNS OF BELVIDERE, CAMBRIDGE, JEFFERSONVILLE, WATERVILLE, EDEN, EDEN MILLS, HYDE PARK, JOHNSON, ELMORE, MORRISTOWN, MOSCOW, NORTH HYDE PARK, STOWE, WOLCOTT, CRAFTSBURY, GREENSBORO, HARDWICK AND STANNARD. COPLEY SERVES A POPULATION OF 25,977 PEOPLE.THE COMMUNITY IS PREDOMINANTLY WHITE, NON-HISPANIC, WITH A MEDIAN AGE OF 41 AND A MEDIAN HOUSEHOLD INCOME OF $69,886. THE AREA HAS POCKETS OF GREAT WEALTH AND GREAT POVERTY. NEARLY 19.5% OF THE HOSPITAL'S SERVICE AREA IS GREATER THAN 65 YEARS OF AGE WHICH HAS BEEN GROWING. NEARLY 94.2% OFADULTS 25 YEARS OF AGE OR OLDER IN THE AREA HOLD A HIGH SCHOOL DEGREE, 42.8% HOLDING A BACHELOR'S DEGREE OR HIGHER. THE MAJOR INDUSTRY IS ACCOMMODATIONS AND FOOD SERVICE, FOLLOWED BY HEALTH AND SOCIAL ASSISTANCE. OUT OF 14 VERMONT COUNTIES, LAMOILLE COUNTY RANKED 3RD HIGHEST IN "HEALTH OUTCOMES" (AS DEFINED BY REPORTED PREMATURE DEATHS, POOR HEALTH DAYS, POOR PHYSICAL HEALTH DAYS, POOR MENTAL HEALTH DAYS AND LOW WEIGHT BIRTHS); AND 9TH HIGHEST IN "HEALTH FACTORS" (AS DEFINED BY NUMBERS OF PEOPLE WHO REPORT SMOKING, DRINKING, OBESITY, STDS, AND TEEN BIRTHS; AS WELL AS HOUSING COSTS, PHYSICAL ENVIRONMENT AND SOCIO/ECONOMIC FACTORS). THE TOP 3 HEALTHCARE NEEDS IDENTIFIED FOR OUR COMMUNITY INCLUDE: ACCESS TO PRIMARY CARE, SUBSTANCE ABUSE AND MENTAL HEALTH.
Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH	THE HOSPITAL IS GOVERNED BY A VOLUNTEER BOARD OF TRUSTEES MADE UP OF LOCAL CITIZENS REPRESENTING A CROSS SECTION OF THE COMMUNITY SERVED. THE BOARD HOLDS A PUBLIC ANNUAL MEETING IN JANUARY AND ITS ETHICS COMMITTEE HOSTS AN ANNUAL PUBLIC FORUM ON A TOPIC PERTINENT TO POPULATION HEALTH. COPLEY CONTINUES TO WORK COLLABORATIVELY WITH OTHER ORGANIZATIONS TO IDENTIFY AND ADDRESS COMMUNITY HEALTH NEEDS. OUR COLLABORATIONS INCLUDE BUT ARE NOT LIMITED TO THE UNIFIED COMMUNITY COLLABORATIVE (UCC) WHICH INCLUDES REPRESENTATIVES FROM COMMUNITY, REGIONAL AND STATE ORGANIZATIONS AND AGENCIES INVOLVED IN THE SOCIAL DETERMINANTS OF HEALTH; PRIMARY CARE PRACTICES; LAMOILLE HORNE HEALTH AND HOSPICE; LONG-TERM RESIDENTIAL CARE FACILITIES THE MANOR AND THE GREENSBORO NURSING HORNE; LAMOILLE COUNTY MENTAL HEALTH; COMMUNITY HEALTH SERVICES OF LAMOILLE VALLEY BEHAVIORAL HEALTH & WELLNESS; HEALTHY LAMOILLE VALLEY; PEOPLE IN PARTNERSHIP; THE MORRISVILLE DISTRICT OFFICE OF THE VERMONT DEPARTMENT OF HEALTH; THE LAMOILLE COMMUNITY HOUSE (WARMING SHELTER); UNITED WAY; CLARINA HOWARD NICHOLS CENTER; THE NORTH CENTRAL VERMONT RECOVERY CENTER; AND OTHERS. COPLEY HOSPITAL PROVIDES NEEDED MEDICAL SERVICES, REGARDLESS OF ABILITY TO PAY. SERVICES INCLUDES 24 HOURS/7 DAYS A WEEK EMERGENCY SERVICES, WOMEN'S AND CHILDREN'S SERVICES, GENERAL SURGERY, LABORATORY SERVICES, DIAGNOSTIC IMAGING, ORTHOPAEDICS, AND REHABILITATION. COPLEY CONTINUES ITS PARTNERSHIP WITH DARTMOUTH HITCHCOCK CONNECTED CARE TO DELIVER NEEDED SERVICES IN THE AREA WITH TELEMEDICINE; INCLUDING RHEUMATOLOGY, NEPHROLOGY AND PULMONOLOGY. IN CONJUNCTION WITH COMMUNITY HEALTH SERVICES OF LAMOILLE VALLEY, COPLEY HAS PLACED A RESOURCE REFERRAL SPECIALIST IN THE ER. THIS SPECIALIST WORKS CLOSELY WITH OUR SOCIAL WORKER AND OUR UTILIZATION REVIEW NURSE TO SCREEN AND CONNECT PATIENTS TO NEEDED SERVICES AND COMMUNITY RESOURCES TO ADDRESS A VARIETY OF ISSUES INCLUDING QUIT SMOKING, FUEL INSECURITY, FOOD INSECURITY, HOMELESSNESS OR INADEQUATE HOUSING, SUBSTANCE ABUSE, MENTAL HEALTH AND/OR LONG TERM MANAGEMENT OF COMPLEX CONDITIONS. AN ONGOING INITIATIVE FOCUSES ON IDENTIFYING PATIENTS WITH COMPLEX HEALTH ISSUES THAT ARE HIGH UTILIZERS OF EMERGENCY SERVICES AND CONNECTING THEM WITH A DEDICATED CASE WORKER TO DEVELOP A COORDINATED CARE PLAN. THIS EFFORT HAS RESULTED IN A SIGNIFICANT REDUCTION IN AVOIDABLE USE OF THE EMERGENCY ROOM, CREATING A POTENTIAL - SAVINGS FOR THE AREA'S HEALTHCARE SYSTEM. TO HELP ADDRESS HOMELESSNESS IN THE AREA, COPLEY PROVIDES LAUNDRY SERVICES TO A GRASSROOTS WARMING SHELTER THAT OPENED IN THE AREA. ALL OF THESE EFFORTS IMPROVE TRANSITIONS IN CARE AND OUTCOMES, WITH THE GOAL BEING THE IMPROVEMENT OF THE HEALTH OF OUR COMMUNITY. AS ONE OF THE LARGEST EMPLOYERS IN THE AREA, THE HOSPITAL IS INVESTING IN EDUCATION AND TRAINING IN SUPPORT OF RECRUITMENT AND RETENTION. COPLEY PARTNERS WITH VERMONT TECHNICAL COLLEGE, NORTHERN VERMONT UNIVERSITY & LAMOILLE'S WORKFORCE DEVELOPMENT GROUP TO OFFER AN ASSOCIATE DEGREE IN NURSING PROGRAM HERE IN LAMOILLE COUNTY. THE HOSPITAL WORKS WITH MANY EDUCATIONAL INSTITUTIONS, OFFERING ONSITE CLINICAL ROTATIONS ALONG WITH 8 GRADUATE PROGRAMS IN NURSING, MEDICINE AND HEALTHCARE ADMINISTRATION. THE HOSPITAL CONTINUES TO BE A KEY PARTNER IN THE LAMOILLE COUNTY CHAPTER OF RISE VERMONT, A STATE-WIDE INITIATIVE WITH THE STATE'S ACCOUNTABLE CARE ORGANIZATION. RISEVT SUPPORTS AND INSPIRES RESIDENTS TO HAVE FUN, PLAY MORE, EAT WELL AND FEEL GOOD BY AMPLIFYING AND SUPPORTING EFFORTS UNDERWAY IN THE COMMUNITY. THE RISEVT PROGRAM MANAGER IS EMPLOYED BY THE HOSPITAL. RISEVT OPERATED WELLNESS PROGRAMMING IN THE TOWNS OF MORRISVILLE AND JOHNSON, AND ATTENDS MULTIPLE HEALTH AND WELLNESS EVENTS ACROSS OUR SERVICE AREA THROUGHOUT THE YEAR. THE HOSPITAL REGULARLY PROMOTES HEALTHY LIFESTYLE CHOICES AND PREVENTATIVE INFORMATION VIA SOCIAL MEDIA OUTLETS, INCLUDING AN AWARD-WINNING COLLABORATIVE COMMUNITY BLOG (LIVEWELLLAMOILLE.COM), COMMUNITY NEWSLETTERS, INFORMATION DISTRIBUTED ON THE HOSPITAL CAMPUS, AND A YEAR-LONG SERIES OF INFORMATIONAL SEMINARS THAT COVER A RANGE OF TIMELY HEALTH AND WELLNESS TOPICS. WE PROMOTE AND SUPPORT HEALTHY, FAMILY-FRIENDLY ACTIVITIES AND EVENTS TO ENCOURAGE HEALTHY LIFESTYLE CHOICES.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED SEPTEMBER 30, 2024. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2.
Schedule H, Part V, Section B, Line 16a FAP website	- COPLEY HOSPITAL, INC: Line 16a URL: WWW.COPLEYVT.ORG/FOR-PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/ASSISTANCE-PROGRAMS/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- COPLEY HOSPITAL, INC: Line 16b URL: WWW.COPLEYVT.ORG/FOR-PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/ASSISTANCE-PROGRAMS/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- COPLEY HOSPITAL, INC: Line 16c URL: WWW.COPLEYVT.ORG/FOR-PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/ASSISTANCE-PROGRAMS/;

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOSEPH WOODIN
CEO	$502,919	$0	$0	$0	$46,498	$0	$4,910	$0	$17,047	$0	$571,374	$0	$0	$0
TRAVIS KNAPP
TRUSTEE BEG 02/24 / ANESTHESIA DIRECTOR	$406,982	$0	$0	$0	$20,838	$0	$12,369	$0	$40,852	$0	$481,041	$0	$0	$0
J MARTIN LINSEISEN MD
TRUSTEE END 02/24	$393,316	$0	$0	$0	$10,998	$0	$11,300	$0	$41,347	$0	$456,961	$0	$0	$0
JEFFREY HEBERT
CFO	$250,292	$0	$0	$0	$10,415	$0	$10,241	$0	$1,168	$0	$272,116	$0	$0	$0
LORI PROFOTA
CNO END 02/24	$216,586	$0	$0	$0	$2,381	$0	$6,238	$0	$32,738	$0	$257,943	$0	$0	$0
WAYNE STOCKBRIDGE
CHIEF ADMIN & HR OFFICER	$218,340	$0	$0	$0	$31,433	$0	$8,647	$0	$41,892	$0	$300,312	$0	$0	$0
NICHOLAS ANTELL
ORTHOPEDIC SURGEON	$574,186	$0	$50,000	$0	$43,248	$0	$9,750	$0	$31,327	$0	$708,511	$0	$0	$0
BRIAN AROS
ORTHOPEDIC SURGEON	$747,616	$0	$175,302	$0	$80,470	$0	$10,250	$0	$40,608	$0	$1,054,246	$0	$0	$0
JOHN MACY
ORTHOPEDIC SURGEON	$810,525	$0	$50,000	$0	$20,696	$0	$9,000	$0	$32,559	$0	$922,780	$0	$0	$0
JOSEPH MCLAUGHLIN
ORTHOPEDIC SURGEON	$645,091	$0	$50,000	$0	$84,476	$0	$11,250	$0	$40,486	$0	$831,303	$0	$0	$0
BRYAN MONIER
ORTHOPEDIC SURGEON	$569,979	$0	$0	$0	$38,709	$0	$10,010	$0	$40,521	$0	$659,219	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization	FormAndLineReferenceDesc
Explanation	INCENTIVE BONUSES ARE PAID TO OUR ORTHOPEDIC SURGEONS BASED UPON GROSS REVENUE PRODUCED INDIVIDUALLY FOR THE HOSPITAL.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS	COPLEY HOSPITAL SERVES AS A VITAL RESOURCE FOR RURAL NORTH CENTRAL VERMONT. A CRITICAL ACCESS HOSPITAL, COPLEY PROVIDES A 25-BED ACUTE CARE INPATIENT UNIT INCLUDING A BIRTHING CENTER, A WIDE-RANGE OF OUTPATIENT SERVICES AND 24/7 EMERGENCY SERVICES IN ADDITION TO LABORATORY SERVICES, DIAGNOSTIC IMAGING AND REHABILITATION SERVICES. SERVICES INCLUDE CARDIOLOGY, GENERAL SURGERY, OBSTETRICS/GYNECOLOGY, ONCOLOGY, ORTHOPEDICS, AND NEUROLOGY. OUR REHABILITATION SERVICES INCLUDE PHYSICAL, OCCUPATIONAL, SPEECH & LANGUAGE, CARDIAC, PULMONARY, AND WORK CONDITIONING. OUR HOSPITAL SERVICE AREA HAS A POPULATION OF JUST OVER 30,000 PEOPLE, ACROSS MORE THAN 459 SQUARE MILES. COPLEY COLLABORATES WITH OTHER HEALTHCARE PROVIDERS, SOCIAL SERVICE AGENCIES, NOT-FOR-PROFIT ORGANIZATIONS AND BUSINESSES TO FULFILL OUR MISSION OF HELPING PEOPLE LIVE HEALTHIER LIVES. THE CLOSEST HOSPITAL IS 45 MINUTES TO ONE HOUR AWAY. IN FISCAL YEAR 2024, COPLEY HAD 108,061 OUTPATIENT VISITS AND 1,396 INPATIENT ADMISSIONS TOTALING 6,062 PATIENT DAYS. WE PERFORMED 2,526 SURGERIES AND 1,553 PROCEDURES AND HAD 13,627 EMERGENCY ROOM VISITS. OUR CHARITABLE CARE PROGRAM IS AVAILABLE TO PATIENTS WHO ARE UNINSURED, UNDERINSURED, OR HAVE OTHERWISE DEMONSTRATED THEY DO NOT HAVE FINANCIAL RESOURCES TO FULLY PAY FOR THEIR HOSPITAL CARE.
Form 990, Part V, Line 2a W-2'S FILED	COPLEY HOSPITAL, INC ALSO FILES W-2'S FOR ITS RELATED ORGANIZATIONS. THE TOTAL NUMBER OF W-2'S FILED ON THE W-3 INCLUDES THESE W-2'S. THE COMPENSATION, EMPLOYEE BENEFITS AND PAYROLL TAXES AMOUNTS ARE THEN ALLOCATED TO THE ORGANIZATION FOR THE AMOUNT THAT REPRESENTS WORK PERFORMED FOR THE ORGANIZATION. THE AMOUNT INCLUDED ON LINE 2A INCLUDES ONLY EMPLOYEES ALLOCATED TO COPLEY HOSPITAL. THE AMOUNT REPORTED ON PART IX INCLUDES ONLY THOSE AMOUNTS ALLOCATED TO WORK PERFORMED DIRECTLY FOR COPLEY HOSPITAL, INC. THE HIGHEST PAID EMPLOYEES ARE DETERMINED BY THE WORK PERFORMED FOR EACH ORGANIZATION. THEREFORE, THE FIVE HIGHEST PAID EMPLOYEES LISTED ON PART VII AND SCHEDULE J ARE THOSE EMPLOYEES WHO WORK DIRECTLY FOR COPLEY HOSPITAL, INC.
Form 990, Part VI, Line 6 7A & 7B - MEMBERS/ STOCKHOLDERS	COPLEY HOSPITAL, INC. IS A MEMBER ORGANIZATION WHOSE SOLE CORPORATE MEMBER IS COPLEY HEALTH SYSTEMS, INC. COPLEY HEALTH SYSTEMS, INC. AND THE HOSPITAL SHARE THE SAME BOARD OF TRUSTEES. EACH YEAR, THE MEMBERS OF COPLEY HEALTH SYSTEMS, INC. WILL HOLD AN ANNUAL MEETING. THE PURPOSES OF THE ANNUAL MEETING SHALL INCLUDE THE ELECTION OF MEMBERS TO THE CORPORATION, THE ELECTION OF TRUSTEES TO THE CORPORATION'S BOARD OF TRUSTEES, THE ELECTION OF THE COMMUNITY MEMBER AT LARGE OF THE GOVERNANCE AND BYLAWS COMMITTEE, AND THE TRANSACTION OF SUCH OTHER BUSINESS AS MAY PROPERLY COME BEFORE THE MEMBERSHIP. THE BOARD SHALL CONSIST OF UP TO TWENTY-ONE ELECTED MEMBERS, THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND THE PRESIDENT OF THE MEDICAL STAFF OF COPLEY HOSPITAL, INC., ALL AS VOTING MEMBERS. ALL TRUSTEES MUST BE MEMBERS OF THE CORPORATION.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, A TENTATIVE DRAFT OF THE 990 IS REVIEWED BY THE BOARD OF DIRECTORS. A COMPLETE COPY OF THE FORM IS MADE AVAILABLE TO ALL MEMBERS OF THE GOVERNING BODY THROUGH THE FINANCE OFFICE.
Form 990, Part VI, Line 12c Conflict of interest policy	THE GOVERNANCE COMMITTEE REVIEWS THE STATEMENTS AND SURVEYS COMPLETED BY INTERESTED PERSONS AND MAINTAINS A LIST OF INDIVIDUALS WHO MAY BE CONSIDERED DISQUALIFIED PERSONS UNDER IRS REGULATIONS. THE GOVERNANCE COMMITTEE REPORTS THE RESULTS OF ITS REVIEWS ANNUALLY TO THE BOARD. THE INTERNAL COMPLIANCE COMMITTEE OF THE CORPORATION REVIEWS ANY POTENTIAL CONFLICT OF INTEREST WHICH INVOLVES AN INTERESTED PERSON WHO IS NOT A TRUSTEE OR OFFICER OF THE CORPORATION. THE INTERNAL COMPLIANCE COMMITTEE REPORTS THE RESULTS OF ITS REVIEWS ANNUALLY TO THE BOARD.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE CEO'S COMPENSATION IS DETERMINED BY USING MARKET SURVEY DATA FROM THE NNE HEALTHCARE COMP SURVEY, IT IS ALSO APPROVED BY THE BOARD. SENIOR LEADERSHIP AND OTHER HIGHLY COMPENSATED INDIVIDUALS HAVE THEIR PAY RANGES DETERMINED THROUGH MARKET DATA FROM THE NNE HEALTHCARE COMPENSATION SURVEY.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	HUMAN RESOURCES REVIEWS MARKET SURVEY DATA FROM NNE HEALTHCARE COMP SURVEY TO DETERMINE EACH SENIOR OFFICERS POSITION UPON HIRE.
Form 990, Part VI, Line 19 Required documents available to the public	THE GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. THE CONFLICT OF INTEREST POLICY AND MATRIX ARE AVAILABLE UPON REQUEST. THE FINANCIAL STATEMENTS ARE SUMMARIZED IN AN ANNUAL REPORT THAT IS AVAILABLE TO THE PUBLIC. THE HOSPITAL ALSO SUBMITS BOTH THEIR BUDGET AND ACTUAL FINANCIAL INFORMATION TO THE STATE OF VERMONT'S DEPARTMENT OF FINANCIAL REGULATION.
Form 990, Part IX, Line 11g Other Fees	CONTRACT LABOR - Total Expense: 6741841, Program Service Expense: 5911575, Management and General Expenses: 830266, Fundraising Expenses: ; PURCHASED SERVICES - Total Expense: 3959696, Program Service Expense: 2462081, Management and General Expenses: 1497615, Fundraising Expenses: ; PHYSICIAN SERVICES - Total Expense: 1184170, Program Service Expense: 1184170, Management and General Expenses: , Fundraising Expenses: ; LAB SERVICES - Total Expense: 490452, Program Service Expense: 490452, Management and General Expenses: , Fundraising Expenses: ; OTHER SERVICES - Total Expense: 352108, Program Service Expense: 345213, Management and General Expenses: 6895, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN INTEREST IN NA OF CHSI - 202219;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
LAMOILLE HOUSING CORPORATION
528 WASHINGTON HIGHWAY	MORRISVILLE	VT	05661	030272055	HUD HOUSING	VT	501(c)(3)	10	CHSI	false
COPLEY HEALTH SYSTEMS INC
528 WASHINGTON HIGHWAY	MORRISVILLE	VT	05661	030301457	SUPPORT	VT	501(c)(3)		NA	false
COPLEY WOODLANDS
125 THOMAS LANE	STOWE	VT	05672	030352086	HOUSING	VT	501(c)(3)	10	CHSI	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

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

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

Direct Controlling Entity Name DirectControllingEntityName

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

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

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