CENTRAL VERMONT MEDICAL CENTER INC HCSR: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- CENTRAL VERMONT MEDICAL CENTER INC HCSR (EIN 22-2547186)
- Tax period
- 2018-10-01 to 2019-09-30
- Filed
- 2020-08-17
- IRS object ID
- 202042309349302579
- Schema version
- 2018v3.3
- 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 G
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-08-17T14:14:29-05:00 | ReturnTs |
| Tax Period End | 2019-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PricewaterhouseCoopers LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SEAPORT BLVD SUITE 500 | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02210 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222547186 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL VERMONT MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % TODD KEATING CFO | InCareOfNm |
| Business Name Control | CENT | BusinessNameControlTxt |
| Phone | 8023714100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 130 FISHER ROAD | AddressLine1Txt |
| City | BERLIN | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05602 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TODD KEATING | PersonNm |
| Person Title | NETWORK CFO | PersonTitleTxt |
| Phone | 8028479975 | PhoneNum |
| Signature | 2020-08-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PAUL J TANIS | PreparerPersonNm |
| PTIN | P01441612 | PTIN |
| Phone | 6175305000 | PhoneNum |
| Preparation | 2020-08-11 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 155.201.35.58 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 04363820202305000043 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2020-08-17 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | AA0A6C04CDAB1A066FD7E5F646BC57F63DD96309 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | B20897BF754924F643E102A7D2260D400D6F6761 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-09-23 17:36:50Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Ms Anna T Noonan | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 130 Fisher Road | AddressLine1Txt |
| City | Berlin | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $232,287,137 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CVMC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1963 | FormationYr |
| Legal Domicile State | VT | LegalDomicileStateCd |
| Activity Or Mission | WE WORK COLLABORATIVELY TO MEET THE NEEDS AND IMPROVE THE HEALTH AND IMPROVE THE HEALTH OF THE RESIDENTS OF CENTRAL VERMONT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 1971 | TotalEmployeeCnt |
| Total Volunteers | 150 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $648,136 | PYContributionsGrantsAmt |
| CY Contributions Grants | $552,463 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $210,796,054 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $228,844,006 | CYProgramServiceRevenueAmt |
| PY Investment Income | $11,617,315 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,478,888 | CYInvestmentIncomeAmt |
| PY Other Revenue | $308,676 | PYOtherRevenueAmt |
| CY Other Revenue | $330,998 | CYOtherRevenueAmt |
| PY Total Revenue | $223,370,181 | PYTotalRevenueAmt |
| CY Total Revenue | $232,206,355 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $559,268 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $134,444 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $138,210,840 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $139,223,505 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $18,319 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $80,491,266 | PYOtherExpensesAmt |
| CY Other Expenses | $94,883,749 | CYOtherExpensesAmt |
| PY Total Expenses | $219,261,374 | PYTotalExpensesAmt |
| CY Total Expenses | $234,241,698 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,108,807 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,035,343 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $172,815,634 | TotalAssetsBOYAmt |
| Total Assets EOY | $163,844,396 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $80,766,274 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $81,845,107 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $92,049,360 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $81,999,289 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $157,459,849 | ExpenseAmt |
| Grant | $113,759 | GrantAmt |
| Revenue | $166,668,447 | RevenueAmt |
| Desc | HOSPITAL SERVICES: INPATIENT, OUTPATIENT, AND 24/7 EMERGENCY DEPARTMENT SERVICES: CVMC HAS 122 LICENSED BEDS TO PROVIDE FOR A FULL SPECTRUM OF INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES. 19,947 INPATIENT DAYS, MORE THAN 245,000 OUTPATIENT PROCEDURES, AND 25,822 EMERGENCY ROOM VISITS WERE RECORDED DURING FISCAL YEAR 2019. OUTPATIENT ANCILLARY SERVICE UNITS MAKE UP THE MAJORITY OF SERVICE VOLUME, INCLUDING 38,480 RADIOLOGY PROCEDURES, 478,604 LAB TESTS, 16,799 CARDIOLOGY TESTS, AND 151,173 UNITS OF PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY. EMERGENCY DEPARTMENT: THE ER IS OPEN 24 HOURS A DAY 365 DAYS A YEAR. THE NUMBER OF PATIENTS SEEN IN THE ER IN FISCAL YEAR 19 WAS 25,822. THE CANCER TREATMENT CENTER PROVIDED 4,794 ONCOLOGY AND RADIATION TREATMENTS. THE HOSPITAL ALSO HAS BEEN ACTIVE IN ITS OUTREACH TO CENTRAL VERMONT'S UNINSURED AND UNDER INSURED RESIDENTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $49,562,057 | ExpenseAmt |
| Grant | $20,685 | GrantAmt |
| Revenue | $44,647,054 | RevenueAmt |
| Desc | MEDICAL GROUP PRACTICES: AT THE END OF THE FISCAL YEAR WE HAD 23 PRIMARY CARE, INFIRMARY, AND SPECIALTY PRACTICES. THIS INCLUDED 7 PRIMARY AND FAMILY CARE CLINICS, 1 PEDIATRIC CLINIC, AS WELL AS SPECIALTY CLINICS FOR UROLOGY, PODIATRY, RHEUMATOLOGY, DERMATOLOGY, ENDOCRINOLOGY, ORTHOPAEDICS, PSYCHOLOGY, AND OBSTETRICS/ GYNECOLOGY. THERE WERE A TOTAL OF 323,437 PRACTICE VISITS DURING FISCAL YEAR 2019. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $17,918,769 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $17,528,506 | RevenueAmt |
| Desc | WOODRIDGE REHAB & NURSING IS A MEDICARE-CERTIFIED 153-BED SKILLED NURSING FACILITY LOCATED ON THE CAMPUS OF CENTRAL VERMONT MEDICAL CENTER. APPROXIMATELY TWO-THIRDS OF THE FACILITIES BEDS ARE DEDICATED TO LONG TERM CARE, INCLUDING PALLIATIVE CARE/END OF LIFE CARE AND THE OTHER ONE-THIRD PROVIDE SHORT TERM REHABILITATION THERAPY AND POST-ACUTE CARE FOR A GREAT VARIETY OF MEDICAL CARE CATEGORIES, INCLUDING PAIN MANAGEMENT AND WOUND CARE. THE FACILITY PROVIDES "PERSON-CENTERED", ROUND THE CLOCK NURSING CARE AND SOCIAL SERVICES SUPPORT COMPLEMENTING DAILY, ROBUST ACTIVITIES PROGRAMS, FINE DINING AND HAS A FULL COMPLIMENT OF SUPPORT SERVICES INCLUDING HOUSEKEEPING/LAUNDRY, MAINTENANCE AND TRANSPORTATION. MANY OTHER AMENITIES ARE AVAILABLE TO FACILITY RESIDENTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $224,940,675 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | 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 | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 78 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1971 | 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 | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| 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 | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | 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 | Yes (true) | 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 | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | VT | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TODD KEATING CFO | PersonNm |
| Phone | 8028479975 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 130 FISHER RD | AddressLine1Txt |
| City | Berlin | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CAROL WELCH | ||||||||||
| TRUSTEE, AS OF 01/2019 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN BRUMSTED MD | ||||||||||
| TRUSTEE | 6.0 | 44.0 | Yes (X) | $0 | $2,005,831 | $214,241 | ||||
| JEREMIAH ECKHAUS MD | ||||||||||
| TRUSTEE, PRES-ELECT MED STAFF | 50.0 | 0.0 | Yes (X) | $282,682 | $0 | $42,646 | ||||
| MICHAEL DELLIPRISCOLI | ||||||||||
| TRUSTEE, IMMEDIATE PAST CHAIR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| MARK DEPMAN MD | ||||||||||
| TRUSTEE, REGNAL PHYS LEADER | 44.0 | 6.0 | Yes (X) | $375,886 | $0 | $21,910 | ||||
| SARAH FIELD | ||||||||||
| TRUSTEE, UNTIL 5/20/19 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| THOMAS GOLONKA | ||||||||||
| TRUSTEE, CHAIR-ELECT | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| JOYCE JUDY | ||||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| MARY MOULTON | ||||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| MARTA MURPHY MARBLE | ||||||||||
| TRUSTEE, CHAIR | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| ANNA T NOONAN | ||||||||||
| TRUSTEE, PRESIDENT/COO | 35.0 | 15.0 | Yes (X) | $628,905 | $0 | $62,679 | Yes (X) | |||
| CATHY PALMER MD | ||||||||||
| TRUSTEE | 3.0 | 42.0 | Yes (X) | $30,150 | $262,016 | $47,844 | ||||
| TONI KAEDING | ||||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| SANDY ROUSSE | ||||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| CONNIE COLMAN | ||||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| PAULETTE THABAULT | ||||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| MARILYN WHITE | ||||||||||
| TRUSTEE, UNTIL 01/2019 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| CORY RICHARDSON | ||||||||||
| TRUSTEE | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| STEPHEN KENNEY | ||||||||||
| TREASURER, CFO | 50.0 | 0.0 | $51,539 | $0 | $0 | Yes (X) | ||||
| TODD KEATING | ||||||||||
| INTRM TREAS/CFO UNTIL 7/2018 | 10.0 | 40.0 | $0 | $865,295 | $29,301 | Yes (X) | ||||
| MATTHEW CHOATE | ||||||||||
| VP OF PATIENT CARE SERVICES | 50.0 | 0.0 | $245,454 | $0 | $34,092 | Yes (X) | ||||
| ROBERT PATTERSON | ||||||||||
| VP OF HR & CLINICAL OPERATIONS | 50.0 | 0.0 | $276,077 | $0 | $41,614 | Yes (X) | ||||
| DAVID TURNER | ||||||||||
| VP PHYSICIAN SERVICES | 50.0 | 0.0 | $172,367 | $0 | $12,112 | Yes (X) | ||||
| JAMES ALVAREZ | ||||||||||
| VP SUPPORT SRVCS, AS OF 1/2018 | 50.0 | 0.0 | $222,846 | $0 | $8,978 | Yes (X) | ||||
| PATRICIA FISHER MD | ||||||||||
| CHIEF MEDICAL OFFICER, 3/2018 | 50.0 | 0.0 | $274,231 | $0 | $33,762 | Yes (X) | ||||
| RICHARD BURGOYNE | ||||||||||
| MEDICAL DIRECTOR | 50.0 | 0.0 | $457,718 | $0 | $16,178 | Yes (X) | ||||
| CHRISTIAN BEAN MD | ||||||||||
| PHYSICIAN | 50.0 | 0.0 | $660,789 | $0 | $64,168 | Yes (X) | ||||
| JAVAD MASHKURI MD | ||||||||||
| PHYSICIAN/MEDICAL DIRECTOR | 50.0 | 0.0 | $410,282 | $0 | $50,961 | Yes (X) | ||||
| CHRISTOPHER MERIAM MD | ||||||||||
| PHYSICIAN | 50.0 | 0.0 | $577,609 | $0 | $62,381 | Yes (X) | ||||
| SARA GRAVES MD | ||||||||||
| PHYSICIAN | 50.0 | 0.0 | $541,500 | $0 | $47,558 | Yes (X) | ||||
| CHEYENNE HOLLAND | ||||||||||
| TREASURER, CFO, UNTIL 07/2018 | 0.0 | 0.0 | $339,488 | $0 | $40,335 | Yes (X) | ||||
| JUDITH TARTAGLIA | ||||||||||
| TRUSTEE, PRES/CEO UNTIL 3/2017 | 0.0 | 0.0 | $216,084 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,763,607 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,133,142 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $830,760 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 195 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | 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 |
|---|---|---|---|---|---|
| E F WALL ASSOCIATES INC | |||||
| 131 SOUTH MAIN ST PO BOX 259 | BARRE | VT | 05641 | CONSTRUCTION CNTRCTR | $1,493,851 |
| MARCAM ASSOCIATES LLC | |||||
| PO BOX 60 | ROCHESTER | NH | 03866 | AR BILLING/COLLECT | $721,168 |
| PC CONSTRUCTION COMPANY | |||||
| 193 TILLEY DRIVE | SOUTH BURLINGTON | VT | 05403 | CONSTRUCTION CNTRCTR | $902,127 |
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 753972633 | PHYSICIAN STAFFING | $576,008 |
| MAZARS USA LLP | |||||
| 135 WEST 50TH ST | NEW YORK | NY | 10020 | REVEN CYCLE CONSLTNT | $751,705 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 26 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $17,090 | FundraisingAmt |
| Government Grants | $201,994 | GovernmentGrantsAmt |
| All Other Contributions | $333,379 | AllOtherContributionsAmt |
| Total Contributions | $552,463 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 900099 | $172,364,431 | $172,364,431 |
| REVENUE FROM MANAGED CARE AND PMPM | 900099 | $41,249,882 | $41,249,882 |
| 340B CONTRACT PHARMACY REVENUE | 900099 | $7,933,421 | $7,933,421 |
| CONTRACT SERVICE REVENUE | 900099 | $890,952 | $890,952 |
| CAFETERIA REVENUE | 900099 | $1,065,762 | $1,065,762 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,339,558 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,339,558 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $228,844,006 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,478,888 | TotalRevenueColumnAmt |
| Exclusion | $2,478,888 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $403,280 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $73,319 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $329,961 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $329,961 | TotalRevenueColumnAmt |
| Exclusion | $329,961 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $8,500 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $17,090 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $7,463 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,037 | TotalRevenueColumnAmt |
| Exclusion | $1,037 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $232,206,355 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $228,844,006 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $2,809,886 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134,444 | TotalAmt |
| Program Services | $134,444 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,442,515 | TotalAmt |
| Program Services | $278,034 | ProgramServicesAmt |
| Management And General | $2,164,481 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $166,394 | TotalAmt |
| Management And General | $166,394 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,135,067 | TotalAmt |
| Program Services | $104,432,629 | ProgramServicesAmt |
| Management And General | $2,687,996 | ManagementAndGeneralAmt |
| Fundraising | $14,442 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,632,091 | TotalAmt |
| Program Services | $5,373,780 | ProgramServicesAmt |
| Management And General | $257,570 | ManagementAndGeneralAmt |
| Fundraising | $741 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,420,366 | TotalAmt |
| Program Services | $15,667,262 | ProgramServicesAmt |
| Management And General | $750,945 | ManagementAndGeneralAmt |
| Fundraising | $2,159 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,427,072 | TotalAmt |
| Program Services | $7,086,436 | ProgramServicesAmt |
| Management And General | $339,659 | ManagementAndGeneralAmt |
| Fundraising | $977 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,440 | TotalAmt |
| Management And General | $138,440 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,628 | TotalAmt |
| Management And General | $80,628 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $446,866 | TotalAmt |
| Program Services | $207,778 | ProgramServicesAmt |
| Management And General | $239,088 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,074,580 | TotalAmt |
| Program Services | $17,072,101 | ProgramServicesAmt |
| Management And General | $1,002,479 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,140,494 | TotalAmt |
| Program Services | $730,418 | ProgramServicesAmt |
| Management And General | $410,076 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,005,107 | TotalAmt |
| Program Services | $1,861,084 | ProgramServicesAmt |
| Management And General | $144,023 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,829,866 | TotalAmt |
| Program Services | $3,714,054 | ProgramServicesAmt |
| Management And General | $115,812 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,398,430 | TotalAmt |
| Program Services | $5,310,199 | ProgramServicesAmt |
| Management And General | $88,231 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,249 | TotalAmt |
| Program Services | $146,330 | ProgramServicesAmt |
| Management And General | $34,919 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $823,939 | TotalAmt |
| Program Services | $744,252 | ProgramServicesAmt |
| Management And General | $79,687 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $459,183 | TotalAmt |
| Program Services | $459,183 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,170,032 | TotalAmt |
| Program Services | $9,170,032 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $651,384 | TotalAmt |
| Program Services | $651,384 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $5,607,318 | $5,607,318 | |
| STATE TAX ASSESMENT | $11,393,875 | $11,393,875 | |
| MAINTENANCE & REPAIRS | $2,301,763 | $2,284,504 | $17,259 |
| MEDICAL & SURGICAL SUPPLIES | $29,260,151 | $29,243,812 | $16,339 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,920,444 | TotalAmt |
| Program Services | $3,371,766 | ProgramServicesAmt |
| Management And General | $548,678 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $234,241,698 | TotalAmt |
| Program Services | $224,940,675 | ProgramServicesAmt |
| Management And General | $9,282,704 | ManagementAndGeneralAmt |
| Fundraising | $18,319 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,891,033 | BOYAmt |
| EOY | $6,088,055 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,572,298 | BOYAmt |
| EOY | $22,346,848 | 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 |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,376,944 | BOYAmt |
| EOY | $2,424,419 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,199,147 | BOYAmt |
| EOY | $4,481,927 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,433,975 | BOYAmt |
| EOY | $1,449,525 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $179,289,287 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $111,918,597 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,582,663 | BOYAmt |
| EOY | $67,370,690 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,488,384 | BOYAmt |
| EOY | $56,607,088 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,271,190 | BOYAmt |
| EOY | $3,075,844 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $172,815,634 | BOYAmt |
| EOY | $163,844,396 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,049,256 | BOYAmt |
| EOY | $33,117,752 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $26,158 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | 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 | $16,308,604 | BOYAmt |
| EOY | $15,855,759 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,408,414 | BOYAmt |
| EOY | $32,845,438 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,766,274 | BOYAmt |
| EOY | $81,845,107 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,560,540 | BOYAmt |
| EOY | $73,718,001 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,215,144 | BOYAmt |
| EOY | $4,898,402 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,273,676 | BOYAmt |
| EOY | $3,382,886 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,049,360 | BOYAmt |
| EOY | $81,999,289 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $172,815,634 | BOYAmt |
| EOY | $163,844,396 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,035,343 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$8,014,728 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (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) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| 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 | $28,434 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $28,434 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | SCHEDULE C, PART II-B, LINE 1I CENTRAL VERMONT MEDICAL CENTER IS A MEMBER OF, AND PAYS DUES TO, THE VERMONT ASSOCIATION OF HOSPITALS AND HEALTH SERVICE PROVIDERS AS WELL AS THE AMERICAN HOSPITAL ASSOCIATION, AND THE VERMONT HEALTH CARE ASSOCIATION. A PORTION OF THE DUES IS USED FOR LOBBYING PURPOSES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,191,232 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $265,073 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $8,456,305 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,997,540 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $193,692 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $8,191,232 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,988,798 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $358,742 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $350,000 | OtherExpendituresAmt |
| End Year Balance | $7,997,540 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,726,226 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $306,265 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $43,693 | OtherExpendituresAmt |
| End Year Balance | $7,988,798 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,130,234 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$366,990 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $37,018 | OtherExpendituresAmt |
| End Year Balance | $7,726,226 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.38000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.62000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | 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 | $5,510,000 | OtherCostOrOtherBasisAmt |
| Book Value | $5,510,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $109,163,821 | OtherCostOrOtherBasisAmt |
| Depreciation | $66,248,170 | DepreciationAmt |
| Book Value | $42,915,651 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,555,077 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,195,018 | DepreciationAmt |
| Book Value | $1,360,059 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $52,975,902 | OtherCostOrOtherBasisAmt |
| Depreciation | $41,475,409 | DepreciationAmt |
| Book Value | $11,500,493 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,084,487 | OtherCostOrOtherBasisAmt |
| Book Value | $6,084,487 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $67,370,690 | TotalBookValueLandBuildingsAmt |
| Financial Derivatives | FinancialDerivativesGrp | |
| Closely Held Equity Interests | CloselyHeldEquityInterestsGrp |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NETWORK INVESTMENT POOL | Desc |
| Book Value | $56,607,088 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $56,607,088 | TotalBookValueSecuritiesAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED PENSION LIABILITY | $29,939,024 |
| OTHER LIABILITIES | $2,906,414 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $32,845,438 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ENDOWMENT FUNDS | SCHEDULE D, PART V, LINE 4 CVMC HAS ENDOWMENT INVESTMENTS AND SPENDING POLICIES THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING FOR CAPITAL AND OPERATIONAL PROGRAMS PERTAINING TO THE DELIVERY OF HOSPITAL AND SKILLED NURSING CARE SERVICES AS WELL AS INTERNAL MEDICINE, FAMILY AND SPECIALTY PHYSICIAN SERVICES IN ORDER TO MEET THE HEALTH CARE NEEDS OF THE CENTRAL VERMONT COMMUNITY. |
| ASC 740 DISCLOSURE | SCHEDULE D, PART X, LINE 2, FIN 48 (ASC 740) CENTRAL VERMONT MEDICAL CENTER, INC. IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE UNIVERSITY OF VERMONT HEALTH NETWORK ("UVM HEALTH NETWORK"). THE FOOTNOTE STATES: UVM HEALTH NETWORK ACCOUNTS FOR RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH (ASC) 740 INCOME TAXES, WHICH ADDRESSES HOW TO ACCOUNT FOR AND REPORT THE EFFECTS OF TAXES BASED ON INCOME. NO PROVISION FOR UNCERTAIN TAX POSITIONS IS RECORDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $25,590 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $17,090 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $8,500 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $7,263 | RentFacilityCostsEvent1Amt |
| Entertainment Event1 | $200 | EntertainmentEvent1Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $25,590 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $17,090 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $8,500 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $7,263 | RentFcltyCostsTotalEventsAmt |
| Entertainment Total Events | $200 | EntertainmentTotalEventsAmt |
| Direct Expense Summary Events | $7,463 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $1,037 | NetIncomeSummaryAmt |
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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | 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 | $2,528,092 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,528,092 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01110 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $50,544,335 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,845,008 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,699,327 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10800 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $53,072,427 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $25,845,008 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,227,419 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11910 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $97,818 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $97,818 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $408,498 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $408,498 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $51,074,955 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $44,810,318 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,264,637 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02740 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $95,487 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $95,487 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $51,676,758 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $44,810,318 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,866,440 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03000 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $104,749,185 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $70,655,326 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $34,093,859 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14910 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,607,318 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $112,146 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $47,367,220 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $106,916,384 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$59,549,164 | 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 | CENTRAL VERMONT MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 130 FISHER ROAD | AddressLine1Txt |
| City | BERLIN | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.CVMC.ORG | WebsiteAddressTxt |
| State License | 470001 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL VERMONT MEDICAL CENTER | 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 | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SECTION C | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | HTTP://WWW.GMCBOARD.VERMONT.GOV | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SECTION C | 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 | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 | SEE SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 3E | REPRESENTATIVES FROM CVMC, THRIVE, AND CAN REVIEWED THE CHNA FINDINGS IN CONJUNCTION WITH THE VERMONT DEPARTMENT OF HEALTH 2019-23 STATE HEALTH IMPROVEMENT PLAN (SHIP) TO DETERMINE THE MOST PRESSING NEEDS IMPACTING RESIDENTS ACROSS WASHINGTON COUNTY AND THE CVMC SERVICE AREA. THE FOLLOWING CRITERIA WERE APPLIED TO DETERMINE PRIORITIES ON WHICH TO FOCUS COMMUNITY WIDE HEALTH IMPROVEMENT EFFORTS. CHNA FINDINGS PRIORITIZATION CRITERIA: - SCOPE: HOW MANY PEOPLE ARE AFFECTED? - SEVERITY: HOW CRITICAL IS THE ISSUE? - ABILITY TO IMPACT: CAN WE ACHIEVE THE DESIRED OUTCOME? - COMMUNITY READINESS: IS THE COMMUNITY PREPARED TO TAKE ACTION? APPLYING THESE CRITERIA TO THE LIST OF TOP HEALTH NEEDS IDENTIFIED BY THE CHNA RESEARCH, THRIVE AND CAN MEMBERS RANK ORDERED THE COMMUNITY'S HEALTH NEEDS IN THE FOLLOWING ORDER. 1. SUBSTANCE USE DISORDERS 2. MENTAL HEALTH 3. SOCIAL INFLUENCERS OF HEALTH (HOUSING, FOOD SECURITY, TRANSPORTATION, ECONOMIC STABILITY) 4. CHRONIC DISEASE PREVENTION 5. HEALTHY LIFESTYLES AND RISK BEHAVIORS THE 2019 CHNA PRIORITIZED HEALTH NEEDS ALIGN WITH THE VT DOH SHIP PRIORITES, PROMOTING COLLABORATION BETWEEN PUBLIC HEALTH, HOSPITAL, AND COMMUNITY BASED ORGANIZATIONS. |
| PART V, LINE 5 | THE 2019 CHNA WAS OVERSEEN BY REPRESENTATIVES FROM CVMC AND THE THRIVE ACCOUNTABLE HEALTH COMMUNITIES COMMITTEE. THE COMMUNITY ACTION NETWORK (CAN), A SUBCOMMITTEE OF THRIVE AND CVMC REPRESENTATIVES MET MONTHLY WITH OUR CONSULTANTS TO REVIEW AND GUIDE THE CHNA PROCESS. CONSULTANTS ASSISTED IN ALL PHASES OF THE CHNA INCLUDING PROJECT MANAGEMENT, QUANTITATIVE AND QUALITATIVE DATA COLLECTION, ANALYSIS, FACILITATION, AND REPORT WRITING. THE CVMC CHNA STEERING COMMITTEE AND THE CAN SUBCOMMITTEE MEMBERS ARE RESPRESENTATIVES FROM THE BELOW ORGANIZATIONS. A. CAPSTONE COMMUNITY ACTION B. CENTRAL VERMONT COUNCIL ON AGING C. CENTRAL VERMONT HOME HEALTH & HOSPICE D. CENTRAL VERMONT MEDICAL CENTER - LEADERSHIP, MEDICAL STAFF & COMMUNITY HEALTH TEAM E. CENTRAL VERMONT REGIONAL PLANNING COMMISSION F. FAMILY CENTER OF WASHINGTON COUNTY G. GREEN MOUNTAIN UNITED WAY H. PEOPLE'S HEALTH & WELLNESS CLINIC I. VERMONT AGENCY OF HUMAN SERVICES J. VERMONT DEPARTMENT OF HEALTH K. WASHINGTON COUNTY MENTAL HEALTH SERVICES |
| PART V, LINE 6B | THE 2019 CHNA WAS CONDUCTED IN COLLABORATION WITH THRIVE, THE REGIONAL ACCOUNTABLE COMMUNITY FOR HEALTH MODEL. THIS MULTI-AGENCY COALITION, MADE UP OF HEALTH PROVIDERS, SOCIAL SERVICE AGENCIES, GOVERNMENT, CIVIC, AND RELIGIOUS ENTITIES, AND NUMEROUS OTHER COMMUNITY PARTNERS, IS DEDICATED TO IMPROVING HEALTH FOR THE RESIDENTS OF WASHINGTON AND NORTHERN ORANGE COUNTIES. THRIVE MEMBERS PLAYED AN INTEGRAL ROLE IN OVERSEEING DATA COLLECTION AND REVIEWING FINDING TO DETERMINE COMMUNITY HEALTH PRIORITIES BASED ON CHNA STUDY. |
| PART V, LINE 7A | COMMUNITY HEALTH NEEDS ASSESSMENT https://www.cvmc.org/sites/default/files/documents/Community-Health-Needs- Assessment-2019.pdf PART V, LINE 10A COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY https://www.cvmc.org/sites/default/files/documents/Community-Needs-Assessm ent-2016.pdf |
| PART V, LINE 11 | AT CENTRAL VERMONT MEDICAL CENTER (CVMC), WE COLLABORATE WITH OTHER NON-PROFITS, BUSINESSES, COMMUNITY LEADERS, AND GOVERNMENTAL AGENCIES TO PROVIDE A VARIETY OF PROGRAMS AND EDUCATIONAL OFFERINGS INTENDED TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. BELOW IS THE ANNUAL PROGRESS REPORT FOR THE 2016 IMPLEMENTATION STRATEGY, WHICH WAS EFFECTIVE DURING FY19. DRUG ABUSE CVMC CONTINUES TO WORK WITH COMMUNITY PARTNERS INCLUDING THE VERMONT DEPARTMENT OF HEALTH ALCOHOL AND DRUG ABUSE PROGRAM, WASHINGTON COUNTY MENTAL HEALTH SERVICES, CENTRAL VERMONT SUBSTANCE ABUSE SERVICES, TREATMENT ASSOCIATES AND CENTRAL VERMONT ADDICTION MEDICINE, TO INCREASE ACCESS TO CARE AND SUPPORT TRANSITIONS OF CARE AS INDIVIDUALS MOVE THROUGH THE TREATMENT CYCLE. IT IS IMPORTANT THAT COMMUNITY MEMBERS HAVE KNOWLEDGE OF THE RESOURCES THAT ARE CURRENTLY AVAILABLE TO THEM. CVMC SPONSORS THE WASHINGTON COUNTY SUBSTANCE ABUSE REGIONAL PARTNERSHIP (WCSARP), WHICH MEETS MONTHLY TO COORDINATE SERVICES, SOLVE ACCESS AND CARE MANAGEMENT PROBLEMS, AND ERASE BOUNDARIES OF CARE. THE GROUP INCLUDES, AMONG OTHERS, THE AGENCY FOR HUMAN SERVICES BARRE HSA, VERMONT DEPARTMENT OF HEALTH, LOCAL HUB-AND-SPOKE PARTNERS, THE DESIGNATED AGENCIES FOR MENTAL HEALTH AND SUBSTANCE ABUSE (WASHINGTON COUNTY MENTAL HEALTH SERVICES, CENTRAL VERMONT SUBSTANCE ABUSE SERVICES, CENTRAL VERMONT ADDICTION MEDICINE), PREVENTION PARTNERS, THE TURNING POINT RECOVERY CENTER, THE YOUTH SERVICES BUREAU, RESIDENTIAL CARE PROVIDERS, LOCAL CRIMINAL JUSTICE, AND NUMEROUS OTHER ORGANIZATIONS AND INDIVIDUALS WHO ARE INVESTED IN IMPROVING ACCESS TO, AND QUALITY OF SUBSTANCE USE TREATMENT, RECOVERY, AND PREVENTION. IN COLLABORATION WITH WCSARP, CVMC WAS THE RECIPIENT OF FEDERAL FUNDS FROM THE RURAL COMMUNITIES OPIOID RESPONSE PROGRAM (RCORP) BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). RCORP'S AIM IS TO REDUCE THE MORBIDITY AND MORTALITY OF SUBSTANCE USE DISORDER (SUD), INCLUDING OPIOID USE DISORDER (OUD), IN HIGH RISK RURAL COMMUNITIES. THIS FUNDING WAS USED TO COMPLETE A NEEDS ASSESSMENT EVALUATION AND DEVELOP A STRATEGIC PLAN TO STRENGTHEN AND EXPAND SUD/OUD PREVENTION, TREATMENT, AND RECOVERY SERVICES IN OUR HSA. THREE IMPORTANT PROGRAMS EMERGED OUT OF GAPS IDENTIFIED BY WCSARP: -CVMC'S EMERGENCY DEPARTMENT INITIATED AN ALCOHOL WITHDRAWAL PROTOCOL IN COLLABORATION WITH WASHINGTON COUNTY MENTAL HEALTH SERVICES AND THE TURNING POINT RECOVERY CENTER TO PROVIDE ACCESS TO COMMUNITY-LOCATED SUPERVISED MEDICALLY ASSISTED WITHDRAWAL (MAW); -THE EMERGENCY DEPARTMENT HAS INITIATED THE STATE'S FIRST RAPID ACCESS TO MEDICATION ASSISTED TREATMENT (RAM) TO PROVIDE IMMEDIATE 24/7 INDUCTION WITH BUPRENORPHINE LINKED TO RAPID HUB-AND-SPOKE ACCESS; -THE TURNING POINT CENTER IS CURRENTLY A RECIPIENT OF VERMONT DEPARTMENT OF HEALTH FUNDING TO MAINTAIN PEER RECOVERY SUPPORTS INTO THE EMERGENCY DEPARTMENT AND HOSPITAL INPATIENT UNITS TO ASSURE ONGOING RECOVERY SUPPORT AND IMPROVE TRANSITIONS TO THE COMMUNITY. MENTAL HEALTH CVMC, IN PARTNERSHIP WITH WASHINGTON COUNTY MENTAL HEALTH SERVICES, HAS CREATED A MODEL OF EMBEDDING BEHAVIORAL HEALTH PRACTITIONERS WITHIN CVMC PRIMARY CARE PRACTICES. CVMC IN COLLABORATION WITH THE FAMILY CENTER OF WASHINGTON COUNTY AND WASHINGTON COUNTY MENTAL HEALTH SERVICES INITIATED THE ADVERSE CHILDHOOD EXPERIENCES (ACES) PROJECT. THE GOAL USE OF FAMILY SUPPORT SPECIALISTS EMBEDDED IN CVMC'S PEDIATRIC PRACTICE, TARGETING AGE GROUPS 0-36 MONTHS TO PROMOTE CHILD AND FAMILY PROTECTIVE FACTORS, PREVENT AND MITIGATE TOXIC STRESS, AND PROMOTE HEALTHY CHILD DEVELOPMENT FOR A PERIOD OF ONE YEAR. TOBACCO USE CVMC OFFERS A TOBACCO CESSATION PROGRAM ON AND OFF SITE THROUGHOUT THE YEAR. CURRENTLY, WE ARE ABLE TO ASSIST PARTICIPANTS WITH SUPPORT AND FREE NICOTINE REPLACEMENT THERAPY SUCH AS GUM, PATCHES AND LOZENGES. IN ADDITION, SBIRT CLINICIANS, ALSO TRAINED AS TOBACCO TREATMENT SPECIALISTS, PROVIDE INDIVIDUAL TOBACCO CESSATION COUNSELING TO PROMOTE SUCCESSFUL QUITTING. CVMC HAS TRAINED THREE (3) ADDITIONAL TOBACCO TREATMENT SPECIALISTS FOR THE HSA IN 2019. CVMC PROVIDED SUCCESSFUL ON-SITE WORKSHOPS FOR A LOCAL MANUFACTURER COVERING ALL SHIFTS THAT WERE BOTH WELL ATTENDED AND WELL RECEIVED. CVMC CONTINUES TO STRENGTHEN CONNECTIONS WITH LOCAL BUSINESSES TO PROMOTE TOBACCO CESSATION EFFORTS. THROUGH THE CVMC SELF-MANAGEMENT PROGRAM, WE CONTINUE TO ATTEND LOCAL EMPLOYERS' WELLNESS FAIRS, INCLUDING: STATE EMPLOYEE WELLNESS, WASHINGTON COUNTY MENTAL HEALTH SERVICES, NORWICH UNIVERSITY AND COMMUNITY BASED OUTREACH (BARRE HERITAGE FESTIVAL, MONTPELIER ALIVE) AND EXPANDED OUTREACH BY PARTICIPATING IN NATIONAL PROMOTIONS SUCH AS THE GREAT AMERICAN SMOKE-OUT. OUR OUTREACH WORK SERVES AS A TOOL FOR EDUCATING AND NETWORKING WITH COMMUNITY MEMBERS, WE CONTINUE TO WORK WITH OUR LOCAL PARTNERS, CONNECT WITH LOCAL COLLABORATIVES AND WORKGROUPS TO EXPAND OUR REACH AND SERVICE TO DIFFERENT POPULATIONS. HEALTHY DIETS CVMC RECOGNIZES THE IMPORTANCE OF INSPIRING HEALTHY LIFESTYLE CHANGES AND PROVIDING RESOURCES TO THE COMMUNITY TO ASSIST PEOPLE TRYING TO STAY HEALTHY THROUGH COMMUNITY HEALTH FAIRS. HEALTH FAIRS ARE A WAY TO MAKE IMPORTANT SCREENINGS (BLOOD PRESSURE CHECKS, BODY COMPOSITION) ASSESSABLE TO THE GENERAL POPULATION FOR LITTLE OR NO COST. CVMC CHOSE THREE UNIQUE POPULATIONS TO PROMOTE HEALTH (MONTPELIER, NORTHFIELD, AND BARRE) AND BY TAILORING CONTENT FOR EACH ONE LED TO HIGH VOLUME COMMUNITY PARTICIPATION RATES STAFFED BY REGISTERED DIETITIANS, NURSES, AND CERTIFIED HEALTH WELLNESS COACHES. CONSISTENTLY PROVIDED WAS PROACTIVE INFORMATION AND FUN, INTERACTIVE ACTIVITIES SUCH AS NUTRITIONAL DISPLAYS, RECIPES, SMOOTHIE BIKE, HEALTHY LIVING WORKSHOPS, WORKSITE WELLNESS IDEAS, AND WALKING EXERCISE PROGRAMS. BEING PRESENT AND OFFERING ENGAGING ACTIVITIES PROVIDED THE COMMUNITY THE VENUE TO ASK HEALTH-RELATED QUESTIONS, IDEAS FOR NEEDED RESOURCES, AND MAKE CONNECTIONS FOR MEMBERS THAT MAY NOT ASK OTHERWISE. LEADING BY EXAMPLE, CVMC PARTICIPATED IN NATIONAL WALK AT LUNCH DAY AND THE CONNECTING HOPE ANNUAL EVENT-WINTER WARM UP AND PROMOTED WELLNESS AT SPORTING EVENTS SUCH AS THE MUDDY ONION BIKE RACE. YOUTH PARTICIPATION IN PHYSICAL ACTIVITIES CVMC'S POPULATION HEALTH MANAGEMENT GOALS REVOLVE AROUND THE IDENTIFICATION OF RISK FACTORS THAT, IF ADDRESSED EARLY, CAN REDUCE THE PREVALENCE OF CHRONIC MEDICAL CONDITIONS LATER IN LIFE. PANEL MANAGEMENT EFFORTS CONTINUE WITHIN OUR CVMC PEDIATRIC PRIMARY CARE PRACTICE TO IDENTIFY CHILDREN THAT ARE OVERDUE FOR WELL-CHILD VISITS AND PROVIDE OUTREACH TO ENCOURAGE THEM TO ATTEND. BODY MASS INDEX IS CALCULATED AT EACH WELL-CHILD VISIT AND EDUCATION IS PROVIDED AROUND THE IMPORTANCE OF PHYSICAL ACTIVITY FOR OUR PEDIATRIC PATIENTS. IN ADDITION, THE CVMC SCHOOL-BASED HEALTH PROGRAM, AN EXTENSION OF OUR PEDIATRIC PRIMARY CARE PRACTICE AND OPERATES TWO DAYS EACH WEEK AT THE BARRE CITY ELEMENTARY AND MIDDLE SCHOOL, OFFERS THE BENEFIT OF BEING EMBEDDED IN THE SCHOOL SETTING. THIS PROVIDES GREATER OPPORTUNITIES FOR OUR PEDIATRIC CLINICIANS TO DISCUSS AND PROMOTE THE IMPORTANCE OF PHYSICAL ACTIVITY AND HOW IT IMPACTS OVERALL HEALTH AND WELL-BEING WITH OUR PEDIATRIC PATIENTS. CVMC HAS UPDATED ITS HEALTHY LIVING FOR KIDS WORKSHOP TO FOCUS ON HEALTHY HABITS FOR A HEALTHY LIFESTYLE WHILE STAYING WEIGHT NEUTRAL IN ITS MESSAGE. BY OPENING UP THE CLASS EXPERIENCE TO THE FAMILY AS A WHOLE, CVMC IS STRIVING TO REACH A BROADER AUDIENCE, AND PROMOTE ACTIVE PARTICIPATION OF YOUTH IN PREPARATION OF HEALTHY FOODS AND PAIRING FOOD WITH PHYSICAL ACTIVITY TO FOSTER POSITIVE SELF-IMAGE AND LIFELONG HEALTHY HABITS. |
| NEEDS NOT BEING ADDRESSED | THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION STRATEGY IDENTIFIED ADDITIONAL DETERMINANTS OF HEALTH THAT FALL OUTSIDE THE REALM OF OUR CAPABILITIES AT CVMC. A PROMINENT NEED THAT WE ARE NOT DIRECTLY ADDRESSING IS ORAL HEALTH. SEVERAL OF OUR PHYSICIANS HAVE UNDERGONE FLUORIDE TREATMENT TRAINING, AND ARE ABLE TO PROVIDE THIS SERVICE FOR CHILDREN UP TO FOUR YEARS OF AGE WHO DO NOT HAVE ACCESS TO DENTAL CARE. HOWEVER, ONE OUT OF FOUR ADULTS IN WASHINGTON COUNTY HAS NOT VISITED A DENTIST IN THE LAST YEAR. AS A MEDICAL HOSPITAL, WE DO NOT HAVE THE FACILITIES OR EXPERTISE TO ADDRESS THIS NEED DIRECTLY. WITH THIS SAID, IT IS IMPORTANT THAT WE RECOGNIZE ALL FACTORS THAT MAY BE AFFECTING THE OVERALL HEALTH OF PATIENTS WALKING THROUGH OUR DOORS AT CVMC. WE INTEND TO CONTINUE COLLABORATION WITH COMMUNITY FACILITIES SUCH AS THE HEALTH CENTER IN PLAINFIELD AND THE PEOPLE'S HEALTH AND WELLNESS CENTER IN BARRE THAT OFFER DENTAL CARE. OTHER AREAS WERE IDENTIFIED WHICH WE HAVE CHOSEN TO ACKNOWLEDGE, BUT NOT ADDRESS DIRECTLY AS PART OF OUR STRATEGIC PLAN. SOME OF THOSE NEEDS WERE: - INCREASE AVAILABLE HOUSING FOR THOSE IN NEED - DECREASE TEENAGE PREGNANCIES - DECREASE UNPLANNED PREGNANCIES - EXPAND SERVICES TARGETING THE ELDERLY IN OUR COMMUNITY - INCREASE THE NUMBER OF WALKING PATHS AND/OR BIKE LANES IN OUR COMMUNITY - INCREASE AVAILABILITY TO MENTAL HEALTH SERVICES MENTAL HEALTH HAS BEEN IDENTIFIED AS THE COSTLIEST MEDICAL CONDITION IN THE COUNTRY AND AN AREA THAT SUFFERS FROM INADEQUATE CAPACITY. - CVMC IS WORKING ALONGSIDE WASHINGTON COUNTY MEDICAL HEALTH SERVICES TO INTEGRATE MENTAL HEALTH PRACTITIONERS INTO EVERY PRIMARY CARE PRACTICE - FAMILY PSYCHIATRY ADOPTED A FORMAL STANDARDIZED DEPRESSION SCREENING FOR PATIENTS AGED 12 AND OLDER - CVMC, IN COLLABORATION WITH WASHINGTON COUNTY MENTAL HEALTH SERVICES, IS OFFERING ADDITIONAL PRE-NATAL AND POSTPARTUM SUPPORT FOR WOMEN WITH A HISTORY OF, OR AT RISK FOR DEPRESSION. |
| PART V, LINES 16A, 16B & 16C | https://www.cvmc.org/sites/default/files/documents/CVMC-Financial-Assistan ce-Policy-2020.pdf https://www.cvmc.org/sites/default/files/documents/CVMC-Financial-Assistan ce-Application-2020.pdf https://www.cvmc.org/sites/default/files/documents/CVMC-Financial-Assistan ce-Policy-Summary-2020.pdf |
| PART V, LINE 16J | IN ADDITION TO HAVING THE APPLICATION FOR FINANCIAL ASSISTANCE AND THE SLIDING SCALE GRID OF HOW FINANCIAL ASSISTANCE IS AWARDED. CVMC HAS COMPREHENSIVE INFORMATION ON THE WEBSITE ABOUT THE POLICY, MATERIALS REQUIRED TO APPLY AND CONTACT INFORMATION FOR THE FINANCIAL COUNSELORS, SO INTERESTED INDIVIDUALS CAN APPLY. ADDITIONALLY, THERE IS REFERENCE MADE TO THE POLICY ON PATIENT'S BILLS AS WELL AS APPLICATIONS AND INFORMATION AVAILABLE IN REGISTRATION AREAS IN THE HOSPITAL AND CLINIC LOCATIONS. CVMC ALSO EMPLOYS A TEAM OF FINANCIAL COUNSELORS WHO WORK WITH PATIENTS THROUGHOUT THEIR VISIT TO ENSURE THAT WE COMMUNICATE WITH AS MANY ELIGIBLE INDIVIDUALS AS POSSIBLE. THESE FINANCIAL COUNSELORS ALSO WORK WITH PATIENTS TO EXPLORE THE OTHER OPPORTUNITIES AVAILABLE TO INDIVIDUALS IN NEED THROUGHOUT THE STATE OF VERMONT. |
| PART V, LINE 18F | CVMC DID NOT INITIATE ANY OF THE ACTIONS DESCRIBED IN SCHEDULE H, PART V, SECTION B, LINE 18. HOWEVER, IF THE HOSPITAL HAD UNDERTAKEN ANY OF THE LISTED ACTIONS, IT WOULD HAVE FIRST NOTIFIED PATIENTS OF ITS FINANCIAL ASSISTANCE POLICY ON ADMISSION, PRIOR TO DISCHARGE, AND IN COMMUNICATIONS WITH THE PATIENTS REGARDING THEIR BILLS. ADDITIONALLY, CVMC WOULD HAVE DOCUMENTED ITS DETERMINATION OF WHETHER PATIENTS WERE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CVMC - WOODRIDGE NURSING HOME | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 142 Woodridge Drive | AddressLine1Txt |
| City | BERLIN | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | SKILLED NURSING FACILITY | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART VI, LINE 1 | THE ORGANIZATION'S REQUIRED SCHEDULE H SPECIFIC LINE ITEM DESCRIPTIONS ARE AS FOLLOWS: |
| PART I, LINES 3A-C: | PATIENT ELIGIBILITY: ELIGIBILITY FOR FINANCIAL ASSISTANCE WILL BE CONSIDERED FOR THOSE INDIVIDUALS WHO ARE UNINSURED, UNDERINSURED, INELIGIBLE FOR ANY GOVERNMENT HEALTH CARE BENEFIT PROGRAM, AND WHO ARE UNABLE TO PAY FOR THEIR CARE, BASED UPON A DETERMINATION OF FINANCIAL NEED IN ACCORDANCE WITH THIS POLICY. THE GRANTING OF CHARITY SHALL BE BASED ON AN INDIVIDUALIZED DETERMINATION OF FINANCIAL NEED, AND SHALL NOT TAKE INTO ACCOUNT AGE, GENDER, RACE, SOCIAL OR IMMIGRANT STATUS, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, OR RELIGIOUS AFFILIATION. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED ON BOTH AN INCOME AND ASSET TEST. A. INCOME TEST: THIS PROGRAM IS LIMITED TO PATIENTS WITH DEMONSTRATED FINANCIAL NEED EITHER DUE TO LIMITED INCOME OR IF THEIR MEDICAL BILLS ARE AN EXCESSIVE PORTION OF THEIR INCOME. THE MOST RECENTLY PUBLISHED FEDERAL PROVIDER GUIDELINES WILL BE USED AS THE PRIMARY DETERMINANT. A PATIENT WHOSE HOUSEHOLD INCOME IS AT OR BELOW 400% OF THE FEDERAL POVERTY LEVEL GUIDELINES (FPLG), AS ADJUSTED FOR HOUSEHOLD SIZE, MAY PASS THE INCOME TEST AND ARE CONSIDERED FOR CHARITY CARE ASSISTANCE IF THEY ALSO PASS THE ASSET TEST. -NON-CUSTODIAL PARENTS MAY HAVE THEIR INCOME ADJUSTED FOR CHILD SUPPORT WHEN SUPPORTING DOCUMENTATION OF PAYMENT IS PROVIDED. -PATIENTS MAY HAVE THEIR INCOME ADJUSTED FOR ALIMONY WHEN SUPPORTING DOCUMENTATION OF PAYMENT IS PROVIDED. -DEPENDENTS MAY BE INCLUDED WITHIN THE HOUSEHOLD WHEN MORE THAN 50% OF THE SUPPORT IS PROVIDED BY THE GUARANTOR. TO QUALIFY FOR THIS HOUSEHOLD EXTENSION, THE DEPENDENT MUST BE LISTED AS A DEPENDENT ON THE FEDERAL INCOME TAX RETURN. B. ASSET TEST: EACH INDIVIDUAL/HOUSEHOLD RESIDING IN VERMONT OR APPLICABLE COUNTIES IN NEW YORK AND NEW HAMPSHIRE ARE ALLOWED LIQUID ASSETS TO EQUAL $50,000. IF ASSETS ARE BELOW THIS GUIDELINE, THE PATIENT PASSES THE ASSETS TEST. -INCLUDED IN THE ASSET TEST: -CASH, SAVINGS ACCOUNT BALANCES, CHECKING ACCOUNT BALANCES, MONEY MARKETS, CD'S, TERM CERTIFICATES, ANNUITIES, STOCKS, BONDS, MUTUAL FUNDS AND OTHER "LIQUID" ASSETS. -HOMES (EXCLUDING THE PRIMARY RESIDENCE), RENTAL PROPERTIES, AND FAIR MARKET VALUE FOR RECREATIONAL VEHICLES. DEPENDING UPON THE VALUE, RENTAL PROPERTIES MAY BE EXCLUDED FROM THE CALCULATION PROVIDED RENTAL INCOME IS INCLUDED IN THE MONTHLY HOUSEHOLD CALCULATION. EXCLUSIONS: -PRIMARY RESIDENCE, ASSETS HELD IN A TAX DEFERRED COMPARABLE RETIREMENT SAVINGS ACCOUNT AND COLLEGE SAVINGS ACCOUNTS HELD BY THE PATIENT FOR THE PATIENT ARE EXCLUDED FROM THE ASSETS REVIEW. -ACCOUNTS ALREADY REFERRED TO A COLLECTION AGENCY GREATER THAN 120 DAYS FROM PLACEMENT TO AGENCY, UNLESS REFERRED IN ERROR; -SERVICES REIMBURSED DIRECTLY TO THE PATIENT(S) BY AN INSURANCE CARRIER OR ALREADY COVERED BY ANOTHER THIRD PARTY. -TUITION STIPENDS AND/OR GRANTS FOR EDUCATION ARE NOT CONSIDERED A LIQUID ASSET AND SHALL NOT BE FACTORED INTO THE ASSETS TEST. PUBLIC HEALTH CARE PROGRAM/HEALTHCARE EXCHANGE CRITERION: PATIENTS APPLYING FOR CVMC FINANCIAL ASSISTANCE ARE REVIEWED FOR THEIR POTENTIAL ELIGIBILITY FOR STATE OR FEDERAL HEALTHCARE PROGRAM BENEFITS AND/OR BENEFITS OFFERED THROUGH THE VERMONT OR NY HEALTHCARE EXCHANGE PROGRAMS. ANY PATIENT IDENTIFIED WITH POTENTIAL TO BE GRANTED SUCH ASSISTANCE WILL BE INSTRUCTED TO APPLY. FOR THOSE PATIENTS IDENTIFIED AS CANDIDATES FOR ELIGIBILITY FOR EITHER THE NY OR VT OR NH HEALTHCARE EXCHANGE PROGRAM; APPLICATION FOR AND COMPLIANCE WITH THOSE PROGRAM GUIDELINES IS A PRE-REQUISITE FOR CVMC PATIENT FINANCIAL ASSISTANCE. EXCLUSIONS: A PATIENT WHOSE RELIGIOUS OR CULTURAL BELIEF SYSTEM PROHIBITS SEEKING OR RECEIVING FINANCIAL ASSISTANCE FROM A GOVERNMENT ENTITY MAY BE EXCLUDED FROM THE PUBLIC HEALTH CARE PROGRAM CRITERION. THE PATIENT WILL, HOWEVER, BE REQUIRED TO ASSUME A PORTION OF FINANCIAL RESPONSIBILITY TO BE ASSESSED BY THE PATIENT ASSISTANCE PROGRAM APPEALS COMMITTEE. DETERMINATION OF FINANCIAL NEED: FINANCIAL NEED WILL BE DETERMINED IN ACCORDANCE WITH PROCEDURES THAT INVOLVE AN INDIVIDUAL ASSESSMENT OF FINANCIAL NEED WHICH WILL INCLUDE THE FOLLOWING: NOTE, IN THE CASE OF PRESUMPTIVE CHARITY, THE APPLICATION PROCESS MAY BE EXCLUDED. -INCLUDE AN APPLICATION PROCESS, IN WHICH THE PATIENT OR THE PATIENT'S GUARANTOR ARE REQUIRED TO COOPERATE AND SUPPLY PERSONAL, FINANCIAL AND OTHER INFORMATION AND DOCUMENTATION RELEVANT TO MAKING A DETERMINATION OF FINANCIAL NEED; -INCLUDE REASONABLE EFFORTS BY CVMC TO EXPLORE APPROPRIATE ALTERNATIVE SOURCES OF PAYMENT AND COVERAGE FROM PUBLIC AND PRIVATE PAYMENT PROGRAMS, AND TO ASSIST PATIENTS TO APPLY FOR SUCH PROGRAMS; -TAKE INTO ACCOUNT THE PATIENT'S AVAILABLE ASSETS, AND ALL OTHER FINANCIAL RESOURCES AVAILABLE TO THE PATIENT; IT IS PREFERRED BUT NOT REQUIRED THAT A REQUEST FOR FINANCIAL ASSISTANCE AND A DETERMINATION OF FINANCIAL NEED OCCUR PRIOR TO RENDERING OF SERVICES. A PATIENT MUST HAVE A CURRENT PATIENT BALANCE THAT IS DUE TO CVMC, AN EXPECTATION THAT AN ACCOUNT CURRENTLY PENDING INSURANCE WILL LEAVE A BALANCE THAT IS DUE TO CVMC, OR A FUTURE SCHEDULED/REFERRED SERVICE AT CVMC THAT IS EXPECTED TO LEAVE A PATIENT BALANCE. HOWEVER, THE DETERMINATION MAY BE DONE AT ANY POINT IN THE BILLING CYCLE. CENTRAL VERMONT MEDICAL CENTER'S VALUES OF HUMAN DIGNITY AND STEWARDSHIP SHALL BE REFLECTED IN THE APPLICATION PROCESS, FINANCIAL NEED DETERMINATION AND GRANTING OF FINANCIAL ASSISTANCE. REQUESTS FOR CHARITY SHALL BE PROCESSED PROMPTLY AND CVMC SHALL NOTIFY THE PATIENT/APPLICANT OF DECISION IN WRITING WITHIN 30 DAYS OF RECEIPT OF A COMPLETED APPLICATION. FINANCIAL ASSISTANCE ELIGIBILITY PERIOD: THE NEED FOR CHARITY ASSISTANCE SHALL BE RE-EVALUATED AT EACH SUBSEQUENT TIME OF SERVICE IF THE LAST FINANCIAL EVALUATION WAS COMPLETED MORE THAN SIX MONTHS PRIOR, OR AT ANY TIME ADDITIONAL INFORMATION RELEVANT TO THE ELIGIBILITY OF THE PATIENT FOR CHARITY BECOMES KNOWN. RE-EVALUATION OF PATIENTS WHOSE AGE EXCEEDS 65 AND WHOSE INCOME IS FIXED BELOW 400% FPLG SHALL OCCUR ANNUALLY. NOTE: IT IS PERMISSIBLE FOR PATIENTS TO SUBMIT NEW SUPPORTING FINANCIAL DOCUMENTATION PROVIDED THE APPLICATION ON FILE IS LESS THAN ONE YEAR OLD. SUPPORTING FINANCIAL DOCUMENTATION PROVIDED THE APPLICATION ON FILE IS LESS THAN ONE YEAR OLD. CENTRAL VERMONT MEDICAL CENTER'S VALUE OF HUMAN DIGNITY AND STEWARDSHIP SHALL BE REFLECTED IN THE APPLICATION PROCESS, FINANCIAL NEED DETERMINATION AND GRANTING OF FINANCIAL ASSISTANCE. REQUESTS FOR CHARITY SHALL BE PROCESSED PROMPTLY AND CVMC SHALL NOTIFY THE PATIENT/APPLICANT OF DECISION IN WRITING WITHIN 30 DAYS OF RECEIPT OF A COMPLETED APPLICATION. |
| PART I, LINE 7: | CVMC FOLLOWS THE IRS GUIDELINE FOR THE COMPLETION OF SCHEDULE H, PART I, LINES 7A-K, COLUMNS A-F. CVMC'S COST-TO-CHARGE RATIO IS USED FOR EACH OF THESE CALCULATIONS. |
| PART I, LINE 7, COLUMN 7: | THE PROVISION FOR BAD DEBT INCLUDED ON FORM 990, PART IX, LINE 25 BUT SUBTRACTED FOR PURPOSE OF CALCULATING THE AMOUNT REPORTED ON LINE 7(F) IS $5,607,318. |
| PART III, LINE 2: | BAD DEBT EXPENSE WAS CALCULATED BY TAKING THE CHARGES THAT WERE WRITTEN OFF TO ALLOWANCE TO BAD DEBT RESERVE AND REDUCING BY ANY RECOVERIES. THE BAD DEBT RESERVE IS BASED ON AN EVALUATION OF THE COLLECTABILITY OF ACCOUNTS RECEIVABLE. CVMC ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR CATEGORIES OF REVENUE TO ESTIMATE THE APPROPRIATE BAD DEBT RESERVE. MANAGEMENT REGULARLY REVIEWS ACCOUNTS RECEIVABLE DATA AND THE BAD DEBT RESERVE FOR REASONABLENESS. |
| PART III, LINE 3: | THE AMOUNT ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR CHARITY CARE WAS CALCULATED USING A PERCENTAGE OF COLLECTION CASES WHEREBY THE COLLECTION AGENCY HAS, UPON FURTHER COLLECTION ACTIVITY BEEN INFORMED THAT THE PATIENT REQUESTED FINANCIAL ASSISTANCE WITH HIS/HER BILL. THIS PERCENTAGE IS APPROXIMATELY 2% OF ALL COLLECTION CALL ACTIVITY. THIS PERCENTAGE WAS CALCULATED FROM THE NUMBER OF CALLS WITH A REQUEST FOR FINANCIAL ASSISTANCE LISTED ON THE COLLECTION AGENCY'S LOG AS A PERCENTAGE OF THE TOTAL NUMBER OF CALLS THE COLLECTION AGENCY MADE. |
| PART III, LINE 4: | PLEASE REFERENCE FOOTNOTE NUMBER 3 ON PAGE 16-17 IN THE FISCAL YEAR 2019 AUDITED CONSOLIDATED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS SUCH AS MEDICARE IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD TO WHICH TAX-EXEMPT HOSPITALS ARE HELD. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. CVMC DETERMINES THE ALLOWABLE MEDICARE COSTS BY USING A COST TO CHARGE RATIO CALCULATION. |
| PART III, LINE 9B: | INDIVIDUALS WHO RECEIVE SERVICES ARE EXPECTED TO PAY FOR THESE SERVICES AND/OR FIND OTHER MEANS OF RESOLUTION WHICH MAY INCLUDE HEALTH INSURANCE COVERAGE, AN APPROVED PAYMENT PLAN AND/OR IF ELIGIBLE THE PATIENT FINANCIAL ASSISTANCE PROGRAM. WHEN ALL EFFORTS TO OBTAIN PAYMENT FROM THE PATIENT OR SPONSORSHIP FROM THE FINANCIAL ASSISTANCE PROGRAM HAVE BEEN EXHAUSTED, ACCOUNTS WILL BE REFERRED TO A THIRD-PARTY COLLECTION AGENCY AT THE END OF THE BILLING CYCLE. CENTRAL VERMONT MEDICAL CENTER DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS AND MAKES REASONABLE ATTEMPTS TO INFORM, EDUCATE, AND ENCOURAGE PATIENTS TO APPLY FOR FINANCIAL ASSISTANCE WHERE HARDSHIP EXISTS. CENTRAL VERMONT MEDICAL CENTER DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, SEX, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, AGE, LANGUAGE, OR PHYSICAL OR MENTAL DISABILITY. PROCEDURE: 1. CENTRAL VERMONT MEDICAL CENTER WILL SUBMIT CLAIMS TO INSURERS AND WILL WORK WITH THEM TO FACILITATE TIMELY PROCESSING. THE PATIENT IS RESPONSIBLE FOR COMPLYING WITH ALL PRE-AUTHORIZATION, PRE-CERTIFICATION, REFERRAL AND OTHER POLICY REQUIREMENTS. THE PATIENT'S INSURANCE POLICY IS AN AGREEMENT BETWEEN THE PATIENT AND THE INSURANCE CARRIER; IT IS NOT AN AGREEMENT BETWEEN THE ORGANIZATION AND THE INSURANCE CARRIER. 2. A GUARANTOR SYSTEM DETERMINES WHO IS FINANCIALLY RESPONSIBLE FOR SELF-PAY BALANCES. ADULTS ARE RESPONSIBLE FOR THEMSELVES AS WELL AS THEIR MINOR CHILDREN. IN THE CASE OF MARRIED INDIVIDUALS, THE PATIENT SHALL MAINTAIN FINANCIAL RESPONSIBILITY REGARDLESS OF WHO IS THE INSURANCE POLICYHOLDER. 3.THE GUARANTOR WILL BE BILLED ON A MONTHLY (28-DAY MONTH) CYCLE FOR ALL SELF-PAY BALANCES DETERMINED TO BE THEIR RESPONSIBILITY. STATEMENTS WILL BE SENT AFTER INSURANCES HAVE ACTED ON THE CLAIMS AND/OR NO RESPONSE HAS BEEN RECEIVED FROM THE INSURER. IN THE CASE OF AN UNINSURED PATIENT, A STATEMENT WILL BE GENERATED BASED UPON AN ALPHA CYCLE DURING THE MONTH AFTER SERVICES HAVE BEEN RENDERED. PAYMENT IN FULL IS DUE AT TIME OF SERVICE AND/OR NO LATER THAN THE DUE DATE ON THE INITIAL BILLING STATEMENT. 4. THE GUARANTOR WILL RECEIVE A TOTAL OF THREE STATEMENTS FOLLOWED BY A PRE-COLLECTION LETTER (FINAL NOTICE) OVER THE COURSE OF 120 DAYS. SEPARATE STATEMENTS WILL BE GENERATED FOR HOSPITAL, PHYSICIAN AND ANESTHESIA SERVICES. THE SAME 120-DAY COURSE OF BILLING WILL OCCUR ACROSS EACH LINE OF BUSINESS WITH THE EXCEPTION SITED IN #8. SHOULD STATEMENTS BE RETURNED AS UNDELIVERABLE, CUSTOMER SERVICE WILL CONTACT THE PATIENT VIA PHONE TO OBTAIN AN ACCURATE BILLING ADDRESS. IN THIS CASE, THE NEW MAILING DATE WILL BEGIN THE 120-DAY COURSE OF BILLING. IF NO CONTACT CAN BE MADE WITH THE PATIENT AND PAYMENT IS NOT RECEIVED WITHIN 120 DAYS, THE ACCOUNT WILL BE REFERRED TO A COLLECTION AGENCY FOR FOLLOW-UP. ALL STATEMENTS INDICATE THAT FINANCIAL ASSISTANCE IS AVAILABLE; THE PHONE NUMBER TO CONTACT A CUSTOMER SERVICE REPRESENTATIVE IS ALSO INCLUDED. 5. WHEN PAYMENT IS NOT RECEIVED, CUSTOMER SERVICE REPRESENTATIVES WILL ATTEMPT TO CONTACT THE PATIENT WITHIN 30 DAYS OF STATEMENT MAILING TO OBTAIN PAYMENT AND/OR ESTABLISH A PAYMENT PLAN. IF WE ARE UNABLE TO CONNECT WITH THE PATIENT, FOLLOW-UP CALLS VIA AUTOMATED MESSAGING WILL OCCUR OVER THE COURSE OF THE 120-DAY BILLING CYCLE. ADDITIONAL MESSAGING OF INCREASE URGENCY WILL BE REFLECTED ON SECOND AND THIRD STATEMENTS WITH THE MAILING OF A PRE-COLLECTION (FINAL NOTICE) LETTER URGING THE PATIENT CONTACT THE CUSTOMER SERVICE DEPARTMENT. 6. PATIENTS WHO ARE UNABLE TO MAKE PAYMENT IN FULL MAY BE OFFERED A BUDGET PLAN. BUDGET PLANS ARE A COURTESY AND WHEN A PATIENT ENTERS INTO THE AGREEMENT AN EXPECTATION FOR TIMELY AND CONSISTENT PAYMENT IS EXPECTED. BUDGET PLANS MAY BE OFFERED UP TO A MAXIMUM OF 36 MONTHS DEPENDING UPON THE TOTAL ACCOUNT BALANCE. SHOULD A PATIENT REQUEST AN EXTENDED TIMEFRAME, MANAGEMENT RESERVES THE RIGHT TO EXTEND BEYOND 36 MONTHS. 7. GUARANTORS/PATIENTS WHO ARE UNABLE TO MAKE PAYMENT IN FULL OR THROUGH A BUDGET PLAN SHALL BE INFORMED OF AND COUNSELED ON THE PATIENT FINANCIAL ASSISTANCE PROGRAM. CUSTOMER SERVICE REPRESENTATIVES WILL EDUCATE AND ENCOURAGE PATIENTS TO APPLY FOR ASSISTANCE AND WILL DIRECT PATIENTS TO OUR WEBSITE FOR APPLICATIONS TO MAIL AN APPLICATION DIRECTLY TO THE PATIENT. AT THE TIME AN APPLICATION IS SENT TO THE PATIENT, ACCOUNTS IN ARREARS WILL HAVE ONE MONTH OF AGING REDUCED TO ALLOW TIME FOR THE PATIENT TO COMPLETE AND RETURN THE APPLICATION. 8. STATEMENTS INCLUDE ALL SERVICES PROVIDED TO THE PATIENT WHERE A PATIENT RESPONSIBILITY REMAINS. ALTHOUGH BILLED IN AGGREGATE ON A MONTHLY BASIS, AGING OF INDIVIDUAL ENCOUNTERS OCCURS INDEPENDENTLY OF OTHER SERVICES. EACH ENCOUNTER SHALL RECEIVE A MINIMUM OF 120 DAYS OF BILLING FROM THE DATE OF INITIAL SELF-PAY BALANCE PRIOR TO A COLLECTION AGENCY REFERRAL. THERE IS ONE EXCEPTION TO THIS RULE; PHYSICIAN SERVICES WHERE NO PAYMENT HAS BEEN RECEIVED OVER 120DAYS SHALL HAVE ALL SELF-PAY BALANCES SENT TO COLLECTIONS AS A ONE-TIME TRANSACTION. SUBSEQUENT SERVICES WILL RE-START THE 120-DAY AGING PROCESS. 9. IT IS THE PATIENT'S/GUARANTOR'S RESPONSIBILITY TO UPDATE THE ORGANIZATION WITH ANY CHANGES IN THEIR BILLING ADDRESS AND THEIR TELEPHONE NUMBER. STATEMENTS RETURNED FOR A BAD ADDRESS AND WHERE A VIABLE ADDRESS CANNOT BE OBTAINED VIA PHONE SHALL REMAIN IN-HOUSE FOR THE FULL 120 DAYS. AN EXCEPTION TO THIS PROCESS MAY OCCUR FOR INTERNATIONAL PATIENTS WHICH MAY HAVE AN EXPEDITED TRANSFER TO A THIRD-PARTY FOLLOW-UP AGENCY. IN CASES WHERE THERE IS NO WAY TO CONTACT A GUARANTOR, THE ACCOUNT MAY BE SENT TO AN OUTSIDE COLLECTION AGENCY PRIOR TO THE 120-DAY WINDOW FOR SKIP TRACKING FOLLOW-UP. 10. WHEN BILLING STATEMENTS, PRE-COLLECTION LETTERS (FINAL NOTICE), FOLLOW-UP PHONE CALLS AND MAILED FINANCIAL ASSISTANCE APPLICATIONS FAIL TO RESULT IN PAYMENT; AND A MINIMUM OF 120 DAYS HAVE BEEN EXHAUSTED, THE AGED ACCOUNT SHALL BE SENT TO A THIRD-PARTY COLLECTION AGENCY FOR FOLLOW-UP. 11. ACCOUNTS REFERRED TO A COLLECTION AGENCY WITHIN SEVEN DAYS OF PLACEMENT, SHALL BE RECALLED IF PAYMENT IS MADE, BUDGET ARRANGEMENTS ARE ESTABLISHED OR IF THE PATIENT HAS REQUESTED FINANCIAL ASSISTANCE. NOTE: APPROVED FINANCIAL ASSISTANCE APPLICATIONS MAY HAVE ACCOUNTS RECALLED FROM THE THIRD-PARTY AGENCY IF THEY FALL WITHIN THE APPLICATION WINDOW. 12. CENTRAL VERMONT MEDICAL CENTER DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS, THIS INCLUDES: THE SELLING OF AN INDIVIDUAL'S DEBT TO A THIRD PARTY, REPORTING ADVERSE INFORMATION TO CONSUMER CREDIT REPORTING AGENCIES OR CREDIT BUREAUS, DEFERRING OR DENYING OR REQUIRING A PAYMENT BEFORE PROVIDING MEDICALLY NECESSARY CARE BECAUSE OF AN INDIVIDUAL'S NONPAYMENT OF ONE OR MORE BILLS FOR PREVIOUSLY PROVIDED CARE COVERED UNDER THE FINANCIAL ASSISTANCE PROGRAM, AND ACTIONS THAT REQUIRE A LEGAL OR JUDICIAL PROCESS. CVMC MAY FILE A LIEN ON THE PROCEEDS OF A JUDGMENT OR SETTLEMENT TO AN INDIVIDUAL AS A RESULT OF PERSONAL INJURIES FOR WHICH CVMC PROVIDED CARE, E.G., AUTO ACCIDENT. 13. CENTRAL VERMONT MEDICAL CENTER STAFF WILL ADHERE TO ALL LOCAL, STATE AND FEDERAL COLLECTION LAWS AND REGULATIONS REGARDING CREDIT AND COLLECTIONS. THE FAIR DEBT COLLECTION PRACTICES ACT IS THE CURRENT STANDARD. 14. ACCOUNTS WILL BE PLACED WITH AN OUTSIDE COLLECTION AGENCY ONCE MATURED OVER 120-DAYS, RECEIVED THREE STATEMENTS, A PRE-COLLECTION LETTER (FINAL NOTICE), AND ALL EFFORTS TO SECURE PAYMENT HAVE BEEN EXHAUSTED. ACCOUNTS PLACED IN COLLECTIONS WILL REMAIN WITH THE COLLECTION AGENCY FOR A PERIOD OF 2.5 YEARS. HOWEVER, IF AN ACCOUNT HAS NOT RECEIVED PAYMENT WITHIN 12 MONTHS, IT WILL BE RETURNED TO CVMC AS UNCOLLECTABLE FOR ALL LINES OF BUSINESS. ALL MEDICARE ACCOUNTS RETURNED WILL BE REPORTED ON A SEPARATE SPREADSHEET FOR REVIEW. |
| NEEDS ASSESSMENT | PART VI, LINE 2 THE COMPREHENSIVE 2019 CHNA INCLUDED AN IN-DEPTH REVIEW OF PRIMARY AND SECONDARY DATA. HEALTH TRENDS, SOCI-ECONOMIC STATISTICS, AND STAKEHOLDER PERCEPTIONS, AMONG OTHER INFORMATION WE ANALYZED TO INFORM COMMUNITY HEALTH PLANNING. PRIMARY STUDY METHODS WERE USED TO SOLICIT INPUT FROM HEALTH CARE CONSUMERS AND KEY COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. SECONDARY STUDY METHODS WERE USED TO IDENTIFY AND ANALYZE STATISTICAL DEMOGRAPHIC AND HEALTH TRENDS. COMMUNITY ENGAGEMENT WAS AN INTEGRAL PART OF THE 2019 CHNA WITH WIDE PARTICIPATION FROM NEARLY 1,500 COMMUNITY STAKEHOLDERS WHO PARTICIPATED IN SURVEYS, FOCUS GROUPS, PLANNING MEETINGS, AND OTHER DIALOGUE. SPECIFIC CHNA STUDY METHODS INCLUDED: -AN ANALYSIS OF SECONDARY DATA SOURCES, INCLUDING NATIONAL AND STATE HEALTH STATISTICS, DEMOGRAPHIC AND SOCIAL MEASURES, AND HEALTH CARE UTILIZATION DATA. -A COMMUNITY MEMBER SURVEY COMPLETED BY 1,429 RESIDENTS COLLECTED COMMUNITY PERSPECTIVES ON HEALTH CONCERNS, BARRIERS TO CARE, RECOMMENDATIONS AND RELATED INSIGHTS. -FOCUS GROUPS WITH 33 HEALTH CARE CONSUMERS INFORMED ACTION PLANNING AND STRATEGIES TO ADDRESS COMMUNITY HEALTH PRIORITIES. -PRIORITIZATION OF HEALTH NEEDS IN COLLABORATION WITH THRIVE COMMUNITY ACTION NETWORK (CAN) MEMBERS AND CVMC CLINICAL AND ADMINISTRATIVE LEADERSHIP MEMBERS (CALM) LEADERS. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE AT THE FOLLOWING WEB ADDRESS: https://www.cvmc.org/sites/default/files/documents/Community-Health-Needs- Assessment-2019.pdf |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PART VI, LINE 3 CVMC PROVIDES THE BELOW INFORMATION AND EDUCATION TO PATIENTS REGARDING ELIGIBILITY OF FINANCIAL ASSISTANCE: CVMC'S FINANCIAL ASSISTANCE SUMMARIES ARE INCLUDED IN ALL PATIENT ADMISSION PACKETS IN ADDITION OF BEING POSTED ON THE CVMC WEBSITE. THROUGHOUT THE CVMC CAMPUS AND OFFSITE PRACTICES CONSPICUOUS DISPLAYS REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE ARE DISPLAYED. INCLUDED ON ALL PATIENT INVOICES IS THE CONTACT INFORMATION FOR CVMC PATIENT FINANCIAL SERVICES FOR PATIENTS WITH QUESTIONS OR CONCERNS REGARDING PAYING THEIR BILL. PATIENT FINANCIAL SERVICES HAS APPLICATIONS FOR ALL STATE FINANCIAL AID PROGRAMS ON FILE. CVMC EMPLOYS A FINANCIAL COUNSELING TEAM WHO WILL MEET WITH PATIENTS TO ASSIST IN DETERMINING WHICH PROGRAMS THE PATIENT MAY QUALIFY FOR. THEY WILL ALSO PROVIDE ASSISTANCE IN FILLING OUT ANY REQUIRED PAPERWORK. CVMC PATIENT FINANCIAL SERVICES PROACTIVELY SCREENS PATIENT BILLING INFORMATION TO IDENTIFY INDIVIDUALS WHO MAY BE ELIGIBLE FOR STATE OR CVMC ASSISTANCE, AND WILL EITHER VISIT THE PATIENT IN THE HOSPITAL, CALL THEM AT HOME, OR MAIL THEM THE INFORMATION. |
| COMMUNITY INFORMATION | PART VI, LINE 4 THE 2018 POPULATION OF WASHINGTON COUNTY IS 60,317. THE POPULATION INCREASED 1.3% FROM THE 2010 CENSUS, AND IS PROJECTED TO INCREASE BY 0.9% BY 2023. THE PROJECTED POPULATION GROWTH IS CONSISTENT WITH VERMONT OVERALL, AND LOWER THAN THE NATIONAL PROJECTION OF 4%. THE POPULATION OF WASHINGTON COUNTY IS LESS RACIALLY DIVERSE THAN THE STATE AND THE NATION, WITH 95.3% OF RESIDENTS IDENTIFYING AS WHITE. WASHINGTON COUNTY IS ALSO OLDER THAN THE STATE AND THE NATION, WITH A MEDIAN AGE (44.5) THAT IS SIX YEARS OLDER THAN THE NATIONAL MEDIAN (38.3). THE MEDIAN INCOME IN WASHINGTON COUNTY ($58,611) IS SIMILAR TO THE NATIONAL MEDIAN ($58,100), BUT THE RATE OF POVERTY (11.8%) IS LOWER (14.6%). HOWEVER, FOR BLACKS/AFRICAN AMERICAN RESIDENTS LIVING IN WASHINGTON COUNTY, THE RATE OF POVERTY (19.0%) IS HIGHER THAN FOR WHITE RESIDENTS LIVING IN THE COUNTY (11.5%) AND HIGHER THAN FOR BLACKS/AFRICAN AMERICANS NATIONALLY (11.9%). UNEMPLOYMENT IN WASHINGTON COUNTY (2.8%) IS LOWER THAN THE NATIONAL RATE (4.8%), EXCEPT AMONG HISPANIC/LATINOS (15.2%). THESE RACIAL DISPARITIES IN ECONOMIC INDICATORS DECREASE THE QUALITY OF LIFE FOR ALL PEOPLE IN WASHINGTON COUNTY. WASHINGTON COUNTY RESIDENTS ARE GENERALLY WELL EDUCATED. PEOPLE OF ALL RACES AND ETHNICITIES IN THE COUNTY ARE MORE LIKELY TO HAVE COMPLETED A BACHELOR'S DEGREE THAN OTHER PEOPLE FROM VERMONT OR ACROSS THE NATION. WHILE THIS FINDING IS A STRENGTH FOR THE COMMUNITY, IT IS WORTH NOTING THAT DESPITE HIGHER EDUCATION, NON-WHITE POPULATIONS CONTINUE TO EXPERIENCE GREATER ECONOMIC BARRIERS. VERMONT HAS PROPORTIONATELY MORE LGBTQ PEOPLE THAN THE US IN GENERAL. THE STATE LGBTQ POPULATION TENDS TO BE YOUNGER AND MORE LIKELY TO BE FEMALE, HAS LOWER INCOMES, AND LESS SOCIAL SUPPORT THAN OTHER RESIDENTS. LGBTQ PEOPLE ARE ALSO MORE LIKELY TO EXPERIENCE HEALTH CHALLENGES, INCLUDING MORE POOR MENTAL HEALTH DAYS AND SUBSTANCE USE DISORDER CONDITIONS. |
| PROMOTION OF COMMUNITY HEALTH | PART VI, LINE 5 AS A PARTNER IN THE UNIVERSITY OF VERMONT HEALTH NETWORK, CENTRAL VERMONT MEDICAL CENTER IS PART OF A REGION-WIDE EFFORT TO TRANSFORM HEALTH CARE THAT IS TRANSLATING TO BETTER CARE HERE IN OUR LOCAL CENTRAL VERMONT COMMUNITIES. IN ADDITION TO OUR NETWORK PARTNERSHIP, WE BELIEVE THAT MAINTAINING THE HIGHEST QUALITY CARE FOR OUR PATIENTS ALSO DEPENDS ON OUR SUPPORT AND COLLABORATION WITH THE MANY LOCAL ORGANIZATIONS THROUGHOUT CENTRAL VERMONT THAT ARE ALSO PROVIDING VITAL SERVICES TO OUR COMMUNITY. SOME OF OUR COMMUNITY PARTNERS INCLUDE: A. CENTRAL VERMONT HOME HEALTH AND HOSPICE B. GREEN MOUNTAIN TRANSIT AUTHORITY (GMTA) C. GREEN MOUNTAIN UNITY WAY D. PEOPLE'S HEALTH AND WELLNESS CLINIC (PHWC) E. PHARMACIES F. VERMONT STATE DEPARTMENT OF HEALTH G. WASHINGTON COUNTY MENTAL HEALTH THE MAJORITY OF CVMC'S GOVERNING BODY (BOARD OF TRUSTEES) IS COMPRISED OF INDIVIDUALS WHO RESIDE IN CVMC'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES, FAMILY MEMBERS, NOR CONTRACTORS OF THE ORGANIZATION. CVMC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. CENTRAL VERMONT MEDICAL CENTER (CVMC) IS ALSO THE ADMINISTRATIVE ENTITY FOR THE VERMONT BLUEPRINT FOR HEALTH, PATIENT CENTERED MEDICAL HOMES FOR THE BARRE HEALTH SERVICE AREA (HSA). THE GOAL OF THE VERMONT BLUEPRINT FOR HEALTH, PASSED BY THE VERMONT LEGISLATURE IN 2010, IS TO SUPPORT VERMONT'S EFFORTS TO DEVELOP A COMPREHENSIVE, PROACTIVE SYSTEM OF CARE THAT IMPROVES THE QUALITY OF LIFE FOR PEOPLE WITH, OR AT RISK FOR CHRONIC CONDITIONS. AT THE END OF 2019, OVER 50 PRIMARY CARE PROVIDERS WERE ALL PART OF A RECOGNIZED NATIONAL COMMITTEE FOR QUALITY ASSURANCE, PATIENT CENTERED MEDICAL HOME IN THE BARRE HSA CARING FOR OVER 30,000 PATIENTS. THE CVMC COMMUNITY HEALTH TEAM (CHT) IS A PATIENT-CENTERED MULTIDISCIPLINARY TEAM THAT STRIVES TO IMPROVE THE PRIMARY HEALTH AND WELLNESS FOR ALL PATIENTS IN CENTRAL VERMONT. CHT IS COMMITTED TO REMOVING HEALTH BARRIERS BY OFFERING SERVICE FREE OF CHARGE, WHICH CONSISTS OF A NURSE, OR DIETITIAN, OR WELLNESS COACH, OR CLINICAL SOCIAL WORKERS IN THE COMFORT OF YOUR PRIMARY CARE OFFICE. CHT SERVICES CAN HELP YOU OR THOSE YOU LOVE IMPROVE THEIR CHANCES FOR REACHING GOALS WHILE PROVIDING ONE-ON-ONE SUPPORT. THE CHT TEAM WORKS WITHIN THE CVMC PRIMARY CARE PRACTICES AROUND CENTRAL VERMONT, AS WELL AS WOMEN'S HEALTH. CVMC APPLIES SURPLUS FUNDS TO REVITALIZE FACILITIES, PURCHASE EQUIPMENT, STAFF EDUCATION AND TO ENHANCE PROGRAMS TO PROVIDE BETTER PATIENT AND FAMILY CENTERED CARE (PFCC). |
| AFFILIATED HEALTH CARE SYSTEM | PART VI, LINE 6 AS OF OCTOBER 1, 2011, CENTRAL VERMONT MEDICAL CENTER, INC. (CVMC) AND THE UNIVERSITY OF VERMONT MEDICAL CENTER (UVMMC) BECAME MEMBERS OF THE UNIVERSITY OF VERMONT HEALTH NETWORK (UVMHN), AN INTEGRATED SYSTEM OF CARE SERVING THE COMMUNITIES OF VERMONT AND NORTHERN NEW YORK. THE UNIVERSITY OF VERMONT HEALTH NETWORK IS CARRYING OUT CENTRALIZED ACTIVITIES FOR THE BENEFIT OF PATIENTS OF PARTNER ORGANIZATIONS, INCLUDING IMPROVING ACCESS TO LOCAL CARE, COST SAVINGS THROUGH GREATER JOINT PURCHASING POWER, ENHANCING INFORMATION TECHNOLOGY, INCREASING ACADEMIC OPPORTUNITIES FOR PHYSICIANS, ENGAGING IN REGIONAL STRATEGIC PLANNING, AND PARTICIPATING IN JOINT QUALITY AND CLINICAL INITIATIVES. SINCE THE HEALTH NETWORK'S INCEPTION, CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER, ELIZABETH COMMUNITY HOSPITAL, ALICE HYDE MEDICAL CENTER, PORTER MEDICAL CENTER, AND UVM HEALTH NETWORK HOME HEALTH & HOSPICE HAVE ALSO JOINED. |
| STATE FILING OF COMMUNITY BENEFIT REPORT | PART VI, LINE 7 VT |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| PEOPLES HEALTH AND WELLNESS CENTER | |||||||
| 553 North Main St Suite 5 | Barre | VT | 05641 | 030343290 | 501(c)(3) | $36,000 | HEALTH CARE FOR THE UNINSURED |
| AREA HLTH EDU CNTRS PRM UNIV VT COL OF MED | |||||||
| UHC CMP Arnld 51 SPrpct | Brlngtn | VT | 05401 | 030179440 | 501(c)(3) | $27,580 | EDU LOAN RPMT TO HLTHCR PRFSNLS |
| CAPSTONE COMMUNITY ACTION | |||||||
| 20 GABLE PLACE | BARRE | VT | 05641 | 030216254 | 501(c)(3) | $15,000 | SUPPORT EMERGENCY FOOD AND HEATING ASSISTANCE FOR VULNERABLE CENTRAL VERMONT HOUSEHOLDS |
| VERMONT YOUTH CONSERVATION CORPS | |||||||
| 1949 EAST MAIN ST | RICHMOND | VT | 05477 | 030328834 | 501(c)(3) | $17,277 | SUPPORT FOOD INSECURE PEOPLE IN CENTRAL VERMONT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS | FormAndLineReferenceDesc |
| Explanation | SCHEDULE I, PART I, LINE 2 CENTRAL VERMONT MEDICAL CENTER OCCASIONALLY GRANTS FUNDS TO ORGANIZATIONS THAT SUPPORT CVMC'S EXEMPT PURPOSE OF SERVING THE HEALTHCARE NEEDS OF CENTRAL VERMONT RESIDENTS. GRANT FUNDS ARE APPROVED AND OVERSEEN BY THE BOARD. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | 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 (18 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN BRUMSTED MD | ||||||||||||||
| TRUSTEE | $0 | $1,012,428 | $0 | $428,283 | $0 | $565,120 | $0 | $187,243 | $0 | $26,998 | $0 | $2,220,072 | $0 | $287,334 |
| JEREMIAH ECKHAUS MD | ||||||||||||||
| TRUSTEE, PRES-ELECT MED STAFF | $216,690 | $0 | $10,932 | $0 | $55,060 | $0 | $16,297 | $0 | $26,349 | $0 | $325,328 | $0 | $0 | $0 |
| MARK DEPMAN MD | ||||||||||||||
| TRUSTEE, REGNAL PHYS LEADER | $307,293 | $0 | $10,195 | $0 | $58,398 | $0 | $0 | $0 | $21,910 | $0 | $397,796 | $0 | $0 | $0 |
| ANNA T NOONAN | ||||||||||||||
| TRUSTEE, PRESIDENT/COO | $325,995 | $0 | $274,143 | $0 | $28,767 | $0 | $29,742 | $0 | $32,937 | $0 | $691,584 | $0 | $0 | $0 |
| CATHY PALMER MD | ||||||||||||||
| TRUSTEE | $30,150 | $241,488 | $0 | $0 | $0 | $20,528 | $0 | $18,425 | $0 | $29,419 | $30,150 | $309,860 | $0 | $0 |
| RICHARD BURGOYNE | ||||||||||||||
| MEDICAL DIRECTOR | $311,938 | $0 | $0 | $0 | $145,780 | $0 | $0 | $0 | $16,178 | $0 | $473,896 | $0 | $0 | $0 |
| CHEYENNE HOLLAND | ||||||||||||||
| TREASURER, CFO, UNTIL 07/2018 | $138,352 | $0 | $42,650 | $0 | $158,486 | $0 | $10,274 | $0 | $30,061 | $0 | $379,823 | $0 | $0 | $0 |
| MATTHEW CHOATE | ||||||||||||||
| VP OF PATIENT CARE SERVICES | $203,014 | $0 | $41,348 | $0 | $1,092 | $0 | $13,642 | $0 | $20,450 | $0 | $279,546 | $0 | $0 | $0 |
| CHRISTIAN BEAN MD | ||||||||||||||
| PHYSICIAN | $441,421 | $0 | $2,850 | $0 | $216,518 | $0 | $36,572 | $0 | $27,596 | $0 | $724,957 | $0 | $0 | $0 |
| JAVAD MASHKURI MD | ||||||||||||||
| PHYSICIAN/MEDICAL DIRECTOR | $340,056 | $0 | $34,440 | $0 | $35,786 | $0 | $23,343 | $0 | $27,618 | $0 | $461,243 | $0 | $0 | $0 |
| CHRISTOPHER MERIAM MD | ||||||||||||||
| PHYSICIAN | $434,136 | $0 | $2,200 | $0 | $141,273 | $0 | $33,841 | $0 | $28,540 | $0 | $639,990 | $0 | $0 | $0 |
| SARA GRAVES MD | ||||||||||||||
| PHYSICIAN | $372,301 | $0 | $2,200 | $0 | $166,999 | $0 | $20,001 | $0 | $27,557 | $0 | $589,058 | $0 | $0 | $0 |
| ROBERT PATTERSON | ||||||||||||||
| VP OF HR & CLINICAL OPERATIONS | $202,801 | $0 | $45,367 | $0 | $27,909 | $0 | $15,154 | $0 | $26,460 | $0 | $317,691 | $0 | $0 | $0 |
| DAVID TURNER | ||||||||||||||
| VP PHYSICIAN SERVICES | $171,547 | $0 | $0 | $0 | $820 | $0 | $10,295 | $0 | $1,817 | $0 | $184,479 | $0 | $0 | $0 |
| JAMES ALVAREZ | ||||||||||||||
| VP SUPPORT SRVCS, AS OF 1/2018 | $193,917 | $0 | $28,922 | $0 | $7 | $0 | $0 | $0 | $8,978 | $0 | $231,824 | $0 | $0 | $0 |
| PATRICIA FISHER MD | ||||||||||||||
| CHIEF MEDICAL OFFICER, 3/2018 | $236,422 | $0 | $33,184 | $0 | $4,625 | $0 | $10,462 | $0 | $23,300 | $0 | $307,993 | $0 | $0 | $0 |
| TODD KEATING | ||||||||||||||
| INTRM TREAS/CFO UNTIL 7/2018 | $0 | $583,615 | $0 | $193,123 | $0 | $88,557 | $0 | $24,750 | $0 | $4,551 | $0 | $894,596 | $0 | $0 |
| JUDITH TARTAGLIA | ||||||||||||||
| TRUSTEE, PRES/CEO UNTIL 3/2017 | $216,084 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $216,084 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | IN ADDITION TO THE TOOLS AND PROCESSES IDENTIFIED IN PART I, CVMC RECEIVES GUIDANCE REGARDING ITS PRESIDENT'S COMPENSATION FROM THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF THE UNIVERSITY OF VERMONT HEALTH NETWORK, WHICH IS THE SOLE MEMBER OF THE HOSPITAL. THAT NETWORK COMPENSATION COMMITTEE UTILIZES THE FOLLOWING METHODS TO ESTABLISH THE GUIDANCE: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE SCHEDULE J, PART I, LINE 4A DURING CALENDAR YEAR 2018, CHEYENNE HOLLAND RECEIVED $113,432 IN SEVERANCE PAYMENTS AFTER HER DEPARTURE IN JULY 2018. EXECUTIVE BENEFITS SCHEDULE J, PART I, LINE 4B CERTAIN LISTED INDIVIDUALS PARTICIPATED IN THE UVM MEDICAL CENTER EXECUTIVE BENEFIT PLAN UNDER WHICH PARTICIPANTS ARE CREDITED A BENEFIT ALLOWANCE EQUAL TO A SPECIFIED PERCENTAGE OF BASE PAY. UNDER THE PLAN, PARTICIPANTS MAY ELECT TO HAVE THE AMOUNT OF THE BENEFIT ALLOWANCE DEFERRED TO A CAPITAL ACCUMULATION ACCOUNT SUBJECT TO SECTION 457(F). NO AMOUNTS WERE DEFERRED TO OR PAID FROM A CAPITAL ACCUMULATION ACCOUNT IN CALENDAR 2018. DURING CALENDAR YEAR 2015, THE UNIVERSITY OF VERMONT MEDICAL CENTER, INC. ENTERED INTO A SUPPLEMENTAL RETIREMENT BENEFIT PLAN (SRP) WITH CHIEF EXECUTIVE OFFICER BRUMSTED. UNDER THE TERMS OF THE SRP, UVM MEDICAL CENTER MAKES ANNUAL CREDITS EQUAL TO 15% OF THE PRESIDENT'S BASE SALARY FOR EACH YEAR THROUGH THE PLAN YEAR ENDING SEPTEMBER 30, 2019. THE AMOUNT DEFERRED FOR CALENDAR YEAR 2018 IS REPORTED ON SCHEDULE J, PART II, COLUMN C. A DISTRIBUTION OF $371,381 IN CALENDAR 2018 IS REPORTED IN COLUMN B(III). AMOUNTS DEFERRED REMAIN SUBJECT TO FORFEITURE IF CERTAIN CONDITIONS ARE NOT MET. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DESCRIPTION OF THE ORGANIZATION'S MISSION | FORM 990, PART III, LINE 1 CENTRAL VERMONT MEDICAL CENTER TRUSTEES AND ITS STAFF ARE COMMITTED TO PROVIDING EXCELLENT CARE TO CENTRAL VERMONTERS. TO STAY ABREAST OF BEST PRACTICES, CVMC COLLABORATES WITH MANY HEALTHCARE ENTITIES TO ENSURE THIS COMMITMENT. PARTICIPATING IN THE JOINT COMMISSION ACCREDITATIONS PROCESS IS ONE MEASURE OF HOW CVMC CONTINUOUSLY STRIVES TO IMPROVE THE SAFETY AND QUALITY OF CARE PROVIDED TO ITS PATIENTS. THE HOSPITAL AND THE PHYSICIAN PRACTICE GROUPS (CVMGP, CENTRAL VERMONT MEDICAL GROUP PRACTICES) WERE ACCREDITED IN JANUARY 2016 FOR A THREE-YEAR PERIOD. JOINT COMMISSION ACCREDITATION IS THE EQUIVALENT OF THE GOOD HOUSEKEEPING "SEAL OF APPROVAL" FOR MEDICAL CENTERS. THE JOINT COMMISSION EVALUATES THE QUALITY AND SAFETY OF CARE PROVIDED BY HEALTH CARE ORGANIZATIONS. TO EARN AND MAINTAIN ACCREDITATION, ORGANIZATIONS MUST HAVE AN EXTENSIVE ON-SITE REVIEW BY A TEAM OF JOINT COMMISSION HEALTH CARE PROFESSIONALS AT LEAST ONCE EVERY THREE YEARS. THE PURPOSE OF THE REVIEW IS TO EVALUATE THE ORGANIZATION'S PERFORMANCE IN AREAS THAT AFFECT PATIENT CARE. ACCREDITATION IS AWARDED BASED ON HOW WELL THE ORGANIZATION MEETS THE JOINT COMMISSION STANDARDS. CVMC PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. ALL OF CVMC'S SERVICES, INCLUDING EMERGENCY CARE, ARE PROVIDED TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. FORM 990, PART VI, LINE 2 THERE IS A BUSINESS RELATIONSHIP BETWEEN DR. JOHN BRUMSTED AN OFFICER OF THE UNIVERSTIY OF VERMONT MEDICAL CENTER (UVMMC), DR. CATHY PALMER AN EMPLOYEE OF UVMMC AND TODD KEATING, INTERIM TREASURER, CFO OF CENTRAL VERMONT MEDICAL CENTER INC. (CVMC). DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS Form 990, Part VI, Line 6 THE UNIVERSITY OF VERMONT HEALTH NETWORK IS THE SOLE MEMBER AND PARENT CORPORATION OF CENTRAL VERMONT MEDICAL CENTER, INC. (CVMC). THE UNIVERSITY OF VERMONT HEALTH NETWORK IS A VERMONT NON-PROFIT CORPORATION WHICH HAS BEEN RECOGNIZED BY THE IRS AS A 501(C)(3) ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. |
| ELECTION OF GOVERNING BODY & GOVERNANCE DECISIONS | FORM 990, PART VI, LINE 7A & 7B THE UNIVERSITY OF VERMONT HEALTH NETWORK HOLDS THE POWER TO ELECT CVMC'S BOARD OF TRUSTEES AND TO APPROVE SIGNIFICANT CORPORATE ACTIONS, INCLUDING ANNUAL OPERATING AND CAPITAL BUDGETS, STRATEGIC PLANS, THE APPOINTMENT OF THE PRESIDENT/COO, THE INCURRENCE OF LONG-TERM INDEBTEDNESS, AND AMENDMENTS TO CVMC'S BYLAWS AND ARTICLES OF ORGANIZATION. |
| DESCRIPTION OF PROCESS USED BY MGMNT &/OR GOVERNING BODY TO REVIEW 990 | FORM 990, PART VI, LINE 11B THE FORM 990 IS PREPARED BY THE ACCOUNTING MANAGER AND REVIEWED IN DETAIL BY CVMC'S OUTSIDE TAX ADVISORS BEFORE BEING REVIEWED BY THE OFFICERS OF THE CORPORATION AND BY THE OTHER MEMBERS OF THE SENIOR MANAGEMENT TEAM. THE ACCOUNTING MANAGER PROVIDES REGULATORY UPDATES REGARDING THE FORM 990 TO THE OPERATIONAL RISK COMMITTEE AND MAKES AVAILABLE TO THE OPERATIONAL RISK COMMITTEE THE FORM 990 ALONG WITH HIGHLIGHTS OF ALL SIGNIFICANT PARTS OF THE FORM 990. THE BOARD OF TRUSTEES IS ALSO PROVIDED VIA EMAIL A COPY OF THE "AS FILED" FORM 990 BEFORE IT IS FILED WITH THE IRS, WITH A STATEMENT NOTATING THAT SCHEDULE B IS NOT FOR PUBLIC VIEWING. THE FORM 990 IS ALSO AVAILABLE IN HARD COPY FOR THOSE THAT DO NOT HAVE ACCESS TO EMAIL. |
| DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST | FORM 990, PART VI, LINE 12C THE COMPLIANCE OFFICER FOR CVMC MAINTAINS THE CONFLICT OF INTEREST STATEMENTS AND REGULARLY MONITORS THEM AS WELL AS ANY OTHER ACTIVITIES THAT MAY CONSTITUTE A CONFLICT OF INTEREST. THE ORGANIZATION'S PRACTICE IS TO SEND OUT ANNUAL DISCLOSURE QUESTIONNAIRES TO BOARD OF TRUSTEE MEMBERS, SENIOR OFFICERS, AND DIRECTORS OF THE ORGANIZATION OR OTHER INDIVIDUALS IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION WHO HAVE A DIRECT OR INDIRECT FINANCIAL INTEREST, AS DEFINED BELOW, AS AN "INTERESTED PERSON." THIS DEFINITION SHALL ALSO INCLUDE MEMBERS OF THE ORGANIZATION'S LEADERSHIP GROUP, MEDICAL DIRECTORS AND ANY EMPLOYEES INVOLVED WITH RECOMMENDING OR PURCHASING PRODUCTS/SERVICES. THE RESPONSES ARE TAKEN TO THE GOVERNANCE AND HUMAN RESOURCES COMMITTEE OF THE BOARD OF TRUSTEES TO DETERMINE IF A CONFLICT OF INTEREST EXISTS. THE GOVERNANCE AND HUMAN RESOURCES COMMITTEE SHALL MAINTAIN A LIST OF INDIVIDUALS WHO MAY BE CONSIDERED DISQUALIFIED PERSONS UNDER IRS REGULATIONS. THE GOVERNANCE AND HUMAN RESOURCES COMMITTEE SHALL REPORT THE RESULTS OF ITS REVIEW ANNUALLY TO THE BOARD OF TRUSTEES. IF THERE IS ANY POSSIBILITY OF FINANCIAL GAIN BY A TRUSTEE AND OR EMPLOYEE FROM ANY DECISION THAT IS TO BE DELIBERATED ON, THEN THAT TRUSTEE/EMPLOYEE MAY MAKE A PRESENTATION, BUT IS THEN REMOVED FROM THOSE DISCUSSIONS TO ENSURE THAT THE TRUSTEE/EMPLOYEE WILL NOT TAKE PART IN ANY DELIBERATIONS THAT HE OR SHE MIGHT PERSONALLY GAIN FROM. THE TRUSTEE/EMPLOYEE OPERATING UNDER A CONFLICT IS PROHIBITED FROM VOTING ON ANY MATTER TO WHICH THE CONFLICT RELATES. |
| WHISTLEBLOWER & DOCUMENT RETENTION - DESTRUCTION POLICIES | FORM 990, PART VI, LINES 13 & 14 CVMC HAS BOTH A WHISTLEBLOWER AND A DOCUMENT RETENTION - DESTRUCTION POLICY. THESE POLICIES ARE EFFECTIVE WITHOUT FORMAL BOARD APPROVAL. |
| OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN | FORM 990, PART VI, LINES 15A & 15B THE PROCESS FOR DETERMINING COMPENSATION FOR THE ORGANIZATION'S PRESIDENT/COO AND CFO INCLUDES A REVIEW AND APPROVAL BY THE BOARD OF TRUSTEES. AN INDEPENDENT COMPENSATION STUDY IS ALSO PERIODICALLY PERFORMED. THE MOST RECENT STUDY WAS PERFORMED IN 2019. THIS STUDY INCLUDED COMPENSATION DATA FOR CHIEF EXECUTIVE OFFICERS AND VICE PRESIDENTS. INDEPENDENT RESEARCH IS COMPLEMENTED BY A MARKET STUDY ANALYSIS PERFORMED BY THE HUMAN RESOURCES DEPARTMENT AND REVIEWED BY THE BOARD OF TRUSTEES. MARKET STUDY DATA COMES FROM, BUT IS NOT LIMITED TO, HFMA, VAHHS, NEAH, AHA, INDUSTRY SPECIFIC COMPENSATION SURVEYS AND OTHER HEALTHCARE SOURCES. THE COMPENSATION OF OTHER KEY EMPLOYEES OF THE ORGANIZATION IS DETERMINED THROUGH MARKET STUDY ANALYSIS PERFORMED BY THE HUMAN RESOURCES DEPARTMENT AND REVIEWED BY THE BOARD OF TRUSTEES IF NECESSARY. IN ADDITION TO THE TOOLS AND PROCESSES IDENTIFIED IN SCHEDULE J, PART I, CVMC RECEIVES GUIDANCE REGARDING ITS PRESIDENT'S COMPENSATION FROM THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF THE UNIVERSITY OF VERMONT HEALTH NETWORK, WHICH IS THE SOLE MEMBER OF THE HOSPITAL. THAT NETWORK COMPENSATION COMMITTEE UTILIZES THE FOLLOWING METHODS TO ESTABLISH THE GUIDANCE: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC | FORM 990, PART VI, LINE 19 THE ORGANIZATION MAKES AVAILABLE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE GENERAL PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS OF THE ORGANIZATION FOR FY2019 CAN ALSO BE FOUND ON THE WEBSITE, WWW.CVMC.ORG. FORM 990, PART VII THREE PHYSICIANS SERVING AS BOARD MEMBERS, DR. PALMER, DR. DEPMAN AND DR. ECKHAUS, RECEIVE COMPENSATION FROM THE ORGANIZATION FOR THEIR SERVICES AS PHYSICIANS. THIS COMPENSATION IS NOT RELATED TO THEIR PARTICIPATION AS MEMBERS OF THE BOARD OF TRUSTEES. |
| OTHER CHANGES IN NET ASSETS | FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES: CHANGE IN MINIMUM PENSION LIABILITY ($14,438,385) TRANSFER OF NET ASSETS 7,631,189 OTHER CHANGES TO TEMP RESTRICTED ASSETS (1,316,742) CHANGE IN PERPETUAL TRUST 109,210 ------------------------------------------------------------------------- TOTAL: ($8,014,728) |
| CIRCULAR A-133 AUDIT | FORM 990, PART XII, LINE 3B: DURING FY19, CVMC DID NOT REACH THE LEVEL REQUIRED TO WARRANT AN AUDIT UNDER OMB CIRCULAR A-133. HOWEVER, BECAUSE OF CVMC'S AFFILIATION WITH THE UNIVERSITY OF VERMONT HEALTH NETWORK, CVMC WAS INCLUDED IN THE A-133 THAT WAS PERFORMED FOR THE UNIVERSITY OF VERMONT MEDICAL CENTER. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| UNIVERSITY OF VERMONT MEDICAL CENTERINC | ||||||||||
| 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 030219309 | HOSPITAL | VT | 501(c)(3) | 3 | UVMHN | Yes (true) |
| UNIV OF VERMONT HEALTH NETWORK INC | ||||||||||
| 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 452880726 | HOLDING CO | VT | 501(C)(3) | 12A-I | NA | false |
| UNIV OF VERMONT MEDICAL GROUP - NEW YORK | ||||||||||
| 183 PARK STREET | MALONE | NY | 12953 | 203905216 | PHYS SVCS | NY | 501(C)(3) | 3 | UVMMG | Yes (true) |
| UNIVERSITY OF VERMONT MEDICAL GROUP | ||||||||||
| 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 030225105 | PHYS SVCS | VT | 501(C)(3) | 12A-I | UVMHN | Yes (true) |
| UNIV OF VERMONT MEDICAL CTR FDN INC | ||||||||||
| 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 263159849 | FUNDRAISING | VT | 501(C)(3) | 12A-I | UVMMC | Yes (true) |
| CENTRAL VERMONT HOSPITAL AUXILIARY | ||||||||||
| 130 FISHER RD | BERLIN | VT | 05602 | 030264240 | SERVICE | VT | 501(C)(3) | 12D-III-O | NA | false |
| COMMUNITY PROVIDERS INC | ||||||||||
| 75 BEEKMAN ST | PLATTSBURGH | NY | 12901 | 222544844 | HLTH SVC COOR | NY | 501(C)(3) | 12A-I | UVMHN | Yes (true) |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL | ||||||||||
| 75 BEEKMAN STREET | PLATTSBURGH | NY | 12901 | 141338471 | HOSPITAL | NY | 501(C)(3) | 3 | CPI | Yes (true) |
| ELIZABETHTOWN COMMUNITY HOSPITAL | ||||||||||
| 75 PARK STREET | ELIZABETHTOWN | NY | 12932 | 141364513 | HOSPITAL | NY | 501(C)(3) | 3 | CPI | Yes (true) |
| EMERGENCY MEDICAL TRANSPORT OF CVPH INC | ||||||||||
| 75 BEEKMAN ST | PLATTSBURGH | NY | 12901 | 061718419 | AMBULANCE SVC | NY | 501(C)(3) | 12B-II | CPI | Yes (true) |
| CVPH MEDICAL CENTER FOUNDATION | ||||||||||
| 75 BEEKMAN ST | PLATTSBURGH | NY | 12901 | 141727048 | HLTH SVC SUPP | NY | 501(c)(3) | 12B-II | CVPH | Yes (true) |
| UNIVERSITY MEDICAL EDUCATION ASSOCIATES | ||||||||||
| 89 BEAUMONT AVE | BURLINGTON | VT | 05405 | 237107832 | EDUCATIONAL | VT | 501(C)(3) | 11 | UVMMG | Yes (true) |
| UNIVERSITY HEALTH CENTER | ||||||||||
| 111 CoOLCHESTER AVE | BURLINGTON | VT | 05401 | 030229931 | HOSPITAL | VT | 501(C)(3) | 12C-III-FI | UVMMG | Yes (true) |
| ALICE HYDE MEDICAL CENTER | ||||||||||
| 133 PARK STREET | MALONE | NY | 12953 | 150346515 | HOSPITAL | NY | 501(C)(3) | 3 | CPI | Yes (true) |
| PORTER MEDICAL CENTER INC | ||||||||||
| 115 PORTER DRIVE | MIDDLEBURY | VT | 05753 | 030310862 | SUPPTG ORG | VT | 501(C)(3) | 12-BII | UVMHN | Yes (true) |
| HELEN PORTER NURSING HOME | ||||||||||
| 37 PORTER DRIVE | MIDDLEBURY | VT | 05753 | 030306549 | NURSING HOME | VT | 501(C)(3) | 3 | PMC | Yes (true) |
| AUXILIARY OF PORTER MEDICAL CENTER | ||||||||||
| 37 PORTER DRIVE | MIDDLEBURY | VT | 05753 | 237363227 | SUPPORTG ORG | VT | 501(C)(3) | 12-B,II | PMC | Yes (true) |
| PORTER HOSPITAL INC | ||||||||||
| 37 PORTER DRIVE | MIDDLEBURY | VT | 05753 | 030181058 | HOSPITAL | VT | 501(C)(3) | 3 | PMC | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|
| ONECARE VERMONT ACCOUNTABLE CA | |||||||
| 111 COLCHESTER AVENUE | BURLINGTON | VT | 05401 | 455399218 | ACCOUNTABLE C | VT | NA |
| ADIRONDACKS ACO LLC | |||||||
| 75 BEEKMAN STREET | PLATTSBURGH | NY | 12901 | 462840926 | ACCOUNTABLE C | NY | NA |
| OBNET SERVICES LLC | |||||||
| ONE MEDICAL CENTER DR | LEBANON | NH | 03756 | 043746287 | HEALTH RESEAR | NH | NA |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHARITABLE IRREVOCABLE TRUST (7) | |||||||||||||
| SUPPORT | VT | UVMMCCVMC | TRUST | ||||||||||
| UNIV OF VT MED CTR HEALTH VENT INC | |||||||||||||
| HOLDING COMPA | VT | UVMMC | C CORP | 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 043380045 | |||||
| VMC INDEMNITY COMPANY LTD | |||||||||||||
| CAPTIVE INSUR | UVMMC | C CORP | 999999999 | PO BOX HM 3103 25 CHURCH ST HM F | HAMILTON | BD | HM FX FR | BD | |||||
| VERMONT MANAGED CARE | |||||||||||||
| ADMIN SERVICE | VT | UVMMCHV | C CORP | 111 COLCHESTER AVE | BURLINGTON | VT | 05401 | 030333056 | |||||
| CHARITABLE REMAINDER TRUST (5) | |||||||||||||
| SUPPORT | VT | UVMMCCVMC | TRUST | ||||||||||
| PERPETUAL TRUST (4) | |||||||||||||
| SUPPORT | VT | UVMMC | TRUST | ||||||||||
| CHAMPLAIN VALLEY HEALTH NETWORK | |||||||||||||
| ADMIN SERVICE | NY | NA | C CORP | 75 BEEKMAN STREET | PLATTSBURGH | NY | 12901 | 161586102 | |||||
| MEDQUEST INC | |||||||||||||
| MED OFFICE LE | NY | NA | C CORP | PO BOX 1656 | PLATTSBURGH | NY | 12901 | 141663061 | |||||
| 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 |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (true) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| UNIVERSITY OF VERMONT MEDICAL CENTER | ||
| J | $866,761 | FMV |
| PERPETUAL TRUSTS | ||
| S | $129,176 | FMV |
| UNIVERSITY OF VERMONT MEDICAL CENTER | ||
| O | $18,418,847 | FMV |
| UNIVERSITY OF VERMONT MEDICAL CENTER | ||
| P | $18,469,913 | FMV |
| UNIVERSITY OF VERMONT MEDICAL CENTER | ||
| Q | $2,400,000 | FMV |
| UNIVERSITY OF VERMONT MEDICAL CENTER | ||
| R | $452,887 | FMV |
| UNIVERSITY OF VERMONT MEDICAL CENTER | ||
| S | $3,903,292 | FMV |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule R, Part IV, Line 1 | University of Vermont Medical Center, Inc. (UVM Medical Center) has a beneficial interest in four of these trusts. CVMC has a beneficial interest in three of these trusts. |
| Schedule R, Part V, Transaction K | UVM Medical Center leases and shares facilities, equipment, and other assets with CVMC. The value of these transactions is indeterminable. |