UNIVERSITY OF VERMONT MEDICAL CENTER INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: UNIVERSITY OF VERMONT MEDICAL CENTER INC (EIN 03-0219309)
Tax period: 2009-10-01 to 2010-09-30
Filed: 2011-08-15
IRS object ID: 201102279349301715
Schema version: 2009v1.7
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 F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-08-15T10:53:18-05:00	Timestamp
Tax Period End Date	2010-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	125 High Street	AddressLine1
City	Boston	City
State	MA	State
ZIP Code	02110	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	030219309	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Fletcher Allen Health Care Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	FLET	NameControl
Phone	8028475959	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	111 COLCHESTER AVENUE	AddressLine1
City	BURLINGTON	City
State	VT	State
ZIP Code	05401	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Roger Deshaies	Name
Title	CFO/TREASURER	Title
Date Signed	2011-08-11	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	6175305000	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Dr Melinda Estes	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	111 COLCHESTER AVENUE	AddressLine1
City	BURLINGTON	City
State	VT	State
ZIP Code	05401	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1324224387	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	WWW.FLETCHERALLEN.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1968	YearFormation
State Legal Domicile	VT	StateLegalDomicile
Activity Or Mission Description	To improve the health of the people in the community we serve by integrating patient care, education, and research in a caring environment.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	18	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	7339	TotalNbrEmployees
Total Nbr Volunteers	790	TotalNbrVolunteers
Total Gross UBI	6293863	TotalGrossUBI
Net Unrelated Business Txbl Income	-1853138	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3332977	ContributionsGrantsPriorYear
Contributions Grants Current Year	2405435	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	836239559	ProgramServiceRevenuePriorYear
Program Service Revenue CY	884774454	ProgramServiceRevenueCY
Investment Income Prior Year	-5437398	InvestmentIncomePriorYear
Investment Income Current Year	21483821	InvestmentIncomeCurrentYear
Other Revenue Prior Year	698409	OtherRevenuePriorYear
Other Revenue Current Year	734525	OtherRevenueCurrentYear
Total Revenue Prior Year	834833547	TotalRevenuePriorYear
Total Revenue Current Year	909398235	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	434655	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	697171	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	493823917	SalariesEtcPriorYear
Salaries Etc Current Year	529311302	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	1437844	TotalFundrsngExpCurrentYear
Other Expense Prior Year	325308400	OtherExpensePriorYear
Other Expenses Current Year	331060388	OtherExpensesCurrentYear
Total Expenses Prior Year	819566972	TotalExpensesPriorYear
Total Expenses Current Year	861068861	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	15266575	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	48329374	RevenuesLessExpensesCY
Total Assets BOY	927039341	TotalAssetsBOY
Total Assets EOY	969633570	TotalAssetsEOY
Total Liabilities BOY	585891518	TotalLiabilitiesBOY
Total Liabilities EOY	591040326	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	341147823	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	378593244	NetAssetsOrFundBalancesEOY
Mission Description	SEE SCHEDULE O	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	223013276	Expense
Grants	199329	Grants
Revenue	252966335	Revenue
Description	INPATIENT SERVICES. FOR MORE INFORMATION, SEE SCHEDULE O.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	316316147	Expense
Grants	282722	Grants
Revenue	358800778	Revenue
Description	OUTPATIENT SERVICES. FOR MORE INFORMATION, SEE SCHEDULE O.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	240681280	Expense
Grants	215120	Grants
Revenue	273007341	Revenue
Description	PROFESSIONAL SERVICES. FOR MORE INFORMATION, SEE SCHEDULE O.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	780010703	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	581	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	7339	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	true	ForeignFinancialAccount
Name Of Foreign Country	BD	NameOfForeignCountry
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Nbr Voting Governing Body Members	18	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	true	LocalChapters
Policies Reference Chapters	true	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	ROGER DESHAIES	NamePerson
Telephone Number	8028475959	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	111 COLCHESTER AVENUE	AddressLine1
City	BURLINGTON	City
State	VT	State
ZIP Code	05401	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
DR MELINDA ESTES
PRESIDENT & CHIEF EXEC OFFICER	50.0	X	X	1395120	0	44973
CHRISTOPHER DUTTON
CHAIR (UNTIL 12/2009)	2.0	X	X	0	0	0
MARC MONHEIMER
SECRETARY	2.0	X	X	0	0	0
DR RUTH UPHOLD
TRUSTEE	40.0	X		72909	0	0
ROGER STONE
CHAIR (BEGINNING 12/2009)	2.0	X	X	0	0	0
DR JAN CARNEY
VICE CHAIR	2.0	X	X	0	0	0
SARAH CARPENTER
TRUSTEE	2.0	X		0	0	0
DR PAUL DANIELSON
TRUSTEE	2.0	X		0	0	0
ELIZABETH DAVIS
TRUSTEE	2.0	X		0	0	0
A DONALD GILBERT
TRUSTEE	2.0	X		0	0	0
DR JOSEPH HADDOCK
TRUSTEE (UNTIL 12/2009)	2.0	X		0	0	0
RITA MARKLEY
TRUSTEE	2.0	X		0	0	0
STEPHEN MARSH
TRUSTEE	2.0	X		0	0	0
DR PHILIP MEAD
TRUSTEE	2.0	X		0	0	0
DR FREDERICK C MORIN III
TRUSTEE	2.0	X		0	203000	0
JOHN NEUHAUSER PHD
TRUSTEE	2.0	X		0	0	0
JOHN POWELL
TRUSTEE	2.0	X		0	0	0
PATRICIA PRELOCK
TRUSTEE	2.0	X		0	0	0
GEOFFREY SHIELDS
TRUSTEE	2.0	X		0	0	0
RUSSELL TRACY
TRUSTEE	2.0	X		0	0	0
ROGER DESHAIES
CFO/TREASURER	50.0		X	636607	0	44090
DR PAUL TAHERI
PRESIDENT & CEO of UVMMG	50.0			553020	0	42526	X
SANDRA DALTON RN
PTNT CARE SVCS - CHIEF NURSING	50.0			474417	0	12054	X
DR KRISTEN DESTIGTER
VICE CHAIR RADIOLOGY	50.0			644527	0	39898		X
DR BELA RATKOVITS
PHYSICIAN RADIOLOGY	50.0			604240	0	34445		X
DR GRANT LINNELL
PHYSICIAN RADIOLOGY	50.0			609426	0	39890		X
DR ANANT BHAVE
PHYSICIAN RADIOLOGY	50.0			552845	0	37489		X
DR JOSEPH T SHIELDS
PHYSICIAN RADIOLOGY	50.0			553208	0	37203		X
ANGELINE MARANO
COO (UNTIL 10/1/08)	0.0			354957	0	1533			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	6451276	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	203000	TotalReportableCompFrmRltdOrgs
Total Other Compensation	334101	TotalOtherCompensation
Number Individuals GT100 K	410	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation	Address Line1AddressOfContractor/AddressForeign/AddressLine1	CityAddressOfContractor/AddressForeign/City	Province Or StateAddressOfContractor/AddressForeign/ProvinceOrState	CountryAddressOfContractor/AddressForeign/Country	Postal CodeAddressOfContractor/AddressForeign/PostalCode
PIZZAGALLI CONSTRUCTION CO INC
50 JOY DRIVE	SOUTH BURLINGTON	VT	05403	CONSTRUCT OVERSIGHT	3932231
MEDIQUE USA
				MEDICAL SUPPLIER	2327622	5900 AVENUE ANDOVER	VILLE MONT-ROYAL	QUEBEC	CA	H4T 1H5
MAYO COLLABORATIVE SERVICES INC
PO BOX 9146	MINNEAPOLIS	MN	554809146	LABORATORY	2326798
UVM TECHNICAL SERVICES PROGRAM
280 EAST AVENUE	BURLINGTON	VT	054013462	TECHNICAL	1831448
CROSS COUNTRY STAFFING INC
PO BOX 404674	ATLANTA	GA	303844674	STAFFING	1510662

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	88	NumberOfContractorsGT100K
Fundraising Events	263722	FundraisingEvents
Related Organizations	186969	RelatedOrganizations
All Other Contributions	1954744	AllOtherContributions
Noncash Contributions	99416	NoncashContributions
Total Contributions	2405435	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICES	900099	842780233	837554463	5225770
PATIENT SERVICES - PHARMACY	446110	14890586	13822493	1068093
PREMIUM REVENUE	900099	4414786	4414786
CAFETERIA	722210	2544301	2544301
COFFEE SHOP	722210	2075140	2075140

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	18069408	TotalRevenueColumn
Related Or Exempt Function Income	18069408	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	884774454	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	6655464	TotalRevenueColumn
Exclusion	$6,655,464	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1072677	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	301430	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	771247	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	771247	TotalRevenueColumn
Exclusion	$771,247	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	428132000	Securities
Other	1153769	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	413258346	Securities
Other	1199066	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	14873654	Securities
Other	-45297	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	14828357	TotalRevenueColumn
Exclusion	$14,828,357	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	30588	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	263722	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	67310	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-36722	TotalRevenueColumn
Exclusion	-$36,722	ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

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

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	909398235	TotalRevenueColumn
Related Or Exempt Function Income	878480591	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	6293863	UnrelatedBusinessRevenue
Exclusion	$22,218,346	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	600996	Total
Program Services	600996	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	96175	Total
Program Services	96175	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3236155	Total
Management And General	3236155	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	399353	Total
Program Services	399353	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	415387432	Total
Program Services	365749191	ProgramServices
Management And General	49627243	ManagementAndGeneral
Fundraising	10998	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	20688959	Total
Program Services	19696310	ProgramServices
Management And General	991921	ManagementAndGeneral
Fundraising	728	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	61935035	Total
Program Services	58963411	ProgramServices
Management And General	2969443	ManagementAndGeneral
Fundraising	2181	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	27664368	Total
Program Services	24186152	ProgramServices
Management And General	3477489	ManagementAndGeneral
Fundraising	727	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1053849	Total
Management And General	1053849	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	602025	Total
Management And General	602025	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	28576472	Total
Program Services	22328291	ProgramServices
Management And General	6237846	ManagementAndGeneral
Fundraising	10335	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	887204	Total
Program Services	11807	ProgramServices
Management And General	875397	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	134502175	Total
Program Services	132777412	ProgramServices
Management And General	1722160	ManagementAndGeneral
Fundraising	2603	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	9788228	Total
Program Services	5180643	ProgramServices
Management And General	4607585	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	19238131	Total
Program Services	15572779	ProgramServices
Management And General	3624173	ManagementAndGeneral
Fundraising	41179	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	2461807	Total
Program Services	1153349	ProgramServices
Management And General	1308458	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	2837773	Total
Program Services	2503145	ProgramServices
Management And General	334628	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	19978606	Total
Program Services	17425340	ProgramServices
Management And General	2503319	ManagementAndGeneral
Fundraising	49947	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	43864852	Total
Program Services	38281986	ProgramServices
Management And General	5473655	ManagementAndGeneral
Fundraising	109211	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	11698201	Total
Program Services	10819910	ProgramServices
Management And General	869645	ManagementAndGeneral
Fundraising	8646	Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
BAD DEBT	24482597	24482597
DUES & SUBSCRIPTIONS	559433	340369	219048	16
CONTRACT MAINTENANCE	8455057	6887641	1564775	2641
NON-OPERATING FUNDRAISING EXP	1191205			1191205
ALLOC. OF OCCUP. & OVERHEAD		18711361	-18711361

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	20882773	Total
Program Services	13842485	ProgramServices
Management And General	7032861	ManagementAndGeneral
Fundraising	7427	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	861068861	Total
Program Services	780010703	ProgramServices
Management And General	79620314	ManagementAndGeneral
Fundraising	1437844	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	-1179996	BOY
EOY	-450893	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	62267959	BOY
EOY	70760404	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	1375987	BOY
EOY	1130861	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	104051580	BOY
EOY	102718868	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	2228213	BOY
EOY	7580114	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	13492780	BOY
EOY	16882505	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	32808164	BOY
EOY	41728777	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	746923256	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	316105750	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	436512280	BOY
EOY	430817506	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	236533889	BOY
EOY	257396126	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	23550577	BOY
EOY	30414393	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	15397908	BOY
EOY	10654909	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	927039341	BOY
EOY	969633570	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	102486332	BOY
EOY	106796309	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	8731842	BOY
EOY	8329651	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	416154407	BOY
EOY	408185204	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2327864	BOY
EOY	1454485	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	56191073	BOY
EOY	66274677	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	585891518	BOY
EOY	591040326	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	302162026	BOY
EOY	338704939	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	13957185	BOY
EOY	14937698	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	25028612	BOY
EOY	24950607	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	341147823	BOY
EOY	378593244	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	927039341	BOY
EOY	969633570	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii
Contrib By Controlling Individual	false	ContribByControllingIndividual
Contribution By Related Party	false	ContributionByRelatedParty
Contrib By35 Controlled Entity	false	ContribBy35ControlledEntity

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$36,286	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$102,873	OtherActivitiesAmount
Total Lobbying Expenditures IIB	139159	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	LOBBYING ACTIVITY	Identifier
Return Reference	SCHEDULE C, PART II-B	ReturnReference
Explanation	FLETCHER ALLEN REGULARLY MONITORS THE WORK OF THE VERMONT STATE LEGISLATURE TO IDENTIFY ISSUES THAT DIRECTLY AFFECT THE ORGANIZATION AND PERIODICALLY WORKS DIRECTLY WITH STATE LEGISLATORS TO ADVOCATE ON PARTICULAR ISSUES. STAFF EXPENDITURES ASSOCIATED WITH THESE ACTIVITIES ARE REPORTED TO THE STATE THREE TIMES A YEAR AS REQUIRED BY VERMONT LOBBYIST DISCLOSURE LAWS. STAFF ALSO WORK DIRECTLY WITH OUR CONGRESSIONAL DELEGATION (TWO SENATORS AND ONE REPRESENTATIVE) ON SPECIFIC PIECES OF LEGISLATION THAT IMPACT THE ORGANIZATION. THESE EXPENSES ARE REPORTED ON LINE G. THE ORGANIZATION ALSO BELONGS TO MEMBER ORGANIZATIONS (INCLUDING THE AMERICAN HOSPITAL ASSOCIATION, THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES, AND THE VERMONT ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS) THAT IN TURN HAVE LOBBYING EXPENSES. THE PORTION OF DUES ASSOCIATED WITH THOSE ACTIVITIES IS REPORTED ON LINE I.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	22798137	BeginningOfYearBalance
Contributions	81914	Contributions
Investment Earnings Or Losses	1255349	InvestmentEarningsOrLosses
Other Expenditures	94695	OtherExpenditures
End Of Year Balance	24040705	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	22578923	BeginningOfYearBalance
Contributions	142738	Contributions
Investment Earnings Or Losses	805381	InvestmentEarningsOrLosses
Grants Or Scholarships	4784	GrantsOrScholarships
Other Expenditures	724121	OtherExpenditures
End Of Year Balance	22798137	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.65000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.35000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8015949	OtherCostOrOtherBasis
Book Value	8015949	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	486701949	OtherCostOrOtherBasis
Depreciation	160870886	Depreciation
Book Value	325831063	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	35706720	OtherCostOrOtherBasis
Depreciation	24128721	Depreciation
Book Value	11577999	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	195312533	OtherCostOrOtherBasis
Depreciation	123289904	Depreciation
Book Value	72022629	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	21186105	OtherCostOrOtherBasis
Depreciation	7816239	Depreciation
Book Value	13369866	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	430817506	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
ESTIMATED 3RD PARTY SETTLEMENTS	$15,418,205
SWAP LIABILITY	$12,219,812
DUE TO VMCIC	$3,511,675
PENSION OBLIGATION	$31,762,094
ASSET RETIREMENT OBLIGATION	$1,043,407
LT FICA TAX PAYABLE	$2,319,484

Field	Value	IRS element (for citing)
Total Of Amounts	66274677	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ENDOWMENT FUNDS	SCHEDULE D, PART V, QUESTION 4	The funds, and all net earnings in addition thereto, are held to benefit charity, education, research and children's programs.
Schedule D, Part X, FIN 48		Fletcher Allen Healthcare, Inc's Financial Statements did not report a liability for uncertain tax positions under FIN 48.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	Region
Number Of Offices	0	NumberOfOffices
Number Of Employees	1	NumberOfEmployees
Type Of Activities Conducted	Program Services	TypeOfActivitiesConducted
Specific Services Provided	SELF-INSURANCE	SpecificServicesProvided
Total Expenditures	9847484	TotalExpenditures

Field	Value	IRS element (for citing)
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	1	TotalNumberOfEmployees
Total Amount Spent	9847484	TotalAmountSpent

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Big Chng Rnd-Up	NameOfEvent1
Gross Receipts Event1	135052	GrossReceiptsEvent1
Charitable Contributions Event1	135052	CharitableContributionsEvent1
Cash Prizes Event1	0	CashPrizesEvent1
Non Cash Prizes Event1	0	NonCashPrizesEvent1
Rent Facility Costs Event1	0	RentFacilityCostsEvent1
Food And Beverage Event1	0	FoodAndBeverageEvent1
Entertainment Event1	0	EntertainmentEvent1
Other Direct Expenses Event1	9802	OtherDirectExpensesEvent1
Name Of Event2	Golf Tournament	NameOfEvent2
Gross Receipts Event2	102328	GrossReceiptsEvent2
Charitable Contributions Event2	74584	CharitableContributionsEvent2
Gross Revenue Event2	27744	GrossRevenueEvent2
Cash Prizes Event2	2988	CashPrizesEvent2
Non Cash Prizes Event2	0	NonCashPrizesEvent2
Rent Facility Costs Event2	14780	RentFacilityCostsEvent2
Food And Beverage Event2	9907	FoodAndBeverageEvent2
Entertainment Event2	0	EntertainmentEvent2
Other Direct Expenses Event2	5924	OtherDirectExpensesEvent2
Total Number Of Other Events	2	TotalNumberOfOtherEvents
Gross Receipts Other Events	56930	GrossReceiptsOtherEvents
Charitable Contrib Other Events	54086	CharitableContribOtherEvents
Gross Revenue Other Events	2844	GrossRevenueOtherEvents
Cash Prizes Other Events	0	CashPrizesOtherEvents
Non Cash Prizes Other Events	0	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	0	RentFacilityCostsOtherEvents
Food And Beverage Other Events	1928	FoodAndBeverageOtherEvents
Entertainment Other Events	0	EntertainmentOtherEvents
Other Direct Expenses Other Events	21981	OtherDirectExpensesOtherEvents
Gross Receipts Total	294310	GrossReceiptsTotal
Charitable Contributions Total	263722	CharitableContributionsTotal
Gross Revenue Total Events	30588	GrossRevenueTotalEvents
Cash Prizes Total Events	2988	CashPrizesTotalEvents
Non Cash Prizes Total Events	0	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	14780	RentFacilityCostsTotalEvents
Food And Beverage Total Events	11835	FoodAndBeverageTotalEvents
Entertainment Total Events	0	EntertainmentTotalEvents
Other Direct Expenses Total Events	37707	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	67310	DirectExpenseSummaryEvents
Net Income Summary	-36722	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9051132	TotalCommunityBenefitExpense
Net Community Benefit Expense	9051132	NetCommunityBenefitExpense
Percent Of Total Expense	0.01080	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	40665	PersonsServed
Total Community Benefit Expense	158370104	TotalCommunityBenefitExpense
Direct Offsetting Revenue	87127711	DirectOffsettingRevenue
Net Community Benefit Expense	71242393	NetCommunityBenefitExpense
Percent Of Total Expense	0.08520	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Persons Served	1300	PersonsServed
Total Community Benefit Expense	1999368	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1499718	DirectOffsettingRevenue
Net Community Benefit Expense	499650	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	41965	PersonsServed
Total Community Benefit Expense	169420604	TotalCommunityBenefitExpense
Direct Offsetting Revenue	88627429	DirectOffsettingRevenue
Net Community Benefit Expense	80793175	NetCommunityBenefitExpense
Percent Of Total Expense	0.09660	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2842594	TotalCommunityBenefitExpense
Net Community Benefit Expense	2842594	NetCommunityBenefitExpense
Percent Of Total Expense	0.00340	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	62497372	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8091390	DirectOffsettingRevenue
Net Community Benefit Expense	54405982	NetCommunityBenefitExpense
Percent Of Total Expense	0.06500	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15048064	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7089600	DirectOffsettingRevenue
Net Community Benefit Expense	7958464	NetCommunityBenefitExpense
Percent Of Total Expense	0.00950	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	264383	TotalCommunityBenefitExpense
Net Community Benefit Expense	264383	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	978767	TotalCommunityBenefitExpense
Net Community Benefit Expense	978767	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	81631180	TotalCommunityBenefitExpense
Direct Offsetting Revenue	15180990	DirectOffsettingRevenue
Net Community Benefit Expense	66450190	NetCommunityBenefitExpense
Percent Of Total Expense	0.07940	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	41965	PersonsServed
Total Community Benefit Expense	251051784	TotalCommunityBenefitExpense
Direct Offsetting Revenue	103808419	DirectOffsettingRevenue
Net Community Benefit Expense	147243365	NetCommunityBenefitExpense
Percent Of Total Expense	0.17600	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	16409	TotalCommunityBuildingExpense
Net Community Building Expense	16409	NetCommunityBuildingExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	16409	TotalCommunityBuildingExpense
Net Community Building Expense	16409	NetCommunityBuildingExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$10,574,034	BadDebtExpenseAmount
Amount Attributable To	828769	AmountAttributableTo
Amount Reimbursed By Medicare	194954677	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	212291944	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-17337267	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost Accounting System	X	CostAccountingSystem

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (34 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Childrens HospitalChildrensHospital	Teaching HospitalTeachingHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours	OtherOther
FLETCHER ALLEN HEALTH CARE INC
111 COLCHESTER AVE	BURLINGTON	VT	05401	X	X	X	X	X	X
STARR FARM NURSING CENTER
98 STARR FARM ROAD	BURLINGTON	VT	05401							SKILLED NURSING FACILITY
WALK IN CARE CENTER
101 COLCHESTER PARKWAY	COLCHESTER	VT	05446							WALK IN CARE REHABILITATION
UNIVERSITY HEALTH CENTER
1 SOUTH PROSPECT STREET	BURLINGTON	VT	05401							MEDICAL OFFICE
BERLIN EYE CENTER
58 EAST VIEW LANE	BERLIN	VT	05602							MEDICAL OFFICE
WILLISTON HEALTH CENTER
2 BLAIR PARK	WILLISTON	VT	05495							MEDICAL OFFICE
BERLIN FAMILY HEALTH
130 FISHER ROAD	BERLIN	VT	05602							MEDICAL OFFICE
GIVEN HEALTH CARE CTR AT THE BRICKYARD
87 MAIN STREET	ESSEX JUNCTION	VT	05478							MEDICAL OFFICE
ENT - ST ALBANS
260 CREST ROAD	ST ALBANS	VT	05478							MEDICAL OFFICE
CHITTENDEN COUNTY DIALYSIS CENTER
35 JOY DRIVE	SOUTH BURLINGTON	VT	05403							DIALYSIS
COLCHESTER FAMILY PRACTICE
170 BLAKELY ROAD	COLCHESTER	VT	05446							MEDICAL OFFICE
UROLOGY - ST ALBANS
6 CREST ROAD	ST ALBANS	VT	05478							MEDICAL OFFICE
ROBERT PIERRATINI MD
47 COURT STREET	MIDDLEBURY	VT	05753							MEDICAL OFFICE
CARDIOLOGY & CARDIAC REHAB
62 TILLEY DRIVE	SOUTH BURLINGTON	VT	05403							MEDICAL OFFICE
BERLIN DIALYSIS
130 FISHER ROAD	BERLIN	VT	05602							DIALYSIS
MILTON FAMILY PRACTICE
28 CENTRE DRIVE	MILTON	VT	05468							MEDICAL OFFICE
REHAB THERAPIES AT THE MEDICAL OFFC BLDG
792 COLCHESTER PARKWAY	COLCHESTER	VT	05446							MEDICAL OFFICE
NORTH COUNTRY DIALYSIS
189 PROUTY DR	NEWPORT	VT	05855							DIALYSIS
ORTHOPAEDIC SPECIALTY CENTER
192 TILLEY DRIVE	SOUTH BURLINGTON	VT	05403							MEDICAL OFFICE
RUTLAND DIALYSIS
160 ALLEN STREET	RUTLAND	VT	05701							DIALYSIS
SUGARBUSH - ORTHOPAEDICS
102 FOREST DR	WARREN	VT	05674							MEDICAL OFFICE
AESCULAPIUS MEDICAL CENTER
1 TIMBER LAND	SOUTH BURLINGTON	VT	05403							MEDICAL OFFICE
ENDOCRINOLOGY & VERMONT REG DIABETES CTR
3 TIMBER LANE	SOUTH BURLINGTON	VT	05403							MEDICAL OFFICE
SOUTH BURLINGTON FAMILY PRACTICE
1775 WILLISTON ROAD	SOUTH BURLINGTON	VT	05403							MEDICAL OFFICE
PLASTIC RECNSTRCTVE & COSMETIC SURGERY
354 WATER TOWER HILL	COLCHESTER	VT	05446							MEDICAL OFFICE
VERMONT REGIONAL SLEEP CENTER
870 WILLISTON ROAD	BURLINGTON	VT	05401							MEDICAL OFFICE
THE CONTINENCE CENTER
1775 WILLISTON ROAD	SOUTH BURLINGTON	VT	05403							MEDICAL OFFICE
AQUATICS REHABILITATION CENTER
32 MALLETS BAY AVE	WINOOSKI	VT	05404							MEDICAL OFFICE
THE MEMORY CENTER
792 COLCHESTER PARKWAY	COLCHESTER	VT	05446							MEDICAL OFFICE
VERMONT REGIONAL GENETICS CENTER
112 COLCHESTER AVE	BURLINGTON	VT	05401							MEDICAL OFFICE
REHAB OUTPATIENT CENTER
101 COLCHESTER PARKWAY	COLCHESTER	VT	05446							MEDICAL OFFICE
CENTER FOR PAIN MEDICINE
62 TILLEY DRIVE	SOUTH BURLINGTON	VT	05403							MEDICAL OFFICE
COMMUNITY HEALTH IMPROVEMENT
199 MAIN STREET	BURLINGTON	VT	05401							MEDICAL OFFICE
Hinesburg Family Health
22 Commerce Avenue	Hinesburg	VT	05461							Medical Office

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Costing Method Used	PART I, LINE 7: Fletcher Allen utilized the Alliance for Decision Support cost accounting system to calculate the amounts reported in the table on Line 7. The cost accounting system addresses all patient segments, including, but not limited to, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured and self pay. The cost-to-charge ratio derived from Worksheet 2 was also utilized for some of the figures reported in the table on Line 7. Approximately $38M of our Medicaid expense is Fletcher Allen Health Care's annual Medicaid Provider Tax, assessed on Vermont acute care hospitals by the State of Vermont. The tax assessment is calculated as 5.5% of a hospital's base year net patient care revenue.	CostingMethodUsed
Subsidized Health Services Expln	PART I, LINE 7g: For the fiscal year ended September 30, 2010 Fletcher Allen Health Care included physician clinic expenses in subsidized health services. Fletcher Allen Health Care physicians incurred $4,416,216 of Costs associated with providing psychiatry services.	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	PART I, LINE 7, COLUMN (F): The provision for bad debt on the Financial Statements for Fletcher Allen Health Care and Fletcher Allen Coordinated Transport, LLC is $24,482,597.	PercentOfTotalExpenseExpln
Bad Debt Footnote	PART III, LINE 4: Fletcher Allen determined the amount reported in Part III, line 2 by utilizing Worksheet A and multiplying the total Bad Debt write-offs attributable to patient accounts by the cost-to-charge ratio derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges. Discounts and payments on patient accounts are netted against the total gross charges when determining bad debt expense. The $828,769 reflects the adjusted bad debt expense for all patients who submitted an initial application, however, upon follow-up did not respond to requests for additional information or supporting documentation. FAHC has a database which tracks all applications and their status; a query extracted all incomplete/non responsive archived applications providing a list of patients & dependents. Subsequently, a query of associated patient services from 10/1/09 - 9/30/10 for "self pay" and collection accounts was extracted from the billing system. The collection dollars were then adjusted by the cost to charge ratio. Fletcher Allen Health Care's financial statements do not include a footnote describing bad debt expense. Receivables are reported net of an allowance for doubtful accounts. The provision for bad debts is reported as an operating expense. This expense is determined as a percentage of gross patient service revenue based on actual write-off history.	BadDebtFootnote
Shortfall As Community Benefit	PART III, LINE 8: The amount reported in Part III, Line 6, Medicare allowable costs of care, is derived from Fletcher Allen Health Care's FYE 9/30/10 Medicare cost report, Worksheet D-1, Computation of Inpatient Operating Costs; Worksheet E Part B, Calculation of Outpatient Settlement; and Worksheet I-4, Computation of Average Cost per Treatment for Outpatient Renal Dialysis. While Fletcher Allen has historically followed the Catholic Hospital Association's guidance and not considered any Medicare shortfall (reported in Part III, line 7) as a community benefit, it is likely that some portion of Medicare patients would have qualified for charity care under our policies in the absence of Medicare coverage, such that shortfalls associated with those patients would otherwise have been included in our community benefits.	ShortfallAsCommunityBenefit
Debt Collection Policy	PART III, LINE 9b: Pursuant to the Self-Pay Collection Process Policy: Should a patient express financial hardship and/or if the patient's account balance would likely qualify for catastrophic assistance, the Customer Service Account Resolution Representative will provide patients with information regarding the FAHC Patient Assistance Program. Patients expressing interest in the program will be directed to the FAHC website for a downloadable application or an application will be sent via the US Mail. In addition, high dollar accounts are monitored weekly and screened for possible patient assistance. When direct contact via the phone cannot be established, those accounts where balances are high, have intermittent payment or employment history are flagged as potential catastrophic qualifiers. These patients will be sent an application via certified mail, inviting them to apply for assistance.	DebtCollectionPolicy
Number Of Facility Type Expln	PART V: Fletcher Allen Health Care does not operate any facilities that are not licensed, registered, or similarly recognized as a health care facility by the state of Vermont.	NumberOfFacilityTypeExpln
Needs Assessment	Fletcher Allen has a long history of conducting needs assessments to gauge the health care and related needs of the communities it serves, including the creation of a Community Benefits Advisory Group several years ago to help guide the organization's community-related activities. The Advisory Group includes members from across the organization as well as a member from the Vermont Health Foundation, a community partner. Fletcher Allen has begun planning for the next community health assessment. The assessment is anticipated to be completed by March 2012 and will include extensive community outreach and data collection. A community-wide survey is being planned, as well as focus groups targeting community members with disproportionate unmet health needs and interviews with key public health specialists and community leaders.	NeedsAssessment
Patient Education Assistance	Fletcher Allen utilizes a variety of methods to inform, educate and assist patients in identifying payment sources, including state / federal programs as well as our Patient Assistance Program. Educate & Inform: -The FAHC Patient Assistance (charity) program is referenced on the FAHC public website, along with guidelines, criteria, frequently asked questions and a downloadable application. All patients are invited to apply. Patients who would not normally qualify may be considered due to special circumstances. -Our Patient Assistance program is referenced on all of our FAHC patient statements, along with telephone numbers for assistance in the application process. -Pamphlets regarding our health assistance programs are available in the public waiting rooms and Registration office with follow-up direction to our community outreach case managers and coordinators. -Verbal communication regarding the programs IS provided to patients during the Pre-Registration process if uninsured or if insured patients express hardship, at the point of arrival and at the point of discharge in the Emergency Department. Applications for both Medicaid and Charity are available to each registrar and are routinely provided to patients during the interview and/or patients are directed to our Patient Financial Counselors and Customer Service Representatives for application assistance. -Within the physician clinics, applications are available for patients and follow-up referrals are provided directly to the Customer Service department. -Patient calls to the Customer Service Center regarding bills, payments, budget plans, etc. will include education and, when necessary, counseling for patients regarding both the state and federal options as well as the FAHC charity program. Applications for assistance with all programs are mailed to patients upon request. Application Assistance: -All inpatients and outpatient procedures are financially screened to identify the underinsured or uninsured patient population. Prior to service, concurrent with service and post service, our Patient Financial Counselors will call and/or meet with patients and families to educate them on the available programs and where applicable, assist in the application process. This includes the state and federal aid applications and the FAHC charity application process. -Our counselors will additionally meet with patients at the bedside to help complete the applications, provide details on supporting documentation needs & facilitate and expedite the review process until a notice of decision has been received. -Our Community Health Improvement office provides education and application assistance for a variety of programs, including the state and federal Medicaid application process, the Patient Assistance program application (charity) as well as assist with financial assistance to pharmaceutical companies. Processes have been established to refer urgent care and emergency department patients to the program, where case managers assist in both the application process and community resource needs identification. As a safety net, the case managers will also receive reports for the uninsured emergency patients who have frequented the emergency department more than 1 time per month. The managers will then reach out to the patients, seeking to assist patients in identifying financial sponsorship.	PatientEducationAssistance
Community Information	Fletcher Allen Health Care is both a community hospital and, in partnership with the University of Vermont, the state's academic medical center. In its community hospital role, Fletcher Allen serves approximately 150,000 residents in Chittenden and Grand Isle counties and provides primary care services at ten Vermont sites. The organization also offers free to the community a wide range of health, prevention and wellness programs, all of which help to limit the need for more expensive acute care. As a regional referral center, Fletcher Allen provides advanced-level care to a population of one million people throughout Vermont and northern New York. The medical center extends beyond its four main campuses in the Burlington area to include more than 30 patient care sites and 100 outreach clinics, programs and services throughout the region.	CommunityInformation
Community Building Activities	The $16,409 reported in Part II of Schedule H reflects 460 hours of staff time spent on community-based coalitions, advisory groups and committees. Examples include the Howard Center's Street Outreach advisory group, the Burlington Partnership for a Healthier Community coalition, the Interpreter Task Force and the United Way Advisory Committee. Staff members of Fletcher Allen play a vital role within these community-based groups.	CommunityBuildingActivities
Other Information	Fletcher Allen is governed by a board of community volunteers from our service area, including our primary, secondary and tertiary referral region. The majority of board members are independent and not directly affiliated with the organization. Fletcher Allen's medical staff is an "open staff" model with membership governed by the medical staff's by-laws, and includes approximately 550 employed physicians and 220 community-based physicians. As a non-profit, any surplus funds generated by Fletcher Allen are re-invested in our organization to support our mission. Please see Schedule O for a more detailed description of Fletcher Allen's role in our regional health care system and our community benefit activities.	OtherInformation
Affiliated Health Care System	Collaborative Efforts - Fletcher Allen regularly partners with other organizations and providers to help meet the needs of our community. This includes working with other organized systems of care (like home health agencies, other Vermont hospitals, and physician practices), as well as community-based organizations whose missions are similar to ours. For example, Fletcher Allen collaborates with community partners to regularly assess community and health care needs, which helps guide our organization's priorities. Please read Form 990 Part III narrative in Schedule O for additional information on Fletcher Allen Health Care's interactions in and with its community.	AffiliatedHealthCareSystem

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (12 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Address Line2AddressUS/AddressLine2
Champlain Initiative CO United Way of Chit
412 Farrell St	S Burlington	VT	05403	030217229	501(C)(3)	40000	COMMUNITY HLTH IMPRO
Community Health Center of Burlington
617 Riverside Ave	Burlington	VT	05401	237182584	501(C)(3)	167996	COMMUNITY HLTH IMPRO
Burlington School District's Dental Health
150 Colchester Ave	Burlington	VT	05401	036000410	115	15000	COMMUNITY HLTH IMPRO
Diabetes Exercise Program - Burlington YMCA
266 College Street	Burlington	VT	05401	030185810	501(C)(3)	16000	COMMUNITY HLTH IMPRO
United Way of Chittenden County
412 Farrell St	S Burlington	VT	05403	030217229	501(C)(3)	30000	COMMUNITY HLTH IMPRO	Suite 200
Vermont Health Foundation
199 Main Street	Burlington	VT	05401	030289111	501(C)(3)	23900	COMMUNITY HLTH IMPRO	Suite 150
Vermont Ethics Network
65 Main Street	Montpelier	VT	056202951	030336174	501(C)(3)	6600	COMMUNITY HLTH IMPROV	Room 25
Downtown Street Outreach - HowardCenter Inc
300 Flynn Avenue	Burlington	VT	05401	030179433	501(C)(3)	35000	COMMUNITY HLTH IMPRO
Northeastern Vermont Area Health Education Center
347 Emerson Falls Rd	St Johnsbury	VT	05819	043366707	501(c)(3)	65000	community hlth impro
Champlain Valley Area Health Education Ctr
92 Fairfield St	St Albans	VT	05478	030357255	501(c)(3)	65000	community hlth impro
Southern Vermont Area Health Education Ctr
365 Summer Street	Springfield	VT	05156	030360193	501(c)(3)	65000	community hlth impro
University of Vermont College of Medicine
1 South Prospect St	Burlington	VT	05401	030179440	501(c)(3)	65000	community hlth impro

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	12	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
Nursing Scholarships	22	79750
Allied Health Scholarships	3	10875
ENDOWMENT SCHOLARSHIPS	5	5550

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	SCHOLARSHIP MONITORING	Identifier
Return Reference	SCHEDULE I, PART I, QUESTION 2	ReturnReference
Explanation	THE ORGANIZATION BELIEVES STRICT APPLICATION AND APPROVAL CRITERIA FOR SCHOLARSHIP RECIPIENTS HELPS MAINTAIN THE INTEGRITY OF EACH RESPECTIVE AWARD. NURSING SCHOLARSHIPS: NURSING SCHOOL ASSISTANCE IS AWARDED TO APPLICANTS IN ORDER FOR THEM TO OBTAIN A DEGREE IN NURSING. FOR THE APPLICANT TO QUALIFY FOR THE SCHOLARSHIP, HE/SHE MUST AGREE THAT THEY WILL USE IT TO HELP FURTHER FLETCHER ALLEN HEALTH CARE'S CHARITABLE STATUS. THIS IS DONE BY HAVING THE APPLICANT COMMIT TO TWO YEARS OF SERVICE AT THE ORGANIZATION AFTER SUCCESSFUL COMPLETION OF THE DEGREE PROGRAM. IN ADDITION, A WRITTEN PROPOSAL STATING HOW ATTAINMENT OF THE DEGREE WILL BENEFIT NURSING AT THE ORGANIZATION IS REQUIRED. ALLIED HEALTH SCHOLARSHIPS: ALLIED HEALTH SCHOLARSHIPS ARE AWARDED TO SUPPORT THE CAREER DEVELOPMENT OF FLETCHER ALLEN HEALTH CARE (FAHC) EMPLOYEES IN POSITION CATEGORIES WHERE CURRENT AND PROJECTED SHORTAGES EXIST. FOR THE APPLICANT TO QUALIFY FOR THE SCHOLARSHIP, HE OR SHE MUST BE AN EMPLOYEE OF FAHC FOR ONE YEAR OR MORE, COMPLETE AN APPLICATION AND WRITTEN ESSAY, HAVE A HISTORY OF SOLID JOB PERFORMANCE, BE ACCEPTED INTO AN APPROVED ACADEMIC PROGRAM, AND PROVIDE TWO LETTERS OF RECOMMENDATION. ONCE THE SCHOLARSHIP IS AWARDED, RECIPIENTS MUST SIGN AN AGREEMENT TO WORK FOR FAHC FOR A MINIMUM OF THREE YEARS UPON GRADUATION, TAKE A MINIMUM OF SIX CREDIT HOURS EACH SEMESTER, MAINTAIN HIGH GRADES, AND WORK A MINIMUM OF 20 HOURS PER WEEK. SCHOLARSHIPS FROM THE NURSING EDUCATION ENDOWMENT FUND AND THE MARY FLETCHER HOSPITAL SCHOOL OF NURSING ALUMNI FUND: ASSISTANCE FROM THE NURSING EDUCATION ENDOWMENT FUND IS AWARDED TO ELIGIBLE APPLICANTS GOING INTO THE NURSING FIELD. APPLICANTS MUST BE EMPLOYED AT LEAST TWO YEARS AT FAHC, WORK AT LEAST 40 HOURS PER PAY PERIOD, ENROLLED IN A NURSING CERTIFICATE, DEGREE OR DOCTORATE PROGRAM, AND CURRENT EMPLOYEES IN GOOD STANDING WITH NO CURRENT DISCIPLINARY ACTION ON THEIR FILE. DECISION TO APPROVE FUNDING IS BASED ON THE APPLICANT'S COMPLETED APPLICATION FORM, TWO LETTERS OF RECOMMENDATION, AND COMMITMENT TO TWO YEARS OF SERVICE AT FAHC AFTER SUCCESSFUL COMPLETION OF THE DEGREE. ASSISTANCE FROM THE MARY FLETCHER HOSPITAL SCHOOL OF NURSING ALUMNI FUND IS ALSO AWARDED TO ELIGIBLE APPLICANTS GOING INTO THE NURSING FIELD. APPLICANTS MUST BE ENROLLED IN EITHER A FORMAL OR CONTINUING EDUCATION PROGRAM RELATED TO SOME ASPECT OF HEALTH CARE (FOR EXAMPLE, HOLISTIC NURSING, CHILD-BIRTH EDUCATION, CHEMICAL DEPENDENCY, NURSE PRACTITIONER). IN ADDITION, APPLICANTS MUST MEET THE FOLLOWING REQUIREMENTS: BE EMPLOYED BY FLETCHER ALLEN HEALTH CARE FOR AT LEAST ONE YEAR, AND PROVIDE A COMPLETED APPLICATION FORM, RESUME, WRITTEN ESSAY AND TWO LETTERS OF RECOMMENDATION.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Personal Services	X	PersonalServices
Written Policy Re T And E Expenses	false	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DR MELINDA ESTES
836597	0	347794	0	210729	0	20754	0	24219	0	1440093	0	0	0
ROGER DESHAIES
433709	0	129712	0	73186	0	21373	0	22717	0	680697	0	0	0
ANGELINE MARANO
0	0	0	0	354957	0	0	0	1533	0	356490	0	0	0
DR PAUL TAHERI
370534	0	110373	0	72113	0	17150	0	25376	0	595546	0	0	0
SANDRA DALTON RN
322350	0	80186	0	71881	0	865	0	11189	0	486471	0	0	0
DR KRISTEN DESTIGTER
502620	0	0	0	141907	0	17150	0	22748	0	684425	0	0	0
DR BELA RATKOVITS
499633	0	0	0	104607	0	29400	0	5045	0	638685	0	0	0
DR GRANT LINNELL
519477	0	0	0	89949	0	17150	0	22740	0	649316	0	0	0
DR ANANT BHAVE
514108	0	0	0	38737	0	17150	0	20339	0	590334	0	0	0
DR JOSEPH T SHIELDS
514108	0	0	0	39100	0	17150	0	20053	0	590411	0	0	0
DR FREDERICK C MORIN III
0	203000	0	0	0	0	0	0	0	0	0	203000	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	PERSONAL SERVICE COMPENSATION	Identifier
Return Reference	SCHEDULE J, PART I, QUESTIONS 1A, 1B & 2	ReturnReference
Explanation	THE FOLLOWING INDIVIDUALS RECEIVED COMPENSATION OF $1,400 TO COVER TAX PREPARATION AND FINANCIAL ADVISORY SERVICES: DR. MELINDA ESTES ROGER DESHAIES DR. PAUL TAHERI SANDRA DALTON, R.N. ANGELINE MARANO WHILE THERE IS NO ORGANIZATION-WIDE WRITTEN POLICY REGARDING PAYMENT OF THE EXPENSE DESCRIBED ABOVE, THE AMOUNT IS INCLUDED IN THE RESPECTIVE INDIVIDUAL'S EMPLOYMENT CONTRACT WHICH IS DETERMINED THROUGH ANNUAL REVIEW (AS DISCUSSED IN SCHEDULE O). PERSONAL SERVICE COMPENSATION IS A FLAT AMOUNT INCLUDED IN THE INDIVIDUAL'S RESPECTIVE W-2 AS TAXABLE INCOME. NO REIMBURSEMENT IS MADE UNDER AN ACCOUNTABLE PLAN; THEREFORE, SUBSTANTIATION OF EXPENSE IS UNNECESSARY. SEVERANCE OR CHANGE OF CONTROL PAYMENT SCHEDULE J, PART I, QUESTION 4A ANGELINE MARANO RECEIVED SEVERANCE COMPENSATION OF $354,957 IN CALENDAR YEAR 2009, WHICH FALLS WITHIN FLETCHER ALLEN HEALTHCARE'S FISCAL YEAR ENDED 9/30/10. ANGELINE MARANO SIGNED A SEPARATION AND RELEASE AGREEMENT PRIOR TO ENDING EMPLOYMENT WITH THE ORGANIZATION. THE AGREEMENT, WHICH WAS SIGNED BY ANGELINE MARANO AND THE CHIEF HUMAN RESOURCES OFFICER, CONFIRMED SEVERANCE COMPENSATION AND BENEFITS, ALONG WITH GENERAL PROVISIONS TO BE MET UPON ENDING EMPLOYMENT. NON-FIXED PAYMENTS SCHEDULE J, PART I, QUESTION 7 FLETCHER ALLEN PAID A LUMP-SUM INCENTIVE AWARD TO UPPER MANAGEMENT (DIRECTORS, VICE PRESIDENTS, PHYSICIAN CHAIRS AND SENIOR EXECUTIVES) THROUGH ITS ANNUAL SHORT-TERM INCENTIVE (STI) PLAN AS THE PLAN'S ORGANIZATIONAL PERFORMANCE MEASURES WERE MET. THE MEASURES WERE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THESE MEASURES INCLUDED QUALITY, OPERATIONAL AND HUMAN RESOURCES RELATED METRICS. IN CALENDAR YEAR 2009, THE MONTHS OF JANUARY THROUGH SEPTEMBER FALL IN OUR FISCAL YEAR 2009, WHILE THE MONTHS OF OCTOBER THROUGH DECEMBER FALL IN OUR FISCAL YEAR 2010. IN FISCAL YEAR 2009, THE PRIMARY FINANCIAL MEASURE FOR ORGANIZATIONAL PERFORMANCE, WHICH WAS WEIGHTED AT APPROXIMATELY 20% AMONG THE VARIOUS METRICS, WAS OPERATING MARGIN. IN FISCAL YEAR 2010, THE TWO FINANCIAL MEASURES FOR ORGANIZATIONAL PERFORMANCE WERE OPERATING MARGIN AND GROWTH FROM COORDINATED HEALTH SYSTEMS. EACH WAS WEIGHTED AT 20%. ADDITIONAL COMPENSATION INFORMATION SCHEDULE J, PART II THE FOLLOWING INDIVIDUALS WERE EMPLOYED BY FAHC OR A RELATED ORGANIZATION OF FAHC AND WERE COMPENSATED FOR THEIR ROLES IN THOSE POSITIONS NOT FOR THEIR ROLES AS A MEMBER OF THE GOVERNING BOARD. Dr. Ruth Uphold, FAHC Physician Dr. Frederick C. Morin III, Dean of the College of Medicine	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer
VEHBFA SERIES 2008A & SERIES 2004B
237154467	924166CJ8	2008-05-21	215386067	REFUND BONDS ISSUED 04/15/2004	false	false
VEHBFA SERIES 2007A
237154467	924166AQ4	2007-01-25	56375337	CONSTRUCT HEALTH CARE FACILITIES	false	false
VEHBFA SERIES 2004A
237154467	9241606Q2	2004-04-15	49543132	REFUND BONDS ISSUED 1993	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Working Capital ExpendituresWorkingCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
209722178	0	1708089	3128000	2005	true	false	true	true
56321201	5479353	895983	0	2005	false	false	true	true
39397930	4772864	451483	0		true	false		true

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	true	false	true	0.00210	0.00710	0.00920	true
false	false	true	false	true	0.00000	0.00000	0.00000	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Term Of HedgeTermOfHedge	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
CITIBANK
false	true	true	24.2	false	false	false
(no name)
false	false	false		false	false	false
(no name)
false	false	false			false	false

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
VERMONT GAS SYSTEMS
D. GILBERT - SEE SCH O	1920186	NATURAL GAS	false
DR HAROLD MORRIS III
SPOUSE OF CEO ESTES	108348	WAGES	false
R ALLEN MEAD
SON OF TRUSTEE MEAD	177243	WAGES	false
SARAH T DAYMON
DAUGHTER OF TTEE TRACY	51475	WAGES	false
Maurine R Gilbert
Daughter of TTEE Gilbert	62287	WAGES	false
FOR ADDITIONAL PERSONS SEE SCHEDUL
			false

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	4	NumberOfContributions
Noncash Contribs Rptd F990	0	NoncashContribsRptdF990
Method Of Determining Revenues	COST	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest

Books And Publications BooksAndPublications

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	0	NoncashContribsRptdF990
Method Of Determining Revenues	COST	MethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	0	NoncashContribsRptdF990
Method Of Determining Revenues	COST	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	10	NumberOfContributions
Noncash Contribs Rptd F990	99361	NoncashContribsRptdF990
Method Of Determining Revenues	SALE PRICE LESS FEES	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther
Collectibles		Collectibles

Food Inventory FoodInventory

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	0	NoncashContribsRptdF990
Method Of Determining Revenues	COST	MethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	2	NumberOfContributions
Noncash Contribs Rptd F990	0	NoncashContribsRptdF990
Method Of Determining Revenues	COST	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	GIFT CERTIFICATES	70	55	COST
X	MEMORABILIA	2	0	COST
X	ADVERTISING	1	0	COST

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	true	ReviewProcessUnusualNCGifts
Third Parties Used	true	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (3 entries)

IdentifierIdentifier	ExplanationExplanation
Schedule M, Part I, Column B	Fletcher Allen Health Care, Inc. is reporting the total number of contributions.
SCHEDULE M, PART I, LINE 32B	Fletcher Allen Uses a third party stock broker to receive and sell all securities on the same day they are received.
Schedule M, Part I, Line 33	Fletcher Allen Health Care, Inc. does not record revenue for gifts-in-kind until they are sold. Therefore, revenue for these gifts is not included on Form 990, Part VIII, Line IB.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
NUMBER OF VOLUNTEERS	FORM 990, PART I, QUESTION 6	THE TOTAL NUMBER OF VOLUNTEERS INCLUDES NON-COMPENSATED MEMBERS OF THE BOARD OF TRUSTEES. IN ADDITION, VOLUNTEERS WORK IN OVER 50 DEPARTMENTS TO SUPPORT THE WORK OF EMPLOYEES TO MEET PATIENT NEEDS AND ENHANCE THE PATIENT EXPERIENCE AT FLETCHER ALLEN.
Community Benefit Report	Form 990, PART III	Fletcher Allen Health Care is both a community hospital and, in partnership with the University of Vermont, the state's academic medical center. It is our mission to improve the health of the people in the communities we serve by integrating patient care, education and research in a caring environment. In its community hospital role, Fletcher Allen serves approximately 150,000 residents in Chittenden and Grand Isle counties and provides primary care services at ten Vermont sites. The organization also offers free to the community a wide range of health, prevention and wellness programs, all of which help to limit the need for more expensive acute care. Through a vital partnership, Fletcher Allen Health Care, the University of Vermont College of Medicine and the University of Vermont College of Nursing and Health Sciences form Vermont's academic medical center - one of only approximately 130 such centers in the country. Together, these institutions are committed to helping improve our region's quality of life with innovations in medicine and health care that arise from new knowledge and discovery. Through its alliance with the University of Vermont, Fletcher Allen is able to provide the best patient care possible by bringing medical education and research to the bedside, the doctor's office and into the community. As a regional referral center, Fletcher Allen provides advanced-level care to a population of one million people throughout Vermont and northern New York. The medical center extends beyond its four main campuses in the Burlington area to include more than 30 patient care sites and 100 outreach clinics, programs and services throughout the region. Each of these responsibilities is equally important in fulfilling Fletcher Allen's mission. 1. PATIENT CARE - Serving a population of one million throughout Vermont and northern New York, Fletcher Allen provides a full range of services covering every major area of medicine. The medical center averages more than a million patient visits each year, including inpatient, outpatient, emergency department and physician office visits. Fletcher Allen is at the leading edge of health care innovations, including having implemented a system-wide electronic health record that supports improved health care for our communities and serving as one of the first two pilot sites for the Vermont Blueprint for Health, a statewide public/private partnership focused on ensuring that all Vermonters have access to primary care services using the "patient-centered medical home" care delivery model. In line with the Blueprint, Fletcher Allen has begun implementing Community Health Teams for all of our primary care practices, three of which have been recognized by the National Committee on Quality Assurance as patient-centered medical homes. 2. EDUCATION - As an academic medical center, we have the special responsibility of educating the next generation of doctors, nurses and allied health professionals. The vast majority of Fletcher Allen doctors not only take care of patients, they also teach medical students through their positions as members of the University of Vermont College of Medicine faculty. A number of Fletcher Allen nurses and allied health professionals also teach at the University of Vermont College of Nursing and Health Sciences. Fletcher Allen Health Care serves as the clinical training site for the approximately 430 medical students and 900 nursing and allied health students who attend the University of Vermont. Additionally, Fletcher Allen is the training site for approximately 280 residents - physicians who have graduated from medical school and are completing the additional clinical training required for their area of care. Patients benefit from having residents, medical students and nursing and allied health students as part of their care team. Fletcher Allen and the University of Vermont recently completed the development of a Simulation Center that includes 9,000 square feet of teaching space with fully-functioning hospital rooms and high-tech mannequins that simulate all kinds of diseases and injuries. The Simulation Center also has hands-on labs for skill-building as well as a virtual reality trainer that improves on old teaching methods. In addition to being used to train future doctors and nurses, the new facility is open to all Vermont medical professionals, including Emergency Medical Technicians and Vermont National Guard medics. 3. RESEARCH - A core mission of the academic medical center is to advance medical knowledge through research, so in addition to teaching and training, many of our physicians, nurses and other providers engage in biomedical research, seeking new cures and more effective treatments. There are over 1,000 active clinical trials at the University of Vermont and Fletcher Allen. Clinical trials are research studies conducted using volunteers. Each study answers scientific questions and tries to find better ways to prevent, screen for, diagnose, or treat a disease. This active research program has a direct benefit to patients at Fletcher Allen, who have access to the latest treatments and technology and who are cared for by some of the leading experts in their field. The academic medical center is also actively engaged in population-based health research, including evaluating Vermont Blueprint for Health pilot projects involving the development and impact of patient-centered medical homes within the state. 4. COMMUNITY BENEFIT - In addition to delivering health care, educating health care professionals, and researching new knowledge, Fletcher Allen also lives its mission - to improve the health of the people in the communities it serves - by reaching out to help people take care of their health. These efforts include, but are not limited to: Community Wellness and Education - Fletcher Allen offers numerous free health education classes, in which health professionals provide information on a variety of topics. Many other health and wellness programs offered throughout the year serve as a valuable resource to our community, ranging from child passenger car seat safety checks to free blood pressure screenings, tobacco cessation classes, and Matter of Balance workshops for seniors. Frymoyer Community Health Resource Center - Patients, families and the public are more interested than ever in gaining access to the latest health information available. The Frymoyer Community Health Resource Center at Fletcher Allen offers the community easy, free, guided access to the best information about health and medicine. Collaborative Efforts - Fletcher Allen regularly partners with other organizations and providers to help meet the needs of our community. This includes working with other organized systems of care (like home health agencies, other Vermont hospitals, and physician practices), as well as community-based organizations whose missions are similar to ours. For example, Fletcher Allen collaborates with community partners to regularly assess community and health care needs, which helps guide our organization's priorities.
Our community benefits fall into four general categories:		Direct financial assistance to patients. This represents free care given to patients who qualify under Fletcher Allen's "patient assistance program" policy. That policy offers free care to patients under 200% of the federal poverty level (FPL), with patients between 200% and 400% FPL paying a sliding-scale deductible only. For FY 2010, we calculated this amount at approximately $9.1 million in actual costs (not charges). Subsidized programs. These include research activities and education and training programs for health professionals that are not fully reimbursed through other means, as well as subsidies to support health services that benefit our community, including the uninsured and low-income individuals, despite incurring losses. Those services include mental health services and critical care transportation services. For FY 2010, we calculated these subsidies as totaling $8 million in community benefit. Community programs and direct grants. These included, for example, community health services (health education classes, support groups, screening services, free clinics, etc.), financial contributions and in-kind donations (cash donations, grants, in-kind support such as meeting rooms, parking vouchers, etc.), community-building and leadership activities (including advocacy for community health improvement, economic development, and environmental improvements), and community benefit operations (including costs associated with our Office of Community health improvement, community needs assessments, etc.). For FY 2010, we calculated the value of these community programs and grants as $3.8 million. Medicaid and other public program underpayments. These include underpayments from Vermont's Medicaid program as well as several smaller public programs (for example, Ladies First). These do not include any underpayments by Medicare. For FY 2010, we calculated this amount as $71.7 million. Our total community benefit spending in FY 2010 was $147.2 million. This represents approximately 17.6% of Fletcher Allen's net operating revenue in FY 2010. ORGANIZATION'S MISSION FORM 990, PART III, QUESTION 1 ACADEMIC MEDICAL CENTER AND COMMUNITY HOSPITAL. MISSION: TO IMPROVE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE BY INTEGRATING PATIENT CARE, EDUCATION, AND RESEARCH IN A CARING ENVIRONMENT. VISION: FLETCHER ALLEN HEALTH CARE IS COMMITTED TO BEING A NATIONAL MODEL FOR THE DELIVERY OF HIGH-QUALITY ACADEMIC HEALTH CARE FOR A RURAL REGION. STATEMENT OF VALUES: WE RESPECT THE DIGNITY OF ALL INDIVIDUALS AND ARE RESPONSIVE TO THEIR PHYSICAL, EMOTIONAL, SPIRITUAL AND SOCIAL NEEDS AND CULTURAL DIVERSITY. WE ARE JUST AND PRUDENT STEWARDS OF LIMITED NATURAL AND FINANCIAL RESOURCES. WE FOSTER A CLIMATE WHICH ENCOURAGES BOTH THOSE RECEIVING AND PROVIDING CARE TO MAKE RESPONSIBLE CHOICES. WE STRIVE FOR EXCELLENCE IN QUALITY AND CARE AND SEEK TO CONTINUOUSLY LEARN AND IMPROVE. WE ACKNOWLEDGE A PARTNERSHIP WITH THE COMMUNITY TO ENSURE THE BEST POSSIBLE CARE AT THE RIGHT TIME, IN THE RIGHT PLACE, AND BY THE RIGHT PROVIDER. WE ARE CARING AND COMPASSIONATE TO EACH OTHER AND TO THOSE WE SERVE. *WE COMMUNICATE OPENLY AND HONESTLY WITH THE COMMUNITY WE SERVE.
PROGRAM SERVICE ACCOMPLISHMENTS	FORM 990, PART III, QUESTION 4A-4D	FLETCHER ALLEN HEALTH CARE (FLETCHER ALLEN) IS A TERTIARY CARE TEACHING HOSPITAL THAT, IN AFFILIATION WITH THE UNIVERSITY OF VERMONT, SERVES AS VERMONT'S ACADEMIC MEDICAL CENTER. AS ARTICULATED IN OUR MISSION STATEMENT, OUR FOCUS IS ON IMPROVING THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE BY INTEGRATING PATIENT CARE, EDUCATION, AND RESEARCH IN A CARING ENVIRONMENT. THESE EFFORTS ARE RECOGNIZED IN OUR 501(C)(3) STATUS AS A CHARITABLE AND EDUCATIONAL ORGANIZATION. AS A CHARITABLE ORGANIZATION, THE PROMOTION OF HEALTH THROUGH OUR ACADEMIC MISSION - HEALTH CARE DELIVERY, RESEARCH AND EDUCATION - IS OUR PRIMARY WORK. IN ADDITION TO THE COMMUNITY BENEFITS WE PROVIDE, FLETCHER ALLEN OFFERS THE BROAD RANGE AND SCOPE OF SERVICES NECESSARY TO ACHIEVE THAT GOAL. THIS INCLUDES A FULL-TIME EMERGENCY DEPARTMENT THAT IS CERTIFIED AS A LEVEL 1 TRAUMA CENTER BY THE AMERICAN COLLEGE OF SURGEONS, AS WELL AS NON-EMERGENCY SERVICES, ALL OF WHICH ARE AVAILABLE TO ALL PATIENTS REGARDLESS OF INSURANCE STATUS OR ABILITY TO PAY; AN OPEN MEDICAL STAFF THAT INCLUDES APPROXIMATELY 500 PHYSICIANS EMPLOYED BY FLETCHER ALLEN'S FACULTY PRACTICE, AS WELL AS ABOUT 250 COMMUNITY PHYSICIANS; AND AN INDEPENDENT BOARD OF TRUSTEES THAT REPRESENT OUR COMMUNITY AS A WHOLE. IN TERMS OF PROGRAM SERVICES, FLETCHER ALLEN'S THREE LARGEST PROGRAMS (BY EXPENSES AND REVENUES) ARE OUR ACTUAL HEALTH CARE DELIVERY SERVICES, AS FOLLOWS: INPATIENT CARE OUTPATIENT CARE PROFESSIONAL SERVICES INPATIENT SERVICES INCLUDE THOSE PATIENTS WHO REQUIRE ACUTE-CARE SERVICES IN A HOSPITAL SETTING. THESE SERVICES INCLUDE, FOR EXAMPLE, OUR LABOR AND DELIVERY UNIT, NURSING UNITS FOR GENERAL MEDICAL AND SURGICAL ISSUES, AND OUR INTENSIVE CARE UNITS (INCLUDING A PEDIATRIC ICU, A NEONATAL ICU, A SURGICAL ICU AND A MEDICAL ICU). OUTPATIENT SERVICES INCLUDE THOSE PATIENTS WHO REQUIRE CARE, ON A WALK-IN BASIS, EITHER IN THE HOSPITAL OR IN ONE OF OUR MANY CLINIC SETTINGS. THESE INCLUDE ROUTINE PHYSICIAN VISITS, LABORATORY TESTS, CLINIC VISITS, EMERGENCY ROOM VISITS, AND MEDICAL EQUIPMENT AND SUPPLIES. PROFESSIONAL SERVICES ARE THOSE DELIVERED BY MEMBERS OF THE UVM MEDICAL GROUP, OUR EMPLOYED GROUP OF PHYSICIANS. IN ADDITION TO THESE ACCOMPLISHMENTS, PROGRAM SERVICE REVENUES ARE EARNED FROM AND PROGRAM SERVICE EXPENSES ARE SPENT ON VARIOUS OTHER IMPORTANT ACTIVITIES RELATED TO THE ORGANIZATION'S EXEMPT PURPOSE.
CONSOLIDATED FINANCIAL STATEMENTS	FORM 990, PART IV, QUESTION 12 AND PART XI, QUESTION 2	THE ORGANIZATION IS A MEMBER OF A CONSOLIDATED GROUP WHICH ISSUES AUDITED FINANCIAL STATEMENTS ON A CONSOLIDATED BASIS. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS INCLUDE FINANCIAL INFORMATION FOR FLETCHER ALLEN HEALTH CARE, INC., FLETCHER ALLEN HEALTH VENTURES, INC., FLETCHER ALLEN MEDICAL GROUP, PLLC., STARR FARM SKILLED NURSING CARE, LLC., VERMONT MANAGED CARE INDEMNITY COMPANY, LTD., AND FLETCHER ALLEN COORDINATED TRANSPORT, LLC. AUDITED FINANCIAL INFORMATION FOR WHOLLY OWNED SUBSIDIARIES STARR FARM SKILLED NURSING CARE, LLC., FLETCHER ALLEN COORDINATED TRANSPORT, LLC., AND FLETCHER ALLEN EXECUTIVE SERVICES, LLC. IS CONSOLIDATED WITH FLETCHER ALLEN HEALTH CARE, INC. FOR PURPOSES OF THIS RETURN. THE OTHER ENTITIES FILE A SEPARATE TAX RETURN NOT INCLUDED ON THIS FORM 990. FLETCHER ALLEN HEALTH CARE'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE CONSOLIDATED AUDIT, AS WELL AS THE CHOICE OF AN INDEPENDENT ACCOUNTANT.
COMPENSATION FROM RELATED ORGANIZATIONS - BUSINESS RELATIONSHIPS	FORM 990, PART VI, QUESTION 2	DR. MELINDA ESTES, CEO AND PRESIDENT OF FLETCHER ALLEN HEALTH CARE(FAHC), ALSO SERVES AS THE CHAIR OF THE BOARD OF DIRECTORS OF VERMONT MANAGED CARE INDEMNITY COMPANY (VMCIC), FAHC'S CAPTIVE INSURANCE COMPANY DOMICILED IN BERMUDA , AND PRESIDENT OF FLETCHER ALLEN HEALTH VENTURES (FAHV). ROGER DESHAIES, CFO AND TREASURER OF FAHC, ALSO SERVES AS THE TREASURER OF VMCIC AND THE TREASURER AND SECRETARY OF FAHV. CHRISTOPHER DUTTON, CHAIR OF THE FAHC BOARD OF TRUSTEES UNTIL DECEMBER 2009, ALSO SERVES AS A DIRECTOR OF VMCIC. DR. PAUL TAHERI, PRESIDENT AND CEO OF THE UVM MEDICAL GROUP, ALSO SERVES AS THE VICE PRESIDENT FOR FAHV AND AS DIRECTOR OF VMCIC. SANDRA DALTON, SR. VP OF PATIENT CARE SERVICES/CHIEF NURSING OFFICER, ALSO SERVES AS THE VP OF VMCIC. Elizabeth Davis, Trustee for FAHC, is on contract with the Vermont Health Foundation. Dr. Ruth Uphold, Trustee for FAHC, is also a member of the Vermont Health Foundation Board. DR. FREDERICK C. MORIN III, TRUSTEE OF FAHC, IS THE DEAN OF THE COLLEGE OF MEDICINE AT THE UNIVERSITY OF VERMONT (UVM). RUSSELL TRACY, TRUSTEE OF FAHC, AND DR. JAN CARNEY, VICE CHAIR OF FAHC, ARE EMPLOYEES AT UVM. Policies for Local Chapters, Branches, or Affiliates Form 990, Part VI, Question 10b As of September 30, 2010, the organization was the sole managing member of various limited liability companies and the sole member of various non-profit corporations over which it has the legal authority to exercise direct supervision and control. The organization treats each of these entities as "subsidiaries" and has a variety of written policies that are explicitly applicable to both the organization and all of its subsidiaries and are intended to ensure that the operations of subsidiaries are consistent with those of the organization on matters pertaining to its tax exempt status. In addition, the organization ensures that operations of its subsidiaries are consistent with its own by exercising direct supervisory control of the subsidiary's activities, as permitted by the subsidiary's organizing documents.
FORM 990 REVIEW	FORM 990, PART VI, QUESTION 11A	FLETCHER ALLEN HEALTH CARE'S (FAHC) FORM 990 IS PREPARED BY A PAID PREPARER AND REVIEWED BY FAHC'S INTERNAL MANAGEMENT. FOLLOWING THAT REVIEW, FAHC'S INTERNAL MANAGEMENT PRESENTS THE FORM 990 TO THE AUDIT COMMITTEE FOR REVIEW AND COMMENT. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF TRUSTEES PRIOR TO THE FORM BEING FILED WITH THE IRS.
CONFLICT OF INTEREST POLICY	FORM 990, PART VI, QUESTION 12	THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. IN ACCORDANCE WITH THE POLICY, TRUSTEES, OFFICERS, KEY EMPLOYEES AND PHYSICIANS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE AND CERTIFICATION UPON HIRING, AT LEAST ANNUALLY, PRIOR TO PARTICIPATING IN ANY DECISION THAT MAY BE AFFECTED BY A PERSONAL INTEREST, AND WHENEVER A POTENTIALLY CONFLICTING INTEREST FIRST ARISES. CONFLICT OF INTEREST DISCLOSURES AND CERTIFICATIONS MAY BE MADE ONLINE OR IN WRITING AND ARE REGULARLY REVIEWED BY THE GENERAL COUNSEL. THE CONFLICT OF INTEREST POLICY IS ENFORCED BY THE OFFICE OF GENERAL COUNSEL AND OVERSEEN BY A FIVE-PERSON CONFLICT OF INTEREST COMMITTEE. THE GENERAL COUNSEL REPORTS AT LEAST QUARTERLY ON CONFLICT OF INTEREST ISSUES TO THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES. CONFLICT OF INTERESTS ARE MANAGED IN ACCORDANCE WITH THE POLICY, WHICH PROVIDES FOR A VARIETY OF REMEDIES TO ADDRESS CONFLICTS OF INTEREST. IN ADDITION, "DISQUALIFIED PERSONS," CONSISTING OF TRUSTEES, OFFICERS AND KEY EMPLOYEES ARE SUBJECT TO SPECIAL PROCEDURES TO COMPLY WITH THE INTERMEDIATE SANCTION RULES, AS OUTLINED IN THE CONFLICT OF INTEREST POLICY.
COMPENSATION DETERMINATION POLICY	FORM 990, PART VI, LINE 15A & 15B	FLETCHER ALLEN'S COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES HIRES AN EXTERNAL INDEPENDENT CONSULTING FIRM, TOWERS WATSON, TO ASSIST THE COMMITTEE IN ESTABLISHING THE TOTAL COMPENSATION FOR THE CEO, OFFICERS AND SENIOR MEMBERS OF THE LEADERSHIP TEAM. THE COMPENSATION COMMITTEE, ALONG WITH THE AID OF TOWERS WATSON, HAS ESTABLISHED A COMPENSATION PHILOSOPHY FOR THE ORGANIZATION WHICH DEFINES A PEER GROUP OF ORGANIZATIONS ACROSS THE COUNTRY AND INCLUDES ORGANIZATIONS OF SIMILAR SIZE, SCOPE, AND MANAGEMENT CHALLENGE; IT HAS ALSO ESTABLISHED THE COMPETITIVE LEVEL AT WHICH THE COMMITTEE WANTS TO COMPENSATE FLETCHER ALLEN EXECUTIVES COMPARED TO THE PEER GROUP ORGANIZATIONS. THE TOTAL COMPENSATION PLAN FOR THE EXECUTIVE STAFF INCLUDES APPROPRIATE SALARY RANGES FOR BASE SALARY ADMINISTRATION, ANNUAL AND LONG-TERM, PERFORMANCE-BASED INCENTIVE PROGRAMS AND EXECUTIVE LEVEL BENEFITS. THE CEO'S TOTAL COMPENSATION IS REVIEWED ANNUALLY, IN CONJUNCTION WITH THE ANNUAL PERFORMANCE EVALUATION, BY THE COMPENSATION COMMITTEE WITH FINAL APPROVAL MADE BY THE BOARD OF TRUSTEES. TOTAL COMPENSATION FOR OTHER MEMBERS OF THE EXECUTIVE STAFF IS ESTABLISHED BY THE CEO, WITHIN THE PLANS APPROVED BY THE COMMITTEE, AND REVIEWED BY THE COMPENSATION COMMITTEE ANNUALLY. THE COMMITTEE DETERMINES PERFORMANCE INDICATORS FOR THE INCENTIVE PLANS EACH YEAR. IN ADDITION, THE COMMITTEE REVIEWS THE TOTAL COMPENSATION PLAN PERIODICALLY AND MAKES ANY RECOMMENDATIONS FOR CHANGE AS NEEDED. ALL DECISIONS OF THE COMMITTEE ARE DOCUMENTED IN MINUTES APPROVED BY THE MEMBERS OF THE COMMITTEE. TOWERS WATSON BENCHMARKS AND ANALYZES THE TOTAL COMPENSATION FOR THESE EMPLOYEES USING PROPRIETARY HEALTH CARE EXECUTIVE COMPENSATION SURVEYS AND OTHER COMPARATIVE MARKET PAY DATA TO ENSURE THAT THIS COMPENSATION IS COMPETITIVE, EQUITABLE AND MEETS ALL REASONABLENESS STANDARDS. *TOWERS WATSON CONDUCTS REASONABLENESS TESTING TO ENSURE THAT THE COMPENSATION PAID TO THESE EMPLOYEES IS CONSISTENT WITH BOARD POLICIES AND IRS REGULATIONS.
DOCUMENT DISCLOSURE	FORM 990, PART VI, QUESTION 19	GOVERNANCE DOCUMENTS CONSIST OF THE ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS. THE ARTICLES OF INCORPORATION ARE FILED WITH THE VERMONT SECRETARY OF STATE AND PUBLICLY AVAILABLE THROUGH THAT OFFICE. THE BYLAWS ARE NOT PUBLICLY POSTED, BUT WOULD BE FURNISHED TO ANY MEMBER OF THE PUBLIC WHO REQUESTED ONE. THE CONFLICT OF INTEREST POLICY IS NOT PUBLICLY POSTED, BUT WOULD BE FURNISHED TO ANY MEMBER OF THE PUBLIC WHO REQUESTED ONE. FINANCIAL STATEMENTS ARE FILED BI-MONTHLY WITH THE STATE OF VERMONT'S DEPARTMENT OF BANKING, SECURITIES, INSURANCE, AND HEALTH CARE ADMINISTRATION (BISHCA) AND CAN BE ACCESSED BY THE PUBLIC THROUGH THAT AGENCY. PRESS RELEASES ON QUARTERLY AND YEAR END RESULTS ARE SENT TO LOCAL NEWS MEDIA AND ARE POSTED ON THE WEB SITE ALONG WITH TWO HIGH-LEVEL TABLES SHOWING QUARTERLY AND YEAR-TO-DATE RESULTS. THE ANNUAL EXTERNAL AUDIT REPORT IS ALSO POSTED ON THE WEB SITE.
RELATED PARTY COMPENSATION	FORM 990, PART VII, LINE 1	DR. FREDERICK C. MORIN III SERVED AS A TRUSTEE OF FLETCHER ALLEN HEALTH CARE (FAHC). HE WAS COMPENSATED FOR HIS SERVICES AS MEMBER AND DIRECTOR OF THE UNIVERSITY OF VERMONT MEDICAL GROUP (UVMMG). HE DEVOTED AN AVERAGE OF 25 HOURS PER WEEK TO UVMMG.
FUNDRAISING EVENTS	SCHEDULE G, PART II, LINE 9	THE NET INCOME AMOUNT FROM FUNDRAISING EVENTS IS NET OF CHARITABLE CONTRIBUTIONS. BOND DESCRIPTION SCHEDULE K, PART I, LINES A AND B THE VEHBFA SERIES 2007A BOND REIMBURSED FLETCHER ALLEN HEALTH CARE'S CONSTRUCTION COSTS FOR THE AMBULATORY CARE CENTER. THE VEHBFA SERIES 2008A BOND REISSUED THE VEHBFA SERIES 2004B BOND.
BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	SCHEDULE L, PART IV	A. DONALD GILBERT, TRUSTEE, IS THE PRESIDENT AND CEO OF VERMONT GAS SYSTEMS, WHICH IS THE ORGANIZATION'S NATURAL GAS PROVIDER. NAME OF INTERESTED PERSON: VMC INDEMNITY COMPANY, LTD RELATIONSHIP: THE FOLLOWING INDIVIDUALS SERVE AS DIRECTORS OF VMC INDEMNITY COMPANY, FLETCHER ALLEN HEALTH CARE'S CAPTIVE INSURANCE COMPANY: CHRISTOPHER DUTTON, ROGER DESHAIES, DR. MELINDA ESTES, SANDRA DALTON AND DR. PAUL TAHERI. AMOUNT OF TRANSACTION: $9,847,484 DESCRIPTION OF TRANSACTION: INSURANCE PREMIUMS DID THE INTERESTED PERSON SHARE ORGANIZATION REVENUE: NO
TRANSACTIONS WITH RELATED ORGANIZATIONS	SCHEDULE R, PART V	FLETCHER ALLEN HEALTH CARE LEASES AND SHARES FACILITIES, EQUIPMENT, AND OTHER ASSETS WITH ITS RELATED ORGANIZATIONS. THE VALUE OF THESE TRANSACTIONS IS INDETERMINABLE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
STARR FARM SKILLED NURSING
111 COLCHESTER AVENUE	BURLINGTON	VT	05401	030219309	HOLDING CO	VT	739000	4522000	NA
FLETCHER ALLEN COORDINATED TRANSPORT
111 COLCHESTER AVENUE	BURLINGTON	VT	05401	030219309	AMBULANCE SVC	VT	1409000	1250000	NA
FLETCHER ALLEN EXECUTIVE SERVICES
111 COLCHESTER AVENUE	BURLINGTON	VT	05401	030219309	CONSULTING	VT	0	0	NA

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
UNIV OF VT MEDICAL GROUP FKA FAPC
111 COLCHESTER AVENUE	BURLINGTON	VT	05401	030225105	PHYSICIAN SVC	VT	501(C)(3)	11A I	NA
FLETCHER ALLEN MEDICAL GROUP
183 PARK STREET	MALONE	NY	12953	203905216	PHYSICIAN SVC	NY	501(C)(3)	3	NA
FLETCHER ALLEN HEALTH CARE FOUNDATION
111 COLCHESTER AVENUE	BURLINGTON	VT	05401	263159849	FUNDRAISING	VT	501(C)(3)	11A I	NA
FLETCHER ALLEN HEALTH CARE AUXILIARY
111 COLCHESTER AVENUE	BURLINGTON	VT	05401	208022004	SERVICE	VT	501(C)(3)	11D III-O	NA

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry
FLETCHER ALLEN HEALTH VENTURES
111 COLCHESTER AVENUE	BURLINGTON	VT	05401	043380045	HOLDING COMPANY	VT	NA	C CORP	79162499	15571920	1.00000
VMC INDEMNITY COMPANY LTD
					CAPTIVE INSURANCE		NA	C CORP	16815603	53645687	1.00000	PO BOX HM 3103 25 CHURCH STREET	HAMILTON, HM FX	FR	BD
VERMONT MANAGED CARE
111 COLCHESTER AVENUE	BURLINGTON	VT	05401	030333056	MANAGED CARE	VT	FAHV	C CORP
VERMONT CLINICAL RESOURCES
PO BOX 1870	BURLINGTON	VT	054021870	030316924	REAL ESTATE	VT	NA	C CORP	0	0	0.50000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
FLETCHER ALLEN MEDICAL GROUP
K	99996
FLETCHER ALLEN MEDICAL GROUP
N	88766
VMC INDEMNITY COMPANY
K	55756
VMC INDEMNITY COMPANY
Q	9847484
VERMONT MANAGED CARE
K	291540
VERMONT MANAGED CARE
L	179556
VERMONT MANAGED CARE
P	6149268
VERMONT MANAGED CARE
Q	401983
VERMONT MANAGED CARE
R	5476612
UNIVERSITY OF VERMONT MEDICAL GROUP
O	70587363
FLETCHER ALLEN HEALTH CARE AUXILIARY
C	186969
FLETCHER ALLEN HEALTH CARE AUXILIARY
P	292148