2024-08-14T13:08:56-05:00 2023-09-30 PWC US TAX LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2022-10-01 222547186 CENTRAL VERMONT MEDICAL CENTER INC % KIMBERLY PATNAUDE CFO CENT 8023714100 130 FISHER ROAD BERLIN VT 05602 KIMBERLY PATNAUDE CFO 8023744443 2024-08-14 true PAUL J TANIS P01441612 2673303000 2024-08-14 2022 2024-08-08 14:25:15Z MRS ANNA T NOONAN 130 FISHER ROAD BERLIN VT 05602 274137880 false X WWW.CVMC.ORG X 1963 VT CVMC WORKS COLLABORATIVELY TO MEET THE NEEDS AND IMPROVE THE HEALTH OF THE RESIDENTS OF CENTRAL VERMONT. 14 11 1929 87 0 0 6297264 5735940 256969393 267562051 2304410 512838 235551 249045 265806618 274059874 183698 70603 0 0 152188161 159296124 0 0 169265 124870185 131613383 277242044 290980110 -11435426 -16920236 173786081 162943741 82407234 93127363 91378847 69816378 X SEE SCHEDULE O false false 169605209 66103 201458611 HOSPITAL SERVICES: INPATIENT, OUTPATIENT, AND 24/7 EMERGENCY DEPARTMENT SERVICES: CVMC HAS 122 LICENSED BEDS TO PROVIDE FOR A FULL SPECTRUM OF INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES. 20,375 INPATIENT DAYS, MORE THAN 250,000 OUTPATIENT PROCEDURES, AND 27,666 EMERGENCY ROOM VISITS WERE RECORDED DURING FISCAL YEAR 2023. OUTPATIENT ANCILLARY SERVICE UNITS MAKE UP THE MAJORITY OF SERVICE VOLUME, INCLUDING 42,139 RADIOLOGY PROCEDURES, 491,931 LAB TESTS, 18,505 CARDIOLOGY TESTS, AND 150,221 UNITS OF PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY. EMERGENCY DEPARTMENT: THE ER IS OPEN 24 HOURS A DAY 365 DAYS A YEAR. THE NUMBER OF PATIENTS SEEN IN THE ER IN FISCAL YEAR 2023 WAS 27,666. THE CANCER TREATMENT CENTER PROVIDED 4,245 ONCOLOGY AND RADIATION TREATMENTS. THE HOSPITAL ALSO HAS BEEN ACTIVE IN ITS OUTREACH TO CENTRAL VERMONT'S UNINSURED AND UNDER INSURED RESIDENTS. 71574367 4500 46279352 MEDICAL GROUP PRACTICES: AT THE END OF THE FISCAL YEAR WE HAD 28 PRIMARY CARE, INFIRMARY, AND SPECIALTY PRACTICES. THIS INCLUDED 10 PRIMARY AND FAMILY CARE CLINICS, 1 PEDIATRIC CLINIC, AS WELL AS SPECIALTY CLINICS FOR UROLOGY, CARDIOLOGY, PODIATRY, RHEUMATOLOGY, ENT, ENDOCRINOLOGY, ORTHOPAEDICS, PSYCHOLOGY, AND OBSTETRICS/ GYNECOLOGY. THERE WERE A TOTAL OF 583,822 PRACTICE VISITS DURING FISCAL YEAR 2023. 22396018 19824088 WOODRIDGE REHAB & NURSING IS A MEDICARE-CERTIFIED 153-LICENSED BED SKILLED NURSING FACILITY LOCATED ON THE CAMPUS OF CENTRAL VERMONT MEDICAL CENTER. APPROXIMATELY TWO-THIRDS OF THE FACILITIES BEDS ARE DEDICATED TO LONG TERM CARE, INCLUDING PALLIATIVE CARE/END OF LIFE CARE AND THE OTHER ONE-THIRD PROVIDE SHORT TERM REHABILITATION THERAPY AND POST-ACUTE CARE FOR A GREAT VARIETY OF MEDICAL CARE CATEGORIES, INCLUDING PAIN MANAGEMENT AND WOUND CARE. THE FACILITY PROVIDES "PERSON-CENTERED", ROUND THE CLOCK NURSING CARE AND SOCIAL SERVICES SUPPORT COMPLEMENTING DAILY, ROBUST ACTIVITIES PROGRAMS, FINE DINING AND HAS A FULL COMPLIMENT OF SUPPORT SERVICES INCLUDING HOUSEKEEPING/LAUNDRY, MAINTENANCE AND TRANSPORTATION. MANY OTHER AMENITIES ARE AVAILABLE TO FACILITY RESIDENTS. 263575594 true true false true false false false false false true true true false true true true false true false false false false false false false false true true true false true false false false false false true false false false false false false false true true true false false true 111 0 true 1929 true false false false false false false false false false false false false X 14 11 true false true false true true true true true false false true true true true false false false true false VT X KIMBERLY PATNAUDE CFO 8023714443 130 FISHER RD Berlin VT 05602 X JOHN BRUMSTED MD TRUSTEE, UNTIL 11/22 6.0 44.0 X 0 1787177 68822 CHRISTIAN BEAN MD PHYSICIAN 50.0 0.0 X 0 594314 55962 CHRISTOPHER MERIAM MD TRUSTEE,FMR PRES MED,UNTIL6/23 45.0 5.0 X 0 587496 54564 SARA GRAVES MD PHYSICIAN 50.0 0.0 X 0 575318 52878 ANNA T NOONAN TRUSTEE, PRESIDENT/COO 35.0 15.0 X X 524507 0 88509 JOHN BEGLY MD PHYSICIAN 50.0 0.0 X 0 531029 59885 NEJAT ZEYNELOGLU MD CHIEF MEDICAL OFFICER 50.0 0.0 X 417104 0 23916 BENJAMIN SMITH MD PHYSICIAN 50.0 0.0 X 0 386444 52248 JOHN MOTLEY MD PHYSICIAN 50.0 0.0 X 0 378323 57658 KIMBERLY PATNAUDE TREASURER, CFO/VP FISCAL SVCS 50.0 0.0 X 302779 0 39400 ROBERT PATTERSON VP HR & CLINICL OPERATIONS 50.0 0.0 X 273618 0 46263 JAMES ALVAREZ VP SUPPORT SERVICES 50.0 0.0 X 281781 0 34039 ANNA HANKINS MD TRUSTEE, PRESIDENT MED STAFF 45.0 5.0 X 0 266235 48637 MATTHEW CHOATE VP PATIENT CARE SERVICES 50.0 0.0 X 267720 0 40205 SUNIL EAPPEN MD TRUSTEE, AS OF 11/22 6.0 44.0 X 0 286769 17826 WILLIAM KOWALEWSKI ADMIN/VP AGING SVCS WDR 50.0 0.0 X 184103 0 12149 LISA MULLER TRUSTEE 1.0 0.0 X 0 0 0 THOMAS GOLONKA TRUSTEE, IMMEDIATE FRMR CHAIR 1.0 0.0 X 0 0 0 JOYCE JUDY TRUSTEE, CHAIR-ELECT 1.0 2.0 X X 0 0 0 MARY MOULTON TRUSTEE 1.0 0.0 X 0 0 0 TONI KAEDING TRUSTEE 1.0 0.0 X 0 0 0 SANDY ROUSSE TRUSTEE 1.0 0.0 X 0 0 0 CONNIE COLMAN TRUSTEE, SECRETARY 1.0 0.0 X X 0 0 0 PAULETTE THABAULT TRUSTEE, CHAIR 1.0 0.0 X X 0 0 0 JOAN MARIE MISEK TRUSTEE 1.0 0.0 X 0 0 0 CHARLES MARTEL JR TRUSTEE, AS OF 12/22 1.0 0.0 X 0 0 0 ERICA METZGER HARE TRUSTEE, AS OF 12/22 1.0 0.0 X 0 0 0 2251612 5393105 752961 178 false true false MEDICAL SOLUTIONS 1010 NORTH 102ND STREET SUITE 300 OMAHA NE 68114 CLINICAL STAFFING 8304589 AMN HEALTHCARE ALLIED INC PO BOX 281939 ATLANTA GA 303841939 NURSE STAFFING 1087706 CROSS COUNTRY STAFFING INC PO BOX 404674 ATLANTA GA 303844678 CLINICAL STAFFING 12634206 E4H-ENVIRONMENTS FOR HEALTH ARCHITE PO BOX 779062 CHICAGO IL 606779062 ARCHITECTURE 957640 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 PHYSICIAN STAFFING 535504 25 25000 5504529 206411 5735940 NET PATIENT SERVICE REVENUE 900099 191280298 191280298 REV FROM MANAGED CARE AND CAPITATED 900099 60845212 60845212 340B CONTRACT PHARMACY REVENUE 900099 9058271 9058271 BLUEPRINT PMPM 900099 1143980 1143980 OTHER CONTRACT/CLIENT REVENUE 900099 903401 903401 4330889 4330889 267562051 512838 512838 0 0 327051 78006 249045 0 249045 249045 0 0 0 0 0 0 0 0 0 0 0 274059874 267562051 0 761883 X 70603 70603 0 0 0 2201411 2201411 0 124929015 118333508 6463510 131997 5130757 4775729 349701 5327 18569633 17284689 1265664 19280 8465308 7879543 576976 8789 0 75796 75796 26900 26900 29063 29063 0 0 47371304 34293171 13076129 2004 277889 85 277804 2827426 2374515 451811 1100 1776099 1716402 59697 0 7463892 7322079 141813 109988 92041 17729 218 0 762802 642689 120113 433971 433971 0 6844620 6844620 1069614 749113 320501 STATE TAX ASSESSMENT 14427610 14427610 MAINTENANCE & REPAIRS 3251031 3178687 72344 MEDICAL & SURGICAL SUPPLIES 39577462 39577462 FOOD EXPENSE 1758856 1646497 112359 3529060 1932580 1595930 550 290980110 263575594 27235251 169265 0 0 7485274 14520703 0 51848 32815623 21840182 0 0 0 0 173877 783432 5582065 5236018 1285439 1404735 184400420 127653420 61048229 56747000 0 0 51111852 51320949 0 0 0 0 14283722 11038874 173786081 162943741 49035781 60389220 0 122011 24751 71285 0 0 0 0 0 0 18263760 11731520 0 0 15082942 20813327 82407234 93127363 X 83955738 61753099 7423109 8063279 91378847 69816378 173786081 162943741 X -16920236 6282704 -10924937 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 29063 29063 false LOBBYING ACTIVITY SCHEDULE C, PART II-B, LINE 1I CENTRAL VERMONT MEDICAL CENTER IS A MEMBER OF, AND PAYS DUES TO, THE VERMONT ASSOCIATION OF HOSPITALS AND HEALTH SERVICE PROVIDERS AS WELL AS THE AMERICAN HOSPITAL ASSOCIATION, AND THE VERMONT HEALTH CARE ASSOCIATION. A PORTION OF THE DUES IS USED FOR LOBBYING PURPOSES. 6959979 0 820432 0 53432 40651 7686328 8660412 0 -1640633 0 0 59800 6959979 7967045 0 779068 0 40000 45701 8660412 8058522 0 380580 0 421217 50840 7967045 9330090 274389 549557 0 2050133 45381 8058522 0.45720 0.54280 true true true 5510000 5510000 118774056 82647835 36126221 4340349 4125972 214377 49082009 40879613 8202396 6694006 6694006 56747000 NETWORK INVESTMENT POOL 51320949 F 51320949 OPR LEASE ROU ASSETS,NET 7904471 INVESTMENT 457 PLAN 3134403 11038874 0 OTHER LIABILITIES 4881505 LEASE LIABILITY - OPERATING 7803345 PENSION OBLIGATIONS 8128477 20813327 X ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 CVMC HAS ENDOWMENT INVESTMENTS AND AN INVESTMENT SPENDING POLICY THAT GUIDES THE DISTRIBUTION OF THE FUNDS TO SUPPORT THE MISSION OF CENTRAL VERMONT MEDICAL CENTER. ASC 740 DISCLOSURE SCHEDULE D, PART X, LINE 2, FIN 48 (ASC 740) CENTRAL VERMONT MEDICAL CENTER, INC. IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE UNIVERSITY OF VERMONT HEALTH NETWORK ("UVM HEALTH NETWORK"). PAGES 17 AND 18 OF THE CONSOLIDATED FINANCIAL STATEMENTS CONTAINS A FOOTNOTE INDICATING THAT NO PROVISION FOR FEDERAL INCOME TAXES HAS BEEN RECORDED. true true X true X true X true true true true true true 1495928 1495928 0.00510 64188833 27711595 36477238 0.12540 65684761 27711595 37973166 0.13050 114970 114970 0.00040 342670 342670 0.00120 10599551 7363492 3236059 0.01110 149171 30000 119171 0.00040 11206362 7393492 3812870 0.01310 76891123 35105087 41786036 0.14360 true 8327903 166558 60576490 141862215 -81285725 X true true 1 1 CENTRAL VERMONT MEDICAL CENTER 130 FISHER ROAD BERLIN VT 05602 WWW.CVMC.ORG 47001 X X X CENTRAL VERMONT MEDICAL CENTER 1 false false true X X X X X X X X X 21 true false true true X SEE SECTION C X SEE SECTION C X true 21 true SEE SECTION C false true X 200. 400. X X X X X true true X X X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X X true X false X X X true X false false PART V, SECTION B, LINE 3E IN ACCORDANCE WITH REQUIREMENTS SET FORTH IN THE AFFORDABLE CARE ACT AND IN SUPPORT OF ITS COMMUNITY MISSION, CENTRAL VERMONT MEDICAL CENTER (CVMC) COMPLETED A 2022-2025 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND A SUPPORTING THREE-YEAR IMPLEMENTATION PLAN. THE CURRENT CHNA IS A CONTINUATION OF PAST ASSESSMENTS CONDUCTED SINCE ITS INCEPTION IN 2013. THE CHNA SEEKS TO EXPAND UPON PAST ASSESSMENTS TO STRENGTHEN COMMUNITY AND POPULATION HEALTH MANAGEMENT STRATEGIES, WITH A FOCUS ON SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY, WHICH IS CONSISTENT WITH PRIOR ASSESSMENTS. THE 2022-2025 CHNA FOCUSES ON CVMC'S PRIMARY SERVICE AREA IN WASHINGTON COUNTY. THE 2022-2025 CHNA IS BEING CONDUCTED IN COLLABORATION WITH THRIVE, CENTRAL VERMONT'S ACCOUNTABLE COMMUNITY FOR HEALTH. CVMC HAS ALSO CONTRACTED WITH COMMUNITY RESEARCH CONSULTING (CRC) WHO ASSISTED IN CONDUCTING THE CURRENT CHNA AND OVERSEES THE FY2023 CHNA RESEARCH AND REPORTING. REPRESENTATIVES FROM CVMC, THRIVE, AND COMMUNITY ACTION NETWORK (CAN) REVIEWED THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FINDINGS IN CONJUNCTION WITH THE VERMONT DEPARTMENT OF HEALTH 2019-23 STATE HEALTH IMPROVEMENT PLAN (SHIP) TO DETERMINE THE MOST PRESSING NEEDS IMPACTING RESIDENTS ACROSS WASHINGTON COUNTY AND THE CVMC SERVICE AREA. THE FOLLOWING CRITERIA WERE APPLIED TO DETERMINE PRIORITIES ON WHICH TO FOCUS COMMUNITY WIDE HEALTH IMPROVEMENT EFFORTS. CHNA FINDINGS PRIORITIZATION CRITERIA: - SCOPE: HOW MANY PEOPLE ARE AFFECTED? - SEVERITY: HOW CRITICAL IS THE ISSUE? - ABILITY TO IMPACT: CAN WE ACHIEVE THE DESIRED OUTCOME? - COMMUNITY READINESS: IS THE COMMUNITY PREPARED TO TAKE ACTION? APPLYING THESE CRITERIA TO THE LIST OF TOP HEALTH NEEDS IDENTIFIED BY THE CHNA RESEARCH, THRIVE AND CAN MEMBERS RANKED AND ORDERED THE COMMUNITY'S HEALTH NEEDS IN THE FOLLOWING ORDER. 1. DIVERSITY, EQUITY AND INCLUSION 2. CHRONIC DISEASE PREVENTION 3. MENTAL HEALTH 4. SUBSTANCE USE DISORDERS 5. SOCIAL DRIVERS OF HEALTH THE 2022-2025 CHNA PRELIMINARY FINDINGS: OVERALL, WASHINGTON COUNTY CONTINUES TO BE A HEALTHIER COMMUNITY, SUPPORTED BY NATURAL RESOURCES, BETTER ACCESS TO HEALTHCARE, AND A COLLABORATIVE NETWORK OF HEALTH AND SOCIAL SERVICE PROVIDERS. THE TOP AREAS OF HEALTH NEED ARE CONSISTENT WITH THE 2022-2025 CHNA PRIORITY AREAS AND HAVE BEEN GREATLY IMPACTED BY THE COVID-19 PANDEMIC. THE 2022-2025 CHNA PRIORITIZED THE HEALTH NEEDS AND ALIGNED WITH THE VERMONT DEPARTMENT OF HEALTH SHIP PRIORITIES, PROMOTING COLLABORATION BETWEEN PUBLIC HEALTH, HOSPITAL, AND COMMUNITY BASED ORGANIZATIONS. AS A RESULT OF THE CHNA PROCESS, SIGNIFICANT INVESTMENT HAS OCCURRED WITHIN THE COMMUNITY. ALTHOUGH IT TAKES TIME TO EVALUATE WHETHER OR NOT SPECIFIC ACTIONS ARE MOVING THE NEEDLE ON ISSUES, THE ORGANIZATION FIRMLY BELIEVES THAT THE ACTIONS TAKEN AND FUNDING PROVIDED HAVE HAD A POSITIVE IMPACT ON THE COMMUNITY. PART V, SECTION B, LINE 5 THE CHNA INCLUDED AN IN-DEPTH REVIEW OF PRIMARY AND SECONDARY DATA TO COLLECT AND ANALYZE HEALTH TRENDS, SOCIO-ECONOMIC DATA, AND STAKEHOLDER PERSPECTIVES, TO INFORM COMMUNITY HEALTH PLANNING. PRIMARY STUDY METHODS WERE USED TO SOLICIT INPUT FROM HEALTH CARE CONSUMERS AND KEY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. SECONDARY STUDY METHODS WERE USED TO IDENTIFY AND ANALYZE STATISTICAL DEMOGRAPHIC AND HEALTH TRENDS. COMMUNITY ENGAGEMENT WAS AN INTEGRAL PART OF THE CHNA WITH WIDE PARTICIPATION BY MORE THAN 1,500 COMMUNITY STAKEHOLDERS WHO PARTICIPATED IN SURVEYS, FOCUS GROUPS, PLANNING MEETINGS, AND OTHER DIALOGUE. SPECIFIC CHNA STUDY METHODS INCLUDED: -AN ANALYSIS OF SECONDARY DATA SOURCES, INCLUDING NATIONAL AND STATE HEALTH STATISTICS, DEMOGRAPHIC AND SOCIAL MEASURES, AND HEALTH CARE UTILIZATION DATA. -AN ELECTRONIC KEY STAKEHOLDER SURVEY WITH 171 COMMUNITY REPRESENTATIVES TO SOLICIT INFORMATION ABOUT PERCEIVED HEALTH PRIORITIES, PERSPECTIVES ON EMERGING HEALTH TRENDS, AND RECOMMENDATIONS TO ADVANCE COMMUNITY HEALTH AND WELL-BEING STRATEGIES. -A COMMUNITY MEMBER SURVEY COMPLETED BY 1,344 RESIDENTS TO COLLECT COMMUNITY PERSPECTIVES ON HEALTH CONCERNS, BARRIERS TO CARE, AND RECOMMENDATIONS, AND RELATED INSIGHTS. -VIRTUAL FOCUS GROUPS WITH INDIVIDUALS REPRESENTING BLACK, INDIGENOUS, AND PEOPLE OF COLOR (BIPOC) AND LGBTQIA+ COMMUNITIES. -INDIVIDUAL AND SMALL GROUP INTERVIEWS WITH HEALTH AND SOCIAL SERVICE AGENCY REPRESENTATIVES, INCLUDING CVMC, CENTRAL VERMONT HOME HEALTH AND HOSPICE, GREEN MOUNTAIN UNITED WAY, PEOPLE'S HEALTH AND WELLNESS CLINIC, TURNING POINT OF CENTRAL VERMONT, AND WASHINGTON COUNTY SUBSTANCE ABUSE REGIONAL PARTNERSHIP. INPUT WAS RECEIVED FROM PERSONS REPRESENTING BROAD INTERESTS OF THE COMMUNITY, INCLUDING LEADERS WITH SPECIAL KNOWLEDGE AND OR EXPERTISE AS WELL AS COMMUNITY RESIDENTS. THE CHNA COMMUNITY STEERING GROUP DISTRIBUTED A COMMUNITY SURVEY THAT WAS COMPLETED BY MORE THAN 1,500 RESIDENTS. IN ADDITION, THE GROUP CIRCULATED A KEY INFORMANT SURVEY THROUGH THRIVE TO COMMUNITY MEMBERS WITH SPECIAL KNOWLEDGE OF COMMUNITY HEALTH STATUS, AND CONDUCTED ADDITIONAL INTERVIEWS WITH 33 KEY INFORMANT STAKEHOLDERS TO OBTAIN A BETTER UNDERSTANDING OF NEEDS AMONG UNDERSERVED POPULATIONS. INPUT WAS COLLECTED, STARTING IN THE BEGINNING OF FALL 2021 AND CONCLUDING DURING THE SUMMER OF 2022. PART V, SECTION B, LINE 6B THE 2022-2025 CHNA WAS CONDUCTED IN COLLABORATION WITH THRIVE, THE REGIONAL ACCOUNTABLE COMMUNITY FOR HEALTH. THIS MULTI-AGENCY COALITION, MADE UP OF HEALTH PROVIDERS, SOCIAL SERVICE AGENCIES, GOVERNMENT, CIVIC, AND RELIGIOUS ENTITIES, AND NUMEROUS OTHER COMMUNITY PARTNERS, IS DEDICATED TO IMPROVING HEALTH FOR THE RESIDENTS OF WASHINGTON AND NORTHERN ORANGE COUNTIES. THRIVE MEMBERS PLAYED AN INTEGRAL ROLE IN OVERSEEING DATA COLLECTION AND REVIEWING FINDINGS TO DETERMINE COMMUNITY HEALTH PRIORITIES BASED ON THE CHNA STUDY. IN ADDITION TO THRIVE MEMBERS, MORE THAN 1,500 COMMUNITY RESIDENTS SHARED THEIR PERSPECTIVES ON COMMUNITY NEEDS THROUGH SURVEYS AND OPEN DIALOGUE. WE VALUE THIS FEEDBACK AND RECOGNIZE THAT ALL COMMUNITY STAKEHOLDERS PLAY AN INTEGRAL PART IN ADVANCING THE HEALTH OF CENTRAL VERMONT. THE CHNA REPORT PROVIDES AN IN-DEPTH VIEW OF THE MANY FACTORS THAT INFLUENCE HEALTH IN OUR COMMUNITY. KNOWING THAT SOCIAL AND ECONOMIC MEASURES OFTEN IMPACT HEALTH MORE THAN HEALTH CARE DELIVERY ALONE, WE SOUGHT TO DEMONSTRATE THE CORRELATION BETWEEN HEALTH DISPARITIES AND SOCIAL DRIVERS OF THE HEALTH ENVIRONMENTAL FACTORS THAT IMPACT OUR HEALTH. IN RESPONSE TO THE FINDINGS FROM THE CHNA REPORT, CENTRAL VERMONT MEDICAL CENTER (CVMC) WORKED WITH OUR COMMUNITY PARTNERS TO OUTLINE A PLAN TO GUIDE OUR COMMUNITY HEALTH AND BENEFIT ACTIVITIES FOR THE 2022-2025 PLANNING CYCLE. THROUGHOUT THIS PLANNING CYCLE, CVMC WILL CONTINUE TO EVALUATE OUR ACTIVITIES AND TRACK OUR PROGRESS TOWARD IMPROVING THE ISSUES THAT MOST IMPACT THE HEALTH OF OUR COMMUNITY. IN DOING SO, CVMC WILL CONTINUE TO COLLABORATE WITH OUR PARTNERS, EDUCATE OUR POLICY MAKERS, AND ENGAGE COMMUNITY RESIDENTS TO PROMOTE HEALTH FOR ALL RESIDENTS OF CENTRAL VERMONT. PART V, SECTION B, LINES 7A, 7B AND 10A COMMUNITY HEALTH NEEDS ASSESSMENT https://www.cvmc.org/about-cvmc/community/community-health-needs-assessmen t https://gmcboard.vermont.gov/sites/gmcb/files/documents/CVMC_2022_CHNA_Fin al_Report_-_2022-06-16.pdf IMPLEMENTATION STRATEGY https://www.cvmc.org/about-cvmc/community/community-health-needs-assessmen t HOSPITAL FACILITY WEBSITE: https://www.cvmc.org/sites/default/files/documents/CVMC-Financial-Assistan ce-Policy.pdf PART V, SECTION B, LINE 11 CENTRAL VERMONT MEDICAL CENTER'S 2022-2025 CHNA IMPLEMENTATION STRATEGY WAS APPROVED BY THE BOARD OF DIRECTORS FEBRUARY 2022. THIS SPECIFIC IMPLEMENTATION STRATEGY SET OUT THE FOLLOWING OBJECTIVES TO EXPAND ACCESS TO HIGH-QUALITY, COMPREHENSIVE MENTAL HEALTH RESOURCES TO IMPROVE THE HEALTH AND WELL-BEING OF PATIENTS, THEIR FAMILIES, AND COMMUNITY MEMBERS IN WASHINGTON COUNTY: DIVERSITY, EQUITY, AND INCLUSION: GOAL: CREATE A CARE ENVIRONMENT THAT HONORS THE DIVERSITY OF OUR COMMUNITY, CONTINUALLY EXPANDS CULTURAL KNOWLEDGE, AND ADAPTS SERVICES TO MEET THE CULTURALLY UNIQUE NEEDS OF PATIENTS, WOODRIDGE RESIDENTS, STAFF AND OUR COMMUNITY. OBJECTIVE 1: INCREASE CULTURAL AWARENESS AND HUMILITY AMONG STAFF AND PROVIDERS. STRATEGY 1: PROVIDE OPPORTUNITIES FOR LEADERSHIP, STAFF, PROVIDERS AND COMMUNITY STAKEHOLDERS TO CONNECT, SHARE AND LEARN VIA CROSS-CULTURAL ENGAGEMENT IN A SAFE, INCLUSIVE ENVIRONMENT. STRATEGY 2: INCORPORATE DIVERSE STAKEHOLDERS ON HOSPITAL-WIDE COMMITTEES TO DEVLEOP ORGANIZATIONSL PRORITIES FOR ENSURING HIGH-QUALITY OF CARE. -PATIENT AND FAMILY ADVISORS HAVE BEEN RECRUITED TO SIT ON COMMITTEES AND BRING THE PATIENT EXPERIENCE TO IMPROVEMENT EFFORTS. -IN FY23, CVMC HAD 27 PATIENT AND FAMILY ADVISOR ENGAGEMENTS AND AIMS TO INCREASE THAT BY 25% IN FY24. STRATEGY 3: MONITOR AND TRACK PATIENT EXPERIENCE SURVEYS TO ENSURE MEMBERS OF THE BIPOC COMMUNITY WHO RECEIVE CARE AT CVMC EXPERIENCE EQUITABLE CARE. OBJECTIVE 2: REDUCE DISPARTITIES IN OUTCOMES AMONG VULNERABLE PATIENT POPULATIONS. STRATEGY 1: ACCURATELY COLLECT SEXUAL ORIENTATION AND GENDER IDENTITY (SOGI) AND RACE ETHNICITY AND LANGUAGE (REAL) DATA IN MEDICAL RECORDS. -CVMC HAS A PROCESS TO ASSESS AND COLLECT SOGI DATA UPON ADMISSION. WE LEVERAGE STRATUS IPADS FOR INTERPRETER SERVICES TO ENSURE ALL PATIENTS HAVE ACCESS TO CLEAR COMMUNICATON WITH THEIR CARE TEAM MEMBERS. STRATEGY 2: TRACK AND COMPARE PATIENT TREATMENT AND OUTCOMES ACROSS VULNERABLE POPULATIONS. -CVMC RECEIVED A GRANT THROUGH THE VERMONT PROGRAM FOR QUALITY IN HEALTH CARE TO ADDRESS DISPARITIES IN RATES OF SCREENING FOR COLON CANCER. EARLY DATA INDICATES PATIENTS WITH MEDICAID ARE SCREENED AT A RATE 20% LOWER THAN THE GENRERAL POPULATION. -THE GRANT EFFORTS INCLUDED INCORPORATION OF AN ALGORITHM FOR SELECTING THE MOST APPROPRIATE COLON CANCER SCREENING METHOD, PROVIDER-FACING AND PATIENT-FACING EDUCATION SHEETS, AND A CONVERSATION DECISION AID TO HELP GUIDE PROVIDERS AND PATIENTS IN MAKING THE BEST CHOICE FOR THE PATIENT. OVER THE YEAR, WE OBSERVED FECAL IMMUNOCHEMICAL TESTS (FIT) BECOMING A LARGER PERCENTAGE OF COMPLETED COLON CANCER SCREENING STUDIES. THIS WORK IS ADVANCING HEALTH EQUITY BY INCREASING ACCESS TO LOWER BARRIER OPTIONS FOR THIS PREVENTIVE SERVICE. STRATEGY 3: REVIEW HOSPITAL-WIDE PROCESSES TO INCORPROATE CULTURALLY AND LINGUISTAICALLY APPROPRIATE SERVICES (CLAS). -CVMC USES BOTH IN-PERSON INTERPRETERS AS WELL AS IPADS TO INCORPORATE TELEVIDEO INTERPRETERS FOR NON-ENGLISH-SPEAKING INDIVIDUALS. OBJECTIVE 3: ENCOURAGE AND SEEK INPUT TO IMPROVE HEALTH EQUITY. STRATEGY 1: INCORPORATE OPPORTUNITIES FOR QUALITATIVE INPUT FROM PATIENTS, WOODRIDGE RESIDENTS, STAFF, PROVIDERS AND COMMUNITY STAKEHOLDERS. -VTCHEP GRANT FUNDING OF SEVERAL PROJECTS SUPPORTING DIVERSE POPULATIONS. -THROUGH THE VTCHEP GRANT, CVMC AND THRIVE ACCOUNTABLE COMMUNITY FOR HEALTH SUPPORTED SEVERAL ACTIVE LISTENING AND LEARNING SESSIONS WITH DIVERSE STAKEHOLDERS, INCLUDING: -74 COMMUNITY MEMBERS ENGAGED IN CONVERSATIONS AROUND DIVERSITY, HEALTH EQUITY AND THEIR EXPERIENCES WITHIN OUR SYSTEM OF CARE. -27 STAFF MEMBERS ACROSS SIX THRIVE LEADERSHIP PARTNER ORGANIZATIONS ENGAGED IN COFFEE AND CHAT CONVERSATIONS. THE TESTIMONIALS AND UNIQUE STORIES ARE THE FRAMEWORK FOR THE CREATION OF A THRIVE EQUITY COMMITMENT. STRATEGY 2: SUPPORT AND CULTIVATE OPPORTUNITES FOR COMMUNITY-WIDE CROSS-CULTURAL ENGAGEMENT. THE PROGRESS FOR THIS WORK IS CAPTURED THROUGHOUT ALL ACTIVITIES. STRATEGY 3: INVITE DIVERSE STAKEHOLDERS TO SERVE ON COMMITTEES THAT ADVANCE PATIENT CARE AND INFORM HOSPITAL-WIDE POLICIES. -THE DIRECTOR OF PATIENT EXPERIENCE IS ACTIVELY RECRUITING PATIENT AND FAMILY ADVISORS TO SIT ON COMMITTEES AND BRING THE PATIENT EXPERIENCE TO IMPROVEMENT EFFORTS. OBJECTIVE 4: INCREASE DIVERSITY OF STAFF AND PROVIDERS. STRATEGY 1: MODIFY RECRUITMENT AND HIRING PROCESSES TO ATTRACT AND SUPPORT DIVERSE STAFF AND INVEST IN WORKFORCE CAREER LADDERS FOR ENTRY-LEVEL POSITIONS: -MEDICAL ASSISTANT PROGRAM -LICENSED NURSE ASSISTANT PROGRAM -LICENSED PRACTICAL NURSE -PHLEBOTOMY PROGRAM -RESPIRATORY THERAPY PROGRAM -ASSOCIATE DEGREE NURSE -ACCELERATED BACHELOR OF SCIENCE IN NURSING (ABSN) STRATEGY 2: GROW WORKFORCE PIPLINES, INCLUDING INTERNATIONAL STAFF RECRUITMENT, TO SHEPHERD DIVERSE CANDIDIDATES THROUGH HIRING AND SUCCESSFUL LONG-TERM EMPLOYMENT. -CVMC HAS SIGNED A CONTRACT WITH AVANTE TO SOURCE INTERNATIONS RNS. -CVMC HAS HOSTED SEVERAL WORKFORCE DEVELOPMENT PATHWAY INFORMATION SESSIONS DEDICATED TO HELPING EMPLOYEES LEARN ABOUT OTHER OPPORTUNITIES AND GROW THEIR OWN CAREER. OBJECTIVE 5: SUPPORT A SUSTAINABLE AND EQUITABLE COMMUNITY. STRATEGY 1: EVALUATE HIRING AND SUPPLY CHAIN PROCESSES. -THE NUTRITION AND FOOD SERVICES DEPARTMENT LAUNCHED AN INITIATIVE TO OFFER CULTURAL RECOGNITIONS OF CAFETERIA MEAL OFFERINGS THROUGHOUT THE YEAR. -HUMAN RESOURCES IS NOW COLLECTING STAFF DIVERSITY DATA TO BETTER UNDERSTAND: EXISTING WORKFORCE DIMENSIONS OF DIVERSITY AND MEASURE MEANINGFUL CHANGE OVER TIME. -MEASURING THE RATE OF SELF-REPORTING BY STAFF OF RACE/ETHNICITY WITHIN WORKDAY. MEASURED AS THE PERCENTAGE OF STAFF FOR WHICH RACE/ETHNICITY DATA IN WORKDAY WAS LEFT BLANK. THE BASELINE IS 5%. STRATEGY 2: PURCHASE GOODS FROM LOCAL AND DIVERSE VENDORS. -LOCALLY SOURCED FOOD VENDORS INCLUDE: MAPLE WIND FARM, PAUL MAZZA PRODUCE, CABOT CREAMERS, BLACK RIVER PRODUCE AND MEATS, AND MACKENZIE MEATS, AMONG OTHERS. -MAPLE WIND FARM WAS THE MOST RECENT ADDITION IN 2023 AS A LOCAL AND SUSTAINABLE SOURCE FOR FRESH EGGS AND FRESH CHICKEN USED IN THE KITCHEN AT CVMC. -PARTICIPATE IN THE VERMONT FRESH NETWORK, AS WELL AS THE HEALTHLY FOOD IN HEALTH CARE PLEDGE THROUGH THE "HEALTH CARE WITHOUT HARM" NATIONAL ORGANIZATION. STRATEGY 3: CONTRIBUTE EXPERTISE TO ADVANCE COMMUNITY INITIATIVES. -SUPPORTED THE WASHINGTON COUNTY CRISIS INTERVENTION TEAM (CIT) BY PROVIDING STAFF EXPERTISE AND SUPPORT. -AS A MEMBER FOR THRIVE, CVMC PROVIDED $25,000 OF VTCHEP FUNDS IN SUPPORT TO NINE ORGANIZATIONS AND PROJECTS THAT DIRECTLY SUPPORT DIVERSE AND UNDERSERVED POPULATIONS WITHIN OUR COMMUNITY. CHRONIC DISEASE PREVENTION: GOAL: IDENTIFY BARRIERS AND CHANGE PROCESSES TO ENSURE EQUITABLE ACCESS TO HEALTH CARE AND COMMUNITY-BASED SERVICES. OBJECTIVE 1: PROMOTE UVM HEALTH NETWORK POPULATION HEALTH MANAGEMENT STRATEGY THROUGH IMPROVED CLINICAL COMMUNICATION AND COORDINATION OF CARE. STRATEGY 1: CONTINUE THE DEVELOPMENT AND IMPLEMENTATION OF OUR PRIMARY CARE DELIVERY MODEL AND THE UVM HEALTH NETWORK POPULATION HEALTH SERVICES ORGANIZATION (PHSO). THE INTENT IS TO CREATE AN EXTENDED CARE TEAM OF RESOURCES INCLUDING CARE COORDINATION, SOCIAL SERVICES, HEALTH COACHING, AND MENTAL HEALTH AND RESOURCE COORDINATION TO POSITIVELY IMPACT CLINICAL HEALTH OUTCOMES FOR OUR PATIENTS, WOODRIDGE RESIDENTS AND OUR COMMUNITY, WHILE MAXIMIZING THE VALUE OF THE SERVICES WE PROVIDE. -CONTINUE TO SUPPORT THE DEVELOPMENT AND IMPLEMENTATION OF THE PHSO AND ASSOCIATED HIGH VALUE CARE WORKFLOWS. SCREENINGS FOR SOCIAL DETERMINANTS OF HEALTH (SDOH) AND BEHAVIORAL HEALTH CONCERNS HAVE BEEN STANDARIZED AND CAPTURED DISCRETELY WITHIN THE MEDICAL RECORD. RISK-BASED ALGORITHMS ARE BEING LEVERAGED TO ASSIGN PATIENTS INTO A VALUE-BASED CARE PATHWAY AND ALIGN SCHEDULED VISIT VOLUMES, CARE MANAGEMENT AND ADDITIONAL RESOURCES TO SUPPORT THE PATIENT IN MANAGING THEIR HEALTH, BASED ON THEIR LEVEL OF NEED. -PARTICIPATING AND ACTIVELY PROMOTING USE OF E-CONSULTS TO IMPROVE ACCESS TO SPECIALTY CARE. RATHER THAN PLACING A REFERRAL AND WAITING FOR THE PATIENT TO BE SEEN, A PROVIDER CAN SEND A VERY TARGETED QUESTION TO A SPECIALIST AND RECEIVE A RESPONSE THAT CAN BE INCORPORATED INTO THE PATIENT CARE PLAN, AVOIDING FURTHER DELAYS. OBJECTIVE 2: REDUCE DISPARITIES IN CHRONIC DISEASE PREVALENCE AND DEATH RATES. STRATEGY 1: CVMC PRIMARY CARE AND COMMUNITY PARTNERS WILL IDENTIFY COLLABORATIVE OPPORTUNITIES TO IMPROVE CARE AND SERVICE. -CVMC LAUNCHED 12 EVIDENCE-BASED HEALTHY LIVING WORKSHOPS AIMED AT IMPROVING HEALTH AND WELL-BEING. WORKSHOPS FOCUS ON CONDITIONS OF HIGH BLOOD PRESSURE, CHRONIC PAIN MANAGEMENT, DIABETES PREVENTION, DIABETES SELF-MANAGEMENT AND TOBACCO CESSATION AND SUPPORT PARTICIPATS IN LEARNING THE SKILLS AND BEHAVOIRS NEEDED FOR SUSTAINED HEALTH. -WORK ADVANCES WITH OUR LOCAL PARTNERS AT CENTRAL VERMONT HOME HEALTH AND HOSPICE (CVHHH), WASHINGTON COUNTY MENTAL HEALTH SERVICES (WCMHS), WOODRIDGE AND LOCAL SKILLED NURSING FACILITIES TO IMPROVE CARE COORDINATION AND TRANSITIONS OF CARE TO GET PATIENTS TO THE APPROPRIATE CARE SETTIN PART V, SECTION B, LINE 15E FROM REGISTRATION, PATIENTS ARE ROUTINELY REFERRED TO THE CVMC FINANCIAL ADVOCACY DEPARTMENT OR COMMUNITY HEALTH IMPROVEMENT DEPARTMENT. BOTH AREAS PROVIDE KNOWLEDGE AND ASSISTANCE IN THE APPLICATION PROCESS FOR CHARITY AND OTHER APPLICABLE FUNDING SOURCES. ADVOCATES ACTIVELY EDUCATE ALL INPATIENT, OBSERVATION AND OUTPATIENT INVASIVE SERVICE PATIENTS OF OUR PROGRAM, PRIOR TO OR CONCURRENT WITH THE PATIENTS' STAY, SUBSEQUENTLY AIDING IN THE APPLICATION PROCESS FOR STATE AID AND CENTRAL VERMONT MEDICAL CENTER'S FINANCIAL PROGRAM. WHILE THE FINANCIAL ASSISTANCE POLICY DOES NOT PROVIDE A LIST OF "EXTERNAL" CONTACT INFORMATION FOR NON-CENTRAL VERMONT MEDICAL CENTER PARTIES OR AGENCIES WHO MAY ASSIST PATIENTS IN THE APPLICATION PROCESS, APPLICATION COMPLETION AID IS WELL PUBLISHED WITH MULTIPLE EXTERNAL ORGANIZATIONS AND THE CENTRAL VERMONT MEDICAL CENTER COMMUNITY HEALTH ASSISTANCE TEAM MEMBERS ARE AVAILABLE TO ASSIST OUR PATIENTS. IT IS ALSO IMPORTANT TO NOTE, PATIENTS ARE REVIEWED IN ADVANCE OF SERVICE FOR POTENTIAL HARDSHIP; THE UNINSURED AND UNDERINSURED PATIENTS WHO ARE IDENTIFIED ARE ACTIVELY COUNSELED WITH HELP FOR GOVERNMENT AND EXCHANGE PROGRAMS AS WELL AS ASSISTANCE IN THE CENTRAL VERMONT MEDICAL CENTER FINANCIAL ASSISTANCE PROGRAM. PART V, SECTION B, LINES 16A, 16B & 16C: FINANCIAL ASSISTANCE POLICY (FAP) RESOURCES THE FAP, THE FAP APPLICATION FORM, AND A PLAIN LANGUAGE SUMMARY OF THE FAP IS AVAILABLE AND PUBLISHED ON THE CENTRAL VERMONT MEDICAL CENTER FINANCIAL ASSISTANCE WEBPAGE LOCATED AT: https://www.cvmc.org/patients-visitors/patient-financial-services/patient- financial-service-documents PART V, SECTION B, LINE 16J WHILE THE FINANCIAL ASSISTANCE POLICY DOES NOT PROVIDE A LIST OF "EXTERNAL" CONTACT INFORMATION FOR NON-CENTRAL VERMONT MEDICAL CENTER PARTIES OR AGENCIES WHO MAY ASSIST PATIENTS IN THE APPLICATION PROCESS; THE APPLICATION COMPLETION AID IS WELL PUBLISHED WITH MULTIPLE EXTERNAL ORGANIZATIONS AND THE CENTRAL VERMONT MEDICAL CENTER COMMUNITY HEALTH ASSISTANCE TEAM MEMBERS ARE AVAILABLE TO ASSIST OUR PATIENTS AND COMMUNITY MEMBERS. IT IS ALSO IMPORTANT TO NOTE, PATIENTS ARE REVIEWED IN ADVANCE OF SERVICE FOR POTENTIAL HARDSHIP; THE UNINSURED AND UNDERINSURED PATIENTS WHO ARE IDENTIFIED ARE ACTIVELY COUNSELED WITH HELP FOR GOVERNMENT AND EXCHANGE PROGRAMS AS WELL AS ASSISTANCE IN THE CENTRAL VERMONT MEDICAL CENTER FINANCIAL ASSISTANCE PROGRAM. PART V, SECTION B, LINE 18F CVMC DID NOT INITIATE ANY OF THE ACTIONS DESCRIBED IN SCHEDULE H, PART V, SECTION B, LINE 18. HOWEVER, IF THE HOSPITAL HAD UNDERTAKEN ANY OF THE LISTED ACTIONS, THE FACILITY WOULD HAVE FIRST NOTIFIED PATIENTS OF ITS FINANCIAL ASSISTANCE POLICY ON ADMISSION, PRIOR TO DISCHARGE, AND IN COMMUNICATIONS WITH THE PATIENTS REGARDING THEIR BILLS. ADDITIONALLY, CVMC WOULD HAVE DOCUMENTED DETERMINATION OF WHETHER PATIENTS WERE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY. PART V, SECTION B, LINE 20A THE CENTRAL VERMONT MEDICAL CENTER'S BAD DEBT POLICY PROVIDES THAT CVMC SHALL NOT TAKE ANY EXTRAORDINARY COLLECTION ACTIONS. 1 CVMC - WOODRIDGE NURSING HOME 142 Woodridge Drive BERLIN VT 05602 SKILLED NURSING FACILITY SCHEDULE H, PART VI, LINE 1 THE ORGANIZATION'S REQUIRED SCHEDULE H SPECIFIC LINE ITEM DESCRIPTIONS ARE AS FOLLOWS: PART I, LINES 3A-C: TO QUALIFY FOR FINANCIAL ASSISTANCE, AN ELIGIBLE PATIENT MUST PASS BOTH AN INCOME AND ASSETS TEST. INCOME IS SET AT A MAXIMUM OF 400% OF FEDERAL POVERTY LEVEL GUIDELINES ("FPLG") AND THE ASSETS TEST IS SET AT $50,000 LIQUID ASSETS, AS FURTHER DEFINED AND DESCRIBED IN THE POLICY. ASSISTANCE IS GRANTED BASED UPON THE PATIENT'S INCOME FPLG. PART I, LINE 7: CENTRAL VERMONT MEDICAL CENTER USES THE AXIOM 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 USED FOR SOME OF THE FIGURES REPORTED IN THE TABLE ON LINE 7. THE CENTRAL VERMONT MEDICAL CENTER'S ANNUAL MEDICAID PROVIDER TAX IS ASSESSED ON VERMONT ACUTE CARE HOSPITALS BY THE STATE OF VERMONT. THE TAX ASSESSMENT IS CALCULATED AS 6% OF A HOSPITAL'S BASE YEAR NET PATIENT CARE REVENUE. PART I, LINE 7, COLUMN (F): THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE AMOUNT REPORTED ON LINE 7(F) IS $0. PATIENT-RELATED BAD DEBT IN THE AMOUNT OF $8,327,903 IS NETTED FROM PATIENT REVENUE IN PART VIII, LINE 2. PART III, LINE 2: CENTRAL VERMONT MEDICAL CENTER'S FINANCIAL STATEMENTS INCLUDE A FOOTNOTE DESCRIBING BAD DEBT EXPENSE. RECEIVABLES ARE REPORTED NET OF AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE PROVISION FOR PATIENT RELATED BAD DEBT IS REPORTED AS A DEDUCTION FROM GROSS REVENUE. THIS EXPENSE IS DETERMINED AS A PERCENTAGE OF GROSS PATIENT SERVICE REVENUE BASED ON ACTUAL WRITE-OFF HISTORY, REVIEWED ON A QUARTERLY BASIS AND ADJUSTED ON A SEMI-ANNUAL BASIS. PART III, LINE 3: DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE NETTED AGAINST THE TOTAL GROSS CHARGES WHEN DETERMINING BAD DEBT EXPENSE. THE $166,558 REFLECTS THE ADJUSTED BAD DEBT EXPENSE FOR ALL PATIENTS WHO SUBMITTED AN INITIAL APPLICATION, BUT UPON FOLLOW-UP, DID NOT RESPOND TO REQUESTS FOR ADDITIONAL INFORMATION OR SUPPORTING DOCUMENTATION. PART III, LINE 4: PLEASE REFERENCE FOOTNOTE NUMBER 4 ON PAGE 25 IN THE FISCAL YEAR 2023 AUDITED CONSOLIDATED FINANCIAL STATEMENTS. PART III, LINE 8: THE AMOUNT REPORTED IN PART III, LINE 6, MEDICARE ALLOWABLE COSTS OF CARE, IS DERIVED FROM CENTRAL VERMONT MEDICAL CENTER'S FYE 9/30/23 MEDICARE COST REPORT, WORKSHEET D-1, COMPUTATION OF INPATIENT OPERATING COSTS, AND WORKSHEET E PART B, CALCULATION OF OUTPATIENT SETTLEMENT. WHILE CVMC HAS HISTORICALLY FOLLOWED THE CATHOLIC HOSPITAL ASSOCIATION'S GUIDANCE AND HAS 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. PART III, LINE 9B: THE COLLECTION PROCESS IN PLACE AT CENTRAL VERMONT MEDICAL CENTER (CVMC) INCLUDES GENERATION OF MONTHLY STATEMENTS, FOLLOWED BY A PRE-COLLECTION LETTER OVER THE COURSE OF 120 DAYS. IN THE CASE OF UNDELIVERABLE MAIL, EFFORTS WILL BE MADE TO REACH THE PATIENT BY TELEPHONE. IF A NEW BILLING ADDRESS IS OBTAINED, THE 120 DAY WINDOW WILL BEGIN AGAIN. IF NO CONTACT CAN BE MADE AND PAYMENT IS NOT RECEIVED WITHIN THE REVISED 120 DAY WINDOW, THE ACCOUNT WILL BE REFERRED TO A COLLECTION AGENCY. IF CONTACT IS MADE, THE PATIENT WILL BE OFFERED A BUDGET PLAN. ALL STATEMENTS, LETTERS AND CONTACT WILL INCLUDE THE FACT THAT FINANCIAL ASSISTANCE IS AVAILABLE. REASONABLE EFFORTS WILL BE MADE TO DETERMINE IF A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE PRIOR TO BALANCE TRANSFER TO COLLECTIONS. REASONABLE EFFORTS MAY INCLUDE THE USE OF PRESUMPTIVE SCORING, THE NOTIFICATION AND PROCESSING OF APPLICATIONS AND NOTIFICATION BEFORE, DURING AND AFTER CARE. CVMC WILL PROCESS APPLICATIONS SUBMITTED BY INDIVIDUALS DURING THE APPLICATION PERIOD WHICH BEGINS ON THE DATE A BILLING STATEMENT FOR THE PATIENT BALANCE OF CARE IS PRESENTED AND ENDS 240 DAYS LATER. IF AT THE END OF THE 120 NOTIFICATION PERIOD AND ACCOUNT HAS BEEN REFERRED TO A COLLECTION AGENCY AND AN APPLICATION IS RECEIVED AND GRANTED WITHIN THE 240 DAY APPLICATION PERIOD, ACCOUNTS SHALL BE RECALLED FROM THE AGENCY AND PROCESSED UNDER THE FINANCIAL ASSISTANCE PROGRAM. NEEDS ASSESSMENT PART VI, LINE 2 THE COMPREHENSIVE 2022-2025 CHNA INCLUDED AN IN-DEPTH REVIEW OF PRIMARY AND SECONDARY DATA, HEALTH TRENDS, SOCIO-ECONOMIC STATISTICS, STAKEHOLDER PERCEPTIONS AND OTHER INFORMATION. CVMC AND THRIVE ANALYZED THE DATA TO ALIGN WITH THE VERMONT DEPARTMENT OF HEALTH STATE HEALTH IMPROVEMENT PLAN (SHIP) TO INFORM COMMUNITY HEALTH PLANNING. PRIMARY STUDY METHODS WERE USED TO SOLICIT INPUT FROM HEALTH CARE CONSUMERS AND KEY COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY. SECONDARY STUDY METHODS WERE USED TO IDENTIFY AND ANALYZE STATISTICAL DEMOGRAPHIC AND HEALTH TRENDS. COMMUNITY ENGAGEMENT WAS AN INTEGRAL PART OF THE 2022-2025 CHNA WITH WIDE PARTICIPATION FROM NEARLY 1,500 COMMUNITY STAKEHOLDERS WHO PARTICIPATED IN SURVEYS, FOCUS GROUPS, PLANNING MEETINGS, AND OTHER DIALOGUE. IN ADDITION TO THE TRIENNIAL CHNA, CVMC REGULARY MONITORS THE HEALTH NEEDS OF THE CENTRAL VERMONT COMMUNITY, THROUGH THRIVE, THE REGIONAL ACCOUNTABLE COMMUNITY FOR HEALTH (ACH). THRIVE MEMBERS HOLD REGULAR MEETINGS TO SUPPORT THE INTEGRATION OF HIGH-QUALITY MEDICAL CARE, MENTAL HEALTH AND SUBSTANCE USE TREATMENT SERVICES, AND SOCIAL SERVICES, BOTH GOVERNMENTAL AND NON-GOVERNMENTAL, FOR THOSE IN NEED OF CARE. THRIVE ALSO STRIVES TO SUPPORT COMMUNITY WIDE PREVENTION EFFORTS ACROSS ITS DEFINED GEOGRAPHIC AREA TO REDUCE DISPARITIES IN THE DISTRIBUTION OF HEALTH AND WELLNESS. THE FOLLOWING ORGANIZATIONS AND AGENCIES ARE COLLECTIVELY REFERRED TO AS THE LEADERSHIP PARTNERS TEAM OF THRIVE: -BLUECROSS/BLUESHIELD OF VERMONT -CAPSTONE COMMUNITY ACTION -CENTRAL VERMONT COUNCIL ON AGING -CENTRAL VERMONT HOME HEALTH & HOSPICE -CENTRAL VERMONT MEDICAL CENTER -CENTRAL VERMONT REGIONAL PLANNING COMMISSION -DOWNSTREET HOUSING & COMMUNITY DEVELOPMENT -FAMILY CENTER OF WASHINGTON COUNTY -GOOD SAMARITAN HAVEN -GREEN MOUNTAIN UNITED WAY -ONE CARE VERMONT -PEOPLE'S HEALTH & WELLNESS CLINIC -VERMONT AGENCY OF HUMAN SERVICES -VERMONT DEPARTMENT OF HEALTH -VERMONT FOODBANK -WASHINGTON COUNTY MENTAL HEALTH SERVICES THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE AT THE FOLLOWING WEB ADDRESS: https://www.cvmc.org/about-cvmc/community/community-health-needs-assessmen t PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: CENTRAL VERMONT MEDICAL CENTER USES 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. INFORM & EDUCATE: PATIENT EDUCATION IS PROVIDED ACROSS THE CONTINUUM OF CARE. PATIENT BENEFIT ADVISORS, FINANCIAL ADVOCATES, REGISTRARS, CASE MANAGERS, SOCIAL WORKERS AND CUSTOMER SERVICE REPRESENTATIVES ACTIVELY INFORM AND EDUCATE PATIENTS ON THE PROGRAM, GUIDELINES, REQUIREMENTS FROM: - PRE-ARRIVAL SCREENING/REGISTRATION TO POINT OF SALE EDUCATION AT REGISTRATION - AT THE BEDSIDE OF AN INPATIENT OR OBSERVATION PATIENT, AFTER DISCHARGE WITH CONTINUED FOLLOW-UP BY FINANCIAL ADVOCATES AND DURING THE SELF-PAY BILLING FOLLOW-UP PROCESS. PATIENTS ARE INFORMED OF THE PROGRAM, APPLICATIONS AND ASSISTANCE WITH COMPLETION ARE PROVIDED WITH FINANCIAL ADVOCATES ALSO PROVIDING EDUCATION AND ASSISTANCE FOR MEDICAID AND HEALTH INFORMATION EXCHANGE PROGRAMS, ALONG WITH ASSISTANCE IN APPLYING FOR THE CENTRAL VERMONT MEDICAL CENTER FINANCIAL ASSISTANCE PROGRAM. PATIENTS ARE ROUTINELY REFERRED TO ADVOCATES AND ADVISORS IN ADVANCE OF SERVICE WITH ADVOCATES ACTIVELY ASSISTING PATIENTS WHO ARE ADMITTED TO THE ORGANIZATION URGENTLY OR EMERGENTLY. POLICIES, SUMMARIES AND APPLICATIONS ARE AVAILABLE AT ALL REGISTRATION LOCATIONS, THEY ARE REFERENCED IN ALL INTERVIEW PROCESSES AND FURTHER AVAILABLE IN THE WAITING AREAS. OUR ORGANIZATIONAL WEBSITES PROVIDE EDUCATION, APPLICATIONS, POLICIES, SUMMARIES, AND FAQ DOCUMENTS ALONG WITH CONTACT INFORMATION AS A PASSIVE MEANS OF COMMUNICATION IN ADDITION TO THE ACTIVE EDUCATION REFERENCED PREVIOUSLY. OUR BILLING STATEMENTS REFLECT FINANCIAL ASSISTANCE HELP AND OUR COMMUNITY BENEFIT TEAM EDUCATE WITHIN THE COMMUNITY ON OUR PROGRAMS. APPLICATIONS AND INFORMATION ARE ADDITIONALLY AVAILABLE IN THE LOCAL COMMUNITY HEALTH CENTERS. ASSIST: - ALL INPATIENT 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 STATE AND FEDERAL AID APPLICATIONS AND THE CENTRAL VERMONT MEDICAL CENTER CHARITY APPLICATION PROCESS. - OUR FINANCIAL COUNSELORS /ADVOCATES HAVE BEEN CERTIFIED AS ASSISTERS IN THE PROCESS FOR HEALTH EXCHANGE INSURANCE, MEDICAID AND THE FINANCIAL ASSISTANCE PROGRAMS. COUNSELORS WILL ADDITIONALLY MEET WITH PATIENTS AT THE BEDSIDE TO HELP COMPLETE THE APPLICATIONS, PROVIDE DETAILS ON SUPPORTING DOCUMENTATION NEEDS AND FACILITATE AND EXPEDITE THE REVIEW PROCESS UNTIL A NOTICE OF DECISION HAS BEEN RECEIVED. COMMUNITY INFORMATION PART VI, LINE 4 COMMUNITY INFORMATION: CENTRAL VERMONT MEDICAL CENTER PRIMARILY SERVES RESIDENTS OF WASHINGTON COUNTY AND NEIGHBORING COMMUNITIES IN CALEDONIA, CHITTENDEN, LAMOILLE, AND ORANGE COUNTIES. DEMOGRAPHICS: -SINCE 2010, VERMONT SAW A SMALLER INCREASE IN POPULATION (+2.8%) THAN US OVERALL (+7.4%). THE WASHINGTON COUNTY POPULATION WAS GENERALLY STAGNANT, INCREASINGLY 0.5% OR 273 PEOPLE FROM 2010, ENDING WITH A POPULATION OF 59,807. -FROM 2010 TO 2020, THE WHITE POPULATION DECLINES -5.3%. THE LARGEST POPULATION INCREASES WERE SEEN AMONG MULTIRACIAL (+2,642 PEOPLE) AND OTHER RACE (+316 PEOPLE) INDIVIDUALS. DESPITE INCREASING DIVERSITY, THE WHITE POPLUATION IN WASHINGTON COUNTY IS APPROXIMATELY 90% OF RESIDENTS. -APPROXIMATELY 19% OF WASHINGTON COUNTY AND VERMONT RESIDENTS ARE AGED 65 OR OLDER COMPARED TO 15.6% NATIONWIDE. THE YOUTH POPULATION UNDER AGE 18 IS PROPORTIONATELY SMALLER IN WASHINGTON COUTY AND VERMONT THAN THE NATION, ESTIMATED AT 19% VERSUS 22.6%. -APPROXIMATELY 11% OF VERMONT AND WASHINGTON COUNTY RESIDENTS LIVE IN POVERTY COMPARED TO 13.4% NATIONALLY. -WITHIN WASHINGTON COUNTY, CHILDHOOD POVERTY IS HIGHER IN THE CABOT ZIP CODE 05647 (33.5%), WATERBURY CENTER ZIP CODE 05677 (27.0%), AND BARRE ZIP CODE 05641 (24.8%). -SINCE THE 2019 CHNA THE WASHINGTON COUNTY, POVERTY DECLINES FOR WHITE, BLACK/AFRICAN AMERICAN, AND LATINX RESIDENTS BUT INCREASED FOR ASIAN AND MULTIRACIAL RESIDENTS. NOTABLE, THE PROPORTION OF ASIAN RESIDENTS LIVING IN POVERTY INCREASED FROM 13.6% TO 22.4%. -IN WASHINGTON COUNTY, THE PERCENTAGE OF BLACK/AFRICAN AMERICAN RESIDENTS LIVING IN PVOVERTY (13.5%) DECLINED AND IS ONLY SLIGHTLY HIGHER THAN THE PERCENTAGE FOR WHITE RESIDENTS (10.1%), BUT THE MEDIAN HOUSEHOLD INCOME FOR BLACK/AFRICAN AMERICANS ($27,273) IS LESS THAN HALF THE MEDIAN INCOME FOR WHITES ($63,454). -APPROXIMATELY 29% OF HOMEOWNERS IN WASHINGTON COUNTY ARE CONSIDERED HOUSING COST BURDENED, A DECREASE FROM THE 2019 CHNA FINDING (31.2%) AND A SIMILAR PROPORTION AS THE STATE AND NATION OVERALL. -THE PERCENTAGE OF RENTERS COST BURDENED BY THEIR MONTHLY RENT EXPENSE DECLINED FROM THE 2019 CHNA, FROM 47.3% TO 42.9%, BUT STILL REPRESENTS MORE THAN 1 IN 4 RENTAL HOUSEHOLDS. -AS OF 2019, 12% OF VERMONT ADULTS HAD A CURRENT ASTHMA DIAGNOSIS COMPARED TO 8.9% NATIONALLY. WITHIN WASHINGTON COUNTY, AN ESTIMATED 10.7% OF ADULTS HAD AN ASTHMA DIAGNOSIS. ACCESS TO HEALTH CARE: -WASHINGTON COUNTY CONTINUES TO HAVE A LOWER PERCENTAGE OF UNINSURED RESIDENTS THAN THE STATE AND NATION AND MEETS THE HEALTHY PEOPLE 2030 GOAL OF 92.1% INSURED RESIDENTS. -CONSISTENT WITH PRIOR YEARS OF DATA, 25.5% OF RESIDENTS HAVE MEDICAID INSURANCE (ALONE OR IN COMBINATION WITH OTHER INSURANCE). THE PERCENTAGE OF MEDICARE INSURED RESIDENTS INCREASED SLIGHTLY FROM THE 2019 CHNA FROM 19.7% TO 20.9%, A FINDING CONSISTENT WITH THE COUNTY'S AGING DEMOGRAPHIC. -WASHINGON COUNTY HAS LOW UNINSURED PERCENTAGES ACROSS ALL REPORTED RACIAL AND ETHNIC GROUPS, EXCLUDING ASIANS. THE PERCENTAGE OF UNINSURED WASHINGTON COUNTY ASIAN RESIDENTS (13.2%) MORE THAN TRIPLED FROM FIVE YEARS AGO (3.8%) AND IS MORE THAN DOUBLE THE STATEWIDE PERCENTAGE (4.8%). -WASHINGTON COUNTY HAS MORE PRIMARY CARE PROVIDERS THAN THE REST OF THE STATE, AND THE RATE OF PROVIDERS INCREASED FROM THE 2019 CHNA, FROM 102.4 TO 106.6 PER 100,000. DESPITE HAVING BETTER AVAILABILITY OF PRIMARY CARE PROVIDERS, BOTH WASHINGTON COUNTY AND VERMONT OVERALL HAVE SLIGHTLY LOWER PERCENTAGES OF ADULTS ACCESSING ROUTINE CARE (72%-72.5%) COMPARED TO THE NATION (75%). PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 AS A PARTNER IN THE UNIVERSITY OF VERMONT HEALTH NETWORK, CENTRAL VERMONT MEDICAL CENTER IS PART OF A REGION-WIDE EFFORT TO TRANSFORM HEALTH CARE THAT IS TRANSLATING TO BETTER CARE HERE IN OUR LOCAL CENTRAL VERMONT COMMUNITIES. IN ADDITION TO OUR NETWORK PARTNERSHIP, WE BELIEVE THAT MAINTAINING THE HIGHEST QUALITY CARE FOR OUR PATIENTS ALSO DEPENDS ON OUR SUPPORT AND COLLABORATION WITH THE MANY LOCAL ORGANIZATIONS THROUGHOUT CENTRAL VERMONT THAT ARE ALSO PROVIDING VITAL SERVICES TO OUR COMMUNITY. SOME OF OUR COMMUNITY PARTNERS INCLUDE: A. CENTRAL VERMONT HOME HEALTH AND HOSPICE B. GREEN MOUNTAIN TRANSIT AUTHORITY (GMTA) C. GREEN MOUNTAIN UNITY WAY D. PEOPLE'S HEALTH AND WELLNESS CLINIC (PHWC) E. PHARMACIES F. VERMONT STATE DEPARTMENT OF HEALTH G. WASHINGTON COUNTY MENTAL HEALTH THE MAJORITY OF CVMC'S GOVERNING BODY (BOARD OF TRUSTEES) IS COMPRISED OF INDIVIDUALS WHO RESIDE IN CVMC'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES, FAMILY MEMBERS, NOR CONTRACTORS OF THE ORGANIZATION. CVMC EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. CENTRAL VERMONT MEDICAL CENTER (CVMC) IS ALSO THE ADMINISTRATIVE ENTITY FOR THE VERMONT BLUEPRINT FOR HEALTH, PATIENT CENTERED MEDICAL HOMES FOR THE BARRE HEALTH SERVICE AREA (HSA). THE GOAL OF THE VERMONT BLUEPRINT FOR HEALTH, PASSED BY THE VERMONT LEGISLATURE IN 2010, IS TO SUPPORT VERMONT'S EFFORTS TO DEVELOP A COMPREHENSIVE, PROACTIVE SYSTEM OF CARE THAT IMPROVES THE QUALITY OF LIFE FOR PEOPLE WITH, OR AT RISK FOR CHRONIC CONDITIONS. AT THE END OF 2020, OVER 50 PRIMARY CARE PROVIDERS WERE ALL PART OF A RECOGNIZED NATIONAL COMMITTEE FOR QUALITY ASSURANCE, PATIENT CENTERED MEDICAL HOME IN THE BARRE HSA CARING FOR OVER 30,000 PATIENTS. THE CVMC COMMUNITY HEALTH TEAM (CHT) IS A PATIENT-CENTERED MULTIDISCIPLINARY TEAM THAT STRIVES TO IMPROVE THE PRIMARY HEALTH AND WELLNESS FOR ALL PATIENTS IN CENTRAL VERMONT. CHT IS COMMITTED TO REMOVING HEALTH BARRIERS BY OFFERING SERVICE FREE OF CHARGE, WHICH CONSISTS OF A NURSE, OR DIETITIAN, OR WELLNESS COACH, OR CLINICAL SOCIAL WORKER IN THE COMFORT OF YOUR PRIMARY CARE OFFICE. CHT SERVICES CAN HELP INDIVIDUALS OR FAMILY MEMBERS IMPROVE THEIR CHANCES FOR REACHING HEALTH GOALS, WHILE PROVIDING ONE-ON-ONE SUPPORT. THE CHT TEAM WORKS WITHIN THE CVMC PRIMARY CARE PRACTICES AROUND CENTRAL VERMONT, AS WELL AS WOMEN'S HEALTH. CVMC APPLIES SURPLUS FUNDS TO REVITALIZE FACILITIES, PURCHASE EQUIPMENT, STAFF EDUCATION AND TO ENHANCE PROGRAMS TO PROVIDE BETTER PATIENT AND FAMILY CENTERED CARE (PFCC). DURING FY 2023 CVMC CONTINUED TO EXPAND THE HEALTH CARE CAREER PATHWAY EDUCATION PROGRAMS. IN PARTNERSHIP WITH VERMONT COLLEGES AND UNIVERSITIES, CVMC WAS ABLE TO OFFER SEVEN TRAINING PROGRAMS IN 2023 WITH FORTY-SEVEN PARTICIPANS AND IS AIMING TO INCREASE THESE NUMBERS IN 2024. PROGRAM FOCUS AREAS INCLUDED LICENSED PRACTICAL NURSING, REGISTERED NURSING AND SURGICAL TECHNOLOGIES. THE BENEFITS AND SUCCESS OF CVMC'S APPROACH HAVE BEEN RECOGNIZED AS A TEMPLATE TO BE EMULATED ACROSS THE UVM HEALTH NETWORK ECOSYSTEM. IN JULY 2023, CENTRAL VERMONT EXPERIENCED SEVERSE FLOODING RESULTING IN ROAD, SCHOOL AND BUSINESS CLOSURES, AND EVACUATION OF MANY COMMUNITY MEMBERS FROM THEIR HOMES WHILE OTHERS FOUND THEMSELVES STRANDED IN PLACE. THE CVMC TEAM WORKED TOGETHER TO MAINTAIN OPERATIONS AND SUPPORT THOSE IN NEED, WITH STAFF WORKING BEYOND THEIR SCHEDULED SHIFTS AND OTHERS NAVIGATING THE MOST OBSCURE ROUTES TO BYPASS HIGH WATER AND MAKE IT INTO WORK SAFELY. THE CVMC PHARMACY TEAM QUICKLY ESTABLISHED A PROCESS TO PROVIDE 72-HOUR REFILLS FOR PATIENTS WHO RAN OUT OR LOST THEIR MEDICATIONS AS A RESULT FROM FLOODING. CVMC STAFF ESTABLISHED FLOOD RELIEF POP UP FIRST AID/PERSONAL PROTECTIVE EQUIPMENT (PPE) STATIONS IN COMMUNITY CENTERS TO ASSIST THOSE WHO NEEDED MEDICAL ATTENTION WITH MANY PROVIDERS AND STAFF VOLUNTERRING THEIR TIME TO SUPPORT THIS EFFORT. MEMBERS OF THRIVE, OUR ACCOUNTABLE COMMUNITY FOR HEALTH, MET REGULARLY TO IDENTIFY COMMUNITY NEEDS AND MOBILIZE THEIR RESOURCES TO SUPPORT THOSE IMPACTED BY THE FLOODING AS WELL. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: AS OF OCTOBER 1, 2011, CENTRAL VERMONT MEDICAL CENTER, INC. (CVMC) AND THE UNIVERSITY OF VERMONT MEDICAL CENTER (UVMMC) BECAME MEMBERS OF THE UNIVERSITY OF VERMONT HEALTH NETWORK (UVMHN), AN INTEGRATED SYSTEM OF CARE SERVING THE COMMUNITIES OF VERMONT AND NORTHERN NEW YORK. THE UNIVERSITY OF VERMONT HEALTH NETWORK IS CARRYING OUT CENTRALIZED ACTIVITIES FOR THE BENEFIT OF PATIENTS OF PARTNER ORGANIZATIONS, INCLUDING IMPROVING ACCESS TO LOCAL CARE, COST SAVINGS THROUGH GREATER JOINT PURCHASING POWER, ENHANCING INFORMATION TECHNOLOGY, INCREASING ACADEMIC OPPORTUNITIES FOR PHYSICIANS, ENGAGING IN REGIONAL STRATEGIC PLANNING, AND PARTICIPATING IN JOINT QUALITY AND CLINICAL INITIATIVES. SINCE THE HEALTH NETWORK'S INCEPTION, CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER, ELIZABETH COMMUNITY HOSPITAL, ALICE HYDE MEDICAL CENTER, PORTER MEDICAL CENTER, AND UVM HEALTH NETWORK HOME HEALTH & HOSPICE HAVE ALSO JOINED. STATE FILING OF COMMUNITY BENEFIT REPORT PART VI, LINE 7 THE CENTRAL VERMONT MEDICAL FILES A COMMUNITY BENEFIT REPORT WITH THE STATE OF VERMONT. true PEOPLES HEALTH AND WELLNESS CENTER 51 CHURCH ST BARRE VT 05641 030343290 501(c)(3) 25000 HEALTH CARE FOR THE UNINSURED 1 DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS SCHEDULE I, PART I, LINE 2 CENTRAL VERMONT MEDICAL CENTER OCCASIONALLY GRANTS FUNDS TO ORGANIZATIONS THAT SUPPORT CVMC'S EXEMPT PURPOSE OF SERVING THE HEALTHCARE NEEDS OF CENTRAL VERMONT RESIDENTS. GRANT FUNDS ARE APPROVED AND OVERSEEN BY THE BOARD. false true false false false false false true false JOHN BRUMSTED MD TRUSTEE, UNTIL 11/22 0 1054101 0 345321 0 387755 0 36600 0 32222 0 1855999 0 0 ANNA T NOONAN TRUSTEE, PRESIDENT/COO 346920 0 71051 0 106536 0 51336 0 37173 0 613016 0 49631 0 MATTHEW CHOATE VP PATIENT CARE SERVICES 240620 0 26214 0 886 0 16396 0 23809 0 307925 0 0 0 CHRISTOPHER MERIAM MD TRUSTEE,FMR PRES MED,UNTIL6/23 0 522377 0 0 0 65119 0 18300 0 36264 0 642060 0 0 ROBERT PATTERSON VP HR & CLINICL OPERATIONS 245265 0 26666 0 1687 0 16679 0 29584 0 319881 0 0 0 JAMES ALVAREZ VP SUPPORT SERVICES 244157 0 26428 0 11196 0 11375 0 22664 0 315820 0 0 0 SUNIL EAPPEN MD TRUSTEE, AS OF 11/22 0 99916 0 180000 0 6853 0 14924 0 2902 0 304595 0 0 KIMBERLY PATNAUDE TREASURER, CFO/VP FISCAL SVCS 272241 0 29523 0 1015 0 14468 0 24932 0 342179 0 0 0 CHRISTIAN BEAN MD PHYSICIAN 0 553942 0 0 0 40372 0 18300 0 37662 0 650276 0 0 JOHN BEGLY MD PHYSICIAN 0 487980 0 0 0 43049 0 18300 0 41585 0 590914 0 0 JOHN MOTLEY MD PHYSICIAN 0 307903 0 0 0 70420 0 18300 0 39358 0 435981 0 0 BENJAMIN SMITH MD PHYSICIAN 0 367857 0 0 0 18587 0 18300 0 33948 0 438692 0 0 SARA GRAVES MD PHYSICIAN 0 534748 0 0 0 40570 0 18300 0 34578 0 628196 0 0 ANNA HANKINS MD TRUSTEE, PRESIDENT MED STAFF 0 236890 0 0 0 29345 0 16357 0 32280 0 314872 0 0 NEJAT ZEYNELOGLU MD CHIEF MEDICAL OFFICER 367041 0 49145 0 918 0 0 0 23916 0 441020 0 0 0 WILLIAM KOWALEWSKI ADMIN/VP AGING SVCS WDR 164380 0 17824 0 1899 0 8835 0 3314 0 196252 0 0 0 SCHEDULE J, PART I, LINE 3 CVMC RECEIVES GUIDANCE REGARDING ITS PRESIDENT'S COMPENSATION FROM THE UVM HEALTH NETWORK COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, WHICH IS THE SOLE MEMBER OF THE HOSPITAL, THAT NETWORK COMPENSATION COMMITTEE UTILIZES THE FOLLOWING METHODS TO ESTABLISH THE GUIDANCE: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE SCHEDULE J, PART I, LINE 4B THE UNIVERSITY OF VERMONT HEALTH NETWORK, BY AND THROUGH ITS AFFILIATED SUBSIDIARIES, MAINTAINS A SUPPLEMENTAL RETIREMENT BENEFIT PLAN (SRP) UNDER CONTRACTUAL ARRANGEMENTS WITH SEVERAL PERSONS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A. PURSUANT TO THE TERMS OF THE SRP, ANNUAL CREDITS WERE MADE EQUAL TO A FIXED PERCENTAGE OF BASE SALARY. THE FOLLOWING PERSONS PARTICIPATED IN THE SRP IN CALENDAR YEAR 2022, AND THEIR RESPECTIVE FIXED PERCENTAGE IS DESIGNATED IN PARENTHESES: ANNA T. NOONAN (8.68%) AND SUNIL EAPPEN (12.24%). DEFERRED AMOUNTS VEST ON THE EARLIER OF: (I) JANUARY 1 OF THE THIRD PLAN YEAR AFTER THE PLAN YEAR FOR WHICH THE ACCOUNT WAS CREATED; OR (II) THE PARTICIPANT'S 65TH BIRTHDAY. ANNA T. NOONAN RECEIVED SRP DISTRIBUTIONS REFLECTED IN SCH J, PART II, COL (B)(III) AND (F). FOR THE PLANS NOTED ABOVE, THE AMOUNT DEFERRED FOR CALENDAR YEAR 2022 IS INCLUDED ON SCHEDULE J, PART II, COLUMN C. AMOUNTS DEFERRED REMAIN SUBJECT TO FORFEITURE IF CERTAIN CONDITIONS ARE NOT MET. SCHEDULE J, PART I, LINE 7 CENTRAL VERMONT MEDICAL CENTER, INC (CVMC) HAS AN ANNUAL PERFORMANCE INCENTIVE PLAN. PERFORMANCE TARGETS AND PAYOUT METRICS ARE ESTABLISHED AND APPROVED BY THE UVM HEALTH NETWORK COMPENSATION COMMITTEE AT THE BEGINNING OF EACH PERFORMANCE CYCLE. SUBSTANTIAL DONOR SUBSTANTIAL CONTRIBUTOR 221481 SERVICES false SUBSTANTIAL DONOR SUBSTANTIAL CONTRIBUTOR 126008 SERVICES false DESCRIPTION OF THE ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 CENTRAL VERMONT MEDICAL CENTER IS THE PRIMARY HEALTH CARE PROVIDER SERVING MORE THAN 66,000 PEOPLE WHO LIVE, AND WORK, AND PLAY IN THE 26 COMMUNITIES OF CENTRAL VERMONT. CENTRAL VERMONT MEDICAL CENTER HOSPITAL PROVIDES 24-HOUR EMERGENCY CARE, WITH A FULL SPECTRUM OF INPATIENT (LICENSED FOR 122 BEDS) AND OUTPATIENT SERVICES, CLOSE TO HOME. CENTRAL VERMONT MEDICAL CENTER NAMED ONE OF THE NATION'S TOP 100 RURAL & COMMUNITY HOSPITALS BY THE NATIONAL RURAL HEALTH ASSOCIATION (NRHA). TOP 100 RURAL COMMUNITY HOSPITALS ARE THOSE ACHIEVING SUCCESS IN OVERALL PERFORMANCE BASED ON A COMPOSITE RATING FROM EIGHT INDICATORS OF STRENGTH - INPATIENT MARKET SHARE, OUTPATIENT MARKET SHARE, QUALITY, OUTCOMES, PATIENT PERSPECTIVES, COSTS, CHARGES AND FINANCIAL STABILITY. IN ADDITION, CENTRAL VERMONT MEDICAL CENTER HOSPITAL HAS RECEIVED FIVE STAR CMS HOSPITAL CARE RATINGS FOR THREE YEARS IN A ROW 2020-2022 AND IS A HIGH PERFORMING HOSPITAL OF THE US NEWS FOR COPD, PNEUMONIA, AND HIP FRACTURE FOR 2022-23. THE CENTRAL VERMONT MEDICAL CENTER PROFESSIONAL STAFF INCLUDES OVER 175 PHYSICIANS AND 70 ADVANCED PRACTICE PROVIDERS REPRESENTING 25 MEDICAL SPECIALTIES. CENTRAL VERMONT MEDICAL CENTER'S WOODRIDGE REHABILITATION AND NURSING IS A LONG-TERM AND SHORT-TERM FACILITY ON OUR MAIN CAMPUS LICENSED FOR 153 SKILLED NURSING BEDS. CVMC WOODRIDGE REHABILITATION AND NURSING EARNED BEST NURSING HOMES STATUS BY ACHIEVING A RATING OF "HIGH PERFORMING," THE HIGHEST POSSIBLE RATING, FOR SHORT-TERM REHABILITATION. U.S. NEWS GIVES THE DESIGNATION OF BEST NURSING HOME ONLY TO THOSE HOMES THAT SATISFY U.S. NEWS'S ASSESSMENT OF THE APPROPRIATE USE OF KEY SERVICES AND CONSISTENT PERFORMANCE IN QUALITY MEASURES. COMBINED AS CENTRAL VERMONT MEDICAL CENTER (HOSPITAL, 28 MEDICAL PRACTICES, AND WOODRIDGE REHABILITATION AND NURSING) ARE A CRITICAL SOURCE OF HIGH QUALITY CARE, CLOSE TO HOME. WITH OVER 1,700 EMPLOYEES (FROM WASHINGTON, ORANGE, LAMOILLE, CHITTENDEN COUNTIES AND MORE), CENTRAL VERMONT MEDICAL CENTER IS THE LARGEST PRIVATE EMPLOYER IN CENTRAL VERMONT. GOVERNING BODY AND MANAGEMENT FORM 990, PART VI, LINE 2 THERE IS A BUSINESS RELATIONSHIP BETWEEN DRS. JOHN BRUMSTED AND SUNIL EAPPEN, OFFICERS OF THE UNIVERSITY OF VERMONT MEDICAL CENTER (UVMMC), DR. ANNA HANKINS, AN OFFICER OF CVMC, AND DR. CHRISTOPHER MERIAM AN OFFICER OF CVMC. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS Form 990, Part VI, Line 6 THE UNIVERSITY OF VERMONT HEALTH NETWORK IS THE SOLE MEMBER AND PARENT CORPORATION OF CENTRAL VERMONT MEDICAL CENTER, INC. (CVMC). THE UNIVERSITY OF VERMONT HEALTH NETWORK IS A VERMONT NON-PROFIT CORPORATION WHICH HAS BEEN RECOGNIZED BY THE IRS AS A 501(C)(3) ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. ELECTION OF GOVERNING BODY & GOVERNANCE DECISIONS FORM 990, PART VI, LINE 7A & 7B THE UNIVERSITY OF VERMONT HEALTH NETWORK HOLDS THE POWER TO ELECT CVMC'S BOARD OF TRUSTEES AND TO APPROVE SIGNIFICANT CORPORATE ACTIONS, INCLUDING ANNUAL OPERATING AND CAPITAL BUDGETS, STRATEGIC PLANS, THE APPOINTMENT OF THE PRESIDENT/COO, THE INCURRENCE OF LONG-TERM INDEBTEDNESS, AND AMENDMENTS TO CVMC'S BYLAWS AND ARTICLES OF ORGANIZATION. DESCRIPTION OF PROCESS USED BY MGMNT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, LINE 11B THE FORM 990 IS PREPARED BY THE ACCOUNTING MANAGER AND REVIEWED IN DETAIL BY CVMC'S OUTSIDE TAX ADVISORS BEFORE BEING REVIEWED BY THE OFFICERS OF THE CORPORATION AND BY THE OTHER MEMBERS OF THE SENIOR MANAGEMENT TEAM. THE ACCOUNTING MANAGER PROVIDES REGULATORY UPDATES REGARDING THE FORM 990 TO THE EXECUTIVE COMMITTEE AND MAKES AVAILABLE TO THE EXECUTIVE COMMITTEE THE FORM 990 ALONG WITH HIGHLIGHTS OF ALL SIGNIFICANT PARTS OF THE FORM 990. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF TRUSTEES PRIOR TO THE FORM BEING FILED WITH THE IRS. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH THE UVM HEALTH NETWORK'S (UVMHN) CONFLICT OF INTEREST POLICY, WHICH IT HAS ADOPTED. 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 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. CONFLICTS OF INTEREST 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. REMEDIES TO ADDRESS CONFLICTS OF INTEREST MAY INCLUDE THE FOLLOWING: RECUSAL FROM DECISION MAKING, DISCLOSURE TO APPROPRIATE PARTIES, COMMITTEE PARTICIPATION LIMITS AND REQUESTED DIVESTITURE. AN APPEALS PROCESS EXISTS SHOULD THE INDIVIDUAL REQUEST A SECONDARY REVIEW BE PERFORMED. WHISTLEBLOWER & DOCUMENT RETENTION - DESTRUCTION POLICIES FORM 990, PART VI, LINES 13 & 14 CVMC HAS BOTH A WHISTLEBLOWER AND A DOCUMENT RETENTION - DESTRUCTION POLICY. THESE POLICIES ARE EFFECTIVE WITHOUT FORMAL BOARD APPROVAL. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, LINES 15A & 15B THE PROCESS FOR DETERMINING COMPENSATION FOR THE ORGANIZATION'S PRESIDENT/COO IS HANDLED BY THE UVM HEALTH NETWORK (UVMHN) COMPENSATION COMMITTEE. THE COMMITTEE MEETS ANNUALLY AND UTILIZES SURVEY DATA TO MAKE A TOTAL COMPENSATION RECOMMENDATION. IF NECESSARY, THE UVMHN COMPENSATION COMMITTEE WILL ENGAGE WITH AN INDEPENDENT CONSULTING FIRM, INTEGRATED HEALTHCARE STRATEGIES (IHS)/GALLAGER, WITH NATIONAL EXPERTISE IN HEALTH CARE COMPENSATION. THE UVMHN COMPENSATION COMMITTEE RECOMMENDS AND APPROVES THE COMPENSATION. AN ANALYSIS IS PERFORMED ANNUALLY BY THE UVMHN COMPENSATION COMITTEE TO EVALUATE CVMC SENIOR LEADERSHIP COMPENSATION. RECOMMENDATIONS ARE REVIEWED BY THE PRESIDENT AND THE EXECUTIVE COMMITTEE OF THE CVMC BOARD OF TRUSTEES. MARKET STUDY DATA COMES FROM, BUT IS NOT LIMITED TO, WILLIS TOWERS WATSON, MERCER, GALLAGHER, AND SULLIVAN COTTER. THE COMPENSATION OF OTHER KEY EMPLOYEES OF THE ORGANIZATION IS DETERMINED THROUGH MARKET STUDY ANALYSIS PERFORMED BY THE UVMHN COMPENSATION COMMITTEE. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, LINE 19 THE ORGANIZATION MAKES AVAILABLE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE GENERAL PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS OF THE ORGANIZATION FOR FY2023 CAN ALSO BE FOUND ON THE WEBSITE, https://www.cvmc.org/about-cvmc/reports-and-publications COMPENSATION FORM 990, PART VII THREE PHYSICIANS SERVING AS BOARD MEMBERS, DR. MERIAM, DR. HANKINS, AND DR. ECKHAUS, RECEIVE COMPENSATION FROM A RELATED ORGANIZATION (UVMMG) FOR THEIR SERVICES AS PHYSICIANS. THIS COMPENSATION IS NOT RELATED TO THEIR PARTICIPATION AS MEMBERS OF THE BOARD OF TRUSTEES. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES: CHANGE IN MINIMUM PENSION LIABILITY $(10,015,488) TRANSFER OF NET ASSETS (1,606,743) ASSETS RELEASED FROM CAPITAL 57,124 OTHER CHANGES OF NET ASSETS WITH DONOR RESTRICTIONS 640,170 ------------------------------------------------------------------------- TOTAL: $(10,924,937) CIRCULAR A-133 AUDIT FORM 990, PART XII, LINE 3B: DURING FY23, CVMC DID NOT REACH THE LEVEL REQUIRED TO WARRANT AN AUDIT UNDER OMB CIRCULAR A-133. HOWEVER, BECAUSE OF CVMC'S AFFILIATION WITH THE UNIVERSITY OF VERMONT HEALTH NETWORK, CVMC WAS INCLUDED IN THE A-133 THAT WAS PERFORMED FOR THE UNIVERSITY OF VERMONT MEDICAL CENTER. CHANGES TO GOVERNING DOCUMENTS Form 990, Part VI, Line 4 EFFECTIVE OCTOBER 1, 2022, THE CERTIFICATE OF INCORPORATION AND THE BYLAWS OF THE UNIVERSITY OF VERMONT HEALTH NETWORK, INC. (THE "NETWORK") WERE AMENDED AND RESTATED TO FACILITATE TIMELY DECISION MAKING AND TO CLARIFY ROLES AND RELATIONSHIPS BETWEEN THE NETWORK AND ITS HOSPITAL AND HOME HEALTH CARE SUBSIDIARIES (THE "AFFILIATES"), INCLUDING CENTRAL VERMONT MEDICAL CENTER ("CVMMC"). CORRESPONDING AMENDMENTS WERE MADE TO THE ORGANIZATIONAL DOCUMENTS OF THE AFFILIATES. CVMMC'S DOCUMENTS CHANGED IN THE FOLLOWING SIGNIFICANT RESPECTS: FIRST, THE CERTIFICATE OF INCORPORATION AND BYLAWS WERE AMENDED TO CREATE RESERVED POWERS OF THE NETWORK BOARD. THESE RESERVED POWERS INCLUDE: THE NETWORK'S ELECTION OF TRUSTEES FOR CVMMC FROM NOMINEES SUBMITTED BY CVMMC; ADOPTION OF ANNUAL OPERATING AND CAPITAL BUDGETS; ADOPTION OF STRATEGIC PLANS; AND APPROVAL OF MAJOR FINANCIAL DECISIONS INCLUDING MERGERS, BANKRUPTCIES, COMMENCEMENT OF PROJECTS REQUIRING THE ISSUANCE OF A CERTIFICATE OF NEED, THE INCURRENCE OF LONG-TERM INDEBTEDNESS, AND THE DEVELOPMENT OR TERMINATION OF PROGRAMS OR SERVICES. ADDITIONALLY, THE COMPENSATION COMMITTEE OF THE NETWORK IS GRANTED RESPONSIBILITY FOR DETERMINING COMPENSATION AND BENEFITS FOR CVMMC'S PRESIDENT AND ANY OTHER EXECUTIVE CLASSIFIED AS A "DISQUALIFIED PERSON" UNDER APPLICABLE LAW. FORM 990 PART IX LINE 11G DESCRIPTION:ALLOCATION OF SHARED SERVICES TOTAL FEES:11813969 FORM 990 PART IX LINE 11G DESCRIPTION:AGENCY FEES TOTAL FEES:1714747 FORM 990 PART IX LINE 11G DESCRIPTION:LAUNDRY/LINENS/UNIFORMS TOTAL FEES:246554 FORM 990 PART IX LINE 11G DESCRIPTION:TRAVELER EXPENSES TOTAL FEES:25116993 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER EXPENSES TOTAL FEES:8479041 UNIVERSITY OF VERMONT MEDICAL CENTERINC 111 COLCHESTER AVE BURLINGTON VT 05401 030219309 HOSPITAL VT 501(c)(3) 3 UVMHN true UNIV OF VERMONT HEALTH NETWORK INC 111 COLCHESTER AVE BURLINGTON VT 05401 452880726 HOLDING CO VT 501(C)(3) 12A-I NA false UNIVERSITY OF VERMONT MEDICAL GROUP 111 COLCHESTER AVE BURLINGTON VT 05401 030225105 PHYS SVCS VT 501(C)(3) 12A-I UVMHN true UNIV OF VERMONT MEDICAL CTR FDN INC 111 COLCHESTER AVE BURLINGTON VT 05401 263159849 FUNDRAISING VT 501(C)(3) 12A-I UVMMC true CENTRAL VERMONT HOSPITAL AUXILIARY 130 FISHER RD BERLIN VT 05602 030264240 SERVICE VT 501(C)(3) 12D-III-O NA false COMMUNITY PROVIDERS INC 75 BEEKMAN ST PLATTSBURGH NY 12901 222544844 HLTH SVC COOR NY 501(C)(3) 12A-I UVMHN true CHAMPLAIN VALLEY PHYSICIANS HOSPITAL 75 BEEKMAN STREET PLATTSBURGH NY 12901 141338471 HOSPITAL NY 501(C)(3) 3 CPI true ELIZABETHTOWN COMMUNITY HOSPITAL 75 PARK STREET ELIZABETHTOWN NY 12932 141364513 HOSPITAL NY 501(C)(3) 3 CPI true EMERGENCY MEDICAL TRANSPORT OF CVPH INC 75 BEEKMAN ST PLATTSBURGH NY 12901 061718419 AMBULANCE SVC NY 501(C)(3) 12B-II CPI true CVPH MEDICAL CENTER FOUNDATION 75 BEEKMAN ST PLATTSBURGH NY 12901 141727048 HLTH SVC SUPP NY 501(c)(3) 12B-II CVPH true UNIVERSITY MEDICAL EDUCATION ASSOCIATES 89 BEAUMONT AVE BURLINGTON VT 05405 237107832 EDUCATIONAL VT 501(C)(3) 11 UVMMG true UNIVERSITY HEALTH CENTER 111 CoOLCHESTER AVE BURLINGTON VT 05401 030229931 HOSPITAL VT 501(C)(3) 12C-III-FI UVMMG true ALICE HYDE MEDICAL CENTER 133 PARK STREET MALONE NY 12953 150346515 HOSPITAL NY 501(C)(3) 3 CPI true PORTER MEDICAL CENTER INC 115 PORTER DRIVE MIDDLEBURY VT 05753 030310862 SUPPTG ORG VT 501(C)(3) 12-BII UVMHN true HELEN PORTER NURSING HOME 37 PORTER DRIVE MIDDLEBURY VT 05753 030306549 NURSING HOME VT 501(C)(3) 3 PMC true AUXILIARY OF PORTER MEDICAL CENTER 37 PORTER DRIVE MIDDLEBURY VT 05753 237363227 SUPPORTG ORG VT 501(C)(3) 12-B,II PMC true PORTER HOSPITAL INC 37 PORTER DRIVE MIDDLEBURY VT 05753 030181058 HOSPITAL VT 501(C)(3) 3 PMC true VMC INDEMNITY COMPANY INC 95 ST PAUL ST BURLINGTON VT 05401 831102018 INSURANCE VT 501(C)(3) 12A-I UVMHN true LAKE CHAMPLAIN PHYSICIANS SERVICES PC 75 BEEKMAN STREET PLATTSBURGH NY 12901 273785445 PHYSICIAN SVC NY 501(C)(3) 12A-I CVPH true UVMHN HOME HEALTHCARE & HOSPICE 1110 PRIM ROAD COLCHESTER VT 05446 030179603 HOME HEALTH VT 501(C)(3) 10 UVMHN true CHARITABLE IRREVOCABLE TRUST (8) SUPPORT VT UVMMCCVMC TRUST UNIV OF VT MED CTR HEALTH VENT INC 111 COLCHESTER AVE BURLINGTON VT 05401 043380045 COMPANY VT UVMMC C CORP CHARITABLE REMAINDER TRUST (6) SUPPORT VT UVMMCCVMC TRUST PERPETUAL TRUST (10) SUPPORT VT UVMMC TRUST CHAMPLAIN VALLEY HEALTH NETWORK 75 BEEKMAN STREET PLATTSBURGH NY 12901 161586102 ADMIN SERVICE NY NA C CORP MEDQUEST INC PO BOX 1656 PLATTSBURGH NY 12901 141663061 LEASE NY NA C CORP YANKEE MEDICAL INC 276 NORTH AVENUE BURLINGTON VT 05401 030225363 EQUIP VT UVMHN VENTURES C CORP UVMHN CREDENTIALING & ENROLLMENT 111 COLCHESTER AVE BURLINGTON VT 05401 030333056 ADMIN SVC VT UVMHN VENTURES C CORP false false false false false false false true false false false false false false true false false false UNIVERSITY OF VERMONT MEDICAL CENTER I 437012 FMV UNIVERSITY OF VERMONT MEDICAL CENTER p 43334249 FMV Schedule R, Part IV, Line 1 University of Vermont Medical Center, Inc. (UVM Medical Center) has a beneficial interest in four of these trusts. CVMC has a beneficial interest in three of these trusts.