2024-08-14T15:56:14-05:00 2023-09-30 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2022-10-01 036013761 Northeastern Vermont Regional Hosp Inc NORT 8027487520 Hospital Drive PO Box 905 St Johnsbury VT 058190905 Andre Bissonnette CFO 8027487520 2024-08-14 1 1 Barbara J McGuan CPA P00219457 2077752387 2024-08-14 2022 2024-08-08 14:25:15Z Shawn Tester Hospital Drive PO Box 905 St Johnsbury VT 058190905 122682588 0 X www.nvrh.org X 1967 VT Critical Access Hospital 19 17 825 121 2777513 113267 2580047 4481463 111322974 116927481 803781 918110 92609 78576 114799411 122405630 318437 242077 0 0 68868484 71795590 0 0 0 44982412 49195495 114169333 121233162 630078 1172468 84173742 81419097 34240519 27149442 49933223 54269655 X Northeastern Vermont Regional Hospital, Inc. is committed to improving the health and wellbeing of all. 0 0 96550383 242077 116927481 Northeastern Vermont Regional Hospital, Inc. is a full service, state of the art, Critical Access Hospital. The Hospital makes its services available to approximately 30,000 residents of the greater St. Johnsbury community. Inpatient services include medical and surgical, intensive care, pediatrics, and obstetrics. The emergency room at NVRH is fully staffed by full-time board certified/eligible physicians. The Ambulatory Surgery Unit has space for 16 pre- and post-operative patients. Over 95% of our surgeries and procedures are conducted through day surgery. These services are supported by the laboratory, diagnostic imaging, MRI, CT scan, cardiac services, rehabilitation, respiratory, and other ancillary services. Surgical specialties include general surgery, neurosurgery, oral/maxillofacial, otolaryngology, obstetrics/gynecology, orthopedics, ophthalmology, and urology. NVRH is one of two Vermont hospitals to have been awarded the international baby-friendly designation by the World Health Organization.NVRH's charity care program is available to patients who are uninsured, underinsured, or have otherwise demonstrated they don't have the financial resources to fully pay for their hospital care. Patients with income levels below 200% of the federal poverty guideline for the applicable family size have their hospital bill discounted by 100%. Patients with income levels between 200% and 400% of the federal poverty guideline receive a discount on their hospital bill between 85% and 47%. Foregone charges, based on established rates, furnished under NVRH's free care program amounted to $1,865,568 during the year ended September 30, 2023.The emergency room at NVRH is fully staffed by full-time physicians and specialized nurses who are trained to deal with all aspects of medical care. Emergency room staff provide pre-hospital provider training and support, participation in local education programs, hospital continuing medical education and quality assurance programs. Care provided by the emergency room is coordinated with appropriate local physician practices. The NVRH pharmacy provides pharmaceutical services for patients, including a complete patient medication profile and computerized monitoring. Our pharmacy staff is a vital component of the healthcare team, consulting with physicians and other health professionals to ensure that patients receive the appropriate drug therapies. NVRH owns four Rural Health Clinics that are staffed with a combination of medical doctors, nurse practitioners, physician assistants and nurse midwives in order to meet the needs of our patients. The four clinics include:1. Corner Medical - a family practice.2. Kingdom Internal Medicine3. St. Johnsbury Pediatrics4. Women's Wellness Center - providing full OB/GYN care. 96550383 1 1 0 1 0 0 0 1 0 0 1 0 0 1 1 0 1 1 0 0 0 0 0 0 1 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 156 0 1 825 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 19 17 0 0 0 0 1 1 0 1 1 0 0 0 1 1 1 1 1 1 1 1 1 VT X Andre Bissonnette 8027487520 Hospital Drive PO Box 905 St Johnsbury VT 058190905 Mary Parent President of the Board, Past VP 0.50 0.25 X X 0 0 0 John Kascenska Vice Chair 0.50 0.25 X X 0 0 0 Sara Simpson Secretary 0.50 0.25 X X 0 0 0 Joe Kasprzak Treasurer 0.50 0.25 X X 0 0 0 Thaddeus Richardson Trustee/Past Vice Chair 0.50 0.25 X X 0 0 0 Betsy Bailey Trustee 0.50 0.25 X 0 0 0 Mark Bowen Trustee 0.50 0.25 X 0 0 0 Peter Crosby Trustee 0.50 0.25 X 0 0 0 Warren Dow Trustee 0.50 0.25 X 0 0 0 Steve Feltus Trustee 0.50 0.25 X 0 0 0 John Goodrich Trustee 0.50 0.25 X 0 0 0 Barbara Hatch Trustee 0.50 0.25 X 0 0 0 Terry Hoffer Trustee 0.50 0.25 X 0 0 0 Lorraine Matteis President of the Auxiliary 0.50 0.25 X 0 0 0 Steven McConnell Trustee 0.50 0.25 X 0 0 0 Natalie Morris Trustee 0.50 0.25 X 0 0 0 Kinsley Sicard Trustee 0.50 0.25 X 0 0 0 Dr Joshua Kantrowitz Med Staff President 40.00 0.25 X 240859 0 44207 Dr Amanda Van Straten Med Staff President Elect(VP) 40.00 0.25 X 273276 0 43598 Jane Arthur Past President 0.50 0.25 X X 0 0 0 Judythe Desrochers Past Treasurer 0.50 0.25 X X 0 0 0 Elaine Bixby Past Trustee 0.50 0.25 X 0 0 0 Shawn Tester CEO 40.00 0.25 X 367733 0 46893 Andre Bissonnette CFO 40.00 0.25 X 100739 0 16961 Dr Matthew G Prohaska Physician 40.00 0.25 X 878794 0 49371 Dr Ryan Sexton Physician 40.00 0.25 X 475859 0 47673 Dr Eugene J Dixon Physician 40.00 0.25 X 482587 0 34838 Dr Jeremy M Korsh Physician 40.00 0.25 X 676260 0 42742 Dr David V Dent Physician 40.00 0.25 X 463191 0 45059 Robert Hersey Former CFO/Finance Projects Specialist 30.00 0.25 X 184151 0 31058 4143449 0 402400 118 1 1 0 Dan Wyand 2020 Trestle Road Danville VT 05828 Physical Therapy 2467920 Vermont Radiologists 393 Lower Moulton Lane Stowe VT 05672 Radiologist Services 2145712 UVM Medical Center 111 Colchester Avenue Burlington VT 05402 Lab Services 792500 Dartmouth Hitchcock One Medical Center Drive Lebanon NH 03766 Cardiology / Medical Services 593497 RN Network 2600 K Avenue Plano TX 75074 Nurse Travelers 588187 25 68010 4195578 217875 4481463 Patient Service Revenue 621110 245078523 242304851 2773672 Fixed Prospective Revenue 621110 10239246 10239246 Other Patient Service Revenue 621110 4763525 4303727 459798 Contractual/Char. Adj. 621110 -143153813 -143153813 116927481 641557 3841 637716 97137 0 97137 97137 97137 261060 265250 -33216 282973 294276 -17723 276553 276553 8640 68010 27201 -18561 -18561 122405630 113694011 2777513 1452643 X 242077 242077 1134266 601940 532326 53972214 44730034 9242180 2257422 1868450 388972 10658395 8802166 1856229 3773293 3106543 666750 100429 100429 177759 177759 107494 107494 60882 60882 14470118 12725510 1744608 77910 336 77574 1007954 305952 702002 450401 2969 447432 5480121 2199747 3280374 64820 33383 31437 83696 59092 24604 415298 415298 4426204 1807659 2618545 1536623 744100 792523 Medical Supplies 12428049 12428049 Medicaid Provider Tax 6377974 6377974 Miscellaneous Expense 1575153 505521 1069632 Employee Recruitment/Re 354610 8881 345729 121233162 96550383 24682779 0 X 1648 1698 10654434 8758210 711915 11930767 11100071 1463406 1366840 817474 1022418 74054415 49502579 23299362 24551836 20295045 22593774 334900 334900 724583 1220672 14652123 9756763 84173742 81419097 9236103 10074343 694798 374190 7817073 7008702 0 16492545 9692207 34240519 27149442 X 47820854 49520765 2112369 4748890 49933223 54269655 84173742 81419097 X 1172468 1470092 127841 1566031 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16929 16929 121216233 121233162 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 10114 11266 14873 16929 53182 250000 250000 250000 250000 1000000 1500000 X 0 37570 37570 36605581 21814088 14791493 1155412 949206 206206 33801383 25511964 8289419 2454469 1227321 1227148 24551836 Beneficial Interest in Net Assets of Parent 3875323 Due from Parent 3518804 Deferred Compensation 1862636 Estimated Malpractice Liability 500000 9756763 Deferred Compensation 1862636 Estimated Third-Party Payor Settlements 4588170 Capital Lease Obligation 2741401 Estimated Malpractice Liability 500000 9692207 126186490 1470092 2371650 3841742 122344748 60882 60882 122405630 121199481 27201 27201 121172280 60882 60882 121233162 Part III, Line 4: In 2008, the Organization received a donation of a piece of art work that it hangs in its hallways along with other paintings from local artists. These paintings are put on display to help provide an additional community benefit to the public. Part XI, Line 2d - Other Adjustments: Change in Beneficial Interest in Net Assets of Parent 2,344,449. Fundraising Expenses 27,201. Part XII, Line 2d - Other Adjustments: Fundraising Expenses 27,201. Gala 76650 68010 8640 6431 14966 2500 3304 76650 68010 8640 6431 14966 2500 3304 27201 -18561 1 1 1 X 1 X 1 1 0 0 782613 782613 0.00650 27352820 14641250 12711570 0.10490 28135433 14641250 13494183 0.11140 24 174560 1777652 566428 1211224 0.01000 64786 64786 0.00050 15051708 10566992 4484716 0.03700 293069 293069 0.00240 24 174560 17187215 11133420 6053795 0.04990 24 174560 45322648 25774670 19547978 0.16130 435543 435543 0.00360 435543 435543 0.00360 1 22239038 22239038 X 1 1 1 1 Northeastern Vermont Regional Hospital Inc 1315 Hospital Dr PO Box 905 St Johnsbury VT 058190905 www.nvrh.org 833 X X X X Northeastern Vermont Regional Hospital 1 0 0 1 X X X X X X X X X 20 1 0 0 1 X www.nvrh.org/community-health-needs-assessment/ X 1 20 1 www.nvrh.org/community-health-needs-assessment/ 0 1 X 200.000000000000 400.000000000000 X 1 1 X X X X 1 X www.nvrh.org/patients-visitors/billing-financial/ X www.nvrh.org/patients-visitors/billing-financial/ X www.nvrh.org/patients-visitors/billing-financial/ X X X X X 1 X 0 X X X X 1 X 0 0 Northeastern Vermont Regional Hospital Part V, Section B, Line 5: NVRH conducted a CHNA in 2021. This is the fourth assessment done using the ACA requirement and guidelines. The 2021 CHNA builds on the foundation of the previous assessments. The CHNA used the framework of our regional accountable health community, NEK Prosper. NEK Prosper uses the frameworks of the accountable health community model, Collective Impact, and Results Based Accountability. Likewise, the 2021 NVRH CHNA and companion Implementation Plan use these frameworks. Additionally, the 2021 CHNA is informed by the data compiled, and the community engagement work already done by NEK Prosper, and the overall mission of NEK Prosper to reduce poverty and enhance health equity in the region. Caledonia and Essex Counties, based on the most often used proxy for socio-economic status - income are often below the average and median income compared to the rest of Vermont (Source: Vermont State Data Center). Additionally, data shows that the population of Vermont, and our region, is aging faster than other states. Thus, once again low-income families, and older adults were identified as our most vulnerable; consequently, primary source data collection targeted groups of low-income parents and older adults.The entire CHNA and methodology is available at: www.nvrh.org/community-health-needs-assessment/ Northeastern Vermont Regional Hospital Part V, Section B, Line 11: An update and current evaluation to the CHNA Implementation Plan is available atwww.nvrh.org/community-health-needs-assessment/ In recognition of the importance of the social determinants of health in overall health and well-being, NVRH had taken the lead in creating NEK Prosper in 2014. NEK Prosper uses the framework of Accountable Health Communities, the elements of Collective Impact, and the principles of Results Based Accountability. Key organizations that comprise the backbone organizations and leadership team to address the root cause of poor health are the regional mental health agency, housing organization, community action program, Federally-Qualified Health Center, Council on Aging, and the Vermont Foodbank. Many other state agencies and community based non-profits make up the body of NEK Prosper. NEK Prosper has identified five outcomes for our community: well-nourished, well-housed, physically healthy, mentally healthy, and financially secure. Workgroups were formed in the NEK Prosper structure to provide strategic direction and results-based focus in each outcome area, and continue to support the grassroots efforts to improve conditions that impact health. 10 1 - NVRH - Corner Medical 195 Industrial Parkway Lyndonville VT 05849 Outpatient Physician Clinic 2 - NVRH - St Johnsbury Pediatrics 97 Sherman Drive St Johnsbury VT 05819 General Pediatric Services 3 - Occupational Medicine at NVRH 1280 Hospital Drive St Johnsbury VT 05819 Work-Related Med Needs Clinic 4 - Women's Wellness Center 1315 Hospital Dr PO Box 905 St Johnsbury VT 058190905 OB/GYN Care Facility 5 - NVRH- Orthopedics- Medical Arts Building 1280 Hospital Drive St Johnsbury VT 05819 Orthopedic & Rehab Center 6 - NVRH - Orthopedics - Fracture Clinic 4 Sherman Drive St Johnsbury VT 05819 Fracture Clinic 7 - NVRH - Physical Therapy - Lyndonville 195 Industrial Parkway Lyndonville VT 05849 Physical Therapy Center 8 - NVRH - Physical Therapy - St Johnsbury 97 Sherman Drive St Johnsbury VT 05819 Physical Therapy Center 9 - NVRH - Kingdom Internal Medicine 714 Breezy Hill Road St Johnsbury VT 05819 Outpatient Physician Clinic 10 - NVRH - Northern Physical Therapy 529 Main Street Lyndonville VT 05851 Physical Therapy Center Part I, Line 7: The Organization used three different methods to allocate costs reported in the table: four physician clinics are rural health clinics: NVRH - Corner Medical, NVRH - St Johnsbury Pediatrics, NVRH - Kingdom Internal Medicine, and NVRH - Women's Wellness Center. Costs for these clinics were taken directly from the Medicare cost report. Costs for other reported programs were direct costs for the program plus an allocation of indirect costs based on a ratio of direct to indirect costs taken from the Medicare cost report. A cost to charge ratio was used to determine the cost of bad debts and free care for all programs reported on the table. Part I, Line 7g: The Organization included as subsidized health services costs attributable to four physician clinics.1. NVRH - Corner Medical, a primary care physician clinic. Total subsidized costs related to this physician clinic were $2,032,862.2. NVRH - St Johnsbury Pediatrics, a pediatric physician clinic. Total subsidized costs related to this physician clinic were $786,799.3. NVRH - Women's Wellness Center, an obstetrician/gynecological physician clinic. Total subsidized costs related to this physician clinic were $27,207.4. NVRH - Kingdom Internal Medicine, a primary care physician clinic. Total subsidized costs related to this physician clinic were $1,637,847. Part II, Community Building Activities: Physical Improvements/HousingNVRH Community Garden:NVRH has provided garden space on our campus for community use for 34 years. There are currently 28 garden spots. The garden spots are provided free of charge on a first come, first served basis. The community benefit value is based on the staff time to coordinate the assignment of spots and other correspondence with the gardeners. Workforce development:NVRH is located in a rural area with limited access to public transportation. Poverty is also our primary health disparity. We have listened to our community and they tell us they need access to services that are close to home. NVRH takes the lead in recruiting both primary care and specialty physicians and mid-level providers to fill the need for access to services close to home. The value listed in this section is related to the costs associated with recruiting primary care and specialty providers; as well as loan repayment for many of our providers (MO, NP, PA, etc). We also support an Career Advancement Program to grow the nursing workforce, including Medical Assistants and nursing of all ranks. Additionally, NVRH supports LNA interns, both high school and adult learners, as well as other job shadow opportunities across all healthcare professions. Part III, Line 4: Please refer to pages 12-16 of the attached audited financial statements. Part III, Line 8: All Medicare allowable costs were taken directly from the Medicare cost report. Part III, Line 9b: NVRH provides care to all patients regardless of their ability to pay for services. Patients who indicate they have no insurance receive information about NVRH's Patient Assistance program, including the income level eligibility guidelines, with their first bill and with all subsequent bills. Patient Assistance is provided to those patients who, through a written documentation process, are identified as financially needy. Patients who have qualified for 100% Patient Assistance are not billed for subsequent services for one year. After one year, those patients go through the qualification process again. Financial assistance applications are made readily available to patients, in addition, signs are posted throughout the hospital and clinics and linked on our website. Part VI, Line 2: Assessment of community needs is an ongoing process at Northeastern Vermont Regional Hospital. Northeastern Vermont Regional Hospital (NVRH). NVRH achieves openness, inclusiveness, and public participation in strategic planning and decision-making in deliberate ways. NVRH governance structure includes the Northeastern Vermont Regional Corp. (NVRC) Corporators. The nearly 250 Corporators, representing all the towns in our service area, are an invaluable source of wisdom and perspective for hospital leadership. Corporators are key links representing the community, serving as our eyes and ears in the region. The quarterly Corporators meetings are an opportunity for two-way sharing of information. The Corporators share their needs and concerns, as well as those of their families, friends, and neighbors. In return, the Corporators are updated on hospital services, facility enhancements, community health efforts, and other educational topics that enhance their understanding of healthcare and social care. Additionally, Corporator meetings will highlight state and national healthcare issues to provide additional context on the current landscape. The Hospital participates in formal community assessments that are conducted every few years by various community organizations, including the Northeast Prevention Coalition, the Housing Coalition, and the Vermont Department of Health. Hospital staff are active members and partners with these coalitions and organizations. Formal community assessments begin with identifying a problem or purpose. The purpose could be broad, such as "what are the top priorities in our community or it could be more specific based on the mission of the organization. The local prevention coalitions conduct ongoing community engagement activities, including surveys, public forums, community dinners, and listening sessions.The next step is developing a community profile using secondary source data. Secondary source data is primarily obtained from the Vermont Department of Human Services Community Profiles. These profiles compile data from a variety of sources including the Behavioral Risk Factor Surveillance System (BRFSS), U.S. Census, the Vermont Health Care Cost and Utilization Project, and several other state and national data sources. Primary data is also gathered by identifying and getting input from key stakeholders including community leaders, relevant organizations, and community members. Input is gathered by using one-on-one interviews, surveys (including using online tools like Survey Monkey), and focus forums for all key stakeholder groups. Inventories of existing services, and gap and/or asset mapping are also typically part of the community assessment process.Upon compiling primary and secondary data, a deep analysis is then conducted. Sometimes the focus of an assessment may shift if data reveals a new or more urgent health priority. Reporting the results of the assessment is an important piece of the process. Every effort is made to get summaries and reports back to interested community members and organizations. The 2021 Community Needs Health Assessment Report and Implementation plan can be accessed here: https://nvrh.org/community-health-needs-assessment/ More and more often, the Hospital and partner organizations are using Collective Impact principles when designing community interventions or deciding on which health services to add or enhance. Collective Impact starts with community engagement and buy in, but goes beyond to ensure that knowledge, power, credit, and results are shared fairly between "experts and community members. For FY 2024, NVRH engaged several local health and human service partners to collaborate on one regional Community Health Needs Assessment, streamlining resource and creating additional alignment for collective impact efforts. Part VI, Line 3: A summary of NVRH's Patient Assistance Program and the income eligibility guidelines are included in the first and all subsequent bills sent to patients identified as self-pay. The phone number of a financial counselor is also provided. The counselor is available to discuss eligibility guidelines and the qualification process. The counselor also discusses with patients the availability of Medicaid and other State assistance programs. Information about the NVRH Patient Assistance Program is also available on the NVRH website. Patients can also learn about NVRH's Patient Assistance program via a link to the State's Green Mountain Care Board. The Patient Assistance Program is available to hospital patients as well as patients of all NVRH-owned physician practices. Part VI, Line 4: NVRH serves about 30,000 people in Caledonia and Southern Essex Counties in the northeast corner of Vermont. The Hospital is located about 50 miles from the Canadian border to the north, and about 15 miles from the New Hampshire border to the east. Only 3 towns in our service area have a population of more than 2,000 people. Our area is divided equally between males and females. The area is predominately white (95%) and English is the predominant language. The median income is below the state average at $49,758 per household ($64,994 Vermont). Nearly 91% of our adult population ages 25 and older have a high school diploma, and just under 25% have completed a four year college degree, compared to the state average of 33%. Education, healthcare, and social services are the largest employment sectors, followed by retail and then manufacturing. There are three public school supervisory unions, and numerous private and independent schools. There are 3 colleges located in our service area. Part VI, Line 5: The Hospital also promoted health and safety throughout the community through the following programs:1. Bike Safety Fair2. Blood Drawings at NVRH3. Health Care Shares4. Community Connections5. Community Gardens6. Community Wellness Calendar7. Diabetes and Nutrition Community-based Outreach and Education8. Healthier Living Workshop/Chronic Pain/Diabetes Prevention Program/Tobacco Cessation9. Harm Reduction - Medication and Syringe Drop Boxes10. Lactation Services11. Healthy Homes12. NEK Prosper13. No Sugar Added Obesity Prevention and Reduction14. Substance Misuse Prevention15. Radio Education Program16. Transportation Vouchers17. Veggie Van Go18. Rides to work initiative 1 Northern Counties Health Care Inc 165 Sherman Drive St Johnsbury VT 05819 510199559 501(c)(3) 203925 0 Community Benefit Grant Northern Vermont University 1001 College Rd Lyndonville VT 05851 030213787 University 0 16260 Cost 2 complete beds Support of their nursing program 1 1 Part I, Line 2: The Hospital only awards grants to qualifying public charities exempt under 501(c)(3). Organizations receiving a grant must sign a grant agreement that details how the funds may be used. Additional monitoring is not deemed necessary. X X X X 0 0 0 0 0 0 0 1 0 Dr Matthew G Prohaska Physician 645615 0 186188 0 46991 0 12321 0 37050 0 928165 0 0 0 Dr Jeremy M Korsh Physician 441684 0 228787 0 5789 0 12248 0 30494 0 719002 0 0 0 Dr Ryan Sexton Physician 423069 0 39037 0 13753 0 13203 0 34470 0 523532 0 0 0 Dr Eugene J Dixon Physician 468651 0 0 0 13936 0 13425 0 21413 0 517425 0 0 0 Dr David V Dent Physician 445015 0 0 0 18176 0 11278 0 33781 0 508250 0 0 0 Shawn Tester CEO 348647 0 17240 0 1846 0 13444 0 33449 0 414626 0 0 0 Dr Amanda Van Straten Med Staff President Elect(VP) 257181 0 0 0 16095 0 12430 0 31168 0 316874 0 0 0 Dr Joshua Kantrowitz Med Staff President 234928 0 0 0 5931 0 10840 0 33367 0 285066 0 0 0 Robert Hersey Former CFO/Finance Projects Speciali 147284 0 0 0 36867 0 6895 0 24163 0 215209 0 0 0 Part I, Line 7 During 2022, bonuses were awarded to Shawn Tester and Dr. Ryan Sexton based on incentive goals. Dr. Jeremy Korsh and Dr. Matthew Prohaska were awarded bonuses based on productivity goals. A Vermont Educational And Health Buildings Financing Agency 237154467 2016-04-01 12605000 Refinancing of 2004 & 2009 Series A Bonds 0 0 0 A 5499271 12605000 162039 12442961 2016 1 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 Form 990, Part VI, Section A, line 6 The sole member of the Organization is Northeastern Vermont Regional Corp. Form 990, Part VI, Section A, line 7a All trustees shall be elected by the member of the Organization. Form 990, Part VI, Section B, line 11b The process for reviewing the Organization's 990 evolves from oversight for utilized numbers from the TB which have been audited. Schedules to support various aspects of the tax return are prepared by community health team, finance department staff and Andre Bissonnette CFO reviewed the 2022 (FY23) information which is submitted to the auditors. A copy of Form 990 is provided to the Organization's board on the closest meeting date after the filing of the return. Form 990, Part VI, Section B, line 12c The Organization monitors potential conflicts of interest by requiring directors and trustees to complete an annual questionnaire. Board members disclose any potential conflicts prior to voting. Significant conflicts of interest would be discussed with legal counsel prior to board action. During FY23, the Organization implemented a new written conflict of interest policy which applies to the Board of Directors and various other members of Hospital leadership. Form 990, Part VI, Section B, line 15 A compensation committee sets the compensation level for the Organization's CEO. The CEO is charged with determining the compensation level for the Organization's CFO. The basis for arriving at the CFO and CEO's compensation is determined by using comparable compensation data of the CEOs and CFOs from other similar sized Vermont hospitals. The Organization obtains this data by examining other Vermont hospital Form 990s. Compensation for all other key employees is based on the Vermont and New Hampshire annual wage survey. The CEO has the final determination for the appropriate level of compensation for all other employees. Form 990, Part VI, Section C, line 19 The Organization makes its financial statements available to the public upon request as well as through the publishing of its annual report on its website. The Organization makes its governing documents and conflict of interest policy available to the public upon request. Form 990, Part IX, line 11g Purchased Services: Program service expenses 4,776,128. Management and general expenses 1,671,921. Fundraising expenses 0. Total expenses 6,448,049. Other Fees: Program service expenses 6,465,101. Management and general expenses 72,687. Fundraising expenses 0. Total expenses 6,537,788. Lab Fees: Program service expenses 984,164. Management and general expenses 0. Fundraising expenses 0. Total expenses 984,164. Physician Fees: Program service expenses 500,117. Management and general expenses 0. Fundraising expenses 0. Total expenses 500,117. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Northeastern Vermont Regional Hospital, Inc. 1315 Hospital Drive St. Johnsbury, VT 05819-0905 EIN: 03-6013761 Northeastern Vermont Regional Hospital, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Form 990, Part XI, line 9: Change in Beneficial Interest in Net Assets of Parent 2,344,449. Transfer to Parent -778,418. Form 990, Part XI, Line 8: Prior Period Adjustment During the 2023 Financial Statement Audit, the prior year net assets were increased by $127,841. This is change is due to decrease in deferred revenue and reallocating the $127,841 as Net Assets with Donor Restriction. Northeastern Vermont Regional Corp 1315 Hospital Drive St Johnsbury VT 058190905 222583253 Health Care Services VT 501(c)3 Line 12b N/A 0 Charitable Remainder Trust (1) Deferred Annuity VT Northeastern Vermont Regional Corp 0 Northeast Health Enterprises Inc 1315 Hospital Drive St Johnsbury VT 05819 030294757 Inactive Corporation VT N/A C 0 Northeast Regional Investment Development Corporation 1315 Hospital Drive St Johnsbury VT 05819 030294758 Inactive Corporation VT N/A C 0 Northeast Vermont Health Care Systems Inc 1315 Hospital Drive St Johnsbury VT 05819 030294756 Inactive Corporation VT N/A C 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0