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 222583253 Northeastern Vermont Regional Corp NORT 8027487520 1315 Hospital Drive 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 1315 Hospital Drive St Johnsbury VT 058190905 2825655 0 X N/A X 1984 VT To serve the healthcare needs of Vermont and northern New Hampshire. 19 17 0 22 0 0 595677 2480962 306882 305196 131422 13833 0 0 1033981 2799991 33000 0 0 0 0 0 0 0 114310 867630 679191 900630 679191 133351 2120800 9240532 11558729 4162795 3538045 5077737 8020684 To achieve openness, inclusiveness, and public participation through strategic planning and decision making in identifying ways to better meet the healthcare needs of the community. 0 0 564881 305196 Promote the charitable, educational and scientific purposes of Northeastern Vermont Regional Hospital, including to identify and serve the healthcare needs of the residents of Vermont and Northern New Hampshire by encouraging the development of healthcare programs and improving the delivery of healthcare services in the area; to encourage and support the practice of medicine and medical research and education; and to coordinate the activities of the corporation's affiliates to better serve the healthcare needs of the public. 564881 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 5 0 1 0 0 0 0 0 0 0 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 0 VT X Andre Bissonnette 8027487520 1315 Hospital Drive St Johnsbury VT 058190905 Joshua Kantrowitz MD Med Staff President 0.25 40.00 X 0 240859 44207 Amanda Van Straten MD Med Staff President Elect (VP) 0.25 40.00 X 0 273276 43598 Mary Parent President of the Board, Past VP 0.25 0.50 X X 0 0 0 John Kascenska Vice Chair 0.25 0.50 X X 0 0 0 Sara Simpson Secretary 0.25 0.50 X X 0 0 0 Joe Kasprzak Treasurer 0.25 0.50 X X 0 0 0 Thaddeus Richardson Trustee/Past Vice Chair 0.25 0.50 X X 0 0 0 Betsy Bailey Trustee 0.25 0.50 X 0 0 0 Mark Bowen Trustee 0.25 0.50 X 0 0 0 Peter Crosby Trustee 0.25 0.50 X 0 0 0 Warren Dow Trustee 0.25 0.50 X 0 0 0 Steve Feltus Trustee 0.25 0.50 X 0 0 0 John Goodrich Trustee 0.25 0.50 X 0 0 0 Barbara Hatch Trustee 0.25 0.50 X 0 0 0 Terry Hoffer Trustee 0.25 0.50 X 0 0 0 Lorraine Matteis President of the Auxiliary 0.25 0.50 X 0 0 0 Steven McConnell Trustee 0.25 0.50 X 0 0 0 Natalie Morris Trustee 0.25 0.50 X 0 0 0 Kinsley Sicard Trustee 0.25 0.50 X 0 0 0 Jane Arthur Past President 0.25 0.50 X X 0 0 0 Judythe Desrochers Past Trustee / Treasurer 0.25 0.50 X X 0 0 0 Elaine Bixby Past Trustee 0.25 0.50 X 0 0 0 Shawn Tester CEO 0.25 40.00 X 0 367733 46893 Andre Bissonnette CFO 0.25 40.00 X 0 100739 16961 Robert Hersey Former CFO/Finance Projects Specialist 0.25 30.00 X 0 184151 31058 0 1166758 182717 0 1 1 0 0 2480962 10106 2480962 Rental Income 623000 305196 305196 305196 13833 13833 25664 25664 0 0 2799991 305196 0 13833 91328 23706 67622 4864 4864 2240 666 1574 120555 120555 419954 419954 Bad Debt Expense 40000 40000 Dues and Subscriptions 250 250 679191 564881 0 114310 X 352454 496465 1536989 3910750 446651 610514 18992 11561236 5491783 6473944 6069453 411502 471547 9240532 11558729 2624 2224 4160171 3535821 4162795 3538045 X 3546863 4145361 1530874 3875323 5077737 8020684 9240532 11558729 X 2120800 43729 778418 X 0 1 X 1 0 X X 1 Northeastern Vermont Regional Hosp Inc 036013761 3 1 679191 0 1 679191 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 402812 402812 10142785 4680888 5461897 858144 748462 109682 157495 62433 95062 6069453 Due to Affiliate 3518803 Split Interest Agreement 17018 3535821 0 0 0 0 0 0 0 0 0 Shawn Tester CEO 0 348647 0 17240 0 1846 0 13444 0 33449 0 414626 0 0 Amanda Van Straten MD Med Staff President Elect (VP) 0 257182 0 0 0 16094 0 12430 0 31168 0 316874 0 0 Joshua Kantrowitz MD Med Staff President 0 234928 0 0 0 5931 0 10840 0 33367 0 285066 0 0 Robert Hersey Former CFO/Finance Projects Speciali 0 147284 0 0 0 36867 0 6895 0 24163 0 215209 0 0 Part I, Line 3 The related organization, Northeastern Vermont Regional Hospital, uses the following methods to establish the compensation of the organization's CEO and CFO: 1. Compensation committee 2. Form 990 of the organizations 3. Compensation survey or study 4. Approval by the board or compensation committee Form 990, Part VI, Section A, line 6 The Organization has one class of member that shall consist of not less than fifty nor more than two hundred twenty-five persons elected in accordance with the Organization's bylaws plus the medical staff members of the Northeastern Vermont Regional Hospital, Inc. (NVRH) who have served at least six months on the medical staff. Form 990, Part VI, Section A, line 7a The directors of the Organization shall consist of up to twenty persons elected by a plurality of the members of the Organization, represented in person or by proxy. Each director of the Organization shall be a member of the Corporation and a resident of the area served by Northeastern Vermont Regional Hospital, Inc. 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 X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Northeastern Vermont Regional Corp. 1315 Hospital Drive St. Johnsbury, VT 05819-0905 EIN: 22-2583253 Northeastern Vermont Regional Corp. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Form 990, Part XI, line 9: Transfer from Subsidiary 778,418. Form 990, Page 5, Line 2a Northeastern Vermont Regional Hospital (NVRH), a subsidiary to the filing organization, files all forms W-2 for both entities. Northeastern Vermont Regional Corp. (NVRC) has no employees of their own; however, various individuals who are employees of NVRH perform some services for NVRC. Northeastern Vermont Regional Hospital Inc PO Box 905 1315 Hospital Drive St Johnsbury VT 058190905 036013761 Critical Access Hospital VT 501(c)(3) Line 3 Northeastern Vermont Regional Corp 1 Charitable Remainder Trust (1) Deferred Annuity VT Northeastern Vermont Regional Corp 1 Northeast Health Enterprises Inc 1315 Hospital Drive St Johnsbury VT 05819 030294757 Inactive Corporation VT Northeastern Vermont Regional Corp C 1.00000 1 Northeast Regional Investment Development Corporation 1315 Hospital Drive St Johnsbury VT 05819 030294758 Inactive Corporation VT Northeastern Vermont Regional Corp C 1.00000 1 Northeast Vermont Health Care Systems Inc 1315 Hospital Drive St Johnsbury VT 05819 030294756 Inactive Corporation VT Northeastern Vermont Regional Corp C 1.00000 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 1 Northeastern Vermont Regional Hospital Inc J 289833 Cash Value Northeastern Vermont Regional Hospital Inc E 3518804 Cash Value Northeastern Vermont Regional Hospital Inc O 91328 Cash Value Northeastern Vermont Regional Hospital Inc S 778418 Cash Value