2025-08-14T07:05:19-05:00 2024-09-30 920460586 PWC US TAX LLP 101 SEAPORT BLVD BOSTON MA 02210 990 2023-10-01 030306549 HELEN PORTER NURSING HOME INC HELE 8023884701 115 PORTER DRIVE MIDDLEBURY VT 05753 SCOTT COMEAU CFO 8023884701 2025-08-14 1 0 PAUL J TANIS P01441612 6175305000 2023 2025-03-06 01:10:19Z HELEN PORTER REHABILITATION & NURSIN BOB ORTMYER 115 PORTER DRIVE MIDDLEBURY VT 05753 16196503 0 X WWW.PORTERMEDICAL.ORG X 1986 VT OPERATION OF A 98-BED SKILLED NURSING HOME 14 13 175 12 0 0 945253 989038 11997468 15058147 44934 149318 0 0 12987655 16196503 5553 5189 0 0 9165268 10318556 0 0 0 9691606 10047201 18862427 20370946 -5874772 -4174443 12351966 14117708 24824711 31404723 -12472745 -17287015 THE MISSION OF HELEN PORTER REHABILITATION AND NURSING IS TO IMPROVE THE HEALTH OF OUR COMMUNITY, ONE PERSON AT A TIME. 0 0 14288073 5189 15058147 OPERATED A LONG-TERM COMMUNITY ORIENTED 98 BED SKILLED NURSING HOME, CONSISTING OF 38 LONG-TERM CARE BEDS, 31 MEMORY CARE BEDS, 27 POST-ACUTE CARE BEDS, 2 END-OF-LIFE SUITES AND 1 END-OF-LIFE ROOM. THE FACILITY IS THE ONLY SKILLED NURSING FACILITY IN ADDISON COUNTY, VERMONT. THE NURSING HOME PROVIDED SERVICES TO PATIENTS THAT TOTALED 32,133 RESIDENT DAYS DURING THE YEAR ENDING 9/30/2024. 14288073 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 7 0 1 175 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 13 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X SCOTT COMEAU CFO 8023884752 115 PORTER DRIVE MIDDLEBURY VT 05753 ALICIA GRANGENT DIRECTOR 1.00 4.00 X 0 0 0 DR KRISTOFER ANDERSON DIRECTOR 1.00 44.00 X 0 372489 35728 JUDSON BARTLETT DIRECTOR 1.00 4.00 X 0 0 0 MEGAN BRAKELEY DIRECTOR 1.00 4.00 X 0 0 0 ANNE COLLINS DIRECTOR 1.00 4.00 X 0 0 0 SIVAN COTEL DIRECTOR (TIL 12/2023) 1.00 6.00 X 0 0 0 BILL CUNNINGHAM DIRECTOR 1.00 4.00 X 0 0 0 MATTHEW CURRAN TREASURER 1.00 4.00 X X 0 0 0 KIM FARNHAM CHAIR 1.00 4.00 X X 0 0 0 RICHARD FOOTE DIRECTOR (TIL 12/2023) 1.00 4.00 X 0 0 0 NICHOLAS LOVEJOY SECRETARY 1.00 4.00 X X 0 0 0 LINDA SCHIFFER DIRECTOR 1.00 4.00 X 0 0 0 HELENA VAN VOORST VICE CHAIR 1.00 4.00 X X 0 0 0 SMITA RUZIKA DIRECTOR (AS OF 01/2024) 1.00 4.00 X 0 0 0 RACHEL LEE CUMMINGS DIRECTOR (AS OF 01/2024) 1.00 4.00 X 0 0 0 JULIA GRAND DOUCET DIRECTOR (AS OF 01/2024) 1.00 4.00 X 0 0 0 BOB ORTMYER PRES, ECH & PMC 15.00 35.00 X 0 362761 62284 SCOTT COMEAU CFO 5.00 45.00 X 0 269533 41728 LINDA HAVEY AVP CHIEF NURSING OFFICER 15.00 30.00 X 0 245093 12116 MARY JANE NOTTONSON VP LONG TERM CARE 45.00 0.00 X 177271 0 38356 SHEILLAGH CAMPIONE DIRECTOR OF NURSING (TIL 07/2024) 45.00 0.00 X 154312 0 18846 CARRIE THIBAULT INT. DIR NURSING (AS OF 07/2024) 45.00 0.00 X 136834 0 4290 ARLENE MATHEWSON RN 45.00 0.00 X 135996 0 33733 JENNIFER ARTHERS UNIT NURSE MANAGER 45.00 0.00 X 130228 0 26439 ERICA MATHIS RN 45.00 0.00 X 124030 0 28102 TOM THOMPSON FMR PRES & COO 0.00 0.00 X 0 446499 11310 JUDY PEEK-LEE FMR INTERIM CFO 0.00 50.00 X 0 391536 39318 MICHAEL LEYDEN FMR AVP OPERATIONS 0.00 40.00 X 0 104587 20205 858671 2192498 372455 12 1 1 0 CROSS COUNTRY STAFFING INC PO BOX 404674 ATLANTA GA 303844674 TEMP STAFF / TRAVELING NURSING 2894171 LAVALEEBRENSINGER PROFESSIONAL AS 155 DOW ST SUITE 400 MANCHESTER NH 03101 ARCHITECTURAL SERVICES 217355 HEALTHDIRECT 600 BLAIR PARK SUITE 195 WILLISTON VT 05495 TEMP STAFF / TRAVELING NURSING 210256 NEAGLEY & CHASE CONSTRUCTION CO 66 BOWDOIN ST SOUTH BURLINGTON VT 05407 CONSTRUCTION SERVICES 193744 MEDICAL SOLUTIONS INC PO BOX 850737 MINNEAPOLIS MN 544850737 TEMP STAFF / TRAVELING NURSING 113208 5 50000 48246 890792 22056 989038 PATIENT SERVICE REVENUE 623000 15058147 15058147 15058147 149318 149318 16196503 15058147 0 149318 X 5189 5189 215860 215860 8112744 6698925 1413819 223923 205376 18547 1139083 809800 329283 626946 565298 61648 31457 21931 9526 1639 1639 7488514 4203442 3285072 794544 779429 15115 1583 443 1140 406831 406831 8024 5841 2183 47491 33528 13963 254092 179387 74705 45574 45574 PROVIDER TAX 482114 340368 141746 OTHER EXPENSES 403831 392239 11592 NON CONTRACT MAITNANCE 40803 19947 20856 LEASED EQUIPMENT 21095 20910 185 19609 6020 13589 20370946 14288073 6082873 0 1000 1002 2967955 2776927 74398 114856 5410298 5313525 19718 21217 147477 102693 12366013 6664664 2529664 5701349 1170267 27388 31189 58751 12351966 14117708 1240508 1371595 2054477 1907590 31189 21498537 28125538 24824711 31404723 X -13645512 -18748224 1172767 1461209 -12472745 -17287015 12351966 14117708 X -4174443 -639827 X 0 1 X 1 0 X SCHEDULE A, PART I, LINE 3 THE ORGANIZATION'S EXEMPTION IS BASED UPON BEING CLASSIFIED AS A HOSPITAL OR COOPERATIVE SERVICE ORGANIZATION DESCRIBED IN IRC SECTION 170(B)(1)(A)(III). SINCE THE ORGANIZATION IS NOT LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED BY THE STATE OF VERMONT AS A HOSPITAL, BUT RATHER, AS SKILLED NURSING FACILITY, SCHEDULE H IS NOT REQUIRED. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1639 1639 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO THE VERMONT ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS, A PORTION OF WHICH IS ATTRIBUTABLE TO LOBBYING EXPENSES. 0 1 X 216666 216666 6671665 5320040 1351625 1650983 1344624 306359 3826699 3826699 5701349 DUE TO RELATED PARTIES 28125538 28125538 X PART IV, LINE 2B: THE ORGANIZATION HOLDS FUNDS BELONGING TO RESIDENTS FOR THEIR PERSONAL USE. THE FUNDS ARE MADE AVAILABLE TO THE RESIDENTS AS REQUIRED OR NEEDED. PART X, LINE 2: HELEN PORTER NURSING HOME, INC. IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE UNIVERSITY OF VERMONT HEALTH NETWORK ("UVM HEALTH NETWORK"). PAGE 18 OF THE CONSOLIDATED FINANCIAL STATEMENTS CONTAIN A FOOTNOTE INDICATING THAT NO PROVISION FOR FEDERAL INCOME TAXES HAS BEEN RECORDED. 1 1 0 0 0 0 0 1 1 1 TOM THOMPSON FMR PRES & COO 0 279048 0 34306 0 133145 0 10851 0 459 0 457809 0 6726 JUDY PEEK-LEE FMR INTERIM CFO 0 358573 0 26906 0 6057 0 23100 0 16218 0 430854 0 0 BOB ORTMYER PRES, ECH & PMC 0 298981 0 28139 0 35641 0 51084 0 11200 0 425045 0 0 DR KRISTOFER ANDERSON DIRECTOR 0 370565 0 0 0 1924 0 19800 0 15928 0 408217 0 0 SCOTT COMEAU CFO 0 246766 0 17387 0 5380 0 11017 0 30711 0 311261 0 0 LINDA HAVEY AVP CHIEF NURSING OFFICER 0 197591 0 27055 0 20447 0 9802 0 2314 0 257209 0 0 MARY JANE NOTTONSON VP LONG TERM CARE 162894 0 12849 0 1528 0 5560 0 32796 0 215627 0 0 0 SHEILLAGH CAMPIONE DIRECTOR OF NURSING (TIL 07/2024) 152656 0 0 0 1656 0 4768 0 14078 0 173158 0 0 0 ARLENE MATHEWSON RN 133334 0 0 0 2662 0 4245 0 29488 0 169729 0 0 0 JENNIFER ARTHERS UNIT NURSE MANAGER 123797 0 5000 0 1431 0 4058 0 22381 0 156667 0 0 0 ERICA MATHIS RN 122954 0 0 0 1076 0 5189 0 22913 0 152132 0 0 0 MICHAEL LEYDEN FMR AVP OPERATIONS 0 104254 0 0 0 333 0 3255 0 16950 0 124792 0 0 PART I, LINE 3 HELEN PORTER NURSING HOME RELIED ON THE UNIVERSITY OF VERMONT HEALTH NETWORK ("UVM HEALTH NETWORK"), PARENT OF ITS PARENT ORGANIZATION, PORTER MEDICAL CENTER, TO ESTABLISH SENIOR EXECUTIVE COMPENSATION. UVM HEALTH NETWORK UTILIZED THE FOLLOWING METHODS TO ESTABLISH COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B PORTER MEDICAL CENTER PRESIDENT & COO TOM THOMPSON ENTERED INTO AN AGREEMENT EFFECTIVE 10/2023 UNDER WHICH HE RECEIVED 6 MONTHS CONTINUATION OF BASE SALARY. PAYMENTS MADE UNDER THIS AGREEMENT WERE MADE IN THE 2023 CALENDAR YEAR AND ARE THEREFORE INCLUDED IN THE AMOUNTS REPORTED HEREIN. SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN THE UNIVERSITY OF VERMONT HEALTH NETWORK MAINTAINS A SUPPLEMENTAL RETIREMENT BENEFIT PLAN (SRP) FOR CERTAIN EMPLOYEES AT ANY NETWORK ENTITY UNDER CONTRACTUAL ARRANGEMENT 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 2023, AND THEIR RESPECTIVE FIXED PERCENTAGE IS DESIGNATED IN PARENTHESES: BOB ORTMYER (6.42%). 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. TOM THOMPSON RECEIVED SRP DISTRIBUTIONS REFLECTED IN SCH J, PART II, COL (B)(III) AND (F). AMOUNTS DEFERRED DURING CALENDAR YEAR 2023 ARE INCLUDED ON SCHEDULE J, PART II, COLUMN C. AMOUNTS DEFERRED REMAIN SUBJECT TO FORFEITURE IF CERTAIN CONDITIONS ARE NOT MET. PART I, LINE 7 HELEN PORTER NURSING HOME PAID AWARDS TO CERTAIN MEMBERS OF UPPER MANAGEMENT (OFFICERS, VICE PRESIDENTS, PHYSICIAN CHAIRS AND SENIOR EXECUTIVES) THROUGH ITS ANNUAL VARIABLE PAY PLAN AS THE PLAN'S PERFORMANCE MEASURES WERE MET. THE MEASURES WERE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THESE MEASURES INCLUDED FINANCIAL, POPULATION HEALTH & QUALITY, AND OPERATIONAL RELATED METRICS. ADDITIONALLY, CERTAIN EMPLOYEES OF THE ORGANIZATION WERE ELIGIBLE TO RECEIVE DISCRETIONARY BONUSES FOR RETENTION AND TAKING ON EXTRA RESPONSIBILITIES. PART I, LINE 8 SALARIES AND OTHER FIXED AMOUNTS PAYABLE TO EXECUTIVES SUCH AS OFFICERS AND CERTAIN KEY EMPLOYEES ARE SET BY CONTRACTS THAT ARE NEGOTIATED AND ENTERED INTO PRIOR TO THE COMMENCEMENT OF EACH EXECUTIVES' EMPLOYMENT. THE TERMS OF SUCH CONTRACTS ARE APPROVED IN ADVANCE BY THE APPROPRIATE COMPENSATION COMMITTEE OR OTHER BOARD-AUTHORIZED BODY, WHICH OBTAINS AND RELIES ON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING SUCH OFFER, AND CONCURRENTLY DOCUMENTS ITS BASIS FOR DETERMINATION. A VERMONT EDUCATIONAL AND HEALTH BUILDINGS FINANCING AGENCY 237154467 NONEAVAIL 2015-08-01 3100000 REFUNDING 2005, 1997 BONDS 0 0 0 A 1192496 3100000 34525 3065475 1997 1 0 1 1 A 0 0 1 0 0 0 0 0 0 A 0 SCHEDULE K, PART I, COL (C) CUSIP # BECAUSE THE BONDS ARE HELD BY A PRIVATE FINANCIAL INSTITUTION AND WERE NEVER OFFERED TO THE PUBLIC, A CUSIP NUMBER WAS NOT ASSIGNED. FORM 990, PART VI, SECTION A, LINE 2 THE GOVERNING BODY FOR HELEN PORTER NURSING HOME, INC. IS IDENTICAL TO THAT OF PORTER HOSPITAL, INC. AS WELL AS THEIR PARENT ORGANIZATION, PORTER MEDICAL CENTER. SCOTT COMEAU AND LINDA HAVEY, HAD AN EMPLOYMENT RELATIONSHIP WITH PORTER MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 6 PORTER MEDICAL CENTER, INC. IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE GOVERNING BODY OF HELEN PORTER NURSING HOME, INC. IS IDENTICAL TO THAT OF ITS PARENT ORGANIZATION, PORTER MEDICAL CENTER, INC. THE UNIVERSITY OF VERMONT HEALTH NETWORK, AS SOLE MEMBER OF PORTER MEDICAL CENTER, INC., HAS POWERS TO ELECT MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B UVM HEALTH NETWORK HAS THE POWER TO APPROVE SIGNIFICANT CORPORATE ACTIONS, INCLUDING ANNUAL OPERATING AND CAPITAL BUDGETS, STRATEGIC PLANS, THE APPOINTMENT OF THE CEO, THE INCURRENCE OF LONG-TERM INDEBTEDNESS, AMENDMENTS TO THE ORGANIZATION'S BYLAWS AND ARTICLES OF ORGANIZATION, AND APPROVAL OF MAJOR FINANCIAL DECISIONS INCLUDING MERGERS, BANKRUPTCIES, AND THE DEVELOPMENT OR TERMINATION OF PROGRAM SERVICES. UVM 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. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 FOR HELEN PORTER NURSING HOME INC. IS PREPARED BY UVM MEDICAL CENTER STAFF AND REVIEWED BY PWC US TAX LLP. FOLLOWING OR CONCURRENT WITH PWC'S REVIEW, A DRAFT RETURN IS PRESENTED TO THE UVM HEALTH NETWORK AUDIT COMMITEE AND MANAGEMENT FOR REVIEW AND COMMENT. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO THE FORM BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH ANNUAL QUESTIONNAIRES AND CERTIFICATIONS REQUIRED OF ALL TRUSTEES, OFFICERS, AND OTHER INDIVIDUALS IN A POSITION TO EXERCISE INFLUENCE OVER THE AFFAIRS THE ORGANIZATION, THROUGH ONGOING DUTIES TO DISCLOSE TRANSACTIONS IN WHICH SUCH PERSONS HAVE A DIRECT OR INDIRECT FINANCIAL INTEREST, AND THROUGH ONGOING MONITORING EFFORTS BY THE ORGANIZATION'S CFO AND CONTROLLER. WHEN A POTENTIAL CONFLICT IS DISCLOSED OR OTHERWISE IDENTIFIED, THE BOARD OR AFFECTED BOARD COMMITTEE IS CHARGED WITH DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS, WITH THE INTERESTED PERSON BEING DISQUALIFIED FROM VOTING, PARTICIPATION, AND ATTENDANCE. IF THE BOARD OR BOARD COMMITTEE DETERMINES THAT A CONFLICT OF INTEREST DOES IN FACT EXIST, THEN SUCH PERSON IS RESTRICTED FROM PARTICIPATION IN ALL DELIBERATIONS PERTAINING TO THE PROPOSED TRANSACTION OR ARRANGEMENT AT ISSUE. THE REMAINING BOARD OR COMMITTEE MEMBERS MAY, AT THEIR DISCRETION, APPOINT A DISINTERESTED PERSON OR COMMITEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. THE MINUTES OF THE BOARD OR AFFECTED COMMITTEE SHALL CONTAIN THE NAME OF THE INTERESTED PERSON, THE NATURE OF THE INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT WAS PRESENT, AND THE DECISION AS TO WHETHER A CONFLICT EXISTED. VIOLATIONS OF THE CONFLICT OF INTEREST POLICY ARE SUBJECT TO DISCIPLINARY AND CORRECTIVE ACTION INCLUDING BUT NOT LIMITED TO TERMINATION. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DELEGATES THE SETTING OF EXECUTIVE COMPENSATION TO THE UNIVERSITY OF VERMONT (UVM) HEALTH NETWORK COMPENSATION COMMITTEE, AN INDEPENDENT COMMITTEE, UNDER PRINCIPLES DESCRIBED IN ITS CHARTER. THE UVM HEALTH NETWORK HAS ADOPTED A COMPENSATION PHILOSOPHY WHICH PROVIDES A FRAMEWORK FOR SETTING COMPENSATION FOR THE EXECUTIVIES OF UVM HEALTH NETWORK AND ITS AFFILIATED MEMBER ORGANIZATIONS. THE PARAMETERS OF THIS PHILOSOPHY INCLUDE UTILIZING APPROPRIATE NATIONAL AND REGIONAL PEER GROUPS. SALARIES ARE TARGETED AT THE 50TH PERCENTILE OF THE NATIONAL PEER GROUP, WITH PERFORMANCE BASED VARIABLE PAY OPPORTUNITIES TO ACHIEVE UP TO THE 65TH PERCENTILE, DEPENDING ON ORGANIZATION AND INDIVIDUAL RESULTS. COMPENSATION LEVELS ARE APPROVED BY THE NETWORK COMPENSATION COMMITTEE FOR THE UVM HEALTH NETWORK/DIRECT REPORTS AND THE AFFILIATED ORGANIZATIONS' CEOS. CALCULATIONS ARE PERFORMED USING THE SAME PHILOSOPHY FOR THE THIRD TIER OF LEADERSHIP, WITH THE EXCEPTION THAT THE LOCAL BOARDS APPROVE COMPENSATION FOR ALL NON-CEO POSITIONS. ALL ACTIONS TAKEN REGARDING EXECUTIVE COMPENSATION ARE CONTEMPORANEOUSLY DOCUMENTED BY THE APPROPRIATE ORGANIZATION. THIS REVIEW IS PERFORMED ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 4,203,442. MANAGEMENT AND GENERAL EXPENSES 3,285,072. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,488,514. FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS -93,030. ROUNDING VARIANCE -4. INTER ORG ELIMINATIONS 288,443. TEMP RESTRICTED CONTRIBUTIONS -835,236. THE UNIVERSITY OF VERMONT MEDICAL CENTER 111 COLCHESTER AVE BURLINGTON VT 05401 030219309 HOSPITAL VT 501(C)(3) 3 UVMHN 1 THE UNIVERSITY OF VERMONT MED CTR FDN INC 111 COLCHESTER AVE BURLINGTON VT 05401 263159849 FUNDRAISING VT 501(C)(3) 12A-I UVMMC 1 UNIVERSITY OF VERMONT HEALTH NETWORK INC 111 COLCHESTER AVE BURLINGTON VT 05401 452880726 HOLDING COMPANY VT 501(C)(3) 12A-I N/A 0 CENTRAL VERMONT MEDICAL CENTER 130 FISHCHER ROAD BERLIN VT 05602 222547186 HOSPITAL VT 501(C)(3) 3 UVMHN 1 UNIVERSITY HEALTH CENTER 111 COLCHESTER AVE BURLINGTON VT 05401 030229931 HOSPITAL VT 501(C)(3) 12C-III-FI UVMHNMG 1 COMMUNITY PROVIDERS INC 75 BEEKMAN STREET PLATTSBURGH NY 01290 222544844 HEALTH SVC COOR NY 501(C)(3) 12A-I UVMHN 1 CHAMPLAIN VALLEY PHYSICIANS HOSPITAL 75 BEEKMAN STREET PLATTSBURGH NY 12901 141338471 HOSPITAL NY 501(C)(3) 3 UVMHN 1 ELIZABETHTOWN COMMUNITY HOSPITAL 75 PARK STREET ELIZABETHTOWN NY 12932 141364513 HOSPITAL NY 501(C)(3) 3 UVMHN 1 EMERGENCY MEDICAL TRANSPORT OF CVPH INC 75 BEEKMAN STREET PLATTSBURGH NY 12901 061718419 AMBULANCE SVC NY 501(C)(3) 12B-II CPI 1 CVPH MEDICAL CENTER FOUNDATION 75 BEEKMAN STREET PLATTSBURGH NY 12901 141727048 HEALTH SVC SUPPORT NY 501(C)(3) 12B-II CVPH 1 UNIVERSITY MEDICAL EDUCATION ASSOCIATES 89 BEAUMONT AVENUE BURLINGTON VT 05405 237107832 EDUCATIONAL VT 501(C)(3) 10 UVMHNMG 1 ALICE HYDE MEDICAL CENTER 133 PARK STREET MALONE NY 12953 150346515 HOSPITAL NY 501(C)(3) 3 UVMHN 1 PORTER MEDICAL CENTER INC 115 PORTER DRIVE MIDDLEBURY VT 05753 030310862 SUPPORTING ORG VT 501(C)(3) 12B-II UVMHN 0 AUXILIARY OF PORTER MEDICAL CENTER 115 PORTER DRIVE MIDDLEBURY VT 05753 237363227 SUPPORTING ORG VT 501(C)(3) 12B-II PMC 1 PORTER HOSPITAL INC 37 PORTER DRIVE MIDDLEBURY VT 05753 030181058 HOSPITAL VT 501(C)(3) 3 PMC 1 LAKE CHAMPLAIN PHYSICIAN SERVICES PC 75 BEEKMAN STREET PLATTSBURGH NY 12901 273785445 PHYSICIAN SVC NY 501(C)(3) 12A-I CVPH 1 THE UNIVERSITY OF VERMONT HEALTH NETWORK MEDICAL GROUP INC 111 COLCHESTER AVE BURLINGTON VT 05401 030225105 PHYSICIAN SVC VT 501(C)(3) 12A-I UVMHN 1 UVMHN HOME HEALTH & HOSPICE 1110 PRIM ROAD COLCHESTER VT 05446 030179603 HOME HEALTHCARE VT 501(C)(3) 10 UVMHN 1 VMC INDEMNITY COMPANY INC 95 ST PAUL ST BURLINGTON VT 05401 831102018 INSURANCE VT 501(C)(3) 10 UVMHN 1 UVMHN VENTURES INC 111 COLCHESTER AVENUE BURLINGTON VT 05401 043380045 HOLDING COMPANY VT N/A C 1 UVMHN CREDENTIALING & ENROLLMENT 111 COLCHESTER AVENUE BURLINGTON VT 05401 030333056 ADMIN SVC VT N/A C 1 CHARITABLE REMAINDER TRUSTS (6) SUPPORT VT N/A T 1 PERPETUAL TRUSTS (10) SUPPORT VT N/A T 1 CHARITABLE IRREVOCABLE TRUSTS (8) SUPPORT VT N/A T 1 CHAMPLAIN VALLEY HEALTH NETWORK 75 BEEKMAN STREET PLATTSBURGH NY 12901 161586102 ADMIN SVC NY N/A C 1 MEDIQUEST INC PO BOX 1656 PLATTSBURGH NY 12901 141663061 MED OFFICE LEASE NY N/A C 1 YANKEE MEDICAL INC 276 NORTH AVENUE BURLINGTON VT 05401 030225363 HOME MEDICAL EQUIPMENT VT N/A C 1 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 PORTER HOSPITAL INC I 242701 FMV PORTER HOSPITAL INC P 3072388 FMV PORTER MEDICAL CENTER P 354174 FMV