Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 10-01-2022 , and ending 09-30-2023
BCheck if applicable:
CName of organization
CENTRAL VERMONT MEDICAL CENTER INC
 
% KIMBERLY PATNAUDE CFO
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
130 FISHER ROAD
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BERLIN, VT05602
D Employer identification number

22-2547186
E Telephone number

G Gross receipts $ 274,137,880
F Name and address of principal officer:
MRS ANNA T NOONAN
130 FISHER ROAD
BERLIN,VT05602
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.CVMC.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1963
M State of legal domicile: VT
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: CVMC WORKS COLLABORATIVELY TO MEET THE NEEDS AND IMPROVE THE HEALTH OF THE RESIDENTS OF CENTRAL VERMONT.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 14
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 11
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 1,929
6 Total number of volunteers (estimate if necessary) ............. 6 87
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 6,297,264 5,735,940
9 Program service revenue (Part VIII, line 2g) ......... 256,969,393 267,562,051
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 2,304,410 512,838
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 235,551 249,045
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 265,806,618 274,059,874
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 183,698 70,603
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 152,188,161 159,296,124
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet169,265    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 124,870,185 131,613,383
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 277,242,044 290,980,110
19 Revenue less expenses. Subtract line 18 from line 12....... -11,435,426 -16,920,236
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 173,786,081 162,943,741
21 Total liabilities (Part X, line 26)............. 82,407,234 93,127,363
22 Net assets or fund balances. Subtract line 21 from line 20..... 91,378,847 69,816,378
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: SEE SCHEDULE O
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 169,605,209 including grants of $ 66,103 ) (Revenue $ 201,458,611 )
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.
4b (Code:   ) (Expenses $ 71,574,367 including grants of $ 4,500 ) (Revenue $ 46,279,352 )
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.
4c (Code:   ) (Expenses $ 22,396,018 including grants of $   ) (Revenue $ 19,824,088 )
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.
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet263,575,594
Form 990 (2021)
Form 990 (2021)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment
List of Attached Documents:
// Content
.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment
List of Attached Documents:
// Content
.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment
List of Attached Documents:
// Content
..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment
List of Attached Documents:
// Content
.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
List of Attached Documents:
// Content
....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment
List of Attached Documents:
// Content
..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment
List of Attached Documents:
// Content
..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part VClick to see attachment
List of Attached Documents:
// Content
......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment
List of Attached Documents:
// Content
...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment
List of Attached Documents:
// Content
.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment
List of Attached Documents:
// Content
.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment
List of Attached Documents:
// Content
............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick to see attachment
List of Attached Documents:
// Content
......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
List of Attached Documents:
// Content
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
List of Attached Documents:
// Content
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
List of Attached Documents:
// Content
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
List of Attached Documents:
// Content
21
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
List of Attached Documents:
// Content
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
List of Attached Documents:
// Content
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I .... Click to see attachment
List of Attached Documents:
// Content
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................Click to see attachment
List of Attached Documents:
// Content
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment
List of Attached Documents:
// Content
...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment
List of Attached Documents:
// Content
.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
List of Attached Documents:
// Content
28a
Yes
 
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
List of Attached Documents:
// Content
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV..................... Click to see attachment
List of Attached Documents:
// Content
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
List of Attached Documents:
// Content
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
List of Attached Documents:
// Content
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
List of Attached Documents:
// Content
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
List of Attached Documents:
// Content
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
111
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
1,929
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. See instructions.
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
14
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
11
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
 
No
14
Did the organization have a written document retention and destruction policy? .........
14
 
No
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
VT
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletKIMBERLY PATNAUDE CFO130 FISHER RD   Berlin,VT05602 (802) 371-4443
Form 990 (2021)
Form 990 (2021)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) JOHN BRUMSTED MD......................................................................
TRUSTEE, UNTIL 11/22
 6.0
.................
44.0 		X           0 1,787,177 68,822
(2) CHRISTIAN BEAN MD......................................................................
PHYSICIAN
 50.0
.................
0.0 		        X   0 594,314 55,962
(3) CHRISTOPHER MERIAM MD......................................................................
TRUSTEE,FMR PRES MED,UNTIL6/23
 45.0
.................
5.0 		X           0 587,496 54,564
(4) SARA GRAVES MD......................................................................
PHYSICIAN
 50.0
.................
0.0 		        X   0 575,318 52,878
(5) ANNA T NOONAN......................................................................
TRUSTEE, PRESIDENT/COO
 35.0
.................
15.0 		X   X       524,507 0 88,509
(6) JOHN BEGLY MD......................................................................
PHYSICIAN
 50.0
.................
0.0 		        X   0 531,029 59,885
(7) NEJAT ZEYNELOGLU MD......................................................................
CHIEF MEDICAL OFFICER
 50.0
.................
0.0 		      X     417,104 0 23,916
(8) BENJAMIN SMITH MD......................................................................
PHYSICIAN
 50.0
.................
0.0 		        X   0 386,444 52,248
(9) JOHN MOTLEY MD......................................................................
PHYSICIAN
 50.0
.................
0.0 		        X   0 378,323 57,658
(10) KIMBERLY PATNAUDE......................................................................
TREASURER, CFO/VP FISCAL SVCS
 50.0
.................
0.0 		    X       302,779 0 39,400
(11) ROBERT PATTERSON......................................................................
VP HR & CLINICL OPERATIONS
 50.0
.................
0.0 		      X     273,618 0 46,263
(12) JAMES ALVAREZ......................................................................
VP SUPPORT SERVICES
 50.0
.................
0.0 		      X     281,781 0 34,039
(13) ANNA HANKINS MD......................................................................
TRUSTEE, PRESIDENT MED STAFF
 45.0
.................
5.0 		X           0 266,235 48,637
(14) MATTHEW CHOATE......................................................................
VP PATIENT CARE SERVICES
 50.0
.................
0.0 		      X     267,720 0 40,205
(15) SUNIL EAPPEN MD......................................................................
TRUSTEE, AS OF 11/22
 6.0
.................
44.0 		X           0 286,769 17,826
(16) WILLIAM KOWALEWSKI......................................................................
ADMIN/VP AGING SVCS WDR
 50.0
.................
0.0 		      X     184,103 0 12,149
(17) LISA MULLER......................................................................
TRUSTEE
 1.0
.................
0.0 		X           0 0 0
Form 990 (2021)
Form 990 (2021)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) THOMAS GOLONKA........................................................................
TRUSTEE, IMMEDIATE FRMR CHAIR
 1.0
.......................0.0 		X           0 0 0
(19) JOYCE JUDY........................................................................
TRUSTEE, CHAIR-ELECT
 1.0
.......................2.0 		X   X       0 0 0
(20) MARY MOULTON........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(21) TONI KAEDING........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(22) SANDY ROUSSE........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(23) CONNIE COLMAN........................................................................
TRUSTEE, SECRETARY
 1.0
.......................0.0 		X   X       0 0 0
(24) PAULETTE THABAULT........................................................................
TRUSTEE, CHAIR
 1.0
.......................0.0 		X   X       0 0 0
(25) JOAN MARIE MISEK........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(26) CHARLES MARTEL JR........................................................................
TRUSTEE, AS OF 12/22
 1.0
.......................0.0 		X           0 0 0
(27) ERICA METZGER HARE........................................................................
TRUSTEE, AS OF 12/22
 1.0
.......................0.0 		X           0 0 0






1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 2,251,612 5,393,105 752,961
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet178
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
MEDICAL SOLUTIONS,
1010 NORTH 102ND STREET SUITE 300
OMAHA,NE68114 		CLINICAL STAFFING 8,304,589
AMN HEALTHCARE ALLIED INC,
PO BOX 281939
ATLANTA,GA303841939 		NURSE STAFFING 1,087,706
CROSS COUNTRY STAFFING INC,
PO BOX 404674
ATLANTA,GA303844678 		CLINICAL STAFFING 12,634,206
E4H-ENVIRONMENTS FOR HEALTH ARCHITE,
PO BOX 779062
CHICAGO,IL606779062 		ARCHITECTURE 957,640
WEATHERBY LOCUMS INC,
PO BOX 972633
DALLAS,TX753972633 		PHYSICIAN STAFFING 535,504
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet25
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 25,000
e Government grants (contributions)1e 5,504,529
f All other contributions, gifts, grants, and similar amounts not included above1f 206,411
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 5,735,940
Program Service RevenueAmt Business Code
2a NET PATIENT SERVICE REVENUE 900099 191,280,298 191,280,298    
b REV FROM MANAGED CARE AND CAPITATED 900099 60,845,212 60,845,212    
c 340B CONTRACT PHARMACY REVENUE 900099 9,058,271 9,058,271    
d BLUEPRINT PMPM 900099 1,143,980 1,143,980    
e OTHER CONTRACT/CLIENT REVENUE 900099 903,401 903,401    
f All other program service revenue. 4,330,889 4,330,889    
g Total. Add lines 2a–2f .....MediumBullet 267,562,051
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 512,838     512,838
4 Income from investment of tax-exempt bond proceedsMediumBullet 0      
5 Royalties...........MediumBullet 0      
(ii) Personal (i) Real
6a Gross rents   327,051 6a
b Less: rental expenses   78,006 6b
c Rental income or (loss) 0 249,045 6c
d Net rental income or (loss).......MediumBullet 249,045     249,045
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory     7a
b Less: cost or other basis and sales expenses     7b
c Gain or (loss)     7c
d Net gain or (loss).........MediumBullet 0      
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a 0
b Less: direct expenses ... 8b 0
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a 0
b Less: direct expenses ... 9b 0
c Net income or (loss) from gaming activities..MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances ..
10a 0
b Less: cost of goods sold .. 10b 0
c Net income or (loss) from sales of inventory..MediumBullet 0      
Business Code Miscellaneous Revenue
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 0
12 Total revenue. See instructions.....MediumBullet 274,059,874 267,562,051 0 761,883
Form 990 (2021)
Form 990 (2021)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 70,603 70,603
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 0  
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. ............. 0  
4 Benefits paid to or for members ....... 0  
5 Compensation of current officers, directors, trustees, and key employees ........... 2,201,411   2,201,411  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 0      
7 Other salaries and wages........ 124,929,015 118,333,508 6,463,510 131,997
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 5,130,757 4,775,729 349,701 5,327
9 Other employee benefits ....... 18,569,633 17,284,689 1,265,664 19,280
10 Payroll taxes ........... 8,465,308 7,879,543 576,976 8,789
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 75,796   75,796  
c Accounting ........... 26,900   26,900  
d Lobbying ........... 29,063   29,063  
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 0      
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 47,371,304 34,293,171 13,076,129 2,004
12 Advertising and promotion .... 277,889 85 277,804  
13 Office expenses ....... 2,827,426 2,374,515 451,811 1,100
14 Information technology ...... 1,776,099 1,716,402 59,697  
15 Royalties .. 0      
16 Occupancy ........... 7,463,892 7,322,079 141,813  
17 Travel ............ 109,988 92,041 17,729 218
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 762,802 642,689 120,113  
20 Interest ........... 433,971 433,971    
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 6,844,620 6,844,620    
23 Insurance ... 1,069,614 749,113 320,501  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a STATE TAX ASSESSMENT 14,427,610 14,427,610    
b MAINTENANCE & REPAIRS 3,251,031 3,178,687 72,344  
c MEDICAL & SURGICAL SUPPLIES 39,577,462 39,577,462    
d FOOD EXPENSE 1,758,856 1,646,497 112,359  
e All other expenses 3,529,060 1,932,580 1,595,930 550
25 Total functional expenses. Add lines 1 through 24e 290,980,110 263,575,594 27,235,251 169,265
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2021)
Form 990 (2021)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 0 1 0
2 Savings and temporary cash investments ......... 7,485,274 2 14,520,703
3 Pledges and grants receivable, net ...... 0 3 51,848
4 Accounts receivable, net ............. 32,815,623 4 21,840,182
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 173,877 7 783,432
8 Inventories for sale or use ............ 5,582,065 8 5,236,018
9 Prepaid expenses and deferred charges ...... 1,285,439 9 1,404,735
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 184,400,420
b Less: accumulated depreciation 10b 127,653,420 61,048,229 10c 56,747,000
11 Investments—publicly traded securities . 0 11 0
12 Investments—other securities. See Part IV, line 11 ..... 51,111,852 12 51,320,949
13 Investments—program-related. See Part IV, line 11 .. 0 13 0
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 14,283,722 15 11,038,874
16 Total assets. Add lines 1 through 15 (must equal line 33)... 173,786,081 16 162,943,741
Liabilities 17 Accounts payable and accrued expenses ..... 49,035,781 17 60,389,220
18 Grants payable ... 0 18 122,011
19 Deferred revenue ......... 24,751 19 71,285
20 Tax-exempt bond liabilities ......... 0 20 0
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 18,263,760 23 11,731,520
24 Unsecured notes and loans payable to unrelated third parties .. 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 15,082,942 25 20,813,327
26 Total liabilities. Add lines 17 through 25.. 82,407,234 26 93,127,363
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 83,955,738 27 61,753,099
28 Net assets with donor restrictions ........... 7,423,109 28 8,063,279
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 91,378,847 32 69,816,378
33 Total liabilities and net assets/fund balances ........ 173,786,081 33 162,943,741
Form 990 (2021)
Form 990 (2021)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
274,059,874
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
290,980,110
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-16,920,236
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
91,378,847
5
Net unrealized gains (losses) on investments ...............
5
6,282,704
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-10,924,937
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
69,816,378
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2021)
Form 990 (2021)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
CENTRAL VERMONT MEDICAL CENTER INC
 
Employer identification number

22-2547186
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
33 1/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization .......................right arrow
b
33 1/3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow
17a
10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
b
10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) 2022 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow
b
33 1/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by 0.035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990) 2022

Schedule A (Form 990) 2022
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity 		2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions 		8  
9 Distributable amount for 2022 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2022 		(iii)
Distributable
Amount for 2022
1 Distributable amount for 2022 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions.		  
3 Excess distributions carryover, if any, to 2022:
a From 2017.......  
b From 2018.......  
c From 2019.......  
d From 2020.......  
e From 2021.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2022 distributable amount  
i Carryover from 2017 not applied (see
instructions) 		 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2022 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2022 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2022, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions. 		 
6 Remaining underdistributions for 2022. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions. 		 
7 Excess distributions carryover to 2023. Add lines
3j and 4c. 		 
8 Breakdown of line 7:
a Excess from 2018.....  
b Excess from 2019.....  
c Excess from 2020.....  
d Excess from 2021.....  
e Excess from 2022.....  
Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990) 2022


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
Name of the organization
CENTRAL VERMONT MEDICAL CENTER INC
 
Employer identification number

22-2547186
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990) (2022)
Schedule B (Form 990) (2022) Page 2
Name of organization
CENTRAL VERMONT MEDICAL CENTER INC
  		Employer identification number
22-2547186
Part I
Contributors
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (2022)
Schedule B (Form 990) (2022)
Page 3
Name of organization
CENTRAL VERMONT MEDICAL CENTER INC
  		Employer identification number

22-2547186
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
(a)
No. from Part I 		(b)
Description of noncash property given 		(c)
FMV (or estimate)
(See instructions) 		(d)
Date received
 
$    
Schedule B (Form 990) (2022)
Schedule B (Form 990) (2022)
Page 4
Name of organization
CENTRAL VERMONT MEDICAL CENTER INC
  		Employer identification number

22-2547186
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990) (2022)
Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
CENTRAL VERMONT MEDICAL CENTER INC
 
Employer identification number

22-2547186
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990) 2021

Schedule C (Form 990) 2021
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ........................    
c Total lobbying expenditures (add lines 1a and 1b) ............................................................    
d Other exempt purpose expenditures ...............................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ..................................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2018 (b) 2019 (c) 2020 (d) 2021 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990) 2021


Schedule C (Form 990) 2021
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes|No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
29,063
j
Total. Add lines 1c through 1i ....................................................................................................
29,063
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures. See Instructions .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
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.
Schedule C (Form 990) 2021


Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
CENTRAL VERMONT MEDICAL CENTER INC
 
Employer identification number

22-2547186
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance .... 6,959,979 8,660,412 7,967,045 8,058,522 9,330,090
b Contributions ... 0 0 0 0 274,389
c Net investment earnings, gains, and losses 820,432 -1,640,633 779,068 380,580 549,557
d Grants or scholarships ... 0 0 0 0 0
e Other expenditures for facilities
and programs ... 		53,432 0 40,000 421,217 2,050,133
f Administrative expenses .... 40,651 59,800 45,701 50,840 45,381
g End of year balance ...... 7,686,328 6,959,979 8,660,412 7,967,045 8,058,522
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet45.720 %
c
Term endowment SchDMd Bullet54.280 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
Yes
 
(ii) Related organizations .................
3a(ii)
Yes
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   5,510,000 5,510,000
b Buildings ....   118,774,056 82,647,835 36,126,221
c Leasehold improvements   4,340,349 4,125,972 214,377
d Equipment ....   49,082,009 40,879,613 8,202,396
e Other .....   6,694,006   6,694,006
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 56,747,000
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3) Other
(A) NETWORK INVESTMENT POOL		 51,320,949 F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 51,320,949
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)OPR LEASE ROU ASSETS,NET 7,904,471
(2)INVESTMENT 457 PLAN 3,134,403
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 11,038,874
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes 0
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 20,813,327
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
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.
Schedule D (Form 990) 2021


Additional Data


Software ID:  
Software Version:  




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
CENTRAL VERMONT MEDICAL CENTER INC
 
Employer identification number

22-2547186
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
Yes
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    1,495,928   1,495,928 0.510 %
b Medicaid (from Worksheet 3, column a) . . . . .     64,188,833 27,711,595 36,477,238 12.540 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     65,684,761 27,711,595 37,973,166 13.050 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     114,970   114,970 0.040 %
f Health professions education (from Worksheet 5) . . .     342,670   342,670 0.120 %
g Subsidized health services (from Worksheet 6) . . . .     10,599,551 7,363,492 3,236,059 1.110 %
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     149,171 30,000 119,171 0.040 %
j Total. Other Benefits . .     11,206,362 7,393,492 3,812,870 1.310 %
k Total. Add lines 7d and 7j .     76,891,123 35,105,087 41,786,036 14.360 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
8,327,903
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
166,558
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
60,576,490
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
141,862,215
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-81,285,725
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 CENTRAL VERMONT MEDICAL CENTER
130 FISHER ROAD
BERLIN,VT05602
WWW.CVMC.ORG
47001 		X X         X      
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
CENTRAL VERMONT MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 21
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 21
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
CENTRAL VERMONT MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE SECTION C
b
SEE SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
CENTRAL VERMONT MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
CENTRAL VERMONT MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
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.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?1
Name and address Type of Facility (describe)
1 CVMC - WOODRIDGE NURSING HOME
142 Woodridge Drive
BERLIN,VT05602 		SKILLED NURSING FACILITY
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
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.
Schedule H (Form 990) 2022
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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
CENTRAL VERMONT MEDICAL CENTER INC
 
Employer identification number
22-2547186
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) PEOPLES HEALTH AND WELLNESS CENTER
51 CHURCH ST
BARRE,VT05641 		03-0343290 501(c)(3) 25,000       HEALTH CARE FOR THE UNINSURED
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
1
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2022

Schedule I (Form 990) 2022
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
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.
Schedule I (Form 990) 2022



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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
CENTRAL VERMONT MEDICAL CENTER INC
 
Employer identification number

22-2547186
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation 		(ii) Bonus & incentive
compensation 		(iii) Other reportable compensation
1JOHN BRUMSTED MD
TRUSTEE, UNTIL 11/22 		(i)

(ii)		 0
-------------
1,054,101 		0
-------------
345,321 		0
-------------
387,755 		0
-------------
36,600 		0
-------------
32,222 		0
-------------
1,855,999 		0
-------------
0
2ANNA T NOONAN
TRUSTEE, PRESIDENT/COO 		(i)

(ii)		 346,920
-------------
0 		71,051
-------------
0 		106,536
-------------
0 		51,336
-------------
0 		37,173
-------------
0 		613,016
-------------
0 		49,631
-------------
0
3MATTHEW CHOATE
VP PATIENT CARE SERVICES 		(i)

(ii)		 240,620
-------------
0 		26,214
-------------
0 		886
-------------
0 		16,396
-------------
0 		23,809
-------------
0 		307,925
-------------
0 		0
-------------
0
4CHRISTOPHER MERIAM MD
TRUSTEE,FMR PRES MED,UNTIL6/23 		(i)

(ii)		 0
-------------
522,377 		0
-------------
0 		0
-------------
65,119 		0
-------------
18,300 		0
-------------
36,264 		0
-------------
642,060 		0
-------------
0
5ROBERT PATTERSON
VP HR & CLINICL OPERATIONS 		(i)

(ii)		 245,265
-------------
0 		26,666
-------------
0 		1,687
-------------
0 		16,679
-------------
0 		29,584
-------------
0 		319,881
-------------
0 		0
-------------
0
6JAMES ALVAREZ
VP SUPPORT SERVICES 		(i)

(ii)		 244,157
-------------
0 		26,428
-------------
0 		11,196
-------------
0 		11,375
-------------
0 		22,664
-------------
0 		315,820
-------------
0 		0
-------------
0
7SUNIL EAPPEN MD
TRUSTEE, AS OF 11/22 		(i)

(ii)		 0
-------------
99,916 		0
-------------
180,000 		0
-------------
6,853 		0
-------------
14,924 		0
-------------
2,902 		0
-------------
304,595 		0
-------------
0
8KIMBERLY PATNAUDE
TREASURER, CFO/VP FISCAL SVCS 		(i)

(ii)		 272,241
-------------
0 		29,523
-------------
0 		1,015
-------------
0 		14,468
-------------
0 		24,932
-------------
0 		342,179
-------------
0 		0
-------------
0
9CHRISTIAN BEAN MD
PHYSICIAN 		(i)

(ii)		 0
-------------
553,942 		0
-------------
0 		0
-------------
40,372 		0
-------------
18,300 		0
-------------
37,662 		0
-------------
650,276 		0
-------------
0
10JOHN BEGLY MD
PHYSICIAN 		(i)

(ii)		 0
-------------
487,980 		0
-------------
0 		0
-------------
43,049 		0
-------------
18,300 		0
-------------
41,585 		0
-------------
590,914 		0
-------------
0
11JOHN MOTLEY MD
PHYSICIAN 		(i)

(ii)		 0
-------------
307,903 		0
-------------
0 		0
-------------
70,420 		0
-------------
18,300 		0
-------------
39,358 		0
-------------
435,981 		0
-------------
0
12BENJAMIN SMITH MD
PHYSICIAN 		(i)

(ii)		 0
-------------
367,857 		0
-------------
0 		0
-------------
18,587 		0
-------------
18,300 		0
-------------
33,948 		0
-------------
438,692 		0
-------------
0
13SARA GRAVES MD
PHYSICIAN 		(i)

(ii)		 0
-------------
534,748 		0
-------------
0 		0
-------------
40,570 		0
-------------
18,300 		0
-------------
34,578 		0
-------------
628,196 		0
-------------
0
14ANNA HANKINS MD
TRUSTEE, PRESIDENT MED STAFF 		(i)

(ii)		 0
-------------
236,890 		0
-------------
0 		0
-------------
29,345 		0
-------------
16,357 		0
-------------
32,280 		0
-------------
314,872 		0
-------------
0
15NEJAT ZEYNELOGLU MD
CHIEF MEDICAL OFFICER 		(i)

(ii)		 367,041
-------------
0 		49,145
-------------
0 		918
-------------
0 		0
-------------
0 		23,916
-------------
0 		441,020
-------------
0 		0
-------------
0
16WILLIAM KOWALEWSKI
ADMIN/VP AGING SVCS WDR 		(i)

(ii)		 164,380
-------------
0 		17,824
-------------
0 		1,899
-------------
0 		8,835
-------------
0 		3,314
-------------
0 		196,252
-------------
0 		0
-------------
0
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
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.
Schedule J (Form 990) 2022

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
CENTRAL VERMONT MEDICAL CENTER INC
 
Employer identification number

22-2547186
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990) 2021
Schedule L (Form 990) 2021
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) SUBSTANTIAL DONOR SUBSTANTIAL CONTRIBUTOR 221,481 SERVICES   No
(2) SUBSTANTIAL DONOR SUBSTANTIAL CONTRIBUTOR 126,008 SERVICES   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990) 2021


Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
CENTRAL VERMONT MEDICAL CENTER INC
 
Employer identification number

22-2547186
Return Reference Explanation
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
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
CENTRAL VERMONT MEDICAL CENTER INC
 
Employer identification number

22-2547186
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)UNIVERSITY OF VERMONT MEDICAL CENTERINC
111 COLCHESTER AVE

BURLINGTON,VT05401
03-0219309 		HOSPITAL VT 501(c)(3) 3 UVMHN
 
Yes
 
(2)UNIV OF VERMONT HEALTH NETWORK INC
111 COLCHESTER AVE

BURLINGTON,VT05401
45-2880726 		HOLDING CO VT 501(C)(3) 12A-I NA
 
 
No
(3)UNIVERSITY OF VERMONT MEDICAL GROUP
111 COLCHESTER AVE

BURLINGTON,VT05401
03-0225105 		PHYS SVCS VT 501(C)(3) 12A-I UVMHN
 
Yes
 
(4)UNIV OF VERMONT MEDICAL CTR FDN INC
111 COLCHESTER AVE

BURLINGTON,VT05401
26-3159849 		FUNDRAISING VT 501(C)(3) 12A-I UVMMC
 
Yes
 
(5)CENTRAL VERMONT HOSPITAL AUXILIARY
130 FISHER RD

BERLIN,VT05602
03-0264240 		SERVICE VT 501(C)(3) 12D-III-O NA
 
 
No
(6)COMMUNITY PROVIDERS INC
75 BEEKMAN ST

PLATTSBURGH,NY12901
22-2544844 		HLTH SVC COOR NY 501(C)(3) 12A-I UVMHN
 
Yes
 
(7)CHAMPLAIN VALLEY PHYSICIANS HOSPITAL
75 BEEKMAN STREET

PLATTSBURGH,NY12901
14-1338471 		HOSPITAL NY 501(C)(3) 3 CPI
 
Yes
 
(8)ELIZABETHTOWN COMMUNITY HOSPITAL
75 PARK STREET

ELIZABETHTOWN,NY12932
14-1364513 		HOSPITAL NY 501(C)(3) 3 CPI
 
Yes
 
(9)EMERGENCY MEDICAL TRANSPORT OF CVPH INC
75 BEEKMAN ST

PLATTSBURGH,NY12901
06-1718419 		AMBULANCE SVC NY 501(C)(3) 12B-II CPI
 
Yes
 
(10)CVPH MEDICAL CENTER FOUNDATION
75 BEEKMAN ST

PLATTSBURGH,NY12901
14-1727048 		HLTH SVC SUPP NY 501(c)(3) 12B-II CVPH
 
Yes
 
(11)UNIVERSITY MEDICAL EDUCATION ASSOCIATES
89 BEAUMONT AVE

BURLINGTON,VT05405
23-7107832 		EDUCATIONAL VT 501(C)(3) 11 UVMMG
 
Yes
 
(12)UNIVERSITY HEALTH CENTER
111 CoOLCHESTER AVE

BURLINGTON,VT05401
03-0229931 		HOSPITAL VT 501(C)(3) 12C-III-FI UVMMG
 
Yes
 
(13)ALICE HYDE MEDICAL CENTER
133 PARK STREET

MALONE,NY12953
15-0346515 		HOSPITAL NY 501(C)(3) 3 CPI
 
Yes
 
(14)PORTER MEDICAL CENTER INC
115 PORTER DRIVE

MIDDLEBURY,VT05753
03-0310862 		SUPPTG ORG VT 501(C)(3) 12-BII UVMHN
 
Yes
 
(15)HELEN PORTER NURSING HOME
37 PORTER DRIVE

MIDDLEBURY,VT05753
03-0306549 		NURSING HOME VT 501(C)(3) 3 PMC
 
Yes
 
(16)AUXILIARY OF PORTER MEDICAL CENTER
37 PORTER DRIVE

MIDDLEBURY,VT05753
23-7363227 		SUPPORTG ORG VT 501(C)(3) 12-B,II PMC
 
Yes
 
(17)PORTER HOSPITAL INC
37 PORTER DRIVE

MIDDLEBURY,VT05753
03-0181058 		HOSPITAL VT 501(C)(3) 3 PMC
 
Yes
 
(18)VMC INDEMNITY COMPANY INC
95 ST PAUL ST

BURLINGTON,VT05401
83-1102018 		INSURANCE VT 501(C)(3) 12A-I UVMHN
 
Yes
 
(19)LAKE CHAMPLAIN PHYSICIANS SERVICES PC
75 BEEKMAN STREET

PLATTSBURGH,NY12901
27-3785445 		PHYSICIAN SVC NY 501(C)(3) 12A-I CVPH
 
Yes
 
(20)UVMHN HOME HEALTHCARE & HOSPICE
1110 PRIM ROAD

COLCHESTER,VT05446
03-0179603 		HOME HEALTH VT 501(C)(3) 10 UVMHN
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) CHARITABLE IRREVOCABLE TRUST (8)

 
 
SUPPORT VT UVMMCCVMC
  		TRUST          
(2) UNIV OF VT MED CTR HEALTH VENT INC

111 COLCHESTER AVE
BURLINGTON,VT05401
04-3380045 		COMPANY VT UVMMC
  		C CORP          
(3) CHARITABLE REMAINDER TRUST (6)

 
 
SUPPORT VT UVMMCCVMC
  		TRUST          
(4) PERPETUAL TRUST (10)

 
 
SUPPORT VT UVMMC
  		TRUST          
(5) CHAMPLAIN VALLEY HEALTH NETWORK

75 BEEKMAN STREET
PLATTSBURGH,NY12901
16-1586102 		ADMIN SERVICE NY NA
  		C CORP          
(6) MEDQUEST INC

PO BOX 1656
PLATTSBURGH,NY12901
14-1663061 		LEASE NY NA
  		C CORP          
(7) YANKEE MEDICAL INC

276 NORTH AVENUE
BURLINGTON,VT05401
03-0225363 		EQUIP VT UVMHN VENTURES
  		C CORP          
(8) UVMHN CREDENTIALING & ENROLLMENT

111 COLCHESTER AVE
BURLINGTON,VT05401
03-0333056 		ADMIN SVC VT UVMHN VENTURES
  		C CORP          
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
 
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
Yes
 
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) UNIVERSITY OF VERMONT MEDICAL CENTER

 I 437,012 FMV
(2) UNIVERSITY OF VERMONT MEDICAL CENTER

 p 43,334,249 FMV




Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
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.
Schedule R (Form 990) 2021

Additional Data


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