TY 2023 Form 990

(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)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) ALICIA GRANGENT...................................................................... DIRECTOR	2.00 ................. 3.00	X		0	0
(2) DR KRISTOFER ANDERSON...................................................................... DIRECTOR	2.00 ................. 43.00	X		372,489	35,728
(3) JUDSON BARTLETT...................................................................... DIRECTOR	2.00 ................. 3.00	X		0	0
(4) MEGAN BRAKELEY...................................................................... DIRECTOR	2.00 ................. 3.00	X		0	0
(5) ANNE COLLINS...................................................................... DIRECTOR	2.00 ................. 3.00	X		0	0
(6) SIVAN COTEL...................................................................... DIRECTOR (TIL 12/2023)	2.00 ................. 5.00	X		0	0
(7) BILL CUNNINGHAM...................................................................... DIRECTOR	2.00 ................. 3.00	X		0	0
(8) MATTHEW CURRAN...................................................................... TREASURER	2.00 ................. 3.00	X	X	0	0
(9) KIM FARNHAM...................................................................... CHAIR	2.00 ................. 3.00	X	X	0	0
(10) RICHARD FOOTE...................................................................... DIRECTOR (TIL 12/2023)	2.00 ................. 3.00	X		0	0
(11) NICHOLAS LOVEJOY...................................................................... SECRETARY	2.00 ................. 3.00	X	X	0	0
(12) LINDA SCHIFFER...................................................................... DIRECTOR	2.00 ................. 3.00	X		0	0
(13) HELENA VAN VOORST...................................................................... VICE CHAIR	2.00 ................. 3.00	X	X	0	0
(14) SMITA RUZIKA...................................................................... DIRECTOR (AS OF 01/2024)	2.00 ................. 3.00	X		0	0
(15) RACHEL LEE CUMMINGS...................................................................... DIRECTOR (AS OF 01/2024)	2.00 ................. 3.00	X		0	0
(16) JULIA GRAND DOUCET...................................................................... DIRECTOR (AS OF 01/2024)	2.00 ................. 3.00	X		0	0
(17) BOB ORTMYER...................................................................... PRES, ECH & PMC	15.00 ................. 35.00		X	362,761	62,284

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) SCOTT COMEAU........................................................................ CFO	15.00 .......................35.00	X				0	269,533	41,728
(19) BRANDI BETCHER HELM........................................................................ AVP OPERATIONS	22.50 .......................22.50		X			0	210,739	10,024
(20) LINDA HAVEY........................................................................ AVP CHIEF NURSING OFFICER	15.00 .......................30.00		X			0	245,093	12,116
(21) DR JASON SANDERS........................................................................ PRES/CEO OF UVMHNMG	1.00 .......................49.00		X			0	508,675	95,550
(22) AMY BISHOP........................................................................ CRNA	45.00 .......................0.00			X		299,909	0	41,570
(23) ERIC BERG........................................................................ CRNA	45.00 .......................0.00			X		298,418	0	45,535
(24) WILLIAM HARRINGTON........................................................................ CRNA	45.00 .......................0.00			X		275,238	0	11,299
(25) ADAM ECKHARDT........................................................................ CRNA	45.00 .......................0.00			X		262,323	0	39,057
(26) TIFFANY LOVE........................................................................ AVP/CHIEF NURSING OFF (TIL 7/2023)	45.00 .......................0.00			X		251,339	0	6,817
(27) TOM THOMPSON........................................................................ FMR PRES & COO	0.00 .......................0.00				X	0	446,499	11,310
(28) JUDY PEEK-LEE........................................................................ FMR INTERIM CFO	0.00 .......................50.00				X	0	391,536	39,318
(29) MICHAEL LEYDEN........................................................................ FMR AVP OPERATIONS	0.00 .......................40.00				X	104,587	0	20,205

(A) Name and business address	(B) Description of services	(C) Compensation
CROSS COUNTRY STAFFING INC PO BOX 404674 ATLANTA,GA303844674	TRAVELING NURSING SERVICES	12,657,037
MEDICAL SOLUTIONS 1010 N 102ND STREET SUITE 300 OMAHA,NE68114	TRAVELING NURSING SERVICES	1,278,076
ALLIANCE HEALTHCARE SERVICES INC PO BOX 735714 DALLAS,TX753735714	RADIOLOGY SERVICES	763,761
PHILIPS HEALTHCARE INFORMATICS, PO BOX 100355 ALANTA,GA30384	MEDICAL EQUIPMENT	471,286
HEALTHCARE WORKFORCE LOGISTICS LLC PO BOX 860573 MINNEAPOLIS,MN554860573	TEMPORARY STAFFING	308,500
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 19

- TIN:

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.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

PORTER HOSPITAL INC

Employer identification number

03-0181058

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2023

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)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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

Gross receipts from related activities, etc. (see instructions) ..................

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

Public support percentage for 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. 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

33 1/3% support test—2022. 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—2023. 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

10%-facts-and-circumstances test—2022. 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

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) 2023

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)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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.)..

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

Public support percentage for 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. 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

33 1/3 % support tests—2022. 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

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) 2023

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

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.

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).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

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.

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.

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.

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.

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.

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).

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?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

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.

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) .

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).

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.

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.

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.

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

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) 2023

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

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

A family member of a person described on 11a above?

11b

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

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.

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.

Section C. Type II Supporting Organizations

Yes

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).

Section D. All Type III Supporting Organizations

Yes

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?

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).

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.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

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.

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.

Parent of Supported Organizations. Answer lines 3a and 3b below.

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.

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.

Schedule A (Form 990) 2023

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	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

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2023

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 2023 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-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

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) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Name of the organization

PORTER HOSPITAL INC

Employer identification number

03-0181058

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... 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) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization PORTER HOSPITAL INC

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization PORTER HOSPITAL INC		Employer identification number 03-0181058

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) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization PORTER HOSPITAL INC			Employer identification number 03-0181058
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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose 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

(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

(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

(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) (2023)

Additional Data

Software ID:
Software Version:

- TIN:

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

right arrow

Complete if the organization is described below. 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

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

PORTER HOSPITAL INC

Employer identification number

03-0181058

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

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

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

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) 2022

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 right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ...................................................................................................................	Yes No

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) 2019	(b) 2020	(c) 2021	(d) 2022	(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) 2022

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

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:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

10,435

Total. Add lines 1c through 1i ....................................................................................................

10,435

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

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

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

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."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

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
PART II-B, LINE 1:	THE ORGANIZATION PAYS DUES TO THE VERMONT ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS, A PORTION OF WHICH IS ATTRIBUTABLE TO LOBBYING EXPENSES.

Schedule C (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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.
right arrow

Attach to Form 990.
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

PORTER HOSPITAL INC

Employer identification number

03-0181058

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 ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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 July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

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)? .............................

Yes No

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.

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.

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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2022

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

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 ....	4,834,757	4,911,005	5,111,060	3,965,823	3,834,593
b	Contributions ...
c	Net investment earnings, gains, and losses	664,984	382,965	215,550	1,546,430	518,448
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	494,352	459,213	415,605	401,193	387,218
f	Administrative expenses ....
g	End of year balance ......	5,005,390	4,834,757	4,911,005	5,111,060	3,965,823

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

0 %

Permanent endowment right arrow

100.000 %

Term endowment right arrow

0 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

Yes

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

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 .....	869,436		869,436
b	Buildings ....	11,147,882	4,605,685	6,542,197
c	Leasehold improvements	97,954	408	97,546
d	Equipment ....	12,777,647	8,345,052	4,432,595
e	Other .....	722,635		722,635
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				12,664,409

Schedule D (Form 990) 2022

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)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

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.)

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)OPERATING LEASE RIGHT OF USE ASSETS				1,186,105
(2)DUE FROM RELATED PARTIES				28,336,292
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				29,522,397

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
ESTIMATED THIRD PARTY SETTLEMENTS	1,397,944
OPERATING LEASE OBLIGATION	1,192,235
DUE TO/DUE FROM	7,240,599
WORKERS COMPENSATION CLAIMS	358,297





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	10,189,075
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) 2022

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
PART V, LINE 4:	INCOME FROM ENDOWMENTS HELD AND ADMINISTERED BY MIDDLEBURY COLLEGE SUPPORTS THE ORGANIZATION'S MISSION BY PROVIDING FUNDS FOR CHARITY CARE AND ADDITIONALLY OFFSETS A PORTION OF THE ORGANIZATION'S OPERATING EXPENSES.
PART X, LINE 2:	PORTER HOSPITAL, INC. IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE UNIVERSITY OF VERMONT HEALTH NETWORK ("UVM HEALTH NETWORK"). PAGE 18 OF THE CONSOLIDATED FINANCIAL STATEMENTS CONTAIN A FOOTNOTE INDICATING THAT NO PROVISION FOR FEDERAL INCOME TAXES HAS BEEN RECORDED.

Schedule D (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

PORTER HOSPITAL INC

Employer identification number

03-0181058

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other 25000.0000000000 %

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: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

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.

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"? . . . . . . . . . . . . .

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

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? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(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) . . .	707,362		707,362	0.590 %
b	Medicaid (from Worksheet 3, column a) . . . . .	11,805,928	3,149,053	8,656,875	7.190 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	12,513,290	3,149,053	9,364,237	7.780 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	1,052,766	543,536	509,230	0.420 %
f	Health professions education (from Worksheet 5) . . .	37,301		37,301	0.030 %
g	Subsidized health services (from Worksheet 6) . . . .	8,507,886	7,235,419	1,272,467	1.060 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	34,634		34,634	0.030 %
j	Total. Other Benefits . .	9,632,587	7,778,955	1,853,632	1.540 %
k	Total. Add lines 7d and 7j .	22,145,877	10,928,008	11,217,869	9.320 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

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

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

2,643,576

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. ......

62,921

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

Enter total revenue received from Medicare (including DSH and IME).....

13,547,659

Enter Medicare allowable costs of care relating to payments on line 5.....

21,170,898

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-7,623,239

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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 .........................

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) 2023

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)
1	PORTER HOSPITAL INC 115 PORTER DRIVE MIDDLEBURY,VT05753 WWW.PORTERMEDICAL.ORG 899	X	X	X	X

Schedule H (Form 990) 2023

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)

	PORTER HOSPITAL INC
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):

Yes

Community Health Needs Assessment

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?........................

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...............

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......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 23

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 .................

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..................................

Yes

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. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

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. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 21

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

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

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

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) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	PORTER HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

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):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	PORTER HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Yes

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?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	PORTER HOSPITAL INC
Name of hospital facility or letter of facility reporting group

Yes

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.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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? ...............................

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

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
PORTER HOSPITAL, INC.	PART V, SECTION B, LINE 3J: THE CHNA CONDUCTED IN FY 2024 / TY 2023 CONTAINS INFORMATION AND ANALYSIS THAT EXTENDS BEYOND THE SUBJECTS DESCRIBED IN PART V, LINE 3, INCLUDING BUT NOT LIMITED TO: SECONDARY DATA SOURCES, KEY HEALTH AND WELLBEING INDICATORS AND THEIR SOURCES, AND IMPACTS OF COVID-19 WHERE PREVELANT.
PORTER HOSPITAL, INC.	PART V, SECTION B, LINE 5: THE CHNA DATA COLLECTION PROCESS CONSISTED OF A CHNA SURVEY COMPLETED BY 1,063 RESPONDENTS, TWO SEPARATE FOCUS GROUP SESSIONS IN WHICH 16 PERSONS PARTICIPATED, AND STAKEHOLDER INTERVIEWS WITH 36 REPRESENTATIVES FROM 23 COMMUNITY ORGANIZATIONS. THE SURVEYS WERE CONDUCTED IN MAY 2024 AND WERE PRIMARILY COLLECTED ONLINE. THE SURVEY WAS MADE AVAILABLE IN ENGLISH, SPANISH, ARABIC, BURMESE, VIETNAMESE, AND FRENCH. THE SURVEYS WERE PUBLICIZED THROUGH ELECTRONIC MAILING LISTS, ONLINE COMMUNITY MESSAGE BOARDS, SOCIAL MEDIA, AND THE PORTER HOSPITAL WEBSITE. HOWEVER, PAPER SURVEYS WERE MADE AVAILABLE BY REQUEST AND AT ODC, HOPE, GATHER, MCH, CHC, ACHHH, HELEN PORTER, CHAMPLAIN ORCHARDS, AND THROUGH A COMMUNITY CHAMPION WHO DID OUTREACH TO INDIVIDUALS IN THE MIGRANT COMMUNITY. THREE FOCUS GROUPS WERE CONDUCTED WITH 24 TOTAL PARTICIPANTS ALONG WITH 3 INDIVIDUAL INTERVIEWS. THE FOCUS GROUPS WERE ARRANGED BY BUILDING BRIGHT FUTURES, THE OPEN-DOOR CLINIC, AND THE LOCAL HOUSING AUTHORITY. THE POPULATIONS SERVED BY THOSE GROUPS INCLUDE OLDER ADULTS, BIPOC VERMONTERS, THE IMMIGRANT COMMUNITIES, PEOPLE WITH DISABILITIES, AND THE LGBTQ PLUS COMMUNITY. FOCUS GROUPS WERE HELD IN JUNE 2024. PARTICIPANTS WERE COMMUNITY MEMBERS WHO HAVE LIVED EXPERIENCE AROUND TWO OF THE 2021 CHNA PRIORITIES; ACCESS TO HEALTHCARE SERVICES AND MENTAL HEALTH OR SUBSTANCE USE SERVICES. FOCUS GROUPS FOR COMMUNITY MEMBERS WERE ORGANIZED IN COLLABERATION WITH COMMUNITY PARTNERS WHO HAVE TRUSTING RELATIONSHIPS WITH POPULATIONS DIRECTLY IMPACTED BY THE DISCUSSION TOPICS.
PORTER HOSPITAL, INC.	PART V, SECTION B, LINE 6A: TY2023/FY2024 CHNA WAS ALSO CONDUCTED WITH THE ASSISTANCE OF PORTER MEDICAL CENTER (PMC). PMC IS THE PARENT ORGANIZATION TO PORTER HOSPITAL.
PORTER HOSPITAL, INC.	PART V, SECTION B, LINE 6B: THE TY 2023/FY 2024 CHNA WAS CONDUCTED WITH THE ASSISTANCE OF COMMUNITY ORGANIZATIONS, ALL OF WHICH CONTRIBUTED MEMBERS TO THE CHNA 12 PERSON STEERING COMMITTEE. THESE ORGANIZATIONS INCLUDE ; ADDISON COUNTY HOME HEALTH AND HOSPICE, ADDISON HOUSING WORKS, ASCEND HOUSING, ATIRA COLLECTIVE, BLUEPRINT FOR HEALTH, BOYS & GIRLS CLUB OF GREATER VERGENNES, BUILDING BRIGHT FUTURES, CHAMPLAIN VALLEY UNITARIAN UNIVERSALIST SOCIETY, CHARTER HOUSE COALITION, COUNSELING SERVICE OF ADDISON COUNTY, HOPE, JOHN GRAHAM HOUSING SERVICES, MIDDLEBURY POLICE DEPARTMENT, MOUNTAIN COMMUNITY HEALTH, RUTLAND REGIONAL MEDICAL CENTER, SAVIDA HEALTH, STATE OF VERMONT, AGENCY OF HUMAN SERVICES, THE BRISTOL HUB TEEN CENTER & SKATEPARK, TRI-VALLEY TRANSIT, TURNING POINT OF ADDISON COUNTY, UNITED WAY OF ADDISON COUNTY, VERMONT DEPARTMENT OF CHILDRENS AND FAMILIES, AND VERMONT DEPARTMENT OF HEALTH.
PORTER HOSPITAL, INC.	PART V, SECTION B, LINE 11: PARTICIPANTS IN THE CHNA DATA COLLECTION PROCESSES DESCRIBED ABOVE IDENTIFIED CONCERNS AROUND THE FOLLOWING AREAS: COST OF LIVING TO MEET BASIC NEEDS SUCH AS ACCESS TO FOOD, EMPLOYMENT OPPORTUNITIES, AND THE HIGH COST OF HEALTHCARE THAT CONTINUES TO BE A BARRIER FOR COMMUNITY MEMBERS; CULTURAL HUMILITY AND INCLUSIVITY ENSURING THAT OUR COMMUNITY SPACES AND SERVICES MAKE PEOPLE FEEL SAFE AND RESPECTED WHICH IS CRITICAL TO PROVIDING QUALITY CARE;HEALTHCARE ACCESS TO PRIMARY AND PREVENTATIVE CARE ALONG WITH SPECIALTY CARE THAT HAVE INDAEQUATE AVAILABILITY;INADEQUATE HOUSING THAT IS SAFE AND AFFORABLE. ACCROSS THE STATE THERE IS A HIGH LEVEL OF HOUSING INSECURITY. DATA SHOWS THAT ADDISON COUNTY COMMUNITY MEMBERS WEIGH DIFFICULT CHOICES, SUCH AS SPENDING LIMITED INCOME ON HOUSING INSTEAD OF HEALTHCARE;MENTAL HEALTH AND SUBSTANCE USE CONTINUE TO BE PRESSING ISSUES IN ADDISON COUNTY. DURING CHNA FOCUS GROUPS, SUBJECT MATTER EXPERTS HIGHLIGHTED CONCERNS ABOUT: THE INERPLAY OF MENTAL HEALTH AND SUBSTANCE USE CHALLENGES WITH OTHER COMMUNITY HEALTH ISSUES SUCH AS HOUSING, TRANSPORTATION, AND INSURANCE COVERAGE; THE NEED FOR MORE RESOURCES FOR THOSE STRUGGLING WITH SUBSTANCE MISUSE; AND THE NEED FOR CULTURAL COMPETENCY AND LANGUAGE ACCESS WHEN WORKING ON MENTAL HEALTH AND SUBSTANCE USE CONCERNS; TRANSPORTATION IS A SIGNIFICANT ISSUE IN RURAL AREAS. OVER 15% OF COMMUNITY SURVEY RESPONDENTS REPLIED THAT THEY DO NOT HAVE ACCESS TO AFFORDABLE TRANSPORTATION OPTIONS. THESE ISSUES ARE CROSS CUTTING AND IMPACT MULTIPLE COMMUNITY HEALTH PRIORITY AREAS. HAVING RELIABLE, SAFE AND AFFORDABLE TRANSPORTATION OPTIONS ALLOW COMMUNITY MEMBERS TO CONNECT WITH THE SERVICES THEY NEED IN A TIMELY MANNER. A VIRTUAL PRIORTIZATION SESSION WAS HOSTED IN JULY 2024 TO GATHER ADDITIONAL FEEDBACK FROM THE WIDER GROUP OF COMMUNITY ORGANIZATIONS. 24 INDIVIDUALS ATTENDED. PARTICIPANTS REVIEWED KEY DATA AND WERE ASKED TO RATE THE EMERGING PRIORITIES BASED ON IMPACT, COMMUNITY READINESS, AND EQUITY. COMMUNITY MEMBERS WHO WERE NOT IN ATTENDANCE WERE STILL INVITED TO PROVIDE FEEDBACK VIA THE SURVEY. THE FINAL SURVEY FEEDBACK AND FINDINGS WERE ANALYZED, INCLUDING RESPONSES FROM THE STEERING COMMITTEE AND COMMUNITY PRIORITIZATION SURVEYS, 29 INDIVIDUALS REPRESENTING 23 ORGANIZATIONS GAVE FEEDBACK ON THE EMERGING PRIORITIES VIA THE SURVEY. BASED ON THE FINDINGS THE PRIORITIES LISTED ABOVE EMERGED, WITH HEALTHCARE ACCESS, HOUSING, AND MENTAL HEALTH AND SUBSTANCE USE BEING THE TOP PRIORITY. FOLLOWING THE COMPLETION OF THE CHNA, DISCUSSIONS FOCUSED ON IDENTIFYING OPPORTUNITIES FOR ADDRESSING THE TOP THREE HEALTH NEEDS IDENTIFIED BY THE CHNA; HEALTHCARE ACCESS, HOUSING, AND MENTAL HEALTH & SUBSTANCE USE. MOST OF THE CHIP ACTIVITIES CAN BE WORKED ON THROUGH EXISTING COMMUNITY MEETING STRUCTURES. EACH CHIP PRIORITY HAS AN EXISTING COMMUNITY GROUP TO COORDINATE CHIP EFFORTS WITH; HEALTHCARE ACCESS IS WORKING WITH THE COMMUNITY HEALTH ACTION TEAM; HOUSING IS WORKING WITH ADDISON COUNTY HOUSING COALITIION; MENTAL HEALTH & SUBSTANCE USE HAS ADDISON COUNTY SUBSTANCE USE & PREVENTION COALITION. GOAL 1 TO CULTIVATE RESILIENT COMMUNITIES TO SUPPORT MENTAL HEALTH AND SOCIAL WELLBEING ACROSS THE LIFESPAN HAS A STRATGEY OF; 1) IDENTIFY AND IMPLEMENT RESOURCES TO PROMOTE RESILIENCY AND PROTECTIVE FACTORS FOR COMMUNITY MEMBERS.2) ALIGN WITH STATEWIDE AND REGIONAL INITIATIVES TO IMPROVE COMMUNITY UNDERSTANDING AROUND MENTAL HEALTH, SUBSTANCE USE DISORDER, AND STIGMA. GOAL 2 TO ADVANCE HEALTH AND WELLBEING THROUGH EQUITABLE ACCESS TO TIMELY, RESPONSIVE, AND INTEGRATED SYSTEMS HAS A STRATEGY OF: 1) INCREASE THE NUMBER OF PATIENTS WHO RECEIVE SUBSTANCE USE TREATMENT AND MENTAL HEALTH SERVICES.2) INCREASE AVAILABILITY OF PRIMARY CARE PHYSICIANS AND PREVENTATIVE SERVICES. 3) EXPAND TRANSPORTATION RELATED EFFORTS TO IMPROVE HEALTHCARE ACCESS.4) EXPAND WORKFORCE RECRUITMENT AND RETENTION EFFORTS TO INCREASE CAPACITY. GOAL 3 OF STRONG CROSS ORGANIZATION COMMITMENT AND ENGAGEMENT TO EXPAND OPPORTUNITIES FOR AFFORDABLE AND QUALITY HOUSING IN ADDISON COUNTY HAS A STRATEGY OF STRENGTHENING COLLABORATION AND COMMUNICATION BETWEEN PMC AND COMMUNITY SERVICE PROVIDERS. A MORE COMPREHENSIVE DISCUSSION OF THESE AND SIMILAR EFFORTS CAN BE FOUND IN AN ANNUAL REPORT AVAILABLE AT HTTPS://WWW.PORTERMEDICAL.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/.
PORTER HOSPITAL, INC.	PART V, SECTION B, LINE 13H: PATIENTS WHOSE FAMILY INCOME IS ABOVE 400% OF THE FEDERAL POVERTY GUIDELINES MAY BE ELIGIBLE TO RECEIVE ASSISTANCE ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES AT THE DISCRETION OF PORTER HOSPITAL.
PORTER HOSPITAL, INC.	PART V, SECTION B, LINE 15E: ELIGIBILITY VERIFICATION MAY INCLUDE WRITTEN DOCUMENTATION FROM THE OPEN DOOR CLINIC (A LOCAL, FREE HEALTH CLINIC FOR UNINSURED AND UNDER-INSURED ADULTS IN ADDISON COUNTY, VERMONT) OF FINANCIAL INFORMATION IN LIEU OF INCOME VERIFICATION. WHILE THE FINANCIAL ASSISTANCE POLICY DOES NOT PROVIDE A LIST OF "EXTERNAL" CONTACT INFORMATION FOR ORGANIZATIONS AGENCIES WHO MAY ASSIST PATIENTS IN THE APPLICATION PROCESS, APPLICATION COMPLETION AID IS WELL PUBLISHED WITH MULTIPLE INTERNAL, ORGANIZATIONAL AND PROVIDED BY STAFF MEMBERS AVAILABLE TO ASSIST OUR PATIENTS. IT IS ALSO IMPORTANT TO NOTE, WHENEVER POSSIBLE, 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 UNDER THE FINANCIAL ASSISTANCE PROGRAM.
PORTER HOSPITAL, INC.	PART V, SECTION B, LINE 16J: PORTER HOSPITAL MAKES ADDITIONAL EFFORTS TO ENGAGE PATIENTS IN FINANCIAL COUNSELING AND DETERMINATION OF ELIGIBILITY FOR FINANCIAL ASSISTANCE AS FOLLOWS: - SIGNAGE HAS BEEN POSTED IN ALL WAITING AREAS OF THE ORGANIZATION REGARDING FINANCIAL ASSISTANCE BEING OFFERED. - NOTICE OF AVAILABILITY OF FINANCIAL ASSISTANCE HAS BEEN ADDED TO THE PATIENT PORTAL ALONG WITH A PHONE NUMBER FOR ASSISTANCE ALONG WITH OUR WEBSITE ADDRESS FOR APPLICATION. - OUTPATIENT PREREGISTRATION CALLS NOTIFY PATIENTS OF AVAILABILITY OF FINANCIAL ASSISTANCE. - REGISTRATION AREAS NOTIFY PATIENTS OF AVAILABILITY OF FINANCIAL ASSISTANCE AS WELL AS HAVING APPLICATIONS READILY AVAILABLE. - EVERY STATEMENT HAS THE NOTICE OF AVAILABILITY OF FINANCIAL ASSISTANCE ALONG WITH A PHONE NUMBER TO CALL FOR ASSISTANCE AND A WEBSITE TO VISIT FOR AN APPLICATION. - THE UVMHN CUSTOMER SERVICE DEPARTMENT MAKES A REASONABLE EFFORT TO CALL PATIENTS FOR COLLECTIONS OF SELF-PAY BALANCES AND NOTIFICATION OF FINANCIAL ASSISTANCE.
PORTER HOSPITAL, INC.	PART V, SECTION B, LINE 20E: (ALSO APPLICABLE TO LINE 20A) PORTER HOSPITAL DOES NOT TAKE ANY EXTRAORDINARY COLLECTION ACTIONS.
PART V, SECTION B, LINES 7A, 10A, AND 16A-16C: HOSPITAL FACILITY'S WEBSITE	CHNA AND IMPLEMENTATION STRATEGY:WWW.PORTERMEDICAL.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/FINANCIAL ASSISTANCE POLICY, FAP APPLICATION, AND PLAIN LANGUAGE SUMMARY: WWW.PORTERMEDICAL.ORG/PATIENTS-VISITORS/PATIENT-FINANCIAL-SERVICES/

Schedule H (Form 990) 2023

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?10
Name and address		Type of Facility (describe)
1	1 - UVMHN-PMC ORTHOPEDICS 2436 EXCHANGE STREET MIDDLEBURY,VT05753	PHYSICIAN CLINIC
2	2 - UVMHN-PMC PRIMARY CARE-MIDDLEBURY 82 CATAMOUNT PARK MIDDLEBURY,VT05753	FAMILY PHYSICIAN CLINIC
3	3 - UVMHN-PMC PRIMARY CARE-VERGENNES 10 NORTH STREET VERGENNES,VT05491	FAMILY PHYSICIAN CLINIC
4	4 - UVMHN-PMC PEDIATRIC PRIMARY CARE 1330 EXCHANGE STREET 201 MIDDLEBURY,VT05753	PHYSICIAN CLINIC
5	5 - UVMHN-PMC PRIMARY CARE-BRANDON 61 COURT DRIVE BRANDON,VT05733	FAMILY PHYSICIAN CLINIC
6	6 - UVMHN-PMC EAR NOSE & THROAT 1330 EXCHANGE STREET 202 MIDDLEBURY,VT05753	PHYSICIAN CLINIC
7	7 - UVMHN-PMC PRIMARY CARE-BRISTOL 61 PINE STREET BRISTOL,VT05443	PHYSICIAN CLINIC
8	8 - UVMHN-PMC CARDIOLOGY 115 PORTER DRIVE MIDDLEBURY,VT05753	PHYSICIAN CLINIC
9	9 - UVMHN-PMC PODIATRY 76 COURT STREET MIDDLEBURY,VT05753	PHYSICIAN CLINIC
10	10 - UVMHN-PMC WOMEN'S HEALTH 116 PORTER DRIVE MIDDLEBURY,VT05753	PHYSICIAN CLINIC

Schedule H (Form 990) 2023

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
PART I, LINE 3C:	ELIGIBILITY FOR FINANCIAL ASSISTANCE WILL BE CONSIDERED FOR THOSE WHO ARE UNINSURED, UNDERINSURED, AND INELIGIBLE FOR ANY GOVERNMENT HEALTH CARE BENEFIT PROGRAM. TO QUALIFY FOR FINANCIAL ASSISTANCE, AN ELIGIBLE PATIENT MUST PASS BOTH AN INCOME AND ASSETS TEST. THE INCOME TEST IS SET AT A MAXIMUM OF 400% FEDERAL POVERTY LEVEL GUIDELINES (FPLG) AND THE ASSET TEST ALLOWS LIQUID ASSETS EQUAL TO INCOME LEVELS OF 400% OF THE FEDERAL POVERTY LEVEL, ADJUSTED TO HOUSEHOLD SIZE. IF ASSETS ARE BELOW THE GUIDELINE, THE PATIENT PASSES THE ASSET TEST. ADDITIONALLY AND INDEPENDENTLY, FINANCIAL ASSISTANCE IS AVAILABLE TO MEDICALLY INDIGENT INDIVIDUALS WHOSE HOSPITAL BILLS EXCEED 20% OF ANNUAL HOUSEHOLD INCOME. PATIENTS MUST RESIDE WITHIN PORTER HOSPITAL SERVICE AREA, WHICH INCLUDES ALL OF VERMONT AND SELECT COUNTIES IN NEW YORK AND NEW HAMPSHIRE, UNLESS MEDICAL SERVICES WERE URGENT OR EMERGENT IN NATURE. FINANCIAL ASSISTANCE FOR RESIDENTS OUTSIDE OF PORTER HOSPITALS SERVICE AREA WILL BE GRANTED IN UNIQUE CIRCUMSTANCES AND WITH APPROPRIATE APPROVAL.
PART I, LINE 7:	THE ORGANIZATION USED A COST-TO-CHARGE RATIO FOR THE PURPOSES OF CALCULATING AMOUNTS ON LINES 7A AND 7B. AN ACTUAL COSTING METHOD WAS USED TO CALCULATE AMOUNTS ON LINES 7E, 7F, 7G AND 7I.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES PROVIDED DESPITE A LOSS TO THE ORGANIZATION INCLUDED SERVICES PROVIDED TO PUBLIC AGENCIES SERVING POPULATIONS SUCH AS VETERANS, DISABLED PERSONS, AND CRIME VICTIMS, AND ALSO INCLUDED HOSPITAL DEPARTMENTS MEETING NEEDS THAT ARE NOT OTHERWISE AVAILABLE IN THE COMMUNITY SUCH AS DELIVERY, NEWBORN AND POSTPARTUM SERVICES, AND SERVICES RELATED TO MENTAL HEALTH.
PART I, LN 7 COL(F):	THE PROVISION FOR BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE AMOUNT REPORTED ON LINE 7(F) IS $0. BAD DEBT IS DEDUCTED FROM PATIENT SERVICE REVENUE REPORTED ON FORM 990, PART VIII.
PART III, LINE 2:	THE ORGANIZATION USED THE UNCOMPENSATED AND INDIGENT CARE COST-TO-CHARGE RATIO FROM ITS MEDICAID COST REPORT AS ITS COSTING METHODOLOGY TO CALCULATE BAD DEBT EXPENSE AT COST.
PART III, LINE 3:	DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE NETTED AGAINST THE TOTAL GROSS CHARGES WHEN DETERMINING BAD DEBT EXPENSE. THE $62,921 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. PORTER HOSPITAL HAS A DATABASE WHICH TRACKS ALL APPLICATIONS AND THEIR STATUS; A QUERY EXTRACTED ALL INCOMPLETE/NON RESPONSIVE ARCHIVED APPLICATIONS PROVIDING A LIST OF PATIENTS & DEPENDENTS. SUBSEQUENTLY, A QUERY OF ASSOCIATED PATIENT SERVICES FROM 10/1/23-9/30/24 FOR "SELF-PAY AND COLLECTION ACCOUNTS WAS EXTRACTED FROM THE BILLING SYSTEM.
PART III, LINE 4:	THE ORGANIZATION'S BAD DEBT EXPENSE IS ADDRESSED ON PAGE 26 IN FOOTNOTE 4 OF ITS MOST RECENT AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE AMOUNT REPORTED IN PART III, LINE 6, MEDICARE ALLOWABLE COSTS OF CARE, IS DERIVED FROM PORTER HOSPITAL'S FYE 9/30/24 MEDICARE COST REPORT, WORKSHEETS E-1 THROUGH E-3. WHILE PORTER HOSPITAL HAS 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 ORGANIZATION'S WRITTEN DEBT COLLECTION POLICY PROVIDES THAT PATIENTS INDICATING AN INABILITY TO MEET THEIR FINANCIAL OBLIGATIONS ARE TO BE REFERRED TO THE PATIENT FINANCIAL ADVOCATE. THE POLICY PROVIDES FURTHER THAT PATIENTS WHO APPLY UNDER THE FINANCIAL ASSISTANCE POLICY ARE NOT CHARGED MORE THAN AMOUNTS GENERALLY BILLED AND QUALIFY FOR A SLIDING SCALE DISCOUNT. THE BILLING AND COLLECTIONS PROCESS IS EXTENDED FOR UP TO THE LATTER OF 240 DAYS OR SIX WEEKS AFTER A PATIENT HAS REQUESTED A FINANCIAL ASSISTANCE APPLICATION FOR PATIENTS REQUESTING A FINANCIAL ASSISTANCE APPLICATION. ONCE A PATIENT IS DETERMINED ELIGIBLE FOR FINANCIAL ASSISTANCE, ALL PAYMENTS MADE IN EXCESS OF THE FAP-ELIGIBLE AMOUNT ARE FUNDED AND THE FAP-ELIGIBLE AMOUNT IS NOT PURSUED.
PART VI, LINE 2:	PORTER HOSPITAL PARTNERS WITH A NUMBER OF COMMUNITY HEALTH RESOURCE GROUPS INCLUDING ADDISON COUNTY RELOCALIZATION NETWORK (ACORN), ADDISON COUNTY HOME HEALTH & HOSPICE, ADDISON HOUSING WORKS, AND AGENCY OF HUMAN SERVICES (AHS). ACORN SUPPORTS FARMERS AND FOOD PRODUCRES, ENGAGES IN FOOD EDUCATION, AND ENSURES ACCESS TO HEALTHY FOOD FOR ALL COMMUNITY MEMBERS. ADDISON COUNTY HOME HEALTH AND HOSPICE PROVIDES HOME CARE SERVICES TO FAMILIES AND INDIVIDUALS OF ALL AGES SUCH AS NURSING, REHABILITATION, MEDICAL SOCIAL WORK, AND ANCILLARY SUPPORT ALONG WITH HOSPICE AND PALLIATIVE CARE PROGRAMS. ADDISON HOUSING WORKS FORMERLY KNOWN AS ADDISON COUNTY COMMUNITY TRUST IS A NONPROFIT AFFORDABLE HOUSING TRUST WITH RENTAL APARTMENTS, MOBILE HOME PARKS, SINGLE-FAMILY HOMES, AND SENIOR HOUSING. AHS IS A DIVISION OF THE VERMONT STATE GOVERNMENT THAT PROVIDES PROGRAMS AND BENEFITS TO IMPROVE THE ECONOMIC WELL-BEING OF VERMONTERS. THESE BENEFITS ARE FOR A VARIETY OF TOPICS SUCH AS CHILDREN, EMERGENCIES, FOOD, FUEL & UTILITIES, HOUSING, WORK & FAMILY SUPPORT. THESE PARTNERSHIPS GIVE PORTER HOSPITAL A FIRST HAND LOOK INTO WHAT IS HAPPENING AROUND THE COMMUNITY, AND ALLOWS US TO BETTER SUPPORT OUR COMMUNITY.
PART VI, LINE 3:	PORTER HOSPITAL ("PORTER") UTILIZES A VARIETY OF METHODS TO INFORM, EDUCATE, AND ASSIST PAYMENTS IN IDENTIFYING PAYMENT SOURCES, INCLUDING STATE / FEDERAL PROGRAMS AND ITS FINANCIAL ASSISTANCE POLICY. PORTER WIDELY PUBLICIZES ITS FINANCIAL ASSISTANCE POLICY ON ITS WEBSITE, WHICH INCLUDES THE POLICY, THE APPLICATION, AND PLAIN LANGUAGE SUMMARY IN BOTH ENGLISH AND SPANISH. PAPER COPIES ARE AVAILABLE WITHOUT CHARGE AT LOCATIONS THROUGHOUT THE HOSPITAL INCLUDING BUT NOT LIMITED TO REGISTRATIONS DESKS IN THE ER AS WELL AS OFFSITE LOCATIONS. INDIVIDUALS ARE NOTIFIED ABOUT THE FAP WITH BILLING NOTICES AND OTHER BROCHURES PLACED THROUGHOUT PORTER FACILITIES.PORTER MAINTAINS ITS OWN HEALTH ASSISTANCE PROGRAM TO HELP ELIGIBLE LOW AND MIDDLE INCOME FAMILIES OBTAIN PRESCRIPTION MEDICATIONS, EYEGLASSES, AND MEDICAL EQUIPMENT AT NO COST. THE HEALTH ASSISTANCE PROGRAM ALSO PROVIDES ASSISTANCE WITH ENROLLMENT IN STATE AND FEDERAL PROGRAMS, INCLUDING OBTAINING INSURANCE THROUGH THE VERMONT HEALTH CONNECT EXCHANGE, AND PROVIDES ADVOCACY AND SUPPORT WITH OBTAINING OTHER HEALTH CARE RELATED RESOURCES.ADDITIONALLY, PORTER'S OFFICE OF PATIENT AND FAMILY ADVOCACY IS AVAILABLE TO HELP WITH CONCERNS ABOUT DELIVERY OF CARE, INCLUDING BUT NOT LIMITED TO COSTS.
PART VI, LINE 4:	ADDISON COUNTY IS LOCATED IN THE LOWER CHAMPLAIN VALLEY OF VERMONT WITH LAKE CHAMPLAIN AND THE ADIRONDACKS TO THE WEST AND THE GREEN MOUNTAINS TO THE EAST. THE UNIQUE LANDSCAPE OF ADDISON COUNTY, THE FARMLANDS OF THE CHAMPLAIN VALLEY, AND THE PREDOMINATELY WOODED SETTINGS NEAR THE GREEN MOUNTAINS PROMOTE A BLEND OF LIGHT INDUSTRY AND FARMING. THE MAJOR EMPLOYERS IN THE COUNTY INCLUDE MIDDLEBURY COLLEGE, PORTER MEDICAL CENTER (AND ITS AFFILIATES INCLUDING PORTER HOSPITAL), AND COLLINS AEROSPACE.PORTER HOSPITAL SERVES 37,363 RESIDENTS LOCATED IN ADDISON COUNTY, VERMONT, WHICH COMPRISES APPROXIMATELY 6% OF THE STATE'S TOTAL POPULATION. AS OF 2023, A VAST MAJORITY (91.4%) OF ADDISON COUNTY RESIDENTS WERE WHITE, NON-HISPANIC. HISPANIC OR LATINO RESIDENTS ARE ADDISON COUNTY'S MORE PREVALENT MINORITY POPULATION AT 2.5%. THE US CENSUS BUREAU ESTIMATES THAT 4.7% OF ADDISON COUNTY RESIDENTS UNDER THE AGE OF 65 WERE UNINSURED IN 2022. ABOUT 89.4% OF THE POPULATION HAS A HIGH SCHOOL DIPLOMA OR HIGHER, 41.8% OF THE POPULATION HAS A BACHELOR'S DEGREE OR HIGHER, WITH A MEDIAN HOUSEHOLD INCOME OF $85,870.
PART VI, LINE 5:	IN ADDITION TO THE COLLABORATIONS AND PARTNERSHIPS DESCRIBED PREVIOUSLY:PORTER HOSPITAL ("PORTER") PROVIDES RENT-FREE CLINIC SPACE AND VOUCHERS FOR NO-COST ANCILLARY SERVICES TO THE LOCAL OPEN DOOR CLINIC IN ITS ROLE AS A CATALYST IN THE DELIVERY OF HEALTH CARE SERVICES TO ITS ENTIRE COMMUNITY. PORTER OFFERS FREE AND LOW COST COMMUNITY EDUCATION PROGRAMS ON HEALTH CARE TOPICS INCLUDING MEMORY LOSS, DEMENTIA, BREAST CANCER SCREENING, BASIC DIABETES, CPR, SMOKING CESSATION, NUTRITION, PHYSICAL FITNESS, PARENTING, PRENATAL EXERCISE AND BREASTFEEDING. A MAJORITY OF THE GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN ITS SERVICE AREA AND WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF PORTER NOR FAMILY MEMBERS THEREOF. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR ALL DEPARTMENTS AND/OR SPECIALTIES.SURPLUS FUNDS ARE INVESTED IN TECHNOLOGY, FACILITIES AND PROGRAMS.
PART VI, LINE 6:	ON APRIL 1, 2017, THE UNIVERSITY OF VERMONT HEALTH NETWORK ("UVMHN") BECAME THE SOLE MEMBER OF PORTER MEDICAL CENTER, INC., THE PARENT ORGANIZATION FOR BOTH PORTER HOSPITAL AND HELEN PORTER NURSING HOME, INC. WITH SIX HOSPITALS ACROSS VERMONT AND NORTHERN NEW YORK, AS WELL AS A MEDICAL GROUP, AND AFFILIATED CLINICS, NURSING HOMES, AND NON-HOSPITAL FACILITIES, UVMHN COMPRISES AN INTEGRATED SYSTEM OF CARE SERVING ITS COMMUNITIES. UVMHN CARRIES OUT CENTRALIZED ACTIVITIES FOR THE BENEFIT OF PATIENTS OF ALL 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, AND COLLABORATIVE EFFORTS. PORTER HOSPITAL REGULARLY PARTNERS WITH OTHER ORGANIZATIONS AND PROVIDERS TO HELP MEET THE NEEDS OF ITS COMMUNITY. THIS INCLUDES WORKING WITH OTHER ORGANIZED SYSTEMS OF CARE (LIKE HOME HEALTH AGENCIES AND PHYSICIAN PRACTICES), AS WELL AS COMMUNITY-BASED ORGANIZATIONS WHOSE MISSIONS ARE SIMILAR. FOR EXAMPLE, PORTER HOSPITAL COLLABORATES WITH COMMUNITY PARTNERS TO REGULARLY ASSESS COMMUNITY AND HEALTH CARE NEEDS, WHICH HELPS GUIDE THE ORGANIZATION'S PRIORITIES.
PART VI, LINE 7	PORTER HOSPITAL, INC. FILES A COMMUNITY BENEFIT REPORT WITH THE STATE OF VERMONT.

Schedule H (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
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Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
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Attach to Form 990.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

PORTER HOSPITAL INC

Employer identification number

03-0181058

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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 .....

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? ....

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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.

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:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

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:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

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 ............

Yes

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 ..........................

Yes

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2023

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
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1DR JASON SANDERS PRES/CEO OF UVMHNMG	(i) (ii)	0 ------------- 407,420	0 ------------- 89,269	0 ------------- 11,986	0 ------------- 58,037	0 ------------- 37,513	0 ------------- 604,225	0 ------------- 0
2TOM THOMPSON FMR PRES & COO	(i) (ii)	0 ------------- 279,048	0 ------------- 34,306	0 ------------- 133,145	0 ------------- 10,851	0 ------------- 459	0 ------------- 457,809	0 ------------- 6,726
3JUDY PEEK-LEE FMR INTERIM CFO	(i) (ii)	0 ------------- 358,573	0 ------------- 26,906	0 ------------- 6,057	0 ------------- 23,100	0 ------------- 16,218	0 ------------- 430,854	0 ------------- 0
4BOB ORTMYER PRES, ECH & PMC	(i) (ii)	0 ------------- 298,981	0 ------------- 28,139	0 ------------- 35,641	0 ------------- 51,084	0 ------------- 11,200	0 ------------- 425,045	0 ------------- 0
5DR KRISTOFER ANDERSON DIRECTOR	(i) (ii)	0 ------------- 370,565	0 ------------- 0	0 ------------- 1,924	0 ------------- 19,800	0 ------------- 15,928	0 ------------- 408,217	0 ------------- 0
6ERIC BERG CRNA	(i) (ii)	281,833 ------------- 0	0 ------------- 0	16,585 ------------- 0	12,614 ------------- 0	32,921 ------------- 0	343,953 ------------- 0	0 ------------- 0
7AMY BISHOP CRNA	(i) (ii)	283,436 ------------- 0	0 ------------- 0	16,473 ------------- 0	9,280 ------------- 0	32,290 ------------- 0	341,479 ------------- 0	0 ------------- 0
8SCOTT COMEAU CFO	(i) (ii)	0 ------------- 246,766	0 ------------- 17,387	0 ------------- 5,380	0 ------------- 11,017	0 ------------- 30,711	0 ------------- 311,261	0 ------------- 0
9ADAM ECKHARDT CRNA	(i) (ii)	238,106 ------------- 0	20,000 ------------- 0	4,217 ------------- 0	8,144 ------------- 0	30,913 ------------- 0	301,380 ------------- 0	0 ------------- 0
10WILLIAM HARRINGTON CRNA	(i) (ii)	267,722 ------------- 0	0 ------------- 0	7,516 ------------- 0	10,983 ------------- 0	316 ------------- 0	286,537 ------------- 0	0 ------------- 0
11TIFFANY LOVE AVP/CHIEF NURSING OFF (TIL 7/2023)	(i) (ii)	93,111 ------------- 0	0 ------------- 0	158,228 ------------- 0	0 ------------- 0	6,817 ------------- 0	258,156 ------------- 0	0 ------------- 0
12LINDA HAVEY AVP CHIEF NURSING OFFICER	(i) (ii)	0 ------------- 197,591	0 ------------- 27,055	0 ------------- 20,447	0 ------------- 9,802	0 ------------- 2,314	0 ------------- 257,209	0 ------------- 0
13BRANDI BETCHER HELM AVP OPERATIONS	(i) (ii)	0 ------------- 172,445	0 ------------- 24,735	0 ------------- 13,559	0 ------------- 6,386	0 ------------- 3,638	0 ------------- 220,763	0 ------------- 0
14MICHAEL LEYDEN FMR AVP OPERATIONS	(i) (ii)	104,254 ------------- 0	0 ------------- 0	333 ------------- 0	3,255 ------------- 0	16,950 ------------- 0	124,792 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2023

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
PART I, LINE 3	PORTER HOSPITAL RELIED ON THE UNIVERSITY OF VERMONT HEALTH NETWORK ("UVM HEALTH NETWORK"), PARENT OF PORTER HOSPITAL'S PARENT ORGANIZATION, PORTER MEDICAL CENTER, TO ESTABLISH SENIOR EXECUTIVE COMPENSATION. UVM HEALTH NETWORK UTILIZED THE FOLLOWING METHODS TO ESTABLISH COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINES 4A-B	PORTER MEDICAL CENTER PRESIDENT & COO TOM THOMPSON ENTERED INTO AN AGREEMENT EFFECTIVE 10/2023 UNDER WHICH HE RECEIVED 6 MONTHS CONTINUATION OF BASE SALARY. PAYMENTS MADE UNDER THIS AGREEMENT WERE MADE IN THE 2023 CALENDAR YEAR AND ARE THEREFORE INCLUDED IN THE AMOUNTS REPORTED HEREIN. AVP/ CHIEF NURSING OFFICER TIFFANY LOVE ENTERED INTO AN AGREEMENT EFFECTIVE 7/2023 UNDER WHICH SHE RECEIVED THE FIRST 6 MONTHS OF ANNUAL BASE SALARY IN A LUMP SUM PAYMENT WITH THE REMAINING 3 MONTHS OF ANNUAL BASE SALARY PAID IN REGULAR EQUAL BIWEEKLY INSTALLMENTS OVER THE COURSE OF THREE MONTHS CONSISTENT WITH CUSTOMARY PAYROLL PRACTICES. SUPPLEMENTAL RETIREMENT PLAN: THE UNIVERSITY OF VERMONT HEALTH NETWORK MAINTAINS A SUPPLEMENTAL RETIREMENT BENEFIT PLAN (SRP) FOR CERTAIN EMPLOYEES AT ANY NETWORK ENTITY UNDER CONTRACTUAL ARRANGEMENT WITH SEVERAL PERSONS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A. PURSUANT TO THE TERMS OF THE SRP, ANNUAL CREDITS WERE MADE EQUAL TO A FIXED PERCENTAGE OF BASE SALARY. THE FOLLOWING PERSONS PARTICIPATED IN THE SRP IN CALENDAR YEAR 2023, AND THEIR RESPECTIVE FIXED PERCENTAGE IS DESIGNATED IN PARENTHESES: BOB ORTMYER (6.42%); AND JASON SANDERS ( 8.68%). DEFERRED AMOUNTS VEST ON THE EARLIER OF: (I) JANUARY 1 OF THE THIRD PLAN YEAR AFTER THE PLAN YEAR FOR WHICH THE ACCOUNT WAS CREATED; OR (II) THE PARTICIPANT'S 65TH BIRTHDAY. TOM THOMPSON RECEIVED SRP DISTRIBUTIONS REFLECTED IN SCH J, PART II, COL (B)(III) AND (F). AMOUNTS DEFERRED DURING CALENDAR YEAR 2023 ARE INCLUDED ON SCHEDULE J, PART II, COLUMN C. AMOUNTS DEFERRED REMAIN SUBJECT TO FORFEITURE IF CERTAIN CONDITIONS ARE NOT MET.
PART I, LINE 7	PORTER HOSPITAL PAID AWARDS TO CERTAIN MEMBERS OF UPPER MANAGEMENT (OFFICERS, VICE PRESIDENTS, PHYSICIAN CHAIRS AND SENIOR EXECUTIVES) THROUGH ITS ANNUAL VARIABLE PAY PLAN AS THE PLAN'S PERFORMANCE MEASURES WERE MET. THE MEASURES WERE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THESE MEASURES INCLUDED FINANCIAL, POPULATION HEALTH & QUALITY, AND OPERATIONAL RELATED METRICS. ADDITIONALLY, CERTAIN EMPLOYEES OF THE ORGANIZATION WERE ELIGIBLE TO RECEIVE DISCRETIONARY BONUSES FOR RETENTION AND TAKING ON EXTRA RESPONSIBILITIES.
PART I, LINE 8	SALARIES AND OTHER FIXED AMOUNTS PAYABLE TO EXECUTIVES SUCH AS OFFICERS AND CERTAIN KEY EMPLOYEES ARE SET BY CONTRACTS THAT ARE NEGOTIATED AND ENTERED INTO PRIOR TO THE COMMENCEMENT OF EACH EXECUTIVES' EMPLOYMENT. THE TERMS OF SUCH CONTRACTS ARE APPROVED IN ADVANCE BY THE APPROPRIATE COMPENSATION COMMITTEE OR OTHER BOARD-AUTHORIZED BODY, WHICH OBTAINS AND RELIES ON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING SUCH OFFER, AND CONCURRENTLY DOCUMENTS ITS BASIS FOR DETERMINATION.

Schedule J (Form 990) 2023

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
PORTER HOSPITAL INC

Employer identification number
03-0181058

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	VERMONT EDUCATIONAL HEALTH BUILDINGS AND FINANCING AGENCY	23-7154467	NONEAVAIL	08-06-2015	12,650,000	REFUND 2006 SERIES A BONDS		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	4,866,150
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	12,650,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	138,787
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............
11 Other spent proceeds .............	12,511,213
12 Other unspent proceeds .............
13 Year of substantial completion .............	2015
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X
16 Has the final allocation of proceeds been made? ..........	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2023

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X
b Exception to rebate? ........	X
c No rebate due? .........		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X

Schedule K (Form 990) 2023

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...		X

Part Ⅴ

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
SCHEDULE K, PART I, COL (C) CUSIP #	BECAUSE THE BONDS ARE HELD BY A PRIVATE FINANCIAL INSTITUTION AND WERE NEVER OFFERED TO THE PUBLIC, A CUSIP NUMBER WAS NOT ASSIGNED.

Schedule K (Form 990) 2023

Additional Data

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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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

PORTER HOSPITAL INC

Employer identification number

03-0181058

Return Reference	Explanation
FORM 990, PART 1, LINE 1:	OPERATION OF A CRITICAL ACCESS HOSPITAL, IN LINE WITH OUR MISSION TO IMPROVE THE HEALTH OF OUR COMMUNITY, ONE PERSON AT A TIME.
FORM 990, PART VI, SECTION A, LINE 2	THE GOVERNING BODY FOR PORTER HOSPITAL, INC. IS IDENTICAL TO THAT OF HELEN PORTER NURSING HOME, INC. AS WELL AS THEIR PARENT ORGANIZATION, PORTER MEDICAL CENTER. SCOTT COMEAU, BRANDI (BETCHER) HELM, AND LINDA HAVEY HAD EMPLOYMENT RELATIONSHIPS WITH PORTER MEDICAL CENTER. DR. JASON SANDERS AND DR. KRISTOFER ANDERSON HAD AN EMPLOYMENT RELATIONSHIP WITH THE UNIVERSITY OF VERMONT HEALTH NETWORK MEDICAL GROUP, INC. WHERE DR. JASON SANDERS SERVED AS AN OFFICER AND DIRECTOR.
FORM 990, PART VI, SECTION A, LINE 4	EFFECTIVE JANUARY 1, 2024, THE BYLAWS FOR PORTER HOSPITAL WERE AMENDED IN CONNECTION WITH A NETWORK-WIDE EFFORT TO PROMOTE EFFICIENCY AND STANDARDIZATION IN THE DELIVERY OF MEDICAL SERVICES THROUGH THE CREATION OF A SINGLE, UNIFIED MEDICAL STAFF (THE "MEDICAL STAFF"). THE AMENDMENTS REMOVE PROVISIONS IN THE BYLAWS RELATING TO THE ADMINISTRATION OF A SEPARATE MEDICAL STAFF, INCLUDING PROVISIONS GRANTING THE BOARD OF TRUSTEES AUTHORITY TO APPROVE MEDICAL STAFF AND CREDENTIALS. IN THE PLACE OF THESE PROVISIONS, ADDITIONAL PROVISIONS WERE ADDED RELATING TO THE ADMINISTRATION OF A CAMPUS ADVISORY COMMITTEE OF THE MEDICAL STAFF. THE CHAIR OF THE CAMPUS ADVISORY COMMITTEE SHALL SERVE EX OFFICIO, WITH VOTE, ON THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 6	PORTER MEDICAL CENTER, INC. IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE GOVERNING BODY OF PORTER HOSPITAL, INC. IS IDENTICAL TO THAT OF ITS PARENT ORGANIZATION, PORTER MEDICAL CENTER, INC. THE UNIVERSITY OF VERMONT HEALTH NETWORK, AS SOLE MEMBER OF PORTER MEDICAL CENTER, INC., HAS POWERS TO ELECT MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7B	UVM HEALTH NETWORK HAS THE POWER TO APPROVE SIGNIFICANT CORPORATE ACTIONS, INCLUDING ANNUAL OPERATING AND CAPITAL BUDGETS, STRATEGIC PLANS, THE APPOINTMENT OF THE CEO, THE INCURRENCE OF LONG-TERM INDEBTEDNESS, AMENDMENTS TO THE ORGANIZATION'S BYLAWS AND ARTICLES OF ORGANIZATION, AND APPROVAL OF MAJOR FINANCIAL DECISIONS INCLUDING MERGERS, BANKRUPTCIES, AND THE DEVELOPMENT OR TERMINATION OF PROGRAM SERVICES. UVM HEALTH NETWORK IS A VERMONT NON-PROFIT CORPORATION WHICH HAS BEEN RECOGNIZED BY THE IRS AS A 501(C)(3) ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 FOR PORTER HOSPITAL, INC. IS PREPARED BY UVM MEDICAL CENTER STAFF AND REVIEWED BY PWC US TAX LLP. FOLLOWING OR CONCURRENT WITH PWC'S REVIEW, A DRAFT RETURN IS PRESENTED TO THE UVM HEALTH NETWORK AUDIT COMMITTEE AND MANAGEMENT FOR REVIEW AND COMMENT. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO THE FORM BEING FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH ANNUAL QUESTIONNAIRES AND CERTIFICATIONS REQUIRED OF ALL TRUSTEES, OFFICERS, AND OTHER INDIVIDUALS IN A POSITION TO EXERCISE INFLUENCE OVER THE AFFAIRS OF THE ORGANIZATION, THROUGH ONGOING DUTIES TO DISCLOSE TRANSACTIONS IN WHICH SUCH PERSONS HAVE A DIRECT OR INDIRECT FINANCIAL INTEREST, AND THROUGH ONGOING MONITORING EFFORTS BY THE ORGANIZATION'S CFO AND CONTROLLER. WHEN A POTENTIAL CONFLICT IS DISCLOSED OR OTHERWISE IDENTIFIED, THE BOARD OR AFFECTED BOARD COMMITTEE IS CHARGED WITH DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS, WITH THE INTERESTED PERSON BEING DISQUALIFIED FROM VOTING, PARTICIPATION, AND ATTENDANCE. IF THE BOARD OR BOARD COMMITTEE DETERMINES THAT A CONFLICT OF INTEREST DOES IN FACT EXIST, THEN SUCH PERSON IS RESTRICTED FROM PARTICIPATION IN ALL DELIBERATIONS PERTAINING TO THE PROPOSED TRANSACTION OR ARRANGEMENT AT ISSUE. THE REMAINING BOARD OR COMMITTEE MEMBERS MAY, AT THEIR DISCRETION, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. THE MINUTES OF THE BOARD OR AFFECTED COMMITTEE SHALL CONTAIN THE NAME OF THE INTERESTED PERSON, THE NATURE OF THE INTEREST, ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT WAS PRESENT, AND THE DECISION AS TO WHETHER A CONFLICT EXISTED. VIOLATIONS OF THE CONFLICT OF INTEREST POLICY ARE SUBJECT TO DISCIPLINARY AND CORRECTIVE ACTION INCLUDING BUT NOT LIMITED TO TERMINATION.
FORM 990, PART VI, SECTION B, LINE 15	THE ORGANIZATION DELEGATES THE SETTING OF EXECUTIVE COMPENSATION TO THE UVM HEALTH NETWORK COMPENSATION COMMITTEE, AN INDEPENDENT COMMITTEE, UNDER PRINCIPLES DESCRIBED IN ITS CHARTER. THE UVM HEALTH NETWORK HAS ADOPTED A COMPENSATION PHILOSOPHY WHICH PROVIDES A FRAMEWORK FOR SETTING COMPENSATION FOR THE EXECUTIVES OF UVM HEALTH NETWORK AND ITS AFFILIATED MEMBER ORGANIZATIONS. THE PARAMETERS OF THIS PHILOSOPHY INCLUDE UTILIZING APPROPRIATE NATIONAL AND REGIONAL PEER GROUPS. SALARIES ARE TARGETED AT THE 50TH PERCENTILE OF THE NATIONAL PEER GROUP, WITH PERFORMANCE BASED VARIABLE PAY OPPORTUNITIES TO ACHIEVE UP TO THE 65TH PERCENTILE, DEPENDING ON ORGANIZATION AND INDIVIDUAL RESULTS. COMPENSATION LEVELS ARE APPROVED BY THE NETWORK COMPENSATION COMMITTEE FOR THE UVM HEALTH NETWORK/DIRECT REPORTS AND THE AFFILIATED ORGANIZATIONS' CEOS. CALCULATIONS ARE PERFORMED USING THE SAME PHILOSOPHY FOR THE THIRD TIER OF LEADERSHIP, WITH THE EXCEPTION THAT THE LOCAL BOARDS APPROVE COMPENSATION FOR ALL NON-CEO POSITIONS. ALL ACTIONS TAKEN REGARDING EXECUTIVE COMPENSATION ARE CONTEMPORANEOUSLY DOCUMENTED BY THE APPROPRIATE ORGANIZATION. THIS REVIEW IS PERFORMED ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 14,889,681. MANAGEMENT AND GENERAL EXPENSES 14,115,800. FUNDRAISING EXPENSES 172,859. TOTAL EXPENSES 29,178,340.
FORM 990, PART XI, LINE 9:	CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS 170,632. TEMPORARILY RESTRICTED CONTRIBUTIONS -781,159. OTHER CHANGES IN NET ASSETS -21,015. TRANSFER OF NET ASSETS -2,882,450. PENSION PLAN ADJUSTMENT

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2023

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SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

PORTER HOSPITAL INC

Employer identification number

03-0181058

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?
(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	Yes	No
(1)THE UNIVERSITY OF VERMONT MEDICAL CENTER 111 COLCHESTER AVE BURLINGTON,VT05401 03-0219309	HOSPITAL	VT	501(C)(3)	3	UVMHN	Yes
(2)THE UNIVERSITY OF VERMONT MED CTR FDN INC 111 COLCHESTER AVE BURLINGTON,VT05401 26-3159849	FUNDRAISING	VT	501(C)(3)	12A-I	UVMMC	Yes
(3)UNIVERSITY OF VERMONT HEALTH NETWORK INC 111 COLCHESTER AVE BURLINGTON,VT05401 45-2880726	HOLDING COMPANY	VT	501(C)(3)	12A-I	N/A		No
(4)CENTRAL VERMONT MEDICAL CENTER 130 FISHCHER ROAD BERLIN,VT05602 22-2547186	HOSPITAL	VT	501(C)(3)	3	UVMHN	Yes
(5)UNIVERSITY HEALTH CENTER 111 COLCHESTER AVE BURLINGTON,VT05401 03-0229931	HOSPITAL	VT	501(C)(3)	12C-III-FI	UVMHNMG	Yes
(6)COMMUNITY PROVIDERS INC 75 BEEKMAN STREET PLATTSBURGH,NY01290 22-2544844	HEALTH 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	UVMHN	Yes
(8)ELIZABETHTOWN COMMUNITY HOSPITAL 75 PARK STREET ELIZABETHTOWN,NY12932 14-1364513	HOSPITAL	NY	501(C)(3)	3	UVMHN	Yes
(9)EMERGENCY MEDICAL TRANSPORT OF CVPH INC 75 BEEKMAN STREET PLATTSBURGH,NY12901 06-1718419	AMBULANCE SVC	NY	501(C)(3)	12B-II	CPI	Yes
(10)CVPH MEDICAL CENTER FOUNDATION 75 BEEKMAN STREET PLATTSBURGH,NY12901 14-1727048	HEALTH SVC SUPPORT	NY	501(C)(3)	12B-II	CVPH	Yes
(11)UNIVERSITY MEDICAL EDUCATION ASSOCIATES 89 BEAUMONT AVENUE BURLINGTON,VT05405 23-7107832	EDUCATIONAL	VT	501(C)(3)	10	UVMHNMG	Yes
(12)ALICE HYDE MEDICAL CENTER 133 PARK STREET MALONE,NY12953 15-0346515	HOSPITAL	NY	501(C)(3)	3	UVMHN	Yes
(13)PORTER MEDICAL CENTER INC 115 PORTER DRIVE MIDDLEBURY,VT05753 03-0310862	SUPPORTING ORG	VT	501(C)(3)	12B-II	UVMHN		No
(14)HELEN PORTER NURSING HOME 37 PORTER DRIVE MIDDLEBURY,VT05753 03-0306549	NURSING HOME	VT	501(C)(3)	3	PMC	Yes
(15)AUXILIARY OF PORTER MEDICAL CENTER 37 PORTER DRIVE MIDDLEBURY,VT05753 23-7363227	SUPPORTING ORG	VT	501(C)(3)	12B-II	PMC	Yes
(16)LAKE CHAMPLAIN PHYSICIAN SERVICES PC 75 BEEKMAN STREET PLATTSBURGH,NY12901 27-3785445	PHYSICIAN SVC	NY	501(C)(3)	12A-I	CVPH	Yes
(17)THE UNIVERSITY OF VERMONT HEALTH NETWORK MEDICAL GROUP INC 111 COLCHESTER AVE BURLINGTON,VT05401 03-0225105	PHYSICIAN SVC	VT	501(C)(3)	12A-I	UVMHN	Yes
(18)UVMHN HOME HEALTH & HOSPICE 1110 PRIM ROAD COLCHESTER,VT05446 03-0179603	HOME HEALTHCARE	VT	501(C)(3)	10	UVMHN	Yes
(19)VMC INDEMNITY COMPANY INC 95 ST PAUL ST BURLINGTON,VT05401 83-1102018	INSURANCE	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) 2023

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	(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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

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?
(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	Yes	No
(1) UVMHN VENTURES INC 111 COLCHESTER AVENUE BURLINGTON,VT05401 04-3380045	HOLDING COMPANY	VT	N/A	C					No
(2) UVMHN CREDENTIALING & ENROLLMENT 111 COLCHESTER AVENUE BURLINGTON,VT05401 03-0333056	ADMIN SVC	VT	N/A	C					No
(3) CHARITABLE REMAINDER TRUSTS (6)	SUPPORT	VT	N/A	T					No
(4) PERPETUAL TRUSTS (10)	SUPPORT	VT	N/A	T					No
(5) CHARITABLE IRREVOCABLE TRUSTS (8)	SUPPORT	VT	N/A	T					No
(6) CHAMPLAIN VALLEY HEALTH NETWORK 75 BEEKMAN STREET PLATTSBURGH,NY12901 16-1586102	ADMIN SVC	NY	N/A	C					No
(7) MEDIQUEST INC PO BOX 1656 PLATTSBURGH,NY12901 14-1663061	MED OFFICE LEASE	NY	N/A	C					No

Schedule R (Form 990) 2023

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

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 .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

Yes

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

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) HELEN PORTER NURSING HOME INC	I	242,701	FMV
(2) HELEN PORTER NURSING HOME INC	Q	3,072,388	FMV
(3) AUXILIARY OF PORTER MEDICAL CENTER	C	89,600	FMV

Schedule R (Form 990) 2023

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)	(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
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2023

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2023

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O
2	Check this box
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	13
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	680
6	Total number of volunteers (estimate if necessary) .............	6	232
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

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,897,508	1,675,589
9	Program service revenue (Part VIII, line 2g) .........	117,603,635	123,997,376
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	93,841	1,090,173
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	752,571	1,797,824
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	120,347,555	128,560,962
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	192,519	207,056
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)	58,110,622	61,685,711
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 176,828
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	52,438,505	58,458,364
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	110,741,646	120,351,131
19	Revenue less expenses. Subtract line 18 from line 12.......	9,605,909	8,209,831
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	88,130,330	105,581,545
21	Total liabilities (Part X, line 26).............	20,315,142	28,311,975
22	Net assets or fund balances. Subtract line 21 from line 20.....	67,815,188	77,269,570

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 93,644,186 including grants of $ 207,056 ) (Revenue $ 125,424,182 )
	PORTER HOSPITAL, INC. ("PORTER") OPERATES A NOT-FOR PROFIT CRITICAL ACCESS HOSPITAL WITH PATIENT CARE SERVICES INCLUDING EMERGENCY ROOM, MATERNITY AND MEDICAL/SURGICAL INPATIENT AND OUTPATIENT CARE, AND ANCILLARY SERVICES INCLUDING REHABILITATION, LABORATORY TESTING, AND DIAGNOSTIC IMAGING SERVICES. AS A CRITICAL ACCESS HOSPITAL, PORTER STAFFS A TOTAL OF 25 BEDS INCLUDING THE BIRTHING UNIT. IN ADDITION, PORTER HAS AN EMERGENCY ROOM TO SERVE THE GREATER ADDISON COUNTY COMMUNITY NEEDS. PORTER RECORDED APPROXIMATELY 8,645 INPATIENT DAYS DURING THE YEAR. EMERGENCY ROOM VISITS TOTALED 13,921 FOR THE YEAR. SURGERIES FOR THE YEAR TOTALED 3,661. SUPPORT SERVICES FOR BOTH INPATIENTS AND OUTPATIENTS INCLUDE BUT ARE NOT LIMITED TO LABORATORY, DIAGNOSTIC IMAGING SERVICES, CARDIAC SERVICES, AND REHABILITATION FACILITIES. IMAGING INCLUDES RADIOLOGY, NUCLEAR MEDICINE, MRI, ULTRASOUND, AND CT SCAN. PORTER PROVIDES FREE CARE TO PATIENTS WHO MEET CERTAIN CRITERIA. PORTER PROVIDES A NUMBER OF COMMUNITY HEALTH OUTREACH PROGRAMS TO THE GENERAL PUBLIC FOR FREE. THE PROGRAMS INCLUDE BUT ARE NOT LIMITED TO DIABETES EDUCATION, BREAST CANCER SCREENING, PRENATAL CLASSES, BREASTFEEDING CLASSES, AND CPR COURSES. PORTER PROVIDES CLINICAL OFFICE SPACE TO THE OPEN DOOR CLINIC, WHICH PROVIDES ACCESS TO FREE QUALITY HEALTHCARE SERVICES TO THOSE WHO ARE UNINSURED OR UNDERINSURED UNTIL A PERMANENT HEALTH CARE PROVIDER CAN BE ESTABLISHED. FINALLY, PORTER HAS PARTNERED WITH LOCAL CAREER CENTERS, AS WELL AS COLLEGES TO PROVIDED CLINICAL EXPOSURE TO THEIR STUDENTS WITH GOALS OF DEVELOPING FUTURE HEALTHCARE WORKERS FOR THE COMMUNITY.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses93,644,186

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	1,491,814	2,807,325	472,541

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	89,600
e	Government grants (contributions)		1e	403,825

f	All other contributions, gifts, grants, and similar amounts not included above		1f	1,182,164

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		1,675,589

		Business Code
2a	PATIENT SERVICE REVENUE	900099	97,977,903	97,977,903
b	FIXED PROSPECTIVE PAYMENTS	900099	23,808,147	23,808,147
c	PATIENT SERVICES - PHARMACY	456110	1,809,269	1,809,269
d	DSH REVENUE	900099	402,057	402,057
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		123,997,376

3 Investment income (including dividends, interest, and othersimilar amounts) ......			1,017,209			1,017,209
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	5,135
b	Less: rental expenses	6b	0
c	Rental income or (loss)	6c	5,135
d	Net rental income or (loss).......			5,135			5,135
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	5,377,668
b	Less: cost or other basis and sales expenses	7b	5,304,704
c	Gain or (loss)	7c	72,964
d	Net gain or (loss).........			72,964			72,964
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	OTHER MISC REVENUE		900099	1,426,806	1,426,806
b	CAFETERIA		900099	365,883			365,883
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			1,792,689
12	Total revenue. See instructions.....			128,560,962	125,424,182	0	1,461,191

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	207,056	207,056
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	50,369,653	43,775,331	6,594,322
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,787,542	1,605,999	181,543
9	Other employee benefits .......	6,145,888	5,016,101	1,129,787
10	Payroll taxes ...........	3,382,628	2,915,223	467,405
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	114,460		114,460
c	Accounting ...........
d	Lobbying ...........	10,435		10,435
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	13,594		13,594
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	29,178,340	14,889,681	14,115,800	172,859
12	Advertising and promotion ....	103,268	102,927	341
13	Office expenses .......	7,997,594	7,554,454	442,998	142
14	Information technology ......	408,406	63,457	344,949
15	Royalties ..
16	Occupancy ...........	2,392,991	889,292	1,503,699
17	Travel ............	163,171	100,021	63,150
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	88,316	88,316
20	Interest ...........	226,028	175,957	49,742	329
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	2,400,812	1,868,967	528,347	3,498
23	Insurance ...	887,919	633,237	254,682
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	MEDICARE PROVIDER TAX	6,682,910	6,682,910
b	NON CHEMO PHARM	5,906,459	5,906,459
c	LEASED EQUIPMENT	744,563	614,342	130,221
d	NON CONTRACT MAINTAINEN	214,357	38,787	175,570
e	All other expenses	924,741	515,669	409,072
25	Total functional expenses. Add lines 1 through 24e	120,351,131	93,644,186	26,530,117	176,828
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 if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			4,316	1	4,317
2	Savings and temporary cash investments .........			7,658,237	2	11,426,775
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			15,079,859	4	10,836,399
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 .......
					5
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) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			2,651,388	8	2,980,234
9	Prepaid expenses and deferred charges ......			2,095,657	9	3,455,335
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	25,615,554
b	Less: accumulated depreciation	10b	12,951,145	12,139,048	10c	12,664,409
11	Investments—publicly traded securities .			24,260,367	11	29,686,290
12	Investments—other securities. See Part IV, line 11 .....			4,717,075	12	5,005,389
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			19,524,383	15	29,522,397
16	Total assets. Add lines 1 through 15 (must equal line 33)...			88,130,330	16	105,581,545

17	Accounts payable and accrued expenses .....	9,438,527	17	10,079,237
18	Grants payable ...	65,642	18	257,313
19	Deferred revenue .........	13,456	19	2,500
20	Tax-exempt bond liabilities .........	8,383,243	20	7,783,850
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
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 .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
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	2,414,274	25	10,189,075
26	Total liabilities. Add lines 17 through 25..	20,315,142	26	28,311,975

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	62,131,631	27	71,436,273
28	Net assets with donor restrictions ...........	5,683,557	28	5,833,297
	Organizations that do not follow FASB ASC 958, check here 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 ...........	67,815,188	32	77,269,570
33	Total liabilities and net assets/fund balances ........	88,130,330	33	105,581,545