2026-08-13T11:05:47-05:00 2025-09-30 PWC US TAX LLP 101 SEAPORT BLVD SUITE 500 BOSTON MA 02210 990 2024-10-01 222547186 CENTRAL VERMONT MEDICAL CENTER INC % KIMBERLY PATNAUDE CENT 8023714100 130 FISHER ROAD BERLIN VT 05602 KIMBERLY PATNAUDE CFO 8023744443 2026-08-12 true true PAUL J TANIS P01441612 6175305000 2026-08-12 2024 2025-03-06 01:10:19Z MARC KOSAK 130 FISHER ROAD BERLIN VT 05602 345605770 false X WWW.CVMC.ORG X 1963 VT CVMC WORKS COLLABORATIVELY TO MEET THE NEEDS AND IMPROVE THE HEALTH OF THE RESIDENTS OF CENTRAL VERMONT. 11 7 1844 129 0 0 1240649 1403190 315431660 328360343 2868784 3841677 370305 525258 319911398 334130468 63505 340549 0 0 183350803 181909660 0 0 262418 140478054 149936033 323892362 332186242 -3980964 1944226 176619849 189524709 87255589 96663232 89364260 92861477 X SEE SCHEDULE O false false 185221044 206900 251450811 HOSPITAL SERVICES: INPATIENT, OUTPATIENT, AND 24/7 EMERGENCY DEPARTMENT SERVICES: CVMC HAS 122 LICENSED BEDS TO PROVIDE FOR A FULL SPECTRUM OF INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES. 16,458 INPATIENT DAYS, MORE THAN 250,000 OUTPATIENT PROCEDURES, AND 28,163 EMERGENCY ROOM VISITS WERE RECORDED DURING FISCAL YEAR 2025. OUTPATIENT ANCILLARY SERVICE UNITS MAKE UP THE MAJORITY OF SERVICE VOLUME, INCLUDING 42,184 RADIOLOGY PROCEDURES, 555,601 LAB TESTS, 20,524 CARDIOLOGY TESTS, AND 153,143 UNITS OF PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY. EMERGENCY DEPARTMENT: THE ER IS OPEN 24 HOURS A DAY 365 DAYS A YEAR. THE NUMBER OF PATIENTS SEEN IN THE ER IN FISCAL YEAR 2025 WAS 28,029. THE CANCER TREATMENT CENTER PROVIDED 2,471 ONCOLOGY AND RADIATION TREATMENTS. THE HOSPITAL ALSO HAS BEEN ACTIVE IN ITS OUTREACH TO CENTRAL VERMONT'S UNINSURED AND UNDER INSURED RESIDENTS. 83524937 0 50254000 MEDICAL GROUP PRACTICES: AT THE END OF THE FISCAL YEAR WE HAD 25 PRIMARY CARE, INFIRMARY, AND SPECIALTY PRACTICES. THIS INCLUDED 10 PRIMARY AND FAMILY CARE CLINICS, 1 PEDIATRIC CLINIC, AS WELL AS SPECIALTY CLINICS FOR UROLOGY, CARDIOLOGY, PODIATRY, RHEUMATOLOGY, ENT, ENDOCRINOLOGY, ORTHOPAEDICS, PSYCHOLOGY, AND OBSTETRICS/ GYNECOLOGY. THERE WERE A TOTAL OF 613,433 PRACTICE VISITS DURING FISCAL YEAR 2025. 25775789 2000 26838113 WOODRIDGE REHAB & NURSING IS A MEDICARE-CERTIFIED 153-LICENSED BED SKILLED NURSING FACILITY LOCATED ON THE CAMPUS OF CENTRAL VERMONT MEDICAL CENTER. APPROXIMATELY TWO-THIRDS OF THE FACILITIES BEDS ARE DEDICATED TO LONG TERM CARE, INCLUDING PALLIATIVE CARE/END OF LIFE CARE AND THE OTHER ONE-THIRD PROVIDE SHORT TERM REHABILITATION THERAPY AND POST-ACUTE CARE FOR A GREAT VARIETY OF MEDICAL CARE CATEGORIES, INCLUDING PAIN MANAGEMENT AND WOUND CARE. THE FACILITY PROVIDES "PERSON-CENTERED", ROUND THE CLOCK NURSING CARE AND SOCIAL SERVICES SUPPORT COMPLEMENTING DAILY, ROBUST ACTIVITIES PROGRAMS, FINE DINING AND HAS A FULL COMPLIMENT OF SUPPORT SERVICES INCLUDING HOUSEKEEPING/LAUNDRY, MAINTENANCE AND TRANSPORTATION. MANY OTHER AMENITIES ARE AVAILABLE TO FACILITY RESIDENTS. 294521770 true true false true false false false false false true true true false true true true false true false false false false false false false false true true true true true false false false false false true false false false false false false false true true true false false true 113 0 true 1844 true false false false false false false false false false false false false X 11 7 true false true false true true true true true false false true true true true true true false true false VT X KIMBERLY PATNAUDE 8023714443 130 FISHER RD Berlin VT 05602 X DR SUNIL EAPPEN TRUSTEE 3.0 47.0 X 0 2009470 226275 ANNA T NOONAN PRESIDENT & COO/TRUSTEE 45.0 5.0 X X 594284 0 112264 RYAN CLOUSER MD TRUSTEE 45.0 5.0 X 0 457653 60109 DR BENJAMIN SMITH TRUSTEE (AS OF 3/2025) 1.0 44.0 X 0 406794 56828 KIMBERLY PATNAUDE TREASURER, CFO 50.0 0.0 X 331379 0 43401 JAMES ALVAREZ VP SUPPORT SERVICES 50.0 0.0 X 320082 0 36205 SCOTT ROBERT NELSON MD TRUSTEE (UNTIL 2/2025) 45.0 5.0 X 0 284847 53807 MATTHEW CHOATE VP PATIENT CARE SERVICES 50.0 0.0 X 301043 0 34706 JOSEPH JOHNSTON VP CLINICAL OPERATIONS 50.0 0.0 X 274970 0 46191 ROBERT ROBINSON MD PHYSICIAN 50.0 0.0 X 260415 0 26698 HELEN HOLLENBACH PHYSICIAN ASST. 50.0 0.0 X 211480 0 43370 SHANNON RIVARD NURSE PRACTITIONER 50.0 0.0 X 186436 0 45940 CHRISTOPHER AUBIN PHYSICIAN ASST. 50.0 0.0 X 190749 0 33740 WILLIAM KOWALEWSKI - ADMINVP AGING SVCS WDR (UNTIL 12/2024) 50.0 0.0 X 208775 0 15520 ANNE LEWIS NURSE MANAGER 50.0 0.0 X 187912 0 36342 LISA MULLER TRUSTEE 1.0 0.0 X 0 0 0 JOYCE JUDY TRUSTEE, CHAIR 1.0 0.0 X X 0 0 0 KRISTIN CARLSON TRUSTEE (AS OF 1/2025) 1.0 0.0 X 0 0 0 SANDY ROUSSE TRUSTEE (UNTIL 12/2024) 1.0 0.0 X 0 0 0 CONSTANCE COLMAN TRUSTEE, SECRETARY 1.0 0.0 X X 0 0 0 JOAN MARIE MISEK TRUSTEE 1.0 0.0 X 0 0 0 ERICA METZGER HARE TRUSTEE, CHAIR ELECT 1.0 0.0 X X 0 0 0 MICHAEL DELLIPRISCOLI TRUSTEE 1.0 0.0 X 0 0 0 3067525 3158764 871396 218 false true false CROSS COUNTRY STAFFING INC PO BOX 404674 ATLANTA GA 303844678 CLINICAL STAFFING 17253871 ENGELBERTH CONSTRUCTION INC 150 WATER TOWER CIRCLE COLCHESTER VT 05446 CONSTRUCTION 949828 HEALTHCARE WORKFORCE LOGISTICS LLC 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 CLINICAL STAFFING 940013 MORRISON MANAGEMENT SPECIALISTS PO BOX 102289 ATLANTA GA 303682289 KITCHEN MGMT 931385 HAYES LOCUMS PO BOX 844543 DALLAS TX 752844543 PHYSICIAN STAFFING 805564 30 40000 955977 407213 10000 1403190 NET PATIENT SERVICE REVENUE 900099 235537525 235537525 REV FROM MANAGED CARE AND CAPITATED 900099 68485556 68485556 340B CONTRACT PHARMACY REVENUE 900099 15247290 15247290 BLUEPRINT PMPM 900099 854972 854972 OTHER CONTRACT/CLIENT REVENUE 900099 1502814 1502814 6732186 6732186 328360343 3581946 3581946 0 0 624489 99231 525258 0 525258 525258 11635802 11376071 259731 259731 0 0 0 0 0 0 0 0 0 0 334130468 328360343 4107204 X 323049 323049 17500 17500 0 0 2079065 2079065 0 143090104 135299719 7586642 203743 6654817 6202384 443093 9340 20359653 18975485 1355594 28574 9726021 9064790 647581 13650 0 422295 422295 0 26446 26446 0 2365 2365 50876745 28768045 22105574 3126 13417 12943 474 3160004 2568208 590396 1400 1336121 1280953 55168 0 8744994 8574988 170006 89230 74633 14194 403 0 997350 757866 238730 754 66652 66652 0 7428178 7428178 1076606 647620 428986 MEDICAL & SURGICAL SUPPLIES 48552195 48552195 STATE TAX ASSESSMENT 17349669 17349669 MAINTENANCE & REPAIRS 4195191 4093608 101583 FOOD EXPENSE 2273960 2200663 72343 954 3324615 2275565 1049050 332186242 294521770 37402054 262418 0 0 15153712 18133385 49665 596575 26348766 23740615 0 0 0 0 3148010 1762423 4903453 5022452 711727 754017 197409651 137452688 54347613 59956963 0 0 59526176 64836329 0 0 0 0 12430727 14721950 176619849 189524709 63577494 61530339 -27016 42973 81235 60455 0 0 0 0 0 0 9055052 7456181 0 0 14568824 27573284 87255589 96663232 X 79459751 82269997 9904509 10591480 89364260 92861477 176619849 189524709 X 1944226 1655149 -102158 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 26446 26446 false 0 LOBBYING ACTIVITY SCHEDULE C, PART II-B, LINE 1I CENTRAL VERMONT MEDICAL CENTER IS A MEMBER OF, AND PAYS DUES TO, THE VERMONT ASSOCIATION OF HOSPITALS AND HEALTH SERVICE PROVIDERS AS WELL AS THE AMERICAN HOSPITAL ASSOCIATION, AND THE VERMONT HEALTH CARE ASSOCIATION. A PORTION OF THE DUES IS USED FOR LOBBYING PURPOSES. 9388705 945165 30934 45993 10256943 7686327 1778218 34180 41660 9388705 6959979 0 820432 0 53432 40651 7686328 8660412 0 -1640633 0 0 59800 6959979 7967045 0 779068 0 40000 45701 8660412 0.37260 0.62740 true true true 5510000 5510000 124635055 91270347 33364708 4503303 4209369 293934 55807677 41972972 13834705 6953616 6953616 59956963 NETWORK INVESTMENT POOL 64836329 F 64836329 OPR LEASE ROU ASSETS,NET 12602808 INVESTMENT 457 PLAN 2119142 14721950 0 OTHER LIABILITIES 14975556 LEASE LIABILITY - OPERATING 12597728 27573284 X ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 CVMC HAS ENDOWMENT INVESTMENTS AND AN INVESTMENT SPENDING POLICY THAT GUIDES THE DISTRIBUTION OF THE FUNDS TO SUPPORT THE MISSION OF CENTRAL VERMONT MEDICAL CENTER. ASC 740 DISCLOSURE SCHEDULE D, PART X, LINE 2, FIN 48 (ASC 740) CENTRAL VERMONT MEDICAL CENTER, INC. IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE UNIVERSITY OF VERMONT HEALTH NETWORK ("UVM HEALTH NETWORK"). PAGE 17 OF THE CONSOLIDATED FINANCIAL STATEMENTS CONTAINS A FOOTNOTE INDICATING THAT NO PROVISION FOR FEDERAL INCOME TAXES HAS BEEN RECORDED. true true X true X 250. true X true true true false true true 2316445 2316445 0.00700 66346636 28009918 38336718 0.11540 68663081 28009918 40653163 0.12240 4914 4914 0.00010 1100482 1100482 0.00330 12345917 9289747 3056170 0.00920 365549 17500 348049 0.00100 13816862 9307247 4509615 0.01360 82479943 37317165 45162778 0.13600 1 2711 2711 0.00000 1 100 1512 1512 0.00000 2 100 4223 4223 0.00000 true 9458977 189180 60845504 162495904 -101650400 X true true 1 1 CENTRAL VERMONT MEDICAL CENTER 130 FISHER ROAD BERLIN VT 05602 WWW.UVMHEALTH.ORG 47001 X X X CENTRAL VERMONT MEDICAL CENTER 1 false false true X X X X X X X X X 24 true false true true X SEE SECTION C X SEE SECTION C X true 25 true SEE SECTION C false true X 250. 400. X X X X X true true X X X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X X true X false X X X true X false false PART V, SECTION B, LINE 3E IN ACCORDANCE WITH THE REQUIREMENTS OF THE AFFORDABLE CARE ACT AND IN SUPPORT OF ITS COMMUNITY MISSION, CENTRAL VERMONT MEDICAL CENTER (CVMC) COMPLETED A FY2025/TY2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND A CORRESPONDING THREE-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN. THIS ASSESSMENT REPRESENTS A CONTINUATION OF CVMC'S LONGSTANDING CHNA PROCESS, WITH PRIOR ASSESSMENTS CONDUCTED EVERY THREE YEARS SINCE 2013. THE FY2025 CHNA BUILDS ON EARLIER FINDINGS TO FURTHER STRENGTHEN COMMUNITY AND POPULATION HEALTH STRATEGIES, WITH A SUSTAINED EMPHASIS ON SOCIAL DRIVERS OF HEALTH AND ADVANCING HEALTH EQUITY ACROSS CENTRAL VERMONT. THE FY2025 CHNA FOCUSES ON CVMC'S PRIMARY SERVICE AREA OF WASHINGTON COUNTY AND WAS CONDUCTED BETWEEN NOVEMBER 2024 AND JUNE 2025. CVMC PARTNERED WITH THRIVE, CENTRAL VERMONT'S ACCOUNTABLE COMMUNITY FOR HEALTH, AND CONVENED A MULTI-SECTOR STEERING COMMITTEE OF HOSPITAL LEADERS AND COMMUNITY PARTNERS TO GUIDE THE PROCESS. CVMC CONTRACTED WITH BUILD COMMUNITY, A WOMAN-OWNED RESEARCH FIRM SPECIALIZING IN EQUITY-CENTERED COMMUNITY RESEARCH, TO CONDUCT THE ASSESSMENT, ANALYZE FINDINGS, AND SUPPORT REPORTING. THE CHNA INCORPORATED ROBUST PRIMARY AND SECONDARY DATA COLLECTION, INCLUDING SURVEYS OF 1,312 COMMUNITY RESIDENTS, 186 KEY STAKEHOLDERS, AND MULTIPLE COMMUNITY CONVERSATIONS AND LISTENING SESSIONS. REPRESENTATIVES FROM CVMC, THRIVE, AND THE COLLABORATIVE ACTION NETWORK (CAN) REVIEWED CHNA FINDINGS IN ALIGNMENT WITH STATEWIDE HEALTH DATA AND PRIORITIES, INCLUDING THE VERMONT DEPARTMENT OF HEALTH'S STATE HEALTH IMPROVEMENT PLAN. TO DETERMINE PRIORITY FOCUS AREAS, PARTNERS APPLIED STANDARDIZED CRITERIA ASSESSING THE SCOPE OF NEED, SEVERITY OF IMPACT, EXISTING DISPARITIES, FEASIBILITY OF ACTION, AVAILABILITY OF COMMUNITY RESOURCES, AND READINESS FOR COLLECTIVE IMPACT. THROUGH THIS PRIORITIZATION PROCESS, CVMC IDENTIFIED FOUR PRIMARY COMMUNITY HEALTH PRIORITIES FOR THE 2025-2028 CYCLE: -ACCESS TO CARE -COST OF LIVING -HOUSING -MENTAL HEALTH AND SUBSTANCE USE DISORDERS WHILE NOT DESIGNATED AS A STANDALONE PRIORITY, CVMC ALSO RECOGNIZES THE GROWING AND COMPLEX NEEDS OF OLDER ADULTS AND IS COMMITTED TO ADDRESSING AGING-RELATED HEALTH AND SOCIAL CONCERNS THROUGH INTEGRATED STRATEGIES ACROSS ALL PRIORITY AREAS. OVERALL, THE 2025 CHNA CONFIRMS THAT WASHINGTON COUNTY CONTINUES TO EXPERIENCE BETTER OVERALL HEALTH OUTCOMES AND HIGHER LIFE EXPECTANCY THAN STATE AND NATIONAL AVERAGES, SUPPORTED BY STRONG COMMUNITY CONDITIONS, ACCESS TO HEALTHCARE SERVICES, AND A COLLABORATIVE NETWORK OF HEALTH AND HUMAN SERVICE PROVIDERS. HOWEVER, THE ASSESSMENT ALSO HIGHLIGHTS PERSISTENT AND WIDENING DISPARITIES WITHIN THE COUNTY, WITH SIGNIFICANT VARIATION IN LIFE EXPECTANCY, ECONOMIC STABILITY, HOUSING SECURITY, AND ACCESS TO CARE ACROSS ZIP CODES AND POPULATION GROUPS. MANY OF THESE CHALLENGES WERE EXACERBATED BY THE COVID-19 PANDEMIC, REPEATED FLOODING EVENTS, AND RISING COSTS OF LIVING, PLACING INCREASED STRAIN ON INDIVIDUALS, FAMILIES, AND SERVICE SYSTEMS. THE FY2025 CHNA ALIGNS CLOSELY WITH VERMONT DEPARTMENT OF HEALTH PRIORITIES AND REINFORCES THE IMPORTANCE OF COORDINATED ACTION AMONG HOSPITALS, PUBLIC HEALTH AGENCIES, AND COMMUNITY-BASED ORGANIZATIONS. AS A RESULT OF THE CHNA PROCESS, CVMC AND ITS PARTNERS HAVE CONTINUED TO MAKE TARGETED INVESTMENTS IN COMMUNITY BENEFIT PROGRAMS, PARTNERSHIPS, AND INITIATIVES TO ADDRESS IDENTIFIED NEEDS. WHILE LONG-TERM OUTCOMES WILL BE EVALUATED OVER TIME, CVMC REMAINS COMMITTED TO ADVANCING EQUITABLE ACCESS TO CARE, STRENGTHENING COMMUNITY RESILIENCE, AND IMPROVING HEALTH AND WELLBEING FOR ALL CENTRAL VERMONTERS. PART V, SECTION B, LINE 5 CENTRAL VERMONT MEDICAL CENTER (CVMC) TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY THROUGH A COMPREHENSIVE, MULTI-METHOD COMMUNITY ENGAGEMENT PROCESS CONDUCTED BETWEEN NOVEMBER 2024 AND JUNE 2025. THE FY2025/TY2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCORPORATED BOTH PRIMARY AND SECONDARY DATA AND WAS CONDUCTED IN COLLABORATION WITH COMMUNITY PARTNERS TO ENSURE THAT IDENTIFIED HEALTH NEEDS REFLECTED DATA-DRIVEN FINDINGS AS WELL AS LIVED EXPERIENCE. PRIMARY DATA COLLECTION INCLUDED DIRECT ENGAGEMENT WITH COMMUNITY RESIDENTS, HEALTH AND HUMAN SERVICE PROVIDERS, PUBLIC HEALTH PROFESSIONALS, AND COMMUNITY LEADERS. CVMC RECEIVED INPUT FROM MORE THAN 1,500 INDIVIDUALS THROUGH MULTIPLE MECHANISMS, INCLUDING A COMMUNITY SURVEY COMPLETED BY 1,312 RESIDENTS OF WASHINGTON COUNTY AND AN ELECTRONIC KEY STAKEHOLDER SURVEY COMPLETED BY 186 REPRESENTATIVES FROM HEALTHCARE, PUBLIC HEALTH, SOCIAL SERVICE, EDUCATION, HOUSING, AND COMMUNITY-BASED ORGANIZATIONS. ADDITIONAL QUALITATIVE INPUT WAS GATHERED THROUGH COMMUNITY CONVERSATIONS, LISTENING SESSIONS, AND SMALL-GROUP DISCUSSIONS WITH SERVICE PROVIDERS AND COMMUNITY LEADERS. SPECIAL EFFORTS WERE MADE TO SOLICIT INPUT FROM AND INCORPORATE THE PERSPECTIVES OF UNDERSERVED AND HISTORICALLY MARGINALIZED POPULATIONS, INCLUDING INDIVIDUALS WITH LOW INCOME, OLDER ADULTS, PEOPLE EXPERIENCING HOUSING INSTABILITY, PEOPLE WITH DISABILITIES, LGBTQIA+ COMMUNITY MEMBERS, AND PEOPLE OF COLOR. INPUT FOCUSED ON HEALTH CONCERNS, BARRIERS TO CARE, SERVICE GAPS, AND COMMUNITY-IDENTIFIED PRIORITIES AND SOLUTIONS. CVMC CONVENED A CHNA STEERING COMMITTEE COMPOSED OF HOSPITAL LEADERSHIP AND REGIONAL PARTNERS TO PROVIDE OVERSIGHT AND GUIDANCE THROUGHOUT THE ASSESSMENT PROCESS. THE STEERING COMMITTEE INCLUDED REPRESENTATIVES FROM CVMC, THE VERMONT DEPARTMENT OF HEALTH, WASHINGTON COUNTY MENTAL HEALTH SERVICES, GREEN MOUNTAIN UNITED WAY, AND THE UNIVERSITY OF VERMONT HEALTH NETWORK. A SUBCOMMITTEE OF THRIVE-THE REGION'S ACCOUNTABLE COMMUNITY FOR HEALTH-MET REGULARLY WITH CVMC TO REVIEW FINDINGS AND GUIDE THE CHNA PROCESS, HELPING TO ENSURE REGIONAL ALIGNMENT AND COLLECTIVE IMPACT. IN ADDITION TO STEERING COMMITTEE MEMBERS, CVMC CONSULTED WITH A BROAD RANGE OF ORGANIZATIONS AND INDIVIDUALS REPRESENTING THE COMMUNITY, AS DOCUMENTED IN THE CHNA'S KEY STAKEHOLDER SURVEY PARTICIPANT LIST. THESE CONSULTEES INCLUDED REPRESENTATIVES FROM PUBLIC HEALTH AGENCIES, HOSPITALS AND CLINICS, BEHAVIORAL HEALTH PROVIDERS, HOUSING AND HOMELESSNESS ORGANIZATIONS, FOOD ACCESS PROGRAMS, SOCIAL SERVICE AGENCIES, SCHOOLS AND SCHOOL DISTRICTS, EMERGENCY MEDICAL SERVICES, FAITH-BASED ORGANIZATIONS, MUNICIPAL LEADERSHIP, ADVOCACY ORGANIZATIONS, AND PRIVATE CITIZENS. TOGETHER, THESE INDIVIDUALS REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY SERVED BY CVMC. OVERALL, CVMC SYSTEMATICALLY INTEGRATED QUANTITATIVE DATA AND EXTENSIVE COMMUNITY INPUT INTO THE IDENTIFICATION AND PRIORITIZATION OF SIGNIFICANT HEALTH NEEDS FOR THE FY2025/TY2024 CHNA, ENSURING THAT COMMUNITY VOICES MEANINGFULLY INFORMED COMMUNITY HEALTH PLANNING AND FUTURE IMPLEMENTATION STRATEGIES. PART V, SECTION B, LINE 6B THE FY2025/TY2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR CENTRAL VERMONT MEDICAL CENTER (CVMC) WAS CONDUCTED IN COLLABORATION WITH MULTIPLE ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES. CONSISTENT WITH PRIOR CHNA CYCLES (INCLUDING THE 2022-2025 CHNA), CVMC PARTNERED WITH THRIVE, THE REGIONAL ACCOUNTABLE COMMUNITY FOR HEALTH SERVING CENTRAL VERMONT. THRIVE IS A MULTI AGENCY COALITION COMPOSED OF HEALTH PROVIDERS, SOCIAL SERVICE AGENCIES, GOVERNMENT ENTITIES, CIVIC ORGANIZATIONS, FAITH BASED ORGANIZATIONS, AND OTHER COMMUNITY PARTNERS FOCUSED ON IMPROVING HEALTH FOR RESIDENTS OF WASHINGTON COUNTY AND SURROUNDING AREAS. THROUGH THRIVE'S GOVERNANCE AND ADVISORY STRUCTURE, REPRESENTATIVES FROM A BROAD RANGE OF NON HOSPITAL ORGANIZATIONS PARTICIPATED IN CHNA LEADERSHIP, OVERSIGHT, DATA REVIEW, AND PRIORITY SETTING. ORGANIZATIONS REPRESENTED DURING THE FY2025 CHNA PROCESS INCLUDED, BUT WERE NOT LIMITED TO: . GREEN MOUNTAIN UNITED WAY . VERMONT DEPARTMENT OF HEALTH (INCLUDING THE BARRE LOCAL HEALTH OFFICE) . WASHINGTON COUNTY MENTAL HEALTH SERVICES . CENTRAL VERMONT PREVENTION COALITION . FAMILY CENTER OF WASHINGTON COUNTY . PEOPLE'S HEALTH & WELLNESS CLINIC . CAPSTONE COMMUNITY ACTION . DOWNSTREET HOUSING & COMMUNITY DEVELOPMENT . TURNING POINT CENTER OF CENTRAL VERMONT . MONTPELIER AND BARRE COMMUNITY JUSTICE CENTERS . GOOD BEGINNINGS OF CENTRAL VERMONT . VERMONT FOODBANK . MOSAIC VERMONT . COMMUNITY FAITH BASED AND CIVIC ORGANIZATIONS, MUNICIPAL PARTNERS, AND EDUCATION PARTNERS THESE ORGANIZATIONS CONTRIBUTED SUBJECT MATTER EXPERTISE, COMMUNITY PERSPECTIVES, AND GUIDANCE ON IDENTIFYING AND PRIORITIZING COMMUNITY HEALTH NEEDS. IN ADDITION, CVMC ENGAGED BUILD COMMUNITY, A NON HOSPITAL, WOMAN OWNED RESEARCH AND PLANNING FIRM, TO SERVE AS THE EXTERNAL RESEARCH PARTNER FOR THE FY2025 CHNA. BUILD COMMUNITY WAS RESPONSIBLE FOR PRIMARY AND SECONDARY DATA COLLECTION, COMMUNITY ENGAGEMENT ACTIVITIES, ANALYSIS, AND PREPARATION OF THE CHNA REPORT. THIS COLLABORATIVE, MULTI SECTOR APPROACH REFLECTS CONTINUITY WITH PRIOR CHNA CYCLES, DURING WHICH CVMC SIMILARLY PARTNERED WITH THRIVE, COMMUNITY BASED ORGANIZATIONS, PUBLIC AGENCIES, AND COMMUNITY RESIDENTS TO ASSESS NEEDS AND INFORM COMMUNITY HEALTH IMPROVEMENT PLANNING. PART V, SECTION B, LINES 7A, 7B AND 10A COMMUNITY HEALTH NEEDS ASSESSMENT HTTPS://WWW.UVMHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT IMPLEMENTATION STRATEGY HTTPS://WWW.UVMHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT HOSPITAL FACILITY WEBSITE: HTTPS://WWW.UVMHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL- ASSISTANCE PART V, SECTION B, LINE 11 CENTRAL VERMONT MEDICAL CENTER (CVMC) ADDRESSES THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS MOST RECENTLY ADOPTED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) THROUGH IMPLEMENTATION OF ITS COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP), DEVELOPED IN PARTNERSHIP WITH THRIVE, THE REGION'S ACCOUNTABLE COMMUNITY FOR HEALTH. THE ACTIVITIES DESCRIBED BELOW ARE BASED ON THE PRIORITIES AND IMPLEMENTATION STRATEGIES IDENTIFIED IN THE 2022-2025 CHNA CYCLE, WHICH REMAINED IN EFFECT FOR THE MAJORITY OF THE REPORTING PERIOD. ALTHOUGH CVMC COMPLETED A NEW CHNA IN 2025, THE UPDATED CHNA WAS NOT FORMALLY ADOPTED BY THE BOARD OF TRUSTEES OF THE UNIVERSITY OF VERMONT HEALTH NETWORK - CENTRAL VERMONT MEDICAL CENTER UNTIL SEPTEMBER 10, 2025. THEREFORE, THE PROGRAMS, INITIATIVES, AND OUTCOMES REPORTED BELOW PRIMARILY REFLECT EFFORTS UNDERTAKEN TO ADDRESS THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA AND CORRESPONDING 2022-2025 COMMUNITY HEALTH IMPROVEMENT PLAN. THESE PRIORITY AREAS INCLUDED DIVERSITY, EQUITY AND INCLUSION; CHRONIC DISEASE PREVENTION; MENTAL HEALTH; SOCIAL DRIVERS OF HEALTH; AND SUBSTANCE USE DISORDERS. CVMC ADDRESSES THESE NEEDS THROUGH HOSPITAL-BASED PROGRAMS, COMMUNITY PARTNERSHIPS, REGIONAL COALITIONS, AND POPULATION HEALTH INITIATIVES DESIGNED TO IMPROVE HEALTH OUTCOMES AND ADVANCE HEALTH EQUITY THROUGHOUT CENTRAL VERMONT. DIVERSITY, EQUITY AND INCLUSION CVMC CONTINUED EFFORTS TO CREATE AN INCLUSIVE CARE ENVIRONMENT THAT HONORS THE DIVERSITY OF THE COMMUNITY, INCREASES CULTURAL AWARENESS AND HUMILITY, AND ADVANCES HEALTH EQUITY. DURING 2025, MORE THAN 90% OF CVMC LEADERS COMPLETED FACILITATOR-LED TRAINING ON UNCONSCIOUS BIAS AND MICROAGGRESSIONS, AND NEARLY 25% OF THE WORKFORCE COMPLETED AT LEAST ONE CULTURE, EXPERIENCE AND COMMUNITY HEALTH (CECH) EDUCATIONAL OFFERING. DIVERSITY, EQUITY, AND INCLUSION PRINCIPLES WERE INCORPORATED INTO TEAM HUDDLES AND HEART CHATS, REINFORCING EVERYDAY INCLUSION PRACTICES. CVMC ALSO IMPLEMENTED A MULTI-MONTH MICROAGGRESSIONS EDUCATION SERIES, FACILITATED CASE-BASED LEARNING OPPORTUNITIES, EXPANDED LANGUAGE ACCESS AWARENESS, AND PARTICIPATED IN SYSTEM-WIDE HEALTH EQUITY INITIATIVES. THESE EFFORTS SUPPORT THE CHNA GOAL OF REDUCING DISPARITIES IN CARE AND IMPROVING EQUITABLE ACCESS AND PATIENT EXPERIENCE. CHRONIC DISEASE PREVENTION TO ADDRESS CHRONIC DISEASE PREVENTION AND IMPROVE CARE COORDINATION, CVMC PARTICIPATES IN THE VERMONT TEAM-BASED CARE INITIATIVE AND SUPPORTS INTEGRATED, TEAM-BASED MODELS OF CARE. THROUGH COLLABORATION WITH COMMUNITY PARTNERS, CVMC HELPED DEVELOP A REGIONAL ECOSYSTEM MAP OF CASE MANAGEMENT SERVICES, ESTABLISHED A LEAD CASE MANAGER FRAMEWORK, AND ADVANCED SHARED CARE PLANNING EFFORTS DESIGNED TO IMPROVE COORDINATION FOR INDIVIDUALS WITH COMPLEX HEALTH NEEDS. CVMC'S INTEGRATED CARE MANAGEMENT TEAM, IN PARTNERSHIP WITH BLUEPRINT FOR HEALTH, PROVIDES COORDINATED CARE FOR PATIENTS WITH CHRONIC CONDITIONS INCLUDING DIABETES, HYPERTENSION, AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD). THE PROGRAM CONNECTS PATIENTS TO CLINICAL, BEHAVIORAL HEALTH, AND COMMUNITY-BASED SUPPORTS WHILE ADDRESSING BARRIERS TO CARE AND SOCIAL NEEDS THAT IMPACT HEALTH OUTCOMES. CVMC ALSO SUPPORTS DISEASE PREVENTION AND SELF-MANAGEMENT THROUGH MYHEALTHYVT, WHICH PROVIDES OUTREACH, EDUCATION, AND EVIDENCE-BASED HEALTH PROMOTION PROGRAMS THROUGHOUT THE SERVICE AREA. MENTAL HEALTH IMPROVING ACCESS TO MENTAL HEALTH SERVICES REMAINS A KEY PRIORITY IDENTIFIED IN THE CHNA. CVMC HAS IMPLEMENTED PRIMARY CARE MENTAL HEALTH INTEGRATION (PCMHI) IN ALL PRIMARY CARE PRACTICES, EMBEDDING BEHAVIORAL HEALTH SERVICES WITHIN PRIMARY CARE SETTINGS AND IMPROVING ACCESS TO MENTAL HEALTH EVALUATION, TREATMENT, AND CARE COORDINATION. IN 2025, 954 UNIQUE PATIENTS RECEIVED PCMHI SERVICES, REPRESENTING A 74% INCREASE COMPARED TO 2024. THIS INTEGRATED MODEL SUPPORTS EARLY INTERVENTION, REDUCES BARRIERS TO TREATMENT, AND STRENGTHENS COORDINATION BETWEEN PRIMARY CARE AND BEHAVIORAL HEALTH PROVIDERS. SOCIAL DRIVERS OF HEALTH CVMC ADDRESSES SOCIAL DRIVERS OF HEALTH THROUGH PARTNERSHIPS THAT IMPROVE ACCESS TO FOOD, TRANSPORTATION, COMMUNITY RESOURCES, AND SUPPORTIVE SERVICES. AS FISCAL SPONSOR AND CONVENER OF THRIVE, CVMC COLLABORATES WITH HEALTHCARE, PUBLIC HEALTH, SOCIAL SERVICE, EDUCATION, AND COMMUNITY PARTNERS TO ADDRESS SOCIAL CONDITIONS THAT INFLUENCE HEALTH AND WELL-BEING. THRIVE ALSO PARTNERED WITH CVMC IN CONDUCTING THE CHNA AND DEVELOPING THE CHIP. FOOD INSECURITY INITIATIVES INCLUDE THE HEALTH CARE SHARES PROGRAM, OPERATED IN PARTNERSHIP WITH THE VERMONT YOUTH CONSERVATION CORPS, AND SPONSORSHIP OF THE VERMONT FOODBANK VEGGIE VAN GO PROGRAM. DURING FY2025, VEGGIE VAN GO SERVED 6,378 HOUSEHOLDS ACROSS CENTRAL VERMONT, A 13% INCREASE FROM THE PRIOR YEAR. TRANSPORTATION BARRIERS ARE ADDRESSED THROUGH PARTNERSHIPS WITH VERMONT RIDE NETWORK AND COMMUNITY RIDES VERMONT. THESE PROGRAMS PROVIDE TRANSPORTATION TO MEDICAL APPOINTMENTS AND OTHER HEALTHCARE SERVICES, INCLUDING WHEELCHAIR-ACCESSIBLE TRANSPORTATION AND ZERO-EMISSION VEHICLE TRANSPORTATION OPTIONS FOR COMMUNITY MEMBERS WITH LIMITED ACCESS TO CARE. SUBSTANCE USE DISORDERS THE CHNA IDENTIFIED SUBSTANCE USE DISORDERS AS A SIGNIFICANT COMMUNITY HEALTH NEED. CVMC ADDRESSES THIS PRIORITY THROUGH PREVENTION, TREATMENT, RECOVERY SUPPORT, HARM REDUCTION, AND COMMUNITY COLLABORATION. THROUGH THE BLUEPRINT FOR HEALTH SPOKE PROGRAM, CVMC PROVIDES INTEGRATED SERVICES FOR INDIVIDUALS RECEIVING MEDICATION FOR OPIOID USE DISORDER, INCLUDING COUNSELING, CARE COORDINATION, AND CONNECTIONS TO RECOVERY RESOURCES. CVMC ALSO SUPPORTS THE CENTRAL VERMONT PREVENTION COALITION (CVPC), A REGIONAL COALITION REPRESENTING MORE THAN 115 PARTNER ORGANIZATIONS WORKING TO PREVENT SUBSTANCE MISUSE AND STRENGTHEN RECOVERY SYSTEMS. DURING 2025, CVPC IMPLEMENTED THE FIRST YEAR OF THE FUTURE VERMONT GRANT, WHICH FOCUSES ON YOUTH PREVENTION, FAMILY ENGAGEMENT, RECOVERY SUPPORT, AND COORDINATED COMMUNITY INTERVENTION STRATEGIES. ADDITIONAL INITIATIVES INCLUDE PROJECT BEACON, WHICH SUPPORTS OVERDOSE SURVIVORS THROUGH NALOXONE DISTRIBUTION, HARM REDUCTION EDUCATION, AND CONNECTIONS TO TREATMENT AND RECOVERY SERVICES, AND THE RESOURCES AND OPTIONS FOR ALCOHOL DRINKING (ROAD) PROGRAM, WHICH EXPANDS EVIDENCE-BASED TREATMENT AND SUPPORT FOR INDIVIDUALS WITH ALCOHOL USE DISORDER. THROUGH ROAD, 17% OF PATIENTS SCREENING POSITIVE FOR ALCOHOL USE DISORDER IN CVMC PRIMARY CARE PRACTICES RECEIVED EVIDENCE-BASED MEDICATION TREATMENT, COMPARED WITH A NATIONAL RATE OF APPROXIMATELY 2%. NEEDS NOT BEING ADDRESSED CVMC IS ACTIVELY ADDRESSING ALL SIGNIFICANT HEALTH NEEDS IDENTIFIED IN ITS MOST RECENT CHNA THROUGH DIRECT PROGRAMS, COLLABORATIVE INITIATIVES, AND COMMUNITY PARTNERSHIPS. BECAUSE MANY HEALTH ISSUES-PARTICULARLY THOSE RELATED TO HEALTH EQUITY, CHRONIC DISEASE, BEHAVIORAL HEALTH, SUBSTANCE USE, AND SOCIAL DRIVERS OF HEALTH-ARE COMPLEX AND INFLUENCED BY MULTIPLE FACTORS, PROGRESS REQUIRES LONG-TERM COLLABORATION ACROSS HEALTHCARE, PUBLIC HEALTH, SOCIAL SERVICE, EDUCATION, GOVERNMENT, AND COMMUNITY ORGANIZATIONS. ACCORDINGLY, CVMC CONTINUES TO WORK WITH THRIVE AND NUMEROUS COMMUNITY PARTNERS TO ADVANCE SUSTAINABLE, COMMUNITY-WIDE SOLUTIONS. AT THIS TIME, NO SIGNIFICANT CHNA HEALTH NEED HAS BEEN IDENTIFIED AS WHOLLY UNADDRESSED. PART V, SECTION B, LINE 15E FROM REGISTRATION, PATIENTS ARE ROUTINELY REFERRED TO THE CVMC FINANCIAL ADVOCACY DEPARTMENT OR COMMUNITY HEALTH IMPROVEMENT DEPARTMENT. BOTH AREAS PROVIDE KNOWLEDGE AND ASSISTANCE IN THE APPLICATION PROCESS FOR CHARITY AND OTHER APPLICABLE FUNDING SOURCES. ADVOCATES ACTIVELY EDUCATE ALL INPATIENT, OBSERVATION AND OUTPATIENT INVASIVE SERVICE PATIENTS OF OUR PROGRAM, PRIOR TO OR CONCURRENT WITH THE PATIENTS' STAY, SUBSEQUENTLY AIDING IN THE APPLICATION PROCESS FOR STATE AID AND CENTRAL VERMONT MEDICAL CENTER'S FINANCIAL PROGRAM. WHILE THE ASSISTANCE POLICY DOES NOT PROVIDE A LIST OF "EXTERNAL" CONTACT INFORMATION FOR NON-CENTRAL VERMONT MEDICAL CENTER PARTIES OR AGENCIES WHO MAY ASSIST PATIENTS IN THE APPLICATION PROCESS, APPLICATION COMPLETION AID IS WELL PUBLISHED WITH MULTIPLE INTERNAL, ORGANIZATIONAL AND CENTRAL VERMONT MEDICAL CENTER COMMUNITY HEALTH ASSISTANCE TEAM MEMBERS AVAILABLE TO ASSIST OUR PATIENTS. IT IS ALSO IMPORTANT TO NOTE, PATIENTS ARE REVIEWED IN ADVANCE OF SERVICE FOR POTENTIAL HARDSHIP; THE UNINSURED AND UNDERINSURED PATIENTS WHO ARE IDENTIFIED ARE ACTIVELY COUNSELED WITH HELP FOR GOVERNMENT AND EXCHANGE PROGRAMS AS WELL AS ASSISTANCE IN THE CENTRAL VERMONT MEDICAL CENTER FINANCIAL ASSISTANCE PROGRAM. PART V, SECTION B, LINES 16A, 16B & 16C: FINANCIAL ASSISTANCE POLICY (FAP) RESOURCES THE FAP, THE FAP APPLICATION FORM, AND A PLAIN LANGUAGE SUMMARY OF THE FAP IS AVAILABLE AND PUBLISHED ON THE UNIVERSITY OF VERMONT HEALTH NETWORK FINANCIAL ASSISTANCE WEBPAGE LOCATED AT: https://www.uvmhealth.org/patients-visitors/billing-insurance/ financial-assistance PART V, SECTION B, LINE 16J WHILE THE FINANCIAL ASSISTANCE POLICY DOES NOT PROVIDE A LIST OF "EXTERNAL" CONTACT INFORMATION FOR NON-CENTRAL VERMONT MEDICAL CENTER PARTIES OR AGENCIES WHO MAY ASSIST PATIENTS IN THE APPLICATION PROCESS; THE APPLICATION COMPLETION AID IS WELL PUBLISHED WITH MULTIPLE EXTERNAL ORGANIZATIONS AND THE CENTRAL VERMONT MEDICAL CENTER COMMUNITY HEALTH ASSISTANCE TEAM MEMBERS ARE AVAILABLE TO ASSIST OUR PATIENTS AND COMMUNITY MEMBERS. IT IS ALSO IMPORTANT TO NOTE, PATIENTS ARE REVIEWED IN ADVANCE OF SERVICE FOR POTENTIAL HARDSHIP; THE UNINSURED AND UNDERINSURED PATIENTS WHO ARE IDENTIFIED ARE ACTIVELY COUNSELED WITH HELP FOR GOVERNMENT AND EXCHANGE PROGRAMS AS WELL AS ASSISTANCE IN THE CENTRAL VERMONT MEDICAL CENTER FINANCIAL ASSISTANCE PROGRAM. PART V, SECTION B, LINE 18F CVMC DID NOT INITIATE ANY OF THE ACTIONS DESCRIBED IN SCHEDULE H, PART V, SECTION B, LINE 18. HOWEVER, IF THE HOSPITAL HAD UNDERTAKEN ANY OF THE LISTED ACTIONS, THE FACILITY WOULD HAVE FIRST NOTIFIED PATIENTS OF ITS FINANCIAL ASSISTANCE POLICY ON ADMISSION, PRIOR TO DISCHARGE, AND IN COMMUNICATIONS WITH THE PATIENTS REGARDING THEIR BILLS. ADDITIONALLY, CVMC WOULD HAVE DOCUMENTED DETERMINATION OF WHETHER PATIENTS WERE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY. PART V, SECTION B, LINE 20A THE CENTRAL VERMONT MEDICAL CENTER'S BAD DEBT POLICY PROVIDES THAT CVMC SHALL NOT TAKE ANY EXTRAORDINARY COLLECTION ACTIONS. 1 CVMC - WOODRIDGE NURSING HOME 142 Woodridge Drive BERLIN VT 05602 SKILLED NURSING FACILITY SCHEDULE H, PART VI, LINE 1 THE ORGANIZATION'S REQUIRED SCHEDULE H SPECIFIC LINE ITEM DESCRIPTIONS ARE AS FOLLOWS: PART I, LINES 3A-C: 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 HOUSHOLD INCOME. PATIENTS MUST RESIDE WITHIN CENTRAL VERMONT MEDICAL CENTER'S 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 CVMC'S SERVICE AREA WILL BE GRANTED IN UNIQUE CIRCUMSTANCES AND WITH APPROPRIATE APPROVAL. PART I, LINE 7: CENTRAL VERMONT MEDICAL CENTER USES THE AXIOM COST ACCOUNTING SYSTEM TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE ON LINE 7. THE COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENT SEGMENTS, INCLUDING, BUT NOT LIMITED TO, INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, UNINSURED AND SELF PAY. THE COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 WAS ALSO USED FOR SOME OF THE FIGURES REPORTED IN THE TABLE ON LINE 7. THE CENTRAL VERMONT MEDICAL CENTER'S ANNUAL MEDICAID PROVIDER TAX IS ASSESSED ON VERMONT ACUTE CARE HOSPITALS BY THE STATE OF VERMONT. THE TAX ASSESSMENT IS CALCULATED AS 6% OF A HOSPITAL'S BASE YEAR NET PATIENT CARE REVENUE. PART I, LINE 7, COLUMN (F): THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE AMOUNT REPORTED ON LINE 7(F) IS $0. PATIENT-RELATED BAD DEBT IN THE AMOUNT OF $9,458,977 IS NETTED FROM PATIENT REVENUE IN PART VIII, LINE 2. PART III, LINE 2: CENTRAL VERMONT MEDICAL CENTER'S FINANCIAL STATEMENTS INCLUDE A FOOTNOTE DESCRIBING BAD DEBT EXPENSE. RECEIVABLES ARE REPORTED NET OF AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE PROVISION FOR PATIENT RELATED BAD DEBT IS REPORTED AS A DEDUCTION FROM GROSS REVENUE. THIS EXPENSE IS DETERMINED AS A PERCENTAGE OF GROSS PATIENT SERVICE REVENUE BASED ON ACTUAL WRITE-OFF HISTORY, REVIEWED ON A QUARTERLY BASIS AND ADJUSTED ON A SEMI-ANNUAL BASIS. PART III, LINE 3: DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE NETTED AGAINST THE TOTAL GROSS CHARGES WHEN DETERMINING BAD DEBT EXPENSE. THE $189,180 REFLECTS THE ADJUSTED BAD DEBT EXPENSE FOR ALL PATIENTS WHO SUBMITTED AN INITIAL APPLICATION, BUT UPON FOLLOW-UP, DID NOT RESPOND TO REQUESTS FOR ADDITIONAL INFORMATION OR SUPPORTING DOCUMENTATION. PART III, LINE 4: PLEASE REFERENCE FOOTNOTE NUMBER 4 ON PAGE 17 IN THE FISCAL YEAR 2025 AUDITED CONSOLIDATED FINANCIAL STATEMENTS. PART III, LINE 8: THE AMOUNT REPORTED IN PART III, LINE 6, MEDICARE ALLOWABLE COSTS OF CARE, IS DERIVED FROM CENTRAL VERMONT MEDICAL CENTER'S FYE 9/30/25 MEDICARE COST REPORT, WORKSHEET D-1, COMPUTATION OF INPATIENT OPERATING COSTS, AND WORKSHEET E PART B, CALCULATION OF OUTPATIENT SETTLEMENT. WHILE CVMC HAS HISTORICALLY FOLLOWED THE CATHOLIC HOSPITAL ASSOCIATION'S GUIDANCE AND HAS NOT CONSIDERED ANY MEDICARE SHORTFALL (REPORTED IN PART III, LINE 7) AS A COMMUNITY BENEFIT, IT IS LIKELY THAT SOME PORTION OF MEDICARE PATIENTS WOULD HAVE QUALIFIED FOR CHARITY CARE UNDER OUR POLICIES IN THE ABSENCE OF MEDICARE COVERAGE, SUCH THAT SHORTFALLS ASSOCIATED WITH THOSE PATIENTS WOULD OTHERWISE HAVE BEEN INCLUDED IN OUR COMMUNITY BENEFITS. PART III, LINE 9B: THE COLLECTION PROCESS IN PLACE AT CENTRAL VERMONT MEDICAL CENTER (CVMC) INCLUDES GENERATION OF MONTHLY STATEMENTS, FOLLOWED BY A PRE-COLLECTION LETTER OVER THE COURSE OF 120 DAYS. IN THE CASE OF UNDELIVERABLE MAIL, EFFORTS WILL BE MADE TO REACH THE PATIENT BY TELEPHONE. IF A NEW BILLING ADDRESS IS OBTAINED, THE 120 DAY WINDOW WILL BEGIN AGAIN. IF NO CONTACT CAN BE MADE AND PAYMENT IS NOT RECEIVED WITHIN THE REVISED 120 DAY WINDOW, THE ACCOUNT WILL BE REFERRED TO A COLLECTION AGENCY. IF CONTACT IS MADE, THE PATIENT WILL BE OFFERED A BUDGET PLAN. ALL STATEMENTS, LETTERS AND CONTACT WILL INCLUDE THE FACT THAT FINANCIAL ASSISTANCE IS AVAILABLE. REASONABLE EFFORTS WILL BE MADE TO DETERMINE IF A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE PRIOR TO BALANCE TRANSFER TO COLLECTIONS. REASONABLE EFFORTS MAY INCLUDE THE USE OF PRESUMPTIVE SCORING, THE NOTIFICATION AND PROCESSING OF APPLICATIONS AND NOTIFICATION BEFORE, DURING AND AFTER CARE. CVMC WILL PROCESS APPLICATIONS SUBMITTED BY INDIVIDUALS DURING THE APPLICATION PERIOD WHICH BEGINS ON THE DATE A BILLING STATEMENT FOR THE PATIENT BALANCE OF CARE IS PRESENTED AND ENDS 240 DAYS LATER. IF AT THE END OF THE 120 NOTIFICATION PERIOD AND ACCOUNT HAS BEEN REFERRED TO A COLLECTION AGENCY AND AN APPLICATION IS RECEIVED AND GRANTED WITHIN THE 240 DAY APPLICATION PERIOD, ACCOUNTS SHALL BE RECALLED FROM THE AGENCY AND PROCESSED UNDER THE FINANCIAL ASSISTANCE PROGRAM. NEEDS ASSESSMENT PART VI, LINE 2 CENTRAL VERMONT MEDICAL CENTER (CVMC) REGULARLY ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES THROUGH ONGOING DATA ANALYSIS, COMMUNITY ENGAGEMENT, AND CROSS-SECTOR COLLABORATION. THE 2025 CHNA WAS CONDUCTED IN PARTNERSHIP WITH THRIVE, THE REGIONAL ACCOUNTABLE COMMUNITY FOR HEALTH, AND AN INDEPENDENT RESEARCH FIRM, BUILD COMMUNITY. THE ASSESSMENT INCLUDED AN EXTENSIVE REVIEW OF PRIMARY AND SECONDARY DATA, HEALTH TRENDS, DEMOGRAPHIC AND SOCIOECONOMIC INDICATORS, AND THE SOCIAL DRIVERS OF HEALTH AFFECTING RESIDENTS IN CVMC'S SERVICE AREA. PRIMARY DATA COLLECTION METHODS INCLUDED BROAD COMMUNITY ENGAGEMENT, SUCH AS AN ONLINE COMMUNITY SURVEY WITH MORE THAN 1,300 RESIDENTS, A KEY STAKEHOLDER SURVEY WITH 186 INDIVIDUALS REPRESENTING HEALTH CARE PROVIDERS, SOCIAL SERVICE ORGANIZATIONS, GOVERNMENT AGENCIES, AND COMMUNITY GROUPS, AS WELL AS COMMUNITY CONVERSATIONS AND LISTENING SESSIONS WITH PROFESSIONALS SERVING PRIORITY POPULATIONS, INCLUDING OLDER ADULTS. THESE METHODS WERE USED TO GATHER INPUT ON UNMET HEALTH AND SOCIAL NEEDS, BARRIERS TO ACCESSING SERVICES, SERVICE DELIVERY GAPS, AND OPPORTUNITIES FOR IMPROVEMENT. SECONDARY DATA SOURCES INCLUDED LOCAL, STATE, AND NATIONAL PUBLIC HEALTH AND DEMOGRAPHIC DATA, INCLUDING INFORMATION FROM THE U.S. CENSUS BUREAU, CENTERS FOR DISEASE CONTROL AND PREVENTION, VERMONT DEPARTMENT OF HEALTH, HEALTH RESOURCES AND SERVICES ADMINISTRATION, AND OTHER RECOGNIZED DATA SETS. DATA WERE ANALYZED AT THE COUNTY, ZIP CODE, AND CENSUS TRACT LEVELS TO IDENTIFY DISPARITIES, EMERGING TRENDS, AND AREAS OF HIGHER UNMET NEED. THE ASSESSMENT INCORPORATED FRAMEWORKS SUCH AS SOCIAL DRIVERS OF HEALTH, THE UNMET NEED SCORE, AND THE SOCIAL VULNERABILITY INDEX TO BETTER UNDERSTAND DIFFERENCES IN HEALTH OUTCOMES AND ACCESS ACROSS COMMUNITIES. CVMC AND THRIVE ALIGNED CHNA FINDINGS WITH THE VERMONT DEPARTMENT OF HEALTH STATE HEALTH IMPROVEMENT PLAN (SHIP) TO SUPPORT COORDINATED COMMUNITY HEALTH PLANNING AND PRIORITIZATION. THE RESULTS OF THE CHNA ARE USED TO INFORM CVMC'S COMMUNITY HEALTH IMPROVEMENT PLAN AND TO GUIDE COMMUNITY BENEFIT INVESTMENTS AND PARTNERSHIPS. BEYOND THE FORMAL CHNA PROCESS, CVMC CONTINUOUSLY MONITORS COMMUNITY HEALTH NEEDS THROUGH ITS ROLE AS A PARTNER AND FISCAL SPONSOR OF THRIVE. THRIVE CONVENES A MULTI-SECTOR LEADERSHIP PARTNERSHIP THAT INCLUDES HEALTH CARE PROVIDERS, MENTAL HEALTH AND SUBSTANCE USE TREATMENT ORGANIZATIONS, SOCIAL SERVICE AGENCIES, GOVERNMENT ENTITIES, INSURERS, HOUSING ORGANIZATIONS, AND COMMUNITY-BASED NONPROFITS. THESE PARTNERS MEET REGULARLY TO SHARE DATA, IDENTIFY EMERGING ISSUES, COORDINATE SERVICES, AND SUPPORT SYSTEM-LEVEL SOLUTIONS TO IMPROVE ACCESS TO CARE, REDUCE DISPARITIES, AND ADDRESS UPSTREAM SOCIAL AND ECONOMIC FACTORS AFFECTING HEALTH. THROUGH THIS COMBINATION OF PERIODIC COMPREHENSIVE ASSESSMENT AND ONGOING COLLABORATIVE ENGAGEMENT, CVMC MAINTAINS A DYNAMIC UNDERSTANDING OF THE HEALTH CARE AND HEALTH-RELATED NEEDS OF CENTRAL VERMONT RESIDENTS AND ADAPTS STRATEGIES TO RESPOND TO EVOLVING COMMUNITY CONDITIONS. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS AVAILABLE AT THE FOLLOWING WEB ADDRESS: https://www.uvmhealth.org/sites/default/files/2025-09/CVMC-Community-Healt h-Needs-Assessment-2025.pdf PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: CENTRAL VERMONT MEDICAL CENTER USES A VARIETY OF METHODS TO INFORM, EDUCATE AND ASSIST PATIENTS IN IDENTIFYING PAYMENT SOURCES, INCLUDING STATE / FEDERAL PROGRAMS AS WELL AS OUR PATIENT ASSISTANCE PROGRAM. INFORM & EDUCATE: PATIENT EDUCATION IS PROVIDED ACROSS THE CONTINUUM OF CARE. PATIENT BENEFIT ADVISORS, FINANCIAL ADVOCATES, REGISTRARS, CASE MANAGERS, SOCIAL WORKERS AND CUSTOMER SERVICE REPRESENTATIVES ACTIVELY INFORM AND EDUCATE PATIENTS ON THE PROGRAM, GUIDELINES, REQUIREMENTS FROM: - PRE-ARRIVAL SCREENING/REGISTRATION TO POINT OF SALE EDUCATION AT REGISTRATION - AT THE BEDSIDE OF AN INPATIENT OR OBSERVATION PATIENT, AFTER DISCHARGE WITH CONTINUED FOLLOW-UP BY FINANCIAL ADVOCATES AND DURING THE SELF-PAY BILLING FOLLOW-UP PROCESS. PATIENTS ARE INFORMED OF THE PROGRAM, APPLICATIONS AND ASSISTANCE WITH COMPLETION ARE PROVIDED WITH FINANCIAL ADVOCATES ALSO PROVIDING EDUCATION AND ASSISTANCE FOR MEDICAID AND HEALTH INFORMATION EXCHANGE PROGRAMS, ALONG WITH ASSISTANCE IN APPLYING FOR THE CENTRAL VERMONT MEDICAL CENTER FINANCIAL ASSISTANCE PROGRAM. PATIENTS ARE ROUTINELY REFERRED TO ADVOCATES AND ADVISORS IN ADVANCE OF SERVICE WITH ADVOCATES ACTIVELY ASSISTING PATIENTS WHO ARE ADMITTED TO THE ORGANIZATION URGENTLY OR EMERGENTLY. POLICIES, SUMMARIES AND APPLICATIONS ARE AVAILABLE AT ALL REGISTRATION LOCATIONS, THEY ARE REFERENCED IN ALL INTERVIEW PROCESSES AND FURTHER AVAILABLE IN THE WAITING AREAS. OUR ORGANIZATIONAL WEBSITES PROVIDE EDUCATION, APPLICATIONS, POLICIES, SUMMARIES, AND FAQ DOCUMENTS ALONG WITH CONTACT INFORMATION AS A PASSIVE MEANS OF COMMUNICATION IN ADDITION TO THE ACTIVE EDUCATION REFERENCED PREVIOUSLY. OUR BILLING STATEMENTS REFLECT FINANCIAL ASSISTANCE HELP AND OUR COMMUNITY BENEFIT TEAM EDUCATE WITHIN THE COMMUNITY ON OUR PROGRAMS. APPLICATIONS AND INFORMATION ARE ADDITIONALLY AVAILABLE IN THE LOCAL COMMUNITY HEALTH CENTERS. ASSIST: - ALL INPATIENT AND OUTPATIENT PROCEDURES ARE FINANCIALLY SCREENED TO IDENTIFY THE UNDERINSURED OR UNINSURED PATIENT POPULATION. PRIOR TO SERVICE, CONCURRENT WITH SERVICE AND POST SERVICE, OUR PATIENT FINANCIAL COUNSELORS WILL CALL AND/OR MEET WITH PATIENTS AND FAMILIES TO EDUCATE THEM ON THE AVAILABLE PROGRAMS AND WHERE APPLICABLE, ASSIST IN THE APPLICATION PROCESS. THIS INCLUDES STATE AND FEDERAL AID APPLICATIONS AND THE CENTRAL VERMONT MEDICAL CENTER CHARITY APPLICATION PROCESS. - OUR FINANCIAL COUNSELORS /ADVOCATES HAVE BEEN CERTIFIED AS ASSISTERS IN THE PROCESS FOR HEALTH EXCHANGE INSURANCE, MEDICAID AND THE FINANCIAL ASSISTANCE PROGRAMS. COUNSELORS WILL ADDITIONALLY MEET WITH PATIENTS AT THE BEDSIDE TO HELP COMPLETE THE APPLICATIONS, PROVIDE DETAILS ON SUPPORTING DOCUMENTATION NEEDS AND FACILITATE AND EXPEDITE THE REVIEW PROCESS UNTIL A NOTICE OF DECISION HAS BEEN RECEIVED. COMMUNITY INFORMATION PART VI, LINE 4 COMMUNITY INFORMATION CENTRAL VERMONT MEDICAL CENTER (CVMC) PRIMARILY SERVES RESIDENTS OF WASHINGTON COUNTY, WITH A SECONDARY SERVICE AREA INCLUDING NEIGHBORING COMMUNITIES IN CALEDONIA, CHITTENDEN, LAMOILLE, AND ORANGE COUNTIES. DEMOGRAPHICS . POPULATION GROWTH HAS REMAINED LIMITED. WASHINGTON COUNTY HAD AN ESTIMATED POPULATION OF 59,958 RESIDENTS IN 2023, REFLECTING APPROXIMATELY 1% TOTAL GROWTH FROM 2010 TO 2023, COMPARED TO FASTER GROWTH NATIONALLY. VERMONT AND WASHINGTON COUNTY CONTINUE TO GROW MORE SLOWLY THAN THE NATION OVERALL. . THE POPULATION IS AGING RAPIDLY. FROM 2010 TO 2023, THE NUMBER OF ADULTS AGED 65 OR OLDER INCREASED BY MORE THAN 50% IN BOTH WASHINGTON COUNTY (52.1%) AND VERMONT OVERALL (53.8%). NEARLY 1 IN 5 RESIDENTS (ABOUT 21%) IN WASHINGTON COUNTY ARE NOW AGE 65 OR OLDER, COMPARED TO 16.8% NATIONALLY. THE MEDIAN AGE IN WASHINGTON COUNTY IS 43.7, SEVERAL YEARS OLDER THAN THE NATIONAL MEDIAN. . THE YOUTH POPULATION IS PROPORTIONALLY SMALLER. CHILDREN UNDER AGE 18 REPRESENT 18.3% OF WASHINGTON COUNTY RESIDENTS, COMPARED TO 22.2% NATIONALLY, REFLECTING BOTH LOW BIRTH RATES AND OUT-MIGRATION OF YOUNGER ADULTS. . RACIAL AND ETHNIC DIVERSITY IS INCREASING, THOUGH THE POPULATION REMAINS PREDOMINANTLY WHITE. BETWEEN 2010 AND 2023, THE SHARE OF RESIDENTS IDENTIFYING AS MULTIRACIAL AND LATINX INCREASED, WHILE THE PROPORTION IDENTIFYING AS WHITE DECLINED. DESPITE THESE SHIFTS, WASHINGTON COUNTY RESIDENTS IDENTIFYING AS WHITE STILL REPRESENT OVER 90% OF THE POPULATION, ALTHOUGH THIS SHARE CONTINUES TO TREND DOWNWARD. . APPROXIMATELY 14.2% OF WASHINGTON COUNTY RESIDENTS LIVE WITH A DISABILITY, WHICH IS SLIGHTLY HIGHER THAN THE NATIONAL AVERAGE (13.0%) AND REFLECTS THE COUNTY'S OLDER AGE PROFILE. DISABILITY PREVALENCE IS SUBSTANTIALLY HIGHER AMONG OLDER ADULTS (30.1% OF RESIDENTS AGE 65+). . POVERTY LEVELS ARE BELOW NATIONAL AVERAGES BUT VARY SIGNIFICANTLY BY LOCATION AND POPULATION. - 9.4% OF WASHINGTON COUNTY RESIDENTS LIVE IN POVERTY, COMPARED TO 10.3% STATEWIDE AND 12.4% NATIONALLY. - 10.7% OF CHILDREN AND 9.2% OF ADULTS AGE 65+ IN WASHINGTON COUNTY LIVE IN POVERTY. - SUBSTANTIAL VARIATION EXISTS BY ZIP CODE, WITH HIGHER POVERTY AND CHILD POVERTY RATES IN COMMUNITIES SUCH AS BARRE, ROXBURY, NORTHFIELD, AND MARSHFIELD, ILLUSTRATING LOCALIZED SOCIOECONOMIC DISPARITIES. . HOUSING COST BURDEN REMAINS A SIGNIFICANT CHALLENGE. - APPROXIMATELY 26% OF HOMEOWNERS IN WASHINGTON COUNTY ARE HOUSING COST BURDENED (SPENDING 30% OR MORE OF INCOME ON HOUSING). - 42.9% OF RENTERS ARE COST BURDENED, MEANING NEARLY 1 IN 2 RENTER HOUSEHOLDS EXPERIENCES HOUSING-RELATED FINANCIAL STRAIN. ALTHOUGH THIS REPRESENTS A SLIGHT IMPROVEMENT SINCE THE PRIOR CHNA, HOUSING AFFORDABILITY REMAINS A KEY DRIVER OF INSTABILITY. ACCESS TO HEALTH CARE . INSURANCE COVERAGE IS HIGH. IN 2023, 97.1% OF WASHINGTON COUNTY RESIDENTS HAD HEALTH INSURANCE, EXCEEDING STATE AND NATIONAL BENCHMARKS AND SURPASSING THE HEALTHY PEOPLE 2030 GOAL. EMPLOYER-SPONSORED INSURANCE REMAINS THE MOST COMMON SOURCE OF COVERAGE, WHILE MEDICARE ENROLLMENT INCREASED TO 23.3%, REFLECTING THE COUNTY'S AGING POPULATION. . PRIMARY CARE AVAILABILITY EXCEEDS NATIONAL LEVELS BUT ACCESS CHALLENGES PERSIST. WASHINGTON COUNTY HAS MORE PRIMARY CARE PHYSICIANS PER 100,000 RESIDENTS THAN THE NATIONAL AVERAGE, THOUGH THE RATE HAS DECLINED SLIGHTLY SINCE 2018. DESPITE THIS RELATIVE AVAILABILITY, ONLY APPROXIMATELY 70% OF ADULTS ACCESSED ROUTINE PRIMARY CARE IN 2022, WHICH IS BELOW BOTH STATE AND NATIONAL AVERAGES. . DENTAL CARE ACCESS IS BETTER THAN STATE AND NATIONAL NORMS BUT REMAINS UNMET FOR MANY. ABOUT 69.1% OF ADULTS RECEIVED DENTAL CARE IN 2022, HIGHER THAN VERMONT AND U.S. AVERAGES, YET ROUGHLY 3 IN 10 ADULTS DID NOT OBTAIN NEEDED DENTAL SERVICES. . BARRIERS TO CARE INCLUDE PROVIDER SHORTAGES, COST, TRANSPORTATION, AND WAIT TIMES. COMMUNITY MEMBERS AND STAKEHOLDERS CONSISTENTLY IDENTIFIED LONG WAIT TIMES, LIMITED PROVIDERS ACCEPTING MEDICAID OR MEDICARE, RISING OUT-OF-POCKET COSTS, AND TRANSPORTATION CHALLENGES-PARTICULARLY FOLLOWING CLINIC CLOSURES AND IN RURAL AREAS-AS KEY BARRIERS TO ACCESSING TIMELY AND PREVENTIVE CARE. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH AS A PARTNER IN THE UNIVERSITY OF VERMONT HEALTH NETWORK, CENTRAL VERMONT MEDICAL CENTER (CVMC) ADVANCES ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY THROUGH REGION-WIDE COLLABORATION, OPEN ACCESS TO CARE, STRONG COMMUNITY GOVERNANCE, AND TARGETED INVESTMENTS ALIGNED WITH IDENTIFIED COMMUNITY HEALTH NEEDS. CVMC SERVES AS THE PRIMARY HEALTHCARE PROVIDER FOR APPROXIMATELY 66,000 RESIDENTS ACROSS 26 CENTRAL VERMONT COMMUNITIES AND IS COMMITTED TO IMPROVING POPULATION HEALTH, ADVANCING HEALTH EQUITY, AND ADDRESSING BOTH CLINICAL AND SOCIAL DRIVERS OF HEALTH. CVMC CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS IN COLLABORATION WITH COMMUNITY PARTNERS AND RESIDENTS TO IDENTIFY PRIORITY HEALTH NEEDS AND GUIDE COMMUNITY BENEFIT INVESTMENTS. FINDINGS FROM THE 2022-2025 CHNA CYCLE AND THE FINALIZED 2025 CHNA IDENTIFIED PRIORITY AREAS INCLUDING ACCESS TO CARE AND SERVICES, MENTAL HEALTH AND SUBSTANCE USE DISORDERS, HOUSING AND COST OF LIVING, CHRONIC DISEASE PREVENTION, AND SOCIAL DRIVERS OF HEALTH. THESE FINDINGS DIRECTLY INFORM CVMC'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) AND ASSOCIATED STRATEGIES. CVMC IS A FISCAL SPONSOR AND LEAD CONVENER FOR THRIVE, THE ACCOUNTABLE COMMUNITY FOR HEALTH IN CENTRAL VERMONT. THROUGH THRIVE, CVMC COLLABORATES WITH HEALTH CARE PROVIDERS, SOCIAL SERVICE AGENCIES, GOVERNMENT ENTITIES, AND COMMUNITY-BASED ORGANIZATIONS TO ADVANCE COLLECTIVE IMPACT AND IMPROVE COMMUNITY WELLBEING. NO SINGLE ORGANIZATION CAN ADDRESS POPULATION HEALTH NEEDS ALONE; CVMC'S LEADERSHIP ROLE SUPPORTS COORDINATED, REGIONAL SOLUTIONS. IN ADDITION, CVMC SERVES AS THE ADMINISTRATIVE ENTITY FOR THE VERMONT BLUEPRINT FOR HEALTH FOR THE BARRE HEALTH SERVICE AREA, SUPPORTING PATIENT-CENTERED MEDICAL HOMES AND COMMUNITY HEALTH TEAMS FOCUSED ON CHRONIC DISEASE MANAGEMENT, MENTAL HEALTH INTEGRATION, AND CARE COORDINATION. COMMUNITY HEALTH TEAMS PROVIDE MULTIDISCIPLINARY SUPPORT-INCLUDING NURSING, DIETETICS, CARE MANAGEMENT, WELLNESS COACHING, AND SOCIAL WORK-AT NO COST TO PATIENTS WITHIN PRIMARY CARE PRACTICES AND WOMEN'S HEALTH SETTINGS. THE MAJORITY OF CVMC'S GOVERNING BODY IS COMPOSED OF INDIVIDUALS WHO RESIDE WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA AND WHO ARE NOT EMPLOYEES, CONTRACTORS, OR FAMILY MEMBERS, ENSURING STRONG COMMUNITY OVERSIGHT AND ACCOUNTABILITY. CVMC PARTICIPATES IN THE UNIVERSITY OF VERMONT HEALTH UNIFIED MEDICAL STAFF. MEDICAL STAFF MEMBERSHIP AND CLINICAL PRIVILEGES ARE AVAILABLE TO QUALIFIED PHYSICIANS AND OTHER ELIGIBLE PRACTITIONERS WHO MEET THE QUALIFICATIONS, STANDARDS, AND REQUIREMENTS ESTABLISHED IN THE MEDICAL STAFF BYLAWS AND CREDENTIALING POLICIES. APPLICATIONS FOR MEMBERSHIP AND PRIVILEGES ARE EVALUATED THROUGH A CREDENTIALING AND PEER REVIEW PROCESS AND ARE CONSIDERED WITHOUT DISCRIMINATION ON ANY BASIS PROHIBITED BY LAW. CLINICAL PRIVILEGES MAY BE GRANTED IN DEPARTMENTS AND SPECIALTIES FOR WHICH CVMC HAS ESTABLISHED PRIVILEGING CRITERIA AND HAS THE FACILITIES, RESOURCES, AND SUPPORT SERVICES NECESSARY TO PROVIDE CARE SAFELY AND EFFECTIVELY. CVMC ACTIVELY COLLABORATES WITH A BROAD NETWORK OF COMMUNITY PARTNERS TO FURTHER ITS CHARITABLE MISSION, INCLUDING BUT NOT LIMITED TO CENTRAL VERMONT HOME HEALTH AND HOSPICE, GREEN MOUNTAIN UNITED WAY, PEOPLE'S HEALTH AND WELLNESS CLINIC, VERMONT DEPARTMENT OF HEALTH, WASHINGTON COUNTY MENTAL HEALTH SERVICES, CENTRAL VERMONT PREVENTION COALITION, VERMONT FOODBANK, FAMILY CENTER OF WASHINGTON COUNTY, DOWNSTREET HOUSING AND COMMUNITY DEVELOPMENT, TURNING POINT CENTER OF CENTRAL VERMONT, AND LOCAL EMERGENCY MEDICAL SERVICES AND FOOD PANTRIES. COMMUNITY BENEFIT ACTIVITIES AND INVESTMENTS IN 2023 AND 2024 SUPPORTED SUBSTANCE USE PREVENTION AND RECOVERY, FOOD SECURITY, TRANSPORTATION ACCESS, HOUSING STABILITY, WORKFORCE DEVELOPMENT, AND EMERGENCY RESPONSE. THESE EFFORTS INCLUDED CONVENING THE CENTRAL VERMONT PREVENTION COALITION, SUPPORTING HARM REDUCTION AND OVERDOSE PREVENTION INITIATIVES, EXPANDING FOOD ACCESS PROGRAMS SUCH AS HEALTH CARE SHARES AND VEGGIE VAN GO, AND PARTNERING TO ADDRESS BARRIERS RELATED TO TRANSPORTATION, HOUSING, AND ECONOMIC INSTABILITY. CVMC ALSO APPLIES SURPLUS FUNDS TO IMPROVE COMMUNITY HEALTH BY REINVESTING IN FACILITY UPGRADES, EQUIPMENT PURCHASES, STAFF EDUCATION, AND PROGRAM ENHANCEMENTS THAT STRENGTHEN PATIENT- AND FAMILY-CENTERED CARE AND ENSURE ACCESS TO HIGH-QUALITY SERVICES FOR THE COMMUNITY. FINALLY, CVMC ADVANCES COMMUNITY HEALTH THROUGH WORKFORCE DEVELOPMENT AND EDUCATION. IN RECENT YEARS, THE ORGANIZATION EXPANDED HEALTHCARE CAREER PATHWAY PROGRAMS IN PARTNERSHIP WITH VERMONT EDUCATIONAL INSTITUTIONS, FOCUSING ON LICENSED PRACTICAL NURSING, REGISTERED NURSING, SURGICAL TECHNOLOGY, AND OTHER CRITICAL ROLES. THESE PROGRAMS SUPPORT ECONOMIC STABILITY, WORKFORCE CAPACITY, AND LONG-TERM ACCESS TO CARE IN CENTRAL VERMONT. THROUGH COLLABORATIVE GOVERNANCE, STRATEGIC REINVESTMENT OF RESOURCES, AND PARTNERSHIPS ADDRESSING BOTH HEALTHCARE AND SOCIAL NEEDS, CENTRAL VERMONT MEDICAL CENTER CONTINUES TO FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH AND WELLBEING OF THE COMMUNITIES IT SERVES. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM: AS OF OCTOBER 1, 2011, CENTRAL VERMONT MEDICAL CENTER, INC. (CVMC) AND THE UNIVERSITY OF VERMONT MEDICAL CENTER (UVMMC) BECAME MEMBERS OF THE UNIVERSITY OF VERMONT HEALTH NETWORK (UVMHN), AN INTEGRATED SYSTEM OF CARE SERVING THE COMMUNITIES OF VERMONT AND NORTHERN NEW YORK. THE UNIVERSITY OF VERMONT HEALTH NETWORK IS CARRYING OUT CENTRALIZED ACTIVITIES FOR THE BENEFIT OF PATIENTS OF PARTNER ORGANIZATIONS, INCLUDING IMPROVING ACCESS TO LOCAL CARE, COST SAVINGS THROUGH GREATER JOINT PURCHASING POWER, ENHANCING INFORMATION TECHNOLOGY, INCREASING ACADEMIC OPPORTUNITIES FOR PHYSICIANS, ENGAGING IN REGIONAL STRATEGIC PLANNING, AND PARTICIPATING IN JOINT QUALITY AND CLINICAL INITIATIVES. SINCE THE HEALTH NETWORK'S INCEPTION, CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER, ELIZABETH COMMUNITY HOSPITAL, ALICE HYDE MEDICAL CENTER, PORTER MEDICAL CENTER, AND UVM HEALTH NETWORK HOME HEALTH & HOSPICE HAVE ALSO JOINED. STATE FILING OF COMMUNITY BENEFIT REPORT PART VI, LINE 7 THE CENTRAL VERMONT MEDICAL FILES A COMMUNITY BENEFIT REPORT WITH THE STATE OF VERMONT. true PEOPLES HEALTH AND WELLNESS CENTER 51 CHURCH ST BARRE VT 05641 030343290 501(c)(3) 35000 FMV HEALTH CARE FOR THE UNINSURED ONE ARTS COMMUNITY SCHOOLS PO BOX 532 BURLINGTON VT 05401 863243278 501(C)(3) 150000 FMV COMMUNITY SUPPORT 2 0 PEOPLES HEALTH AND WELLNESS CENTER 35000 FMV ENDOWMENT SCHOLARSHIPS 7 17500 FMV SCHOLARSHIPS DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS SCHEDULE I, PART I, LINE 2 CENTRAL VERMONT MEDICAL CENTER OCCASIONALLY PROVIDES GRANT FUNDING TO ORGANIZATIONS WHOSE ACTIVITIES FURTHER THE HOSPITAL'S CHARITABLE PURPOSE OF SERVING THE HEALTH CARE NEEDS OF RESIDENTS OF CENTRAL VERMONT. GRANT FUNDS ARE AWARDED TO ORGANIZATIONS WITH PROGRAMS THAT ADDRESS COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), INCLUDING, BUT NOT LIMITED TO, INITIATIVES THAT IMPROVE ACCESS TO CARE, ADVANCE HEALTH EQUITY, SUPPORT POPULATION HEALTH, OR ADDRESS SOCIAL DETERMINANTS OF HEALTH. ALL GRANT AWARDS ARE SUBJECT TO REVIEW, APPROVAL, AND OVERSIGHT BY THE HOSPITAL'S BOARD. X false false false true false false false false false true false RYAN CLOUSER MD TRUSTEE 0 365525 0 66386 0 25742 0 24150 0 35959 0 517762 0 0 DR BENJAMIN SMITH TRUSTEE (AS OF 3/2025) 0 392058 0 0 0 14736 0 20700 0 36128 0 463622 0 0 ANNA T NOONAN PRESIDENT & COO/TRUSTEE 379392 0 128425 0 86467 0 76788 0 35476 0 706548 0 48724 0 MATTHEW CHOATE VP PATIENT CARE SERVICES 242639 0 46243 0 12161 0 18297 0 16409 0 335749 0 0 0 JAMES ALVAREZ VP SUPPORT SERVICES 248457 0 46166 0 25459 0 12729 0 23476 0 356287 0 0 0 DR SUNIL EAPPEN TRUSTEE 0 1366935 0 596073 0 46462 0 189967 0 36308 0 2235745 0 0 KIMBERLY PATNAUDE TREASURER, CFO 287891 0 40707 0 2781 0 17108 0 26293 0 374780 0 0 0 ROBERT ROBINSON MD PHYSICIAN 247445 0 0 0 12970 0 13563 0 13135 0 287113 0 0 0 ANNE LEWIS NURSE MANAGER 183337 0 0 0 4575 0 11004 0 25338 0 224254 0 0 0 HELEN HOLLENBACH PHYSICIAN ASST. 144736 0 0 0 66744 0 12510 0 30860 0 254850 0 0 0 CHRISTOPHER AUBIN PHYSICIAN ASST. 155213 0 10000 0 25536 0 1878 0 31862 0 224489 0 0 0 SCOTT ROBERT NELSON MD TRUSTEE (UNTIL 2/2025) 0 246379 0 0 0 38468 0 17031 0 36776 0 338654 0 0 WILLIAM KOWALEWSKI - ADMINVP AGING SVCS WDR (UNTIL 12/2024) 172868 0 31445 0 4462 0 12441 0 3079 0 224295 0 0 0 JOSEPH JOHNSTON VP CLINICAL OPERATIONS 230490 0 43198 0 1282 0 7739 0 38452 0 321161 0 0 0 SHANNON RIVARD NURSE PRACTITIONER 142559 43877 11491 34449 232376 SCHEDULE J, PART I, LINES 1A AND 1B CERTAIN CENTRAL VERMONT MEDICAL CENTER OFFICERS, TRUSTEES, KEY EMPLOYEES, AND HIGHLY COMPENSATED EMPLOYEES RECEIVED COMPENSATION OF $1,400 TO COVER TAX PREPARATION AND FINANCIAL ADVISORY SERVICES. ONE OFFICER RECEIVED THIS BENEFIT IN CALENDAR YEAR 2024. WHILE THERE IS NO ORGANIZATION-WIDE WRITTEN POLICY REGARDING SUCH PAYMENTS, THE AMOUNT IS INCLUDED IN EACH INDIVIDUAL'S EMPLOYMENT CONTRACT, WHICH IS SUBJECT TO ANNUAL REVIEW (AS DISCUSSED IN SCHEDULE O). PERSONAL SERVICE COMPENSATION IS INCLUDED IN EACH INDIVIDUAL'S FORM W-2 AS TAXABLE INCOME. NO REIMBURSEMENT IS MADE UNDER AN ACCOUNTABLE PLAN AND THE COMPENSATION IS OFFERED ON A TAXABLE BASIS. THEREFORE, SUBSTANTIATION OF EXPENSE IS NOT REQUIRED. SCHEDULE J, PART I, LINE 3 CVMC RECEIVES GUIDANCE REGARDING ITS PRESIDENT'S COMPENSATION FROM THE UVM HEALTH NETWORK COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, WHICH IS THE SOLE MEMBER OF THE HOSPITAL, THAT NETWORK COMPENSATION COMMITTEE UTILIZES THE FOLLOWING METHODS TO ESTABLISH THE GUIDANCE: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE SCHEDULE J, PART I, LINE 4B THE UNIVERSITY OF VERMONT HEALTH NETWORK, BY AND THROUGH ITS AFFILIATED SUBSIDIARIES, MAINTAINS A SUPPLEMENTAL RETIREMENT BENEFIT PLAN (SRP) UNDER CONTRACTUAL ARRANGEMENTS WITH SEVERAL PERSONS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A. PURSUANT TO THE TERMS OF THE SRP, ANNUAL CREDITS WERE MADE EQUAL TO A FIXED PERCENTAGE OF BASE SALARY. THE FOLLOWING PERSONS PARTICIPATED IN THE SRP IN CALENDAR YEAR 2024, AND THEIR RESPECTIVE FIXED PERCENTAGE IS DESIGNATED IN PARENTHESES: ANNA T. NOONAN (8.68%) AND SUNIL EAPPEN (12.24%). DEFERRED AMOUNTS VEST ON THE EARLIER OF: (I) JANUARY 1 OF THE THIRD PLAN YEAR AFTER THE PLAN YEAR FOR WHICH THE ACCOUNT WAS CREATED; OR (II) THE PARTICIPANT'S 65TH BIRTHDAY. ANNA T. NOONAN RECEIVED SRP DISTRIBUTIONS REFLECTED IN SCH J, PART II, COL (B)(III) AND (F). FOR THE PLANS NOTED ABOVE, THE AMOUNT DEFERRED FOR CALENDAR YEAR 2024 IS INCLUDED ON SCHEDULE J, PART II, COLUMN C. AMOUNTS DEFERRED REMAIN SUBJECT TO FORFEITURE IF CERTAIN CONDITIONS ARE NOT MET. SCHEDULE J, PART I, LINE 7 CENTRAL VERMONT MEDICAL CENTER, INC (CVMC) HAS AN ANNUAL PERFORMANCE INCENTIVE PLAN. PERFORMANCE TARGETS AND PAYOUT METRICS ARE ESTABLISHED AND APPROVED BY THE UVM HEALTH NETWORK COMPENSATION COMMITTEE AT THE BEGINNING OF EACH PERFORMANCE CYCLE. SUBSTANTIAL DONOR SUBSTANTIAL CONTRIBUTOR 2202865 CONSTRUCTION SERVICES false DESCRIPTION OF THE ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 CENTRAL VERMONT MEDICAL CENTER IS THE PRIMARY HEALTH CARE PROVIDER FOR 66,000 PEOPLE WHO LIVE AND WORK IN THE 26 COMMUNITIES OF CENTRAL VERMONT. WE PROVIDE A COMPREHENSIVE RANGE OF SERVICES THROUGH OUR HOSPITAL, 25 COMMUNITY-BASED MEDICAL PRACTICES, AND 153-BED SKILLED NURSING FACILITY. CENTRAL VERMONT MEDICAL CENTER HOSPITAL PROVIDES 24-HOUR EMERGENCY CARE, WITH A FULL SPECTRUM OF INPATIENT (LICENSED FOR 122 BEDS) AND OUTPATIENT SERVICES, CLOSE TO HOME. CENTRAL VERMONT MEDICAL CENTER NAMED ONE OF THE NATION'S TOP 100 RURAL & COMMUNITY HOSPITALS BY THE NATIONAL RURAL HEALTH ASSOCIATION (NRHA). TOP 100 RURAL COMMUNITY HOSPITALS ARE THOSE ACHIEVING SUCCESS IN OVERALL PERFORMANCE BASED ON A COMPOSITE RATING FROM EIGHT INDICATORS OF STRENGTH - INPATIENT MARKET SHARE, OUTPATIENT MARKET SHARE, QUALITY, OUTCOMES, PATIENT PERSPECTIVES, COSTS, CHARGES AND FINANCIAL STABILITY. IN ADDITION, CENTRAL VERMONT MEDICAL CENTER RECEIVED THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES-RESUSCITATION SILVER QUALITY ACHIEVEMENT AWARD. THIS AWARD ACKNOWLEDGES CVMC'S DEDICATION TO IMPROVING SURVIVAL RATES FOR IN-HOSPITAL CARDIAC ARREST PATIENTS BY CONSISTENTLY FOLLOWING THE LATEST RESEARCH-BASED TREATMENT GUIDELINES. THESE GUIDELINES FOCUS ON PATIENT SAFETY, TIMELY MEDICAL EMERGENCY TEAM RESPONSE, EFFECTIVE CPR, AND COMPREHENSIVE POST-RESUSCITATION CARE. THE CENTRAL VERMONT MEDICAL CENTER PROFESSIONAL STAFF INCLUDES OVER 175 PHYSICIANS AND 90 ADVANCED PRACTICE PROVIDERS REPRESENTING 25 MEDICAL SPECIALTIES. CENTRAL VERMONT MEDICAL CENTER'S WOODRIDGE REHABILITATION AND NURSING IS A LONG-TERM AND SHORT-TERM FACILITY ON OUR MAIN CAMPUS LICENSED FOR 153 SKILLED NURSING BEDS. COMBINED AS CENTRAL VERMONT MEDICAL CENTER (HOSPITAL, 28 MEDICAL PRACTICES, AND WOODRIDGE REHABILITATION AND NURSING) ARE A CRITICAL SOURCE OF HIGH QUALITY CARE, CLOSE TO HOME. WITH OVER 1,700 EMPLOYEES (FROM WASHINGTON, ORANGE, LAMOILLE, CHITTENDEN COUNTIES AND MORE), CENTRAL VERMONT MEDICAL CENTER IS THE LARGEST PRIVATE EMPLOYER IN CENTRAL VERMONT. GOVERNING BODY AND MANAGEMENT FORM 990, PART VI, LINE 2 THERE IS A BUSINESS RELATIONSHIP BETWEEN DR. SUNIL EAPPEN, OFFICER OF THE UNIVERSITY OF VERMONT MEDICAL CENTER (UVMMC), DR. RYAN CLOUSER, AN OFFICER OF CVMC, DR. BENJAMIN SMITH, A TRUSTEE OF CVMC, AND DR. SCOTT (ROBERT) NELSON, AN OFFICER OF CVMC. CHANGES TO GOVERNING DOCUMENTS FORM 990, PART VI, LINE 4 EFFECTIVE DURING FISCAL YEAR 2025, THE BYLAWS FOR CVMC WERE AMENDED TO REVISE THE MINIMUM NUMBER OF VOTING TRUSTEES SERVING ON THE BOARD OF TRUSTEES. THE AMENDEMENT CHANGED THE GOVERNING PROVISIONS RELATED TO THE COMPOSITION OF THE ORGANIZATION'S VOTING GOVERNING BODY BY ESTABLISHING A MINIMUM OF EIGHT (8) VOTING TRUSTEES. NO OTHER SUBSTANTIVE CHANGES TO THE GOVERNANCE STRUCTURE WERE MADE. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6 THE UNIVERSITY OF VERMONT HEALTH NETWORK IS THE SOLE MEMBER AND PARENT CORPORATION OF CENTRAL VERMONT MEDICAL CENTER, INC. (CVMC). THE UNIVERSITY OF VERMONT HEALTH NETWORK IS A VERMONT NON-PROFIT CORPORATION WHICH HAS BEEN RECOGNIZED BY THE IRS AS A 501(C)(3) ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. ELECTION OF GOVERNING BODY & GOVERNANCE DECISIONS FORM 990, PART VI, LINE 7A & 7B THE UNIVERSITY OF VERMONT HEALTH NETWORK HOLDS THE POWER TO ELECT CVMC'S BOARD OF TRUSTEES AND TO APPROVE SIGNIFICANT CORPORATE ACTIONS, INCLUDING ANNUAL OPERATING AND CAPITAL BUDGETS, STRATEGIC PLANS, THE APPOINTMENT OF THE PRESIDENT/COO, THE INCURRENCE OF LONG-TERM INDEBTEDNESS, AND AMENDMENTS TO CVMC'S BYLAWS AND ARTICLES OF ORGANIZATION. DESCRIPTION OF PROCESS USED BY MGMNT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, LINE 11B THE FORM 990 IS PREPARED BY THE ACCOUNTING MANAGER AND REVIEWED IN DETAIL BY CVMC'S OUTSIDE TAX ADVISORS BEFORE BEING REVIEWED BY THE OFFICERS OF THE CORPORATION AND BY THE OTHER MEMBERS OF THE SENIOR MANAGEMENT TEAM. THE ACCOUNTING MANAGER PROVIDES REGULATORY UPDATES REGARDING THE FORM 990 TO THE EXECUTIVE COMMITTEE AND MAKES AVAILABLE TO THE EXECUTIVE COMMITTEE THE FORM 990 ALONG WITH HIGHLIGHTS OF ALL SIGNIFICANT PARTS OF THE FORM 990. THE COMPLETED FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF TRUSTEES PRIOR TO THE FORM BEING FILED WITH THE IRS. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH THE UVM HEALTH NETWORK'S (UVMHN) CONFLICT OF INTEREST POLICY, WHICH IT HAS ADOPTED. IN ACCORDANCE WITH THE POLICY, TRUSTEES, OFFICERS, KEY EMPLOYEES AND PHYSICIANS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE AND CERTIFICATION UPON HIRING, AT LEAST ANNUALLY, PRIOR TO PARTICIPATING IN ANY DECISION THAT MAY BE AFFECTED BY A PERSONAL INTEREST, AND WHENEVER A POTENTIALLY CONFLICTING INTEREST FIRST ARISES. CONFLICT OF INTEREST DISCLOSURES AND CERTIFICATIONS ARE REGULARLY REVIEWED BY THE GENERAL COUNSEL. THE CONFLICT OF INTEREST POLICY IS ENFORCED BY THE OFFICE OF GENERAL COUNSEL AND OVERSEEN BY A FIVE-PERSON CONFLICT OF INTEREST COMMITTEE. THE GENERAL COUNSEL REPORTS AT LEAST QUARTERLY ON CONFLICT OF INTEREST ISSUES TO THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES. CONFLICTS OF INTEREST ARE MANAGED IN ACCORDANCE WITH THE POLICY, WHICH PROVIDES FOR A VARIETY OF REMEDIES TO ADDRESS CONFLICTS OF INTEREST. IN ADDITION, "DISQUALIFIED PERSONS", CONSISTING OF TRUSTEES, OFFICERS AND KEY EMPLOYEES ARE SUBJECT TO SPECIAL PROCEDURES TO COMPLY WITH THE INTERMEDIATE SANCTION RULES, AS OUTLINED IN THE CONFLICT OF INTEREST POLICY. REMEDIES TO ADDRESS CONFLICTS OF INTEREST MAY INCLUDE THE FOLLOWING: RECUSAL FROM DECISION MAKING, DISCLOSURE TO APPROPRIATE PARTIES, COMMITTEE PARTICIPATION LIMITS AND REQUESTED DIVESTITURE. AN APPEALS PROCESS EXISTS SHOULD THE INDIVIDUAL REQUEST A SECONDARY REVIEW BE PERFORMED. WHISTLEBLOWER & DOCUMENT RETENTION - DESTRUCTION POLICIES FORM 990, PART VI, LINES 13 & 14 THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH THE UVM HEALTH NETWORK'S CONFLICT OF INTEREST POLICY, WHICH IT HAS ADOPTED. IN ACCORDANCE WITH THE POLICY, TRUSTEES, OFFICERS, KEY EMPLOYEES AND PHYSICIANS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE AND CERTIFICATION UPON HIRING, AT LEAST ANNUALLY, PRIOR TO PARTICIPATING IN ANY DECISION THAT MAY BE AFFECTED BY A PERSONAL INTEREST, AND WHENEVER A POTENTIALLY CONFLICTING INTEREST FIRST ARISES. CONFLICT OF INTEREST DISCLOSURES AND CERTIFICATIONS MAY BE MADE ONLINE OR IN WRITING AND ARE REGULARLY REVIEWED BY THE GENERAL COUNSEL. THE CONFLICT OF INTEREST POLICY IS ENFORCED BY THE OFFICE OF GENERAL COUNSEL AND OVERSEEN BY A FIVE-PERSON CONFLICT OF INTEREST COMMITTEE. THE GENERAL COUNSEL REPORTS AT LEAST QUARTERLY ON CONFLICT OF INTEREST ISSUES TO THE AUDIT COMMITTEE OF THE BOARD OF TRUSTEES. CONFLICTS OF INTEREST ARE MANAGED IN ACCORDANCE WITH THE POLICY, WHICH PROVIDES FOR A VARIETY OF REMEDIES TO ADDRESS CONFLICTS OF INTEREST. IN ADDITION, "DISQUALIFIED PERSONS", CONSISTING OF TRUSTEES, OFFICERS AND KEY EMPLOYEES ARE SUBJECT TO SPECIAL PROCEDURES TO COMPLY WITH THE INTERMEDIATE SANCTION RULES, AS OUTLINED IN THE CONFLICT OF INTEREST POLICY. REMEDIES TO ADDRESS CONFLICTS OF INTEREST MAY INCLUDE THE FOLLOWING: RECUSAL FROM DECISION MAKING, DISCLOSURE TO APPROPRIATE PARTIES, COMMITTEE PARTICIPATION LIMITS AND REQUESTED DIVESTITURE. AN APPEALS PROCESS EXISTS SHOULD THE INDIVIDUAL REQUEST A SECONDARY REVIEW BE PERFORMED. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, LINES 15A & 15B THE PROCESS FOR DETERMINING COMPENSATION FOR THE ORGANIZATION'S PRESIDENT/COO IS HANDLED BY THE UVM HEALTH NETWORK (UVMHN) COMPENSATION COMMITTEE. THE COMMITTEE MEETS ANNUALLY AND UTILIZES SURVEY DATA TO MAKE A TOTAL COMPENSATION RECOMMENDATION. IF NECESSARY, THE UVMHN COMPENSATION COMMITTEE WILL ENGAGE WITH AN INDEPENDENT CONSULTING FIRM, INTEGRATED HEALTHCARE STRATEGIES (IHS)/GALLAGER, WITH NATIONAL EXPERTISE IN HEALTH CARE COMPENSATION. THE UVMHN COMPENSATION COMMITTEE RECOMMENDS AND APPROVES THE COMPENSATION. AN ANALYSIS IS PERFORMED ANNUALLY BY THE UVMHN COMPENSATION COMMITTEE TO EVALUATE CVMC SENIOR LEADERSHIP COMPENSATION. RECOMMENDATIONS ARE REVIEWED BY THE PRESIDENT AND THE EXECUTIVE COMMITTEE OF THE CVMC BOARD OF TRUSTEES. MARKET STUDY DATA COMES FROM, BUT IS NOT LIMITED TO, WILLIS TOWERS WATSON, MERCER, GALLAGHER, AND SULLIVAN COTTER. THE COMPENSATION OF OTHER KEY EMPLOYEES OF THE ORGANIZATION IS DETERMINED THROUGH MARKET STUDY ANALYSIS PERFORMED BY THE UVMHN COMPENSATION COMMITTEE. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, LINE 19 THE ORGANIZATION MAKES AVAILABLE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS TO THE GENERAL PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS OF THE ORGANIZATION FOR FY2025 CAN ALSO BE FOUND ON THE WEBSITE, https://www.uvmhealth.org/about-us/financials COMPENSATION FORM 990, PART VII THREE PHYSICIANS SERVING AS BOARD MEMBERS, DR. CLOUSER, DR. SMITH, AND DR. NELSON, RECEIVE COMPENSATION FROM A RELATED ORGANIZATION (UVMMG) FOR THEIR SERVICES AS PHYSICIANS. THIS COMPENSATION IS NOT RELATED TO THEIR PARTICIPATION AS MEMBERS OF THE BOARD OF TRUSTEES. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES: CHANGE IN MINIMUM PENSION LIABILITY $ (61,089) TRANSFER OF NET ASSETS (1,215,598) ASSETS RELEASED FROM CAPITAL 487,558 OTHER CHANGES OF NET ASSETS WITH DONOR RESTRICTIONS 686,971 ------------------------------------------------------------------------- TOTAL: $ (102,158) CIRCULAR A-133 AUDIT FORM 990, PART XII, LINE 3B: DURING FY25, CVMC DID NOT REACH THE LEVEL REQUIRED TO WARRANT AN AUDIT UNDER OMB CIRCULAR A-133. HOWEVER, BECAUSE OF CVMC'S AFFILIATION WITH THE UNIVERSITY OF VERMONT HEALTH NETWORK, CVMC WAS INCLUDED IN THE A-133 WHICH WAS PERFORMED FOR THE UNIVERSITY OF VERMONT MEDICAL CENTER. FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:50876745 UNIVERSITY OF VERMONT MEDICAL CENTERINC 111 COLCHESTER AVE BURLINGTON VT 05401 030219309 HOSPITAL VT 501(c)(3) 3 UVMHN true UNIV OF VERMONT HEALTH NETWORK INC 111 COLCHESTER AVE BURLINGTON VT 05401 452880726 HOLDING CO VT 501(C)(3) 12A-I NA false UNIVERSITY OF VERMONT MEDICAL GROUP 111 COLCHESTER AVE BURLINGTON VT 05401 030225105 PHYS SVCS VT 501(C)(3) 12A-I UVMHN true UNIV OF VERMONT MEDICAL CTR FDN INC 111 COLCHESTER AVE BURLINGTON VT 05401 263159849 FUNDRAISING VT 501(C)(3) 12A-I UVMMC true CENTRAL VERMONT HOSPITAL AUXILIARY 130 FISHER RD BERLIN VT 05602 030264240 SERVICE VT 501(C)(3) 12D-III-O NA false COMMUNITY PROVIDERS INC 75 BEEKMAN ST PLATTSBURGH NY 12901 222544844 HLTH SVC COOR NY 501(C)(3) 12A-I UVMHN true CHAMPLAIN VALLEY PHYSICIANS HOSPITAL 75 BEEKMAN STREET PLATTSBURGH NY 12901 141338471 HOSPITAL NY 501(C)(3) 3 CPI true ELIZABETHTOWN COMMUNITY HOSPITAL 75 PARK STREET ELIZABETHTOWN NY 12932 141364513 HOSPITAL NY 501(C)(3) 3 CPI true EMERGENCY MEDICAL TRANSPORT OF CVPH INC 75 BEEKMAN ST PLATTSBURGH NY 12901 061718419 AMBULANCE SVC NY 501(C)(3) 12B-II CPI true CVPH MEDICAL CENTER FOUNDATION 75 BEEKMAN ST PLATTSBURGH NY 12901 141727048 HLTH SVC SUPP NY 501(c)(3) 12B-II CVPH true UNIVERSITY MEDICAL EDUCATION ASSOCIATES 89 BEAUMONT AVE BURLINGTON VT 05405 237107832 EDUCATIONAL VT 501(C)(3) 11 UVMMG true UNIVERSITY HEALTH CENTER 111 CoOLCHESTER AVE BURLINGTON VT 05401 030229931 HOSPITAL VT 501(C)(3) 12C-III-FI UVMMG true ALICE HYDE MEDICAL CENTER 133 PARK STREET MALONE NY 12953 150346515 HOSPITAL NY 501(C)(3) 3 CPI true PORTER MEDICAL CENTER INC 115 PORTER DRIVE MIDDLEBURY VT 05753 030310862 SUPPTG ORG VT 501(C)(3) 12-BII UVMHN true HELEN PORTER NURSING HOME 37 PORTER DRIVE MIDDLEBURY VT 05753 030306549 NURSING HOME VT 501(C)(3) 3 PMC true AUXILIARY OF PORTER MEDICAL CENTER 37 PORTER DRIVE MIDDLEBURY VT 05753 237363227 SUPPORTG ORG VT 501(C)(3) 12-B,II PMC true PORTER HOSPITAL INC 37 PORTER DRIVE MIDDLEBURY VT 05753 030181058 HOSPITAL VT 501(C)(3) 3 PMC true VMC INDEMNITY COMPANY INC 95 ST PAUL ST BURLINGTON VT 05401 831102018 INSURANCE VT 501(C)(3) 12A-I UVMHN true LAKE CHAMPLAIN PHYSICIANS SERVICES PC 75 BEEKMAN STREET PLATTSBURGH NY 12901 273785445 PHYSICIAN SVC NY 501(C)(3) 12A-I CVPH true UVMHN HOME HEALTHCARE & HOSPICE 1110 PRIM ROAD COLCHESTER VT 05446 030179603 HOME HEALTH VT 501(C)(3) 10 UVMHN true CHARITABLE IRREVOCABLE TRUST (8) SUPPORT VT UVMMCCVMC TRUST UNIV OF VT MED CTR HEALTH VENT INC 111 COLCHESTER AVE BURLINGTON VT 05401 043380045 COMPANY VT UVMMC C CORP CHARITABLE REMAINDER TRUST (6) SUPPORT VT UVMMCCVMC TRUST PERPETUAL TRUST (10) SUPPORT VT UVMMC TRUST CHAMPLAIN VALLEY HEALTH NETWORK 75 BEEKMAN STREET PLATTSBURGH NY 12901 161586102 ADMIN SERVICE NY NA C CORP MEDQUEST INC PO BOX 1656 PLATTSBURGH NY 12901 141663061 LEASE NY NA C CORP UVMHN CREDENTIALING & ENROLLMENT 111 COLCHESTER AVE BURLINGTON VT 05401 030333056 ADMIN SVC VT UVMHN VENTURES C CORP true true true false false false false false true false true false true false false true true true false UNIVERSITY OF VERMONT MEDICAL CENTER I 429161 FMV UNIVERSITY OF VERMONT MEDICAL CENTER A 151468 FMV UNIVERSITY OF VERMONT MEDICAL CENTER P 43810675 FMV VMC INDEMNITY COMPANY M 614847 FMV SCHEDULE R, PART IV, LINE 1 UNIVERSITY OF VERMONT MEDICAL CENTER, INC. (UVM MEDICAL CENTER) HAS A BENEFICIAL INTEREST IN FOUR OF THESE TRUSTS. CVMC HAS A BENEFICIAL INTEREST IN THREE OF THESE TRUSTS.