Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1f · All other contributions, gifts and grants

  $987,678

• 1g · Noncash contributions included above

  $3,124

• 3 · Investment income

  total $208,951 · excluded $208,951

• 7a · Gross sales of assets other than inventory

  securities $350,863

• 7b · Less cost or other basis and sales expenses

  securities $629,789

• 7c · Gain or loss

  securities -$278,926

• 7d · Net gain or loss

  total -$278,926 · excluded -$278,926

• 8a · Fundraising events: gross income

  $146,681

• 8b · Fundraising events: direct expenses

  $87,045

• 8c · Net income from fundraising events

  total $59,636 · excluded $59,636

Functional expenses

Part IX, the statement of functional expenses.

• 2 · Grants to domestic individuals

  total $129,778 · program services $129,778

• 5 · Compensation of officers, directors and key employees

  total $201,008 · program services $201,008

• 11c · Fees: accounting

  total $8,748 · management and general $8,748

• 11f · Fees: investment management

  total $5,684 · management and general $5,684

• 12 · Advertising and promotion

  total $23,645 · program services $4,597 · management and general $19,048

• 13 · Office expenses

  total $18,199 · program services $3,732 · management and general $14,467

• 14 · Information technology

  total $60,114 · program services $60,114

• 17 · Travel

  total $73,807 · program services $72,858 · management and general $949

• 19 · Conferences, conventions and meetings

  total $22,956 · program services $22,268 · management and general $688

• 24a · Other expenses: SUPPLIES

  total $493,946 · program services $492,732 · management and general $1,214

• 24b · Other expenses: OTHER EXPENSES

  total $480,756 · program services $461,089 · management and general $19,667

• 24c · Other expenses: BANK CHARGES

  total $18,758 · management and general $18,758

• 24d · Other expenses: CATERING

  total $12,057 · program services $11,177 · management and general $880

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $557,351 · end of year $139,687

• 3 · Pledges and grants receivable

  beginning of year $1,126,292 · end of year $813,496

• 7 · Other notes and loans receivable

  beginning of year $11,027 · end of year $18,001

• 11 · Investments: publicly traded securities

  beginning of year $409,511 · end of year $452,567

• 12 · Investments: other securities

  beginning of year $2,558,603 · end of year $3,372,877

• 15 · Other assets

  beginning of year $3,672,346 · end of year $4,227,791

• 17 · Accounts payable and accrued expenses

  beginning of year $636

• 25 · Other liabilities

  beginning of year $128,576 · end of year $378,117

• 27 · Net assets without donor restrictions

  beginning of year $3,878,526 · end of year $3,874,571

• 28 · Net assets with donor restrictions

  beginning of year $4,327,392 · end of year $4,771,731

The filer's explanations (Part III)

PART I, LINE 3

IN ADDITION TO THE TOOLS AND PROCESSES IDENTIFIED IN PART I, CHAMPLAIN VALLEY PHYSICIANS HOSPITAL RECEIVES GUIDANCE REGARDING ITS PRESIDENT'S COMPENSATION FROM THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES OF THE UNIVERSITY OF VERMONT HEALTH NETWORK, WHICH IS THE SOLE MEMBER OF THE HOSPITAL. THAT NETWORK COMPENSATION COMMITTEE UTILIZES THE FOLLOWING METHODS TO ESTABLISH THAT GUIDANCE: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE

PART I, LINE 7

CVPH FOUNDATION, INC. PAID AWARDS TO CERTAIN MEMBERS OF UPPER MANAGEMENT (DIRECTORS, 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.

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.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• UVMHN VENTURES INC

  C · HOLDING COMPANY · VT

  Directly controlled by UVMHN

• UVMHN CREDENTIALING & ENROLLMENT

  C · ADMIN SVC · VT

  Directly controlled by UVMHN VENTURES INC

• CHARITABLE REMAINDER TRUST (6)

  T · SUPPORT · VT

  Directly controlled by UVMMCCVMC

• PERPETUAL TRUST (10)

  T · SUPPORT · VT

  Directly controlled by UVMMC

• CHARITABLE IRREVOCABLE TRUST (8)

  T · SUPPORT · VT

  Directly controlled by UVMMCCVMC

• CHAMPLAIN VALLEY HEALTH NETWORK

  C · ADMIN SVC · NY

• MEDIQUEST INC

  C · MED OFFICE LEASE · NY

  Directly controlled by CPI

• YANKEE MEDICAL INC

  C · HOME MEDICAL EQUIPMENT · VT

  Directly controlled by UVMHN