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Nonprofiteer
← CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER

Form 990 for tax year 2022

Filed by CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER.

Totals

Total revenue
$419,002,256
Total expenses
$458,412,148
Contributions and grants received
$2,008,072
Grants paid
$0
Program services expenses (Part IX)
$362,491,893
Management and general expenses
$95,920,255
Fundraising expenses
$0
Program service expenses (Part III)
$362,491,893

Program services were 79.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ELIZABETH GOERLITZ-CORYER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • ELIZABETH VICENCIO

    CHAIR

    Total calculated
    $0
    Hours/week
    1

  • JOANN GLEESON-KREIG PHD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JOHN MCAULIFFE MD

    MEMBER AT LARGE

    Total calculated
    $0
    Hours/week
    1

  • KELLY DONOGHUE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • LEE PRAY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • LINDA BOURGEOIS

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • NEIL FESETTE

    MEMBER AT LARGE

    Total calculated
    $0
    Hours/week
    1

  • PAOLO FEDI MD

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • RICHARD WEBBER MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • RICHELLE GREGORY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • TOM RECNY

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • WOUTER RIETSEMAMD

    VP POPULATION HEALTH AND I

    Total calculated
    $506,690
    From this org
    $454,136
    From related orgs
    $0
    Other
    $52,554
    Hours/week
    48 + 2 related

    Schedule J breakdown matched by us

    Base
    $371,044
    Bonus
    $50,643
    Other
    $32,449
    Deferred
    $33,550
    Nontaxable benefits
    $19,004
    Filer's total
    $506,690

  • MICHELLE LEBEAU

    PRESIDENT/COO

    Total calculated
    $658,735
    From this org
    $607,301
    From related orgs
    $0
    Other
    $51,434
    Hours/week
    48 + 2 related

    Schedule J breakdown matched by us

    Base
    $491,886
    Bonus
    $89,938
    Other
    $25,477
    Deferred
    $32,091
    Nontaxable benefits
    $19,343
    Filer's total
    $658,735

  • CHRISTOPHER HICKEY

    SENIOR VP/CFO

    Total calculated
    $473,615
    From this org
    $440,560
    From related orgs
    $0
    Other
    $33,055
    Hours/week
    41 + 9 related

    Schedule J breakdown matched by us

    Base
    $389,094
    Bonus
    $51,466
    Other
    $0
    Deferred
    $15,250
    Nontaxable benefits
    $17,805
    Filer's total
    $473,615

  • LISA MARK

    VP MEDICAL AFFAIRS/CHIEF M

    Total calculated
    $503,463
    From this org
    $467,309
    From related orgs
    $0
    Other
    $36,154
    Hours/week
    40 + 8 related

    Schedule J breakdown matched by us

    Base
    $417,732
    Bonus
    $49,577
    Other
    $0
    Deferred
    $14,162
    Nontaxable benefits
    $21,992
    Filer's total
    $503,463

  • MATEJ KOLLAR

    CFO

    Total calculated
    $244,403
    From this org
    $212,288
    From related orgs
    $0
    Other
    $32,115
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $199,031
    Bonus
    $13,257
    Other
    $0
    Deferred
    $9,996
    Nontaxable benefits
    $22,119
    Filer's total
    $244,403

  • DOMENICK HENDRICKSON

    AVP OF PROFESSIONAL SERVIC

    Total calculated
    $241,232
    From this org
    $201,090
    From related orgs
    $0
    Other
    $40,142
    Hours/week
    48

    Schedule J breakdown matched by us

    Base
    $188,713
    Bonus
    $12,377
    Other
    $0
    Deferred
    $24,436
    Nontaxable benefits
    $15,706
    Filer's total
    $241,232

  • JESSICA HATFIELD

    SENIOR SURGICAL PHYSICIAN ASSISTANT

    Total calculated
    $263,149
    From this org
    $220,528
    From related orgs
    $0
    Other
    $42,621
    Hours/week
    48

    Schedule J breakdown matched by us

    Base
    $220,528
    Bonus
    $0
    Other
    $0
    Deferred
    $17,731
    Nontaxable benefits
    $24,890
    Filer's total
    $263,149

  • THOMAS GOSRICH

    DIR OF EMP OPP, VOLUNTEERISM & INT COACH

    Total calculated
    $255,856
    From this org
    $218,960
    From related orgs
    $0
    Other
    $36,896
    Hours/week
    48

    Schedule J breakdown matched by us

    Base
    $205,206
    Bonus
    $13,754
    Other
    $0
    Deferred
    $14,448
    Nontaxable benefits
    $22,448
    Filer's total
    $255,856

  • MICHAEL GARVEY

    REGIONAL DIRECTOR PHARMACY

    Total calculated
    $252,516
    From this org
    $219,008
    From related orgs
    $0
    Other
    $33,508
    Hours/week
    48

    Schedule J breakdown matched by us

    Base
    $212,564
    Bonus
    $6,444
    Other
    $0
    Deferred
    $17,731
    Nontaxable benefits
    $15,777
    Filer's total
    $252,516

  • HASSAN ELTAHIR

    PHARMACIST

    Total calculated
    $276,662
    From this org
    $228,994
    From related orgs
    $0
    Other
    $47,668
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $228,994
    Bonus
    $0
    Other
    $0
    Deferred
    $24,163
    Nontaxable benefits
    $23,505
    Filer's total
    $276,662

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception
  • 9 · Followed the rebuttable-presumption procedure

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings

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
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER 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 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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
13 August 2024
IRS schema version
2022v5.0
Source object
202442289349302029

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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