Central Vermont Medical Center2013 Annual Report

IN THIS REPORT (for Year Ending September 30, 2013)

Financial Results

Facts and Figures

Charity Care

Donations

SOURCES OF REVENUE BY PAYOR FY2013 USES OF REVENUE BY PAYOR FY2013

Medicaid 20%Medicare 38%

Other 3% Self-Pay 3% Managed Care 8%

Commercial 17%Contracted Commercial 11%

Salaries & Wages 27%Employee Benefits 8%Depreciation/Interest Expense 4%Supplies & Other Expenses 15%Charity Care 1%Provision for Bad Debt 2%Deduction from Revenue 43%Operating Margin 0.3%

CVMC FINANCIAL RESULTSYear Ending September 30, 2013

150,673

(4,826)

145,847 9,499

155,346

78,028

23,929

41,870

1,399

9,306

154,532 814

235

985

301

1,521

2,335

153,090

(6,104)

146,986

10,324

157,310

74,939

26,231

40,891

1,568

9,590

153,219 4,091

45

898

1,069

2,012

6,103

Unrestricted revenues:Patient service revenue, net contractual adjustments and discounts Less: provision for bad debts Net patient service revenueOther operating revenue Total operating revenues

Operating expenses:SalariesBenefitsSupplies and other expensesInterestDepreciation and amortization Total operating expenses Operating marginNon-operating revenues & expenses:Contribution incomeInvestment incomeOther

Total non-operating revenue & expenses Net excess of revenues over expenses

FY2013 ACTUAL

FY2013BUDGET

FY 2013 PROFIT / LOSS REPORTnumbers are in thousands

CVMC is one of Vermont’s top ten service firms; one of top five non-profits. Central Vermont Medical Center employs 1,529 full, part time and per diem people at the hospital, National Life Cancer Treatment Center, CVMC Rehab Services, CVMC ExpressCARE, 17 medical group practices and Woodridge Rehabilitation and Nursing Home. CVMC is the third largest health care facility in Vermont, ranked by revenue.*

175 volunteers served 21,000 hours. This includes 7 teams of volunteers with therapy dogs that serve the hospital and Woodridge Nursing.

There are 183 physicians practicing in central Vermont who providecare from private practices as well as from CVMC’s 17 community-based medical group practices and the hospital. This includes Active and Affiliate physicians and our Hospitalists. There are also 18 consulting physicians from Fletcher Allen Health Care (FAHC) and Dartmouth Hitchcock Medical Center (DHMC) with privileges at CVMC, seven moonlighting psychiatry residents from FAHC/DHMC and two moonlighting anesthesiology fellows from FAHC.

CVMC Rehab Services has 31 Physical Therapists, 2 Speech and Language Pathologists and 5 Occupational Therapists at 9 locations in central Vermont.

The CVMC emergency department had 28,390 patient visits.

There were 3,594 inpatient and outpatient surgeries at CVMC.

There were 376 births were born a our Bithing Center.

There were 4,576 hospital admissions including observations.

CVMC contracts with Deaf Talk to provide on-demand 24 hours-a-day American Sign Language video-interpreting via a wireless mobile video unit which can be wheeled anywhere in the hospital.

CVMC subscribes to DT Language which provides access to 150 languages, 24 hours per day over the telephone. We have special dual handset phones available throughout the hospital to accommodate non-English speaking patients.

*Source: Vermont Business Magazine 2013 Book of Lists

FACTS & FIGURES

Photo: Brian Carten and therapy dog extrordinaire Judson, an English Mastif, are quite popular with in-patients at the hospital and residents of Woodridge... and staff at both!

In addition, CVMC provides many other free services to the central Vermont community. How might have you benefitted? Perhaps you:

• attended a support or educationgroup for diabetes.

• attended a support or educationgroup on cancer survivorship.

• attended a free workshopexplaining how to understand your blood count with CVMC oncologist Dr. Ospina.

• received care at the People’sHealth and Wellness Clinic, which receives funds from CVMC.

• went to a chronic pain anddisease management workshop.

• received a mammogram paid forby a Komen Grant to CVMC.

• attended a meeting, supportgroup, lecture or other activity in space donated by CVMC.

• went to tobacco cessation class.• received free lactation counseling

or attended a Bosom Buddieslactation support group.

• received care from one of themany medical or nursing studentsCVMC staff trains to become thenext generation of healthcareproviders.

• attended a free running/gaitanalysis clinic.

• received care you could not payfor without assistance.

CHARITY CARE

At CVMC, we make sure that patients receive the care they need,regardless of their ability to pay. Financial counselors at CVMC pro-

actively work with low-income patients, or those identified as uninsured or with high balances, to make sure they get the assistance they need to enroll in one of the state’s programs Medicaid or Dr. Dinasaur—or apply for the free or reduced care offered by CVMC. CVMC’s Healthcare Assurance Program provides up to 100% free care based on a patient’s household income and medical bill balance. Our counselors also provide patients with information and assistance in getting on the Vermont Health Connect insurance plans.

Free Care (Charity Care): $4,198,561* ***Charity Care does not include:

Bad Debt Expense: $4,825,516** (Services for which the hospital

expects but cannot collect payment.)

Medicare Shortfall: $9,685,784 (Care for the elderly not

reimbursed by Medicare.)

Medicaid Shortfall: $11,896,670 (Care for medically indigent

not reimbursed by Medicaid.)

**Gross Charges

CORNERSTONE ($10,000 to $24,999) Alice Schwendler CLATMary Williams LEADERSHIP ($1,000 to $2,499) Carmen BeckCVMC Credit UnionNorthfield Savings BankPhilip A. Brown, DO and Lynn J. BrownPaul and Judy TartagliaPercy and Virginia Black In memory of Rose BlackDeborah N. Black, MD In memory of Rose BlackDr. and Mrs. John and Jessica BrumstedDonald and Lynne CarpenterJames Chandler, MD and Andrea ChandlerConcept2, Inc.Michelle HeezenLoretta Larson (for Diabetes Program, in

memory of Robert (Pea-nut) Powers)

Mark and Robin Nicholson In memory of Janice CodyTom and Heidi PelletierRobert VietsStuart Williams, MD and Sarah E. Williams

PATRON ($500 to $999) Cheyenne HollandAlbert and Katherine BornePatricia Passmore AlleyRobin GarciaNancy Lothian and Penny Lowery

2013 ANNUAL FUNDRepresents donations made in FY2013: October 1, 2012 to September 30, 2013

CVMC wishes to thank all of our generous donors. Your gift to CVMC represents a strong statement of support for employees, medical staff, volunteers and trustees who are dedicated to improving the health of

people who live and work in central Vermont.

Tom and Charlotte MacLeayThe Lafaille Family/The Mailing CenterDonald R. Provasi In memory of Diane

Provasi LewisSwenson Granite CompanyAlison and Paul White, Jr. BENEFACTOR ($200 to $499) Tim Burdick, MD and Kristin Burdick, MDHarry MazerDavid Angstreich, MD and Enid AngstreichGeorge and Cindy BondEnnio and Diana CestaroPeggy Arthur and Alan CheeverPeter Dale, MDClaire and David DukeJohn and Joan HardingWilma and David KelleySusan KruthersStewart and Sheila McLean, McLean ElectricDick and Linda OlsonJudy McKinley, Penniman and Co. Real EstateAlban and Margaret RicheyWilliam R. Schillhammer, MDRoger and Kit StoneGeorge and Judith AndersonHon. Brian Burgess and Maureen O’Connor

BurgessJames and Deborah BurkeWilliam and Cynthia CattoStephanie Celich In honor of Dr. Christian

Bean

Nancy T. CouchWilliam Gaidys, MD and Loretta GaidysPeter and Mary HoodJohn R. Ordway and Molly PowerPhilomatheons For Palliative CareBruce Talmadge, MD and Susan Talmadge

CENTURY ($100 to $199)Warren and Barbara HagyRobert and Nancy PopePeter and Alice TenbeauGary and Blanche AdamskiGladys AgellRosalie and William E. Allard, Jr., MDJack and Kathleen Barnes For Cancer CenterCharles and Barbara BohnWalter and Roberta BothfeldDorothy BrighamJere and Elaine BrophyPriscilla W. Carr, MD and Jay StewartRita V. CaslaniMichael and Anne CassidyBernadette ClelandCassandra CoakleyBarbara DonnellySenator Bill and Olene Doyle In memory of our familiesWanda EstradaWally and Laurel FarnumJoseph and Barbara FernandezJohn and Sandra FlanneryJoseph Foti

2013 ANNUAL FUNDRepresents donations made in FY2013: October 1, 2012 to September 30, 2013

Frank FotiLeo and Kelly Foy In honor of Allen PerkinsPhyllis T. Gladding

In memory of George Gladding

C.O. Granai, Jr., M.D. and Loraine GranaiMerile Guillette and Francoise GrenierMarian Hanchett In memory of Philip R.

HanchettLucille J. Herschel In memory of C. Andrew

HerschelGloria and Karl S. JohnsonBruce W. Judd

In memory of Marilyn A. Judd

Knights of ColumbusRoger Knowlton, DO and Lori KnowltonNiels and Doris LarsenMichael and Suzanne LiffIn memory of Sydney and Margaret LiffChristine Litchfield In memory of Arthur Hill, Jr.Ron and Delina LoatiJohn and Barbara MansfieldDiane T. MartinDwight and Ellen MatthewsChristy MayesRoger and Julia MorganA. Douglas NadeauNorwich UniversityWilliam J. Nowlan, MDJohn and Agnes Ormsby

In honor of Mike and Leona Wobby

Judy Peterson In memory of Ronald

PetersonEllen and Ronald PitkinGeorge W. Richardson, Jr.Ellen RobbinsGary Sassi

Larry and Sandy SpargoKevin and Sonya Spaulding For Cardiac Care, in mem-

ory of Helen Valsangiacomo

Stone Underground ConstructionEvelyn Thompson For Palliative Care, in

memory of Richard Thompson, Sr.

Kathryn TrupinCarol Vassar, MDVermont Electric Power Telecommunications

Department For Palliative Care, in

memory of June DeAlmeida

Carl and Rose ViethR. Bradford Watson, MD and Wendy Watson Warren Williams and Anne Wilson

SUPPORTER ($1 to $99) Angelo AmbrosiniAmerican Legion Montpelier Post 3 For Diabetes Program,

in memory of William (Mickey) Manning

Aubuchon Hardware, Store #45,

For Diabetes Program, in memory of William (Mickey) Manning

Suzanne and Shannon Austin In memory of Stanley E.

AustinDale and Linda BartlettSusan BauchnerWilliam Beaudin In honor of CVMC staffRobert and Rita BenoitJohn BlodgettRobert and Angela Brault

James and Maria BrogginiRichard BrochuRoy and Liz Butler In memory of Newell

FreerDaisy Carpenter

In memory of Marcia Walker

Priscilla G. CarpenterLinda Christensen In memory of Gary TyoSharon A. CutlerSylvia CanalesFrank Pratt and Annette ChapmanFrederick N. CookBetty C. CrowellRuth DamonChristopher and Beverly DonahueBasil and Carol DayArnold and Linda DexterAmalia C. DiStefanoSarah and Adrian Ferris, Jr.Paul and Diana FrederickCarolyn FribergCharlotte H. Gibson Esther GillettLorraine C. GliddenGeorge and Henriette GoodmanEleanor M. Gowans Larry and Lynda GrahamC.O. Granai, Jr., MD and Loraine Granai For Women and

Children’s, In memory of Lorraine Marcotte

William and Leslie HainesJohn and Valerie HaleJohn and Joan Harding For Cardiac Care, in

memory of Helen Valsangiacomo

Dean and Terry Howe In memory of David

HoweSusan and Daniel Hudson

Audrey HuntingtonWilliam and Jeanne HullJean L. JasmanTed and Jean Joslin In memory of Catherine

HansenRichard Katzman, MDFrank Kelley M. Patricia KennedyBetty Kimball Jane Kimberley In memory of Gary TyoJean O. Koch Edward and Dona KoenemannStephen and Hariclea KostkaGarey KreisLiz LaferriereLeo and Mary Laitres Jane Lane George LaroseLynn and Lucille LewisRose and Mario Lorenzini In memory of Evelyn

Tomasi BoothRandall and Betty LuceSal and Margaret LucentiChristopher and Carol LyfordRuth H. MacyChristian and Alison MagnaniJeannine MarbleClaude and Pierrette MartelJeff and Deanna MartinRob MatthewC. Jean MatthewsAlan and Jean McCullough For Palliative Care, in

memory of June DeAlmeida

Ron G. McDermittMary Ann Merrill

In memory of Martha Jenkins

L. Taylor Millington Jack MitchellJudith NepveuLinda NesbittJohn and Marsha PaulyConstance Payne

Arthur and Mary PerreaultEleanor PerreaultDurward and Shirley Persons In memory of Eva J.

BernasconiJohn and Janet PoetonDoris PortalupiLorraine PortalupiJohn and Maria QuadrosRoxanna Quero For Diabetes Program,

in memory of William (Mickey) Manning

William and Gloria Rey In memory of Mary McLeod

Karl and Charlene Rinker For Cardiac Care, in

memory of Helen Valsangiacomo

Wendell and Joanie RoseAlfred and Cynthia SaldiLaury SaligmanElmo and Norma Sassorossi In memory of Lorraine

MarcotteHorace and Helen-Ann Scharges Carolyn M. SilsbyNancy Ellen SmithTheron M. Smith Maurice and Sonia SoucyJeb and Susan SpauldingMichael and Nancy SpinelliDavid SteinmanChandler and Patricia StowellJohn and Marilyn Sykas Dart ThalmanEstelle TanguayFrances and David Thomas In memory of Marcia

WalkerRodney and Sandra TitusRobert and Eleonore TraynorRobert and Joan Tucker

James and Susan TurnerGeorgia ValentineLouis VanettiVermont Mutual Insurance Company In memory of Marcia WalkerHildegard WegnerPaul and Dorothy White In memory of Darlene

V. MartinBeverly WilmottThomas and Barbara Woodward

2013 ANNUAL FUNDRepresents donations made in FY2013: October 1, 2012 to September 30, 2013

FOR NATIONAL LIFE CANCER TREATMENT CENTERBranches of Hope

CVMC’s Branches of Hope fund directly support the needs of patients undergoing cancer care at CVMC. For more information

about how to donate to Branches of Hope, go to: www.cvmc.org/cancer-care/make-a-gift.

LEADERSHIP ($1,000 to $2,499)John W. Valentine, MD and Jane Valentine

PATRON ($500 to $999)Therese HinckleyLoretta Larson In memory of Robert

(Peanut) Powers

BENEFACTOR ($200 to $499)The NRA Foundation, Inc.CVMC Craft FairJames R. Conneman CENTURY ($100 to $199)Daniel Fram, MDThomas and Theresa LeverCharles and Linda LivendalePeggy WidmeierVermont Medical Society In memory of Marie Hamel

SUPPORTER ($1 to $99)Barre Congregational Church Deacon's FundResidents of Berlin Health and RehabJohn and Donna HallDuncan C. RobbStuart Williams, MD and Sarah E. Williams

In Memory of Bruce MorrisseyMary BergeronAnn ConnorsGlen FindholtKaren MartinKevin MorrisseyKim MorrisseyPatricia Swindell In Memory of Godfrey (Fred) PeyerlDale and Sandra AckermanDennis and Patricia AjaCharles and Mary Ann BizzozeroClaude and Mary JanusJack MitchellUrbain and Nancy RouthierSalvador and Babic, P.C.Rodney and Sandra TitusHerbert Watson, Jr.

In Memory of Marie HamelGloria J. BancroftDarcy U. CarterEllen CodlingRichard and Lorraine CoppingFloyd and Amy DickinsonLesley DinesenJanet B. FosterMack and Cynthia Gardner-MorseJames GarveyLetitia A. JacobsonLadies Golf AssociationJohn and Donna MajorNancy MartinSherwood and Roberta MorseJohn and Janet PoetonLeatrice M. PotterJeannine RubalcabaSusan ShattuckEmployees of the Small Business AdministrationIn honor of Martha MorrisSarah Dean In memory of Richard HurdADS StaffPeter and Margaret AspesiMaurice and Wayna FerrisRay and Eleanor HurlbutPatricia and George White

WOODRIDGE REHABILITATION AND NURSING

The staff at Woodridge Rehabilitation and Nursing sincerely thanks all of our donors. We appreciate your generosity and will use your contribution in a way that directly benefits our residents.

Barre Fish & Game Club, Inc. In Memory of Lorraine AjaDouglas and Phyllis Bullard

In Memory of Winifred BurringtonNorma L. AthertonJean D. BaileyGerald and Sylvia GingrasClaire and Kathryn GuareWilliam P. HerbstMilton Vermont Town School DistrictJack MitchellAnita A. PerreaultAlfred and Cynthia SaldiSam and Weeza SandersonStephen and Connie Weston

In Memory of Donald BuskaCapitol Steel and Supply Co., Inc.Stephanie Seguin Venema

In Memory of Norma CecchiniCentral Vermont Community Action CouncilOlive Franzi

In Memory of Emile ChatotMr. Charles ChatotBritt and Eileen FullerDale and Roby Fuller

In Memory of Jennie ClarkMary MathisMary Ellen Myers

In Memory of Betty DanielsBarre Senior Bowling LeagueMaurice and Barbara BrownChristine Litchfield

In Memory of Sally DelphiaAngelo AmbrosiniCharles and Barbara BohnLeonard and Sheryl FerrisMarie FiskAnita FlanaganMr. and Mrs. Stanley FlinkMr. and Mrs. Fred JacekHelen Sutton

In Memory of Miriam DuquetCarmen Murray, Carmen Neveau and Christie KeeneGlenda J. Nye

In Memory of Serafin 'Bino' Lavin, Jr.Katie L. George

In Memory of Aurele LeBlancMr. andd Mrs. James Pinard In Memory of Sally LonghiMr. Frederick AdamsFlora S. BarberLaura BrownMaurice and Barbara BrownChristie L. C. BurgessStanley and Suzanne DayNoreen and George L. Earle, IIIOlive FranziStanley and Erika GizevichFelix and Dolores GrassmannCharles and Martha HaynesMary Ellen HillC. Bruce JohnsonJoe and Terry MuretaAllyson H. MyersConrad and Anne OrmsbeeWilliam ParkerLeon A. PerkinsWalter PresseyJeannette B. QuinnGretchen SatinkGordon and Brenda ThowEric A. Young

In Memory of Casper LyfordDona and Patricia BessetteBruce and Ruth Hudson

In Memory of Ruth MacAskillPriscilla and Whitney Maxfield

In Memory of Lucene ParadisoFrank and Rachel Carriveau and Sherry MartinLorena LapradeRuth H. MacyThe Peoples Academy Class of 1939Brian and Karen Zecchinelli, Wayside Restaurant

In Memory of Darwin RansomBarbara S. FantoniMr. and Mrs. Eugene NickersonBrian and Karen Zecchinelli, Wayside Restaurant

In Memory of David RichardsonJacquel-Anne ChouinardJanet B. FosterHeaton Woods

In Memory of Laurette ThiviergeSteven and Kelley AveryAlain, Pierre, Francoise, Carol and Suzanne GrenierReal and Dorothy MauriceNathan and Rachel PiperJeannine RubalcabaBradford and Sandra Shimmon

In Memory of Olive WattThe Marineau Family

Winning team from New England Service Group.This year’s tournament will be held on September 30 and will support our Palliative Care program. For more information on how to register, go to www.cvmc.org/golf.

12TH ANNUAL CVMC FALL FOLIAGE CHARITY GOLF CLASSIC

We thank all of the sponsors and golfers who supported our annual Charity Golf Tournament, raising over $18,000 to support Branches of Hope, our fund to directly support the needs of patients undergoing

cancer care at CVMC. For more information about donating to this fund, go to www.cvmc.org/cancer-care/make-a-gift

Eagle SponsorsBates & Murray, Inc.Berlin Health & RehabilitationBond AutoDonald & Lynne CarpenterCBMVT Cleaning ServicesConnor Contracting, Inc.Control TechnologiesE.F. Wall Associates, Inc.Kinney Pike Insurance, Inc. Rathbone & Company Employee Benefits DivisionNew England Service GroupNICOM Coatings CorporationPeople’s United BankTransamerica Retirement SolutionsUnion Mutual of Vermont

Birdie SponsorsBlue Cross Blue Shield of VTe-Management Associates

Tee/Green SponsorsBenoit Electric, Inc.Capitol Plaza HotelKleen, Inc.Morris-Switzer Environments

Hole-In-One SponsorCody Chevrolet, Inc.

Individual Player/SponsorsJudith BouchardLorne ChurchKathleen Murphy MoriartyKatie St. PierreCarl Wright

Par SponsorsBKD, LLPVAHHS

In-Kind SponsorsBarre Country ClubBen and Jerry’sBolton Valley

Cabot CreameryCornerstone Pub & KitchenCountry Club of VermontCVMC Gift ShopFresh Tracks WineryGreen Mountain Coffee RoastersGuitar SamHunger Mountain CoopJay PeakNelson’s HardwareQuarry Grill and TavernPine State Trading Co.PepsiSarducci’s RestaurantSkinny PancakeSymquestUS FoodsBreakfast/Lunch SponsorsCVMC Nutrition ServicesPepsiUS Foods