Northeastern Vermont Regional Hosp Inc

What it reported doing in 2024

Northeastern Vermont Regional Hospital, Inc. is a full service, state of the art, Critical Access Hospital. The Hospital makes its services available to approximately 30,000 residents of the greater St. Johnsbury community. Inpatient services include medical and surgical, intensive care, pediatrics, and obstetrics. The emergency room at NVRH is fully staffed by full-time board certified/eligible physicians. The Ambulatory Surgery Unit has space for 16 pre- and post-operative patients. Over 95% of our surgeries and procedures are conducted through day surgery. These services are supported by the laboratory, diagnostic imaging, MRI, CT scan, cardiac services, rehabilitation, respiratory, and other ancillary services. Surgical specialties include general surgery, oral/maxillofacial, otolaryngology, obstetrics/gynecology, orthopedics, ophthalmology, and urology. NVRH is one of two Vermont hospitals to have been awarded the international baby-friendly designation by the World Health Organization.NVRH's charity care program is available to patients who are uninsured, underinsured, or have otherwise demonstrated they don't have the financial resources to fully pay for their hospital care. Patients with income levels below 250% of the federal poverty guideline for the applicable family size have their hospital bill discounted by 100%. Patients with income levels between 251% and 400% of the federal poverty guideline receive a discount on their hospital bill between 70% and 50%. Foregone charges, based on established rates, furnished under NVRH's free care program amounted to $2,511,950 during the year ended September 30, 2025.The emergency room at NVRH is fully staffed by full-time physicians and specialized nurses who are trained to deal with all aspects of medical care. Emergency room staff provide pre-hospital provider training and support, participation in local education programs, hospital continuing medical education and quality assurance programs. Care provided by the emergency room is coordinated with appropriate local physician practices. The NVRH pharmacy provides pharmaceutical services for patients, including a complete patient medication profile and computerized monitoring. Our pharmacy staff is a vital component of the healthcare team, consulting with physicians and other health professionals to ensure that patients receive the appropriate drug therapies. NVRH owns four Rural Health Clinics that are staffed with a combination of medical doctors, nurse practitioners, physician assistants and nurse midwives in order to meet the needs of our patients. The four clinics include:1. Corner Medical - a family practice.2. Kingdom Internal Medicine3. St. Johnsbury Pediatrics4. Women's Wellness Center - providing full OB/GYN care.

Financial Efficiency

• Mission deployment rate: 79.2%; rating input score 79
• Program expense ratio: 78.3%; rating input score 78
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 93.8%; rating input score 94; 25th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Missing
  • Other Form 990s reviewed: Pass
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 85%; rating input score 85; 32nd percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -0.4%; rating input score 25; 25th percentile among comparable filings
• Total-asset coverage ratio: 0.69; rating input score 27; 27th percentile among comparable filings
• Liabilities to assets ratio: 0.35; rating input score 51; 51st percentile among comparable filings
• Officer compensation ratio: 4.1%; rating input score 25; 25th percentile among comparable filings

Growth

• Program expense growth: 5.7% per year; rating input score 100; 47th percentile among comparable filings
• Revenue growth: 6.1% per year; rating input score 100; 53rd percentile among comparable filings
• Asset growth: 4.7% per year; rating input score 100; 33rd percentile among comparable filings