Community Benefit

Community Benefit Summary FY2019

August 17, 2020

As a mission-driven not-for-profit health care system, the University of Vermont Medical Center gives back to its community in many ways. We have been tracking our “community benefits” for a number of years, first using the methodology developed by the Catholic Hospital Association (CHA), and now using the reporting requirements for Schedule H of Form 990, the Internal Revenue Service-required reporting format (based largely on the CHA’s approach).


University of Vermont Medical Center’s community benefit falls into four general categories of investments

Direct financial assistance to patients

  • Charity care (measured at cost rather than at gross charges).

Subsidized programs

  • Health professions education (programs and financial assistance for physicians and medical students, nurses and nursing students, and other health professionals)
  • Subsidized health services (services that benefit our community, including the uninsured and low-income individuals, despite incurring losses). In FY 2018, these included:
    • University of Vermont Medical Center Specialty Care Transport
    • Professional Emergency Department Services
    • Mental Health Services

Community programs and direct grants

Numbers for this category were derived from our annual “Community Benefits Inventory for Social Accountability” (CBISA) survey:

  • Community health services (health education classes, support groups, screening services, free clinics, etc.)
  • Financial contributions and in-kind donations (cash donations, grants, in-kind support such as meeting rooms, parking vouchers, supplies)
  • Community benefit operations (CHI operations, community needs assessments, etc.)

Medicaid and other public program underpayments

This category includes Medicaid underpayments as well as underpayments from other public programs (for example, Ladies First and the VA). It does not include Medicare underpayments.  

Community Benefits FY2019

(from Form 990, Schedule H)

Direct financial assistance to patients   $11,346,853
Charity Care $11,346,853  
Subsidized programs   $104,229,906
Health professions education $54,239,449  
Subsidized health services $49,990,457  
Research $0  
Community programs and direct grants   $6,036,758
Community health improvement services $4,309,207  
Grants and donations (cash and in-kind) $1,727,551  
Medicaid and other public program underpayments   $157,620,701
Medicaid $157,620,701  
Other programs $0
TOTAL   $279,234,218
Investment in community benefit – comparisons    
Community benefit $279,234,218  
Total functional expenses (from Form 990) $1,467,200,924  
Percent of community benefit to functional expenses   19.03%

More Information

For more information on the Community Benefit Program at the UVM Medical Center, please email Molly Lawrence at Molly [dot] Lawrenceatuvmhealth [dot] org or by calling 802-847-8273.