Civic Intelligence

Elizabethtown Community Hospital

EIN 14-1364513 • 501(c)3 • Elizabethtown, NY

Profile

The mission of ech is to promote health and wellness in the community and to provide quality healthcare with skill, compassion and dignity. In creating our community benefits plan we keep this mission in mind, continually looking for ways to meet community health needs and to be a good neighbor. Ech is driven by people who live in the service area and who want to see their friends and neighbors get the care and services they need.

75 Park Street PO Box 277Elizabethtown, NY 12932

ech.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

26th percentile

0.24x

Higher debt load relative to assets than 26% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

39th percentile

0.31x

Higher debt load relative to revenue than 39% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Source year 2024

Net Margin

87th percentile

23%

Higher net margin than 87% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

30th percentile

$708,716

Higher top officer pay than 30% of similar nonprofits.

Top officer pay equals 0.8% of source-year revenue.

NTEE E • $100M-$250M nonprofits • Source year 2024

Asset Growth

89th percentile

31%

Faster asset growth than 89% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

84th percentile

29%

Faster revenue growth than 84% of similar nonprofits.

NTEE E • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Up

$108,442,995

Up $25,571,303 (+31%) from 2023

Liabilities

Down

$26,566,273

Down $761,631 (-2.8%) from 2023

Net Assets

Up

$81,876,722

Up $26,332,934 (+47%) from 2023

Revenue

Up

$86,018,876

Up $19,501,587 (+29%) from 2023

Expenses

Up

$66,466,735

Up $5,692,167 (+9.4%) from 2023

Net Income

Up

$19,552,141

Up $13,809,420 (+240%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$150M$100M$50M$0Assets 2010: $19,616,487Liabilities 2010: $10,116,145Net Assets 2010: $9,500,3422010Assets 2011: $19,525,674Liabilities 2011: $9,791,120Net Assets 2011: $9,734,5542011Assets 2012: $22,309,385Liabilities 2012: $11,084,821Net Assets 2012: $11,224,5642012Assets 2013: $23,690,754Liabilities 2013: $10,343,854Net Assets 2013: $13,346,9002013Assets 2014: $26,462,350Liabilities 2014: $11,905,564Net Assets 2014: $14,556,7862014Assets 2015: $29,232,876Liabilities 2015: $12,910,079Net Assets 2015: $16,322,7972015Assets 2016: $37,205,244Liabilities 2016: $17,136,068Net Assets 2016: $20,069,1762016Assets 2017: $40,866,283Liabilities 2017: $17,755,070Net Assets 2017: $23,111,2132017Assets 2018: $59,335,476Liabilities 2018: $28,949,321Net Assets 2018: $30,386,1552018Assets 2019: $59,892,741Liabilities 2019: $26,299,317Net Assets 2019: $33,593,4242019Assets 2020: $81,320,640Liabilities 2020: $39,293,909Net Assets 2020: $42,026,7312020Assets 2021: $83,172,080Liabilities 2021: $35,545,645Net Assets 2021: $47,626,4352021Assets 2022: $77,492,427Liabilities 2022: $29,352,074Net Assets 2022: $48,140,3532022Assets 2023: $82,871,692Liabilities 2023: $27,327,904Net Assets 2023: $55,543,7882023Assets 2024: $108,442,995Liabilities 2024: $26,566,273Net Assets 2024: $81,876,7222024

Highlighted filing

2024

Assets$108,442,995
Liabilities$26,566,273
Net Assets$81,876,722

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$100M$50M$0Expenses 2010: $16,731,1542010Expenses 2011: $18,073,8352011Expenses 2012: $19,305,1002012Revenue 2013: $23,083,673Expenses 2013: $20,711,765Net Income 2013: $2,371,9082013Revenue 2014: $23,980,889Expenses 2014: $22,756,490Net Income 2014: $1,224,3992014Revenue 2015: $19,803,442Expenses 2015: $18,537,618Net Income 2015: $1,265,8242015Revenue 2016: $29,630,443Expenses 2016: $26,178,198Net Income 2016: $3,452,2452016Revenue 2017: $32,038,972Expenses 2017: $29,451,900Net Income 2017: $2,587,0722017Revenue 2018: $43,144,896Expenses 2018: $36,165,480Net Income 2018: $6,979,4162018Revenue 2019: $47,234,117Expenses 2019: $44,162,225Net Income 2019: $3,071,8922019Revenue 2020: $54,087,780Expenses 2020: $46,033,877Net Income 2020: $8,053,9032020Revenue 2021: $54,668,469Expenses 2021: $50,692,444Net Income 2021: $3,976,0252021Revenue 2022: $55,916,970Expenses 2022: $52,938,912Net Income 2022: $2,978,0582022Revenue 2023: $66,517,289Expenses 2023: $60,774,568Net Income 2023: $5,742,7212023Revenue 2024: $86,018,876Expenses 2024: $66,466,735Net Income 2024: $19,552,1412024

Highlighted filing

2024

Revenue$86,018,876
Expenses$66,466,735
Net Income$19,552,141

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$108$26.6$81.9$86.0$66.5$19.6
2023Summary only. Only limited summary data is available for this year.$82.9$27.3$55.5$66.5$60.8$5.74
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$77.5$29.4$48.1$55.9$52.9$2.98
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$83.2$35.5$47.6$54.7$50.7$3.98
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$81.3$39.3$42.0$54.1$46.0$8.05
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$59.9$26.3$33.6$47.2$44.2$3.07
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$59.3$28.9$30.4$43.1$36.2$6.98
2017Summary only. Only limited summary data is available for this year.$40.9$17.8$23.1$32.0$29.5$2.59
2016Summary only. Only limited summary data is available for this year.$37.2$17.1$20.1$29.6$26.2$3.45
2015Summary only. Only limited summary data is available for this year.$29.2$12.9$16.3$19.8$18.5$1.27
2014Detailed filing. Detailed filing data is available for this year.$26.5$11.9$14.6$24.0$22.8$1.22
2013Detailed filing. Detailed filing data is available for this year.$23.7$10.3$13.3$23.1$20.7$2.37
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$22.3$11.1$11.2$19.3
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.5$9.79$9.73$18.1
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$19.6$10.1$9.50$16.7
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 6, 2025
Return Version
2023v6.0
Gross Receipts
$88,563,068
Mission and Program Overview

Mission

The mission of ech is to promote health and wellness in the community and to provide quality healthcare with skill, compassion and dignity. In creating our community benefits plan we keep this mission in mind, continually looking for ways to meet community health needs and to be a good neighbor. Ech is driven by people who live in the service area and who want to see their friends and neighbors get the care and services they need.

To promote wellness in the communities we serve by providing quality healthcare with skill, compassion and dignity.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$25,436,001$51,647,450▲ $26,211,449
Land, Buildings, and Equipment, Net$30,295,945$30,358,632▲ $62,687
Accounts Receivable$10,958,047$9,897,747▼ $1,060,300
Savings and Temporary Cash Investments$7,233,096$8,557,788▲ $1,324,692
Cash and Non-Interest-Bearing Accounts$5,759,122$4,551,099▼ $1,208,023
Prepaid Expenses and Deferred Charges$925,010$1,934,848▲ $1,009,838
Inventories for Sale or Use$952,295$957,434▲ $5,139
Total Assets$82,871,692$108,442,995▲ $25,571,303
Other Assets Total$1,312,176$537,997▼ $774,179
Liabilities
Mortgage Notes Payable Secured by Investment Property$12,412,204$11,555,440▼ $856,764
Other Liabilities$9,490,110$8,416,841▼ $1,073,269
Accounts Payable and Accrued Expenses$5,394,247$6,563,051▲ $1,168,804
Deferred Revenue$31,343$30,941▼ $402
Total Liabilities$27,327,904$26,566,273▼ $761,631
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$54,363,351$80,702,775▲ $26,339,424
Net Assets With Donor Restrictions$1,180,437$1,173,947▼ $6,490
Total Net Assets Fund Balance$55,543,788$81,876,722▲ $26,332,934
Total Liabilities and Net Assets / Fund Balance$82,871,692$108,442,995▲ $25,571,303

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$23,581,692$18,089,037$41,670,729
Equipment$2,590,627$12,317,099$14,907,726
Other Land Buildings$2,906,582$1,673,317$4,579,899
Land$1,279,731-$1,279,731

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$1,180,437$137,598▲ $158,313$288,060$1,173,947
2022$1,031,571$280,840▲ $70,093$202,067$1,180,437
2021$1,230,200$600,318▼ $145,736$653,211$1,031,571
2020$1,658,795$3,105,896▲ $115,670$3,650,161$1,230,200
2019$1,644,993$8,433,494▲ $49,870$8,469,562$1,658,795
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Bob OrtmyerPresident & CEOPT$298,981$126,064$425,045
Matthew NolanChief Operating OfficerFT$213,594$56,226$269,820
Julie TrombleeChief Nursing OfficerFT$195,856$32,564$228,420
Grant MartinInformation TechnologyFT$160,023$67,393$227,416
Nancy CaffreyPhysician AssistantFT$176,304$40,052$216,356
JAMES L'EPISCOPOPhysician AssistantFT$183,461$26,547$210,008
Rebecca SimardRegistered NurseFT$159,144$30,328$189,472
Frank CoolidgeRegistered NurseFT$166,221$21,495$187,716

Board Members and Trustees

NameTitle
David ShelmedineChair
John RemillardPresident - Former
Dr Jason SandersUvmmg President & CEO
Steven CacchioVice Chair
Alan JonesBoard Member
Charles Walter LenderBoard Member
Lynne RealeBoard Member
Megan MurphyBoard Member
Roland AllenBoard Member
Susan AllottBoard Member
Terri MorseBoard Member
William TanseyBoard Member
Dr David ClaussMedical Director - Former
Scott ComeauCFO
Il ChonChief Medical Officer
Evan GeorgeSecretrary
Joseph Bogardus PhdTreasurer
Amy PutnamVP Medical Group Network Departments

Highest Paid Contractors

ContractorServicesLocationCompensation
Mazars USA LLPAccounting/consulting Services300 UNIVERSITY AVE SUITE 100, Sacramento, CA 95825$280,265
Comphealth Medical StaffingMedical StaffingPO BOX 972625, Dallas, TX 75397-2625$189,910
E4h-environments For Health ArchitectureArchitectural Services185 TALCOTT ROAD, Williston, VT 05495$137,815
Associates In RadiologyRadiology ServicesPO BOX 2007, East Syracuse, NY 13507$108,333
Revenue and Support

Revenue Composition

Contributions and Grants
$538,415
Program Service Revenue
$82,035,231
Investment Income
$679,067
Other Revenue
$2,766,163
All Other Contributions
$253,796
Change in Net Assets
$19,552,141
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$36,084,924
Other Expenses$30,381,811
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$24,898,072$3,384,857-$28,282,929
Office Expenses$8,433,901$505,930-$8,939,831
Fees for Services Other$5,076,550$1,469,024-$6,545,574
Other Employee Benefits$2,970,929$785,208-$3,756,137
Depreciation Depletion$2,794,209$512,533-$3,306,742
Payroll Taxes$1,699,444$271,133-$1,970,577
All Other Expenses$435,801$727,579-$1,163,380
Pension Plan Contributions$1,008,952$143,044-$1,151,996
Current Officers, Directors, Trustees, and Key Employees-$923,285-$923,285
Occupancy$244,054$588,922-$832,976
Insurance$580,002$54,665-$634,667
Interest$370,776--$370,776
Travel$221,921$74,939-$296,860
Other Expenses$282,151$3,926,343-$282,151
Fees for Services Accounting-$160,462-$160,462
Fees for Services Legal-$137,862-$137,862
Conferences and Meetings$58,115$870-$58,985
Fees for Service Investment Mgmnt Fees-$25,043-$25,043
Information Technology-$13,490-$13,490
Total Functional Expenses$52,761,546$13,705,189$0$66,466,735
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$20,017
Fundraising Direct Expenses$7,816
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf$20,230$20,017-$20,017
Total Events$20,230$20,017$7,816$12,201
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Third Party Payor Settlements$6,281,138
Due to Affiliates$1,597,706
Operating Lease Liability$537,997
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

Scott comeau was employed by porter medical center, inc., a related organization at which he and robert ortmyer served as officers.

Form 990, Part VI, Section A, Line 4

Effective january 1, 2024, the bylaws for elizabethtown community hospital were amended in connection with a network-wide effort to promote efficiency and standardization in the delivery of medical services through the creation of a single, unified medical staff (the "medical staff"). The amendments remove provisions in the bylaws relating to the administration of a separate medical staff, including provisions granting the board of trustees authority to approve medical staff and credentials. In the place of these provisions, additional provisions were added relating to the administration of a campus advisory committee of the medical staff. The chair of the campus advisory committee shall serve ex officio, without vote, on the board of trustees.

Form 990, Part VI, Section A, Line 6

The university of vermont health network (uvmhn) is the sole member of elizabethtown community hospital.

Form 990, Part VI, Section A, Line 7A

Uvm health network has powers to elect elizabethtown community hospital's board of trustees.

Form 990, Part VI, Section A, Line 7B

Uvm health network has the power to approve significant corporate actions, including annual operating and capital budgets, strategic plans, the appointment of the ceo, the incurrence of long-term indebtedness, amendments to elizabethtown community hospital's bylaws and articles of the organization, and approval of major financial decisions including mergers, bankruptcies, and the development or termination of program services. Uvm health network is a non-profit corporation which has been recognized by the irs as a 501(c)(3) organization that is not a private foundation.

Form 990, Part VI, Section B, Line 11B

The 990 will be provided to the board prior to filing.

Form 990, Part VI, Section B, Line 12C

The organization regularly monitors and enforces compliance with the uvm health network's conflict of interest policy, which it has adopted. In accordance with the policy, trustees, officers, key employees and physicians are required to complete a conflict of interest disclosure and certification upon hiring, at least annually, prior to participating in any decision that may be affected by a personal interest, and whenever a potentially conflicting interest first arises. Conflict of interest disclosures and certifications may be made online or in writing and are regularly reviewed by the general counsel. The conflict of interest policy is enforced by the office of general counsel and overseen by a five-person conflict of interest committee. The general counsel reports at least quarterly on conflict of interest issues to the audit committee of the board of trustees. Conflicts of interest are managed in accordance with the policy, which provides for a variety of remedies to address conflicts of interest. In addition, "disqualified persons", consisting of trustees, officers and key employees are subject to special procedures to comply with the intermediate sanction rules, as outlined in the conflict of interest policy. Remedies to address conflicts of interest may include the following: recusal from decision making, disclosure to appropriate parties, committee participation limits and requested divestiture. An appeals process exists should the individual request a secondary review be performed.

Form 990, Part VI, Section B, Line 15

Elizabethtown community hospital delegates the setting of executive compensation to the uvm health network compensation committee, an independent committee, under principles described in its charter. The health network has adopted a compensation philosophy which provides a framework for setting compensation for the executives of uvm health network, its affiliated hospitals, and its medical group. The parameters of this philosophy include utilizing appropriate national and regional peer groups. Salaries are targeted at the 50th percentile of the national peer group, with performance based variable pay opportunities to achieve up to the 65th percentile, depending on organization and individual results. Compensation levels are approved by the network compensation committee for the uvm health network/direct reports and the affiliate hospital ceos. Calculations are performed using the same philosphy for the third tier of leadership. All actions taken regarding executive compensation are contemporaneously documented by the appropriate organization. This review is performed annually.

Form 990, Part VI, Section C, Line 19

These documents are available to the public upon written request.

Filing and Contact Details

Filer

Filer Name
Elizabethtown Community Hospital
EIN
14-1364513
Phone
5188736377
Address
75 PARK STREET PO BOX 277, ELIZABETHTOWN, NY 12932

Signing Officer

Name
Robert Ortmyer
Title
President
Phone
5188733002
Signed
2025-08-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Robert Ortmyer
Formed
1926
Legal Domicile
Ny
Voting Board Members
13
Independent Board Members
12
Employees
436
Volunteers
5

Preparer

Firm
Fustcharles Llp
Address
220 S WARREN STREET, SYRACUSE, NY 13202
Preparer
Thomas J Giufre
Phone
3154463600
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Chg in fair value of interest rate swap 357,028. Transfer of net assets -212,100.

Form 990, Part XII, Line 2C

The finance committee (board of directors) assumes responsibility for oversight of the audit, and selection of an independent accountant.

Financial Statement Notes

PART V, LINE 4:

Certain board-designated funds have been established to meet specific current and future needs of the hospital or to adequately discharge future liabilites. These funds include the plant and capital improvement funds, which are designated for specific projects such as the surgical center construction, and designated funds for both self-insurance and for cvph's various employee benefit plans. Temporarily restricted net assets are intended for the purchase of property and equipment. Permanently restricted net assets are to be held in perpetuity, the income from which is expendable to support health care services, including medical services provided to children, and providing for charity care.

PART X, LINE 2:

Elizabethtown community hospital is included in the consolidated financial statements for the university of vermont health network. Page 18 of the consolidated financial statements contain a footnote indicating that no provision for federal income taxes has been recorded, and that no uncertain tax positions were taken.

Raw XML AppendixShowing 400 of 1,499 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0INPATIENT ACUTE UNIT AND SUBACUTE REHABILITATIVE (SWING BED) INPATIENT PROGRAM:A 25-BED NURSING UNIT PROVIDING ACUTE AND SUB ACUTE (SWING BED)CARE. THE SMALLER ATMOSPHERE CREATES A CLOSER BOND BETWEEN THE PATIENT AND PROFESSIONALS ENCOURAGING OPTIMAL HEALING AND COMPASSIONATE CARE. THE SUB-ACUTE PROGRAM IS VITAL TO AREA RESIDENTS BECAUSE FOLLOWING A HIP-REPLACEMENT, KNEE-SURGERY OR CARDIAC OPERATION, RECUPERATION AND THERAPY CAN BE DONE AT ELIZABETHTOWN COMMUNITY HOSPITAL, SAVING THE FAMILY THE TIME AND EXPENSE OF TRAVEL. THE PROGRAM PROVIDES ONE-ON-ONE THERAPEUTIC CARE.
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IRS990/Form990PartVIISectionAGrp/PersonNm24JOHN REMILLARD
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IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT & CEO
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IRS990/Form990PartVIISectionAGrp/TitleTxt16CHIEF NURSING OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt17VP MEDICAL GROUP NETWORK DEPARTMENTS
IRS990/Form990PartVIISectionAGrp/TitleTxt18UVMMG PRESIDENT & CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt19PHYSICIAN ASSISTANT
IRS990/Form990PartVIISectionAGrp/TitleTxt20INFORMATION TECHNOLOGY
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IRS990/MissionDesc0THE MISSION OF ECH IS TO PROMOTE HEALTH AND WELLNESS IN THE COMMUNITY AND TO PROVIDE QUALITY HEALTHCARE WITH SKILL, COMPASSION AND DIGNITY. IN CREATING OUR COMMUNITY BENEFITS PLAN WE KEEP THIS MISSION IN MIND, CONTINUALLY LOOKING FOR WAYS TO MEET COMMUNITY HEALTH NEEDS AND TO BE A GOOD NEIGHBOR. ECH IS DRIVEN BY PEOPLE WHO LIVE IN THE SERVICE AREA AND WHO WANT TO SEE THEIR FRIENDS AND NEIGHBORS GET THE CARE AND SERVICES THEY NEED.
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