Critical access hospital · Townshend, Vermont · 19 beds · CMS certification number 471300
Grace Cottage
Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended September 30, 2025, as submitted, stamped by CMS March 4, 2026. 25 years on file, every one shown below. Also on the 340B covered-entity register.
Fiscal 2025 at a glance
What stands out
- Net patient revenue rose from $5.6M in its first year on file (2001) to $29.1M in 2025.
- Its result from patient care: −$8.8M (2023), −$12.3M (2024), −$10.2M (2025).
- All 5 critical access hospital peers below with a margin on file also report a loss on patient care for fiscal year 2025.
- Medicaid paid for 0.7% of its inpatient days and Medicare for 66.2%.
Every statement is drawn from figures on this page; nothing is estimated.
25 years of filings
Net patient revenue against operating expenses, each year as filed.
settled with audit
reopened
reopened
settled with audit
settled
settled
settled
settled
settled
reopened
settled
settled
settled
settled
settled
settled
settled with audit
settled
settled
settled with audit
settled
settled
settled
settled
as submitted
Beside its peers
Hospitals of the same type (critical access hospital), nearest in size, from Vermont first; each on fiscal year 2025.
| Hospital | Beds | Net patient revenue | Operating expenses | Margin |
|---|---|---|---|---|
| Grace Cottage | 19 | $29,056,772 | $39,284,209 | −35.2% |
| Copley Hospital, Morrisville | 25 | $115,182,248 | $115,885,016 | −0.6% |
| Gifford Medical Center, Randolph | 25 | $58,546,944 | $81,705,942 | −39.6% |
| Mt. Ascutney Hospital and Health Center, Windsor | 25 | $68,525,000 | $75,265,465 | −9.8% |
| North Country Hospital & Health Center, Newport | 25 | $96,557,455 | $115,580,498 | −19.7% |
| NVRH, St. Johnsbury | 25 | $125,703,837 | $136,482,777 | −8.6% |
Patients and payers
- Discharges
- 102S-3 line 14, col 15
- Inpatient days
- 4,069S-3 line 14, col 8
- Beds in use, on an average day
- 11.2days ÷ days in year
- Occupancy
- 58.7%days ÷ bed days
- Medicare share of days
- 66.2%S-3 cols 6 ÷ 8
- Medicaid share of days
- 0.7%S-3 cols 7 ÷ 8
Who owns it
Type of control on its cost report: voluntary nonprofit, other.
Community benefit, as filed
From IRS Form 990 Schedule H, Part I, filed by Carlos G Otis Health Care Center (employer identification number 030177161) for tax year 2022. The return lists this hospital as its one hospital facility.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total community benefit expense (line 7k) | $3,734,780 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance at cost (line 7a) | $215,350 | IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt> |
| Medicaid (line 7b) | $3,347,584 | IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt> |
| Financial assistance and means-tested government programs (line 7d) | $3,562,934 | IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt> |
| Other benefits (line 7j) | $171,846 | IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt> |
| Total, fraction of total expense (line 7k, column f) | 0.111 | IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct> |
E-file object id 202422269349300747. The IRS archive it was read from.
Executive and director compensation, as filed
From IRS Form 990 Part VII, Section A, filed by Carlos G Otis Health Care Center (employer identification number 030177161) for tax year 2022. The return lists this hospital as its one hospital facility.
| Name | Title | Role | Reportable comp, from this organization | Reportable comp, from related organizations | Other compensation |
|---|---|---|---|---|---|
| Al Claussen III | Trustee | Trustee/director | $0 | $0 | $0 |
| Barry Emerson | Treasurer | Trustee/director, Officer | $0 | $0 | $0 |
| Douglas DiVello | CEO | Officer | $324,346 | $0 | $48,804 |
| Edward Druke | Vice President | Trustee/director, Officer | $0 | $0 | $0 |
| Ewa Arnold MD | Physician | Highest-compensated employee | $191,797 | $0 | $42,881 |
| George Terwilliger MD | Physician | Highest-compensated employee | $290,966 | $0 | $33,462 |
| Jeremy Morrison MD | Physician | Highest-compensated employee | $217,330 | $0 | $43,398 |
| Karren Meyer | Trustee | Trustee/director | $0 | $0 | $0 |
| Kimona Alin MD | Physician | Highest-compensated employee | $198,781 | $0 | $44,471 |
| Lucas Farrell | Trustee | Trustee/director | $0 | $0 | $0 |
| Martha Dale | President | Trustee/director, Officer | $0 | $0 | $0 |
| Philip Schafer PA-C | Physician Assistant | Highest-compensated employee | $239,720 | $0 | $31,615 |
| Rachel Stettler | Trustee | Trustee/director | $0 | $0 | $0 |
| Sarah Vangel | Trustee | Trustee/director | $0 | $0 | $0 |
| Sheila Scheuerman | Secretary | Trustee/director, Officer | $0 | $0 | $0 |
| Stephen A Brown | CFO | Officer | $304,861 | $0 | $34,105 |
| Terry Pollio | Trustee | Trustee/director | $0 | $0 | $0 |
| Thomas Kalchthaler | Trustee | Trustee/director | $0 | $0 | $0 |
| Timothy P Shafer MD | Trustee/Physician | Trustee/director | $245,819 | $0 | $32,883 |
E-file object id 202422269349300747. The IRS archive it was read from.
Follow this hospital, free
We send this record now and tell you when it files again.
More critical access hospitals in Vermont
From the publisher of Velarion Records
Velarion Intel
Independent Decision-Grade Intelligence
Compensation and corporate governance intelligence for advisors, investors and companies. Executive and board pay for public companies, benchmarked against peers.
Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 471300. Patients and payers: worksheet S-3 Part I of the same filing.
How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read March 4, 2026.