HELEN PORTER NURSING HOME INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
HELEN PORTER NURSING HOME INC (EIN 03-0306549)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-08-13
IRS object ID
201802259349300750
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-08-13T07:33:31-05:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010523282PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Berry Dunn McNeil & Parker LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1100AddressLine1Txt
CityPortlandCityNm
State AbbreviationMEStateAbbreviationCd
ZIP041041100ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN030306549EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Helen Porter Nursing Home IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHELEBusinessNameControlTxt
Phone8023884701PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1115 Porter DriveAddressLine1Txt
CityMiddleburyCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05753ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJennifer BertrandPersonNm
Person TitleCFOPersonTitleTxt
Phone8023884701PhoneNum
Signature2018-08-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBarbara J McGuan CPAPreparerPersonNm
PTINP00219457PTIN
Phone2077752387PhoneNum
Preparation2018-08-10PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Helen Porter Healthcare & RehabilitationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerFred KniffinPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1115 Porter DriveAddressLine1Txt
CityMiddleburyCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05753ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,869,718GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.portermedical.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateVTLegalDomicileStateCd
Activity Or MissionOperation of 105 bed skilled nursing homeActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee244TotalEmployeeCnt
Total Volunteers38TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$124,213PYContributionsGrantsAmt
CY Contributions Grants$6,921CYContributionsGrantsAmt
PY Program Service Revenue$9,460,791PYProgramServiceRevenueAmt
CY Program Service Revenue$9,862,116CYProgramServiceRevenueAmt
PY Investment Income-$23,332PYInvestmentIncomeAmt
CY Investment Income$433CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$9,561,672PYTotalRevenueAmt
CY Total Revenue$9,869,470CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,235,132PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,362,796CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,101,129PYOtherExpensesAmt
CY Other Expenses$3,919,923CYOtherExpensesAmt
PY Total Expenses$12,336,261PYTotalExpensesAmt
CY Total Expenses$12,282,719CYTotalExpensesAmt
PY Revenues Less Expenses-$2,774,589PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,413,249CYRevenuesLessExpensesAmt
Total Assets BOY$3,007,700TotalAssetsBOYAmt
Total Assets EOY$2,931,569TotalAssetsEOYAmt
Total Liabilities BOY$6,185,655TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,660,339TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$3,177,955NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$3,728,770NetAssetsOrFundBalancesEOYAmt
MissionThe mission of Helen Porter Nursing and Rehabilitation is to improve the health of our community, one patient at a time.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$9,929,104ExpenseAmt
Revenue$9,862,116RevenueAmt
DescOperated long-term community oriented 105 bed skilled nursing home. The nursing home provided services to patients that totaled 33,631 resident days during the year ended 9/30/2017.Desc
Total Program Service Expenses$9,929,104TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document20IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee244EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldVTStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Jennifer BertrandBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8023888878PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1115 Porter DriveAddressLine1Txt
CityMiddleburyCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05753ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Kristofer Anderson MD
Director1.0041.00Yes (X)$0$332,115$18,929
Jud Bartlett
Past Vice-Chair1.002.00Yes (X)$0$0$0Yes (X)
John Brumsted MD
CEO UVM Health Network2.0048.00Yes (X)$0$1,887,039$213,152
Anne Collins
Director1.002.00Yes (X)$0$0$0
Sivan Cotel
Vice-Chair1.002.00Yes (X)$0$0$0Yes (X)
Peter DeGraff
Director1.002.00Yes (X)$0$0$0
Kim Downs-Burns
Director1.002.00Yes (X)$0$0$0
Richard Foote
Director1.002.00Yes (X)$0$0$0
Lewis Holmes MD
Director1.0041.00Yes (X)$0$148,971$6,527
James Keyes
Treasurer1.002.00Yes (X)$0$0$0Yes (X)
Stephen Koller MD
Director1.002.00Yes (X)$0$0$0
Linn Larson MD
Director1.002.00Yes (X)$0$0$0
Kate McIntosh
Director1.002.00Yes (X)$0$0$0
Maureen Mclaughlin
Chairperson1.004.00Yes (X)$0$0$0Yes (X)
Cheryl Mullins
Director1.002.00Yes (X)$0$0$0
Linda Schiffer
Director1.002.00Yes (X)$0$0$0
Steve Terry
Director1.002.00Yes (X)$0$0$0
Bill Townsend
Director1.002.00Yes (X)$0$0$0
Sherry Greifzu
Past Director1.002.00Yes (X)$0$0$0
Michael Kiernan MD
Past Director1.0041.00Yes (X)$0$219,073$33,377
Robert Thorn
Past Director1.002.00Yes (X)$0$0$0
Fred Kniffin MD
CEO1.0041.00$0$337,076$31,429Yes (X)
Jennifer Bertrand
CFO1.0041.00$0$126,234$11,403Yes (X)
Michelle Wright
Director of Nursing40.000.00$101,680$0$11,508Yes (X)
James Daily
Former President/CEO0.000.00$0$385,628$0Yes (X)
Lynn Boggs
Former President/CEO0.000.00$0$371,901$4,754Yes (X)
Steve Ciampa
Former CFO0.000.00$0$177,601$12,370Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$101,680TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,985,638TotReportableCompRltdOrgAmt
Total Other Compensation$343,449TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Porter Medical Center Inc
115 Porter DriveMiddleburyVT05753Management Services$1,169,714
JK Mechanical & Fabrication LLC
4665 Ethan Allen HwyNew HavenVT05472Fabrication Services$128,879
Porter Hospital
115 Porter DriveMiddleburyVT05753Lab/Pharmacy/Radiology/Mgt. Svcs.$110,309
TLC Nursing Associates LLC
56 W Twin Oaks Terrace Suite 1S BurlingtonVT05403Nurse Staffing$108,390
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
All Other Contributions$6,921AllOtherContributionsAmt
Total Contributions$6,921TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Patient Revenue623000$12,628,221$12,628,221
Other Revenue623000$16,863$12,541$4,322
Provision for Bad Debt623000-$19,154-$19,154
Contractual Allowances623000-$2,763,814-$2,763,814
FieldValueIRS element (for citing)
Total Program Service Revenue$9,862,116TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$681TotalRevenueColumnAmt
Exclusion$681ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$248OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$248OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$248TotalRevenueColumnAmt
Exclusion-$248ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,869,470TotalRevenueColumnAmt
Related Or Exempt Func Income$9,857,794RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,755ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,305,040TotalAmt
Program Services$5,623,993ProgramServicesAmt
Management And General$681,047ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$170,755TotalAmt
Program Services$152,311ProgramServicesAmt
Management And General$18,444ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,427,526TotalAmt
Program Services$1,273,330ProgramServicesAmt
Management And General$154,196ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$459,475TotalAmt
Program Services$409,844ProgramServicesAmt
Management And General$49,631ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$822,941TotalAmt
Management And General$822,941ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$43,122TotalAmt
Management And General$43,122ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$33,914TotalAmt
Management And General$33,914ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$189,599TotalAmt
Management And General$189,599ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,994TotalAmt
Management And General$4,994ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$14,297TotalAmt
Management And General$14,297ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$101,982TotalAmt
Management And General$101,982ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,252TotalAmt
Management And General$2,252ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$84,771TotalAmt
Management And General$84,771ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$357,430TotalAmt
Program Services$357,430ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$104,022TotalAmt
Management And General$104,022ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$1,595,645$1,595,645
Medicaid Provider Tax$516,551$516,551
Miscellaneous Expense$42,817$42,817
Dues & Subscriptions$5,586$5,586

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,282,719TotalAmt
Program Services$9,929,104ProgramServicesAmt
Management And General$2,353,615ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$49,820BOYAmt
EOY$46,784EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$602,237BOYAmt
EOY$382,667EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$927,381BOYAmt
EOY$1,157,613EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$13,445BOYAmt
EOY$13,536EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,108BOYAmt
EOY$15,798EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,265,283LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,046,737LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,371,866BOYAmt
EOY$1,218,546EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$33,843BOYAmt
EOY$96,625EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,007,700BOYAmt
EOY$2,931,569EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,097,513BOYAmt
EOY$1,263,457EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,940,920BOYAmt
EOY$2,853,081EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$25,425BOYAmt
EOY$29,946EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$35,157BOYAmt
EOY$8,095EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$741,973BOYAmt
EOY$741,973EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,344,667BOYAmt
EOY$1,763,787EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,185,655BOYAmt
EOY$6,660,339EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$3,214,316BOYAmt
EOY-$3,766,108EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$36,361BOYAmt
EOY$37,338EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$3,177,955BOYAmt
EOY-$3,728,770EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,007,700BOYAmt
EOY$2,931,569EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,413,249ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$1,862,434OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$2,130OtherActivitiesAmt
Total Lobbying Expenditures$2,130TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationThe Organization pays dues to various associations, a portion of which is attributable to lobbying expenses.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,862,768OtherCostOrOtherBasisAmt
Depreciation$4,158,603DepreciationAmt
Book Value$704,165BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,153,977OtherCostOrOtherBasisAmt
Depreciation$729,632DepreciationAmt
Book Value$424,345BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$248,538OtherCostOrOtherBasisAmt
Depreciation$158,502DepreciationAmt
Book Value$90,036BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,218,546TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Due to Affiliates$835,029
Liability for Pension Benefits$805,384
Estimated Third-Party Settlements$123,374
FieldValueIRS element (for citing)
Total Liability$1,763,787TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart IV, Line 2b:FormAndLineReferenceDesc
ExplanationThe Organization holds funds belonging to residents for their personal use. The funds are made available to the residents as requested or needed.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Kristofer Anderson MD
Director$0$321,400$0$10,000$0$715$0$10,600$0$8,329$0$351,044$0$0
John Brumsted MD
CEO UVM Health Network$0$1,024,109$0$694,095$0$168,835$0$186,083$0$27,069$0$2,100,191$0$0
Lewis Holmes MD
Director$0$148,971$0$0$0$0$0$5,959$0$568$0$155,498$0$0
Michael Kiernan MD
Past Director$0$218,170$0$0$0$903$0$9,022$0$24,355$0$252,450$0$0
Fred Kniffin MD
CEO$0$272,403$0$0$0$64,673$0$13,250$0$18,179$0$368,505$0$0
James Daily
Former President/CEO$0$6,312$0$0$0$379,316$0$0$0$0$0$385,628$0$359,150
Lynn Boggs
Former President/CEO$0$130,582$0$0$0$241,319$0$0$0$4,754$0$376,655$0$0
Steve Ciampa
Former CFO$0$143,510$0$10,000$0$24,091$0$5,381$0$6,989$0$189,971$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3Porter Medical Center (PMC), a related organization, establishes the compensation for the Organization's CEO. Porter Medical Center uses a variety of resources to establish compensation as follows: 1. Independent compensation consultant 2. Written employment contract 3. Approval by the PMC Board
Part I, Lines 4a-bLynn Boggs, Former CEO received serverance compensation of $230,243. James Daily, former President/CEO, received a payout of $359,150 from his 457(f) deferred compensation plan.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Vermont Educational and Health Buildings Financing AgencyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN237154467BondIssuerEIN
Bond Issued2015-08-01BondIssuedDt
Issue Price$3,100,000IssuePriceAmt
PurposeRefunding 2000 Series A BondsPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$246,919RetiredAmt
Total Proceeds$3,100,000TotalProceedsAmt
Issuance Costs From Proceeds$34,525IssuanceCostsFromProceedsAmt
Other Spent Proceeds$3,065,475OtherSpentProceedsAmt
Substantial Completion2015SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 4Porter Medical Center and its Subsidiaries (Porter Hospital and Helen Porter Nursing Home) entered into an active parent governance relationship with the University of Vermont Health Network as of April 1, 2017. As a result of the formal affiliation with the University of Vermont Health Network, Porter Medical Center updated its governing documents to reflect the new relationship with the University of Vermont Health Network including the University of Vermont Health Network's reserve powers with Porter Medical Center. The update to the governing documents also reflects the University of Vermont Health Network as the sole member of Porter Medical Center.
Form 990, Part VI, Section A, line 6Prior to April 1, 2017, Porter Medical Center did have members; however, with the affiliation the University of Vermont Health Network became the sole member of Porter Medical Center.
Form 990, Part VI, Section A, line 7aThe University of Vermont Health Network, as Porter Medical Center's sole member, has reserve powers that allow the University of Vermont Health Network to refuse the acceptance of new board members appointed by the Porter Medical Center Board of Directors if The University of Vermont Health Network does not agree with the choice of appointments. As a result, the process of appointing members to the governing body is a collaboration of the Porter Medical Center Board of Directors and the University of Vermont Health Network.
Form 990, Part VI, Section A, line 7bThe University of Vermont Health Network has certain reserve powers that require it to approve certain decisions made the Porter Medical Center Board of Directors.
Form 990, Part VI, Section B, line 11bForm 990 is reviewed by management and the Finance committee before filing. The form 990 is also made available electronically to the Board of Directors before filing.
Form 990, Part VI, Section B, line 12cThe Organization's CFO and Controller are responsible for regularly and consistently monitoring and enforcing compliance with the conflict of interest policy. When bids are solicited to include the business of a Board member, those bids are reviewed by the Board of Directors to assure adherence to the Organization's lowest bid policy. When an issue comes up to a vote and it is connected, in any way, to the business of a Board member, the member must recuse him/herself from the vote.
Form 990, Part VI, Section B, line 15aThe Organization's executive committee reviews comparative data prepared by a consultant prior to referral of compensation to the board of directors. The board of directors review the findings of the consultant and vote to approve the salary of the CEO.
Form 990, Part VI, Section C, line 19The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Form 990, Part X, Line 10: Land, Buildings, and EquipmentSection 1.263(a)-3(n) Election: Helen Porter Nursing Home, Inc. 115 Porter Drive Middlebury, VT 05753 EIN 03-0306549 Helen Porter Nursing Home, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).
Form 990, Part XI, line 9:Change in Net Assets to Recognize Funded Status of Pension Plan 212,434. Equity Transfer from Affiliate 1,650,000.
Form 990, Schedule A, Part I, Line 3:Reason for Public Charity Status: The Organization's exemption is based upon being classified as a hospital or cooperative hospital service organization described in 170(b)(1)(A)(iii). Since the Organization is not licensed in the state of Vermont as a hospital, but rather as a skilled nursing facility, Schedule H is not required.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Porter Hospital Inc
37 Porter DriveMiddleburyVT05753030181058Critical Access HospitalVT501(c)(3)Line 3Porter Medical Center Inc0
Porter Medical Center Inc
37 Porter DriveMiddleburyVT05753030310862Holding Company for SubsidiariesVT501(c)(3)Line 12b, II0N/A
Auxiliary of Porter Medical Center
37 Porter DriveMiddleburyVT05753237363227Supporting OrganizationVT501(c)(3)Line 12b, IIPorter Medical Center Inc0
Univ of Vermont Health Network Inc
111 Colchester AveBurlingtonVT05401452880726Parent OrganizationVT501(c)(3)Line 12a, INA0
Univ of Vermont Medical Group
111 Colchester AveBurlingtonVT05401030225105Physician ServicesVT501(c)(3)Line 12a, IUVM HLTH Net0
Univ of Vermont Med Group-New York
183 Park StreetMaloneNY12953203905216Physician ServicesNY501(c)(3)Line 3UVMMG0
Univ of Vermont Med CTR FDN Inc
111 Colchester AveBurlingtonVT05401263159849FundraisingVT501(c)(3)Line 12a, IUVMMC0
Univ of Vermont Medical Center
111 Colchester AveBurlingtonVT05401030219309HospitalVT501(c)(3)Line 3UVM HLTH Net0
Central Vermont Medical Center
130 Fisher RoadBerlinVT05602222547186HospitalVT501(c)(3)Line 3UVM HLTH Net0
Community Providers Inc
75 Beekman StreetPlattsburghNY12901222544844Health Service CoordinatorNY501(c)(3)Line 12a, IUVM HLTH Net0
Champlain Valley Phys Hospital
75 Beekman StreetPlattsburghNY12901141338471Health Service SupportNY501(c)(3)Line 3CPI0
Elizabethtown Community Hospital
75 Park StreetElizabethtownNY12932141364513HospitalNY501(c)(3)Line 3CPI0
Emergency Medical Transport of CVPH Inc
75 Beekman StreetPlattsburghNY12901061718419Ambulance ServiceNY501(c)(3)Line 12b, IICPI0
CVPH Medical Center Foundation
75 Beekman StreetPlattsburghNY12901141727048Health Service SupportNY501(c)(3)Line 12b, IICVPH0
University Health Center
111 Colchester AveBurlingtonVT05401030229931HospitalVT501(c)(3)Line 12c, III-FIUVMMG0
University Medical Education Associates
89 Beaumont AvenueBurlingtonVT05401237107832EducationalVT501(c)(3)Line 10UVMMG0
Alice Hyde Medical Center
133 Park StreetMaloneNY12953150346515HospitalNY501(c)(3)Line 3CPI0
University of Vermont Med CTR Aux Inc
111 Colchester AveBurlingtonVT05401208022004ServiceVT501(c)(3)Line 12c, III-FI0N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
Onecare Vermont ACO LLC
111 Colcester AveBurlingtonVT05401455399218Accountable CareVTNARelated00
Adirondack ACO LLC
75 Beekman StreetPlattsburghNY12901462840926Accountable CareNYNAN/A00
Obnet Services LLC
1 Med Ctr DrLebanonNH03766043746287Health ResearchNHUVMMCRelated00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
UVMMC Health Ventures Inc
111 Colchester AveBurlingtonVT05401043380045Holding CompanyVTUVMMCC0
VMC Indemnity Company LTD
Captive InsuranceUVMMCC0PO Box HM 3103 25 Church StreetHamiltonHM FXBDBD
Vermont Managed Care Inc
111 Colchester AveBurlingtonVT05401030333056Admin ServicesVTUVM HLTH VENTC0
Charitable Remainder Trust (5)
SupportVTUVMMCCVMCT0
Prepetural Trust (4)
SupportVTUVMMCT0
Charitable Irrevocable Trust (7)
SupportVTCVMCUVMMCT0
Champlain Valley Health Network
75 Beekman StreetPlattsburghNY12901161586102Admin ServiceNYCPIC0
Mediquest Inc
PO Box 1656PlattsburghNY12901141663061Med Office LeaseNYCPIC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

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