2018-08-14T08:52:48-05:00 2017-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2016-10-01 460938716 GIFFORD HEALTH CARE INC % JEFFREY HEBERT GIFF 8027284441 44 SOUTH MAIN STREET RANDOLPH VT 05060 DANIEL A BENNETT CEO 2018-01-03 true Brian D Todd P00422601 4178658701 2016 2022-09-23 18:48:47Z DANIEL A BENNETT 44 SOUTH MAIN STREET RANDOLPH VT 05060 12090339 false X WWW.GIFFORDHEALTHCARE.ORG X 2012 VT GIFFORD HEALTHCARE IS A NON-PROFIT CHC PROVIDING PRIMARY CARE SERVICES ON AN OUTPATIENT BASIS. 18 18 0 18 0 0 1258783 1775401 10538714 10314029 2730 909 0 0 11800227 12090339 0 0 0 0 10883329 11187093 0 0 21591 4095623 4255179 14978952 15442272 -3178725 -3351933 1477902 2107072 4114412 5551376 -2636510 -3444304 X AS A COMMUNITY HEALTH CENTER & MEDICAL HOME, GIFFORD'S MISSION IS TO IMPROVE AND MANAGE THE HEALTH OF THE PEOPLE WE SERVE BY PROVIDING AND ASSURING ACCESS TO AFFORDABLE, HIGH-QUALITY HEALTH CARE, AND BY PROMOTING THE HEALTH AND WELL-BEING OF EVERYONE IN OUR SERVICE AREA. true false 14338831 10314029 GHC IS A CHC DEEMED FEDERALLY QUALIFIED HEALTH CENTER OFFERING PRIMARY CARE, PEDIATRICS, PSYCHIATRIC, SUBSTANCE USE, OB/GYN AND MIDWIFERY SERVICES IN CONVENIENT LOCATIONS THROUGHOUT CENTRAL VT AND THE UPPER VALLEY. FAMILY-FRIENDLY PRIMARY CARE PRACTICES ARE ALL PATIENT-CENTERED MEDICAL HOMES AND UNIQUELY DEDICATED TO PROVIDING HIGH-QUALITY, ACCESSIBLE CARE. SEE SCHEDULE O FOR MORE INFORMATION. 14338831 true true false true false false false false false false true false false true true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true X 0 0 0 false false false false false false false false false false X 18 18 false false false false false false false true true false false true true true true true true false false false X JEFFREY HEBERT 8027282356 44 SOUTH MAIN STREET RANDOLPH VT 05060 PETER NOWLAN CHAIR END 04/17/DIRECTOR 1.0 2.0 X X 0 0 0 MATT CONSIDINE CHAIR BEG 04/17 1.0 2.0 X X 0 0 0 LINCOLN CLARK VICE CHAIR BEG 04/17 1.0 2.0 X X 0 0 0 JODY DAVIGNON TREASURER BEG 04/17 1.0 2.0 X X 0 0 0 BARBARA ROCHAT SECRETARY 1.0 2.0 X X 0 0 0 AUGUST MEYER CHAIR END 12/16/DIRECTOR 1.0 2.0 X 0 0 0 BOB WRIGHT DIRECTOR 1.0 3.0 X 0 0 0 PAUL KENDALL DIRECTOR END 03/17 1.0 2.0 X 0 0 0 TODD WINSLOW DIRECTOR 1.0 3.0 X 0 0 0 SUE SYSTMA DIRECTOR 1.0 3.0 X 0 0 0 CLAY WESTBROOK DIRECTOR 1.0 3.0 X 0 0 0 SUE SHERMAN DIRECTOR 1.0 3.0 X 0 0 0 CAROL BUSHEY DIRECTOR 1.0 3.0 X 0 0 0 SHEILA JACOBS DIRECTOR 1.0 3.0 X 0 0 0 PETER REED DIRECTOR 1.0 3.0 X 0 0 0 BRADFORD ATWOOD DIRECTOR BEG 05/17 1.0 2.0 X 0 0 0 JOAN GOLDSTEIN DIRECTOR BEG 05/17 1.0 2.0 X 0 0 0 BEN JICKLING DIRECTOR BEG 05/17 1.0 2.0 X 0 0 0 THERON MANNING DIRECTOR BEG 05/17 1.0 2.0 X 0 0 0 DANIEL BENNETT CEO BEGIN 10/16 1.0 41.0 X 0 89453 6801 JEFFREY HEBERT CFO 1.0 41.0 X 0 182404 9799 BERTON WHITAKER INTERIM CEO END 10/16 1.0 41.0 X 0 160000 0 JOSEPH WOODIN PRESIDENT & CEO END 4/16 1.0 2.0 X 0 260404 18418 0 692261 35018 0 true true false 0 1723150 52251 1775401 NET PATIENT SERVICE REVENUE 624100 8308598 8308598 PHARMACY REVENUE 446110 1214403 1214403 OTHER REVENUE 900099 791028 791028 10314029 909 909 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12090339 10314029 909 0 0 0 0 0 0 9080881 8469735 598882 12264 281684 262840 18207 637 1098471 1024986 71000 2485 726057 677485 46929 1643 0 11263 11263 13000 13000 0 0 0 699342 676849 22193 300 66348 61910 4288 150 899144 682751 215115 1278 0 0 391820 365608 25326 886 13239 12353 856 30 0 113438 105849 7332 257 0 0 498451 465105 32218 1128 102187 95351 6605 231 MEDICAL SUPPLIES & DRUGS 820818 820818 BAD DEBT 492524 492524 LICENSES, DUES, SUBSCRIPTIONS 133605 124667 8636 302 All other expenses 0 15442272 14338831 1081850 21591 12117 7242 21354 89744 0 0 719155 1037394 0 0 0 0 0 0 40352 48640 198294 370153 497294 57665 473764 439629 0 0 0 0 0 0 0 0 12866 114270 1477902 2107072 1310289 1740744 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2804123 3810632 4114412 5551376 X -2636510 -3469236 0 24932 0 0 -2636510 -3444304 1477902 2107072 X -3351933 2544139 X false true X true true true X 0 498337 1069495 1258783 1775401 4602016 2007314 10591423 10538714 10314029 33451480 0 0 0 0 2505651 11660918 11797497 12089430 38053496 0 0 0 38053496 59 3564 2730 909 7262 0 59 3564 2730 909 7262 0 0 0 2505710 11664482 11800227 12090339 38060758 X 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 3070 3070 false SCHEDULE C, PART II-B, LINE 1I OTHER LOBBYING ACTIVITIES: GIFFORD MEDICAL CENTER, INC., A RELATED ORGANIZATION, IS A MEMBER OF THE VERMONT ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS, THE BI-STATE PRIMARY CARE ASSOCIATION, AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS IS AVAILABLE FOR LOBBYING EXPENDITURES ON BEHALF OF GIFFORD MEDICAL CENTER AND THE OTHER MEMBER ORGANIZATIONS IN FURTHERANCE OF THEIR EXEMPT PURPOSES. GIFFORD MEDICAL CENTER DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES. A PORTION OF THESE DUES HAVE BEEN ALLOCATED TO RELATED ORGANIZATIONS GIFFORD RETIREMENT COMMUNITY, INC. AND GIFFORD HEALTH CARE, INC. 348384 40619 307765 148910 17046 131864 439629 EST AMTS DUE FROM THIRD PARTY 39373 MISCELLANEOUS RECEIVABLE 74897 114270 0 DUE TO AFFILIATES 3810632 3810632 11137118 -900971 -900971 12038089 52250 52250 12090339 14513983 14513983 928289 928289 15442272 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VII, LINE 12: $(492,524) BAD DEBT EXPENSE (435,765) EXPENSES INCLUDED IN REVENUE 27,318 NET ASSETS RELEASED FROM RESTRICTIONS ---------- $(900,971) SCHEDULE D, PART XI, LINE 4B OTHER REVENUE ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 52,250 TEMPORARILY RESTRICTED CONTRIBUTIONS SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 492,524 BAD DEBT EXPENSE 435,765 EXPENSES INCLUDED IN REVENUE --------- $ 928,289 false false false false false false false false false JEFFREY HEBERT CFO 0 175302 0 0 0 7102 0 9109 0 690 0 192203 0 0 JOSEPH WOODIN PRESIDENT & CEO END 4/16 0 157274 0 40000 0 63130 0 11430 0 6988 0 278822 0 0 BERTON WHITAKER INTERIM CEO END 10/16 0 160000 0 0 0 0 0 0 0 0 0 160000 0 0 SCHEDULE J, PART I, LINE 3 CEO COMPENSATION REVIEW: GIFFORD MEDICAL CENTER, INC., A RELATED ORGANIZATION, DETERMINES THE COMPENSATION OF THE CEO USING THE FOLLOWING METHODS: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -WRITTEN EMPLOYMENT CONTRACT -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE FORM 990, PART III, LINE 2 SIGNIFICANT PROGRAM SERVICES UNDERTAKEN DURING THE YEAR: GIFFORD'S PATIENT-CENTERED TEAM WORKS WITH ADULTS WHO WISH TO TREAT AN OPIOID USE DISORDER WITH MEDICATION, WHETHER IT IS PAIN MEDICINE OR HEROIN, WITH MEDICATION AND COMPREHENSIVE RECOVERY SUPPORT. FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS: SERVICES INCLUDE PREVENTION & WELLNESS SUCH AS ANNUAL WELL-CHILD VISITS & SPORTS PHYSICALS, CHILDHOOD IMMUNIZATIONS, ACUTE CARE, FAMILY EDUCATION ON HEALTHY BEHAVIORS, SUBSTANCE ABUSE & CHILD DEVELOPMENT, MEDICATION MANAGEMENT, PSYCHIATRIC CARE, MANAGEMENT OF CHRONIC CONDITIONS, EYE & HEARING SCREENINGS, TIMELY CARE FOR ACUTE ILLNESSES & HELPING PATIENTS FIND DENTAL CARE. FORM 990, PART V, LINE 2A W-2'S FILED: GIFFORD MEDICAL CENTER, A RELATED ORGANIZATION OF GIFFORD HEALTH CARE, FILES ALL W-2'S FOR THE ORGANIZATION. SALARIES, PENSION, PAYROLL TAXES, AND EMPLOYEE BENEFITS OF THOSE INDIVIDUALS ARE THEN ALLOCATED FOR THE AMOUNTS THAT REPRESENT WORK PERFORMED FOR GIFFORD HEALTH CARE. IN ADDITION, BERTON WHITAKER AND DANIEL BENNETT SERVED AS CEO AND JEFFREY HERBERT SERVED AS CFO OVER GIFFORD MEDICAL CENTER, GIFFORD HEALTH CARE, AND GIFFORD RETIREMENT COMMUNITY. THEIR COMPENSATION HAS BEEN SHOWN IN PART VII AS PAID BY GIFFORD MEDICAL CENTER ONLY, ALTHOUGH THEIR TIME SPENT IS ATTRIBUTABLE TO ALL THREE ENTITIES. FROM 990, PART VI, SECTION B, LINE 11B REVIEW OF THE FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES FIRST REVIEWS THE FORM 990. THEN THE FULL BOARD OF TRUSTEES REVIEWS THE COMPLETE FORM 990 AT ONE OF THE BOARD MEETINGS BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: GIFFORD HEALTH CARE, INC. REQUIRES BOARD MEMBERS TO COMPLETE A YEARLY CONFLICT OF INTEREST SURVEY. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY DIRECTOR SHALL BE DISCLOSED TO THE OTHER BOARD MEMBERS. ANY DIRECTOR HAVING DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHALL NOT VOTE OR USE HIS PERSONAL INFLUENCE ON THE MATTER, AND SHALL NOT BE PRESENT FOR DISCUSSION OF THE MATTER. THE MINUTES OF THE MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE AND THAT THE DIRECTOR ABSTAINED FROM VOTING AND DISCUSSION. FORM 990, PART VI, SECTION B, LINE 15A CEO COMPENSATION REVIEW: GIFFORD MEDICAL CENTER, A RELATED ORGANIZATION, USES A BOARD COMPENSATION COMMITTEE WITH INPUT AND DATA FROM A VARIETY OF INDEPENDENT SOURCES. THE EVALUATION AND RECOMMENDATION IS THE PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 15B OTHER OFFICER & KEY EMPLOYEE COMPENSATION REVIEW: TO EVALUATE THE COMPENSATION OF THE ORGANIZATION'S OTHER OFFICERS AND KEY EMPLOYEES, THE COMPENSATION REVIEW IS ADMINISTERED BY HUMAN RESOURCES AND THE CEO. THE HUMAN RESOURCES DEPARTMENT HAS SOME INTERNAL AND EXTERNAL SOURCES THAT ARE UTILIZED TO COMPANY COMPENSATION AMOUNTS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST. THE FINANCIAL STATEMENTS ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE, ANOTHER'S WEBSITE AND UPON REQUEST. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES: $ 2,544,139 TRANSFERS FROM AFFILIATES GIFFORD MEDICAL CENTER INC 44 SOUTH MAIN STREET RANDOLPH VT 05060 030179418 HOSPITAL VT 501(C)(3) 3 GHC true GIFFORD RETIREMENT COMMUNITY INC 44 SOUTH MAIN STREET RANDOLPH VT 05060 463593492 RETIREMENT VT 501(C)(3) 10 GHC true false false false false true false false false false false true false false true false true false true false GIFFORD MEDICAL CENTER R 2544139 FMV