HELEN PORTER NURSING HOME INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
HELEN PORTER NURSING HOME INC (EIN 03-0306549)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-10
IRS object ID
201702229349300010
Schema version
2015v3.0
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)
Return2017-08-10T08:54:04-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

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 Begin2015-10-01TaxPeriodBeginDt

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)
PersonFred KniffinPersonNm
Person TitlePresident/CEOPersonTitleTxt
Phone8023884701PhoneNum
Signature2017-08-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJoseph R Byrne CPAPreparerPersonNm
PTINP01289281PTIN
Phone2077752387PhoneNum
Preparation2017-08-08PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Helen Porter Healthcare & Rehab CenterBusinessNameLine1Txt
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$9,585,506GrossReceiptsAmt
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 Employee250TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$79,451PYContributionsGrantsAmt
CY Contributions Grants$124,213CYContributionsGrantsAmt
PY Program Service Revenue$10,104,232PYProgramServiceRevenueAmt
CY Program Service Revenue$9,460,791CYProgramServiceRevenueAmt
PY Investment Income$420PYInvestmentIncomeAmt
CY Investment Income-$23,332CYInvestmentIncomeAmt
PY Other Revenue-$70,259PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$10,113,844PYTotalRevenueAmt
CY Total Revenue$9,561,672CYTotalRevenueAmt
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$7,725,723PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,235,132CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,482,808PYOtherExpensesAmt
CY Other Expenses$4,101,129CYOtherExpensesAmt
PY Total Expenses$11,208,531PYTotalExpensesAmt
CY Total Expenses$12,336,261CYTotalExpensesAmt
PY Revenues Less Expenses-$1,094,687PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,774,589CYRevenuesLessExpensesAmt
Total Assets BOY$3,309,324TotalAssetsBOYAmt
Total Assets EOY$3,007,700TotalAssetsEOYAmt
Total Liabilities BOY$5,827,984TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,185,655TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$2,518,660NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$3,177,955NetAssetsOrFundBalancesEOYAmt
MissionThe mission of Helen Porter Healthcare and Rehabilitation Center is to improve the health of our community, one patient at a time.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$10,010,929ExpenseAmt
Revenue$9,460,791RevenueAmt
DescOperated long-term community oriented 105 bed skilled nursing home. The nursing home provided services to patients that totaled 33,684 resident days during the year ended 9/30/2016.Desc
Total Program Service Expenses$10,010,929TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
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 ContriYes (1)DeductibleNonCashContriInd
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 Document25IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee250EmployeeCnt
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 RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
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 (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Kristofer Anderson MD
Director1.0041.00Yes (X)$0$323,708$18,327
Jud Bartlett
Director1.002.00Yes (X)$0$0$0
Sivan Cotel
Director1.002.00Yes (X)$0$0$0
Peter Degraff
Director1.002.00Yes (X)$0$0$0
Kim Downs-Burns
Vice-Chair1.002.00Yes (X)$0$0$0Yes (X)
Richard Foote
Director1.002.00Yes (X)$0$0$0
Sherry Greifzu
Director1.002.00Yes (X)$0$0$0
Jim Keyes
Director1.002.00Yes (X)$0$0$0Yes (X)
Michael Kiernan MD
Director1.0041.00Yes (X)$0$209,196$34,257
Stephen Koller MD
Director1.002.00Yes (X)$0$0$0
Linn Larson MD
Director1.002.00Yes (X)$0$0$0
Kate McIntosh MD
Director1.002.00Yes (X)$0$0$0
Maureen Mclaughlin
Chairperson1.002.00Yes (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
Robert Thorn
Director1.002.00Yes (X)$0$0$0
Bill Townsend
Secretary1.004.00Yes (X)$0$0$0Yes (X)
Jan Bark
Past Director1.002.00Yes (X)$0$0$0
Missy Foote
Past Director1.002.00Yes (X)$0$0$0
Carrie Wulfman MD
Past Director1.0041.00Yes (X)$0$222,007$32,508
Lynn Boggs
Past President/CEO1.0041.00Yes (X)$0$181,643$8,418Yes (X)
Edwin Grant
Past Director1.002.00Yes (X)$0$0$0
Kenneth Perine
Past Director1.002.00Yes (X)$0$0$0
Benjamin Rosenberg MD
Past Director1.0041.00Yes (X)$0$638,855$12,036
Patrick Norton
Past Director1.002.00Yes (X)$0$0$0
Ingrid Jackson
Past Director1.002.00Yes (X)$0$0$0
Fred Kniffin MD
Interim CEO1.0041.00$0$292,621$30,580Yes (X)
Steve Ciampa
Past CFO5.0035.00$0$197,253$20,576Yes (X)
James Daily
Former President/CEO0.000.00$0$380,963$41,853Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,446,246TotReportableCompRltdOrgAmt
Total Other Compensation$198,555TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Porter Hospital
115 Porter DriveMiddleburyVT05753Lab/Pharmacy/Radiology/Mgt. Svcs.$652,402
Porter Medical Center Inc
115 Porter DriveMiddleburyVT05753Management Services$423,713
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$124,213AllOtherContributionsAmt
Noncash Contributions$94,591NoncashContributionsAmt
Total Contributions$124,213TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Patient Revenue623000$12,670,848$12,670,848
Other Revenue623000$12,031$8,129$3,902
Provision for Bad Debt623000-$128,215-$128,215
Contractual Allowances623000-$3,093,873-$3,093,873
FieldValueIRS element (for citing)
Total Program Service Revenue$9,460,791TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$502TotalRevenueColumnAmt
Exclusion$502ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$23,834OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$23,834OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$23,834TotalRevenueColumnAmt
Exclusion-$23,834ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,561,672TotalRevenueColumnAmt
Related Or Exempt Func Income$9,456,889RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$19,430ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,284,684TotalAmt
Program Services$5,709,101ProgramServicesAmt
Management And General$575,583ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$228,590TotalAmt
Program Services$207,655ProgramServicesAmt
Management And General$20,935ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,257,742TotalAmt
Program Services$1,142,552ProgramServicesAmt
Management And General$115,190ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$464,116TotalAmt
Program Services$421,610ProgramServicesAmt
Management And General$42,506ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,000,740TotalAmt
Management And General$1,000,740ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$43,384TotalAmt
Management And General$43,384ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$23,942TotalAmt
Management And General$23,942ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$162,539TotalAmt
Management And General$162,539ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,039TotalAmt
Management And General$3,039ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,090TotalAmt
Management And General$10,090ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$106,768TotalAmt
Management And General$106,768ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,980TotalAmt
Management And General$1,980ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$89,887TotalAmt
Management And General$89,887ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$298,440TotalAmt
Program Services$298,440ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$103,629TotalAmt
Management And General$103,629ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$1,715,020$1,715,020
Medicaid Provider Tax$516,551$516,551
Dues & Subscriptions$13,557$13,557
Miscellaneous Expense$11,563$11,563

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,336,261TotalAmt
Program Services$10,010,929ProgramServicesAmt
Management And General$2,325,332ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$150,940BOYAmt
EOY$49,820EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$550,309BOYAmt
EOY$602,237EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,104,529BOYAmt
EOY$927,381EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$12,666BOYAmt
EOY$13,445EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$110,083BOYAmt
EOY$9,108EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,146,956LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,775,090LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,336,428BOYAmt
EOY$1,371,866EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$44,369BOYAmt
EOY$33,843EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,309,324BOYAmt
EOY$3,007,700EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$779,788BOYAmt
EOY$1,097,513EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,055,920BOYAmt
EOY$2,940,920EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$16,786BOYAmt
EOY$25,425EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$64,613BOYAmt
EOY$35,157EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,168,904BOYAmt
EOY$1,344,667EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,827,984BOYAmt
EOY$6,185,655EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$2,602,607BOYAmt
EOY-$3,214,316EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$83,947BOYAmt
EOY$36,361EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$2,518,660BOYAmt
EOY-$3,177,955EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,309,324BOYAmt
EOY$3,007,700EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,774,589ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$2,115,294OtherChangesInNetAssetsAmt
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 B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

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$4,866,768OtherCostOrOtherBasisAmt
Depreciation$3,971,061DepreciationAmt
Book Value$895,707BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,076,664OtherCostOrOtherBasisAmt
Depreciation$646,916DepreciationAmt
Book Value$429,748BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$203,524OtherCostOrOtherBasisAmt
Depreciation$157,113DepreciationAmt
Book Value$46,411BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,371,866TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Due to Affiliates$213,263
Liability for Pension Benefits$1,068,324
Estimated Third-Party Settlements$63,080
FieldValueIRS element (for citing)
Total Liability$1,344,667TotalLiabilityAmt

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 Payment0SeverancePaymentInd
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$323,008$0$0$0$700$0$7,950$0$10,377$0$342,035$0$0
Michael Kiernan MD
Director$0$208,293$0$0$0$903$0$9,537$0$24,720$0$243,453$0$0
Carrie Wulfman MD
Past Director$0$217,687$0$3,500$0$820$0$8,771$0$23,737$0$254,515$0$0
Lynn Boggs
Past President/CEO$0$155,410$0$25,000$0$1,233$0$0$0$8,418$0$190,061$0$0
Benjamin Rosenberg MD
Past Director$0$548,751$0$87,114$0$2,990$0$7,950$0$4,086$0$650,891$0$0
Fred Kniffin MD
Interim CEO$0$291,660$0$0$0$961$0$13,250$0$17,330$0$323,201$0$0
Steve Ciampa
Past CFO$0$196,385$0$0$0$868$0$6,421$0$14,155$0$217,829$0$0
James Daily
Former President/CEO$0$298,774$0$0$0$82,189$0$15,900$0$25,953$0$422,816$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, Line 4bJames Daily, Former President/CEO, participates in a 457(f) plan, and $79,200 was deferred on his behalf to the plan during FY 09/30/16.

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$126,570RetiredAmt
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 M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescMedical BedsDesc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$94,591NoncashContributionsRptF990Amt
Method Of Determining RevenuesNet Book ValueMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Missy Foote and Richard Foote have a family relationship.
Form 990, Part VI, Section A, line 6Porter Medical Center, Inc. is the parent holding company and sole corporate member of the Organization.
Form 990, Part VI, Section A, line 7aPorter Medical Center, Inc., the parent holding company and sole corporate member of the Organization, has the right to appoint directors of the Organization.
Form 990, Part VI, Section A, line 7bPorter Medical Center, Inc., the parent holding company and sole corporate member of the Organization, has the right to approve major expenditures, and approve long-term borrowings.
Form 990, Part VI, Section B, line 11Form 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 -134,706. Equity Transfer from Affiliate 2,250,000.
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 (3 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 11b, II0N/A
Auxiliary of Porter Medical Center
37 Porter DriveMiddleburyVT05753237363227Supporting OrganizationVT501(c)(3)Line 11b, IIPorter Medical Center Inc0
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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