2017-08-11T14:46:38-05:00 2016-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2015-10-01 460938716 GIFFORD HEALTH CARE INC % JEFFREY HEBERT GIFF 8027284441 44 S MAIN STREET RANDOLPH VT 05060 DANIEL A BENNETT CEO 2017-07-10 true Brian D Todd P00422601 4178658701 2015 2021-01-29 14:40:06Z DANIEL A BENNETT 44 SOUTH MAIN STREET RANDOLPH VT 05060 11800227 false X WWW.GIFFORDMED.ORG X 2012 VT GIFFORD HEALTHCARE IS A NON-PROFIT CHC PROVIDING PRIMARY CARE SERVICES ON AN OUTPATIENT BASIS. 15 14 0 16 0 0 1069495 1258783 10591423 10538714 3564 2730 0 0 11664482 11800227 0 0 0 0 8614562 10883329 0 0 23733 3281566 4095623 11896128 14978952 -231646 -3178725 2944972 1477902 2752757 4114412 192215 -2636510 X AS A COMMUNITY HEALTH CENTER AND 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. false false 13766811 10538714 GHC IS A CHC DEEMED FEDERALLY QUALIFIED HEALTH CENTER OFFERING PRIMARY CARE, PEDIATRICS, PSYCHIATRIC, OB/GYN & MIDWIFERY SERVICES IN CONVENIENT LOCATIONS THROUGHOUT CENTRAL VT & THE UPPER VALLEY. FAMILY-FRIENDLY PRIMARY CARE PRACTICES ARE ALL PATIENT-CENTERED MEDICAL HOMES & UNIQUELY DEDICATED TO PROVIDING HIGH-QUALITY, ACCESSIBLE CARE. SEE SCHEDULE O FOR MORE INFORMATION. 13766811 true true false true false false false false false false true false false false 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 15 14 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 AUGUST MEYER CHAIR 1.0 2.0 X X 0 0 0 PETER NOWLAN VICE CHAIR 1.0 2.0 X X 0 0 0 BOB WRIGHT DIRECTOR 1.0 1.0 X 0 0 0 LINCOLN CLARK TREASURER END 12/15, DIRECTOR 1.0 2.0 X X 0 0 0 BARBARA ROCHAT SECRETARY 1.0 2.0 X X 0 0 0 PAUL KENDALL DIRECTOR 1.0 2.0 X 0 0 0 MATT CONSIDINE DIRECTOR END 12/15, TREASURER 1.0 2.0 X X 0 0 0 JODY RICHARDS DIRECTOR 1.0 2.0 X 0 0 0 TODD WINSLOW DIRECTOR 1.0 2.0 X 0 0 0 SUE SYTSMA DIRECTOR 1.0 2.0 X 0 0 0 CLAY WESTBROOK DIRECTOR BEGINNING 12/15 1.0 2.0 X 0 0 0 SUE SHERMAN DIRECTOR 1.0 2.0 X 0 0 0 CAROL BUSHEY DIRECTOR 1.0 2.0 X 0 0 0 SHEILA JACOBS DIRECTOR 1.0 2.0 X 0 0 0 PETER REED DIRECTOR BEGINNING 12/15 1.0 2.0 X 0 0 0 WILLIAM BAUMANN JR DIRECTOR ENDING 8/16 1.0 1.0 X 0 0 0 JOSEPH WOODIN PRESIDENT & CEO END 4/16 1.0 41.0 X 0 439446 31128 JEFFREY HEBERT CFO 1.0 41.0 X 0 160584 10359 BERTON WHITAKER INTERIM PRES & CEO 5/16-9/16 1.0 41.0 X 0 0 0 0 600030 41487 0 false true false 0 1257783 1000 1258783 NET PATIENT SERVICE REVENUE 624100 8148980 8148980 PHARMACY REVENUE 446110 1497225 1497225 OTHER REVENUE 900099 892509 892509 10538714 2730 2730 0 0 0 0 0 0 0 0 0 0 11800227 10538714 2730 0 0 0 0 0 0 8569758 7943698 612932 13128 263309 243676 18940 693 1333020 1233630 95883 3507 717242 663764 51591 1887 0 15288 15288 19103 19103 0 0 0 730834 699719 30791 324 27109 25088 1950 71 920834 656352 263237 1245 0 0 333714 308832 24004 878 13298 12306 957 35 0 97209 89961 6992 256 0 0 408341 377895 29372 1074 107494 99479 7732 283 MEDICAL SUPPLIES & DRUGS 880372 880372 BAD DEBT 408065 408065 LICENSES, DUES, SUBSCRIPTION 133962 123974 9636 352 14978952 13766811 1188408 23733 38934 12117 2027063 21354 145691 0 497214 719155 0 0 0 0 0 0 39231 40352 196839 198294 481940 8176 0 473764 0 0 0 0 0 0 0 0 0 12866 2944972 1477902 1623883 1310289 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1128874 2804123 2752757 4114412 X 192215 -2636510 0 0 0 0 192215 -2636510 2944972 1477902 X -3178725 350000 X false true X true true true X 0 0 498337 1069495 1258783 2826615 2007314 10591423 10538714 23137451 0 0 0 0 0 2505651 11660918 11797497 25964066 0 0 0 25964066 59 3564 2730 6353 0 59 3564 2730 6353 0 0 0 0 2505710 11664482 11800227 25970419 X 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 6966 6966 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. THESE ALLOCATED AMOUNTS ARE SHOWN ON THEIR RESPECTIVE SCHEDULE C. 348384 5780 342604 130968 2396 128572 2588 2588 473764 0 DUE TO AFFILIATES 2804123 2804123 10862249 -936978 -936978 11799227 1000 1000 11800227 14040974 14040974 937978 937978 14978952 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: $(408,065) BAD DEBT EXPENSE (529,913) EXPENSES INCLUDED IN REVENUE 1,000 NET ASSETS RELEASED FROM RESTRICTIONS ---------- $(936,978) SCHEDULE D, PART XI, LINE 4B OTHER REVENUE ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 1,000 TEMPORARILY RESTRICTED CONTRIBUTIONS SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 408,065 BAD DEBT EXPENSE 529,913 EXPENSES INCLUDED IN REVENUE --------- $ 937,978 false false false false false false false false false JOSEPH WOODIN PRESIDENT & CEO END 4/16 0 415137 0 0 0 24309 0 13250 0 17878 0 470574 0 0 JEFFREY HEBERT CFO 0 154749 0 0 0 5835 0 8050 0 2309 0 170943 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 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, JOSEPH WOODIN AND JEFFREY HEBERT SERVED AS CEO AND CFO, RESPECTIVELY, 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. FORM 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 THEN 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 COMPARE 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: $ 350,000 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) 9 GHC true false false false false true false false false false false true false false true false true false true false GIFFORD MEDICAL CENTER INC R 350000 FMV