GIFFORD MEDICAL CENTER INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
GIFFORD MEDICAL CENTER INC (EIN 03-0179418)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-11
IRS object ID
201742239349300124
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)
Return2017-08-11T14:46:39-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationMOStateAbbreviationCd
ZIP658062523ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN030179418EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GIFFORD MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JEFFREY HEBERTInCareOfNm
Business Name ControlGIFFBusinessNameControlTxt
Phone8027284441PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line144 SOUTH MAIN STREETAddressLine1Txt
CityRANDOLPHCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05060ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEFFREY HEBERTPersonNm
Person TitleCFOPersonTitleTxt
Signature2017-04-21SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBrian D ToddPreparerPersonNm
PTINP00422601PTIN
Phone4178658701PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDANIEL BENNETTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line144 SOUTH MAIN STREETAddressLine1Txt
CityRANDOLPHCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05060ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$66,893,150GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GIFFORDMED.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1905FormationYr
Legal Domicile StateVTLegalDomicileStateCd
Activity Or MissionGIFFORD MEDICAL CENTER IS A NON-PROFIT ACUTE CARE HOSPITAL PROVIDING HEALTHCARE ON AN INPATIENT AND OUTPATIENT BASIS.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee733TotalEmployeeCnt
Total Volunteers158TotalVolunteersCnt
Total Gross UBI$98,407TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$42,412NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,217,919PYContributionsGrantsAmt
CY Contributions Grants$1,593,845CYContributionsGrantsAmt
PY Program Service Revenue$58,313,083PYProgramServiceRevenueAmt
CY Program Service Revenue$60,024,319CYProgramServiceRevenueAmt
PY Investment Income$3,289,370PYInvestmentIncomeAmt
CY Investment Income$2,500,330CYInvestmentIncomeAmt
PY Other Revenue$69,316PYOtherRevenueAmt
CY Other Revenue$402,123CYOtherRevenueAmt
PY Total Revenue$62,889,688PYTotalRevenueAmt
CY Total Revenue$64,520,617CYTotalRevenueAmt
PY Grants And Similar Paid$39,546PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$45,913CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$32,528,140PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$33,104,280CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$13,384PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$3,855CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$122,398CYTotalFundraisingExpenseAmt
PY Other Expenses$23,623,324PYOtherExpensesAmt
CY Other Expenses$23,942,280CYOtherExpensesAmt
PY Total Expenses$56,204,394PYTotalExpensesAmt
CY Total Expenses$57,096,328CYTotalExpensesAmt
PY Revenues Less Expenses$6,685,294PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$7,424,289CYRevenuesLessExpensesAmt
Total Assets BOY$87,269,891TotalAssetsBOYAmt
Total Assets EOY$90,124,325TotalAssetsEOYAmt
Total Liabilities BOY$34,620,960TotalLiabilitiesBOYAmt
Total Liabilities EOY$32,078,150TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$52,648,931NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$58,046,175NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS A COMMUNITY HOSPITAL, GIFFORD MEDICAL CENTER'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.MissionDesc
Significant New Program SrvcYes (true)SignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$9,629,364ExpenseAmt
Revenue$6,568,432RevenueAmt
Desc25-BED CRITICAL ACCESS HOSPITAL, HOSPITALISTS AND SKILLED NURSES PROVIDE 24-HOUR CARE TO HOSPITALIZED PATIENTS. CARE IS PROVIDED IN THREE NEIGHBORING UNITS: HOWELL PAVILION (A MEDICAL/SURGICAL UNIT), A TRANSITIONAL CARE UNIT (FOR PATIENTS NEDING REHABILITATION OR SOMETIMES TRANSITIONING TO A NURSING HOME), AND OUR BIRTHING CENTER (WITH CERTIFIED MIDWIVES FOR LOW INTERVENTION BIRTHS, AND THE 24/7 BACK UP SUPPORT OF THREE OB/GYN PHYSICIANS). END-OF-LIFE CARE IS PROVIDED IN A SPECIAL GARDEN ROOM SUITE DESIGNED TO SUPPORT PATIENTS (AND THEIR FAMILIES) IN ADVANCED ILLNESS OR AT THE END OF LIFE. SERVICES FOR THESE PATIENTS ARE SUPPORTED BY THE HOSPITAL'S ANNUAL LAST MILE RIDE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$8,985,430ExpenseAmt
Revenue$4,266,062RevenueAmt
DescGIFFORD MEDICAL CENTER OFFERS A RANGE OF CLINICAL SERVICES AT ITS MAIN CAMPUS AND OUTLYING CLINICS. SPECIALTY SERVICES INCLUDE: ANESTHESIOLOGY, CARDIOLOGY, CHIROPRACTIC CARE, HOSPITALIST, NEUROLOGY, ONCOLOGY, ORTHOPEDICS, PATHOLOGY, PODIATRY, SPORTS MEDICINE, RADIOLOGY, REHABILITATIVE SERVICES, GENERAL SURGERY AND UROLOGY.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$5,587,317ExpenseAmt
Revenue$10,699,620RevenueAmt
DescGIFFORD MEDICAL CENTER'S CARING AND KNOWLEDGEABLE SURGERY TEAM OFFERS GENERAL SURGERY SERVICES INCLUDING SKIN LESION AND CYST REMOVAL, COMPREHENSIVE BREAST CARE, DIAGNOSIS AND TREATMENT OF ALL FORMS OF CANCER, WOUND CARE, PILL ENDOSCOPY, COLONOSCOPIES AND APPENDIX REMOVAL. GENERAL SURGEONS PROVIDE A WIDE RANGE OF PROCEDURES (PRIMARILY FOCUSING ON THE ABDOMINAL ORGANS AS WELL AS DISEASES OF THE SKIN, BREAST, SOFT TISSUE AND HERNIAS) IN BOTH OFFICE AND OPERATING ROOM SETTINGS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$29,274,788TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$45,913TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$38,490,205TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$53,476,899TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document152IRPDocumentCnt
IRP Document W2 G2IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee733EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJEFFREY HEBERTPersonNm
Phone8027282356PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 2000AddressLine1Txt
CityRANDOLPHCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05060ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
AUGUST MEYER
CHAIR1.02.0Yes (X)Yes (X)$0$0$0
PETER NOWLAN
VICE CHAIR1.02.0Yes (X)Yes (X)$0$0$0
BARBARA ROCHAT
SECRETARY1.02.0Yes (X)Yes (X)$0$0$0
MATT CONSIDINE
TREASURER1.02.0Yes (X)Yes (X)$0$0$0
CAROL BUSHEY
DIRECTOR1.02.0Yes (X)$0$0$0
LINCOLN CLARK
DIRECTOR1.02.0Yes (X)$0$0$0
SHEILA JACOBS
DIRECTOR1.02.0Yes (X)$0$0$0
PAUL KENDALL
DIRECTOR1.02.0Yes (X)$0$0$0
PETER REED
DIRECTOR BEGINNING 1/161.02.0Yes (X)$0$0$0
JODY RICHARDS
DIRECTOR1.02.0Yes (X)$0$0$0
SUE SHERMAN
DIRECTOR1.02.0Yes (X)$0$0$0
SUE SYTSMA
DIRECTOR1.02.0Yes (X)$0$0$0
CLAY WESTBROOK
DIRECTOR BEGINNING 1/161.02.0Yes (X)$0$0$0
TODD WINSLOW
DIRECTOR1.02.0Yes (X)$0$0$0
BOB WRIGHT
DIRECTOR1.02.0Yes (X)$0$0$0
ELLAMARIE RUSSO-DEMARA DO
DIRECTOR/MED STAFF PRESIDENT32.00.0Yes (X)$106,509$0$38,917
JOSEPH WOODIN
PRESIDENT & CEO ENDING 4/1640.02.0Yes (X)Yes (X)$439,446$0$31,128
BERTON WHITAKER
INTERIM PRES & CEO 5/16-9/1640.02.0Yes (X)Yes (X)$0$0$0
LINDA MORSE
DIRECTOR ENDING 2/161.01.0Yes (X)$0$0$0
JEFFREY HEBERT
CFO40.02.0Yes (X)$160,584$0$10,359
STEPHANIE LANDVATER
ORTHOPEDIC SURGEON40.00.0$573,532$0$47,444Yes (X)
NORMAN KENYATTA
ORTHOPEDIC SURGEON40.00.0$445,454$0$33,488Yes (X)
RICHARD GRAHAM
UROLOGIST40.00.0$423,867$0$47,358Yes (X)
JEFFREY BATH
RADIOLOGIST40.00.0$302,849$0$18,649Yes (X)
DENNIS HENZIG
ANESTHESIOLOGIST40.00.0$298,814$0$37,162Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,751,055TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$264,505TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K49IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
H P CUMMINGS
CONSTRUCTION COWOODSVILLEVT03785BUILDING CONTRACTOR$5,798,846
AMERICAN HEALTH
CENTERPORTSMOUTHNH03801MRI SERVICES$493,361
MORRISSWITZER
ENVIRONMENTSWILLISTONVT05495CONTRACTED SERVICES$315,945
RED RIVER COMPUTER
CO INCPHILADELPHIAPA19195CONTRACTED SERVICES$200,508
UNIVERSITY
OF VERMONTBURLINGTONVT05401CONTRACTED SERVICES$196,086
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K13CntrctRcvdGreaterThan100KCnt
Fundraising$85,119FundraisingAmt
Government Grants$33,966GovernmentGrantsAmt
All Other Contributions$1,474,760AllOtherContributionsAmt
Noncash Contributions$236,386NoncashContributionsAmt
Total Contributions$1,593,845TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE624100$57,780,545$57,780,545
PHARMACY REVENUE446110$694,440$694,440
DAYCARE REVENUE812900$359,358$260,951$98,407
CAFETERIA REVENUE722514$311,596$311,596
OTHER REVENUE624100$878,380$878,380
FieldValueIRS element (for citing)
Total Program Service Revenue$60,024,319TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$710,311TotalRevenueColumnAmt
Exclusion$710,311ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$470,261RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$64,396RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$405,865RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$405,865TotalRevenueColumnAmt
Exclusion$405,865ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,059,062SecuritiesAmt
Other$5,415OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,267,632SecuritiesAmt
Other$6,826OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,791,430SecuritiesAmt
Other-$1,411OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,790,019TotalRevenueColumnAmt
Exclusion$1,790,019ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$20,037FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$85,119ContriRptFundraisingEventAmt
Fundraising Direct Expenses$28,679FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$8,642TotalRevenueColumnAmt
Exclusion-$8,642ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$9,900GamingGrossIncomeAmt
Gaming Direct Expenses$5,000GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,900TotalRevenueColumnAmt
Exclusion$4,900ExclusionAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$64,520,617TotalRevenueColumnAmt
Related Or Exempt Func Income$59,925,912RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$98,407UnrelatedBusinessRevenueAmt
Exclusion$2,902,453ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$8,268TotalAmt
Program Services$8,268ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$37,645TotalAmt
Program Services$37,645ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$786,943TotalAmt
Program Services$145,426ProgramServicesAmt
Management And General$641,517ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$25,019,424TotalAmt
Program Services$23,673,441ProgramServicesAmt
Management And General$1,278,390ManagementAndGeneralAmt
Fundraising$67,593FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$988,009TotalAmt
Program Services$933,625ProgramServicesAmt
Management And General$51,714ManagementAndGeneralAmt
Fundraising$2,670FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,832,435TotalAmt
Program Services$4,516,238ProgramServicesAmt
Management And General$303,266ManagementAndGeneralAmt
Fundraising$12,931FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,477,469TotalAmt
Program Services$1,367,309ProgramServicesAmt
Management And General$106,273ManagementAndGeneralAmt
Fundraising$3,887FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$72,015TotalAmt
Management And General$72,015ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$75,003TotalAmt
Management And General$75,003ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$3,855TotalAmt
Fundraising$3,855FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$3,109TotalAmt
Management And General$3,109ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,317,137TotalAmt
Program Services$4,924,261ProgramServicesAmt
Management And General$382,734ManagementAndGeneralAmt
Fundraising$10,142FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$89,002TotalAmt
Program Services$82,366ProgramServicesAmt
Management And General$6,402ManagementAndGeneralAmt
Fundraising$234FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,522,426TotalAmt
Program Services$1,406,404ProgramServicesAmt
Management And General$111,929ManagementAndGeneralAmt
Fundraising$4,093FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$541,082TotalAmt
Program Services$500,739ProgramServicesAmt
Management And General$38,920ManagementAndGeneralAmt
Fundraising$1,423FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$250,144TotalAmt
Program Services$231,493ProgramServicesAmt
Management And General$17,993ManagementAndGeneralAmt
Fundraising$658FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$173,581TotalAmt
Program Services$160,638ProgramServicesAmt
Management And General$12,486ManagementAndGeneralAmt
Fundraising$457FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$740,572TotalAmt
Program Services$685,355ProgramServicesAmt
Management And General$53,269ManagementAndGeneralAmt
Fundraising$1,948FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,523,338TotalAmt
Program Services$3,260,640ProgramServicesAmt
Management And General$253,430ManagementAndGeneralAmt
Fundraising$9,268FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$427,811TotalAmt
Program Services$395,914ProgramServicesAmt
Management And General$30,772ManagementAndGeneralAmt
Fundraising$1,125FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES & DRUGS$4,583,247$4,583,247
BAD DEBT$2,992,658$2,992,658
PROVIDER TAXES$2,873,372$2,873,372
LICENSES, DUES, SUBSCRIPTIONS$366,175$338,873$26,339$963

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$391,608TotalAmt
Program Services$358,987ProgramServicesAmt
Management And General$31,470ManagementAndGeneralAmt
Fundraising$1,151FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$57,096,328TotalAmt
Program Services$53,476,899ProgramServicesAmt
Management And General$3,497,031ManagementAndGeneralAmt
Fundraising$122,398FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$948,946BOYAmt
EOY$64,633EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,536,928BOYAmt
EOY$4,927,902EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$456,707BOYAmt
EOY$603,856EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,815,226BOYAmt
EOY$7,990,129EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,219,324BOYAmt
EOY$1,294,649EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,108,268BOYAmt
EOY$1,197,555EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$81,500,794LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$40,870,656LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$38,870,999BOYAmt
EOY$40,630,138EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$26,997,816BOYAmt
EOY$28,824,402EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$12,928BOYAmt
EOY$9,198EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,302,749BOYAmt
EOY$4,581,863EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$87,269,891BOYAmt
EOY$90,124,325EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$8,912,642BOYAmt
EOY$6,937,892EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$581,629BOYAmt
EOY$502,983EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,351,843BOYAmt
EOY$19,743,007EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$410,969BOYAmt
EOY$383,511EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,363,877BOYAmt
EOY$4,510,757EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$34,620,960BOYAmt
EOY$32,078,150EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$50,689,909BOYAmt
EOY$55,677,340EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$830,482BOYAmt
EOY$1,119,972EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,128,540BOYAmt
EOY$1,248,863EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$52,648,931BOYAmt
EOY$58,046,175EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$87,269,891BOYAmt
EOY$90,124,325EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$7,424,289ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$12,809NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$2,014,236OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

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)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$12,879OtherActivitiesAmt
Total Lobbying Expenditures$12,879TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1IFormAndLineReferenceDesc
ExplanationOTHER LOBBYING ACTIVITIES: GIFFORD MEDICAL CENTER, INC. 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.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,276,399BeginningYearBalanceAmt
Investment Earnings Or Losses$805,690InvestmentEarningsOrLossesAmt
End Year Balance$8,082,089EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,292,507BeginningYearBalanceAmt
Contributions$462,077ContributionsAmt
Investment Earnings Or Losses$521,815InvestmentEarningsOrLossesAmt
End Year Balance$7,276,399EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,709,055BeginningYearBalanceAmt
Investment Earnings Or Losses$583,452InvestmentEarningsOrLossesAmt
End Year Balance$6,292,507EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,319,608BeginningYearBalanceAmt
Contributions$1,173,313ContributionsAmt
Investment Earnings Or Losses$216,134InvestmentEarningsOrLossesAmt
End Year Balance$5,709,055EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,753,013BeginningYearBalanceAmt
Contributions$2,379ContributionsAmt
Investment Earnings Or Losses$564,216InvestmentEarningsOrLossesAmt
End Year Balance$4,319,608EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.80270BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.15450PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.04280TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$170,000InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$790,516OtherCostOrOtherBasisAmt
Book Value$960,516BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$37,813,518OtherCostOrOtherBasisAmt
Depreciation$15,759,468DepreciationAmt
Book Value$22,054,050BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$281,167OtherCostOrOtherBasisAmt
Depreciation$205,995DepreciationAmt
Book Value$75,172BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$37,207,952OtherCostOrOtherBasisAmt
Depreciation$23,032,843DepreciationAmt
Book Value$14,175,109BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,407,641OtherCostOrOtherBasisAmt
Depreciation$2,042,350DepreciationAmt
Book Value$3,365,291BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$40,630,138TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
OTHER RECEIVABLES$140,241
BOND ISSUANCE COSTS$137,125
DUE FROM AFFILIATES$4,108,718
INSURANCE VALUATION$75,456
BENEFICIAL INT IN MENIG TRUST$120,323
FieldValueIRS element (for citing)
Total Book Value Other Assets$4,581,863TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
EST AMT DUE TO THIRD PARTY$631,786
INTEREST RATE SWAP AGREEMENT$3,878,971
FieldValueIRS element (for citing)
Total Liability$4,510,757TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$59,255,934TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$12,809NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$35,100DonatedServicesAndUseFcltsAmt
Other Revenue-$3,824,431OtherRevenueAmt
Revenue Not Reported-$3,802,140RevenueNotReportedAmt
Revenue Subtotal$63,058,074RevenueSubtotalAmt
Other Revenues Not Included$1,462,543OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,462,543RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$64,520,617TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$53,883,239TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$35,100DonatedServicesUseFcltsAmt
Other Expenses Included$33,679OtherExpensesIncludedAmt
Expenses Not Reported$68,779ExpensesNotReportedAmt
Expenses Subtotal$53,814,460ExpensesSubtotalAmt
Investment Expenses Not Incld2$3,109InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$3,278,759OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$3,281,868ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$57,096,328TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART VUSE OF ENDOWMENT FUNDS: THE TEMPORARILY RESTRICTED ENDOWMENT NET ASSETS ARE USED FOR HEALTH CARE SERVICES AND CAPITAL. THE PERMANENTLY RESTRICTED ENDOWMENT NET ASSETS ARE USED FOR INDIGENT CARE, COMMUNITY OUTREACH INITIATIVES, NURSING, BUILDINGS, MAINTENANCE AND OPERATIONS.
SCHEDULE D, PART XI, LINE 2DAMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $( 697,465) CHANGE IN FV OF INTEREST RATE SWAP AGREEMENT (2,992,658) BAD DEBT EXPENSE ( 3,109) INVESTMENT MANAGEMENT FEES ( 286,101) EXPENSES INCLUDED IN REVENUE 154,902 NET ASSETS RELEASED FROM RESTRICTION ------------ $(3,824,431)
SCHEDULE D, PART XI, LINE 4BAMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ ( 33,679) FUNDRAISING EVENT/GAMING EXPENSES 1,375,899 TEMPORARILY RESTRICTED CONTRIBUTIONS 120,323 PERMANENTLY RESTRICTED CONTRIBUTIONS ---------- $1,462,543
SCHEDULE D, PART XII, LINE 2DAMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 33,679 FUNDRAISING EVENT/GAMING EXPENSES
SCHEDULE D, PART XII, LINE 4BAMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $2,992,658 BAD DEBT EXPENSE 286,101 EXPENSES INCLUDED IN REVENUE ---------- $3,278,759

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1LAST MILE RIDEEvent1Nm
Gross Receipts Event1$105,156GrossReceiptsEvent1Amt
Charitable Contri Event1$85,119CharitableContriEvent1Amt
Gross Revenue Event1$20,037GrossRevenueEvent1Amt
Rent Facility Costs Event1$2,794RentFacilityCostsEvent1Amt
Food And Beverage Event1$1,840FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$24,045OtherDirectExpensesEvent1Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$105,156GrossReceiptsTotalAmt
Charitable Contributions Tot$85,119CharitableContributionsTotAmt
Gross Revenue Total Events$20,037GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$2,794RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$1,840FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$24,045OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$28,679DirectExpenseSummaryEventsAmt
Net Income Summary-$8,642NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other225.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$206,785TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$206,785NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,025,782TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,221,055DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,804,727NetCommunityBenefitExpnsAmt
Total Expense0.03340TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,232,567TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,221,055DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,011,512NetCommunityBenefitExpnsAmt
Total Expense0.03720TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,588,217TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,104,193DirectOffsettingRevenueAmt
Net Community Benefit Expns$484,024NetCommunityBenefitExpnsAmt
Total Expense0.00890TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$77,304TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,601DirectOffsettingRevenueAmt
Net Community Benefit Expns$67,703NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,694,043TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,299,328DirectOffsettingRevenueAmt
Net Community Benefit Expns$394,715NetCommunityBenefitExpnsAmt
Total Expense0.00730TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,268TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,268NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,367,832TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,413,122DirectOffsettingRevenueAmt
Net Community Benefit Expns$954,710NetCommunityBenefitExpnsAmt
Total Expense0.01770TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,600,399TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,634,177DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,966,222NetCommunityBenefitExpnsAmt
Total Expense0.05490TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$154,992TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$50,861DirectOffsettingRevenueAmt
Net Community Benefit Expns$104,131NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$154,992TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$50,861DirectOffsettingRevenueAmt
Net Community Benefit Expns$104,131NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$2,992,658BadDebtExpenseAmt
Bad Debt Expense Attributable$293,280BadDebtExpenseAttributableAmt
Reimbursed By Medicare$18,449,173ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$18,540,414CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$91,241MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GIFFORD MEDICAL CENTER INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2000AddressLine1Txt
CityRANDOLPHCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05060ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.GIFFORDMED.ORGWebsiteAddressTxt
State License829StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1GIFFORD MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted14CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt14ImplementationStrategyAdptYr
Strategy Posted WebsitefalseStrategyPostedWebsiteInd
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care225.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5COMMUNITY INPUT: COMMUNITY HEALTHCARE NEEDS ASSESSMENT SURVEYS WERE COMPLETED IN MANY AREA TOWNS IN 2012. THESE ASSESSMENTS WERE STILL DEEMED APPROPRIATE FOR THE 2015 CHNA.
SCHEDULE H, PART V, SECTION B, LINE 7ACHNA WEBSITE: HTTPS://GIFFORDHEALTHCARE.ORG/ABOUT-US/COMMUNITY-REPORTS/
SCHEDULE H, PART V, SECTION B, LINE 11ADDRESSING IDENTIFIED NEEDS: Giffords mission is to provide accessible, quality local health care to every person who walks through our doors. In 2015, as part of the federal Patient Protection and Affordable Care Act, we performed a Community Healthcare Needs Assessment in part through surveying community members in multiple area towns. In 2016, this assessment was reviewed and modified as required by the federal mandate. Gifford has strategically worked to address the communitys need within its role as a health care provider. Areas initially identified as health problems include: preventative health /access to health care, substance abuse counseling, obesity, and dental care. This update outlines areas of ongoing focus in 2016: Preventative healthcare/access to healthcare: To facilitate an increased focus on preventative health care and improve access to care, Gifford has implemented a new primary care team model that pairs a physician with nurse practitioners and physician assistants who are specially trained to help patients with preventative and primary care (seven mid-level providers joined our staff in 2016). Substance abuse counseling: As a Federally Qualified Health Center Giffords Behavioral Health and Blueprint for Health team specialists offer counseling and one-on-one patient care at all Gifford primary care locations. A newly-created Addiction Medicine program, fully staffed with a board-certified psychiatrist certified in addiction medicine, and a licensed alcohol and drug counselor, offers ongoing suboxone treatment for patients with complex needs; suboxone provider support, education,, and consultation; and therapy to help patients rebuild lives damaged by opioid use disorder. Obesity: Giffords primary care team has long been a proponent of healthy lifestyle choices for good health and the prevention of disease and obesity. BMIs are determined at annual health screenings and patients are guided by providers and Giffords registered dietitians on healthy diets and portion control. Discussions in support group settings (such as diabetes and other chronic conditions) often focus on healthy choices to reduce and prevent disease. Patients are strongly encouraged to be physically active. In 2016 Gifford took the childhood obesity epidemic discussion outside of the doctors office by giving local elementary and high schools grants to support increased healthy exercise initiatives and the purchase of physical education equipment; we also supported the farm-to-school food program to encourage healthy food habits. Dental care: Giffords Federally Qualified Health Center designation has brought resources that help us support local dentists as they strive to better care for the under- and uninsured. To increase awareness of dental health, we have offered free medical and dental health screenings and distributed information about community resources that can help with access to dental care. At a free Medical and Dental Health Access Day offered in 2015 those without ongoing primary care were connected with Gifford providers to ensure that dental care would continue to be part of ongoing preventive health efforts. Gifford is now partnering with two dentists to provide needed dental care.
SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16CFAP, FAP APPLICATION, AND PLS WEBSITE: HTTPS://GIFFORDHEALTHCARE.ORG/SERVICE/AFFORDABLE-CARE-PROGRAM/
SCHEDULE H, PART V, LINE 16IMEASURES TO PUBLICIZE THE POLICY: GIFFORD MEDICAL CENTER CONTACTS ANY UNINSURED PATIENTS THAT WILL REGISTER WITH THE HOSPITAL TO SEE IF THEY ARE IN NEED OF FINANCIAL ASSISTANCE.
FieldValueIRS element (for citing)
Facility7FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
GIFFORD HEALTH CARE AT BERLIN
82 EAST VIEW LANEBERLINVT05641RURAL HEALTH CENTER
ADVANCE PHYSICAL THERAPY
331 OLCOTT DRIVEWHITE RIVER JUNCTIONVT05001RURAL HEALTH CENTER
BETHEL HEALTH CENTER
1823 ROUTE 107BETHELVT05032RURAL HEALTH CENTER
KINGWOOD HEALTH CENTER
1422 ROUTE 66RANDOLPHVT05060RURAL HEALTH CENTER
SHARON HEALTH CENTER
12 SHIPPEE LANESHARONVT05065RURAL HEALTH CENTER
TWIN RIVER HEALTH CENTER
108 N MAIN STREETWHITE RIVER JUNCTIONVT05001RURAL HEALTH CENTER
PROJECT INDEPENDENCE
81 N MAIN STREET SUITE 1BARREVT05641RURAL HEALTH CENTER

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7, COLUMN FPERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE OF $2,992,658.
SCHEDULE H, PART I, LINE 7GSUBSIDIZED SERVICES: THE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH RURAL HEALTH CENTERS (RHC) IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G, WITH A NET SUBSIDY FROM RHCS OF $205,791. THESE SERVICES ARE PROVIDED IN RURAL AREAS WHERE THERE WOULD BE A SHORTAGE OF QUALITY MEDICAL CARE WITHOUT THE SERVICES. GIFFORD MEDICAL CENTER CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED.
SCHEDULE H, PART I, LINE 7COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 6.
SCHEDULE H, PART IICOMMUNITY BUILDING ACTIVITIES: INCLUDED IN PART II AS COMMUNITY BUILDING ACTIVITIES ARE LOCAL HIGH SCHOOL LECTURES, JOB SHADOWING, AND AFTER SCHOOL PROGRAMS. THESE ACTIVITIES PROVIDE OPPORTUNITIES TO ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS, INCLUDING POVERTY, HOMELESSNESS, AND UNEMPLOYMENT.
SCHEDULE H, PART III, SECTION A, LINE 2BAD DEBT EXPENSE: THE ORGANIZATION CALCULATED BAD DEBT USING THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS PER THE AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, SECTION A, LINE 3BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU.
SCHEDULE H, PART III, SECTION A, LINE 4BAD DEBT EXPENSE FOOTNOTE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
SCHEDULE H, PART III, SECTION B, LINE 8COMMUNITY BENEFIT: SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.
SCHEDULE H, PART III, SECTION C, LINE 9BCOLLECTION POLICY: THE APPLICATION FOR AND APPROVAL OF FINANCIAL ASSISTANCE CAN OCCUR BEFORE, DURING OR AFTER TREATMENT SO LONG AS THE ACCOUNT HAS NOT BEEN WRITTEN OFF TO BAD DEBT PRIOR TO RECEIPT OF A COMPLETED APPLICATION AND THE NECESSARY DOCUMENTATION. ACCOUNTS SENT TO BAD DEBT AFTER REQUIRED INFORMATION HAS BEEN RECEIVED CAN BE RETURNED FROM COLLECTIONS FOR PROCESSING WITHOUT PENALTY TO THE APPLICANT. GIFFORD MEDICAL CENTER, INC., ENCOURAGES THE APPLICATION PROCESS TO BEGIN AS EARLY AS POSSIBLE.
SCHEDULE H, PART VI, LINE 2NEEDS ASSESSMENT: IDENTIFYING AND MEETING THE COMMUNITY'S HEALTH CARE NEEDS WOULD NOT BE POSSIBLE WITHOUT INPUT FROM THE PUBLIC. GIFFORD MEDICAL CENTER PROVIDES AMPLE OPPORTUNITIES FOR THE PUBLIC TO PROVIDE BOTH INPUT AND ACTIVELY PARTICIPATE IN MEDICAL CENTER ACTIVITIES. THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, ANNUAL HOSPITAL REPORT CARD MEETINGS, PATIENT SATISFACTION SURVEYS AND ONE-ON-ONE COMMENTS TO HOSPITAL STAFF AND BOARD MEMBERS HELP DIRECT STRATEGIC PLANNING AND OPERATIONAL DECISIONS. EVERY THREE YEARS, GIFFORD ENGAGES IN AN EXTENSIVE STRATEGIC PLANNING PROCESS THAT RESULTS IN THE IDENTIFICATION AND IMPLEMENTATION OF A LIST OF INITIATIVES THE HOSPITAL STRIVES TO ACHIEVE OVER THE COMING THREE YEARS. SUCCESS AT ACHIEVING THOSE INITIATIVES THROUGHOUT, AND BY THE CONCLUSION OF THE THREE-YEAR PERIOD IS EXTENSIVELY MONITORED BY THE HOSPITAL'S LEADERS, INCLUDING ITS VOLUNTEER BOARD OF TRUSTEES.
SCHEDULE H, PART VI, LINE 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: PATIENTS ARE ADVISED OF COMMUNITY OUTREACH AND ARE ENCOURAGED TO SET UP AN APPOINTMENT TO MEET WITH THE APPROPRIATE GIFFORD MEDICAL CENTER PERSONNEL. THE PATIENTS ARE ALSO DIRECTED TO GMC'S WEBSITE FOR AN EXPLANATION OF THE FREE CARE POLICY PROCESS.
SCHEDULE H, PART VI, LINE 4COMMUNITY INFORMATION: IN ADDITION TO THE CLINICAL OFFICES LOCATED ON THE ORGANIZATION'S MAIN CAMPUS IN RANDOLPH, VERMONT, THE ORGANIZATION OPERATES COMMUNITY HEALTH CARE CENTERS LOCATED IN SHARON, BERLIN, BETHEL, RANDOLPH, AND WHITE RIVER JUNCTION, VERMONT. THE RANDOLPH/BAINTREE AREA PROVIDES THE MOST VISITS AND IS LOCATED IN ORANGE COUNTY, VERMONT. ORANGE COUNTY DEMOGRAPHICS SHOW APPROXIMATELY 18.4% OVER THE AGE OF 65 AND 19.2% UNDER 18 YEARS. OVER 96% ARE WHITE, WITH 50.3% FEMALE. THE AVERAGE HOUSEHOLD INCOME IS $53,869 WITH THE POVERTY LEVEL AT 9.8%, COMPARED TO THE STATE'S 13.5%.
SCHEDULE H, PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH: AS A COMMUNITY HOSPITAL, GIFFORD MEDICAL CENTER'S MISSION TO IMPROVE THE HEALTH OF THE PEOPLE WE BY PROVIDING AND ASSURING ACCESS TO AFFORDABLE AND HIGH QUALITY HEALTH CARE, AND BY PROMOTING THE HEALTH AND WELL-BEING OF EVERYONE IN OUR SERVICE AREA. WE OFFER DIAGNOSTIC TECHNOLOGIES THAT INCLUDE A 64- SLICE CT SCANNER, A MOBILE MRI UNIT, A FILMLESS RADIOLOGY SYSTEM, 3D MAMMOGRAPHY AND STEREOTACTIC BREAST BIOPSIES. OUR 25-BED CRITICAL ACCESS HOSPITAL HAS A BIRTHING CENTER THAT IS RECOGNIZED AROUND THE STATE. WE HAVE A 24-HOUR EMERGENCY DEPARTMENT, A CHILDCARE CENTER, AN ADULT DAY PROGRAM AND SO MUCH MORE. WE'RE EXTREMELY PROUD OF THOSE ADDITIONS, OUR PROGRESSIVE CAN-DO ATTITUDE, AND OUR FINANCIAL STABILITY. THE FOLLOWING ARE THE ACTIVITIES FOR 2016: - UPPER VALLEY NEUROLOGY AND NEUROSURGERY SPECIALISTS IN LEBANON, NH OPENED AN OFFICE IN THE KINGWOOD HEALTH CENTER OFFERING PATIENTS CONSULTATION VISITS AND SURGICAL TREATMENTS LOCALLY AT GIFFORD MEDICAL CENTER - GIFFORD HEALTH CARE AT BERLIN IS NOW OFFERING SERVICES IN TWO FACILITIES. THE CURRENT SPACE WAS RENOVATED TO INCLUDE ENHANCED LAB, X-RAY AND DIAGNOSTIC TECHNOLOGY SERVICES AND A FULLY EQUIPPED SPACE FOR PHYSICAL THERAPY SERVICES. - THE VISION FOR THE FUTURE CAMPAIGN, THE LARGEST CAPITAL CAMPAIGN IN GIFFORD'S 113 YEAR HISTORY CLOSED IN JULY AFTER RAISING NEARLY $4.6 MILLION. - THE BIRTHING CENTER OPENED ON JUNE 23RD AND SOON AFTER WELCOMED THREE NEW BABIES AND THEIR FAMILIES INTO A BEAUTIFUL NEW REMODELED SPACE AT THE HOSPITAL. NEW FEATURES INCLUDE A LARGE TUB ROOM WITH SPA-LIKE COMFORTS FOR THOSE CHOOSING HYDROTHERAPY OR WATER BIRTHS, A FULLY-EQUIPPED MODERN NURSERY FOR INFANTS NEEDING EXTRA CARE. - IN AUGUST, DAN BENNETT WAS NAMED PRESIDENT AND CEO WITH A STARTING DATE OF OCTOBER 3RD. - THE LAST MILE RIDE RAISED MORE THAN $102,000 FOR END OF LIFE CARE AND INCEASED PARTICIPATION BY 20%. - THE GIFFORD MEDICAL CENTER AUXILIARY WAS HONORED BY THE ASSOCIATION FOR FUNDRAISING PROFESSIONALS WITH THE NORTHERN NEW ENGLAND CHAPTER'S 2016 OUTSTANDING VOLUNTEER FUNDRAISER. -GIFFORD PERFORMED BETTER THAN 85% OF SIMILAR FACILITIES NATIONWIDE IN A 2015 SURVEY ON INFANT FEEDING PRACTICES IN MATERNITY CARE SETTINGS. GIFFORD SCORED 92 OF 100 POINTS ON MATERNITY PRACTICES IN THE INFANT NUTRITION AND CARE SURVEY.
SCHEDULE H, PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEM: THE GIFFORD HEALTH CARE SYSTEM INCLUDES GIFFORD HEALTH CARE, INC. (GHC), GIFFORD MEDICAL CENTER, INC. (GMC), AND GIFFORD RETIREMENT COMMUNITY, INC. (GRC). GHC IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC). GIFFORD MEDICAL CENTER, INC. IS A 25-BED CRITICAL ACCESS HOSPITAL (CAH) PROVIDING GENERAL AND SPECIALTY SERVICES. GIFFORD RETIREMENT COMMUNITY, INC. HAS A 30-BED NURSING HOME UNIT.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1STAGECOACH TRANSPORATION SERVICES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1DEPOT SQUAREAddressLine1Txt
Address Line2PO BOX 356AddressLine2Txt
CityRANDOLPHCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05060ZIPCd
FieldValueIRS element (for citing)
Recipient EIN030276517RecipientEIN
IRC Section501 (C) (3)IRCSectionDesc
Cash Grant$8,268CashGrantAmt
Purpose Of GrantCOMMUNITY BENEFITPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypePATIENT GRANTSGrantTypeTxt
Recipient38RecipientCnt
Cash Grant$37,645CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationMONITORING GRANT FUNDS: THE ORGANIZATION PROVIDES GRANTS TO PATIENTS USING THE RESULTS OF THE LAST MILE RIDE SPECIAL FUNDRAISING EVENT. THE GRANTS ASSIST PATIENTS AND THEIR FAMILIES WITH END OF LIFE CARE AND PLANNING. MULTIPLE COMMITTEES REVIEW GRANT REQUESTS AND THE BOARD REVIEWS DISTRIBUTIONS. THE ORGANIZATION GRANTED FUNDS TO STAGECOACH TRANSPORTATION SERVICES TO SUPPORT THEIR OPERATIONS. GMC'S PATIENTS USE THE TRANSPORTATION SERVICES PROVIDED BY STAGECOACH SO GMC HAS A CLOSE RELATIONSHIP AND CAN MONITOR THE USE OF FUNDS BY OBSERVING SERVICES OFFERED IN THE COMMUNITY.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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
JOSEPH WOODIN
PRESIDENT & CEO ENDING 4/16$415,137$0$0$0$24,309$0$13,250$0$17,878$0$470,574$0$0$0
JEFFREY HEBERT
CFO$154,749$0$0$0$5,835$0$8,050$0$2,309$0$170,943$0$0$0
STEPHANIE LANDVATER
ORTHOPEDIC SURGEON$555,532$0$0$0$18,000$0$13,250$0$34,194$0$620,976$0$0$0
NORMAN KENYATTA
ORTHOPEDIC SURGEON$427,454$0$0$0$18,000$0$9,423$0$24,065$0$478,942$0$0$0
RICHARD GRAHAM
UROLOGIST$405,867$0$0$0$18,000$0$13,250$0$34,108$0$471,225$0$0$0
JEFFREY BATH
RADIOLOGIST$284,849$0$0$0$18,000$0$0$0$18,649$0$321,498$0$0$0
DENNIS HENZIG
ANESTHESIOLOGIST$282,256$0$0$0$16,558$0$13,250$0$23,912$0$335,976$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1VERMONT EDUCATION & HEALTH BUILDING FINANCING AGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN237154467BondIssuerEIN
Bond Issued2014-12-17BondIssuedDt
Issue Price$20,840,000IssuePriceAmt
PurposeTO FINANCE GIFFORD'S CAPITAL PORJEPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$0RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$20,840,000TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$18,654,218RefundingEscrowAmt
Issuance Costs From Proceeds$185,782IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$2,000,000CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2014SubstantialCompletionYr
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropfalseMgmtContractBondFincdPropInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebateYes (true)ExceptionToRebateInd
No Rebate DuefalseNoRebateDueInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

FieldValueIRS element (for citing)
Total Balance Due$0TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonMAGEE OFFICE SUPPLIESPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSEE PART VRelationshipDescriptionTxt
Transaction$146,325TransactionAmt
TransactionPURCHASED SUPPLIESTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IV, LINE 1, COLUMN BFormAndLineReferenceDesc
ExplanationRELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: TODD WINSLOW, A DIRECTOR, IS 50% OWNER OF MAGEE OFFICE SUPPLIES.ExplanationTxt

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution5ContributionCnt
Noncash Contributions Rpt F990$71,846NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp

Real Estate Residential RealEstateResidentialGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$170,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesAPPRAISED VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE M, PART I, COLUMN BFormAndLineReferenceDesc
ExplanationNUMBER OF CONTRIBUTIONS: THE NUMBER OF CONTRIBUTIONS REPORTED IN COLUMN B ON LINES 9 AND 15 IS THE NUMBER OF INDIVIDUAL CONTRIBUTORS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 2NEW PROGRAM SERVICES: GIFFORD MEDICAL CENTER IS CONTRACTING WITH UPPER VALLEY NEUROLOGY AND NEUROSUGERY TO BRING NEUROSURGICAL SERVICES TO THE AREA.
FORM 990, PART III, LINE 4DOTHER PROGRAM SERVICE ACCOMPLISHMENTS: GIFFORD MEDICAL CENTER OFFERS VARIOUS OTHER HEALTH CARE SERVICES TO THE CENTRAL VERMONT AREA. OTHER SERVICES AVAILABLE INCLUDE ANESTHESIOLOGY, RADIOLOGY, LABORATORY, RESPIRATORY THERAPY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH PATHOLOGY, ELECTROCARDIOLOGY, CHEMOTHERAPY, EMERGENCY, SKILLED NURSING, LABOR AND DELIVERY, NURSERY, RADIOISOTOPE, AND ELECTROENCEPHALOGRAPHY.
FORM 990, PART V, LINE 2AW-2'S FILED: GIFFORD MEDICAL CENTER ALSO FILES W-2'S FOR ITS RELATED ORGANIZATIONS, GIFFORD HEALTH CARE, INC.(GHC) AND GIFFORD RETIREMENT COMMUNITY, INC.(GRC). THE TOTAL NUMBER OF W-2'S FILED INCLUDES THESE W-2'S. THE COMPENSATION, EMPLOYEE BENEFITS AND PAYROLL TAXES AMOUNTS ARE THEN ALLOCATED TO GHC AND GRC FOR THE AMOUNTS THAT REPRESENT WORK PERFORMED FOR THOSE ORGANIZATIONS. THEREFORE, THE AMOUNT REPORTED ON PART IX INCLUDES ONLY THOSE AMOUNTS ALLOCATED TO WORK PERFORMED DIRECTLY FOR GIFFORD MEDICAL CENTER. THE HIGHEST PAID EMPLOYEES ARE DETERMINED BY THE WORK PERFORMED FOR EACH ORGANIZATION. THEREFORE, THE FIVE HIGHEST PAID EMPLOYEES LISTED ON PART VII AND SCHEDULE J ARE THOSE EMPLOYEES WHO WORK DIRECTLY FOR GIFFORD MEDICAL CENTER, INC. IN ADDITION, JOSEPH WOODIN AND JEFF 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 A, LINE 6, 7A & 7BORGANIZATION'S MEMBERS: THE MEMBERSHIP OF THE ORGANIZATION CONSISTS OF THOSE PERSONS SERVING AS CORPORATORS. TO BE ELIGIBLE TO SERVE AS A CORPORATOR, AN INDIVIDUAL MUST SUPPORT THE MISSION AND PURPOSES OF THE ORGANIZATION. CORPORATORS ARE NOMINATED BY THE NOMINATING COMMITTEE AND ELECTED BY MAJORITY VOTE OF THE CORPORATORS PRESENT AT THE ANNUAL MEETING OF THE CORPORATORS, AND SERVE A TERM OF THREE YEARS. THE CORPORATORS SHALL ELECT A MINORITY OF THE TRUSTEES OF THE ORGANIZATION, WHO MANAGE AND CONDUCT THE AFFAIRS OF THE ORGANIZATION. THE CORPORATORS MAKE NO OTHER GOVERNANCE DECISIONS FOR THE ORGANIZATION, NOR ARE THE DECISIONS OF THE BOARD OF TRUSTEES SUBJECT TO APPROVAL BY THE CORPORATORS. ADDITIONALLY, THE BOARD OF DIRECTORS OF GIFFORD HEALTH CARE, INC. (GHC), APPOINTS A MAJORITY OF THE DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11BREVIEW 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 PUBLIC DISCLOSURE COPY OF THE FORM 990 AT ONE OF THE BOARD MEETINGS PRIOR TO FILING. THE PUBLIC DISCLOSURE COPY DOES NOT LIST THE NAMES OR ADDRESSES OF THE DONORS TO RESPECT THE CONFIDENTIALITY OF THE DONORS.
FORM 990, PART VI, SECTION B, 12CCONFLICT OF INTEREST POLICY: GIFFORD MEDICAL CENTER, 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 TRUSTEE 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 15ACEO COMPENSATION REVIEW: GIFFORD MEDICAL CENTER 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 15BOTHER 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 19DOCUMENT 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 VII, SECTION ABOARD MEMBER COMPENSATION: ELLAMARIE RUSSO-DEMARA, DO, (MEDICAL STAFF PRESIDENT) AND JOSEPH WOODIN (CEO) ARE EMPLOYEES OF GIFFORD MEDICAL CENTER/GIFFORD HEALTH CARE AS WELL AS MEMBERS OF THE BOARD OF DIRECTORS. THEIR COMPENSATION IS RELATED TO THEIR ROLES AS EMPLOYEES. NO TRUSTEES RECEIVE COMPENSATION FOR THEIR ROLES AS TRUSTEES.
FORM 990, PART VI, LINE 9OTHER CHANGES IN NET ASSETS OR FUND BALANCES: $( 697,465) CHANGE IN FV OF INTEREST RATE SWAP AGREEMENT (1,316,771) TRANSFERS TO AFFILIATES ------------ $(2,014,236)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
GIFFORD HEALTH CARE INC
44 SOUTH MAIN STREETRANDOLPHVT05060460938716FQHC/PARENTVT501(C)(3)9NAfalse
GIFFORD RETIREMENT COMMUNITY INC
44 SOUTH MAIN STREETRANDOLPHVT05060463593492RETIREMENTVT501(C)(3)9GHCfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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