2016-08-10T16:03:23-05:00 2015-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2014-10-01 460938716 GIFFORD HEALTH CARE INC % JEFFREY HEBERT GIFF 8027284441 44 S MAIN ST RANDOLPH VT 05060 JEFFREY HEBERT CFO 8027284441 2016-06-29 true Brian D Todd P00422601 4178658701 2014 2016-12-15 16:53:06Z BERTON WHITAKER 44 SOUTH MAIN STREET RANDOLPH VT 05060 11664482 false X WWW.GIFFORDMED.ORG X 2012 VT GIFFORD HEALTH CARE IS A NON-PROFIT FQHC PROVIDING PRIMARY CARE SERVICES ON AN OUTPATIENT BASIS. 15 13 0 13 0 498337 1069495 2007314 10591423 59 3564 0 0 2505710 11664482 0 0 0 0 1867321 8614562 0 0 20812 735492 3281566 2602813 11896128 -97103 -231646 1899242 2944972 1996345 2752757 -97103 192215 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 10876812 10591423 GHC IS AN FTCA DEEMED FEDERALLY QUALIFIED HEALTH CENTER OFFERING PRIMARY CARE, PEDIATRICS, & 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. SERVICES INCLUDE PREVENTION & WELLNESS SUCH AS ANNUAL WELL-CHILD VISITS & SPORTS PHYSICALS, CHILDHOOD IMMUNIZATIONS, ACUTE CARE, FAMILY EDUCATION ON HEALTHY BEHAVIORS & CHILD DEVELOPMENT, MEDICATION MANAGEMENT, PSYCHIATRIC CARE, MANAGEMENT OF CHRONIC CONDITIONS, EYE & HEARING SCREENINGS, TIMELY CARE FOR ACUTE ILLNESSES & HELPING PATIENTS FIND DENTAL CARE. 10876812 true true false true false false false false false false false 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 13 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 S MAIN ST RANDOLPH VT 05060 AUGUST MEYER CHAIR 1.0 2.0 X X 0 0 0 BARBARA ROCHAT SECRETARY BEGINNING 1/2015 1.0 2.0 X X 0 0 0 BOB WRIGHT SECRETARY END 12/2014/DIRECTOR 1.0 2.0 X X 0 0 0 JODY RICHARDS DIRECTOR 1.0 2.0 X 0 0 0 JOSEPH WOODIN PRESIDENT & CEO 1.0 41.0 X X 0 443734 45370 LINCOLN CLARK TREASURER 1.0 2.0 X X 0 0 0 LINDA CHUGKOWSKI DIRECTOR 1.0 0.0 X 0 0 0 MATT CONSIDINE DIRECTOR 1.0 2.0 X 0 0 0 PAUL KENDALL DIRECTOR 1.0 2.0 X 0 0 0 PETER NOWLAN VICE CHAIR 1.0 2.0 X X 0 0 0 SUE SYSTMA DIRECTOR BEGINNING 01/2015 1.0 2.0 X 0 0 0 SUSAN SHERMAN DIRECTOR 1.0 0.0 X 0 0 0 TODD WINSLOW DIRECTOR BEGINNING 01/2015 1.0 2.0 X 0 0 0 WILLIAM BAUMANN JR DIRECTOR 1.0 0.0 X 0 0 0 CAROL BUSHEY DIRECTOR 1.0 0.0 X 0 0 0 RANDY GARNER DIRECTOR ENDING 3/2015 1.0 1.0 X 0 0 0 JEFFREY HEBERT CFO 1.0 41.0 X 0 145258 8774 0 588992 54144 0 false true false 0 1047202 22293 1069495 NET PATIENT SERVICE REVENUE 624100 8546849 8546849 PHARMACY REVENUE 446110 1207793 1207793 OTHER REVENUE 624100 836781 836781 10591423 3564 3564 0 0 0 0 0 0 0 0 0 0 11664482 10591423 3564 0 0 0 0 0 0 6754755 6222067 522083 10605 227866 207283 19945 638 1147030 1043418 100399 3213 484911 441109 42444 1358 0 15982 15982 12052 12052 0 0 0 577016 482452 94211 353 16524 15032 1446 46 554316 465161 87825 1330 0 0 288110 262085 25218 807 20979 19084 1836 59 0 67674 61561 5923 190 0 0 395098 359408 34583 1107 160714 146197 14067 450 MEDICAL SUPPLIES & DRUGS 665907 665907 BAD DEBT 273097 273097 LICENSES, DUES, SUBSCRIPTION 234097 212951 20490 656 11896128 10876812 998504 20812 51821 38934 512578 2027063 456250 145691 642243 497214 0 0 0 0 0 0 26377 39231 209973 196839 0 0 0 0 0 0 0 0 0 0 0 1899242 2944972 326884 1623883 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1669461 1128874 1996345 2752757 X -97103 192215 0 0 0 0 -97103 192215 1899242 2944972 X -231646 520964 X false true X true true true X 0 0 0 498337 1069495 1567832 2007314 10591423 12598737 0 0 0 0 0 0 2505651 11660918 14166569 0 0 0 14166569 59 3564 3623 0 59 3564 3623 0 0 0 0 0 2505710 11664482 14170192 X 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 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. THE AMOUNT OF DUES ALLOCABLE TO GIFFORD HEALTH CARE IS INCLUDED IN THE AMOUNT REPORTED ON GIFFORD MEDICAL CENTER, A RELATED ORGANIZATION. 0 DUE TO AFFILIATES 1094919 EST AMT DUE TO THIRD PARTY 33955 1128874 10985002 -679480 -679480 11664482 11664482 11216648 11216648 679480 679480 11896128 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: $(273,097) BAD DEBT EXPENSE (406,383) EXPENSES INCLUDED IN REVENUE ---------- $(679,480) SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 273,097 BAD DEBT EXPENSE 406,383 EXPENSES INCLUDED IN REVENUE --------- $ 679,480 false false false false false false false false false JEFFREY HEBERT CFO 0 139318 0 0 0 5940 0 7285 0 1489 0 154032 JOSEPH WOODIN PRESIDENT & CEO 0 402248 0 20000 0 21486 0 12750 0 32620 0 489104 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 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. THERE WERE NO EMPLOYEES PERFORMING SERVICES FOR GIFFORD HEALTH CARE DURING THE CALENDAR YEAR 2014 REPORTING PERIOD AND THEREFORE, 0 HAS BEEN REPORTED AS THE NUMBER OF EMPLOYEES REPORTED ON FORM W-3. HOWEVER, THE TOTAL AMOUNT OF SALARIES, PENSION, PAYROLL TAXES, AND EMPLOYEE BENEFITS FOR THE FISCAL YEAR PERIOD HAS BEEN SHOWN ON PART IX. 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: $ 520,964 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 true false true false false false false false true false false true false true false false false GIFFORD MEDICAL CENTER INC C 520964 FMV