HELEN PORTER NURSING HOME INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
HELEN PORTER NURSING HOME INC (EIN 03-0306549)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-08-06
IRS object ID
201512189349300516
Schema version
2013v4.0
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)
Return2015-08-06T09:28:03-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010523282PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Berry Dunn McNeil & Parker LLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1100AddressLine1
CityPortlandCity
StateMEState
ZIP Code041041100ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN030306549EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Helen Porter Nursing Home IncBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlHELEBusinessNameControlTxt
Phone8023884752PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1115 Porter DriveAddressLine1
CityMiddleburyCity
StateVTState
ZIP Code05753ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSteven T CiampaPersonNm
Person TitleCFOPersonTitleTxt
Phone8023884752PhoneNum
Signature2015-08-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJoseph R Byrne CPAPreparerPersonNm
PTINP01289281PTIN
Phone2077752387PhoneNum
Preparation2015-08-04PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Helen Porter Healthcare & Rehab CenterBusinessNameLine1
FieldValueIRS element (for citing)
Principal OfficerJames L DailyPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1115 Porter DriveAddressLine1
CityMiddleburyCity
StateVTState
ZIP Code05753ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$10,089,825GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.portermedical.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateVTLegalDomicileStateCd
Activity Or MissionOperation of 105 bed skilled nursing homeActivityOrMissionDesc
Voting Members Governing Body23VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee252TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$82,029PYContributionsGrantsAmt
CY Contributions Grants$132,028CYContributionsGrantsAmt
PY Program Service Revenue$9,486,666PYProgramServiceRevenueAmt
CY Program Service Revenue$9,957,511CYProgramServiceRevenueAmt
PY Investment Income$15,878PYInvestmentIncomeAmt
CY Investment Income$286CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$9,584,573PYTotalRevenueAmt
CY Total Revenue$10,089,825CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,856,964PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,412,885CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,902,707PYOtherExpensesAmt
CY Other Expenses$3,166,536CYOtherExpensesAmt
PY Total Expenses$9,759,671PYTotalExpensesAmt
CY Total Expenses$10,579,421CYTotalExpensesAmt
PY Revenues Less Expenses-$175,098PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$489,596CYRevenuesLessExpensesAmt
Total Assets BOY$3,446,271TotalAssetsBOYAmt
Total Assets EOY$3,338,181TotalAssetsEOYAmt
Total Liabilities BOY$5,730,582TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,004,222TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$2,284,311NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$2,666,041NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe mission of Helen Porter Healthcare and Rehabilitation Center is to provide health care and related services to the people of our region. The Organization will:1. Promote the swift recovery of those needing rehabilitation and be a true home for those staying longer. 2. Provide a broad spectrum of services including long-term, short-term rehabilitation, respite, hospice and dementia care;3. Ensure the delivery of high quality and compassionate care to all residents in a financially responsible manner that allows individuals to achieve their greatest level of independence and dignity;4. Serve as a leader and catalyst in helping to determine and to provide for the health needs of the community, while striving to remain a financially viable organization.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,971,997ExpenseAmt
Revenue$9,957,511RevenueAmt
DescOperated long-term community oriented 105 bed skilled nursing home. The nursing home provided services to patients that totaled 35,212 resident days during the year ended 9/30/2014.ARCH - End of Life Care was established in 2014.Desc
Total Program Service Expenses$7,971,997TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document35IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee252EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members23GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldVTStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Steven T CiampaBusinessNameLine1
FieldValueIRS element (for citing)
Phone8023884752PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1115 Porter DriveAddressLine1
CityMiddleburyCity
StateVTState
ZIP Code05753ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Kristofer Anderson MD
Director1.0044.00Yes (X)$0$240,101$17,184
Jan Bark
Director1.004.00Yes (X)$0$0$0
Mary Jane Broughton
Director1.004.00Yes (X)$0$0$0
Lynn Coale
Past Director1.004.00Yes (X)$0$0$0
Carole Cummings
Past Director1.004.00Yes (X)$0$0$0
Peter DeGraff
Director1.004.00Yes (X)$0$0$0
Kim Downs-Burns
Vice-Chair1.004.00Yes (X)$0$0$0Yes (X)
Missy Foote
Director1.004.00Yes (X)$0$0$0
Betsy Gleason
Past Director1.004.00Yes (X)$0$0$0
Gerry Gossens
Director1.004.00Yes (X)$0$0$0
Edwin Grant
Director1.004.00Yes (X)$0$0$0
Ann Hanson
Director1.004.00Yes (X)$0$0$0
Linda Harmon
Director1.004.00Yes (X)$0$0$0
Jessica Holmes
Secretary1.004.00Yes (X)$0$0$0Yes (X)
Holmes Jacobs
Past Director1.004.00Yes (X)$0$0$0
Michael Kiernan MD
Director1.0034.00Yes (X)$0$168,225$33,024
Linn Larson
Director1.004.00Yes (X)$0$0$0
Elizabeth Markowski
Director1.004.00Yes (X)$0$0$0
Kate McIntosh
Director1.004.00Yes (X)$0$0$0
Maureen McLaughlin
Director1.004.00Yes (X)$0$0$0
Patrick Norton
Director1.004.00Yes (X)$0$0$0
Ken Perine
Director1.004.00Yes (X)$0$0$0
Susan Ritter
Past Director1.004.00Yes (X)$0$0$0
Benjamin Rosenberg MD
Director1.0044.00Yes (X)$0$510,540$33,415
Robin Scheu
Past Director1.004.00Yes (X)$0$0$0
Joe Sutton
Director1.004.00Yes (X)$0$0$0
Steve Terry
Director1.004.00Yes (X)$0$0$0
Bill Townsend
Chairman2.007.00Yes (X)$0$0$0Yes (X)
Carrie Wulfman MD
Director1.0038.00Yes (X)$0$203,405$32,656
Steven T Ciampa
CFO5.0035.00$0$55,231$0Yes (X)
James Daily
President/CEO5.0035.00$0$336,919$118,759Yes (X)
Neil Gruber
Past Administrator40.000.00$0$122,276$18,591Yes (X)
Marilyn Olejnik
Former CFO0.000.00$0$130,717$1,115Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,767,414TotReportableCompRltdOrgAmt
Total Other Compensation$254,744TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$4,920GovernmentGrantsAmt
All Other Contributions$127,108AllOtherContributionsAmt
Total Contributions$132,028TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Patient Revenue623000$13,390,636$13,390,636
Lifeline Revenue623000$35,382$35,382
Other Revenue623000$8,584$3,215$5,369
Provision for Bad Debts623000-$101,103-$101,103
Contractual Allowances623000-$3,375,988-$3,375,988
FieldValueIRS element (for citing)
Total Program Service Revenue$9,957,511TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$286TotalRevenueColumnAmt
Exclusion$286ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,089,825TotalRevenueColumnAmt
Related Or Exempt Func Income$9,952,142RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5,655ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,726,459TotalAmt
Program Services$5,016,067ProgramServicesAmt
Management And General$710,392ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$193,796TotalAmt
Program Services$169,755ProgramServicesAmt
Management And General$24,041ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,041,413TotalAmt
Program Services$912,221ProgramServicesAmt
Management And General$129,192ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$451,217TotalAmt
Program Services$395,242ProgramServicesAmt
Management And General$55,975ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$258,472TotalAmt
Management And General$258,472ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$17,124TotalAmt
Management And General$17,124ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$115,986TotalAmt
Management And General$115,986ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$166,974TotalAmt
Management And General$166,974ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$28,634TotalAmt
Management And General$28,634ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$16,550TotalAmt
Management And General$16,550ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$95,088TotalAmt
Management And General$95,088ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$7,116TotalAmt
Management And General$7,116ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$79,520TotalAmt
Management And General$79,520ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$261,786TotalAmt
Management And General$261,786ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$91,172TotalAmt
Management And General$91,172ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$1,478,712$1,478,712
Medicare Provider Tax$516,551$516,551
Miscellaneous Expense$26,386$26,386
Dues & Subscriptions$6,465$6,465

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,579,421TotalAmt
Program Services$7,971,997ProgramServicesAmt
Management And General$2,607,424ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$38,097BOYAmt
EOY$131,411EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$570,470BOYAmt
EOY$400,975EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,242,369BOYAmt
EOY$1,209,291EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$27,444BOYAmt
EOY$8,904EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$92,446BOYAmt
EOY$95,161EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,841,011LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,494,250LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,370,149BOYAmt
EOY$1,346,761EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$93,997BOYAmt
EOY$81,049EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$11,299BOYAmt
EOY$64,629EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,446,271BOYAmt
EOY$3,338,181EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$686,694BOYAmt
EOY$768,094EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,475,000BOYAmt
EOY$3,355,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$14,898BOYAmt
EOY$12,947EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,652BOYAmt
EOY$92,032EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$808,365BOYAmt
EOY$1,034,176EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,730,582BOYAmt
EOY$6,004,222EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$2,296,305BOYAmt
EOY-$2,749,638EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$11,994BOYAmt
EOY$83,597EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$2,284,311BOYAmt
EOY-$2,666,041EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,446,271BOYAmt
EOY$3,338,181EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$489,596ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$107,866OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$1,297OtherActivitiesAmt
Total Lobbying Expenditures$1,297TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationThe Organization pays dues to various associations, a portion of which is attributable to lobbying expenses.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,625,551OtherCostOrOtherBasisAmt
Depreciation$3,755,971DepreciationAmt
Book Value$869,580BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,017,278OtherCostOrOtherBasisAmt
Depreciation$596,430DepreciationAmt
Book Value$420,848BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$198,182OtherCostOrOtherBasisAmt
Depreciation$141,849DepreciationAmt
Book Value$56,333BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,346,761TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Due to Affiliates$229,186
Liability for Pension Benefits$647,055
Estimated Third-Party Settlements$157,935
FieldValueIRS element (for citing)
Total Liability$1,034,176TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$10,197,691TotalRevEtcAuditedFinclStmtAmt
Other Revenue$107,866OtherRevenueAmt
Revenue Not Reported$107,866RevenueNotReportedAmt
Revenue Subtotal$10,089,825RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$10,089,825TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$10,579,421TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$10,579,421ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$10,579,421TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Line 2b:The Organization holds funds belonging to residents for their personal use. The funds are made available to the residents as requested or needed.
Part XI, Line 2d - Other Adjustments:Change in Net Assets to Recognize Funded Status of Pension Plan -83,384. Equity Transfer from Affiliate 191,250.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Kristofer Anderson MD
Director$0$239,602$0$0$0$499$0$7,255$0$9,929$0$257,285$0$0
Michael Kiernan MD
Director$0$157,657$0$10,000$0$568$0$7,737$0$25,287$0$201,249$0$0
Benjamin Rosenberg MD
Director$0$414,288$0$94,039$0$2,213$0$7,650$0$25,765$0$543,955$0$0
Carrie Wulfman MD
Director$0$194,662$0$8,000$0$743$0$8,269$0$24,387$0$236,061$0$0
James Daily
President/CEO$0$333,811$0$0$0$3,108$0$91,950$0$26,809$0$455,678$0$0
Marilyn Olejnik
Former CFO$0$30,483$0$0$0$100,234$0$0$0$1,115$0$131,832$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3Porter Medical Center (PMC), a related organization, establishes the compensation for the Organization's CEO. Porter Medical Center uses a variety of resources to establish compensation as follows: 1. Independent compensation consultant 2. Written employment contract 3. Approval by the PMC Board
Part I, Lines 4a-bMarilyn Olejnik, Former CFO, received a severance payment in the amount of $100,000 during calendar year 2013. James Daily, President/CEO, participates in a 457(f) plan, and $79,200 was deferred on his behalf to the plan during FY 9/30/14.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6Porter Medical Center, Inc. is the parent holding company and sole corporate member of the Organization.
Form 990, Part VI, Section A, line 7aPorter Medical Center, Inc., the parent holding company and sole corporate member of the Organization, has the right to appoint directors of the Organization.
Form 990, Part VI, Section A, line 7bPorter Medical Center, Inc., the parent holding company and sole corporate member of the Organization, has the right to approve major expenditures, and approve long-term borrowings.
Form 990, Part VI, Section B, line 11Form 990 is reviewed by management and the audit committee before filing. The form 990 is also made available electronically to the Board of Directors before filing.
Form 990, Part VI, Section B, line 12cThe Organization's CFO is responsible for regularly and consistently monitoring and enforcing compliance with the conflict of interest policy. When bids are solicited to include the business of a Board member, those bids are reviewed by the Board of Directors to assure adherence to the Organization's lowest bid policy. When an issue comes up to a vote and it is connected, in any way, to the business of a Board member, the member must recuse him/herself from the vote.
Form 990, Part VI, Section B, line 15aThe Organization's executive committee reviews comparative data prepared by a consultant prior to referral of compensation to the board of directors. The board of directors review the findings of the consultant and vote to approve the salary of the CEO.
Form 990, Part VI, Section C, line 19The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Form 990, Part XI, line 9:Change in Net Assets to Recognize Funded Status of Pension Plan -83,384. Equity Transfer from Affiliate 191,250.
Form 990, Schedule A, Part I, Line 3:Reason for Public Charity Status: The Organization's exemption is based upon being classified as a hospital or cooperative hospital service organization described in 170(b)(1)(A)(iii). Since the Organization is not licensed in the state of Vermont as a hospital, but rather as a skilled nursing facility, Schedule H is not required.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Porter Hospital Inc
37 Porter DriveMiddleburyVT05753030181058Critical Access HospitalVT501(c)(3)Line 3Porter Medical Center Inc0
Porter Medical Center Inc
37 Porter DriveMiddleburyVT05753030310862Holding Company for SubsidiariesVT501(c)(3)Line 11b, II0N/A
Auxiliary of Porter Medical Center
37 Porter DriveMiddleburyVT05753237363227Supporting OrganizationVT501(c)(3)Line 11b, IIPorter Medical Center Inc0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

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