GIFFORD MEDICAL CENTER INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: GIFFORD MEDICAL CENTER INC (EIN 03-0179418)
Tax period: 2013-10-01 to 2014-09-30
Filed: 2015-08-06
IRS object ID: 201522189349301017
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-08-06T13:48:21-05:00	ReturnTs
Tax Period End	2014-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	910 E ST LOUIS 200/PO BOX 1190	AddressLine1
City	SPRINGFIELD	City
State	MO	State
ZIP Code	658062523	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	030179418	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GIFFORD MEDICAL CENTER INC	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of	% JEFFREY HEBERT	InCareOfNm
Business Name Control	GIFF	BusinessNameControlTxt
Phone	8027284441	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	44 SOUTH MAIN STREET	AddressLine1
Address Line2	Suite	AddressLine2
City	RANDOLPH	City
State	VT	State
ZIP Code	05060	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOSEPH L WOODIN	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	8027284441	PhoneNum
Signature	2015-08-03	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Brian D Todd	PreparerPersonNm
PTIN	P00422601	PTIN
Phone	8027284441	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JOSEPH L WOODIN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	44 SOUTH MAIN STREET	AddressLine1
City	RANDOLPH	City
State	VT	State
ZIP Code	05060	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$77,825,951	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GIFFORDMED.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1905	FormationYr
Legal Domicile State	VT	LegalDomicileStateCd
Activity Or Mission	GIFFORD MEDICAL CENTER IS A NON-PROFIT ACUTE-CARE HOSPITAL PROVIDING HEALTHCARE ON AN INPATIENT AND OUTPATIENT BASIS.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	692	TotalEmployeeCnt
Total Volunteers	145	TotalVolunteersCnt
Total Gross UBI	$119,636	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$46,267	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,601,972	PYContributionsGrantsAmt
CY Contributions Grants	$1,628,111	CYContributionsGrantsAmt
PY Program Service Revenue	$66,431,263	PYProgramServiceRevenueAmt
CY Program Service Revenue	$65,794,994	CYProgramServiceRevenueAmt
PY Investment Income	$1,067,884	PYInvestmentIncomeAmt
CY Investment Income	$2,379,352	CYInvestmentIncomeAmt
PY Other Revenue	-$24,269	PYOtherRevenueAmt
CY Other Revenue	-$28,513	CYOtherRevenueAmt
PY Total Revenue	$69,076,850	PYTotalRevenueAmt
CY Total Revenue	$69,773,944	CYTotalRevenueAmt
PY Grants And Similar Paid	$9,750	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$28,269	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$39,372,203	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$36,665,338	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$22,200	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$168,725	CYTotalFundraisingExpenseAmt
PY Other Expenses	$25,680,301	PYOtherExpensesAmt
CY Other Expenses	$27,237,680	CYOtherExpensesAmt
PY Total Expenses	$65,062,254	PYTotalExpensesAmt
CY Total Expenses	$63,953,487	CYTotalExpensesAmt
PY Revenues Less Expenses	$4,014,596	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,820,457	CYRevenuesLessExpensesAmt
Total Assets BOY	$77,776,406	TotalAssetsBOYAmt
Total Assets EOY	$84,306,183	TotalAssetsEOYAmt
Total Liabilities BOY	$33,430,255	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$33,623,210	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$44,346,151	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$50,682,973	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	AS A COMMUNITY HOSPITAL, GIFFORD MEDICAL CENTER'S MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE WE SERVE BY PROVIDING AND ASSURING ACCESS TO AFFORDABLE AND HIGH-QUALITY HEALTH CARE, AND BY PROMOTING THE HEALTH AND WELL-BEING OF EVERYONE IN OUR SERVICES AREA.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	Yes (true)	SignificantChangeInd
Expense	$15,562,343	ExpenseAmt
Revenue	$7,862,352	RevenueAmt
Desc	GIFFORD MEDICAL CENTER OFFERS VARIOUS CLINICAL SERVICES THROUGH ITS MAIN CAMPUS AND OUTLYING FAMILY HEALTH CENTERS AND SPECIALTY CLINICS. SPECIALTY CLINICS INCLUDE ANTICOAGULATION, DIABETES, PRE-OPERATIVE, TRAVEL, AND WOUND CARE. CLINIC SERVICES AVAILABLE INCLUDE HEALTH EDUCATION, CHECK-UPS, SAFETY TIPS AND ADVICE, NUTRITION AND EXERCISE COUNSELING, MEDICAL CLEARANCE FOR PATIENTS HAVING SURGERY, DETERMINATION OF NECESSARY VACCINATIONS OR MEDICATIONS FOR TRAVELING, AND MONITORING WOUNDS AND COORDINATING HOME WOUND CARE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$9,109,109	ExpenseAmt
Revenue	$7,666,230	RevenueAmt
Desc	GIFFORD MEDICAL CENTER OFFERS PEDIATRIC AND FAMILY MEDICINE SERVICES FROM A TEAM OF EXPERT PEDIATRICS PHYSICIANS AND STAFF IN A FAMILY FRIENDLY SETTING. AN EMPHASIS IS PLACED ON PREVENTION AND WELLNESS AS WELL AS TIMELY CARE FOR ACUTE ILLNESSES. SERVICES AVAILABLE INCLUDE ANNUAL WELL-CHILD VISITS AND SPORTS PHYSICALS, CHILDHOOD IMMUNIZATIONS, ACUTE CARE, FAMILY EDUCATION ON HEALTHY BEHAVIORS AND CHILD DEVELOPMENT, MEDICATION MANAGEMENT, MANAGEMENT OF CHRONIC CONDITIONS, AND EYE AND HEARING SCREENINGS. OBSTETRIC AND GYNECOLOGY SERVICES ARE ALSO AVAILABLE FOR WOMEN, FROM ANNUAL SCREENINGS TO ADVANCED SURGERIES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$5,258,966	ExpenseAmt
Revenue	$10,933,390	RevenueAmt
Desc	GIFFORD MEDICAL CENTER OFFERS GENERAL SURGERY SERVICES BY A CARING AND KNOWLEDGEABLE TEAM, INCLUDING SKIN LESION AND CYST REMOVAL, COMPREHENSIVE BREAST CARE, DIAGNOSIS AND TREATMENT OF ALL FORMS OF CANCER, WOUND CARE, CARDIAC PACEMAKERS, PILL ENDOSCOPY, COLONOSCOPIES, AND APPENDIX REMOVAL, AMONG OTHERS. GENERAL SURGEONS PROVIDE A WIDE RANGE OF PROCEDURES IN THE OFFICE AND IN THE OPERATING ROOM SETTINGS, PRIMARILY FOCUSING ON THE ABDOMINAL ORGANS AS WELL AS DISEASES OF THE SKIN, BREAST, SOFT TISSUE AND HERNIAS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$29,140,278	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$28,269	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$39,333,022	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$59,070,696	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	145	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	692	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JEFFREY HEBERT	PersonNm
Phone	8027282356	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 2000	AddressLine1
City	RANDOLPH	City
State	VT	State
ZIP Code	05060	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SHARON DIMMICK
CHAIR ENDING 12/2013	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
AUGUST MEYER
CHAIR BEGINNING 1/2014	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
PAUL KENDALL
SECRETARY ENDING 12/2013/TTEE	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
LINCOLN CLARK
TREASURER	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
DAVID AINSWORTH
TRUSTEE ENDING 12/2013	1.0	0.0	Yes (X)		$0	$0	$0
LEO CONNOLLY
TRUSTEE ENDING 5/2014	1.0	0.0	Yes (X)		$0	$0	$0
RANDY GARNER
TRUSTEE	1.0	2.0	Yes (X)		$0	$0	$0
FRED NEWHALL
TRUSTEE	1.0	1.0	Yes (X)		$0	$0	$0
PETER NOWLAN
VICE CHAIR BEGINNING 1/2014	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
BOB WRIGHT
SECRETARY BEGINNING 1/2014	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
SHELIA JACOBS
TRUSTEE	1.0	1.0	Yes (X)		$0	$0	$0
LINDA MORSE
TRUSTEE	1.0	1.0	Yes (X)		$0	$0	$0
MONA COLTON
TRUSTEE ENDING 3/2014	1.0	0.0	Yes (X)		$0	$0	$0
ELLAMARIE RUSSO-DEMARA
TRUSTEE/MED STAFF PRESIDENT	32.0	1.0	Yes (X)		$97,535	$0	$37,607
JOSEPH WOODIN
PRESIDENT & CEO	40.0	2.0	Yes (X)	Yes (X)	$431,483	$0	$45,359
MATT CONSIDINE
TRUSTEE BEGINNING 1/14	1.0	2.0	Yes (X)		$0	$0	$0
JODY RICHARDS
TRUSTEE BEGINNING 1/14	1.0	2.0	Yes (X)		$0	$0	$0
JEFFREY HEBERT
CFO	40.0	2.0		Yes (X)	$134,995	$0	$7,344
STEPHANIE LANDVATER
PROVIDER	40.0	0.0			$603,472	$0	$45,595	Yes (X)
BESS BRACKETT
PROVIDER	40.0	0.0			$288,755	$0	$14,163	Yes (X)
RICHARD GRAHAM
PROVIDER	40.0	0.0			$432,895	$0	$45,509	Yes (X)
MARTIN JOHNS
PROVIDER	40.0	0.0			$270,414	$0	$40,590	Yes (X)
JON-RICHARD KNOFF
PROVIDER	40.0	0.0			$285,390	$0	$43,210	Yes (X)
DAVID SANVILLE
FORMER CFO					$133,943	$0	$31,876		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,678,882	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$311,253	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	45	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

ServicesServicesDesc	CompensationCompensationAmt
DEW CONSTRUCTION CORPORATION
BUILDING CONTRACTOR	$2,127,459
CONNOR CONTRACTING INC
BUILDING CONTRACTOR	$1,042,431
AMERICAN HEALTH CENTERS INC
MRI SERVICES	$505,176
M MODAL
TRANSCRIPTION	$363,103
UNIVERSITY OF VERMONT
CONTRACTED SERVICES	$338,555

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	17	CntrctRcvdGreaterThan100KCnt
Fundraising	$67,198	FundraisingAmt
Government Grants	$97,764	GovernmentGrantsAmt
All Other Contributions	$1,463,149	AllOtherContributionsAmt
Noncash Contributions	$339,408	NoncashContributionsAmt
Total Contributions	$1,628,111	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621400	$61,547,164	$61,547,164
PHARMACY REVENUE	446110	$2,256,416	$2,256,416
DAYCARE REVENUE	812900	$367,323	$247,687	$119,636
CAFETERIA REVENUE	722514	$311,091	$311,091
OTHER REVENUE	624100	$1,313,000	$1,313,000

Field	Value	IRS element (for citing)
Total Program Service Revenue	$65,794,994	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,277,512	TotalRevenueColumnAmt
Exclusion	$1,277,512	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$59,210	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$85,299	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$26,089	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$26,089	TotalRevenueColumnAmt
Exclusion	-$26,089	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$9,033,923	SecuritiesAmt
Other	$14,396	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$7,917,161	SecuritiesAmt
Other	$29,318	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,116,762	SecuritiesAmt
Other	-$14,922	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,101,840	TotalRevenueColumnAmt
Exclusion	$1,101,840	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$5,257	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$67,198	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$11,489	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$6,232	TotalRevenueColumnAmt
Exclusion	-$6,232	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$11,595	GamingGrossIncomeAmt
Gaming Direct Expenses	$8,740	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,855	TotalRevenueColumnAmt
Exclusion	$2,855	ExclusionAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	EXTRAORDINARY GAIN	Desc
Business	900099	BusinessCd
Total Revenue Column	$953	TotalRevenueColumnAmt
Exclusion	$953	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$953	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$69,773,944	TotalRevenueColumnAmt
Related Or Exempt Func Income	$65,675,358	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$119,636	UnrelatedBusinessRevenueAmt
Exclusion	$2,350,839	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$10,000	TotalAmt
Program Services	$10,000	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$18,269	TotalAmt
Program Services	$18,269	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$754,323	TotalAmt
Program Services	$135,142	ProgramServicesAmt
Management And General	$619,181	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$165,819	TotalAmt
Management And General	$165,819	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$27,909,364	TotalAmt
Program Services	$26,016,648	ProgramServicesAmt
Management And General	$1,812,313	ManagementAndGeneralAmt
Fundraising	$80,403	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,185,777	TotalAmt
Program Services	$1,102,329	ProgramServicesAmt
Management And General	$80,038	ManagementAndGeneralAmt
Fundraising	$3,410	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,746,469	TotalAmt
Program Services	$4,367,598	ProgramServicesAmt
Management And General	$365,324	ManagementAndGeneralAmt
Fundraising	$13,547	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,903,586	TotalAmt
Program Services	$1,731,634	ProgramServicesAmt
Management And General	$166,620	ManagementAndGeneralAmt
Fundraising	$5,332	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$26,651	TotalAmt
Management And General	$26,651	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$87,994	TotalAmt
Management And General	$87,994	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$22,200	TotalAmt
Fundraising	$22,200	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$20,258	TotalAmt
Management And General	$20,258	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,802,952	TotalAmt
Program Services	$5,278,770	ProgramServicesAmt
Management And General	$507,929	ManagementAndGeneralAmt
Fundraising	$16,253	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$95,706	TotalAmt
Program Services	$87,061	ProgramServicesAmt
Management And General	$8,377	ManagementAndGeneralAmt
Fundraising	$268	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,172,985	TotalAmt
Program Services	$1,974,871	ProgramServicesAmt
Management And General	$191,971	ManagementAndGeneralAmt
Fundraising	$6,143	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$829,412	TotalAmt
Program Services	$754,491	ProgramServicesAmt
Management And General	$72,598	ManagementAndGeneralAmt
Fundraising	$2,323	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$514,753	TotalAmt
Program Services	$468,255	ProgramServicesAmt
Management And General	$45,056	ManagementAndGeneralAmt
Fundraising	$1,442	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$245,724	TotalAmt
Program Services	$223,528	ProgramServicesAmt
Management And General	$21,508	ManagementAndGeneralAmt
Fundraising	$688	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$966,396	TotalAmt
Program Services	$879,101	ProgramServicesAmt
Management And General	$84,588	ManagementAndGeneralAmt
Fundraising	$2,707	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,139,208	TotalAmt
Program Services	$2,855,643	ProgramServicesAmt
Management And General	$274,773	ManagementAndGeneralAmt
Fundraising	$8,792	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$753,850	TotalAmt
Program Services	$685,755	ProgramServicesAmt
Management And General	$65,984	ManagementAndGeneralAmt
Fundraising	$2,111	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES & DRUGS	$5,002,544	$5,002,544
BAD DEBT	$3,265,072	$3,265,072
PROVIDER TAXES	$3,233,280	$3,233,280
LICENSES, DUES, SUBSCRIPTIONS	$695,189	$632,393	$60,849	$1,947

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$385,706	TotalAmt
Program Services	$348,312	ProgramServicesAmt
Management And General	$36,235	ManagementAndGeneralAmt
Fundraising	$1,159	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$63,953,487	TotalAmt
Program Services	$59,070,696	ProgramServicesAmt
Management And General	$4,714,066	ManagementAndGeneralAmt
Fundraising	$168,725	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$152,395	BOYAmt
EOY	$258,408	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$6,360,292	BOYAmt
EOY	$5,934,473	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$618,010	BOYAmt
EOY	$616,011	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$8,442,027	BOYAmt
EOY	$8,261,318	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,264,146	BOYAmt
EOY	$1,161,079	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,612,863	BOYAmt
EOY	$1,404,951	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$67,034,240	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$34,494,061	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$29,280,859	BOYAmt
EOY	$32,540,179	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$29,607,969	BOYAmt
EOY	$31,791,687	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$20,391	BOYAmt
EOY	$16,660	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$417,454	BOYAmt
EOY	$2,321,417	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$77,776,406	BOYAmt
EOY	$84,306,183	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$9,828,366	BOYAmt
EOY	$10,255,013	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$501,140	BOYAmt
EOY	$456,201	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,168,494	BOYAmt
EOY	$18,715,065	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$115,889	BOYAmt
EOY	$68,249	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,816,366	BOYAmt
EOY	$4,128,682	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$33,430,255	BOYAmt
EOY	$33,623,210	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$41,805,620	BOYAmt
EOY	$48,608,447	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,411,991	BOYAmt
EOY	$945,986	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,128,540	BOYAmt
EOY	$1,128,540	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$44,346,151	BOYAmt
EOY	$50,682,973	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$77,776,406	BOYAmt
EOY	$84,306,183	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$5,820,457	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$853,128	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$336,763	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$12,335	OtherActivitiesAmt
Total Lobbying Expenditures	$12,335	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1(I)	FormAndLineReferenceDesc
Explanation	OTHER 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. THESE DUES INCLUDE A PORTION ALLOCABLE TO GIFFORD HEALTH CARE, INC., A RELATED ORGANIZATION.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,753,013	BeginningYearBalanceAmt
Contributions	$2,379	ContributionsAmt
Investment Earnings Or Losses	$564,216	InvestmentEarningsOrLossesAmt
End Year Balance	$4,319,608	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,836,630	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$83,617	InvestmentEarningsOrLossesAmt
End Year Balance	$3,753,013	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$28,100,136	BeginningYearBalanceAmt
Contributions	$100,000	ContributionsAmt
Investment Earnings Or Losses	$224,040	InvestmentEarningsOrLossesAmt
Other Expenditures	$24,587,546	OtherExpendituresAmt
End Year Balance	$3,836,630	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.61840	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.17930	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.20230	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$655,000	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$601,779	OtherCostOrOtherBasisAmt
Book Value	$1,256,779	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,171,587	OtherCostOrOtherBasisAmt
Depreciation	$13,442,851	DepreciationAmt
Book Value	$16,728,736	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$302,815	OtherCostOrOtherBasisAmt
Depreciation	$259,389	DepreciationAmt
Book Value	$43,426	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,555,959	OtherCostOrOtherBasisAmt
Depreciation	$19,135,782	DepreciationAmt
Book Value	$10,420,177	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,747,100	OtherCostOrOtherBasisAmt
Depreciation	$1,656,039	DepreciationAmt
Book Value	$4,091,061	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$32,540,179	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
EST AMT DUE TO THIRD PARTY	$1,792,219
INTEREST RATE SWAP AGREEMENT	$2,336,463

Field	Value	IRS element (for citing)
Total Liability	$4,128,682	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$64,814,359	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$853,128	NetUnrealizedGainsInvstAmt
Other Revenue	-$4,458,708	OtherRevenueAmt
Revenue Not Reported	-$3,605,580	RevenueNotReportedAmt
Revenue Subtotal	$68,419,939	RevenueSubtotalAmt
Other Revenues Not Included	$1,354,005	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,354,005	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$69,773,944	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$59,709,712	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$20,229	OtherExpensesIncludedAmt
Expenses Not Reported	$20,229	ExpensesNotReportedAmt
Expenses Subtotal	$59,689,483	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$20,258	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$4,243,746	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$4,264,004	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$63,953,487	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V	USE 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 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 VIII, LINE 12: $( 336,763) CHANGE IN FV OF INTEREST RATE SWAP AGREEMENT (3,265,072) BAD DEBT EXPENSE ( 20,258) INVESTMENT MGMT FEES ( 978,674) EXPENSES INCLUDED IN REVENUE 142,059 NET ASSETS RELEASED FROM RESTRICTION ------------ $(4,458,708)
SCHEDULE D, PART XI, LINE 4B	AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $( 20,229) FUNDRAISING EVENT/GAMING EXPENSES 1,374,234 TEMPORARILY RESTRICTED CONTRIBUTIONS ------------ $ 1,354,005
SCHEDULE D, PART XII, LINE 2D	AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 20,229 FUNDRAISING EVENT/GAMING EXPENSES
SCHEDULE D, PART XII, LINE 4B	AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $3,265,072 BAD DEBT EXPENSE 978,674 EXPENSES INCLUDED IN REVENUE ----------- $4,243,746

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Field	Value	IRS element (for citing)
Person	ANNE PEYTON	PersonNm
Activity	CAMPAIGN FUNDRAISING	ActivityTxt
Fundraiser Control Of Funds	false	FundraiserControlOfFundsInd
Gross Receipts	$1,356,076	GrossReceiptsAmt
Retained By Contractor	$22,200	RetainedByContractorAmt
Net To Organization	$1,333,876	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Gross Receipts	$1,356,076	TotalGrossReceiptsAmt
Total Retained By Contractors	$22,200	TotalRetainedByContractorsAmt
Total Net To Organization	$1,333,876	TotalNetToOrganizationAmt

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Name Of Event1	LAST MILE RIDE	NameOfEvent1Amt
Gross Receipts Event1	$72,455	GrossReceiptsEvent1Amt
Charitable Contri Event1	$67,198	CharitableContriEvent1Amt
Gross Revenue Event1	$5,257	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$3,377	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$1,143	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$6,969	OtherDirectExpensesEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$72,455	GrossReceiptsTotalAmt
Charitable Contributions Tot	$67,198	CharitableContributionsTotAmt
Gross Revenue Total Events	$5,257	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$3,377	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$1,143	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$6,969	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$11,489	DirectExpenseSummaryEventsAmt
Net Income Summary	-$6,232	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	225.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$290,212	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$290,212	NetCommunityBenefitExpnsAmt
Total Expense	0.00480	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,508,034	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,385,008	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,123,026	NetCommunityBenefitExpnsAmt
Total Expense	0.01850	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,798,246	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,385,008	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,413,238	NetCommunityBenefitExpnsAmt
Total Expense	0.02330	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$726,722	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$361,319	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$365,403	NetCommunityBenefitExpnsAmt
Total Expense	0.00600	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$89,188	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$89,188	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,204,210	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,643,982	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,560,228	NetCommunityBenefitExpnsAmt
Total Expense	0.02570	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,269	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$28,269	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,048,389	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,005,301	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,043,088	NetCommunityBenefitExpnsAmt
Total Expense	0.03370	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,846,635	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,390,309	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,456,326	NetCommunityBenefitExpnsAmt
Total Expense	0.05700	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$108,422	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,082	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$62,340	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$596	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$596	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$109,018	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,082	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$62,936	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,265,072	BadDebtExpenseAmt
Bad Debt Expense Attributable	$427,724	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$18,132,377	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$18,151,054	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$18,677	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GIFFORD MEDICAL CENTER INC	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 2000	AddressLine1
City	RANDOLPH	City
State	VT	State
ZIP Code	05060	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.GIFFORDMED.ORG	WebsiteAddressTxt
State License	829	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	GIFFORD MEDICAL CENTER INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	GIFFORDMED.ORG/COMMUNITYREPORTS	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	false	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	225.	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
State Regulation	Yes (X)	StateRegulationInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Available On Request	Yes (X)	AvailableOnRequestInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3	COMMUNITY INPUT: COMMUNITY HEALTHCARE NEEDS ASSESSMENT SURVEYS WERE HANDED OUT AT SEVERAL TOWN MEETINGS WITHIN THE GIFFORD MEDICAL CENTER SERVICE AREA. AS WELL, QUESTIONNAIRES WERE HANDED OUT TO EMPLOYEES AND VOLUNTEER STAFF.
SCHEDULE H, PART V, SECTION B, LINE 5D	CHNA AVAILABILITY TO THE PUBLIC: THE CHNA WAS ALSO DISTRIBUTED AT LOCAL TOWN MEETINGS.
SCHEDULE H, PART V, SECTION B, LINE 6	IMPLEMENTATION STRATEGY: IN RESPONSE TO THE RESULTS OF GIFFORD MEDICAL CENTER'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, THE ORGANIZATION ADOPTED AN IMPLEMENTATION STRATEGY. THE IMPLEMENTATION STRATEGY IS ATTACHED. IN 2012 AS PART OF THE FEDERAL PATIENT PROTECTION AND AFFORDABLE CARE ACT, GIFFORD PERFORMED A COMMUNITY NEEDS ASSESSMENT IN PART THROUGH SURVEYING COMMUNITY MEMBERS IN MULTIPLE AREA TOWNS. IN 2015, THIS ASSESSMENT WILL BE REVIEWED AND MODIFIED PER THE FEDERAL MANDATE. GIFFORD HAS STRATEGICALLY WORKED TO ADDRESS THE COMMUNITY'S NEED WITHIN ITS ROLE AS A HEALTH CARE PROVIDER. AREAS INITIALLY IDENTIFIED AS HEALTH PROBLEMS INCLUDE: ADDICTION, OBESITY AND UNHEALTHY LIFE CHOICES. THE TOP THREE HEALTH SERVICES NOTED AS NEEDS INCLUDE: ASSISTED LIVING AND NURSING HOME CARE, ALCOHOL AND DRUG COUNSELING AND DENTAL CARE. ADDICTION AND ALCOHOL AND DRUG COUNSELING GIFFORD'S DESIGNATION AS A FEDERALLY QUALIFIED HEALTH CENTER AND CONTINUED UTILIZATION OF THE BLUEPRINT FOR HEALTH TEAM OFFERS ADDITIONAL ADDICTION COUNSELORS AND BEHAVIORAL HEALTH SPECIALISTS PROVIDING ONE-ON-ONE PATIENT CARE AT ALL GIFFORD PRIMARY CARE LOCATIONS. IN ADDITION, GIFFORD OFFERS SUBOXONE CARE TO BOTH MEN AND WOMEN IN THE RANDOLPH AND WHITE RIVER JUNCTION OFFICES. GIFFORD BEHAVIORAL HEALTH TEAM IS IN PLACE AND FULLY STAFFED. OBESITY AND UNHEALTHY LIFESTYLE CHOICES GIFFORD'S 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 GIFFORD'S REGISTERED DIETITIAN ON HEALTHY DIETS AND PORTION CONTROL. PATIENTS ARE STRONGLY ENCOURAGED TO BE ACTIVE THROUGH EXERCISE AS WELL. IN 2014 AND 2015, GIFFORD TOOK THE DISCUSSION OUTSIDE OF THE DOCTOR'S OFFICE AND GAVE AREA SCHOOLS, BOTH ELEMENTARY AND HIGH SCHOOLS, GRANTS TO FUND HEALTHY FOOD AND EXERCISE INITIATIVES TO HELP STEM THE CHILDHOOD OBESITY EPIDEMIC. DISCUSSIONS AROUND SPECIFIC CHRONIC CONDITIONS, SUCH AS DIABETES IN THE SUPPORT GROUP SETTING, ALSO OFTEN FOCUS ON HEALTHY CHOICES TO REDUCE AND PREVENT DISEASE. ASSISTED LIVING AND NURSING HOME CARE GIFFORD OPENED IT'S NEW MENIG NURSING HOME IN RANDOLPH CENTER WITH FUTURE BUILD-OUT TO INCLUDE BOTH ASSISTED AND INDEPENDENT LIVING OPTIONS. IN 2014, PROJECT INDEPENDENCE MERGED WITH GIFFORD OFFERING A SECOND ADULT DAY CARE LOCATION (BARRE AND BETHEL). DENTAL CARE DENTAL CARE HAS TYPICALLY FALLEN OUTSIDE OF THE HOSPITAL SPECTRUM. AS A FEDERALLY QUALIFIED HEALTH CENTER, GIFFORD NOW HAS RESOURCES TO HELP SUPPORT LOCAL DENTISTS AS THEY STRIVE TO BETTER CARE FOR THE UNDER- AND UNINSURED. GIFFORD IS PARTNERING WITH TWO DENTISTS TO PROVIDE NEEDED DENTAL CARE.
SCHEDULE H, PART V, SECTION B, LINE 7	ADDRESSING IDENTIFIED NEEDS: GIFFORD MEDICAL CENTER IS CURRENTLY FOCUSING ON THE AREAS THAT APPEAR TO BE THE HIGHEST CONCERN WITHIN THE COMMUNITY.
SCHEDULE H, PART V, SECTION B, LINE 14	MEASURES TO PUBLICIZE THE POLICY: GIFFORD MEDICAL CENTER CONTACTS ANY UNINSURED PATIENTS THAT REGISTER WITH THE HOSPITAL TO SEE IF THEY ARE IN NEED OF FINANCIAL ASSISTANCE.

Field	Value	IRS element (for citing)
Facility	8	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
GIFFORD HEALTH CENTER AT BERLIN
82 EAST VIEW LANE	BERLIN	VT	05641	RURAL HEALTH CENTER
ADVANCE PHYSICAL THERAPY
331 OLCOTT DRIVE U2	WHITE RIVER JUNCTION	VT	05001	RURAL HEALTH CENTER
BETHEL HEALTH CENTER
1823 ROUTE 107	BETHEL	VT	05032	RURAL HEALTH CENTER
CHELSEA HEALTH CENTER
356 VT ROUTE 110	CHELSEA	VT	05038	RURAL HEALTH CENTER
KINGWOOD HEALTH CENTER
1422 ROUTE 66	RANDOLPH	VT	05060	RURAL HEALTH CENTER
ROCHESTER HEALTH CENTER
235 SOUTH MAIN STREET	ROCHESTER	VT	05767	RURAL HEALTH CENTER
SHARON HEALTH CENTER
12 SHIPPEE LANE	SHARON	VT	05065	RURAL HEALTH CENTER
TWIN RIVER HEALTH CENTER
108 N MAIN ST	WHITE RIVER JUNCTION	VT	05001	RURAL HEALTH CENTER

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7, COLUMN F	PERCENT 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 $3,265,072.
SCHEDULE H, PART I, LINE 7G	SUBSIDIZED 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 $1,484,827. 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 7	COSTING 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 II	COMMUNITY BUILDING ACTIVITIES: INCLUDED IN PART II AS COMMUNITY BUILDING ACTIVITIES ARE BETHEL HIGH SCHOOL LECTURES, JOB SHADOWING, AND THE ADVISORY BOARD WITH VERMONT TECHNICAL COLLEGE. THESE ACTIVITIES PROVIDE OPPORTUNITIES TO ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS, INCLUDING POVERTY, HOMELESSNESS, AND UNEMPLOYMENT.
SCHEDULE H, PART III, SECTION A, LINE 2	BAD 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 3	BAD 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 4	BAD 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 8	COMMUNITY 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 9B	COLLECTION 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 2	NEEDS 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 3	PATIENT 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 4	COMMUNITY 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 BETHEL, CHELSEA, ROCHESTER, SHARON, BERLIN, 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 16.2% OVER THE AGE OF 65 AND 20.1% UNDER 18 YEARS. OVER 97% ARE WHITE, WITH 50.2% FEMALE. THE AVERAGE HOUSEHOLD INCOME IS $52,407, WITH THE POVERTY LEVEL AT 10.6%, COMPARED TO THE STATE'S 11.3%.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: AS A COMMUNITY HOSPITAL, GIFFORD MEDICAL CENTER'S MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE WE SERVE 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, DIGITAL 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 30-BED NURSING HOME WITH AN EXTENSIVE WAITING LIST AND NUMEROUS QUALITY AWARDS TO ITS CREDIT, 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 2014: -A "MATTERS OF THE HEART" SERIES IS OFFERED MONTHLY ALL YEAR LONG FOR HEART PATIENTS OR ANYONE LOOKING TO IMPROVE HIS OR HER HEART HEALTH. -A "QUIT IN PERSON" TOBACCO CESSATION CLASS HELPS THOSE ADDICTED TO SMOKING OR OTHER TOBACCO PRODUCTS TO QUIT. -A "CHRONIC PAIN HEALTHIER LIVING WORKSHOP" IS OFFERED AT THE RANDOLPH HOUSE. -EDUCATIONAL EVENT SHARES GIFFORD'S "VISION FOR THE FUTURE" WITH CORPORATORS. THE VISION FOCUSES IN PART ON CONSTRUCTING A SENIOR LIVING COMMUNITY IN RANDOLPH CENTER. -AN "INFANT AND CHILD CPR" CLASS HELPS NEW PARENTS AND FAMILIES LEARN LIFESAVING TECHNIQUES. -A "HOME ALONE AND SAFE" COURSE TEACHES CHILDREN 8-11 HOW TO RESPOND TO HOME ALONE SITUATIONS. -A "BABYSITTER'S TRAINING COURSE" IS HELD FOR AREA PRE-TEENS AND TEENS SEEKING GREATER EXPERTISE IN SAFE CHILD CARE. -A "HEALTHER LIVING WORKSHOP" SERIES BEGINS PROVIDING THE CHRONICALLY ILL FREE INFORMATION ON IMPROVING THEIR HEALTH. -A SECOND "QUIT IN PERSON" TOBACCO CESSATION CLASS IS HELD, THIS TIME AT THE GIFFORD HEALTH CENTER IN BERLIN. -GIFFORD'S HEALTH CONNECTIONS OFFICE AND BLUEPRINT FOR HEALTH TEAM PARTNER WITH BI-STATE PRIMARY CARE TO OFFER FREE HELP SIGNING UP FOR VERMONT HEALTH CONNECT. -GIFFORD'S ANNUAL DIABETES EDUCATION EXPO IS MERGED WITH A HEALTH FAIR FOR ALL CHRONICALLY ILL. -GIFFORD'S MAMMOGRAPHY AND NUCLEAR MEDICINE DEPARTMENTS EARN THREE YEAR, NATIONAL RE-ACCREDITATIONS FROM THE AMERICAN COLLEGE OF RADIOLOGY. -GIFFORD IS NAMED A TOP 100 CRITICAL ACCESS HOSPITAL IN THE NATION BY IVANTAGE HEALTH ANALYSICS. -SEN. BERNIE SANDERS AND OFFICIALS FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION RELEASE A VIDEO HOLDING UP GIFFORD AS A NATIONAL MODEL FOR PRIMARY CARE. -SHARON HEALTH CENTER RIBBON CUTTING FOR THE NEWLY EXPANDED HEALTH CENTER. ALONG WITH THE ADDITION, NEW TECHNOLOGY IS OFFERED, SUCH AS STATE OF THE ART NORAXON GAIT AND MOVEMENT ANALYSIS SYSTEM AND A LARGE WALL MOUNTED MONITOR FOR A BETTER LOOK AT LIVE ULTRASOUND IMAGING. -GROUND IS BROKEN ON A MUCH ANTICIPATED SENIOR LIVING COMMUNITY IN RANDOLPH CENTER. MORE THAN 100 ARE ON HAND TO WITNESS THE START OF THE FIRST PHASE OF THE PROJECT - A NEW, 30 BED NURSING HOME TO REPLACE THE CURRENT MENIG ENTEDED CARE FACILITY. -"LOW IMPACT WATER AEROBICS FOR CHRONIC CONDITIONS" IS OFFERED AT VERMONT TECHNICAL COLLEGE'S POOL FOR THOSE WITH AN ECONOMIC NEED AND CHRONIC CONDITION WHO ARE STRUGGLING TO EXERCISE. -GIFFORD ANNOUNCES IT WILL MERGE WITH BARRE ADULT DAY PROGRAM, PROJECT INDEPENDENCE AT THE END OF SEPTEMBER. PROJECT INDEPENDENCE IS THE STATES FIRST ADULT DAY PROGRAM AND SERVES 23 TOWNS. -GIFFORD IS THE FIRST HOSPITAL TO "GO LIVE" WITH THE VERMONT DEPARTMENT OF HEALTH INTERFACE FOR SYNDOMIC SURVEILLANCE. THE INTERFACE IS PART OF FEDERAL MEANINGFUL USE CRITERIA. -A HEARTSAVER CPR" CERTIFICATION COURSE IS OFFERED TO THE COMMUNITY. -GIFFORD COMPLETES ITS UPGRADE TO ELECTRONIC MEDICAL RECORDS (EMR).

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STAGECOACH TRANSPORTATION SERVICES INC	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	DEPOT SQUARE	AddressLine1
Address Line2	PO BOX 356	AddressLine2
City	RANDOLPH	City
State	VT	State
ZIP Code	05060	ZIPCode

Field	Value	IRS element (for citing)
Recipient EIN	030276517	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$10,000	CashGrantAmt
Purpose Of Grant	COMMUNITY BENEFIT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	PATIENT GRANTS	GrantTypeTxt
Recipient	23	RecipientCnt
Cash Grant	$18,269	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART 1, LINE 2	FormAndLineReferenceDesc
Explanation	MONITORING 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 ALL 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

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOSEPH WOODIN
PRESIDENT & CEO	$307,134	$0	$76,297	$0	$48,052	$0	$12,750	$0	$32,609	$0	$476,842	$0	$0	$0
STEPHANIE LANDVATER
PROVIDER	$442,660	$0	$49,380	$0	$111,432	$0	$12,750	$0	$32,845	$0	$649,067	$0	$0	$0
BESS BRACKETT
PROVIDER	$228,308	$0	$0	$0	$60,447	$0	$12,700	$0	$1,463	$0	$302,918	$0	$0	$0
RICHARD GRAHAM
PROVIDER	$371,924	$0	$10,000	$0	$50,971	$0	$12,750	$0	$32,759	$0	$478,404	$0	$0	$0
MARTIN JOHNS
PROVIDER	$202,402	$0	$16,398	$0	$51,614	$0	$10,777	$0	$29,813	$0	$311,004	$0	$0	$0
JON-RICHARD KNOFF
PROVIDER	$237,909	$0	$0	$0	$47,481	$0	$12,750	$0	$30,460	$0	$328,600	$0	$0	$0
DAVID SANVILLE
FORMER CFO	$131,926	$0	$1,856	$0	$161	$0	$7,046	$0	$24,830	$0	$165,819	$0	$0	$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	VERMONT EDUCATIONAL & HEALTH BUILDING FINANCING AG	BusinessNameLine1

Field	Value	IRS element (for citing)
Bond Issuer EIN	237154467	BondIssuerEIN
CUSIP	9241608B3	CUSIPNum
Bond Issued	2010-09-01	BondIssuedDt
Issue Price	$20,430,000	IssuePriceAmt
Purpose	TO FINANCE GIFFORD'S CAPITAL PROJE	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$20,430,000	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$20,310,307	RefundingEscrowAmt
Issuance Costs From Proceeds	$116,693	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2010	SubstantialCompletionYr
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	false	RebateNotDueYetInd
Exception To Rebate	Yes (true)	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	Yes (true)	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	DEUTSCHE BANK	BusinessNameLine1

Field	Value	IRS element (for citing)
Term Of Hedge	26.	TermOfHedgePct
Superintegrated Hedge	false	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	false	ProceduresCorrectiveActionInd

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	8	ContributionCnt
Noncash Contributions Rpt F990	$336,671	NoncashContributionsRptF990Amt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	PRIZES	Desc
Contribution	14	ContributionCnt
Noncash Contributions Rpt F990	$2,737	NoncashContributionsRptF990Amt
Method Of Determining Revenues	0	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (true)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE M, PART I, COLUMN B	NUMBER OF CONTRIBUTIONS: THE NUMBER OF CONTRIBUTIONS REPORTED IN COLUMN B ON LINES 1-28 IS THE NUMBER OF INDIVIDUAL CONTRIBUTORS.
SCHEDULE M, PART II, LINE 32B	PROCESSING OF NONCASH CONTRIBUTIONS: THE ORGANIZATION USES A BROKERAGE TO HOLD CONTRIBUTIONS OF SECURITIES.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 3	PROGRAM SERVICE ACCOMPLISHMENTS: AS OF JULY 1, 2014, THE SERVICES DESCRIBED IN PART III, LINE 4B ARE OFFERED BY GIFFORD MEDICAL CENTER'S PARENT CORPORATION, GIFFORD HEALTH CARE WHICH IS AN FQHC.
FORM 990, PART III, LINE 4D	OTHER 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 2A	W-2'S FILED: GIFFORD MEDICAL CENTER ALSO FILES W-2'S FOR ITS RELATED ORGANIZATION, GIFFORD HEALTH CARE, INC.(GHC). 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 FOR THE AMOUNTS THAT REPRESENT WORK PERFORMED FOR GHC. 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.
FORM 990, PART VI, SECTION A, LINE 4	BYLAW CHANGES: THE ORGANIZATION MADE THE FOLLOWING SIGNIFICANT CHANGES TO ITS BYLAWS: - THE NUMBER OF CORPORATORS WAS CHANGED FROM NO MORE THAN 75 TO NO FEWER THAN 50 AND NO MORE THAN 150. - THE NUMBER OF TRUSTEES ON THE BOARD CHANGED FROM NO MORE THAN 17 TO AT LEAST 9 AND NO MORE THAN 13. - THE MEMBERS OF THE GIFFORD HEALTH CENTER, INC. (GHC) BOARD OF EXECUTIVE COMMITTEE, WHICH INCLUDES THE CHAIRPERSON, VICE-CHAIRPERSON, SECRETARY, TREASURER AND AT LEAST TWO OTHER DIRECTORS OF GHC APPOINTED BY THE GHC BOARD CHAIRPERSON SHALL BE MEMBERS OF THE GMC BOARD OF TRUSTEES. GHC DIRECTORS MUST CONSTITUTE THE MAJORITY OF THE MEMBERS OF THE GMC BOARD. - THE CEO OF THE CORPORATION AND THE MEDICAL DIRECTOR OF GHC SHALL SERVE AS TRUSTEES EX OFFICIO WITH THE POWER TO VOTE. - AT THE ANNUAL MEETING, THE CORPORATORS SHALL ELECT A MINORITY OF THE NON-EX OFFICIO TRUSTEES TO FILL EXPIRING TERMS AND VACANCIES. - THE BOARD OF DIRECTORS OF GHC SHALL APPOINT A MAJORITY OF THE NON-EX OFFICIO TRUSTEES. - ANY TRUSTEE MAY BE REMOVED BY A 2/3 VOTE OF THE REMAINING TRUSTEES IF THE BOARD DETERMINES THAT SUCH REMOVAL WOULD BE IN THE BEST INTEREST OF THE CORPORATION. - PROVIDERS WHO RECEIVE COMPENSATION FROM THE CORPORATION, WHETHER DIRECTLY OR INDIRECTLY OR AS EMPLOYEES OR INDEPENDENT CONTRACTORS, ARE PRECLUDED FROM MEMBERSHIP ON ANY COMMITTEE WHOSE JURISDICTION INCLUDES COMPENSATION MATTERS AND VOTING ON ANY COMPENSATION MATTERS, INCLUDING WITHOUT LIMITATION, THE COMPENSATION OF THE OFFICERS OF THE CORPORATION. NO PROVIDER, EITHER INDIVIDUALLY OR COLLECTIVELY, IS PROHIBITED FROM PROVIDING INFORMATION TO ANY COMMITTEE REGARDING PROVIDER COMPENSATION. - NO MORE THAN 49% OF TRUSTEES AT ANY ONE TIME MAY BE "FINANCIALLY INTERESTED PERSONS." - ANY ACTION REQUIRED OR PERMITTED TO BE TAKEN AT ANY MEETING OF THE BOARD MAY BE TAKEN WITHOUT MEETING IF 2/3 OF THE BOARD CONSENT TO THE ACTION BY PHONE OR IN WRITING EVIDENCING THEIR CONSENT, AND DOCUMENTATION IF FILED WITH THE SECRETARY OF THE CORPORATION. - THE CHAIRPERSON, VICE-CHAIRPERSON, SECRETARY, AND TREASURER MUST BE THE SAME CORRESPONDING OFFICERS AS GHC'S BOARD OF DIRECTORS. - THE FINANCE COMMITTEE, QUALITY COMMITTEE, AND PERSONNEL AND COMPENSATION COMMITTEE, ALL NEW COMMITTEES, SHALL BE THE SAME AS THE FINANCE COMMITTEE, QUALITY COMMITTEE, AND PERSONNEL AND COMPENSATION COMMITTEE OF GHC. - THE JOINT CONFERENCE COMMITTEE SHALL NOW HAVE AT LEAST ONE GHC DIRECTOR APPOINTED BY THE GHC CHAIR. - ACTIONS OF THE BOARD COMMITTEE, WITH THE EXCEPTION OF THE EXECUTIVE COMMITTEE, ARE ADVISORY ONLY AND ARE NOT BINDING ON THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINES 6, 7A & 7B	ORGANIZATION'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 TRUSTEES.
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 PUBLIC DISCLOSURE COPY OF THE FORM 990 AT ONE OF THE BOARD MEETINGS BEFORE 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, LINE 12C	CONFLICT 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 TRUSTEE 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 TRUSTEE ABSTAINED FROM VOTING AND DISCUSSION.
FORM 990, PART VI, SECTION B, LINES 15A & 15B	COMPENSATION REVIEW: GIFFORD 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 TRUSTEES FOR APPROVAL. 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 VII, SECTION A	BOARD MEMBER COMPENSATION: ELLAMARIE RUSSO-DEMARA (MEDICAL STAFF PRESIDENT) AND JOSEPH WOODIN (CEO) ARE EMPLOYEES OF GIFFORD MEDICAL CENTER AS WELL AS MEMBERS OF THE BOARD OF TRUSTEES. THEY AVERAGE ONE (1) HOUR PER WEEK FOR THEIR SERVICES AS MEMBERS OF THE BOARD OF TRUSTEES. THEIR COMPENSATION IS RELATED TO THEIR ROLES AS EMPLOYEES. NO TRUSTEES RECEIVE COMPENSATION FOR THEIR ROLES AS TRUSTEES.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS: $(336,763) CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
GIFFORD HEALTH CARE INC
44 SOUTH MAIN STREET	RANDOLPH	VT	05060	460938716	FQHC/PARENT	VT	501(C)(3)	9	NA	false
GIFFORD RETIREMENT COMMUNITY INC
44 S MAIN ST	RANDOLPH	VT	05060	463593492	RETIREMENT	VT	501(C)(3)	9	GHC	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd