2015-08-06T13:48:21-05:00 2014-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2013-10-01 030179418 GIFFORD MEDICAL CENTER INC % JEFFREY HEBERT GIFF 8027284441 44 SOUTH MAIN STREET Suite RANDOLPH VT 05060 JOSEPH L WOODIN CEO 8027284441 2015-08-03 true Brian D Todd P00422601 8027284441 2013 2016-02-25 16:41:14Z JOSEPH L WOODIN 44 SOUTH MAIN STREET RANDOLPH VT 05060 77825951 false X WWW.GIFFORDMED.ORG X 1905 VT GIFFORD MEDICAL CENTER IS A NON-PROFIT ACUTE-CARE HOSPITAL PROVIDING HEALTHCARE ON AN INPATIENT AND OUTPATIENT BASIS. 13 11 692 145 119636 -46267 1601972 1628111 66431263 65794994 1067884 2379352 -24269 -28513 69076850 69773944 9750 28269 0 0 39372203 36665338 0 22200 168725 25680301 27237680 65062254 63953487 4014596 5820457 77776406 84306183 33430255 33623210 44346151 50682973 X 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. false true 15562343 7862352 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. 9109109 7666230 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. 5258966 10933390 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. 29140278 28269 39333022 59070696 true true false true false false false false false true true false false false true false false true false false false false false true true false true true true true true true false false false false false false false false false false true false false false false true false false false true X 145 0 true 692 true true true false false false false false false false false false X 13 11 false false true false true true false true true false false false true true true true true true false false X JEFFREY HEBERT 8027282356 PO BOX 2000 RANDOLPH VT 05060 X SHARON DIMMICK CHAIR ENDING 12/2013 1.0 0.0 X X 0 0 0 AUGUST MEYER CHAIR BEGINNING 1/2014 1.0 2.0 X X 0 0 0 PAUL KENDALL SECRETARY ENDING 12/2013/TTEE 1.0 2.0 X X 0 0 0 LINCOLN CLARK TREASURER 1.0 2.0 X X 0 0 0 DAVID AINSWORTH TRUSTEE ENDING 12/2013 1.0 0.0 X 0 0 0 LEO CONNOLLY TRUSTEE ENDING 5/2014 1.0 0.0 X 0 0 0 RANDY GARNER TRUSTEE 1.0 2.0 X 0 0 0 FRED NEWHALL TRUSTEE 1.0 1.0 X 0 0 0 PETER NOWLAN VICE CHAIR BEGINNING 1/2014 1.0 2.0 X X 0 0 0 BOB WRIGHT SECRETARY BEGINNING 1/2014 1.0 2.0 X X 0 0 0 SHELIA JACOBS TRUSTEE 1.0 1.0 X 0 0 0 LINDA MORSE TRUSTEE 1.0 1.0 X 0 0 0 MONA COLTON TRUSTEE ENDING 3/2014 1.0 0.0 X 0 0 0 ELLAMARIE RUSSO-DEMARA TRUSTEE/MED STAFF PRESIDENT 32.0 1.0 X 97535 0 37607 JOSEPH WOODIN PRESIDENT & CEO 40.0 2.0 X X 431483 0 45359 MATT CONSIDINE TRUSTEE BEGINNING 1/14 1.0 2.0 X 0 0 0 JODY RICHARDS TRUSTEE BEGINNING 1/14 1.0 2.0 X 0 0 0 JEFFREY HEBERT CFO 40.0 2.0 X 134995 0 7344 STEPHANIE LANDVATER PROVIDER 40.0 0.0 X 603472 0 45595 BESS BRACKETT PROVIDER 40.0 0.0 X 288755 0 14163 RICHARD GRAHAM PROVIDER 40.0 0.0 X 432895 0 45509 MARTIN JOHNS PROVIDER 40.0 0.0 X 270414 0 40590 JON-RICHARD KNOFF PROVIDER 40.0 0.0 X 285390 0 43210 DAVID SANVILLE FORMER CFO X 133943 0 31876 2678882 0 311253 45 true true false DEW CONSTRUCTION CORPORATION BUILDING CONTRACTOR 2127459 CONNOR CONTRACTING INC BUILDING CONTRACTOR 1042431 AMERICAN HEALTH CENTERS INC MRI SERVICES 505176 M MODAL TRANSCRIPTION 363103 UNIVERSITY OF VERMONT CONTRACTED SERVICES 338555 17 67198 97764 1463149 339408 1628111 NET PATIENT SERVICE REVENUE 621400 61547164 61547164 PHARMACY REVENUE 446110 2256416 2256416 DAYCARE REVENUE 812900 367323 247687 119636 CAFETERIA REVENUE 722514 311091 311091 OTHER REVENUE 624100 1313000 1313000 65794994 1277512 1277512 0 0 59210 85299 -26089 0 -26089 -26089 9033923 14396 7917161 29318 1116762 -14922 1101840 1101840 5257 67198 11489 -6232 -6232 11595 8740 2855 2855 0 EXTRAORDINARY GAIN 900099 953 953 953 69773944 65675358 119636 2350839 10000 10000 18269 18269 0 0 754323 135142 619181 165819 165819 27909364 26016648 1812313 80403 1185777 1102329 80038 3410 4746469 4367598 365324 13547 1903586 1731634 166620 5332 0 26651 26651 87994 87994 0 22200 22200 20258 20258 5802952 5278770 507929 16253 95706 87061 8377 268 2172985 1974871 191971 6143 0 0 829412 754491 72598 2323 514753 468255 45056 1442 0 245724 223528 21508 688 966396 879101 84588 2707 0 3139208 2855643 274773 8792 753850 685755 65984 2111 MEDICAL SUPPLIES & DRUGS 5002544 5002544 BAD DEBT 3265072 3265072 PROVIDER TAXES 3233280 3233280 LICENSES, DUES, SUBSCRIPTIONS 695189 632393 60849 1947 385706 348312 36235 1159 63953487 59070696 4714066 168725 152395 258408 6360292 5934473 618010 616011 8442027 8261318 0 0 0 0 0 0 1264146 1161079 1612863 1404951 67034240 34494061 29280859 32540179 29607969 31791687 0 0 0 0 20391 16660 417454 2321417 77776406 84306183 9828366 10255013 0 0 501140 456201 19168494 18715065 0 0 0 0 115889 68249 0 0 3816366 4128682 33430255 33623210 X 41805620 48608447 1411991 945986 1128540 1128540 44346151 50682973 77776406 84306183 X 5820457 853128 -336763 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 12335 12335 false SCHEDULE C, PART II-B, LINE 1(I) 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. 5709055 583452 6292507 4319608 1173313 216134 5709055 3753013 2379 564216 4319608 3836630 -83617 3753013 28100136 100000 224040 24587546 3836630 0.61840 0.17930 0.20230 true false 655000 601779 1256779 30171587 13442851 16728736 302815 259389 43426 29555959 19135782 10420177 5747100 1656039 4091061 32540179 0 EST AMT DUE TO THIRD PARTY 1792219 INTEREST RATE SWAP AGREEMENT 2336463 4128682 64814359 853128 -4458708 -3605580 68419939 1354005 1354005 69773944 59709712 20229 20229 59689483 20258 4243746 4264004 63953487 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 X X X X X true ANNE PEYTON CAMPAIGN FUNDRAISING false 1356076 22200 1333876 1356076 22200 1333876 LAST MILE RIDE 72455 67198 5257 3377 1143 6969 0 72455 67198 5257 3377 1143 6969 11489 -6232 true true X true X 225. true X true true false false 290212 290212 0.00480 13508034 12385008 1123026 0.01850 13798246 12385008 1413238 0.02330 726722 361319 365403 0.00600 89188 89188 0.00150 9204210 7643982 1560228 0.02570 28269 28269 0.00050 10048389 8005301 2043088 0.03370 23846635 20390309 3456326 0.05700 108422 46082 62340 0.00100 596 596 109018 46082 62936 0.00100 true 3265072 427724 18132377 18151054 -18677 X true true 1 1 GIFFORD MEDICAL CENTER INC PO BOX 2000 RANDOLPH VT 05060 WWW.GIFFORDMED.ORG 829 X X X X GIFFORD MEDICAL CENTER INC 1 true X X X X X X X X X 12 true false true X GIFFORDMED.ORG/COMMUNITYREPORTS X X X X X X X X X false false true true 225. true 300. true X X X X X true true X X X X X true false X X X X true X false false 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. 8 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 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). true STAGECOACH TRANSPORTATION SERVICES INC DEPOT SQUARE PO BOX 356 RANDOLPH VT 05060 030276517 501(C)(3) 10000 COMMUNITY BENEFIT 1 PATIENT GRANTS 23 18269 SCHEDULE I, PART 1, LINE 2 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. X X X X X X false false false false false false false false false JOSEPH WOODIN PRESIDENT & CEO 307134 0 76297 0 48052 0 12750 0 32609 0 476842 0 0 0 STEPHANIE LANDVATER PROVIDER 442660 0 49380 0 111432 0 12750 0 32845 0 649067 0 0 0 BESS BRACKETT PROVIDER 228308 0 0 0 60447 0 12700 0 1463 0 302918 0 0 0 RICHARD GRAHAM PROVIDER 371924 0 10000 0 50971 0 12750 0 32759 0 478404 0 0 0 MARTIN JOHNS PROVIDER 202402 0 16398 0 51614 0 10777 0 29813 0 311004 0 0 0 JON-RICHARD KNOFF PROVIDER 237909 0 0 0 47481 0 12750 0 30460 0 328600 0 0 0 DAVID SANVILLE FORMER CFO 131926 0 1856 0 161 0 7046 0 24830 0 165819 0 0 0 A VERMONT EDUCATIONAL & HEALTH BUILDING FINANCING AG 237154467 9241608B3 2010-09-01 20430000 TO FINANCE GIFFORD'S CAPITAL PROJE false false false A 0 0 20430000 0 0 20310307 116693 0 0 0 0 0 2010 true false true true A false false false false 0 false false false true A false false true false true true DEUTSCHE BANK 26. false false false 0 false false A false X 8 336671 X PRIZES 14 2737 0 false true true 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. 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 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 false false false false false false false false false true false false false true false false true false false