2014-08-08T09:31:49-05:00 2013-09-30 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2012-10-01 030308242 Porter Management Services Inc PORT 8023387901 115 Porter Drive Middlebury VT 05753 Steven T Ciampa 8023387901 2014-08-06 1 Barbara J McGuan CPA P00219457 2077752387 2014-08-06 2012 2015-11-30 17:44:51Z X X James L Daily 115 Porter Drive Middlebury VT 05753 2476941 0 X www.portermedical.org X 1986 VT Provides management services to related hospital and nursing home 5 4 18 4 0 0 0 0 1872179 2476918 34 23 0 0 1872213 2476941 0 0 0 0 1690860 1952582 0 0 0 407166 579539 2098026 2532121 -225813 -55180 920376 0 1401464 0 -481088 0 X Provides administrative and certain other services to Porter Medical Center and its other wholly-owned subsidiaries. 0 1 2532121 2476918 PMS provided administrative services for related entities. These services relate to the operation of a 25 bed critical access hospital which consists of more than 60 physicians (eleven physician practices) offering primary care and an array of specialty medical care, and Helen Porter Nursing Home, a 105 bed skilled nursing facility that provided services to residents totaling 35,171 resident days during the year end 9/30/13. 2532121 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 7 0 1 18 1 0 0 0 0 0 0 0 0 0 0 0 X 5 4 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 VT X Steven T Ciampa 8023387901 115 Porter Drive Middlebury VT 05753 James L Daily 5.00 40.00 X X 354566 0 121556 Bill Townsend 2.00 9.00 X X 0 0 0 Edwin Grant 1.00 2.00 X X 0 0 0 Ken Perine 1.00 1.00 X 0 0 0 Linda Harmon 1.00 2.00 X 0 0 0 Steven T Ciampa 5.00 40.00 X 0 0 0 Marilyn Olejnik 5.00 40.00 X 215081 0 24674 Ronald Hallman 40.00 X 127236 0 32434 696883 0 178664 3 0 1 0 Leaders for Today 50 Resnik Road Suite 103 Plymouth MA 02360 Interim Leadership Services 200900 1 Management Revenue 561000 2476918 2476918 2476918 23 23 2476941 2476918 0 23 X 636677 636677 960463 960463 52838 52838 222983 222983 79621 79621 26234 26234 381894 381894 54840 54840 12147 12147 20672 20672 226 226 8723 8723 Recruiting 72358 72358 Dues & Subscriptions 2445 2445 2532121 2532121 0 0 0 23087 0 0 38821 0 0 0 0 0 2693 0 0 0 0 0 0 855775 0 920376 0 236217 0 0 0 0 0 0 0 0 1165247 0 1401464 0 X -481088 0 -481088 0 920376 0 X -55180 536268 X 0 1 X 1 0 X X X 0 0 0 Helen Porter Nursing Home Inc 030306549 3 1 1 1 202030 Porter Hospital Inc 030181058 3 1 1 1 2289362 2 2491392 X X X X 0 1 0 0 0 0 0 0 0 James L Daily 320845 0 0 0 33721 0 91700 0 29856 0 476122 0 0 0 Marilyn Olejnik 197323 0 0 0 17758 0 6401 0 18273 0 239755 0 0 0 Ronald Hallman 119026 0 0 0 8210 0 6561 0 25873 0 159670 0 0 0 Part I, Line 4b James Daily, President/CEO, participates in a 457(f) plan, and $79,200 was deferred on his behalf to the plan during FY 9/30/13. Cash 2013-09-30 3045 FMV 030310862 Porter Medical Center 37 Porter Drive Middlebury VT 05753 3 Savings and Temporary Cash Investments 2013-09-30 74818 FMV 030310862 Porter Medical Center 37 Porter Drive Middlebury VT 05753 3 Accounts Receivable, Net 2013-09-30 41189 FMV 030310862 Porter Medical Center 37 Porter Drive Middlebury VT 05753 3 Prepaid Expenses 2013-09-30 36354 FMV 030310862 Porter Medical Center 37 Porter Drive Middlebury VT 05753 3 Due from Affiliates 2013-09-30 685946 FMV 030310862 Porter Medical Center 37 Porter Drive Middlebury VT 05753 3 Deferred Compensation 2013-09-30 845907 FMV 030310862 Porter Medical Center 37 Porter Drive Middlebury VT 05753 3 Accounts Payable and Accrued Expenses 2013-09-30 -89113 FMV 030310862 Porter Medical Center 37 Porter Drive Middlebury VT 05753 3 Accrued Payroll 2013-09-30 -82464 FMV 030310862 Porter Medical Center 37 Porter Drive Middlebury VT 05753 3 Accrued Vacation 2013-09-30 -202995 FMV 030310862 Porter Medical Center 37 Porter Drive Middlebury VT 05753 3 Deferred Compensation 2013-09-30 -845907 FMV 030310862 Porter Medical Center 37 Porter Drive Middlebury VT 05753 3 Due to Affiliates 2013-09-30 -594924 FMV 030310862 Porter Medical Center 37 Porter Drive Middlebury VT 05753 3 Liability for Pension Benefits 2013-09-30 -145657 FMV 030310862 Porter Medical Center 37 Porter Drive Middlebury VT 05753 3 1 1 0 0 1 1 1 1 0 Part I, Line 2e: Bill Townsend, Chair; Linda Harmon, Director; Ken Perine, Director; Edwin Grant, Secretary/Treasurer; All employees Part I, Line 2e: Bill Townsend is the Chair on the board of both Porter Management Services, Inc. and Porter Medical Center. He will retain that role after the merger. Linda Harmon is a director on the board of both Porter Management Services, Inc. and Porter Medical Center. She will retain that role after the merger.Edwin Grant is a Secretary/Treasurer on the board of Porter Management Services, Inc. He will become a director on the board of Porter Medical Center after the merger.Ken Perine is a director on the board of Porter Management Services, Inc. He will become a director on the board of Porter Medical Center after the merger.Each employee will retain their roles in the transferee organization. Changes in Program Services Form 990, Part III, line 3 On September 24, 2013, the respective Boards of Directors of Porter Medical Center (PMC) and Porter Management Services (PMS) voted to merge PMS and PMC, with PMC remaining as the surviving entity. The merger occurred on October 1, 2013. Form 990, Part VI, Section A, line 4 On September 24, 2013, the respective Boards of Directors of Porter Medical Center (PMC) and Porter Management Services (PMS) voted to merge PMS and PMC, with PMC remaining as the surviving entity. The merger occurred on October 1, 2013. Form 990, Part VI, Section A, line 6 Porter Medical Center, Inc. is the parent holding company and sole corporate member of the Organization. Form 990, Part VI, Section A, line 7a Porter Medical Center, Inc., the parent holding company and sole corporate member of the Organization, has the right to appoint PMS directors. Form 990, Part VI, Section A, line 7b Porter Medical Center, Inc., the parent holding company and sole corporate member of the Organization, has the right to approve major decisions of the Organization. Form 990, Part VI, Section B, line 11 Form 990 is reviewed by management and the finance committee before filing. The form 990 is also made available electronically to the Board of Directors before filing. Form 990, Part VI, Section B, line 12c The Organization's CFO is responsible for regularly and consistently monitoring and enforcing compliance with the conflict of interest policy. When bids are solicited to include the business of a Board member, those bids are reviewed by the Board of Directors to assure adherence to the Hospital's lowest bid policy. When an issue comes up to a vote and it is connected, in any way, to the business of a Board member, the member must recuse him/herself from the vote. Form 990, Part VI, Section B, line 15a The Organization's executive committee reviews comparative data prepared by a consultant prior to referral of compensation to the board of directors. The board of directors review the findings of the consultant and vote to approve the salary of the CEO. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Other Fees Form 990, Part IX, line 11g Purchased Services: Program service expenses 381,894. Management and general expenses 0. Fundraising expenses 0. Total expenses 381,894. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Change in net assets to recognize funded status of pension plan 192,467. Transfer from affiliate 70,000. Equity transferred in Merger 273,801. Helen Porter Nursing Home Inc 37 Porter Drive Middlebury VT 05753 030306549 Nursing Home VT 501(c)(3) Line 3 Porter Medical Center Inc 0 Porter Hospital Inc 37 Porter Drive Middlebury VT 05753 030181058 Hospital VT 501(c)(3) Line 3 Porter Medical Center Inc 0 Porter Medical Center Inc 37 Porter Drive Middlebury VT 05753 030310862 Holding Company for Subsidiaries VT 501(c)(3) Line 11b, II N/A 0 Auxiliary of Porter Medical Center 37 Porter Drive Middlebury VT 05753 237363227 Supporting Organization VT 501(c)(3) Line 11b, II Porter Medical Center Inc 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0