GIFFORD MEDICAL CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
GIFFORD MEDICAL CENTER INC (EIN 03-0179418)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-11
IRS object ID
201442239349301264
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-11T11:44:22-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN030179418EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GIFFORD MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JEFFREY HEBERTInCareOfName
Name ControlGIFFNameControl
Phone8027284441Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line144 SOUTH MAIN STREETAddressLine1
Address Line2SuiteAddressLine2
CityRANDOLPHCity
StateVTState
ZIP Code05060ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJEFFREY HEBERTName
TitleCFOTitle
Phone8027284441Phone
Date Signed2014-07-23DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian D ToddName
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOSEPH L WOODINNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line144 SOUTH MAIN STREETAddressLine1
CityRANDOLPHCity
StateVTState
ZIP Code05060ZIPCode
FieldValueIRS element (for citing)
Gross Receipts69344177GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.GIFFORDMED.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1905YearFormation
State Legal DomicileVTStateLegalDomicile
Activity Or Mission DescriptionGIFFORD MEDICAL CENTER IS A NON-PROFIT ACUTE-CARE HOSPITAL PROVIDING HEALTHCARE ON AN INPATIENT AND OUTPATIENT BASIS.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees690TotalNbrEmployees
Total Nbr Volunteers120TotalNbrVolunteers
Total Gross UBI153822TotalGrossUBI
Net Unrelated Business Txbl Income-47638NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year560123ContributionsGrantsPriorYear
Contributions Grants Current Year1601972ContributionsGrantsCurrentYear
Program Service Revenue Prior Year62984021ProgramServiceRevenuePriorYear
Program Service Revenue CY66431263ProgramServiceRevenueCY
Investment Income Prior Year269379InvestmentIncomePriorYear
Investment Income Current Year1067884InvestmentIncomeCurrentYear
Other Revenue Prior Year-78727OtherRevenuePriorYear
Other Revenue Current Year-24269OtherRevenueCurrentYear
Total Revenue Prior Year63734796TotalRevenuePriorYear
Total Revenue Current Year69076850TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY9750GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year36445533SalariesEtcPriorYear
Salaries Etc Current Year39372203SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year174634TotalFundrsngExpCurrentYear
Other Expense Prior Year25219861OtherExpensePriorYear
Other Expenses Current Year25680301OtherExpensesCurrentYear
Total Expenses Prior Year61665394TotalExpensesPriorYear
Total Expenses Current Year65062254TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2069402RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4014596RevenuesLessExpensesCY
Total Assets BOY68859686TotalAssetsBOY
Total Assets EOY77776406TotalAssetsEOY
Total Liabilities BOY33028430TotalLiabilitiesBOY
Total Liabilities EOY33430255TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY35831256NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY44346151NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionAS 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense17349350Expense
Revenue8317451Revenue
DescriptionGIFFORD 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense8709145Expense
Revenue7286106Revenue
DescriptionGIFFORD 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.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense5446158Expense
Revenue11401371Revenue
DescriptionGIFFORD 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.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp27925336TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt9750TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev39272513TotalOfOtherProgramServiceRev
Total Program Service Expense59429989TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096144NumberFormsTransmittedWith1096
Number W2 G Included1NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees690NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJEFFREY HEBERTNamePerson
Telephone Number8027282356TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 2000AddressLine1
CityRANDOLPHCity
StateVTState
ZIP Code05060ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
SHARON DIMMICK
CHAIR1.0XX000
AUGUST MEYER
VICE CHAIR1.0XX000
PAUL KENDALL
SECRETARY1.0XX000
LINCOLN CLARK
TREASURER1.0XX000
DAVID AINSWORTH
TRUSTEE1.0X000
WILLIAM BAUMANN JR
TRUSTEE1.0X000
LINDA CHUGKOWSKI
TRUSTEE1.0X000
LEO CONNOLLY
TRUSTEE1.0X000
JACK COWDREY
TRUSTEE THRU 2/20131.0X000
DR MARCUS COXON
TTEE/MED STAFF PRES THRU 12/1222.4X9110807419
RANDY GARNER
TRUSTEE1.0X000
KAREN GILLESPIE-KORROW
TRUSTEE THRU 2/20131.0X000
FRED NEWHALL
TRUSTEE1.0X000
PETER NOWLAN
TRUSTEE1.0X000
BARBARA ROCHAT
TRUSTEE1.0X000
BOB WRIGHT
TRUSTEE1.0X000
SHELIA JACOBS
TRUSTEE BEG 3/20131.0X000
LINDA MORSE
TRUSTEE BEG 3/20131.0X000
MONA COLTON
TRUSTEE BEG 3/20131.0X000
CAROL BUSHEY
TRUSTEE BEG 3/20131.0X000
ELLAMARIE RUSSO-DEMARA
TTEE/MED STAFF PRES BEG 1/201322.4X10649336158
JOSEPH WOODIN
PRESIDENT & CEO40.0XX424590044243
JEFFREY HEBERT
CFO40.0X1082925906
STEPHANIE LANDVATER
PROVIDER40.0607958044467X
BESS BRACKETT
PROVIDER40.0493711044467X
RICHARD GRAHAM
PROVIDER40.0444374043239X
DENNIS HENZIG
PROVIDER40.0275487037267X
JON-RICHARD KNOFF
PROVIDER40.0273464040942X
DAVID SANVILLE
FORMER CFO162112032977X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2987589TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation337085TotalOtherCompensation
Number Individuals GT100 K46NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
DEW CONSTRUCTION CORPORATION
BUILDING CONTRACTOR2127459
CONNOR CONTRACTING INC
BUILDING CONTRACTOR849253
AMERICAN HEALTH CENTERS INC
MRI SERVICES494738
M MODAL
CONTRACTED SERVICES358518
UNIVERSITY OF VERMONT
TSP283799
FieldValueIRS element (for citing)
Number Of Contractors GT100 K18NumberOfContractorsGT100K
Fundraising Events66309FundraisingEvents
All Other Contributions1535663AllOtherContributions
Noncash Contributions1288NoncashContributions
Total Contributions1601972TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE6214006257508762575087
PHARMACY REVENUE44611010508931050893
DAYCARE REVENUE812900375813221991153822
CAFETERIA REVENUE722514313061313061
OTHER REVENUE62410021164092116409
FieldValueIRS element (for citing)
Total Program Service Revenue66431263TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column971921TotalRevenueColumn
Exclusion$971,921ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real59923Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real81944Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-22021Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-22021TotalRevenueColumn
Exclusion-$22,021ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities227871Securities
Other33945Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities119926Securities
Other45927Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities107945Securities
Other-11982Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column95963TotalRevenueColumn
Exclusion$95,963ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events3892GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events66309CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses13242FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-9350TotalRevenueColumn
Exclusion-$9,350ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming10837GrossIncomeGaming
Gaming Direct Expenses6288GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column4549TotalRevenueColumn
Exclusion$4,549ExclusionAmount

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionEXTRAORDINARY GAINDescription
Business Code900099BusinessCode
Total Revenue Column2553TotalRevenueColumn
Exclusion$2,553ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2553TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column69076850TotalRevenueColumn
Related Or Exempt Function Income66277441RelatedOrExemptFunctionIncome
Unrelated Business Revenue153822UnrelatedBusinessRevenue
Exclusion$1,043,615ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total9750Total
Program Services9750ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total824209Total
Program Services241178ProgramServices
Management And General583031ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total195089Total
Management And General195089ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total29015185Total
Program Services26727704ProgramServices
Management And General2192287ManagementAndGeneral
Fundraising95194Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1253599Total
Program Services1151337ProgramServices
Management And General98157ManagementAndGeneral
Fundraising4105Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6098750Total
Program Services5538310ProgramServices
Management And General540740ManagementAndGeneral
Fundraising19700Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1985371Total
Program Services1787385ProgramServices
Management And General191667ManagementAndGeneral
Fundraising6319Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total50538Total
Management And General50538ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total90368Total
Management And General90368ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total20014Total
Management And General20014ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5464878Total
Program Services4919908ProgramServices
Management And General527576ManagementAndGeneral
Fundraising17394Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total72772Total
Program Services65515ProgramServices
Management And General7025ManagementAndGeneral
Fundraising232Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2087332Total
Program Services1877231ProgramServices
Management And General203395ManagementAndGeneral
Fundraising6706Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total914433Total
Program Services823243ProgramServices
Management And General88279ManagementAndGeneral
Fundraising2911Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total464869Total
Program Services418511ProgramServices
Management And General44878ManagementAndGeneral
Fundraising1480Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total288097Total
Program Services259367ProgramServices
Management And General27813ManagementAndGeneral
Fundraising917Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total992317Total
Program Services893361ProgramServices
Management And General95798ManagementAndGeneral
Fundraising3158Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2986552Total
Program Services2688726ProgramServices
Management And General288320ManagementAndGeneral
Fundraising9506Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total847945Total
Program Services763386ProgramServices
Management And General81860ManagementAndGeneral
Fundraising2699Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBT27102682710268
MEDICAL SUPPLIES & DRUGS41954304195430
LICENSES, DUES, SUBSCRIPTIONS670373603522647172134
PROVIDER TAXES31493883149388

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total674727Total
Program Services606469ProgramServices
Management And General66079ManagementAndGeneral
Fundraising2179Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total65062254Total
Program Services59429989ProgramServices
Management And General5457631ManagementAndGeneral
Fundraising174634Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY137396BOY
EOY152395EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7457990BOY
EOY6360292EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY23581BOY
EOY618010EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7328813BOY
EOY8442027EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1130171BOY
EOY1264146EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1415765BOY
EOY1612863EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis60764775LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec31483916LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY25885445BOY
EOY29280859EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY25072254BOY
EOY29607969EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY24124BOY
EOY20391EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY384147BOY
EOY417454EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY68859686BOY
EOY77776406EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8474838BOY
EOY9828366EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY128012BOY
EOY501140EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY19599466BOY
EOY19168494EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY165806BOY
EOY115889EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4660308BOY
EOY3816366EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY33028430BOY
EOY33430255EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY34269832BOY
EOY41805620EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1091685BOY
EOY1411991EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY469739BOY
EOY1128540EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY35831256BOY
EOY44346151EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY68859686BOY
EOY77776406EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses4014596ReconcilationRevenueExpenses
Reconciliation Unrealized Invest2530656ReconciliationUnrealizedInvest
Reconcilation Other Changes1969643ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$17,952OtherActivitiesAmount
Total Lobbying Expenditures IIB17952TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOTHER LOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1(I)ReturnReference
ExplanationGIFFORD 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.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance4319608BeginningOfYearBalance
Contributions1173313Contributions
Investment Earnings Or Losses216134InvestmentEarningsOrLosses
End Of Year Balance5709055EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance3753013BeginningOfYearBalance
Contributions2379Contributions
Investment Earnings Or Losses564216InvestmentEarningsOrLosses
End Of Year Balance4319608EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3836630BeginningOfYearBalance
Investment Earnings Or Losses-83617InvestmentEarningsOrLosses
End Of Year Balance3753013EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance28100136BeginningOfYearBalance
Contributions100000Contributions
Investment Earnings Or Losses224040InvestmentEarningsOrLosses
Other Expenditures24587546OtherExpenditures
End Of Year Balance3836630EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance27594808BeginningOfYearBalance
Contributions114149Contributions
Investment Earnings Or Losses469829InvestmentEarningsOrLosses
Other Expenditures78650OtherExpenditures
End Of Year Balance28100136EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.60810BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.19770PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.19420TermEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis655000InvestmentCostOrOtherBasis
Other Cost Or Other Basis542114OtherCostOrOtherBasis
Book Value1197114BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis28212726OtherCostOrOtherBasis
Depreciation12445563Depreciation
Book Value15767163BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis302815OtherCostOrOtherBasis
Depreciation214911Depreciation
Book Value87904BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis27709905OtherCostOrOtherBasis
Depreciation17349304Depreciation
Book Value10360601BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3342215OtherCostOrOtherBasis
Depreciation1474138Depreciation
Book Value1868077BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings29280859TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
EST AMT DUE TO THIRD PARTY$1,816,666
INTEREST RATE SWAP AGREEMENT$1,999,700
FieldValueIRS element (for citing)
Total Of Amounts3816366TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt70446642TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments2530656NetUnrealizedGainsInvestments
Other Revenues-1180394OtherRevenues
Revenue Not Rptd F9901350262RevenueNotRptdF990
Revenue Subtotal69096380RevenueSubtotal
Other Revenues Not Included-19530OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-19530RevenueNotRptdOnFinStmt
Total Revenue Per Form99069076850TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt61931747TotExpensesEtcAuditedFinclStmt
Other Expenses Included19530OtherExpensesIncluded
Expenses Not Rptd F99019530ExpensesNotRptdF990
Expenses Subtotal61912217ExpensesSubtotal
Investment Expenses Not Included220014InvestmentExpensesNotIncluded2
Other Expenses Not Included3130023OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt3150037ExpensesNotRptdOnFinStmt
Total Expenses Per Form99065062254TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RESTATED ENDOWMENT FUNDSSCHEDULE D, PART VIN 2013, THE HOSPITAL DISCOVERED NET ASSETS THAT WERE PERMANENTLY RESTRICTED BASED ON THE ORIGINAL DONOR'S INTENT, BUT WERE CLASSIFIED AS UNRESTRICTED IN 2012 AND PRIOR. ADJUSTMENTS OF $514,512 WERE MADE TO 2012 PERMANENTLY RESTRICTED AND UNRESTRICTED NET ASSET AMOUNTS TO PROPERLY STATE RESTRICTED AMOUNTS. THIS RESTATEMENT HAD NO EFFECT ON THE PREVIOUSLY REPORTED 2012 CHANGE IN NET ASSETS, BUT DOES AFFECT THE ENDOWMENT BALANCES LISTED ON SCHEDULE D, PART V. THE CURRENT YEAR CONTRIBUTIONS ON LINE 1B, COLUMN A, INCLUDES THE ADJUSTMENT OF $514,512 FOR THESE PREVIOUS CONTRIBUTIONS TO THE ENDOWMENT FUND. USE OF ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 THE TEMPORARILY RESTRICTED ENDOWMENT NET ASSETS ARE USED FOR HEALTH CARE SERVICES AND CAPITAL. THE PERMANENTLY RESTRICTED ENDOWMENT NET ASSETS ARE USED FOR INDIGENT CARE, COMMUNITY OUTREACH INITIATIVES, NURSING, BUILDINGS, MAINTENANCE AND OPERATIONS.
UNCERTAIN TAX POSITIONSSCHEDULE D, PART X, LINE 2MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12SCHEDULE D, PART XI, LINE 2D$ 1,969,643 CHANGE IN FV OF INTEREST RATE SWAP AGREEMENT (2,710,268) BAD DEBT EXPENSE ( 20,014) INVESTMENT MGMT FEES ( 419,755) EXPENSES INCLUDED IN REVENUE ------------ $(1,180,394)
OTHER REVENUE INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1SCHEDULE D, PART XI, LINE 4B$(19,530) FUNDRAISING EVENT/GAMING EXPENSES
OTHER EXPENSE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25SCHEDULE D, PART XII, LINE 2D$ 19,530 FUNDRAISING EVENT/GAMING EXPENSES
OTHER EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1SCHEDULE D, PART XII, LINE 4B$2,710,268 BAD DEBT EXPENSE 419,755 EXPENSES INCLUDED IN REVENUE ----------- $3,130,023

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1LAST MILE RIDENameOfEvent1
Gross Receipts Event170201GrossReceiptsEvent1
Charitable Contributions Event166309CharitableContributionsEvent1
Gross Revenue Event13892GrossRevenueEvent1
Rent Facility Costs Event14351RentFacilityCostsEvent1
Food And Beverage Event1958FoodAndBeverageEvent1
Entertainment Event1450EntertainmentEvent1
Other Direct Expenses Event17483OtherDirectExpensesEvent1
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total70201GrossReceiptsTotal
Charitable Contributions Total66309CharitableContributionsTotal
Gross Revenue Total Events3892GrossRevenueTotalEvents
Rent Facility Costs Total Events4351RentFacilityCostsTotalEvents
Food And Beverage Total Events958FoodAndBeverageTotalEvents
Entertainment Total Events450EntertainmentTotalEvents
Other Direct Expenses Total Events7483OtherDirectExpensesTotalEvents
Direct Expense Summary Events13242DirectExpenseSummaryEvents
Net Income Summary-9350NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage225.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense315455TotalCommunityBenefitExpense
Net Community Benefit Expense315455NetCommunityBenefitExpense
Percent Of Total Expense0.00510PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense10275790TotalCommunityBenefitExpense
Direct Offsetting Revenue9472189DirectOffsettingRevenue
Net Community Benefit Expense803601NetCommunityBenefitExpense
Percent Of Total Expense0.01290PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense10591245TotalCommunityBenefitExpense
Direct Offsetting Revenue9472189DirectOffsettingRevenue
Net Community Benefit Expense1119056NetCommunityBenefitExpense
Percent Of Total Expense0.01800PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense815178TotalCommunityBenefitExpense
Direct Offsetting Revenue346290DirectOffsettingRevenue
Net Community Benefit Expense468888NetCommunityBenefitExpense
Percent Of Total Expense0.00750PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense91993TotalCommunityBenefitExpense
Net Community Benefit Expense91993NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense11430268TotalCommunityBenefitExpense
Direct Offsetting Revenue8257618DirectOffsettingRevenue
Net Community Benefit Expense3172650NetCommunityBenefitExpense
Percent Of Total Expense0.05090PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense9750TotalCommunityBenefitExpense
Net Community Benefit Expense9750NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense12347189TotalCommunityBenefitExpense
Direct Offsetting Revenue8603908DirectOffsettingRevenue
Net Community Benefit Expense3743281NetCommunityBenefitExpense
Percent Of Total Expense0.06010PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense22938434TotalCommunityBenefitExpense
Direct Offsetting Revenue18076097DirectOffsettingRevenue
Net Community Benefit Expense4862337NetCommunityBenefitExpense
Percent Of Total Expense0.07810PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense294033TotalCommunityBuildingExpense
Direct Offsetting Revenue53662DirectOffsettingRevenue
Net Community Building Expense240371NetCommunityBuildingExpense
Percent Of Total Expense0.00390PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense2446TotalCommunityBuildingExpense
Net Community Building Expense2446NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense296479TotalCommunityBuildingExpense
Direct Offsetting Revenue53662DirectOffsettingRevenue
Net Community Building Expense242817NetCommunityBuildingExpense
Percent Of Total Expense0.00390PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$2,710,268BadDebtExpenseAmount
Amount Attributable To322522AmountAttributableTo
Amount Reimbursed By Medicare17177965AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare16971336CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall206629MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1GIFFORD MEDICAL CENTER INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1PO BOX 2000AddressLine1
CityRANDOLPHCity
StateVTState
ZIP Code05060ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1GIFFORD MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiesfalseOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Other MethodXOtherMethod
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedfalseAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent225.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent300.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities8NumberOfOtherFacilities

Other Facilities OtherFacilities (8 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
GIFFORD HEALTH CENTER AT BERLIN
82 EAST VIEW LANEBERLINVT05641RURAL HEALTH CENTER
ADVANCE PHYSICAL THERAPY
331 OLCOTT DRIVE U2WHITE RIVER JUNCTIONVT05001RURAL HEALTH CENTER
BETHEL HEALTH CENTER
1823 ROUTE 107BETHELVT05032RURAL HEALTH CENTER
CHELSEA HEALTH CENTER
356 VT ROUTE 110CHELSEAVT05038RURAL HEALTH CENTER
KINGWOOD HEALTH CENTER
1422 ROUTE 66RANDOLPHVT05060RURAL HEALTH CENTER
ROCHESTER HEALTH CENTER
235 SOUTH MAIN STREETROCHESTERVT05767RURAL HEALTH CENTER
SHARON HEALTH CENTER
12 SHIPPEE LANESHARONVT05065RURAL HEALTH CENTER
TWIN RIVER HEALTH CENTER
108 N MAIN STWHITE RIVER JUNCTIONVT05001RURAL HEALTH CENTER

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PERCENT OF TOTAL EXPENSESCHEDULE H, PART I, LINE 7, COLUMN FTO 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 $2,710,268.
SUBSIDIZED SERVICESSCHEDULE H, PART I, LINE 7GTHE 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 $3,093,577. 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.
COSTING METHODOLOGYSCHEDULE H, PART I, LINE 7THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 6.
COMMUNITY BUILDING ACTIVITIESSCHEDULE H, PART IIINCLUDED IN PART II AS COMMUNITY BUILDING ACTIVITIES ARE THE RTCC PRACTICE JOB INTERVIEWS WITH LNA STUDENTS, STUDENT OBSERVATIONS, AND STUDENT TOURS ON LINE 8 AS WORKFORCE DEVELOPMENT. THE DAYCARE/AFTER SCHOOL PROGRAM IS INCLUDED ON LINE 3 AS COMMUNITY SUPPORT. THESE ACTIVITIES PROVIDE OPPORTUNITIES TO ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS, INCLUDING POVERTY, HOMELESSNESS, AND UNEMPLOYMENT.
BAD DEBT EXPENSESCHEDULE H, PART III, SECTION A, LINE 4THE 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. THE ORGANIZATION CALCULATED BAD DEBT USING THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS PER THE AUDITED FINANCIAL STATEMENTS. 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.
COMMUNITY BENEFITSCHEDULE H, PART III, SECTION B, LINE 8SERVING 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.
COLLECTION POLICYSCHEDULE H, PART III, SECTION C, LINE 9BTHE 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.
COMMUNITY INPUTSCHEDULE H, PART V, SECTION B, LINE 3COMMUNITY HEALTHCARE NEEDS ASSESSMENT SURVEYS WERE HANDED OUT AT SEVERAL TOWN MEETINGS WITHIN THE GIFFORD MEDICAL CENTER SERVICE AREA, AS WELL AS TO EMPLOYEES AND VOLUNTEER STAFF.
CHNA AVAILABILITY TO THE PUBLICSCHEDULE H, PART V, SECTION B, LINE 5CTHE CHNA WAS ALSO DISTRIBUTED AT LOCAL TOWN MEETINGS. IMPLEMENTATION STRATEGY SCHEDULE H, PART V, SECTION B, LINE 6 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.
ADDRESSING IDENTIFIED NEEDSSCHEDULE H, PART V, SECTION B, LINE 7GIFFORD MEDICAL CENTER IS CURRENTLY FOCUSING ON THE AREAS THAT APPEAR TO BE THE HIGHEST CONCERN WITHIN THE COMMUNITY.
MEASURES TO PUBLICIZE THE POLICYSCHEDULE H, PART V, SECTION B, LINE 14GGIFFORD MEDICAL CENTER CONTACTS ANY UNINSURED PATIENTS THAT REGISTER WITH THE HOSPITAL TO SEE IF THEY ARE IN NEED OF FINANCIAL ASSISTANCE.
NEEDS ASSESSMENTIDENTIFYING 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.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPATIENTS 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.
COMMUNITY INFORMATIONIN 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%.
PROMOTION OF COMMUNITY HEALTHAS 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 2013: -GIFFORD JOINED ALL VERMONT HOSPITALS AS PART OF ONECARE VERMONT, LLC - AN ACCOUNTABLE CARE ORGANIZATION OFFICIALLY LAUNCHED ON JANUARY 1. -DISTRICT 3 ENVIRONMENTAL COMMISSION APPROVAL WAS OBTAINED FOR A MUCH-NEEDED SENIOR LIVING COMMUNITY IN RANDOLPH CENTER. -THE LABORATORY MADE EQUIPMENT UPGRADES TO ITS CHEMISTRY ANALYZERS TO IMPROVE TURNAROUND TIMES, EFFICIENCY AND RELIABILITY. -A FREE EDUCATIONAL SERIES ON DEATH AND DYING CONTINUES, WITH MULTIPLE DISCUSSIONS THROUGHOUT THE YEAR. -A NEW "HEALTHIER LIVING WORKSHOP" FOCUSES ON MANAGEMENT OF CHRONIC PAIN. THESE ARE SIX-WEEK CLASSES OFFERED FOR FREE THROUGHOUT THE YEAR AT GIFFORD THROUGH THE VERMONT BLUEPRINT FOR HEALTH. -THE UROLOGY TEAM BEGINS OFFERING A NEW ALTERNATIVE - MEDTRONIC INTERSTIM THERAPY, OR SACRAL NERVE STIMULATION. -GIFFORD LAUNCHES A NEW "MATTERS OF THE HEART" MONTHLY EDUCATIONAL SERIES ON HEART HEALTHY TOPICS, SUCH AS DIET, EXERCISE, MANAGING STRESS AND UNDERSTANDING VARIOUS MEDICATIONS. -FOR A THIRD CONSECUTIVE YEAR, THE MENIG EXTENDED CARE FACILITY IS NAMED AMONG THE NATION'S "2013 BEST NURSING HOMES." -LOCAL SITE PLAN APPROVAL IS AWARDED TO GIFFORD BY THE RANDOLPH DEVELOPMENT REVIEW BOARD FOR THE FIRST TWO PHASES - A NEW NURSING HOME AND 40 INDEPENDENT LIVING UNITS - OF A SENIOR LIVING COMMUNITY TO BE BUILT IN RANDOLPH CENTER. -THE EIGHTH ANNUAL DIABETES EDUCATION EXPO FOCUSES ON EYE CARE, SHOPPING ON A BUDGET, MAKING LIFESTYLE CHANGES AND OVERCOMING OBSTACLES TO SUCCESSFUL SELF-MANAGEMENT. -A NEW WOUND CARE CLINIC IS OPENED WITH THE SKILLS OF A SPECIALLY CERTIFIED WOUND CARE AND DIABETIC WOUND CARE NURSE. -AN "AGING TOGETHER" FREE TALK FEATURES GYNECOLOGY AND UROLOGY EXPERTS TALKING ABOUT A COUPLE'S CHANGING SEXUAL HEALTH. -"MEDICARE - READY OR NOT" FEATURES A FREE TALK FROM A HEALTH INSURANCE SPECIALIST ON MEDICARE PARTS A THROUGH D, ELIGIBILITY AND RESOURCES. -GIFFORD PARTNERS WITH THE VERMONT CHAPTER OF THE AMERICAN FOUNDATION FOR SUICIDE PREVENTION AND THE CLARA MARTIN CENTER, TO OFFER A FREE TALK ON "LIVING WITH BIPOLAR DISORDER." -A NEW "QUIT IN PERSON GROUP", A FOUR-WEEK CLASS OFFERED BY GIFFORD AND AIMED AT HELPING PEOPLE QUIT TOBACCO PRODUCTS, IS HELD IN ROCHESTER AND BETHEL. -A NEW "HEALTHIER LIVING WORKSHOP" FOR THE CHRONICALLY ILL IS HELD. -OPHTHALMOLOGIST DR. CHRIS SOARES IS THE FIRST IN VERMONT TO OFFER SURGERY TO TREAT GLAUCOMA USING A NEW DEVICE CALLED AN ISTENT AND PERFORMS THE STATE'S FIRST ISTENT SURGERIES. -GIFFORD WORKS WITH AAA NORTHERN NEW ENGLAND TO BRING A TALK ON SAFE DRIVING LATER IN LIFE CALLED "KEEPING THE KEYS" TO THE RANDOLPH AREA COMMUNITY. -UROLOGY CARE EXPANDS TO THE GIFFORD HEALTH CENTER AT BERLIN TO PROVIDE MORE PATIENTS ACCESS TO ESSENTIAL UROLOGY CARE. -GIFFORD'S ANNUAL SUMMER CONCERT SERIES IN THE PARK IS HELD. THE SERIES IS FREE AND OPEN TO THE PUBLIC. -A "FAMILY AND FRIENDS CPR" COURSE TEACHES THE BASICS IN INFANT, CHILD AND ADULT CPR TO INTERESTED COMMUNITY MEMBERS. -GIFFORD WORKS WITH PREVENT CHILD ABUSE VERMONT TO OFFER A "NURTURING HEALTHY SEXUAL DEVELOPMENT" COURSE FOR CHILD CARE PROVIDERS AND PARENTS OF YOUNG CHILDREN. -A "HEALTHIER LIVING WORKSHOP" BEGINS AT GIFFORD FOR THOSE EXPERIENCING CHRONIC PAIN. -A "BABYSITTER'S TRAINING COURSE" IS HELD AND ATTRACTS SO MANY YOUTH THAT WOULD LIKE TO BE SITTERS THAT A LONG WAITING LIST FORMS FOR FUTURE CLASSES. -GIFFORD, ALONG WITH ALL OTHER VERMONT HOSPITALS, SIGNS ON TO THE NATIONAL HEALTHIER HOSPITALS INITIATIVE, WHICH INCLUDES EFFORTS TO IMPROVE ENERGY EFFICIENCY. GIFFORD IS ALREADY THE MOST ENERGY EFFICIENT HOSPITAL IN THE STATE. -A "HOME ALONE AND SAFE" COURSE IS OFFERED FOR CHILDREN 8-11 ON HOW TO RESPOND TO HOME ALONE SITUATIONS, INCLUDING SAFETY, COMMUNICATIONS AND BASIC EMERGENCY CARE. -A TWO-NIGHT SERIES AT THE CHELSEA HEALTH CENTER TEACHES PATIENTS ABOUT "EATING RIGHT WHEN MONEY IS TIGHT."

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantPATIENT GRANTSTypeOfGrant
Number Of Recipients16NumberOfRecipients
Amount Of Cash Grant9750AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierMONITORING GRANT FUNDSIdentifier
Return ReferenceSCHEDULE I, PART 1, LINE 2ReturnReference
ExplanationTHE ORGANIZATION PROVIDES GRANTS TO PATIENTS USING THE RESULTS OF THE LAST MILE RIDE SPECIAL FUNDRAISING EVENT. DURING FYE 09/30/13, THE ORGANIZATION PROVIDED GRANTS IN THE FOLLOWING CATEGORIES: MUSIC THERAPY - 35% MASSAGE - 9% ACUPUNCTURE - 2% FAMILY WISHES - 32% GAS CARDS - 6% LEGACY PROJECTS - 5% COMFORT KITS - 5% FAMILY CARDS - 1% OUTREACH/EDUCATION - 5%Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOSEPH WOODIN
PRESIDENT & CEO3620730367070258100125000317430468833000
STEPHANIE LANDVATER
PROVIDER5068230413540597810125000319670652425000
BESS BRACKETT
PROVIDER48829801000044130125000319670538178000
RICHARD GRAHAM
PROVIDER4029320210000204420113580318810487613000
DENNIS HENZIG
PROVIDER238100010000363870125000247670312754000
JON-RICHARD KNOFF
PROVIDER2718780100005860100000309420314406000
DAVID SANVILLE
FORMER CFO13589901322024891084430245340195089000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1VERMONT EDUCATIONAL & HEALTH BUILDING FINANCING AGBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN237154467IssuerEIN
CUSIP Number9241608B3CUSIPNumber
Date Issued2010-09-01DateIssued
Issue Price20430000IssuePrice
Description Of PurposeTO FINANCE GIFFORD'S CAPITAL PROJEDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds20430000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow20310307RefundingEscrow
Issuance Costs From Proceeds119693IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures0CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2010YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0PrcntgePrvtBusinessUseByOthers
Bond Iss Meet Prvt Security Pay TestfalseBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Remedial Action TakenfalseRemedialActionTaken
Non Qualified Bond Remed ProcdrstrueNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Rebate Not Due YetfalseRebateNotDueYet
Exception To RebatetrueExceptionToRebate
No Rebate DuefalseNoRebateDue
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdstrueHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1DEUTSCHE BANKBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge26.TermOfHedge
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqsfalseWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActionfalseProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonRANDOLPH COAL OIL CONamePerson
FieldValueIRS element (for citing)
RelationshipSEE PART V.Relationship
Amount Of Transaction419812AmountOfTransaction
Description Of TransactionSEE PART V.DescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L, PART IV, LINE 1ReturnReference
ExplanationKAREN GILLESPIE KORROW, GMC BOARD MEMBER, IS THE OWNER OF RANDOLPH COAL & OIL CO., WHICH GMC PURCHASED FUEL AT FMV DURING THE YEAR.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4DGIFFORD 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.
ORGANIZATION'S MEMBERSFORM 990, PART VI, SECTION A, LINES 6, 7A & 7BTHE 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 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.
REVIEW OF THE FORM 990FORM 990, PART VI, SECTION B, LINE 11BTHE 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 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.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CGIFFORD 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.
COMPENSATION REVIEWFORM 990, PART VI, SECTION B, LINES 15A & 15BGIFFORD 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.
DOCUMENT DISCLOSUREFORM 990, PART VI, SECTION C, LINE 19THE 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.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 9$1,969,643 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
GIFFORD HEALTH CARE INC
44 SOUTH MAIN STREETRANDOLPHVT05060460938716PARENTVT501(C)(3)9NAfalse
GIFFORD RETIREMENT COMMUNITY INC
44 S MAIN STRANDOLPHVT05060463593492RETIREMENTVTAPPLIED FORNAfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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