2014-08-11T11:44:22-05:00 2013-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2012-10-01 030179418 GIFFORD MEDICAL CENTER INC % JEFFREY HEBERT GIFF 8027284441 44 SOUTH MAIN STREET Suite RANDOLPH VT 05060 JEFFREY HEBERT 8027284441 2014-07-23 true Brian D Todd 4178658701 2012 2015-11-30 17:44:51Z JOSEPH L WOODIN 44 SOUTH MAIN STREET RANDOLPH VT 05060 69344177 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. 19 17 690 120 153822 -47638 560123 1601972 62984021 66431263 269379 1067884 -78727 -24269 63734796 69076850 0 9750 0 0 36445533 39372203 0 0 174634 25219861 25680301 61665394 65062254 2069402 4014596 68859686 77776406 33028430 33430255 35831256 44346151 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 false 17349350 8317451 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. 8709145 7286106 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. 5446158 11401371 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. 27925336 9750 39272513 59429989 true true false true false false false false false true true false false false true false true false false false false false false false true false true true false true true true false false false false false false false false false true false false false false false true false false false true 144 1 true 690 true true true false false false false false false false false false X 19 17 false false false 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 SHARON DIMMICK 1.0 X X 0 0 0 AUGUST MEYER 1.0 X X 0 0 0 PAUL KENDALL 1.0 X X 0 0 0 LINCOLN CLARK 1.0 X X 0 0 0 DAVID AINSWORTH 1.0 X 0 0 0 WILLIAM BAUMANN JR 1.0 X 0 0 0 LINDA CHUGKOWSKI 1.0 X 0 0 0 LEO CONNOLLY 1.0 X 0 0 0 JACK COWDREY 1.0 X 0 0 0 DR MARCUS COXON 22.4 X 91108 0 7419 RANDY GARNER 1.0 X 0 0 0 KAREN GILLESPIE-KORROW 1.0 X 0 0 0 FRED NEWHALL 1.0 X 0 0 0 PETER NOWLAN 1.0 X 0 0 0 BARBARA ROCHAT 1.0 X 0 0 0 BOB WRIGHT 1.0 X 0 0 0 SHELIA JACOBS 1.0 X 0 0 0 LINDA MORSE 1.0 X 0 0 0 MONA COLTON 1.0 X 0 0 0 CAROL BUSHEY 1.0 X 0 0 0 ELLAMARIE RUSSO-DEMARA 22.4 X 106493 36158 JOSEPH WOODIN 40.0 X X 424590 0 44243 JEFFREY HEBERT 40.0 X 108292 5906 STEPHANIE LANDVATER 40.0 X 607958 0 44467 BESS BRACKETT 40.0 X 493711 0 44467 RICHARD GRAHAM 40.0 X 444374 0 43239 DENNIS HENZIG 40.0 X 275487 0 37267 JON-RICHARD KNOFF 40.0 X 273464 0 40942 DAVID SANVILLE X 162112 0 32977 2987589 0 337085 46 true true false DEW CONSTRUCTION CORPORATION BUILDING CONTRACTOR 2127459 CONNOR CONTRACTING INC BUILDING CONTRACTOR 849253 AMERICAN HEALTH CENTERS INC MRI SERVICES 494738 M MODAL CONTRACTED SERVICES 358518 UNIVERSITY OF VERMONT TSP 283799 18 66309 1535663 1288 1601972 NET PATIENT SERVICE REVENUE 621400 62575087 62575087 PHARMACY REVENUE 446110 1050893 1050893 DAYCARE REVENUE 812900 375813 221991 153822 CAFETERIA REVENUE 722514 313061 313061 OTHER REVENUE 624100 2116409 2116409 66431263 971921 971921 0 0 59923 81944 -22021 0 -22021 -22021 227871 33945 119926 45927 107945 -11982 95963 95963 3892 66309 13242 -9350 -9350 10837 6288 4549 4549 0 EXTRAORDINARY GAIN 900099 2553 2553 2553 69076850 66277441 153822 1043615 0 9750 9750 0 0 824209 241178 583031 195089 195089 29015185 26727704 2192287 95194 1253599 1151337 98157 4105 6098750 5538310 540740 19700 1985371 1787385 191667 6319 0 50538 50538 90368 90368 0 0 20014 20014 5464878 4919908 527576 17394 72772 65515 7025 232 2087332 1877231 203395 6706 0 0 914433 823243 88279 2911 464869 418511 44878 1480 0 288097 259367 27813 917 992317 893361 95798 3158 0 2986552 2688726 288320 9506 847945 763386 81860 2699 BAD DEBT 2710268 2710268 MEDICAL SUPPLIES & DRUGS 4195430 4195430 LICENSES, DUES, SUBSCRIPTIONS 670373 603522 64717 2134 PROVIDER TAXES 3149388 3149388 674727 606469 66079 2179 65062254 59429989 5457631 174634 137396 152395 7457990 6360292 23581 618010 7328813 8442027 0 0 0 0 0 0 1130171 1264146 1415765 1612863 60764775 31483916 25885445 29280859 25072254 29607969 0 0 0 0 24124 20391 384147 417454 68859686 77776406 8474838 9828366 0 0 128012 501140 19599466 19168494 0 0 0 0 165806 115889 0 0 4660308 3816366 33028430 33430255 X 34269832 41805620 1091685 1411991 469739 1128540 35831256 44346151 68859686 77776406 X 4014596 2530656 1969643 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 17952 17952 false OTHER LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1(I) 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. 4319608 1173313 216134 5709055 3753013 2379 564216 4319608 3836630 -83617 3753013 28100136 100000 224040 24587546 3836630 27594808 114149 469829 78650 28100136 0.60810 0.19770 0.19420 true false 655000 542114 1197114 28212726 12445563 15767163 302815 214911 87904 27709905 17349304 10360601 3342215 1474138 1868077 29280859 0 EST AMT DUE TO THIRD PARTY 1816666 INTEREST RATE SWAP AGREEMENT 1999700 3816366 70446642 2530656 -1180394 1350262 69096380 -19530 -19530 69076850 61931747 19530 19530 61912217 20014 3130023 3150037 65062254 RESTATED ENDOWMENT FUNDS SCHEDULE D, PART V IN 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 POSITIONS SCHEDULE D, PART X, LINE 2 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. OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12 SCHEDULE 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 1 SCHEDULE 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 25 SCHEDULE 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 1 SCHEDULE D, PART XII, LINE 4B $2,710,268 BAD DEBT EXPENSE 419,755 EXPENSES INCLUDED IN REVENUE ----------- $3,130,023 LAST MILE RIDE 70201 66309 3892 4351 958 450 7483 0 70201 66309 3892 4351 958 450 7483 13242 -9350 true true X true X 225. true X true true false false 315455 315455 0.00510 10275790 9472189 803601 0.01290 10591245 9472189 1119056 0.01800 815178 346290 468888 0.00750 91993 91993 0.00150 11430268 8257618 3172650 0.05090 9750 9750 0.00020 12347189 8603908 3743281 0.06010 22938434 18076097 4862337 0.07810 294033 53662 240371 0.00390 2446 2446 296479 53662 242817 0.00390 true 2710268 322522 17177965 16971336 206629 X true true 1 1 GIFFORD MEDICAL CENTER INC

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RURAL HEALTH CENTER PERCENT OF TOTAL EXPENSE SCHEDULE H, PART I, LINE 7, COLUMN F 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 $2,710,268. SUBSIDIZED SERVICES SCHEDULE H, PART I, LINE 7G 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 $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 METHODOLOGY SCHEDULE H, PART I, LINE 7 THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 6. COMMUNITY BUILDING ACTIVITIES SCHEDULE H, PART II INCLUDED 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 EXPENSE SCHEDULE H, PART III, SECTION A, LINE 4 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. 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 BENEFIT SCHEDULE H, PART III, SECTION B, LINE 8 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. COLLECTION POLICY SCHEDULE H, PART III, SECTION C, LINE 9B 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. COMMUNITY INPUT SCHEDULE H, PART V, SECTION B, LINE 3 COMMUNITY 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 PUBLIC SCHEDULE H, PART V, SECTION B, LINE 5C THE 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 NEEDS SCHEDULE H, PART V, SECTION B, LINE 7 GIFFORD MEDICAL CENTER IS CURRENTLY FOCUSING ON THE AREAS THAT APPEAR TO BE THE HIGHEST CONCERN WITHIN THE COMMUNITY. MEASURES TO PUBLICIZE THE POLICY SCHEDULE H, PART V, SECTION B, LINE 14G GIFFORD MEDICAL CENTER CONTACTS ANY UNINSURED PATIENTS THAT REGISTER WITH THE HOSPITAL TO SEE IF THEY ARE IN NEED OF FINANCIAL ASSISTANCE. 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. 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. 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%. 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 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." true PATIENT GRANTS 16 9750 MONITORING GRANT FUNDS SCHEDULE I, PART 1, LINE 2 THE 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% X X X X X X false false false false false false false false false JOSEPH WOODIN 362073 0 36707 0 25810 0 12500 0 31743 0 468833 0 0 0 STEPHANIE LANDVATER 506823 0 41354 0 59781 0 12500 0 31967 0 652425 0 0 0 BESS BRACKETT 488298 0 1000 0 4413 0 12500 0 31967 0 538178 0 0 0 RICHARD GRAHAM 402932 0 21000 0 20442 0 11358 0 31881 0 487613 0 0 0 DENNIS HENZIG 238100 0 1000 0 36387 0 12500 0 24767 0 312754 0 0 0 JON-RICHARD KNOFF 271878 0 1000 0 586 0 10000 0 30942 0 314406 0 0 0 DAVID SANVILLE 135899 0 1322 0 24891 0 8443 0 24534 0 195089 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 119693 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 RANDOLPH COAL OIL CO SEE PART V. 419812 SEE PART V. false BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV, LINE 1 KAREN GILLESPIE KORROW, GMC BOARD MEMBER, IS THE OWNER OF RANDOLPH COAL & OIL CO., WHICH GMC PURCHASED FUEL AT FMV DURING THE YEAR. OTHER PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4D 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. ORGANIZATION'S MEMBERS FORM 990, PART VI, SECTION A, LINES 6, 7A & 7B 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 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 990 FORM 990, PART VI, SECTION B, LINE 11B 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 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 POLICY FORM 990, PART VI, SECTION B, LINE 12C 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. COMPENSATION REVIEW FORM 990, PART VI, SECTION B, LINES 15A & 15B 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. DOCUMENT DISCLOSURE FORM 990, PART VI, SECTION C, LINE 19 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. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 $1,969,643 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT GIFFORD HEALTH CARE INC 44 SOUTH MAIN STREET RANDOLPH VT 05060 460938716 PARENT VT 501(C)(3) 9 NA false GIFFORD RETIREMENT COMMUNITY INC 44 S MAIN ST RANDOLPH VT 05060 463593492 RETIREMENT VT APPLIED FOR NA false false false false false false false false false false false false false false false false false false false false