2013-08-14T10:30:58-05:00 2012-09-30 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2011-10-01 030308242 Porter Management Sevices Inc PORT 8023387901 37 Porter Drive Middlebury VT 05753 James L Daily 8023387901 2013-08-13 1 Barbara J McGuan CPA P00219457 2077752387 2013-08-13 2011 2016-02-25 16:41:14Z James L Daily 37 Porter Drive Middlebury VT 05753 1872213 0 X www.portermedical.org X 1986 VT Provides management services to related hospital and nursing home 5 4 16 4 0 0 0 0 1820228 1872179 298 34 0 0 1820526 1872213 0 0 0 0 1580657 1690860 0 0 0 78236 407166 1658893 2098026 161633 -225813 809152 920376 993645 1401464 -184493 -481088 Provides administrative and certain other services to Porter Medical Center and its other wholly-owned subsidiaries. 0 0 2098026 1872179 PMS provided administrative services for related entities. These services relate to the operation of a 25 bed critical access hospital which consists of more than 60 physicians (eleven physician practices) offering primary care and an array of specialty medical care, and Helen Porter Nursing Home, a 105 bed skilled nursing facility that provided services to residents totaling 36,088 resident days during the year end 9/30/12. 2098026 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 4 0 1 16 1 0 0 0 0 0 0 0 0 0 0 0 X 5 4 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 VT X Pearl AB Teague 8023387901 37 Porter Drive Middlebury VT 05753 James L Daily 40.00 X X 372595 0 120642 Bill Townsend 1.00 X X 0 0 0 Edwin Grant 1.00 X X 0 0 0 Ken Perine 1.00 X 0 0 0 Linda Harmon 1.00 X 0 0 0 Marilyn Olejnik 40.00 X 200145 0 30673 Ronald Hallman 40.00 X 127813 0 31776 700553 0 183091 3 0 1 0 Leaders for Today 50 Resnik Road Suite 103 Plymouth MA 02360 Interim Controller Services 172725 1 Management Revenue 561000 1872179 1872179 1872179 34 34 1872213 1872179 0 34 724055 724055 702862 702862 195890 195890 68053 68053 11900 11900 272343 272343 47371 47371 27856 27856 12 12 8856 8856 Recruiting 37500 37500 Dues & Subscriptions 1328 1328 2098026 2098026 0 0 75882 23087 45534 38821 571 2693 687165 855775 809152 920376 145212 236217 848433 1165247 993645 1401464 X -184493 -481088 -184493 -481088 809152 920376 X -225813 -70782 X 0 1 1 X 0 X X X 0 0 0 Helen Porter Nursing Home Inc 030306549 3 1 1 1 100234 Porter Hospital Inc 030181058 3 1 1 1 1952408 2 2052642 0 Due from Affiliates 165377 Deferred Compensation 690398 855775 Deferred Compensation 690398 Due to Affiliates 141562 Liability for Pension Benefits 333287 1165247 X X X X 0 1 0 0 0 0 0 0 0 James L Daily 315089 0 0 0 57506 0 91450 0 29192 0 493237 0 0 0 Marilyn Olejnik 176398 0 20000 0 3747 0 5998 0 24675 0 230818 0 0 0 Ronald Hallman 115586 0 0 0 12227 0 6577 0 25199 0 159589 0 0 0 Part I, Line 4b James Daily, President/CEO, participates in a 457(f) plan, and received $79,200 from the plan during FY 9/30/12. Form 990, Part VI, Section A, line 6 Porter Medical Center, Inc. is the parent holding company and sole corporate member of the Organization. Form 990, Part VI, Section A, line 7a Porter Medical Center, Inc., the parent holding company and sole corporate member of the Organization, has the right to appoint PMS directors. Form 990, Part VI, Section A, line 7b Porter Medical Center, Inc., the parent holding company and sole corporate member of the Organization, has the right to approve major decisions of the Organization. Form 990, Part VI, Section B, line 11 Form 990 is reviewed by management and the finance committee before filing. The form 990 is also made available electronically to the Board of Directors before filing. Form 990, Part VI, Section B, line 12c The Organization's CFO is responsible for regularly and consistently monitoring and enforcing compliance with the conflict of interest policy. When bids are solicited to include the business of a Board member, those bids are reviewed by the Board of Directors to assure adherence to the Hospital's lowest bid policy. When an issue comes up to a vote and it is connected, in any way, to the business of a Board member, the member must recuse him/herself from the vote. Form 990, Part VI, Section B, line 15a The Organization's executive committee reviews comparative data prepared by a consultant prior to referral of compensation to the board of directors. The board of directors review the findings of the consultant and vote to approve the salary of the CEO. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Change in net assets to recognize funded status of pension plan -70,782. Total to Form 990, Part XI, Line 5: -70,782. Helen Porter Nursing Home Inc 37 Porter Drive Middlebury VT 05753 030306549 Nursing Home VT 501(c)(3) Line 3 Porter Medical Center Inc 0 Porter Hospital Inc 37 Porter Drive Middlebury VT 05753 030181058 Hospital VT 501(c)(3) Line 3 Porter Medical Center Inc 0 Porter Medical Center Inc 37 Porter Drive Middlebury VT 05753 030310862 Holding Company for Subsidiaries VT 501(c)(3) Line 11b, II N/A 0 Auxiliary of Porter Medical Center 37 Porter Drive Middlebury VT 05753 237363227 Supporting Organization VT 501(c)(3) Line 11b, II Porter Medical Center Inc 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0