2023-08-08T09:50:57-05:00 2022-09-30 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2021-10-01 460938716 Gifford Health Care Inc GIFF 8027287000 44 South Main Street Randolph VT 05060 Jennifer Bertrand CFO 8027287000 2023-08-07 1 Jennifer Bertrand 999009999 Joseph R Byrne P01289281 2077752387 2023-08-07 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z Daniel A Bennett 44 South Main Street Randolph VT 05060 13535599 0 X www.giffordhealthcare.org X 2012 VT Gifford Health Care is a non-profit CHC providing primary care services on an outpatient basis. 13 11 133 14 0 0 3346680 3255261 11112126 10279608 1758 730 0 0 14460564 13535599 0 0 0 0 12173610 13630041 0 0 3035 4307966 4867605 16481576 18497646 -2021012 -4962047 1258945 1965157 6723672 12391931 -5464727 -10426774 The mission of Gifford Health Care, Inc. and its subsidiaries is to enhance the health and well-being of our communities by providing excellent patient-centered care including senior living services. 0 0 14736028 10279608 GHC is a CHC deemed federally qualified health center offering primary care, pediatrics, psychiatric, substance use, OB/GYN and midwifery services in convenient locations throughout central VT and the upper valley. Family-friendly primary care practices are all patient-centered medical homes and uniquely dedicated to providing high-quality, accessible care. Services include prevention and wellness such as annual well-child visits and sports physicals, childhood immunizations, acute care, family education on healthy behaviors, substance abuse and child development, medication management, psychiatric care, management of chronic conditions, eye and hearing screenings, timely care for acute illness and helping patients find dental care. 14736028 1 1 0 1 0 0 0 0 0 0 1 0 0 0 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 1 1 0 0 1 3 0 1 133 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Jennifer Bertrand 8027287000 44 South Main Street Randolph VT 05060 Daniel Bennett President & CEO 1.00 41.00 X 0 352443 48689 Jennifer Bertrand Chief Financial Officer 1.00 41.00 X 0 237280 911 Victor Ribaudo Chair 1.00 2.00 X X 0 0 0 Megan Cicio Vice Chair 1.00 2.00 X X 0 0 0 Peter Reed Secretary 1.00 2.00 X X 0 0 0 Jody Davignon Treasurer 1.00 2.00 X X 0 0 0 Kristin Chandler Director/Trustee 1.00 2.00 X 0 0 0 Lincoln Clark Director/Trustee 1.00 2.00 X 0 0 0 Matt Considine Director/Trustee 1.00 2.00 X 0 0 0 Frederick Hauser Director/Trustee 1.00 2.00 X 0 0 0 Sarah Jackson Director/Trustee 1.00 2.00 X 0 0 0 Theron Manning Director/Trustee 1.00 2.00 X 0 0 0 Morgan Rilling Director/Trustee 1.00 2.00 X 0 0 0 Clay Westbrook Director/Trustee 1.00 2.00 X 0 0 0 Todd Winslow Director/Trustee 1.00 2.00 X 0 0 0 Carol Bushey Past Director/Trustee 1.00 2.00 X 0 0 0 Sheila Jacobs Past Director/Trustee 1.00 2.00 X 0 0 0 0 589723 49600 0 0 1 0 Weatherby Locums Inc PO Box 972633 Dallas TX 753972633 Staffing Services 225302 Cleanpro Inc PO Box 322 Williamstown VT 05679 Cleaning Services 102133 2 3132281 122980 3255261 Patient Service Revenue 624100 15406390 15406390 Pharmacy Revenue 446110 1599238 1599238 Other Revenue 900099 1485665 1485665 Provision for Bad Debts 624100 -427742 -427742 Contractual Allowances/Charity Ca 624100 -7783943 -7783943 10279608 730 730 13535599 10279608 0 730 X 10789257 9121502 1665935 1820 351483 252150 99274 59 1863337 1336736 526287 314 625964 449059 176799 106 10671 10671 7817 7817 2416699 1731768 684523 408 18709 18709 87370 76616 10739 15 864401 864205 50 146 1575 1306 269 78779 56515 22251 13 172663 81734 90900 29 Medical Supplies and Dr 462171 462171 Other Supplies 384071 33456 350550 65 Miscellaneous Expenses 212419 141298 71086 35 Licenses, Taxes and Due 150260 127512 22723 25 18497646 14736028 3758583 3035 X 3310 3305 63700 36721 737370 1536997 99186 91946 714735 418547 355379 296188 1258945 1965157 1164692 1473246 5558980 10918685 6723672 12391931 X -5480348 -10442345 15621 15571 -5464727 -10426774 1258945 1965157 -4962047 0 X 0 1 X 1 1 1 X 1846954 2148427 4341127 3346680 3255261 14938449 11409090 12321665 10753945 11112126 10279608 55876434 13256044 14470092 15095072 14458806 13534869 70814883 0 0 0 70814883 847 2648 2498 1758 730 8481 847 2648 2498 1758 730 8481 13256891 14472740 15097570 14460564 13535599 70823364 0.99990 0.99990 0.00010 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 303 303 0 Part II-B, Line 1: Gifford Medical Center, Inc., a related organization, 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. A portion of these dues have been allocated to related organizations Gifford Retirement Community, Inc. and Gifford Health Care, Inc. 348384 214811 133573 366351 203736 162615 296188 Due to Affiliate 10918685 10918685 0 0 0 0 0 0 0 0 0 Daniel Bennett President & CEO 0 344215 0 200 0 8028 0 14500 0 34189 0 401132 0 0 Jennifer Bertrand Chief Financial Officer 0 237115 0 0 0 165 0 0 0 911 0 238191 0 0 Part I, Line 3 Gifford Medical Center's Chief Executive Officer is evaluated annually by a board compensation committee that relies on data and input from a variety of independent sources. The compensation information is then reviewed by the Executive Committee of the Board of Trustees and resultant recommendations are presented to the Board of Trustees for final approval. Form 990, Part V, Lines 1a & 2a: Gifford Medical Center, a related organization of Gifford Health Care, files all W-2s and 1099s for the Organization. Salaries, pension, payroll taxes, and employee benefits of those individuals are then allocated for the amounts that represent work performed for Gifford Health Care. In addition, the CEO and CFO of Gifford Medical Center, Gifford Health Care, and Gifford Retirement Community compensation has been shown in Part VII as paid by Gifford Medical Center only, although their time spent is attributable to all three entities. 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 completed Form 990 is presented and reviewed by the Finance Committee of the Board of Trustees and an electronic copy of the complete Form 990 is made available to all Board Members prior to filing. Form 990, Part VI, Section B, line 12c Gifford Health Care, Inc. requires board members to complete an annual conflict of interest survey. Any duality of interest or possible conflict of interest on the part of any director shall be disclosed to the other board members. Any director 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 director abstained from voting and discussion. Form 990, Part VI, Section B, line 15 The Organization's CEO & other officers are compensated by Gifford Medical Center, a related organization. Compensation for the Chief Executive Officer is evaluated annually by a board compensation committee that relies on data and input from a variety of independent sources. The compensation information is then reviewed by the Executive Committee of the Board of Trustees and resultant recommendations are presented to the Board of Trustees for final approval. To evaluate the compensation of the Organization's other officers and key employees, the compensation review is administered by human resources and the CEO. The human resources department has some internal and external sources that are utilized to compare compensation amounts. Form 990, Part VI, Section C, line 19 The Organization makes its conflict of interest policy available upon request. The financial statements are available on the Organization's website, and upon request. Form 990, Part IX, line 11g Professional Fees: Program service expenses 1,731,768. Management and general expenses 684,523. Fundraising expenses 408. Total expenses 2,416,699. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Gifford Health Care, Inc. 44 South Main Street Randolph, VT 05060 EIN 46-0938716 Gifford Health Care, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Gifford Medical Center Inc 44 South Main Street Randolph VT 05060 030179418 Critical Access Hospital VT 501(c)(3) Line 3 Gifford Health Care Inc 1 Gifford Retirement Community Inc 44 South Main Street Randolph VT 05060 463593492 Skilled Nursing Facility & Retirement Community VT 501(c)(3) Line 10 Gifford Health Care Inc 1 Charitable Remainder Trusts (9) Deferred Annuity VT Gifford Medical Center Inc 0 Charitable Remainder Trusts (3) Deferred Annuity VT Gifford Retirement Community Inc 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 1 1 1 1 1 Gifford Medical Center Inc E 10918685 Cash Value Gifford Medical Center Inc O 13630041 Cash Value Gifford Medical Center Inc P 796745 Cash Value Gifford Medical Center Inc K 1139088 Cash Value