GIFFORD MEDICAL CENTER INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- GIFFORD MEDICAL CENTER INC (EIN 03-0179418)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-12
- IRS object ID
- 202222249349300827
- Schema version
- 2020v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-12T10:49:12-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010523282 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Berry Dunn McNeil & Parker LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2211 Congress St | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 030179418 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gifford Medical Center Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GIFF | BusinessNameControlTxt |
| Phone | 8027287000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 44 South Main Street | AddressLine1Txt |
| City | Randolph | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05060 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jennifer Bertrand | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8027287000 | PhoneNum |
| Signature | 2022-08-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Jennifer | PersonFirstNm |
| Person Last | Bertrand | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Joseph R Byrne | PreparerPersonNm |
| PTIN | P01289281 | PTIN |
| Phone | 2077752387 | PhoneNum |
| Preparation | 2022-08-02 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Daniel Bennett | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 44 South Main Street | AddressLine1Txt |
| City | Randolph | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05060 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $72,642,096 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.giffordhealthcare.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1905 | FormationYr |
| Legal Domicile State | VT | LegalDomicileStateCd |
| Activity Or Mission | Gifford Medical Center is a non-profit acute care hospital providing healthcare on an inpatient and outpatient basis. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 488 | TotalEmployeeCnt |
| Total Volunteers | 45 | TotalVolunteersCnt |
| Total Gross UBI | $17,317 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $8,174,059 | PYContributionsGrantsAmt |
| CY Contributions Grants | $929,199 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $49,060,841 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $61,045,249 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,280,242 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,045,920 | CYInvestmentIncomeAmt |
| PY Other Revenue | $425,628 | PYOtherRevenueAmt |
| CY Other Revenue | $498,695 | CYOtherRevenueAmt |
| PY Total Revenue | $58,940,770 | PYTotalRevenueAmt |
| CY Total Revenue | $64,519,063 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $68,232 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $97,233 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $30,718,096 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $32,538,412 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $9,556 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $22,202,079 | PYOtherExpensesAmt |
| CY Other Expenses | $24,026,664 | CYOtherExpensesAmt |
| PY Total Expenses | $52,988,407 | PYTotalExpensesAmt |
| CY Total Expenses | $56,662,309 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,952,363 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $7,856,754 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $106,034,169 | TotalAssetsBOYAmt |
| Total Assets EOY | $109,529,508 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $42,543,082 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $35,166,187 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $63,491,087 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $74,363,321 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of Gifford Healthcare 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $40,648,862 | ExpenseAmt |
| Grant | $97,233 | GrantAmt |
| Revenue | $61,045,249 | RevenueAmt |
| Desc | Gifford Medical Center Inc. ("Gifford") operates a not-for-profit, 25 bed critical access hospital whereby medical providers and nurses provide around the clock care to patients. Inpatient care services include a medical/surgical unit, a birthing center, and end of life care. Gifford also offers a range of clinical and ancillary services: diagnostic imaging, laboratory testing, anesthesiology, cardiology, chiropractic care, hospitalists, neurology, oncology, orthopedics, pathology, podiatry, sports medicine, general surgery, and urology. Gifford Medical Center's caring and knowledgeable surgery team offers general surgery services including skin lesion and cyst removal, comprehensive breast care, diagnosis and treatment of all forms of cancer, wound care, pill endoscopy, colonoscopies and appendix removal. General surgeons provide a wide range of procedures (primarily focusing on the abdominal organs as well as diseases of the skin, breast, soft tissue and hernias) in both office and operating room settings.Gifford Medical Center offers various other health care services to the central Vermont area. Other services available include radiology, laboratory, respiratory therapy, physical therapy, occupational therapy, speech pathology, electro cardiology, chemotherapy, emergency, skilled nursing, labor and delivery, nursery, radioisotope, and electroencephalography. | Desc |
| Total Program Service Expenses | $40,648,862 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 94 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 488 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jennifer Bertrand | PersonNm |
| Phone | 8027287000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 44 South Main Street | AddressLine1Txt |
| City | Randolph | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05060 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|---|
| Jeffrey J Bath | ||||||||
| Radiologist | 40.00 | 0.00 | Yes (X) | $535,324 | $0 | $51,069 | ||
| Richard W Graham | ||||||||
| Urologist | 40.00 | 0.00 | Yes (X) | $468,270 | $0 | $35,832 | ||
| Derek C Chase | ||||||||
| Orthopedist | 40.00 | 0.00 | Yes (X) | $414,634 | $0 | $27,899 | ||
| Joshua T White | ||||||||
| Chief Medical Officer | 40.00 | 0.00 | Yes (X) | $368,432 | $0 | $53,709 | ||
| Rafael Montecino | ||||||||
| Surgeon | 40.00 | 0.00 | Yes (X) | $364,162 | $0 | $27,099 | ||
| Daniel Bennett | ||||||||
| President & CEO | 40.00 | 2.00 | $313,068 | $0 | $47,088 | Yes (X) | Yes (X) | |
| Wayne D Bennett | ||||||||
| Interim CFO | 40.00 | 2.00 | $253,728 | $0 | $32,435 | Yes (X) | ||
| Joseph Pelletier | ||||||||
| Past Trustee/Med. Staff President | 1.00 | 40.00 | $233,189 | $0 | $51,588 | Yes (X) | ||
| Megan O'Brien | ||||||||
| Trustee/Med. Staff President | 40.00 | 0.00 | $142,376 | $0 | $7,115 | Yes (X) | ||
| Matt Considine | ||||||||
| Chair | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Lincoln Clark | ||||||||
| Vice Chair | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Peter Reed | ||||||||
| Secretary | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Jody Davignon | ||||||||
| Treasurer | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Carol Bushey | ||||||||
| Director/Trustee | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| Kristin Chandler | ||||||||
| Director/Trustee | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| Megan Cicio | ||||||||
| Director/Trustee | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| Fredrick Hauser | ||||||||
| Director/Trustee | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| Sarah Jackson | ||||||||
| Director/Trustee | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| Sheila Jacobs | ||||||||
| Director/Trustee | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| Theron Manning | ||||||||
| Director/Trustee | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| Victor Ribaudo | ||||||||
| Director/Trustee | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| Morgan Rilling | ||||||||
| Director/Trustee | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| Clay Westbrook | ||||||||
| Director/Trustee | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| Todd Winslow | ||||||||
| Director/Trustee | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| Bradford Atwood | ||||||||
| Past Secretary | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| Peter Nowlan | ||||||||
| Past Director/Trustee | 1.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| Jennifer Bertrand | ||||||||
| CFO | 40.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,093,183 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $333,834 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 47 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Neagley & Chase Construction Company | |||||
| 66 Bowdoin Street | South Burlington | VT | 054070000 | Construction | $1,317,714 |
| Weatherby Locums Inc | |||||
| PO Box 972633 | Dallas | TX | 753972633 | Contracted Labor | $501,209 |
| FocusOne Solutions LLC | |||||
| 13609 California Street | Omaha | NE | 681545260 | Contracted Labor | $481,171 |
| University of Vermont Medical | |||||
| 111 Colchester Avenue | Burlington | VT | 054011902 | Contracted Labor | $425,802 |
| VHV Vermont Heating & Ventilat | |||||
| 16 Tigan Street Suite A | Winooski | VT | 054040000 | Construction | $375,294 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 11 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $158,589 | FundraisingAmt |
| Government Grants | $235,095 | GovernmentGrantsAmt |
| All Other Contributions | $535,515 | AllOtherContributionsAmt |
| Noncash Contributions | $10,731 | NoncashContributionsAmt |
| Total Contributions | $929,199 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Patient Service Revenue | 622100 | $123,810,114 | $123,810,114 | ||
| Fixed Prospective Revenue | 622100 | $3,526,972 | $3,526,972 | ||
| Other Revenue | 622100 | $2,505,335 | $2,272,183 | $17,317 | $215,835 |
| Provision for Bad Debts | 622100 | -$1,808,287 | -$1,808,287 | ||
| Contractual Allowances/Charity Ca | 622100 | -$66,988,885 | -$66,988,885 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $61,045,249 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $593,295 | TotalRevenueColumnAmt |
| Exclusion | $593,295 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $526,162 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $66,708 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $459,454 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $459,454 | TotalRevenueColumnAmt |
| Exclusion | $459,454 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,434,831 | SecuritiesAmt |
| Other | $39,189 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,021,395 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,413,436 | SecuritiesAmt |
| Other | $39,189 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,452,625 | TotalRevenueColumnAmt |
| Exclusion | $1,452,625 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $74,171 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $158,589 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $34,930 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $39,241 | TotalRevenueColumnAmt |
| Exclusion | $39,241 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $64,519,063 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $60,812,097 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $17,317 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,760,450 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,500 | TotalAmt |
| Program Services | $12,500 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,733 | TotalAmt |
| Program Services | $84,733 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,080,588 | TotalAmt |
| Program Services | $217,134 | ProgramServicesAmt |
| Management And General | $863,454 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,973,325 | TotalAmt |
| Program Services | $19,211,136 | ProgramServicesAmt |
| Management And General | $4,762,189 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,029,532 | TotalAmt |
| Program Services | $778,703 | ProgramServicesAmt |
| Management And General | $250,829 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,796,685 | TotalAmt |
| Program Services | $3,607,155 | ProgramServicesAmt |
| Management And General | $1,189,530 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,658,282 | TotalAmt |
| Program Services | $1,227,552 | ProgramServicesAmt |
| Management And General | $430,730 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,893 | TotalAmt |
| Management And General | $17,893 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,736 | TotalAmt |
| Management And General | $74,736 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,218,729 | TotalAmt |
| Program Services | $5,971,534 | ProgramServicesAmt |
| Management And General | $2,247,195 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,213 | TotalAmt |
| Management And General | $23,213 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,876 | TotalAmt |
| Management And General | $70,814 | ManagementAndGeneralAmt |
| Fundraising | $62 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,194,068 | TotalAmt |
| Program Services | $287,971 | ProgramServicesAmt |
| Management And General | $905,047 | ManagementAndGeneralAmt |
| Fundraising | $1,050 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,389 | TotalAmt |
| Program Services | $1,788 | ProgramServicesAmt |
| Management And General | $2,597 | ManagementAndGeneralAmt |
| Fundraising | $4 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $441,756 | TotalAmt |
| Program Services | $326,725 | ProgramServicesAmt |
| Management And General | $114,643 | ManagementAndGeneralAmt |
| Fundraising | $388 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,387,368 | TotalAmt |
| Program Services | $2,505,312 | ProgramServicesAmt |
| Management And General | $879,078 | ManagementAndGeneralAmt |
| Fundraising | $2,978 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $506,561 | TotalAmt |
| Program Services | $161,694 | ProgramServicesAmt |
| Management And General | $344,422 | ManagementAndGeneralAmt |
| Fundraising | $445 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical Supplies and Dr | $5,972,406 | $5,972,406 | ||
| Licences, Taxes and Due | $3,142,835 | $52,727 | $3,087,345 | $2,763 |
| Other Supplies | $527,899 | $0 | $527,435 | $464 |
| Miscellaneous Expenses | $443,935 | $229,792 | $212,741 | $1,402 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,662,309 | TotalAmt |
| Program Services | $40,648,862 | ProgramServicesAmt |
| Management And General | $16,003,891 | ManagementAndGeneralAmt |
| Fundraising | $9,556 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,615 | BOYAmt |
| EOY | $220,485 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,015,597 | BOYAmt |
| EOY | $16,038,000 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,905 | BOYAmt |
| EOY | $53,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,275,425 | BOYAmt |
| EOY | $6,149,398 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,365,206 | BOYAmt |
| EOY | $1,140,671 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,375,890 | BOYAmt |
| EOY | $1,677,025 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $91,707,051 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $56,215,845 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,072,649 | BOYAmt |
| EOY | $35,491,206 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,787,973 | BOYAmt |
| EOY | $39,093,078 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,887,909 | BOYAmt |
| EOY | $9,666,645 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,034,169 | BOYAmt |
| EOY | $109,529,508 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,108,987 | BOYAmt |
| EOY | $7,703,681 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,003,623 | BOYAmt |
| EOY | $16,357,320 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,117 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,409,355 | BOYAmt |
| EOY | $11,105,186 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,543,082 | BOYAmt |
| EOY | $35,166,187 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,086,874 | BOYAmt |
| EOY | $72,097,242 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,404,213 | BOYAmt |
| EOY | $2,266,079 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,491,087 | BOYAmt |
| EOY | $74,363,321 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,034,169 | BOYAmt |
| EOY | $109,529,508 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $7,856,754 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,920,625 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,094,855 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $10,775 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $10,775 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Gifford Medical Center, Inc. Is a member of the Vermont Association of Hospitals and Health Systems 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 in furtherance of its exempt purpose. Gifford Medical Center does not directly perform any lobbying activities. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,541,208 | BeginningYearBalanceAmt |
| Contributions | $100,000 | ContributionsAmt |
| Investment Earnings Or Losses | $1,315,462 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $436,933 | AdministrativeExpensesAmt |
| End Year Balance | $11,519,737 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,156,593 | BeginningYearBalanceAmt |
| Contributions | $100,000 | ContributionsAmt |
| Investment Earnings Or Losses | $667,149 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $382,534 | AdministrativeExpensesAmt |
| End Year Balance | $10,541,208 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,008,731 | BeginningYearBalanceAmt |
| Contributions | $600 | ContributionsAmt |
| Investment Earnings Or Losses | $1,485,691 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $338,429 | AdministrativeExpensesAmt |
| End Year Balance | $10,156,593 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,357,491 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $651,240 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $9,008,731 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,082,089 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $275,402 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $8,357,491 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.86250 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.13750 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $751,116 | OtherCostOrOtherBasisAmt |
| Book Value | $751,116 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $39,168,337 | OtherCostOrOtherBasisAmt |
| Depreciation | $21,655,219 | DepreciationAmt |
| Book Value | $17,513,118 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $154,659 | OtherCostOrOtherBasisAmt |
| Depreciation | $118,407 | DepreciationAmt |
| Book Value | $36,252 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $44,041,789 | OtherCostOrOtherBasisAmt |
| Depreciation | $31,547,571 | DepreciationAmt |
| Book Value | $12,494,218 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,591,150 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,894,648 | DepreciationAmt |
| Book Value | $4,696,502 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $35,491,206 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Receivables | $97,493 |
| Due From Affiliates | $9,569,152 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $9,666,645 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated Amounts Due to Third Party Payors | $976,222 |
| Deferred Annuities | $547,256 |
| Accelerated Payments | $5,277,427 |
| Deferred Compensation | $4,304,281 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $11,105,186 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V, Line 4: | FormAndLineReferenceDesc |
| Explanation | The intended uses of the Organization's endowment funds are for health care services and capital, indigent care, community outreach initiatives, nursing, buildings, maintenance and operations. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Last Mile Ride | Event1Nm |
| Gross Receipts Event1 | $232,760 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $158,589 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $74,171 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $5,000 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $1,270 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $5,576 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $2,395 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $20,689 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $232,760 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $158,589 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $74,171 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $5,000 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $1,270 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $5,576 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $2,395 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $20,689 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $34,930 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $39,241 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,387,882 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,590 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,385,292 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02440 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,074,949 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,070,435 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,004,514 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07070 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,462,831 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,073,025 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,389,806 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09510 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $430,737 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $281,275 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $149,462 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $117,727 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,158 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $114,569 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $548,464 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $284,433 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $264,031 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00460 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,011,295 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,357,458 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,653,837 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09970 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $726,620 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $11,764,427 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $11,601,371 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $163,056 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gifford Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 2000 | AddressLine1Txt |
| City | Randolph | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05060 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.giffordhealthcare.org | WebsiteAddressTxt |
| State License | 829 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gifford Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 20 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.giffordhealthcare.org/about-us/community-reports | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.giffordhealthcare.org/about-us/community-reports | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.giffordhealthcare.org/service/financial-assistance | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.giffordhealthcare.org/service/financial-assistance | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.giffordhealthcare.org/service/financial-assistance | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit Legal Judicial Process | Yes (X) | PermitLegalJudicialProcessInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Gifford Medical Center | Part V, Section B, Line 5: Gifford Medical Center partnered with the Randolph Executive Community Council (RECC), which is comprised of community partners and serves as the Community Collaborative for the Randolph service area, to identify the significant health needs of our community. A survey was conducted to assess the most prevalent health and social needs within the community Gifford serves. 530 respondents completed the survey.The hospital facility gained input from representatives of the following organizations:- Gifford Health Care- Central Vermont Council on Aging - Capstone Community Action - Clara Martin Center - Bi-State Primary Care Association - Randolph Area Community Development / SASH- Visiting Nurse & Hospice for Vermont and New Hampshire- Stagecoach Transportation Services- South Royalton Health Center - Vermont Foodbank - BAYADA |
| Gifford Medical Center | Part V, Section B, Line 11: Gifford has strategically worked to address the community's need within its role as a health care provider. Areas identified as health challenges include: mental health services, substance abuse counseling, nutrition/obesity, and dental care.Mental health services: In partnership with Gifford Healthcare, we have continued to strengthen our mental health services. This has included adding a behavioral health support group that focuses on post-partum mental health. Additionally, Gifford has actively sought out counselors with a wide variety of clinical skills to add to our behavioral health team, including those with expressive arts, marriage and family counseling, and youth focused mental heath care.Substance abuse counseling: In partnership with our parent corporation, Gifford Healthcare, Inc., a Federally Qualified Health Center, Gifford's behavioral health and blueprint for health team specialists offer counseling and one-on-one patient care at all Gifford primary care locations. Our addiction medicine program offers ongoing Suboxone treatment for patients with complex needs, Suboxone provider support, education, consultation, and therapy to help patients rebuild lives affected by opioid use disorder.Obesity: Gifford's primary care team has long been a proponent of healthy lifestyle choices for good health and the prevention of disease and obesity. BMIs are determined at annual health screenings and patients are guided by providers and Gifford's registered dietitians on healthy diets and portion control. Discussions in support group settings (such as diabetes and other chronic conditions) often focus on healthy choices to reduce and prevent disease. Patients are strongly encouraged to be physically active. In 2019 Gifford began a partnership with Veggie Van Go, a program of the Vermont Foodbank. Once a month all area community members with any food insecurities are invited to Gifford to pick up healthy food items at no cost.Dental care: Gifford Healthcare's federally qualified health center designation has brought resources that help us support local dentists as they strive to better care for the underserved and uninsured. To increase awareness of dental health, we have partnered with Healthhub, a local nonprofit with a mobile dental trailer. The trailer travels to a variety of locations, including area schools and Gifford, to offer screenings, x-rays, examinations and cleanings by a dental hygienist. |
| Gifford Medical Center | Part V, Section B, Line 16j: Gifford Medical Center contacts any uninsured patients that will register with the hospital to see if they are in need of financial assistance. |
| Schedule H, Part V, Line 18d: | Currently, Gifford has an outdated credit and collections policy that makes reference to legal procedures. Gifford does not actively engage in any legal action for nonpayment. Gifford is in the process of updating this policy to more accurately reflect actual processes and practices. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Gifford Health Center at Berlin | ||||
| 82 East View Lane | Berlin | VT | 05641 | Specialty Care Practice |
| 2 - Advance Physical Therapy | ||||
| 108 N Main Street | White River Junction | VT | 05001 | Rehab Services |
| 3 - Gifford Health Center at Kingwood | ||||
| 1422 Route 66 | Randolph | VT | 05060 | Physician Practice and Rehab Services |
| 4 - Sharon Health Center | ||||
| 12 Shippee Lane | Sharon | VT | 05065 | Sports Medicine Practice |
| 5 - Twin River Health Center | ||||
| 108 N Main Street | White River Junction | VT | 05001 | Physician Practice and Rehab Services |
| 6 - Gifford Speciality Care | ||||
| 44 South Main Street | Randolph | VT | 05060 | Specialty Care Practice |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| Part III, Line 2: | The Organization used the cost-to-charge ratio as its costing methodology to calculate bad debt expense at cost. |
| Part III, Line 4: | Please refer to pages 11-14 and 17-18 of the attached audited financial statements. |
| Part III, 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. |
| Part III, 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. |
| Part VI, Line 2: | 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. |
| Part VI, Line 3: | Gifford's Financial Assistance Program is available on our website. Patients are encouraged to seek assistance and speak with one of our advocates, who will provide one-to-one financial counseling to address patient financial needs in the most appropriate manner. Additionally, information is posted throughout the facility regarding patient rights and responsibilities, which states that a patient has the right to receive medical treatment regardless of their ability to pay and financial assistance is encouraged and available. |
| Part VI, Line 4: | 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 Sharon, Berlin, Randolph, and White River Junction, Vermont. The Randolph/Braintree area provides the most visits and is located in Orange County, Vermont. |
| Part VI, Line 5: | Gifford Medical Center strives to improve the health of its patients by providing and assuring access to affordable and high quality health care, and by promoting the health and wellbeing of everyone in our service area.Gifford collaborates and partners with local and state agencies to provide fresh produce to our community at no charge. Gifford provides education to the community regarding healthy eating, supports initiatives that promote responsible physical activity for all ages, provides continued prevention education for smoking cessation, vaping, and other higher risk behaviors. Gifford continues to focus on reducing the use of antibiotics through its Antibiotic Stewardship Program. The goal of the program is to reduce the reliance on antibiotics to assist in preventing the creation of super bugs that are resistant to commonly used antibiotics.Surplus funds that may be generated in a given year are used to support infrastructure improvements, the purchase of new or routine replacement of equipment, investments in technology, or other resources and services that are required to meet the needs of the community we serve. Gifford's governing body is comprised of community members who reside within its service area and dedicate a portion of their time to ensuring Gifford Medical Center meets the needs of its community. |
| Part VI, Line 6: | The Gifford Health Care System includes Gifford Health Care, Inc. (GHC), Gifford Medical Center, Inc. (GMC), and Gifford Retirement Community, Inc. (GRC). GHC is a Federally Qualified Health Center (FQHC). Gifford Medical Center, Inc. Is a 25-bed Critical Access Hospital (CAH) providing general and specialty services. Gifford Retirement Community, Inc. has a 30-bed nursing home unit, adult day services and independent living facility. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Tri-Valley Transit Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 297 Creek Road | AddressLine1Txt |
| City | Middlebury | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 057531906 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 030335768 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $12,500 | CashGrantAmt |
| Purpose Of Grant | Operations support | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | End of Life Care/Comforting Patients & Families | GrantTypeTxt |
| Recipient | 61 | RecipientCnt |
| Cash Grant | $84,733 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | The Organization provides grants to patients using the results of the last mile ride special fundraising event. The grants assist patients and their families with end of life care and planning. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Jeffrey J Bath | ||||||||||||||
| Radiologist | $509,712 | $0 | $25,000 | $0 | $612 | $0 | $14,250 | $0 | $36,819 | $0 | $586,393 | $0 | $0 | $0 |
| Richard W Graham | ||||||||||||||
| Urologist | $440,019 | $0 | $22,460 | $0 | $5,791 | $0 | $14,250 | $0 | $21,582 | $0 | $504,102 | $0 | $0 | $0 |
| Derek C Chase | ||||||||||||||
| Orthopedist | $414,256 | $0 | $0 | $0 | $378 | $0 | $14,250 | $0 | $13,649 | $0 | $442,533 | $0 | $0 | $0 |
| Joshua T White | ||||||||||||||
| Chief Medical Officer | $350,722 | $0 | $16,900 | $0 | $810 | $0 | $14,250 | $0 | $39,459 | $0 | $422,141 | $0 | $0 | $0 |
| Rafael Montecino | ||||||||||||||
| Surgeon | $344,672 | $0 | $18,980 | $0 | $510 | $0 | $14,250 | $0 | $12,849 | $0 | $391,261 | $0 | $0 | $0 |
| Daniel Bennett | ||||||||||||||
| President & CEO | $304,588 | $0 | $0 | $0 | $8,480 | $0 | $14,250 | $0 | $32,838 | $0 | $360,156 | $0 | $0 | $0 |
| Wayne D Bennett | ||||||||||||||
| Interim CFO | $247,380 | $0 | $5,000 | $0 | $1,348 | $0 | $1,911 | $0 | $30,524 | $0 | $286,163 | $0 | $0 | $0 |
| Joseph Pelletier | ||||||||||||||
| Past Trustee/Med. Staff President | $197,011 | $0 | $35,404 | $0 | $774 | $0 | $12,129 | $0 | $39,459 | $0 | $284,777 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 7 | FormAndLineReferenceDesc |
| Explanation | During the year, Wayne Bennett, Interim Chief Financial Officer, received a bonus payment in the amount of $5,000 for the extension of his commitment as Interim CFO. Gifford maintains financial incentives for providers. Provider incentives incorporate productivity, citizenship (contribution to hospital and community activities) and retention. Gifford's productivity measures are designed to ensure that all providers achieve a standard level of productivity. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Vermont Educational and Health Buildings Financing Agency | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 237154467 | BondIssuerEIN |
| Bond Issued | 2021-04-01 | BondIssuedDt |
| Issue Price | $16,899,942 | IssuePriceAmt |
| Purpose | To Refinance Existing Bond | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $309,026 | RetiredAmt |
| Total Proceeds | $16,899,942 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $237,048 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $16,662,894 | OtherSpentProceedsAmt |
| Substantial Completion | 2021 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Date Rebate Computation Performed | FormAndLineReferenceDesc |
| Explanation | Issuer Name: Vermont Educational and Health Buildings Financing Agency Date the Rebate Computation was Performed: 05/01/2021 | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Magee Office Equipment & TDS Leasing Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Entity more than 35% owned by Todd Winslow, Trustee | RelationshipDescriptionTxt |
| Transaction | $111,470 | TransactionAmt |
| Transaction | Purchased Supplies | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part V, Lines 1a & 2a: | Gifford Medical Center files all W-2s & 1099s for its related organizations, Gifford Health Care, Inc. (GHC) and Gifford Retirement Community, Inc. (GRC). The amounts reported on Part V, lines 1a & 1b are the allocable amounts specific to Gifford Medical Center, Inc. The compensation, employee benefits and payroll taxes are then allocated to GHC and GRC for the amounts that represent work performed for those organizations. Therefore, the amount reported on Part IX includes only those amounts allocated to work performed directly for Gifford Medical Center. The highest paid employees are determined by the work performed for each organization. Therefore, the five highest paid employees listed on Part VII and Schedule J are those employees who work directly for Gifford Medical Center, Inc. In addition the CEO and CFO's compensation has been shown in Part IX 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 Medical Center, 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 | 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. 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 VII, Section A | Board Member Compensation: Joseph Pelletier (Medical Staff President), Megan O'Brien (Medical Staff President), and Daniel Bennett (CEO) are employees of Gifford Medical Center/Gifford Health Care as well as members of the board of directors. Their compensation is related to their roles as employees. No trustees receive compensation for their roles as trustees. |
| Form 990, Part IX, line 11g | Contract Labor: Program service expenses 1,616,233. Management and general expenses 5,869. Fundraising expenses 0. Total expenses 1,622,102. Other Professional Fees: Program service expenses 3,110,185. Management and general expenses 1,017,886. Fundraising expenses 0. Total expenses 4,128,071. Service Contracts: Program service expenses 1,245,116. Management and general expenses 1,223,440. Fundraising expenses 0. Total expenses 2,468,556. |
| Form 990, Part X, Line 10: Land, Buildings, and Equipment | Section 1.263(a)-3(n) Election: Gifford Medical Center, Inc. 44 South Main Street Randolph, VT 05060 EIN 03-0179418 Gifford Medical Center, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). |
| Form 990, Part XI, line 9: | Change in Fair Value of Interest Rate Swap 1,094,855. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Gifford Health Care Inc | |||||||||||
| 44 South Main Street | Randolph | VT | 05060 | 460938716 | FQHC/Parent | VT | 501(c)(3) | Line 10 | N/A | 0 | |
| Gifford Retirement Community Inc | |||||||||||
| 44 South Main Street | Randolph | VT | 05060 | 463593492 | Skilled Nursing Facility and Retirement Community | VT | 501(c)(3) | Line 10 | 0 | Gifford Health Care Inc | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|
| Charitable Remainder Trusts (8) | |||
| Deferred Annuity | VT | Gifford Medical Center Inc | Yes (1) |
| Charitable Remainder Trusts (2) | |||
| Deferred Annuity | VT | Gifford Retirement Community Inc | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |