PORTER HOSPITAL INC HCSR: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- PORTER HOSPITAL INC HCSR (EIN 03-0181058)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-15
- IRS object ID
- 202232279349303308
- 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 H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-15T13:04:25-05:00 | 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 | 030181058 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Porter Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PORT | BusinessNameControlTxt |
| Phone | 8023884701 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 115 Porter Drive | AddressLine1Txt |
| City | Middlebury | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05753 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Scott Comeau | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8023884701 | PhoneNum |
| Signature | 2022-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Scott | PersonFirstNm |
| Person Last | Comeau | 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 | 2022-08-15 | 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 | Tom Thompson | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 115 Porter Drive | AddressLine1Txt |
| City | Middlebury | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05753 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $99,708,457 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.portermedical.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1925 | FormationYr |
| Legal Domicile State | VT | LegalDomicileStateCd |
| Activity Or Mission | Critical Access Hospital | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 629 | TotalEmployeeCnt |
| Total Volunteers | 68 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,774,661 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,157,545 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $83,667,956 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $96,925,189 | CYProgramServiceRevenueAmt |
| PY Investment Income | $353,151 | PYInvestmentIncomeAmt |
| CY Investment Income | $607,439 | CYInvestmentIncomeAmt |
| PY Other Revenue | $92,410 | PYOtherRevenueAmt |
| CY Other Revenue | $18,284 | CYOtherRevenueAmt |
| PY Total Revenue | $90,888,178 | PYTotalRevenueAmt |
| CY Total Revenue | $99,708,457 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $49,074,887 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $56,506,626 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $37,098,644 | PYOtherExpensesAmt |
| CY Other Expenses | $35,101,395 | CYOtherExpensesAmt |
| PY Total Expenses | $86,173,531 | PYTotalExpensesAmt |
| CY Total Expenses | $91,608,021 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,714,647 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,100,436 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $81,451,514 | TotalAssetsBOYAmt |
| Total Assets EOY | $83,460,872 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $36,406,560 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $28,415,891 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $45,044,954 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $55,044,981 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of Porter Medical Center and its subsidiary companies is to improve the health of our community, one person at a time. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $73,880,691 | ExpenseAmt |
| Revenue | $96,925,189 | RevenueAmt |
| Desc | Porter Hospital, Inc. ("Porter") operates a not-for profit critical access hospital with patient care services including emergency room, maternity and medical/surgical inpatient and outpatient care, and ancillary services including rehabilitation, laboratory testing, and diagnostic imaging services. As a critical access hospital, Porter staffs a total of 25 beds. Of the 25 beds, six beds are located in the maternity unit, and the remaining beds are located on the Medical/Surgical unit. Porter recorded approximately 5,940 inpatient days during the year. Emergency Room visits totaled 11,233 for the year. Surgeries for the year totaled 3,983. Support services for both inpatients and outpatients include but are not limited to laboratory, Diagnostic Imaging services, cardiac services, and rehabilitation facilities. Imaging includes radiology, nuclear medicine, MRI, ultrasound, and CT scan. Porter provides free care to patients who meet certain criteria. Porter provides a number of community health outreach programs to the general public for free. The programs include but are not limited to diabetes education, breast cancer screening, prenatal classes, breastfeeding classes, and CPR courses. Porter provides clinical office space to the Open Door Clinic. Finally, Porter has partnered with local career center, as well as colleges to provided clinical exposure to their students with goals of developing future healthcare workers for the community. | Desc |
| Total Program Service Expenses | $73,880,691 | 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 | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | 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 | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | 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 | 0 | 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 | 65 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 629 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 | 15 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Scott Comeau | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8023884752 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 115 Porter Drive | AddressLine1Txt |
| City | Middlebury | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05753 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Andrew Mahoney MD | |||||||||
| Medical Staff Vice President | 40.00 | 2.00 | Yes (X) | $0 | $300,418 | $50,943 | |||
| Kristofer Anderson MD | |||||||||
| Director | 40.00 | 2.00 | Yes (X) | $0 | $301,750 | $26,361 | |||
| Linn Larson MD | |||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $1,969 | $0 | |||
| Sivan Cotel | |||||||||
| Chairman | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Linda Schiffer | |||||||||
| Vice Chair | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Maureen McLaughlin | |||||||||
| Treasurer | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Matthew Curran | |||||||||
| Secretary | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Gretchen Ayer | |||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Judson Bartlett | |||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Anne Collins | |||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Richard Foote | |||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Amy Gregory MD | |||||||||
| Medical Staff President | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Nicholas Lovejoy | |||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Cheryl Mullins | |||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Sarah Ray | |||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Amey Ryan | |||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Debra Stenner | |||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Jennifer Bertrand | |||||||||
| Past CFO | 1.00 | 41.00 | $0 | $228,529 | $4,630 | Yes (X) | |||
| Tom Thompson | |||||||||
| President & COO | 40.00 | 2.00 | $0 | $174,992 | $0 | Yes (X) | |||
| Scott Comeau | |||||||||
| CFO | 1.00 | 41.00 | $0 | $0 | $0 | Yes (X) | |||
| Judy Peek-Lee | |||||||||
| Interim CFO | 1.00 | 41.00 | $0 | $0 | $0 | Yes (X) | |||
| Anna Benvenuto MD | |||||||||
| CMO | 40.00 | 0.00 | $334,502 | $0 | $39,820 | Yes (X) | |||
| David J Myers | |||||||||
| CRNA, Surgical Services | 40.00 | 0.00 | $300,905 | $0 | $40,227 | Yes (X) | |||
| Amy Bishop | |||||||||
| CRNA, Surgical Services | 40.00 | 0.00 | $261,494 | $0 | $42,314 | Yes (X) | |||
| Eric C Berg | |||||||||
| CRNA, Surgical Services | 40.00 | 0.00 | $259,735 | $0 | $12,261 | Yes (X) | |||
| Eric Shubert | |||||||||
| Pharmacist | 40.00 | 0.00 | $177,229 | $0 | $33,106 | Yes (X) | |||
| Seleem Choudhury | |||||||||
| Former COO | 0.00 | 0.00 | $0 | $213,986 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,333,865 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,221,644 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $249,662 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 28 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 |
|---|---|---|---|---|---|
| Alliance Healthcare Services Inc | |||||
| 100 Bayview Circle | Newport Beach | CA | 92660 | Radiology Services | $548,452 |
| Mayo Collaborative Services Inc | |||||
| 200 SW 1st Street | Rochester | MN | 55905 | Analytic and Diagnostic Services | $364,168 |
| Medical Information Tech Inc | |||||
| 1 Meditech Circle | Westwood | MA | 02090 | IT Support Services | $357,626 |
| University of VT TSPIMF | |||||
| 280 East Ave | Burlington | VT | 05403 | Equipment Repair | $319,704 |
| Marcam Associates | |||||
| PO Box 60 | Rochester | NH | 038660060 | Collection Services | $252,651 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 13 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,849,976 | GovernmentGrantsAmt |
| All Other Contributions | $307,569 | AllOtherContributionsAmt |
| Total Contributions | $2,157,545 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Patient Revenue | 621110 | $171,950,959 | $171,950,959 | |
| Fixed Prospective Revenue | 621110 | $20,506,544 | $20,506,544 | |
| Miscellaneous Revenue | 621110 | $3,288,698 | $3,118,475 | $170,223 |
| 340B Pharmacy Sales | 621110 | $2,537,157 | $2,537,157 | |
| Contractual/Charity Care Adj. | 621110 | -$101,358,169 | -$101,358,169 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $96,925,189 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $350,337 | TotalRevenueColumnAmt |
| Exclusion | $350,337 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $18,284 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $18,284 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,284 | TotalRevenueColumnAmt |
| Exclusion | $18,284 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $250,555 | SecuritiesAmt |
| Other | $6,547 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $250,555 | SecuritiesAmt |
| Other | $6,547 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $257,102 | TotalRevenueColumnAmt |
| Exclusion | $257,102 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $99,708,457 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $94,217,809 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,333,103 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,512,961 | TotalAmt |
| Program Services | $40,869,926 | ProgramServicesAmt |
| Management And General | $4,643,035 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,597,624 | TotalAmt |
| Program Services | $1,386,916 | ProgramServicesAmt |
| Management And General | $210,708 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,560,333 | TotalAmt |
| Program Services | $5,445,119 | ProgramServicesAmt |
| Management And General | $1,115,214 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,835,708 | TotalAmt |
| Program Services | $2,434,822 | ProgramServicesAmt |
| Management And General | $400,886 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,207,223 | TotalAmt |
| Management And General | $4,207,223 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,221 | TotalAmt |
| Management And General | $10,221 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,026 | TotalAmt |
| Management And General | $123,026 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,470 | TotalAmt |
| Management And General | $3,470 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,806,059 | TotalAmt |
| Program Services | $4,842,518 | ProgramServicesAmt |
| Management And General | $3,963,541 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,103 | TotalAmt |
| Program Services | $500 | ProgramServicesAmt |
| Management And General | $5,603 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $933,693 | TotalAmt |
| Program Services | $348,524 | ProgramServicesAmt |
| Management And General | $585,169 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,310 | TotalAmt |
| Program Services | $4,777 | ProgramServicesAmt |
| Management And General | $44,533 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,254,083 | TotalAmt |
| Program Services | $1,202,927 | ProgramServicesAmt |
| Management And General | $1,051,156 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,836 | TotalAmt |
| Program Services | $81,514 | ProgramServicesAmt |
| Management And General | $202,322 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $281,965 | TotalAmt |
| Program Services | $231,726 | ProgramServicesAmt |
| Management And General | $50,239 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,856,225 | TotalAmt |
| Program Services | $2,342,390 | ProgramServicesAmt |
| Management And General | $513,835 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $310,737 | TotalAmt |
| Program Services | $200,191 | ProgramServicesAmt |
| Management And General | $110,546 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $9,918,692 | $9,432,089 | $486,603 |
| Medicare Provider Tax | $5,056,752 | $5,056,752 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,608,021 | TotalAmt |
| Program Services | $73,880,691 | ProgramServicesAmt |
| Management And General | $17,727,330 | ManagementAndGeneralAmt |
| Fundraising | $0 | 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 | $16,597 | BOYAmt |
| EOY | $79,971 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,573,991 | BOYAmt |
| EOY | $30,901,493 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,726,843 | BOYAmt |
| EOY | $14,155,944 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,090,074 | BOYAmt |
| EOY | $2,167,561 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $406,950 | BOYAmt |
| EOY | $481,697 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $58,999,021 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $43,436,338 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,732,388 | BOYAmt |
| EOY | $15,562,683 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $11,826,884 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,848,141 | BOYAmt |
| EOY | $4,993,379 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,056,530 | BOYAmt |
| EOY | $3,291,260 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,451,514 | BOYAmt |
| EOY | $83,460,872 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,579,841 | BOYAmt |
| EOY | $8,482,999 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,082,366 | BOYAmt |
| EOY | $9,530,945 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,744,353 | BOYAmt |
| EOY | $10,401,947 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,406,560 | BOYAmt |
| EOY | $28,415,891 | 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 | $40,287,188 | BOYAmt |
| EOY | $49,584,235 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,757,766 | BOYAmt |
| EOY | $5,460,746 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,044,954 | BOYAmt |
| EOY | $55,044,981 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,451,514 | BOYAmt |
| EOY | $83,460,872 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $8,100,436 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $405,852 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,493,739 | 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 | 0 | FederalGrantAuditRequiredInd |
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 | $23,228 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $23,228 | 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 | The Organization pays dues to various associations, a portion of which is attributable to lobbying expenses. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,965,823 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,145,237 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $5,111,060 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,834,593 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $131,230 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,965,823 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,801,633 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $32,960 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,834,593 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,685,569 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $116,064 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,801,633 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,445,391 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $240,178 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,685,569 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,935,416 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,640,485 | DepreciationAmt |
| Book Value | $10,294,931 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $27,865,966 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,260,084 | DepreciationAmt |
| Book Value | $4,605,882 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,197,639 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,535,769 | DepreciationAmt |
| Book Value | $661,870 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $15,562,683 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Beneficial Interest in Perpetual Trusts | Desc |
| Book Value | $4,993,379 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $4,993,379 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated Third Party Settlements | $5,440,996 |
| Deferred Compensation | $1,904,433 |
| Due to Affiliates | -$261,348 |
| Liability for Pension Benefits | $1,919,673 |
| Right of Use Operating Lease Obligation | $1,398,193 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $10,401,947 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V, Line 4: | FormAndLineReferenceDesc |
| Explanation | Income from endowments supports the Organization's mission by providing funds for charity care and additionally offsets a portion of the Organization's operating expenses. | ExplanationTxt |
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 |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 360.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | $605,534 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $605,534 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00660 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,352,050 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,869,095 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,482,955 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.15810 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,957,584 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,869,095 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,088,489 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16470 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $241,363 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $241,363 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $241,363 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $241,363 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,198,947 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,869,095 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,329,852 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16730 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,854,736 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $16,084,625 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $15,496,306 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $588,319 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| 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 | Porter Hospital Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 115 Porter Drive | AddressLine1Txt |
| City | Middlebury | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05753 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.portermedical.org | WebsiteAddressTxt |
| State License | 899 | 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 | Porter Hospital Inc | 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 | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.portermedical.org/about/community-health-needs-assessment | 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.portermedical.org/about/community-health-needs-assessment | StrategyWebsiteURLTxt |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| 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 | 360.000000000000 | 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 |
| 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 |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.portermedical.org/patients-visitors/patient-financial-services/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.portermedical.org/patients-visitors/patient-financial-services/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.portermedical.org/patients-visitors/patient-financial-services/ | 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 |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| 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 | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Porter Hospital, Inc. | Part V, Section B, Line 5: In completing the CHNA in 2021, Porter Hospital did engage with our community collected via a county-wide survey conducted on the Survey Monkey platform. The survey was made available in English and Spanish. It was conducted anonymously and mostly online through a publicized internet address, although paper versions of the survey were also distributed throughout the county among target populations by facilitators and through partner organizations. The web link to the survey was listed on the UVMHN Porter Medical Center website, distributed through committee list serves to share with clients and individuals served by partnering organizations, and through Front Porch Forum. The schools received outreach information to send to families in weekly newsletters. Several social media posts were also developed to increase number of survey respondents. Paper surveys were made available by request and distributed at the Open Door Clinic, Middlebury Laundromat. ACHHH offered paper surveys to individuals who received home-bound Covid-19 vaccinations. However, during the Covid-19 pandemic, it was a challenge to distribute paper copies in person and for people to take time in public spaces to complete the survey. A total of 761 participants in total completed the survey, with five of these participants taking the survey on paper. The responses from the paper surveys were manually entered into the Survey Monkey platform by team members from Middlebury College; this was done to have all participant data in the place on the Survey Monkey platform for subsequent analysis. The survey went live on February 1, 2021 and closed on March 20, but late responses were accepted for an additional week, including paper survey responses that were entered into Survey Monkey. On March 27, the survey data collection was considered final and was exported for analysis. Stakeholders in the community were sent an invitation to attend a group stakeholder interview or complete an online questionnaire of the questions that were posed at the group sessions. There were 33 people representing 23 stakeholder organizations that either attended a group session or completed the survey. Stakeholder Organizations Represented many aspects of the community representing early education, child and parent organization, social wellbeing organizations, aging services clinical centers and secondary educational organizations. In addition, Focus groups occurred with recruitment via three different methods 1) flyers were sent to community partners to share and post with staff and clients 2) community partners were asked to directly identify community members that would be interested in sharing their opinion in a group setting and 3) front porch forum recruitment post for people to sign up. Focus groups were capped at 10 members per group to encourage conversation and they were scheduled on various days and differing times to accommodate for individual's schedules. The Focus Group questionnaire was designed to do a deeper dive on the gaps from the CHNA survey and to get a perspective from underrepresented groups. Questions were designed to identify other needs that may not have been identified from the survey questions. The questionnaire was used a as guide by the facilitator, but the concerns that rose from the discussion shaped the conversation. There were two note takers for each session to capture quotes from participants and information that was shared. From those notes, themes and trends were extracted to be put in a table and compared to information that came from the stakeholder interviews. A community meeting was held to present the information from the CHNA survey, focus group, and stakeholder interview to cross-sector leaders and CHNA collaborators. The information from the community provided the areas for focus and improvement. Thirty-two leaders joined the meeting. Once the information was presented, leaders broke out into separate break out rooms to reflect and have a discussion about the information presented. From the data that was obtained from the CHNA survey, focus group and stakeholder interviews priorities were established.With these community priorities, the Stakeholder groups will convene to identify the following for each priority: Focus Areas Goals Objectives Interventions Measures Timeframe Partners Involved and address the identified priorities. |
| Porter Hospital, Inc. | Part V, Section B, Line 11: Please see attached Community Health Needs Assessment & Implementation Plan. The Hospital's CHNA & Implementation Plan can also be accessed via the Hospital's website - www.portermedical.org/about/community-health-needs-assessment |
| Porter Hospital, Inc. | Part V, Section B, Line 24: The organization will initially bill a patient not having insurance the organizations standard and customary charges. An FAP-eligible patient will receive an adjusted bill reflective of the amounts generally billed to patients having Medicare coverage and will also be awarded financial assistance based on the patients eligibility and will receive discounts ranging from 0% to 100% of the charge depending upon financial need. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - UVMHN-PMC Orthopedics | ||||
| 1436 Exchange Street | Middlebury | VT | 05753 | Physician Clinic |
| 2 - UVMHN-PMC Primary Care-Middlebury | ||||
| 82 Catamount Park | Middlebury | VT | 05753 | Family Physician Clinic |
| 3 - UVMHN-PMC Primary Care-Vergennes | ||||
| 10 North Street | Vergennes | VT | 05491 | Family Physician Clinic |
| 4 - UVMHN-PMC Pediatric Primary Care | ||||
| 1330 Exchange Street 201 | Middlebury | VT | 05753 | Physician Clinic |
| 5 - UVMHN-PMC Primary Care-Brandon | ||||
| 61 Court Drive | Brandon | VT | 05733 | Family Physician Clinic |
| 6 - UVMHN-PMC Ear Nose & Throat | ||||
| 1330 Exchange Street 202 | Middlebury | VT | 05753 | Physician Clinic |
| 7 - UVMHN-PMC Primary Care-Bristol | ||||
| 61 Pine Street | Bristol | VT | 05443 | Physician Clinic |
| 8 - UVMHN-PMC Cardiology | ||||
| 115 Porter Drive | Middlebury | VT | 05753 | Physician Clinic |
| 9 - UVMHN-PMC Podiatry | ||||
| 76 Court Street | Middlebury | VT | 05753 | Physician Clinic |
| 10 - UVMHN-PMC Women's Health | ||||
| 116 Porter Drive | Middlebury | VT | 05753 | Physician Clinic |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | The Organization used a cost-to-charge ratio as its methodology for calculating amounts on Lines 7a & 7b. An actual costing methodology was used to calculate the amounts on lines 7f & 7i. |
| 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 12 - 14 of the attached audited financial statements. |
| Part III, Line 9b: | Porter Hospital, Inc. recognizes that it has a responsibility to provide care to all patients regardless of their ability to pay and make available financial assistance for those patients that have been identified as financially needy through written documentation. Information regarding financial assistance is made available upon request. |
| Part VI, Line 2: | Please see attached Community Health Needs Assessment & Implementation Plan. The Hospital's CHNA & Implementation Plan can also be accessed via the Hospital's website - www.portermedical.org. |
| Part VI, Line 3: | Porter Hospital's Financial Assistance Program is posted on the Porter Medical Center Web Site. In addition, a brochure about your rights and responsibilities as a patient is available to all patients. The brochure states that the patient has the right to receive the most appropriate medical treatment available regardless of ability to pay and receive information about financial assistance, and this language is also posted in all patient registration areas. |
| Part VI, Line 4: | Porter Hospital, Inc. is the major provider of health care in Addison County, Vermont. Porter Hospital, Inc. also provides services to residents of northern Rutland County, Vermont, Essex County, New York and elsewhere in this region. |
| Part VI, Line 5: | Porter Hospital, Inc. provides rent-free clinic space and vouchers for no-cost ancillary services to the local Open Door Clinic in its role as a catalyst in the delivery of health care services to its entire community.Porter Hospital, Inc. offers free and low cost community education programs on health care topics including memory loss, dementia, breast cancer screening, basic diabetes, CPR, smoking cessation, nutrition, physical fitness, parenting, prenatal exercise and breast feeding.A majority of the governing body is comprised of persons who reside in its service area and who are neither employees nor contractors of Porter Hospital, Inc. nor family members thereof. Medical staff privileges are extended to all qualified physicians in the community.Surplus funds are invested in technology, facilities and programs. |
| Part VI, Line 6: | Porter Hospital, Inc. and Helen Porter Nursing Home, Inc. are wholly owned subsidiaries of Porter Medical Center. All corporations are affiliates of the University of Vermont Health Network effective April 2017. Through its subsidiaries, Porter Medical Center provides a continuum of health services including in-patient care, outpatient care, short-term rehabilitation, long-term rehabilitation, long-term care, dementia care, wellness programs and prevention programs. |
| Part VI, Line 7, Reports Filed With States | VT |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | 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 | Yes (1) | InitialContractExceptionInd |
| Rebuttable Presumption Proc | Yes (1) | RebuttablePresumptionProcInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Anna Benvenuto MD | ||||||||||||||
| CMO | $334,159 | $0 | $0 | $0 | $343 | $0 | $6,484 | $0 | $33,336 | $0 | $374,322 | $0 | $0 | $0 |
| Andrew Mahoney MD | ||||||||||||||
| Medical Staff Vice President | $0 | $298,483 | $0 | $0 | $0 | $1,935 | $0 | $18,810 | $0 | $32,133 | $0 | $351,361 | $0 | $0 |
| David J Myers | ||||||||||||||
| CRNA, Surgical Services | $177,953 | $0 | $0 | $0 | $122,952 | $0 | $8,590 | $0 | $31,637 | $0 | $341,132 | $0 | $0 | $0 |
| Kristofer Anderson MD | ||||||||||||||
| Director | $0 | $296,501 | $0 | $0 | $0 | $5,249 | $0 | $12,455 | $0 | $13,906 | $0 | $328,111 | $0 | $0 |
| Amy Bishop | ||||||||||||||
| CRNA, Surgical Services | $180,218 | $0 | $10,000 | $0 | $71,276 | $0 | $8,021 | $0 | $34,293 | $0 | $303,808 | $0 | $0 | $0 |
| Eric C Berg | ||||||||||||||
| CRNA, Surgical Services | $191,584 | $0 | $0 | $0 | $68,151 | $0 | $10,425 | $0 | $1,836 | $0 | $271,996 | $0 | $0 | $0 |
| Jennifer Bertrand | ||||||||||||||
| Past CFO | $0 | $224,282 | $0 | $0 | $0 | $4,247 | $0 | $4,417 | $0 | $213 | $0 | $233,159 | $0 | $0 |
| Seleem Choudhury | ||||||||||||||
| Former COO | $0 | $96,479 | $0 | $0 | $0 | $117,507 | $0 | $0 | $0 | $0 | $0 | $213,986 | $0 | $0 |
| Eric Shubert | ||||||||||||||
| Pharmacist | $155,964 | $0 | $0 | $0 | $21,265 | $0 | $6,630 | $0 | $26,476 | $0 | $210,335 | $0 | $0 | $0 |
| Tom Thompson | ||||||||||||||
| President & COO | $0 | $74,038 | $0 | $50,000 | $0 | $50,954 | $0 | $0 | $0 | $0 | $0 | $174,992 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | Porter Medical Center (PMC), a related organization, establishes the compensation for the Organization's CEO. Porter Medical Center uses a variety of resources to establish compensation as follows: 1. Independent compensation consultant 2. Written employment contract 3. Approval by the PMC Board |
| Part I, Line 4a | During 2020, Seleem Choudhury, Former COO, received severance pay of $114,540 from Porter Medical Center, a related organization. Seleem received the severance pay as a result of leaving her position as COO. Dr. Choudhury remained an employee of Porter Medical Center as a Physician. |
| Part I, Line 7 | Employees of Porter Hospital were eligible to receive discretionary bonuses for taking on extra responsibilities. |
| Part I, Line 8 | Amy Bishop, CRNA, received a sign-on bonus in the amount of $10,000 pursuant to a contract subject to the initial contract exception described in Reg. Section 53.4958-4(a)(3). |
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 | 2015-08-06 | BondIssuedDt |
| Issue Price | $12,650,000 | IssuePriceAmt |
| Purpose | Refund 2006 Series A Bonds | 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 | $3,119,055 | RetiredAmt |
| Total Proceeds | $12,650,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $138,787 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $12,511,213 | OtherSpentProceedsAmt |
| Substantial Completion | 2015 | 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 | 0 | 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 | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | 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 | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | The University of Vermont Health Network is the sole member of Porter Medical Center. Porter Medical Center is the direct controlling entity of Porter Hospital, Inc. |
| Form 990, Part VI, Section A, line 7a | The University of Vermont Health Network, as Porter Medical Center's sole member, has reserve powers that allow the University of Vermont Health Network to refuse the acceptance of new board members appointed by the Porter Medical Center Board of Directors if The University of Vermont Health Network does not agree with the choice of appointments. As a result, the process of appointing members to the governing body is a collaboration of the Porter Medical Center Board of Directors and the University of Vermont Health Network. |
| Form 990, Part VI, Section A, line 7b | The University of Vermont Health Network has certain reserve powers that require it to approve certain decisions made by the Porter Medical Center Board of Directors. |
| Form 990, Part VI, Section B, line 11b | Prior to filing, the Form 990 is reviewed by members of management. Further, the completed Form 990 is provided to the UVMHN/PMC Board and Finance Committee prior to filing. |
| Form 990, Part VI, Section B, line 12c | The Organization's CFO and Controller are 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 Compensation Committee reviews the data prepared by the UVMHN Total Rewards team and audited external consultants. Based on the data provided, the Compensation Committee reviews the CEO's salary for appropriateness and votes 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. |
| Form 990, Part X, Line 10: Land, Buildings, and Equipment | Section 1.263(a)-3(n) Election: Porter Hospital, Inc. 115 Porter Drive Middlebury, VT 05753 EIN 03-0181058 Porter Hospital, 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 Net Assets to Recognize Funded Status of Pension Plan 2,317,437. Change in Beneficial Interest in Perpetual Trusts 1,145,237. Other Component of Pension Expense -190,537. Equity Transfer from Affiliate -28,398. Transfer to Affiliate -1,750,000. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (21 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Porter Medical Center Inc | |||||||||||
| 37 Porter Drive | Middlebury | VT | 05753 | 030310862 | Holding Company for Subsidiaries | VT | 501(c)(3) | Line 12b, II | N/A | 0 | |
| Helen Porter Nursing Home Inc dba Helen Porter Nursing and Rehabilitation | |||||||||||
| 30 Porter Drive | Middlebury | VT | 05753 | 030306549 | Nursing Home | VT | 501(c)(3) | Line 3 | 0 | Porter Medical Center Inc | |
| Auxiliary of Porter Medical Center | |||||||||||
| 37 Porter Drive | Middlebury | VT | 05753 | 237363227 | Supporting Organization | VT | 501(c)(3) | Line 12b, II | 0 | Porter Medical Center Inc | |
| Univ of Vermont Health Network Inc | |||||||||||
| 111 Colchester Ave | Burlington | VT | 05401 | 452880726 | Parent Organization | VT | 501(c)(3) | Line 12a, I | N/A | 0 | |
| UVM Health Network Medical Group Inc | |||||||||||
| 111 Colchester Ave | Burlington | VT | 05401 | 030225105 | Physician Services | VT | 501(c)(3) | Line 12a, I | 0 | UVMHN | |
| UVM Medical Group-New York PLLC | |||||||||||
| 183 Park Street | Malone | NY | 12953 | 203905216 | Physician Services | NY | 501(c)(3) | Line 3 | 0 | UVMHNMG | |
| The University of Vermont Med Ctr Fdn Inc | |||||||||||
| 111 Colchester Ave | Burlington | VT | 05401 | 263159849 | Fundraising | VT | 501(c)(3) | Line 12a, I | 0 | UVMMC | |
| The University of Vermont Medical Center | |||||||||||
| 111 Colchester Ave | Burlington | VT | 05401 | 030219309 | Hospital | VT | 501(c)(3) | Line 3 | 0 | UVMHN | |
| Central Vermont Medical Center | |||||||||||
| 130 Fisher Road | Berlin | VT | 05602 | 222547186 | Hospital | VT | 501(c)(3) | Line 3 | 0 | UVMHN | |
| Community Providers Inc | |||||||||||
| 75 Beekman Street | Plattsburgh | NY | 12901 | 222544844 | Health Service Coordinator | NY | 501(c)(3) | Line 12a, I | 0 | UVMHN | |
| Champlain Valley Phys Hospital | |||||||||||
| 75 Beekman Street | Plattsburgh | NY | 12901 | 141338471 | Hospital | NY | 501(c)(3) | Line 3 | 0 | UVMHN | |
| Elizabethtown Community Hospital | |||||||||||
| 75 Park Street | Elizabethtown | NY | 12932 | 141364513 | Hospital | NY | 501(c)(3) | Line 3 | 0 | UVMHN | |
| Emergency Medical Transport of CVPH Inc | |||||||||||
| 75 Beekman Street | Plattsburgh | NY | 12901 | 061718419 | Ambulance Service | NY | 501(c)(3) | Line 12b, II | 0 | CPI | |
| CVPH Medical Center Foundation | |||||||||||
| 75 Beekman Street | Plattsburgh | NY | 12901 | 141727048 | Health Service Support | NY | 501(c)(3) | Line 12b, II | 0 | CVPH | |
| University Health Center | |||||||||||
| 111 Colchester Ave | Burlington | VT | 05401 | 030229931 | Hospital | VT | 501(c)(3) | Line 12c, III-FI | 0 | UVMHNMG | |
| University Medical Education Associates | |||||||||||
| 89 Beaumont Avenue | Burlington | VT | 05401 | 237107832 | Educational | VT | 501(c)(3) | Line 10 | 0 | UVMHNMG | |
| Alice Hyde Medical Center | |||||||||||
| 133 Park Street | Malone | NY | 12953 | 150346515 | Hospital | NY | 501(c)(3) | Line 3 | 0 | UVMHN | |
| UVM Medical Center Auxiliary Inc | |||||||||||
| 111 Colchester Ave | Burlington | VT | 05401 | 208022004 | Service | VT | 501(c)(3) | Line 12c, III-FI | N/A | 0 | |
| UVMHN Home Healthcare & Hospice | |||||||||||
| 1110 Prim Road | Colchester | VT | 05446 | 030179603 | Home Healthcare | VT | 501(c)(3) | Line 3 | 0 | UVMHN | |
| Lake Champlain Physicians Services PC | |||||||||||
| 75 Beekman Street | Plattsburgh | NY | 12901 | 273785445 | Physician Services | NY | 501(c)(3) | Line 12a, I | 0 | CVPH | |
| VMC Indemnity Company Inc | |||||||||||
| 95 St Paul St | Burlington | VT | 05401 | 831102018 | Insurance | VT | 501(c)(3) | Line 12a, I | 0 | UVMHN | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| Onecare Vermont ACO LLC | |||||||||
| 111 Colcester Ave | Burlington | VT | 05401 | 455399218 | Accountable Care | VT | N/A | 0 | 0 |
| Adirondack ACO LLC | |||||||||
| 75 Beekman Street | Plattsburgh | NY | 12901 | 462840926 | Accountable Care | NY | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UVMMC Health Ventures Inc | |||||||||||||||
| 111 Colchester Ave | Burlington | VT | 05401 | 043380045 | Holding Company | VT | N/A | C | 0 | ||||||
| VMC Indemnity Company LTD | |||||||||||||||
| Captive Insurance | N/A | C | 0 | PO Box HM 3103 25 Church Street | Hamilton | HM FX | BD | BD | |||||||
| Vermont Managed Care Inc | |||||||||||||||
| 111 Colchester Ave | Burlington | VT | 05401 | 030333056 | Admin Services | VT | N/A | C | 0 | ||||||
| Charitable Remainder Trust (5) | |||||||||||||||
| Support | VT | 0 | UVMMCCVMC | ||||||||||||
| Perpetual Trust (4) | |||||||||||||||
| Support | VT | 0 | UVMMC | ||||||||||||
| Charitable Irrevocable Trust (7) | |||||||||||||||
| Support | VT | 0 | UVMMCCVMC | ||||||||||||
| Champlain Valley Health Network | |||||||||||||||
| 75 Beekman Street | Plattsburgh | NY | 12901 | 161586102 | Admin Service | NY | N/A | C | 0 | ||||||
| Mediquest Inc | |||||||||||||||
| PO Box 1656 | Plattsburgh | NY | 12901 | 141663061 | Med Office Lease | NY | N/A | C | 0 | ||||||
| Yankee Medical Inc | |||||||||||||||
| 276 North Avenue | Burlington | VT | 05401 | 030225363 | Home Medical Equipment | VT | N/A | C | 0 | ||||||
| Perpetual Trust (2) | |||||||||||||||
| Support | VT | Yes (1) | Porter Hospital Inc | ||||||||||||
| 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 | 0 | 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 | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |