2025-08-11T13:21:13+00:00 2024-09-30 440160260 Forvis Mazars LLP 910 E St Louis 200 PO Box 1190 Springfield MO 658062523 990 2023-10-01 030183483 Rutland Hospital Inc RUTL 8027757111 160 Allen Street Rutland VT 05701 Judi K Fox President, CEO 8027757111 2025-08-11 true Brian Todd P00422601 4178658701 2025-08-11 2023 2025-03-06 01:10:19Z Rutland Regional Medical Center Judi K Fox 160 Allen Street Rutland VT 05701 369855975 false X www.RRMC.org X 1892 VT RRMC PROVIDES HIGH QUALITY, HOSPITAL, AND SPECIALTY CARE FOR ALL THROUGH THE STRENGTH AND COMPASSION OF OUR PEOPLE. SEE SCHEDULE O FOR MORE INFORMATION. 19 17 2023 192 6405144 1514393 4779188 5045278 342182621 345299730 5301436 13195016 -27927594 210851 324335651 363750875 829066 797020 0 0 195247727 197324858 0 0 513819 142595329 148429973 338672122 346551851 -14336471 17199024 350013249 402560088 102774963 111971723 247238286 290588365 X RRMC PROVIDES HIGH QUALITY, HOSPITAL, AND SPECIALTY CARE FOR ALL THROUGH THE STRENGTH AND COMPASSION OF OUR PEOPLE. false false 142693920 0 163503152 ANCILLARY CARE. ANCILLARY CARE SERVICES INCLUDE OPERATING ROOM, EMERGENCY ROOM, PHYSICAL REHABILITATION, ANESTHESIOLOGY, ONCOLOGY, PULMONARY, RESPIRATORY, PHYSICAL THERAPY, CARDIAC CATH, ENDOSCOPY, AMBULATORY, DELIVERY, RADIATION, PSYCHIATRIC COUNSELING, OCCUPATIONAL THERAPY, RECOVERY, HIV CLINIC, AND SPEECH THERAPY. SEE SCHEDULE O FOR MORE INFORMATION. 55777258 0 63911325 INPATIENT CARE. INPATIENT CARE SERVICES INCLUDE MEDICAL AND SURGICAL, INTENSIVE CARE, HOSPITALISTS, PSYCHIATRIC, OBSTETRICS AND GYNECOLOGY, NURSERY, AND NURSING. SEE SCHEDULE O FOR MORE INFORMATION. 37603742 0 43087543 DIAGNOSTIC SERVICES. DIAGNOSTIC SERVICES INCLUDE LABORATORY, RADIOLOGY, ELECTROENCEPHALOGRAPHY, AND CT SCANNING. SEE SCHEDULE O FOR MORE INFORMATION. 59688166 797020 68392566 THE REVENUES AND EXPENSES REPORTED ON PART III, LINE 4D, REPRESENT THOSE AMOUNTS THAT ARE ATTRIBUTABLE TO OTHER PROGRAM SERVICES CONDUCTED BY THE ORGANIZATION. THESE OTHER SERVICES PRIMARILY REPRESENT OTHER SUPPORT SERVICES THAT ARE PROVIDED TO HOSPITAL PATIENTS OR THAT ARE CONDUCTED TO SUPPORT THE OVERALL FUNCTION OF THE HOSPITAL, SUCH AS CENTRAL SUPPLY AND PHARMACY SERVICES. OTHER SERVICES ALSO INCLUDE BENEFIT TO THE COMMUNITY THROUGH THE PAYMENT OF GRANTS TO OTHER COMMUNITY ORGANIZATIONS. SEE SCHEDULE I FOR DETAIL REGARDING THESE GRANT PAYMENTS. 59688166 797020 68392566 295763086 true true false true false false false false true true false false false true false true true false false false false false false true false true true true false true true false false false false false false false false false false false false false false false true false false false true 205 0 true 2023 true true true false false false false true true false false false false false false X 19 17 false false true false true true true true true false false true true true true true true true true false X Jennifer A Bertrand 8027757111 160 Allen Street Rutland VT 05701 Denise A Clark Vice Chair End 04/24; Chair Beg 04/24 1.0 1.0 X X 0 0 0 Joan F Gamble Secretary End 04/24; Vice Chair Beg 04/24 1.0 1.0 X X 0 0 0 Margo Jones Director End 04/24; Secretary Beg 04/24 1.0 1.0 X X 0 0 0 Mark K Foley Jr Chair End 04/24; Director Beg 04/24 1.0 1.0 X X 0 0 0 Alison Davis MD Director Beg 05/24 40.0 0 X 458624 0 58256 Bill Olsen Director 1.0 1.0 X 0 0 0 Daniel Doenges Director 1.0 1.0 X 0 0 0 Dick Courcelle Director 1.0 1.0 X 0 0 0 Edward J Merrens MD Director End 04/24 1.0 1.0 X 0 0 0 Jonathan Huntington MD Director Beg 04/24 1.0 0 X 0 0 0 Joseph Kraus Director End 04/24 1.0 1.0 X 0 0 0 Mark Alderman Director Begin 04/24 1.0 1.0 X 0 0 0 Mark Bisanzo MD Director Beg 04/24 1.0 0 X 0 0 0 Mary M Beerworth MD Director 1.0 1.0 X 0 0 0 Matt Kinsman Director 1.0 1.0 X 0 0 0 Michael Dimeola MD Director 40.0 1.0 X 563991 0 28934 Michael Gardner Director 1.0 1.0 X 0 0 0 Michele Nelson Director 1.0 1.0 X 0 0 0 Paul Gallo Director 1.0 1.0 X 0 0 0 Phillip R Lapp MD Director End 05/24 40.0 1.0 X 421270 0 64164 Renee Bousquet Director Beg 04/24 1.0 0 X 0 0 0 Robert Riley Director End 10/23 1.0 1.0 X 0 0 0 S Patrick Bender MD Director End 11/23 1.0 1.0 X 0 0 0 Sara King Director 1.0 1.0 X 0 0 0 Jennifer A Bertrand CFO Beg 12/23 40.0 1.0 X 13462 0 0 Judi K Fox INTERIM CFO END 12/23; PRESIDENT / CEO 40.0 1.0 X 635518 0 101855 Brian Kerns VP Human Resources 40.0 0 X 284232 0 43215 Elizabeth A Kyhill VP Medical Group Operations 40.0 0 X 225676 0 12318 Jonathan Reynolds VP Clinical Services 40.0 0 X 300340 0 48174 Kelly O Watson VP Chief Nursing Officer 40.0 0 X 281846 0 36409 Mitchell E Baroody VP, Chief Legal Officer 40.0 0 X 267200 0 33030 Rick Hildebrant MD Chief Medical Information Officer 40.0 0 X 421214 0 55774 Roger F Wakeman VP Support Services End 07/24 40.0 0 X 266834 0 21248 Eric Marsh MD Orthopedics 40.0 0 X 1266288 0 52538 Lindsay T Kleeman-Forsthuber MD Orthopedics 40.0 0 X 826432 0 44899 Melbourne D Boynton MD Orthopedic Surgeon 40.0 0 X 1238632 0 55700 Michael Robertello MD Cardiology 40.0 0 X 981540 0 58360 Veronika Jedlovszky MD Physician / Medical Director Pulmonary & Sleep Center 40.0 0 X 893380 0 51629 Andrew P DeNicco MD Physician, Former Assistant Medical Director 40.0 0 X 333778 0 35746 Claudio Fort Former President / CEO 0.0 0.0 X 834628 0 10303 Thomas E Frank Former VP Medical Group Operations 40.0 0 X 142598 0 6762 Thomas Huebner Former President 0.0 0 X 200000 0 0 Todd Gregory MD Physician, Former Medical Director 40.0 0 X 525819 0 49253 11383302 0 868567 289 true true false Cerner Corporation PO Box 959156 St Louis MO 631959156 Professional Service 10970327 Cross Country Staffing Inc PO Box 404674 Atlanta GA 303844674 Temporary Staff 9699411 Oracle America Inc PO Box 203448 Dallas TX 753203448 Professional Service 2155624 Mayo Collaborative Service Inc PO Box 9146 Minneapolis MN 554809146 Lab Services 1328667 Medical Solutions LLC 1010 N 102nd Suite 300 Omaha NE 68114 Temporary Staff 1325319 37 65717 3906446 1073115 5045278 NET PATIENT SERVICE REVENUE 621400 328408372 328408372 LAB & SCREENING SERVICES 621500 3136236 3136236 PHARMACY 456110 11119136 7850228 3268908 CAFETERIA 722514 885424 885424 OTHER REVENUE 900099 1750562 1750562 0 0 0 0 345299730 6149499 6149499 227649 481294 -253645 0 -253645 -253645 12583110 21106 5507212 51487 7075898 -30381 7045517 7045517 55417 65717 65107 -9690 -9690 GAIN ON PENSION SETTLEMENT 900099 474186 474186 0 0 0 0 474186 363750875 338894586 6405144 13405867 797020 797020 0 0 4643584 2976990 1666594 2138887 1093956 1044931 154559315 140383211 13828143 347961 5653898 5139995 501032 12871 21318831 19174287 2097730 46814 9010343 8073278 917565 19500 604789 604789 311032 311032 75468 75468 168678 168678 30860173 15365366 15491714 3093 305704 3768 301936 8013487 5856135 2088261 69091 5273492 300140 4973334 18 4317218 3159629 1154686 2903 684002 568042 115898 62 1438863 1243684 194483 696 12978262 11217783 1754204 6275 3363316 2168032 1191666 3618 MEDICAL SUPPLIES & DRUGS 57441283 57441283 MEDICAID TAX ASSESSMENT 19665075 19665075 LICENSES, DUES, & SUBSCRIPTIONS 2814371 1135412 1678042 917 114760 0 114760 0 346551851 295763086 50274946 513819 6295 6555 14600270 31736461 6263 6165 32989525 32663006 0 0 0 0 1989965 2284182 2946225 3207024 4327963 4009729 323866726 226326023 95394468 97540703 170500480 211989029 0 0 27251795 19117234 350013249 402560088 43840265 49613839 9883371 7466440 0 32503703 31238626 16547624 23652818 102774963 111971723 X 243086896 286296576 4151390 4291789 247238286 290588365 350013249 402560088 17199024 26151055 0 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false false true 75468 false true 44168 119636 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION PAID LOBBYING FEES OF $75,468 TO A PROFESSIONAL GOVERNMENT AFFAIRS AND COMMUNICATION STRATEGIES COMPANY. DUES ARE PAID TO THE AMERICAN HOSPITAL ASSOCIATION, THE VERMONT ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS, AND THE SOLE COMMUNITY COALITION. A PORTION OF DUES IS ATTRIBUTABLE TO LOBBYING: $18,713 VAHHS $ 12,153 AHA $ 12,500 SCC $ 803 340B HEALTH ------------ $ 44,168 881803 0 128318 0 0 0 1010121 826224 0 152612 0 97033 0 881803 1358194 0 -496432 0 35538 0 826224 1453615 0 161287 0 256708 0 1358194 1592292 0 83281 0 221958 0 1453615 0.0 0.4313 0.5687 false false 645676 645676 59950134 34963583 24986551 84415228 54478750 29936478 172260097 133779912 38480185 6595591 3103778 3491813 97540703 ESTIMATED AMOUNTS DUE TO THIRD PARTY 12867771 ADVANCES FROM THIRD PARTY PAYERS 4340426 OPERATING LEASE LIABILITY 6444621 23652818 389761449 26151055 467558 26618613 363142836 168678 439361 608039 363750875 346929574 546401 546401 346383173 168678 0 168678 346551851 Schedule D, Part X, Line 2 UNCERTAIN TAX POSITIONS MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. Schedule D, Part V, Line 4 Intended uses of endowment funds RRMC'S ENDOWMENTS CONSIST OF VARIOUS INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE GOVERNING BODY TO FUNCTION AS ENDOWMENTS (BOARD-DESIGNATED ENDOWMENT FUNDS). AS REQUIRED BY ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA (GAAP), NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS, INCLUDING BOARD-DESIGNATED ENDOWMENT FUNDS, ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR IMPOSED RESTRICTIONS. RRMC'S GOVERNING BODY HAS INTERPRETED THE STATE OF VERMONT PRUDENT MANAGEMENT OF INSTITUTIONAL FUNDS ACT (SPMIFA) AND, THUS, CLASSIFIES AMOUNTS IN ITS DONOR-RESTRICTED ENDOWMENT FUNDS AS NET ASSETS WITH DONOR RESTRICTIONS BECAUSE THOSE NET ASSETS ARE TIME RESTRICTED UNTIL THE BOARD APPROPRIATES SUCH AMOUNTS FOR EXPENDITURE. MOST OF THOSE NET ASSETS ARE ALSO SUBJECT TO PURPOSE RESTRICTIONS THAT MUST BE MET BEFORE RECLASSIFYING THOSE NET ASSETS TO NET ASSETS WITHOUT DONOR RESTRICTIONS. RRMC'S GOVERNING BODY HAS INTERPRETED SPMIFA AS NOT REQUIRING THE MAINTENANCE OF PURCHASING POWER OF THE ORIGINAL GIFT AMOUNT CONTRIBUTED TO AN ENDOWMENT FUND, UNLESS A DONOR STIPULATES TO THE CONTRARY. AS A RESULT OF THIS INTERPRETATION, WHEN VIEWING ITS DONOR-RESTRICTED ENDOWMENT FUNDS, RRMC CONSIDERS A FUND TO BE UNDERWATER IF THE FAIR VALUE OF THE FUND IS LESS THAN THE SUM OF (A) THE ORIGINAL VALUE OF INITIAL AND SUBSEQUENT GIFT AMOUNTS DONATED TO THE FUND AND (B) ANY ACCUMULATIONS TO THE FUND THAT ARE REQUIRED TO BE MAINTAINED IN PERPETUITY IN ACCORDANCE WITH THE DIRECTION OF THE APPLICABLE DONOR GIFT INSTRUMENT. RRMC HAS INTERPRETED SPMIFA TO PERMIT SPENDING FROM UNDERWATER FUNDS IN ACCORDANCE WITH THE PRUDENT MEASURES REQUIRED UNDER THE LAW. IN ADDITION, IN ACCORDANCE WITH SPMIFA, RRMC CONSIDER THE FOLLOWING FACTORS IN MAKING A DETERMINATION TO APPROPRIATE OR ACCUMULATE DONOR-RESTRICTED ENDOWMENT FUNDS: 1. DURATION AND PRESERVATION OF THE FUND 2. PURPOSES OF RRMC AND THE FUND 3. GENERAL ECONOMIC CONDITIONS 4. POSSIBLE EFFECT OF INFLATION AND DEFLATION 5. EXPECTED TOTAL RETURN FROM INVESTMENT INCOME AND APPRECIATION OR DEPRECIATION OF INVESTMENTS 6. OTHER RESOURCES OF RRMC Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 NET ASSETS RELEASED FROM RESTRICTION - 467558 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements TEMPORARILY RESTRICTED CONTRIBUTIONS - 244607 TEMPORARILY RESTRICTED INVESTMENT RETURN - 363350 RENTAL EXPENSES - -481294 SPECIAL EVENTS EXPENSE - -65107 CONTRIBUTIONS FOR PROPERTY AND EQUIPMENT - 377805 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 RENTAL EXPENSES - 481294 SPECIAL EVENTS EXPENSE - 65107 GOLF TOURNAMENT 45015 31353 13662 2250 4550 28190 GREEN MOUNTAIN GALA 76119 34364 41755 19264 10853 0 121134 65717 55417 2250 4550 19264 39043 65107 -9690 true true X true X 300 true X 500 true true true false true true 3036266 0 3036266 0.0088 76227391 35142236 41085155 0.1186 0 0 0 0.0 0 0 79263657 35142236 44121421 0.1273 5 900 2669906 2542007 127899 0.0004 5 276 1081439 0 1081439 0.0031 66224550 49953284 16271266 0.0470 0 0 0 0.0 7565 481334 481334 0.0014 10 8741 70457229 52495291 17961938 0.0518 10 8741 149720886 87637527 62083359 0.1791 0 0.0 0 0.0 1 5135 138204 0 138204 0.0004 0 0.0 0 0.0 1 500 161342 161342 0.0005 0 0.0 0 0.0 0 0.0 2 5635 299546 0 299546 0.0009 false 15987528 1886528 77145099 94504409 -17359310 X true true 1 1 RUTLAND HOSPITAL 160 ALLEN STREET RUTLAND VT 05701 WWW.RRMC.ORG 884 X X X MED DEV RURAL COMMUNITY HOSPITAL RUTLAND HOSPITAL 1 false false true X X X X X X X X X 24 true false false true X WWW.RRMC.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X X true 24 true HTTPS://WWW.RRMC.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ false true X 300.0 500.0 X X X X true true X X X X true X HTTPS://WWW.RRMC.ORG/PATIENT-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.RRMC.ORG/PATIENT-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.RRMC.ORG/PATIENT-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ X X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - RRMC. RUTLAND REGIONAL MEDICAL CENTER CONTINUALLY ASSESSES THE NEEDS OF THE COMMUNITY WE SERVE THROUGH INTERACTIONS WITH THE STATE OF VERMONT HEALTH DEPARTMENT AND THE DEPARTMENT OF VERMONT HEALTH ACCESS, THE PUBLIC, OTHER COMMUNITY ORGANIZATIONS, FEEDBACK FROM MEDICAL PROVIDERS AND PATIENTS, ALONG WITH NOTING TRENDS IN UTILIZATION OF SERVICES AND PRESENTATION OF ILLNESS, INJURY AND DISEASE. ONE INPUT TO THIS ONGOING REVIEW IS THE COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH IS CONDUCTED EVERY THREE (3) YEARS TO IDENTIFY AND PRIORITIZE THE HEALTH NEEDS OF THE HOSPITAL SERVICE AREA CONSTITUENTS. THE PROCESS TAKES INTO CONSIDERATION AVAILABLE DATA REPORTS ON HEALTH INDICATORS AND RECOMMENDED HEALTH OUTCOME METRICS, AND COMBINES THIS INFORMATION WITH INPUT FROM COMMUNITY MEMBERS AND LEADERS. WE TAKE INTO CONSIDERATION THE INFLUENCE OF ENVIRONMENT, ACCESS TO HEALTHCARE, HEALTHY LIFESTYLE CHOICES, AND SOCIOECONOMIC FACTORS AND THE EFFECT THEY HAVE INDIVIDUALLY AND COLLECTIVELY ON HEALTH STATUS OF A COMMUNITY. TO ACHIEVE THIS, WE HAVE USED A SIX-STEP APPROACH TO CONDUCTING THIS AND OTHER NEEDS ASSESSMENTS, INCLUDING: 1. DEFINING THE COMMUNITY WE SERVE (OUR HOSPITAL SERVICE AREA); 2. CONDUCTING SECONDARY RESEARCH TO COLLECT DATA FROM OTHER SOURCES TO ANALYZE EXISTING DATA THAT RELATES TO THE HEALTH STATUS OF THE POPULATION; 3. CONDUCTING SURVEYS OF COMMUNITY MEMBERS AS CONSUMERS OF HEALTH SERVICES; 4. SOLICITING INPUT FROM COMMUNITY LEADERS; 5. REVIEW THE INFORMATION COLLECTED TO IDENTIFY THE NEEDS OF OUR COMMUNITY; 6. PRIORITIZE AND REPORT THE IDENTIFIED NEEDS AND RECOMMENDATIONS. TO OVERSEE THE WORK PERFORMED, WE COLLABORATE WITH COMMUNITY LEADERS WITH SPECIAL KNOWLEDGE OR EXPERTISE OF PUBLIC HEALTH, COMMUNITY HEALTH AND SOCIAL SERVICES, AND TARGET POPULATIONS, TO SERVE AS AN ADVISORY COMMITTEE THROUGHOUT THE PROCESS OF COMPLETING THE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS GROUP OF INDIVIDUALS BROUGHT DIVERSITY OF PERSPECTIVE TO THE PROCESS: - VERMONT DEPARTMENT OF HEALTH - RUTLAND MENTAL HEALTH SERVICES, INC. - VISITING NURSE ASSOCIATION AND HOSPICE OF THE SOUTHWEST REGION. - RUTLAND HOUSING AUTHORITY - COMMUNITY MEMBER, BOARD MEMBER OF COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, COMMISSIONER RUTLAND CITY POLICE - RUTLAND BLUEPRINT MANAGER, RUTLAND REGIONAL MEDICAL CENTER - PSYCHIATRIC SERVICES AND WEST RIDGE TREATMENT CENTER, RUTLAND REGIONAL MEDICAL CENTER - DIVISION OF ALCOHOL AND DRUG ABUSE PROGRAMS, VERMONT DEPARTMENT OF HEALTH - UNITED WAY OF RUTLAND COUNTY - BUILDING BRIGHT FUTURES THE ADVISORY COMMITTEE MET MONTHLY BEGINNING IN OCTOBER 2017 TO MONITOR THE PROGRESS OF THE WORK, PROVIDE INPUT AND SUPPORT, AND TO PROVIDE ASSISTANCE WHEN NECESSARY. IN ADDITION TO THE ADVISORY COMMITTEE IS AN OVERSIGHT COMMITTEE, MADE UP OF A DIVERSE COMBINATION OF COMMUNITY PARTNERS, THE BOWSE COMMUNITY HEALTH IMPROVEMENT COMMITTEE. THE BOWSE COMMUNITY HEALTH IMPROVEMENT COMMITTEE IS CHARGED WITH GENERAL OVERSIGHT OF RUTLAND REGIONAL MEDICAL CENTERS COMMUNITY SERVICE, OR BENEFITS PROVIDED TO THE COMMUNITY ABOVE AND BEYOND THEIR PRIMARY ROLE AS A PROVIDER OF HOSPITAL-BASED MEDICAL SERVICES. AS SUCH, THIS GROUP PROVIDED VALUABLE FEEDBACK THROUGHOUT THE PROCESS AS STAKEHOLDERS IN THE HEALTH AND PROMOTION OF HEALTH ACROSS OUR COMMUNITY. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - RRMC. THE COMMUNITY IMPACT COORDINATOR DEVELOPED AND FOLLOWED A COMMUNICATION PLAN UTILIZING ELECTRONIC COMMUNICATION, ZOOM AND VIRTUAL MEETINGS, SOCIAL MEDIA, WEBSITE LINKS, PRESS RELEASES, NEWS ARTICLES AND PRESENTATIONS THROUGHOUT THE COMMUNITY (PRIMARILY VIRTUAL) TO DISSEMINATE THE COMMUNITY HEALTH NEEDS ASSESSMENT. PRESENTATIONS WERE HOSTED BY AREA AGENCIES AND COMMUNITY COALITIONS, WITHIN THE HOSPITAL ORGANIZATION, FOR THE REGION. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - RRMC. IMPLEMENTATION STRATEGY FOR ALL FOUR PRIORITY AREAS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT ARE AS FOLLOWS: CONNECTION TO COMMUNITY, PARTNERING WITH PRIVATE SECTOR, CREATING A PROACTIVE APPROACH TO ADDRESSING NEEDS, AND COMMUNICATION AND OUTREACH AS THE MAIN THEMES. THIS WAS DONE OVER THE COURSE OF FIVE MEETINGS, ONE LARGE GROUP MEETING AND FOUR SMALLER GROUP MEETINGS - ONE FOR EACH PRIORITY AREA. - MEETING 1: LARGE AND SMALL GROUPS IDENTIFIED EXISTING ACTIVITIES AND RESOURCES AND BRAINSTORMED A "WISH LIST" FOR PROGRAMS OR PROJECTS THAT WOULD ADDRESS PRIORITY AREAS. - MEETING 2: (ONE MEETING FOR EACH PRIORITY AREA): THE "WISH LIST" FROM MEETING 1 WAS USED TO CREATE GUIDING STATEMENTS FOR STRATEGIES/GOALS THAT MEMBER ORGANIZATIONS COULD USE TO ALIGN CONTRIBUTIONS TO THE PRIORITY AREA. ALIGNMENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT: RECOGNIZING EXISTING WORK BY PARTNERING AGENCIES AND ORGANIZATIONS HELPS ALIGN THE FOCUS OF THE CHNA. BUILDING ON THE FOUNDATION OF EXISTING WORK AND COLLABORATIONS WILL ALLOW FOR NEW PARTNERSHIPS AND PROJECTS TO PROGRESS. FROM IMPLEMENTATION TO ACTION: THE STRATEGIES REMAIN BROAD TO ALLOW FOR ORGANIZATIONS TO DEVELOP MEANINGFUL GOALS AND ALIGN EFFORTS TO AVOID DUPLICATION OR PARALLEL WORK. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - rrmc. LEP TRANSLATION: THERE ARE NO GROUPS WITH LIMITED ENGLISH PROFICIENCY THAT RISE TO THE THRESHOLD REQUIRED UNDER THE IRC SECTION 501(R). HOWEVER, THE ORGANIZATION HAS A CONTRACT WITH A TRANSLATIONS SERVICE PROVIDER. 12 RUTLAND HEART CENTER 12 COMMONS STREET RUTLAND VT 05701 PATIENT CLINIC RUTLAND REGIONAL DIABETES & ENDOCRINOLOGY CENTER 8 ALBERT CREE DRIVE RUTLAND VT 05701 PATIENT CLINIC RUTLAND REGIONAL GENERAL SURGERY 6 COMMONS STREET RUTLAND VT 05701 PATIENT CLINIC RUTLAND REGIONAL WOMEN'S HEALTH 147 ALLEN STREET RUTLAND VT 05701 PATIENT CLINIC RUTLAND REGIONAL DIGESTIVE SERVICES 1 ALBERT CREE DRIVE RUTLAND VT 05701 PATIENT CLINIC RUTLAND BEHAVIORAL HEALTH CLINIC 1 COMMONS STREET RUTLAND VT 05701 PATIENT CLINIC EAST DORSET MEDICAL CAMPUS 51 TENNIS WAY EAST DORSET VT 05253 PATIENT CLINIC KILLINGTON MEDICAL CLINIC 3902 KILLINGTON ROAD KILLINGTON VT 05751 PATIENT CLINIC WEST RIDGE TREATMENT CENTER 1 SCALE AVE BLDG 10 RUTLAND VT 05701 PATIENT CLINIC MARBLE VALLEY UROLOGY 145 ALLEN STREET RUTLAND VT 05701 PATIENT CLINIC MARBLE VALLEY EYE CARE 1 ALBERT CREE DRIVE RUTLAND VT 05701 PATIENT CLINIC RUTLAND REGIONAL NEUROLOGY CENTER 1 ALBERT CREE DRIVE RUTLAND VT 05701 PATIENT CLINIC Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH CONTINUED OTHER INFORMATION: RRMC HAS 19 BOARD MEMBERS WHO REPRESENT THE RESIDENTS OF RUTLAND COUNTY IN THEIR SERVICE; 2 ARE PHYSICIANS, 1 RETIRED PHYSICIAN, 3 NON-PHYSICIAN REPRESENTING HEALTH CARE PARTNERS, 1 RN; 12 ARE RUTLAND COUNTYRESIDENTS REPRESENTING A VARIETY OF BUSINESS SECTORS. ALL BOARD MEMBERS COMPLETE A CONFLICT-OF-INTEREST DISCLOSURE PROCESS WHICH IS NECESSARY TO COMPLY WITH FEDERAL AND STATE LAWS, INCLUDING THE FEDERAL ANTI KICKBACK STATUTE AND THE TAX CODE. RRMC HAS A PREDOMINANTLY OPEN MEDICAL STAFF. THE ONLY EXCEPTIONS ARE THE FOLLOWING SPECIALTIES FOR WHICH THERE ARE EITHER BOARD-APPROVED EXCLUSIVE CONTRACTS OR HOSPITAL EMPLOYED PHYSICIANS ONLY: ANESTHESIA, EMERGENCY MEDICINE, CRITICAL CARE, MEDICAL ONCOLOGY, RADIATION ONCOLOGY, ORTHOPEDICS, AND RADIOLOGY. ALL NEW APPLICANTS UNDERGO AN EXTENSIVE REVIEW PROCESS, INCLUDING PRIMARY SOURCE VERIFICATION OF THEIR EDUCATION, TRAINING, BOARD CERTIFICATION, MALPRACTICE HISTORY, AND PREVIOUS HOSPITAL AFFILIATIONS. WHEN DEEMED COMPLETE, THEIR APPLICATION IS REVIEWED BY THE CREDENTIALS COMMITTEE, WHICH IS MADE UP OF PHYSICIANS AND AT LEAST ONE BOARD MEMBER. THE CREDENTIAL COMMITTEE MAKES A RECOMMENDATION TO THE EXECUTIVE COMMITTEE, WHICH INCLUDES THE CHAIRMAN OF THE BOARD. THE MEDICAL EXECUTIVE COMMITTEE MAKES THE FINAL RECOMMENDATION TO THE FULL BOARD, WHICH HAS THE ULTIMATE AUTHORITY TO GRANT MEDICAL STAFF PRIVILEGES. ALL MEDICAL STAFF APPOINTMENTS ARE FOR A TWO-YEAR PERIOD. ALL MEDICAL STAFF IS SUBJECT TO ONGOING PEER REVIEW OF THEIR CLINICAL WORK. EVERY TWO YEARS, EVERY MEMBER OF THE MEDICAL STAFF MUST UNDERGO A REAPPOINTMENT PROCESS WHICH IS DESIGNED TO REVIEW THEIR CLINICAL AND PROFESSIONAL ACTIVITY AND BEHAVIOR. THOSE REAPPOINTMENTS GO THROUGH THE SAME SEQUENCE AS THE NEW APPLICANTS. RRMC'S CREDENTIALING PROCESS HAS BEEN SURVEYED BY BOTH THE JOINT COMMISSION AND THE CENTERS FOR MEDICARE AND MEDICAID SERVICES AND FOUND TO BE IN FULL COMPLIANCE WITH THEIR STANDARDS (TJC) AND THEIR CONDITIONS OF PARTICIPATION (CMS). AS A RURAL COMMUNITY HEALTH SYSTEM, RRMC PROVIDES A BROAD ARRAY OF SERVICES. THE FOLEY CANCER CENTER AT RRMC PROVIDES AN ARRAY OF TREATMENTS AND PROGRAMS USING HIGH TECH AND CURRENT EVIDENCE BASED PRACTICES TO MEET THE NEEDS OF CANCER PATIENTS. THE HOSPITAL PROVIDES 24-HOUR EMERGENCY CRISIS CARE, PSYCHIATRIC INTENSIVE CARE, MEDICAL DETOXIFICATION AND DUAL DIAGNOSIS AND TREATMENT OF SIMULTANEOUS SUBSTANCE ABUSE AND BEHAVIORAL HEALTH DISORDERS. THE 24-HOUR EMERGENCY DEPARTMENT PROVIDES CARE REGARDLESS OF A PATIENT'S ABILITY TO PAY. THE FAST-TRACK TREATMENT AREA ALLEVIATES WAIT TIMES FOR PATIENTS WITH LESS ACUTE ILLNESSES OR INJURIES. FOR MORE INFORMATION ABOUT RRMC PROGRAMS AND SERVICES VISIT OUR WEBSITE AT WWW.RRMC.ORG. RRMC PROVIDES CARE FOR BOTH MEDICARE AND MEDICAID PATIENTS; THESE POPULATIONS MAKE UP 65% OF THE PAYER MIX FOR RRMC. BY WORKING COLLABORATIVELY WITH THE LOCAL FQHCS, COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, CAPACITY IS INCREASED IN THE SERVICE AREA. IN FY24, THE RRMC VOLUNTEER PROGRAM WAS PROVIDED BY 192 INDIVIDUALS WHO DONATED 31,902 HOURS OF SERVICE TO RUTLAND REGIONAL MEDICAL CENTER. THE VOLUNTEERS ASSIST WITH THE NON-CLINICAL NEEDS OF PATIENTS IN THE HOSPITAL, AMONG OTHER ACTIVITIES. FAMILY PLANNING: RUTLAND WOMEN'S HEALTHCARE PARTICIPATES IN THE BLUEPRINT FOR HEALTH PREGNANCY INTENTION INITIATIVE (PII). THIS EFFORT FOCUSES ON PROVIDING ENHANCED PSYCHO-SOCIAL SCREENING AS WELL AS FAMILY PLANNING COUNSELING AND ACCESS TO LONG ACTING REVERSABLE CONTRACEPTION. THE GOAL OF THIS PROGRAM IS TO INCREASE INTENTION PREGNANCIES, SUPPORT ACCESS TO COMMUNITY RESOURCES AND FOSTER THRIVING FAMILIES. SINCE 1896, RRMC HAS PROVIDED HEALTH CARE TO ALL WHO SEEK ITS SERVICES, REGARDLESS OF THEIR FINANCIAL SITUATION. OVER THE YEARS, RRMC HAS BECOME AN IMPORTANT CENTER FOR PROMOTING HEALTH CARE AND WELLNESS FOR THE COMMUNITY - ACTIVITIES THAT SHOULD HELP CURB LONGER-TERM HEALTH CARE COSTS. WHILE A MAJORITY OF HOSPITAL COSTS ARE RECOVERED BY USERS OF THESE SERVICES, PATIENT CHARGES AND THIRD-PARTY INSURANCE, THE RUTLAND HEALTH FOUNDATION ACTIVELY SEEKS ADDITIONAL CHARITABLE RESOURCES TO MEET NEEDS NOT COVERED BY THESE PAYMENTS. HOWEVER, AS INSURANCE AND OTHER REIMBURSEMENTS CONTINUE TO DECREASE, RRMC HAS LESS MONEY FOR CAPITAL EXPENDITURES DIRECTED TOWARD NEW AND REPLACEMENT EQUIPMENT THAT IS INTEGRAL TO KEEP THE HOSPITAL TECHNOLOGICALLY CAPABLE OF SERVING OUR PATIENTS' NEEDS. GRANT FUNDING IS PROVIDED TO NON-PROFIT COMMUNITY ORGANIZATIONS SERVING THE RUTLAND REGION, UNDER THE DIRECTION OF THE BOWSE COMMUNITY HEALTH IMPROVEMENT COMMITTEE. THE INTENTION OF THE COMMITTEE IS TO ACT AS A CATALYST FOR INITIATIVES THAT ARE INNOVATIVE, COLLABORATIVE AND SUSTAINABLE, AND FUNDING IS PROVIDED TO PROJECTS AIMED AT IMPROVING THE HEALTH STATUS OF THE HOSPITAL SERVICE AREA. FOR MORE INFORMATION: HTTPS://WWW.RRMC.ORG/ABOUT/BOWSE-TRUST/ IN FY 2024, FUNDING WAS PROVIDED TO THE FOLLOWING PROGRAMS AND ORGANIZATIONS. FOR A FULL REVIEW OF CURRENT GRANTEE PROGRAMS AND OUTCOMES PLEASE VISIT OUR WEBSITE: HTTPS://WWW.RRMC.ORG/ABOUT/BOWSE-TRUST/ AWARDED 2024 CARING FOR OUR NEIGHBORS HOSTED BY COMPANIES IN WHOLENESS AWARDED 2024 RUTLAND COUNTY PRIDE CENTER HOSTED BY RUTLAND COUNTY PRIDE, INC. AWARDED 2024 STRENGTHENING CAPACITY HOSTED BY RUTLAND COUNTY HEALTH PARTNERS Schedule H, Part I, Line 3b ELIGIBILITY FOR DISCOUNTED CARE THE ORGANIZATION WILL PROVIDE DISCOUNTED CARE TO LOW INCOME INDIVIDUALS WHOSE FAMILY INCOME FALLS BETWEEN 301% AND 500% OF THE FEDERAL POVERTY GUIDELINES USING A GRADUATED RANGE OF DISCOUNTED PERCENTAGES BASED ON ELIGIBILITY. Schedule H, Part I, Line 3c OTHER FACTORS USED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: THE ORGANIZATION USES INCOME AND ASSET LEVELS, MEDICAL INDIGENCY, INSURANCE STATUS AND UNDERINSURANCE STATUS IN ADDITION TO FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE. Schedule H, Part I, Line 7 COLUMN F: PERCENT OF TOTAL EXPENSES THE PERCENT OF TOTAL EXPENSES ON SCHEDULE H, PART I, LINE 7 COLUMN (F), WAS CALCULATED USING TOTAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A). Schedule H, Part I, Line 7g SUBSIDIZED SERVICES THE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH PHYSICIAN CLINICS IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G, WITH A NET SUBSIDY FROM THESE CLINICS OF $11,333,864. THE ORGANIZATION PROVIDES SPECIALTY CARE SERVICES TO THE SURROUNDING COMMUNITIES AT THE CLINICS. THESE SERVICES ARE PROVIDED IN AREAS WHERE THERE WOULD BE A SHORTAGE OF QUALITY MEDICAL CARE WITHOUT THE SERVICES. THE ORGANIZATION CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED. Schedule H, Part I, Line 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. Schedule H, Part II Community Building Activities RUTLAND REGIONAL MEDICAL CENTER IS THE ONLY MAJOR MEDICAL CENTER IN CENTRAL VERMONT AND IS ONE OF THE LARGEST EMPLOYERS IN THE REGION. AS SUCH, WE ARE RELIED UPON BY THE COMMUNITIES WE SERVE TO PROVIDE HEALTH RESOURCES AND LEADERSHIP. WE RECOGNIZE THAT THERE IS MORE TO HEALTH THAN ILLNESS AND DISEASE, SOCIAL DETERMINANTS SUCH AS LOW-INCOME LEVELS, AND AN AGING POPULATION, ALONG WITH A SAFE ENVIRONMENT AND A WELL-ROUNDED CULTURE CONTRIBUTE TO THE HEALTH AND WELL BEING OF OUR POPULATION. THEREFORE, OUR LEADERSHIP AND COMMITMENT TO OUR COMMUNITY THROUGH A VARIETY OF INITIATIVES AND SUPPORTS BEYOND PROVIDING ESSENTIAL HOSPITAL-BASED CARE, ENCOMPASSING SOCIAL, PERSONAL, COMMUNITY AND HEALTH RELATED ISSUES IMPACTING THE CITIZENS OF THE RUTLAND REGION. MANY STAFF AND LEADERS ARE INVOLVED IN LOCAL, REGIONAL AND STATEWIDE COALITIONS, COLLABORATIVES AND COMMITTEES OF OTHER ORGANIZATIONS, WHERE WE LEARN ABOUT TRENDS AND ISSUES OF INTEREST OF CONCERN TO BRING BACK TO OUR HOSPITAL AND REVIEW IN THE CONTEXT OF OUR COMMUNITY AND OUR HEALTH SYSTEM; THESE INCLUDE THE RUTLAND FREE CLINIC, RUTLAND REGIONAL CHAMBER OF COMMERCE, TO NAME A FEW. ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT AT THE REGIONAL, STATE AND NATIONAL LEVEL ALSO IMPACTS OUR COMMUNITY. IN ADDITION TO THESE EFFORTS, OUR COMMUNITY BUILDING ACTIVITIES IN THE PAST YEAR INCLUDE EFFORTS TO SUPPORT VIBRANCY IN THE COMMUNITY THROUGH THE ARTS, A VARIETY OF EVENTS AND ACTIVITIES BY SCHOOLS TO PROMOTE STRONG EDUCATION AND POSITIVE DECISION-MAKING, MENTORING YOUNG CHILDREN THROUGH READING TO BUILD SELF CONFIDENCE AND ESTEEM IN ADDITION TO CORE ACADEMIC ACHIEVEMENT, ALONG WITH WORKFORCE DEVELOPMENT, ESPECIALLY AS RELATED TO HEALTH CARE. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount THE HOSPITAL HAS ADOPTED THE NEW REVENUE RECOGNITION STANDARD ASU 2014-09. UNDER ASU 2014-09, THE ESTIMATED AMOUNTS DUE FROM PATIENTS FOR WHICH THE HOSPITAL DOES NOT EXPECT TO BE ENTITLED OR COLLECT FROM THE PATIENTS ARE CONSIDERED IMPLICIT PRICE CONCESSIONS AND EXCLUDED FROM THE HOSPITAL'S ESTIMATION OF THE TRANSACTION PRICE OR REVENUE RECORDED. BAD DEBT EXPENSE WAS NOT SIGNIFICANT TO THE AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED SEPTEMBER 30, 2024. HOWEVER, THE HOSPITAL INTERNALLY TRACKS BAD DEBT EXPENSE CONSISTENT WITH HISTORICAL PRACTICES AND THAT AMOUNT HAS BEEN REPORTED ON SCHEDULE H, PART III, SECTION A, LINE 2. Schedule H, Part III, Line 3 Bad Debt Expense Methodology BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU. USING DATA FROM 2024, APPROXIMATELY 11.8% PERCENT OF RUTLAND COUNTY WAS CONSIDERED TO LIVE IN POVERTY. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote PATIENT ACCOUNTS RECEIVABLE REFLECTS THE OUTSTANDING AMOUNT OF CONSIDERATION TO WHICH RRMC EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE. THESE AMOUNTS ARE DUE FROM PATIENTS, THIRD-PARTY PAYORS (INCLUDING HEALTH INSURERS AND GOVERNMENT PROGRAMS), AND OTHERS. AS A SERVICE TO THE PATIENT, RRMC BILLS THIRD-PARTY PAYORS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S RESPONSIBILITY FOR COPAYS, COINSURANCE, AND DEDUCTIBLES IS DETERMINED. PATIENT ACCOUNT RECEIVABLE PAYMENT PLAN OR FOR PATIENT FINANCIAL ASSISTANCE. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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. THE ORGANIZATION USES INFORMATION FROM THE MEDICARE COST REPORT TO COMPUTE THE MEDICARE ALLOWABLE COSTS OF CARE ON LINE 6. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance HOSPITAL CARE WILL NOT BE DENIED TO ANY PERSON SOLELY ON THE BASIS OF THEIR ABILITY TO PAY. HOWEVER, ANY INDIGENT PATIENT WILL BE OFFERED FINANCIAL ASSISTANCE. RRMC DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS. RRMC OFFERS FINANCIAL ASSISTANCE AT ALL ACCESS POINTS AND PROMOTES FINANCIAL ASSISTANCE ON STATEMENTS THAT ARE MAILED TO PATIENTS. PATIENTS ARE MAILED THREE STATEMENTS AND ONE FINAL NOTICE PRIOR TO BALANCE BEING ASSIGNED TO COLLECTIONS IF NO PAYMENT OR PAYMENT PLAN ARRANGEMENT HAS BEEN MADE AND/OR THE PATIENT IS EITHER NOT ELIGIBLE FOR FINANCIAL ASSISTANCE OR DOES NOT COMPLETE THE APPLICATION. BASED ON ACCOUNT BALANCE WE WILL APPROVE PAYMENT PLANS UP TO 24 MONTHS. THE FREE CARE POLICY SPECIFICALLY STATES THAT ALL UNINSURED AND UNDERINSURED PATIENTS BE OFFERED INFORMATION ON THE FREE CARE PROGRAM, AND THAT STAFF PERFORM DUE DILIGENCE TO OFFER THEM INFORMATION AND HAVE THE APPLICATION RETURNED, AND THAT THE HOSPITAL SEND 3 STATEMENTS AND A FINAL NOTICE BEFORE SENDING AN ACCOUNT TO BAD DEBT. IT ALSO STATES THAT RRMC WILL REFRAIN FROM EXTRAORDINARY COLLECTION ACTIONS TO OBTAIN PAYMENT FOR A DEBT. Schedule H, Part V, Section B, Line 16a FAP website - RUTLAND HOSPITAL: Line 16a URL: HTTPS://WWW.RRMC.ORG/PATIENT-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/; Schedule H, Part V, Section B, Line 16b FAP Application website - RUTLAND HOSPITAL: Line 16b URL: HTTPS://WWW.RRMC.ORG/PATIENT-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - RUTLAND HOSPITAL: Line 16c URL: HTTPS://WWW.RRMC.ORG/PATIENT-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/; Schedule H, Part VI, Line 2 Needs assessment RUTLAND REGIONAL MEDICAL CENTER CONTINUALLY ASSESSES THE NEEDS OF THE COMMUNITY WE SERVE THROUGH INTERACTIONS WITH THE STATE OF VERMONT HEALTH DEPARTMENT AND THE DEPARTMENT OF VERMONT HEALTH ACCESS, THE PUBLIC, OTHER COMMUNITY ORGANIZATIONS, FEEDBACK FROM MEDICAL PROVIDERS AND PATIENTS, ALONG WITH NOTING TRENDS IN UTILIZATION OF SERVICES AND PRESENTATION OF ILLNESS, INJURY AND DISEASE. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance RRMC HAS "DO YOU NEED HELP WITH YOUR MEDICAL BILLS?" SIGNAGE POSTED AT EVERY ACCESS POINT THROUGHOUT THE HOSPITAL AND ITS OFF-SITE CLINICS (RUTLAND GENERAL SURGERY, WOMEN'S HEALTH ETC.) THE SIGNAGE PROVIDES CONTACT INFORMATION FOR THE PATIENTS TO CALL THE FINANCIAL COUNSELORS FOR HELP AS NEEDED. REGISTRATION AND FINANCIAL COUNSELING OFFERS FINANCIAL ASSISTANCE PROGRAM APPLICATIONS TO ALL MEDICARE INSURED PATIENTS WITH NO OTHER INSURANCE, ALL SELF-PAY / UNDERINSURED PATIENTS, AND ANY OTHER PERSON REQUESTING THE INFORMATION OR ANYONE WHO SPEAKS TO BEING IN FINANCIAL NEED. ALL SELF-PAY INPATIENTS ARE VISITED BY A FINANCIAL COUNSELOR WHILE THEY ARE ADMITTED AND THEY WILL ASSIST THEM IN APPLYING FOR OUR FINANCIAL ASSISTANCE, AS WELL AS, APPLYING FOR STATE PROGRAMS. ALL STATEMENTS HAVE THE RRMC WEBSITE ADDRESS TO VIEW OUR FINANCIAL ASSISTANCE PROGRAM AND THE BILLING AND COLLECTIONS POLICY AND PROCEDURE. THE WEBSITE ALSO HAS CONTACT PHONE NUMBERS FOR THE PATIENT TO CALL WITH QUESTIONS OR CONCERNS ABOUT THEIR BILL. THE RRMC WEBSITE DESCRIBES THE FINANCIAL ASSISTANCE PROGRAM AND SHOWS THE INCOME GUIDELINES (BASED ON THE FEDERAL POVERTY) FOR FINANCIAL ASSISTANCE, AN ON-LINE APPLICATION, AS WELL AS INFORMATION ON MEDICAID PROGRAMS AVAILABLE WITH SHORT DESCRIPTIONS. AT THIS TIME FINANCIAL ASSISTANCE APPLICATIONS ARE OFFERED AND MAILED AS REQUESTED. Schedule H, Part VI, Line 4 Community information A. GEOGRAPHIC DESCRIPTION: RUTLAND COUNTY, COMPOSED OF 933 SQUARE MILES, IS LOCATED IN CENTRAL VERMONT. THE POPULATION MOSTLY RESIDES IN THE 27 SMALL TOWNS AND OUTLYING RURAL AREAS. RUTLAND CITY IS THE MOST DENSELY POPULATED ARE AND THIRD LARGEST MUNICIPALITY IN VERMONT. RUTLAND REGIONAL MEDICAL CENTER (RRMC) IS DEPENDED UPON BY MORE THAN 60,000 RESIDENTS OF THE HOSPITAL SERVICE AREA (HSA), WHICH INCLUDES RUTLAND COUNTY AND SOME PORTIONS OF SOUTHERN AND NORTH CENTRAL VERMONT AND EVEN WASHINGTON COUNTY, NEW YORK. B. TARGET POPULATIONS: THE POPULATION OF RUTLAND COUNTY CONTINUES TO BE OLDER. THE MEDIAN AGE FOR MALES AND FEMALES IN RUTLAND COUNTY IS HIGHER THAN THE STATE. RUTLAND COUNTY'S MEDIAN AGE WAS 47 YEARS OLD, COMPARED TO VERMONT'S AVERAGE AGE OF 43. ADDITIONALLY, THE SENIOR POPULATION CONTINUES TO GROW - 25.3% OF RUTLAND COUNTY RESIDENTS ARE 65 YEARS AND OLDER, SLIGHTLY MORE THAN THE STATEWIDE AVERAGE (22.1%). RUTLAND COUNTY MEDIAN HOUSEHOLD INCOME ($64,778) CONTINUES TO LAG BEHIND THE STATE ($78,024). IN 2023, RUTLAND COUNTY WAS CONSISTENT WITH THE STATE RATE OF 11.8% OF THE POPULATION LIVING BELOW THE POVERTY RATE. WHILE RUTLAND COUNTY HAS A COMPARABLE PERCENTAGE OF HIGH SCHOOL GRADUATES (OR EQUIVALENCE) AT 93.7% COMPARED TO THE STATE AT 94.5%, WE LAG BEHIND IN HIGHER EDUCATION (SOME COLLEGE WITH NO DEGREE, ASSOCIATE'S, AND BACHELOR'S) AT 33.5% COMPARED TO THE STATE AT 42.6%. SPECIFIC TARGET POPULATIONS IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDE: I. SENIOR POPULATIONS II. INDIVIDUALS LIVING WITH MENTAL HEALTH ISSUES INCLUDING SUBSTANCE USE III. CHILDREN, YOUTH, AND PARENTS/CAREGIVERS IV. INDIVIDUALS AND FAMILIES EXPERIENCING HOUSING CHALLENGES Schedule H, Part VI, Line 5 Promotion of community health RUTLAND REGIONAL MEDICAL CENTER (RRMC) ENGAGES IN A NUMBER OF COMMUNITY SUPPORTIVE ACTIVITIES IN ORDER TO PROMOTE THE HEALTH OF THE COMMUNITY THE ORGANIZATION SERVES. RRMC ACTIVELY RECRUITS BOTH PRIMARY CARE AND SPECIALTY PRACTICE PROVIDERS FOR THE REGION FOR AREAS OF SHORTAGE AND/OR NEED. IN 2024, 18 PROVIDERS WERE SUCCESSFULLY RECRUITED IN SPECIALTY AREAS INCLUDING ANESTHESIOLOGY, CRITICAL CARE, ENDOCRINOLOGY, GASTROENTEROLOGY, HOSPITAL AND EMERGENCY MEDICINE, MIDWIFERY, NEPHROLOGY, OBSTERICS/GYNECOLOGY, PODIATRY, PULMONOLOGY, SLEEP MEDICINE, GASTROENTEROLOGY, PSYCHIATRY AND WOUND OSTOMY AND CONTINENCE CARE. RRMC ALSO WORKS COLLABORATIVELY TO HELP RECRUIT PRIMARY CARE PHYSICIANS WITH COMMUNITY HEALTH, RUTLAND COUNTY'S FEDERALLY QUALIFIED HEALTH CENTER WHICH SERVES APPROXIMATELY 80+% OF AREA PRIMARY CARE NEEDS. RRMC CONTINUES TO SUPPORT A HOSPITALIST PROGRAM WHERE HOSPITAL PHYSICIANS PROVIDE CARE FOR PRIMARY CARE PROVIDER'S PATIENTS THAT ARE ADMITTED TO THE HOSPITAL. THIS CREATES EFFICIENCY AND ALLOWS THE PRIMARY CARE PROVIDER TO PROVIDE MORE HOURS OF OFFICE CARE WHILE THEIR HOSPITALIZED PATIENTS HAVE 24 HOUR ACCESS TO A DOCTOR. RUTLAND COUNTY'S MEDICAID POPULATION CONTINUES TO INCREASE, PUTTING FINANCIAL STRAIN ON THE HEALTH SYSTEM IN OUR REGION. THE FULL COST OF CARE FOR THIS POPULATION IS NOT REIMBURSED. LEADERS AT RRMC ADVOCATE AT THE STATE AND LOCAL LEVEL TO ADDRESS MEDICAID REIMBURSEMENT RATES FOR BOTH IN-PATIENT AND OUT-PATIENT CARE. THIS ADVOCACY IS INTENDED TO INCREASE ACCESS TO CARE FOR MEDICAID PATIENTS. RRMC ALSO PROVIDES SUPPORT FOR FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) IN THE REGION BY HAVING A LEADER REPRESENTATIVE ON THE BOARD OF THE ORGANIZATION. RRMC LEADERS AND STAFF ALSO PARTICIPATE AS BOARD AND COMMITTEE MEMBERS IN SUPPORT OF OTHER NON-PROFIT ORGANIZATIONS, SUCH AS UNITED WAY OF RUTLAND COUNTY, VISITING NURSE ASSOCIATION AND HOSPICE OF THE SOUTHWEST REGION, RUTLAND COUNTY NUTRITION COALITION, RUTLAND'S PROJECT VISION, RUTLAND COMMUNITY COLLABORATIVE (ACCOUNTABLE COMMUNITY OF HEALTH) AS WELL AS MANY OTHERS. RRMC PARTNERS WITH UNITED WAY OF RUTLAND COUNTY TO PROVIDE A LEADERSHIP AND BOARD TRAINING PROGRAM EACH YEAR. THIS PREPARES UP TO TWELVE COMMUNITY MEMBERS TO SERVE AS ACTIVE CONTRIBUTORS TO NON-PROFIT ORGANIZATIONS THROUGHOUT OUR REGION. RRMC PARTICIPATES IN BRIDGES OUT OF POVERTY, A PROGRAM WHICH AIMS TO HELP NON-PROFIT AND FOR-PROFIT BUSINESSES SERVE EMPLOYEES WHO HAVE LIVED OR ARE LIVING IN POVERTY. THE POVERTY RATE IN RUTLAND COUNTY INDICATES THE NEED FOR THIS PROGRAM AND BENEFITS THOSE LIVING IN POVERTY. THE WORKING BRIDGES TRAINING FOR HR PROFESSIONALS AND MANAGERS EDUCATES ABOUT THE IMPLICATIONS OF ECONOMIC DIVERSITY AND VARYING NEEDS OF DIFFERENT SOCIOECONOMIC CLASSES. RRMC HAS IMPLEMENTED AN EMERGENCY LOAN AND SAVINGS PROGRAM FOR EMPLOYEES; HOUSED WORKSITE RESOURCE COORDINATORS TO HELP EMPLOYEES FIND HELP WITH HOUSING, CHILDCARE, TRANSPORTATION, ECONOMIC ASSISTANCE AND OTHER RESOURCES WITHOUT HAVING TO LEAVE WORK; AND BEGAN DISCUSSION OF HOW TO ENCOURAGE THE EMPLOYEES TO USE HEALTH AND WELLNESS STRATEGIES. TRAUMA SUPPORT -ESTABLISHED IN 1993, THE TRAUMA SUPPORT PROGRAM AT RRMC WAS THE FIRST OF ITS KIND IN VERMONT. IT WAS DEVELOPED TO MEET THE IMMEDIATE AND LONG TERM NEEDS OF FAMILIES IMPACTED BY SUDDEN DEATH OR TRAUMATIC INJURY OR ILLNESS. RRMC STAFF, ON THEIR OWN TIME, AND OTHER COMMUNITY VOLUNTEERS TAKE TURNS BEING ON CALL 24 HOURS A DAY, 7 DAYS A WEEK TO PERSONALLY PROVIDE SUPPORT AND ASSISTANCE TO FAMILIES IMPACTED BY TRAUMA OR DEATH IN MANY WAYS, E.G., BY BEING A LIAISON WITH MEDICAL PERSONNEL TO GET INFORMATION OR OFFERING CONTINUED SUPPORT VIA PHONE AND CORRESPONDENCE. BONE MARROW PROGRAM - THE MARROW DONOR PROGRAM AT RRMC WAS ESTABLISHED IN 1998. SINCE THEN, WE HAVE SUCCESSFULLY ADDED OVER 7,500 POTENTIAL DONORS TO THE NATIONAL REGISTER. BRIDGES AND BEYOND - WORKS WITH PATIENTS AND FAMILIES TO ARRANGE TRANSPORTATION, GENERAL ASSISTANCE (SUCH AS MEAL PREPARATION), OR COMPANIONSHIP FOR THOSE DISABLED AND FRAIL PATIENTS RETURNING HOME FROM A HOSPITAL STAY. DIABETES EDUCATION AND SELF-MANAGEMENT - THIS PROGRAM IS OPERATED FROM THE DIABETES CENTER AND IS RECOGNIZED AND CERTIFIED BY THE AMERICAN DIABETES ASSOCIATION. THROUGH THIS WORK, PEOPLE WITH DIABETES LEARN HEALTH AND LIFESTYLE SKILLS TO HELP THEM MANAGE THEIR DISEASE SYMPTOMS. OTHER BENEFITS INCLUDE PATIENT AND FAMILY SUPPORT GROUPS, AND GLUCOSE METER AND INSULIN INSTRUCTION. ADVANCE DIRECTIVES PROGRAM - BEGINNING IN 2013, A NEW PROGRAM WAS DESIGNED AND IMPLEMENTED THROUGH THE COMMUNITY HEALTH IMPROVEMENT OFFICE, WHERE TRAINED VOLUNTEERS FROM THE COMMUNITY PROVIDE SUPPORT TO COMMUNITY MEMBERS TO COMPLETE ADVANCE DIRECTIVE FORMS ON A BY-APPOINTMENT BASIS. COMMUNITY HEALTH TEAM - THE COMMUNITY HEALTH TEAM SUPPORTS ADVANCED CARE PLANNING BY OFFERING FREE ADVANCE DIRECTIVES AND RESOURCE NAVIGATION OF LONG TERM CARE SERVICES. THERE ARE 9 PRACTICES ACCOUNTING FOR 37,000 PATIENTS IN THE RUTLAND REGION. SELF MANAGEMENT PROGRAMS, INCLUDING DIABETES PREVENTION, DIABETES MANAGEMENT, HYPERTENSION MANAGEMENT, ALONG WITH CHRONIC PAIN MANAGEMENT PROGRAMS ARE ALSO OFFERED. IN ADDITION THERE ARE 375 HUB SITES ALONG WITH 275 DESIGNATED SPOKE PRACTICES TOTALING 475 INDIVIDUALS BEING SERVED. WORKING WITH THE STATE OF VERMONT AND OTHER COMMUNITY PROGRAMS AND SERVICES WITHIN OUR REGION WE SUPPORT AND PROMOTE QUALITY IMPROVEMENT COLLABORATIVES FOCUSED ON EDUCATION, IMPROVED ACCESS AS WELL AS ADDRESSING SERVICE GAPS. THE COMMUNITY HEALTH TEAM ALSO PROVIDES SELF-MANAGEMENT PROGRAMMING TO THE COMMUNITY AT LARGE, INCLUDING: TOBACCO CESSATION, HEALTHIER LIVING WORKSHOPS, YOUTH SUBSTANCE USE PREVENTION, DIABETES PREVENTION PROGRAM, WELLNESS RECOVERY ACTION PLANNING, IN-HOME ASTHMA INTERVENTION PROGRAM, HEALTHY NUTRITION WORKSHOPS, AND SUPPORTS THE DIABETES PHYSICAL ACTIVITY PROGRAM. WORKING WITH THE STATE OF VERMONT AND OTHER PARTNERS IN OUR REGION, WE SUPPORT AND PROMOTE QUALITY IMPROVEMENT COLLABORATIVES FOCUSED ON LEARNING, ENHANCING SERVICES, AND BRIDGING SERVICE GAPS. Schedule H, Part VI, Line 6 Affiliated health care system RRMC INCLUDES A VAST ARRAY OF SERVICES OFFERED IN THE HOSPITAL SETTING AND IN A VARIETY OF CLINICS: CENTER FOR SLEEP DISORDERS, COMMUNITY HEALTH TEAM, COMPREHENSIVE CARE AND INFECTIOUS DISEASES CLINIC, ENT AND AUDIOLOGY, FOLEY CANCER CENTER, KILLINGTON MEDICAL CLINIC, LABORATORY SERVICES AT SEVERAL LOCATIONS, MARBLE VALLEY EYE CARE, MARBLE VALLEY UROLOGY, PHYSICAL MEDICINE AND REHABILITATION, RUTLAND DIABETES AND ENDOCRINOLOGY CENTER, RUTLAND DIGESTIVE SERVICES, RUTLAND GENERAL SURGERY AND THE WOUND, OSTOMY AND CONTINENCE CLINIC, RUTLAND HEART CENTER, RUTLAND KIDNEY CENTER, RUTLAND PULMONARY CENTER, RUTLAND REGIONAL BEHAVIORAL HEALTH, RUTLAND REGIONAL NEUROLOGY CENTER, RUTLAND WOMEN'S HEALTHCARE, VERMONT ORTHOPEDIC CLINIC, AND WEST RIDGE ADDICTION RECOVERY. RRMC IS PART OF RUTLAND REGIONAL HEALTH SERVICES, INC. THIS PARENT ORGANIZATION IS A TAX-EXEMPT ENTITY AND INCLUDES, IN ADDITION TO RRMC AND ITS SPECIALTY CLINICS, THE GABLES AT EAST MOUNTAIN AND THE MEADOWS AT EAST MOUNTAIN. THE GABLES AT EAST MOUNTAIN PROVIDES SENIOR ADULTS ACCOMMODATIONS AND AMENITIES TO MAKE RETIREMENT RELAXING AND ENJOYABLE, AND THE MEADOWS AT EAST MOUNTAIN PROVIDE ASSISTED LIVING WITH AROUND-THE CLOCK SERVICES TO SUPPORT RESIDENTS IN LIVING AN ACTIVE AND HEALTHY LIFESTYLE. Schedule H, Part VI, Line 7 State filing of community benefit report VT true American Cancer Society 55 DAY LANE WILLISTON VT 05495 131788491 501(C)(3) 5000 COMM HEALTH IMPROVEMENT American Red Cross 29 MANSFIELD AVE BURLINGTON VT 05401 530196605 501(C)(3) 5000 COMM HEALTH IMPROVEMENT The Mentor Connector PO BOX 1617 RUTLAND VT 05701 651290104 501(C)(3) 9666 COMM HEALTH IMPROVEMENT Rutland Country Housing Coalition 56 HOWE ST BLDG A BOX 7 RUTLAND VT 05701 550822651 501(C)(3) 15625 COMM HEALTH IMPROVEMENT Vermont Adult Learning 16 EVELYN STREET RUTLAND VT 05701 030276755 501(C)(3) 20000 COMM HEALTH IMPROVEMENT Boys and Girls Club of Rutland County PO BOX 636 RUTLAND VT 05701 311653365 501(C)(3) 20000 COMM HEALTH IMPROVEMENT Paramount Center Inc 30 CENTER STREET RUTLAND VT 05701 222528303 501(C)(3) 25000 COMM HEALTH IMPROVEMENT Housing Initiatives Inc 5 TREMONT STREET RUTLAND VT 05701 201914244 501(C)(3) 26400 COMM HEALTH IMPROVEMENT Housing Trust of Rutland Inc 27 WALES ST SUITE 201 RUTLAND VT 05701 030280726 501(C)(3) 30000 COMM HEALTH IMPROVEMENT Social Tinkering Corp 179 GROVE STREET RUTLAND VT 05701 863445827 501(C)(3) 36894 COMM HEALTH IMPROVEMENT Vermont State Colleges 62 ALUMNI DRIVE CASTLETON VT 05735 030213787 501(C)(3) 36350 COMM HEALTH IMPROVEMENT Come Alive Outside Inc PO BOX 267 RUTLAND VT 05701 472357025 501(C)(3) 46550 COMM HEALTH IMPROVEMENT Rutland Economic Dev Corp 67 MERCHANTS ROAD SUITE 104 RUTLAND VT 05701 030264949 501(C)(6) 47155 COMM HEALTH IMPROVEMENT Vermont Country Pride Inc 106 WEST STREET SUITE 1 RUTLAND VT 05701 833187503 501(C)(3) 52500 COMM HEALTH IMPROVEMENT Rutland United Methodist Church 60 STRONGS AVE RUTLAND VT 05701 036000174 501(C)(3) 60000 COMM HEALTH IMPROVEMENT Southern Vermont Area Health Education 1 S PROSPECT STREET ARNOLD 5 BURLINGTON VT 05401 030360193 501(C)(3) 61520 COMM HEALTH IMPROVEMENT Rutland Free Clinic DBA Park Street Health 145 STATE STREET RUTLAND VT 05701 830427544 501(C)(3) 68222 COMM HEALTH IMPROVEMENT Community Health Centers of Rutland Region 375 ROUTE 30 NORTH BOMOSEEN VT 05732 221179701 501(C)(3) 125842 COMM HEALTH IMPROVEMENT Vermont Farmers Market Education Center PO BOX 833 RUTLAND VT 057020833 425293058 501(C)(3) 34000 COMM HEALTH IMPROVEMENT 18 1 Schedule I, Part II, Line 1(h) PURPOSE OF GRANT OR ASSISTANCE ASSISTANCE FOR THE MENTOR CONNECTOR, RUTLAND COUNTRY HOUSING COALITION, VERMONT ADULT LEARNING, HOUSING INITIATIVES, INC., HOUSING TRUST OF RUTLAND INC., VERMONT FARMERS MARKET EDUCATION CENTER, VERMONT STATE COLLEGES, SOCIAL TINKERING CORP, COME ALIVE OUTSIDE, INC. VERMONT COUNTRY PRIDE INC., RUTLAND UNITED METHODIST CHURCH AND RUTLAND FREE CLINIC WAS PROVIDED BY THE JAMES T. BOWSE HEALTH TRUST, A DEPARTMENT OF RUTLAND REGIONAL MEDICAL CENTER. SEE SCHEDULE H, PART VI, LINE 5 FOR MORE INFORMATION REGARDING PROGRAMS FUNDED BY THE JAMES T. BOWSE HEALTH TRUST. Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE PURPOSE OF THIS POLICY IS TO ESTABLISH A FORMALIZED PROCESS FOR GRANT MANAGEMENT INCLUDING THE: (1) DEVELOPMENT AND REVIEW OF PROPOSALS FOR GRANT FUNDING; (2) REVIEW AND APPROVAL OF GRANT AGREEMENTS AND CONTRACTS ASSOCIATED WITH GRANT PROGRAMS; (3) MANAGEMENT OF GRANT AWARDS; AND, (4) OVERSIGHT OF COMPLIANCE WITH GRANT REPORTING AND CLOSE OUT REQUIREMENTS. THE POLICY IS INTENDED TO CREATE A SINGLE UNIFORM PROCESS FOR ALL GRANT FUNDING TO ENSURE THAT THE ORGANIZATION COMPLIES WITH GRANT AGREEMENT OBLIGATIONS, AND STATE AND FEDERAL LAWS THAT GOVERN GRANTS. X X X true true false true false false false false false Michael Dimeola MD Director 517001 0 42000 0 4990 0 18266 0 10668 0 592925 0 0 0 Phillip R Lapp MD Director End 05/24 304102 0 91674 0 25494 0 34650 0 29514 0 485434 0 0 0 Alison Davis MD Director Beg 05/24 415927 0 40546 0 2151 0 28050 0 30206 0 516880 0 0 0 Claudio Fort Former President / CEO 71096 0 0 0 763532 0 10303 0 0 0 844931 0 0 0 Thomas Huebner Former President 200000 0 0 0 0 0 0 0 0 0 200000 0 0 0 Judi K Fox INTERIM CFO END 12/23; PRESIDENT / CEO 631482 0 1414 0 2622 0 67400 0 34455 0 737373 0 0 0 Thomas E Frank Former VP Medical Group Operations 141102 0 0 0 1496 0 6350 0 412 0 149360 0 0 0 Todd Gregory MD Physician, Former Medical Director 516892 0 6746 0 2181 0 28050 0 21203 0 575072 0 0 0 Andrew P DeNicco MD Physician, Former Assistant Medical Director 323409 0 9725 0 644 0 21450 0 14296 0 369524 0 0 0 Mitchell E Baroody VP, Chief Legal Officer 266651 0 0 0 549 0 3361 0 29669 0 300230 0 0 0 Rick Hildebrant MD Chief Medical Information Officer 410274 0 10000 0 940 0 21450 0 34324 0 476988 0 0 0 Brian Kerns VP Human Resources 275098 0 0 0 9134 0 13101 0 30114 0 327447 0 0 0 Elizabeth A Kyhill VP Medical Group Operations 213222 0 12000 0 454 0 10183 0 2135 0 237994 0 0 0 Jonathan Reynolds VP Clinical Services 290081 0 4735 0 5524 0 13929 0 34245 0 348514 0 0 0 Roger F Wakeman VP Support Services End 07/24 264320 0 0 0 2514 0 10431 0 10817 0 288082 0 0 0 Kelly O Watson VP Chief Nursing Officer 281212 0 0 0 634 0 6297 0 30112 0 318255 0 0 0 Melbourne D Boynton MD Orthopedic Surgeon 732923 0 475685 0 30024 0 34650 0 21050 0 1294332 0 0 0 Veronika Jedlovszky MD Physician / Medical Director Pulmonary & Sleep Center 459881 0 408990 0 24509 0 21450 0 30179 0 945009 0 0 0 Lindsay T Kleeman-Forsthuber MD Orthopedics 529860 0 296046 0 526 0 14850 0 30049 0 871331 0 0 0 Eric Marsh MD Orthopedics 593989 0 670801 0 1498 0 28050 0 24488 0 1318826 0 0 0 Michael Robertello MD Cardiology 521734 0 424197 0 35609 0 28050 0 30310 0 1039900 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment DURING 2023, CLAUDIO FORT RECEIVED A SEVERANCE PAYMENT OF $741,125. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan CLAUDIO D. FORT AND JUDI FOX WERE COVERED WITH A 457(F) SUPPLEMENTAL RETIREMENT AGREEMENT (SERP). FOR 2023 CALENDAR YEAR WHICH FALLS WITHIN THE FY 2024, A CONTRIBUTION OF $7,106 WAS MADE FOR CLAUDIO FORT AND $32,750 FOR JUDI FOX. Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization PHYSICIANS EARN COMPENSATION BASED UPON THEIR PRODUCTIVITY AGAINST ESTABLISHED TARGETS. INCREASED RODUCTIVITY IS DIRECTLY RELATED TO INCREASED REVENUES FOR THE ORGANIZATION. A VT Education & Health Building Finance Agency 237154467 000000000 2017-09-30 31350000 Partial Refund 9/10 Series Bond false false false A 23797531 31350000 31157038 192962 2013 true false true true A false false true true false 0.0 false false true A false false true false true true TD Bank 10.0 false true false false true A true Schedule K, Part IV, Line 7 REQUIREMENTS OF SECTION 148 THE TAX-EXEMPT BONDS DO NOT HAVE ANY OUTSTANDING PROCEEDS AND THEREFORE ARE NOT SUBJECT TO THE ARBITRAGE REQUIREMENTS OF SECTION 148. Form 990, Part I, Line 1 ORGANIZATION MISSION CONTINUED OUR MISSION: RRMC PROVIDES HIGH QUALITY, HOSPITAL, AND SPECIALTY CARE FOR ALL THROUGH THE STRENGTH AND COMPASSION OF OUR PEOPLE. OUR VISION: RRMC EXCELS AT MEETING THE NEEDS OF THOSE RRMC SERVES AS THE PREFERRED HEALTHCARE PROVIDER AND EMPLOYER. OUR VALUES: EXCELLENCE - RRMC STRIVES TO ACHIEVE THE HIGHEST STANDARDS OF QUALITY AND PERFORMANCE IN EVERYTHING RRMC DOES. PROFESSIONALISM - RRMC ACTS WITH INTEGRITY AND RESPECT AND HOLD EACH OTHER ACCOUNTABLE FOR EVERYTHING RRMC DOES. INNOVATION - RRMC SEEKS OPPORTUNITIES TO CONTINUOUSLY IMPROVE AND ADAPT TO THE EVER-CHANGING HEALTHCARE ENVIRONMENT. COLLABORATION - RRMC CREATES A DIVERSE AND INCLUSIVE COMMUNITY AND WORK TOGETHER AS A TEAM TO FULFILL OUR MISSION. COMPASSION - RRMC PROVIDEs EMPATHETIC, PATIENT-CENTERED, AND EQUITABLE CARE BY ACTING WITH KINDNESS, DIGNITY, AND RESPECT. Form 990, Part I, Line 6 TOTAL NUMBER OF VOLUNTEERS THE TOTAL NUMBER OF VOLUNTEERS INCLUDING NON-COMPENSATED MEMBERS OF THE BOARD OF DIRECTORS AND OTHER INDIVIDUALS WHO VOLUNTEER TIME TO FURTHER THE ORGANIZATION'S EXEMPT PURPOSE. Form 990, Part III, Line 4 EXEMPT PURPOSE ACHIEVEMENTS RUTLAND REGIONAL MEDICAL CENTER FY 2024 COMMUNITY BENEFITS REPORT: RUTLAND REGIONAL MEDICAL CENTER IS COMMITTED TO PROVIDING SUPERIOR, INTEGRATED, DIAGNOSTIC, THERAPEUTIC AND PREVENTATIVE HEALTH SERVICES AND TO PROMOTING OVERALL COMMUNITY HEALTH AND WELL-BEING. COMMUNITY BENEFITS ARE THE ACTIVITIES AND SERVICES RUTLAND REGIONAL ENGAGES IN AND SUPPORTS THAT GO BEYOND THE ROUTINE PATIENT CARE SERVICES. DOCUMENTING THESE EFFORTS IS A PART OF WHAT DIFFERENTIATES TAX-EXEMPT FROM TAXABLE HEALTH CARE ORGANIZATIONS. FREE AND DISCOUNTED CARE RUTLAND REGIONAL PROVIDES LOW AND NO-COST CARE FOR ELIGIBLE RESIDENTS OF OUR AREA THROUGH A FINANCIAL ASSISTANCE PROGRAM. THE FREE CARE PROVISION FOR 2024 TOTALED $7,773,340. RRMC IS ADDRESSING THE KEY ISSUES THAT HAVE THE MOST SIGNIFICANT IMPACT ON THE COMMUNITY HEALTH AND WELL-BEING, WHICH INCLUDE THE FOLLOWING: *CLINICAL CARE -CONTINUING TO ADDRESS THE DRUG PROBLEM IN THE COMMUNITY THROUGH MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES FOR ADULTS AND YOUTH, INCLUDING TREATMENT, AFTERCARE AND PREVENTION. -CONTINUING TO IMPROVE ACCESS TO CARE FOR ALL COMMUNITY MEMBERS BY CONTINUING FOCUSED PROVIDER RECRUITMENT, AND RETENTION, ACTIVITIES. *HEALTHY BEHAVIORS -IMPROVING AND PROMOTING HEALTHY CHOICES AND ACTIVITIES TO SUPPORT A HEALTHY COMMUNITY IN WHICH TO LIVE AND RAISE A FAMILY, BY SUPPORTING AND PROMOTING LIFE SKILLS DEVELOPMENT FOR AND BY YOUTH, AND PHYSICAL ACTIVITY AND HEALTHY EATING BY ADULTS AND YOUTH. *SOCIAL & ECONOMIC DETERMINANTS -IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITY, MAKING IT AN ATTRACTIVE PLACE TO LIVE AND WORK. *PHYSICAL ENVIRONMENT -IMPROVING INFRASTRUCTURE TO SUPPORT A HEALTHY COMMUNITY WITH ACCESS TO WORK, RECREATIONAL OPPORTUNITIES AND SERVICES. FOR MORE DETAILS ON THESE ACTIVITIES AND THE WORK PERFORMED BY RUTLAND REGIONAL WITH COMMUNITY PARTNERS, PLEASE REVIEW THE PROGRESS REPORT ON HTTP://WWW.RRMC.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/. IN ADDITION TO THESE ACTIVITIES, RUTLAND REGIONAL IS NOW REQUIRED BY FEDERAL REGULATIONS TO CONDUCT A COMMUNITY NEEDS ASSESSMENT EVERY THREE YEARS. THE RUTLAND COUNTY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE WORKED HARD TO BE INCLUSIVE, BOTH IN THE INFORMATION COLLECTED AND REVIEWED, AND BY BROADLY REQUESTING INPUT FROM AROUND OUR COMMUNITIES. FROM START TO FINISH, THE ASSESSMENT TAKES ABOUT ONE YEAR TO COMPLETE, AND INCLUDES COMPILATION OF SECONDARY DATA FROM OTHER SOURCES, COLLECTING INDIVIDUAL INPUT THROUGH CONSUMER SURVEYS AND THROUGH FOCUS GROUP MEETINGS. ALL OF THE INFORMATION GATHERED IS REVIEWED, AND PRIORITIZED BY A BROAD, COMMUNITY-BASED COMMITTEE. A FINAL REPORT HAS NOW BEEN PUBLISHED WITH THE FINDINGS. THIS REPORT IS MADE PUBLICLY AVAILABLE ON WWW.RRMC.ORG. THE PURPOSE OF THE ASSESSMENT IS TO: -DESCRIBE THE HEALTH STATUS OF THE COMMUNITY -IDENTIFY THE COMMUNITY'S HEALTH NEEDS -COMPARE THE NEEDS TO THOSE IDENTIFIED PREVIOUSLY CONDUCTING ASSESSMENTS PERIODICALLY FOR MORE THAN 15 YEARS, WE HAVE SEEN SOME HEALTH INDICATORS IMPROVE AND OTHERS DECLINE. BY MONITORING THESE CHANGES, THE COMMITTEE IS ABLE TO IDENTIFY WHERE ADDITIONAL RESOURCES ARE NEEDED. ORGANIZATIONS, INCLUDING RUTLAND REGIONAL, USE THIS IMPORTANT INFORMATION TO GUIDE THEIR PLANNING. FOR RUTLAND REGIONAL SPECIFICALLY, IT HELPS WITH THE DEVELOPMENT OF NEW HOSPITAL SERVICES AND COMMUNITY PROGRAMS. Form 990, Part III, Line 4d Description of other program services (Expenses $ 59,688,166 including grants of $ 797,020)(Revenue $ 68,392,566) THE REVENUES AND EXPENSES REPORTED ON PART III, LINE 4D, REPRESENT THOSE AMOUNTS THAT ARE ATTRIBUTABLE TO OTHER PROGRAM SERVICES CONDUCTED BY THE ORGANIZATION. THESE OTHER SERVICES PRIMARILY REPRESENT OTHER SUPPORT SERVICES THAT ARE PROVIDED TO HOSPITAL PATIENTS OR THAT ARE CONDUCTED TO SUPPORT THE OVERALL FUNCTION OF THE HOSPITAL, SUCH AS CENTRAL SUPPLY AND PHARMACY SERVICES. OTHER SERVICES ALSO INCLUDE BENEFIT TO THE COMMUNITY THROUGH THE PAYMENT OF GRANTS TO OTHER COMMUNITY ORGANIZATIONS. SEE SCHEDULE I FOR DETAIL REGARDING THESE GRANT PAYMENTS. Form 990, Part VI, Line 15 PROCESS TO ESTABLISH COMPENSATION OF OFFICERS OR KEY EMPLOYEES THE FOLLOWING POLICY APPLIES TO THE OFFICERS AND KEY EMPLOYEES OF RUTLAND REGIONAL MEDICAL CENTER (RRMC): -IT IS THE POLICY OF RRMC TO OFFER MARKET-COMPETITIVE PAY SO TO ATTRACT AND RETAIN THE BEST TALENT FROM OUR LABOR MARKET. -DESIGNATION OF RRMC' KEY EMPLOYEES IS MADE IN ACCORDANCE WITH THE PREVAILING IRS KEY EMPLOYEE DEFINITION. -THE RRMC KEY EMPLOYEE LABOR MARKET IS TYPICALLY ALL HOSPITALS WITH SIMILAR REVENUES, STAFFED BEDS, EMPLOYEE FULL-TIME EQUIVALENTS, OR REGIONAL GEOGRAPHY AS RRMC. -KEY EMPLOYEE COMPENSATION IS REVIEWED ANNUALLY USING THREE SOURCES OF INDEPENDENT COMPETITIVE MARKET DATA. -PERIODICALLY AN INDEPENDENT CONSULTANT ENGAGED BY THE ORGANIZATION WILL CONDUCT THE ANNUAL REVIEW. OTHERWISE THE REVIEW WILL BE PERFORMED BY HUMAN RESOURCES. -JOBS HELD BY KEY EMPLOYEES ARE MATCHED WITH SIMILAR JOBS IN MARKET DATA WITH AN INDICATION OF JOB MATCH STRENGTH (WEAK, MODERATE OR STRONG). -THE MARKET REVIEW PRODUCES A REPORT OF KEY EMPLOYEE CURRENT TOTAL CASH COMPENSATION VS. MARKET MEDIAN TOTAL CASH COMPENSATION AND ANY RECOMMENDED PAY ACTIONS. -GENERALLY SPEAKING, KEY EMPLOYEE BASE PAY VARIANCES OF -5% VS. MARKET MEDIAN TOTAL CASH COMPENSATION ARE CONSIDERED FOR A BASE PAY INCREASE. -THE RESULTS OF THE REVIEW AND RECOMMENDED PAY ACTIONS ARE REVIEWED AND APPROVED BY THE ORGANIZATION. - THE PRESIDENT AND CEO PAY IS ALSO APPROVED BY THE BOARD OF DIRECTORS. Form 990, Part VI, Line 4 Significant changes to organizational documents THE ORGANIZATION REVISED ITS BYLAWS DURING THE FISCAL YEAR 2024. SIGNIFICANT CHANGES INCLUDE: - DIRECTORS THAT WILL BE NOMINATED AND ELECTED BY THE BOARD OF DIRECTORS OF THE MEMBER WERE REDUCED FROM 12 DIRECTORS TO 11 DIRECTORS. - ONE OF THE TWO DIRECTORS MUST NOW BE EMPLOYED BY THE UNIVERSITY OF VERMONT MEDICAL CENTER HEALTH NETWORK AND THE OTHER ONE MUST BE EMPLOYED BY DARTMOUTH HITCHCOCK MEDICAL CENTER HEALTH NETWORK. - THREE OF THE DIRECTORS MUST BE: 1) THE CEO OF VNA & HOSPICE OF SOUTHWEST REGION, INC. OR HIS OR HER DESIGNEE 2) THE CEO OF COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC. D/B/A COMMUNITY HEALTH OR HIS OR HER DESIGNEE 3) THE CEO OF RUTLAND MENTAL HEALTH SERVICES, INC. OR HIS OR HER DESIGNEE - TWO NEW ARTICLES ARE ADDED TO THE BYLAWS: 1) ARTICLE X - LIMITED ACTIVITIES 2) ARTICLE XI - CONFLICT OF INTEREST Form 990, Part VI, Line 6 Classes of members or stockholders PER ARTICLE II, SECTION 1, OF THE ORGANIZATION'S BYLAWS, RUTLAND REGIONAL HEALTH SERVICES IS THE SOLE MEMBER OF RUTLAND REGIONAL MEDICAL CENTER. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body ARTICLE III, SECTIONS 1 AND 2, OF THE BYLAWS STATE THAT THE BOARD SHALL CONSIST OF NINETEEN DIRECTORS. OF THESE DIRECTORS, ELEVEN ARE CHOSEN OR APPROVED BY THE ORGANIZATION'S SOLE MEMBERS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders ARTICLE VIII, SECTION 5, OF THE BYLAWS DISCUSS POWERS RESERVED TO THE MEMBER, RUTLAND REGIONAL HEALTH SERVICES, INC., AND STATE THAT THE CORPORATION SHALL SUBMIT TO THE BOARD OF DIRECTORS OF THE MEMBER FOR ITS PRIOR APPROVAL THAT FOLLOWING: A) THE APPOINTMENT OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, B) PURCHASE OR SALE OF ANY SIGNIFICANT ASSET (S) OUT OF THE ORDINARY COURSE OF BUSINESS C) THE BYLAWS AND ANY AMENDMENTS THERETO. IN ADDITION TO THE ABOVE AND NOT WITHSTANDING ANY OTHER PROVISIONS OF THESE BY-LAWS, THE BOARD OF DIRECTORS OF THE MEMBER SHALL HAVE THE RIGHT TO REMOVE ANY DIRECTOR AT ANY TIME AND TO APPOINT AN INDIVIDUAL TO FILL SUCH VACANCY. Form 990, Part VI, Line 11b Review of form 990 by governing body 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. A DRAFT COPY IS THEN REVIEWED BY TOP MANAGEMENT. ONCE A FINAL DRAFT IS COMPLETE, IT IS POSTED ELECTRONICALLY TO BOARD PAQ TO EACH MEMBER OF THE FINANCE COMMITTEE. THE COMMITTEE WILL MEET AND DISCUSS THE RETURN WITH A TAX ADVISOR. Form 990, Part VI, Line 12c Conflict of interest policy ANNUALLY, ALL ORGANIZATION LEADERS REVIEW THE SYSTEM-WIDE CONFLICT OF INTEREST POLICY TO ENSURE ALL CONFLICTS ARE MADE KNOWN. SEE THE POLICY BELOW. POLICY *DUTY TO DISCLOSE IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS, OR OTHER INDIVIDUALS WHO, ON BEHALF OF THE CORPORATION, ARE CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. *DUTY TO VOICE CONCERN IN THE EVENT THAT AN INTERESTED PERSON BECOMES CONCERNED THAT ANOTHER INTERESTED PERSON WHO IS A BOARD MEMBER, PRINCIPAL OFFICER OR MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS HAS AN UNDISCLOSED FINANCIAL INTEREST OR IS EXERTING INAPPROPRIATE INFLUENCE RELATED TO A FINANCIAL INTEREST, THIS CONCERN SHOULD BE RAISED WITH THE CHAIR OF THE APPROPRIATE BOARD OR COMMITTEE OR, IF INVOLVING A MEMBER OF LEADERSHIP COUNCIL, A DIRECTOR OR MANAGER OR OTHER INTERESTED PERSON, AN APPROPRIATE CORPORATE OFFICER. *DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON BY THE REMAINING BOARD OR COMMITTEE MEMBERS. HOWEVER, IN NO EVENT SHALL AN INTERESTED PERSON PARTICIPATE IN THE DELIBERATION AND/OR DETERMINATION OF COMPENSATION THAT HE/SHE WILL RECEIVE FROM THE CORPORATION FOR EMPLOYMENT, PROFESSIONAL CONTRACT OR OTHERWISE. *DEFINITIONS INTERESTED PERSON - FOR THE PURPOSES OF THIS POLICY, AN INTERESTED PERSON IS ANY BOARD MEMBER, PRINCIPAL OFFICER, MEMBER OF THE LEADERSHIP COUNCIL, DIRECTOR, OR MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST. IF AN INDIVIDUAL IS AN INTERESTED PERSON WITH RESPECT TO ANY ENTITY IN THE RRMC/RRHS HEALTH CARE SYSTEM, HE OR SHE IS AN INTERESTED PERSON WITH RESPECT TO ALL ENTITIES IN THE HEALTH CARE SYSTEM. *PROCEDURES PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, INCLUDING A CONSIDERATION OF INDEPENDENT COMPARABILITY DATA, VALUATIONS OR APPRAISALS, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. *ANNUAL STATEMENTS AWARENESS/COMPLIANCE WITH POLICY - EACH INTERESTED PERSON SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THIS CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY; HAS AGREED TO COMPLY WITH THE POLICY; AND UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST BE ENGAGED PRIMARILY IN ACTIVITIES THAT MAY ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES. CONFLICT OF INTEREST SURVEY - EACH INTERESTED PERSON SHALL DISCLOSE ON AN ANNUAL SURVEY FORM POTENTIAL CONFLICTS OF INTEREST AND FINANCIAL INTERESTS RELEVANT TO THIS POLICY. Form 990, Part VI, Line 19 Required documents available to the public CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE ANNUALLY IN THE ANNUAL REPORT, AND ARE ALSO AVAILABLE UPON WRITTEN REQUEST. THE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE ALSO AVAILABLE UPON WRITTEN REQUEST. ALL REQUESTS MUST BE FOR A LEGITIMATE BUSINESS PURPOSE (AS DETERMINED BY TOP MANAGEMENT), AND REQUESTED DOCUMENTS WILL BE MAILED. Form 990, Part VII, Section A, Line 1a, Column (D) BOARD MEMBERS RECEIVING COMPENSATION NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR DUTIES AS DIRECTORS. THE FOLLOWING BOARD MEMBERS RECEIVED COMPENSATION FROM RUTLAND REGIONAL MEDICAL CENTER FOR SERVICES PROVIDED AS PHYSICIANS: - PHILIP LAPP, MD - MICHAEL DIMEOLA, MD - ALISON DAVIS, MD Form 990, Part X, Line 20 TAX-EXEMPT BOND LIABILITIES THE ORGANIZATION'S TOTAL TAX-EXEMPT BOND LIABILITIES ON THE BALANCE SHEET IS COMPRISED OF THE FOLLOWING: $ 7,552,469 BOND LIABILITIES $ (86,029) UNAMORTIZED BOND ISSUANCE COSTS ------------- $ 7,466,440 RUTLAND REGIONAL HEALTH SERVICES INC 160 ALLEN STREET RUTLAND VT 05701 222534389 HOLDING CO VT 501(c)(3) Type II NA false THE MEADOWS AT EAST MOUNTAIN 240 Gables Pl RUTLAND VT 05701 030330343 ELDER CARE VT RRHS THE GABLES AT EAST MOUNTAIN 200 Gables Pl RUTLAND VT 05701 030358050 ELDER CARE VT RRHS false false false false false false false false false false true false true true true false true false false