2020-07-30T11:18:06-05:00 2019-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2018-10-01 030183483 RUTLAND HOSPITAL INC % JUDI K FOX RUTL 8027757111 160 ALLEN STREET RUTLAND VT 05701 JUDI K FOX CFO 8027757111 2020-06-05 true Brian D Todd P00422601 4178658701 167.68.126.162 43032920202125000000 2020-07-30 P 93356FBB267D4C1A0D2C48A4116FDC8D08BAB299 9ED1AFD43ECA266599EA2022F4AABFE45DA09571 2018 2020-09-23 17:36:50Z RUTLAND REGIONAL MEDICAL CENTER CLAUDIO D FORT 160 ALLEN STREET RUTLAND VT 05701 296907504 false X WWW.RRMC.ORG X 1892 VT TO PROVIDE COMPREHENSIVE INPATIENT AND OUTPATIENT MEDICAL SERVICES AND TO IMPROVE HEALTH OF THE RESIDENTS OF RUTLAND AND SURROUNDING COUNTIES. SEE SCHEDULE O ADD'L INFORMATION. 18 13 1984 303 3084432 384606 3833818 3736338 274404086 278857440 3188773 5654624 -231943 -210100 281194734 288038302 693844 757950 0 0 161654118 163195370 0 0 404577 113861731 117143818 276209693 281097138 4985041 6941164 280501247 292231354 74446048 79039051 206055199 213192303 X TO IMPROVE THE HLTH OF THE RUTLAND REGION AND SURROUNDING COMMUNITIES BY PROVIDING APPROPRIATE, SUPERIOR, INTEGRATED, PREVENTATIVE, DIAGNOSTIC AND THERAPEUTIC HEALTH SERVICES IN A CARING ENVIRONMENT THROUGH THE STRENGTH OF OUR PEOPLE, TECHNOLOGY & RELATIONSHIPS. false false 118283722 141425524 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. 49279599 58920983 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. 28078199 33571600 DIAGNOSTIC SERVICES. DIAGNOSTIC SERVICES INCLUDE LABORATORY, RADIOLOGY, ELECTROENCEPHALOGRAPHY, AND CT SCANNING. SEE SCHEDULE O FOR MORE INFORMATION. 37585802 757950 44939333 233227322 true true false true false false false false false true true false false true 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 true false false false false false true false false false true 203 0 true 1984 true true true false false false false true true false false false false false false X 18 13 false false true false true true true true true false false false true true true true true true true false X JUDI K FOX 8027757111 160 ALLEN STREET RUTLAND VT 05701 MARY M BEERWORTH MD DIRECTOR 40.0 1.0 X 432611 0 33613 DENISE A CLARK DIRECTOR 1.0 1.0 X 0 0 0 MARK K FOLEY JR SECRETARY 1.0 1.0 X X 0 0 0 MICHAEL J KENOSH MD DIRECTOR 40.0 1.0 X 518777 0 54883 JOSEPH KRAUS VICE CHAIR 1.0 1.0 X X 0 0 0 PAUL GALLO DIRECTOR 1.0 1.0 X 0 0 0 MICHELE NELSON DIRECTOR 1.0 1.0 X 0 0 0 MICHAEL R SOLIMANO CHAIR 1.0 1.0 X X 0 0 0 JOHN W CASELLA DIRECTOR 1.0 1.0 X 0 0 0 MICHAEL DICK DMD DIRECTOR END 10/18 1.0 1.0 X 0 0 0 DANIEL DOENGES DIRECTOR BEG 11/18 1.0 1.0 X 0 0 0 J CORTLAND JONES DIRECTOR 1.0 1.0 X 0 0 0 THOMAS J SABOTKA DIRECTOR 1.0 1.0 X 0 0 0 JOAN F GAMBLE DIRECTOR 1.0 1.0 X 0 0 0 ROBERT G HEDDEN DIRECTOR 1.0 1.0 X 0 0 0 STEPHEN LEFFLER MD DIRECTOR END 04/19 1.0 1.0 X 0 0 0 EDWARD J MERRENS MD DIRECTOR BEG 11/18 1.0 1.0 X 0 0 0 PHILIP R LAPP MD DIRECTOR 40.0 1.0 X 332031 0 54672 ERIC J MARSH MD DIRECTOR 40.0 1.0 X 1047477 0 49146 RONALD J CIOFFI DIRECTOR 1.0 1.0 X 0 0 0 JOHN R BUTTERLY MD DIRECTOR END 10/18 1.0 1.0 X 0 0 0 CLAUDIO D FORT PRESIDENT/CEO 40.0 1.0 X 400081 0 19244 JUDI K FOX CFO 40.0 1.0 X 274372 0 54674 MELBOURNE D BOYNTON MD ORTHOPEDIC SRGN/CHIEF MED OFFR 40.0 0.0 X 1010393 0 51231 STANLEY M SHAPIRO MD CARDIOLOGIST/MEDICAL DIRECTOR 40.0 0.0 X 506850 0 50941 TODD GREGORY MD EMERGENCY PHYSICIAN/MED DIRECT 40.0 0.0 X 386199 0 49214 SCOTT J GRAHAM MD CHIEF MEDICAL INFO OFFICER 40.0 0.0 X 362835 0 49203 BARBARA M ROBINSON VP CLINICAL SERVICES 40.0 0.0 X 309809 0 40297 CAROL M EGAN VP CHIEF NURSING OFFICER 40.0 0.0 X 245697 0 48776 BRIAN KERNS VP HUMAN RESOURCES 40.0 0.0 X 244652 0 41174 JOHN WALLACE GEN COUNSEL COMPLIANCE OFFICER 40.0 0.0 X 238854 0 42315 JEFFREY MCKEE VP COMMUNITY & BEH HEALTH SVCS 40.0 0.0 X 234899 0 42101 JONATHAN REYNOLDS VP CLINCIAL SERVICES BEG 06/19 40.0 0.0 X 208136 0 40974 JAMES F GREENHOUGH VP CORPORATE SUPPORT SERVICES 40.0 0.0 X 200049 0 40144 RICK HILDERBRANT MD HOSPITALIST MEDICAL DIRECTOR 40.0 0.0 X 292445 0 48522 MATTHEW CONWAY MD SURGEON 40.0 0.0 X 532715 0 51054 DALE JANIK MD GASTRONENTEROLOGY 40.0 0.0 X 596073 0 51047 WILLIAM LIGHTHART MD ORTHOPAEDCIS 40.0 0.0 X 920972 0 49167 HARVEY REICH MD INTERNIST 40.0 0.0 X 565316 0 59728 MICHAEL ROBERTELLO MD CARDIOLOGY 40.0 0.0 X 764324 0 51129 THOMAS W HUEBNER FORMER PRESIDENT/CEO END 03/18 40.0 1.0 X 226896 0 27013 MARY T NEMETH FORMER VP CORP SRVS END 03/17 1.0 0.0 X 194437 0 9800 11046900 0 1110062 174 true true false CERNER CORP 2800 ROCKCREEK PARKWAY KANSAS CITY MO 64117 PROFESSIONAL SERVICE 6227025 SHERIDAN HEALTHCARE OF VERMONT INC PO BOX 744883 ATLANTA GA 303744883 ANESTHESIOLOGISTS 2668683 ARNC HOLDCO LLC DBA ADVANTAGE RN LL PO BOX 404691 ATLANTA GA 303844691 TEMPORARY STAFF 1741228 MAYO COLLABORATIVE SERVICES INC PO BOX 4100 ROCHESTER MN 659034100 LAB SERVICES 920549 CA INDUSTRIES INC DBA AUREUS RADI PO BOX 3037 OMAHA NE 681030037 TEMPORARY STAFF 802453 36 140604 2421860 1173874 3736338 NET PATIENT SERVICE REVENUE 621400 261082615 261082615 PHARMACY 446110 12762016 12487838 274178 LAB AND SCREENING SERVICES 621500 2810254 2810254 CAFETERIA 722514 1066551 1066551 OTHER REVENUE 900099 1136004 1136004 278857440 3620467 3620467 0 0 215106 390305 -175199 0 -175199 -175199 10324356 118140 8397654 10685 1926702 107455 2034157 2034157 35657 140604 70558 -34901 -34901 0 0 0 0 0 0 0 288038302 275773008 3084432 5444524 757950 757950 0 0 0 8056281 6501732 1554549 458146 458146 127036097 110359333 16421656 255108 5507699 4757709 739014 10976 14522637 12524623 1969757 28257 7614510 6528245 1071999 14266 0 304332 304332 221510 221510 124667 124667 0 51466 51466 21670128 10769557 10894626 5945 918590 6864 911713 13 6784092 4659019 2088125 36948 3512397 248965 3263402 30 0 5186111 3793469 1364451 28191 97919 86068 11840 11 0 926408 682787 241475 2146 1314932 930990 382398 1544 0 12219451 8651546 3553560 14345 2741889 1642148 1095456 4285 MEDICAL SUPPLIES & DRUGS 35903022 35903022 MEDICAID TAX ASSESSMENT 15286305 15286305 BAD DEBTS 7489965 7489965 LICENSES, DUES, SUBSCRIPTIONS 1891968 1377431 512518 2019 498666 269594 228579 493 281097138 233227322 47465239 404577 X 4933 6240 8586736 12090735 81432 9800 26832549 29745296 0 0 0 0 2653514 2979987 1766816 2508886 3693894 3716310 257721488 169519745 81446095 88201743 143562211 138347847 0 0 0 0 0 0 11873067 14624510 280501247 292231354 29533629 31821184 0 0 0 0 31206083 31215731 0 0 0 0 5147730 6760194 0 0 8558606 9241942 74446048 79039051 X 201028235 208273500 4348322 4240161 678642 678642 206055199 213192303 280501247 292231354 X 6941164 -49343 245283 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X X false true true false false false false true 76879 false true 47788 124667 false SCHEDULE C, PART II-B, LINE 1 LOBBYING EXPENSES: THE ORGANIZATION PAID LOBBYING FEES OF $75,869 TO A PROFESSIONAL GOVERNMENT AFFAIRS AND COMMUNICATION STRATEGIES COMPANY. THE ORGANIZATION'S CEO, CLAUDIO FORT, SPENDS TIME EACH YEAR WORKING DIRECTLY WITH STATE LEGISLATORS TO IMPROVE SERVICES FOR THE RUTLAND REGION. APPROXIMATELY $1,010, OF HIS SALARY IS ALLOCATED TO THIS ACTIVITY. ALSO, DUES ARE PAID TO THE HOSPITAL ASSOCIATION AND THE VERMONT HOSPITAL ASSOCIATION. A PORTION OF DUES IS ATTRIBUTABLE TO LOBBYING: $ 39,360 VHA 8,016 AHA 412 340B HEALTH -------- $ 47,788 619668 1177168 44971 249515 1592292 689107 30561 100000 619668 7634079 74330 7019302 689107 7285252 348827 7634079 7589626 21075 325449 7285252 0.42420 0.57580 false false 645676 645676 42271274 27972004 14299270 67060705 35855640 31205065 136568180 103533711 33034469 11175653 2158390 9017263 88201743 DUE FROM AFFILIATES 5999302 OTHER RECEIVABLES 4943153 INTEREST RECEIVABLE 27925 INSURANCE RECEIVABLE 806430 INVESTMENT IN VERMONT COMM FDN 325102 PREPAID PENSION ASSET 2522598 14624510 0 EST AMTS DUE TO THIRD PARTY 9241942 9241942 281261835 -49343 -6371506 -6420849 287682684 51466 304152 355618 288038302 274016570 460863 460863 273555707 51466 7489965 7541431 281097138 SCHEDULE D, PART V, LINE 4 ENDOWMENT FUND PURPOSE: RRMCS 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. RRMCS 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. RRMCS 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 VEIEWING 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 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 XI, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $ 873,176 NET ASSETS RELEASED FROM RESTRICTIONS 1,290,882 NET LOSS FROM DEF BEN PLAN & POSTRETIRMENT BEN COSTS (1,045,599) LOSS ON INTEREST RATE SWAP AGREEMENT (7,489,965) PROVISION FOR UNCOLLECTIBLE ACCOUNTS ------------ $(6,371,506) SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12 BUT NOT ON LINE 1: $ 716,863 TEMPORARILY RESTRICTED CONTRIBUTIONS 48,152 TEMPORARILY RESTRICTED INVESTMENT RETURN ( 390,305) RENTAL EXPENSES ( 70,558) SPECIAL EVENTS EXPENSE ------------ $ 304,152 SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 390,305 RENTAL EXPENSES 70,558 SPECIAL EVENTS EXPENSE ----------- $ 460,863 SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 7,489,965 PROVISION FOR UNCOLLECTIBLE ACCOUNTS GREEN MT GALA 114229 99679 14550 21639 19614 GOLF TOURNAMENT 47756 28536 19220 1950 4339 16335 6646 1 14276 12389 1887 35 176261 140604 35657 1950 4339 38009 26260 70558 -34901 true true X true X 300. true X 500. true true true false true true 3515577 3515577 0.01280 62200880 30722380 31478500 0.11500 65716457 30722380 34994077 0.12780 7 27505 3089203 2383034 706169 0.00260 5 461 1021038 1021038 0.00370 63669984 44044718 19625266 0.07180 6 53629 717859 717859 0.00260 18 81595 68498084 46427752 22070332 0.08070 18 81595 134214541 77150132 57064409 0.20850 1 14440 225780 225780 0.00080 1 11810 11810 1 1293 1293 1 1095 1095 4 14440 239978 239978 0.00080 false 7489965 778956 75615739 97615740 -22000001 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 18 true false false true X SEE PART V SECTION C X SEE PART V SECTION C X X true 18 true SEE PART V SECTION C false true X 300. 500. X X X X true true X X X X true X SEE PART V SECTION C X SEE PART V SECTION C X SEE PART V SECTION C X X X X X true X false X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 COMMUNITY INPUT: 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 7A CHNA AVAILABILITY: THE MOST RECENTLY CONDUCTED CHNA REPORT CAN BE FOUND AT THE FOLLOWING URL: WWW.RRMC.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT SCHEDULE H, PART V, SECTION B, LINE 7B CHNA OTHER WEBSITE: HTTP://GMCBOARD.VERMONT.GOV/HOSPITAL-BUDGET/HEALTH-NEEDS SCHEDULE H, PART V, SECTION B, LINE 7D CHNA AVAILABILITY TO PUBLIC: THE COMMUNITY BENEFITS COORDINATOR DEVELOPED AND FOLLOWED A COMMUNICATION PLAN UTILIZING ELECTRONIC COMMUNICATION, CONFERENCE CALLS, NEWSPAPER ARTICLES AND PRESENTATIONS THROUGHOUT THE COMMUNITY TO DISSEMINATE THE COMMUNITY HEALTH NEEDS ASSESSMENT. PRESENTATIONS WERE HOSTED BY AREA AGENCIES AND COALITION, WITHIN THE HOSPITAL ORGANIZATION, FOR THE REGION. SCHEDULE H, PART V, SECTION B, LINE 10A IMPLEMENTATION STRATEGY: THE IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING URL: HTTP://WWW.RRMC.ORG/APP/FILES/PUBLIC/2645/CHNA-IMPLEMENTATION-STRATEGY-20 19.PDF SCHEDULE H, PART V, SECTION B, LINE 11 IMPLEMENTATION STRATEGY: IMPLEMENTATION STRATEGY RESULTS IN FY19. IMPLEMENTATION STRATEGY FOR ALL FOUR GROUPS INDEPENDENTLY IDENTIFIED SIMILAR CHARACTERISTICS OF ACTION AND ACTIVITIES. THE CONNECTION TO COMMUNITY CAME THROUGH VERY STRONGLY; A WIDE-ANGLE LENS WAS USED TO APPROACH THE IDENTIFIED HEALTH NEEDS. THE OVERARCHING THEMES FOR ALL GROUPS INCLUDED: PARTNERING WITH THE PRIVATE SECTOR TO ENGAGE AND SUSTAIN COMMUNITY-WIDE INVOLVEMENT; UNDERSTANDING THE NEED TO BE MORE PROACTIVE THAN REACTIVE; FOCUSING ON COMMUNICATION AND OUTREACH, IN PARTICULAR TO THOSE WHO ARE NOT CURRENTLY RECEIVING THE MESSAGE; AND EMPHASIZING THE NEED TO ACT WITH COMPASSION AND WITHOUT JUDGMENT, AND TO KEEP THE FOCUS OF WORK PERSON-CENTERED. THE RUTLAND REGION IS AN EXCELLENT EXAMPLE OF WHAT CAN HAPPEN WHEN THE STATE SUPPORTS WIDESCALE HEALTH INITIATIVES, THE LOCAL COMMUNITY COMES TOGETHER, AND INDIVIDUALS BRING THEIR SKILLS AND THEIR PASSION TO THEIR WORK AND OUTREACH. THERE ARE ALREADY A GREAT DEAL OF RESOURCES IN THE COMMUNITY TO ADDRESS THESE FOUR PRIORITIES; THERE ARE AGENCIES DEDICATED TO THESE POPULATIONS, AND GRANT FUNDS UTILIZED TO GET PROJECTS OFF THE GROUND. THE COMMUNITY STAKEHOLDERS WHO DEVELOPED THIS ROADMAP ARE ALL EXTREMELY KNOWLEDGEABLE ABOUT WHAT IS BOTH IN PLACE AND UPCOMING IN THEIR RESPECTIVE FIELDS, AND THEY TOOK IT AS PART OF THEIR MISSION TO DEVELOP THIS IMPLEMENTATION PLAN IN THE SPIRIT OF ALIGNING WHAT EXISTS AND PROVIDING A FRAMEWORK FOR WORK TO FILL THE IDENTIFIED GAPS. ALIGNMENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT: THE OVERARCHING KEY THEMES OF ALL THE PRIORITY COMMITTEES AROSE INDEPENDENTLY IN EACH OF THE GROUP DISCUSSIONS. BY FOCUSING EFFORTS FIRST ON ALIGNMENT, THE WORK THAT IS ALREADY BEING DONE IN THE COMMUNITY BY VARIOUS GROUPS, AGENCIES, AND COLLABORATIVES CAN BE RECOGNIZED. THIS WILL SOLIDIFY THE FOUNDATION FOR FUTURE WORK TO BE BUILT UPON. FURTHERMORE, BY FOCUSING ON ALIGNMENT, THIS WILL ALLOW FOR INTER-COMMUNITY SHARING OF IDEAS, SUCCESSES, CHALLENGES, AND OPPORTUNITIES. THE ROADMAP CREATED BY THESE GROUPS WILL BE ABLE TO CONNECT PAST, CURRENT, AND FUTURE WORK INTO AN INTERWOVEN APPROACH TO ADDRESSING COMMUNITY HEALTH NEEDS. FROM IMPLEMENTATION STRATEGY TO ACTION: THE STRATEGIES REMAIN BROAD TO ALLOW FOR ORGANIZATIONS TO DEVELOP MEANINGFUL GOALS AND ALIGN EFFORTS TO AVOID DUPLICATION OR PARALLEL WORK. THE FOLLOWING INFORMATION BELOW PROVIDES A SAMPLE OF SOME OF THE MORE SPECIFIC STRATEGIES IDENTIFIED BY THE FOCUS COMMITTEES. SUPPORTING AN AGING COMMUNITY: - INCREASE THE RESOURCES FOR EDUCATING PROVIDERS ON SOCIAL DETERMINANTS IMPORTANT TO SUPPORTING AN AGING COMMUNITY - CREATE OPPORTUNITIES TO RECOGNIZE AND RECORD OLDER VERMONTERS HISTORIES AND STORIES - CREATE A VOLUNTEER DATABASE THAT CAN HELP LINK OLDER PEOPLE SEEKING SERVICES WITH THOSE LOOKING TO PROVIDE SERVICES, SUCH AS TRANSPORTATION OR HOME-SHARING HOUSING: - DEVELOP A MASTER LIST FOR SUPPORTIVE HOUSING THAT CAN ADDRESS A VARIETY OF NEEDS SUCH AS ACCESSIBLE TRANSPORTATION AND FOOD SECURITY - FIND ALTERNATIVES TO USING LOCAL HOTELS AS EMERGENCY HOUSING FOR INDIVIDUALS AND FAMILIES - EXPLORE POTENTIAL AND DEVELOP PROGRAM FOR MASTER LEASING OPPORTUNITIES WITH THE PRIVATE SECTOR AND AREA LANDLORDS MENTAL HEALTH: - PROVIDE COMMUNITY TRAININGS IN MENTAL HEALTH FIRST AID, YOUTH MENTAL HEALTH FIRST AID, AND SUICIDE PREVENTION - ENHANCE SERVICES AVAILABLE TO ACCOMPANY FIRST RESPONDERS WHO ARE ABLE TO ADDRESS URGENT BUT NON-EMERGENT NEEDS SUCH AS HOUSING OR MENTAL HEALTH, INCLUDING OUTSIDE OF RUTLAND CITY - PERFORM COLLABORATIVE OUTREACH TO CONNECT PEOPLE TO SERVICES WHO ARE NOT CURRENTLY ACCESSING OR UNABLE TO ACCESS SERVICES -ENHANCE AND CREATE PROGRAMS TO ALLOW PARENTS TO SUCCEED WITH NON-STIGMATIZED SUPPORT CHILDCARE AND PARENTING: - PROMOTE EARLY EDUCATION AND EARLY INTERVENTION ACROSS THE COMMUNITY, INCLUDING TOWN MEETINGS AND TOWN HALLS TO ENGAGE THE COMMUNITY - INCREASE MESSAGING AROUND THE IMPORTANCE OF CARING FOR OUR YOUNGEST COMMUNITY MEMBERS AND THEIR PARENTS AND GUARDIANS TO INCREASE RESILIENCE IN FAMILIES AND THE COMMUNITY AT LARGE IN FAMILIES AND THE COMMUNITY AT LARGE SCHEDULE H, PART V, SECTION B, LINE 16A FINANCIAL ASSISTANCE POLICY AVAILABILITY: THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE AT THE FOLLOWING URL: HTTPS://RRMC.POLICYSTAT.COM/POLICY/6105484/LATEST/ SCHEDULE H, PART V, SECTION B, LINE 16B FINANCIAL ASSISTANCE POLICY APPLICATION FORM AVAILABILITY: THE FINANCIAL ASSISTANCE POLICY APPLICATION FORM IS AVAILABLE AT THE FOLLOWING URL: http://www.rrmc.org/app/files/public/533/pdf-forms-FreeCareForm.pdf SCHEDULE H, PART V, SECTION B, LINE 16C FINANCIAL ASSISTANCE POLICY PLAIN LANGUAGE SUMMARY AVAILABILITY: THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS AVAILABLE AT THE FOLLOWING URL: http://www.rrmc.org/app/files/public/1345/FAP-Summary.pdf SCHEDULE H, PART V, SECTION B, LINE 16I 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 PROVIDERS. 14 RUTLAND HEART CENTER 12 COMMONS RUTLAND VT 05701 PATIENT CLINIC RUTLAND REG DIABETES & ENDOCRINOLOGY CTR 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 ENT 69 ALLEN STREET SUITE 1 RUTLAND VT 05701 PATIENT CLINIC RUTLAND BEHAVIORAL HEALTH CLINIC 1 COMMONS STREET RUTLAND VT 05701 PATIENT CLINIC VERMONT ORTHOPAEDIC CLINIC 3 ALBERT CREE DRIVE RUTLAND VT 05701 PATIENT CLINIC DOREST ENT 51A TENNIS WAY EAST DOREST VT 05253 PATIENT CLINIC KILLINGTON MEDICAL CLINIC 3902 KILLINGTON ROAD KILLINGTON VT 05751 PATIENT CLINIC WESTRIDGE 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 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 DEDUCTIBLES FROM $250 AT THE LOWEST LEVEL TO $3,000 AT THE HIGHEST LEVEL. SCHEDULE H, PART I, LINE 3C OTHER FACTORS USED TO DETERMINE ELIGIBILITY FOR FREE OR DISCOUNTED CARE: THE ORGANIZATION USES ASSET LEVEL, 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) LESS BAD DEBT EXPENSE OF $7,489,965. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY: 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 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 $12,976,986. 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 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 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 CASE, 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 AN ESTEEM IN ADDITION TO CORE ACADEMIC ACHIEVEMENT, ALONG WITH WORKFORCE DEVELOPMENT, ESPECIALLY AS RELATED TO HEATH CARE. SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT EXPENSE: THE AMOUNT OF BAD DEBT LISTED ON LINE 2 AGREES TO BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: BAD DEBT 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 2019, APPROXIMATELY 10.4 PERCENT OF RUTLAND COUNTY WAS CONSIDERED TO LIVE IN POVERTY. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT EXPENSE FOOTNOTE: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, RRMC ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, RRMC ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND A PROVISION FOR UNCOLLECTIBLE ACCOUNTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYER HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), RRMC RECORDS A SIGNIFICANT PROVISION FOR UNCOLLECTIBLE ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. FOR THOSE WHO DO NOT QUALIFY FOR CHARITY CARE THE DIFFERENCES BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR PROVIDED BY POLICY) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SCHEDULE H, PART III, SECTION B, LINE 8 COMMUNITY BENEFIT: 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, SECTION C, LINE 9B COLLECTION POLICY: HOSPITAL CARE WILL NOT BE DENIED TO ANY PERSON SOLELY ON THE BASIS OF THEIR ABILITY TO PAY. HOWEVER, ANY INDIGENT PATIENTS WILL BE REFERRED FOR FINANCIAL ASSISTANCE. RRMC DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS BEFORE MAKING REASONABLE COLLECTION EFFORTS TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER THAT HOSPITAL'S FINANCIAL ASSISTANCE POLICY. ACCOUNTS ARE CONSIDERED BAD DEBT, AND ARE TRANSFERRED TO AN OUTSIDE AGENCY FOR COLLECTION, WHEN GUARANTOR HAS BEEN OFFERED (AND HAS DENIED OR FAILS TO RETURN APPLICATION FOR) ASSISTANCE UNDER THE RRMC FINANCIAL ASSISTANCE POLICY. THE PAYMENT PLAN POLICY REQUIRES PAYMENTS OF A MINIMUM OF $25.00 PER MONTH, AND THAT ALL BALANCES BE PAID WITHIN 10 MONTHS. THE FREE CARE POLICY SPECIFICALLY STATES THAT ALL UNINSURED AND UNDERINSURED PATIENTS BE GIVEN INFORMATION ON THE FREE CARE PROGRAM, AND THAT STAFF PERFORM DUE DILIGENCE TO GIVE 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 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 OFFERS FINANCIAL ASSISTANCE PROGRAM APPLICATIONS TO ALL MEDICARE INSURED PATIENTS WITH NO OTHER INSURANCE, ALL SELF-PAY PATIENTS, AND ANY OTHER PERSON REQUESTING THE INFORMATION OR ANYONE WHO SPEAKS TO BEING IN FINANCIAL NEED. ALL SELF-PAY PATIENTS ARE VISITED BY A FINANCIAL COUNSELOR WHILE THEY ARE AN IN-PATIENT AND THEY WILL ASSIST THEM IN APPLYING FOR OUR FINANCIAL ASSISTANCE, AS WELL AS, APPLYING FOR STATE AND FEDERAL 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 WEB SITE NOT ONLY DESCRIBES THE FINANCIAL ASSISTANCE PROGRAM BUT, ALSO SHOW 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. LASTLY, ALL PATIENTS WHO ARE SENT A STATEMENT SHOWING THEIR OUT OF POCKET EXPENSES ARE CALLED TO DEVELOP A PAYMENT PLAN. AT THIS TIME FINANCIAL ASSISTANCE APPLICATION 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 LARGEST POPULATION CENTER (ESTIMATED AT 16,495 IN 2010). 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 45.5 YEARS OLD, COMPARED TO VERMONT'S AVERAGE AGE OF 43.1. ADDITIONALLY, THE SENIOR POPULATION CONTINUES TO GROW - 25.3% OF RUTLAND COUNTY RESIDENTS ARE 60 YEARS AND OLDER, SLIGHTLY MORE THAN THE STATEWIDE AVERAGE (22.7%); RUTLAND COUNTY'S POPULATION ALSO OVER 65 YEARS OR OLDER IS ALSO HIGHER (20.9%) COMPARED TO THE STATE (18.1%). RUTLAND COUNTY MEDIAN HOUSEHOLD INCOME ($49,372) CONTINUES TO LAG BEHIND THE STATE ($56,990) AND THE NATION AVERAGE OF MEDIAN INCOMES IS $59,039. FOR 2011 TO 2015, THE PROPORTION OF ALL INDIVIDUALS IN RUTLAND COUNTY LIVING BELOW POVERTY IS 12.5%, CONTINUING TO BE ABOVE STATE AVERAGE OF 11.9% IN 2016. WHILE RUTLAND COUNTY HAS A COMPARABLE PERCENTAGE OF HIGH SCHOOL GRADUATES (OR EQUIVALENCE) AT 88%, COMPARED TO THE STATE AT 88%, WE LAG BEHIND IN HIGHER EDUCATION (SOME COLLEGE WITH NO DEGREE, ASSOCIATE'S, AND BACHELOR'S) AT 63% COMPARED TO THE STATE AT 67%. SPECIFIC TARGET POPULATIONS IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDE: I. SENIOR POPULATIONS II. INDIVIDUALS LIVING IN POVERTY III. ADULTS AND YOUTH WITH SUBSTANCE ABUSE ISSUES IV. YOUTH AND ADULTS WHO ARE OVERWEIGHT OR OBESE 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. RUTLAND COUNTY CONTINUES TO NEED PRIMARY CARE PROVIDERS AND HAS SHORTAGES OR IS AT RISK FOR SHORTAGES IN MANY SPECIALTY SERVICES. RRMC ACTIVELY RECRUITS BOTH PRIMARY CARE AND SPECIALTY PRACTICE PROVIDERS FOR THE REGION. IN FY19, NINE PROVIDERS WERE RECRUITED TO THE HOSPITAL, INCLUDING AN ANESTHESIOLOGIST, OB/GYN, RADIOLOGIST, ENDOCRINOLOGIST, NEUROLOGIST, THREE PRIMARY CARE PHYSICIANS AND A HOSPITALIST. RRMC ALSO WORKS COLLABORATIVELY TO HELP RECRUIT PRIMARY CARE PHYSICIANS WITH COMMUNITY HEALTH, RUTLAND COUNTYS 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 ALLOWS THE PRIMARY CARE PROVIDER TO PROVIDE MORE HOURS OF OFFICE CARE WHILE THEIR HOSPITALIZED PATIENTS HAVE 24 HOUR ACCESS TO A DOCTOR. THIS SYSTEM PROVIDES EFFICIENCIES TO THE HEALTH CARE SYSTEM IN RUTLAND COUNTY. RUTLAND COUNTY'S MEDICAID POPULATION CONTINUES TO INCREASE. THIS PUTS FINANCIAL STRAIN ON THE HEALTH SYSTEM IN OUR REGION, AS THE CARE PROVIDED FOR THIS GROWING POPULATION IS NOT REIMBURSED FOR THE FULL COST OF CARE. LEADERS AT RRMC ADVOCATE AT THE STATE AND LOCAL LEVEL TO MAINTAIN THE MEDICAID REIMBURSEMENT RATES FOR BOTH IN-PATIENT AND OUT-PATIENT CARE IN ORDER TO MAINTAIN ACCESS 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. THE FQHCS ARE REIMBURSED AT A HIGHER LEVEL FOR CARING FOR MEDICAID PATIENTS. 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 OFFER AND PROVIDE A LEADERSHIP AND BOARD TRAINING PROGRAM EACH YEAR, GRADUATING AN AVERAGE TWELVE COMMUNITY MEMBERS READY TO SERVE AS ACTIVE CONTRIBUTORS TO NON-PROFIT ORGANIZATIONS THROUGHOUT OUR REGION. RUTLAND COUNTY IS ECONOMICALLY CHALLENGED AND RRMC SUPPORTS WORK TO HELP THOSE IN POVERTY AS WELL AS TO BRING NEW BUSINESSES TO THE AREA. RRMC PARTICIPATES IN BRIDGES OUT OF POVERTY, A PROGRAM WHICH AIMS TO KEEP THE WORKING POOR EMPLOYED. THIS PROGRAM NOT ONLY BENEFITS THOSE LIVING IN POVERTY IN RUTLAND COUNTY, BUT RRMC'S OWN WORKFORCE. IN CONJUNCTION WITH FOR-PROFIT, NON-PROFIT AND GOVERNMENT AGENCIES, THE BRIDGES OUT OF POVERTY COUNCIL DELIVERS THE WORKING BRIDGES TRAINING TO HR PROFESSIONALS AND LINE MANAGERS ON THE WORKPLACE IMPLICATIONS OF ECONOMIC DIVERSITY. IMPLEMENTED AN EMERGENCY LOAN AND SAVINGS PROGRAM FOR EMPLOYEES; HOUSED WORKSITE RESOURCE COORDINATORS IN COMPANIES 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 & BEYOND - THIS PROGRAM IS RUN OUT OF THE SOCIAL WORK DEPARTMENT AND WORKS WITH PATIENTS AND FAMILIES TO ARRANGE TRANSPORTATION, GENERAL ASSISTANCE (SUCH AS MEAL PREPARATION), OR COMPANIONSHIP FOR THOSE DISABLED AND FRAIL PATIENTS RETURNING HOE 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 RESOURCE GUIDE - BEGINNING IN 2012, THE COMMUNITY HEALTH IMPROVEMENT STAFF COLLECTED AND VERIFIED INFORMATION FROM ACROSS THE REGION FOR INCLUSION IN A RESOURCE GUIDE FOR USE BY HEALTH CARE PROVIDERS AND SOCIAL AND HUMAN SERVICES PERSONNEL TO HELP THEM READILY IDENTIFY POTENTIAL RESOURCES FOR THEIR CLIENTS. THIS GUIDE WAS DEVELOPED IN RESPONSE TO AN IDENTIFIED NEED FOR INFORMATION, AND IS UPDATED AND DISTRIBUTED ANNUALLY TO PROVIDER AND SOCIAL AND HUMAN SERVICES OFFICES ACROSS THE REGION, PHYSICALLY AND ELECTRONICALLY FOR EASE OF USE. COMMUNITY HEALTH TEAM - THE COMMUNITY HEALTH TEAM PROVIDES PATIENT CARE COORDINATION, CASE MANAGEMENT AND PANEL MANAGEMENT FOR NCQA-ACCREDITED PATIENT CENTERED MEDICAL HOME PRACTICES IN OUR REGION. THERE ARE 9 PRACTICES ACCOUNTING FOR 28,000 PATIENTS IN THE RUTLAND REGION. THE COMMUNITY HEALTH TEAM ALSO PROVIDES SELF-MANAGEMENT PROGRAMMING TO THE COMMUNITY AT LARGE, INCLUDING: TOBACCO CESSATION, HEALTHIER LIVING WORKSHOPS, 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. OTHER INFORMATION: RRMC HAS 19 BOARD MEMBERS WHO REPRESENT THE RESIDENTS OF RUTLAND COUNTY IN THEIR SERVICE; 5 OF THESE ARE PHYSICIANS, 2 REPRESENT HEALTH CARE PARTNERS, 11 ARE RUTLAND COUNTY RESIDENTS WHO REPRESENT A VARIETY OF BUSINESS SECTORS AND 1 POSITION IS VACANT. 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 PREDOMINANTLY AN 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 TREATMENT TECHNOLOGIES THAT INCLUDE HIGH TECH DIAGNOSTIC IMAGING, MEDICAL ONCOLOGY WITH TRADITIONAL IV THERAPIES (SUCH AS CHEMOTHERAPY), AND RADIATION ONCOLOGY FEATURING A STATE-OF-THE-ART LINEAR ACCELERATOR. SUPPORTIVE CARE PROGRAMS INCLUDE PALLIATIVE CARE, PAIN MANAGEMENT, ACUPUNCTURE AND A WOMEN'S BREAST CARE PROGRAM, AND A VARIETY OF SUPPORT GROUPS FOR PATIENTS, FAMILY AND/OR CAREGIVERS. THE HOSPITAL PROVIDES 24-HOUR EMERGENCY CRISIS CARE, AS WELL AS 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 & INFECTIOUS DISEASES CLINIC, ENT & AUDIOLOGY, FOLEY CANCER CENTER, KILLINGTON MEDICAL CLINIC, LABORATORY SERVICES AT SEVERAL LOCATIONS, MARBLE VALLEY EYE CARE, MARBLE VALLEY UROLOGY, PHYSICAL MEDICINE & REHABILITATION, RUTLAND DIABETES & ENDOCRINOLOGY CENTER, RUTLAND DIGESTIVE SERVICES, RUTLAND GENERAL SURGERY AND THE WOUND, OSTOMY & CONTINENCE CLINIC, RUTLAND HEALTH FOUNDATION, 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 IT SPECIALTY CLINICS, VERMONT SPORTS MEDICINE CENTER, THE GABLES AT EAST MOUNTAIN AND THE MEADOWS AT EAST MOUNTAIN. VERMONT SPORT MEDICINE CLINIC PROVIDES PHYSICAL THERAPY AND OTHER SERVICES TO PATIENTS RECOVERING FROM ILLNESS, INJURY OR SURGERY. 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. true COME ALIVE OUTSIDE INC PO BOX 267 RUTLAND VT 05701 472357025 501(C)(3) 67124 COMMUNITY HEALTH IMPROVEMENT RUTLAND REGION EDUCATION CORPORATION PO BOX 6015 RUTLAND VT 05701 030353236 501(C)(3) 13974 COMMUNITY HEALTH IMPROVEMENT THE MENTOR CONNECTOR 88 PARK STREET RUTLAND VT 05701 651290104 501(C)(3) 33902 COMMUNITY HEALTH IMPROVEMENT GREEN MOUNTAIN RECOVERY FOUNDATION INC 141 STATE STREET RUTLAND VT 05701 510425091 501(C)(3) 32438 COMMUNITY HEALTH IMPROVEMENT GOODWILL INDUSTRIES OF NORTHERN NEW ENGLAND 75 WASHINGTON AVENUE PORTLAND ME 04101 010284340 501(C)(3) 32000 COMMUNITY HEALTH IMPROVEMENT MILL RIVER UNIFIED UNION SCHOOL DISTRICT 2321 MIDDLE ROAD N CLARENDON VT 05759 812267789 STATE OF VT 30740 COMMUNITY HEALTH IMPROVEMENT CENTER FOR HEALTH AND LEARNING 28 VERNON STREET SUITE 319 BRATTLEBORO VT 05301 030351024 501(C)(3) 44309 COMMUNITY HEALTH IMPROVEMENT RUTLAND AREA FARM AND FOOD LINK INC PO BOX 284 RUTLAND VT 05702 208283600 501(C)(3) 43600 COMMUNITY HEALTH IMPROVEMENT COMMUNITY HEALTH CENTERS OF RUTLAND REGION 375 ROUTE 30 NORTH BOMOSEEN VT 05732 221179701 501(C)(3) 240304 COMMUNITY HEALTH IMPROVEMENT RUTLAND REGION CHAMBER OF COMMERCE 50 MERCHANTS ROW RUTLAND VT 05701 030111510 501(C)(3) 14650 COMMUNITY HEALTH IMPROVEMENT RUTLAND REGIONAL PLANNING COMMISSION PO BOX 965 RUTLAND VT 05701 030220669 501(C)(3) 25000 COMMUNITY HEALTH IMPROVEMENT PARAMOUNT CENTER INC 30 CENTER STREET RUTLAND VT 05701 222528303 501(C)(3) 25000 COMMUNITY HEALTH IMPROVEMENT RUTLAND FREE CLINIC DBA PARK STREET HEALTH 145 STATE STREET RUTLAND VT 05701 830427544 501(C)(3) 10000 COMMUNITY HEALTH IMPROVEMENT SPECIAL OLYMPICS VERMONT 16 GREGORY DRIVE SUITE 2 S BURLINGTON VT 05403 237231535 501(C)(3) 10000 COMMUNITY HEALTH IMPROVEMENT AMERICAN CANCER SOCIETY 55 DAY LANE WILLISTON VT 05701 131788491 501(C)(3) 7000 COMMUNITY HEALTH IMPROVEMENT RUTLAND COUNTY PARENT CHILD CENTER INC 61 PLEASANT STREET RUTLAND VT 05701 222589017 501(C)(3) 6919 COMMUNITY HEALTH IMPROVEMENT UNITED WAY OF RUTLAND COUNTY 6 CHURCH STREET SUITE 1 RUTLAND VT 05701 036000224 501(C)(3) 13000 COMMUNITY HEALTH IMPROVEMENT VERMONT FOODBANK 33 PARKER ROAD BARRE VT 05641 223021942 501(C)(3) 6100 COMMUNITY HEALTH IMPROVEMENT VERMONT SYMPHONY ORCHESTRA ASSOCIATION 2 CHURCH STREET SUITE 3B BURLINGTON VT 054014457 030222134 501(C)(3) 25000 COMMUNITY HEALTH IMPROVEMENT RUTLAND AREA VISITING NURSING ASSOC & HOSPICE 7 ALBERT CREE DRIVE RUTLAND VT 05701 030185024 501(C)(3) 6500 COMMUNITY HEALTH IMPROVEMENT UNIVERSITY OF VERMONT 85 S PROSPECT STREET BURLINGTON VT 05405 030179440 501(C)(3) 50390 COMMUNITY HEALTH IMPROVEMENT 21 SCHEDULE I, PART I, LINE 2 GRANTS MONITORING: EFFECTIVE DECEMBER 1, 2013, RRHS ENTERED INTO AN AGREEMENT TO PROVIDE CHCRR A COMMUNITY BENEFIT GRANT OVER A PERIOD OF FIFTY-EIGHT MONTHS FROM DECEMBER 1, 2013, TO SEPTEMBER 30, 2018. THE AGREEMENT WAS RENEWED DURING THE YEAR ENDED SEPTEMBER 30, 2019, FOR A PERIOD OF THIRTY-SIX MONTHS FROM OCTOBER 1, 2018, TO SEPTEMBER 20, 2021. THESE PAYMENTS ARE BEING MADE MONTHLY AND RANGE FROM $20,123 TO $21,348, FOR A TOTAL GRANT OF $746,364. RRHS CONTINUALLY WORKS WITH CHCRR TO ENSURE THE ORGANIZATION IS USING FUNDS APPROPRIATELY AND FURTHERING THE CHCRR EXEMPT PURPOSE. THE OTHER GRANTS LISTED ON SCHEDULE I, PART II, WERE PROVIDED BY THE JAMES T BOWSE HEALTH TRUST, A DEPARTMENT OF RUTLAND REGIONAL MEDICAL CENTER. THE BOWSE TRUST ONLY CONSIDERS GRANT PROPOSALS THROUGH ITS FORMAL GRANT PROPOSAL PROCESS, WHICH REQUIRES THAT THE REQUESTING ORGANIZATION MEET CERTAIN CRITERIA AND SUBMIT A PLANNING GRANT/LETTER OF INTENT, FULL PROPOSAL, AND PLANNING GRANT BUDGET FORM DESCRIBING HOW THE GRANT WILL BE USED. SCHEDULE I, PART II, COLUMN H PURPOSE OF GRANT OR ASSISTANCE: ASSISTANCE FOR BROC COMMUNITY ACTION SW VT, COME ALIVE OUTSIDE, INC., WONDERFEET, RUTLAND REGION EDUCATION CORPORATION, RUTLAND WEST NEIGHBORHOOD, THE MENTOR CONNECTOR, GREEN MOUNT RECOVERY FOUNDATION INC. AND GOODWILL INDUSTRIES OF NORTHERN NEW ENGLAND WAS PROVIDED BY THE JAMES T BOWSE HEALTH TRUST, A DEPARTMENT OF RUTLAND REGIONAL MEDICAL CENTER. SEE SCHEDULE H, PART VI, LINE 6 FOR MORE INFORMATION REGARDING PROGRAMS FUNDED BY THE JAMES T BOWSE HEALTH TRUST. X X X X true false false true false false false false false MARY M BEERWORTH MD DIRECTOR 358210 0 69095 0 5306 0 23375 0 10238 0 466224 0 0 0 MICHAEL J KENOSH MD DIRECTOR 433571 0 64305 0 20901 0 23375 0 31508 0 573660 0 0 0 PHILIP R LAPP MD DIRECTOR 302175 0 27455 0 2401 0 23375 0 31297 0 386703 0 0 0 ERIC J MARSH MD DIRECTOR 582766 0 463283 0 1428 0 17875 0 31271 0 1096623 0 0 0 THOMAS W HUEBNER FORMER PRESIDENT/CEO END 03/18 196511 0 0 0 30385 0 21646 0 5367 0 253909 0 0 0 CLAUDIO D FORT PRESIDENT/CEO 365563 0 9404 0 25114 0 1375 0 17869 0 419325 0 0 0 JUDI K FOX CFO 272959 0 0 0 1413 0 23375 0 31299 0 329046 0 0 0 MATTHEW CONWAY MD SURGEON 436558 0 92545 0 3612 0 23375 0 27679 0 583769 0 0 0 DALE JANIK MD GASTRONENTEROLOGY 356168 0 217845 0 22060 0 23375 0 27672 0 647120 0 0 0 WILLIAM LIGHTHART MD ORTHOPAEDCIS 603757 0 316093 0 1122 0 17875 0 31292 0 970139 0 0 0 HARVEY REICH MD INTERNIST 529453 0 0 0 35863 0 28875 0 30853 0 625044 0 0 0 MICHAEL ROBERTELLO MD CARDIOLOGY 403016 0 336424 0 24884 0 23375 0 27754 0 815453 0 0 0 MELBOURNE D BOYNTON MD ORTHOPEDIC SRGN/CHIEF MED OFFR 633600 0 353391 0 23402 0 23375 0 27856 0 1061624 0 0 0 STANLEY M SHAPIRO MD CARDIOLOGIST/MEDICAL DIRECTOR 292720 0 205900 0 8230 0 23375 0 27566 0 557791 0 0 0 TODD GREGORY MD EMERGENCY PHYSICIAN/MED DIRECT 380023 0 5040 0 1136 0 17875 0 31339 0 435413 0 0 0 SCOTT J GRAHAM MD CHIEF MEDICAL INFO OFFICER 338828 0 4783 0 19224 0 17875 0 31328 0 412038 0 0 0 BARBARA M ROBINSON VP CLINICAL SERVICES 291582 0 15000 0 3227 0 28875 0 11422 0 350106 0 0 0 CAROL M EGAN VP CHIEF NURSING OFFICER 242165 0 0 0 3532 0 26127 0 22649 0 294473 0 0 0 BRIAN KERNS VP HUMAN RESOURCES 243432 0 0 0 1220 0 10773 0 30401 0 285826 0 0 0 JOHN WALLACE GEN COUNSEL COMPLIANCE OFFICER 236334 0 0 0 2520 0 11068 0 31247 0 281169 0 0 0 JEFFREY MCKEE VP COMMUNITY & BEH HEALTH SVCS 233839 0 0 0 1060 0 10894 0 31207 0 277000 0 0 0 JONATHAN REYNOLDS VP CLINCIAL SERVICES BEG 06/19 207369 0 0 0 767 0 9768 0 31206 0 249110 0 0 0 JAMES F GREENHOUGH VP CORPORATE SUPPORT SERVICES 198181 0 0 0 1868 0 17555 0 22589 0 240193 0 0 0 MARY T NEMETH FORMER VP CORP SRVS END 03/17 0 0 0 0 194437 0 0 0 9800 0 204237 0 0 0 RICK HILDERBRANT MD HOSPITALIST MEDICAL DIRECTOR 273210 0 18686 0 549 0 17875 0 30647 0 340967 0 0 0 SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENT: MARY NEMETH RECEIVED A NET TAXABLE SEVERANCE PAYMENT OF $194,437 IN 2018. THIS AMOUNT HAS BEEN INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II. SCHEDULE J, PART I, LINE 5A COMPENSATION CONTINGENT ON THE REVENUES OF THE ORGANIZATION: PHYSICIANS EARN COMPENSATION BASED UPON THEIR PRODUCTIVITY AGAINST ESTABLISH TARGETS. INCREASED PRODUCTIVITY IS DIRECTLY RELATED TO INCREASED REVENUES FOR THE ORGANIZATION. A VT EDUCATION & HLTH BUILDING FINANCE AGENCY 237154467 2017-09-30 31350000 PARTIAL REFUND 9/10 SERIES BOND false false false A 0 0 31350000 0 0 31157038 192962 0 0 0 0 0 2013 true false true true A false false true true false 0 false false false true A false false true false true true DEUTSCHE BANK TD B 10. false true false 0 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. FOLEY SERVICES FOLEY DISTRIBUTING MARK K. FOLEY, JR. 334807 SUPPLIES & JANITORIAL PRODUCTS false SCHEDULE L, PART IV, COLUMN B BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: MARK FOLEY, JR, CURRENT BOARD MEMBER, OWNS FOLEY SERVICES, INC WHILE HIS FATHER OWNS FOLEY DISTRIBUTING. THESE COMPANIES SUPPLIED PAPER AND JANITORIAL PRODUCTS TO THE ORGANIZATION FOR $334,807 IN FISCAL YEAR 2019. FORM 990, PART I, LINE 1 MISSION: TO IMPROVE THE HEALTH OF THE RUTLAND REGIONAL AND SURROUNDING COMMUNITIES BY PROVIDING APPROPRIATE, SUPERIOR, INTEGRATED, PREVENTATIVE, DIAGNOSTIC AND THERAPEUTIC HEALTH SERVICES IN A CARING ENVIRONMENT THROUGH THE STRENGTH OF OUR PEOPLE, TECHNOLOGY AND RELATIONSHIPS. VISION: TO BE THE BEST COMMUNITY HEALTHCARE SYSTEM IN NEW ENGLAND. GOALS: *QUALITY: WE WILL PROVIDE SUPERIOR HEALTH SERVICES WHICH MEET OUR CUSTOMER NEEDS THROUGH: GOOD CLINICAL OUTCOMES, UP-TO-DATE TECHNOLOGY, EFFECTIVE PROCESSES, COMPETENT AND CARING STAFF AND WELL MAINTAINED FACILITIES. *GROWTH: WE WILL DEVELOP NEW SERVICES AND EXPAND EXISTING SERVICES TO MEET CUSTOMER NEEDS RESULTING IN INCREASED MARKET SHARE AND EXPANSION INTO NEW MARKETS. *INFORMATION EXCELLENCE: WE WILL PROVIDE SUPERIOR, COORDINATED INFORMATION RESOURCES, PROCESSES, AND SYSTEMS THAT MEET CUSTOMER NEEDS FOR EFFECTIVE INFORMATION GATHERING, RECORDING, ACCESS, ANALYSIS, AND DISSEMINATION ACROSS THE HEALTHCARE CONTINUUM. *FINANCIAL STRENGTH: WE WILL ACHIEVE FINANCIAL STRENGTH AND STABILITY BY OPTIMIZING REIMBURSEMENT AND IMPROVING OUR COSTS STRUCTURE TO PRODUCE SUFFICIENT MARGINS, AND INCREASING PHILANTHROPIC GIVING. *EMPLOYMENT ENGAGEMENT: WE WILL CREATE AN ENVIRONMENT WHERE EMPLOYEE ENGAGEMENT FLOURISHES AND WE COMMIT OUR HEARTS AND MINDS TO MEETING AND EXCEEDING THE NEEDS OF OUR CUSTOMERS AND EACH OTHER. EXCEEDING THE NEEDS OF OUR CUSTOMERS AND EACH OTHER. 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, LINES 4A-D EXEMPT PURPOSE ACHIEVEMENTS: RUTLAND REGIONAL MEDICAL CENTER FY 2019 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 2019 TOTALED $6,929,977. 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 OTHER PROGRAM SERVICES: 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, SECTION A, LINE 4 SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS: THE BYLAWS OF RUTLAND REGIONAL MEDICAL CENTER WERE UPDATED DURING THE FISCAL YEAR TO INCLUDED THE FOLLOWING REVISION: SECTION 5. COMPENSATION COMMITTEE: THE COMPENSATION COMMITTEE SHALL BE COMPRISED OF NO FEWER THAN THREE (3) BOARD MEMBERS. THE MEMBER OF THE COMMITTEE SHALL BE APPOINTED BY THE CHAIR OF THE BOARD OF DIRECTORS, SUBJECT TO THE APPROVAL OF THE FULL BOARD. THE COMPENSATION COMMITTEE SHALL RECOMMEND POLICIES AND PROCESSES TO THE BOARD FOR THE REGULAR REVIEW OF THE PERFORMANCE AND COMPENSATION OF (1) PRESIDENT, (2) VICE PRESIDENT, (3) HIGHEST COMPENSATION EMPLOYEES AND INDEPENDENT CONTRACTORS, AND (4) OTHER IDENTIFIED INDIVIDUALS OF THIS CORPORATION AND RRMC. THE FUNCTIONS OF THE COMPENSATION COMMITTEE SHALL INCLUDE: A - RECOMMENDING A CEO EVALUATION POLICY TO THE BOARD, INCLUDING GOALS FOR THE CEO AND A PROCESS FOR THE CEO PERFORMANCE EVALUATION. THE POLICY SHALL INCLUDE PROVISIONS FOR INPUT FOR THE BOARD AND A REPORT TO THE BOARD ON THE RESULTS OF THE EVALUATION AND COMPENSATION REVIEW. B - CONDUCTING THE CEO EVALUATION PROCESS, CONSISTENT WITH BOARD-APPROVED POLICY, AND IN A MANNER THAT PROMOTES TRUST AND CANDID COMMUNICATION BETWEEN THE BOARD AND CEO, AND ENSURES THAT THE CEO UNDERSTANDS THE BOARD'S EXPECTATIONS, AND PROVIDES CONSTRUCTIVE FEEDBACK TO THE CEO ON THEIR PERFORMANCE. C - ENSURING THAT THE ORGANIZATION'S COMPENSATION PROGRAM COMPLIES WITH STATE AND FEDERAL LAW. D - RECOMMENDING A COMPENSATION PHILOSOPHY AND PLAN TO THE BOARD. E - REVIEWING AND MAKING RECOMMENDATIONS TO THE BOARD FOR THEIR ANNUAL REVIEW OF THE CEO'S COMPENSATION. FORM 990, PART VI, SECTION A, LINES 6, 7A, & 7B 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. ARTICLE III, SECTIONS 1 AND 2, OR THE BYLAWS STATE THAT THE BOARD SHALL CONSIST OF EIGHTEEN DIRECTORS. OF THESE DIRECTORS, FOURTEEN ARE CHOSEN OR APPROVED BY THE ORGANIZATION'S SOLE MEMBERS. 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) ALL OPERATING AND CAPITAL BUDGETS FOR THE CORPORATION, C) STRATEGIC PLANS FOR THE CORPORATION, D) CAPITAL EXPENDITURES OF $100,000 OR MORE WHICH ARE UNBUDGETED, E) PURCHASE AND SALE OF ALL SIGNIFICANT ASSETS, AND F) THE BYLAWS AND ANY AMENDMENTS THERETO. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: 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, THE PUBLIC DISCLOSURE COPY IS MAILED TO EACH MEMBER OF THE EXECUTIVE FINANCE COMMITTEE. THE COMMITTEE WILL MEET AND DISCUSS THE RETURN WITH A TAX ADVISOR. AFTER APPROVAL, A FINAL PUBLIC DISCLOSURE COPY 990 DRAFT WILL BE PROVIDED TO ALL BOARD MEMBERS. FORM 990, PART VI, SECTION B, 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, SECTION B, LINE 15A & 15B COMPENSATION REVIEW POLICY: 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 COMPENSATION COMMITTEE 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 COMPENSATION COMMITTEE. -THE PRESIDENT AND CEO'S PAY IS REVIEWED SEPARATELY USING THE SAME APPROACH AND APPROVED BY THE BOARD OF DIRECTORS. DURING FISCAL YEAR 9/30/19, A COMPENSATION COMMITTEE WAS ESTABLISHED BY THE BOARD. THE COMPENSATION COMMITTEE SHALL BE COMPRISED OF NO FEWER THAN THREE (3) BOARD MEMBERS. THE MEMBER OF THE COMMITTEE SHALL BE APPOINTED BY THE CHAIR OF THE BOARD OF DIRECTORS, SUBJECT TO THE APPROVAL OF THE FULL BOARD. THE COMPENSATION COMMITTEE SHALL RECOMMEND POLICIES AND PROCESSES TO THE BOARD FOR THE REGULAR REVIEW OF THE PERFORMANCE AND COMPENSATION OF (1) PRESIDENT, (2) VICE PRESIDENT, (3) HIGHEST COMPENSATION EMPLOYEES AND INDEPENDENT CONTRACTORS, AND (4) OTHER IDENTIFIED INDIVIDUALS OF THIS CORPORATION AND RRMC. THE FUNCTIONS OF THE COMPENSATION COMMITTEE SHALL INCLUDE: A - RECOMMENDING A CEO EVALUATION POLICY TO THE BOARD, INCLUDING GOALS FOR THE CEO AND A PROCESS FOR THE CEO PERFORMANCE EVALUATION. THE POLICY SHALL INCLUDE PROVISIONS FOR INPUT FOR THE BOARD AND A REPORT TO THE BOARD ON THE RESULTS OF THE EVALUATION AND COMPENSATION REVIEW. B - CONDUCTING THE CEO EVALUATION PROCESS, CONSISTENT WITH BOARD-APPROVED POLICY, AND IN A MANNER THAT PROMOTES TRUST AND CANDID COMMUNICATION BETWEEN THE BOARD AND CEO, AND ENSURES THAT THE CEO UNDERSTANDS THE BOARD'S EXPECTATIONS, AND PROVIDES CONSTRUCTIVE FEEDBACK TO THE CEO ON THEIR PERFORMANCE. C - ENSURING THAT THE ORGANIZATION'S COMPENSATION PROGRAM COMPLIES WITH STATE AND FEDERAL LAW. D - RECOMMENDING A COMPENSATION PHILOSOPHY AND PLAN TO THE BOARD. E - REVIEWING AND MAKING RECOMMENDATIONS TO THE BOARD FOR THEIR ANNUAL REVIEW OF THE CEO'S COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: 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, 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: - ERIC MARSH, MD - MARY BEERWORTH, MD - MICHAEL KENOSH, MD - PHILIP LAPP, MD FORM 990, PART X, LINE 20B TAX-EXEMPT BOND LIABILITIES: THE ORGANIZATION'S TOTAL TAX-EXEMPT BOND LIABILITIES ON THE BALANCE SHEET IS COMPRISED OF THE FOLLOWING: $ 31,350,000 BOND LIABILITIES ( 134,269) UNAMORTIZED BOND ISSUANCE COSTS ------------- $ 31,215,731 FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $ 1,290,882 GAIN FROM DEF BEN PLAN & POST RETIREMENT BEN COSTS (1,045,599) LOSS ON INTEREST RATE SWAP AGREEMENT ------------ $ 245,283 RUTLAND REGIONAL HEALTH SERVICES INC 160 ALLEN STREET RUTLAND VT 05701 222534389 HOLDING CO VT 501(C)(3) 12B II NA false THE MEADOWS AT EAST MOUNTAIN 157 HERITAGE HILL PLACE RUTLAND VT 05701 030330343 ELDER CARE VT RRHS THE GABLES AT EAST MOUNTAIN ONE GABLES PLACE RUTLAND VT 05701 030358050 ELDER CARE VT RRHS VERMONT SPORTS MEDICINE CENTER 160 ALLEN ST RUTLAND VT 05701 061231501 PHYSICAL THERAPY VT RRHS false false false false false false false false false false true false true true true false true false false