PORTER HOSPITAL INC HCSR: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- PORTER HOSPITAL INC HCSR (EIN 03-0181058)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-08-13
- IRS object ID
- 201822259349300602
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-13T07:33:31-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010523282 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Berry Dunn McNeil & Parker LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1100 | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 041041100 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 030181058 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Porter Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PORT | BusinessNameControlTxt |
| Phone | 8023884701 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 115 Porter Drive | AddressLine1Txt |
| City | Middlebury | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05753 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jennifer Bertrand | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8023884701 | PhoneNum |
| Signature | 2018-08-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Barbara J McGuan CPA | PreparerPersonNm |
| PTIN | P00219457 | PTIN |
| Phone | 2077752387 | PhoneNum |
| Preparation | 2018-08-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Fred Kniffin | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 115 Porter Drive | AddressLine1Txt |
| City | Middlebury | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05753 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $85,198,453 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.portermedical.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1925 | FormationYr |
| Legal Domicile State | VT | LegalDomicileStateCd |
| Activity Or Mission | Critical Access Hospital | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 699 | TotalEmployeeCnt |
| Total Volunteers | 83 | TotalVolunteersCnt |
| Total Gross UBI | $955 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$261 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $279,335 | PYContributionsGrantsAmt |
| CY Contributions Grants | $437,310 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $80,161,039 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $83,995,081 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$119,958 | PYInvestmentIncomeAmt |
| CY Investment Income | $549,852 | CYInvestmentIncomeAmt |
| PY Other Revenue | $84,610 | PYOtherRevenueAmt |
| CY Other Revenue | $31,511 | CYOtherRevenueAmt |
| PY Total Revenue | $80,405,026 | PYTotalRevenueAmt |
| CY Total Revenue | $85,013,754 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $6,667 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $7,110 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $41,145,511 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $44,078,674 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $34,354,026 | PYOtherExpensesAmt |
| CY Other Expenses | $34,663,963 | CYOtherExpensesAmt |
| PY Total Expenses | $75,506,204 | PYTotalExpensesAmt |
| CY Total Expenses | $78,749,747 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,898,822 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,264,007 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $57,191,847 | TotalAssetsBOYAmt |
| Total Assets EOY | $63,551,465 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $28,990,432 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $29,225,438 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $28,201,415 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $34,326,027 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of Porter Medical Center and its subsidiary companies is to improve the health of our community, one patient at a time. | MissionDesc |
| Significant New Program Srvc | Yes (1) | SignificantNewProgramSrvcInd |
| Significant Change | Yes (1) | SignificantChangeInd |
| Expense | $73,571,613 | ExpenseAmt |
| Grant | $7,110 | GrantAmt |
| Revenue | $83,995,081 | RevenueAmt |
| Desc | Porter Hospital, Inc. ("Porter") operates a not-for profit critical access hospital with patient care services including emergency room, maternity and medical/surgical inpatient and outpatient care, and ancillary services including rehabilitation, laboratory testing, and diagnostic imaging services. As a critical access hospital, Porter staffs a total of 25 beds. Of the 25 beds, six beds are located in the maternity unit, and the remaining beds are located on the Medical/Surgical unit. Porter recorded approximately 6,009 inpatient days during the year. Emergency Room visits totaled 14,100 for the year. Surgeries for the year totaled 3,807. Support services for both inpatients and outpatients include but are not limited to laboratory, Diagnostic Imaging services, cardiac services, and rehabilitation facilities. Imaging includes radiology, nuclear medicine, MRI, ultrasound, and CT Scan. Porter provides free care to patients who meet certain criteria. Foregone charges furnished under Porter's Free care policy amounted to $1,622,357, with a cost of $689,176 for the fiscal year ending 9/30/17. Porter provides a number of community health outreach programs to the general public for free or at minimal charge. The programs include but are not limited to diabetes education, breast cancer screening, prenatal classes, breastfeeding classes, and CPR coerces. Porter provides clinical office space to the Open Door Clinic. Finally, Porter has partnered with local career center, as well as colleges to provided clinical exposure to their students with goals of developing future healthcare workers for the community. | Desc |
| Total Program Service Expenses | $73,571,613 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 130 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 699 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | VT | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Jennifer Bertrand | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8023888878 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 115 Porter Drive | AddressLine1Txt |
| City | Middlebury | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05753 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Kristofer Anderson MD | |||||||||
| Director | 40.00 | 2.00 | Yes (X) | $332,115 | $0 | $18,929 | |||
| Judson Bartlett | |||||||||
| Past Vice-Chair | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| John Brumsted MD | |||||||||
| CEO UVM Health Network | 2.00 | 48.00 | Yes (X) | $0 | $1,887,039 | $213,152 | |||
| Anne Collins | |||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Sivan Cotel | |||||||||
| Vice-Chair | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Peter DeGraff | |||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Kim Downs-Burns | |||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Richard Foote | |||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Lewis Holmes MD | |||||||||
| Director | 40.00 | 2.00 | Yes (X) | $148,971 | $0 | $6,527 | |||
| James Keyes | |||||||||
| Treasurer | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Stephen Koller MD | |||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Linn Larson MD | |||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Kate McIntosh | |||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Maureen Mclaughlin | |||||||||
| Chairperson | 3.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Cheryl Mullins | |||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Linda Schiffer | |||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Steve Terry | |||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Bill Townsend | |||||||||
| Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Sherry Greifzu | |||||||||
| Past Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Michael Kiernan MD | |||||||||
| Past Director | 40.00 | 2.00 | Yes (X) | $219,073 | $0 | $33,377 | |||
| Robert Thorn | |||||||||
| Past Director | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Fred Kniffin MD | |||||||||
| CEO | 40.00 | 2.00 | $42,392 | $294,684 | $31,429 | Yes (X) | |||
| Jennifer Bertrand | |||||||||
| CFO | 40.00 | 2.00 | $0 | $126,233 | $11,403 | Yes (X) | |||
| Eric Benz MD | |||||||||
| Orthopedic Surgeon | 40.00 | 0.00 | $558,180 | $0 | $8,882 | Yes (X) | |||
| Benjamin Rosenberg MD | |||||||||
| Orthopedic Surgeon | 40.00 | 0.00 | $535,170 | $0 | $8,832 | Yes (X) | |||
| Gavin Noble MD | |||||||||
| MD Cardiology | 40.00 | 0.00 | $401,119 | $0 | $51,658 | Yes (X) | |||
| Mario Capparuccini MD | |||||||||
| MD Hospitalist | 40.00 | 0.00 | $324,222 | $0 | $33,249 | Yes (X) | |||
| Jessica Wagener MD | |||||||||
| MD Emergency Department | 40.00 | 0.00 | $260,476 | $0 | $39,194 | Yes (X) | |||
| James Daily | |||||||||
| Former President/CEO | 0.00 | 0.00 | $0 | $385,628 | $0 | Yes (X) | |||
| Lynn Boggs | |||||||||
| Former President/CEO | 0.00 | 0.00 | $0 | $371,901 | $4,754 | Yes (X) | |||
| Steve Ciampa | |||||||||
| Former CFO | 0.00 | 0.00 | $0 | $177,601 | $12,370 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,821,718 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,243,086 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $473,756 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 64 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Medical Solutions LLC | |||||
| PO Box 74569 | Chicago | IL | 60696 | Temporary Labor | $2,438,188 |
| University of Vermont Medical Center | |||||
| PO Box 1902 | Burlington | VT | 05402 | Lab Services | $724,279 |
| Medical Information Tech Inc | |||||
| 1 Meditech Circle | Westwood | MA | 02090 | IT Support Services | $317,698 |
| Alliance Healthcare Service | |||||
| 100 Bayview Cirle Suite 400 | Newport Beach | CA | 92660 | Radiology Services | $281,200 |
| Marcam Associates | |||||
| PO Box 60 | Rochester | NH | 03866 | Collection Services | $279,036 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 61 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $437,310 | AllOtherContributionsAmt |
| Total Contributions | $437,310 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Patient Revenue | 621110 | $166,215,608 | $166,215,608 | ||
| Miscellaneous Revenue | 621110 | $5,822,414 | $5,615,836 | $955 | $205,623 |
| Pharmacy Sales | 621110 | $3,025,446 | $3,025,446 | ||
| Provision for Bad Debt | 621110 | -$3,658,766 | -$3,658,766 | ||
| Contractual/Charity Care Adj. | 621110 | -$87,409,621 | -$87,409,621 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $83,995,081 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $604,912 | TotalRevenueColumnAmt |
| Exclusion | $604,912 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $156,645 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $125,134 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $31,511 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,511 | TotalRevenueColumnAmt |
| Exclusion | $31,511 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $4,505 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $59,565 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$55,060 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$55,060 | TotalRevenueColumnAmt |
| Exclusion | -$55,060 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $85,013,754 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $80,763,057 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $955 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,812,432 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,110 | TotalAmt |
| Program Services | $7,110 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $804,794 | TotalAmt |
| Program Services | $758,991 | ProgramServicesAmt |
| Management And General | $45,803 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,454,855 | TotalAmt |
| Program Services | $30,855,776 | ProgramServicesAmt |
| Management And General | $2,599,079 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,455,770 | TotalAmt |
| Program Services | $1,342,672 | ProgramServicesAmt |
| Management And General | $113,098 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,105,028 | TotalAmt |
| Program Services | $5,630,734 | ProgramServicesAmt |
| Management And General | $474,294 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,258,227 | TotalAmt |
| Program Services | $2,082,787 | ProgramServicesAmt |
| Management And General | $175,440 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,045,472 | TotalAmt |
| Program Services | $3,731,183 | ProgramServicesAmt |
| Management And General | $314,289 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,623 | TotalAmt |
| Program Services | $149,067 | ProgramServicesAmt |
| Management And General | $12,556 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,326 | TotalAmt |
| Program Services | $59,329 | ProgramServicesAmt |
| Management And General | $4,997 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,027,921 | TotalAmt |
| Program Services | $8,326,548 | ProgramServicesAmt |
| Management And General | $701,373 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,283 | TotalAmt |
| Program Services | $62,978 | ProgramServicesAmt |
| Management And General | $5,305 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,945,734 | TotalAmt |
| Program Services | $1,794,572 | ProgramServicesAmt |
| Management And General | $151,162 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $229,251 | TotalAmt |
| Program Services | $211,441 | ProgramServicesAmt |
| Management And General | $17,810 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,659,551 | TotalAmt |
| Program Services | $2,452,933 | ProgramServicesAmt |
| Management And General | $206,618 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,059 | TotalAmt |
| Program Services | $114,421 | ProgramServicesAmt |
| Management And General | $9,638 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,622 | TotalAmt |
| Program Services | $75,281 | ProgramServicesAmt |
| Management And General | $6,341 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $369,471 | TotalAmt |
| Program Services | $340,767 | ProgramServicesAmt |
| Management And General | $28,704 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,852,124 | TotalAmt |
| Program Services | $2,630,545 | ProgramServicesAmt |
| Management And General | $221,579 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,159,077 | TotalAmt |
| Program Services | $1,069,029 | ProgramServicesAmt |
| Management And General | $90,048 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Medical Supplies | $7,386,343 | $7,386,343 |
| Medicare Provider Tax | $4,489,106 | $4,489,106 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,749,747 | TotalAmt |
| Program Services | $73,571,613 | ProgramServicesAmt |
| Management And General | $5,178,134 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,168 | BOYAmt |
| EOY | $10,217 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,449,716 | BOYAmt |
| EOY | $18,708,675 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,463,286 | BOYAmt |
| EOY | $10,962,468 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,863 | BOYAmt |
| EOY | $19,283 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,547,676 | BOYAmt |
| EOY | $1,543,327 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $678,754 | BOYAmt |
| EOY | $1,439,577 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $52,649,498 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $33,562,318 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,849,135 | BOYAmt |
| EOY | $19,087,180 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,641,277 | BOYAmt |
| EOY | $5,928,256 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,327,709 | BOYAmt |
| EOY | $3,685,568 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,192,263 | BOYAmt |
| EOY | $2,166,914 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,191,847 | BOYAmt |
| EOY | $63,551,465 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,533,155 | BOYAmt |
| EOY | $8,700,628 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,002,820 | BOYAmt |
| EOY | $11,642,410 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $787,039 | BOYAmt |
| EOY | $491,659 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,667,418 | BOYAmt |
| EOY | $8,390,741 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,990,432 | BOYAmt |
| EOY | $29,225,438 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,442,649 | BOYAmt |
| EOY | $30,264,647 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $313,375 | BOYAmt |
| EOY | $375,811 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,445,391 | BOYAmt |
| EOY | $3,685,569 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,201,415 | BOYAmt |
| EOY | $34,326,027 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,191,847 | BOYAmt |
| EOY | $63,551,465 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,264,007 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$139,396 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $13,570 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $13,570 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | The Organization pays dues to various associations, a portion of which is attributable to lobbying expenses. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,445,391 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $240,178 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,685,569 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,549,614 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$104,223 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,445,391 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,603,171 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$53,557 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,549,614 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,423,515 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $179,656 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,603,171 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,096,516 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $326,999 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,423,515 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,796,062 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,934,162 | DepreciationAmt |
| Book Value | $12,861,900 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,398,702 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,348,492 | DepreciationAmt |
| Book Value | $5,050,210 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,454,734 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,279,664 | DepreciationAmt |
| Book Value | $1,175,070 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $19,087,180 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Beneficial Interest in Trusts | Desc |
| Book Value | $3,685,568 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $3,685,568 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated Third Party Settlements | $1,974,180 |
| Deferred Compensation | $941,558 |
| Due to Affiliate | $746,579 |
| Liability for Pension Benefits | $4,728,424 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,390,741 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V, Line 4: | FormAndLineReferenceDesc |
| Explanation | Income from endowments supports the Organization's mission by providing funds for charity care and additionally offsets a portion of the Organization's operating expenses. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $692,917 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $692,917 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00880 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,964,539 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,955,306 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,009,233 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03820 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,657,456 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,955,306 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,702,150 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04700 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $137,464 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $137,464 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $287,234 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $287,234 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00360 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,110 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,110 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $431,808 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $431,808 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00540 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,089,264 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,955,306 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,133,958 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05240 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,554,244 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $16,568,574 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $15,711,732 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $856,842 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Porter Hospital Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 115 Porter Drive | AddressLine1Txt |
| City | Middlebury | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05753 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.portermedical.org | WebsiteAddressTxt |
| State License | 833 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Porter Hospital Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 14 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://www.portermedical.org/ADDISON%20COUNTY%20needs%20update%202015.pdf | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://www.portermedical.org/CHNA%20Implementation%20Report.pdf | StrategyWebsiteURLTxt |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://portermedical.org/patient_financial_information.html | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://portermedical.org/patient_financial_information.html | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://portermedical.org/patient_financial_information.html | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | Yes (1) | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Porter Hospital, Inc. | Part V, Section B, Line 5: At the outset of the original CHNA project, a number of resources were read, reviewed and/or reevaluated in order to better prepare for our interviews and position ourselves to assess and draw meaningful conclusions from our findings. Included in this review were: Porter Medical Center's Act 53 Community Needs Assessment, Healthy Vermonters 2020, The Health Disparities of Vermonters, 2012, AHEC's 2012 Snapshot of the Vermont Primary Care Workforce, and Vermont's Blueprint for Health.Interviews, information and data were collected from a variety of sources and individuals throughout our community, including information from the newly formed (2015) "Community Health Action Team" (CHAT) which is comprised of the following organizations:- Porter Hospital- Porter Practice Management- Helen Porter Healthcare & Rehabilitation Center- Counseling Service of Addison County- Addison County Home Health & Hospice- Open Door Clinic- Elderly Services- SASH- VCCI- Department of Health- Agency of Human Services- Turning Point Center- Addison Respite Care Home- United Way of Addison County- Parent Child Center- Mountain Health Center FQHC- Rainbow Pediatrics- Middlebury Family Health/Health First- Blueprint Project Manager- Blueprint Practice Facilitator- OneCare VT |
| Porter Hospital, Inc. | Part V, Section B, Line 11: Please see attached Community Health Needs Assessment & Implementation Plan. The Hospital's CHNA & Implementation Plan can also be accessed via the Hospital's website - www.portermedical.org. |
| Porter Hospital, Inc. | Part V, Section B, Line 23: The Organization does bill gross charges to patients when the patient has no form of insurance. The Organization will and does provide discounts as needed to patients that are in the position of having no insurance. These discounts range from 20% to 100% of the charge depending upon financial need. |
| Porter Hospital, Inc. | Part V, Section B, Line 24: The Organization will initially bill a patient not having insurance the Organization's standard and customary gross charges. Upon knowledge that the patient may be medically indigent and require financial assistance, the Organization will initiate the process of financial counseling and assistance. The patient would receive an adjusted bill reflective of the financial assistance rewarded based off of the patients eligibility dermination, i.e. a zero bill for 100% free care or discounted bill. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - UVMHN-PMC Orthopedics | ||||
| 1436 Exchange Street | Middlebury | VT | 05753 | Physician Clinic |
| 2 - UVMHN-PMC Primary Care-Middlebury | ||||
| 82 Catamount Park | Middlebury | VT | 05753 | Family Physician Clinic |
| 3 - UVMHN-PMC Primary Care-Vergennes | ||||
| 10 North Street | Vergennes | VT | 05491 | Family Physician Clinic |
| 4 - UVMHN-PMC Pediatric Primary Care | ||||
| 1330 Exchange Street 201 | Middlebury | VT | 05753 | Physician Clinic |
| 5 - UVMHN-PMC Primary Care-Brandon | ||||
| 61 Court Drive | Brandon | VT | 05733 | Family Physician Clinic |
| 6 - UVMHN-PMC Ear Nose & Throat | ||||
| 1330 Exchange Street 202 | Middlebury | VT | 05753 | Physician Clinic |
| 7 - UVMHN-PMC Primary Care-Bristol | ||||
| 61 Pine Street | Bristol | VT | 05443 | Physician Clinic |
| 8 - UVMHN-PMC Cardiology | ||||
| 115 Porter Drive | Middlebury | VT | 05753 | Physician Clinic |
| 9 - UVMHN-PMC Podiatry | ||||
| 76 Court Street | Middlebury | VT | 05753 | Physician Clinic |
| 10 - UVMHN-PMC Women's Health | ||||
| 116 Porter Drive | Middlebury | VT | 05753 | Physician Clinic |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a: | An annual report to the Community was prepared by Porter Medical Center, the parent corporation of Porter of Porter Hospital, Inc. |
| Part I, Line 7: | The Organization used a cost-to-charge ratio as its methodology for calculating amounts on Lines 7a & 7b. An actual costing methodology was used to calculate the amounts on lines 7f & 7i. |
| Part III, Line 2: | The Organization used the cost-to-charge ratio as its costing methodology to calculate bad debt expense at cost. |
| Part III, Line 4: | Accounts receivable are reduced by an allowance for doubtful accounts. UVM Health Network analyzes its past history for patients with self-pay balances, either after third party insurance payment (deductible and co-pay balances) or those without insurance. UVM Health Network records and allowance for doubtful accounts in the period of service based on past experience of patients unwilling to pay a portion of their bill for which they are financially responsible.Bad debt expense for nonpatient related accounts receivable is reflected in total operating expenses on the statement of operations. Patient related bad debt is reflected as a reduction in patient service revenue on the statement of operations. The Organization used the Medicare Cost Report to report Medicare allowable costs of care related to the payments on Schedule H, Part III, Section B. Medicare, Line 6. |
| Part III, Line 9b: | Porter Hospital, Inc. recognizes that it has a responsibility to provide care to all patients regardless of their ability to pay and make available financial assistance for those patients that have been identified as financially needy through written documentation. Information regarding financial assistance is made available upon request. |
| Part VI, Line 2: | Please see attached Community Health Needs Assessment & Implementation Plan. The Hospital's CHNA & Implementation Plan can also be accessed via the Hospital's website - www.portermedical.org. |
| Part VI, Line 3: | Porter Hospital's Financial Assistance Program is posted on the Porter Medical Center Web Site. In addition, a brochure about your rights and responsibilities as a patient is available to all patients. The brochure states that the patient has the right to receive the most appropriate medical treatment available regardless of ability to pay and receive information about financial assistance, and this language is also posted in all patient registration areas. |
| Part VI, Line 4: | Porter Hospital, Inc. is the major provider of health care in Addison County, Vermont. Porter Hospital, Inc. also provides services to residents of northern Rutland County, Vermont, Essex County, New York and elsewhere in this region. |
| Part VI, Line 5: | Porter Hospital, Inc. provides rent free clinic space and vouchers for no-cost ancillary services to the local Open Door Clinic in its role as a catalyst in the delivery of health care services to its entire community.Porter Hospital, Inc. offers free and low cost community education programs on health care topics including memory loss, dementia, breast cancer screening, basic diabetes, CPR, smoking cessation, parenting, prenatal exercise and breast feeding.A majority of the governing body is comprised of persons who reside in its service area and who are neither employees nor contractors of Porter Hospital, Inc. nor family members thereof. Medical staff privileges are extended to all qualified physicians in the community.Surplus funds are invested in technology, facilities and programs. Porter Hospital and the local Career Center collaborate on a new Health Careers Education program. |
| Part VI, Line 6: | Porter Hospital, Inc. and Helen Porter Nursing Home, Inc. are wholly owned subsidiaries of Porter Medical Center. All corporations are affiliates of the University of Vermont Health Network effective April 2017. Through its subsidiaries, Porter Medical Center provides a continuum of health services including in-patient care, out-patient care, short-term rehabilitation, long-term rehabilitation, long-term care, dementia care, wellness programs and prevention programs. |
| Part VI, Line 7, Reports Filed With States | VT |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Open Door Clinic | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Porter Drive | AddressLine1Txt |
| City | Middlebury | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05753 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 030359531 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $0 | CashGrantAmt |
| Non Cash Assistance | $7,110 | NonCashAssistanceAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
| Non Cash Assistance | Use of space on Hospital Campus | NonCashAssistanceDesc |
| Purpose Of Grant | Operational Assistance | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Porter Hospital provides physician office space on campus as well as at one of Porter Hospital's off-site physician practice office to the Open Door Clinic. Porter Hospital provides this in-kind, non-cash assistance to further the mission of out-reach to the medically needy within the Addison County healthcare community. This support dovetails with the mission of the Blueprint for Health to stabilize chronic health conditions for the most fragile social-economic population. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kristofer Anderson MD | ||||||||||||||
| Director | $321,400 | $0 | $10,000 | $0 | $715 | $0 | $10,600 | $0 | $8,329 | $0 | $351,044 | $0 | $0 | $0 |
| John Brumsted MD | ||||||||||||||
| CEO UVM Health Network | $0 | $1,024,109 | $0 | $694,095 | $0 | $168,835 | $0 | $186,083 | $0 | $27,069 | $0 | $2,100,191 | $0 | $0 |
| Lewis Holmes MD | ||||||||||||||
| Director | $148,971 | $0 | $0 | $0 | $0 | $0 | $5,959 | $0 | $568 | $0 | $155,498 | $0 | $0 | $0 |
| Michael Kiernan MD | ||||||||||||||
| Past Director | $218,170 | $0 | $0 | $0 | $903 | $0 | $9,022 | $0 | $24,355 | $0 | $252,450 | $0 | $0 | $0 |
| Fred Kniffin MD | ||||||||||||||
| CEO | $31,602 | $240,801 | $0 | $0 | $10,790 | $53,883 | $0 | $13,250 | $3,411 | $14,768 | $45,803 | $322,702 | $0 | $0 |
| Eric Benz MD | ||||||||||||||
| Orthopedic Surgeon | $517,770 | $0 | $0 | $0 | $40,410 | $0 | $7,950 | $0 | $932 | $0 | $567,062 | $0 | $0 | $0 |
| Benjamin Rosenberg MD | ||||||||||||||
| Orthopedic Surgeon | $514,188 | $0 | $0 | $0 | $20,982 | $0 | $7,950 | $0 | $882 | $0 | $544,002 | $0 | $0 | $0 |
| Gavin Noble MD | ||||||||||||||
| MD Cardiology | $353,497 | $0 | $29,630 | $0 | $17,992 | $0 | $7,950 | $0 | $43,708 | $0 | $452,777 | $0 | $0 | $0 |
| Mario Capparuccini MD | ||||||||||||||
| MD Hospitalist | $321,891 | $0 | $0 | $0 | $2,331 | $0 | $7,950 | $0 | $25,299 | $0 | $357,471 | $0 | $0 | $0 |
| Jessica Wagener MD | ||||||||||||||
| MD Emergency Department | $214,584 | $0 | $0 | $0 | $45,892 | $0 | $10,600 | $0 | $28,594 | $0 | $299,670 | $0 | $0 | $0 |
| James Daily | ||||||||||||||
| Former President/CEO | $0 | $6,312 | $0 | $0 | $0 | $379,316 | $0 | $0 | $0 | $0 | $0 | $385,628 | $0 | $359,150 |
| Lynn Boggs | ||||||||||||||
| Former President/CEO | $0 | $130,582 | $0 | $0 | $0 | $241,319 | $0 | $0 | $0 | $4,754 | $0 | $376,655 | $0 | $0 |
| Steve Ciampa | ||||||||||||||
| Former CFO | $0 | $143,510 | $0 | $10,000 | $0 | $24,091 | $0 | $5,381 | $0 | $6,989 | $0 | $189,971 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | Porter Medical Center (PMC), a related organization, establishes the compensation for the Organization's CEO. Porter Medical Center uses a variety of resources to establish compensation as follows: 1. Independent compensation consultant 2. Written employment contract 3. Approval by the PMC Board |
| Part I, Lines 4a-b | Lynn Boggs, former CEO, received $230,243 for severance compensation. James Daily, former President/CEO, received a payout of $359,150 from his 457(f) deferred compensation plan. |
| Part I, Line 7 | Kristofer Anderson, M.D., Gavin Noble, M.D., received bonuses which were based on their productivity and quality. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Vermont Educational and Health Buildings Financing Agency | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 237154467 | BondIssuerEIN |
| Bond Issued | 2015-08-06 | BondIssuedDt |
| Issue Price | $12,650,000 | IssuePriceAmt |
| Purpose | Refund 2006 Series A Bonds | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $1,007,590 | RetiredAmt |
| Total Proceeds | $12,650,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $138,787 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $12,511,213 | OtherSpentProceedsAmt |
| Substantial Completion | 2015 | SubstantialCompletionYr |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, line 2 | Porter Hospital introduced a new service line, Porter Express Care, in June 2017. The primary goal of this service is to build upon our existing primary care network and ensure appropriate access to high quality, "urgent medical care" in a setting that is both more convenient and less expensive than a traditional emergency department. |
| Form 990, Part III, line 3 | During the 2017 fiscal year, Infusion Services were expanded to include treatments for anemia, heart failure, bacteria infections and oncology support care. Additionally, the demand for this service within the community prompted the need to expand the hours of service from three to five days per week. By extending the hours of operations and expanding the treatment options we are able to better serve the needs within the community. |
| Form 990, Part VI, Section A, line 4 | Porter Medical Center and its Subsidiaries (Porter Hospital and Helen Porter Nursing Home) entered into an active parent governance relationship with the University of Vermont Health Network as of April 1, 2017. As a result of the formal affiliation with the University of Vermont Health Network, Porter Medical Center updated its governing documents to reflect the new relationship with the University of Vermont Health Network including the University of Vermont Health Network's reserve powers with Porter Medical Center. The update to the governing documents also reflects the University of Vermont Health Network as the sole member of Porter Medical Center. |
| Form 990, Part VI, Section A, line 6 | Prior to April 1, 2017, Porter Medical Center did have members; however, with the affiliation the University of Vermont Health Network became the sole member of Porter Medical Center. |
| Form 990, Part VI, Section A, line 7a | The University of Vermont Health Network, as Porter Medical Center's sole member, has reserve powers that allow the University of Vermont Health Network to refuse the acceptance of new board members appointed by the Porter Medical Center Board of Directors if The University of Vermont Health Network does not agree with the choice of appointments. As a result, the process of appointing members to the governing body is a collaboration of the Porter Medical Center Board of Directors and the University of Vermont Health Network. |
| Form 990, Part VI, Section A, line 7b | The University of Vermont Health Network has certain reserve powers that require it to approve certain decisions made the Porter Medical Center Board of Directors. |
| Form 990, Part VI, Section B, line 11b | The Form 990 is presented the completed Form 990 to the UVMHN/PMC Finance Committee and management and make electronic copy available to all Board Members prior to filing. |
| Form 990, Part VI, Section B, line 12c | The Organization's CFO and Controller are responsible for regularly and consistently monitoring and enforcing compliance with the conflict of interest policy. When bids are solicited to include the business of a Board member, those bids are reviewed by the Board of Directors to assure adherence to the Hospital's lowest bid policy. When an issue comes up to a vote and it is connected, in any way, to the business of a Board member, the member must recuse him/herself from the vote. |
| Form 990, Part VI, Section B, line 15a | The Organization's executive committee reviews comparative data prepared by a consultant prior to referral of compensation to the board of directors. The board of directors review the findings of the consultant and vote to approve the salary of the CEO. |
| Form 990, Part VI, Section C, line 19 | The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. |
| Form 990, Part IX, line 11g | Purchased Services: Program service expenses 8,326,548. Management and general expenses 701,373. Fundraising expenses 0. Total expenses 9,027,921. |
| Form 990, Part X, Line 10: Land, Buildings, and Equipment | Section 1.263(a)-3(n) Election: Porter Hospital, Inc. 115 Porter Drive Middlebury, VT 05753 EIN 03-0181058 Porter Hospital, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). |
| Form 990, Part XI, line 9: | Change in Net Assets to Recognize Funded Status of Pension Plan 1,171,382. Change in Beneficial Interest in Perpetual Trusts 240,178. Equity Transfer to Affiliate -1,550,956. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Porter Medical Center Inc | |||||||||||
| 37 Porter Drive | Middlebury | VT | 05753 | 030310862 | Holding Company for Subsidiaries | VT | 501(c)(3) | Line 12b, II | N/A | 0 | |
| Helen Porter Nursing Home Inc dba Helen Porter Nursing and Rehabilitation | |||||||||||
| 30 Porter Drive | Middlebury | VT | 05753 | 030306549 | Nursing Home | VT | 501(c)(3) | Line 3 | 0 | Porter Medical Center Inc | |
| Auxiliary of Porter Medical Center | |||||||||||
| 37 Porter Drive | Middlebury | VT | 05753 | 237363227 | Supporting Organization | VT | 501(c)(3) | Line 12b, II | 0 | Porter Medical Center Inc | |
| Univ of Vermont Health Network Inc | |||||||||||
| 111 Colchester Ave | Burlington | VT | 05401 | 452880726 | Parent Organization | VT | 501(c)(3) | Line 12a, I | 0 | NA | |
| Univ of Vermont Medical Group | |||||||||||
| 111 Colchester Ave | Burlington | VT | 05401 | 030225105 | Physician Services | VT | 501(c)(3) | Line 12a, I | 0 | UVM HLTH Net | |
| Univ of Vermont Med Group-New York | |||||||||||
| 183 Park Street | Malone | NY | 12953 | 203905216 | Physician Services | NY | 501(c)(3) | Line 3 | 0 | UVMMG | |
| Univ of Vermont Med CTR FDN Inc | |||||||||||
| 111 Colchester Ave | Burlington | VT | 05401 | 263159849 | Fundraising | VT | 501(c)(3) | Line 12a, I | 0 | UVMMC | |
| Univ of Vermont Medical Center | |||||||||||
| 111 Colchester Ave | Burlington | VT | 05401 | 030219309 | Hospital | VT | 501(c)(3) | Line 3 | 0 | UVM HLTH Net | |
| Central Vermont Medical Center | |||||||||||
| 130 Fisher Road | Berlin | VT | 05602 | 222547186 | Hospital | VT | 501(c)(3) | Line 3 | 0 | UVM HLTH Net | |
| Community Providers Inc | |||||||||||
| 75 Beekman Street | Plattsburgh | NY | 12901 | 222544844 | Health Service Coordinator | NY | 501(c)(3) | Line 12a, I | 0 | UVM HLTH Net | |
| Champlain Valley Phys Hospital | |||||||||||
| 75 Beekman Street | Plattsburgh | NY | 12901 | 141338471 | Health Service Support | NY | 501(c)(3) | Line 3 | 0 | CPI | |
| Elizabethtown Community Hospital | |||||||||||
| 75 Park Street | Elizabethtown | NY | 12932 | 141364513 | Hospital | NY | 501(c)(3) | Line 3 | 0 | CPI | |
| Emergency Medical Transport of CVPH Inc | |||||||||||
| 75 Beekman Street | Plattsburgh | NY | 12901 | 061718419 | Ambulance Service | NY | 501(c)(3) | Line 12b, II | 0 | CPI | |
| CVPH Medical Center Foundation | |||||||||||
| 75 Beekman Street | Plattsburgh | NY | 12901 | 141727048 | Health Service Support | NY | 501(c)(3) | Line 12b, II | 0 | CVPH | |
| University Health Center | |||||||||||
| 111 Colchester Ave | Burlington | VT | 05401 | 030229931 | Hospital | VT | 501(c)(3) | Line 12c, III-FI | 0 | UVMMG | |
| University Medical Education Associates | |||||||||||
| 89 Beaumont Avenue | Burlington | VT | 05401 | 237107832 | Educational | VT | 501(c)(3) | Line 10 | 0 | UVMMG | |
| Alice Hyde Medical Center | |||||||||||
| 133 Park Street | Malone | NY | 12953 | 150346515 | Hospital | NY | 501(c)(3) | Line 3 | 0 | CPI | |
| University of Vermont Med CTR Aux Inc | |||||||||||
| 111 Colchester Ave | Burlington | VT | 05401 | 208022004 | Service | VT | 501(c)(3) | Line 12c, III-FI | 0 | NA | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Onecare Vermont ACO LLC | ||||||||||
| 111 Colcester Ave | Burlington | VT | 05401 | 455399218 | Accountable Care | VT | NA | Related | 0 | 0 |
| Adirondack ACO LLC | ||||||||||
| 75 Beekman Street | Plattsburgh | NY | 12901 | 462840926 | Accountable Care | NY | NA | N/A | 0 | 0 |
| Obnet Services LLC | ||||||||||
| 1 Med Ctr Dr | Lebanon | NH | 03766 | 043746287 | Health Research | NH | UVMMC | Related | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UVMMC Health Ventures Inc | ||||||||||||||
| 111 Colchester Ave | Burlington | VT | 05401 | 043380045 | Holding Company | VT | UVMMC | C | 0 | |||||
| VMC Indemnity Company LTD | ||||||||||||||
| Captive Insurance | UVMMC | C | 0 | PO Box HM 3103 25 Church Street | Hamilton | HM FX | BD | BD | ||||||
| Vermont Managed Care Inc | ||||||||||||||
| 111 Colchester Ave | Burlington | VT | 05401 | 030333056 | Admin Services | VT | UVM HLTH VENT | C | 0 | |||||
| Charitable Remainder Trust (5) | ||||||||||||||
| Support | VT | UVMMCCVMC | T | 0 | ||||||||||
| Prepetural Trust (4) | ||||||||||||||
| Support | VT | UVMMC | T | 0 | ||||||||||
| Charitable Irrevocable Trust (7) | ||||||||||||||
| Support | VT | CVMCUVMMC | T | 0 | ||||||||||
| Champlain Valley Health Network | ||||||||||||||
| 75 Beekman Street | Plattsburgh | NY | 12901 | 161586102 | Admin Service | NY | CPI | C | 0 | |||||
| Mediquest Inc | ||||||||||||||
| PO Box 1656 | Plattsburgh | NY | 12901 | 141663061 | Med Office Lease | NY | CPI | C | 0 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |