RUTLAND HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: RUTLAND HOSPITAL INC (EIN 03-0183483)
Tax period: 2012-10-01 to 2013-09-30
Filed: 2014-08-06
IRS object ID: 201402189349300855
Schema version: 2012v2.3
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-08-06T11:19:09-05:00	Timestamp
Tax Period End Date	2013-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	910 E ST LOUIS 200/PO BOX 1190	AddressLine1
City	SPRINGFIELD	City
State	MO	State
ZIP Code	658062523	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	030183483	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	RUTLAND HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% EDWARD T OGORZALEK	InCareOfName
Name Control	RUTL	NameControl
Phone	8027757111	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	160 ALLEN STREET	AddressLine1
Address Line2	Suite	AddressLine2
City	RUTLAND	City
State	VT	State
ZIP Code	05701	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	EDWATD T OGORZALEK	Name
Title	CFO & VP FISCAL SERVICES	Title
Phone	8027757111	Phone
Date Signed	2014-07-08	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Brian D Todd	Name
Phone	4178658701	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	RUTLAND REGIONAL MEDICAL CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	THOMAS W HUEBNER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	160 ALLEN STREET	AddressLine1
City	RUTLAND	City
State	VT	State
ZIP Code	05701	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	259003283	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.RRMC.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1892	YearFormation
State Legal Domicile	VT	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE COMPREHENSIVE INPATIENT AND OUTPATIENT MEDICAL SERVICES AND TO IMPROVE HEALTH OF THE RESIDENTS OF RUTLAND AND SURROUNDING COMMUNITIES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	18	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	1758	TotalNbrEmployees
Total Nbr Volunteers	335	TotalNbrVolunteers
Total Gross UBI	2501851	TotalGrossUBI
Net Unrelated Business Txbl Income	577268	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1273885	ContributionsGrantsPriorYear
Contributions Grants Current Year	7018338	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	203313950	ProgramServiceRevenuePriorYear
Program Service Revenue CY	225155715	ProgramServiceRevenueCY
Investment Income Prior Year	3757814	InvestmentIncomePriorYear
Investment Income Current Year	2093825	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-295204	OtherRevenuePriorYear
Other Revenue Current Year	-311442	OtherRevenueCurrentYear
Total Revenue Prior Year	208050445	TotalRevenuePriorYear
Total Revenue Current Year	233956436	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	1473293	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	992258	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	113044636	SalariesEtcPriorYear
Salaries Etc Current Year	117876452	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	90464149	OtherExpensePriorYear
Other Expenses Current Year	99888667	OtherExpensesCurrentYear
Total Expenses Prior Year	204982078	TotalExpensesPriorYear
Total Expenses Current Year	218757377	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	3068367	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	15199059	RevenuesLessExpensesCY
Total Assets BOY	209893240	TotalAssetsBOY
Total Assets EOY	223940436	TotalAssetsEOY
Total Liabilities BOY	127456515	TotalLiabilitiesBOY
Total Liabilities EOY	104597896	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	82436725	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	119342540	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO IMPROVE THE HLTH OF THE RUTLAND REGION AND SURROUNDING COMMUNITIES BY PROVIDING APPROPRIATE, SUPERIOR, INTEGRATED, PREVENTATIVE, DIAGNOSTIC & THERAPEUTIC HEALTH SERVICES IN A CARING ENVIRONMENT THROUGH THE STRENGTH OF OUR PEOPLE, TECHNOLOGY & RELATIONSHIPS.	MissionDescription
Significant New Program Services	true	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	88705761	Expense
Revenue	113441944	Revenue
Description	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.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	36962908	Expense
Revenue	47270258	Revenue
Description	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.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	22856618	Expense
Revenue	29230335	Revenue
Description	DIAGNOSTIC SERVICES. DIAGNOSTIC SERVICES INCLUDE LABORATORY, RADIOLOGY, ELECTROENCEPHALOGRAPHY, AND CT SCANNING. SEE SCHEDULE O FOR MORE INFORMATION.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	25578574	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	32711327	TotalOfOtherProgramServiceRev
Total Program Service Expense	174103861	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	194	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1758	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	18	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	EDWARD T OGORZALEK	NamePerson
Telephone Number	8027757111	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	160 ALLEN STREET	AddressLine1
City	RUTLAND	City
State	VT	State
ZIP Code	05701	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (37 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
BILL BANNERMAN
DIRECTOR	1.0	2.0	X	0	0
J CHRISTIAN HIGGINS MD
DIRECTOR THROUGH 4/2013	1.0	1.0	X	484283	0	33351
JESSICA L ANDERSON
CHAIR	1.0	1.0	X	0	0		X
JOAN F GAMBLE
SECRETARY	1.0	1.0	X	0	0		X
JON S READNOUR ESQ
DIRECTOR	1.0	1.0	X	0	0
MARK K FOLEY
DIRECTOR	1.0	1.0	X	0	0
MATTHEW A CONWAY MD
DIRECTOR	1.0	1.0	X	327011	0	33264
RONALD J CIOFFI
DIRECTOR	1.0	2.0	X	0	0
CLAUDE LAPERLE
DIRECTOR THROUGH 2/2013	1.0	1.0	X	0	0
DANIEL M FOLEY MD
DIRECTOR	1.0	1.0	X	341807	0	27940
JOHN R BUTTERLY MD
DIRECTOR	1.0	1.0	X	0	0
MICHAEL DICK MD
VICE CHAIR	1.0	1.0	X	0	0		X
STEPHEN LEFFLER MD
DIRECTOR	1.0	1.0	X	0	0
CORT JONES
DIRECTOR	1.0	2.0	X	0	0
TJ SABOTKA
DIRECTOR	1.0	1.0	X	0	0
MICHAEL MCCORMACK
DIRECTOR THROUGH 3/2013	1.0	1.0	X	0	0
TODD GREGORY MD
DIRECTOR	1.0	1.0	X	292774	0	33114
DAVID WOLK
DIRECTOR	1.0	1.0	X	0	0
LARRY JENSEN
DIRECTOR BEGINNING 3/2013	1.0	1.0	X	0	0
MARK STICKNEY MD
DIRECTOR BEGINNING 5/2013	1.0	1.0	X	0	0
JOHN CASELLA
DIRECTOR BEGINNING 4/2013	1.0	1.0	X	0	0
THOMAS W HUEBNER
PRESIDENT & CEO	40.0	2.0		447488	0	43512	X
EDWARD T OGORZALEK
CFO & VP FISCAL SERVICES	40.0	2.0		253168	0	43079	X
MARY T NEMETH
VP CORPORATE SUPPORT SVCS	40.0			194655	0	27362		X
BAXTER HOLLAND MD
VP PROFESSIONAL SUPPORT SVCS	40.0			331570	0	38684		X
BARBARA ROBINSON
VP CLINICAL SERVICES	40.0			211297	0	30623		X
JI CHEN
DIRECTOR OF PHARMACY	40.0			170918	0	7956		X
JOHN KIJEWSKI
VP - CIO	40.0			195115	0	26070		X
ALLISON WOLLEN
VP - HUMAN RESOURCES	40.0			233994	0	18850		X
CAROL EGAN
VP CHIEF NURSING OFFICER	40.0			185070	0	28502		X
DARREN CHILDS
VP QUALITY IMPR THROUGH 5/2013	40.0			160928	0	30892		X
MELBOURNE BOYTON MD
CHIEF MEDICAL DIRECTOR	40.0			884413	0	37930			X
MICHAEL KENOSH MD
MEDICAL DIRECTOR REHAB SVCS	40.0			493822	0	33517			X
WILLIAM LIGHTHART MD
ORTHOPAEDICS	40.0			767382	0	32319			X
ERIC MARSH MD
ORTHOPAEDICS	40.0			696081	0	33907			X
MICHAEL ROBERTELLO MD
CARDIOLOGY	40.0			572240	0	33491			X
KATHLEEN LETENDRE
VP PLANNING & ORG EXCELLENCE				174269	0	22836				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	7418285	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	617199	TotalOtherCompensation
Number Individuals GT100 K	121	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServices	CompensationCompensation
SHERIDAN HEALTHCARE OF VERMONT
ANESTHETISTS	1565897
CERNER CORP
PROFESSIONAL	3474684
FLETCHER ALLEN HEALTHCARE
LAB & DIALYSIS SERV	1216108
KLEEN LAUNDRY DRY CLEANING
LAUNDRY SERVICES	540853
GE HEALTHCARE
CONTRACT SERVICES	858583

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	46	NumberOfContractorsGT100K
Related Organizations	22831	RelatedOrganizations
Government Grants	5803743	GovernmentGrants
All Other Contributions	1191764	AllOtherContributions
Total Contributions	7018338	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE	900099	217488168	217434968	53200
LABORATORY AND SCREENING SERV	621500	2399273		2399273
CAFETERIA	722514	934033	934033
ENTEROSTOMAL NURSING SERVICES	623000	49378		49378
OTHER REVENUES	900099	4284863	4284863

Field	Value	IRS element (for citing)
Total Program Service Revenue	225155715	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	695437	TotalRevenueColumn
Exclusion	$695,437	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	78629	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	390071	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-311442	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-311442	TotalRevenueColumn
Exclusion	-$311,442	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	25564973	Securities
Other	490191	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	23992440	Securities
Other	664336	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1572533	Securities
Other	-174145	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1398388	TotalRevenueColumn
Exclusion	$1,398,388	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Total Other Revenue	0	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	233956436	TotalRevenueColumn
Related Or Exempt Function Income	222653864	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2501851	UnrelatedBusinessRevenue
Exclusion	$1,782,383	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	992258	Total
Program Services	992258	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	4253277	Total
Program Services	2769984	ProgramServices
Management And General	1483293	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	197105	Total
Management And General	197105	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	87770045	Total
Program Services	74352241	ProgramServices
Management And General	13417804	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	7301704	Total
Program Services	5401297	ProgramServices
Management And General	1900407	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	12231829	Total
Program Services	9100902	ProgramServices
Management And General	3130927	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	6122492	Total
Program Services	4507361	ProgramServices
Management And General	1615131	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	364315	Total
Management And General	364315	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	227956	Total
Management And General	227956	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	115179	Total
Management And General	115179	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	382057	Total
Management And General	382057	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	20494872	Total
Program Services	14572282	ProgramServices
Management And General	5922590	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	593444	Total
Program Services	95331	ProgramServices
Management And General	498113	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	5064235	Total
Program Services	3382701	ProgramServices
Management And General	1681534	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	4128519	Total
Program Services	87259	ProgramServices
Management And General	4041260	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	5052216	Total
Program Services	3889771	ProgramServices
Management And General	1162445	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	0	Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1052369	Total
Program Services	600673	ProgramServices
Management And General	451696	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	2169172	Total
Program Services	1596938	ProgramServices
Management And General	572234	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	12262717	Total
Program Services	9027776	ProgramServices
Management And General	3234941	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3201006	Total
Management And General	3201006	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES & DRUGS	24913801	24913801
MEDICAID TAX ASSESSMENT	11331274	11331274
BAD DEBTS	6872448	6872448
LICENSES, DUES, SUBSCRIPTIONS	1318706	366170	952536

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	344381	Total
Program Services	243394	ProgramServices
Management And General	100987	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	218757377	Total
Program Services	174103861	ProgramServices
Management And General	44653516	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	4075	BOY
EOY	21320	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	10622417	BOY
EOY	6270719	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	226961	BOY
EOY	265948	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	22402032	BOY
EOY	25339943	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	2532829	BOY
EOY	2754432	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1234153	BOY
EOY	1270064	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2618171	BOY
EOY	2871074	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	190890046	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	119329391	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	71965162	BOY
EOY	71560655	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	89940764	BOY
EOY	99010637	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	8346676	BOY
EOY	14575644	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	209893240	BOY
EOY	223940436	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	28296490	BOY
EOY	29294545	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	45103004	BOY
EOY	31350000	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2567473	BOY
EOY	14872126	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	51489548	BOY
EOY	29081225	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	127456515	BOY
EOY	104597896	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	75394367	BOY
EOY	114501873	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	6363716	BOY
EOY	4162025	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	678642	BOY
EOY	678642	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	82436725	BOY
EOY	119342540	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	209893240	BOY
EOY	223940436	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	15199059	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	3175311	ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment	771792	ReconcilationPriorAdjustment
Reconcilation Other Changes	17759653	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Both	X	FinancialStatementBoth

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Org Belongs To Affiliated Group	X	OrgBelongsToAffiliatedGroup
Limited Control Provisions Apply	X	LimitedControlProvisionsApply
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Form4720 Filed	false	Form4720Filed
Volunteers	true	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$80,377	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$34,802	OtherActivitiesAmount
Total Lobbying Expenditures IIB	115179	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	LOBBYING EXPENSES	Identifier
Return Reference	SCHEDULE C, PART II-B, LINE 1G AND 1I	ReturnReference
Explanation	THE ORGANIZATION PAID LOBBYING FEES OF $80,377 TO A PROFESSIONAL GOVERNMENT AFFAIRS AND COMMUNICATION STRATEGIES COMPANY. THE ORGANIZATION'S CEO, THOMAS HUEBNER, SPENDS TIME EACH YEAR WORKING DIRECTLY WITH STATE LEGISLATORS TO IMPROVE SERVICES FOR THE RUTLAND REGION. APPROXIMATELY .0095%, OR $4,251, 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: $ 7,492 AHA 27,310 VHA -------- $ 34,802	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	7419888	BeginningOfYearBalance
Investment Earnings Or Losses	303224	InvestmentEarningsOrLosses
Other Expenditures	265074	OtherExpenditures
End Of Year Balance	7458038	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	6260684	BeginningOfYearBalance
Investment Earnings Or Losses	1265080	InvestmentEarningsOrLosses
Other Expenditures	105876	OtherExpenditures
End Of Year Balance	7419888	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	11229688	BeginningOfYearBalance
Investment Earnings Or Losses	253308	InvestmentEarningsOrLosses
Other Expenditures	5222312	OtherExpenditures
End Of Year Balance	6260684	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	10241135	BeginningOfYearBalance
Investment Earnings Or Losses	988553	InvestmentEarningsOrLosses
End Of Year Balance	11229688	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	10799491	BeginningOfYearBalance
Investment Earnings Or Losses	-558356	InvestmentEarningsOrLosses
End Of Year Balance	10241135	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.89420	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.10580	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	224094	OtherCostOrOtherBasis
Book Value	224094	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	37634484	OtherCostOrOtherBasis
Depreciation	19478631	Depreciation
Book Value	18155853	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	37380813	OtherCostOrOtherBasis
Depreciation	16709926	Depreciation
Book Value	20670887	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	110671564	OtherCostOrOtherBasis
Depreciation	81791562	Depreciation
Book Value	28880002	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4979091	OtherCostOrOtherBasis
Depreciation	1349272	Depreciation
Book Value	3629819	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	71560655	TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
DUE FROM AFFILIATES	6457352
OTHER RECEIVABLES	6729785
INTEREST RECEIVABLE	17540
INSURANCE RECEIVABLE	1370967

Field	Value	IRS element (for citing)
Total Book Value Other Assets	14575644	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
ACCRUED PENSION	$22,108,093
EST AMTS DUE TO THIRD PARTY	$6,712,293
ADVANCES FROM THIRD PTY PYRS	$260,839

Field	Value	IRS element (for citing)
Total Of Amounts	29081225	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	248026966	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	3175311	NetUnrealizedGainsInvestments
Other Revenues	10505148	OtherRevenues
Revenue Not Rptd F990	13680459	RevenueNotRptdF990
Revenue Subtotal	234346507	RevenueSubtotal
Other Revenues Not Included	-390071	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-390071	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	233956436	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	211892943	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	390071	OtherExpensesIncluded
Expenses Not Rptd F990	390071	ExpensesNotRptdF990
Expenses Subtotal	211502872	ExpensesSubtotal
Investment Expenses Not Included2	382057	InvestmentExpensesNotIncluded2
Other Expenses Not Included	6872448	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	7254505	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	218757377	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ENDOWMENT FUND PURPOSE	SCHEDULE D, PART V, LINE 4	RRMC'S ENDOWMENTS CONSIST OF VARIOUS INDIVIDUAL DONOR-RESTRICTED AND BOARD DESIGNATED FUNDS WHICH WERE ESTABLISHED FOR GENERAL OPERATIONAL AND CERTAIN DEPARTMENTAL PURPOSES. AS REQUIRED BY ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA (GAAP), NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. RRMC'S GOVERNING BODY HAS INTERPRETED THE STATE OF VERMONT PRUDENT MANAGEMENT OF INSTITUTIONAL FUNDS ACT (SPMIFA), ADOPTED IN MAY OF 2009, AS REQUIRING PRESERVATION OF THE FAIR VALUE OF THE ORIGINAL GIFT AS OF THE GIFT DATE OF THE DONOR-RESTRICTED ENDOWMENT FUNDS ABSENT EXPLICIT DONOR STIPULATIONS TO THE CONTRARY. AS A RESULT OF THIS INTERPRETATION, RRMC CLASSIFIES AS PERMANENTLY RESTRICTED NET ASSETS (A) THE ORIGINAL VALUE OF GIFTS DONATED TO THE PERMANENT ENDOWMENT, (B) THE ORIGINAL VALUE OF SUBSEQUENT GIFTS TO THE PERMANENT ENDOWMENT AND (C) ACCUMULATIONS TO THE PERMANENT ENDOWMENT MADE IN ACCORDANCE WITH THE DIRECTION OF THE APPLICABLE DONOR GIFT INSTRUMENT AT THE TIME THE ACCUMULATION IS ADDED TO THE FUND. THE REMAINING PORTION OF DONOR-RESTRICTED ENDOWMENT FUNDS IS CLASSIFIED AS TEMPORARILY RESTRICTED NET ASSETS UNTIL THOSE AMOUNTS ARE APPROPRIATED FOR EXPENDITURE BY RRMC IN A MANNER CONSISTENT WITH THE STANDARD OF PRUDENCE PRESCRIBED BY SPMIFA. IN ACCORDANCE WITH SPMIFA, RRMC CONSIDERS 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 7. INVESTMENT POLICIES OF RRMC
UNCERTAIN TAX POSITIONS	SCHEDULE D, PART X, LINE 2	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.
AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12	SCHEDULE D, PART XI, LINE 2D	$ 10,400,277 NET GAIN FROM DEF BEN PLAN & POSTRETIREMENT BEN COSTS ( 6,872,448) PROVISION FOR UNCOLLECTIBLE ACCOUNTS 5,519,351 CHANGE IN FV OF INVESTMENTS ACCT FOR UNDER FASB 825 1,900,460 GAIN ON INTEREST RATE SWAP AGREEMENT ( 382,057) INVESTMENT EXPENSES ( 60,435) TRANSFER TO AFFILIATES ------------- $ 10,505,148
AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1	SCHEDULE D, PART XI, LINE 4B	$( 390,071) RENTAL EXPENSES
AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25	SCHEDULE D, PART XII, LINE 2D	$ 390,071 RENTAL EXPENSES
AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1	SCHEDULE D, PART XII, LINE 4B	$ 6,872,448 PROVISION FOR UNCOLLECTIBLE ACCOUNTS

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	300.	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	500.	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3727005	TotalCommunityBenefitExpense
Net Community Benefit Expense	3727005	NetCommunityBenefitExpense
Percent Of Total Expense	0.01760	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	47601105	TotalCommunityBenefitExpense
Direct Offsetting Revenue	30675389	DirectOffsettingRevenue
Net Community Benefit Expense	16925716	NetCommunityBenefitExpense
Percent Of Total Expense	0.07990	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4443562	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4578990	DirectOffsettingRevenue
Net Community Benefit Expense	-135428	NetCommunityBenefitExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	55771672	TotalCommunityBenefitExpense
Direct Offsetting Revenue	35254379	DirectOffsettingRevenue
Net Community Benefit Expense	20517293	NetCommunityBenefitExpense
Percent Of Total Expense	0.09750	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2298083	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4410	DirectOffsettingRevenue
Net Community Benefit Expense	2293673	NetCommunityBenefitExpense
Percent Of Total Expense	0.01080	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	113590	TotalCommunityBenefitExpense
Net Community Benefit Expense	113590	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16132719	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12301307	DirectOffsettingRevenue
Net Community Benefit Expense	3831412	NetCommunityBenefitExpense
Percent Of Total Expense	0.01810	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1057072	TotalCommunityBenefitExpense
Net Community Benefit Expense	1057072	NetCommunityBenefitExpense
Percent Of Total Expense	0.00500	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	19601464	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12305717	DirectOffsettingRevenue
Net Community Benefit Expense	7295747	NetCommunityBenefitExpense
Percent Of Total Expense	0.03440	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	75373136	TotalCommunityBenefitExpense
Direct Offsetting Revenue	47560096	DirectOffsettingRevenue
Net Community Benefit Expense	27813040	NetCommunityBenefitExpense
Percent Of Total Expense	0.13190	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	1294	TotalCommunityBuildingExpense
Net Community Building Expense	1294	NetCommunityBuildingExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	13508	TotalCommunityBuildingExpense
Net Community Building Expense	13508	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	54867	TotalCommunityBuildingExpense
Net Community Building Expense	54867	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	8632	TotalCommunityBuildingExpense
Net Community Building Expense	8632	NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	141009	TotalCommunityBuildingExpense
Net Community Building Expense	141009	NetCommunityBuildingExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	219310	TotalCommunityBuildingExpense
Net Community Building Expense	219310	NetCommunityBuildingExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$6,872,448	BadDebtExpenseAmount
Amount Attributable To	893418	AmountAttributableTo
Amount Reimbursed By Medicare	59850848	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	78598659	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-18747811	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	RUTLAND HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	160 ALLEN STREET	AddressLine1
City	RUTLAND	City
State	VT	State
ZIP Code	05701	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours
Other	MED DEV RURAL COMMUNITY HOSPITAL	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	RUTLAND HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	false	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Other Method	X	OtherMethod
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	false	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	300.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	500.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	10	NumberOfOtherFacilities

Other Facilities OtherFacilities (10 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
RUTLAND HEART CENTER
12 COMMONS STREET	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
254 STRATTON ROAD	RUTLAND	VT	05701	PATIENT CLINIC
RUTLAND ENT
69 ALLEN ST 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
DORSET ENT
51A TENNIS WAY	EAST DORSET	VT	05253	PATIENT CLINIC
KILLINGTON MEDICAL CLINIC
3902 KILLINGTON ROAD	KILLINGTON	VT	05751	PATIENT CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ELIGIBILITY FOR DISCOUNTED CARE	SCHEDULE H, PART I, LINE 3B	THE ORGANIZATION WILL PROVIDE DISCOUNTED CARE TO LOW INCOME INDIVIDUALS WHOSE FAMILY INCOME FALLS BETWEEN 201% 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.
PERCENT OF TOTAL EXPENSES	SCHEDULE H, PART I, LINE 7, COLUMN F	THE PERCENT OF TOTAL EXPENSE 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 $6,872,448.
COSTING METHODOLOGY	SCHEDULE H, PART I, LINE 7	THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3.
COMMUNITY BUILDING ACTIVITIES	PART II	RUTLAND REGIONAL MEDICAL CENTER IS THE ONLY MAJOR MEDICAL CENTER IN CENTRAL VERMONT, AND IS ONE OF THE LARGEST EMPLOYERS IN THE REGION. AS SUCH, WE ARE RELIED UPON BY THE COMMUNITIES WE SERVE TO PROVIDE HEALTH RESOURCES AND LEADERSHIP. WE RECOGNIZE THAT THERE IS MORE TO HEALTH THAN ILLNESS AND DISEASE, SOCIAL DETERMINANTS SUCH AS LOW INCOME LEVELS, AND AN AGING POPULATION, ALONG WITH A SAFE ENVIRONMENT AND A WELL-ROUNDED CULTURE CONTRIBUTE TO THE HEALTH AND WELL-BEING OF OUR POPULATION. THEREFORE, OUR LEADERSHIP AND COMMITMENT TO OUR COMMUNITY THROUGH A VARIETY OF INITIATIVES AND SUPPORTS BEYOND PROVIDING ESSENTIAL HOSPITAL-BASED CARE, ENCOMPASSING SOCIAL, PERSONAL, COMMUNITY AND HEALTH-RELATED ISSUES IMPACTING THE CITIZENS OF THE RUTLAND REGION. MANY STAFF AND LEADERS ARE INVOLVED IN LOCAL, REGIONAL AND STATEWIDE COALITIONS, COLLABORATIVES AND COMMITTEES OF OTHER ORGANIZATIONS, WHERE WE LEARN ABOUT TRENDS AND ISSUES OF INTEREST OR 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 AREA PHYSICAL ACTIVITY COALITION, UNITED WAY OF RUTLAND COUNTY, RUTLAND REGION 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 INCLUDED EFFORTS TO SUPPORT VIBRANCY IN THE COMMUNITY THROUGH THE ARTS, A VARIETY OF EVENTS AND ACTIVITIES BY SCHOOLS TO PROMOTE STRONG EDUCATION AND POSITIVE DECISION-MAKING, MENTORING YOUNG CHILDREN THROUGH READING TO BUILD SELF-CONFIDENCE AND ESTEEM IN ADDITION TO CORE ACADEMIC ACHIEVEMENT, ALONG WITH WORKFORCE DEVELOPMENT, ESPECIALLY AS RELATED TO THE HEALTH CARE.
BAD DEBT EXPENSE	SCHEDULE H, PART III, SECTION A, LINE 4	THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE: RRMC REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. RRMC PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, RRMC BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. THE AMOUNT OF BAD DEBT LISTED ON LINE 2 AGREES TO BAD DEBT EXPENSE PER THE AUDITED FINANCIAL STATEMENTS. 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 AN AVERAGE OF DATA FROM 2008-2012, APPROXIMATELY 13.0 PERCENT OF RUTLAND COUNTY WAS CONSIDERED TO LIVE IN POVERTY.
COMMUNITY BENEFIT	SCHEDULE H, PART III, SECTION B, LINE 8	SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE ORGANIZATION USES INFORMATION FROM THE MEDICARE COST REPORT TO COMPUTE THE MEDICARE ALLOWABLE COSTS OF CARE ON LINE 6.
COLLECTION POLICY	SCHEDULE H, PART III, SECTION C, LINE 9B	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.
COMMUNITY INPUT	SCHEDULE H, PART V, SECTION B, LINE 3	TO OVERSEE THE WORK PERFORMED, WE INVITED COMMUNITY LEADERS WITH SPECIAL KNOWLEDGE OR EXPERTISE OF PUBLIC HEALTH 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: -JAN HANSEN, RUTLAND AREA VISITING NURSE ASSOCIATION AND HOSPICE, INC. -JOANNE CALVI, VERMONT DEPARTMENT OF HEALTH -KEVIN LOSO, RUTLAND HOUSING AUTHORITY -LARRY JENSEN, COMMUNITY MEMBER, BOARD MEMBER OF COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, COMMISSIONER RUTLAND CITY POLICE -SARAH NARKEWICZ, RUTLAND BLUEPRINT MANAGER, RUTLAND REGIONAL MEDICAL CENTER -SARAH ROY, DIVISION OF ALCOHOL & DRUG ABUSE PROGRAMS, VERMONT DEPARTMENT OF HEALTH -SUSAN SCHREIBMAN, RUTLAND PLANNING COMMISSION -TRACI MOORE, UNITED WAY OF RUTLAND COUNTY THE ADVISORY COMMITTEE MET MONTHLY BEGINNING IN MAY OF 2011 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 THE FOLLOWING COMMUNITY PARTNERS: -THOMAS W. HUEBNER, RUTLAND REGIONAL MEDICAL CENTER -EDWARD OGORZALEK, RUTLAND REGIONAL MEDICAL CENTER -CLAUDE LAPERLE, COMMUNITY MEMBER -LYLE JEPSON, STAFFORD TECHNICAL CENTER -JO ANN RILEY, CASTLETON COMMUNITY SENIORS -CAPRICE HOVER, RUTLAND COUNTY PARENT CHILD CENTER -VICTOR PISANELLI, JR., MD, RUTLAND REGIONAL GENERAL SURGERY -JEFF MCKEE, RUTLAND REGIONAL MEDICAL CENTER -LARRY JENSEN, COMMUNITY MEMBER AND MEMBER, BOARD OF DIRECTORS OF COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION -JAN HANSEN, RUTLAND AREA VISITING NURSE ASSOCIATION & HOSPICE, INC. -KEVIN LOSO, RUTLAND HOUSING AUTHORITY -SARAH ROY, DIVISION OF ALCOHOL & DRUG ABUSE PROGRAMS, VERMONT DEPARTMENT OF HEALTH -TRACI MOORE, UNITED WAY OF RUTLAND COUNTY -JOE LAROSA, COMMUNITY MEMBER -JOANNE CALVI, VERMONT DEPARTMENT OF HEALTH -PAULA BAKER, RUTLAND FREE LIBRARY -ROGER BAKER, MD, RETIRED, COMMUNITY MEMBER -SHERIFF STEPHEN BENARD -KATHY FELDER, RN, NP, MID-VERMONT UROLOGY -MELANIE GAIOTTI, DEPARTMENT OF LIQUOR CONTROL -SANDY COHEN, COMMUNITY MEMBER -ANN WARRELL, VERMONT COUNTRY STORE -BARBARA HANSON, SOUTHWESTERN VERMONT COUNCIL ON AGING -DEB HALL, RUTLAND COUNTY HOUSING COALITION -BILL LUCCI, STAFFORD TECHNICAL CENTER -DOUG NORFORD, RUTLAND MENTAL HEALTH SERVICES -GRANT WHITMER, COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION -BRIAN NOLAN, COMMUNITY MEMBER -MARTHA COULTER, COMMUNITY MEMBER -JULIE TETA, COMMUNITY MEMBER -ARDY WOLYNEC, RUTLAND AREA VISITING NURSE ASSOCIATION & HOSPICE, INC. THIS GROUP IS CHARGED WITH GENERAL OVERSIGHT OF RUTLAND REGIONAL MEDICAL CENTER'S 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. FIVE FOCUS GROUP SESSIONS WERE HELD IN FEBRUARY 2012, WITH INVITATIONS GOING OUT TO MORE THAN 175 COMMUNITY LEADERS. INVITATION LETTERS INCLUDED FIVE QUESTIONS TO DRAFT RESPONSES TO IN PREPARATION FOR THE MEETING, ALONG WITH A SURVEY REQUESTING FEEDBACK CONCERNING BARRIERS TO ACCESSING HEALTH SERVICES, BARRIERS TO HEALTH ACROSS THE COMMUNITY, AND "RISKY BEHAVIORS". ADDITIONALLY, THREE SURVEYS WERE CONDUCTED AS A PART OF THIS HEALTH NEEDS ASSESSMENT. THE FIRST WAS A PHONE SURVEY OF DENTAL OFFICES. WE ALSO SURVEYED RANDOM COMMUNITY MEMBERS AND EMERGENCY DEPARTMENT CONSUMERS TO IDENTIFY ISSUES CONCERNING ACCESS TO CARE, GENERAL HEALTH CARE, AND EMERGENCY CARE.
CHNA AVAILABILITY TO PUBLIC	SCHEDULE H, PART V, SECTION B, LINE 5	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. SPECIFICALLY, MORE THAN 20 PRESENTATIONS WERE HOSTED BY AREA AGENCIES AND COALITIONS, WITHIN THE HOSPITAL ORGANIZATION, FOR THE REGIONAL VERMONT DEPARTMENT OF HEALTH, AND IN PUBLIC MEETINGS FOR THE ROTARY AND UNITED WAY MEMBERSHIP.
IMPLEMENTATION STRATEGY	SCHEDULE H, PART V, SECTION B, LINE 6	IN RESPONSE TO THE RESULTS OF RUTLAND REGIONAL MEDICAL CENTER'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, THE ORGANIZATION ADOPTED AN IMPLEMENTATION STRATEGY. THE IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING URL: http://www.rrmc.org/about/bowse-trust/community-health-assessment-update/
ADDRESSING IDENTIFIED NEEDS	SCHEDULE H, PART V, SECTION B, LINE 7	RUTLAND REGIONAL MEDICAL CENTER IS THE LEAD HEALTH ORGANIZATION FOR OUR REGION, PROVIDING MANY SERVICES AND PROGRAMS TO RESPOND TO THE HEALTH NEEDS OF OUR COMMUNITY MEMBERS. IN SOME SITUATIONS, HOWEVER, DUE TO CAPACITY LIMITATIONS, OR SIMPLY THE NATURE OF THE WORK, RRMC IS NOT THE NATURAL OR LOGICAL RESOURCE OR LEADER. THE PRIORITIZED NEED TO PROMOTE A CULTURE TO EMBRACE EXERCISE AND HEALTHY EATING IS NOT ONE WHERE RRMC IS BEST SUITED TO DEVELOP OR PERFORM THE WORK, BUT WE DO SUPPORT ORGANIZATIONS, EVENTS AND OTHER ACTIVITIES PROMOTING HEALTHY LIFESTYLES AND CHOICES AS OUTLINED BELOW. -THE COMMUNITY HEALTH TEAM IS SUPPORTING THE IMPLEMENTATION OF THE CASTLETON STATE COLLEGE ADULTS PHYSICAL ACTIVITY PROGRAM AND WALKRUTLAND. -PROVIDE FINANCIAL, MARKETING AND OTHER SUPPORT FOR VARIOUS COMMUNITY PARTNER ORGANIZATIONS DEVELOPING AND EXPANDING NUTRITION AND/OR PHYSICAL ACTIVITY INITIATIVES. IN GENERAL, THIS PRIORITY AREA IS ONE WHERE THE NEEDS ARE GREATER THAN THE CAPACITY ACROSS THE REGION FOR EDUCATION AND SUPPORTS FOR NUTRITION AND EXERCISE. TWO SPECIFIC AREAS OF NEED WERE IDENTIFIED THROUGH THE PROCESS OF CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT AND DEVELOPING THIS IMPLEMENTATION STRATEGY THAT ARE NOT BEING ADDRESSED WITHIN OUR COMMUNITY AT THIS TIME DUE TO LACK OF RESOURCES AND CAPACITY. THEY ARE: -TO INCREASE RESIDENTIAL RECOVERY SERVICES FOR INDIVIDUALS WITH SUBSTANCE ABUSE. THERE IS A TARGET POPULATION IN NEED OF SUCH SUPPORT, AND THE SERVICE WOULD BE CREATED AND PROVIDED BY THE DESIGNATED MENTAL HEALTH AGENCY IN OUR REGION, RUTLAND MENTAL HEALTH SERVICES, AS THE PRIMARY PROVIDER OF SERVICES FOR MENTAL HEALTH AND SUBSTANCE ABUSE SERVICE AND SUPPORTS. -COMMUNITY MEMBERS HAVE IDENTIFIED THE NEED FOR MORE, OR BETTER COORDINATED TRANSPORTATION SERVICES FOR INDIVIDUALS TO AVAIL THEMSELVES OF CARE AND TREATMENT FOR ANY PURPOSE - MEDICAL, DENTAL, MENTAL HEALTH AND SUBSTANCE ABUSE. SOME SERVICES, INCLUDING RRMC'S BRIDGES AND BEYOND PROGRAM DO PROVIDE TRANSPORTATION TO INDIVIDUALS, BUT A MORE COMPREHENSIVE APPROACH IS DESIRED AND WOULD BE LED BY TRANSPORTATION AND SOCIAL SERVICES LEADERS.
MAXIMUM AMOUNTS CHARGED TO FAP-ELIGIBLE INDIVIDUALS	SCHEDULE H, PART V, SECTION B, LINE 20D	THE HOSPITAL FACILITY USED THE AVERAGE RATE OF ALL INSURANCE RATES TO DETERMINE THE MAXIMUM AMOUNTS TO BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS.
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.
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 SHOWS THE INCOME GUIDELINES (BASED ON THE FEDERAL POVERTY) FOR FINANCIAL ASSISTANCE, AN ON-LINE APPLICATION, AS WELL AS, INFORMATION ON MEDICAID PROGRAMS AVAILABLE WITH SHORT DESCRIPTIONS. 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 APPLICATIONS ARE OFFERED AND MAILED AS REQUESTED.
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 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 RUTLAND COUNTY POPULATION HAS DECREASED SINCE 2000. IN 2010, AN ESTIMATED 61,642 PEOPLE LIVED IN RUTLAND COUNTY, A DECLINE OF 3.4% SINCE 2000. RUTLAND COUNTY RESIDENTS ARE OLDER, LIVING WITH LOWER INCOME, AND ACHIEVE LOWER EDUCATION LEVELS THAN THE AVERAGE VERMONTER, INCREASING THEIR VULNERABILITY. SPECIFICALLY, COMPARED TO VERMONT IN 2010, RUTLAND COUNTY RESIDENTS WERE OLDER, WITH A LOWER PROPORTION OF YOUTH LESS THAN 19 YEARS OF AGE (22% VERSUS 24% FOR VT); A LOWER PROPORTION OF YOUNG ADULTS AGES 20-44 YEARS (28% VERSUS 30%); A HIGHER PROPORTION OF OLDER ADULTS AGES 45-65 (32% VERSUS 30%); AND A HIGHER PROPORTION OF ELDERLY ADULTS 65 YEARS AND OLDER (16% VERSUS 14%). FROM 1999 TO 2009, THE PROPORTION OF ALL INDIVIDUALS IN RUTLAND COUNTY LIVING BELOW POVERTY INCREASED FROM 10.9% TO 13.6%. SPECIFIC TARGET POPULATIONS IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDE: I. SENIOR POPULATIONS - IN 2000, 14.9% OF THE POPULATION IN RUTLAND COUNTY WAS AGE 65 OR OLDER. THIS POPULATION HAS GROWN TO 16.6% IN 2010 AND IS ANTICIPATED TO CONTINUE EXPANDING; THE PROJECTION IS THAT IN 2017 OUR SENIOR POPULATION COULD REACH 21.1%. II. INDIVIDUALS LIVING IN POVERTY - FROM 1999 TO 2009, THE PROPORTION OF INDIVIDUALS IN RUTLAND COUNTY LIVING BELOW THE POVERTY LEVEL INCREASED FROM 10.9% TO 13.6%. III. ADULTS AND YOUTH WITH SUBSTANCE ABUSE ISSUES - VERMONT RANKS IN THE TOP TEN OF STATES FOR SEVERAL MEASURE OF SUBSTANCE ABUSE, INCLUDING ILLICIT DRUG USE, ALCOHOL USE AND OTHERS, ESPECIALLY FOR THOSE AGES 18-25. RUTLAND COUNTY HAS A HIGHER NUMBER OF CURRENT SMOKERS THAN THE OVERALL STATE RATE, AND THE NUMBER OF EVERY DAY SMOKERS IS ON THE RISE. IV. YOUTH AND ADULTS WHO ARE OVERWEIGHT OR OBESE - 38.7% OF ADULTS REPORT BEING OVERWEIGHT AND 24% REPORT BEING OBESE IN RUTLAND COUNTY. V. YOUTH REPORT LOW RATES OF HEALTHY EATING AND EXERCISE (32% EAT 2 OR MORE SERVINGS OF FRUIT PER DAY; 14% EAT 3 OR MORE SERVINGS OF VEGETABLES PER DAY; 24% PARTICIPATE IN 60 MINUTES OF PHYSICAL ACTIVITY DAILY)
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 HAS A CONTINUED NEED FOR 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 FY13, 14 PROVIDERS WERE RECRUITED TO THE REGION, INCLUDING PEDIATRICS, ENT, GASTROENTEROLOGY, PRIMARY CARE, PSYCHIATRIC, EMERGENCY AND CARDIOLOGY. THREE OF THESE PROVIDERS WERE RECRUITED FOR SERVICE OUTSIDE OF RRMC AND ITS SPECIALTY CLINICS. RRMC SUPPORTS 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 HOURS ACCESS TO A DOCTOR DURING THE HOSPITALIZATION. THIS SYSTEM PROVIDES EFFICIENCIES TO THE HEALTH CARE SYSTEM IN RUTLAND COUNTY. RUTLAND COUNTY'S MEDICAID POPULATION CONTINUES TO INCREASE. THIS PUTS A FINANCIAL STRAIN ON THE HEALTH SYSTEM IN OUR REGION, AS THE CARE PROVIDED TO 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 THE 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 AND PROVIDES INCREASED ACCESS FOR THESE PATIENTS. RRMC LEADERS AND STAFF ALSO PARTICIPATE AS BOARD AND COMMITTEE MEMBERS IN SUPPORT OF OTHER NON-PROFIT ORGANIZATIONS, SUCH AS THE UNITED WAY OF RUTLAND COUNTY, RUTLAND AREA VISITING NURSE ASSOCIATION AND HOSPICE, RUTLAND AREA PHYSICAL ACTIVITY COALITION, RUTLAND AREA PREVENTION COALITION, RUTLAND COUNTY NUTRITION COALITION, RUTLAND POLICE COMMISSION, THE MEDICAL RESERVE CORPS, AND MANY OTHERS. RRMC PARTNERS WITH THE UNITED WAY OF RUTLAND COUNTY TO OFFER AND PROVIDE A LEADERSHIP AND BOARD TRAINING PROGRAM. EACH YEAR, WE GRADUATE ROUGHLY 12 NEW COMMUNITY MEMBERS READY TO SERVE AS ACTIVE CONTRIBUTORS TO NON-PROFIT ORGANIZATIONS THROUGH OUR REGION. RUTLAND COUNTY IS ECONOMICALLY CHALLENGED AND RRMC SUPPORTS WORK TO HELP THOSE IN POVERTY AS WELL AS TO BRING NEW BUSINESSES INTO THE AREA. RRMC PARTICIPANTS 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. VOLUNTEERS PERSONALLY PROVIDE SUPPORT AND ASSISTANCE TO FAMILIES IMPACTED BY TRAUMA R DEATH IN MANY WAYS, I.E., 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 3,000 POTENTIAL DONORS TO THE NATIONAL REGISTRY, HELPING TO GIVE HOPE TO THE MORE THAN 6,000 PEOPLE SEARCHING EVERY DAY FOR AN UNRELATED MATCH TO SAVE THEIR LIVES. RRMC IS CURRENTLY THE ONLY HOSPITAL IN NEW ENGLAND WITH THIS TYPE OF PROGRAM. RRMC DOES NOT HOLD PATIENT-FOCUSED DRIVES; INSTEAD, ALL DRIVES ARE DESIGNED TO RAISE GENERAL AWARENESS OF THE NEED AND TO REGISTER AS MANY POTENTIAL DONORS AS POSSIBLE, SO THAT NOW OR IN THE FUTURE A MATCH MAY BE MADE. 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 TO THOSE DISABLED AND FRAIL PATIENTS RETURNING HOME FROM A HOSPITAL STAY. DIABETES EDUCATION AND SELF-MANAGEMENT - THIS PROGRAM IS OPERATED FROM THE DIABETES CENTER AND IS RECOGNIZED AND CERTIFIED BY THE AMERICAN DIABETES ASSOCIATION. THROUGH THIS WORK, PEOPLE WITH DIABETES LEARN HEALTH AND LIFESTYLE SKILLS TO HELP THEM MANAGE THEIR DISEASE SYMPTOMS. OTHER BENEFITS INCLUDE PATIENT AND FAMILY SUPPORT GROUPS, AND GLUCOSE METER AND INSULIN PUMP INSTRUCTION. ADVANCE DIRECTIVES PROGRAM - IN 2013, A NEW PROGRAM WAS DESIGNED AND IMPLEMENTED THROUGH THE COMMUNITY HEALTH IMPROVEMENT OFFICE, WHERE TRAINED VOLUNTEERS PROVIDE SUPPORT TO COMMUNITY MEMBERS TO COMPLETE ADVANCE DIRECTIVES FORMS ON A BY- APPOINTMENT BASIS. COMMUNITY RESOURCE GUIDE - 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 UPDATED AND DISTRIBUTED TO PROVIDER AND SOCIAL AND HUMAN SERVICES OFFICES ACROSS THE REGION, PHYSICALLY AND ELECTRONICALLY FOR EASE OF USE. OTHER INFORMATION: RRMC HAS 17 BOARD MEMBERS WHO REPRESENT THE RESIDENTS OF RUTLAND COUNTY IN THEIR SERVICE; 6 OF THESE ARE PHYSICIANS, 2 REPRESENT HEALTH CARE PARTNERS, AND 9 ARE RUTLAND COUNTY RESIDENTS WHO REPRESENT A VARIETY OF BUSINESS SECTORS. ALL BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST DISCLOSURE PROCESS WHICH IS NECESSARY TO COMPLY WITH FEDERAL AND STATE LAWS, INCLUDING THE FEDERAL ANTI-KICKBACK STATUTE AND THE TAX CODE. RRMC HAS 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 MEDICAL EXECUTIVE COMMITTEE, WHICH INCLUDES THE CHAIRMAN OF THE BOARD. THE MEDICAL EXECUTIVE COMMITTEE MAKES A 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. THE HOSPITAL PROVIDES 24-HOUR EMERGENCY CRISIS CARE, AS WELL AS PSYCHIATRIC INTENSIVE CARE, GERIATRIC PSYCHIATRIC PROGRAMS, MEDICAL DETOXIFICATION AND DUAL DIAGNOSIS AND TREATMENT OF SIMULTANEOUS SUBSTANCE ABUSE AND BEHAVIORAL HEALTH DISORDERS. THE 24-HOUR EMERGENCY DEPARTMENT PROVIDES CARE REGARDLESS OF A PATIENT'S ABILITY TO PAY. THE FAST TRACK PROGRAM IS DESIGNED TO PROCESS URGENT CARE IN A TIMELY MANNER. RRMC PROVIDES CARE FOR BOTH MEDICARE AND MEDICAID PATIENTS; THESE POPULATIONS MAKE UP 55.5% OF THE PAYER MIX FOR RRMC. BY WORKING COLLABORATIVELY WITH THE LOCAL FEDERALLY QUALIFIED HEALTH CLINICS, COMMUNITY H
AFFILIATED HEALTH CARE SYSTEM		RUTLAND REGIONAL MEDICAL CENTER (RRMC) IS PART OF A HEALTH CARE SYSTEM WHICH INCLUDES THE FOLLOWING ADDITIONAL TAX-EXEMPT ORGANIZATIONS: RUTLAND REGIONAL HEALTH SERVICES, INC. (RRHS), VERMONT ORTHOPAEDIC CLINIC, INC. (VOC), AND RUTLAND HEALTH FOUNDATION (RHF). RRHS IS A HOLDING COMPANY ORGANIZED TO SUPPORT, PROMOTE, ADVANCE AND STRENGTHEN THE HEALTH OF PERSONS WITHIN ITS DESIGNATED SERVICE AREA. VOC OFFERS COMPREHENSIVE, HIGH QUALITY TREATMENT METHODOLOGIES FOR ORTHOPAEDIC-RELATED INJURIES. RHF PARTNERS WITH PATIENTS, PHYSICIANS, EMPLOYEES, COMMUNITY LEADERS, AND PHILANTHROPISTS TO RAISE MONEY TO HELP MEET HEALTHCARE NEEDS OF THE COMMUNITY. RRHS IS THE SOLE MEMBER OF RRMC AND VOC, AND IS THE CONTROLLING MEMBER OF RHF. THE SYSTEM PRIMARILY EARNS REVENUES BY PROVIDING HOSPITAL INPATIENT, HOSPITAL OUTPATIENT, HOSPITAL EMERGENCY CARE, AND PHYSICIAN SERVICES TO RESIDENTS IN THE RUTLAND, VERMONT, AREA. THE JAMES T BOWSE HEALTH TRUST IS A DEPARTMENT OF RUTLAND REGIONAL HEALTH SERVICES AND PROVIDES GRANT FUNDING AIMED AT IMPROVING THE HEALTH STATUS OF THE RUTLAND REGION.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION
375 ROUTE 30 NORTH	BOMOSEEN	VT	05732	221179701	501(C)(3)	833333	COMMUNITY HLTH IMPROVE
RUTLAND COMMUNITY PROGRAMS
78 S MAIN PO BOX 222	RUTLAND	VT	05702	030307812	501(C)(3)	13500	COMMUNITY HLTH IMPROVE
LOTHROP ELEMENTARY SCHOOL
3447 ROUTE 7	PITTSFORD	VT	05763	036000625	PITTSFORD, VT	17450	COMMUNITY HLTH IMPROVE
RUTLAND AREA FARM FOOD LINK
PO BOX 561	POULTNEY	VT	05741	208283600	501(C)(3)	12955	COMMUNITY HLTH IMPROVE
RUTLAND SOUTH SUPERVISORY UNION
64 GRANGE HALL ROAD	N CLARENDON	VT	05759	030253069	WALLINGFORD DIS	41378	COMMUNITY HLTH IMPROVE
RUTLAND AREA VISITING NURSES
7 ALBERT CREE DRIVE	RUTLAND	VT	05701	030185024	501(C)(3)	10611	COMMUNITY HLTH IMPROVE
VERMONT ADULT LEARNING
60 S MAIN STREET	WATERBURY	VT	05676	030276755	501(C)(3)	30782	COMMUNITY HLTH IMPROVE
PREVENT CHILD ABUSE VERMONT
PO BOX 829	MONTPELIER	VT	05601	030267183	501(C)(3)	24000	COMMUNITY HLTH IMPROVE

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	8	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
GRANT MONITORING	SCHEDULE I, PART I, LINE 2	RUTLAND REGIONAL HEALTH SERVICES (RRHS), THROUGH RUTLAND REGIONAL MEDICAL CENTER (RRMC), AWARDED A FIVE-YEAR COMMUNITY BENEFIT GRANT TO COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC. (CHCRR) IN THE AMOUNT OF $4,600,000 THAT IS FUNDED BY RRMC AND WAS EFFECTIVE MAY 1, 2008. FOR THE YEARS ENDED SEPTEMBER 30, 2013 AND 2012, RESPECTIVELY, $833,333 AND $1,367,417 WAS EXPENDED FOR THE GRANT AWARD FROM RRMC AND IS INCLUDED IN RUTLAND REGIONAL MEDICAL CENTER'S GENERAL OPERATING EXPENSES. 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.
PURPOSE OF GRANT OR ASSISTANCE	SCHEDULE I, PART II, COLUMN H	ASSISTANCE FOR RUTLAND COMMUNITY PROGRAMS, LOTHROP ELEMENTARY SCHOOL, RUTLAND AREA FARM FOOD LINK, RUTLAND SOUTH SUPERVISORY UNION, RUTLAND AREA VISITING NURSES, VERMONT ADULT LEARNING, AND PREVENT CHILD ABUSE VERMONT 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.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	true	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (20 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
J CHRISTIAN HIGGINS MD
DIRECTOR THROUGH 4/2013	345628	0	133025	0	5630	0	15625	0	17726	0	517634	0	0	0
MATTHEW A CONWAY MD
DIRECTOR	289750	0	31585	0	5676	0	15614	0	17650	0	360275	0	0	0
DANIEL M FOLEY MD
DIRECTOR	288926	0	49200	0	3681	0	20582	0	7358	0	369747	0	0	0
THOMAS W HUEBNER
PRESIDENT & CEO	424268	0	0	0	23220	0	25625	0	17887	0	491000	0	0	0
EDWARD T OGORZALEK
CFO & VP FISCAL SERVICES	229483	0	0	0	23685	0	25435	0	17644	0	296247	0	0	0
MARY T NEMETH
VP CORPORATE SUPPORT SVCS	184731	0	0	0	9924	0	20194	0	7168	0	222017	0	0	0
BAXTER HOLLAND MD
VP PROFESSIONAL SUPPORT SVCS	323501	0	0	0	8069	0	25547	0	13137	0	370254	0	0	0
BARBARA ROBINSON
VP CLINICAL SERVICES	205974	0	0	0	5323	0	17646	0	12977	0	241920	0	0	0
KATHLEEN LETENDRE
VP PLANNING & ORG EXCELLENCE	105635	0	0	0	68634	0	6644	0	16192	0	197105	0	0	0
JI CHEN
DIRECTOR OF PHARMACY	170780	0	0	0	138	0	7150	0	806	0	178874	0	0	0
MELBOURNE BOYTON MD
CHIEF MEDICAL DIRECTOR	658979	0	201870	0	23564	0	20635	0	17295	0	922343	0	0	0
MICHAEL KENOSH MD
MEDICAL DIRECTOR REHAB SVCS	397021	0	74035	0	22766	0	15625	0	17892	0	527339	0	0	0
WILLIAM LIGHTHART MD
ORTHOPAEDICS	587203	0	172607	0	7572	0	15625	0	16694	0	799701	0	0	0
ERIC MARSH MD
ORTHOPAEDICS	528225	0	162045	0	5811	0	15625	0	18282	0	729988	0	0	0
MICHAEL ROBERTELLO MD
CARDIOLOGY	411019	0	154737	0	6484	0	15625	0	17866	0	605731	0	0	0
TODD GREGORY MD
DIRECTOR	287410	0	0	0	5364	0	15478	0	17636	0	325888	0	0	0
JOHN KIJEWSKI
VP - CIO	189887	0	0	0	5228	0	8506	0	17564	0	221185	0	0	0
ALLISON WOLLEN
VP - HUMAN RESOURCES	182034	0	25000	0	26960	0	1288	0	17562	0	252844	0	0	0
CAROL EGAN
VP CHIEF NURSING OFFICER	178828	0	0	0	6242	0	15653	0	12849	0	213572	0	0	0
DARREN CHILDS
VP QUALITY IMPR THROUGH 5/2013	155633	0	0	0	5295	0	13611	0	17281	0	191820	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SEVERANCE PAYMENTS	SCHEDULE J, PART I, LINE 4A	KATHLEEN LETENDRE, FORMER VICE PRESIDENT OF PLANNING & ORG EXCELLENCE, RECEIVED A SEVERANCE PAYMENT OF $68,634 FROM THE ORGANIZATION DURING THE YEAR. THIS AMOUNT IS INCLUDED IN OTHER REPORTABLE COMPENSATION IN SCHEDULE J, PART II, COLUMN B(III).
COMPENSATION CONTINGENT ON THE REVENUES OF THE ORGANIZATION	SCHEDULE J, PART I, LINE 5A	PHYSICIANS EARN COMPENSATION BASED UPON THEIR PRODUCTIVITY AGAINST ESTABLISHED TARGETS. INCREASED PRODUCTIVITY IS DIRECTLY RELATED TO INCREASED REVENUES FOR THE ORGANIZATION.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	VT EDUCATIONAL & HLTH BUILDINGS FINANCE AGENCY	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	237154467	IssuerEIN
Date Issued	2013-09-03	DateIssued
Issue Price	31350000	IssuePrice
Description Of Purpose	REFUND 2009/2010 BONDS	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Amount Retired	0	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	31350000	TotalProceeds
Amount In Reserve Fund	0	AmountInReserveFund
Capitalized Interest	0	CapitalizedInterest
Refunding Escrow	31157039	RefundingEscrow
Issuance Costs From Proceeds	192961	IssuanceCostsFromProceeds
Credit Enhancement	0	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	0	CapitalExpenditures
Other Spent Proceeds	0	OtherSpentProceeds
Amount Unspent	0	AmountUnspent
Year Of Subst Completion	2013	YearOfSubstCompletion
Current Refunding	true	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	true	MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts	true	EngageBondCounselContracts
Any Research Agreements	false	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0	PrcntgePrvtBusinessUseByOthers
Bond Iss Meet Prvt Security Pay Test	false	BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedProp
Remedial Action Taken	false	RemedialActionTaken
Non Qualified Bond Remed Procdrs	true	NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiled
Rebate Not Due Yet	true	RebateNotDueYet
Exception To Rebate	false	ExceptionToRebate
No Rebate Due	false	NoRebateDue
Variable Rate Issue	true	VariableRateIssue
Hedge Identified In Books And Recds	true	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

Field	Value	IRS element (for citing)
Business Name Line1	DEUTSCHE BANKTDBANK	BusinessNameLine1

Field	Value	IRS element (for citing)
Term Of Hedge	10.	TermOfHedge
Superintegrated Hedge	false	SuperintegratedHedge
Hedge Terminated	false	HedgeTerminated
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvested
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	true	ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	REQUIREMENTS OF SECTION 148	Identifier
Return Reference	SCHEDULE K, PART IV, LINE 7	ReturnReference
Explanation	THE TAX-EXEMPT BONDS DO NOT HAVE ANY OUTSTANDING PROCEEDS AND THEREFORE ARE NOT SUBJECT TO THE ARBITRAGE REQUIREMENTS OF SECTION 148.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
FOLEY DISTRIBUTING FOLEY SERVICES
M FOLEY - SEE PART V	279168	PAPER & JANITORIAL SUPPLIES	false
CENTRAL VERMONT PUBLIC SERVICE
J GAMBLE - SEE PART V	1542808	ELECTRICITY	false
BLUE CROSS BLUE SHIELD OF VERMONT
T HUEBNER - SEE PART V	13858863	INSURANCE PREMIUMS	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	BUSINESS TRANSACTION INVOLVING INTERESTED PERSONS	Identifier
Return Reference	SCHEDULE L, PART IV, COLUMN B	ReturnReference
Explanation	MARK K FOLEY, BOARD MEMBER, OWNS FOLEY DISTRIBUTING AND FOLEY SERVICES, INC. THESE COMPANIES SUPPLIED PAPER AND JANITORIAL PRODUCTS TO THE ORGANIZATION FOR $279,168 IN FISCAL YEAR 2013. JOAN F GAMBLE, BOARD MEMBER, IS AN OFFICER AT CENTRAL VERMONT PUBLIC SERVICES (CVPS). IN FISCAL YEAR 2013, THE ORGANIZATION PAID CVPS $1,542,808 FOR ELECTRICITY. THOMAS W HUEBNER, RRMC PRESIDENT & CEO, IS ON THE BOARD OF BLUE CROSS BLUE SHIELD OF VERMONT. IN FISCAL YEAR 2013, THE ORGANIZATION PAID BCBS $13,858,863 IN HEALTH INSURANCE PREMIUMS.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION AND MOST SIGNIFICANT ACTIVITIES	FORM 990, PART I, LINE 1	MISSION: TO IMPROVE THE HEALTH 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 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 COST STRUCTURE TO PRODUCE SUFFICIENT MARGINS, AND INCREASING PHILANTHROPIC GIVING. *EMPLOYEE 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.
TOTAL NUMBER OF VOLUNTEERS	FORM 990, PART I, LINE 6	THE TOTAL NUMBER OF VOLUNTEERS INCLUDES NON-COMPENSATED MEMBERS OF THE BOARD OF DIRECTORS AND OTHER INDIVIDUALS WHO VOLUNTEER TIME TO FURTHER THE ORGANIZATION'S EXEMPT PURPOSE.
PROGRAM SERVICE CHANGES	FORM 990, PART III, LINE 2	VERMONT ORTHOPAEDIC CENTER MERGED WITH RUTLAND REGIONAL MEDICAL CENTER ON 10/1/2012. IT IS NO LONGER A SEPARATE ENTITY, BUT A DEPARTMENT IN RRMC. EFFECTIVE 10/1/2013, KILLINGTON MEDICAL CLINIC MERGED WITH RUTLAND REGIONAL MEDICAL CENTER AS WELL, AND IS ALSO NOW A DEPARTMENT OF RRMC.
EXEMPT PURPOSE ACHIEVEMENTS	FORM 990, PART III, LINES 4A-D	RUTLAND REGIONAL MEDICAL CENTER FY 2013 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. PROGRAMMING THAT COUNTS: COMMUNITY HEALTH IMPROVEMENT INITIATIVES SCREENING SERVICES AND EDUCATIONAL PROGRAMMING ARE IMPORTANT ELEMENTS TO PROMOTING THE HEALTH OF OUR COMMUNITY. THE ASSOCIATED EXPENSES FOR 2013 EXCEEDED $1,815,240. RRMC OFFERS HEALTH LIVING WORKSHOPS, TOBACCO CESSATION PROGRAMING, CONSUMER HEALTH LIBRARY SUPPORT, BREAST CARE EDUCATION OUTREACH, AND OVER 25 SUPPORT GROUPS FOR INDIVIDUALS AND FAMILIES. HEALTH PROFESSION EDUCATION & TRAINING FOR NON-EMPLOYEES AND WORKFORCE DEVELOPMENT COLLABORATING WITH EDUCATIONAL PROGRAMS, RRMC SUPPORTS A VARIETY OF TRAINING PROGRAMS FOR INDIVIDUALS INTERESTED IN MEDICAL-RELATED FIELDS. DURING 2013, RRMC'S INVESTMENT IN THESE AREAS TOTALED APPROXIMATELY $115,925. 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 2013 TOTALED $7,390,442. 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 2013 STEERING COMMITTEE HAS 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 PUBLICALLY 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.
OTHER PROGRAM SERVICES	FORM 990, PART III, LINE 4D	THE REVENUES AND EXPENSES REPORTED ON PART III, LINE 4D, REPRESENT THOSE AMOUNTS THAT 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.
MEMBERS OR STOCKHOLDERS	FORM 990, PART VI, LINES 6, 7A, & 7B	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, OF THE BYLAWS STATE THAT THE BOARD SHALL CONSIST OF EIGHTEEN DIRECTORS. OF THESE DIRECTORS, FOURTEEN ARE CHOSEN OR APPROVED BY THE ORGANIZATION'S SOLE MEMBER. 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 THE 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 REVIEW PROCESS	FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A DRAFT COPY IS THEN REVIEWED BY TOP MANAGEMENT. ONCE A FINAL DRAFT IS COMPLETE, IT IS MAILED TO EACH MEMBER OF THE SYSTEM FINANCE COMMITTEE. THE COMMITTEE WILL MEET AND DISCUSS THE RETURN WITH A TAX ADVISOR PRIOR TO PRESENTING THE FINAL DRAFT TO THE FULL BOARD OF DIRECTORS. ALL BOARD MEMBERS ARE ALSO PROVIDED A COPY OF THE FINAL DRAFT.
CONFLICT OF INTEREST POLICY	FORM 990, PART VI, SECTION B, LINE 12C	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 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.
COMPENSATION REVIEW POLICY	FORM 990, PART VI, SECTION B, LINES 15A & 15B	THE FOLLOWING POLICY APPLIES TO THE ENTIRE RUTLAND REGIONAL HEALTH SERVICES (RRHS) SYSTEM, AND THE POLICY COVERS OFFICER & KEY EMPLOYEE COMPENSATION: IT IS THE POLICY OF RRHS TO OFFER MARKET-COMPETITIVE PAY SO TO ATTRACT AND RETAIN THE BEST TALENT FROM OUR LABOR MARKET. DESIGNATION OF RRHS' KEY EMPLOYEES IS MADE BY THE COMPLIANCE DEPARTMENT. THE RRHS KEY EMPLOYEE LABOR MARKET IS TYPICALLY ALL HOSPITALS NATIONALLY WITH SIMILAR REVENUES AS RRHS. KEY EMPLOYEE COMPENSATION IS REVIEWED ANNUALLY EACH FALL USING THREE SOURCES OF INDEPENDENT COMPETITIVE MARKET DATA. 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 BASE PAY AND TOTAL CASH COMPENSATION VS. MARKET BASE PAY AND TOTAL CASH COMPENSATION WITH ANY RECOMMENDED PAY ACTIONS. GENERALLY SPEAKING, KEY EMPLOYEE BASE PAY VARIANCES OF -5% VS. MARKET TOTAL CASH COMPENSATION ARE CONSIDERED TO BE NON-COMPETITIVE PROMPTING A RECOMMENDED BASE PAY INCREASE TO BE CONSIDERED. THE RESULTS OF THE REVIEW AND RECOMMENDED PAY ACTIONS ARE REVIEWED AND APPROVED BY THE CEO. INFORMATION IS MADE AVAILABLE TO SYSTEM FINANCE UPON REQUEST. THE CEO PAY IS REVIEWED AND APPROVED BY THE CHAIR AND CO-CHAIR OF THE BOARD OF DIRECTORS. THIS REVIEW IS DOCUMENTED IN THE EXECUTIVE SESSION BOARD MINUTES. THE MOST RECENT COMPENSATION REVIEW OCCURRED DURING DECEMBER OF 2013. THE KEY EMPLOYEES REVIEW WAS CONDUCTED IN DECEMBER OF 2013 COVERING NON-PHYSICIAN EMPLOYEE EARNING AT LEAST $150,000. THIS WAS DONE INTERNALLY.
DOCUMENT DISCLOSURE	FORM 990, PART VI, SECTION C, LINE 19	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.
BOARD MEMBERS RECEIVING COMPENSATION	FORM 990, PART VII, COLUMN D	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: - J CHRISTIAN HIGGINS, MD - MATTHEW A CONWAY, MD - DANIEL M FOLEY, MD - TODD GREGORY, MD
OTHER CHANGES IN NET ASSETS	FORM 990, PART XI, LINE 9	$ 10,400,277 NET GAIN FROM DEF BEN PLAN AND POSTRETIREMENT BEN COSTS 5,519,351 CHANGE IN FV OF INVESTMENTS FOR UNDER FASB 825 1,900,460 GAIN ON INTEREST RATE SWAP AGREEMENT ( 60,435) TRANSFER TO AFFILIATES -------------- $ 17,759,653 TOTAL OTHER CHANGE IN NET ASSETS

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	KILLINGTON MEDICAL CLINIC LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3902 KILLINGTON ROAD	AddressLine1
City	KILLINGTON	City
State	VT	State
ZIP Code	05751	ZIPCode

Field	Value	IRS element (for citing)
EIN	461076985	EIN
Primary Activities	MED CLINIC	PrimaryActivities
Legal Domicile State	VT	LegalDomicileState
Total Income	0	TotalIncome
EOY Assets	0	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	RRMC	BusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
RUTLAND REGIONAL HEALTH SERVICES
160 ALLEN STREET	RUTLAND	VT	05701	222534389	HOLDING CO	VT	501(C)(3)	11B II	NA	false
RUTLAND HEALTH FOUNDATION
160 ALLEN STREET	RUTLAND	VT	05701	030349681	FUNDRAISING	VT	501(C)(3)	7	RRHS	false
VERMONT ORTHOPAEDIC CLINIC
160 ALLEN STREET	RUTLAND	VT	05701	208089565	ORTHO SVC	VT	501(C)(3)	9	RRHS	false

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1
THE MEADOWS AT EAST MOUNTAIN
157 HERITAGE HILL PLACE	RUTLAND	VT	05701	030330343	ELDER CARE	VT	RRHS
THE GABLES AT EAST MOUNTAIN LLC
ONE GABLES PLACE	RUTLAND	VT	05701	030358050	ELDER CARE	VT	RRHS
VERMONT SPORTS MEDICINE CENTER
5 ALBERT CREE DR	RUTLAND	VT	05701	061231501	PHYSICAL THER	VT	RRHS

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg