PORTER HOSPITAL INC HCSR: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- PORTER HOSPITAL INC HCSR (EIN 03-0181058)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-14
- IRS object ID
- 201302269349301700
- Schema version
- 2011v1.5
- 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 | 2013-08-14T10:30:58-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010523282 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Berry Dunn McNeil & Parker LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1100 | AddressLine1 |
| City | Portland | City |
| State | ME | State |
| ZIP Code | 041041100 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 030181058 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Porter Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PORT | NameControl |
| Phone | 8023884701 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 37 Porter Drive | AddressLine1 |
| City | Middlebury | City |
| State | VT | State |
| ZIP Code | 05753 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | James L Daily | Name |
| Title | President/CEO | Title |
| Phone | 8023884701 | Phone |
| Date Signed | 2013-08-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Barbara J McGuan CPA | Name |
| PTIN | P00219457 | PTIN |
| Phone | 2077752387 | Phone |
| Date Prepared | 2013-08-13 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | James L Daily | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 37 Porter Drive | AddressLine1 |
| City | Middlebury | City |
| State | VT | State |
| ZIP Code | 05753 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 66180394 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.portermedical.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1925 | YearFormation |
| State Legal Domicile | VT | StateLegalDomicile |
| Activity Or Mission Description | Critical Access Hospital | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 600 | TotalNbrEmployees |
| Total Nbr Volunteers | 112 | TotalNbrVolunteers |
| Total Gross UBI | 4365 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 264396 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 273702 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 59707047 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 64324546 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 305496 | InvestmentIncomePriorYear |
| Investment Income Current Year | 231890 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 64837 | OtherRevenuePriorYear |
| Other Revenue Current Year | 81920 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 60341776 | TotalRevenuePriorYear |
| Total Revenue Current Year | 64912058 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 43690 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 27412 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 33466592 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 37591507 | 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 | 24285991 | OtherExpensePriorYear |
| Other Expenses Current Year | 30757362 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 57796273 | TotalExpensesPriorYear |
| Total Expenses Current Year | 68376281 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2545503 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -3464223 | RevenuesLessExpensesCY |
| Total Assets BOY | 52225427 | TotalAssetsBOY |
| Total Assets EOY | 50403008 | TotalAssetsEOY |
| Total Liabilities BOY | 27689477 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 30458235 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 24535950 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 19944773 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | The mission of Porter Medical Center and its subsidiary companies is to improve the health status of those served. The Organization will:a. Treat and care for the sick and injured;b. Provide, in cooperation with the community, as appropriate, a continuum of health services including out-patient services, rehabilitation, long-term care, and wellness/prevention programs;c. Ensure the delivery of high quality care available to all without regard to their ability to pay;d. Serve as a leader and catalyst in helping to determine, and provide for, the health needs of the community, while remaining a financially healthy organization. | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 1 | SignificantChange |
| Expense | 59957617 | Expense |
| Grants | 27412 | Grants |
| Revenue | 64164045 | Revenue |
| Description | Porter Hospital, Inc. ("Porter") operates a not-for-profit critical access hospital with patient care services including emergency room, maternity and medical/surgical inpatient and outpatient care, and ancillary services including rehabilitation, laboratory testing, and diagnostic imaging services. As a critical access hospital, Porter staffs a total of 25 beds. Of the 25 beds, six beds are located in the maternity unit and three beds are located in the special care unit. The remaining beds are located on the Medical/Surgical unit. Porter recorded approximately 5,897 inpatient days during the year. Emergency Room visits totaled 17,071 for the year. Surgeries for the year totaled 3,252. Support services for both inpatients and outpatients include but are not limited to Laboratory, Diagnostic Imaging services, cardiac services, and rehabilitation facilities. Imaging includes radiology, nuclear medicine, MRI, ultrasound and CT Scan. Porter provides free care to patients who meet certain criteria. Foregone charges furnished under Porter's free care policy amounted to $1,176,170 with a cost of $576,850 for the fiscal year ending 9/30/12. Porter provides a number of community health outreach programs to the general public for free or at a minimal charge. The programs include but are not limited to diabetes education, breast cancer screening, prenatal classes, breastfeeding classes and CPR courses. Porter provides clinical office space to the Open Door Clinic. Finally, Porter has partnered with a local career center, as well as colleges to provide clinical exposure to their students with goals of developing future healthcare workers for the community. | Description |
| Total Program Service Expense | 59957617 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 68 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 600 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | VT | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pearl AB Teague | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8023884701 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 37 Porter Drive | AddressLine1 |
| City | Middlebury | City |
| State | VT | State |
| ZIP Code | 05753 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| James L Daily | ||||||||
| President/CEO | 40.00 | X | X | 0 | 372595 | 120642 | ||
| Gerry Gossens | ||||||||
| Director | 3.00 | X | 0 | 0 | 0 | |||
| Ken Perine | ||||||||
| Director | 3.00 | X | 0 | 0 | 0 | |||
| Edwin Grant | ||||||||
| Chair | 3.00 | X | X | 0 | 0 | 0 | ||
| Peter DeGraff | ||||||||
| Director | 3.00 | X | 0 | 0 | 0 | |||
| Ann Hanson | ||||||||
| Director | 3.00 | X | 0 | 0 | 0 | |||
| Mike Kiernan MD | ||||||||
| Director | 3.00 | X | 136949 | 0 | 34648 | |||
| Fred Kniffin MD | ||||||||
| Past Director | 40.00 | X | 242252 | 0 | 32002 | |||
| Sue Ritter | ||||||||
| Treasurer/Secretary | 3.00 | X | X | 0 | 0 | 0 | ||
| Benjamin Rosenberg MD | ||||||||
| Director | 3.00 | X | 0 | 0 | 0 | |||
| Robert Stetson | ||||||||
| Past Director | 3.00 | X | 0 | 0 | 0 | |||
| Joseph Sutton | ||||||||
| Director | 3.00 | X | 0 | 0 | 0 | |||
| Stephen Terry | ||||||||
| Director | 3.00 | X | 0 | 0 | 0 | |||
| Joan Donahue | ||||||||
| Past Director | 3.00 | X | 0 | 0 | 0 | |||
| Bill Townsend | ||||||||
| Director | 3.00 | X | 0 | 0 | 0 | |||
| Linn Larson MD | ||||||||
| Director | 3.00 | X | 0 | 0 | 0 | |||
| Kate McIntosh MD | ||||||||
| Director | 3.00 | X | 0 | 0 | 0 | |||
| Maureen McLaughlin | ||||||||
| Director | 3.00 | X | 0 | 0 | 0 | |||
| Marilyn Olejnik | ||||||||
| CFO | 40.00 | X | 0 | 200145 | 30673 | |||
| Patricia Jannene | ||||||||
| CNO/COO | 40.00 | 189797 | 0 | 40439 | X | |||
| Alan D Ayer | ||||||||
| Physician | 40.00 | 270501 | 0 | 29528 | X | |||
| Anders Holm | ||||||||
| Physician | 40.00 | 337196 | 0 | 42650 | X | |||
| James A Malcolm | ||||||||
| Physician | 40.00 | 252691 | 0 | 30299 | X | |||
| David B Turner | ||||||||
| Physician | 40.00 | 227987 | 0 | 35990 | X | |||
| Kristofer Anderson | ||||||||
| Physician | 40.00 | 226581 | 0 | 17280 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1883954 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 572740 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 414151 | TotalOtherCompensation |
| Number Individuals GT100 K | 48 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Fletcher Allen Health Care | |||||
| 111 Colchester Avenue | Burlington | VT | 05401 | Laboratory Services | 644897 |
| American Health Center | |||||
| 100 Griffin Road | Portsmouth | NH | 03801 | MRI Procedures | 477341 |
| Amicus Sten-Tel Transaction | |||||
| 62 Wildfire Drive | Warren | VT | 05674 | Transcription of Medical Records | 213726 |
| Mayo Collaborative Services Inc | |||||
| 200 SW 1st Street | Rochester | MN | 55905 | Laboratory Services | 167461 |
| Apogee Medical Management | |||||
| 2525 E Camelback Road Suite 1100 | Phoenix | AZ | 85016 | Medicare Billing | 158868 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
| Government Grants | 103871 | GovernmentGrants |
| All Other Contributions | 169831 | AllOtherContributions |
| Total Contributions | 273702 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Patient Revenue | 621110 | 118715611 | 118715611 | ||
| Pharmacy Sales | 621110 | 2282585 | 2282585 | ||
| Miscellaneous Revenue | 621110 | 1555949 | 1395448 | 4365 | $156,136 |
| Provision for Bad Debt | 621110 | -4827217 | -4827217 | ||
| Contractual/Char. Adj. | 621110 | -53402382 | -53402382 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 64324546 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 231073 | TotalRevenueColumn |
| Exclusion | $231,073 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 143808 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 61888 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 81920 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 81920 | TotalRevenueColumn |
| Exclusion | $81,920 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1206515 | Securities |
| Other | 750 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1206448 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 67 | Securities |
| Other | 750 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 817 | TotalRevenueColumn |
| Exclusion | $817 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 64912058 | TotalRevenueColumn |
| Related Or Exempt Function Income | 64164045 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 4365 | UnrelatedBusinessRevenue |
| Exclusion | $469,946 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27412 | Total |
| Program Services | 27412 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 445851 | Total |
| Program Services | 445851 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28615880 | Total |
| Program Services | 25055984 | ProgramServices |
| Management And General | 3559896 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1333756 | Total |
| Program Services | 1167923 | ProgramServices |
| Management And General | 165833 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5335308 | Total |
| Program Services | 4674158 | ProgramServices |
| Management And General | 661150 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1860712 | Total |
| Program Services | 1632261 | ProgramServices |
| Management And General | 228451 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1750500 | Total |
| Program Services | 1535581 | ProgramServices |
| Management And General | 214919 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 129144 | Total |
| Program Services | 113288 | ProgramServices |
| Management And General | 15856 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27023 | Total |
| Management And General | 27023 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7714947 | Total |
| Program Services | 6767738 | ProgramServices |
| Management And General | 947209 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 117355 | Total |
| Program Services | 102947 | ProgramServices |
| Management And General | 14408 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2128645 | Total |
| Program Services | 1863933 | ProgramServices |
| Management And General | 264712 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 747983 | Total |
| Program Services | 656149 | ProgramServices |
| Management And General | 91834 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2534470 | Total |
| Program Services | 2223298 | ProgramServices |
| Management And General | 311172 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 170228 | Total |
| Program Services | 149328 | ProgramServices |
| Management And General | 20900 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 339030 | Total |
| Program Services | 297405 | ProgramServices |
| Management And General | 41625 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4799131 | Total |
| Program Services | 4209913 | ProgramServices |
| Management And General | 589218 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1241869 | Total |
| Program Services | 1089397 | ProgramServices |
| Management And General | 152472 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Medical Supplies | 5487272 | 4813567 | 673705 |
| Medicare Provider Tax | 3569765 | 3131484 | 438281 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68376281 | Total |
| Program Services | 59957617 | ProgramServices |
| Management And General | 8418664 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4390 | BOY |
| EOY | 4090 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3698570 | BOY |
| EOY | 3789945 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15850 | BOY |
| EOY | 1000 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11209509 | BOY |
| EOY | 10922662 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 250464 | BOY |
| EOY | 182544 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1178244 | BOY |
| EOY | 1258811 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 571620 | BOY |
| EOY | 584376 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 48268740 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 21850157 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28812904 | BOY |
| EOY | 26418583 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2837029 | BOY |
| EOY | 3221907 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2851219 | BOY |
| EOY | 2978834 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 142662 | BOY |
| EOY | 136650 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 652966 | BOY |
| EOY | 903606 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52225427 | BOY |
| EOY | 50403008 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5847877 | BOY |
| EOY | 9066835 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22508 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14220000 | BOY |
| EOY | 13885000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3338949 | BOY |
| EOY | 2297084 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4260143 | BOY |
| EOY | 5209316 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27689477 | BOY |
| EOY | 30458235 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21283161 | BOY |
| EOY | 16576126 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 283888 | BOY |
| EOY | 272131 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2968901 | BOY |
| EOY | 3096516 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24535950 | BOY |
| EOY | 19944773 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52225427 | BOY |
| EOY | 50403008 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -3464223 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -1126954 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | 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) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $14,963 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 14963 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | The Organization pays dues to various associations, a portion of which is attributable to lobbying expenses. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2185776 | OtherCostOrOtherBasis |
| Book Value | 2185776 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 25607863 | OtherCostOrOtherBasis |
| Depreciation | 9478077 | Depreciation |
| Book Value | 16129786 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 20242383 | OtherCostOrOtherBasis |
| Depreciation | 12372080 | Depreciation |
| Book Value | 7870303 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 232718 | OtherCostOrOtherBasis |
| Book Value | 232718 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 26418583 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Beneficial Interest in Trusts | Description |
| Book Value | 2978834 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 2978834 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Estimated Third Party Payor Settlements | $665,000 |
| Deferred Compensation | $559,266 |
| Due to Affiliate | $147,572 |
| Liability for Pension Benefits | $3,837,478 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 5209316 | TotalOfAmounts |
| Total Revenue | 64912058 | TotalRevenue |
| Total Expenses | 68376281 | TotalExpenses |
| Excess Or Deficit For Year | -3464223 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 354304 | NetUnrealizedGLOnInvestments |
| Other | -$1,481,258 | OtherAmount |
| Total Adjustments | -1126954 | TotalAdjustments |
| Excess Or Deficit Per FS | -4591177 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 63819969 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 354304 | NetUnrealizedGainsInvestments |
| Other Revenues | -1419370 | OtherRevenues |
| Revenue Not Rptd F990 | -1065066 | RevenueNotRptdF990 |
| Revenue Subtotal | 64885035 | RevenueSubtotal |
| Investment Expenses Not Included | 27023 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 27023 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 64912058 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 68411146 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 61888 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 61888 | ExpensesNotRptdF990 |
| Expenses Subtotal | 68349258 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 27023 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 27023 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 68376281 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part XI, Line 8 - Other Adjustments: | Change in Net Assets to Recognize Funded Status of Pension Plan -1,608,873. Change in Beneficial Interest in Perpetual Trusts 127,615. Total to Schedule D, Part XI, Line 8: -1,481,258. |
| Part XII, Line 2d - Other Adjustments: | Change in Net Assets to Recognize Funded Status of Pension Plan -1,608,873. Change in Beneficial Interest in Perpetual Trusts 127,615. Rental Expenses 61,888. |
| Part XIII, Line 2d - Other Adjustments: | Rental Expenses 61,888. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent350 | X | Pcent350 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 630582 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 630582 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00920 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10371960 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7946078 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2425882 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03550 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11002542 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7946078 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3056464 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04470 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11797 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 11797 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 248708 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 248708 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00360 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 79411 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 32367 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 47044 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 27412 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 27412 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 367328 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 32367 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 334961 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00490 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11369870 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7978445 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3391425 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04960 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,587,452 | BadDebtExpenseAmount |
| Amount Attributable To | 51749 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 14279625 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 18007945 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3728320 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | 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 | Porter Hospital Inc | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 37 Porter Drive | AddressLine1 |
| City | Middlebury | City |
| State | VT | State |
| ZIP Code | 05753 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Porter Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 0 | CHNAConducted |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 350.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Other Factors | X | OtherFactors |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| 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 | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lien On Residence | X | PermitLienOnResidence |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 12 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (12 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Porter Internal Medicine | ||||
| 116 Porter Drive | Middlebury | VT | 05753 | Physician Clinic |
| Neshobe Family Medicine | ||||
| 61 Court Drive | Brandon | VT | 05733 | Family Physician Clinic |
| Bristol Internal Medicine | ||||
| 61 Pine Street | Bristol | VT | 05443 | Physician Clinic |
| Tapestry Midwifery | ||||
| 20 Armory Lane | Vergennes | VT | 05491 | Physician Clinic |
| Porter Cardiology | ||||
| 115 Porter Drive | Middlebury | VT | 05753 | Physician Clinic |
| Middlebury Pediatric & Adolescent Med | ||||
| 1330 Exchange Street 201 | Middlebury | VT | 05753 | Physician Clinic |
| Little City Family Practice | ||||
| 10 North Street | Vergennes | VT | 05491 | Family Physician Clinic |
| Addison Associates in OBGYN | ||||
| 116 Porter Drive | Middlebury | VT | 05753 | OB/GYN |
| Addison Family Medicine | ||||
| 82 Catamount Park | Middlebury | VT | 05753 | Family Physician Clinic |
| Partners in Palliative & Home Care | ||||
| 108 Porter Drive | Middlebury | VT | 05753 | Physician Clinic |
| Porter Ear Nose & Throat | ||||
| 1330 Exchange Street 202 | Middlebury | VT | 05753 | Physician Clinic |
| Champlian Valley Orthopedics | ||||
| 1436 Exchange Street | Middlebury | VT | 05753 | Physician Clinic |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 6a: The annual community benefit report is prepared by Porter Medical Center, the parent Company of Porter Hospital, Inc. | ||
| Part I, Line 7: The Organization used a cost-to-charge ratio as its methodology for calculating amounts on Lines 7a & 7b. An actual costing methodology was used to calculate the amounts on lines 7e, 7g & 7i. | ||
| Part I, Line 7g: The Organization included as subsidized health services costs attributable to Partners in Pallative Care, a physician clinic. Total costs related to this physician clinic are $47,044. | ||
| Part III, Line 4: Patient accounts receivable are stated at the amount management expects to collect for services rendered from third-party payors, patients and others. Management provides an allowance for uncollectible accounts based upon a review of outstanding receivables, historical collection information and existing economic conditions. Accounts are considered delinquent and subsequently written off as uncollectible based on individual credit evaluation and specific circumstances of the account.In evaluating the collectability of accounts receivable, the Hospital analyzes past results and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third- party coverage, the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts. For receivables associates with self- pay patients (which included both patients without insurance and patients with deductible and copayment balances due for which third- party coverage exists for part of the bill), the Hospital records a provision for bad debts in the period of service based on past experience, which indicates that many patients are unable or unwilling to pay amounts for which they are financially responsible. The difference between the standard rates (or the discounted rate if negotiated or eligible) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged against the allowance for doubtful accounts. The Organization used the cost-to-charge ratio as its costing methodology to calculate bad debt expense at cost. The Organization believes that there was an estimated 2% of bad debt expense that more aptly reflected amounts written off for patients eligible under the Organization's financial assistance policy as free care. The Organization used the Medicare Cost Report to report Medicare allowable costs of care related to the payments on Schedule H, Part III, Section B. Medicare, Line 6. | ||
| Part III, Line 9b: Porter Hospital, Inc. recognizes that it has a responsibility to provide care to all patients regardless of their ability to pay and make available financial assistance for those patients that have been identified as financially needy through written documentation. Information regarding financial assistance is made available upon request. | ||
| Part V, Section B, Line 11h: The Organization uses asset levels to calculate the amounts charged to patients, but only monetary assets, no other property. | Porter Hospital, Inc. | |
| Part V, Section B, Line 19d: The Organization will initially bill a patient not having insurance the Organization's standard and customary gross charges. Upon knowledge that the patient may be medically indigent and require financial assistance, the Organization will initiate the process of financial counseling and assistance whereby the patient would receive an adjusted bill reflective of the financial assistance provided, i.e. a zero bill for 100% free care or discounted bill. | Porter Hospital, Inc. | |
| Part V, Section B, Line 20: The Organization does bill gross charges to patients when the patient has no form of insurance. The Organization will and does provide discounts as needed to patients that are in the position of having no insurance. These discounts range from 10% to 100% of the charge depending upon financial need. | Porter Hospital, Inc. | |
| Part VI, Line 2: Porter Hospital, Inc. maintains an active list of Quality Improvement Projects and Initiatives that are identified by our clinical staff in response to either internal or external assessments of how we can implement "best practices" for our patients. The list of projects and initiatives is updated annually as part of the State of Vermont's Act 53. Porter Hospital's Community Advisory Committee assess community needs biennially. The results of the assessment are posted on Porter Medical Center's Web Site. | ||
| Part VI, Line 3: Porter Hospital's Financial Assistance Program is posted on the Porter Medical Center Web Site. In addition, all patients receive a brochure entitled "Important Information About your rights and responsibilities as a patient". The brochure states that the patient has the right to receive the most appropriate medical treatment available regardless of ability to pay and receive information about financial assistance. | ||
| Part VI, Line 4: Porter Hospital, Inc. is the major provider of health care in Addison County, Vermont. Porter Hospital, Inc. also provides services to residents of northern Rutland County (Vermont), Essex County (Vermont), New York and elsewhere in this region. | ||
| Part VI, Line 5: Porter Hospital, Inc. provides rent free clinic space and vouchers for no-cost ancillary services to the local Open Door Clinic in its role as a catalyst in the delivery of health care services to its entire community.Porter Hospital, Inc. offers free and low cost community education programs on health care topics including memory loss, dementia, breast cancer screening, basic diabetes, CPR, smoking cessation, parenting, prenatal exercise and breast feeding.A majority of the governing body is comprised of persons who reside in its service area and who are neither employees nor contractors of Porter Hospital, Inc. nor family members thereof. Medical staff privileges are extended to all qualified physicians in the community.Surplus funds are invested in technology, facilities and programs. Porter Hospital and the local Career Center collaborate on a new Health Careers Education program. | ||
| Part VI, Line 6: Porter Hospital, Inc. and Helen Porter Nursing Home, Inc. are wholly owned subsidiaries of Porter Medical Center. Through its subsidiaries, Porter Medical Center provides a continuum of health services including in-patient care, out-patient care, short-term rehabilitation, long-term rehabilitation, long-term care, dementia care, wellness programs and prevention programs. | ||
| VT | Reports Filed With States | Part VI, Line 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Open Door Clinic | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Porter Drive | AddressLine1 |
| City | Middlebury | City |
| State | VT | State |
| ZIP Code | 05753 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 030359531 | EINOfRecipient |
| IRC Section | 501(c)(3) | IRCSection |
| Amount Of Non Cash Assistance | 27412 | AmountOfNonCashAssistance |
| Method Of Valuation | FMV | MethodOfValuation |
| Description Of Non Cash Assistance | Use of space on Hospital Campus and satellite physician practice site | DescriptionOfNonCashAssistance |
| Purpose Of Grant | Operational Assistance | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: Porter Hospital provides physician office space on campus as well as at one of Porter Hospital's off-site physician practice office to the Open Door Clinic. Porter Hospital provides this in-kind, non-cash assistance to further the mission of out-reach to the medically needy within the Addison County healthcare community. This support dovetails with the mission of the Blueprint for Health to stabilize chronic health conditions for the most fragile social-economic population. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| James L Daily | |||||||||||||
| 0 | 315089 | 0 | 0 | 0 | 57506 | 0 | 91450 | 0 | 29192 | 0 | 493237 | 0 | 0 |
| Mike Kiernan MD | |||||||||||||
| 126517 | 0 | 0 | 0 | 10432 | 0 | 4909 | 0 | 29739 | 0 | 171597 | 0 | 0 | 0 |
| Fred Kniffin MD | |||||||||||||
| 237397 | 0 | 0 | 0 | 4855 | 0 | 12033 | 0 | 19969 | 0 | 274254 | 0 | 0 | 0 |
| Marilyn Olejnik | |||||||||||||
| 0 | 176398 | 0 | 20000 | 0 | 3747 | 0 | 5998 | 0 | 24675 | 0 | 230818 | 0 | 0 |
| Patricia Jannene | |||||||||||||
| 179793 | 0 | 0 | 0 | 10004 | 0 | 9378 | 0 | 31061 | 0 | 230236 | 0 | 0 | 0 |
| Alan D Ayer | |||||||||||||
| 262584 | 0 | 0 | 0 | 7917 | 0 | 7350 | 0 | 22178 | 0 | 300029 | 0 | 0 | 0 |
| Anders Holm | |||||||||||||
| 336843 | 0 | 0 | 0 | 353 | 0 | 9800 | 0 | 32850 | 0 | 379846 | 0 | 0 | 0 |
| James A Malcolm | |||||||||||||
| 249607 | 0 | 0 | 0 | 3084 | 0 | 7350 | 0 | 22949 | 0 | 282990 | 0 | 0 | 0 |
| David B Turner | |||||||||||||
| 227767 | 0 | 0 | 0 | 220 | 0 | 6997 | 0 | 28993 | 0 | 263977 | 0 | 0 | 0 |
| Kristofer Anderson | |||||||||||||
| 226419 | 0 | 0 | 0 | 162 | 0 | 6838 | 0 | 10442 | 0 | 243861 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 4b | ReturnReference |
| Explanation | James Daily, President/CEO, participates in a 457(f) plan, and received $79,200 from the plan during FY 9/30/12. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Vermont Educational and Health Buildings Financing Agency | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 237154467 | IssuerEIN |
| CUSIP Number | 9241607X6 | CUSIPNumber |
| Date Issued | 2005-06-17 | DateIssued |
| Issue Price | 15430000 | IssuePrice |
| Description Of Purpose | Funding for new Construction | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 1545000 | AmountRetired |
| Total Proceeds | 15430000 | TotalProceeds |
| Refunding Escrow | 4974901 | RefundingEscrow |
| Issuance Costs From Proceeds | 207863 | IssuanceCostsFromProceeds |
| Working Capital Expenditures | 170152 | WorkingCapitalExpenditures |
| Capital Expenditures | 10077084 | CapitalExpenditures |
| Year Of Subst Completion | 2005 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 1 | ExceptionToRebate |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Remora LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | An entity more than 5% owned directly by Bill Townsend, Board Director | Relationship |
| Amount Of Transaction | 144034 | AmountOfTransaction |
| Description Of Transaction | Rental of Property | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| New Program Services | Form 990, Part III, line 2 | During FY 2012, Porter Hospital acquired a specialty physician practice, Champlain Valley Orthopedic to further complement the health care and service needs of the Addison County community. |
| Changes in Program Services | Form 990, Part III, line 3 | During FY 2012 Porter Hospital eliminated its palliative care practice. These services are incorporated in the existing practices. |
| Form 990, Part VI, Section A, line 6 | Porter Medical Center, Inc. is the parent holding company and sole corporate member of the Organization. | |
| Form 990, Part VI, Section A, line 7a | Porter Medical Center, Inc., the parent holding company and sole corporate member of the Organization, has the right to appoint Hospital directors. | |
| Form 990, Part VI, Section A, line 7b | Porter Medical Center, Inc., the parent holding company and sole corporate member of the Organization, has the right to approve major hospital expenditures and approve hospital long-term borrowings. | |
| Form 990, Part VI, Section B, line 11 | Form 990 is reviewed by management and the finance committee before filing. The form 990 is also made available electronically to the Board of Directors before filing. | |
| Form 990, Part VI, Section B, line 12c | The Organization's CFO is responsible for regularly and consistently monitoring and enforcing compliance with the conflict of interest policy. When bids are solicited to include the business of a Board member, those bids are reviewed by the Board of Directors to assure adherence to the Hospital's lowest bid policy. When an issue comes up to a vote and it is connected, in any way, to the business of a Board member, the member must recuse him/herself from the vote. | |
| Form 990, Part VI, Section B, line 15a | The Organization's executive committee reviews comparative data prepared by a consultant prior to referral of compensation to the board of directors. The board of directors review the findings of the consultant and vote to approve the salary of the CEO. | |
| Form 990, Part VI, Section C, line 19 | The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. | |
| Changes in Net Assets or Fund Balances: | Form 990, Part XI, line 5: | Net unrealized gains on investments: 354,304. Change in Net Assets to Recognize Funded Status of Pension Plan -1,608,873. Change in Beneficial Interest in Perpetual Trusts 127,615. Total to Form 990, Part XI, Line 5: -1,126,954. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Porter Medical Center Inc | |||||||||||
| 37 Porter Drive | Middlebury | VT | 05753 | 030310862 | Holding Company for Subsidiaries | VT | 501(c)(3) | Line 11b, II | N/A | 0 | |
| Porter Management Services Inc | |||||||||||
| 37 Porter Drive | Middlebury | VT | 05753 | 030308242 | Management Services | VT | 501(c)(3) | Line 11b, II | 0 | Porter Medical Center Inc | |
| Helen Porter Nursing Home Inc DBA Helen Porter Healthcare & Rehab Center | |||||||||||
| 37 Porter Drive | Middlebury | VT | 05753 | 030306549 | Nursing Home | VT | 501(c)(3) | Line 3 | 0 | Porter Medical Center Inc | |
| Auxiliary of Porter Medical Center | |||||||||||
| 37 Porter Drive | Middlebury | VT | 05753 | 237363227 | Supporting Organization | VT | 501(c)(3) | Line 11b, II | 0 | Porter Medical Center Inc | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |