STRATEGY STUDIO / PUBLIC DATA EXPLORER

GIFFORD MEDICAL CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
GIFFORD MEDICAL CENTER INC (EIN 03-0179418)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-09
IRS object ID
201312219349301161
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-09T13:58:53-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN030179418EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GIFFORD MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JEFFREY HEBERTInCareOfName
Name ControlGIFFNameControl
Phone8027284441Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line144 SOUTH MAIN STREETAddressLine1
CityRANDOLPHCity
StateVTState
ZIP Code05060ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOSEPH L WOODINName
TitleCEOTitle
Date Signed2013-07-23DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBrian D ToddName
Phone4178658701Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOSEPH L WOODINNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line144 SOUTH MAIN STREETAddressLine1
CityRANDOLPHCity
StateVTState
ZIP Code05060ZIPCode
FieldValueIRS element (for citing)
Gross Receipts65322829GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.GIFFORDMED.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1905YearFormation
State Legal DomicileVTStateLegalDomicile
Activity Or Mission DescriptionGIFFORD MEDICAL CENTER IS A NON-PROFIT ACUTE-CARE HOSPITAL PROVIDING HEALTHCARE ON AN INPATIENT AND OUTPATIENT BASIS.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees683TotalNbrEmployees
Total Nbr Volunteers130TotalNbrVolunteers
Total Gross UBI208958TotalGrossUBI
Net Unrelated Business Txbl Income-62020NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year847593ContributionsGrantsPriorYear
Contributions Grants Current Year560123ContributionsGrantsCurrentYear
Program Service Revenue Prior Year62341416ProgramServiceRevenuePriorYear
Program Service Revenue CY62984021ProgramServiceRevenueCY
Investment Income Prior Year1880268InvestmentIncomePriorYear
Investment Income Current Year269379InvestmentIncomeCurrentYear
Other Revenue Prior Year1109459OtherRevenuePriorYear
Other Revenue Current Year-78727OtherRevenueCurrentYear
Total Revenue Prior Year66178736TotalRevenuePriorYear
Total Revenue Current Year63734796TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year36742400SalariesEtcPriorYear
Salaries Etc Current Year36445533SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year163723TotalFundrsngExpCurrentYear
Other Expense Prior Year25611891OtherExpensePriorYear
Other Expenses Current Year25219861OtherExpensesCurrentYear
Total Expenses Prior Year62354291TotalExpensesPriorYear
Total Expenses Current Year61665394TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3824445RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2069402RevenuesLessExpensesCY
Total Assets BOY63195707TotalAssetsBOY
Total Assets EOY68859686TotalAssetsEOY
Total Liabilities BOY32199986TotalLiabilitiesBOY
Total Liabilities EOY33028430TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY30995721NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY35831256NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionAS A COMMUNITY HOSPITAL, GIFFORD MEDICAL CENTERS MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE WE SERVE BY PROVIDING AND ASSURING ACCESS TO AFFORDABLE AND HIGH-QUALITY HEALTH CARE, AND BY PROMOTING THE HEALTH AND WELL-BEING OF EVERYONE IN OUR SERVICE AREA.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense15806275Expense
Revenue8284954Revenue
DescriptionGIFFORD MEDICAL CENTER OFFERS VARIOUS CLINICAL SERVICES THROUGH ITS MAIN CAMPUS AND OUTLYING FAMILY HEALTH CENTERS AND SPECIALTY CLINICS. SPECIALTY CLINICS INCLUDE ANTICOAGULATION, DIABETES, PRE-OPERATIVE, TRAVEL, AND WOUND CARE. CLINIC SERVICES AVAILABLE INCLUDE HEALTH EDUCATION, CHECK-UPS, SAFETY TIPS AND ADVICE, NUTRITION AND EXERCISE COUNSELING, MEDICAL CLEARANCE FOR PATIENTS HAVING SURGERY, DETERMINATION OF NECESSARY VACCINATIONS OR MEDICATIONS FOR TRAVELING, AND MONITORING WOUNDS AND COORDINATING HOME WOUND CARE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense8332786Expense
Revenue6505085Revenue
DescriptionGIFFORD MEDICAL CENTER OFFERS PEDIATRIC AND FAMILY MEDICINE SERVICES FROM A TEAM OF EXPERT PEDIATRIC PHYSICIANS AND STAFF IN A FAMILY-FRIENDLY SETTING. AN EMPHASIS IS PLACED ON PREVENTION AND WELLNESS AS WELL AS TIMELY CARE FOR ACUTE ILLNESSES. SERVICES AVAILABLE INCLUDE ANNUAL WELL-CHILD VISITS AND SPORTS PHYSICALS, CHILDHOOD IMMUNIZATIONS, ACUTE CARE, FAMILY EDUCATION ON HEALTHY BEHAVIORS AND CHILD DEVELOPMENT, MEDICATION MANAGEMENT, MANAGEMENT OF CHRONIC CONDITIONS, AND EYE AND HEARING SCREENINGS. OBSTETRIC AND GYNECOLOGY SERVICES ARE ALSO AVAILABLE FOR WOMEN, FROM ANNUAL SCREENINGS TO ADVANCED SURGERIES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense5072006Expense
Revenue11215386Revenue
DescriptionGIFFORD MEDICAL CENTER OFFERS GENERAL SURGERY SERVICES BY A CARING AND KNOWLEDGEABLE TEAM, INCLUDING SKIN LESION AND CYST REMOVAL, COMPREHENSIVE BREAST CARE, DIAGNOSIS AND TREATMENT OF ALL FORMS OF CANCER, WOUND CARE, CARDIAC PACEMAKERS, PILL ENDOSCOPY, COLONOSCOPIES, AND APPENDIX REMOVAL, AMONG OTHERS. GENERAL SURGEONS PROVIDE A WIDE RANGE OF PROCEDURES IN THE OFFICE AND IN THE OPERATING ROOM SETTINGS, PRIMARILY FOCUSING ON THE ABDOMINAL ORGANS AS WELL AS DISEASES OF THE SKIN, BREAST, SOFT TISSUE AND HERNIAS.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp27191604TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev36769638TotalOfOtherProgramServiceRev
Total Program Service Expense56402671TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096122NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees683NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJEFFREY HEBERTNamePerson
Telephone Number8027282356TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 2000AddressLine1
CityRANDOLPHCity
StateVTState
ZIP Code05060ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JOSEPH L WOODIN
CEO40.0XX354836041187
BOB WRIGHT
CHAIR THROUGH 02/2012/TRUSTEE1.0XX000
SHARON DIMMICK
VICE CHAIR/CHAIR BEG. 03/20121.0XX000
GUS MEYER
VICE CHAIR BEG. 03/20121.0XX000
KAREN GILLESPIE KORROW
SEC. THROUGH 02/2012/TRUSTEE1.0XX000
PAUL KENDALL
SECRETARY BEG. 03/20121.0XX000
BRUCE MACDONALD
TREASURER THROUGH 02/20121.0XX000
LINCOLN CLARK
TREASURER BEG. 03/20121.0XX000
BARBARA HARVEY
TRUSTEE THROUGH 02/20121.0X000
DAVID AINSWORTH
TRUSTEE1.0X000
WILLIAM BAUMANN
TRUSTEE1.0X000
LINDA CHUGKOWSKI
TRUSTEE1.0X000
JACK COWDREY
TRUSTEE1.0X000
DR MARCUS COXON
TRUSTEE/MED STAFF PRESIDENT22.4X7967404829
RANDY GARNER
TRUSTEE1.0X000
BARBARA ROCHAT
TRUSTEE1.0X000
LEO CONNOLLY
TRUSTEE BEG. 03/20121.0X000
FRED NEWHALL
TRUSTEE BEG. 03/20121.0X000
PETER NOWLAN
TRUSTEE BEG. 03/20121.0X000
DAVID SANVILLE
CFO32.0X141838029474
STEPHANIE J LANDVATER MD
PROVIDER40.0557495041831X
BESS E BRACKETT MD
PROVIDER40.0493514050621X
RICHARD W GRAHAM MD
PROVIDER40.0275596034335X
STEVEN J FISHER MD
PROVIDER40.0275111038741X
JON-RICHARD KNOFF MD
PROVIDER40.0273772040703X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2451836TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation281721TotalOtherCompensation
Number Individuals GT100 K46NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
CONNOR CONTRACTING INC
CONSTRUCTION796233
AMERICAN HEALTH CENTERS INC
EQUIPMENT LEASE436237
MORRISSWITZER ENVIRONMENTS
CONSTRUCTION280691
WEATHERBY LOCUMS INC
LOCUM SERVICES267222
LOCUM TENENS
LOCUM SERVICES255068
FieldValueIRS element (for citing)
Number Of Contractors GT100 K14NumberOfContractorsGT100K
Fundraising Events57759FundraisingEvents
Government Grants125873GovernmentGrants
All Other Contributions376491AllOtherContributions
Noncash Contributions1977NoncashContributions
Total Contributions560123TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE6241006112486761124867
340B PHARMACY REVENUE446110479401479401
DAYCARE REVENUE812900366254157296208958
CAFETERIA REVENUE722210276292276292
OTHER REVENUE624100737207737207
FieldValueIRS element (for citing)
Total Program Service Revenue62984021TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column570454TotalRevenueColumn
Exclusion$570,454ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real61849Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real131900Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-70051Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-70051TotalRevenueColumn
Exclusion-$70,051ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1037981Securities
Other98456Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1404503Securities
Other33009Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-366522Securities
Other65447Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-301075TotalRevenueColumn
Exclusion-$301,075ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events4376GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events57759CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses14371FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-9995TotalRevenueColumn
Exclusion-$9,995ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming8900GrossIncomeGaming
Gaming Direct Expenses4250GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column4650TotalRevenueColumn
Exclusion$4,650ExclusionAmount

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionEXTRAORDINARY LOSSDescription
Business Code900099BusinessCode
Total Revenue Column-3331TotalRevenueColumn
Exclusion-$3,331ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue-3331TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column63734796TotalRevenueColumn
Related Or Exempt Function Income62775063RelatedOrExemptFunctionIncome
Unrelated Business Revenue208958UnrelatedBusinessRevenue
Exclusion$190,652ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total651838Total
Program Services84503ProgramServices
Management And General567335ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total28516379Total
Program Services26111857ProgramServices
Management And General2311922ManagementAndGeneral
Fundraising92600Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1088193Total
Program Services995732ProgramServices
Management And General88928ManagementAndGeneral
Fundraising3533Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4291831Total
Program Services3910916ProgramServices
Management And General367083ManagementAndGeneral
Fundraising13832Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1897292Total
Program Services1708089ProgramServices
Management And General183164ManagementAndGeneral
Fundraising6039Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total54797Total
Management And General54797ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total72706Total
Management And General72706ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total5721Total
Management And General5721ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5220905Total
Program Services4700264ProgramServices
Management And General504023ManagementAndGeneral
Fundraising16618Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total62408Total
Program Services56184ProgramServices
Management And General6025ManagementAndGeneral
Fundraising199Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1993919Total
Program Services1793225ProgramServices
Management And General194290ManagementAndGeneral
Fundraising6404Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total853848Total
Program Services768700ProgramServices
Management And General82430ManagementAndGeneral
Fundraising2718Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total478855Total
Program Services431103ProgramServices
Management And General46228ManagementAndGeneral
Fundraising1524Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total237075Total
Program Services213433ProgramServices
Management And General22887ManagementAndGeneral
Fundraising755Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total1002417Total
Program Services902453ProgramServices
Management And General96773ManagementAndGeneral
Fundraising3191Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2988750Total
Program Services2690705ProgramServices
Management And General288532ManagementAndGeneral
Fundraising9513Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total1049698Total
Program Services945020ProgramServices
Management And General101337ManagementAndGeneral
Fundraising3341Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBT30651533065153
MEDICAL SUPPLIES & DRUGS41710834171083
LICENSES, DUES, SUBSCRIPTIONS684172615944660502178
PROVIDER TAXES28767672876767

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total401587Total
Program Services361540ProgramServices
Management And General38769ManagementAndGeneral
Fundraising1278Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total61665394Total
Program Services56402671ProgramServices
Management And General5099000ManagementAndGeneral
Fundraising163723Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY237590BOY
EOY137396EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7887859BOY
EOY7457990EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY20381BOY
EOY23581EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8188233BOY
EOY7328813EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY20000BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1170763BOY
EOY1130171EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1300846BOY
EOY1415765EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis55490036LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec29604591LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY25417612BOY
EOY25885445EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY18562914BOY
EOY25072254EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY27856BOY
EOY24124EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY361653BOY
EOY384147EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY63195707BOY
EOY68859686EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7640268BOY
EOY8474838EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY37966BOY
EOY128012EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY20009096BOY
EOY19599466EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY90288BOY
EOY165806EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4422368BOY
EOY4660308EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY32199986BOY
EOY33028430EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY29510942BOY
EOY34269832EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1015040BOY
EOY1091685EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY469739BOY
EOY469739EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY30995721BOY
EOY35831256EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY63195707BOY
EOY68859686EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2069402ReconcilationRevenueExpenses
Reconcilation Other Changes2766133ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$17,606OtherActivitiesAmount
Total Lobbying Expenditures IIB17606TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierOTHER LOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1(I)ReturnReference
ExplanationGIFFORD MEDICAL CENTER, INC. IS A MEMBER OF THE VERMONT ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS, THE BI-STATE PRIMARY CARE ASSOCIATION, AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS IS AVAILABLE FOR LOBBYING EXPENDITURES ON BEHALF OF GIFFORD MEDICAL CENTER AND THE OTHER MEMBER ORGANIZATIONS IN FURTHERANCE OF THEIR EXEMPT PURPOSES. GIFFORD MEDICAL CENTER DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance3753013BeginningOfYearBalance
Contributions2379Contributions
Investment Earnings Or Losses564216InvestmentEarningsOrLosses
End Of Year Balance4319608EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance3836630BeginningOfYearBalance
Investment Earnings Or Losses-83617InvestmentEarningsOrLosses
End Of Year Balance3753013EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance28100136BeginningOfYearBalance
Contributions100000Contributions
Investment Earnings Or Losses224040InvestmentEarningsOrLosses
Other Expenditures24587546OtherExpenditures
End Of Year Balance3836630EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance27594808BeginningOfYearBalance
Contributions114149Contributions
Investment Earnings Or Losses469829InvestmentEarningsOrLosses
Other Expenditures78650OtherExpenditures
End Of Year Balance28100136EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.67320BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.10870PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.21810TermEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis25000InvestmentCostOrOtherBasis
Other Cost Or Other Basis542114OtherCostOrOtherBasis
Book Value567114BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis25840334OtherCostOrOtherBasis
Depreciation11570262Depreciation
Book Value14270072BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis288743OtherCostOrOtherBasis
Depreciation168700Depreciation
Book Value120043BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis25695903OtherCostOrOtherBasis
Depreciation16580500Depreciation
Book Value9115403BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3097942OtherCostOrOtherBasis
Depreciation1285129Depreciation
Book Value1812813BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings25885445TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
EST AMT DUE TO THIRD PARTY$690,965
INTEREST RATE SWAP AGREEMENT$3,969,343
FieldValueIRS element (for citing)
Total Of Amounts4660308TotalOfAmounts
Total Revenue63734796TotalRevenue
Total Expenses61665394TotalExpenses
Excess Or Deficit For Year2069402ExcessOrDeficitForYear
Net Unrealized GL On Investments3013300NetUnrealizedGLOnInvestments
Other-$247,167OtherAmount
Total Adjustments2766133TotalAdjustments
Excess Or Deficit Per FS4835535ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt63448676TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments3013300NetUnrealizedGainsInvestments
Other Revenues-3318041OtherRevenues
Revenue Not Rptd F990-304741RevenueNotRptdF990
Revenue Subtotal63753417RevenueSubtotal
Other Revenues Not Included-18621OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-18621RevenueNotRptdOnFinStmt
Total Revenue Per Form99063734796TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt58613141TotExpensesEtcAuditedFinclStmt
Other Expenses Included18621OtherExpensesIncluded
Expenses Not Rptd F99018621ExpensesNotRptdF990
Expenses Subtotal58594520ExpensesSubtotal
Investment Expenses Not Included25721InvestmentExpensesNotIncluded2
Other Expenses Not Included3065153OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt3070874ExpensesNotRptdOnFinStmt
Total Expenses Per Form99061665394TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
USE OF ENDOWMENT FUNDSSCHEDULE D, PART V, LINE 4THE TEMPORARILY RESTRICTED ENDOWMENT NET ASSETS ARE USED FOR HEALTH CARE SERVICES AND CAPITAL. THE PERMANENTLY RESTRICTED ENDOWMENT NET ASSETS ARE USED FOR INDIGENT CARE, COMMUNITY OUTREACH INITIATIVES, NURSING, BUILDINGS, MAINTENANCE AND OPERATIONS.
UNCERTAIN TAX POSITIONSSCHEDULE D, PART X, LINE 2MANAGEMENT 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.
OTHER RECONCILING CHANGE IN NET ASSETSSCHEDULE D, PART XI, LINE 8$( 247,167) CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT
OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12SCHEDULE D, PART XII, LINE 2D$(3,065,153) BAD DEBT EXPENSE ( 247,167) CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT ( 5,721) INVESTMENT MANAGEMENT FEES ------------ $(3,318,041)
OTHER REVENUE INCLUDED ON FORM 990, PART VII, LINE 12, BUT NOT ON LINE 1SCHEDULE D, PART XII, LINE 4B$( 18,621) FUNDRAISING EVENT/GAMING EXPENSES
OTHER EXPENSE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25SCHEDULE D, PART XIII, LINE 2D$ 18,621 FUNDRAISING EVENT/GAMING EXPENSES
OTHER EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1SCHEDULE D, PART XIII, LINE 4B$ 3,065,153 BAD DEBT EXPENSE

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1LAST MILE RIDENameOfEvent1
Gross Receipts Event162135GrossReceiptsEvent1
Charitable Contributions Event157759CharitableContributionsEvent1
Gross Revenue Event14376GrossRevenueEvent1
Cash Prizes Event1235CashPrizesEvent1
Non Cash Prizes Event11977NonCashPrizesEvent1
Rent Facility Costs Event12598RentFacilityCostsEvent1
Food And Beverage Event11215FoodAndBeverageEvent1
Other Direct Expenses Event18346OtherDirectExpensesEvent1
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total62135GrossReceiptsTotal
Charitable Contributions Total57759CharitableContributionsTotal
Gross Revenue Total Events4376GrossRevenueTotalEvents
Cash Prizes Total Events235CashPrizesTotalEvents
Non Cash Prizes Total Events1977NonCashPrizesTotalEvents
Rent Facility Costs Total Events2598RentFacilityCostsTotalEvents
Food And Beverage Total Events1215FoodAndBeverageTotalEvents
Other Direct Expenses Total Events8346OtherDirectExpensesTotalEvents
Direct Expense Summary Events14371DirectExpenseSummaryEvents
Net Income Summary-9995NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage225.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense435791TotalCommunityBenefitExpense
Net Community Benefit Expense435791NetCommunityBenefitExpense
Percent Of Total Expense0.00740PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense9051471TotalCommunityBenefitExpense
Direct Offsetting Revenue8259443DirectOffsettingRevenue
Net Community Benefit Expense792028NetCommunityBenefitExpense
Percent Of Total Expense0.01350PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense9487262TotalCommunityBenefitExpense
Direct Offsetting Revenue8259443DirectOffsettingRevenue
Net Community Benefit Expense1227819NetCommunityBenefitExpense
Percent Of Total Expense0.02090PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense824961TotalCommunityBenefitExpense
Direct Offsetting Revenue338747DirectOffsettingRevenue
Net Community Benefit Expense486214NetCommunityBenefitExpense
Percent Of Total Expense0.00830PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense52585TotalCommunityBenefitExpense
Net Community Benefit Expense52585NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense10459358TotalCommunityBenefitExpense
Direct Offsetting Revenue8238996DirectOffsettingRevenue
Net Community Benefit Expense2220362NetCommunityBenefitExpense
Percent Of Total Expense0.03790PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense11336904TotalCommunityBenefitExpense
Direct Offsetting Revenue8577743DirectOffsettingRevenue
Net Community Benefit Expense2759161NetCommunityBenefitExpense
Percent Of Total Expense0.04710PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense20824166TotalCommunityBenefitExpense
Direct Offsetting Revenue16837186DirectOffsettingRevenue
Net Community Benefit Expense3986980NetCommunityBenefitExpense
Percent Of Total Expense0.06800PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense321TotalCommunityBuildingExpense
Net Community Building Expense321NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense749TotalCommunityBuildingExpense
Net Community Building Expense749NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense235TotalCommunityBuildingExpense
Net Community Building Expense235NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense1305TotalCommunityBuildingExpense
Net Community Building Expense1305NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$3,065,153BadDebtExpenseAmount
Amount Attributable To324906AmountAttributableTo
Amount Reimbursed By Medicare17137100AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare16572792CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall564308MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1GIFFORD MEDICAL CENTER INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1PO BOX 2000AddressLine1
CityRANDOLPHCity
StateVTState
ZIP Code05060ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1GIFFORD MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent225.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent300.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PERCENT OF TOTAL EXPENSESCHEDULE H, PART I, LINE 7, COLUMN FTO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE.
SUBSIDIZED SERVICESSCHEDULE H, PART I, LINE 7GTHE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH RURAL HEALTH CENTERS (RHC) IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G, WITH A NET SUBSIDY FROM RHCS OF $2,032,811. THESE SERVICES ARE PROVIDED IN RURAL AREAS WHERE THERE WOULD BE A SHORTAGE OF QUALITY MEDICAL CARE WITHOUT THE SERVICES. GIFFORD MEDICAL CENTER CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED.
COSTING METHODOLOGYSCHEDULE H, PART I, LINE 7GTHE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 6.
COMMUNITY BUILDING ACTIVITIESSCHEDULE H, PART IIINCLUDED IN PART II AS COMMUNITY BUILDING ACTIVITIES, ARE THE VERMONT LAW SCHOOL DIVERSITY DAY, HARTFORD HIGH SCHOOL CAREER CENTER, VERMONT WOMEN'S ECONOMIC OPPORTUNITY CONFERENCE, AND A CAREER DAY. THESE ACTIVITIES PROVIDE OPPORTUNITIES TO ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS, INCLUDING POVERTY, HOMELESSNESS, AND UNEMPLOYMENT.
BAD DEBT EXPENSESCHEDULE H, PART III, SECTION A, LINE 4THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE ORGANIZATION CALCULATED BAD DEBT USING THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS 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.
COMMUNITY BENEFITSCHEDULE H, PART III, SECTION B, LINE 8SERVING 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.
COLLECTION POLICYSCHEDULE H, PART III, SECTION C, LINE 9BTHE APPLICATION FOR AND APPROVAL OF FINANCIAL ASSISTANCE CAN OCCUR BEFORE, DURING OR AFTER TREATMENT SO LONG AS THE ACCOUNT HAS NOT BEEN WRITTEN OFF TO BAD DEBT PRIOR TO RECEIPT OF A COMPLETED APPLICATION AND THE NECESSARY DOCUMENTATION. ACCOUNTS SENT TO BAD DEBT AFTER REQUIRED INFORMATION HAS BEEN RECEIVED CAN BE RETURNED FROM COLLECTIONS FOR PROCESSING WITHOUT PENALTY TO THE APPLICANT. GIFFORD MEDICAL CENTER, INC., ENCOURAGES THE APPLICATION PROCESS TO BEGIN AS EARLY AS POSSIBLE.
MEASURES TO PUBLICIZE THE POLICYSCHEDULE H, PART V, LINE 13GIFFORD MEDICAL CENTER CONTACTS ANY UNINSURED PATIENTS THAT REGISTER WITH THE HOSPITAL TO SEE IF THEY ARE IN NEED OF FINANCIAL ASSISTANCE.
NEEDS ASSESSMENTIDENTIFYING AND MEETING THE COMMUNITY'S HEALTH CARE NEEDS WOULD NOT BE POSSIBLE WITHOUT INPUT FROM THE PUBLIC. GIFFORD MEDICAL CENTER PROVIDES AMPLE OPPORTUNITIES FOR THE PUBLIC TO PROVIDE BOTH INPUT AND ACTIVELY PARTICIPATE IN MEDICAL CENTER ACTIVITIES. THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, ANNUAL HOSPITAL REPORT CARD MEETINGS, PATIENT SATISFACTION SURVEYS AND ONE-ON-ONE COMMENTS TO HOSPITAL STAFF AND BOARD MEMBERS HELP DIRECT STRATEGIC PLANNING AND OPERATIONAL DECISIONS. EVERY THREE YEARS, GIFFORD ENGAGES IN AN EXTENSIVE STRATEGIC PLANNING PROCESS THAT RESULTS IN THE IDENTIFICATION AND IMPLEMENTATION OF A LIST OF INITIATIVES THE HOSPITAL STRIVES TO ACHIEVE OVER THE COMING THREE YEARS. SUCCESS AT ACHIEVING THOSE INITIATIVES THROUGHOUT, AND BY THE CONCLUSION, OF THE THREE-YEAR PERIOD IS EXTENSIVELY MONITORED BY THE HOSPITAL'S LEADERS, INCLUDING ITS VOLUNTEER BOARD OF TRUSTEES.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPATIENTS ARE ADVISED OF COMMUNITY OUTREACH AND ARE ENCOURAGED TO SET UP AN APPOINTMENT TO MEET WITH THE APPROPRIATE GIFFORD MEDICAL CENTER PERSONNEL. THE PATIENTS ARE ALSO DIRECTED TO GMC'S WEBSITE FOR AN EXPLANATION OF THE FREE CARE POLICY PROCESS.
COMMUNITY INFORMATIONIN ADDITION TO THE CLINICAL OFFICES LOCATED ON THE ORGANIZATION'S MAIN CAMPUS IN RANDOLPH, VERMONT, THE ORGANIZATION OPERATES COMMUNITY HEALTH CARE CENTERS LOCATED IN BETHEL, CHELSEA, ROCHESTER, SHARON, BERLIN, RANDOLPH, AND WHITE RIVER JUNCTION, VERMONT. THE RANDOLPH/BAINTREE AREA PROVIDES THE MOST VISITS AND IS LOCATED IN ORANGE COUNTY, VERMONT. ORANGE COUNTY DEMOGRAPHICS SHOW APPROXIMATELY 16.2% OVER THE AGE OF 65 AND 20.1% UNDER 18 YEARS. OVER 97% ARE WHITE, WITH 50.2% FEMALE. THE AVERAGE HOUSEHOLD INCOME IS $52,407, WITH THE POVERTY LEVEL AT 10.6%, COMPARED TO THE STATE'S 11.3%.
PROMOTION OF COMMUNITY HEALTHAS A COMMUNITY HOSPITAL, GIFFORD MEDICAL CENTER'S MISSION IS TO IMPROVE THE HEALTH OF THE PEOPLE WE SERVE BY PROVIDING AND ASSURING ACCESS TO AFFORDABLE AND HIGH-QUALITY HEALTH CARE, AND BY PROMOTING THE HEALTH AND WELL-BEING OF EVERYONE IN OUR SERVICE AREA. WE OFFER DIAGNOSTIC TECHNOLOGIES THAT INCLUDE A 64-SLICE CT SCANNER, A MOBILE MRI UNIT, A FILMLESS RADIOLOGY SYSTEM, DIGITAL MAMMOGRAPHY AND STEREOTACTIC BREAST BIOPSIES. OUR 25-BED CRITICAL ACCESS HOSPITAL HAS A BIRTHING CENTER THAT IS RECOGNIZED AROUND THE STATE. WE HAVE A 24-HOUR EMERGENCY DEPARTMENT, A 30-BED NURSING HOME WITH AN EXTENSIVE WAITING LIST AND NUMEROUS QUALITY AWARDS TO ITS CREDIT, A CHILDCARE CENTER, AN ADULT DAY PROGRAM AND SO MUCH MORE. WE'RE EXTREMELY PROUD OF THOSE ADDITIONS, OUR PROGRESSIVE CAN-DO ATTITUDE, AND OUR FINANCIAL STABILITY. THE FOLLOWING ARE THE ACTIVITIES FOR 2012: AS PART OF GIFFORD'S EXPANDED EFFORTS UNDER THE VERMONT BLUEPRINT FOR HEALTH, A CHRONIC ILLNESS SUPPORT GROUP - CHRONIC HEALTHSHARE CONSORTIUM - IS LAUNCHED AND BEGINS MEETING MONTHLY. THE MENIG EXTENDED CARE FACILITY IS NAMED AMONG NATION'S TOP 39 NURSING HOMES BY U.S. NEWS AND WORLD REPORT, WHICH RELEASED A LIST OF "2012 HONOR ROLL" NURSING HOMES. MENIG WAS THE ONLY NURSING HOME CHOSEN IN VERMONT AND NEIGHBORING NEW HAMPSHIRE. A VERMONT HOUSE OF REPRESENTATIVES RESOLUTION RECOGNIZES "THE OUTSTANDING HEALTH CARE SERVICES PROVIDED BY GIFFORD MEDICAL CENTER. THE RESOLUTION IS IN HONOR OF GIFFORD'S MORE THAN 100 YEARS OF SERVICE TO THE RANDOLPH AREA AND FOR ITS MANY RECENT AWARDS. THE DIABETES EDUCATION EXPO FOCUSES ON TEETH AND FEET AND HOW DIABETICS CAN KEEP BOTH HEALTHY. IT IS THE 7TH ANNUAL EXPOSITION ORGANIZED BY THE DIABETES CLINIC ESPECIALLY FOR THE GROWING DIABETES POPULATION. THE BLUEPRINT TEAM GROWS TO INCLUDE A BEHAVIORAL HEALTH SPECIALIST (SOCIAL WORKER) AND A SECOND CARE COORDINATOR. GOV. PETER SHUMLIN VISITS THE MENIG EXTENDED CARE FACILITY TO OFFER THANKS TO THE STATE'S TOP NURSING HOME, CALLING IT A "TRIBUTE TO THE COMMUNITY. "WE'RE PROUD OF YOU. THANK YOU FROM THE BOTTOM OF OUR HEARTS," THE GOVERNER SAID TO RESIDENTS, FAMILIES AND STAFF MEMBERS. THE GOVERNOR'S VISIT CAME IN THE WAKE OF THE U.S. NEWS REPORT "2012 HONOR ROLL" LISTING. GIFFORD PROVIDES FREE ASSISTANCE WITH ADVANCE DIRECTIVES IN CONJUNCTION WITH NATIONAL HEALTHCARE DECISIONS DAY. LONG-TIME PEDIATRICIAN DR. LOU DINICOLA RECEIVES A NATIONAL AWARD FOR HIS WORK AROUND CHILDHOOD IMMUNIZATIONS. DR. DINICOLA IS RECOGNIZED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S NATIONAL CENTER FOR IMMUNIZATION AND RESPIRATORY DISEASES AND THE CDC FOUNDATION AS THE FIRST EVER "CDC CHILDHOOD IMMUNIZATION CHAMPION FOR THE STATE OF VERMONT. FOR AN EIGHTH CONSECUTIVE YEAR, THE MENIG EXTENDED CARE FACILITY RECEIVES A NURSING HOME QUALITY RECOGNITION FROM THE VERMONT DEPARTMENT OF DISABILITIES, AGING AND INDEPENDENT LIVING. A FREE TALK ON MEDICARE INSURANCE, WHY IT'S IMPORTANT. WHY PARTICIPATING IN MEDICARE PART B IS BENEFICIAL AND WHAT ONE'S CHOICES ARE UNDER MEDICARE PART D IS OFFERED. THE COMMISSION ON CANCER OF THE AMERICAN COLLEGE OF SURGEONS GRANTS ACCREDITATION WITH COMMENDATION TO THE CANCER PROGRAM AT GIFFORD. GIFFORD'S CANCER PROGRAM, WHICH INCLUDES OUTPATIENT CHEMOTHERAPY, HAS BEEN ACCREDITED SINCE 1965. GIFFORD IS AWARDED A HOSPITAL OF CHOICE AWARD FROM THE AMERICAN ALLIANCE OF HEALTHCARE PROVIDERS FOR "COURTEOUS, COMPASSIONATE AND CARING SERVICES FOR PATIENTS, FAMILY AND THE COMMUNITY: THE RANKING PLACES GIFFORD AMONG "AMERICA'S MOST CUSTOMER-FRIENDLY HOSPITALS." FREE CLASSES ARE OFFERED AND SOON A SUPPORT GROUP STARTS FOR THE STATE'S MANY HOME CAREGIVERS. HEALTHIER LIVING WORKSHOPS - FREE SIX-WEEK CLASSES FOR THE CHRONICALLY ILL - ARE OFFERED THROUGH THE YEAR AT GIFFORD. A NEW WORKSHOP FOCUSES ON CHRONIC PAIN. FOOD CHOICES IN THE GIFFORD CAFETERIA GET EVEN HEALTHIER AS THE HOSPITAL TRANSITIONS TO A HEALTHY BREAKFAST BAR; HEALTHIER, LOWER SALT MEATS; LESS BUTTER AND HEAVY CREAM IN FOODS; AND MORE GRAINS AND LEGUMES AS STARCHES. THE CT SCANNER IS UPGRADED FROM A 40-SLICE MODEL TO A 64-SLICE MODEL, OFFERING PATIENTS FASTER SERVICE, CLEARER IMAGING AND LESS RADIATION. A NEW SYSTEM, A CAREPOINT WORKSTATION, FOR TRANSMITTING EKGS FROM AMBULANCES IN THE FIELD TO THE GIFFORD EMERGENCY DEPARTMENT IS BROUGHT ONLINE. THE SYSTEM, GENEROUSLY PAID FOR BY THE GIFFORD AUXILIARY, IS FOR USE WITH HEART ATTACK PATIENTS TO DETERMINE IF THEY SHOULD BE BROUGHT TO GIFFORD OR DIRECTLY TO A CARDIAC CATHETERIZATION LAB AT DARTMOUTH-HITCHCOCK MEDICAL CENTER OR FLETCHER ALLEN HEALTH CARE. ALL GIFFORD GROUNDS GO SMOKE-FREE IN CONCERT WITH THE GREAT AMERICAN SMOKE OUT ON NOV. 15.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JOSEPH L WOODIN
2950000225800372560108460303410396023000
DAVID SANVILLE
13145100010387073720221020171312000
STEPHANIE J LANDVATER MD
4995470119000460480122500295810599326000
BESS E BRACKETT MD
482225000112890122500383710544135000
RICHARD W GRAHAM MD
274766000830000343350309931000
STEVEN J FISHER MD
21311206108009190116350271060313852000
JON-RICHARD KNOFF MD
27179100019810122500284530314475000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierCOMPENSATION CONTINGENT ON REVENUESIdentifier
Return ReferenceSCHEDULE J, PART I, LINE 5AReturnReference
ExplanationIN ADDITION TO THEIR SALARIES, PHYSICIANS EMPLOYED BY GIFFORD MEDICAL CENTER, INC. RECEIVE A YEAR-END BONUS ON PRODUCTIVITY OR RVU'S.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1VERMONT EDUCATIONAL & HEALTH BUILDING FINANCING AGBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN237154467IssuerEIN
CUSIP Number9241608B3CUSIPNumber
Date Issued2010-09-01DateIssued
Issue Price20430000IssuePrice
Description Of PurposeTO FINANCE GIFFORD'S CAPITAL PROJEDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds20430000TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow20310307RefundingEscrow
Issuance Costs From Proceeds119693IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures0CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2010YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0PrcntgePrvtBusinessUseByOthers
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdstrueHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1DEUTSCHE BANKBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge26.TermOfHedge
Superintegrated HedgefalseSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Schedule L IRS990ScheduleL

FieldValueIRS element (for citing)
Total Balance Due0TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonRANDOLPH COAL OIL CONamePerson
FieldValueIRS element (for citing)
RelationshipSEE PART V.Relationship
Amount Of Transaction433836AmountOfTransaction
Description Of TransactionSEE PART V.DescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSIdentifier
Return ReferenceSCHEDULE L, PART IV, LINE 1ReturnReference
ExplanationKAREN GILLESPIE KORROW, GMC BOARD MEMBER, IS THE OWNER OF RANDOLPH COAL & OIL CO., FROM WHICH GMC PURCHASED FUEL AT FMV DURING THE YEAR.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
OTHER PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4DGIFFORD MEDICAL CENTER OFFERS VARIOUS OTHER HEALTH CARE SERVICES TO THE CENTRAL VERMONT AREA. OTHER SERVICES AVAILABLE INCLUDE ANESTHESIOLOGY, RADIOLOGY, LABORATORY, RESPIRATORY THERAPY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH PATHOLOGY, ELECTROCARDIOLOGY, CHEMOTHERAPY, EMERGENCY, SKILLED NURSING, LABOR AND DELIVERY, NURSERY, RADIOISOTOPE, AND ELECTROENCEPHALOGRAPHY.
ORGANIZATION'S MEMBERSFORM 990, PART VI, SECTION A, LINES 6, 7A, & 7BTHE MEMBERSHIP OF THE ORGANIZATION CONSISTS OF THOSE PERSONS SERVING AS CORPORATORS. TO BE ELIGIBLE TO SERVE AS A CORPORATOR, AN INDIVIDUAL MUST SUPPORT THE MISSION AND PURPOSES OF THE ORGANIZATION. CORPORATORS ARE NOMINATED BY THE NOMINATING COMMITTEE AND ELECTED BY MAJORITY VOTE OF THE CORPORATORS PRESENT AT THE ANNUAL MEETING OF THE CORPORATORS, AND SERVE A TERM OF THREE YEARS. THE CORPORATORS SHALL ELECT TRUSTEES OF THE ORGANIZATION, WHO MANAGE AND CONDUCT THE AFFAIRS OF THE ORGANIZATION. THE CORPORATORS MAKE NO OTHER GOVERNANCE DECISIONS FOR THE ORGANIZATION, NOR ARE THE DECISIONS OF THE BOARD OF TRUSTEES SUBJECT TO APPROVAL BY THE CORPORATORS.
REVIEW OF THE FORM 990FORM 990, PART VI, SECTION B, LINE 11BTHE 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. THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES FIRST REVIEWS THE FORM 990. THEN THE FULL BOARD OF TRUSTEES REVIEWS THE FORM 990 AT ONE OF THE BOARD MEETINGS BEFORE FILING.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CGIFFORD MEDICAL CENTER, INC. REQUIRES BOARD MEMBERS TO COMPLETE A YEARLY CONFLICT OF INTEREST SURVEY. ANY DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY TRUSTEE SHALL BE DISCLOSED TO THE OTHER BOARD MEMBERS. ANY TRUSTEE HAVING DUALITY OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER SHALL NOT VOTE OR USE HIS PERSONAL INFLUENCE ON THE MATTER, AND SHALL NOT BE PRESENT FOR DISCUSSION OF THE MATTER. THE MINUTES OF THE MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE AND THAT THE TRUSTEE ABSTAINED FROM VOTING AND DISCUSSION.
COMPENSATION REVIEWFORM 990, PART VI, SECTION B, LINES 15A & 15BGIFFORD USES A BOARD COMPENSATION COMMITTEE WITH INPUT AND DATA FROM AN INDEPENDENT SOURCE. THE EVALUATION AND RECOMMENDATION IS THEN PRESENTED TO THE BOARD OF TRUSTEES FOR APPROVAL. TO EVALUATE THE COMPENSATION OF THE ORGANIZATION'S OTHER OFFICERS AND KEY EMPLOYEES, THE COMPENSATION REVIEW IS ADMINISTERED BY HUMAN RESOURCES AND THE CEO. THE HUMAN RESOURCES DEPARTMENT HAS SOME INTERNAL AND EXTERNAL SOURCES THAT ARE UTILIZED TO COMPARE COMPENSATION AMOUNTS.
DOCUMENT DISCLOSUREFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST. THE FINANCIAL STATEMENTS ARE AVAILABLE ON THE ORGANIZATION'S WEBSITE, ANOTHER'S WEBSITE AND UPON REQUEST.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5$ 3,013,300 NET UNREALIZED GAIN ON INVESTMENTS ( 247,167) CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT ------------ $ 2,766,133

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1GIFFORD HEALTH CARE INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line144 SOUTH MAIN STREETAddressLine1
CityRANDOLPHCity
StateVTState
ZIP Code05060ZIPCode
FieldValueIRS element (for citing)
EIN460938716EIN
Primary ActivitiesPARENTPrimaryActivities
Legal Domicile StateVTLegalDomicileState
Exempt Code SectionAPPLIED FORExemptCodeSection
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg