WINDSOR HOSPITAL CORPORATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- WINDSOR HOSPITAL CORPORATION (EIN 03-0183721)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-15
- IRS object ID
- 201312279349301231
- 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 G
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-15T15:05:06-05:00 | 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 | 030183721 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Windsor Hospital Corporation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WIND | NameControl |
| Phone | 8026746711 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 289 County Road | AddressLine1 |
| City | Windsor | City |
| State | VT | State |
| ZIP Code | 05089 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | David C Sanville | Name |
| Title | CFO | Title |
| Phone | 8026746711 | Phone |
| Date Signed | 2013-08-15 | 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 | 2013-08-15 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mt Ascutney Hospital & Health Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Kevin Donovan | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 289 County Road | AddressLine1 |
| City | Windsor | City |
| State | VT | State |
| ZIP Code | 05089 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 45535123 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.mtascutneyhospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1933 | YearFormation |
| State Legal Domicile | VT | StateLegalDomicile |
| Activity Or Mission Description | To improve the lives of those we serve. Our activities include providing healthcare. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 610 | TotalNbrEmployees |
| Total Nbr Volunteers | 145 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 290914 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1045106 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 44423161 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 42721756 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 406880 | InvestmentIncomePriorYear |
| Investment Income Current Year | 517785 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 144149 | OtherRevenuePriorYear |
| Other Revenue Current Year | 112344 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 45265104 | TotalRevenuePriorYear |
| Total Revenue Current Year | 44396991 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 28702159 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 29167348 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 207652 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 17125303 | OtherExpensePriorYear |
| Other Expenses Current Year | 18701283 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 45827462 | TotalExpensesPriorYear |
| Total Expenses Current Year | 47868631 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -562358 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -3471640 | RevenuesLessExpensesCY |
| Total Assets BOY | 39107257 | TotalAssetsBOY |
| Total Assets EOY | 39840458 | TotalAssetsEOY |
| Total Liabilities BOY | 26322561 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 28978605 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 12784696 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 10861853 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Mount Ascutney Hospital and Health Center's mission is to improve the lives of those we serve. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 34086857 | Expense |
| Revenue | 42721756 | Revenue |
| Description | Mt. Ascutney Hospital and Health Center (MAHHC) operates a not-for-profit critical access hospital which provides primary and secondary health care. MAHHC's primary service area includes Windsor, Claremont, Woodstock, Hartland, Springfield, and Brownsville. The hospital provides essential healthcare services including emergency department, med/surg inpatient, med/surg outpatient, ancillary diagnostic tests, imaging/radiology procedures, and wellness/prevention services. MAHHC staffs a total of 25 acute med/surg beds, 10 acute rehabilitation beds, and 25 extended care beds. During the year there were 1,000 inpatient discharges, 550 outpatient surgeries, 76,100 outpatient lab tests, and 8,700 outpatient imaging procedures. MAHHC identified access to primary care as a central community need and is committed to providing the physician services of family practice, internal medicine and pediatrics in Windsor and Woodstock. During the year there were 38,00 primary care patient visits. MAHHC's service area includes a significant proportion of residents who are uninsured, underinsured, or dependant on Medicare/Medicaid benefits. MAHHC provides free care to patients who meet certain criteria. Foregone charges furnished under MAHHC's free care policy amounted to $744,400. | Description |
| Total Program Service Expense | 34086857 | 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 | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | 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 | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | 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 | 0 | 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 | 1 | 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 | 60 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 610 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| 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 | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | 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 | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Theresa Kohler | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8026747240 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 289 County Road | AddressLine1 |
| City | Windsor | City |
| State | VT | State |
| ZIP Code | 05089 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Harold Pyke | |||||||
| Secretary | 1.00 | X | X | 0 | 0 | 0 | |
| Nancy Loux | |||||||
| President | 1.00 | X | X | 0 | 0 | 0 | |
| Susan Plausteiner | |||||||
| Treasurer | 1.00 | X | X | 0 | 0 | 0 | |
| Paul Buff | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Beach Conger MD | |||||||
| Trustee | 22.00 | X | 92500 | 0 | 23477 | ||
| Larry Frazer | |||||||
| Past Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Michael Newbold | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Jane Osgood | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Lynn Peterson MD | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Alan Cummings | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Shelley Seward | |||||||
| Vice-President | 1.00 | X | X | 0 | 0 | 0 | |
| Nancy Formella | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Hon Donna Sweaney | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Steven Smith MD | |||||||
| Trustee | 40.00 | X | 159782 | 0 | 61091 | ||
| Donna VanFleet | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Andrew Robinson MD | |||||||
| Trustee | 40.00 | X | 0 | 0 | 0 | ||
| Catherine Schneider MD | |||||||
| CMO | 40.00 | X | 151510 | 0 | 24464 | ||
| Kevin Donovan | |||||||
| CEO | 40.00 | X | 257905 | 0 | 17976 | ||
| Bennett Beres | |||||||
| Past COO | 40.00 | X | 133671 | 0 | 33547 | ||
| Jill Lord | |||||||
| CNO | 40.00 | X | 146112 | 0 | 852 | ||
| Wayne Bennett | |||||||
| Past CFO | 40.00 | X | 190504 | 0 | 18665 | ||
| David Sanville | |||||||
| CFO | 24.00 | X | 0 | 0 | 0 | ||
| Paul Calandrella | |||||||
| COO | 40.00 | X | 0 | 0 | 0 | ||
| Christopher Connor MD | |||||||
| Ophthalmologist | 40.00 | 347347 | 0 | 35514 | X | ||
| Peter Rauert MD | |||||||
| Anesthesiologist | 40.00 | 279724 | 0 | 27792 | X | ||
| Glenn Neale MD | |||||||
| Orthopedist | 40.00 | 286988 | 0 | 40439 | X | ||
| Laura Manfield | |||||||
| Physiatrist | 40.00 | 220771 | 0 | 26810 | X | ||
| Heidi Cruz | |||||||
| Physiatrist | 40.00 | 189682 | 0 | 45763 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2456496 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 356390 | TotalOtherCompensation |
| Number Individuals GT100 K | 34 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Dartmouth-Hitchcock | |||||
| One Medical Center Drive | Lebanon | NH | 03756 | Provide Professional and Physician Servi | 1948706 |
| Emergency Services of New England | |||||
| PO Box 12 | Chester | VT | 05143 | Physician Assistance for Emergency | 1006837 |
| Valley Regional Hospital | |||||
| 243 Elm Street | Claremont | NH | 03743 | Provide Surgeons for Hospital | 278283 |
| CPSI | |||||
| PO Box 850309 | Mobile | AL | 366850309 | Service/Maintenance Contract | 242585 |
| Weatherby Locums Inc | |||||
| PO Box 972633 | Dallas | TX | 753972633 | Provide Physician Coverage for Hospital | 232687 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 12 | NumberOfContractorsGT100K |
| Government Grants | 469251 | GovernmentGrants |
| All Other Contributions | 575855 | AllOtherContributions |
| Noncash Contributions | 22405 | NoncashContributions |
| Total Contributions | 1045106 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Patient Services | 900099 | 69735554 | 69735554 |
| Program & Misc Other | 900099 | 868142 | 868142 |
| DHS/VAHHA Revenue | 900099 | 302698 | 302698 |
| Uncollectable Provisio | 900099 | -2177808 | -2177808 |
| Contractual & Charity | 900099 | -26006830 | -26006830 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 42721756 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 325519 | TotalRevenueColumn |
| Exclusion | $325,519 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 69744 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 69744 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 69744 | TotalRevenueColumn |
| Exclusion | $69,744 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1311895 | Securities |
| Other | 2233 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1121862 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 190033 | Securities |
| Other | 2233 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 192266 | TotalRevenueColumn |
| Exclusion | $192,266 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 58870 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 16270 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 42600 | TotalRevenueColumn |
| Exclusion | $42,600 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 44396991 | TotalRevenueColumn |
| Related Or Exempt Function Income | 42721756 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $630,129 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 935670 | Total |
| Program Services | 115978 | ProgramServices |
| Management And General | 819692 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21406032 | Total |
| Program Services | 19183459 | ProgramServices |
| Management And General | 2055974 | ManagementAndGeneral |
| Fundraising | 166599 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1530566 | Total |
| Program Services | 1116280 | ProgramServices |
| Management And General | 414286 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3685905 | Total |
| Program Services | 3061538 | ProgramServices |
| Management And General | 624367 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1609175 | Total |
| Program Services | 1174706 | ProgramServices |
| Management And General | 434469 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37547 | Total |
| Program Services | 6242 | ProgramServices |
| Management And General | 31305 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30604 | Total |
| Management And General | 30604 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4244236 | Total |
| Program Services | 2490014 | ProgramServices |
| Management And General | 1742820 | ManagementAndGeneral |
| Fundraising | 11402 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 81240 | Total |
| Program Services | 3766 | ProgramServices |
| Management And General | 74449 | ManagementAndGeneral |
| Fundraising | 3025 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48681 | Total |
| Program Services | 32931 | ProgramServices |
| Management And General | 14949 | ManagementAndGeneral |
| Fundraising | 801 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1045859 | Total |
| Program Services | 339374 | ProgramServices |
| Management And General | 706485 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77964 | Total |
| Program Services | 48878 | ProgramServices |
| Management And General | 29064 | ManagementAndGeneral |
| Fundraising | 22 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 446166 | Total |
| Management And General | 446166 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2096367 | Total |
| Management And General | 2096367 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 598738 | Total |
| Program Services | 353337 | ProgramServices |
| Management And General | 245401 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Contracted Wages | 2970987 | 2445016 | 525971 | |
| Medical Supplies | 2441620 | 2422996 | 18600 | 24 |
| Dues/Fees/Taxes | 2234707 | 228142 | 2006278 | 287 |
| General Supplies | 631394 | 248268 | 378026 | 5100 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1715173 | Total |
| Program Services | 815932 | ProgramServices |
| Management And General | 878849 | ManagementAndGeneral |
| Fundraising | 20392 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47868631 | Total |
| Program Services | 34086857 | ProgramServices |
| Management And General | 13574122 | ManagementAndGeneral |
| Fundraising | 207652 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1601 | BOY |
| EOY | 2040 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5796450 | BOY |
| EOY | 4310274 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 542045 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5437430 | BOY |
| EOY | 4943761 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14037 | BOY |
| EOY | 20653 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 606056 | BOY |
| EOY | 537845 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 399107 | BOY |
| EOY | 147056 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 33694489 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 19376034 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13639227 | BOY |
| EOY | 14318455 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9618618 | BOY |
| EOY | 11218112 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1714139 | BOY |
| EOY | 1873054 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1880592 | BOY |
| EOY | 1927163 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39107257 | BOY |
| EOY | 39840458 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4360185 | BOY |
| EOY | 6011590 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8937741 | BOY |
| EOY | 8731471 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1030739 | BOY |
| EOY | 1743586 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11993896 | BOY |
| EOY | 12491958 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26322561 | BOY |
| EOY | 28978605 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6690592 | BOY |
| EOY | 4628155 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 464786 | BOY |
| EOY | 441032 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5629318 | BOY |
| EOY | 5792666 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12784696 | BOY |
| EOY | 10861853 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39107257 | BOY |
| EOY | 39840458 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -3471640 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1548797 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| 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 | $19,779 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 19779 | 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 Hospital paid $18,081 in the form of dues to the Vermont Association of Hospitals and Health Systems (VAHHS). VAHHS is a member-owned organization devoted to improving the health status of communities throughout Vermont through activities which include advocacy, policy development, education and research. The Hospital also paid $1,698 in the form of dues to the American Hospital Association (AHA). | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 5705958 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 174448 | InvestmentEarningsOrLosses |
| End Of Year Balance | 5880406 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 5787015 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -81057 | InvestmentEarningsOrLosses |
| End Of Year Balance | 5705958 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 5710296 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 76719 | InvestmentEarningsOrLosses |
| End Of Year Balance | 5787015 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 5634030 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 76266 | InvestmentEarningsOrLosses |
| End Of Year Balance | 5710296 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.98500 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.01500 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 75418 | OtherCostOrOtherBasis |
| Book Value | 75418 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12096401 | OtherCostOrOtherBasis |
| Depreciation | 7430093 | Depreciation |
| Book Value | 4666308 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12627760 | OtherCostOrOtherBasis |
| Depreciation | 7500017 | Depreciation |
| Book Value | 5127743 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8894910 | OtherCostOrOtherBasis |
| Depreciation | 4445924 | Depreciation |
| Book Value | 4448986 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 14318455 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Other Liabilities | $1,062,534 |
| Post-Retirement Benefit Obligation | $7,647,828 |
| Interest Rate Swap | $789,547 |
| Estimated Settlements with Third-Party Payors | $2,992,049 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 12491958 | TotalOfAmounts |
| Total Revenue | 44396991 | TotalRevenue |
| Total Expenses | 47868631 | TotalExpenses |
| Excess Or Deficit For Year | -3471640 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 1254020 | NetUnrealizedGLOnInvestments |
| Other | $294,777 | OtherAmount |
| Total Adjustments | 1548797 | TotalAdjustments |
| Excess Or Deficit Per FS | -1922843 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 45931454 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1254020 | NetUnrealizedGainsInvestments |
| Other Revenues | 342784 | OtherRevenues |
| Revenue Not Rptd F990 | 1596804 | RevenueNotRptdF990 |
| Revenue Subtotal | 44334650 | RevenueSubtotal |
| Investment Expenses Not Included | 30604 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 31737 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 62341 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 44396991 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 47854297 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 16270 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 16270 | ExpensesNotRptdF990 |
| Expenses Subtotal | 47838027 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 30604 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 30604 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 47868631 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Intended Use of Endowment Funds: | Part V, Line 4: | In general, the amount of the original gift and any required accumulations by the donor are not expendable. However, the market value of the fund may fall below that amount depending on current financial conditions in the underlying investments. Under the policy of the Hospital, the endowment assets are invested moderately with the intent of providing a predictable stream of funding to the Hospital. The Hospital invests in equity funds, bond funds and money market investments to achieve its long-term return objectives within limited risk constraints. Actual returns in any year may vary from budgeted amounts due to market fluctuations. |
| Part XI, Line 8 - Other Adjustments: | Unrealized Loss on Interest Rate Swap -27,303. Equity in Income of Subsidiaries 116,649. Change in Funded Status of Pension Plan 46,516. Unrealized Appreciation in Charitable Remainder Trust -4,434. Unrealized Appreciation in Beneficial Interest in Perpetual Trusts 163,349. Total to Schedule D, Part XI, Line 8: 294,777. | |
| Part XII, Line 2d - Other Adjustments: | Equity in Income of Subsidiaries 116,649. Change in Funded Status of Pension Plan 46,516. Unrealized Appreciation in Beneficial Interest in Perpetual Trusts 163,349. Fundraising Expense 16,270. | |
| Part XII, Line 4b - Other Adjustments: | Unrealized Loss on Interest Rate Swap 27,303. Unrealized Appreciaton in Charitable Remaineder Trust 4,434. | |
| Part XIII, Line 2d - Other Adjustments: | Fundraising Expense 16,270. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Golf Tournament | NameOfEvent1 |
| Gross Receipts Event1 | 58870 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 58870 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 650 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 5000 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 5805 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 4815 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 58870 | GrossReceiptsTotal |
| Gross Revenue Total Events | 58870 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 650 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 5000 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 5805 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 4815 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 16270 | DirectExpenseSummaryEvents |
| Net Income Summary | 42600 | NetIncomeSummary |
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 |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| 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 | 471580 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 471580 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00990 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7322062 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4162763 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3159299 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06600 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7793642 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4162763 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3630879 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07590 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 342261 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 342261 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00720 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 95888 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 95888 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00200 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10730294 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7942311 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2787983 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05820 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3100 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3100 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11171543 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7942311 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3229232 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06750 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 18965185 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12105074 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6860111 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.14340 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $1,270,000 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 17441489 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 17680354 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -238865 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| 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 | Windsor Hospital Corporation | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 289 County Road | AddressLine1 |
| City | Windsor | City |
| State | VT | State |
| ZIP Code | 05089 | 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 |
| Other | Skilled nursing facility | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Windsor Hospital Corporation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Needs Assessment Conducted | 06 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 300.000000000000 | FPGDiscountPercent |
| Explains Basis | 0 | ExplainsBasis |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Lien On Residence | X | LienOnResidence |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Medicare Rate | X | MedicareRate |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| Part I, Line 7: A cost accounting system was used to calculate the amounts reported in the table. The cost accounting system addresses all patient segments. A cost-to-charge ratio was used. | |
| Part I, Line 7g: Physician Clinic costs included within Subsidized Health Services are $5,776,826 of the total Community Benefit Expenses and $4,482,511 of the Direct Offsetting Revenue. | |
| Part III, Line 4: Management provides for probable uncollectible amounts through a charge to operations and a credit to a valuation allowance based on its assessment of individual accounts and historical adjustments. Balances that are still outstanding after management has used reasonable collection efforts are written off through a charge to the valuation allowance and a credit to accounts receivable. The costing methodology used above was the cost to charge ratio. | |
| Part III, Line 8: The shortfall represents the PPS reimbursement difference on the Rehab and SNF units. Since the reimbursement does not cover the costs of these units, a subsidy is created. Because the Hospital determined that these services are important to our service area, the Hospital covers the subsidy. | |
| Part III, Line 9b: MAHHC's collection policy and charitable care policies are consistently applied to all patients. Our collection policy applies to any balance owed by the patient whether it is a balance after insurance, a balance with no insurance, or a balance after an adjustment for partial charitable care. Statements, credit reporting, collection efforts, and write-off criteria are the same for all like balances, regardless of the reason for the balance and regardless of whether it is a balance after charitable care or not. Patients who qualify for financial assistance receive the appropriate adjustment on their bill. If a balance remains after that adjustment, they are billed according to the collection policy, for the remainder. | |
| Part V, Section B, Line 3: Focus groups, surveys and stakeholder groups | Windsor Hospital Corporation |
| Part V, Section B, Line 4: Other facilities were Dartmouth Hitchcock Medical Center and Alice Peck Day Hospital. | Windsor Hospital Corporation |
| Part V, Section B, Line 5c: A benefit report was prepared and made available and distributed through the Mt. Ascutney Community Foundation and the Windsor Area Community Partnership. | Windsor Hospital Corporation |
| Part VI, Line 3: The Hospital posts its charity care policy on its website. | |
| Part VI, Line 4: MAHHC's primary service area includes Windsor, Claremont, Woodstock, Hartland, Springfield, and Brownsville. | |
| Part VI, Line 5: The Windsor Community Health Clinic at Mt. Ascutney Hospital was established to serve members of our community who are not covered by Medicaid, VHAP, and private insurance, and who do not have the financial resources to pay for healthcare services. The Clinic offers free clinic appointments to members who have no insurance, or are under-insured and meet certain income requirements. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | 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 | 1 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Steven Smith MD | |||||||||||||
| 157382 | 0 | 0 | 0 | 2400 | 0 | 0 | 0 | 61091 | 0 | 220873 | 0 | 0 | 0 |
| Catherine Schneider MD | |||||||||||||
| 151396 | 0 | 0 | 0 | 114 | 0 | 0 | 0 | 24464 | 0 | 175974 | 0 | 0 | 0 |
| Kevin Donovan | |||||||||||||
| 251305 | 0 | 0 | 0 | 6600 | 0 | 0 | 0 | 17976 | 0 | 275881 | 0 | 0 | 0 |
| Bennett Beres | |||||||||||||
| 133445 | 0 | 0 | 0 | 226 | 0 | 5545 | 0 | 28002 | 0 | 167218 | 0 | 0 | 0 |
| Wayne Bennett | |||||||||||||
| 190324 | 0 | 0 | 0 | 180 | 0 | 0 | 0 | 18665 | 0 | 209169 | 0 | 0 | 0 |
| Christopher Connor MD | |||||||||||||
| 297101 | 0 | 50000 | 0 | 246 | 0 | 9800 | 0 | 25714 | 0 | 382861 | 0 | 0 | 0 |
| Peter Rauert MD | |||||||||||||
| 279478 | 0 | 0 | 0 | 246 | 0 | 5697 | 0 | 22095 | 0 | 307516 | 0 | 0 | 0 |
| Glenn Neale MD | |||||||||||||
| 267988 | 0 | 19000 | 0 | 0 | 0 | 0 | 0 | 40439 | 0 | 327427 | 0 | 0 | 0 |
| Laura Manfield | |||||||||||||
| 213413 | 0 | 7142 | 0 | 216 | 0 | 2396 | 0 | 24414 | 0 | 247581 | 0 | 0 | 0 |
| Heidi Cruz | |||||||||||||
| 189462 | 0 | 0 | 0 | 220 | 0 | 7768 | 0 | 37995 | 0 | 235445 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 7 | Christopher Conner, MD received a bonus which was based on Relative Value Units (RVU's). Laura Manfield, MD received a bonus which was a loan repayment. Glenn Neale, MD received a bonus which was based upon longevity. | |
| Part III | Steven Smith was paid $218,473 in compensation and benefits by Dartmouth Hitchcock Medical Center, an unrelated organization, for his services as physician. He was not compensated for his duty as trustee. Kevin Donovan was paid 269,281 in compensation and benefits by Dartmouth Hitchcock Medical Center, an unrelated organization, for his services as CEO. | Supplemental Information |
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 |
| Date Issued | 2010-02-05 | DateIssued |
| Issue Price | 9244000 | IssuePrice |
| Description Of Purpose | Refinancing of 2004 and 2005 Bonds | 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 | 512529 | AmountRetired |
| Total Proceeds | 9244000 | TotalProceeds |
| Issuance Costs From Proceeds | 128133 | IssuanceCostsFromProceeds |
| Capital Expenditures | 9115867 | CapitalExpenditures |
| Year Of Subst Completion | 2010 | YearOfSubstCompletion |
| Current Refunding | 1 | 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 | 0 | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section B, line 11 | The Form 990 is reviewed and approved by the Finance Committee of the Board. The Board receives a copy of the final version and it is discussed at the Board meeting. | |
| Form 990, Part VI, Section B, line 12c | The Finance and Audit Committees monitor and report to the Board of Directors. | |
| Form 990, Part VI, Section B, line 15 | The Executive Committee of the Board meets annually to review compensation for the CEO, using independent surveys of area compensation for executives of various sized hospitals. Other officers and key employees salaries are determined, by the HR department, using comparable market data. | |
| Form 990, Part VI, Section C, line 19 | All internal policies, governing documents, and financial statements are made available upon request | |
| Form 990, Part XI, line 5: | Net unrealized gains on investments: 1,254,020. Unrealized Loss on Interest Rate Swap -27,303. Equity in Income of Subsidiaries 116,649. Change in Funded Status of Post-Retirement 46,516. Unrealized Depreciation in Charitable Remainder Trust -4,434. Unrealized Appreciation in Beneficial Interest in Perpetual Trusts 163,349. Total to Form 990, Part XI, Line 5: 1,548,797. | Changes in Net Assets or Fund Balances: |
| Form 990, Part XII, Line 2c | The organization did not change its oversight or selection process during the tax year. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Historic Homes of Runnemede | ||||||||||
| 40 Maxwell Perkins Lane | Windsor | VT | 050891206 | 237396147 | Providing Services for the Aging | VT | 501(c)(3) | Line 9 | Windsor Hospital Corporation | 0 |
| Mount Ascutney Hospital Community Health Foundation Inc | ||||||||||
| 289 County Road | Windsor | VT | 05089 | 030300481 | To provide healthcare services to the Windsor, Vermont community | VT | 501(c)(3) | Line 3 | Windsor Hospital Corporation | 0 |
| 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 | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Mt Ascutney Hospital Community Health Foundation Inc | |
| P | 19468 |
| Historic Homes of Runnemede Inc | |
| P | 90670 |