RUTLAND HOSPITAL INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: RUTLAND HOSPITAL INC (EIN 03-0183483)
Tax period: 2009-10-01 to 2010-09-30
Filed: 2011-08-11
IRS object ID: 201132239349301308
Schema version: 2009v1.7
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-08-11T08:42:02-05:00	Timestamp
Tax Period End Date	2010-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	030183483	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	RUTLAND HOSPITAL INC	BusinessNameLine1
Business Name Line2	DBA RUTLAND REGIONAL MEDICAL CENTER	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	RUTL	NameControl
Phone	8027757111	Phone

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	EDWARD OGORZALEK	Name
Title	CFO	Title
Date Signed	2011-06-06	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

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

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

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

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

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	189511139	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	WWW.RRMC.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1892	YearFormation
State Legal Domicile	VT	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE SUPERIOR DIAGNOSTIC, THERAPEUTIC AND PREVENTATIVE HEALTH SERVICES IN A CARING ENVIRONMENT TO THOSE IN THE RUTLAND REGION AND SURROUNDING COMMUNITIES THROUGH THE STRENGTH OF OUR PEOPLE & TECH.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	18	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	1565	TotalNbrEmployees
Total Nbr Volunteers	396	TotalNbrVolunteers
Total Gross UBI	2284651	TotalGrossUBI
Net Unrelated Business Txbl Income	471882	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	605252	ContributionsGrantsPriorYear
Contributions Grants Current Year	1629587	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	172524451	ProgramServiceRevenuePriorYear
Program Service Revenue CY	180149233	ProgramServiceRevenueCY
Investment Income Prior Year	-630909	InvestmentIncomePriorYear
Investment Income Current Year	-161211	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-185966	OtherRevenuePriorYear
Other Revenue Current Year	-926472	OtherRevenueCurrentYear
Total Revenue Prior Year	172312828	TotalRevenuePriorYear
Total Revenue Current Year	180691137	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	1400000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1289733	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	92649450	SalariesEtcPriorYear
Salaries Etc Current Year	100515144	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	75331914	OtherExpensePriorYear
Other Expenses Current Year	75655361	OtherExpensesCurrentYear
Total Expenses Prior Year	169381364	TotalExpensesPriorYear
Total Expenses Current Year	177460238	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	2931464	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	3230899	RevenuesLessExpensesCY
Total Assets BOY	166287139	TotalAssetsBOY
Total Assets EOY	186761925	TotalAssetsEOY
Total Liabilities BOY	80201251	TotalLiabilitiesBOY
Total Liabilities EOY	96660982	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	86085888	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	90100943	NetAssetsOrFundBalancesEOY
Mission Description	TO PROVIDE COMPREHENSIVE INPATIENT AND OUTPATIENT MEDICAL SERVICES AND TO IMPROVE HEALTH OF THE RESIDENTS OF RUTLAND AND SURROUNDING COMMUNITIES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.	MissionDescription
Significant New Program Services	true	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	61008609	Expense
Revenue	76180258	Revenue
Description	ANCILLARY CARE. ANCILLARY CARE SERVICES INCLUDE OPERATING ROOM, EMERGENCY ROOM, PHYSICAL REHABILITATION, ANESTHESIOLOGY, ONCOLOGY, PULMONARY, RESPIRATORY, PHYSICAL THERAPY, CARDIAC CATH, ENDOSCOPY, AMBULATORY, DELIVERY, RADIATION, PSYCHIATRIC COUNSELING, OCCUPATIONAL THERAPY, RECOVERY, HIV CLINIC, AND SPEECH THERAPY. SEE SCHEDULE O FOR MORE INFORMATION.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	37272984	Expense
Revenue	46542047	Revenue
Description	INPATIENT CARE. INPATIENT CARE SERVICES INCLUDE MEDICAL AND SURGICAL, INTENSIVE CARE, HOSPITALISTS, REHABILITATION, PSYCHIATRIC, OBSTETRICS AND GYNECOLOGY, NURSERY, AND NURSING. SEE SCHEDULE O FOR MORE INFORMATION.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	23274382	Expense
Revenue	29062266	Revenue
Description	DIAGNOSTIC SERVICES. DIAGNOSTIC SERVICES INCLUDE LABORATORY, RADIOLOGY, ELECTROENCEPHALOGRAPHY, AND CT SCANNING. SEE SCHEDULE O FOR MORE INFORMATION.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	20886055	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	1289733	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	26080011	TotalOfOtherProgramServiceRev
Total Program Service Expense	142442030	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	true	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	176	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1565	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Nbr Voting Governing Body Members	18	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
BILL BANNERMAN
DIRECTOR	1.0	X	0	0	0
GORDON H CHADER
DIRECTOR	1.0	X	0	0	0
J CHRISTIAN HIGGINS MD
DIRECTOR	1.0	X	5000	0	0
JESSICA L ANDERSON
VICE CHAIRMAN	1.0	X	0	0	0	X
JOAN F GAMBLE
SECRETARY	1.0	X	0	0	0	X
JOHN C COLLINS
DIRECTOR THROUGH 4/2010	1.0	X	0	0	0
JOHN R BRUMSTEAD MD
DIRECTOR	1.0	X	0	0	0	X
JON S READNOUR ESQ
CHAIR	1.0	X	0	0	0	X
JOSEPH GIANCOLA
DIRECTOR	1.0	X	442	0	0
KIRK DUFTY MD
DIRECTOR	1.0	X	252692	0	26738
MARK K FOLEY
DIRECTOR	1.0	X	0	0	0
MARY E MORAN
DIRECTOR	1.0	X	0	0	0
MATTHEW A CONWAY MD
DIRECTOR	1.0	X	150	0	9000
MICHAEL MCCORMACK
DIRECTOR	1.0	X	0	0	0
RICHARD D LOVETT MD
DIRECTOR THROUGH 5/2010	1.0	X	7500	0	0
RON J CIOFFI
DIRECTOR	1.0	X	0	0	0
VICTORIA P YOUNG
DIRECTOR	1.0	X	0	0	0	X
CLAUDE LAPERLE
DIRECTOR BEGINNING 5/2010	1.0	X	0	0	0
DANIEL M FOLEY MD
DIRECTOR BEGINNING 6/2010	1.0	X	16576	0	0
JOHN R BUTTERLY MD
DIRECTOR BEGINNING 5/2010	1.0	X	0	0	0
MARTHA COULTER
DIRECTOR THROUGH 4/2010	1.0	X	0	0	0
THOMAS W HUEBNER
PRESIDENT & CEO	40.0		406355	0	48083	X
EDWARD T OGORZALEK
CFO	40.0		228503	0	47681	X
MARY T NEMETH
VP CORPORATE SUPPORT SVCS	40.0		177668	0	29094		X
BAXTER HOLLAND
VP PROFESSIONAL SUPPORT SVCS	40.0		309741	0	46055		X
DORCAS WARD
VP HOSPITAL SVC	40.0		169862	0	34592		X
BARBARA ROBINSON
VP CLINICAL SERVICES	40.0		169824	0	31509		X
MARY KOHANSKI
VICE PRESIDENT HUMAN RESOURCES	40.0		160641	0	22509		X
RONALD FUSCHILLO
CIO	40.0		217752	0	31883		X
HARVEY REICH
MEDICAL DIRECTOR ICU	40.0		373743	0	45582			X
MICHAEL KENOSH
MEDICAL DIRECTOR REHAB SVCS	40.0		493848	0	38414			X
ROBERT GIERING
PHYSICIAN	40.0		482083	0	38953			X
KENNETH MAR
PHYSICIAN	40.0		277274	0	38561			X
MARIE PAVINI
PHYSICIAN	40.0		282144	0	27212			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4031798	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	515866	TotalOtherCompensation
Number Individuals GT100 K	72	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServices	CompensationCompensation
SHERIDAN HEALTHCARE OF VERMONT
ANESTHETISTS	1934890
CHG MEDICAL STAFFING DBA COMPHEALTH
TEMPORARY STAFFING	790686
CERNER CORP
PROFESSIONAL	722968
GE MEDICAL SYSTEMS
SERVICE CONTRACTS	652959
MEDQUIST TRANSCRIPTIONS LTD
TRANSCRIPTION	542176

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	33	NumberOfContractorsGT100K
Related Organizations	1180676	RelatedOrganizations
Government Grants	190138	GovernmentGrants
All Other Contributions	258773	AllOtherContributions
Total Contributions	1629587	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE	900099	176341975	176341975
CAFETERIA	722210	927397	927397
ENTEROSTOMAL NURSING SERVICES	623000	74229		74229
OCCUPATIONAL HEALTH SERVICES	621400	95997		95997
LABORATORY DIAGNOSTIC AND SCREENING SERV	621500	2114425		2114425

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	595210	TotalRevenueColumn
Related Or Exempt Function Income	595210	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	180149233	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	271179	TotalRevenueColumn
Exclusion	$271,179	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	4156	TotalRevenueColumn
Exclusion	$4,156	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	87245	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	279072	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-191827	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-191827	TotalRevenueColumn
Exclusion	-$191,827	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	8002133	Securities
Other	102251	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	8490191	Securities
Other	50739	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-488058	Securities
Other	51512	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-436546	TotalRevenueColumn
Exclusion	-$436,546	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	LOSS ON EXTINGUISHMENT OF DEBT	Description
Total Revenue Column	-734645	TotalRevenueColumn
Exclusion	-$734,645	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	-734645	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	180691137	TotalRevenueColumn
Related Or Exempt Function Income	177864582	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2284651	UnrelatedBusinessRevenue
Exclusion	-$1,087,683	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	1289733	Total
Program Services	1289733	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2449850	Total
Program Services	1719228	ProgramServices
Management And General	730622	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	74906796	Total
Program Services	63903354	ProgramServices
Management And General	11003442	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	5258668	Total
Program Services	3826296	ProgramServices
Management And General	1432372	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	12850215	Total
Program Services	9329489	ProgramServices
Management And General	3520726	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5049615	Total
Program Services	3666112	ProgramServices
Management And General	1383503	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	481208	Total
Program Services	88904	ProgramServices
Management And General	392304	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	154209	Total
Management And General	154209	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	76487	Total
Management And General	76487	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	394393	Total
Management And General	394393	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	12425659	Total
Program Services	8420231	ProgramServices
Management And General	4005428	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	919493	Total
Program Services	313525	ProgramServices
Management And General	605968	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	11994112	Total
Program Services	10842060	ProgramServices
Management And General	1152052	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	2501984	Total
Program Services	139126	ProgramServices
Management And General	2362858	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3277760	Total
Program Services	2297750	ProgramServices
Management And General	980010	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1136880	Total
Program Services	412664	ProgramServices
Management And General	724216	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	345837	Total
Program Services	271166	ProgramServices
Management And General	74671	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1398965	Total
Program Services	1015809	ProgramServices
Management And General	383156	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	7790514	Total
Program Services	5656809	ProgramServices
Management And General	2133705	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1864882	Total
Management And General	1864882	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
DUES & SUBSCRIPTIONS	945749	201250	744499
RECRUITING & RETENTION	113174	86376	26798
MEDICAL SUPPLIES & DRUGS	14963109	14963109
MEDICAID TAX ASSESSMENT	7416007	7416007
BAD DEBT	6492646	6492646

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	962293	Total
Program Services	90386	ProgramServices
Management And General	871907	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	177460238	Total
Program Services	142442030	ProgramServices
Management And General	35018208	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2855	BOY
EOY	3355	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	18840203	BOY
EOY	14102169	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	546012	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	21457146	BOY
EOY	21484303	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1257259	BOY
EOY	1334965	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2486686	BOY
EOY	2000321	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	157829504	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	95992374	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	50746196	BOY
EOY	61837130	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	65183266	BOY
EOY	78532635	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	6313528	BOY
EOY	6921035	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	166287139	BOY
EOY	186761925	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	23598489	BOY
EOY	25688842	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	27045000	BOY
EOY	27856439	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	3818915	BOY
EOY	8165968	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	25738847	BOY
EOY	34949733	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	80201251	BOY
EOY	96660982	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	82851156	BOY
EOY	81384035	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2587251	BOY
EOY	8038266	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	647481	BOY
EOY	678642	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	86085888	BOY
EOY	90100943	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	166287139	BOY
EOY	186761925	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	true	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$78,721	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$40,846	OtherActivitiesAmount
Total Lobbying Expenditures IIB	119567	TotalLobbyingExpendituresIIB

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	LOBBYING EXPENSES	Identifier
Return Reference	SCHEDULE C, PART II-B, LINE 1G AND 1I	ReturnReference
Explanation	THE ORGANIZATION PAID LOBBYING FEES OF $76,487 TO A PROFESSIONAL GOVERNMENT AFFAIRS AND COMMUNICATION STRATEGIES COMPANY. THE ORGANIZATION'S CEO, THOMAS HUEBNER, SPENDS TIME EACH YEAR WORKING DIRECTLY WITH STATE LEGISLATORS TO IMPROVE SERVICES FOR THE RUTLAND REGION. APPROXIMATELY $2,234 OF HIS SALARY IS ALLOCATED TO THIS ACTIVITY. ALSO, DUES ARE PAID TO THE AMERICAN HOSPITAL ASSOCIATION AND THE VERMONT HOSPITAL ASSOCIATION. A PORTION OF DUES IS ATTRIBUTABLE TO LOBBYING: $ 6,926 AHA $ 33,920 VHA ------ $119,405	Explanation

Schedule D IRS990ScheduleD

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

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	10799491	BeginningOfYearBalance
Investment Earnings Or Losses	-558357	InvestmentEarningsOrLosses
End Of Year Balance	10241134	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.78910	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.21090	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	24161	OtherCostOrOtherBasis
Book Value	24161	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	37004417	OtherCostOrOtherBasis
Depreciation	16582091	Depreciation
Book Value	20422326	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	24361431	OtherCostOrOtherBasis
Depreciation	11061908	Depreciation
Book Value	13299523	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	86661275	OtherCostOrOtherBasis
Depreciation	67322421	Depreciation
Book Value	19338854	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9778220	OtherCostOrOtherBasis
Depreciation	1025954	Depreciation
Book Value	8752266	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	61837130	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
EST DUE TO THIRD PARTY PAYER	$2,914,651
ACCRUED PENSION	$32,035,082

Field	Value	IRS element (for citing)
Total Of Amounts	34949733	TotalOfAmounts
Total Revenue	180691137	TotalRevenue
Total Expenses	177460238	TotalExpenses
Excess Or Deficit For Year	3230899	ExcessOrDeficitForYear
Net Unrealized GL On Investments	338409	NetUnrealizedGLOnInvestments
Prior Period Adjustments	4955746	PriorPeriodAdjustments
Other	-$4,509,999	OtherAmount
Total Adjustments	784156	TotalAdjustments
Excess Or Deficit Per FS	4015055	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	176156892	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	338409	NetUnrealizedGainsInvestments
Other Revenues	-4904392	OtherRevenues
Revenue Not Rptd F990	-4565983	RevenueNotRptdF990
Revenue Subtotal	180722875	RevenueSubtotal
Other Revenues Not Included	-31738	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-31738	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	180691137	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	177344917	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	279072	OtherExpensesIncluded
Expenses Not Rptd F990	279072	ExpensesNotRptdF990
Expenses Subtotal	177065845	ExpensesSubtotal
Other Expenses Not Included	394393	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	394393	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	177460238	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FIN 48 DISCLOSURE	SCHEDULE D, PART X, LINE 2	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
OTHER CHANGES IN NET ASSETS	SCHEDULE D, PART XI, LINE 8	$(8,209,638) NET LOSS FROM DEF BEN PEN PLAN AND POSTRETRMT BEN COSTS (1,227,223) TRANSFER TO AFFILIATES 6,783,329 CHANGE IN FV OF INVESTMENTS ACCT FOR UNDER FASB 825 (1,856,467) LOSS ON INTEREST RATE SWAP AGREEMENT ----------- (4,509,999)
RECONCILIATION OF REVENUE - OTHER RECONCILING ITEMS	SCHEDULE D, PART XII, LINE 2D	$(8,209,638) NET LOSS FROM DEF BEN PEN PLAN AND POSTRETRMT BEN COSTS (1,227,223) TRANSFER TO AFFILIATES 6,783,329 CHANGE IN FV OF INVESTMENTS ACCT FOR UNDER FASB 825 (1,856,467) LOSS ON INTEREST RATE SWAP AGREEMENT ( 394,393) INVESTMENT FEES RECLASSED ----------- (4,904,392) SCHEDULE D, PART XII, LINE 4B CONTRIBUTIONS OF $ 247,334 WERE INCLUDED AS A PRIOR PERIOD ADJUSTMENT ON THE AUDIT REPORT; HOWEVER, WERE INCLUDED IN CURRENT YEAR REVENUES ON THE TAX RETURN. EXPENSES OF ($279,072) ALLOCABLE TO RENTAL INCOME INCLUDED WITH EXPENSES ON THE AUDIT REPORT WERE RECLASSED TO BE PROPERLY INCLUDED WITH REVENUE ON THE TAX RETURN. NET CHANGE = ($31,738).
RECONCILIATION OF EXPENSE - OTHER RECONCILING ITEMS	SCHEDULE D, PART XIII, LINE 2D	$ 279,072 EXPENSES ALLOCABLE TO RENTAL INCOME INCLUDED WITH EXPENSES ON THE AUDIT REPORT WERE RECLASSED TO BE PROPERLY INCLUDED WITH REVENUE ON THE TAX RETURN. SCHEDULE D, PART XIII, LINE 4B $( 394,393) INVESTMENT FEES INCLUDED WITH REVENUE ON THE AUDIT REPORT THAT WERE RECLASSED TO BE PROPERLY INCLUDED WITH EXPENSES ON THE TAX RETURN.
ENDOWMENT FUND PURPOSE	SCHEDULE D, PART V, LINE 4	ENDOWMENTS CONSIST OF VARIOUS INDIVIDUAL DONOR-RESTRICTED AND BOARD DESIGNATED FUNDS WHICH WERE ESTABLISHED FOR GENERAL OPERATIONAL AND CERTAIN DEPARTMENTAL PURPOSES. AS REQUIRED BY ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA (GAAP), NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other

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

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2248181	TotalCommunityBenefitExpense
Net Community Benefit Expense	2248181	NetCommunityBenefitExpense
Percent Of Total Expense	0.01310	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	31752830	TotalCommunityBenefitExpense
Direct Offsetting Revenue	25976657	DirectOffsettingRevenue
Net Community Benefit Expense	5776173	NetCommunityBenefitExpense
Percent Of Total Expense	0.03380	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2097242	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2312718	DirectOffsettingRevenue
Net Community Benefit Expense	-215476	NetCommunityBenefitExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	36098253	TotalCommunityBenefitExpense
Direct Offsetting Revenue	28289375	DirectOffsettingRevenue
Net Community Benefit Expense	7808878	NetCommunityBenefitExpense
Percent Of Total Expense	0.04560	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	716224	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8590	DirectOffsettingRevenue
Net Community Benefit Expense	707634	NetCommunityBenefitExpense
Percent Of Total Expense	0.00410	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	207528	TotalCommunityBenefitExpense
Net Community Benefit Expense	207528	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16528338	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10090624	DirectOffsettingRevenue
Net Community Benefit Expense	6437715	NetCommunityBenefitExpense
Percent Of Total Expense	0.03770	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1364581	TotalCommunityBenefitExpense
Net Community Benefit Expense	1364581	NetCommunityBenefitExpense
Percent Of Total Expense	0.00800	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18816671	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10099214	DirectOffsettingRevenue
Net Community Benefit Expense	8717458	NetCommunityBenefitExpense
Percent Of Total Expense	0.05100	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	54914924	TotalCommunityBenefitExpense
Direct Offsetting Revenue	38388589	DirectOffsettingRevenue
Net Community Benefit Expense	16526336	NetCommunityBenefitExpense
Percent Of Total Expense	0.09660	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	788	TotalCommunityBuildingExpense
Net Community Building Expense	788	NetCommunityBuildingExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	10505	TotalCommunityBuildingExpense
Net Community Building Expense	10505	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	87528	TotalCommunityBuildingExpense
Net Community Building Expense	87528	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	8975	TotalCommunityBuildingExpense
Net Community Building Expense	8975	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	224596	TotalCommunityBuildingExpense
Net Community Building Expense	224596	NetCommunityBuildingExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	332392	TotalCommunityBuildingExpense
Net Community Building Expense	332392	NetCommunityBuildingExpense
Percent Of Total Expense	0.00200	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$3,361,892	BadDebtExpenseAmount
Amount Attributable To	389979	AmountAttributableTo
Amount Reimbursed By Medicare	57725165	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	65666783	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-7941618	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (5 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	OtherOther
RUTLAND HOSPITAL
160 ALLEN STREET	RUTLAND	VT	05701	X	X	X	MED DEV RURAL COMM HOSP
RUTLAND REG DIABETES & ENDOCRINOLOGY CTR
8 ALBERT CREE DRIVE	RUTLAND	VT	05701		X		PATIENT CLINIC
RUTLAND REGIONAL GENERAL SURGERY
241 STRATTON ROAD	RUTLAND	VT	05701		X		PATIENT CLINIC
RUTLAND REGIONAL WOMEN'S HEALTH
174 ALLEN STREET	RUTLAND	VT	05701		X		PATIENT CLINIC
RUTLAND REGIONAL DIGESTIVE SERVICES
254 STRATTON ROAD	RUTLAND	VT	05701		X		PATIENT CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Percent Of Total Expense Expln	THE PERCENT OF TOTAL EXPENSE ON SCHEDULE H, PART I, LINE 7, COLUMN (F), WAS CALCULATED USING TOTAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A) LESS BAD DEBT EXPENSE OF $6,492,646.	PercentOfTotalExpenseExpln
Bad Debt Footnote	THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE: RRMC REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. RRMC PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, RRMC BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. THE ORGANIZATION CALCULATED BAD DEBT AT COST BY MULTIPLYING THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS BY THE RATIO OF PATIENT CARE COST TO CHARGES USED FOR SCHEDULE H, PART I CALCULATIONS. BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED THROUGH THE US CENSUS BUREAU. USING DATA FROM 2009, APPROXIMATELY 11.6 PERCENT OF RUTLAND COUNTY WAS CONSIDERED TO LIVE IN POVERTY.	BadDebtFootnote
Shortfall As Community Benefit	SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.	ShortfallAsCommunityBenefit
Debt Collection Policy	THE PAYMENT PLAN POLICY REQUIRES PAYMENTS OF A MINIMUM OF $25.00 PER MONTH, AND THAT ALL BALANCES BE PAID WITHIN 10 MONTHS. THE FREE CARE POLICY SPECIFICALLY STATES THAT ALL UNINSURED AND UNDERINSURED PATIENTS BE GIVEN INFORMATION ON THE FREE CARE PROGRAM, AND THAT STAFF PERFORM DUE DILIGENCE TO GIVE THEM INFORMATION AND HAVE THE APPLICATION RETURNED, AND THAT THE HOSPITAL SEND 3 STATEMENTS AND A FINAL NOTICE BEFORE SENDING AN ACCOUNT TO BAD DEBT. IT ALSO STATES THAT RRMC WILL REFRAIN FROM EXTRAORDINARY COLLECTION ACTIONS TO OBTAIN PAYMENT FOR A DEBT.	DebtCollectionPolicy
General Explanation	THE FAMILY INCOME LIMIT FOR ELIGIBILITY FOR DISCOUNTED CARE IS UP TO 275%. RUTLAND REGIONAL MEDICAL CENTER WILL PAY FOR UP TO 25%.	GeneralExplanation
Needs Assessment	IN APRIL 2009, THE RUTLAND COUNTY HEALTH ASSESSMENT WAS COMPLETED. RUTLAND REGIONAL MEDICAL CENTER AND THE BOWSE HEALTH TRUST CONVENED THE ASSESSMENT TEAM THAT GUIDED THE HEALTH ASSESSMENT. THE ASSESSMENT TEAM REPRESENTED THE FOLLOWING ORGANIZATIONS: RUTLAND REGIONAL MEDICAL CENTER (RRMC), JAMES T. BOWSE COMMUNITY HEALTH TRUST, RUTLAND COUNTY UNITED WAY, VERMONT DEPARTMENT OF HEALTH, RUTLAND AREA VISITING NURSES ASSOCIATION AND HOSPICE (RAVNAH), COMMUNITY HEALTH CLINICS OF THE RUTLAND REGION (CHCRR). [THE NEXT ASSESSMENT WILL BE CONDUCTED BETWEEN MAY 2011 AND APRIL 2012.] THE HEALTH ASSESSMENT WAS CONDUCTED IN FIVE (5) PHASES: PHASE 1: ANALYSIS OF VERMONT AND RUTLAND COUNTY DATA PHASE 2: SURVEY OF RUTLAND COUNTY RESIDENTS PHASE 3: COMMUNITY LEADER FOCUS GROUPS PHASE 4: PRIORITIZING MEETING WITH COMMUNITY LEADERS PHASE 5: DEVELOPMENT OF THE EXECUTIVE SUMMARY / FINAL REPORT DATA ANALYSIS OVER 36 SOURCES OF EXISTING DATA WERE ANALYZED IN ORDER TO IDENTIFY AREAS FOR FURTHER STUDY. THE DATA DESCRIBES RUTLAND COUNTY AS A POPULATION THAT IS OLDER, LESS EDUCATED AND LOWER INCOME THAN VERMONTERS AS A WHOLE. THERE ARE AN INCREASING NUMBER OF VULNERABLE AND DISABLED RESIDENTS IN RUTLAND COUNTY. MANY BARRIERS CHALLENGE THEIR ACCESS TO HEALTH AND HUMAN SERVICES, MOST NOTABLY, INADEQUATE ACCESS TO PRIMARY MEDICAL AND DENTAL CARE DUE TO A LACK OF HEALTH AND DENTAL INSURANCE AND A SHORTAGE OF PROVIDERS. THE LIFESTYLES OF SOME RUTLAND COUNTY RESIDENTS INCREASE THEIR RISKS FOR CHRONIC DISEASE. RISK FACTORS FOR HEART DISEASE AND STROKE INCLUDE TOBACCO USE, OBESITY, HIGH BLOOD PRESSURE, DIABETES, INACTIVITY, POOR DIET, EXCESSIVE ALCOHOL USE AND HIGH CHOLESTEROL. THE RATES FOR EACH OF THESE RISK FACTORS IN RUTLAND COUNTY ARE HIGHER THAN THE STATE AVERAGE. SURVEY OF RUTLAND COUNTY RESIDENTS A SURVEY TO IDENTIFY BARRIERS TO ACCESSING TRADITIONAL HEALTH SERVICES WAS ANSWERED BY 501 RUTLAND COUNTY RESIDENTS. THE RESULTS SHOWED THAT YOUNG ADULTS AND THOSE WITHOUT A HIGH SCHOOL DIPLOMA ARE LEAST LIKELY TO BE ABLE TO ACCESS THE HEALTH CARE THEY NEED. INABILITY TO PAY FOR SERVICES IS THE GREATEST BARRIER. THE SERVICES THAT ARE LEAST LIKELY TO BE ACCESSED WHEN NEEDED ARE MENTAL HEALTH AND ALCOHOL OR DRUG ABUSE COUNSELING. COMMUNITY LEADER FOCUS GROUPS THE ASSESSMENT TEAM INVITED EIGHTY COMMUNITY LEADERS TO PARTICIPATE IN LOCAL FOCUS GROUPS. IN TOTAL, FORTY-SIX (46) COMMUNITY LEADERS PARTICIPATED IN FIVE (5) HEALTH ASSESSMENT FOCUS GROUPS. ONE COMMUNITY LEADER GROUP WAS HELD IN CASTLETON, ONE WAS CONVENED IN BRANDON, AND THREE (3) GROUPS WERE CONDUCTED IN RUTLAND. THE LEADERS IDENTIFIED THE STRENGTHS AND CHALLENGES IN RUTLAND COUNTY'S HEALTH AND HUMAN SERVICES SYSTEM. LACK OF HEALTH AND DENTAL INSURANCE AND TRANSPORTATION WERE IDENTIFIED AS THE LEADING BARRIERS TO CARE. RUTLAND COUNTY IS RECOGNIZED AS HAVING MANY RESOURCES TO ASSIST PEOPLE IN PREVENTION AND TREATMENT OF HEALTH PROBLEMS, BUT THESE PROGRAMS AND SERVICES ARE UNDERUTILIZED OR UNKNOWN. NAVIGATING THE ARRAY OF SERVICES AND UNDERSTANDING ELIGIBILITY TO RECEIVE THESE SERVICES IS CONFUSING AND COMPLICATED. COMMUNITY LEADERS NOTED THAT THE CULTURE IN RUTLAND COUNTY IS NOT CONDUCIVE TO PREVENTION. MANY SUGGESTIONS ABOUT HOW RUTLAND COUNTY RESIDENTS CAN IMPROVE THEIR HEALTH STATUS ARE NOTED IN THE ASSESSMENT REPORT. PRIORITIZING MEETING FINDINGS WERE SYNTHESIZED FROM THE DATA ANALYSIS, THE CONSUMER SURVEY AND FOCUS GROUPS. THESE FINDINGS WERE PRESENTED AT A COMMUNITY MEETING WHERE ATTENDEES PARTICIPATED IN A GROUP PROCESS TO PRIORITIZE THE COMMUNITY'S HEALTH NEEDS. DURING A PRIORITIZING MEETING HELD ON APRIL 30, 2009, TWENTY MEMBERS OF COMMUNITY ORGANIZATIONS SELECTED HIS OR HER TOP THREE (3) ACTIONS TO IMPROVE RUTLAND COUNTY'S HEALTH STATUS IN THE NEXT 5 YEARS. A TOTAL OF 60 ACTIONS FOR A HEALTHIER RUTLAND COUNTY WERE PRESENTED AND ARE LISTED IN THE FULL REPORT. THE TOP ACTIONS SELECTED ARE NOTED BELOW: 2009 - 2014 OBJECTIVES AND ACTIONS 1. INCREASE PREVENTION EFFORTS THAT LEAD TO A HEALTHY LIFESTYLE OBJECTIVES DECREASE % OF ADULT AND YOUTH TOBACCO USE INCREASE % OF ADULT AND YOUTH PHYSICAL ACTIVITY INCREASED % OF ADULT AND YOUTH HEALTHY DIET DECREASE % OF ADULT AND YOUTH BMI OVER 30 ACTIONS: SUPPORT PROGRAMS THAT CREATE CULTURE AND BEHAVIOR CHANGE: PROVIDE AFFORDABLE HEALTHY FOOD AT WORK, SCHOOL AND COMMUNITY EXPAND USE OF CURRENT EXERCISE PROGRAMS INCREASE WORKSITE EXERCISE PROGRAMS PHYSICIANS WILL ADDRESS BMI WITH PATIENTS AND REFER TO COMMUNITY RESOURCES EXPAND AND SUPPORT PROGRAMS THE PREVENT TEEN AGE PREGNANCY SUPPORT AND EXPAND TOBACCO PREVENTION PROGRAMS 2. IMPROVE ACCESS TO HEALTH AND HUMAN SERVICES OBJECTIVES INCREASE % ADULT COVERED BY HEALTH INSURANCE INCREASE % OF ADULTS UP-TO-DATE ON AGE APPROPRIATE SCREENINGS INCREASE % OF ADULTS AND YOUTH UP-TO-DATE ON IMMUNIZATIONS DECREASE AMBULATORY CARE SENSITIVE HOSPITALIZATIONS INCREASE % OF ADULTS AND CHILDREN RECEIVING DENTAL CARE INCREASE USE OF CURRENT RESOURCES ACTIONS: CREATE COMMUNITY CARE TEAMS FOR CHRONIC HEALTH CONDITIONS EXPAND DENTAL PROGRAMS FOR THE UNINSURED AND MEDICAID POPULATIONS INCREASE THE USE OF ELECTRONIC MEDICAL RECORDS OPEN CHCRR CLINIC IN RUTLAND CITY CREATE EMERGENCY ROOM NAVIGATORS DEVELOP A RUTLAND COUNTY RESOURCE GUIDE EXPAND HEALTH INSURANCE ENROLLMENT ASSISTANCE 3. REDUCE SUBSTANCE ABUSE OBJECTIVES DECREASE THE USE OF ILLEGAL SUBSTANCES DECREASE % OF ADULT AND YOUTH WHO BINGE DRINK DECREASE % OF ADULTS WHO ARE DEPRESSED ACTIONS: CHANGE THE CULTURE OF LEGAL AND ILLEGAL DRUG USE CHANGE THE CULTURE OF ALCOHOL USE FOR ADULTS AND YOUTH INCREASE THE USE OF ELECTRONIC MEDICAL RECORDS CASE MANAGEMENT FOR HIGH-RISK POPULATIONS 4. EXPAND COMMUNITY BASED ELDER CARE OBJECTIVES INCREASE COMMUNITY BASED SERVICES FOR ELDERS, TO MAXIMIZE THE PERCENT OF ELDERS WHO LIVE AT HOME: ACTIONS: CASE MANAGEMENT FOR AT RISK ELDERS EXPAND ATTENDANT SERVICES EXPAND MEALS ON WHEELS SPECIAL NOTE: IT SHOULD BE NOTED THAT THESE ISSUES CANNOT BE SOLVED BY THE LIMITED RESOURCES WITHIN RUTLAND COUNTY. TRUE IMPACT CAN ONLY HAPPEN WITH SYSTEM CHANGES THAT INCLUDE CHANGES TO THE REIMBURSEMENT SYSTEM. HEALTH ASSESSMENT REPORT A COPY OF THE FINAL REPORT IS AVAILABLE ON THE RRMC WEB SITE (WWW.RRMC.ORG). HARD COPIES ARE AVAILABLE IN THE RRMC HEALTH SCIENCES LIBRARY AND THE RUTLAND FREE LIBRARY.	NeedsAssessment
Patient Education Assistance	RRMC HAS SIGNS UP THROUGHOUT THE HOSPITAL AND OFF SITE CLINICAL AREAS (RUTLAND GENERAL SURGERY, WOMEN'S HEALTH ETC.) WHERE PATIENTS/FAMILIES MIGHT BE WHICH LISTS WHO TO CALL IF HELP IS NEEDED PAYING MEDICAL BILLS. IN REGISTRATION ALL PATIENTS ARE OFFERED A PACKET WITH INFORMATION ABOUT THE FREE CARE PROGRAM. ALL SELF-PAY PATIENTS ARE VISITED BY A FINANCIAL COUNSELOR WHILE THEY ARE ON AN IN-PATIENT UNIT. FINANCIAL COUNSELORS ASSIST PATIENTS IN APPLYING FOR STATE AND FEDERAL PROGRAMS. ALL BILLS INCLUDE INFORMATION ABOUT WHO TO CONTACT IF A PATIENT HAS QUESTIONS OR CONCERNS ABOUT A BILL. THE RRMC WEB SITE HAS A PAGE THAT DESCRIBES THE FINANCIAL ASSISTANCE PROGRAM WHICH GIVES AN OUTLINE OF THE FREE CARE PROGRAM, THE INCOME GUIDELINES BASED ON FEDERAL POVERTY, AN ON-LINE APPLICATION, AS WELL AS INFORMATION ON ALL OF THE MEDICAID PROGRAMS AVAILABLE AND A SMALL DESCRIPTION OF EACH.	PatientEducationAssistance
Community Information	VERMONT IS THE SECOND LARGEST STATE IN NEW ENGLAND AT 9,614 SQUARE MILES, BUT IS THE EIGHTH SMALLEST STATE IN THE NATION. VERMONT IS CONSIDERED THE MOST RURAL OF THE UNITED STATES BECAUSE A LARGE PERCENTAGE OF ITS RESIDENTS LIVE IN COMMUNITIES OF LESS THAN 2,500. VERMONT IS MADE UP OF 14 COUNTIES WITH THE POPULATION OF THE STATE ESTIMATED TO BE 623,908 ON JULY 1, 2006. WHILE RACIAL AND ETHNIC MINORITIES ARE ONLY 3.6% OF THE VERMONT POPULATION, THESE POPULATIONS ARE GROWING AT A MUCH FASTER RATE THAN THE NON-HISPANIC WHITE POPULATION. (2006 US CENSUS BUREAU). RUTLAND COUNTY, COMPOSED OF 933 SQUARE MILES, IS LOCATED IN CENTRAL VERMONT. THE POPULATION MOSTLY RESIDES IN THE 27 SMALL TOWNS AND OUTLYING RURAL AREAS. RUTLAND CITY IS THE LARGEST POPULATION CENTER (ESTIMATED AT 17,080 IN 2004). ALMOST 80% OF THE COUNTY'S POPULATION IS OVER THE AGE OF 18, WITH A RACIAL COMPOSITION OF 98% CAUCASIAN, AND LESS THAN 2% FROM OTHER RACES. THE MEDIAN HOUSEHOLD INCOME IN 2004 WAS $39,607, WITH APPROXIMATELY 10% OF INDIVIDUALS LIVING BELOW THE FEDERAL POVERTY LEVEL. RRMC IS A COMPREHENSIVE MEDICAL/SURGICAL HOSPITAL WITH 188 BEDS AND OVER 1,280 EMPLOYEES. WE ARE DEPENDED UPON BY MORE THAN 70,000 RESIDENTS OF THE HOSPITAL SERVICE AREA (HSA), WHICH INCLUDES RUTLAND COUNTY, SOME PORTIONS OF SOUTHERN AND NORTH CENTRAL VERMONT AND EVEN WASHINGTON COUNTY, NEW YORK. RRMC IS LOCATED APPROXIMATELY FORTY MILES FROM THE NEAREST HOSPITAL OR HEALTH SYSTEM OF ANY SIZE AND NEARLY SEVENTY MILES FROM THE ONLY MEDICAL CENTER PROVIDING MORE LICENSED BEDS TO THE CITIZENS OF VERMONT. RUTLAND COUNTY MAKES UP ABOUT 10% OF VERMONT'S POPULATION. THERE ARE A NUMBER OF DEMOGRAPHIC STATISTICS THAT PUT RUTLAND COUNTY AT RISK AS COMPARED TO THE AVERAGE VERMONTER. THE POPULATION GREW SLOWLY, BY 2% FROM 1990 TO 2000. THE MEDIAN AGE IN 2000 WAS 39.23 MAKING RUTLAND COUNTY ONE OF THE OLDEST COUNTIES IN NEW ENGLAND. RUTLAND COUNTY HAS A POPULATION THAT IS LESS EDUCATED THAN THE VERMONT RATES. THE HIGH SCHOOL DROP OUT RATE IS HIGHER AND THE COLLEGE GRADUATE RATE IS LOWER. POVERTY RATES IN RUTLAND COUNTY ARE HIGHER THAN THE STATE RATE AND MEDIAN HOUSEHOLD INCOMES ARE $4,000 LESS THAN THE STATE AVERAGE AND $5,000 LESS THAN THE NATIONAL AVERAGE. THE PERCENT OF ADULTS IN RUTLAND COUNTY WHO DO NOT HAVE HEALTH INSURANCE IS HIGHER THAN THE VERMONT'S RATE.	CommunityInformation
Community Building Activities	RUTLAND REGIONAL MEDICAL CENTER ENGAGES IN A NUMBER OF COMMUNITY SUPPORTIVE ACTIVITIES IN ORDER TO INCREASE ACCESS AND AFFORDABILITY OF HEALTH AND HUMAN SERVICES. RUTLAND COUNTY HAS A SEVERE NEED FOR PRIMARY CARE PHYSICIANS AND HAS SHORTAGES OR IS AT RISK FOR SHORTAGES IN MANY SPECIALTY SERVICES. RUTLAND REGIONAL MEDICAL CENTER ACTIVELY RECRUITS BOTH PRIMARY CARE AND SPECIALTY PRACTICE PHYSICIANS FOR RUTLAND COUNTY. ALL THE POSITIONS IDENTIFIED FOR RECRUITMENT WERE IDENTIFIED THROUGH THE MD MANPOWER PLAN AS A COMMUNITY NEED. IN FY2010, 12 PHYSICIANS WERE RECRUITED TO THE REGION, INCLUDING 2 FAMILY PRACTICE DOCTORS, 2 PSYCHIATRISTS, 1 GASTROENTEROLOGOSIT, 2 PATHOLOGISTS, AND 4 HOSPITALISTS. RRMC SUPPORTS A HOSPITALIST PROGRAM WHERE HOSPITAL PHYSICIANS PROVIDE CARE FOR PRIMARY CARE PROVIDER'S PATIENTS THAT ARE ADMITTED TO THE HOSPITAL. THIS ALLOWS THE PRIMARY CARE PROVIDER TO PROVIDE MORE HOURS OF OFFICE CARE WHILE THEIR HOSPITALIZED PATIENTS HAVE 24 HOUR ACCESS TO A DOCTOR DURING THE HOSPITALIZATION. THIS SYSTEM PROVIDES EFFICIENCIES TO THE HEALTH CARE SYSTEM IN RUTLAND COUNTY. RUTLAND COUNTY'S MEDICAID POPULATION CONTINUES TO INCREASE. IN 1994, 10% OF RRMC PATIENTS WHERE COVERED BY MEDICAID. NOW 15 YEARS LATER, 14% OF RRMC'S PATIENTS ARE COVERED BY MEDICAID. THIS PUTS A FINANCIAL STRAIN ON RRMC'S BUDGET AS THE CARE PROVIDED TO THIS GROWING POPULATION IS NOT REIMBURSED FOR THE FULL COST OF CARE. LEADERS AT RRMC ADVOCATE AT THE STATE AND LOCAL LEVEL TO MAINTAIN THE MEDICAID REIMBURSEMENT RATES FOR BOTH IN-PATIENT AND OUT-PATIENT CARE IN ORDER TO MAINTAIN ACCESS FOR MEDICAID PATIENTS. LEADERS AT RRMC ALSO PROVIDE SUPPORT FOR THE FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN RUTLAND COUNTY BY BEING A BOARD MEMBER. THE FQHC GETS REIMBURSED AT A HIGHER LEVEL FOR CARING FOR MEDICAID PATIENTS AND PROVIDES INCREASED ACCESS FOR THESE PATIENTS. RRMC LEADERS AND STAFF ALSO PARTICIPATE AS BOARD MEMBERS IN THE SUPPORT OF OTHER NON-PROFIT ORGANIZATIONS, SUCH AS RUTLAND COUNTY UNITED WAY, RUTLAND AREA VISITING NURSES ASSOCIATION AND HOSPICE, RUTLAND AREA PHYSICAL ACTIVITY COALITION, RUTLAND POLICE COMMISSION, AND THE RUTLAND ECONOMIC DEVELOPMENT CORPORATION. RUTLAND COUNTY IS ECONOMICALLY CHALLENGED AND RRMC SUPPORTS WORK TO HELP THOSE IN POVERTY AS WELL AS TO BRING NEW BUSINESSES INTO THE AREA. RRMC PARTICIPATES IN A PROGRAM CALLED BRIDGES OUT OF POVERTY WHICH IS A PROGRAM WHICH AIMS TO KEEP THE WORKING POOR EMPLOYED. THIS PROGRAM NOT ONLY BENEFITS THOSE IN LIVING POVERTY IN RUTLAND COUNTY, BUT RRMC'S OWN WORKFORCE. IN CONJUNCTION WITH FOR-PROFIT, NONPROFIT AND GOVERNMENT AGENCIES, THE BRIDGES OUT OF POVERTY COUNCIL DELIVERS THE WORKING BRIDGES TRAINING TO HR PROFESSIONALS AND LINE MANAGERS ON THE WORKPLACE IMPLICATIONS OF ECONOMIC DIVERSITY; IMPLEMENTED AN EMERGENCY LOAN AND SAVINGS PROGRAM FOR EMPLOYEES; HOUSED WORKSITE RESOURCE COORDINATORS IN COMPANIES TO HELP EMPLOYEES FIND HELP WITH HOUSING, CHILD CARE, TRANSPORTATION, ECONOMIC ASSISTANCE AND OTHER RESOURCES WITHOUT HAVING TO LEAVE WORK; AND BEGAN DISCUSSIONS OF HOW TO ENCOURAGE THE EMPLOYEES TO USE HEALTH AND WELLNESS STRATEGIES. TRAUMA SUPPORT - ESTABLISHED IN 1993, THE TRAUMA SUPPORT PROGRAM AT RRMC WAS, AND STILL IS, THE FIRST OF ITS KIND IN VERMONT. IT WAS DEVELOPED TO MEET THE IMMEDIATE AND LONG-TERM NEEDS OF FAMILIES IMPACTED BY SUDDEN DEATH OR TRAUMATIC INJURY OR ILLNESS. RRMC STAFF (ON THEIR OWN TIME) AND OTHER COMMUNITY VOLUNTEERS TAKE TURNS BEING ON-CALL 24 HOURS A DAY, SEVEN DAYS A WEEK. VOLUNTEERS PERSONALLY PROVIDE SUPPORT AND ASSISTANCE TO FAMILIES IMPACTED BY A TRAUMA OR DEATH IN MANY WAYS, I.E., BY BEING A LIAISON WITH MEDICAL PERSONNEL TO GET INFORMATION OR OFFERING CONTINUED SUPPORT VIA PHONE AND CORRESPONDENCE. BONE MARROW PROGRAM - THE MARROW DONOR PROGRAM AT RRMC WAS ESTABLISHED IN 1998. SINCE THEN, WE HAVE SUCCESSFULLY ADDED OVER 3,000 POTENTIAL DONORS TO THE NATIONAL REGISTRY, HELPING TO GIVE HOPE TO THE MORE THAN 6,000 PEOPLE SEARCHING EVERY DAY FOR AN UNRELATED MATCH TO SAVE THEIR LIVES. RRMC IS CURRENTLY THE ONLY HOSPITAL IN NEW ENGLAND WITH THIS TYPE OF PROGRAM. RRMC DOES NOT HOLD PATIENT-FOCUSED DRIVES; INSTEAD ALL DRIVES ARE DESIGNED TO RAISE GENERAL AWARENESS OF THE NEED AND TO REGISTER AS MANY POTENTIAL DONORS AS POSSIBLE, SO THAT NOW OR IN THE FUTURE A MATCH MAY BE MADE. IN FY2010, RRMC SUPPORTED THE PROGRAM WITH 452 HOURS OF STAFF TIME AND SUCCESSFULLY REGISTERED 146 POTENTIAL DONORS.	CommunityBuildingActivities
Other Information	RRMC HAS 18 BOARD MEMBERS WHO REPRESENT THE RESIDENTS OF RUTLAND COUNTY IN THEIR SERVICE; 5 OF THESE ARE PHYSICIANS, 2 REPRESENT HEALTH CARE PARTNERS, AND 12 ARE RUTLAND COUNTY RESIDENTS WHO REPRESENT A VARIETY OF BUSINESS SECTORS. ALL BOARD MEMBERS COMPLETE A CONFLICT OF INTEREST DISCLOSURE PROCESS WHICH IS NECESSARY TO COMPLY WITH FEDERAL AND STATE LAWS INCLUDING THE FEDERAL ANTI KICKBACK STATUTE AND THE TAX CODE. RRMC HAS PREDOMINANTLY AN OPEN MEDICAL STAFF. THE ONLY EXCEPTIONS ARE THE FOLLOWING SPECIALTIES FOR WHICH THERE ARE EITHER BOARD-APPROVED EXCLUSIVE CONTRACTS OR HOSPITAL-EMPLOYED PHYSICIANS ONLY: ANESTHESIA, EMERGENCY MEDICINE, CRITICAL CARE, MEDICAL ONCOLOGY, RADIATION ONCOLOGY, ORTHOPEDICS, AND RADIOLOGY. ALL NEW APPLICANTS UNDERGO AN EXTENSIVE REVIEW PROCESS INCLUDING PRIMARY SOURCE VERIFICATION OF THEIR EDUCATION, TRAINING, BOARD CERTIFICATION, MALPRACTICE HISTORY, AND PREVIOUS HOSPITAL AFFILIATIONS. WHEN DEEMED COMPLETE, THEIR APPLICATION IS REVIEWED BY THE CREDENTIALS COMMITTEE WHICH IS MADE UP OF PHYSICIANS AND AT LEAST ONE BOARD MEMBER. THE CREDENTIALS COMMITTEE MAKES A RECOMMENDATION TO THE MEDICAL EXECUTIVE COMMITTEE WHICH INCLUDES THE CHAIRMAN OF THE BOARD. THE MEDICAL EXECUTIVE COMMITTEE MAKES A FINAL RECOMMENDATION TO THE FULL BOARD, WHICH HAS THE ULTIMATE AUTHORITY TO GRANT MEDICAL STAFF PRIVILEGES. ALL MEDICAL STAFF APPOINTMENTS ARE FOR A TWO YEAR PERIOD. ALL MEMBERS OF THE MEDICAL STAFF ARE SUBJECT TO ONGOING PEER REVIEW OF THEIR CLINICAL WORK. EVERY TWO YEARS, EVERY MEMBER OF THE MEDICAL STAFF MUST UNDERGO A REAPPOINTMENT PROCESS WHICH IS DESIGNED TO REVIEW THEIR CLINICAL AND PROFESSIONAL ACTIVITY AND BEHAVIOR. THOSE REAPPOINTMENTS GO THROUGH THE SAME SEQUENCE OF COMMITTEES AND BOARD AS NEW APPLICANTS." RRMC'S CREDENTIALING PROCESS HAS BEEN SURVEYED BY BOTH THE JOINT COMMISSION AND THE CENTERS FOR MEDICARE AND MEDICAID SERVICES AND FOUND TO BE IN FULL COMPLIANCE WITH THEIR STANDARDS (TJC) AND THEIR CONDITIONS OF PARTICIPATION (CMS)." AS A RURAL COMMUNITY HEALTH SYSTEM, RRMC PROVIDES A BROAD ARRAY OF SPECIALIZED HEALTH SERVICES. THE FOLEY CANCER CENTER AT RRMC PROVIDES TREATMENT TECHNOLOGIES THAT INCLUDE HIGH TECH DIAGNOSTIC IMAGING, MEDICAL ONCOLOGY WITH TRADITIONAL IV THERAPIES (SUCH AS CHEMOTHERAPY), AND RADIATION ONCOLOGY FEATURING A STATE-OF-THE-ART LINEAR ACCELERATOR. SUPPORTIVE PROGRAMS INCLUDE PALLIATIVE CARE, PAIN MANAGEMENT, ACUPUNCTURE AND A WOMEN'S' BREAST CARE PROGRAM. THE HOSPITAL PROVIDES 24-HOUR EMERGENCY CRISIS CARE, AS WELL AS PSYCHIATRIC INTENSIVE CARE, GERIATRIC PSYCHIATRIC PROGRAMS, MEDICAL DETOXIFICATION AND DUAL DIAGNOSIS AND TREATMENT OF SIMULTANEOUS SUBSTANCE ABUSE AND BEHAVIORAL HEALTH DISORDERS. THE 24 HOUR EMERGENCY DEPARTMENT PROVIDES CARE REGARDLESS A PATIENT'S ABILITY TO PAY. THE FAST TRACK PROGRAM IS DESIGNED TO PROCESS URGENT CARE IN A TIMELY MANNER. RRMC PROVIDES CARE FOR BOTH MEDICARE AND MEDICAID PATIENTS, THESE 2 POPULATIONS MAKE UP 61 % OF THE PAYER MIX FOR RRMC. BY WORKING COLLABORATIVELY WITH THE LOCAL FEDERALLY QUALIFIED HEALTH CLINICS, COMMUNITY HEALTH CLINICS OF THE RUTLAND REGION'S PRIMARY CARE CAPACITY IS INCREASED IN THE SERVICE AREA. THE RRMC VOLUNTEER PROGRAM IS PROVIDED BY 379 VOLUNTEERS WHO DONATED 52,201 HOURS OF SERVICE. THESE VOLUNTEERS ASSIST WITH THE NON-CLINICAL NEEDS IN THE HOSPITAL. SINCE 1896 RUTLAND REGIONAL MEDICAL CENTER HAS PROVIDED HEALTH CARE TO ALL WHO SEEK ITS SERVICES, REGARDLESS OF THEIR FINANCIAL SITUATION. OVER THE YEARS, RUTLAND REGIONAL MEDICAL CENTER HAS BECOME AN IMPORTANT CENTER FOR PROMOTING HEALTH AND WELLNESS FOR THE FULL COMMUNITY-ACTIVITIES THAT SHOULD HELP CURB LONGER-TERM HEALTH CARE COSTS. WHILE A MAJORITY OF HOSPITAL COSTS ARE RECOVERED BY USERS OF THE SERVICES, PATIENT CHARGES AND THIRD PARTY INSURANCE, THE RUTLAND HEALTH FOUNDATION ACTIVELY SEEKS ADDITIONAL CHARITABLE RESOURCES TO MEET NEEDS NOT COVERED BY THESE PAYMENTS. HOWEVER, AS INSURANCE AND OTHER REIMBURSEMENTS CONTINUE TO DECREASE, RUTLAND REGIONAL MEDICAL CENTER HAS LESS MONEY FOR CAPITAL EXPENDITURES DIRECTED TOWARD NEW AND REPLACEMENT EQUIPMENT-EQUIPMENT THAT IS INTEGRAL TO KEEPING THE HOSPITAL TECHNOLOGICALLY ADVANCED. THE RUTLAND HEALTH FOUNDATION ALSO FUNDRAISES TO SUPPORT PROGRAMS THAT DIRECTLY ASSIST THE NEEDIEST OF PATIENTS, NAMELY BRIDGES & BEYOND (RUN OUT OF THE SOCIAL WORK DEPARTMENT TO PROVIDE TRANSPORTATION, GENERAL ASSISTANCE, SUCH AS MEAL PREPARATION, AND COMPANIONSHIP TO THOSE DISABLED AND FRAIL PATIENTS RETURNING HOME FROM A HOSPITAL STAY); DIABETES EDUCATION AND SELF-MANAGEMENT PROGRAMS (RECOGNIZED AND CERTIFIED BY THE AMERICAN DIABETES ASSOCIATION, TEACH PEOPLE WITH DIABETES THE LIFESTYLE AND HEALTH SKILLS THEY NEED TO TAKE CONTROL OF THEIR DISEASE SYMPTOMS. PATIENTS ALSO BENEFIT FROM AVAILABLE PATIENT AND FAMILY SUPPORT GROUPS, AND GLUCOSE METER AND INSULIN PUMP INSTRUCTION.); RUTLAND AREA VISITING NURSE ASSOCIATION & HOSPICE (PROVIDING IN-HOME CARE TO SUPPORT PATIENTS, WITH A SPECIALTY PROGRAM FOR HIGH-NEEDS CHILDREN REQUIRING HIGH-TECH PEDIATRIC CARE); AND, KIDS ON THE MOVE (A MULTI-FACETED PEDIATRIC REHABILITATIVE PROGRAM SERVING CHILDREN WITH SPEECH, PHYSICAL AND OCCUPATIONAL THERAPY NEEDS AT HOME, AT SCHOOL AND AT THE CLINIC).	OtherInformation
Affiliated Health Care System	THE JAMES T BOWSE HEALTH TRUST IS AN AFFILIATE OF RUTLAND REGIONAL HEALTH SERVICES AND PROVIDES GRANT FUNDING AIMED AT IMPROVING THE HEALTH STATUS OF THE RUTLAND REGION. HERE IS A DESCRIPTION OF THE PROGRAMS THAT ARE CURRENTLY FUNDED: WALK RUTLAND WALK RUTLAND, WHICH IS HOSTED BY RUTLAND AREA PHYSICAL ACTIVITY COALITION (RAPAC), IS RECEIVING $42,000 OVER THREE YEARS TO EXPAND ITS WALKING PROGRAM THROUGHOUT RUTLAND COUNTY. THE FUNDS SUPPORT A COORDINATOR WHO ORGANIZES GROUP WALKS, COMMUNITY WALKING CHALLENGES, AND ADVOCATES FOR ACCESSIBLE WALKING SITES. A WEB-BASED PROGRAM HAS BEEN ADDED TO SUPPORT PARTICIPANTS. PARTNERS IN THIS PROGRAM INCLUDE WORKSITES, RUTLAND REGIONAL MEDICAL CENTER, RETIRED SENIOR VOLUNTEER PROGRAM'S BONE BUILDERS, VERMONT ADAPTIVE SKI AND SPORTS, THE RUTLAND REGIONAL FIELD HOUSE, RUTLAND RECREATION DEPARTMENT AND RUTLAND HIGH SCHOOL. SEEDS TO SUPPER SEEDS TO SUPPER, WHICH IS PROVIDED BY MOUNT HOLLY ELEMENTARY SCHOOL, IS RECEIVING $41,000 OVER 3 YEARS TO IMPLEMENT A CURRICULUM FOCUSED ON HEALTHY EATING AND GARDENING FOR THE STUDENTS IN KINDERGARTEN TO SIXTH GRADE. THE PARTNERS IN THIS PROJECT INCLUDE THE MOUNT HOLLY GARDENING CLUB, THE COOKING FOR LIFE PROGRAM, VERMONT CAMPAIGN TO END CHILDHOOD HUNGER, AND THE MASTER GARDENER PROGRAM. THE FIRST YEAR SURVEYS SHOW THAT FRUIT AND VEGETABLE CONSUMPTION HAS INCREASED FROM 2.4 TO 2.7 SERVINGS PER DAY. EARLY INTERVENTION PROGRAM THE EARLY INTERVENTION PROGRAM, WHICH IS HOSTED BY RUTLAND AREA PREVENTION (RAP) COALITION, IS RECEIVING $75,000 OVER 3 YEARS TO IMPLEMENT THE SECOND STEP CURRICULUM TO PRE-SCHOOL CHILDREN IN VARIOUS SETTING THROUGHOUT RUTLAND COUNTY. SECOND STEP IS A RESEARCH BASED PREVENTION PROGRAM FOR PRESCHOOLERS AND THEIR PARENTS. THE PROGRAM TEACHES PRO-SOCIAL BEHAVIORS, POSITIVE COMMUNICATION SKILLS, AND BEHAVIOR MANAGEMENT. THE GOAL OF THE PROGRAM IS TO REDUCE IMPULSIVE, AGGRESSIVE AND RISKY BEHAVIORS IN THE TARGET POPULATION. THE RUTLAND HEALTH FOUNDATION PROVIDES GRANT WRITING SUPPORT AND SECURED $176,752 IN GRANT FUNDS THAT SUPPORT A WIDE RANGE OF COMMUNITY HEALTH AND QUALITY SERVICE INITIATIVES.	AffiliatedHealthCareSystem

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION
375 ROUTE 30 NORTH	BOMOSEEN	VT	05732	221179701	501(C)(3)	1254166	COMMUNITY HLTH IMPROVE
RUTLAND COMMUNITY PROGRAMS
78 S MAIN PO BOX 222	RUTLAND	VT	05702	030307812	501(C)(3)	18957	COMMUNITY HLTH IMPROVE
MOUNT HOLLY SCHOOL
150 SCHOOL STREET	MOUNT HOLLY	VT	05702	036000588	501(C)(3)	9610	COMMUNITY HLTH IMPROVE

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	3	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	GRANT MONITORING	Identifier
Return Reference	SCHEDULE I, PART I, LINE 2	ReturnReference
Explanation	RUTLAND REGIONAL HEALTH SERVICES (RRHS), THROUGH RUTLAND REGIONAL MEDICAL CENTER (RRMC), AWARDED A FIVE-YEAR COMMUNITY BENEFIT GRANT TO COMMUNITY HEALTH CENTERS OF THE RUTLAND REGION, INC. (CHCRR) IN THE AMOUNT OF $4,600,000 THAT IS FUNDED BY RRMC AND WAS EFFECTIVE MAY 1, 2008. FOR THE YEARS ENDED SEPTEMBER 30, 2010 AND 2009, RESPECTIVELY, $1,254,166 AND $1,400,000 WAS EXPENDED FOR THE GRANT AWARD FROM RRMC AND IS INCLUDED IN RUTLAND REGIONAL MEDICAL CENTER'S GENERAL OPERATING EXPENSES. RRHS CONTINUALLY WORKS WITH CHCRR TO ENSURE THE ORGANIZATION IS USING FUNDS APPROPRIATELY AND FURTHERING THE CHCRR EXEMPT PURPOSE.	Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs
THOMAS W HUEBNER
389855	0	0	16500	23275	24808	454438	0
EDWARD T OGORZALEK
212003	0	0	16500	27187	20494	276184	0
KIRK DUFTY MD
236192	0	0	16500	18375	8363	279430	0
MARY T NEMETH
177668	0	0	0	20783	8311	206762	0
BAXTER HOLLAND
309741	0	0	0	23275	22780	355796	0
DORCAS WARD
154057	0	0	15805	19806	14786	204454	0
BARBARA ROBINSON
169824	0	0	0	16485	15024	201333	0
MARY KOHANSKI
158554	0	2087	0	3125	19384	183150	0
RONALD FUSCHILLO
212952	0	4800	0	3095	28788	249635	0
HARVEY REICH
334190	0	23053	16500	23275	22307	419325	0
MICHAEL KENOSH
379712	0	97636	16500	18375	20039	532262	0
ROBERT GIERING
351817	0	130266	0	18375	20578	521036	0
KENNETH MAR
198781	0	78493	0	23275	15286	315835	0
MARIE PAVINI
255561	0	10083	16500	18375	8837	309356	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	COMPENSATION CONTINGENT ON THE REVENUES OF THE ORGANIZATION	Identifier
Return Reference	SCHEDULE J, PART I, LINE 5A	ReturnReference
Explanation	PHYSICIANS EARN COMPENSATION BASED UPON THEIR PRODUCTIVITY AGAINST ESTABLISHED TARGETS. INCREASED PRODUCTIVITY IS DIRECTLY RELATED TO INCREASED REVENUES FOR THE ORGANIZATION.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

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

Field	Value	IRS element (for citing)
Issuer EIN	237154467	IssuerEIN
Date Issued	2009-11-18	DateIssued
Issue Price	28330000	IssuePrice
Description Of Purpose	REFUND '01 AND '03 SERIES BONDS	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	28330000	TotalProceeds
Amount In Reserve Fund	0	AmountInReserveFund
Amount Defeased	24722648	AmountDefeased
Amount Unspent	0	AmountUnspent
Issuance Costs From Proceeds	198225	IssuanceCostsFromProceeds
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	3409127	CapitalExpenditures
Year Of Subst Completion	2010	YearOfSubstCompletion
Current Refunding	true	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	true	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Bond Counsel Routinely Engaged	true	BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	true	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	false	Form8038TFiled
Variable Rate Issue	true	VariableRateIssue
Hedge Identified In Books And Recds	true	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

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

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

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
JOSEPH GIANCOLA
J GIANCOLA - SEE SCH O	129623	RENTAL OF REAL PROPERTY	false
FOLEY DISRIBUTING FOLEY SERVICES
M FOLEY - SEE SCH O	204733	PAPER & JANITORIAL SUPPLIES	false
CENTRAL VERMONT PUBLIC SERVICE
J GAMBLE - SEE SCH O	1089000	ELECTRICITY	false
BLUE CROSS BLUE SHIELD OF VERMONT
J COLLINS & T HUEBNER	1000153	INSURANCE PREMIUMS	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
TOTAL NUMBER OF VOLUNTEERS	FORM 990, PART I, LINE 6	THE TOTAL NUMBER OF VOLUNTEERS INCLUDES NON-COMPENSATED MEMBERS OF THE BOARD OF DIRECTORS AND OTHER INDIVDUALS WHO VOLUTEER TIME TO FURTHER THE ORGANIZATION'S EXEMPT PURPOSE.
ORGANIZATION'S MISSION	FORM 990, PART III, LINE 1	MISSION: TO PROVIDE SUPERIOR, INTEGRATED, DIAGNOSTIC, THERAPEUTIC AND PREVENTATIVE HEALTH SERVICES IN A CARING ENVIRONMENT TO THOSE IN THE RUTLAND REGION AND SURROUNDING COMMUNITIES THROUGH THE STRENGTH OF OUR PEOPLE, TECHNOLOGY AND RELATIONSHIPS. VISION: TO BE THE BEST COMMUNITY HOSPITAL AND HEALTH SYSTEM IN NEW ENGLAND. GOALS: QUALITY: WE WILL PROVIDE SUPERIOR HEALTH SERVICES WHICH MEET OUR CUSTOMER NEEDS THROUGH: GOOD CLINICAL OUTCOMES, UP-TO-DATE TECHNOLOGY, EFFECTIVE PROCESSES, COMPETENT AND CARING STAFF AND WELL MAINTAINED FACILITIES. GROWTH: WE WILL DEVELOP NEW SERVICES AND EXPAND EXISTING SERVICES TO MEET CUSTOMER NEEDS RESULTING IN INCREASED MARKET SHARE AND EXPANSION INTO NEW MARKETS. INFORMATION EXCELLENCE: WE WILL PROVIDE SUPERIOR, COORDINATED INFORMATION RESOURCES, PROCESSES, AND SYSTEMS THAT MEET CUSTOMER NEEDS FOR EFFECTIVE INFORMATION GATHERING, RECORDING, ACCESS, ANALYSIS, AND DISSEMINATION ACROSS THE HEALTHCARE CONTINUUM. FINANCIAL STRENGTH: WE WILL ACHIEVE FINANCIAL STRENGTH AND STABILITY BY OPTIMIZING REIMBURSEMENT AND IMPROVING OUR COST STRUCTURE TO PRODUCE SUFFICIENT MARGINS, AND INCREASING PHILANTHROPIC GIVING. *EMPLOYEE ENGAGEMENT: WE WILL CREATE AN ENVIRONMENT WHERE EMPLOYEE ENGAGEMENT FLOURISHES AND WE COMMIT OUR HEARTS AND MINDS TO MEETING AND EXCEEDING THE NEEDS OF OUR CUSTOMERS AND EACH OTHER. SIGNIFICANT PROGRAM SERVICES FORM 990, PART III, LINE 3 RRMC ADDED THE WOMEN HEALTH SERVICES CLINIC AS OF JANUARY 1, 2010. WOMEN'S HEALTH SERVICES IS A FOUR PHYSICIANS PRACTICE THAT OFFERS COMPREHENSIVE OBSTETRICAL AND GYNECOLOGICAL SERVICES TO BOTH INPATIENT AND OUTPATIENTS. THE ORGANIZATION ALSO ADDED DIGESTIVE SERVICES, WHICH IS A TWO PHYSICIANS PRACTICE THAT WILL TREAT A BROAD SPECTRUM OF DIGESTIVE DISEASES.
EXEMPT PURPOSE ACHIEVEMENTS	FORM 990, PART III, LINES 4A-C	RUTLAND REGIONAL MEDICAL CENTER FY 2010 COMMUNITY BENEFITS REPORT: RUTLAND REGIONAL HEALTH SERVICES (RRHS) IS A COLLABORATIVE SYSTEM OF HEALTH CARE PROVIDERS OFFERING INPATIENT AND OUTPATIENT ACUTE CARE, REHABILITATION, EDUCATION, PRIMARY CARE, GRANT FUNDING AND ASSISTED LIVING HOUSING. RUTLAND REGIONAL MEDICAL CENTER (RRMC) IS A LICENSED RURAL HOSPITAL SERVING PEOPLE IN RUTLAND COUNTY AND BEYOND. IN FY 2010, RRMC SERVED 154,918 THROUGH OUTPATIENT ENCOUNTERS, 32,308 THROUGH INPATIENT DAYS AND PERFORMED 4,936 SURGICAL PROCEDURES. THE COMMITMENT OF RUTLAND REGIONAL MEDICAL CENTER TO PROVIDE SUPERIOR, INTEGRATED, DIAGNOSTIC, THERAPEUTIC, AND PREVENTATIVE HEALTH SERVICES GOES FAR BEYOND WHAT HAPPENS WITHIN THE WALLS OF THE HOSPITAL FACILITY. THROUGH THE STRENGTH OF OUR PEOPLE, TECHNOLOGY AND RELATIONSHIPS, RUTLAND REGIONAL PROMOTES THE HEALTH OF THE COMMUNITY WE SERVE THROUGH A VARIETY OF HEALTH IMPROVEMENT INITIATIVES, CONTRIBUTIONS AND PARTNERSHIPS THROUGHOUT THE REGION. OUR EFFORTS ARE PRIORITIZED IN ACCORDANCE WITH THE RUTLAND COUNTY COMMUNITY HEALTH ASSESSMENT CONDUCTED IN 2009, WHICH IDENTIFIED THE NEEDS TO: INCREASE ACCESS TO AND AFFORDABILITY OF HEALTH AND HUMAN SERVICES; INCREASE PREVENTION EFFORTS FOR ALL; AND REDUCE SUBSTANCE ABUSE. EXAMPLES OF ACTIVITIES TO ADVANCE OUR COMMUNITY COMMITMENT INCLUDE: CHARITY CARE - RUTLAND REGIONAL PROVIDES LOW AND NO-COST CARE FOR ELIGIBLE RESIDENTS OF OUR AREA THROUGH A FINANCIAL ASSISTANCE PROGRAM. THE FREE CARE PROVISION FOR 2010 TOTALED $4,341,795. IN ADDITION, RUTLAND REGIONAL PROVIDES $30,000 IN FREE AND REDUCED COST LABORATORY AND IMAGING SERVICES TO PATIENTS OF THE RUTLAND FREE CLINIC. COALITIONS AND PARTNERSHIPS - THROUGH COLLABORATION WITH REGIONAL ORGANIZATIONS, RUTLAND REGIONAL SUPPORTS THE HEALTH AND WELL-BEING OF OUR COMMUNITY. A SUCCESSFUL COLLABORATION IN 2010 OCCURRED BETWEEN THE RUTLAND REGIONAL BREAST CARE PROGRAM, THE RUTLAND FREE CLINIC AND LADIES FIRST, WHO CAME TOGETHER TO STREAMLINE THE PROCESS OF PROVIDING BREAST HEALTH EDUCATION TO UNINSURED AND UNDERINSURED WOMEN AND FACILITATE SCREENINGS, CONSULTS AND MAMMOGRAMS. DONATIONS AND SPONSORSHIPS - A VARIETY OF ORGANIZATIONS SERVE THE NEEDS OF OUR COMMUNITY, CARING FOR AND PROMOTING HEALTH AND HEALTHY LIFESTYLES ACROSS THE REGION, WHICH RUTLAND REGIONAL SUPPORTS THROUGH DONATIONS, SPONSORSHIPS AND EMPLOYEE PARTICIPATION TOTALING OVER $1,254,166, ON A CONSOLIDATED BASIS. HIGHLIGHTS OF THESE ACCOMPLISHMENTS INCLUDE OUR FOCUS ON LOCAL NEEDS THROUGH THE ADOPT- A-FAMILY PROGRAM AND PARTICIPATION IN THE PACK THE PARAMOUNT FOOD DRIVE. PROFESSIONAL EDUCATION AND TRAINING - RUTLAND REGIONAL COLLABORATES WITH AN ARRAY OF EDUCATIONAL PROGRAMS TO PLAN, ORIENT AND SUPERVISE STUDENTS INTERESTED IN AND PURSUING CAREERS IN MEDICAL FIELDS, INCLUDING: HIGH SCHOOL STUDENTS IN PROGRAMS LIKE MEDQUEST, VOLUNTEERING, AND YES PLAN; PRECEPTING AND EVALUATING MEDICAL STUDENTS; PROVIDING NURSING STUDENT CLINICAL EXPERIENCES; AND PROVIDING CONTINUING MEDICAL EDUCATION (CME) PROGRAMMING OPEN TO STAFF OUTSIDE THE HOSPITAL. WORKFORCE DEVELOPMENT - RUTLAND REGIONAL WORKS COLLABORATIVELY TO MAINTAIN A DIVERSE PROFESSIONAL HEALTHCARE WORKFORCE TO ADDRESS THE MEDICAL AND HEALTH NEEDS OF OUR COMMUNITY, RECRUITING PHYSICIANS, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, SOCIAL WORKERS, NURSE ANESTHETISTS AND OTHERS THROUGHOUT THE YEAR. IN FY10, THIS INVESTMENT TOTALED OVER $280,000. HEALTHWISE - RUTLAND REGIONAL HAS RUN A PROGRAM ON PEG TV PROMOTING HEALTH AND HEALTHY LIVING THROUGH DISCUSSION OF HEALTH RELATED TOPICS OF INTEREST TO COMMUNITY MEMBERS OR GROUPS. COMMUNITY HEALTH IMPROVEMENT INITIATIVES - PROVIDING FREE SERVICES AND EDUCATIONAL PROGRAMMING IS A KEY ELEMENT OF SUPPORTING THE HEALTH OF OUR COMMUNITY. HEALTHY LIVING WORKSHOPS ASSIST INDIVIDUALS WITH CHRONIC ILLNESS LEARN WAYS TO IMPROVE THEIR SELF MANAGEMENT SKILLS AND FEEL MORE IN CONTROL OF THEIR HEALTH. COMMIT TO QUIT IS A FREE PROGRAM TO HELP SUPPORT CESSATION OF TOBACCO USE. SAFE SITTER BABYSITTING COURSES ARE OFFERED FOR 11- TO 13-YEAR OLDS INTERESTED IN BEGINNING BABYSITTING. OVER 25 SUPPORT GROUPS ARE AVAILABLE FOR INDIVIDUALS AND FAMILIES TO SHARE STORIES AND EXPERIENCES WITH OTHERS AND PROMOTE HEALING AND RECOVERY FROM CANCER, ALCOHOLISM, BEREAVEMENT, AND OTHER CONCERNS. IN SUMMARY, RUTLAND REGIONAL INVESTED $2,807,161 IN COMMUNITY BENEFITS AND PROVIDED $4,341,795 IN CHARITY CARE. IN ADDITION, RUTLAND REGIONAL EXPERIENCES SUBSTANTIAL SHORTFALLS IN UNREIMBURSED/UNCOMPENSATED MEDICAID CARE FOR EMERGENCY AND OTHER SERVICES EACH YEAR. LOOKING FORWARD TO FY11, RUTLAND REGIONAL WILL BE WORKING WITH AREA PRIMARY CARE PROVIDERS TO IMPLEMENT THE BLUEPRINT MEDICAL HOME MODEL OF SERVICE DELIVERY AND CONDUCTING A NEW COMMUNITY HEALTH NEEDS ASSESSMENT IN OUR EFFORTS TO CONTINUE POSITIVELY IMPACTING OUR COMMUNITY AND ITS MEMBERS.
CHANGE IN ORGANIZATIONAL DOCUMENTS	FORM 990, PART VI, SECTION A, LINE 4	THE FOLLOWING SIGNIFICANT CHANGES TO THE ORGANIZATION'S BYLAWS HAVE NOT BEEN REPORTED ON ANY PRIOR FORM 990S: ARTICLE III, SECTION 1 - THE BOARD OF DIRECTORS SHALL CONSIST OF EIGHTEEN MEMBERS. ARTICLE III, SECTOIN 2(D) - THE CHAIR OF THE JAMES T. BOWSE HEALTH TRUST COMMITTEE SHALL BE DESIGNATED A MEMBER OF THE BOARD OF DIRECTORS DURING HIS/HER TERM AS A CHAIR OF THE COMMITTEE. MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINES 6, 7A, & 7B PER ARTICLE II, SECTION 1, OF THE ORGANIZATION'S BYLAWS, RUTLAND REGIONAL HEALTH SERVICES IS THE SOLE MEMBER OF RUTLAND REGIONAL MEDICAL CENTER. ARTICLE III, SECTIONS 1 AND 2, OF THE BYLAWS STATE THAT THE BOARD SHALL CONSIST OF EIGHTEEN DIRECTORS. OF THESE DIRECTORS, FOURTEEN ARE CHOSEN OR APPROVED BY THE ORGANIZATION'S SOLE MEMBER. ARTICLE VIII, SECTION 5, OF THE BYLAWS DISCUSS POWERS RESERVED TO THE MEMBER, RUTLAND REGIONAL HEALTH SERVICES, INC., AND STATE THAT THE CORPORATION SHALL SUBMIT TO THE BOARD OF DIRECTORS OF THE MEMBER FOR ITS PRIOR APPROVAL THE FOLLOWING: A) THE APPOINTMENT OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, B) ALL OPERATING AND CAPITAL BUDGETS FOR THE CORPORATION, C) STRATEGIC PLANS FOR THE CORPORATION, D) CAPITAL EXPENDITURES OF $100,000 OR MORE WHICH ARE UNBUDGETED, E) PURCHASE AND SALE OF ALL SIGNIFICANT ASSETS, AND F) THE BYLAWS AND ANY AMENDMENTS THERETO.
FORM 990 REVIEW PROCESS	FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A DRAFT COPY IS THEN REVIEWED BY TOP MANAGEMENT. ONCE A FINAL DRAFT IS COMPLETE, IT IS MAILED TO EACH MEMBER OF THE SYSTEM FINANCE COMMITTEE. THE COMMITTEE WILL MEET AND DISCUSS THE RETURN WITH A TAX ADVISOR PRIOR TO PRESENTING THE FINAL DRAFT TO THE FULL BOARD OF DIRECTORS. ALL BOARD MEMBERS ARE ALSO PROVIDED A COPY OF THE FINAL DRAFT.
CONFLICT OF INTEREST POLICY	FORM 990, PART VI, SECTION B, LINE 12C	ANNUALLY, ALL ORGANIZATION LEADERS REVIEW THE SYSTEM-WIDE CONFLICT OF INTEREST POLICY TO ENSURE ALL CONFLICTS ARE MADE KNOWN. SEE THE POLICY BELOW. POLICY DUTY TO DISCLOSE IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND MUST BE GIVEN THEOPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS, OR OTHER INDIVIDUALS WHO, ON BEHALF OF THE CORPORATION, ARE CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. DUTY TO VOICE CONCERN IN THE EVENT THAT AN INTERESTED PERSON BECOMES CONCERNED THAT ANOTHER INTERESTED PERSON WHO IS A BOARD MEMBER, PRINCIPAL OFFICER OR MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS HAS AN UNDISCLOSED FINANCIAL INTEREST OR IS EXERTING INAPPROPRIATE INFLUENCE RELATED TO A FINANCIAL INTEREST, THIS CONCERN SHOULD BE RAISED WITH THE CHAIR OF THE APPROPRIATE BOARD OR COMMITTEE OR, IF INVOLVING A MEMBER OF LEADERSHIP COUNCIL, A DIRECTOR OR MANAGER OR OTHER INTERESTED PERSON, AN APPROPRIATE CORPORATE OFFICER. DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON BY THE REMAINING BOARD OR COMMITTEE MEMBERS. HOWEVER, IN NO EVENT SHALL AN INTERESTED PERSON PARTICIPATE IN THE DELIBERATION AND/OR DETERMINATION OF COMPENSATION THAT HE/SHE WILL RECEIVE FROM THE CORPORATION FOR EMPLOYMENT, PROFESSIONAL CONTRACT OR OTHERWISE. DEFINITIONS -INTERESTED PERSON - FOR THE PURPOSES OF THIS POLICY, AN INTERESTED PERSON IS ANY BOARD MEMBER, PRINCIPAL OFFICER, MEMBER OF THE LEADERSHIP COUNCIL, DIRECTOR, OR MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST. IF AN INDIVIDUAL IS AN INTERESTED PERSON WITH RESPECT TO ANY ENTITY IN THE RRMC/RRHS HEALTH CARE SYSTEM, HE OR SHE IS AN INTERESTED PERSON WITH RESPECT TO ALL ENTITIES IN THE HEALTH CARE SYSTEM. *PROCEDURES -PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST .AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER SUCH PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST. .THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. .AFTER EXERCISING DUE DILIGENCE, INCLUDING A CONSIDERATION OF INDEPENDENT COMPARABILITY DATA, VALUATIONS OR APPRAISALS, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. .IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. -ANNUAL STATEMENTS .AWARENESS/COMPLIANCE WITH POLICY - EACH INTERESTED PERSON SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THIS CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY; HAS AGREED TO COMPLY WITH THE POLICY; AND UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST BE ENGAGED PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. .CONFLICT OF INTEREST SURVEY - EACH INTERESTED PERSON SHALL DISCLOSE ON AN ANNUAL SURVEY FORM POTENTIAL CONFLICTS OF INTEREST AND FINANCIAL INTERESTS RELEVANT TO THIS POLICY.
COMPENSATION REVIEW POLICY	FORM 990, PART VI, SECTION B, LINE 15	THE FOLLOWING POLICY APPLIES TO THE ENTIRE RUTLAND REGIONAL HEALTH SERVICES (RRHS) SYSTEM, AND THE POLICY COVERS OFFICER & KEY EMPLOYEE COMPENSATION: IT IS THE POLICY OF RRHS TO OFFER MARKET-COMPETITIVE PAY SO TO ATTRACT AND RETAIN THE BEST TALENT FROM OUR LABOR MARKET. DESIGNATION OF RRHS' KEY EMPLOYEES IS MADE BY THE COMPLIANCE DEPARTMENT. THE RRHS KEY EMPLOYEE LABOR MARKET IS TYPICALLY ALL HOSPITALS NATIONALLY WITH SIMILAR REVENUES AS RRHS. KEY EMPLOYEE COMPENSATION IS REVIEWED ANNUALLY EACH FALL USING THREE SOURCES OF INDEPENDENT COMPETITIVE MARKET DATA. JOBS HELD BY KEY EMPLOYEES ARE MATCHED WITH SIMILAR JOBS IN MARKET DATA WITH AN INDICATION OF JOB MATCH STRENGTH (WEAK, MODERATE OR STRONG). THE MARKET REVIEW PRODUCES A REPORT OF KEY EMPLOYEE CURRENT BASE PAY AND TOTAL CASH COMPENSATION VS. MARKET BASE PAY AND TOTAL CASH COMPENSATION WITH ANY RECOMMENDED PAY ACTIONS. GENERALLY SPEAKING, KEY EMPLOYEE BASE PAY VARIANCES OF -5% VS. MARKET TOTAL CASH COMPENSATION ARE CONSIDERED TO BE NON-COMPETITIVE PROMPTING A RECOMMENDED BASE PAY INCREASE TO BE CONSIDERED. THE RESULTS OF THE REVIEW AND RECOMMENDED PAY ACTIONS ARE REVIEWED AND APPROVED BY THE CEO. INFORMATION IS MADE AVAILABLE TO SYSTEM FINANCE. THE CEO PAY IS REVIEWED AND APPROVED BY THE CHAIR AND CO-CHAIR OF THE BOARD OF DIRECTORS. THIS REVIEW IS DOCUMENTED IN THE EXECUTIVE SESSION BOARD MINUTES. THE MOST RECENT COMPENSATION REVIEW OCCURRED DURING FALL 2010. THE KEY EMPLOYEES REVIEW WAS CONDUCTED LAST FALL 2010 COVERING NON-PHYSICIAN EMPLOYEE EARNING AT LEAST $150,000. THIS WAS DONE INTERNALLY.
DOCUMENT DISCLOSURE	FORM 990, PART VI, LINE 19	CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE ANNUALLY IN THE ANNUAL REPORT, AND ARE ALSO AVAILABLE UPON WRITTEN REQUEST. THE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE ALSO AVAILABLE UPON WRITTEN REQUEST. ALL REQUESTS MUST BE FOR A LEGITIMATE BUSINESS PURPOSE (AS DETERMINED BY TOP MANAGEMENT), AND REQUESTED DOCUMENTS WILL BE MAILED.
BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	SCHEDULE L, PART IV	JOSEPH GIANCOLA, BOARD MEMBER, IS THE OWNER OF A BUILDING WHICH WAS RENTED TO THE ORGANIZATION FOR $129,623 IN FY 2010. MARK K. FOLEY, BOARD MEMBER, OWNS FOLEY DISTRIBUTING AND FOLEY SERVICES, INC. THESE COMPANIES SUPPLIED PAPER AND JANITORIAL PRODUCTS TO THE ORGANIZATION. JOAN F. GAMBLE, BOARD MEMBER, IS AN OFFICER AT CENTRAL VERMONT PUBLIC SERVICES (CVPS). IN FY 2010, THE ORGANIZATION PAID CVPS $1,089,000 FOR ELECTRICITY. JOHN C. COLLINS, BOARD MEMBER, IS ON THE BOARD OF BLUE CROSS BLUE SHIELD OF VERMONT (BCBS) AND THOMAS W HUEBNER, RRMC PRESIDENT & CEO, IS ON THE BOARD OF BLUE CROSS BLUE SHIELD OF VERMONT. IN FY10, THE ORGANIZAITON PAID BCBS $1,000,153 IN HEALTH INSURANCE PREMIUMS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
RUTLAND REGIONAL HEALTH SERVICES
160 ALLEN STREET	RUTLAND	VT	05701	222534389	HOLDING CO	VT	501(C)(3)	11A I	NA
JAMES T BOWSE COMMUNITY HEALTH TRUST
160 ALLEN STREET	RUTLAND	VT	05701	043368673	SUPPORT	VT	501(C)(3)	11A I	NA
RUTLAND HEALTH FOUNDATION
160 ALLEN STREET	RUTLAND	VT	05701	030349681	FUNDRAISING	VT	501(C)(3)	7	NA
VERMONT ORTHOPAEDIC CLINIC
160 ALLEN STREET	RUTLAND	VT	05701	208089565	ORTHO SVC	VT	501(C)(3)	9	NA

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner
THE MEADOWS AT EAST MOUNTAIN
03-0330343 RUTLAND VT 05701	RUTLAND	VT	05701	030330343	ELDER CARE	VT	false	true
THE GABLES AT EAST MOUNTAIN LLC
03-0358050	RUTLAND	VT	05701	030358050	ELDER CARE	VT	true	true
VERMONT SPORTS MEDICINE CENTER
06-1231501	RUTLAND	VT	05701	061231501	PHYSICAL THERAPY	VT	false	true

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