2024-08-15T09:46:58-05:00 2023-09-30 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2022-10-01 463593492 Gifford Retirement Community Inc GIFF 8027287000 44 South Main Street Randolph VT 05060 William D King CFO 8027287000 2024-08-12 1 1 Joseph R Byrne P01289281 2077752387 2024-08-12 2022 2024-08-08 14:25:15Z Daniel A Bennett 44 South Main Street Randolph VT 05060 6424749 0 X www.giffordhealthcare.org X 2013 VT Gifford is committed to providing top quality care for our whole community, for people of every age and that's the founding vision of Morgan Orchards senior living. 15 11 79 13 0 0 514475 210999 6179965 6176055 33128 714 0 0 6727568 6387768 0 0 0 0 4282279 5077356 0 0 1785 4833322 5070954 9115601 10148310 -2388033 -3760542 11498830 10660366 21679625 24588714 -10180795 -13928348 The mission of Gifford Healthcare Inc. and its subsidiaries is to enhance the health and well-being of our communities by providing excellent patient-centered care including senior living services. 0 0 7406392 6176055 Gifford Retirement Community operates a 30 bed skilled nursing facility, a 49 unit independent living facility, and an adult day care facility. 7406392 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 2 0 1 79 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X William D King 8027287000 44 South Main Street Randolph VT 05060 Victor Ribaudo Chair 1.00 2.00 X X 0 0 0 Megan Cicio Vice Chair 1.00 2.00 X X 0 0 0 Peter Reed Secretary 1.00 2.00 X X 0 0 0 Jody Davignon Treasurer 1.00 2.00 X X 0 0 0 Kristin Chandler Director/Trustee 1.00 2.00 X 0 0 0 Matthew Considine Director/Trustee 1.00 2.00 X 0 0 0 Frederick Hauser Trustee 1.00 1.00 X 0 0 0 Sarah Jackson Director/Trustee 1.00 2.00 X 0 0 0 Theron Manning Director/Trustee 1.00 2.00 X 0 0 0 Jeffery Nelb Director/Trustee 1.00 2.00 X 0 0 0 Morgan Rilling Director/Trustee 1.00 2.00 X 0 0 0 Clay Westbrook Director/Trustee 1.00 2.00 X 0 0 0 Todd Winslow Director/Trustee 1.00 2.00 X 0 0 0 Daniel Bennett President & CEO 1.00 41.00 X X 0 366183 46287 Ursula A Margazano GRC Director 40.00 0.00 X X 0 157638 22534 Lincoln Clark Past Director/Trustee 1.00 2.00 X 0 0 0 Jennifer A Bertrand CFO 1.00 41.00 X 0 257122 13302 0 780943 82123 0 0 1 0 FocusOne Solutions PO Box 850861 Minneapolis MN 554850861 Contract Nursing 677917 SHC Services Inc PO Box 677896 Dallas TX 752677896 Contract Nursing 365907 Mark A McKinstry Jr 3771 VT Rte 107 Stockbridge VT 05772 Plowing/Landscaping Services 157450 3 210999 210999 Patient Service Revenu 624100 4764478 4764478 Independent Living 623000 1970446 1970446 Other Revenue 624100 133843 114020 19823 Contractual Allowances 624100 -692712 -692712 6176055 8247 8247 29407 41 36981 0 -7574 41 -7533 -7533 6387768 6156232 0 20537 X 4013156 2721173 1291301 682 113186 90311 22852 23 701539 418354 283080 105 249475 199056 50369 50 1470 1470 12871 12871 1786706 1352699 433668 339 4508 3597 911 65029 51887 13129 13 73629 58748 14866 15 1290994 1030082 260654 258 55 44 11 195102 155672 39391 39 745940 595184 150607 149 54378 43388 10979 11 Other Supplies 483478 344524 138868 86 Medicaid Provider Tax 147586 147586 Medical Supplies and Dr 134400 134400 Miscellaneous Expenses 74808 59687 15106 15 10148310 7406392 2740133 1785 X 5260 5240 230759 436318 823979 507323 4210 4282 161001 163905 14576714 5215251 10093772 9361463 179849 181835 11498830 10660366 797426 1136674 9277816 9018611 5709850 4840427 5894533 9593002 21679625 24588714 X -10258515 -13999265 77720 70917 -10180795 -13928348 11498830 10660366 -3760542 12989 0 X 0 1 X 1 1 1 X 925 1590073 162456 514475 210999 2478928 5236941 5363949 5101530 6179965 6176055 28058440 5237866 6954022 5263986 6694440 6387054 30537368 0 1546550 1584058 1506561 1825040 2571992 9034201 1546550 1584058 1506561 1825040 2571992 9034201 21503167 11952 6584 3923 5352 8247 36058 11952 6584 3923 5352 8247 36058 5249818 6960606 5267909 6699792 6395301 30573426 0.70330 0.72910 0.00120 0.00130 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 12431 12431 0 Part II-B, Line 1: Gifford Medical Center, Inc., a related organization, is a member of the Vermont Association of Hospitals and Health Systems, the Bi-State Primary Care Association, and the American Hospital Association. A portion of the dues paid to these organizations is available for lobbying expenditures on behalf of Gifford Medical Center and the other member organizations in furtherance of their exempt purposes. Gifford Medical Center does not directly perform any lobbying activities. A portion of these dues have been allocated to related organizations Gifford Retirement Community, Inc. and Gifford Health Care, Inc. Gifford Retirement Community also paid a lobbying firm to advocate on their behalf. 8228299 2571759 5656540 5055234 1889184 3166050 1293181 754308 538873 9361463 Due to Affiliates 9505819 Deferred Annuities 87183 9593002 0 0 0 0 0 0 0 0 0 Daniel Bennett President & CEO 0 354783 0 0 0 11400 0 15146 0 31141 0 412470 0 0 Jennifer A Bertrand CFO 0 254180 0 0 0 2942 0 11844 0 1458 0 270424 0 0 Ursula A Margazano GRC Director 0 155966 0 0 0 1672 0 8018 0 14516 0 180172 0 0 Part I, Line 3 Gifford Medical Center's Chief Executive Officer is evaluated annually by a board compensation committee that relies on data and input from a variety of independent sources. The compensation information is then reviewed by the Executive Committee of the Board of Trustees and resultant recommendations are presented to the Board of Trustees for final approval. Form 990, Part V, Lines 1a & 2a: Gifford Medical Center, a related organization of Gifford Retirement Community, files all W-2s and 1099s for the Organization. Salaries, pension, payroll taxes, and employee benefits of those individuals are then allocated for the amounts that represent work performed for Gifford Retirement Community. In addition, the CEO and CFO of Gifford Medical Center, Gifford Health Care, and Gifford Retirement Community. Compensation has been shown in Part VII as paid by Gifford Medical Center only, although their time spent is attributable to all three entities. Form 990, Part VI, Section B, line 11b The Form 990 is prepared by an independent accounting firm based on the audited financial statements and information provided by the accounting department of the organization. The completed Form 990 is presented and reviewed by the Finance Committee of the Board of Trustees and an electronic copy of the complete Form 990 is made available to all Board Members prior to filing. Form 990, Part VI, Section B, line 12c Gifford Retirement Community, Inc. requires board members to complete an annual conflict of interest survey. Any duality of interest or possible conflict of interest on the part of any director shall be disclosed to the other board members. Any director having duality of interest or possible conflict of interest on any matter shall not vote or use his personal influence on the matter, and shall not be present for discussion of the matter. The minutes of the meeting shall reflect that a disclosure was made and that the director abstained from voting and discussion. Form 990, Part VI, Section B, line 15 The Organization's CEO & other officers are compensated by Gifford Medical Center, a related organization. Compensation for the Chief Executive Officer is evaluated annually by a board compensation committee that relies on data and input from a variety of independent sources. The compensation information is then reviewed by the Executive Committee of the Board of Trustees and resultant recommendations are presented to the Board of Trustees for final approval. To evaluate the compensation of the Organization's other officers and key employees, the compensation review is administered by human resources and the CEO. The human resources department has some internal and external sources that are utilized to compare compensation amounts. Form 990, Part VI, Section C, line 19 The Organization makes its conflict of interest policy available upon request. The financial statements are available on the Organization's website, and upon request. Form 990, Part IX, line 11g Professional Fees: Program service expenses 1,352,699. Management and general expenses 433,668. Fundraising expenses 339. Total expenses 1,786,706. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Gifford Retirement Community, Inc. 44 South Main Street Randolph, VT 05060 EIN 46-3593492 Gifford Retirement Community, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Gifford Health Care Inc 44 South Main Street Randolph VT 05060 460938716 FQHC/Parent VT 501(c)(3) Line 10 N/A 0 Gifford Medical Center 44 South Main Street Randolph VT 05060 030179418 Critical Access Hospital VT 501(c)(3) Line 3 Gifford Health Care Inc 0 Charitable Remainder Trusts (3) Deferred Annuity VT Gifford Retirement Community Inc 1 Charitable Remainder Trusts (11) Deferred Annuity VT Gifford Medical Center Inc 0 0 0 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1