SCHEDULE H, PART I, LINE 7, COLUMN F
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PERCENT OF TOTAL EXPENSE: TO ARRIVE AT THE PERCENT OF TOTAL EXPENSES, THE DENOMINATOR WHICH EQUALS TOTAL OPERATING EXPENSES PER PART IX, LINE 25, OF THE FORM 990 WAS REDUCED BY BAD DEBT EXPENSE OF $2,317,389.
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SCHEDULE H, PART I, LINE 7G
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SUBSIDIZED SERVICES: THE ORGANIZATION HAS INCLUDED COSTS ASSOCIATED WITH RURAL HEALTH CENTERS (RHS) IN THE CALCULATION OF SUBSIDIZED SERVICES ON LINE 7G, WHICH A NET SUBSIDY FROM RCHS OF $807,018. THESE SERVICES ARE PROVIDED IN RURAL AREAS WHERE THERE WOULD BE A SHORTAGE OF QUALITY MEDICAL CARE WITHOUT THE SERVICES. GIFFORD MEDICAL CENTER CONTINUES TO PROVIDE THESE SERVICES AS A BENEFIT TO THE COMMUNITY DESPITE KNOWING THAT FINANCIAL SHORTFALLS WILL BE SUSTAINED.
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SCHEDULE H, PART I, LINE 7
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COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEET 1 AND 6.
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SCHEDULE H, PART II
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COMMUNITY BUILDING ACTIVITIES: INCLUDED IN PART II AS COMMUNITY BUILDING ACTIVITIES ARE LOCAL HIGH SCHOOL LECTURES, JOB SHADOWING, AND AFTER SCHOOL PROGRAMS. THESE ACTIVITIES PROVIDE OPPORTUNITIES TO ADDRESS THE ROOT CAUSE OF HEALTH PROBLEMS, INCLUDING POVERTY, HOMELESS, AND UNEMPLOYMENT.
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SCHEDULE H, PART III, SECTION A, LINE 2
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BAD DEBT EXPENSE: THE ORGANIZATION CALCULATED BAD DEBT USING THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS PER THE AUDITED FINANCIAL STATEMENTS.
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SCHEDULE H, PART III, SECTION A, LINE 3
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BAD DEBT EXPENSE ATTRIBUTABLE TO CHARITY CARE: 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.
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SCHEDULE H, PART III, SECTION A, LINE 4
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BAD DEBT EXPENSE 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: ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBLE OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR UNCOLLECTIBLE ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAY SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
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SCHEDULE H, PART III, SECTION B, LINE 8
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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.
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SCHEDULE H, PART III, SECTION C, LINE 9B
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COLLECTION POLICY: THE APPLICATION FOR AND APPROVAL OF FINANCIAL ASSISTANCE CAN OCCUR BEFORE, DURING OR AFTER TREATMENT SO LONG AS THE ACCOUNT HAS NOT BEEN WRITTEN OFF TO BAD DEBT PRIOR TO RECEIPT OF A COMPLETED APPLICATION AND THE NECESSARY DOCUMENTATION. ACCOUNTS SENT TO BAD DEBT AFTER REQUIRED INFORMATION HAS BEEN RECEIVED CAN BE RETURNED FROM COLLECTIONS FOR PROCESSING WITHOUT PENALTY TO THE APPLICANT. GIFFORD MEDICAL CENTER, INC., ENCOURAGES THE APPLICATION PROCESS TO BEGIN AS EARLY AS POSSIBLE.
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SCHEDULE H, PART VI, LINE 2
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NEEDS ASSESSMENT: IDENTIFYING AND MEETING THE COMMUNITY'S HEALTH CARE NEEDS WOULD NOT BE POSSIBLE WITHOUT INPUT FROM THE PUBLIC. GIFFORD MEDICAL CENTER PROVIDES AMPLE OPPORTUNITIES FOR THE PUBLIC TO PROVIDE BOTH INPUT AND ACTIVELY PARTICIPATE IN MEDICAL CENTER ACTIVITIES. THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, ANNUAL HOSPITAL REPORT CARD MEETINGS, PATIENT SATISFACTION SURVEYS AND ONE-ON-ONE COMMENTS TO HOSPITAL STAFF AND BOARD MEMBERS HELP DIRECT STRATEGIC PLANNING AND OPERATIONAL DECISIONS. EVERY THREE YEARS, GIFFORD ENGAGES IN AN EXTENSIVE STRATEGIC PLANNING PROCESS THAT RESULTS IN THE IDENTIFICATION AND IMPLEMENTATION OF A LIST OF INITIATIVES THE HOSPITAL STRIVES TO ACHIEVE OVER THE COMING THREE YEARS. SUCCESS AT ACHIEVING THOSE INITIATIVES THROUGHOUT, AND BY THE CONCLUSION OF THE THREE-YEAR PERIOD IS EXTENSIVELY MONITORED BY THE HOSPITAL'S LEADERS, INCLUDING ITS VOLUNTEER BOARD OF TRUSTEES.
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SCHEDULE H, PART VI, LINE 3
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PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: PATIENTS ARE ADVISED OF COMMUNITY OUTREACH AND ARE ENCOURAGED TO SET UP AN APPOINTMENT TO MEET WITH THE APPROPRIATE GIFFORD MEDICAL CENTER PERSONNEL. THE PATIENTS ARE ALSO DIRECTED TO GMC'S WEBSITE FOR AN EXPLANATION OF THE FREE CARE POLICY PROCESS.
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SCHEDULE H, PART VI, LINE 4
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COMMUNITY INFORMATION: IN ADDITION TO THE CLINICAL OFFICES LOCATED ON THE ORGANIZATION'S MAIN CAMPUS IN RANDOLPH, VERMONT, THE ORGANIZATION OPERATES COMMUNITY HEALTH CARE CENTERS LOCATED IN SHARON, BERLIN, RANDOLPH, AND WHITE RIVER JUNCTION, VERMONT. THE RANDOLPH/BAINTREE AREA PROVIDES THE MOST VISITS AND IS LOCATED IN ORANGE COUNTY, VERMONT. ORANGE COUNTY DEMOGRAPHICS SHOW APPROXIMATELY 21.2% OVER THE AGE OF 65 AND 18.3% UNDER 18 YEARS. OVER 96.8% ARE WHITE, WITH 49.9% FEMALE. THE AVERAGE HOUSEHOLD INCOME IS $56,584 WITH THE POVERTY LEVEL AT 10.4%, COMPARED TO THE STATE'S 12.3%.
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SCHEDULE H, PART VI, LINE 5
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PROMOTION OF COMMUNITY HEALTH: AS A COMMUNITY HOSPITAL, GIFFORD MEDICAL CENTER'S MISSION TO IMPROVE THE HEALTH OF THE PEOPLE BY PROVIDING AND ASSURING ACCESS TO AFFORDABLE AND HIGH QUALITY HEALTH CARE, AND BY PROMOTING THE HEALTH AND WELLBEING OF EVERYONE IN OUR SERVICE AREA. WE OFFER DIAGNOSTIC TECHNOLOGIES THAT INCLUDE A 64-SLICE CT SCANNER, A MOBILE MRI UNIT, A FILMLESS RADIOLOGY SYSTEM, 3D MAMMOGRAPHY AND STEREOTACTIC BREAST BIOPSIES. OUR 25-BED CRITICAL ACCESS HOSPITAL HAS A BIRTHING CENTER THAT IS RECOGNIZED AROUND THE STATE. WE HAVE A 24-HOUR EMERGENCY DEPARTMENT, A CHILDCARE CENTER AND SO MUCH MORE. THE FOLLOWING ARE THE ACTIVITIES FOR 2018: TWO NEW SURGEONS JOINED THE GIFFORD GENERAL SURGERY TEAM. THE GENERAL SURGERY TEAM PROVIDED FREE SKIN CANCER SCREENINGS. GIFFORD'S PHYSICAL THERAPY TEAM CONTRACTED WITH AREA SCHOOL AND ATHLETIC TEAMS TO PROVIDE ATHLETIC TRAINING SERVICES TO REDUCE THE RISK OF INJURY DURING SPORTING EVENTS. PT STAFF ALSO MET WITH COACHES TO ASSIST THEM IN UNDERSTANDING PROPER TAPING TECHNIQUE FOR STUDENT ATHLETES. THE ORTHOPEDIC DEPT. OFFERED TALKS REGARDING JOINT REPLACEMENTS, PODIATRY HELD "HAPPY FEET" EDUCATION TALKS TO EDUCATE THE COMMUNITY ON HOW TO BETTER CARE FOR THEIR FEET. GIFFORD HELD A 6 WEEK "DOSE OF REALITY" EDUCATION SERIES WHICH COVERED THE MANY ASPECTS OF ADDICTION AND RESOURCES AVAILABLE. GIFFORD HOSTED A VIEWING OF "HEROIN" WITH DISCUSSION. BEING MORTAL MOVIE VIEWING TO ADDRESS THE CONCERNS OF END OF LIFE CARE. GIFFORD OFFERED EDUCATION ON BULLYING, TICK SAFETY, NUTRITION, INJURY PREVENTION WITH A LOCAL NOT FOR PROFIT SCHOOL THAT MOVED INTO THE AREA. GIFFORD HOSTED AN AREA BLOOD DRIVE WITH THE RED CROSS. ATTENDING THE TUNBRIDGE WORLDS FAIR TO EDUCATE THE PUBLIC ON HEALTH CONCERNS THEY MAY HAVE AND AVAILABLE RESOURCES. GIFFORD PROVIDED FREE COMMUNITY BREAKFASTS AND LUNCHES WITHIN THE SERVICE AREA AS A WAY OF PROVIDING FOR AND GATHERING COMMUNITY MEMBERS TOGETHER WHICH PROVIDES SOCIAL OPPORTUNITIES TO THE COMMUNITY.
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SCHEDULE H, PART VI, LINE 6
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AFFILIATED HEALTH CARE SYSTEM: THE GIFFORD HEALTH CARE SYSTEM INCLUDES GIFFORD HEALTH CARE, INC. (GHC), GIFFORD MEDICAL CENTER, INC. (GMC), AND GIFFORD RETIREMENT COMMUNITY, INC. (GRC). GHC IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC). GIFFORD MEDICAL CENTER, INC. IS A 25-BED CRITICAL ACCESS HOSPITAL (CAH) PROVIDING GENERAL AND SPECIALTY SERVICES. GIFFORD RETIREMENT COMMUNITY, INC. HAS A 30-BED NURSING HOME UNIT, ADULT DAY SERVICES AND INDEPENDENT LIVING FACILITY.
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