Gifford Health Care

Legal name: Gifford Medical Center Inc

Nonprofit profile at a glance

EIN
030179418
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2022
Location
Randolph, VT, United States
Phone
(802) 728-7000
Rating
78
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospitals and Related Primary Medical Care Facilities

Official website

Reported finances

Revenue
$86,130,283
Expenses
$81,624,044
Assets
$101,022,342
Liabilities
$31,229,624

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

24 people listed

Executive titles in this filing

  • Emilija Florance (Trustee/Med. Staff President)
  • Michael Costa (President & CEO)
  • Daniel Bennett (Past President & CEO)

Highest reported compensation

  • Douglass R Weiss (Physician): $667,535 total reported compensation
  • Jeffrey J Bath (Physician): $633,224 total reported compensation
  • Dennis P Gilroy (Physician): $604,503 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

As a community health center and medical home, Giffords mission is to improve and manage the health of the people we serve by providing and assuring access to affordable, high-quality health care, and by promoting the health and well-being of everyone in our service area. Here, you’ll find helpful staff, skilled providers, and exceptional specialty care, close to home. We provide a wide range of services within our modern, comfortable facility, including 24-hour emergency care, inpatient and outpatient services, diagnostic imaging, surgery and rehabilitation, and end-of-life care. Additionally, our newly renovated and highly-acclaimed Birthing Center combines the expertise of OB/GYN care and low-intervention midwifery. At Gifford Medical Center, we care for you with a hometown approach… for life. Mission Statement “As a community health center and medical home, Gifford’s mission is...

What it reported doing in 2024

Gifford Medical Center Inc. ("Gifford") operates a not-for-profit, 25 bed critical access hospital whereby medical providers and nurses provide around the clock care to patients. Inpatient care services include a medical/surgical unit, a birthing center, and end of life care. Gifford also offers a range of clinical and ancillary services: diagnostic imaging, laboratory testing, anesthesiology, cardiology, chiropractic care, hospitalists, neurology, oncology, orthopedics, pathology, podiatry, sports medicine, general surgery, and urology.Gifford Medical Center's caring and knowledgeable surgery team offers general surgery services including skin lesion and cyst removal, comprehensive breast care, diagnosis and treatment of all forms of cancer, wound care, pill endoscopy, colonoscopies and appendix removal. General surgeons provide a wide range of procedures (primarily focusing on the abdominal organs as well as diseases of the skin, breast, soft tissue and hernias) in both office and operating room settings.Gifford Medical Center offers various other health care services to the central Vermont area. Other services available include radiology, laboratory, respiratory therapy, physical therapy, occupationaltherapy, speech pathology, electro cardiology, chemotherapy, emergency, skilled nursing, labor and delivery, nursery, radioisotope, and electroencephalography.

Operating model

Revenue model
Earned-program. 88% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - The filed numbers largely add up and most voting board members are independent. Expenses are high relative to revenue and total assets are small relative to annual expenses; liquid coverage is unknown.

Rating breakdown

  • Financial Efficiency: 59
  • Transparency & Controls: 97
  • Accountability: 90
  • Sustainability: 49
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 65.5%; rating input score 65
  • Program expense ratio: 70.2%; rating input score 70
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 93.3%; rating input score 93; 21st percentile among comparable filings
  • Pay-setting controls: 6 of 6 controls in place; rating input score 100
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Pass
    • Written employment contract: Pass
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 81.8%; rating input score 82; 29th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 5.2%; rating input score 57; 57th percentile among comparable filings
  • Total-asset coverage ratio: 1.24; rating input score 47; 47th percentile among comparable filings
  • Liabilities to assets ratio: 0.31; rating input score 55; 55th percentile among comparable filings
  • Officer compensation ratio: 4.7%; rating input score 19; 19th percentile among comparable filings

Growth

  • Program expense growth: 0.2% per year; rating input score 100; 8th percentile among comparable filings
  • Revenue growth: 1.3% per year; rating input score 100; 10th percentile among comparable filings
  • Asset growth: 3.2% per year; rating input score 100; 22nd percentile among comparable filings

Details

  • What they do: 2 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 65.5% of revenue deployed · 70.2% of spending went to programs
  • Governance: 9 of 11 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $57.3M in reported program spending
  • Leadership: top reported pay $668K · 24 people listed · 6 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $5.2M reported
  • Consistency: 34 of 35 current checks pass · 1 finding to review
  • Schedules: 12 filed schedules · includes major donors, grants, and executive pay
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 10 filed money-flow records
  • Related organizations: 3 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Review — Sustainability: Operating margin scored 57/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 47/100.
  • High — Sustainability: Officer compensation ratio scored 19/100.
  • Review — Transparency & Controls: Schedule R controlled transactions itemized did not reconcile in the filed values.
  • Review — Sustainability: Liabilities to assets ratio scored 55/100.