Rutland Hospital Inc

“The following policy applies to the officers and key employees of rutland regional medical center (rrmc): -it is the policy of rrmc to offer market-competitive pay so to attract and retain the best talent from our labor market. -designation of rrmc' key employees is made in accordance with the prevailing irs key employee definition. -the rrmc key employee labor market is typically all hospitals with similar revenues, staffed beds, employee full-time equivalents, or regional geography as rrmc. -key employee compensation is reviewed annually using three sources of independent competitive market data. -periodically an independent consultant engaged by the organization will conduct the annual review. Otherwise the review will be performed by human resources. -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 total cash compensation vs. Market median total cash compensation and any recommended pay actions. -generally speaking, key employee base pay variances of -5% vs. Market median total cash compensation are considered for a base pay increase. -the results of the review and recommended pay actions are reviewed and approved by the organization. - the president and ceo pay is also approved by the board of directors.”

“The organization revised its bylaws during the fiscal year 2024. Significant changes include: - directors that will be nominated and elected by the board of directors of the member were reduced from 12 directors to 11 directors. - one of the two directors must now be employed by the university of vermont medical center health network and the other one must be employed by dartmouth hitchcock medical center health network. - three of the directors must be: 1) the ceo of vna & hospice of southwest region, inc. Or his or her designee 2) the ceo of community health centers of the rutland region, inc. D/b/a community health or his or her designee 3) the ceo of rutland mental health services, inc. Or his or her designee - two new articles are added to the bylaws: 1) article x - limited activities 2) article xi - conflict of interest”

“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 nineteen directors. Of these directors, eleven are chosen or approved by the organization's sole members.”

“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 that following: a) the appointment of the president and chief executive officer, b) purchase or sale of any significant asset (s) out of the ordinary course of business c) the bylaws and any amendments thereto. In addition to the above and not withstanding any other provisions of these by-laws, the board of directors of the member shall have the right to remove any director at any time and to appoint an individual to fill such vacancy.”

“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 posted electronically to board paq to each member of the finance committee. The committee will meet and discuss the return with a tax advisor.”

“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 the opportunity 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 interested person must disclose the existence of his or her financial 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 may accomplish one or more of its tax exempt purposes. Conflict of interes”

“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.”

“No board members receive compensation for their duties as directors. The following board members received compensation from rutland regional medical center for services provided as physicians: - philip lapp, md - michael dimeola, md - alison davis, md”

“OUR MISSION: RRMC PROVIDES HIGH QUALITY, HOSPITAL, AND SPECIALTY CARE FOR ALL THROUGH THE STRENGTH AND COMPASSION OF OUR PEOPLE. OUR VISION: RRMC EXCELS AT MEETING THE NEEDS OF THOSE RRMC SERVES AS THE PREFERRED HEALTHCARE PROVIDER AND EMPLOYER. OUR VALUES: EXCELLENCE - RRMC STRIVES TO ACHIEVE THE HIGHEST STANDARDS OF QUALITY AND PERFORMANCE IN EVERYTHING RRMC DOES. PROFESSIONALISM - RRMC ACTS WITH INTEGRITY AND RESPECT AND HOLD EACH OTHER ACCOUNTABLE FOR EVERYTHING RRMC DOES. INNOVATION - RRMC SEEKS OPPORTUNITIES TO CONTINUOUSLY IMPROVE AND ADAPT TO THE EVER-CHANGING HEALTHCARE ENVIRONMENT. COLLABORATION - RRMC CREATES A DIVERSE AND INCLUSIVE COMMUNITY AND WORK TOGETHER AS A TEAM TO FULFILL OUR MISSION. COMPASSION - RRMC PROVIDEs EMPATHETIC, PATIENT-CENTERED, AND EQUITABLE CARE BY ACTING WITH KINDNESS, DIGNITY, AND RESPECT.”

“The total number of volunteers including non-compensated members of the board of directors and other individuals who volunteer time to further the organization's exempt purpose.”

“Rutland regional medical center fy 2024 community benefits report: rutland regional medical center is committed to providing superior, integrated, diagnostic, therapeutic and preventative health services and to promoting overall community health and well-being. Community benefits are the activities and services rutland regional engages in and supports that go beyond the routine patient care services. Documenting these efforts is a part of what differentiates tax-exempt from taxable health care organizations. Free and discounted 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 2024 totaled $7,773,340. Rrmc is addressing the key issues that have the most significant impact on the community health and well-being, which include the following: *clinical care -continuing to address the drug problem in the community through mental health and substance abuse services for adults and youth, including treatment, aftercare and prevention. -continuing to improve access to care for all community members by continuing focused provider recruitment, and retention, activities. *healthy behaviors -improving and promoting healthy choices and activities to support a healthy community in which to live and raise a family, by supporting and promoting life skills development for and by youth, and physical activity and healthy eating by adults and youth. *social & economic determinants -improving the health and well-being of the community, making it an attractive place to live and work. *physical environment -improving infrastructure to support a healthy community with access to work, recreational opportunities and services. For more details on these activities and the work performed by rutland regional with community partners, please review the progress report on http://www.rrmc.org/about/community-health-needs-assessment/. In addition to these activities, rutland regional is now required by federal regulations to conduct a community needs assessment every three years. The rutland county health needs assessment steering committee worked hard to be inclusive, both in the information collected and reviewed, and by broadly requesting input from around our communities. From start to finish, the assessment takes about one year to complete, and includes compilation of secondary data from other sources, collecting individual input through consumer surveys and through focus group meetings. All of the information gathered is reviewed, and prioritized by a broad, community-based committee. A final report has now been published with the findings. This report is made publicly available on www.rrmc.org. The purpose of the assessment is to: -describe the health status of the community -identify the community's health needs -compare the needs to those identified previously conducting assessments periodically for more than 15 years, we have seen some health indicators improve and others decline. By monitoring these changes, the committee is able to identify where additional resources are needed. Organizations, including rutland regional, use this important information to guide their planning. For rutland regional specifically, it helps with the development of new hospital services and community programs.”

“(Expenses $ 59,688,166 including grants of $ 797,020)(Revenue $ 68,392,566) THE REVENUES AND EXPENSES REPORTED ON PART III, LINE 4D, REPRESENT THOSE AMOUNTS THAT ARE ATTRIBUTABLE TO OTHER PROGRAM SERVICES CONDUCTED BY THE ORGANIZATION. THESE OTHER SERVICES PRIMARILY REPRESENT OTHER SUPPORT SERVICES THAT ARE PROVIDED TO HOSPITAL PATIENTS OR THAT ARE CONDUCTED TO SUPPORT THE OVERALL FUNCTION OF THE HOSPITAL, SUCH AS CENTRAL SUPPLY AND PHARMACY SERVICES. OTHER SERVICES ALSO INCLUDE BENEFIT TO THE COMMUNITY THROUGH THE PAYMENT OF GRANTS TO OTHER COMMUNITY ORGANIZATIONS. SEE SCHEDULE I FOR DETAIL REGARDING THESE GRANT PAYMENTS.”

“The organization's total tax-exempt bond liabilities on the balance sheet is comprised of the following: $ 7,552,469 bond liabilities $ (86,029) unamortized bond issuance costs ------------- $ 7,466,440”