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Vermont · Nonprofit

Gifford Medical Center Inc

Gifford Medical Center Inc (Vermont) receives grants from 15 organizations whose IRS filings report $1,782,146 to it, the largest being GIFFORD MED CTR AUXILIARY INC ($1,449,965). 10 of them have funded it in more than one year.

Revenue FY2025
$86M
Funders on record
15
Grants received
$1.8M
Net assets
$70M
10/15 repeat funderspeak grant-dependency 0%
01What it does

What Gifford Medical Center Inc does

Mission

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.

As stated on its FY2025 Form 990.

Program

  1. 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,…

    $57,288,196 spentof which $141,606 as grants$75,918,219 earned by the program
    100% of program spending

The program described on its FY2024 Form 990. Program spending in total: $57,288,196.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20172017 Revenue 100 ($61M) Expenses 100 ($57M) Net assets 100 ($62M)2018 Revenue 92 ($56M) Expenses 97 ($55M) Net assets 97 ($60M)2019 Revenue 95 ($58M) Expenses 93 ($53M) Net assets 97 ($60M)2020 Revenue 97 ($59M) Expenses 93 ($53M) Net assets 103 ($63M)2021 Revenue 106 ($65M) Expenses 100 ($57M) Net assets 120 ($74M)2022 Revenue 128 ($77M) Expenses 123 ($70M) Net assets 119 ($74M)2023 Revenue 116 ($70M) Expenses 130 ($74M) Net assets 115 ($71M)2024 Revenue 124 ($75M) Expenses 137 ($78M) Net assets 106 ($66M)2025 Revenue 142 ($86M) Expenses 144 ($82M) Net assets 113 ($70M)
'17'18'19'20'21'22'23'24'25
Revenue (142)Expenses (144)Net assets (113)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2019 to 2020, from $95M to $106M (+12%).

$98M
$95M
$95M
$106M
$110M
$103M
$102M
$101M
$101M
'17'18'19'20'21'22'23'24'25
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
2025
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2017 0% · 2020 12% · 2021 0% · 2022 2% · 2023 0% · 2024 0% · 2025 8%. Grants only. Government contracts and fees sit inside program revenue.

9% of Gifford Medical Center Inc’s revenue is contributions — more donation-reliant than the typical peer (7% for the typical peer).

This organization
Typical peer · 4,743 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 2 of the last 9 reported years ran a deficit.

$3.8M
’17
$162k
’18
$4.6M
’19
$6.0M
’20
$7.9M
’21
$7.3M
’22
−$3.5M
’23
−$2.5M
’24
$4.5M
’25
1.4
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Chief executive

Michael Costa

President & CEO

Board chair

Jeffrey Nelb

Chair

As listed on its FY2025 Form 990.

The chief executive listed changed between the FY2024 and FY2025 filings.

'17'18'19'20'21'22'23'24'25
Listed292623242723232424
Joined·+2+3+4+7+2+3+4+5
No longer listed·56346335
03Who funds it

Who funds it, year by year

2017 → 2023: the base broadened from 3 funders to 6 funders, grant income rose $137k → $232k.

4 of 15 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 4% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.

From the IRS filings of Gifford Medical Center Inc’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

Gifford Medical Center Inc leans on a few funders — its largest provides 81% of grant income and the top three 88%; half comes from just 1 funder.

the vertical line marks half of all grant income — 1 funder to its left

94% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund Gifford Medical Center Inc.

81%
largest funder
88%
top three
~2
effective funders

Largest funder’s share by year: 2017 97% · 2018 72% · 2019 86% · 2020 81% · 2021 57% · 2022 83% · 2023 64% — diversifying over time.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How long its funders stay

33% of Gifford Medical Center Inc's funders are still giving 3 years after their first grant; 67% give in more than one year at all.

first grant+1y+2y+3y+4y+5y

Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.

Where its funders are

92% of Gifford Medical Center Inc's grant income comes from Vermont funders.

VT
NH
NY
MA
CA

In-state vs out-of-state, by year

’17
’18
’19
’20
’21
’22
’23
Vermont out of state home

Funder states come from each funder’s own filing. $76k arriving through sponsors registered in 4 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

Gifford Medical Center Inc runs a healthier operating margin than half of the 2,843 health nonprofits its size.

Operating margin5% · above the median
Months of reserve1.4mo · below the median
Revenue growth (annualized)4% · below the median

this organization peer median middle 50% of peers· 2,843 health nonprofits $10M–$100M, FY2025

Government funding Gifford Medical Center Inc receives

Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $4.1M on record.

State$4.1M
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
By state
  • VT$4.1M
  • MA$105

Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.

Organizations like Gifford Medical Center Inc

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In Vermont

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

70% of spending goes to programs.

Program 70%Management 30%Fundraising 0%

Governance

11
board members
82%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Footprint & structure

Part of a family of 4 related entities

  • Gifford Health Care Inc · exempt
  • Gifford Retirement Community Inc · exempt
  • Charitable Remainder Trusts (12) · corp_trust
  • Charitable Remainder Trusts (3) · corp_trust

Screen this organization

A dated, signed PDF of the compliance screen for Gifford Medical Center Inc: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

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Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds Gifford Medical Center Inc?
Gifford Medical Center Inc (Vermont) receives grants from 15 organizations whose IRS filings report $1,782,146 to it, the largest being GIFFORD MED CTR AUXILIARY INC ($1,449,965). 10 of them have funded it in more than one year.
How many funders does Gifford Medical Center Inc have?
IRS filings report 15 organizations giving $1,782,146 in grants to Gifford Medical Center Inc, 10 of which have funded it in more than one year.
Who is the largest funder of Gifford Medical Center Inc?
GIFFORD MED CTR AUXILIARY INC is the largest funder on record, with $1,449,965 in grants. The full list of funders is on this page.
How can an organization like Gifford Medical Center Inc find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Vermont. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 15 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing