2025-08-15T13:30:26-05:00 2024-09-30 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2023-10-01 030107300 Brattleboro Memorial Hospital BRAT 8022570341 17 Belmont Avenue Brattleboro VT 05301 Laura Bruno CFO 8022570341 2025-08-15 1 1 Melissa Magoon CPA P01712842 2077752387 2025-08-15 2023 2025-03-06 01:10:19Z Christopher Dougherty 17 Belmont Avenue Brattleboro VT 05301 125854784 0 X www.bmhvt.org X 1904 VT To provide health care services on a region-wide basis. 11 9 807 19 0 0 2186849 1973693 109466297 111903310 88865 2833907 -143377 -89249 111598634 116621661 18950 5000 0 0 60892425 65097061 0 0 0 52264394 54772846 113175769 119874907 -1577135 -3253246 103886025 103465911 34958956 34361588 68927069 69104323 X Brattleboro Memorial Hospital will provide community-based quality health services delivered with compassion and respect. 0 0 102055988 5000 111903310 Provision of Hospital Care, both inpatient and outpatient services, on a region-wide basis. BMH provided healthcare services to approximately 2,549 inpatients and 178,078 outpatients throughout the year.Brattleboro Memorial Hospital is a modern, well-equipped and professionally staffed community hospital which has been serving greater Brattleboro and the tri-state area since 1904. Throughout our more than a century of caring for our community, BMH has kept up with medical technology which, in turn, has drawn excellent physicians to our facility. The BMH Medical Staff boasts more than 100 board-certified physicians, active in both primary care and many specialties. Charity Care:The Hospital's charity care program is designed to assist those patients who are either uninsured, underinsured or have limited financial resources that impact their ability to fully pay for their hospital care. Before completing an application for charity care, patients are first asked to investigate whether or not they may be eligible for Medicare, Medicaid, Veteran's Benefits or other governmental or public assistance programs.The Hospital's qualifications for charity care are as follows:1. Charity care is limited to medically necessary services. Patients receiving certain elective services, such as those considered cosmetic, investigational or experimental, are expected to make payment arrangements in advance, as these types of services are not covered by the charity care program.2. The patient's family income must be at or below 350% of the current Federal Poverty Income Guidelines for their applicable family size.The Hospital maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy, the estimated cost of those services and supplies and equivalent service statistics. The following information measures the level of the charity care provided during the year ended September 30, 2024:Equivalent percentage of charity care services to all services 0.75%In addition, the Hospital incurs a payment shortfall in the treatment of Medicaid patients. This government program reimburses for medical services at less than the costs incurred to provide those services. In September 30, 2024 and 2023, the Hospital incurred a shortfall of approximately $11,624,296 and $10,033,824, respectively, related to treating Medicaid patients.The Hospital also provided other community benefits upon which no monetary value has been placed.-Offers free smoking cessation classes.-Collaborates with other community agencies in publishing a community wellness calendar twice a year. 102055988 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 102 0 1 807 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Laura Bruno 8022578385 17 Belmont Avenue Brattleboro VT 05301 Rhonda Calhoun Board Chair 4.00 1.00 X X 0 0 0 Sarah Swank Board Vice Chair 1.00 1.00 X X 0 0 0 Carmen Derby Board Secretary 1.00 1.00 X X 0 0 0 John VP Meyer Board Treasurer 1.00 1.00 X X 0 0 0 Anne Bilodeau Board Member 1.00 1.00 X 0 0 0 Paul Boutin Board Member 1.00 1.00 X 0 0 0 Norma Hardy Board Member 1.00 1.00 X 0 0 0 Chloe Learey Board Member 1.00 1.00 X 0 0 0 Tammy Richards Board Member 1.00 1.00 X 0 0 0 Michael Mandracchia Past Board Vice Chair 1.00 1.00 X X 0 0 0 Elizabeth McLarney MD Board Member/Physician 40.00 1.00 X 816155 0 59966 Tony Blofson MD Board Member/Physician 40.00 1.00 X 207616 0 46446 Christopher Dougherty President & CEO 40.00 2.00 X 0 384965 50514 Jennifer Griffey Past CFO 40.00 2.00 X 0 221985 37198 Laura Bruno CFO 40.00 2.00 X 139101 0 44482 Kathleen McGraw Chief Medical Officer 40.00 0.00 X 411479 0 49639 Jodi Stack COO & CNO 40.00 0.00 X 262833 0 18431 Dr Eric D Gallagher Staff MD Ortho 40.00 0.00 X 635108 0 54383 Timothy D Kelley Staff MD Ortho 40.00 0.00 X 465298 0 59966 Dr Craig A Rinder Staff MD Urology 40.00 0.00 X 431092 0 50514 Aida Avdic Hospitalist 40.00 0.00 X 389152 0 63266 Stephen H Fox Staff MD Gen Surgery 40.00 0.00 X 386242 0 49410 4144076 606950 584215 126 0 1 0 Dartmouth-Hitchcock Keene 580-90 Court Street Keene NH 03431 Emergency Physician Services 3232444 HP Cummings Construction PO Box 269 Woodsville NH 03785 Construction Services 3016859 Medical Solutions PO Box 850737 Minneapolis MN 55485 Contract Temp 2630867 Dartmouth-Hitchcock MHMH Non-Patient Misc PO Box 4117 Boston MA 02241 Physician Services 1491899 Medstream Anesthesia PLLC PO Box 63467 Charlotte NC 28263 Physician Services 1083849 37 85208 664755 1223730 1973693 Patient Service Revenue 621400 273126348 273126348 Miscellaneous Revenue 900099 20679346 20310363 368983 Contractual/Char. Adj. 621400 -181902384 -181902384 111903310 569806 569806 185114 274363 -89249 -89249 -89249 10852618 370243 8630627 328133 2221991 42110 2264101 2264101 116621661 111534327 0 3113641 X 5000 5000 2056148 1872565 183583 50420418 44006416 6414002 2915694 2548660 367034 6146456 5394120 752336 3558345 3112129 446216 786471 786471 401794 401794 78886 78886 17768076 13144289 4623787 131191 114883 16308 4731673 4143479 588194 2390303 2301754 88549 120189 105248 14941 815437 465745 349692 3956269 2750985 1205284 702439 615119 87320 Drugs 7819653 7819653 Health Care Improvement 6428883 6428883 Medical Supplies 4666956 4666956 Other Expenses 3974626 2560104 1414522 119874907 102055988 17818919 0 X 2494 2419 1175335 2212646 22319002 24531057 2740721 2542314 636531 1067932 110501591 67685852 44280200 42815739 30108999 28483399 872901 969165 687307 523062 1062535 318178 103886025 103465911 15563052 17155818 101192 363932 15730562 14627287 307364 234892 3256786 1979659 34958956 34361588 X 68000015 68086086 927054 1018237 68927069 69104323 103886025 103465911 X -3253246 3994322 -563822 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 15686 15686 0 Part II-B, Line 1: BMH is a member of the VT Association of Hospitals and Health Systems and the American Hospital Association. A portion of the dues paid to these organizations is available for lobbying expenditures on behalf of BMH and other member organizations in furtherance of their exempt purposes. BMH does not directly perform any lobbying activities. 45499 45499 72237409 35640977 36596432 34494787 29861785 4633002 3723896 2183090 1540806 42815739 Estimated Third-Party Payor Settlements 1421818 Lease Liabilities 527339 Due to Affiliate 30502 1979659 120247638 3994322 370627 4364949 115882689 78886 660086 738972 116621661 120070384 274363 274363 119796021 78886 78886 119874907 Part XI, Line 2d - Other Adjustments: Rental Expenses 274,363. Change in Interest in SVHSC 96,264. Part XI, Line 4b - Other Adjustments: Unrealized Loss on Interest Rate Swap 660,086. Part XII, Line 2d - Other Adjustments: Rental Expenses 274,363. 1 1 X 1 X 250.000000000000 1 X 1 1 0 1 1 252436 252436 0.00210 19886359 8262063 11624296 0.09700 20138795 8262063 11876732 0.09910 1687148 1486105 201043 0.00170 38002092 16103932 21898160 0.18270 109308 109308 0.00090 39798548 17590037 22208511 0.18530 59937343 25852100 34085243 0.28440 1 3032239 1516119 10153668 23417242 -13263574 X 1 1 1 1 Brattleboro Memorial Hospital Inc 17 Belmont Ave Brattleboro VT 05301 www.bmhvt.org 904 X X X Community Hospital Brattleboro Memorial Hospital 1 0 0 1 X X X X X X X X X 21 1 1 0 1 X See Part V, Page 8 X 1 21 1 See Part V, Page 8 0 1 X 250.000000000000 350.000000000000 X 1 1 X X X 1 X See Part V, Page 8 X See Part V, Page 8 X See Part V, Page 8 X X X X X 1 X 0 X X X X 1 X 0 0 Brattleboro Memorial Hospital Part V, Section B, Line 5: BMH conducted a collaborative CHNA in partnership with Grace Cottage Family Health & Hospital and the Brattleboro Retreat. In October 2020, the Windham County Community Health Needs Assessment Steering Committee formed and began meeting. The Steering Committee was comprised of representatives from BMH, the Brattleboro Retreat, Grace Cottage Family Health & Hospital, and the Brattleboro Office of the VDH, the Agency of Human Services District Director and the BMH Health Equity Coordinator. The group met multiple times over that year to develop the various sections of the CHNA. The data collection process took place from March 2021 through May 2021. The Community Health Needs Assessment was approved by the Board in December 14, 2021.The Hospital recently conducted a new CHNA in which was approved by the Board in October 2024 (Tax Year 2024). Brattleboro Memorial Hospital Part V, Section B, Line 6a: The Hospital's CHNA was conducted in partnership with Grace Cottage Hospital and The Brattleboro Retreat. Brattleboro Memorial Hospital Part V, Section B, Line 11: Brattleboro Memorial Hospital (BMH) completed a Community Health Needs Assessment (CHNA) in 2021. The CHNA revealed five areas of need. They are as follows: Mental Health (including Depression and Anxiety), Healty Aging (including physical fitness, obesity, and arthritis), Chronic Conditions (Diabetes, Hypertension, Substance Use Disorder and COPD), Cancer, and Health Equity and Affordability. BMH continues to support various programs around addressing the needs identified in the Community Health Needs Assessment such as Healthworks, a collaboration between several community agencies addressing the needs of people who are unhoused and suffer from Substance Use Disorder and who have various mental health and physical health needs. BMH also continues to participate in the Regional Psychiatric Strategy committee. The Community Health Team continues to be supported by the hospital addressing various wellness activities and tobacco cessation classes. Various Quality inititiatives have been developed to address chronic health conditions such as COPD, reducing HgA1C's and controlling hypertension. The hospital is also looking at expanding and addressing Health Equity by establishing a committee and looking at health disparities in the region. Brattleboro Memorial Hospital Part V, Section B, Line 13h: The Hospital's charity care program is designed to assist those patients who are either uninsured, underinsured or have limited financial resources that impact their ability to fully pay for their hospital care. Before completing an application for charity care, patients are first asked to investigate whether or not they may be eligible for Medicare, Medicaid, Veteran's Benefits or other governmental or public assistance programs.The Hospital's qualifications for charity care are as follows:1. Charity care is limited to medically necessary services. Patients receiving certain elective services, such as those considered cosmetic, investigational or experimental, are expected to make payment arrangements in advance, as these types of services are not covered by the charity care program.2. The patient's family income must be at or below 350% of the current Federal Poverty Income Guidelines for their applicable family size.The Hospital maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy, the estimated cost of those services and supplies and equivalent service statistics. The following information measures the level of the charity care provided during the year ended September 30, 2024:Equivalent percentage of charity care services to all services 0.75%In addition, the Hospital incurs a payment shortfall in the treatment of Medicaid patients. This government program reimburses for medical services at less than the costs incurred to provide those services. In September 30, 2024 and 2023, the Hospital incurred a shortfall of approximately $11,624,296 and $10,033,824, respectively, related to treating Medicaid patients.The Hospital also provided other community benefits upon which no monetary value has been placed.-Offers free smoking cessation classes.-Collaborates with other community agencies in publishing a community wellness calendar twice a year. Part V, line 7a, CHNA report website: https://www.bmhvt.org/practice/community-initiatives/community-health-needs-assessment/ Part V, line 10a, Implementation Strategy website: https://www.bmhvt.org/practice/community-initiatives/community-health-needs-assessment/ Part V, line 16a, FAP website: https://www.bmhvt.org/patients-visitors/patient-information/pfs/charityfree_care/ Part V, line 16b, FAP Application website: https://www.bmhvt.org/patients-visitors/patient-information/pfs/charityfree_care/ Part V, line 16c, FAP Plain Language Summary website: https://www.bmhvt.org/patients-visitors/patient-information/pfs/charityfree_care/ Part I, Line 3c: Brattleboro Memorial Hospital's Free Care program is designed to assist those patients who are either uninsured, underinsured or have limited financial resources that impact their ability to fully pay for their hospital care. When making application for Free Care, patients are first asked to investigate whether or not they may be eligible for Medicare, Medicaid, Veterans' Benefits or other governmental or public assistance programs. Free Care should always be the payor of last resort.A. Qualifications for Free Care:1. Free Care is limited to medically necessary services. Patients receiving certain elective services, such as those considered cosmetic, investigational or experimental, are expected to make payment arrangements in advance, as these types of services are not covered by Free Care;2. Patients' family income must be at or below 350% of the current Federal Poverty Income Guidelines for their family size; 3. Patients or their guarantors must complete a Free Care application and provide the hospital with verification of income. Responsible parties may be asked to disclose the identity and amounts of any assets that could be used to pay for medical expenses.NOTE: Income verification may be waived at the discretion of the Director of Patient Financial Services, particularly in those instances in which patients have subsequently qualified for Medicaid, or are deceased, with no estate;4. Free Care applications will be processed within two weeks of the date of their receipt in our Business Office;5. Free Care applies only to those patient accounts still in active Accounts Receivable; no Free Care allowance may be applied against accounts that have been forwarded to a collection agency as Bad Debt.B. Patients will be notified in writing of their approval or denial status within 30 days of the date of receipt of the application and any required supporting documentation. All accounts written off to Free Care must be approved by the Director of Patient Financial Services or the Chief Financial Officer. Part I, Line 7: A cost accounting system was used to calculate the amounts reported in the table. The cost accounting system addresses all patient segments. A cost-to-charge ratio was used. Part II, Community Building Activities: The Sr. Director of Community Health participates in and leads community coalitions such as Mobile Integrated Health (MIH), Healthworks ACT, One Brattleboro, Community Homeless Strategy Committee, Accountable Communities of Health, Windham County Dental Center and Windham Aging. Each of the coalitions support people in our community and address needs of some of the most vulnerable residents. For example, MIH is a partnership between BMH and Rescue Inc which supports people who have a chronic disease diagnosis in accessing care, addressing their transportation needs, by seeing them in their home. This program has also been proven to reduce avoidable ED utilization. Another program BMH collaborates on is Healthworks ACT. This is a program that supports people in our community who are unsheltered who also have significant medical, mental health and substance use disorder needs. A wrap around service program goes into the field to support participants with nurses, social workers, peer support advocates, case managers, nurse practitioners and psychiatric prescriber. This program is a collaboration with the Brattleboro Retreat, HCRS, Groundworks Collaborative and BMH. BMH has a strong presence in the community advocating for community health. 2. Our Director of Nutrition Services supports local agriculture & has been recognized for BMH's level of support. 550 BMH employees benefit from local foods & healthy choices on our breakfast, lunch & dinner menus daily. Part III, Line 2: The Hospital utilized Worksheet 2 from IRS Schedule H Instructions/guidance to determine the ratio of patient care costs to charge ratio (36.93% for fiscal year 2024) and multiplied this ratio by the Hospital's total bad debt expense of $3,032,239 to determine Part II, Line 2 bad debt expense of $1,516,119. Part III, Line 3: A simple RCC was utilized to reduce charges to cost. The estimated bad debt that may be eligible for our charity care policy was based on a 50% eligibility rate. Part III, Line 4: Patient accounts receivable are stated at the amount management expects to collect from outstanding balances. Management provides for probable uncollectible amounts through a charge to operations and a credit to a valuation allowance based on its assessment of individual accounts and historical adjustments. Balances that are still outstanding after management has used reasonable collection efforts are written off through a charge to the valuation allowance and a credit to patient accounts receivable.In evaluating the collectability of accounts receivable, the Hospital analyzes past results and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary. For receivables associated with self-pay patients (which include both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Hospital records a provision for bad debts in the period of service based on past experience, which indicates that many patients are unable or unwilling to pay amounts for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated or eligible) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged against the allowance for doubtful accounts.During FY24, self-pay write-offs increased from $5,325,453 to $8,211,449. The change resulted from trends experienced in the collection of amounts from self-pay patients with and without insurance. Part III, Line 8: The Medicare shortfall should be considered a community benefit in its entirety. A cost-to-charge ratio was used. Part III, Line 9b: Patients or their guarantors must complete a Free Care application and provide the hospital with verification of income. Responsible parties may be asked to disclose the identity and amounts of any assets that could be used to pay for medical expenses.NOTE: Income verification may be waived at the discretion of the Director of Patient Financial Services, particularly in those instances in which patients have subsequently qualified for Medicaid, or are deceased, with no estate. Part VI, Line 2: BMH conducted a collaborative CHNA in partnership with Grace Cottage Family Health and the Brattleboro Retreat. In August 2023, the Windham County Community Health Needs Assessment Steering Committee formed and began meeting. The Steering Committee was comprised of representatives from BMH, the Brattleboro Retreat, Grace Cottage Family Health, the NAACP Health Justice Committee and the Agency of Human Services Field Services Director. The resident surveys were available throughout the months of April and May of 2024. The CHNA revealed six areas of need. They are as follows: Healthy Aging, Mental Health, Cancer Prevention and Treatment, Access to Care, Chronic Conditions and Health Equity.Surveys and Focus groups were done to connect with as many Windham County residents as possible. Various questions regarding the persons health and individual priorities were ask along with barriers they have in reaching their wellness goals. These responses were compiled & prioritized by our population health steering committee and our executive leadership team. Part VI, Line 4: BMH serves a total service area that includes:- 22 towns- A population of 42,869- Compared to VT/US, residents of the service area tend to be: a. Older b. Similarly well off, especially in the secondary service area c. Less at risk for obesityThe 65+ population will be the fastest growing segment, while the 0-17 and 18-44 age cohorts drop. VT is the second oldest state in the country (after Maine). Median age in the PSA & SSA is higher than Vermont overall & significantly higher than the US median. 0 0 0 0 0 1 1 1 0 Elizabeth McLarney MD Board Member/Physician 560867 0 253704 0 1584 0 23100 0 36866 0 876121 0 0 0 Dr Eric D Gallagher Staff MD Ortho 387421 0 246999 0 688 0 23100 0 31283 0 689491 0 0 0 Timothy D Kelley Staff MD Ortho 382381 0 82759 0 158 0 23100 0 36866 0 525264 0 0 0 Dr Craig A Rinder Staff MD Urology 398096 0 31473 0 1523 0 23100 0 27414 0 481606 0 0 0 Kathleen McGraw Chief Medical Officer 386111 0 0 0 25368 0 26400 0 23239 0 461118 0 0 0 Aida Avdic Hospitalist 376292 0 12500 0 360 0 26400 0 36866 0 452418 0 0 0 Stephen H Fox Staff MD Gen Surgery 368701 0 1250 0 16291 0 23100 0 26310 0 435652 0 0 0 Christopher Dougherty President & CEO 0 346965 0 38000 0 0 0 23100 0 27414 0 435479 0 0 Jodi Stack COO & CNO 247899 0 0 0 14934 0 18431 0 0 0 281264 0 0 0 Jennifer Griffey Past CFO 0 221985 0 0 0 0 0 13959 0 23239 0 259183 0 0 Tony Blofson MD Board Member/Physician 202182 0 3782 0 1652 0 15163 0 31283 0 254062 0 0 0 Laura Bruno CFO 138896 0 0 0 205 0 10307 0 34175 0 183583 0 0 0 Part I, Line 3 Southern Vermont Health Service Corp., a related organization, uses the following methods to establish compensation for the President/CEO of the filing organization: - Compensation committee - Independent compensation consultant - Written employment contract - Compensation survey or study - Approval by the board or compensation committee Part I, Line 6 Bonuses paid in calendar year 2023 are mostly contractual however the Hospital's net earnings are a minor consideration in the senior leadership bonus amounts. Part I, Line 7 Bonus payments made to Medical Staff include both qualitative bonuses based on attendance at medical staff meetings and other quality measures and quantitative bonuses based in part on worked Relative Value Units (RVUs) performed in excess of baseline expectations. Form 990, Part VII Laura J. Bruno, CFO was promoted to CFO in March 2024. The compensation reported on Form 990, Part VII and Schedule J, Part II reflects her compensation for calendar year 2023 while in her prior position as Sr. Director of Finance/Controller. Ms. Bruno is considered an officer of both Brattleboro Memorial Hospital and Southern Vermont Health Service Corp., a related organization. A Vermont Educational and Health Building Financing Agency 237154467 2016-06-01 10500000 Advance refund of previously issued bonds 0 0 0 B Vermont Educational and Health Building Financing Agency 237154467 2019-12-19 12500000 To fund Ron Reed Project 0 0 0 A 7967548 10500000 169085 10330915 2016 1 0 1 1 B 200400 12500000 200150 12299850 2023 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 1 1 0 0 1 0 B 0 0 0 1 1 0 0 0 0 A 1 B 1 Date Rebate Computation Performed Issuer Name: Vermont Educational and Health Building Financing Agency Date the Rebate Computation was Performed: 07/08/2023 Issuer Name: Vermont Educational and Health Building Financing Agency Date the Rebate Computation was Performed: 03/24/2025 Denise Paasche Family Member of Tony Blofson, Board Member 233459 Employment 0 Form 990, Part VI, Section A, line 6 The sole member of the Hospital shall be Southern Vermont Health Services Corporation, a Vermont not-for-profit corporation. Form 990, Part VI, Section A, line 7a The Board of Directors of the Hospital shall consist of eleven persons elected by Southern Vermont Health Service Corporation (sole member) from among membership of the sole member, plus the President and Medical Staff President ex officio but without the power to vote. Directors shall be elected annually by the sole member to hold office for three years and until their successors have been elected and qualified or until their death or resignation. Elected directors may serve for a maximum of three consecutive three-year terms. Form 990, Part VI, Section A, line 7b The Board of Directors may not take any of the following actions without the prior approval of Southern Vermont Health Service Corporation (sole member): a) Adopt any annual or long-term capital or operating budget of the Hospital; b) Authorize the Hospital to enter into any contract or engage in any transaction which is not provided for in an annual or long-term capital or operating budget of the Hospital approved by the sole member, where the amount involved exceeds an amount as determined from time to time by the sole member; c) Authorize the Hospital to transfer funds or other assets to any other organization or corporation, where the amount involved exceeds an amount as determined from time to time by the sole member; d) Authorized the Hospital to engage in, or enter into, any transaction involving the borrowing of funds, incurring of debt, and/or guaranteeing, pledging, or collateralizing of any of its assets in connection therewith; e) Adopt any new, or any changes to the existing, long-range or master plans or the Hospital; or f) Organize or acquire, or authorize the organization or acquisition of, any subsidiary or affiliate of the Hospital. Form 990, Part VI, Section B, line 11b The role of the Hospital's Finance and Audit Committee includes review of the 990. The Finance and Audit Committee engages the auditors and receives the audit and a complete copy of the Form 990, including all schedules. The Finance and Audit Committee will report to the Board that the 990 review has occurred. The Board accepts The Finance and Audit Committee reports and the 990. All members of the Board will have access to the 990 prior to filing. Form 990, Part VI, Section B, line 12c Each December, Board Members are required to complete a Conflict of Interest Statement. Beginning FY 2010, these statements were reviewed by outside counsel and reported back to the Board of Directors along with recommendations for action. Form 990, Part VI, Section B, line 15 The Executive Compensation Committee (ECC) of the Board of Directors (BOD) engages an outside compensation consultant to review executive compensation policies, procedures and conduct an independent regional and national market survey for senior leadership positions. The ECC sets the CEO's compensation and reviews the CEO's recommendations for other senior leadership compensation. The actions of the ECC are reviewed and approved by the BOD. Form 990, Part VI, Section C, line 19 Financial statements are published on our website. Our governing documents and conflict of interest policies are not made available to the public. Form 990, Part IX, line 11g Contract Services & Consultant: Program service expenses 7,983,700. Management and general expenses 2,808,438. Fundraising expenses 0. Total expenses 10,792,138. Contract Temp.: Program service expenses 2,417,270. Management and general expenses 850,327. Fundraising expenses 0. Total expenses 3,267,597. Service Contracts: Program service expenses 2,743,319. Management and general expenses 965,022. Fundraising expenses 0. Total expenses 3,708,341. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Brattleboro Memorial Hospital 17 Belmont Avenue Brattleboro, VT 05301 EIN: 03-0107300 Brattleboro Memorial Hospital is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Form 990, Part XI, line 9: Unrealized Gain on Interest Rate Swap -660,086. Change in Interest in SVHSC 96,264. Southern Vermont Health Service Corp 17 Belmont Ave Brattleboro VT 05301 222564588 Provide Health Management Services VT 501(c)(3) Line 7 N/A 0 Healthworks Act LLC 17 Belmont Avenue Brattleboro VT 05301 923655471 Health Support Services VT N/A Related -5989 44489 0 1 0.25000 0 0 1 1 0 0 0 0 0 1 1 0 1 0 1 0 0 0 0