BRATTLEBORO MEMORIAL HOSPITAL: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- BRATTLEBORO MEMORIAL HOSPITAL (EIN 03-0107300)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-08-15
- IRS object ID
- 201732279349301113
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-08-15T07:39:26-05:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010523282 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Berry Dunn McNeil & Parker LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1100 | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 041041100 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 030107300 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Brattleboro Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BRAT | BusinessNameControlTxt |
| Phone | 8022570341 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 17 Belmont Avenue | AddressLine1Txt |
| City | Brattleboro | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05301 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Michael Rogers | PersonNm |
| Person Title | Vice President of Finance | PersonTitleTxt |
| Phone | 8022570341 | PhoneNum |
| Signature | 2017-08-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Barbara J McGuan CPA | PreparerPersonNm |
| PTIN | P00219457 | PTIN |
| Phone | 2077752387 | PhoneNum |
| Preparation | 2017-08-09 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Steven Gordon | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 17 Belmont Avenue | AddressLine1Txt |
| City | Brattleboro | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $87,869,510 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | http://www.bmhvt.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1904 | FormationYr |
| Legal Domicile State | VT | LegalDomicileStateCd |
| Activity Or Mission | To provide health care services on a region-wide basis | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 681 | TotalEmployeeCnt |
| Total Volunteers | 125 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,905,897 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,795,157 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $77,449,697 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $74,557,920 | CYProgramServiceRevenueAmt |
| PY Investment Income | $503,890 | PYInvestmentIncomeAmt |
| CY Investment Income | $496,935 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$207,714 | PYOtherRevenueAmt |
| CY Other Revenue | -$163,260 | CYOtherRevenueAmt |
| PY Total Revenue | $80,651,770 | PYTotalRevenueAmt |
| CY Total Revenue | $76,686,752 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $20,475 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $42,890 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $41,323,441 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $41,312,645 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $35,191,616 | PYOtherExpensesAmt |
| CY Other Expenses | $34,755,519 | CYOtherExpensesAmt |
| PY Total Expenses | $76,535,532 | PYTotalExpensesAmt |
| CY Total Expenses | $76,111,054 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,116,238 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $575,698 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $78,825,149 | TotalAssetsBOYAmt |
| Total Assets EOY | $83,582,037 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $22,974,245 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $25,865,059 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $55,850,904 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $57,716,978 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Brattleboro Memorial Hospital will provide community-based quality health services delivered with compassion and respect. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $58,370,144 | ExpenseAmt |
| Grant | $42,890 | GrantAmt |
| Revenue | $73,353,195 | RevenueAmt |
| Desc | Provision of Hospital Care, both inpatient and outpatient services, on a region-wide basis. Approximately 188,981 outpatients and 1918 inpatients were served 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. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $446,194 | ExpenseAmt |
| Revenue | $874,296 | RevenueAmt |
| Desc | 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) Patient's family income must be at or below 300% 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, 2016:Equivalent percentage of charity care services to all services 0.59%Number of patients receiving charity care 4,689In addition, the Hospital also incurred 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 2016 and 2015, respectively, the Hospital incurred a shortfall of approximately $9,091,062 and $7,789,192, related to treating Medicaid patients. The Hospital also provided other community benefits upon which no monetary value can be placed such as:-BMH provides space at no cost to the local non-profit Brattleboro Walk-in Clinic.-Offers free smoking cessation classes.-Collaborates with other community agencies in publishing a community wellness calender twice a year. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $58,816,338 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 91 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 681 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Michael Rogers | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8022570341 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 17 Belmont Avenue | AddressLine1Txt |
| City | Brattleboro | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05301 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Jill Zachary | |||||||||
| Past Board Vice Chair | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Burton D Tepfer MD | |||||||||
| Board Member | 6.30 | 1.00 | Yes (X) | $27,500 | $0 | $0 | |||
| Peter Carvell | |||||||||
| Board Chair | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Deborah Boyle | |||||||||
| Board Member | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Stephen Phillips | |||||||||
| Board Secretary | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Patty O'Donnell | |||||||||
| Board Vice Chair | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| George Idelkope MD | |||||||||
| Board Member | 9.20 | 1.00 | Yes (X) | $42,432 | $0 | $0 | |||
| Donna McElligott | |||||||||
| Board Member | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| William Daley | |||||||||
| Board Member | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Michael Mandracchia | |||||||||
| Board Member | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Elizabeth McLarney MD | |||||||||
| Board Member | 1.00 | 1.00 | Yes (X) | $539,946 | $0 | $42,003 | |||
| Steven Gordon | |||||||||
| President & CEO | 40.00 | 2.00 | Yes (X) | $0 | $350,475 | $40,256 | |||
| Michael Rogers | |||||||||
| VP Fiscal Services | 40.00 | 2.00 | Yes (X) | $0 | $206,276 | $46,697 | |||
| Mary Urquhart | |||||||||
| VP Patient Care Services | 40.00 | 0.00 | $0 | $195,773 | $17,262 | Yes (X) | |||
| Bonnie McKellar | |||||||||
| VP Physician Service | 40.00 | 0.00 | $0 | $177,734 | $36,055 | Yes (X) | |||
| Kathleen Mcgraw | |||||||||
| Chief Medical Officer | 40.00 | 0.00 | $281,855 | $0 | $51,850 | Yes (X) | |||
| Thomas H Lewis MD | |||||||||
| General Surgeon | 40.00 | 0.00 | $340,084 | $0 | $51,413 | Yes (X) | |||
| Robert M Burke MD | |||||||||
| Cardiologist | 46.00 | 0.00 | $332,399 | $0 | $50,744 | Yes (X) | |||
| Gregory R Gadowski | |||||||||
| General Surgeon | 40.00 | 0.00 | $308,291 | $0 | $51,512 | Yes (X) | |||
| Jonathan C Thatcher MD | |||||||||
| Orthopedics | 40.00 | 0.00 | $325,441 | $0 | $22,006 | Yes (X) | |||
| William Vranos | |||||||||
| Orthopedics | 40.00 | 0.00 | $307,852 | $0 | $5,211 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,505,800 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $930,258 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $415,009 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 52 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Dartmouth Hitchcock Keene | |||||
| 590 Court Street | Keene | NH | 03431 | ER Physician Services | $2,041,849 |
| Southern VT Health Services Corp | |||||
| 17 Belmont Avenue | Brattleboro | VT | 05301 | Management Fees | $1,603,000 |
| Anesthesia Physicians of Brattleboro | |||||
| 17 Belmont Avenue | Brattleboro | VT | 05301 | Anesthesia Support | $815,000 |
| Diversified Clinical Services | |||||
| PO Box 636981 | Cincinnati | OH | 452636981 | Wound Care Services | $728,301 |
| PPR Travel | |||||
| PO Box 402741 | Atlanta | GA | 303842741 | Temporary Contract Workers | $529,891 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 23 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $380,364 | RelatedOrganizationsAmt |
| Government Grants | $936,042 | GovernmentGrantsAmt |
| All Other Contributions | $478,751 | AllOtherContributionsAmt |
| Total Contributions | $1,795,157 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Patient Service Revenue | 621400 | $148,991,982 | $148,991,982 | |
| Miscellaneous Revenue | 900099 | $872,418 | $541,989 | $330,429 |
| Meaningful Use Revenue | 900099 | $523,785 | $523,785 | |
| Provision for Bad Debt | 621400 | -$3,778,102 | -$3,778,102 | |
| Contractual/Char. Adj. | 621400 | -$72,052,163 | -$72,052,163 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $74,557,920 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $502,928 | TotalRevenueColumnAmt |
| Exclusion | $502,928 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $227,888 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $391,148 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$163,260 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$163,260 | TotalRevenueColumnAmt |
| Exclusion | -$163,260 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $10,785,367 | SecuritiesAmt |
| Other | $250 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $10,791,610 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$6,243 | SecuritiesAmt |
| Other | $250 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$5,993 | TotalRevenueColumnAmt |
| Exclusion | -$5,993 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $76,686,752 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $74,227,491 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $664,104 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,890 | TotalAmt |
| Program Services | $42,890 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $985,585 | TotalAmt |
| Program Services | $985,585 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,866,884 | TotalAmt |
| Program Services | $25,512,385 | ProgramServicesAmt |
| Management And General | $7,354,499 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,331,718 | TotalAmt |
| Program Services | $1,037,783 | ProgramServicesAmt |
| Management And General | $293,935 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,890,773 | TotalAmt |
| Program Services | $3,045,497 | ProgramServicesAmt |
| Management And General | $845,276 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,237,685 | TotalAmt |
| Program Services | $1,750,193 | ProgramServicesAmt |
| Management And General | $487,492 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,603,000 | TotalAmt |
| Program Services | $285,000 | ProgramServicesAmt |
| Management And General | $1,318,000 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,712 | TotalAmt |
| Management And General | $112,712 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,432 | TotalAmt |
| Management And General | $60,432 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,685 | TotalAmt |
| Management And General | $73,685 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,806,141 | TotalAmt |
| Program Services | $9,163,654 | ProgramServicesAmt |
| Management And General | $1,642,487 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,613 | TotalAmt |
| Program Services | $9,283 | ProgramServicesAmt |
| Management And General | $80,330 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $552,381 | TotalAmt |
| Program Services | $331,222 | ProgramServicesAmt |
| Management And General | $221,159 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,442,775 | TotalAmt |
| Program Services | $415,747 | ProgramServicesAmt |
| Management And General | $1,027,028 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,489 | TotalAmt |
| Program Services | $83,566 | ProgramServicesAmt |
| Management And General | $83,923 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $191,397 | TotalAmt |
| Program Services | $128,659 | ProgramServicesAmt |
| Management And General | $62,738 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,348,155 | TotalAmt |
| Program Services | $2,859,467 | ProgramServicesAmt |
| Management And General | $1,488,688 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $844,708 | TotalAmt |
| Program Services | $329,350 | ProgramServicesAmt |
| Management And General | $515,358 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Provider Taxes | $4,568,419 | $4,568,419 | |
| Medical/Surgical Suppli | $3,287,308 | $3,285,910 | $1,398 |
| Drugs | $3,121,165 | $3,121,165 | |
| Lab Supplies | $1,007,631 | $999,087 | $8,544 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,478,508 | TotalAmt |
| Program Services | $861,476 | ProgramServicesAmt |
| Management And General | $1,617,032 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,111,054 | TotalAmt |
| Program Services | $58,816,338 | ProgramServicesAmt |
| Management And General | $17,294,716 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,647,794 | BOYAmt |
| EOY | $4,193,240 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,287,038 | BOYAmt |
| EOY | $3,616,867 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $960,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,654,890 | BOYAmt |
| EOY | $6,450,306 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,070,515 | BOYAmt |
| EOY | $2,501,303 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $339,093 | BOYAmt |
| EOY | $402,246 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $67,808,892 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $40,903,891 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,294,457 | BOYAmt |
| EOY | $26,905,001 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,468,354 | BOYAmt |
| EOY | $38,234,313 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $779,379 | BOYAmt |
| EOY | $845,254 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,828 | BOYAmt |
| EOY | $163,801 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,228,801 | BOYAmt |
| EOY | $269,706 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,825,149 | BOYAmt |
| EOY | $83,582,037 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,038,390 | BOYAmt |
| EOY | $9,364,030 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,535,000 | BOYAmt |
| EOY | $10,274,712 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,330,592 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,400,855 | BOYAmt |
| EOY | $4,895,725 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,974,245 | BOYAmt |
| EOY | $25,865,059 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,987,985 | BOYAmt |
| EOY | $56,783,362 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $584,748 | BOYAmt |
| EOY | $654,574 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $278,171 | BOYAmt |
| EOY | $279,042 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,850,904 | BOYAmt |
| EOY | $57,716,978 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,825,149 | BOYAmt |
| EOY | $83,582,037 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $575,698 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,377,763 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$87,387 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $14,596 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $14,596 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $45,499 | OtherCostOrOtherBasisAmt |
| Book Value | $45,499 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $39,701,301 | OtherCostOrOtherBasisAmt |
| Depreciation | $21,813,185 | DepreciationAmt |
| Book Value | $17,888,116 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,015,465 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,497,554 | DepreciationAmt |
| Book Value | $5,517,911 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,046,627 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,593,152 | DepreciationAmt |
| Book Value | $3,453,475 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $26,905,001 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated Third-Party Payor Settlements | $4,742,463 |
| Interest Rate Swap | $153,262 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,895,725 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $78,294,590 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,377,763 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $303,760 | OtherRevenueAmt |
| Revenue Not Reported | $1,681,523 | RevenueNotReportedAmt |
| Revenue Subtotal | $76,613,067 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $73,685 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $73,685 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $76,686,752 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $76,428,516 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $76,428,516 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $73,685 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | -$391,147 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | -$317,462 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $76,111,054 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XI, Line 2d - Other Adjustments: | Unrealized Loss on Interest Rate Swap -153,262. Change in Interest in SVHSC 65,875. Rental Expenses 391,147. |
| Part XII, Line 4b - Other Adjustments: | Rental Expenses -391,147. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $407,852 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $407,852 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00540 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,457,861 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,668,669 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,789,192 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10230 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,865,713 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,668,669 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,197,044 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10770 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $997,535 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $918,302 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $79,233 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $280,912 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $280,912 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00370 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $57,890 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $57,890 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,336,337 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $918,302 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $418,035 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00550 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,202,050 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,586,971 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,615,079 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11320 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,938,056 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $484,514 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $17,269,059 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $26,360,121 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$9,091,062 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Brattleboro Memorial Hospital Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 17 Belmont Ave | AddressLine1Txt |
| City | Brattleboro | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.bmhvt.org | WebsiteAddressTxt |
| State License | 840 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | Community Hospital | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Brattleboro Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.bmhvt.org/services/community-health-team/community-health-needs- | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.bmhvt.org/services/community-health-team/community-health-needs- | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 250.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://www.bmhvt.org | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://www.bmhvt.org | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://www.bmhvt.org | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Brattleboro Memorial Hospital | Part V, Section B, Line 5: A Steering Committee was formed that represented a cross section of diverse community organizations and members that represented various community populations and age groups. Group forums, Steering Committee meetings and various surveys were conducted during the time period from December 2014 and ending June 2015.The Needs Assessment was approved by the Board in November, 2015. |
| 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: Through utilization of 2015 consumer survey input, focus group feedback, and population health indicators, Brattleboro Memorial Hospital identified the following significant health needs within the Brattleboro Hospital Service Area. The health needs goals were prioritized as follows:Improve the following health indicators of the community:1. Mental Health2. Obesity3. Substance Abuse4. Aging5. Dental Health Problems6. Difficulty Navigating Healthcare System7. Transportation8. Culturally Competent Medical StaffMental Health:Goal: During FY 2016, 2017 and FY 2018, the organization will develop and implement a work plan that aims to provide on-going screening and intervention for mental health diagnoses. Brattleboro Memorial Hospital will enhance community partnerships and collaborations to provide comprehensive and holistic care for those individuals with mental health diagnosis. Collaboration: Brattleboro Memorial Hospital will continue to develop and expand robust community partnerships to enhance the provision of community-based care. These partnerships include, but are not limited to: The Brattleboro Retreat, Healthcare and Rehabilitation Services, Support and Services at Home, The Vermont Chronic Care initiative, skilled nursing home facilities, and additional mental health community partnerships to address mental health needs.Action Plan:1. The local Regional Clinical Performance Committee (RCPC) works with community agencies with goals of decreasing ER admissions for mental health disorder and improving the quality of life for these individuals. BMH will provide leadership and staff participation for the RCPC.Update: As a subgroup of the RCPC, the Integrated Communities Care Management Learning Collaborative met every two weeks in 2016 to focus on community care coordination for patients with mental health and substance abuse diagnoses with increased ED utilization. With community partners such as SASH and Senior Solutions, shared care plans were created for twelve clients with initial results showing a 51% decrease in ER visits.2. BMH-owned Patient-centered Medical Homes will conduct ongoing screening for depression and other mental health disorders. The practices will continue to use the PHQ-9 and the PHQ-2 for depression screening and assessment of progression. If the screening results are positive, the practices refer to the Community Health Team and appropriate community agencies.Update: The BMH Medical Group continues to use the PHQ-9 and PHQ-2 for screening and data reports are run periodically by the Medical Group referral coordinator.3. Just So Pediatrics will house a .2 FTE mental health clinician readily available from Healthcare and Rehabilitation Services (HCRS) to be an embedded clinician to see families and children with mental health diagnoses.Update: Just So Pediatrics continues to house an HCRS mental health clinician one afternoon a week.4. Just So Pediatrics and Brattleboro Primary Care will continue to participate in ongoing quarterly COR (Collaborative Office Rounds) meetings organized by The Retreat to educate pediatricians and family practitioners on adolescent mental health and systems issues.Update: Just So Pediatrics continues to participate in ongoing COR meetings. Feedback from Just So Pediatrics is that these rounds have been invaluable for keeping up to date with psychiatric skills, increasing capacity in the area, and for collaboration. Currently COR participation and education is not formally being tracked.5. BMH will continue to provide supplemental, in-kind support of the Windham County Community Health team, the staffing of which includes a Behavioral Specialist, and practice staff implementing and tracking SBIRT methodologyUpdate: BMH obtained a grant from VDH and ADAP to implement SBIRT screenings in two medical practices with the support of an embedded social worker. The social worker started in October of 2016, and has attended three trainings from the Center for Behavior Health. In addition, there were full trainings of both practices on 11/15/16 and 12/7/16. Ongoing weekly trainings have continued. Since the program stared in October, 945 initial screens (patients 18 and older) have been completed. Of the patients screened, 24% had a brief intervention completed, 25% had a brief treatment completed and 14% were referred on for additional treatment.6. Enhance BMH's relationship and partnership with Brattleboro Pastoral Counseling, Otter Creek, Anna Marsh, HCRS, Youth Services, and other private providers to enhance access of availability of mental health providers.Update: In 2016 the Regional Psychiatric Strategy Group was formed and is chaired by the Chief Medical Officer. This group met bimonthly starting in April of 2016 and includes representation from Brattleboro Memorial Hospital, HCRS, and the Brattleboro Retreat.Obesity:Goal: During FY 2016, 2017 and 2018, the organization will develop and implement a workplan that aims to promotion health and wellness in Windham County. The organization is aware of the significant positive impact of early screening and educational intervention in the prevention of obesity and the co-morbid conditions associated with obesity including, but not limited to heart disease, high blood pressure, Type 2 Diabetes, respiratory problems, and certain cancers.Collaboration: Brattleboro Memorial Hospital collaborates extensively with Grace Cottage Hospital and the Brattleboro Retreat to provide pro-active health and wellness education in the Community. BMH participates in relevant community coalitions and councils which will continue.Action Plan: 1. Early Pediatric practice obesity screening and intervention. - Just So Pediatrics will continue to participate in Vermont Child Health Improvement Project (VCHIP) aimed at early intervention with childhood obesity. - In February 2016, the Community Health Team will expand to include a .2 FTE LPN position to Brattleboro Primary Care's pediatric department. This new CHT member will participate in childhood obesity education programs and make referrals of children and families to the Community Health Team's Health Coach for nutrition and exercise education. |
| Continuation of Part V, Section B, Line 11: | Update: Just So Pediatrics, Brattleboro Primary Care, and Maplewood Family Practice continue to participate in VCHIP. Just So Pediatrics and Brattleboro Primary Care both have .2 FTE CHT embedded pediatric care coordinators, who refer to the CHT Health Coach as appropriate. Brattleboro Memorial Hospital is part of a Rise VT stakeholder group with potential to pilot RiseVT in Windham County in 2017. In collaboration with the Vermont Department of Health and Grace Cottage, first steps would include forming a regional steering committee. The current focus of Rise VT is the implementation of the EPODE international model to address childhood obesity.2. BMH will continue to support staffing for on-going Taking off Pounds Sensibly (TOPS) program.Update: BMH continues to support the TOPS program, which occurs weekly, and the CHT often makes referrals to the program. Carrie Quimbly, CHT Registered Dietician, provides monthly lectures on specific topics that the group chooses. Estimated attendance is 8-12 participants.3. The Community Health Team offers walking groups, cooking classes, yoga, and Tai Chi to the community and hospital staff.Update: In 2016 there were four weekly walking groups with 2-8 participants. Two Cooking Series were offered: A four week series "Mindful Eating" was offered in March and had 10-12 participants. A four week series "Quick and Healthy meals for One Two" was offered in collaboration with the local Co-Op, with approximately 12 participants. Chair yoga started weekly in Oct 2016, attended by 2-6 participants. Tai Chi, also offered weekly, has 3-10 participants.4. BMH Health Coach attends community committees and coalitions to work to make "the healthier choice, the easier choice" i.e. teaching food pantry/shelves employees how to prepare healthy food. CHT Health Coach is an active member of the Hunger Council, comprised of 25-40 community members who have an interest in addressing food insecurity. The Health Coach held a workshop on 1/21/16 at the Drop-in Center to offer a cooking demo on soup making with ingredients available at the food shelves.Update: In addition to the Hunger Council, the Health Coach is also been a member of their subcommittee working on improving opportunities to improve the quality of supplemental foods. The Health Coach works closely with agencies such as SASH, The Gathering Place, and Groundworks in helping to make "the healthier choice, the easier choice". The Health Coach also promotes and distributes policies and interventions highlighted by the VT Chapter of the American Heart Association.5. Explore recording of Wellness in Windham County Calendar healthy nutrition classes through BCTV.Update: This has not yet been explored.6. Explore re-institution of employee wellness program.Update: An employee wellness program is one of the 2017 strategic initiatives at BMH. Currently, employees are able to attend all CHT wellness programs free of charge.Substance Abuse:Goal: During FY 2016, 2017 and 2018, the organization will develop and implement a work plan that aims to take an active role in the care, treatment and mitigation of substance abuse in Windham County. Having made this commitment, the organization recognizes the importance of partnerships in this effort to decrease the substance abuse epidemic in Windham County. These partnerships bring needed addictions medicine expertise to the effort. These partners include, but are not limited to The Brattleboro Retreat, Healthcare and Rehabilitation Services, the Brattleboro Area Prevention Coalition, the Vermont Department of Health, and the Hub & Spoke state-wide infrastructure.Collaboration: Brattleboro Memorial Hospital will be engaging with medical, mental health, pharmacist community partners and organizations, including BAPC and the Prescription Drug Group, to identify patients at risk and provide comprehensive community care coordination to support these individuals to receive needed resources that focus on treatment of addiction and improvement of quality of life.Action Plan:1. Support Regional Clinical Performance committee (RCPC) work with substance abuse population.Update: As a subgroup of the RCPC, the Integrated Communities Care Management Learning Collaborative met every two weeks in 2016 to focus on community care coordination for patients with metal health and substance abuse diagnoses with increased ED utilization. With community partners such as SASH and Senior Solutions, shared care plans were created for twelve clients with initial results showing a 51% decrease in ER visits.2. Improve coordination and transition of care communication for patients with addictions.Update: Brattleboro Memorial Hospital's Complex Care Committee includes inpatient Care Managers, CHT Care Coordinators and Social Worker, with plans to include ED in 2017. The focus of this group is to improve the care of complex patients, which includes those with addictions. The ICCMC (see number 2) extends this collaboration to our community partners.3. Maintain active BMH Narcotics Task Force.Update: The BMH Medical Group Medical Director chairs the BMH Narcotics Task Force.4. Practice-wide implementation of Medical Screening (MED Score).Update: As of 2016, results have been compiled and practices have implemented:1. Outreach to patients on chronic narcotics who have not had a visit in the last three months2. Checking to ensure that a controlled substance agreement is on file3. Sending a letter and tapering patients whose MED scores are 120 or over4. Random urine screens when patients come in to pick up their paper prescriptions5. Pill counts6. Check VPMS once a month5. Continual collaboration/contractual agreement with The Brattleboro Retreat to administer Windham County Hub & Spoke services and treatment (Medicaid supported). BMH serves as the administrative entity for the Windham County Spoke.Update: Brattleboro Memorial Hospital serves as the Administrative Entity for the Windham County Spoke program. BMH Director of Community Initiatives/Blueprint Project Manager meets biweekly with The Brattleboro Retreat to discuss Spoke implementation and progress.6. Explore opportunities within BMH medical staff to increase number of office-based Suboxone prescribers.Update: In September 2016, Brattleboro Memorial Hospital hired a physician who prescribes Suboxone in Putney Family Health Care.7. Enhance screening and treatment protocols for pregnant women with opioid addiction diagnoses.Update: In 2016, Brattleboro OB/GYN signed on to participate in the VT Blueprint for Health's Women's Health Initiative starting in July 2017. This initiative provides for an embedded social worker in the practice that will be able to provide social screenings to include depression and substance abuse.8. Explore possibilities for training Hub & Spoke Medication Assisted Treatment Team in co-occurring disorders.Update: This has not yet been explored.9. Host quarterly meeting of area Pharmacists and Medical Staff.Update: In collaboration with Brattleboro Prevention Coalition, BMH Narcotics Task Force has hosted meetings for area Pharmacists and Medical Staff in May and September of 2016.10. Implement SBIRT methodology into MD practices to enhance early identification and treatment of substance abuse disorders.Update: See page 2 number 5 regarding SBIRT implementation.11. Continue use of CRAFFT screening tool for adolescents in BMH pediatrics.Update: Just So Pediatrics continue to use CRAFFT screening tool for adolescents.Aging: Goal: During FY 2016, 2017 and 2018, the organization will develop and implement a workplan that aims to implement strategies to enhance the quality of life for elders in its primary and secondary service area. BMH Senior Management and its Board of Directors have identified aging individuals as a segment of the population for whom resources should be allocated.Collaboration: BMH will collaborate with local extended care facilities, Senior Solutions, SASH, RCPC community partnerships, and the Brattleboro Housing Authority to mitigate the health (physical and mental) and socio-economic issues associated with the process of aging.Action Plan: 1. Finance and maintain Post-Acute Care Department to provide quality care to elders in skilled nursing facilities and nursing homes. The Post-Acute Care Department is staffed by one MD (internist) and an Advanced Practice Registered Nurse. Post-Care Acute Care Quality Work includes:Wound care: protocol for what gets referred to the Wound Center. When a patient has a wound, protocol for how often they get seen and by whom. Diabetes management in LTC. |
| Continuation of Part V, Section B, Line 11: | Antibiotic use: PA-C joined antibiotic stewardship program within the Hospital. Creating protocol for when antibiotics are used and standardize which antibiotics get used.Narcotic/Anti-psychotic use in the Hospital: Looking at when and how narcotics are given to LTC and rehab patients. Reduce poly pharmacy.Rehab: Looking at length of stay and number of referrals. Creating protocol for how long someone stays in rehab and what is examined when they are in rehab. PA-C is looking at setting criteria for what they review on rehab patients. Doing this in concert with our ACO, Genesis (PT for VG and TH) and Home health agencies. Trend LTC/BMH ER and admissions.Discharge Planning: Working with Care Management at BMH to have care conferences when a patient is d/c from BMH and going to nursing home. Looping admissions at the NHs into this conversation. PA-C is also attending ICC rounds as a result when applicable. Explore options for Assisted Living Home expansion.Update: Brattleboro Memorial Hospital continues to finance and maintain a Post-Acute Care Department to provide quality care to elders in skilled nursing facilities and nursing homes. Many initiatives as described in the action plan have begun and are ongoing. The Post-Acute department worked closely with the ACT and Skilled Nursing Facilities, and the length of stay for rehab has decreased. A second full time Nurse Practitioner was hired allowing the Post-Acute department to better serve this population.2. Support MD leadership and staff participation in Regional Clinical Performance Committee Leadership Group and Regional Clinical Performance Committee focusing on increased utilization of Medicare Hospice and quality of life at end of life.Update: Through the efforts of the Regional Clinical Performance Committee, rates of Medicare Hospice utilization in the HAS have improved.3. Continue support of BMH Ethics Committee work with Advance Directives.Update: Brattleboro Memorial Hospital Physician Group developed a workflow to ensure all patients over sixty-five have an advance directive. Brattleboro Area Hospice's "taking steps" program provided education to primary care providers about advance directives and had volunteers in the practices to assist with the process. Initial data collected through July 2016 showed increased number of advanced directives.4. Improve community-wide fall risk screening and education program through collaboration with SASH.Update: The Emergency Department has implemented a modified Connolly Fall Score for use in the ED, which will be available for use in the new EMR as of April 2017. The Emergency Department Director conducted a review of falls presenting to the ED in 2015. This retrospective data collection, which included 112 cases, identified trends in the place and cause of the fall, as well as in injuries that were sustained. Based on the results of this analysis, a need for increased education and monitoring for patients receiving anti-coagulation therapy was identified, and these results were shared with the Coumadin Clinic at BMH. Falls related to prescribed medications was also noted to be a trend. As a result EMS/first response was trained by the Ambulance District Medical Advisor and an ED provider in the procedure for a more appropriate process by which to evaluate the patient and their situation. From the ED perspective, this has resulted in more patients being transported to the ED and fewer poor outcomes associated with falls, although data has not been collected.5. Increase rate of flu vaccination for seniors in Patient-Centered Medical Homes.Update: Brattleboro Memorial Hospital's Medical Group has increased efforts to increase the rate of flu vaccinations for seniors. This information is currently being tracked and outreach is conducted as needed.6. CHT will perform outreach to referred vulnerable elderly adults.Update: In 2016 there has been increased collaboration between the community health team (CHT) and SASH (support and services at home). Both CHT and SASH participated in the Integrated Communities Care Management Collaborative, which met every two weeks in 2016 to create a process for this collaboration. Additionally, CHT staff meets monthly with SASH to review individual cases.Dental Health Problems:Goal: During FY 2016, 2017 and 2018, the organization will develop and implement a work plan that aims to show BMH's commitment in partnering with the professional dental community to identify strategic initiatives and goals to improve dental access and dental health in its hospital service area. BMH commits to being available to host Dental Society meetings and arranging meetings between the Emergency Department and local dentists as the vehicle by which this community-wide strategic planning can take place.Collaboration: BMH will continue collaboration with the community of local dentists, VDH Dental Hygienist, the Walk-in Clinic, and existing community organizations/partners involved in support of dental healthcare, quality and equity for the low-income, minority and underserved populations. BMH Emergency Department will utilize evidence-based care standards as per Dartmouth Hitchcock Medical Centers for treatment of dental health problems.Action Plan:1. Host local dental community meetings that include participation by Emergency Department MD's, allied health staff, Primary Care Physicians, and the Director of Population Health.Update: In December of 2016, BMH hosted a meeting facilitated by the United Way that included local dentists, VDH, the Walk-in Clinic, and existing community organizations/partners involved in support of dental healthcare.2. Support of United Way dental initiatives including Windham County Dental Day.Update: Brattleboro Memorial Hospital continues to support United Way dental initiatives.3. Participate in community meetings regarding Windham County dental health issues.Update: Brattleboro Memorial Hospital has participated in community meetings with the walk in clinic and United Way.4. Support legislative bill for dental therapist/expanded dental hygienist role.Update: No update5. BMH pediatric practices to utilize EES dental Clinic and Saturday surgery resources.Update: Just So Pediatrics continues to utilize EED dental clinic and Saturday surgery resources, but are not currently tracking referrals.6. Just So Pediatrics will provide fluoride administration.Update: Just So Pediatrics has initiated the fluoride varnish program and conducts water testing for fluoride. Currently fluoride prescriptions are not being tracked.Difficulty Navigating the Healthcare System:Goal: During FY 2016, 2017 and 2018, the organization will develop and implement a work plan that aims to assist the community by provision of ongoing assistance in navigation through healthcare services and insurance requirements, enhance "one-stop shopping" opportunities for health service consumers, and support comprehensive community care coordination infrastructure. BMH will collaborate with community organizations to provide advocacy and services to low-income, minority and underserved populations. BMH will conduct health needs assessment of populations served by Groundworks, a combined entity of Morningside Shelter and the Drop-in Center, as well as the overflow shelter. BMH will support the Director of Patient Experience position and the Community Resource Liaison position to provide assistance with patient questions/complaints, insurance assistance and navigation through the healthcare system.Collaboration: BMH collaborates extensively and formally with community organizations involved in the domains of health and services including but not limited to Vermont Department of Health, United Way, Health Care and Rehabilitation Services, the Brattleboro Retreat, Groundworks, and SEVCA. This rich collaborative network partnership creates an environment for the identification of healthcare system Navigation issues as well as a forum for identifying and implementing system-wide improvements.Action Plan: 1. Identify qualitative and quantitative health needs of population utilizing Groundworks (Morningside Shelter, Drop-in Center and overflow shelter through a Health Needs Assessment and focus groups (1/16-3/16)Present data referenced above to Senior Leadership/Board of Directors with Action Plan being developed based on findings.Update: A health needs assessment for this population was conducted in February of 2016. Through grant funding, a Vulnerable Population Care Coordinator was hired by BMH in November of 2016. This RN is embedded in the Drop-In center and works collaboratively with groundworks clients and staff to improve access to healthcare for this population. |
| continuation of Part V, Section B, Line 11: | 2. Continue to provide a Community Resource Liaison position.Update: Brattleboro Memorial Hospital continued to provide a Community Resource Liaison position in 2016.3. Continue to provide a Director of Patient Experience position.Update: Brattleboro Memorial Hospital continued to provide a Director of Patient Experience position in 2016.4. Develop online, internal and community resource guide to assist healthcare staff in making appropriate referral for clients/patients.Update: This work began in 2016 with collaboration between the Information Systems Department and RN Care Coordinator. This has been put on hold, as IS resources are limited due to the implementation of a new Electronic Medical Record.5. Promote community education regarding resources available, including Vermont 211.Update: The Community Health Team, Care Coordinators, and Care Managers continually share information regarding resources available, including Vermont 211.Transportation:Goal: During FY 2016, 2017 and 2018, the organization will develop and implement a workplan that aims to provide representation at all community forums discussing transportation issues. In addition, the Director of Community Initiatives/Blueprint Project has been soliciting input from BMH departments regarding transportation barriers and possible solutions. BMH has provided a letter of support for the SEVT FY 2016 CMAQ (Congestion Mitigation and Air Quality) application for the start of a new transit system for Route 30 from Brattleboro to Jamaica. BMH will be considering the feasibility of providing matching financial support as outlined in the grant proposal.Collaboration: Collaboration with multiple community agencies, organizations, town committees, and potential federal grantees will be integral to BMH's activities and strategies to enhance transportation access in Windham County.Action Plan: 1. Provide BMH representation at local transportation discussion/planning forums.Update: CHT staff member attends Elderly & Disabled (E&D) transportation meeting regularly at the Current offices in Rockingham.2. Explore feasibility of becoming a contributor to the SEVT FY 2016 CMAQ (Congestion Mitigation and Air Quality Improvement) grant application.Update: Although BMH agreed to provide match for CMAQ grant application, this grant was ultimately not funded.3. Consider other options to enhance transportation resources for improved healthcare access.Update: In 2016, BMH worked with Stevens & Associates to identify opportunities for improvements in parking. Following this evaluation, twenty new parking spots were created, some of which have not yet been paved. It is estimated that the new parking plan, including new pavement, will be fully implemented in 2017.Culturally Competent Medical Staff:Goal: During FY 2016, 2017 and 2018, the organization will develop and implement a workplan that aims to improve the cultural competency of BMH staff by providing culturally comptetency training. BMH Development Department will evaluate marketing strategies to reach populations in need of population-specific healthcare services. Additionally, Brattleboro Memorial Hospital will evaluate patient education resources to assess readability levels and level of cultural sensitivity/inclusivity and conduct a health needs assessment of the homeless population and develop an implementation plan.Collaboration: BMH will continue to collaborate extensively with HCRS and other community organizations, The Brattleboro Retreat and Grace Cottage Hospital. BMH is actively and contractually engaged with The Brattleboro Retreat to administer the Medicaid Hub & Spoke program. A cornerstone of this program is the reduction of the stigma associated with the opioid addicted population, many of whom are members of this population group. BMH, Grace Cottage Hospital and The Brattleboro Retreat partner to provide community health education which can be a venue for educating the community about services and programs available to the populationAction Plan: 1. BMH is currently gathering data and will address disparities through clinical quality improvement and cultural competency training for staff.Update: A health needs assessment for this population was conducted in February of 2016. Through grant funding, a Vulnerable Population Care Coordinator was hired by BMH in November of 2016. This RN is embedded in the Drop-In center and works collaboratively with Groundworks clients and staff to improve access to healthcare for this population.2. Evaluate current BMH marketing and messaging for degree of cultural diversity and sensitivity to target population.Update: It is currently the practice of the BMH development/marketing department to evaluate all materials for degree of cultural diversity and sensitivity.3. Implement strategies to evaluate educational materials for cultural appropriateness and literacy competency level.Update: No update4. BMH has taken the "Pledge to Act to Eliminate Health Care Disparities" spearheaded by the American Hospital Association.Update: Data was collected by the Executive Director of Care Management and in collaboration with the Chief Medical Officer and Emergency Department, the decision was made to create a Care Manager position in the Emergency Department to address the needs of various vulnerable populations.5. Continue CMO/Human Resources grant for improvement in staff cultural competency.Update: In 2016, grant funding was not secured to bring the "Bridges Out of Poverty" program to BMH. However, staff members in the BMH Medical Group and CHT attended this training in December 2016. BMH will continue to promote this training as it becomes available. |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 250% 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 Vice-President of Finance. |
| 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: | 1. Health Fair 2. Director of the Community Health Team participates in community coalitions such as Fit & Health Kid's Coalition, Healthier Communities Coalition. The HCC coalition, of which the Director of the Community Health Team, is a member, has been instrumental in advocating for healthy nutrition, exercise, food security, Farm to School programming & advocating for improving the built environment & town policies to support health & wellness. Many of the health improvement needs identified by & advocated for by the coalition have been incorporated into the new town plan for Brattleboro. The HCC was recognized for its success & effectiveness. The HCC has conducted Community Healthier Living Index (CHLI) assessments at Green Street School and at BMH. This YMCA tool measures community organization support for physical activity & health eating. Mini grant money will be used to implement strategies for improvements in the areas of health nutrition and exercise. 3. 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 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 25% 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 collectibility 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 2016, the Hospital increased its estimate from $5,266,350 to $5,719,983 in the allowance for doubtful accounts relating to self-pay patients and during 2015 the Hospital increased its estimate from $4,769,579 to $5,266,350 in the allowance for doubtful accounts relating to self-pay patients. During 2016, self-pay write-offs decreased from $4,069,764 to $3,567,049 and during 2015 self-pay write-offs increased from $3,767,572 to $4,069,764. The changes resulted from trends experienced in the collection of amounts from self-pay patients. |
| 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 the 2015 Community Health Needs Assessment. The needs assessment addressed health and wellness in Windham County, inclusive of lifestyle, access to care, maternal & child health, illness & death, and injury. Methodology included data analysis, on-line surveys, survey questionnaire distribution at public events, various focus groups, provider surveys and 2 formal Steering Committee meetings. Highest priority issues about healthcare & healthcare access were identified.Evaluations were given to all participants of the Community Health Needs Assessment. Participants are asked what health & wellness topics they would like to have presented. Each participant developed an implementation plan. These responses are compiled & prioritized. The committee for the calendar uses these priority requests to plan content of future calendars. |
| Part VI, Line 4: | BMH serves a total service area that includes:- 22 towns- A population of 43,714- 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. Brattleboro area employers, like Vermont employers generally, are small in size. The 3 largest employers are: C&S Wholesale, Entergy VT, and BMH. 11,474 people commute to Brattleboro to work. The unemployment rate for Windham County as of May 2015 was 3.8%. The VT Department of Health publishes a comprehensive Health Status Report every 5 years. The most recent report is dated 2012. County data is compared to goals for VT. The indicators for Windham County for 2012 identified the following areas of concern:1. Access to health care - residents without a usual doctor; lack of health insurance2. Breast, Colon and Cervical Cancer screening rates are worse than in Vermont or less than the healthy Vermonter goal. 3. Rates of Injury in Windham County were higher than Vermont in all age groups except 0-9 year olds. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| The Strolling of the Heifers Inc | ||||||||
| 105 Partridge Road | Dummerston | VT | 05346 | 020638820 | 501(c)(3) | $6,000 | FMV | Event promotions |
| Southern Vermont Area Health Education Center Inc | ||||||||
| 55 Clinton St Suite 1 | Springfield | VT | 05156 | 030360193 | 501(c)(3) | $10,000 | FMV | Support continuing programs. |
| Boys and Girls Club | ||||||||
| 17 Flat Street | Brattleboro | VT | 05302 | 030309528 | 501(c)(3) | $5,940 | FMV | Support continuing programs. |
| The Gathering Place | ||||||||
| 30 Terrace St | Brattleboro | VT | 05301 | 030341536 | 501(c)(3) | $8,000 | FMV | Support continuing programs. |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | The Organization makes contributions to small community events and no monitoring is deemed necessary. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Elizabeth McLarney MD | ||||||||||||||
| Board Member | $293,394 | $0 | $246,000 | $0 | $552 | $0 | $4,692 | $0 | $37,311 | $0 | $581,949 | $0 | $0 | $0 |
| Steven Gordon | ||||||||||||||
| President & CEO | $0 | $290,322 | $0 | $40,569 | $0 | $19,584 | $0 | $13,913 | $0 | $26,343 | $0 | $390,731 | $0 | $0 |
| Michael Rogers | ||||||||||||||
| VP Fiscal Services | $0 | $185,244 | $0 | $20,000 | $0 | $1,032 | $0 | $15,358 | $0 | $31,339 | $0 | $252,973 | $0 | $0 |
| Mary Urquhart | ||||||||||||||
| VP Patient Care Services | $0 | $174,741 | $0 | $20,000 | $0 | $1,032 | $0 | $9,867 | $0 | $7,395 | $0 | $213,035 | $0 | $0 |
| Bonnie McKellar | ||||||||||||||
| VP Physician Service | $0 | $166,150 | $0 | $10,000 | $0 | $1,584 | $0 | $9,615 | $0 | $26,440 | $0 | $213,789 | $0 | $0 |
| Kathleen Mcgraw | ||||||||||||||
| Chief Medical Officer | $260,710 | $0 | $5,000 | $0 | $16,145 | $0 | $12,809 | $0 | $39,041 | $0 | $333,705 | $0 | $0 | $0 |
| Thomas H Lewis MD | ||||||||||||||
| General Surgeon | $319,500 | $0 | $1,000 | $0 | $19,584 | $0 | $13,913 | $0 | $37,500 | $0 | $391,497 | $0 | $0 | $0 |
| Robert M Burke MD | ||||||||||||||
| Cardiologist | $331,367 | $0 | $0 | $0 | $1,032 | $0 | $13,913 | $0 | $36,831 | $0 | $383,143 | $0 | $0 | $0 |
| Gregory R Gadowski | ||||||||||||||
| General Surgeon | $291,162 | $0 | $1,000 | $0 | $16,129 | $0 | $13,250 | $0 | $38,262 | $0 | $359,803 | $0 | $0 | $0 |
| Jonathan C Thatcher MD | ||||||||||||||
| Orthopedics | $318,721 | $0 | $3,672 | $0 | $3,048 | $0 | $4,416 | $0 | $17,590 | $0 | $347,447 | $0 | $0 | $0 |
| William Vranos | ||||||||||||||
| Orthopedics | $306,300 | $0 | $1,000 | $0 | $552 | $0 | $4,692 | $0 | $519 | $0 | $313,063 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6 | Bonuses paid in calendar year 2015 are mostly contractual however the net earnings are a minor consideration in the senior leadership bonus amounts. |
| Part I, Line 7 | Bonus payments made to Elizabeth McLarney, Jonathan Thatcher, Thomas Lewis, & Robert Burke are quantative bonuses based in part on worked Relative Value Units (RVUs) performed in excess of baseline expectations. Bonus payments made to Gregory Gadowski and William Vranos are quantative bonuses based on attending medical staff meetings. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Vermont Educational and Health Building Financing Agency | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 237154467 | BondIssuerEIN |
| Bond Issued | 2016-06-01 | BondIssuedDt |
| Issue Price | $10,500,000 | IssuePriceAmt |
| Purpose | Advance refund of previously issued bonds | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $225,288 | RetiredAmt |
| Total Proceeds | $10,500,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $169,085 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $8,067,131 | OtherSpentProceedsAmt |
| Unspent | $2,263,784 | UnspentAmt |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | Yes (1) | AdvanceRefundingInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | Yes (1) | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | People's United | BusinessNameLine1Txt |
| Business Name Line2 | Bank NA | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 10.000000000000 | TermOfHedgePct |
| Superintegrated Hedge | Yes (1) | SuperintegratedHedgeInd |
| Hedge Terminated | 0 | HedgeTerminatedInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| JoAnne Rogers | |||
| Family Member of Michael Rogers, VP of Finance, Treasurer & CFO | $36,778 | Employment | 0 |
| Judith McBean | |||
| Family Member of Donna McElligott, Board Member | $274,620 | Employment | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 4 | The Bylaws have been amended. The Audit Committee and Finance Committee have been combined to create The Finance and Audit Committee. |
| 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 thier death or resignation. Elected directors may serve for a maximum of three consective 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 11 | 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 Committe (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 6,667,128. Management and general expenses 1,046,340. Fundraising expenses 0. Total expenses 7,713,468. Contract Temp.: Program service expenses 1,010,390. Management and general expenses 38,711. Fundraising expenses 0. Total expenses 1,049,101. Service Contracts: Program service expenses 1,486,136. Management and general expenses 557,436. Fundraising expenses 0. Total expenses 2,043,572. |
| 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 Loss on Interest Rate Swap -153,262. Change in Interest in SVHSC 65,875. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Southern Vermont Health Services Corp | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 17 Belmont Ave | AddressLine1Txt |
| City | Brattleboro | CityNm |
| State Abbreviation | VT | StateAbbreviationCd |
| ZIP | 05301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222564588 | EIN |
| Primary Activities | Provide Health Management Services | PrimaryActivitiesTxt |
| Legal Domicile State | VT | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 7 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Comments