Brattleboro Retreat

“The Governing Body will receive the prepared 990 electronically for their review prior to filing the return, followed by a presentation at their next full board meeting.”

“A. The Brattleboro Retreat accepts the responsibility for the provision of optimum care and services to its patient population, and therefore must protect the integrity of clinical decision making and the provision of treatment and care to all patients. B. The Brattleboro Retreat will disclose any existing or potential conflicts of interest for those who provide care, treatment and services as well as management and governance activities. C. The Brattleboro Retreat will routinely review its existing relationship and its staff's relationships, with other care providers, educational institutions and payers to ensure that all relationships are within law and regulation and to identify and determine if conflicts of interest exist. D. Regardless of any fiduciary relationship with any healthcare provider (licensed clinical practitioner, vendor, educational institution, payer, outside resource agency, etc.), the hospital and its representative staff (including medical staff), will strive to provide optimum care to patients following appropriate utilization of resources standards. Care provided to patients will not be dependent upon financial relationships or fiduciary responsibilities. a. Tests, studies, treatments or procedures deemed usual and routine in the diagnosis, management or treatment of disease processes; as standard in the healthcare community, will not be withheld from any patient (unless the patient exercises his/her patient right to refuse treatment). b. Any healthcare provider who feels there is a conflict of interest in patient management and their relationship with the facility, must contact administration and notify the Chief Executive Officer immediately. E. Discussion at the administrative level will be initiated, whereby problem resolution will be the primary goal. In the interim, the Chief of the service/department with jurisdiction over the healthcare provider will arrange for coverage of the patient; until resolution has been reached. F. If resolution cannot be reached at the administrative level, the matter will be forwarded to an Executive Committee of the Governing Body, who will meet as soon as practicable, however no later than one week after notification of issue. The Governing Body's primary purpose is to assure that optimum patient care and treatment is provided, regardless of fiduciary relationships, while maintaining a fair and just review of all circumstances surrounding the issue. The determination of the Governing Body will be final. G. No contract or transaction entered into by the corporation known as the Brattleboro Retreat, shall be affected by the fact that a director, member or officer of the corporation was personally interested in the contract or transaction or was personally interested in or a director or officer of a corporation that was personally interested in the contract or transaction. H. A member of the Governing Body or a member of a committee, when called upon to cast a vote for or against a matter which personally involves such individual, shall disclose himself/herself ineligible to vote on the grounds of conflict of interest. In cases where conflict of interest is not clearly apparent, or when such conflict is not declared by a person who in the opinion of other members has potential conflict, the conflict of interest issue may be brought before the body who will vote on such issue to determine whether or not a conflict of interest exists. I. Should there become known, at any time, a conflict of interest between any member of the Governing Body, medical staff, hospital personnel or other healthcare providers and the hospital or any of its agents, the individual(s) may excuse himself/herself from discussions and/or determinations with the identified healthcare provider(s). J. All members of the Governing Body, medical staff and hospital personnel have the responsibility and obligation, if there is such a time as it is discovered; that due to a fiduciary relationship, care of a”

“The Board Compensation Committee reviews comparative data for the CEO. The CEO does review benchmarking/comparative data for VPs and other key employees.”

“All governing documents, conflict of interest policy, and audited financial statements are available upon request”

“Brattleboro Retreat invested in the Vermont Collaborative Care, LLC with Catamount Insurance Services, Inc. which is a wholly-owned subsidiary of Blue Cross and Blue Shield of Vermont, a non-for-profit organization.”

“In 2020, the Retreat discontinued its Uniformed Service, Mulberry Bush Daycare, and Bridges/Meadows School programs in an effort to reduce the breadth of the Retreat's operations and improve profitability. The Retreat responded to the COVID-19 pandemic in 2020 by moving most outpatient services from in-person to telehealth/remote. The demand for mental health support from the community increased and we added clinical staff to meet the demand for remote therapy and partial hospitalization services. We closed an inpatient psychiatric unit and converted it to a negative pressure space in case we had COVID positive patients that had to be cared for at the Retreat. Demand for services declined during lockdown periods as patients avoided coming into an inpatient care setting, but we remained open and continued to serve Vermonters in psychiatric crisis. We had to close inpatient admissions for people coming from out of state per direction from public health authorities. Workforce challenges have impacted our operations throughout the pandemic as some staff did not want to provide bedside care during the pandemic before the vaccines were available.”

“Clinical Services: Program service expenses 274,052. Management and general expenses 0. Fundraising expenses 0. Total expenses 274,052. Contract Services: Program service expenses 9,692,878. Management and general expenses 709,080. Fundraising expenses 0. Total expenses 10,401,958. Purchased Services: Program service expenses 67,438. Management and general expenses 0. Fundraising expenses 0. Total expenses 67,438. Consulting Fees: Program service expenses 0. Management and general expenses 1,730,287. Fundraising expenses 0. Total expenses 1,730,287. Collection Fees: Program service expenses 17,643. Management and general expenses 0. Fundraising expenses 0. Total expenses 17,643.”

“Section 1.263(a)-3(n) Election: Brattleboro Retreat 1 Anna Marsh Lane Brattleboro, VT 05302 EIN 03-0107360 Brattleboro Retreat is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).”