Brattleboro Memorial Hospital

What it reported doing in 2023

Charity Care: The Hospital's charity care program is designed to assist those patients who are either uninsured, underinsured or have limited financial resources that impact their ability to fully pay for their hospital care. Before completing an application for charity care, patients are first asked to investigate whether or not they may be eligible for Medicare, Medicaid, Veteran's Benefits or other governmental or public assistance programs.The Hospital's qualifications for charity care are as follows:1. Charity care is limited to medically necessary services. Patients receiving certain elective services, such as those considered cosmetic, investigational or experimental, are expected to make payment arrangements in advance, as these types of services are not covered by the charity care program.2. The patient's family income must be at or below 350% of the current Federal Poverty Income Guidelines for their applicable family size.The Hospital maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy, the estimated cost of those services and supplies and equivalent service statistics. The following information measures the level of the charity care provided during the year ended September 30, 2024: Equivalent percentage of charity care services to all services 0.75%In addition, the Hospital incurs a payment shortfall in the treatment of Medicaid patients. This government program reimburses for medical services at less than the costs incurred to provide those services. In September 30, 2024 and 2023, the Hospital incurred a shortfall of approximately $11,624,296 and $10,033,824, respectively, related to treating Medicaid patients.The Hospital also provided other community benefits upon which no monetary value has been placed.-Offers free smoking cessation classes.-Collaborates with other community agencies in publishing a community wellness calendar twice a year.

Financial Efficiency

• Mission deployment rate: 88.8%; rating input score 89
• Program expense ratio: 85.1%; rating input score 85
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 71st percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited
• Public monitoring controls: Limited
• Public policy transparency: Limited
• Public financial transparency: Limited
• Impact reporting controls: Limited
• Public relationship transparency: Limited

Accountability

• Independent voting board: 81.8%; rating input score 82; 30th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
• Public governance controls: Limited
• Zakat policy transparency: Limited

Sustainability

• Operating margin: -2.8%; rating input score 19; 19th percentile among comparable filings
• Operating reserve ratio: 0.86; rating input score 35; 35th percentile among comparable filings
• Liabilities to assets ratio: 0.33; rating input score 54; 54th percentile among comparable filings
• Officer compensation ratio: 3.9%; rating input score 25; 25th percentile among comparable filings

Growth

• Program expense growth: 6.1% per year; rating input score 100; 52nd percentile among comparable filings
• Revenue growth: 4.5% per year; rating input score 100; 39th percentile among comparable filings
• Asset growth: 4.3% per year; rating input score 100; 31st percentile among comparable filings