Senior Vice President & Chief Financial Officer | AMN Leadership Solutions on Behalf of Brattleboro Retreat

08 Apr 2020 10:15 AM | Anonymous

Position Description: The Chief Financial Officer (CFO) reports to the Chief Executive Officer and is accountable for the establishment and oversight of fiscal management systems for the organization. The CFO is the lead in maintaining the institution's financial viability and ensures that all accounting practices and financial transactions are conducted in accordance with accepted accounting standards, laws and regulations governing the fiscal management of not-for-profit healthcare institutions. This position serves as the institution's principal in-house advisor with regard to fiscal matters and in the development of fiscal policy and procedure. The CFO will manage the operating expense budget and oversee three direct reports: Controller, Senior Director of Financial Planning, and Chief Information Officer (total staff of about 10 FTEs).

This position requires a strategic and analytical business professional and a transformational leader. Strong competencies in revenue growth, expense control, enhancing operating performance and driving accountability through the organization through the use of performance metrics, operating indicators, benchmarks and best practice data. The CFO is responsible for the day to day financial operations of the organization including implementation and maintenance of accounting systems, revenue cycle management, operating and capital budgeting, financial planning & analysis, internal and external audits, information technology, medical records and HIPPA compliance. This executive provides financial guidance and support to operating units and administrative functions and has the ability to work within a unionized environment.

The Ideal Candidate

  • A Bachelor’s degree with a major in accounting, business or finance and either an MBA and/or CPA is preferred.
  • A minimum of ten years of experience in health care financial management at a Controller, Vice President or Chief Financial Officer level.
  • Previous experience in a similar sized or larger hospital setting, an LTAC or a behavioral health environment. Experience in a for-profit healthcare environment a plus.
  • Knowledge and experience in healthcare reimbursement, budgeting, financial analysis, managed care contracting and information systems.
  • Financial turnaround and workout experience in healthcare as well as experience working in a resource constrained environment.
  • Has an understanding of hospital revenue cycle and the ability to identify challenges and areas of improvement to drive overall financial improvement and patient experience.
  • Previous experience working with a board is preferred.
  • Experience working in a unionized environment is highly preferred.

The Organization

The Brattleboro Retreat (the Retreat), founded in 1834, is a private, not-for-profit, mental health and addiction treatment hospital serving Vermont and the surrounding region. The organization provides a wide range of diagnostic, therapeutic and rehabilitation services for children, adults and their families through a full continuum of inpatient and outpatient services. In addition to seven inpatient units, which includes the nation’s only specialized Adult LGBTQ+ program, the Retreat also offers partial hospital and intensive outpatient services for adults, a dedicated program for uniformed service workers and residential and school programs for children and adolescents.
Nationally recognized as a leader in psychiatric and addiction care, the Brattleboro Retreat is accredited by numerous state and national organizations including The Joint Commission and the American Psychological Association. Located in southeastern Vermont near the New Hampshire and Massachusetts borders, staff and patients enjoy a beautiful, sprawling, college-like campus within easy driving distance to the major cities and attractions of the northeast. The Brattleboro Retreat is the 12th largest mental health provider in the nation. With a staff that is more than 800 employees strong, they treat approximately 5,000 people a year. In addition to its hospital services for children, adolescents, and adults, the Retreat offers:

  • The Anna Marsh Behavioral Care Outpatient Clinic
  • The Birches Treatment Center offers intensive treatment to patients with a substantial decline in functioning due to the severity of mental health and/or addiction issues
  • The Meadows Educational Center, an onsite, fully licensed K-12 school
  • The Bridges Program, a non-clinical educational alternative for at-risk adolescents
  • Starting Now, an intensive outpatient day and evening addictions program for adults
  • Abigail Rockwell Residential Center for children ages 6-13
  • Residential care for adolescents
  • Two managed care service organizations, Primarilink and Vermont Collaborative Care
  • An extensive Continuing Education Program for mental health professionals
  • The Mulberry Bush Early Learning Center
  • An LGBT specific mental health and addiction program for adults
  • An emerging adult program for young adults ages 18-26
  • Mind Body Pain Management Clinic
  • A Uniformed Service program for active and retired law enforcement, fire, military, corrections, and EMT personnel
  • Outpatient medication assisted treatment of opioid addiction with buprenorphine including the option of supervised daily dosing
  • Network provider for OneCare the State’s ACO
  • Hub and Spoke clinical model for opioid treatment
  • Support for NCQA medical homes and community health teams
  • Participation in the State’s health care reform effort

In 2019, the Retreat admitted 3,700 patients with an average length of stay of 9.9 days. There were more than 27,000 outpatient visits and 8,123 partial hospitalization visits. The facility is licensed for 149 beds. In fiscal year 2019, the Retreat had operating revenue of $72.6 million. The facility had an operating loss of $6,192,095. The Retreat has just a little more than $11.2 million in debt and some $5.6 million in cash and investments. While the Retreat has continued to experience financial challenges, with strategic financial planning and legislative advocacy, the State of Vermont has continued to show a willingness to partner with the Retreat with increases in Medicaid funding rates through various programs which will help the Retreat’s sustainability going forward. The Retreat is governed by a 12-member Board of Trustees. The Board is comprised of civic leaders, working business executives, and professionals in behavioral health, law, finance, and education. Three quarters of the workforce is represented by the United Nurses and Allied Professions. The current contract expired in October 2019 and a new three-year contract has recently been negotiated and ratified.

The Retreat is located in Brattleboro, Vermont. Brattleboro is in Windham County in the southeast corner of Vermont, bordering Massachusetts and New Hampshire. It is the county’s largest town and cultural hub. With a population of nearly 12,000, Brattleboro has been selected as one of the “Best Small Towns in America” for its cultural richness, artistic diversity, and political vibrancy. It is a town noted for its spirit of openness, involvement, and community. It is a place that embraces diversity in background, belief, and lifestyle – and where people care about each other. The area offers exceptional recreational, educational, and cultural amenities with a reasonable cost of living and easy access to Boston, New York City, and Albany. The Green and White Mountains, the Connecticut River, dozens of lakes and streams allow families to enjoy outdoor recreational activities such as skiing, hiking, camping, boating, and fishing. There are many fine schools at all levels, both public and private in the area. Housing varies in style and size, and is affordable. Please see the Brattleboro area Chamber of Commerce website for more details at

Inquiries, Resume Submissions and Referrals

Please forward to (email preferred) to:
Claire Connolly

About AMN Healthcare:
(Phillips DiPisa was acquired by AMN Healthcare in 2019)

At AMN Healthcare, we are guided by the fundamental belief that attaining and supporting the best performing healthcare leadership talent is vital to meet strategic objectives, improve patient care, enable organizational growth, and spur innovation.

We are pleased to announce that we have launched AMN Leadership Solutions. In an effort to meet the recruiting needs for all levels of leaders, physicians, and clinicians, this transition channels the full depth, experience, and resources of AMN Healthcare, B.E. Smith, and Merritt Hawkins.

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