STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

BRATTLEBORO RETREAT: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
BRATTLEBORO RETREAT (EIN 03-0107360)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-04
IRS object ID
202443099349300624
Schema version
2023v5.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-04T09:42:20-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010523282PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Berry Dunn McNeil & Parker LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12211 Congress StAddressLine1Txt
CityPortlandCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN030107360EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Brattleboro RetreatBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBRATBusinessNameControlTxt
Phone8022577785PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 Anna Marsh LaneAddressLine1Txt
CityBrattleboroCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05302ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJill MeschkePersonNm
Person TitleCFOPersonTitleTxt
Phone8022577785PhoneNum
Signature2024-10-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJoseph R ByrnePreparerPersonNm
PTINP01289281PTIN
Phone2077752387PhoneNum
Preparation2024-10-29PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSteven CummingsPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 Anna Marsh LaneAddressLine1Txt
CityBrattleboroCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05302ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$101,461,086GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.brattlebororetreat.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1834FormationYr
Legal Domicile StateVTLegalDomicileStateCd
Activity Or MissionOffering a continuum of care including Inpatient, Partial Hospitalization, Residential and Outpatient.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee570TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$18,133,034PYContributionsGrantsAmt
CY Contributions Grants$581,045CYContributionsGrantsAmt
PY Program Service Revenue$62,446,440PYProgramServiceRevenueAmt
CY Program Service Revenue$97,284,097CYProgramServiceRevenueAmt
PY Investment Income$92,698PYInvestmentIncomeAmt
CY Investment Income$479,822CYInvestmentIncomeAmt
PY Other Revenue-$65,219PYOtherRevenueAmt
CY Other Revenue-$92,705CYOtherRevenueAmt
PY Total Revenue$80,606,953PYTotalRevenueAmt
CY Total Revenue$98,252,259CYTotalRevenueAmt
PY Grants And Similar Paid$6,295PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$500CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$39,180,038PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$44,176,354CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$36,000PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$36,000CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$36,000CYTotalFundraisingExpenseAmt
PY Other Expenses$32,684,329PYOtherExpensesAmt
CY Other Expenses$45,867,140CYOtherExpensesAmt
PY Total Expenses$71,906,662PYTotalExpensesAmt
CY Total Expenses$90,079,994CYTotalExpensesAmt
PY Revenues Less Expenses$8,700,291PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,172,265CYRevenuesLessExpensesAmt
Total Assets BOY$57,546,913TotalAssetsBOYAmt
Total Assets EOY$60,411,408TotalAssetsEOYAmt
Total Liabilities BOY$26,049,366TotalLiabilitiesBOYAmt
Total Liabilities EOY$20,503,242TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$31,497,547NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$39,908,166NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionInspired by the courage of our patients, the Brattleboro Retreat is dedicated to children, adolescents and adults in their pursuit of recovery from mental illness and psychological trauma. We are committed to excellence in treatment, advocacy, education, research, and community service. We provide hope, healing, safety and privacy through a full continuum of medical and holistic services delivered by expert caregivers in a uniquely restorative Vermont setting.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$72,790,454ExpenseAmt
Grant$500GrantAmt
Revenue$97,284,097RevenueAmt
DescOffering a full continuum of care including inpatient and partial hospitalization, residential care for children, intensive outpatient services for adults, and traditional outpatient treatment for children and adolescents adults.Patient Days: Inpatient: 33,235, Partial: 5,880, Residential: 2,739, Outpatient: 25,897Desc
Total Program Service Expenses$72,790,454TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document49IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee570EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldVTStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Jill MeschkeBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8022583716PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 Anna Marsh LaneAddressLine1Txt
CityBrattleboroCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05301ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Thomas Huebner
Board Chair1.000.00Yes (X)Yes (X)$0$0$0
Justin Johnson
Vice Chair1.000.00Yes (X)Yes (X)$0$0$0
Jill Meschke
Treasurer/Chief Financial Officer40.000.00Yes (X)Yes (X)$158,170$0$2,260
Joseph Pyle
Secretary1.000.00Yes (X)Yes (X)$0$0$0
Judi Fox
Assistant Secretary1.000.00Yes (X)Yes (X)$0$0$0
Wichie Artu
Trustee1.000.00Yes (X)$0$0$0
Elizabeth Catlin
Trustee1.000.00Yes (X)$0$0$0
Kristan Outwater MD
Trustee1.000.00Yes (X)$0$0$0
Drew Pate MD
Trustee1.000.00Yes (X)$0$0$0
Julie Potter
Trustee1.000.00Yes (X)$0$0$0
Christopher Turley
Trustee1.000.00Yes (X)$0$0$0
Julie Vieth MD
Trustee1.000.00Yes (X)$0$0$0
Linda C Rossi
CEO40.000.00Yes (X)Yes (X)$425,105$0$4,177
William King
Past Interim CFO40.000.00Yes (X)$313,062$0$0
Karl Jeffries
Chief Medical Officer40.000.00$488,922$0$52,838Yes (X)
Amelia Shillingford
VP Patient Care/CNO40.000.00$248,566$0$22,405Yes (X)
Lisa Lambert
Medical Director of Inpatient Svcs.40.000.00$475,880$0$9,900Yes (X)
Lance B Thigpen
Medical Director of Outpatient Svcs.40.000.00$273,266$0$30,417Yes (X)
Elizabeth H Joseph
Staff Psychiatrist40.000.00$284,051$0$35,133Yes (X)
Jarred C Zucker
Staff Psychiatrist40.000.00$369,812$0$27,122Yes (X)
Rachael E Kandath
Staff Psychiatrist40.000.00$272,209$0$19,801Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,309,043TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$204,053TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K82IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AHSA LLC
PO Box 1928EdmondOK73083Contract Labor - Traveling Nurses$22,016,856
Sodexo
PO Box 360170PittsburghPA152516170Food/Housekeeping Services$3,401,961
Barton Associates Inc
PO Box 417844BostonMA022417844Contract Labor - Physicians$1,817,446
Locumtenens
PO Box 405547AtlantaGA303845547Contract Labor - Physicians$1,193,806
Netsmart Technologies Inc
PO Box 713519PhiladelphiaPA19171Information Technology$969,731
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K38CntrctRcvdGreaterThan100KCnt
Government Grants$443,741GovernmentGrantsAmt
All Other Contributions$137,304AllOtherContributionsAmt
Noncash Contributions$12,058NoncashContributionsAmt
Total Contributions$581,045TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Patient Service Revenue623990$147,777,123$147,777,123
Miscellaneous900099$745,308$559,149$186,159
MSO Revenue623990$136,170$136,170
Contractual/Char. Adj.623990-$51,374,504-$51,374,504
FieldValueIRS element (for citing)
Total Program Service Revenue$97,284,097TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$480,234TotalRevenueColumnAmt
Exclusion$480,234ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$399,392RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$698,058RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$298,666RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$298,666TotalRevenueColumnAmt
Exclusion-$298,666ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,510,357SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,510,769SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$412SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$412TotalRevenueColumnAmt
Exclusion-$412ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescJoint Venture EarningsDesc
Business900099BusinessCd
Total Revenue Column$205,961TotalRevenueColumnAmt
Related Or Exempt Func Income$205,961RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$205,961OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$98,252,259TotalRevenueColumnAmt
Related Or Exempt Func Income$97,303,899RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$367,315ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$500TotalAmt
Program Services$500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,715,505TotalAmt
Program Services$812,731ProgramServicesAmt
Management And General$902,774ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$33,519,894TotalAmt
Program Services$27,821,219ProgramServicesAmt
Management And General$5,698,675ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$501,305TotalAmt
Program Services$407,365ProgramServicesAmt
Management And General$93,940ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,975,611TotalAmt
Program Services$4,845,563ProgramServicesAmt
Management And General$1,130,048ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,464,039TotalAmt
Program Services$2,001,773ProgramServicesAmt
Management And General$462,266ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$335,103TotalAmt
Management And General$335,103ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$186,459TotalAmt
Management And General$186,459ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$24,000TotalAmt
Management And General$24,000ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$36,000TotalAmt
Fundraising$36,000FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$19,663TotalAmt
Management And General$19,663ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$33,766,867TotalAmt
Program Services$27,299,130ProgramServicesAmt
Management And General$6,467,737ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$44,430TotalAmt
Program Services$44,430ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$69,477TotalAmt
Program Services$54,411ProgramServicesAmt
Management And General$15,066ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,945,208TotalAmt
Program Services$1,690,102ProgramServicesAmt
Management And General$255,106ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$107,569TotalAmt
Program Services$86,222ProgramServicesAmt
Management And General$21,347ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$352,128TotalAmt
Program Services$188,908ProgramServicesAmt
Management And General$163,220ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,097,086TotalAmt
Program Services$1,156,307ProgramServicesAmt
Management And General$940,779ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$828,867TotalAmt
Program Services$828,867ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Provider Tax$2,140,374$2,140,374
Miscellaneous Expenses$1,895,327$1,371,608$523,719
Medical Supplies$1,043,729$1,043,729
Meals$1,010,853$997,215$13,638

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$90,079,994TotalAmt
Program Services$72,790,454ProgramServicesAmt
Management And General$17,253,540ManagementAndGeneralAmt
Fundraising$36,000FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$10,663,329BOYAmt
EOY$4,815,764EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$17,831,624BOYAmt
EOY$17,746,318EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,244,359BOYAmt
EOY$1,627,760EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$104,154BOYAmt
EOY$124,527EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$945,743BOYAmt
EOY$1,143,416EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$67,875,137LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$47,068,735LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$20,460,157BOYAmt
EOY$20,806,402EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,358,374BOYAmt
EOY$3,586,564EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$412,356BOYAmt
EOY$646,338EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,576,540EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$526,817BOYAmt
EOY$8,337,779EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$57,546,913BOYAmt
EOY$60,411,408EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,727,161BOYAmt
EOY$8,493,432EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,667,978BOYAmt
EOY$7,776,603EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$266,417BOYAmt
EOY$168,979EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,387,810BOYAmt
EOY$4,064,228EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$26,049,366BOYAmt
EOY$20,503,242EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$28,065,471BOYAmt
EOY$38,166,969EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,432,076BOYAmt
EOY$1,741,197EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,497,547BOYAmt
EOY$39,908,166EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$57,546,913BOYAmt
EOY$60,411,408EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$8,172,265ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$238,354NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or ManagementYes (1)PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$40,203OtherActivitiesAmt
Total Lobbying Expenditures$40,203TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationLine 1b relates to a portion of MSO VP's salary in the amount of $3,233. Line 1i includes the portion of AHA and VAHHS dues related to lobbying and the portion of lobbying expense paid to MMR, a lobbying firm.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,279,650BeginningYearBalanceAmt
Investment Earnings Or Losses$187,469InvestmentEarningsOrLossesAmt
End Year Balance$3,467,119EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,636,809BeginningYearBalanceAmt
Investment Earnings Or Losses-$357,159InvestmentEarningsOrLossesAmt
End Year Balance$3,279,650EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,686,428BeginningYearBalanceAmt
Investment Earnings Or Losses-$49,619InvestmentEarningsOrLossesAmt
End Year Balance$3,636,809EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,965,555BeginningYearBalanceAmt
Investment Earnings Or Losses-$1,279,127InvestmentEarningsOrLossesAmt
End Year Balance$3,686,428EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,094,433BeginningYearBalanceAmt
Investment Earnings Or Losses$389,087InvestmentEarningsOrLossesAmt
Other Expenditures$2,517,965OtherExpendituresAmt
End Year Balance$4,965,555EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$120,033OtherCostOrOtherBasisAmt
Book Value$120,033BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$53,603,055OtherCostOrOtherBasisAmt
Depreciation$35,114,905DepreciationAmt
Book Value$18,488,150BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,545,861OtherCostOrOtherBasisAmt
Depreciation$9,930,569DepreciationAmt
Book Value$1,615,292BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,606,188OtherCostOrOtherBasisAmt
Depreciation$2,023,261DepreciationAmt
Book Value$582,927BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$20,806,402TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Cash Surrender Value of Life Insurance Policies and Annuity Contracts$525,049
Deferred Compensation$1,784
Due from Third-Party Payors$7,810,946
FieldValueIRS element (for citing)
Total Book Value Other Assets$8,337,779TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Deferred Compensation Obligation$16,784
Deferred Provider Relief Funds$105,764
Other Long-Term Liabilities$2,661,507
Operating Lease Liabilities$1,280,173
FieldValueIRS element (for citing)
Total Liability$4,064,228TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$99,168,782TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$238,354NetUnrealizedGainsInvstAmt
Other Revenue$698,058OtherRevenueAmt
Revenue Not Reported$936,412RevenueNotReportedAmt
Revenue Subtotal$98,232,370RevenueSubtotalAmt
Investment Expenses Not Incld$19,663InvestmentExpensesNotIncldAmt
Other Revenues Not Included$226OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$19,889RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$98,252,259TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$90,758,163TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$698,058OtherExpensesIncludedAmt
Expenses Not Reported$698,058ExpensesNotReportedAmt
Expenses Subtotal$90,060,105ExpensesSubtotalAmt
Investment Expenses Not Incld2$19,663InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$226OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$19,889ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$90,079,994TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:These funds consist of assets held by a trustee under an indenture agreement and funds set aside by the Board for capital improvements, over which the Board retains control and may, at its discretion, use for other purposes such as short-term operating needs.
Part XI, Line 2d - Other Adjustments:Rental Expenses 698,058.
Part XI, Line 4b - Other Adjustments:Loss on Disposal of Asset 226.
Part XII, Line 2d - Other Adjustments:Rental Expenses 698,058.
Part XII, Line 4b - Other Adjustments:Loss on Disposal of Asset 226.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Solicitation Of Govt GrantsYes (X)SolicitationOfGovtGrantsInd
Agrmt Prof Fundraising ActyYes (1)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

FieldValueIRS element (for citing)
PersonRobert SzpilaPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1140 Guilford StAddressLine1Txt
CityBrattleboroCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05301ZIPCd
FieldValueIRS element (for citing)
ActivityFundraising CoordinationActivityTxt
Fundraiser Control Of Funds0FundraiserControlOfFundsInd
Gross Receipts$129,299GrossReceiptsAmt
Retained By Contractor$36,000RetainedByContractorAmt
Net To Organization$93,299NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Gross Receipts$129,299TotalGrossReceiptsAmt
Total Retained By Contractors$36,000TotalRetainedByContractorsAmt
Total Net To Organization$93,299TotalNetToOrganizationAmt
Licensed StatesVTLicensedStatesCd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,410,815TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,410,815NetCommunityBenefitExpnsAmt
Total Expense0.02680TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,410,815TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,410,815NetCommunityBenefitExpnsAmt
Total Expense0.02680TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$270,321TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$400DirectOffsettingRevenueAmt
Net Community Benefit Expns$269,921NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,365,224TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,595,399DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,769,825NetCommunityBenefitExpnsAmt
Total Expense0.13070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,635,545TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,595,799DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,039,746NetCommunityBenefitExpnsAmt
Total Expense0.13370TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$36,046,360TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,595,799DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,450,561NetCommunityBenefitExpnsAmt
Total Expense0.16050TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Reimbursed By Medicare$11,954,110ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$21,403,932CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$9,449,822MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Brattleboro RetreatBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 Anna Marsh LaneAddressLine1Txt
CityBrattleboroCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05301ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.brattlebororetreat.orgWebsiteAddressTxt
State License939StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Brattleboro RetreatBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.brattlebororetreat.org/infoOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLwww.brattlebororetreat.org/infoStrategyWebsiteURLTxt
Strategy AttachedYes (1)StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.brattlebororetreat.org/patient-financial-servicesFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.brattlebororetreat.org/patient-financial-servicesFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.brattlebororetreat.org/patient-financial-servicesFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Brattleboro RetreatPart V, Section B, Line 5: The Retreat conducted a collaborate Community Health Needs Assessment in partnership with Grace Cottage Family Health and Hospital, Brattleboro Memorial Hospital, and the Vermont Dept. of Health. The three health care organizations developed a steering committee which began meeting in October of 2020. The group met monthly over the next 10 months. The data collection process took place from January through June 2021. CHNA surveys were available from mid-March to mid-May 2021. The largest portion of the surveys were completed by residents attending COVID-19 vaccination clinics at Grace Cottage and Brattleboro Memorial Hospital. Windham County social service agencies, including Groundworks Collaborative, which service unhoused and housing-insecure individuals and families, also helped to distribute surveys to those individuals. Surveys were also distributed by social media. The data gathering process consisted of four primary sources of information: - Demographic, geographic, economic, and population health data gathered on Windham County residents from a variety of sources, including especially the VT Dept. Of Health online databank. - Community Health Needs Assessment survey results - Completed questionnaires submitted by social service agencies representing unique populations of Windham County residents (potentially medically underserved populations) - Group discussion and clinical experience of healthcare providers and leadership from Windham County hospitals Following collection of the qualitative and quantitative data, planners identified emerging community health needs, and flagged major themes and key findings worthy of attention in the Implementation Plan. Based on these key findings, planners at the Brattleboro Retreat established the following priorities: - Mental/Psychiatric Health - Addiction Treatment - Access to CarePlanners carried out this process by focusing only on needs and priority areas that fall within the mission and scope of the Brattleboro Retreat (i.e., mental health and addiction treatment) and that exist withing the Retreat's capacity to make an impact. The 2021 CHNA Steering Committee made significant efforts to assure that the needs and concerns of all segments of the Windham County population were heard, as described in the survey efforts above.
Brattleboro RetreatPart V, Section B, Line 6a: Brattleboro Memorial Hospital and Grace Cottage Hospital
Brattleboro RetreatPart V, Section B, Line 11: See attached implementation strategy.

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part II, Community Building Activities:Anna Hunt Marsh founded the Brattleboro Retreat in 1834 with the hope of advancing the care and treatment of people with mental illness. She was a prominent resident of Hinsdale and the region's most successful woman at that time. The Retreat continues to honor her vision today by encouraging young people to enter the field of healthcare with the Anna Hunt Marsh Scholarship, awarded by nearby Hinsdale High School, in Hinsdale, NHAdditionally, the Retreat supports a variety of other community programs.
Part III, Line 4:See Pages 8-11 of audited financial statements for footnote disclosure.
Part III, Line 8:A cost to charge ratio was used to determine the amount reported on Line 6.
Part III, Line 9b:Included in our debt collection policy there is a section that if a patient is known to qualify for Charity Care upon admission then the eligibility guideline is followed at the time of admission to capture that information.
Part VI, Line 2:In 2023, the Brattleboro Retreat served 3,452 children, adolescents and adults in inpatient, residential, ambulatory, outpatient, and school programs.The impact of the Retreat's services upon its patients and their families and communities is often dramatic and life-saving; especially as fewer and fewer healthcare organizations choose to offer a full continuum of mental health and addiction care services. Meanwhile, the number of patients seeking treatment for mental health and substance abuse issues continues to rise throughout the region and the nation. The Retreat strives to meet this increasing demand for services by renovating and updating facilities and patient care areas and utilizing the latest in treatment modalities to improve health care outcomes for the populations served.In 2023, the Brattleboro Retreat served 1,422 individuals in our outpatient programs. Four hundred and forty-six (446) children were served across all programs. Eight (8) children were served in our residential programs.The Retreat continued to meet the need for quality psychiatric and addiction care coupled with an ongoing trend of higher inpatient acuity by strengthened its clinical expertise. This included the continued roll out of evidence-based practices throughout the hospital's programs along with an expansion of required clinical skills trainings involving both psychiatric and co-morbid medical conditions offered through the Retreat's Clinical Education department.The Retreat also continued to make important strides forward in improving its financial systems with the goal of strengthening cash flows and establishing a more predictable operating margin.Summary of Process for Openness and Public Participation:The Brattleboro Retreat keeps the community informed with appearances with the Brattleboro Select Board, Brattleboro Downtown Business Alliance, Brattleboro Development and Credit Corporation (BDCC), Brattleboro Chamber of Commerce, the Windham County Legislative Delegation, Southeastern Vermont Economic Development Strategies (SeVEDS), the Rotary Club of Brattleboro, and others. The Retreat is a member of the Brattleboro Chamber of Commerce. Additionally, there are active and ongoing collaborations with other community organizations including Brattleboro Memorial Hospital, Grace Cottage Hospital, Health Care and Rehabilitation Services (HCRS), Groundworks Collaborative, Windham County NAACP's Health Justice Committee, Rescue Inc., the Brattleboro Police Dept..In addition to its regular treatment and professional education services, the Brattleboro Retreat offers numerous programs to the community, including various lectures, forums, and special educational events. The feedback of patients, their families, and community members is of great importance to the Brattleboro Retreat.Strategic Plan & Financial Information:In 2023 the Brattleboro Retreat spent approximately $2.8M on capital improvements. The depreciation schedule was $2.1M. As a private not-for- profit organization, copies of the strategic plan are not publicly available.
Part VI, Line 3:At the time of admission, patients receive counseling about their eligibility for assistance under various governmental programs as well as the organization's charity care policy.
Part VI, Line 4:The Brattleboro Retreat is located in Brattleboro, Vermont, which is in the southeastern corner of Vermont-on the border with both New Hampshire and Massachusetts. Brattleboro is a small, rural town with an estimated population of 11,332. The estimated population for Windham County is 45,905 (U.S. Census, 2020). The state of Vermont has an estimated population of 643,077 . (U.S. Census estimate, 2022).The Retreat plays a vital role as a large provider of mental health services, providing a comprehensive mental health continuum of care for adults, children, and adolescents. Its inpatient services provide treatment to individuals of all ages from throughout the Northeast, accepts high numbers of Medicare and Medicaid funded patients and provides services offered by few other hospitals. In addition to its multiple adult psychiatric units, the Retreat operates the only inpatient services for children and adolescents in the State of Vermont. At the residential level of care, the Retreat also provides services to children age 6 to 14 in its Abigail Rockwell Children's Center program. In addition, the Retreat provides an array of outpatient services to people in the local area. These services include outpatient psychotherapy, medication management, as well as shorter-term intensive programs such as partial hospital and intensive outpatient levels of care. The Retreat additionally has specialty outpatient programs, offering Transcranial Magnetic Stimulation (TMS), and esketamine treatments for those with treatment-resistant depression (TRD). The Brattleboro Retreat is the only private mental health and specialty hospital in Vermont and one of the few in New England. In Vermont, there are four medical hospitals with psychiatric units. The Retreat is the largest provider of inpatient psychiatric services in the state and operates roughly the same number of psychiatric beds as the other four hospitals combined. The Retreat is also the only mental health hospital in Vermont for children and adolescents. Many area medical hospitals have downsized or eliminated their psychiatric beds in recent years, particularly those in New Hampshire. Most psychiatric units also exclusively serve adults with few inpatient programs available for children and adolescents. The Retreat is dedicated to serving this population. The relatively low population of Vermont and the greater population to the south necessitate drawing from a broad and diverse area. The Retreat's geographic location also facilitates this regional draw. While the majority of inpatient admissions to the Retreat come from the state of Vermont, patients also come from other states. The demographics of income, race, poverty etc., vary greatly across the catchment area and are therefore difficult to characterize. According to the data collected in the American Community Survey (ACS) and the Puerto Rico Community Survey (PRCS) conducted annually by the U.S. Census Bureau, the estimated median household income of Vermont residents is $73,991 (2022 data, most recent available). 10.4 percent of Vermonters live in poverty and 3 percent of Vermonters are without health insurance, according to the Vermont Household health Insurance Surbey. In 2023, 86 percent of the Retreat's funding came from public sources-34 percent from Medicare and 52 percent from Medicaid/State programs.
Part VI, Line 6:Vermont Program for Quality in Healthcare-provides advocacy for access to health-care services in Vermont.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Karl Jeffries
Chief Medical Officer$443,345$0$145$0$45,432$0$9,900$0$42,938$0$541,760$0$0$0
Lisa Lambert
Medical Director of Inpatient Svcs.$475,288$0$132$0$460$0$9,900$0$0$0$485,780$0$0$0
Linda C Rossi
CEO$400,005$0$0$0$25,100$0$4,177$0$0$0$429,282$0$0$0
Jarred C Zucker
Staff Psychiatrist$366,087$0$3,462$0$263$0$0$0$27,122$0$396,934$0$0$0
Elizabeth H Joseph
Staff Psychiatrist$283,425$0$0$0$626$0$8,741$0$26,392$0$319,184$0$0$0
William King
Past Interim CFO$313,062$0$0$0$0$0$0$0$0$0$313,062$0$0$0
Lance B Thigpen
Medical Director of Outpatient Svcs.$272,483$0$147$0$636$0$4,203$0$26,214$0$303,683$0$0$0
Rachael E Kandath
Staff Psychiatrist$271,969$0$0$0$240$0$8,229$0$11,572$0$292,010$0$0$0
Amelia Shillingford
VP Patient Care/CNO$248,365$0$0$0$201$0$7,618$0$14,787$0$270,971$0$0$0
Jill Meschke
Treasurer/Chief Financial Officer$146,788$0$0$0$11,382$0$0$0$2,260$0$160,430$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aDuring calendar year 2023, Linda Rossi, CEO, and Karl Jeffries, Chief Medical Officer each received a housing allowance which is included as part of their taxable compensation.
Part I, Line 1bThe Board of Directors approved the housing allowances provided by the Organization.
Part I, Line 7During 2023 Karl Jeffries, Lisa Lambert, Jarred Zucker, and Lance Thigpen were awarded bonuses based on performance and due to lack of pay raise in the calendar year.
Form 990, Part VII, Line 5:During the calendar year 2023, Brattleboro Retreat paid Mazars USA LLP, an unrelated organization, $313,062 for services provided by William King as Interim CFO. Brattleboro Retreat is not able to determine the compensation paid to William King, only the amount paid to Mazars USA LLP.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Vermont Educational and Health Buildings Financing AgencyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN237154467BondIssuerEIN
Bond Issued2015-07-15BondIssuedDt
Issue Price$11,245,000IssuePriceAmt
PurposeRefund Series 2011A BondsPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$3,452,300RetiredAmt
Total Proceeds$11,245,000TotalProceedsAmt
Issuance Costs From Proceeds$97,745IssuanceCostsFromProceedsAmt
Other Spent Proceeds$11,147,255OtherSpentProceedsAmt
Substantial Completion2015SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDate Rebate Computation PerformedFormAndLineReferenceDesc
ExplanationIssuer Name: Vermont Educational and Health Buildings Financing Agency Date the Rebate Computation was Performed: 12/20/2021ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11bThe Governing Body will receive the prepared 990 electronically for their review and approval prior to filing the return, followed by a presentation at their next full board meeting.
Form 990, Part VI, Section B, line 12cA. 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 Head 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 any patient may be compromised or may not be delivered within the known standard of care; to notify the Chief Executive Officer of the Brattleboro Retreat immediately upon identification of this issue.
Form 990, Part VI, Section B, line 15The Board Compensation Committee reviews comparative data for the CEO. The CEO does review benchmarking/comparative data for VPs and other key employees.
Form 990, Part VI, Section C, line 19All governing documents, conflict of interest policy, and audited financial statements are available upon request.
Form 990, Part IX, line 11gClinical Services: Program service expenses 383,879. Management and general expenses 88,678. Fundraising expenses 0. Total expenses 472,557. Contract Services: Program service expenses 26,896,625. Management and general expenses 6,187,191. Fundraising expenses 0. Total expenses 33,083,816. Consulting Fees: Program service expenses 18,626. Management and general expenses 191,868. Fundraising expenses 0. Total expenses 210,494.
Form 990, Part X, Line 10; Land, Building, and EquipmentSection 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).
Form 990, Part VI, Line 16: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.

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Vermont Collaborative Care LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 186AddressLine1Txt
CityMontpelierCityNm
State AbbreviationVTStateAbbreviationCd
ZIP056010186ZIPCd
FieldValueIRS element (for citing)
EIN462187169EIN
Primary ActivitiesCare Management ServicesPrimaryActivitiesTxt
Legal Domicile StateVTLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Brattleboro RetreatBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRelatedPredominantIncomeTypeTxt
Share Of Total Income$233,982ShareOfTotalIncomeAmt
Share Of EOY Assets$671,215ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd
Ownership0.50000OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd