BRATTLEBORO RETREAT: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- BRATTLEBORO RETREAT (EIN 03-0107360)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-10-29
- IRS object ID
- 201413029349300861
- Schema version
- 2013v3.0
- 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 G
- Schedule H
- Schedule J
- Schedule K
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-10-29T14:23:47-05:00 | ReturnTs |
| Tax Period End | 2013-12-31 | 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 | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1100 | AddressLine1 |
| City | Portland | City |
| State | ME | State |
| ZIP Code | 041041100 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 030107360 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Brattleboro Retreat | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BRAT | BusinessNameControlTxt |
| Phone | 8022577785 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Anna Marsh Lane | AddressLine1 |
| City | Brattleboro | City |
| State | VT | State |
| ZIP Code | 05302 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Robert E Simpson Jr | PersonNm |
| Person Title | President & CEO | PersonTitleTxt |
| Phone | 8022577785 | PhoneNum |
| Signature | 2014-10-27 | 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 | 2014-10-27 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Robert E Simpson Jr | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Anna Marsh Lane | AddressLine1 |
| City | Brattleboro | City |
| State | VT | State |
| ZIP Code | 05302 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $77,169,689 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.brattlebororetreat.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1834 | FormationYr |
| Legal Domicile State | VT | LegalDomicileStateCd |
| Activity Or Mission | Offering a continuum of care including Inpatient, Partial Hospitalization, Residential and Outpatient Treatment for Children, Adolescents, Adults, and Older Adults throughout the Northeast. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 918 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $370,883 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$19,275 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,914,401 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,318,574 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $53,511,374 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $59,418,262 | CYProgramServiceRevenueAmt |
| PY Investment Income | $377,706 | PYInvestmentIncomeAmt |
| CY Investment Income | $318,838 | CYInvestmentIncomeAmt |
| PY Other Revenue | $62,033 | PYOtherRevenueAmt |
| CY Other Revenue | $156,307 | CYOtherRevenueAmt |
| PY Total Revenue | $56,865,514 | PYTotalRevenueAmt |
| CY Total Revenue | $63,211,981 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $39,305,446 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $44,986,216 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $15,257,853 | PYOtherExpensesAmt |
| CY Other Expenses | $13,422,356 | CYOtherExpensesAmt |
| PY Total Expenses | $54,563,299 | PYTotalExpensesAmt |
| CY Total Expenses | $58,408,572 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,302,215 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,803,409 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $40,044,107 | TotalAssetsBOYAmt |
| Total Assets EOY | $45,625,285 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $22,809,631 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $23,863,523 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $17,234,476 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $21,761,762 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Inspired by the courage of our patients, the Brattleboro Retreat is dedicated to children, adolescents and adults in their pursuit of recovery from mental illness, psychological trauma and addiction. 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $48,393,020 | ExpenseAmt |
| Revenue | $56,552,501 | RevenueAmt |
| Desc | Offering a continuum of care including inpatient, partial hospitalization, residential and outpatient treatment for children, adolescents, adults and older adults throughout the Northeast. Patient Days: Inpatient 36,025, Partial 9,546, Residential 9,912, Outpatient 22,823. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $207,951 | ExpenseAmt |
| Revenue | $189,494 | RevenueAmt |
| Desc | Continuing education program providing up to 30 workshops and seminars throughout the year for Psychiatrists, Physicians, Social Workers, Psychologists, Therapists, Alcohol Counselors, Nurses and Other Healthcare Professionals. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,447,151 | ExpenseAmt |
| Revenue | $2,326,709 | RevenueAmt |
| Desc | Vermont accredited school serving children and adolescent inpatients, residential, and partial hospitalization. The curriculum meets the educational, clinical and behavioral needs of our students and the requirements of Vermont's educational standards. Patient School Days 14,142. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $50,048,122 | 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 | Yes (1) | 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 | 0 | 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 | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | 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 | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | 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 | 90 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 918 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | VT | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lisa Dixon | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8022584312 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Anna Marsh Lane | AddressLine1 |
| City | Brattleboro | City |
| State | VT | State |
| ZIP Code | 05301 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| Bette Abrams | |||||||
| Board Secretary | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Jeffrey Morse | |||||||
| Board Chair | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Mary Faucher | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Michael Sarsynski | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Robert Simpson Jr | |||||||
| President & CEO | 40.00 | Yes (X) | Yes (X) | $445,304 | $0 | $41,200 | |
| Tammy Richards | |||||||
| Assistant Secretary | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Tonia Wheeler | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Patricia O'Donnell | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| David Dunn | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Daniel Normandeau | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Elizabeth Catlin | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| John Blaha | |||||||
| Sr VP Finance & CFO | 40.00 | Yes (X) | $194,041 | $0 | $20,589 | ||
| Frederick Engstrom | |||||||
| Chief Medical Officer | 40.00 | $250,976 | $0 | $26,291 | Yes (X) | ||
| Robyn Ostrander | |||||||
| Senior Medical Director | 40.00 | $247,374 | $0 | $28,723 | Yes (X) | ||
| Timothy Rowland | |||||||
| Physician | 40.00 | $215,612 | $0 | $27,873 | Yes (X) | ||
| Joseph T Smith | |||||||
| Physician | 40.00 | $231,009 | $0 | $22,026 | Yes (X) | ||
| Karl Jeffries | |||||||
| Physician | 40.00 | $230,681 | $0 | $1,689 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,814,997 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $168,391 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Sodexo | |||||
| 153 Second Avenue | Waltham | MA | 02254 | Cafe/Dietary/Housekeeping | $2,883,217 |
| HP Cummings | |||||
| PO Box 269 | Woodsville | NH | 03785 | Construction | $2,063,553 |
| GPI Construction | |||||
| 436 Canal St | Brattleboro | VT | 05301 | Construction | $1,361,473 |
| Locumtenenscom | |||||
| PO Box 405547 | Atlanta | GA | 30384 | Contract Labor | $1,217,902 |
| Netsmart Technologies | |||||
| PO Box 823519 | Philadelphia | PA | 19182 | Electronic Medical Record Vendor | $520,284 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 17 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $73,398 | FundraisingAmt |
| Government Grants | $2,743,317 | GovernmentGrantsAmt |
| All Other Contributions | $501,859 | AllOtherContributionsAmt |
| Noncash Contributions | $339,668 | NoncashContributionsAmt |
| Total Contributions | $3,318,574 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Patient Service Revenue | 900099 | $56,270,164 | $56,270,164 | ||
| Miscellaneous | 900099 | $1,498,770 | $1,498,770 | ||
| MSO Revenue | 621300 | $925,504 | $925,504 | ||
| Daycare | 624410 | $441,527 | $370,883 | $70,644 | |
| Conference Revenue | 611710 | $189,494 | $189,494 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $92,803 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $92,803 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $59,418,262 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $375,236 | TotalRevenueColumnAmt |
| Exclusion | $375,236 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $242,115 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $170,184 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $71,931 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $71,931 | TotalRevenueColumnAmt |
| Exclusion | $71,931 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,696,110 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,752,508 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$56,398 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$56,398 | TotalRevenueColumnAmt |
| Exclusion | -$56,398 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $27,423 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $73,398 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $35,016 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$7,593 | TotalRevenueColumnAmt |
| Exclusion | -$7,593 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Joint venture earnings | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $91,969 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $91,969 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $91,969 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $63,211,981 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $59,068,704 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $370,883 | UnrelatedBusinessRevenueAmt |
| Exclusion | $453,820 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $701,134 | TotalAmt |
| Management And General | $701,134 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,598,409 | TotalAmt |
| Program Services | $30,791,526 | ProgramServicesAmt |
| Management And General | $2,806,883 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $816,709 | TotalAmt |
| Program Services | $766,221 | ProgramServicesAmt |
| Management And General | $50,488 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,443,158 | TotalAmt |
| Program Services | $6,294,339 | ProgramServicesAmt |
| Management And General | $1,148,819 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,426,806 | TotalAmt |
| Program Services | $2,154,356 | ProgramServicesAmt |
| Management And General | $272,450 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $461,224 | TotalAmt |
| Management And General | $461,224 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,260 | TotalAmt |
| Management And General | $102,260 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,373 | TotalAmt |
| Management And General | $39,373 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,544,921 | TotalAmt |
| Program Services | $3,445,061 | ProgramServicesAmt |
| Management And General | $1,099,860 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $247,404 | TotalAmt |
| Program Services | $247,404 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $356,272 | TotalAmt |
| Program Services | $65,644 | ProgramServicesAmt |
| Management And General | $290,628 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,002,475 | TotalAmt |
| Program Services | $1,002,475 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,136 | TotalAmt |
| Program Services | $47,459 | ProgramServicesAmt |
| Management And General | $77,677 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $350,264 | TotalAmt |
| Program Services | $350,264 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,605,965 | TotalAmt |
| Program Services | $1,605,965 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $498,478 | TotalAmt |
| Program Services | $498,478 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Provider Tax | $900,881 | $900,881 | |
| Medical Supplies | $833,081 | $833,081 | |
| Miscellaneous | $559,645 | $189,569 | $370,076 |
| Meals | $485,431 | $406,794 | $78,637 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,309,546 | TotalAmt |
| Program Services | $448,605 | ProgramServicesAmt |
| Management And General | $860,941 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,408,572 | TotalAmt |
| Program Services | $50,048,122 | ProgramServicesAmt |
| Management And General | $8,360,450 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $178,462 | BOYAmt |
| EOY | $312,962 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,485,505 | BOYAmt |
| EOY | $295,442 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,323,567 | BOYAmt |
| EOY | $10,731,668 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,985 | BOYAmt |
| EOY | $138,259 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $298,975 | BOYAmt |
| EOY | $502,484 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $50,284,371 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $28,997,406 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,342,807 | BOYAmt |
| EOY | $21,286,965 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,444,192 | BOYAmt |
| EOY | $11,230,693 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $832,614 | BOYAmt |
| EOY | $1,126,812 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,044,107 | BOYAmt |
| EOY | $45,625,285 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,952,682 | BOYAmt |
| EOY | $6,087,970 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,255,000 | BOYAmt |
| EOY | $11,210,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,349,677 | BOYAmt |
| EOY | $3,797,802 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,829,884 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,252,272 | BOYAmt |
| EOY | $937,867 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,809,631 | BOYAmt |
| EOY | $23,863,523 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,984,027 | BOYAmt |
| EOY | $21,446,599 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $155,294 | BOYAmt |
| EOY | $174,491 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,155 | BOYAmt |
| EOY | $140,672 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,234,476 | BOYAmt |
| EOY | $21,761,762 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,044,107 | BOYAmt |
| EOY | $45,625,285 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $4,803,409 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$276,123 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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 | Yes (1) | 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 | $13,387 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $13,387 | 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 | Line 1b relates to a portion of MSO VP's salary in the amount of 15,508. Line 1j includes the portion of AHA and VAHHS dues related to lobbying. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,940,589 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $492,713 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $188,885 | OtherExpendituresAmt |
| End Year Balance | $11,244,417 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,804,134 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $436,455 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,300,000 | OtherExpendituresAmt |
| End Year Balance | $10,940,589 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,524,393 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,279,741 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $11,804,134 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,351,252 | BeginningYearBalanceAmt |
| Contributions | $750,000 | ContributionsAmt |
| Investment Earnings Or Losses | $423,141 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $10,524,393 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,583,990 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $192,262 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $2,425,000 | OtherExpendituresAmt |
| End Year Balance | $9,351,252 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 1.00000 | BoardDesignatedBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $120,033 | OtherCostOrOtherBasisAmt |
| Book Value | $120,033 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $39,634,216 | OtherCostOrOtherBasisAmt |
| Depreciation | $21,983,258 | DepreciationAmt |
| Book Value | $17,650,958 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,820,204 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,699,462 | DepreciationAmt |
| Book Value | $2,120,742 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,709,918 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,314,686 | DepreciationAmt |
| Book Value | $1,395,232 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $21,286,965 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Bank Overdraft | $434,244 |
| Deferred Compensation Obligation | $125,894 |
| Estimated Third Party Settlements | $377,729 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $937,867 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $63,141,058 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$276,123 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $205,200 | OtherRevenueAmt |
| Revenue Not Reported | -$70,923 | RevenueNotReportedAmt |
| Revenue Subtotal | $63,211,981 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $63,211,981 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $58,613,772 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $205,200 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $205,200 | ExpensesNotReportedAmt |
| Expenses Subtotal | $58,408,572 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $58,408,572 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 170,184. Fundraising Expenses 35,016. |
| Part XII, Line 2d - Other Adjustments: | Rental Expenses 170,184. Fundraising Expenses 35,016. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Golf Tournament | NameOfEvent1Amt |
| Gross Receipts Event1 | $52,904 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $42,100 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $10,804 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $0 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $3,972 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $6,926 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $4,974 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $1,061 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | Ride for Heroes | NameOfEvent2Amt |
| Gross Receipts Event2 | $11,067 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $9,298 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $1,769 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $2,044 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $0 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $1,500 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $706 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $241 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $36,850 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $22,000 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $14,850 | GrossRevenueOtherEventsAmt |
| Non Cash Prizes Other Events | $0 | NonCashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $3,679 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $5,423 | FoodAndBeverageOtherEventsAmt |
| Entertainment Other Events | $1,800 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $2,690 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $100,821 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $73,398 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $27,423 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $6,016 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $10,605 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $11,897 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $2,506 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $3,992 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $35,016 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$7,593 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| 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 | $53,975 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $53,975 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,900,974 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $26,310,584 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $590,390 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01010 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,954,949 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $26,310,584 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $644,365 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01100 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $80,908 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $80,908 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $186,736 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $186,736 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,010,283 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,224,020 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,786,263 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04770 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $60,639 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $60,639 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,338,566 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,224,020 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,114,546 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05330 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,293,515 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $30,534,604 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,758,911 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06430 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,128 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,128 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,128 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,128 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $665,205 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $8,560,705 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $11,860,775 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,300,070 | 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 Retreat | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 Anna Marsh Lane | AddressLine1 |
| City | Brattleboro | City |
| State | VT | State |
| ZIP Code | 05301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Brattleboro Retreat | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| All Needs Addressed | Yes (1) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Brattleboro Retreat | Part V, Section B, Line 3: The three participating health care organizations set up a steering committee that included individuals from the State of Vermont Department of Health, Brattleboro Memorial Hospital, Grace Cottage Hospital, The Brattleboro Retreat, United Way, Vermont Agency of Human Services, Visiting Nurse Association & Hospice of Vermont and New Hampshire, Valley Cares, and Senior Solutions. Additionally, the participating organizations engaged a range of stakeholders through the surveys and focus groups, including health care providers, human service organizations, youth development organizations, schools and other nonprofit organizations. The participating health care organizations took into account input from people who represent the broad interests of the communities served through the following process:- established the Steering Committee comprised of a multi-disciplinary group of community leaders that met a total of seven times- conducted two focus group interviews with representatives from community and health care organizations- developed and widely distributed two on-line community needs surveys- developed and distributed a provider survey of community needs;- reviewed available data- hired an independent consultant, Diana Wahle, to collect data on Windham County demographics and economic and health indicators- worked collaboratively on assessing the data, prioritizing and identifying community health needs- planned how Brattleboro Memorial Hospital, Grace Cottage Hospital, and the Brattleboro Retreat could work together to address selected community health needs/gaps.Following the collaborative work, each participating organization developed an implementation plan incorporating the initiatives set out in the collaborative planning efforts. The implementation plans were developed independently (with collaborative support) in order to take into account each organization's unique resources and opportunities for addressing identified needs. |
| Brattleboro Retreat | Part V, Section B, Line 4: Brattleboro Memorial Hospital, Grace Cottage Hospital and Brattleboro Retreat |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part II, Community Building Activities: | Retreat Trails-Nine mile recreational trail network open to the public for non-motorized recreational activities. |
| Part III, Line 4: | Accounts receivable are stated at the amount management expects to collect from outstanding balances. Management provides for probable uncollectible amounts through a charge to earnings and a credit to a valuation allowance based on its assessment of the current status of individual accounts. 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 accounts receivable.In evaluating the collectibility of accounts receivable, the Retreat 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. Data for each major payor source isregularly reviewed to evaluate the adequacy of the allowance for doubtful accounts. For receivables relating to services provided to patients having third-party coverage, the Retreat analyzes contractually due amounts and provides an allowance for doubtful accounts and a corresponding provision for bad debts. For receivables relating to self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Retreat 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 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 2013, the Retreat increased its estimate from $2,096,820 to $2,888,637 in the allowance for doubtful accounts relating to self-pay patients. During 2012, the Retreat increased its estimate from $1,505,205 to $2,096,820. Such increases resulted from trends experienced in the collection of amounts from patients for which they are financially responsible. |
| 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 2013, the Brattleboro Retreat helped more than 5,400 children, adolescents and adults, a seven percent increase from 2012, through a multitude of programs, services, and facilities. The impact of the Retreat's services upon its patients and their families is often dramatic and life-saving, and there are fewer and fewer organizations offering such a complete array of services in mental health and addiction care. Meanwhile, the number of patients seeking treatment for mental health and substance abuse issues continues to rise throughout the region and nation. The Retreat has striven 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 2013, the Retreat saw an 18 percent increase in admissions to inpatient programs. The Uniformed Service Program, which provides trauma and addiction treatment for active or retired police, fire, EMT and military personnel, has had over 600 admissions since 2010 when the program was founded. The Retreat opened three new programs in 2013 to meet the growing demand of mental health and addiction treatment in the region. In April 2013, the Retreat opened its new, state-of-the-art, 14-bed Adult Intensive Unit (AIU) to serve patients who receive care under a cooperative agreement between Brattleboro Retreat, the Department of Mental Health, and the State of Vermont. Completion of the Brattleboro Retreat's AIU is also an important milestone in the hospital's partnership with the state of Vermont and the Department of Mental Health. It signifies the shared responsibility of the Retreat and other Vermont Hospitals to provide a cost-effective, 21st century solution to the closing of the state hospital in Waterbury following the devestation caused by Tropical Storm Irene in 2011. In July 2013, the Retreat opened the Mind-Body Pain Management Clinic to provide adults with chronic pain with short-term outpatient treatment without the use of pain medication. More than 100 million Americans live with chronic pain from causes ranging from herniated disks to arthritis, fibromyalgia, post-surgical complications, diabetes, and nervous system damage resulting from abuse of alcohol and other drugs. Many have found that medication-based treatments alone are not effective, and can give rise to serious problems including increased pain sensitivity, drowsiness, constipation, sexual side effects, and in some cases, addiction. The new Pain Management Clinic helps individuals living with chronic pain tap into the innate power of the mind-body connection and learn new techniques to manage pain and find new ways of living. In October 2013, the Retreat opened its new Emerging Adult Program. The 12-bed, 6,053 square foot inpatient unit serves young adults ages 18 to 26 who are dealing with a variety of serious psychiatric illnesses including schizophrenia, bipolar disorder, anxiety disorders, and clinical depression. Numerous research studies indicate that initial onset of serious mental illnesses is extremely common during young adulthood. Like many illnesses, diagnosing and treating psychiatric disorders as early as possible gives patients a better chance to successfully manage and even overcome their conditions. The Emerging Adult Program provides mental health and addiction treatment in a milieu designed with sensitivity to the unique challenges faced by young adults - starting and ending relationships, establishing careers, becoming independent, and establishing new dynamics with parents.With the expansion of clinical program offerings at the Retreat has come an increase in workforce. 98 new positions were added in 2013, most of which were direct care positions. This was a 16 percentage increase from 2012.Additionally, Blue Cross and Blue Shield of Vermont and the Retreat established a joint venture, Vermont Collaborative Care (VCC), in September 2013. VCC, a managed service organization, integrates management of mental health and substance abuse services with those of other medical care. This new venture is an important step in integrating mental health care with the greater health care system, with a focus on improving the quality of care and the overall health of individuals and families served in Vermont.The Retreat also continued to build upon its strategic planning processes by developing a 12-month strategic plan with achievable goals and objectives and adopting courses of action and allocation of resources necessary for carrying out these goals. The strategic planning process that led to the adoption of the 2013 strategic plan involved a three step process in which division heads on the hospital's Executive Team submitted strategic plans for each area under their purview. The plans were then reviewed and finalized by the Executive Team and assembled to create one organizational plan. In the final step, the plan was reviewed and adopted by the Board of Trustees. Key items addressed in the 2013 strategic plan included:- Completing the installation of Electronic Medical Record (EMR) system and providing EMR implementation training and online treatment planning education to staff - Enhancing safety procedures and protocols for patients and staff- Establishing the Mind-Body Pain Management Program and the Emerging Adult Program- Strengthening the partnership with the State of Vermont to provide consultation and support for the new community-based mental health care system in Vermont, which includes the Adult Intensive Unit- Partnering with Blue Cross Blue Shield of Vermont to establish Vermont Collaborative Care- Forming educational collaboratives with research institutions to advance clinical research Other highlights in 2013 included:- Continuing our partnership with Brattleboro Memorial Hospital and Grace Cottage Hospital to be a "Blue Print for Health Pilot Site" as part of healthcare reform- Focusing on recruitment, retention and staff training- Partnering with Brattleboro Memorial Hospital and Grace Cottage Hospital to run Wellness in Windham, a community-centered, collaborative initiative aimed at promoting health and wellness throughout Windham County, Vermont- Partnering with Kingdom County Productions to support the statewide tour of the documentary film The Hungry Heart that examines the effects of prescription drug and opiate addiction on individuals and families in VermontSummary of Process for Openness and Public ParticipationThe Brattleboro Retreat keeps the community informed with regular appearances and/or membership with the Brattleboro Selectboard, Building a Better Brattleboro, Brattleboro Development and Credit Corporation, Brattleboro Chamber of Commerce, the Windham County Legislative Delegation, Brattleboro Sunrise Rotary Club, the Rotary Club of Brattleboro and ongoing collaboration with other community organizations including Brattleboro Memorial Hospital, Healthcare and Rehabilitation Services, Rescue Inc., the Police Department, and area schools. In addition to its regular treatment and professional education services, the Brattleboro Retreat offers numerous programs to the community free of charge, including various lectures, films, forums, and special educational events open to the community. The feedback of patients, their families, and community members is of great importance to the Brattleboro Retreat.Strategic Plan and Financial InformationThe Brattleboro Retreat spends approximately $1 million per year on capital improvements. The depreciation schedule generally amounts to $1.3 million. As a private not-for-profit organization, copies of the strategic plan are not publicly available. Questions regarding any strategic planning issue or opportunities for public input may be addressed to Konstantin von Krusenstiern, Vice President of Strategy and Development.For more information, please contact:Konstantin Von Krusenstiern, Vice President, Strategy & DevelopmentBrattleboro Retreat, 1 Anna Marsh LaneP.O. Box 803, Brattleboro, VT 05302(802) 258-4366 |
| Part VI, Line 3: | At the time of admission, patients are counseled as to 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 southwestern corner of Vermont, on the border with both New Hampshire and Massachusetts. Brattleboro is a small, rural town with a population of 12,046 and serves as the population center of Windham County, which has a total estimated population of 43,857. The state of Vermont has an estimated population of 626,630, while New England has a total population of an estimated 14.5 million. The majority of New England's population is located in Massachusetts, Connecticut and New Hampshire.The Retreat plays a vital role as a large provider of mental health and substance abuse services in New England. It provides 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, the Retreat provides an array of ambulatory services to people in the local area. These services include outpatient services as well as partial hospital and intensive outpatient mental health and substance abuse treatment.The Brattleboro Retreat is the only mental health and addiction 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. The surrounding states have similar arrays of services: a few free-standing psychiatric hospitals, like Sister of Providence in Holyoke, MA and some medical hospitals operating psychiatric units. Many of those 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 seeks to serve this population and has expanded its child and adolescent services in recent years.As a regional specialty hospital, the Retreat draws patients from a large and diverse catchment area: across Vermont and throughout the greater New England area and beyond. In 2013, the Retreat served patients from approximately 20 states. 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. In 2013, approximately 64% of inpatient admissions to the Retreat came from the state of Vermont; 19% from Massachusetts; 11% from New Hampshire; 2% from New York; 2% from Connecticut; and the remaining 2% came from Maine, Rhode Island and states outside of the New England region.Massachusetts, with a population of 6,692,824 is the second largest sending state. The Retreat is located just a few miles from the Massachusetts border, with interstate access to the western part of the state, including the cities of Northampton, Holyoke and Springfield. Therefore, the Retreat is accessible for residents in western Massachusetts and in 2009, the Retreat became a provider for several state funded Medicaid products in Massachusetts, expanding access to the people insured in these programs.The demographics of income, race, poverty etc. vary greatly across the catchment area and are therefore difficult to characterize. This report focuses on Vermont and Massachusetts, which combined account for 84% of the Retreat's business.According to the 2012 American Community Survey, the estimated median household income of Vermont residents is $52,977 and the average household income of Massachusetts residents is $65,339. According to the 2010 Vermont Healthcare Expenditure Analysis published by the Green Mountain Care Board in collaboration with Department of Banking, Insurance Securities and Healthcare Administration, 57 percent of Vermont residents were enrolled in private insurance in 2010, 14 percent in Medicare, 19.5 percent in Medicaid and 2 percent in military coverage. It was estimated that 7.6 percent of Vermont's population was uninsured in 2010 (compared to 9.8 percent in 2005). Expenditures for health care services provided to Vermont residents grew 1.5 percent in 2011, and this spending increase was seen primarily in hospital services.Massachusetts mandates health insurance coverage and provides subsidized healthcare for people earning up to 300% of the federal poverty guidelines and low cost options for people who don't have employer sponsored healthcare. According to the Massachusetts Department of Healthcare Finance and Policy (DHCFP) this has caused the rate of uninsured people to drop from 6% in 2006 to 2% in 2013. At the same time, the rate of privately insured people has remained steady at 4.4 million or approximately 67% of the population, with the remaining 29% enrolled in public plans.In contrast, in 2013, 66.5 percent of the Retreat's funding came from public sources, 20.8 percent from Medicare, 23.7 percent from adult Medicaid / State programs and 22% from child and adolescent residential funding or Medicaid. The Retreat is therefore treating a higher proportion of people receiving Medicare or Medicaid then the rates of public and private insurance might suggest.Population data is from the U.S. census QuickFacts 2013 Estimates and the Brattleboro Chamber of Commerce: accessed 6/30/2014. |
| Part VI, Line 5: | Morningside Shelter Monthly use of conference room for board meeting for local homeless shelter.ALANON Weekly use of East Conference RoomAA Weekly use of CafeteriaUnited Way Use of Conference roomVT Community Foundation use of conference roomBACC Community Breakfast Use of education conference roomLegislative Breakfast Use of education conference roomWellness in Windham County Series In addition to its regular treatment and professional education services, the Brattleboro Retreat offers numerous programs to the community free of charge, including the Wellness in Windham County Series, co-sponsored with Brattleboro Memorial Hospital, Brattleboro Area Hospice and Brooks Memorial Library, and various lectures, films, forums, and special educational events open to the community. Wellness topics include: stress reduction, exercise, smoking cessation and prevention and education talks on a variety of health related topics.Collaborative Office Rounds Training to assist identifying and effectively treating and referring children and families to appropriate services. This was developed to help support in prescribing medication and treatments due to the lack of child psychiatry in the community.Mid-winter Lunch Series A series of 3 hour long educational programs. Held annually, the series is free and opened to staff, community providers and the public. It covers topics related to mental health and substance abuse in children, adolescents and adults.VAHHS Addresses current health issues in Vermont's healthcare system.Community Radio Programs discusses Mental Health issues.Wellness in Windham Health Festival Presented in collaboration by Brattleboro Memorial Hospital, Brattleboro Retreat and Grace Cottage Hospital, Wellness in Windham is a community-centered initiative aimed at promoting health and wellness throughout Windham County, Vermont by sharing useful health & wellness information to help the community lead healthier, more active lives. |
| Part VI, Line 6: | Vermont Assoc for Mental Health - Provides advocacy for the mental health community in Vermont: Vermont Program for Quality in Healthcare - Provides advocacy for access to health-care services in Vermont. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Robert Simpson Jr | ||||||||||||||
| President & CEO | $407,301 | $0 | $37,500 | $0 | $503 | $0 | $27,360 | $0 | $13,840 | $0 | $486,504 | $0 | $0 | $0 |
| John Blaha | ||||||||||||||
| Sr VP Finance & CFO | $188,983 | $0 | $4,750 | $0 | $308 | $0 | $7,908 | $0 | $12,681 | $0 | $214,630 | $0 | $0 | $0 |
| Frederick Engstrom | ||||||||||||||
| Chief Medical Officer | $246,645 | $0 | $4,000 | $0 | $331 | $0 | $10,132 | $0 | $16,159 | $0 | $277,267 | $0 | $0 | $0 |
| Robyn Ostrander | ||||||||||||||
| Senior Medical Director | $242,971 | $0 | $4,000 | $0 | $403 | $0 | $10,182 | $0 | $18,541 | $0 | $276,097 | $0 | $0 | $0 |
| Timothy Rowland | ||||||||||||||
| Physician | $215,406 | $0 | $0 | $0 | $206 | $0 | $8,865 | $0 | $19,008 | $0 | $243,485 | $0 | $0 | $0 |
| Joseph T Smith | ||||||||||||||
| Physician | $230,696 | $0 | $0 | $0 | $313 | $0 | $3,220 | $0 | $18,806 | $0 | $253,035 | $0 | $0 | $0 |
| Karl Jeffries | ||||||||||||||
| Physician | $230,432 | $0 | $0 | $0 | $249 | $0 | $0 | $0 | $1,689 | $0 | $232,370 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 7 | FormAndLineReferenceDesc |
| Explanation | The bonus payments listed in Part II were made as part of the Retreat's Variable Pay Plan. The Plan was approved by the Board of Trustees as were the payment amounts which were based on the extent to which pre-approved goals were met. The Board sets a maximum for the CEO and also a maximum as a pool for the other executives. The CEO has the discretion on how that pool is distributed to the other executives. | ExplanationTxt |
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 Health & Buildings | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 237154467 | BondIssuerEIN |
| CUSIP | 924166DY4 | CUSIPNum |
| Bond Issued | 2011-12-01 | BondIssuedDt |
| Issue Price | $11,300,000 | IssuePriceAmt |
| Purpose | Refund Series 2007 Bonds & new money for capital improvements | 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 | $90,000 | RetiredAmt |
| Total Proceeds | $11,300,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $149,961 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $58,992 | CreditEnhancementAmt |
| Capital Expenditures | $9,623,203 | CapitalExpendituresAmt |
| Other Spent Proceeds | $1,467,844 | OtherSpentProceedsAmt |
| Substantial Completion | 2011 | SubstantialCompletionYr |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | 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 | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | Yes (1) | Form8038TFiledInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| 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 | 0 | ProceduresCorrectiveActionInd |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 43 | ContributionCnt |
| Noncash Contributions Rpt F990 | $328,899 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | Contruction M | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $10,769 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11 | The Governing Body receives the prepared 990 electronically for their review followed by a presentation at their next full board meeting prior to filing the return. |
| Form 990, Part VI, Section B, line 12c | At the Annual Meeting, Board Members complete the document entitled "Brattleboro Retreat Questionnaire on Conflict of Interest". They are required to revise it during the course of the year if anything changes. |
| Form 990, Part VI, Section B, line 15 | The 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 19 | All governing documents, conflict of interest policy, and audited financial statements are available upon request |
| Form 990, Part XII, Line 2c: | The process by which the committee oversees the review and selects the independent accountant has not changed from the prior year. |
| 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. |