2014-10-29T14:23:47-05:00 2013-12-31 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2013-01-01 030107360 Brattleboro Retreat BRAT 8022577785 1 Anna Marsh Lane Brattleboro VT 05302 Robert E Simpson Jr President & CEO 8022577785 2014-10-27 1 Barbara J McGuan CPA P00219457 2077752387 2014-10-27 2013 2015-11-30 17:44:51Z Robert E Simpson Jr 1 Anna Marsh Lane Brattleboro VT 05302 77169689 0 X www.brattlebororetreat.org X 1834 VT Offering a continuum of care including Inpatient, Partial Hospitalization, Residential and Outpatient Treatment for Children, Adolescents, Adults, and Older Adults throughout the Northeast. 11 10 918 0 370883 -19275 2914401 3318574 53511374 59418262 377706 318838 62033 156307 56865514 63211981 0 0 0 0 39305446 44986216 0 0 0 15257853 13422356 54563299 58408572 2302215 4803409 40044107 45625285 22809631 23863523 17234476 21761762 X 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. 0 0 48393020 56552501 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. 207951 189494 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. 1447151 2326709 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. 50048122 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 90 0 1 918 1 1 1 0 0 0 0 1 1 0 0 0 0 X 11 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 1 0 VT X Lisa Dixon 8022584312 1 Anna Marsh Lane Brattleboro VT 05301 Bette Abrams Board Secretary 1.00 X X 0 0 0 Jeffrey Morse Board Chair 1.00 X X 0 0 0 Mary Faucher Trustee 1.00 X 0 0 0 Michael Sarsynski Trustee 1.00 X 0 0 0 Robert Simpson Jr President & CEO 40.00 X X 445304 0 41200 Tammy Richards Assistant Secretary 1.00 X X 0 0 0 Tonia Wheeler Trustee 1.00 X 0 0 0 Patricia O'Donnell Trustee 1.00 X 0 0 0 David Dunn Trustee 1.00 X 0 0 0 Daniel Normandeau Trustee 1.00 X 0 0 0 Elizabeth Catlin Trustee 1.00 X 0 0 0 John Blaha Sr VP Finance & CFO 40.00 X 194041 0 20589 Frederick Engstrom Chief Medical Officer 40.00 X 250976 0 26291 Robyn Ostrander Senior Medical Director 40.00 X 247374 0 28723 Timothy Rowland Physician 40.00 X 215612 0 27873 Joseph T Smith Physician 40.00 X 231009 0 22026 Karl Jeffries Physician 40.00 X 230681 0 1689 1814997 0 168391 9 0 1 0 Sodexo 153 Second Avenue Waltham MA 02254 Cafe/Dietary/Housekeeping 2883217 HP Cummings PO Box 269 Woodsville NH 03785 Construction 2063553 GPI Construction 436 Canal St Brattleboro VT 05301 Construction 1361473 Locumtenenscom PO Box 405547 Atlanta GA 30384 Contract Labor 1217902 Netsmart Technologies PO Box 823519 Philadelphia PA 19182 Electronic Medical Record Vendor 520284 17 73398 2743317 501859 339668 3318574 Patient Service Revenue 900099 56270164 56270164 Miscellaneous 900099 1498770 1498770 MSO Revenue 621300 925504 925504 Daycare 624410 441527 370883 70644 Conference Revenue 611710 189494 189494 92803 92803 59418262 375236 375236 242115 170184 71931 71931 71931 13696110 13752508 -56398 -56398 -56398 27423 73398 35016 -7593 -7593 Joint venture earnings 900099 91969 91969 91969 63211981 59068704 370883 453820 701134 701134 33598409 30791526 2806883 816709 766221 50488 7443158 6294339 1148819 2426806 2154356 272450 461224 461224 102260 102260 39373 39373 4544921 3445061 1099860 247404 247404 356272 65644 290628 1002475 1002475 125136 47459 77677 350264 350264 1605965 1605965 498478 498478 Provider Tax 900881 900881 Medical Supplies 833081 833081 Miscellaneous 559645 189569 370076 Meals 485431 406794 78637 1309546 448605 860941 58408572 50048122 8360450 0 178462 312962 1485505 295442 8323567 10731668 137985 138259 298975 502484 50284371 28997406 18342807 21286965 10444192 11230693 832614 1126812 40044107 45625285 5952682 6087970 11255000 11210000 4349677 3797802 0 1829884 1252272 937867 22809631 23863523 X 16984027 21446599 155294 174491 95155 140672 17234476 21761762 40044107 45625285 4803409 -276123 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 0 0 1 13387 13387 0 Part II-B, Line 1: 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. 10940589 492713 188885 11244417 11804134 436455 1300000 10940589 10524393 1279741 11804134 9351252 750000 423141 10524393 11583990 192262 2425000 9351252 1.00000 0 0 120033 120033 39634216 21983258 17650958 7820204 5699462 2120742 2709918 1314686 1395232 21286965 Bank Overdraft 434244 Deferred Compensation Obligation 125894 Estimated Third Party Settlements 377729 937867 63141058 -276123 205200 -70923 63211981 0 63211981 58613772 205200 205200 58408572 0 58408572 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. Golf Tournament 52904 42100 10804 0 3972 6926 4974 1061 Ride for Heroes 11067 9298 1769 2044 0 1500 706 241 1 36850 22000 14850 0 3679 5423 1800 2690 100821 73398 27423 6016 10605 11897 2506 3992 35016 -7593 1 1 1 X 1 X 1 1 1 0 1 1 53975 53975 0.00090 26900974 26310584 590390 0.01010 26954949 26310584 644365 0.01100 80908 80908 0.00140 186736 186736 0.00320 7010283 4224020 2786263 0.04770 60639 60639 0.00100 7338566 4224020 3114546 0.05330 34293515 30534604 3758911 0.06430 3128 3128 0.00010 3128 3128 0.00010 1 665205 8560705 11860775 -3300070 X 1 1 1 1 Brattleboro Retreat 1 Anna Marsh Lane Brattleboro VT 05301 X Brattleboro Retreat 1 1 X X X X X X X X X 12 1 1 1 X X X X X X 1 0 1 1 200.000000000000 1 300.000000000000 1 X X X X 1 1 X X X 1 0 X 1 X 0 0 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 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. X 0 0 0 0 0 0 0 1 0 Robert Simpson Jr President & CEO 407301 0 37500 0 503 0 27360 0 13840 0 486504 0 0 0 John Blaha Sr VP Finance & CFO 188983 0 4750 0 308 0 7908 0 12681 0 214630 0 0 0 Frederick Engstrom Chief Medical Officer 246645 0 4000 0 331 0 10132 0 16159 0 277267 0 0 0 Robyn Ostrander Senior Medical Director 242971 0 4000 0 403 0 10182 0 18541 0 276097 0 0 0 Timothy Rowland Physician 215406 0 0 0 206 0 8865 0 19008 0 243485 0 0 0 Joseph T Smith Physician 230696 0 0 0 313 0 3220 0 18806 0 253035 0 0 0 Karl Jeffries Physician 230432 0 0 0 249 0 0 0 1689 0 232370 0 0 0 Part I, Line 7 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. A Vermont Educational Health & Buildings 237154467 924166DY4 2011-12-01 11300000 Refund Series 2007 Bonds & new money for capital improvements 0 0 0 A 90000 11300000 149961 58992 9623203 1467844 2011 1 0 1 1 A 0 0 0 0 0 0 0 A 1 1 0 0 0 0 A 0 X 43 328899 FMV X Contruction M 1 10769 FMV 0 0 0 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.