2011-08-11T10:19:11-05:00 2010-12-31 Berry Dunn McNeil & Parker LLC 1000 Elm Street 15th Floor Manchester NH 03101 990 2010-01-01 030107360 Brattleboro Retreat BRAT 8022577785 1 Anna Marsh Lane Brattleboro VT 05302 Robert E Simpson Jr 8022577785 2011-08-08 1 Rachel Williamson CPA 6036697337 2011-08-08 2010 2016-02-24 21:20:13Z Robert E Simpson Jr 1 Anna Marsh Lane Brattleboro VT 05302 53467499 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. 13 12 634 0 266416 -39596 650857 405660 37070254 43954558 395037 525213 17724 64136 38133872 44949567 0 0 0 0 27745425 29551634 0 0 151840 11835221 12644765 39580646 42196399 -1446774 2753168 23342797 25553231 13114370 12651115 10228427 12902116 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 34485569 45402 41516537 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 27,814, Partial 6,122, Residential 11,565, Outpatient 23,522. 139806 195951 Continuing education program providing up to 35 workshops and seminars throughout the year for psychiatrists, physicians, social workers, psychologists, therapists, alcohol counselors, nurses and other healthcare professionals. 1356891 1889312 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 Days 12,308. 35982266 1 1 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 81 0 1 634 1 1 1 0 0 0 0 1 1 0 0 0 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 X Brattleboro Retreat 8022584312 1 Anna Marsh Lane Brattleboro VT 05301 Bette Abrams 1.00 X 0 0 0 Jeffrey Morse 1.00 X 0 0 0 Joseph Halladay 1.00 X 0 0 0 Julie Peterson 1.00 X 0 0 0 Kirsten Beske 1.00 X 0 0 0 Larry Cassidy 1.00 X X 0 0 0 Laurence Berger 1.00 X 0 0 0 Mary Faucher 1.00 X 0 0 0 Michael Sarsynski 1.00 X 0 0 0 Peter Sherlock 1.00 X X 0 0 0 Robert Simpson Jr 40.00 X X 251469 0 41599 Tammy Richards 1.00 X 0 0 0 Tonia Wheeler 1.00 X 0 0 0 John Blaha 40.00 X 164992 0 16084 Vareen O'Keefe-Domaleski 40.00 X 162792 0 11262 Frederick Engstrom 40.00 X 214618 0 21148 Mario Hasaj 40.00 X 203274 0 15448 Robyn Ostrander 40.00 X 200523 0 7822 Timothy Rowland 40.00 X 201796 0 21660 William Knorr 40.00 X 211671 0 7738 1611135 0 142761 21 0 1 0 Sodexo 153 Second Avenue Waltham MA 02254 Cafe/Dietary/Housekeeping/Facilities 3329829 Locumtenenscom PO Box 405547 Atlanta GA 30384 Temporary Staffing Services 229246 Communicators Group 28 Vernon St Brattleboro VT 05301 Marketing Services 208938 Dominion Diagnostics PO Box 8550 Warwick RI 02888 Laboratory Services 173479 Symquest Group Inc PO Box 2384 So Burlington VT 05407 IT Virtualization 165984 10 51862 143734 210064 405660 Net Patient Service Re 900099 42514899 42514899 Miscellaneous 900099 461366 461366 Net MSO Revenue 621300 367792 367792 Daycare 624410 317162 266416 50746 Conference Revenue 611710 195941 195941 97398 61802 35596 43954558 367676 367676 199408 134984 64424 64424 64424 8520778 8363241 157537 157537 157537 19419 51862 19707 -288 -288 44949567 43601800 266416 675691 579253 579253 23415409 21216966 2068517 129926 146903 129862 17041 3708244 3277113 431131 1701825 1504816 197009 241669 241669 53700 53700 32593 32593 4797822 3630240 1157686 9896 210149 209886 263 1143675 944880 197107 1688 167293 167293 958785 958785 107602 30215 76478 909 116193 63104 48512 4577 159964 159964 1338892 1338892 440773 440773 Provision for bad debts 1141434 1141434 Provider Tax 853789 853789 Equipment Rental and Ma 556865 229018 324574 3273 Miscellaneous 172832 103907 68753 172 Dues & Subscriptions 150735 22102 127497 1136 42196399 35982266 6062293 151840 59762 67639 805062 827640 4763937 5993366 115586 124789 177267 260622 32668985 24901347 8061862 7767638 8546190 9696753 813131 814784 23342797 25553231 2853711 3314954 7480000 7320000 149391 83678 2631268 1932483 13114370 12651115 X 10184456 12849453 43971 52663 10228427 12902116 23342797 25553231 X 2753168 -79479 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9351252 750000 423141 10524393 11583990 192262 2425000 9351252 12208986 475004 1100000 11583990 1.00000 0 0 120033 120033 24789538 18948316 5841222 6274660 4839385 1435275 1484754 1113646 371108 7767638 Bank Overdraft 406511 Line of Credit 557598 Deferred Compensation Obligation 218773 Estimated Third Party Settlements 749601 1932483 44949567 42196399 2753168 -79479 -79479 2673689 45024979 -79479 154891 75412 44949567 0 44949567 42351290 154891 154891 42196399 0 42196399 Description of Intended Use of Endowment Funds: 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 XII, Line 2d - Other Adjustments: Rental Expenses 134,984. Fundraising Expenses 19,907. Part XIII, Line 2d - Other Adjustments: Rental Expenses 134,984. Fundraising Expenses 19,907. Golf Tournament 65100 49000 16100 4160 7720 4198 379 Ride for Heroes 6181 2862 3319 1139 2111 71281 51862 19419 4160 7720 5337 2490 19707 -288 1 1 1 X 1 X 1 1 1 0 0 81611 81611 0.00190 18751908 16309221 2442687 0.05790 18833519 16309221 2524298 0.05980 75264 75264 0.00180 24605 24605 0.00060 40657 40657 0.00100 140526 140526 0.00340 18974045 16309221 2664824 0.06320 3144 3144 0.00010 10588 10588 0.00030 13732 13732 0.00040 1 467988 5474479 6425041 -950562 X 1 1 1 1 Brattleboro Retreat

1 Anna Marsh Lane Brattleboro VT 05301

X Not required 1 Part II: Retreat Trails-Nine mile recreational trail network open to the public for non-motorized recreational activities. 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: Every year, the Retreat helps nearly 4,000 adults, and 700 adolescents and children (numbers that have been rising every year) through a multitude of programs, services, and facilities, offering a comprehensive continuum of care across the lifespan. 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 resources in behavioral healthcare. At the same time, the number of patients coping with mental health and substance abuse issues continues to rise throughout the region and the nation, and new methods of treating these patients are constantly being developed and refined. The Retreat has striven successfully to augment and modernize its programs and facilities to ensure that its patients benefit from the latest developments in treatment. The Retreat conducted a comprehensive community needs assessment in 2009. The needs assessment was conducted in partnership with United Way of Windham County, Brattleboro Memorial Hospital, the Alliance for Building Community and the local Agency of Human Services. The needs assessment included mental health and addiction treatment needs in the area, which are the services the Retreat provides. The assessment included a random phone survey, focus groups designed to be inclusive of different populations and key stakeholder interviews. A comprehensive review of existing data was also undertaken. This assessment provides useful community information for the Retreat, our partners and other agencies. The Executive Team and Board of the Retreat review the findings of the community needs assessment and incorporated the findings into the strategic planning process. In a similar manner, the Executive Team and Board continually seek information about changing needs and discuss how the organization can best respond.Complete copies of the Community Needs assessment can be found at: http://unitedwaywindham.org.The Brattleboro Retreat also assesses the healthcare needs of the communities it serves through involvement and collaborations with community organizations such as the Brattleboro Selectboard, Building a Better Brattleboro, Brattleboro Development and Credit Corporation, Brattleboro Chamber of Commerce, Brattleboro Memorial Hospital, Healthcare and Rehabilitation Services, Rescue Inc., the Police Department and area schools. Retreat staff also serve on local and statewide boards, including the Vermont Alliance for Mental Health and state sponsored committees such as the Designated Hospital Committee, made up of representatives from all hospitals operating psychiatric units in Vermont, and the Blueprint for Health. Involvement in these organizations helps the Retreat be aware of the emerging trends and unmet needs in healthcare.The feedback of patients, their families, and community members is also of great importance to the Brattleboro Retreat. We encourage people to contact us with questions or suggestions and annually hold a public meeting to solicit feedback about how well we are meeting the needs of the community. 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. The town of Brattleboro is located in the southeastern corner of Vermont, on the border with both New Hampshire and Massachusetts. It is a small, rural town with a population of 20,394. Brattleboro is the population center of Windham County, which has a total population of 43,471. The State of Vermont has an estimated population of 621,760, while New England has a total population of 14,429,720. The majority of that population is located in Massachusetts, Connecticut and Rhode Island. 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 2010, the Retreat served patients from a total of 20 states. The relatively low population of Vermont and the greater population to the south necessitates drawing from a broad and diverse area. The Retreat's geographic location also facilitates this regional draw. In 2010, 60% of inpatient admissions to the Retreat came from the State of Vermont while the remaining 40% came from the New England region and beyond. Massachusetts, with a population of 6,593,587 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. This geography makes the Retreat an accessible option for people in western Massachusetts and in 2010, the Retreat became a provider for several state funded Medicaid products in Massachusetts, expanding access to the people insured in these programs. The four western Massachusetts counties: Hamden, Hampshire, Franklin and Berkshire have a combined population of 828,191 exceeding the population of the entire State of Vermont.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 approximately 80% of the Retreat's business.The median income of Vermont residents is $52,111 and the average income of Massachusetts residents is $65,304. According to the 2008 Healthcare Spending Analysis published by the Vermont Department of Banking, Insurance Securities and Healthcare Administration in 2008, 60 percent of Vermont residents were enrolled in private insurance. There were an estimated 47,286 uninsured Vermont residents in 2008 (7.6 percent of the population, compared to 9.8 percent in 2005) with the remainder being enrolled in Medicaid or Medicare. Medicaid is the primary payer of Government Health Activities, funding 91 percent ($455 million) of the total for that category. About $253 million (51 percent of the total $497 million) are for programs related to mental health, mental retardation, and substance abuse. (http://www.bishca.state.vt.us/sites/default/files/2008-EA-Report-FINAL.pdf) 32.4% of the Vermont population is therefore covered by Medicare or Medicaid.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 4% in December 2009. 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 2010, 61.2% of the Retreat's funding came from public sources. 16.2% from Medicare, 16.5% from adult Medicaid / state programs and 28.5% from child and adolescent residential funding or Medicaid. The Retreat is therefore treating a higher proportion of people receiving Medicare or Medicaid than the rates of public and private insurance might suggest.There are no other mental health and addiction specialty hospitals in Vermont and few in New England. In Vermont, there are four medical hospitals with psychiatric units. The Retreat operates roughly the same number of beds as the other four hospitals combined, making it the largest provider of inpatient psychiatric services in the state. 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. This is particularly true in New Hampshire. Most psychiatric units also serve exclusively or primarily 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. The Retreat plays a vital role as a large provider of mental health and substance abuse services in New England. It treats people from throughout the area, 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 therapy, substance abuse treatment and day treatment options.All population data is from the U.S. Census QuickFacts. Downloaded 10/4/10. Part VI, Line 6: Morningside Shelter - Monthly use of conference room for board meeting for local homeless shelter.ALANON - Weekly use of East Conference Room.AA - Weekly use of cafeteria.United Way - Use of conference room for 2 breakfasts.VT Community Foundation - Use of conference room.BACC Community Breakfast - Use of Education Conference room 6 times.Legislative Breakfast - Use of Education Conference room twice.Wellness 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 & 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 - The Mid-Winter Lunch Series is a series of 4 - 6 hour long educational programs. Held annually, the series is free and open to staff, community providers and the public. It covers topics related to mental health and substance abuse in children, adolescents and adults. Local Autism Task Force - Identifies unmet needs of children on the autism spectrum and works to develop programs and services to meet their needs.VAHHS Mental Health Committee Chair - Addresses current Mental Health issues in Vermont's healthcare system.Blueprint for Health - The Vermont Blueprint for Health is a vision, a plan and a statewide partnership to improve health and the health care system for Vermonters. The Blueprint provides the information, tools and support that Vermonters with chronic conditions need to manage their own health and that doctors need to keep their patients healthy. The Blueprint is working to change health care to a system focused on preventing illness and complications, rather than reacting to health emergencies. Part of this initiative is the creation of medical homes that would manage care on the community level. The Brattleboro Retreat is an active participant in this initiative and is working collaboratively with local acute care hospitals to create a behavioral health medical home for southeastern Vermont.Community Radio Programs - Mental Health Issues Part VI, Line 7: 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 0 0 Robert Simpson Jr 251469 0 0 0 0 0 26950 0 14649 0 293068 0 0 0 John Blaha 164992 0 0 0 0 0 1683 0 14401 0 181076 0 0 0 Vareen O'Keefe-Domaleski 162792 0 0 0 0 0 1630 0 9632 0 174054 0 0 0 Frederick Engstrom 214618 0 0 0 0 0 2233 0 18915 0 235766 0 0 0 Mario Hasaj 203274 0 0 0 0 0 0 0 15448 0 218722 0 0 0 Robyn Ostrander 200523 0 0 0 0 0 1662 0 6160 0 208345 0 0 0 Timothy Rowland 201796 0 0 0 0 0 2051 0 19609 0 223456 0 0 0 William Knorr 211671 0 0 0 0 0 2028 0 5710 0 219409 0 0 0 Vermont Educational Health & Buildings 237154467 924166AS0 2007-06-01 2645000 Refund Series 1997-2 Bonds & refinancing 0 0 0 Vermont Educational Health & Buildings 237154467 105540AA6 2007-06-01 4835000 Refund Series 1997-2 Bonds & refinancing 0 0 0 315000 2485000 57325 2742675 2007 1 0 1 1 4835000 134277 4700723 2007 1 0 1 1 0 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 0 0 0 0 0 1 0 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 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 Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -79,479. Oversight of Audit Form 990, Part XI, Line 2c: The process by which the committee oversees the review and selects the independent accountant has not changed from the prior year.