Grafton Integrated Health Network

What it reported doing in 2024

1) grafton school, incorporated is an education-focused multifaceted nonprofit entity specializing in serving individuals with complex needs in the categories of developmental, intellectual, and mental health/psychiatric diagnoses. It utilizes settings such as its highly specialized private day schools, multiple types of residential settings including therapeutic community homes and psychiatric residential treatment facilities, and a highly specialized array of professional therapeutic services to address and meet the needs of those it serves. These professional services include special education, occupational therapy, speech and language therapy, applied behavior analysis, music therapy, psychotherapy, psychiatric services, and nursing services which are performed by professionals who specialize in serving individuals with complex overlapping needs and diagnoses.grafton delivers all its services utilizing its industry leading and patented trauma-informed approach "ukeru", focusing and prioritizing the teaching of new skills that enhance the individuals' sense of mastery and autonomy. Many of the individuals we serve have attempted less intensive programs in the past, but instead found success utilizing our industry-leading educational, therapeutic, and residential services. These individuals are most frequently diagnosed as having autism, intellectual disabilities, psychiatric disorders, learning disabilities, sensory and medical challenges. Almost all have comorbid psychiatric and developmental disability. More than 100 local agencies from Virginia, Maryland, West Virginia, the district of columbia, Pennsylvania, and various other states, refer individuals to our programs.during fiscal year 2025 grafton provided special education services to over 324 children, child and adolescent therapeutic community home services to 101 children, psychiatric and residential treatment services to 146 children, and residential and community support services to 99 adults in its four main geographic regions of berryville, Virginia; richmond, Virginia; winchester, Virginia; and cold spring, Minnesota.additionally, grafton partners with the city of winchester, Virginia, to provide services to the infant and toddler connection of the shenandoah valley. This service teaches, coaches, and mentors families of children up to age three who have a developmental delay or diagnosed disabling condition. During fiscal year 2025, approximately 1,057 infants/toddlers and their families received early intervention services and support in the city of winchester, Virginia; and the counties of frederick, clarke, warren, page, and shenandoah, Virginia. Additionally, throughout the state of Virginia, grafton's specialty services program connected 14 families of deaf, hard-of-hearing and/or visually impaired children with a team of early intervention professionals who are equipped to provide developmental education services specific to their specialized needs.ukeru systems, a division of grafton, provided education and training consultative services to customers throughout the united states and canada. International customers from as far away as brazil, have traveled to the united states to receive training and consultation in this methodology. Ukeru systems teaches the grafton method, trauma informed care, and the minimization of seclusion and restraint, and can include the sale of patented blocking pads. In support of its mission, grafton employed 740 full-time equivalent staff. Approximately 86% of staff was employed to work directly with our clients and their families.

Financial Efficiency

• Mission deployment rate: 85.7%; rating input score 86
• Program expense ratio: 87.6%; rating input score 88
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 3.2%; rating input score 49; 49th percentile among comparable filings
• Total-asset coverage ratio: 0.89; rating input score 35; 35th percentile among comparable filings
• Liabilities to assets ratio: 0.21; rating input score 68; 68th percentile among comparable filings
• Officer compensation ratio: 4.4%; rating input score 22; 22nd percentile among comparable filings

Growth

• Program expense growth: 2% per year; rating input score 100; 15th percentile among comparable filings
• Revenue growth: 2.8% per year; rating input score 100; 21st percentile among comparable filings
• Asset growth: 4.8% per year; rating input score 100; 34th percentile among comparable filings