Hazelden Betty Ford Foundation

What it reported doing in 2024

Charity care and community benefitin meeting the foundation's mission and underlying charitable purpose, the foundation invests time, financial resources and energy to help people and communities understand and address addiction as a treatable disease and spread the word that recovery is possible. "be of service" is an integral core value which the foundation demonstrates in a variety of ways.the foundation provides treatment services to individuals and families who seek and qualify for care but are unable to pay the full cost. The foundation's patient aid policy provides that the foundation will annually establish a target amount of patient financial assistance. In addition to its annual provision for charity care, the foundation provides a variety of other benefits for the public good including: butler center for researchthe butler center for research (bcr) is dedicated to improving recovery from addiction by conducting clinical and institutional research, program evaluation and quality improvement, collaborating with other research centers and community-based organizations and communicating scientific findings. It is the center's vision that sustained recovery for all who seek help will be achieved through advancements in knowledge and integration of research into practice.continued commitment to evidence-based practicein 2024, bcr conducted a variety of projects to inform clinical care and academic programming, identify programmatic and treatment needs, drive data-based decision-making, and contribute to the professional and public knowledge of addiction treatment and recovery services. Project areas include: - data collection - bcr expanded collection of outcomes surveys beyond residential level of care to include day treatment, intensive outpatient, outpatient, dual enhanced, and the center for teens, young adults, and families in plymouth, Minnesota. In 2024, data collection specialists completed 5,313 surveys online and via phone. - bcr added a team of family and children services (f&c) data collection specialists (dcs) to collect outcomes data for related programs. Of note, the team created and launched 24 surveys to reach eight f&c programs, adapted the surveys into spanish, and will present "the 'hear and now: what adolescents are telling us at hazelden betty ford foundation in 'real time'" at the joint meeting on youth prevention, treatment, and recovery (jmyptr) conference in 2025. - data analyses - bcr produced the organizational patient profile report, which includes data on hazelden betty ford's patient population organized around demographics, diagnoses, treatment quality, and residential clinical outcomes. This report can help identify trends, demonstrate treatment effectiveness, and indicate opportunities for continuous improvement. Additionally, bcr assisted in developing an enterprise data landing page which provides a central place for leaders to obtain real-time data about our patients and programs. - bcr has developed fidelity monitoring systems, survey development, and data visualization to provide real-time data on how programs in family services, co-occurring conditions, and continuing care are serving their intended audiences. - research collaborations - in 2024, bcr collaborated with academic and industry leaders on research projects that promote sustained recovery: spark biomedical, the recovery research institute at harvard mass general, northwestern university, brown university, and university of Minnesota. - studies include exploring the use of neurostimulation to reduce opioid craving and return to use, seeking to understand the role of social identity and networks on recovery among youth and young adults, evaluating a technology-assisted intervention for parents of adolescents in residential treatment, and monitoring the physiological symptoms of opioid withdrawal and craving. It is hoped that findings from all studies will have significant contributions toward delivery of addiction care with

Financial Efficiency

• Mission deployment rate: 81.3%; rating input score 81
• Program expense ratio: 76%; rating input score 76
• Fundraising efficiency: $2.8 raised per $1 spent on fundraising; rating input score 9; 9th percentile among comparable filings

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: 0 of 8 controls in place; rating input score 0
  • Claims monitoring procedures: Fail
  • Requires narrative reports: Fail
  • Conducts field audits: Fail
  • May suspend future funding: Fail
  • Requires financial reports: Fail
  • Conducts site visits: Fail
  • Requires grant agreements: Fail
  • May require repayment: Fail
• Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 94.4%; rating input score 94; 46th percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • 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: Fail
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -4.8%; rating input score 13; 13th percentile among comparable filings
• Total-asset coverage ratio: 2.54; rating input score 71; 71st percentile among comparable filings
• Liabilities to assets ratio: 0.42; rating input score 43; 43rd percentile among comparable filings
• Officer compensation ratio: 3.4%; rating input score 32; 32nd percentile among comparable filings

Growth

• Program expense growth: 3.1% per year; rating input score 100; 23rd percentile among comparable filings
• Revenue growth: 4.1% per year; rating input score 100; 34th percentile among comparable filings
• Asset growth: 5.3% per year; rating input score 100; 39th percentile among comparable filings