Treatment centers seek efficiencies in merger

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Each of the organizations is financially

stable despite challenging

times, but

each realizes that it

needs the additional

muscle it can

gain only through a

merger if it wants to

keep growing.

Sound like many business mergers? It's

also the story with two nonprofit drug-andalcohol

programs in Reno, Sagewind

Family Service Clinic and Northstar

Treatment and Recovery Center.

The boards of the two treatment centers

recently approved a merger that will become

effective on Jan. 1, and Tom Murtha, chief

executive officer of the combined organization

to be known as Bristlecone Family

Resources speaks in language that any

CEO would understand.

"The bottom line is that we have to

make more money than we spend," Murtha

said a few days ago. "We plow that margin

into increased growth, better facilities or

whatever."

Northstar long has wanted to move out

its quarters at Glendale and Galletti.

Sagewind, meanwhile, operates out of a

flood-prone former monastery building near

McCarran Boulevard on the east side of

town.

After the merger, the two centers think

they will have the muscle to build new facilities.

In fact, they already have first right of

refusal on Reno-area land, and they've

launched a capital campaign.

Murtha's conversation sounds familiar,

too, when he looks at a marketplace crowded

with nonprofit agencies, each seeking

government grants or private contributions.

"There are too many of us chasing too

few dollars," Murtha said.

That, in turn, has led to a strong push by

federal and state officials for nonprofits in

the drug-and-alcohol business to find ways

they can join together.

Northstar, which as been around 38

years, treats adults and families at its facilities

in a corner of the Northern Nevada

Adult Mental Services complex.

Sagewind, meanwhile, has been treating

adolescents and families a natural fit

with Northstar's business.

The market niche for both is providing

cost-effective treatment.

Medical detoxification at Northstar, for

instance, costs $280 a day and that's for

patients with withdrawal so severe that doctors

and other medical personnel need to be

near 24 hours a day.

That's about half the cost patients

might pay at private recovery centers, but

Murtha's organization doesn't see itself in

competition with private firms.

"There's room," he said. "There are people

there who are in need. The system just

can't provide Cadillac service to everyone."

But the services of Bristlecone Family

Resources aren't used solely by patients who

count on government or charity to pick up

the tab.

About 25 percent of the clinic's revenues

come from third-party payments usually,

insurance companies or private individuals.

And that share of the center's business,

Murtha said, is increasing.

The merger will create an organization

with an annual budget of about $6 million

and a payroll of 100. It's highly unlikely,

Murtha said, that the economies that he

expects from the merger will be borne by

workers.

"Our board is a people-person board," he

said. "We're taking a strong look at achieving

economies without slashing and burning."

Murtha said, too, the staff and boards of

Northstar and Sagewind recognize that

they're not in business to turn a profit even

though they need to keep a close eye on

costs and the financial health of Bristlecone

Family Resources .

"Our ultimate goal is to improve the

quality of life of the communities where we

live," he said. That, he said, is measured one

life at a time one less drunk driver on

the road, one less former executive losing

his home and his family to alcohol, one less

worker unable to take a spot in the labor

market because of drug problems.