Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | 3,175,421 | 3,573,426 | 3,737,852 | 4,122,390 | 3,867,367 | 18,476,456 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 3,175,421 | 3,573,426 | 3,737,852 | 4,122,390 | 3,867,367 | 18,476,456 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | 566,715 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 17,909,741 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 3,175,421 | 3,573,426 | 3,737,852 | 4,122,390 | 3,867,367 | 18,476,456 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 3,814 | 4,560 | 999 | 1,372 | 890 | 11,635 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 180 | 1,332 | 444 | 1,956 | ||
| 11 | Total support Add lines 7 through 10. | 18,490,047 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | OTHER - 2012 AMOUNT: $ 180. 2013 AMOUNT: $ 1,332. 2014 AMOUNT: $ 444. |
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Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 1, PART I, QUESTION 1 | CGC IS AN OUTPATIENT MENTAL HEALTH CENTER PROVIDING SPECIALIZED ASSESSMENT AND TREATMENT SERVICES TO CHILDREN, ADOLESCENTS AND FAMILIES TO RESOLVE PROBLEMS THAT INTERFERE WITH DAILY FUNCTIONING; MAXIMIZE LONG-TERM HEALTHY DEVELOPMENT; AND PROMOTE SAFETY AND STABILITY IN PSYCHIATRIC EMERGENCY SITUATIONS. CGC'S GREATEST ACHIEVEMENT IS EMPOWERING CHILDREN, TEENS AND PARENTS TO RESOLVE THE MENTAL HEALTH PROBLEMS THAT BROUGHT THEM TO US AND HELPING THEM DEVELOP SKILLS TO BETTER MANAGE CHALLENGES IN THEIR LIVES. THE RESULTS FOSTER LIFELONG IMPROVEMENTS IN SOCIAL, FAMILY, AND ACADEMIC OUTCOMES AND ENHANCE THE QUALITY OF LIFE. CGC SERVED NEARLY 3,000 CHILDREN IN FISCAL YEAR 2015, A 17% INCREASE IN NEW ADMISSIONS TO OUR TREATMENT PROGRAMS OVER 2013. SERVICES ARE PROVIDED REGARDLESS OF EACH FAMILY'S FINANCIAL CIRCUMSTANCES AND INSURANCE STATUS. THOUGH INSURANCE MAY COVER PART OF THE COST OF SOME OF OUR SERVICES, HIGH DEDUCTIBLE POLICIES PREVENT FAMILIES FROM USING THEIR INSURANCE FOR SERVICES UNTIL THE DEDUCTIBLE IS MET. A HIGH RATE OF SUBSIDY IS REQUIRED TO SUPPORT SLIDING SCALE FEES TO ENSURE ALL CHILDREN IN OUR COMMUNITY CAN ACCESS MENTAL HEALTH SERVICES. CONTRIBUTIONS AND GRANTS ENABLE US TO ADDRESS MENTAL HEALTH PROBLEMS THAT ARE CRUCIAL TO IMPROVING FUTURE PROSPECTS AND DECREASING THE RISK THAT AS ADULTS, CONTINUED EMOTIONAL/BEHAVIORAL PROBLEMS WOULD LEAD TO UNEMPLOYMENT, POVERTY, OR DIFFICULTY CREATING STABLE RELATIONSHIPS OR RESPONSIBLE PARENTING. IN ADDITION TO OUR HIGHLY REGARDED TREATMENT PROGRAMS, WE CONDUCT COMMUNITY EDUCATION SEMINARS AND WORKSHOPS FOR PROFESSIONALS AND THE GENERAL PUBLIC AND PROVIDE CONSULTATION TO SCHOOLS, PRESCHOOLS, AND OTHER YOUTH SERVING AGENCIES. CGC IS THE STATE'S DESIGNATED PROVIDER OF EMERGENCY MOBILE PSYCHIATRIC SERVICES IN STAMFORD, GREENWICH, DARIEN, AND NEW CANAAN AND PROVIDES POST-VENTION SERVICES FOLLOWING EMERGENCIES AND TRAUMATIC EVENTS THAT IMPACT LARGE GROUPS IN THE COMMUNITY. SINCE 2007, CGC HAS BEEN DESIGNATED BY THE STATE AS AN ENHANCED CARE CLINIC, A RECOGNITION ACHIEVED BY MEETING STATE STANDARDS FOR SERVICE QUALITY; COORDINATION OF CARE WITH HEALTHCARE PROVIDERS; TIMELY ACCESS TO SERVICES BASED ON EACH REFERRAL'S URGENCY; AND A COORDINATED RESPONSE TO YOUNGSTERS DUALLY DIAGNOSED WITH MENTAL HEALTH AND SUBSTANCE ABUSE PROBLEMS. |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS PREPARED BY THE ORGANIZATION'S INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS. PRIOR TO FILING, IT IS REVIEWED AND APPROVED BY THE PRESIDENT/CEO, CHIEF FINANCIAL OFFICER AND CONTROLLER. A COPY IS PROVIDED TO THE BOARD FOR QUESTIONS AND COMMENTS. |
| FORM 990, PART VI, SECTION B, LINE 12C | DIRECTORS, OFFICERS, THE CHIEF FINANCIAL OFFICER, AND THE PRESIDENT/CEO ARE COVERED BY THE CENTER'S POLICY AND ARE REQUIRED ANNUALLY TO SIGN A STATEMENT INDICATING THAT THEY ARE FAMILIAR WITH THE CENTER'S POLICY AND THAT THEY EITHER HAVE NO CONFLICTS OR LIST WHATEVER CONFLICTS THEY MAY HAVE. ANY PERSON COVERED BY THE POLICY WITH A CONFLICT OF INTEREST WITH RESPECT TO A TRANSACTION IS REQUIRED TO DISCLOSE THE NATURE OF SUCH INTEREST AND ALL MATERIAL FACTS RELATING THERETO PRIOR TO THE BOARD'S CONSIDERATION. CONSIDERATION AND ACTION ON THE TRANSACTION IS BY A MAJORITY OF THE BOARD OF DIRECTORS WHO DO NOT HAVE A CONFLICTING INTEREST WITH RESPECT TO THE TRANSACTION. NO TRANSACTION INVOLVING A CONFLICTING INTEREST SHALL BE APPROVED EXCEPT AS PERMITTED BY SECTION 33-1129 OR 33-1130 OF THE CONNECTICUT GENERAL STATUTES AND AS FOLLOWS: (A) APPROVAL SHALL BE BY THE AFFIRMATIVE VOTE OF A MAJORITY OF THOSE MEMBERS OF THE BOARD OF DIRECTORS WHO ARE PRESENT AT A DULY CONSTITUTED MEETING OF THE BOARD AND WHO DO NOT HAVE A CONFLICTING INTEREST WITH RESPECT TO THE TRANSACTION; (B) NO PERSON (INCLUDING A DIRECTOR) WITH A CONFLICTING INTEREST WITH RESPECT TO A TRANSACTION SHALL VOTE ON THE TRANSACTION OR REMAIN PRESENT DURING DEBATE OR VOTING ON THE TRANSACTION, BUT MAY OTHERWISE BE PRESENT TO ANSWER QUESTIONS; (C) THE BOARD SHALL DETERMINE, WITH APPROPRIATE DUE DILIGENCE, WHETHER THE CORPORATION CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST; (D) IN CONSIDERING WHETHER TO APPROVE THE TRANSACTION INVOLVING A CONFLICT OF INTEREST, THE BOARD SHALL DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE; (E) THE BOARD SHALL NOT APPROVE ANY "EXCESS BENEFIT TRANSACTION" FOR WHICH ANY EXCISE TAX MAY BE IMPOSED UNDER SECTION 4958 OF THE INTERNAL REVENUE CODE AND THE RULES AND REGULATIONS THEREUNDER; AND (F) THE SECRETARY SHALL DOCUMENT THE BASIS FOR THE BOARD OF DIRECTORS' DETERMINATION, INCLUDING A RECORD OF THE DISCUSSION PRECEDING THE VOTE AND ANY DOCUMENTARY OR OTHER DATA REVIEWED BY THE DIRECTORS, IN THE MINUTES OF THE MEETING OR OTHERWISE, BUT IN ALL EVENTS PRIOR TO THE NEXT MEETING OF THE BOARD OR COMMITTEE, AND SUCH MINUTES OR OTHER RECORD SHALL BE APPROVED AS ACCURATE AND COMPLETE AT SUCH NEXT MEETING. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE COMPENSATION OF THE PRESIDENT/CEO IS REVIEWED AND APPROVED BY THE BOARD'S EXECUTIVE COMMITTEE; SEVERAL OF ITS MEMBERS HAVE EXPERIENCE IN EXECUTIVE COMPENSATION, AND MANY OF THEM HAVE INVOLVEMENT WITH OTHER CHARITABLE ORGANIZATIONS IN THE SAME GEOGRAPHIC AREA. AS A PART OF ITS DELIBERATIONS THE COMMITTEE REVIEWS AND APPROVES A WRITTEN PERFORMANCE EVALUATION OF THE PRESIDENT/CEO AND CONSIDERS THE COMPARABLE DATA. THE COMMITTEE REPORTS ON THE COMPLETION OF THE EVALUATION AND COMPENSATION REVIEW AT THE NEXT BOARD MEETING FOLLOWING THE COMMITTEE MEETING. THE BOARD IS INFORMED OF THE COMMITTEE'S ACTIONS AND DOCUMENTS THE REVIEW OF THE PRESIDENT/CEO'S COMPENSATION IN THE MINUTES OF THE BOARD MEETING. |
| FORM 990, PART VI, SECTION C, LINE 19 | UPON REQUEST, THE ORGANIZATION WILL PROVIDE THE GENERAL PUBLIC WITH A COPY OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990, FORM 1023 AND FINANCIAL STATEMENTS. THE FORM 990 IS ALSO AVAILABLE ON THE GUIDESTAR WEBSITE. |
| FORM 990, PAGE 12, PART XII, QUESITON 2C | CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT, INC., BOARD ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF ITS INDEPENDENT AUDITOR. THE POLICY FOR SELECTION AND OVERSIGHT OF THE INDEPENDENT AUDITORS HAS NOT CHANGED SINCE LAST YEAR. |
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