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 (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) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) .... | 146,512 | 126,716 | 89,704 | 151,915 | 69,799 | 584,646 |
| 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 | 146,512 | 126,716 | 89,704 | 151,915 | 69,799 | 584,646 |
| 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).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | 584,646 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 146,512 | 126,716 | 89,704 | 151,915 | 69,799 | 584,646 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 0 | 23,118 | 29,307 | 22,659 | 15,154 | 90,238 |
| 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.).. | 80,978 | 202,452 | 254,521 | 144,373 | 682,324 | |
| 11 | Total support. Add lines 7 through 10. | 1,357,208 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (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 | ||||
| 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 2015 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-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, 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 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | OTHER INCOME |
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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, PART III LINE 1 | GAUDENZIA ERIE, INC. PROVIDES A COMPLETE CONTINUUM OF CARE, INCLUDING DETOX, RESIDENTIAL, DUAL DIAGNOSIS, OUTPATIENT AND HALFWAY HOUSE SERVICES TO ALCOHOL AND DRUG ABUSERS AND THEIR FAMILIES. THE PRIMARY GOAL OF GAUDENZIA IS TO FOSTER PERSONAL GROWTH BY CHANGING AN INDIVIDUAL'S LIFESTYLE THROUGH A COMMUNITY OF CONCERNED PEOPLE WORKING TOGETHER TO HELP THEMSELVES AND EACH OTHER. INDIVIDUALS ADMITTED TO GAUDENZIA ENCOUNTER A HIGHLY STRUCTURED FAMILY ENVIRONMENT IN WHICH HONESTY, TRUST AND MUTUAL SUPPORT ARE THE FOUNDATION OF THE TREATMENT PROCESS. IN ADDITION TO DAILY SEMINARS, GROUP COUNSELING AND INDIVIDUAL ACTIVITIES, RESIDENTS ARE ASSIGNED WORK RESPONSIBILITIES THAT TEACH BASIC COOPERATION, RESPECT AND DISCIPLINE. IT IS NOT EASY FOR RESIDENTS TO COMPLETE A GAUDENZIA PROGRAM. GAUDENZIA'S TREATMENT APPROACH FORCES RESIDENTS TO BUILD NORMAL INTERPERSONAL RELATIONSHIPS, CREATE RESPONSIBLE LIVES FOR THEMSELVES AND UPHOLD A MORAL STANDARD IN THE FUNCTION OF THEIR DAILY LIVES. AS A RESULT, THOSE WHO COMPLETE GAUDENZIA'S PROGRAMS ARE BY LARGE SUCCESSFUL IN THEIR RECOVERIES. |
| FORM 990, PART III LINE 4A | DETOX/RESIDENTIAL - GAUDENZIA ERIE, INC. PROVIDES 24-HOUR MEDICALLY MONITORED DETOXIFICATION SERVICES FOR ADULT MEN AND WOMEN. CLIENTS UNDERGO COMPLETE MEDICAL EXAMS WITHIN 24 HOURS OF ADMISSION. WHEN APPROPRIATE, THEY MAY ALSO MEET WITH OUR STAFF PSYCHIATRIST TO TREAT ANY OTHER CONDITIONS THEY MAY HAVE. TREATMENT IS INDIVIDUALLY BASED UPON THE CLIENT'S NEED, USUALLY 1-3 DAYS. ONCE A CLIENT BECOMES STABLE WITH HIS/HER DETOXIFICATION, OUR STAFF WILL ENCOURAGE PARTICIPATION IN GROUP AND INDIVIDUAL THERAPY SESSIONS. CLIENTS WILL LEARN ABOUT TREATMENT OPTIONS AND ARE ENCOURAGED TO CONTINUE THEIR PATH TO RECOVERY. THERAPEUTIC COMMUNITY: GAUDENZIA ERIE, INC. (CROSSROADS) IS A THERAPEUTIC COMMUNITY (TC), WHICH IS A VALUE-BASED DRUG TREATMENT PROGRAMS THAT FOCUS ON THE "VIEW OF RIGHT LIVING." THIS VIEW EMPHASIZES TRUTH AND HONESTY, THE WORK ETHIC, LEARNING TO LEARN, PERSONAL ACCOUNTABILITY, ECONOMIC SELF-RELIANCE, RESPONSIBLE CONCERN FOR PEERS, FAMILY RESPONSIBILITY, COMMUNITY INVOLVEMENT AND GOOD CITIZENRY. TREATMENT PHASES: 1. ORIENTATION, 2. INTENSIVE THERAPY, 3. RE-ENTRY, 4. CONTINUING CARE FAMILY PROGRAM: SIGNIFICANT FAMILY MEMBERS ARE WELCOME TO PARTICIPATE IN THE FAMILY PROGRAM. A FAMILY ORIENTATION SESSION IS SCHEDULED SHORTLY AFTER ADMISSION. ANY FAMILY MEMBER WISHING TO HAVE VISITATION WITH THE RESIDENT IS REQUIRED TO ATTEND THE FAMILY PROGRAM WHICH MEETS EVERY WEEK. RESIDENTIAL PROGRAMS: SHORT TERM RESIDENTIAL MODERATE TERM RESIDENTIAL WORK RELEASE LEVEL OF CARE IS DEPENDENT ON ADMISSION ASSESSMENT AND REFERRAL SOURCE. CLIENTS MUST BE AT LEAST 18 YEARS OF AGE, DRUG AND ALCOHOL FREE (DETOX CAN BE ADMINISTERED IN-HOUSE), AND MEET PENNSYLVANIA CLIENT PLACEMENT CRITERIA (PCPC). |
| FORM 990, PART VI, SECTION B, LINE 11 | THE ORGANIZATIONS'S FORM 990 WAS PREPARED BY A NATIONALLY RENOWNED ACCOUNTING FIRM IN CONJUNCTION WITH THE GAUDENZIA FINANCIAL DEPARTMENT. A COPY OF THE DRAFT FORM 990 WAS CIRCULATED TO BOTHBOARD OF TRUSTEES FOR DICUSSION AND COMMENT. EACH BOARD MEMBER WAS PROVIDED AMPLE OPPORTUNITY TO COMMENT ON THE INFORMATION CONTAINED IN THE 990 PRIOR TO ITS ELECTRONIC FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | GAUDENZIA EIRE, INC OPERATED UNDER THE CONFILCT OF INTEREST POLICY OF ITS PARENT ORGANIZATION, GAUDENZIA INC. EACH OFFICER, DIRECTOR, TRUSTEEE AND KEY EMPLOYEE OF THE ORGANIZATION IS REQUIRED TO ANNUALLY DISCLOSE ANY CONFLICTS OF INTERESTS THAT ARISE BY VIRTUE OF THEIR EMPLOYEMENT, BOARD SERVICE, OR POSITION WITH THE ORGANIZATION. THE ORGANIZATION MONITORS COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY THROUGH AN ANNUAL QUESTIONAIRE/DISCLOSURE STATEMENT THAT IS DISTRIBUTED TO THESE INDIVIDUALS. POTENTIAL CONFLICTS ARE INVESTIGATED IMMEDIATELY |
| FORM 990, PART VI, SECTION B, LINE 15 | GAUDENZIA ERIE, INC. DOES NOT PROVIDE ANY COMPENSATION TO THE INDIVIDUALS LISTED ON PART VII OF THE FORM 990. ALL COMPENSATION PAID TO THESE INDIVIDUALS IS PAID BY A RELATED ORGANIZATION, GAUDENZIA INC. THE PROCESS USED TO DETERMINE THE COMPENSATION OF THESE INDIVIDUALS IS REPORTED ON THE ORGANIZATION'S FORM 990 |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE TO THE PUBLIC BY RETAINING A COPY AT ITS PLACE OF BUSINESS. THE FORM 990 IS LIKEWISE PUBLISHED ON THE INTERNET AT WWW.GUIDESTAR.ORG. THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY ARE NOT ORDINARILLY MADE AVAILABLE TO THE PUBLIC, BUT, IF REQUESTED, WILL BE PROVIDED AT MANAGEMENT'S DISCRETION. |
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