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.) .... | 310,694 | 238,761 | 164,431 | 703,831 | 780,205 | 2,197,922 |
| 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 | 310,694 | 238,761 | 164,431 | 703,831 | 780,205 | 2,197,922 |
| 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).. | 729,108 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 1,468,814 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 310,694 | 238,761 | 164,431 | 703,831 | 780,205 | 2,197,922 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 30,699 | 39,692 | 76,185 | 88,067 | 92,197 | 326,840 |
| 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.).. | 61,533 | 58,490 | 65,616 | 74,503 | 70,677 | 330,819 |
| 11 | Total support. Add lines 7 through 10. | 2,862,639 | |||||
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) |
||||
| 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 |
|---|---|
| PART II, LINE 10 | MISCELLANEOUS 314,493 MISCELLANEOUS - TSI 16,326 |
| Software ID: | |
| Software Version: |
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 2, PART III, LINE 4A | DAY PROGRAMS (FOUNDATIONS) ALSO PROVIDE OUTPATIENT REHABILITATION TRAINING, SEMINARS, AND SOCIAL/RECREATIONAL ACTIVITIES TO ASSIST PEOPLE IN DEVELOPING INDEPENDENT LIVING SKILLS AND COMMUNITY INTEGRATION SKILLS. ANY PERSON IN ANY OF THE PSYCHIATRIC REHABILITATION PROGRAMS IS ELIGIBLE TO PARTICIPATE IN THE DAY PROGRAMS. MOST SKILL DEVELOPMENT AND RECOVERY ACTIVITIES ARE PROVIDED IN A GROUP SETTING AND CONSUMERS HAVE SIGNIFICANT INPUT INTO CLASSES AND ACTIVITIES. ONE OF THE BIGGEST MISSIONS OF RESIDENTIAL REHABILITATION IS THAT CLIENTS REALIZE THEIR OWN GOAL OF LIVING A MORE INDEPENDENT LIFE. WE ARE ALWAYS WORKING WITH CLIENTS TO GRADUATE TO LESS INTENSIVE LEVEL OF RESIDENTIAL REHAB SUPPORTS. IN FY 16 WE HAD 13 CLIENTS MOVE FROM INTENSIVE LEVEL RESIDENTIAL PLACEMENTS TO LESS INTENSIVE GENERAL LEVEL RESIDENTIAL PROGRAMS. WE ALSO HAD 17 CLIENTS GRADUATE FROM OUR GENERAL LEVEL RESIDENTIAL PROGRAM TO MOVING OUT ON THEIR OWN WITH SUPPORTED LIVING SERVICES. THIS IS 14% OF THE 212 RESIDENTIAL BEDS THAT WE SERVE. |
| FORM 990, PAGE 2, PART III, LINE 4C | WORK OR POST-SECONDARY ACADEMIC ENVIRONMENTS. THE CAREER ACADEMIC PSYCHIATRIC-REHABILITATION SERVICES PROGRAM PROVIDES A COMBINATION OF SUPPORTED EDUCATION AND SUPPORTED EMPLOYMENT SERVICES TO YOUNG ADULTS AGE 18-25 POST HIGH SCHOOL TO ASSIST THEM IN ACHIEVING THEIR EMPLOYMENT AND ACADEMIC GOALS. THIS PROGRAM PROVIDES A RANGE OF SERVICES INCLUDING VOCATIONAL ASSESSMENT, SUPPORTED EMPLOYMENT JOB SEARCH AND COACHING, ASSISTANCE WITH COLLEGE REGISTRATION, AND LINKAGE TO COMMUNITY RESOURCES. THE VOCATIONAL PROGRAM SERVED A TOTAL OF 558 CONSUMERS IN FY 16. THE PROGRAM HAD AN EMPLOYMENT RATE OF 72% WHICH IS AN INCREASE OF 3% OVER LAST YEAR'S 69% AND IS MORE THAN THREE TIMES THE NATIONAL AVERAGE OF THE EMPLOYMENT RATE OF PEOPLE WITH DISABILITIES OF 17%. THE AVERAGE LENGTH OF TIME AT A JOB ALSO INCREASED FROM AN AVERAGE OF 131 WEEKS TO 141 WEEKS MEANING THAT ONCE EMPLOYED, OUR CONSUMERS ARE KEEPING THEIR JOBS LONGER. THE AVERAGE WAGE LAST YEAR WAS 10.60 AND WE SAW AN INCREASE TO 11.60 PER HOUR. IN TOTAL, OUR CONSUMERS EARNED APPROXIMATELY 4 MILLION DOLLARS. |
| FORM 990, PAGE 2, PART III, LINE 4D | CRISIS RESIDENTIAL PROGRAM (FENTON AND GRANBY HOUSES) - PROVIDES A COMMUNITY-BASED RESIDENTIAL ALTERNATIVE TO INPATIENT HOSPITALIZATION; LOCATED IN A GROUP HOME SETTING; PROVIDES INTENSIVE 24 HOURS PER DAY STAFF SUPERVISION TO HELP PEOPLE IN PSYCHIATRIC CRISIS TO BECOME STABILIZED AND RETURN TO NORMAL LIFE ROUTINES AS QUICKLY AS POSSIBLE. THE WAYNE S. FENTON-MCAULIFFE HOUSE AND GRANBY HOUSE ARE ALTERNATIVES TO HOSPITALIZATION PROGRAMS FOR CLIENTS EXPERIENCING A PSYCHIATRIC CRISIS. A STAY COSTS THE STATE ONLY ONE-THIRD OF AN INPATIENT HOSPITAL VISIT AND RESEARCH SHOWS THIS MODEL TO BE EQUALLY EFFECTIVE. IN FY 16 WE SERVED 263 CLIENTS WITH A 97% OCCUPANCY RATE. APPROXIMATELY 46% OF THESE INDIVIDUALS WERE REFERRED FROM THE COMMUNITY WHILE THE REMAINING 54% WERE REFERRED BY HOSPITALS FOR FURTHER PSYCHIATRIC STABILIZATION, DECREASING THE LENGTH OF THE INPATIENT STAY. MOBILE TREATMENT SERVICES (MTS) IS AN INTENSIVE TREATMENT MODEL WHICH COMBINES OUTPATIENT MENTAL HEALTH AND PSYCHIATRIC REHABILITATION SERVICES. IT PROVIDES ASSERTIVE OUTREACH, TREATMENT, AND SUPPORT TO ADULTS WHO HAVE NOT BEEN SUCCESSFUL IN MORE TRADITIONAL FORMS OF OUTPATIENT TREATMENT. SERVICE PROVISION IS MOBILE AND PROVIDED IN THE INDIVIDUAL'S NATURAL ENVIRONMENT (E.G. HOME, STREET, SHELTERS FOR THE HOMELESS, ETC.). THE TEAM IS COMPRISED OF THERAPISTS, ADDICTION SPECIALISTS, VOCATIONAL SPECIALISTS, PEER COUNSELORS, PSYCHIATRISTS, AND NURSES. SUPPORTED LIVING PROGRAMS - PROVIDE COUNSELING AND INDEPENDENT LIVING SKILLS TRAINING TO PEOPLE LIVING IN THEIR OWN HOMES IN THE COMMUNITY. THE PROGRAM IS ORGANIZED TO ASSIST PEOPLE TO LIVE AS INDEPENDENTLY AS POSSIBLE THROUGH COUNSELING, SKILL DEVELOPMENT, AND OTHER SUPPORT AND ASSISTANCE ON A -DROP-IN" BASIS. THIS PROGRAM ALSO PROVIDES EVIDENCE BASED PRACTICES IN DBT, ITCOD, AND IMR MONTGOMERY COUNTY CASE MANAGEMENT IS A COUNTY FUNDED PROGRAM TO SUPPORT PEOPLE LIVING IN THEIR OWN HOMES BY PROVIDING LINKAGE CASE MANAGEMENT TO A VARIETY OF COMMUNITY SUPPORTS AND APPLICATIONS TO FEDERAL AND LOCAL ENTITLEMENTS. HEALTH HOMES - THE CORNERSTONE MONTGOMERY HEALTH HOMES PROGRAM IS A PART OF A STATE BASED EFFORT TO IMPROVE THE HEALTH OF INDIVIDUALS WITH CHRONIC HEALTH CONDITIONS. IT SUPPORTS A BROADER EFFORT TO INTEGRATE SOMATIC AND BEHAVIORAL HEALTH SERVICES. THE PROGRAM TARGETS POPULATIONS WITH BEHAVIORAL HEALTH NEEDS WHO ARE AT HIGH RISK FOR ADDITIONAL CHRONIC CONDITIONS INCLUDING THOSE WITH SERIOUS PERSISTENT MENTAL HEALTH DISORDERS AND CHRONIC HEALTH ISSUES LIKE DIABETES, OBESITY, ETC. HEALTH HOMES OFFERS PARTICIPANTS ENHANCED CARE COORDINATION SERVICES FROM PROVIDERS WITH WHOM THEY REGULARLY RECEIVE CARE. HEALTH HOMES IS PROVIDING SERVICES THROUGH ITS PSYCHIATRIC REHABILITATION PROGRAM AND HEALTH HOMES STAFF. THIS IS A COMMUNITY-BASED APPROACH, NOT A RESIDENTIAL PROGRAM AND HAS SEVERAL IMPORTANT GOALS WHICH INCLUDE: IMPROVE THE HEALTH OF PARTICIPANTS IN MANAGING THEIR CHRONIC HEALTH CONDITIONS; PROMOTE A POSITIVE CLIENT EXPERIENCE OF CARE AND REDUCE HEALTH COSTS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | IT IS REVIEWED BY THE CFO, THE CEO, AND THE BUDGET & FINANCE COMMITTEE FOR ACCURACY AND COMPLETENESS. |
| FORM 990, PAGE 6, PART VI, LINE 12C | WE RELY ON SELF DISCLOSURE. |
| FORM 990, PAGE 6, PART VI, LINE 15A | MARKET SURVEY OF SIMILAR POSITIONS IN SIMILAR INDUSTRIES IS PERFORMED. FINAL COMPENSATION AMOUNTS ARE APPROVED BY THE BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 15B | MARKET SURVEY OF SIMILAR POSITIONS IN SIMILAR INDUSTRIES IS PERFORMED. FINAL COMPENSATION AMOUNTS ARE APPROVED BY THE BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE DOCUMENTS ARE AVAILABLE ON OUR COMMON DRIVE TO EMPLOYEES 24/7. THEY ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND THEY ARE AVAILABLE VIA HTTP://WWW2.GUIDESTAR.ORG/. |
| FORM 990, PART XI, LINE 9 | CHARITY CARE -12,172 ADDITIONAL FUNDRAISING DIRECT EXPENSES 5,120 RENT EXPENSES 14,226 CHARITY CARE 12,172 ADDITIONAL FUNDRAISING DIRECT EXPENSES -5,120 RENT EXPENSES -14,226 |
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| Software Version: |