Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 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 |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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 | ||||||
| 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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 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.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 105,308 | 448,618 | 625,573 | 226,370 | 190,164 | 1,596,033 |
| 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 | 8,487,993 | 10,274,068 | 14,384,629 | 15,251,443 | 14,857,810 | 63,255,943 |
| 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 | 8,593,301 | 10,722,686 | 15,010,202 | 15,477,813 | 15,047,974 | 64,851,976 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 12,500 | 15,320 | 13,500 | 41,320 | ||
| 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. | 0 | |||||
| c | Add lines 7a and 7b.. | 12,500 | 15,320 | 13,500 | 41,320 | ||
| 8 | Public support. (Subtract line 7c from line 6.) | 64,810,656 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2014 | (b) 2015 | (c) 2016 | (d) 2017 | (e) 2018 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 8,593,301 | 10,722,686 | 15,010,202 | 15,477,813 | 15,047,974 | 64,851,976 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 18,193 | 34,686 | 36,408 | 31,371 | 33,482 | 154,140 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 18,193 | 34,686 | 36,408 | 31,371 | 33,482 | 154,140 |
| 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.).. | 8,611,494 | 10,757,372 | 15,046,610 | 15,509,184 | 15,081,456 | 65,006,116 |
| 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) |
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| 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): |
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| 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 |
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| 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 |
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| 9 Distributable amount for 2018 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-2018 |
(iii) Distributable Amount for 2018 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2018 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2018: | ||||
| a From 2013....... | ||||
| b From 2014....... | ||||
| c From 2015....... | ||||
| d From 2016....... | ||||
| e From 2017....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2018 distributable amount | ||||
|
i
Carryover from 2013 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2018 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2018 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2019. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2014...... | ||||
| b Excess from 2015..... | ||||
| c Excess from 2016..... | ||||
| d Excess from 2017..... | ||||
| e Excess from 2018..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Continuation of Form 990, Part III, Line 4a: | Our Partial Hospitalization Program: Farnum's Partial Hospitalization Program (PHP) is a level of care offered for clients who require more support than intensive outpatient but do not meet criteria for inpatient services. By engaging in PHP, clients can continue maintaining their outside responsibilities, while having the support of professionals and peers five days a week. First, clients enter the program through our admissions program, Open Access. Open Access Assessments are conducted by skilled clinicians to determine the appropriate placement and level of care for the client. This is a walk-in service with locations in both Manchester, NH and Franklin NH. Once the Partial Hospitalization Program is recommended as the appropriate level of care, the client will start to come to Farnum on a daily basis and return home after their sessions. Farnum recognizes that there are individuals who can be successful in treatment by coming to Farnum on a daily basis but still returning home each day. By engaging in outpatient PHP, clients can continue maintaining their outside responsibilities, while having the support of professionals and peers five days per week, four hours each day. Also available to our outpatient PHP clients are family education and counseling as well as access to our psychiatric nurse practitioner. At times, Farnum will have clients participate in PHP but have them live at one of the Farnum facilities so they can still get the support of the program and the pseudo-Farnum family at night. We work closely with insurance companies to determine what can be covered for each individual. Starting with an initial evaluation and continuing throughout the PHP program, client's partner with their treatment team to develop an aftercare plan that may include a step down to intensive outpatient or individual therapy sessions. Our Medication Assisted Treatment: Farnum offers medically supervised outpatient services for people with opiate use disorder. Clinic participants are required to meet regularly with a medical doctor or nurse practitioner who specializes in addiction medicine and specifically trained in the use of Suboxone and other MATs such as Naltrexone and Vivitrol. First, clients enter the program through our admissions program, Open Access. Open Access Assessments are conducted by skilled clinicians to determine the appropriate placement and level of care for the client. This is a walk-in service with locations in both Manchester, NH, and Franklin, NH. Once MAT outpatient services are recommended as the appropriate level of care, the client will start to participate in the MAT programs. Every client who engages in our MAT program is assigned to an outpatient counselor who will work with the client to formulate an appropriate clinical treatment plan to include engagement in our Partial Hospitalization Program, Intensive Outpatient Program, or Outpatient Program. Participation in the recommended groups, which are offered in both the mornings as well as evenings, is mandatory for continued treatment in our MAT program. Starting with the initial assessment and continuing through the MAT program, clients partner with their treatment team to develop an aftercare plan that may include a step down to Intensive Outpatient Services or even standard Outpatient Services. Our Intensive Outpatient Programs: Intensive Outpatient Programs (IOP) provide clients who do not require a residential or PHP level of care, the opportunity to receive intensive treatment services while fulfilling their daily responsibilities such as parenting, working, or pursuing educational goals. First, clients enter through our admissions program, Open Access. Open Access Assessments are conducted by skilled clinicians to determine the appropriate placement and level of care for the client. This is a walk-in service with locations in both Manchester, NH, and Franklin, NH. Once IOP is recommended as the appropriate level of care, the client will start to participate in the Intensive Outpatient Programs. In the first phase of IOP treatment, clients participate in educational programs on Mondays, Wednesdays, and Fridays for three hours each day, over the course of approximately one month. The program consists of group health realization education, group therapy individual counseling, friend/family education, aftercare planning and case management. Starting with the initial assessment and continuing through the Intensive Outpatient Program, clients partner with their treatment team to develop an aftercare plan that may include a step down to standard Outpatient Services. Our Outpatient Services: Outpatient Services are available to clients who are transitioning from a higher level of care, or to those who need brief services for a specific purpose such as license restoration, court-ordered LADC evaluations, or the solution of personal issues. First, clients enter through our admissions program, Open Access. Open Access Assessments are conducted by skilled clinicians to determine the appropriate placement and level of care for the client. This is a walk-in service with locations in both Manchester, NH, and Franklin, NH. Once Outpatient Services are recommended as the appropriate level of care, the client will start with their outpatient treatment plan. Farnum's Outpatient Services consist mostly of group-based counseling and education. Our services are different from what you would typically find in our programs, because we are pointing clients towards their own innate wisdom and resiliency, knowing that every client has the capacity to succeed in treatment, we have learned that examining the past does not tend to help a person live in the now, nor create the future they are hoping for. We have heard countless times that our approach is new to our clients and they are very inspired by our use of Health Realization. Starting with the initial assessment and continuing through the Outpatient program, clients partner with their treatment team to re-evaluate their current placement and frequency. Clients have the ability to continue with their Outpatient Services and frequency, reduce the frequency, or transition to other recovery meeting options. Our Family Services: Family and loved ones are the most important people to an individual in treatment. We want families to feel like Farnum is just as much their program as it is the clients. On the weekends family members of the client are invited to visit and participate with their loved one in treatment. Farnum's Outpatient Services also has an Outpatient Group which offers education, support, and Resilience in Recovery and Families. On visiting day we expect each family member to participate in family education prior to the visit. It is important to your loved ones that you understand what is happening with them and when they leave our facility we want everyone to be at least in the same book, if not on the same page. The visiting day is determined by the unit your loved one is on. We also have children visits so the client can see their children with the support of staff. The goal is to establish positive relationships with all of our clients and their families, so when they are ready to leave our facility, they have the strength, love, and support they need to be successful. There may be times during their stay with us that a family meeting is requested and we will accommodate this for children and adults. Farnum has an open meeting for families to continue participating in after their family member has left treatment. Our Stabilization Unit: This new unit receives clients who have accessed Safe Stations via the Manchester Fire Department and provides them with a positive, safe environment while they wait to be placed in treatment. The Stabilization Unit is a 16-bed clinically-licensed short-term residential treatment program. In partnership with Granite Pathways, the Mobile Crisis Team and Mobile Community Health Team Project/HealthCare for the Homeless, clients receive structured treatment programming, referral, and placement as available across the state of New Hampshire, and physical health screenings. |
| Continuation of Form 990, Part III, Line 4a: | Our Transitional Living: Farnum's Transitional Living (TL) is designed for female individuals seeking the structure of a sober living environment with the support of 24-hour staffing. Clients can live at Farnum's TL for up to 12 months while they reintegrate back into the community. Most clients who receive transitional living services started in a higher level of care, then worked towards transitioning back into the community. There is limited availability of Transitional Living Services, but Farnum provides other options to help both male and female clients prepare for re-entering the community. In our 2017 fiscal year, we provided over $15,000 in rent payments for clients who could not return to the environment from which they came to Farnum. Transitional Living provides each client with an individualized care plan and the opportunity to take a step forward in building a sober network for themselves. The length of stay can range from 1-12 months depending on the client and their needs. TL residents are able to leave for work during the day and progressively reintegrate into the community. While living in the house, we provide our clients with groceries, guidance on resume building, interview skills for employment, personal budget strategies and more. The TL facility is within walking distance to various recovery resources, employment opportunities, and recreational activities. Our residents are supported by staff to continue to develop their understanding of their own innate health and resiliency and to support each other in their new sober lifestyle. Starting with the initial assessment and progressing through the Transitional Living Program, clients partner with their treatment team to develop an aftercare plan that may include a step down to standard outpatient services and other recovery meetings. |
| Form 990, Part V, Line 2a: | All employees of Manchester Alcoholism Rehabilitation Center, Inc., including officers, key employees, and highest compensated employees listed in Part VII-A, line 1; Schedule J, Part II; and Part IX, line 5 receive a single Form W-2 from Easter Seals New Hampshire, Inc, a related organization that acts as the common paymaster. The number of employees who have compensation allocated to Manchester Alcoholism Rehabilitation Center, Inc. is reported on Part V, Line 2a. |
| Form 990, Part VI, Section A, line 6 | Easter Seals New Hampshire, Inc., a New Hampshire voluntary corporation, is the sole member of the Manchester Alcoholism Rehabilitation Center, acting through its governing processes. |
| Form 990, Part VI, Section A, line 7a | Easter Seals New Hampshire, Inc., a New Hampshire voluntary corporation, is the sole member of the Manchester Alcoholism Rehabilitation Center. The member shall select the Board of Directors of this Corporation and shall have the power to remove any director or officer of this Corporation, with or without cause. |
| Form 990, Part VI, Section A, line 7b | The Fiscal Committee reviews financial related matters and recommends actions to the full Board of Directors for approval. |
| Form 990, Part VI, Section B, line 11b | The Form 990 is prepared by an outside independent accounting firm and presented to the Audit Committee of the Board for review before filing with the IRS. The Fiscal Committee reviews financial related matters and recommends actions to the full Board of Directors for approval. A copy of 990 is provided to the full Board of Directors Board before the 990 is filed. |
| Form 990, Part VI, Section B, line 12c | It shall be against the policy of Manchester Alcoholic Rehabilitation Center to have conflicts of interest with its directors, officers, staff or members of their immediate families. In the event of a pecuniary benefit transaction as defined by NH Law in RSA 7:19-a, it shall be the policy of Manchester Alcoholic Rehabilitation Center to follow the statute. Included but not limited to the following, the procedure shall be that each director shall complete a questionnaire on the related entities and persons and business activities of the director and members of the director's immediate family as defined by statute and such questionnaire shall be on file at the office of the Corporation. In the event the Corporation or any director becomes aware of any potential pecuniary benefit transaction as defined by law, the Corporation shall follow the procedures prescribed by law and give notice of the transaction to the full Board with notice of its next meeting. At the meeting, the Board shall vote on whether the pecuniary benefit transaction is in the best interest of the corporation, after full explanation thereof and without the director being present and without any director who has had a pecuniary benefit transaction within the fiscal year being present. If two thirds (2/3rds) of the entire Board shall vote that the pecuniary benefit transaction is in the best interest of the Corporation, the transaction shall be allowed. Notice of any such pecuniary benefit transaction the value of which is $5,000 or more shall be published according to statute. Notice of all pecuniary benefit transactions shall be given to the Director of Charitable Trusts of the State of New Hampshire annually with the reporting by the Corporation and individually for those transactions exceeding $5,000. |
| Form 990, Part VI, Section B, line 15 | Manchester Alcoholism Rehabilitation Center does not compensate its officers or top management officials. They are paid by a related organization, Easter Seals New Hampshire, Inc., the parent organization with oversight and responsibility for four (4) nonprofit subsidiary entities: Easter Seals Maine, Inc.; Easter Seals Vermont, Inc.; The Homemakers Health Services, Inc.; and Manchester Alcoholism Rehabilitation Center. Easter Seals New Hampshire, Inc. has an Executive Compensation Committee that is made up of the former Chair of the Board of Directors and other Directors. It meets annually and reviews data on comparable not-for-profit executives of similar sized organizations in the geographical area in which we operate. That data is compiled from information gathered by the Chief Human Resources Officer and submitted to the Committee. The Committee meets independently to review the performance of the President, meets with the President to obtain his input, and then recommends compensation levels. It then submits its report to the entire Board of Directors which meets in executive session to review the process and the recommendations. The Committee also reviews the compensation of the highest level employees and provides input to the President in setting their compensation. Contemporaneous substantiation of the deliberation and decision is recorded. |
| Form 990, Part VI, Section C, line 19 | Copies of the IRS Form 990 and the nonprofit status determination documents are available by appointment for public inspection at the corporate office. |
| Form 990, Part X, Line 10: Land, Buildings, and Equipment | Section 1.263(a)-3(n) Election: Manchester Alcoholism Rehabilitation Center 140 Queen City Avenue Manchester, NH 03104 EIN: 02-0349962 Section 1.263(a)-3(n) Election: Manchester Alcoholism Rehabilitation Center is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). |
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