Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and 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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 6,354,249 | 5,871,153 | 5,260,029 | 5,377,363 | 6,937,686 | 29,800,480 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | 0 | |||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 4 | Total. Add lines 1 through 3 | 6,354,249 | 5,871,153 | 5,260,029 | 5,377,363 | 6,937,686 | 29,800,480 |
| 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).. | 0 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 29,800,480 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 6,354,249 | 5,871,153 | 5,260,029 | 5,377,363 | 6,937,686 | 29,800,480 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 0 | |||||
| 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.).. | 0 | |||||
| 11 | Total support. Add lines 7 through 10 | 29,800,480 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (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) |
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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 |
||
| 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 2019 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-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, 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 2019. 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 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| 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 |
|---|---|
| FORM 990 REVIEW - Part VI, Section B, Question 11A | THE FORM 990 IS REVIEWED BY THE CEO AND CFO FOR ACCURACY AND COMPLETENESS. ANY REQUIRED INFORMATION FROM BOARD MEMBERS IS ACQUIRED. |
| WRITTEN CONFLICT OF INTERESTS - Part VI, Section B, Question 12C | THE BOARD OF DIRECTORS ANNUALLY REVIEW AND DISCLOSE ANY CONFLICTS OF INTEREST TO THE OFFICERS AND MANAGEMENT OF THE AGENCY. FOR KEY EMPLOYEES, THE AGENCYS PERSONNEL MANUAL HAS A SECTION RELATING TO CONFLICTS OF INTEREST AND REQUIREMENT TO DISCLOSE ANY INSTANCES AS SOON AS ANY WOULD OCCUR. |
| COMPENSATION DETERMINATION - Part VI, Section B, Question 15A | THE AGENCY ENGAGES AN OUTSIDE INDEPENDENT PARTY TO PERFORM AN EXTENSIVE COMPENSATION AND BENEFITS STUDY TO DETERMINE REASONABLENESS OF THE COMPENSATION PAID TO EMPLOYEES, INCLUDING THE CEO AND OTHER KEY EMPLOYEES. THE RESULT OF THE STUDY ARE THEN REVIEWD BY MANAGEMENT OF THE AGENCY AND PRESENTED TO THE BOARD OF DIRECTORS WITH RECOMMENDATIONS. |
| COMPENSATION DETERMINATION - Part VI, Section B, Question 15B | THE AGENCY ENGAGES AN OUTSIDE INDEPENDENT PARTY TO PERFORM AN EXTENSIVE COMPENSATION AND BENEFITS STUDY TO DETERMINE REASONABLENESS OF THE COMPENSATION PAID TO KEY AND OTHER EMPLOYEES. THE RESULTS OF THE STUDY ARE THEN REVIEWED BY THE MANAGEMENT OF THE AGENCY AND PRESENTED TO THE BOARD OD DIRECTORS WITH RECOMMENDATIONS. |
| Part VI, Section C, Question 19 | HOW GOVERNING DOCUMENTS, FINANCIAL STATEMENTS ARE MADE PUBLIC - THE AGNECY MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND THE FINANCIAL STATEMENTS MADE PUBLIC UPON REQUEST. THESE ITEMS ARE CURRENTLY NOT AVAILABLE ON THE AGENCYS WEBSITE. |
| DIRECTOR BUSINESS RELATIONSHIP - Part VI, Section A, Question 2 | TWO OF THE AGENCYS CURRENT DIRECTORS ARE EMPLOYED BY THE SAME EMPLOYERS. |
| OTHER PROGRAM SERVICES - Part III, Question 4D (1 of 2) | THE AGENCY PROVIDED THE FOLLOWING OTHER PROGRAM SERVICES FOR THE FISCAL YEAR 2020: Supervised Apartment Programs - This program, located in Bridgeport, Connecticut, provides residential supervised housing services to individuals who have psychiatric disorders and are involved in the state mental health service system. The program offers case management and community support services that assist and encourage the individual in achieving or regaining the skills necessary to live more independently in the community. Case managers assist clients in locating safe, affordable housing and developing a recovery plan to achieve independence. Coordination and facilitating of referrals among other community service providers is necessary in order to link the individual with needed supports. The program had an average annual utilization rate of 97% for the fiscal year. two out of three clients leaving the supervised apartment program completed treatment successfully, 50% of the developed social supports in the community and 100% have stable living situations. Iranistan House - Transitional Living Center - The Transitional Living Center is an 8-bed group home residential facility for men and women who suffer from severe and persistent psychiatric disabilities. The program provides residential and rehabilitative services to individuals who have significant skill deficits in the area of self-care and independent living and who require a non-hospital, supervised community-based residence. Staff strives to protect the privacy and personal dignity of each individual while teaching, coaching, educating, training, counseling and assisting with daily living and self-care skills to enable each client to assume increased responsibility necessary for a full and independent life in the community. This program has an average utilization rate of 90% for the fiscal year. Only one client left the program which did not complete the program treatment sucessfully, 82% of developed social supports in the community and 100% have stable living situations. Tina Klem Serenity House - This program is a recovery house for 12 women who have co-occurring substance abuse and psychiatric disorders. The women may also have a history of trauma. Residents are provided with a variety of psycho-educational groups such as life skills training, parenting skills, employment search, anger management, relapse prevention, health and wellness, safety and coping skills. This program has an average utilization rate of 95% for the fiscal year. Eighty-eight percent complete treatment successfully, 77% of developed social supports in the community and 95% have stable living situations. Urban Model Initiative - This program offers both transitional and supportive housing opportunities for individuals who are homeless and living with both psychiatric and substance use disorders. The "transitional" housing component of the program, with a capacity of 5 individuals, operates out of the Prospect House Shelter. The "supportive" housing component of the program, with a capacity of 8 individuals, is located off-site at another facility in Bridgeport, Connecticut where individuals may reside for a maximum of 18 months. For each level of housing, extensive case management services are provided by a diverse team. A team approach with a heavy emphasis on illness management and recovery, relapse prevention, and skill building is provided to each client. Staff members are on site for each facility 24 hours a day. Supportive housing and transitional housing programs had an average utilization of 98% and 77%, respectively, for the fiscal year, one hundred percent of the Transitional client follow-up at the next level of care with 30 days and 92% of clients maintained or improved their level of functioning. The supportive program clients completed treatment 77% and 94% had developed social supports in the community. The outpatient program had 70% of its client reducing or eliminating their substance use, 95% free of new arrests and 98% with a stable living situation. The intensive outpatient program had 61% of its client reducing or eliminating their substance use, 93% free of new arrests and 96% with a stable living situation. Recovery Counseling Services and Intensive Outpatient Program (RCS) - This program is a CARF accredited, and Department of Public Health licensed, co-occurring clinic providing outpatient substance abuse and mental health services to adult men and women. Located in Bridgeport, Connecticut, the facility accepts men and women ages 18 and older with needs regarding substance abuse only, mental health issues only, or with co-occurring issues relating to both areas. |
| OTHER PROGRAM SERVICES - Part III, Question 4D (2 of 2) | Horizons - This program, located in Bridgeport, Connecticut, is a CARF accredited, intensive short-term inpatient program for individuals struggling with addiction or co-occurring with addiction and mental health. Clients consist of males and females, aged 18 or over with a substance dependence disorder, including those receiving or in need of medication-assisted services for opiate addiction. Post-discharge referrals are made to a variety of housing resources as well as outpatient addiction and mental health services. Clients who complete successfully are encouraged to become members of the alumni group in order to offer hope to those who are beginning the recovery process. Horizons maintained an average utilization rate of 89% for the fiscal year. Out of all clients discharging from this program, 75% completed their course of treatment, 94% reduced or eliminate their substance use and 92% improved their overall level of functioning. Prospect House - This program provides emergency shelter to thirty-six adults on a daily basis in a facility located in Bridgeport, Connecticut. The program provides comprehensive case management services to meet the varied and complex needs of individuals who are homeless. The case management program at Prospect House includes assessment, transportation, life skills training, as well as individual, group, and family sessions. Out of all clients discharging from this program over 71% completed their program. The Shelter is continuing to decrease their length of stay which means clients are getting housing faster than before. New Prospects located at in Bridgeport, Connecticut is uniquely positioned to offer gender-specific co-occurring enhanced intensive residential services to adult men and women. This program is designed to provide services for individuals who are experiencing difficulties stabilizing their substance abuse and mental health issues and are in need of short-term intensive treatment of approximately 30 days. The program accepts men and women age eighteen and up who are assessed with high severity of mental health symptoms who may also require medication-assisted treatment support with methadone or suboxone. Out of all clients discharging from this program 83% completed their course of treatment, 94% reduced or eliminate their substance use and 100% improved their overall level of functioning. Treatment to Pathway Program (TPP) - The TPP program works in collaboration with Connecticut Department of Correction and Connecticut Judicial Branch. TPP provides an innovative, uniquely designed program to divert non-violent offenders living with substance use and/or mental health disorders. The TPP program is located in Bridgeport Superior Court and provides immediate, comprehensive, clinical assessment and assertive linkage for those individuals who are more appropriately served by treatment than incarceration. The program has had a significant impact in reducing the number of individuals jailed unnecessarily. It also demonstrates the positive impact of providing appropriate treatment and services in lowering recidivism and re-arrest rates. Jay Brothers Unified Resource Center (JBURC) - This program, located in Bridgeport, Connecticut, is our newest outpatient treated program. JBURC is CARF accredited and licensed by the Department of Public Health for both psychiatric and substance abuse services. This program serves male and female adult clients who have been affected by substance abuse and/or psychiatric issues. The program offers a variety of group sessions to help clients learn tools and skills to reduce their use of substances and eventually become abstinent. In addition, this program offers an intensive outpatient treatment program. Family/couples sessions are strongly encouraged as a means of improving communication and to serve as a foundation for establishing healthier relationships. |
| WRITTEN WHISTLEBLOWER POLICY - Part VI, Section B, Line 13 | THE AGENCY HAS A WRITTEN WHISTLEBLOWER POLICY, INCLUDING A PHONE HOTLINE. |
| PART XII, LINE 2 C | THERE HAS BEEN NO CHANGE IN OVERSIGHT PROCESS OR SELECTION PROCESS FROM PRIOR YEAR. |
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