| FORM 990, PAGE 2, PART III, LINE 4A |
BASIC LIFE SKILLS, APPROPRIATE BEHAVIOR FOR THE WORKPLACE AND APPROPRIATE SOCIAL BEHAVIORS. DAY HABILITATION SERVICES IN THIS PROGRAM INCLUDE TRANSPORTATION TO AND FROM A DAY TREATMENT PROGRAM. HOMEMAKER SERVICES ARE GENERAL HOUSEHOLD OR CHORE ACTIVITIES PROVIDED BY A TRAINED HOMEMAKER WHEN THE INDIVIDUAL REGULARLY RESPONSIBLE FOR THESE IS TEMPORARILY ABSENT OR UNABLE TO MANAGE THE HOME AND CARE FOR HIM OR HERSELF OR OTHERS IN THE HOME. 132 PERSONS WERE SERVED ON A DAILY BASIS IN FY17. |
| FORM 990, PAGE 2, PART III, LINE 4B |
USE OF COMMUNITY SERVICES. RESPITE SERVICES ARE DESIGNED TO MEET THE SAFETY AND DAILY NEEDS OF THE RECIPIENT AND THE NEEDS OF THE RECIPIENT'S CARE GIVER IN RELATION TO REDUCING THE STRESS CAUSED BY THE PROVISION OF CONSTANT CARE TO AN ADULT WITH DEVELOPMENTAL DISABILITIES. 150 INDIVIDUALS WERE SERVED ON A DAILY BASIS IN FY17. |
| FORM 990, PAGE 2, PART III, LINE 4C |
THEY ARE PROVIDED WITH THE STAFF SUPPORTS TO HELP THEM MEET THEIR EMPLOYMENT GOALS. 156 CLIENTS SERVED IN THIS PROGRAM GENERATED OVER 1,273,000 IN GROSS SALES REVENUE IN FY 17. THE WAGES AND BENEFITS EARNED BY THESE 156 CLIENTS TOTALED OVER 753,000 IN FY17. |
| FORM 990, PAGE 2, PART III, LINE 4D |
OTHER PROGRAMS INCLUDE GROUP HOME ROOM & BOARD, SUPPORTED LIVING SITES, PRIVATE PAY SERVICES, PAYEE SERVICES, RECREATION PROGRAM SERVICES, CASE MANAGEMENT, WORK SERVICE, XIXMD & SCWL, TRANSPORTATION, COUNSELING & NURSING, AND VOCATIONAL SERVICES. |
| FORM 990, PAGE 6, PART VI, LINE 11B |
PRIOR TO FILING THE FORM 990, A DRAFT WAS EMAILED TO EACH BOARD MEMBER TO REVIEW. THE CEO AND CFO ALSO MEET AND REVIEW THE RETURN PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C |
BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT FORM ANNUALLY. IF ANY POTENTIAL CONFLICTS OF INTEREST ARE NOTED ON THE FORMS, THEY ARE PRESENTED TO THE FULL BOARD FOR REVIEW. CONFLICTS OF INTEREST ARE ALSO AN AGENDA ITEM THAT IS BROUGHT UP AND DISCUSSED AT BOARD MEETINGS ON A QUARTERLY BASIS THROUGHOUT THE YEAR. BOARD MEMBERS ARE ASKED TO DISCLOSE ANY POSSIBLE ISSUES AT THAT TIME. |
| FORM 990, PAGE 6, PART VI, LINE 15A |
THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS MEETS ON AN ANNUAL BASIS TO REVIEW THE CEO'S AND CFO'S COMPENSATION PACKAGES AND TO MAKE RECOMMENDATIONS FOR CHANGES TO COMPENSATION TO THE FULL BOARD FOR APPROVAL. A WRITTEN RECORD OF THE CHANGE IS SIGNED BY THE BOARD PRESIDENT AND GIVEN TO THE PAYROLL DEPARTMENT. |
| FORM 990, PAGE 6, PART VI, LINE 15B |
THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS MEETS ON AN ANNUAL BASIS TO REVIEW THE OFFICERS' COMPENSATION PACKAGES AND TO MAKE RECOMMENDATIONS FOR CHANGES TO COMPENSATION TO THE FULL BOARD FOR APPROVAL. A WRITTEN RECORD OF THE CHANGE IS SIGNED BY THE BOARD PRESIDENT AND GIVEN TO THE PAYROLL DEPARTMENT. |
| FORM 990, PAGE 6, PART VI, LINE 19 |
THE ORGANIZATGION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION ALSO USES ITS WEBSITE TO INFORM THE PUBLIC THAT THESE DOCUMENTS ARE AVAILABLE FOR REVIEW AT ITS MAIN OFFICE. |
Attach to Form 990 or 990-EZ.