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        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>ENDOWMENTS INCLUDE BOARD DESIGNATED INVESTMENTS TO BE USED FOR THE OPERATION OF THE FACILITY AND TREATMENT PROGRAMS, TWO TRUSTS HELD BY THIRD PARTIES, INCOME OF WHICH IS RESTRICTED BY THE DONORS, AND THREE DONOR RESTRICTED FUNDS (TWERSKI FUND, WOMEN'S RESOURCE FUND, AND FRANK'S FUND). THE TWERSKI FUND IS FOR THE PURPOSE OF SUPPORTING THE INDIGENT IN TREATMENT THROUGH LOANS OR FULL CHARITY CARE. THE WOMEN'S RESOURCE FUND IS TO HELP WOMEN MAINTAIN SOBRIETY THROUGH FEELINGS OF SELF-WORTH BY RECEIVING SUPPORT FOR FAMILY INTERACTION. FRANK'S FUND IS FOR THE PURPOSE OF SUPPORTING RESIDENTS OF OUR YOUTH HALF WAY HOUSE IN THEIR TRANSITION FROM TREATMENT BACK TO SOCIETY.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART XI, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
        <ExplanationTxt>SPECIAL EVENTS EXPENSE 21,012. INCREASE IN INCOME TRUSTS 33,776.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART XII, LINE 2D - OTHER ADJUSTMENTS:</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 1946, THE YOUNGSTOWN COMMITTEE ON ALCOHOLISM, INC., DBA NEIL KENNEDY RECOVERY CLINIC (NKRC) OPENED TO SERVE THE RESIDENTS OF YOUNGSTOWN, OH AND THE MAHONING VALLEY. THE CLINIC WAS FOUNDED BY INDIVIDUALS THAT HAD PERSONAL HISTORIES OF ADDICTION AND WHO UNDERSTOOD THE NEED FOR A SAFE, SECURE PLACE WHERE ALCOHOL AND OTHER DRUG-DEPENDENT INDIVIDUALS AND THEIR FAMILIES COULD RECEIVE COMPASSIONATE CARE AND PROFESSIONAL TREATMENT SERVICES. NKRC IS KNOWN FOR ITS QUALITY OF CARE AND RESPECT FOR THE INDIVIDUAL, AND PROVIDES SOME FINANCIAL ASSISTANCE FOR INDIVIDUALS WITHOUT INSURANCE OR OTHER MEANS TO PAY FOR TREATMENT. TODAY, NKRC PROVIDES THE FOLLOWING SERVICES: 1) DETOXIFICATION: TREATMENT TO RID THE BODY OF HARMFUL DRUGS AND MANAGE WITHDRAWAL SYMPTOMS; ALSO, INCLUDES BEHAVIORAL-BASED THERAPY AND MEDICATION ASSISTED TREATMENT AS NECESSARY. LAST YEAR, NKRC OPENED THE HEARTLAND REGIONAL DETOX CENTER LOCATED IN MERCY HEALTH HOSPITAL IN YOUNGSTOWN, OH. 2) INPATIENT CARE: 28-DAY, GENDER AND AGE-BASED PROGRAMS THAT EDUCATE PATIENTS ABOUT THE DISEASE OF ADDICTION, AND FOCUS ON EARLY RECOVERY SKILLS AND TOOLS; AVAILABLE IN INDIVIDUAL, GROUP, FAMILY, GENDER-SPECIFIC, AGE-SPECIFIC, RELAPSE PREVENTION AND PASTORAL COUNSELING SESSIONS. THE PROGRAM ALSO OFFERS HOLISTIC PROGRAMS THAT FOCUS ON HEALTH AND WELLNESS. 3) FAMILY PROGRAMMING: WE ENGAGE, EDUCATE, SUPPORT AND PROVIDE HOPE TO FAMILY AND LOVED ONES ON THE DISEASE OF ADDICTION, THE ONGOING PROCESS OF RECOVERY; AND ITS IMPACT. 4) OUTPATIENT CARE: INDIVIDUAL, GROUP AND FAMILY SESSIONS HELD AT CONVENIENT TIMES AND LOCATIONS; DESIGNED TO HELP PATIENTS RESUME AND MAINTAIN WORK/LIFE ROUTINES WHILE ENGAGING IN TREATMENT AND BUILDING THEIR RECOVERY NETWORK. 5) EVIDENCE-BASED TREATMENT: NKRC HAS BEEN OFFERING A VARIETY OF EFFECTIVE SCIENTIFICALLY PROVEN TREATMENT METHODS TO HELP LEAD THE FIELD OF SUBSTANCE USE DISORDER TREATMENT. OUR STANDARD OF CARE FOR TREATMENT OF OPIOID USE DISORDER (OUD) AND ALCOHOL USE DISORDER (AUD) IS PSYCHOSOCIAL INTERVENTION, BEHAVIOR MODIFICATION, 12-STEP RECOVERY SUPPORT AND MEDICATION-ASSISTED TREATMENT (MAT). MAT HAS BEEN FIRMLY ESTABLISHED AS A CRITICAL EVIDENCE-BASED TREATMENT PRACTICE RESULTING IN REDUCED OVERDOSE RATES AND IMPROVED RETENTION IN A RECOVERY PROGRAM. MAT IS ENDORSED BY THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA), THE AMERICAN SOCIETY OF ADDICTION MEDICINE (ASAM), THE WORLD HEALTH ORGANIZATION (WHO), AND COUNTLESS OTHER ORGANIZATIONS. 6) EXTENDED CARE: FOLLOWING RESIDENTIAL INPATIENT TREATMENT, INDIVIDUALS HAVE THE OPTION TO MOVE TO COMMUNITY-BASED SOBER LIVING FACILITIES. PATIENTS PRACTICE DAILY RECOVERY SKILLS BY HOLDING JOBS, ATTENDING SCHOOL AND PARTICIPATING IN COMMUNITY SERVICE ACTIVITIES. 7) RECOVERY COACHING: A PEER-BASED MODEL IN WHICH AN INDIVIDUAL WITH A PERSONAL HISTORY OF RECOVERY ASSISTS PATIENTS AS THEY TRANSITION FROM TREATMENT TO BACK INTO THE COMMUNITY. A NUMBER OF RESEARCH STUDIES HAVE CONCLUDED THAT PEER PROGRAMS HAVE PROVEN TO BE EFFECTIVE IN SUPPORTING PATIENTS' SUSTAINED ENGAGEMENT IN TREATMENT AND REDUCED PATIENT VULNERABILITY TO RELAPSE. 8) DRUG-FREE WORKPLACE PROGRAM: TEAMWORK, COMMUNICATION, RESPECT AND PRODUCTIVITY ALL IMPROVE WHEN YOUR EMPLOYEES ARE MOTIVATED, FOCUSED AND DRUG-FREE. NEIL KENNEDY'S DRUG-FREE WORKPLACE PROGRAM PROVIDES EMPLOYERS WITH THE STAFF TRAINING AND TOOLS NEEDED TO CREATE SUCH AN ENVIRONMENT. THE NKRC OPERATES ONE INPATIENT SITE ON RUSH BLVD. IN YOUNGSTOWN, OHIO, ONE REGIONAL DETOX /WITHDRAW MANAGEMENT SITE IN THE MERCY HEALTH HOSPITAL ON BELMONT AVENUE IN YOUNGSTOWN, OH AND ONE OUTPATIENT OFFICE IN AUSTINTOWN, OHIO. IN ADDITION, NKRC OFFERS FOUR GENDER-SPECIFIC SOBER RESIDENCES WITHIN MAHONING AND TRUMBULL COUNTIES, WHICH PROVIDE SAFE AND SECURE LIVING ENVIRONMENTS AS WELL AS CRITICAL SUPPORT TO PATIENTS IN THE EARLY STAGES OF RECOVERY. SOBER-LIVING RESIDENTS CONTINUE TO ATTEND ALL-DAY TREATMENT SESSIONS AT RUSH BLVD. AND RETURN TO THEIR HOUSES AT DAY'S END. DICK RILEY FELLOWSHIP HALL, LOCATED SEVERAL BLOCKS AWAY FROM NKRC, IS ALSO PART OF THE ORGANIZATION AND PROVIDES INDIVIDUALS IN THE RECOVERY COMMUNITY WITH A SPACE TO GATHER FOR 12-STEP MEETINGS AND RECOVERY-FOCUSED SOCIAL ACTIVITIES. IN 1999, NKRC BECAME A SUBSIDIARY OF GATEWAY REHABILITATION CENTER, WHICH HAS 12 LOCATIONS IN WESTERN PENNSYLVANIA. THE ORGANIZATION REVISED ITS NAME TO NEIL KENNEDY RECOVERY CENTERS, FORMERLY NEIL KENNEDY RECOVERY CLINIC, IN 2016 TO APPROPRIATELY REFLECT THE ORGANIZATION'S SCOPE OF OPERATIONS WHICH HAVE GROWN CONSIDERABLY SINCE 1946.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>UNDER AN INTEGRATION AGREEMENT WITH GATEWAY REHABILITATION CENTER (GRC), GRC IS THE SOLE MEMBER OF YOUNTSTOWN COMMITTEE ON ALCOHOLISM, INC.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE YOUNTSTOWN COMMITTEE ON ALCOHOLISM, INC. IS A SUBSIDIARY OF GATEWAY REHABILITATION CENTER WHO ELECTS MEMBERS OF THE GOVERNING BODY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>GATEWAY REHABILITATION CENTER IS THE SOLE MEMBER OF THE CORPORATION AND THE GATEWAY BOARD HAS FINAL AUTHORITY OVER THE NEIL KENNEDY RECOVERY CENTERS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPLETED FORM 990 IS DISTRIBUTED TO THE FINANCE COMMITTEE AND THE FULL BOARD OF DIRECTORS FOR REVIEW PRIOR TO SUBMISSION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DIRECTORS AND OFFICERS ARE REQUIRED TO COMPLETE AND SIGN THE CONFLICT OF INTEREST POLICY AND STATEMENT ANNUALLY. THE SIGNED STATEMENTS ARE MAINTAINED BY THE ORGANIZATION.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE VICE PRESIDENT OF FINANCE OBTAINS COMPARABLE SALARY INFORMATION FROM 990'S OF LIKE ORGANIZATIONS FOR VARIOUS KEY EMPLOYEE POSITIONS. THE INFORMATION IS PROVIDED TO THE GATEWAY REHABILITATION CENTER EXECUTIVE AND COMPENSATION COMMITTEE, ALONG WITH THE CURRENT SALARY AND BENEFITS OF THE KEY EMPLOYEES, PRIMARILY THE EXECUTIVE DIRECTOR.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>FINANCIAL STATEMENTS ARE SENT TO PUBLIC FUNDERS AS REQUIRED BY CONTRACT. DONORS ARE PROVIDED FINANCIAL STATEMENTS UPON REQUEST. OTHER GOVERNING DOCUMENTS ARE PROVIDED BY RESOLUTION.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART IX, LINE 11G</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 976,786. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 976,786. OTHER COMPUTER SERVICES: PROGRAM SERVICE EXPENSES 17,447. MANAGEMENT AND GENERAL EXPENSES 11,741. FUNDRAISING EXPENSES 25. TOTAL EXPENSES 29,213.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>INCREASE IN INCOME TRUSTS 33,776.</ExplanationTxt>
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