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      <Description>GOSNOLD OUTPATIENT PROGRAM - EXPENSE EXCLUDES ADMINISTRATIVE OVERHEAD AND REVENUE EXCLUDES MISCELLANEOUS REVENUE AND RESTRICTED DONATIONS. GOSNOLD OFFERS OUTPATIENT TREATMENT AT FIVE LOCATIONS ON CAPE COD AND TWO OFF-CAPE LOCATIONS IN BROCKTON AND N. DARTMOUTH. THE OUT-PATIENT LOCATIONS PROVIDE ADDICTION TREATMENT, INDIVIDUAL AND FAMILY COUNSELING, INTERVENTION SERVICES, AND GROUP COUNSELING. THE GOSNOLD STAFF INCLUDES QUALIFIED MENTAL HEALTH COUNSELORS, PSYCHIATRISTS, PSYCHOLOGISTS, PHYSICIANS, PSYCHIATRIC NURSES, AND INTERVENTION SPECIALISTS. CERTIFIED AND LICENSED COUNSELORS WORK WITH PATIENTS ON THE DISEASE CONCEPT OF ADDICTION, RECOVERY MANAGEMENT SKILLS, THE TWELVE STEPS, RELAPSE PREVENTION, FAMILY COUNSELING AND RELATIONSHIP ISSUES. THE INTERVENTION SPECIALISTS CONDUCT STRUCTURED INTERVENTIONS TO HELP FAMILY MEMBERS COMMUNICATE THEIR CONCERNS ABOUT A LOVED ONES' ADDICTION IN ORDER TO MOTIVATE THEM TO ACCEPT TREATMENT. GROUP COUNSELING TREATMENT IS RECOGNIZED AS ONE OF THE BEST WAYS TO TREAT ADDICTION. GOSNOLD OFFERS A NUMBER OF GROUP EDUCATIONAL AND THERAPY SESSIONS TO HELP PEOPLE AT VARIOUS STAGES OF RECOVERY. DAY AND EVENING TREATMENTS PROGRAMS ARE DESIGNED FOR PERSONS IN NEED OF INTENSIVE AND STRUCTURED TREATMENT, BUT WHO MAY NOT CURRENTLY REQUIRE A RESIDENTIAL OR INPATIENT PROGRAM. IT ADDRESSES IMPORTANT RECOVERY CONCEPTS INCLUDING RECOVERY MANAGEMENT AND RELAPSE PREVENTION, TWELVE STEP WORK, IMPROVING UNDERSTANDING OF THE DISEASE CONCEPT OF ADDICTION, IDENTIFYING AND REDUCING EMOTIONAL AND BEHAVIORAL OBSTACLES TO RECOVERY, AND IMPROVING COMMUNICATIONS SKILLS. THE MENTAL HEALTH STAFF PROVIDES ADULT AND CHILD PSYCHIATRY, PSYCHOLOGICAL TESTING, MEDICATION MANAGEMENT, ASSESSMENT, AND TREATMENT OF EMOTIONAL AND PSYCHOLOGICAL ILLNESSES AND DISORDERS. SPECIALISTS ARE AVAILABLE TO DIAGNOSE AND TREAT A FULL RANGE OF MENTAL ILLNESS AND EMOTIONAL DISORDERS, INCLUDING CO-DEPENDENCY, BIPOLAR ILLNESS, ADJUSTMENT DISORDERS, GRIEF AND LOSS, DUAL DIAGNOSES, COMPULSIVE GAMBLING, ABUSE, DEPRESSION, POST-TRAUMATIC STRESS DISORDERS, AND OBSESSIVE-COMPULSIVE DISORDER. THIS PROGRAM SAW MORE THAN 6,600 PATIENTS.</Description>
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        <Description>GOSNOLD TREATMENT CENTER - EXPENSE EXCLUDES ADMINISTRATIVE OVERHEAD AND REVENUE EXCLUDES MISCELLANEOUS REVENUE AND RESTRICTED DONATIONS. GOSNOLD TREATMENT CENTER PROVIDED RESIDENTIAL ALCOHOL DETOXIFICATION SERVICES TO MORE THAN 3,300 PATIENTS. THE PRIMARY CARE IS MEDICAL DETOXIFICATION AND STABILIZATION. THE GOSNOLD TREATMENT CENTER, LOCATED ADJACENT TO FALMOUTH HOSPITAL IS A 50 BED FACILITY WHICH INCLUDES SEMI-PRIVATE BEDROOMS, LOUNGES, A DINING AREA, GROUP THERAPY ROOMS AND COUNSELING OFFICES. THE DETOXIFICATION PROGRAM IS STAFFED BY PHYSICIANS, NURSES, COUNSELORS AND RECOVERY AIDES WHO PROVIDE MEDICAL AND COUNSELING CARE TO PATIENTS UNDERGOING WITHDRAWAL OF TREATMENT. TREATMENT BEGINS WITH A MEDICAL ASSESSMENT AND EVALUATION. A VARIETY OF MEDICATIONS ARE USED TO REDUCE THE DISCOMFORT OF WITHDRAWAL. WE ADMINISTER BUPRENORPHINE (SUBOXONE) FOR OPIATE WITHDRAWAL TREATMENT. GOSNOLD DOES NOT USE METHADONE. THE DETOXIFICATION PERIOD STAY VARIES, DEPENDING ON PATIENT NEEDS. THE MEDICAL AND COUNSELING STAFF MEETS REGULARLY TO REVIEW PROGRESS. PATIENTS ATTEND EDUCATIONAL SESSIONS, INDIVIDUAL AND GROUP COUNSELING AND 12 STEP GROUPS. COUNSELORS HELP PATIENTS TO UNDERSTAND THEIR DISEASE, ITS SYMPTOMS AND PROGRESSION AND TREATMENT OPTIONS AVAILABLE IN CONTINUING CARE.</Description>
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        <Description>GOSNOLD AT CATAUMET - EXPENSE EXCLUDES ADMINISTRATIVE OVERHEAD AND REVENUE EXCLUDES MISCELLANEOUS REVENUE AND RESTRICTED DONATIONS. THE CATAUMET PROGRAM PROVIDES RESIDENTIAL REHABILITATION SERVICES TO SUBSTANCE ABUSERS. SERVICES WERE PROVIDED TO MORE THAN 500 PATIENTS. THE PROGRAM OFFERS REHABILITATION FOR ADULT MEN AND WOMEN WHO REQUIRE A LONGER TREATMENT STAY. THE FORTY BED PROGRAM IS LOCATED IN CATAUMET, ABOUT NINE MILES FROM FALMOUTH. IT OVERLOOKS A NATURAL WOODED AREA THAT SURROUNDS A LARGE CRANBERRY BOG. IT INCLUDES PRIVATE AND SEMI-PRIVATE ACCOMMODATIONS, COUNSELING AND GROUP TREATMENT ROOMS, LOUNGES, DINING ROOM AND OUTDOOR SITTING AREAS. USING THE "BUILDING RECOVERY" TREATMENT MODEL, STAFF ASSISTS PATIENTS TO IDENTIFY RECOVERY OBSTACLES AND DEVELOP THE SKILLS NECESSARY TO SUSTAIN RECOVERY. THE PROGRAM INCLUDES DAILY GROUP COUNSELING, ADDICTION EDUCATION, TWELVE STEP MEETINGS, PEER INTERACTION, SPECIAL ISSUES GROUPS, FITNESS PROGRAMS, MEDITATION AND REFLECTION TIMES, AND "BUILDING RECOVERY" SESSIONS. THE TREATMENT TEAM INCLUDES ADDICTION THERAPISTS, NURSES, FITNESS COORDINATORS, PHYSICIANS, PSYCHOLOGISTS AND PSYCHIATRISTS. PATIENTS PARTICIPATE IN THEIR RECOVERY PROGRAM IN INTERACTIVE GROUP SESSIONS AND GROUP LEARNING ACTIVITIES WHERE THEY IDENTIFY AND PRACTICE RECOVERY SKILLS THAT CAN HELP THEM DEAL WITH THE UPS AND DOWNS OF EARLY RECOVERY. DAILY GROUPS EMPHASIZE CHOICE, ACTION, AND PROBLEM SOLVING TO BETTER PREPARE PEOPLE FOR THE WORK OF CONVERTING AN ACTIVE ADDICTION INTO A REWARDING ABSTINENCE BASED LIFE. A FAMILY EDUCATION PROGRAM IS OFFERED FOR CONCERNED FAMILY MEMBERS AND LOVED ONES TO HELP THEM LEARN ADDICTION AND THE ROLE THEY HAVE IN RECOVERY. IT ALSO INTRODUCES FAMILY MEMBERS TO PROGRAMS SUCH AS AL-ANON AND THE SERVICES OFFERED TO FAMILIES IN GOSNOLD'S OUT-PATIENT PROGRAM.</Description>
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      <Form990ScheduleJPartII>
        <NamePerson>JAMES MCGUIRE</NamePerson>
        <BaseCompensationFilingOrg>182581</BaseCompensationFilingOrg>
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    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 4</Identifier>
        <Explanation>MATERIAL CHANGES TO THE BY-LAWS INCLUDE CHANGES IN TERM LIMITS, INCREASING THE QUORUM AND FURTHER DEFINING INDEMNIFICATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>THE FORM 990 IS PREPARED BY OUR INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY THE FINANCE COMMITTEE. THEY APPROVE THE DRAFT FORM 990 WHICH IS THEN PROVIDED TO THE FULL BOARD FOR APPROVAL PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST FORM ANNUALLY. IF A POTENTIAL CONFLICT IS FOUND TO EXIST, THAT INDIVIDUAL IS BARRED FROM PARTICIPATING IN ANY DELIBERATIONS OR DECISIONS REGARDING THE CONFLICTING MATTER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>THE FULL BOARD VOTES ON ADJUSTMENTS TO THE CEO'S COMPENSATION ON AN ANNUAL BASIS. COMPENSATION FOR OFFICERS IS REVIEWED BY THE CEO AND COMPARED TO SALARY BENCHMARKS FOR THE AREA. IN ALL CASES, REVIEW AND APPROVAL ARE DONE BY INDEPENDENT PERSONS AND THERE IS DOCUMENTATION OF THE DELIBERATIONS AND DECISIONS OF THE MATTER.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON WRITTEN REQUEST. THE AUDITED FINANCIAL STATEMENTS AND THE FORM 990 ARE AVAILABLE VIA THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>NET UNREALIZED LOSSES ON INVESTMENTS: -4,277. NET ASSETS OF GOSNOLD FOUNDATION NOT INCLUDED ON THIS RETURN -29,699. TOTAL TO FORM 990, PART XI, LINE 5: -33,976.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>IS THERE A COMMITTEE THAT ASSUMES OVERSIGHT OF THE AUDIT?</Identifier>
        <ReturnReference>FORM 990, PART XII, LINE 2C:</ReturnReference>
        <Explanation>THE FINANCE COMMITTEE OVERSEES THE AUDIT. THERE HAVE BEEN NO CHANGES IN THE COMMITTEE'S RESPONSIBILTY FOR THE OVERSIGHT OF THE AUDIT.</Explanation>
      </GeneralExplanation>
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          <BusinessNameLine1>THE GOSNOLD FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>200 TER HEUN DRIVE</AddressLine1>
          <City>FALMOUTH</City>
          <State>MA</State>
          <ZIPCode>02540</ZIPCode>
        </AddressUS>
        <EIN>042662134</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>MA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>LINE 7</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>1</ControlledOrg>
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      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
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      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
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