HOPE STARTS HERE

2 0 1 7 A N N U A L R E P O R T

“I think that it’s important for people with mental illness and substance abuse issues to realize that recovery IS possible. By coming to CN Guidance, I received all the support that I needed to stay well, through group therapy and help from the amazing staff.”

To Our Community:

In a world where people can order, view, or receive almost anything “on demand,” often with same-day access, why has healthcare – needed by everyone – been left out?

We’ve engaged this question over years, and – excitingly in 2017 – we made great leaps.

Via innovation and enhanced partnership with the State, CN Guidance & Counseling Services vastly expanded on-the-spot appointments for people struggling with mental health and substance use issues — regardless of their ability to pay.

Declared a “Certified Community Behavioral Health Clinic” (CCBHC) in July by state and federal offices, CN Guidance and our new Integrated Counseling & Recovery Services program have met rigorous requirements to serve as one of only 13 providers across NY state and 67 nationwide taking healthcare access and quality to a new level. We are part of a 2-year demonstration project that providers and leaders around the country are watching closely.

Thanks to CCBHC reimbursement rates and our own vision, CN Guidance has increased its staff by over 50 people, expanded hours that we can see clients for same-day appointments, and provided a new combination of assessment and treatment for mental health, substance use disorder, and physical/medical conditions, all under one roof. We are better able to reach vulnerable populations such as Veterans, housing-unstable individuals, and people struggling with co-occurring disorders.

In just the first six months, we increased the number of people enrolling in our clinic services by 42%, partly by reducing average waiting time for an appointment by 60% .

And we’re not done yet. In 2018, acknowledging many people’s comfort with technology, we’re seeking support to deliver treatment via telemedicine (secure video and audio) to reach more people in need who otherwise would have no access to care.

Stay tuned! And thank you for your support.

Access to Care

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Jeffrey Friedman

Chief Executive OfficerJeffrey Friedman

CNG by the Numbers (2017)

6,766 Number of unique individuals directly served across all CN Guidance programs

103,626 Number of distinct CN Guidance staff activities delivered to the 6,766 individuals served

444Number of people receiving housing-related services via CN Guidance

25 Average number of years younger than the general U.S. population that people with serious

mental illness die when untreated. This unacceptable number drives CN Guidance’s work.

60% Reduction this year in average client wait time between first request and face-to-face

clinical help

64,070 U.S. residents who died in one year from drug overdose

(Car deaths/yr = 35,092. Vietnam war all years total = 58,200)

0 Suicides by CN Guidance clients in 2017

James F. O’Brien

Board PresidentJames O’Brien

Huntington

Melville

Commack

Bay Shore

Shirley

Port Jefferson

Ronkonkoma

Hempstead

CN Guidance & Counseling Services is a nonprofit

organization that improves the quality of life for

individuals and families on Long Island affected by

mental health and/or substance use disorders.

We have been serving the community since 1972.

We believe in the ability of every individual to recover.

What We Do

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Where We Are: Long Island

Suffolk

Nassau

HicksvilleNew York

Queens

Brooklyn

Who We Are

348 staff...Each person stepping up to lead the change in making healthcare more accessible.

“CNG leadership is about a vision in getting the best results for our clients and spreading our passion for the empowering work we do.”

– Carol Otero, Director of Human Resources

“The atmosphere at CN Guidance nurtures growth of not only those we serve, but the employees as well. Every day, I come to work knowing I will be part of a supportive team that values empowering individuals in order to build a stronger community.”

– Antoinette DeGruccio, LMSW

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How We Are Unique

INCREASED ACCESS: CN Guidance is now a Certified Community Behavioral Health Clinic (CCBHC)

One of only 13 across New York State

One of only 67 across the United States

Key pillars of this comprehensive outpatient program are:

l Mental health counseling and treatment l Substance use disorder counseling and treatment l Primary care screening and monitoring

Early Signs of Impact: Increased Access42% more clients entering our mental health and substance use programs than last year. Average wait-time down 60%

“I am very pleased… from the front office to all of the Counselors/therapists and after every visit, I feel better about myself. You cannot put a price on that.”

Sampling of CCBHC Service Features4 Same-day access to care4 Individual, family, and group therapy4 Medication-assisted treatment4 Medication management4 Detoxification (“detox”)4 Case management4 Crisis mental health services including: – 24/7 mobile crisis team – Emergency crisis intervention services4 Evidence-based practices (proven effective)4 Targeted treatment for veterans and members of the armed services

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Other Core Programs (2017)

Care Management Services (Health Home)Coordination of care. Helping individuals connect to needed services.

In 2017, this program served 1,065 clients (521 of them new), with 86% reporting high adherence to their medications.

Residential ServicesGroup homes, supportive housing, crisis respite, and family housing.

”When I was homeless they found me housing, provided me transportation, and helped me reconnect with family.” Home and Community-Based Services (HCBS)Empowerment/peer supports, individual employment services, and educational support services.

“The program has helped me improve my social skills, reduce my stress and make me ready for work.”

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Personalized Recovery-Oriented Services (PROS)A comprehensive structured program for individuals with serious mental illness.

PROS provided 222 participants in 2017 the opportunity to choose from 130 groups per week to meet their diverse needs and individual recovery goals. Fewer than 5% of participants required inpatient treatment.

“PROS has helped me put my life back together andmaintain my wellness.”

“PROS is a good support network, and what I was missing in my life was support… support is everything.”

Assertive Community Treatment (ACT)Mobile psychiatrist, social worker, nurse, and peer specialist serving high-risk individuals out in the community, using a mobile and team-based approach.

“Thank goodness I found CNG!! They are saving my life!”

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Youth/Young Adult-Oriented Supportl Project FORWARD is a program that helps young individuals and couples develop relationship and communication skills.

l The Northport/East Northport Community Drug and Alcohol Task Force engages parents, teachers, youth, pharmacists, media, police, religious leaders, and others to help reduce substance use among youth. See our Color Run event!

“I never knew I had been in an abusive relationship until I took this workshop.”

Drop-In Center and Starry Night Café Venues for individuals with developmental and mental health disabilities to socialize and express through art, music, and poetry.

“I just got a surprise birthday cake. I almost cried. Nobody else does that for me ever.”

“You guys are like family to me, always helping me when I need it.”

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Our Events 2017

Ribbon Cutting at New Crisis Respite Center2017 marked the opening of our new Crisis Respite Center: for people in crisis or at imminent risk, a place to stay for up to 30 days, with 24-hour supervision.

‘RUNDAY’ The 2017 Barbara Bartell Memorial Runday, engaged over 300 runners in a 5k and half-mile fun-run for kids. 2018 Runday to be held Saturday, May 26th at 8:30AM. Hicksville.

Golf OutingMore than 100 community members came to Woodbury in July to participate in a sold-out annual golf outing that supports the work of CN Guidance. 2018 golf outing to be held Monday, July 16th. 1PM tee time. Woodbury.

Color RunThis substance use awareness event, co-led by youth in the Northport/East Northport Drug & Alcohol Task Force, kicks off a campaign for Recovery Awareness and Prevention (RAP) Week.2018 Color Run to be held Saturday, October 20th. Northport/East Northport.

TASTE of HOPE 180 community members came together at CN Guidance’s third annual Taste of Hope gala in late October.2018 Taste of Hope Gala to be held Wednesday, October 24th. 6:30PM. Old Westbury.

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SOURCES OF FUNDS $24,883,000

EXPENSE CATEGORIES

2017 Financial Review

January 1, 2017 - December 31, 2017 STATEMENT OF ACTIVITIES 2017 2016 2015SUPPORT & REVENUE Medicaid & Managed Medicaid $ 12,539,000 $ 12,685,000 $ 9,334,000 Commercial Insurance 1,804,000 237,000 473,000 Government Grants and Contracts 8,793,000 7,694,000 6,581,000 Other 1,747,000 1,543,000 1,200,000

TOTAL Support & Revenue $ 24,883,000 $ 22,159,000 $ 17,588,000 OPERATING EXPENSES Program Services $ 20,740,000 $ 17,673,000 $ 14,540,000 Management & General 2,303,000 2,058,000 1,676,000 Facilities Management 324,000 279,000 305,000 Fundraising 144,000 162,000 103,000

TOTAL Operating Expenses $ 23,511,000 $ 20,172,000 $ 16,624,000 Note: 2015 and 2016 figures reflect adjustments made since last year’s Annual Report.

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HealthHome CareManagement $3,742,000

PROS $1,632,000

ACT Teams $1,759,000

Other 2%

SSI & Client Rent 5%

Commercial Insurance 7%

Medicare 1%

Integrated Counseling & Recovery Services $5,177,000

ResidentialServices $8,655,000

Clinic

ProjectFORWARD$951,000

Other $865,000

Integrated Primary Care $447,000

Drop In / Starry Night $283,000

CAFE

Government Grants and Contracts 35%

Medicaid / Managed Medicaid 50%

Our Generous Supporters - Thank You

Visionary $10,000+Alcott HR Group LLCBank of America FoundationBethpage Federal Credit UnionCook Maran & Associates, Inc.Nawrocki Smith LLPUnited Fund of Manhasset

Benefactor $5,000-$9,999Barker Aggregates, Ltd.Brown & Weinraub, PLLCLoraine MillmanM&T Charitable FoundationMaureen DiBernardoNew York Community Bank FoundationPeople’s United Bank

Sponsor $2,000-$4,999A&C Pest ManagementHugh & Jean BentleyIrwin Contracting Inc.Michael DiFrancescaMilton and Fannie Brown Family FoundationMutual of AmericaNassau County Criminal Courts Bar FoundationSignature BankThe Law Offices of James F. O’BrienTusa & Associates CPA, P.C.Utility Enterprises Co., Inc.Wilbur KranzWorldwide Planning Group, Inc.

Champion $1,000-$1,99955 Ames Court LLC Adelphi UniversityAetnaAutomall Imports LLC d/b/a Atlantic Chevrolet CadillacBrent Mako Real Estate GroupCHI Contracting Inc.Doctor Print Inc.Empire National BankFarrell Fritz, P.C.Focus Rx Pharmacy Services, Inc.Jackson Lewis P.C.JMS Management & Construction Inc.Jovani Enterprises Inc.Lamb & Barnosky, LLPLinda KaralesLMJ Management & Construction Inc.Lorenz Schneider Co., Inc.Mark SeidenNuLine Mechanical Services, LLCSeafield Services, Inc.The B&G Group, Inc.TRI Business and Career CenterUrban Digital SolutionsWalter & Samuels, Inc.Watral Brothers Inc.Write It For Me

Advocate $500-$999Advanced Epoxy Flooring Systems, Inc.

Albrecht, Viggiano, Zureck & Co., P.C.Atlantic Auto Group/NY Auto GiantAWS Mechanical, Corp.BK Fire Suppression & Security SystemsBravo Construction Corp.C A Rich Consultants, Inc.Daniel PaveseDoor to Door, Inc.Duck Island Bread CompanyDuncan and Sue MacDonaldEnviroTrac Ltd.Formation Concrete & General ConstructionGreat Eastern Management, Inc.IDP ConsultingInland Building CompanyJeffrey FriedmanJust Plumbing Corporation M&T BankNancy ManigatNew York Paving Inc.Nuzzi Arnstein Group, Inc.Peter TrizzinoPremier Commercial Real EstatePyramid Air Conditioning, Inc.REM Property ServicesRobert KammererSahn Ward Coschignano, PLLCScotland Yard Security Systems Inc.TOMCO PaintingUnited Electric Company

Believer $250-$499Aaron SlonimAll Out Fire EquipmentAllan DunlopAngie RuhryCampolo, Middleton & McCormick, LLPCarl GrossbardCharles CampelliClaudia RagniConde Boyce LLPFaye RieckhoffFlanagan Electric Corporation Garfunkel Wild, P.C.Jaime SteinerJeanette BeyerKatherine Sterlacci O’BrienLakeview HealthLC Squared Inc.Leonard SilversmithLong Island Recovery AssociationMary SilbersteinMichael DalyMike’s Auto RepairMiracle Wash Towel Supply Inc.Monahan & Company CPA’s P.C.New York Cancer & Blood SpecialistsO’Brien Drywall Unlimited Inc.Paint Nite Pamela DriscollPatricia BarryRichard & Ellen Goldstein

Richard J. Caron Foundation (Caron Treatment Centers) Robert A. Benrubi, Esq. Sean and Jaclyn McCarthyServpro of Hicksville/PlainviewSilvermanAcampora LLPStephanie TippingStrike Force Maintenance Corp.Susan FerraroThat Meetball Place

Friend $100-$249A Woman’s Way GynecologyA1 Reliable Industries, Corp.Above All StorefrontsAlex and AniAllied Roofing SystemsArlene HandelArt of Form ArchitectureAsma EjazAztec Energy Group Inc.B&R Mechanical, Inc.Claudia GermainDaniel LibertyDavid LiRosiDavid TellierDebbie MullarkeyDiana RizzoDionne GainesDon GriffinElectronix Systems Central Station Alarms, Inc.Framerica Corporation George Natale

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German & Clemens Architecture, P.C.Gettry Marcus CPA, P.C.Great American Property Management, Inc.Helen BarcusHKM AssociatesHuntington Learning CenterJim Ryan TalksJoann ArenaKathleen TuechlerKathryn MandeliKennean & Tamara SmithKenneth and Kimberly CroninKlimek Family Kristie SchwarzL.I. Locksmith & Alarm Co., Inc.Lisa LibonatiLisa McCarthyLong Island Geese Control, Inc.Lori ParkhurstMargot RazzianoMelissa HicksNeil FalkenhanNicolia Ready MixOcean GroupP&W Electric, Inc.Pamala RicottaPanzner Demo and Abatement Corp.Portnoy, Messinger, Pearl & Associates, Inc.Precision Marketing Solutions, Inc.

R.J. Gruber Architect P.C.Randy BraffRichard DinaRoni RathgeberRuby Japanese RestaurantSherry PavoneSonia BakerSteven RutterSuperior Air Conditioning & Heating Systems, Inc.Theodore KaplinThomas Martin Plumbing & Heating Inc.Train with Drew Inc.Troiano Fuel Oil Co, Inc.Universal Plumbing

Organizational Leadership

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BOARD OF DIRECTORS

PRESIDENTJames F. O’Brien, Esq.

VICE PRESIDENTCarl GrossbardAudie Kranz

TREASURERPaul D. Tusa, MBA, CPA

SECRETARYAnthony Pisano

DIRECTORSWilbur J. Kranz Daniel Lewis Harriet LibstagLeonard Parness Charles A. RichSteven RutterMark SeidenBrian StrouseRajvee Vora, MD

CHIEF EXECUTIVE OFFICER Jeffrey A. Friedman

CHIEF FINANCIAL OFFICER,Jean J. Bentley, CPA

CHIEF PROGRAM OFFICERNancy Manigat, MBA, LCSW

MEDICAL DIRECTORAsma Ejaz, MD

DIVISION DIRECTOR, PERSONALIZED RECOVERY-ORIENTED SERVICES (PROS) AND PROJECT FORWARDSherri Kaplan, LCSW-R, CASAC (t)

DIVISION DIRECTOR, INTEGRATED COUNSELING & RECOVERY SERVICESMary Silberstein, LCSW-R, CASAC2

DIVISION DIRECTOR, CARE COORDINATION AND ACT SERVICESJaclyn McCarthy, LMHC, CASAC2

COMPLIANCE OFFICERAriel Coffman, LMSW

DIRECTOR OF LEGAL & HEALTHCARE REGULATORY COMPLIANCERobert A. Benrubi, Esq.

DIRECTOR OF RESIDENTIAL SERVICESDiana Rizzo

NETWORK ADMINISTRATORRonaldo Landas

DIRECTOR OF OPERATIONSAndy Weissberg

DIRECTOR OF HUMAN RESOURCESCarol Otero

TASTE of HOPE Save The Date: Taste of Hope 2018

Wednesday, October 24, 2018

6:30 pm - 9:30 pm

at the NYIT de Seversky Mansion

Enjoy tastings from the area’s best restaurants and sips of

the finest wines and brews. Attendees will be presented

with chances to win raffles and auctions, participate in a

wine ring toss - and more - all in an elegant setting on the

North Shore.

To benefit CN Guidance & Counseling Services

Tickets $125

RSVP by October 18, 2018

For more information:

tasteofhopeli.org

It’s not always easy to read the signs of mental illness...

start the conversation.

(516) 822-6111 | centralnassau.orgEach year, 54 million Americans su�er from a mental disorder. But no one likes to talk about it–especially the people who are su�ering. So it’s up to you to speak up for them. We can help.

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c guidance & counseling servicesn

Donated by the EGC Group, Melville, NY.

Each year, 54 million Americans suffer from a mental disorder.But no one likes to talk about it - especially the people who aresuffering. So it’s up to you to speak up for them. We can help.Hope starts here.

(516) 822-6111 cnguidance.orgguidance &counseling servicesnc

Each year, 54 million Americans suffer from a mental disorder. But no one likes to talk about it–especially the people who are suffering. We can help. Hope starts here.

(516) 822-6111 | cnGuidance.org

It’s not always easy to readthe signs of mental illness...

start the conversation.

950 South Oyster Bay Road Hicksville, NY 11801-3510(516) 822-6111 • Fax (516) 396-0553

cnGuidance.org

Central Nassau Guidance & Counseling Services, Inc. is licensed and funded by the N.Y.S. Office of Mental Health; Nassau County Office of Mental Health,

Chemical Dependency and Developmental Disabilities Services; N.Y.S. Office of Alcoholism and Substance Abuse Services; N.Y.S. Office for People with

Developmental Disabilities; Suffolk County Community Mental Hygiene Services; U.S. Department of Housing and Urban Development (HUD).