Form 990 for tax year 2023

Totals

Total revenue

$31,931,169

Total expenses

$31,003,839

Contributions and grants received

$583,203

Grants paid

$0

Program service revenue

$28,103,654

Investment income

$2,650,917

Other revenue

$593,395

Total assets, end of year

$19,299,664

Total liabilities, end of year

$12,349,203

Net assets or fund balances, end of year

$6,950,461

Program services expenses (Part IX)

$25,300,460

Management and general expenses

$5,080,836

Fundraising expenses

$622,543

Program service expenses (Part III)

$25,300,460

Program services were 81.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Mission and programs · 2023

• GOSNOLD TREATMENT CENTER - EXPENSE EXCLUDES ADMINISTRATIVE OVERHEAD. GOSNOLD TREATMENT CENTER PROVIDES ACUTE ALCOHOL DETOXIFICATION SERVICES. GOSNOLD TREATS ADDICTION AS A CHRONIC DISEASE THAT REQUIRES LIFE-LONG MANAGEMENT, AND IS OFTEN COMPLICATED BY OTHER MEDICAL,EMOTIONAL AND SITUATIONAL CONDITIONS. WE BELIEVE THAT COMPLICATIONS ARE IMPROVED BY ABSTINENCE FROM OTHER SUBSTANCES; YET, EMPHASIZE A HARM REDUCTION MODEL OF TREATMENT WHEN APPROPRIATE TO PATIENT CONDITION AND PREFERENCE. THE PRIMARY CARE OFFERED IS MEDICAL DETOXIFICATION AND STABILIZATION. THE GOSNOLD TREATMENT CENTER, LOCATED ADJACENT TO FALMOUTH HOSPITAL IS A 48 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. WHILE NOT PRESENTLY USING METHADONE AS MEDICATION ASSISTED TREATMENT, GOSNOLD IS IN THE PROCESS OF DOING SO. THE DETOXIFICATION PERIOD STAY VARIES, DEPENDING ON PATIENT NEEDS. 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.

  Expenses $8,799,890 · Revenue $9,909,498

• GOSNOLD OUTPATIENT PROGRAM - EXPENSE EXCLUDES ADMINISTRATIVE OVERHEAD. GOSNOLD OFFERS OUTPATIENT TREATMENT AT FOUR LOCATIONS ON CAPE COD, ONE LOCATION ON NANTUCKET, AND TWO OFF-CAPE LOCATIONS IN STOUGHTON AND N. DARTMOUTH. GOSNOLD'S OUTPATIENT LOCATIONS PROVIDE TREATMENT FOR MENTAL HEALTH, SUBSTANCE USE, AND CO-OCCURRING DISORDERS, THROUGH INDIVIDUAL,FAMILY, AND GROUP COUNSELING, PSYCHOPHARMACOLOGICAL SERVICE, MEDICATION ASSISTED TREATMENT, PARTIAL HOSPITALIZATION, AND DRIVER ALCOHOL EDUCATION. THE GOSNOLD STAFF INCLUDES QUALIFIED PSYCHIATRISTS, ADVANCED NURSE PRACTITIONERS, PSYCHOLOGISTS, MENTAL HEALTH COUNSELORS,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 TREATMENT PROGRAMS ARE DESIGNED FOR PERSONS IN NEED OF INTENSIVE AND STRUCTURED TREATMENT, BUT WHO MAY NOT CURRENTLY REQUIRE A RESIDENTIAL OR INPATIENT PROGRAM. THESETREATMENT PROGRAMS ADDRESS 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. GOSNOLD'S PARTIAL HOSPITALIZATION PROGRAM PROVIDES AN EXCELLENT DIVERSION OPTION TO INPATIENT TREATMENT FOR CO-OCCURRING MENTAL HEALTH AND SUBSTANCE USE DISORDERS. GOSNOLD'S TREATMENT TEAM PROVIDES ADULT AND CHILD PSYCHIATRY, 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, ABUSE, DEPRESSION, POST-TRAUMATIC STRESS DISORDERS, AND OBSESSIVE-COMPULSIVE DISORDER.

  Expenses $7,931,888 · Revenue $7,792,757

• GOSNOLD'S CLINICAL STABILIZATION SERVICES (CSS) PROGRAMS AT EMERSON HOUSE PROVIDE ACUTE REHABILITATION SERVICES TO THOSE SUFFERING FROM SUBSTANCE USE DISORDERS. OUR PROGRAM TAKES A PERSONALIZED APPROACH TO MEET EACH PATIENT'S NEEDS AND OUR MULTI-DISCIPLINARY TEAMS DEVELOPCUSTOMIZED TREATMENT PLANS AND CLINICAL SUPPORT THROUGHOUT THE COURSE OF THE PATIENTS' STAY. THE PROGRAMS UTILIZE A VARIETY OF DIFFERENT TREATMENT MODALITIES DESIGNED TO MAKE THE TREATMENT EXPERIENCE ENRICHING AND EDUCATIONAL SUCH AS; INDIVIDUAL AND GROUP COUNSELING, HEALTH EDUCATION, EVIDENCE-BASED THERAPIES INCLUDING COGNITIVE BEHAVIORAL THERAPY, MEDITATION AND MINDFULNESS, INTRODUCTION TO 12 STEP AND OTHER SELF-HELP PROGRAMS AND PLANNING FOR LONGER-TERM SUPPORT SERVICES. GOSNOLD UNDERSTANDS EVERY CASE IS DIFFERENT AND TREATMENT SHOULD BE TAILORED TO MEET THE INDIVIDUAL WHERE THEY ARE IN THEIR RECOVERY PROCESS.

  Expenses $5,075,642 · Revenue $6,737,658

• OTHER PROGRAMS - BEHAVIORAL HEALTH JUSTICE INVOLVED PROGRAM. LAUNCHED AS A PILOT PROGRAM IN 2019 AND IN OUR COUNTY IN FEBRUARY OF 2022, THE BEHAVIORAL HEALTH JUSTICE INVOLVED PROGRAM IS A PARTNERSHIP BETWEEN MASSHEALTH AND THE MASSACHUSETTS EXECUTIVE OFFICE OF THE TRIAL COURT. GOSNOLD WAS THE CHOSEN VENDOR FOR BARNSTABLE, DUKES AND NANTUCKET COUNTY IN 2022. REFERRALS TO BH-JI ARE PREDOMINANTLY RECEIVED FROM OUR LOCAL HOUSES OF CORRECTION, THE DEPARTMENT OF CORRECTIONS ACROSS THE STATE (FOR INDIVIDUALS RELEASING TO CAPE COD), PROBATION AND PAROLE DEPARTMENTS, AND OUR INPATIENT FACILITIES. THE GOAL OF THIS PROGRAM IS TO PAIR A TRAINED NAVIGATOR WITH PEOPLE WHO ARE LEAVING OR HAVE RECENTLY LEFT JAIL OR PRISON, PEOPLE ON PAROLE OR PROBATION, OR THOSE THAT ARE AWAITING TRIAL THAT SUFFER FROM SUBSTANCE USE DISORDER AND/OR MENTAL HEALTH DIAGNOSES. THE BH-JI NAVIGATORS HELP THE ENROLLEES FIND BEHAVIORAL HEALTH SERVICES AND SOCIAL SUPPORT IN THE COMMUNITY, INCLUDING SETTING UP INPATIENT OR OUTPATIENT SERVICES, HOUSING SEARCHES AND APPLICATIONS, DEPARTMENT OF TRANSITIONAL ASSISTANCE APPLICATIONS, COORDINATING REGISTRY OF MOTOR VEHICLE APPOINTMENTS AND HEARINGS, TRANSPORTATION, EMPLOYMENT, INSURANCE, IDS., FOOD INSECURITY SUPPORT, COMMUNICATION DEVICES AND ATTENDING COURT APPEARANCES. WHEN THIS POPULATION IS CONNECTED TO THE RIGHT HEALTH CARE AND COMMUNITY SERVICES IT CAN IMPROVE HEALTH, REDUCE OVERDOSES, AND HOPEFULLY PREVENT RE-INCARCERATION, HOSPITAL STAYS AND ADMISSION TO INPATIENT DETOXIFICATION FACILITIES.

  Expenses $3,493,040 · Revenue $3,663,741

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type

form_990

Tax year

2023

Filed

10 May 2025

IRS schema version

2023v6.0

Source object

202511359349303481

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.