1 Annual Report Fiscal Year 2013
2 Board of Directors Meredith Baxter William Blatt Lionel Brown Sarah Doering Allen Dunne Odat Elsey Kevin Fahy Christine Gard Steven Glick Peter Kastoff Dana Kelly, Jr. Nycky Lampone Jim McCabe Jeffery McFarland Stephen Moyer Ann Petersen Dorothy Richards Jack Rosenbaum Clay Tatum Linda Tigner-Weekes Jill Troy Werner Executive Director Nicholas Vrataric CLARE Ambassadors Wallis Annenberg Frank Baxter Kathleen & Gerald Chamales Margaret Fetting Marina Forstmann Day Christine Grella, PhD Anthony Hopkins Maurice LaMarche Courtney Thorne-Smith Medical Advisory Committee Soroya Bacchus, MD Caroline Grace Close, MD Tricia D. Doud, PsyD Christine E. Grella, PhD Patricia Herman, ND, PhD Adi Jaffe, PhD Damon Raskin, MD William Reeve, Pharm.D Scott Reiter, MD Matthew A. Torrington, MD Mission CLARE Foundation is a nonprofit organization providing effective and compassionate treatment, recovery, and prevention services for alcoholism and substance abuse to individuals, families, and the community. Vision Everyone seeking recovery from substance abuse will have access to professional, effective, and compassionate treatment in a clean and secure environment that meets the highest standards for healthcare delivery. Everyone in our community will have access to drug and alcohol education and prevention services. Values CLARE values effective, cost-efficient, evidence-based residential and outpatient treatment and prevention services. CLARE values a professional staff that is well-trained and respectful, and maintains strict confidentiality. CLARE values recovery: a personal process that includes sobriety, health, responsibility, and improved quality of life, requiring individual effort and the support of others. Treatment Philosophy Comprehensive treatment at CLARE addresses all issues affected by addiction including the physical, emotional, psychological, and spiritual well-being of the individual and family. CLARE utilizes an integrated multi-disciplinary approach, applying evidence-based practices. CLARE values the 12-Step principles: the need for a community; the responsibility of the individual; peer support; and a willingness to change. Treatment plans are designed in collaboration with the individual, and focus on their strengths, needs, and aspirations.
3 From the desk of Executive Director Nicholas Vrataric Dear CLARE Supporters, From our beginning as an all-volunteer, grassroots organization in the late 1960s, CLARE has spent the past four decades evolving into a well-respected nonprofit known for our results-oriented addiction treatment methods administered by a well-trained staff of dedicated professionals. As we look back on our 43rd year of saving lives through recovery, I feel we are looking as much into the future as we are into the past. As has been the case for the past several years, our Fiscal Year 2013 brought substantial changes to our organization, and challenged us to begin laying the foundation for CLARE s future. Government support continued to decrease as a percentage of our revenue, and new details began emerging about how healthcare reform will shape the way we provide services. We need to transform the way CLARE does business, as we will soon be called on to provide services to an expanded client base of newly insured individuals. Thanks to provisions in the Affordable Care Act, millions of Californians will have coverage that they can use to choose a treatment provider that best fits their needs, and we can ensure that CLARE is an attractive choice for these new consumers. Although this reality was still many months away when our last fiscal year ended in June 2013, we already knew that meeting these challenges would require significant changes. We spent the past fiscal year learning about our professional landscape, our organization, and the factors that can influence CLARE s growth and success as we move forward. Starting in January 2013, CLARE undertook an organizational review that helped us identify strengths and areas for improvement in everything from our staffing structure to our IT resources. This review also helped us pinpoint key strategic drivers that will impact CLARE s future, such as trends in the treatment industry, the need for increased revenue in light of decreasing government funding, and the need to expand our client base. Using the results of this organizational review as a foundation, we are undertaking several initiatives to improve on our strengths, bolster our areas for improvement, and prepare us for what lies ahead. Among these are the development and launch of a new interactive, client-focused website, and a first-time accreditation process with the international Commission on Accreditation of Rehabilitation Facilities. The latter is an 18-month undertaking that involves upgrading every level of administration and programming and, once completed, will act as a certification to insurance companies of the high quality of our operations. We have also spent the past fiscal year designing and preparing to launch Conscious Recovery, CLARE s first sustainable, mid-market outpatient program. This program will fill the need for affordable, effective outpatient services for middleincome clients on the Westside of Los Angeles, and the program s ability to attract insured and self-paying clients will help ensure that CLARE remains fiscally solvent in an unsure economy. In addition to these organizational and programmatic initiatives, we spent Fiscal Year 2013 working to bolster our infrastructure and bring the quality of our facilities into alignment with the standards of our programming. In December 2012, we opened a 40-bed facility for our Women s Treatment Program, which provides short- and long-term services to 275 women each year. We also began renovating one of our properties into the Jack H. Skirball Behavioral Health Center that will allow us to provide screening and behavioral health services to thousands of clients. Finally, last fiscal year saw us enter the planning stages for one of our most significant renovations to-date: the complete overhaul of our Men s Recovery Home, which is scheduled to begin in June 2014 and is being partially funded by a generous $1.5 million challenge grant. Taken together, these upgrades (as well as those that lie in our future) will help usher in CLARE s future as a sustainable nonprofit that can meet the needs of the varied audiences who are seeking our help. As I think about the CLARE that will emerge as a result of these changes, I can t help but wonder if the volunteers who combed the beaches in the 1960s with recovery literature and sack lunches could have envisioned the organization we see today. CLARE remains a thriving and vibrant nonprofit, and part of our strength comes from our commitment to providing effective and compassionate treatment, recovery, and prevention services for alcoholism and substance abuse. This commitment drives everything we do, and I am confident that in combination with the work we ve done over the past several years, this will carry us safely and securely into the future, no matter what its shape. My staff and I look forward to another successful year of saving lives through recovery, and to the bright future that lies ahead as we continue offering effective, accessible treatment to anyone in need. Sincerely,
4 Our clients...are the reason we do what we do. Read about how CLARE gave one graduate back her life and her hope. When I came to CLARE, I was finished I didn t even know how to be a woman anymore. It was a life of total darkness. I had nothing left. I had started using drugs at 19. I wound up homeless on Skid Row for more than 20 years. Drug dealers there would use me to sell drugs, and I would get free drugs, because I had spent all my money. The last time I got caught selling drugs, the judge offered me 17 years, and I asked for a program. And they gave me the program instead of 17 years. And he told me that, if I ever get in trouble again, I had 17 years sitting up on a shelf. So my only option was to get clean and stay clean. That s when I came to CLARE. I didn t know that someone could have confidence in me again because I had done so much wrong. CLARE helped me find value in myself. Knowing for the first time that I didn t walk alone helped me put one foot in front of the other to walk into the light I had avoided for so long. CLARE is a safe haven for me never in a million years would I have seen myself at this point in my life. I m genuinely happy for the first time I can remember. When you really want it, it s amazing how much you can flourish. ~ Women s Treatment Program Graduate
5 About Our Clients During FY2013, CLARE s 10 residential, outpatient, and prevention programs delivered services to more than 3,000 adults and 900 young people. Admissions served more than 30,000 clients by phone, , or in person, placing 10% of that number in one of CLARE s other programs, and offering information, counseling, and referrals to the remaining 27,000. Detox/Primary, with 49 beds, served approximately 1,200 men. Men s Recovery Home, with 70 beds, served approximately 350 men. Women s Treatment Program, with 40 beds that provide services from detoxification and primary care through long-term residential treatment, served approximately 275 women. Sober Living Centers, with 49 beds, served approximately 140 clients. Women with Children Sober Living, with 28 beds, served 12 women and 16 of their children. Intensive Outpatient served approximately 525 clients. Drug Court served approximately 60 clients. Drinking Driver Program served approximately 550 clients. Clarity for Youth, CLARE s prevention program, served 900 youth in nine schools and four community centers during the academic year. Their Success At CLARE, our goal is to help our clients recover from substance abuse by gaining and maintaining sobriety and finding employment and housing as they move forward to create stable and fulfilling lives. During FY2013, we achieved the following outcomes in pursuit of this goal: 90% of the clients in our Primary Program remained sober and completed Primary successfully. 70% of all clients in our Men s Recovery Home and Women s Treatment Program remained sober and secured housing and employment or continuing education by the end of their program. Four months after graduation from one of our long-term residential programs, 70% of our clients were still in permanent housing, and 85% of those in housing were still employed. 80% of the clients in our Sober Living facilities maintained their sobriety and moved from sober living into permanent housing. 90% of all clients in our Intensive Outpatient Program completed their program by attending all required counseling sessions, group meetings, and appointments.
6 A Detailed Look at Our Residential Programs During FY2013, CLARE admitted 620 individuals into our residential programs. CLARE s residential programs averaged 51.7 intakes per month, with a greater number of intakes during the fall and winter months (October - February). Of these intakes, 429 (or 69.2%) were male, 128 (or 29.3%) were female, and 9 (or 1.5%) were unknown. The average client was 35 years old. Year in Review The average client had been abusing substances for 12.8 years. The main drug of choice for these clients was alcohol (29.2%), which was followed closely by meth (27.6%) and heroin (21.9%). This means that more than 78% of CLARE s residential clients use one of these three drugs. More than 64% of clients reported having been at a treatment center before coming to CLARE. TYPE OF ADDICTION Primary Substance 1% Other 3% Unknown 28% Meth 2% Other Opiates 29% Alcohol 1% Benzo 5% Marijuana 22% Heroin 9% Cocaine
7 Year in Review CLARE s Finances Statements of Financial Position Assets FY2013 Current Assets $3,336,636 Non-current Assets $8,475,496 Total Assets: $11,812,132 Liabilities and Net Assets Liabilities Current Liabilities $1,126,934 Long-term Debt $4,663,882 Total Liabilities: $5,790,816 Net Assets Unrestricted $5,708,782 Temporarily Restricted $312,534 Total Net Assets: $6,021,316 Total Liabilities and Net Assets: $11,812,132 CLARE s Revenue Sources FY2012 vs. FY2013 Statements of Activities Support and Revenue FY2013 Government Grants $2,496,847 Contributions; In-kind Contributions; Fundraising Events $1,537,407 Program Revenue; Service Fees; Net Assets Released from Restrictions $1,363,125 Interest and Dividends; Investment Gains $18,069 Total Support and Revenues: $5,415,448 Expenses Program Services $5,057,551 Management $399,519 Fundraising $481,448 Total Expenses: $5,938,518 Net Assets at Beginning of Year $6,455,185 Change in Net Assets ($433,869) Net Assets at End of Year: $6,021,316 48% 46% Fundraising 8% 40 Management 7% % 25% 28% 24% 10 Program Services 85% 0 FY2012 6% FY2013 2% Government Contracts Contributions and Grants Service Fees and Program Revenue Other CLARE s Expenditures FY2013
8 Our thanks to the following individuals, foundations, corporations, and community groups who gave $1,000 or more to the CLARE Foundation from July 1, 2012 through June 30, Hope ($50,000+) City of Santa Monica Coe Bloomberg Los Angeles County Substance Abuse Prevention Control The Ralph M. Parsons Foundation Amy Phillips Charitable Foundation The Rose Hills Foundation The Skirball Foundation Specialty Family Foundation Substance Abuse and Mental Health Services Administration Weingart Foundation Jill Troy Werner Recovery ($25,000+) Allen and Lois Dunne Electric Entertainment George Hoag Family Foundation Maurice LaMarche Chuck Lorre Jeffrey and Melanie McFarland St. Matthew s Church Healing ($10,000+) Beverly Arnstein Liz Brixius The Broder Foundation Marcy Carsey Candis Duke Marina Forstmann Day and Paul Livadary William and Patty Gardell Burt Harris Fred L. Hartley Family Foundation HBO Kent and Joyce Kresa Mark and Tiffany Lemons Los Angeles Trial Lawyers Charities Lotus Foundation Sandra Milken Adam Orandi Ann Petersen and Leslie Pam Judith and Frederick Richman Courtney Thorne-Smith and Roger Fishman The Timmins Foundation, Inc. Alice C. Tyler Perpetual Trust Warner Bros. Entertainment Wells Fargo Foundation L.A. County Supervisor Zev Yaroslavsky Commitment ($5,000+) Frank E. and Kathrine Baxter James and Debbie Burrows Kathleen and Gerald Chamales City National Bank Cliffside Malibu Patrick and Mikelyn Dooley David Feldman Don Foster Christine Gard Steve and Margie Glick William H. Hannon Foundation The Ernest G. Herman Foundation Tia and David Hoberman Fanny and Svante Knistrom Foundation John and Maria Laffin Trust Jim and Jenna McCabe George Molsbarger Stephen Moyer and Anna Paquin NBC The Kenneth T. and Eileen L. Norris Foundation The Nathan M. Ohrbach Foundation Anne and Paul Pearson Jim Peter PricewaterhouseCoopers Lena Roklin David and Masako Rosen Lon V. Smith Foundation Neil and Cindi Smith Paul and Liza Wachter William Morris Endeavor Entertainment Ella Zarky Compassion ($2,500+) Gail and George Baril Meredith Baxter and Nancy Locke Boeing Employees Community Fund Deborah Bothun and Mario Avila Harry Brickman Lionel Brown CBS DPN Talent Employees Charity Organization of Northrop Grumman Mark Freund and Trice Koopman Leigh Godfrey Bridget Goldberg Desiree and Victor Goodman ICM Mary and Claude Knobler Ben and Maggie Lunsky Lisa Maki Sean O Shea Promises Residential Treatment Center Peggy and Ray Rosenthal The Lucille Ellis Simon Foundation Diane Stafford Clay and Annette Tatum Dominique Robertson and Nicholas Vrataric Courage ($1,000+) Arizona Tile LLC Martha Bardach Lee Bartlett Anna Baum Brentwood Presbyterian Church Nancy Brimhall Suzie and Frank Brixius CAA Foundation Karen Cane Trisha Cardoso Mark and Cindy Cendrowski Clare and James Ellinger Kevin and Loree Fahy Francine Fanali Francoise Forster-Hahn Inara George and Jacob Kasdan Shaunnah Godfrey Bridget and Matt Going Gretchen and Peter Haight Susan E. Haldeman and DeJuan Verrett Tom Hansen and Judy Hofflund Jackoway Tyerman Wertheimer Austen Mandelbaum Morris & Klein William Johnson Peter Kastoff Dana Kelly and Jean Brincko Robert Landes Lionsgate Entertainment Kenny Lombino Malloy Family Partners LP Mann, Gelon, Glodney & Augenstein Allen Mar Aimee Martinez Colleen McAndrews and Robert Wood Vance and Patricia Meyer Milken Family Foundation Timothy and Gabriela Neufeld Nike Communications Patti O Neill and Mark Walzman Patti Person Stephen and Louise Pesce Gregory Picco Charlotte Rae Marshall Ragir and Luana Flippin David and Lauren Ravitz Rotary Club of Santa Monica Lawrence and Bernice Rudolph Santa Monica Elks Lodge No. 906 Angela Shaw Cynthia L. & William E. Simon, Jr. Foundation Nicole Sinkys Theresa Strempek and Peter McMillan Robert and Terri Tessier Linda Tigner-Weekes Williams & Romito Carl E. Wynn Foundation