Stop and Surrender Inc.

"Because Tomorrow May Be Too Late."

STOP AND SURRENDER, INC.

AUDITED FINANCIAL REPORT

Telephone: 215-225-4626

Fax: 215-225-4634

ANNUAL REPORT

FISCAL YEAR

July 1, 2019 – June 30, 2020


STOP AND SURRENDER, INC.

The mission of Stop & Surrender, Inc. is to provide a holistic approach to the therapeutic treatment concept. We are driven by dedication to ensure that an increased awareness of addiction related concerns is addressed, as well as, social and economical advancement. It is our hope to establish a better quality of living for those who suffer from the disease of addiction.

Stop and Surrender is a spiritual community-based Drug & Alcohol Treatment Program which has been offering services to individuals affected with the disease of addiction since 1992.

During the fiscal year 2019 – 2020 Stop & Surrender, Inc. continued working with the community advocates addressing substance abuse, alcoholism and homelessness that have impacted our neighborhoods and communities. Stop & Surrender, Inc. has worked diligently to improve its relationship with the recovering community and agencies such as Fairmount Behavioral Health, North Philadelphia Health Systems, JFK Behavioral Health Center, Gaudenzia, Inc., New Pathways Project, COHMAR, Temple University Hospital, Forensic Intensive Recovery (FIR), Philadelphia FIGHT, Mazzoni Center, Action Wellness, Quality Health Care, the Consortium, the Philadelphia Court System and the Pennsylvania Department of Corrections, just to name a few. These agencies strongly support Stop & Surrender, Inc.’s mission and make referrals to our program on a regular basis. We also work with the Office of Addiction Services (OAS) to address the underserved and those individuals in crisis seeking treatment and recovery.

Stop & Surrender, Inc. continues to develop its clinical operations by continually recruiting, training, and mentoring professional staff that is sensitive to the needs of our program participants. Stop & Surrender, Inc.’s commitment to provide high quality services to its program participants is the hallmark of our passion.


STOP AND SURRENDER, INC.

PERFORMANCE ANALYSIS

Stop & Surrender, Inc. operates on a calendar year from July 1 through June 30. Annually, at year’s end, the Executive Director and the Management Team analyze the Agency’s progress towards its prior year’s identified goals and objectives. Analysis includes input received from all stakeholders over the year, including program participants served, state licensing agencies, payors, staff, external organizations, and the community at large. The Agency receives input in various ways including but not limited to licensing and credentialing reports, documents retrieved from the agency’s Suggestion Box and Participant Satisfaction Surveys that are made available to program participants, staff and visitors, verbal communication and other funding source written audits. Results are reflected in a document called “Achievement of Goals” which is included in Stop & Surrender’s Annual Report. The data collected is also utilized to help the agency develop goals for the upcoming fiscal year. Stop & Surrender’s Annual Report is made available to the public via our website, stopandsurrenderinc.com, and is available on-site.


Stop & Surrender, Inc.

Message from the Executive Director

Stop & Surrender, Inc. sets the direction and priorities for the agency’s comprehensive system of addiction services through open communication with staff and program participants. We strive to support the restored health, sustained recovery, and active reintegration into family life for all program participants, families, and neighborhoods ravaged by substance abuse in Philadelphia.

At our facility you will find passionate and caring staff that will provide information about the substance abuse, the recovery process, available support systems, housing referrals and trauma care including information about the variety of treatment options available. This includes information about our services, as well as a directory of other services available across the region.

Today’s dynamic world still poses challenges as people work to secure a better tomorrow. Stop & Surrender, Inc. continues to provide quality treatment to program participants to help them meet those challenges. Today, as a growing organization we are planning for tomorrow by focusing on six (6) key areas:

  1. Continuing the growth and involvement of our community presence
  2. Continuing to provide best practices training and staff development activities
  3. Enhancing our respect for and expertise in Cultural Awareness
  4. Positioning our organization to remain in business with continued success.
  5. Advance our knowledge and understanding about advancements in new recovery treatment practices
  6. Provide an integrated or holistic perspective of recovery evidence-based practices that accurately define recovery services 

At the heart of all our plans are our program participants. It is about researching, refining, improving, developing, and growing to better serve the community. In fiscal year 2019 - 2020, Stop & Surrender continued providing holistic services for individuals and families confronted with substance abuse and its related issues. We have improved and enhanced relationships with the Forensic Intensive Recovery Program (FIR) while noticing a significant increase in those program participant populations.

In 2020 – 2021, Stop & Surrender will continue to provide best practices Outpatient Treatment Services and Supportive Housing for at-risk populations through our relationship with Simmons Youth Development Guide. We maintain an on-site collaborative relationship with the faith-based community in support of our agency’s ability to better serve the specialized needs of this undeserved population.

_____________________________________ June 30, 2020

Erwin Warfield, President/Executive Director
BUILDING ON OUR STRENGTHS

We are building on our achievements and increasing our program services by refining our portfolio of business operations through collaborations, joint ventures and “strategic thinking outside of the box”.

BOARD OF DIRECTORS

The President of the Board is Mr. Erwin Warfield; the Vice President/Secretary is Ms. Rhondell Warfield. Officers include:

Sheila Dickens-Mosley

Charles Barlett

Sharif Street

Malcolm Bonner

Charles Bugglen

Melvin Stokes (Clinical Operations Committee)

EMPLOYING TECHNOLOGY TO BE MORE EFFICIENT AND EFFECTIVE

We continued with investing aggressively in modern technology that supports our ability to assess, evaluate, analyze, and continually improve our documentation and service offering. Stop & Surrender, Inc. thanks all the agencies that have offered and given their support during the fiscal year 2019 - 2020. We continue to seek your support throughout the fiscal year 2020 - 2021.

FINANCIAL RESULTS

During the fiscal year 2019 - 2020, we continued building on our tradition of increased financial strengths and stability. Although government subsidies and entitlements for individuals suffering from substance abuse has been reduced and, in some cases, eliminated our revenue increased approximately 8% above the previous year. However, Stop & Surrender crisis intervention component to increase our outreach commitment and better serve its program participants efficiently as a direct result of the increased revenue. Stop & Surrender, Inc. will continue to advance forward despite the sustained stressed economy, and we will persist in providing a high quality of treatment to the program participants of Philadelphia, PA, and surrounding counties.

We close by emphasizing Stop & Surrender, Inc. is at the strongest point in its history.


MOVING FORWARD

To ensure the continued mission of its programs, Stop & Surrender will continue to make whatever changes are necessary to remain an effective force in the behavioral health field. The past year saw extensive efforts by administration, operations, and direct care personnel to prepare Stop & Surrender adequately and efficiently for the challenges of the city’s Recovery Transformation initiative. Stop & Surrender, Inc. is now firmly committed to the philosophy, concepts, and implementation to this project.

As a managed care organization, we continue to favor time limited standardized models that target concrete behavioral symptoms and have positioned ourselves to be innovative in our service offerings. Our Outpatient Program has embarked on an aggressive marketing effort to stabilize and increase the number of program participants served from the neighboring communities. We have also aggressively implemented “outreach” components that immediately identify those seeking recovery, no-shows or missed appointments. Staff has been trained to monitor attendance daily and reach out to individuals who are inconsistent in their commitment to recovery to provide encouragement and supportive interventions.

We are proud of our program’s growth and development offer the past year and are looking forward to keeping pace with the ever-changing needs of our program participants. As mentioned previously, the coming year presents new opportunities for the recovery process and rehabilitation through careful strategic planning, excellent collaboration with community stakeholders, dedication, and teamwork among all staff and the diligent commitment of our President/CEO.

Stop & Surrender is here to meet the needs of program participants through its diversified program offerings, services and a continuum of care philosophy. Our intake, assessment and referral unit are the entry point of service. Each program participant has an initial comprehensive assessment is conducted utilizing a battery of assessment instruments such as a Comprehensive Behavioral Evaluation, the Addiction Severity Index (ASI) American Society of Addiction Medicine (ASAM), the Medication-Assisted Treatment (MAT) Options Survey. Some program participants may be referred to other agencies if determined inappropriate while others will continue in our Substance Abuse & Recovery Outpatient Program to begin their treatment.


THROUGH OUR DOORS

Those presenting themselves for treatment this past fiscal year were primarily addicted to crack cocaine (61%), which represented an increase of 7% from last year. Alcohol as the primary drug of choice had an increase of 10% over the previous year’s level of 17% for this population. There were 54 or 27% of program participants interviewed reporting alcohol as their primary choice of drugs. Twelve percent (12%) reported addictions to opiates such as heroin, which shows a decrease of 15% from last year’s data; fifteen percent (15%) reported marijuana as their primary drug of choice representing an increase of 2% from the previous year. Over 26% of the program participants entering our doors had problems with other drugs such as methamphetamines and prescription drugs; this percentage has continued to increase during the fiscal year 2019 – 2020 reporting period. Many of the program participants interviewed reported using illicit drugs in various combinations such as alcohol usage along with cocaine, heroin, or marijuana.

The number of unduplicated program participants served during fiscal year 2019 – 2020 decreased by 15% from 350 to 298. There should be no doubt this was the result of the managed care organization’s continued denial of services to program participants having previously accessed to treatment. Fifteen percent (15%) of the population or twenty (20) were between the age 18 – 24 (an decrease of 3%); twenty percent (20%) of our population or 26 program participants were between the ages of 25 to 34 (a decrease of 10%) while fifty-one percent (51%) or 68 program participants were in the 35 to 50 years of age bracket (an increase of 19%). Fourteen percent (14%) of the population or 18 program participants were fifty years of age and older.

The participant population consisted of 68.8% African American which represents an increase of 2% from the previous year. 20.9% Caucasian and 10% were Hispanic and .03% other. The Caucasian population is steadily increasing while the Hispanic population showed a seven percent (7%) decrease. Seventy-Seven percent (77%) of our population was male and twenty-three percent (23%) were females. The number of females represented an increase of .2% from the previous year’s data analysis.

Achieving abstinence and maintaining a meaningful recovery are two separate and equally difficult issues. Without the ability to address the contributing factors of homelessness, employability, and anti-social behavior the participants in our Outpatient Program cannot maintain the progress made when they have achieved that initial step of abstinence. Unresolved underlying issues such as interpersonal trauma, violence, generational violence, substance abuse and criminogenic patterns, if not adequately addressed, will eventually lead to relapse and/or recidivism. Our participants must learn to develop the skills needed to sustain recovery, maintain pro-social attitudes and lead a productive lifestyle. There is no magical timetable for this process.

Public attitudes toward addiction have deteriorated dramatically in the past several years. Over the past two decades, addiction has been restigmatized and demedicalized. Our goals must be to portray addiction as a problem with viable solutions; to present best practices; to counteract images that portray treatment as ineffective, objectify, and demonize people in treatment; to enhance the variety and availability of treatment and recovery; and to remove environmental barriers to treatment.

To improve our outcomes, we will be implementing gender specific programming and a family services component that mandates the presence of family members in scheduled re-unification sessions. Program Participants who complete our offerings are invited to return to the facility to share their experiences with other program participants and to find an open system of support from our staff.

What distinguishes Stop & Surrender from other treatment approaches is the social learning environment through the purposive use of the community as the primary method to bring about needed social and psychological change in the individual. Program Participants will become more responsible for themselves, for one another and for the community. They will recognize that there are consequences of their addiction, not only to themselves, but to their families, friends, and the community.

Once in the community we continue the transitional/aftercare process to work with the individual for an extended period of time to assist and ensure that individuals have the foundation to continue being successful in the community as drug free productive members of society and have a positive impact on their families and the greater community. By being productive members of society, the individual will contribute positively to the family, the community and be a role model to others. We encourage program participants to allow us to continue to provide support by returning to the facility periodically and participating in program activities geared towards graduation.


Program Overview and Summary of Goals for Fiscal Year 2019 - 2020

Stop & Surrender, Inc. continues to be an agency providing comprehensive addiction and transitional living services to the neediest citizens of Philadelphia and surrounding areas. Changing attitudes towards treatment have left a void in the process of recovery in which individuals will continue to fail without sufficient time in an environment that promotes a lasting change in ideas, attitudes, and behaviors. The recovery process must be supported with a strong and meaningful foundation based in social learning and personal responsibility.

  1. Administration

Over the past year Managed Care has not adequately compensated for the needs of our population. We continue to challenge ourselves with innovative approaches to treatment and focus our attention on treating our program participants who are with us for a shorter period. Philadelphia County during the past fiscal year has adapted what it calls “Recovery Transformation”. Philadelphia continues to overlook the research that speaks to the effectiveness of outpatient treatment followed by transitional aftercare services. Stop & Surrender, Inc. focused its attention on enhancing our clinical programming through a revised curriculum which includes Family Services, Cognitive Behavioral Therapy, Thinking for a Change, and the Social Learning Theory. Cognitive-Behavioral Therapy is based on the idea that our thoughts cause our feelings and behaviors, not external things, like people, situations, and events. The benefit of this fact is that we can change the way we think to feel and act better even if the situation does not change. Thinking for a Change is an innovative approach to problem-solving for individuals who need to think before “reacting”. Social Learning Theory is that personality represents an interaction of the individual with his or her environment. In other words, change the way the person thinks, or change the environment the person is responding to, and behavior will change.

  1. Clinical Services Overview

This past year saw many advances in the overall quality of the clinical services offered at Stop & Surrender, Inc. However, there were also many areas of the clinical component which had to be addressed through discharge and termination of employees who did not meet Stop and Surrender’s clinical standards. A new and unique clinical team took leadership of the Outpatient program. Increased trainings in core competencies were made in the implementation of individualized structured treatment models in the treatment program. We look forward to the training series being presented for clinical personnel by CBH. The Outpatient Programs received full licensure from the Pennsylvania Department of Health (DOH).

  1. The Continuous Quality Improvement Process (CQI)

The focus of the CQI Program this fiscal year was to improve the skills levels of the participants and the data collection methods and continue to enhance the quality of resident care in all programs and departments. The CQI Program had two primary areas of focus. The first is the development of a well-defined Performance Improvement Plan. The plan is to serve as a blueprint for a programmatic effort to monitor, improve and evaluate the quality and appropriateness of the clinical care rendered, and it identifies opportunities and/or areas in which resident care can be reach the highest quality level possible. The second area is the consistent comprehensive implementation of structured tools designed to evaluate, support, and guide the Performance Improvement activities of Stop & Surrender. The focus for the coming year will be to continue to meet regularly and to monitor clinical services using the CQI process, identify trends and develop strategies to improve services and meet the needs of our resident population.

  1. Human Resource

The Human Resource component refined its information collection methods by developing a data base that retrieves and organizes information in an efficient and cost-effective manner. Stop & Surrender hiring process has been improved to include reviews by management personnel and direct care staff before the actual hiring of the potential new employee. Employee’s initial orientation is a formal process over a 40 hour period and includes interviews, tours, trainings and information in areas such as employee benefits, expectations, ethics, two (2) hands-on policy and procedures trainings in their particular program for which hired, fire safety and prevention, use of fire extinguishers, physical plant safety and security, health and safety, etc. The department coordinates and tracks all staff training and credentialing within the agency for its employees to ensure all regulatory requirements are met and to provide the skills necessary for employees to be effective in their jobs. Personnel development was also highlighted this year. Staff competency was improved both by enhancing the training program available to existing staff and by standardizing the qualifications of all clinical positions to meet the agency standards. The goals for the coming year are to implement quality care through consistent service delivery and to enhance staff competency through regularly scheduled trainings and conferences. Unfortunately, several employees were terminated due to poor performance.

  1. Fiscal

The Finance Department continued to closely monitor the finances of the agency to remain fiscally stable. The focus for the fiscal year was to stabilize and/or increase referrals from treatment providers in the Philadelphia and surrounding regions. In addition, our goal was to effectively market our services to the community-at-large and increase referrals from the Behavioral Health Special Initiative (BHSI) and Community Behavioral Health (CBH). We have enhanced our collaborations and relationships with agencies throughout the greater Philadelphia Region to increase and maintain program participant census. Our goal continues to be quality programming for those suffering from addiction and abuse. Additionally, we will explore the opportunities that exist in treating individuals with co-occurring disorders in Philadelphia County. Financial Information is attached to this report.



SUMMARY

This Annual Report has been presented because of careful data collection and analysis. Through a systematic process, Stop & Surrender, Inc. administration studied the needs of the addicted and at-risk population of the city of Philadelphia to help this population and the needs of the agency. It carefully examined its work for Fiscal Year 2019 - 2020 in terms of goals met, services provided and adjustments that occurred in response to changes in the population that it served.

Organizational efficiency, treatment excellence, effective training, social purpose, and the wellbeing of program participants have kept Stop & Surrender, Inc. in the forefront of providing substance abuse services for the past twenty-one years. It is fully expected that Stop & Surrender will remain in the forefront, pledging to provide treatment, education, and transitional services for Philadelphia County program participants and continually examining the needs of the program participants it serves. With the underlying belief that success is possible through realistic goals for both the program participants and the agency, Stop & Surrender will continue to help people become accountable and drug-free members of society. We will continue to be an agency that is proactive rather than reactive, dynamic rather than static, and will continue to respond to the challenges that it

STOP AND SURRENDER, INC. AUDITED FINANCIAL REPORT July 3, 2020


TABLE OF CONTENTS

INDEPENDENT AUDITORS' REPORT FINANCIAL STATEMENTS

Statement of financial position State1nent of activities Statement of cash flows

Notes to financial statements



BLACKRIVER FINANCIAL SERVICES INC.

6100 W JEFFERSON STREET PHILADELPHIA PA 19151

Office (215) 877-2171- Fax (215) 754-4666

Friday, July 3, 2020

Board of Directors/Officers Re: Stop and Surrender, Inc. 2400 West Lehigh Avenue Philadelphia, PA 19132

We were engaged to audit and prepare the accompanying balance sheet of Stop and Surrender, inc. as of June 2019 (period of July 2018 to June 2019) and the related statement of income/expense and changed in retained earnings for the year ending June 2019. These financial statements are the responsibility of the Stop and Surrender, Inc's mana gement. Our responsibility is to express and opinion on these financial statements based on our au dit.

We conducted our audit in accordance with generally accepted auditing principles (GAAP). Those principles require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misst at ement . An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial st ate ments. i. e. all bank statements, verification of check written, payroll accounting records, expense invoices, etc. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audit provides a reasonable basis for our opinion.

For the period under audit, there were sufficient accounting records maintained by Stop and Surrender, Inc's management to support business purpose of a substantial number of disbursements. Stop and Surrender, Inc's management was able to provide documents to substantiate their expenditures.

In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of Stop and Surrender, Inc. as of June 2019, and the results of its overall accounting operation for the year then ended: conform to accounting principles generally accepted in the United States.

Should you have any questions regarding these documents or require further information, please do not hesitate to contact our office.

Best Regards

Kenneth Booth, President/CPA


Statement of Financial Position For the Period Ending June 30, 2019

Assets


Current Assets


Cash Receivable(s)


$ 683,175 .00

$ 89,1 27.00



Total Current Assets


.LJZ.b302.00



Fixed Assets


Office Equipments & Fixtures


$ 36,748 .00



Total Fixed Assets


748.00


Final Total Assets $ 809.050.00

Liabilities and Shareholders E9.!!i!Y

Current Liabilities

[[PASTING TABLES IS NOT SUPPORTED]]

SEE INDEPENDENT AUDITORS' REPORT

The Notes to Financial Statements are an integral part of this statement

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Statement of Activities

For the Period Ending June 30, 2019


Revenues


Grants and Services Fees


$ 933,621.00


Operating Expenses

[[PASTING TABLES IS NOT SUPPORTED]]

SEE INDEPENDENT AUDITORS' REPORT

The Notes to Financial Statements are an integral part of this statement

3


Statement of Cash Flows

For the Period Ending June 30, 2019

Cash flows from operating activities:

Net operating income $30,126.00

Adjustments to income:

[[PASTING TABLES IS NOT SUPPORTED]]

SEE INDEPENDENT AUDITORS' REPORT

The Notes to Financial Statements are an integral part of this statement 4


Note 1 Organizational Description

History

Stop and Surrender, Inc., is a Pennsylvania licensed Drug and Alcohol human services agency contracted by the City of Philadelphia to provide counseling to neighborhood residents and surrounding area experiencing drug and alcohol abuse.

Note 2 Summary of significant accounting policies and accounting basis

Method of accounting

For Accounting purpose: Assets, liabilities, income and expenses are reported using the accrual basis of accounting and fiscal year method, whereby income is recorded when earned and expenses as incurred.

For Tax purposes: cash basis and calendar year method is used,

Basis of presentation

Financial statement presentation follows the recommendations of the Financial Accounting Standards Board in its Statement of Financial Accounting Standards (SFAS) No. 117.

Fixed assets and depreciation

Fixed assets are stated at cost, or in the case of donated assets, at estimated market value at the date of gift. Depreciation is calculated using the straight-line method of accounting based on the estimated useful lives of the assets, if applicable.


Computer equipment Vehicles

Furniture and fixtures Buildings

Use of estimates

The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect certain


  • years
  • years

10 years

22 years


reported amounts and disclosures. Accordingly, actual results could differ from those estimates .

Note 3 Grants and Services Fees


CBH Contractual City of Philadelphia BHSI Behavioral Health Service, Inc.


$892,584.00

$41,037.00

$933,621.00


SEE INDEPENDENT AUDITORS' REPORT

5


Note 4 Property and equipment

Property and equipment at June 30, 2019 stated at cost less depreciation, consists of the following:

[[PASTING TABLES IS NOT SUPPORTED]] SEE INDEPENDENT AUDITORS' REPORT

6


Note 5 Program Activities

The costs of providing various programs and activities have been reflected in the statement of activities. Accordingly, certain costs have been allocated among supporting activities that are affected.


Treatment


Activity


Associated Cost

Inclusive of Salaries, snacks, materials and supplies, etc.


Individual Sessions OP OP Group Sessions IOP Group Sessions

Parenting Classes

Women's Rap

Bible Study

Clean and Sober Night Dance

Psycho-Educational


$45,000.00 approx. a month

Inclusive of facilitator or Guest Speaker Stipend, materials and refreshments.

$400 - 800 approx. a month

$11,000 annual budget

Inclusive of facilitator or Guest Speaker Stipend , supplies and refreshments.

$450 - 800 approx. a month

$8,500 annual budget

Inclusive of Minister or facilitator Stipend and materials

$350- 550 approx. a month

$6,500 annual budget

Inclusive of DJs, refreshments, and security, etc.

$2,000 .00 approx. a month

$23,000 annual budget

Inclusive of facilitators and refreshment.

$375-$475 approx. a month

$5,900 annual budget


SEE INDEPENDENT AUDITORS' REPORT

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