Reality House Inc

What it reported doing in 2024

One of the overarching goals for the people we serve, whether they live in our transitional residence or participate in our outpatient substance abuse treatment or in our co-located substance abuse clinic, is to forge positive relationships that lead to sustainable recovery outcomes. Established in 1967 and operating as an oasas provider since 1983, reality house has held the deep belief that given the right tools and a safe environment in which to adopt and use these tools, people can, and do, recover from substance abuse disordersour services are person-centered and trauma informed. Our trained staff are passionate about instilling hope and promoting recovery to all who come to us seeking help with addiction and the myriad of self-defeating behaviors associated with substance dependence. We understand that engaging in a service alliance is key to achieving positive health outcomes and a positive rehabilitation experience. Our residential community re-entry program serves men ranging in age from 20 through 56 they come to us from jails, shelters, hospitals and the streets. Many have co-occurring mental illness. Many are veterans.chemical dependence treatment clinic - serving over 150 people annually" medically supervised out-patient program" day and evening program" same day appointments" group and individual counseling" co-occurring disorder counseling" relapse prevention" violence prevention" anger management" domestic violence" men's and women's groups" family and trauma case managementsupportive services" clothing assistance" legal advocacy" social services assistance (medicaid, public assistance)" health literacycriminal justice services" collaborative partnership criminal justice system stakeholders, serving court-mandated people with substance abuse and co-occurring mental health disorders, as an alternative to incarceration. We also provide dui/dwi services.reality house is the place for whole person, integrated engagement and treatment in the community: reality house inc. (rhi) has a co-located residential treatment program (for men) and a substance abuse treatment clinic allowing for fluid referral and engagement in community based treatment for our residential clientswe are in the process of converting our residential service to a model that includes ancillary detoxification, stabilization and rehabilitation services.we are in contract with a federally qualified primary health care provider to operate an on-site satellite medical clinic offering seamless, integrated behavioral health and primary care for all the people we serve.we are a nys department of health authorized home and community based service (hcbs) provider designated to provide the following services:" psychosocial rehabilitation" habilitation" family support & training" education support services" empowerment services-peer supports" pre-vocational services

Financial Efficiency

• Mission deployment rate: 52.8%; rating input score 53
• Program expense ratio: 85.2%; rating input score 85
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
• Pay-setting controls: 1 of 6 controls in place; rating input score 17
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
• Governance controls: 6 of 9 controls in place; rating input score 75
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Limited
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Missing
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 38%; rating input score 88; 88th percentile among comparable filings
• Total-asset coverage ratio: 3.52; rating input score 77; 77th percentile among comparable filings
• Liabilities to assets ratio: 0.34; rating input score 31; 31st percentile among comparable filings
• Officer compensation ratio: 9.3%; rating input score 32; 32nd percentile among comparable filings

Growth

• Program expense growth: 8.8% per year; rating input score 100; 59th percentile among comparable filings
• Revenue growth: 13.1% per year; rating input score 100; 78th percentile among comparable filings
• Asset growth: -0.5% per year; rating input score 0; 11th percentile among comparable filings