Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
COMMUNITY BRIDGES INC
Employer identification number
94-2880847
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
33,081,058
35,688,363
38,008,704
8,803,311
41,938,745
157,520,181
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
228,480
341,342
354,269
85,340
1,009,431
4
Total. Add lines 1 through 3
33,309,538
36,029,705
38,362,973
8,888,651
41,938,745
158,529,612
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
158,529,612
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
33,309,538
36,029,705
38,362,973
8,888,651
41,938,745
158,529,612
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9,961
5,243
8,722
828
24,754
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
47,916
99,696
101,769
1
322,777
572,159
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
4,132,967
4,132,967
11
Total support (Add lines 7 through 10).
163,259,492
12
Gross receipts from related activities, etc. (see instructions)
..................
12
1,684
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
97.100 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
99.800 %
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
COMMUNITY BRIDGES INC
Employer identification number
94-2880847
Return Reference
Explanation
FORM 990 - ORGANIZATION'S MISSION
TO PROVIDE THE HIGHEST QUALITY CLINICAL TREATMENT, FAMILY PRESERVATION, PREVENTION AND EDUCATION SERVICES. TO REDUCE THE IMPACT OF ALCOHOLISM AND DRUG ADDICTION AS A PREDOMINANT FACTOR OF CASES OF HOMELESSNESS, DOMESTIC VIOLENCE, CHILD ABUSE, CHILD NEGLECT, ASSAULT, HOMICIDE AND SUICIDE.
FORM 990, PAGE 2, PART III, LINE 4A
DIGNITY" TO RECLAIM LIVES, SAVE FAMILIES AND RETURN PRODUCTIVE CITIZENS TO THE COMMUNITY. THE PROGRAM UTILIZES A PHYSICIAN-DIRECTED PROTOCOL (GENERALLY 3-5 DAYS) DESIGNED TO PREVENT THE LOSS OF LIFE THAT CAN OCCUR WHEN INDIVIDUALS ATTEMPT TO WITHDRAW FROM ALCOHOL OR DRUGS. OUR PHYSICIANS USE MEDICAL PROCEDURES AND PROTOCOLS NATIONALLY RECOGNIZED AS BEST PRACTICE APPROACHES FOR MEDICAL DETOXIFICATION. THESE MEDICAL PROTOCOLS ARE DIRECTED BY LICENSED MEDICAL PRACTITIONERS AND SUPPORTED BY OUR CLINICAL TEAM OF REGISTERED NURSES, BEHAVIORAL TEAM SPECIALISTS, PEER SUPPORT SPECIALISTS AND TRANSITIONAL COORDINATORS. OUR GOAL IS TO STOP THE "REVOLVING DOOR" BY NOT ONLY PROVIDING A SAFE MEDICAL DETOX, BUT ALSO PROVIDING AN ONGOING ASSESSMENT WHILE THE PATIENT IS IN OUR CARE. DURING JULY 2013 TO SEPTEMBER 2014, MEDICAL DETOX HAD 4,169 ADMISSIONS WITH 91% SUCCESSFULLY COMPLETING THE PROGRAM.
FORM 990, PAGE 2, PART III, LINE 4B
DETERMINE THE MOST APPROPRIATE LEVEL OF CARE. IF DETERMINED CLINICALLY AND MEDICALLY APPROPRIATE, THE INDIVIDUAL MAY REMAIN AT THE SRU FOR A PERIOD LASTING BETWEEN 24 HOURS AND 6 DAYS AND/OR BE TRANSITIONED INTO EITHER OUR OUTPATIENT OR INTENSIVE OUTPATIENT PROGRAM LOCATED ON-SITE. DURING THIS "ON-GOING STABILIZATION" PERIOD, THE PATIENT WILL CONTINUE TO HAVE THEIR VITALS ASSESSED BY AN EMT TO ENSURE MEDICAL STABILITY AND WILL ALSO BE ENROLLED IN AN OUTPATIENT PROGRAM THAT IS SPECIFIC TO EARLY RECOVERY AND THE DEVELOPMENT OF A RELAPSE PREVENTION PLAN. PEER SUPPORT SPECIALISTS AND A BEHAVIORAL HEALTH PROFESSIONAL WILL WORK WITH EACH PATIENT INDIVIDUALLY TO IDENTIFY ANY CURRENT PROFESSIONAL OR SOCIAL SUPPORTS TO ASSIST WITH THIS EARLY RECOVERY PLANNING PROCESS. ONCE A RELAPSE PREVENTION PLAN HAS BEEN DEVELOPED AND THE PATIENT PRESENTS WITH A MEDIUM TO LOW LEVEL OF RISK, THEY WILL BE DISCHARGED FROM THE SRU FOR CONTINUING CARE AS DEFINED BY THEIR INDIVIDUALIZED DISCHARGE PLAN. DURING OCTOBER 2013 TO SEPTEMBER 2014, SRU HAD 5,363 ADMISSIONS WITH 94% SUCCESSFULLY COMPLETING THE PROGRAM.
FORM 990, PAGE 2, PART III, LINE 4C
HOPE PROVIDED RESIDENTIAL SERVICES TO 59 PREGNANT WOMEN WHO HAD 32 CHILDREN WHICH INCLUDED 32 BABIES BORN WITH NEGATIVE TOXICOLOGY SCREENS AT BIRTH DUE TO THEIR MOTHERS' PROGRAM INVOLVEMENT. FROM OCTOBER 2013 TO SEPTEMBER 2014, 76% OF THE WOMEN WHO ENTERED THE RESIDENTIAL PROGRAM COMPLETED THIS PROGRAM. OF THE WOMEN THAT COMPLETED THE PROGRAM, 88% TRANSITIONED INTO PERMANENT SUPPORTIVE HOUSING AT DISCHARGE (100% WERE HOMELESS AT ADMISSION) AND 53% WERE EMPLOYED WHEN THEY LEFT THE PROGRAM.
FORM 990, PAGE 2, PART III, LINE 4D
SEE SCHEDULE O FOR ADDITIONAL ACCOMPLISHMENTS.
FORM 990, PAGE 6, PART VI, LINE 11B
FORM 990 PREPARED BY THE AVP OF FINANCE, REVIEWED BY THE VP/CFO ALONG WITH THE PRESIDENT/CEO AND BOARD PRESIDENT.
FORM 990, PAGE 6, PART VI, LINE 12C
CONFLICT OF INTEREST FORMS ARE PREPARED AND SIGNED BY ALL APPROPRIATE STAFF ON AN ANNUAL BASIS.
FORM 990, PAGE 6, PART VI, LINE 15A
THE PRESIDENT/CEO'S SALARY IS DETERMINED BY THE BOARD OF DIRECTORS USING SALARY SURVEY INFORMATION, CPI INDEX, ETC. AND APPROVED BY THE BOARD AND ENTERED INTO THE MINUTES OF THE MEETING.
FORM 990, PAGE 6, PART VI, LINE 15B
OTHER OFFICERS/KEY EMPLOYEE'S SALARIES OF THE ORGANIZATION RECEIVE AN ANNUAL REVIEW, APPROPRIATE SALARY SURVEY INFORMATION IS USED TO DETERMINE IF A MARKET INCREASE IS DUE, OTHERWISE THE ANNUAL PERCENTAGE INCREASE IS DETERMINED BY THE PRESIDENT/CEO.
FORM 990, PAGE 6, PART VI, LINE 19
THESE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST, IF APPROPRIATE.
FORM 990, PART XI, LINE 9
RENTAL EXPENSES INCLUDED IN PAGE 10 374,819
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.