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 RESIDENCES INC
Employer identification number
54-1004092
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.") ....
88,325
146,617
47,989
151,956
293,171
728,058
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..
4
Total. Add lines 1 through 3
88,325
146,617
47,989
151,956
293,171
728,058
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)..
11,848
6
Public support. Subtract line 5 from line 4.
716,210
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..
88,325
146,617
47,989
151,956
293,171
728,058
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
20
26
28
18
9
101
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
139,985
227,727
94,279
141,528
43,720
647,239
11
Total support (Add lines 7 through 10).
1,375,398
12
Gross receipts from related activities, etc. (see instructions)
..................
12
55,415,239
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
52.070 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
42.610 %
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 RESIDENCES INC
Employer identification number
54-1004092
Return Reference
Explanation
FORM 990, PART III, LINES 4A-C,
COMMUNITY RESIDENCES SERVED PEOPLE WITH MENTAL ILLNESSES, INTELLECTUAL DISABILITIES AND HOMELESSNESS THROUGH THE PROVISION OF MEDICAL THERAPEUTIC, EDUCATIONAL, VOCATIONAL, RESIDENTIAL AND INTEGRATIVE RECREATIONAL SERVICES. COMMUNITY RESIDENCES' ICF/IIDS PROVIDE COMPREHENSIVE AND INDIVIDUALIZED HEALTH CARE AND REHABILITATION SERVICES TO INDIVIDUALS TO PROMOTE THEIR FUNCTIONAL STATUS AND SUPPORT INDEPENDENCE, SELF-DETERMINATION AND COMMUNITY INTEGRATION. THIS MOST INTENSIVE LEVEL OF SUPPORT IS AVAILABLE ONLY FOR INDIVIDUALS IN NEED OF, AND RECEIVING, ACTIVE TREATMENT SERVICES. ACTIVE TREATMENT REFERS TO A CONTINUOUS, AGGRESSIVE AND CONSISTENT IMPLEMENTATION OF A PROGRAM OF SPECIALIZED AND GENERIC TRAINING, TREATMENT AND HEALTH OR RELATED SERVICES BASED UPON AN INDIVIDUALIZED SERVICE PLAN. EACH ICF/IID HAS A FULL RANGE OF CLINICAL SERVICES AND SUPPORTS DESIGNED TO MEET THE DESIRES AND ASSESSED NEEDS OF THE INDIVIDUAL. THIS INCLUDES COMPREHENSIVE IN-HOME NURSING AND BEHAVIORAL SERVICES AS WELL AS CONSULTATION BY A MEDICAL DIRECTOR WHO OVERSEES THE INDIVIDUALS' HEALTH PROFILE. EACH INDIVIDUAL IS PROVIDED WITH A WIDE ARRAY OF SKILLS TRAINING, SUPPORT AND COACHING WITH ACTIVITIES OF DAILY LIVING, COMMUNITY INTEGRATION, RECREATIONAL OPPORTUNITIES, AND MEDICATION MONITORING AND/OR ADMINISTRATION. INDIVIDUALS WITH INTELLECTUAL DISABILITIES WHO ARE SUPPORTED IN COMMUNITY RESIDENCES' CONGREGATE HOUSING PROGRAM RESIDE IN NEIGHBORHOOD HOMES WITH A SHARED LIVING ENVIRONMENT. EACH INDIVIDUAL HAS A PRIVATE BEDROOM, BUT SHARES KITCHEN, DINING AND/OR BATHING AREAS. EVERY HOME IS LOCATED WITHIN REASONABLE ACCESS TO SHOPPING, RECREATIONAL, SOCIAL, CULTURAL AND RELIGIOUS ACTIVITIES; HEALTH CARE FACILITIES, TRANSPORTATION AND VOCATIONAL OPPORTUNITIES. COMMUNITY RESIDENCES OFFERS A WIDE VARIETY OF SERVICES AND ACTIVITIES THAT ARE FLEXIBLE AND RESPONSIVE TO THE PERSON SUPPORTED AND ARE FULLY INTEGRATED INTO COMMUNITY LIFE. WHILE EACH PERSON'S SERVICE PLAN IS DIFFERENT, AVAILABLE SERVICES AND ACTIVITIES MAY INCLUDE LIFE SKILLS EDUCATION AND COACHING, SUPPORT WITH DAILY LIVING SKILLS, MEDICAL/CLINICAL COORDINATION AND OVERSIGHT, PSYCHO-EDUCATIONAL COUNSELING, POSITIVE BEHAVIORAL AND CRISIS SUPPORT, RECREATION AND LEISURE ACTIVITIES, TRANSPORTATION AND RESOURCE AND BENEFITS COORDINATION. SERVING PEOPLE WITH MENTAL ILLNESS: COMMUNITY RESIDENCES PROVIDES RESIDENTIAL PROGRAMS FOR INDIVIDUALS WITH MENTAL HEALTH DIAGNOSES AND SERVICES TO INDIVIDUALS WHO LIVE IN THE COMMUNITY. THE RESIDENTIAL PROGRAMS ARE SINGLE FAMILY HOMES AND LOCATED IN NEIGHBORHOODS THAT ARE CLOSE TO SHOPPING, PUBLIC TRANSPORTATION, AND SOCIAL, RECREATIONAL AND CULTURAL ACTIVITIES. COMMUNITY SERVICES ARE DESIGNED TO PROMOTE COMMUNITY TENURE, TO PREVENT HOMELESSNESS, HOSPITALIZATION, INCARCERATION THOUGH LEARNING SKILLS, AND DEVELOPING NATURAL SUPPORTS. THE PROGRAMS REFLECT THE BELIEF THAT INDIVIDUALS CAN GROW, CHANGE AND RECOVER FROM THE SYMPTOMS OF MENTAL ILLNESS AND CAN LIVE MORE INDEPENDENTLY IN THE COMMUNITY OF THEIR CHOOSING.
FORM 990, PART VI, SECTION A, LINE 2
MARY LUDDEN AND JENNA LUDDEN HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 7A
THE BYLAWS INDICATE THAT THE MEMBERS ARE EITHER MEMBERS OF THE COMMUNITY RESIDENCES, INC (CRI) BOARD OR APPOINTED BY THE CRI BOARD.
FORM 990, PART VI, SECTION A, LINE 7B
BASED ON THE BYLAWS REGARDING MEMBERS AND APPOINTMENT TO THE BOARD THERE IS AN APPROVAL PROCESS BY THE MEMBERS REGARDING DECISIONS OF THE GOVERNING BOARD.
FORM 990, PART VI, SECTION B, LINE 11
THE FORM 990 IS PREPARED BY THE AGENCY'S AUDITORS AFTER MANAGEMENT'S INPUT AND CRITICAL REVIEW. IT IS THEN DISTRIBUTED AND REVIEWED WITH THE FINANCE COMMITTEE OF THE CRI BOARD FOR ITS APPROVAL PRIOR TO FILING. IN ADDITION, THE FINANCE COMMITTEE THEN REPORTS TO THE CRI BOARD, AT ITS NEXT SCHEDULED MEETING, ON ITS REVIEW PROCESS AND ANY SIGNIFICANT ISSUES DISCUSSED WITH THE AUDITORS. COPIES OF THE FORM 990 ARE PROVIDED TO THE CRI BOARD MEMBERS AT THAT TIME.
FORM 990, PART VI, SECTION B, LINE 12C
THE ORGANIZATION REVIEWS ITS POLICIES WITH ALL THE NEW BOARD MEMBERS AND EMPLOYEES DURING AN ORIENTATION. IN ADDITION, ALL EXPENDITURES REQUIRE TWO EMPLOYEES' SIGNATURES FOR DISBURSEMENTS. THE ORGANIZATION ALSO HAS A WHISTLEBLOWER POLICY AND A DIRECTOR ACCOUNTABLE FOR INDEPENDENT INVESTIGATIONS OF ANY ALLEGED MISCONDUCT.
FORM 990, PART VI, SECTION B, LINE 15
THE CRI BOARD FORMED A COMMITTEE MADE UP OF BOARD MEMBERS AND COMMUNITY REPRESENTATIVES TO SELECT AND HIRE THE CURRENT PRESIDENT IN OCTOBER 2006. THE AGENCY AND INCUMBENT ENTERED A CONTRACT THAT WAS IN EFFECT DURING FISCAL YEAR 2013. DURING FY 2013 THE CRI BOARD ENGAGED A THIRD PARTY CONSULTANT TO ASSIST IN THE PROCESS FOR REVIEWING THE CEO'S CONTRACT WHICH INCLUDED COMPENSATION. THIS PROCESS CONCLUDED IN FY 2014 WITH THE SIGNING OF A CONTRACT AMENDMENT ON DECEMBER 30, 2013. THE COMPENSATION OF THE OFFICERS IS DETERMINED BY THE CEO AS PART OF THE ANNUAL BUDGET AND EVALUATION PROCESSES.
FORM 990, PART VI, SECTION C, LINE 19
ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND/OR FINANCIAL STATEMENTS ARE PROVIDED AS REQUIRED BY LAW. IN ADDITION, THE AGENCY PROVIDES AN ANNUAL REPORT TO THE COMMUNITY THAT DOCUMENTS ITS ACCOMPLISHMENTS AND FINANCIAL STATUS. THE AGENCY ALSO SUBMITS REPORTS TO VARIOUS STATE LICENSING AGENCIES AS PART OF ITS MISSION.
FORM 990, PART IX, LINE 11G
HEALTH CARE PROFESSIONALS: PROGRAM SERVICE EXPENSES 253,344. MANAGEMENT AND GENERAL EXPENSES 390. TOTAL EXPENSES 253,734. EMPLOYEE BACKGROUND CHECKS: PROGRAM SERVICE EXPENSES 13,326. MANAGEMENT AND GENERAL EXPENSES 2,043. TOTAL EXPENSES 15,369. OTHER CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 6,474. MANAGEMENT AND GENERAL EXPENSES 22,657. FUNDRAISING EXPENSES 5,692. TOTAL EXPENSES 34,823. HAB/VOC TRAINING: PROGRAM SERVICE EXPENSES 2,606,080. TOTAL EXPENSES 2,606,080.
FORM 990, PART XII, LINE 2C:
THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES THE RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR. THERE WERE NO CHANGES IN THE PROCESSES FROM THE PRIOR YEAR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.