COMMUNITY RESIDENCES INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY RESIDENCES INC (EIN 54-1004092)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-02-27
- IRS object ID
- 202340589349300749
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-02-27T16:53:12-06:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1410 SPRING HILL ROAD SUITE 500 | AddressLine1Txt |
| City | TYSONS | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 221023056 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 541004092 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY RESIDENCES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 7038422300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14160 NEWBROOK DRIVE 1ST FLOOR | AddressLine1Txt |
| City | CHANTILLY | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 20151 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERENCE HURLEY | PersonNm |
| Person Title | EXECUTIVE VP - CFO & CAO | PersonTitleTxt |
| Phone | 7038422321 | PhoneNum |
| Signature | 2023-02-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TERENCE | PersonFirstNm |
| Person Last | HURLEY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMY BIBBY | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 7039700400 | PhoneNum |
| Preparation | 2023-02-16 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ARTHUR GINSBERG | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14160 NEWBROOK DRIVE 1ST FLOOR | AddressLine1Txt |
| City | CHANTILLY | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 20151 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $35,349,534 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MYCRI.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1975 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | CRI IS DEDICATED TO PROVIDING PERSONALIZED RESOURCES TO YOUTH AND ADULTS WITH MENTAL HEALTH NEEDS AND DEVELOPMENTAL DISABILITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 631 | TotalEmployeeCnt |
| Total Volunteers | 487 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,209,388 | PYContributionsGrantsAmt |
| CY Contributions Grants | $502,070 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $32,258,478 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $34,833,019 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$1,120 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,412 | CYInvestmentIncomeAmt |
| PY Other Revenue | $10,341 | PYOtherRevenueAmt |
| CY Other Revenue | $9,033 | CYOtherRevenueAmt |
| PY Total Revenue | $37,477,087 | PYTotalRevenueAmt |
| CY Total Revenue | $35,349,534 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,408 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $26,867,125 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $26,571,189 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $176,007 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,946,219 | PYOtherExpensesAmt |
| CY Other Expenses | $9,257,234 | CYOtherExpensesAmt |
| PY Total Expenses | $33,813,344 | PYTotalExpensesAmt |
| CY Total Expenses | $35,829,831 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,663,743 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$480,297 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,226,952 | TotalAssetsBOYAmt |
| Total Assets EOY | $8,965,819 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,981,126 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,874,827 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,245,826 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,090,992 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CRI IS DEDICATED TO PROVIDING PERSONALIZED RESOURCES TO YOUTH AND ADULTS WITH MENTAL HEALTH NEEDS AND DEVELOPMENTAL DISABILITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $30,816,731 | ExpenseAmt |
| Grant | $1,408 | GrantAmt |
| Revenue | $34,847,457 | RevenueAmt |
| Desc | SEE SCHEDULE OCOMMUNITY RESIDENCES OFFERS A WIDE VARIETY OF SERVICES AND ACTIVITIES TO INDIVIDUALS WITH INTELLECTUAL DISABILITIES. THESE INDIVIDUALS ARE SUPPORTED IN COMMUNITY RESIDENCES' NEIGHBORHOOD HOMES. EVERY HOME IS LOCATED WITHIN REASONABLE ACCESS TO SHOPPING, RECREATIONAL, SOCIAL, CULTURAL AND RELIGIOUS ACTIVITIES; HEALTH CARE FACILITIES, TRANSPORTATION AND VOCATIONAL OPPORTUNITIES ARE ALSO AVAILABLE. ALL SERVICES ARE FLEXIBLE AND RESPONSIVE TO THE PERSON SUPPORTED AND THESE INDIVIDUALS ARE FULLY INTEGRATED INTO COMMUNITY LIFE. EACH PERSON'S SERVICE PLAN IS DIFFERENT. 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 ARE SERVICES THAT ARE ALSO AVAILABLE.COMMUNITY RESIDENCES PROVIDES SERVICES FOR INDIVIDUALS WITH MENTAL HEALTH DIAGNOSES WHO RESIDE IN A COMMUNITY RESIDENCES HOME, AND ALSO SERVES INDIVIDUALS WHO LIVE IN THE COMMUNITY. ALL COMMUNITY RESIDENCES HOMES ARE 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 THROUGH LEARNING SKILLS, AND TO DEVELOP NATURAL SUPPORTS. THESE SERVICES 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. | Desc |
| Total Program Service Expenses | $30,816,731 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 13 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 631 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | VA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7038422300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14160 NEWBROOK DRIVE 1ST FLOOR | AddressLine1Txt |
| City | CHANTILLY | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 20151 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| PERI-ANNE CHOBOT | ||||||||
| CHAIR | 0.10 | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MICHAEL NATHAN | ||||||||
| VICE CHAIR | 0.10 | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| STEVEN DUNN | ||||||||
| SECRETARY | 0.10 | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| NEWMAN C AINSLEY | ||||||||
| TREASURER | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ANDREW SCHNEIDER | ||||||||
| BOARD MEMBER | 0.10 | 0.20 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD BREWSTER | ||||||||
| BOARD MEMBER | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| MATT BARTLEY | ||||||||
| BOARD MEMBER | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| ARTHUR GINSBERG | ||||||||
| PRESIDENT/CEO | 40.00 | 0.40 | Yes (X) | Yes (X) | $325,809 | $0 | $24,428 | |
| CHIRSTINE B PLUMMER | ||||||||
| BOARD MEMBER | 0.10 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL FITZGERALD | ||||||||
| BOARD MEMBER | 0.10 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| TAMIKA HAWKINS ESQ | ||||||||
| BOARD MEMBER | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| MELANDEE JONES | ||||||||
| BOARD MEMBER | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| JOHN SLYE JR | ||||||||
| BOARD MEMBER | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| JINHEE KIM | ||||||||
| BOARD MEMBER | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| TERENCE HURLEY | ||||||||
| EXECUTIVE VP - CFO & CAO | 40.00 | 0.10 | Yes (X) | $249,898 | $0 | $20,202 | ||
| RONALD GEORGE | ||||||||
| HR DIRECTOR & VP OF BUSINESS DEVELOPMENT | 40.00 | $165,936 | $0 | $23,863 | Yes (X) | |||
| DEANNE MULLINS | ||||||||
| SR DIR OF CLINICAL SERVICE | 40.00 | $130,486 | $0 | $23,621 | Yes (X) | |||
| LARRY SCURLOCK | ||||||||
| CHIEF INFORMATION OFFICER | 40.00 | $132,903 | $0 | $17,627 | Yes (X) | |||
| JULIE ALLEN | ||||||||
| SR DIR OF CLINICAL SERVICE | 40.00 | $133,686 | $0 | $20,467 | Yes (X) | |||
| BEATRICE CLAIBORNE | ||||||||
| DIRECTOR OF NURSING | 40.00 | $131,943 | $0 | $18,553 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,270,661 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $148,761 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 14 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SERVICE SOURCE | |||||
| 10467 WHITE GRANITE DR | OAKTON | VA | 22124 | DAY SUPPORT | $1,244,762 |
| ISG TRANSPORTATION | |||||
| 7653 FRAMINGHAM CT | GAINESVILLE | VA | 20155 | TRANSPORTATION | $820,200 |
| BIO-MEDIC HEALTH SERVICES | |||||
| 1099 COLONIAL FORT DR | MONTVALE | VA | 24122 | MEDICAL SUPPLIES | $295,716 |
| DELTA-T GROUP | |||||
| PO BOX 884 | BRYN MAWR | PA | 19010 | TEMPORARY STAFFING | $265,366 |
| NGUYEN MEDICAL PRACTICE | |||||
| 7202 POPLAR ST SUITE E | ANNANDALE | VA | 22003 | MEDICAL DIRECTOR | $185,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $7,000 | RelatedOrganizationsAmt |
| Government Grants | $323,386 | GovernmentGrantsAmt |
| All Other Contributions | $171,684 | AllOtherContributionsAmt |
| Total Contributions | $502,070 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID FUNDS | 623000 | $29,651,708 | $29,651,708 |
| COUNTY FUNDS | 623990 | $3,651,413 | $3,651,413 |
| CONSUMER FEES AND RENT | 623000 | $1,361,879 | $1,361,879 |
| PROGRAM MANAGEMENT | 623990 | $114,946 | $114,946 |
| HUD TENANT ASSISTANCE | 623990 | $53,073 | $53,073 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $34,833,019 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7 | TotalRevenueColumnAmt |
| Exclusion | $7 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $5,405 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $5,405 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,405 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,405 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $9,033 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,033 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $9,033 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,349,534 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $34,847,457 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,408 | TotalAmt |
| Program Services | $1,408 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $661,838 | TotalAmt |
| Program Services | $55,683 | ProgramServicesAmt |
| Management And General | $606,155 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,326,885 | TotalAmt |
| Program Services | $18,756,634 | ProgramServicesAmt |
| Management And General | $2,424,782 | ManagementAndGeneralAmt |
| Fundraising | $145,469 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,001 | TotalAmt |
| Program Services | $133,618 | ProgramServicesAmt |
| Management And General | $21,350 | ManagementAndGeneralAmt |
| Fundraising | $1,033 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,708,748 | TotalAmt |
| Program Services | $2,341,500 | ProgramServicesAmt |
| Management And General | $349,122 | ManagementAndGeneralAmt |
| Fundraising | $18,126 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,717,717 | TotalAmt |
| Program Services | $1,471,254 | ProgramServicesAmt |
| Management And General | $235,084 | ManagementAndGeneralAmt |
| Fundraising | $11,379 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,528 | TotalAmt |
| Program Services | $54,186 | ProgramServicesAmt |
| Management And General | $17,342 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,867 | TotalAmt |
| Program Services | $116,140 | ProgramServicesAmt |
| Management And General | $45,727 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,407,349 | TotalAmt |
| Program Services | $2,201,554 | ProgramServicesAmt |
| Management And General | $205,795 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,268 | TotalAmt |
| Program Services | $431 | ProgramServicesAmt |
| Management And General | $1,837 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,935 | TotalAmt |
| Program Services | $98,584 | ProgramServicesAmt |
| Management And General | $67,351 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $460,922 | TotalAmt |
| Program Services | $254,572 | ProgramServicesAmt |
| Management And General | $206,350 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,271,674 | TotalAmt |
| Program Services | $1,940,083 | ProgramServicesAmt |
| Management And General | $331,591 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $934,095 | TotalAmt |
| Program Services | $908,156 | ProgramServicesAmt |
| Management And General | $25,939 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,515 | TotalAmt |
| Program Services | $7,222 | ProgramServicesAmt |
| Management And General | $8,293 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,431 | TotalAmt |
| Program Services | $9,431 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,891 | TotalAmt |
| Program Services | $171,036 | ProgramServicesAmt |
| Management And General | $57,855 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,913 | TotalAmt |
| Program Services | $4,967 | ProgramServicesAmt |
| Management And General | $76,946 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONSUMER SUPPLIES | $1,151,483 | $1,143,400 | $8,083 |
| DMAS ASSESSMENT | $1,146,656 | $1,146,656 | |
| EMPLOYEE RECRUITMENT | $147,707 | $216 | $147,491 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,829,831 | TotalAmt |
| Program Services | $30,816,731 | ProgramServicesAmt |
| Management And General | $4,837,093 | ManagementAndGeneralAmt |
| Fundraising | $176,007 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,462,844 | BOYAmt |
| EOY | $1,905,722 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,595,706 | BOYAmt |
| EOY | $1,872,436 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,593 | BOYAmt |
| EOY | $20,751 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,074 | BOYAmt |
| EOY | $102,561 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,087,997 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,620,810 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $686,753 | BOYAmt |
| EOY | $467,187 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,353,982 | BOYAmt |
| EOY | $4,597,162 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,226,952 | BOYAmt |
| EOY | $8,965,819 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,888,359 | BOYAmt |
| EOY | $3,913,205 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $565,975 | BOYAmt |
| EOY | $570,665 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $224,649 | BOYAmt |
| EOY | $127,238 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,302,143 | BOYAmt |
| EOY | $1,263,719 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,981,126 | BOYAmt |
| EOY | $5,874,827 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,232,326 | BOYAmt |
| EOY | $3,077,492 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,500 | BOYAmt |
| EOY | $13,500 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,245,826 | BOYAmt |
| EOY | $3,090,992 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,226,952 | BOYAmt |
| EOY | $8,965,819 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$480,297 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $325,463 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $485,243 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $394,468 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $233,320 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,209,388 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $502,070 | CurrentTaxYearAmt |
| Total | $6,824,489 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $485,243 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $394,468 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $233,320 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,209,388 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $502,070 | CurrentTaxYearAmt |
| Total | $6,824,489 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $112,117 | SubstantialContributorsTotAmt |
| Public Support Total170 | $6,712,372 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year | $7 | CurrentTaxYearAmt |
| Total | $8 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $388 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,927 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $91,440 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,341 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,033 | CurrentTaxYearAmt |
| Total | $119,129 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $6,943,626 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $171,396,253 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.96670 | PublicSupportCY170Pct |
| Public Support PY170 | 0.94970 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2017 AMOUNT: $ 388. 2018 AMOUNT: $ 7,927. 2019 AMOUNT: $ 91,440. 2020 AMOUNT: $ 10,341. 2021 AMOUNT: $ 9,033. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $111,519 | OtherCostOrOtherBasisAmt |
| Book Value | $111,519 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $171,848 | OtherCostOrOtherBasisAmt |
| Depreciation | $171,848 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $113,644 | OtherCostOrOtherBasisAmt |
| Depreciation | $96,163 | DepreciationAmt |
| Book Value | $17,481 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,690,986 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,352,799 | DepreciationAmt |
| Book Value | $338,187 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $467,187 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEPOSITS HELD IN TRUST | $621,539 |
| RESIDUAL RECEIPTS | $6 |
| REPLACEMENT RESERVES & OTHER RESTRICTED DEPOSITS | $17,480 |
| SECURITY DEPOSITS | $19,127 |
| DUE FROM AFFILIATES | $1,772,503 |
| DUE FROM DEPARTMENT OF MEDICAL ASSISTANCE | $2,166,507 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,597,162 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| TENANT SECURITY DEPOSITS | $3,783 |
| DUE TO DEPARTMENT OF MEDICAL ASSISTANCE SERVICES | $347,675 |
| DUE TO AFFILIATES | $197,799 |
| OTHER CURRENT LIABILITIES | $211,462 |
| CONTINGENCY RESERVE | $503,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,263,719 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $35,349,534 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $35,349,534 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $35,349,534 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $35,829,831 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $35,829,831 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $35,829,831 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | THE ORGANIZATION ACTS AS A REPRESENTATIVE PAYEE/TRUSTEE ON BEHALF OF THE CONSUMER PERSONAL FUNDS. WITHDRAWALS FROM THE FUNDS ARE USED STRICTLY TO COVER THE PATIENT PAY OBLIGATIONS AND CONSUMERS AUTHORIZED SPENDING AS DETERMINED/APPROVED BY THE VIRGINIA DEPARTMENT OF SOCIAL SERVICES. THE BALANCE OF DEPOSITS HELD IN TRUST AS OF JUNE 30, 2022 AND 2021 WAS $621,539 AND $557,473, RESPECTIVELY. |
| PART X, LINE 2: | THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE ORGANIZATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2022 AND 2021. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ARTHUR GINSBERG | ||||||||||||||
| PRESIDENT/CEO | $325,809 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $24,428 | $0 | $350,237 | $0 | $0 | $0 |
| TERENCE HURLEY | ||||||||||||||
| EXECUTIVE VP - CFO & CAO | $248,698 | $0 | $1,200 | $0 | $0 | $0 | $0 | $0 | $20,202 | $0 | $270,100 | $0 | $0 | $0 |
| RONALD GEORGE | ||||||||||||||
| HR DIRECTOR & VP OF BUSINESS DEVELOP | $164,736 | $0 | $1,200 | $0 | $0 | $0 | $0 | $0 | $23,863 | $0 | $189,799 | $0 | $0 | $0 |
| JULIE ALLEN | ||||||||||||||
| SR DIR OF CLINICAL SERVICE | $131,886 | $0 | $1,800 | $0 | $0 | $0 | $2,723 | $0 | $17,744 | $0 | $154,153 | $0 | $0 | $0 |
| DEANNE MULLINS | ||||||||||||||
| SR DIR OF CLINICAL SERVICE | $128,686 | $0 | $1,800 | $0 | $0 | $0 | $0 | $0 | $23,621 | $0 | $154,107 | $0 | $0 | $0 |
| LARRY SCURLOCK | ||||||||||||||
| CHIEF INFORMATION OFFICER | $131,703 | $0 | $1,200 | $0 | $0 | $0 | $0 | $0 | $17,627 | $0 | $150,530 | $0 | $0 | $0 |
| BEATRICE CLAIBORNE | ||||||||||||||
| DIRECTOR OF NURSING | $130,143 | $0 | $1,800 | $0 | $0 | $0 | $0 | $0 | $18,553 | $0 | $150,496 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | 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. IN ADDITION, THE FINANCE COMMITTEE THEN REPORTS TO THE CRI BOARD PRIOR TO FILING ON ITS REVIEW PROCESS AND ANY SIGNIFICANT ISSUES DISCUSSED WITH THE AUDITORS FOR ITS APPROVAL. |
| 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 CEO COMPENSATION IS ULTIMATELY DETERMINED BY CRI'S BOARD OF DIRECTORS. THE GOVERNANCE COMMITTEE OF THE CRI BOARD OF DIRECTORS ANNUALLY COMPLETES A THOROUGH AND ROBUST REVIEW OF THE CEO'S PERFORMANCE. IF THE COMMITTEE DETERMINES AN INCREASE IN COMPENSATION IS WARRANTED, THE COMMITTEE WILL FORWARD THAT RECOMMENDATION TO THE CRI BOARD FOR THEIR REVIEW AND APPROVAL. |
| 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 XI, LINE 9: | FORGIVENESS OF RELATED PARTY OTHER LIABILITIES 325,463. |
| 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY HAVENS INC | ||||||||||
| 14610 NEWBROOK DRIVE | CHANTILLY | VA | 201512297 | 542006078 | SERVES PEOPLE WITH MENTAL ILLNESSES AND INTELLECTUAL DISABILITIES | VA | 501(C)(3) | LINE 11 | COMMUNITY RESIDENCES INC | Yes (1) |
| COMMUNITY RESIDENCES FOUNDATION INC | ||||||||||
| 14610 NEWBROOK DRIVE | CHANTILLY | VA | 201512297 | 541753414 | SERVES PROGRAMS OF CRI THROUGH FINANCIAL ASSISTANCE | VA | 501(C)(3) | LINE 7 | COMMUNITY RESIDENCES INC | Yes (1) |
| COMMUNITY RESIDENCES OF ARLINGTON INC | ||||||||||
| 14610 NEWBROOK DRIVE | CHANTILLY | VA | 201512297 | 521303297 | SERVES PEOPLE WITH MENTAL ILLNESSES AND INTELLECTUAL DISABILITIES | VA | 501(C)(4) | COMMUNITY RESIDENCES INC | Yes (1) | |
| RESIDENTIAL YOUTH SERVICES INC | ||||||||||
| 14610 NEWBROOK DRIVE | CHANTILLY | VA | 201512297 | 540857751 | SERVES THE NEEDS OF ABUSED, NEGLECTED, AT RISK & YOUNG ADULTS | VA | 501(C)(3) | LINE 11 | COMMUNITY RESIDENCES INC | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |