2021-05-10T16:58:30-05:00 2020-06-30 560747981 DIXON HUGHES GOODMAN LLP 1410 SPRING HILL ROAD SUITE 500 TYSONS VA 221023056 990 2019-07-01 541004092 COMMUNITY RESIDENCES INC COMM 7038422300 14160 NEWBROOK DRIVE 1ST FLOOR CHANTILLY VA 20151 TERENCE HURLEY ASST TREASURER, VP ADMIN & CFO 7038422321 2021-04-13 1 AMY BIBBY P00445891 7039700400 2021-04-13 2019 2022-09-23 18:48:47Z CRI ARTHUR GINSBERG 14160 NEWBROOK DRIVE 1ST FLOOR CHANTILLY VA 20151 36539262 0 X WWW.MYCRI.ORG X 1975 VA SEE SCHEDULE O 11 10 782 584 0 0 394468 233320 34469630 36202673 22209 6216 7927 91440 34894234 36533649 0 0 0 0 26385656 28292263 0 0 172761 9220426 9137590 35606082 37429853 -711848 -896204 5795819 8465796 7112835 9620713 -1317016 -1154917 X CRI IS DEDICATED TO PROVIDING PERSONALIZED RESOURCES TO YOUTH AND ADULTS WITH MENTAL HEALTH NEEDS AND DEVELOPMENTAL DISABILITIES. 0 0 32859987 36300329 SEE SCHEDULE O 32859987 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 86 0 782 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MD VA X THE ORGANIZATION 7038422300 14160 NEWBROOK DRIVE 1ST FLOOR CHANTILLY VA 20151 PERI-ANNE CHOBOT CHAIR 0.10 0.10 X 0 0 0 MICHAEL NATHAN VICE CHAIR & TREASURER 0.10 0.10 X 0 0 0 STEVEN DUNN SECRETARY 0.10 0.10 X 0 0 0 NEWMAN C AINSLEY ASSISTANT TREASURER 0.10 0.00 X 0 0 0 ANDREW SCHNEIDER BOARD MEMBER 0.10 0.20 X 0 0 0 RICHARD BREWSTER BOARD MEMBER 0.10 0.00 X 0 0 0 MATT BARTLEY BOARD MEMBER 0.10 0.00 X 0 0 0 JOHN LILJEGREN BOARD MEMBER 0.10 0.10 X 0 0 0 RENEE PIETRANGELO BOARD MEMBER 0.10 0.00 X 0 0 0 CHIRSTINE B PLUMMBER BOARD MEMBER 0.10 0.10 X 0 0 0 ARTHUR GINSBERG PRESIDENT/CEO 40.00 0.40 X X 323901 0 31882 TERENCE HURLEY ASST TREASURER, VP ADMIN & 40.00 0.10 X 238222 0 27611 LYNN MACDONALD CHIEF OF STAFF 40.00 0.00 X 97239 0 24173 RONALD GEORGE HR DIRECTOR 40.00 X 158363 0 29595 DEANNE MULLINS SR DIR OF CLINICAL SERVICE 40.00 X 127098 0 30265 LARRY SURLOCK CIO 40.00 X 124960 0 24296 KELSEY DEWISPELAERE VP PHILAN. & EXTNL AFFAIRS 40.00 X 124887 0 24338 BEATRICE CLAIBORNE DIRECTOR OF NURSING 40.00 X 124286 0 24244 1318956 0 216404 7 0 1 0 CENTRAL FAIRFAX 10467 WHITE GRANITE DRIVE OAKTON VA 22124 DAY SUPPORT SERVICES 1320098 MOUNT VERNON LEE ENTERPRISES 7420 FULLERTON ROAD SUITE 110 SPRINGFIELD VA 20151 DAY SUPPORT SERVICES 489159 ISG TRANSPORT LLC 7653 FRAMINGHAM COURT GAINESVILLE VA 20155 TRANSPORTATION 483198 ALIGN STAFFING 111 K STREET NE WASHINGTON DC 20002 TEMPORARY STAFFING SERVICES 200267 DELTA-T GROUP PO BOX 884 BRYN MWR PA 190100884 TEMPORARY SERVICES 172671 6 142753 90567 233320 MEDICAID FUNDS 623000 29464241 29464241 COUNTY FUNDS 623990 5098893 5098893 CONSUMER FEES AND RENT 623000 1434232 1434232 PROGRAM MANAGEMENT 623990 90318 90318 HUD TENANT ASSISTANCE 623990 71283 71283 43706 43706 36202673 11829 5613 6216 6216 6216 91440 91440 91440 36533649 36300329 0 0 783273 4428 778312 533 23058385 20532326 2412016 114043 129746 129746 2469746 2242729 187042 39975 1851113 1603848 247265 14127 5616 8511 148842 107001 41841 2989791 2936772 51751 1268 4573 151 3300 1122 185954 110762 73966 1226 262267 130708 127764 3795 2223354 1912054 310199 1101 351441 322471 26690 2280 3337 181 2111 1045 108165 108165 218307 207257 10740 310 2097 2065 32 DMAS ASSESSMENT 1085839 1085839 CONSUMER SUPPLIES 1034697 1013041 16958 4698 MISCELLANEOUS 452392 393865 57162 1365 EMPLOYEE RECRUITMENT 52407 10962 41445 37429853 32859987 4397105 172761 159181 3446218 2920193 2755309 31351 80956 65267 3987813 3332416 729869 655397 1905620 1512254 5795819 8465796 3347551 3199028 229860 377604 1686185 282196 1849239 5761885 7112835 9620713 X -1344818 -1200617 27802 45700 -1317016 -1154917 5795819 8465796 X -896204 1058303 X X 0 1 X 1 0 X 287334 210152 485243 394468 233320 1610517 287334 210152 485243 394468 233320 1610517 260982 1349535 11 7 1 19 108200 113861 388 7927 91440 321816 1932352 168289980 0.69840 0.72660 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 235304 136944 0 372248 1 X 111519 111519 171848 171848 0 113835 84984 28851 3590611 3075584 515027 655397 DEPOSITS HELD IN TRUST 372248 RESIDUAL RECEIPTS 6 REPLACEMENT RESERVES & OTHER RESTRICTED DEPOSITS 12576 SECURITY DEPOSITS 19256 DUE FROM AFFILIATES 492374 DUE FROM DEPARTMENT OF MEDICAL ASSISTANCE 615794 1512254 TENANT SECURITY DEPOSITS 4203 DUE TO DEPARTMENT OF MEDICAL ASSISTANCE SERVICES 207248 DUE TO AFFILIATES 206289 PAYCHECK PROTECTION PROGRAM LIABILITY 5302200 OTHER CURRENT LIABILITIES 41945 5761885 X 36533649 0 36533649 0 36533649 37429853 0 37429853 0 37429853 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, 2020 AND 2019 WAS $372,248 AND $235,304, 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, 2020 AND 2019. X X X 0 0 0 0 0 0 0 0 0 ARTHUR GINSBERG PRESIDENT/CEO 323901 0 0 0 0 0 750 0 31132 0 355783 0 0 0 TERENCE HURLEY ASST TREASURER, VP ADMIN & 238222 0 0 0 0 0 542 0 27069 0 265833 0 0 0 RONALD GEORGE HR DIRECTOR 158363 0 0 0 0 0 0 0 29595 0 187958 0 0 0 DEANNE MULLINS SR DIR OF CLINICAL SERVICE 127098 0 0 0 0 0 0 0 30265 0 157363 0 0 0 FORM 990, PART I, LINE 1, CRI IS DEDICATED TO PROVIDING PERSONALIZED RESOURCES TO YOUTH AND ADULTS WITH MENTAL HEALTH NEEDS AND DEVELOPMENTAL DISABILITIES. FORM 990, PART III, LINES 4A-C, COMMUNITY 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 LESIURE 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. 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 15A 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 1,058,303. 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. 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 0 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 0 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 0 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 0 0 0 1 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1