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CCN 07.09-06.10 990

CCN 07.09-06.10 990

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Published by Brian Cummins
2009 (ending 6/2010) Community Care Network 990 financial filing
2009 (ending 6/2010) Community Care Network 990 financial filing

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Published by: Brian Cummins on Apr 18, 2012
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04/23/2012

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Form
990
OpentoPublicInspection
."
o
cnm
-Iz
3:<
>m
~5
;:IOi;"'t:I
Om
~
I'T1
AForthe2009calendaryear,ortaxyearbeginningJUL
1,2009
andendingJUN
30,2010
OMBNo1545-0047
ReturnofOrganizationExemptFromIncomeTax
2009
ndersection501(c),527,or4947(a)(1)oftheInternalRevenueCode(exceptblacklungDepartmentftheTreasurybenefittrustorprivatefoundation)InternalRevenue
ervice~
Theorganizationmayhavetouseacopyofthisretumtosatisfystatereportingreqtnrernents.BCheck
f
Please
CNameoforganization
o
Employeridentificationnumber
applicable
useIRS
OOAddress
labelor
~OMMUNITYCARENETWORK
hange
printor
DName
typeDOingBUSinessAs
20-1254773
hange
D'nlua,
SeeNumberandstreet(orP_O_oxIfmarlisnotdeliveredtostreetaddress)
I
Room/suite
eturn
ETelephonenumber
DTerm,n-
Specrfrc
3146
SCRANTONROAD
216-688-4114
tedInstruc-
DAmended
lions
Crtyortown,stateorcountry,andZIP+4G
Grossreceipts
$
4,569,873.
eturn
DAPPllca-
~LEVELAND,OH
44109
H(a)Isthisagroupreturn
on
pending
FNameandaddressofpnncipalofficerDAVIDLUNDEENforaffiliates?DYes
00
NoSAMEASCABOVEH(b)AreallaffiliatesIncluded?DYesDNoITax-exemptstatus
LXJ
501(c)(
3
)....(Insertno)
U
947(a)(1)or
U
27If"No,"attachalist(seeInstructions)
J
Website:~N/AH(c)GroupexemptIOnnumber~KFormoforganization:
LXJ
Corporation
L
J
Trust
LJ
ASSOCiation
LJ
Dther~
I
LYearofformation:
20041
MStateoflegaldomicile:OH
I
Part
II
Summary
Q)
1Bneflydescnbetheorganization'srrussionormostSignificantactrvrtiesPROVIDEADMINISTRATIONSUPPORT
o
SERVICESANDSHARINGOFRESOURCESFORBRIDGEWAY,INC.ANDTHE
::
t1l
o
ftheorganizationdiscontinuedItSoperationsordisposedofmorethan25%ofItSnetassets
::
2Checktrusbox~
..
Q)
10
3Numberofvotingmembersofthegoverningbody(PartVI,line1a)3
(!)
4NumberofIndependentvotingmembersofthegoverningbody(PartVI,line1b)4
10
011
U>
5Totalnumberofemployees(PartV,line2a)5
68
)
.;:;
6Totalnumberofvolunteers(estimateIfnecessary)6
0
~
7aTotalgrossunrelatedbusinessrevenuefromPartVIII,column
(C),
line127a
O.
<I:
7b
O.
NetunrelatedbusinesstaxableIncomefromForm990-T,line34PriorYearCurrentYear
Q)
8
C,"'","",",and
gm""
(P,rtVIII.hne
1h)~~
6,000.350.
:l
9Programservicerevenue(PartVIII,line2g)
p,
E
C
E-\
o
5,770,826.4,494,006.
::
Q)
>
10InvestmentIncome(PartVIII,column(A),lines3,4and7d)~~
)
a:
Other
revenue(PMVIII.,,10m"
(A).
lmes5.
so.
So.
~f\'!l~~)
I
1~
'1\
76,52l.75,517.
112Totalrevenue-addlines8throuqh11(mustequal
I
aitIII"nA~line12.,~
5,853,347.4,569,873.
u
13GrantsandSimilaramountspaid(PartIX,column(A)~ln~S1.3)~1\
~"t'
~""
I,._.-.---
01"-.'
v
-
14Benefitspaidtoorformembers(PartIX,column(A),me4)
p(:;l..''...
15
~.
~
....
2,809,803.2,400,774.
>
Salaries,othercompensation,employeebenefits(Part,IX,column(A),lines10)
Q)
U>
16aProfessionalfundrarstnqfees(PartIX,column(A),line11e)
::
Q)
~
125,378.
.
bTotalfundrarsmqexpenses(PartIX,column(D),line25)
)(
w17Otherexpenses(PartIX,column(A),lines11a-11d,11f·240
3,435,783.2,248,201.
18TotalexpensesAddlines13·17(mustequalPartIX,column(A),line25)
6,245,586.4,648,975.
19RevenuelessexpensesSubtractline18fromline12
<392,239.
f>
<79,102.
o~
BeginningofCurrentYearEndofYear
"'C::
1,753,10l.1,835,963.
J~
20Totalassets(PartX,line16)
"''''
'co
21Totalliabilities(PartX,line26)
2,184,384.1,769,424.
c""
-c::
<431,283.66,539.
22
NetassetsorfundbalancesSubtractline21fromline20
>
I
PartII
I
SignatureBI9'1k
Under
penalties
of
rf
IdeCI~veexamined
rns
return.mcludmqaccompanymp
schedulesndstatements.ndtoIhebestofmyknowledgend
benet,
,t
IS
true.correct.
;-XJ~;;~~:";~~"'"'''~''~''."''"''~
rer"asanyknowledge
I,Z_
5
18
/J
I
SignHere~lgn~''''''oll1cer
~£'
uate'~DAVIDLUND
N,
CEOTypeorpnnt~natlt~~PaidPreparer's
~/)f/1h~
?fl4
kit
3
/11
Gn.eCKt~D
I
~~~Z,n8{
{7
ignature
to.."-,
'(I
self-Preparer'semployedFllm.sname(O~~rIUNI
&
PtrlnCHI
&il.C.
EIN~
UseOnly
yours
,f
:~I~~:;:I~~~d).
25201
CHAGRINBL
#
200
ZIP.4CLEVELAND,OHIO
44122-5683
Phoneno
~(216)831-7171
Ma~theIRSdiSCUSSthrsreturnWiththe~re~arershownabove?(seeInstructions)
LXJ
Yes
L
J
No
'-
c
:z:
93200t02-04·10LHAForPrivacyActandPaperworkReductIOnActNotice,seetheseparateInstructions.Form
990
(2009)
.Jl
SEESCHEDULE
0
FORORGANIZATIONMISSIONSTATEMENTCONTINUATION
f
 
Form990(2009)
COMMUNITYCARENETWORK20-1254773
Page
2
I
PartIII
I
StatementofProgramServiceAccomplishments
Bneflydescnbetheorganization'smission:
SEESCHEDULE
0
FORCONTINUATIONPROVIDEADMINISTRATIONSUPPORTSERVICESANDSHARINGOFRESOURCESFORBRIDGEWAY,INC.ANDTHECLEVELANDCHRISTIANHOME,INC.,BOTHOFWHICHARETAXEXEMPT501(C)(3)ORGANIZATIONSTHATPROVIDEMENTALHEALTHANDSUBSTANCEABUSESERVICESTOCHILDREN,YOUTHANDFAMILIESSTRUGGLING
2DidtheorganizationundertakeanySignificantprogramservicesdunngtheyearwhichwerenotlistedonthepnorForm990or990-EZ?If"Yes,"descnbethesenewservicesonSchedule0
3
Didtheorganizationceaseconducting,ormakesignificantchangesInhowItconducts,anyprogramservices?If"Yes,"descnbethesechangesonSchedule0_4Descnbetheexemptpurposeachievementsforeachoftheorganization'sthreelargestprogramservicesbyexpenses.Section501(c)(3)and501(c)(4)organizationsandsection4947(a)(1)trustsarerequiredtoreporttheamountofgrantsandallocationstoothers,thetotalexpenses,andrevenue,Ifany,foreachprogramservicereported.DYes
00
NoDYes
00
No4a(Code:)(Expenses
$
2,046,762.
Includinggrantsof
$)
(Revenue
$
ADMINISTRATION,MANAGEMENTANDPHARMACYSERVICESPROVIDEDTOBRIDGEWAYINC.,THECLEVELANDCHRISTIANHOME,INC.ANDOTHERTAX-EXEMPTORGANIZATIONS.
4b(Code.)(Expenses
$
Includinggrantsof
$
)(Revenue
$
4c
(Code)(Expenses
$
Includinggrantsof
$
)(Revenue
$
4dOtherprogramservices(DescnbeInSchedule
0)
(Expenses
$
Includinggrantsof
$
4eTotalprogramserviceexpenses~
$
2,046,762.
)(Revenue
$
93200202-04-10
Form
990
(2009)
1912051275556317240-CCN
2
2009.05070COMMUNITYCARENETWORK17240-C2
 
Form990(2009)
COMMUNITYCARENETWORK20-1254773
Page
3
IPart
IV
IChecklistofRequiredSchedules
Yes
No
1IstheorganizationdescnbedInsection501(c)(3)or4947(a)(1)(otherthanaprivatefoundation)?
tt
rves,completeSchedule
A1
X
2IstheorganizationrequiredtocompleteScheduleB,ScheduleofContributors?2
X
3OldtheorganizationengageIndirectorIndirectpoliticalcampaignactivrtiesonbehalfoforInopposmontocandidatesforpublicoffice?"
"Yes,completeSchedule
C,
PartI
3
X
4Section501(c)(3)organizations.OldtheorganizationengageInlobbYingactivities?"
Yes,•completeSchedule
C,
PartII
4
X
5Section501(c)(4),501(c)(5),and501(c)(6)organizations.Istheorganizationsubjecttothesection6033(e)noticeandreportingrequirementandproxytax?"
"Yes,"completeSchedule
C,
PartIII
5
X
6OldtheorganizationmaintainanydonoradvisedfundsoranySimilarfundsoraccountswheredonorshavethenghttoprovideadviceonthedistributionorInvestmentofamountsInsuchfundsoraccounts?"
"Yes,•completeScheduleD,PartI
6
X
7Oldtheorganizationreceiveorholdaconservationeasement,Includingeasementstopreserveopenspace,theenvironment,hrstonclandareas,orhistonestructures?"
"Yes,"completeScheduleD,PartII
7
X
8Oldtheorganizationmaintaincollectionsofworksofart,lustoncaltreasures,orotherSimilarassets?"
Yes,•completeScheduleD,PartIII
8
X
9OldtheorganizationreportanamountInPartX,line21;serveasacustodianforamountsnotlistedInPartX;orprovidecreditcounseling,debtmanagement,creditrepair,ordebtnegotiationservices?"
Yes,"completeScheduleD,PartIV
9
X
10Oldtheorganization,directlyorthrougharelatedorganization,holdassetsInterm,permanent,orquasi-endowments?
uves.:
completeScheduleD,PartV
10
X
11Istheorganization'sanswertoanyofthefollowingquestions'Yes"?
"so,completeScheduleD,PartsVI,VII,VIII,IX,
orXas
applicable
11
X
Oldtheorganizationreportanamountforland,buildmqs,andequipmentInPartX,line10?"
"Yes,"completeScheduleD,PartVI
OldtheorganizationreportanamountforInvestments·othersecuntiesInPartX,line12thatIS5%ormoreofItStotalassetsreportedInPartX,line16?"
"Yes,"completeScheduleD,PartVII
OldtheorganizationreportanamountforInvestments·programrelatedInPartX,line13thatIS5%ormoreofItStotalassetsreportedInPartX,line16?"
"Yes,"completeScheduleD,PartVIII
OldtheorganizationreportanamountforotherassetsInPartX,line15thatIS5%ormoreofItStotalassetsreportedInPartX,line16?"
"Yes,"completeScheduleD,PartIX
OldtheorganizationreportanamountforotherliabilitiesInPartX,line25?"
"Yes,"completeScheduleD,Part
X
Oldtheorganization'sseparateorconsolidatedfinancialstatementsforthetaxyearIncludeafootnotethataddressestheorganization'sliabilityforuncertaintaxpositionsunderFIN48?"
"Yes,"completeScheduleD,Part
X12Oldtheorganizationobtainseparate,Independentauditedfmancralstatementsforthetaxyear?
If"Yes,"completeScheduleD,PartsXI,XII,andXIII
12
X
12AWastheorganizationIncludedInconsolidated,Independentauditedfinancialstatementsforthetaxyear?
I
Yes
I
No
""Yes,"completmgScheduleD,PartsXI,XII,andXIII
IS
optional
112A
IIX
13IstheorganizationaschooldescnbedInsection170(b)(1)(A)(I~?
If"Yes,"completeScheduleE
13
X
14aOldtheorganizationmaintainanoffice,employees,oragentsoutsideoftheUnitedStates?14a
X
bOldtheorganizationhaveaggregaterevenuesorexpensesofmorethan$10,000fromqrantrnakmq,fundraismq,business,andprogramserviceactivitiesoutsidetheUnitedStates?
If"Yes,"completeScheduleF,PartI
14b
X
15OldtheorganizationreportonPartIX,column(A),line3,morethan$5,000ofgrantsorassistancetoanyorganizationorentitylocatedoutsidetheUnitedStates?
If"Yes,"completeScheduleF,PartII
15
X
16OldtheorganizationreportonPartIX,column(A),line3,morethan$5,000ofaggregategrantsorassistancetomdivrduatslocatedoutsidetheUnitedStates?
If"Yes,"completeScheduleF,PartIII
16
X
17
Oldtheorganizationreportatotalofmorethan$15,000ofexpensesforprotessronalfundraismqservicesonPartIX,column(A),lines6and11e?
If"Yes,"completeSchedule
G,
PartI
17
X
18Oldtheorganizationreportmorethan$15,000totaloffundraismqeventgrossIncomeandcontnbutronsonPartVIII,lines1cand8a?
If"Yes,"completeSchedule
G,
PartII
18
X
19Oldtheorganizationreportmorethan$15,000ofgrossIncomefromgamingactivitiesonPartVIII,line9a?
If
"Yes,"completeSchedule
G,
PartIII
19
X
20Oldtheorqaruzatronoperateoneormorehospitals?
If
"Yes,"completeScheduleH
20
X
Form
990
(2009)
93200302·04·10
1912051275556317240-CCN
3
2009.05070COMMUNITYCARENETWORK17240-C2

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