2025-04-29T07:32:50-05:00 2024-06-30 410746749 CLIFTONLARSONALLEN LLP 4 BATTERYMARCH PARK SUITE 100 QUINCY MA 02169 990 2023-07-01 200215979 LUTHERAN ASSISTED LIVING AT MIDDLETOWN INC LUTH 8603477144 628 CONGDON STREET WEST MIDDLETOWN CT 06457 ANGELA BOVILL PRESIDENT & CEO 8603477144 2025-04-24 1 0 DANIELLE NIHILL P01350943 7819821001 2025-03-27 2023 2025-03-06 01:10:19Z ANGELA BOVILL 628 CONGDON STREET WEST MIDDLETOWN CT 06457 1079964 0 6011 X WWW.ASCENTRIA.ORG X 2003 CT WE ARE CALLED TO STRENGTHEN COMMUNITIES BY EMPOWERING PEOPLE TO RESPOND TO LIFE'S CHALLENGES. 7 6 0 6 0 0 0 0 1079728 1058060 6405 8209 24923 13695 1111056 1079964 0 0 0 0 247196 262421 0 0 0 1223878 1221010 1471074 1483431 -360018 -403467 5157912 4996004 7598220 7839779 -2440308 -2843775 WE ARE CALLED TO STRENGTHEN COMMUNITIES BY EMPOWERING PEOPLE TO RESPOND TO LIFE'S CHALLENGES. 0 0 1375242 1058060 LUTHERAN ASSISTED LIVING AT MIDDLETOWN WAS FORMED TO CONSTRUCT AND OPERATE A 45-UNIT MANAGED RESIDENTIAL CARE COMMUNITY IN MIDDLETOWN, CONNECTICUT FOR THE ELDERLY. THE ORGANIZATION IS OPERATED UNDER THE GUIDANCE AND REGULATIONS OF THE CONNECTUICUT HOUSING FINANCE AUTHORITY. 1375242 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 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 8 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 6 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CT X ANGELA BOVILL 8603477144 11 SHATTUCK STREET WORCESTER MA 01605 ANGELA BOVILL PRESIDENT & CEO 1.00 39.00 X X 0 367022 42491 KEITH ROBERTSON DIRECTOR 0.50 5.00 X 0 0 0 WILLIAM MAYO DIRECTOR/PAST PRESIDENT 0.50 5.00 X 0 0 0 FREDERIC JENOURE CHAIR 0.50 5.00 X X 0 0 0 THE REV ROSS GOODMAN VICE CHAIR 0.50 5.00 X X 0 0 0 ASHISH COWLAGI SECRETARY 0.50 5.00 X X 0 0 0 ALEXANDER BARTHOLOMEW FINANCIAL SECRETARY 0.50 5.00 X X 0 0 0 KRISTINE HANSCOM EXECUTIVE VP/COO & CFO 1.00 39.00 X 0 79534 2717 MICHELLE BETTIGOLE CHIEF SENIOR CARE OFF. (THRU 10/23) 2.00 38.00 X 0 194978 32426 JEANETTE WADE CFO/COO (THRU 10/23) 1.00 39.00 X 0 153182 9206 AIMEE MITCHELL CHIEF COMMUNITY SERV. (THRU 10/23) 0.50 39.50 X 0 157382 25264 NICHOLAS RUSSO TREASURER 1.00 39.00 X 0 139205 3236 TARA BROWNE CLERK/EXECUTIVE ASSISTANT 1.00 39.00 X 0 70588 11264 NICHOLAS SOUSA ASST. CLERK/EXECUTIVE ASSI 1.00 39.00 X 0 52604 8412 CHRISTINE TAPPAN CHIEF OF STRATEGIC ADVANCE 1.00 39.00 X 0 188618 7264 0 1403113 142280 0 0 1 0 0 RENTAL INCOME 623000 818184 818184 MEALS INCOME 623000 239876 239876 1058060 8209 8209 MISCELLANEOUS INCOME 623000 13695 13695 13695 1079964 1058060 0 21904 214457 214457 27735 27735 20229 20229 55561 55561 105 105 31010 31010 7534 4285 3249 94 94 22382 22382 20352 2088 18264 272654 272654 2821 2821 50 50 212837 212837 235978 235978 28076 28076 MEALS CONTRACT 300281 300281 OTHER EXPENSES 17738 17738 RESIDENT CARE COSTS 11752 11752 BAD DEBT 1785 1785 1483431 1375242 108189 0 17323 23386 6448 7181 17803 13449 7899050 3685776 4439066 4213274 677272 738714 5157912 4996004 72882 76349 63 13027 6056405 5995588 1468870 1754815 7598220 7839779 X -2440308 -2843775 -2440308 -2843775 5157912 4996004 -403467 0 X X 0 1 X 1 1 1 X 1045812 980409 1006706 1079728 1058060 5170715 1045812 980409 1006706 1079728 1058060 5170715 0 558330 533530 548324 579753 572076 2792013 558330 533530 548324 579753 572076 2792013 2378702 5891 444 568 6405 8209 21517 5891 444 568 6405 8209 21517 31590 12211 11353 24923 13695 93772 1083293 993064 1018627 1111056 1079964 5286004 0.45000 0.45000 0.00410 0.00390 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2019 AMOUNT: $ 31,590. 2020 AMOUNT: $ 12,211. 2021 AMOUNT: $ 11,353. 2022 AMOUNT: $ 24,923. 2023 AMOUNT: $ 13,695. 0 1 X 7301348 3451238 3850110 412982 136107 276875 139450 78814 60636 45270 19617 25653 4213274 ESCROW DEPOSITS 217358 TENANT SECURITY DEPOSITS 47049 REPLACEMENT RESERVE 176221 GROUND LEASE ACQUISITION, NET 67848 RIGHT-OF-USE ASSET 230238 738714 DUE TO RELATED PARTIES 1419322 TENANT SECURITY DEPOSITS 35493 LEASE LIABILITY 300000 1754815 X 1079964 0 1079964 0 1079964 1483431 0 1483431 0 1483431 PART IV, LINE 2B: THE ORGANIZATION HOLDS FUNDS ON BEHALF OF RESIDENTS. PART X, LINE 2: THE ORGANIZATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. THE FINANCIAL STATEMENTS DO NOT INCLUDE A PROVISION FOR INCOME TAXES BECAUSE THE ORGANIZATION IS A TAX-EXEMPT ORGANIZATION. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS OR AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES IN ACCORDANCE WITH PRESCRIBED STATUTES. THE ORGANIZATION HAS NOT BEEN EXAMINED FOR ANY OPEN YEARS. 0 0 0 0 0 0 0 0 0 ANGELA BOVILL PRESIDENT & CEO 0 367022 0 0 0 0 0 0 0 42491 0 409513 0 0 MICHELLE BETTIGOLE CHIEF SENIOR CARE OFF. (THRU 10/23) 0 194978 0 0 0 0 0 0 0 32426 0 227404 0 0 CHRISTINE TAPPAN CHIEF OF STRATEGIC ADVANCE 0 188618 0 0 0 0 0 0 0 7264 0 195882 0 0 AIMEE MITCHELL CHIEF COMMUNITY SERV. (THRU 10/23) 0 157382 0 0 0 0 0 0 0 25264 0 182646 0 0 JEANETTE WADE CFO/COO (THRU 10/23) 0 153182 0 0 0 0 0 0 0 9206 0 162388 0 0 PART I, LINE 3 ASCENTRIA CARE ALLIANCE, INC. (ACA) IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. THE COMPENSATION OF THE ORGANIZATION'S CEO IS DETERMINED AND PAID BY ACA. THE CEO OF ACA IS THE PRINCIPAL REPRESENTATIVE OF ASCENTRIA CARE ALLIANCE, INCLUDING ITS AFFILIATES AND SUBSIDIARIES, AND IS THE PERSON RESPONSIBLE FOR THE EFFICIENT OPERATION OF THE ACA, ITS AFFILIATES, AND ITS SUBSIDIARIES. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF ACA ANNUALLY EVALUATES THE CEO ON HIS/HER PERFORMANCE. THE CHAIR OF ACA'S BOARD OF DIRECTORS, AN UNCOMPENSATED VOLUNTEER, IS THE CHAIR OF THE EXECUTIVE COMMITTEE AND IS INDEPENDENT WITHOUT UNDUE INFLUENCE FROM THE CEO. THE EXECUTIVE COMMITTEE WILL OBTAIN RESEARCH TO MAKE A RECOMMENDATION FOR THE COMPENSATION OF THE CEO. A REVIEW OF COMPARABILITY DATA MAY INCLUDE THE FOLLOWING: COMPENSATION STUDIES BY INDEPENDENT SOURCES, WRITTEN JOB OFFERS FOR POSITIONS AT SIMILAR ORGANIZATIONS, DOCUMENTED PHONE CALLS ABOUT SIMILAR CEO POSITIONS, AND INFORMATION OBTAINED FROM THE IRS FORM 990 FILINGS OF SIMILAR ORGANIZATIONS. THE EXECUTIVE COMMITTEE WILL DOCUMENT ITS DECISIONS IN THE MINUTES OF THE MEETING. THE DOCUMENTATION OF THE CEO'S COMPENSATION INCLUDES: A DISCUSSION OF THE CEO'S RESPONSIBILITIES; ANNUAL PERFORMANCE REVIEW; DESCRIPTION OF THE COMPENSATION, BENEFITS, AND APPROVAL DATE; LIST OF COMMITTEE MEMBERS PRESENT DURING THE DISCUSSION; ACTIONS TAKEN WITH RESPECT TO ANY CONFLICTS OF INTEREST BY ANY MEMBER WITH RESPECT TO THE DECISION ON THE COMPENSATION; AND A RECORD OF THE RESULT OF THE COMPENSATION VOTE. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL BE COMPRISED OF FIVE PERSONS, INCLUDING THE CHAIRPERSON, VICE CHAIRPERSON, FINANCIAL SECRETARY AND SECRETARY OF THE BOARD OF DIRECTORS, AND THE PRESIDENT/CEO OF LSSNE (OR THAT DIRECTOR WHO IS HIS OR HER DESIGNEE). THE EXECUTIVE COMMITTEE SHALL BE EMPOWERED TO ACT ON BEHALF OF THE ENTIRE BOARD OF DIRECTORS ON MATTERS THAT REQUIRE ATTENTION AT TIMES WHEN A REGULAR OR SPECIAL MEETING CANNOT BE CALLED. HOWEVER, THE EXECUTIVE COMMITTEE SHALL NOT HAVE THE POWER TO CHANGE THE LOCATION OF THE CORPORATION, AMEND THE BY-LAWS, ELECT OFFICERS OR DIRECTORS TO FILL VACANCIES, REMOVE OFFICERS OR DIRECTORS, OR AUTHORIZE A MERGER. FORM 990, PART VI, SECTION A, LINE 2 OFFICERS ANGELA BOVILL, JEANETTE WADE, MICHELLE BETTIGOLE, AIMEE MITCHELL, NICHOLAS RUSSO, NICHOLAS SOUSA, TARA BROWNE, CHRISTINE TAPPAN, AND KRISTINE HANSCOM HAVE A BUSINESS RELATIONSHIP WITH ALL OF THE BOARD MEMBERS BECAUSE THESE OFFICERS ARE EMPLOYED BY A RELATED ORGANIZATION OF WHICH THE DIRECTORS ARE ALSO BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS ASCENTRIA CARE ALLIANCE, INC. (FKA LUTHERAN SOCIAL SERVICES OF NEW ENGLAND, INC.). FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF ASCENTRIA CARE ALLIANCE, INC.'S GOVERNING BOARD ELECT ALL THE MEMBERS OF THIS ORGANIZATION'S GOVERNING BOARD. FORM 990, PART VI, SECTION A, LINE 7B THE TRANSACTIONS SUBJECT TO MEMBER APPROVAL ARE ACQUISITIONS OF DEBT, SALE OF ASSETS, ANNUAL BUDGET, MERGERS AND BYLAW REVISIONS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY A NATIONAL INDEPENDENT ACCOUNTING FIRM FROM INFORMATION PROVIDED BY MANAGEMENT. FINANCIAL MANAGEMENT WILL REVIEW THE FORM 990 WHEN IT IS COMPLETED. ASCENTRIA CARE ALLIANCE, INC.'S (ACA) AUDIT COMMITTEE PROVIDES SECONDARY REVIEW AND APPROVAL PRIOR TO SUBMISSION TO THE IRS. THE COMPLETE FORM 990 IS POSTED TO THE BOARD INTRANET FOR REVIEW BY THE ACA FINANCE COMMITTEE AS WELL AS ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANY DIRECTOR, OFFICER, EMPLOYEE, COMMITTEE MEMBER, OR VOLUNTEER OF ACA OR ITS SUBSIDIARIES, WHETHER BECAUSE OF HIS/HER EMPLOYMENT, BUSINESS INTERESTS, INVESTMENTS, OR OTHERWISE, WHO HAS INTERESTS THAT DO OR MAY, DIRECTLY OR INDIRECTLY, COMPETE WITH OR BE IN CONFLICT WITH THE INTERESTS OF ACA SHALL PROMPTLY DISCLOSE ALL MATERIAL FACTS OF SUCH CONFLICT OF INTEREST IN WRITING TO THE CHAIRPERSON OF THE BOARD OF DIRECTORS AND/OR TO THE PRESIDENT OF ACA. SUCH PERSON SHALL ALSO ANNOUNCE THE SAME AT ANY MEETING OR DISCUSSION IN WHICH HE/SHE IS A PARTICIPANT AND AT WHICH SUCH CONFLICT ARISES AND SHALL REFRAIN FROM ACTING THEREON. AFTER DISCLOSURE OF A FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. AN INTERESTED PERSON MAY MAKE A PRESENTATION AT THE GOVERNING BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE WHETHER ACA CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN ACA'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION IT SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART X11, LINE 2C: THE PROCESS FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN ACCOUNTANT HAS NOT CHANGED SINCE THE PRIOR YEAR. RELATED ORGANIZATIONS FILE UNDER GROUP EXEMPTION 6011 - DISCLOSURE NOT REQ CT 0 0 0 0 1 0 0 0 0 0 0 1 0 1 1 1 1 0 0 0