2022-08-08T14:52:59-05:00 2021-09-30 410746749 CLIFTONLARSONALLEN LLP 4 BATTERYMARCH PARK SUITE 100 QUINCY MA 02169 990 2020-10-01 060763898 CHURCH HOMES INC CONGREGATIONAL CHUR 8605279126 217 AVERY HEIGHTS HARTFORD CT 061064200 PATRICK GILLAND CEO 8605279126 2022-08-03 1 PATRICK GILLAND 999009999 DANIELLE NIHILL P01350943 6177170831 2022-08-02 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z PATRICK GILLAND 217 AVERY HEIGHTS HARTFORD CT 06106 47970060 0 X WWW.CHURCHHOMES.ORG X 1957 CT TO PROVIDE, ON A NOT-FOR-PROFIT BASIS AND WITHOUT DISCRIMINATION, A FULL RANGE OF RESIDENTIAL LIVING AND HEALTH CARE SERVICES FOR OLDER ADULTS. 13 12 557 278 0 0 973792 7061770 40462187 38315335 615869 1593581 424303 123991 42476151 47094677 0 24635 0 0 24917744 23321940 0 0 64012 17758310 17083553 42676054 40430128 -199903 6664549 64731032 66814716 21701270 15230135 43029762 51584581 X TO PROVIDE, ON A NOT-FOR-PROFIT BASIS AND WITHOUT DISCRIMINATION, A FULL RANGE OF RESIDENTIAL LIVING AND HEALTH CARE SERVICES FOR OLDER ADULTS BY PROMOTING AND IMPLEMENTING SYSTEMS THAT MAINTAIN AND SUPPORT EVERY INDIVIDUAL'S OPTIMAL INDEPENDENCE AND LIFE WISHES IN A SAFE, DIGNIFIED ATMOSPHERE CONDUCIVE TO QUALITY RETIREMENT, BY ASSURING KNOWLEDGEABLE AND CONSISTENT LEADERSHIP IN RETIREMENT LIVING, LONG-TERM CARE, HOME CARE AND SUPPORT SERVICES AND BY DEVELOPING INNOVATIVE PROGRAMS AND SERVICES WHICH RESPOND TO THE CHANGING NEEDS OF ITS RESIDENTS AND CLIENTS AND THE SOCIETY IT SERVES. 0 0 36557399 24635 38317429 CHURCH HOMES, INC. CONGREGATIONAL IS A NOT-FOR-PROFIT CORPORATION, WHICH OWNS AND OPERATES RETIREMENT AND HEALTH CARE FACILITIES IN HARTFORD, CT (AVERY HEIGHTS) AND SALISBURY, CT (NOBLE HORIZONS). AVERY HEIGHTS CONSISTS OF 130 SKILLED NURSING BEDS, 69 INTERMEDIATE CARE BEDS, 58 INDEPENDENT LIVING COTTAGES, 127 INDEPENDENT LIVING AND ASSISTED LIVING APARTMENTS, PLUS 20 MEMORY CARE UNITS. IN ADDITION, AVERY HEIGHTS OPERATES A HOME HEALTH AGENCY. NOBLE HORIZONS CONSISTS OF 61 SKILLED NURSING BEDS, 30 INTERMEDIATE CARE BEDS, 50 INDEPENDENT LIVING COTTAGES, AND 19 ACCOMMODATIONS IN A HOME FOR THE AGED. 36557399 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 1 0 0 0 1 111 0 1 557 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 CT X PATRICK GILLAND 8605279126 217 AVERY HEIGHTS HARTFORD CT 061064200 PATRICK GILLAND PRESIDENT/CEO 40.00 1.50 X X 291940 0 52316 LARRY C BROWN DIRECTOR 1.00 X 0 0 0 MARGARET A GOLAS DIRECTOR 1.00 X 0 0 0 MERCEDESE E LARGE DIRECTOR 1.00 X 0 0 0 CYNTHIA J MARTINEZ DIRECTOR 1.00 X 0 0 0 PETER B MATTHEWS DIRECTOR 1.00 X 0 0 0 KENNETH H MCGOVERN DIRECTOR 1.00 X 0 0 0 P WAYNE MOORE DIRECTOR 1.00 X 0 0 0 CYNTHIA W SHAHEN DIRECTOR 1.00 X 0 0 0 PATRICK Y YUNG DIRECTOR (UNTIL 02/01/21) 1.00 X 0 0 0 C ROBERT ZELINGER DIRECTOR 1.00 X 0 0 0 DAVID E CANUEL CHAIRMAN 1.00 X X 0 0 0 THOMAS P KELLEY VICE CHAIRMAN 1.00 X X 0 0 0 WILLIAM THOMPSON VICE PRESIDENT 40.00 X 200596 0 46678 WILLIAM POND VICE PRESIDENT 40.00 X 135782 0 32291 DOREEN BALDONI SECRETARY 24.00 X 33731 0 2867 ANNA LUKAS NURSE MANAGER 40.00 X 150575 0 31809 MICHELLE PASCETTA DIR BUDGETING/REIMBURSEMENT 40.00 X 121447 0 27983 RUTH DONAHUE CONTROLLER 40.00 X 108002 1750 34475 BONITA GANIM DIRECTOR - NURSING SERVICE 40.00 X 129573 0 22102 LUANN LE LPN 40.00 X 125498 0 12061 1297144 1750 262582 10 0 1 0 SYMBRIA REHAB 28100 TORCH PARKWAY SUITE 600 WARRENVILLE IL 60555 REHAB THERAPY 1533860 ELDER CREW LLC 71 RAYMOND RD WEST HARTFORD CT 06107 NURSE POOL 249117 SULLIVAN BROTHERS REMODELING 1 WOLCOTT RD WOLCOTT CT 06716 COTTAGE REMODELING 199876 AZTEC LANDSCAPE & REMODELING PO BOX 320058 HARTFORD CT 06132 SNOW REMOVAL 161817 JAY'S LAWN CARE PO BOX 1154 CANAAN CT 06018 LAWN CARE AND SNOW REMOVAL 126050 7 14100 6493413 554257 7061770 RESIDENT SERVICES 623000 37896390 37896390 OTHER SERVICES 623000 418945 418945 38315335 478711 478711 74468 0 74468 74468 74468 1968237 828581 24786 1139656 -24786 1114870 1114870 69445 14100 22016 47429 47429 FEES INCOME 900099 2094 2094 2094 47094677 38317429 0 1715478 X 24635 24635 804399 709882 93551 966 16732412 14765875 1945268 21269 1254527 1107120 145902 1505 3230579 2850986 375717 3876 1300023 1147270 151193 1560 13750 13750 63765 63765 73780 73780 6247870 5889669 354579 3622 175849 172427 3419 3 461226 280195 172716 8315 221755 97713 124031 11 2695978 2585117 110169 692 3964 2501 1460 3 33621 29671 3910 40 2675653 2675653 385476 340182 44831 463 PROVIDER TAX 1425597 1425597 0 0 SUPPLIES 838986 806178 32620 188 FOOD 713500 706901 6532 67 MAINTENANCE 366449 366449 0 0 686334 573378 91524 21432 40430128 36557399 3808717 64012 12384906 11251534 2981669 5029883 2639879 4177933 269594 212414 263029 332931 90806345 67089476 25339012 23716869 20825685 22076130 27258 17022 64731032 66814716 3349974 3098526 11240900 10298678 210432 184061 6899964 1648870 21701270 15230135 X 32153400 38792328 10876362 12792253 43029762 51584581 64731032 66814716 X 6664549 1893514 -3244 X X 0 1 X 1 0 X 1153420 424308 959532 973792 7047670 10558722 39149234 41000239 42619597 40702993 38317429 201789492 40302654 41424547 43579129 41676785 45365099 212348214 18000 4225 13545 5450 41220 0 18000 4225 13545 5450 41220 212306994 332856 475822 416479 450838 553179 2229174 332856 475822 416479 450838 553179 2229174 59761 59761 5400 5400 40640910 41900369 43995608 42187384 45918278 214642549 0.98910 0.99080 0.01040 0.00870 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 11642513 168221 2578801 317907 14071628 11023321 61995 806681 249484 11642513 11208936 89575 251596 526786 11023321 10993200 85828 728206 598298 11208936 10369650 65976 1193533 635960 10993200 0.56163 0.43837 0.00000 0 0 3365284 3365284 55155918 40922224 14233694 4364750 3586530 778220 27814239 22580722 5233517 106154 106154 23716869 ANNUITIES PAYABLE 13148 RESIDENT DEPOSITS 158842 DUE TO THIRD PARTY REIMBURSEMENT AG 318228 MISCELLANEOUS 10127 GENERAL RESERVE 625525 A/R CREDIT BALANCES 523000 1648870 48928546 1893514 1893514 47035032 59645 59645 47094677 40373727 0 40373727 56401 56401 40430128 PART IV, LINE 2B: THE FUNDS IN THE CUSTODIAL ACCOUNTS BELONG TO THE RESIDENTS, WHO AGREE TO LET CHURCH HOMES (AVERY HEIGHTS AND NOBLE HORIZONS) MANAGE THE FUNDS. THE RESIDENTS MAY MAKE WITHDRAWALS OR PAY BILLS FROM THESE FUNDS UPON REQUEST. PART V, LINE 4: THE INTENDED USE OF THE ENDOWMENT FUNDS IS TO GENERATE INVESTMENT INCOME UTILIZED TO SUPPORT OPERATIONS. PART XI, LINE 4B - OTHER ADJUSTMENTS: DIRECT RESIDENT SUPPORT 6,463. BAD DEBTS 49,938. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 3,244. PART XII, LINE 4B - OTHER ADJUSTMENTS: DIRECT RESIDENT SUPPORT 6,463. BAD DEBTS 49,938. GOLF OUTING 78145 14100 64045 5877 14935 617 FESTIVAL OF TREES 5400 5400 587 83545 14100 69445 5877 14935 587 617 22016 47429 1 SCHOLARSHIP 5 24635 PART I, LINE 2: SCHOLARSHIP ASSISTANCE IS OFFERED TO EMPLOYEES OR THEIR CHILDREN WHO WISH TO PURSUE PROFESSIONAL AND VOCATIONAL COURSES OF STUDY THAT ARE RELATED TO THE EMPLOYEE'S POTENTIAL FOR PROMOTION OR MINIMUM JOB REQUIREMENTS. ALL COURSES MUST BE OFFERED THROUGH AN ACCREDITED INSTITUTION OF HIGHER LEARNING OR BE APPROVED FOR CONTINUING EDUCATION UNITS. TO QUALIFY, THE EMPLOYEE MUST BE EMPLOYED 32 HOURS OR MORE AND HAVE COMPLETED ONE YEAR OF CONTINUOUS EMPLOYMENT. THE EMPLOYEE MUST HAVE A GOOD WORK ATTENDANCE RECORD. THE EMPLOYEE OR THEIR CHILD MUST MEET THE REQUIREMENTS OF THE INSTITUTION OR AGENCY OFFERING THE COURSE. THE SCHOLARSHIP ASSISTANCE IS AVAILABLE IF THE APPLICANT IS NOT ELIGIBLE FOR ASSISTANCE FROM OTHER SOURCES OF REIMBURSEMENT. X X 0 0 0 0 0 0 0 1 0 PATRICK GILLAND PRESIDENT/CEO 269340 0 22600 0 0 0 33666 0 18650 0 344256 0 0 0 WILLIAM THOMPSON VICE PRESIDENT 193516 0 7080 0 0 0 23176 0 23502 0 247274 0 0 0 ANNA LUKAS NURSE MANAGER 143595 0 6980 0 0 0 15390 0 16419 0 182384 0 0 0 WILLIAM POND VICE PRESIDENT 128902 0 6880 0 0 0 14099 0 18192 0 168073 0 0 0 BONITA GANIM DIRECTOR - NURSING SERVICE 122983 0 6590 0 0 0 12295 0 9807 0 151675 0 0 0 PART I, LINE 7 BONUSES ARE AWARDED BASED ON THE ACHIEVEMENT OF SPECIFIC PERFORMANCE GOALS. A STATE OF CONNECTICT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 060806186 2015-11-18 15282000 REFUND PRIOR ISSUE 0 0 0 A 4895835 15282000 134222 15147778 2015 1 0 1 1 A 0 0 0 0 0.01720 0.01720 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 PART II, LINE 11, OTHER SPENT PROCEEDS: OTHER SPENT PROCEEDS OF $15,147,778 WERE USED TO REFUND A PRIOR ISSUE. SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 74855 PAINTING SERVICES 0 LMG INTERIOR DESIGN LLC WIFE OF PATRICK GILLAND 990 FACILITY WINDOW TREATMENTS 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 301384 UNDERGROUND FUEL TANKS PROJECT 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 78140 FLOORING AND CARPETING 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED WITH THE BOARD OF DIRECTORS AT REGULARLY SCHEDULED BOARD OF DIRECTORS MEETINGS BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE PRESIDENT OF CHURCH HOMES, INC. REVIEWS THE BOARD MEMBERS AND OFFICERS' RESPONSES TO THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE WITH THE COMMITTEE ON DIRECTORS. WHERE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST EXISTS, THE COMMITTEE ON DIRECTORS IS AUTHORIZED TO TAKE APPROPRIATE CORRECTIVE ACTION. FORM 990, PART VI, SECTION B, LINE 15 THE PERSONNEL COMMITTEE OF THE BOARD OF CHURCH HOMES, INC., REVIEWS AND APPROVES OFFICER COMPENSATION ANNUALLY. THE COMMITTEE USES COMPARABILITY DATA FOR ITS REVIEW. THE DELIBERATION AND DECISION REGARDING THE COMPENSATION IS DOCUMENTED. THE LAST MEETING WAS CONDUCTED IN FEBRUARY 2021. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 5,889,669. MANAGEMENT AND GENERAL EXPENSES 354,579. FUNDRAISING EXPENSES 3,622. TOTAL EXPENSES 6,247,870. FORM 990, PART XI, LINE 9: CHANGE IN SPLIT-INTEREST AGREEMENTS -3,244. FORM 990, PART XII, LINE 2C: THERE ARE NO CHANGES IN THE CURRENT YEAR. CONNECTICUT ALLIANCE FOR LONG TERM CARE 217 AVERY HEIGHTS HARTFORD CT 06106 061465316 ADMINISTER PROVIDER BASED NETWORK TO PROVIDE COST-EFFECTIVE HEALTH CARE CT 501(C)(3) LINE 12A, I N/A 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0