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ELIM PARK BAPTIST HOME INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
ELIM PARK BAPTIST HOME INC (EIN 06-0658099)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-08-12
IRS object ID
202212249349302651
Schema version
2020v4.2
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

FieldValueIRS element (for citing)
Return2022-08-12T14:24:35-05:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN111986323PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MARCUM LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1555 LONG WHARF DRIVEAddressLine1Txt
CityNEW HAVENCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06511ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN060658099EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ELIM PARK BAPIST HOME INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlELIMBusinessNameControlTxt
Phone2032723547PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1140 COOK HILL ROADAddressLine1Txt
CityCHESHIRECityNm
State AbbreviationCTStateAbbreviationCd
ZIP06410ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonZELL GASTONPersonNm
Person TitleCFOPersonTitleTxt
Phone2032723547PhoneNum
Signature2022-08-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstZELLPersonFirstNm
Person LastGASTONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY-EVELYN ANTONETTIPreparerPersonNm
PTINP00431862PTIN
Phone2037819600PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerZELL GASTONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1140 COOK HILL ROADAddressLine1Txt
CityCHESHIRECityNm
State AbbreviationCTStateAbbreviationCd
ZIP06410ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$37,923,293GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ELIMPARK.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1906FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionELIM PARK WAS FOUNDED IN 1906 BY THE SWEDISH BAPTIST CONFERENCE WITH THE MISSION TO CARE FOR AND PROVIDE A HOME OF REST FOR THE FRAIL AND ELDERLY MEMBERS OF THEIR CONFERENCE. SINCE OUR INCORPORATION, OUR MISSION HAS EXPANDED AND MATURED, AND WE ARE NO LONGER A "HOME OF REST," BUT RATHER A HOME WHERE RESIDENTS CAN FLOURISH AND LIVE ACTIVE, INSPIRED, FULFILLING LIVES. THE INTERDENOMINATIONAL NATURE OF OUR ORGANIZATION WELCOMES OLDER ADULTS OF ALL FAITHS, WITH A CARING STAFF AND CHRIST-CENTERED ENVIRONMENT THAT ALLOWS THEM TO GROW IN SPIRITUAL HEALTH AS WELL AS MEETING THEIR PHYSICAL NEEDS. OUR MISSION IS TO PROVIDE QUALITY CARE THROUGH EXCITING CULTURAL AND FITNESS PROGRAMS AND A BROAD SPECTRUM OF HEALTH SERVICES IN A CHRIST-CENTERED ENVIRONMENT. ELIM PARK LOOKS UPON ITS MISSION AS AN EXTENSION OF THE CHURCH MINISTRY WITHIN THE BAPTIST GENERAL CONFERENCE AND GIVES ADMISSION PRIORITY TO ITS MEMBERS.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee581TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$245,942PYContributionsGrantsAmt
CY Contributions Grants$4,454,855CYContributionsGrantsAmt
PY Program Service Revenue$30,491,793PYProgramServiceRevenueAmt
CY Program Service Revenue$28,845,969CYProgramServiceRevenueAmt
PY Investment Income$635,227PYInvestmentIncomeAmt
CY Investment Income$607,975CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$31,372,962PYTotalRevenueAmt
CY Total Revenue$33,908,799CYTotalRevenueAmt
PY Grants And Similar Paid$509,334PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$607,696CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$17,097,688PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$15,360,734CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$58,975CYTotalFundraisingExpenseAmt
PY Other Expenses$11,872,863PYOtherExpensesAmt
CY Other Expenses$12,309,662CYOtherExpensesAmt
PY Total Expenses$29,479,885PYTotalExpensesAmt
CY Total Expenses$28,278,092CYTotalExpensesAmt
PY Revenues Less Expenses$1,893,077PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,630,707CYRevenuesLessExpensesAmt
Total Assets BOY$79,527,072TotalAssetsBOYAmt
Total Assets EOY$82,860,943TotalAssetsEOYAmt
Total Liabilities BOY$75,360,386TotalLiabilitiesBOYAmt
Total Liabilities EOY$71,825,174TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,166,686NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,035,769NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionELIM PARK WAS FOUNDED IN 1906 BY THE SWEDISH BAPTIST CONFERENCE WITH THE MISSION TO CARE FOR AND PROVIDE A HOME OF REST FOR THE FRAIL AND ELDERLY MEMBERS OF THEIR CONFERENCE. SINCE OUR INCORPORATION, OUR MISSION HAS EXPANDED AND MATURED, AND WE ARE NO LONGER A "HOME OF REST." BUT RATHER A HOME WHERE RESIDENTS CAN FLOURISH AND LIVE ACTIVE, INSPIRED, FULFILING LIVES. THE INTERDENOMINATIONAL NATURE OF OUR ORGANIZATION WELCOMES OLDER ADULTS OF ALL FAITHS, WITH A CARING STAFF AND CHRIST-CENTERED ENVIRONMENT THAT ALLOWS THEM TO GROW IN SPIRITUAL HEALTH AS WELL AS MEETING THEIR PHYSICAL NEEDS. OUR MISSION IS TO PROVIDE QUALITY CARE THROUGH EXCITING CULTURAL AND FITNESS PROGRAMS AND A BROAD SPECTRUM OF HEALTH SERVICES IN A CHRIST-CENTERED ENVIRONMENT. ELIM PARK LOOKS UPON ITS MISSION AS AN EXTENSION OF THE CHRUCH MINISTRY WITHIN THE BAPTIST GENERAL CONFERENCE AND GIVES ADMISSION PRIORITY TO ITS MEMBERS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$23,838,266ExpenseAmt
Grant$607,696GrantAmt
Revenue$28,845,969RevenueAmt
DescTHE CONSTELLATION OF SERVICES OFFERED AT ELIM PARK HAS ENHANCED LIFE FOR OUR RESIDENTS AND CONTINUES TO MAKE A POSITIVE IMPACT ON OUR COMMUNITY. THROUGH OUR MISSION OF PROVIDING QUALITY CARE THROUGH COMPREHENSIVE WELLNESS PROGRAMS AND MEDICAL FACILITIES IN A CHRIST-CENTERED ENVIRONMENT, WE ARE ABLE TO NURTURE THE WHOLE PERSON AND FOCUS ON TOTAL WELLNESS OF MIND, BODY AND SPIRIT. OUR SUB-ACUTE CARE, SHORT-TERM REHABILITATION AND WELLNESS PROGRAMS WORK TOGETHER TO ENSURE THAT RESIDENTS ARE LEADING THE MOST PRODUCTIVE LIFESTYLES APPROPRIATE TO THEIR VARIED LEVELS OF INDEPENDENCE. SHOULD A RESIDENT'S DEPENDENCY LEVEL INCREASE, OUR SKILLED NURSING FACILITY UNIT PROVIDES A SMOOTH TRANSITION TO ON-SITE NURSING CARE.ELIM PARK'S NON-PROFIT STATUS ALLOWS US TO CHANNEL REVENUE BACK INTO PROGRAMS AND SITE IMPROVEMENTS TO ENRICH THE LIVES OF OUR RESIDENTS. BENEFITS TO THE COMMUNITY INCLUDE A BROAD SPECTRUM OF OUT-PATIENT AND THERAPEUTIC SERVICES, AQUATIC THERAPY, HOSTING COMMUNITY EVENTS, OFFERING A PROFESSIONAL ENTERTAINMENT SERIES, AND OPENING OUR CAMPUS FOR USE BY LOCAL CIVIC GROUPS AND ORGANIZATIONS.WE CONTINUE TO UPGRADE OUR PHYSICAL PLANT TO MAINTAIN THE HIGHEST SAFETY STANDARDS AND A WELCOME ENVIRONMENT. WE MAKE TECHNOLOGICAL IMPROVEMENTS WHICH CONTRIBUTE TO THE WELL-BEING AND COMFORT OF OUR RESIDENTS. WE MAINTAIN THE CHRIST-CENTERED COMMUNITY THAT OUR FOUNDING CHURCHES ENVISIONED AS THE CORNERSTONE UPON WHICH ELIM PARK CONTINUES TO GROW.Desc
Total Program Service Expenses$23,838,266TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document80IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee581EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ZELL GASTON CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2032723547PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1140 COOK HILL ROADAddressLine1Txt
CityCHESHIRECityNm
State AbbreviationCTStateAbbreviationCd
ZIP06410ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
CHRIS NELSON
IMMEDIATE PAST CHAIR2.002.00Yes (X)$0$0$0
GEOFFREY SWANSON
SECRETARY2.002.00Yes (X)$0$0$0Yes (X)
GLENN MASON
TREASURER2.002.00Yes (X)$0$0$0Yes (X)
ROBERTO ECKER
CHAIR2.002.00Yes (X)$0$0$0Yes (X)
TERRENCE BRENNAN
DIRECTOR2.002.00Yes (X)$0$0$0
WAYNE DETZLER
DIRECTOR2.002.00Yes (X)$0$0$0
TIM PONZANI
DIRECTOR2.002.00Yes (X)$0$0$0
JEANNINE DELIVRON
VICE CHAIR (LEFT 3/27/2021)2.00Yes (X)$0$0$0Yes (X)
BRIAN BEDARD
PRESIDENT36.501.00$282,835$0$53,374Yes (X)
ZELL GASTON
CHIEF FINANCIAL OFFICER36.501.00$183,838$0$14,790Yes (X)
JANICE LEXTON
CHIEF NURSING OFFICER37.50$155,577$0$17,008Yes (X)
JOHN SWEENEY
ADMINSTRATOR OF HEALTH SER37.50$160,721$0$7,542Yes (X)
ROSE RETUYA
RN37.50$124,711$0$13,055Yes (X)
DEBORAH SMITH
STAFF DEVELOPMENT AN37.50$123,425$0$23,089Yes (X)
ROBERT COTA
DIRECTOR OF INDEPENDENT LIVING37.50$116,606$0$29,729Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,147,713TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$158,587TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SODEXO
9801 WASHINGTONIAN BLVDGAITHERSBERGMD20878DIETARY MANAGEMENT$728,474
S & S WIRED SYSTEM
24 TWILIGHT DRIVEGRANBYCT06035ELECTRICAL AND CONSTRUCTION$207,710
STEADAST HVAC LLC
71 BENDER ROADHAMDENCT06518HEATING/AIR CONDITIONNING$163,447
BROWN ROOFING COMPANY INC
12 PROGRESS AVESEYMOURCT06483ROOFING$139,890
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$4,262,981GovernmentGrantsAmt
All Other Contributions$191,874AllOtherContributionsAmt
Total Contributions$4,454,855TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID PMT623110$13,658,119$13,658,119
IL RENTAL FEE623300$9,222,860$9,222,860
AMORT. OF ENTRANCE FEE623990$4,981,707$4,981,707
ANCILLARY REVENUE623300$983,283$983,283
FieldValueIRS element (for citing)
Total Program Service Revenue$28,845,969TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$387,309TotalRevenueColumnAmt
Exclusion$387,309ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,235,160SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,014,494SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$220,666SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$220,666TotalRevenueColumnAmt
Exclusion$220,666ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$33,908,799TotalRevenueColumnAmt
Related Or Exempt Func Income$28,845,969RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$607,975ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$607,696TotalAmt
Program Services$607,696ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$503,168TotalAmt
Management And General$503,168ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$12,163,559TotalAmt
Program Services$10,538,351ProgramServicesAmt
Management And General$1,592,723ManagementAndGeneralAmt
Fundraising$32,485FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$363,874TotalAmt
Program Services$302,733ProgramServicesAmt
Management And General$60,208ManagementAndGeneralAmt
Fundraising$933FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,419,087TotalAmt
Program Services$1,175,391ProgramServicesAmt
Management And General$233,765ManagementAndGeneralAmt
Fundraising$9,931FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$911,046TotalAmt
Program Services$757,964ProgramServicesAmt
Management And General$150,746ManagementAndGeneralAmt
Fundraising$2,336FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$69,484TotalAmt
Management And General$69,484ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$118,168TotalAmt
Management And General$118,168ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$27,653TotalAmt
Management And General$27,653ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$128,502TotalAmt
Management And General$128,502ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$310,122TotalAmt
Program Services$23,723ProgramServicesAmt
Management And General$286,399ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$451,877TotalAmt
Program Services$70,954ProgramServicesAmt
Management And General$380,923ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$245,220TotalAmt
Management And General$245,220ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,856,723TotalAmt
Program Services$1,856,723ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$15,635TotalAmt
Program Services$15,635ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$390,249TotalAmt
Program Services$390,249ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,694,681TotalAmt
Program Services$3,694,681ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$356,827TotalAmt
Program Services$356,827ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
DIETARY$2,178,040$2,178,040
NURSING$694,267$694,267
ANCILLARY$547,352$547,352
PPP LOAN RESERVE$350,000$350,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$874,862TotalAmt
Program Services$277,680ProgramServicesAmt
Management And General$583,892ManagementAndGeneralAmt
Fundraising$13,290FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$28,278,092TotalAmt
Program Services$23,838,266ProgramServicesAmt
Management And General$4,380,851ManagementAndGeneralAmt
Fundraising$58,975FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,780BOYAmt
EOY$1,622EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$17,546,109BOYAmt
EOY$19,924,873EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,081,140BOYAmt
EOY$3,626,296EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$320,348BOYAmt
EOY$265,200EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$112,741,243LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$64,833,012LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$48,759,103BOYAmt
EOY$47,908,231EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$6,899,231BOYAmt
EOY$8,645,854EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,919,361BOYAmt
EOY$2,488,867EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$79,527,072BOYAmt
EOY$82,860,943EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,093,693BOYAmt
EOY$4,018,589EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$31,807,698BOYAmt
EOY$32,742,491EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,211,770BOYAmt
EOY$11,409,934EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$27,247,225BOYAmt
EOY$23,654,160EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$75,360,386BOYAmt
EOY$71,825,174EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,442,098BOYAmt
EOY$8,943,811EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,724,588BOYAmt
EOY$2,091,958EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,166,686BOYAmt
EOY$11,035,769EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$79,527,072BOYAmt
EOY$82,860,943EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$5,630,707ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,158,198NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$80,178OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$226,988CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$194,005CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$191,753CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$245,942CurrentTaxYearMinus1YearAmt
Current Tax Year$4,454,855CurrentTaxYearAmt
Total$5,313,543TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,123,686CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29,935,378CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$30,860,855CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,491,793CurrentTaxYearMinus1YearAmt
Current Tax Year$28,845,969CurrentTaxYearAmt
Total$149,257,681TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,350,674CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,129,383CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$31,052,608CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,737,735CurrentTaxYearMinus1YearAmt
Current Tax Year$33,300,824CurrentTaxYearAmt
Total$154,571,224TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$154,571,224PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$252,147CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$324,653CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$308,565CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$380,376CurrentTaxYearMinus1YearAmt
Current Tax Year$387,309CurrentTaxYearAmt
Total$1,653,050TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$252,147CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$324,653CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$308,565CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$380,376CurrentTaxYearMinus1YearAmt
Current Tax Year$387,309CurrentTaxYearAmt
Total$1,653,050TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,602,821CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,454,036CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$31,361,173CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$31,118,111CurrentTaxYearMinus1YearAmt
Current Tax Year$33,688,133CurrentTaxYearAmt
Total$156,224,274TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98940PublicSupportCY509Pct
Public Support PY5090.99000PublicSupportPY509Pct
Investment Income CY0.01060InvestmentIncomeCYPct
Investment Income PY0.01000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,305,410BeginningYearBalanceAmt
Contributions$108,803ContributionsAmt
Investment Earnings Or Losses$309,894InvestmentEarningsOrLossesAmt
Other Expenditures$82,750OtherExpendituresAmt
End Year Balance$2,641,357EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,054,002BeginningYearBalanceAmt
Contributions$162,143ContributionsAmt
Investment Earnings Or Losses$116,482InvestmentEarningsOrLossesAmt
Other Expenditures$27,217OtherExpendituresAmt
End Year Balance$2,305,410EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,903,883BeginningYearBalanceAmt
Contributions$107,954ContributionsAmt
Investment Earnings Or Losses$83,980InvestmentEarningsOrLossesAmt
Other Expenditures$41,815OtherExpendituresAmt
End Year Balance$2,054,002EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,164,893BeginningYearBalanceAmt
Contributions$136,730ContributionsAmt
Investment Earnings Or Losses$63,598InvestmentEarningsOrLossesAmt
Other Expenditures$461,338OtherExpendituresAmt
End Year Balance$1,903,883EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,930,328BeginningYearBalanceAmt
Contributions$150,060ContributionsAmt
Investment Earnings Or Losses$136,130InvestmentEarningsOrLossesAmt
Other Expenditures$51,625OtherExpendituresAmt
End Year Balance$2,164,893EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.02045PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.97955TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$958,123OtherCostOrOtherBasisAmt
Book Value$958,123BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$91,647,118OtherCostOrOtherBasisAmt
Depreciation$52,708,865DepreciationAmt
Book Value$38,938,253BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,211,359OtherCostOrOtherBasisAmt
Depreciation$10,354,197DepreciationAmt
Book Value$6,857,162BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,924,643OtherCostOrOtherBasisAmt
Depreciation$1,769,950DepreciationAmt
Book Value$1,154,693BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$47,908,231TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
DUE TO THIRD-PARTY REIMBURSEMENT AGENCIES$540,917
CHARITABLE GIFT ANNUITIES$358,744
OTHER LONG-TERM LIABILITIES$1,707,645
ENTRANCE FEE REFUNDS PAYABLE$20,436,905
OTHER CURRENT LIABILITIES$526,233
PATIENT FUNDS PAYABLE$83,716
FieldValueIRS element (for citing)
Total Liability$23,654,160TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE RESIDENT BENEVOLENT FUND IS RESTRICTED FOR USE TO ASSIST RESIDENTS IN NEED WITH MONTHLY SERVICE FUNDS. THE MARY MELBY FUND INTENDED USE IS FOR THE SUPPORT OF RESIDENT PASTORS. ADDITIONAL RESTRICTED AMOUNTS ARE USED PURSUANT TO THE REQUIREMENTS OF THE DONOR RESTRICTION.
PART X, LINE 2:THE CORPORATION AND THE FOUNDATION HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2021 AND 2020, THERE ARE NO TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
CHESHIRE FIRE DEPARTMENT
250 MAPLE AVECHESHIRECT06410066001971CHESHIRE$195,0002020 SERVICE/COMMUNITY DONATION
CHESHIRE POLICE DEPARTMENT
500 HIGHLAND AVECHESHIRECT06410066001971CHESHIRE$195,0002020 SERVICE/COMMUNITY DONATION
CONVERGE NORTHEAST
150 COOK HILL ROADCHESHIRECT06410042464446501(C)(3)$205,000ANNUAL TITHE
CONNECTICUT COMMUNITY FOUNDATION
43 FIELD STREETWATERBURYCT06702066038074501(C)(3)$10,000SCHOLARSHIP FUND
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS NOT A GRANT MAKING ORGANIZATION, ELIM PARK BAPTIST HOME, INC. DOES MAKE CHARITABLE CONTRIBUTIONS TO LOCAL TAX EXEMPT ORGANIZATIONS IN FURTHERANCE OF THEIR EXEMPT PURPOSE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRIAN BEDARD
PRESIDENT$282,685$0$0$0$150$0$8,569$0$44,805$0$336,209$0$0$0
ZELL GASTON
CHIEF FINANCIAL OFFICER$183,688$0$0$0$150$0$3,152$0$11,638$0$198,628$0$0$0
JANICE LEXTON
CHIEF NURSING OFFICER$155,427$0$0$0$150$0$6,566$0$10,442$0$172,585$0$0$0
JOHN SWEENEY
ADMINSTRATOR OF HEALTH SER$160,571$0$0$0$150$0$4,946$0$2,596$0$168,263$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE PRESIDENT OF ELIM PARK IS REQUIRED TO LIVE ON THE FACILITY CAMPUS AS A CONDITION OF EMPLOYMENT. HOUSING IS CONSIDERED NONTAXABLE COMPENSATION AND THE VALUE IS INCLUDED IN PART II COLUMN D.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CONNECTICUT INNOVATIONS INCORPORATEDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN061423798BondIssuerEIN
Bond Issued2012-12-21BondIssuedDt
Issue Price$17,714,000IssuePriceAmt
PurposeREFINANCING OF CDA BONDSPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$6,289,815RetiredAmt
Total Proceeds$17,714,000TotalProceedsAmt
Issuance Costs From Proceeds$321,009IssuanceCostsFromProceedsAmt
Other Spent Proceeds$17,392,991OtherSpentProceedsAmt
Substantial Completion2012SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts0EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And RecYes (1)HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line1KEYBANKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Term Of Hedge10.000000000000TermOfHedgePct
Superintegrated Hedge0SuperintegratedHedgeInd
Hedge Terminated0HedgeTerminatedInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II LINE 11 OTHER SPENT PROCEEDSFormAndLineReferenceDesc
Explanation$57,824 OF THE OTHER SPENT PROCEEDS WAS USED TO PAY ISSUER ADMINISTRATIVE FEE AND TITLE INSURANCE. $17,335,167 OF THE OTHER SPENT PROCEEDS WAS USED TO PAY BONDS DATED AUGUST 26, 1998 AND APRIL 15, 2003.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION UTILIZED SODEXO INC. TO MANAGE ITS DIETARY FUNCTION DURING THE TAX YEAR. THE MANAGEMENT OF THESE FUNCTIONS INCLUDED THE MANAGEMENT OF PERSONNEL (INCLUDING HIRING AND TERMINATION OF EMPLOYEES FOR THIS DEPARTMENT), AND THE RESPONSBILITY OF PREPARING A COST BUDGET AND CONTROLLING/MONITORING ACTUAL COSTS IN ACCORDANCE WITH THE BUDGET.
FORM 990, PART VI, SECTION A, LINE 8BNO COMMITTEES HAVE THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 IS REVIEWED BY THE CONTROLLER AND CFO. THE FORM 990 IS PROVIDED TO THE FULL BOARD FOR REVIEW BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12CEACH YEAR, DISCLOSURES ARE FILLED OUT BY EACH DIRECTOR. THESE ARE REVIEWED ANNUALLY TO ENSURE COMPLIANCE. IF AN ISSUE COMES UP, IT IS ADDRESSED AT THAT TIME.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS INDEPENDENT STUDIES, THE COMMITTEE THEN DISCUSSES AND VOTES. THIS ACTION IS DOCUMENTED.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL STATEMENTS ARE AVAILABLE TO RESIDENTS AND POTENTIAL RESIDENTS. THEY ARE ALSO AVAILABLE IN THE ANNUALLY FILED DISCLOSURE STATEMENT TO THE STATE OF CT.
FORM 990, PART XI, LINE 9:CHANGE IN NET UNREALIZED LOSS ON SWAPS 145,182. CHANGE IN CHARITABLE GIFT ANNUITIES -10,004. CORRECTION FOR TRANSFERS -55,000.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CONNECTICUT ALLIANCE FOR LONG TERM CARE
217 AVERY HEIGHTSHARTFORDCT06106061465316ADMINISTER PROVIDER BASED NETWORK TO PROVIDE COST-EFFECTIVE HEALTH CARECT501(C)(3)LINE 12A, IN/A0
ELIM PARK LEGACY FOUNDATION INC
140 COOK HILL ROADCHESHIRECT06410900436482TO SUPPORT ELIM PARKCT501(C)(3)LINE 12A, IYes (1)ELIM PARK BAPTIST HOME INC
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ELIM PARK LEGACY FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeDTransactionTypeTxt
Involved$2,193,750InvolvedAmt
Method Of Amount DeterminationLOAN BALANCEMethodOfAmountDeterminationTxt