ADELBROOK COMMUNITY SERVICES INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- ADELBROOK COMMUNITY SERVICES INC (EIN 38-3714954)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-17
- IRS object ID
- 202111379349304091
- Schema version
- 2019v5.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-17T16:38:33-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 111986323 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARCUM LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 185 ASYLUM ST 25TH FL CITYPLACE | AddressLine1Txt |
| City | HARTFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383714954 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADELBROOK COMMUNITY SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ADEL | BusinessNameControlTxt |
| Phone | 8606350330 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 58 MISSIONARY ROAD | AddressLine1Txt |
| City | CROMWELL | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06416 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALYSSA GODUTI | PersonNm |
| Person Title | PRESIDENT AND CEO | PersonTitleTxt |
| Phone | 8606350330 | PhoneNum |
| Signature | 2021-05-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARY ANTONETTI | PreparerPersonNm |
| PTIN | P00431862 | PTIN |
| Phone | 8607600600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ALYSSA GODUTI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 58 MISSIONARY ROAD | AddressLine1Txt |
| City | CROMWELL | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06416 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $10,847,059 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 2650 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2005 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | TO SUPPORT INDIVIDUALS WITH AUTISM SPECTRUM DISORDERS AND (SEE SCHEDULE O)OTHER INTELLECTUAL AND DEVELOPMENTAL DISABILITIES AND BEHAVIORAL HEALTH NEEDS TO MEET THEIR GOALS AND LIVE LIVES OF HOPE, HEALTH, ACHIEVEMENT, DIGNITY, AND HAPPINESS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 255 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,150 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,171 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,569,156 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,575,728 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $9,062 | PYOtherRevenueAmt |
| CY Other Revenue | $264,160 | CYOtherRevenueAmt |
| PY Total Revenue | $12,582,370 | PYTotalRevenueAmt |
| CY Total Revenue | $10,847,059 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,885,631 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,433,999 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,740,519 | PYOtherExpensesAmt |
| CY Other Expenses | $3,639,441 | CYOtherExpensesAmt |
| PY Total Expenses | $12,626,150 | PYTotalExpensesAmt |
| CY Total Expenses | $11,073,440 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$43,780 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$226,381 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,148,509 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,341,332 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,080,756 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,499,960 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,067,753 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $841,372 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ADELBROOK, CSI PROVIDES HOPE AND HEALING TO CHILDREN AND FAMILIES IN A CHRISTIAN ENVIRONMENT. (SEE SCHEDULE O)ADELBROOK IS THE PREMIER RESOURCE FOR CHILDREN, FAMILIES AND COMMUNITIES TO MEET THE NEEDS OF INDIVIDUALS WITH AUTISM SPECTRUM DISORDERS AND OTHER BEHAVIORAL AND DEVELOPMENTAL CHALLENGES THROUGH RESIDENTIAL, THERAPEUTIC, IN-HOME, AND COMMUNITY-BASED SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,767,794 | ExpenseAmt |
| Revenue | $7,355,342 | RevenueAmt |
| Desc | ADELBROOK, CSI MANAGES CONTINUOUS RESIDENTIAL SUPPORT AND COMMUNITY LIVING ARRANGEMENT PROGRAMS FOR INDIVIDUALS WITH INTELLECTUAL OR DEVELOPMENTAL DISABILITIES IN ALL THREE SERVICE REGIONS UNDER CONTRACT WITH THE STATE OF CT'S DEPARTMENT OF DEVELOPMENTAL SERVICES. THESE 3 OR 4 PERSON HOMES ARE SUPPORTED WITH 24 HOUR A DAY DIRECT CARE SUPPORTS, NURSING COVERAGE, BEHAVIORAL SUPPORTS THROUGH EXPERT BEHAVIORAL STAFF, COMMUNITY ENGAGEMENT ACTIVITIES, AND INDIVIDUALIZED PROGRAMMING TO HELP INDIVIDUALS MEET THEIR PERSONAL GOALS. SERVICE LEVELS ARE BASED ON THE INDIVIDUAL'S UNIQUE LEVEL OF NEED. INDIVIDUALS TYPICALLY ATTEND SCHOOL OR DAY PROGRAMS IN THE COMMUNITY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,342,481 | ExpenseAmt |
| Revenue | $2,735,391 | RevenueAmt |
| Desc | LEVEL II THERAPEUTIC GROUP HOMES PROVIDE TREATMENT, SUPPORT, AND RESIDENTIAL CARE FOR GIRLS, AGES 13-18. CLINICAL AND SUPPORT STAFF WORK WITH EACH RESIDENT TO ADDRESS CLINICAL NEEDS, PLAN FOR HER FUTURE, AND IMPLEMENT PLANNING TOWARDS HER INDIVIDUAL GOALS. TREATMENT IS TRAUMA-INFORMED AND LED BY A CLINICAL EXPERT WITHIN EACH PROGRAM. WE HAVE A SPECIFIC EXPERTISE IN WORKING WITH YOUTH WITH AUTISM SPECTRUM DISORDERS OR INTELLECTUAL/ DEVELOPMENTAL DISABILITIES. ADELBROOK USES EVIDENCE-BASED MODELS OF CARE TO SUPPORT YOUTH THROUGH INDIVIDUAL AND FAMILY THERAPY, LIFE-SKILLS DEVELOPMENT, COMMUNITY ENGAGEMENT, AND INDEPENDENT-LIVING SKILL DEVELOPMENT. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $522,083 | ExpenseAmt |
| Revenue | $749,155 | RevenueAmt |
| Desc | OTHER ANCILLARY ACTIVITIES: IN-HOME AND COMMUNITY-BASED BEHAVIORAL SERVICES AND DAY PROGRAMS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $9,632,358 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 30 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 255 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CT | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUSAN BROSSEAU | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8606350330 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 CORPORATE ROW | AddressLine1Txt |
| City | CROMWELL | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06416 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| REVEREND HOWARD BURGOYNE | |||||||
| CO-CHAIRMAN | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| HAROLD C SPOONER JR | |||||||
| CO-CHAIRMAN | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SCOTT HANSON | |||||||
| TREASURER | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| REVEREND CONWAY BOYCE | |||||||
| MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| REVEREND RICHARD CUDMORE | |||||||
| MEMBER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| LINDA D REILLY-BLUE | |||||||
| MEMBER (AS OF 9/2020) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ROGER A OXENDALE | |||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ALYSSA GODUTI | |||||||
| PRESIDENT & CEO | 1.00 | 40.00 | Yes (X) | Yes (X) | $0 | $237,563 | $9,488 |
| DR IVY RENTZ | |||||||
| SECRETARY (FROM 7/18) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CHRISTINE URCIUOLI | |||||||
| DIRECTOR (FROM 7/18) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DONNA LEWIS | |||||||
| DIRECTOR (FROM 7/19) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARTIN ZIBUDA | |||||||
| DIRECTOR (FROM 7/19) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SALVATORE NESCI | |||||||
| DIRECTOR (FROM 7/20) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TODD SLECHTA | |||||||
| DIRECTOR (FROM 7/20) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ANTON A PETRAS | |||||||
| CHAIRMAN (ROTATED OFF) | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JOYCE FISCUS | |||||||
| MEMBER (ROTATED OFF) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SUSAN BROSSEAU | |||||||
| CHIEF FINANCIAL OFFICER | 20.00 | 20.00 | Yes (X) | $0 | $111,680 | $29,230 | |
| SABRINA CAMERON | |||||||
| EXECUTIVE VICE PRESIDENT | 1.00 | 40.00 | Yes (X) | $0 | $118,358 | $4,734 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $467,601 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $43,452 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DELTA T GROUP HARTFORD INC | |||||
| PO BOX 884 | BRYN MAWR | PA | 06457 | TEMP STAFFING | $549,532 |
| NE PSYCHIATRIC ASSOCIATES LLC | |||||
| 420 SOUTH MAIN STREET UNIT 4 | CHESHIRE | CT | 06410 | PSYCHIATRY | $158,400 |
| PJW NURSING CONSULTANTS LLC | |||||
| 28 CUMBERLAND RD | WEST HARTFORD | CT | 06119 | NURSING SERVICES | $107,510 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $7,171 | AllOtherContributionsAmt |
| Total Contributions | $7,171 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CONTINUOUS RESIDENTIAL SUPPORT | 623990 | $7,355,342 | $7,355,342 |
| THERAPEUTIC GROUP HOMES | 623990 | $2,735,391 | $2,735,391 |
| ANCILIARY PROGRAMS | 623990 | $484,995 | $484,995 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,575,728 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | TRAINING ACADEMY | Desc |
| Business | 624310 | BusinessCd |
| Total Revenue Column | $264,160 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $264,160 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $264,160 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,847,059 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,839,888 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,772,028 | TotalAmt |
| Program Services | $5,588,696 | ProgramServicesAmt |
| Management And General | $183,332 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,317 | TotalAmt |
| Program Services | $39,717 | ProgramServicesAmt |
| Management And General | $6,600 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,187,262 | TotalAmt |
| Program Services | $1,094,922 | ProgramServicesAmt |
| Management And General | $92,340 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $428,392 | TotalAmt |
| Program Services | $414,342 | ProgramServicesAmt |
| Management And General | $14,050 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,480 | TotalAmt |
| Program Services | $33,151 | ProgramServicesAmt |
| Management And General | $1,329 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,218 | TotalAmt |
| Management And General | $37,218 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,338,602 | TotalAmt |
| Program Services | $1,499,943 | ProgramServicesAmt |
| Management And General | $838,659 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,391 | TotalAmt |
| Program Services | $10,993 | ProgramServicesAmt |
| Management And General | $28,398 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,289 | TotalAmt |
| Program Services | $13,992 | ProgramServicesAmt |
| Management And General | $22,297 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $654,366 | TotalAmt |
| Program Services | $511,058 | ProgramServicesAmt |
| Management And General | $143,308 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,806 | TotalAmt |
| Program Services | $188,826 | ProgramServicesAmt |
| Management And General | $980 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,081 | TotalAmt |
| Program Services | $23,081 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $143,449 | TotalAmt |
| Program Services | $72,072 | ProgramServicesAmt |
| Management And General | $71,377 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,759 | TotalAmt |
| Program Services | $141,565 | ProgramServicesAmt |
| Management And General | $1,194 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,073,440 | TotalAmt |
| Program Services | $9,632,358 | ProgramServicesAmt |
| Management And General | $1,441,082 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $293,191 | BOYAmt |
| EOY | $516,882 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $792 | BOYAmt |
| EOY | $3,573 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $260,937 | BOYAmt |
| EOY | $446,026 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,815 | BOYAmt |
| EOY | $5,945 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,182,837 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $831,431 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,322,009 | BOYAmt |
| EOY | $1,351,406 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $236,765 | BOYAmt |
| EOY | $17,500 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,148,509 | BOYAmt |
| EOY | $2,341,332 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $413,001 | BOYAmt |
| EOY | $665,491 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $517,544 | BOYAmt |
| EOY | $453,912 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $150,211 | BOYAmt |
| EOY | $380,557 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,080,756 | BOYAmt |
| EOY | $1,499,960 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,055,857 | BOYAmt |
| EOY | $836,177 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,896 | BOYAmt |
| EOY | $5,195 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,067,753 | BOYAmt |
| EOY | $841,372 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,148,509 | BOYAmt |
| EOY | $2,341,332 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$226,381 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $152,853 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $173,672 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,150 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,232 | CurrentTaxYearAmt |
| Total | $337,907 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $152,853 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $173,672 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,150 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,232 | CurrentTaxYearAmt |
| Total | $337,907 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $337,907 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $17 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $31 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $6,810 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,062 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,726 | CurrentTaxYearAmt |
| Total | $23,629 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $361,553 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $63,343,681 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.93460 | PublicSupportCY170Pct |
| Public Support PY170 | 0.93900 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $350,666 | OtherCostOrOtherBasisAmt |
| Book Value | $350,666 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $984,076 | OtherCostOrOtherBasisAmt |
| Depreciation | $334,057 | DepreciationAmt |
| Book Value | $650,019 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $593,977 | OtherCostOrOtherBasisAmt |
| Depreciation | $433,844 | DepreciationAmt |
| Book Value | $160,133 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $254,118 | OtherCostOrOtherBasisAmt |
| Depreciation | $63,530 | DepreciationAmt |
| Book Value | $190,588 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,351,406 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ADVANCES PAYABLE TO STATE OF CONNECTICUT | $241,690 |
| DUE TO AFFILIATE | $138,867 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $380,557 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $10,847,059 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $10,847,059 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $10,847,059 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $11,073,440 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $11,073,440 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $11,073,440 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | BELOW IS AN EXCERPT FROM FOOTNOTE 1 OF THE AUDITED FINANCIAL STATEMENTS FOR ADELBROOK COMMUNITY SERVICES, INC. ADELBROOK CSI HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. IN ADDITION, ADELBROOK CSI QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A)(VI) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ADELBROOK CSI, AND HAS CONCLUDED THAT AS OF JUNE 30, 2020 AND 2019, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. ADELBROOK CSI IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS PENDING OR IN PROGRESS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ALYSSA GODUTI | PersonNm |
| Title | PRESIDENT & CEO | TitleTxt |
| Base Compensation Filing Org | $0 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $237,200 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $363 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $0 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $9,488 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $0 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $247,051 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER IS ADELBROOK, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | ADELBROOK INC., THE SOLE MEMBER, HAS THE RIGHT TO ELECT THE DIRECTORS OF THE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | PURSUANT TO SECTION II.A OF THE BYLAWS, THE SOLE MEMBER HAS THE FOLLOWING RIGHTS AND POWERS: (I) TO APPOINT AND REMOVE THE PRESIDENT OF THE CORPORATION; (II) TO APPROVE IN ADVANCE STRATEGIC PLANS, MISSION STATEMENTS, AND MAJOR CHANGES OF POLICY OF THE CORPORATION RECOMMENDED BY THE BOARD OF DIRECTORS; (III) TO APPROVE IN ADVANCE ANY MAJOR BORROWING RECOMMENDED BY THE BOARD OF DIRECTORS; (IV) TO APPROVE IN ADVANCE ANY DISPOSITION, PURCHASE, LEASE, SALE OR ENCUMBRANCE OF REAL PROPERTY BY OR TO THE CORPORATION THAT IS USED IN ITS MINISTRY AS RECOMMENDED BY THE BOARD OF DIRECTORS; TO APPROVE IN ADVANCE MERGERS OR DISSOLUTION OF THE CORPORATION AND THE PLAN FOR DISTRIBUTION OF ASSETS; (VI) TO APPROVE IN ADVANCE THE CREATION OF NEW AFFILIATES AND OTHER RELATED ENTITIES RECOMMENDED BY THE BOARD OF DIRECTORS; AND (VII) TO APPROVE IN ADVANCE AMENDMENTS TO THE CERTIFICATE OF INCORPORATION OR BY-LAWS OF THE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 IS PROVIDED TO THE FULL BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS. ANY CONFLICTS ARE REVIEWED BY THE PRESIDENT AND INDIVIDUALS INVOLVED WOULD RECUSE THEMSELVES FROM DISCUSSION OF THE MATTER. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE DIRECTORS COMPENSATION IS DETERMINED BY THE BOARD COMMITTEE. OTHER COMPENSATION ADJUSTMENTS ARE ACROSS THE BOARD COST OF LIVING INCREASES IF DETERMINED FOR THE YEAR. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST |
| FORM 990, PART IX, LINE 11G | CONTRACT TEMPORARY STAFFING: PROGRAM SERVICE EXPENSES 692,776. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 692,776. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 121,644. MANAGEMENT AND GENERAL EXPENSES 4,009. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 125,653. INTERCOMPANY STAFFING: PROGRAM SERVICE EXPENSES 349,854. MANAGEMENT AND GENERAL EXPENSES 756,916. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,106,770. CONTRACTED NURSING: PROGRAM SERVICE EXPENSES 113,021. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 113,021. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 222,648. MANAGEMENT AND GENERAL EXPENSES 77,734. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 300,382. |
| FORM 990, PART XII, LINE 2C | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ADELBROOK INC | ||||||||||
| 60 HICKSVILLE ROAD | CROMWELL | CT | 06416 | 060646920 | THE CARE OF CHILDREN. CONTROLLED BY COVENANT INITIATIVES FOR CARE | CT | 501(C)(3) | LINE 7 | N/A | 0 |
| COVENANT INITIATIVES FOR CARE | ||||||||||
| 4055 W PETERSON AVENUE | CHICAGO | IL | 60646 | PARENT OF ADELBROOK, INC. CONTROLLED BY CONVENANT MINISTRIES OF BENEVOLENCE | IL | 501(C)(3) | LINE 1 | N/A | 0 | |
| COVENANT MINISTRIES OF BENEVOLENCE | ||||||||||
| 4055 W PETERSON AVENUE | CHICAGO | IL | 60646 | PARENT OF COVENANT INITIATIVES FOR CARE | IL | 501(C)(3) | LINE 1 | N/A | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ADELBOOK INC | ||
| K | $229,023 | ACTUAL COST |
| ADELBOOK INC | ||
| L | $184,300 | ACTUAL COST |
| ADELBOOK INC | ||
| M | $877,354 | COST ALLOCATION PLAN |
| ADELBOOK INC | ||
| Q | $358,132 | ACTUAL COST |