2020-07-11T11:15:47-05:00 2019-06-30 111986323 MARCUM LLP 185 ASYLUM STREET HARTFORD CT 06103 990 2018-07-01 383714954 ADELBROOK COMMUNITY SERVICES INC ADEL 8606350330 58 MISSIONARY ROAD CROMWELL CT 06416 ALYSSA GODUTI PRESIDENT AND CEO 8606350330 2020-07-10 1 MARY-EVELYN ANTONETTI P00431862 8607600600 144.121.95.190 2020-07-10 14:58:20 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 889577CE2CE61D58D2CD54C99878AB3D64A7266D 2018 2021-01-29 14:40:06Z ALYSSA GODUTI 58 MISSIONARY ROAD CROMWELL CT 06416 12582370 0 2650 X N/A X 2005 CT COMMUNITY SERVICES, INC. IS AN AFFILIATE OF ADELBROOK, INC. AND PROVIDES THE MOST CURRENT EVIDENCED-BASED PRACTICES THROUGHOUT A NUMBER OF SEPARATE PROGRAMS STATEWIDE. OUR PROGRAMS INCLUDE CONTINUOUS RESIDENTIAL SUPPORT HOMES, OUTPATIENT THERAPY, THERAPEUTIC GROUP HOMES, IN-HOME SUPPORTS, SCHOOL-BASED SUPPORTS AND A TRAINING ACADEMY. WE ARE COMMITTED TO PRESERVING THE DIGNITY OF EACH PERSON WE SERVE AS DEMONSTRATED IN OUR RESPECT FOR INDIVIDUAL RIGHTS AND PREFERENCES; IN MAINTAINING AND FURTHERING THEIR COMMUNITY RELATIONSHIPS; AND IN ASSURING FOR THE PROVISION/DEVELOPMENT OF SAFE AND HEALTHY ENVIRONMENTS. 16 16 276 25 0 0 173672 4150 13702316 12569156 3 2 6810 9062 13882801 12582370 0 0 0 0 10077939 8885631 0 0 0 3535815 3740519 13613754 12626150 269047 -43780 2404453 2148509 1292920 1080756 1111533 1067753 X ADELBROOK PROVIDES HOPE AND HEALING FOR YOUNG PEOPLE AND FAMILIES IN A CHRISTIAN ENVIRONMENT. THIS IS ACHIEVED BY MEETING THE DEVELOPMENTAL AND BEHAVIORAL CHALLENGES OF CHILDREN, YOUNG ADULTS AND FAMILIES THROUGH A RANGE OF PROFESSIONAL, EDUCATIONAL, RESIDENTIAL AND THERAPEUTIC OPTIONS. ADELBROOK AIMS TO CONTINUE ITS GROWTH IN ORDER TO PROVIDE A CONTINUUM OF CARE AND MEET THE EVER-CHANGING NEEDS OF THOSE WE SERVE. 0 0 6678311 6678862 THE ADELBROOK CSI CONTINUOUS RESIDENTIAL SUPPORT PROGRAM AND COMMUNITY LIVING ARRANGEMENT PROVIDES COMMUNITY BASED RESIDENCES FOR CLIENTS OF THE CT DEPARTMENT OF DEVELOPMENTAL SERVICES (DDS). THESE 3 OR 4 PERSON RESIDENCES ARE LOCATED IN EACH OF THE STATE'S 3 DDS REGIONS AND PROVIDE 24 HOUR STAFFING, NURSING COVERAGE, BEHAVIORAL TREATMENT PLANNING AND DAILY OCCUPATIONAL PROGRAMMING. EACH CONTRACT BUDGET IS DEVELOPED BY COMBINING THE PROJECTED LEVELS OF SERVICE FOR EACH RESIDENT BASED ON THEIR OBSERVED LEVELS OF NEEDS AND INDIVIDUAL LEVEL OF FUNCTIONING. EACH RESIDENT PARTICIPATES IN EITHER A DAY PROGRAM OR SCHOOL PROGRAM DEPENDING ON THEIR AGE THAT MAY OR MAY NOT BE PROVIDED BY ADELBROOK CSI OR ITS AFFLILIATE ORGANIZATION. 2860837 2837158 LEVEL II GROUP HOME'S ARE A CONGREGATE-CARE THERAPEUTIC TREATMENT AND SUPPORT SETTING FOR GIRLS AGES 13-18 OF THE CT DEPARTMENT OF CHILDREN AND FAMILIES. THE LICENSED BED CAPACITY PER HOME IS 5. TREATMENT INCLUDES INDIVIDUAL, GROUP AND FAMLIY THERAPY AS WELL AS INDEPENDENT LIFE SKILLS. 1257240 1216983 THE BEHAVIORAL SUPPORT PROGRAM PROVIDES BEHAVIORISTS AND OTHER PROFESSIONALS TO MEET THE NEEDS OF INDIVIDUALS THAT ARE RESIDENTS OF THE ADELBROOK CSI CONTINUOUS RESIDENTIAL SUPPORT PROGRAM HOMES, OR ARE CLIENTS OF AN AFFILIATED ORGANIZATION'S SCHOOLS AND RESIDENCES. 495182 1845215 OTHER 495182 1845215 11291570 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 30 0 1 276 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 CT X SUSAN BROSSEAU 8606350330 600 CORPORATE ROW CROMWELL CT 06416 ANTON A PETRAS CHAIRMAN 1.00 1.00 X X 0 0 0 REVEREND HOWARD BURGOYNE CO-CHAIRMAN 1.00 1.00 X X 0 0 0 HAROLD C SPOONER JR CO-CHAIRMAN 1.00 1.00 X X 0 0 0 PATRICIA CROASMUN SECRETARY 1.00 1.00 X X 0 0 0 SCOTT HANSON TREASURER 1.00 1.00 X X 0 0 0 JENNIFER BECK MEMBER 1.00 1.00 X 0 0 0 REVEREND CONWAY BOYCE MEMBER 1.00 1.00 X 0 0 0 REVEREND RICHARD CUDMORE MEMBER 1.00 1.00 X 0 0 0 REVEREND CHRISTOPHER EK MEMBER 1.00 1.00 X 0 0 0 JOYCE FISCUS MEMBER 1.00 1.00 X 0 0 0 STEPHEN L KUHN ESQ MEMBER 1.00 1.00 X 0 0 0 LINDA D REILLY-BLUE MEMBER 1.00 1.00 X 0 0 0 KAREN TULLSON MEMBER 1.00 1.00 X 0 0 0 JOHN H WALKER MD MEMBER 1.00 1.00 X 0 0 0 LAWRENCE P ANDERSON MEMBER 1.00 1.00 X 0 0 0 ROGER A OXENDALE MEMBER 1.00 1.00 X 0 0 0 GARRELL S MULLANEY PRESIDENT & CEO TO 11/2018 1.00 40.00 X X 0 261512 0 ALYSSA GODUTI PRESIDENT & CEO FROM 11/2018 1.00 40.00 X 0 12092 0 DAVID W MAIBAUM CHIEF FINANCIAL OFFICER 1.00 40.00 X 0 113775 30334 SUSAN BROSSEAU ASST CHIEF FINANCIAL OFFICER 20.00 20.00 X 56708 49536 32148 56708 436915 62482 0 0 1 0 DELTA T GROUP HARTFORD INC PO BOX 884 BRYN MAWR PA 06457 TEMP STAFFING 510855 PJW NURSING CONSULTANTS LLC 28 CUMBERLAND RD WEST HARTFORD CT 06119 NURSING SERVICES 185589 NE PSYCHIATRIC ASSOCIATES LLC 420 SOUTH MAIN STREET UNIT 4 CHESHIRE CT 06410 PSYCHIATRY 154500 3 4150 4150 CONTINUOUS RESIDENTIAL SUPPORT 623990 6678862 6678862 GROUP LEVEL II 623990 2837158 2837158 BEHAVIORAL SUPPORT 623990 1216983 1216983 OCCUPATIONAL THERAPY SUPPORT 623990 972925 972925 TRAINING ACADEMY 624310 373202 373202 490026 490026 12569156 2 2 MISCELLANEOUS REVENUE 900099 9062 9062 9062 12582370 12578218 0 2 X 62610 62610 6782537 6641641 140896 64538 61392 3146 1345319 1288813 56506 630627 614428 16199 35886 34093 1793 35847 35847 2192744 1357850 834894 185508 173625 11883 56163 6384 49779 477998 398082 79916 209890 208968 922 107992 77084 30908 168462 167037 1425 REPAIRS AND MAINTENANCE 122909 122909 FOOD EXPENSE 52728 51915 813 PROGRAM ACTIVITIES 47634 47488 146 RESIDENTS EXPENSE 23272 23272 23486 16589 6897 12626150 11291570 1334580 0 336457 293191 6219 792 447577 260937 114661 34815 2009351 687342 1360875 1322009 138664 236765 2404453 2148509 570907 413001 580526 517544 141487 150211 1292920 1080756 X 1099637 1055857 11896 11896 1111533 1067753 2404453 2148509 -43780 0 X X 0 1 X 1 0 X 90679 152853 173672 4150 421354 90679 152853 173672 4150 421354 421354 90 4 8 3 2 107 11360 31 6810 9062 27263 448724 64620457 0.93900 0.95350 X 350666 350666 835329 309723 525606 569238 364913 204325 254118 12706 241412 1322009 SECURITY DEPOSITS 17500 DUE FROM AFFILIATE 219265 236765 DUE TO STATE OF CONNECTICUT 150211 150211 X 12582370 0 12582370 0 12582370 12626150 0 12626150 0 12626150 PART X, LINE 2: 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, 2019 AND 2018, 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. 0 0 0 0 0 0 0 0 0 GARRELL S MULLANEY PRESIDENT & CEO TO 11/2018 0 226512 0 35000 0 0 0 0 0 0 0 261512 0 0 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 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 PSYCHIATRIC SERVICES: PROGRAM SERVICE EXPENSES 83,699. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 83,699. ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 6,165. MANAGEMENT AND GENERAL EXPENSES 17,398. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,563. RECRUITMENT SERVICES: PROGRAM SERVICE EXPENSES 36,843. MANAGEMENT AND GENERAL EXPENSES 6,750. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,593. TRAINING SERVICES: PROGRAM SERVICE EXPENSES 139,499. MANAGEMENT AND GENERAL EXPENSES 14,290. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 153,789. OTHER CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 568,794. MANAGEMENT AND GENERAL EXPENSES 5,490. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 574,284. PSYCHOLOGICAL SERVICES: PROGRAM SERVICE EXPENSES 212,072. MANAGEMENT AND GENERAL EXPENSES 790,966. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,003,038. CONTRACTED NURSING: PROGRAM SERVICE EXPENSES 127,918. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 127,918. CONTRACTED BEHAVIORAL SERVICES: PROGRAM SERVICE EXPENSES 133,800. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 133,800. CONTRACTED OCCUPATIONAL THERAPY: PROGRAM SERVICE EXPENSES 49,060. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49,060. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. ADELBROOK INC 60 HICKSVILLE ROAD CROMWELL CT 06416 060646920 THE CARE OF CHILDREN CT 501(C)(3) LINE 7 N/A 0 0 0 0 1 1 0 0 0 0 0 1 1 1 1 1 1 1 0 0