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CHURCH HOMES INC CONGREGATIONAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CHURCH HOMES INC CONGREGATIONAL (EIN 06-0763898)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-02-15
IRS object ID
201410499349301576
Schema version
2012v2.1
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)
Timestamp2014-02-15T14:56:13-06:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN061009205EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BLUM SHAPIRO & COMPANY PC CPA'SBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line129 S MAIN STREET PO BOX 272000AddressLine1
CityWEST HARTFORDCity
StateCTState
ZIP Code061272000ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN060763898EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHURCH HOMES INC CONGREGATIONALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHURNameControl
Phone8605279126Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1217 AVERY HEIGHTSAddressLine1
CityHARTFORDCity
StateCTState
ZIP Code061064200ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRAYMOND A GASPERININame
TitleVICE PRESIDENT/CFOTitle
Phone8605279126Phone
Date Signed2014-02-18DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameELIZABETH SOLECKIName
PTINP00235171PTIN
Phone8605614000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRAYMOND A GASPERININameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1217 AVERY HEIGHTSAddressLine1
CityHARTFORDCity
StateCTState
ZIP Code06106ZIPCode
FieldValueIRS element (for citing)
Gross Receipts41220258GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHURCHHOMES.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1957YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE, ON A NOT-FOR-PROFIT BASIS AND WITHOUT DISCRIMINATION, A FULL RANGE OF RESIDENTIAL LIVING AND HEALTH CARE SERVICES FOR OLDER ADULTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees506TotalNbrEmployees
Total Nbr Volunteers270TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year598288ContributionsGrantsPriorYear
Contributions Grants Current Year371877ContributionsGrantsCurrentYear
Program Service Revenue Prior Year39865424ProgramServiceRevenuePriorYear
Program Service Revenue CY40061154ProgramServiceRevenueCY
Investment Income Prior Year979479InvestmentIncomePriorYear
Investment Income Current Year436796InvestmentIncomeCurrentYear
Other Revenue Prior Year367265OtherRevenuePriorYear
Other Revenue Current Year323390OtherRevenueCurrentYear
Total Revenue Prior Year41810456TotalRevenuePriorYear
Total Revenue Current Year41193217TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year10550GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY4432GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year22588759SalariesEtcPriorYear
Salaries Etc Current Year22628917SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year65803TotalFundrsngExpCurrentYear
Other Expense Prior Year17617587OtherExpensePriorYear
Other Expenses Current Year17776512OtherExpensesCurrentYear
Total Expenses Prior Year40216896TotalExpensesPriorYear
Total Expenses Current Year40409861TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1593560RevenuesLessExpensesPriorYear
Revenues Less Expenses CY783356RevenuesLessExpensesCY
Total Assets BOY58360806TotalAssetsBOY
Total Assets EOY58207892TotalAssetsEOY
Total Liabilities BOY24996083TotalLiabilitiesBOY
Total Liabilities EOY23337361TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY33364723NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY34870531NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE, ON A NOT-FOR-PROFIT BASIS AND WITHOUT DISCRIMINATION, A FULL RANGE OF RESIDENTIAL LIVING AND HEALTH CARE SERVICES FOR OLDER ADULTS BY PROMOTING AND IMPLEMENTING SYSTEMS THAT MAINTAIN AND SUPPORT EVERY INDIVIDUAL'S OPTIMAL INDEPENDENCE AND LIFE WISHES IN A SAFE, DIGNIFIED ATMOSPHERE CONDUCIVE TO QUALITY RETIREMENT, BY ASSURING KNOWLEDGEABLE AND CONSISTENT LEADERSHIP IN RETIREMENT LIVING, LONG-TERM CARE, HOME CARE AND SUPPORT SERVICES AND BY DEVELOPING INNOVATIVE PROGRAMS AND SERVICES WHICH RESPOND TO THE CHANGING NEEDS OF ITS RESIDENTS AND CLIENTS AND THE SOCIETY IT SERVES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense36995837Expense
Grants4432Grants
Revenue40366544Revenue
DescriptionCHURCH HOMES, INC. CONGREGATIONAL IS A NOT-FOR-PROFIT CORPORATION, WHICH OWNS AND OPERATES RETIREMENT AND HEALTH CARE FACILITIES IN HARTFORD, CT (AVERY HEIGHTS) AND SALISBURY, CT (NOBLE HORIZONS). AVERY HEIGHTS CONSISTS OF 130 SKILLED NURSING BEDS, 69 INTERMEDIATE CARE BEDS, 14 ACCOMMODATIONS IN A HOME FOR THE AGED, 58 INDEPENDENT LIVING COTTAGES, AND 137 INDEPENDENT LIVING APARTMENTS. IN ADDITION, AVERY HEIGHTS OPERATES A HOME HEALTH AGENCY AND BETTY LARUS ADULT DAY HEALTH CENTER. NOBLE HORIZONS CONSISTS OF 61 SKILLED NURSING BEDS, 30 INTERMEDIATE CARE BEDS, 50 INDEPENDENT LIVING COTTAGES, AND 19 ACCOMMODATIONS IN A HOME FOR THE AGED.Description
Total Program Service Expense36995837TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096135NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees506NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCTStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RAYMOND A GASPERINIBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8605279126TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1217 AVERY HEIGHTSAddressLine1
CityHARTFORDCity
StateCTState
ZIP Code061064200ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
PATRICK GILLAND
PRESIDENT/CEO40.005.00XX263989045946
PATRICK Y YUNG
DIRECTOR1.00X000
LARRY C BROWN
DIRECTOR1.00X000
JOSEPH C BLACK JR
DIRECTOR1.00X000
DAVID E CANUEL
DIRECTOR1.00X000
ELIZABETH S GAGNE
DIRECTOR1.00X000
HENRY B MCNULTY
VICE CHAIRMAN1.00XX000
DAVID E POLK
CHAIRMAN1.00XX000
STEPHEN E RONAI ESQUIRE
DIRECTOR1.00X000
PETER B MATTHEWS
DIRECTOR1.00X000
MERCEDESE E LARGE
DIRECTOR1.00X000
PETER C GERALI
DIRECTOR1.00X000
PETER L HOLLAND
DIRECTOR1.00X000
JEFFREY H KOENIG
DIRECTOR1.00X000
RAYMOND GASPERINI
VICE PRESIDENT/CFO40.00X176463032569
EILEEN MULLIGAN
VICE PRESIDENT40.00X164488025151
MIRIAM PARKER
VICE PRESIDENT40.00X183519033617
MARJORIE K TESSMAN
SECRETARY40.00X55149016353
BONITA GANIM
DIRECTOR OF NURSING SERVICES40.00103905016237X
ANNA LUKAS
NURSE MANAGER40.00131870024538X
MICHELLE PASCETTA
DIR BUDGETING AND REIMBURSEMENT40.00105257026879X
SUSAN COSTELLO
RN40.00100368017029X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1285008TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation238319TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HEALTHCARE SERVICES GROUP INC
3220 TILLMAN DR STE 300BENSALEMPA19020HOUSEKEEPING/LAUNDRY/DIETARY SERVICES2673899
ALLIANCE REHAB OF CT
1520 KENSINGTON RD STE 110OAK BROOKEIL60523REHAB THERAPY1390228
ENTERPRISE BUILDERS
46 SHEPARD DRNEWINGTONCT06111CONSTRUCTION OF COTTAGES547230
AUGUSTIN MALAYKHAN (AZTEC LANDSCAPE & RE
PO BOX 320058HARTFORDCT06132GROUNDS CARE, PLOWING, SANDING185311
D SAYADOFF & CO
PO BOX 996BLOOMFIELDCT06002PAINTER172345
FieldValueIRS element (for citing)
Number Of Contractors GT100 K10NumberOfContractorsGT100K
Fundraising Events69594FundraisingEvents
All Other Contributions302283AllOtherContributions
Total Contributions371877TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT SERVICES6230003995219939952199
OTHER SERVICES623000108955108955
FieldValueIRS element (for citing)
Total Program Service Revenue40061154TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column158361TotalRevenueColumn
Exclusion$158,361ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real18000Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real18000Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column18000TotalRevenueColumn
Exclusion$18,000ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities279205Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other770Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities279205Securities
Other-770Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column278435TotalRevenueColumn
Exclusion$278,435ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events26271GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events69594CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses26271FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER INCOME900099302279302279
FEES INCOME90009931113111
FieldValueIRS element (for citing)
Total Other Revenue305390TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column41193217TotalRevenueColumn
Related Or Exempt Function Income40366544RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$454,796ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total4432Total
Program Services4432ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1006047Total
Management And General1006047ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total16042655Total
Program Services14756763ProgramServices
Management And General1285892ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1230352Total
Program Services1074712ProgramServices
Management And General155640ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3037720Total
Program Services2789536ProgramServices
Management And General248184ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1312143Total
Program Services1146157ProgramServices
Management And General165986ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1000Total
Management And General1000ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total31681Total
Management And General31681ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total75200Total
Management And General75200ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6418600Total
Program Services6314936ProgramServices
Management And General79273ManagementAndGeneral
Fundraising24391Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total145611Total
Program Services143079ProgramServices
Management And General1966ManagementAndGeneral
Fundraising566Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total263621Total
Program Services169541ProgramServices
Management And General82220ManagementAndGeneral
Fundraising11860Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total107535Total
Program Services30058ProgramServices
Management And General70042ManagementAndGeneral
Fundraising7435Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2867562Total
Program Services2876534ProgramServices
Management And General-8972ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total12044Total
Program Services6674ProgramServices
Management And General5370ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total8971Total
Program Services6846ProgramServices
Management And General2125ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total10940Total
Program Services10940ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2448980Total
Program Services2448980ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total261051Total
Program Services261051ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVIDER TAX17818231781823
SUPPLIES67296465921613748
FOOD612290612290
PRESCRIPTIONS & DRUGS435218435218

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1621421Total
Program Services1467051ProgramServices
Management And General132819ManagementAndGeneral
Fundraising21551Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total40409861Total
Program Services36995837ProgramServices
Management And General3348221ManagementAndGeneral
Fundraising65803Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY10855236BOY
EOY11071372EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1726280BOY
EOY241711EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3530266BOY
EOY2665841EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY197690BOY
EOY220028EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY572408BOY
EOY390404EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis78292125LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec48878218LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY29656758BOY
EOY29413907EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY11117448BOY
EOY12082937EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY652608BOY
EOY660078EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY52112BOY
EOY1461614EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY58360806BOY
EOY58207892EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2812505BOY
EOY3003379EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY21842487BOY
EOY19959943EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY341091BOY
EOY374039EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY24996083BOY
EOY23337361EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY24241363BOY
EOY25354158EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6471095BOY
EOY6864108EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2652265BOY
EOY2652265EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33364723BOY
EOY34870531EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY58360806BOY
EOY58207892EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses783356ReconcilationRevenueExpenses
Reconciliation Unrealized Invest722452ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years995528CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years929762CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years404860CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year598288CurrentTaxYearMinus1Year
Current Tax Year371877CurrentTaxYear
Total3300315Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years39944247CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years39756122CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years40098913CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year40215164CurrentTaxYearMinus1Year
Current Tax Year40366544CurrentTaxYear
Total200380990Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years40939775CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years40685884CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years40503773CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year40813452CurrentTaxYearMinus1Year
Current Tax Year40738421CurrentTaxYear
Total203681305Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509203681305PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years184505CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years121341CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years233047CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year289151CurrentTaxYearMinus1Year
Current Tax Year158361CurrentTaxYear
Total986405Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years184505CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years121341CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years233047CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year289151CurrentTaxYearMinus1Year
Current Tax Year158361CurrentTaxYear
Total986405Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years386093CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years398997CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years64383CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17525CurrentTaxYearMinus1Year
Current Tax Year18000CurrentTaxYear
Total884998Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years41510373CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years41206222CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years40801203CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year41120128CurrentTaxYearMinus1Year
Current Tax Year40914782CurrentTaxYear
Total205552708Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99090PublicSupportPercentage509
Prior Year Support Percentage0.98460PriorYearSupportPercentage
Investment Income Percentage0.00480InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00880PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance8485427BeginningOfYearBalance
Contributions83398Contributions
Investment Earnings Or Losses904516InvestmentEarningsOrLosses
Other Expenditures175457OtherExpenditures
End Of Year Balance9297884EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance6929974BeginningOfYearBalance
Contributions401654Contributions
Investment Earnings Or Losses1344982InvestmentEarningsOrLosses
Other Expenditures189371OtherExpenditures
Administrative Expenses1812AdministrativeExpenses
End Of Year Balance8485427EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7353857BeginningOfYearBalance
Contributions239594Contributions
Investment Earnings Or Losses-163591InvestmentEarningsOrLosses
Other Expenditures493454OtherExpenditures
Administrative Expenses6432AdministrativeExpenses
End Of Year Balance6929974EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7975094BeginningOfYearBalance
Contributions228623Contributions
Investment Earnings Or Losses702811InvestmentEarningsOrLosses
Other Expenditures1550231OtherExpenditures
Administrative Expenses2440AdministrativeExpenses
End Of Year Balance7353857EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance8172455BeginningOfYearBalance
Contributions51035Contributions
Investment Earnings Or Losses30490InvestmentEarningsOrLosses
Other Expenditures276168OtherExpenditures
Administrative Expenses2718AdministrativeExpenses
End Of Year Balance7975094EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.51000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.29000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.20000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2744217OtherCostOrOtherBasis
Book Value2744217BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis49546667OtherCostOrOtherBasis
Depreciation29321694Depreciation
Book Value20224973BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis22634402OtherCostOrOtherBasis
Depreciation17146500Depreciation
Book Value5487902BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3366839OtherCostOrOtherBasis
Depreciation2410024Depreciation
Book Value956815BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings29413907TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ANNUITIES PAYABLE$71,087
RESIDENT FUNDS AND DEPOSITS$205,357
DUE TO THIRD PARTY REIMBURSEMENT AG$43,954
MISCELLANEOUS$53,641
FieldValueIRS element (for citing)
Total Of Amounts374039TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt41487117TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments722452NetUnrealizedGainsInvestments
Other Revenues-428552OtherRevenues
Revenue Not Rptd F990293900RevenueNotRptdF990
Revenue Subtotal41193217RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99041193217TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt39981309TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal39981309ExpensesSubtotal
Other Expenses Not Included428552OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt428552ExpensesNotRptdOnFinStmt
Total Expenses Per Form99040409861TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:INVESTMENT INCOME UTILIZED TO SUPPORT OPERATIONS
PART XI, LINE 2D - OTHER ADJUSTMENTS:DIRECT RESIDENT SUPPORT -8,741. BAD DEBTS -419,811.
PART XII, LINE 4B - OTHER ADJUSTMENTS:DIRECT RESIDENT SUPPORT 8,741. BAD DEBTS 419,811.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF OUTINGNameOfEvent1
Gross Receipts Event170949GrossReceiptsEvent1
Charitable Contributions Event152971CharitableContributionsEvent1
Gross Revenue Event117978GrossRevenueEvent1
Other Direct Expenses Event117978OtherDirectExpensesEvent1
Name Of Event2FESTIVAL OF TREESNameOfEvent2
Gross Receipts Event224916GrossReceiptsEvent2
Charitable Contributions Event216623CharitableContributionsEvent2
Gross Revenue Event28293GrossRevenueEvent2
Other Direct Expenses Event28293OtherDirectExpensesEvent2
Gross Receipts Total95865GrossReceiptsTotal
Charitable Contributions Total69594CharitableContributionsTotal
Gross Revenue Total Events26271GrossRevenueTotalEvents
Other Direct Expenses Total Events26271OtherDirectExpensesTotalEvents
Direct Expense Summary Events26271DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PATRICK GILLAND
PRESIDENT/CEO241489022500000305330154130309935000
RAYMOND GASPERINI
VICE PRESIDENT/CFO17396302500000203840121850209032000
EILEEN MULLIGAN
VICE PRESIDENT1614880300000018713064380189639000
MIRIAM PARKER
VICE PRESIDENT18101902500000214950121220217136000
ANNA LUKAS
NURSE MANAGER13187000000139810105570156408000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 7ReturnReference
ExplanationBONUSES ARE AWARDED BASED ON THE ACHIEVEMENT OF SPECIFIC PERFORMANCE GOALS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED WITH THE BOARD OF DIRECTORS AT REGULARLY SCHEDULED BOARD OF DIRECTORS MEETING.
FORM 990, PART VI, SECTION B, LINE 12CTHE PRESIDENT OF CHURCH HOMES, INC. REVIEWS THE RESPONSES TO THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE WITH THE COMMITTEE ON DIRECTORS. WHERE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST EXISTS, THE COMMITTEE ON DIRECTORS IS AUTHORIZED TO TAKE APPROPRIATE CORRECTIVE ACTION.
FORM 990, PART VI, SECTION B, LINE 15CHURCH HOMES, INC. PERSONNEL COMMITTEE REVIEWS AND APPROVES OFFICER COMPENSATION ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GMEDICAL THERAPY: PROGRAM SERVICE EXPENSES 1,813,009. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,813,009. DIETARY SERVICES: PROGRAM SERVICE EXPENSES 1,733,684. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,733,684. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 763,576. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 763,576. TEMPORARY NURSING: PROGRAM SERVICE EXPENSES 483,965. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 483,965. SECURITY: PROGRAM SERVICE EXPENSES 144,331. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 144,331. LAUNDRY: PROGRAM SERVICE EXPENSES 441,170. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 441,170. MAINTENANCE & REPAIRS: PROGRAM SERVICE EXPENSES 516,058. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 516,058. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 419,143. MANAGEMENT AND GENERAL EXPENSES 79,273. FUNDRAISING EXPENSES 24,391. TOTAL EXPENSES 522,807.OTHER FEES

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CONNECTICUT ALLIANCE FOR LONG TERM CAREBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1217 AVERY HEIGHTSAddressLine1
CityHARTFORDCity
StateCTState
ZIP Code06106ZIPCode
FieldValueIRS element (for citing)
EIN061465316EIN
Primary ActivitiesADMINISTER PROVIDER BASED NETWORK TO PROVIDE COST-EFFECTIVE HEALTH CAREPrimaryActivities
Legal Domicile StateCTLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 11A, IPublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg