2024-05-08T14:11:49-05:00 2023-06-30 221478099 COHNREZNICK LLP 350 CHURCH STREET 12TH FLOOR HARTFORD CT 06103 990 2022-07-01 383714954 ADELBROOK COMMUNITY SERVICES INC ADEL 8606350330 58 MISSIONARY ROAD CROMWELL CT 06416 ALYSSA GODUTI PRESIDENT AND CEO 8606350330 2024-05-08 1 ALYSSA GODUTI 999009999 0 PAUL BALLASY P00852868 9592007000 2024-04-23 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ALYSSA GODUTI 58 MISSIONARY ROAD CROMWELL CT 06416 11258683 0 X N/A X 2005 CT TO SUPPORT INDIVIDUALS WITH AUTISM SPECTRUM DISORDERS AND OTHER INTELLECTUAL AND DEVELOPMENTAL DISABILITIES AND BEHAVIORAL HEALTH NEEDS TO MEET THEIR GOALS AND LIVE LIVES OF HOPE, HEALTH, ACHIEVEMENT, DIGNITY, AND HAPPINESS. 12 12 227 50 0 0 0 0 10503335 11258683 50820 -22099 0 0 10554155 11236584 0 0 0 0 6938624 7188392 0 0 0 3365425 3879238 10304049 11067630 250106 168954 2912791 4304076 1768802 2991133 1143989 1312943 ADELBROOK, CSI PROVIDES HOPE AND HEALING TO CHILDREN AND FAMILIES IN A CHRISTIAN ENVIRONMENT. 0 0 7213540 8186743 ADELBROOK, CSI MANAGES CONTINUOUS RESIDENTIAL SUPPORT, COMMUNITY LIVING ARRANGEMENTS, AND A WEEKEND RESPITE PROGRAM 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. 2519704 3071940 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 SKILLS DEVELOPMENT. 9733244 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 25 0 1 227 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 0 0 CT X SUSAN BROSSEAU 8606350330 58 MISSIONARY ROAD CROMWELL CT 06416 REVEREND HOWARD BURGOYNE SECRETARY 1.00 1.00 X X 0 0 0 REVEREND RICHARD CUDMORE BOARD MEMBER 1.00 1.00 X 0 0 0 JAY FLETCHER BOARD MEMBER 1.00 1.00 X 0 0 0 SCOTT HANSON TREASURER 1.00 1.00 X X 0 0 0 DONNA K LEWIS BOARD MEMBER 1.00 1.00 X 0 0 0 SALVATORE NESCI BOARD MEMBER 1.00 1.00 X 0 0 0 ROGER A OXENDALE VICE CHAIRMAN 1.00 1.00 X X 0 0 0 LINDA REILLY-BLUE BOARD MEMBER 1.00 1.00 X 0 0 0 DR IVY RENTZ CHAIRMAN 1.00 1.00 X X 0 0 0 HAROLD C SPOONER JR BOARD MEMBER 1.00 1.00 X 0 0 0 DANIEL STEGBAUER BOARD MEMBER 1.00 1.00 X 0 0 0 CHRISTINE URCIUOLI BOARD MEMBER 1.00 1.00 X 0 0 0 ALYSSA GODUTI PRESIDENT & CEO 10.00 30.00 X 0 267782 9288 SABRINA CAMERON EXECUTIVE VICE PRESIDENT 10.00 30.00 X 0 144348 5713 SUSAN BROSSEAU CHIEF FINANCIAL OFFICER 20.00 20.00 X 0 122974 40852 JEFFREY SWANSON CHIEF ADMINISTRATIVE OFFIC 10.00 30.00 X 0 106405 19944 JEANNE ROSS CHIEF HUMAN RESOURCES OFFICER 10.00 30.00 X 0 95329 32848 0 736838 108645 0 0 1 0 DELTA T GROUP 101 CENTERPOINT DRIVE MIDDLETOWN CT 06457 TEMPORARY STAFFING 477037 PJW NURSING CONSULTANTS LLC 28 CUMBERLAND ROAD WEST HARTFORD CT 06119 NURSING SERVICES 108545 2 CONTINUOUS RESIDENTIAL SUPPORT 623990 7671805 7671805 THERAPUEUTIC GROUP HOMES 623990 2849525 2849525 OTHER PROGRAM INCOME 623990 737353 737353 11258683 22099 -22099 -22099 -22099 11236584 11258683 0 -22099 X 6021284 6021284 47824 47822 2 628949 628929 20 490335 490319 16 4914 4914 3150 3150 2120110 1057793 1062317 187279 100236 87043 367213 319840 47373 115178 103267 11911 42590 42590 253045 185227 67818 180585 180585 PROGRAM SUPPLIES 346256 328084 18172 MAINTENANCE 180944 157520 23424 77974 64834 13140 11067630 9733244 1334386 0 1143026 601508 24371 24475 175033 126032 37644 4188186 1341435 1605762 2846751 120118 13600 498547 2912791 4304076 564825 513130 453483 452243 478615 894449 271879 1131311 1768802 2991133 X 1143989 1312943 1143989 1312943 2912791 4304076 168954 0 X 0 1 X 1 0 X 4150 7171 3100 14421 4150 7171 3100 14421 14421 2 2 9062 9062 23485 55650877 0.61410 1.00000 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE - 2018 AMOUNT: $ 9,062. 299846 299846 2724655 636844 2087811 20984 19821 1163 337382 299953 37429 805319 384817 420502 2846751 SECURITY DEPOSITS 13600 DUE FROM AFFILIATE ORGANIZATION 484947 498547 REFUNDABLE ADVANCE FROM STATE 1011192 OPERATING LEASE LIABILITIES 120119 1131311 X 11236584 0 11236584 0 11236584 11067630 0 11067630 0 11067630 PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY ADELBROOK CSI, AND HAS CONCLUDED THAT AS OF JUNE 30, 2023 AND 2022, THERE WERE 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. ADELBROOK CSI'S FEDERAL AND STATE INFORMATION RETURNS FOR TAX YEARS 2019 THROUGH 2022 REMAIN OPEN FOR AUDIT UNDER THE VARIOUS STATUTES OF LIMITATIONS. 0 1 0 0 0 0 0 0 0 ALYSSA GODUTI PRESIDENT & CEO 0 226412 0 33750 0 7620 0 9288 0 0 0 277070 0 0 SUSAN BROSSEAU CHIEF FINANCIAL OFFICER 0 120732 0 1100 0 1142 0 5426 0 35426 0 163826 0 0 SABRINA CAMERON EXECUTIVE VICE PRESIDENT 0 142828 0 1100 0 420 0 5713 0 0 0 150061 0 0 PART I, LINE 4B THE CEO PARTICIPATED IN A 457F PLAN WITH COVENANT MINISTRIES DURING THE FISCAL YEAR. 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; (V) TO APPROVE IN ADVANCE MERGERS OR DISSOLUTIONS 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 15A THE CEO'S 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 CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,057,793. MANAGEMENT AND GENERAL EXPENSES 1,062,317. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,120,110. NATIONAL COVENANT PROPERTIES 8303 WEST HIGGINS ROAD CHICAGO IL 60631 237091306 PROPERTY FINANCING SERVICES FOR RELIGIOUS AFFILIATES IL 501(C)(3) LINE 1 N/A 0 ADELBROOK INC 60 HICKSVILLE ROAD CROMWELL CT 06416 060646920 THE CARE OF CHILDREN CT 501(C)(3) LINE 1 N/A 0 COVENANT INITIATIVES FOR CARE 4055 W PETERSON AVENUE CHICAGO IL 60646 271841721 PARENT OF ADELBROOK, INC. IL 501(C)(3) N/A 0 COVENANT MINISTRIES OF BENEVOLENCE 4055 W PETERSON AVENUE CHICAGO IL 60625 363486813 SUPPORT EVANGELICAL COVENANT CHURCH IL 501(C)(3) LINE 12A, I N/A 0 0 0 0 1 1 0 0 0 0 0 0 1 1 1 1 1 1 0 0