2023-04-19T13:04:52-05:00 2022-06-30 221478099 COHNREZNICK LLP 350 CHURCH STREET 12TH FLOOR HARTFORD CT 06103 990 2021-07-01 383714954 ADELBROOK COMMUNITY SERVICES INC ADEL 8606350330 58 MISSIONARY ROAD CROMWELL CT 06416 ALYSSA GODUTI PRESIDENT AND CEO 8606350330 2023-04-15 1 ALYSSA GODUTI 999009999 PAUL BALLASY P00852868 9592007000 2023-04-14 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z ALYSSA GODUTI 58 MISSIONARY ROAD CROMWELL CT 06416 10554155 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 12 235 0 0 0 3100 0 10479815 10503335 36500 50820 0 0 10519415 10554155 0 0 0 0 6797687 6938624 0 0 0 3669217 3365425 10466904 10304049 52511 250106 2925804 2912791 2031921 1768802 893883 1143989 ADELBROOK, CSI PROVIDES HOPE AND HEALING TO CHILDREN AND FAMILIES IN A CHRISTIAN ENVIRONMENT. 0 0 6486316 7815630 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. 2533703 2687705 LEVEL II THERAPEAUTIC GROUP HOMES PROVIDE TREATEMENT, 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. TREATEMENT IS TRAMA-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. 9020019 1 0 0 0 0 0 0 0 0 0 1 0 0 0 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 20 0 1 235 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 600 CORPORATE ROW CROMWELL CT 06416 REVEREND RICHARD CUDMORE DIRECTOR 1.00 1.00 X 0 0 0 SCOTT HANSON TREASURER 1.00 1.00 X X 0 0 0 REVEREND HOWARD BURGOYNE SECRETARY 1.00 1.00 X X 0 0 0 DONNA LEWIS DIRECTOR 1.00 1.00 X 0 0 0 LINDA D REILLY-BLUE DIRECTOR 1.00 1.00 X 0 0 0 DR IVY RENTZ VICE CHAIRMAN 1.00 1.00 X X 0 0 0 ROGER A OXENDALE CHAIRMAN 1.00 1.00 X X 0 0 0 SALVATORE NESCI DIRECTOR 1.00 1.00 X 0 0 0 HAROLD C SPOONER JR DIRECTOR 1.00 1.00 X X 0 0 0 CHRISTINE URCIUOLI DIRECTOR 1.00 1.00 X 0 0 0 MARTIN ZIBUDA OUTGOING DIRECTOR 1.00 1.00 X 0 0 0 JAY FLETCHER DIRECTOR 1.00 1.00 X 0 0 0 DANIEL STEGBAUER DIRECTOR 1.00 1.00 X 0 0 0 ALYSSA GODUTI PRESIDENT & CEO 10.00 30.00 X 0 271637 11329 SABRINA CAMERON EXECUTIVE VICE PRESIDENT 10.00 30.00 X 0 136870 5931 SUSAN BROSSEAU CHIEF FINANCIAL OFFICER 20.00 20.00 X 0 118175 40046 0 526682 57306 0 0 1 0 PJW NURSING CONSULTANTS LLC 28 CUMBERLAND ROAD WEST HARTFORD CT 06119 NURSING SERVICES 142635 1 CONTINUOUS RESIDENTIAL SUPPORT 623990 7571195 7571195 THERAPUEUTIC GROUP HOMES 623990 2687705 2687705 OTHER PROGRAM INCOME 623990 244435 244435 10503335 50820 0 50820 50820 50820 10554155 10503335 0 50820 X 5581498 5581498 41008 41008 900015 900015 416103 416103 3649 3649 3570 3570 1962376 997791 964585 208892 186512 22380 153148 82683 70465 369697 322892 46805 87806 66824 20982 23035 23035 192319 125412 66907 200505 153057 47448 MAINTENANCE 140356 112953 27403 OTHER 20072 6587 13485 10304049 9020019 1284030 0 798014 1143026 14322 24371 340583 126032 2730077 1124315 1759285 1605762 13600 13600 2925804 2912791 718161 564825 201779 453483 554806 478615 557175 271879 2031921 1768802 X 893883 1143989 893883 1143989 2925804 2912791 250106 0 X X 0 1 X 1 0 X 173672 4150 7171 3100 188093 173672 4150 7171 3100 188093 188093 3 2 5 188098 57794510 1.00000 1.00000 X 299846 299846 1505900 498668 1007232 307567 292045 15522 616764 333602 283162 1605762 DUE TO AFFILIATE 271879 271879 X 10554155 0 10554155 0 10554155 10304049 0 10304049 0 10304049 PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY ADELBROOK CSI, AND HAS CONCLUDED THAT AS OF JUNE 30, 2022 AND 2021, 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 2021 REMAIN OPEN FOR AUDIT UNDER THE VARIOUS STATUTES OF LIMITATIONS. 0 0 0 0 0 0 0 0 0 ALYSSA GODUTI PRESIDENT & CEO 0 228803 0 42400 0 434 0 10873 0 456 0 282966 0 0 SUSAN BROSSEAU CHIEF FINANCIAL OFFICER 0 117104 0 0 0 1071 0 5290 0 34756 0 158221 0 0 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 997,791. MANAGEMENT AND GENERAL EXPENSES 964,585. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,962,376. FORM 990, PART XII, LINE 2C: THERE HAVE BEEN NO CHANGES MADE TO THE ORGANIZATION'S OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR. NATIONAL COVENANT PROPERTIES 8303 WEST HIGGINS ROAD CHICAGO IL 60631 237091306 PROPERTY 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 1 1 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0