COMMUNITY GUIDANCE CLINIC FOR CENTRAL CONNECTICUT INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY GUIDANCE CLINIC FOR CENTRAL CONNECTICUT INC (EIN 06-0726055)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-23
- IRS object ID
- 202241439349300209
- Schema version
- 2020v4.2
- Note
- A later return for the same period supersedes this one.
- 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 | 2022-05-23T07:42:26-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 061244958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARTER HAYES ASSOCIATES PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1970 WHITNEY AVENUE BLDG 2 | AddressLine1Txt |
| City | HAMDEN | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06517 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060726055 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILD GUIDANCE CLINIC FOR CENTRAL | BusinessNameLine1Txt |
| Business Name Line2 | CONNECTICUT INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHIL | BusinessNameControlTxt |
| Phone | 2032355767 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 384 PRATT STREET | AddressLine1Txt |
| City | MERIDEN | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06450 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES MAFFUID LMFT | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 2032355767 | PhoneNum |
| Signature | 2022-05-18 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JAMES | PersonFirstNm |
| Person Last | MAFFUID LMFT | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | NANCY D HAYES CPA | PreparerPersonNm |
| PTIN | P00057237 | PTIN |
| Phone | 2032873990 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAMES MAFFUID LMFT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 384 PRATT STREET | AddressLine1Txt |
| City | MERIDEN | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06450 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,934,887 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CGCCENTRALCT.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1957 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | CHILD GUIDANCE CLINIC FOR CENTRAL CONNECTICUT, AN ESTABLISHED AND TRUSTED COMMUNITY RESOURCE, PROVIDES COMPREHENSIVE EVIDENCE-BASED BEHAVIORAL HEALTH SERVICES THAT PROMOTE WELLNESS AND RESILIENCE. OUR COLLABORATIVE, FAMILY-FOCUSED, CULTURALLY COMPETENT APPROACH OPTIMIZES INDIVIDUAL CAPABILITIES WHICH CONTRIBUTE TO THE GROWTH OF A STRONG COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 49 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,545,182 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,403,893 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,263,881 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,294,758 | CYProgramServiceRevenueAmt |
| PY Investment Income | $909 | PYInvestmentIncomeAmt |
| CY Investment Income | $48,735 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,474 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $2,816,446 | PYTotalRevenueAmt |
| CY Total Revenue | $2,747,386 | 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 | $2,123,015 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,947,626 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $5,452 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $678,389 | PYOtherExpensesAmt |
| CY Other Expenses | $671,602 | CYOtherExpensesAmt |
| PY Total Expenses | $2,801,404 | PYTotalExpensesAmt |
| CY Total Expenses | $2,619,228 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $15,042 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $128,158 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,198,355 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,292,168 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $844,312 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $812,598 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,354,043 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,479,570 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CHILD GUIDANCE CLINIC FOR CENTRAL CONNECTICUT, AN ESTABLISHED AND TRUSTED COMMUNITY RESOURCE, PROVIDES COMPREHENSIVE EVIDENCE-BASED BEHAVIORAL HEALTH SERVICES THAT PROMOTE WELLNESS AND RESILIENCE. OUR COLLABORATIVE, FAMILY-FOCUSED, CULTURALLY COMPETENT APPROACH OPTIMIZES INDIVIDUAL CAPABILITIES WHICH CONTRIBUTE TO THE GROWTH OF A STRONG COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,173,345 | ExpenseAmt |
| Revenue | $929,540 | RevenueAmt |
| Desc | CLINICAL PROGRAMSTHE CLINIC HAS BEEN PROVIDING COUNSELING SERVICES SINCE 1957 AND WAS FORMALLY LICENSED BY THE STATE OF CONNECTICUT DEPARTMENT OF CHILDREN AND FAMILIES AS A PSYCHIATRIC CLINIC IN 1999. ASSESSMENT AND TREATMENT SERVICES ARE PROVIDED FOR A WIDE RANGE OF BEHAVIORAL AND PSYCHOLOGICAL PROBLEMS BY A PROFESSIONAL STAFF OF PSYCHIATRISTS, MARRIAGE AND FAMILY THERAPISTS AND SOCIAL WORKERS. APPROXIMATELY FIVE HUNDRED NEW FAMILIES ARE SERVED EACH YEAR.THE CLINIC IS ALSO LICENSED BY THE DEPARTMENT OF PUBLIC HEALTH AS A FACILITY FOR THE CARE OR TREATMENT OF SUBSTANCE ABUSE OR DEPENDENT PERSONS AS WELL AS AN OUTPATIENT ADULT TREATMENT FACILITY. THE SUBSTANCE ABUSE/USE PROGRAM PROVIDES ASSESSMENT SERVICES AS WELL AS INDIVIDUAL AND GROUP COUNSELING SESSIONS AS AND EDUCATIONAL SUPPORT SERVICES DEALING WITH PROBLEMS RELATED TO SUBSTANCE USE AND ABUSE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,031,079 | ExpenseAmt |
| Revenue | $365,218 | RevenueAmt |
| Desc | COMMUNITY BASED PROGRAMSIN ADDITION TO PROVIDING ASSESSMENT AND TREATMENT SERVICES THROUGH THE CLINICAL PROGRAMS, THERE ARE SEVERAL COMMUNITY BASED PROGRAMS WHERE CONSULTATION AND EDUCATION ARE PROVIDED TO COMMUNITY ORGANIZATIONS AND GROUPS. THIS IS ACCOMPLISHED THROUGH A VARIETY OF AGENCY SERVICES AND PROGRAMS INCLUDING THE FOLLOWING: THE MOBILE CRISIS INTERVENTION SERVICES (MCIS) PROGRAM PROVIDES COMMUNITY BASED RAPID EMERGENCY CRISIS STABILIZATION TO CHILDREN AND THEIR FAMILIES AND PROVIDES FOLLOW-UP CARE TO PROMOTE CONTINUED STABILIZATION AND LINKAGE WITH ONGOING SUPPORTS AND SERVICES WITHIN THE COMMUNITY. THE CHILD FIRST PROGRAM WORKS WITH MOST VULNERABLE YOUNG CHILDREN (PRENATAL THROUGH 5) AND FAMILIES TO DECREASE SERIOUS EMOTIONAL DISTURBANCE, DEVELOPMENTAL AND LEARNING PROBLEMS, AND ABUSE AND NEGLECT. THE INTIMATE PARTNER VIOLENCE-FAMILY ASSESSMENT INTERVENTION RESPONSE (IPV-FAIR) PROGRAM PROVIDES A SUPPORTIVE SERVICE ARRAY OF ASSESSMENTS, INTERVENTIONS AND LINKAGES TO SERVICES TO ADDRESS THE NEEDS OF FAMILIES IMPACTED BY INTIMATE PARTNER VIOLENCE. THE EARLY CHILDHOOD CONSULTATIVE PARTNERSHIP PROGRAM OFFERS RELATIONSHIP-BASED CONSULTATION SERVICES TO EARLY CHILDHOOD EDUCATORS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $2,204,424 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | 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 | 0 | 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 | 0 | 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 | 0 | 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 | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 49 | 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 |
| 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 | 10 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CT | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES MAFFUID | PersonNm |
| Phone | 2032355767 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 384 PRATT STREET | AddressLine1Txt |
| City | MERIDEN | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06450 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| TOM MEZZANOTTE | |||||||
| VICE CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SHARON D'AQUILA | |||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DOREEN MARINARO | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KENDRA RAGUCKUS | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CATHERINE ABERCROMBIE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SHORNADA CADORE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HILDA SANTIAGO | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JACLYN FAHEY | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARIA SCARLETT | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JEREMIAH MORYTKO | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES MAFFUID | |||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $104,946 | $0 | $5,677 | ||
| RENATA WEISSBERG MD | |||||||
| PSYCHIATRIST | 30.00 | $138,744 | $0 | $7,797 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $243,690 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $13,474 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERT HALF MANAGEMENT RESOURCES | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12400 COLLECTIONS DRIVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60693 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | EMPLOYMENT SERVICES | ServicesDesc |
| Compensation | $164,766 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,319,065 | GovernmentGrantsAmt |
| All Other Contributions | $84,828 | AllOtherContributionsAmt |
| Total Contributions | $1,403,893 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT FEE INCOME | 624100 | $914,340 | $914,340 |
| SERVICE FEE INCOME | 624110 | $380,418 | $380,418 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,294,758 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,236 | TotalRevenueColumnAmt |
| Exclusion | $1,236 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $235,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $187,501 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $47,499 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $47,499 | TotalRevenueColumnAmt |
| Exclusion | $47,499 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,747,386 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,294,758 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $48,735 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,644 | TotalAmt |
| Program Services | $6,482 | ProgramServicesAmt |
| Management And General | $120,699 | ManagementAndGeneralAmt |
| Fundraising | $2,463 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,564,701 | TotalAmt |
| Program Services | $1,440,786 | ProgramServicesAmt |
| Management And General | $121,437 | ManagementAndGeneralAmt |
| Fundraising | $2,478 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,505 | TotalAmt |
| Program Services | $52,214 | ProgramServicesAmt |
| Management And General | $5,155 | ManagementAndGeneralAmt |
| Fundraising | $136 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,190 | TotalAmt |
| Program Services | $76,797 | ProgramServicesAmt |
| Management And General | $207 | ManagementAndGeneralAmt |
| Fundraising | $186 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,586 | TotalAmt |
| Program Services | $109,725 | ProgramServicesAmt |
| Management And General | $8,672 | ManagementAndGeneralAmt |
| Fundraising | $189 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,915 | TotalAmt |
| Management And General | $2,915 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,019 | TotalAmt |
| Management And General | $20,019 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,758 | TotalAmt |
| Program Services | $10,844 | ProgramServicesAmt |
| Management And General | $1,914 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,830 | TotalAmt |
| Program Services | $41,830 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,013 | TotalAmt |
| Program Services | $34,861 | ProgramServicesAmt |
| Management And General | $6,152 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,695 | TotalAmt |
| Program Services | $19,291 | ProgramServicesAmt |
| Management And General | $3,404 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,968 | TotalAmt |
| Program Services | $77,323 | ProgramServicesAmt |
| Management And General | $13,645 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,477 | TotalAmt |
| Program Services | $15,477 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,077 | TotalAmt |
| Program Services | $12,077 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,034 | TotalAmt |
| Program Services | $6,829 | ProgramServicesAmt |
| Management And General | $1,205 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,217 | TotalAmt |
| Program Services | $22,546 | ProgramServicesAmt |
| Management And General | $12,671 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,515 | TotalAmt |
| Program Services | $29,338 | ProgramServicesAmt |
| Management And General | $5,177 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CONTRACTED SERVICES | $272,260 | $193,453 | $78,807 |
| EQUIPMENT RENTAL AND MA | $48,484 | $41,211 | $7,273 |
| MISCELLANEOUS | $7,082 | $7,082 | |
| DUES | $4,234 | $4,234 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,024 | TotalAmt |
| Program Services | $2,024 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,619,228 | TotalAmt |
| Program Services | $2,204,424 | ProgramServicesAmt |
| Management And General | $409,352 | ManagementAndGeneralAmt |
| Fundraising | $5,452 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,058,135 | BOYAmt |
| EOY | $1,369,961 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,054 | BOYAmt |
| EOY | $41,116 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $89,817 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,960 | BOYAmt |
| EOY | $141,309 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,364 | BOYAmt |
| EOY | $3,379 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,196,288 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $459,885 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $945,025 | BOYAmt |
| EOY | $736,403 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,198,355 | BOYAmt |
| EOY | $2,292,168 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $173,964 | BOYAmt |
| EOY | $172,357 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,514 | BOYAmt |
| EOY | $8,014 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $164,268 | BOYAmt |
| EOY | $140,818 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500,566 | BOYAmt |
| EOY | $491,409 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $844,312 | BOYAmt |
| EOY | $812,598 | 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 | $1,336,809 | BOYAmt |
| EOY | $1,451,570 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,234 | BOYAmt |
| EOY | $28,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,354,043 | BOYAmt |
| EOY | $1,479,570 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,198,355 | BOYAmt |
| EOY | $2,292,168 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $128,158 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$2,631 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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 Minus4 Years | $1,598,448 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,680,820 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,698,284 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,545,182 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,403,893 | CurrentTaxYearAmt |
| Total | $7,926,627 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,598,448 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,680,820 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,698,284 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,545,182 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,403,893 | CurrentTaxYearAmt |
| Total | $7,926,627 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $7,926,627 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $46 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $61 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $909 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,236 | CurrentTaxYearAmt |
| Total | $2,252 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | -$6,418 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | -$564 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,238 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,474 | CurrentTaxYearMinus1YearAmt |
| Total | $5,730 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $7,934,609 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $6,345,191 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99900 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99120 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | RENTAL FUNDRAISING AND INCIDENTAL - 2016 AMOUNT: $ -6,418. 2017 AMOUNT: $ -564. 2018 AMOUNT: $ 6,238. 2019 AMOUNT: $ 6,474. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $206,894 | OtherCostOrOtherBasisAmt |
| Book Value | $206,894 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $877,654 | OtherCostOrOtherBasisAmt |
| Depreciation | $364,691 | DepreciationAmt |
| Book Value | $512,963 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $111,740 | OtherCostOrOtherBasisAmt |
| Depreciation | $95,194 | DepreciationAmt |
| Book Value | $16,546 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $736,403 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| MEDICAID RESERVE | $21,520 |
| PAYROLL PROTECTION PROGRAM LOAN | $414,905 |
| MEDICAID PROVIDER RELIEF FUNDS | $54,984 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $491,409 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $2,747,386 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,747,386 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,747,386 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,619,228 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,619,228 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,619,228 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION FILES TAX RETURNS IN THE UNITED STATES. THE ORGANIZATION HAS NOT TAKEN ANY TAX POSITIONS THAT MANAGEMENT BELIEVES WOULD RESULT IN ADDITIONAL TAX LIABILITIES UPON EXAMINATION OF THE TAX RETURNS BY A TAX JURISDICTION. THE ORGANIZATION HAS NO OPEN TAX YEARS PRIOR TO FISCAL 2018. THE ORGANIZATION'S TAX RETURNS ARE SUBJECT TO EXAMINATION, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE FORM 990 IS PROVIDED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. ALL MEMBERS OF THE BOARD OF DIRECTORS ARE PROVIDED A COPY OF THE FORM 990 ONCE APPROVED BY THE EXECUTIVE COMMITTEE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. THE AUDITED FINANCIAL STATEMENTS ARE ALSO AVAILABLE ON THE STATE OF CONNECTICUT OFFICE OF POLICY AND MANAGEMENT ELECTRONIC AUDIT REPORTING SYSTEM WEBSITE. THE CLINIC DOES NOT HAVE A WRITTEN CONFLICT OF INTEREST POLICY. |
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