2018-04-30T15:17:44-05:00 2017-06-30 111986323 Marcum LLP 185 Asylum Street Hartford CT 06103 990 2016-07-01 383714954 Adelbrook Community Services Inc ADEL 8606350330 58 Missionary Road Cromwell CT 06416 Garrell S Mullaney President and CEO 8606350330 2018-04-23 1 GREGORY C MARAZITA P00646516 8607600600 47.19.127.190 2018-04-23 09:00:39 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 83258590F37B5141A965D980AE5020970CCFAF59 2016 2021-01-29 14:40:06Z Garrell S Mullaney 58 Missionary Road Cromwell CT 06416 13634629 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, transitional 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 15 361 0 0 0 0 152853 12758673 13481768 804 -8217 1975 0 12761452 13626404 0 0 0 0 10401588 10109489 0 0 0 2754332 3245271 13155920 13354760 -394468 271644 1766888 2101331 1374146 1258845 392742 842486 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 6946015 7778732 The Adelbrook CSI Continuous Residential Support Program provides community based residences for clients of the CT Department of Developmental Services (DDS). These 3 person residences are located in each of the State's 3 DDS regions and provide 24 hour staffing, nursing, 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. 2502926 2814196 Group Home Level II is a congregate-care behavioral treatment and support setting for clients of the CT Department of Children and Families. Each home provides for 5 girls and includes supervision, counseling, and education. 1025445 1217120 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. 1480534 1671720 1480534 1671720 11954920 1 1 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 61 0 1 361 1 0 0 0 0 0 0 0 0 0 0 X 16 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 CT X David Maibaum Chief Financial Officer 8606350330 600 Corporate Row Cromwell CT 06416 James Hite Member 1.00 1.00 X 0 0 0 Stephen L Kuhn Esq Member 1.00 1.00 X 0 0 0 Darin L Offerdahl TREASURER 1.00 1.00 X X 0 0 0 Richard J Balducci Member 1.00 1.00 X 0 0 0 Linda D Reilly-Blue Member 1.00 1.00 X 0 0 0 Patricia Croasmun Secretary 1.00 1.00 X X 0 0 0 Anton A Petras CHAIRMAN 1.00 1.00 X X 0 0 0 Karen Tullson Member 1.00 1.00 X 0 0 0 Reverend Howard Burgoyne Co-Vice Chairman 1.00 1.00 X X 0 0 0 David Dwight Co-Vice Chairman 1.00 1.00 X X 0 0 0 Garrell S Mullaney President & CEO 1.00 40.00 X X 0 231142 54253 Reverend Conway Boyce Member 1.00 1.00 X 0 0 0 Dr 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 Jennifer Beck Member 1.00 1.00 X 0 0 0 Tiffany Esperanza Fernandez Member 1.00 1.00 X 0 0 0 David W Maibaum Chief financial officer 1.00 40.00 X 0 112053 35740 Julie M Piepenbring executive vp 1.00 40.00 X 0 109368 35818 Susan Brosseau Assistant Chief Financial 40.00 X 100164 0 16752 100164 452563 142563 1 0 1 0 CT Contract Nurse PO Box 452 Bristol CT 06011 Nursing Services 208971 PJW Nursing Consultants LLC 28 Cumberland Rd West Hartford CT 06119 Nursing Services 174972 NE Psychiatric Associates LLC 420 South Main Street Unit 4 Cheshire CT 06410 Psychiatry 172200 3 152853 152853 Continuous Residential Support 623990 7778732 7778732 Group Level II 623990 2814196 2814196 Behavioral Support 623990 1217120 1217120 Occupational Therapy Support 623990 601248 601248 Innovative Living and Family 623990 437441 437441 633031 633031 13481768 8 8 8225 -8225 -8225 -8225 13626404 13481768 0 -8217 X 134443 134443 7750822 7036121 714701 57328 41534 15794 1476028 1248523 227505 690868 627020 63848 39065 39065 27279 27279 1628457 1520520 107937 243752 231587 12165 11467 11467 528095 448113 79982 209514 206748 2766 60386 60386 151813 149860 1953 Repairs and Maintenance 131280 131280 bad debts 73637 73637 Residents Expense 51785 51785 Food Expense 50795 50795 37946 37946 13354760 11954920 1399840 0 16537 207033 5861 6261 693641 648699 8513 77835 1655220 517346 1016728 1137874 25608 23629 1766888 2101331 601867 565226 699262 639169 73017 54450 1374146 1258845 X 390846 840590 1896 1896 392742 842486 1766888 2101331 X 271644 178100 X X 0 1 X 1 0 X 237939 28238 90679 152853 509709 237939 28238 90679 152853 509709 509709 221 244 90 4 8 567 3180 11360 31 14571 524847 53550166 0.97120 0.96690 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 350666 350666 821871 262307 559564 329830 255039 74791 152853 152853 1137874 Due to State of Connecticut 26718 Due to Affiliate 27732 54450 X 13552767 -73637 -73637 13626404 0 13626404 13281123 0 13281123 73637 73637 13354760 Part X, Line 2: The Organization has been recognized by the Internal Revenue Service (IRS) as a not-forprofit 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, the Organization 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 Organization, and has concluded that as of June 30, 2017 and 2016, 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. The Organization is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods pending or in progress. Part XI, Line 2d - Other Adjustments: Bad Debt Expense -73,637. Part XII, Line 4b - Other Adjustments: Bad Debt Expense 73,637. 0 0 0 0 0 0 0 0 0 Garrell S Mullaney President & CEO 0 188059 0 35000 0 8083 0 41153 0 13100 0 285395 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 THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS 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 93,314. Management and general expenses 0. Fundraising expenses 0. Total expenses 93,314. Administrative Services: Program service expenses 11,686. Management and general expenses 45,769. Fundraising expenses 0. Total expenses 57,455. Recruitment Services: Program service expenses 35,743. Management and general expenses 1,118. Fundraising expenses 0. Total expenses 36,861. Training Services: Program service expenses 191,036. Management and general expenses 2,528. Fundraising expenses 0. Total expenses 193,564. Other Contracted Services: Program service expenses 1,188,606. Management and general expenses 58,522. Fundraising expenses 0. Total expenses 1,247,128. Medical Services: Program service expenses 135. Management and general expenses 0. Fundraising expenses 0. Total expenses 135. Form 990, Part XI, line 9: Uncollectible Portion of Amounts Due To Affiliate 178,100. 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 1 1 1 0 0 0 0 0 1 1 1 1 1 1 1 0 0