2017-08-11T14:07:01-05:00 2016-09-30 061009205 BLUM SHAPIRO & COMPANY PC CPA'S 29 S MAIN STREET PO BOX 272000 WEST HARTFORD CT 061272000 990 2015-10-01 060293500 CHURCH HOME OF HARTFORD INC CHUR 8602860243 200 SEABURY DRIVE BLOOMFIELD CT 06002 ROBERT STANWOOD SECRETARY 8602860243 2017-08-09 1 ELIZABETH SOLECKI P00235171 8605614000 2017-08-09 2015 2021-01-29 14:40:06Z SEABURY RETIREMENT COMMUNITY ROBERT STANWOOD 200 SEABURY DRIVE BLOOMFIELD CT 06002 27975250 0 X WWW.SEABURYLIFE.ORG X 1876 CT TO PROVIDE HOUSING AND SUPPLEMENTAL SERVICES TO THE ELDERLY. 18 18 345 103 0 0 230302 169427 23703497 26394587 785478 1280671 106932 130565 24826209 27975250 0 0 0 0 16117844 16630134 0 0 0 8219264 12244872 24337108 28875006 489101 -899756 87683614 168201516 82984849 162555956 4698765 5645560 TO PROVIDE HOUSING AND SUPPLEMENTAL SERVICES TO THE ELDERLY. 0 0 21690504 26394587 CHURCH HOME OF HARTFORD, INC. OPERATES A HEALTH CARE AND INDEPENDENT LIVING COMMUNITY FOR THE ELDERLY. CHURCH HOME IS AFFILIATED WITH THE EPISCOPAL DIOCESE OF CONNECTICUT AND ALSO OEPRATES A HOME FOR RETIRED CLERGY. CHURCH HOME ALSO OPERATES ITS OWN HOME HEALTH AGENCY. 21690504 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 134 0 1 345 1 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 CT X STEVEN YANOFSKY VP FINANCE 8602860243 200 SEABURY DRIVE BLOOMFIELD CT 06002 THOMAS E ANDERSEN DIRECTOR 0.60 0.00 X 0 0 0 REV CANON WILBORNE A AUSTIN BISHOP'S REPRESENTATIVE 0.60 0.00 X 0 0 0 DORIS ARMSTRONG DIRECTOR 0.60 0.00 X 0 0 0 MARNIE W MUELLER DIRECTOR 0.60 0.00 X 0 0 0 JAMES TRAIL DIRECTOR 0.60 0.00 X 0 0 0 JOHN R WADSWORTH DIRECTOR 0.60 0.00 X 0 0 0 DR DONNA R GALLUZZO DIRECTOR 0.60 0.30 X 0 0 0 REV ERL G PURNELL DIRECTOR 0.60 0.00 X 0 0 0 REV GEORGE C ROBERTS DIRECTOR 0.60 0.00 X 0 0 0 ROBERT STANWOOD SECRETARY 0.60 0.30 X X 0 0 0 A RAYMOND MADORIN DIRECTOR EMERITUS 0.60 0.60 X 0 0 0 GALE A MATTISON PRESIDENT 0.60 0.30 X X 0 0 0 WILLIAM J THOMPSON TREASURER 0.60 0.30 X X 0 0 0 RIGHT REV IAN T DOUGLAS EX OFFICIO 0.60 0.00 X X 0 0 0 DR JONATHAN A DIXON VICE PRESIDENT 0.60 0.00 X X 0 0 0 DR RICHARD M BRIDBURG DIRECTOR 0.60 0.00 X 0 0 0 BRADFORD BABBITT DIRECTOR 0.60 0.00 X 0 0 0 PAUL GLOVER III DIRECTOR 0.60 0.30 X 0 0 0 HAROLD L RIVES III DIRECTOR 0.60 0.00 X 0 0 0 RICHARD HEATH EXEC. VICE PRESIDENT/CEO 40.00 0.60 X 312804 0 39980 STEVEN YANOFSKY VP OF FINANCE/CFO 40.00 0.00 X 163302 0 21080 RENEE BERNASCONI SENIOR VP MARKETING & COMMUNICATION 40.00 0.00 X 154553 0 7054 MARJORIE SULLIVAN SENIOR VP OF HEALTH SERVICES 40.00 0.00 X 176140 0 7782 SYLVIA DIBIASI DIR. OF FITNESS 40.00 0.00 X 107058 0 4789 PEGEEN SULLIVAN VP OF FUND DEVELOPMENT 40.00 0.00 X 125360 0 18894 TATIANA KOZAK REGISTERED NURSE 40.00 0.00 X 116121 0 11282 IRA EDWIN OWEN VP OF ENVIRONMENTAL SERVICES 40.00 0.00 X 157173 0 5893 GRAHAM FONG DIR. OF INFORMATION TECHNOLOGY 40.00 0.00 X 113248 0 18080 1425759 0 134834 9 0 1 0 KBE BUILDING CORP 76 BATTERSON PARK ROAD FARMINGTON CT 06032 CONSTRUCTION 9167806 BARTLETT BRAINARD EACOTT 70 GRIFFIN ROAD SOUTH BLOOMFIELD CT 06002 CONSTRUCTION 4447219 SFCS INC 305 SOUTH JEFFERSON STREET ROANOKE VA 24011 CONSTRUCTION/ARCHITECTURE 921044 INFINITY GROUP 68 EAST DUDLEY TOWN ROAD BLOOMFIELD CT 06002 CONSTRUCTION 800248 GREENBRIAR DEVELOPMENT 3232 MCKINNEY AVE SUITE 1160 DALLAS TX 75204 CONSTRUCTION 674369 6 169427 169427 RESIDENT SERVICE REV. 623000 10788039 10788039 HEALTH CENTER REV. 623000 7790612 7790612 ASSISTED LIVING SERVICES 623000 3480554 3480554 AMORT. OF DEFERRED REVENUE 900099 2188611 2188611 SEABURY AT HOME SERVICE REVENUE 621610 1168199 1168199 978572 978572 26394587 300728 300728 979943 0 979943 979943 979943 OTHER INCOME 900099 114020 114020 FINANCE CHARGES 900099 10545 10545 ADMISSIONS 900099 6000 6000 130565 27975250 26394587 0 1411236 925555 925555 11771999 10983423 788576 414158 269203 144955 2556828 341869 2214959 961594 836587 125007 78282 4006 74276 90514 90514 21813 10034 11779 426620 21331 405289 1055748 496202 559546 155162 1552 153610 1063975 1063975 3798938 3798938 257178 33433 223745 FOOD 1238455 1238455 CONTRACTED SERVICES 1148258 723403 424855 REAL ESTATE TAXES 737524 368762 368762 SUPPLIES 394203 295652 98551 1778202 1203679 574523 28875006 21690504 7184502 0 5719451 24336078 2001883 1643014 1590309 1580769 664127 511742 110747640 44716226 44311047 66031414 28466386 64349137 4930411 9749362 87683614 168201516 5097143 6545980 15844919 16448331 34914435 110903339 204223 115652 26924129 28542654 82984849 162555956 X 1873964 1192806 664326 727291 2160475 3725463 4698765 5645560 87683614 168201516 X -899756 281563 1564988 X 0 1 X 1 0 X 159367 132232 114283 230302 169427 805611 23809606 24103385 23675145 23703497 26394587 121686220 23968973 24235617 23789428 23933799 26564014 122491831 0 0 0 122491831 317841 322643 326168 298641 300728 1566021 317841 322643 326168 298641 300728 1566021 225669 227221 480433 106932 130565 1170820 24512483 24785481 24596029 24339372 26995307 125228672 0.97810 0.97670 0.01250 0.01320 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14785792 1470400 1758741 14497451 15739596 562875 -1050047 466632 14785792 15575678 1563021 1399103 15739596 14500015 1496865 421202 15575678 12165099 561211 1773705 14500015 0.93000 0.04000 0.03000 0 1 1 4429495 4429495 80440662 40915256 39525406 9601628 3626935 5974693 16275855 174035 16101820 66031414 ENTRANCE FEE DEPOSITS 2359629 BENEFICIAL INTEREST IN PERPETUAL TRUST 3355466 DEFERRED COSTS 2773379 ENTRANCE FEES RECEIVABLE 1166346 DEFERRED COMPENSATION 94542 9749362 ACCRUED BOND INTEREST 411804 ENTRANCE FEE DEPOSITS 2360129 DEFERRED COMPENSATION 94542 CAPITAL LEASES 666692 ENTRANCE FEE REFUNDS PAYABLE 25009487 28542654 29821801 281563 1564988 1846551 27975250 0 27975250 28875006 0 28875006 0 28875006 PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED TO SUPPORT THE MISSION OF CHURCH HOME OF HARTFORD, INCORPORATED, WHICH IS TO PROVIDE HOUSING AND HEALTH CARE SERVICES TO THE ELDERLY. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN INTEREST IN PERPETUAL TRUST 120,897. GIFT RECEIVED IN INTEREST IN PERPETUAL TRUSTS 1,444,091. X X X X X 0 0 0 0 0 0 0 0 0 RICHARD HEATH EXEC. VICE PRESIDENT/CEO 312804 0 0 0 0 0 28586 0 11394 0 352784 0 0 0 STEVEN YANOFSKY VP OF FINANCE/CFO 163302 0 0 0 0 0 6766 0 14314 0 184382 0 0 0 RENEE BERNASCONI SENIOR VP MARKETING & COMMUNICATION 154553 0 0 0 0 0 6516 0 538 0 161607 0 0 0 MARJORIE SULLIVAN SENIOR VP OF HEALTH SERVICES 176140 0 0 0 0 0 7264 0 518 0 183922 0 0 0 IRA EDWIN OWEN VP OF ENVIRONMENTAL SERVICES 157173 0 0 0 0 0 4950 0 943 0 163066 0 0 0 A PUBLIC FINANCE AUTHORITY 273866124 74442PAV7 2015-04-08 35270619 REFINANCE SERIES 2010 BONDS 0 0 0 B CONNECTICUT HEALTH & EDUCATIONAL FACILITIES AUTHORITY 060806186 20774YJ40 2016-04-21 76904570 HEALTHCARE FACILITY EXPANSION ISSUE 0 0 0 A 35270619 2526751 705412 16542642 14251527 1244287 1 0 0 1 B 76904570 3314500 1538091 11505232 60546746 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: PUBLIC FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 04/08/2015 SCHEDULE K, PART II, LINE 11: (A) ISSUER NAME: PUBLIC FINANCE AUTHORITY THE AMOUNT OF $14,251,527 WAS USED TO REFUND A PRIOR ISSUE. FORM 990, PART VI, SECTION A, LINE 6 UP TO THREE MEMBERS ARE APPOINTED BY HARTFORD COUNTY PARISHES INCLUDING THE RECTOR OF THE EPISCOPAL PARISH WITH NO TERM LIMIT. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS ELECT DIRECTORS AT THE ANNUAL BOARD MEETING. FORM 990, PART VI, SECTION A, LINE 7B MEMBERS APPROVE CHANGES TO THE ARTICLES OF INCORPORATION, CHANGES TO THE BY-LAWS, AND THE APPOINTMENT OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE AFTER FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY REVIEWING THE POLICY AT ORIENTATION AND AT MEETINGS THROUGHOUT THE YEAR. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION IS DETERMINED USING A REVIEW OF LIKE ORGANIZATIONS, 990 REPORT FOR TOP PAID EMPLOYEES, AND USE OF ASSOCIATION WAGE SURVEYS. IN ADDITION, THE ORGANIZATION HAS HIRED A CONSULTANT FOR A REVIEW OF MARKET WAGES. THE CEO DETERMINES THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES USING COMPARABLE DATA. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF THE DOCUMENTS ARE KEPT IN OUR LIBRARY AND THEY ARE GIVEN TO PROSPECTS. OUR ANNUAL REPORT IS ON OUR WEBSITE. FORM 990, PART XI, LINE 9: CHANGE IN PERPETUAL TRUSTS 120,897. GIFT RECEIVED IN INTEREST IN PERPETUAL TRUSTS 1,444,091. SEABURY CHARITABLE FOUNDATION INC 200 SEABURY DRIVE BLOOMFIELD CT 06002 061458630 SUPPORT CHURCH HOME OF HARTFORD, INCORPORATED CT 501(C)3 509(A)(3) - TYPE 1 1 SEABURY AT HOME INCORPORATED 200 SEABURY DRIVE BLOOMFIELD CT 06002 205096169 TO PROVIDE HOME HEALTH SERVICES TO THE ELDERLY CT 501(C)3 509(A)(2) 1 SEABURY AT POWDER FOREST LLC 200 SEABURY DRIVE BLOOMFIELD CT 06002 474481221 REAL ESTATE CT N/A 1 0 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 0 0 SEABURY AT HOME INCORPORATED L 1277673 FMV SEABURY CHARITABLE FOUNDATION INC C 169427 AMOUNT GIFTED SEABURY CHARITABLE FOUNDATION INC L 74864 FMV SEABURY AT HOME INCORPORATED D 1757042 AMOUNT LOANED