2015-08-13T13:53:20-05:00 2014-09-30 061009205 BLUM SHAPIRO & COMPANY PC CPA'S 29 S MAIN STREET PO BOX 272000 WEST HARTFORD CT 061272000 990 2013-10-01 200158017 SEABURY MEMORY CARE CENTER INC SEAB 8602860243 200 SEABURY DRIVE BLOOMFIELD CT 060022650 JOSEPH H WALTON TREASURER 8602860243 2015-08-11 1 ELIZABETH SOLECKI P00235171 8605614000 2015-08-11 2013 2016-02-25 16:41:14Z SEABURY MEADOWS JOSEPH H WALTON 200 SEABURY DRIVE BLOOMFIELD CT 060022650 4045299 0 X N/A X 2003 CT TO PROVIDE HOUSING AND SUPPLEMENTAL SERVICES TO THE ELDERLY. 8 8 0 15 0 0 6298 77887 3758067 3961302 7224 6110 0 0 3771589 4045299 0 0 0 0 0 0 0 0 0 3353242 3437733 3353242 3437733 418347 607566 4386223 4884521 1696893 1587622 2689330 3296899 TO PROVIDE HOUSING AND SUPPLEMENTAL SERVICES TO THE ELDERLY WITH ALZHEIMER'S DISEASE. 0 0 3296899 3961302 TO PROVIDE HOUSING AND SUPPLEMENTAL ASSISTED LIVING SERVICES TO THE ELDERLY AFFLICTED WITH ALZHEIMER'S DISEASE. SEABURY MEMORY CARE CONSISTS OF 44 ASSISTED LIVING DEMENTIA BEDS AND 14 RESIDENTIAL CARE HOME BEDS. 3296899 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 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 13 0 1 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 0 1 1 0 0 X STEVEN YANOFSKY CHURCH HOME VP FIN 8602860243 200 SEABURY DR BLOOMFIELD CT 060020243 DR H DAVID CROMBIE PRESIDENT 0.30 0.90 X X 0 0 0 WINIFRED GRANGER DIRECTOR 0.30 0.60 X 0 0 0 DR LAURA HARCKHAM DIRECTOR 0.30 0.60 X 0 0 0 A RAYMOND MADORIN DIRECTOR 0.30 1.20 X 0 0 0 JOSEPH H WALTON TREASURER 0.30 0.00 X X 0 0 0 REV BORDEN W PAINTER JR SECRETARY 0.30 0.00 X X 0 0 0 DAVID O ELLIOTT DIRECTOR 0.30 0.60 X 0 0 0 REV DONALD L HAMER DIRECTOR 0.30 0.00 X 0 0 0 RICHARD HEATH EXECUTIVE VICE PRESIDENT/CEO 0.30 40.30 X 0 270540 38011 0 270540 38011 0 0 1 0 CHURCH HOME OF HARTFORD INCORPORATED 200 SEABURY DR BLOOMFIELD CT 06002 CONTRACTED STAFFING 3032144 1 54933 22954 77887 ASSISTED LIVING SERV. 623000 3878169 3878169 OTHER RESIDENT SERV. 623000 83133 83133 3961302 6110 6110 4045299 3961302 0 6110 1150 1150 1900 1900 5784 5784 298454 199847 98607 108 108 69327 69327 165505 165505 24098 24098 CONTRACTED SERVICES 2511742 2511742 SUPPLIES 239995 235195 4800 EQUIP. RENTAL & MAINT. 55779 55779 REMOVAL SERVICES 20254 20254 43637 33358 10279 3437733 3296899 140834 0 1716901 2022216 155128 224359 33543 35418 4210080 1642109 2468364 2567971 25000 12287 9557 4386223 4884521 299342 375894 1397551 1211728 1696893 1587622 X 2689330 3296899 2689330 3296899 4386223 4884521 X 607566 3 X 0 1 X 1 0 X 130290 101053 81246 6298 77887 396774 3178654 3162350 3662842 3758067 3961302 17723215 3308944 3263403 3744088 3764365 4039189 18119989 0 0 0 18119989 10184 9360 6419 7224 6110 39297 10184 9360 6419 7224 6110 39297 3319128 3272763 3750507 3771589 4045299 18159286 0.99780 0.99740 0.00220 0.00260 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 558422 4453 562875 552511 5911 558422 447343 100000 5168 552511 441163 6180 447343 1.00000 0.00000 0.00000 0 0 3983612 1536062 2447550 226468 106047 120421 2567971 4045299 0 4045299 0 4045299 3437732 0 3437732 1 1 3437733 PART XII, LINE 4B - OTHER ADJUSTMENTS: ROUNDING 1. X X X X X 0 0 0 0 0 0 0 0 1 1 RICHARD HEATH EXECUTIVE VICE PRESIDENT/CEO 0 270540 0 0 0 0 0 25379 0 12632 0 308551 0 0 PART I, LINE 8 RICHARD HEATH, EXECUTIVE VICE PRESIDENT/CEO, IS IN HIS INITIAL 3-YEAR CONTRACT WITH THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 CHURCH HOME OF HARTFORD, INCORPORATED BOARD OF DIRECTORS ARE MEMBERS BY POSITION. FORM 990, PART VI, SECTION A, LINE 7A CHURCH HOME OF HARTFORD, INCORPORATED BOARD OF DIRECTORS ARE MEMBERS BY POSITION. AS MEMBERS, THEY ELECT THE BOARD OF DIRECTORS FOR SEABURY MEMORY CARE CENTER. FORM 990, PART VI, SECTION A, LINE 7B CHANGES TO BY-LAWS AND ARTICLES MUST BE APPROVED BY THE MEMBERS. 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 THE EXECUTIVE VICE PRESIDENT/CEO IS COMPENSATED BY CHURCH HOME OF HARTFORD, INCORPORATED, THEREFORE, HIS COMPENSATION IS DETERMINED BY THE BOARD OF CHURCH HOME OF HARTFORD. COMPENSATION IS DETERMINED USING A REVIEW OF LIKE ORGANIZATIONS, 990 REPORT FOR TOP PAID EMPLOYEES, AND USE OF ASSOCIATION WAGE SURVEYS. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF THE DOCUMENTS ARE RETAINED IN SEABURY'S LIBRARY. FORM 990, PART XI, LINE 9: ROUNDING 3. CHURCH HOME OF HARTFORD INCORPORATED 200 SEABURY DRIVE BLOOMFIELD CT 06002 060293500 TO PROVIDE HOUSING AND SUPPLEMENTAL SERVICES TO THE ELDERLY CT 501(C)3 509(A)(2) 0 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) 0 SEABURY CHARITABLE FOUNDATION INC 200 SEABURY DRIVE BLOOMFIELD CT 06002 061458630 TO SUPPORT CHURCH HOME OF HARTFORD CT 501(C)3 509(A)(3) - TYPE I 0 0 0 1 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0