2015-05-05T11:56:35-05:00 2014-06-30 111986323 MARCUM LLP CITY PLACE II 185 ASYLUM STREET HARTFORD CT 06103 990 2013-07-01 060934544 COMMUNITY MENTAL HEALTH AFFILIATES INC COMM 8608261358 270 JOHN DOWNEY DRIVE NEW BRITAIN CT 06051 RAYMOND J GORMAN PRESIDENT & CEO 8608261358 2015-05-04 1 GREGORY C MARAZITA P00646516 8605498500 2013 2016-04-25 22:37:26Z RAYMOND J GORMAN 270 JOHN DOWNEY DRIVE NEW BRITAIN CT 06051 23835935 0 X WWW.CMHACC.ORG X 1975 CT TO PROVIDE MENTAL HEALTH, COMMUNITY SUPPORT SERVICES AND SUBSTANCE ABUSE TREATMENT TO THE COMMUNITY. 14 13 439 43 0 0 19093626 19623333 4192482 4113630 176332 11316 231658 87656 23694098 23835935 0 0 0 0 16208681 17319207 0 0 0 6871746 6837816 23080427 24157023 613671 -321088 6079090 5509009 4455620 4164806 1623470 1344203 X CMHA IS A LEADING PROVIDER OF AN INTERGRATED HEALTH AND BEHAVIORAL HEALTH CARE SYSTEM FOR CHILDREN, FAMILIES AND ADULTS. BY FOSTERING IMPROVEMENT IN THE QUALITY OF LIFE FOR THEIR CLIENTS, CMHA CONTRIBUTES TO THE WELL-BEING OF THE COMMUNITIES IT SERVES. 0 0 14522710 2210882 ADULT PROGRAMS - SERVICES INCLUDE OUTPATIENT COUNSELING, CASE MANAGEMENT SERVICES, RESIDENTIAL SUPPORT, VOCATIONAL & PREVOCATIONAL SUPPORT & SOCIALIZATION SERVICES. DURING THE YEAR APPROXIMATELY 4,192 CLIENTS HAVE BEEN SERVED. 5123275 1566104 YOUTH PROGRAMS - SERVICES INCLUDE CHILD GUIDANCE CLINIC, AND COUNSELING. DURING THE YEAR APPROXIMATELY 1,255 CLIENTS HAVE BEEN SERVED. 541070 331854 FAMILY SERVICES - INCLUDES IN-HOME SERVICES PROVIDING FAMILY RECOVERY AND SUBSTANCE ABUSE TREATMENT, INDIVIDUAL, FAMILY AND GROUP THERAPY, YOUNG PARENT PROGRAMS AND PSYCHIATRIC ASSISTANCE. DURING THE YEAR APPROXIMATELY 743 CLIENTS HAVE BEEN SERVED. 259119 92446 OTHER PROGRAMS SERVICES, COSTS ARE RELATED TO SUBSTANCE ABUSE ACTION COUNCIL 259119 92446 20446174 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 0 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 51 0 1 439 1 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 CT X MARY GILHULY CPA EVP & CFO 8608261358 270 JOHN DOWNEY DRIVE NEW BRITAIN CT 06051 RAYMOND J GORMAN PRESIDENT AND CEO 40.00 X X 195271 0 9901 MICHAEL D LYNCH CHAIR 1.00 X X 0 0 0 KAREN V WILSON VICE CHAIR 1.00 X X 0 0 0 WILLIAM CARROLL SECRETARY 1.00 X X 0 0 0 JOANNE T ADAMIK CPA TREASURER 1.00 X X 0 0 0 NICHOLAS PETTINICO MEMBER BOD, PAST CHAIR 1.00 X 0 0 0 BARBARA BROWN MEMBER BOD 1.00 X 0 0 0 KAREN COTE MEMBER BOD 1.00 X 0 0 0 JEREMY HOLMES MEMBER BOD 1.00 X 0 0 0 STAN KLUKOWSKI MEMBER BOD 1.00 X 0 0 0 KINGA A KOSTANIAK MEMBER BOD 1.00 X 0 0 0 JOSEPH PUZZO MEMBER BOD 1.00 X 0 0 0 WILLIAM RIISKA MEMBER BOD 1.00 X 0 0 0 REGAN TRAUB MEMBER BOD 1.00 X 0 0 0 MARY GILHULY EVP & CFO 40.00 X 159204 0 8092 KENNETH MARCUS CHIEF CLINICAL OFFICER 19.00 X 192160 0 0 MANZOOR USMAN PSYCHIATRIST 40.00 X 201581 0 14079 TADEUSZ RACHWAL PSYCHIATRIST 32.00 X 193234 0 19780 MARGARET MAUD CHAPLIN MD PSYCHIATRIST 30.00 X 172852 0 8643 JOHN NAZARIAN PSYCHIATRIST 40.00 X 160458 0 2862 LUZ VALENTIN APRN 40.00 X 122576 0 8712 STEVE HANKS FORMER MEMBER OF THE BOARD 0.00 X 0 629647 142253 1397336 629647 214322 14 1 1 0 PETER MENDELSON 7 SWEET BRIAR LANE AVON CT 06001 CONSULTING 225975 1 166866 19160578 295889 19623333 FEES FOR COUNSELING AND SHELTER 624100 4113630 4113630 4113630 10940 10940 376 0 376 376 376 MISCELLANEOUS INCOME 624100 87656 87656 87656 23835935 4201286 0 11316 573435 573435 13694449 12429308 1265141 189544 181694 7850 1561895 1368617 193278 1299884 1138147 161737 65038 13168 51870 47192 9555 37637 2195358 1995597 199761 8905 3289 5616 624754 496337 128417 165919 12047 153872 1508110 1183054 325056 442875 402768 40107 60239 29472 30767 15511 669 14842 479698 213667 266031 280784 257291 23493 MAINTENANCE AND REPAIRS 379230 198754 180476 CLIENT SUPPORT 374346 357771 16575 FOOD SERVICES 143787 142847 940 DUES, SUBSCRIPTIONS AND 42691 12122 30569 3379 3379 24157023 20446174 3710849 0 345697 773176 2207670 697602 513435 463921 191262 214090 248002 170525 6637531 3866506 2362502 2771025 30920 204589 179602 214081 6079090 5509009 1256732 1170447 543646 351621 119884 119635 38674 0 2496684 2523103 4455620 4164806 X 1537914 1260112 85556 84091 1623470 1344203 6079090 5509009 X -321088 6821 35000 X X 0 1 X 1 1 1 X 17440583 18237481 18707462 19093626 19623333 93102485 17440583 18237481 18707462 19093626 19623333 93102485 93102485 15749 17654 11213 15443 10940 70999 10083 24976 35225 231658 87656 389598 93563082 24562026 0.99510 0.99540 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 85556 -1465 84091 84369 1187 85556 85618 -1249 84369 83931 1687 85618 83137 794 83931 1.00000 0 0 46219 46219 672707 425569 247138 3841239 2023161 1818078 2051468 1403673 647795 25898 14103 11795 2771025 LOAN FROM CCHA 1516250 CAPITAL LEASES 243448 DEFERRED CAPITAL SUPPORT 225000 DUE TO STATE OF CONNECTICUT 538405 2523103 X 23835935 0 23835935 0 23835935 24157023 0 24157023 0 24157023 PART V, LINE 4: TO KEEP THE ORGANIZATION OPERATIONAL IN PERPETUITY FOR THE BENEFIT OF THE CLIENTS IT SERVES. PART X, LINE 2: CMHA HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. CMHA ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH CERTAIN PROVISIONS OF FASB ASC 740, INCOME TAXES, WHICH PROVIDES A FRAMEWORK FOR HOW ENTITIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR FINANCIAL STATEMENTS. UNDER FASB ASC 740, CMHA MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED CMHA DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2014 AND 2013. AS OF JUNE 30, 2014 AND 2013, CMHA DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. CMHA'S PRIOR THREE TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. X X X 0 0 0 0 0 0 0 0 0 RAYMOND J GORMAN PRESIDENT AND CEO 186221 0 9050 0 0 0 9901 0 0 0 205172 0 0 0 MARY GILHULY EVP & CFO 154644 0 4560 0 0 0 7960 0 132 0 167296 0 0 0 KENNETH MARCUS CHIEF CLINICAL OFFICER 188393 0 3767 0 0 0 0 0 0 0 192160 0 0 0 MANZOOR USMAN PSYCHIATRIST 201581 0 0 0 0 0 9193 0 4886 0 215660 0 0 0 TADEUSZ RACHWAL PSYCHIATRIST 193234 0 0 0 0 0 10169 0 9611 0 213014 0 0 0 MARGARET MAUD CHAPLIN MD PSYCHIATRIST 172852 0 0 0 0 0 8643 0 0 0 181495 0 0 0 JOHN NAZARIAN PSYCHIATRIST 157958 0 2500 0 0 0 0 0 2862 0 163320 0 0 0 STEVE HANKS FORMER MEMBER OF THE BOARD 0 498515 0 37935 0 93197 0 137676 0 4577 0 771900 0 0 FORM 990, PART VI, SECTION A, LINE 4 CENTRAL CONNECTICUT HEALTH ALLIANCE, INC. (CCHA) WAS THE SOLE CLASS B MEMBER OF COMMUNITY MENTAL HEALTH AFFILIATES, INC. (CMHA) UNTIL DECEMBER 31, 2013. THE STATE OF CONNECTICUT OFFICE OF HEALTH CARE ACCESS APPROVED A REQUEST TO DISSOLVE THE AFFILIATION AND ON DECEMBER 31, 2013 CMHA AND CCHA ENTERED INTO A FORMAL DISASSOCIATION AGREEMENT. THE BY-LAWS AND ARTICLES OF INCORPORATION WERE AMENDED AND RESTATED EFFECTIVE DECEMBER 31, 2013. FORM 990, PART VI, SECTION A, LINE 6 THERE ARE TWO CLASSES OF BOARD MEMBERS OF COMMUNITY MENTAL HEALTH AFFILIATES, INC. CLASS A MEMBERS ARE SELECTED FROM INDIVIDUALS WHO ARE INTERESTED IN THE PURPOSES OF THE CORPORATION AND WHO ARE REPRESENTATIVE OF BROAD SECTIONS OF THE COMMUNITY. THERE IS ONE CLASS B MEMBER, CENTRAL CONNECTICUT HEALTH ALLIANCE, INC. FORM 990, PART VI, SECTION A, LINE 7A CLASS A MEMBERS HAVE THE RIGHT TO VOTE FOR THE ELECTION OF OTHER CLASS A MEMBERS. THE CLASS B MEMBER HAS THE RIGHT TO VOTE FOR THE ELECTION OF DIRECTORS AS PRESENTED BY THE CLASS A MEMBERS. THE CLASS B MEMBER HAS THE RIGHT TO REMOVE DIRECTORS FROM OFFICE, BUT ONLY WITH A 2/3 AFFIRMATIVE VOTE BY THE CLASS A MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B THE BUSINESS, PROPERTY AND AFFAIRS OF THE CORPORTATION ARE UNDER THE DIRECTION AND CONTROL OF THE BOARD, SUBJECT TO THE POWERS RESERVED TO THE CLASS B MEMBER AS DESCRIBED IN THE ORGANIZATION'S BY LAWS. FORM 990, PART VI, SECTION B, LINE 11 MEMBERS OF THE BOARD OF DIRECTORS WERE GIVEN A COPY OF THE FORM 990 FOR THEIR REVIEW AT THE APRIL 30, 2015 BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, THE MEMBERS OF THE BOARD OF DIRECTORS ARE ASKED TO SIGN A CONFLICT OF INTEREST STATEMENT WHICH CITES THE RELEVANT SECTION OF THE AGENCY'S BY-LAWS REGARDING ITS POLICY ON CONFLICT OF INTEREST. POTENTIAL CONFLICTS OF INTEREST ARE BROUGHT BEFORE THE BOARD FOR DISCUSSION AND RESOLUTION. ANNUAL CONFLICT OF INTEREST DISCLOSURE DOCUMENTS ARE RETAINED FOR REVIEW AND PUBLIC INSPECTION UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 15A AT THE BEGINNING OF THE FISCAL YEAR, THE PRESIDENT AND CEO WORK WITH THE CHAIRMAN OF THE BOARD OF DIRECTORS ON THE ESTABLISHMENT OF GOALS, OBJECTIVES AND BENCHMARKS THE AGENCY IS TO ACHIEVE DURING AN ENSUING TWELVE MONTH PERIOD. THE PRESIDENT AND CEO REPORT BI-ANNUALLY ON THE PROGRESS OF ACHIEVEMENT OF THESE GOALS TO THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS CONDUCTS THE ANNUAL PERFORMANCE EVALUATION OF THE PRESIDENT AND CEO USING THE ESTABLISHED GOALS AND OBJECTIVES AS THE BASIS FOR THEIR REVIEW. THE ANNUAL PERFORMANCE EVALUATIONS OF THE OFFICERS AND KEY EMPLOYEES OF THE AGENCY ARE CONDUCTED BY THE PRESIDENT AND CEO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, FORM 990 AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION FILES ITS ANNUAL FINANCIAL STATEMENTS DIRECTLY WITH ITS FUNDING AGENCIES. FORM 990, PART XI, LINE 9: DEBT FORGIVENESS FROM CCHA 35,000. FORM 990, PART XI, LINE 2C THE BOARD OF DIRECTORS IS RESPONSIBLE FOR SELECTING AN INDEPENDENT AUDITOR AND FOR OVERSEEING THE ANNUAL FINANCIAL STATEMENT AUDIT PROCESS THE HOSPITAL OF CENTRAL CONNECTICUT 100 GRAND STREET NEW BRITAIN CT 06050 060646768 HOSPITAL CT 501(C)(3) LINE 3 CENTRAL CT HEALTH ALLIANCE 0 CENTRAL CONNECTICUT SENIOR HEALTH SERVICES INC 45 MERIDEN AVENUE SOUTHINGTON CT 06489 222635676 SUB-ACUTE AND LONG-TERM HEALTH CARE CT 501(C)(3) LINE 9 CENTRAL CT HEALTH ALLIANCE 0 VNA OF CENTRAL CONNECTICUT INC 205 WEST MAIN STREET NEW BRITAIN CT 06050 060646940 PUBLIC HEALTH NURSING AND HOME CARE CT 501(C)(3) LINE 9 CENTRAL CT HEALTH ALLIANCE 0 CENTRAL CONNECTICUT HEALTH ALLIANCE 100 GRAND STREET NEW BRITAIN CT 06050 222785033 HEALTHCARE ADMINISTRATION OF THE HOSPITAL OF CENTRAL CT CT 501(C)(3) LINE 11B, II N/A 0 THE ORCHARDS AT SOUTHINGTON 34 HOBART STREET SOUTHINGTON CT 06489 061490803 RESIDENTIAL SERVICES FOR SENIOR CITIZENS CT 501(C)(3) LINE 9 CENTRAL CT SENIOR HEALTH SERVICES INC 0 MULBERRY GARDENS OF SOUTHINGTON INC 58 MULBERRY STREET PLANTSVILLE CT 06489 820586577 ASSISTED LIVING & ADULT DAY CARE FACILITY CT 501(C)(3) LINE 9 CENTRAL CT SENIOR HEALTH SERVICES INC 0 JEROME HOME 975 CORBIN AVE NEW BRITAIN CT 06052 060646690 NURSING HOME CT 501(C)(3) LINE 9 N/A 0 CENTRAL CT SPORTS MEDICINE CENTER LLC 15 MASSIRIO DRIVE BERLIN CT 06037 223196509 SPORTS MEDICINE SERVICES CT CENTRAL CONNECTICUT HEALTH ALLIANCE RELATED 0 0 NEW BRITAIN OCCUPATIONAL HEALTH CENTER LLC 440 NEW BRITAIN AVE NEW BRITAIN CT 06062 061484904 OCCUPATIONAL HEALTH SERVICES CT N/A RELATED 0 0 NEW BRITAIN MRI LIMITED PARTNERSHIP 100 GRAND STREET NEW BRITAIN CT 06050 061271349 MAGNETIC RESONANCE IMAGING CT CENCONN SERVICES INC RELATED 0 0 CENCONN SERVICES INC 100 GRAND STREET NEW BRITAIN CT 06050 222836001 INVESTMENT MANAGEMENT CT CENTRAL CONNECTICUT HEALTH ALLIANCE C 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1 0 0 0