COMMUNITY MENTAL HEALTH AFFILIATES INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY MENTAL HEALTH AFFILIATES INC (EIN 06-0934544)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-02-04
- IRS object ID
- 201320359349300622
- Schema version
- 2011v1.2
- 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) |
|---|---|---|
| Timestamp | 2013-02-04T10:51:01-06:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 061533253 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SASLOW LUFKIN & BUGGY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | TEN TOWER LANE | AddressLine1 |
| City | AVON | City |
| State | CT | State |
| ZIP Code | 06001 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060934544 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY MENTAL HEALTH AFFILIATES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | COMM | NameControl |
| Phone | 8608261358 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 270 JOHN DOWNEY DRIVE | AddressLine1 |
| City | NEW BRITAIN | City |
| State | CT | State |
| ZIP Code | 06051 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RAYMOND J GORMAN | Name |
| Title | PRESIDENT & CEO | Title |
| Phone | 8608261358 | Phone |
| Date Signed | 2013-02-01 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BETH THURZ | Name |
| PTIN | P00346435 | PTIN |
| Phone | 8606789200 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RAYMOND J GORMAN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 270 JOHN DOWNEY DRIVE | AddressLine1 |
| City | NEW BRITAIN | City |
| State | CT | State |
| ZIP Code | 06051 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 24015100 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CMHACC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1975 | YearFormation |
| State Legal Domicile | CT | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE MENTAL HEALTH, COMMUNITY SUPPORT SERVICES AND SUBSTANCE ABUSE TREATMENT TO THE COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 487 | TotalNbrEmployees |
| Total Nbr Volunteers | 20 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 18237481 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 18707462 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 5291871 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 5261200 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 309985 | InvestmentIncomePriorYear |
| Investment Income Current Year | 11213 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 24976 | OtherRevenuePriorYear |
| Other Revenue Current Year | 35225 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 23864313 | TotalRevenuePriorYear |
| Total Revenue Current Year | 24015100 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 16601304 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 16598722 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 7136717 | OtherExpensePriorYear |
| Other Expenses Current Year | 7285573 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 23738021 | TotalExpensesPriorYear |
| Total Expenses Current Year | 23884295 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 126292 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 130805 | RevenuesLessExpensesCY |
| Total Assets BOY | 6566744 | TotalAssetsBOY |
| Total Assets EOY | 5837822 | TotalAssetsEOY |
| Total Liabilities BOY | 5769263 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 4866375 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 797481 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 971447 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | CMHA IS A LEADING PROVIDER OF AN INTEGRATED 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 14308753 | Expense |
| Revenue | 2518841 | Revenue |
| Description | ADULT PROGRAMS - SERVICES INCLUDE OUTPATIENT COUNSELING, CASE MANAGEMENT SERVICES, RESIDENTIAL SUPPORT, VOCATIONAL & PREVOCATIONAL SUPPORT & SOCIALIZATION SERVICES. APPROX. 4,574 CLIENTS SERVED. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4825741 | Expense |
| Revenue | 1666218 | Revenue |
| Description | YOUTH PROGRAMS - CHILD GUIDANCE CLINIC, COUNSELING SERVICES. APPROX. 1,707 CLIENTS SERVED. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1150988 | Expense |
| Revenue | 1000010 | Revenue |
| Description | FAMILY SERVICES - INCLUDES IN-HOME SERVICES PROVIDING FAMILY RECOVERY & SUBSTANCE ABUSE TREATMENT, INDIVIDUAL, FAMILY & GROUP THERAPY, YOUNG PARENTS PROGRAMS & PSYCHIATRIC ASSISTANCE. APPROX. 2,035 CLIENTS SERVED. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 263945 | Expense |
| Revenue | 111356 | Revenue |
| Description | OTHER PROGRAM SERVICES, COSTS RELATED TO SUBSTANCE ABUSE ACTION COUNCIL. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 263945 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 111356 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 20549427 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 61 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 487 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CT | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY GILHULY CPA EVP & CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8608261358 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 270 JOHN DOWNEY DRIVE | AddressLine1 |
| City | NEW BRITAIN | City |
| State | CT | State |
| ZIP Code | 06051 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| KAREN V WILSON | ||||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | ||
| RAYMOND J GORMAN | ||||||||
| PRESIDENT & CEO | 40.00 | X | X | 175688 | 0 | 11460 | ||
| MICHAEL LYNCH | ||||||||
| VICE CHAIR | 1.00 | X | X | 0 | 0 | 0 | ||
| JOHN MATULIS | ||||||||
| MEMBER BOD | 1.00 | X | 0 | 0 | 0 | |||
| NICK PETTINICO | ||||||||
| CHAIR | 1.00 | X | X | 0 | 0 | 0 | ||
| STAN KLUKOWSKI | ||||||||
| MEMBER BOD | 1.00 | X | 0 | 0 | 0 | |||
| PAUL MIKKELSON | ||||||||
| MEMBER BOD | 1.00 | X | 0 | 0 | 0 | |||
| JOSEPH PUZZO | ||||||||
| MEMBER BOD | 1.00 | X | 0 | 0 | 0 | |||
| JOANNE ADAMIK | ||||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | ||
| STEVEN HANKS MD | ||||||||
| MEMBER BOD | 1.00 | X | 0 | 603858 | 135607 | |||
| MARY GILHULY | ||||||||
| EVP & CFO | 40.00 | X | 151420 | 0 | 7726 | |||
| KENNETH MARCUS | ||||||||
| CHIEF CLINICAL OFFICER | 19.00 | 173473 | 0 | 0 | X | |||
| MARGARET MAUD CHAPLIN MD | ||||||||
| PSYCHIATRIST | 25.00 | 137961 | 0 | 6898 | X | |||
| TADEUSZ RACHWAL | ||||||||
| PSYCHIATRIST | 32.00 | 170679 | 0 | 6819 | X | |||
| TERESA WORKS | ||||||||
| VP ADULT OUTPATIENT SERVICES | 40.00 | 104463 | 0 | 5668 | X | |||
| MELINDA SMOLKIN | ||||||||
| VP EXTERNAL RELATIONS | 40.00 | 111972 | 0 | 5863 | X | |||
| MANZOOR USMAN | ||||||||
| PSYCHIATRIST | 40.00 | 190988 | 0 | 2504 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1216644 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 603858 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 182545 | TotalOtherCompensation |
| Number Individuals GT100 K | 11 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CT COMPUTER SERVICE INC | |||||
| 101 EAST SUMMER ST | PLANTSVILLE | CT | 06479 | COMPUTER SERVICES | 315818 |
| THE HUMAN RESOURCE CONSORTIUM LLC | |||||
| 234 CHURCH STREET | NEW HAVEN | CT | 06510 | HR SERVICES | 126362 |
| SABOOH MUBBASHAR MD | |||||
| 123 PECK HILL ROAD | WOODBRIDGE | CT | 06525 | PSYCHIATRIC SERVICES | 117300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Federated Campaigns | 163142 | FederatedCampaigns |
| Government Grants | 18267943 | GovernmentGrants |
| All Other Contributions | 276377 | AllOtherContributions |
| Total Contributions | 18707462 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | FEES FOR COUNSELING AN | Description |
| Business Code | 624100 | BusinessCode |
| Total Revenue Column | 5261200 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5261200 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 5261200 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11213 | TotalRevenueColumn |
| Exclusion | $11,213 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS | Description |
| Business Code | 624100 | BusinessCode |
| Total Revenue Column | 35225 | TotalRevenueColumn |
| Related Or Exempt Function Income | 35225 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 35225 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 24015100 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5296425 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $11,213 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 662281 | Total |
| Management And General | 662281 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12790816 | Total |
| Program Services | 12092296 | ProgramServices |
| Management And General | 698520 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1823339 | Total |
| Program Services | 1634698 | ProgramServices |
| Management And General | 188641 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1322286 | Total |
| Program Services | 1185483 | ProgramServices |
| Management And General | 136803 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15479 | Total |
| Management And General | 15479 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37101 | Total |
| Program Services | 18932 | ProgramServices |
| Management And General | 18169 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46250 | Total |
| Program Services | 23601 | ProgramServices |
| Management And General | 22649 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2647675 | Total |
| Program Services | 2278574 | ProgramServices |
| Management And General | 369101 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18966 | Total |
| Program Services | 2579 | ProgramServices |
| Management And General | 16387 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1043083 | Total |
| Program Services | 456483 | ProgramServices |
| Management And General | 586600 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1525740 | Total |
| Program Services | 1269357 | ProgramServices |
| Management And General | 256383 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 432521 | Total |
| Program Services | 395768 | ProgramServices |
| Management And General | 36753 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67058 | Total |
| Program Services | 37946 | ProgramServices |
| Management And General | 29112 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48102 | Total |
| Program Services | 10650 | ProgramServices |
| Management And General | 37452 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 560834 | Total |
| Program Services | 398906 | ProgramServices |
| Management And General | 161928 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 212659 | Total |
| Program Services | 188281 | ProgramServices |
| Management And General | 24378 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CLIENT SUPPORT | 377983 | 367647 | 10336 |
| FOOD SERVICE | 182143 | 180522 | 1621 |
| BAD DEBT | 41667 | 0 | 41667 |
| EQUIPMENT RENTAL EXPENS | 13061 | 4038 | 9023 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15251 | Total |
| Program Services | 3666 | ProgramServices |
| Management And General | 11585 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23884295 | Total |
| Program Services | 20549427 | ProgramServices |
| Management And General | 3334868 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1792578 | BOY |
| EOY | 1434294 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 232829 | BOY |
| EOY | 518559 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 486599 | BOY |
| EOY | 216749 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 274190 | BOY |
| EOY | 258892 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 6343455 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 3162142 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3548447 | BOY |
| EOY | 3181313 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28820 | BOY |
| EOY | 25744 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7467 | BOY |
| EOY | 7331 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 195814 | BOY |
| EOY | 194940 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6566744 | BOY |
| EOY | 5837822 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1772047 | BOY |
| EOY | 1456545 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 231185 | BOY |
| EOY | 232718 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 820697 | BOY |
| EOY | 690847 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 295281 | BOY |
| EOY | 236904 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2650053 | BOY |
| EOY | 2249361 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5769263 | BOY |
| EOY | 4866375 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 711863 | BOY |
| EOY | 887078 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 85618 | BOY |
| EOY | 84369 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 797481 | BOY |
| EOY | 971447 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6566744 | BOY |
| EOY | 5837822 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 130805 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 43161 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 16021646 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 16957077 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 17440583 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 18237481 | CurrentTaxYearMinus1Year |
| Current Tax Year | 18707462 | CurrentTaxYear |
| Total | 87364249 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 16021646 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 16957077 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 17440583 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 18237481 | CurrentTaxYearMinus1Year |
| Current Tax Year | 18707462 | CurrentTaxYear |
| Total | 87364249 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 87364249 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 28111 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 27200 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 15749 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 17654 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11213 | CurrentTaxYear |
| Total | 99927 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 8209 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 25122 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10083 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 24976 | CurrentTaxYearMinus1Year |
| Current Tax Year | 35225 | CurrentTaxYear |
| Total | 103615 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 87567791 | TotalSupport |
| Gross Receipts From Admissions Etc | 29632935 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99770 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99590 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 85618 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -1249 | InvestmentEarningsOrLosses |
| End Of Year Balance | 84369 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 83931 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 1687 | InvestmentEarningsOrLosses |
| End Of Year Balance | 85618 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 83137 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 794 | InvestmentEarningsOrLosses |
| End Of Year Balance | 83931 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 86213 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -3076 | InvestmentEarningsOrLosses |
| End Of Year Balance | 83137 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 77759 | OtherCostOrOtherBasis |
| Book Value | 77759 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1343160 | OtherCostOrOtherBasis |
| Depreciation | 665991 | Depreciation |
| Book Value | 677169 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3316416 | OtherCostOrOtherBasis |
| Depreciation | 1492358 | Depreciation |
| Book Value | 1824058 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1606120 | OtherCostOrOtherBasis |
| Depreciation | 1003793 | Depreciation |
| Book Value | 602327 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3181313 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| LOANS FROM CCHA | $2,100,551 |
| CAPITAL LEASES | $148,810 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2249361 | TotalOfAmounts |
| Total Revenue | 24015100 | TotalRevenue |
| Total Expenses | 23884295 | TotalExpenses |
| Excess Or Deficit For Year | 130805 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 8161 | NetUnrealizedGLOnInvestments |
| Other | $35,000 | OtherAmount |
| Total Adjustments | 43161 | TotalAdjustments |
| Excess Or Deficit Per FS | 173966 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 24058261 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 8161 | NetUnrealizedGainsInvestments |
| Other Revenues | 35000 | OtherRevenues |
| Revenue Not Rptd F990 | 43161 | RevenueNotRptdF990 |
| Revenue Subtotal | 24015100 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 24015100 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 23884295 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 23884295 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 23884295 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | CMHA ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH CERTAIN PROVISIONS OF FASB ASC 740, "INCOME TAXES", WHICH PROVIDES A FRAMEWORK FOR HOW COMPANIES 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. CMHA DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2012 AND 2011. AS OF JUNE 30, 2012 AND 2011, 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. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | DEBT FORGIVENESS FROM CCHA 35,000. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | DEBT FORGIVENESS FROM CCHA 35,000. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RAYMOND J GORMAN | |||||||||||||
| 175688 | 0 | 0 | 0 | 0 | 0 | 8772 | 0 | 2688 | 0 | 187148 | 0 | 0 | 0 |
| STEVEN HANKS MD | |||||||||||||
| 0 | 483454 | 0 | 61133 | 0 | 59271 | 0 | 132901 | 0 | 2706 | 0 | 739465 | 0 | 0 |
| MARY GILHULY | |||||||||||||
| 151420 | 0 | 0 | 0 | 0 | 0 | 7668 | 0 | 58 | 0 | 159146 | 0 | 0 | 0 |
| KENNETH MARCUS | |||||||||||||
| 173473 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 173473 | 0 | 0 | 0 |
| TADEUSZ RACHWAL | |||||||||||||
| 170679 | 0 | 0 | 0 | 0 | 0 | 6518 | 0 | 301 | 0 | 177498 | 0 | 0 | 0 |
| MANZOOR USMAN | |||||||||||||
| 190988 | 0 | 0 | 0 | 0 | 0 | 2446 | 0 | 58 | 0 | 193492 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 CORPORATION 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 BYLAWS. | |
| 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 JANUARY 31, 2013 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 5: | NET UNREALIZED GAINS ON INVESTMENTS: 8,161. DEBT FORGIVENESS FROM CCHA 35,000. TOTAL TO FORM 990, PART XI, LINE 5: 43,161. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| 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. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| THE HOSPITAL OF CENTRAL CONNECTICUT | |||||||||||
| 100 GRAND STREET | NEW BRITAIN | CT | 06050 | 060646768 | HOSPITAL | CT | 501(C)(3) | LINE 3 | CENTRAL CONNECTICUT 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 CONNECTICUT 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 CONNECTICUT 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 TYPE II | 0 | N/A | |
| THE ORCHARDS AT SOUTHINGTON | |||||||||||
| 34 HOBART STREET | SOUTHINGTON | CT | 06489 | 061490803 | RESIDENTIAL SERVICES FOR SENIOR CITIZENS | CT | 501(C)(3) | LINE 9 | CENTRAL CONNECTICUT 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 CONNECTICUT SENIOR HEALTH SERVICES INC | 0 | |
| JEROME HOME | |||||||||||
| 975 CORBIN AVE | NEW BRITAIN | CT | 06052 | 060646690 | NURSING HOME | CT | 501(C)(3) | LINE 9 | 0 | ||
Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 AVENUE | NEW BRITAIN | CT | 06062 | 061484904 | OCCUPATIONAL HEALTH SERVICES | CT | RELATED | 0 | 0 | N/A | |
| NEW BRITAIN MRI LIMITED PARTNERSHIP | |||||||||||
| 100 GRAND STREET | NEW BRITAIN | CT | 06050 | 061271349 | MAGNETIC RESONANCE IMAGING | CT | CENCONN SERVICES INC | RELATED | 0 | 0 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENCONN SERVICES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 GRAND STREET | AddressLine1 |
| City | NEW BRITAIN | City |
| State | CT | State |
| ZIP Code | 06050 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222836001 | EIN |
| Primary Activity | INVESTMENT MANAGEMENT | PrimaryActivity |
| Legal Domicile State | CT | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL CONNECTICUT HEALTH ALLIANCE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| CENTRAL CONNECTICUT HEALTH ALLIANCE | ||
| E | 2548750 | ACTUAL |
| CENTRAL CONNECTICUT HEALTH ALLIANCE | ||
| L | 15479 | ACTUAL |
| CENTRAL CONNECTICUT HEALTH ALLIANCE | ||
| J | 251248 | ACTUAL |
| THE HOSPITAL OF CENTRAL CONNECTICUT | ||
| O | 243539 | ACTUAL |
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