2013-02-04T10:51:01-06:00 2012-06-30 061533253 SASLOW LUFKIN & BUGGY LLP TEN TOWER LANE AVON CT 06001 990 2011-07-01 060934544 COMMUNITY MENTAL HEALTH AFFILIATES INC COMM 8608261358 270 JOHN DOWNEY DRIVE NEW BRITAIN CT 06051 RAYMOND J GORMAN 8608261358 2013-02-01 1 BETH THURZ P00346435 8606789200 2011 2016-02-25 16:41:14Z RAYMOND J GORMAN 270 JOHN DOWNEY DRIVE NEW BRITAIN CT 06051 24015100 0 X WWW.CMHACC.ORG X 1975 CT TO PROVIDE MENTAL HEALTH, COMMUNITY SUPPORT SERVICES AND SUBSTANCE ABUSE TREATMENT TO THE COMMUNITY. 10 8 487 20 0 0 18237481 18707462 5291871 5261200 309985 11213 24976 35225 23864313 24015100 0 0 0 0 16601304 16598722 0 0 0 7136717 7285573 23738021 23884295 126292 130805 6566744 5837822 5769263 4866375 797481 971447 X 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. 0 0 14308753 2518841 ADULT PROGRAMS - SERVICES INCLUDE OUTPATIENT COUNSELING, CASE MANAGEMENT SERVICES, RESIDENTIAL SUPPORT, VOCATIONAL & PREVOCATIONAL SUPPORT & SOCIALIZATION SERVICES. APPROX. 4,574 CLIENTS SERVED. 4825741 1666218 YOUTH PROGRAMS - CHILD GUIDANCE CLINIC, COUNSELING SERVICES. APPROX. 1,707 CLIENTS SERVED. 1150988 1000010 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. 263945 111356 OTHER PROGRAM SERVICES, COSTS RELATED TO SUBSTANCE ABUSE ACTION COUNCIL. 263945 111356 20549427 1 1 0 0 0 0 0 0 0 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 0 1 61 0 1 487 1 0 0 0 0 0 0 0 0 0 0 X 10 8 0 0 0 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 KAREN V WILSON 1.00 X X 0 0 0 RAYMOND J GORMAN 40.00 X X 175688 0 11460 MICHAEL LYNCH 1.00 X X 0 0 0 JOHN MATULIS 1.00 X 0 0 0 NICK PETTINICO 1.00 X X 0 0 0 STAN KLUKOWSKI 1.00 X 0 0 0 PAUL MIKKELSON 1.00 X 0 0 0 JOSEPH PUZZO 1.00 X 0 0 0 JOANNE ADAMIK 1.00 X X 0 0 0 STEVEN HANKS MD 1.00 X 0 603858 135607 MARY GILHULY 40.00 X 151420 0 7726 KENNETH MARCUS 19.00 X 173473 0 0 MARGARET MAUD CHAPLIN MD 25.00 X 137961 0 6898 TADEUSZ RACHWAL 32.00 X 170679 0 6819 TERESA WORKS 40.00 X 104463 0 5668 MELINDA SMOLKIN 40.00 X 111972 0 5863 MANZOOR USMAN 40.00 X 190988 0 2504 1216644 603858 182545 11 0 1 0 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 3 163142 18267943 276377 18707462 FEES FOR COUNSELING AN 624100 5261200 5261200 5261200 11213 11213 MISCELLANEOUS 624100 35225 35225 35225 24015100 5296425 0 11213 662281 662281 12790816 12092296 698520 1823339 1634698 188641 1322286 1185483 136803 15479 15479 37101 18932 18169 46250 23601 22649 2647675 2278574 369101 18966 2579 16387 1043083 456483 586600 1525740 1269357 256383 432521 395768 36753 67058 37946 29112 48102 10650 37452 560834 398906 161928 212659 188281 24378 CLIENT SUPPORT 377983 367647 10336 FOOD SERVICE 182143 180522 1621 BAD DEBT 41667 0 41667 EQUIPMENT RENTAL EXPENS 13061 4038 9023 15251 3666 11585 23884295 20549427 3334868 0 1792578 1434294 232829 518559 486599 216749 274190 258892 6343455 3162142 3548447 3181313 28820 25744 7467 7331 195814 194940 6566744 5837822 1772047 1456545 231185 232718 820697 690847 295281 236904 2650053 2249361 5769263 4866375 X 711863 887078 85618 84369 797481 971447 6566744 5837822 X 130805 43161 X X 0 1 1 X 1 1 X 16021646 16957077 17440583 18237481 18707462 87364249 16021646 16957077 17440583 18237481 18707462 87364249 87364249 28111 27200 15749 17654 11213 99927 8209 25122 10083 24976 35225 103615 87567791 29632935 0.99770 0.99590 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 85618 -1249 84369 83931 1687 85618 83137 794 83931 86213 -3076 83137 1.00000 0 0 77759 77759 1343160 665991 677169 3316416 1492358 1824058 1606120 1003793 602327 3181313 LOANS FROM CCHA 2100551 CAPITAL LEASES 148810 2249361 24015100 23884295 130805 8161 35000 43161 173966 24058261 8161 35000 43161 24015100 0 24015100 23884295 0 23884295 0 23884295 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. X 0 0 0 0 0 0 0 0 0 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 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. CHANGES IN NET ASSETS OR FUND BALANCES: 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. 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 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 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 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 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 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 1 0 0 0 0 1 0 1 0 0 1 0 0 0 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