Center for Hospice Care Southeast: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
Center for Hospice Care Southeast (EIN 22-2667260)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-11-12
IRS object ID
201203179349300140
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

FieldValueIRS element (for citing)
Timestamp2012-11-12T09:34:23-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN061533253EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SASLOW LUFKIN & BUGGY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1TEN TOWER LANEAddressLine1
CityAVONCity
StateCTState
ZIP Code06001ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222667260EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF SOUTHEASTERN CONNECTICUT INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOSPNameControl
Phone8608485699Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1227 DUNHAM STREETAddressLine1
CityNORWICHCity
StateCTState
ZIP Code063606133ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCAROL MAHIERName
TitleEXECUTIVE DIRECTORTitle
Phone8608485699Phone
Date Signed2012-10-17DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSTEVEN J STRANIERIName
PTINP00348090PTIN
Phone8606789200Phone
Date Prepared2012-10-17DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCAROL MAHIERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1227 DUNHAM STREETAddressLine1
CityNORWICHCity
StateCTState
ZIP Code063606133ZIPCode
FieldValueIRS element (for citing)
Gross Receipts6238334GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HOSPICESECT.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionHEALTH CARE SERVICES TO TERMINALLY ILLActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees91TotalNbrEmployees
Total Nbr Volunteers140TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year366471ContributionsGrantsPriorYear
Contributions Grants Current Year471588ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4698655ProgramServiceRevenuePriorYear
Program Service Revenue CY5380543ProgramServiceRevenueCY
Investment Income Prior Year115641InvestmentIncomePriorYear
Investment Income Current Year28054InvestmentIncomeCurrentYear
Other Revenue Prior Year63308OtherRevenuePriorYear
Other Revenue Current Year114973OtherRevenueCurrentYear
Total Revenue Prior Year5244075TotalRevenuePriorYear
Total Revenue Current Year5995158TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3299911SalariesEtcPriorYear
Salaries Etc Current Year3631441SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year207692TotalFundrsngExpCurrentYear
Other Expense Prior Year1858591OtherExpensePriorYear
Other Expenses Current Year1826346OtherExpensesCurrentYear
Total Expenses Prior Year5158502TotalExpensesPriorYear
Total Expenses Current Year5457787TotalExpensesCurrentYear
Revenues Less Expenses Prior Year85573RevenuesLessExpensesPriorYear
Revenues Less Expenses CY537371RevenuesLessExpensesCY
Total Assets BOY6708946TotalAssetsBOY
Total Assets EOY7374898TotalAssetsEOY
Total Liabilities BOY1318447TotalLiabilitiesBOY
Total Liabilities EOY1462171TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5390499NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5912727NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE HEALTH AND SUPPORTIVE SERVICES TO TERMINALLY ILL INDIVIUALS AT THEIR HOME OR IN A MEDICAL FACILITY IN SOUTHEASTERN CONNECTICUTMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense3605767Expense
Revenue5380543Revenue
DescriptionHOSPICE HOME CARE IS A PROGRAM DESIGNED TO CARE FOR TERMINALLY ILL PATIENTS THROUGH THE USE OF THE INTERDISCIPLINARY TEAM, WHICH INCLUDES NURSES, HHA'S, MSW'S, MEDICAL DIRECTOR, CLERGY, THERAPISTS, PHARMACISTS, TRAINED VOLUNTEERS, AND COUNSELORS. CARE IS PROVIDED IN THE PERSON'S PLACE OF RESIDENCE WHERE EVER THAT MAY BE. BEREAVEMENT SUPPORT IS PROVIDED TO THE FAMILY FOR UP TO THIRTEEN MONTHS AFTER DEATH.HOME CARE VISITS - 3,437HOSPICE PATIENT DAYS - 38,029Description
Total Program Service Expense3605767TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109656NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees91NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCTStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CAROL MAHIERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8608485699TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1227 DUNHAM STREETAddressLine1
CityNORWICHCity
StateCTState
ZIP Code063606133ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
GREGORY B ALLARD
VICE PRESIDENT1.00XX000
WILLIAM HALSEY
BOARD MEMBER1.00XX000
MARK F BROWN
BOARD MEMBER1.00X000
JEFFREY BUEBENDORF
BOARD MEMBER1.00X000
JEFFREY KNAPP
BOARD MEMBER1.00X000
JANE S DAUPHINAIS
BOARD MEMBER1.00X000
KAREN NEILAN
BOARD MEMBER1.00X000
JAMES E SAWYER
TREASURER1.00XX000
ANGELA ARNOLD
BOARD MEMBER1.00X000
KEITH FONTAINE
BOARD MEMBER1.00X000
BETHANY HASLAM
PRESIDENT1.00XX000
BRIAN MCNAMARA
SECRETARY1.00XX000
LENNY WINKLER
VICE PRESIDENT1.00XX000
JAMES E BATES
BOARD MEMBER1.00X000
BISHOP B CURRY III DVM
BOARD MEMBER1.00X000
CRISTA F DURAND
BOARD MEMBER1.00X000
MARK E TRAMONTOZZI MD
BOARD MEMBER1.00X000
CAROL MAHIER
EXECUTIVE DIRECTOR38.00X10767500
FieldValueIRS element (for citing)
Total Reportable Comp From Org107675TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AETNA INSURANCE INC
PO BOX 7247-0233PHILADELPHIAPA191700233HEALTH INSURANCE PREMIUMS259031
BAYVIEW HEALTH CENTER
301 ROPE FERRY ROADWATERFORDCT06385GENERAL INPATIENT CARE248837
HOSPICE PHARMACIA
PO BOX 510818PHILADELPHIAPA191700233PHARMACY- PATIENTS215732
GREENTREE MANOR
4 GREENTREE DRIVEWATERFORDCT06385GENERAL INPATIENT CARE185211
ORCHARD GROVE SPECIALTY CARE CENTER
5 RICHARD BROWN DRIVEUNCASVILLECT06382INPATIENT/OUTPATIENT CARE150013
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions471588AllOtherContributions
Total Contributions471588TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUDescription
Business Code621610BusinessCode
Total Revenue Column5380543TotalRevenueColumn
Related Or Exempt Function Income5380543RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue5380543TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column59428TotalRevenueColumn
Exclusion$59,428ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities188046Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities219420Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-31374Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-31374TotalRevenueColumn
Exclusion-$31,374ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events138729GrossIncomeFundraisingEvents
Fundraising Direct Expenses23756FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column114973TotalRevenueColumn
Exclusion$114,973ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5995158TotalRevenueColumn
Related Or Exempt Function Income5380543RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$143,027ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total111046Total
Program Services79953ProgramServices
Management And General31093ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2920360Total
Program Services2145017ProgramServices
Management And General594472ManagementAndGeneral
Fundraising180871Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3056Total
Program Services2099ProgramServices
Management And General957ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total325864Total
Program Services223803ProgramServices
Management And General102061ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total271115Total
Program Services186202ProgramServices
Management And General84913ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total76482Total
Management And General76482ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total17982Total
Management And General17982ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total17201Total
Management And General17201ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total478850Total
Program Services319274ProgramServices
Management And General159576ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total37747Total
Management And General37747ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total105328Total
Management And General105328ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total49365Total
Management And General49365ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total68141Total
Management And General68141ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total149693Total
Program Services149693ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total13172Total
Management And General13172ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total57388Total
Management And General57388ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total147321Total
Management And General147321ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total25132Total
Program Services16022ProgramServices
Management And General9110ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
SUPPLIES5317654619034304126821
DUES & SUBSCRIPTIONS2342123421
BAD DEBT1500015000
MISCELLANEOUS1235868015557

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5457787Total
Program Services3605767ProgramServices
Management And General1644328ManagementAndGeneral
Fundraising207692Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY75BOY
EOY75EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1523222BOY
EOY2152980EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY518817BOY
EOY653333EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY54641BOY
EOY80068EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2926302LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec633822LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2414838BOY
EOY2292480EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2197353BOY
EOY2195962EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6708946BOY
EOY7374898EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY325729BOY
EOY436225EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY992718BOY
EOY945813EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY80133EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1318447BOY
EOY1462171EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5094662BOY
EOY5687957EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY85992BOY
EOY64925EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY209845BOY
EOY159845EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5390499BOY
EOY5912727EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6708946BOY
EOY7374898EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses537371ReconcilationRevenueExpenses
Reconcilation Other Changes-15143ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years740552CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years238726CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years436723CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year475461CurrentTaxYearMinus1Year
Current Tax Year610317CurrentTaxYear
Total2501779Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years740552CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years238726CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years436723CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year475461CurrentTaxYearMinus1Year
Current Tax Year610317CurrentTaxYear
Total2501779Total
FieldValueIRS element (for citing)
Public Support Total1702501779PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years83648CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years59398CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years57655CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year56811CurrentTaxYearMinus1Year
Current Tax Year59428CurrentTaxYear
Total316940Total
FieldValueIRS element (for citing)
Total Support2818719TotalSupport
Gross Receipts From Admissions Etc24432344GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.88760PublicSupportPertcentage170
Public Support Pertcent Prior Year0.85940PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2283345BeginningOfYearBalance
Contributions87747Contributions
Investment Earnings Or Losses-51391InvestmentEarningsOrLosses
Administrative Expenses58814AdministrativeExpenses
End Of Year Balance2260887EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1843055BeginningOfYearBalance
Contributions180740Contributions
Investment Earnings Or Losses311587InvestmentEarningsOrLosses
Administrative Expenses52037AdministrativeExpenses
End Of Year Balance2283345EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1616880BeginningOfYearBalance
Contributions115055Contributions
Investment Earnings Or Losses161830InvestmentEarningsOrLosses
Administrative Expenses50710AdministrativeExpenses
End Of Year Balance1843055EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1823160BeginningOfYearBalance
Contributions79489Contributions
Investment Earnings Or Losses-219561InvestmentEarningsOrLosses
Administrative Expenses66208AdministrativeExpenses
End Of Year Balance1616880EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.90000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.07000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.03000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis430000OtherCostOrOtherBasis
Book Value430000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2039871OtherCostOrOtherBasis
Depreciation300318Depreciation
Book Value1739553BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis456431OtherCostOrOtherBasis
Depreciation333504Depreciation
Book Value122927BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2292480TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionASSETS LIMITED AS TO USEDescription
Book Value2195962BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities2195962TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO THIRD PARTIESDescription
Amount$80,133Amount
FieldValueIRS element (for citing)
Total Of Amounts80133TotalOfAmounts
Total Revenue5995158TotalRevenue
Total Expenses5457787TotalExpenses
Excess Or Deficit For Year537371ExcessOrDeficitForYear
Net Unrealized GL On Investments-52890NetUnrealizedGLOnInvestments
Other$37,747OtherAmount
Total Adjustments-15143TotalAdjustments
Excess Or Deficit Per FS522228ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt5843390TotRevenueEtcAuditedFinclStmt
Other Revenues108814OtherRevenues
Revenue Not Rptd F990108814RevenueNotRptdF990
Revenue Subtotal5734576RevenueSubtotal
Other Revenues Not Included260582OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt260582RevenueNotRptdOnFinStmt
Total Revenue Per Form9905995158TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt5250095TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal5250095ExpensesSubtotal
Other Expenses Not Included207692OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt207692ExpensesNotRptdOnFinStmt
Total Expenses Per Form9905457787TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE AGENCY ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH CERTAIN PROVISIONS OF FASB ASC 740, "INCOME TAXES", WHICH PROVIDE A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR FINANCIAL STATEMENTS. UNDER FASB ASC 740, THE AGENCY 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. THE AGENCY DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2012 AND 2011. AS OF JUNE 30, 2012 AND 2011, THE AGENCY DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THE AGENCY'S PRIOR THREE TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CONTRIBUTIONS - TEMPORARILY RESTRICTED NET ASSETS 37,747. NET ASSETS RELEASED FROM TEMPORARY RESTRICTIONS USED FOR OPERATIONS -58,814. NET ASSETS RELEASED FROM TEMPORARY RESTRICTIONS USED FOR OPERATIONS 58,814. TOTAL TO SCHEDULE D, PART XI, LINE 8: 37,747.
PART XII, LINE 2D - OTHER ADJUSTMENTS:NET ASSETS RELEASED FROM TEMPORARY RESTRICTIONS USED FOR OPERATIONS 58,814. NET ASSETS RELEASED FROM PERMANENT RESTRICTIONS USED FOR OPERATIONS 50,000.
PART XII, LINE 4B - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES 207,692. NET UNREALIZED LOSSES ON INVESTMENTS 52,890.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES 207,692.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1SPECIAL EVENTSNameOfEvent1
Gross Receipts Event1138729GrossReceiptsEvent1
Gross Revenue Event1138729GrossRevenueEvent1
Other Direct Expenses Event123756OtherDirectExpensesEvent1
Gross Receipts Total138729GrossReceiptsTotal
Gross Revenue Total Events138729GrossRevenueTotalEvents
Other Direct Expenses Total Events23756OtherDirectExpensesTotalEvents
Direct Expense Summary Events23756DirectExpenseSummaryEvents
Net Income Summary114973NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION PROVIDES A COPY OF FORM 990 TO THE MEMBERS OF THE FINANCE COMMITTEE AND TO THE MEMBERS OF THE BOARD OF DIRECTORS AFTER THE FORM 990 HAS BEEN COMPLETED BY THE OUTSIDE CPA FIRM, APPROXIMATELY ONE WEEK PRIOR TO FILING FOR THEIR REVIEW AND COMMENTS.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REQUIRES ALL OFFICERS AND DIRECTORS TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. THE COMPLETED FORMS ARE REVIEWED BY THE HUMAN RESOURCES DEPARTMENT TO IDENTIFY ANY POTENTIAL CONFLICTS OF INTEREST. ANY POTENTIAL CONFLICTS OF INTEREST ARE FURTHER EVALUATED BY THE COMPLIANCE/QUALITY ASSURANCE DEPARTMENT, AND IF WARRANTED, ARE BROUGHT TO THE ATTENTION OF THE BOARD OF DIRECTORS FOR DISCUSSION AND RESOLUTION. SIMILARLY, ANY POTENTIAL CONFLICTS OF INTEREST THAT ARE BROUGHT TO THE ATTENTION OF THE ORGANIZATION BY THE OUTSIDE AUDITORS OR BY AN EMPLOYEE OR OTHER PERSON, ARE INVESTIGATED AND RESOLVED IN ACCORDANCE WITH THE PROCEDURES DISCUSSED ABOVE.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION USES THIRD PARTY SALARY SURVEYS TO ASSIST IN DETERMINING THE COMPENSATION OF THE CEO AND OTHER KEY EMPLOYEES. RECOMMENDATIONS MADE BY THE FINANCE COMMITTEE ARE APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -52,890. CONTRIBUTIONS - TEMPORARILY RESTRICTED NET ASSETS 37,747. NET ASSETS RELEASED FROM TEMPORARY RESTRICTIONS USED FOR OPERATIONS -58,814. NET ASSETS RELEASED FROM TEMPORARY RESTRICTIONS USED FOR OPERATIONS 58,814. TOTAL TO FORM 990, PART XI, LINE 5: -15,143.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2C:THE ORGANIZATION HAS A FINANCE COMMITTEE THAT IS RESPONSIBLE FOR MAKING RECOMMENDATIONS TO THE FULL BOARD REGARDING THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THE FINANCE COMMITTEE IS RESPONSIBLE FOR THE OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT PROCESS. THE AUDIT OVERSIGHT AND AUDIT FIRM SELECTION PROCESS HAVE NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
BACKUS HEALTH CARE INC
326 WASHINGTON STREETNORWICHCT06360222481794ASSIST IN PROVIDING MEDICAL CARE & HEALTH RELATED EDUCATIONAL PROGRAMSCT501(C)(3)9N/A0
L & M HEALTH CARE INC
365 MONTAUK AVENEW LONDONCT06320222553031PROMOTE HEALTHCARECT501(C)(3)9N/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1LAWRENCE & MEMORIAL HEALTH CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeOTransactionType
Amount Involved76736AmountInvolved
Method Of Amt DeterminationACTUAL COSTMethodOfAmtDetermination

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