FURP.ORG / PUBLIC DATA EXPLORER

CHURCH HOMES INC CONGREGATIONAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CHURCH HOMES INC CONGREGATIONAL (EIN 06-0763898)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-04-05
IRS object ID
201210969349300616
Schema version
2010v3.4
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)
Timestamp2012-04-05T11:57:41-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BLUM SHAPIRO & COMPANY PC CPA'SBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line129 S MAIN STREET PO BOX 272000AddressLine1
CityWEST HARTFORDCity
StateCTState
ZIP Code061272000ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN060763898EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHURCH HOMES INC CONGREGATIONALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHURNameControl
Phone8605279126Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1217 AVERY HEIGHTSAddressLine1
CityHARTFORDCity
StateCTState
ZIP Code061064200ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRAYMOND A GASPERININame
TitleVICE PRESIDENT/CFOTitle
Phone8605279126Phone
Date Signed2012-03-28DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameELIZABETH SOLECKIName
Phone8605614000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRAYMOND A GASPERININameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1217 AVERY HEIGHTSAddressLine1
CityHARTFORDCity
StateCTState
ZIP Code06106ZIPCode
FieldValueIRS element (for citing)
Gross Receipts41314871GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHURCHHOMES.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1957YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE, ON A NOT-FOR-PROFIT BASIS AND WITHOUT DISCRIMINATION, A FULL RANGE OF RESIDENTIAL LIVING AND HEALTH CARE SERVICES FOR OLDER ADULTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees585TotalNbrEmployees
Total Nbr Volunteers281TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year929762ContributionsGrantsPriorYear
Contributions Grants Current Year404860ContributionsGrantsCurrentYear
Program Service Revenue Prior Year39357125ProgramServiceRevenuePriorYear
Program Service Revenue CY39796863ProgramServiceRevenueCY
Investment Income Prior Year94329InvestmentIncomePriorYear
Investment Income Current Year522706InvestmentIncomeCurrentYear
Other Revenue Prior Year416697OtherRevenuePriorYear
Other Revenue Current Year320200OtherRevenueCurrentYear
Total Revenue Prior Year40797913TotalRevenuePriorYear
Total Revenue Current Year41044629TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year6000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3650GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year23102884SalariesEtcPriorYear
Salaries Etc Current Year21977253SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year90907TotalFundrsngExpCurrentYear
Other Expense Prior Year16688081OtherExpensePriorYear
Other Expenses Current Year17878694OtherExpensesCurrentYear
Total Expenses Prior Year39796965TotalExpensesPriorYear
Total Expenses Current Year39859597TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1000948RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1185032RevenuesLessExpensesCY
Total Assets BOY60793740TotalAssetsBOY
Total Assets EOY58797199TotalAssetsEOY
Total Liabilities BOY29553703TotalLiabilitiesBOY
Total Liabilities EOY27433070TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY31240037NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY31364129NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE, ON A NOT-FOR-PROFIT BASIS AND WITHOUT DISCRIMINATION, A FULL RANGE OF RESIDENTIAL LIVING AND HEALTH CARE SERVICES FOR OLDER ADULTS BY PROMOTING AND IMPLEMENTING SYSTEMS THAT MAINTAIN AND SUPPORT EVERY INDIVIDUAL'S OPTIMAL INDEPENDENCE AND LIFE WISHES IN A SAFE, DIGNIFIED ATMOSPHERE CONDUCIVE TO QUALITY RETIREMENT, BY ASSURING KNOWLEDGEABLE AND CONSISTENT LEADERSHIP IN RETIREMENT LIVING, LONG-TERM CARE, HOME CARE AND SUPPORT SERVICES AND BY DEVELOPING INNOVATIVE PROGRAMS AND SERVICES WHICH RESPOND TO THE CHANGING NEEDS OF ITS RESIDENTS AND CLIENTS AND THE SOCIETY IT SERVES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense36370735Expense
Revenue40098913Revenue
DescriptionCHURCH HOMES, INC., CONGREGATIONAL IS A NOT-FOR-PROFIT CORPORATION, WHICH OWNS AND OPERATES RETIREMENT AND HEALTH CARE FACILITIES IN HARTFORD, CT (AVERY HEIGHTS), AND SALISBURY, CT (NOBLE HORIZONS). AVERY HEIGHTS CONSISTS OF 130 SKILLED NURSING BEDS, 69 INTERMEDIATE CARE BEDS, 14 ACCOMODATIONS IN A HOME FOR THE AGED, 66 INDEPENDENT LIVING COTTAGES, AND 137 INDEPENDENT LIVING APARTMENTS. IN ADDITION, AVERY HEIGHTS OPERATES A HOME HEALTH AGENCY AND BETTY LARUS ADULT DAY HEALTH CENTER. NOBLE HORIZONS CONSISTS OF 61 SKILLED NURSING BEDS, 30 INTERMEDIATE CARE BEDS, 50 INDEPENDENT LIVING COTTAGES AND 19 ACCOMODATIONS IN A HOME FOR THE AGED.Description
Total Program Service Expense36370735TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
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 Required1ScheduleJRequired
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 With1096127NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees585NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
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 Policy0DocumentRetentionPolicy
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 Line1RAYMOND A GASPERINIBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8605279126TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1217 AVERY HEIGHTSAddressLine1
CityHARTFORDCity
StateCTState
ZIP Code061064200ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
PATRICK GILLAND
PRESIDENT/CEO40.00XX242527046003
DAVID E POLK
CHAIRMAN1.00XX000
HENRY B MCNULTY
VICE CHAIRMAN1.00XX000
LARRY C BROWN
DIRECTOR1.00X000
JOSEPH C BLACK JR
DIRECTOR1.00X000
DAVID E CANUEL
DIRECTOR1.00X000
ELIZABETH S GAGNE
DIRECTOR1.00X000
PETER G CAREY
DIRECTOR1.00X000
PATRICK Y YUNG
DIRECTOR1.00X000
STEPHEN E RONAI ESQUIRE
DIRECTOR1.00X000
PETER B MATTHEWS
DIRECTOR1.00X000
MERCEDESE E LARGE
DIRECTOR1.00X000
RAYMOND GASPERINI
VICE PRESIDENT/CFO40.00X173433032028
EILEEN MULLIGAN
VICE PRESIDENT40.00X163456025191
MIRIAM PARKER
VICE PRESIDENT40.00X178606033713
MARJORIE K TESSMAN
SECRETARY40.00X52584016311
BONITA GANIM
DIRECTOR OF NURSING SERVIC40.00101848016087X
ANNA LUKAS
NURSE MANAGER40.00106858022611X
MICHELLE PASCETTA
DIRECTOR OF BUDGETING AND REIMBURSEMENT40.00102236025565X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1121548TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation217509TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HEALTHCARE SERVICES GROUP
3220 TILLMAN DR STE 300BENSALEMPA19020HOUSEKEEPING/LAUNDRY/DIETARY SERVICES1504349
ALLIANCE REHAB OF CT
1520 KENSINGTON ROAD STE 110OAK BROOKEIL60523REHAB THERAPY1000339
H&H LINEN SERVICES
135 CITY AVENEW BRITAINCT06051LINEN SERVICE160971
QUALITY FLOOR COVERINGS INC
21 BRENNAN ROADAMSTONCT06231CARPETING142837
SECURITY SERVICES OF CONNECTICUT
PO BOX 53BRATTLEBOROVT05302SECURITY128839
FieldValueIRS element (for citing)
Number Of Contractors GT100 K10NumberOfContractorsGT100K
Fundraising Events110032FundraisingEvents
All Other Contributions294828AllOtherContributions
Total Contributions404860TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT SERVICES6230003968879339688793
OTHER SERVICES623000108070108070
FieldValueIRS element (for citing)
Total Program Service Revenue39796863TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column233047TotalRevenueColumn
Exclusion$233,047ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real18150Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real18150Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column18150TotalRevenueColumn
Exclusion$18,150ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities513668Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other224009Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities513668Securities
Other-224009Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column289659TotalRevenueColumn
Exclusion$289,659ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events46233GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events110032CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses46233FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER INCOME900099295917295917
FEES INCOME90009961336133
FieldValueIRS element (for citing)
Total Other Revenue302050TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column41044629TotalRevenueColumn
Related Or Exempt Function Income40098913RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$540,856ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total3650Total
Program Services3650ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total985524Total
Management And General985524ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15367990Total
Program Services14111931ProgramServices
Management And General1247071ManagementAndGeneral
Fundraising8988Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1081171Total
Program Services1023524ProgramServices
Management And General57060ManagementAndGeneral
Fundraising587Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3315894Total
Program Services2945965ProgramServices
Management And General368239ManagementAndGeneral
Fundraising1690Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1226674Total
Program Services1068924ProgramServices
Management And General157137ManagementAndGeneral
Fundraising613Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total5400Total
Management And General5400ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total89225Total
Management And General89225ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total74600Total
Management And General74600ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5894771Total
Program Services5856292ProgramServices
Management And General17858ManagementAndGeneral
Fundraising20621Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total135585Total
Program Services131117ProgramServices
Management And General4218ManagementAndGeneral
Fundraising250Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total254202Total
Program Services155326ProgramServices
Management And General89522ManagementAndGeneral
Fundraising9354Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total86747Total
Program Services17835ProgramServices
Management And General64652ManagementAndGeneral
Fundraising4260Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3988911Total
Program Services3973722ProgramServices
Management And General15189ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total11840Total
Program Services5732ProgramServices
Management And General6108ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3799Total
Program Services1808ProgramServices
Management And General1991ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total27326Total
Program Services27326ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2584713Total
Program Services2553656ProgramServices
Management And General31057ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total204977Total
Program Services171846ProgramServices
Management And General33131ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVIDER TAX15043001504300
SUPPLIES66567265241913253
FOOD600571600571
MAINTENANCE366508366508
BAD DEBTS337673337673

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1041874Total
Program Services860610ProgramServices
Management And General136720ManagementAndGeneral
Fundraising44544Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total39859597Total
Program Services36370735ProgramServices
Management And General3397955ManagementAndGeneral
Fundraising90907Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7950123BOY
EOY8011849EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2566325BOY
EOY1939557EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3108824BOY
EOY3270862EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY182025BOY
EOY186904EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY672126BOY
EOY633290EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis74221943LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec44129704LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY31888019BOY
EOY30092239EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY13906123BOY
EOY14178722EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY515371BOY
EOY428154EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4804BOY
EOY55622EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY60793740BOY
EOY58797199EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3668419BOY
EOY3282854EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY25621737BOY
EOY23854052EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY263547BOY
EOY296164EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY29553703BOY
EOY27433070EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY22575755BOY
EOY22977737EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6017017BOY
EOY5734127EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2647265BOY
EOY2652265EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY31240037BOY
EOY31364129EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY60793740BOY
EOY58797199EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1185032ReconcilationRevenueExpenses
Reconcilation Other Changes-1060940ReconcilationOtherChanges
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 Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years562990CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years900844CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years995528CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year929762CurrentTaxYearMinus1Year
Current Tax Year404860CurrentTaxYear
Total3793984Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37296337CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years39324192CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years39944247CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year39756122CurrentTaxYearMinus1Year
Current Tax Year40098913CurrentTaxYear
Total196419811Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37859327CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years40225036CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years40939775CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year40685884CurrentTaxYearMinus1Year
Current Tax Year40503773CurrentTaxYear
Total200213795Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509200213795PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years797925CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years458327CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years184505CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year121341CurrentTaxYearMinus1Year
Current Tax Year233047CurrentTaxYear
Total1795145Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years797925CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years458327CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years184505CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year121341CurrentTaxYearMinus1Year
Current Tax Year233047CurrentTaxYear
Total1795145Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years204866CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years279523CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years386093CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year398997CurrentTaxYearMinus1Year
Current Tax Year64383CurrentTaxYear
Total1333862Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years38862118CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years40962886CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years41510373CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year41206222CurrentTaxYearMinus1Year
Current Tax Year40801203CurrentTaxYear
Total203342802Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98460PublicSupportPercentage509
Prior Year Support Percentage0.98420PriorYearSupportPercentage
Investment Income Percentage0.00880InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00950PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 Balance9891949BeginningOfYearBalance
Contributions87500Contributions
Investment Earnings Or Losses-210959InvestmentEarningsOrLosses
Other Expenditures287280OtherExpenditures
End Of Year Balance9481210EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance10176093BeginningOfYearBalance
Contributions228623Contributions
Investment Earnings Or Losses902670InvestmentEarningsOrLosses
Other Expenditures1415437OtherExpenditures
End Of Year Balance9891949EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance10248098BeginningOfYearBalance
Contributions30490Contributions
Investment Earnings Or Losses52850InvestmentEarningsOrLosses
Other Expenditures155345OtherExpenditures
End Of Year Balance10176093EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.35000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.28000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.37000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2744217OtherCostOrOtherBasis
Book Value2744217BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis47588730OtherCostOrOtherBasis
Depreciation26547614Depreciation
Book Value21041116BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis20236370OtherCostOrOtherBasis
Depreciation14978396Depreciation
Book Value5257974BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3652626OtherCostOrOtherBasis
Depreciation2603694Depreciation
Book Value1048932BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings30092239TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ANNUITIES PAYABLE$90,887
MISCELLANEOUS$160,552
DUE TO THIRD PARTY REIMBURSEMENT AG$44,725
FieldValueIRS element (for citing)
Total Of Amounts296164TotalOfAmounts
Total Revenue41044629TotalRevenue
Total Expenses39859597TotalExpenses
Excess Or Deficit For Year1185032ExcessOrDeficitForYear
Net Unrealized GL On Investments-1048384NetUnrealizedGLOnInvestments
Other-$12,556OtherAmount
Total Adjustments-1060940TotalAdjustments
Excess Or Deficit Per FS124092ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt39983689TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-1048384NetUnrealizedGainsInvestments
Other Revenues-12556OtherRevenues
Revenue Not Rptd F990-1060940RevenueNotRptdF990
Revenue Subtotal41044629RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99041044629TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt39859597TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal39859597ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99039859597TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:INVESTMENT INCOME UTILIZED TO SUPPORT OPERATIONS AND ACQUISITIONS OF FIXED ASSETS.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS -12,556.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS -12,556.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF OUTINGNameOfEvent1
Gross Receipts Event1132920GrossReceiptsEvent1
Charitable Contributions Event194160CharitableContributionsEvent1
Gross Revenue Event138760GrossRevenueEvent1
Non Cash Prizes Event19237NonCashPrizesEvent1
Rent Facility Costs Event127893RentFacilityCostsEvent1
Other Direct Expenses Event11630OtherDirectExpensesEvent1
Name Of Event2FESTIVAL OF TREESNameOfEvent2
Gross Receipts Event223345GrossReceiptsEvent2
Charitable Contributions Event215872CharitableContributionsEvent2
Gross Revenue Event27473GrossRevenueEvent2
Other Direct Expenses Event27473OtherDirectExpensesEvent2
Gross Receipts Total156265GrossReceiptsTotal
Charitable Contributions Total110032CharitableContributionsTotal
Gross Revenue Total Events46233GrossRevenueTotalEvents
Non Cash Prizes Total Events9237NonCashPrizesTotalEvents
Rent Facility Costs Total Events27893RentFacilityCostsTotalEvents
Other Direct Expenses Total Events9103OtherDirectExpensesTotalEvents
Direct Expense Summary Events46233DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PATRICK GILLAND
232527010000000294410165620288530000
RAYMOND GASPERINI
17343300000198500121780205461000
EILEEN MULLIGAN
1609560250000018252069390188647000
MIRIAM PARKER
17860600000209620127510212319000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED WITH THE BOARD OF DIRECTORS AT REGULARLY SCHEDULED BOARD OF DIRECTORS MEETING.
THE PRESIDENT OF CHURCH HOMES, INC. REVIEWS THE RESPONSES TO THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE WITH THE COMMITTEE ON DIRECTORS. WHERE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST EXISTS, THE COMMITTEE ON DIRECTORS IS AUTHORIZED TO TAKE APPROPRIATE CORRECTIVE ACTION.FORM 990, PART VI, SECTION B, LINE 12C
CHURCH HOMES, INC. PERSONNEL COMMITTEE REVIEWS AND APPROVES OFFICER COMPENSATION ANNUALLY.FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -1,048,384. CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS -12,556. TOTAL TO FORM 990, PART XI, LINE 5: -1,060,940.FORM 990, PART XI, LINE 5:
CHURCH HOMES NOTIFIED THE DONOR OF THE VALUE OF THE GOODS OR SERVICES PROVIDED UPON REQUEST.FORM 990, PART V, LINE 7B:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CONNECTICUT ALLIANCE FOR LONG TERM CAREBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1705A NEW BRITAIN AVEAddressLine1
CityHARTFORDCity
StateCTState
ZIP Code06106ZIPCode
FieldValueIRS element (for citing)
EIN061465316EIN
Primary ActivitiesADMINISTER PROVIDER BASED NETWORK TO PROVIDE COST-EFFECTIVE HEALTH CAREPrimaryActivities
Legal Domicile StateCTLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 11A, IPublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
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 Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg