FURP.ORG / PUBLIC DATA EXPLORER

CHURCH HOMES INC CONGREGATIONAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
CHURCH HOMES INC CONGREGATIONAL (EIN 06-0763898)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-08
IRS object ID
201102209349301315
Schema version
2009v1.7
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)
Timestamp2011-08-08T12:36:53-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

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 Date2009-10-01TaxPeriodBeginDate

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 Signed2011-08-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone8605614000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 Receipts40840000GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
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 Employees562TotalNbrEmployees
Total Nbr Volunteers259TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year975836ContributionsGrantsPriorYear
Contributions Grants Current Year929762ContributionsGrantsCurrentYear
Program Service Revenue Prior Year39994247ProgramServiceRevenuePriorYear
Program Service Revenue CY39357125ProgramServiceRevenueCY
Investment Income Prior Year-493058InvestmentIncomePriorYear
Investment Income Current Year94329InvestmentIncomeCurrentYear
Other Revenue Prior Year403843OtherRevenuePriorYear
Other Revenue Current Year416697OtherRevenueCurrentYear
Total Revenue Prior Year40880868TotalRevenuePriorYear
Total Revenue Current Year40797913TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year9917GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY6000GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year22990254SalariesEtcPriorYear
Salaries Etc Current Year23102884SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year199381TotalFundrsngExpCurrentYear
Other Expense Prior Year19102401OtherExpensePriorYear
Other Expenses Current Year16688081OtherExpensesCurrentYear
Total Expenses Prior Year42102572TotalExpensesPriorYear
Total Expenses Current Year39796965TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1221704RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1000948RevenuesLessExpensesCY
Total Assets BOY61602146TotalAssetsBOY
Total Assets EOY60793740TotalAssetsEOY
Total Liabilities BOY32240372TotalLiabilitiesBOY
Total Liabilities EOY29553703TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY29361774NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY31240037NetAssetsOrFundBalancesEOY
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
Expense36225698Expense
Revenue39756122Revenue
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 Expense36225698TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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 Individuals1GrantsToIndividuals
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
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109664NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees562NumberOfEmployees
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
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 (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
PETER G CAREY
DIRECTOR1.00X000
PATRICK Y YUNG
DIRECTOR1.00X000
LARRY C BROWN
DIRECTOR1.00X000
JOSEPH C BLACK JR
DIRECTOR1.00X000
MERCEDESE E LARGE
DIRECTOR1.00X000
DAVID E CANUEL
DIRECTOR1.00X000
HENRY B MCNULTY
VICE CHAIRMAN1.00X000X
DAVID E POLK
CHAIRMAN1.00X000X
STEPHEN E RONAI ESQUIRE
DIRECTOR1.00X000
ELIZABETH S GAGNE
DIRECTOR1.00X000
PETER B MATTHEWS
DIRECTOR1.00X000
PATRICK GILLAND
PRESIDENT/CEO40.00264769044937X
RAYMOND GASPERINI
VICE PRESIDENT/CFO40.00180123030057X
EILEEN MULLIGAN
VICE PRESIDENT40.00166385025160X
MIRIAM PARKER
VICE PRESIDENT40.00185584033756X
MARJORIE K TESSMAN
SECRETARY40.0054820010199X
BONITA GANIM
DIRECTOR OF NURSING SERVIC40.00103666015929X
FieldValueIRS element (for citing)
Total Reportable Comp From Org955347TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation160038TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
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
ALLIANCE REHAB OF CT
1520 KENSINGTON ROAD STE 110OAK BROOKEIL60523REHAB THERAPY1212931
HEALTHCARE SERVICES GROUP
3220 TILLMAN DR STE 300BENSALEMPA19020HOUSEKEEPING/LAUNDRY SERVICES899854
QUALITY FLOOR COVERINGS INC
21 BRENNAN ROADAMSTONCT06231CARPETING161011
MURTHA CULLINA LLP
185 ASYLUM STREETHARTFORDCT06103LEGAL142956
COMFORTS OF HOME INC
77 MAIN ST NORTHSOUTHBURYCT06488DESIGN/FURNISHING122270
FieldValueIRS element (for citing)
Number Of Contractors GT100 K12NumberOfContractorsGT100K
Fundraising Events55790FundraisingEvents
All Other Contributions873972AllOtherContributions
Total Contributions929762TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT SERVICES6230003925651739256517
OTHER SERVICES623000100608100608
FieldValueIRS element (for citing)
Total Program Service Revenue39357125TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column103641TotalRevenueColumn
Exclusion$103,641ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real17700Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real17700Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column17700TotalRevenueColumn
Exclusion$17,700ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1305Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities7529Securities
Other3088Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-7529Securities
Other-1783Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-9312TotalRevenueColumn
Exclusion-$9,312ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events31470GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events55790CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses31470FundraisingDirectExpenses

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 INCOME900099385722385722
FEES INCOME9000991327513275
FieldValueIRS element (for citing)
Total Other Revenue398997TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column40797913TotalRevenueColumn
Related Or Exempt Function Income39756122RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$112,029ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total6000Total
Program Services6000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total981744Total
Management And General981744ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total16223240Total
Program Services14908955ProgramServices
Management And General1196437ManagementAndGeneral
Fundraising117848Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1143357Total
Program Services1082290ProgramServices
Management And General52512ManagementAndGeneral
Fundraising8555Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3380399Total
Program Services3015480ProgramServices
Management And General341083ManagementAndGeneral
Fundraising23836Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1374144Total
Program Services1202002ProgramServices
Management And General162641ManagementAndGeneral
Fundraising9501Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total5428Total
Management And General5428ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total68537Total
Management And General68537ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total73917Total
Management And General73917ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4229413Total
Program Services4191970ProgramServices
Management And General27494ManagementAndGeneral
Fundraising9949Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total132482Total
Program Services126653ProgramServices
Management And General5829ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total288753Total
Program Services168204ProgramServices
Management And General94031ManagementAndGeneral
Fundraising26518Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total84171Total
Program Services11983ProgramServices
Management And General63395ManagementAndGeneral
Fundraising8793Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4062183Total
Program Services4022951ProgramServices
Management And General39232ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total11836Total
Program Services6874ProgramServices
Management And General4876ManagementAndGeneral
Fundraising86Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total6015Total
Program Services4207ProgramServices
Management And General1245ManagementAndGeneral
Fundraising563Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total19985Total
Program Services19985ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2585568Total
Program Services2530287ProgramServices
Management And General55281ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total250477Total
Program Services216380ProgramServices
Management And General34097ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVIDER TAX14049411404941
FOOD10756381075638
SUPPLIES75830173790020401
PRESCRIPTIONS & DRUGS443738443738
MAINTENANCE295906295906

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total890792Total
Program Services753354ProgramServices
Management And General143706ManagementAndGeneral
Fundraising-6268Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total39796965Total
Program Services36225698ProgramServices
Management And General3371886ManagementAndGeneral
Fundraising199381Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6910401BOY
EOY7950123EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3226419BOY
EOY2566325EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3417870BOY
EOY3108824EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY197657BOY
EOY182025EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY710931BOY
EOY672126EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis75473418LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec43585399LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY33408194BOY
EOY31888019EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7889165BOY
EOY13906123EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY5834278BOY
EOY515371EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7231BOY
EOY4804EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY61602146BOY
EOY60793740EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3656687BOY
EOY3668419EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY25851933BOY
EOY25621737EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2731752BOY
EOY263547EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY32240372BOY
EOY29553703EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY21560879BOY
EOY22575755EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5153630BOY
EOY6017017EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2647265BOY
EOY2647265EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY29361774BOY
EOY31240037EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY61602146BOY
EOY60793740EOY
FieldValueIRS element (for citing)
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 Years910728CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years562990CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years900844CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year995528CurrentTaxYearMinus1Year
Current Tax Year929762CurrentTaxYear
Total4299852Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years36807198CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years37296337CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years39324192CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year39944247CurrentTaxYearMinus1Year
Current Tax Year39756122CurrentTaxYear
Total193128096Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37717926CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years37859327CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years40225036CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year40939775CurrentTaxYearMinus1Year
Current Tax Year40685884CurrentTaxYear
Total197427948Total

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 Total509197427948PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years344459CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years797925CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years458327CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year184505CurrentTaxYearMinus1Year
Current Tax Year121341CurrentTaxYear
Total1906557Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years344459CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years797925CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years458327CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year184505CurrentTaxYearMinus1Year
Current Tax Year121341CurrentTaxYear
Total1906557Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years204866CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years279523CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year386093CurrentTaxYearMinus1Year
Current Tax Year398997CurrentTaxYear
Total1269479Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years38062385CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years38862118CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years40962886CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year41510373CurrentTaxYearMinus1Year
Current Tax Year41206222CurrentTaxYear
Total200603984Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98420PublicSupportPercentage509
Prior Year Support Percentage0.98400PriorYearSupportPercentage
Investment Income Percentage0.00950InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01060PriorYrInvestIncomePercentage
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 Balance10176093BeginningOfYearBalance
Contributions228623Contributions
Investment Earnings Or Losses902670InvestmentEarningsOrLosses
Other Expenditures1415437OtherExpenditures
End Of Year Balance9891949EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Balance0.34000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.27000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.39000TermEndowmentEOYBalance
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 Basis47354002OtherCostOrOtherBasis
Depreciation25183390Depreciation
Book Value22170612BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis21545068OtherCostOrOtherBasis
Depreciation15895692Depreciation
Book Value5649376BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3830131OtherCostOrOtherBasis
Depreciation2506317Depreciation
Book Value1323814BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings31888019TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ANNUITIES PAYABLE$75,045
MISCELLANEOUS$160,859
DUE TO THIRD PARTY REIMBURSEMENT AG$27,643
FieldValueIRS element (for citing)
Total Of Amounts263547TotalOfAmounts
Total Revenue40797913TotalRevenue
Total Expenses39796965TotalExpenses
Excess Or Deficit For Year1000948ExcessOrDeficitForYear
Net Unrealized GL On Investments885851NetUnrealizedGLOnInvestments
Other-$8,536OtherAmount
Total Adjustments877315TotalAdjustments
Excess Or Deficit Per FS1878263ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt41706698TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments885851NetUnrealizedGainsInvestments
Other Revenues-8536OtherRevenues
Revenue Not Rptd F990877315RevenueNotRptdF990
Revenue Subtotal40829383RevenueSubtotal
Other Revenues Not Included-31470OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-31470RevenueNotRptdOnFinStmt
Total Revenue Per Form99040797913TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt39828435TotExpensesEtcAuditedFinclStmt
Other Expenses Included31470OtherExpensesIncluded
Expenses Not Rptd F99031470ExpensesNotRptdF990
Expenses Subtotal39796965ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99039796965TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4:Description of Intended Use of Endowment Funds:INVESTMENT INCOME UTILIZED TO SUPPORT OPERATIONS AND ACQUISITIONS OF FIXED ASSETS.
Part XI, Line 8 - Other Adjustments:CHANGE IN VALUE OF SPLIT INTERERST AGREEMENTS: -8536.
Part XII, Line 2d - Other Adjustments:CHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS: -8536.
Part XII, Line 4b - Other Adjustments:FUNDRAISING EVENT EXPENSES: -31470.
Part XIII, Line 2d - Other Adjustments:FUNDRAISING EVENT EXPENSES: 31470.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF OUTINGNameOfEvent1
Gross Receipts Event165894GrossReceiptsEvent1
Charitable Contributions Event142942CharitableContributionsEvent1
Gross Revenue Event122952GrossRevenueEvent1
Non Cash Prizes Event16047NonCashPrizesEvent1
Rent Facility Costs Event116347RentFacilityCostsEvent1
Other Direct Expenses Event1558OtherDirectExpensesEvent1
Name Of Event2FESTIVAL OF TREESNameOfEvent2
Gross Receipts Event221366GrossReceiptsEvent2
Charitable Contributions Event212848CharitableContributionsEvent2
Gross Revenue Event28518GrossRevenueEvent2
Rent Facility Costs Event28518RentFacilityCostsEvent2
Gross Receipts Total87260GrossReceiptsTotal
Charitable Contributions Total55790CharitableContributionsTotal
Gross Revenue Total Events31470GrossRevenueTotalEvents
Non Cash Prizes Total Events6047NonCashPrizesTotalEvents
Rent Facility Costs Total Events24865RentFacilityCostsTotalEvents
Other Direct Expenses Total Events558OtherDirectExpensesTotalEvents
Direct Expense Summary Events31470DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPSTypeOfGrant
Number Of Recipients2NumberOfRecipients
Amount Of Cash Grant6000AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: SCHOLARSHIP ASSISTANCE IS OFFERED TO EMPLOYEES OR THEIR CHILDREN WHO WISH TO PURSUE PROFESSIONAL AND VOCATIONAL COURSES OF STUDY THAT ARE RELATED TO THE EMPLOYEE'S POTENTIAL FOR PROMOTION OR MINIMUM JOB REQUIREMENTS. ALL COURSES MUST BE OFFERED THROUGH AN ACCREDITED INSTITUTION OF HIGHER LEARNING OR BE APPROVED FOR CONTINUING EDUCATION UNITS. TO QUALIFY, THE EMPLOYEE MUST BE EMPLOYED 32 HOURS OR MORE AND HAVE COMPLETED ONE YEAR OF CONTINUOUS EMPLOYMENT. THE EMPLOYEE MUST HAVE A GOOD WORK ATTENDANCE RECORD. THE EMPLOYEE OR THEIR CHILD MUST MEET THE REQUIREMENTS OF THE INSTITUTION OR AGENCY OFFERING THE COURSE. THE SCHOLARSHIP ASSISTANCE IS AVAILABLE IF THE APPLICANT IS NOT ELIGIBLE FOR ASSISTANCE FROM OTHER SOURCES OF REIMBURSEMENT.Explanation

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
237269027500000294410154960309706000
RAYMOND GASPERINI
1776230250000020664093930210180000
EILEEN MULLIGAN
1643850200000018611065490191545000
MIRIAM PARKER
18298402600000218110119450219340000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section B, line 11THE FORM 990 IS REVIEWED WITH THE BOARD OF DIRECTORS AT REGULARLY SCHEDULED BOARD OF DIRECTOR MEETING.
Form 990, Part VI, Section B, line 12cTHE 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 15CHURCH HOMES, INC. PERSONNEL COMMITTEE REVIEWS AND APPROVES OFFICER COMPENSATION ANNUALLY.
Form 990, Part VI, Section C, line 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART V, LINE 7B:CHURCH HOMES NOTIFIED THE DONOR OF THE VALUE OF THE GOODS OR SERVICES PROVIDED UPON REQUEST.

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
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