Center for Hospice Care Southeast: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
Center for Hospice Care Southeast (EIN 22-2667260)
Tax period
2010-07-01 to 2011-06-30
Filed
2011-11-10
IRS object ID
201103149349301235
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)
Timestamp2011-11-10T11:40:20-06:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-07-01TaxPeriodBeginDate

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 Signed2011-11-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSTEVEN J STRANIERIName
Phone8606789200Phone
Date Prepared2011-11-09DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts5517130GrossReceipts
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 Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees80TotalNbrEmployees
Total Nbr Volunteers130TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year324446ContributionsGrantsPriorYear
Contributions Grants Current Year366471ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4556418ProgramServiceRevenuePriorYear
Program Service Revenue CY4698655ProgramServiceRevenueCY
Investment Income Prior Year60175InvestmentIncomePriorYear
Investment Income Current Year115641InvestmentIncomeCurrentYear
Other Revenue Prior Year86386OtherRevenuePriorYear
Other Revenue Current Year63308OtherRevenueCurrentYear
Total Revenue Prior Year5027425TotalRevenuePriorYear
Total Revenue Current Year5244075TotalRevenueCurrentYear
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 Year2981000SalariesEtcPriorYear
Salaries Etc Current Year3299911SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year174404TotalFundrsngExpCurrentYear
Other Expense Prior Year1798984OtherExpensePriorYear
Other Expenses Current Year1858591OtherExpensesCurrentYear
Total Expenses Prior Year4779984TotalExpensesPriorYear
Total Expenses Current Year5158502TotalExpensesCurrentYear
Revenues Less Expenses Prior Year247441RevenuesLessExpensesPriorYear
Revenues Less Expenses CY85573RevenuesLessExpensesCY
Total Assets BOY6262718TotalAssetsBOY
Total Assets EOY6708946TotalAssetsEOY
Total Liabilities BOY1356455TotalLiabilitiesBOY
Total Liabilities EOY1318447TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4906263NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5390499NetAssetsOrFundBalancesEOY
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
Expense3536068Expense
Revenue4698655Revenue
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 - 3,287HOSPICE PATIENT DAYS - 32,643Description
Total Program Service Expense3536068TotalProgramServiceExpense
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 Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
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 Contributions1DeductibleNonCashContributions
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 With109652NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees80NumberOfEmployees
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 Members17NbrVotingGoverningBodyMembers
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
JEAN BARRASSO
PRESIDENT1.00XX000
MARK F BROWN
BOARD MEMBER1.00X000
JEFFREY BUEBENDORF
BOARD MEMBER1.00X000
KATHLEEN CHARTIER
BOARD MEMBER1.00X000
JANE S DAUPHINAIS
BOARD MEMBER1.00X000
GAIL PIOTRKOWSKI
BOARD MEMBER1.00X000
JAMES E SAWYER
TREASURER1.00XX000
ANGELA ARNOLD
BOARD MEMBER1.00X000
KEITH FONTAINE
BOARD MEMBER1.00X000
BETHANY HASLAM
SECRETARY1.00XX000
BRIAN MCNAMARA
BOARD MEMBER1.00X000
LENNY WINKLER
BOARD MEMBER1.00X000
JAMES E BATES
BOARD MEMBER1.00X000
BISHOP B CURRY III DVM
BOARD MEMBER1.00X000
CRISTA F DURAND
BOARD MEMBER1.00X000
PAQUI MOTYL MD
BOARD MEMBER1.00X000
CAROL MAHIER
EXECUTIVE DIRECTOR38.00X10059100
FieldValueIRS element (for citing)
Total Reportable Comp From Org100591TotalReportableCompFromOrg
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
BAYVIEW HEALTH CENTER
301 ROPE FERRY ROADWATERFORDCT06385GENERAL INPATIENT CARE252787
AETNA INSURANCE INC
PO BOX 7247-0233PHILADELPHIAPA191700233HEALTH INSURANCE PREMIUMS216721
HOSPICE PHARMACIA
PO BOX 510818PHILADELPHIAPA191700233PHARMACY- PATIENTS174926
LAWRENCE & MEMORIAL HOSPITAL
PO BOX 1471 365 MONTAUK AVENEW LONDONCT06320INPATIENT/OUTPATIENT CARE143506
GREENTREE MANOR
4 GREENTREE DRIVEWATERFORDCT06385GENERAL INPATIENT CARE109247
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions366471AllOtherContributions
Total Contributions366471TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICE REVENUDescription
Business Code621610BusinessCode
Total Revenue Column4698655TotalRevenueColumn
Related Or Exempt Function Income4698655RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue4698655TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column56811TotalRevenueColumn
Exclusion$56,811ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities286203Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities227373Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities58830Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column58830TotalRevenueColumn
Exclusion$58,830ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events108990GrossIncomeFundraisingEvents
Fundraising Direct Expenses45682FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column63308TotalRevenueColumn
Exclusion$63,308ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5244075TotalRevenueColumn
Related Or Exempt Function Income4698655RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$178,949ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total107320Total
Program Services77270ProgramServices
Management And General30050ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2648240Total
Program Services1949333ProgramServices
Management And General552209ManagementAndGeneral
Fundraising146698Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3099Total
Program Services2199ProgramServices
Management And General900ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total306781Total
Program Services217652ProgramServices
Management And General89129ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total234471Total
Program Services166350ProgramServices
Management And General68121ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total5552Total
Management And General5552ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total17409Total
Management And General17409ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total17127Total
Management And General17127ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total634918Total
Program Services505911ProgramServices
Management And General129007ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total52619Total
Management And General52619ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total92837Total
Management And General92837ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total38314Total
Management And General38314ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total69159Total
Management And General69159ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total127611Total
Program Services127611ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total14171Total
Management And General14171ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total69361Total
Management And General69361ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total130902Total
Management And General130902ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total23673Total
Program Services15568ProgramServices
Management And General8105ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
SUPPLIES5153184541443346827706
DUES & SUBSCRIPTIONS2325123251
BAD DEBT15000150000
MISCELLANEOUS1136950306339

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5158502Total
Program Services3536068ProgramServices
Management And General1448030ManagementAndGeneral
Fundraising174404Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY75BOY
EOY75EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1589420BOY
EOY1523222EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY430694BOY
EOY518817EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY83479BOY
EOY54641EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2900896LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec486058LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2472192BOY
EOY2414838EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1686858BOY
EOY2197353EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6262718BOY
EOY6708946EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY322664BOY
EOY325729EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1033791BOY
EOY992718EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1356455BOY
EOY1318447EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4739129BOY
EOY5094662EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY77314BOY
EOY85992EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY89820BOY
EOY209845EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4906263BOY
EOY5390499EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6262718BOY
EOY6708946EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses85573ReconcilationRevenueExpenses
Reconcilation Other Changes398663ReconcilationOtherChanges
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 Years652080CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years740552CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years238726CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year436723CurrentTaxYearMinus1Year
Current Tax Year475461CurrentTaxYear
Total2543542Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years652080CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years740552CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years238726CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year436723CurrentTaxYearMinus1Year
Current Tax Year475461CurrentTaxYear
Total2543542Total
FieldValueIRS element (for citing)
Public Support Total1702543542PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years158577CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years83648CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years59398CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year57655CurrentTaxYearMinus1Year
Current Tax Year56811CurrentTaxYear
Total416089Total
FieldValueIRS element (for citing)
Total Support2959631TotalSupport
Gross Receipts From Admissions Etc22915077GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.85940PublicSupportPertcentage170
Public Support Pertcent Prior Year0.85570PublicSupportPertcentPriorYear
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 Balance1843055BeginningOfYearBalance
Contributions180740Contributions
Investment Earnings Or Losses311587InvestmentEarningsOrLosses
Administrative Expenses52037AdministrativeExpenses
End Of Year Balance2283345EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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 Balance0.87000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.09000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.04000TermEndowmentEOYBalance
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 Basis2039438OtherCostOrOtherBasis
Depreciation419126Depreciation
Book Value1620312BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis431458OtherCostOrOtherBasis
Depreciation66932Depreciation
Book Value364526BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2414838TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionASSETS LIMITED AS TO USEDescription
Book Value2197353BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities2197353TotalOfBookValueSecurities
Total Revenue5244075TotalRevenue
Total Expenses5158502TotalExpenses
Excess Or Deficit For Year85573ExcessOrDeficitForYear
Net Unrealized GL On Investments217923NetUnrealizedGLOnInvestments
Other$180,740OtherAmount
Total Adjustments398663TotalAdjustments
Excess Or Deficit Per FS484236ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt5339631TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments217923NetUnrealizedGainsInvestments
Other Revenues52037OtherRevenues
Revenue Not Rptd F990269960RevenueNotRptdF990
Revenue Subtotal5069671RevenueSubtotal
Other Revenues Not Included174404OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt174404RevenueNotRptdOnFinStmt
Total Revenue Per Form9905244075TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4984098TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal4984098ExpensesSubtotal
Other Expenses Not Included174404OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt174404ExpensesNotRptdOnFinStmt
Total Expenses Per Form9905158502TotalExpensesPerForm990

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, 2011 AND 2010. AS OF JUNE 30, 2011 AND 2010, THE AGENCY DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. ALL TAX YEARS FROM 2007 FORWARD ARE OPEN AND SUBJECT TO EXAMINATION.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CONTRIBUTIONS - TEMPORARILY RESTRICTED NET ASSETS 60,715. CONTRIBUTIONS - PERMANENTLY RESTRICTED NET ASSETS 120,025. NET ASSETS RELEASED FROM RESTRICTIONS -52,037. NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS 52,037.
PART XII, LINE 2D - OTHER ADJUSTMENTS:NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS 52,037.
PART XII, LINE 4B - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES 174,404.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES 174,404.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1SPECIAL EVENTSNameOfEvent1
Gross Receipts Event1108990GrossReceiptsEvent1
Gross Revenue Event1108990GrossRevenueEvent1
Other Direct Expenses Event145682OtherDirectExpensesEvent1
Gross Receipts Total108990GrossReceiptsTotal
Gross Revenue Total Events108990GrossRevenueTotalEvents
Other Direct Expenses Total Events45682OtherDirectExpensesTotalEvents
Direct Expense Summary Events45682DirectExpenseSummaryEvents
Net Income Summary63308NetIncomeSummary

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionINKIND GOODS & SERVICESDescription
Number Of Contributions4NumberOfContributions
Noncash Contribs Rptd F9900NoncashContribsRptdF990
Method Of Determining RevenuesN/AMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierNON REPORTING OF REVENUE:Identifier
Return ReferencePART I, LINE 33:ReturnReference
ExplanationOTHER INKIND GOODS & SERVICES = $32,544 (COMPARABLE SALES)Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
THE 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 12C
THE 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 B, LINE 15
GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 217,923. CONTRIBUTIONS - TEMPORARILY RESTRICTED NET ASSETS 60,715. CONTRIBUTIONS - PERMANENTLY RESTRICTED NET ASSETS 120,025. NET ASSETS RELEASED FROM RESTRICTIONS -52,037. NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS 52,037. TOTAL TO FORM 990, PART XI, LINE 5: 398,663.FORM 990, PART XI, LINE 5:
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.FORM 990, PART XI, LINE 2C:

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 Involved143506AmountInvolved
Method Of Amt DeterminationACTUAL COSTMethodOfAmtDetermination

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