FURP.ORG / PUBLIC DATA EXPLORER

COMMUNITY MENTAL HEALTH AFFILIATES INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY MENTAL HEALTH AFFILIATES INC (EIN 06-0934544)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-02-08
IRS object ID
201120399349300802
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)
Timestamp2011-02-08T11:18:30-06:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

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 Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN060934544EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY MENTAL HEALTH AFFILIATES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone8608261358Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1270 JOHN DOWNEY DRIVEAddressLine1
CityNEW BRITAINCity
StateCTState
ZIP Code06051ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRAYMOND J GORMANName
TitlePRESIDENT & CEOTitle
Phone8608261358Phone
Date Signed2011-02-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBeth ThurzName
Phone8606789200Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonRAYMOND J GORMANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1270 JOHN DOWNEY DRIVEAddressLine1
CityNEW BRITAINCity
StateCTState
ZIP Code06051ZIPCode
FieldValueIRS element (for citing)
Gross Receipts24079660GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.CMHACC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1975YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE MENTAL HEALTH, COMMUNITY SUPPORT SERVICES AND SUBSTANCE ABUSE TREATMENT TO THE COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees460TotalNbrEmployees
Total Nbr Volunteers26TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year16957077ContributionsGrantsPriorYear
Contributions Grants Current Year17440583ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6735224ProgramServiceRevenuePriorYear
Program Service Revenue CY5313245ProgramServiceRevenueCY
Investment Income Prior Year27200InvestmentIncomePriorYear
Investment Income Current Year69641InvestmentIncomeCurrentYear
Other Revenue Prior Year25122OtherRevenuePriorYear
Other Revenue Current Year10083OtherRevenueCurrentYear
Total Revenue Prior Year23744623TotalRevenuePriorYear
Total Revenue Current Year22833552TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year16811149SalariesEtcPriorYear
Salaries Etc Current Year15355554SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6818678OtherExpensePriorYear
Other Expenses Current Year7000740OtherExpensesCurrentYear
Total Expenses Prior Year23629827TotalExpensesPriorYear
Total Expenses Current Year22356294TotalExpensesCurrentYear
Revenues Less Expenses Prior Year114796RevenuesLessExpensesPriorYear
Revenues Less Expenses CY477258RevenuesLessExpensesCY
Total Assets BOY7917628TotalAssetsBOY
Total Assets EOY8091699TotalAssetsEOY
Total Liabilities BOY7829959TotalLiabilitiesBOY
Total Liabilities EOY7472742TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY87669NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY618957NetAssetsOrFundBalancesEOY
Mission DescriptionTHE PRIMARY EXEMPT PURPOSE OF THE ORGANIZATION IS TO PROVIDE MENTAL HEALTH, COMMUNITY SUPPORT SERVICES AND SUBSTANCE ABUSE TREATMENT TO THE COMMUNITY. OUR MISSION IS "PARTNERS IN RECOVERY."MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12313362Expense
Revenue2151595Revenue
DescriptionADULT PROGRAMS - SERVICES INCLUDE OUTPATIENT COUNSELING, CASE MANAGEMENT SERVICES, RESIDENTIAL SUPPORT, VOCATIONAL & PREVOCATIONAL SUPPORT & SOCIALIZATION SERVICES. APPROX. 3,625 CLIENTS SERVED.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4809632Expense
Revenue2144860Revenue
DescriptionYOUTH PROGRAMS - CHILD GUIDANCE CLINIC, COUNSELING SERVICES. APPROX. 4,116 CLIENTS SERVED.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1348421Expense
Revenue978567Revenue
DescriptionFAMILY SERVICES - INCLUDES IN-HOME SERVICES PROVIDING FAMILY RECOVERY & SUBSTANCE ABUSE TREATMENT, INDIVIDUAL, FAMILY & GROUP THERAPY, YOUNG PARENTS PROGRAMS & PSYCHIATRIC ASSISTANCE.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense305974Expense
Revenue48306Revenue
DescriptionOTHER PROGRAM SERVICES, COSTS RELATED TO SUBSTANCE ABUSE ACTION COUNCIL.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp305974TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev48306TotalOfOtherProgramServiceRev
Total Program Service Expense18777389TotalProgramServiceExpense
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 Activities0FundraisingActivities
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
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109662NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees460NumberOfEmployees
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
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
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 Other0CompensationProcessOther
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 Line1MARY R CASEY CPA EVP & CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8608261358TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1270 JOHN DOWNEY DRIVEAddressLine1
CityNEW BRITAINCity
StateCTState
ZIP Code06051ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
KAREN V WILSON
SECRETARY1.00XX000
RAYMOND J GORMAN
PRESIDENT40.00XX17714805983
MICHAEL LYNCH
TREASURER1.00XX000
JOHN MATULIS
CHAIR1.00XX000
NICK PETTINICO
VICE CHAIR1.00XX000
GEORGIE POLLOWITZ
MEMBER BOD1.00X000
ANTONIO RODRIGUEZ
MEMBER BOD1.00X000
CAROL ZESUT
MEMBER BOD1.00X000
STAN KLUKOWSKI
MEMBER BOD1.00X000
PAUL MIKKELSON
MEMBER BOD1.00X000
JOSEPH PUZZO
MEMBER BOD1.00X000
JOANNE ADAMIK
MEMBER BOD1.00X000
HELEN MACDONALD DEGENER
MEMBER BOD1.00X000
STEVEN HANKS MD
MEMBER BOD1.00X0528125123936
RAMON HERNANDEZ
MEMBER BOD1.00X000
MARY CASEY
EVP & CFO40.00X14320402570
RANDALL DWENGER MD
PSYCHIATRIST20.0011378405990X
MARGARET MAUD CHAPLIN M
PSYCHIATRIST25.0011734406115X
HEATHER LAVALLEE
VP OF HUMAN RESOURCES40.0011802105998X
STEVEN D MOORE
CHIEF CLINICAL OFFICER40.001216100138X
DEBORA KUSTRON
VP OF CHILDREN AND FAMIL40.0010875207420X
LAURENCE TANNER
EX OFFICIO0.0002810856518362X
FieldValueIRS element (for citing)
Total Reportable Comp From Org899863TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3338981TotalReportableCompFrmRltdOrgs
Total Other Compensation676512TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers Listed1FormersListed
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
WHEELER CLINIC
91 NORTHWEST DRIVEPLAINVILLECT06062MOBILE CRISIS939785
HOSPITAL OF CENTRAL CT
100 GRAND STREETNEW BRITAINCT06051HEALTH & PHYSICIAN SERVICES186694
CT COMPUTER SERVICE INC
101 EAST SUMMER STPLANTSVILLECT06479IT TECHNOLOGY CONSULTING157049
RANDSTAD
PO BOX 2084CAROL STREAMIL60132TEMP SERVICE120031
PETER G SANDWELL MD
23 ORCUTT COURTNORTH HAVENCT06473PSYCHIATRIST118950
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Federated Campaigns215058FederatedCampaigns
Government Grants16514431GovernmentGrants
All Other Contributions711094AllOtherContributions
Total Contributions17440583TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionFEES FOR COUNSELING ANDescription
Business Code624100BusinessCode
Total Revenue Column5313245TotalRevenueColumn
Related Or Exempt Function Income5313245RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue5313245TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column15749TotalRevenueColumn
Exclusion$15,749ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other1300000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other1246108Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other53892Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column53892TotalRevenueColumn
Exclusion$53,892ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code624100BusinessCode
Total Revenue Column10083TotalRevenueColumn
Related Or Exempt Function Income10083RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue10083TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column22833552TotalRevenueColumn
Related Or Exempt Function Income5323328RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$69,641ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total330826Total
Management And General330826ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total12156681Total
Program Services10678475ProgramServices
Management And General1478206ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2868047Total
Program Services2462740ProgramServices
Management And General405307ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total84150Total
Management And General84150ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total66236Total
Program Services28773ProgramServices
Management And General37463ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total48500Total
Management And General48500ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2512554Total
Program Services2115395ProgramServices
Management And General397159ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1091054Total
Program Services891325ProgramServices
Management And General199729ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1247785Total
Program Services1039168ProgramServices
Management And General208617ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total307455Total
Program Services271041ProgramServices
Management And General36414ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total87063Total
Program Services58596ProgramServices
Management And General28467ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total123404Total
Program Services79654ProgramServices
Management And General43750ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total440203Total
Program Services410354ProgramServices
Management And General29849ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total228876Total
Program Services199846ProgramServices
Management And General29030ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CLIENT SUPPORT300387299873514
FOOD SERVICE19550117802517476
BAD DEBT1920950192095
RECRUITMENT54904481506754
equipment rental expens17721131224599

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2852Total
Program Services2852ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total22356294Total
Program Services18777389ProgramServices
Management And General3578905ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1839274BOY
EOY3247420EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY281290BOY
EOY375915EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY953325BOY
EOY674830EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY104177BOY
EOY160328EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5820965LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2393839LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4603713BOY
EOY3427126EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY13536BOY
EOY20208EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY7848BOY
EOY7712EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY114465BOY
EOY178160EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7917628BOY
EOY8091699EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2442206BOY
EOY2531572EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY191764BOY
EOY539709EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1535467BOY
EOY955172EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1006772BOY
EOY539217EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2653750BOY
EOY2907072EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7829959BOY
EOY7472742EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4532BOY
EOY535026EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY83137BOY
EOY83931EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY87669BOY
EOY618957EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7917628BOY
EOY8091699EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11708264CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12476719CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16021646CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16957077CurrentTaxYearMinus1Year
Current Tax Year17440583CurrentTaxYear
Total74604289Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11708264CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12476719CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16021646CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16957077CurrentTaxYearMinus1Year
Current Tax Year17440583CurrentTaxYear
Total74604289Total
FieldValueIRS element (for citing)
Public Support Total17074604289PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years34005CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29310CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28111CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27200CurrentTaxYearMinus1Year
Current Tax Year15749CurrentTaxYear
Total134375Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3240CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years151295CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8209CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25122CurrentTaxYearMinus1Year
Current Tax Year10083CurrentTaxYear
Total197949Total
FieldValueIRS element (for citing)
Total Support74936613TotalSupport
Gross Receipts From Admissions Etc28497515GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99560PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99530PublicSupportPertcentPriorYear
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 Balance83137BeginningOfYearBalance
Investment Earnings Or Losses794InvestmentEarningsOrLosses
End Of Year Balance83931EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance86213BeginningOfYearBalance
Investment Earnings Or Losses-3076InvestmentEarningsOrLosses
End Of Year Balance83137EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis77759OtherCostOrOtherBasis
Book Value77759BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1343160OtherCostOrOtherBasis
Depreciation595923Depreciation
Book Value747237BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3356014OtherCostOrOtherBasis
Depreciation1276289Depreciation
Book Value2079725BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1044032OtherCostOrOtherBasis
Depreciation521627Depreciation
Book Value522405BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3427126TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
LOANS FROM CCHA$2,618,750
CAPITAL LEASES$288,322
FieldValueIRS element (for citing)
Total Of Amounts2907072TotalOfAmounts
Total Revenue22833552TotalRevenue
Total Expenses22356294TotalExpenses
Excess Or Deficit For Year477258ExcessOrDeficitForYear
Net Unrealized GL On Investments19030NetUnrealizedGLOnInvestments
Other$35,000OtherAmount
Total Adjustments54030TotalAdjustments
Excess Or Deficit Per FS531288ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt22887582TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments19030NetUnrealizedGainsInvestments
Other Revenues35000OtherRevenues
Revenue Not Rptd F99054030RevenueNotRptdF990
Revenue Subtotal22833552RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99022833552TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt22356294TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal22356294ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99022356294TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part X:Description of Uncertain Tax Positions Under FIN 48:DURING 2010, CMHA ADOPTED CERTAIN PROVISIONS OF FASB ASC 740, "INCOME TAXES" WHICH PROVIDE A NEW FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR FINANCIAL STATEMENTS. WITH THESE CHANGES, CMHA MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. CMHA DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2010. AS OF JUNE 30, 2010, CMHA DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. THEREFORE, THE CERTAIN PROVISIONS OF FASB ASC 740, WHICH WERE ADOPTED DURING 2010, HAD NO IMPACT ON CMHA'S FINANCIAL STATEMENTS.
Part XI, Line 8 - Other Adjustments:DEBT FORGIVENESS FROM AFFILIATE: 35000.
Part XII, Line 2d - Other Adjustments:DEBT FORGIVENESS FROM CCHA: 35000.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (3 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
RAYMOND J GORMAN
1651480120000003537024460183131000
STEVEN HANKS MD
03929960345210100608012244501491065206100
LAURENCE TANNER
063397105758702119298049718302117903329218060882

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 6THERE ARE TWO CLASSES OF BOARD MEMBERS OF COMMUNITY MENTAL HEALTH AFFILIATES, INC. CLASS A MEMBERS ARE SELECTED FROM INDIVIDUALS WHO ARE INTERESTED IN THE PURPOSES OF THE CORPORATION AND WHO ARE REPRESENTATIVE OF BROAD SECTIONS OF THE COMMUNITY. THERE IS ONE CLASS B MEMBER, CENTRAL CONNECTICUT HEALTH ALLIANCE, INC.
Form 990, Part VI, Section A, line 7aCLASS A MEMBERS HAVE THE RIGHT TO VOTE FOR THE ELECTION OF OTHER CLASS A MEMBERS. THE CLASS B MEMBER HAS THE RIGHT TO VOTE FOR THE ELECTION OF DIRECTORS AS PRESENTED BY THE CLASS A MEMBERS. THE CLASS B MEMBER HAS THE RIGHT TO REMOVE DIRECTORS FROM OFFICE, BUT ONLY WITH A 2/3 AFFIRMATIVE VOTE BY THE CLASS A MEMBERS.
Form 990, Part VI, Section A, line 7bTHE BUSINESS, PROPERTY AND AFFAIRS OF THE CORPORATION ARE UNDER THE DIRECTION AND CONTROL OF THE BOARD, SUBJECT TO THE POWERS RESERVED TO THE CLASS B MEMBER AS DESCRIBED IN THE ORGANIZATION'S BYLAWS.
Form 990, Part VI, Section B, line 11MEMBERS OF THE BOARD OF DIRECTORS WERE GIVEN A COPY OF THE FORM 990 FOR THEIR REVIEW AT THE JANUARY 27, 2011 BOARD MEETING.
Form 990, Part VI, Section B, line 12cON AN ANNUAL BASIS, THE MEMBERS OF THE BOARD OF DIRECTORS ARE ASKED TO SIGN A CONFLICT OF INTEREST STATEMENT WHICH CITES THE RELEVANT SECTION OF THE AGENCY'S BY-LAWS REGARDING ITS POLICY ON CONFLICT OF INTEREST. POTENTIAL CONFLICTS OF INTEREST ARE BROUGHT BEFORE THE BOARD FOR DISCUSSION AND RESOLUTION. ANNUAL CONFLICT OF INTEREST DISCLOSURE DOCUMENTS ARE RETAINED FOR REVIEW AND PUBLIC INSPECTION UPON REQUEST.
Form 990, Part VI, Section B, line 15aAT THE BEGINNING OF THE FISCAL YEAR, THE PRESIDENT AND CEO WORK WITH THE CHAIRMAN OF THE BOARD OF DIRECTORS ON THE ESTABLISHMENT OF GOALS, OBJECTIVES AND BENCHMARKS THE AGENCY IS TO ACHIEVE DURING AN ENSUING TWELVE MONTH PERIOD. THE PRESIDENT AND CEO REPORT BI-ANNUALLY ON THE PROGRESS OF ACHIEVEMENT OF THESE GOALS TO THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS CONDUCTS THE ANNUAL PERFORMANCE EVALUATION OF THE PRESIDENT AND CEO USING THE ESTABLISHED GOALS AND OBJECTIVES AS THE BASIS FOR THEIR REVIEW. THE ANNUAL PERFORMANCE EVALUATIONS OF THE OFFICERS AND KEY EMPLOYEES OF THE AGENCY ARE CONDUCTED BY THE PRESIDENT AND CEO.
Form 990, Part VI, Section C, line 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, FORM 990 AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION FILES ITS ANNUAL FINANCIAL STATEMENTS DIRECTLY WITH ITS FUNDING AGENCIES.
FORM 990, PART XI, LINE 2C:THE BOARD OF DIRECTORS IS RESPONSIBLE FOR SELECTING AN INDEPENDENT AUDITOR AND FOR OVERSEEING THE ANNUAL FINANCIAL STATEMENT AUDIT PROCESS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Direct Controlling Entity NADirectControllingEntityNA
THE HOSPITAL OF CENTRAL CONNECTICUT
100 GRAND STREETNEW BRITAINCT06050060646768HOSPITALCT501(C)(3)3CENTRAL CONNECTICUT HEALTH ALLIANCE
CENTRAL CONNECTICUT SENIOR HEALTH SERVICES INC
45 MERIDEN AVENUESOUTHINGTONCT06489222635676SUB-ACUTE AND LONG-TERM HEALTH CARECT501(C)(3)9CENTRAL CONNECTICUT HEALTH ALLIANCE
VNA OF CENTRAL CONNECTICUT INC
205 WEST MAIN STREETNEW BRITAINCT06050060646940PUBLIC HEALTH NURSING AND HOME CARECT501(C)(3)9CENTRAL CONNECTICUT HEALTH ALLIANCE
CENTRAL CONNECTICUT HEALTH ALLIANCE
100 GRAND STREETNEW BRITAINCT06050222785033HEALTHCARE ADMINISTRATION OF THE HOSPITAL OF CENTRAL CTCT501(C)(3)11BN/A
THE ORCHARDS AT SOUTHINGTON
34 HOBART STREETSOUTHINGTONCT06489061490803RESIDENTIAL SERVICES FOR SENIOR CITIZENSCT501(C)(3)9CENTRAL CONNECTICUT SENIOR HEALTH SERVICES INC
MULBERRY GARDENS OF SOUTHINGTON INC
58 MULBERRY STREETPLANTSVILLECT06489820586577ASSISTED LIVING & ADULT DAY CARE FACILITYCT501(C)(3)9CENTRAL CONNECTICUT SENIOR HEALTH SERVICES INC
JEROME HOME
975 CORBIN AVENEW BRITAINCT06052060646690NURSING HOMECT501(C)(3)9

Form990 Schedule R Part III Form990ScheduleRPartIII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerDirect Controlling Entity NADirectControllingEntityNA
CENTRAL CT SPORTS MEDICINE CENTER LLC
15 MASSIRIO DRIVEBERLINCT06037223196509SPORTS MEDICINE SERVICESCTCENTRAL CONNECTICUT HEALTH ALLIANCERELATED00
NEW BRITAIN OCCUPATIONAL HEALTH CENTER LLC
440 NEW BRITAIN AVENUENEW BRITAINCT06062061484904OCCUPATIONAL HEALTH SERVICESCTRELATED00N/A
NEW BRITAIN MRI LIMITED PARTNERSHIP
100 GRAND STREETNEW BRITAINCT06050061271349MAGNETIC RESONANCE IMAGINGCTCENCONN SERVICES INCRELATED00

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1CENCONN SERVICES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 GRAND STREETAddressLine1
CityNEW BRITAINCity
StateCTState
ZIP Code06050ZIPCode
FieldValueIRS element (for citing)
EIN222836001EIN
Primary ActivityINVESTMENT MANAGEMENTPrimaryActivity
Legal Domicile StateCTLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL CONNECTICUT HEALTH ALLIANCEBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
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 Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
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 Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
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 (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
CENTRAL CONNECTICUT HEALTH ALLIANCE
E2618750
CENTRAL CONNECTICUT HEALTH ALLIANCE
L84150
CENTRAL CONNECTICUT HEALTH ALLIANCE
J210511
THE HOSPITAL OF CENTRAL CONNECTICUT
O231821