2011-02-08T11:18:30-06:00 2010-06-30 SASLOW LUFKIN & BUGGY LLP TEN TOWER LANE AVON CT 06001 990 2009-07-01 060934544 COMMUNITY MENTAL HEALTH AFFILIATES INC COMM 8608261358 270 JOHN DOWNEY DRIVE NEW BRITAIN CT 06051 RAYMOND J GORMAN 8608261358 2011-02-06 1 Beth Thurz 8606789200 2009 2016-02-24 21:20:13Z X RAYMOND J GORMAN 270 JOHN DOWNEY DRIVE NEW BRITAIN CT 06051 24079660 0 X WWW.CMHACC.ORG X 1975 CT TO PROVIDE MENTAL HEALTH, COMMUNITY SUPPORT SERVICES AND SUBSTANCE ABUSE TREATMENT TO THE COMMUNITY. 15 13 460 26 0 0 16957077 17440583 6735224 5313245 27200 69641 25122 10083 23744623 22833552 0 0 16811149 15355554 0 0 6818678 7000740 23629827 22356294 114796 477258 7917628 8091699 7829959 7472742 87669 618957 THE 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." 0 0 12313362 2151595 ADULT PROGRAMS - SERVICES INCLUDE OUTPATIENT COUNSELING, CASE MANAGEMENT SERVICES, RESIDENTIAL SUPPORT, VOCATIONAL & PREVOCATIONAL SUPPORT & SOCIALIZATION SERVICES. APPROX. 3,625 CLIENTS SERVED. 4809632 2144860 YOUTH PROGRAMS - CHILD GUIDANCE CLINIC, COUNSELING SERVICES. APPROX. 4,116 CLIENTS SERVED. 1348421 978567 FAMILY SERVICES - INCLUDES IN-HOME SERVICES PROVIDING FAMILY RECOVERY & SUBSTANCE ABUSE TREATMENT, INDIVIDUAL, FAMILY & GROUP THERAPY, YOUNG PARENTS PROGRAMS & PSYCHIATRIC ASSISTANCE. 305974 48306 OTHER PROGRAM SERVICES, COSTS RELATED TO SUBSTANCE ABUSE ACTION COUNCIL. 305974 48306 18777389 1 1 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 62 0 460 1 0 0 0 0 0 0 0 0 0 15 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 CT X MARY R CASEY CPA EVP & CFO 8608261358 270 JOHN DOWNEY DRIVE NEW BRITAIN CT 06051 KAREN V WILSON 1.00 X X 0 0 0 RAYMOND J GORMAN 40.00 X X 177148 0 5983 MICHAEL LYNCH 1.00 X X 0 0 0 JOHN MATULIS 1.00 X X 0 0 0 NICK PETTINICO 1.00 X X 0 0 0 GEORGIE POLLOWITZ 1.00 X 0 0 0 ANTONIO RODRIGUEZ 1.00 X 0 0 0 CAROL ZESUT 1.00 X 0 0 0 STAN KLUKOWSKI 1.00 X 0 0 0 PAUL MIKKELSON 1.00 X 0 0 0 JOSEPH PUZZO 1.00 X 0 0 0 JOANNE ADAMIK 1.00 X 0 0 0 HELEN MACDONALD DEGENER 1.00 X 0 0 0 STEVEN HANKS MD 1.00 X 0 528125 123936 RAMON HERNANDEZ 1.00 X 0 0 0 MARY CASEY 40.00 X 143204 0 2570 RANDALL DWENGER MD 20.00 X 113784 0 5990 MARGARET MAUD CHAPLIN M 25.00 X 117344 0 6115 HEATHER LAVALLEE 40.00 X 118021 0 5998 STEVEN D MOORE 40.00 X 121610 0 138 DEBORA KUSTRON 40.00 X 108752 0 7420 LAURENCE TANNER 0.00 X 0 2810856 518362 899863 3338981 676512 8 1 1 0 WHEELER CLINIC 91 NORTHWEST DRIVE PLAINVILLE CT 06062 MOBILE CRISIS 939785 HOSPITAL OF CENTRAL CT 100 GRAND STREET NEW BRITAIN CT 06051 HEALTH & PHYSICIAN SERVICES 186694 CT COMPUTER SERVICE INC 101 EAST SUMMER ST PLANTSVILLE CT 06479 IT TECHNOLOGY CONSULTING 157049 RANDSTAD PO BOX 2084 CAROL STREAM IL 60132 TEMP SERVICE 120031 PETER G SANDWELL MD 23 ORCUTT COURT NORTH HAVEN CT 06473 PSYCHIATRIST 118950 5 215058 16514431 711094 17440583 FEES FOR COUNSELING AN 624100 5313245 5313245 5313245 15749 15749 1300000 1246108 53892 53892 53892 MISCELLANEOUS 624100 10083 10083 10083 22833552 5323328 0 69641 330826 330826 12156681 10678475 1478206 2868047 2462740 405307 84150 84150 66236 28773 37463 48500 48500 2512554 2115395 397159 1091054 891325 199729 1247785 1039168 208617 307455 271041 36414 87063 58596 28467 123404 79654 43750 440203 410354 29849 228876 199846 29030 CLIENT SUPPORT 300387 299873 514 FOOD SERVICE 195501 178025 17476 BAD DEBT 192095 0 192095 RECRUITMENT 54904 48150 6754 equipment rental expens 17721 13122 4599 2852 2852 22356294 18777389 3578905 0 1839274 3247420 281290 375915 953325 674830 104177 160328 5820965 2393839 4603713 3427126 13536 20208 7848 7712 114465 178160 7917628 8091699 2442206 2531572 191764 539709 1535467 955172 1006772 539217 2653750 2907072 7829959 7472742 X 4532 535026 83137 83931 87669 618957 7917628 8091699 X 0 1 1 X 1 1 X 11708264 12476719 16021646 16957077 17440583 74604289 11708264 12476719 16021646 16957077 17440583 74604289 74604289 34005 29310 28111 27200 15749 134375 3240 151295 8209 25122 10083 197949 74936613 28497515 0.99560 0.99530 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 83137 794 83931 86213 -3076 83137 1.00000 0 0 77759 77759 1343160 595923 747237 3356014 1276289 2079725 1044032 521627 522405 3427126 LOANS FROM CCHA 2618750 CAPITAL LEASES 288322 2907072 22833552 22356294 477258 19030 35000 54030 531288 22887582 19030 35000 54030 22833552 0 22833552 22356294 0 22356294 0 22356294 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. X 0 0 0 0 0 0 0 0 0 RAYMOND J GORMAN 165148 0 12000 0 0 0 3537 0 2446 0 183131 0 0 0 STEVEN HANKS MD 0 392996 0 34521 0 100608 0 122445 0 1491 0 652061 0 0 LAURENCE TANNER 0 633971 0 57587 0 2119298 0 497183 0 21179 0 3329218 0 60882 Form 990, Part VI, Section A, line 6 THERE 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 7a CLASS 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 7b THE 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 11 MEMBERS 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 12c ON 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 15a AT 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 19 THE 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. THE HOSPITAL OF CENTRAL CONNECTICUT 100 GRAND STREET NEW BRITAIN CT 06050 060646768 HOSPITAL CT 501(C)(3) 3 CENTRAL CONNECTICUT HEALTH ALLIANCE CENTRAL CONNECTICUT SENIOR HEALTH SERVICES INC 45 MERIDEN AVENUE SOUTHINGTON CT 06489 222635676 SUB-ACUTE AND LONG-TERM HEALTH CARE CT 501(C)(3) 9 CENTRAL CONNECTICUT HEALTH ALLIANCE VNA OF CENTRAL CONNECTICUT INC 205 WEST MAIN STREET NEW BRITAIN CT 06050 060646940 PUBLIC HEALTH NURSING AND HOME CARE CT 501(C)(3) 9 CENTRAL CONNECTICUT HEALTH ALLIANCE CENTRAL CONNECTICUT HEALTH ALLIANCE 100 GRAND STREET NEW BRITAIN CT 06050 222785033 HEALTHCARE ADMINISTRATION OF THE HOSPITAL OF CENTRAL CT CT 501(C)(3) 11B N/A THE ORCHARDS AT SOUTHINGTON 34 HOBART STREET SOUTHINGTON CT 06489 061490803 RESIDENTIAL SERVICES FOR SENIOR CITIZENS CT 501(C)(3) 9 CENTRAL CONNECTICUT SENIOR HEALTH SERVICES INC MULBERRY GARDENS OF SOUTHINGTON INC 58 MULBERRY STREET PLANTSVILLE CT 06489 820586577 ASSISTED LIVING & ADULT DAY CARE FACILITY CT 501(C)(3) 9 CENTRAL CONNECTICUT SENIOR HEALTH SERVICES INC JEROME HOME 975 CORBIN AVE NEW BRITAIN CT 06052 060646690 NURSING HOME CT 501(C)(3) 9 CENTRAL CT SPORTS MEDICINE CENTER LLC 15 MASSIRIO DRIVE BERLIN CT 06037 223196509 SPORTS MEDICINE SERVICES CT CENTRAL CONNECTICUT HEALTH ALLIANCE RELATED 0 0 NEW BRITAIN OCCUPATIONAL HEALTH CENTER LLC 440 NEW BRITAIN AVENUE NEW BRITAIN CT 06062 061484904 OCCUPATIONAL HEALTH SERVICES CT N/A RELATED 0 0 NEW BRITAIN MRI LIMITED PARTNERSHIP 100 GRAND STREET NEW BRITAIN CT 06050 061271349 MAGNETIC RESONANCE IMAGING CT CENCONN SERVICES INC RELATED 0 0 CENCONN SERVICES INC 100 GRAND STREET NEW BRITAIN CT 06050 222836001 INVESTMENT MANAGEMENT CT CENTRAL CONNECTICUT HEALTH ALLIANCE C 0 0 0 0 1 0 0 0 0 1 0 1 0 0 1 0 0 0 CENTRAL CONNECTICUT HEALTH ALLIANCE E 2618750 CENTRAL CONNECTICUT HEALTH ALLIANCE L 84150 CENTRAL CONNECTICUT HEALTH ALLIANCE J 210511 THE HOSPITAL OF CENTRAL CONNECTICUT O 231821