2024-02-02T11:22:30-06:00 2023-09-30 410746749 CLIFTONLARSONALLEN LLP 4 BATTERYMARCH PARK SUITE 100 QUINCY MA 02169 990 2022-10-01 060763898 CHURCH HOMES INC CONGREGATIONAL CHUR 8605279126 217 AVERY HEIGHTS HARTFORD CT 061064200 PATRICK GILLAND CEO 8605279126 2024-01-30 1 PATRICK GILLAND 999009999 0 DANIELLE NIHILL P01350943 6177170831 2024-01-30 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z PATRICK GILLAND 217 AVERY HEIGHTS HARTFORD CT 061064200 52391620 0 X WWW.CHURCHHOMES.ORG X 1957 CT TO PROVIDE A FULL RANGE OF RESIDENTIAL LIVING AND HEALTH CARE SERVICES FOR OLDER ADULTS. 12 11 475 136 0 0 1148619 597833 40334048 42802461 685380 1041006 481662 906756 42649709 45348056 40762 29201 0 0 25589309 26768131 0 0 73345 16905672 18183990 42535743 44981322 113966 366734 60252120 61929850 12845454 12838288 47406666 49091562 X TO 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. 0 0 41533362 29201 43096980 CHURCH 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, 58 INDEPENDENT LIVING COTTAGES, 127 INDEPENDENT LIVING AND ASSISTED LIVING APARTMENTS, PLUS 20 MEMORY CARE UNITS. IN ADDITION, AVERY HEIGHTS OPERATES A HOME HEALTH AGENCY. NOBLE HORIZONS CONSISTS OF 61 SKILLED NURSING BEDS, 30 INTERMEDIATE CARE BEDS, 50 INDEPENDENT LIVING COTTAGES, AND 19 ACCOMMODATIONS IN A HOME FOR THE AGED. 41533362 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 1 0 0 0 1 136 0 1 475 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 12 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 CT X PATRICK GILLAND 8605279126 217 AVERY HEIGHTS HARTFORD CT 061064200 PATRICK GILLAND PRESIDENT/CEO 40.00 1.50 X X 299356 0 55900 WILLIAM THOMPSON VICE PRESIDENT 40.00 X 208424 0 43655 ANNA LUKAS NURSE MANAGER 40.00 X 192957 0 42894 MARIA CECILIA MATHERLY RN SUPV 40.00 X 160736 0 17124 ANGELA CAIN RN SUPV 40.00 X 157713 0 10294 LUANN LE LPN 40.00 X 158157 0 16274 AUTUMN COCKCROFT DNS 40.00 X 154260 0 25120 WILLIAM POND VICE PRESIDENT 40.00 X 142828 0 34279 DOREEN BALDONI SECRETARY 30.00 X 36193 0 3572 DAVID E CANUEL CHAIRMAN 1.00 X X 0 0 0 THOMAS P KELLEY VICE CHAIRMAN 1.00 X X 0 0 0 LARRY C BROWN DIRECTOR 1.00 X 0 0 0 MARGARET A GOLAS DIRECTOR 1.00 X 0 0 0 MERCEDESE E LARGE DIRECTOR 1.00 X 0 0 0 CYNTHIA J MARTINEZ DIRECTOR 1.00 X 0 0 0 PETER B MATTHEWS DIRECTOR 1.00 X 0 0 0 KENNETH H MCGOVERN DIRECTOR 1.00 X 0 0 0 CYNTHIA W SHAHEN DIRECTOR 1.00 X 0 0 0 C ROBERT ZELINGER DIRECTOR 1.00 X 0 0 0 P WAYNE MOORE DIRECTOR 1.00 X 0 0 0 1510624 0 249112 8 0 1 0 SYMBRIA REHAB 28100 TORCH PARKWAY SUITE 600 WARRENVILLE IL 60555 REHAB THERAPY 1441099 ELDER CREW LLC 71 RAYMOND RD WEST HARTFORD CT 06107 NURSE POOL 394407 BRIGHTSTAR CARE OF WEST HARTFORD 1105 NEW BRITAIN AVE 2ND FLOOR WEST HARTFORD CT 06110 NURSE POOL 362535 STRATEGIC NURSING SOLUTIONS 169 HATTERTOWN TD MONROE CT 06468 NURSE POOL 343403 FACILITY COMPLIANCE FIRE PROTECTION LLC 1492 BERLIN TURNPIKE BERLIN CT 06037 PREVENTATIVE FIRE MAINTENANCE 272010 9 5400 8088 584345 597833 PATIENT SERVICE REVENUE 623000 42796526 42796526 FINANCE CHARGES FROM RESIDENTS 623000 5935 5935 42802461 746385 746385 101103 0 101103 101103 101103 7307090 7012469 294621 294621 294621 84129 5400 31095 53034 53034 24508 0 24508 24508 INSURANCE RECOVERIES 900099 465579 465579 GUEST MEALS 900099 142595 142595 OTHER INCOME 900099 93614 93614 26323 26313 10 728111 45348056 43096980 0 1653243 X 29201 29201 814125 718466 94682 977 20049022 18005362 2018338 25322 1222273 1085997 134678 1598 3273111 2906066 362771 4274 1409600 1251866 155902 1832 29897 29897 91438 91438 31224 31224 7200614 7181105 18991 518 155142 153809 1333 300341 176399 121553 2389 270447 104038 156002 10407 1869718 1844707 25011 4372 2451 1921 1973 1526 447 243509 243509 2525660 2525660 700276 700276 PROVIDER TAX 1538496 1538496 FOOD 769240 769240 SUPPLIES 755475 742151 13324 ALL OTHER EXPENSES 702780 618215 58537 26028 993388 934822 58566 44981322 41533362 3374615 73345 7916180 5696959 11325044 11665509 3763075 5389601 248782 211090 210672 1020629 94211264 71935461 22569890 22275803 14156007 15547332 62470 122927 60252120 61929850 2666719 3579260 9331440 8338784 847295 920244 12845454 12838288 X 37068544 37826745 10338122 11264817 47406666 49091562 60252120 61929850 X 366734 1321490 -3328 X 0 1 X 1 0 X 959532 973792 7047670 1062700 597833 10641527 42619597 40702993 38317429 40612475 42802461 205054955 43579129 41676785 45365099 41675175 43400294 215696482 4225 13545 5450 23220 0 4225 13545 5450 23220 215673262 416479 450838 553179 812323 925030 3157849 416479 450838 553179 812323 925030 3157849 59761 59761 728111 728111 43995608 42187384 45918278 42487498 45053435 219642203 0.98190 0.98700 0.01440 0.01250 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2022 AMOUNT: $ 262,532. INSURANCE PROCEEDS - 2022 AMOUNT: $ 465,579. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 11313258 86910 1268134 619584 12048718 14071628 69194 -2521895 305669 11313258 11642513 168221 2578801 317907 14071628 11023321 61995 806681 249484 11642513 11208936 89575 251596 526786 11023321 0.55510 0.44490 0 0 3365284 3365284 56499589 43948240 12551349 28911535 24122448 4789087 5434856 3864773 1570083 22275803 ANNUITIES PAYABLE 11409 RESIDENT DEPOSITS 412448 DUE TO/FROM RELATED PARTIES 34862 CURRENT RESERVES 75525 AR CREDIT BALANCES 386000 920244 46634994 1321490 1321490 45313504 31224 3328 34552 45348056 44950098 0 44950098 31224 31224 44981322 PART IV, LINE 2B: THE FUNDS IN THE CUSTODIAL ACCOUNTS BELONG TO THE RESIDENTS, WHO AGREE TO LET CHURCH HOMES (AVERY HEIGHTS AND NOBLE HORIZONS) MANAGE THE FUNDS. THE RESIDENTS MAY MAKE WITHDRAWALS OR PAY BILLS FROM THESE FUNDS UPON REQUEST. PART V, LINE 4: THE INTENDED USE OF THE ENDOWMENT FUNDS IS TO GENERATE INVESTMENT INCOME UTILIZED TO SUPPORT OPERATIONS. PART XI, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 3,328. PART XII, LINE 4B - OTHER ADJUSTMENTS: DIRECT RESIDENT SUPPORT GOLF OUTING 75125 5400 69725 5478 18013 982 FESTIVAL OF TREES 14404 14404 2317 4305 89529 5400 84129 5478 18013 2317 5287 31095 53034 1 SCHOLARSHIP 4 29201 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. X X 0 0 0 0 0 0 0 1 0 PATRICK GILLAND PRESIDENT/CEO 269356 0 30000 0 0 0 36045 0 19855 0 355256 0 0 0 WILLIAM THOMPSON VICE PRESIDENT 198424 0 10000 0 0 0 23764 0 19891 0 252079 0 0 0 ANNA LUKAS NURSE MANAGER 192957 0 0 0 0 0 20936 0 21958 0 235851 0 0 0 MARIA CECILIA MATHERLY RN SUPV 160736 0 0 0 0 0 15963 0 1161 0 177860 0 0 0 ANGELA CAIN RN SUPV 157713 0 0 0 0 0 0 0 10294 0 168007 0 0 0 LUANN LE LPN 158157 0 0 0 0 0 15628 0 646 0 174431 0 0 0 AUTUMN COCKCROFT DNS 154260 0 0 0 0 0 15549 0 9571 0 179380 0 0 0 WILLIAM POND VICE PRESIDENT 132828 0 10000 0 0 0 14744 0 19535 0 177107 0 0 0 PART I, LINE 7 BONUSES ARE AWARDED BASED ON THE ACHIEVEMENT OF SPECIFIC PERFORMANCE GOALS. A A CONNECTICUT HEALTH AND EDUCATIONAL FACILITIES AUTHORITY 060806186 2015-11-18 15282000 REFUND PRIOR ISSUE 0 0 0 A 6875745 15282000 134222 15147778 2015 1 0 1 1 A 0 0 0 0 0.01720 0.01720 0 0 1 A 0 1 0 0 0 0 0 0 1 A 1 PART II, LINE 11, OTHER SPENT PROCEEDS: OTHER SPENT PROCEEDS OF $15,147,778 WERE USED TO REFUND A PRIOR ISSUE. D SAYADOFF VENDOR/DONOR 109405 PAINTING SERVICES 0 QUALITY FLOOR COVERINGS VENDOR/DONOR 198994 FLOORING/CARPETING 0 LMG INTERIOR DESIGN LLC VENDOR/PRESIDENT'S WIFE 96226 FURNISHINGS FOR LOBBY RENOVATION, OUTDOOR PATIO, WINDOW TREATMENTS, DECORATIVE ACCESSORIES 0 ALLIANCE REHAB SYMBRIA REHAB VENDOR/DONOR 2018760 RESIDENT REHAB SERVICES (PT,OT,ST,RT) 0 KMR EXECUTIVE SEARCH LLC PRESIDENT IS BOARD MEMBER 12500 EXECUTIVE SEARCH FOR NEW CEO 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED WITH THE BOARD OF DIRECTORS AT REGULARLY SCHEDULED BOARD OF DIRECTORS MEETINGS BEFORE IT IS FILED. IF NO MEETING IS SCHEDULED, THE FORM IS EMAILED TO EACH MEMBER FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C THE PRESIDENT OF CHURCH HOMES, INC. REVIEWS THE BOARD MEMBERS AND OFFICERS' 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 15 THE PERSONNEL COMMITTEE OF THE BOARD OF CHURCH HOMES, INC., REVIEWS AND APPROVES OFFICER COMPENSATION ANNUALLY. THE COMMITTEE USES COMPARABILITY DATA FOR ITS REVIEW. THE DELIBERATION AND DECISION REGARDING THE COMPENSATION IS DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 7,181,105. MANAGEMENT AND GENERAL EXPENSES 18,991. FUNDRAISING EXPENSES 518. TOTAL EXPENSES 7,200,614. FORM 990, PART XI, LINE 9: CHANGE IN SPLIT-INTEREST AGREEMENTS -3,328. CONNECTICUT ALLIANCE FOR LONG TERM CARE 217 AVERY HEIGHTS HARTFORD CT 06106 061465316 ADMINISTER PROVIDER BASED NETWORK TO PROVIDE COST-EFFECTIVE HEALTH CARE CT 501(C)(3) LINE 12A, I N/A 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0