Adelbrook Community Services Inc in Cromwell, Connecticut (CT)

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Adelbrook Community Services Inc
Employer Identification Number (EIN)383714954
Name of OrganizationAdelbrook Community Services Inc
In Care of NameDavid Maibaum
Address58 Missionary Rd, Cromwell, CT 06416-2134
ActivitiesChurch, synagogue, etc
SubsectionReligious Organization
Ruling Date07/1975
DeductibilityContributions are deductible
FoundationChurch
OrganizationAssociation
Exempt Organization StatusUnconditional Exemption
Tax Period06/2013
Assets$1,000,000 to $4,999,999
Income$5,000,000 to $9,999,999
Filing Requirement990 (all other) or 990EZ return
Asset Amount$1,775,728
Amount of Income$5,286,749
Form 990 Revenue Amount$5,286,749
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Group Health Practice (Health Maintenance Organizations)


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Amount of income in 2013: $5,286,749 (it was $3,544,728 in 2012)
Adelbrook Community Services Inc: 

 $5,286,749
Other organizations performing similar types of work: 

 $15,414,245

Assets in 2013: $1,775,728 (it was $1,329,546 in 2012)
Adelbrook Community Services Inc: 

 $1,775,728
Other organizations performing similar types of work: 

 $4,418,747

Expenses in 2013: $5,646,105
Adelbrook Community Services Inc: 

 $5,646,105
Other organizations performing similar types of work: 

 $19,056,219

Income to expenses ratio in 2013: 0.9
This organization: 

 0.9
Other organizations performing similar types of work: 

 1.0

Number of employees in 2013: 213
This organization: 

 213
Other organizations performing similar types of work: 

 46

Employees paid over $100,000 in 2013: 0.5%
Adelbrook Community Services Inc: 

 0.5%
Other organizations performing similar types of work: 

 0.0%

Grants share in income in 2013: 4.5%
This organization: 

 4.5%
Other organizations performing similar types of work: 

 0.0%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

Support schedule

Checklist
20122013
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?YesYes
Is the organization required to complete Schedule B, Schedule of Contributors?YesYes
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?NoNo
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?NoNo
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?NoNo
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?NoNo
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?NoNo
Did the organization maintain collections of works of art, historical treasures, or other similar assets?NoNo
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?NoNo
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?NoNo
Did the organization report an amount for land, buildings, and equipment?YesYes
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?NoNo
Did the organization report an amount for investments-program related that is 5% or more of its total assets?NoNo
Did the organization report an amount for other assets that is 5% or more of its total assets?NoNo
Did the organization report an amount for other liabilities?YesYes
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?NoNo
Did the organization obtain separate, independent audited financial statements for the tax year?YesYes
Was the organization included in consolidated, independent audited financial statements for the tax year?NoNo
Is the organization a school described in section 170(b)(1)(A)(ii)?NoNo
Did the organization maintain an office, employees, or agents outside of the United States?NoNo
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?NoNo
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?NoNo
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?NoNo
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?NoNo
Did the organization report more than $15,000 total of fundraising event gross income and contributions?NoNo
Did the organization report more than $15,000 of gross income from gaming activities?NoNo
Did the organization operate one or more hospital facilities?NoNo
Did the organization attach a copy of its audited financial statements?NoNo
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?NoNo
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?NoNo
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?YesYes
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?NoNo
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?NoNo
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?NoNo
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?NoNo
Did the organization engage in an excess benefit transaction with a disqualified person during the year?NoNo
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?NoNo
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?NoNo
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?NoNo
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?NoNo
A family member of a current or former officer, director, trustee, or key employee?NoNo
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?NoNo
Did the organization receive more than $25,000 in non-cash contributions?NoNo
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?NoNo
Did the organization liquidate, terminate, or dissolve and cease operations?NoNo
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?NoNo
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?NoNo
Was the organization related to any tax-exempt or taxable entity?YesYes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?NoNo
Did the organization make any transfers to an exempt non-charitable related organization?NoNo
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?NoNo
Statements Regarding Other IRS Filings and Tax Compliance
201120122013
The number reported in Box 3 of Form 10962116
The number of Forms W-2G00
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?YesYes
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return97213
Did the organization file all required federal employment tax returns?YesYes
Did the organization have unrelated business gross income of $1,000 or more during the year?NoNoNo
Has it filed a Form 990-T for this year?NoNo
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?NoNo
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?NoNo
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?NoNo
Did the organization file Form 8886-T?NoNo
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?NoNo
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?NoNo
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?NoNo
Did the organization notify the donor of the value of the goods or services provided?NoNo
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?NoNo
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?NoNo
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?NoNo
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?NoNo
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?NoNo
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?NoNo
Did the sponsoring organization make any taxable distributions under section 4966?NoNo
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?NoNo
Initiation fees and capital contributions$0$0$0
Gross receipts for public use of club facilities $0$0$0
Gross income from members or shareholders$0$0$0
Gross income from other sources$0$0$0
Is the organization filing Form 990 in lieu of Form 1041?NoNo
The amount of tax-exempt interest received or accrued during the year$0$0
Is the organization licensed to issue qualified health plans in more than one state?NoNo
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans$0$0
The amount of reserves on hand$0$0
Did the organization receive any payments for indoor tanning services during the tax year?NoNo
Has it filed a Form 720 to report these payments?NoNo
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
20122013
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization$0$0
Total reportable compensation from related organizations$265,418$312,177
Total estimated amount of other compensation from the organization and related organizations$56,262$58,209
Total number of individuals who received more than $100,000 of reportable compensation from the organization00
Total number of independent contractors who received more than $100,000 of compensation from the organization11
Statement of Revenue
201120122013
Total revenue$3,120,003$3,544,728$5,286,749
Contributions, Gifts, Grants and Other Similar Amounts$7,107$108,899$237,939
Program Service Revenue$3,112,492$3,435,017$5,048,589
Other Residential Care Facilities $2,723,595$2,807,532
Other Residential Care Facilities $209,757$767,475
624100$137,601$398,636
611600$126,299$304,928
624100$106,467$282,688
All other program service revenue$131,298$487,330
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$404$812$221
Income from investment of tax-exempt bond proceeds$0$0$0
Royalties$0$0$0
Net rental income$0$0$0
Net gain/loss from sales of assets other than inventory$0$0$0
Net income/loss from fundraising events$0$0$0
Net income/loss from gaming activities$0$0$0
Net income/loss from sales of inventory$0$0$0
Miscellaneous Revenue$0$0$0
Statement of Functional Expenses
201120122013
Total functional expenses$3,053,133$3,487,222$5,646,105
Grants and other assistance to domestic organizations and domestic governments$0$0
Grants and other assistance to domestic individuals$0$0
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals$0$0
Benefits paid to or for members$0$0
Compensation of current officers, directors, trustees, and key employees$0$0$0
Compensation not included above, to disqualified persons$0$0
Other salaries and wages$1,847,905$2,194,861$3,599,455
Pension plan accruals and contributions$0$0
Other employee benefits$388,671$525,175
Payroll taxes$145,139$175,421$272,711
Fees for services (non-employees)
Management$0$0
Legal$0$0
Accounting$0$0
Lobbying$0$0
Professional fundraising services$0$0$0
Investment management fees$0$0
Other$287,360$631,251
Advertising and promotion$0$0
Office expenses$206$1,505
Information technology$12,473$17,520
Royalties$0$0
Occupancy$150,481$214,556
Travel$51,383$59,906
Payments of travel or entertainment expenses for any federal, state, or local public officials$0$0
Conferences, conventions, and meetings$0$99
Interest$88$0
Payments to affiliates$0$0
Depreciation, depletion, and amortization$40,066$45,903
Insurance$48,518$45,054
Other expenses$115,074$188,046
Other expenses$18,765$25,455
Other expenses$3,855$19,469
Balance Sheet
201120122013
Total assets$1,220,814$1,329,546$1,775,728
Cash - non-interest-bearing$125,787$52,023
Savings and temporary cash investments$0$0
Pledges and grants receivable, net$0$0
Accounts receivable, net$89,573$578,339
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees$0$0
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations$0$0
Notes and loans receivable, net$0$0
Inventories for sale or use$0$0
Prepaid expenses and deferred charges$5,982$18,140
Land, buildings, and equipment: cost or other basis$1,104,478$1,123,780
Investments - publicly traded securities$0$0
Investments - other securities$0$0
Investments - program-related$0$0
Intangible assets$0$0
Other assets$3,726$3,446
Total liabilities$1,327,019$1,378,245$2,183,783
Accounts payable and accrued expenses$343,554$1,293,043
Grants payable$0$0
Deferred revenue$0$0
Tax-exempt bond liabilities$0$0$0
Escrow or custodial account liability$0$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons$0$0
Secured mortgages and notes payable to unrelated third parties$969,232$934,579$875,535
Unsecured notes and loans payable to unrelated third parties$0$0$0
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)$100,112$15,205
Total net assets or fund balances$-106,205$-48,699$-408,055
Unrestricted net assets$-50,456$-409,951
Temporarily restricted net assets$1,757$1,896
Permanently restricted net assets$0$0
Capital stock or trust principal, or current funds$0$0
Paid-in or capital surplus, or land, building, or equipment fund$0$0
Retained earnings, endowment, accumulated income, or other funds$0$0$0
Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi)
Number of organizations supported0
Sum of amounts of support$0
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (for 2009 - 2013)
2009 - 2013 Total
Public Support$376,935
Subtotal Support$376,935
Gifts, grants, contributions, and membership fees received$376,935
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf$0
The value of services or facilities furnished by a governmental unit to the organization without charge$0
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) that exceeds 2% of the total support$0
Total Support$388,861
Public Support$376,935
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources$4,256
Net income from unrelated business activities, whether or not the business is regularly carried on$0
Other income. Do not include gain or loss from the sale of capital assets$7,670
Gross receipts from related activities, etc.$17,987,155
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Organizations performing similar types of work
IdNameAddressStateEstablishedTotal Income
1Metroplus Health Plan Inc160 Water Street, New York, NY 10038-4922NY2001-08$2,136,380,072
2Kaiser Foundation Health Plan Of Georgia Inc2701 Nw Vaughn St Ste 490, Portland, OR 97210-5358OR1985-06$1,384,345,683
3Delta Dental Of Washington9706 4th Ave Ne, Seattle, WA 98115-2157WA1960-09$1,084,477,896
4Chp Of Washington720 Olive Way Ste 300, Seattle, WA 98101-1830WA2002-02$977,308,762
5Guildnet Inc15 W 65th St, New York, NY 10023-6601NY2000-06$713,117,266
6Delta Dental Plan Of Virginia4818 Starkey Rd, Roanoke, VA 24018-8510VA1971-05$615,115,125
7Childrens Hospital Pediatric Associates Inc300 Longwood Ave, Boston, MA 02115-5724MA2004-01$331,888,508
8Community First Health Plans Inc12238 Silicon Dr Ste 100, San Antonio, TX 78249-3454TX2015-04$264,889,457
9Southcentral Foundation4501 Diplomacy Dr, Anchorage, AK 99508-5919AK1982-12$262,253,100
10Community Care Health Plan205 Bishops Way, Brookfield, WI 53005-6247WI2008-05$101,791,104
11Granite Medical Group Inc500 Congress Street 3rd Fl, Quincy, MA 02169-0908MA2007-05$67,469,354
12University Medicine Foundation Inc17 Virginia Ave Ste 107, Providence, RI 02905-4406RI1991-05$65,142,842
13Providence Health Assurance4400 Ne Halsey Bldg 2, Portland, OR 97213-1545OR2006-07$59,201,917
14Tufts Medical Center Physicians Organization Inc, Pratt Medical Group Inc800 Washington St, Boston, MA 02111-1552MA1993-05$46,432,118
15Family Health Plans Inc825 Ne Multnomah St Ste 1400, Portland, OR 97232-2598OR2000-07$42,102,461
16Total Health Choice Inc3011 W Grand Blvd Suite 1600, Detroit, MI 48202MI1999-08$37,355,042
17University Of Buffalo Pediatric Associates P C239 Bryant St, Buffalo, NY 14222-2006NY1996-04$29,998,477
18Michigan Healthcare Partners, Kids Care Of Michigan5050 Wolverine Tower 3003 S State S, Ann Arbor, MI 48109MI2000-07$27,166,960
19Adelbrook Community Services Inc58 Missionary Rd, Cromwell, CT 06416-2134CT1975-07$5,286,749
20Griffin Faculty Practice Plan Inc130 Division St, Derby, CT 06418-1326CT1997-09$3,866,004
Number of organizations performing similar types of work
Alaska1
Arizona3
California10
Colorado3
Connecticut4
District of Columbia1
Florida2
Georgia4
Illinois4
Indiana3
Massachusetts15
Michigan13
Minnesota4
Missouri3
Mississippi2
North Carolina4
Nebraska2
New Hampshire1
New Jersey2
Nevada1
New York19
Ohio2
Oklahoma1
Oregon5
Pennsylvania3
Rhode Island2
South Carolina4
Tennessee4
Texas10
Utah1
Virginia2
Vermont1
Washington4
Wisconsin4
Total144
20 biggest affiliated organizations
AffiliationNameAddressStateEstablishedTotal Income
SubordinateEmanuel Medical Center Inc825 Delbon Ave, Turlock, CA 95382-2016CA1975-07$235,017,152
SubordinateCovenant Retirement Communities West, Brandel Hall5700 Old Orchard Road, Skokie, IL 60077-1036IL1975-07$81,366,473
SubordinateCovenant Retirement Communities Inc, Covenant Land Company Llc5700 Old Orchard Road, Skokie, IL 60077-1036IL1975-07$44,736,737
SubordinateCovenant Health Care Center Inc, Sequoia Place2125 N Olive Ave, Turlock, CA 95382-1901CA1975-07$27,314,682
SubordinateWindsor Park Manor, Torrey M Johnson Health Care Center124 Windsor Park Dr, Carol Stream, IL 60188-1986IL1975-07$20,115,663
SubordinateCovenant Home Inc Connecticut, Covenant Village Of Cromwell Assist52 Missionary Rd, Cromwell, CT 06416-2170CT1975-07$17,875,175
SubordinateCovenant Village Of Florida Inc, Covenant Village Home Care9215 W Broward Blvd, Plantation, FL 33324-2404FL1975-07$17,820,114
SubordinateColonial Acres Home Inc, Colonial Acres Health Care Center5825 Saint Croix Ave N, Minneapolis, MN 55422-4419MN1975-07$17,637,525
SubordinateCovenant Village Of Colorado Inc, Aspen Place9153 Yarrow St, Westminster, CO 80021-4561CO1975-07$16,684,486
SubordinateCovenant Retirement Communities Of The Great Lakes Conference, Covenant Village Of The Great Lakes2510 Lake Michigan Dr Nw, Grand Rapids, MI 49504-8042MI1975-07$14,545,991
SubordinateCovenant Home Illinois, Covenant Village Of Northbrook2625 Techny Road, Northbrook, IL 60062-5995IL1975-07$13,779,120
SubordinateThe Holmstad Inc, Park Manor700 W Fabyan Parkway, Batavia, IL 60510-1269IL1975-07$12,487,074
IntermediateCovenant Ministries Of Benevolence, Oregon Llc5145 N California Ave, Chicago, IL 60625-3661IL1975-07$7,660,744
SubordinateAdelbrook Inc58 Missionary Rd, Cromwell, CT 06416-2134CT1975-07$14,572,305
SubordinateCovenant Home Services, Covenant Care At Home5700 Old Orchard Rd, Skokie, IL 60077-1036IL1975-07$11,524,886
SubordinateLife Center On The Green Inc, Galter Lifecenter5157 N Francisco Ave, Chicago, IL 60625-3655IL1975-07$7,393,887
SubordinateAdelbrook Community Services Inc58 Missionary Rd, Cromwell, CT 06416-2134CT1975-07$5,286,749
SubordinateMidwest Covenant Home IncPO BOX 367, Stromsburg, NE 68666-0367NE1975-07$4,169,369
SubordinateBethany Covenant Village5700 Old Orchard Road Suite 100, Skokie, IL 60077IL1975-07$3,761,514
SubordinateCornerstone Community Outreach4628 N Clifton Ave, Chicago, IL 60640-5014IL1975-07$3,375,948
Number of affiliated organizations
California6
Colorado1
Connecticut3
Florida1
Illinois16
Kansas1
Michigan2
Minnesota2
Nebraska1
Texas1
Total34

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