2023-02-09T14:14:15-06:00 2022-09-30 060903326 WHITTLESEY PC 280 TRUMBULL ST 24TH FL HARTFORD CT 06103 990 2021-10-01 061017444 CONNECTICUT BAPTIST HOMES INC CONN 2032371206 292 THORPE AVENUE MERIDEN CT 064507184 PATRICIA MORSE PRESIDENT 2032371206 2023-02-08 1 PATRICIA MORSE 999009999 THOMAS GOLDFUSS P01373588 8605223111 3 AAL1 IAL1 2021 2023-03-07 01:45:13Z PATRICIA MORSE 292 THORPE AVENUE MERIDEN CT 064507184 26855925 0 X WWW.CTBAPTISTHOMES.ORG X 1983 CT AS A NOT-FOR-PROFIT ORGANIZATION AFFILIATED WITH THE AMERICAN BAPTIST CHURCHES OF CONNECTICUT, CONNECTICUT BAPTIST HOMES, INC. PROVIDES A CONTUNUUM OF DISTINCT LEVELS OF CARE THAT PROVIDE REHABILITATIVE SERVICES, NURSING CARE, DEMENTIA CARE AND RESIDENTIAL LIVING SERVICES TO ELDERLY INDIVIDUALS. 12 12 378 0 0 0 2432323 449067 14829498 18302211 795006 1043326 124096 113971 18180923 19908575 0 0 0 0 9744249 11548572 0 0 0 8264177 9361294 18008426 20909866 172497 -1001291 42376965 40131461 16695119 18655482 25681846 21475979 RECOGNIZING THE VALUE OF EACH INDIVIDUAL AND GUIDED BY OUR COMMITMENT TO EXCELLENCE AND QUALITY, OUR MISSION AS A FAITH-BASED ORGANIZATION AFFILIATED WITH THE AMERICAN BAPTIST CHURCHES OF CONNECTICUT IS TO PROVIDE COMPASSIONATE CARE AND SERVICES TO OLDER PEOPLE. 0 0 14521176 15233026 OUR SKILLED NURSING AND INTERMEDIATE CARE UNITS COMBINED WITH RESIDENTIAL LIVING PROVIDE REHABILITATIVE SERVICES, NURSING CARE AND SUPPORTED LIVING IN A CONTINUUM THAT SUPPORTS RESIDENTS MAXIMUM INDEPENDENCE, DIGNITY, AND CHOICE IN A FAITH-BASED, MISSION DRIVEN SETTING. 2642736 2813839 OUR INDEPENDENT LIVING COMMUNITY PROVIDES APARTMENT LIVING FOR SENIORS ON A MONTHLY BASIS THAT SUPPORTS RESIDENTS MAXIMUM INDEPENDENCE, DIGNITY, AND CHOICE IN A FAITH-BASED, MISSION DRIVEN SETTING. 919296 255346 OUR ASSISTED LIVING SERVICES AGENCY PROVIDES ASSISTED LIVING SERVICES TO INDIVIDUALS IN OUR INDEPENDENT LIVING COMMUNITY IN ORDER TO MAINTAIN THEIR ABILITY TO LIVE INDEPENDENTLY, MAXIMIZE THEIR INDEPENDENCE, DIGNITY AND CHOICE IN A FAITH-BASED MISSION DRIVEN SETTING. 18083208 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 48 0 1 378 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CT X THE ORGANIZATION 2032371206 292 THORPE AVENUE MERIDEN CT 064507184 PATRICIA MORSE PRESIDENT AND CEO 40.00 1.00 X X 292799 0 23547 PETER YOUNG CHAIRPERSON 0.50 1.00 X X 0 0 0 REV HOPETON SCOTT VICE-CHAIRPERSON 0.50 1.00 X X 0 0 0 REV MARGARET D LEWIS SECRETARY 0.50 X X 0 0 0 REV RICHARD J DOYLE DIRECTOR 0.50 1.00 X 0 0 0 FRANK AMAZEEN DIRECTOR 0.50 X 0 0 0 ROBERT AVENA ESQ DIRECTOR 0.50 1.00 X 0 0 0 DAVE JONES DIRECTOR 0.50 X 0 0 0 MARCIA SARRAZIN DIRECTOR 0.50 X 0 0 0 WILLIAM MCMUNN DIRECTOR 0.50 X 0 0 0 BILL SMITH DIRECTOR 0.50 X 0 0 0 DAVID STEVENS DIRECTOR 0.50 X 0 0 0 SANDRA STEVENS DIRECTOR 0.50 X 0 0 0 ASHA KISTOO AR MANAGER 40.00 X 111911 0 31481 ELIZABETH CROWLEY DIRECTOR OF NURSES 40.00 X 120091 0 1232 524801 0 56260 3 0 1 0 CE FLOYD 135 SOUTH RD BEDFORD MA 01730 CONSTRUCTION OF ALSA 3442585 CCI 102 MAIN STREET OLD SAYBROOK CT 06475 CONSTRUCTION OF ALSA 452616 FACILITIES COMPLIANCE FIRE PROTECTION 201 CHRISTIAN LANE BERLIN CT 06037 MAINTENANCE SERVICES 249686 CLIFTONLARSONALLEN PO BOX 829709 PHILADELPHIA PA 19182 ACCOUNTING SERVICES 202854 FACILITIES COMPLIANCE SERVICES 221 WEST MAIN STREET PLANTSVILLE CT 06479 MAINTENANCE SERVICES 201167 5 394227 54840 449067 PATIENT SVC REV - SKILLED 623000 14636956 14636956 PATIENT SVC REV - RESIDENTIAL 623000 3126265 3126265 ANCILLARY SVC REVENUE 623000 538990 538990 18302211 333071 333071 7657605 6947350 710255 710255 710255 MGMT & MAINTENANCE CONTRAC INCOME 113971 113971 113971 19908575 18302211 0 1157297 292799 292799 9370496 8360211 1010285 114998 99491 15507 1050232 908611 141621 720047 622951 97096 6838 6838 231171 231171 83724 83724 174661 121115 53546 134782 134782 409484 18108 391376 2412261 2412261 8163 8163 32986 32986 517009 517009 1405606 1405606 403517 182078 221439 FOOD AND DIETARY CONTRA 1269013 1269013 PROVIDER TAXES 791004 791004 MEDICAL THERAPY 773940 773940 MEDICATIONS 474841 474841 232294 126969 105325 20909866 18083208 2826658 0 499153 228321 2968696 1743512 908312 1088267 220072 194625 156908 119983 45296753 22750204 19149718 22546549 16543012 12625048 1931094 1585156 42376965 40131461 2188829 1289888 66300 64731 5703974 8880262 8736016 8420601 16695119 18655482 X 22711188 18851259 2970658 2624720 25681846 21475979 42376965 40131461 X -1001291 -2858638 -345938 X X 0 1 X 1 0 X 16599 28022 437262 2432323 449067 3363273 5700388 6110052 6464926 14829498 18302211 51407075 5716987 6138074 6902188 17261821 18751278 54770348 0 0 0 54770348 105354 113210 112095 306375 333071 970105 105354 113210 112095 306375 333071 970105 111657 125826 100818 124096 113971 576368 5933998 6377110 7115101 17692292 19198320 56316821 0.97250 0.96950 0.01720 0.01720 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MGMT MAINTENANCE CONTRACT - 2017 AMOUNT: $ 111,657. 2018 AMOUNT: $ 125,826. 2019 AMOUNT: $ 100,818. 2020 AMOUNT: $ 124,096. 2021 AMOUNT: $ 113,971. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 436519 436519 39112140 21297458 17814682 5565387 1412248 4153139 182707 40498 142209 22546549 SECURITY DEPOSITS 366181 BONDS PAYABLE 8054420 8420601 PART IV, LINE 1B: RESIDENTIAL FUNDS FOR AVAILABLE FOR PERSONAL INDIVIDUAL USE. X X X X X 0 0 0 0 0 0 0 1 0 PATRICIA MORSE PRESIDENT AND CEO 292799 0 0 0 0 0 0 0 23547 0 316346 0 0 0 A STATE OF CT HEALTH & ED FACILITIES AUTHORITY 060806186 2013-03-13 11454000 REFINANCE OF PRIOR BONDS 0 0 0 A 11454000 225924 11228076 1 0 1 1 A 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C TRANSACTIONS WITH PARTIES WITH WHOM A CONFLICTING INTEREST EXISTS MAY BE UNDERTAKEN ONLY IF ALL OF THE FOLLOWING ARE OBSERVED: 1. THE CONFLICTING INTEREST IS FULLY DISCLOSED; 2. THE PERSON WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTION; 3. A COMPETITIVE BID OR COMPARABLE VALUATION EXISTS; AND 4. THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS HAS DETERMINED THAT THE TRANSACTION IS IN THE BEST INTEREST OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 THE PERFORMANCE OF THE PRESIDENT OF THE ORGANIZATION IS REVIEWED BY THE PERSONNEL COMMITTEE OF THE BOARD. THE FINANCE COMMITTEE THEN UNDERTAKES THE RESPONSIBILITY OF DETERMINING COMPENSATION BASED ON PERFORMANCE INDICATORS. APPROPRIATE SALARY SURVEY(S) ARE REVIEWED FOR COMPARISON PURPOSES. THE FINANCE COMMITTEE MAKES A RECOMMENDATION TO THE FULL BOARD OF DIRECTORS FOR THEIR APPROVAL. FORM 990, PART VI, SECTION C, LINE 18 FORM 990 IS AVAILABLE UPON REQUEST AND IS ALSO AVAILABLE ON GUIDESTAR. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING BODY DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN PERPETUAL TRUST -345,938. FORM 990, PART XII, LINCE 2C THERE HAVE BEEN NO CHANGES TO THE PROCESS DURING THE YEAR. 288 THORPE AVE LLC 288 THORPE AVENUE MERIDEN CT 06450 REAL ESTATE CT 21455 256807 CONNECTICUT BAPTIST HOMES INC CONNECTICUT BAPTIST HOUSING INC (HUD PROJECT #017-35305) 292 THORPE AVENUE MERIDEN CT 06450 061350567 TO PROVIDE ELDERLY HOUSING AND SERVCIES CT 501(C)(3) LINE 11 N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 CT BAPTIST HOUSING INC L 113971 CASH