2022-11-15T11:26:44-06:00 2021-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2021-01-01 160341870 FAIRPORT BAPTIST HOMES FAIR 5853770350 4646 NINE MILE POINT ROAD FAIRPORT NY 14450 THOMAS POELMA PRESIDENT/CEO 5853770350 2022-11-15 1 THOMAS POELMA XXX-XX-XXXX KELLEY DEMONTE P01382609 5853811000 2022-11-15 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z THOMAS POELMA 4646 NINE MILE POINT ROAD FAIRPORT NY 14450 16655324 0 X WWW.FAIRPORTBAPTISTHOMES.ORG X 1904 NY TO MEET THE NEEDS OF THE ELDERLY MEMBERS OF THE MONROE COUNTY BAPTIST CHURCHES AND THE COMMUNITY AT LARGE. 6 5 261 82 0 0 2796148 2723122 15173980 13272873 367 145 654926 659184 18625421 16655324 0 0 0 0 9981091 9355802 0 0 0 9127065 8075880 19108156 17431682 -482735 -776358 12605029 12174552 24350667 23888063 -11745638 -11713511 TO MEET THE NEEDS OF THE ELDERLY MEMBERS OF THE MONROE COUNTY BAPTIST CHURCHES AND THE COMMUNITY AT LARGE. 0 0 14424058 12699413 THE HOMES PROVIDES SKILLED NURSING CARE, REHABILITATION, AND COMPFORT CARE IN A 142-BED FACILITY COMPRISED OF INDIVIDUAL HOUSEHOLD UNITS CONSISTING OF 10 OR 12 RESIDENTS EACH. 447647 785472 THE HOMES OWNS AND OPERATES DELAND ACRES WHICH OFFERS CLUSTER HOMES - 25 TWO BEDROOM COTTAGES AND 17 ONE-BEDROOM COTTAGES - AS ANOTHER HOUSING OPTION FOR MIDDLE INCOME SENIORS. THE COTTAGES PROVIDE TOTAL WHEELCHAIR ACESSIBILITY, AND ALL INTERIOR AND EXTERIOR MAINTENACE IS TAKEN CARE BY THE HOMES. 14871705 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 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 6 0 1 261 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 5 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 NY X THOMAS POELMA 5853770350 4646 NINE MILE POINT RD FAIRPORT NY 14450 THOMAS POELMA PRESIDENT/CEO 22.00 15.50 X X 245980 0 0 KELLY BONANNO DIRECTOR 0.50 X 0 0 0 SUE ROBERTS DIRECTOR 0.50 X 0 0 0 VAL PETERS DIRECTOR 0.50 X 0 0 0 KEVIN MARONEY BOARD CHAIRMAN 0.50 X X 0 0 0 GREGORY POWERS COO/ADMINISTRATOR 40.00 X 111387 0 0 357367 0 0 2 0 1 0 UNIDINE 1000 WASHINGTON ST 510 BOSTON MA 02118 FOOD SERVICE 1418374 AFFINITY REHABILITATION LLP 536 OLD HOWELL ROAD GREENVILLE SC 29615 THERAPY & REHABILITATION SERVICES 461245 UR MEDICINE GERIATRICS GROUP 435 E HENRIETTA ROAD ROCHESTER NY 14620 PHYSICIAN & MED DIRECTION 285365 ADDECO P O BOX 371084 PITTSBURGH PA 152507084 TEMPORARY STAFFING 263070 NURSE CONNECTION STAFFING 1 COMUTER DR SOUTH ALBANY NY 12205 TEMPORARY STAFFING 211706 5 2723122 2723122 RESIDENT SERVICE REVENUE 623000 12699413 12699413 DELAND ACRES 531110 783027 783027 PRIOR YEAR REVENUE ADJUSTMENT 623000 -209567 -209567 13272873 145 145 489600 0 489600 489600 489600 MISCELLANEOUS INCOME 900000 138530 138530 MISCELLANEOUS OPERATING REVENU 900000 16493 16493 GRANT TRAINING REVENUE 900000 14561 14561 169584 16655324 13932057 0 145 245980 245980 7636937 6651861 985076 941252 847127 94125 531633 478470 53163 48483 43635 4848 35750 35750 927 834 93 8367 7530 837 233101 209791 23310 2088 1879 209 408527 367674 40853 871119 784007 87112 244936 220442 24494 CONTRACT SERVICES 2351655 2311554 40101 OTHER SUPPLIES 1143772 1029395 114377 OTHER FEES 958158 958158 MEDICAID CASH ASSESSMEN 791681 791681 977316 959348 17968 17431682 14871705 2559977 0 766831 374736 1218476 1101405 110785 62577 50932342 46031719 5044145 4900623 5464792 5735211 12605029 12174552 3022867 3145003 8103756 13224044 13335204 24350667 23888063 X -11745638 -11713511 -11745638 -11713511 12605029 12174552 X -776358 808485 X 0 1 X 1 1 1 X 19501 46711 2796148 2723122 5585482 19501 46711 2796148 2723122 5585482 0 0 0 5585482 535 557 606 367 145 2210 535 557 606 367 145 2210 20036 47268 606 2796515 2723267 5587692 0.99960 0.00040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 144132 11640 155772 3273154 33206242 33185039 3294357 152078 1474963 1408602 218439 568433 11770261 11438078 900616 331439 331439 4900623 ASSETS LIMITED AS TO USE 1680980 RESIDENT FUNDS HELD IN TRUST 41457 PREPAID EXPENSES 215063 DUE FROM RELATED PARTIES 3717740 SECURITY DEPOSITS 79971 5735211 DUE TO AFFILIATES AND RELATED PARTIES 2289613 LIABILITY FOR PENSION BENEFIT 8412119 TENANT/RESIDENT DEPOSITS 121428 WORKERS COMPENSATION 850000 DEFERRED REVENUE 93316 DUE TO THIRD PARTY PAYORS, NET 1568728 13335204 0 0 0 0 0 0 0 0 0 THOMAS POELMA PRESIDENT/CEO 245980 0 0 0 0 0 0 0 0 0 245980 0 0 0 PART I, LINE 3 COMPENSATION FOR THE PRESIDENT & CEO IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE FBH CARING MINISTRIES BOARD, WHICH ACTS IN THE CAPACITY OF A COMPENSATION COMMITTEE. THE COMMITTEE REVIEWS 990S OF LIKE ORGANIZATIONS AND REVIEW ASSOCIATION SALARY SURVEYS. THEIR RECOMMENDATION IS PRESENTED TO THE BOARD FOR APPROVAL. THE RELATED ORGANIZATIONS RELY ON THIS DETERMINATION. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE REVIEWS THE FORM 990, AND IS MADE AVAILABLE TO THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEETING REVIEWS WHEN ON THE AGENDA. FORM 990, PART VI, SECTION B, LINE 15 THE REVIEW PROCESS FOR THE CEO IS THE RESPONSIBILITY OF THE EXECUTIVE COMMITTEE, DERIVED OF BOARD MEMBERS. THE REVIEW PROCESS FOR ALL OTHER MANAGEMENT STAFF IS THE RESPONSIBILITY OF THE CEO AND ADMINISTRATIVE STAFF. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 IS AVAILABLE UPON REQUEST TO ANYONE. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AVALIABLE UPON REQUEST TO ANYONE. FORM 990, PART XI, LINE 9: CHANGE IN FUNDED STATUS OF PENSION 467,027. OTHER INCOME 341,458. FBH CARING MINISTRIES FOUNDATION 4646 NINE MILE POINT ROAD FAIRPORT NY 14450 161571207 EXPENSES ASSOCIATED WITH THE DAY-TO-DAY OPERATIONS OF THE FOUNDATION. NY 501(C)(3) LINE 11C, III-FI 0 FAIRPORT BAPTIST HOME CARING MINISTRIES 4646 NINE MILE POINT ROAD FAIRPORT NY 14450 161555742 PROVIDE BENEFITS AND SUPPORT ACTIVITIES OF THE FBH CORPORATIONS IT SERVES NY 501(C)(3) LINE 11C, III-FI 0 FBH COMMUNITY MINISTRIES 4646 NINE MILE POINT ROAD FAIRPORT NY 14450 161555743 PROVIDING HOUSING THROUGH CASE MANAGEMENT SERVICES TO CLIENTS NY 501(C)(3) LINE 9 FAIRPORT BAPTIST HOMES CARING MINISTRIES 1 FBH DISTINCTIVE LIVING COMMUNITIES INC 4646 NINE MILE POINT ROAD FAIRPORT NY 14550 824150959 OPERATE AN INDEPENDENT LIVING COMMUNITY NY 501(C)(3) LINE 10 FAIRPORT BAPTIST HOMES CARING MINISTRIES 1 FBH ADULT CARE FACILITY 4646 NINE MILE POINT ROAD FAIRPORT NY 14450 264175832 THE FACILITY OPERATES A 33-BED ADULT LIVING FACILITY NY 501(C)(3) LINE 10 FAIRPORT BAPTIST HOMES CARING MINISTRIES 1 FAIRPORT PERINTON SENIOR LIVING COUNCIL INC 4646 NINE MILE POINT ROAD FAIRPORT NY 14450 161323448 PROVIDE HOUSING AND AUXILIARY SERVICES FOR AGED PERSONS OF LOW INCOME NY 501(C)(3) LINE 10 FAIRPORT BAPTIST HOMES COMMUNITY MINISTRIES 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 FBH CARING MINISTRIES FOUNDATION Q 40511 COST