2021-11-10T13:31:05-06:00 2020-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL PITTSFORD NY 14534 990 2020-01-01 160341870 FAIRPORT BAPTIST HOMES FAIR 5853770350 4646 NINE MILE POINT ROAD FAIRPORT NY 14450 THOMAS POELMA PRESIDENT/CEO 5853770350 2021-11-09 1 THOMAS POELMA XXX-XX-XXXX KELLEY DEMONTE P01382609 5853811000 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z THOMAS POELMA 4646 NINE MILE POINT ROAD FAIRPORT NY 14450 18625421 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. 15 14 308 29 0 0 0 2796148 18215349 15173980 606 367 710787 654926 18926742 18625421 0 0 0 0 9262143 9981091 0 0 0 9247766 9127065 18509909 19108156 416833 -482735 13246017 12605029 23478051 24350667 -10232034 -11745638 TO MEET THE NEEDS OF THE ELDERLY MEMBERS OF THE MONROE COUNTY BAPTIST CHURCHES AND THE COMMUNITY AT LARGE. 0 0 15937455 14256077 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. 307651 774271 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. 16245106 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 8 0 1 308 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 14 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 245228 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 0 0 0 GREGORY POWERS COO/ADMINISTRATOR 40.00 X 107971 0 0 353199 0 0 2 0 1 0 UNIDINE 1000 WASHINGTON ST 510 BOSTON MA 02118 FOOD SERVICE 1494735 AFFINITY REHABILITATION LLP 536 OLD HOWELL ROAD GREENVILLE SC 29615 THERAPY & REHABILITATION SERVICES 530031 RELIANT STAFFING SYSTEMS INC 350 EAST AVENUE ROCHESTER NY 14206 TEMPORARY STAFFING 430102 UR MEDICINE GERIATRICS GROUP 435 E HENRIETTA ROAD ROCHESTER NY 14620 PHYSICIAN & MED DIRECTION 427345 NURSE CONNECTION STAFFING 1 COMUTER DR SOUTH ALBANY NY 12205 TEMPORARY STAFFING 257968 5 2796148 2796148 RESIDENT SERVICE REVENUE 623000 14256077 14256077 DELAND ACRES 531110 774271 774271 PRIOR YEAR REVENUE ADJUSTMENT 623000 143632 143632 15173980 367 367 489600 0 489600 489600 489600 MISCELLANEOUS OPERATING REVENU 900000 129800 129800 VENDING MACHINE 900000 35526 35526 165326 18625421 15828906 0 367 245228 245228 8081956 7494466 587490 1060196 954176 106020 593711 534340 59371 32766 3277 29489 31908 31908 8787 7908 879 27679 24912 2767 242463 218217 24246 3146 2831 315 440460 396414 44046 836406 752765 83641 209609 188648 20961 CONTRACT SERVICES 2981339 2384543 596796 OTHER SUPPLIES 1348827 1213944 134883 OTHER FEES 945617 945617 MEDICAID CASH ASSESSMEN 874868 874868 1143190 1123048 20142 19108156 16245106 2863050 0 332485 766831 2054927 1218476 82789 110785 50204744 45160599 5007686 5044145 0 0 5768130 5464792 13246017 12605029 2435378 3022867 8767131 8103756 12275542 13224044 23478051 24350667 X -10232034 -11745638 -10232034 -11745638 13246017 12605029 X -482735 -1030869 X X 0 1 X 1 1 1 X 24555 19501 46711 2796148 2886915 24555 19501 46711 2796148 2886915 2886915 775 535 557 606 367 2840 2889755 0.99900 0.98640 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 144132 11640 155772 3273154 32805714 32669383 3409485 152078 1474963 1389600 237441 523610 11488017 11101616 910011 331436 331436 5044145 ASSETS LIMITED AS TO USE 1744363 RESIDENT FUNDS HELD IN TRUST 44741 PREPAID EXPENSES 215407 DUE FROM RELATED PARTIES 3458195 DUE FROM AFFILIATES, NET 2086 5464792 DUE TO AFFILIATES AND RELATED PARTIES 1922849 LIABILITY FOR PENSION BENEFIT 8919871 TENANT/RESIDENT DEPOSITS 135507 WORKERS COMPENSATION 850000 DEFERRED REVENUE 93316 DUE TO THIRD PARTY PAYORS, NET 1302501 13224044 0 0 0 0 0 0 0 0 0 THOMAS POELMA PRESIDENT/CEO 245228 0 0 0 0 0 0 0 0 0 245228 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 -1,030,869. FORM 990, PART XII, LINE 2C: NO CHANGES FROM PRIOR YEAR. 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 1 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0