2019-02-05T10:23:04-06:00 2018-09-30 061009205 BLUM SHAPIRO & COMPANY PC CPA'S 29 S MAIN STREET PO BOX 272000 WEST HARTFORD CT 061272000 990 2017-10-01 060677159 PIERCE MEMORIAL BAPTIST HOME INC PIER 8607749050 PO BOX 326 BROOKLYN CT 06234 PATRICIA MORSE PRESIDENT/CEO 8607749050 2019-02-01 1 CHRISTINE DIMENNA P01353752 8605614000 2019-01-22 64.251.63.131 2019-02-01 11:38:36 ES P 3C3F3A9A6A2C4A7FAF67B2138946307825C80BAE 212D4AA7D86991E97AAA9C7923B382683810470F 2017 2019-02-21 02:37:17Z PIERCECARE PATRICIA MORSE 44 CANTERBURY ROAD BROOKLYN CT 06234 13103781 0 X WWW.PIERCECARE.ORG X 1951 CT PIERCECARE IS A FAITH-BASED NOT-FOR-PROFIT ORGANIZATION THAT PROVIDES A COMPASSIONATE CONTINUUM OF CARE AND SERVICES FOR ANY INDIVIDUAL IN A PLACE THEY CALL HOME. 11 10 286 20 0 0 5679 8849 10732466 11149457 231149 515021 17505 13103 10986799 11686430 0 0 0 0 5941970 5634299 0 0 0 4779832 5014482 10721802 10648781 264997 1037649 22572080 24146117 11029232 10785099 11542848 13361018 X PIERCECARE IS A FAITH-BASED NOT-FOR-PROFIT ORGANIZATION THAT PROVIDES A COMPASSIONATE CONTINUUM OF CARE AND SERVICES FOR ANY INDIVIDUAL IN A PLACE THEY CALL HOME. 0 0 6324035 7666421 LONG TERM CARE AND SHORT TERM REHABILITATION CENTER - THE APPROXIMATELY 55,000 SQUARE FOOT FACILITY CONTAINS 72 BEDS, THERAPY SPACE AND COMMON LIVING, DINING, AND RECREATION AREAS. LONG TERM RESIDENTS ENJOY A VARIETY OF PROGRAMS SUCH AS DAILY EXERCISE, GAMES, MUSIC, BINGO, PARTIES, AND BAKING, AS WELL AS A WIDE VARIETY OF INTELLECTUALLY STIMULATING PROGRAMS. THE FACILITY PROVIDES COMPREHENSIVE SERVICES TO THOSE PERSONS IN NEED OF SHORT TERM REHABILITATION FOLLOWING SURGERY OR ACUTE ILLNESSES. THESE INCLUDE PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES AS WELL AS 24 HOUR NURSING CARE, TEACHING, EDUCATION, ETC. PRIOR TO RETURNING HOME IN THE COMMUNITY. 2377429 2910859 INDEPENDENT LIVING - THIS CONSISTS OF 82 APARTMENTS AND 6 COTTAGES. THIS PROGRAM IS DESIGNED TO BE A COMMUNITY FOR RETIRED PEOPLE WHO SEEK THE EASE AND SECURITY OF GRACIOUS AND EXCEPTIONAL LIVING AMIDST FAMILIAR SURROUNDINGS AND FRIENDS. 397949 572177 ASSISTED LIVING - THIS PROGRAM PROVIDES THE FREEDOM AND FLEXIBILITY OF AN INDEPENDENT HOME ENVIRONMENT PARTNERED WITH HIGH-QUALITY, INDIVIDUALIZED ASSISTED LIVING SERVICES. ASSISTED LIVING SERVICES ARE DESIGNED TO PROVIDE RESIDENTS WITH ASSISTANCE WITH BASIC ACTIVITIES OF DAILY LIVING SUCH AS BATHING, GROOMING, DRESSING, AND MORE. 13103 VENDING MACHINES AND CONVENIENCE ITEMS AVAILABLE FOR SALE TO THE RESIDENTS: THE REVENUES FOR THIS ACTIVITY AMOUNTED TO $2,643.OTHER PROGRAM SERVICE REVENUE:$10,460 13103 9099413 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 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 0 0 0 0 0 0 1 35 0 1 286 1 0 0 0 0 0 0 0 0 0 0 X 11 10 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 0 1 0 0 CT X BLUMSHAPIRO 8602959600 344 NORTH MAIN STREET MARLBOROUGH CT 06447 X ROBERT AVENA ESQ BOARD MEMBER 1.00 X 0 0 0 REV SAMUEL CHESSER BOARD MEMBER 1.00 X 0 0 0 BILL MCMUNN BOARD MEMBER 1.00 X 0 0 0 DAVID STEVENS BOARD MEMBER 1.00 X 0 0 0 MARK KANE BOARD MEMBER 1.00 X 0 0 0 REVDR HARRY RIGGS EX-OFFICIO BOARD MEMBER 0.20 X 0 0 0 WALLACE BLACK EX-OFFICIO BOARD MEMBER 0.20 X 0 0 0 SANDY STEVENS CHAIR 10.00 X X 0 0 0 PETER YOUNG BOARD MEMBER 1.00 X 0 0 0 DAVID JONES TREASURER 10.00 X X 0 0 0 PATRICIA MORSE PRESIDENT/CEO 20.00 X X 0 0 0 0 0 0 0 0 0 0 PREFERRED THERAPY SOLUTIONS 850 SILAS DEANE HIGHWAY WETHERSFIELD CT 06109 CONTRACT THERAPY 380951 HEALTHCARE SERVICES GROUP PO BOX 829677 PHILADELPHIA PA 19182 LAUNDRY AND HOUSEKEEPING 209749 OMNICARE PO BOX 781668 DETROIT MI 48278 CONTRACT PHARMACY 101910 BLUMSHAPIRO 344 NORTH MAIN STREET MARLBOROUGH CT 06477 ACCOUNTING 100383 4 8849 8849 LONG TERM CARE & ST REHAB 623000 7666421 7666421 INDEPENDENT LIVING 531110 2910859 2910859 ASSISTED LIVING 531110 572177 572177 11149457 260283 260283 1672089 1417351 254738 254738 254738 2643 0 2643 2643 OTHER INCOME 900099 10460 10460 10460 11686430 11162560 0 515021 4536937 4167077 369860 27242 27242 740799 706390 34409 329321 329321 24676 24676 158920 158920 58683 58683 865486 598136 267350 90170 90170 764535 734619 29916 684732 684732 4711 4711 16770 16770 340150 340150 646201 634402 11799 109489 39650 69839 PROVIDER FEES 458898 458898 FOOD 446431 446431 PROPERTY TAXES 180873 180873 SERVICE CONTRACTS 74957 74957 88800 33098 55702 10648781 9099413 1549368 0 970614 1582594 1100320 813450 590727 539274 36774 19777 96037 104889 21448500 12774628 8905739 8673872 8791922 8177466 240621 228822 1839326 4005973 22572080 24146117 592860 710807 12842 10072915 9730139 72381 62836 16666 261568 281317 11029232 10785099 X 9165247 10926539 2377601 2434479 11542848 13361018 22572080 24146117 X 1037649 723643 56878 X X 0 1 X 1 0 X 87538 13679 12020 5679 8849 127765 10436136 10644528 10793173 10749971 11162560 53786368 10523674 10658207 10805193 10755650 11171409 53914133 0 53034 55674 79169 187877 53034 55674 79169 187877 53726256 261819 286062 279071 256245 260283 1343480 261819 286062 279071 256245 260283 1343480 10785493 10944269 11084264 11011895 11431692 55257613 0.97230 0.96770 0.02430 0.02560 X 0 1 X 6705707 1106302 152400 40365 7619244 6378220 519568 156139 35942 6705707 5752090 811559 152400 33029 6378220 6173553 -234731 152400 34332 5752090 5603131 756412 152400 33590 6173553 0.68050 0.31950 0 0 18199351 10341355 7857996 2994136 2291297 702839 255013 141976 113037 8673872 INTEREST IN TRUST 3698525 RESTRICTED INVESTMENTS AND CASH 307448 4005973 SECURITY DEPOSITS 281317 281317 12733724 1035259 12035 1047294 11686430 0 11686430 10660816 12035 12035 10648781 0 10648781 PART IV, LINE 2B: SECURITY DEPOSITS AND RESTRICTED TRUST FUNDS. PART V, LINE 4: TO PROVIDE INTEREST AND EARNINGS TO SUPPORT OPERATING AND CAPITAL NEEDS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RECOVERY OF BAD DEBTS 12,035. PART XII, LINE 2D - OTHER ADJUSTMENTS: RECOVERY OF BAD DEBTS 12,035. A STATE OF CT HEALTH & ED FACILITIES AUTHORITY 060806186 2013-03-13 11454000 REFINANCE OF PRIOR BONDS 0 0 0 A 1723861 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 PART II, LINE 11 - OTHER SPENT PROCEEDS: BOND PROCEEDS IN THE AMOUNT OF $11,228,067 WERE USED TO REFINANCE PRIOR BONDS. FORM 990, PART VI, SECTION A, LINE 3 PIERCE MEMORIAL BAPTIST HOME, INC. ENTERED INTO A LEASED EMPLOYEE SERVICES AGREEMENT WITH CT BAPTIST HOMES, INC. UNDER THIS AGREEMENT, CT BAPTIST HOMES HAS AGREED TO LEASE TO PIERCE MEMORIAL BAPTIST HOME, ON A PART-TIME BASIS, THE SERVICES OF ITS CEO. IN CONSIDERATION FOR THESE SERVICES, PIERCE MEMORIAL BAPTIST HOME HAS AGREED TO REIMBURSE CT BAPTIST HOMES FOR FIFTY PERCENT OF THE CEO'S ANNUAL SALARY, PAYROLL TAXES AND BENEFITS FOR A PERIOD OF THREE YEARS, THROUGH FEBRUARY 28, 2017. IN MARCH 2017, THE CONTRACT WAS RENEWED FOR AN ADDITIONAL THREE-YEAR TERM THROUGH FEBRUARY 28, 2020. PATTY MORSE RECEIVED COMPENSATION OF $168,608 FROM CT BAPTIST HOMES FOR CEO SERVICES PROVIDED TO PIERCE MEMORIAL BAPTIST HOME DURING THE YEAR. PIERCE MEMORIAL BAPTIST HOME, INC. CONTRACTS A PORTION OF ITS BOOKKEEPING SERVICES TO BLUMSHAPIRO. FORM 990, PART VI, SECTION A, LINE 8B THE BOARD OF TRUSTEES, WHICH MAKES THE FINAL DECISIONS, KEEPS MINUTES REGARDING EACH MEETING AND ACTION TAKEN. COMMITTEES MAY HOLD A MEETING THAT IS NOT DOCUMENTED, BUT ANY ACTIONS AGREED UPON ARE SENT TO THE BOARD OF TRUSTEES FOR FINAL APPROVAL. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 IS MADE AVAILABLE TO EACH BOARD MEMBER PRIOR TO FILING. ANY QUESTIONS ARE THEN ADDRESSED BY THE PRESIDENT AND CEO OR THE INDEPENDENT ACCOUNTING FIRM PRIOR TO FILING THE 990. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY ALL EMPLOYEES ARE INFORMED ABOUT ETHICS AND HOW TO REPORT ANY ISSUES THEY BECOME AWARE OF. THE ETHICS INCLUDES CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION OF THE CEO IS REVIEWED ANNUALLY TO OUTSIDE SOURCES SUCH AS, OTHER FORM 990S OF COMPARABLE FACILITIES AND INDEPENDENT COMPENSATION CONSULTANTS RECOMMENDATIONS AND ESTABLISHED WITH A COMPENSATION COMMITTEE, APPROVAL OF THE BOARD AND A WRITTEN EMPLOYMENT CONTRACT. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND THE CONFLICT OF INTEREST STATEMENT ARE AVAILABLE AT THE FACILITY'S OFFICE. FORM 990, PART XI, LINE 9: CHANGE IN THE VALUE OF PERPETUAL TRUSTS 56,878. ROUNDING FORM 990, PART XII, LINE 2C: THE FACILITY HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE CPA. THERE WAS NO CHANGE IN THE PROCESS FROM LAST YEAR.