2017-03-31T13:11:19-05:00 2016-09-30 061009205 BLUM SHAPIRO & CO PC 29 SOUTH MAIN STREET WEST HARTFORD CT 061272000 990 2015-10-01 061017444 CONNECTICUT BAPTIST HOMES INC CONN 2032371206 292 THORPE AVENUE MERIDEN CT 064507184 PATRICIA MORSE PRESIDENT 2032371206 2017-02-15 1 LORI M BUDNICK P00046310 8605614000 2017-02-15 2015 2021-01-29 14:40:06Z PATRICIA MORSE 292 THORPE AVENUE MERIDEN CT 06450 6443343 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 CONTINUUM CONSISTING OF DISTINCT LEVELS OF CARE THAT PROVIDE REHABILITATIVE SERVICES, NURSING CARE, DEMENTIA CARE AND RESIDENTIAL LIVING SERVICES TO ELDERLY INDIVIDUALS. 13 12 118 60 211059 2128 31380 32244 5818661 5923369 167348 146687 124417 324818 6141806 6427118 0 0 0 0 3491484 3682116 0 0 0 2588699 2483628 6080183 6165744 61623 261374 8762070 9134738 1990838 1951302 6771232 7183436 X 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, AFFORDABLE HEALTHCARE AND RESIDENTIAL SERVICES TO SENIORS WITHIN OUR CONTINUUM. 0 0 2342484 3376933 SKILLED NURSING UNIT: CBH PROVIDES PERSONALIZED, HIGH QUALITY, AFFORDABLE CARE TO INDIVIDUALS OVER THE AGE OF 65 REGARDLESS OF BACKGROUND OR ABILITY TO PAY. OUR SKILLED NURSING UNIT PROVIDES REHABILITATIVE AND NURSING CARE THAT SUPPORTS EACH RESIDENTS MAXIMUM INDEPENDENCE, DIGNITY AND CHOICE IN A FAITH-BASED,MISSION DRIVEN SETTING. THE UNIT HAS 30 BEDS AND IN 2016, WITH 99% OCCUPANCY, PROVIDED 10,813 DAYS OF CARE. 1468208 2116573 INTERMEDIATE CARE NURSING UNIT: CBH PROVIDES PERSONALIZED, HIGH QUALITY, AFFORDABLE CARE TO INDIVIDUALS OVER THE AGE OF 65 REGARDLESS OF BACKGROUND OR ABILITY TO PAY. OUR INTERMEDIATE CARE UNIT PROVIDES REST HOME WITH NURSING SUPERVISION SERVICES THAT FOSTER INDEPENDENCE, SAFETY AND DIGNITY IN A FAITH-BASED,MISSION DRIVEN SETTING. THE UNIT HAS 30 BEDS AND IN 2016, WITH 98% OCCUPANCY, PROVIDED 10,688 DAYS OF CARE. 298184 429863 RESIDENTIAL LIVING: CBH PROVIDES PERSONALIZED, HIGH QUALITY, AFFORDABLE CARE TO INDIVIDUALS OVER THE AGE OF 65 REGARDLESS OF BACKGROUND OR ABILITY TO PAY. OUR RESIDENTIAL LIVING UNIT HAS 20 UNITS AND OPERATES UNDER A BOARDING HOME LICENSE PROVIDING AN ENVIRONMENT THAT PROMOTES INDEPENDENCE, HEALTH, SAFETY AND DIGNITY IN A FAITH-BASED, MISSION DRIVEN SETTING. IN 2016, WITH 98% OCCUPANCY, IT PROVIDED 7,175 DAYS OF CARE. 4108876 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 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 1 1 0 0 0 1 12 0 1 118 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CT X PATRICIA MORSE 2032371206 292 THORPE AVENUE MERIDEN CT 06450 REV MARGARET D LEWIS CHAIRPERSON 0.50 X X 0 0 0 REV RICHARD J DOYLE VICE-CHAIRPERSON 0.50 X X 0 0 0 REV JUDY ALLBEE EX-OFFICIO DIRECTOR 0.50 X 0 0 0 FRANK AMAZEEN DIRECTOR 0.50 X 0 0 0 REBECCA OTTERBEIN DIRECTOR 0.50 X 0 0 0 SHARON KUPIEC DIRECTOR 0.50 X 0 0 0 BILL SMITH DIRECTOR 0.50 X 0 0 0 DAN WILDER DIRECTOR 0.50 X 0 0 0 ROBERTA LASEK SECRETARY 0.50 X 0 0 0 CATHERINE SOUZA DIRECTOR 0.50 X 0 0 0 MARCIA SARRAZIN DIRECTOR 0.50 X 0 0 0 REV HOPETON SCOTT DIRECTOR 0.50 X 0 0 0 PATRICIA MORSE PRESIDENT, TREASURER 20.00 X X 205168 0 32017 205168 0 32017 1 0 1 0 0 32244 32244 PATIENT SVC REV - SKIL 623000 3215524 3215524 PATIENT SVC REV - INTE 623000 1991800 1991800 PATIENT SVC REV - RESI 623000 429863 429863 ANCILLARY SVC REVENUE 623000 286182 286182 5923369 102568 102568 19200 16225 2975 2975 2975 44119 0 44119 44119 44119 MGMT & MAINTENANCE CON 900099 297093 211059 86034 TELEPHONE INCOME 900099 17218 17218 MEALS 900099 6698 6698 834 834 321843 6427118 5923369 211059 260446 213657 213657 2832433 2511062 321371 59006 59006 366882 366882 210138 210138 180 180 100465 100465 2326 2326 531731 481541 50190 31516 31516 167571 167571 6942 6942 60934 60934 255757 255757 203259 58288 144971 PROVIDER TAXES 421661 421661 MEDICAL THERAPY 276608 276608 REPAIRS CONTRACT & SUPP 110634 110634 FOOD SERVICE CONTRACT ( 106838 106838 207206 140577 66629 6165744 4108876 2056868 0 25232 34014 755631 1036796 373606 276064 33224 35462 39086 95599 9053867 5022779 4201804 4031088 3296697 3588925 36790 36790 8762070 9134738 577681 582102 10732 1413157 1358468 1990838 1951302 X 6471733 6879212 299499 304224 6771232 7183436 8762070 9134738 261374 150830 0 X X 0 1 X 1 0 X 32541 22997 25057 31380 32244 144219 6047594 5670460 5676253 5739716 5923369 29057392 6080135 5693457 5701310 5771096 5955613 29201611 0 0 0 29201611 136949 151881 128766 108162 105543 631301 136949 151881 128766 108162 105543 631301 0 0 6672 0 2128 8800 121799 136591 80628 179350 158991 677359 6338883 5981929 5917376 6058608 6222275 30519071 0.95680 0.95860 0.02070 0.02120 X 206755 206755 7526596 3939098 3587498 1320516 1083681 236835 4031088 X X X X 0 0 0 0 0 0 0 0 0 PATRICIA MORSE PRESIDENT, TREASURER 170430 0 20334 0 14404 0 0 0 32017 0 237185 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED BY THE FINANCE COMMITTEE 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 XII, LINE 2C THERE HAVE BEEN NO CHANGES TO THE PROCESS DURING THE YEAR 288 THORPE AVE LLC 288 THORPE AVE MERIDEN CT 06450 REAL ESTATE CT 19200 236018 CONNECTICUT BAPTIST HOUSING INC (HUD PROJECT #017-35305) 292 THORPE AVENUE MERIDEN CT 06450 061350567 TO PROVIDE ELDERLY HOUSING AND SERVICES. CT 501(C)(3) 509(A)(2) 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 86034 CASH