2016-05-12T09:27:18-05:00 2015-09-30 061009205 BLUM SHAPIRO & COMPANY PC CPA'S 29 S MAIN STREET PO BOX 272000 WEST HARTFORD CT 061272000 990 2014-10-01 060677159 PIERCE MEMORIAL BAPTIST HOME INC PIER 8607749050 PO BOX 326 BROOKLYN CT 06234 PATRICIA MORSE PRESIDENT/CEO 8607749050 2016-05-04 1 ELIZABETH SOLECKI P00235171 8605614000 2014 2016-08-17 19:52:53Z PIERCECARE PATRICIA MORSE 44 CANTERBURY ROAD BROOKLYN CT 06234 10993040 0 X WWW.PIERCECARE.ORG X 1951 CT TO PROVIDE A CONTINUUM OF CARE TO RESIDENTS AT A LEVEL OF INDEPENDENCE APPROPRIATE TO THEIR NEEDS. 12 12 255 76 0 0 13549 13611 10377803 10624615 312173 315812 58893 19981 10762418 10974019 0 0 0 0 5851237 6000327 0 0 0 5275707 5352326 11126944 11352653 -364526 -378634 23957256 22345430 13303377 12640882 10653879 9704548 X PIERCECARE PROVIDES A CONTINUUM OF QUALITY CARE BY MAKING AVAILABLE INDEPENDENT AND ASSISTED LIVING, REHABILITATIVE THERAPY, LONG-TERM NURSING, RESPITE, ADULT DAY CARE AND OTHER SERVICES IN A CHRIST-CENTERED ENVIRONMENT. RESIDENTS ARE ENCOURAGED TO GROW SPIRTUALLY AS THEY LIVE THEIR LIVES AT A LEVEL OF INDEPENDENCE APPROPRIATE TO THEIR NEEDS. THESE SERVICES ARE PROVIDED TO ALL AS AN EXTENSION OF THE MINISTRY OF THE AMERICAN BAPTIST CHURCHES OF CONNECTICUT. 0 0 6998738 7087406 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. 1973459 2772717 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. 468589 736342 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. 23559 48063 ADULT DAY CARE: TWO DAYS A WEEK ELDERLY INDIVIDUALS MEET AT PMBH IN THE RECREATION ROOM TO SOCIALIZE, LISTEN TO MUSIC AND PARTICIPATE IN OTHER ACTIVITIES. THEY ARE SUPERVISED FOR 6 HOURS BY PROFESSIONALS AND ARE GIVEN A HOT LUNCH AT NOON. THIS IS DESIGNED FOR CAREGIVERS TO HAVE A DAY OFF. THE PRICE IS $50 PER DAY. ADULT DAY CARE EXPENSES AMOUNTED TO $23,559 WHILE REVENUES AMOUNTED TO $28,150.VENDING MACHINES AND CONVENIENCE ITEMS AVAILABLE FOR SALE TO THE RESIDENTS: THE REVENUES FOR THIS ACTIVITY AMOUNTED TO $17,129.OTHER PROGRAM SERVICE REVENUE: $2,784. 23559 48063 9464345 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 15 0 1 255 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 0 1 0 0 CT X PREMIER ACCOUNTING GROUP 8602959600 344 NORTH MAIN STREET MARLBOROUGH CT 06447 X ROBERT AVENA ESQ BOARD MEMBER 1.00 X 0 0 0 REV MICHAEL A CRANE BOARD MEMBER 1.00 X 0 0 0 REV MARY L APICELLA BOARD MEMBER 1.00 X 0 0 0 BILL MCMUNN BOARD MEMBER 1.00 X 0 0 0 REV GREGORY J THOMAS BOARD MEMBER 1.00 X 0 0 0 REV SAMUEL CHESSER BOARD MEMBER 1.00 X 0 0 0 CHARLES WYAND BOARD MEMBER 1.00 X 0 0 0 REV JUDY G ALLBEE EX-OFFICIO BOARD MEMBER 0.20 X 0 0 0 DAVID STEVENS EX-OFFICIO BOARD MEMBER 0.20 X 0 0 0 JOHN RIESEN CHAIRMAN 10.00 X X 0 0 0 MARK KANE VICE CHAIRMAN 10.00 X X 0 0 0 SANDY STEVENS SECRETARY 10.00 X X 0 0 0 DAVID JONES TREASURER 10.00 X X 0 0 0 PATRICIA MORSE PRESIDENT/CEO 20.00 X 0 0 0 0 0 0 0 0 0 0 PREFERRED THERAPY SOLUTIONS 850 SILAS DEANE HIGHWAY WETHERSFIELD CT 06109 THERAPY SERVICES 304236 C&S GENERAL CONTRACTING LLC 11 BENTLEY AVENUE NEW LONDON CT 06320 CONTRACTOR 233187 OMNICARE PO BOX 78000 DETROIT MI 48278 PHARMACY & MEDICATION 168891 SELECT REHABILITATION INC 550 FRONTAGE ROAD NORTHFIELD IL 60093 PROVIDES PTOT AND ST SERVICES TO RESIDEN 166738 NORTHEAST BUILDERS 764 GREENVILLE AVE HOHNSTON RI 02919 CONTRACTOR 115805 5 13611 13611 LONG TERM CARE & ST REHAB 623000 7087406 7087406 INDEPENDENT LIVING 531110 2772717 2772717 ASSISTED LIVING 531110 736342 736342 ADULT DAY CARE PROGRAM 624100 28150 28150 10624615 286062 286062 32901 1500 0 4651 32901 -3151 29750 29750 1424 1356 68 68 30143 13014 17129 17129 OTHER INCOME 900099 2784 2784 2784 10974019 10644528 0 315880 4928472 4490078 438394 22054 22054 684132 574009 110123 365669 326129 39540 3642 3642 115311 115311 59790 59790 981075 778314 202761 124467 124467 441340 364355 76985 43377 43377 569068 569068 14409 14409 56898 31419 25479 372657 372657 633039 621240 11799 122401 48202 74199 LICENSES, DUES & FEES 473687 461339 12348 FOOD 446107 446107 BAD DEBT EXPENSE 420888 420888 PROPERTY TAXES 152647 152647 321523 228781 92742 11352653 9464345 1888308 0 1049822 290398 1573513 1213932 830399 1056744 160590 165475 36938 39436 39038 55432 20622376 10870647 9980407 9751729 6173553 5752089 276018 264219 3836978 3755976 23957256 22345430 646536 572644 1267787 975652 11032437 10723589 17248 16311 91663 66664 247706 286022 13303377 12640882 X 8150392 7393401 96508 49166 2406979 2261981 10653879 9704548 23957256 22345430 X -378634 -425699 -144998 X X 0 1 X 1 0 X 23190 17823 14639 87538 13679 156869 9540083 8941956 10279913 10436136 10644528 49842616 9563273 8959779 10294552 10523674 10658207 49999485 0 154568 128122 172772 53034 55674 564170 154568 128122 172772 53034 55674 564170 49435315 243999 231076 312216 261819 286062 1335172 243999 231076 312216 261819 286062 1335172 9033 72401 81434 9816305 9263256 10606768 10785493 10944269 51416091 0.96150 0.95870 0.02600 0.02520 X 0 1 X 6173553 -234731 152400 34332 5752090 5603131 756412 152400 33590 6173553 5952740 327063 645022 31651 5603130 5170296 965143 152400 30299 5952740 5239270 113474 151835 30613 5170296 0.84980 0.15020 0 0 17724849 8965624 8759225 2678514 1775190 903324 219013 129833 89180 9751729 INTEREST IN TRUST 1418642 RESTRICTED INVESTMENTS AND CASH 2337334 3755976 SECURITY DEPOSITS 286022 286022 9996688 -570697 -420888 -991585 10988273 -14254 -14254 10974019 10946019 14254 14254 10931765 420888 420888 11352653 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: BAD DEBT EXPENSE -420,888. PART XI, LINE 4B - OTHER ADJUSTMENTS: PORTIONS OF COGS SHOWN NET/GROSS IN FINANCIALS -11,103. LOSS ON SALE OF FIXED ASSETS SHOWN NET/GROSS IN FINANCIALS -3,151. PART XII, LINE 2D - OTHER ADJUSTMENTS: PORTIONS OF COGS SHOWN NET/GROSS IN FINANCIALS 11,103. LOSS ON SALE OF FIXED ASSETS SHOWN NET/GROSS IN FINANCIALS 3,151. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 420,888. A STATE OF CT HEALTH & ED FACILITIES AUTHORITY 060806186 2013-03-13 11454000 REFINANCE OF PRIOR BONDS 0 0 0 A 421563 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. PATTY MORSE RECEIVED COMPENSATION OF $152,172 FROM CT BAPTIST HOMES FOR CEO SERVICES PROVIDED TO PIERCE MEMORIAL BAPTIST HOME DURING THE YEAR. 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. COMMITTEE'S 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 11 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 990'S 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 -144,998. FORM 990, PART XII, LINE 2C: THE FACILITY HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE CPA. THERE WAS NO CHANGE IN THE PROCESS FROM LAST YEAR.