2016-02-26T15:22:47-06:00 2015-09-30 061009205 BLUM SHAPIRO & CO PC 29 SOUTH MAIN STREET WEST HARTFORD CT 061272000 990 2014-10-01 061017444 CONNECTICUT BAPTIST HOMES INC CONN 2032371206 292 THORPE AVENUE MERIDEN CT 064507184 PATRICIA MORSE PRESIDENT 2032371206 2016-02-09 1 LORI M BUDNICK P00046310 8605614000 2014 2016-08-17 19:52:53Z PATRICIA MORSE 292 THORPE AVENUE MERIDEN CT 06450 6155793 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. 17 16 118 55 0 0 25057 31380 5676253 5818661 92784 167348 128203 124417 5922297 6141806 0 0 0 0 3408788 3491484 0 0 0 2606303 2588699 6015091 6080183 -92794 61623 11264442 8773280 4262242 2002048 7002200 6771232 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 2765011 3129299 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 2015, WITH 99% OCCUPANCY PROVIDED 10,846 DAYS OF CARE. 1736143 1964878 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 2015, WITH 99% OCCUPANCY PROVIDED 10,910 DAYS OF CARE. 371487 420430 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 2015 WITH 96% OCCUPANCY, IT PROVIDED 7,024 DAYS OF CARE. 4872641 1 0 0 0 0 0 0 0 0 1 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 0 118 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 16 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CT X X PATRICIA MORSE 2032371206 292 THORPE AVENUE MERIDEN CT 06450 PETER C YOUNG CHAIRPERSON 0.50 X X 0 0 0 REV MARGARET D LEWIS VICE-CHAIRPERSON 0.50 X X 0 0 0 REV JUDY ALLBEE EX-OFFICIO DIRECTOR 0.50 X 0 0 0 REV RICHARD J DOYLE DIRECTOR 0.50 X 0 0 0 REBECCA OTTERBEIN DIRECTOR 0.50 X 0 0 0 HORACE BROWN DIRECTOR 0.50 X 0 0 0 BILL SMITH DIRECTOR 0.50 X 0 0 0 JEFF WALLACE DIRECTOR 0.50 X 0 0 0 ROBERTA LASEK DIRECTOR 0.50 X 0 0 0 SHIRLEY MASON DIRECTOR 0.50 X 0 0 0 MARGARET MYERS DIRECTOR 0.50 X 0 0 0 DAN WILDER DIRECTOR 0.50 X 0 0 0 THOMAS RYAN DIRECTOR 0.50 X 0 0 0 SHIRLEY RYAN DIRECTOR 0.50 X 0 0 0 CATHERINE SOUZA DIRECTOR 0.50 X 0 0 0 SHARON KUPIEC DIRECTOR 0.50 X 0 0 0 PATRICIA MORSE PRESIDENT, TREASURER 20.00 X X 195638 0 32017 195638 0 32017 1 0 1 0 0 31380 31380 PATIENT SVC REV - SKIL 623000 3129299 3129299 PATIENT SVC REV - INTE 623000 1964878 1964878 PATIENT SVC REV - RESI 623000 420430 420430 ANCILLARY SVC REVENUE 623000 304054 304054 5818661 108162 108162 19200 13987 5213 5213 5213 59186 0 59186 59186 59186 MGMT & MAINTENANCE CON 900099 91506 91506 TELEPHONE INCOME 900099 18831 18831 MEALS 900099 7157 7157 1710 1710 119204 6141806 5997051 0 113375 205504 184954 20550 2667699 2492284 175415 53151 53151 362384 337668 24716 202746 188918 13828 2754 2754 97242 97242 2643 2643 572989 513733 59256 5782 5782 186807 186807 3124 3124 101524 101524 249963 249963 225071 60738 164333 PROVIDER TAXES 427840 427840 MEDICAL THERAPY 300718 300718 FOOD SERVICE CONTRACT ( 93017 93017 REPAIRS CONTRACT & SUPP 92942 92942 226283 170899 55384 6080183 4872641 1207542 0 15296 25232 1651050 755631 319280 373606 23773 33224 7484 5754 8961027 4759223 4343175 4201804 4817140 3296697 87244 81332 11264442 8773280 610287 544349 7511 0 3644444 1457699 4262242 2002048 X 6693962 6471733 308238 299499 7002200 6771232 11264442 8773280 61623 -292591 0 X X 0 1 X 1 0 X 16932 32541 22997 25057 31380 128907 5798350 6047594 5670460 5676253 5739716 28932373 5815282 6080135 5693457 5701310 5771096 29061280 0 0 0 29061280 116867 136949 151881 128766 108162 642625 116867 136949 151881 128766 108162 642625 95215 121799 136591 80628 179350 613583 6027364 6338883 5981929 5910704 6058608 30317488 0.95860 0.96070 0.02120 0.02170 X 308238 -8739 299499 306008 2230 308238 301749 4259 306008 289687 12052 301749 294303 795 -5401 289697 1.00000 1 0 206755 206755 7444209 3700786 3743423 1310063 1058437 251626 4201804 PART V, LINE 4: ENDOWMENT FUNDS WILL BE USED FOR THE STATED CHARITABLE PURPOSES OF THE ORGANIZATION WITH THE APPROVAL OF THE BOARD OF DIRECTORS. X X X X X X 0 0 0 0 0 0 0 0 0 PATRICIA MORSE PRESIDENT, TREASURER 168380 0 13500 0 13758 0 0 0 32017 0 227655 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 AS PER THE BY-LAWS THERE IS ONE CLASS OF MEMBER, NAMELY INDIVIDUAL. ALL WITH THE SAME VOTING RIGHTS. THEY SHALL BE A MEMBER OF AN AMERICAN BAPTIST CHURCH AND MEET ONE OR MORE CRITERIA (AND ACCEPT A MEMBERSHIP OFFER): CURRENT DIRECTOR, CONTRIBUTED FINANCIALLY TO CBH, CURRENT MEMBER OF THE AUXILIARY, CURRENT VOLUNTEER, OR AN INDIVIDUAL WHO EXPRESSES IN WRITING INTEREST IN BECOMING A MEMBER AND SUBSEQUENTLY ACCEPTS A MEMBERSHIP OFFER. FORM 990, PART VI, SECTION A, LINE 7A THE ACTIVITIES, PROPERTY, AND AFFAIRS OF THE CORPORATION SHALL BE MANAGED BY ITS BOARD OF DIRECTORS, EACH OF WHOM SHALL BE ELECTED BY A MAJORITY VOTE OF THE MEMBERS OF THE CORPORATION PRESENT AT THE ANNUAL MEETING OF THE MEMBERSHIP. CUMULATIVE VOTING IS PROHIBITED. 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 19 THEY 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 237832 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 91506 CASH