2015-08-06T10:31:30-05:00 2014-09-30 061009205 BLUM SHAPIRO & COMPANY PC CPA'S 29 S MAIN STREET PO BOX 272000 WEST HARTFORD CT 061272000 990 2013-10-01 060677159 PIERCE MEMORIAL BAPTIST HOME INC PIER 8607749050 PO BOX 326 BROOKLYN CT 06234 PATTY MORSE PRESIDENT/CEO 8607749050 2015-08-03 1 ELIZABETH SOLECKI P00235171 8605614000 2013 2016-02-25 16:41:14Z PIERCECARE PATTY MORSE 44 CANTERBURY ROAD BROOKLYN CT 06234 10820773 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. 11 11 253 50 0 0 14297 13549 10271545 10377803 623957 312173 8604 58893 10918403 10762418 0 0 0 0 5684262 5851237 0 0 0 4834035 5275707 10518297 11126944 400106 -364526 24099232 23957256 13765781 13303377 10333451 10653879 X PIERCECARE PROVIDES A CONTINUUM OF QUALITY CARE BY MAKING AVAILABLE INDEPENDENT AND ASSISTED LIVING, REHABILATIVE 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 6873093 7036138 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. 1890670 2661740 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. 402398 648430 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. 26665 89828 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 A DAY. ADULT DAY CARE EXPENSES AMOUNTED TO $26,665 WHILE REVENUES AMOUNTED TO $31,495.VENDING MACHINES AND CONVENIENCE ITEMS AVAILABLE FOR SALE TO THE RESIDENTS: THE REVENUES FOR THIS ACTIVITY AMOUNTED TO $14,650.OTHER PROGRAM SERVICE REVENUE: $43,683. 26665 89828 9192826 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 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 27 0 1 253 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 0 1 0 0 CT X DIANA BAULE OFFICE MANAGER 8607749050 ROUTE 169 BROOKLYN CT 06234 ROBERT AVENA ESQ BOARD MEMBER 1.00 X 0 0 0 REV MICHAEL A CRANE BOARD MEMBER 1.00 X 0 0 0 MARK KANE BOARD MEMBER 1.00 X 0 0 0 BILL MCMUNN BOARD MEMBER 1.00 X 0 0 0 SCOT RAPOZA BOARD MEMBER 1.00 X 0 0 0 SANDY STEVENS 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 WILLIAM SMITH VICE CHAIRMAN 10.00 X X 0 0 0 SHIRLEY DEFLAVIS SECRETARY 10.00 X X 0 0 0 DAVID JONES TREASURER 10.00 X X 0 0 0 LEONARD GOLDBERG PRESIDENT/CEO 40.00 X 185416 0 5573 PATTY MORSE PRESIDENT/CEO 20.00 X 0 0 0 185416 0 5573 1 0 1 0 SELECT REHABILITATION INC 550 FRONTAGE ROAD NORTHFIELD IL 60093 PROVIDES PTOT AND ST SERVICES TO RESIDEN 472944 RETIREMENT DYNAMICS PO BOX 667986 CHARLOTTE NC 02826 CONSULTING 150114 C&S GENERAL CONTRACTING LLC 11 BENTLEY AVENUE NEW LONDON CT 06320 CONTRACTOR 112595 ADVANCED OFFICE SYSTEMS 296 EAST MAIN STREET BRANFORD CT 06405 CONSULTING 100125 4 13549 13549 LONG TERM CARE & ST REHAB 623000 7036138 7036138 INDEPENDENT LIVING 531110 2661740 2661740 ASSISTED LIVING 531110 648430 648430 ADULT DAY CARE PROGRAM 624100 31495 31495 10377803 261819 261819 98672 48318 50354 50354 50354 1200 640 560 560 24047 9397 14650 14650 OTHER INCOME 900099 43683 43683 43683 10762418 10436136 0 312733 100620 100620 4727861 4351043 376818 21933 13233 8700 628248 536818 91430 372575 315194 57381 8088 8088 107481 107481 59250 59250 1102296 833062 269234 207919 207919 429629 340010 89619 26848 26848 596778 596778 18120 241 17879 13301 9087 4214 384922 384922 554527 542728 11799 123959 31182 92777 LICENSES, DUES & FEES 480379 469538 10841 FOOD 415658 415658 BAD DEBT EXPENSE 317396 317396 PROPERTY TAXES 151647 151647 277509 201685 75824 11126944 9192826 1934118 0 1552359 1049822 1853921 1573513 1343667 830399 219150 160590 1708 36938 70494 39038 20243766 10263359 9175946 9980407 5603131 6173553 287817 276018 3991039 3836978 24099232 23957256 819711 646536 1333998 1267787 11306725 11032437 305347 17248 91663 0 247706 13765781 13303377 X 7986943 8150392 44940 96508 2301568 2406979 10333451 10653879 24099232 23957256 X -364526 618740 73429 -7215 X X 0 1 X 1 0 X 183693 23190 17823 14639 87538 326883 9443192 9540083 8941956 10279913 10436136 48641280 9626885 9563273 8959779 10294552 10523674 48968163 0 215911 154568 128122 172772 53034 724407 215911 154568 128122 172772 53034 724407 48243756 219365 243999 231076 312216 261819 1268475 219365 243999 231076 312216 261819 1268475 3388 9033 72401 84822 9849638 9816305 9263256 10606768 10785493 50321460 0.95870 0.95500 0.02520 0.02540 X 0 1 X 5603131 756412 152400 33590 6173553 5952740 327063 645022 31651 5603130 5170296 965143 152400 30299 5952740 5239270 113474 151835 30613 5170296 4047765 130297 1245051 154660 29183 5239270 0.84980 0.15020 0 0 17568415 8930625 8637790 2477458 1206975 1270483 197893 125759 72134 9980407 INTEREST IN TRUST 1563640 RESTRICTED INVESTMENTS AND CASH 2273338 3836978 SECURITY DEPOSITS 247706 247706 11249577 618740 73429 -211985 480184 10769393 -6975 -6975 10762418 10816523 6975 6975 10809548 317396 317396 11126944 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: CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS 105,411. BAD DEBT EXPENSE -317,396. PART XI, LINE 4B - OTHER ADJUSTMENTS: PORTIONS OF COGS SHOWN NET/GROSS IN FINANCIALS -6,975. PART XII, LINE 2D - OTHER ADJUSTMENTS: PORTIONS OF COGS SHOWN NET/GROSS IN FINANCIALS 6,975. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 317,396. X X X X X 0 0 0 0 0 0 0 1 0 LEONARD GOLDBERG PRESIDENT/CEO 178200 0 7216 0 0 0 0 0 5573 0 190989 0 0 0 PART I, LINE 7 THE CEO RECEIVED A BONUS IN THE AMOUNT OF $7,216. 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 0.00000 0.00000 0.00000 0 0 0 A 0 0 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 $69,457 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 BENEFICIAL INTEREST IN PERPETUAL TRUSTS 105,411. PRIOR PERIOD CHANGE IN ACCOUNTING PRINCIPLE -112,626. 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 CHNAGE IN THE PROCESS FROM LAST YEAR.