2014-06-11T14:20:48-05:00 2013-09-30 271728945 O'Connor Davies LLP 100 Great Meadow Road Suite 401 Wethersfield CT 06109 990 2012-10-01 060677159 Pierce Memorial Baptist Home Inc PIER 8607749050 PO Box 326 Brooklyn CT 06234 Patty Morse 8607749050 2014-06-04 1 Thomas O Marien CPA MBA CVA P01064007 8602571870 2012 2015-11-30 17:44:51Z PierceCare Patty Morse 44 Canterbury Road Brooklyn CT 06234 13037775 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. 15 14 252 45 0 0 17637 14297 9004303 10271545 208774 623957 -2712 8604 9228002 10918403 0 0 0 0 5127981 5684262 0 0 4867 3675404 4834035 8803385 10518297 424617 400106 24375917 24099232 14478060 13765781 9897857 10333451 X PierceCare provids a continuum of quality care by making available independent and assisted living, rehabiltative 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 Conecticut. 1 0 6475234 7450162 Long Term Care and Short Term Rehabilitation Center - The approximately 55,000 square foot facility contains 80 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. 1724115 2437309 Independent Living - This consists of 83 apartments and 10 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. 359218 351974 Assisted Living - This program provides the freedom and flexibility of an independent home enviroment partnered with high-quality, individualized assisted living services. Assisted living services are designed to provide residents with assistance with basic activites of daily living such as bathing, grooming, dressing, and more. 29338 40362 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 $29,339 while revenues amount to $32,100.Vending machines and convenience items available for sale to the residents. The revenues for this activity amounted to $8,262. 29338 40362 8587905 1 0 0 1 0 0 0 0 1 1 1 0 0 1 0 1 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 0 0 1 252 1 0 0 0 0 0 0 0 0 X 15 14 0 0 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 5.00 X 0 0 0 Rev Michael A Crane 5.00 X 0 0 0 David Jones 5.00 X 0 0 0 Mark Kane 5.00 X 0 0 0 Bill McMunn 5.00 X 0 0 0 Scot Rapoza 5.00 X 0 0 0 Sandy Stevens 5.00 X 0 0 0 Charles Wyand 5.00 X 0 0 0 Rev Judy G Allbee 0.20 X 0 0 0 Rev Bill Sutton 0.20 X 0 0 0 John Riesen 10.00 X 0 0 0 William Smith 10.00 X 0 0 0 Shirley DeFlavis 10.00 X 0 0 0 Timothy Bates 10.00 X 0 0 0 Leonard Goldberg 50.00 X 185416 0 5567 Frances Cote RN 40.00 X 110490 0 450 295906 0 6017 2 0 1 0 Select Rehabilitation Inc 550 Frontage Road Northfield IL 60093 Provides PTOT and ST services to residen 324588 RehabCare Group Inc PO Box 503534 St Louis MO 63150 Provides PTOT and ST services to residen 165614 2 14297 14297 Long Term Care & ST Rehab 623000 7450162 7450162 Independent Living 531110 2437309 2437309 Assisted Living 531110 351974 351974 Adult Day Care Program 624100 32100 32100 10271545 312216 312216 2417172 2105431 311741 311741 311741 1625 1283 342 342 20920 12658 8262 8262 10918403 10279807 0 624299 355129 231014 119248 4867 4406614 4062366 344248 15383 11591 3792 570831 462611 108220 336305 299025 37280 9275 9275 67971 67971 130 130 41759 41759 821728 770732 50996 115830 115830 521337 328919 192418 12405 12405 493756 468050 25706 27914 248 27666 12276 8527 3749 223888 223888 516294 501502 14792 129713 35991 93722 Licenses, dues and fees 555224 457782 97442 Bond Refinancing Costs 470277 470277 Food 384817 384817 Property Taxes 151440 151440 278001 189402 88599 10518297 8587905 1925525 4867 1203810 1552359 3294008 1853921 1041755 1343667 219150 219150 2185 1708 79808 70494 18896575 9720629 9505106 9175946 5952740 5603131 497420 287817 2579935 3991039 24375917 24099232 602629 819711 1378389 1333998 12270000 11306725 227042 305347 14478060 13765781 X 7524012 7986943 21823 44940 2352022 2301568 9897857 10333451 24375917 24099232 X 400106 35493 -5 X X 0 1 X 1 0 X 70378 183693 23190 17823 14639 309723 8899606 9443192 9540083 8941956 10279913 47104750 8969984 9626885 9563273 8959779 10294552 47414473 0 194516 215911 154568 128122 172772 865889 194516 215911 154568 128122 172772 865889 46548584 230565 219365 243999 231076 312216 1237221 230565 219365 243999 231076 312216 1237221 5495 3388 9033 72401 90317 9206044 9849638 9816305 9263256 10606768 48742011 0.95500 0.95350 0.02540 0.02620 X 0 0 0 0 0 0 0 0 1 130 130 0 Explanation of Lobbying Activities: Part II-B, Line 1: The organization supported lobbying expenses through payment of dues to Connecticut Association of Healthcare Facilities. 0 1 X 5952740 150720 672400 31651 5614110 5170296 965143 152400 30299 5952740 5239270 113474 151835 30613 5170296 4047765 130297 1245051 154660 29183 5239270 4140428 26006 61876 154660 25885 4047765 0.84980 0.15020 0 0 16807620 8475274 8332346 1927618 1123711 803907 161337 121644 39693 9175946 Construction in Progress 177732 Interest in Trust 1458229 Restricted Investments and Cash 2355078 3991039 X 10964148 35494 10251 45745 10918403 0 10918403 10528548 10251 10251 10518297 0 10518297 Part IV, Line 2b: Security Deposits and Restricted Trust Funds Description of Intended Use of Endowment Funds: Part V, Line 4: To provide interest and earnings to support operating and capital needs. Description of Uncertain Tax Positions Under FIN 48: Part X, Line 2: The Home recognizes the effect of income tax positions only if those positions are more likely than not to be sustained. Management has determined that the Home had no uncertain tax positions that would require financial statement recognition or disclosure. The Home is no longer subject to U.S. federal, state or local income tax examinations for periods prior to September 30, 2010. Part XI, Line 2d - Other Adjustments: Portions of COGS shown net/gross in financials 8,968. Special Events shown gross in financials 1,283. Part XII, Line 2d - Other Adjustments: Portions of COGS shown net/gross in financials 8,968. Special Events shown gross in financials 1,283. Part XI 8 Rounding adjustments Part XII 2d Effect of showing the costs of goods sold and special events gross in the financial statements Part XIII 2d Effect of showing the costs of goods sold and special events gross in the financial statements, effect of depreciation error Part XIII 4b Rounding adjustments X X X X X 0 0 0 0 0 0 0 1 0 Leonard Goldberg 179750 0 5666 0 0 0 0 0 5567 0 190983 0 0 0 Frances Cote RN 107183 0 3307 0 0 0 0 0 450 0 110940 0 0 0 Part I, Line 7 The CEO received a bonus in the amount of $5,666. The Head of Nursing received a bonus in the amount of $3,307. A State of CT Health & Ed Facilities Authority 060806186 NoneAvail 2013-03-13 11454000 Refinance of existing Bonds 0 0 0 A 11228076 11454000 225924 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 New Program Services Form 990, Part III, line 2 Assisted living services designed to provide residents with assistance with basic actvities of daily living such as bathing, grooming, dressing, and more. Form 990, Part VI, Section A, line 8b The Board of Trustess, 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 empoyees are infomed 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Rounding -5. 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.