2022-03-28T11:27:54-05:00 2021-09-30 060903326 WHITTLESEY PC 280 TRUMBULL ST 24TH FL HARTFORD CT 06103 990 2020-10-01 061017444 CONNECTICUT BAPTIST HOMES INC CONN 2032371206 292 THORPE AVENUE MERIDEN CT 064507184 PATRICIA MORSE PRESIDENT 2032371206 2022-03-28 1 PATRICIA MORSE 999009999 THOMAS GOLDFUSS P01373588 8605223111 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z PATRICIA MORSE 292 THORPE AVENUE MERIDEN CT 064507184 19477128 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 CONTUNUUM OF DISTINCT LEVELS OF CARE THAT PROVIDE REHABILITATIVE SERVICES, NURSING CARE, DEMENTIA CARE AND RESIDENTIAL LIVING SERVICES TO ELDERLY INDIVIDUALS. 12 12 281 0 0 0 437262 2432323 6464926 14829498 -14245 795006 477162 124096 7365105 18180923 0 0 0 0 4435955 9744249 0 0 0 2797682 8264177 7233637 18008426 131468 172497 9831758 42376965 2198719 16695119 7633039 25681846 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 CARE AND SERVICES TO OLDER PEOPLE. 0 0 12365972 12033736 OUR SKILLED NURSING AND INTERMEDIATE CARE UNITS COMBINED WITH RESIDENTIAL LIVING PROVIDE REHABILITATIVE SERVICES, NURSING CARE AND SUPPORTED LIVING IN A CONTINUUM LIVING THAT SUPPORTS RESIDENTS MAXIMUM INDEPENDENCE, DIGNITY, AND CHOICE IN A FAITH-BASED, MISSION DRIVEN SETTING. 2570804 2585101 OUR INDEPENDENT LIVING COMMUNITY PROVIDES APARTMENT LIVING FOR SENIORS ON A MONTHLY BASIS THAT SUPPORTS RESIDENTS MAXIMUM INDEPENDENCE, DIGNITY, AND CHOICE IN A FAITH-BASED, MISSION DRIVEN SETTING. 762875 210661 OUR ASSISTED LIVING SERVICES AGENCY PROVIDES ASSISTED LIVING SERVICES TO INDIVIDUALS IN OUR INDEPENDENT LIVING COMMUNITY IN ORDER TO MAINTAIN THEIR ABILITY TO LIVE INDEPENDENTLY, MAXIMIZE THEIR INDEPENDENCE, DIGNITY AND CHOICE IN A FAITH-BASED MISSION DRIVEN SETTING. OUR ASSISTED LIVING SERVICES AGENCY PROVIDES ASSISTED LIVING SERVICES TO INDIVIDUALS IN OUR INDEPENDENT LIVING COMMUNITY IN ORDER TO MAINTAIN THEIR ABILITY TO LIVE INDEPENDENTLY, MAXIMIZE THEIR INDEPENDENCE, DIGNITY AND CHOICE IN A FAITH-BASED MISSION DRIVEN SETTING. 15699651 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 1 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 1 1 0 0 0 1 45 0 1 281 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 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 064507184 PATRICIA MORSE PRESIDENT AND CEO 20.00 1.00 X X 297618 0 32006 PETER YOUNG CHAIRPERSON 0.50 1.00 X X 0 0 0 ASHA KISTOO AR MANAGER 40.00 X 106635 0 25509 ELIZABETH CROWLEY DIRECTOR OF NURSES 40.00 X 116081 0 10927 REV HOPETON SCOTT VICE-CHAIRPERSON 0.50 1.00 X X 0 0 0 REV MARGARET D LEWIS SECRETARY 0.50 X X 0 0 0 REV RICHARD J DOYLE DIRECTOR 0.50 1.00 X 0 0 0 FRANK AMAZEEN DIRECTOR 0.50 X 0 0 0 ROBERT AVENA ESQ DIRECTOR 0.50 1.00 X 0 0 0 DAVE JONES DIRECTOR 0.50 X 0 0 0 MARCIA SARRAZIN DIRECTOR 0.50 X 0 0 0 WILLIAM MCMUNN DIRECTOR 0.50 X 0 0 0 BILL SMITH DIRECTOR 0.50 X 0 0 0 DAVID STEVENS DIRECTOR 0.50 X 0 0 0 SANDRA STEVENS DIRECTOR 0.50 X 0 0 0 520334 0 68442 3 0 1 0 CE FLOYD 135 SOUTH RD BEDFORD MA 01730 CONSTRUCTION OF ALSA 2065347 CCI 102 MAIN STREET OLD SAYBROOK CT 06475 CONSTRUCTION OF ALSA 1929629 FACILITIES COMPLIANCE SERVICES 221 WEST MAIN STREET PLANTSVILLE CT 06479 MAINTENANCE SERVICES 380959 FACILITIES COMPLIANCE FIRE PROTECTION 201 CHRISTIAN LANE BERLIN CT 06037 MAINTENANCE SERVICES 257075 CLIFTON LARSON ALLEN LLP 29 SOUTH MAIN STREET WEST HARTFORD CT 06107 ACCOUNTING SERVICES 163061 5 2366299 66024 2432323 PATIENT SVC REV - SKILLED 623000 11288874 11288874 PATIENT SVC REV - RESIDENTIAL 623000 2836741 2836741 ANCILLARY SVC REVENUE 623000 703883 703883 14829498 306375 306375 1784836 1296205 488631 488631 488631 MGMT & MAINTENANCE CONTRAC INCOME 900099 124096 124096 124096 18180923 14829498 0 919102 328384 328384 7666311 6978544 687767 125986 109973 16013 1064779 929444 135335 558789 487767 71022 10854 10854 255446 255446 83023 83023 127337 83409 43928 46424 46424 335079 16409 318670 2049736 2049736 1057 1057 18141 18141 335300 335300 1105360 1105360 455551 231496 224055 FOOD AND DIETARY CONTRA 1164062 1164062 PROVIDER TAXES 708297 708297 MEDICAL THERAPY 696091 696091 MEDICATIONS 668882 668882 203537 134881 68656 18008426 15699651 2308775 0 83784 499153 1513859 2968696 236120 908312 117167 220072 44554 156908 40502895 21353177 3579024 19149718 4099538 16543012 157712 1931094 9831758 42376965 484799 2188829 30843 66300 950977 5703974 732100 8736016 2198719 16695119 X 7315892 22711188 317147 2970658 7633039 25681846 9831758 42376965 X 172497 1789105 16087205 X X 0 1 X 1 0 X 23723 16599 28022 437262 2432323 2937929 5921314 5700388 6110052 6464926 14829498 39026178 5945037 5716987 6138074 6902188 17261821 41964107 0 0 0 41964107 108153 105354 113210 112095 306375 745187 108153 105354 113210 112095 306375 745187 110790 111657 125826 100818 124096 573187 6163980 5933998 6377110 7115101 17692292 43282481 0.96950 0.96500 0.01720 0.01710 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MGMT MAINTENANCE CONTRACT - 2016 AMOUNT: $ 110,790. 2017 AMOUNT: $ 111,657. 2018 AMOUNT: $ 125,826. 2019 AMOUNT: $ 100,818. 2020 AMOUNT: $ 124,096. TELEPHONE - MEALS - RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 30843 1175060 1139603 66300 1 436519 436519 29524429 20003524 9520905 4856146 1309155 3546991 5685801 40498 5645303 19149718 SECURITY DEPOSITS 300207 BONDS PAYABLE 8435809 8736016 PART IV, LINE 1B: RESIDENTIAL FUNDS FOR AVAILABLE FOR PERSONAL INDIVIDUAL USE. X X X X X 0 0 0 0 0 0 0 1 0 PATRICIA MORSE PRESIDENT AND CEO 297618 0 0 0 0 0 9193 0 22813 0 329624 0 0 0 A STATE OF CT HEALTH & ED FACILITIES AUTHORITY 060806186 2013-03-13 11454000 REFINANCE OF PRIOR BONDS 0 0 0 A 2824766 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 PART II, LINE 11 - OTHER SPENT PROCEEDS BOND PROCEEDS IN THE AMOUNT OF $11,228,067 WERE USED TO REFINANCE PRIOR BONDS. PART II - PROCEEDS THE AMOUNT OF TAXEXEMPT BOND LIABILITIES REPORTED ON FORM 990, PART X, LINE 20 DIFFERS FROM THE NET OF THE AMOUNTS REPORTED ON PART II, LINES 1 AND 3 BY THE AMOUNT OF THE UNAMORTIZED DEFERRED FINANCING COSTS RELATED TO THE BONDS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 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 XI, LINE 9: CHANGE IN PERPETUAL TRUST 278,922. NETS ASSETS TRANSFERRED FROM MERGER 15,808,283. FORM 990, PART XII, LINCE 2C THERE HAVE BEEN NO CHANGES TO THE PROCESS DURING THE YEAR. 288 THORPE AVE LLC 288 THORPE AVENUE MERIDEN CT 06450 REAL ESTATE CT 20454 251812 CONNECTICUT BAPTIST HOMES INC CONNECTICUT BAPTIST HOUSING INC (HUD PROJECT #017-35305) 292 THORPE AVENUE MERIDEN CT 06450 061350567 TO PROVIDE ELDERLY HOUSING AND SERVCIES CT 501(C)(3) LINE 11 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 124096 CASH