2020-08-14T15:04:09-05:00 2019-09-30 111986323 MARCUM LLP 555 LONG WHARF DRIVE NEW HAVEN CT 06511 990 2018-10-01 060658099 ELIM PARK BAPIST HOME INC ELIM 2032723547 140 COOK HILL ROAD CHESHIRE CT 06410 ZELL GASTON CFO 2032723547 2020-08-14 1 MARY-EVELYN ANTONETTI P00431862 2037819600 47.19.127.190 2020-08-14 10:18:42 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 7762B97206E3734BD08A74DC9FF4B9CADC651293 2018 2020-09-23 17:36:50Z ZELL GASTON 140 COOK HILL ROAD CHESHIRE CT 06410 31452405 0 X WWW.ELIMPARK.ORG X 1906 CT ELIM PARK WAS FOUNDED IN 1906 BY THE SWEDISH BAPTIST CONFERENCE WITH THE MISSION TO CARE FOR AND PROVIDE A HOME OF REST FOR THE FRAIL AND ELDERLY MEMBERS OF THEIR CONFERENCE. SINCE OUR INCORPORATION, OUR MISSION HAS EXPANDED AND MATURED, AND WE ARE NO LONGER A "HOME OF REST," BUT RATHER A HOME WHERE RESIDENTS CAN FLOURISH AND LIVE ACTIVE, INSPIRED, FULFILLING LIVES. THE INTERDENOMINATIONAL NATURE OF OUR ORGANIZATION WELCOMES OLDER ADULTS OF ALL FAITHS, WITH A CARING STAFF AND CHRIST-CENTERED ENVIRONMENT THAT ALLOWS THEM TO GROW IN SPIRITUAL HEALTH AS WELL AS MEETING THEIR PHYSICAL NEEDS. OUR MISSION IS TO PROVIDE QUALITY CARE THROUGH EXCITING CULTURAL AND FITNESS PROGRAMS AND A BROAD SPECTRUM OF HEALTH SERVICES IN A CHRIST-CENTERED ENVIRONMENT. ELIM PARK LOOKS UPON ITS MISSION AS AN EXTENSION OF THE CHURCH MINISTRY WITHIN THE BAPTIST GENERAL CONFERENCE AND GIVES ADMISSION PRIORITY TO ITS MEMBERS. 9 9 650 217 0 0 191285 191753 29935629 30860855 255023 -367461 69630 0 30451567 30685147 360750 492318 0 0 16794287 16392456 0 0 163924 12414886 12505112 29569923 29389886 881644 1295261 73007119 73564301 71107200 70932481 1899919 2631820 X ELIM PARK WAS FOUNDED IN 1906 BY THE SWEDISH BAPTIST CONFERENCE WITH THE MISSION TO CARE FOR AND PROVIDE A HOME OF REST FOR THE FRAIL AND ELDERY MEMBERS OF THEIR CONFERENCE. SINCE OUR INCORPORATION, OUR MISSION HAS EXPANDED AND MATURED, AND WE ARE NO LONGER A "HOME OF REST." BUT RATHER A HOME WHERE RESIDENTS CAN FLOURISH AND LIVE ACTIVE, INSPIRED, FULFILING LIVES. THE INTERDENOMINATIONAL NATURE OF OUR ORGANIZATION WELCOMES OLDER ADULTS OF ALL FAITHS, WITH A CARING STAFF AND CHRIST-CENTERED ENVIRONMENT THAT ALLOWS THEM TO GROW IN SPIRITUAL HEALTH AS WELL AS MEETING THEIR PHYSICAL NEEDS. OUR MISSION IS TO PROVIDE QUALITY CARE THROUGH EXCITING CULTURAL AND FITNESS PROGRAMS AND A BROAD SPECTRUM OF HEALTH SERVICES IN A CHRIST-CENTERED ENVIRONMENT. ELIM PARK LOOKS UPON ITS MISSION AS AN EXTENSION OF THE CHRUCH MINISTRY WITHIN THE BAPTIST GENERAL CONFERENCE AND GIVES ADMISSION PRIORITY TO ITS MEMBERS. 0 0 25459689 492318 30860855 THE CONSTELLATION OF SERVICES OFFERED AT ELIM PARK HAS ENHANCED LIFE FOR OUR RESIDENTS AND CONTINUES TO MAKE A POSITIVE IMPACT ON OUR COMMUNITY. THROUGH OUR MISSION OF PROVIDING QUALITY CARE THROUGH COMPREHENSIVE WELLNESS PROGRAMS AND MEDICAL FACILITIES IN A CHRIST-CENTERED ENVIRONMENT, WE ARE ABLE TO NURTURE THE WHOLE PERSON AND FOCUS ON TOTAL WELLNESS OF MIND, BODY AND SPIRIT. OUR SUB-ACUTE CARE, SHORT-TERM REHABILITATION AND WELLNESS PROGRAMS WORK TOGETHER TO ENSURE THAT RESIDENTS ARE LEADING THE MOST PRODUCTIVE LIFESTYLES APPROPRIATE TO THEIR VARIED LEVELS OF INDEPENDENCE. SHOULD A RESIDENT'S DEPENDENCY LEVEL INCREASE, OUR SKILLED NURSING FACILITY UNIT PROVIDES A SMOOTH TRANSITION TO ON-SITE NURSING CARE.ELIM PARK'S NON-PROFIT STATUS ALLOWS US TO CHANNEL REVENUE BACK INTO PROGRAMS AND SITE IMPROVEMENTS TO ENRICH THE LIVES OF OUR RESIDENTS. BENEFITS TO THE COMMUNITY INCLUDE A BROAD SPECTRUM OF OUT-PATIENT AND THERAPEUTIC SERVICES, AQUATIC THERAPY, HOSTING COMMUNITY EVENTS, OFFERING A PROFESSIONAL ENTERTAINMENT SERIES, AND OPENING OUR CAMPUS FOR USE BY LOCAL CIVIC GROUPS AND ORGANIZATIONS.WE CONTINUE TO UPGRADE OUR PHYSICAL PLANT TO MAINTAIN THE HIGHEST SAFETY STANDARDS AND A WELCOME ENVIRONMENT. WE MAKE TECHNOLOGICAL IMPROVEMENTS WHICH CONTRIBUTE TO THE WELL-BEING AND COMFORT OF OUR RESIDENTS. WE MAINTAIN THE CHRIST-CENTERED COMMUNITY THAT OUR FOUNDING CHURCHES ENVISIONED AS THE CORNERSTONE UPON WHICH ELIM PARK CONTINUES TO GROW. 25459689 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 127 0 1 650 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X ZELL GASTON CFO 2032723547 140 COOK HILL ROAD CHESHIRE CT 06410 CHRIS NELSON IMMEDIATE PAST CHAIR 2.00 2.00 X 0 0 0 GEOFFREY SWANSON SECRETARY 2.00 2.00 X X 0 0 0 GLENN MASON TREASURER 2.00 2.00 X X 0 0 0 JENNINE DELIVRON VICE CHAIR 2.00 2.00 X X 0 0 0 KEVIN BUTTERFIELD DIRECTOR 2.00 2.00 X 0 0 0 ROBERTO ECKER CHAIR 2.00 2.00 X X 0 0 0 TERRENCE BRENNAN DIRECTOR 2.00 2.00 X 0 0 0 WAYNE DETZLER DIRECTOR 2.00 2.00 X 0 0 0 TIM PONZANI DIRECTOR 2.00 2.00 X 0 0 0 BRIAN BEDARD PRESIDENT 37.50 X 230970 0 39466 ZELL GASTON CHIEF FINANCIAL OFFICER 37.50 X 173001 0 16957 THOMAS PENNA CONTROLLER 37.50 X 108235 0 14646 JEAN FORD RETIREMENT COUNSELOR 37.50 X 125951 0 15360 MURRAY MENDRO RETIREMENT COUNSELOR 37.50 X 107947 0 7972 ROBER COTA DIRECTOR OF INDEPENDENT LIVING 37.50 X 107618 0 16389 SARAH DE LOS CIENTOS DIRECTOR OF NURSING 37.50 X 108036 0 14515 961758 0 125305 7 0 1 0 SODEXO INC & AFFILIATES 9801 WASHINGTON BOULEVARD GAITHERSBURG MD 20878 DIETARY SERVICES 743229 JOHN C FIDERIO & SONS 687 BROAD STREET MERIDEN CT 06450 CONSTRUCTION 179236 GABRIEL MARTINEZ DBA GMARTI HOME IMPROVE 447 ROBIN COURT CHESHIRE CT 06410 CONSTRUCTION 157804 SENIOR LIVING PO BOX 113 STRAFFORD NH 03884 MARKETING CONSULTANT 126798 TOTAL COMMUNICATIONS INC 333 BURNHAM STREET EAST HARTFORD CT 06105 TECHNOLOGY 115680 7 191753 191753 MEDICARE/MEDICAID PAYM 623990 15713362 15713362 R&B, NURSING, ANCILLAR 623990 9403526 9403526 AMORTIZATION OF ENTRAN 623990 4623446 4623446 ANCILLARY REVENUE 623990 1120521 1120521 30860855 308565 308565 91232 0 767258 91232 -767258 -676026 -767258 91232 30685147 30093597 0 399797 492318 492318 460394 460394 12976442 11373351 1469287 133804 392900 333965 55006 3929 1553791 1368682 169007 16102 1008929 857590 141250 10089 185907 185907 54018 54018 54315 54315 192085 192085 623997 544397 79600 466540 415481 51059 340081 340081 1923529 1362972 560557 63730 63730 27199 27199 420150 420150 3742814 3742814 265886 265886 BISTRO 1400606 1400606 DIETARY 962406 919145 43261 ANCILLARY 689420 689420 NURSING 451491 451491 640938 417610 223328 29389886 25459689 3766273 163924 780 9855618 12739084 6423 4344 4339451 2784188 404746 359353 107202990 57446231 51523715 49756759 4648280 6001565 2228886 1918228 73007119 73564301 3563931 3446424 29867970 31213317 13809238 12920144 458398 20263 23407663 23332333 71107200 70932481 X 513642 1153421 1386277 1478399 1899919 2631820 73007119 73564301 X 1295261 -95743 -467617 X 0 1 X 1 0 X 338364 271080 226988 194005 191753 1222190 28269600 28013637 29123686 29935378 30860855 146203156 28607964 28284717 29350674 30129383 31052608 147425346 0 0 0 147425346 221145 243464 252147 324653 308565 1349974 221145 243464 252147 324653 308565 1349974 28829109 28528181 29602821 30454036 31361173 148775320 0.99090 0.99190 0.00910 0.00810 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1903883 107954 83980 41815 2054002 2164893 136730 63598 461338 1903883 1930328 150060 136130 51625 2164893 2489571 327462 86191 972896 1930328 2182443 416273 -57630 51515 2489571 0.02630 0.97370 0 1 1 958123 958123 89040959 47043730 41997229 14178773 8816096 5362677 3025135 1586405 1438730 49756759 DUE TO THIRD-PARTY REIMBURSEMENT AGENCIES 211516 CHARITABLE GIFT ANNUITIES 63998 OTHER LONG-TERM LIABILITIES 539711 ADVANCED PAYMENTS 137728 ENTRANCE FEE REFUNDS PAYABLE 22264685 OTHER CURRENT LIABILITIES 114695 23332333 X PART X, LINE 2: THE CORPORATION AND THE FOUNDATION HAVE BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2019 AND 2018, THERE ARE NO TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 0 CHESHIRE FIRE DEPARTMENT 250 MAPLE AVE CHESHIRE CT 06410 066001971 188333 CASH 2018 SERVICE/COMMUNITY DONATION CHESHIRE POLICE DEPARTMENT 500 HIGHLAND AVE CHESHIRE CT 06410 066001971 188333 CASH 2018 SERVICE/COMMUNITY DONATION CONVERGE NORTHEAST 150 COOK HILL ROAD CHESHIRE CT 06410 042464446 110000 CASH ANNUAL TITHE PART I, LINE 2: THE ORGANIZATION IS NOT A GRANT MAKING ORGANIZATION, ELIM PARK BAPTIST HOME, INC. DOES MAKE CHARITABLE CONTRIBUTIONS TO LOCAL TAX EXEMPT ORGANIZATIONS IN FURTHERANCE OF THEIR EXEMPT PURPOSE. X 0 1 X X X 0 0 0 0 0 0 0 0 0 BRIAN BEDARD PRESIDENT 230820 0 0 0 150 0 0 0 39466 0 270436 0 0 0 ZELL GASTON CHIEF FINANCIAL OFFICER 172851 0 0 0 150 0 0 0 16957 0 189958 0 0 0 PART I, LINE 1A: THE PRESIDENT OF ELIM PARK IS REQUIRED TO LIVE ON THE FACILITY CAMPUS AS A CONDITION OF EMPLOYMENT. HOUSING IS CONSIDERED NONTAXABLE COMPENSATION AND THE VALUE IS INCLUDED IN PART II COLUMN D. A CONNECTICUT INNOVATIONS INCORPORATED 061423798 2012-12-21 17714000 REFINANCING OF CDA BONDS 0 0 0 A 4674538 17714000 321009 17392991 2012 1 0 1 1 A 0 0 1 0 0 0 0 0 A 0 0 1 0 0 1 KEYBANK 10.000000000000 0 0 0 0 0 A 0 PART II LINE 11 OTHER SPENT PROCEEDS $57,824 OF THE OTHER SPENT PROCEEDS WAS USED TO PAY ISSUER ADMINISTRATIVE FEE AND TITLE INSURANCE. $17,335,167 OF THE OTHER SPENT PROCEEDS WAS USED TO PAY BONDS DATED AUGUST 26, 1998 AND APRIL 15, 2003. PART III LINE 3A-MANAGEMENT SERVICE CONTRACTS THE ORGANIZATION EVALUATES ITS MANAGEMENT SERVICE CONTRACTS FOR COMPLIANCE WITH THE SAFE HARBOR UNDER REV. PROC 2017-13. PART III LINE 9; PART IV, LINE 7 AND PART V - BOND POLICIES THE ORGANIZATION IS AWARE OF THE REQUIREMENTS OF POST ISSUANCE BOND COMPLIANCE AND IS IN THE PROCESS OF FORMALIZING THEIR WRITTEN POLICIES. FORM 990, PART VI, SECTION A, LINE 8B NO COMMITTEES HAVE THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY THE CONTROLLER AND CFO. THE FORM 990 IS PROVIDED TO THE FULL BOARD FOR REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR, DISCLOSURES ARE FILLED OUT BY EACH DIRECTOR. THESE ARE REVIEWED ANNUALLY TO ENSURE COMPLIANCE. IF AN ISSUE COMES UP, IT IS ADDRESSED AT THAT TIME. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS INDEPENDENT STUDIES, THE COMMITTEE THEN DISCUSSES AND VOTES. THIS ACTION IS DOCUMENTED. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS ARE AVAILABLE TO RESIDENTS AND POTENTIAL RESIDENTS. THEY ARE ALSO AVAILABLE IN THE ANNUALLY FILED DISCLOSURE STATEMENT TO THE STATE OF CT. FORM 990, PART XI, LINE 9: CHANGE IN NET UNREALIZED LOSS ON SWAPS -467,617. CONNECTICUT ALLIANCE FOR LONG TERM CARE 217 AVERY HEIGHTS HARTFORD CT 06106 061465316 ADMINISTER PROVIDER BASED NETWORK TO PROVIDE COST-EFFECTIVE HEALTH CARE CT 501(C)(3) LINE 12A, I N/A 0 ELIM PARK LEGACY FOUNDATION INC 140 COOK HILL ROAD CHESHIRE CT 06410 900436482 TO SUPPORT ELIM PARK CT 501(C)(3) LINE 12A, I ELIM PARK BAPTIST HOME INC 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 ELIM PARK LEGACY FOUNDATION INC D 1680766 LOAN BALANCE