2023-11-14T20:33:02-07:00 2022-12-31 990 2022-01-01 237155198 BROTHERS OF MERCY NURSING HOME COMPANY INC BROT 7167596985 10570 BERGTOLD ROAD CLARENCE NY 14031 Joseph Widmer CFO 7167597600 2023-11-14 1 1 11 0 AAL2 X 2022 2023-04-26 12:10:37Z BROTHERS OF MERCY NURSING AND REHABILITATION CENTER Peter Eimer 4520 Ransom Road Clarence NY 14031 22464864 0 X BROTHERSOFMERCY.ORG X 1971 NY TO PROVIDE SKILLED NURSING CARE AND REHABILITATION SERVICES TO THE ELDERLY AND COMMUNITY 10 9 507 85 0 0 6829134 1167171 20639327 20449251 -23797 513932 338852 334510 27783516 22464864 0 0 0 0 15537998 16718887 0 0 0 8516445 7881585 24054443 24600472 3729073 -2135608 20976201 20987808 8848646 11306412 12127555 9681396 TO PROVIDE SKILLED NURSING CARE AND REHABILITATION SERVICES TO THE ELDERLY AND COMMUNITY 0 0 21579568 20449251 NURSING CARE AND REHABILITATION SERVICES FOR A 240 BED NYS LICENSED NURSING FACILITY 0 0 0 21579568 1 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 34 0 1 507 1 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X X Joseph Widmer 7167596985 10570 BERGTOLD ROAD CLARENCE NY 14031 Peter Eimer Board Member/Corp CEO 18.75 18.75 X X 125244 125245 18270 Teresa Dillsworth Administrator 37.5 0 X 181568 0 18466 Joseph Widmer CFO 22.0 15.5 X 106654 75039 18304 Melissa Feider Chief Human Resources Officer 37.5 22.5 X 87541 58360 14021 Shari Kersch Director of Nursing 37.5 0 X 118635 0 17118 Valerie Kane Corp Compliance Officer 15 22.5 X 43934 71682 5874 Rajveer Kaur Registered Nurse 37.5 0 X 112649 0 560 Brother Kenneth Thomas Board Member 6.25 31.25 X 0 0 0 Brother Matthias Moller Board Member 0.5 2.5 X 0 0 0 Michael Noe Board Member/Secretary 0.5 2.5 X X 0 0 0 Sister Patricia Burkard Board Member/Chairwomen 0.5 2.5 X X 0 0 0 Michael McRae Board Member 0.5 2.5 X 0 0 0 Thomas Fentner Board Member 0.5 2.5 X 0 0 0 Msgr David LiPuma Board Member 0.5 2.5 X 0 0 0 David Nasca Board Member/Treasurer 0.5 2.5 X X 0 0 0 David Rogers Board Member 0.5 2.5 X 0 0 0 776225 330326 92613 17 0 1 0 Excel Staffing Solutions LLC PO Box 56346 Atlanta GA 30343 Temporary staffing agency services 135736 1 0 0 0 0 889870 277301 0 1167171 Resident Service Revenue 623000 20449251 20449251 0 0 0 0 0 0 20449251 513932 0 0 513932 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Cafeteria Income 722210 108133 0 0 108133 Gift Shop Income 453220 7042 0 0 7042 Other Income/Loss 623000 219335 219335 0 0 0 0 0 0 334510 22464864 20668586 0 629107 0 0 0 0 0 0 0 0 438269 252241 186028 0 0 0 0 0 14148221 13639600 508621 0 131963 116589 15374 0 872717 794642 78075 0 1127717 1076221 51496 0 1519620 0 1519620 0 18587 18587 0 0 239185 40559 198626 0 0 0 0 0 0 0 0 0 0 0 780651 424137 356514 0 57422 49896 7526 0 0 0 0 0 0 0 0 0 0 0 0 0 397118 351126 45992 0 4505 1939 2566 0 0 0 0 0 0 0 0 0 119480 119480 0 0 0 0 0 0 678752 644127 34625 0 755642 739801 15841 0 NEW YORK STATE FEES 946824 946824 0 0 MEDICAL SUPPLIES/EQUIPMENT 659226 659226 0 0 FOOD 833402 833402 0 0 CONTRACTED SERVICES 800630 800630 0 0 70541 70541 0 0 24600472 21579568 3020904 0 72860 0 306462 280264 0 0 8866146 9756033 0 0 0 0 3034085 3835647 108626 126938 83589 61323 24810265 17924376 6892831 6885889 1466729 1714 0 0 0 0 0 0 144873 40000 20976201 20987808 4423153 7298230 0 0 0 0 0 0 104873 62289 0 0 4027250 3835537 0 0 293370 110356 8848646 11306412 X 12087555 9641396 40000 40000 12127555 9681396 20976201 20987808 -2135608 -310551 0 0 0 0 X X 0 1 X 1 0 X 163935 216500 238856 378 1167161 1786830 23157558 24991585 22887438 20870323 20449251 112356155 154874 176014 131545 107856 115175 685464 0 0 0 0 0 0 0 0 0 0 0 0 23476367 25384099 23257839 20978557 21731587 114828449 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 114828449 51589 66332 52344 332209 203383 705857 0 0 0 0 0 0 51589 66332 52344 332209 203383 705857 0 0 0 0 0 0 0 0 4448860 6828756 219343 11496959 23527956 25450431 27759043 28139522 22154313 127031265 0.90394 0.90751 0.00556 0.00430 X Schedule A, Part III, Line 12 Represents the total of various minor reimbursements and incentives. 0 1 X 0 16000 16000 0 17335450 13016843 4318607 0 77709 77572 137 0 6074361 4829961 1244400 0 1306745 0 1306745 6885889 0 Federal Income Taxes 0 Lease Obligations 110356 110356 X 22154313 -310551 0 0 0 -310551 22464864 0 0 0 22464864 24600472 0 0 0 0 0 24600472 0 0 0 24600472 Schedule D, Part IV, Line 2b Schedule D, Part IV, Line 2b - Resident Funds Held in Trust, consisting of amounts deposited on behalf of residents and used for their personal care. Schedule D, Part X, Line 2 Schedule D, Part X, Line 2 - The Home is a not-for-profit corporation as described in Section 509(a) of the Internal Revenue Code and is exempt from federal income taxes on related income pursuant to Section 501(c)(3) of the Code. Accordingly, no provision for federal income taxes is included in the financial statements. The Home files its Return of Organization Exempt from Income Tax in the U.S. federal jurisdiction and its Annual Filing of Charitable Organizations in New York State. X X X 0 0 0 0 0 0 0 0 0 Peter Eimer Board Member/Corp CEO 125244 125245 0 0 0 0 1827 1827 7308 7308 134379 134380 0 0 Joseph Widmer CFO 106654 75039 0 0 0 0 2283 1405 9047 5569 117984 82013 0 0 Teresa Dillsworth Administrator 181568 0 0 0 0 0 3700 0 14766 0 200034 0 0 0 Melissa Feider Chief Human Resources Officer 87541 58360 0 0 0 0 0 0 8412 5609 95953 63969 0 0 Valerie Kane Corp Compliance Officer 43934 71682 0 0 0 0 872 1422 1360 2220 46166 75324 0 0 Shari Kersch Director of Nursing 118635 0 0 0 0 0 2389 0 14729 0 135753 0 0 0 Rajveer Kaur Registered Nurse 112649 0 0 0 0 0 0 0 560 0 113209 0 0 0 Form 990, Part VI, Section B, Line 11b The Form 990 is reviewed by the CFO prior to filing. Form 990, Part VI, Section B, Line 12c Questionnaire is sent out annually and information regarding potential conflicts of interest is maintained by Administration. Completed questionnaires are kept on file in the Finance Office. Form 990, Part VI, Section B, Line 15 The Board of Directors reviews salaries for top management officials and uses comparability data from Leading Age of NY in order to determine salaries. The process is documented in the Board Minutes. Form 990, Part VI, Section C, Line 18 The Form 1023 and Form 990 are available to the public upon request. Form 990, Part VI, Section C, Line 19 Disclosure of the organization's governing documents, conflict of interest policy and financial statement is based on purpose of request. Form 990, Part XII, Line 2c There has been no change in the audit oversight process or the auditor selection process. Brothers of Mercy Holding Inc 4520 Ransom Road Clarence NY 14031 160746852 Holding Company NY 501 (C) (3) Line 12D N/A 0 Brothers of Mercy Sacred Heart Home 4526 Ransom Road Clarence NY 14031 161082636 Assisted Living Facility with Memory Care NY 501 (C) (3) Line 10 N/A 0 Brothers of Mercy Housing Co Inc 10500 Bergtold Road Clarence NY 14031 237117107 Housing for Elderly NY 501 (C) (3) Line 7 N/A 0 Brothers of Mercy Facilities Foundation 4520 Ransom Road Clarence NY 14031 161558645 Support Charitable Purposes of Brothers NY 501 (C) (3) Line 7 N/A 0 Brothers of Mercy of Montabaur Apartment Complex Inc 4530 Ransom Road Clarence NY 14031 464619699 Housing for Elderly NY 501 (C) (3) Line 10 N/A 0 Brothers of Mercy Management Company 4520 Ransom Road Clarence NY 14031 813966963 Support Services for Related Parties NY 501 (C) (3) Line 10 N/A 0 Brothers of Mercy of Mary Help of Christians Inc 4520 Ransom Road Clarence NY 14031 830592366 Religious Order of Brothers NY 501 (C) (3) Line 12D N/A 0 0 0 1 1 1 0 0 0 0 0 1 0 0 0 1 1 0 0 0 Brothers of Mercy of Mary Help of Christians Inc k 94525 Accounting Records Brothers of Mercy Housing Co Inc e 126600 End of Year Balance Brothers of Mercy of Montabaur Apartment Complex Inc d 70721 End of Year Balance Brothers of Mercy Facilities Foundation e 554272 End of Year Balance Brothers of Mercy Sacred Heart Home d 2242129 End of Year Balance Brothers of Mercy Management Company d 1512951 End of Year Balance