2014-11-13T13:00:33-06:00 2013-12-31 161170608 TOSKI & CO CPAS PC 6390 MAIN STREET SUITE 200 WILLIAMSVILLE NY 14221 990 2013-01-01 237155198 BROTHERS OF MERCY NURSING HOME COMPANY INC BROT 7167596985 10570 BERGTOLD RD CLARENCE NY 14031 BROTHER JUDE HOLZFOERSTER PRESIDENT 7167596985 2014-11-12 1 JOHN T O'BRIEN MBA MST P01253588 7166340700 2013 2015-11-30 17:44:51Z BROTHER JUDE HOLZFOERSTER 10570 BERGTOLD RD CLARENCE NY 14031 19466710 0 X N/A X 1971 NY TO PROVIDE REHABILITATION SERVICES AND SKILLED NURSING CARE. 7 2 676 0 0 0 18543 63044 19357123 19114944 17717 8045 276208 279077 19669591 19465110 0 0 0 0 13295388 14052624 0 0 0 5951837 7006106 19247225 21058730 422366 -1593620 9179607 8341634 3420713 4176360 5758894 4165274 TO PROVIDE REHABILITATION SERVICES AND SKILLED NURSING CARE. 0 0 19558032 19284313 NURSING CARE AND REHABILITATION SERVICE FOR A 240 BED N.Y.S. LICENSED NURSING FACILITY. 19558032 1 1 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 48 0 1 676 1 0 0 0 0 0 0 0 0 X 7 2 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X MARY BETH GOEHLE 7167596985 4520 RANSOM RD CLARENCE NY 14031 BROTHER JUDE HOLZFOERSTER PRESIDENT 37.50 X X 70564 0 4899 BROTHER KENNETH THOMAS VICE PRESIDENT 0.50 X X 0 0 0 BROTHER FIDELIS VERRALL SEC/TREASURER 37.50 X X 24402 0 1874 BROTHER MATHIAS MOLLER DIRECTOR 20.00 X 7615 0 612 PETER EIMER COO 10.00 30.00 X X 0 100866 0 DAVID NASCA DIRECTOR 0.50 X 0 0 0 JOSEPH DUNN DIRECTOR 0.50 X 0 0 0 VALERIE KANE ADMINISTRATOR 40.00 X 140398 0 21268 MARY BETH GOEHLE DIRECTOR OF FINANCE 40.00 X 69652 0 17100 312631 100866 45753 1 0 1 0 FREED MAXICK CPA'S PC P O BOX 8000 DEPT 644 BUFFALO NY 14267 CONSULTING/MGMT/STRATEGIC PLANNING 102276 1 36805 26239 63044 RESIDENT SERVICES 623000 10002974 10002974 FEES & CONTRACTS - GOV'T AGENCIES 623000 9111970 9111970 19114944 9645 9645 1600 -1600 -1600 -1600 CAFETERIA & COFFEE SHOP 722210 76570 76570 NURSE AIDE TRAINING INCOM 611430 44157 44157 DISCOUNTS EARNED 623000 38143 38143 120207 87069 33138 279077 19465110 19284313 0 117753 312631 70199 242432 11763058 11100403 662655 126475 115618 10857 935065 861721 73344 915395 867192 48203 28239 28239 39303 39303 181541 29035 152506 9660 9660 728952 598070 130882 115883 115883 401463 370122 31341 14776 10865 3911 39063 39063 530972 504423 26549 1595015 1574280 20735 NYS ASSESSMENT FEES 1012012 1012012 MEDICAL SUPPLIES & EQUI 988139 988139 FOOD & BEVERAGE 714131 714131 SUPPLIES 306350 278732 27618 300607 268841 31766 21058730 19558032 1500698 0 1951086 1711555 2431354 1753142 1115328 1365899 84307 72723 94789 101966 40002 20771 17164439 14543602 2728226 2620837 686978 644983 47537 49758 9179607 8341634 2336584 3708177 44720 47245 1036592 418425 2817 2513 3420713 4176360 X 5758894 4165274 5758894 4165274 9179607 8341634 -1593620 0 X X 0 1 X 0 0 X 24548 26301 27615 18543 63044 160051 19233473 18761839 19326906 19357123 19114944 95794285 249529 83579 80726 141470 187849 743153 19507550 18871719 19435247 19517136 19365837 96697489 0 0 0 96697489 30759 20720 14404 11280 9645 86808 30759 20720 14404 11280 9645 86808 77137 238736 129330 141175 89628 676006 19615446 19131175 19578981 19669591 19465110 97460303 0.99220 0.98720 0.00090 0.00160 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 16000 16000 12293603 10357481 1936122 404418 376288 28130 4422649 3809833 612816 27769 27769 2620837 RESIDENT ACTIVITY FUNDS 2513 2513 X 19465110 0 19465110 0 19465110 21058730 0 21058730 0 21058730 PART IV, LINE 2B: RESIDENT FUNDS HELD IN TRUST PART X, LINE 2: THE HOME IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; THEREFORE, NO PROVISION FOR INCOME TAXES IS REFLECTED IN THE FINANCIAL STATEMENTS. THE HOME HAS BEEN CLASSIFIED AS A PUBLICLY SUPPORTED ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A) OF THE CODE. THE HOME PRESENTLY DISCLOSES OR RECOGNIZES INCOME TAX POSITIONS BASED ON MANAGEMENT'S ESTIMATE OF WHETHER IT IS REASONABLY POSSIBLE OR PROBABLE THAT A LIABILITY HAS BEEN INCURRED FOR UNRECOGNIZED INCOME TAXES. MANAGEMENT HAS CONCLUDED THAT THE HOME HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT IN IT FINANCIAL STATEMENTS. U.S. FORMS 990 FILED BY THE HOME ARE SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. THE HOME IS NO LONGER SUBJECT TO TAX EXAMINATION FOR THE YEARS ENDED DECEMBER 31, 2009 AND PRIOR. X X X 0 0 0 0 0 0 0 0 0 VALERIE KANE ADMINISTRATOR 140398 0 0 0 0 0 2808 0 18460 0 161666 0 4323 0 FORM 990, PART VI, SECTION B, LINE 11 LINE 11A EXPLANATION - FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM. IT IS THEN REVIEWED BY THE ADMINISTRATOR AND OTHER OFFICERS. IT IS APPROVED BY THE BOARD PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. 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 NYAHSA (NY ASSOCIATION FOR HOMES AND SERVICES FOR THE AGING) IN ORDER TO DETERMINE SALARIES. FORM 990, PART VI, SECTION C, LINE 19 DISCLOSURE IS BASED ON THE PURPOSE OF THE REQUEST. FORM 990 PART XII LINE 2C: NO CHANGES HAVE TAKEN PLACE DURING THE FISCAL YEAR ENDED DECEMBER 31, 2013. BROTHERS OF MERCY INC 4520 RANSOM ROAD CLARENCE NY 14031 160746852 HOUSING, LIVING EXPENSE, ETC FOR BROTHERS OF MERCY NY 501(C)(3) 170(B)1(A)I 0 BROTHERS OF MERCY SACRED HEART HOME 4520 RANSOM RD CLARENCE NY 14031 161082636 ADULT CARE FACILITY NY 501(C)(3) 170(B)1(A)III 0 BROTHERS OF MERCY HOUSING CO INC 10500 BERGTOLD ROAD CLARENCE NY 14031 237117107 HOUSING FOR ELDERLY NY 501(C)(3) 170(B)1(A)VI 0 BROTHERS OF MERCY FACILITIES FOUNDATION 10500 BERGTOLD ROAD CLARENCE NY 14031 161558645 SUPPORT CHARITABLE PURPOSES OF BROTHERS NY 501(C)(3) 170(B)1(A)VI 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 BROTHERS OF MERCY INC L 94525 FMV BROTHERS OF MERCY FACILITIES FOUNDATION C 36805 CASH