BROTHERS OF MERCY NURSING HOME COMPANY INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BROTHERS OF MERCY NURSING HOME COMPANY INC (EIN 23-7155198)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-07-31
IRS object ID
201332129349300413
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-07-31T10:08:23-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN161170608EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1TOSKI & CO CPAS PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1300 ESSJAY RD SUITE 115AddressLine1
CityWILLIAMSVILLECity
StateNYState
ZIP Code14221ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237155198EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BROTHERS OF MERCY NURSING HOME COMPANY INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBROTNameControl
Phone7167596985Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line110570 BERGTOLD RDAddressLine1
CityCLARENCECity
StateNYState
ZIP Code14031ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBROTHER JUDE HOLZFOERSTERName
TitlePRESIDENTTitle
Phone7167596985Phone
Date Signed2013-07-31DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOHN T O'BRIEN MBA MSTName
PTINP01253588PTIN
Phone7166340700Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBROTHER JUDE HOLZFOERSTERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line110570 BERGTOLD RDAddressLine1
CityCLARENCECity
StateNYState
ZIP Code14031ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19669591GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1971YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE REHABILITATION SERVICES AND SKILLED NURSING CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees637TotalNbrEmployees
Total Nbr Volunteers150TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year27615ContributionsGrantsPriorYear
Contributions Grants Current Year18543ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19326906ProgramServiceRevenuePriorYear
Program Service Revenue CY19357123ProgramServiceRevenueCY
Investment Income Prior Year14404InvestmentIncomePriorYear
Investment Income Current Year17717InvestmentIncomeCurrentYear
Other Revenue Prior Year304366OtherRevenuePriorYear
Other Revenue Current Year276208OtherRevenueCurrentYear
Total Revenue Prior Year19673291TotalRevenuePriorYear
Total Revenue Current Year19669591TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year13303650SalariesEtcPriorYear
Salaries Etc Current Year13295388SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5784554OtherExpensePriorYear
Other Expenses Current Year5951837OtherExpensesCurrentYear
Total Expenses Prior Year19088204TotalExpensesPriorYear
Total Expenses Current Year19247225TotalExpensesCurrentYear
Revenues Less Expenses Prior Year585087RevenuesLessExpensesPriorYear
Revenues Less Expenses CY422366RevenuesLessExpensesCY
Total Assets BOY9424228TotalAssetsBOY
Total Assets EOY9179607TotalAssetsEOY
Total Liabilities BOY4087700TotalLiabilitiesBOY
Total Liabilities EOY3420713TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5336528NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5758894NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE REHABILITATION SERVICES AND SKILLED NURSING CARE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense18093999Expense
Revenue19498298Revenue
DescriptionNURSING CARE AND REHABILITATION SERVICE FOR A 240 BED N.Y.S. LICENSED NURSING FACILITY.Description
Total Program Service Expense18093999TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109630NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees637NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MARY BETH GOEHLEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7167596985TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line110570 BERGTOLD ROADAddressLine1
CityCLARENCECity
StateNYState
ZIP Code14031ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelated
BROTHER JUDE HOLZFOERSTER
PRESIDENT37.50XX6918007177
BROTHER KENNETH THOMAS
VICE PRESIDENT0.50XX000
BROTHER FIDELIS VERRALL
SEC/TREASURER37.50XX2393103697
BROTHER MATHIAS MOLLER
DIRECTOR20.00X76690860
BROTHER GABRIEL JOSEPH PARISI
DIRECTOR0.50X000
PETER EIMER
COO10.00XX0100780030.00
JOSEPH DUNN
DIRECTOR0.50X000
DAVID NASCA
DIRECTOR0.50X000
VALERIE KANE
ADMINISTRATOR40.00X133546022020
MARY BETH GOEHLE
DIR OF FINANCE40.00X72450019193
FieldValueIRS element (for citing)
Total Reportable Comp From Org306776TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs100780TotalReportableCompFrmRltdOrgs
Total Other Compensation52947TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
FAVORITE NURSESFAVORITE TEMPS
P O BOX 803356KANSAS CITYMO641803356LPN FEES117063
FREED MAXICK CPA'S PC
P O BOX 8000 DEPT 644BUFFALONY14267CONSULTING/MGMT/STRATEGIC PLANNING106441
INFORMATION MANAGEMENT SOLUTIONS INC
109 CHATHAM AVENUEBUFFALONY14216COMPUTER SERVICES100354
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
All Other Contributions18543AllOtherContributions
Total Contributions18543TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT SERVICES62300099273579927357
FEES & CONTRACTS - GOV'T AGENCIES62300094297669429766
FieldValueIRS element (for citing)
Total Program Service Revenue19357123TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column11280TotalRevenueColumn
Exclusion$11,280ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other6437Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other6437Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column6437TotalRevenueColumn
Exclusion$6,437ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA & COFFEE SHOP72221084325$84,325
NURSE AIDE TRAINING INCOM6114303999739997
DISCOUNTS EARNED6230003680536805

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column115081TotalRevenueColumn
Related Or Exempt Function Income64373RelatedOrExemptFunctionIncome
Exclusion$50,708ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue276208TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19669591TotalRevenueColumn
Related Or Exempt Function Income19498298RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$152,750ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total359723Total
Program Services78297ProgramServices
Management And General281426ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total11094049Total
Program Services10741484ProgramServices
Management And General352565ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total174714Total
Program Services166105ProgramServices
Management And General8609ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total806948Total
Program Services763232ProgramServices
Management And General43716ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total859954Total
Program Services816070ProgramServices
Management And General43884ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total35339Total
Program Services35339ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total46072Total
Program Services46072ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total204618Total
Program Services46420ProgramServices
Management And General158198ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total9485Total
Management And General9485ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total830934Total
Program Services719915ProgramServices
Management And General111019ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total103326Total
Program Services103326ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total349636Total
Program Services318295ProgramServices
Management And General31341ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total11440Total
Program Services8048ProgramServices
Management And General3392ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total57271Total
Program Services57271ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total535197Total
Program Services508437ProgramServices
Management And General26760ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total552484Total
Program Services524859ProgramServices
Management And General27625ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
NYS ASSESSMENT FEES994574994574
MEDICAL SUPPLIES & EQUI937200937200
FOOD & BEVERAGE697458697458
SUPPLIES29021526634423871

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total296588Total
Program Services265253ProgramServices
Management And General31335ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total19247225Total
Program Services18093999ProgramServices
Management And General1153226ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2765212BOY
EOY1951086EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1678865BOY
EOY2431354EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1312545BOY
EOY1115328EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY108584BOY
EOY84307EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY91436BOY
EOY94789EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY51527BOY
EOY40002EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis17790876LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec15062650LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2675657BOY
EOY2728226EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY676994BOY
EOY686978EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY63408BOY
EOY47537EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9424228BOY
EOY9179607EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2966607BOY
EOY2336584EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1057685BOY
EOY1036592EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY63408BOY
EOY47537EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4087700BOY
EOY3420713EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5336528BOY
EOY5758894EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5336528BOY
EOY5758894EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9424228BOY
EOY9179607EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses422366ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee0AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10916CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24548CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26301CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year27615CurrentTaxYearMinus1Year
Current Tax Year18543CurrentTaxYear
Total107923Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2010395CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19233473CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18761839CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19326906CurrentTaxYearMinus1Year
Current Tax Year19357123CurrentTaxYear
Total78689736Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years249529CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years83579CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year80726CurrentTaxYearMinus1Year
Current Tax Year141470CurrentTaxYear
Total555304Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2021311CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19507550CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18871719CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19435247CurrentTaxYearMinus1Year
Current Tax Year19517136CurrentTaxYear
Total79352963Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50979352963PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years51787CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years30759CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20720CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14404CurrentTaxYearMinus1Year
Current Tax Year11280CurrentTaxYear
Total128950Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years51787CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years30759CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20720CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14404CurrentTaxYearMinus1Year
Current Tax Year11280CurrentTaxYear
Total128950Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years317226CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years77137CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years238736CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year129330CurrentTaxYearMinus1Year
Current Tax Year141175CurrentTaxYear
Total903604Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2390324CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years19615446CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19131175CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19578981CurrentTaxYearMinus1Year
Current Tax Year19669591CurrentTaxYear
Total80385517Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98720PublicSupportPercentage509
Prior Year Support Percentage0.98770PriorYearSupportPercentage
Investment Income Percentage0.00160InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00280PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis16000OtherCostOrOtherBasis
Book Value16000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11850042OtherCostOrOtherBasis
Depreciation10037180Depreciation
Book Value1812862BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis377580OtherCostOrOtherBasis
Depreciation373867Depreciation
Book Value3713BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5171891OtherCostOrOtherBasis
Depreciation4651603Depreciation
Book Value520288BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis375363OtherCostOrOtherBasis
Book Value375363BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2728226TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
RESIDENT FUNDS HELD IN TRUST$44,720
RESIDENT ACTIVITY FUNDS$2,817
FieldValueIRS element (for citing)
Total Of Amounts47537TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt19669591TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal19669591RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99019669591TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt19247225TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal19247225ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99019247225TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE 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, 2008 AND PRIOR.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonVALERIE KANENamePerson
TitleADMINISTRATORTitle
Base Compensation Filing Org133546BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org4323DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org17697NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org155566TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org5128CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11LINE 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 12CQUESTIONNAIRE 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 15THE 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 19DISCLOSURE IS BASED ON THE PURPOSE OF THE REQUEST.
FORM 990 PART VII DIRECTOR NO. 6:PETER C. EIMER, C.O.O., IS PAID BY BROTHERS OF MERCY SACRED HEART HOME, INC., A RELATED ORGANIZATION, BUT A PORTION OF HIS SALARY IS REIMBURSED BY BROTHERS OF MERCY NURSING HOME, INC. TO BROTHERS OF MERCY SACRED HEART HOME. THE AMOUNT REIMBURSED IN 2012 WAS $27,158.COMPENSATION OF OFFICER:
FORM 990 PART XII LINE 2C:NO CHANGES HAVE TAKEN PLACE DURING THE FISCAL YEAR ENDED DECEMBER 31, 2012.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
BROTHERS OF MERCY INC
4520 RANSOM ROADCLARENCENY14031160746852HOUSING, LIVING EXPENSE, ETC FOR BROTHERS OF MERCYNY501(C)(3)170(B)1(A)I0
BROTHERS OF MERCY SACRED HEART HOME
4520 RANSOM RDCLARENCENY14031161082636ADULT CARE FACILITYNY501(C)(3)170(B)1(A)III0
BROTHERS OF MERCY HOUSING CO INC
10500 BERGTOLD ROADCLARENCENY14031237117107HOUSING FOR ELDERLYNY501(C)(3)170(B)1(A)VI0
BROTHERS OF MERCY FACILITIES FOUNDATION
10500 BERGTOLD ROADCLARENCENY14031161558645SUPPORT CHARITABLE PURPOSES OF BROTHERSNY501(C)(3)170(B)1(A)VI0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
BROTHERS OF MERCY INC
K94525FMV
BROTHERS OF MERCY SACRED HEART HOME
O27158FMV

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