2012-11-15T11:35:22-06:00 2011-12-31 161170608 TOSKI & CO CPAS PC 300 ESSJAY RD SUITE 115 WILLIAMSVILLE NY 14221 990 2011-01-01 237155198 BROTHERS OF MERCY NURSING HOME COMPANY INC BROT 7167596985 4520 RANSOM ROAD CLARENCE NY 14031 BROTHER JUDE HOLZFOERSTER 7167596985 2012-11-15 1 RONALD TOSKI CPA P01253472 7166340700 2011 2016-02-24 21:20:13Z BROTHER JUDE HOLZFOERSTER 4520 RANSOM ROAD CLARENCE NY 14031 19673291 0 1 X N/A X 1971 NY TO PROVIDE REHABILITATION SERVICES AND SKILLED NURSING CARE. 5 2 681 140 0 0 46301 27615 18523103 19326906 23791 14404 322312 304366 18915507 19673291 0 0 0 0 13063189 13303650 0 0 0 5615821 5784554 18679010 19088204 236497 585087 9490041 9424228 4650348 4087700 4839693 5336528 TO PROVIDE REHABILITATION SERVICES AND SKILLED NURSING CARE. 0 0 17807436 19449957 NURSING CARE AND REHABILITATION SERVICE FOR A 240 BED N.Y.S. LICENSED NURSING FACILITY. 17807436 1 1 0 0 0 0 0 0 0 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 0 1 44 0 1 681 1 0 0 0 0 0 0 0 0 0 0 X 5 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 10570 BERGTOLD ROAD CLARENCE NY 14031 BROTHER JUDE HOLZFOERSTER 37.50 X X 67815 0 7643 BROTHER KENNETH THOMAS 0.50 X X 0 0 0 BROTHER FIDELIS VERRALL 37.50 X X 23797 0 3863 BROTHER MATHIAS MOLLER 20.00 X 6941 0 835 BROTHER GABRIEL JOSEPH PARISI 0.50 X 0 0 0 VALERIE KANE 40.00 X 128916 0 21891 MARY BETH GOEHLE 40.00 X 75797 0 18806 303266 0 53038 2 0 1 0 INFORMATION MANAGEMENT SOLUTIONS INC 109 CHATHAM AVENUE BUFFALO NY 14216 COMPUTER SERVICES 110676 1 27615 13743 27615 FEES & CONTRACTS - GOV 623000 11038379 11038379 RESIDENT SERVICE REVEN 623000 8288527 8288527 19326906 14404 14404 CAFETERIA & COFFEE SHO 722210 80726 80726 NURSE AIDE TRAINING IN 611430 52241 52241 DISCOUNTS EARNED 623000 42069 42069 129330 129330 304366 19673291 19550546 0 95130 356304 75404 280900 11034416 10654974 379442 225957 204518 21439 837295 761824 75471 849678 792454 57224 24374 24374 232960 22852 210108 9245 9245 785313 690415 94898 93261 93261 402161 370820 31341 14272 8785 5487 53137 53137 547429 520058 27371 483449 459277 24172 NYS ASSESSMENT FEES 971667 971667 MEDICAL SUPPLIES & EQUI 906062 906062 FOOD & BEVERAGE 682951 682951 SUPPLIES 306153 282035 24118 272120 232568 39552 19088204 17807436 1280768 0 2083309 2765212 1865791 1678865 1368894 1312545 138676 108584 94858 91436 35306 51527 17242327 14566670 2974534 2675657 875822 676994 52851 63408 9490041 9424228 3558961 2966607 1038536 1057685 52851 63408 4650348 4087700 X 4839693 5336528 4839693 5336528 9490041 9424228 X 585087 -88252 X 0 1 0 X 0 X 42907 10916 24548 26301 27615 132287 19090972 2010395 19233473 18761839 19326906 78423585 298772 249529 83579 80726 712606 19432651 2021311 19507550 18871719 19435247 79268478 0 0 0 79268478 111024 51787 30759 20720 14404 228694 111024 51787 30759 20720 14404 228694 317226 77137 238736 129330 762429 19543675 2390324 19615446 19131175 19578981 80259601 0.98770 0.00280 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16000 16000 11809823 9670460 2139363 377580 372669 4911 5026074 4523541 502533 12850 12850 2675657 RESIDENT FUNDS HELD IN TRUST 59717 RESIDENT ACTIVITY FUNDS 3691 63408 19673291 19088204 585087 -88252 -88252 496835 19673291 0 19673291 0 19673291 19176456 88252 88252 19088204 0 19088204 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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, 2007 AND PRIOR. PART XI, LINE 8 - OTHER ADJUSTMENTS: NON-RECURRING EXPENSES -88,252. PART XIII, LINE 2D: NON-RECURRING EXPENSES $88,252 X X X 0 0 0 0 0 0 0 0 0 VALERIE KANE 128916 0 0 0 0 0 5128 0 16763 0 150807 0 0 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 QUESTIONAIRRE IS SENT OUT ANNUALLY AND INFORMATION REGARDING POTENTIAL CONFLICTS OF INTEREST IS MAINTAINED BY ADMINISTRATION. COMPLETED QUESTIONAIRRES 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NON-RECURRING EXPENSES -88,252. TOTAL TO FORM 990, PART XI, LINE 5: -88,252. 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 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 BROTHERS OF MERCY INC J 94525