2024-11-15T11:07:43-07:00 2023-12-31 990 2023-01-01 237155198 BROTHERS OF MERCY NURSING HOME COMPANY INC BROT 7167596985 10570 BERGTOLD ROAD CLARENCE NY 14031 Joseph Widmer CFO 7167597600 2024-11-15 1 2023 2024-10-15 13:58:12Z BROTHERS OF MERCY NURSING AND REHABILITATION CENTER Peter Eimer 4520 Ransom Road Clarence NY 14031 26768788 0 X BROTHERSOFMERCY.ORG X 1971 NY TO PROVIDE SKILLED NURSING CARE AND REHABILITATION SERVICES TO THE ELDERLY AND COMMUNITY 11 10 617 85 0 0 1167171 438575 20449251 25938514 513932 102247 334510 289452 22464864 26768788 0 0 0 0 16718887 18290508 0 0 0 7881585 8846148 24600472 27136656 -2135608 -367868 20987808 16188349 11306412 6902760 9681396 9285589 TO PROVIDE SKILLED NURSING CARE AND REHABILITATION SERVICES TO THE ELDERLY AND COMMUNITY 0 0 24350127 0 25938514 NURSING CARE AND REHABILITATION SERVICES FOR A 240 BED NYS LICENSED NURSING FACILITY 0 0 0 24350127 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 33 0 1 617 1 0 0 0 0 0 0 0 0 X 11 10 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 147073 147074 19550 Joseph Widmer CFO 19.75 17.75 X 97883 87853 16524 Teresa Dillsworth Nursing Home Administrator 37.5 0 X 175803 0 17456 Melissa Feider Chief Human Resources Officer 22.00 15.5 X 93086 66938 16151 Shari Kersch Director of Nursing 37.5 0 X 134223 0 17413 Alfonso Caci Director of Campus Operations 7.5 30.00 X 22085 88340 14315 Lauren Marie Grawe Outpatient Clinic Director 37.5 0 X 107123 0 15934 David Nasca Board Member/Chairman 0.5 2.5 X X 0 0 0 Michael Noe Board Member/Secretary 0.5 2.5 X X 0 0 0 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 McRae Board Member 0.5 2.5 X 0 0 0 David Rogers 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 Roopa Chakkappan Board Member 0.5 2.5 X 0 0 0 Cindy Eller Board Member 0.5 2.5 X 0 0 0 Sister Patricia Burkard Board Member 0.5 2.5 X 0 0 0 777276 390205 117343 12 0 1 0 Ascen Workforce LLC PO Box 936601 Atlanta GA 311936601 Temporary staffing agency services 340292 Shiftkey LLC 2807 Allen Street Suite 802 Dallas TX 75204 Temporary agency staffing services 136303 PointClickCare Technologies Inc 5570 Explorer Drive Mississauga Ontario CA L4W 0C4 Medical record software subscription 121691 Paycom Payroll LLC 7501 West Memorial Road Oklahoma City OK 73142 Payroll and timekeeping software subscription 100807 4 0 0 0 0 74212 364363 0 438575 Resident Service Revenue 623000 25938514 25938514 0 0 0 0 0 0 25938514 102247 0 0 102247 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 722310 130227 0 0 130227 Gift Shop Income 459420 5487 0 0 5487 Other Income/Loss 623000 153738 153738 0 0 0 0 0 0 289452 26768788 26092252 0 237961 0 0 0 0 0 0 0 0 244956 0 244956 0 0 0 0 0 15654625 15102178 552447 0 128755 115047 13708 0 1041963 952030 89933 0 1220209 1160000 60209 0 1301451 10470 1290981 0 23591 23591 0 0 223503 19899 203604 0 0 0 0 0 0 0 0 0 0 0 1002698 729516 273182 0 55815 51801 4014 0 0 0 0 0 0 0 0 0 0 0 0 0 277477 277477 0 0 3475 1638 1837 0 0 0 0 0 0 0 0 0 236911 236911 0 0 0 0 0 0 695200 659757 35443 0 772124 755909 16215 0 CONTRACTED SERVICES 1277175 1277175 0 0 NEW YORK STATE FEES 1089883 1089883 0 0 FOOD 965038 965038 0 0 MEDICAL/SUPPLIES/EQUIPMENT 917089 917089 0 0 4718 4718 0 0 27136656 24350127 2786529 0 0 19623 280264 2252722 0 0 9756033 3022920 0 0 0 0 3835647 4109477 126938 155058 61323 56360 22116383 15605840 6885889 6510543 1714 1244 0 0 0 0 0 0 40000 60402 20987808 16188349 7298230 3117696 0 0 0 0 0 0 62289 63060 0 0 3835537 3674254 0 0 110356 47750 11306412 6902760 X 9641396 9225187 40000 60402 9681396 9285589 20987808 16188349 -367868 -27939 0 0 0 0 X X 0 1 X 1 0 X 216500 238856 378 1167161 438575 2061470 24991585 22887438 20870323 20449251 25938514 115137111 176014 131545 107856 115175 135714 666304 0 0 0 0 0 0 0 0 0 0 0 0 25384099 23257839 20978557 21731587 26512803 117864885 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 117864885 66332 52344 332209 203383 74308 728576 0 0 0 0 0 0 66332 52344 332209 203383 74308 728576 0 0 0 0 0 0 0 4448860 6828756 219343 153738 11650697 25450431 27759043 28139522 22154313 26740849 130244158 0.90495 0.90394 0.00559 0.00556 X Schedule A, Part III, Line 12 Represents the total of various minor reimbursements and incentives. 0 1 X 0 16000 16000 0 16861526 11510242 5351284 0 68227 68227 0 0 5170630 4027371 1143259 0 0 0 0 6510543 0 Lease Obligations 47750 47750 X 26740849 -27939 0 0 0 -27939 26768788 0 0 0 26768788 27136656 0 0 0 0 0 27136656 0 0 0 27136656 Schedule D, Part I, Line 1 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. 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 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 subject 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 147074 147073 0 0 0 0 2588 2588 7187 7187 156849 156848 0 0 Joseph Widmer CFO 97883 87853 0 0 0 0 1978 1775 6731 6041 106592 95669 0 0 Teresa Dillsworth Nursing Home Administrator 175803 0 0 0 0 0 3593 0 13863 0 193259 0 0 0 Melissa Feider Chief Human Resources Officer 93086 66938 0 0 0 0 1879 1351 7517 5405 102482 73694 0 0 Shari Kersch Director of Nursing 134223 0 0 0 0 0 2700 0 14712 0 151635 0 0 0 Alfonso Caci Director of Campus Operations 22085 88340 0 0 0 0 448 1791 2415 9661 24948 99792 0 0 Lauren Marie Grawe Outpatient Clinic Director 107123 0 0 0 0 0 2185 0 13749 0 123057 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 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 statements is based upon 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 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 Brothers of Mercy Management Company d 2564517 End of Year Balance Brothers of Mercy Sacred Heart Home d 1349323 End of Year Balance Brothers of Mercy of Montabaur Apartment Complex Inc d 131177 End of Year Balance