PRESBYTERIAN SENIOR CARE OF WNY INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: PRESBYTERIAN SENIOR CARE OF WNY INC (EIN 16-0820140)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-15
IRS object ID: 201303199349307170
Schema version: 2012v2.0
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-15T12:33:49-07:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	160820140	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	PRESBYTERIAN SENIOR CARE OF WESTERN NEW YORK INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	PRES	NameControl
Phone	7166310123	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4455 Transit Road	AddressLine1
City	Williamsville	City
State	NY	State
ZIP Code	142216030	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Karin Ziegler	Name
Title	President/CEO	Title
Phone	7166310123	Phone
Date Signed	2013-11-15	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Presbyterian Senior Care of WNY Inc	BusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	4455 Transit Road	AddressLine1
Address Line2	Suite 2A	AddressLine2
City	Williamsville	City
State	NY	State
ZIP Code	14094	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	11302404	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.pscwny.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1957	YearFormation
State Legal Domicile	NY	StateLegalDomicile
Activity Or Mission Description	To provide care and services which improve the quality of life of aging persons.	ActivityOrMissionDescription
Termination Or Contraction	X	TerminationOrContraction
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	15	NbrIndependentVotingMembers
Total Nbr Employees	553	TotalNbrEmployees
Total Nbr Volunteers	169	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	17448	ContributionsGrantsPriorYear
Contributions Grants Current Year	7196	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	16879578	ProgramServiceRevenuePriorYear
Program Service Revenue CY	11145466	ProgramServiceRevenueCY
Investment Income Prior Year	-2563	InvestmentIncomePriorYear
Investment Income Current Year	-2413	InvestmentIncomeCurrentYear
Other Revenue Prior Year	261561	OtherRevenuePriorYear
Other Revenue Current Year	149742	OtherRevenueCurrentYear
Total Revenue Prior Year	17156024	TotalRevenuePriorYear
Total Revenue Current Year	11299991	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	3527	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	12075094	SalariesEtcPriorYear
Salaries Etc Current Year	1954108	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	5068691	OtherExpensePriorYear
Other Expenses Current Year	9031682	OtherExpensesCurrentYear
Total Expenses Prior Year	17143785	TotalExpensesPriorYear
Total Expenses Current Year	10989317	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	12239	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	310674	RevenuesLessExpensesCY
Total Assets BOY	11436012	TotalAssetsBOY
Total Assets EOY	9441297	TotalAssetsEOY
Total Liabilities BOY	13262383	TotalLiabilitiesBOY
Total Liabilities EOY	11351013	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	-1826371	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	-1909716	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	To provide care and services which improve the quality of life of aging persons.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	1	SignificantChange
Expense	7477213	Expense
Grants	0	Grants
Revenue	7744612	Revenue
Description	Provided Nursing Home Care: Nursing Care for the Elderly in a 122 bed nursing facility and a 95 bed facility. Measurement: 217 Units: Beds DISCONTINUED OPERATIONS SEE SCHEDULE N	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	1825407	Expense
Grants	0	Grants
Revenue	2087651	Revenue
Description	Patient Care: Domicillary Care for the Elderly in a 60 bed adult care facility. Measurement: 60 Units: Beds	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	598708	Expense
Grants	0	Grants
Revenue	746610	Revenue
Description	Provided Patient Care: Independent living for the elderly in apartments with handicap facilities and 1 guest suite. Measurement: 78 Units: Apartments	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	333624	Expense
Grants	3527	Grants
Revenue	716335	Revenue
Description	Provided Patient Care: Provided enriched housing - support services for the elderly at Ken-Ton Presbyterian Village. Measurement: 49 Units: Certified Rooms. Also includes Mary Venneman Grant and Disadvantage Funds.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	333624	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	3527	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	716335	TotalOfOtherProgramServiceRev
Total Program Service Expense	10234952	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	1	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	1	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	29	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	553	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Form1098 C Filed	0	Form1098CFiled
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	15	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	1	LocalChapters
Policies Reference Chapters	1	PoliciesReferenceChapters
Form990 Provided To Governing Body	0	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	0	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Karin Ziegler	BusinessNameLine1
Business Name Line2	Presbyterian Senior Care of WNY Inc	BusinessNameLine2

Field	Value	IRS element (for citing)
Telephone Number	7166310123	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	4455 Transit Road	AddressLine1
City	Williamsville	City
State	NY	State
ZIP Code	142216030	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
Rev Dr Richard Young
Chair	1.5	0	X	X	0	0	0
F William Gray
Vice-Chair	1	0	X	X	0	0	0
Charlene Seekins-Smith
Treasurer	1	0	X	X	0	0	0
Patricia L Evans
Secretary	1	0	X	X	0	0	0
Craig Miller
Board Member	0.5	0	X		0	0	0
Diane Bookhagen
Board Member	0.5	0	X		0	0	0
Amy Jelensperger
Board Member	0.5	0	X		0	0	0
Jennifer Kelleher
Board Member	0.5	0	X		0	0	0
Beverly Kubala
Board Member	0.5	0	X		0	0	0
Alice Mohr
Board Member	0.5	0	X		0	0	0
Gayle Barton
Director	0.5	0	X		0	0	0
Suzanne K Richardson
Board Member	0.5	0	X		0	0	0
Mary Beth Karr
Board Member	0.5	0	X		0	0	0
Alice Mohr
Board Member	0.5	0	X		0	0	0
Elaine Pyne
Board Member	0.5	0	X		0	0	0
Karin A Ziegler
President/CEO	40	0		X	113181	0	0
Lynn M Osborne
Corporate Controller	40	0			105102	0	4295	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	218283	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	4295	TotalOtherCompensation
Number Individuals GT100 K	2	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Angelica Textile Services	BusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1-3 Apollo Drive	AddressLine1
City	Batavia	City
State	NY	State
ZIP Code	14020	ZIPCode

Field	Value	IRS element (for citing)
Description Of Services	Laundry Services	DescriptionOfServices
Compensation	157084	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K
Federated Campaigns	0	FederatedCampaigns
Membership Dues	0	MembershipDues
Fundraising Events	0	FundraisingEvents
Related Organizations	7196	RelatedOrganizations
Government Grants	0	GovernmentGrants
All Other Contributions	0	AllOtherContributions
Noncash Contributions	0	NoncashContributions
Total Contributions	7196	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Program Service Revenue	623000	3433773	3433773	0	$0
Program Svc Revenue - Discontinued Operations	623000	7711693	7711693	0	$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	11145466	TotalProgramServiceRevenue

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	0	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	2413	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	0	Securities
Other	-2413	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-2413	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	-$2,413	ExclusionAmount

Field	Value	IRS element (for citing)
Cntrbtns Rprtd Fundraising Events	0	CntrbtnsRprtdFundraisingEvents

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Other revenue	623000	116823	116823	0	$0
Other Revenue - Discontinued Operations	623000	32919	32919	0	$0

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	149742	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	11299991	TotalRevenueColumn
Related Or Exempt Function Income	11295208	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	-$2,413	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	3527	Total
Program Services	3527	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	113181	Total
Management And General	113181	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1551686	Total
Program Services	1224330	ProgramServices
Management And General	327356	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4619	Total
Program Services	2534	ProgramServices
Management And General	2085	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	156622	Total
Program Services	139479	ProgramServices
Management And General	17143	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	128000	Total
Program Services	93502	ProgramServices
Management And General	34498	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1339	Total
Program Services	0	ProgramServices
Management And General	1339	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	28000	Total
Program Services	500	ProgramServices
Management And General	27500	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	128506	Total
Program Services	99829	ProgramServices
Management And General	28677	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	352823	Total
Program Services	334290	ProgramServices
Management And General	18533	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	14326	Total
Program Services	0	ProgramServices
Management And General	14326	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	185100	Total
Program Services	153009	ProgramServices
Management And General	32091	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	9688	Total
Program Services	4530	ProgramServices
Management And General	5158	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	263028	Total
Program Services	202178	ProgramServices
Management And General	60850	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	348767	Total
Program Services	337817	ProgramServices
Management And General	10950	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	98376	Total
Program Services	76631	ProgramServices
Management And General	21745	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Consulting	1500	0	1500
Repairs & Maintenance	39469	38855	614
Other Direct	83547	46728	36819
Discontinued Operations	7477213	7477213	0

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	0	Total

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	10989317	Total
Program Services	10234952	ProgramServices
Management And General	754365	ManagementAndGeneral
Fundraising	0	Fundraising

Field	Value	IRS element (for citing)
Info In Schedule O Part X	X	InfoInScheduleOPartX

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	343466	BOY
EOY	461766	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	14803	BOY
EOY	14264	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	481139	BOY
EOY	666749	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	12375201	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	6666338	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	5980655	BOY
EOY	5708863	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	4615949	BOY
EOY	2589655	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	11436012	BOY
EOY	9441297	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1925328	BOY
EOY	728648	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	5583502	BOY
EOY	5416761	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	5753553	BOY
EOY	5205604	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	13262383	BOY
EOY	11351013	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	-3583355	BOY
EOY	-3700133	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1278987	BOY
EOY	1311616	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	477997	BOY
EOY	478801	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	-1826371	BOY
EOY	-1909716	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	11436012	BOY
EOY	9441297	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	310674	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	0	ReconciliationUnrealizedInvest
Reconcilation Donated Services	0	ReconcilationDonatedServices
Reconcilation Invest Expenses	0	ReconcilationInvestExpenses
Reconcilation Prior Adjustment	0	ReconcilationPriorAdjustment
Reconcilation Other Changes	-394019	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Church170b1 Ai	X	Church170b1Ai

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	1	AgentTrusteeEtc
Beginning Balance	173684	BeginningBalance
Additions During Year	20893	AdditionsDuringYear
Distributions During Year	189774	DistributionsDuringYear
Ending Balance	4803	EndingBalance
Included On FS	0	IncludedOnFS

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	831161	BeginningOfYearBalance
Contributions	804	Contributions
Investment Earnings Or Losses	2990	InvestmentEarningsOrLosses
Grants Or Scholarships	3528	GrantsOrScholarships
Other Expenditures	499	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	830928	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	831223	BeginningOfYearBalance
Contributions	0	Contributions
Investment Earnings Or Losses	1034	InvestmentEarningsOrLosses
Grants Or Scholarships	1095	GrantsOrScholarships
Other Expenditures	0	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	831162	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	833008	BeginningOfYearBalance
Contributions	100	Contributions
Investment Earnings Or Losses	1380	InvestmentEarningsOrLosses
Grants Or Scholarships	3265	GrantsOrScholarships
Other Expenditures	0	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	831223	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	849115	BeginningOfYearBalance
Contributions	-7614	Contributions
Investment Earnings Or Losses	1044	InvestmentEarningsOrLosses
Grants Or Scholarships	6734	GrantsOrScholarships
Other Expenditures	2803	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	833008	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	898227	BeginningOfYearBalance
Contributions	4827	Contributions
Investment Earnings Or Losses	15551	InvestmentEarningsOrLosses
Grants Or Scholarships	640	GrantsOrScholarships
Other Expenditures	68850	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	849115	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.576	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.424	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	218155	OtherCostOrOtherBasis
Book Value	218155	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	9173162	OtherCostOrOtherBasis
Depreciation	4104991	Depreciation
Book Value	5068171	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	492270	OtherCostOrOtherBasis
Depreciation	451060	Depreciation
Book Value	41210	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	2484158	OtherCostOrOtherBasis
Depreciation	2110287	Depreciation
Book Value	373871	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	7456	OtherCostOrOtherBasis
Depreciation	0	Depreciation
Book Value	7456	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	5708863	TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescription	Book ValueBookValue
Assets held for sale - Discontinued Operations	1921721
Foundation- Int in net assets less LT payable	496738
Net deferred refinancing costs	171196

Field	Value	IRS element (for citing)
Total Book Value Other Assets	2589655	TotalBookValueOtherAssets
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
Occupancy Right Fees	$1,826,047
Assets held for sale - Discontinued Operations	$3,379,557

Field	Value	IRS element (for citing)
Total Of Amounts	5205604	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	11694010	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	0	NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities	0	DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants	0	RecoveriesOfPriorYearGrants
Other Revenues	0	OtherRevenues
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	11694010	RevenueSubtotal
Investment Expenses Not Included	0	InvestmentExpensesNotIncluded
Other Revenues Not Included	-394019	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-394019	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	11299991	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	10989317	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	0	DonatedServicesUseOfFacilities
Prior Year Adjustments	0	PriorYearAdjustments
Losses Reported	0	LossesReported
Other Expenses Included	0	OtherExpensesIncluded
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	10989317	ExpensesSubtotal
Investment Expenses Not Included2	0	InvestmentExpensesNotIncluded2
Other Expenses Not Included	0	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	10989317	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchD_P04_S00_L01b	Schedule D, Part IV, Line 1b	Presbyterian Senior Care of WNY, Inc. holds funds for residents for the assisted living facility and nursing facilities in a separate bank account. This account is for residents personal use only and is reconciled on a monthly basis.
SchD_P05_S00_L04	Schedule D, Part V, Line 4	The Presbyterian Senior Care of WNY, Foundation's purpose is to support the operation of Presbyterian Senior Care of WNY.
SchD_P10_S00_L02	Schedule D, Part X, Line 2	Income Taxes: The Company is exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code, and accordingly, no provision for federal income taxes is included in the financial statements. The Company files it's return of Organization Exempt from Income Tax in the U.S. federal jurisdiction and its Annual Filing of Charitable Organizations in New York State. The tax years 2009-2011 generally remain open to examination in taxing jurisdictions in which the Company is subject to filing requirements of those jurisdictions.
SchD_P11_S00_L04b	Schedule D, Part XI, Line 4b	Change in interest from Foundation & Net assets released from restrictions (44,350), Corporate revenues (126,540) and Loss from discontinued operations (564,909).

Schedule N IRS990ScheduleN

Disposition Table DispositionTable (2 entries)

Description Of AssetDescriptionOfAsset	Date Of DistributionDateOfDistribution	FMV Of AssetFMVOfAsset	Method Of FMV DeterminationMethodOfFMVDetermination	EINEIN	Address Line1AddressUS/AddressLine1	Address Line2AddressUS/AddressLine2	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode
1175 Delaware Ave Realty LLC
See Note 2 of Audited Financials for more detail. On March 6,2012 Presbyterian Senior Care of WNY, Inc. entered into Asset Purchase Agreements to sell the assets and operating licenses of Harbour Health Multicare Facility and Hawthorn Health Multicare Facilty . On July 26, 2012, the two nursing facilities were placed into voluntary receivership. On August 3, 2012, the land, buildings and equipment of the two nursing facilities were sold as a part of the Asset Purchase Agreement.	2012-08-03	384632	Mortgage payoff amount	455558910	c/o Tenzer and Lunin LLP	32 East 57 Street Tenth Floor	New York	NY	10022
1205 Delaware Ave Realty LLC
See Note 2 of Audited Financials for more detail. On March 6,2012 Presbyterian Senior Care of WNY, Inc. entered into Asset Purchase Agreements to sell the assets and operating licenses of Harbour Health Multicare Facility and Hawthorn Health Multicare Facilty . On July 26, 2012, the two nursing facilities were placed into voluntary receivership. On August 3, 2012, the land, buildings and equipment of the two nursing facilities were sold as a part of the Asset Purchase Agreement.	2012-08-03	1243926	Mortgage payoff amount.	455565068	c/o Tenzer and Lunin LLP	32 East 57 Street Tenth Floor	New York	NY	10022

Field	Value	IRS element (for citing)
Director Of Successor2	0	DirectorOfSuccessor2
Employee Of Successor2	0	EmployeeOfSuccessor2
Owner Of Successor2	0	OwnerOfSuccessor2
Receive Compensation2	0	ReceiveCompensation2

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
F990_P03_S00_L03	Form 990, Part III, Line 3	See Note 2 of Audited Financials for more detail. On March 6,2012 Presbyterian Senior Care of WNY, Inc. entered into Asset Purchase Agreements to sell the assets and operating licenses of Harbour Health Multicare Facility and Hawthorn Health Multicare Facilty . On July 27, 2012, the two nursing facilities were placed into voluntary receivership. On August 3, 2012, the land, buildings and equipment of the two nursing facilities were sold as a part of the Asset Purchase Agreement.
F990_P06_S0B_L11b	Form 990, Part VI, Section B, Line 11b	Form 990 is prepared by the accounting staff and reviewed by the Controller. It is then passed to our independent auditing firm to review. Once checked by the Controller and independent auditors, the Form 990 is efiled. The final Form 990 is presented at the next board meeting following the filing.
F990_P06_S0B_L12c	Form 990, Part VI, Section B, Line 12c	Policy is reviewed at new hire orientation and annually thereafter. Board of Directors are given a copy of the By Laws at orientation that has a section on Conflict of Interest. If any member discloses a conflict of interest, they will not be able to participate in any vote taken in regards to transactions and services in which they have an interest.
F990_P06_S0B_L15	Form 990, Part VI, Section B, Line 15	Compensation data is compiled and used to determine budgets. The data is collected from various salary surveys from AAHSA, NYAHSA, WNYAHSA and various internet sites such as the Department of Labor and Bureau of Labor Statistics. Budgets are then presented to the Board Executive Committee for approval.
F990_P06_S0C_L19	Form 990, Part VI, Section C, Line 19	These documents are made available to the public upon request.
F990_P09_S00_L24a	Form 990, Part IX, Line 24a - 24e	Line d: DISCONTINUED OPERATIONS SEE SCHEDULE N. Expense detail as follows: Salaries & Wages $4,276,976 Payroll taxes & employee benefits $1,327,859 Other Direct Expenses $1,607,465 Depreciation & amortization $180,536 Interest expense $84,376 for a total of $7,477,212.
F990_P10_S00_L33	Form 990, Part X, Line 33	The balance sheet for 2011 for our Audited Financials were restated to reflect the discontinued operations of our two nursing facilities (Program Service Accomplishments #1). The Fund Balance did not change.
F990_P11_S00_L09	Form 990, Part XI, Line 9	Change in interest from Foundation & Net assets released from restrictions (44,350), Corporate revenues (126,540) and Loss from discontinued operations (564,909).

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg
Ken-Ton Presbyterian Village Housing Fund Development Co Inc
4455 Transit Road	Williamsville	NY	14221	161127014	Low Income (HUD) housing for the elderly	NY	501(c)(3)	9	N/A	0
Presbyterian Senior Care of Western New York Foundation Inc
4455 Transit Road	Williamsville	NY	14221	161319252	Support the establishment and operations of Presbyterian Senior Care of WNY and Ken-Ton Presbyterian	NY	501(c)(3)	11	N/A	0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	1	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Ken-Ton Presbyterian Village Housing Fund Development Co Inc
l	93528	Presbyterian Senior Care has a relationship with the two organizations mentioned in Schedule R, Each organization has it's own Board of Directors which control their respective organizations. The organizations share services and management at the Corporate Office. This includes items such as payroll, accounting and management.
Presbyterian Senior Care of Western New York Foundation Inc
e	79630	Presbyterian Senior Care has a relationship with the two organizations mentioned in Schedule R, Each organization has it's own Board of Directors which control their respective organizations. The organizations share services and management at the Corporate Office. This includes items such as payroll, accounting and management.