2013-11-15T12:33:49-07:00 2012-12-31 990 2012-01-01 160820140 PRESBYTERIAN SENIOR CARE OF WESTERN NEW YORK INC PRES 7166310123 4455 Transit Road Williamsville NY 142216030 Karin Ziegler 7166310123 2013-11-15 2012 2016-02-25 16:41:14Z Presbyterian Senior Care of WNY Inc 4455 Transit Road Suite 2A Williamsville NY 14094 11302404 0 X www.pscwny.org X 1957 NY To provide care and services which improve the quality of life of aging persons. X 15 15 553 169 0 0 17448 7196 16879578 11145466 -2563 -2413 261561 149742 17156024 11299991 0 3527 0 0 12075094 1954108 0 0 0 5068691 9031682 17143785 10989317 12239 310674 11436012 9441297 13262383 11351013 -1826371 -1909716 X To provide care and services which improve the quality of life of aging persons. 0 1 7477213 0 7744612 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 1825407 0 2087651 Patient Care: Domicillary Care for the Elderly in a 60 bed adult care facility. Measurement: 60 Units: Beds 598708 0 746610 Provided Patient Care: Independent living for the elderly in apartments with handicap facilities and 1 guest suite. Measurement: 78 Units: Apartments 333624 3527 716335 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. 333624 3527 716335 10234952 1 1 0 0 0 0 0 0 1 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 1 29 0 553 1 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 1 0 1 1 0 NY X Karin Ziegler Presbyterian Senior Care of WNY Inc 7166310123 4455 Transit Road Williamsville NY 142216030 Rev Dr Richard Young 1.5 0 X X 0 0 0 F William Gray 1 0 X X 0 0 0 Charlene Seekins-Smith 1 0 X X 0 0 0 Patricia L Evans 1 0 X X 0 0 0 Craig Miller 0.5 0 X 0 0 0 Diane Bookhagen 0.5 0 X 0 0 0 Amy Jelensperger 0.5 0 X 0 0 0 Jennifer Kelleher 0.5 0 X 0 0 0 Beverly Kubala 0.5 0 X 0 0 0 Alice Mohr 0.5 0 X 0 0 0 Gayle Barton 0.5 0 X 0 0 0 Suzanne K Richardson 0.5 0 X 0 0 0 Mary Beth Karr 0.5 0 X 0 0 0 Alice Mohr 0.5 0 X 0 0 0 Elaine Pyne 0.5 0 X 0 0 0 Karin A Ziegler 40 0 X 113181 0 0 Lynn M Osborne 40 0 X 105102 0 4295 218283 0 4295 2 0 0 0 Angelica Textile Services 1-3 Apollo Drive Batavia NY 14020 Laundry Services 157084 1 0 0 0 7196 0 0 0 7196 Program Service Revenue 623000 3433773 3433773 0 0 Program Svc Revenue - Discontinued Operations 623000 7711693 7711693 0 0 0 0 0 0 11145466 0 0 0 0 0 2413 0 -2413 -2413 0 0 -2413 0 Other revenue 623000 116823 116823 0 0 Other Revenue - Discontinued Operations 623000 32919 32919 0 0 0 0 0 0 149742 11299991 11295208 0 -2413 X 0 3527 3527 113181 113181 1551686 1224330 327356 4619 2534 2085 156622 139479 17143 128000 93502 34498 1339 0 1339 28000 500 27500 128506 99829 28677 0 352823 334290 18533 14326 0 14326 185100 153009 32091 9688 4530 5158 263028 202178 60850 348767 337817 10950 98376 76631 21745 Consulting 1500 0 1500 0 Repairs & Maintenance 39469 38855 614 0 Other Direct 83547 46728 36819 0 Discontinued Operations 7477213 7477213 0 0 0 10989317 10234952 754365 0 X 343466 461766 0 0 14803 14264 481139 666749 12375201 6666338 5980655 5708863 4615949 2589655 11436012 9441297 1925328 728648 5583502 5416761 5753553 5205604 13262383 11351013 X -3583355 -3700133 1278987 1311616 477997 478801 -1826371 -1909716 11436012 9441297 X 310674 0 0 0 0 -394019 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 173684 20893 189774 4803 0 831161 804 2990 3528 499 0 830928 831223 0 1034 1095 0 0 831162 833008 100 1380 3265 0 0 831223 849115 -7614 1044 6734 2803 0 833008 898227 4827 15551 640 68850 0 849115 0 0.576 0.424 0 1 1 0 218155 218155 0 9173162 4104991 5068171 0 492270 451060 41210 0 2484158 2110287 373871 0 7456 0 7456 5708863 Assets held for sale - Discontinued Operations 1921721 Foundation- Int in net assets less LT payable 496738 Net deferred refinancing costs 171196 2589655 0 Occupancy Right Fees 1826047 Assets held for sale - Discontinued Operations 3379557 5205604 X 11694010 0 0 0 0 0 11694010 0 -394019 -394019 11299991 10989317 0 0 0 0 0 10989317 0 0 0 10989317 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). 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 1175 Delaware Ave Realty LLC c/o Tenzer and Lunin LLP 32 East 57 Street Tenth Floor New York NY 10022 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 1205 Delaware Ave Realty LLC c/o Tenzer and Lunin LLP 32 East 57 Street Tenth Floor New York NY 10022 0 0 0 0 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). 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 0 0 1 0 1 0 0 0 0 0 0 1 1 1 1 0 1 0 0 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.