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AMSTERDAM NURSING HOME CORPORATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
AMSTERDAM NURSING HOME CORPORATION (EIN 13-3834710)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-09
IRS object ID
202213139349303456
Schema version
2021v4.2
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)
Return2022-11-09T12:19:26-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN271728945PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PKF O'CONNOR DAVIES LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 MAMARONECK AVENUE SUITE 301AddressLine1Txt
CityHARRISONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP105281633ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN133834710EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AMSTERDAM NURSING HOMEBusinessNameLine1Txt
Business Name Line2CORPORATION (1992)BusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlAMSTBusinessNameControlTxt
Phone2125753322PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11060 AMSTERDAM AVENUEAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10025ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARK PANCIRERPersonNm
Person TitleSENIOR VP/CFOPersonTitleTxt
Phone2125753322PhoneNum
Signature2022-11-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMARKPersonFirstNm
Person LastPANCIRERPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEVA MRUKPreparerPersonNm
PTINP00543254PTIN
Phone9143818900PhoneNum
Preparation2022-11-09PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1AMSTERDAM NURSING HOMEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJAMES DAVISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11060 AMSTERDAM AVENUEAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10025ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$65,368,710GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.AMSTERDAMCARES.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO OPERATE A NOT FOR PROFIT NURSING HOME WITH 409 NURSING FACILITY BEDS AND AN ADULT DAY HEALTH CARE PROGRAM FOR 40 REGISTRANTS.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee435TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,325,722PYContributionsGrantsAmt
CY Contributions Grants$3,275,229CYContributionsGrantsAmt
PY Program Service Revenue$51,657,631PYProgramServiceRevenueAmt
CY Program Service Revenue$59,044,597CYProgramServiceRevenueAmt
PY Investment Income$105,672PYInvestmentIncomeAmt
CY Investment Income$2,996,619CYInvestmentIncomeAmt
PY Other Revenue$713,152PYOtherRevenueAmt
CY Other Revenue$2,115CYOtherRevenueAmt
PY Total Revenue$57,802,177PYTotalRevenueAmt
CY Total Revenue$65,318,560CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$6,613,076CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$33,347,379PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$28,218,519CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$26,454,591PYOtherExpensesAmt
CY Other Expenses$28,222,985CYOtherExpensesAmt
PY Total Expenses$59,801,970PYTotalExpensesAmt
CY Total Expenses$63,054,580CYTotalExpensesAmt
PY Revenues Less Expenses-$1,999,793PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,263,980CYRevenuesLessExpensesAmt
Total Assets BOY$58,569,678TotalAssetsBOYAmt
Total Assets EOY$69,684,595TotalAssetsEOYAmt
Total Liabilities BOY$45,296,233TotalLiabilitiesBOYAmt
Total Liabilities EOY$61,297,226TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$13,273,445NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,387,369NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAMSTERDAM NURSING HOME CORP. (1992) ("AMSTERDAM") IS A 409 BED SKILLED NURSING FACILITY (SNF) AND A 40 REGISTRANT ADULT DAY HEALTH CARE (ADHC) PROVIDING LONG AND SHORT TERM RESIDENTIAL CARE, ASWELL AS DAY CARE, TO PERSONS LIVING IN THE COMMUNITY. AMSTERDAM'S MISSION IS TO PROVIDE THE HIGHEST STANDARD OF HEALTH CARE TO ITS RESIDENTS, PATIENTS AND DAY HEALTH CARE REGISTRANTS. AMSTERDAM IS PROUD TO OFFER INDIVIDUALIZED CARE IN A SETTING THAT SUPPORTS THE QUALITY OF LIFE, DIGNITY AND AUTONOMY OF EACH PERSON THAT IT SERVES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$55,491,703ExpenseAmt
Grant$6,613,076GrantAmt
Revenue$59,044,597RevenueAmt
DescAMSTERDAM NURSING HOME PROVIDES ROOM AND BOARD AND MEDICAL CARE FOR THE ELDERLY. AMSTERDAM HAS A CAPACITY OF 409 SKILLED NURSING FACILITY BEDS ALONG WITH AN ADULT DAY HEALTH CARE PROGRAM WITH A CAPACITY OF 40 REGISTRANTS. IN 2021, AMSTERDAM HAD 1,232 ADMISSIONS AND PROVIDED 132,612 DAYS OF PATIENT CARE. AMSTERDAM HAD AN OCCUPANCY RATE OF 88.9 PERCENT IN THE NURSING FACILITY.Desc
Total Program Service Expenses$55,491,703TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial LiquidationYes (1)PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document68IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee435EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARK PANCIRERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2125753322PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11060 AMSTERDAM AVENUEAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10025ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOSEPH C HOOPES JR
CHAIRMAN & TREASURER2.003.25Yes (X)Yes (X)$0$0$0
GEORGE L VAN AMSON
VICE CHAIRMAN0.501.55Yes (X)Yes (X)$0$0$0
FRANCES R OLIVERI
VICE CHAIRMAN0.501.30Yes (X)Yes (X)$0$0$0
JOSE V TORRES
SECRETARY0.300.80Yes (X)Yes (X)$0$0$0
REVEREND JAMES G CALLAWAY JR
DIRECTOR0.301.10Yes (X)$0$0$0
JAMES J CAMPBELL
DIRECTOR0.301.10Yes (X)$0$0$0
ISABELL M CARDEN
DIRECTOR0.301.10Yes (X)$0$0$0
R SCOTT EMONDS
DIRECTOR0.301.10Yes (X)$0$0$0
DR KAREN M HOPKINS
DIRECTOR0.301.10Yes (X)$0$0$0
JAY H MCDOWELL
DIRECTOR0.301.35Yes (X)$0$0$0
LAGDON VAN NORDEN
DIRECTOR0.301.10Yes (X)$0$0$0
JAMES DAVIS
PRESIDENT/CEO33.0027.00Yes (X)$843,415$106,750$51,032
MARK PANCIRER
SENIOR VP/CFO42.0018.00Yes (X)$250,569$30,888$48,178
SHLOMO KATZ
ADMINISTRATOR60.000.00Yes (X)$343,269$0$333
GERTRUDES DE GUZMAN
DIRECTOR OF NURSING50.000.00$161,779$0$43,499Yes (X)
PAMELA LANDMAN
GENERAL COUNSEL31.2028.80$194,274$0$63,985Yes (X)
LORNA POON
DIRECTOR OF FINANCE60.000.00$179,664$0$24,188Yes (X)
JOERALIN LIM
NURSE37.500.00$207,901$0$36,959Yes (X)
CHERRYLLENE GUMPAY
NURSE37.500.00$139,692$0$31,118Yes (X)
ELSIE SANTOS-REEVES
RN SUPERVISOR37.500.00$134,877$0$13,925Yes (X)
IMEE VILLAVICENCIO
NURSE37.500.00$116,785$0$28,117Yes (X)
CHARMANE MERCADO
RN SUPERVISOR37.500.00$113,988$0$21,562Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,686,213TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$137,638TotReportableCompRltdOrgAmt
Total Other Compensation$362,896TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K17IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
RN EXPRESS REGISTRY LLC
71 WEST 23RD ST STE 1622NEW YORKNY10010NURSING AGENCY$2,051,096
UNITED STAFFING REGISTRY INC
77-04 BROADWAYELMHURSTNY11373NURSING AGENCY$1,583,416
MORRISON MANAGEMENT SPECIALISTS INC
400 NORTH RIDGE RD STE 600SANDY SPRINGGA30350DIETARY SERVICES$1,144,194
THERADYNAMICS REHAB MGMT LLC
337 CROSSWAYS PARK DRIVEWOODBURYNY11787PHYSICAL THERAPY SERVICES$852,228
TOWNE NURSING
1413 38TH STREETBROOKLYNNY11218NURSING AGENCY$470,665
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K21CntrctRcvdGreaterThan100KCnt
Related Organizations$3,028,963RelatedOrganizationsAmt
Government Grants$246,266GovernmentGrantsAmt
Total Contributions$3,275,229TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE CAREDesc
Business623000BusinessCd
Total Revenue Column$59,044,597TotalRevenueColumnAmt
Related Or Exempt Func Income$59,044,597RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$59,044,597TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,558TotalRevenueColumnAmt
Exclusion$14,558ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$32,211SecuritiesAmt
Other$3,000,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$50,150SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$17,939SecuritiesAmt
Other$3,000,000OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,982,061TotalRevenueColumnAmt
Exclusion$2,982,061ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescTELEPHONE INCOMEDesc
Business900099BusinessCd
Total Revenue Column$2,115TotalRevenueColumnAmt
Exclusion$2,115ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,115OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$65,318,560TotalRevenueColumnAmt
Related Or Exempt Func Income$59,044,597RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,998,734ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$6,613,076TotalAmt
Program Services$6,613,076ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,204,185TotalAmt
Program Services$391,813ProgramServicesAmt
Management And General$1,812,372ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$17,312,935TotalAmt
Program Services$16,324,265ProgramServicesAmt
Management And General$988,670ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,540,402TotalAmt
Program Services$1,532,539ProgramServicesAmt
Management And General$7,863ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,909,850TotalAmt
Program Services$4,884,789ProgramServicesAmt
Management And General$25,061ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,251,147TotalAmt
Program Services$2,239,657ProgramServicesAmt
Management And General$11,490ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$377,847TotalAmt
Management And General$377,847ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$174,581TotalAmt
Management And General$174,581ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$19,093TotalAmt
Management And General$19,093ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$12,985,323TotalAmt
Program Services$9,943,430ProgramServicesAmt
Management And General$3,041,893ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$648,241TotalAmt
Program Services$638,287ProgramServicesAmt
Management And General$9,954ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$634,254TotalAmt
Program Services$580,532ProgramServicesAmt
Management And General$53,722ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$370,879TotalAmt
Program Services$322,780ProgramServicesAmt
Management And General$48,099ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,961,298TotalAmt
Program Services$1,930,697ProgramServicesAmt
Management And General$30,601ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$99,314TotalAmt
Program Services$97,877ProgramServicesAmt
Management And General$1,437ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,035,545TotalAmt
Program Services$2,004,774ProgramServicesAmt
Management And General$30,771ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,632,342TotalAmt
Program Services$1,607,277ProgramServicesAmt
Management And General$25,065ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES AND DR$2,327,228$2,327,228
NY CASH RECEIPT ASSMNT$2,037,120$2,037,120
DIETARY EXPENSES$1,486,099$1,486,099
BAD DEBT EXPENSE$900,000$900,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$533,821TotalAmt
Program Services$529,463ProgramServicesAmt
Management And General$4,358ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$63,054,580TotalAmt
Program Services$55,491,703ProgramServicesAmt
Management And General$7,562,877ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,626,378BOYAmt
EOY$11,806,913EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$10,784,842BOYAmt
EOY$23,091,906EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$195,247BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,276,702BOYAmt
EOY$8,772,319EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$473,599BOYAmt
EOY$131,919EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,758,698BOYAmt
EOY$3,002,692EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$86,165,522LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$67,906,173LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$19,121,920BOYAmt
EOY$18,259,349EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$50,150BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$15,282,142BOYAmt
EOY$4,619,497EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$58,569,678BOYAmt
EOY$69,684,595EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$8,622,140BOYAmt
EOY$12,130,583EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$572,252BOYAmt
EOY$768,341EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$25,038,824BOYAmt
EOY$22,504,895EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,063,017BOYAmt
EOY$25,893,407EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$45,296,233BOYAmt
EOY$61,297,226EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,188,762BOYAmt
EOY$8,304,658EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$84,683BOYAmt
EOY$82,711EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,273,445BOYAmt
EOY$8,387,369EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$58,569,678BOYAmt
EOY$69,684,595EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,263,980ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$7,150,056OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$362,066CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$847,512CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$84,523CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,325,722CurrentTaxYearMinus1YearAmt
Current Tax Year$3,275,229CurrentTaxYearAmt
Total$9,895,052TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$61,102,735CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$64,801,198CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$64,303,979CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$51,657,631CurrentTaxYearMinus1YearAmt
Current Tax Year$59,044,597CurrentTaxYearAmt
Total$300,910,140TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$61,464,801CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$65,648,710CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$64,388,502CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$56,983,353CurrentTaxYearMinus1YearAmt
Current Tax Year$62,319,826CurrentTaxYearAmt
Total$310,805,192TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$310,805,192PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$65,941CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$120,208CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$365,402CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$99,918CurrentTaxYearMinus1YearAmt
Current Tax Year$14,558CurrentTaxYearAmt
Total$666,027TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$65,941CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$120,208CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$365,402CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$99,918CurrentTaxYearMinus1YearAmt
Current Tax Year$14,558CurrentTaxYearAmt
Total$666,027TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$323,971CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$630,410CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$73,763CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$713,152CurrentTaxYearMinus1YearAmt
Current Tax Year$2,115CurrentTaxYearAmt
Total$1,743,411TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$61,854,713CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$66,399,328CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$64,827,667CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$57,796,423CurrentTaxYearMinus1YearAmt
Current Tax Year$62,336,499CurrentTaxYearAmt
Total$313,214,630TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99230PublicSupportCY509Pct
Public Support PY5090.99010PublicSupportPY509Pct
Investment Income CY0.00210InvestmentIncomeCYPct
Investment Income PY0.00220InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationEXPENSE RECOVERY - 2017 AMOUNT: $ 8,220. 2018 AMOUNT: $ 10,427. 2019 AMOUNT: $ 17,040. 2020 AMOUNT: $ 9,748. MISC REVENUE - 2017 AMOUNT: $ 9,896. 2018 AMOUNT: $ 37,224. ESCROW DEPOSIT - 2017 AMOUNT: $ 250,000. 2018 AMOUNT: $ 525,298. MEDICAL INSURANCE SURPLUS - 2017 AMOUNT: $ 55,855. 2018 AMOUNT: $ 57,461. 2019 AMOUNT: $ 56,579. REBATES AND REFUNDS - 2019 AMOUNT: $ 144. 2020 AMOUNT: $ 27,378. RECOVERY OF BAD DEBT - 2020 AMOUNT: $ 676,026. TELEPHONE INCOME - 2021 AMOUNT: $ 2,115.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$19,093OtherActivitiesAmt
Total Lobbying Expenditures$19,093TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationAMOUNTS REPORTED ON LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES PAID BY THE ORGANIZATION TO PROFESSIONAL ASSOCIATIONS AND SIMILAR ORGANIZATIONS ATTRIBUTABLE TO LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,432,917OtherCostOrOtherBasisAmt
Book Value$1,432,917BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$59,591,776OtherCostOrOtherBasisAmt
Depreciation$46,882,318DepreciationAmt
Book Value$12,709,458BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$628,304OtherCostOrOtherBasisAmt
Depreciation$98,281DepreciationAmt
Book Value$530,023BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,212,988OtherCostOrOtherBasisAmt
Depreciation$20,835,789DepreciationAmt
Book Value$3,377,199BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$299,537OtherCostOrOtherBasisAmt
Depreciation$89,785DepreciationAmt
Book Value$209,752BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$18,259,349TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
DUE FROM THIRD PARTIES$1,050,252
INSURANCE RECOVERY$2,907,423
OTHER ASSETS$304,670
457B PENSION ASSETS$357,152
FieldValueIRS element (for citing)
Total Book Value Other Assets$4,619,497TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
DUE TO THIRD PARTIES$4,222,838
ACCRUED INTEREST PAYABLE$76,188
INSURANCE PAYABLE$4,536,781
CONTINGENCY FOR ASSET RETIREMENT$542,000
PAYCHECK PROTECTION PROGRAM LOAN$6,515,600
DUE TO BUYER$10,000,000
FieldValueIRS element (for citing)
Total Liability$25,893,407TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$64,418,560TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$64,418,560RevenueSubtotalAmt
Other Revenues Not Included$900,000OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$900,000RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$65,318,560TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$62,154,580TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$62,154,580ExpensesSubtotalAmt
Other Expenses Not Included$900,000OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$900,000ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$63,054,580TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:PATIENT FUNDS ARE HELD FOR THE RESIDENTS IN SEPARATE BANK ACCOUNTS TO BE USED AT THE DISCRETION OF THE PATIENTS AND/OR THEIR FAMILIES.
PART X, LINE 2:THE HOME RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY WHEN THE TAX POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE HOME HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE HOME IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2018.
PART XI, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE RECLASSED TO PART IX 900,000.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE RECLASSED TO PART IX 900,000.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1AMSTERDAM HOUSE CONTINUING CARE RETIREMENT COMMUNITY INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 E OVERLOOKAddressLine1Txt
CityPORT WASHINGTONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11050ZIPCd
FieldValueIRS element (for citing)
Recipient EIN113711764RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$6,611,771CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantRESTRUCTURING GRANTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE NURSING HOME GAVE A CONTRIBUTION TO A RELATED ORGANIZATION, AMSTERDAM CONTINUING CARE RETIREMENT COMMUNITY, INC. THE ORGANIZATIONS HAVE OVERLAPPING MANAGEMENT AND BOARD MEMBERS, WHICH IS HOW AMSTERDAM NURSING HOME ENSURES THAT THE ORGANIZATION WILL USE THE FUNDS FOR THE INTENDED PURPOSE. AMSTERDAM NURSING HOME ALSO REQUIRES SUFFICIENT DOCUMENTATION FROM THE GRANTEE PRIOR TO REIMBURSEMENT OF EXPENDITURES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAMES DAVIS
PRESIDENT/CEO$830,915$105,000$0$0$12,500$1,750$12,969$0$38,063$0$894,447$106,750$0$0
SHLOMO KATZ
ADMINISTRATOR$343,269$0$0$0$0$0$0$0$333$0$343,602$0$0$0
MARK PANCIRER
SENIOR VP/CFO$250,569$30,000$0$0$0$888$12,969$0$35,209$0$298,747$30,888$0$0
PAMELA LANDMAN
GENERAL COUNSEL$175,165$0$0$0$19,109$0$8,187$0$55,798$0$258,259$0$0$0
JOERALIN LIM
NURSE$207,901$0$0$0$0$0$20,683$0$16,276$0$244,860$0$0$0
GERTRUDES DE GUZMAN
DIRECTOR OF NURSING$161,196$0$0$0$583$0$6,626$0$36,873$0$205,278$0$0$0
LORNA POON
DIRECTOR OF FINANCE$175,445$0$0$0$4,219$0$7,476$0$16,712$0$203,852$0$0$0
CHERRYLLENE GUMPAY
NURSE$139,692$0$0$0$0$0$14,842$0$16,276$0$170,810$0$0$0

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidRESTRUCTURING CASH GRANTAssetsDistriOrExpnssPaidDesc
Distribution2021-09-08DistributionDt
Fair Market Value Of Asset$6,611,771FairMarketValueOfAssetAmt
Method Of FMV DeterminationBOOK VALUEMethodOfFMVDeterminationTxt
EIN113711764EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AMSTERDAM HOUSE CONTINUING CARE RETIREMENT COMMUNITY INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 E OVERLOOKAddressLine1Txt
CityPORT WASHINGTONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11050ZIPCd
FieldValueIRS element (for citing)
IRC Section501(C)(3)IRCSectionTxt
FieldValueIRS element (for citing)
Director Of Successor2Yes (1)DirectorOfSuccessor2Ind
Employee Of Successor2Yes (1)EmployeeOfSuccessor2Ind
Owner Of Successor20OwnerOfSuccessor2Ind
Receive Compensation20ReceiveCompensation2Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II, LINE 2E:PERSON(S) INVOLVED: (A) GEORGE L. VAN AMSON, JOSEPH C HOOPES, JR., REV. CANON JAMES G. CALLAWAY, JR., ISABEL M. CARDEN, JAY H. MCDOWELL, JAMES C. CAMPBELL, DR. KAREN M. HOPKINS, FRANCES R. OLIVIERI, R. SCOTT EDMONDS, LAGDON VAN NORDEN(B) JAMES DAVIS AND MARK PANCIRER
PART II, LINE 2E:EXPLANATION OF INVOLVEMENT: (A) THE ABOVE BOARD MEMBERS ARE ALSO BOARD MEMBERS OF THE TRANSFEREE ORGANIZATION.(B) THE ABOVE OFFICERS AND EMPLOYEES ARE ALSO OFFICERS AND EMPLOYEES OF THE TRANSFEREE ORGANIZATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BAMSTERDAM HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, A COPY OF THE FORM 990 IS PROVIDED TO AND REVIEWED BY THE AUDIT COMMITTEE. ANY ISSUES ARE REVIEWED AND CORRECTED. THE CFO THEN MAKES THE FORM 990 AVAILABLE TO ALL BOARD MEMBERS PRIOR TO FILING. ONCE THE BOARD HAS APPROVED THE RETURN IT IS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CDIRECTORS, OFFICERS, AND KEY PERSONS MUST COMPLETE AN ANNUAL DISCLOSURE AND AFFIRMATION FORM IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY. AN INTERESTED DIRECTOR MEANS ANY AMSTERDAM DIRECTOR WHO HAS AN INTEREST AS A PRINCIPAL, PARTNER, DIRECTOR, OFFICER, EMPLOYEE, AGENT, OR STOCKHOLDER (OTHER THAN A STOCKHOLDER OF A PUBLICLY TRADED CORPORATION WHOSE STOCK IS WIDELY HELD) OF ANY ENTITY WITH WHICH AMSTERDAM HAS OR CONTEMPLATES TRANSACTING BUSINESS. AN INTERESTED DIRECTOR MUST DISCLOSE THE RELATIONSHIP OR INTEREST IN THE TRANSACTION TO THE BOARD OF DIRECTORS. DISCLOSURE SHALL BE MADE TO THE CHAIRMAN OF THE BOARD AS SOON AS THE INTERESTED DIRECTOR BECOMES AWARE OF THE POTENTIAL FOR A CONFLICT IN CONNECTION WITH THE TRANSACTION, WHO THEN SHALL INFORM THE BOARD. IF THE CHAIRMAN IS INVOLVED IN THE TRANSACTION, THE CHAIRMAN SHALL ADVISE THE SECRETARY, WHO SHALL ARRANGE FOR BOARD DISCLOSURE. NO INTERESTED DIRECTOR SHALL PARTICIPATE IN THE DISCUSSION, DELIBERATIONS AND VOTING REGARDING A TRANSACTION. THE AFFIRMATIVE VOTE OF THE MAJORITY OF ALL THE DIRECTORS SHALL BE REQUIRED BEFORE ENTERING INTO THE TRANSACTION (EXCLUDED IN SUCH COUNTS IS THE INTERESTED DIRECTOR). NO TRANSACTION SHALL BE INVALIDATED OR AFFECTED IN ANY WAY IF THIS POLICY IS FOLLOWED. ALL OFFICERS AND KEY PERSONS ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST ON AN ANNUAL BASIS OR SOONER IF A POTENTIAL CONFLICT OR ACTUAL CONFLICT SHOULD ARISE. POTENTIAL CONFLICTS OR ACTUAL CONFLICTS ARE REVIEWED BY THE COMPLIANCE OFFICER OF AMSTERDAM NURSING HOME. EXECUTIVE EMPLOYEES ARE ALSO REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST ON AN ANNUAL BASIS OR SOONER IF A POTENTIAL CONFFLICT OR ACTUAL CONFLICT SHOULD ARISE.
FORM 990, PART VI, SECTION B, LINE 15AMSTERDAM HAS A PROCESS TO DETERMINE COMPENSATION FOR THE PRESIDENT & CEO WHICH INCLUDES A REVIEW BY A COMPENSATION COMMITTEE AND OUTSIDE BENEFITS CONSULTANT, AND THE USE OF COMPARABLE DATA. THE COMPARABLE DATA IS MARKET DATA SURVEYS FROM THE NURSING HOME ASSOCIATION. THIS PROCESS INCLUDES A REVIEW OF TOTAL COMPENSATION INCLUDING BONUS CONSIDERATION BY THE COMMITTEE. THE DELIBERATIONS AND DECISIONS ARE DOCUMENTED WITHIN THE COMMITTEE MINUTES. THIS PROCESS WAS UNDERTAKEN IN SEPTEMBER 2019 FOR THE YEAR 2020, AND THEN IN 2021 FOR THE YEAR 2021 AND FUTURE YEARS. AMSTERDAM HAS A PROCESS TO DETERMINE COMPENSATION FOR OFFICERS OTHER THAN THE PRESIDENT & CEO, WHICH INCLUDES A REVIEW BY A COMPENSATION AND BENEFITS CONSULTANT, AND THE USE OF COMPARABLE DATA. THE COMPARABLE DATA IS MARKET DATA SURVEYS FROM THE NURSING HOME ASSOCIATION. THIS PROCESS INCLUDES A REVIEW OF TOTAL COMPENSATION INCLUDING BONUS CONSIDERATION BY THE PRESIDENT AND CEO. THE DECISIONS ARE DOCUMENTED IN WRITING. THIS WAS LAST DONE IN 2020, AS THERE WAS NO CHANGE IN COMPENSATION IN 2021.
FORM 990, PART VI, SECTION C, LINE 19AMSTERDAM MAKES ITS FORM 990 AND FORM 1023 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS ALSO POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY.
FORM 990, PART IX, LINE 11GCONSULTING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,274,400. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,274,400. NURSING AGENCIES: PROGRAM SERVICE EXPENSES 5,057,903. MANAGEMENT AND GENERAL EXPENSES 596,473. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,654,376. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 828,753. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 828,753. THERAPY FEES: PROGRAM SERVICE EXPENSES 1,610,475. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,610,475. OTHER MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 592,108. MANAGEMENT AND GENERAL EXPENSES 7,664. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 599,772. BILLING SERVICES: PROGRAM SERVICE EXPENSES 237,446. MANAGEMENT AND GENERAL EXPENSES 11,273. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 248,719. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 449,375. MANAGEMENT AND GENERAL EXPENSES 1,129,873. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,579,248. SECURITY SERVICES: PROGRAM SERVICE EXPENSES 507,847. MANAGEMENT AND GENERAL EXPENSES 7,920. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 515,767. LAUNDRY AND LINEN SERVICES: PROGRAM SERVICE EXPENSES 447,510. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 447,510. DIETARY SERVICES: PROGRAM SERVICE EXPENSES 33,859. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,859. HOUSEKEEPING SERVICES: PROGRAM SERVICE EXPENSES 178,154. MANAGEMENT AND GENERAL EXPENSES 2,580. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 180,734. PAYROLL PROCESSING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 11,710. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,710.
FORM 990, PART XI, LINE 9:RETURN OF HEAL GRANT FUNDS -7,150,056.
FORM 990, PART XII, LINE 2C:THE ORGANIZATION HAS A COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
AMSTERDAM SERVICES CORP
1060 AMSTERDAM AVENUENEW YORKNY10025133902473ADMIN & CONSULTINGNY501(C)(3)PFAMSTERDAM CONTINUING CARE HEALTH SYSTEM0
AMSTERDAM CONTINUING CARE HEALTH SYSTEM
1060 AMSTERDAM AVENUENEW YORKNY10025134034061ASSIST ELDERLYNY501(C)(3)LINE 70N/A
AMSTERDAM HOUSE CONTINUING CARE RETIREMENT COMMUNITY
300 EAST OVERLOOKPORT WASHINGTONNY11050113711764NURSING CARENY501(C)(3)LINE 12A, IAMSTERDAM CONTINUING CARE HEALTH SYSTEM0
ANH FOUNDATION
1060 AMSTERDAM AVENUENEW YORKNY10025137099598GRANTMAKINGNY501(C)(3)PFAMSTERDAM CONTINUING CARE HEALTH SYSTEM0
AMSTERDAM 2012 INC
1060 AMSTERDAM AVENUENEW YORKNY10025461715083DEV RENT PROPNY501(C)(3)LINE 10AMSTERDAM NURSING HOME CORPORATION (1992)Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1AMSTERDAM SERVICES CORP (2001)BusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11060 AMSTERDAM AVEAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10025ZIPCd
FieldValueIRS element (for citing)
EIN134184082EIN
Primary ActivitiesADMIN & CONSULTINGPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1AMSTERDAM CONTINUING CARE HEALTH SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd