2022-11-15T12:58:35-06:00 2021-12-31 271728945 PKF O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE SUITE 301 HARRISON NY 105281633 990 2021-01-01 113711764 AMSTERDAM HOUSE CONTINUING CARE RETIREMENT COMMUNITY INC AMST 2125753322 300 EAST OVERLOOK PORT WASHINGTON NY 11050 BROOKE NAVARRE PRESIDENT/CEO 2125753322 2022-11-15 1 BROOKE NAVARRE XXX-XX-XXXX EVA MRUK P00543254 9143818900 2022-11-14 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z SEE SCHEDULE O BROOKE NAVARRE 300 EAST OVERLOOK PORT WASHINGTON NY 11050 36050560 0 X WWW.THEHARBORSIDE.ORG X 2004 NY TO PROVIDE INDEPENDENT LIVING, ENRICHED HOUSING AND SKILLED NURSING CARE. 12 12 147 23 0 0 810725 10143608 27596035 25659985 228050 94691 117793 145996 28752603 36044280 850 3850 0 0 6188262 6687800 0 0 0 32118977 34809804 38308089 41501454 -9555486 -5457174 210608041 223728704 423673200 358302951 -213065159 -134574247 X SEE SCHEDULE O 0 0 31742350 3850 25659985 AMSTERDAM HOUSING CONTINUING CARE RETIREMENT COMMUNITY, INC. ("AHCCRC, INC.") OPERATES A CONTINUING CARE RETIREMENT COMMUNITY, LICENSED UNDER ARTICLE 46 OF THE PUBLIC HEALTH LAW, KNOWN AS THE HARBORSIDE LOCATED IN PORT WASHINGTON, NEW YORK, WHICH INCLUDES: 229 INDEPENDENT LIVING APARTMENTS, 26 ENRICHED HOUSING UNITS AND 18 SPECIAL NEEDS ASSISTED LIVING, AND 56 SKILLED NURSING BEDS. IN 2021, THE ORGANIZATION SERVED APPROXIMATELY 585 RESIDENTS. 31742350 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 210 0 147 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X X MARK PANCIRER 2125753322 300 EAST OVERLOOK PORT WASHINGTON NY 11050 JOSEPH C HOOPES JR CHAIRMAN & TREASURER 1.50 3.75 X X 0 0 0 FRANCES R OLIVIERI VICE CHAIR 0.50 1.30 X X 0 0 0 GEORGE L VAN AMSON VICE CHAIR 0.50 1.55 X X 0 0 0 JAY H MCDOWELL ESQ SECRETARY 0.30 1.35 X X 0 0 0 REV CANON JAMES CALLAWAY JR DIRECTOR 0.30 1.10 X 0 0 0 JAMES J CAMPBELL DIRECTOR 0.30 1.10 X 0 0 0 ISABEL M CARDEN MBE DIRECTOR 0.30 1.10 X 0 0 0 SYLVIA DUNSKY DIRECTOR 0.30 0.00 X 0 0 0 R SCOTT EDMONDS DIRECTOR 0.30 1.10 X 0 0 0 RHODA FINER DIRECTOR 0.30 0.00 X 0 0 0 KAREN M HOPKINS MD DIRECTOR 0.30 1.10 X 0 0 0 LANGDON VAN NORDEN DIRECTOR 0.30 1.10 X 0 0 0 JAMES DAVIS PRESIDENT/CEO 25.00 35.00 X 0 950165 51032 MARK PANCIRER SENIOR VP/CFO 15.50 44.50 X 0 281457 48178 BROOKE NAVARRE EXECUTIVE DIRECTOR 40.00 0.00 X 206170 0 31700 LUCILLE MANSFIELD DIRECTOR OF FINANCE 40.00 0.00 X 137914 0 14891 KELLY ANN DEJESUS HEALTH CENTER ADMINISTRATOR 40.00 0.00 X 109191 0 5609 JULIE BISHOP DIRECTOR OF NURSING 40.00 0.00 X 102915 0 13844 556190 1231622 165254 4 0 1 0 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 15219 DINING MANAGEMENT 3275906 SIDLEY AUSTIN LLP ONE SOUTH DEARBORN STREET CHICAGO IL 60603 LEGAL AND CONSULTING 2332955 RBC CAPITAL MARKET LLC 300 FOUR FALLS CONSHOHOCKEN STATE R CONSHOHOCHEN PA 19428 LEGAL AND CONSULTING 1682385 THERADYNAMICS PHYSICAL REHAB 337 CROSSWAYS PARK DRIVE WOODBURY NY 11797 THERAPY SERVICES 748455 FTI CONSULTING INC 16701 MELFORD BLVD SUITE 200 BOWIE MD 20715 LEGAL AND CONSULTING 656449 19 9971056 129916 42636 10143608 RESIDENT & PATIENT SERVICE REVENU 623000 21206967 21206967 AMORTIZATION OF NONREFUNDABLE ENT 623000 4453018 4453018 25659985 3151 3151 91540 91540 45915 0 45915 45915 45915 10636 6280 4356 4356 MISC. REVENUE 900099 57446 57446 INSURANCE REIMBURSEMENTS 900099 24645 24645 SERVICE REVENUE 900099 9517 9517 4117 4117 95725 36044280 25659985 0 240687 X 3850 3850 237870 237870 5076879 4571266 505613 99705 92808 6897 799987 713098 86889 473359 409583 63776 315588 315588 63972 63972 126377 126377 1184 1184 10000 10000 6213155 5354755 858400 395587 19654 375933 999424 781205 218219 132965 16763 116202 10201488 10201488 16044 6796 9248 196365 8865 187500 6742510 6742510 608969 608969 DEBT RESTRUCTURING FEES 6492420 6492420 FOOD & DIETARY EXPENSES 968386 968386 REPAIRS AND MAINTENANCE 504435 504435 MEDICAL SUPPLIES AND DR 236958 236958 583977 500961 83016 41501454 31742350 9759104 0 620493 2288724 11257627 28758571 899610 1292034 40872 41795 317433 240643 261209428 74161226 192577273 187048202 4711618 3851065 183115 207670 210608041 223728704 3112950 3156995 23211420 22084600 207342263 127781244 511239 246509 41860057 189495328 163173546 423673200 358302951 X -213065159 -134574247 -213065159 -134574247 210608041 223728704 X -5457174 -117399 84065485 X X 0 1 X 1 0 X X 1 AMSTERDAM CONTINUING CARE HEALTH SYSTEM INC 134034061 7 0 0 315588 1 0 315588 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 1: AMSTERDAM HOUSE CONTINUING CARE RETIREMENT COMMUNITY, INC. ("AHCCRC, INC.") SUPPORTS AMSTERDAM CONTINUING CARE HEALTH SYSTEM INC., ITS PARENT ORGANIZATION. AHCCRC, INC. PROVIDES INDEPENDENT LIVING, ENRICHED HOUSING AND SKILLED NURSING CARE TO ITS RESIDENTS. THE HEALTH SYSTEM ALSO PROVIDES SUPPORT SERVICES TO THE ELDERLY. BOTH ORGANIZATION SUPPORT THE SAME CHARITABLE CLASS OF PEOPLE. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1184 1184 0 PART II-B, LINE 1: AMOUNTS REPORTED ON LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES PAID BY THE ORGANIZATION TO PROFESSIONAL ASSOCIATIONS AND SIMILAR ORGANIZATIONS ATTRIBUTABLE TO LOBBYING ACTIVITIES. 0 1 X 22353895 22353895 231219920 68322874 162897046 6933543 5838352 1095191 702070 702070 187048202 SUBORDINATE NOTE - ACCHS INC 3000000 FUTURE SERVICE OBLIGATION 20367000 ACCRUED INTEREST 3974864 REFUNDABLE ENTRANCE FEES 134675410 PAYCHECK PROTECTION PROGRAM LOAN 1156272 163173546 X 35908861 -117399 -117399 36026260 10000 8020 18020 36044280 41491454 0 41491454 10000 10000 41501454 PART IV, LINE 2B: AHCCRC, INC. ACCEPTS WAITLIST DEPOSITS AND RESERVATION DEPOSITS FOR THE ENTRANCE FEE ON THE RESERVED INDEPENDENT LIVING APARTMENT. THESE DEPOSITS ARE HELD IN ESCROW AT A FINANCIAL INSTITUTION UNTIL THE TIME OF MOVE-IN OR REFUND (IF DEPOSIT IS CANCELLED). PART X, LINE 2: AHCCRC, INC. RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT AHCCRC, INC. HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. AHCCRC, INC. IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR THE PERIODS OF DECEMBER 31, 2018. PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF FIXED ASSETS RECLASSED TO PART XI, LINE 9 8,020. X 0 0 0 0 0 0 0 1 0 JAMES DAVIS PRESIDENT/CEO 0 935915 0 0 0 14250 0 12969 0 38063 0 1001197 0 0 MARK PANCIRER SENIOR VP/CFO 0 280569 0 0 0 888 0 12969 0 35209 0 329635 0 0 BROOKE NAVARRE EXECUTIVE DIRECTOR 191630 0 10671 0 3869 0 7554 0 24146 0 237870 0 0 0 LUCILLE MANSFIELD DIRECTOR OF FINANCE 134665 0 3249 0 0 0 4016 0 10875 0 152805 0 0 0 PART I, LINE 3 THE PRESIDENT/CEO IS COMPENSATED BY TWO RELATED ORGANZIATIONS, AMSTERDAM NURSING HOME CORPORATION (1992), AND AMSTERDAM CONTINUING CARE HEALTH SYSTEM, INC. BELOW IS THEIR COMPENSATION REVIEW PROCESS: AMSTERDAM 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. THIS PROCESS INCLUDES A REVIEW OF TOTAL COMPENSATION INCLUDING BONUS CONSIDERATION BY THE COMMITTEE. THE DELIBERATIONS AND DECISIONS ARE DOCUMENTED WITHIN THE COMMITTEE MINUTES. PART I, LINE 7 THE PRESIDENT/CEO GATHERS COMPARABLE INFORMATION AND EVALUATES AND APPROVES A BONUS FOR THE ORGANIZATION'S EMPLOYEES BASED ON THEIR PERFORMANCE. CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A DISCRETIONARY BONUS DURING CALENDAR YEAR 2021 WHICH WAS INCLUDED IN COLUMN B(II) HEREIN AND IN THEIR 2021 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. A NASSAU COUNTY INDUSTRIAL DEV AGENCY 112559657 63166UAS0 2021-09-08 127327200 REFUND PRIOR ISSUE (11/28/14) 0 0 0 A 127367091 20506721 127327200 2011 1 0 1 1 A 0 1 1 0 1 0 0 0 0 A 0 SCHEDULE K PART II, LINE 3: THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4-12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4. FORM 990, BOX C: THE ORGANIZATION DOES BUSINESS UNDER THE FOLLOWING NAMES: THE HARBORSIDE HARBORSIDE LEGACY FOUNDATION THE AMSTERDAM AT HARBORSIDE FORM 990, PART III, LINE 1: AMSTERDAM HOUSE CONTINUING CARE RETIREMENT COMMUNITY, INC.'S MISSION (AHCCRC, INC.) IS TO ESTABLISH, CONSTRUCT, OWN, OPERATE AND MAINTAIN A CONTINUING CARE RETIREMENT COMMUNITY AS DEFINED IN ARTICLE 46 OF THE PUBLIC HEALTH LAW OF THE STATE OF NEW YORK; TO MEET THE SPECIAL HOUSING NEEDS OF ELDERLY PERSONS BY PLANNING, DEVELOPING, ORGANIZING, CONSTRUCTING, ACQUIRING, ALTERING, RECONSTRUCTING, REHABILITATING, OWNING, OPERATING AND MAINTAINING HOUSING FOR ELDERLY INDIVIDUALS AND FAMILIES IN ORDER TO PROMOTE THEIR GENERAL WELFARE BY PROVIDING THEM WITH SAFE, SANITARY AND INDEPENDENT LIVING FACILITIES; TO ENGAGE IN ANY OTHER LAWFUL ACTIVITY FOR WHICH A CORPORATION MAY BE FORMED UNDER THE NOT-FOR-PROFIT CORPORATION LAW; THE PUBLIC OR QUASI-PUBLIC OBJECTIVE TO BE ACHIEVED BY THESE PURPOSES IS TO MAKE AVAILABLE SPECIAL HOUSING FOR THE ELDERLY WHERE SUCH HOUSING IS NOT CURRENTLY AVAILABLE. FORM 990, PART VI, SECTION A, LINE 3 AHCCRC, INC. CONTRACTED WITH AMSTERDAM CONSULTING, LLC, A LIMITED LIABILITY COMPANY MEMBER MANAGED BY AMSTERDAM CONTINUING CARE HEALTH SYSTEM, INC., A NOT-FOR-PROFIT CORPORATION THAT IS THE SOLE MEMBER OF AHCCRC, INC. AHCCRC, INC. PAID THE CONSULTING COMPANY $315,588 FOR SERVICES IN 2021. THE AGREEMENT WAS TERMINATED EFFECTIVE DECEMBER 31, 2021. TWO OFFICERS LISTED IN PART VII, JAMES DAVIS, PRESIDENT/CEO AND MARK PANCIRER, SENIOR VP/CFO ARE PAID BY AMSTERDAM CONSULTING, LLC. JAMES DAVIS WAS PAID $106,750 AND MARK PANCIRER WAS PAID $30,888 DURING CALENDAR YEAR 2021, WHICH IS INCLUDED IN PART VII, SECTION A AS WELL AS SCHEDULE J, PART II. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS AMSTERDAM CONTINUING CARE HEALTH SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7A A MEETING OF THE MEMBER IS HELD ANNUALLY FOR THE ELECTION OF DIRECTORS AND THE TRANSACTION OF OTHER BUSINESS AT A PLACE AND TIME FIXED FROM TIME TO TIME BY THE MEMBER. IN ANY CASE IN WHICH THE MEMBER IS ENTITLED TO VOTE, THE MEMBER SHALL HAVE ONE VOTE. THE BOARD OF AHCCRC, INC. RATIFIES THE ELECTION OF DIRECTORS AND ELECTS OFFICERS AND AN ANNUAL MEETING. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER IS AUTHORIZED TO APPROVE MATERIAL ACTIONS PURSUANT TO NEW YORK NOT-FOR-PROFIT CORPORATION LAW. ANY OR ALL OF THE DIRECTORS MAY BE REMOVED BY THE MEMBER OR THE BOARD OF DIRECTORS UPON THE MEMBER'S CONSENT. THE MEMBER MAY AMEND, REPEAL, OR ADOPT BY-LAWS OF THE CORPORATION OR TWO-THIRDS OF THE BOARD OF DIRECTORS UPON THE MEMBER'S CONSENT. FORM 990, PART VI, SECTION B, LINE 11B AHCCRC, INC. 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 THE AUDIT COMMITTEE. THE CFO MAKES THE 990 AVAILABLE TO ALL BOARD MEMBERS. ANY ISSUES ARE DISCUSSED AND RESOLVED. ONCE THE BOARD HAS APPROVED THE RETURN IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, OFFICERS, AND KEY PERSONS MUST COMPLETE AN ANNUAL DISCLOSURE AND AFFIRMATION FORM IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY. A PERSON HAS A "FINANCIAL INTEREST" IF THE PERSON HAS, DIRECTLY OR INDIRECTLY, THROUGH BUSINESS, INVESTMENT OR FAMILY: A. AN OWNERSHIP OR INVESTMENT INTEREST IN ANY ENTITY WITH WHICH THE AMSTERDAM ENTITY HAS A TRANSACTION OR ARRANGEMENT; B. A COMPENSATION ARRANGEMENT WITH THE AMSTERDAM ENTITY OR WITH ANY ENTITY OR INDIVIDUAL WITH WHICH THE AMSTERDAM ENTITY HAS A TRANSACTION OR ARRANGEMENT; OR C. A POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN, OR COMPENSATION ARRANGEMENT WITH, ANY ENTITY OR INDIVIDUAL WITH WHICH THE AMSTERDAM ENTITY IS NEGOTIATING A TRANSACTION OR ARRANGEMENT. AN INTERESTED DIRECTOR MUST DISCLOSE THE RELATIONSHIP OR INTEREST IN THE TRANSACTION TO THE BOARD OF DIRECTORS OF THE APPLICABLE AMSTERDAM ENTITY. 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 APPLICABLE BOARD. IF THE CHAIRMAN IS INVOLVED IN THE TRANSACTION, THE CHAIRMAN SHALL ADVISE THE SECRETARY OF THE APPLICABLE AMSTERDAM ENTITY 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 OF THE APPLICABLE AMSTERDAM ENTITY 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 EMPLOYEES 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 CHIEF COMPLIANCE OFFICER OF AMSTERDAM NURSING HOME. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION FOR THE EXECUTIVE DIRECTOR IS SET BY THE PRESIDENT AND CHIEF EXECUTIVE OFFICER USING COMPARABLE DATA. COMPARABLE DATA INCLUDED PUBLICLY AVAILABLE COMPENSATION DATA FROM SIMILARLY SITUATED CCRCS, SUCH AS COMPENSATION DATA IN THE FORM 990S FILED WITH THE IRS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION 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 THE NEW YORK ATTORNEY GENERAL CHARITIES BUREAU WEBSITE AND GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY. MONTHLY FINANCIAL STATEMENTS, AND AUDITED FINANCIAL STATEMENTS, ARE AVAILABLE TO THE PUBLIC ON THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBSITE AT HTTPS://EMMA.MSRB.ORG/. FORM 990, PART IX, LINE 11G MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 1,353,126. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,353,126. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 787,855. MANAGEMENT AND GENERAL EXPENSES 121,141. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 908,996. SECURITY SERVICES: PROGRAM SERVICE EXPENSES 159,290. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 159,290. THERAPISTS: PROGRAM SERVICE EXPENSES 627,857. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 627,857. PAYROLL PROCESSING FEES: PROGRAM SERVICE EXPENSES 42,767. MANAGEMENT AND GENERAL EXPENSES 6,659. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49,426. FINANCIAL ADVISORY SERVICES: PROGRAM SERVICE EXPENSES 666,871. MANAGEMENT AND GENERAL EXPENSES 400,665. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,067,536. BOND TRUSTEE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 6,923. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,923. DINING SERVICES: PROGRAM SERVICE EXPENSES 1,716,989. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,716,989. MARKETING ADVISORY SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 323,012. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 323,012. FORM 990, PART XI, LINE 9: FUTURE SERVICE OBLIGATION ADJUSTMENT 1,419,000. LOSS ON DISPOSAL OF ASSET -8,020. GAIN ON EXTINGUISHMENT OF DEBT 82,654,505. 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 THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. AMSTERDAM SERVICES CORP 1060 AMSTERDAM AVENUE NEW YORK NY 10025 133902473 ADMIN & CONSULTING NY 501(C)(3) PF AMSTERDAM CONTINUING CARE HEALTH SYSTEM 0 AMSTERDAM CONTINUING CARE HEALTH SYSTEM 1060 AMSTERDAM AVENUE NEW YORK NY 10025 134034061 ASSIST ELDERLY NY 501(C)(3) LINE 7 N/A 0 AMSTERDAM NURSING HOME CORPORATION (1992) 1060 AMSTERDAM AVENUE NEW YORK NY 10025 133834710 NURSING HOME NY 501(C)(3) LINE 10 AMSTERDAM CONTINUING CARE HEALTH SYSTEM 0 ANH FOUNDATION 1060 AMSTERDAM AVENUE NEW YORK NY 10025 137099598 GRANTMAKING NY 501(C)(3) PF AMSTERDAM CONTINUING CARE HEALTH SYSTEM 0 AMSTERDAM 2012 INC 1060 AMSTERDAM AVENUE NEW YORK NY 10025 461715083 DEV RENT PROP NY 501(C)(3) LINE 10 AMSTERDAM NURSING HOME CORPORATION (1992) 0 AMSTERDAM SERVICES CORP (2001) 1060 AMSTERDAM AVENUE NEW YORK NY 10025 134184082 ADMIN & CONSULTING NY AMSTERDAM CONTINUING CARE HEALTH SYSTEM C 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0