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AMSTERDAM HOUSE CONTINUING CARE: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
AMSTERDAM HOUSE CONTINUING CARE (EIN 11-3711764)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-12-21
IRS object ID
202103559349300800
Schema version
2020v4.1
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)
Return2021-12-21T07:17:34-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

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 AVENUEAddressLine1Txt
CityHARRISONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP105281633ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN113711764EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AMSTERDAM HOUSE CONTINUING CAREBusinessNameLine1Txt
Business Name Line2RETIREMENT COMMUNITY INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlAMSTBusinessNameControlTxt
Phone2125753322PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 EAST OVERLOOKAddressLine1Txt
CityPORT WASHINGTONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11050ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARK PANCIRERPersonNm
Person TitleSENIOR VP/CFOPersonTitleTxt
Phone2125753322PhoneNum
Signature2021-12-20SignatureDt
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 PersonGARRETT M HIGGINSPreparerPersonNm
PTINP00543209PTIN
Phone9143818900PhoneNum
Preparation2021-12-20PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1THE AMSTERDAM AT HARBORSIDEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJAMES DAVISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 EAST OVERLOOKAddressLine1Txt
CityPORT WASHINGTONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11050ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$28,763,933GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.THEAMSTERDAMATHARBORSIDE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO PROVIDE INDEPENDENT LIVING, ENRICHED HOUSING AND SKILLED NURSING CARE.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee128TotalEmployeeCnt
Total Volunteers19TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$810,725CYContributionsGrantsAmt
PY Program Service Revenue$28,066,801PYProgramServiceRevenueAmt
CY Program Service Revenue$27,596,035CYProgramServiceRevenueAmt
PY Investment Income$339,889PYInvestmentIncomeAmt
CY Investment Income$228,050CYInvestmentIncomeAmt
PY Other Revenue$153,863PYOtherRevenueAmt
CY Other Revenue$117,793CYOtherRevenueAmt
PY Total Revenue$28,560,553PYTotalRevenueAmt
CY Total Revenue$28,752,603CYTotalRevenueAmt
PY Grants And Similar Paid$3,645PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$850CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,195,386PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$6,188,262CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$32,057,011PYOtherExpensesAmt
CY Other Expenses$32,118,977CYOtherExpensesAmt
PY Total Expenses$38,256,042PYTotalExpensesAmt
CY Total Expenses$38,308,089CYTotalExpensesAmt
PY Revenues Less Expenses-$9,695,489PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$9,555,486CYRevenuesLessExpensesAmt
Total Assets BOY$229,515,666TotalAssetsBOYAmt
Total Assets EOY$210,608,041TotalAssetsEOYAmt
Total Liabilities BOY$439,505,484TotalLiabilitiesBOYAmt
Total Liabilities EOY$423,673,200TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$209,989,818NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$213,065,159NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$34,308,447ExpenseAmt
Grant$850GrantAmt
Revenue$27,596,035RevenueAmt
DescAMSTERDAM 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 AMSTERDAM AT 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 2020, THE ORGANIZATION SERVED APPROXIMATELY 639 RESIDENTS.Desc
Total Program Service Expenses$34,308,447TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
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 Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
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 Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
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 Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document192IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee128EmployeeCnt
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 Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
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 CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
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

FieldValueIRS element (for citing)
PersonMARK PANCIRERPersonNm
Phone2125753322PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 EAST OVERLOOKAddressLine1Txt
CityPORT WASHINGTONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11050ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 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 & TREASURER1.503.75Yes (X)Yes (X)$0$0$0
FRANCES R OLIVIERI
VICE CHAIR0.501.30Yes (X)Yes (X)$0$0$0
GEORGE L VAN AMSON
VICE CHAIR0.501.55Yes (X)Yes (X)$0$0$0
JAY H MCDOWELL ESQ
SECRETARY0.301.35Yes (X)Yes (X)$0$0$0
REV CANON JAMES G CALLAWAY JR
DIRECTOR0.301.10Yes (X)$0$0$0
JAMES J CAMPBELL
DIRECTOR0.301.10Yes (X)$0$0$0
ISABEL M CARDEN MBE
DIRECTOR0.301.10Yes (X)$0$0$0
SYLVIA DUNSKY
DIRECTOR0.300.00Yes (X)$0$0$0
R SCOTT EDMONDS
DIRECTOR0.301.10Yes (X)$0$0$0
RHODA FINER
DIRECTOR0.300.00Yes (X)$0$0$0
KAREN M HOPKINS MD
DIRECTOR0.301.10Yes (X)$0$0$0
LANGDON VAN NORDEN
DIRECTOR0.301.10Yes (X)$0$0$0
JAMES DAVIS
PRESIDENT/CEO12.0037.50Yes (X)$0$685,156$43,492
MARK PANCIRER
SENIOR VP/CFO6.5043.50Yes (X)$0$295,631$42,940
BROOKE NAVARRE
EXECUTIVE DIRECTOR40.000.00$203,617$0$28,993Yes (X)
LUCILLE MANSFIELD
DIRECTOR OF FINANCE40.000.00$137,106$0$16,808Yes (X)
ERIC NATINDIM
DIRECTOR OF NURSING40.000.00$112,274$0$4,500Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$452,997TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$980,787TotReportableCompRltdOrgAmt
Total Other Compensation$136,733TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
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
SODEXO INC & AFFILIATES
PO BOX 360170PITTSBURGHPA15219DINING MANAGEMENT$4,126,837
RN EXPRESS STAFFING REGISTRY
71 W 23RD STREETNEW YORKNY10010STAFFING$881,378
GREYSTONE DEVELOPMENT COMPANY II LP
225 E JOHN CARPENTER FREEWAYIRVINGTX75062MARKETING ADVISORY$758,697
ADVANCED MEDICAL STAFFING
PO BOX 6100028DALLASTX75261STAFFING$650,604
THERADYNAMICS PHYSICAL REHAB
337 CROSSWAYS PARK DRIVEWOODBURYNY11797THERAPY SERVICES$556,398
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K12CntrctRcvdGreaterThan100KCnt
Related Organizations$20,912RelatedOrganizationsAmt
Government Grants$758,898GovernmentGrantsAmt
All Other Contributions$30,915AllOtherContributionsAmt
Total Contributions$810,725TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT & PATIENT SERVICE REVENU623000$22,359,827$22,359,827
AMORTIZATION OF NONREFUNDABLE ENT623000$5,236,208$5,236,208
FieldValueIRS element (for citing)
Total Program Service Revenue$27,596,035TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$62,634TotalRevenueColumnAmt
Exclusion$62,634ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$165,416TotalRevenueColumnAmt
Exclusion$165,416ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$36,176RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$36,176RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$36,176TotalRevenueColumnAmt
Exclusion$36,176ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$17,042GrossSalesOfInventoryAmt
Cost Of Goods Sold$11,330CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,712TotalRevenueColumnAmt
Exclusion$5,712ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
PENSION FORFEITURES900099$60,000$60,000
SERVICE REVENUE900099$7,920$7,920
MEALS AND FOOD REVENUE900099$5,800$5,800

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,185TotalRevenueColumnAmt
Exclusion$2,185ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$75,905OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,752,603TotalRevenueColumnAmt
Related Or Exempt Func Income$27,596,035RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$345,843ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$850TotalAmt
Program Services$850ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$232,610TotalAmt
Management And General$232,610ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,546,649TotalAmt
Program Services$4,057,222ProgramServicesAmt
Management And General$489,427ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$49,438TotalAmt
Program Services$47,240ProgramServicesAmt
Management And General$2,198ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$741,059TotalAmt
Program Services$653,053ProgramServicesAmt
Management And General$88,006ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$618,506TotalAmt
Program Services$528,543ProgramServicesAmt
Management And General$89,963ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$333,811TotalAmt
Management And General$333,811ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$229,143TotalAmt
Management And General$229,143ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$63,551TotalAmt
Management And General$63,551ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$20,000TotalAmt
Management And General$20,000ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,787,016TotalAmt
Program Services$5,765,780ProgramServicesAmt
Management And General$1,021,236ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$173,782TotalAmt
Program Services$26,310ProgramServicesAmt
Management And General$147,472ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$931,117TotalAmt
Program Services$792,626ProgramServicesAmt
Management And General$138,491ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$133,956TotalAmt
Program Services$14,666ProgramServicesAmt
Management And General$119,290ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,073,663TotalAmt
Program Services$2,073,663ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$36,467TotalAmt
Program Services$23,246ProgramServicesAmt
Management And General$13,221ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$10,845,487TotalAmt
Program Services$10,649,277ProgramServicesAmt
Management And General$196,210ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,013,118TotalAmt
Program Services$7,013,118ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$391,050TotalAmt
Program Services$391,050ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD & DIETARY EXPENSES$922,178$922,178
DEBT RESTRUCTURING FEES$727,743$727,743
REPAIRS AND MAINTENANCE$457,921$457,820$101
COVID-19 EXPENSES$445,028$445,028

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$533,946TotalAmt
Program Services$446,777ProgramServicesAmt
Management And General$87,169ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$38,308,089TotalAmt
Program Services$34,308,447ProgramServicesAmt
Management And General$3,999,642ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,527,315BOYAmt
EOY$620,493EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$18,705,450BOYAmt
EOY$11,257,627EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,020,468BOYAmt
EOY$899,610EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$35,494BOYAmt
EOY$40,872EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$247,812BOYAmt
EOY$317,433EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$260,221,590LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$67,644,317LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$198,834,592BOYAmt
EOY$192,577,273EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$8,977,891BOYAmt
EOY$4,711,618EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$166,644BOYAmt
EOY$183,115EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$229,515,666BOYAmt
EOY$210,608,041EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,535,559BOYAmt
EOY$3,112,950EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$27,054,507BOYAmt
EOY$23,211,420EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$212,223,518BOYAmt
EOY$207,342,263EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$491,815BOYAmt
EOY$511,239EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$197,200,085BOYAmt
EOY$189,495,328EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$439,505,484BOYAmt
EOY$423,673,200EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$209,989,818BOYAmt
EOY-$213,065,159EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$209,989,818BOYAmt
EOY-$213,065,159EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$229,515,666BOYAmt
EOY$210,608,041EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$9,555,486ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$66,101NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$6,414,044OtherChangesInNetAssetsAmt
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)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1AMSTERDAM CONTINUING CARE HEALTH SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN134034061EIN
Organization Type7OrganizationTypeCd
Governing Document Listed0GoverningDocumentListedInd
Support$0SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing Doc0ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART IV, SECTION A, LINE 1:FormAndLineReferenceDesc
ExplanationAMSTERDAM 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.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 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$22,353,895OtherCostOrOtherBasisAmt
Book Value$22,353,895BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$230,442,942OtherCostOrOtherBasisAmt
Depreciation$62,131,884DepreciationAmt
Book Value$168,311,058BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,824,736OtherCostOrOtherBasisAmt
Depreciation$5,512,433DepreciationAmt
Book Value$1,312,303BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$600,017OtherCostOrOtherBasisAmt
Book Value$600,017BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$192,577,273TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
SUBORDINATE NOTE - ACCHS INC$3,000,000
FUTURE SERVICE OBLIGATION$21,786,000
ACCRUED INTEREST$3,787,364
REFUNDABLE ENTRANCE FEES$160,921,964
FieldValueIRS element (for citing)
Total Liability$189,495,328TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$28,731,748TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$66,101NetUnrealizedGainsInvstAmt
Revenue Not Reported$66,101RevenueNotReportedAmt
Revenue Subtotal$28,665,647RevenueSubtotalAmt
Investment Expenses Not Incld$20,000InvestmentExpensesNotIncldAmt
Other Revenues Not Included$66,956OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$86,956RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$28,752,603TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$38,228,089TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$38,228,089ExpensesSubtotalAmt
Investment Expenses Not Incld2$20,000InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$60,000OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$80,000ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$38,308,089TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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, 2017.
PART XI, LINE 4B - OTHER ADJUSTMENTS:PENSION FORFEITURES RECLASSED TO PART VIII, LINE 11 60,000. LOSS ON DISPOSAL OF FIXED ASSETS RECLASSED TO PART XI, LINE 9 6,956.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PENSION FORFEITURES RECLASSED TO PART VIII, LINE 11 60,000.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 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$0$675,804$0$0$0$9,352$0$13,129$0$30,363$0$728,648$0$0
MARK PANCIRER
SENIOR VP/CFO$0$295,087$0$0$0$544$0$13,129$0$29,811$0$338,571$0$0
BROOKE NAVARRE
EXECUTIVE DIRECTOR$192,170$0$10,828$0$619$0$5,843$0$23,150$0$232,610$0$0$0
LUCILLE MANSFIELD
DIRECTOR OF FINANCE$133,378$0$3,249$0$479$0$4,016$0$12,792$0$153,914$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE 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 7THE PRESIDENT/CEO GATHERS COMPARABLE INFORMATION AND EVALUATES AND APPROVES A BONUS FOR THE ORGANIZATION'S EMPLOYEES BASED ON THEIR PERFORMANCE. THE FOLLOWING INDIVIDUALS RECEIVED PERFORMANCE-BASED BONUSES INCLUDED IN THEIR REPORTABLE COMPENSATION FOR THE 2020 CALENDER YEAR: - BROOKE NAVARRE, EXECUTIVE DIRECTOR $10,828 - LUCILLE MANSFIELD, DIRECTOR OF FINANCE $3,249 - ERIC NATINDIM, DIRECTOR OF NURSING $2,166

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1NASSAU COUNTY INDUSTRIAL DEV AGENCYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN112559657BondIssuerEIN
Bond Issued2014-11-28BondIssuedDt
Issue Price$224,965,160IssuePriceAmt
PurposeREFUND PRIOR ISSUE (12/20/07)PurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$22,333,815RetiredAmt
Total Proceeds$224,965,160TotalProceedsAmt
In Reserve Fund$13,422,158InReserveFundAmt
Other Spent Proceeds$224,965,160OtherSpentProceedsAmt
Substantial Completion2011SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts0EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00100PrivateBusUseByOthersPct
Total Private Business Use0.00100TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: NASSAU COUNTY INDUSTRIAL DEV AGENCY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/31/2019
SCHEDULE K, PART I, LINE A, COLUMN (C)SERIES A - 63166UAM3, SERIES B - 63166UAP6, SERIES C - 63166UAQ4
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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1:AMSTERDAM HOUSE CONTINUING CARE RETIREMENT COMMUNITY, INC. (AHCCRC, INC.) OPERATES A NEW CONTINUING CARE RETIREMENT COMMUNITY KNOWN AS THE AMSTERDAM AT HARBORSIDE, LOCATED IN PORT WASHINGTON, NEW YORK, WHICH INCLUDES: 229 INDEPENDENT LIVING APARTMENTS (THE RESIDENTIAL UNITS), 26 ENRICHED HOUSING UNITS AND 18 SPECIAL NEEDS ASSISTED LIVING UNITS (THE ENRICHED HOUSING CENTER), 56 SKILLED NURSING BEDS (THE NURSING CENTER) AND RELATED COMMON AREAS AND AMENITIES AND RELATED INFRASTRUCTURE (COLLECTIVELY, THE COMMUNITY).
FORM 990, PART VI, SECTION A, LINE 3AHCCRC, INC. USES AMSTERDAM CONTINUING CARE HEALTH SYSTEM, INC., A RELATED ORGANIZATION FOR CONSULTING SERVICES. AHCCRC, INC. PAID THE CONSULTING COMPANY $333,811 FOR SERVICES IN 2020. TWO OFFICERS LISTED IN PART VII, JAMES DAVIS, PRESIDENT/CEO AND MARK PANCIRER, SENIOR VP/CFO ARE PAID BY THE RELATED ORGANIZATION. JAMES DAVIS WAS PAID $100,667 AND MARK PANCIRER WAS PAID $30,000 DURING CALENDAR YEAR 2020, WHICH IS INCLUDED IN PART VII, SECTION A AS WELL AS SCHEDULE J, PART II.
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE CORPORATION IS AMSTERDAM CONTINUING CARE HEALTH SYSTEM, INC.
FORM 990, PART VI, SECTION A, LINE 7AA 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.
FORM 990, PART VI, SECTION A, LINE 7BANY 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.
FORM 990, PART VI, SECTION B, LINE 11BAHCCRC, 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 12CDIRECTORS, 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 15COMPENSATION FOR THE EXECUTIVE DIRECTOR IS BASED ON AN INFORMAL REVIEW PERFORMED BY THE PRESIDENT AND CHIEF EXECUTIVE OFFICER USING COMPARABLE DATA.
FORM 990, PART VI, SECTION C, LINE 19THE 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 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 11GMEDICAL SERVICES: PROGRAM SERVICE EXPENSES 1,808,881. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,808,881. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 658,825. MANAGEMENT AND GENERAL EXPENSES 196,329. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 855,154. SECURITY SERVICES: PROGRAM SERVICE EXPENSES 151,138. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 151,138. THERAPISTS: PROGRAM SERVICE EXPENSES 595,508. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 595,508. PAYROLL PROCESSING FEES: PROGRAM SERVICE EXPENSES 34,782. MANAGEMENT AND GENERAL EXPENSES 5,920. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,702. FINANCIAL ADVISORY SERVICES: PROGRAM SERVICE EXPENSES 679,584. MANAGEMENT AND GENERAL EXPENSES 438,978. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,118,562. BOND COUNSEL TRUSTEE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 57,574. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 57,574. DINING SERVICES: PROGRAM SERVICE EXPENSES 1,837,062. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,837,062. MARKETING ADVISORY SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 322,435. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 322,435.
FORM 990, PART XI, LINE 9:FUTURE SERVICE OBLIGATION ADJUSTMENT 6,421,000. LOSS ON DISPOSAL OF ASSET -6,956.
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 NURSING HOME CORPORATION (1992)
1060 AMSTERDAM AVENUENEW YORKNY10025133834710NURSING HOMENY501(C)(3)LINE 10AMSTERDAM 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)0

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 AVENUEAddressLine1Txt
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 Org0GiftGrntOrCapContriToOthOrgInd
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 OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationRETURN FILING EXTENDED TO JANUARY 3, 2022AMSTERDAM HOUSE CONTINUING CARE RETIREMENT COMMUNITY INC. HAS MADE A DECLARATION WITH THE IRS TO POSTPONE THE FILING OF ITS TAX RETURN TO ON OR BEFORE JANUARY 3, 2022 DUE TO THE EFFECTS OF HURRICANE IDA. THE IRS'S HURRICANE IDA TAX RELIEF POSTPONES VARIOUS TAX FILINGS AND PAYMENTS NORMALLY DUE AFTER SEPTEMBER 1, 2021 THROUGH JANUARY 3, 2022. AS SUCH, PLEASE ACCEPT OUR TAX RETURN AS BEING TIMELY FILED.ExplanationTxt