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AMSTERDAM NURSING HOME CORPORATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
AMSTERDAM NURSING HOME CORPORATION (EIN 13-3834710)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-16
IRS object ID
202003219349325250
Schema version
2019v5.1
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)
Return2020-11-16T21:50:13-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

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 Begin2019-01-01TaxPeriodBeginDt

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
Signature2020-11-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGARRETT M HIGGINSPreparerPersonNm
PTINP00543209PTIN
Phone9143818900PhoneNum
Preparation2020-11-14PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address24.190.81.120IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-16IPDt
IP Tm21:50:09IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id9616F4B14A694591D1E716C270910E6FA5556DA3AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

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$76,101,227GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressAMSTERDAMCARES.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
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee509TotalEmployeeCnt
Total Volunteers87TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$847,512PYContributionsGrantsAmt
CY Contributions Grants$84,523CYContributionsGrantsAmt
PY Program Service Revenue$64,801,198PYProgramServiceRevenueAmt
CY Program Service Revenue$64,303,979CYProgramServiceRevenueAmt
PY Investment Income$121,499PYInvestmentIncomeAmt
CY Investment Income$3,194,138CYInvestmentIncomeAmt
PY Other Revenue$630,410PYOtherRevenueAmt
CY Other Revenue$73,763CYOtherRevenueAmt
PY Total Revenue$66,400,619PYTotalRevenueAmt
CY Total Revenue$67,656,403CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$36,393,041PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$36,939,056CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$29,165,013PYOtherExpensesAmt
CY Other Expenses$30,482,021CYOtherExpensesAmt
PY Total Expenses$65,558,054PYTotalExpensesAmt
CY Total Expenses$67,421,077CYTotalExpensesAmt
PY Revenues Less Expenses$842,565PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$235,326CYRevenuesLessExpensesAmt
Total Assets BOY$58,252,072TotalAssetsBOYAmt
Total Assets EOY$62,016,883TotalAssetsEOYAmt
Total Liabilities BOY$40,919,781TotalLiabilitiesBOYAmt
Total Liabilities EOY$46,809,531TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$17,332,291NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$15,207,352NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAMSTERDAM NURSING HOME CORP. (1992) (AMSTERDAM) WAS FOUNDED IN 1872 TO PROVIDE A HOME FOR OLD MEN AND AGED COUPLES; 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, DIGNIT AND AUTONOMY OF EACH PERSON THAT IT SERVES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$58,696,239ExpenseAmt
Revenue$64,303,979RevenueAmt
DescAMSTERDAM PROVIDES ROOM AND BOARD AND MEDICAL CARE FOR THE ELDERLY. AMSTERDAM HAS A CAPACITY OF 409 NURSING FACILITY BEDS ALONG WITH AN ADULT DAY HEALTH CARE PROGRAM WITH A CAPACITY OF 40 REGISTRANTS. IN 2019, AMSTERDAM HAD 1,091 ADMISSIONS AND PROVIDED 8,477 ADULT DAY HEALTH CARE VISITS. AMSTERDAM HAD AN OCCUPANCY RATE OF 97.3 PERCENT IN THE NURSING FACILITY.Desc
Total Program Service Expenses$58,696,239TotalProgramServiceExpensesAmt
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 Organizations0GrantsToOrganizationsInd
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 Liquidation0PartialLiquidationInd
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 Document177IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee509EmployeeCnt
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 RlnYes (1)FamilyOrBusinessRlnInd
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 (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndKey EmployeeKeyEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
JAMES DAVIS
PRESIDENT/CEO35.0015.00Yes (X)$889,822$102,999$50,108
MARK PANCIRER
SENIOR VP/CFO42.507.50Yes (X)$314,196$30,000$52,315
WILLIAM J PASCOCELLO
SENIOR VP/COO35.00Yes (X)$245,557$0$36,575
LORNA POON
DIRECTOR OF FINANCE35.00$199,710$0$29,189Yes (X)
GERTRUDES DE GUZMAN
VP OF NURSING35.00$174,299$0$51,827Yes (X)
PAMELA LANDMAN
CORPORATE COUNSEL37.50$144,506$0$31,829Yes (X)
JOREALIN LIM
NURSE37.50$151,671$0$14,721Yes (X)
CELMA C DUMAGUING
ASST. DIRECTOR OF FINANCE35.00$136,590$0$25,147Yes (X)
MYLENE MERCADO
NURSE35.00$122,025$0$14,721Yes (X)
LAWRENCE B THOMPSON
CHAIRMAN (THRU SEPT. 2019)2.003.00Yes (X)$0$0$0Yes (X)
JOSEPH C HOOPES JR
CHAIRMAN & TREASURER1.001.50Yes (X)$0$0$0Yes (X)
GEORGE L VAN AMSON
VICE CHAIRMAN0.500.80Yes (X)$0$0$0Yes (X)
FRANCES R OLIVERI
VICE CHAIRMAN0.501.80Yes (X)$0$0$0Yes (X)
JOSE V TORRES
SECRETARY0.300.30Yes (X)$0$0$0Yes (X)
REVEREND JAMES G CALLAWAY JR
BOARD MEMBER0.300.50$0$0$0Yes (X)
R SCOTT EMONDS
BOARD MEMBER0.300.50$0$0$0Yes (X)
JAMES J CAMPBELL
BOARD MEMBER0.300.50$0$0$0Yes (X)
ISABELL M CARDEN
BOARD MEMBER0.300.50$0$0$0Yes (X)
DR KAREN M HOPKINS
BOARD MEMBER0.300.50$0$0$0Yes (X)
JAY H MCDOWELL
BOARD MEMBER0.300.50$0$0$0Yes (X)
REV DEACON FRANK PETERSON JR
BOARD MEMBER0.300.50$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,378,376TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$132,999TotReportableCompRltdOrgAmt
Total Other Compensation$306,432TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K21IndivRcvdGreaterThan100KCnt
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
THERADYAMICS PHY REHAB
225 CROSSWAYS PARK DRIVEWOODBURYNY11787PHYSICAL THERAPY SERVICES$3,857,516
UNITED HOME CARE
77-04 BROADWAYELMHURSTNY11373NURSING AGENCY$3,223,284
MORRISON MANAGEMENT
400 NORTH RIDGE CANON SUITE 600SANDY SPRINGGA30350DIETARY SERVICES$2,438,830
RN EXPRESS REGISTRY LLC
71 WEST 23RD ST STE 1622NEW YORKNY10010NURSING AGENCY$1,428,564
INPATIENT HPOSITALIST SERVICES
PO BOX 92284LOS ANGELESCA90009PHYSICIAN SERVICES$1,017,665
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K19CntrctRcvdGreaterThan100KCnt
All Other Contributions$84,523AllOtherContributionsAmt
Total Contributions$84,523TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE CARE623000$63,196,517$63,196,517
UNIVERSAL SETTLEMENT623000$1,107,462$1,107,462
FieldValueIRS element (for citing)
Total Program Service Revenue$64,303,979TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$365,402TotalRevenueColumnAmt
Exclusion$365,402ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$403,101SecuritiesAmt
Other$10,870,459OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$403,179SecuritiesAmt
Other$8,041,645OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$78SecuritiesAmt
Other$2,828,814OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,828,736TotalRevenueColumnAmt
Exclusion$2,828,736ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
MEDICAL INSURANCE SURPLUS900099$56,579$56,579
EXPENSE RECOVERY900099$17,040$17,040
REBATES AND REFUNDS900099$144$144
FieldValueIRS element (for citing)
Other Revenue Total$73,763OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$67,656,403TotalRevenueColumnAmt
Related Or Exempt Func Income$64,303,979RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,267,901ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,814,701TotalAmt
Management And General$1,814,701ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$22,719,580TotalAmt
Program Services$21,204,468ProgramServicesAmt
Management And General$1,515,112ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,266,410TotalAmt
Program Services$2,208,468ProgramServicesAmt
Management And General$57,942ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,677,809TotalAmt
Program Services$6,503,858ProgramServicesAmt
Management And General$173,951ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,460,556TotalAmt
Program Services$3,300,421ProgramServicesAmt
Management And General$160,135ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$694,503TotalAmt
Management And General$694,503ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$51,725TotalAmt
Management And General$51,725ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$5,860TotalAmt
Management And General$5,860ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$14,179,640TotalAmt
Program Services$12,737,152ProgramServicesAmt
Management And General$1,442,488ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$8,636TotalAmt
Management And General$8,636ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$754,947TotalAmt
Program Services$400,424ProgramServicesAmt
Management And General$354,523ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$314,798TotalAmt
Program Services$21,680ProgramServicesAmt
Management And General$293,118ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,172,053TotalAmt
Program Services$2,141,122ProgramServicesAmt
Management And General$30,931ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$427,903TotalAmt
Program Services$411,068ProgramServicesAmt
Management And General$16,835ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,899,204TotalAmt
Program Services$1,870,550ProgramServicesAmt
Management And General$28,654ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,102,885TotalAmt
Program Services$1,083,022ProgramServicesAmt
Management And General$19,863ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
NYS CASH ASSESSMENT$2,782,679$2,782,679
BAD DEBT EXPENSE$2,045,670$2,045,670
MEDICAL SUPPLIES AND DR$1,724,097$1,724,097
DIETARY EXPENSES$1,649,833$1,649,833

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$667,588TotalAmt
Program Services$657,397ProgramServicesAmt
Management And General$10,191ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$67,421,077TotalAmt
Program Services$58,696,239ProgramServicesAmt
Management And General$8,724,838ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,568,288BOYAmt
EOY$1,985,400EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$16,087,584BOYAmt
EOY$14,554,469EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,154,972BOYAmt
EOY$7,620,693EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$72,564BOYAmt
EOY$96,286EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,045,221BOYAmt
EOY$3,646,941EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$82,511,678LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$64,022,498LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$19,134,524BOYAmt
EOY$18,489,180EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$40,979BOYAmt
EOY$41,457EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,147,940BOYAmt
EOY$15,582,457EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$58,252,072BOYAmt
EOY$62,016,883EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$8,598,871BOYAmt
EOY$9,555,012EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$1,554,187EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$447,445BOYAmt
EOY$457,096EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$29,710,966BOYAmt
EOY$27,371,963EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,162,499BOYAmt
EOY$7,871,273EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$40,919,781BOYAmt
EOY$46,809,531EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$17,235,450BOYAmt
EOY$15,122,206EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$96,841BOYAmt
EOY$85,146EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,332,291BOYAmt
EOY$15,207,352EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$58,252,072BOYAmt
EOY$62,016,883EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$235,326ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$12,353NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$2,376,274PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$3,656OtherChangesInNetAssetsAmt
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$1,365,071CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,823,914CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$362,066CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$847,512CurrentTaxYearMinus1YearAmt
Current Tax Year$84,523CurrentTaxYearAmt
Total$5,483,086TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$60,380,596CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$61,061,024CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$61,102,735CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$64,801,198CurrentTaxYearMinus1YearAmt
Current Tax Year$64,303,979CurrentTaxYearAmt
Total$311,649,532TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$61,745,667CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$63,884,938CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$61,464,801CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$65,648,710CurrentTaxYearMinus1YearAmt
Current Tax Year$64,388,502CurrentTaxYearAmt
Total$317,132,618TotalAmt

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$317,132,618PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$31,142CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$51,472CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$65,941CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$120,208CurrentTaxYearMinus1YearAmt
Current Tax Year$365,402CurrentTaxYearAmt
Total$634,165TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$31,142CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$51,472CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$65,941CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$120,208CurrentTaxYearMinus1YearAmt
Current Tax Year$365,402CurrentTaxYearAmt
Total$634,165TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$783,244CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$664,547CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$323,971CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$630,410CurrentTaxYearMinus1YearAmt
Current Tax Year$73,763CurrentTaxYearAmt
Total$2,475,935TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$62,560,053CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$64,600,957CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$61,854,713CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$66,399,328CurrentTaxYearMinus1YearAmt
Current Tax Year$64,827,667CurrentTaxYearAmt
Total$320,242,718TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99030PublicSupportCY509Pct
Public Support PY5090.98920PublicSupportPY509Pct
Investment Income CY0.00200InvestmentIncomeCYPct
Investment Income PY0.00090InvestmentIncomePYPct
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
ExplanationDISCOUNTS ON PURCHASES - 2015 AMOUNT: $ 474,390. 2016 AMOUNT: $ 165,425. EXPENSE RECOVERY - 2015 AMOUNT: $ 308,509. 2016 AMOUNT: $ 238,871. 2017 AMOUNT: $ 8,220. 2018 AMOUNT: $ 10,427. 2019 AMOUNT: $ 17,040. MISC REVENUE - 2015 AMOUNT: $ 345. 2016 AMOUNT: $ 260,251. 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.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$5,860OtherActivitiesAmt
Total Lobbying Expenditures$5,860TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationDUES AND OR FEES PAID TO THE FOLLOWING ORGANIZATIONS THAT HAD LOBBYING EXPENSES: CCLC - $1,800, AND LEADING AGE - $4,060.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$57,530,650OtherCostOrOtherBasisAmt
Depreciation$44,527,060DepreciationAmt
Book Value$13,003,590BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$70,774OtherCostOrOtherBasisAmt
Depreciation$70,161DepreciationAmt
Book Value$613BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,299,909OtherCostOrOtherBasisAmt
Depreciation$19,341,270DepreciationAmt
Book Value$3,958,639BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$177,428OtherCostOrOtherBasisAmt
Depreciation$84,007DepreciationAmt
Book Value$93,421BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$18,489,180TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
ASSETS HELD FOR AHCCRC$10,725,654
ESTIMATED DUE TO THIRD PARTIES$2,226,942
INSURANCE RECOVERY$2,172,482
OTHER ASSET$457,379
FieldValueIRS element (for citing)
Total Book Value Other Assets$15,582,457TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DUE TO THIRD PARTIES$3,499,211
ACCRUED INTEREST PAYABLE$93,121
INSURANCE PAYABLE$3,736,941
CONTINGENCY FOR ASSET RETIREMENT$542,000
FieldValueIRS element (for citing)
Total Liability$7,871,273TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$67,672,412TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$12,353NetUnrealizedGainsInvstAmt
Other Revenue$3,656OtherRevenueAmt
Revenue Not Reported$16,009RevenueNotReportedAmt
Revenue Subtotal$67,656,403RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$67,656,403TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$67,421,077TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$67,421,077ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$67,421,077TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 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 2016.
PART XI, LINE 2D - OTHER ADJUSTMENTS:GAIN ON DISPOSAL OF FIXED ASSETS 3,656.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
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 PaymentsYes (1)AnyNonFixedPaymentsInd
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$620,350$102,999$250,000$0$19,472$0$19,614$0$30,494$0$939,930$102,999$0$0
MARK PANCIRER
SENIOR VP/CFO$263,567$30,000$50,000$0$629$0$19,614$0$32,701$0$366,511$30,000$0$0
WILLIAM J PASCOCELLO
SENIOR VP/COO$231,424$0$10,000$0$4,133$0$0$0$36,575$0$282,132$0$0$0
LORNA POON
DIRECTOR OF FINANCE$189,379$0$10,000$0$331$0$11,853$0$17,336$0$228,899$0$0$0
GERTRUDES DE GUZMAN
VP OF NURSING$168,714$0$5,000$0$585$0$9,984$0$41,843$0$226,126$0$0$0
PAMELA LANDMAN
CORPORATE COUNSEL$134,406$0$10,000$0$100$0$0$0$31,829$0$176,335$0$0$0
JOREALIN LIM
NURSE$151,671$0$0$0$0$0$0$0$14,721$0$166,392$0$0$0
CELMA C DUMAGUING
ASST. DIRECTOR OF FINANCE$135,116$0$1,000$0$474$0$0$0$25,147$0$161,737$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationTHE FOLLOWING INDIVIDUALS RECEIVED DISCRETIONARY BONUSES INCLUDED IN HIS OR HER 2019 W-2: - JAMES DAVIS, PRESIDENT/CEO $250,000 - MARK PANCIRER, SENIOR VP/CEO $50,000 - WILLIAM PASCOCELLO, SENIOR VP/COO $10,000 - GERTRUDES DE GUZMAN, DIRECTOR OF NURSING $5,000 - LORNA POON, DIRECTOR OF FINANCE $10,000 - PAMELA LANDMAN, CORPORATE COUNSEL $10,000 - CELMA DUMAGUING, ASST. DIRECTOR OF FINANCE $1,000ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2LAWRENCE B. THOMPSON AND R. SCOTT EDMONDS HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11BAMSTERDAM NURSING HOME CORPORATION (1992) 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 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 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. SAID CONFLICTS ARE ADDRESSED BY MANAGEMENT.
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 AND OUTSIDE BENEFITS CONSULTANT. THE USE OF COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN THE DELIBERATION AND THE FINAL DECISION. THIS PROCESS WAS UNDERTAKEN IN DECEMBER 2018 FOR THE YEAR 2019. THIS PROCESS INCLUDES A REVIEW OF TOTAL COMPENSATION INCLUDING BONUS CONSIDERATION BY THE BOARD. AMSTERDAM HAS A PROCESS TO DETERMINE COMPENSATION FOR OFFICERS, WHICH INCLUDES A REVIEW BY A COMPENSATION AND BENEFITS CONSULTANT, THE USE OF COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IN THE DELIBERATION, AND THE FINAL DECISION. COMPENSATION OF KEY EMPLOYEES IS BASED ON AN INFORMAL REVIEW BY THE PRESIDENT/CEO OF COMPARABLE DATA. THIS WAS LAST DONE IN 2019.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS FORM 990 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 FORM 1023, 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 1,117,698. MANAGEMENT AND GENERAL EXPENSES 882,692. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,000,390. NURSING AGENCIES: PROGRAM SERVICE EXPENSES 4,699,082. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,699,082. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 1,119,393. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,119,393. THERAPY FEES: PROGRAM SERVICE EXPENSES 3,500,592. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,500,592. OTHER MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 166,854. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 166,854. BILING SERVICES: PROGRAM SERVICE EXPENSES 295,302. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 295,302. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 282,481. MANAGEMENT AND GENERAL EXPENSES 41,873. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 324,354. SECURITY SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 515,193. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 515,193. LAUNDRY AND LINEN SERVICES: PROGRAM SERVICE EXPENSES 482,889. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 482,889. DIETARY SERVICES: PROGRAM SERVICE EXPENSES 897,791. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 897,791. HOUSEKEEPING SERVICES: PROGRAM SERVICE EXPENSES 175,070. MANAGEMENT AND GENERAL EXPENSES 2,730. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 177,800.
FORM 990, PART XI, LINE 9:GAIN ON DISPOSAL OF FIXED ASSETS 3,656.
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.
FORM 990, PART XI, LINE 8:THE HOME IDENTIFIED APPROXIMATELY $1.8 MILLION OF SICK PAY ACCRUAL AND $0.5 MILLION OF ASSET RETIREMENT OBLIGATIONS THAT WAS NOT RECORDED WHICH RESULTED IN UNDERSTATING THE HOME'S LIABILITIES AT DECEMBER 31, 2018. AS A RESULT, THE HOME RESTATED ITS OPENING NET ASSETS AT JANUARY 1, 2019. THE EFFECT OF THE RESTATEMENT ON THE PREVIOUSLY REPORTED STATEMENT OF OPERATIONS AND CHANGES IN NET ASSETS WOULD BE AN INCREASE IN EXPENSES OF APPROXIMATELY $2.4 MILLION, DECREASING THE OPERATING GAIN. THIS RESULTED IN A PRIOR PERIOD ADJUSTMENT ON THE FORM 990 OF $2,376,274.

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
1060 AMSTERDAM AVENUENEW YORKNY10025113711764NURSING 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 Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
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 Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd