STRATEGY STUDIO / PUBLIC DATA EXPLORER

AMSTERDAM NURSING HOME CORPORATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
AMSTERDAM NURSING HOME CORPORATION (EIN 13-3834710)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201303189349304685
Schema version
2012v2.1
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)
Timestamp2013-11-14T14:07:39-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN131517563EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LOEB & TROPER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1655 THIRD AVENUE 12TH FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10017ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN133834710EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1AMSTERDAM NURSING HOME CORP (1992)BusinessNameLine1
FieldValueIRS element (for citing)
Name ControlAMSTNameControl
Phone2125753322Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11060 AMSTERDAM AVEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10025ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARK PANCIRERName
TitleSENIOR VP/CFOTitle
Phone2125753322Phone
Date Signed2013-11-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBERNARD GROTELLName
PTINP01275277PTIN
Phone2128674000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1AMSTERDAM NURSING HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARK PANCIRERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11060 AMSTERDAM AVEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10025ZIPCode
FieldValueIRS element (for citing)
Gross Receipts63305452GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteAMSTERDAMCARES.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionAMSTERDAM NURSING HOME PROVIDES ROOM AND BOARD AND MEDICAL CARE FOR THE ELDERLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees605TotalNbrEmployees
Total Nbr Volunteers30TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year52777ContributionsGrantsPriorYear
Contributions Grants Current Year6682692ContributionsGrantsCurrentYear
Program Service Revenue Prior Year54803742ProgramServiceRevenuePriorYear
Program Service Revenue CY53850901ProgramServiceRevenueCY
Investment Income Prior Year56133InvestmentIncomePriorYear
Investment Income Current Year67865InvestmentIncomeCurrentYear
Other Revenue Prior Year630695OtherRevenuePriorYear
Other Revenue Current Year603199OtherRevenueCurrentYear
Total Revenue Prior Year55543347TotalRevenuePriorYear
Total Revenue Current Year61204657TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year33071175SalariesEtcPriorYear
Salaries Etc Current Year31127609SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year23630807OtherExpensePriorYear
Other Expenses Current Year24916856OtherExpensesCurrentYear
Total Expenses Prior Year56701982TotalExpensesPriorYear
Total Expenses Current Year56044465TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1158635RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5160192RevenuesLessExpensesCY
Total Assets BOY49843524TotalAssetsBOY
Total Assets EOY54825943TotalAssetsEOY
Total Liabilities BOY44466530TotalLiabilitiesBOY
Total Liabilities EOY44288757TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5376994NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10537186NetAssetsOrFundBalancesEOY
Mission DescriptionTO OPERATE A NOT FOR PROFIT NURSING HOME FACILITY WITH 409 SKILLEDNURSING HOME BEDS AND AN ADULT DAY CARE PROGRAM FOR 40 PARTICIPANTS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense50403306Expense
Revenue54119806Revenue
DescriptionTHE HOME PROVIDES ROOM AND BOARD AND MEDICAL CARE FOR THE ELDERLY. THE HOME HAS A CAPACITY OF 409 BEDS ALONG WITH AN ADULT DAY CARE PROGRAM WITH A CAPACITY OF 40 REGISTRANTS. IN 2012, THE NURSING HOME HAD 514 ADMISSIONS AND PROVIDED 14,234 ADULT DAY CARE VISITS. THE NURSING HOME HAD AN OCCUPANCY RATE OF 98.56 PERCENT.Description
Total Program Service Expense50403306TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096124NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees605NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MARK PANCIRERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2125753322TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1570 7TH AVENUE 6TH FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10018ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedHighest Compensated EmployeeHighestCompensatedEmployee
LAWRENCE B THOMPSON
CHAIRMAN2.00XX000
GEORGE L VAN AMSON
VICE CHAIRMAN0.50XX000
JOSEPH C HOOPES
TREASURER1.00XX000
JOSE V TORRES
SECRETARY0.30XX000
REV JAMES G CALLAWAY JR
BOARD MEMBER0.30X000
ISABEL M CARDEN
BOARD MEMBER0.50X000
JAY H MCDOWELL
BOARD MEMBER0.30X000
REV DEACON FRANK L PETERSON JR
BOARD MEMBER0.30X000
DYER S WADSWORTH
BOARD MEMBER0.30X000
JAMES J CAMPBELL
BOARD MEMBER0.30X000
DR KAREN M HOPKINS
BOARD MEMBER0.30X000
FRANCES R OLIVIERI
BOARD MEMBER0.30X000
JAMES DAVIS
PRESIDENT/CEO30.50X2977143300024368119.50
MARK PANCIRER
SENIOR VP/CFO37.50X220912300004174512.50
FLORECITA NEBRES
VICE PRESIDENT OF NURSING35.00X150992035294
JUDITH FENSTER
SENIOR VP/ADMINISTRATOR35.00X206257014674
LORNA POON
DIRECTOR OF FINANCE35.0013007906374X
GEETHA MURLI
DIRECTOR OF PATIENT ACOUNTS35.0011124505840X
MYLENE MERCADO
REGISTERED NURSE37.50114670041721X
SHELLY ANN STEWART
OCCUPATIONAL THERIPST37.50112462014652X
IMEE R VILLAVICENCIO
REGISTERED NURSE37.50112912041475X
SALLY NUNEZ
CASE MANAGEMENT DIRECTOR35.00111039015512X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1568282TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs360002TotalReportableCompFrmRltdOrgs
Total Other Compensation260968TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
UNITED HOME CARE
77-04 BROADWAYELMHURSTNY11373NURSING AGENCY2853875
UNIDINE CORPORATION
PO BOX 60479CHARLOTTENC28260FOOD SERVICE1378018
PARK AVE MEDICAL ASSOCIATES
1 BARKER AVEWHITE PLAINSNY10601MEDICAL SERVICES1167815
SENIOR RIDE TRANSPORTATION
855 BRUSH AVENUEBRONXNY10465TRANSPORTATION690866
EDU TEK LIMITED
178 EAST BOSTON POST RDMAMARONECTNY10543INFORMATION TECH643486
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
Government Grants6678529GovernmentGrants
All Other Contributions4163AllOtherContributions
Total Contributions6682692TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID6230004296963242969632
ADULT DAY CARE62300058200815820081
PRIVATE PAY PATIENT CAR62300050611885061188
FieldValueIRS element (for citing)
Total Program Service Revenue53850901TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column27462TotalRevenueColumn
Exclusion$27,462ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2141198Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2100795Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities40403Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column40403TotalRevenueColumn
Exclusion$40,403ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
DISCOUNTS ON PURCHASES623000268905268905
RECOVERY OF EMPLOYEE BENEFITS623000197484$197,484
ADM. FEE REL. ORG.62300049973$49,973

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column86837TotalRevenueColumn
Exclusion$86,837ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue603199TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column61204657TotalRevenueColumn
Related Or Exempt Function Income54119806RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$402,159ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1011269Total
Management And General1011269ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total20353091Total
Program Services19538265ProgramServices
Management And General814826ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1614292Total
Program Services1611510ProgramServices
Management And General2782ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6537511Total
Program Services6280043ProgramServices
Management And General257468ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1611446Total
Program Services1511053ProgramServices
Management And General100393ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total213213Total
Management And General213213ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total70462Total
Management And General70462ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7379489Total
Program Services6736654ProgramServices
Management And General642835ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total9467Total
Program Services176ProgramServices
Management And General9291ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6285425Total
Program Services4971406ProgramServices
Management And General1314019ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total977831Total
Program Services685981ProgramServices
Management And General291850ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total40232Total
Program Services19873ProgramServices
Management And General20359ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3039266Total
Program Services2674554ProgramServices
Management And General364712ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3022773Total
Program Services2660040ProgramServices
Management And General362733ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total631504Total
Program Services555724ProgramServices
Management And General75780ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
NYS ASSESSMENT29191462919146
OTHER EXPENSES30956322039689167
LOSS ON DISPOSAL1848518485

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total56044465Total
Program Services50403306ProgramServices
Management And General5641159ManagementAndGeneral
Fundraising0Fundraising
FieldValueIRS element (for citing)
Info In Schedule O Part XXInfoInScheduleOPartX

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1400BOY
EOY1740EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY17236805BOY
EOY13029784EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7965970BOY
EOY11163843EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY88688BOY
EOY141721EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY391107BOY
EOY1098760EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis78886453LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec50854642LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY23027672BOY
EOY28031811EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1131882BOY
EOY1358284EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY49843524BOY
EOY54825943EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6078903BOY
EOY6156486EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY36996836BOY
EOY36009678EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1390791BOY
EOY2122593EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY44466530BOY
EOY44288757EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5077182BOY
EOY10233680EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY299812BOY
EOY303506EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5376994BOY
EOY10537186EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY49843524BOY
EOY54825943EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses5160192ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years158939CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2857CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years88503CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year52777CurrentTaxYearMinus1Year
Current Tax Year6682692CurrentTaxYear
Total6985768Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years55666730CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years54305948CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years57503099CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54803742CurrentTaxYearMinus1Year
Current Tax Year54781112CurrentTaxYear
Total277060631Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years55825669CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years54308805CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years57591602CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54856519CurrentTaxYearMinus1Year
Current Tax Year61463804CurrentTaxYear
Total284046399Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509284046399PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years118412CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years113402CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years74656CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year49330CurrentTaxYearMinus1Year
Current Tax Year27462CurrentTaxYear
Total383262Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years118412CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years113402CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years74656CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year49330CurrentTaxYearMinus1Year
Current Tax Year27462CurrentTaxYear
Total383262Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years804202CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years317090CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years287028CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year630695CurrentTaxYearMinus1Year
Current Tax Year603200CurrentTaxYear
Total2642215Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years56748283CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years54739297CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years57953286CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year55536544CurrentTaxYearMinus1Year
Current Tax Year62094466CurrentTaxYear
Total287071876Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98950PublicSupportPercentage509
Prior Year Support Percentage0.98700PriorYearSupportPercentage
Investment Income Percentage0.00130InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00250PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: GIFT CART MILLERINN RECOVERY OF EXPENSE PHONE VENDING MACHINE DISCOUNT ON PURCHASES GENERAL ADMINISTRATION STAR PROGRAM DIRECT TV FEES SECURITYGeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$13,798OtherActivitiesAmount
Total Lobbying Expenditures IIB13798TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationDUES AND OR FEES PAID TO THE FOLLOWING ORGANIZATIONS THAT HAD LOBBYING EXPENSES: 1199,LEADING AGE, BOLTON-ST.JOHNS AND CCLCExplanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1432917OtherCostOrOtherBasis
Book Value1432917BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis50476708OtherCostOrOtherBasis
Depreciation35403123Depreciation
Book Value15073585BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis186383OtherCostOrOtherBasis
Depreciation143435Depreciation
Book Value42948BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis18441605OtherCostOrOtherBasis
Depreciation15308084Depreciation
Book Value3133521BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8348840OtherCostOrOtherBasis
Book Value8348840BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings28031811TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
PATIENT FUNDS$576,832
DUE TO THIRD PARTIES$1,295,670
ACCRUED INTEREST PAYABLE$250,091
FieldValueIRS element (for citing)
Total Of Amounts2122593TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt61204657TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal61204657RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99061204657TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt56044465TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal56044465ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99056044465TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationUNCERTAINTY IN INCOME TAXES - THE HOME HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2009 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JAMES DAVIS
PRESIDENT/CEO220610265002550006500022104017646026035034139533000200
MARK PANCIRER
SENIOR VP/CFO2126923000000822001494502680002626573000000
FLORECITA NEBRES
VICE PRESIDENT OF NURSING1444240006568087840265100186286000
JUDITH FENSTER
SENIOR VP/ADMINISTRATOR2062570000013295013790220931000
MYLENE MERCADO
REGISTERED NURSE11467000000107270309940156391000
IMEE R VILLAVICENCIO
REGISTERED NURSE11291200000105630309120154387000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 7ReturnReference
ExplanationTHE BOARD OF DIRECTORS GATHERS COMPARABLE INFORMATION, EVALUATES AND APPROVES A BONUS FOR THE ORGANIZATION'S CEO.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonADAM DAVISNamePerson
FieldValueIRS element (for citing)
RelationshipSON OF CEORelationship
Amount Of Transaction71913AmountOfTransaction
Description Of TransactionVARIOUSDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 AS PREPARED BY LOEB & TROPER LLP, ACCOUNTING FIRM, IS PROVIDED TO THE AUDIT COMMITTEE FOR REVIEW AND COMMENTS AND TO THE FULL BOARD.
FORM 990, PART VI, SECTION B, LINE 12CA 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 WHO 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 BECOME AWARE OF THE POTENTIAL FOR A CONFLICT IN CONNECTION WITH THE TRANSACTION WHO SHALL INFORM THE APPLICABLE BOARD.IF THE CHAIRMAN IN 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,EXCLUDED IN SUCH COUNTS THE INTERESTED DIRECTOR,SHALL BE REQUIRED BEFORE ENTERING INTO THE TRANSACTION. 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 15AFORM 990, PART VI, LINE 15: THE ORGANIZATION HAS A PROCESS TO DETERMINE COMPENSATION FOR THE CEO/ EXECUTIVE DIRECTOR 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. THIS PROCESS WAS LAST UNDERTAKEN IN 2012. THIS PROCESS INCLUDES A REVIEW OF TOTAL COMPENSATION INCLUDING BONUS CONSIDERATION.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GPHARMACEUTICAL, PHYSICAL THERAPY AND HUMAN RESOURCE CONSULTING : PROGRAM SERVICE EXPENSES 6,736,654. MANAGEMENT AND GENERAL EXPENSES 642,835. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,379,489.OTHER FEES
FORM 990, PART X, LINE 15OTHER RECEIVABLES - $ 166,221 OTHER ASSETS - $ 139,130 DUE FORM THIRD PARTY PAYOR - $1,052,930 SUBVENTION CERTIFICATE FROM - $ 3 ACCHS, INC. TOTAL-OTHER ASSETS - $1,358,284OTHER ASSETS
FORM 990, PART XI, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM PRIOR YEARS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1AMSTERDAM CONSULTING LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11060 AMSTERDAM AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10025ZIPCode
FieldValueIRS element (for citing)
EIN134034061EIN
Primary ActivitiesPROVIDING ADMINISTRATIVE AND CONSULTING SERVICESPrimaryActivities
Legal Domicile StateNYLegalDomicileState
Total Income360051TotalIncome
EOY Assets1541767EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
AMSTERDAM SERVICES CORP
1060 AMSTERDAM AVENUENEW YORKNY10025133902473PROVIDING ADMINISTRATIVE AND CONSULTING SERVICES TO HEALTHCARE FACILITIESNY501(C)(3)9AMSTERDAM CONTINUING CARE HEALTH SYSTEM0
AMSTERDAM CONTINUING CARE HEALTH SYSTEMS
1060 AMSTERDAM AVENUENEW YORKNY10025134034061PROVIDING ADVICE, INFORMATION & MONETARY CONTRIBUTIONS TO ELDERLY & DISABLEDNY501(C)(3)70N/A
AMSTERDAM HOUSE CONTINUING CARE RETIREMENT COMMUNITY INC
1060 AMSTERDAM AVENUENEW YORKNY10025113711764INDEPENDENT LIVING, ENRICHED HOUSING AND SKILLED NURSING CARENY501(C)(3)9AMSTERDAM CONTINUING CARE HEALTH SYSTEM0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1AMSTERDAM SERVICES CORP 2001BusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11060 AMSTERDAM AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10025ZIPCode
FieldValueIRS element (for citing)
EIN134184082EIN
Primary ActivityPROVIDING NURSING HOME CONSULTING AND ADMIN. OVERSITE.PrimaryActivity
Legal Domicile StateNYLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg