2026-01-13T12:22:42-06:00 2023-12-31 331374517 PKF O'CONNOR DAVIES ADVISORY LLC 500 MAMARONECK AVENUE SUITE 301 HARRISON NY 105281633 990 2023-01-01 113711764 AMSTERDAM HOUSE CONTINUING CARE RETIREMENT COMMUNITY INC AMST 2125753322 300 EAST OVERLOOK PORT WASHINGTON NY 11050 LUCILLE MANSFIELD DIRECTOR OF FINANCE 2125753322 2026-01-13 1 1 MELISSA MODELSON P01603524 9143818900 2026-01-13 2023 2025-03-06 01:10:19Z X SEE SCHEDULE O LUCILLE MANSFIELD 300 EAST OVERLOOK PORT WASHINGTON NY 11050 5959942 0 X WWW.THEHARBORSIDE.ORG X 2004 NY TO PROVIDE INDEPENDENT LIVING, ENRICHED HOUSING AND SKILLED NURSING CARE. 9 9 134 10 0 0 1595058 705 25563463 5883488 273250 25729 219105 48756 27650876 5958678 3875 0 0 0 7151158 1662287 0 0 0 31899648 8423028 39054681 10085315 -11403805 -4126637 205746668 125733583 368212447 125733583 -162465779 0 X SEE SCHEDULE O 0 1 9142024 0 5883488 AMSTERDAM HOUSING CONTINUING CARE RETIREMENT COMMUNITY, INC. ("AHCCRC, INC.") OPERATES A CONTINUING CARE RETIREMENT COMMUNITY, LICENSED UNDER ARTICLE 46 OF THE PUBLIC HEALTH LAW, KNOWN AS THE HARBORSIDE LOCATED IN PORT WASHINGTON, NEW YORK, WHICH INCLUDES: 229 INDEPENDENT LIVING APARTMENTS, 26 ENRICHED HOUSING UNITS AND 18 SPECIAL NEEDS ASSISTED LIVING, AND 56 SKILLED NURSING BEDS.ON MARCH 22, 2023, AMSTERDAM HOUSE CONTINUING CARE RETIREMENT COMMUNITY, INC. D/B/A THE HARBORSIDE FILED A PETITION IN THE UNITED STATES BANKRUPTCY COURT FOR THE EASTERN DISTRICT OF NEW YORK SEEKING RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE. 9142024 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 179 0 134 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X X LUCILLE MANSFIELD 2125753322 300 EAST OVERLOOK PORT WASHINGTON NY 11050 JOSEPH C HOOPES JR CHAIRMAN & TREASURER 2.00 4.25 X X 0 0 0 FRANCES R OLIVIERI VICE CHAIR 0.75 1.00 X X 0 0 0 GEORGE L VAN AMSON VICE CHAIR 0.75 1.50 X X 0 0 0 JAY H MCDOWELL ESQ SECRETARY 0.50 0.75 X X 0 0 0 REV CANON JAMES CALLAWAY JR DIRECTOR 0.50 0.75 X 0 0 0 SYLVIA DUNSKY DIRECTOR 0.50 0.00 X 0 0 0 R SCOTT EDMONDS DIRECTOR 0.50 1.25 X 0 0 0 RHODA FINER DIRECTOR 0.50 0.00 X 0 0 0 LANGDON VAN NORDEN DIRECTOR 0.50 1.25 X 0 0 0 BROOKE NAVARRE PRESIDENT/CEO 40.00 0.00 X 298750 0 26901 PAMELA LANDMAN SENIOR VP & GENERAL COUNSEL 24.73 24.02 X 84409 224526 45476 SURESH BALA REGISTERED NURSE 40.00 0.00 X 140867 0 26468 LUCILLE MANSFIELD DIRECTOR OF FINANCE 40.00 0.00 X 140545 0 12883 ELLEN NIZICH DIRECTOR OF CULTURE OPERATIONS 40.00 0.00 X 121233 0 16113 KELLY ANN DEJESUS HEALTH CENTER ADMINISTRATOR 40.00 0.00 X 117542 0 21294 RICHARD PINEDA DIRECTOR OF INFORMATION TECHNOLOGY 40.00 0.00 X 110736 0 37467 1014082 224526 186602 7 0 1 0 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 15251 DINING MANAGEMENT 4048429 DLA PIPER LLP PO BOX 75190 BALTIMORE MD 21275 LEGAL SERVICES 3585906 ANKURA CONSULTING GROUP LLC PO BOX 74007043 CHICAGO IL 06674 FISCAL BANKRUPTCY COUNSELING 2027769 PROMED STAFFING RESOURCES 146 SECOND ST NORTH SUITE 1622 ST PETERSBURG FL 33701 AGENCY STAFFING 1722296 COOLEY LLP 3 EMBARACADERO CENTER 20TH FLLOR SAN FRANCISCO CA 94111 LEGAL SERVICES 804428 16 705 705 RESIDENT & PATIENT SER 623000 4928631 4928631 AMORTIZATION OF NONREF 623000 954857 954857 5883488 25729 25729 15490 0 15490 15490 15490 2169 1264 905 905 INSURANCE REIMBURSEMEN 900099 23897 23897 SERVICE REVENUE 900099 4173 4173 MISC. REVENUE 900099 3580 3580 711 711 32361 5958678 5883488 0 74485 X 455136 348817 106319 40505 40505 817776 657786 159990 26250 20145 6105 164860 126595 38265 157760 121071 36689 3568 3568 21006 21006 7500 7500 1719992 1453206 266786 38483 4860 33623 214048 194589 19459 14871 5502 9369 2703539 2598209 105330 10733 9153 1580 67742 67742 1628695 1628695 185233 185233 DEBT RESTRUCTURING FEES 1310090 1310090 FOOD & DIETARY EXPENSES 239784 239784 REPAIRS AND MAINTENANCE 90720 90720 MEDICAL SUPPLIES AND DR 61638 61638 105386 85931 19455 10085315 9142024 943291 0 2045063 3497615 18973891 0 1402535 36235968 38811 0 224788 0 168293971 82293971 181074959 86000000 1775026 0 211595 0 205746668 125733583 2993605 52733583 18102359 0 129079930 73000000 349922 0 42541950 0 175144681 0 368212447 125733583 X -162465779 0 0 0 -162465779 0 205746668 125733583 X -4126637 83958 166508458 X 0 1 X 1 0 X X 1 AMSTERDAM CONTINUING CARE HEALTH SYSTEM INC 134034061 7 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION A, LINE 1: AMSTERDAM HOUSE CONTINUING CARE RETIREMENT COMMUNITY, INC. ("AHCCRC, INC.") SUPPORTS AMSTERDAM CONTINUING CARE HEALTH SYSTEM INC., ITS PARENT ORGANIZATION. AHCCRC, INC. PROVIDES INDEPENDENT LIVING, ENRICHED HOUSING AND SKILLED NURSING CARE TO ITS RESIDENTS. THE HEALTH SYSTEM ALSO PROVIDES SUPPORT SERVICES TO THE ELDERLY. BOTH ORGANIZATION SUPPORT THE SAME CHARITABLE CLASS OF PEOPLE. PART I, LINE 12G, COLUMN IV: AMSTERDAM HOUSE CONTINUING CARE RETIREMENT COMMUNITY, INC. ("AHCCRC, INC.") SUPPORTS AMSTERDAM CONTINUING CARE HEALTH SYSTEM INC., ITS PARENT ORGANIZATION. AHCCRC, INC. PROVIDES INDEPENDENT LIVING, ENRICHED HOUSING AND SKILLED NURSING CARE TO ITS RESIDENTS. THE HEALTH SYSTEM ALSO PROVIDES SUPPORT SERVICES TO THE ELDERLY. BOTH ORGANIZATION SUPPORT THE SAME CHARITABLE CLASS OF PEOPLE. 0 0 22353895 22353895 137699991 75881830 61818161 7270485 6412141 858344 969600 969600 86000000 X 6035136 83958 83958 5951178 7500 7500 5958678 10077815 0 10077815 7500 7500 10085315 PART X, LINE 2: THE HARBORSIDE IS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE HARBORSIDE IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE HARBORSIDE RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE HARBORSIDE HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. X X 0 0 0 0 0 0 0 0 0 PAMELA LANDMAN SENIOR VP & GENERAL COUNSEL 84298 188522 0 13504 111 22500 0 0 45077 399 129486 224925 0 0 BROOKE NAVARRE PRESIDENT/CEO 297800 0 0 0 950 0 0 0 26901 0 325651 0 0 0 SURESH BALA REGISTERED NURSE 140736 0 0 0 131 0 0 0 26468 0 167335 0 0 0 LUCILLE MANSFIELD DIRECTOR OF FINANCE 140545 0 0 0 0 0 0 0 12883 0 153428 0 0 0 A NASSAU COUNTY INDUSTRIAL DEV AGENCY 112559657 63166UAS0 2021-09-08 127327200 REFUND PRIOR ISSUE (11/28/14) 0 0 0 A 127327200 127327200 2011 1 0 1 1 A 0 1 1 0 1 0 0 0 0 A 0 BOND REPAYMENTS: DURING YEAR ENDED DECEMBER 31, 2022 AND SUBSEQUENTLY, THE HARBORSIDE EXPERIENCED A DECLINE IN OCCUPANCY AS IT WAS UNABLE TO ATTRACT NEW RESIDENTS IN PART DUE TO THE LINGERING IMPACT OF COVID-19. AS A RESULT, BEGINNING OCTOBER 2022, THE HARBORSIDE FAILED TO MAKE THE MONTHLY INSTALLMENT PAYMENTS UNDER THE SERIES 2021 BONDS. THE BOARD OF DIRECTORS OF THE HARBORSIDE APPROVED A PLAN OF LIQUIDATION AS OF MARCH 21, 2023, AND THE HARBORSIDE BEGAN LIQUIDATION PROCEEDINGS SHORTLY THEREAFTER. ON MARCH 22, 2023, THE HARBORSIDE (THE "DEBTOR") FILED A PETITION FOR RELIEF UNDER CHAPTER 11 OF THE FEDERAL BANKRUPTCY LAWS IN THE UNITED STATES BANKRUPTCY COURT FOR THE EASTERN DISTRICT OF NEW YORK ("BANKRUPTCY COURT"). DURING THE LIQUIDATION PERIOD, THE PLAN INCLUDED THE FOLLOWING: (I) LIQUIDITY SUPPORT AS REQUIRED BY THE COURT ORDERS FROM STAKEHOLDERS THROUGH THE "DEBTOR IN POSSESSION CONTRIBUTION; (II) THE SALE OF SUBSTANTIALLY ALL THE ASSETS OF THE HARBORSIDE TO AN UNRELATED QUALIFIED THIRD-PARTY (THE "SALE TRANSACTION"); AND (III) SETTLEMENT OF CERTAIN CLAIMS BETWEEN THE HARBORSIDE, HEALTH SYSTEM, THE BOND TRUSTEE, OFFICIAL COMMITTEE OF UNSECURED CREDITORS (THE "UCC"), AND AMSTERDAM NURSING HOME CORPORATION (1992) ("ANH") (THE " GLOBAL SETTLEMENT TERM SHEET"). THE SALE TRANSACTION, AS APPROVED BY THE BANKRUPTCY COURT ON MARCH 3, 2025, PROVIDES FOR THE SALE OF SUBSTANTIALLY ALL OF THE HARBORSIDE'S ASSETS, INCLUDING REAL ESTATE TO AN UNRELATED QUALIFIED THIRD-PARTY (THE "BUYER") FOR $86,000,000, PLUS THE ASSUMPTION OF CERTAIN LIABILITIES. THE SALE TRANSACTION CLOSED ON MAY 13, 2025. THE GLOBAL SETTLEMENT TERM SHEET DATED AS OF FEBRUARY 28, 2025 AS APPROVED BY THE BANKRUPTCY COURT, AND SUBJECT TO CERTAIN CONTINGENCIES, RESOLVES CERTAIN DISPUTED CLAIMS BETWEEN THE HARBORSIDE, HEALTH SYSTEM, THE BOND TRUSTEE, AND THE UCC INCLUDING HOW THE PROCEEDS FROM THE SALE TRANSACTION WILL BE USED TO PAY PORTIONS OF THOSE CLAIMS. SUCH CONTINGENCIES INCLUDE THE SALE OF ANH, AN AFFILIATE OF THE HARBORSIDE, AND THE DISTRIBUTION OF SUCH SALE PROCEEDS TO THE BOND TRUSTEE AND OTHER CREDITORS REPRESENTED BY THE UCC. THE GLOBAL SETTLEMENT TERM SHEET ALSO STIPULATES THE ROLE AND RESPONSIBILITIES OF THE LIQUIDATION TRUSTEE. UPON SALE OF ASSETS, ALL BONDS WERE PAID AND DEEMED SATISFIED. JADE NAVARRE FAMILY MEMBER OF PRESIDENT/CEO 40505 EMPLOYMENT 0 FORM 990, BOX C: THE ORGANIZATION DOES BUSINESS UNDER THE FOLLOWING NAMES: THE HARBORSIDE HARBORSIDE LEGACY FOUNDATION THE AMSTERDAM AT HARBORSIDE FORM 990, PART III, LINE 1: AMSTERDAM HOUSE CONTINUING CARE RETIREMENT COMMUNITY, INC.'S MISSION (AHCCRC, INC.) IS TO ESTABLISH, CONSTRUCT, OWN, OPERATE AND MAINTAIN A CONTINUING CARE RETIREMENT COMMUNITY AS DEFINED IN ARTICLE 46 OF THE PUBLIC HEALTH LAW OF THE STATE OF NEW YORK; TO MEET THE SPECIAL HOUSING NEEDS OF ELDERLY PERSONS BY PLANNING, DEVELOPING, ORGANIZING, CONSTRUCTING, ACQUIRING, ALTERING, RECONSTRUCTING, REHABILITATING, OWNING, OPERATING AND MAINTAINING HOUSING FOR ELDERLY INDIVIDUALS AND FAMILIES IN ORDER TO PROMOTE THEIR GENERAL WELFARE BY PROVIDING THEM WITH SAFE, SANITARY AND INDEPENDENT LIVING FACILITIES; TO ENGAGE IN ANY OTHER LAWFUL ACTIVITY FOR WHICH A CORPORATION MAY BE FORMED UNDER THE NOT-FOR-PROFIT CORPORATION LAW; THE PUBLIC OR QUASI-PUBLIC OBJECTIVE TO BE ACHIEVED BY THESE PURPOSES IS TO MAKE AVAILABLE SPECIAL HOUSING FOR THE ELDERLY WHERE SUCH HOUSING IS NOT CURRENTLY AVAILABLE. FORM 990, PART III, LINE 3 ON MARCH 22, 2023, AMSTERDAM HOUSE CONTINUING CARE RETIREMENT COMMUNITY, INC. D/B/A THE HARBORSIDE FILED A PETITION IN THE UNITED STATES BANKRUPTCY COURT FOR THE EASTERN DISTRICT OF NEW YORK SEEKING RELIEF UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE. AT THAT TIME, THE ORGANIZATION CEASED PROVIDING SERVICES, AND BEGAN WINDING DOWN THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE CORPORATION IS AMSTERDAM CONTINUING CARE HEALTH SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7A A MEETING OF THE MEMBER IS HELD ANNUALLY FOR THE ELECTION OF DIRECTORS AND THE TRANSACTION OF OTHER BUSINESS AT A PLACE AND TIME FIXED FROM TIME TO TIME BY THE MEMBER. IN ANY CASE IN WHICH THE MEMBER IS ENTITLED TO VOTE, THE MEMBER SHALL HAVE ONE VOTE. THE BOARD OF AHCCRC, INC. RATIFIES THE ELECTION OF DIRECTORS AND ELECTS OFFICERS AND AN ANNUAL MEETING. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER IS AUTHORIZED TO APPROVE MATERIAL ACTIONS PURSUANT TO NEW YORK NOT-FOR-PROFIT CORPORATION LAW. ANY OR ALL OF THE DIRECTORS MAY BE REMOVED BY THE MEMBER OR THE BOARD OF DIRECTORS UPON THE MEMBER'S CONSENT. THE MEMBER MAY AMEND, REPEAL, OR ADOPT BY-LAWS OF THE CORPORATION OR TWO-THIRDS OF THE BOARD OF DIRECTORS UPON THE MEMBER'S CONSENT. FORM 990, PART VI, SECTION B, LINE 11B AHCCRC, INC. HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, A COPY OF THE FORM 990 IS PROVIDED TO THE AUDIT COMMITTEE. THE CFO MAKES THE 990 AVAILABLE TO ALL BOARD MEMBERS. ANY ISSUES ARE DISCUSSED AND RESOLVED. ONCE THE BOARD HAS APPROVED THE RETURN IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, OFFICERS, AND KEY PERSONS MUST COMPLETE AN ANNUAL DISCLOSURE AND AFFIRMATION FORM IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY. A PERSON HAS A "FINANCIAL INTEREST" IF THE PERSON HAS, DIRECTLY OR INDIRECTLY, THROUGH BUSINESS, INVESTMENT OR FAMILY: A. AN OWNERSHIP OR INVESTMENT INTEREST IN ANY ENTITY WITH WHICH THE AMSTERDAM ENTITY HAS A TRANSACTION OR ARRANGEMENT; B. A COMPENSATION ARRANGEMENT WITH THE AMSTERDAM ENTITY OR WITH ANY ENTITY OR INDIVIDUAL WITH WHICH THE AMSTERDAM ENTITY HAS A TRANSACTION OR ARRANGEMENT; OR C. A POTENTIAL OWNERSHIP OR INVESTMENT INTEREST IN, OR COMPENSATION ARRANGEMENT WITH, ANY ENTITY OR INDIVIDUAL WITH WHICH THE AMSTERDAM ENTITY IS NEGOTIATING A TRANSACTION OR ARRANGEMENT. AN INTERESTED DIRECTOR MUST DISCLOSE THE RELATIONSHIP OR INTEREST IN THE TRANSACTION TO THE BOARD OF DIRECTORS OF THE APPLICABLE AMSTERDAM ENTITY. DISCLOSURE SHALL BE MADE TO THE CHAIRMAN OF THE BOARD AS SOON AS THE INTERESTED DIRECTOR BECOMES AWARE OF THE POTENTIAL FOR A CONFLICT IN CONNECTION WITH THE TRANSACTION, WHO THEN SHALL INFORM THE APPLICABLE BOARD. IF THE CHAIRMAN IS INVOLVED IN THE TRANSACTION, THE CHAIRMAN SHALL ADVISE THE SECRETARY OF THE APPLICABLE AMSTERDAM ENTITY WHO SHALL ARRANGE FOR BOARD DISCLOSURE. NO INTERESTED DIRECTOR SHALL PARTICIPATE IN THE DISCUSSION, DELIBERATIONS AND VOTING REGARDING A TRANSACTION. THE AFFIRMATIVE VOTE OF THE MAJORITY OF ALL THE DIRECTORS OF THE APPLICABLE AMSTERDAM ENTITY SHALL BE REQUIRED BEFORE ENTERING INTO THE TRANSACTION (EXCLUDED IN SUCH COUNTS IS THE INTERESTED DIRECTOR). NO TRANSACTION SHALL BE INVALIDATED OR AFFECTED IN ANY WAY IF THIS POLICY IS FOLLOWED. ALL OFFICERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST ON AN ANNUAL BASIS OR SOONER IF A POTENTIAL CONFLICT OR ACTUAL CONFLICT SHOULD ARISE. POTENTIAL CONFLICTS OR ACTUAL CONFLICTS ARE REVIEWED BY THE CHIEF COMPLIANCE OFFICER OF AMSTERDAM NURSING HOME. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION FOR THE PRESIDENT AND CEO IS SET USING COMPARABLE DATA. COMPARABLE DATA INCLUDED PUBLICLY AVAILABLE COMPENSATION DATA FROM SIMILARLY SITUATED CCRCS, SUCH AS COMPENSATION DATA IN THE FORM 990S FILED WITH THE IRS. THE COMPENSATION REVIEW PROCESS WAS APPROVED BY THE BOARD AND IS INCLUDED IN THE BOARD MINUTES. THIS REVIEW PROCESS WAS LAST CONDUCTED IN DECEMBER 2021. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AND FORM 1023 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS ALSO POSTED ON THE NEW YORK ATTORNEY GENERAL CHARITIES BUREAU WEBSITE AND GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY. FORM 990, PART IX, LINE 11G MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 629,913. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 629,913. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 116,898. MANAGEMENT AND GENERAL EXPENSES 34,711. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 151,609. SECURITY SERVICES: PROGRAM SERVICE EXPENSES 35,799. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,799. THERAPISTS: PROGRAM SERVICE EXPENSES 138,364. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 138,364. PAYROLL PROCESSING FEES: PROGRAM SERVICE EXPENSES 10,256. MANAGEMENT AND GENERAL EXPENSES 3,108. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,364. FINANCIAL ADVISORY SERVICES: PROGRAM SERVICE EXPENSES 179,962. MANAGEMENT AND GENERAL EXPENSES 98,856. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 278,818. BOND TRUSTEE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,750. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,750. DINING SERVICES: PROGRAM SERVICE EXPENSES 342,014. MANAGEMENT AND GENERAL EXPENSES 114,783. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 456,797. MARKETING ADVISORY SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 11,578. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,578. FORM 990, PART XI, LINE 9: LOSS ON DISPOSAL OF ASSET -13,685,130. LIQUIDATION ADJUSTMENTS 194,609,289. OPERATING COSTS, NET INCURRED DURING LIQUIDATION -14,415,701. LIQUIDATION BASIS: THE BOARD OF DIRECTORS OF THE HARBORSIDE APPROVED A PLAN OF LIQUIDATION AS OF MARCH 21, 2023, AND THE HARBORSIDE BEGAN LIQUIDATION PROCEEDINGS SHORTLY THEREAFTER. ON MARCH 22, 2023, THE HARBORSIDE (THE "DEBTOR") FILED A PETITION FOR RELIEF UNDER CHAPTER 11 OF THE FEDERAL BANKRUPTCY LAWS IN THE UNITED STATES BANKRUPTCY COURT FOR THE EASTERN DISTRICT OF NEW YORK ("BANKRUPTCY COURT"). AS A RESULT, THE HARBORSIDE CHANGED ITS BASIS OF ACCOUNTING FOR PERIODS AFTER MARCH 21, 2023, FROM THE GOING CONCERN BASIS TO THE LIQUIDATION BASIS IN ACCORDANCE WITH ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA. UNDER THE LIQUIDATION BASIS OF ACCOUNTING, THE HARBORSIDE'S ASSETS WERE MEASURED AT ESTIMATED NET REALIZABLE VALUES, AND LIABILITIES WERE STATED AT ESTIMATED SETTLEMENT AMOUNTS, INCLUDING COSTS EXPECTED TO BE INCURRED THROUGH COMPLETION OF LIQUIDATION. FORM 990, LINE B, AMENDED RETURN: AN AMENDED RETURN IS BEING FILED TO IN ORDER TO CONFORM TO THE ORGANIZATION'S DECEMBER 31, 2023 FINANCIAL STATEMENTS. A LISTING OF ALL OF THE CHANGES TO THE FORM 990 IS AS FOLLOWS: 1. PAGE 1, BOX G: GROSS RECEIPTS WAS RESTATED TO REFLECT THE UPDATED REVENUE REPORTED IN PART VIII. 2. PART I, LINES 8, 9, 11, 12, 15, 17, 18, 19, 20, 21, AND 22: THESE AMOUNTS WERE UPDATED TO REFLECT THE CHANGES REPORTED IN THEIR RESPECTIVE PARTS OF THE RETURN DUE TO THE ISSUANCE OF THE FINANCIAL STATEMENTS. 3. PART III, LINE 4A: THE TOTAL PROGRAM EXPENSES AND REVENUE REPORTED FOR THIS PROGRAM WAS UPDATED TO AGREE TO THE ADJUSTMENTS MADE IN PART VIII AND PART IX. 4. PART VIII, LINES 1, 2, 6A, 6C, 10A, 10B, 10C, 11A, 11B, 11C, AND 12: THE REVENUE ON THESE LINES WERE UPDATED TO AGREE TO THE FINANCIAL STATEMENTS. 5. PART IX, LINES 5 THROUGH 25: THESE AMOUNTS WERE UPDATED TO REFLECT THE FUNCTIONAL ALLOCATION PER THE FINANCIAL STATEMENTS. 6. PART X, LINES 1, 2, 4, 10A, 10B, 10C, 15, 16, 17, 19, 20, 21, 23, 25, 26, 27, 32, AND 33: THESE AMOUNTS WERE UPDATED TO AGREE TO THE FINANCIAL STATEMENTS. 7. PART XI, LINES 1, 2, 3, 9 AND 10: THESE AMOUNTS WERE UPDATED FOR THE CHANGES REPORTED IN PART VIII AND PART IX, AS MENTIONED ABOVE AS WELL AS TO AGREE TO THE FINANCIAL STATEMENTS. 8. SCHEDULE D, PART VI: THE AMOUNTS REPORTED IN THIS SECTION WERE UPDATED TO AGREE WITH THE LAND, BUILDINGS, AND EQUIPMENT COST AND ACCUMULATED DEPRECIATION, PER THE AUDITED FINANCIAL STATEMENTS. 9. SCHEDULE D, PART XI AND XII: THE AMOUNTS REPORTED IN THESE SECTIONS WERE UPDATED TO AGREE WITH THE REVENUE AND EXPENSES, PER THE AUDITED FINANCIAL STATEMENTS. 10. SCHEDULE O: NARRATIVES WERE UPDATED WITH REGARDS TO THE CHANGES MENTIONED ABOVE. AMSTERDAM CONTINUING CARE HEALTH SYSTEM 1060 AMSTERDAM AVENUE NEW YORK NY 10025 134034061 ASSIST ELDERLY NY 501(C)(3) LINE 7 N/A 0 AMSTERDAM NURSING HOME CORPORATION (1992) 1060 AMSTERDAM AVENUE NEW YORK NY 10025 133834710 NURSING HOME NY 501(C)(3) LINE 10 N/A 0 AMSTERDAM 2012 INC 1060 AMSTERDAM AVENUE NEW YORK NY 10025 461715083 DEV RENT PROP NY 501(C)(3) LINE 10 AMSTERDAM NURSING HOME CORPORATION (1992) 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0