2023-11-01T15:57:05-05:00 2022-12-31 873231666 PKF O'CONNOR DAVIES ADVISORY LLC 500 MAMARONECK AVENUE SUITE 301 HARRISON NY 105281633 990 2022-01-01 134034061 AMSTERDAM CONTINUING CARE HEALTH SYSTEM INC AMST 2125753322 1060 AMSTERDAM AVENUE NEW YORK NY 10025 MARK PANCIRER SENIOR VP/CFO 2125753322 2023-11-01 1 MARK PANCIRER XXX-XX-XXXX 1 EVA MRUK P00543254 9143818900 2023-11-01 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z JAMES DAVIS 1060 AMSTERDAM AVENUE NEW YORK NY 10025 215185 0 X N/A X 1997 NY SUPPORT TO INDEPENDENT NOT-FOR-PROFITS DEVOTED TO THE HEALTH CARE, HOUSING, AND SERVICESOF THE ILL, THE IMPAIRED, THE DISABLED, AND THE ELDERLY. 8 8 2 11 0 0 130230 162045 315589 0 2124 24640 -4658 -9573 443285 177112 3365187 41083 0 0 145529 12853 0 0 0 259983 61728 3770699 115664 -3327414 61448 2457362 2390985 2275958 2270058 181404 120927 X THE PURPOSES OF ACCHS INCLUDE THE PROVISION OF ADVISORY AND OTHER SUPPORT TO INDEPENDENT NOT-FOR-PROFIT ORGANIZATIONS DEVOTED TO THE PROVISION OF HEALTH CARE, HOUSING, AND SERVICES TO THE ILL, THE IMPAIRED, THE DISABLED, AND THE ELDERLY. 0 1 56597 41083 0 SUPPORT SERVICES TO RELATED FACILITY-BASED LONG-TERM CARE SERVICE PROVIDERS. 56597 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 5 0 2 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 0 NY X X MARK PANCIRER 2125753322 1060 AMSTERDAM AVENUE NEW YORK NY 10025 JOSEPH C HOOPES JR CHAIRMAN & TREASURER 2.00 4.50 X X 0 0 0 FRANCES R OLIVIERI VICE CHAIRMAN 0.50 2.00 X X 0 0 0 GEORGE L VAN AMSON VICE CHAIRMAN 0.50 2.00 X X 0 0 0 JOSE V TORRES SECRETARY 0.50 1.00 X X 0 0 0 REV CANON JAMES CALLAWAY JR DIRECTOR 0.50 1.50 X 0 0 0 JAMES C CAMPBELL DIRECTOR, THRU AUG. 2022 0.50 1.50 X 0 0 0 ISABEL M CARDEN DIRECTOR, THRU AUG. 2022 0.50 1.50 X 0 0 0 R SCOTT EDMONDS DIRECTOR 0.50 1.50 X 0 0 0 DR KAREN M HOPKINS DIRECTOR, THRU AUG. 2022 0.50 1.50 X 0 0 0 JAY H MCDOWELL DIRECTOR 0.50 1.50 X 0 0 0 LANGDON VAN NORDEN DIRECTOR 0.50 1.50 X 0 0 0 JAMES DAVIS PRESIDENT / CEO 12.00 48.00 X 7211 912335 20522 MARK PANCIRER SR. VP. / CFO 3.60 36.40 X 6348 270642 22018 PAMELA LANDMAN SR. VP. / GENERAL COUSEL 2.86 45.89 X 0 254429 40585 13559 1437406 83125 0 0 1 0 0 146050 15995 162045 24640 24640 28500 146050 38073 -9573 -9573 177112 0 0 15067 41083 41083 11820 11820 1033 1033 382 382 12500 12500 5388 5388 6008 6008 2226 2226 284 284 15514 15514 19426 19426 115664 56597 59067 0 159553 148866 2094267 2190370 705 18403 53721 27437 41797 26284 121594 0 39446 7062 2457362 2390985 8358 2458 2267600 2267600 2275958 2270058 X 181404 120927 181404 120927 2457362 2390985 X 61448 -332 -121593 X X 0 1 X 1 0 X 295590 323748 242830 130230 162045 1154443 295590 323748 242830 130230 162045 1154443 437750 716693 78385 92710 25145 2124 24640 223004 1196 1196 1378643 1264493 0.51990 0.47940 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 53721 27437 26284 26284 SUBVENTION - SUBORDINATE NOTE 2267600 2267600 X PART X, LINE 2: THE HEALTH SYSTEM RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE ENTITY HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE HEALTH SYSTEM IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2019. ANNUAL GOLF OUTING 174550 146050 28500 36668 1405 174550 146050 28500 36668 1405 38073 -9573 1 AMSTERDAM HOUSE CONTINUING CARE RETIREMENT COMMUNITY INC 300 EAST OVERLOOK PORT WASHINGTON NY 11050 113711764 501(C)(3) 41083 0 GENERAL SUPPORT 1 0 PART I, LINE 2: GRANTS TO ORGANIZATIONS: THE HEALTH SYSTEM GAVE A CONTRIBUTION TO A RELATED ORGANIZATION, AMSTERDAM HOUSE CONTINUING CARE RETIREMENT COMMUNITY, INC. THE ORGANIZATIONS HAVE OVERLAPPING MANAGEMENT AND BOARD MEMBERS, WHICH IS HOW THE HEALTH SYSTEM ENSURES THAT THE ORGANIZATION WILL USE THE FUNDS FOR THE INTENDED PURPOSE. THE HEALTH SYSTEM ALSO REQUIRES SUFFICIENT DOCUMENTATION FROM THE GRANTEE PRIOR TO REIMBURSEMENT OF EXPENDITURES. X X X 0 0 0 0 0 0 0 0 0 JAMES DAVIS PRESIDENT / CEO 4886 568304 0 0 2325 344031 0 13116 1180 6226 8391 931677 0 0 MARK PANCIRER SR. VP. / CFO 2443 270218 0 0 3905 424 0 12999 1280 7739 7628 291380 0 0 PAMELA LANDMAN SR. VP. / GENERAL COUSEL 0 233000 0 0 0 21429 0 8289 0 32296 0 295014 0 0 FORM 990, PART III, LINE 3 AMSTERDAM CONSULTING, LLC, A DISREGARDED ENTITY, CLOSED AND DISSOLVED IN 2022. THE ORGANIZATION PREVIOUSLY PROVIDED ADMINISTRATIVE, SUPERVISORY, AND FISCAL ADVISORY AND CONSULTING SERVICES TO AFFILIATES OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B AMSTERDAM CONTINUING CARE HEALTH SYSTEM, 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 AND REVIEWED BY THE AUDIT COMMITTEE. ANY ISSUES ARE REVIEWED AND CORRECTED. THE CFO THEN MAKES THE FULL 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 12C DIRECTORS, 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. 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 BOARD. IF THE CHAIRMAN IS INVOLVED IN THE TRANSACTION, THE CHAIRMAN SHALL ADVISE THE SECRETARY, 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 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 PERSONS 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 COMPLIANCE OFFICER. EXECUTIVE EMPLOYEES ARE ALSO REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST ON AN ANNUAL BASIS OR SOONER IF A POTENTIAL CONFLICT OR ACTUAL CONFLICT SHOULD ARISE. FORM 990, PART VI, SECTION B, LINE 15 ACCHS HAS A PROCESS TO DETERMINE COMPENSATION FOR THE PRESIDENT/CEO WHICH INCLUDES A REVIEW BY A COMPENSATION COMMITTEE, AND OUTSIDE BENEFITS CONSULTANT, AND THE USE OF COMPARABLE DATA. THIS PROCESS INCLUDES A REVIEW OF TOTAL COMPENSATION INCLUDING BONUS CONSIDERATION BY THE COMMITTEE. THE DELIBERATIONS AND DECISIONS ARE DOCUMENTED WITHIN THE COMMITTEE MINUTES. THIS PROCESS WAS UNDERTAKEN IN DECEMBER 2021 FOR THE YEAR 2021. BASE WAGES WERE TERMINATED EFFECTIVE DECEMBER 31, 2021. ACCHS HAS A PROCESS TO DETERMINE COMPENSATION FOR OFFICERS OTHER THAN THE PRESIDENT/CEO, WHICH INCLUDES A REVIEW BY A COMPENSATION AND BENEFITS CONSULTANT, AND THE USE OF COMPARABLE DATA. THIS PROCESS INCLUDES A REVIEW OF TOTAL COMPENSATION INCLUDING BONUS CONSIDERATION BY THE PRESIDENT/CEO AND ARE DOCUMENTED IN WRITING. THIS PROCESS WAS LAST UNDERTAKEN IN DECEMBER 2020, AS THERE WAS NO CHANGE IN COMPENSATION IN 2021. THE BASE WAGE COMPENSATION WAS TERMINATED EFFECTIVE DECEMBER 31, 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 GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE 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 XI, LINE 9: WRITE-OFF OF INVESTMENT IN AMSTERDAM SERVICES CORP (2001) -121,593. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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