2020-10-20T11:48:45-05:00 2019-12-31 BKD LLP 1155 Avenue of the Americas 1200 New York NY 10036 990 2019-01-01 135596795 John E Andrus Memorial Inc % NOVELLA KELLY JOHN 9144783700 185 Old Broadway HastingsonHudson NY 10706 JAMES ROSENMAN CEO 9144783700 2020-11-15 true Aaron Shapiro P01333816 2128674000 167.68.126.162 26511920202945000001 2020-10-20 P 6EF7E506F0EB9D8B772D1A3D38FBD5C32131A5DB 319FC87BD1330F796E4035663441B3D0185919B5 2019 2021-01-29 14:40:06Z JAMES ROSENMAN 185 OLD BROADWAY HASTINGSONHUDSON NY 10706 29733231 false X WWW.ANDRUSONHUDSON.ORG X 1953 NY ANDRUS ON HUDSON IS A CARING ORGANIZATION FOSTERING THE WELLBEING, DIGNITY, AND QUALITY OF LIFE FOR ELDERS ON ITS CAMPUS AND THROUGHOUT WESTCHESTER COUNTY. 11 11 330 20 0 2497662 6037270 22456274 22626210 81508 214838 693257 646202 25728701 29524520 0 0 0 0 15399874 17228778 0 0 0 7359765 7475129 22759639 24703907 2969062 4820613 28910986 31434580 5078847 3105744 23832139 28328836 TO CREATE AND SUSTAIN A RESIDENTIAL CARE COMMUNITY WITH A STIMULATING AND SECURE ENVIRONMENT. false false 21089206 22626210 ANDRUS ON HUDSON (AOH) IS A SKILLED NURSING FACILITY WHICH PROVIDES ROOM AND BOARD SERVICES TO RESIDENTS. AOH IS A NYS-LICENSED 197-BED FACILITY. REVENUES ARE DERIVED FROM PROVIDING HEALTH CARE SERVICES. A SIGNIFICANT PORTION OF THE FACILITY'S OPERATING REVENUES IS FUNDED THROUGH THE MEDICAID AND MEDICARE PROGRAMS, AS WELL AS SELF PAY INDIVIDUALS. THE MAJORITY OF RESIDENTS COME FROM THE CITY OF YONKERS, NEW YORK. 21089206 true true false false false false false false true true true false false false true false true false false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 55 0 330 true false false false false false false false false false false false false X 11 11 true false false false false false false true true false false true true true true true true true false false NY X NOVELLA KELLY 9144783700 185 OLD BROADWAY HASTINGS ON HUDSON NY 10706 JAMES ROSENMAN CEO 37.5 0.0 X 331472 0 36902 BETSY BIDDLE EXECUTIVE DIRECTOR 37.5 0.0 X 281972 0 41898 BARBARA FLEISCHER ADMINISTRATOR 37.5 0.0 X 179086 0 19154 NOVELLA KELLY DIRECTOR OF FINANCE 37.5 0.0 X 170569 0 7327 RICHARD FELIPE DIRECTOR OF FACILITIES 37.5 0.0 X 135813 0 32998 ANGELA TAYLOR DIRECTOR OF NURSING 37.5 0.0 X 137476 0 2558 JENNIFER MORIN NURSE MANAGER 37.5 0.0 X 113007 0 16460 NADINE JOSEPH lpn 37.5 0.0 X 121376 0 0 ELIZABETH MOON SHOGREN CHAIRMAN OF THE BOARD 4.0 1.0 X X 0 0 0 MCCAIN MCMURRAY VICE CHAIR 4.0 1.0 X X 0 0 0 JEFFERY GEORGE TREASURER 4.0 1.0 X X 0 0 0 ALEXANDRA MOON CARDON SECRETARY 4.0 1.0 X X 0 0 0 JOCELYN DOWNIE BOARD DIRECTOR 4.0 1.0 X 0 0 0 IRENE GUTHEIL BOARD DIRECTOR 4.0 1.0 X 0 0 0 COLBERT ANDRUS BOARD DIRECTOR 4.0 1.0 X 0 0 0 ROBERT CADOUX BOARD DIRECTOR 4.0 1.0 X 0 0 0 ANDREW SHERMAN BOARD DIRECTOR 4.0 1.0 X 0 0 0 SUSAN COHN BOARD DIRECTOR 4.0 1.0 X 0 0 0 ROBERT HEDLUND BOARD DIRECTOR 4.0 3.0 X 0 0 0 MARC DE VENOGE ASSISTANT TREASURER 4.0 3.0 X 0 0 0 1470771 0 157297 14 false true false AFFINITY REHABILITATION LLP 307 INTERNATIONAL CIRCLE HUNT VALLEY MD 21030 REHAB SERVICES 1076884 PHARMSCRIPT LLC 150 PIERCE ST SOMERSET NJ 08873 PHARMACY DRUGS 312423 LASBERG CONTRUCTION 200 BUSINESS PARK DR ARMONK NY 10504 CONTRUCTION SRVS 301688 AMENTA EMMA 252 TRUMBULL ST HARTFORD CT 06103 ARCHITECT 153197 BOTTOM LINE COLLECTIONS 64 SECOR LANE HOPEWELL JCT NY 12533 BILLING SERVICES 131132 7 267326 5769944 6037270 PATIENT SERVICE REVENUE 623990 22626210 22626210 22626210 212987 212987 0 0 625959 75115 550844 0 550844 550844 135447 133596 1851 1851 1851 0 0 0 0 0 0 0 0 0 OTHER 900099 95358 95358 95358 29524520 22626210 861040 0 0 0 0 870140 783126 87014 0 11473055 9817342 1655713 1012711 868454 144257 0 2937576 2519379 418197 935296 802972 132324 0 51816 51816 45656 45656 0 0 2632 2632 1886962 1540480 346482 9071 9071 1135202 783997 351205 70863 70863 0 686941 661113 25828 31755 3140 28615 0 0 160011 160011 0 1314396 1314396 245028 245028 NYS CASH RECEIPTS ASSMT 1145122 1145122 MEDICAL SUPPLIES 689674 689674 24703907 21089206 3614701 0 2686000 1915174 1199992 1321591 0 2765854 2015128 1864651 0 0 0 0 0 0 0 21245 137926 315757 46876657 32355702 14906099 14520955 7965841 8332244 0 0 0 0 0 0 0 377109 28910986 31434580 1840535 2377787 0 0 0 0 0 0 518579 587989 0 0 2719733 0 0 0 0 139968 5078847 3105744 X 23429333 24651140 402806 3677696 23832139 28328836 28910986 31434580 X 4820613 151758 -475674 X X false true X true false X 2362182 1229038 2031790 2497662 6037270 14157942 19787860 19962347 20703943 22456274 22626210 105536634 0 0 0 22150042 21191385 22735733 24953936 28663480 119694576 0 46505 46505 46505 133144 272659 46505 46505 46505 133144 272659 119421917 377516 415500 474919 549498 838946 2656379 0 377516 415500 474919 549498 838946 2656379 0 178458 492134 283935 281426 95358 1331311 22706016 22099019 23494587 25784860 29597784 123682266 0.96555 0.96512 0.02148 0.01900 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true X 402806 16753 16753 402806 402806 14009 14009 402806 402806 8317 8317 402806 402806 7929 7929 402806 402806 7024 7024 402806 1.00000 false false 701675 701675 40024149 27244812 12779337 5397242 4901484 495758 753591 209406 544185 14520955 0 DUE TO THIRD PARTIES 139968 139968 29273087 151758 -400559 -248801 29521888 2632 2632 29524520 24776390 75115 75115 24701275 2632 2632 24703907 SCHEDULE D, PART IV, LINE 2B RESIDENT FUNDS HELD IN TRUST ARE MAINTAINED IN BANK ACCOUNTS SEPARATE FROM JOHN E. ANDRUS MEMEORIAL, INC.'S ACCOUNTS. INTEREST EARNED ON RESIDENT FUNDS IS CREDITED TO THE RESIDENTS ACCOUNTS SCHEDULE D, PART V, LINE 4 THE ENDOWMENT CONSISTS OF A DONOR RESTRICTED ENDOWMENT FUND ESTABLISHED FOR RESIDENT ACTIVITIES. THE OBJECTIVE OF THE ORGANIZATION IS TO MAINTAIN THE PRINCIPAL ENDOWMENT FUNDS AT THE ORIGINAL AMOUNT DESIGNATED BY THE DONOR AND TO EARN INCOME ON THE FUNDS. THE INVESTMENT POLICY TO ACHIEVE THIS OBJECTIVE IS TO INVEST IN LOW RISK SECURITIES. INTEREST EARNED IN RELATION TO THE ENDOWMENT FUNDS IS RECORDED AS TEMPORARILY RESTRICTED INCOME AND RELEASED FROM RESTRICTION UPON EXPENDITURE FOR THE PROGRAM FOR WHICH THE ENDOWMENT FUND WAS ESTABLISHED. PART XI, LINE 2D - OTHER ADJUSTMENTS: Loss on project abandonment: -$475,674 RENTAL EXPENSES: 75,115 PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES: $75,115 X X false false false false false false false false false BETSY BIDDLE EXECUTIVE DIRECTOR 281972 0 0 0 0 0 16800 0 25098 0 323870 0 JAMES ROSENMAN CEO 331472 0 0 0 0 0 0 0 36902 0 368374 0 BARBARA FLEISCHER ADMINISTRATOR 179086 0 0 0 0 0 7323 0 11831 0 198240 0 RICHARD FELIPE DIRECTOR OF FACILITIES 135813 0 0 0 0 0 5909 0 27089 0 168811 0 NOVELLA KELLY DIRECTOR OF FINANCE 170569 0 0 0 0 0 6823 0 504 0 177896 0 FORM 990, PART VI, SECTION A, LINE 2 MCCAIN MCMURRAY, COLBERT ANDRUS, ROBERT HEDLUND, ELIZABETH SHOGREN, JOCELYN DOWNIE, JEFFREY GEORGE, AND ALEXANDRA MOON CARDON ALL HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE 990 WAS REVIEWED BY THE CHIEF EXECUTIVE OFFICER AND THE DIRECTOR OF FINANCE. THE COMPLETED FORM 990 WAS E-MAILED TO ALL BOARD MEMBERS PRIOR TO BE BEING FILED WITH THE IRS. IF A BOARD MEMBER HAS AN ISSUE WITH ANYTHING IN THE 990, THEY MAY ADDRESS IT WITH THE CEO AND THE DIRECTOR OF FINANCE. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS AND ALL EMPLOYEES ARE INSTRUCTED ON CONFLICT OF INTEREST POLICIES AND EACH RECEIVES A QUESTIONAIRE TO COMPLETE AND SIGN. ALL ISSUES ARE ADDRESSED AND RE-ADDRESSED AT THIS TIME. POSTERS AND NOTICES ARE PLACED IN THE FACILITY. IF A CONFLICT OF INTEREST EXISTS, THE AFFECTED MEMBER IS ASKED TO ABSTAIN FROM DECISION MAKING ON RELATED ISSUES. FORM 990, PART VI, SECTION B, LINE 15A THE CEO'S COMPENSATION IS BASED ON A COMPENSATION STUDY AND WAS APPROVED BY THE BOARD OF DIRECTORS. THIS WAS LAST DONE IN 2019. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AVAILABLE UPON REQUEST FORM 990, PART XI, Line 9 Loss on project abandonment: -$475,674 FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. 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