2019-11-14T23:12:19-06:00 2018-12-31 BKD LLP 655 Third Avenue 1200 New York NY 10017 990 2018-01-01 133834710 Amsterdam Nursing Home Corporation (1992) % MARK PANCIRER AMST 2125753322 1060 Amsterdam Avenue New York NY 10025 MARK PANCIRER SENIOR VP/COO 2125753322 2019-05-15 true Aaron Shapiro P01333816 2128674000 167.68.126.162 26511920193185000009 2019-11-14 P AA081CA9EBCB26667D05DC7D0EA836463BDCC5C6 319FC87BD1330F796E4035663441B3D0185919B5 2018 2020-03-31 21:24:44Z AMSTERDAM NURSING HOME james davis 1060 AMSTERDAM AVENUE NEW YORK NY 10025 71524226 false X AMSTERDAMCARES.ORG X 1995 NY To operate a not for profit nursing home WITH 409 NURSING FACILITY BEDS AND AN ADULT DAY HEALTH CARE program FOR 40 REGISTRANTS. 12 12 532 72 9553 158737 362066 847512 61102735 64801198 65941 121499 323971 630410 61854713 66400619 0 0 0 0 35862218 36393041 0 0 0 25974992 29165013 61837210 65558054 17503 842565 59435924 58252072 42946849 40919781 16489075 17332291 X AMSTERDAM 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, AS WELL 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. false false 58842771 64801198 AMSTERDAM 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 2018, AMSTERDAM HAD 1327 ADMISSIONS AND PROVIDED 8,593 ADULT DAY HEALTH CARE VISITS. AMSTERDAM HAD AN OCCUPANCY RATE OF 97.34 PERCENT IN THE NURSING FACILITY. 58842771 true true false true false false false false true false true false false true 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 118 0 532 true true true false false false false false false false false false false false X 12 12 true false false false false false false true true false false true true true true true true true true false NY X MARK PANCIRER 2125753322 1060 AMSTERDAM AVENUE NEW YORK NY 10025 Lawrence B Thompson Chairman 2.0 3.0 X X 0 0 0 George L Van Amson Vice Chairman 0.5 0.8 X X 0 0 0 Frances R Olivieri Vice Chair 0.5 1.8 X X 0 0 0 Joseph C Hoopes Jr Treasurer 1.0 1.5 X X 0 0 0 Jose V Torres Secretary 0.3 0.3 X X 0 0 0 Reverend James G Callaway Jr Board Member 0.3 0.5 X 0 0 0 Dr Karen M Hopkins Board Member 0.3 0.5 X 0 0 0 Jay H McDowell Board Member 0.3 0.5 X 0 0 0 Rev Deacon Frank L Peterson Jr Board Member 0.3 0.5 X 0 0 0 R Scott Edmonds Board Member 0.3 0.5 X 0 0 0 James J Campbell Board Member 0.3 0.5 X 0 0 0 Isabel M Carden Board Member 0.5 0.5 X 0 0 0 JAMES DAVIS PRESIDENT/CEO 35.0 15.0 X 608619 52999 48311 MARK PANCIRER Senior VP/CFO 42.5 7.5 X 305937 30000 48871 JUDITH FENSTER Senior VP/COO through 9/18 35.0 0.0 X 191571 0 40341 WILLIAM J PASCOCELLO Senior VP/COO 35.0 0.0 X 76396 0 5723 GERTRUDES DE GUZMAN DIR. OF NURSING 35.0 0.0 X 165614 0 44652 LORNA POON Director of FINANCE 35.0 0.0 X 194142 0 24339 CELMA C DUMAGUING Assistant Director of FINANCE 35.0 0.0 X 136873 0 4616 IMEE R VILLAVICENCIO NURSE 37.5 0.0 X 124317 0 15244 GEETHA MURLI DIR. OF ACCTS OF REC. 35.0 0.0 X 129352 0 8921 JOERALIN LIM NURSE 37.5 0.0 X 140909 0 15244 2073730 82999 256262 20 false true false THERADYAMICS PHY REHAB 225 CROSSWAYS PARK DRIVE WOODBURY NY 11787 PHYSCIAL THERAPY 4100025 UNITED HOME CARE 77-04 BROADWAY ELMHURST NY 11373 NURSING AGENCY 3300072 RN EXPRESS REGISTRY LLC 71 WEST 23RD ST STE 1622 NEW YORK NY 10010 NURSING AGENCY 1087737 INPATIENT HOSPITALIST SERV NY PO BOX 92284 LOS ANGELES CA 90009 PHYSICAN SERVICES 902771 LI SCRIPT 225 CROSSWAYS DR WOODBURY NY 11797 PHARMACY 769009 15 847377 135 847512 PATIENT SERVICE CARE 623000 63693737 63693737 UNIVERSAL SETTLEMENT 623000 1107461 1107461 64801198 120208 9553 110655 0 0 0 0 0 5124898 5123607 1291 1291 1291 0 0 0 0 0 0 0 0 0 ESCROW DEPOSIT 900099 525298 525298 MEDICAL INSURANCE SURPLUS 623990 57461 57461 EXPENSE RECOVERY 623990 10427 10427 37224 37224 630410 66400619 64801198 9553 742356 0 0 0 0 1536035 1536035 0 22784194 21334324 1449870 0 2049693 1981662 68031 8063805 7677957 385848 1959314 1837249 122065 0 288462 288462 63900 63900 5166 5166 0 0 11541223 10562458 978765 268 268 6418789 5346969 1071820 0 0 2137172 1860632 276540 19489 4332 15157 0 0 5369 4725 644 0 2002162 1761903 240259 1084967 960532 124435 NYS ASSESMENT 2569484 2569484 BAD DEBT 2651164 2651164 MISCELLANEOUS 377398 289380 88018 65558054 58842771 6715283 0 627558 1568288 16179960 16087584 0 0 10777901 9154972 0 0 0 0 0 0 119490 72564 2314336 3045221 81307336 62172812 20224393 19134524 0 0 31468 40979 0 0 0 0 9160818 9147940 59435924 58252072 8867438 8598871 0 0 0 0 0 0 456324 447445 0 0 31956412 29710966 0 0 1666675 2162499 42946849 40919781 X 16390771 17235450 98304 96841 0 0 16489075 17332291 59435924 58252072 842565 651 X X false true X true true true X 5009 1365071 2823914 362066 847512 5403572 58975995 60380596 61061024 61102735 64801198 306321548 0 0 0 58981004 61745667 63884938 61464801 65648710 311725120 0 0 0 311725120 23622 31142 51472 65941 120208 292385 0 23622 31142 51472 65941 120208 292385 0 693292 783244 664546 323971 630410 3095463 59697918 62560053 64600956 61854713 66399328 315112968 0.98925 0.98900 0.00093 0.00600 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 5166 5166 false Part ii-b, line 1 DUES AND OR FEES PAID TO THE FOLLOWING ORGANIZATIONS THAT HAD LOBBYING EXPENSES: CCLC - $1,687, AND LEADING AGE - $3,479. false true X 1432917 1432917 57029349 43439753 13589596 70774 69702 1072 22661658 18582290 4079368 112638 81067 31571 19134524 ASSETS HELD FOR AHCCRC 8018463 ESTIMATED DUE TO THIRD PARTIES 245490 INSURANCE RECOVERY 600000 OTHER ASSET 283987 9147940 0 DUE TO THIRD PARTIES 1436410 ACCRUED INTEREST PAYABLE 101089 INSURANCE PAYABLE 625000 2162499 63750106 651 651 63749455 2651164 2651164 66400619 62906890 62906890 2651164 2651164 65558054 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 XI, LINE 4B BAD DEBT EXPENSE: 2,651,164 PART XII, LINE 4B BAD DEBT EXPENSE: 2,651,164 X X X X X X false false false false false false false true false JAMES DAVIS PRESIDENT/CEO 603205 52999 0 0 5414 0 19212 0 29099 0 656930 52999 MARK PANCIRER Senior VP/CFO 255326 30000 50000 0 611 0 19212 0 29659 0 354808 30000 JUDITH FENSTER Senior VP/COO through 9/18 166648 0 0 0 24923 0 15694 0 24647 0 231912 0 LORNA POON Director of FINANCE 183811 0 10000 0 331 0 11385 0 12954 0 218481 0 JOERALIN LIM NURSE 140909 0 0 0 0 0 0 0 15244 0 156153 0 GERTRUDES DE GUZMAN DIR. OF NURSING 160010 0 5000 0 604 0 9511 0 35141 0 210266 0 Part I, line 7 THE PRESIDENT/CEO GATHERS COMPARABLE INFORMATION, EVALUATES AND APPROVES A BONUS FOR THE ORGANIZATION'S OFFICERS, KEY EMPLOYEES AND HIGHLY COMPENSATED EMPLOYEES BASED ON PERFORMANCE. THE BOARD OF DIRECTORS ESTABLISHES THE COMPENSATION FOR THE PRESIDENT/CEO BASED ON COMPARABLE MARKET DATA. FORM 990, PART VI, SECTION A, LINE 2 LAWRENCE B. THOMPSON AND R. SCOTT EDMONDS OF THE BOARD OF DIRECTORS ARE PARTNERS IN THE SAME BUSINESS FIRM. FORM 990, PART VI, SECTION B, LINE 11B 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. FORM 990, PART VI, SECTION B, LINE 12C 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 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 BECOMES AWARE OF THE POTENTIAL FOR A CONFLICT IN CONNECTION WITH THE TRANSACTION, WHO 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 15A AMSTERDAM HAS A PROCESS TO DETERMINE COMPENSATION FOR THE President/CEO 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 UNDERTAKEN IN DECEMBER 2017 FOR THE YEAR 2018. SUBSEQUENTLY ANOTHER REVIEW WAS DONE ON DECEMBER 2018 FOR THE 2019 YEAR. THIS PROCESS INCLUDES A REVIEW OF TOTAL COMPENSATION INCLUDING BONUS CONSIDERATION. FORM 990, PART VI, SECTION B, LINE 15B 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 2018. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C AMSTERDAM 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. FORM 990 PART IX LINE 11G DESCRIPTION:TEMPORARY AGENCY FEES TOTAL FEES:5086386 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICAL THERAPY FEES TOTAL FEES:1879313 FORM 990 PART IX LINE 11G DESCRIPTION:OCCUPATIONAL THERAPIST FEES TOTAL FEES:1523346 FORM 990 PART IX LINE 11G DESCRIPTION:NURSING HOME CONSULTING SRVCS TOTAL FEES:3052178 AMSTERDAM SERVICES CORP 1060 AMSTERDAM AVENUE NEW YORK NY 10025 133902473 admin/consult NY 501(C)(3) PF ACCHS false Amsterdam Continuing Care Health System 1060 AMSTERDAM AVE NEW YORK NY 10025 134034061 Assist elderl NY 501(C)(3) Line 7 NA false Amsterdam House Continuing Care Retire 1060 AMSTERDAM AVE NEW YORK NY 10025 113711764 Nursing Care NY 501(C)(3) Line 12A, I ACCHS false ANH Foundation 1060 AMSTERDAM AVENUE NEW YORK NY 10025 137099598 Grantmaking NY 501(C)(3) PF ACCHS false AMSTERDAM 2012 INC 1060 AMSTERDAM AVENUE NEW YORK NY 10025 461715083 DEV RENT PROP NY 501(c)(3) ANH false AMSTERDAM SERVICE CORP 2001 1060 AMSTERDAM AVE NEW YORK NY 10025 134184082 CONSULT & ADM NY ACCH System C CORP 0 0 0.00000 false false false false false false false false false false false false false false false true false false false false