2018-09-14T14:45:37-05:00 2017-12-31 131517563 LOEB & TROPER LLP 655 THIRD AVENUE 12TH FLOOR NEW YORK NY 10017 990 2017-01-01 135596795 JOHN E ANDRUS MEMORIAL INC JOHN 9144783700 185 OLD BROADWAY HASTINGSONHUDSON NY 10706 BETSY BIDDLE EXECUTIVE DIRECTOR 9144783700 2018-09-13 1 AARON SHAPIRO P01333816 2128674000 2017 2022-09-23 18:48:47Z ANDRUS ON HUDSON BETSY BIDDLE 185 OLD BROADWAY HASTINGSONHUDSON NY 10706 23494587 0 X WWW.ANDRUSONHUDSON.ORG X 1953 NY TO CREATE AND SUSTAIN A RESIDENTIAL CARE COMMUNITY WITH A STIMULATING AND SECURE ENVIRONMENT. 11 11 359 105 0 0 1229038 2031790 19962347 20703943 25659 42962 830063 664153 22047107 23442848 0 0 0 0 14363489 14991560 0 0 0 6407779 6572026 20771268 21563586 1275839 1879262 23861313 25980494 4834616 5046567 19026697 20933927 TO CREATE AND SUSTAIN A RESIDENTIAL CARE COMMUNITY WITH A STIMULATING AND SECURE ENVIRONMENT. 0 0 19214761 20703943 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. 19214761 1 1 0 0 0 0 0 0 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 51 0 359 1 0 0 0 0 0 0 0 0 0 0 X 11 11 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X NOVELLA KELLY 9144783700 185 OLD BROADWAY HASTINGS ON HUDSON NY 10706 MCCAIN MCMURRAY PRESIDENT, CO-CHAIRMAN 4.00 X X 0 0 0 ELIZABETH SHOGREN VICE PRESIDENT, CO-CHAIRMAN 4.00 X X 0 0 0 ROBERT HEDLUND TREASURER 4.00 X X 0 0 0 ROBERT CADOUX BOARD DIRECTOR 4.00 X 0 0 0 JOCELYN DOWNIE BOARD DIRECTOR 4.00 X 0 0 0 IRENE GUTHEIL BOARD DIRECTOR 4.00 X 0 0 0 COLBERT ANDRUS BOARD DIRECTOR 4.00 X 0 0 0 ANDREW SHERMAN BOARD DIRECTOR 4.00 X 0 0 0 ALEXANDRA MOON CARDON BOARD DIRECTOR 4.00 X 0 0 0 SUSAN COHN BOARD DIRECTOR 4.00 X 0 0 0 JEFFREY GEORGE BOARD DIRECTOR 4.00 X 0 0 0 BETSY BIDDLE EXECUTIVE DIRECTOR 37.50 X 272178 0 36775 NOVELLA KELLY DIRECTOR OF FINANCE 37.50 X 156301 0 10471 BARBARA FLEISCHER ADMINISTRATOR 37.50 X 168608 0 11155 SUSAN DEMPSEY DIRECTOR OF NURSING 37.50 X 128805 0 25774 RICHARD FELIPE DIRECTOR OF FACILITIES 37.50 X 115189 0 37304 841081 0 121479 5 0 1 0 AFFINITY REHABILITATION LLP 307 INTERNATIONAL CIRCLE ROAD SUITE COCKEYSVILLE MD 21030 THERAPY MANAGEMENT SERVICES 900029 PHARMSCRIPT LLC 150 PIERCE STREET SOMERSET NJ 08873 PHARMACY DRUGS AND SUPPLIES 215826 UNITEC VER-TECH ELEVATOR COMPANY PO BOX 33106 NEWARK NJ 071880130 ELEVATOR CONTRACTOR 215495 DIMELLA SHAFFER 281 SUMMER STREET BOSTON MA 02210 ARCHITECTURE 169702 THE CHARTIS GROUP DEPT 5925 CAROL STREAM IL 60122 HEALTH CONSULTING 102367 5 204343 1827447 2031790 PATIENT SERVICE REVENUE 623990 20703943 20703943 20703943 42962 42962 431957 51739 380218 380218 380218 OTHER 900099 283935 283935 283935 23442848 20703943 0 707115 475725 429342 46383 10303094 9298542 1004552 652923 589263 63660 2728763 2462709 266054 831055 750027 81028 14691 14691 44000 44000 1050 1050 1350685 1079627 271058 2331 2331 1213426 901878 311548 540489 540489 11141 1325 9816 172685 172685 1235244 1235244 232654 232654 NYS CASH RECEIPTS ASSMT 1046037 1046037 MEDICAL SUPPLIES 707593 707593 21563586 19214761 2348825 0 2076789 2388634 5283459 6468387 1756968 2308583 60019 119674 44231255 29757869 14490213 14473386 193865 221830 23861313 25980494 1625615 1905364 259280 302686 2949721 2838517 4834616 5046567 X 18623891 20531121 402806 402806 19026697 20933927 23861313 25980494 1879262 27968 0 X X 0 1 X 1 0 X 803479 1630142 2362182 1229038 2031790 8056631 18037187 18983873 19787860 19962347 20703943 97475210 18840666 20614015 22150042 21191385 22735733 105531841 0 0 0 105531841 374971 373596 377516 415500 474919 2016502 374971 373596 377516 415500 474919 2016502 281616 277414 178458 492134 283935 1513557 19497253 21265025 22706016 22099019 23494587 109061900 0.96760 0.97340 0.01850 0.01540 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 402806 8317 8317 402806 402806 7929 7929 402806 402806 7024 7024 402806 402806 6927 6927 402806 402806 6797 6797 402806 1.00000 0 0 701675 701675 37494857 25126219 12368638 5032915 4483819 549096 1001808 147831 853977 14473386 X 23521505 27968 51739 79707 23441798 1050 1050 23442848 21614275 51739 51739 21562536 1050 1050 21563586 PART IV, LINE 2B: RESIDENT FUNDS HELD IN TRUST ARE MAINTAINED IN BANK ACCOUNTS SEPARATE FROM JOHN E. ANDRUS MEMORIAL, INC.'S ACCOUNTS. INTEREST EARNED ON RESIDENT FUNDS IS CREDITED TO THE RESIDENTS' ACCOUNTS. 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 X, LINE 2: THE ORGANIZATION HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2014 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 51,739. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 51,739. X X 0 0 0 0 0 0 0 0 0 BETSY BIDDLE EXECUTIVE DIRECTOR 272178 0 0 0 0 0 14100 0 22675 0 308953 0 0 0 NOVELLA KELLY DIRECTOR OF FINANCE 156301 0 0 0 0 0 6375 0 4096 0 166772 0 0 0 BARBARA FLEISCHER ADMINISTRATOR 168608 0 0 0 0 0 0 0 11155 0 179763 0 0 0 SUSAN DEMPSEY DIRECTOR OF NURSING 128805 0 0 0 0 0 5353 0 20421 0 154579 0 0 0 RICHARD FELIPE DIRECTOR OF FACILITIES 115189 0 0 0 0 0 4966 0 32338 0 152493 0 0 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 EXECUTIVE DIRECTOR AND THE DIRECTOR OF FINANCE. THE COMPLETED IRS FORM 990 WAS E-MAILED TO ALL BOARD MEMBERS PRIOR TO BE BEING FILED WITH THE IRS. IF A BOARD MEMEBER HAS AN ISSUE WITH ANYTHING IN THE 990, THEY MAY ADDRESS IT WITH THE EXECUTIVE DIRECTOR AND THE DIRECTOR OF FINANCE. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBER 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 EXECUTIVE DIRECTOR'S COMPENSATION IS BASED ON A COMPENSATION STUDY AND WAS APPROVED BY THE BOARD IN JUNE 2017. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.