AMSTERDAM CONTINUING CARE HEALTH SYSTEM INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
AMSTERDAM CONTINUING CARE HEALTH SYSTEM INC (EIN 13-4034061)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-10-26
IRS object ID
201842999349300019
Schema version
2017v2.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-10-26T09:01:17-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN131517563PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LOEB & TROPER LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1655 THIRD AVENUE 12TH FLOORAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10017ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN134034061EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AMSTERDAM CONTINUING CAREBusinessNameLine1Txt
Business Name Line2HEALTH SYSTEM INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlAMSTBusinessNameControlTxt
Phone2125753322PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11060 AMSTERDAM AVENUEAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10025ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARK PANCIRERPersonNm
Person TitleSENIOR VP/CFOPersonTitleTxt
Phone2125753322PhoneNum
Signature2018-10-25SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAARON SHAPIROPreparerPersonNm
PTINP01333816PTIN
Phone2128674000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address64.22.227.161IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-10-25IPDt
IP Tm15:12:36IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id4275C7E7C8129915C35F764424C97B97C01C68F2AtSubmissionCreationDeviceId
At Submission Filing Device Id82FF71277CCFCE0526AA11C39E3CDADE20CEB2CBAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2018-06-14 16:35:46ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARK PANCIRERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11060 AMSTERDAM AVENUEAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10025ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$879,526GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.AMSTERDAMCARES.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTHE PURPOSE OF THE ORGANIZATION IS TO OBTAIN CONTRIBUTIONS, GRANTS AND HOLD FUNDRAISING EVENTS TO SUPPORT THE PROGRAMS AND SERVICES PROVIDED TO THE RESIDENTS OF THE AMSTERDAM NURSING HOME AND THE AMSTERDAM AT HARBORSIDE OR FOR ANY OTHER PURPOSE THAT ENHANCES THE OVERALL MISSION OF THE ORGANIZATION TO SERVE SENIOR CITIZENS.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee2TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$216,825PYContributionsGrantsAmt
CY Contributions Grants$330,261CYContributionsGrantsAmt
PY Program Service Revenue$438,478PYProgramServiceRevenueAmt
CY Program Service Revenue$438,478CYProgramServiceRevenueAmt
PY Investment Income$83,121PYInvestmentIncomeAmt
CY Investment Income$65,922CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$738,424PYTotalRevenueAmt
CY Total Revenue$834,661CYTotalRevenueAmt
PY Grants And Similar Paid$34,056PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$57,565CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$154,735PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$154,983CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$63,328PYOtherExpensesAmt
CY Other Expenses$9,332CYOtherExpensesAmt
PY Total Expenses$252,119PYTotalExpensesAmt
CY Total Expenses$221,880CYTotalExpensesAmt
PY Revenues Less Expenses$486,305PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$612,781CYRevenuesLessExpensesAmt
Total Assets BOY$3,856,775TotalAssetsBOYAmt
Total Assets EOY$4,433,418TotalAssetsEOYAmt
Total Liabilities BOY$2,267,600TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,267,622TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,589,175NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,165,796NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE PURPOSE OF THE ORGANIZATION IS TO OBTAIN CONTRIBUTIONS, GRANTS AND HOLD FUNDRAISING EVENTS TO SUPPORT THE PROGRAMS AND SERVICES PROVIDED TO THE RESIDENTS OF THE AMSTERDAM NURSING HOME AND THE AMSTERDAM AT HARBORSIDE OR FOR ANY OTHER PURPOSE THAT ENHANCES THE OVERALL MISSION OF AMSTERDAM TO SERVE SENIOR CITIZENS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$146,913ExpenseAmt
Grant$57,565GrantAmt
Revenue$438,478RevenueAmt
DescSUPPORT OF SERVICES FOR THE ELDERLYDesc
Total Program Service Expenses$146,913TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARK PANCIRERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2125753322PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11060 AMSTERDAM AVENUEAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10025ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
LAWRENCE B THOMPSON
CHAIRMAN1.004.00Yes (X)Yes (X)$0$0$0
GEORGE L VAN AMSON
VICE CHAIRMAN0.301.00Yes (X)Yes (X)$0$0$0
JOSEPH C HOOPES JR
TREASURER0.502.00Yes (X)Yes (X)$0$0$0
JOSE V TORRES
SECRETARY0.300.30Yes (X)Yes (X)$0$0$0
REV JAMES G CALLAWAY JR
BOARD MEMBER0.300.50Yes (X)$0$0$0
ISABEL M CARDEN
BOARD MEMBER0.300.70Yes (X)$0$0$0
JAY H MCDOWELL
BOARD MEMBER0.300.60Yes (X)$0$0$0
REV DEACON FRANK L PETERSON JR
BOARD MEMBER0.300.50Yes (X)$0$0$0
JAMES C CAMPBELL
BOARD MEMBER0.300.50Yes (X)$0$0$0
DR KAREN M HOPKINS
BOARD MEMBER0.300.50Yes (X)$0$0$0
FRANCES R OLIVIERI
BOARD MEMBER0.300.50Yes (X)$0$0$0
R SCOTT EDMONDS
BOARD MEMBER0.300.50Yes (X)$0$0$0
JAMES DAVIS
PRESIDENT/CEO2.0048.00Yes (X)$52,999$712,701$107,103
MARK PANCIRER
SENIOR VP/CFO0.5049.50Yes (X)$30,000$296,762$71,941
FieldValueIRS element (for citing)
Total Reportable Comp From Org$82,999TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,009,463TotReportableCompRltdOrgAmt
Total Other Compensation$179,044TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$179,565FundraisingAmt
All Other Contributions$150,696AllOtherContributionsAmt
Total Contributions$330,261TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMANAGEMENT SERVICESDesc
Business561000BusinessCd
Total Revenue Column$438,478TotalRevenueColumnAmt
Related Or Exempt Func Income$438,478RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$438,478TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$65,922TotalRevenueColumnAmt
Exclusion$65,922ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$44,865FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$179,565ContriRptFundraisingEventAmt
Fundraising Direct Expenses$44,865FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$834,661TotalRevenueColumnAmt
Related Or Exempt Func Income$438,478RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$65,922ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$57,565TotalAmt
Program Services$57,565ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$82,999TotalAmt
Program Services$82,999ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$56,890TotalAmt
Management And General$56,890ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,215TotalAmt
Management And General$4,215ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,879TotalAmt
Program Services$6,349ProgramServicesAmt
Management And General$4,530ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,189TotalAmt
Management And General$8,189ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$250TotalAmt
Management And General$250ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$893TotalAmt
Management And General$893ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$221,880TotalAmt
Program Services$146,913ProgramServicesAmt
Management And General$74,967ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$461,796BOYAmt
EOY$1,435,303EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,192,380BOYAmt
EOY$2,796,288EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,039BOYAmt
EOY$5,146EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$121,594BOYAmt
EOY$121,594EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$79,966BOYAmt
EOY$75,087EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,856,775BOYAmt
EOY$4,433,418EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
EOY$22EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,267,600BOYAmt
EOY$2,267,600EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,267,600BOYAmt
EOY$2,267,622EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,589,175BOYAmt
EOY$2,165,796EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,589,175BOYAmt
EOY$2,165,796EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,856,775BOYAmt
EOY$4,433,418EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$612,781ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$16,160NetUnrlzdGainsLossesInvstAmt
Investment Expense-$20,000InvestmentExpenseAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$308,189CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$452,965CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$313,370CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$216,825CurrentTaxYearMinus1YearAmt
Current Tax Year$330,261CurrentTaxYearAmt
Total$1,621,610TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$308,189CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$452,965CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$313,370CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$216,825CurrentTaxYearMinus1YearAmt
Current Tax Year$330,261CurrentTaxYearAmt
Total$1,621,610TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$448,968SubstantialContributorsTotAmt
Public Support Total170$1,172,642PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,759CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$32,948CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$35,234CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$83,121CurrentTaxYearMinus1YearAmt
Current Tax Year$45,922CurrentTaxYearAmt
Total$211,984TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$100,000CurrentTaxYearMinus4YearsAmt
Total$100,000TotalAmt
FieldValueIRS element (for citing)
Total Support$1,933,594TotalSupportAmt
Gross Receipts Rltd Activities$2,258,501GrossReceiptsRltdActivitiesAmt
Public Support CY1700.60650PublicSupportCY170Pct
Public Support PY1700.60880PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10FormAndLineReferenceDesc
ExplanationTHE $100,000 OF OTHER INCOME IN 2013 WAS FOR CONSULTING SERVICES.ExplanationTxt

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescSUBVENTION -SUBORDINATE NOTE-ANH, CORP.Desc
Amt$2,267,600Amt
FieldValueIRS element (for citing)
Total Liability$2,267,600TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationAMSTERDAM CONTINUING CARE HEALTH SYSTEM, INC. (HEALTH SYSTEM) 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.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1ANNUAL GOLF OUTINGEvent1Nm
Gross Receipts Event1$224,430GrossReceiptsEvent1Amt
Charitable Contri Event1$179,565CharitableContriEvent1Amt
Gross Revenue Event1$44,865GrossRevenueEvent1Amt
Rent Facility Costs Event1$33,416RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$11,449OtherDirectExpensesEvent1Amt
Gross Receipts Total$224,430GrossReceiptsTotalAmt
Charitable Contributions Tot$179,565CharitableContributionsTotAmt
Gross Revenue Total Events$44,865GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$33,416RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$11,449OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$44,865DirectExpenseSummaryEventsAmt
Net Income Summary$0NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1AMSTERDAM HOUSE CONTINUING CARE RETIREMENT COMMUNITYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11060 AMSTERDAM AVENUEAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10025ZIPCd
FieldValueIRS element (for citing)
Recipient EIN113711764RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$57,565CashGrantAmt
Purpose Of GrantREIMBURSEMENT PAID TO RELATED ORGANIZATION FOR EXPENSESPurposeOfGrantTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION REQUIRES SUFFICIENT DOCUMENTATION FROM THE GRANTEE PRIOR TO REIMBURSEMENT OF EXPENDITURES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAMES DAVIS
PRESIDENT/CEO$52,999$567,287$0$140,000$0$5,414$0$79,212$0$27,891$52,999$819,804$0$19,110
MARK PANCIRER
SENIOR VP/CFO$30,000$246,762$0$50,000$0$0$0$43,212$0$28,729$30,000$368,703$0$19,110

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2TWO BOARD MEMBERS, LAWRENCE B. THOMPSON AND R. SCOTT EDMONDS ARE PARTNERS IN THE SAME BUSINESS FIRM.
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE FORM 990 IS PROVIDED TO THE AUDIT COMMITTEE. THE CFO MAKES THE 990 AVAILABLE TO ALL BOARD MEMBERS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CAN 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 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. SAID CONFLICTS ARE ADDRESSED BY MANAGEMENT.
FORM 990, PART VI, SECTION B, LINE 15ATHE ORGANIZATION HAS A PROCESS TO DETERMINE COMPENSATION AND BONUS FOR THE 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. THIS PROCESS WAS UNDERTAKEN IN 2016 FOR THE YEAR 2017.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2C:HEALTH SYSTEM 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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1AMSTERDAM CONSULTING LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11060 AMSTERDAM AVENUEAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10025ZIPCd
FieldValueIRS element (for citing)
EIN134034061EIN
Primary ActivitiesADMINISTRATIVE AND CONSULTING SERVICES TO OTHER FACILITIESPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Total Income$438,480TotalIncomeAmt
End Of Year Assets$3,080,956EndOfYearAssetsAmt
Direct Controlling NAN/ADirectControllingNACd

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
AMSTERDAM SERVICE CORP
1060 AMSTERDAM AVENUENEW YORKNY10025133902473PROVIDING ADMINISTRATIVE AND CONSULTING SERVICES TO HEALTHCARE FACILITIESNY501(C)(3)LINE 11AMSTERDAM CONTINUING CARE HEALTH SYSTEM0
AMSTERDAM NURSING HOME CORP (1992)
1060 AMSTERDAM AVENUENEW YORKNY10025133834710PROVIDING SKILLED NURSING HOME BEDS AND ADULT DAY CARE SERVICES FOR SENIORSNY501(C)(3)LINE 7AMSTERDAM CONTINUING CARE HEALTH SYSTEMYes (1)
AMSTERDAM HOUSE CONTINUING CARE RETIREMENT COMMUNITY INC
1060 AMSTERDAM AVENUENEW YORKNY10025113711764PROVIDING INDEPENDENT LIVING, ENRICHED HOUSING AND SKILLED NURSING CARENY501(C)(3)LINE 12B, IIAMSTERDAM CONTINUING CARE HEALTH SYSTEM0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1AMSTERDAM SERVICES CORP 2001BusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11060 AMSTERDAM AVENUEAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10025ZIPCd
FieldValueIRS element (for citing)
EIN134184082EIN
Primary ActivitiesPROVIDING NURSING HOME CONSULTING AND ADMIN. OVERSITEPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1AMSTERDAM CONTINUING CARE HEALTH SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of EOY Assets$13,208ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
AMSTERDAM HOUSE CONTINUING CARE RETIREMENT COMMUNITY
B$60,202ACTUAL COST
AMSTERDAM NURSING HOME CORP (1992)
E$2,267,600ACTUAL COST

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