AMSTERDAM HOUSE CONTINUING CARE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
AMSTERDAM HOUSE CONTINUING CARE (EIN 11-3711764)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201333189349304803
Schema version
2012v2.1
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)
Timestamp2013-11-14T14:05:36-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN131517563EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LOEB & TROPER LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1655 THIRD AVENUE 12TH FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10017ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN113711764EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1AMSTERDAM HOUSE CONTINUING CAREBusinessNameLine1
Business Name Line2RETIREMENT COMMUNITY INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlAMSTNameControl
Phone2125753322Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11060 AMSTERDAM AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10025ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARK PANCIRERName
TitleSENIOR VP/CFOTitle
Phone2125753322Phone
Date Signed2013-11-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBERNARD GROTELLName
PTINP01275277PTIN
Phone2128674000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARK PANCIRERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11060 AMSTERDAM AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10025ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15441739GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.AMSTERDAMATHARBORSIDE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE INDEPENDENT LIVING, ENRICHED HOUSING AND SKILLED NURSING CAREActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees211TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI-8870TotalGrossUBI
Net Unrelated Business Txbl Income-12025NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7251588ProgramServiceRevenuePriorYear
Program Service Revenue CY14643784ProgramServiceRevenueCY
Investment Income Prior Year766134InvestmentIncomePriorYear
Investment Income Current Year674341InvestmentIncomeCurrentYear
Other Revenue Prior Year69589OtherRevenuePriorYear
Other Revenue Current Year111144OtherRevenueCurrentYear
Total Revenue Prior Year8087311TotalRevenuePriorYear
Total Revenue Current Year15429269TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6477333SalariesEtcPriorYear
Salaries Etc Current Year8136515SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year27544126OtherExpensePriorYear
Other Expenses Current Year30552662OtherExpensesCurrentYear
Total Expenses Prior Year34021459TotalExpensesPriorYear
Total Expenses Current Year38689177TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-25934148RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-23259908RevenuesLessExpensesCY
Total Assets BOY325668282TotalAssetsBOY
Total Assets EOY307841309TotalAssetsEOY
Total Liabilities BOY363017816TotalLiabilitiesBOY
Total Liabilities EOY427321751TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-37349534NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-119480442NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionAHCCRC, INC. HAS UNDERTAKEN A PROJECT INVOLVING ACQUISITION, CONSTRUCTION, FURNISHING, AND EQUIPPING OF A NEW CONTINUING CARE RETIREMENT COMMUNITY KNOWN AS THE AMSTERDAM AT HARBORSIDE, LOCATED IN PORT WASHINGTON, NEW YORK, WHICH INCLUDES: 226 INDEPENDENT LIVING APARTMENTS (THE RESIDENTIAL UNITS), 26 ENRICHED HOUSING UNITS AND 18 ENRICHED HOUSING WITH DEMENTIA UNITS (THE ENRICHED HOUSING CENTER), 56 SKILLED NURSING BEDS (THE NURSING CENTER) AND RELATED COMMON AREAS AND AMENITIES AND RELATED INFRASTRUCTURE (COLLECTIVELY, THE COMMUNITY). CONSTRUCTION BEGAN IN JANUARY 2008 AND WAS COMPLETED IN JANUARY 2011. AHCCRC, INC. PLANS TO ADD THREE INDEPENDENT LIVING APARTMENTS, PENDING APPROVAL. INITIAL OCCUPANCY OCCURRED IN AUGUST 2010.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense32058767Expense
Revenue14643784Revenue
DescriptionTO PROVIDE INDEPENDENT LIVING, ENRICHED HOUSING AND SKILLED NURSING CAREDescription
Total Program Service Expense32058767TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096118NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees211NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MARK PANCIRERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2125753322TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1570 7TH AVENUE 6TH FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10018ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
LAWRENCE B THOMPSON
CHAIRMAN2.00XX000
GEORGE L VAN AMSON
VICE CHAIRMAN0.50XX000
JOSEPH C HOOPES
TREASURER1.00XX000
JAY H MCDOWELL
SECRETARY0.30XX000
THE REVEREND JAMES G CALLAWAY JR
BOARD MEMBER0.30X000
ISABEL M CARDEN
BOARD MEMBER0.50X000
REV DEACON FRANK L PETERSON JR
BOARD MEMBER0.30X000
JAMES J CAMPBELL
BOARD MEMBER0.30X000
DR KAREN M HOPKINS
BOARD MEMBER0.30X000
FRANCES R OLIVIERI
BOARD MEMBER0.30X000
JAMES DAVIS
CHIEF EXECUTIVE OFFICER1.00X062771643681
MARK PANCIRER
CHIEF FINANCIAL OFFICER1.00X025091241745
SAM GUEDOUAR
EXECUTIVE DIRECTOR40.00X11031603375
LISA MARIE BERNASCON
DIRECTOR OF SALES40.0011967304998X
MARY DONOVAN
DIRECTOR OF MARKETING40.0013320606448X
ANTHONY COMERFORD
SKILLED NURSING ADMINISTRATOR40.00111755022561X
FieldValueIRS element (for citing)
Total Reportable Comp From Org474950TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs878628TotalReportableCompFrmRltdOrgs
Total Other Compensation122808TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
GREYSTONE DEVELOPMENT COMPANY LP
225 E JOHN CARPENTER FREEWAYIRVINGTX21030DEVELOPMENT CONSULTING894172
AMSTERDAM CONSULTING LLC
1060 AMSTERDAM AVENUENEW YORKNY10025MANAGEMENT SERVICES737250
AFFINITY REHABILITATION LLP
10600 YORK ROAD SUITE 105COCKEYSVILLEMD21030REHAB564297
GREYSTONE MANAGMNT SERVICES COMPANY
225 E JOHN CARPENTER FREEWAYIRVINGTX75062MANAGEMENT ADVISORY SERVICES553211
RN EXPRESS STAFFING REGISTRY LLC
71 WEST 23RD STREET SUITE 1622NEW YORKNY10010RN STAFFING395288
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PRIVATE AND OTHER6230001249481312494813
ENTRANCE FEES62300021388892138889
MEAL6230001008210082
FieldValueIRS element (for citing)
Total Program Service Revenue14643784TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column674341TotalRevenueColumn
Exclusion$674,341ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real3600Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real12470Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-8870Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-8870TotalRevenueColumn
Unrelated Business Revenue-8870UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
GUEST APARTMENTAL RENTAL62300023765$23,765
MAINTENANCE SERVICE6230001576$1,576

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column94673TotalRevenueColumn
Exclusion$94,673ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue120014TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15429269TotalRevenueColumn
Related Or Exempt Function Income14643784RelatedOrExemptFunctionIncome
Unrelated Business Revenue-8870UnrelatedBusinessRevenue
Exclusion$794,355ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total110316Total
Management And General110316ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total50521Total
Management And General50521ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6131520Total
Program Services5181470ProgramServices
Management And General950050ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1273314Total
Program Services1048516ProgramServices
Management And General224798ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total570844Total
Program Services470064ProgramServices
Management And General100780ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total748931Total
Management And General748931ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total159205Total
Management And General159205ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total24887Total
Management And General24887ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2278016Total
Program Services2068828ProgramServices
Management And General209188ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total710010Total
Management And General710010ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total259123Total
Program Services157656ProgramServices
Management And General101467ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total29204Total
Management And General29204ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2338008Total
Program Services2338008ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total189198Total
Program Services19435ProgramServices
Management And General169763ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total11900562Total
Program Services11713062ProgramServices
Management And General187500ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total15465Total
Program Services13583ProgramServices
Management And General1882ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6499651Total
Program Services6120288ProgramServices
Management And General379363ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total93920Total
Program Services93920ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
AMORTIZATION OF FINANCI19974341997434
LOC AND REMARKETING FEE13678311367831
DINING SERVICES782092782092
SKILLED NURSING AND ENR593875593875

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total565250Total
Program Services90139ProgramServices
Management And General475111ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total38689177Total
Program Services32058767ProgramServices
Management And General6630410ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5866701BOY
EOY3802773EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY46150130BOY
EOY29910475EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY144641BOY
EOY232680EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4762527BOY
EOY11300651EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY15006BOY
EOY23372EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY262341BOY
EOY319254EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis254382585LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec14834283LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY243785617BOY
EOY239548302EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY24681319BOY
EOY22703802EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY325668282BOY
EOY307841309EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1634272BOY
EOY3715149EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY253777713BOY
EOY236277629EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY95782767BOY
EOY117277243EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY11823064BOY
EOY70051730EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY363017816BOY
EOY427321751EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-37349534BOY
EOY-119480442EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-37349534BOY
EOY-119480442EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY325668282BOY
EOY307841309EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-23259908ReconcilationRevenueExpenses
Reconcilation Prior Adjustment-56966000ReconcilationPriorAdjustment
Reconcilation Other Changes-1905000ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1AMSTERDAM CONTINUING CARE HEALTH SYSTEMSBusinessNameLine1
FieldValueIRS element (for citing)
EIN134034061EIN
Type Of Organization7TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS0IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis22353895OtherCostOrOtherBasis
Book Value22353895BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis218593822OtherCostOrOtherBasis
Depreciation12704026Depreciation
Book Value205889796BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1919388OtherCostOrOtherBasis
Depreciation615581Depreciation
Book Value1303807BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis157146InvestmentCostOrOtherBasis
Other Cost Or Other Basis11358334OtherCostOrOtherBasis
Depreciation1514676Depreciation
Book Value10000804BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings239548302TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
ADVERTISING AND MARKETING COSTS8682856
DEFERRED FINANCING COSTS14020946
FieldValueIRS element (for citing)
Total Book Value Other Assets22703802TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
SUBORDINATE NOTE-ACCHS, INC$3,000,000
ACCRUED INTEREST PAYABLE$7,913,278
FUTURE SERVICE OBLIGATION$58,871,000
CONVERSION DEPOSITS REFUNDABLE$267,452
FieldValueIRS element (for citing)
Total Of Amounts70051730TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt15441739TotRevenueEtcAuditedFinclStmt
Other Revenues12470OtherRevenues
Revenue Not Rptd F99012470RevenueNotRptdF990
Revenue Subtotal15429269RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99015429269TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt38701647TotExpensesEtcAuditedFinclStmt
Other Expenses Included12470OtherExpensesIncluded
Expenses Not Rptd F99012470ExpensesNotRptdF990
Expenses Subtotal38689177ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99038689177TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:AHCCRC, INC. HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2009 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 12,470.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 12,470.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JAMES DAVIS
CHIEF EXECUTIVE OFFICER04856120120000022104017646026035067139700
MARK PANCIRER
CHIEF FINANCIAL OFFICER02426920008220014945026800029265700

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1NASSAU COUNTY INDUSTRIAL DEV AGENCYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN112559657IssuerEIN
CUSIP NumberSEEPARTVICUSIPNumber
Date Issued2007-12-20DateIssued
Issue Price271231266IssuePrice
Description Of PurposeACQUISITION AND CONSTRUCTION OF FACILITYDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired35000000AmountRetired
Total Proceeds287911441TotalProceeds
Amount In Reserve Fund21156403AmountInReserveFund
Capitalized Interest38536198CapitalizedInterest
Issuance Costs From Proceeds5316248IssuanceCostsFromProceeds
Credit Enhancement6433406CreditEnhancement
Working Capital Expenditures2094716WorkingCapitalExpenditures
Capital Expenditures216011030CapitalExpenditures
Year Of Subst Completion2011YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet0RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due1NoRebateDue
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds1HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1LEHMAN BROTHERSBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge2.700000000000TermOfHedge
Superintegrated Hedge0SuperintegratedHedge
Hedge Terminated0HedgeTerminated
Gross Proceeds Invested In GIC1GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line1SEE PART VIBusinessNameLine1
FieldValueIRS element (for citing)
Regulatory Safe Harbor Satisfied1RegulatorySafeHarborSatisfied
Gross Proceeds Invested1GrossProceedsInvested
Written Proc To Monitor Reqs1WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective Action0ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierSCHEDULE K SUPPLENTAL INFORMATIONIdentifier
ExplanationPART I, LINE A, COLUMN C: SERIES A-63166UAF8, SERIES B-63166UAA9, SERIES C-63166UAB7 PART II, LINE 3: THE TOTAL PROCEEDS DO NOT AGREE TO THE ISSUE PRICE IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS. PART II, LINE 3: THE TOTAL PROCEEDS DO NOT EQUAL THE SUMMATION OF LINES 4-12 DUE TO TRANSFERRED OR REPLACEMENT PROCEEDS IN LINE 4. PART IV, COLUMN A, LINE 4B: PROJECT FUND-AEGON, CAPITALIZED INTEREST FUND-EAGON, RESERVE FUND-RBC CAPITAL MARKETS PART IV, COLUMN A, LINE 4C:PROJECT FUND-2.6 YEARS, CAPITALIZED INTEREST FUND-3 YEARS, RESERVE FUND-19.9 YEARSExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 AS PREPARED BY LOEB & TROPER LLP, ACCOUNTING FIRM, IS PROVIDED TO THE AUDIT COMMITTEE FOR REVIEW AND COMMENTS AND TO THE FULL BOARD
FORM 990, PART VI, SECTION B, LINE 12CA 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 BECOME AWARE OF THE POTENTIAL FOR A CONFLICT IN CONNECTION WITH THE TRANSACTION WHO THEN SHALL INFORM THE APPLICABLE BOARD.IF THE CHAIRMAN IN 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,EXCLUDED IN SUCH COUNTS THE INTERESTED DIRECTOR,SHALL BE REQUIRED BEFORE ENTERING INTO THE TRANSACTION. 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 15AAMSTERDAM HEALTH SYSTEMS HAS A PROCESS TO DETERMINE COMPENSATION FOR THE 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 LAST UNDERTAKEN IN 2012. COMPENSATION OF OTHER KEY EMPLOYEES IS BASED ON AN INFORMAL REVIEW OF COMPARABLE DATA.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:FUTURE SERVICE OBLIGATION ADJUSTMENT -1,905,000.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1AMSTERDAM CONSULTING LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11060 AMSTERDAM AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10025ZIPCode
FieldValueIRS element (for citing)
EIN134034061EIN
Primary ActivitiesADMINISTRATIVE AND CONSULTING SERVICES TO OTHER FACILITIESPrimaryActivities
Legal Domicile StateNYLegalDomicileState
Total Income360051TotalIncome
EOY Assets1541767EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1AMSTERDAM CONTINUING CARE HEALTH SYSTEMINCBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
AMSTERDAM SERVICES CORP
1060 AMSTERDAM AVENUENEW YORKNY10025133902473PROVIDING ADMINISTRATIVE AND CONSULTING SERVICES TO HEALTHCARE FACILITIESNY501(C)(3)9AMSTERDAM CONTINUING CARE HEALTH SYSTEM0
AMSTERDAM CONTINUING CARE HEALTH SYSTEMINC
1060 AMSTERDAM AVENUENEW YORKNY10025134034061PROVIDING ADVICE, INFORMATION & MONETARY CONTRIBUTIONS TO ELDERLY & DISABLEDNY501(C)(3)9AMSTERDAM 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)9AMSTERDAM CONTINUING CARE HEALTH SYSTEM0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1AMSTERDAM SERVICES CORP 2001BusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11060 AMSTERDAM AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10025ZIPCode
FieldValueIRS element (for citing)
EIN134184082EIN
Primary ActivityPROVIDING NURSING HOME CONSULTING AND ADMIN. OVERSITE.PrimaryActivity
Legal Domicile StateNYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1AMSTERDAM CONTINUING CARE HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Share Of EOY Assets13510ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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