FURP.ORG / PUBLIC DATA EXPLORER

AMSTERDAM NURSING HOME CORPORATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
AMSTERDAM NURSING HOME CORPORATION (EIN 13-3834710)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201243209349307024
Schema version
2011v1.2
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)
Timestamp2012-11-15T14:53:44-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN133834710EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1AMSTERDAM NURSING HOME CORP (1992)BusinessNameLine1
FieldValueIRS element (for citing)
Name ControlAMSTNameControl
Phone2125753322Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11060 AMSTERDAM AVEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10025ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARK PANCIRERName
TitleSENIOR VP/CFOTitle
Phone2125753322Phone
Date Signed2012-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBERNARD GROTELLName
PTINP01275277PTIN
Phone2128674000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1AMSTERDAM NURSING HOMEBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARK PANCIRERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11060 AMSTERDAM AVEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10025ZIPCode
FieldValueIRS element (for citing)
Gross Receipts58157346GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteAMSTERDAMCARES.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionAMSTERDAM NURSING HOME PROVIDES ROOM AND BOARD AND MEDICAL CARE FOR THE ELDERLY.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees601TotalNbrEmployees
Total Nbr Volunteers22TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year88503ContributionsGrantsPriorYear
Contributions Grants Current Year52777ContributionsGrantsCurrentYear
Program Service Revenue Prior Year57503099ProgramServiceRevenuePriorYear
Program Service Revenue CY54803742ProgramServiceRevenueCY
Investment Income Prior Year90827InvestmentIncomePriorYear
Investment Income Current Year56133InvestmentIncomeCurrentYear
Other Revenue Prior Year287028OtherRevenuePriorYear
Other Revenue Current Year630695OtherRevenueCurrentYear
Total Revenue Prior Year57969457TotalRevenuePriorYear
Total Revenue Current Year55543347TotalRevenueCurrentYear
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 Year32933047SalariesEtcPriorYear
Salaries Etc Current Year33071175SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year25225127OtherExpensePriorYear
Other Expenses Current Year23630807OtherExpensesCurrentYear
Total Expenses Prior Year58158174TotalExpensesPriorYear
Total Expenses Current Year56701982TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-188717RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1158635RevenuesLessExpensesCY
Total Assets BOY51931386TotalAssetsBOY
Total Assets EOY49843524TotalAssetsEOY
Total Liabilities BOY45340171TotalLiabilitiesBOY
Total Liabilities EOY44466530TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6591215NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5376994NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO OPERATE A NOT FOR PROFIT NURSING HOME FACILITY WITH 409 SKILLED NURSING HOME BEDS AND AN ADULT DAY CARE PROGRAM FOR 40 PARTICIPANTS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense50481448Expense
Revenue55134863Revenue
DescriptionTHE HOME PROVIDES ROOM AND BOARD AND MEDICAL CARE FOR THE ELDERLY. THE HOME HAS A CAPACITY OF 409 BEDS ALONG WITH AN ADULT DAY CARE PROGRAM WITH A CAPACITY OF 40 REGISTRANTS. IN 2011, THE NURSING HOME HAD 573 ADMISSIONS AND PROVIDED 13,852 ADULT DAY CARE VISITS. THE NURSING HOME HAD AN OCCUPANCY RATE OF 98.51 PERCENT.Description
Total Program Service Expense50481448TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
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 Bonds0TaxExemptBonds
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096118NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees601NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
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 Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
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 (21 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
JOSE V TORRES
SECRETARY0.30XX000
REV JAMES G CALLAWAY JR
BOARD MEMBER0.30X000
ISABEL M CARDEN
BOARD MEMBER0.50X000
JAY H MCDOWELL
BOARD MEMBER0.30X000
REV DEACON FRANK L PETERSON JR
BOARD MEMBER0.30X000
DYER S WADSWORTH
BOARD MEMBER0.30X000
JAMES J CAMPBELL
BOARD MEMBER0.30X000
DR KAREN M HOPKINS
BOARD MEMBER0.30X000
FRANCES R OLIVIERI
BOARD MEMBER0.30X000
JAMES DAVIS
PRESIDENT/CEO30.50X35266927500844618
MARK PANCIRER
SENIOR VP/CFO37.50X2135263000045890
FLORECITA NEBRES
VICE PRESIDENT OF NURSING35.00X153067035729
JUDITH FENSTER
SENIOR VP/ADMINISTRATOR35.00X203974018777
MICHAEL WHITE
DIRECTOR OF FINANCE30.00137566034470X
ALFONSO GARCIA
COMPTROLLER35.00106396028071X
SALLY NUNEZ
DIR ADM/CASE MGT35.00111389016670X
MARITES RODIL
REGISTERED NURSE37.50107839039369X
ANTONELLA VALENTINI
ASSOCIATE DIRECTOR NURSING35.00115486031749X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1501912TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs305008TotalReportableCompFrmRltdOrgs
Total Other Compensation295343TotalOtherCompensation
Number Individuals GT100 K14NumberIndividualsGT100K
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
UNITED HOME CARE
77-04 BROADWAYELMHURSTNY11373NURSING AGENCY2788677
SENIOR RIDE TRANSPORTATION
855 BRUSH AVENUEBRONXNY10465TRANSPORTATION536737
SECURITAS SECURITY SERVICE
1412 BROADWAY 17TH FLNEW YORKNY10015SECURITY SERV366613
EDU TEK LIMITED
178 EAST BOSTON POST RDMAMARONECTNY10543INFORMATION TECH343292
LOEB & TROPER
655 THIRD AVE 12TH FLNEW YORKNY10017AUDIT/CONSULTING252731
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
Government Grants9890GovernmentGrants
All Other Contributions42887AllOtherContributions
Total Contributions52777TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID6230004504974545049745
PRIVATE PAY PATIENT CA62300073689417368941
ADULT DAY CARE62300023850562385056
FieldValueIRS element (for citing)
Total Program Service Revenue54803742TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column49330TotalRevenueColumn
Exclusion$49,330ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2620802Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2613999Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities6803Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column6803TotalRevenueColumn
Exclusion$6,803ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
DISCOUNTS ON PURCHASES623000331121331121
RECOVERY OF EMPLOYEE B623000186607$186,607
ADM. FEE REL. ORG.62300055349$55,349

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column57618TotalRevenueColumn
Exclusion$57,618ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue630695TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column55543347TotalRevenueColumn
Related Or Exempt Function Income55134863RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$355,707ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1068250Total
Management And General1068250ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total21213178Total
Program Services19820102ProgramServices
Management And General1393076ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1623409Total
Program Services1574070ProgramServices
Management And General49339ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7519585Total
Program Services7135295ProgramServices
Management And General384290ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1646753Total
Program Services1544160ProgramServices
Management And General102593ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total153436Total
Management And General153436ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total56583Total
Management And General56583ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6199481Total
Program Services5639598ProgramServices
Management And General559883ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total20141Total
Program Services1922ProgramServices
Management And General18219ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6578198Total
Program Services5235599ProgramServices
Management And General1342599ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1076211Total
Program Services779116ProgramServices
Management And General297095ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total33278Total
Program Services18770ProgramServices
Management And General14508ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3118287Total
Program Services2744093ProgramServices
Management And General374194ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2780368Total
Program Services2446724ProgramServices
Management And General333644ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total606873Total
Program Services534048ProgramServices
Management And General72825ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
NYS ASSESSMENT29133582913358
RESIDENTIAL/CLIENT ACTI9459394593

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total56701982Total
Program Services50481448ProgramServices
Management And General6220534ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1400BOY
EOY1400EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY15993128BOY
EOY17236805EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7804661BOY
EOY7965970EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY84352BOY
EOY88688EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY548489BOY
EOY391107EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis71119894LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec48092222LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY24736704BOY
EOY23027672EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2762652BOY
EOY1131882EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY51931386BOY
EOY49843524EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5435304BOY
EOY6078903EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY37905518BOY
EOY36996836EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1999349BOY
EOY1390791EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY45340171BOY
EOY44466530EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6290684BOY
EOY5077182EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY300531BOY
EOY299812EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6591215BOY
EOY5376994EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY51931386BOY
EOY49843524EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1158635ReconcilationRevenueExpenses
Reconcilation Other Changes-55586ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37265CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years158939CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2857CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year88503CurrentTaxYearMinus1Year
Current Tax Year52777CurrentTaxYear
Total340341Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years49996515CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years55666730CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years54305948CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year57503099CurrentTaxYearMinus1Year
Current Tax Year54803742CurrentTaxYear
Total272276034Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years50033780CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years55825669CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years54308805CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year57591602CurrentTaxYearMinus1Year
Current Tax Year54856519CurrentTaxYear
Total272616375Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509272616375PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years338914CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years118412CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years113402CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year74656CurrentTaxYearMinus1Year
Current Tax Year49330CurrentTaxYear
Total694714Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years338914CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years118412CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years113402CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year74656CurrentTaxYearMinus1Year
Current Tax Year49330CurrentTaxYear
Total694714Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years843735CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years804202CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years317090CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year287028CurrentTaxYearMinus1Year
Current Tax Year630695CurrentTaxYear
Total2882750Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years51216429CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years56748283CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years54739297CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year57953286CurrentTaxYearMinus1Year
Current Tax Year55536544CurrentTaxYear
Total276193839Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98700PublicSupportPercentage509
Prior Year Support Percentage0.98770PriorYearSupportPercentage
Investment Income Percentage0.00250InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00310PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: GIFT CART & MILLERINN RECOVERY OF EXPENSE PHONE & VENDING MACHINE DISCOUNT ON PURCHASES GENERAL ADMINISTRATION STAR PROGRAM DIRECT TV FEES SECURITYGeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$26,707OtherActivitiesAmount
Total Lobbying Expenditures IIB26707TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationDUES PAID TO THE FOLLOWING ORGANIZATIONS THAT HAD LOBBYING EXPENSES: 1199, LEADING AGE, AND CCLCExplanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1432917OtherCostOrOtherBasis
Book Value1432917BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis50250530OtherCostOrOtherBasis
Depreciation33265701Depreciation
Book Value16984829BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis210625OtherCostOrOtherBasis
Depreciation128718Depreciation
Book Value81907BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis17807207OtherCostOrOtherBasis
Depreciation14697803Depreciation
Book Value3109404BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1418615OtherCostOrOtherBasis
Book Value1418615BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings23027672TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
PATIENT FUNDS$492,663
DUE TO THIRD PARTIES$641,198
ACCRUED INTEREST PAYABLE$256,930
FieldValueIRS element (for citing)
Total Of Amounts1390791TotalOfAmounts
Total Revenue55543347TotalRevenue
Total Expenses56701982TotalExpenses
Excess Or Deficit For Year-1158635ExcessOrDeficitForYear
Net Unrealized GL On Investments-55586NetUnrealizedGLOnInvestments
Total Adjustments-55586TotalAdjustments
Excess Or Deficit Per FS-1214221ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt55487761TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-55586NetUnrealizedGainsInvestments
Revenue Not Rptd F990-55586RevenueNotRptdF990
Revenue Subtotal55543347RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99055543347TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt56701982TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal56701982ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99056701982TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationUNCERTAINTY IN INCOME TAXES - THE HOME HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PERIODS ENDING DECEMBER 31, 2008 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
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 Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base 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
24255326500811000010000116017778026840039728727500800
MARK PANCIRER
2078083000000571801465103123902594163000000
FLORECITA NEBRES
1469710006096087260270030188796000
JUDITH FENSTER
2039740000014086046910222751000
MICHAEL WHITE
1349920002574086670258030172036000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 7ReturnReference
ExplanationTHE BOARD OF DIRECTORS GATHERS COMPARABLE INFORMATION, EVALUATES AND APPROVES A BONUS FOR THE ORGANIZATION'S CEO.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 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 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 15AFORM 990, PART VI, LINE 15: THE ORGANIZATION HAS A PROCESS TO DETERMINE COMPENSATION FOR THE CEO/ EXECUTIVE DIRECTOR 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 2011. THIS PROCESS INCLUDES A REVIEW OF TOTAL COMPENSATION INCLUDING BONUS CONSIDERATION. 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, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -55,586.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2C: THE ORGANIZATION 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 VII, SECTION A, COLUMN B: JAMES DAVIS AND MARK PANCIRER DEVOTED THEIR TIME TO A RELATED ORGANIZATION. JAMES DAVIS DEVOTED 19.5 HOURS. MARK PANCIRER DEVOTED 12.5 HOURS.
FORM 990, PART X, LINE 15DESCRIPTION: AMOUNT: DUE FROM THIRD PARTIES - $650,776 OTHER RECEIVABLES - $358,473 OTHER ASSETS - $122,630 SUBVENTION CERTIFICATION - $3 FROM ACCHS,INC. TOTAL-OTHER ASSETS - $1,131,882OTHER ASSETS

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 ActivitiesPROVIDING ADMINISTRATIVE AND CONSULTING SERVICESPrimaryActivities
Legal Domicile StateNYLegalDomicileState
Total Income397309TotalIncome
EOY Assets1181716EOYAssets
Direct Controlling Entity NAN/ADirectControllingEntityNA

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 OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
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 SYSTEMS
1060 AMSTERDAM AVENUENEW YORKNY10025134034061PROVIDING ADVICE, INFORMATION & MONETARY CONTRIBUTIONS TO ELDERLY & DISABLEDNY501(C)(3)70N/A
AMSTERDAM HOUSE CONTINUING CARE RETIREMENT COMMUNITY INC
1060 AMSTERDAM AVENUENEW YORKNY10025113711764INDEPENDENT LIVING, ENRICHED HOUSING AND SKILLED NURSING CARENY501(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 NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
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
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