FURP.ORG / PUBLIC DATA EXPLORER

AMSTERDAM NURSING HOME CORPORATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
AMSTERDAM NURSING HOME CORPORATION (EIN 13-3834710)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-12
IRS object ID
201113179349300501
Schema version
2010v3.4
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)
Timestamp2011-11-12T23:04:37-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-01-01TaxPeriodBeginDate

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 Signed2011-11-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBERNARD GROTELLName
Phone2128674000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts62229456GrossReceipts
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 Employees628TotalNbrEmployees
Total Nbr Volunteers5TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2857ContributionsGrantsPriorYear
Contributions Grants Current Year88503ContributionsGrantsCurrentYear
Program Service Revenue Prior Year54305948ProgramServiceRevenuePriorYear
Program Service Revenue CY57503099ProgramServiceRevenueCY
Investment Income Prior Year113402InvestmentIncomePriorYear
Investment Income Current Year90827InvestmentIncomeCurrentYear
Other Revenue Prior Year317090OtherRevenuePriorYear
Other Revenue Current Year287028OtherRevenueCurrentYear
Total Revenue Prior Year54739297TotalRevenuePriorYear
Total Revenue Current Year57969457TotalRevenueCurrentYear
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 Year30967441SalariesEtcPriorYear
Salaries Etc Current Year32933047SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year23677311OtherExpensePriorYear
Other Expenses Current Year25225127OtherExpensesCurrentYear
Total Expenses Prior Year54644752TotalExpensesPriorYear
Total Expenses Current Year58158174TotalExpensesCurrentYear
Revenues Less Expenses Prior Year94545RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-188717RevenuesLessExpensesCY
Total Assets BOY53525543TotalAssetsBOY
Total Assets EOY51931386TotalAssetsEOY
Total Liabilities BOY47011684TotalLiabilitiesBOY
Total Liabilities EOY45340171TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6513859NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6591215NetAssetsOrFundBalancesEOY
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
Expense51365075Expense
Revenue57503099Revenue
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 2010, THE NURSING HOME HAD 632 ADMISSIONS AND PROVIDED 13,809 ADULT DAY CARE VISITS. THE NURSING HOME HAD AN OCCUPANCY RATE OF 98.53 PERCENT.Description
Total Program Service Expense51365075TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 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 With109679NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees628NumberOfEmployees
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 (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
LAWRENCE B THOMPSON
CHAIRMAN2.00XX000
GEORGE L VAN AMSON
VICE CHAIRMAN0.50XX000
JOSEPH C HOOPES JR
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/CEO30.50X35387726875644728
GAIL M MEEHAN
SENIOR VP/ADMINISTRATOR35.00X101701014883
MARK PANCIRER
SENIOR VP/CFO32.00X2004574250041217
STEPHEN LANSEY
MEDICAL DIRECTOR35.00X158683021879
FLORECITA NEBRES
VICE PRESIDENT OF NURSING35.00X148410029768
MICHAEL WHITE
DIRECTOR OF FINANCE30.00125882027506X
DR XIAOSHUANG YIN
PHYSICIAN35.00101562028172X
ANTONELLA VALENTINI
ASSOC. DIR NURSING35.00108266023669X
SALLY NUNEZ
DIR ADM/CASE MGT35.00117515014870X
JUDITH FENSTER
SENIOR VP/ADMINISTRATOR35.00160734330776304X
DR EDWARD WILLIAM DUTTON COLT
BOARD MEMBER0.30000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1577087TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs344333TotalReportableCompFrmRltdOrgs
Total Other Compensation252996TotalOtherCompensation
Number Individuals GT100 K12NumberIndividualsGT100K
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 AGENCY3086352
SECURITAS SECURITY SERVICES
200 WEST 50TH STNEW YORKNY10019SECURITY433787
HOSPITAL FOR SPECIAL SURGERY
535 EAST 70TH STREETNEW YORKNY10021REHAB. SERVICES425037
WESTCHESTER AMBULETTE SERVICE
193 SO BROADWAYYONKERSNY10701AMBULETTE SERVICE409344
LOEB AND TROPER LLP
655 THIRD AVENEW YORKNY10017ACCOUNTING AND CONSULTING402823
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
Federated Campaigns64FederatedCampaigns
All Other Contributions88439AllOtherContributions
Total Contributions88503TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID6230004528876245288762
PRIVATE PAY PATIENT CA62300096106669610666
ADULT DAY CARE62300026036712603671
FieldValueIRS element (for citing)
Total Program Service Revenue57503099TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column74656TotalRevenueColumn
Exclusion$74,656ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4276170Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities4259999Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities16171Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column16171TotalRevenueColumn
Exclusion$16,171ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
ADM. FEE REL. ORG.623000151792$151,792
GIFT CART & MILLER INN62300068552$68,552
DIRECT TV FEES62300033705$33,705

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column32979TotalRevenueColumn
Exclusion$32,979ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue287028TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column57969457TotalRevenueColumn
Related Or Exempt Function Income57503099RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$377,855ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1115603Total
Management And General1115603ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total21742463Total
Program Services20256699ProgramServices
Management And General1485764ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1309220Total
Program Services1289960ProgramServices
Management And General19260ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7072864Total
Program Services6712896ProgramServices
Management And General359968ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1692897Total
Program Services1587430ProgramServices
Management And General105467ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total173095Total
Management And General173095ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total43057Total
Management And General43057ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total28477Total
Management And General28477ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5630174Total
Program Services4800328ProgramServices
Management And General829846ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total10489Total
Program Services2413ProgramServices
Management And General8076ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6398618Total
Program Services4992918ProgramServices
Management And General1405700ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1198275Total
Program Services887511ProgramServices
Management And General310764ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total59043Total
Program Services44935ProgramServices
Management And General14108ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3191009Total
Program Services2808088ProgramServices
Management And General382921ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2842075Total
Program Services2501026ProgramServices
Management And General341049ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total706214Total
Program Services621468ProgramServices
Management And General84746ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
ASSESSMENT FUND25225022522502
BAD DEBT EXPENSE20728722072872
MISCELLANEOUS34922726402985198

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total58158174Total
Program Services51365075ProgramServices
Management And General6793099ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1400BOY
EOY1400EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY16008828BOY
EOY15993128EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8834810BOY
EOY7804661EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY77246BOY
EOY84352EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY695884BOY
EOY548489EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis70048558LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec45311854LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY26605741BOY
EOY24736704EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1301634BOY
EOY2762652EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY53525543BOY
EOY51931386EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5120723BOY
EOY5435304EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY38741981BOY
EOY37905518EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3148980BOY
EOY1999349EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY47011684BOY
EOY45340171EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6204296BOY
EOY6290684EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY309563BOY
EOY300531EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6513859BOY
EOY6591215EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY53525543BOY
EOY51931386EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-188717ReconcilationRevenueExpenses
Reconcilation Other Changes266073ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years31198CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years37265CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years158939CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2857CurrentTaxYearMinus1Year
Current Tax Year88503CurrentTaxYear
Total318762Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years49084721CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years49996515CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years55666730CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54305948CurrentTaxYearMinus1Year
Current Tax Year57503099CurrentTaxYear
Total266557013Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years49115919CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years50033780CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years55825669CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54308805CurrentTaxYearMinus1Year
Current Tax Year57591602CurrentTaxYear
Total266875775Total

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 Total509266875775PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years184102CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years338914CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years118412CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year113402CurrentTaxYearMinus1Year
Current Tax Year74656CurrentTaxYear
Total829486Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years184102CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years338914CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years118412CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year113402CurrentTaxYearMinus1Year
Current Tax Year74656CurrentTaxYear
Total829486Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years232962CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years843735CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years804202CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year317090CurrentTaxYearMinus1Year
Current Tax Year287028CurrentTaxYear
Total2485017Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years49532983CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years51216429CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years56748283CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54739297CurrentTaxYearMinus1Year
Current Tax Year57953286CurrentTaxYear
Total270190278Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98770PublicSupportPercentage509
Prior Year Support Percentage0.98730PriorYearSupportPercentage
Investment Income Percentage0.00310InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00380PriorYrInvestIncomePercentage
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 FEESGeneralExplanation

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$28,477OtherActivitiesAmount
Total Lobbying Expenditures IIB28477TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationDUES PAID TO THE FOLLOWING ORGANIZATIONS THAT HAD LOBBYING EXPENSES: 1199, NYAHSA, CCLC AND NY PRESBYTERIAN.Explanation

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 Basis49958287OtherCostOrOtherBasis
Depreciation31110331Depreciation
Book Value18847956BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis210625OtherCostOrOtherBasis
Depreciation114001Depreciation
Book Value96624BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis17427057OtherCostOrOtherBasis
Depreciation14087522Depreciation
Book Value3339535BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1019672OtherCostOrOtherBasis
Book Value1019672BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings24736704TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
OTHER RECEIVABLES222431
OTHER ASSETS110930
DUE FORM THIRD PARTY PAYOR2429288
SUBVENTION CERTIFICATE FROM ACCHS, INC,3
FieldValueIRS element (for citing)
Total Book Value Other Assets2762652TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
PATIENT FUNDS$413,493
DUE TO THIRD PARTIES$1,322,633
ACCRUED INTEREST PAYABLE$263,223
FieldValueIRS element (for citing)
Total Of Amounts1999349TotalOfAmounts
Total Revenue57969457TotalRevenue
Total Expenses58158174TotalExpenses
Excess Or Deficit For Year-188717ExcessOrDeficitForYear
Net Unrealized GL On Investments-23451NetUnrealizedGLOnInvestments
Other$289,524OtherAmount
Total Adjustments266073TotalAdjustments
Excess Or Deficit Per FS77356ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt58235530TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-23451NetUnrealizedGainsInvestments
Other Revenues289524OtherRevenues
Revenue Not Rptd F990266073RevenueNotRptdF990
Revenue Subtotal57969457RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99057969457TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt58158174TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal58158174ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99058158174TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:UNCERTAINTY 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, 2007 AND SUBSEQUENT REMAIN SUBJECT TO EXAMINATION BY APPLICABLE TAXING AUTHORITIES.
PART XI, LINE 8 - OTHER ADJUSTMENTS:DISCOUNT ON PURCHASES 289,524.
PART XII, LINE 2D - OTHER ADJUSTMENTS:DISCOUNT ON PURCHASES 289,524.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:DISCOUNT ON PURCHASES

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 Payment1SeverancePayment
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 (6 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
24387726875611000000017778026950039860526875600
MARK PANCIRER
2004574250000001198502923202416744250000
STEPHEN LANSEY
1586830000014974069050180562000
FLORECITA NEBRES
1484100000083470214210178178000
MICHAEL WHITE
1258820000087010188050153388000
JUDITH FENSTER
16073433077000000630401670383307700

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 4AGAIL M. MEEHAN RECEIVED $58,758 SEVERANCE PAYMENT
PART I, LINE 7EXECUTIVE COMMITTEE GATHERS COMPARABLE INFORMATION, EVALUATES AND APPROVES A BONUS FOR THE ORGANIZATION'S CEO.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
ANY POTENTIAL CONFLICTS OF INTERESTS ARE DISCUSSED WITH BOARD MEMBERS. IF A CONFLICT EXISTS THE PERSON IS RECUSED FROM VOTING ON SAID MATTER. ANNUALLY, SENIOR MANAGEMENT SIGNS A DOCUMENT REQUIRING THEM TO IDENTIFY ANY POTENTIAL CONFLICTS OF INTEREST.FORM 990, PART VI, SECTION B, LINE 12C
FORM 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 2010. 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 B, LINE 15A
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -23,451. DISCOUNT ON PURCHASES 289,524. TOTAL TO FORM 990, PART XI, LINE 5: 266,073.FORM 990, PART XI, LINE 5:
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 18 HOURS.

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 Income564285TotalIncome
EOY Assets784706EOYAssets
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 SYSTEMS0
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 SYSTEMS0

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