Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 43,729,149 | 49,875,455 | 65,243,470 | 48,914,595 | 51,740,743 | 259,503,412 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 43,729,149 | 49,875,455 | 65,243,470 | 48,914,595 | 51,740,743 | 259,503,412 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | 4,362,970 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 255,140,442 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 43,729,149 | 49,875,455 | 65,243,470 | 48,914,595 | 51,740,743 | 259,503,412 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 2,956,890 | 3,039,255 | 4,507,502 | 2,342,814 | 2,918,577 | 15,765,038 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 1,604,331 | 3,699,639 | 4,882,194 | 5,133,315 | 6,102,360 | 21,421,839 |
| 11 | Total support. Add lines 7 through 10 | 296,690,289 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2022 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2022 |
(iii) Distributable Amount for 2022 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2022 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2022: | ||||
| a From 2017....... | ||||
| b From 2018....... | ||||
| c From 2019....... | ||||
| d From 2020....... | ||||
| e From 2021....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2022 distributable amount | ||||
|
i
Carryover from 2017 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2022 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2022 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2023. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2018..... | ||||
| b Excess from 2019..... | ||||
| c Excess from 2020..... | ||||
| d Excess from 2021..... | ||||
| e Excess from 2022..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | AUXILIARY VARIOUS ACTIVITY - 2018 AMOUNT: $ 2,202. 2019 AMOUNT: $ 2,434. 2020 AMOUNT: $ 1,589. 2021 AMOUNT: $ 1,866. 2022 AMOUNT: $ 1,085. OTHER COLLEGE INCOME - 2018 AMOUNT: $ 1,602,129. 2019 AMOUNT: $ 3,697,205. 2020 AMOUNT: $ 4,880,605. 2021 AMOUNT: $ 5,131,449. 2022 AMOUNT: $ 6,101,275. |
| SCHEDULE A, PART I | THE ALBANY MEDICAL CENTER GROUP ORGANIZATION CONSISTS OF THE FOLLOWING RELATED ORGANIZATIONS WITH THEIR RESPECTIVE PUBLIC CHARITY STATUS AS FOLLOWS: ALBANY MEDICAL CENTER HOSPITAL - 501(C)(3) 3; ALBANY MEDICAL CENTER HOSPITAL IS SELECTED AS THE MAIN FILING STATUS FOR SCHEDULE A. HOWEVER, THE ADDITIONAL MEMBERS OF THE GROUP ORGANIZATION ARE EQUALLY IMPORTANT TO THE CHARITY STATUS. SARATOGA HOSPITAL - 501(C)(3) 3; SARATOGA HOSPITAL IS A PART I SELECTION 3 ORGANIZATION. COLUMBIA MEMORIAL HOSPITAL - 501(C)(3) 3; COLUMBIA MEMORIAL HOSPITAL IS A PART I SELECTION 3 ORGANIZATION. ALBANY MEDICAL COLLEGE - 501(C)(3) 2; THE COLLEGE IS AN ORGANIZATION THAT WOULD BE SELECTED AS A PART I SELECTION 2 SCHOOL. THE CHARITY DATA FOR THE COLLEGE'S ACTIVITIES IS INCLUDED IN SCHEDULE A PART II. ALBANY MEDICAL CENTER KIDSKELLER - 501(C)(3) 2; KIDSKELLER IS AN ORGANIZATION THAT WOULD BE SELECTED AS A PART I SELECTION 2 SCHOOL. ALBANY MEDICAL CENTER FOUNDATION - 501(C)(3) 7; THE FOUNDATION IS A PART I SELECTION 7 ORGANIZATION. THE CHARITY DATA FOR THE FOUNDATION ACTIVITIES IS INCLUDED IN SCHEDULE A PART II. CENTER FOR DONATION AND TRANSPLANT - 501(C)(3) 12A; CDT IS AN ORGANIZATION THAT WOULD BE SELECTED AS A PART I SELECTION 12A SUPPORTING ORGANIZATION OF ALBANY MEDICAL COLLEGE. HEALTHCARE PARTNERS OF SARATOGA LTD - 501(C)(3) 3; MMEC IS A PART I SELECTION 3 ORGANIZATION. SARATOGA CARE INC - 501(C)(3) 12B; SCI IS AN ORGANIZATION THAT WOULD BE SELECTED AS A PART I SELECTION 12B SUPPORTING ORGANIZATION OF SARATOGA HOSPITAL. SARATOGA REGIONAL MEDICAL PC - 501(C)(3) 3; SRMPC IS A PART I SELECTION 3 ORGANIZATION. COLUMBIA MEMORIAL HEALTH FOUNDATION - 501(C)(3) 10; CMHF IS A PART I SELECTION 10 ORGANIZATION. KAATERSKILL COMMONS, INC - 501(C)(3) 7; KCI IS A PART 1 SELECTION 7 ORGANIZATION. GLENS FALLS HOSPITAL - 501(C)(3) 3; GLENS FALLS HOSPITAL IS A PART I SELECTION 3 ORGANIZATION. |
| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
|---|---|
| SCHEDULE E, PART I, LINE 3 | SCHOOL: ALBANY MEDICAL COLLEGE THE RACIALLY NONDISCRIMINATORY POLICY IS PUBLISHED IN ALBANY MEDICAL COLLEGE HANDBOOK AND INDICATED IN NEWSPAPER ADVERTISEMENTS. SCHOOL: ALBANY MEDICAL CENTER KIDSKELLER ALBANY MEDICAL CENTER KIDSKELLER ANSWERS IN THE NEGATIVE TO THIS QUESTION BECAUSE IT DOES NOT CURRENTLY PUBLISH ITS RACIALLY NONDISCRIMINATORY POLICY THROUGH A NEWSPAPER. HOWEVER, THE ORGANIZATION DRAWS ITS STUDENTS FROM LOCAL COMMUNITIES, FOLLOWS A RACIALLY NONDISCRIMINATORY POLICY AS TO STUDENTS, AND INCLUDES A STATEMENT OF ITS RACIALLY NONDISCRIMINATORY POLICY AS TO STUDENTS IN ALL ITS BROCHURES AND CATALOGUES DEALING WITH STUDENT ADMISSIONS, PROGRAMS, AND SCHOLARSHIPS. |
| SCHEDULE E, PART I, LINE 4 | SCHOOL: ALBANY MEDICAL CENTER KIDSKELLER ALBANY MEDICAL CENTER KIDSKELLER ANSWERS IN THE NEGATIVE TO THIS QUESTION BECAUSE IT DOES NOT SOLICIT CONTRIBUTIONS. IN ALL ITS BROCHURES AND CATALOGUES DEALING WITH STUDENT ADMISSIONS, PROGRAMS, AND SCHOLARSHIPS. |
| SCHEDULE E, PART I, LINE 6 | SCHOOL: ALBANY MEDICAL COLLEGE ALBANY MEDICAL COLLEGE PARTICIPATES IN THE DIRECT LOAN PROGRAM AS WELL AS OPERATES CERTAIN OTHER FEDERALLY FUNDED FINANCIAL AID PROGRAMS. SCHOOL: ALBANY MEDICAL CENTER KIDSKELLER ALBANY MEDICAL CENTER KIDSKELLER PARTICIPATES IN THE USDA FOOD SUBSIDY PROGRAM. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART I, LINE 1 AND PART III, LINE 1 | ORGANIZATION'S MISSION: AN ACADEMIC HEALTH SCIENCES CENTER WHOSE RESPONSIBILITIES ARE: TO EDUCATE MEDICAL STUDENTS, PHYSICIANS, BIOMEDICAL STUDENTS AND OTHER HEALTH CARE PROFESSIONALS TO MEET FUTURE PRIMARY AND SPECIALTY HEALTH CARE NEEDS OF THE REGION AND NATION; TO FOSTER BIOMEDICAL RESEARCH THAT LEADS TO SCIENTIFIC ADVANCES AND IMPROVEMENT OF THE HEALTH OF THE PUBLIC; AND TO PROVIDE A BROAD RANGE OF PATIENT SERVICES TO THE PEOPLE OF EASTERN NEW YORK AND WESTERN NEW ENGLAND. THE MISSION IS ACCOMPLISHED THROUGH COMMITMENT TO THE VALUES OF QUALITY, EXCELLENCE, SERVICE, COLLABORATION, INTEGRITY AND FISCAL RESPONSIBILITY. WE WILL CONTINUE TO DEVELOP AS A NATIONALLY RECOGNIZED ACADEMIC HEALTH SCIENCE CENTER. IN COLLABORATION WITH THE COMMUNITY, WE WILL PROVIDE EXCELLENCE IN EDUCATION, RESEARCH, AND PATIENT CARE PROGRAMS. OUR VISION FOR THE FUTURE INCLUDES A COMMITMENT TO WORKING WITH OTHER PROVIDERS TO MAKE COMPREHENSIVE AND ADVANCED CLINICAL SERVICES AVAILABLE TO THE PUBLIC WHILE EMPHASIZING QUALITY AND SERVICE. WE WILL BE A LEADER IN DEVELOPING AN INNOVATIVE HEALTH CARE DELIVERY SYSTEM AND EDUCATIONAL CONSORTIUM THAT RESPONDS TO THE NEEDS OF THE COMMUNITY. WE WILL SUSTAIN A WORKING AND LEARNING ENVIRONMENT THAT FOSTERS TEAMWORK AND COMMITMENT TO SHARED VALUES AND GOALS. THROUGH SOUND FISCAL MANAGEMENT, WE WILL BE ABLE TO ENHANCE OUR PROGRAMS TO BE ON THE FOREFRONT OF MEDICAL KNOWLEDGE AND INNOVATIVE PATIENT CARE. |
| FORM 990, PART V, LINE 3B | THE GROUP ORGANIZATION HAS INDICATED 'NO' TO PART LINE 3B BECAUSE NOT ALL SUBORDINATE ORGANIZATIONS INCLUDED IN THE GROUP HAVE A FORM 990-T FILING REQUIREMENT FOR THE TAX YEAR. |
| FORM 990, PART V, LINE 4A | THE SUBORDINATE ORGANIZATIONS, ALBANY MEDICAL CENTER HOSPITAL, ALBANY MEDICAL CENTER KIDSKELLER, ALBANY MEDICAL CENTER FOUNDATION, CENTER FOR DONATION AND TRANSPLANT, COLUMBIA MEMORIAL HOSPITAL, COLUMBIA MEMORIAL HOSPITAL FOUNDATION, GLENS FALLS HOSPITAL, SARATOGA HOSPITAL, KAATERSKILL COMMONS, INC, SARATOGA CARE, INC, HEALTHCARE PARTNERS OF SARATOGA LTD, AND SARATOGA REGIONAL MED, PC, RESPOND IN THE NEGATIVE TO THESE LINES AS THEY DID NOT HAVE ANY FOREIGN FINANCIAL ACCOUNTS. |
| FORM 990, PART V, LINE 6A | THE SUBORDINATE ORGANIZATIONS, ALBANY MEDICAL CENTER HOSPITAL, ALBANY MEDICAL CENTER KIDSKELLER, ALBANY MEDICAL COLLEGE, CENTER FOR DONATION AND TRANSPLANT, COLUMBIA MEMORIAL HOSPITAL, COLUMBIA MEMORIAL HOSPITAL FOUNDATION, GLENS FALLS HOSPITAL, SARATOGA HOSPITAL, KAATERSKILL COMMONS, INC, SARATOGA CARE, INC, HEALTHCARE PARTNERS OF SARATOGA LTD, AND SARATOGA REGIONAL MED, PC, RESPOND IN THE NEGATIVE TO THESE LINES AS THEY DID NOT SOLICIT ANY CONTRIBUTIONS THAT WERE NOT TAX DEDUCTIBLE AS CHARITABLE CONTRIBUTIONS. |
| FORM 990, PART V, LINE 7A | THE SUBORDINATE ORGANIZATIONS, ALBANY MEDICAL CENTER HOSPITAL, ALBANY MEDICAL CENTER KIDSKELLER, ALBANY MEDICAL COLLEGE, CENTER FOR DONATION AND TRANSPLANT, COLUMBIA MEMORIAL HOSPITAL, COLUMBIA MEMORIAL HOSPITAL FOUNDATION, GLENS FALLS HOSPITAL, SARATOGA HOSPITAL, KAATERSKILL COMMONS, INC, HEALTHCARE PARTNERS OF SARATOGA LTD, AND SARATOGA REGIONAL MED, PC, RESPOND IN THE NEGATIVE TO THESE LINES AS THEY DID NOT RECEIVE ANY CONTRIBUTIONS IN EXCESS OF $75 THAT WERE MADE PARTLY AS A CONTRIBUTION AND PARTLY FOR GOODS AND SERVICES PROVIDED TO THE PAYOR. |
| FORM 990, PART V, LINES 8, 9A, & 9B | THE SUBORDINATE ORGANIZATION COLUMBIA MEMORIAL HOSPITAL IS THE ONLY SUBORDINATE MAINTAINING A DONOR ADVISED FUND. |
| FORM 990, PART VI, SECTION A, LINE 3 | KAATERSKILL COMMONS, INC. ENGAGES CATSKILL MOUNTAIN HOUSING FOR MANAGEMENT AND BOOKKEEPING SERVICES. THE OTHER SUBORDINATE ORGANIZATIONS RESPOND IN THE NEGATIVE TO LINE 3. |
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS AND GOVERNANCE ALBANY MED HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF THE SUBORDINATE ORGANIZATIONS INCLUDED IN THE GROUP FILING. |
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBERS AND GOVERNANCE ALBANY MED HEALTH SYSTEM RETAINS SEATS ON THE BOARD OF TRUSTEES FOR THE SUBORDINATE ORGANIZATIONS AND HAS THE POWER TO APPOINT MEMBERS OF THE BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION A, LINE 7B | MEMBERS AND GOVERNANCE ALBANY MED HEALTH SYSTEM APPROVES THE ANNUAL OPERATING BUDGET, APPROVAL OF CHANGES IN SENIOR MANAGEMENT, SIGNIFICANT LITIGATION SETTLEMENTS AS WELL AS UPDATES TO THE GOVERNING DOCUMENTS. |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 REVIEW PROCESS THE BOARD OF DIRECTORS, THROUGH ITS AUDIT COMMITTEE, ENGAGES A PROMINENT ACCOUNTING FIRM, KPMG, TO CONDUCT A REVIEW OF ITS TAX RETURN FOR COMPLIANCE WITH IRS REGULATIONS. THE AUDIT COMMITTEE ENGAGES KPMG AS PAID PREPARER TO ENSURE ACCURACY OF FILINGS AND RAISE FOR DISCUSSION ISSUES OR CONCERNS THAT ARE CONSIDERED SIGNIFICANT. ISSUES OR CONCERNS ARE RAISED WITH MANAGEMENT AND BROUGHT TO THE ATTENTION OF THE AUDIT COMMITTEE THROUGHOUT THE YEAR AS WARRANTED AND REQUIRED. THE REVIEW OF THE TAX RETURN INCLUDES A REVIEW BY SENIOR MANAGEMENT OF ALBANY MEDICAL CENTER AND A PRESENTATION AT A MEETING OF THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS OF ALBANY MEDICAL CENTER. THE FINANCE COMMITTEES OF SARATOGA HOSPITAL, GLENS FALLS HOSPITAL, AND COLUMBIA MEMORIAL HOSPITAL REVIEW THE RETURN FOR ACCURACY OF THEIR RESPECTIVE HOSPITAL'S INFORMATION AND DISCLOSURES. ADDITIONALLY, THE COMPLETE BOARDS OF EACH SUBORDINATE ENTITY INCLUDED IN THE GROUP RETURN RECEIVE A COPY OF THE FORM 990 FOR REVIEW PRIOR TO ITS FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALBANY MEDICAL CENTER HOSPITAL AND AFFILIATES: THE BOARD OF DIRECTORS OF THE ALBANY MED HEALTH SYSTEM ADOPTED A SYSTEM-WIDE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL ENTITIES OVER WHICH THE ALBANY MED HEALTH SYSTEM, DIRECTLY OR INDIRECTLY, HAS DIRECTION AND CONTROL. ALL CANDIDATES FOR BOARD MEMBERSHIP AND BOARD COMMITTEE MEMBERSHIP RECEIVE A COPY OF THE ALBANY MED HEALTH SYSTEM CONFLICT OF INTEREST POLICY AND A LINK TO THE ELECTRONIC CONFLICT OF INTEREST QUESTIONNAIRE FOR COMPLETION. ACTUAL OR POTENTIAL CONFLICTS REPORTED ARE REVIEWED BY THE COMMITTEE ON AUDIT AND COMPLIANCE OF THE BOARD OF DIRECTORS AND APPROPRIATE ACTION IS TAKEN TO MITIGATE CONFLICTS. UPON HIRE, ALL EMPLOYEES RECEIVE COMPLIANCE EDUCATION WHICH EXPLAINS THE CONFLICT OF INTEREST POLICY AND THE REQUIREMENT TO REPORT ANY ACTUAL OR POTENTIAL CONFLICTS. ALL EMPLOYEES ALSO RECEIVE REFRESHER EDUCATION REGARDING THE POLICY AND A REMINDER ABOUT THE REPORTING REQUIREMENT AS PART OF THEIR MANDATORY ANNUAL EDUCATION. ALL EMPLOYEES ARE RESPONSIBLE FOR NOTIFYING SYSTEM MANAGEMENT OF ANY POTENTIAL CONFLICTS IN ADDITION TO RESPONDING TO REQUEST FOR INFORMATION IF REQUESTED. PERSONS HOLDING SIGNIFICANT MANAGEMENT POSITIONS RECEIVE A LINK TO THE ELECTRONIC CONFLICT OF INTEREST QUESTIONNAIRE FOR COMPLETION. ANY CONFLICTS WHICH ARE REPORTED OR DISCOVERED ARE REVIEWED BY THE ALBANY MED HEALTH SYSTEM CORPORATE COMPLIANCE AND AUDIT DEPARTMENT AND APPROPRIATE ACTION IS TAKEN TO MITIGATE THE CONFLICT. EMPLOYEES WHO VIOLATE THE CONFLICT OF INTEREST POLICY ARE SUBJECT TO CORRECTIVE ACTION FOLLOWING THE AUTHORIZED ADMINISTRATIVE AND GOVERNANCE PROCESSES OF THE SYSTEM AND ITS AFFILIATES. |
| FORM 990, PART VI, SECTION B, LINE 15 | ALBANY MEDICAL CENTER HOSPITAL AND AFFILIATES: THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS (COMMITTEE) ESTABLISHES COMPENSATION FOR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, ALL EXECUTIVE VICE PRESIDENTS AND OTHER TOP MANAGEMENT OFFICIALS WHO REPORT DIRECTLY TO THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS. THE COMMITTEE USES PROFESSIONAL COMPENSATION ADVISORS WHO ARE CAPABLE OF RENDERING INDEPENDENT ADVICE AND INDEPENDENT MARKET SURVEYS. THE COMMITTEE TARGETS THE MARKET MEDIAN (50TH PERCENTILE) FOR CASH COMPENSATION; BENEFIT PROGRAMS ARE INTENDED TO BE COMPETITIVE. AFTER THE COMPENSATION PROGRAM IS DETERMINED, THE COMMITTEE-APPROVED RECOMMENDATION IS FORWARDED TO THE BOARD OF DIRECTORS FOR ITS CONSIDERATION AND APPROVAL, AND THAT IS CONTEMPORANEOUSLY SUBSTANTIATED. COLUMBIA MEMORIAL HOSPITAL: PERFORMANCE REVIEW AND RECOMMENDATIONS RELATED TO SALARY ARE UNDERTAKEN BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES ON AN ANNUAL BASIS. THE COMPENSATION COMMITTEE IS COMPRISED OF SELECT MEMBERS OF THE BOARD OF TRUSTEES WHO MAY EMPLOY OUTSIDE CONSULTANTS, USE INDUSTRY STANDARDS, BENCHMARKING DATA, ETC. TO FORMULATE CONCLUSIONS. SARATOGA HOSPITAL: ON AN ANNUAL BASIS, THE EXECUTIVE COMMITTEE REVIEWS THE PERFORMANCE OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER (CEO) AND MAKES A BASE SALARY RECOMMENDATION TO THE FULL BOARD. THE EXECUTIVE COMMITTEE PERFORMS THIS TASK USING A TARGET PERCENTILE RANK ON A SCALE OF AMOUNTS PAID TO SIMILARLY SITUATED EXECUTIVES IN THE MARKETPLACE AS MEASURES BY EXTERNAL BENCHMARK SURVEYS. ADDITIONALLY, THE EXECUTIVE COMMITTEE FACTORS IN RELATIVE SKILL MIX, EXPERIENCE, COMPETENCE AND OVERALL PERFORMANCE. THE EXECUTIVE COMMITTEE SETS ANNUAL PERFORMANCE CRITERIA THE CEO MUST MEET IN ORDER TO QUALIFY FOR INCENTIVE COMPENSATION AND ANY RECOMMENDATION FOR ADDITIONAL COMPENSATION IS MADE ANNUALLY. THE CEO IS RESPONSIBLE, WITH THE OVERSIGHT OF THE EXECUTIVE COMMITTEE, FOR DETERMINING THE BASE COMPENSATION FOR ALL OTHER EXECUTIVES IN THE ORGANIZATION. THESE BASE SALARIES ARE ALSO DETERMINED USING A TARGET PERCENTILE RANK ON A SCALE FOR EXECUTIVES SITUATED SIMILARLY BY POSITION WITHIN THE MARKETPLACE, WITH ACCEPTABLE EXCEPTIONS BASED ON SKILL MIX, EXPERIENCE AND/OR SCOPE OF RESPONSIBILITY. INCENTIVE COMPENSATION FOR ALL OTHER EXECUTIVES IS DETERMINATION BY THE CEO AND BASED ON ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE MEASURES AND OUTCOMES. FOR BOTH CEO AND EXECUTIVE COMPENSATION, THE REQUIREMENTS FOR INVOKING A REBUTTABLE PRESUMPTION OF REASONABLENESS IN ACCORDANCE WITH IRS INTERMEDIATE SANCTION REGULATIONS ARE USED AS A GUIDELINE, TO THE EXTENT PRACTICABLE. GLENS FALLS HOSPITAL: GLENS FALLS HOSPITAL (GFH) IS COMMITTED TO DEVELOPING AND MAINTAINING A TOTAL COMPENSATION PROGRAM THAT IS COMPETITIVE WITH PROGRAMS OFFERED BY OTHER HEALTH CARE ORGANIZATIONS THAT ARE COMPARABLE TO GFH IN REVENUE, STRUCTURE, MISSION AND SCOPE OF SERVICES. THE COMPENSATION PHILOSOPHY INCLUDES: BASE SALARY RANGES POSITIONED IN THE 50TH PERCENTILE OF A NATIONAL AND REGIONAL PEER GROUP, ANNUAL INCENTIVE OPPORTUNITIES TIED TO PERFORMANCE GOALS ESTABLISHED BY THE BOARD, BENEFITS DELIVERED IN THE 50TH PERCENTILE OF A NATIONAL PEER GROUP AND TOTAL COMPENSATION POSITIONED AT APPROXIMATELY THE 50TH PERCENTILE FOR EXPECTED PERFORMANCE, AND SOMEWHAT ABOVE THAT FOR EXCEPTIONAL PERFORMANCE. EXECUTIVE PAY IS REVIEWED ANNUALLY BY A THIRD-PARTY CONSULTANT. THIS REVIEW INCLUDES A COMPARISON OF GFH EXECUTIVE PAY PRACTICES WITH NATIONAL AND REGIONAL BENCHMARK STUDIES AS APPROPRIATE. THE CONSULTANT IS ENGAGED DIRECTLY BY THE GFH BOARD OF GOVERNORS AND REPORTS THEIR FINDINGS TO BOARD PERSONNEL COMMITTEE FOR REVIEW AND ACTION. |
| FORM 990, PART VI, SECTION C, LINE 19 | OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART VI, SECTION B, LINE 16A | JOINT VENTURE LINES 16A AND 16B HAVE BEEN ANSWERED IN THE AFFIRMATIVE DUE TO THE ACTIVITIES OF COLUMBIA MEMORIAL HOSPITAL AND GLENS FALLS HOSPITAL. THE OTHER SUBORDINATE ORGANIZATIONS RESPOND IN THE NEGATIVE TO LINE 16A. |
| FORM 990, PART VI, SECTION C, LINE 20 | THE PERSON IN POSSESSION OF THE BOOKS AND RECORDS FOR THE SUBORDINATE ORGANIZATIONS ARE AS FOLLOW: COLUMBIA MEMORIAL HOSPITAL AND AFFILIATES: NAME: BRYAN MAHONEY ADDRESS: 71 PROSPECT AVE, HUDSON NY, 12534 PHONE: 518-828-7601 SARATOGA HOSPITAL AND AFFILIATES: NAME: MICHAEL BATTLE ADDRESS: 211 CHURCH STREET, SARATOGA SPRINGS, NY 12866 PHONE: 518-587-3222 GLENS FALLS HOSPITAL: NAME: CRAIG LETOURNEAU ADDRESS: 100 PARK STREET, GLENS FALLS, NY 12801 PHONE: 518-926-5013 |
| FORM 990, PART XI, LINE 9: | INTERCOMPANY RECEIVABLES -2,000,000. FAIR VALUE OF INTEREST RATE SWAPS 405,157. CHANGE IN FOUNDATION INTEREST 2,114,591. PENSION-RELATED CHANGES -3,716,616. OTHER REVENUE AND EXPENSE ADJUSTMENTS 1,222,713. |
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