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 | |||||
| (A)
ALBANY MEDICAL CENTER HOSPITAL |
141338307 | 3 | Yes | 0 | 219,609,577 | |
| (B)
ALBANY MEDICAL COLLEGE |
141338310 | 2 | Yes | 0 | 47,136,879 | |
| (C)
ALBANY MEDICAL CENTER KIDSKELLER |
222635792 | 2 | Yes | 0 | 0 | |
| (D)
ALBANY MEDICAL CENTER FOUNDATION |
146023119 | 7 | Yes | 0 | 388,838 | |
| (E)
COLUMBIA MEMORIAL HOSPITAL |
141338373 | 3 | Yes | 0 | 4,060,950 | |
| (F)
KAATERSKILL COMMONS INC |
205700964 | 7 | Yes | 0 | 0 | |
| (G)
SARATOGA HOSPITAL |
141338547 | 3 | Yes | 0 | 10,564,651 | |
| (H)
GLENS FALLS HOSPITAL |
141338413 | 3 | Yes | 0 | 6,857,660 | |
| (I)
GLENS FALLS HOSPITAL FOUNDATION |
141790805 | 10 | Yes | 0 | 0 | |
| (J)
ALBANY VISITING NURSE HOME CARE SERVICES GROUP INC |
222778949 | 10 | Yes | 0 | 0 | |
| (K)
VISITING NURSE ASSOCIATION OF ALBANY INC |
141340125 | 10 | Yes | 0 | 0 | |
| (L)
VISITING NURSES FOUNDATION INC |
141653755 | 10 | Yes | 0 | 0 | |
|
Total 12
|
0 | 288,618,555 | ||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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 | ||||||
| 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) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 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.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (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) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (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) |
||||
| 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) |
||||
| 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): |
|||||
| 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 2023 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-2023 |
(iii) Distributable Amount for 2023 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2023 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2023: | ||||
| a From 2018....... | ||||
| b From 2019....... | ||||
| c From 2020....... | ||||
| d From 2021....... | ||||
| e From 2022....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2023 distributable amount | ||||
|
i
Carryover from 2018 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2023 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2023 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2024. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2019..... | ||||
| b Excess from 2020..... | ||||
| c Excess from 2021..... | ||||
| d Excess from 2022..... | ||||
| e Excess from 2023..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| PART IV, SECTION D, LINE 3 | ROLE OF THE ORGANIZATION'S SUPPORTED ORGS. PLAYED EACH OF ALBANY MED HEALTH SYSTEM'S DIRECTLY SUPPORTED ORGANIZATIONS EITHER (1) APPOINTS ONE OR MORE MEMBERS OF ALBANY MED HEALTH SYSTEM'S BOARD, OR (2) HAS AT LEAST ONE OFFICER OR DIRECTOR THAT SITS ON ALBANY MED HEALTH SYSTEM'S BOARD WHICH, AS A RESULT, GIVES EACH SUPPORTED ORGANIZATION A SIGNIFICANT VOICE IN THE SYSTEM'S INVESTMENT POLICIES AND IN DIRECTING THE USE OF THE SYSTEM'S INCOME OR ASSETS AT ALL TIMES DURING THE TAX YEAR. |
| PART IV, SECTION E, LINE 2A | IDENTIFY SUPPORTED ORGS AND EXPLAIN HOW ACTIVITIES FURTHERED EXEMPT PURPOSES ALBANY MED HEALTH SYSTEM SUPPORTS THE FOLLOWING ORGANIZATIONS: ALBANY MEDICAL CENTER HOSPITAL, ALBANY MEDICAL COLLEGE, ALBANY MEDICAL CENTER KIDSKELLER, ALBANY MEDICAL CENTER FOUNDATION, INC., THE COLUMBIA MEMORIAL HOSPITAL, KAATERSKILL COMMONS, INC., THE SARATOGA HOSPITAL, GLENS FALLS HOSPITAL, GLENS FALLS HOSPITAL FOUNDATION, ALBANY VISITING NURSE HOME CARE SERVICES GROUP, INC., VISITING NURSE ASSOCIATION OF ALBANY, INC., AND VISITING NURSES FOUNDATION, INC. THE ALBANY MED HEALTH SYSTEM DIRECTLY FURTHERS THE EXEMPT PURPOSES OF THESE SUPPORTED ORGANIZATIONS BY COORDINATING THEIR ACTIVITIES AND ENGAGING IN OVERALL PLANNING, POLICY DEVELOPMENT, BUDGETING, RESOURCE ALLOCATION, AND ADMINISTRATIVE SUPPORT (INCLUDING ACCOUNTING AND FINANCE, RISK MANAGEMENT, LEGAL AND COMPLIANCE) FOR THESE ORGANIZATIONS. THESE ACTIVITIES CONSTITUTE SUBSTANTIALLY ALL OF ALBANY MED HEALTH SYSTEM'S ACTIVITIES. |
| PART IV, SECTION E, LINE 2B | REASONS FOR THE ORGANIZATION'S POSITION THE ACTIVITIES DESCRIBED IN LINE 2A CONSTITUTE ACTIVITIES THAT, BUT FOR ALBANY MED HEALTH SYSTEM'S INVOLVEMENT, WOULD HAVE HAD TO BE CARRIED ON BY THE SUPPORTED ORGANIZATIONS THEMSELVES, EITHER ON THEIR OWN BEHALF OR TO ACT TOGETHER AS AN INTEGRATED HOSPITAL SYSTEM. IN OTHER WORDS, MANAGEMENT OVERSIGHT, BUDGETING, RESOURCE ALLOCATION, POLICY DEVELOPMENT, AND ADMINISTRATIVE FUNCTIONS SUCH AS ACCOUNTING AND FINANCE, RISK MANAGEMENT, LEGAL AND COMPLIANCE ARE ALL ACTIVITIES THAT ALBANY MED HEALTH SYSTEM'S SUPPORTED ORGANIZATIONS WOULD HAVE TO CARRY OUT THEMSELVES WERE IT NOT FOR THE SYSTEM. |
| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 1 | AN ACADEMIC HEALTH SCIENCES SYSTEM 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 SYSTEM. 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 SHARE 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 VI, SECTION B, LINE 11B | 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. OUR PROCESS ALSO INCLUDES A REVIEW OF RETURNS BY SENIOR MANAGEMENT AND A PRESENTATION AND REVIEW OF THE RETURNS AT A MEETING OF THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | 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 | 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. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART VII | ESTIMATE OF AVERAGE HOURS TO RELATED ORGANIZATIONS HOURS REPORTED FOR BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES ARE AVERAGE WORK HOURS RELATED TO THIS ORGANIZATION AND ITS RELATED ORGANIZATIONS. ORGANIZATIONS INCLUDED IN THIS RELATIONSHIP ARE ALBANY MED HEALTH SYSTEM, ALBANY MEDICAL CENTER HOSPITAL, ALBANY MEDICAL COLLEGE, ALBANY MEDICAL CENTER FOUNDATION, CENTER FOR DONATION AND TRANSPLANT, KIDSKELLER INC., BETTER HEALTH FOR NORTHEAST NEW YORK INC., COLUMBIA MEMORIAL HOSPITAL, KAATERSKILL COMMONS INC., COLUMBIA MEMORIAL HEALTH FOUNDATION, THE SECOND SHOW INC., SARATOGA HOSPITAL, SARATOGA REGIONAL MEDICAL PC, SARATOGA CARE INC., HEALTHCARE PARTNERS OF SARATOGA LTD. (D/B/A MALTA MED EMERGENT CARE OR MMEC), GLENS FALLS HOSPITAL, GLENS FALLS HOSPITAL FOUNDATION, ALBANY VISITING NURSE HOME CARE SERVICES GROUP, INC., VISITING NURSE ASSOCIATION OF ALBANY, INC., AND VISITING NURSES FOUNDATION, INC. |
| FORM 990, PART XI, LINE 9: | FAIR VALUE OF INTEREST RATE SWAPS -690,010. PENSION RELATED CHANGES 155,617. PENSION ANNUITIZATION -603,932. |
| Software ID: | |
| Software Version: |