2022-11-10T16:06:00-08:00 2021-12-31 135565207 KPMG LLP 515 Broadway Albany NY 12207 990 2021-01-01 141641730 Albany Med Health System ALBA 5182625585 47 New Scotland Ave MC116 Albany NY 12208 Frances S Albert Exec VP COO & CFO 5182628795 2022-11-09 true Frances Albert XXX-XX-XXXX Geneva Furlano P01877392 5184274600 2 AAL1 IAL1 FAL1 2021 2022-09-23 18:48:47Z Dennis P McKenna 223098744 false 5980 X www.amc.edu X 1982 NY An academic health sciences system whose responsibilities are to provide a broad range of patient services to the people of eastern New York and western New England. 36 33 1690 38 0 61484 641490 203024721 219736852 -356431 66197 2140956 2278043 204870730 222722582 0 0 105282960 108703069 0 0 97434763 111082408 202717723 219785477 2153007 2937105 302078987 312546209 287960643 290019615 14118344 22526594 X 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. false false 67711972 69806410 Other Administrative Support Services: The Albany Med Health System coordinates planning, financial, information and policy direction for our affiliated exempt organizations.Covid-19 Impact: The Covid pandemic has taken its toll in ways few could have predicted.As it did to all health care organizations across the U.S., throughout 2021, the coronavirus presented another year of significant challenges to the Albany Med Health System.While vaccinations, therapies, and treatments became more broadly available during the year, surges of the virus resulted in unexpected, complex effects. The Albany Med Health System was affected similarly to the rest of the healthcare industry, but perhaps more so because of our role as a referral center for a 25-county region.Substantial financial and operational impacts included: Significant expense challenges Continuing a trend from 2020, expenses were exacerbated by numerous waves of Covid-19. Our number of inpatient cases remained high, resulting in an increase in the related cost of care and the need for additional staff and supplies. Supply costs increased due to shortages, and travel agency services were leveraged to meet patient demand and a workforce shortage, while travel labor rates rose steeply. Revenue challenges During 2021, although a financial rebound was attempting to occur, it was stalled by staffing shortages, resulting in both an inability to meet demand and a backlog of visits and procedures. Additionally, the need to rely on agency services to assist with staffing and the rising expenses described above also contributed to revenue challenges, particularly toward the end of the year. Major operational challenges The System experienced operational challenges similar to other hospitals and health systems. The demand for additional staff, PPE, and other equipment continued in 2021. Difficulty placing patients ready for discharge frequently occurred, which resulted in an increased length of stay. This, in turn, not only exaggerated staffing shortages, but impacted our ability to accept patient transfers. Workforce challenges The Great Resignation, which began in the Spring of 2021, has had a severe impact on all healthcare organizations, and the Albany Med Health System was no exception. Nurses and other critical care staff began leaving in record numbers; our System turned to for-profit temporary staffing agencies, which began charging rates well beyond pre-pandemic levels. In September 2021, our System lost additional staff due to resignations and terminations spurred by New York States Covid-19 vaccination requirement. And throughout the year, the quarantine of Covid-positive staff members contributed to workforce shortages, as well.Covid 19 Response: As regional providers of care, the hospitals of Albany Med Health System continuously sought ways to assist our region's residents in 2021: The provision of targeted care to address the range of health needs and challenges presented by those infected with the Covid-19 virus. Comprehensive emergent care for our most vulnerable patients, including those in need of ventilator support. Continued availability of Covid-19 therapies. Continuation of, and expansion of, telehealth services across the System to allow patients and the community continued access to providers. Expanded hours for Covid-19 testing for staff. Continued research and evaluation efforts related to the Covid-19 pandemic. The studies have gleaned valuable information and will have meaning for future disease outbreaks and similar medical crises. Routine revision of internal Covid-19 policies and guidelines, including visitation guidelines, employee Covid testing, and current practices, based on the most current CDC and New York State guidance. Dissemination of important information to keep our community updated on Covid-19. The number of visits to the Covid-19 pages of each of our hospitals websites were substantial, helping meet the communitys need for accurate, current information on the pandemic. The System also played a lead role, working with all local hospitals in our region, to track and measure Covid-19 rates on a daily basis. Albany Medical Center Hospital, the primary entity of the Albany Med Health System, was selected to lead the Capital Region in the distribution of Covid-19 vaccines, the roll-out of which began in December 2020 and ramped up in 2021. All System hospitals participated in the program. Many members of our workforce helped distribute the vaccine. The Capital Region Vaccine Network was the first regional hub to administer first doses of the vaccine to at least half its population. A powerful, regional advertising campaign continued, undertaken by the System to educate patients and the public about vaccine distribution, information about each of the vaccines, and the importance of being vaccinated. In addition, career fairs and recruitment campaigns increased across the System to help fill positions in patient care. Tactics included YouTube streaming ads, nurse hiring events, open houses, and career fairs. 54765603 32957420 Information Systems & Services: Centralized maintenance and upgrade of various information systems and other computer support such as personal computer maintenance, education, etc. for the Albany Med Health System. 40532572 62341654 Financial Management: Centralized corporate finance related operations for the Albany Med Health System. 56775330 56878707 219785477 true true false true false false false false true false true false true true true true false true false false false false false false false false false false false true true false false false false false false false false true false false false false false true true true true false false true 477 0 true 1690 true false true CJ false false false false false 0 false false false false false true false X 36 33 false false true false false false false true true false false true true true true true true true true false NY X Frances S Albert CPA 5182628795 47 New Scotland Ave Albany NY 12208 Dennis P McKenna MD President & CEO 10.00 38.00 X X 1453855 0 310703 Steven M Frisch MD SR Exec VP Integrated Deliv System 23.00 31.00 1539492 0 123591 George T Hickman Exec VP & Sys CIO & Alyt Ofc 40.00 4.00 1567868 0 21590 Ferdinand J Venditti Jr MD EVP System Care Delivery-VDEANCLNAF 1.00 41.00 0 1244609 107957 Vincent Verdile MD SR Exec VP Sys Care Delivery & Dean 8.00 34.00 0 1167318 126336 Frances S Albert EVP COO & CFO 7.00 35.00 X 1009956 0 90951 Steven M Parnes MD Board Member 2.00 46.00 X 0 786814 32928 Matthew C Jones EVP & General Counsel 40.00 0.00 620086 0 84945 Matthew I Cooper VP Finance 40.00 0.00 360634 0 16663 Noel C Hogan SVP Corp Complianc 14.00 26.00 296259 24200 54541 Sandra J Castilla VP Human Resources 40.00 0.00 310784 0 32006 Shelly A Breton VP Rev Cycle Svcs 40.00 0.00 311689 0 21263 Michael J Hamilton VP IS Analytics 40.00 0.00 284173 0 23428 James J Barba Board Member 42.00 6.00 X 151565 0 0 Anthony M Durante Board Member 2.00 6.00 X 0 0 0 Raimundo C Archibold Jr Vice Chair 2.00 11.00 X 0 0 0 Margaret Gillis Vice Chair 2.00 7.00 X 0 0 0 Mark L Behan Mbr thru 6/21 2.00 5.00 X 0 0 0 Michael H Iacolucci Board Member 2.00 9.00 X 0 0 0 James Cullum Board Member 2.00 5.00 X 0 0 0 Robert T Cushing Chairman 2.00 6.00 X 0 0 0 Glenda Kelman Board Member 2.00 5.00 X 0 0 0 R Wayne Diesel Board Member 2.00 4.00 X 0 0 0 Sharon Duker Vice Chair 2.00 10.00 X 0 0 0 Carolyn Stefanco PhD Board Member 2.00 4.00 X 0 0 0 Daniel T Pickett III Board Member 2.00 4.00 X 0 0 0 David Golub Board Member 2.00 4.00 X 0 0 0 Mary Gail Biebel PhD Board Member 2.00 9.00 X 0 0 0 Theresa Skaine Board Member 2.00 11.00 X 0 0 0 Doug Hamlin Board Member 2.00 6.00 X 0 0 0 Sujata Chaudhry Board Member 2.00 4.00 X 0 0 0 Lillian Moy Esq Board Member 2.00 4.00 X 0 0 0 Michael Toohey Board Member 2.00 9.00 X 0 0 0 Janice Smith Board Member 2.00 4.00 X 0 0 0 John B O'Connor Board Member 2.00 4.00 X 0 0 0 John J Nigro Vice Chair 2.00 4.00 X 0 0 0 Jeffrey Sperry Mbr thru 12/21 2.00 6.00 X 0 0 0 James O Jackson PhD Board Member 2.00 4.00 X 0 0 0 Candace King Weir Board Member 2.00 4.00 X 0 0 0 Jeffrey Stone Board Member 2.00 10.00 X 0 0 0 Todd M Tidgewell Board Member 2.00 4.00 X 0 0 0 Peter H Heerwagen Board Member 2.00 4.00 X 0 0 0 Ruth H Mahoney Board Member 2.00 6.00 X 0 0 0 Morris C Massry Board Member 2.00 4.00 X 0 0 0 Janice White EdD Board Member 2.00 9.00 X 0 0 0 Carol Kim PhD Board Member 2.00 4.00 X 0 0 0 Deborah Lans Board Member 2.00 8.00 X 0 0 0 Lisa Moser Board Member 2.00 4.00 X 0 0 0 William G Powers Jr Mbr thru 6/21 2.00 5.50 X 0 0 0 7906361 3222941 1046902 146 false true false Cerner Health Services Inc PO Box 959156 St Louis MO 63195 IT Support Services 4295423 Allscripts Healthcare LLC 24630 Network Pl Chicago IL 60673 Consulting 4055294 Aramark PO Box 978839 Dallas TX 753978839 Environmental Svcs 3311054 AOW Associates Inc 21 Essex St Albany NY 12206 Construction 3006606 FPI Mechanical Inc 11 Green Mountain Dr Cohoes NY 12047 Construction 2077064 63 641490 641490 Building Operation 561000 31042665 31042665 Financial Management 561000 62341654 62341654 Informat'n System/Service 561000 32957420 32957420 Materials Management 561000 25836042 25836042 Other Admin Support Serv 561000 67559071 67559071 219736852 23270 23270 19311 19311 0 406866 376162 30704 30704 30704 23616 23616 23616 23616 0 0 0 Miscellaneous 812900 2247339 2247339 2247339 222722582 221984191 96901 0 0 0 0 6271440 6271440 36678 36678 87438622 87438622 1881265 1881265 6461328 6461328 6613736 6613736 2627060 2627060 613427 613427 85484 85484 72354 72354 0 2100 2100 18539948 18539948 2841946 2841946 3099220 3099220 0 0 4515225 4515225 42807 42807 0 0 3261039 3261039 0 21523352 21523352 386965 386965 Machine Rental & Lease 21577750 21577750 Drugs and Medicine 20030120 20030120 Miscellaneous Expense 10544577 10544577 Intracompany 1319034 1319034 0 219785477 219785477 0 0 32725406 25187318 16505920 17454580 0 2766854 6527391 0 0 0 434447 861433 6224392 9215795 333014695 174076413 156323849 158938282 0 0 55909777 65034263 0 31188342 29327147 302078987 312546209 38023340 39412963 45429111 44453937 55732889 64832340 43907350 53031174 104867953 88289201 287960643 290019615 X 14118344 22526594 14118344 22526594 302078987 312546209 X 2937105 5471145 X false true X true true true X X 8 Albany Medical Center Hospital 141338307 3 true 0 179924737 Albany Medical College 141338310 2 true 0 28861625 Albany Medical Center Kidskeller 222635792 2 true 0 0 Albany Medical Center Foundation 146023119 7 true 0 348373 Columbia Memorial Hospital 141338373 3 true 0 2575054 Kaaterskill Commons Inc 205700964 7 true 0 0 Saratoga Hospital 141338547 3 true 0 6621699 Glens Falls Hospital 141338413 3 true 0 1453989 8 219785477 true false false false false false false false false false false false false false false true true true X true true Part IV, Section D, Line 3: Role The Organization's Supported Orgs. Played Each of Albany Med Health Systems directly supported organizations either (1) appoints one or more members of Albany Med Health Systems board, or (2) has at least one officer or director that sits on Albany Med Health Systems board which, as a result, gives each supported organization a significant voice in the Systems investment policies and in directing the use of the Systems 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 Pu 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, and Glens Falls Hospital. 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 Systems 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 Systems 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 Systems supported organizations would have to carry out themselves were it not for the System. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false true false true 1669 false false true 70685 false false 72354 false false false true X 11538579 11538579 108153236 22770803 85382433 47607958 23831211 23776747 140688843 111501215 29187628 25026079 15973184 9052895 158938282 65034263 Equity in Midstate Partners 1009 Equity in Saratoga Partners North Realty 77265 Interinstitutional Receivables - Current 2679981 Interinstitutional Receivables - LT 24318631 Workers Compensation LT 2250261 29327147 Accrued abatement costs 131192 Deferred revenue 3123537 Derivative Rates - Long-term 4292576 Interinstitutional Payables - Current 20912958 Interinstitutional Payables - LT 58681935 Workers Compensation LT 1147003 88289201 X 229972446 7249864 7249864 222722582 222722582 221659428 1873951 1873951 219785477 219785477 Part IV, Line 2b: Explanation of escrow account liability Albany Med Health System has a deferred compensation program. Part X : FIN48 Footnote s) Income TaxesWith the exception of Madison Avenue Services Corporation, Albany Med Subs, LLC, Albany Medical Park South I, LLC, Columbia Regional, PLLC, Saratoga Partners North, LLC, Saratoga Partners North Realty, LLC and Better Health for Northeast New York, Inc., all entities comprising the System are not-for-profit corporations under Section 501(c)(3) of the Internal Revenue Code (the Code) and are exempt from federal income taxes pursuant to Section 501(a) of the Code. Better Health for Northeast New York, Inc. is a 501(c)(6) not-for-profit corporation. Income taxes associated with Madison Avenue Services Corporation are not material to the combined financial statements. In addition, Albany Medical Park South I, LLC and Albany Med Subs, LLC are limited liability companies, which are disregarded entities for income tax purposes. The System recognizes income tax positions when it is more likely than not that the position will be sustainable based on the merits of the position. Management has concluded that there are no uncertain tax positions that need to be recorded as of December 31, 2021 and 2020. Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 Pension Related Changes $1978017 Interest Rate Swaps $3493128 Rev. of Cons. Affiliate inc. Elimination $1778719 Part XII, Line 2d: Other expenses and losses per audited F/S Exp. of Cons. Affiliate inc. Elimination $1873951 X X X X X true true false false false false false false false Dennis P McKenna MD President & CEO 1001967 393125 58763 282088 28615 1764558 28180 Ferdinand J Venditti Jr MD EVP System Care Delivery-VDEANCLNAF 665255 211730 367624 80066 27891 1352566 301189 Frances S Albert EVP COO & CFO 714397 221670 73889 86581 4370 1100907 34543 George T Hickman Exec VP & Sys CIO & Alyt Ofc 199004 170725 1198139 8700 12890 1589458 234329 James J Barba Board Member 150000 1565 151565 Matthew C Jones EVP & General Counsel 474363 134352 11371 63464 21481 705031 Matthew I Cooper VP Finance 344777 10469 5388 11600 5063 377297 Michael J Hamilton VP IS Analytics 283245 928 23428 307601 Noel C Hogan SVP Corp Complianc 207108 24200 62436 26715 32518 22023 350800 24200 23910 Sandra J Castilla VP Human Resources 299494 10000 1290 8700 23306 342790 Shelly A Breton VP Rev Cycle Svcs 310399 1290 11600 9663 332952 Steven M Frisch MD SR Exec VP Integrated Deliv System 817198 251035 471259 99537 24054 1663083 406108 Steven M Parnes MD Board Member 731163 35000 20651 8700 24228 819742 Vincent Verdile MD SR Exec VP Sys Care Delivery & Dean 809468 252400 105450 99014 27322 1293654 83740 A City of Albany CRC 2014A 273467899 2014-12-09 20000000 Renovations/Construction false false false B City of Albany CRC 2014B 273467899 2014-12-09 5000000 Renovations/Construction false false false C City of Albany CRC 2014A 273467899 2019-11-25 19929401 RefundCity of Albany CRC 2014A false false false D City of Albany CRC 2017A 273467899 2017-11-15 2625000 RefundCity of Albany IDA 2006A false false false A 2084067 20000000 400000 19600000 2016 false false true true B 428072 5000000 5000000 2016 false false true true C 764774 19929401 19929401 2019 true true true true D 2625000 2625000 2017 true false true true A false false true true false false false true B false false true true false false false true C false false true true false false false true D false false true true false false false true A false false false true true Key Bank 25.0000 false false false false true B false false false true false false false true C false true false false true Key Bank 26.5800 false false false false true D false true false false false false false true A true B true C true D true Part VI Part I, Line C, Column f - issued 12/09/2014.Part I, Line D, Column f - issued 5/03/2006.Part I, Line A, Column f - issued 6/28/2007.Part II, Line 1, Columns A-D - Total proceeds of issue less amount of bonds retired will not equal Form 990, Part X, Line 20 because the Balance Sheet amount is presented net of deferred financing costs. Part II, Line 11, Columns A-D - Total proceeds were used to refund the prior issued bonds referenced in Part 1 Column f. Part III, Line 3a, Columns A-D - Albany Med Health System has incidental management and service contracts in various financed areas therefore no contracts are considered to result in private business use within the bond financed property group.Part IV, Line 2c, Columns A-B - Rebate calculations performed on 12/09/2019. A City of Albany CRC 2017C 273467899 2017-11-15 1750000 RefundCity of Albany IDA 2007A false false false A 600000 1750000 1750000 2017 true false true true A false false true true false false false true A false true false false true Bank of America 9.5000 false false false false true A true Antoinette Bishop Family Mbr 36678 Employment false Schedule L, Part V Supplemental Information Antoinette Bishop is the sister of James J. Barba, Board Member. Statement Note 1 KPMG LLP is the paid preparer of this return. Albany Medical Center is not the paid preparer however due to a software limitation we are unable to change the firm name, EIN, address, and phone number in the software. All other information besides firm name, EIN, address, and phone number presented in the Paid Preparer section is correct. Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Materials Management: Centralized supply related operations for the Albany Med Health System. OTHER PROGRAM SERVICES 5: Other Administrative Support Services: The Albany Med Health System coordinates planning, financial, information and policy direction for our affiliated exempt organizations.Covid-19 Impact: The Covid pandemic has taken its toll in ways few could have predicted.As it did to all health care organizations across the U.S., throughout 2021, the coronavirus presented another year of significant challenges to the Albany Med Health System.While vaccinations, therapies, and treatments became more broadly available during the year, surges of the virus resulted in unexpected, complex effects. The Albany Med Health System was affected similarly to the rest of the healthcare industry, but perhaps more so because of our role as a referral center for a 25-county region.Substantial financial and operational impacts included: Significant expense challenges Continuing a trend from 2020, expenses were exacerbated by numerous waves of Covid-19. Our number of inpatient cases remained high, resulting in an increase in the related cost of care and the need for additional staff and supplies. Supply costs increased due to shortages, and travel agency services were leveraged to meet patient demand and a workforce shortage, while travel labor rates rose steeply. Revenue challenges During 2021, although a financial rebound was attempting to occur, it was stalled by staffing shortages, resulting in both an inability to meet demand and a backlog of visits and procedures. Additionally, the need to rely on agency services to assist with staffing and the rising expenses described above also contributed to revenue challenges, particularly toward the end of the year. Major operational challenges The System experienced operational challenges similar to other hospitals and health systems. The demand for additional staff, PPE, and other equipment continued in 2021. Difficulty placing patients ready for discharge frequently occurred, which resulted in an increased length of stay. This, in turn, not only exaggerated staffing shortages, but impacted our ability to accept patient transfers. Workforce challenges The Great Resignation, which began in the Spring of 2021, has had a severe impact on all healthcare organizations, and the Albany Med Health System was no exception. Nurses and other critical care staff began leaving in record numbers; our System turned to for-profit temporary staffing agencies, which began charging rates well beyond pre-pandemic levels. In September 2021, our System lost additional staff due to resignations and terminations spurred by New York States Covid-19 vaccination requirement. And throughout the year, the quarantine of Covid-positive staff members contributed to workforce shortages, as well.Covid 19 Response: As regional providers of care, the hospitals of Albany Med Health System continuously sought ways to assist our region's residents in 2021: The provision of targeted care to address the range of health needs and challenges presented by those infected with the Covid-19 virus. Comprehensive emergent care for our most vulnerable patients, including those in need of ventilator support. Continued availability of Covid-19 therapies. Continuation of, and expansion of, telehealth services across the System to allow patients and the community continued access to providers. Expanded hours for Covid-19 testing for staff. Continued research and evaluation efforts related to the Covid-19 pandemic. The studies have gleaned valuable information and will have meaning for future disease outbreaks and similar medical crises. Routine revision of internal Covid-19 policies and guidelines, including visitation guidelines, employee Covid testing, and current practices, based on the most current CDC and New York State guidance. Dissemination of important information to keep our community updated on Covid-19. The number of visits to the Covid-19 pages of each of our hospitals websites were substantial, helping meet the communitys need for accurate, current information on the pandemic. The System also played a lead role, working with all local hospitals in our region, to track and measure Covid-19 rates on a daily basis. Albany Medical Center Hospital, the primary entity of the Albany Med Health System, was selected to lead the Capital Region in the distribution of Covid-19 vaccines, the roll-out of which began in December 2020 and ramped up in 2021. All System hospitals participated in the program. Many members of our workforce helped distribute the vaccine. The Capital Region Vaccine Network was the first regional hub to administer first doses of the vaccine to at least half its population. A powerful, regional advertising campaign continued, undertaken by the System to educate patients and the public about vaccine distribution, information about each of the vaccines, and the importance of being vaccinated. In addition, career fairs and recruitment campaigns increased across the System to help fill positions in patient care. Tactics included YouTube streaming ads, nurse hiring events, open houses, and career fairs. Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents AMHS Certificate of Incorporation was amended 4/12/21; Bylaws were amended effective 1/6/21. Form 990, Part VI, 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. 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, Line 12c: Explanation of Monitoring and Enforcement of Conflicts 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, Line 15b: Compensation Review and Approval Process for Officers and Key Employees 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, Line 19: Other Organization Documents Publicly Available Documents are made available upon request. Other Changes In Net Assets Or Fund Balances - Other Increases Change in fair value of interest rate swaps = $3493128 Other Changes In Net Assets Or Fund Balances - Other Increases Effect of adoption of provisions of FASB #158 = $1978017 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), and Glens Falls Hospital. Albany Medical Park South I LLC 43 New Scotland Ave Albany NY 12208 473716279 Real Estate NY 1608 Albany Med Health System Albany Med Subs LLC 43 New Scotland Ave Albany NY 12208 813575709 Restaurant NY -190051 Albany Med Health System Albany Medical Center Hospital 43 New Scotland Ave Albany NY 12208 141338307 Hospital Services NY 501(c)(3) 3 N/A false Albany Medical College 47 New Scotland Ave Albany NY 12208 141338310 Medical Degree Programs NY 501(c)(3) 2 N/A false Albany Medical Center Foundation 47 New Scotland Ave Albany NY 12208 146023119 Fundraising NY 501(c)(3) 7 N/A false Albany Medical Center Kidskeller 47 New Scotland Ave Albany NY 12208 222635792 Education Day Program NY 501(c)(3) 2 Albany Med Health System true Center for Donation and Transplant 218 Great Oaks Blvd Albany NY 12203 141820447 Organ and Tissue Bank NY 501(c)(3) 12 Type I Albany Medical College false Better Health for Northeast New York Inc 43 New Scotland Ave Albany NY 12208 811861104 Delivery System Reform Incentive Payment NY 501(c)(6) Albany Medical Center Hospital false Columbia Memorial Hospital 71 Prospect Ave Hudson NY 12534 141338373 Hospital Services NY 501(c)(3) 3 N/A false Kaaterskill Commons Inc 163 Jefferson Heights Catskill NY 12414 205700964 Low-Income Housing NY 501(c)(3) 7 Columbia Memorial Hospital false Columbia Memorial Health Foundation 71 Prospect Ave Hudson NY 12534 141761112 Fundraising NY 501(c)(3) 10 Columbia Memorial Hospital false The Second Show Inc 519 Warren Street Hudson NY 12534 141796715 Thrift Shop NY 501(c)(3) 7 Columbia Memorial Hospital false Saratoga Hospital 211 Church Street Saratoga Springs NY 12866 141338547 Hospital Services NY 501(c)(3) 3 N/A false Saratoga Regional Medical PC 211 Church Street Saratoga Springs NY 12866 472468259 Healthcare Services NY 501(c)(3) 3 Saratoga Hospital false Saratoga Care Inc 211 Church Street Saratoga Springs NY 12866 141775218 Promoting Health NY 501(c)(3) 12 Type II Saratoga Hospital false Healthcare Partners of Saratoga Ltd MMEC 211 Church Street Saratoga Springs NY 12866 453303309 Emergent Care NY 501(c)(3) 3 N/A false Glens Falls Hospital 100 Park Street Glens Falls NY 12801 141338413 Hospital Services NY 501(c)(3) 3 N/A false Glens Falls Medical PLLC 100 Park Street Glens Falls NY 12801 823943636 Physicians NY 501(c)(3) 10 Glens Falls Hospital false Madison Avenue Services Corp 47 New Scotland Ave MC 116 Albany NY 12208 141665610 Services - Other (Inactive) NY Albany Med Health Sy C Corp 4530 1.00000 true false false true false false false false false false true true true false false false true true true true Albany Medical Center Kidskeller s 175686 Book Value