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ALBANY MED HEALTH SYSTEM: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ALBANY MED HEALTH SYSTEM (EIN 14-6023119)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201303199349309705
Schema version
2012v2.0
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)
Timestamp2013-11-15T14:03:52-08:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1515 BroadwayAddressLine1
CityAlbanyCity
StateNYState
ZIP Code12207ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN146023119EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Albany Medical Center Foundation IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlALBANameControl
Phone5182625585Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line147 New Scotland Ave MC116AddressLine1
CityAlbanyCity
StateNYState
ZIP Code12208ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameWilliam HasselbarthName
TitleExec VP & CFOTitle
Date Signed2013-11-15DateSigned
Authorize Third PartyfalseAuthorizeThirdParty
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts14388866GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.amc.edu/foundationWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1957YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionAn academic health sciences center whose responsibilities are to provide a broad range of patient services to the people of eastern New York and western New England.ActivityOrMissionDescription
Nbr Voting Members Governing Body28NbrVotingMembersGoverningBody
Nbr Independent Voting Members27NbrIndependentVotingMembers
Total Nbr Employees32TotalNbrEmployees
Total Nbr Volunteers27TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year9125172ContributionsGrantsPriorYear
Contributions Grants Current Year12450745ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year37090InvestmentIncomePriorYear
Investment Income Current Year82440InvestmentIncomeCurrentYear
Other Revenue Prior Year1389313OtherRevenuePriorYear
Other Revenue Current Year514937OtherRevenueCurrentYear
Total Revenue Prior Year10551575TotalRevenuePriorYear
Total Revenue Current Year13048122TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year342397GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY8229831GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2439191SalariesEtcPriorYear
Salaries Etc Current Year2422852SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year3026269TotalFundrsngExpCurrentYear
Other Expense Prior Year7252538OtherExpensePriorYear
Other Expenses Current Year1084091OtherExpensesCurrentYear
Total Expenses Prior Year10034126TotalExpensesPriorYear
Total Expenses Current Year11736774TotalExpensesCurrentYear
Revenues Less Expenses Prior Year517449RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1311348RevenuesLessExpensesCY
Total Assets BOY18843630TotalAssetsBOY
Total Assets EOY24675172TotalAssetsEOY
Total Liabilities BOY21912911TotalLiabilitiesBOY
Total Liabilities EOY7573334TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-3069281NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY17101838NetAssetsOrFundBalancesEOY
Mission DescriptionAn academic health sciences center whose responsibilities are: to educate medical students, physicians, biomedical students and other health care professional 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 believe to continually 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 servMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense8229831Expense
Grants8229831Grants
Revenue650004Revenue
DescriptionThe Foundation's primary function is to raise funds for construction, research, support and endowment purposes for exempt organizations, including Albany Medical College, Albany Medical Center Hospital, Albany Medical Center, AMC Alumni Association, and Center for Donation and Transplant, via direct mail - community based programs, telethon, radiothon, special events - golf outings, dinners, etc., plus gift-in-kind (GIK) donations.Description
Total Program Service Expense8229831TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingtrueCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees32NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionstrueNonDeductibleContributions
Non Deductible DisclosuretrueNonDeductibleDisclosure
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members28NbrVotingGoverningBodyMembers
Number Independent Voting Members27NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonFrances M Albert CPANamePerson
Telephone Number5182625585TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line147 New Scotland AveAddressLine1
CityAlbanyCity
StateNYState
ZIP Code12208ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Omar Usmani
Board Member2.006.00X000
Daniel T Pickett III
Board Member2.006.00X000
Margaret Gillis
Board Member2.006.00X000
Candace King Weir
Board Member2.006.00X000
Todd M Tidgewell
Board Member2.006.00X000
Jeffrey Stone
Board Member2.006.00X000
Jeffrey Sperry
Board Member2.006.00X000
Janice Smith
Board Member2.006.00X000
John B Robinson Jr
Board Member2.006.00X000
W Michael Reickert
Board Member2.006.00X000
Steven M Parnes
Board Member2.006.00X000
John B O'Connor
Vice Chair2.006.00X000
John J Nigro
Board Member2.006.00X000
Lillian Moy
Board Member2.006.00X000
James O Jackson
Board Member2.006.00X000
Robert J Higgins
Board Member2.006.00X000
Peter H Heerwagen
Board Member2.006.00X000
Doug M Hamlin
Board Member2.006.00X000
David Golub
Board Member2.006.00X000
Marc N Fecteau CPA
Board Member2.006.00X000
Peter H Elitzer
Vice Chair2.006.00X000
R Wayne Diesel
Chairman2.006.00X000
Joyce M DeFazio
Board Member2.006.00X000
Ronald D'Alessandro
Board Member2.006.00X000
Robert T Cushing
Vice Chair2.006.00X000
Raimundo C Archibold Jr
Board Member2.006.00X000
James J Barba
President & CEO6.0034.00X0967303271858X
Michael K Burke
Board Member2.006.00X000
William C Hasselbarth
Exec VP & CFO1.0039.000507939115484X
Gary J Kochem
Exec VP & COO2.0038.000496811117466X
Terri Cerveny
Director40.000.00228631034798X
Veronica Fitzgerald
VP Philanthropy40.000.0013577203607X
Therese Stillman
VP Philanthropy40.000.0013631503483X
FieldValueIRS element (for citing)
Total Reportable Comp From Org500718TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1972053TotalReportableCompFrmRltdOrgs
Total Other Compensation546696TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Childrens Miracle NetworkBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1205 W 700 SouthAddressLine1
CitySalt Lake CityCity
StateUTState
ZIP Code84101ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesFundraisingDescriptionOfServices
Compensation128029Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Fundraising Events1439110FundraisingEvents
All Other Contributions11011635AllOtherContributions
Noncash Contributions163217NoncashContributions
Total Contributions12450745TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10238TotalRevenueColumn
Exclusion$10,238ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities975591Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities903389Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities72202Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column72202TotalRevenueColumn
Exclusion$72,202ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events160000GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events1439110CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses437355FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-277355TotalRevenueColumn
Exclusion-$277,355ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeBusiness CodeBusinessCodeExclusionExclusionAmount
College Support650004650004
Change in CSV184768812900$184,768
Auxiliary Var Activity2220812900$2,220

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column-44700TotalRevenueColumn
Exclusion-$44,700ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue792292TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13048122TotalRevenueColumn
Related Or Exempt Function Income650004RelatedOrExemptFunctionIncome
Exclusion-$52,627ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total8229831Total
Program Services8229831ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2074324Total
Management And General239308ManagementAndGeneral
Fundraising1835016Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total57121Total
Fundraising57121Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total157442Total
Fundraising157442Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total133965Total
Fundraising133965Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total17754Total
Management And General17754ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total236247Total
Fundraising236247Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total5554Total
Fundraising5554Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total117517Total
Fundraising117517Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total153586Total
Management And General153586ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total204278Total
Fundraising204278Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total110884Total
Fundraising110884Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total22828Total
Fundraising22828Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total14243Total
Fundraising14243Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalFundraisingFundraisingManagement And GeneralManagementAndGeneral
Bad debt exp1174011740
Equipment rental5596155961
Miscellaneous Expense6315363153
Taxes and fees7002670026

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total320Total
Fundraising320Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11736774Total
Program Services8229831ProgramServices
Management And General480674ManagementAndGeneral
Fundraising3026269Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1293904BOY
EOY1013157EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5041863BOY
EOY8861196EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY7288655BOY
EOY9296067EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY112263BOY
EOY141310EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis292331LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec253187LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY53387BOY
EOY39144EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY4990432BOY
EOY5259156EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY63126BOY
EOY65142EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY18843630BOY
EOY24675172EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY454133BOY
EOY363291EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY2294939BOY
EOY2199678EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY19163839BOY
EOY5010365EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY21912911BOY
EOY7573334EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-15996905BOY
EOY97851EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY9267008BOY
EOY11116598EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3660616BOY
EOY5887389EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-3069281BOY
EOY17101838EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18843630BOY
EOY24675172EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1311348ReconcilationRevenueExpenses
Reconciliation Unrealized Invest359771ReconciliationUnrealizedInvest
Reconcilation Other Changes18500000ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5928020CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6234750CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7741554CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9125172CurrentTaxYearMinus1Year
Current Tax Year12450745CurrentTaxYear
Total41480241Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5928020CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6234750CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7741554CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9125172CurrentTaxYearMinus1Year
Current Tax Year12450745CurrentTaxYear
Total41480241Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total947692AmountsSubstContributorsTotal
Public Support Total17040532549PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-541096CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years-16809CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years347280CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-88281CurrentTaxYearMinus1Year
Current Tax Year222508CurrentTaxYear
Total-76398Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2817CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2265CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2719CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2474CurrentTaxYearMinus1Year
Current Tax Year2220CurrentTaxYear
Total12495Total
FieldValueIRS element (for citing)
Total Support41416338TotalSupport
Gross Receipts From Admissions Etc7553901GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.97870PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99310PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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 D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FStrueIncludedOnFS
Explanation In Part XIIIXExplanationInPartXIII

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance70526BeginningOfYearBalance
Investment Earnings Or Losses1775InvestmentEarningsOrLosses
Other Expenditures256OtherExpenditures
End Of Year Balance72045EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance70508BeginningOfYearBalance
Investment Earnings Or Losses198InvestmentEarningsOrLosses
Other Expenditures180OtherExpenditures
End Of Year Balance70526EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance69398BeginningOfYearBalance
Investment Earnings Or Losses1435InvestmentEarningsOrLosses
Other Expenditures325OtherExpenditures
End Of Year Balance70508EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance70166BeginningOfYearBalance
Investment Earnings Or Losses-117InvestmentEarningsOrLosses
Other Expenditures651OtherExpenditures
End Of Year Balance69398EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance99567BeginningOfYearBalance
Investment Earnings Or Losses-22702InvestmentEarningsOrLosses
Other Expenditures6699OtherExpenditures
End Of Year Balance70166EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis18180OtherCostOrOtherBasis
Depreciation18111Depreciation
Book Value69BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis274151OtherCostOrOtherBasis
Depreciation235076Depreciation
Book Value39075BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings39144TotalOfBookValueLandBuildings
Total Of Book Value Program Related5259156TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionInterinstitutional PayablesDescription
Amount$5,010,365Amount
FieldValueIRS element (for citing)
Total Of Amounts5010365TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt33125190TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments359771NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities717630DonatedSrvcAndUseOfFacilities
Other Revenues18999667OtherRevenues
Revenue Not Rptd F99020077068RevenueNotRptdF990
Revenue Subtotal13048122RevenueSubtotal
Total Revenue Per Form99013048122TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12954071TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities717630DonatedServicesUseOfFacilities
Other Expenses Included499667OtherExpensesIncluded
Expenses Not Rptd F9901217297ExpensesNotRptdF990
Expenses Subtotal11736774ExpensesSubtotal
Total Expenses Per Form99011736774TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XII, Line 2dPart XII, Line 2d: Other expenses and losses per audited F/SSpecial Events - direct expenses $499667
Part XI, Line 2dPart XI, Line 2d: Other revenue amounts included in F/S but not included on form 990Special Events - direct expenses $499667 Interinstitutional Receivable $18500000
Part XPart X : FIN48 Footnoter) Income TaxesWith the exception of Madison Avenue Services Corporation, all entities comprising the Albany Medical Center and Related Entities are not-for-profit corporations under Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes pursuant to Section 501(a) of the Code. The Center 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 at December 31, 2012 and 2011.
Part V, Line 4Part V, Line 4: Intended uses of the endowment fund.Scholarships
Part IV, Line 2bPart IV, Line 2b: Explanation of escrow account liabilityGift annuities

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1CH Telethon/RadiothonNameOfEvent1
Gross Receipts Event1752736GrossReceiptsEvent1
Charitable Contributions Event1736576CharitableContributionsEvent1
Gross Revenue Event116160GrossRevenueEvent1
Other Direct Expenses Event1184195OtherDirectExpensesEvent1
Name Of Event2Dance in the WoodsNameOfEvent2
Gross Receipts Event2330495GrossReceiptsEvent2
Charitable Contributions Event2244885CharitableContributionsEvent2
Gross Revenue Event285610GrossRevenueEvent2
Other Direct Expenses Event2115578OtherDirectExpensesEvent2
Total Number Of Other Events4TotalNumberOfOtherEvents
Gross Receipts Other Events515879GrossReceiptsOtherEvents
Charitable Contrib Other Events457649CharitableContribOtherEvents
Gross Revenue Other Events58230GrossRevenueOtherEvents
Other Direct Expenses Other Events137582OtherDirectExpensesOtherEvents
Gross Receipts Total1599110GrossReceiptsTotal
Charitable Contributions Total1439110CharitableContributionsTotal
Gross Revenue Total Events160000GrossRevenueTotalEvents
Other Direct Expenses Total Events437355OtherDirectExpensesTotalEvents
Direct Expense Summary Events437355DirectExpenseSummaryEvents
Net Income Summary-277355NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationPurpose Of GrantPurposeOfGrant
AMC Alumni Association
47 New Scotland AveAlbanyNY12208141468380501 (c)(3)3103910Donor estimated valueFund scholarships
Albany Medical College
47 New Scotland AveAlbanyNY12208141338310501 (c)(3)51708910Donor estimated valueFund scholarships, research
Albany Medical Center Hospita
47 New Scotland AveAlbanyNY12208141338307501 (c)(3)27445310Donor estimated valueFund research and healthcare
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGrantmaker's Description of How Grants are UsedIdentifier
ExplanationReview of activity, budget monitoring and report preparation and filings by Research Office, IRC departments and Sponsored Program/Financial Reporting departments.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

TitleTitleComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
William C Hasselbarth
Exec VP & CFO36023010662541084993621612262342371701
Terri Cerveny
Director1888092277017052227061209226342918847
James J Barba
President & CEO6510812750004122226827335851239161227622
Gary J Kochem
Exec VP & COO36606889369413741052381222861427773972

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions18NumberOfContributions
Noncash Contribs Rptd F990141897NoncashContribsRptdF990
Method Of Determining RevenuesMV at donationMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990 Part VII - Estimate of average hours to related organizationsHours reported for Board Members, Officers and Key Employees are average work hours related to this organization and it's related organizations. Organizations included in this relationship are Albany Medical Center, Albany Medical Center Hospital, Albany Medical College, Albany Medical Center Foundation, Center for Donation and Transplant, and Kidskeller Inc.
Other Changes In Net Assets Or Fund Balances - Other IncreasesInterinstitutional Receivable = $18500000Form 990, Part XI, Line 9
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableDocuments are made available upon request.Form 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe 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 15b
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsAll candidates for Board membership and Board Committee membership receive a copy of the conflict of interest policy and conflict of interest questionnaire for completion. Actual or potential conflicts reported are reviewed by the Committee on Audit & Compliance of the Board of Directors and appropriate action is taken to mitigate conflicts.Upon hire, all employees receive an employee manual 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 Center management of any potential conflicts in addition to responding to requests for information if requested. Persons holding significant management positions receive a copy of the conflict of interest questionnaire for completion. Any conflicts which are reported or discovered are reviewed by the Corporate Compliance & Audit Dept. and appropriate action is taken to mitigate the conflict. Employees who violate the conflict of interest policy are subject to the institution's corrective action policies.Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11b: Form 990 Review ProcessThe Board of Directors, through it's Audit Committee, engages a prominent accounting firm, KPMG, to conduct a review of it's 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.Form 990, Part VI, Line 11b

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
Center for Donation and Transplant
218 Great Oaks BlvdAlbanyNY12203141820447Organ and Tissue BankNY501(c)(3)11 Type IAlbany Medical Collegefalse
Albany Medical Center Kidskeller
47 New Scotland AvenueAlbanyNY12208222635792Educational Day ProgramNY501(c)(3)2Albany Medical Centerfalse
Albany Medical College
47 New Scotland AveAlbanyNY12208141338310Medical Degree ProgramsNY501(c)(3)2falseN/A
Albany Medical Center Hospital
43 New Scotland AveAlbanyNY12208141338307HospitalNY501(c)(3)3falseN/A
Albany Medical Center
47 New Scotland AveAlbanyNY12208141641730Corporate ServicesNY501(c)(3)11 Type IIfalseN/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg