ALBANY MED HEALTH SYSTEM: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ALBANY MED HEALTH SYSTEM (EIN 14-1820447)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201313199349309906
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)
Timestamp2013-11-15T14:03:51-08:00Timestamp
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)
EIN141820447EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Center For Donation and TransplantBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCENTNameControl
Phone5182625585Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1218 Great Oaks BlvdAddressLine1
CityAlbanyCity
StateNYState
ZIP Code12203ZIPCode

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 TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts5157281GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.cdtny.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionCDT's overall mission is to facilitate procurement and equitable distribution of organs and tissue for transplant, educate the public about donation and transplant, and support donors through the process.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees25TotalNbrEmployees
Total Nbr Volunteers11TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year23606ContributionsGrantsPriorYear
Contributions Grants Current Year25535ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5460402ProgramServiceRevenuePriorYear
Program Service Revenue CY5131746ProgramServiceRevenueCY
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year5484008TotalRevenuePriorYear
Total Revenue Current Year5157281TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1647290SalariesEtcPriorYear
Salaries Etc Current Year1728146SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3703188OtherExpensePriorYear
Other Expenses Current Year3619440OtherExpensesCurrentYear
Total Expenses Prior Year5350478TotalExpensesPriorYear
Total Expenses Current Year5347586TotalExpensesCurrentYear
Revenues Less Expenses Prior Year133530RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-190305RevenuesLessExpensesCY
Total Assets BOY6608521TotalAssetsBOY
Total Assets EOY6481348TotalAssetsEOY
Total Liabilities BOY261734TotalLiabilitiesBOY
Total Liabilities EOY324866TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6346787NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6156482NetAssetsOrFundBalancesEOY
Mission DescriptionCDT was established in 1972 and is one of 57 federally designated organ procurement organizations in the United States. CDT is a member of the United Network for Organ Sharing (UNOS), which houses the national computer system of patients waiting for transplants, and is also an accredited member of the Association of Organ Procurement Organizations (AOPO). The Center for Donation & Transplant serves a total of 30 counties in New York and Vermont, including Fairview Hospital in Berkshire County.Our mission is: To facilitate procurement and equitable distribution of medically suitable organs and tissue for transplant; To ensure the option of donation is offered to families in an informative and compassionate manner; To provide long-term support and comfort to families involved in the donation process; and To educate the medical profession and the community at large about organ and tissue donation.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense4972468Expense
Revenue5131746Revenue
DescriptionResearch/Education - Primary purpose is to facilitate procurement and equitable distribution of medically suitable organs for transplantation. Also, CDT is to ensure that families are informed on options for organ donation. Support family and hospital personnel involved in the donation process and educate the upstate medical profession on organ procurement.Description
Total Program Service Expense4972468TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
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Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
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 ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
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 ContributionsfalseDeductibleNonCashContributions
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 Employees25NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
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 Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
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 (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployee
Antonio DiCarlo MD
Board Member2.000.00X000
Julia Cannizzaro
Board Member2.000.00X000
Gina Picarillo
Board Member2.000.00X000
Steven Kind
Chairman2.000.00X000
Bernadette Pedlow
Board Member2.0040.00X030379581975
Donna Sickler
Board Member2.000.00X000
Jim Carter
Board Member2.000.00X000
Susan Baron
Board Member2.000.00X000
Bill Gormley
Board Member2.000.00X000
David J Conti
Board Member5.0035.00X3620633069339875
Sandra Felis
Board Member2.000.00X000
William C Hasselbarth
Exec VP & CFO1.0039.000507939115484X
Gary J Kochem
Exec VP & COO1.0039.000496811117466X
James J Barba
President & CEO1.0039.000967303271858X
Vincent Verdile
Dean1.0039.000613589162091X
FieldValueIRS element (for citing)
Total Reportable Comp From Org36206TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3220130TotalReportableCompFrmRltdOrgs
Total Other Compensation788749TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions25535AllOtherContributions
Total Contributions25535TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMedical Service IncomeDescription
Business Code621300BusinessCode
Total Revenue Column5131746TotalRevenueColumn
Related Or Exempt Function Income5131746RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue5131746TotalProgramServiceRevenue

Investment Income InvestmentIncome

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Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

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Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

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Net Gain Or Loss Investments NetGainOrLossInvestments

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Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

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Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

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Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5157281TotalRevenueColumn
Related Or Exempt Function Income5131746RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

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Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

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Total0Total

Foreign Grants ForeignGrants

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Total0Total

Benefits To Members BenefitsToMembers

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Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

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Total36206Total
Management And General36206ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

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Total0Total

Other Salaries And Wages OtherSalariesAndWages

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Total1480012Total
Program Services1293637ProgramServices
Management And General186375ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

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Total11392Total
Program Services9720ProgramServices
Management And General1672ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

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Total106970Total
Program Services91267ProgramServices
Management And General15703ManagementAndGeneral

Payroll Taxes PayrollTaxes

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Total93566Total
Program Services79831ProgramServices
Management And General13735ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

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Total0Total

Fees For Services Legal FeesForServicesLegal

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Total0Total

Fees For Services Accounting FeesForServicesAccounting

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Total0Total

Fees For Services Lobbying FeesForServicesLobbying

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Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

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Fees For Services Other FeesForServicesOther

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Total1552935Total
Program Services1552935ProgramServices

Advertising Advertising

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Total260327Total
Program Services258512ProgramServices
Management And General1815ManagementAndGeneral

Office Expenses OfficeExpenses

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Total53516Total
Program Services42387ProgramServices
Management And General11129ManagementAndGeneral

Information Technology InformationTechnology

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Total0Total

Royalties Royalties

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Total0Total

Occupancy Occupancy

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Total171404Total
Program Services128210ProgramServices
Management And General43194ManagementAndGeneral

Travel Travel

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Total193724Total
Program Services174952ProgramServices
Management And General18772ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

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Total0Total

Conferences Meetings ConferencesMeetings

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Total0Total

Interest Interest

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Total828Total
Management And General828ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total792497Total
Program Services785652ProgramServices
Management And General6845ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total28236Total
Program Services12386ProgramServices
Management And General15850ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Machine Rental & Lease26300230683232
Pharmacy & Drugs4198341983
Medical Surgical208903208903
Patient Research266173266173

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total22614Total
Program Services2852ProgramServices
Management And General19762ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5347586Total
Program Services4972468ProgramServices
Management And General375118ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY750566BOY
EOY939406EOY

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)
BOY30932BOY
EOY41793EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis399658LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec307491LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY120402BOY
EOY92167EOY

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)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5706621BOY
EOY5407982EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6608521BOY
EOY6481348EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY246753BOY
EOY300925EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY14981BOY
EOY23941EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY261734BOY
EOY324866EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6346787BOY
EOY6156482EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6346787BOY
EOY6156482EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6608521BOY
EOY6481348EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-190305ReconcilationRevenueExpenses
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)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1Albany Medical CollegeBusinessNameLine1
FieldValueIRS element (for citing)
EIN141338310EIN
Type Of Organization2TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis399658OtherCostOrOtherBasis
Depreciation307491Depreciation
Book Value92167BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings92167TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionInterinstitutional ReceivablesDescription
Book Value5407982BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets5407982TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionInterinstitutional PayablesDescription
Amount$23,941Amount
FieldValueIRS element (for citing)
Total Of Amounts23941TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt285395639TotRevenueEtcAuditedFinclStmt
Other Revenues280238358OtherRevenues
Revenue Not Rptd F990280238358RevenueNotRptdF990
Revenue Subtotal5157281RevenueSubtotal
Total Revenue Per Form9905157281TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt282015611TotExpensesEtcAuditedFinclStmt
Other Expenses Included276668025OtherExpensesIncluded
Expenses Not Rptd F990276668025ExpensesNotRptdF990
Expenses Subtotal5347586ExpensesSubtotal
Total Expenses Per Form9905347586TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XII, Line 2dPart XII, Line 2d: Other expenses and losses per audited F/SExpenses of Consolidated Affiliate $XXX-XX-XXXX
Part XI, Line 2dPart XI, Line 2d: Other revenue amounts included in F/S but not included on form 990Revenue of Consolidated Affiliate $XXX-XX-XXXX
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.

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 (6 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 OrgBaseCompensationFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
William C Hasselbarth
Exec VP & CFO36023010662541084993621612262342371701
Vincent Verdile
Dean457730115327405321483751371677568095327
James J Barba
President & CEO6510812750004122226827335851239161227622
Gary J Kochem
Exec VP & COO36606889369413741052381222861427773972
David J Conti
Board Member26471139465265172620613669370568352963620636206
Bernadette Pedlow
Board Member2353434212026332662381573738577042120

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 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.
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. 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 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
Albany Medical Center Kidskeller
47 New Scotland AveAlbanyNY12208222635792Education Day ProgramNY501(c)(3)2Albany Medical Centerfalse
Albany Medical Center Foundation
47 New Scotland AveAlbanyNY12208146023119FundraisingNY501(c)(3)7falseN/A
Albany Medical Center Hospital
43 New Scotland AveAlbanyNY12208141338307HospitalNY501(c)(3)3falseN/A
Albany Medical Center
47 New Scotland AvenueAlbanyNY12208141641730Corporate ServicesNY501(c)(3)11 Type IIfalseN/A
Albany Medical College
47 New Scotland AvenueAlbanyNY12208141338310CollegeNY501(c)(3)2falseN/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
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 OrgsfalseRentalOfFacilitiesFrOtherOrgs
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 OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

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