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ObjectId: 202303199349310745 - Submission: 2023-11-15
TIN: 47-3869194
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
Attach to Form 990.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
22
Open to Public Inspection
Name of the organization
ALBANY MEDICAL CENTER GROUP
ORGANIZATION
Employer identification number
47-3869194
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts.
Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a)
Donor advised funds
(b)
Funds and other accounts
1
Total number at end of year
.........
1
2
Aggregate value of contributions to (during year)
3
Aggregate value of grants from (during year)
4
Aggregate value at end of year
........
17,795
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control?
............
Yes
No
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit?
...................................
Yes
No
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
Preservation of land for public use (e.g., recreation or education)
Preservation of an historically important land area
Protection of natural habitat
Preservation of a certified historic structure
Preservation of open space
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a
Total number of conservation easements
......................
2a
b
Total acreage restricted by conservation easements
....................
2b
c
Number of conservation easements on a certified historic structure included in (a)
.....
2c
d
Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register
...
2d
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year
4
Number of states where property subject to conservation easement is located
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds?
............
Yes
No
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
$
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)?
.............................
Yes
No
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1
.........................
$
(ii)
Assets included in Form 990, Part X
...............................
$
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1
..........................
$
b
Assets included in Form 990, Part X
...............................
$
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2022
Page 2
Schedule D (Form 990) 2022
Page
2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets
(continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
Public exhibition
d
Loan or exchange programs
b
Scholarly research
e
Other
c
Preservation for future generations
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?
...
Yes
No
Part IV
Escrow and Custodial Arrangements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X?
....................................
Yes
No
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c
Beginning balance
.............................
1c
d
Additions during the year
............................
1d
e
Distributions during the year
..........................
1e
f
Ending balance
................................
1f
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?
...
Yes
No
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII
....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a)
Current year
(b)
Prior year
(c)
Two years back
(d)
Three years back
(e)
Four years back
1a
Beginning of year balance
....
190,914,609
178,586,886
163,527,331
142,357,866
133,281,069
b
Contributions
...
10,069,141
3,687,383
4,257,629
4,371,193
27,634,845
c
Net investment earnings, gains, and losses
-28,186,161
18,823,951
17,750,874
25,702,476
-10,830,814
d
Grants or scholarships
...
2,514,667
2,389,759
2,275,425
2,246,961
2,179,003
e
Other expenditures for facilities
and programs
...
7,730,331
7,373,823
4,673,523
7,241,782
5,548,231
f
Administrative expenses
....
85,600
420,029
g
End of year balance
......
162,466,991
190,914,609
178,586,886
162,942,792
142,357,866
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment
22.131 %
b
Permanent endowment
74.431 %
c
Term endowment
3.438 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:
Yes
No
(i)
Unrelated organizations
.................
3a(i)
No
(ii)
Related organizations
.................
3a(ii)
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R?
.........
3b
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property
(a)
Cost or other basis
(investment)
(b)
Cost or other basis (other)
(c)
Accumulated depreciation
(d)
Book value
1a
Land
.....
26,879,956
26,879,956
b
Buildings
....
1,073,417,315
558,303,846
515,113,469
c
Leasehold improvements
20,662,652
11,612,932
9,049,720
d
Equipment
....
534,547,925
324,647,597
209,900,328
e
Other
.....
199,772,212
125,972,916
73,799,296
Total.
Add lines 1a through 1e.
(Column (d) must equal Form 990, Part X, column (B), line 10(c).)
..
834,742,769
Schedule D (Form 990) 2022
Page 3
Schedule D (Form 990) 2022
Page
3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b.
See Form 990, Part X, line 12.
(a)
Description of security or category
(including name of security)
(b)
Book value
(c)
Method of valuation:
Cost or end-of-year market value
(1)
Financial derivatives
.........
(2)
Closely-held equity interests
........
(3)
Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total.
(Column (b) must equal Form 990, Part X, col. (B) line 12.)
Part VIII
Investments - Program Related.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c.
See Form 990, Part X, line 13.
(a)
Description of investment
(b)
Book value
(c)
Method of valuation:
Cost or end-of-year market value
(1)
ENDOWMENT & OTHER PROGRAMS
151,665,843
F
(2)
SELF INSURANCE
59,007,200
F
(3)
BOND
28,700,031
F
(4)
CHARITABLE TRUSTS
4,690,469
F
(5)
OTHER INVESTMENTS - CMH
3,757,000
F
(5)
(6)
(7)
(8)
(9)
Total.
(Column (b) must equal Form 990, Part X, col.(B) line 13.)
247,820,543
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d.
See Form 990, Part X, line 15.
(a)
Description
(b)
Book value
(1)
INTERCOMPANY
142,156,624
(2)
RIGHT OF USE ASSETS
49,853,668
(3)
NON-CURRENT
20,696,867
(4)
INTERINSTITUTIONAL RECEIVABLE
19,029,000
(5)
PENSION
12,564,438
(6)
OTHER ASSETS
11,043,869
(7)
INTEREST IN NET ASSETS FDN
8,174,495
(8)
CURRENT
7,262,517
(9)
INVESTMENT IN JV
3,232,190
(10)
DUE FROM SC FOUNDATION
1,992,289
(11)
GOODWILL
1,703,134
(12)
BENEFIT PLANS
1,421,000
(13)
CASH SURRENDER VALUE
795,545
(14)
PROF. LIABILITY REC.
713,000
(15)
ACCRUED INTEREST INCOME
135,794
(16)
INVESTMENT IN ISNENY
29,971
Total.
(Column (b) must equal Form 990, Part X, col.(B) line 15.)
...........
280,804,401
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f.
See Form 990, Part X, line 25.
1.
(a)
Description of liability
(b)
Book value
(1)
Federal income taxes
-386,869
SELF INSURANCE
152,021,203
INTERINSTITUTIONAL PAYABLE
81,155,403
LEASE LIABILITY
43,676,242
OTHER LONG-TERM
30,757,315
DUE TO RELATED PARTIES
18,827,907
DEFERRED COMPENSATION
17,456,182
OTHER SHORT-TERM
13,797,620
CARES ACT
12,078,960
ADOPTION OF ASC 842
10,514,381
WORKERS COMPENSATION
10,102,868
3RD PARTY LIABILITIES
6,540,000
FEDERAL LOAN PROGRAM
3,053,989
ASB ABATEMENT
2,462,327
ASSET RETIREMENT OBLIGATION
1,128,654
OTHER LIABILITIES
2,547,671
Total.
(Column (b) must equal Form 990, Part X, col.(B) line 25.)
405,733,853
2.
Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2022
Page 4
Schedule D (Form 990) 2022
Page
4
Part XI
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1
Total revenue, gains, and other support per audited financial statements
.......
1
2
Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a
Net unrealized gains (losses) on investments
....
2a
b
Donated services and use of facilities
.........
2b
c
Recoveries of prior year grants
...........
2c
d
Other (Describe in Part XIII.)
...........
2d
e
Add lines
2a
through
2d
.....................
2e
3
Subtract line
2e
from line
1
..................
3
4
Amounts included on Form 990, Part VIII, line 12, but not on line
1
:
a
Investment expenses not included on Form 990, Part VIII, line 7b
.
4a
b
Other (Describe in Part XIII.)
...........
4b
c
Add lines
4a
and
4b
....................
4c
5
Total revenue. Add lines
3
and
4c.
(This must equal Form 990, Part I, line 12.)
......
5
Part XII
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1
Total expenses and losses per audited financial statements
...........
1
2
Amounts included on line 1 but not on Form 990, Part IX, line 25:
a
Donated services and use of facilities
.........
2a
b
Prior year adjustments
............
2b
c
Other losses
................
2c
d
Other (Describe in Part XIII.)
...........
2d
e
Add lines
2a
through
2d
....................
2e
3
Subtract line
2e
from line
1
...................
3
4
Amounts included on Form 990, Part IX, line 25, but not on line
1:
a
Investment expenses not included on Form 990, Part VIII, line 7b
..
4a
b
Other (Describe in Part XIII.)
...........
4b
c
Add lines
4a
and
4b
.....................
4c
5
Total expenses. Add lines
3
and
4c.
(This must equal Form 990, Part I, line 18.)
......
5
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference
Explanation
PART IV, LINE 2B:
GIFT ANNUITIES
PART V, LINE 4:
ALBANY MEDICAL COLLEGE THE COLLEGE'S ENDOWMENT CONSISTS OF APPROXIMATELY 350 INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES INCLUDING BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF TRUSTEES TO FUNCTION AS ENDOWMENTS. THE COLLEGE HAS A SPENDING RATE POLICY TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO THE PROGRAMS SUPPORTED BY ITS ENDOWMENTS. THIS POLICY CALLS FOR A WEIGHTED AVERAGE CALCULATION OF THE ENDOWMENT MARKET VALUE OVER THE PAST THIRTEEN QUARTERS. 5% (ANNUAL) OF THIS WEIGHTED AVERAGE IS THEN ALLOCATED TO THE PROGRAMS SUPPORTED FOR USE IN ACCORDANCE WITH THE ENDOWED RESTRICTIONS. THE CALCULATION AND ALLOCATION OF FUNDS OCCURS ON A QUARTERLY BASIS. SPENDING FROM THE ENDOWMENTS IS RESTRICTED FOR VARIOUS PURPOSES. A SIGNIFICANT PORTION OF THE ENDOWMENT FUNDS ARE USED TO PROVIDE SCHOLARSHIPS AND FINANCIAL ASSISTANCE TO MEDICAL STUDENTS. OTHER USES OF THE ENDOWMENTS INCLUDE, BUT ARE NOT LIMITED TO, CREATION AND FUNDING OF DEPARTMENT CHAIRS AND PROFESSORSHIPS, SUPPORT FOR RESEARCH ACTIVITIES AND SUPPORT FOR FELLOWSHIPS. COLUMBIA MEMORIAL HOSPITAL COLUMBIA MEMORIAL HOSPITAL HAS RECEIVED ENDOWMENT FUNDS WITH RESTRICTIONS FOR A VARIETY OF PURPOSES, INCLUDING BOTH DONOR-RESTRICTED FUNDS AND FUNDS DESIGNATED BY THE BOARD OF TRUSTEES TO FUNCTION AS ENDOWMENTS. ALL DONOR RESTRICTED FUNDS ARE EXPENDED CONSISTENT WITH THE DONOR'S INTENT WHEN A NEED ARISES. BOARD DESIGNATED ENDOWMENT FUNDS ARE NOT RESTRICTED FOR ANY PURPOSE, AND ARE SPENT AT THE DISCRETION OF THE TRUSTEES. ALL ENDOWMENT FUNDS ARE USED TO SUPPORT HOSPITAL PROJECTS OR OPERATIONS. COLUMBIA MEMORIAL HOSPITAL FOUNDATION COLUMBIA MEMORIAL HOSPITAL FOUNDATION HAS RECEIVED ENDOWMENT FUNDS THAT ARE DONOR RESTRICTED, THIS IS A COMBINATION OF ORIGINAL DONOR RESTRICTED GIFTS AND ACCUMULATED GAINS. ANY RESTRICTED FUNDS WOULD BE EXPENDED CONSISTENT WITH THE DONOR'S INTENT. ALL ENDOWMENT FUNDS ARE USED TO SUPPORT HOSPITAL PROJECTS. SARATOGA HOSPITAL PERMANENT ENDOWMENT FUNDS ARE RESTRICTED TO SUPPORT SPECIFIC PROGRAMS, SUCH AS THE COMMUNITY HEALTH CENTER OR GENERAL OPERATIONS OF THE HOSPITAL. BOARD-DESIGNATED ENDOWMENT FUNDS ARE NOT RESTRICTED FOR ANY SPECIFIC PURPOSE AND CAN BE USED TO SUPPORT HOSPITAL PROJECTS OR OPERATIONS AT THE DISCRETION OF THE BOARD OF TRUSTEES. THE PERMANENT ENDOWMENT SPENDING POLICY ALLOWS FOR A SPENDING RATE OF 5% OF THE AVERAGE TRAILING QUARTERLY FAIR MARKET VALUE OF PERMANENT ENDOWMENT FUNDS OVER THE PREVIOUS 20 QUARTERS, SUBJECT TO BOARD OF TRUSTEES APPROVAL. THE OVERALL PERMANENT ENDOWMENT ASSETS, AND ANY UNEXPENDED EARNINGS THEREON, ARE ALLOCATED TO VARIOUS DONOR-SPECIFIED PURPOSES BASED ON ORIGINAL DONOR GIFTS. THE SPENDING POLICY IS THEN APPLIED TO PERMANENT ENDOWMENT ASSETS ALLOCATED TO EACH DONOR-SPECIFIED PURPOSE IN ORDER TO DETERMINE SPENDING FOR EACH DONOR-SPECIFIED PURPOSE. GLENS FALLS HOSPITAL PERMANENTLY RESTRICTED NET ASSETS ARE INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE TO SUPPORT THE FOLLOWING: DENTAL CARE - $1,053,285 INDIGENT CARE - $148,927 GENERAL OPERATING EXPENSES - $169,975 HEALTH EDUCATION - $134,485 TOTAL - $1,506,672
PART X, LINE 2:
WITH 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, BETTER HEALTH FOR NORTHEAST NEW YORK, INC. AND VISITING NURSE ASSOCIATION OF ALBANY HOME CARE CORPORATION, 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 AND VISITING NURSE ASSOCIATION OF ALBANY HOME CARE CORPORATION ARE NOT MATERIAL TO THE COMBINED FINANCIAL STATEMENTS. IN ADDITION, ALBANY MEDICAL PARK SOUTH I, LLC, ALBANY MED SUBS, LLC, AND COLUMBIA REGIONAL, PLLC ARE LIMITED LIABILITY COMPANIES, WHICH ARE DISREGARDED ENTITIES FOR INCOME TAX PURPOSES. SARATOGA PARTNERS NORTH, LLC AND SARATOGA PARTNERS NORTH REALTY, LLC ARE LIMITED LIABILITY COMPANIES ORGANIZED AS PARTNERSHIPS AND DO NOT MAKE ANY MATERIAL PROVISION FOR INCOME TAXES. 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, 2022 AND 2021.
Schedule D (Form 990) 2022
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