Civic Intelligence

Albany Med Health System

990 • Fiscal year 2017 • EIN 14-1338413

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 14, 2018

100 Park StreetGlens Falls, NY 12801

(518) 926-5005

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

60th percentile

0.65x

Higher debt load relative to assets than 60% of similar nonprofits.

2017 filings • NTEE E • $250M-$1B nonprofits • Source year 2017

Liabilities / Revenue

65th percentile

0.62x

Higher debt load relative to revenue than 65% of similar nonprofits.

2017 filings • NTEE E • $250M-$1B nonprofits • Source year 2017

Net Margin

4th percentile

-11%

Higher net margin than 4% of similar nonprofits.

2017 filings • NTEE E • $250M-$1B nonprofits • Source year 2017

Top Officer Pay

39th percentile

$655,971

Higher top officer pay than 39% of similar nonprofits.

Top officer pay equals 0.2% of source-year revenue.

2017 filings • 501(c)3 • $250M-$1B nonprofits • Source year 2017

Asset Growth

51st percentile

4.7%

Faster asset growth than 51% of similar nonprofits.

2017 filings • NTEE E • $250M-$1B nonprofits • Annualized from 2016 to 2017

Revenue Growth

6th percentile

-6.8%

Faster revenue growth than 6% of similar nonprofits.

2017 filings • NTEE E • $250M-$1B nonprofits • Annualized from 2016 to 2017

Assets

Up

$301,638,017

Up $13,610,448 (+4.7%) from 2016

Net Assets

Down

$105,686,063

Down $27,755,568 (-21%) from 2016

Liabilities

Up

$195,951,954

Up $41,366,016 (+27%) from 2016

Revenue

Down

$315,484,733

Down $23,067,132 (-6.8%) from 2016

Expenses

Up

$349,672,381

Up $14,023,518 (+4.2%) from 2016

Net Income

Down

-$34,187,648

Down $37,090,650 (-1278%) from 2016

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$400M$300M$200M$100M$0Assets 2010: $220,461,236Liabilities 2010: $120,825,698Net Assets 2010: $99,635,5382010Assets 2011: $230,743,141Liabilities 2011: $123,835,508Net Assets 2011: $106,907,6332011Assets 2012: $232,155,570Liabilities 2012: $115,604,255Net Assets 2012: $116,551,3152012Assets 2013: $250,993,804Liabilities 2013: $126,647,945Net Assets 2013: $124,345,8592013Assets 2014: $260,963,700Liabilities 2014: $129,685,726Net Assets 2014: $131,277,9742014Assets 2015: $272,462,584Liabilities 2015: $142,927,578Net Assets 2015: $129,535,0062015Assets 2016: $288,027,569Liabilities 2016: $154,585,938Net Assets 2016: $133,441,6312016Assets 2017: $301,638,017Liabilities 2017: $195,951,954Net Assets 2017: $105,686,0632017Assets 2018: $271,762,967Liabilities 2018: $167,848,197Net Assets 2018: $103,914,7702018Assets 2019: $265,741,933Liabilities 2019: $159,704,948Net Assets 2019: $106,036,9852019Assets 2020: $356,058,419Liabilities 2020: $206,102,158Net Assets 2020: $149,956,2612020

Highlighted filing

2017

Assets$301,638,017
Liabilities$195,951,954
Net Assets$105,686,063

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$400M$200M$0-$200MExpenses 2010: $290,070,1762010Expenses 2011: $293,239,1722011Expenses 2012: $306,609,8682012Revenue 2013: $308,044,758Expenses 2013: $306,582,946Net Income 2013: $1,461,8122013Revenue 2014: $310,948,345Expenses 2014: $304,922,807Net Income 2014: $6,025,5382014Revenue 2015: $331,422,521Expenses 2015: $332,073,947Net Income 2015: -$651,4262015Revenue 2016: $338,551,865Expenses 2016: $335,648,863Net Income 2016: $2,903,0022016Revenue 2017: $315,484,733Expenses 2017: $349,672,381Net Income 2017: -$34,187,6482017Revenue 2018: $368,243,313Expenses 2018: $356,566,101Net Income 2018: $11,677,2122018Revenue 2019: $347,789,681Expenses 2019: $351,185,004Net Income 2019: -$3,395,3232019Revenue 2020: $346,451,670Expenses 2020: $347,327,868Net Income 2020: -$876,1982020

Highlighted filing

2017

Revenue$315,484,733
Expenses$349,672,381
Net Income-$34,187,648
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 14, 2018
Return Version
2017v2.3
Gross Receipts
$329,054,159
Mission and Program Overview

Mission

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$119,245,227$122,348,158▲ $3,102,931
Investments in Publicly Traded Securities$85,879,005$93,185,775▲ $7,306,770
Accounts Receivable$47,751,588$57,794,987▲ $10,043,399
Inventories for Sale or Use$4,510,288$5,535,870▲ $1,025,582
Cash and Non-Interest-Bearing Accounts$6,648,762$4,729,854▼ $1,918,908
Prepaid Expenses and Deferred Charges$4,015,053$3,388,298▼ $626,755
Savings and Temporary Cash Investments$8,891,811$2,514,883▼ $6,376,928
Other Notes and Loans Receivable, Net$121,999$98,083▼ $23,916
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Intangible Assets$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$288,027,569$301,638,017▲ $13,610,448
Other Assets Total$10,963,836$12,042,109▲ $1,078,273
Liabilities
Accounts Payable and Accrued Expenses$51,935,839$87,954,626▲ $36,018,787
Tax Exempt Bond Liabilities$59,331,979$56,041,699▼ $3,290,280
Mortgage Notes Payable Secured by Investment Property$19,146,317$26,335,859▲ $7,189,542
Other Liabilities$24,171,803$25,619,770▲ $1,447,967
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Total Liabilities$154,585,938$195,951,954▲ $41,366,016
Net Assets / Fund Balance
Unrestricted Net Assets$126,436,635$98,880,485▼ $27,556,150
Temporarily Rstr Net Assets$5,498,324$5,298,906▼ $199,418
Permanently Rstr Net Assets$1,506,672$1,506,672→ $0
Total Net Assets Fund Balance$133,441,631$105,686,063▼ $27,755,568
Total Liabilities and Net Assets / Fund Balance$288,027,569$301,638,017▲ $13,610,448

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$70,348,437$113,408,544$183,756,981
Equipment$43,737,786$109,713,666$153,451,452
Land$8,261,935-$8,261,935
Other Land Buildings$0-$0

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2017$1,506,672-▲ $154,101-$1,506,672
2016$1,506,672-▲ $393,967-$1,506,672
2015$1,506,672-▲ $602,863-$1,506,672
2014$1,506,672$0▲ $355,034$53,115$1,506,672
2013$1,506,672$0▲ $284,363$45,395$1,506,672
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Richard Hughes MdPhysicianFT$444,765$211,206$655,971
Atilla Kayalar MdCardiac PhysicianFT$438,203$215,928$654,131
Iqbal Bashir MdCardiac PhysicianFT$438,003$209,730$647,733
Scott Munro MdCardiac PhysicianFT$438,003$208,778$646,781
Patrick Rowley MdCardiac PhysicianFT$440,039$193,747$633,786
Dianne ShugruePresident/CEOFT$560,822$28,196$589,018
John B KelleherCIOFT$151,654$343,654$495,308
Ben Katz MdChief Medical OfficerFT$369,701$21,868$391,569
Mitch AmadoCFOFT$341,739$41,441$383,180
Paul ScimecaSr VP OperationsFT$348,966$27,813$376,779
Brian Mcdermott MdSr VP Clinical Integration-$307,716$307,716$307,716
Robert Pringle MdVP Med Affairs & CMOFT$245,802$49,502$295,304
Celeste SteeleVP QualityFT$274,117$17,808$291,925
Kevin GallagherCmioFT$243,720$44,220$287,940
Donna KirkerVP Patient ServicesFT$246,509$12,005$258,514
Kyle BrockVP Human ResourcesFT$215,093$18,299$233,392
Theresa AlvaroVP Clinical ServicesFT$153,248$13,995$167,243
Tracy MillsVP Planning and Development-$141,169$14,521$155,690

Highest Paid Contractors

ContractorServicesLocationCompensation
Sano-Rubin Construction Co IncConstructionPO Box 9078, Albany, NY 12209$3,540,044
HUDSON HEADWATaERS HEALTH NETWORKMedical Services9 CAREY RD, Queensbury, NY 12804$3,299,951
Healthcare Management ConsultantsConsultantsPO BOX 56, Valis Gate, NY 12584$1,012,567
Hayes Management ConsultingConsultants70 WALNUT ST, Wellsley, MA 02481$902,123
American Healthcare Services AssocPhys. Locum TenensPO BOX 945, Traverse, MI 49685$693,665
Revenue and Support

Revenue Composition

Contributions and Grants
$9,454,267
Program Service Revenue
$299,073,123
Investment Income
$2,713,069
Other Revenue
$4,244,274
All Other Contributions
$135,371
Change in Net Assets
$-34,187,648

Audited Revenue Reconciliation

Revenue per Audited Statements
$315,470,680
Revenue Not Reported on Financial Statements
$14,053
Revenue Not Reported on Form 990
$6,433,233
Other Revenue Adjustments
$14,053
Total Revenue per Audited Statements
$321,903,913
Total Revenue per Form 990
$315,484,733
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$182,143,932
Other Expenses$167,515,549
Total Fundraising Expense$460,568
Grants and Similar Amounts Paid$12,900
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$124,708,832$25,513,857$234,544$150,457,233
Office Expenses$80,298,810$7,462,583$17,011$87,778,404
Fees for Services Other$16,937,599$18,926,590$50,193$35,914,382
Depreciation Depletion$12,993,806$3,061,037-$16,054,843
Other Employee Benefits$10,245,618$2,220,086$19,268$12,484,972
Payroll Taxes$8,264,463$1,950,576$15,542$10,230,581
Fees for Services Management$1,432,783$6,303,823$200$7,736,806
Information Technology$166,801$5,940,043-$6,106,844
Pension Plan Contributions$3,912,902$923,522$7,359$4,843,783
Current Officers, Directors, Trustees, and Key Employees-$4,119,758-$4,119,758
Occupancy$1,215,488$2,787,739-$4,003,227
Other Expenses$527,814$2,211,169$102,189$2,841,172
Interest$2,226,325$524,470-$2,750,795
Insurance$1,578,287$583,366-$2,161,653
Fees for Services Legal-$710,655-$710,655
Advertising$5,010$555,173-$560,183
Travel$174,484$176,648$1,370$352,502
Conferences and Meetings$263,341$57,914$1,248$322,503
Fees for Services Accounting-$113,875$11,644$125,519
Fees for Services Lobbying-$96,061-$96,061
Grants to Domestic Individuals$12,900--$12,900
Comp Disqual Persons$7,605--$7,605
Total Functional Expenses$264,972,868$84,238,945$460,568$349,672,381

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$349,672,381
Total Expenses per Form 990$349,672,381
Total Expenses per Audited Statements$349,659,481
Expenses Not Reported on Form 990$-12,900
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Mark BehanDirectorMarketing ServicesNo$199,883
Dr David WestfallDirectorJoint VentureNo$22,500

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Self Insured Liability Reserve$17,175,773
Deferred Comp Payable$7,998,708
Asset Retirement Obligation$445,289

Bond Issues

BondIssuerIssuedIssue PricePurpose
AGlens Falls Civic Development Corp Series 20152015-09-21$67,000,000Refund '03 bonds, capital projects

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$67,000,000$49,118,939$10,050,000$360,205

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
Yes
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Part VI, Section A, Line 2

Current board members JOHN BIENIEK, MICHAEL B. CLARKE, JAMES CULLUM, KATHIE DUNCAN, WILLIAM REYNOLDS MD AND TENEE' CASACCIO HAVE A BUSINESS RELATIONSHIP OR ARE ALSO BOARD MEMBERS OF A BUSINESS THAT GLENS FALLS HOSPITAL DOES BUSINESS WITH. PART VI, SECTION A, LINE 9 BRIAN MCDERMOTT MD - 3 HONEY HOLLOW RD, QUEENSBURY, NY 12804, JOHN KELLEHER - 14 LAUREN DR, QUEENSBURY, NY 12804,BEN KATZ MD - 24 SUMMERFIELD LANE, SARATOGA SPRINGS, NY 12866, KYLE BROCK - 10 RIDGE ST. APT 2A, GLENS FALLS, NY 12801 Part VI, Section A, Line 11 A copy of Form 990 was given to the Hospital's audit and compliance committee to review and comment on at their regular meeting. The form was approved by the committee and filed on a timely basis. The form was also given to the CFO, Controller, and Director of Finance to review and comment on. In addition, the form was reviewed by an independent accountant, KPMG, to make sure it was filled out completely and accurately.

Part VI, Section B, Line 12B

Each director, principal officer and member of a committee with board delegated powers shall annually sign a statement which affirms that such person, a) has received a copy of the conflicts of interest policy, b) has read and understands the policy, c) has agreed to comply with the policy and d) understands that the corporation is a charitable organization and that in order to maintain its Federal exemption it must engage primarily in activities which accomplish one or more of its tax exempt purposes. To ensure that the corporation operates in a manner consistent with its charitable purposes and that it does not engage in activities that could jeopardize its status as an organization exempt from federal income tax, periodic reviews shall be conducted. Reviews shall include the following subjects: A) whether compensation arrangements and benefits are reasonable and are the result of arm's length bargaining. B) whether acquisitions of physician practices and other provider services result in inurement or impermissible private benefit. C) whether partnership and joint venture arrangements and arrangements with management service organizations and physician hospital organizations conform to written policies, are properly recorded, reflect reasonable payments for goods and services, further the corporation's charitable purposes and do not result in inurement or impermissible private benefit. In conducting reviews, the corporation may use outside advisors.

Part VI, Section B, Line 15A & 15B

Glens Falls Hospital is committed to developing and maintaining a total compensation program that is competitive with programs offered by other health care organizations that are comparable to GFH in revenue, structure, mission and scope of services. The compensation philosophy includes: base salary ranges positioned in the 50th percentile of a national and regional peer group, annual incentive opportunities tied to performance goals established by the Board, benefits delivered in the 50th percentile of a national peer group and total compensation positioned at approximately the 50th percentile for expected performance, and somewhat above that for exceptional performance. Executive pay is reviewed annually by a third party consultant. This review includes comparison of GFH executive pay practices with national and regional benchmark studies as appropriate. The consultant is engaged directly by the GFH Board of Governors and reports their findings to the Board Personnel Committee for review and action.

Part IV, Section C, Line 19

The organization makes its governing documents, conflicts of interest policy and financial statements available TO THE PUBLIC upon request.

Filing and Contact Details

Filer

Filer Name
Glens Falls Hospital
EIN
14-1338413
In Care Of
% WILLIAM WALBRIDGE CONTROLLE
Phone
5189265005
Address
100 Park Street, Glens Falls, NY 12801

Signing Officer

Name
Dianne Shugrue
Title
President/CEO
Phone
5189261000
Signed
2018-11-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dianne Shugrue
Formed
1897
Legal Domicile
Ny
Voting Board Members
15
Independent Board Members
13
Employees
3,290
Volunteers
234

Preparer

Firm
Kpmg Llp
Address
515 Broadway 4th Floor, Albany, NY 12207-2974
Preparer
Todd P Teresco
Phone
5184274600
Supplemental Narrative

Additional Explanations

Part I, Line 1 & Part III, Line 1

Glens Falls Hospital is an acute care facility and is the largest hospital between Albany and Montreal. It serves 6 counties and operates 23 regional care facilities. We have more than 225 affiliated, board certified physicians, ranging from primary care to surgical specialties. Glens Falls Hospital provides access to primary care and preventative health education and outreach activities, services offered to the community for free or reduced costs including patient financial assistance and charity care. The mission of Glens Falls Hospital is to improve the health of the people in our region by providing access to exceptional, affordable, and patient-centered care every day and in every setting. Our fundamental values are C.A.R.E.S. Collaboration, Accountability, Respect, Excellence and Safety.

Part XI, Line 9

Unrestricted Net Assets: Net actuarial GAIN on accrued post retirement benefits (80,217) Temporary Restricted Net Assets: Change in interest in net assets of GFH Foundation (495,231) ---------------- Total (575,448)

Form 990 Part IX Line 11G

Description:physician fees total fees:2700843

Form 990 Part IX Line 11G

Description:professional fees total fees:216

Form 990 Part IX Line 11G

Description:p/s staffing total fees:12692428

Form 990 Part IX Line 11G

Description:p/s repairs and mainenance total fees:7399924

Form 990 Part IX Line 11G

Description:p/s collection fees total fees:2517467

Form 990 Part IX Line 11G

Description:p/s transcription & microfilm total fees:523509

Form 990 Part IX Line 11G

Description:misc. Purchase service total fees:10079995

Financial Statement Notes

Part V, Line 4

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 Gen. Operating Expenses 169,975 Health Education 134,485 Total 1,506,672

Part X, Line 2

The Hospital recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than fifty percent likely of being realized upon settlement. Changes in recognition in measurement are reflected in the period in which the change in judgment occurs. The Hospital did not recognize the effect of any uncertain tax positions in EITHER 2017 OR 2016.

Part XI, Line 2D

Unrestricted Net Assets: Net actuarial GAIN on accrued post retirement benefits (80,217) Change in interest in net assets of GFH Foundation (495,231) ---------------- Total (575,448)

Part XI, Line 4B

OTHER GRANTS PAID 12,900 RECEIPTS OF FOUNDATION FUNDS TO BALANCE SHEET ACCOUNTS 1,153 ---------------- Total 14,053

Part XII, Line 4B

Other grants paid (12,900)

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IRS990/Desc0Glens Falls Hospital provides a comprehensive health care system that stretches across 3,000 square miles in upstate NY. We provide high quality care to people, regardless of their ability to pay. We are a 410 bed facility with more than 225 certified physicians in over 25 specialties. Our services include, but are not limited to, emergency care, surgical services, mental health, cancer care, primary care and preventative health education. In 2017, we had 67,437 patient days and 13,924 discharges. The Emergency Care Center provided care to 50,914 patients. Our Mental Health department provided 70,595 outpatient treatments and 5,810 inpatient days. Our Surgery Center performed 11,011 procedures.
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IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt16DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt17PRESIDENT/CEO

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.
2020Summary only. Only limited summary data is available for this year.$356$206$150$346$347$0.88
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$266$160$106$348$351$3.40
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$272$168$104$368$357$11.7
2017Detailed filing. Detailed filing data is available for this year.$302$196$106$315$350$34.2
2016Summary only. Only limited summary data is available for this year.$288$155$133$339$336$2.90
2015Detailed filing. Detailed filing data is available for this year.$272$143$130$331$332$0.65
2014Detailed filing. Detailed filing data is available for this year.$261$130$131$311$305$6.03
2013Detailed filing. Detailed filing data is available for this year.$251$127$124$308$307$1.46
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$232$116$117$307
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$231$124$107$293
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$220$121$99.6$290