Amsterdam Memorial Hospital in Amsterdam, New York (NY)

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Amsterdam Memorial Hospital
Employer Identification Number (EIN)141364467
Name of OrganizationAmsterdam Memorial Hospital
In Care of NameRichard G Braun Jr
Address4988 State Highway 30, Amsterdam, NY 12010-7520
ActivitiesHospital
SubsectionCharitable Organization
Ruling Date02/1935
DeductibilityContributions are deductible
FoundationHospital or medical research organization
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period12/2012
Assets$100,000 to $499,999
Income$100,000 to $499,999
Filing Requirement990 (all other) or 990EZ return
Asset Amount$270,084
Amount of Income$170,352
Form 990 Revenue Amount$170,352
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Hospital, General


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Amount of income in 2012: $170,352
This organization: 

 $170,352
Other organizations performing similar types of work: 

 $129,251,994

Assets in 2012: $270,084
This organization: 

 $270,084
Other organizations performing similar types of work: 

 $122,242,322

Expenses in 2012: $7,321
This organization: 

 $7,321
Other organizations performing similar types of work: 

 $119,720,646

Income to expenses ratio in 2012: 23.3
This organization: 

 23.3
Other organizations performing similar types of work: 

 1.1

Expenses allocated to program services in 2002: 83.7%
Amsterdam Memorial Hospital: 

 83.7%
Other organizations performing similar types of work: 

 85.7%

Number of employees in 2002: 434
This organization: 

 434
Other organizations performing similar types of work: 

 1,105

Employees paid over $50,000 in 2002: 9.7%
This organization: 

 9.7%
Other organizations performing similar types of work: 

 28.8%

Grants share in income in 2012: 0.0%
Amsterdam Memorial Hospital: 

 0.0%
Other organizations performing similar types of work: 

 0.2%

Financial snapshot ($)

Revenue, Expenses, and Changes in Net Assets or Fund Balances (for 2012)
Total revenue$170,352
Contributions, gifts, grants, and similar amounts received$0
Program service revenue including government fees and contracts$0
Membership dues and assessments$0
Investment income$0
Gain from sale of assets other than inventory$0
Net income from gaming and fundraising events$0
Gross profit from sales of inventory$0
Other revenue$170,352
Total expenses$7,321
Total net assets$-1,176,986
Excess for the year$163,031
Net assets or fund balances at beginning of year$-1,340,017
Other changes in net assets or fund balances$0
Balance Sheets (for 2012)
Total assets$270,084
Total liabilities$1,447,070
Net assets or fund balances$-1,176,986
Other Information (for 2012)
Did the organization have unrelated business gross income of $1,000 or more during the year from business activitiesNo
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities$0
Reason for Public Charity Status (for 2012)
The organization is not a private foundation because it is:A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii)
Revenue, Expenses, and Changes in Net Assets or Fund Balances
200020012002
Total revenue$33,042,252$35,389,689$30,648,647
Contributions, gifts, grants, and similar amounts received$555,791$708,637$507,016
Contributions to donor advised funds
Direct public support$210,230$208,687$193,509
Indirect public support$121,399$231,671$60,450
Government contributions (grants)$224,162$268,279$253,057
Program service revenue including government fees and contracts$30,879,255$33,370,384$29,229,088
Membership dues and assessments$0$0$0
Interest on savings and temporary cash investments$128,241$139,181$81,699
Dividends and interest from securities$268,645$260,506$193,838
Net rental income or (loss)$0$0$0
Gross rents$0$0$0
Less: rental expenses$0$0$0
Other investment income$0$0$0
Gain or (loss) from sales of assets other than inventory$0$1,000$22,526
Gross amount from sales of assets other than inventory$0$1,000$972,138
Less: cost or other basis and sales expenses$0$0$949,612
Net income or (loss) from special events and activities$0$0$0
Gross revenue$0$0$0
Less: direct expenses other than fundraising expenses$0$0$0
Gross profit or (loss) from sales of inventory$0$0$0
Gross sales of inventory, less returns and allowances$0$0$0
Less: cost of goods sold$0$0$0
Other revenue$1,210,320$909,981$614,480
Total expenses$34,854,170$36,525,844$34,801,557
Program services$30,489,253$31,351,711$29,138,994
Management and general$4,364,917$5,174,133$5,662,563
Fundraising$0$0$0
Payments to affiliates$0$0$0
Net assets or fund balances at end of year$6,257,610$4,847,176$-1,886,860
Excess or (deficit) for the year$-1,811,918$-1,136,155$-4,152,910
Net assets or fund balances at beginning of year$5,305,289$6,257,610$4,847,176
Other changes in net assets or fund balances$2,764,239$-274,279$-2,581,126
Statement of Functional Expenses (for 2002)
TotalProgram servicesManagement and generalFundraising
Total functional expenses$34,801,557$29,138,994$5,662,563$0
Grants paid from donor advised funds
Other grants and allocations$0
Specific assistance to individuals$0
Benefits paid to or for members$0
Compensation of current officers, directors, key employees, etc.$184,592$0$184,592$0
Compensation of former officers, directors, key employees, etc.
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)
Salaries and wages of employees not included above$11,843,519$11,543,424$300,095$0
Pension plan contributions not included above$693,754$665,836$27,918$0
Employee benefits not included above$1,015,096$974,188$40,908$0
Payroll taxes$905,318$868,239$37,079$0
Professional fundraising fees$0$0$0$0
Accounting fees$65,803$0$65,803$0
Legal fees$437,939$0$437,939$0
Supplies$3,316,073$3,273,672$42,401$0
Telephone$100,625$30,334$70,291$0
Postage and shipping$81,866$53,118$28,748$0
Occupancy$2,441,173$1,582,808$858,365$0
Equipment rental and maintenance$828,574$724,915$103,659$0
Printing and publications$110,720$46,609$64,111$0
Travel$36,408$26,663$9,745$0
Conferences, conventions, and meetings$0$0$0$0
Interest$936,319$124,771$811,548$0
Depreciation, depletion, etc.$1,836,064$1,469,531$366,533$0
Other expenses not covered above$9,967,714$7,754,886$2,212,828$0
Balance Sheets
200020012002
Total assets$36,545,094$38,139,633$33,173,738
Cash - non-interest-bearing$928,293$1,054,875$1,384,659
Savings and temporary cash investments$1,914,753$4,269,927$2,615,274
Accounts receivable less allowance for doubtful accounts$6,469,036$6,547,527$4,707,738
Pledges receivable less allowance for doubtful accounts$0$0$0
Grants receivable$52,226$57,611$70,314
Receivables from current and former officers, directors, trustees, and key employees$0$0$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)
Other notes and loans receivable less allowance for doubtful accounts$0$0$0
Inventories for sale or use$564,241$648,236$455,956
Prepaid expenses and deferred charges$63,724$53,810$43,608
Investments - publicly-traded securities
Investments - other securities$4,106,806$4,815,271$4,268,327
Investments - land, buildings, and equipment less accumulated depreciation$0$0$0
Investments - other$2,588,380$2,233,860$2,005,169
Land, buildings, and equipment less accumulated depreciation$17,804,166$16,535,497$16,323,361
Other assets, including program-related investments$2,053,469$1,923,019$1,299,332
Total liabilities$30,287,484$33,292,457$35,060,598
Accounts payable and accrued expenses$7,052,480$7,628,886$10,071,181
Grants payable$0$0$0
Deferred revenue$0$0$0
Loans from officers, directors, trustees, and key employees$0$0$0
Tax-exempt bond liabilities$11,963,411$11,645,228$11,232,283
Mortgages and other notes payable$9,654,209$12,059,577$11,999,040
Other liabilities$1,617,384$1,958,766$1,758,094
Total liabilities and net assets/fund balances$36,545,094$38,139,633$33,173,738
Total net assets or fund balances$6,257,610$4,847,176$-1,886,860
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
200020012002
Total revenue$33,042,252$35,389,689$30,648,647
Total revenue, gains, and other support per audited financial statements$33,225,323$35,241,260$28,022,736
Other expenses$183,071$-148,429$-2,625,911
Net unrealized gains on investments$175,859$80,241$200,984
Donated services and use of facilities$0$0$0
Recoveries of prior year grants$0$0$0
Other$7,212$-228,670$-2,826,895
Other revenue$0$0$0
Investment expenses$0$0$0
Other$0$0$0
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
200020012002
Total expenses$34,854,170$36,525,844$34,801,557
Total expenses and losses per audited financial statements$34,854,170$36,525,844$34,801,557
Other revenue$0$0$0
Donated services and use of facilities$0$0$0
Prior year adjustments$0$0$0
Losses$0$0$0
Other$0$0$0
Other expenses$0$0$0
Investment expenses$0$0$0
Other$0$0$0
Current Officers, Directors, Trustees, and Key Employees
Total number of officers, directors, and trustees permitted to vote on organization business at board meetings0
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?
Does the organization have a written conflict of interest policy?
Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?Yes
Was there a liquidation, dissolution, termination, or substantial contraction during the year?Yes
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?Yes
Direct and indirect political expenditures$0
Did the organization file Form 1120-POL for this year?No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members$0
Section 162(e) lobbying and political expenditures$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices$0
Taxable amount of lobbying and political expenditures$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions$0
Gross receipts for public use of club facilities$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?
Amount of tax imposed on the organization during the year under: section 4911$0
Amount of tax imposed on the organization during the year under: section 4912$0
Amount of tax imposed on the organization during the year under: section 4955$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958$0
Amount of tax above, reimbursed by the organization$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?
Did the organization acquire a direct or indirect interest in any applicable insurance contract?
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?
Number of employees employed in the pay period that includes March 12, 2006434
Analysis of Income-Producing Activities (for 2002)
Unrelated business incomeExcluded by section 512, 513, or 514Related or exempt function income
Business codeAmountExclusion codeAmount
Total$220,645$691,898$29,229,088
Program service revenue
Program service revenue 1000000$000$0$29,229,088
Program service revenue 2000000$000$0$0
Program service revenue 3000000$000$0$0
Program service revenue 4000000$000$0$0
Program service revenue 5000000$000$0$0
Medicare/Medicaid payments000000$000$0$0
Fees and contracts from government agencies000000$000$0$0
Membership dues and assessments000000$000$0$0
Interest on savings and temporary cash investments000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$81,699$0
Dividends and interest from securities000000$0Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)$193,838$0
Net rental income or (loss) from real estate
debt-financed property000000$000$0$0
not debt-financed property000000$000$0$0
Net rental income or (loss) from personal property000000$000$0$0
Other investment income000000$000$0$0
Gain or (loss) from sales of assets other than inventory000000$0Gain (or loss, to the extent allowed) from the sale of investments and other non-inventory property and from certain property acquired from financial institutions that are in conservatorship or receivership (sections 512(b)(5) and 512(b)(16)(A))$22,526$0
Net income or (loss) from special events000000$000$0$0
Gross profit or (loss) from sales of inventory000000$000$0$0
Other revenueAll other ambulatory health care services$220,645Section 501(c)(3) organization - Income from an activity carried on primarily for the convenience of the organization's members, students, patients, visitors, officers, or employees (hospital parking lot or museum cafeteria, for example) (section 513(a)(2))$393,835$0
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2002)
EIN of corporation, partnership, or disregarded entityPercentage of ownership interestTotal incomeEnd-of-year assets
0%$0$0
0%$0$0
0%$0$0
0%$0$0
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2002)
CompensationContributions to employee benefit plans & deferred compensationExpense account and other allowances
$122,876$26,700$0
$109,440$23,781$0
$80,208$17,429$0
$80,124$17,411$0
$77,683$16,880$0
Total number of other employees paid over $50,00037
Statements About Activities (for 2002)
Expenses paid or incurred in connection with the lobbying activities$0
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?
Did the organization maintain any donor advised funds?
Did the organization make any taxable distributions under section 4966?
Did the organization make a distribution to a donor, donor advisor, or related person?
The total number of donor advised funds owned at the end of the tax year
The aggregate value of assets held in all donor advised funds owned at the end of the tax year
The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts
The aggregate value of assets held in all funds or accounts included above at the end of the tax year
Reason for Non-Private Foundation Status
The organization is not a private foundation because it isHospital, or a cooperative hospital service organization
Support Schedule
199920002001
Total$0$0$0
Gifts, grants, and contributions received$0$0$0
Membership fees received$0$0$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose$0$0$0
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975$0$0$0
Net income from unrelated business activities not included above$0$0$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf$0$0$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge$0$0$0
Other income$0$0$0
Lobbying Expenditures by Electing Public Charities (for 2002)
Total exempt purpose expenditures$0
Total lobbying expenditures$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)$0
Total lobbying expenditures to influence a legislative body (direct lobbying)$0
Other exempt purpose expenditures$0
Lobbying nontaxable amount$0
Grassroots nontaxable amount$0
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Number of organizations performing similar types of work
Alaska3
Alabama19
Arkansas22
Arizona15
California112
Colorado25
Connecticut29
District of Columbia2
Delaware6
Florida53
Georgia52
Hawaii5
Iowa27
Idaho9
Illinois104
Indiana48
Kansas25
Kentucky32
Louisiana22
Massachusetts44
Maryland41
Maine19
Michigan58
Minnesota34
Missouri50
Mississippi19
Montana11
North Carolina47
North Dakota12
Nebraska20
New Hampshire21
New Jersey50
New Mexico7
Nevada4
New York130
Ohio96
Oklahoma17
Oregon24
Pennsylvania131
Rhode Island10
South Carolina15
South Dakota9
Tennessee25
Texas57
Virginia37
Vermont8
Washington22
Wisconsin67
West Virginia24
International10
Total1,729

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