ALBANY MEDICAL CENTER GROUP ORGANIZATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: ALBANY MEDICAL CENTER GROUP ORGANIZATION (EIN 47-3869194)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-12
IRS object ID: 202133169349310998
Schema version: 2020v4.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule E
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R
Affiliate Listing

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-12T16:38:32-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	515 BROADWAY 4TH FLOOR	AddressLine1Txt
City	ALBANY	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12207	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	473869194	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ALBANY MEDICAL CENTER GROUP	BusinessNameLine1Txt
Business Name Line2	ORGANIZATION	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	ALBA	BusinessNameControlTxt
Phone	5182625585	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	47 NEW SCOTLAND AVE MC116	AddressLine1Txt
City	ALBANY	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12208	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KPMG LLP	PersonNm
Person Title	EXEC VP COO & CFO	PersonTitleTxt
Phone	5182625585	PhoneNum
Signature	2021-11-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	KPMG	PersonFirstNm
Person Last	LLP	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	TODD TERESCO	PreparerPersonNm
PTIN	P00247720	PTIN
Phone	5184274600	PhoneNum
Preparation	2021-11-11	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DENNIS P MCKENNA	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	47 NEW SCOTLAND AVE MC116	AddressLine1Txt
City	ALBANY	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12208	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,241,220,916	GrossReceiptsAmt
Group Return For Affiliates	Yes (1)	GroupReturnForAffiliatesInd
All Affiliates Included	0	AllAffiliatesIncludedInd
Group Exemption	5980	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.AMC.EDU	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Activity Or Mission	SEE SCHEDULE O.	ActivityOrMissionDesc
Voting Members Governing Body	108	VotingMembersGoverningBodyCnt
Voting Members Independent	79	VotingMembersIndependentCnt
Total Employee	15017	TotalEmployeeCnt
Total Volunteers	756	TotalVolunteersCnt
Total Gross UBI	$2,330,492	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$71,708,454	PYContributionsGrantsAmt
CY Contributions Grants	$168,481,954	CYContributionsGrantsAmt
PY Program Service Revenue	$1,973,336,446	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,938,364,885	CYProgramServiceRevenueAmt
PY Investment Income	$26,087,460	PYInvestmentIncomeAmt
CY Investment Income	$19,477,957	CYInvestmentIncomeAmt
PY Other Revenue	$63,492,678	PYOtherRevenueAmt
CY Other Revenue	$89,185,248	CYOtherRevenueAmt
PY Total Revenue	$2,134,625,038	PYTotalRevenueAmt
CY Total Revenue	$2,215,510,044	CYTotalRevenueAmt
PY Grants And Similar Paid	$20,562,236	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$18,000,583	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,038,410,997	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,036,115,747	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$3,710,004	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,037,445,309	PYOtherExpensesAmt
CY Other Expenses	$1,056,712,553	CYOtherExpensesAmt
PY Total Expenses	$2,096,418,542	PYTotalExpensesAmt
CY Total Expenses	$2,110,828,883	CYTotalExpensesAmt
PY Revenues Less Expenses	$38,206,496	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$104,681,161	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,157,723,679	TotalAssetsBOYAmt
Total Assets EOY	$2,433,137,271	TotalAssetsEOYAmt
Total Liabilities BOY	$1,111,953,816	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,247,514,261	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,045,769,863	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,185,623,010	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$765,729,114	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$767,696,045	RevenueAmt
Desc	INPATIENT & OUTPATIENT SERVICES - PROVISION OF INPATIENT AND OUTPATIENT SERVICES INCLUDING SPECIALIZED NURSING SERVICES AND EMERGENCY ROOM. 2020 ADMISSIONS WERE APPROXIMATELY 51,900 AND PATIENT DAYS WERE APPROXIMATELY 289,054.COVID-19 IMPACT: IN MARCH 2020, THE CORONAVIRUS DISEASE APPEARED IN NEW YORK STATE, AND THE THREAT OF A LIFE-CHANGING PANDEMIC BECAME REAL. A RANGE OF EXTRAORDINARY AND SIGNIFICANT CHALLENGES WERE PRESENTED TO ALL HOSPITALS, INCLUDING THOSE WITHIN THE ALBANY MED HEALTH SYSTEM AND ALBANY MED CENTER GROUP ENTITIES. A SERIES OF MANDATES COMPLICATED THE ALREADY OVERWHELMING CHALLENGES OF CARING FOR A HIGHLY COMPLEX AND SERIOUSLY ILL POPULATION, INFECTED WITH A STRAIN OF A VIRUS THAT WAS NEW TO HUMANS, COVID-19. AMONG THE MOST SIGNIFICANT WERE THE SUBSTANTIAL FINANCIAL AND OPERATIONAL IMPACTS:- MAJOR EXPENSES INCURRED - THESE WERE EXACERBATED BY NUMEROUS FACTORS INCLUDING THE RISE IN COVID-19 CASES AND THE RELATED COST OF CARE; A NYS REQUIREMENT TO PLAN FOR SURGE CAPACITY FOR AN UNEXPECTED NUMBER OF COVID INPATIENTS, WHICH DROVE THE NEED FOR ADDITIONAL STAFF AND SUPPLIES; THE GROWTH IN SHORTAGES OF CERTAIN PERSONAL PROTECTIVE EQUIPMENT (THE NEED TO ACQUIRE THEM THROUGH NEW AND OFTEN VERY COSTLY SOURCES, AS WELL AS MAINTAIN A RELIABLE AND STOCKED INVENTORY AT EACH HOSPITAL). ADDITIONAL EQUIPMENT TO CARE FOR THIS NEW POPULATION INCLUDED ITEMS SUCH AS:-- PORTABLE WIRELESS PATIENT PHYSIOLOGIC MONITORING (TO DIRECTLY MONITOR PHYSIOLOGIC PARAMETERS OF PATIENTS IN NON-TRADITIONAL SURGE CAPACITY SETTINGS OR DURING TRANSPORT)-- WIRELESS TELEMETRY ECG AND PULSE OXIMETRY (TO REMOTELY MONITOR PHYSIOLOGIC PARAMETERS OF PATIENTS IN NON-TRADITIONAL SURGE CAPACITY SETTINGS FROM AN EXTERNAL CENTRALIZED MONITORING STATION)-- LARGE VOLUME INFUSION PUMPS (TO PROVIDE INFUSION DRUG THERAPY TO COVID PATIENTS WHILE ALLOWING CLINICIANS TO REMAIN OUTSIDE THE IMMEDIATE PATIENT CARE VICINITY THROUGH THE USE OF EXTENDED IV THERAPY SETS)- STAGGERING REVENUE LOSSES CONTRIBUTING TO DEVASTATING, UNPRECEDENTED REVENUE LOSSES WERE NYS EXECUTIVE ORDERS TO CEASE ELECTIVE PROCEDURES AND REDUCE ROUTINE HEALTHCARE FOR SEVERAL MONTHS DURING THE ONSET OF COVID-19. LOSSES CONTRIBUTED TO ITEMS SUCH THE NEED FOR FUNDING ADVANCES, A POSTPONEMENT IN CAPITAL INVESTMENTS AND A DELAY IN MERIT INCREASES FOR OVERWORKED STAFF. - MAJOR OPERATIONAL CHALLENGES - PREPARATION FOR SURGE CAPACITY DROVE THE NEED TO INCREASE BED CAPACITY BY 50%, CONVERT NUMEROUS ROOMS TO NEGATIVE-PRESSURE SETTINGS, AND SECURE ADDITIONAL STAFF, PPE, AND OTHER EQUIPMENT; WE BEGAN COVID TESTING FOR OUR EMPLOYEES, AS WELL AS CONTACT TRACING; AND RESPONDED TO SOCIAL DISTANCING AND MASKING MANDATES IN OUR CLINICAL AND WORK AREAS. OUR HOSPITALS WERE FORCED TO POSTPONE NEEDED CAPITAL PROJECTS. ALL OF THESE CHANGES OCCURRED WHILE OUR SYSTEM WAS REQUIRED TO RETAIN ESSENTIAL AROUND-THE-CLOCK SERVICES. OTHER BUSINESSES WERE FORCED TO CLOSE EARLY IN THE PANDEMIC, BUT HOSPITALS REMAINED OPEN.COVID 19 RESPONSE:DESPITE FINANCIAL INSECURITY AS THE PANDEMIC RAGED IN THE EARLY PART OF THE YEAR, INCLUDING THE SUBSTANTIAL LOSS OF REVENUE FROM CANCELED ELECTIVE PROCEDURES AND ROUTINE CARE, THE SYSTEM TOOK A STEP TOWARD RECOVERY IN THE SECOND HALF OF THE YEAR WITH THE RETURN OF PATIENTS COMFORTED BY THE IMPLEMENTATION OF SAFETY PROCEDURES. AS THE SYSTEM SAW MORE AND MORE CASES, OUR STAFF CONTINUED TO LOOK FOR WAYS TO HELP OUR REGION'S RESIDENTS.AS A REGIONAL PROVIDER OF CARE, THE ALBANY MED HEALTH SYSTEM AND THE ALBANY MED CENTER GROUP ENTITIES, RAPIDLY PIVOTED TO RESPOND TO A PANDEMIC THAT IMPACTED EVERY RESIDENT IN OUR SERVICE AREA, DIRECTLY OR INDIRECTLY. IT REQUIRED A PROMPT, AROUND-THE-CLOCK RESPONSE TO THE HEALTH CHALLENGE OF THIS GENERATION. THE HOSPITAL ENTITIES CONTINUOUSLY SOUGHT WAYS TO ASSIST OUR REGION IN 2020: - THE IDENTIFICATION OF A NEW PATIENT POPULATION, WITH TARGETED CARE TO ADDRESS THE RANGE OF HEALTH NEEDS AND CHALLENGES PRESENTED BY THOSE INFECTED WITH THE COVID-19 VIRUS.- COMPREHENSIVE EMERGENT CARE FOR OUR MOST VULNERABLE PATIENTS, INCLUDING THOSE IN NEED OF VENTILATOR SUPPORT.- A SWIFT ROLL-OUT OF COVID-19 THERAPIES SUCH AS MONOCLONAL ANTIBODIES AND CONVALESCENT PLASMA.- THE IMPLEMENTATION AND EXPANSION OF TELEHEALTH SERVICES ACROSS THE SYSTEM TO ALLOW PATIENTS AND THE COMMUNITY CONTINUED ACCESS TO PROVIDERS DURING AND AFTER SHUT-DOWN.- OFFERING COVID-19 TESTING - AT THE ONSET OF TESTING, STAFF FROM THE SYSTEM NOT ONLY WORKED AT TESTING SITES WITHIN THE SYSTEM, SOME ALSO WORKED AT SITES COORDINATED BY THE NEW YORK STATE DEPARTMENT OF HEALTH. - CRITICAL RESEARCH AND EVALUATION EFFORTS RELATED TO THE COVID-19 PANDEMIC. THE STUDIES HAVE GLEANED VALUABLE INFORMATION AND WILL HAVE MEANING FOR FUTURE DISEASE OUTBREAKS AND SIMILAR MEDICAL CRISES.- DISSEMINATION OF IMPORTANT INFORMATION TO KEEP OUR COMMUNITY UPDATED ON COVID-19. THE NUMBER OF VISITS TO THE COVID-19 PAGES OF EACH OF OUR HOSPITALS' WEBSITES WERE SUBSTANTIAL, HELPING MEET THE COMMUNITY'S NEED FOR ACCURATE, CURRENT INFORMATION ON THE PANDEMIC.- THE SYSTEM ALSO PLAYED A LEAD ROLE, WORKING WITH ALL LOCAL HOSPITALS IN OUR REGION, TO TRACK AND DISCUSS COVID-19 RATES AND CASE COUNTS ON A DAILY BASIS. - IN FALL 2020, ALBANY MEDICAL CENTER HOSPITAL WAS SELECTED TO LEAD THE CAPITAL REGION IN THE DISTRIBUTION OF COVID-19 VACCINES, THE ROLL-OUT OF WHICH BEGAN IN DECEMBER 2020. - A MAJOR ADVERTISING CAMPAIGN WAS UNDERTAKEN BY THE SYSTEM TO EDUCATE PATIENTS AND THE PUBLIC ABOUT VACCINE DISTRIBUTION, INFORMATION ABOUT EACH OF THE VACCINES, AND THE IMPORTANCE OF BEING VACCINATED.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$498,970,453	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$430,078,291	RevenueAmt
Desc	FACULTY PRACTICE - FACULTY PRACTICE ALBANY MEDICAL CENTER OPERATES A CLINICAL PRACTICE ACTIVITY (PATIENT CARE) FOR THE FACULTY OF THE ALBANY MEDICAL COLLEGE. 2020 EXPERIENCED OVER 620,000 PATIENT VISITS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$240,529,531	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$364,368,323	RevenueAmt
Desc	DIAGNOSTIC & TESTING SERVICES - DIAGNOSTIC & TESTING SERVICES INPATIENT AND OUTPATIENT SERVICES INCLUDING DIAGNOSTIC IMAGING, RADIATION THERAPY, AND CARDIAC CATHETERIZATION. IN 2020, ALBANY MEDICAL CENTER INPATIENT PROFESSIONAL SERVICES TOTALED 87,557; OUTPATIENT SERVICES TOTALED 45,711 AND ER SERVICES WAS APPROXIMATELY 84,147.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$317,209,587	ExpenseAmt
Grant	$18,000,583	GrantAmt
Revenue	$424,603,104	RevenueAmt
Desc	ALBANY MEDICAL CENTER HOSPITAL AND AFFILIATES:OPERATING AND RECOVERY ROOM: INPATIENT AND OUTPATIENT OPERATING ROOM SERVICES INCLUDING OPEN HEART PROGRAM, TRANSPLANT SERVICES AND SPECIALIZED TRAUMA SERVICES. APPROXIMATELY 27,806 TOTAL CASES PERFORMED WITH 8,294 INPATIENT, 3,249 SAME DAY, AND 16,263 OUTPATIENT.OTHER PATIENT CARE BASED SERVICES TOTALED APPROXIMATELY $85 MILLION IN EXPENDITURES.INSTRUCTION: AS AN EDUCATIONAL INSTITUTION, THE MAIN FUNCTION IS TO TEACH APPROXIMATELY 800 STUDENTS.RESEARCH: AS A MEDICAL COLLEGE, THE ORGANIZATION UNDERTAKES NUMEROUS RESEARCH PROJECTS DURING THE COURSE OF THE YEAR. THE EXPENDITURES FOR ACTIVITIES SPECIFICALLY ORGANIZED TO PROVIDE RESEARCH OUTCOMES IS APPROXIMATELY $21 MILLION.FOUNDATION: THE GROUP ORGANIZATION INCLUDES A FOUNDATION, WHOSE PRIMARY FUNCTION IS TO RAISE FUNDS FOR CONSTRUCTION, RESEARCH, SUPPORT AND ENDOWMENT PURPOSES FOR EXEMPT ORGANIZATIONS, INCLUDING ALBANY MEDICAL COLLEGE, ALBANY MEDICAL CENTER HOSPITAL, ALBANY MED HEALTH SYSTEM, AMC ALUMNI ASSOCIATION, AND CENTER FOR DONATION AND TRANSPLANT, VIA DIRECT MAIL - COMMUNITY BASED PROGRAMS, TELETHON, RADIOTHON, SPECIAL EVENTS - GOLF OUTINGS, DINNERS, ETC., PLUS GIFT-IN-KIND (GIK) DONATIONS.CDT: RESEARCH/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.KIDSKELLER: CHILDREN FROM EIGHT WEEKS TO KINDERGARTEN AGE MAY ENROLL. EDUCATIONAL ACTIVITIES FOR THESE VARIED AGE GROUPS FOLLOW A DEVELOPMENTAL SEQUENCE WHICH INCLUDES AGE APPROPRIATE ACTIVITIES FOR THE DEVELOPMENT OF COGNITIVE SKILLS, FINE AND GROSS MOTOR SKILLS, SOCIAL-EMOTIONAL GROWTH AND ACTIVITIES OF DAILY LIVING SKILLS.LABORATORY SERVICES (ADULT & PEDS): INPATIENT AND OUTPATIENT SERVICES INCLUDING CLINICAL CHEMISTRY, BLOOD BANK, HEMATOLOGY, SEROLOGY AND MICROBIOLOGY.THE GROUP ORGANIZATION RECEIVES GENERAL EXPENSE REIMBURSEMENTS FOR RELATED PATIENT CARE SERVICES.THE ORGANIZATION HAS CERTAIN OTHER EXEMPT FUNCTION REVENUES WHICH TOTAL APPROXIMATELY $4 MILLION.COLUMBIA MEMORIAL HOSPITAL: THE ORGANIZATION HAD APPROXIMATELY $15.1M EXPENDITURES AND $13.9M REVENUE RELATED TO OTHER OPERATING ACTIVITIES.KAATERSKILL COMMONS: KCI OWNS AND OPERATES A 21 UNIT APARTMENT PROJECT LOCATED IN CATSKILL NY. THE TENANTS ARE ABLE TO QUALIFY AS LOW INCOME AND ELDERLY.SARATOGA CARE INC: THE FORMOST COMMITMENT OF SCI IS TO ENABLE ITS AFFILIATED INTITY (SARATOGA HOSPITAL) TO PROVIDE SUPERIOR QUALITY HEALTHCARE TO THE PEOPLE OF THE COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY.SARATOGA REGIONAL MEDICAL PC: SRMPC IS ORGANIZED AND OPERATED FOR THE PURPOSE OF PROMOTING HEALTH BY PROVIDING MEDICAL CARE TO THE COMMUNITY SERVED BY SARATOGA HOSPITAL. IN SEPTEMBER 2018, SRM BEGAN PROVIDING OBSTETRICS AND GYNECOLOGY SERVICES AT TWO SITES: SARATOGA OB/GYN AT MYRTLE ST. IN SARATOGA SPRINGS, NY AND SARATOGA OB/GYN AT MALTA IN MALTA, NY. PROVIDERS AT THESE LOCATIONS WORK COLLABORATIVELY WITH PATIENTS ON MEDICAL, SURGICAL, AND PREVENTIVE CARE FOR FEMALE REPRODUCTIVE HEALTH. SARATOGA OB/GYN PROVIDERS SAW NEARLY 26,000 PATIENT VISITS FOR PREGNANCY AND GYNECOLOGICAL CARE DURING 2020. IN JUNE 2019, SRM BEGAN OPERATING A NEPHOLOGY SITE IN GLENS FALLS, NY. SARATOGA HOSPITAL MEDICAL GROUP - NEPHROLOGY AT GLENS FALLS OFFERS ITS PATIENTS AN OUTSTANDING TEAM OF BOARD-CERTIFIED PHYSICIANS, EMPLOYING THE MOST ADVANCED DIAGNOSTIC TECHNOQUES TO IDENTIFY, DEVELOP A TREATMENT PLAN, AND MANAGE KIDNEY DISEASE. IN 2020, PROVIDERS AT THIS LOCATION SAW APPROXIMATELY 2,100 PATIENT VISITS.HEALTHCARE PARTNERS OF SARATOGA LTD: THE FOREMOST COMMITMENT OF MMEC IS TO PROVIDE HIGH QUALITY, COST EFFECTIVE HEALTHCARE TO INDIVIDUALS AND FAMILIES IN THE COMMUNITIES IT SERVES REGARDLESS OF A PATIENT'S ABILITY TO PAY. MMEC ACTIVELY SUPPORTS COMMUNITY-BASED HEALTHCARE AND PROMOTES THE COORDINATION OF SERVICES AMONG HEALTHCARE PROVIDERS AND SOCIAL SERVICES ORGANIZATIONS. IN ADDITION, MMEC SEEKS TO WORK COLLABORATIVELY WITH OTHER HEALTH CARE PROVIDERS TO IMPROVE THE HEALTH STATUS OF ITS REGION. MMEC IS DEFINED AS AN EMERGENT CARE CENTER, WHICH IS A CROSS BETWEEN AN URGENT CARE CENTER AND A HOSPITAL EMERGENCY DEPARTMENT. THEREFORE, THE FACILITY ACCOMMODATES A WIDE RANGE OF MEDICAL NEEDS. MMEC OFFERS 24-HOUR ACCESS TO EMERGENCY MEDICINE PHYSICIANS FOR URGENT CARE. THESE PHYSICIANS ARE EQUIPPED TO TREAT PATIENTS WITH ANY LEVEL OF URGENT CARE NEEDS. PATIENTS TREATED AND TRIAGED ARE DISCHARGED HOME WITH FOLLOW UP TO THEIR PROMARY CARE OR SPECIALIST, THUS AVOIDING AN EMERGENCY ROOM VISIT TO THEIR LOCAL HOSPITAL. DURING 2020, MMEC ACCOMMODATED APPROXIMATELY 34,500 URGENT CARE VISITS. IN ADDITION, OTHER SERVICES PROVIDED DURING THE YEAR INCLUDED OUTPATIENT X-RAY (14,105), ULTRASOUND (7,103), COMPUTED TOMOGRAPHY (5,640), MAGNETIC RESONANCE IMAGING (1,395 TESTS) AND LABORATORY SERVICES (216,971 TESTS).	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$317,209,587	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$18,000,583	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$424,603,104	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,822,438,685	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	Yes (1)	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (1)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	Yes (1)	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	2554	IRPDocumentCnt
IRP Document W2 G	1	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	15017	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	NL	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	Yes (1)	NondeductibleContributionsInd
Nondeductible Contri Discl	Yes (1)	NondeductibleContriDisclInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
DAF Excess Business Holdings	0	DAFExcessBusinessHoldingsInd
Taxable Distributions	0	TaxableDistributionsInd
Distribution To Donor	0	DistributionToDonorInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	108	GoverningBodyVotingMembersCnt
Independent Voting Member	79	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	FRANCES S ALBERT CPA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5182628795	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	47 NEW SCOTLAND AVE	AddressLine1Txt
City	ALBANY	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12208	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (124 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JAMES J BARBA
PRESIDENT & CEO (AMHS)	20.00	20.00	Yes (X)	Yes (X)	$0	$2,299,003	$14,715
ANGELO CALBONE
PRESIDENT & CEO (SH, SCI)	38.00	2.00	Yes (X)	Yes (X)	$1,648,036	$0	$36,385
STEVEN FRISCH MD
BOARD MEMBER (AMHS , CMH, SH)	39.00	19.00	Yes (X)		$0	$1,217,996	$118,555
DENNIS MCKENNA MD
PRES/CEO (AMHS), BD MEM (CDT)	22.00	20.00	Yes (X)	Yes (X)	$0	$1,051,033	$249,494
JAY P CAHALAN
PRESIDENT & CEO (CMH)	40.00	0.00	Yes (X)	Yes (X)	$996,964	$0	$121,409
STEVEN M PARNES MD
BOARD MEMBER (AMHS)	46.00	2.00	Yes (X)		$781,780	$0	$31,824
RICHARD FALIVENA
VP (SH), BOARD MBR (SRMPC)	1.00	0.00	Yes (X)		$0	$459,605	$30,180
HIRAL AMIN MD
BOARD MEMBER (CMH)	48.00	0.00	Yes (X)		$456,934	$0	$28,730
DAVID J CONTI MD
BOARD MEMBER (CDT)	42.00	0.00	Yes (X)		$382,133	$0	$31,842
BRYAN T MAHONEY
CFO (CMH), SECRET./TREAS (KCI)	40.00	1.00	Yes (X)	Yes (X)	$304,181	$0	$750
MICHAEL DAILEY MD
BOARD MEMBER (CDT)	42.00	0.00	Yes (X)		$272,587	$0	$22,252
WILLIAM MURPHY MD
BOARD MEMBER (CMH)	48.00	0.00	Yes (X)		$260,740	$0	$20,954
VICKEY MASTA-GORNIC
VP RISK MGMT (AMHS), MEM (KIDS)	2.00	40.00	Yes (X)		$0	$238,217	$8,814
ALICIA WICZULIS MD
BOARD MEMBER (KIDS)	42.00	0.00	Yes (X)		$203,476	$0	$23,891
MICHELE K SKUMURSKI
BOARD MEMBER (KIDS)	2.00	42.00	Yes (X)		$0	$223,004	$3,270
MARY ALICE CULLEN
BOARD MEMBER (KIDS)	42.00	0.00	Yes (X)		$182,632	$0	$25,405
MEGHAN L WEYGANT
BOARD MEMBER (KIDS)	42.00	0.00	Yes (X)		$183,296	$0	$14,888
BRIGIDO MONTERO
BOARD MEMBER (KIDS)	2.00	40.00	Yes (X)		$0	$178,304	$19,628
EMILY J WRIGHT
BOARD MEMBER (KIDS)	42.00	0.00	Yes (X)		$144,037	$0	$336
CHARLES M DAY
BOARD MEMBER (KIDS)	2.00	40.00	Yes (X)		$0	$140,236	$2,090
ROBERY J PISTILLI
BOARD MEMBER (KIDS)	2.00	40.00	Yes (X)		$0	$119,461	$22,682
CHRISTINE R HAYES
BOARD MEMBER (KIDS)	2.00	40.00	Yes (X)		$0	$127,046	$7,955
MARY SOLOMONS
BOARD MEMBER (SCI)	40.00	0.00	Yes (X)		$114,727	$0	$7,815
CATHERINE RIDDLE
BOARD MEMBER (KIDS)	42.00	0.00	Yes (X)		$104,803	$0	$9,442
JENNIFER L BALAZS
BOARD MEMBER (KIDS)	42.00	0.00	Yes (X)		$83,289	$0	$22,461
MEGAN R HELMECKE
BOARD MEMBER (KIDS)	42.00	0.00	Yes (X)		$80,009	$0	$22,340
MARY K CAREY
BOARD MEMBER (KIDS)	42.00	0.00	Yes (X)		$64,836	$0	$9,998
RAIMUNDO C ARCHIBOLD JR
BOARD MEMBER (AMHS, SCI, SH)	11.00	2.00	Yes (X)		$0	$0	$0
JAMES J ARMSTRONG
VICE CHAIRMAN (CMHF)	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
V RICHARD BACK MD
BOARD MEMBER (CMH)	8.00	0.00	Yes (X)		$0	$0	$0
RENEE BARRATIERE
BOARD MEMBER (CMHF)	1.00	0.00	Yes (X)		$0	$0	$0
MARK L BEHAN
BOARD MEMBER (AMHS)	6.00	3.00	Yes (X)		$0	$0	$0
MARY GAIL BIEBEL PHD
BOARD MEMBER (AMHS, CMH, KCI)	15.00	2.00	Yes (X)		$0	$0	$0
RICHARD BYRNE
VICE PRESIDENT (CMHF)	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
SUJATA CHAUDHRY
BOARD MEMBER (AMHS)	6.00	2.00	Yes (X)		$0	$0	$0
DAVID COLLINS
BOARD MEMBER (SCI, SH)	3.00	0.00	Yes (X)		$0	$0	$0
KARI CRUSHING
BOARD MEMBER (SCI, SH)	3.00	0.00	Yes (X)		$0	$0	$0
ROBERT T CUSHING
BOARD MEMBER (AMHS)	6.00	2.00	Yes (X)		$0	$0	$0
SUSAN L DAKE
BOARD MEMBER (SCI, SH)	3.00	0.00	Yes (X)		$0	$0	$0
JOYCE M DEFAZIO
BOARD MEMBER (AMHS THRU 3/20)	6.00	2.00	Yes (X)		$0	$0	$0
ISABELLE DESJARDINS MD
BOARD MEMBER (CDT)	2.00	0.00	Yes (X)		$0	$0	$0
R WAYNE DIESEL
BOARD MEMBER (AMHS)	6.00	2.00	Yes (X)		$0	$0	$0
LOUIS DIGIOVANNI MD
BOARD MEMBER (CMHF)	1.00	0.00	Yes (X)		$0	$0	$0
CARLEE DRUMMER PHD
BOARD MEMBER (CMH)	8.00	0.00	Yes (X)		$0	$0	$0
SHARON DUKER
BOARD MEMBER (AMHS)	6.00	2.00	Yes (X)		$0	$0	$0
ANTHONY DURANTE
BOARD MEMBER (AMHS)	6.00	2.00	Yes (X)		$0	$0	$0
JUDITH A EKMAN
BOARD MEMBER (SCI, SH)	3.00	0.00	Yes (X)		$0	$0	$0
PETER H ELITZER
BOARD MEMBER (AMHS THRU 6/20)	6.00	2.00	Yes (X)		$0	$0	$0
MARGARET GILLIS
BOARD MEMBER (AMHS)	6.00	3.00	Yes (X)		$0	$0	$0
DAVID GOLUB
BOARD MEMBER (AMHS)	6.00	2.00	Yes (X)		$0	$0	$0
JAMES O JACKSON PHD
BOARD MEMBER (AMHS)	6.00	2.00	Yes (X)		$0	$0	$0
DOUG M HAMLIN
BOARD MEMBER (AMHS)	6.00	2.00	Yes (X)		$0	$0	$0
PETER H HEERWAGEN
BOARD MEMBER (AMHS)	6.00	2.00	Yes (X)		$0	$0	$0
CAROL KIM PHD
BOARD MEMBER (AMHS)	6.00	2.00	Yes (X)		$0	$0	$0
KIRK KNELLER
TREASURER (CMH), BD MEM (CMHF)	8.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL H IACOLUCCI
BOARD MEMBER (AMHS, SCI, SH)	11.00	2.00	Yes (X)		$0	$0	$0
ELLEN LAGEMANN
BOARD MEMBER (CMH)	8.00	0.00	Yes (X)		$0	$0	$0
DEBORAH LANS
BD MEM (AMHS), CHAIR (CMH)	16.00	0.00	Yes (X)		$0	$0	$0
JAMES LAPENN
TREASURER (CMH)	8.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
GLENN LUNDE
TREASURER (CMHF)	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
RUTH H MAHONEY
BOARD MEMBER (AMHS)	6.00	2.00	Yes (X)		$0	$0	$0
CARLOS MARROQUIN MD
BOARD MEMBER (CDT)	2.00	0.00	Yes (X)		$0	$0	$0
MORRIS C MASSRY
BOARD MEMBER (AMHS)	6.00	2.00	Yes (X)		$0	$0	$0
JOHN F MATHEWS MD
BOARD MEMBER (CMHF)	8.00	0.00	Yes (X)		$0	$0	$0
JOHN MATTHEWS MD
BOARD MEMBER (CMH)	8.00	0.00	Yes (X)		$0	$0	$0
RICHARD N MCCARTHY
BOARD MEMBER (CMHF)	1.00	0.00	Yes (X)		$0	$0	$0
KRISTIN KIRK MEEHAN
BOARD MEMBER (CDT)	2.00	0.00	Yes (X)		$0	$0	$0
WESLEY MERRITT MBA
BOARD MEMBER (CDT)	2.00	0.00	Yes (X)		$0	$0	$0
FRANK L MESSA
BOARD MEMBER (SCI, SH)	3.00	0.00	Yes (X)		$0	$0	$0
LISA MOSER
BOARD MEMBER (AMHS)	6.00	2.00	Yes (X)		$0	$0	$0
LILLIAN MOY ESQ
BOARD MEMBER (AMHS)	6.00	2.00	Yes (X)		$0	$0	$0
MARIANNE A MUSTAFA MD
BOARD MEMBER (SCI, SH)	3.00	0.00	Yes (X)		$0	$0	$0
STEPHEN NELSON
SECRETARY (CMH)	8.00	0.00	Yes (X)		$0	$0	$0
JOHN J NIGRO
BOARD MEMBER (AMHS)	6.00	2.00	Yes (X)		$0	$0	$0
JOHN B O'CONNOR
BOARD MEMBER (AMHS)	6.00	2.00	Yes (X)		$0	$0	$0
ALAN C OPPENHEIM
BOARD MEMBER (SCI, SH)	3.00	0.00	Yes (X)		$0	$0	$0
WILLIAM PALMER
BOARD MEMBER (CMH)	8.00	0.00	Yes (X)		$0	$0	$0
CLAIRE PARDE
VICE-CHAIR (CMH), BD MEM (KCI)	8.00	1.00	Yes (X)		$0	$0	$0
WILL PELGRIN
BOARD MEMBER (CMH)	8.00	0.00	Yes (X)		$0	$0	$0
DANIEL T PICKETT III
BOARD MEMBER (AMHS)	6.00	2.00	Yes (X)		$0	$0	$0
MOLLY POLETO
BOARD MEMBER (CMH)	8.00	0.00	Yes (X)		$0	$0	$0
WILLIAM G POWERS JR
BOARD MEMBER (AMHS)	6.00	3.50	Yes (X)		$0	$0	$0
ELIZABETH WOOD PUSTOLKA EDD
BOARD MEMBER (SCI, SH)	3.00	0.00	Yes (X)		$0	$0	$0
HILLA RICHARDSON
SECRETARY (CMH)	8.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
THOMAS J ROOHAN
BOARD MEMBER (SCI, SH)	3.00	0.00	Yes (X)		$0	$0	$0
WILLIAM A ROOS IV
BOARD MEMBER (CMHF)	1.00	0.00	Yes (X)		$0	$0	$0
ANNE M SCHOMAKER
CHAIR (CMHF)	3.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL SCOLLINS MD
BOARD MEMBER (CDT)	2.00	0.00	Yes (X)		$0	$0	$0
ALFRED L SCOTT
BOARD MEMBER (CMHF)	1.00	0.00	Yes (X)		$0	$0	$0
RYAN SCOTT
BOARD MEMBER (CMHF)	1.00	0.00	Yes (X)		$0	$0	$0
DONNA SICKLER
BOARD MEMBER (CDT)	2.00	0.00	Yes (X)		$0	$0	$0
THERESA M SKAINE
BOARD MEMBER (AMHS, SCI, SH)	11.00	2.00	Yes (X)		$0	$0	$0
JANICE SMITH
BOARD MEMBER (AMHS)	6.00	2.00	Yes (X)		$0	$0	$0
JEFFREY SPERRY
BOARD MEMBER (AMHS)	6.00	2.00	Yes (X)		$0	$0	$0
KATARINA SPITZER
BOARD MEMBER (CMHF)	1.00	0.00	Yes (X)		$0	$0	$0
CAROLYN STEFANCO PHD
BOARD MEMBER (AMHS)	6.00	2.00	Yes (X)		$0	$0	$0
N KEITH STEWART
BOARD MEMBER (SCI, SH)	3.00	0.00	Yes (X)		$0	$0	$0
JEFFREY STONE
BOARD MEMBER (AMHS, CMH)	14.00	2.00	Yes (X)		$0	$0	$0
AISHA M TATOR
BOARD MEMBER (CDT)	2.00	0.00	Yes (X)		$0	$0	$0
WINNIE THORN
SECRETARY (CMHF), BD MEM (KCI)	3.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
TODD M TIDGEWELL
BOARD MEMBER (AMHS)	6.00	2.00	Yes (X)		$0	$0	$0
MICHAEL J TOOHEY
BOARD MEMBER (SCI, SH)	3.00	0.00	Yes (X)		$0	$0	$0
OMAR USMANI
BOARD MEMBER (AMHS THRU 2/20)	6.00	2.00	Yes (X)		$0	$0	$0
HEATHER M WARD
BOARD MEMBER (SCI, SH)	3.00	0.00	Yes (X)		$0	$0	$0
CANDACE KING WEIR
BOARD MEMBER (AMHS)	6.00	2.00	Yes (X)		$0	$0	$0
JANICE M WHITE EDD
BOARD MEMBER (AMHS, SCI, SH)	11.00	2.00	Yes (X)		$0	$0	$0
TODD ZBYTNIEWKSI
BOARD MEMBER (KCI)	1.00	0.00	Yes (X)		$0	$0	$0
GEORGE HICKMAN
BOARD MEMBER (HPS)	2.00	42.00	Yes (X)		$0	$662,191	$79,713
FRANCES S ALBERT
EVP, COO, & CFO (AMHS)	29.00	13.00		Yes (X)	$0	$890,410	$83,361
GARY FOSTER
VP & CFO (SH, SCI)	38.00	2.00		Yes (X)	$412,979	$0	$17,481
DOROTHY URSCHEL
COO (CMH)	40.00	0.00		Yes (X)	$206,627	$0	$6,756
KAREN TASSEY
COO (CMH)	40.00	1.00		Yes (X)	$95,233	$0	$1,479
VINCENT P VERDILE
SR EVP SYS CARE (AMHS)	30.00	12.00			$1,509,666	$0	$122,116	Yes (X)
FERDINAND J VENDITTI JR MD
EVP SYS CARE DELIVERY (AMHS)	39.00	3.00			$950,190	$0	$103,947	Yes (X)
JEFFREY METHVEN
EVP (SH), VP (SRMPC)	38.00	2.00			$0	$370,305	$35,581	Yes (X)
KEVIN RONAYNE
VP OPS & FACILITIES (HS, SH)	38.00	2.00			$314,302	$0	$31,706	Yes (X)
MARY ELLEN PLASS
CNO (CMH)	40.00	0.00			$227,654	$0	$6,767	Yes (X)
MARCY DREIMILLER
VP HUMAN RESOURCES (SH)	38.00	0.00			$217,354	$0	$14,237	Yes (X)
HUNG DINH NGUYEN
PHYSICIAN (SH)	38.00	0.00			$1,142,996	$0	$32,201		Yes (X)
ANDREW J ROSENBAUM
ASST PROFESSOR/CLIN (AMHS)	40.00	0.00			$1,101,687	$0	$30,834		Yes (X)
CHRISTOPHER GORCZYNSKI MD
PHYSICIAN (CMH)	40.00	0.00			$1,030,732	$0	$26,984		Yes (X)
ALAN S BOULOS
DEPARTMENT CHAIR (AMHS)	40.00	0.00			$1,009,062	$0	$36,620		Yes (X)
GORDON KUHAR
PHYSICIAN (SH)	38.00	0.00			$1,002,038	$0	$18,161		Yes (X)
GARY J KOCHEM
FORMER EXEC VP & COO (AMHS)	0.00	40.00			$0	$120,000	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$15,484,980	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$8,096,811	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,556,049	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1654	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
COMMUNITY CARE PHYSICIANS PC
PO BOX 10025	ALBANY	NY	12201	MEDICAL MGMT SERVICES	$18,548,909
ARAMARK
PO BOX 978839	DALLAS	TX	753978839	ENVIRONMENTAL SERVICES	$12,039,805
COMPHEALTH
PO BOX 972651	DALLAS	TX	75397	STAFFING SOLUTIONS	$4,160,306
MEDICAL STAFFING NETWORK
PO BOX 840292	DALLAS	TX	752840292	STAFFING SOLUTIONS	$3,229,619
EMERGENCY MEDICAL ASSOCIATION OF NY
7032 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	MEDICAL SERVICES	$2,140,151

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	115	CntrctRcvdGreaterThan100KCnt
Fundraising	$2,784,847	FundraisingAmt
Related Organizations	$10,842,830	RelatedOrganizationsAmt
Government Grants	$94,077,194	GovernmentGrantsAmt
All Other Contributions	$60,777,083	AllOtherContributionsAmt
Noncash Contributions	$938,202	NoncashContributionsAmt
Total Contributions	$168,481,954	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
MEDICAL SERVICES	621990	$1,890,648,583	$1,888,225,033	$2,423,550
INSTRUCTION	611600	$43,753,349	$43,753,349
RESEARCH	541700	$2,032,458	$2,032,458
DAY CARE FEES	611600	$1,819,810	$1,819,810
PROGRAM SERVICE RENTS	611600	$70,977	$70,977

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$39,708	TotalRevenueColumnAmt
Related Or Exempt Func Income	$39,708	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,938,364,885	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,934,738	TotalRevenueColumnAmt
Unrelated Business Revenue	-$93,058	UnrelatedBusinessRevenueAmt
Exclusion	$12,027,796	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,255	TotalRevenueColumnAmt
Exclusion	$11,255	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,829,880	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$26,858	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,803,022	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,803,022	TotalRevenueColumnAmt
Exclusion	$1,803,022	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$32,210,993	SecuritiesAmt
Other	$18,400	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$24,697,429	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$7,513,564	SecuritiesAmt
Other	$18,400	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,531,964	TotalRevenueColumnAmt
Exclusion	$7,531,964	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$662,337	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$2,784,847	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$756,025	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$93,688	TotalRevenueColumnAmt
Exclusion	-$93,688	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$39,800	GamingGrossIncomeAmt
Gaming Direct Expenses	$15,533	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$24,267	TotalRevenueColumnAmt
Exclusion	$24,267	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$599,388	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$215,027	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$384,361	TotalRevenueColumnAmt
Related Or Exempt Func Income	$384,361	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROGRAM SERVICE EXPENSE REIM.	812900	$24,105,682	$24,105,682
CONTRACTED SERVICES	621110	$12,310,174	$12,310,174
CAFETERIA REVENUE	722514	$6,326,992	$6,326,992

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$44,324,438	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,253,669	RelatedOrExemptFuncIncomeAmt
Exclusion	$39,070,769	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$87,067,286	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,215,510,044	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,984,322,213	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,330,492	UnrelatedBusinessRevenueAmt
Exclusion	$60,375,385	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$11,536,368	TotalAmt
Program Services	$11,536,368	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$6,464,215	TotalAmt
Program Services	$6,464,215	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$13,406,636	TotalAmt
Program Services	$3,667,026	ProgramServicesAmt
Management And General	$9,617,068	ManagementAndGeneralAmt
Fundraising	$122,542	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$207,481	TotalAmt
Program Services	$207,481	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$882,990,630	TotalAmt
Program Services	$837,367,172	ProgramServicesAmt
Management And General	$43,579,388	ManagementAndGeneralAmt
Fundraising	$2,044,070	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$25,620,845	TotalAmt
Program Services	$24,189,726	ProgramServicesAmt
Management And General	$1,373,744	ManagementAndGeneralAmt
Fundraising	$57,375	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$57,438,246	TotalAmt
Program Services	$55,036,707	ProgramServicesAmt
Management And General	$2,286,254	ManagementAndGeneralAmt
Fundraising	$115,285	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$56,451,909	TotalAmt
Program Services	$52,813,729	ProgramServicesAmt
Management And General	$3,513,383	ManagementAndGeneralAmt
Fundraising	$124,797	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$180,404	TotalAmt
Program Services	$166,904	ProgramServicesAmt
Management And General	$13,500	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$771,765	TotalAmt
Program Services	-$3,305	ProgramServicesAmt
Management And General	$775,070	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$644,298	TotalAmt
Management And General	$644,298	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$116,743	TotalAmt
Program Services	$77,942	ProgramServicesAmt
Management And General	$38,801	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,158,686	TotalAmt
Program Services	$30,217	ProgramServicesAmt
Management And General	$2,120,984	ManagementAndGeneralAmt
Fundraising	$7,485	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$118,088,807	TotalAmt
Program Services	$111,448,853	ProgramServicesAmt
Management And General	$6,457,652	ManagementAndGeneralAmt
Fundraising	$182,302	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,292,465	TotalAmt
Program Services	$1,025,704	ProgramServicesAmt
Management And General	$1,247,518	ManagementAndGeneralAmt
Fundraising	$19,243	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$46,511,543	TotalAmt
Program Services	$38,576,085	ProgramServicesAmt
Management And General	$7,731,957	ManagementAndGeneralAmt
Fundraising	$203,501	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$122,430,647	TotalAmt
Program Services	$8,153,235	ProgramServicesAmt
Management And General	$114,219,559	ManagementAndGeneralAmt
Fundraising	$57,853	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$26,483,501	TotalAmt
Program Services	$17,919,894	ProgramServicesAmt
Management And General	$8,216,801	ManagementAndGeneralAmt
Fundraising	$346,806	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,363,138	TotalAmt
Program Services	$1,271,048	ProgramServicesAmt
Management And General	$77,822	ManagementAndGeneralAmt
Fundraising	$14,268	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$866,421	TotalAmt
Program Services	$829,401	ProgramServicesAmt
Management And General	$37,070	ManagementAndGeneralAmt
Fundraising	-$50	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$24,062,699	TotalAmt
Program Services	$16,945,916	ProgramServicesAmt
Management And General	$7,111,865	ManagementAndGeneralAmt
Fundraising	$4,918	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$164,561,423	TotalAmt
Program Services	$127,926,157	ProgramServicesAmt
Management And General	$36,634,255	ManagementAndGeneralAmt
Fundraising	$1,011	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$93,130,169	TotalAmt
Program Services	$63,096,996	ProgramServicesAmt
Management And General	$30,021,030	ManagementAndGeneralAmt
Fundraising	$12,143	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$29,280,970	TotalAmt
Program Services	$27,022,855	ProgramServicesAmt
Management And General	$2,258,115	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SURGICAL	$352,796,988	$353,064,897	-$267,909	$0
MACHINE RENTAL & MAINTE	$25,435,817	$22,848,676	$2,481,963	$105,178
FOOD & GENERAL SUPPLIES	$19,114,761	$18,008,015	$1,070,510	$36,236
DRUGS & MEDICINE	$9,478,556	$9,474,180	$4,376	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$16,942,752	TotalAmt
Program Services	$13,272,591	ProgramServicesAmt
Management And General	$3,415,120	ManagementAndGeneralAmt
Fundraising	$255,041	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,110,828,883	TotalAmt
Program Services	$1,822,438,685	ProgramServicesAmt
Management And General	$284,680,194	ManagementAndGeneralAmt
Fundraising	$3,710,004	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$152,393,133	BOYAmt
EOY	$474,229,208	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$228,443,016	BOYAmt
EOY	$141,240,726	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$11,523,306	BOYAmt
EOY	$12,309,135	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$227,727,474	BOYAmt
EOY	$208,953,750	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$9,143,183	BOYAmt
EOY	$7,277,031	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$32,665,034	BOYAmt
EOY	$42,305,742	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$22,414,216	BOYAmt
EOY	$24,615,286	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,734,642,533	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$962,943,343	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$794,666,438	BOYAmt
EOY	$771,699,190	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$78,189,009	BOYAmt
EOY	$103,077,829	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$74,454,877	BOYAmt
EOY	$69,280,229	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$312,558,378	BOYAmt
EOY	$337,680,033	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,520,071	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$204,025,544	BOYAmt
EOY	$240,469,112	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,157,723,679	BOYAmt
EOY	$2,433,137,271	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$213,375,509	BOYAmt
EOY	$217,036,219	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$19,706,405	BOYAmt
EOY	$20,444,417	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$101,658,992	BOYAmt
EOY	$96,184,449	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$12,238,360	BOYAmt
EOY	$1,351,295	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$451,495,397	BOYAmt
EOY	$424,464,712	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$32,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$313,479,153	BOYAmt
EOY	$488,001,169	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,111,953,816	BOYAmt
EOY	$1,247,514,261	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$856,547,108	BOYAmt
EOY	$984,306,920	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$189,222,755	BOYAmt
EOY	$201,316,090	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,045,769,863	BOYAmt
EOY	$1,185,623,010	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,157,723,679	BOYAmt
EOY	$2,433,137,271	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$104,681,161	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$41,025,116	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$5,853,130	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	0	FSAuditedInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$43,503,921	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$51,010,080	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$43,729,149	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$49,875,455	CurrentTaxYearMinus1YearAmt
Current Tax Year	$65,243,470	CurrentTaxYearAmt
Total	$253,362,075	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$43,503,921	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$51,010,080	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$43,729,149	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$49,875,455	CurrentTaxYearMinus1YearAmt
Current Tax Year	$65,243,470	CurrentTaxYearAmt
Total	$253,362,075	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$7,098,846	SubstantialContributorsTotAmt
Public Support Total170	$246,263,229	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,600,681	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,313,402	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,956,890	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,039,255	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,507,502	CurrentTaxYearAmt
Total	$15,417,730	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,700,968	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,398,553	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,604,331	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,699,639	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,882,194	CurrentTaxYearAmt
Total	$13,285,685	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$282,065,490	TotalSupportAmt
Gross Receipts Rltd Activities	$8,418,644,157	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.87310	PublicSupportCY170Pct
Public Support PY170	0.87250	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:

AUXILIARY VARIOUS ACTIVITY - 2016 AMOUNT: $ 3,354. 2017 AMOUNT: $ 1,915. 2018 AMOUNT: $ 2,202. 2019 AMOUNT: $ 2,434. 2020 AMOUNT: $ 1,589. OTHER COLLEGE INCOME - 2016 AMOUNT: $ 1,697,614. 2017 AMOUNT: $ 1,396,638. 2018 AMOUNT: $ 1,602,129. 2019 AMOUNT: $ 3,697,205. 2020 AMOUNT: $ 4,880,605.

SCHEDULE A, PART I

THE ALBANY MEDICAL CENTER GROUP ORGANIZATION CONSISTS OF THE FOLLOWING RELATED ORGANIZATIONS WITH THEIR RESPECTIVE PUBLIC CHARITY STATUS AS FOLLOWS: ALBANY MEDICAL CENTER HOSPITAL - 501(C)(3) 3; ALBANY MEDICAL CENTER HOSPITAL IS SELECTED AS THE MAIN FILING STATUS FOR SCHEDULE A. HOWEVER, THE ADDITIONAL MEMBERS OF THE GROUP ORGANIZATION ARE EQUALLY IMPORTANT TO THE CHARITY STATUS. SARATOGA HOSPITAL - 501(C)(3) 3; SARATOGA HOSPITAL IS A PART I SELECTION 3 ORGANIZATION. COLUMBIA MEMORIAL HOSPITAL - 501(C)(3) 3; COLUMBIA MEMORIAL HOSPITAL IS A PART I SELECTION 3 ORGANIZATION. ALBANY MEDICAL COLLEGE - 501(C)(3) 2; THE COLLEGE IS AN ORGANIZATION THAT WOULD BE SELECTED AS A PART I SELECTION 2 SCHOOL. THE CHARITY DATA FOR THE COLLEGE'S ACTIVITIES IS INCLUDED IN SCHEDULE A PART II. ALBANY MEDICAL CENTER KIDSKELLER - 501(C)(3) 2; KIDSKELLER IS AN ORGANIZATION THAT WOULD BE SELECTED AS A PART I SELECTION 2 SCHOOL. ALBANY MEDICAL CENTER FOUNDATION - 501(C)(3) 7; THE FOUNDATION IS A PART I SELECTION 7 ORGANIZATION. THE CHARITY DATA FOR THE FOUNDATION ACTIVITIES IS INCLUDED IN SCHEDULE A PART II. CENTER FOR DONATION AND TRANSPLANT - 501(C)(3) 12A; CDT IS AN ORGANIZATION THAT WOULD BE SELECTED AS A PART I SELECTION 12A SUPPORTING ORGANIZATION OF ALBANY MEDICAL COLLEGE. HEALTHCARE PARTNERS OF SARATOGA LTD - 501(C)(3) 3; MMEC IS A PART I SELECTION 3 ORGANIZATION. SARATOGA CARE INC - 501(C)(3) 12B; SCI IS AN ORGANIZATION THAT WOULD BE SELECTED AS A PART I SELECTION 12B SUPPORTING ORGANIZATION OF SARATOGA HOSPITAL. SARATOGA REGIONAL MEDICAL PC - 501(C)(3) 3; SRMPC IS A PART I SELECTION 3 ORGANIZATION. COLUMBIA MEMORIAL HEALTH FOUNDATION - 501(C)(3) 10; CMHF IS A PART I SELECTION 10 ORGANIZATION. KAATERSKILL COMMONS, INC - 501(C)(3) 7; KCI IS A PART 1 SELECTION 7 ORGANIZATION.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$116,743	OtherActivitiesAmt
Total Lobbying Expenditures	$116,743	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION BELONGS TO SEVERAL HOSPITAL ASSOCIATIONS FOR WHICH A PORTION OF THE MEMBERSHIP DUES ARE USED FOR LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Donor Advised Funds Held	1	DonorAdvisedFundsHeldCnt
Donor Advised Funds Vl EOY	$20,705	DonorAdvisedFundsVlEOYAmt
Disclosed Org Leg Ctrl	Yes (1)	DisclosedOrgLegCtrlInd
Disclosed For Charitable Prps	0	DisclosedForCharitablePrpsInd
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$163,527,331	BeginningYearBalanceAmt
Contributions	$4,257,629	ContributionsAmt
Investment Earnings Or Losses	$17,750,874	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,275,425	GrantsOrScholarshipsAmt
Other Expenditures	$4,673,523	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$178,586,886	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$142,357,866	BeginningYearBalanceAmt
Contributions	$4,371,193	ContributionsAmt
Investment Earnings Or Losses	$25,702,476	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,246,961	GrantsOrScholarshipsAmt
Other Expenditures	$7,241,782	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$162,942,792	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$133,281,069	BeginningYearBalanceAmt
Contributions	$27,634,845	ContributionsAmt
Investment Earnings Or Losses	-$10,830,814	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,179,003	GrantsOrScholarshipsAmt
Other Expenditures	$5,548,231	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$142,357,866	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$115,416,968	BeginningYearBalanceAmt
Contributions	$4,238,365	ContributionsAmt
Investment Earnings Or Losses	$19,921,770	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,055,177	GrantsOrScholarshipsAmt
Other Expenditures	$4,240,857	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$133,281,069	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$113,127,807	BeginningYearBalanceAmt
Contributions	$2,468,431	ContributionsAmt
Investment Earnings Or Losses	$5,923,667	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,982,780	GrantsOrScholarshipsAmt
Other Expenditures	$4,120,157	OtherExpendituresAmt
Administrative Expenses	$0	AdministrativeExpensesAmt
End Year Balance	$115,416,968	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.22420	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.72960	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.04620	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,730,704	OtherCostOrOtherBasisAmt
Book Value	$12,730,704	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$961,305,638	OtherCostOrOtherBasisAmt
Depreciation	$492,347,153	DepreciationAmt
Book Value	$468,958,485	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,225,273	OtherCostOrOtherBasisAmt
Depreciation	$9,411,028	DepreciationAmt
Book Value	$2,814,245	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$523,936,321	OtherCostOrOtherBasisAmt
Depreciation	$344,354,840	DepreciationAmt
Book Value	$179,581,481	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$224,444,597	OtherCostOrOtherBasisAmt
Depreciation	$116,830,322	DepreciationAmt
Book Value	$107,614,275	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$771,699,190	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
ENDOWMENT & OTHER PROGRAMS	$189,372,509	F
BOND	$35,933,085	F
SELF-INSURANCE	$103,496,459	F
CHARITABLE TRUSTS	$5,796,218	F
OTHER INVESTMENTS - SH	$15,001	F
OTHER PROG RELATED - CMH	$3,066,761	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$337,680,033	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (13 entries)

DescDesc	Book ValueBookValueAmt
INTERCOMPANY	$128,571,991
RIGHT OF USE - OPERATING LEASE	$54,328,387
NON-CURRENT	$25,063,443
PENSION	$11,824,842
CURRENT	$8,995,512
DUE FROM SC FOUNDATION	$3,974,241
INVESTMENT IN JV	$2,580,753
INVESTMENT IN BENEFIT PLANS	$1,693,284
OTHER ASSETS	$1,425,851
GOODWILL	$1,381,134
CASH CURRENDER VALUE	$410,409
ACCRUED INTEREST INCOME	$133,930
GROUND LEASE - KCI	$85,335

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$240,469,112	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	-$190,102	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (19 entries)

DescDesc	AmtAmt
SELF INSURANCE	$129,955,778
OTHER SHORT-TERM	$108,194,181
INTERINSTITUTIONAL PAYABLE	$58,566,808
LEASE LIABILITY - OPERATING	$43,821,325
CARES ACT	$30,038,706
3RD PARTY LIABILITIES	$29,127,039
OTHER LONG-TERM	$28,906,481
WORKERS COMPENSATION	$21,379,067
LEASE LIABILITY - FINANCE	$19,225,426
ACCRUED VACATION & PTO	$5,272,602
FEDERAL LOAN PROGRAM	$4,001,552
ASB ABATEMENT	$2,600,567
ACCRUED PENSION	$2,189,107
ASSET RETIREMENT OBLIGATION	$1,891,000
PROF. LIABILITY INSURANCE RESERVE	$1,620,000
DEFERRED LIABILITY - LIFE INS	$1,147,284
DEFERRED RENT	$171,327
RESERVE FOR GIFT ANNUITIES	$77,717
CONTRA	$5,304

Field	Value	IRS element (for citing)
Total Liability	$488,001,169	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, LINE 2B:	GIFT ANNUITIES
PART V, LINE 4:	ALBANY MEDICAL CENTER COLLEGE THE COLLEGE'S ENDOWMENT CONSISTS OF APPROXIMATELY 320 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 INVESTMENT 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.
PART X, LINE 2:	WITH THE EXCEPTION OF MADISON AVENUE SERVICES CORPORATION, ALBANY MED SUBS, ALBANY MEDICAL PARK SOUTH I, LLC AND BETTER HEALTH OF NORTHEAST NEW YORK, INC. ALL ENTITIES COMPRISING THE SYSTEM 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. BETTER HEALTH OF NORTHEAST NEW YORK, INC. IS A 501(C)(6). INCOME TAXES ASSOCIATED WITH MADISON AVENUE SERVICES CORPORATION ARE NOT MATERIAL TO THE COMBINED FINANCIAL STATEMENTS. IN ADDITION, ALBANY MEDICAL PARK SOUTH I, LLC AND ALBANY MED SUBS, ARE LIMITED LIABILITY COMPANIES WHICH ARE DISREGARDED ENTITIES FOR INCOME TAX PURPOSES. 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 AT DECEMBER 31, 2020 AND 2019.

Schedule E IRS990ScheduleE

Field	Value	IRS element (for citing)
Nondiscriminatory Policy Stmt	Yes (1)	NondiscriminatoryPolicyStmtInd
Policy Stmt In Brochures Etc	Yes (1)	PolicyStmtInBrochuresEtcInd
Plcy Pblczd Via Broadcast Media	Yes (1)	PlcyPblczdViaBroadcastMediaInd
Maintain Racial Comp Recs	Yes (1)	MaintainRacialCompRecsInd
Maintain Scholarships Recs	Yes (1)	MaintainScholarshipsRecsInd
Maintain Cpy Of Brochures Etc	Yes (1)	MaintainCpyOfBrochuresEtcInd
Maintain Cpy Of All Sol	Yes (1)	MaintainCpyOfAllSolInd
Discriminate Race Stdnts Rghts	0	DiscriminateRaceStdntsRghtsInd
Discriminate Race Admiss Plcy	0	DiscriminateRaceAdmissPlcyInd
Discriminate Race Emplm Fculty	0	DiscriminateRaceEmplmFcultyInd
Discriminate Race Schs	0	DiscriminateRaceSchsInd
Discriminate Race Educ Plcy	0	DiscriminateRaceEducPlcyInd
Discriminate Race Use Of Fclts	0	DiscriminateRaceUseOfFcltsInd
Discriminate Race Athlt Prog	0	DiscriminateRaceAthltProgInd
Discriminate Race Other Acty	0	DiscriminateRaceOtherActyInd
Government Financial Aid Rcvd	Yes (1)	GovernmentFinancialAidRcvdInd
Government Financial Aid Rvkd	0	GovernmentFinancialAidRvkdInd
Compliance With Rev Proc7550	Yes (1)	ComplianceWithRevProc7550Ind

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE E, PART I, LINE 3	SCHOOL: ALBANY MEDICAL COLLEGE THE RACIALLY NONDISCRIMINATORY POLICY IS PUBLISHED IN THE ALBANY MEDICAL COLLEGE HANDBOOK AND INDICATED IN NEWSPAPER ADVERTISEMENTS. SCHOOL: ALBANY MEDICAL CENTER KIDSKELLER ALBANY MEDICAL CENTER KIDSKELLER ANSWERS IN THE NEGATIVE TO THIS QUESTION BECAUSE IT DOES NOT CURRENTLY PUBLISH ITS RACIALLY NONDISCRIMINATORY POLICY THROUGH A NEWSPAPER. HOWEVER, THE ORGANIZATION DRAWS ITS STUDENTS FROM LOCAL COMMUNITIES, FOLLOWS A RACIALLY NONDISCRIMINATORY POLICY AS TO STUDENTS AND THE ORGANIZATION INCLUDES A RACIALLY NONDISCRIMINATORY POLICY AS TO STUDENTS IN ALL ITS BROCHURES AND CATALOGUES DEALING WITH STUDENT ADMISSIONS, PROGRAMS, AND SCHOLARSHIPS.
SCHEDULE E, PART I, LINE 4	SCHOOL: ALBANY MEDICAL CENTER KIDSKELLER ALBANY MEDICAL CENTER KIDSKELLER ANSWERS IN THE NEGATIVE TO THIS QUESTION BECAUSE IT DOES NOT SOLICIT CONTRIBUTIONS. IN ALL ITS BROCHURES AND CATALOGUES DEALING WITH STUDENT ADMISSIONS, PROGRAMS, AND SCHOLARSHIPS.
SCHEDULE E, PART I, LINE 6	SCHOOL: ALBANY MEDICAL COLLEGE ALBANY MEDICAL COLLEGE PARTICIPATES IN THE DIRECT LOAN PROGRAM AS WELL AS OPERATES CERTAIN OTHER FEDERALLY FUNDED FINANCIAL AID PROGRAMS. SCHOOL: ALBANY MEDICAL CENTER KIDSKELLER ALBANY MEDICAL CENTER KIDSKELLER PARTICIPATES IN THE USDA FOOD SUBSIDY PROGRAM.
SCHEDULE E - REPORTING SCHOOLS	SCHEDULE E IS BEING COMPLETED FOR THE FOLLOWING SUBORDINATE ORGANIZATIONS OF THE ALBANY MEDICAL CENTER GROUP ORGANIZATION. THESE SUBORDINATES ARE SCHOOLS DESCRIBED IN SECTION 170(B)(1)(A)(II). - ALBANY MEDICAL COLLEGE - ALBANY MEDICAL CENTER KIDSKELLER

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN	0	0	INVESTMENTS	$3,809,413
NORTH AMERICA	0	0	INVESTMENTS	$24,093,685

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$27,903,098	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$27,903,098	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3:	THE ACCOUNTING METHOD IS FAIR MARKET VALUE. INVESTMENTS & EXPENDITURES PER REGION: THE AMOUNTS ARE ENTIRELY INVESTMENTS.
PART III ACCOUNTING METHOD:

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	TELETHON/RADIO	Event1Nm
Gross Receipts Event1	$1,033,142	GrossReceiptsEvent1Amt
Charitable Contri Event1	$995,990	CharitableContriEvent1Amt
Gross Revenue Event1	$37,152	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$288,348	OtherDirectExpensesEvent1Amt
Event2	AUCTION	Event2Nm
Gross Receipts Event2	$675,528	GrossReceiptsEvent2Amt
Charitable Contri Event2	$640,214	CharitableContriEvent2Amt
Gross Revenue Event2	$35,314	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$35,314	OtherDirectExpensesEvent2Amt
Other Events Total	15	OtherEventsTotalCnt
Gross Receipts Other Events	$1,738,514	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$1,148,643	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$589,871	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$0	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$21,402	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$44,122	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$41,299	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$200	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$325,340	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$3,447,184	GrossReceiptsTotalAmt
Charitable Contributions Tot	$2,784,847	CharitableContributionsTotAmt
Gross Revenue Total Events	$662,337	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$21,402	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$44,122	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$41,299	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$200	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$649,002	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$756,025	DirectExpenseSummaryEventsAmt
Net Income Summary	-$93,688	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$39,800	GrossRevenueOtherGamingAmt
Oth Direct Expnss Other Gaming	$15,533	OthDirectExpnssOtherGamingAmt
Volunteer Labor Other Gaming	0	VolunteerLaborOtherGamingInd
Gross Revenue Total Gaming	$39,800	GrossRevenueTotalGamingAmt
Oth Direct Expnss Total Gaming	$15,533	OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming	$15,533	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	$24,267	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	NY	StatesWhereGamingConductedCd
Licensed	Yes (1)	LicensedInd
License Suspended Etc	0	LicenseSuspendedEtcInd
Gaming With Nonmembers	Yes (1)	GamingWithNonmembersInd
Member Of Other Entity	0	MemberOfOtherEntityInd
Gaming Own Facility	0.51000	GamingOwnFacilityPct
Gaming Other Facility	0.49000	GamingOtherFacilityPct

Persons With Books Name PersonsWithBooksName

Field	Value	IRS element (for citing)
Business Name Line1	MARY SOLOMONS	BusinessNameLine1Txt

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	211 CHURCH STREET	AddressLine1Txt
City	SARATOGA SPRINGS	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12866	ZIPCd

Field	Value	IRS element (for citing)
Cntrct With3rd Prty For Game Rev	0	CntrctWith3rdPrtyForGameRevInd

Gaming Manager Business Name GamingManagerBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARY SOLOMONS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gaming Manager Compensation	$2,624	GamingManagerCompensationAmt
Gaming Manager Services Prov	AS DESCRIBED ABOVE IN PART III, LINE 1-8, THE RAFFLE HELD IN CONNECTION WITH THE ANNUAL GOLF OUTING IS WHOLLY CONDUCTED BY FOUNDATION PERSONNEL AS PART OF THEIR NORMAL DUTIES RELATIVE TO THE GOLF OUTING. THERE IS NO PORTION OF THE COMPENSATION FOR ANY FOUNDATION PERSONNEL THAT IS SPECIFICALLY RELATED TO THE RAFFLE BEING CONDUCTED. AS A RESULT, THE AMOUNT OF GAMING MANAGER COMPENSATION REPORTED ON LINE 16 IS AN ESTIMATED AMOUNT. THIS ESTIMATE IS BASED ON THE PERCENTAGE OF TOTAL ANNUAL FOUNDATION REVENUES FOR 2020 DERIVED FROM THE RAFFLE, TIMES THE ANNUAL COMPENSATION FOR THE FOUNDATION'S EXECUTIVE DIRECTOR.	GamingManagerServicesProvTxt
Gaming Manager Is Director Ofcr	Yes (X)	GamingManagerIsDirectorOfcrInd
Charitable Distribution Rqr	0	CharitableDistributionRqrInd
Distributed	$0	DistributedAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE G, PART III, LINES 1-8	FormAndLineReferenceDesc
Explanation	THE SARATOGA CARE FOUNDATION (FOUNDATION) HOLDS AN ANNUAL GOLF OUTING, THE NET PROCEEDS FROM WHICH ARE USED FOR FURTHERING THE EDUCATION OF SARATOGA HOSPITAL NURSING STAFF. THE HOSPITAL VIEWS A HIGHLY-EDUCATED NURSING STAFF AS A KEY COMPONENT IN CONTINUALLY ENHANCING THE HOSPITAL'S ABILITY TO PROVIDE HIGH-QUALITY PATIENT CARE. IN CONNECTION WITH THE ANNUAL GOLF OUTING, A RAFFLE IS HELD FOR A VACATION PACKAGE. SALES FOR THE TICKETS ARE SOLICITED BY FOUNDATION PERSONNEL BOTH PRIOR TO AND DURING THE GOLF EVENT. THE FOUNDATION PERSONNEL ARE NOT PAID SPECIFICALLY FOR ANY TICKET SALES EFFORTS THEY MAKE, RATHER, THOSE EFFORTS ARE PART OF THEIR NORMAL DUTIES IN CONNECTION WITH THE GOLF OUTING EVENT.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,530,561	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$562,047	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,968,514	NetCommunityBenefitExpnsAmt
Total Expense	0.00910	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$319,533,285	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$259,687,539	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$59,845,746	NetCommunityBenefitExpnsAmt
Total Expense	0.03630	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$248,892	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$248,892	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$335,312,738	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$260,249,586	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$75,063,152	NetCommunityBenefitExpnsAmt
Total Expense	0.04560	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	36925	PersonsServedCnt
Total Community Benefit Expns	$7,705,836	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,030,262	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,675,574	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	468	PersonsServedCnt
Total Community Benefit Expns	$72,180,376	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,208,317	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$60,972,059	NetCommunityBenefitExpnsAmt
Total Expense	0.03700	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,952,995	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,609,004	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,343,991	NetCommunityBenefitExpnsAmt
Total Expense	0.00510	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,049,873	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,633,169	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,416,704	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,119	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,119	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	37393	PersonsServedCnt
Total Community Benefit Expns	$112,897,199	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,480,752	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$79,416,447	NetCommunityBenefitExpnsAmt
Total Expense	0.04820	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	37393	PersonsServedCnt
Total Community Benefit Expns	$448,209,937	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$293,730,338	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$154,479,599	NetCommunityBenefitExpnsAmt
Total Expense	0.09380	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$108,424	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$63,424	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$752,940	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$752,940	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$740,880	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$740,880	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,602,244	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,557,244	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$324,257,559	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$354,469,413	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$30,211,854	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
2 SARATOGA PARTNERS NORTH LLC
OTHER AMBULATORY HEALTH CARE CENTER	0.51000	0.00000	0.49000
3 SARATOGA PARTNERS NORTH REALTY LLC
REAL ESTATE RENTALS	0.40000	0.00000	0.60000

Field	Value	IRS element (for citing)
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Critical Access HospitalCriticalAccessHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd
ALBANY MEDICAL CENTER HOSPITAL
1	47 NEW SCOTLAND AVE	ALBANY	NY	12208	WWW.AMC.EDU	010100H	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
SARATOGA HOSPITAL
2	211 CHURCH STREET	SARATOGA SPRINGS	NY	12866	WWW.SARATOGAHOSPITAL.ORG	4501000H	Yes (X)	Yes (X)					Yes (X)
COLUMBIA MEMORIAL HOSPITAL
3	71 PROSPECT AVENUE	HUDSON	NY	12534	WWW.COLUMBIAMEMORIALHEALTH.ORG	1001000H	Yes (X)	Yes (X)					Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Other Actions TakenOtherActionsTakenInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Prospective Medicare MedicaidProspectiveMedicareMedicaidInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Other MethodOtherMethodInd	Permit Report To Credit AgencyPermitReportToCreditAgencyInd	Permit Selling DebtPermitSellingDebtInd	Permit Other ActionsPermitOtherActionsInd	Look Back MedicareLookBackMedicareInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Residency CriteriaResidencyCriteriaInd
ALBANY MEDICAL CENTER HOSPITAL
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	HTTPS://WWW.AMC.EDU/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-IMPLEMENTATION	Yes (X)	Yes (X)	Yes (1)	19	Yes (1)	HTTPS://WWW.AMC.EDU/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-IMPLEMENTATION	0	Yes (1)	Yes (X)	100.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
SARATOGA HOSPITAL
2	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)		19	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	HTTPS://WWW.SARATOGAHOSPITAL.ORG/CLASSES/COMMUNITYHEALTHNEEDSASSESSMENT	Yes (X)		Yes (1)	19	Yes (1)	HTTPS://WWW.SARATOGAHOSPITAL.ORG/CLASSES/COMMUNITYHEALTHNEEDSASSESSMENT	0	Yes (1)	Yes (X)	250.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)		Yes (1)	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (X)	Yes (1)		0	Yes (X)	Yes (X)	Yes (X)			Yes (1)		0	0	Yes (X)	WWW.HCDINY.ORG	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
COLUMBIA MEMORIAL HOSPITAL
3	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	SEE SECTION C	Yes (X)		Yes (1)	19	Yes (1)	SEE SECTION C	0	Yes (1)	Yes (X)	100.000000000000	400.000000000000	Yes (X)		Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)		Yes (1)	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (1)	Yes (X)	0	0				Yes (X)						Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ALBANY MEDICAL CENTER HOSPITAL	PART V, SECTION B, LINE 5: ACCOUNT INPUT FROM PERSON WHO REPRESENT THE COMMUNITYALBANY MEDICAL CENTER HOSPITAL, COLUMBIA MEMORIAL HOSPITAL, AND SARATOGA HOSPITAL COMPRISED THE ALBANY MED HEALTH SYSTEM IN 2019 (A NEW AFFILIATE HOSPITAL JOINED THE SYSTEM IN 2020). EACH OF OUR HOSPITALS HAVE A PROUD AND LONG TRADITION CARING FOR OUR COMMUNITIES IN NEW YORK STATE'S CAPITAL REGION.ALBANY MEDICAL CENTER HOSPITAL, COLUMBIA MEMORIAL HOSPITAL, AND SARATOGA HOSPITAL ARE ACTIVE AND INVOLVED MEMBER ORGANIZATIONS OF THE HEALTHY CAPITAL DISTRICT INITIATIVE (HCDI). A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY HCDI IN 2019 IN COLLABORATION WITH NUMEROUS REGIONAL PARTNERS, INCLUDING THE REGION'S HOSPITALS AND LOCAL HEALTH DEPARTMENTS. ENGAGING THE COMMUNITY IN THE HEALTH NEEDS ASSESSMENT PROCESS WAS A PRIORITY OF HCDI AND ITS STAKEHOLDERS. BROAD COMMUNITY ENGAGEMENT BEGAN WITH PARTICIPATION IN THE COMMUNITY HEALTH SURVEY. OVER 1,200 RESIDENTS OF THE CAPITAL REGION WERE SURVEYED, WITH INPUT FROM OVER 90 ORGANIZATIONS TO DETERMINE THE MOST PRESSING HEALTH NEEDS FOR THE SIX COUNTY CAPITAL REGION. THE SURVEYS OFFERED MULTIPLE CHOICE AND OPEN-ENDED QUESTIONS TO LEARN ABOUT RESIDENTS' HEALTH NEEDS, HEALTH BEHAVIORS AND BARRIERS TO CARE. DEMOGRAPHIC INFORMATION COLLECTED BY THE SURVEY ALLOWED REVIEW OF INFORMATION BY AGE, GENDER, RACE/ETHNICITY AND INCOME.SURVEY RESULTS WERE INCORPORATED INTO THE EXAMINATION OF HEALTH NEEDS BY THE MEMBERS OF THE FOUR CAPITAL REGION PUBLIC HEALTH PRIORITIZATION WORKGROUPS, BUCKETED BY REGIONS WITHIN THE 6 COUNTIES (THE FOUR REGIONAL WORKGROUPS: ALBANY-RENSSELAER, COLUMBIA-GREENE, SARATOGA, AND SCHENECTADY). THE WORKGROUPS INCLUDED COMMUNITY VOICES THROUGH REPRESENTATIVES FROM CONSUMERS; COMMUNITY-BASED ORGANIZATIONS THAT SERVE LOW-INCOME RESIDENTS, THE HOMELESS, THOSE WITH HIV/AIDS; ADVOCACY GROUPS; EMPLOYERS; PUBLIC HEALTH DEPARTMENTS; PROVIDERS; AND HEALTH INSURERS.PARTICIPANTS WERE ENCOURAGED TO SHARE DATA OF THEIR OWN AND TO ADVOCATE FOR THE NEEDS OF THEIR CONSTITUENTS. WHILE ALL HEALTH INSTITUTIONS SERVE HIGH NEED INDIVIDUALS, TWO FEDERALLY QUALIFIED HEALTH CENTERS, AS WELL AS FOOD PANTRIES OF THE CAPITAL DISTRICT, UNITED WAY OF THE CAPITAL REGION,INTERFAITH PARTNERSHIP FOR THE HOMELESS, AND OUR CONSUMER COMMUNITY REPRESENTATIVES HAVE UNIQUE ACCESS TO MEDICALLY UNDERSERVED RESIDENTS, AND BROUGHT THAT UNIQUE PERSPECTIVE TO THIS NEEDS ASSESSMENT.
ALBANY MEDICAL CENTER HOSPITAL	PART V, SECTION B, LINE 6A: ALL HOSPITALS LOCATED WITHIN THE DEFINED 6-COUNTY CAPITAL REGION PARTICIPATED IN THE COLLABORATIVE PROCESS OF ASSESSING THE HEALTH NEEDS OF THE COMMUNITY. THEY INCLUDE: ALBANY MEDICAL CENTER HOSPITAL, COLUMBIA MEMORIAL HOSPITAL, ELLIS MEDICINE, SARATOGA HOSPITAL, AND ST. PETER'S HEALTH PARTNER HOSPITALS.
ALBANY MEDICAL CENTER HOSPITAL	PART V, SECTION B, LINE 6B: CHNA CONDUCTED BY ORGANIZATIONS OTHER THAN HOSPITAL MANY BUSINESSES, COMMUNITY BASED ORGANIZATIONS, ADVOCACY GROUPS, HEALTH INSURERS, AND OTHERS PARTICIPATED IN THE CHNA; BECAUSE OF THE LOCAL NATURE OF SOME OF THE ORGANIZATIONS, THE LIST OF PARTICIPANTS VARIED AMONG EACH OF THE REGIONAL WORKGROUPS (ALBANY-RENSSELAER COUNTIES, COLUMBIA-GREENE COUNTIES, SARATOGA COUNTY, SCHENECTADY COUNTY).A FULL LIST OF ORGANIZATIONS PLAYING A PART IN THE ALBANY-RENSSELAER COUNTY PRIORITIZATION WORKGROUP, OF WHICH ALBANY MEDICAL CENTER WAS A LEADING MEMBER, CAN BE FOUND ON PAGE 32 OF THE 2019 HCDI COMMUNITY HEALTH NEEDS ASSESSMENT (HCDI CHNA):HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/2019_CHNA/2019_HCDI-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF.COLUMBIA MEMORIAL HOSPITAL WAS A LEADING MEMBER IN THE COLUMBIA-GREENE PRIORITIZATION WORKGROUP. ADDITIONAL PARTICIPATING ORGANIZATIONS CAN BE FOUND ON PAGE 34 OF THE HCDI CHNA:HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/2019_CHNA/2019_HCDI-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF.SARATOGA HOSPITAL, A LEAD MEMBER OF THE SARATOGA COUNTY PRIORITIZATION WORKGROUP, WORKED WITH APPROXIMATELY 2 DOZEN PARTNERS - THE FULL LIST OF WHICH CAN BE FOUND ON PAGE 37 OF THE HCDI CHNA:HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/2019_CHNA/2019_HCDI-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF.
ALBANY MEDICAL CENTER HOSPITAL	PART V, SECTION B, LINE 7D: FACILITY: ALBANY MEDICAL CENTER HOSPITAL- ALBANY MED'S NEWSLETTER ""ALBANY MED TODAY"", DISTRIBUTED TO EMPLOYEES, DONORS, PUBLIC- ALBANY MED BOARD OF DIRECTORS BOARD PORTAL- SHARED WITH LOCAL GOVERNMENT OFFICIALS AND OTHER MEMBERS OF OUR COMMUNITY WHEN REQUESTED- COPIES ARE FURNISHED UPON REQUESTFACILITY: COLUMBIA MEMORIAL HOSPITAL- ELECTRONIC COPIES ARE DISTRIBUTED TO ALL MEMBERS OF THE COLUMBIA-GREENE HEALTHY PEOPLE PARTNERSHIP, WHO ARE ENCOURAGED TO FURTHER REDISTRIBUTE THE INFORMATION- ELECTRONIC COPIES ARE ALSO DISTRIBUTED TO LOCAL ELECTED OFFICIALS AND TO STATE ELECTED OFFICIALS REPRESENTING COLUMBIA AND/OR GREENE COUNTIES - THE DOCUMENT IS POSTED ON EACH OF THE PLANNING PARTNERS' WEBSITES- COPIES ARE FURNISHED UPON REQUESTFACILITY: SARATOGA HOSPITAL- PRESENTED TO LOCAL SARATOGA HEALTH COUNCIL IN CONJUNCTION WITH SARATOGA COUNTY PUBLIC HEALTH- DISTRIBUTED ELECTRONIC COPIES TO ALL COMMUNITY-BASED ORGANIZATIONS THAT ARE MEMBERS OF THE SARATOGA HEALTH COUNCIL- PLAN IS PART OF SARATOGA COUNTY'S WEBSITE- COPIES ARE FURNISHED UPON REQUEST
ALBANY MEDICAL CENTER HOSPITAL	PART V, SECTION B, LINE 11: SIGNIFICANT HEALTH NEEDS IDENTIFIEDA DESCRIPTION OF THE METHOD BY WHICH THE CAPITAL REGION PRIORITIZATION WORKGROUPS SELECTED THE MOST SIGNIFICANT HEALTH NEEDS WITHIN EACH OF THE 4 REGIONS (ALBANY-RENSSELAER COUNTIES, COLUMBIA-GREENE COUNTIES, SARATOGA COUNTY AND SCHENECTADY COUNTY) CAN BE FOUND ON PAGES 30-31 IN THE HCDI CHNA:HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/2019_CHNA/2019_HCDI-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF.EACH WORKGROUP HELD SEVERAL MEETINGS, WHERE MEMBERS OFFERED INSIGHT, FEEDBACK, RAISED CONCERNS, ASKED QUESTIONS, AND OFFERED VARYING PERSPECTIVES ON EACH OF THE HEALTH NEEDS DISCUSSED. DURING THEIR FINAL MEETINGS, WORKGROUPS SELECTED THE MOST SIGNIFICANT HEALTH PRIORITIESWITHIN THEIR REGIONS.AMONG THE WORKGROUPS IN WHICH ALBANY MEDICAL CENTER HOSPITAL, COLUMBIA MEMORIAL HOSPITAL, AND SARATOGA HOSPITAL WERE LEADING PARTICIPANTS, CHRONIC DISEASE AND MENTAL HEALTH INITIATIVES RECEIVED THE GREATEST NUMBER OF VOTES DUE TO THEIR IMPACT ON MANY PEOPLE IN THE MOST SIGNIFICANT WAYS, BOTH DIRECTLY AND INDIRECTLY, AND THROUGH THEIR INFLUENCE ON OTHER HEALTH CONDITIONS. THEY ARE ALSO LARGELY PREVENTABLE AND CONTRIBUTE MOST SIGNIFICANTLY TO THE COST OF HEALTH CARE.THE GROUP'S PRIORITIES ALSO REFLECT THE PARTICIPATING ENTITIES' ABILITIES TO EFFECTIVELY ALIGN RESOURCES TO MAKE THE MOST POSITIVE IMPACT ON THEIR COMMUNITIES.A SUMMARY OF THE PROCESSES BY THE PRIORITIZATION WORKGROUPS IN WHICH ALBANY MEDICAL CENTER HOSPITAL, COLUMBIA MEMORIAL HOSPITAL, AND SARATOGA HOSPITAL PARTICIPATED CAN BE ACCESSED VIA THESE LINKS:ALBANY-RENSSELAER COUNTY PRIORITIZATION WORK GROUP:HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/2019_CHNA/2019_HCDI-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF - PAGES 31-33COLUMBIA-GREENE COUNTIES PRIORITIZATION WORK GROUP:HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/2019_CHNA/2019_HCDI-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF - PAGES 34-35SARATOGA COUNTY PRIORITIZATION WORK GROUP:HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/2019_CHNA/2019_HCDI-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF - 37-38ALBANY-RENSSELAER COUNTIES PRIORITIZATION WORKGROUPALBANY AND RENSSELAER COUNTIES SELECTED THE FOLLOWING PREVENTION AGENDA PRIORITY AREAS:- REDUCE OBESITY AND PREVENT DIABETES- PREVENT/CONTROL ASTHMA, PREVENT TOBACCO USE- PREVENT MENTAL DISORDERSEXISTING TASK FORCES WILL HAVE THEIR SCOPES MODIFIED, OR NEW TASK FORCES WILL BE ESTABLISHED TO DEVELOP AND IMPLEMENT COMMUNITY HEALTH IMPROVEMENT PLAN INTERVENTIONS FOR EACH OF THE PRIORITY AREAS SELECTED. FOR EXAMPLE, THE EXISTING OBESITY-DIABETES TASK FORCE WILL REVIEW AND REVISE THEIR EFFORTS TO PREVENT OBESITY AND TYPE 2 DIABETES, AND HELP PATIENTS LEARN HOW TO SELF-MANAGE AND LIVE A HEALTHY LIFESTYLE. ASTHMA/TOBACCO PREVENTION STRATEGIES TASK FORCE WILL WORK WITH EXISTING EFFORTS OF HEALTHY NEIGHBORHOOD PROGRAMS, DELIVERY SYSTEM REIMBURSEMENT INCENTIVE PAYMENT PROGRAM (DSRIP) PERFORMING PROVIDER SYSTEMS (PPS), GREEN AND HEALTHY HOMES INITIATIVE, AND, CAPITAL DISTRICT TOBACCO-FREE COMMUNITIES, WHO CURRENTLY PARTNERS WITH THE ALBANY COUNTY STRATEGIC ALLIANCE FOR HEALTH, AS WELL AS THE ASTHMA COALITION OF THE CAPITAL REGION. ADDRESSING MENTAL HEALTH WILL REQUIRE COLLABORATION WITH BOTH ALBANY AND RENSSELAER COUNTIES' DEPARTMENTS OF MENTAL HEALTH. MENTAL HEALTH INTERVENTIONS MAY ALSO INTEGRATE DSRIP (DELIVERY SYSTEM REIMBURSEMENT INCENTIVE PAYMENT PROGRAM), PPS AND HEALTH HOMES.ALBANY MEDICAL CENTER HOSPITAL, SPECIFICALLY, WILL PROVIDE THE STAFF, FACILITIES, RESOURCES AND BUDGET NECESSARY TO CARRY OUT INITIATIVES AS OUTLINED IN THEIR IMPLEMENTATION STRATEGY, FOUND ON PAGES 29-35 IN THE ALBANY MEDICAL CENTER COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN 2019-2021:HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/CHIPS/ALBANY-MED-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-COMMUNITY-SERVICE_PLAN_2019-2021.PDF.COLUMBIA-GREENE COUNTIES PRIORITIZATION WORKGROUPCOLUMBIA AND GREENE COUNTIES SELECTED THE FOLLOWING PREVENTION AGENDAPRIORITY AREAS:- REDUCE OBESITY AND PREVENT DIABETES- PREVENT SUBSTANCE ABUSE AND SUPPORT MENTAL EMOTIONAL AND BEHAVIORAL DISORDERS (MEB) SCREENING AND TREATMENTTHE GREENE COUNTY MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) COMMUNITY GROUP AND THE COLUMBIA COUNTY PUBLIC HEALTH LEADERSHIP GROUP WILL SUPPORT THE DEVELOPMENT OF A JOINT-COUNTY TASK FORCE FOR EACH PRIORITY AREA. COMMUNITY HEALTH PARTNERS WHO WORK IN EACH RESPECTIVE PRIORITY AREA WILL COMPRISE EACH PRIORITY AREA-FOCUSED TASK FORCE. EACH TASK FORCE WILL MEET ON A MONTHLY BASIS AND COMMUNITY PARTNERS RESPONSIBLE FOR PRIORITY AREA ACTIONS WILL PROVIDE UPDATES ON ONGOING AND PROJECTED ACTIVITIES AND INTERVENTIONS. THE TASK FORCES WILL BE RESPONSIBLE FOR ALIGNMENT AND GUIDANCE OF ALL COUNTYWIDE ACTIVITIES RELATED TO EACH PRIORITY AREA.COLUMBIA MEMORIAL HOSPITAL WILL PROVIDE THE RESOURCES NECESSARY TO SUPPORT THE SELECTED INITIATIVES, AS OUTLINED IN THEIR IMPLEMENTATION STRATEGY, ON PAGES 4-6, 9, AND 12-14 OF THE APPENDIX WITHIN THE COLUMBIA MEMORIAL HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTHIMPROVEMENT PLAN 2019-2021:HTTPS://WWW.COLUMBIAMEMORIALHEALTH.ORG/WP-CONTENT/UPLOADS/2020/07/C-G-CHNA-IS-CHIP-CSP-COMPLETE-WITH-APPENDICES.PDF.SARATOGA COUNTY PRIORITIZATION WORKGROUPSARATOGA COUNTY SELECTED THE FOLLOWING PREVENTION AGENDA PRIORITY AREAS:- REDUCE OBESITY- PREVENT SUBSTANCE ABUSE DISORDERS (INCLUDING OPIOIDS)TO ADDRESS NEEDS IDENTIFIED IN THE CHNA, SARATOGA HOSPITAL WILL ENGAGE KEY COMMUNITY PARTNERS IN IMPLEMENTING EVIDENCE-BASED STRATEGIES ACROSS SARATOGA COUNTY. ACKNOWLEDGING THAT MANY ORGANIZATIONS AND RESOURCES ARE IN PLACE TO ADDRESS THE HEALTH NEEDS OF THE COMMUNITY, SARATOGA HOSPITAL HAS STRATEGICALLY REVIEWED BOTH INTERNAL AND EXTERNAL RESOURCES. SARATOGA HOSPITAL WILL PROVIDE THE STAFF, FACILITIES, RESOURCES AND BUDGET NECESSARY TO ADDRESS THE SELECTED PRIORITIES, AS OUTLINED IN THEIR COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION STRATEGY 2019-2021. THE DETAILS OF THE IMPLEMENTATION STRATEGY BEGIN ON PAGE 17:HTTPS://WWW.SARATOGAHOSPITAL.ORG/RESOURCES/FILEBROWSER/PDFS/2019%20CSP%20AND%20IMPLEMENTATION%20STRATEGY%20FINAL%20APPROVED.PDF.THE HEALTH PRIORITIES OF ALBANY AND RENSSELAER COUNTIES, COLUMBIA AND GREENE COUNTIES, SARATOGA COUNTY, AND SCHENECTADY COUNTY ARE BEING ADDRESSED LARGELY BY HOSPITALS, LOCAL HEALTH DEPARTMENTS, AND OTHER ORGANIZATIONS WITHIN THEIR RESPECTIVE COMMUNITIES.ALBANY AND RENSSELAER COUNTIESALBANY MED HEALTH SYSTEM PARTNER ALBANY MEDICAL CENTER, WITH ALBANY COUNTY AND RENSSELAER COUNTY DEPARTMENTS OF HEALTH AND ST. PETER'S HEALTH PARTNERS, ARE TAKING THE LEAD ON ALIGNING EFFORTS AROUND MUTUALLY SELECTED PRIORITY AREAS.IF AND WHEN FEASIBLE, PARTNERS COLUMBIA MEMORIAL HOSPITAL AND SARATOGA HOSPITAL WILL ASSIST WITH THE IMPLEMENTATION OF THE ALBANY-RENSSELAER WORKGROUP'S INITIATIVES.COLUMBIA AND GREENE COUNTIESALBANY MED HEALTH SYSTEM PARTNER COLUMBIA MEMORIAL HOSPITAL, WITH GREENE COUNTY PUBLIC HEALTH AND COLUMBIA COUNTY DEPARTMENT OF HEALTH IS TAKING THE LEAD ON ALIGNING EFFORTS AROUND MUTUALLY SELECTED PRIORITY AREAS.IF AND WHEN FEASIBLE, ALBANY MEDICAL CENTER AND SARATOGA HOSPITAL WILL ASSIST WITH THE IMPLEMENTATION OF THE WORKGROUP'S INITIATIVES.SARATOGA COUNTYALBANY MED HEALTH SYSTEM PARTNER SARATOGA HOSPITAL, WITH SARATOGA COUNTY DEPARTMENT OF HEALTH IS TAKING THE LEAD ON ALIGNING EFFORTS AROUND MUTUALLY SELECTED PRIORITY AREAS.IF AND WHEN FEASIBLE, ALBANY MEDICAL CENTER AND COLUMBIA MEMORIAL HOSPITAL WILL ASSIST WITH THE IMPLEMENTATION OF THE WORKGROUP'S INITIATIVES.SCHENECTADY COUNTYSCHENECTADY COUNTY PUBLIC HEALTH SERVICES, ELLIS MEDICINE AND SUNNYVIEW REHABILITATION HOSPITAL ARE TAKING THE LEAD TO ADDRESS THE PRIORITY AREAS SELECTED FOR THIS REGION. THEY HAVE ALSO BEEN WORKING CLOSELY WITH OTHER SCHENECTADY PARTNERS THROUGH THE SCHENECTADY COALITION FOR HEALTHY COMMUNITIES (SCHC).WHEN FEASIBLE, ALBANY MEDICAL CENTER HOSPITAL, COLUMBIA MEMORIAL HOSPITAL, AND/OR SARATOGA HOSPITAL WILL ASSIST WITH THE IMPLEMENTATION OF THE WORKGROUP'S INITIATIVES.NEEDS NOT ADDRESSED THROUGH REGIONAL IMPLEMENTATION STRATEGIESTHE ALBANY MED HEALTH SYSTEM HOSPITALS ACKNOWLEDGE THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. OUR ORGANIZATIONS DETERMINED THAT IT WOULD PLACE THE MOST SIGNIFICANT FOCUS ON THOSE HEALTH NEEDS WHICH WERE DEEMED MOST PRESSING, UNDER-ADDRESSED, AND WITHIN OUR ABILITIES TO INFLUENCE. THE FOLLOWING ARE EFFORTS OUR HOSPITALS CONTINUE TO MAKE TOWARDS ADDRESSING NEEDS THAT DID NOT RISE TO THE SAME LEVEL OF PRIORITIZATION DUE TO COVID-19, AN UNANTICIPATED HEALTH NEED DURING THE 2019 CHNA PROCESS. (SEE CONTINUATION ON PAGE 111)
ALBANY MEDICAL CENTER HOSPITAL	PART V, SECTION B, LINE 13H: FACILITY: ALBANY MEDICAL CENTER HOSPITALTHE ORGANIZATION ALSO USES RESIDENCY AS A DETERMINING FACTOR. FOR PATIENTS THAT RESIDE OUTSIDE THE SERVICE AREA, AVAILABLE SERVICES TO THAT PATIENT IN THEIR SERVICE AREA IS ALSO A FACTOR.FACILITY: SARATOGA HOSPITALADDITIONAL ELIGIBILITY CRITERIA FOR THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY INCLUDE THE FOLLOWING:-HOMELESS PATIENTS ARE AUTOMATICALLY ELIGIBLE FOR FINANCIAL ASSISTANCE.-SERVICES PROVIDED TO PATIENTS FILING FOR CHAPTER 7 BANKRUPTCY PROTECTION ARE ELIGIBLE FOR FINANCIAL ASSISTANCE.-SERVICES PROVIDED TO PATIENTS WHO HAVE SINCE DIED AND HAVE NO KNOWN ESTATE ARE ELIGIBLE FOR FINANCIAL ASSISTANCE.
ALBANY MEDICAL CENTER HOSPITAL	PART V, SECTION B, LINE 15E: FACILITY: SARATOGA HOSPITALIN ACCORDANCE WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, THE HOSPITAL MAY REQUIRE PATIENTS TO APPLY FOR MEDICAID OR OTHER PUBLICLY SPONSORED INSURANCE PROGRAMS. THE HOSPITAL PROVIDES RESOURCES TO ASSIST PATIENTS WITH THE MEDICAID APPLICATION PROCESS. AS PART OF THIS PROCESS, MEDICAID MAY REQUIRE THE PATIENT TO MAKE A PAYMENT TO THE HOSPITAL, KNOWN AS A 'SPEND-DOWN AMOUNT,' AS A CONDITION FOR MEDICAID APPROVAL. ANY PAYMENTS THE PATIENT IS REQUIRED TO MAKE TO THE HOSPITAL INCLUDING, BUT NOT LIMITED TO, THE SPEND-DOWN AMOUNT AND CO-PAY AND/OR DEDUCTIBLE AMOUNTS ARE ELIGIBLE FOR COVERAGE UNDER THE FINANCIAL ASSISTANCE POLICY.
ALBANY MEDICAL CENTER HOSPITAL	PART V, SECTION B, LINE 20E: FACILITY: ALBANY MEDICAL CENTER HOSPITALTHE ORGANIZATION PERFORMS ONE LAST CHECK FOR PAYOR ELIGIBILITY ON ACCOUNTS GREATER THAN $1,500.
SCHEDULE H, PART V, LINE 7A AND 10A	FACILITY: ALBANY MEDICAL CENTER HOSPITALTHE HOSPITAL'S CHNA IS POSTED AT THE FOLLOWING WEBSITE:HTTPS://WWW.AMC.EDU/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-IMPLEMENTATION-STRATEGY/INDEX.CFMFACILITY: SARATOGA HOSPITALTHE HOSPITAL'S CHNA IS POSTED AT THE FOLLOWING WEBSITE:HTTPS://WWW.SARATOGAHOSPITAL.ORG/RESOURCES/FILEBROWSER/2019_HCDI-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDFFACILITY: COLUMBIA MEMORIAL HOSPITALTHE HOSPITAL'S CHNA IS POSTED AT THE FOLLOWING WEBSITE:HTTPS://WWW.COLUMBIAMEMORIALHEALTH.ORG/PATIENTS-AND-VISITORS/COMMUNITY-HEALTH/
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED	ALBANY MEDICAL CENTER HOSPITALSTDS/HIV: ALBANY COUNTY FELL TO THE 4TH RISK QUARTILE FOR ALL STD INDICATORS, AND RENSSELAER COUNTY FELL TO THE 4TH RISK QUARTILE FOR GONORRHEA AND SYPHILIS INDICATORS, AND THE 3RD RISK QUARTILE FOR CHLAMYDIA. IT IS WELL DOCUMENTED THAT PEOPLE WHO CONTRACT AN STD OFTEN ALSO HAVE HIV OR ARE MORE LIKELY TO BECOME HIV-INFECTED.- ALBANY MEDICAL CENTER HOSPITAL IS THE REGION'S ONLY DESIGNATED AIDS TREATMENT CENTER, WHICH ALLOWS FOR INCREASED SERVICES, COORDINATED CARE, AND A WIDER RANGE OF PROGRAMS FOR PATIENTS. - A WIDE RANGE OF SERVICES ON A 24-HOUR BASIS FOR PEOPLE WITH HIV INFECTION AND AIDS, AND CASE MANAGERS HELP PATIENTS IDENTIFY RESOURCES AVAILABLE TO HELP PAY BILLS IF NEEDED. COMPREHENSIVE SERVICES ARE PROVIDED, INCLUDING MEDICAL, SOCIAL, NUTRITIONAL, PSYCHOLOGICAL, EDUCATIONAL AND CLINICAL RESEARCH SERVICES TO BOTH HOSPITALIZED PATIENTS AND OUTPATIENTS REGARDLESS OF THEIR LOCATION OR ABILITY TO PAY. - ACCESSIBLE, QUALITY HEALTH CARE IS OFFERED TO RESIDENTS OF OUR SERVICE AREA WHO BECOME HIV-INFECTED. COORDINATED SUPPORT SERVICES FOR PATIENTS SEEKING CARE BY WORKING WITH COMMUNITY ORGANIZATIONS IS AVAILABLE. - STAFF, HEALTH CARE PROVIDERS, AND COMMUNITY MEMBERS RECEIVE CONTINUED EDUCATION ABOUT HIV INFECTION AND PROVIDE COMPASSIONATE AND APPROPRIATE CARE TO PATIENTS. - ALBANY MEDICAL CENTER PROVIDES CONFIDENTIAL HIV TESTING AT NO CHARGE.- ALBANY MEDICAL CENTER PROVIDES TARGETED, MULTI-DISCIPLINARY EDUCATION AND TRAINING TO HEALTHCARE PROFESSIONALS WHO CARE FOR THE HIV POPULATION.- THE SPECIALIZED CARE CENTER FOR ADOLESCENTS AND YOUNG ADULTS AT THE BERNARD & MILLIE DUKER CHILDREN'S HOSPITAL AT ALBANY MEDICAL CENTER HOSPITAL PROVIDES SERVICES TO YOUTH AGES 13-24, INCLUDING PREVENTION AND MANAGEMENT OF HIV INFECTION.- THE MATERNAL CHILD COORDINATED CARE PROGRAM OFFERS MEDICAL FOLLOW UP FOR HIV EXPOSED INFANTS AND CHILDREN LIVING WITH HIV UP TO AGE 12.- OUR HIV PROGRAM OFFERS PREVENTION SERVICES OR YOUTH FOR PRE-EXPOSURE PREVENTION TO HIV THROUGH OUR PREP PROGRAM (PRE-EXPOSURE PROPHYLAXIS).LYME DISEASE: RENSSELAER COUNTY'S LYME DISEASE CASE RATE OF 395.5/100,000 WAS HIGHER THAN ROS AND THE 3RD HIGHEST RATE OF ALL NYS COUNTIES. ALBANY COUNTY'S LYME DISEASE CASE RATE OF 148.6/100,000 WAS ALSO HIGHER THAN ROS.- ALBANY MEDICAL CENTER HOSPITAL'S DIVISION OF INFECTIOUS DISEASE WORKS CLOSELY WITH EACH PATIENT TO PROVIDE INFECTION SURVEILLANCE, EXPOSURE AND OUTBREAK INVESTIGATIONS, EDUCATION AND IF APPLICABLE, INFECTION CONTROL CONSULTATION. - ALBANY MEDICAL CENTER HOSPITAL'S PEDIATRIC INFECTIOUS DISEASE DIVISION PROVIDES OUTPATIENT AND INPATIENT CARE FOR THE EVALUATION AND MANAGEMENT OF CHILDREN AND ADOLESCENTS WITH CONDITIONS INCLUDING LYME DISEASE, ALBANY MEDICAL CENTER HOSPITAL SUBSPECIALTY BOARD CERTIFIED PEDIATRIC INFECTIOUS DISEASE SPECIALISTS ARE THE ONLY PEDIATRIC INFECTIOUS DISEASE SPECIALISTS IN THE 22 COUNTIES OF NORTHEASTERN NEW YORK. - ALBANY MEDICAL COLLEGE'S MICROBIAL AND IMMUNOLOGY RESEARCH PROGRAM BRINGS TOGETHER A DIVERSE GROUP OF SCIENTISTS AND INVESTIGATORS. THE RESEARCH AND TRAINING EFFORT CONCENTRATE ON EXPLORING, IN AN INTEGRATED FASHION, HOST-PATHOGEN INTERACTIONS DURING INFECTIONS WITH VARIOUS MICROBES, INCLUDING HIV-1, LYME DISEASE, MRSA, AND PNEUMOCOCCAL INFECTIONS. IN 2020, ALBANY MEDICAL COLLEGE'S RESEARCHERS SUBMITTING DOZENS OF RESEARCH PAPERS AND COMMENTARIES TO ACADEMIC JOURNALS, ALL RELATED TO THE COVID-19 PANDEMIC. THE STUDIES HAVE GLEANED VALUABLE INFORMATION AND WILL HAVE MEANING FOR FUTURE DISEASE OUTBREAKS AND SIMILAR MEDICAL CRISES.MATERNAL AND INFANT HEALTH: BOTH ALBANY AND RENSSELAER COUNTIES AND HIGHER TEEN (15-17 YEARS) PREGNANCY RATES THAN THE ROS. ALBANY COUNTY HAD A LOWER RATE OF PRENATAL CARE THAN THE ROS AND THE LATE- TO NO PRENATAL CARE WAS HIGHER THAN THE ROS. RENSSELAER COUNTY'S RATE OF PREMATURE BIRTHS (<37 WEEKS GESTATION) OF 9.7% WAS HIGHER THAN ROS.- ALBANY MEDICAL CENTER HOSPITAL'S MATERNAL AND FETAL MEDICINE PROVIDERS OFFER A RANGE OF SERVICES FOR HIGH-RISK MOMS-TO-BE, AS WELL AS PRENATAL SCREENING AND TESTING SERVICES. IN ADDITION, THEY SEE PATIENTS AT SEVERAL OFF-SITE LOCATIONS, INCLUDING AT PARTNER HOSPITALS' CAMPUSES.- ALBANY MEDICAL CENTER HOSPITAL'S REGIONAL PERINATAL CENTER PROVIDES TRANSPORT AND CONSULTATION SERVICES TO ALL BIRTHING HOSPITALS IN A 25-COUNTY REGION OF NORTHEASTERN NEW YORK. OBSTETRICAL AND NEONATAL STAFF ARE HIGHLY TRAINED TO ASSIST WOMEN EXPERIENCING HIGH-RISK OR COMPLICATED PREGNANCIES, AND INFANTS REQUIRING SPECIALIZED CARE.- ALBANY MEDICAL CENTER HOSPITAL'S WIC PROGRAM PROVIDES HEALTH FOODS FOR GROWTH AND DEVELOPMENT, ENCOURAGES REGULAR HEALTH CARE, AND PROMOTES FOOD NUTRITION THROUGH EDUCATION. WIC BENEFITS FOR FOOD ARE PROVIDED FREE OF CHARGE TO PREGNANT, POSTPARTUM OR NURSING WOMEN, INFANTS AND CHILDREN LESS THAN FIVE YEARS OLD. COLUMBIA MEMORIAL HOSPITALLYME DISEASE: GREENE COUNTY'S LYME DISEASE CASE RATE OF 753.6/100,000 WAS SIGNIFICANTLY HIGHER THAN NYS EXCL. NYC (77.8), AND WAS THE HIGHEST RATE OF ALL NYS COUNTIES. COLUMBIA COUNTY'S LYME DISEASE CASE RATE WAS 711.6/100,000, AND MARKEDLY HIGHER THAN ROS, AND 2ND HIGHEST RATE OF ALL NYS COUNTIES, BEHIND GREENE COUNTY.SMOKING/ASTHMA: COLUMBIA COUNTY'S CURRENT ASTHMA PREVALENCE (11.4%) WAS HIGHER THAN NYS EXCL. NYC (10.4%). IN ADDITION, THE HUDSON NEIGHBORHOOD HAD 2.1 TIMES THE ASTHMA ED VISIT RATE AND 2 TIMES THE ASTHMA HOSPITALIZATION RATE AS NYS EXCL. NYC. GREENE COUNTY'S ADULT ASTHMA PREVALENCE RATE OF 12.0% WAS HIGHER THAN NYS EXCL. NYC (10.4%). COLUMBIA COUNTY'S ADULT SMOKING RATE OF 20.3% WAS HIGHER THAN NYS EXCL. NYC (17.0%). LUNG CANCER INCIDENCE (80.4/100,000) AND MORTALITY *48.6/100,000), CLRD HOSPITALIZATION (27.3/100,000) AND CLRD MORTALITY (36.6/100,000) RATES WERE HIGHER THAN NYS EXCL. NYC (66.9, 40.4, 23.1, 34.4).SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUED- COLUMBIA MEMORIAL HOSPITAL'S PULMONOLOGISTS DIAGNOSE AND TREAT PATIENT WITH ASTHMA.- TOBACCO-FREE ACTION OF COLUMBIA AND GREENE COUNTIES OPERATES WITHIN THE HEALTHCARE CONSORTIUM, A RURAL HEALTH NETWORK LOCATED IN HUDSON, NY THAT SERVES H COLUMBIA AND GREENE COUNTIES. THEY ADVOCATE FOR POLICY CHANGE THAT REDUCES EXPOSURE TO SECONDHAND SMOKE, MAKES TOBACCO PRODUCTS LESS VISIBLE AND ACCESSIBLE, AND MAKES TOBACCO USE MORE EXPENSIVE, LESS CONVENIENT, AND LESS SOCIALLY ACCEPTABLE. HEART DISEASE: COLUMBIA COUNTY'S CORONARY HEART DISEASE MORTALITY RATE (130.1/100,000) AND GREENE COUNTY'S (121.4/100,000) WERE HIGHER THAN NYS EXCL. NYC (116.5).SARATOGA HOSPITALSMOKING: SARATOGA COUNTY'S ADULT SMOKING RATE OF 17.3% WAS SLIGHTLY HIGHER THAN NYS EXCL. NYC (17.0%). THE COUNTY'S LUNG CANCER INCIDENCE (70.8/100,000), LUNG CANCER MORTALITY (50.0/100,000), AND CLRD MORTALITY (37.0/100,000) RATES WERE HIGHER THAN NYS EXCL. NYC (67.2, 43.0, 35.0).- THE COUNCIL FOUND THAT SEVERAL MEMBER ORGANIZATIONS OFFER VARIOUS SMOKING CESSATION OPTIONS TO THE PUBLIC INCLUDING A VERY ACTIVE PROGRAM AVAILABLE AT GLENS FALLS HOSPITAL, LOCATED IN NEIGHBORING WARREN COUNTY. - ADDITIONALLY, A DSRIP PROJECT BEGAN ADDRESSING THIS HEALTH NEED, IN WHICH SARATOGA HOSPITAL IS ALREADY A PARTNER. SARATOGA HOSPITAL PRIMARY CARE PROVIDERS FREQUENTLY PROVIDE SMOKING CESSATION COUNSELING DURING PATIENT INTERACTION. BREAST CANCER: SARATOGA COUNTY'S MAMMOGRAPHY SCREENING RATES WERE LOWER THAN NYS EXCL. NYC FOR WOMEN AGES 50-74 (77.9% VS. 79.2%). IN ADDITION, THE COUNTY'S FEMALE BREAST CANCER LATE STAGE INCIDENCE (45.7/100,000) RATE WAS HIGHER THAN NYS EXCL. NYC (43.1).- UNINSURED RESIDENTS OF SARATOGA COUNTY HAVE ACCESS TO FREE CANCER SCREENINGS THROUGH THE CANCER SERVICES PROGRAM, WHICH OFFERS FREE CANCER SCREENING FOR UNINSURED MEN AND WOMEN. - SARATOGA HOSPITAL'S CENTER FOR BREAST CARE OFFERS NURSE NAVIGATORS, RADIOLOGISTS, A FELLOWSHIP TRAINED BREAST SURGEON, MEDICAL ONCOLOGISTS, RADIATION ONCOLOGISTS, PLASTIC SURGEONS, PHYSICAL THERAPISTS, AN ONCOLOGY SOCIAL WORKER, AND DIETITIANS TO ASSIST CANCER PATIENTS FROM DIAGNOSIS THROUGH SURVIVORSHIP.SUICIDE AND SELF-INFLICTED INJURY: THE SELF-INFLICTED INJURY ED VISIT RATE FOR SARATOGA COUNTY RESIDENTS 15+ YEARS OF AGE OF 7.4/10,000 AND SELF-INFLICTED INJURY HOSPITALIZATION RATE OF 6.3/10,000 WERE HIGHER THAN NYS EXCL. NYC (7.1 AND 5.3).- SARATOGA COUNTY PUBLIC HEALTH SERVICES CO-FACILITATES THE SUICIDE PREVENTION COALITION OF SARATOGA COUNTY, ALONG WITH THE SARATOGA COUNTY DEPARTMENT OF MENTAL HEALTH & ADDICTION SERVICES. THIS GROUP OF LOCAL STAKEHOLDERS MEETS REGULARLY TO DISCUSS SUICIDE RATES WITHIN THE COUNTY AND ACROSS THE COUNTRY, WHILE WORKING TO FOSTER IMPROVEMENTS WITHIN THE MENTAL HEALTH SYSTEM TO BETTER ASSIST THOSE IN NEED.
SCHEDULE H, PART V, LINE 16A, 16B, AND 16C	FACILITY: ALBANY MEDICAL CENTER HOSPITALTHE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, APPLICABLE, AND PLAIN LANGUAGE SUMMARY ARE POSTED AT THE FOLLOWING WEBSITE:WWW.AMC.EDU/PBSFACILITY: SARATOGA HOSPITALTHE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, APPLICABLE, AND PLAIN LANGUAGE SUMMARY ARE POSTED AT THE FOLLOWING WEBSITE:HTTPS://WWW.SARATOGAHOSPITAL.ORG/PATIENTS-VISITORS/PATIENTS/BILLING/FINANCIAL-ASSISTANCEFACILITY: COLUMBIA MEMORIAL HOSPITALTHE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, APPLICABLE, AND PLAIN LANGUAGE SUMMARY ARE POSTED AT THE FOLLOWING WEBSITE:HTTPS://WWW.COLUMBIAMEMORIALHEALTH.ORG/FINANCIAL-ASSISTANCE/
SCHEDULE H, PART V, LINE 20D	FACILITY: SARATOGA HOSPITALTHE HOSPITAL DOES NOT CURRENTLY HAVE A PROCESS FOR ASSESSING PATIENTS' PRESUMPTIVE ELIGIBILITY FOR BENEFITS UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART V, LINE 22D	OTHER BILLING DETERMINATION OF INDIVIDUALS WITHOUT INSURANCEFACILITY: ALBANY MEDICAL CENTER HOSPITALALBANY MEDICAL CENTER HOSPITAL UTILIZES THE FEDERAL POVERTY GUIDELINES TO ENSURE PATIENTS ARE PRESUMPTIVELY ELIGIBLE, ALONG WITH RESIDENCE REQUIREMENTS. BASED ON FAMILY INCOME AND FAMILY MEMBERS, ALBANY MEDICAL CENTER HOSPITAL UTILIZES A SLIDING SCALE CALCULATION METHOD TO DETERMINE THE AMOUNTS TO BILL THE PATIENT, AND ULTIMATELY THE AMOUNT TO BE PAID BY THE PATIENT. CHARGES ARE CAPPED AT THE MEDICARE RATES FOR INPATIENT AND OUTPATIENT SERVICES.
SCHEDULE H, PART V	FACILITY: ALBANY MEDICAL CENTER HOSPITALALBANY MEDICAL CENTER HOSPITAL HAS ONE FACILITY WITH TWO LOCATIONS.

Field	Value	IRS element (for citing)
Facility	98	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (98 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - ALBANY MEDICAL CENTER HOSPITAL SOUTH
25 HACKETT BLVD	ALBANY	NY	12208	SECOND LOCATION OF ALBANY MEDICAL CENTER HOSPITAL
2 - ALBANY MED HIV MEDICINE
1 CLARA BARTON DRIVE	ALBANY	NY	12209	HIV MEDICINE, PSYCHIATRY
3 - PARK SOUTH MEDICAL OFFICE BUILDING
391 MYRTLE AVENUE	ALBANY	NY	12208	VASCULAR SURGERY, NEUROLOGY (PEDIATRIC), OB/GY, NEUROSURGERY, BEHAVIORAL
4 - SURGEONS PAVILION
50 NEW SCOTLAND AVENUE	ALBANY	NY	12208	SURGERY - ENT ADULT, PLASTIC, PEDIATRIC, GENERAL, CARDIOTHORACIC
5 - ALBANY MED MALTA
6 MEDICAL PARK DRIVE SUITE 203	BALLSTON SPA	NY	12020	MULTISPECIALITY CLINIC
6 - ALBANY MED EMURGENTCARE - BRUNSWICK
730 HOOSICK ROAD	BRUNSWICK	NY	12180	EMURGENTCARE
7 - ALBANY MED EMURGENTCARE - COXSACKIE
11835 ROUTE 9W	WEST COXSACKIE	NY	12192	EMURGENTCARE
8 - ALBANY MED EMURGENTCARE - GLENMONT
329 GLENMONT ROAD	GLENMONT	NY	12077	EMURGENTCARE
9 - ALBANY MED EMURGENTCARE - GLENVILLE
115 SARATOGA ROAD	GLENVILLE	NY	12302	EMURGENTCARE
10 - ALBANY MED EMURGENTCARE - MECHANICVILLE
7 PRICE CHOPPER PLAZA	MECHANICVILLE	NY	12118	EMURGENTCARE
11 - ALBANY MED EMURGENTCARE - NISKAYUNA
1769 UNION STREET	NISKAYUNA	NY	12309	URGENTCARE, AMBULATORY CARE CTR, COMMUN GI, GEN SURG, MULTISPECIALITY, OB/GY
12 - ALBANY MED SARATOGA
377 CHURCH STREET 2ND FLOOR	SARATOGA SPRINGS	NY	12866	VASCULAR SURGERY
13 - ALBANY MED EMURGENT CARE - SAUGERTIES
2976 ROUTE 9W	SAUGERTIES	NY	12477	EMURGENTCARE
14 - ALBANY MED EMURGENT CARE - COLONIE
98 WOLF ROAD SUITE 16	ALBANY	NY	12205	EMURGENTCARE
15 - ALBANY MED NORTH GREENBUSH
101 JORDAN ROAD SUITE 201	TROY	NY	12180	MULTISPECIALITY CLINIC
16 - ALBANY MED LATHAM
713 TROY-SCHENECTADY ROAD SUITE 306	LATHAM	NY	12110	MULTISPECIALITY CLINIC
17 - ALBANY MED WASHINGTON AVE
1365 WASHINGTON AVENUE SUITE 200	ALBANY	NY	12206	SLEEP DISORDERS INSTITUTE, MULTISPECIALTY CLINIC
18 - ALBANY MED NEUROLOGY
101 JORDAN ROAD SUITE 102	TROY	NY	12180	NEUROLOGY
19 - ALBANY MED NEUROLOGY
1365 WASHINGTON AVENUE SUITE 100	ALBANY	NY	12206	NEUROLOGY
20 - ALBANY MED ENDOCRINOLOGY
1365 WASHINGTON AVENUE SUITE 100	ALBANY	NY	12206	ENDOCRINOLOGY
21 - ALLERGY ASTHMA AND IMMUNOLOGY
176 WASHINGTON AVENUE EXTENSION	ALBANY	NY	12203	ALLERGY
22 - ALBANY MED (VALATIE)
1301 RIVER STREET SUITE 101	VALATIE	NY	12184	MULTISPECIALTY CLINIC, SURGERY MULTISPECIALTY
23 - ALBANY MED INTERNAL MEDICINE
178 WASHINGTON AVENUE EXTENSION	ALBANY	NY	12203	INTERNAL MEDICINE
24 - ALBANY MED NEUROLOGY
1783 ROUTE 9 SUITE 205	CLIFTON PARK	NY	12065	NEUROLOGY, UROLOGY
25 - ALBANY MED ENT
1783 ROUTE 9 SUITE 207	CLIFTON PARK	NY	12065	SURGERY - ENT
26 - WIC PROGRAM
220 GREEN STREET	ALBANY	NY	12202	OB/GYN, WIC (WOMEN, INFANTS, & CHILDREN'S PROGRAM)
27 - ALBANY MED CLIFTON PARK
453 ROUTE 146 SUITE 204	CLIFTON PARK	NY	12065	MULTISPECIALITY CLINIC
28 - ALBANY MED CLIFTON PARK CROSSING BLVD
3 CROSSING BOULEVARD SUITE 2	CLIFTON PARK	NY	12065	MULTISPECIALITY CLINIC
29 - ALBANY MED DELMAR
250 DELAWARE AVENUE SUITE 202	DELMAR	NY	12054	MULTISPECIALITY CLINIC
30 - ALBANY MED ENT
6 EXECUTIVE PARK DRIVE	ALBANY	NY	12203	ENT
31 - ALBANY MED SARATOGA SURGERY
381 CHURCH STREET 1ST FLOOR	SARATOGA SPRINGS	NY	12866	GENERAL SURGERY
32 - ALBANY MED - MATERNAL FETAL MEDICINE
90 SOUTH STREET	GLENS FALLS	NY	12801	OB/GYN
33 - ALBANY MED PEDIATRICS
100 GREAT OAKS BOULEVARD SUITE 103	ALBANY	NY	12203	COMMUNITY PEDIATRICS
34 - ALBANY MED THORACIC SURGERY
7 SOUTHWOODS BOULEVARD	ALBANY	NY	12211	CARDOTHORACIC
35 - ALBANY MED CARDIOLOGY
2524 ROUTE 9W	RAVENA	NY	12143	CARDIOLOGY
36 - ALBANY MED KINGSTON
117 MARYS AVE SUITE 202	KINGSTON	NY	12401	VASCULAR SURGERY
37 - ALBANY MED EMURGENTCARE - LATHAM
1019 NEW LOUDON ROAD	LATHAM	NY	12047	EMURGENTCARE, PEDIATRICS
38 - ALBANY MED EMURGENTCARE - ROTTERDAM
1400 ALTAMONT AVENUE	ROTTERDAM	NY	12303	EMURGENTCARE
39 - ALBANY MED EMURGENTCARE - GUILDERLAND
5 NEW KARNER ROAD	GUILDERLAND	NY	12084	EMURGENTCARE
40 - ALBANY MED VASCULAR SURGERY
102 PARK STREET	GLENS FALLS	NY	12801	VASCULAR SURGERY
41 - ALBANY MED VASCULAR SURGERY
1201 NOTT STREET SUITE 202	SCHENECTADY	NY	12308	VASCULAR SURGERY
42 - ALBANY MED VASCULAR SURGERY
1250 RIVERFRONT CENTER SUITE 2420	AMSTERDAM	NY	12010	VASCULAR SURGERY
43 - 16 NEW SCOTLAND AVENUE
16 NEW SCOTLAND AVENUE 2ND FLOOR	ALBANY	NY	12208	MEDICINE - PULMONARY AND RHEUMATOLOGY
44 - ALBANY MED PEDIATRICS
22 NEW SCOTLAND AVENUE	ALBANY	NY	12208	PEDIATRICS, PSYCHIATRY
45 - ALBANY MED UROLOGY
2200 ROSA ROAD	SCHENECTADY	NY	12309	SURGERY - UROLOGY
46 - ALBANY MED BARIATRIC SURGERY
99 DELAWARE AVENUE	DELMAR	NY	12054	SURGERY - BARIACTRICS
47 - ALBANY MED POUGHKEEPSIE
243 NORTH RD SUITE 204	POUGHKEEPSIE	NY	12601	VASCULAR SURGERY
48 - ALBANY MED EMURGENTCARE - CLIFTON PARK
989 ROUTE 146	CLIFTON PARK	NY	12065	EMURGENT CARE
49 - WILTON MEDICAL ARTS
3040 - 3050 ROUTE 50	SARATOGA SPRINGS	NY	12866	URGENT CARE/IMAGING/LAB SVCS/PAIN MGMT/FAMILY MED/AMBULATORY SURGERY
50 - MALTA MED EMERGENT CARE
6 MEDICAL PARK DRIVE	MALTA	NY	12020	URG CARE/LAB SVCS/FAM MED/HEMA./ONCOL/IMAGING/INFUSION/CARDIO/NEPHRO/URO
51 - REGIONAL THERAPY CENTER AT CARE LANE
6 CARE LANE	SARATOGA SPRINGS	NY	12866	REHABILITATION (OT/PT)/NEPHROLOGY/NEUROLOGY
52 - REGIONAL THERAPY CENTER AT THE SPRINGS
9 HAMPSTEAD PLACE SUITE 107	SARATOGA SPRINGS	NY	12866	REHABILITATION (OT/PT)
53 - REGIONAL THERAPY CENTER AT WASHINGTON ST
225 WASHINGTON STREET	SARATOGA SPRINGS	NY	12866	REHABILITATION (OT/PT)
54 - SARATOGA MEDICAL ONCOLOGY HEMATOLOGY
3 CARE LANE	SARATOGA SPRINGS	NY	12866	ONCOLOGY HEMATOLOGY
55 - SARATOGA MIDWIFERY-WOMEN'S PRIMARY CARE
665 SARATOGA ROAD	WILTON	NY	12831	WOMEN'S PRIMARY CARE, AND ENDOCRINOLOGY
56 - SCOTIA-GLENVILLE FAMILY MEDICINE
112 CHARLTON ROAD	BALLSTON LAKE	NY	12019	FAMILY MEDICNE
57 - SARATOGA COMMUNITY HEALTH CENTER
24 HAMILTON STREET	SARATOGA SPRINGS	NY	12866	FAMILY MEDICINE/DENTISTRY/INTERNAL MEDICINE/MENTAL HEALTH/ADDICATION MED
58 - CORPORATE HEALTH SERVICES
2388 ROUTE 9	MALTA	NY	12020	CORPORATE HEALTH SERVICES
59 - MILTON HEALTH CENTER
510 GEYSER ROAD	BALLSTON SPA	NY	12020	FAMILY MEDICINE/PHYSICAL THERAPY/REHABILITATION (OT/PT)
60 - SARATOGA REGIONAL UROLOGY ASSOCIATES
19 WEST AVENUE SUITE 103	SARATOGA SPRINGS	NY	12866	UROLOGY/SLEEP LAB/PULMONARY MEDICINE
61 - SARATOGA CTR GEN & MINIMALLY INV SURGERY
1 WEST AVENUE SUITE 125	SARATOGA SPRINGS	NY	12866	MINIMALLY INVASIVE SURGERY/BARIATRIC SURGERY
62 - SARATOGA FAMILY HEALTH
119 LAWRENCE STREET	SARATOGA SPRINGS	NY	12866	PODIATRY/TRANSITIONAL CARE/PALLIATIVE CARE
63 - SCHUYLERVILLE FAMILY HEALTH
200 BROAD STREET	SCHUYLERVILLE	NY	12871	FAMILY MEDICINE
64 - GALWAY FAMILY HEALTH
5344 SACANDAGA ROAD PO BOX 190	GALWAY	NY	12074	FAMILY MEDICINE
65 - CARDIOLOGY SPECIALTY SERVICES
254 CHURCH STREET 2ND FLOOR	SARATOGA SPRINGS	NY	12866	CARDIOLOGY
66 - MECHANICVILLE PRIMARY CARE
202 S CENTRAL AVE	MECHANICVILLE	NY	12118	PRIMARY CARE
67 - SPORTS MEDICINE
8 MEDICAL PARK DRIVE	MALTA	NY	12020	SPORTS MEDICINE/REHABILITATION/PRIMARY CARE
68 - MECHANICVILLE PRIMARY CARE
2911 ROUTE 9	BALLSTON SPA	NY	12020	PRIMARY CARE
69 - GREENE MEDICAL ARTS BLDG - GMI
159 JEFFERSON HEIGHTS	CATSKILL	NY	12414	O/P MEDICAL IMAGING SERVICES
70 - GREENE MEDICAL ARTS BLDG - FAMILY CARE
159 JEFFERSON HEIGHTS	CATSKILL	NY	12414	O/P FAMILY CARE PRACTICES
71 - GREENE MEDICAL ARTS BLDG - SPECIALTY
159 JEFFERSON HEIGHTS	CATSKILL	NY	12414	O/P (WOMENS HLTH, PSYCH, ORTHO, DRAW)
72 - GREENE MEDICAL ARTS BLDG - SPECIALTY
159 JEFFERSON HEIGHTS	CATSKILL	NY	12414	O/P (CARDIO, PEDS, NEPHROLOGY)
73 - COLUMBIA MEDICAL COMPLEX - IMAGING
67 PROSPECT AVENUE	HUDSON	NY	12534	O/P MEDICAL IMAGING SERVICES
74 - COLUMBIA MEDICAL COMPLEX - SPECIALTY
67 PROSPECT AVENUE	HUDSON	NY	12534	O/P (ENDO, CARDIO, NEPHRO, UROLOGY, PSYCH)
75 - COLUMBIA MEDICAL COMPLEX - SPECIALTY
67 PROSPECT AVENUE	HUDSON	NY	12534	O/P (BONE & JOINT, SPINE, RHEUMATOLOGY)
76 - COLUMBIA MEDICAL COMPLEX - SPECIALTY
67 PROSPECT AVENUE	HUDSON	NY	12534	O/P (WOMEN'S HEALTH & SURGERY)
77 - COLUMBIA MEDICAL COMPLEX - SURG ASSOC
67 PROSPECT AVENUE	HUDSON	NY	12534	O/P SURGICAL PRACTICE
78 - COLUMBIA MEDICAL COMPLEX - FAMILY CARE
67 PROSPECT AVENUE	HUDSON	NY	12534	O/P FAMILY CARE PRACTICES
79 - COLUMBIA MEMORIAL BONE & JOINT
23 FISH AND GAME ROAD	HUDSON	NY	12534	O/P (ORTHO, PT & OT)
80 - COLUMBIA MEMORIAL VALATIE CAMPUS
OSJ PLAZA - 2827 ROUTE 9	VALATIE	NY	12184	O/P (RAPID CARE, FAMILY CARE, DRAW)
81 - VALATIE MEDICAL ARTS BUILDING - IMAGING
1301 RIVER STREET	VALATIE	NY	12184	O/P MEDICAL IMAGING SERVICES
82 - VALATIE MEDICAL ARTS BUILDING - SPEC
1301 RIVER STREET	VALATIE	NY	12184	O/P CARDIOLOGY
83 - VALATIE MEDICAL ARTS BUILDING - FAM CARE
1301 RIVER STREET	VALATIE	NY	12184	O/P FAMILY CARE PRACTICE
84 - COLUMBIA MEMORIAL PEDIATRICS
813 WARREN STREET	HUDSON	NY	12184	O/P PEDIATRIC SERVICES
85 - CALLAN FAMILY CARE CENTER
358 MOUNTAIN VIEW ROAD	COPAKE	NY	12516	O/P FAMILY CARE PRACTICE
86 - CHATHAM FAMILY CARE CENTER
31 DARDESS DRIVE	CHATHAM	NY	12037	O/P FAMILY CARE PRACTICE
87 - BROADWAY FAMILY CARE CENTER
7385 SOUTH BROADWAY	RED HOOK	NY	12571	O/P FAMILY CARE PRACTICE
88 - CAIRO FAMILY CARE CENTER
4383 ROUTE 23	CAIRO	NY	12413	O/P FAMILY CARE PRACTICE
89 - WINDHAM MEDICAL CARE
345 STATE ROUTE 296	HENSONVILLE	NY	12439	O/P FAMILY CARE PRACTICE
90 - COXSACKIE MEDICAL CARE
9 LAW STREET	WEST COXSACKIE	NY	12192	O/P FAMILY CARE PRACTICE
91 - CMH RAPID CARE - COPAKE
283 MOUNTAIN VIEW ROAD	COPAKE	NY	12516	O/P RAPID CARE
92 - SARATOGA HOSPITAL MEDICAL OFFICES- WILTO
3065 RT 50	SARATOGA SPRINGS	NY	12866	WOUND CARE/HYPERBARIC MEDICINE/SURGICAL PODIATRY
93 - SARATOGA OBGYN AND MIDWIFERY AT MYRTLE
59 MYRTLE ST	SARATOGA SPRINGS	NY	12866	OB/GYN/ULTRASOUND
94 - SARATOGA OBGYN AND MIDWIFERY AT MALTA
2105 ELLSWORTH BLVD	MALTA	NY	12020	OB/GYN/ULTRASOUND
95 - SARATOGA OBGYN AND MIDWIFERY AT EXIT 13
2911 RT 9	BALLSTON SPA	NY	12020	OB/GYN/ULTRASOUND
96 - SARATOGA HOSPITAL URGENT CARE- ADIRONDAC
959 RT 9	QUEENSBURY	NY	12804	URGENT CARE/X-RAY
97 - SARATOGA NEPHROLOGY AT GLENS FALLS
2 BROAD ST PLAZA	GLENS FALLS	NY	12801	NEPHROLOGY
98 - SARATOGA HOSPITAL MEDICAL GROUP- PULMONO
161 CAREY ROAD	QUEENSBURY	NY	12804	PULMONARY MEDICINE

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	FEDERAL POVERTY GUIDELINE FAMILY INCOME LIMITSARATOGA HOSPITAL:SARATOGA HOSPITAL USED A 250% FEDERAL POVERTY GUIDELINE FAMILY INCOME LIMIT WHEN DETERMINING ELIGIBILITY FOR FREE CARE.
PART I, LINE 6A:	ALL SCHEDULE H DISCLOSURES REFERENCE THE ALBANY MED HEALTH SYSTEM, OF WHICH ALBANY MEDICAL CENTER HOSPITAL, SARATOGA HOSPITAL, AND COLUMBIA MEMORIAL HOSPITAL ARE A PART OF. THE COMMUNITY BENEFIT REPORT IS PREPARED FOR ALBANY MED HEALTH SYSTEM. ALSO INCLUDED IN THIS ORGANIZATION IS ALBANY MEDICAL COLLEGE.
PART I, LINE 7:	ALBANY MEDICAL CENTER HOSPITAL AND AFFILIATES:THE ALBANY MEDICAL CENTER HEALTH SYSTEM UTILIZES A COST ACCOUNTING SYSTEM.ALBANY MEDICAL CENTER SYSTEM PREPARES A COST REPORT FOR MEDICARE/MEDICAID PURPOSES.FIGURES REPORTED IN THIS COST REPORT WERE USED AS THE BASIS FOR REPORTING OF CHARITY CARE AND MEANS TESTED PROGRAMS.THE PERCENT OF TOTAL EXPENSE CALCULATED IN PART I, LINE 7, COLUMN (F) IS CALCULATED BY DIVIDING COLUMN (E), NET COMMUNITY BENEFIT EXPENSE, BY TOTAL EXPENSES FOR THE HOSPITALS OF THE SYSTEM OF $1,649,191,300.ALBANY MEDICAL CENTER SYSTEM SURVEYED STAFF FOR ACTIVITIES THAT MEET THE CRITERIA TO BE REPORTED FOR OTHER BENEFITS. TIME REPORTS FROM THESE SURVEYS WERE PROVIDED AND REVIEWED, RESULTING IN A CALCULATION OF APPROPRIATE COST ATTRIBUTABLE TO THESE PROGRAMS. THE COMMUNITY BENEFITS AMOUNT INCLUDES SUPPORT PAID TO THE COLLEGE BY THE ALBANY MEDICAL CENTER HOSPITAL TO ENSURE THE COLLEGE IS ABLE TO MEET THEIR MISSION TO SERVICE THE COMMUNITY.
PART III, LINE 2:	SCHEDULE H, PART III, LINE 2 & 3DUE TO THE ADOPTION OF ASU NO. 2014-09 REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606) BAD DEBT EXPENSE IS NO LONGER REPORTED ON THE AUDITED FINANCIAL STATEMENT. RATHER IT IS TREATED AS A PRICE CONCESSION. PLEASE SEE THE FOLLOWING AUDITED FINANCIAL STATEMENT FOOTNOTE WHICH DESCRIBES THIS PRONOUNCEMENT.FOOTNOTE 1(F) FROM THE COMBINED AUDITED FINANCIAL STATEMENTS1(F) NET PATIENT SERVICE REVENUEADOPTION OF ASU NO. 2014-09 REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). UPON ADOPTION, THE MAJORITY OF WHAT IS CURRENTLY CLASSIFIED AS PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND PRESENTED AS A REDUCTION TO NET PATIENT SERVICE REVENUE ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS IS TREATED AS A PRICE CONCESSION THAT REDUCES THE TRANSACTION PRICE, WHICH IS REPORTED AS NET PATIENT SERVICE REVENUE.DURING 2020 AND 2019, THE HOSPITAL INCURRED APPROXIMATELY $35.0 MILLION AND $38.0 MILLION IN PROVISIONS FOR UNCOLLECTIBLE ACCOUNTS, RESPECTIVELY.
SCHEDULE H, PART II, LINE 3	COMMUNITY SUPPORT ACTIVITIESSARATOGA HOSPITAL:THE HOSPITAL EXPENDS SIGNIFICANT EFFORT IN DEVELOPING AND MAINTAINING AN EMERGENCY PREPAREDNESS PROGRAM. THE EMERGENCY PREPAREDNESS PROGRAM IS PARTIALLY GRANT FUNDED AND IS AIMED AT MAKING THE HOSPITAL AS WELL-PREPARED AS POSSIBLE WITH EMERGENCY RESPONSE PLANS AND INFRASTRUCTURE IN THE EVENT OF A DISASTER IN THE LOCAL COMMUNITY. THIS PROGRAM INCLUDES PLANNING THE COORDINATION OF HOSPITAL STAFF, IN CONJUNCTION WITH PERSONNEL FROM OTHER LOCAL FIRST RESPONDERS, PREFORMING TRAINING EXERCISES TO TEST THESE PLANS, AND TESTING OF ITS EMERGENCY SYSTEMS FOR PROPER RESPONSIVENESS.
SCHEDULE H, PART II, LINE 8	WORKFORCE DEVELOPMENT ACTIVITIESCOLUMBIA MEMORIAL HOSPITAL:FOR PART II, THE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES CONSIST OF ONGOING WORKFORCE DEVELOPMENT AND COMMUNITY TRAINING SESSIONS, FOR WHICH THE HOSPITAL RECEIVES A VERY NOMINAL FEE, IF ANY. THESE FREE OR LOW-COST PROGRAMS INCREASE COMMUNITY AWARENESS OF HEALTH ISSUES, PROVIDE AN OPPORTUNITY FOR ONGOING EDUCATION OF COMMUNITY PROVIDERS AND CAREGIVERS, AND SUPPORT IMPROVED HEALTH HABITS FOR THE COMMUNITY THE HOSPITAL SERVES.
SCHEDULE H, PART II, LINE 9	ALBANY MED HEALTH SYSTEMFOR ALBANY MED, COMMUNITY MATTERS. THROUGH OUR DEDICATED COMMUNITY DEVELOPMENT UNIT WE HELP SUPPORT NUMEROUS COMMUNITY ORGANIZATIONS ANNUALLY. SPECIAL ATTENTION IS FOCUSED ON ORGANIZATIONS THAT SERVE THE CITY OF ALBANY AND THE NEIGHBORHOOD AROUND THE NEW SCOTLAND AVENUE OF ALBANY MED HEALTH SYSTEM. WITHIN THE CITY OF ALBANY AND SURROUNDING REGIONS, ALBANY MED HEALTH SYSTEM SUPPORTS NUMEROUS ORGANIZATIONS FOCUSED ON YOUTH, THE UNDERSERVED, EDUCATION, AND HEALTH. IN 2020, ALBANY MED INVESTED NEARLY $240,000 IN ALBANY-BASED NON-PROFIT ORGANIZATIONS. IN 2020, ALBANY MED HEALTH SYSTEM MADE CONTRIBUTIONS TO CENTER FOR ECONOMIC GROWTH. A COMPANY THAT HELPS DEVELOP GROWTH, ATTRACT JOBS, AND RETAIN COMPETITIVE WORKFORCE ALL ASSISTING OF COMMUNITY BENEFITS. IN ADDITION, ALBANY MED HEALTH SYSTEM MADE SIGNIFICANT CONTRIBUTION TO ALBANY COUNTY BY PARTICIPATING IN TAXES COLLECTIONS INSTEAD OF REQUESTING TAX EXEMPTION OF THESE TAXES ALLOWING THE COUNTY AND SCHOOL OPPORTUNITY TO SUPPORT THE HEALTH BENEFITS TO THE CITIZENS IN ALBANY COUNTY.
PART III, LINE 4:	COMMUNITY BENEFIT, CHARITY CARE AND UNCOMPENSATED CARE FOOTNOTE FROM COMBINED AUDITED FINANCIAL STATEMENTS(A) COMMUNITY BENEFITTHE SYSTEM OFFERS NUMEROUS COMMUNITY BENEFIT PROGRAMS AND SERVICES IN COMMUNITY-BASED SETTINGS IN RESPONSE TO THE NEEDS OF THE COMMUNITIES IT SERVES.THEY INCLUDE COMMUNITY HEALTH FAIRS, HEALTH SCREENINGS, HEALTH EDUCATION LECTURES AND WORKSHOPS FOR COMMUNITY GROUPS AND THE GENERAL PUBLIC, CONSUMER HEALTH INFORMATION, FACILITATED (INSURANCE PLAN) ENROLLMENT SERVICES AND CLINICAL SERVICES SUCH AS OUTPATIENT CLINICS, ADULT AND PEDIATRIC CARE SERVICES, NEONATAL INTENSIVE CARE SERVICES AND BEHAVIORAL HEALTH SERVICES. STAFF MEMBERS OF THE SYSTEM ALSO PARTICIPATE IN COMMUNITY LEADERSHIP EFFORTS BY DONATING SIGNIFICANT HOURS OF BOARD SERVICE TO OTHER NOT-FOR-PROFIT ORGANIZATIONS. THE SYSTEM SUPPORTS GRADUATE MEDICAL EDUCATION AND OFFERS HEALTH PROFESSIONS EDUCATION SUPPORT FOR COMMUNITY MEMBERS THROUGH CONTINUING EDUCATION PROGRAMS AND SCHOLARSHIPS.(B) CHARITY AND UNCOMPENSATED CARETHE SYSTEM'S NET COST OF CHARITY CARE, INCLUDING PAYMENTS TO AND RECEIPTS FROM THE STATEWIDE POOL WAS APPROXIMATELY $16.0 MILLION IN 2020 AND $15.7 MILLION IN 2019 AS FOLLOWS:2020 CHARITY CARE AT COST: $12,196,000 PAYMENTS TO STATEWIDE POOL: $9,715,000RECEIPTS FROM STATEWIDE POOL: $(5,953,000) TOTAL: $15,958,0002019CHARITY CARE AT COST: $14,684,000 PAYMENTS TO STATEWIDE POOL: $9,022,000RECEIPTS FROM STATEWIDE POOL: $(8,030,000) TOTAL: $15,676,000THE COST OF CHARITY CARE PROVIDED WAS DETERMINED USING DIRECT AND INDIRECT COSTS TO PROVIDE SERVICES BASED ON THE APPLICATION OF THE RATIO OF THE SYSTEM'S OVERALL COST TO PATIENT CHARGES.THE SYSTEM ALSO SUBSIDIZES SERVICES TO MEDICAID PATIENTS, WHICH ARE PAID AT REIMBURSEMENT LEVELS BELOW THE SYSTEM'S COST OF RENDERING THE RELATED SERVICES.
PART III, LINE 8:	APPROXIMATELY 19% OF THE ORGANIZATION'S PATIENT CHARGES RELATE TO PATIENTS UTILIZING MEDICARE INSURANCE. THESE SERVICES SUPPORT THE SIGNIFICANT NEED FROM THE COMMUNITY TO HAVE AN ORGANIZATION TO BE ABLE TO PROVIDE THE EXPERTISE AND CARE REQUIRED.COSTING METHODOLOGYTHE HOSPITAL PREPARES A COST REPORT FOR MEDICARE/MEDICAID PURPOSES. FIGURES REPORTED IN THIS COST REPORT WERE USED AS THE BASIS FOR REPORTING. THE COST REPORT IS PREPARED BY USING FINANCIAL STATEMENT DATA AND STATISTICAL INFORMATION TO ARRIVE AT A COST ALLOCATED REPORT. THE REPORT IS COST CERTIFIED AS REQUIRED BY AN INDEPENDENT ACCOUNTANT.
PART III, LINE 9B:	ALBANY MEDICAL CENTER HOSPITAL:COLLECTION PRACTICES ONCE KNOWN TO QUALIFY FOR FINANCIAL AID ALL SELF-PAY BILLS WILL BE ASSESSED FOR PRESUMPTIVE ELIGIBILITY PRIOR TO COMMENCEMENT OF COLLECTION REFERRAL.ALBANY MEDICAL CENTER HOSPITAL SHALL NOT SEND ANY ACCOUNT TO COLLECTIONS IF THE PATIENT HAS SUBMITTED AN APPLICATION FOR FINANCIAL AID OR ORALLY PROVIDED INFORMATION FOR CONSIDERATION UNDER THE FINANCIAL AID PROGRAM UNTIL A DETERMINATION HAS BEEN MADE (WITHIN 30 DAYS FROM RECEIPT OF COMPLETED APPLICATION) AND THE PATIENT IS GIVEN TIME TO APPEAL THE DETERMINATION (45 DAYS OF THE ISSUANCE OF DETERMINATION).BALANCES REMAINING WILL BE SENT TO THE PATIENT AND THE DUNNING CYCLE WILL BE RESTARTED TO GIVE THE PATIENT TIME TO SET UP A PAYMENT ARRANGEMENT OR APPEAL BALANCE. THE MONTHLY INSTALLMENT CANNOT EXCEED 10% OF THE ELIGIBLE PATIENT'S GROSS MONTHLY INCOME OR CONTAIN AN ACCELERATION CLAUSE OR INTEREST PENALTY.SARATOGA HOSPITAL:THE HOSPITAL HAS CREATED AND MAINTAINS A WRITTEN FINANCIAL ASSISTANCE POLICY (FA POLICY) AND A WRITTEN BILLING AND COLLECTION POLICY (BC POLICY). THE EFFECT OF THE PROVISIONS INCLUDED IN THESE POLICIES IS THAT ALL EXTRAORDINARY COLLECTION ACTIONS ARE DISCONTINUED FOR PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE, FOR ANY PORTION OF THE PATIENT'S FINANCIAL RESPONSIBILITY COVERED BY FINANCIAL ASSISTANCE.COLUMBIA MEMORIAL HOSPITAL:THE HOSPITAL FOLLOWS A CONSISTENT COLLECTIONS POLICY FOR ALL PATIENTS. FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE HOSPITAL ENSURES COLLECTION ACTIONS ARE CONSISTENT WITH NYS LAWS.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESMENT:ALBANY MED HEALTH SYSTEM PARTNERS BELIEVE THAT ASSESSING THE HEALTH CARE NEEDS OF OUR COMMUNITIES IS AN ONGOING PROCESS. IT IS ALSO AN INTEGRAL PART OF OUR SYSTEM-WIDE STRATEGIC PLANNING. PLANNING INITIATIVES INVOLVE TRUSTEES, LEADERSHIP, PHYSICIANS AND STAFF, THUS ENSURING THAT WE SHARE THE SAME VISION OF SERVICE TO OUR COMMUNITIES.EXAMPLES OF VARIOUS METHODS UTILIZED BY ALBANY MEDICAL CENTER HOSPITAL, COLUMBIA MEMORIAL HOSPITAL, AND SARATOGA HOSPITAL TO IDENTIFY OUR COMMUNITIES' NEEDS, AND CRAFT STRATEGIES TO MEET THOSE NEEDS INCLUDE:- COMMUNITY FEEDBACK FROM HEALTH FAIRS, SEMINARS, FORUMS, AND PROGRAMS THAT ARE OFFERED BY OUR HOSPITALS;- COMMUNITY OUTREACH;- INFORMATION AND INPUT GATHERED EACH YEAR FROM VARIOUS COMMUNITY SOURCES ON UNMET HEALTH CARE NEEDS;- PARTICIPATION IN HEALTHCARE FORUMS AND COALITIONS, FORMED TO RESPOND TO A SIGNIFICANT COMMUNITY HEALTHCARE NEED (E.G., OPIOID USE DISORDER, GUN VIOLENCE); - DISCUSSIONS WITH POLITICAL AND BUSINESS LEADERS;- THE ENVIRONMENTAL ASSESSMENT FROM OUR STRATEGIC PLANNING PROCESS;- PATIENT SURVEYS, BOTH INPATIENT AND OUTPATIENT; - COMMUNITY ACCESS TO ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HOSPITAL, AND SARATOGA HOSPITAL VIA WEBMAIL, FACEBOOK, INSTAGRAM, AND OTHER MEDIA OPTIONS; AND - ONGOING MARKET RESEARCH ON HEALTH CARE ISSUES AND EXPECTATIONS FROM THE COMMUNITY IN OUR REGION.ALBANY MED HEALTH SYSTEM STAFF ALSO ROUTINELY STUDY THE HEALTH CARE SERVICES NEEDED BY COMMUNITY RESIDENTS. STAFF USE INTERNAL DATA, AS WELL AS INFORMATION FROM REGIONAL, STATE AND NATIONAL SOURCES, INCLUDING THE FOLLOWING:- INTERNAL DATA TO ANALYZE TRENDS IN HEALTHCARE UTILIZATION, SOME OF WHICH SIGNAL GROWTH OR RISE IN A SPECIFIC AREA (E.G., OPIOID USE DISORDER, GUN VIOLENCE)- NYS DEPARTMENT OF HEALTH SPARCS DATA- UNITED STATES BUREAU OF CENSUS- COUNTY HEALTH DEPARTMENTS IN OUR REGION, ESPECIALLY THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENTS- NYS VITAL STATISTICS, COMMUNITY HEALTH INDICATOR REPORTS (CHIRS), AND COUNTY HEALTH ASSESSMENT INDICATORS (CHAI)WE BELIEVE AN ONGOING COMMUNITY DIALOGUE IS ESSENTIAL FOR ENSURING THAT WE WORK IN CONCERT WITH OUR COMMUNITY AND OUR CONSTITUENTS.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:ALBANY MEDICAL CENTER HOSPITAL:ALBANY MEDICAL CENTER HOSPITAL PROVIDES A GUIDE TO ALL PATIENTS AND THEIR FAMILIES DESCRIBING ITS SERVICES, PROGRAMS AND POLICIES. THIS GUIDE DESCRIBES THE FINANCIAL ASSISTANCE OPTIONS AVAILABLE TO A PATIENT. IN ADDITION, ALBANY MEDICAL CENTER HOSPITAL MAINTAINS A WEBSITE THAT PROVIDES INFORMATION ON FINANCIAL ASSISTANCE, CHARITY CARE AND FREQUENTLY ASKED QUESTIONS. ALBANY MEDICAL CENTER HOSPITAL FURTHER PROVIDES ASSISTANCE AND INFORMATION ABOUT AVAILABLE PROGRAMS DURING ITS COLLECTION PROCESS.ALBANY MEDICAL CENTER HOSPITAL SUPPORTS OUR PATIENTS WHO MAY BE UNINSURED OR UNDERINSURED THROUGH THE FOLLOWING PROGRAMS AND RELATIONSHIPS. FIDELIS FACILITATED ENROLLMENT SPECIALISTS HAVE PARTNERED WITH AMC TO SCREEN AND ENROLL PATIENTS IN APPLICABLE PROGRAMS. THE PROGRAM WILL SERVICE THE PATIENT IN THE COMMUNITY OR HOME AND PROVIDE FOLLOW UP EFFORTS WITH THE RESPECTIVE INSURER OR COUNTY PROGRAM.CHAMBERLIN EDMOND, AN ENROLLMENT COMPANY, PERFORMS SCREENING AND ENROLLMENT IN FEDERAL DISABILITY PROGRAMS AND STATE MEDICAID PROGRAMS. THE COMPANY COVERS PATIENTS WITHIN AND OUTSIDE OF NYS. THERE IS NO CHARGE TO THE PATIENT FOR THIS PROGRAM.AN ALBANY COUNTY DEPARTMENT OF SOCIAL SERVICES SENIOR EXAMINER IS LOCATED ON SITE AT THE HOSPITAL MONDAY - FRIDAY AND PERFORMS APPLICATION DETERMINATIONS AND FACILITATES COMPLEX CASE COMPLETION. THIS INCLUDES CHRONIC CARE MEDICAID ENROLLMENT.ALBANY MEDICAL CENTER HOSPITAL STAFFS A 7 DAY A WEEK PATIENT ASSISTANCE UNIT THAT PERFORMS ENROLLMENT IN MEDICAID, SCREENS APPLICANTS FOR SPECIAL PROGRAM ELIGIBILITY, PROVIDES FINANCIAL AID/CHARITY CARE APPLICATION PROCESSING, PERFORMS COBRA PREMIUM REQUESTS, SUPPORTS OUR PATIENTS IN MANAGING COMPLEX FINANCIAL SITUATIONS RELATED TO MEDICAL BILLS. THE UNIT COORDINATES WITH PHYSICIAN PRACTICE GROUPS TO SUPPORT THE PATIENT IN NAVIGATING THE FINANCIAL PROCESS TO ENSURE THE PROVISION OF SERVICE WITH MINIMAL FINANCIAL BURDEN WHENEVER POSSIBLE.ALBANY MEDICAL CENTER HOSPITAL PROVIDES A SELF-PAY/CUSTOMER SERVICE UNIT TO SUPPORT THE PROCESSING OF FINANCIAL AID/CHARITY CARE APPLICATIONS AND PRESUMPTIVE ELIGIBILITY FOR ALL PATIENTS WHO MAY BE DETERMINED ELIGIBLE BASED ON INCOME AND FAMILY SIZE.WE CONTINUE TO BUILD COMMUNITY PARTNERSHIPS THAT SUPPORT THE ENROLLMENT OF PATIENTS IN PROGRAMS THAT WILL PROVIDE THE MOST COMPLETE COVERAGE FOR THE CARE THEY NEED.SARATOGA HOSPITAL:THE HOSPITAL EDUCATES PATIENTS ABOUT ELIGIBILITY FOR ASSISTANCE UNDER ITS FINANCIAL ASSISTANCE PROGRAM (FAP), AS WELL AS FEDERAL AND STATE PROGRAMS THROUGH THE FOLLOWING MEANS:- A SUPPLY OF BROCHURES CONTAINING A PLAIN-LANGUAGE DESCRIPTION OF THE HOSPITAL'S FAP AND AN APPLICATION FOR THE FAP IS PROMINENTLY DISPLAYED AT ALL LOCATIONS IN HOSPITAL FACILITIES WHERE PATIENTS REGISTER FOR SERVICES.-THE FAP BROCHURE AND APPLICATION ARE INCLUDED IN A PACKET THAT IS PROVIDED TO ALL PATIENTS BEING ADMITTED TO THE HOSPITAL FOR INPATIENT OR OBSERVATION STAYS.-IF THE HOSPITAL PATIENT FINANCIAL SERVICES DEPARTMENT MAKES A FOLLOW-UP CALL TO A PATIENT REGARDING AN UNPAID BILL, THE PATIENT IS INFORMED ABOUT THE EXISTENCE OF THE FAP.-BILLS SENT TO PATIENTS FOR UNPAID BALANCES INCLUDE A REFERENCE TO THE FAP AS WELL AS INFORMATION ON HOW TO CONTACT THE HOSPITAL ABOUT THE FAP.-INFORMATION REGARDING THE FAP IS LOCATED ON THE HOSPITAL'S WEBSITE, INCLUDING THE LOCATION AND CONTACT INFORMATION FOR THE HOSPITAL PATIENT FINANCIAL SERVICES DEPARTMENT.-THE HOSPITAL USES AN EXTERNAL VENDOR TO SCREEN ALL UNINSURED INPATIENTS IN ORDER TO DETERMINE WHETHER THE PATIENT MAY BE ELIGIBLE FOR MEDICAID OR ANY OTHER GOVERNMENTAL INSURANCE PROGRAMS, AS WELL AS THE HOSPITAL'S FAP. PATIENTS ARE THEN PROVIDED ASSISTANCE IN APPLYING FOR AND OBTAINING ACCESS TO THESE PROGRAMS.-THE HOSPITAL ADMINISTERS THE NEW YORK STATE DEPARTMENT OF HEALTH- HEALTH INSURANCE NAVIGATION PROGRAM FOR SARATOGA COUNTY, AS WELL AS FIVE OTHER NEIGHBORING COUNTIES. THIS PROGRAM FOCUSES ON ENROLLING ELIGIBLE INDIVIDUALS IN LOW OR NO COST INSURANCE PROGRAMS PROVIDED BY THE STATE. EFFORTS ARE MADE BY HOSPITAL REGISTRATION AND PATIENT FINANCIAL SERVICES PERSONNEL TO LINK PATIENTS TO THE NAVIGATION PROGRAM FOR ASSISTANCE IN OBTAINING HEALTH INSURANCE COVERAGE OR OBTAINING BENEFITS UNDER THE HOSPITAL'S FAP.COLUMBIA MEMORIAL HOSPITAL:THE HOSPITAL'S WRITTEN FINANCIAL ASSISTANCE POLICY BROADLY APPLIES TO THE OUTSTANDING BALANCE FOR THE PATIENT OR INSURER. THE HOSPITAL ADVERTISES THROUGHOUT THE FACILITY, DISCUSSES WITH PATIENTS DIRECTLY DURING THE REGISTRATION PROCESS, AND AGAIN DURING THE COLLECTIONS PROCESS, ABOUT THE AVAILABILITY FOR FINANCIAL ASSISTANCE. AS PATIENTS ARE ENROLLED IN THE FINANCIAL ASSISTANCE PROGRAM, ADJUSTMENTS TO THEIR OUTSTANDING BALANCE IS CHARGED AGAINST NET PATIENT SERVICE REVENUE, AND NOT CONSIDERED A COMPONENT OF BAD DEBT EXPENSE.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION:AS ADOPTED BY THE MEMBERS OF THE HEALTHY CAPITAL DISTRICT INITIATIVE, THE COMMUNITIES BEING ASSESSED IN THE CHNA ARE THE 6 COUNTIES OF ALBANY, RENSSELAER, COLUMBIA, GREENE, SARATOGA AND SCHENECTADY. REFERRED TO AS THE ""CAPITAL REGION"", THEY FORM A COMMON SERVICE AREA COVERED BY THE LOCAL HEALTH DEPARTMENTS IN ALBANY, RENSSELAER, COLUMBIA, GREENE, SARATOGA AND SCHENECTADY COUNTIES, AND INCLUDES THE PRIMARY PATIENT POPULATIONS SERVED BY ALBANY MEDICAL CENTER HOSPITAL, COLUMBIA MEMORIAL HOSPITAL AND SARATOGA HOSPITAL, AS WELL AS ELLIS HOSPITAL AND ST. PETER'S HEALTH PARTNERS HOSPITALS.DEMOGRAPHIC INFORMATION ON THE POPULATION ANALYZED WAS FROM THE 2012-2016 US CENSUS' AMERICAN COMMUNITY SURVEY (ACS). THE COMBINED POPULATION OF THE CAPITAL REGION IS NEARLY 960,000 INDIVIDUALS. ABOUT 28% WERE 0-19 YEARS OF AGE, WHILE 16% WERE 65 OR OLDER. APPROXIMATELY 11% WERE LIVING IN PVERTY. THE RACE/ETHNICITY DISTRIBUTION WAS 83.6% WHITE, 7.7% BLACK, 4.1% ASIAN/PACIFIC ISLANDER, AND 4.6% OTHER RACES. NEARLY 5% OF THE POPULATION WAS HISPANIC/LATINO.SPECIFIC SOCIODEMOGRAPHIC INFORMATION FOR EACH COUNTY IS AVAILABLE ON PAGES 14-28 OF THE HCDI CHNA: HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/2019_CHNA/2019_HCDI-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF.ALBANY MEDICAL CENTER HOSPITALALBANY MEDICAL CENTER HOSPITAL'S PRIMARY SERVICE AREA INCLUDES THE 6 COUNTIES OF THE CAPITAL REGION, BUT WORK OF THE HCDI TASK FORCES IS DIVIDED UP REGIONALLY, INTO 4 AREAS (ALBANY-RENSSELAER, COLUMBIA-GREENE, SARATOGA, SCHENECTADY. THE INFORMATION BELOW SPEAKS TO THE 2 COUNTIES IN WHICH ALBANY MEDICAL CENTER HOSPITAL IS A LEAD MEMBER OF THE ALBANY-RENSSELAER PRIORITIZATION WORK GROUPS AND DIABETES, ASTHMA, AND MENTAL HEALTH TASK FORCES. ALBANY COUNTY HAS THE LARGEST POPULATION IN THE CAPITAL REGION WITH OVER 300,000 RESIDENTS AND IS THE 2ND MOST URBAN COUNTY. IT HAS THE REGION'S LOWEST MEDIAN AGE OF 37.8 YEARS. ALBANY COUNTY HAS THE REGION'S LARGEST NON-WHITE POPULATION (23.4%) AND THE 2ND LARGEST HISPANIC POPULATION (5.6%). ALBANY'S SOUTH END NEIGHBORHOOD HAS THE LARGEST NON-WHITE POPULATION (76.8%), WHILE THE WEST END HAS THE LARGEST HISPANIC POPULATION (13.3%). ALBANY COUNTY'S POVERTY RATE OF 12.9% IS LOWER THAN THAT OF NYS'S 15.5%. WITHIN ALBANY COUNTY, THE SOUTH END/DOWNTOWN NEIGHBORHOOD AND WEST END NEIGHBORHOOD HAS THE HIGHEST NEIGHBORHOOD POVERTY RATES AT 49.6% AND 35.4%.RENSSELAER COUNTY HAS A POPULATION OF NEARLY 160,000 AND IS THE 3RD MOST RURAL COUNTY IN THE CAPITAL REGION. THIS COUNTY HAS THE 3RD LOWEST MEDIAN AGE IN THE REGION AT 39.9 YEARS. 17% OF THE POPULATION IS 14 YEARS OF AGE OR YOUNGER, WHILE 15% IS 65+ YEARS OF AGE. ABOUT 13.1% OF RENSSELAER COUNTY'S POPULATION IS NON-WHITE AND 4.5% IS HISPANIC. THE TROY/LANSINGBURGH NEIGHBORHOOD HAS THE LARGEST NON-WHITE POPULATION OF 22.0% AS WELL AS THE COUNTY'S LARGEST HISPANIC POPULATION OF 7.3%. RENSSELAER COUNTY'S POVERTY RATE OF 12.4% WAS LOWER THAN THAT OF NYS'S 15.5%. THE TROY/LANSINGBURGH NEIGHBORHOOD HAS THE HIGHEST NEIGHBORHOOD POVERTY RATE IN THE COUNTY AT 19.9%.COLUMBIA MEMORIAL HOSPITALCOLUMBIA MEMORIAL HOSPITAL SERVES THE RESIDENTS OF COLUMBIA AND GREENE COUNTIES AS WELL NORTHERN DUTCHESS COUNTY, WITH A COMBINED POPULATION OF 115,000 PEOPLE, WHICH ARE DISTRIBUTED AMONG ONE SMALL CITY AND 32 TOWNS. COLUMBIA AND GREENE COUNTIES COMBINED COVER AN AREA OF NEARLY 1,300 SQUARE MILES. COLUMBIA COUNTY IS LOCATED IN THE NORTHEASTERN REGION OF THE MID-HUDSON VALLEY OF NEW YORK STATE. IT IS BORDERED ON THE NORTH BY RENSSELAER COUNTY, ON THE SOUTH BY DUTCHESS COUNTY, AND ON THE EAST BY BERKSHIRE COUNTY IN MASSACHUSETTS. ON THE WEST, BY THE HUDSON RIVER, IT IS BORDERED BY GREENE COUNTY.COLUMBIA COUNTY IS RURAL AND INCLUDES THE CITY OF HUDSON. GREENE COUNTY IS SITUATED BETWEEN THE HUDSON RIVER TO ITS EAST, AND THE CATSKILL MOUNTAINS AT ITS SOUTHERN AND WEST ENDS. IT IS BORDERED BY ALBANY COUNTY TO THE NORTH, RENSSELAER COUNTY TO THE NORTHEAST, COLUMBIA COUNTY TO THE EAST, ULSTER COUNTY TO THE SOUTH, AND DELAWARE AND SCHOHARIE COUNTIES TO THE WEST. GREENE COUNTY IS LOCATED 2 HOURS NORTH OF THE MAJOR METROPOLITAN AREAS OF NEW YORK CITY, AND 30 MINUTES SOUTH OF ALBANY, NEW YORK'S STATE'S CAPITAL. SARATOGA HOSPITALSARATOGA HOSPITAL'S PRIMARY SERVICE AREA IS COMPRISED OF TWO COMMUNITIES, SARATOGA SPRINGS AND BALLSTON SPA. BOTH ARE LOCATED IN THE CENTRAL PORTION OF SARATOGA COUNTY. THE CENSUS OF THE PRIMARY SERVICE AREA POPULATION IS APPROXIMATELY 71,500. THESE TWO COMMUNITIES ACCOUNT FOR MORE THAN 40% OF THE HOSPITAL'S INPATIENT DISCHARGES. ADDITIONAL COMMUNITIES SERVED BY THE HOSPITAL FALL WITH AN AREA THAT EXTENDS TO THE NORTHWESTERN BORDER OF SARATOGA COUNTY AND ALSO EXTENDS SOUTHWARD. IT INCLUDES 16 COMMUNITIES, INCLUDING BALLSTON LAKE, CLIFTON PARK, CORINTH, FORT EDWARD, GALWAY, GANSEVOORT, GREENFIELD CENTER, GREENWICH, HUDSON FALLS, MECHANICVILLE, PORTER CORNERS, QUEENSBURY, SCHUYLERVILLE, AND STILLWATER. THE COMBINED POPULATION OF THESE ADDITIONAL COMMUNITIES IS ESTIMATED AT APPROXIMATELY 91,000. PATIENTS FROM THESE ADDITIONAL COMMUNITIES REPRESENTED ROUGHLY 37% OF THE HOSPITAL'S INPATIENT DISCHARGES.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: THE ALBANY MED HEALTH SYSTEM'S AFFILIATE HOSPITALS FURTHER THEIR EXEMPT PURPOSES BY PROMOTING COMMUNITY HEALTH IN MYRIAD WAYS, SERVING OUR COMMUNITIES THROUGH MISSIONS OF PATIENT CARE, EDUCATION AND RESEARCH. EACH OF OUR HOSPITALS ACCEPT ALL PATIENTS, REGARDLESS OF ABILITY TO PAY, HOW MUCH THEY OR THEIR INSURERS PAY, OR WHETHER THEY ARE ELIGIBLE FOR ASSISTANCE UNDER EACH HOSPITAL'S FINANCIAL ASSISTANCE POLICY. OUR HOSPITALS NEVER HAVE AND WILL NEVER ALLOW FINANCIAL STATUS TO IMPACT THE LEVEL OF CARE PROVIDED, DESPITE THE SIGNIFICANT FINANCIAL IMPACT. THIS FINANCIAL MISSION IS PERFORMED TO OUR COMMUNITIES IN AN EFFORT TO KEEP THOSE MOST IN NEED AS HEALTHY AS POSSIBLE.IN OUR COMMUNITIES, WE ARE THE DOMINANT PROVIDERS FOR PERSONS WITH MEDICAID AND MEDICARE, WHICH REPRESENT AT LEAST 2/3 OF OUR PATIENTS AT EACH OF OUR ENTITIES.WE ALSO HAVE MANY ENROLLMENT ASSISTANCE PROGRAMS IN PLACE AND CONTINUE TO EXPAND THOSE. EACH OF OUR HOSPITAL'S MEDICAL STAFFS ARE OPEN; THAT IS, THEY ARE COMPRISED OF COMMUNITY PHYSICIANS AS WELL AS EMPLOYED PHYSICIANS.THE GOVERNANCE FOR EACH OF OUR AFFILIATES ARE COMPRISED PRIMARILY OF INDEPENDENT PERSONS FROM OUR COMMUNITIES. IN RECENT YEARS, SOME OF OUR AFFILIATES HAVE NOT REPORTED SURPLUS FUNDS. HOWEVER, ANY SURPLUS FUNDS GENERATED BY OUR AFFILIATES ARE REINVESTED INTO THE SPECIFIC ENTITIES THROUGH EXPANSION OF OPERATIONS, PURCHASE OF NEW EQUIPMENT AND TECHNOLOGY, AND HIRING OF STAFF NEEDED TO SUPPORT PROGRAMS THAT HAVE BEEN IDENTIFIED AS NEEDED FOR THE COMMUNITIES EACH ENTITY SERVES.EACH OF OUR HOSPITALS PROVIDES MONTHLY SUPPORT AND EDUCATION GROUPS FOR A VARIETY OF TOPICS. WHILE THEY VARY AMONG ENTITIES, THEY INCLUDE CHILDBIRTH, CANCER SURVIVORSHIP, GRIEF COUNSELING, AND WEIGHT LOSS, TO NAME A FEW.EACH OF OUR HOSPITALS PROMOTES COMMUNITY HEALTH AND EDUCATES OUR COMMUNITY ON VARIOUS HEALTH TOPICS THROUGH OUR COMMUNITY NEWSLETTERS, OUR WEBSITES AND THROUGH SOCIAL MEDIA INCLUDING FACEBOOK, INSTAGRAM, AND TWITTER. ALBANY MEDICAL CENTER HOSPITALSPECIFIC WAYS THAT ALBANY MEDICAL CENTER HOSPITAL PROMOTES COMMUNITY HEALTH INCLUDE BUT ARE NOT LIMITED TO - THE FOLLOWING:- DESIGNATION AS A SAFETY NET PROVIDER, AS THE DOMINANT PROVIDER OF SERVICES FOR THE MEDICAID AND UNINSURED POPULATIONS IN A 25-COUNTY REGION.- PROVIDING A VAST RANGE OF PROGRAMS AND SERVICES ONLY AVAILABLE WITHIN A NEARLY 150-MILE RADIUS, AS WELL AS SPECIALISTS NOT FOUND ELSEWHERE IN OUR REGION SUCH AS TRAUMA CARE, TRANSPLANT SURGERY, PEDIATRIC SUBSPECIALTY CARE AND HIV MEDICINE.- DESIGNATED, TRAINED STAFF WHO ASSIST PATIENT IN NEED WITH COMPLICATED MEDICAID AND DISABILITY APPLICATIONS PROCESSING. THE MONTHLY FEE TO PROVIDE THIS SERVICE IS SUBSTANTIAL, AND IS COVERED SOLELY BY ALBANY MEDICAL CENTER HOSPITAL ON BEHALF OF ITS PATIENTS.- OPERATES THE REGION'S SEXUAL ASSAULT EXAMINER PROGRAM.- EDUCATES AND TRAINS THE NEXT GENERATION OF PHYSICIANS, AND OFFERED CONTINUING MEDICAL EDUCATION TO ESTABLISHED PROVIDERS.COLUMBIA MEMORIAL HOSPITALSPECIFIC WAYS THAT COLUMBIA MEMORIAL HOSPITAL PROMOTES COMMUNITY HEALTH INCLUDE BUT ARE NOT LIMITED TO - THE FOLLOWING:- SIGNIFICANTLY INCREASING ACCESS PROVIDED TO LOCAL, PREVIOUSLY UNAFFILIATED PHYSICIANS, AND HAS FURTHER PROVIDED ACCESS AND SUPPORT FOR THESE PRACTITIONERS TO AN ELECTRONIC HEALTH EXCHANGE.SARATOGA HOSPITALSPECIFIC WAYS THAT SARATOGA HOSPITAL PROMOTES COMMUNITY HEALTH INCLUDE BUT ARE NOT LIMITED TO - THE FOLLOWING ACTIVITIES:- SUBSIDIZATION OF COMMUNITY HEALTH FORUMS, AT NO COST TO THE PUBLIC (E.G., CHILDBIRTH EDUCATION, COMMUNITY WELLNESS CLASSES)- INFORMATION ON COMMUNITY EDUCATION TOPICS AND FORUMS ARE AVAILABLE THROUGH THE HOSPITAL'S FREE QUARTERLY NEWSLETTER, ACCESS WHICH ALSO INCLUDES ARTICLES BY MEDICAL STAFF ON CURRENT AND RELEVANT HEALTH ISSUES.- THE HOSPITAL PROVIDES 24-HOUR CALL CENTER SERVICES, HEALTHSOURCE, AT NO FEE.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTHCARE SYSTEM:IN 2019, THE ALBANY MED HEALTH SYSTEM WAS COMPRISED OF ALBANY MEDICAL CENTER HOSPITAL, COLUMBIA MEMORIAL HOSPITAL AND SARATOGA HOSPITAL. GLENS FALLS HOSPITAL JOINED THE SYSTEM IN JULY 2020, AND IS FILING A SEPARATE 990 FOR 2020.ALBANY MEDICAL CENTER HOSPITAL IS AN ACADEMIC MEDICAL CENTER THAT SERVES NEARLY 3 MILLION PEOPLE WITHIN 23 COUNTIES OF NORTHEASTERN NEW YORK STATE, AND 2 COUNTIES IN WESTERN NEW ENGLAND. ITS SERVICE AREA ENCOMPASSES ORANGE COUNTY TO THE SOUTH, FRANKLIN AND CLINTON COUNTIES TO THE NORTH, ONEIDA COUNTY TO THE WEST, AND BENNINGTON VT COUNTY AND BERKSHIRE MA COUNTY TO THE EAST. ALBANY MEDICAL CENTER HOSPITAL IS LOCATED IN ALBANY COUNTY. NEARLY OF ITS PATIENTS RESIDE IN THE 6-COUNTY CAPITAL REGION DESCRIBED IN PART VI, LINE 5.COLUMBIA MEMORIAL HOSPITAL, AN ACUTE CARE HOSPITAL IN COLUMBIA COUNTY SERVES MORE THAN 100,000 RESIDENTS OF COLUMBIA, GREENE AND NORTHERN DUTCHESS COUNTIES WITH 40 CARE CENTERS, INCLUDING 17 PRIMARY CARE AND 23 SPECIALTY CARE CENTERS, LOCATED THROUGHOUT THIS REGION.SARATOGA HOSPITAL, LOCATED IN SARATOGA COUNTY, WITH A POPULATION OF 230,000, FROM WHERE IT DRAWS 96% OF ITS PATIENTS. IT IS AN ACUTE CARE HOSPITAL THAT OFFERS A WIDE ARRAY OF INPATIENT AND OUTPATIENT SERVICES TO ITS COMMUNITY.EACH OF OUR HOSPITALS IS LOCATED IN A COUNTY THAT MAKES UP PART OF WHAT IS KNOWN AS THE CAPITAL REGION. WITH THE ADDITION OF GLENS FALLS HOSPITAL IN 2020, THE ALBANY MED HEALTH SYSTEM ENTITIES OFFER 4 HOSPITALS AND APPROXIMATELY 120 OFF-SITE LOCATIONS WHICH INCLUDE PRIMARY CARE, SPECIALTY CARE, AMBULATORY SURGERY AND URGENT CARE LOCATED THROUGHOUT OUR REGION TO IMPROVE ACCESS FOR THE RESIDENTS OF OUR COMMUNITIES. A VAST RANGE OF COMMUNITY HEALTH OFFERINGS ARE AVAILABLE THROUGH THE ALBANY MED HEALTH SYSTEM.ALBANY MEDICAL CENTER HOSPITAL, COLUMBIA MEMORIAL HOSPITAL, AND SARATOGA HOSPITAL WORK WITH DOZENS OF COMMUNITY ORGANIZATIONS TO IMPROVE OUR REGION'S HEALTH AND QUALITY OF LIFE. OUR HEALTH SYSTEM'S COMMITMENT TO IMPROVING THE HEALTH AND WELLBEING OF OUR POPULACE IS DEMONSTRATED THROUGH REGIONAL PLANNING AND DELIVERY OF COMMUNITY BENEFIT ACTIVITIES.
SCHEDULE H, PART VI, LINE 7	STATES FILING COMMUNITY BENEFIT REPORT:ALBANY MEDICAL CENTER HOSPITAL, COLUMBIA MEMORIAL HOSPITAL, AND SARATOGA HOSPITAL FILE THEIR COMMUNITY HEALTH NEEDS ASSESSMENTS AND COMMUNITY HEALTH IMPLEMENTATION PLANS IN NEW YORK STATE, WITH THE NEW YORK STATE DEPARTMENT OF HEALTH (DOH).

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt
COLUMBIA MEMORIAL HOSPITAL
71 PROSPECT AVE	HUDSON	NY	12534	141338373	501(C)(3)	$758,741	FMV	SUPPORT COLUMBIA MEMORIAL HOSPITAL
THE SARATOGA HOSPITAL
211 CHURCH ST	SARATOGA SPRINGS	NY	12866	141338547	501(C)(3)	$254,149	FMV	SUPPORT SARATOGA HOSPITAL
AMC ALUMNI ASSOCIATION
47 NEW SCOTLAND AVE	ALBANY	NY	12208	141468380	501(C)(3)	$599,919	FMV	FUND SCHOLARSHIPS
ALBANY MEDICAL CENTER HOSPITAL
47 NEW SCOTLAND AVE	ALBANY	NY	12208	141338307	501(C)(3)	$3,965,537	FMV	FUND RESEARCH AND HEALTHCARE
ALBANY MEDICAL COLLEGE
47 NEW SCOTLAND AVE	ALBANY	NY	12208	141338310	501(C)(3)	$5,955,361	FMV	FUND SCHOLARSHIPS AND RESEARCH

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	EDUCATIONAL SCHOLARSHIPS	GrantTypeTxt
Recipient	411	RecipientCnt
Cash Grant	$6,464,215	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	ALBANY MED HEALTH SYSTEM: REVIEW OF ACTIVITY, BUDGET MONITORING AND REPORT PREPARATION AND FILINGS BY RESEARCH OFFICE, IRC DEPARTMENTS, AND SPONSORED PROGRAM/FINANCIAL REPORTING DEPARTMENTS. ALBANY MEDICAL COLLEGE'S DEPARTMENT OF FINANCIAL AID REVIEW APPLICATIONS FOR SCHOLARSHIPS AND DISTRIBUTES FUNDS IN ACCORDANCE WITH SCHOLARSHIP RESTRICTIONS. FUNDS ARE DIRECTLY OFFSET AGAINST TUITION AMOUNTS OWED. THE GROUP ENTITIES LIMIT CONTRIBUTIONS TO ORGANIZATIONS WITH CLOSE CONNECTIONS TO THE GROUP MEMBERS AND OVERALL HEALTH SYSTEM. THE GROUP ENTITIES HAVE INFLUENCE AND/OR OVERSIGHT OVER THE ACTIVITIES OF THE RECIPIENT ORGANIZATIONS WHICH PROVIDES OVERSIGHT TO ENSURE THE FUNDS ARE USED AS INTENDED. COLUMBIA MEMORIAL HOSPITAL: FOR ANY ORGANIZATION THAT PROVIDES ASSISTANCE, A DETERMINATION IS MADE TO ENSURE THAT THE ORGANIZATION IS A TAX-EXEMPT NOT-FOR-PROFIT ENTITY AND THAT THE PURPOSE FOR WHICH THE ASSISTANCE WILL BE USED IS OF BENEFIT TO THE COMMUNITIES SERVED BY THE HOSPITAL OR IS IN LINE WITH THE OVERALL HEALTHCARE DRIVEN MISSION OF THE HOSPITAL. SARATOGA HOSPITAL: FOR ANY ORGANIZATION THAT PROVIDES ASSISTANCE, A DETERMINATION IS MADE TO ENSURE THAT THE ORGANIZATION IS A TAX-EXEMPT NOT-FOR-PROFIT ENTITY AND THAT THE PURPOSE FOR WHICH THE ASSISTANCE WILL BE USED IS OF BENEFIT TO THE COMMUNITIES SERVED BY THE HOSPITAL OR IS IN LINE WITH THE OVERALL HEALTHCARE DRIVEN MISSION OF THE HOSPITAL.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (1)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (1)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (34 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAMES J BARBA
PRESIDENT & CEO (AMHS)	$0	$400,406	$0	$562,500	$0	$1,336,097	$0	$11,400	$0	$3,315	$0	$2,313,718	$0	$297,028
ANGELO CALBONE
PRESIDENT & CEO (SH, SCI)	$590,424	$0	$117,822	$0	$939,790	$0	$14,678	$0	$21,707	$0	$1,684,421	$0	$0	$0
VINCENT P VERDILE
SR EVP SYS CARE (AMHS)	$816,602	$0	$251,000	$0	$442,064	$0	$95,140	$0	$26,976	$0	$1,631,782	$0	$377,305	$0
STEVEN FRISCH MD
BOARD MEMBER (AMHS , CMH, SH)	$0	$824,345	$0	$279,144	$0	$114,507	$0	$95,504	$0	$23,051	$0	$1,336,551	$0	$65,476
DENNIS MCKENNA MD
PRES/CEO (AMHS), BD MEM (CDT)	$0	$782,695	$0	$223,125	$0	$45,213	$0	$222,948	$0	$26,546	$0	$1,300,527	$0	$23,492
HUNG DINH NGUYEN
PHYSICIAN (SH)	$1,142,996	$0	$0	$0	$0	$0	$32,201	$0	$0	$0	$1,175,197	$0	$0	$0
ANDREW J ROSENBAUM
ASST PROFESSOR/CLIN (AMHS)	$528,101	$0	$553,817	$0	$19,769	$0	$8,550	$0	$22,284	$0	$1,132,521	$0	$0	$0
JAY P CAHALAN
PRESIDENT & CEO (CMH)	$534,015	$0	$156,210	$0	$306,739	$0	$94,710	$0	$26,699	$0	$1,118,373	$0	$280,000	$0
CHRISTOPHER GORCZYNSKI MD
PHYSICIAN (CMH)	$959,788	$0	$70,850	$0	$94	$0	$750	$0	$26,234	$0	$1,057,716	$0	$0	$0
FERDINAND J VENDITTI JR MD
EVP SYS CARE DELIVERY (AMHS)	$671,257	$0	$197,870	$0	$81,063	$0	$77,073	$0	$26,874	$0	$1,054,137	$0	$53,006	$0
ALAN S BOULOS
DEPARTMENT CHAIR (AMHS)	$973,872	$0	$15,000	$0	$20,190	$0	$11,400	$0	$25,220	$0	$1,045,682	$0	$0	$0
GORDON KUHAR
PHYSICIAN (SH)	$1,002,038	$0	$0	$0	$0	$0	$18,161	$0	$0	$0	$1,020,199	$0	$0	$0
FRANCES S ALBERT
EVP, COO, & CFO (AMHS)	$0	$609,958	$0	$234,568	$0	$45,884	$0	$79,067	$0	$4,294	$0	$973,771	$0	$18,684
STEVEN M PARNES MD
BOARD MEMBER (AMHS)	$760,325	$0	$795	$0	$20,660	$0	$8,550	$0	$23,274	$0	$813,604	$0	$0	$0
GEORGE HICKMAN
BOARD MEMBER (HPS)	$0	$455,293	$0	$153,088	$0	$53,810	$0	$56,797	$0	$22,916	$0	$741,904	$0	$40,036
RICHARD FALIVENA
VP (SH), BOARD MBR (SRMPC)	$0	$366,814	$0	$60,079	$0	$32,712	$0	$12,398	$0	$17,782	$0	$489,785	$0	$0
HIRAL AMIN MD
BOARD MEMBER (CMH)	$450,005	$0	$0	$0	$6,929	$0	$8,550	$0	$20,180	$0	$485,664	$0	$0	$0
GARY FOSTER
VP & CFO (SH, SCI)	$330,693	$0	$51,218	$0	$31,068	$0	$16,388	$0	$1,093	$0	$430,460	$0	$0	$0
DAVID J CONTI MD
BOARD MEMBER (CDT)	$374,879	$0	$0	$0	$7,254	$0	$11,400	$0	$20,442	$0	$413,975	$0	$0	$0
JEFFREY METHVEN
EVP (SH), VP (SRMPC)	$0	$302,653	$0	$46,135	$0	$21,517	$0	$14,678	$0	$20,903	$0	$405,886	$0	$0
KEVIN RONAYNE
VP OPS & FACILITIES (HS, SH)	$255,897	$0	$40,485	$0	$17,920	$0	$14,678	$0	$17,028	$0	$346,008	$0	$0	$0
BRYAN T MAHONEY
CFO (CMH), SECRET./TREAS (KCI)	$277,905	$0	$26,214	$0	$62	$0	$750	$0	$0	$0	$304,931	$0	$0	$0
MICHAEL DAILEY MD
BOARD MEMBER (CDT)	$255,503	$0	$15,679	$0	$1,405	$0	$0	$0	$22,252	$0	$294,839	$0	$0	$0
WILLIAM MURPHY MD
BOARD MEMBER (CMH)	$248,561	$0	$11,912	$0	$267	$0	$0	$0	$20,954	$0	$281,694	$0	$0	$0
VICKEY MASTA-GORNIC
VP RISK MGMT (AMHS), MEM (KIDS)	$0	$236,237	$0	$0	$0	$1,980	$0	$0	$0	$8,814	$0	$247,031	$0	$0
MARY ELLEN PLASS
CNO (CMH)	$207,475	$0	$19,768	$0	$411	$0	$750	$0	$6,017	$0	$234,421	$0	$0	$0
MARCY DREIMILLER
VP HUMAN RESOURCES (SH)	$217,354	$0	$0	$0	$0	$0	$14,237	$0	$0	$0	$231,591	$0	$0	$0
ALICIA WICZULIS MD
BOARD MEMBER (KIDS)	$198,206	$0	$5,000	$0	$270	$0	$0	$0	$23,891	$0	$227,367	$0	$0	$0
MICHELE K SKUMURSKI
BOARD MEMBER (KIDS)	$0	$222,554	$0	$0	$0	$450	$0	$0	$0	$3,270	$0	$226,274	$0	$0
DOROTHY URSCHEL
COO (CMH)	$206,617	$0	$0	$0	$10	$0	$750	$0	$6,006	$0	$213,383	$0	$0	$0
MARY ALICE CULLEN
BOARD MEMBER (KIDS)	$176,577	$0	$4,000	$0	$2,055	$0	$0	$0	$25,405	$0	$208,037	$0	$0	$0
MEGHAN L WEYGANT
BOARD MEMBER (KIDS)	$182,995	$0	$0	$0	$301	$0	$0	$0	$14,888	$0	$198,184	$0	$0	$0
BRIGIDO MONTERO
BOARD MEMBER (KIDS)	$0	$177,614	$0	$0	$0	$690	$0	$0	$0	$19,628	$0	$197,932	$0	$0
GARY J KOCHEM
FORMER EXEC VP & COO (AMHS)	$0	$120,000	$0	$0	$0	$0	$0	$0	$0	$0	$0	$120,000	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1B	THE PLAN IS OPERATED PURSUANT TO A PLAN DOCUMENT, APPROVED BY THE HOSPITAL'S BOARD OF TRUSTEES.
PART I, LINE 3	ALBANY MED HEALTH SYSTEM: THE 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. COLUMBIA MEMORIAL HOSPITAL: THE COMPENSATION OF THE HOSPITAL'S CEO IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE COMPENSATION COMMITTEE BASES THEIR PROPOSAL ON CEO COMPENSATION SURVEYS FROM THE HEALTHCARE INDUSTRY ORGANIZATIONS, IRS FORM 990 FOR COMPARABLE ORGANIZATIONAL DATA AND GENERAL INDUSTRY KNOWLEDGE. THE CEO COMPENSATION PACKAGE IS FORMALIZED IN A WRITTEN EMPLOYMENT CONTRACT AND APPROVED BY THE BOARD OF TRUSTEES. SARATOGA HOSPITAL: THE HOSPITAL'S BOARD OF TRUSTEES IS RESPONSIBLE FOR THE IMPLEMENTATION AND MAINTENANCE OF THE EXECUTIVE COMPENSATION PROGRAM. UNDER THE DIRECTION OF THE BOARD OF TRUSTEES, THE EXECUTIVE COMMITTEE MEETS AS NEEDED TO REVIEW THE COMPENSATION PROGRAM AND MAKE RECOMMENDATIONS FOR ANY CHANGES TO THE BOARD OF TRUSTEES, AS APPROPRIATE. IN ADDITION TO REGIONALLY PUBLISHED MARKET DATA, THE HOSPITAL USES NATIONALLY PUBLISHED NOT-FOR-PROFIT HOSPITAL COMPENSATION SURVEY DATA FROM VARIOUS VENDORS TO DETERMINE MARKET POSITION AND THE REASONABLENESS OF BASE SALARY AND THE TOTAL COMPENSATION BEING PAID TO EXECUTIVES. ADDITIONALLY, THE HOSPITAL MAY COLLECT OTHER PUBLISHED SURVEY DATA WHEN APPROPRIATE FROM FOR-PROFIT ORGANIZATIONS FOR SPECIFIC FUNCTIONAL COMPETENCIES WITHIN THE ORGANIZATION, SUCH AS INFORMATION SYSTEMS, FUNDRAISING, AND FINANCE. AT THE DIRECTION OF THE BOARD OF TRUSTEES, MARKET DATA IS COMPILED ANNUALLY BY THE HUMAN RESOURCES DEPARTMENT AND USED TO FORM A MARKET COMPOSITE TO ASSESS THE COMPETITIVENESS OF COMPENSATION FOR EACH IDENTIFIED LEADERSHIP POSITION. IN ADDITION, THE CHAIRPERSON OF THE BOARD OF TRUSTEES RETAINS ON A BI-ANNUAL BASIS (OR MORE FREQUENTLY AS NEEDED) AN INDEPENDENT VALUATION EXPERT TO ASSESS THE REASONABLENESS OF THE TOTAL COMPENSATION PACKAGE PAID TO EXECUTIVES AS COMPARED TO SIMILARLY SITUATED EXECUTIVES OF NOT-FOR-PROFIT AND FOR-PROFIT HEALTH CARE ENTITIES WITH COMPARABLE NET REVENUES AND SIMILAR JOB RESPONSIBILITIES.
PART I, LINES 4A-B	ALBANY MED HEALTH SYSTEM: SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN STARTED IN 2016 AND SEVERAL PERSONS LISTED IN FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN AND/OR RECEIVED PAYMENT FROM THE PLAN. THE FOLLOWING EMPLOYEES PARTICIPATED IN THE PLAN AND THE AMOUNTS LISTED BELOW ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C): DENNIS P. MCKENNA, PRESIDENT & CEO (AMHS), BD MEM (CDT), $211,548 FRANCES S. ALBERT, EVP COO & CFO (AMHS), $67,667 STEVEN M. FRISCH, SR EVP (AMHS), BD MEM (SH, CMH), $84,104 VINCENT P. VERDILE, SR EVP SYS CARE (AMHS), $83,740 FERDINAND J. VENDITTI, JR, EVP SYS CARE DELIVERY (AMHS), $65,673 THE FOLLOWING EMPLOYEES RECEIVED PAYMENT FROM THE PLAN AND THE AMOUNTS LISTED BELOW ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) AND WHERE APPLICABLE COLUMN (F): JAMES J. BARBA, PRESIDENT & CEO (AMHS), $1,314,668 DENNIS P. MCKENNA, PRESIDENT & CEO (AMHS), BD MEM (CDT), $24,647 FRANCES S. ALBERT, EVP COO & CFO (AMHS), $25,694 STEVEN M. FRISCH, BOARD MEMBER (AMHS, CMH, SH), $93,027 VINCENT P. VERDILE, SR EVP SYS CARE (AMHS), $419,308 FERDINAND J. VENDITTI, JR, EVP SYS CARE DELIVERY (AMHS), $57,753 COLUMBIA MEMORIAL HOSPITAL: THE CEO, JAY CAHALAN IS A PARTICIPANT IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN HELD BY CMH. IN 2020, HIS RETIREMENT ACCOUNT WAS CREDITED $94,710. JAY CALAHAN RECEIVED PAYMENT FROM THE PLAN IN THE AMOUNT OF $280,000 AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) AND COLUMN (F). STEVEN FRISCH, MD IS A PARTICIPANT IN A SUPPLEMENTAL NON-QUALIFIED PLAN HELD BY ALBANY MED HEALTH SYSTEM AND HIS BENEFIT IS DESCRIBED IN THE SYSTEM'S DISCLOSURE ABOVE. SARATOGA HOSPITAL: DURING 2020, CERTAIN MEMBERS OF THE SARATOGA HOSPITAL ADMINISTRATIVE TEAM PARTICIPATED IN A 457F RETIREMENT PLAN. THE FOLLOWING HOSPITAL ADMINISTRATION PERSONNEL HAD A CONTRIBUTION MADE BY THE HOSPITAL ON THEIR BEHALF OR RECEIVED A PAYMENT FROM THEIR 457F RETIREMENT PLAN DURING 2020. ANGELO G. CALBONE -- CONTRIBUTIONS $176,281. GARY FOSTER - CONTRIBUTIONS $5,714. JEFFREY METHVEN -- CONTRIBUTIONS $1,262.
PART I, LINE 5	COLUMBIA MEMORIAL HOSPITAL: THE ORGANIZATION ADMINISTERS A VARIABLE COMPENSATION PROGRAM UNDER WHICH MEMBERS OF HOSPITAL MANAGEMENT ARE ELIGIBLE TO EARN VARIABLE COMPENSATION. OVERALL VARIABLE COMPENSATION IS BASED ON MEASURABLE ACHIEVEMENT AGAINST A MENU OF ORGANIZATIONS GOALS, WHICH INCLUDE FINANCIAL RESULTS SUCH AS REVENUES AND NET EARNINGS, AS WELL AS PATIENT SATISFACTION, QUALITY OF CARE, EMPLOYEE SATISFACTION, AND GROWTH IN SERVICES.
PART I, LINE 6	SARATOGA HOSPITAL: THE HOSPITAL ADMINISTERS AN INCENTIVE COMPENSATION PROGRAM UNDER WHICH MEMBERS OF HOSPITAL MANAGEMENT ARE ELIGIBLE TO EARN UP TO A PERCENTAGE OF THEIR BASE SALARIES IN INCENTIVE COMPENSATION. OVERALL INCENTIVE COMPENSATION IS BASED ON MEASURABLE ACHIEVEMENT AGAINST A MENU OF ORGANIZATIONAL GOALS, INCLUDING FINANCIAL RESULTS, PATIENT SATISFACTION, QUALITY OF CARE, EMPLOYEE SATISFACTION AND RETENTION, AND GROWTH IN SERVICES. THE PORTION OF INCENTIVE COMPENSATION RELATED TO OPERATING MARGIN OF THE HOSPITAL AND ITS AFFILIATES REPRESENTED 10% OF THE OVERALL INCENTIVE COMPENSATION AVAILABLE DURING 2020, AND WAS BASED AN ACHIEVEMENT OF MINIMUM, MEETS, AND MAXIMUM LEVELS RELATIVE TO THE HOSPITAL'S BUDGETED OPERATING MARGIN PERCENTAGE FOR THE YEAR.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF ALBANY CRC 2014A
A	273467899	999999999	2014-09-10	$22,000,000	RENOVATIONS/CONSTRUCTION	0	0	0
CITY OF ALBANY CRC 2017A
B	273467899	999999999	2017-11-15	$13,200,000	REFUND PRIOR ISSUE - SEE PART VI	0	0	0
CITY OF ALBANY CRC 2017C
C	273467899	999999999	2017-11-15	$11,855,000	REFUND PRIOR ISSUE - SEE PART VI	0	0	0
SARATOGA COUNTY CAPITAL RESOURCE CORP 2007B
D	521310482	803482DE5	2007-12-12	$18,406,490	ED CONSTRUCTION & RENOVATION	Yes (1)	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt	Bond DefeasedBondDefeasedAmt
A	$2,973,029	$22,000,000	$440,000	$21,560,000	2014	0	Yes (1)	Yes (1)
B	$898,000	$13,200,000			2017	Yes (1)	Yes (1)	Yes (1)	$13,200,000
C	$3,035,000	$11,855,000			2017	Yes (1)	Yes (1)	Yes (1)	$11,855,000
D	$1,935,000	$18,406,490	$262,395	$16,772,395	2009	0	Yes (1)	Yes (1)		$13,920,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)
D	0		Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
(no name)
A	0	0	0	Yes (1)	0	0	0	0	Yes (1)
(no name)
B	0	Yes (1)	0	0	0	0	0	0	Yes (1)
BANK OF AMERICA
C	0	Yes (1)	0	0	Yes (1)	Yes (1)	0	0	Yes (1)	9.500000000000	0	0
(no name)
D	0	0	0	Yes (1)	0	0	0	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

ALBANY MED HEALTH SYSTEM BOND GROUP

SCH K PART I COLUMN (F) LINE B: REFUND CITY OF ALBANY IDA 2005A ISSUED 6/29/2005 AND CITY OF ALBANY IDA 2006A ISSUED 5/3/2006. LINE C: REFUND CITY OF ALBANY IDA 2007A ISSUED 6/28/2007 AND CITY OF ALBANY IDA 2007C ISSUED 11/28/2007. SCH K PART II LINE 1 TOTAL PROCEEDS OF THE ISSUE LESS AMOUNT OF BONDS RETIRED WILL NOT EQUAL FORM 990, PART X, LINE 20 BECAUSE THE BALANCE SHEET AMOUNT IS PRESENTED NET OF DEFERRED FINANCING COSTS. SCH K PART II LINE 11 TOTAL PROCEEDS WERE USED TO REFUND THE PRIOR ISSUED BONDS REFERENCED IN PART I, COLUMN F. SCH K PART III LINE 3A ALBANY MED HEALTH SYSTEM HAS INCIDENTAL MANAGEMENT AND SERVICE CONTRACTS IN VARIOUS FINANCED AREAS. THEREFORE, NO CONTRACTS ARE CONSIDERED TO RESULT IN PRIVATE BUSINESS USE WITHIN THE BOND-FINANCED PROPERTY GROUP. SCH K PART IV LINE 2C, COLUMN A REBATE CALCULATION PERFORMED ON SEPTEMBER 10, 2019.

SARATOGA HOSPITAL BOND GROUP

SCHEDULE K, PART IV, LINE 2B 02/07/2013 $24,273,094 SARATOGA COUNTY CAPITAL RESOURCE CORPORATION SERIES 2013A - ARBITRAGE REBATE COMPUTATION WAS PERFORMED ON 12/01/20 BY A THIRD PARTY CONTRACTOR, AMTEC, IS A TAX EXEMPT COMPLIANCE SPECIALIST, FOR BOND ISSUES, AS OF 12/01/20 NO REBATE LIABILITY FOR SERIES 2013A. SCHEDULE K, PART IV, LINE 2C 01/03/2017 $49,870,000 SARATOGA COUNTY CAPITAL RESOURCE CORPORATION SERIES 2017A & B - ARBITRAGE REBATE COMPUTATION WAS PERFORMED ON 12/31/20 BY A THIRD PARY CONTRACTOR, AMTEC, IS A TAX EXEMPT COMPLIANCE SPECIALIST, FOR BOND ISSUES, AS OF 12/31/20 NO REBATE LIABILITY FOR SERIES 2017 A & B

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
SARATOGA COUNTY CAPITAL RESOURCE CORP 2013A
A	461520521	803481AS9	2013-02-07	$24,273,094	REFINANCE REVENUE BONDS	0	0	0
SARATOGA COUNTY CAPITAL RESOURCE CORP 17AB
B	461520521	999999999	2017-01-03	$49,870,000	REFINANCE REVENUE BONDS	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$6,545,000	$24,273,094	$1,662,624	$22,004,520	$485,462	$115,599	2013	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	$8,647,035	$49,870,000		$48,936,364	$933,636		2017	Yes (1)	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	Yes (1)
B	0	0	0	0	0	0	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	0	Yes (1)	0	0	0	0	0
B	0	0	0	Yes (1)	0	0	0	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SARATOGA NATIONAL GOLF CLUB
SUBSTANTIAL CONTRIBUTOR	$61,944	EVENT HOSTING	0
DR ANNE L BARBA
FAMILY MEMBER	$150,679	EMPLOYMENT	0
KAREN L MCKENNA
FAMILY MEMBER	$32,945	EMPLOYMENT	0
JOHN J NIGRO
BOARD MEMBER	$299,750	DEVELOPMENT FEE	0
ANNABEL H O'CONNOR
FAMILY MEMBER	$23,857	EMPLOYMENT	0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART IV	FormAndLineReferenceDesc
Explanation	SARATOGA NATIONAL GOLF CLUB IS A SUBSTANTIAL CONTRIBUTOR TO SARATOGA HOSPITAL.DR. ANNE L. BARBA IS THE DAUGHTER OF JAMES BARBA, PRESIDENT & CEO (AMHS).KAREN L. MCKENNA IS THE WIFE OF DENNIS P. MCKENNA, PRES/CEO (AMHS), BD MEM (CDT).JOHN J. NIGRO IS A BOARD MEMBER OF ALBANY MED HEALTH SYSTEM.ANNABEL H. O'CONNOR IS THE DAUGHTER OF JOHN B. O'CONNOR, BOARD MEMBER (AMHS).	ExplanationTxt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	39	ContributionCnt
Noncash Contributions Rpt F990	$565,196	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	SUPPLIES	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$373,006	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (1)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 32B:	FormAndLineReferenceDesc
Explanation	DONATIONS OF SECURITIES ARE SENT TO THE ALBANY MEDICAL CENTER FOUNDATION'S INVESTMENT BROKER WHO PROCESSES THEM AND DEPOSITS CASH NET OF FEES INTO THE FOUNDATION'S ACCOUNT.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990 PART I LINE 1 AND PART III LINE 1	ORGANIZATION'S MISSION: AN ACADEMIC HEALTH SCIENCES CENTER WHOSE RESPONSIBILITIES ARE: TO EDUCATE MEDICAL STUDENTS, PHYSICIANS, BIOMEDICAL STUDENTS AND OTHER HEALTH CARE PROFESSIONALS TO MEET FUTURE PRIMARY AND SPECIALTY HEALTH CARE NEEDS OF THE REGION AND NATION; TO FOSTER BIOMEDICAL RESEARCH THAT LEADS TO SCIENTIFIC ADVANCES AND IMPROVEMENT OF THE HEALTH OF THE PUBLIC; AND TO PROVIDE A BROAD RANGE OF PATIENT SERVICES TO THE PEOPLE OF EASTERN NEW YORK AND WESTERN NEW ENGLAND. THE MISSION IS ACCOMPLISHED THROUGH COMMITMENT TO THE VALUES OF QUALITY, EXCELLENCE, SERVICE, COLLABORATION, INTEGRITY AND FISCAL RESPONSIBILITY. WE WILL CONTINUE TO DEVELOP AS A NATIONALLY RECOGNIZED ACADEMIC HEALTH SCIENCE CENTER. IN COLLABORATION WITH THE COMMUNITY, WE WILL PROVIDE EXCELLENCE IN EDUCATION, RESEARCH, AND PATIENT CARE PROGRAMS. OUR VISION FOR THE FUTURE INCLUDES A COMMITMENT TO WORKING WITH OTHER PROVIDERS TO MAKE COMPREHENSIVE AND ADVANCED CLINICAL SERVICES AVAILABLE TO THE PUBLIC WHILE EMPHASIZING QUALITY AND SERVICE. WE WILL BE A LEADER IN DEVELOPING AN INNOVATIVE HEALTH CARE DELIVERY SYSTEM AND EDUCATIONAL CONSORTIUM THAT RESPONDS TO THE NEEDS OF THE COMMUNITY. WE WILL SUSTAIN A WORKING AND LEARNING ENVIRONMENT THAT FOSTERS TEAMWORK AND COMMITMENT TO SHARED VALUES AND GOALS. THROUGH SOUND FISCAL MANAGEMENT, WE WILL BE ABLE TO ENHANCE OUR PROGRAMS TO BE ON THE FOREFRONT OF MEDICAL KNOWLEDGE AND INNOVATIVE PATIENT CARE.
FORM 990, PART V, LINE 3B	THE GROUP ORGANIZATION HAS INDICATED 'NO' TO PART LINE 3B BECAUSE NOT ALL SUBORDINATE ORGANIZATIONS INCLUDED IN THE GROUP HAVE A FORM 990-T FILING REQUIREMENT FOR THE TAX YEAR.
FORM 990 PART V LINE 4A	THE SUBORDINATE ORGANIZATIONS, ALBANY MEDICAL CENTER HOSPITAL, ALBANY MEDICAL CENTER KIDSKELLER, ALBANY MEDICAL CENTER FOUNDATION, CENTER FOR DONATION AND TRANSPLANT, COLUMBIA MEMORIAL HOSPITAL, SARATOGA HOSPITAL, KAATERSKILL COMMONS, INC, SARATOGA CARE, INC, HEALTHCARE PARTNERS OF SARATOGA LTD, AND SARATOGA REGIONAL MED, PC, RESPOND IN THE NEGATIVE TO THESE LINES AS THEY DID NOT HAVE ANY FOREIGN FINANCIAL ACCOUNTS.
FORM 990 PART V LINE 6A	THE SUBORDINATE ORGANIZATIONS, ALBANY MEDICAL CENTER HOSPITAL, ALBANY MEDICAL CENTER KIDSKELLER, ALBANY MEDICAL COLLEGE, CENTER FOR DONATION AND TRANSPLANT, COLUMBIA MEMORIAL HOSPITAL, SARATOGA HOSPITAL, KAATERSKILL COMMONS, INC, SARATOGA CARE, INC, HEALTHCARE PARTNERS OF SARATOGA LTD, AND SARATOGA REGIONAL MED, PC, RESPOND IN THE NEGATIVE TO THESE LINES AS THEY DID NOT SOLICIT ANY CONTRIBUTIONS THAT WERE NOT TAX DEDUCTIBLE AS CHARITABLE CONTRIBUTIONS.
FORM 990 PART V LINE 7A	THE SUBORDINATE ORGANIZATIONS, ALBANY MEDICAL CENTER HOSPITAL, ALBANY MEDICAL CENTER KIDSKELLER, ALBANY MEDICAL COLLEGE, CENTER FOR DONATION AND TRANSPLANT, COLUMBIA MEMORIAL HOSPITAL, SARATOGA HOSPITAL, KAATERSKILL COMMONS, INC, SARATOGA CARE, INC, HEALTHCARE PARTNERS OF SARATOGA LTD, AND SARATOGA REGIONAL MED, PC, RESPOND IN THE NEGATIVE TO THESE LINES AS THEY DID NOT RECEIVE ANY CONTRIBUTIONS IN EXCESS OF $75 THAT WERE MADE PARTLY AS A CONTRIBUTION AND PARTLY FOR GOODS AND SERVICES PROVIDED TO THE PAYOR.
FORM 990 PART V LINES 8, 9A, & 9B	THE SUBORDINATE ORGANIZATION COLUMBIA MEMORIAL HOSPITAL IS THE ONLY SUBORDINATE MAINTAINING A DONOR ADVISED FUND.
FORM 990, PART VI, SECTION A, LINE 3	KAATERSKILL COMMONS, INC. ENGAGES CATSKILL MOUNTAIN HOUSING FOR MANAGEMENT AND BOOKKEEPING SERVICES. THE OTHER SUBORDINATE ORGANIZATIONS RESPOND IN THE NEGATIVE TO LINE 3.
FORM 990, PART VI, SECTION A, LINE 6	MEMBERS AND GOVERNANCE ALBANY MED HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF THE SUBORDINATE ORGANIZATIONS INCLUDED IN THE GROUP FILING.
FORM 990, PART VI, SECTION A, LINE 7A	MEMBERS AND GOVERNANCE ALBANY MED HEALTH SYSTEM RETAINS SEATS ON THE BOARD OF TRUSTEES FOR THE SUBORDINATE ORGANIZATIONS AND HAS THE POWER TO APPOINT MEMBERS OF THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7B	MEMBERS AND GOVERNANCE ALBANY MED HEALTH SYSTEM APPROVES THE ANNUAL OPERATING BUDGET, APPROVAL OF CHANGES IN SENIOR MANAGEMENT, SIGNIFICANT LITIGATION SETTLEMENTS AS WELL AS UPDATES TO THE GOVERNING DOCUMENTS.
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 REVIEW PROCESS THE BOARD OF DIRECTORS, THROUGH ITS AUDIT COMMITTEE, ENGAGES A PROMINENT ACCOUNTING FIRM, KPMG, TO CONDUCT A REVIEW OF ITS 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. THE REVIEW OF THE TAX RETURN INCLUDES A REVIEW BY SENIOR MANAGEMENT OF ALBANY MEDICAL CENTER AND A PRESENTATION AT A MEETING OF THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS OF ALBANY MEDICAL CENTER. THE FINANCE COMMITTEES OF SARATOGA HOSPITAL AND COLUMBIA MEMORIAL HOSPITAL REVIEW THE RETURN FOR ACCURACY OF THEIR RESPECTIVE HOSPITAL'S INFORMATION AND DISCLOSURES. ADDITIONALLY, THE COMPLETE BOARDS OF EACH SUBORDINATE ENTITY INCLUDED IN THE GROUP RETURN RECEIVE A COPY OF THE FORM 990 FOR REVIEW PRIOR TO ITS FILING.
FORM 990, PART VI, SECTION B, LINE 12C	ALBANY MEDICAL CENTER HOSPITAL AND AFFILIATES: ALL 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 SYSTEM 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. COLUMBIA MEMORIAL HOSPITAL: ALL MEMBERS OF THE BOARD OF TRUSTEES ARE REQUIRED TO COMPLETE AND EXECUTE THE HOSPITAL POLICY ON ORGANIZATION ETHICS AS WELL AS A CONFLICT OF INTEREST QUESTIONNAIRE FOR TRUSTEES AND A CONFIDENTIALITY AGREEMENT FOR BOARD MEMBERS. IN ADDITION TO THESE FORMS BEING COMPLETED BY NEW MEMBERS, PRIOR TO APPOINTMENT, THEY ARE ALSO REQUIRED OF ALL INCUMBENT TRUSTEES ON AN ANNUAL BASIS. THE AUDIT COMMITTEE REVIEWS, MONITORS & ENFORCES CONFLICT OF INTEREST ISSUES AND REPORTS THE SAME TO ALL MEMBERS AT THE GENERAL BOARD MEETINGS. SARATOGA HOSPITAL: THE HOSPITAL MAINTAINS TWO CONFLICT OF INTEREST POLICIES. ONE POLICY APPLIES TO MEMBERS OF THE BOARD OF TRUSTEES, HOSPITAL OFFICERS, MEMBERS OF THE HOSPITAL'S MEDICAL STAFF (BOTH DIRECTLY EMPLOYED AND NON-EMPLOYED), AND ALL EMPLOYEES WHOSE COMPENSATION EXCEEDS $100,000. A SECOND CONFLICT OF INTEREST POLICY APPLIES TO ALL MEMBERS OF MANAGEMENT, EMPLOYEES AND VOLUNTEERS OF THE HOSPITAL, AS WELL AS PERSONS SERVING IN THOSE ROLES FOR CORPORATIONS AFFILIATED WITH THE HOSPITAL WHO ARE NOT COVERED BY THE FIRST POLICY. ON AN ANNUAL BASIS A CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE PROCESS IS UNDERTAKEN. ALL MEMBERS OF THE BOARD OF TRUSTEES AND MANAGEMENT, ALL NON-MANAGEMENT EMPLOYEES WHOSE COMPENSATION EXCEEDS $100,000, AND CERTAIN MEMBERS OF THE HOSPITAL'S MEDICAL STAFF ARE REQUIRED TO COMPLETE AND FILE THE QUESTIONNAIRE WITH THE HOSPITAL'S CHIEF COMPLIANCE OFFICER. ALL MEMBERS OF THE HOSPITAL'S MEDICAL STAFF ARE REQUIRED TO COMPLETE AND FILE THE QUESTIONNAIRE AS PART OF THEIR BIENNIAL CREDENTIALING PROCESS. ADDITIONALLY, MEMBERS OF HOSPITAL MANAGEMENT ARE REQUIRED TO IDENTIFY ANY ADDITIONAL EMPLOYEES UNDER THEIR SUPERVISION WHO HAVE THE ABILITY TO INFLUENCE PURCHASING DECISIONS AGGREGATING TO $100,000 OR MORE ANNUALLY. THESE EMPLOYEES ARE ALSO REQUIRED TO COMPLETE AND FILE THE QUESTIONNAIRE. RESPONSES ARE TRACKED BY THE CHIEF COMPLIANCE OFFICER AND ARE REPORTED TO THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 15	ALBANY MEDICAL CENTER HOSPITAL AND AFFILIATES: THE 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. COLUMBIA MEMORIAL HOSPITAL: PERFORMANCE REVIEW AND RECOMMENDATIONS RELATED TO SALARY ARE UNDERTAKEN BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES ON AN ANNUAL BASIS. THE COMPENSATION COMMITTEE IS COMPRISED OF SELECT MEMBERS OF THE BOARD OF TRUSTEES WHO MAY EMPLOY OUTSIDE CONSULTANTS, USE INDUSTRY STANDARDS, BENCHMARKING DATA, ETC. TO FORMULATE CONCLUSIONS. SARATOGA HOSPITAL: ON AN ANNUAL BASIS, THE EXECUTIVE COMMITTEE REVIEWS THE PERFORMANCE OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER (CEO) AND MAKES A BASE SALARY RECOMMENDATION TO THE FULL BOARD. THE EXECUTIVE COMMITTEE PERFORMS THIS TASK USING A TARGET PERCENTILE RANK ON A SCALE OF AMOUNTS PAID TO SIMILARLY SITUATED EXECUTIVES IN THE MARKETPLACE AS MEASURES BY EXTERNAL BENCHMARK SURVEYS. ADDITIONALLY, THE EXECUTIVE COMMITTEE FACTORS IN RELATIVE SKILL MIX, EXPERIENCE, COMPETENCE AND OVERALL PERFORMANCE. THE EXECUTIVE COMMITTEE SETS ANNUAL PERFORMANCE CRITERIA THE CEO MUST MEET IN ORDER TO QUALIFY FOR INCENTIVE COMPENSATION AND ANY RECOMMENDATION FOR ADDITIONAL COMPENSATION IS MADE ANNUALLY. THE CEO IS RESPONSIBLE, WITH THE OVERSIGHT OF THE EXECUTIVE COMMITTEE, FOR DETERMINING THE BASE COMPENSATION FOR ALL OTHER EXECUTIVES IN THE ORGANIZATION. THESE BASE SALARIES ARE ALSO DETERMINED USING A TARGET PERCENTILE RANK ON A SCALE FOR EXECUTIVES SITUATED SIMILARLY BY POSITION WITHIN THE MARKETPLACE, WITH ACCEPTABLE EXCEPTIONS BASED ON SKILL MIX, EXPERIENCE AND/OR SCOPE OF RESPONSIBILITY. INCENTIVE COMPENSATION FOR ALL OTHER EXECUTIVES IS DETERMINATION BY THE CEO AND BASED ON ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE MEASURES AND OUTCOMES. FOR BOTH CEO AND EXECUTIVE COMPENSATION, THE REQUIREMENTS FOR INVOKING A REBUTTABLE PRESUMPTION OF REASONABLENESS IN ACCORDANCE WITH IRS INTERMEDIATE SANCTION REGULATIONS ARE USED AS A GUIDELINE, TO THE EXTENT PRACTICABLE.
FORM 990, PART VI, SECTION C, LINE 19	OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990 PART VI LINE 16A	JOINT VENTURE LINES 16A AND 16B HAVE BEEN ANSWERED IN THE AFFIRMATIVE DUE TO THE ACTIVITIES OF COLUMBIA MEMORIAL HOSPITAL, A SUBORDINATE ORGANIZATION OF THE GROUP. THE OTHER SUBORDINATE ORGANIZATIONS RESPOND IN THE NEGATIVE TO LINE 16A.
FORM 990 PART VI LINE 20	THE PERSON IN POSSESSION OF THE BOOKS AND RECORDS FOR THE SUBORDINATE ORGANIZATIONS ARE AS FOLLOW: COLUMBIA MEMORIAL HOSPITAL AND AFFILIATES: NAME: BRYAN MAHONEY ADDRESS: 71 PROSPECT AVE, HUDSON NY, 12534 PHONE: 518-828-7601 SARATOGA HOSPITAL AND AFFILIATES: NAME: MICHAEL BATTLE ADDRESS: 211 CHURCH STREET, SARATOGA SPRINGS, NY 12866 PHONE: 518-587-3222
FORM 990, PART XI, LINE 9:	NET ASSETS RELEASED FROM RESTRICTIONS -34,149. FAIR VALUE OF INTEREST RATE SWAPS -146,705. PENSION RELATED CHANGES -11,302,822. SCI, SRMPC, HCPS, KCI, CMHF PRIOR YEAR NET ASSETS 5,630,546.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd
BETTER HEALTH FOR NORTHEAST NEW YORK
43 NEW SCOTLAND AVE	ALBANY	NY	12208	811861104	DSRIP	NY	501(C)(6)	AMC HOSPITAL	Yes (1)
THE SECOND SHOW INC
519 WARREN STREET	HUDSON	NY	12534	141796715	THRIFT SHOP	NY	501(C)(3)	CMH	Yes (1)	7
GLENS FALLS HOSPITAL
100 PARK ST	GLENS FALLS	NY	12801	141338413	HEALTHCARE	NY	501(C)(3)		0	3	N/A
GLENS FALLS MEDICAL PLLC
100 PARK ST	GLENS FALLS	NY	12801	823943636	PHYSICIANS	NY	501(C)(3)		Yes (1)	10	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
COLUMBIA-GREENE SERVICES INC
C/O CMH 71 PROSPECT AVE	HUDSON	NY	12534	141758524	HEALTHCARE	NY	N/A	C	1.00000	Yes (1)
MADISON AVENUE SERVICES CORP
47 NEW SCOTLAND AVE MC 116	ALBANY	NY	12208	141665610	OTHER (INACTIVE)	NY		C		0	AMHS

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Affiliate Listing AffiliateListing

Affiliate Listing AffiliateListingGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Business Name ControlBusinessNameControlTxt
ALBANY MEDICAL CENTER FOUNDATION
43 NEW SCOTLAND AVE	ALBANY	NY	12208	146023119	ALBA
ALBANY MEDICAL CENTER HOSPITAL
43 NEW SCOTLAND AVE	ALBANY	NY	12208	141338307	ALBA
ALBANY MEDICAL CENTER KIDSKELLER
43 NEW SCOTLAND AVE	ALBANY	NY	12208	222635792	ALBA
ALBANY MEDICAL COLLEGE
43 NEW SCOTLAND AVE	ALBANY	NY	12208	141338310	ALBA
CENTER FOR DONATION AND TRANSPLANT
218 GREAT OAKS BLVD	ALBANY	NY	12203	141820447	CENT
COLUMBIA MEMORIAL HEALTH FOUNDATION
71 PROSPECT AVE	HUDSON	NY	12534	141761112	COLU
COLUMBIA MEMORIAL HOSPITAL
71 PROSPECT AVE	HUDSON	NY	12534	141338373	COLU
HEALTHCARE PARTNERS OF SARATOGA LTD
211 CHURCH STREET	SARATOGA SPRINGS	NY	12866	453303309	HEAL
KAATERSKILL COMMONS INC
163 JEFFERSON HEIGHTS	CATSKILL	NY	12414	205700964	KAAT
SARATOGA HOSPITAL
211 CHURCH STREET	SARATOGA SPRINGS	NY	12866	141338547	SARA
SARATOGA CARE INC
211 CHURCH STREET	SARATOGA SPRINGS	NY	12866	141775218	SARA
SARATOGA REGIONAL MED PC
211 CHURCH STREET	SARATOGA SPRINGS	NY	12866	472468259	SARA