ALBANY MEDICAL CENTER GROUP ORGANIZATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: ALBANY MEDICAL CENTER GROUP ORGANIZATION (EIN 47-3869194)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-14
IRS object ID: 201933189349314613
Schema version: 2018v3.1
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 K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-14T18:05:11-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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	122072974	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	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)
In Care Of	% Frances S Albert CPA	InCareOfNm
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	FRANCES S ALBERT	PersonNm
Person Title	EXEC VP COO & CFO	PersonTitleTxt
Phone	5182625585	PhoneNum
Signature	2019-11-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Phillip Groff	PreparerPersonNm
PTIN	P01247783	PTIN
Phone	5184274600	PhoneNum
Preparation	2019-11-13	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.102.5	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	14012520193185000004	FederalOriginalSubmissionId
Federal Original Submission Id	2019-11-14	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	7B5190DACD7950FB62E11B317DAE60956DD6A6E7	AtSubmissionCreationDeviceId
At Submission Filing Device Id	7B5190DACD7950FB62E11B317DAE60956DD6A6E7	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	James J Barba	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	$2,156,929,029	GrossReceiptsAmt
Group Return For Affiliates	Yes (true)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (true)	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	82	VotingMembersGoverningBodyCnt
Voting Members Independent	63	VotingMembersIndependentCnt
Total Employee	14611	TotalEmployeeCnt
Total Volunteers	1174	TotalVolunteersCnt
Total Gross UBI	$3,864,136	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$65,507,695	PYContributionsGrantsAmt
CY Contributions Grants	$59,394,198	CYContributionsGrantsAmt
PY Program Service Revenue	$1,330,688,720	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,878,609,302	CYProgramServiceRevenueAmt
PY Investment Income	$11,714,949	PYInvestmentIncomeAmt
CY Investment Income	$46,278,521	CYInvestmentIncomeAmt
PY Other Revenue	$32,386,717	PYOtherRevenueAmt
CY Other Revenue	$52,481,483	CYOtherRevenueAmt
PY Total Revenue	$1,440,298,081	PYTotalRevenueAmt
CY Total Revenue	$2,036,763,504	CYTotalRevenueAmt
PY Grants And Similar Paid	$16,396,560	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$16,727,064	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$643,191,933	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$965,718,856	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$3,326,848	CYTotalFundraisingExpenseAmt
PY Other Expenses	$756,194,953	PYOtherExpensesAmt
CY Other Expenses	$989,578,643	CYOtherExpensesAmt
PY Total Expenses	$1,415,783,446	PYTotalExpensesAmt
CY Total Expenses	$1,972,024,563	CYTotalExpensesAmt
PY Revenues Less Expenses	$24,514,635	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$64,738,941	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,447,725,539	TotalAssetsBOYAmt
Total Assets EOY	$2,000,498,228	TotalAssetsEOYAmt
Total Liabilities BOY	$811,995,085	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,061,205,344	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$635,730,454	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$939,292,884	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	See Schedule O.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$855,294,991	ExpenseAmt
Revenue	$881,475,929	RevenueAmt
Desc	Inpatient & Outpatient Services Albany Medical Center and Affiliates: Provision of inpatient and outpatient services including specialized nursing services, emergency room, urgent care, imaging and lab related services. Admissions were approximately 42,100 and patient days were approximately 229,600. Columbia Memorial Hospital: Columbia Memorial Hospital Emergency Care visits were Approximately 28,273 and outpatient services and outreach clinic visits were approximately 423,578. Acute inpatient hospital services total approximately 31,208 patient days. Saratoga Hospital Provision of inpatient and outpatient services including specialized nursing services, emergency room, urgent care, imaging and lab related services. Admissions were approximately 56,000 and patient days were approximately 317,000.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$300,040,404	ExpenseAmt
Revenue	$292,448,719	RevenueAmt
Desc	Faculty Practice Albany Medical Center operates a clinical practice activity (patient care) for the faculty of the Albany Medical College. 2018 experienced over 479,000 patient visits.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$202,607,697	ExpenseAmt
Revenue	$345,082,455	RevenueAmt
Desc	Diagnostic & Testing Services Inpatient and outpatient services including diagnostic imaging, radiation therapy, and cardiac catheterization. In 2018, Albany Medical Center inpatient professional services totaled 90,905; outpatient services totaled 52,035 and ER services was approximately 85,087.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$334,676,384	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$16,727,064	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$407,454,626	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$1,692,619,476	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	Yes (true)	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	Yes (true)	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	Yes (true)	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	1020	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	14611	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	false	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	NL	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	Yes (true)	NondeductibleContributionsInd
Nondeductible Contri Discl	Yes (true)	NondeductibleContriDisclInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	82	GoverningBodyVotingMembersCnt
Independent Voting Member	63	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Frances S Albert CPA	PersonNm
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 (102 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Raimundo C Archibold Jr
Board Member (AMC)	6.0	2.0	Yes (X)	$0	$0	$0
James J Barba
President & CEO (AMC)	19.0	21.0	Yes (X)	$0	$1,654,830	$282,036	Yes (X)
Anthony M Durante
Board Member (AMC)	6.0	2.0	Yes (X)	$0	$0	$0
Robert T Cushing
Chairman (AMC) Board Mber (SH)	8.5	4.5	Yes (X)	$0	$0	$0
Joyce M DeFazio
Board Member (AMC)	6.0	2.0	Yes (X)	$0	$0	$0
R Wayne Diesel
Board Member (AMC)	6.0	2.0	Yes (X)	$0	$0	$0
Sharon Duker
Board Member (AMC)	6.0	2.0	Yes (X)	$0	$0	$0
Peter H Elitzer
Board Member (AMC)	6.0	2.0	Yes (X)	$0	$0	$0
Havidan Rodriguez
Board Member (AMC)	6.0	2.0	Yes (X)	$0	$0	$0
Margaret Gillis
Vice Chair (AMC)	6.0	2.0	Yes (X)	$0	$0	$0
David Golub
Board Member (AMC)	6.0	2.0	Yes (X)	$0	$0	$0
Doug M Hamlin
Vice Chair (AMC)	6.0	2.0	Yes (X)	$0	$0	$0
Peter H Heerwagen
Board Member (AMC)	6.0	2.0	Yes (X)	$0	$0	$0
Carolyn Stefanco
Board Member (AMC)	6.0	2.0	Yes (X)	$0	$0	$0
James O Jackson PhD
Board Member (AMC)	6.0	2.0	Yes (X)	$0	$0	$0
Lillian Moy Esq
Board Member (AMC)	6.0	2.0	Yes (X)	$0	$0	$0
John J Nigro
Board Member (AMC)	6.0	2.0	Yes (X)	$0	$0	$0
John B O'Connor
Board Member (AMC)	6.0	2.0	Yes (X)	$0	$0	$0
Steven M Parnes MD
Board Member (AMC)	46.0	2.0	Yes (X)	$731,043	$0	$31,208
Daniel T Pickett III
Board Member (AMC)	6.0	2.0	Yes (X)	$0	$0	$0
Michael H Iacolucci
Board Member (AMC, SH)	8.5	4.5	Yes (X)	$0	$0	$0
Theresa Skaine
Board Member (SH)	2.5	2.5	Yes (X)	$0	$0	$0
Janice Smith
Board Member (AMC)	6.0	2.0	Yes (X)	$0	$0	$0
Jeffrey Sperry
Board Member (AMC)	6.0	2.0	Yes (X)	$0	$0	$0
Jeffrey Stone
Vice Chair (AMC) Trustee (CMH)	6.0	10.0	Yes (X)	$0	$0	$0
Todd M Tidgewell
Board Member (AMC)	6.0	2.0	Yes (X)	$0	$0	$0
Omar Usmani
Board Member (AMC)	6.0	2.0	Yes (X)	$0	$0	$0
Candace King Weir
Board Member (AMC)	6.0	2.0	Yes (X)	$0	$0	$0
Michael West
Board Member (AMC thru 12/18)	6.0	7.0	Yes (X)	$0	$0	$0
Ruth H Mahoney
Board Member (AMC)	6.0	2.0	Yes (X)	$0	$0	$0
Morris C Massry
Board Member (AMC)	6.0	2.0	Yes (X)	$0	$0	$0
Mary Gail Biebel
Member (AMC) Trustee (CMH)	14.0	3.0	Yes (X)	$0	$0	$0
Janice White EdD
Board Member (AMC)	6.0	7.0	Yes (X)	$0	$0	$0
Vickey Masta-Gornic
Board Member (KIDS)	2.0	40.0	Yes (X)	$0	$219,447	$9,252
Robert Pistilli
Board Member (KIDS)	42.0	0.0	Yes (X)	$113,502	$0	$23,148
Michele K Skumurski
Board Member (KIDS)	2.0	40.0	Yes (X)	$0	$179,535	$1,580
Mary Carey
Board Member (KIDS)	42.0	0.0	Yes (X)	$119,578	$0	$11,179
Christine Hayes
Board Member (KIDS)	2.0	40.0	Yes (X)	$0	$110,681	$7,430
Megan Helmecke
Board Member (KIDS)	42.0	0.0	Yes (X)	$73,914	$0	$20,033
John W Herritage
Board Member (KIDS)	42.0	0.0	Yes (X)	$105,713	$0	$6,989
Kim Kilby
Board Member (KIDS)	42.0	0.0	Yes (X)	$124,810	$0	$4,574
Brigido Montero
Board Member (KIDS)	2.0	40.0	Yes (X)	$0	$129,455	$18,327
Catherine Riddle
Board Member (KIDS)	42.0	0.0	Yes (X)	$96,891	$0	$8,332
Meghan Weygant
Board Member (KIDS)	42.0	0.0	Yes (X)	$135,828	$0	$16,539
David J Conti
Board Member (CDT)	42.0	0.0	Yes (X)	$356,900	$0	$30,795
Carlos Marroquin
Board Member (CDT)	2.0	0.0	Yes (X)	$0	$0	$0
Michael Dailey
Board Member (CDT)	42.0	0.0	Yes (X)	$262,701	$0	$22,735
Aisha M Tator
Board Member (CDT)	2.0	0.0	Yes (X)	$0	$0	$0
Wesley Merritt
Board Member (CDT)	2.0	0.0	Yes (X)	$0	$0	$0
Dennis McKenna
Board Member (CDT)	42.0	0.0	Yes (X)	$665,305	$0	$89,242
Michael Scollins
Board Member (CDT)	2.0	0.0	Yes (X)	$0	$0	$0
Kristin Kirk Meehan
Board Member (CDT)	2.0	0.0	Yes (X)	$0	$0	$0
Eileen Whalen
Board Member (CDT)	2.0	0.0	Yes (X)	$0	$0	$0
Donna Sickler
Board Member (CDT)	2.0	0.0	Yes (X)	$0	$0	$0
Joanne Cunningham
Board Member (CDT thru 12/18)	2.0	0.0	Yes (X)	$0	$0	$0
V Richard Back MD
Chair (CMH)	8.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Donald Gibson
Treas & Trust. (CMH thru 7/18)	8.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Deborah Lans
Vice Chair (CMH)	16.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
James Lapenn
Treasurer (CMH)	8.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Hila Richardson
Secretary (CMH)	8.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Steven Frisch MD
Trustee (CMH and SH)	8.0	49.0	Yes (X)	$0	$1,027,747	$117,559
Kirk Kneller
Trustee (CMH)	8.0	0.0	Yes (X)	$0	$0	$0
Marian Krauskopf
Trustee (CMH)	8.0	0.0	Yes (X)	$0	$0	$0
Patti Matheney
Trustee (CMH)	8.0	0.0	Yes (X)	$0	$0	$0
Stephen Nelson
Trustee (CMH)	8.0	0.0	Yes (X)	$0	$0	$0
Claire Parde
Trustee (CMH)	8.0	1.0	Yes (X)	$0	$0	$0
Will Pelgrin
Trustee (CMH)	8.0	0.0	Yes (X)	$0	$0	$0
Molly Poleto
Trustee (CMH)	8.0	0.0	Yes (X)	$0	$0	$0
John Mathews MD
Trustee (CMH)	8.0	0.0	Yes (X)	$0	$0	$0
Hiral Amin MD
Trustee (CMH)	48.0	0.0	Yes (X)	$432,807	$0	$29,273
Jay P Cahalan
President & CEO (CMH)	40.0	1.0	Yes (X)	$689,681	$0	$118,309	Yes (X)
N Keith Stewart
Treasurer (SH)	2.5	0.0	Yes (X)	$0	$0	$0
Michael J Toohey
Vice Chairperson (SH)	2.5	0.0	Yes (X)	$0	$0	$0
Judith A Ekman
Board Member (SH)	2.5	0.0	Yes (X)	$0	$0	$0
Frank L Messa
Board Member (SH)	2.5	0.0	Yes (X)	$0	$0	$0
Donna Montalto
Board Member (SH)	2.5	0.0	Yes (X)	$0	$0	$0
Marianne A Mustafa
Board Member (SH)	2.5	0.0	Yes (X)	$0	$0	$0
Alan C Oppenheim
Board Member (SH)	2.5	0.0	Yes (X)	$0	$0	$0
Heather M Ward
Board Member (SH)	2.5	0.0	Yes (X)	$0	$0	$0
Michael D West
Board Member (SH)	2.5	0.0	Yes (X)	$0	$0	$0
Janice M White
Secretary (SH)	2.5	0.0	Yes (X)	$0	$0	$0
Susan L Dake
Board Member (SH)	2.5	0.0	Yes (X)	$0	$0	$0
Thomas J Roohan
Board Member (SH)	2.5	0.0	Yes (X)	$0	$0	$0
Angelo G Calbone
President/CEO (SH)	38.0	0.0		$1,004,258	$0	$34,430	Yes (X)
Gary J Kochem THRU 1118
Exec VP & COO (AMC)	20.0	22.0		$0	$851,376	$31,961	Yes (X)
Frances S Albert
EVP COO & CFO (AMC)	34.0	10.0		$0	$701,123	$80,028	Yes (X)
Karen Tassey
COO (CMH)	40.0	1.0		$293,457	$0	$9,865	Yes (X)
Bryan T Mahoney
CFO (CMH)	40.0	1.0		$286,616	$0	$750	Yes (X)
Gary Foster
VP & CFO (SH)	38.0	0.0		$396,234	$0	$17,255	Yes (X)
Vincent Verdile MD
Sr Exec VP Sys Care (AMC)	38.0	4.0		$984,233	$0	$118,175		Yes (X)
Ferdinand J Venditti Jr
EVP System Care (AMC)	39.0	3.0		$842,516	$0	$99,095		Yes (X)
Mary Ellen Plass
CNO (CMH)	40.0	0.0		$220,254	$0	$5,833		Yes (X)
Mary Jo LaPosta
SVP Patient Care & Org (SH)	38.0	0.0		$426,295	$0	$23,613		Yes (X)
Kevin Ronayne
VP Ops/Facilities (SH)	38.0	0.0		$313,510	$0	$33,672		Yes (X)
John Mangona
VP Chief Info & Comp (SH)	38.0	0.0		$316,406	$0	$17,407		Yes (X)
Jeffrey Methven
VP Ambulatory Svc & HR (SH)	38.0	0.0		$342,507	$0	$34,277		Yes (X)
Richard Falivena
VP Chf Med & Phys Int Off (SH)	38.0	0.0		$468,464	$0	$25,976		Yes (X)
Darryl J Dirisio
Professor/Clin (AMC)	40.0	0.0		$916,438	$0	$35,027			Yes (X)
Alan S Boulos
Department Chair (AMC)	40.0	0.0		$959,872	$0	$34,397			Yes (X)
Andrew J Rosenbaum
Asst Prof/Clin (AMC)	40.0	0.0		$878,141	$0	$29,728			Yes (X)
Gordon Kuhar
Physician (SH)	38.0	0.0		$1,257,816	$0	$17,605			Yes (X)
Gary Idelchik
Physician (SH)	38.0	0.0		$878,518	$0	$18,560			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$14,694,208	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,874,194	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,516,194	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1713	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	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
PO Box 10025	ALBANY	NY	12201	Medical Mgmt Service	$19,269,491
Consigli Construction NY LLC
199 West Road	PLEASANT VALLEY	NY	12569	Construction	$17,821,922
AOW Associates Inc
30 Essex Street	ALBANY	NY	12206	Construction	$14,909,869
Aramark
27310 Network Place	CHICAGO	IL	606731273	Environmental Svcs	$11,087,681
Sano Rubin Construction LLC
624 Delaware Ave	ALBANY	NY	12209	Construction	$5,295,862

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	146	CntrctRcvdGreaterThan100KCnt
Fundraising	$1,961,247	FundraisingAmt
Related Organizations	$13,913,651	RelatedOrganizationsAmt
Government Grants	$15,957,291	GovernmentGrantsAmt
All Other Contributions	$27,562,009	AllOtherContributionsAmt
Noncash Contributions	$399,545	NoncashContributionsAmt
Total Contributions	$59,394,198	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Medical Services	621990	$1,831,689,985	$1,827,599,467	$4,090,518
Instruction	611600	$42,985,978	$42,985,978
Research	541700	$1,946,344	$1,946,344
Day Care Fees	611600	$1,945,074	$1,945,074
Food Subsidies	611600	$41,921	$41,921

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,878,609,302	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,433,768	TotalRevenueColumnAmt
Unrelated Business Revenue	-$230,043	UnrelatedBusinessRevenueAmt
Exclusion	$12,663,811	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$39,992	TotalRevenueColumnAmt
Exclusion	$39,992	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,955,091	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$19,072	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,936,019	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,936,019	TotalRevenueColumnAmt
Exclusion	$1,936,019	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$152,907,000	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$119,102,239	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$33,804,761	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$33,804,761	TotalRevenueColumnAmt
Exclusion	$33,804,761	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$277,876	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$1,961,247	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$774,229	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$496,353	TotalRevenueColumnAmt
Exclusion	-$496,353	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$856,787	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$269,985	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$586,802	TotalRevenueColumnAmt
Related Or Exempt Func Income	$586,802	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Program Service Expense Reim.	812900	$23,454,284	$23,454,284
Contracted Services	621110	$10,299,556	$10,299,556
MLMIC Demutualization	524298	$6,665,344	$6,665,344

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,035,831	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,846,441	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,661	UnrelatedBusinessRevenueAmt
Exclusion	$3,185,729	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$50,455,015	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,036,763,504	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,922,371,211	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,864,136	UnrelatedBusinessRevenueAmt
Exclusion	$51,133,959	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$11,022,365	TotalAmt
Program Services	$11,022,365	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$5,704,699	TotalAmt
Program Services	$5,704,699	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$11,550,393	TotalAmt
Program Services	$3,015,178	ProgramServicesAmt
Management And General	$8,535,215	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$126,603	TotalAmt
Program Services	$126,603	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$811,339,157	TotalAmt
Program Services	$776,136,796	ProgramServicesAmt
Management And General	$33,214,892	ManagementAndGeneralAmt
Fundraising	$1,987,469	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$13,855,049	TotalAmt
Program Services	$13,048,496	ProgramServicesAmt
Management And General	$752,074	ManagementAndGeneralAmt
Fundraising	$54,479	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$75,808,216	TotalAmt
Program Services	$71,799,538	ProgramServicesAmt
Management And General	$3,880,270	ManagementAndGeneralAmt
Fundraising	$128,408	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$53,039,438	TotalAmt
Program Services	$50,145,000	ProgramServicesAmt
Management And General	$2,766,508	ManagementAndGeneralAmt
Fundraising	$127,930	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$736,627	TotalAmt
Program Services	$736,627	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$937,099	TotalAmt
Program Services	$49,138	ProgramServicesAmt
Management And General	$887,961	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$512,894	TotalAmt
Management And General	$512,894	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$209,261	TotalAmt
Program Services	$100,462	ProgramServicesAmt
Management And General	$108,799	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,367,277	TotalAmt
Program Services	$38,947	ProgramServicesAmt
Management And General	$2,328,330	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$92,551,877	TotalAmt
Program Services	$90,351,064	ProgramServicesAmt
Management And General	$2,091,748	ManagementAndGeneralAmt
Fundraising	$109,065	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,809,278	TotalAmt
Program Services	$1,203,398	ProgramServicesAmt
Management And General	$1,593,773	ManagementAndGeneralAmt
Fundraising	$12,107	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$43,028,891	TotalAmt
Program Services	$36,204,947	ProgramServicesAmt
Management And General	$6,597,844	ManagementAndGeneralAmt
Fundraising	$226,100	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$116,822,211	TotalAmt
Program Services	$7,478,194	ProgramServicesAmt
Management And General	$109,344,017	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$28,336,761	TotalAmt
Program Services	$19,974,843	ProgramServicesAmt
Management And General	$8,048,534	ManagementAndGeneralAmt
Fundraising	$313,384	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,748,540	TotalAmt
Program Services	$3,064,194	ProgramServicesAmt
Management And General	$532,936	ManagementAndGeneralAmt
Fundraising	$151,410	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,173,473	TotalAmt
Program Services	$1,093,628	ProgramServicesAmt
Management And General	$68,145	ManagementAndGeneralAmt
Fundraising	$11,700	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$23,670,514	TotalAmt
Program Services	$16,362,520	ProgramServicesAmt
Management And General	$7,297,926	ManagementAndGeneralAmt
Fundraising	$10,068	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$160,275,529	TotalAmt
Program Services	$123,394,785	ProgramServicesAmt
Management And General	$36,880,474	ManagementAndGeneralAmt
Fundraising	$270	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$92,008,033	TotalAmt
Program Services	$56,993,596	ProgramServicesAmt
Management And General	$35,012,544	ManagementAndGeneralAmt
Fundraising	$1,893	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$34,185,333	TotalAmt
Program Services	$31,449,305	ProgramServicesAmt
Management And General	$2,736,028	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Surgical	$311,917,006	$311,440,748	$476,258
Machine Rental & Maintenance	$28,454,653	$21,752,541	$6,608,018	$94,094
Food & General Supplies	$18,686,041	$17,308,462	$1,377,579
Drugs & Medicine	$9,244,422	$9,238,708	$5,714

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$17,902,923	TotalAmt
Program Services	$13,384,694	ProgramServicesAmt
Management And General	$4,419,758	ManagementAndGeneralAmt
Fundraising	$98,471	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,972,024,563	TotalAmt
Program Services	$1,692,619,476	ProgramServicesAmt
Management And General	$276,078,239	ManagementAndGeneralAmt
Fundraising	$3,326,848	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$46,299,349	BOYAmt
EOY	$74,231,114	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$151,204,419	BOYAmt
EOY	$248,021,106	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$11,903,114	BOYAmt
EOY	$12,945,084	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$152,555,154	BOYAmt
EOY	$205,286,491	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	$5,062,652	BOYAmt
EOY	$7,012,844	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$18,644,806	BOYAmt
EOY	$30,689,461	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$11,472,877	BOYAmt
EOY	$23,197,501	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,770,297,622	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,008,686,323	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$546,487,478	BOYAmt
EOY	$761,611,299	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$71,595,766	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$61,170,143	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$308,683,707	BOYAmt
EOY	$291,410,767	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,273,437	BOYAmt
EOY	$9,284,353	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$183,138,546	BOYAmt
EOY	$204,042,299	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,447,725,539	BOYAmt
EOY	$2,000,498,228	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$141,024,350	BOYAmt
EOY	$201,950,984	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	$19,568,970	BOYAmt
EOY	$19,519,877	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$45,277,541	BOYAmt
EOY	$118,976,974	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$1,671,765	BOYAmt
EOY	$1,414,421	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	$368,103,643	BOYAmt
EOY	$414,600,569	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$236,348,816	BOYAmt
EOY	$304,742,519	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$811,995,085	BOYAmt
EOY	$1,061,205,344	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$444,148,272	BOYAmt
EOY	$758,827,907	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$109,084,539	BOYAmt
EOY	$177,563,752	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$82,497,643	BOYAmt
EOY	$2,901,225	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$635,730,454	BOYAmt
EOY	$939,292,884	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,447,725,539	BOYAmt
EOY	$2,000,498,228	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$64,738,941	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$61,481,002	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$1,126,000	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$301,430,491	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	false	FSAuditedInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	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	$44,093,704	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$40,345,413	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$43,503,921	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$51,010,080	CurrentTaxYearMinus1YearAmt
Current Tax Year	$43,729,149	CurrentTaxYearAmt
Total	$222,682,267	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$44,093,704	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$40,345,413	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$43,503,921	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$51,010,080	CurrentTaxYearMinus1YearAmt
Current Tax Year	$43,729,149	CurrentTaxYearAmt
Total	$222,682,267	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$7,827,037	SubstantialContributorsTotAmt
Public Support Total170	$214,855,230	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,306,925	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,254,894	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,600,681	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,313,402	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,956,890	CurrentTaxYearAmt
Total	$14,432,792	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,815,458	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,873,175	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,700,968	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,398,553	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,604,331	CurrentTaxYearAmt
Total	$8,392,485	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$245,507,544	TotalSupportAmt
Gross Receipts Rltd Activities	$1,603,221,577	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.87515	PublicSupportCY170Pct
Public Support PY170	0.87930	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

Field	Value	IRS element (for citing)
Power Appoint Majority Dir Trst	false	PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org	false	OperateBenefitNonSuprtOrgInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

Field	Value	IRS element (for citing)
Timely Provided Documents	false	TimelyProvidedDocumentsInd
Officers Close Relationship	false	OfficersCloseRelationshipInd
Supported Org Voice Investment	false	SupportedOrgVoiceInvestmentInd

Adjusted Net Income AdjustedNetIncomeGrp

Net ST Capital Gain Adj Net Incm NetSTCapitalGainAdjNetIncmGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Recoveries PY Distributions RecoveriesPYDistributionsGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Other Gross Income OtherGrossIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Adjusted Gross Income AdjustedGrossIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Production Income ProductionIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Other Expenses OtherExpensesGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Total Adjusted Net Income TotalAdjustedNetIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Minimum Asset Amount MinimumAssetAmountGrp

Average Monthly FMV Of Sec AverageMonthlyFMVOfSecGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Average Monthly Cash Balances AverageMonthlyCashBalancesGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

FMV Other Non Exempt Use Asset FMVOtherNonExemptUseAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Total FMV Of Non Exempt Use Asset TotalFMVOfNonExemptUseAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Field	Value	IRS element (for citing)
Discount Claimed	$0	DiscountClaimedAmt

Acquisition Indebtedness AcquisitionIndebtednessGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Adjusted FMV Less Indebtedness AdjustedFMVLessIndebtednessGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Cash Deemed Charitable CashDeemedCharitableGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Net Vl Non Exempt Use Assets NetVlNonExemptUseAssetsGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Pct Of Net Vl Non Exempt Use Ast PctOfNetVlNonExemptUseAstGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Recoveries PY Distri Min Asset RecoveriesPYDistriMinAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Total Minimum Asset TotalMinimumAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Distributable Amount DistributableAmountGrp

Field	Value	IRS element (for citing)
CY Adj Net Income Distributable	$0	CYAdjNetIncomeDistributableAmt
CY Pct85 Adjusted Net Income	$0	CYPct85AdjustedNetIncomeAmt
CY Total Min Ast Distributable	$0	CYTotalMinAstDistributableAmt
CY Greater Adjusted Minimum	$0	CYGreaterAdjustedMinimumAmt
CY Income Tax Imposed PY	$0	CYIncomeTaxImposedPYAmt
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt

Distributions DistributionsGrp

Field	Value	IRS element (for citing)
CY Paid Accomplish Exempt Prps	$0	CYPaidAccomplishExemptPrpsAmt
CY Pd In Excess Income Activity	$0	CYPdInExcessIncomeActivityAmt
CY Administrative Expense Paid	$0	CYAdministrativeExpensePaidAmt
Exempt Use Assets Acquis Paid	$0	ExemptUseAssetsAcquisPaidAmt
Qualified Set Aside	$0	QualifiedSetAsideAmt
CY Other Distributions	$0	CYOtherDistributionsAmt
CY Total Annual Distributions	$0	CYTotalAnnualDistributionsAmt
CY Distri Attentive Suprt Org	$0	CYDistriAttentiveSuprtOrgAmt
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt
CY Distribution Yr	0	CYDistributionYrRt

Distribution Allocations DistributionAllocationsGrp

Field	Value	IRS element (for citing)
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt
Underdistributions	$0	UnderdistributionsAmt
Excess Distribution Cyov Yr5	$0	ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4	$0	ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3	$0	ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2	$0	ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1	$0	ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov	$0	TotalExcessDistributionCyovAmt
Cyov Applied Underdistri PY	$0	CyovAppliedUnderdistriPYAmt
Cyov Applied Underdistr CPY	$0	CyovAppliedUnderdistrCPYAmt
Carryover PY Not Applied	$0	CarryoverPYNotAppliedAmt
Excess Distribution Cyov	$0	ExcessDistributionCyovAmt
CY Total Annual Distributions	$0	CYTotalAnnualDistributionsAmt
CY Distrib App Underdistri PY	$0	CYDistribAppUnderdistriPYAmt
Excess Distribution	$0	ExcessDistributionAmt
Remaining Underdistri PY	$0	RemainingUnderdistriPYAmt
Remaining Underdistri CY	$0	RemainingUnderdistriCYAmt
Excess Distri Cyov To Next Yr	$0	ExcessDistriCyovToNextYrAmt
Excess From Year5	$0	ExcessFromYear5Amt
Excess From Year4	$0	ExcessFromYear4Amt
Excess From Year3	$0	ExcessFromYear3Amt
Excess From Year2	$0	ExcessFromYear2Amt
Excess From Year1	$0	ExcessFromYear1Amt

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Sch A Part I	FormAndLineReferenceDesc
Explanation	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 Colleges 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.	ExplanationTxt

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)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$209,261	OtherActivitiesAmt
Total Lobbying Expenditures	$209,261	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Sch C Part II-B Line 1i	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	$28,096	DonorAdvisedFundsVlEOYAmt
Disclosed Org Leg Ctrl	Yes (true)	DisclosedOrgLegCtrlInd
Disclosed For Charitable Prps	false	DisclosedForCharitablePrpsInd
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
Agent Trustee Etc	false	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (true)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

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	$3,611,309	OtherExpendituresAmt
End Year Balance	$144,294,788	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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
End Year Balance	$133,281,069	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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
End Year Balance	$115,416,968	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$118,822,311	BeginningYearBalanceAmt
Contributions	$2,144,936	ContributionsAmt
Investment Earnings Or Losses	-$1,857,540	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,929,575	GrantsOrScholarshipsAmt
Other Expenditures	$4,052,325	OtherExpendituresAmt
End Year Balance	$113,127,807	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$115,572,683	BeginningYearBalanceAmt
Contributions	$3,363,197	ContributionsAmt
Investment Earnings Or Losses	$5,413,759	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,710,900	GrantsOrScholarshipsAmt
Other Expenditures	$3,816,428	OtherExpendituresAmt
End Year Balance	$118,822,311	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.21000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.76000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.03000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,112,704	OtherCostOrOtherBasisAmt
Book Value	$20,112,704	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$982,780,256	OtherCostOrOtherBasisAmt
Depreciation	$468,986,113	DepreciationAmt
Book Value	$513,794,143	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,474,814	OtherCostOrOtherBasisAmt
Depreciation	$8,832,282	DepreciationAmt
Book Value	$2,642,532	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$619,086,178	OtherCostOrOtherBasisAmt
Depreciation	$467,080,143	DepreciationAmt
Book Value	$152,006,035	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$136,843,670	OtherCostOrOtherBasisAmt
Depreciation	$63,787,785	DepreciationAmt
Book Value	$73,055,885	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$761,611,299	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
ENDOWMENT & OTHER PROGRAMS	$160,143,097	F
BOND	$25,751,347	F
SELF-INSURANCE	$97,780,591	F
CHARITABLE TRUSTS	$5,207,506	F
OTHER INVESTMENTS - SH	$15,001	F
INTEREST IN CG HOSP. FOUND.	$2,408,358	F
CAPITAL HEALTH NETORK	$24,867	F
TRIY-WAY INTERVENTIONAL	$80,000	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$291,410,767	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (11 entries)

DescDesc	Book ValueBookValueAmt
INTERCOMPANY	$141,375,317
CURRENT	$8,771,821
NON-CURRENT	$27,757,102
PENSION	$8,401,695
BENEFIT PLANS - CMH	$1,482,493
ACCRUED INTEREST INCOME	$138,837
INVESTMENT IN MMEC	$1,944,715
DUE FROM SC FOUNDATION	$2,945,546
GOODWILL	$1,381,134
CASH SURRENDER VALUE	$154,352
RECEIVABLE FROM SRMPC	$9,689,287

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$204,042,299	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	-$24,378	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (15 entries)

DescDesc	AmtAmt
SELF INSURANCE	$117,009,350
INTERINSTITUTIONAL PAYABLE	$99,659,083
OTHER LONG-TERM	$25,214,775
OTHER SHORT-TERM	$22,972,239
WORKERS COMPENSATION	$9,930,289
3RD PARTY LIABILITIES	$8,834,000
ACCRUED VACATION	$4,577,612
FEDERAL LOAN PROGRAM	$4,464,820
ACCRUED PENSION	$3,475,449
CAPITAL LEASES	$3,097,703
ASB ABATEMENT	$2,094,223
ASSET RETIREMENT OBLIGATION	$1,690,098
EXECUTIVE LIFE INSURANCE	$976,493
DEFERRED RENT	$519,797
INTEREST RATE SWAPS	$250,966

Field	Value	IRS element (for citing)
Total Liability	$304,742,519	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Sch D Part IV Line 2b	Explanation of Escrow Account Liability Gift annuities
Sch D Part V Line 2	Contributions include $25,109,739 in beginning of year endowment balances for Saratoga Hospital and Columbia Memorial Hospital, which are two new organizations included in the group ruling beginning with the current tax year.
Sch D 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 utilizes available endowment funds to further the mission through ongoing investments through capital and operational expenses. 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.
Sch D 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, 2018 and 2017.

Schedule E IRS990ScheduleE

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

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Sch 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
Sch E Part I Line 3	Nondiscriminatory Policy 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.
Sch E Part I Line 4d	Solicitation of Contributions 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.
Sch E Part I Line 6a	Explanation of Aid or Assistance from Governmental Agency 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 F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	Investments	$14,650,000
North America	Investments	$18,700,579

Field	Value	IRS element (for citing)
Subtotal Spent	$33,350,579	SubtotalSpentAmt
Total Spent	$33,350,579	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Sch F Part I Line 3(f)	FormAndLineReferenceDesc
Explanation	Method of Accounting The accounting method is Fair Market Value. Investments & Expenditures per Region The amounts are entirely investments.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Telethon/Radio	Event1Nm
Gross Receipts Event1	$1,133,992	GrossReceiptsEvent1Amt
Charitable Contri Event1	$1,089,020	CharitableContriEvent1Amt
Gross Revenue Event1	$44,972	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$375,170	OtherDirectExpensesEvent1Amt
Event2	Dance in Woods	Event2Nm
Gross Receipts Event2	$373,839	GrossReceiptsEvent2Amt
Charitable Contri Event2	$254,801	CharitableContriEvent2Amt
Gross Revenue Event2	$119,038	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$200,560	OtherDirectExpensesEvent2Amt
Other Events Total	7	OtherEventsTotalCnt
Gross Receipts Other Events	$731,292	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$617,426	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$113,866	GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events	$198,499	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$2,239,123	GrossReceiptsTotalAmt
Charitable Contributions Tot	$1,961,247	CharitableContributionsTotAmt
Gross Revenue Total Events	$277,876	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$774,229	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$774,229	DirectExpenseSummaryEventsAmt
Net Income Summary	-$496,353	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,943,802	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,138,316	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,805,486	NetCommunityBenefitExpnsAmt
Total Expense	0.00570	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$277,714,112	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$221,950,844	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$55,763,268	NetCommunityBenefitExpnsAmt
Total Expense	0.03590	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$763,595	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$763,595	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$288,421,509	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$223,089,160	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$65,332,349	NetCommunityBenefitExpnsAmt
Total Expense	0.04210	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,955,842	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,426,006	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,529,836	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,870,572	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,340,734	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$56,529,838	NetCommunityBenefitExpnsAmt
Total Expense	0.03640	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,913,002	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,906,655	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,006,347	NetCommunityBenefitExpnsAmt
Total Expense	0.00450	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,900,454	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,566,959	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,333,495	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,762	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$52,762	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$108,692,632	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,240,354	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$70,452,278	NetCommunityBenefitExpnsAmt
Total Expense	0.04530	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$397,114,141	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$261,329,514	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$135,784,627	NetCommunityBenefitExpnsAmt
Total Expense	0.08740	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,000	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,788	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,500	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,288	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$606,936	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$606,936	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,069,400	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,069,400	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,765,124	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,500	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,727,624	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$333,012,158	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$345,704,215	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$12,692,057	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 (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	Tri-Way Intervention	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	Rental of Vascular Equipment	PrimaryActivitiesTxt
Org Profit Or Ownership	0.33	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.0	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.33	PhysiciansProfitOrOwnershipPct

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	Subordinate Hospital EINSubordinateHospitalEIN	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Critical Access HospitalCriticalAccessHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
Albany Medical Center Hospital
1	43 New Scotland Avenue	Albany	NY	12208	www.amc.edu	0101000H	141333830	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	1
Saratoga Hospital
2	211 Church Street	Saratoga Springs	NY	12866	www.saratogahospital.org	4501000H	141338547	Yes (X)	Yes (X)					Yes (X)	2
Columbia Memorial Hospital
3	71 Prospect Avenue	Hudson	NY	12534	www.columbiamemorialhealth.org	1001000H	141338373	Yes (X)	Yes (X)					Yes (X)	3

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 Legal Judicial ProcessPermitLegalJudicialProcessInd	Look Back MedicareLookBackMedicareInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Residency CriteriaResidencyCriteriaInd
ALBANY MEDICAL CENTER HOSPITAL
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	See Section C	Yes (X)	Yes (X)	Yes (true)	16	Yes (true)	Same as Line 7a	false	Yes (true)	Yes (X)	100	400.	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	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 (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
SARATOGA HOSPITAL
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)		16	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	See Section C	Yes (X)		Yes (true)	16	Yes (true)	Same as Line 7a	false	Yes (true)	Yes (X)	250.	400.	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)		Yes (true)	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 (true)		false	Yes (X)	Yes (X)	Yes (X)			Yes (true)		false	false	Yes (X)	www.HCDINY.org	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
COLUMBIA MEMORIAL HOSPITAL
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	See Section C	Yes (X)		Yes (true)	16	Yes (true)	Same as Line 7a	false	Yes (true)	Yes (X)	100	400.	Yes (X)		Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)		Yes (true)	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 (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (true)	Yes (X)	false	false				Yes (X)						Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Sch H Part V Line 5	Account Input from Person Who Represent the Community Facility: Albany Medical Center Hospital Healthy Capital District Initiative (HCDI), an independent, non-profit organization, lead the coordination of a regional community health needs assessment (CHNA) and health prioritization process for the six counties of the Capital Region -- Albany, Rensselaer, Saratoga, Columbia, Greene and Schenectady. Albany Medical Center Hospital participated in this process along with other hospitals (listed in the response to line 6a), five local health departments, and scores of organizations across the six counties representing the interests and needs of the medically underserved, low-income and minority populations in the community (listed in the response to line 6b). These participants provided input on and assisted with: -Identifying and prioritizing significant health needs -Identifying resources potentially available to address those health needs Community health survey Broad community engagement began with participation in a community health survey that provided key input in identifying and confirming priority health needs. HCDI contracted with Siena College Research Institute, a recognized and respected market research center that operates under Siena College in Loudonville, NY, to conduct the survey from February to March 2016. The survey was a random digit dial telephone survey of adult (18+ years) residents for each of the six counties comprising the community assessed in the CHNA (that is, 'the Capital Region') (n=400 per county; 2,400 for Capital Region). The survey offered multiple choice and open-ended questions to learn about residents' health needs, health behaviors, barriers to care, and concerns. Demographic information collected by the survey allowed review of information by age, gender, race/ethnicity and income. A set of questions asked for feedback on perceived community obstacles. Even with the increased percentage of Capital Region residents covered by some form of health insurance, 40% of respondents identified the cost of getting medical care as a very significant obstacle; a slightly lower percentage of the respondents (27%) identified the cost of mental health services as a very significant obstacle. About 31% identified their reluctance to seek help with a mental health issue as a very significant obstacle. About 31% identified the cost of food, and 14% identified access to grocery stores with nutritious options, as very significant obstacles. About 18% identified access to a safe place to exercise, and 21% identified the costs associated with being physically active, as very significant community obstacles. Capital Region residents were asked to identify the most important health-related issues to address in their community. About 31% of the residents identified "reducing obesity in both teens and adults", 27% identified "improving both substance abuse treatment and awareness programs", and 23% identified "improving both preventive care and management for chronic diseases like diabetes, asthma and heart disease" as the most important issues. Regional Workgroups The survey results were incorporated into the examination of health needs by the members of the four regional work groups that were formed by HCDI partners to target and address health priorities specific to particular regions in the defined community. Specially, Capital Region Public Health Prioritization Workgroups were established for Albany-Rensselaer, Columbia-Greene, Saratoga, and Schenectady. Albany Medical Center Hospital participated in and spearheaded the Albany-Rensselaer Workgroup, along with the Albany County Department of Health, the Rensselaer County Department of Health, and St. Peters Health Partners. Also participating in the Albany-Rensselaer Workgroup were dozens of community-based and advocacy organizations representing medically underserved, low-income, and minority populations, which were encouraged to share data of their own and to advocate for the needs of their constituents. These representatives were actively engaged, and many participated in all the prioritization meetings. They provided comments, data, and helped identify critical health resources within the Capital Region. Many of these organizations serve one or more of the following populations: low-income residents, the homeless, those with HIV/AIDS, Alzheimers, mental illnesses, those addicted to alcohol and substances, the elderly, disabled persons, low-income populations, persons challenged with food insecurity, minority populations, and the medically underserved. Examples of these organizations include the two participating federally qualified health centers, 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 that informed their input into the CHNA process. A full list of these and other community organizations, along with the populations they represent, is provided in the response to line 6b. The Albany-Rensselaer Workgroup held three meetings on February 10, February 24, and March 18, 2016. Information about the other three Workgroups is as follows: -The Schenectady Workgroup was spearheaded by Schenectady County Public Health Services, Ellis Medicine, and Sunnyview Rehabilitation Hospital and held meetings on February 4, February 19, and March 31, 2016. -The Saratoga Workgroup was spearheaded by the Saratoga County Health Department and Saratoga Hospital and held meetings on February 10, February 24, and March 18, 2016. -The Columbia-Greene Workgroup was led by Greene County Public Health, Columbia County Department of Health, and Columbia Memorial Hospital and held meetings on February 12th, March 2nd, and March 16th. As with the Albany-Rensselaer Workgroup, each of these Workgroups also included their local county public health departments as well as numerous organizations representing medically underserved, low-income, and/or minority populations, which such organizations are listed in the response to line 6b. Although Albany Medical Center Hospitals prior CHNA was broadly-publicized and a well-known document throughout the community, no written comments were received on the CHNA or its related implementation strategy and hence no such comments were taken into account in the needs assessment process. The Workgroups reviewed data analyses prepared by HCDI and selected the top priorities with one health disparity to be addressed. Data presentations were given at the Workgroup meetings to provide summarized available data on the leading problems in each of the Workgroups service areas. Health indicators were included in the Prioritization data presentations if: -At least one of the county rates was significantly higher than the New York State, excluding New York City data; -At least one of the county rates is in the highest risk quartile in the state; -Rates for the health condition worsened over the past decade for one of the counties; -The health condition was a leading cause of death in one of the counties; -Disparity between rates was clearly evident in sub-populations or -There were a high absolute number of cases in the counties. Health indicators that met the criteria were included in the data presentations for each of five Prevention Agenda Priority Areas: Prevent Chronic Diseases; Promote a Healthy and Safe Environment; Promote Healthy Women, Infants, and Children; Promote Mental Health and Prevent Substance Abuse; and Prevent HIV/STDs, Vaccine Preventable Diseases and Healthcare-Associated Infections. In all, 90 health indicators across the five Prevention Agenda Priority Areas were presented. Available data on prevalence, emergency department visits, hospitalizations, mortality and trends were included for each indicator. Equity data for gender, age, race/ethnicity, and neighborhood groupings were presented as available. After the presentation, these data were made available to Capital Region partners on the HCDI website (http://hcdiny.org/). After the presentation of each set of health indicators, a discussion was held to answer any questions, or for individuals to share their experiences with the health condition in the population. Participants did a preliminary vote on the importance of the condition in the community based on three qualitative dimensions: the impact of the condition on quality of life and cost of health care; if there was community awareness and concern about the condition; and the opportunity to prevent or reduce the burden of this health issue on the community. Participants were provided with a Prioritization Tracking Tool to record their own comments and measure their thoughts on the severity, community values, and opportunity regarding each health indicator. In addition to spearheading and participating in the Workgroups themselves, public health departments were also involved
Sch H Part V Line 6a	List Other Hospital Facilities that Jointly Conducted Needs Assessment Facility: Albany Medical Center Hospital As adopted by members of the Healthy Capital District Initiative, the communities assessed in the Community Health Needs Assessment (CHNA) are the six counties of Albany, Rensselaer, Schenectady, Saratoga, Columbia and Greene. Along with Albany Medical Center Hospital, other hospital participants in this CHNA process included Ellis Hospital, St. Mary's Hospital, St. Peters Health Partners, Saratoga Hospital, Sunnyview Hospital, and Columbia Memorial Hospital, all of which are located in the 6-county region. Facility: Saratoga Hospital As adopted by members of the Healthy Capital District Initiative, the communities assessed in the Community Health Needs Assessment (CHNA) are the six counties of Albany, Rensselaer, Schenectady, Saratoga, Columbia and Greene. The other regional hospitals participating in the 2016 CHNA as HCDI member organizations were: Albany Medical Center, Columbia Memorial Hospital, Ellis Medicine, Glens Falls Hospital, St. Peters Health Partners, St. Mary's Hospital, and Sunnyview Hospital. Facility: Columbia Memorial Hospital As adopted by members of the Health Capital District Initiative, the communities assessed in the Community Health Needs Assessment (CHNA) are the six counties of Columbia, Greene, Albany, Rensselaer, Schenectady and Saratoga. Along with Columbia Memorial Hospital, other hospital participants in this CHNA process included Albany Medical Center Hospital, Saratoga Hospital, Ellis Hospital, St. Marys Hospital, St. Peters Health Partners and Sunnyview Hospital, all of which are located in the 6-county region.
Sch H Part V Line 6b	CHNA Conducted by Organizations Other Than Hospital Facility: Albany Medical Center Hospital Albany Medical Center Hospital's partnership with Healthy Capital District Initiative (HCDI) has enabled us to track the public health issues of the residents of Albany and Rensselaer Counties, and to meet those needs in a collaborative manner. Other HCDI member organizations have been tracking and working together to address significant health priorities in the remaining Capital Region counties. The CHNA document benefited from the review and input of the members of the Prevention Agenda workgroup of the Healthy Capital District Initiative. These individuals are subject matter experts from area county public health departments and each of the Capital Region hospitals. They were joined by representatives from community based organizations, businesses, consumers, schools, academics, and disease groups for a total of approximately 150 different organizations participating in the four Capital Region Public Health Prioritization, and Community Health Improvement Plan (CHIP) Work Groups. A full list of the more than 150 participants is provided below and can also be found on pages 17-21 of our 2016 CHNA and implementation strategy by accessing this link: http://www.amc.edu/Community-Health-Needs-Assessment-and-Implementation-St rategy/upload/Community-Health-Needs-Assessment-and-Implementation-Strateg y_Albany-Medical-Center_2016-3.pdf Organizations below participated in the Albany-Rensselaer Public Health Priority Workgroup, many of which represented medically underserved, low-income, and/or minority populations; these have a parenthetical after their name identifying the population they represent: -Albany County Department of Health (medically underserved, low-income, minority populations residing in Albany County) -Albany County Department of Mental Health (medically underserved, low-income, minority populations in Albany County) -Albany County Department of Social Services (medically underserved, low-income, minority populations in Albany County) -Albany Medical Center (medically underserved, low-income, minority populations; largest provider of care to Medicaid population in the region; regions only HIV/AIDS treatment center) -Albany Medical Center Physicians Assistant Program (medically underserved, low-income, minority populations, including those with chronic diseases, mental illnesses, women and children, etc.) -Albany Rensselaer Cancer Program (medically underserved, low-income, minority populations diagnosed with cancer or seeking free cancer screenings) -Alliance For Better Health Care (NYS DSRIP program, led by Ellis Medicine and includes St. Peters Health Partners, serving medically underserved, low-income, minority populations, populations with chronic diseases and behavioral health needs) -Alzheimers Association (care and support for those affected with Alzheimers) -Alzheimers Association, Faith Outreach liaison between those with Alzheimers and their faith communities) -Belvedere Health Services, LLC (provides substance abuse treatment for underserved, low-income populations) -Berkshire Farm Center & Youth Services (provides foster care, group homes, family preservation, truancy, and counseling to youth who are often at-risk) -Better Health for Northeastern New York (NYS DSRIP program, led by Albany Medical Center Hospital, serving medically underserved, low-income, minority populations, populations with chronic diseases and behavioral health needs) -Boys and Girls Club (low-income, minority youth) -Capital District Childcare Coordinating Council (provides child care resources to Albany, Saratoga, Schenectady, Fulton, Montgomery, and Rensselaer counties) -Capital District Physicians Health Plan (CDPHP) (regional payer with community involvement; offers programs to support health and disease prevention for all populations) -Capital District Psychiatric Center (all persons with behavioral health needs, including medically underserved, low-income, minority populations) -Capital District Tobacco Free Coalition (youth populations) -Capital District Transportation Committee -Capital District YMCA (Capital Region residents, with targeted programs for low-income, minority youth) -Capital Roots (reduces the impact of poor nutrition on public health through community gardens, serving low-income and minority populations) -Capital Region BOCES (youth population) -Care Coordination Services (provides support to populations with or at risk for HIV/AIDS and other chronic medical conditions, low-income, medically underserved, minority populations) -Catholic Charities (low-income, minority populations) -Catholic Charities: Community Maternity Services (continuum of care services for pregnant adolescents and young parents, low-income, minority populations) -Center for Disability Services (medically underserved population with disabilities) -City of Albany Police Department (programs for minority populations, low-income) -Colonie Senior Services Centers (services for elderly population) -Commission for Economic Opportunity (low-income, minority populations) -Community Care Behavioral Health Organization (medically underserved, low-income, minority populations) -Conifer Park (private system providing care to alcohol/drug abuse population -DePaul Housing Management (low-income, elderly populations) -Eddy visiting Nurse Association (medically underserved, senior population) -Fidelis Care Network (medically underserved, low-income, minority populations) -Food Pantries of the Capital District (low-income, minority populations; provides food for populations with food insecurities) -Healthy Capital District Initiative (HCDI) (medically underserved, low-income, minority populations) -Hometown Health Centers (medically underserved, low-income, minority populations) -Hospitality House (medically underserved, low-income, minority populations) -Hudson City School District -Independent Living Center of the Hudson Valley (medically underserved, low-income, minority populations) -Interfaith Partnership (medically underserved, low-income, minority populations) -Jewish Family Services of Northeastern NY (low-income, minority populations) -LaSalle School (low-income, minority populations) -Mental Health Empowerment Project (medically underserved, low-income, minority populations) -National Association of Social Workers (advocates to strengthen the social work practice) -National Grid -Next Wave -Office of NYS Senator Neil Breslin -Rehabilitation Support Services (medically underserved) -Rensselaer County Department of Health (medically underserved) -Rensselaer County Department of Mental Health (medically underserved) -Rensselaer Park Elementary school -Samaritan Radiation Oncology (medically underserved, low-income, minority populations) -Senior Hope (alcohol and substance abuse services for the elderly population) -Senior Services of Albany and Cohoes Multi-Service Senior Citizen Center, Inc. (medically underserved, senior population) -St Peters Addiction Recovery Services Saratoga (medically underserved) -St. Catherines Center for Children (provides support to low-income youth and families) -St. Peters Health Partners (medically underserved, low-income, minority populations) -St. Peters Health Partners (Health Program and Promotion) (medically underserved, low-income, minority populations) -St. Peter's Health Partners (medically underserved, low-income, minority populations) -The Community Hospice (hospice care for chronically ill populations) -The Sage Colleges -United Way of the Greater Capital Region (medically underserved, low-income, minority populations) -Unity House (medically underserved, low-income, minority populations) -University at Albany -University at Albany School of Public Health -Upper Hudson Planned Parenthood (medically underserved, low-income, minority populations) -Van Rensselaer Manor (services for the elderly population) -Veteran Mental Health Council @ VA (medically underserved, low-income, minority populations) -Village of Colonie Outreach (low-income, minority populations) -Visiting Nurses Association of Albany (home care for Albany County, including the elderly, disabled, patients with chronic diseases) -Xerox State Healthcare -YMCA (low-income, minority youth) Facility: Saratoga Hospital The following is a list of all of the local partners within Saratoga County that helped conduct the spring 2016 CHNA. -Adirondack Health Institute -Alcohol and Substance Prevention Council -Ballston Area Seniors -Ballston Spa Central School District -Burnt Hills-Ballston Lake School District -Capital Region BOCES -CAPTAIN Youth and Family Services -Catholic Charities -Chamber of Southern Saratoga County -Charlton Seniors -City of Saratoga Springs -Community Hospice, Inc. -Corinth Central School District -Corinth Senior Citizens Center -Cornell Cooperative Extension -Cornell Cooperative Extension -Early Childhood Direction Center -Four Winds - Sara
Sch H Part V Line 7	Line 7a Facility: Albany Medical Center The hospital's CHNA is posted at the following website: https://www.amc.edu/Community-Health-Needs-Assessment-and-Implementation-S trategy/index.cfm Facility: Saratoga Hospital The hospital's CHNA is posted at the following website: https://www.saratogahospital.org/classes/communityhealthneedsassessment Facility: Columbia Memorial Hospital The hospital's CHNA is posted at the following website: https://www.columbiamemorialhealth.org/community-health/ Line 7d Description of Making Needs Assessment Widely Available Facility: Albany Medical Center Hospital -Albany Meds newsletter 'Albany Med Today' -Albany Med Board of Directors board portal -Furnished upon request (internal and external requests)
Sch H Part V Line 11	Explanation of Needs Not Addressed and Reasons Why Facility: Albany Medical Center Hospital A description of how Albany Medical Center Hospital is addressing the significant needs identified in its 2016 CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed can be found on pages 29-43 of Albany Medical Center Hospitals 2016 CHNA and implementation strategy, which is available at http://www.amc.edu/Community-Health-Needs-Assessment-and-Implementation-St rategy/upload/Community-Health-Needs-Assessment-and-Implementation-Strateg y_Albany-Medical-Center_2016-3.pdf. A description of how Albany Medical Center Hospital addressed the health needs identified in its 2013-14 CHNA can also be found in the 2016 CHNA and implementation strategy, pages 6-10. During the prioritization process, many health needs were selected by the Prioritization Workgroups as important to address. While there was commonality among many of the pressing health needs, there were also some regional differences. These health priorities of Columbia, Greene, Saratoga, and Schenectady Counties are being addressed largely by hospitals, local health departments, and other organizations in their communities. Columbia-Greene Counties -Substance Abuse -Mental Health -Diabetes/Obesity -Lyme Disease -Respiratory (smoking/asthma) -Heart Disease -Access to specialists -Alcohol abuse Partner Columbia Memorial Hospital, with Greene County Public Health and Columbia County Department of Health is taking the lead on aligning efforts around these mutually selected priority areas. When feasible, Albany Medical Center Hospital will assist with the implementation of the Workgroups initiatives. Saratoga County -Substance Abuse -Mental Health -Alcohol abuse -Diabetes/Obesity -Smoking -Cardiovascular disease -Lyme Disease Partner Saratoga Hospital, with Saratoga County Department of Health is taking the lead on aligning efforts around mutually selected priority areas. When feasible, Albany Medical Center Hospital will assist with the implementation of the Workgroups initiatives. Schenectady County -Mental Health and Substance Abuse (combined) -Obesity -Food scarcity -Smoking related illnesses -Teen pregnancy -Asthma -Diabetes -Falls -Childhood lead Schenectady 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 will assist with the implementation of the Workgroups initiatives. Facility: Saratoga Hospital Saratoga Hospital intends to address needs within the five Prevention Agenda focus areas identified as significant needs in Saratoga County; however, some of the challenges identified for these focus areas will not be addressed directly by hospital-led initiatives. The Saratoga County CHNA notes that too few children in Saratoga County are screened for exposure to lead. Saratoga County Public Health Nursing Service has a very robust lead screening program that is grant-funded. Saratoga Hospital supports this public health program and will assist the public health efforts led by the County. The CHNA also notes that occupational injury rates for teenagers are higher than expected for Saratoga County residents. Saratoga Hospital is concerned with this trend, but cannot actively address this need beyond supporting local employers in their efforts to make their work places safer. Saratoga Hospital does operate a very active Corporate Health program throughout the county and efforts to address this need will be channeled through this program. Other health issues include the promotion of a healthy and safe environment, as well as preventing Lyme disease and chlamydia. These issues will not be addressed directly by Saratoga Hospital; however, Saratoga Hospital is committed to improving the health and wellness of our communities, and fully supports local governments and wellness coalitions in their efforts to impact these issues. Facility: Columbia Memorial Hospital Columbia Memorial Hospitals Community Service Plan, available publicly on the organizations website (www.columbiamemorialhealth.org) discusses the local priorities being targeted from the States Prevention Agenda, along with any reasons why certain items are not prioritized. During the prioritization process, Columbia Memorial worked closely with its community partners, including the Columbia and Greene County Departments of Health, Greene County Public Health, Greene County Rural Health Network, Twin County Recovery Services, The Healthcare Consortium, and others with our region. Health priorities of Columbia and Greene Counties are being addressed largely by the hospital, local health departments, and other organizations in their communities. Columbia-Greene Counties -Substance Abuse -Mental Health -Health Women & Infants -Respiratory (Smoking/Asthma) -Infectious Diseases (Lyme Disease and HIV) Albany-Rensselaer Counties -Mental Health -Substance Abuse -Obesity -Diabetes -Respiratory (smoking/asthma) -Adverse birth outcome -STD/HIV -Lyme disease -Female breast cancer -Falls Partner Albany Medical Center Hospital, with Albany County Department of Health, Rensselaer County Department of Health, and St. Peters Health Partners is taking the lead on aligning efforts around these mutually selected priority areas. If/when feasible, Columbia Memorial Hospital will assist with the implementation of the Workgroups initiatives. Saratoga County -Substance Abuse -Mental Health -Alcohol abuse -Diabetes/Obesity -Smoking -Cardiovascular disease -Lyme Disease Partner Saratoga Hospital, with Saratoga County Department of Health is taking the lead on aligning efforts around mutually selected priority areas. When feasible, Albany Medical Center Hospital and/or Columbia Memorial Hospital will assist with the implementation of the Workgroups initiatives. Schenectady County -Mental Health and Substance Abuse (combined) -Obesity -Food scarcity -Smoking related illnesses -Teen pregnancy -Asthma -Diabetes -Falls -Childhood lead Schenectady 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, one or more of the Albany Med Health System affiliates will assist with the implementation of the Workgroups initiatives. 2018 update of Needs Addressed Facility: Albany Medical Center Every three years, Albany Medical Center collaborates with regional partners to participate in a Comprehensive Health Needs Assessment (CHNA) to address the communitys significant health-related issues. For the 2016-2018 CHNA, Albany and Rensselaer Counties selected the following prevention priorities: -Prevent Chronic Disease (target: obesity, diabetes) -Promote Mental Health and Prevent Substance Abuse 2018 updates to the selected priorities include: Preventing Chronic Disease: Albany Meds workplace health and wellness programs continues to grow in both size and scope. In 2018, over 700 employees attended the Annual Wellness fair and enrolled in 'Life Points,' a wellness incentive program. Our Wellness Committee also promotes physical activity more than 1,600 employees are members of our Fitness Center and hundreds more participate in physical activity offerings made available to staff, such as Zumba, Pilates, meditation, walking routes, bootcamps, etc. We have also installed bike racks to promote biking to work and encourage employee participation in CDPHPs bike sharing program. With our partners, we established a strategy to increase engagement in the prevention and self-management of diabetes and related co-morbidities. Goals included increasing pre-diabetes screening, promoting diabetes self-management education, and promoting health food & beverage choices and physical education. In 2018, we had over 5,000 patients visits with Albany Meds Certified Diabetes Educators; over 3,000 Albany Med employees participated in our Move, Learn, Health, and Eat wellness initiatives; we participated in more than 30 clinical trials with innovative diabetes medications; and had over 700 Albany Med employees attend our Annual Employee Wellness Fair. In 2014, the Albany County Department of Health administered a grant to reduce sodium in our cafeteria and improve nutrition signage and food placement. Healthy changes made to our food options during that time period exist today, and continue to grow. Every day, our cafeteria is utilized by over 3,000 employees, patients, and visitors. We reduced the sodium in soups by 15%, offer low-sodium deli meats, and have made healthy 'on-the-go' bagged lunches and sala
Sch H Part V Line 13h	Other Factors Used in Determining Amounts Charged Patients Facility: Albany Medical Center Hospital The 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 Hospital Additional eligibility criteria for the Hospitals 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.
Sch H Part V Line 15e	Other Actions Taken Before Any Collection Actions Facility: Saratoga Hospital In accordance with the Hospitals 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. Sch H Part V Line 16a, 16b, and 16c Facility: Albany Medical Center The Hospital's financial assistance policy, applicable, and plain language summary are posted at the following website: www.amc.edu/pbs Facility: Saratoga Hospital The Hospital's financial assistance policy, applicable, and plain language summary are posted at the following website: https://www.saratogahospital.org/patients-visitors/patients/billing/financ ial-assistance Facility: Columbia Memorial Hospital The Hospital's financial assistance policy, applicable, and plain language summary are posted at the following website: https://www.columbiamemorialhealth.org/financial-assistance/
Sch H Part V Line 20d	Other Billing Determination of Individuals Without Insurance Facility: Saratoga Hospital The Hospital does not current have a process for assessing patients' presumptive eligibility for benefits under the Hospitals Financial Assistance Policy.
Sch H Part V Line 20e	Other Actions Taken Before Any Collection Actions Facility: Albany Medical Center Hospital The organization performs one last check for payor eligibility on accounts greater than $1,500.
Sch H Part V Line 22d	Other Billing Determination of Individuals Without Insurance Facility: Albany Medical Center Hospital Albany Medical Center 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 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.
Sch H Part V	Facility: Albany Medical Center Albany Medical Center Hospital has one facility with two locations.

Field	Value	IRS element (for citing)
Facility	93	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (93 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Albany Medical Center Hospital South
25 Hackett Blvd	Albany	NY	12208	Second location of Albany Medical Center Hospital
Albany Med HIV Medicine
1 Clara Barton Drive	Albany	NY	12209	HIV Medicine
Park South Medical Office Building
391 Myrtle Avenue	Albany	NY	12208	Vascular Surgery, Neurology (Pediatric), Ob/GY, Neurosurgery, Behavioral,
Surgeons Pavilion
50 New Scotland Avenue	Albany	NY	12208	Surgery - ENT Adult, Plastic, Pediatric, General, Cardiothoracic
Albany Med Malta
6 Medical Park Drive Suite 203	Ballston Spa	NY	12020	Multispeciality Clinic
Albany Med EmUrgentCare - Brunswick
730 Hoosick Road	Brunswick	NY	12180	EmUrgentCare
Albany Med EmUrgentCare - Coxsackie
11835 Route 9W	West Coxsackie	NY	12192	EmUrgentCare
Albany Med EmUrgentCare - Glenmont
329 Glenmont Road	Glenmont	NY	12077	EmUrgentCare
Albany Med EmUrgentCare - Glenville
115 Saratoga Road	Glenville	NY	12302	EmUrgentCare
Albany Med EmUrgentCare - Mechanicville
7 Price Chopper Plaza	Mechanicville	NY	12118	EmUrgentCare
Albany Med EmUrgentCare - Niskayuna
1769 Union Street	Niskayuna	NY	12309	Urgent Care, Ambulatory Care Ctr, Community GI, General Srgry, Multispecialty, OB/GYN
Albany Med Saratoga
377 Church Street 2nd Floor	Saratoga Springs	NY	12866	Vascular Surgery
Albany Med EmUrgent Care - Saugerties
2976 Route 9W	Saugerties	NY	12477	EmUrgentCare
Albany Med EmUrgent Care - Colonie
98 Wolf Road Suite 16	Albany	NY	12205	EmUrgentCare
Albany Med North Greenbush
101 Jordan Road Suite 201	Troy	NY	12180	Multispeciality Clinic
Albany Med Latham
713 Troy-Schenectady Road Suite 30	Latham	NY	12110	Multispeciality Clinic
Albany Med Washington Ave
1365 Washington Avenue Suite 200	Albany	NY	12206	Sleep Disorders Institute, Multispecialty Clinic
Albany Med Neurology
101 Jordan Road Suite 102	Troy	NY	12180	Neurology
Albany Med Neurology
1365 Washington Avenue Suite 100	Albany	NY	12206	Neurology
Albany Med Endocrinology
1365 Washington Avenue Suite 100	Albany	NY	12206	Endocrinology
Allergy Asthma and Immunology
176 Washington Avenue Extension	Albany	NY	12203	Allergy
Albany Med (Valatie)
1301 River Street Suite 101	Valatie	NY	12184	Multispecialty Clinic, Surgery Multispecialty
Albany Med Internal Medicine
178 Washington Avenue Extension	Albany	NY	12203	Internal Medicine
Albany Med Neurology
1783 Route 9 Suite 205	Clifton Park	NY	12065	Neurology, Urology
Albany Med ENT
1783 Route 9 Suite 207	Clifton Park	NY	12065	Surgery - ENT
WIC Program
220 Green Street	Albany	NY	12202	OB/GYN, WIC (Women, Infants, & Children's Program)
Albany Med Clifton Park
453 Route 146 Suite 204	Clifton Park	NY	12065	Multispeciality Clinic
Albany Med Clifton Park Crossing Blvd
3 Crossing Boulevard Suite 2	Clifton Park	NY	12065	Multispeciality Clinic
Albany Med Delmar
250 Delaware Avenue Suite 202	Delmar	NY	12054	Multispeciality Clinic
Albany Med Gastroenterology
3757 Carman Road	Schenectady	NY	12303	Gastroenterology, Urology
Albany Med Saratoga Surgery
381 Church Street 1st Floor	Saratoga Springs	NY	12866	General Surgery
Albany Med Neurosurgery - Glens Falls
454 Glen Street	Glens Falls	NY	12801	Neurosurgery
Latham MedicinePediatrics Group
724 Watervliet Shaker Road	Latham	NY	12047	Medicine, Pediatrics
Albany Med Pediatrics
100 Great Oaks Boulevard Suite 103	Albany	NY	12203	Community Pediatrics
Albany Med Thoracic Surgery
7 Southwoods Boulevard	Albany	NY	12211	Cardothoracic
North Country OBGYN
90 South Street	Glens Falls	NY	12801	OB/GYN
Albany Med Cardiology
2524 Route 9W	Ravena	NY	12143	Cardiology
Albany Med Kingston
117 Marys Ave Suite 202	Kingston	NY	12401	Vascular Surgery
Albany Med EmUrgentCare - Latham
1019 New Loudon Road	Latham	NY	12047	EmUrgentCare, Pediatrics
Albany Med EmUrgentCare - Rotterdam
1400 Altamont Avenue	Rotterdam	NY	12303	EmUrgentCare
Albany Med EmUrgentCare - Guilderland
5 New Karner Road	Guilderland	NY	12084	EmUrgentCare
Albany Med Vascular Surgery
102 Park Street	Glens Falls	NY	12801	Vascular Surgery
Albany Med Vascular Surgery
1201 Nott Street Suite 202	Schenectady	NY	12308	Vascular Surgery
Albany Med Vascular Surgery
1250 Riverfront Center Suite 2420	Amsterdam	NY	12010	Vascular Surgery
16 New Scotland Avenue
16 New Scotland Avenue 2nd Floor	Albany	NY	12208	Medicine - Pulmonary and Rheumatology
Albany Med Pediatrics
22 New Scotland Avenue	Albany	NY	12208	Pediatrics, Psychiatry
Albany Med Urology
2200 Rosa Road	Schenectady	NY	12309	Surgery - Urology
Albany Med Bariatric Surgery
99 Delaware Avenue	Delmar	NY	12054	Surgery - Bariactrics
Wilton Medical Arts
3040 - 3050 Route 50	Saratoga Springs	NY	12866	Urgent Care/Imaging/Lab Svcs/Pain Mgmt/Family Med/Ambulatory Surgery
Malta Med Emergent Care
6 Medical Park Drive	Malta	NY	12020	Urgent Care/Lab Svcs/Family Med/Hematology/Oncology/Imagin g/Infusion/Cardiology
Regional Therapy Center at Care Lane
6 Care Lane	Saratoga Springs	NY	12866	Rehabilitation (OT/PT)/Nephrology/Neurology
Regional Therapy Center at the Springs
9 Hampstead Place Suite 107	Saratoga Springs	NY	12866	Rehabilitation (OT/PT)
Regional Therapy Center at Washington St
225 Washington Street	Saratoga Springs	NY	12866	Rehabilitation (OT/PT)
Saratoga Medical Oncology Hematology
3 Care Lane	Saratoga Springs	NY	12866	Oncology Hematology
Saratoga Midwifery-Women's Primary Care
665 Saratoga Road	Wilton	NY	12831	Midwifery, Women's Primary Care, and Endocrinology
Scotia-Glenville Family Medicine
112 Charlton Road	Ballston Lake	NY	12019	Family Medicne
Saratoga Community Health Center
24 Hamilton Street	Saratoga Springs	NY	12866	Family Medicine/Dentistry/Internal Medicine/Mental
Corporate Health Services
2388 Route 9	Malta	NY	12020	Corporate Health Services
Regional Therapy Center at Malta Commons
100 Saratoga Village Blvd Suite 34	Ballston Spa	NY	12020	Rehabilitation (OT/PT)
Milton Health Center
510 Geyser Road	Ballston Spa	NY	12020	Family Medicine/Physical Therapy/Rehabilitation (OT/PT)
Saratoga Regional Urology Associates
19 West Avenue Suite 103	Saratoga Springs	NY	12866	Urology/Sleep Lab/Pulmonary Medicine
Saratoga Ctr Gen & Minimally Inv Surgery
1 West Avenue Suite 125	Saratoga Springs	NY	12866	Minimally Invasive Surgery/Bariatric Surgery
Saratoga Family Health
119 Lawrence Street	Saratoga Springs	NY	12866	Family Medicine/Podiatry
Schuylerville Family Health
200 Broad Street	Schuylerville	NY	12871	Family Medicine
Galway Family Health
5344 Sacandaga Road PO Box 190	Galway	NY	12074	Family Medicine
Cardiology Specialty Services
254 Church Street 2nd Floor	Saratoga Springs	NY	12866	Cardiology
Mechanicville Primary Care
202 S Central Ave	Mechanicville	NY	12118	Primary Care
Sports Medicine
8 Medical Park Drive	Malta	NY	12020	Sports Medicine
Mechanicville Primary Care
2911 Route 9	Ballston Spa	NY	12020	Primary Care
Greene Medical Arts Bldg - GMI
159 Jefferson Heights	Catskill	NY	12414	O/P Medical Imaging Services
Greene Medical Arts Bldg - Family Care
159 Jefferson Heights	Catskill	NY	12414	O/P Family Care Practices
Greene Medical Arts Bldg - Specialty
159 Jefferson Heights	Catskill	NY	12414	O/P (Womens Hlth, Psych, Ortho, Draw)
Greene Medical Arts Bldg - Specialty
159 Jefferson Heights	Catskill	NY	12414	O/P (Cardio, Sleep Ctr, Peds, Nephrology)
Columbia Medical Complex - Imaging
67 Prospect Avenue	Hudson	NY	12534	O/P Medical Imaging Services
Columbia Medical Complex - Specialty
67 Prospect Avenue	Hudson	NY	12534	O/P (Endo, Cardio, Nephro, Urology, Psych)
Columbia Medical Complex - Specialty
67 Prospect Avenue	Hudson	NY	12534	O/P (Bone & Joint, Spine, Rheumatology)
Columbia Medical Complex - Specialty
67 Prospect Avenue	Hudson	NY	12534	O/P (Women's Health & Surgery)
Columbia Medical Complex - Surg Assoc
67 Prospect Avenue	Hudson	NY	12534	O/P Surgical Practice
Columbia Medical Complex - Family Care
67 Prospect Avenue	Hudson	NY	12534	O/P Family Care Practices
Columbia Memorial Bone & Joint
23 Fish and Game Road	Hudson	NY	12534	O/P (Ortho, PT & OT)
Columbia Memorial Valatie Campus
OSJ Plaza - 2827 Route 9	Valatie	NY	12184	O/P (Rapid Care, Family Care, Draw)
Valatie Medical Arts Building - Imaging
1301 River Street	Valatie	NY	12184	O/P Medical Imaging Services
Valatie Medical Arts Building - Spec
1301 River Street	Valatie	NY	12184	O/P Cardiology
Valatie Medical Arts Building - Fam Care
1301 River Street	Valatie	NY	12184	O/P Family Care Practice
Columbia Memorial Pediatrics
813 Warren Street	Hudson	NY	12184	O/P Pediatric Services
Callan Family Care Center
385 Mountain View Road	Copake	NY	12516	O/P Family Care Practice
Chatham Family Care Center
31 Dardess Drive	Chatham	NY	12037	O/P Family Care Practice
Broadway Family Care Center
7385 South Broadway	Red Hook	NY	12571	O/P Family Care Practice
Cairo Family Care Center
4384 Route 23	Cairo	NY	12413	O/P Family Care Practice
Windham Medical Care
345 State Route 296	Hensonville	NY	12439	O/P Family Care Practice
Coxsackie Medical Care
9 Law Street	West Coxsackie	NY	12192	O/P Family Care Practice
CMH Dental Van
71 Prospect Avenue	Hudson	NY	12534	Mobile Care Unit
CMH Rapid Care - Copake
283 Mountain View Road	Copake	NY	12516	O/P Rapid Care

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Sch H Part I Line 6a	Related Organization Community Benefit Report All Schedule H disclosures reference the Albany Medical Center organization, of which Albany Medical Center Hospital, Saratoga Hospital, and Columbia Memorial Hospital are a part of. The Community Benefit report is prepared for Albany Medical Center. Also included in this organization is Albany Medical College.
Sch H Part I Line 7	Explanation of Costing Methodology 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 $1,555,076,005. 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.
Sch H Part II Line 2	Economic Development Activities Albany Medical Center: For Albany Med, community matters. Through our dedicated Community Development unit we help support more than 100 community organizations annually. Special attention is focused on organizations that serve the City of Albany and the neighborhood around the New Scotland Avenue of the Medical Center. Within the City of Albany, the Medical Center supports numerous organizations focused on youth, the underserved, education and health. In 2018, Albany Med invested nearly $400,000 in Albany-based non-profit organizations. Along with Tri City Rentals, Albany Med has also led significant investment in the Park South neighborhood, formerly blighted and crime ridden; today it is a vibrant, safe community with residential, retail, restaurants, banks, and medical office buildings. Albany Med is also the lead supporter of Park Playhouse, about a block from Albany Med, as it brings outstanding free summer theater to the residents of Albany as well as the region. The Park South neighborhood was declared an Urban Renewal District in 2006 by the City of Albany. The City worked with the community to create a parcel-by-parcel revitalization plan, the Park South Urban Renewal Plan. This Plan was designed to stimulate neighborhood revitalization and improve the quality of life in the nine-block area. The Plan was 'designed to create a vibrant and healthy mixed-use and mixed income urban neighborhood that seeks to reinforce the existing and historical fabric, density and diversity, while enabling new mixed-use development opportunities. The Plan has fulfilled each of its stated goals, reducing crime, removing blight, and catalyzing investment that has established Park South as an inclusive neighborhood of choice.' (NYSEDC Case Studies). Albany Meds medical office building, parking garage and infrastructure project (AMC Project) was a key component of the overall Park South development, providing improved infrastructure/streetscape to the neighborhood, a parking garage for community use, and a medical building with occupants that employ approximately 330 people in the healthcare field while also providing services to the wider population. The project also serves as a catalyst for further commercial development in the surrounding neighborhood. The AMC Project was a crucial part of the Park South neighborhood development plan. The plan was meant to address problems experienced over the years by the neighborhood with quality of life and public safety, as well as significant economic disinvestment. The AMC project is one of the most significant investments in commercial development within the neighborhood, and brings in additional employment and overall commercial activity. The project is also located within an area that is accessible by public transportation and near existing transportation routes. Development costs incurred by AMC relative to the construction of the medical office building and parking garage amounted to approximately $53 million. 2018 Park South expenditures: In addition to the substantial investment made by AMC in the Park South medical office building and parking garage, AMC made the following expenditures during 2018: -$87,458 - Traffic improvement (traffic signals, pavement striping, traffic signage) -Community Garden donation --The creation of a new Community Garden had been discussed with the Park South neighborhood during the early stages of the Park South redevelopment project. Both Albany Medical Center (AMC) and Tri-City Rentals worked to complete this activity in 2018. Two parcels of land, located at 251 and 255 Morris Street in Albany, were owned by third party entities. One of the parcels, valued at $100,000, was donated to AMC. The other parcel was purchased by AMC and Tri-City for $105,000. After these transactions occurred, the two parcels were donated to Capital Roots, for creation and operation of the Community Garden. The total value of the donation by AMC to Capital Roots is estimated to be $150,000, based the percentage interest held by AMC and the appraisal report received relative to the two properties. PILOT Payments/Taxes: -During 2018, AMC made the following PILOT payments to the City of Albany relative to 391 Myrtle Ave: --1/2018 - $118,463.32 --9/2018 - $329,124.17 --(Note AMC received reimbursement for 68.5% of these costs from its two tenants during 2018. In 2019, the amount of reimbursement will decrease to approximately 32.5% due to the fact that AMC acquired the Vascular Group.) -During 2018, AMC also paid its share of PILOT payments for several other properties it leases on New Scotland Ave. AMC paid property taxes relative to 3 of its in Albany (1275 Broadway, 35 Hackett and 25 Hackett). Saratoga Hospital: The Hospital has engaged with the local economic development community to assist with local economic development. As a community leader, the Hospital believes that local economic development efforts promote health in the community in a number of ways, including raising the standard of living for all community members, and making the community more attractive as a place to live for talented health care professionals.
Sch H Part II Line 3	Community Support Activities Saratoga 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.
Sch H Part II Line 8	Workforce Development Activities Saratoga Hospital: The Hospital is the key resource in its community for recruiting physicians practicing in areas of medicine identified as needs in the community. A component of this recruitment effort previously included the extension of relocation incentives to physicians in the areas targeted for physician recruitment based on need. The incentives were extended in the form of income guarantees that were provided in an effort to make practice start-up financially palatable for relocating physicians. After an initial period during which funds were advanced to physicians as they had shortfalls versus a targeted income amount, the accumulated advances were converted to promissory notes. Should the physician remain in practice in the community for a contractually agreed-upon number of years after the initial benefit period, the note plus any accrued interest, is forgiven in full. During 2018, the Hospital forgave advances plus accrued interest amounting to $142,698 relating to these arrangements. Columbia 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.
Sch H Part III Line 2	Bad Debt Expense DUE 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. Recent Accounting Pronouncements - footnote 1(y) (ii) from the Combined Audited Financial Statements (ii) Revenue from Contracts with Customers Adoption 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 2018 and 2017, the Hospital incurred approximately $29.1 million and $31.0 million in provisions for uncollectable accounts, respectively. SCH H PART III LINE 4 Community Benefit, Charity Care and Uncompensated Care Footnote from Combined Audited Financial Statements (a) Community Benefit The Hospital 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 Hospital also participate in community leadership efforts by donating significant hours of board service to other not-for-profit organizations. The Hospital supports graduate medical education and offers health professions education support for community members through continuing education programs and scholarships. (b) Charity and Uncompensated Care The Hospital's net cost of charity care, including payments to and receipts from the statewide pool was approximately $16.2 million in 2018 and $13.4 million in 2017 as follows: 2018 Charity care at cost: $12,737,000 Payments to Statewide Pool: $10,595,000 Receipts from Statewide Pool: $(7,091,000) Total: $16,241,000 2017 Charity care at cost: $12,484,000 Payments to Statewide Pool: $9,182,000 Receipts from Statewide Pool: $(8,289,000) Total: $13,377,000 The cost of charity care provided was determined using direct and indirect costs to provide services based on the application of the ratio of the Hospital's overall cost to patient charges. The Hospital also subsidizes services to Medicaid patients, which are paid at reimbursement levels below the Hospital's cost of rendering the related services.
Sch H Part III Line 8	Explanation Of Shortfall As Community Benefit Approximately 19% of the organizations 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 METHODOLOGY The 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.
Sch H Part III Line 9b	Provisions On Collection Practices For Qualified Patients Albany Medical Center: Albany Medical Center 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 maintains a website that provides information on financial assistance, charity care and frequently asked questions. Albany Medical Center further provides assistance and information about available programs during its collection process. Albany Medical Center 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 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 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. Albany Medical Center also offers tailored payment plans upon request. 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 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 patients 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.
Sch H Part I Line 3a	Federal Poverty Guideline Family Income Limit Saratoga Hospital: Saratoga Hospital used a 250% federal poverty guideline family income limit when determining eligibility for free care.
Sch H Part VI Line 2	Needs Assessment Albany Medical Center: Our service area for Community Health Needs Assessment and Improvement Plan The service area defined was chosen by the Health Capital District Initiative, an independent, non-profit organization intended to improve health care in the Capital Region through collaborative means. As adopted by members of the Healthy Capital District Initiative, the communities assessed in the CHNA are the 6 counties of Albany, Rensselaer, Schenectady, Saratoga, Columbia and Greene. They form the common service area covered by the local health departments in Albany, Rensselaer, Schenectady, Saratoga, Columbia and Greene Counties and the primary patient population served by Albany Medical Center Hospital, Ellis Hospital, St. Mary's Hospital, St. Peters Health Partners, Saratoga Hospital, Sunnyview Hospital, and Columbia Memorial Hospital, which are located within the six counties. This 6-county region is also referred to as the Capital Region. Service Areas/Regional Workgroups HCDI partners formed regional work groups to target and address health priorities specific to particular regions in the defined community. For example, four health priority work groups were established: Albany-Rensselaer, Columbia-Greene, Saratoga, and Schenectady. Albany Medical Center Hospital participated in the Albany-Rensselaer Work Group. Representatives, including Albany Medical Center Hospital, combined efforts to continue work on a cooperative health improvement plan for residents of these two counties. Albany Medical Center Hospital is part of a unique tri-partite mission of medical education, biomedical research, and patient care. It is also our defining role as a community health provider, ensuring access to medical and technological innovations that are traditionally found in academic medical centers - for residents of our region and beyond. -We are a safety net hospital, and the lead hospital of a Performing Provider System under the Delivery System Reform Incentive (DSRIP) Program. -Community leadership and community service are integral part to our institutions strategic planning process. -Population health and access for all persons serves as one of 4 pillars in our strategic plan. -We actively promote public health, health education and conduct various health screenings, often in collaboration and partnership with organizations throughout our service area. -Physicians, nurses, medical students and residents, and many of the staff of Albany Medical Center and Albany Medical Center Hospital volunteer their time and talents to the Capital Region community through their involvement in community organizations, community action groups, and healthcare organizations. -Our missions of medical education and biomedical research improve our communitys health through: --education, training, recruitment and retention of physicians and health professionals for our community --advancement of new discoveries through medical science -As the only academic medical center within nearly 150 miles, we provide a host of unique and/or highly specialized services to our community and to hospitals in our region including a Level I Trauma Center and largest Emergency Department, a Level IV NICU, the only Childrens Hospital in the region, the major resource for the Medicaid population, and a provider of high-end surgical services and medical care for the acutely ill. -We are in the process of constructing a pediatric emergency department to care for the emergency needs of children in our region, ranging from trauma to minor emergencies and critical care. More than half approximately 55% - of our pediatric emergency patients are Medicaid beneficiaries. Many of Albany Medical Center Hospitals assets and resources are listed below, all of which greatly impact the health of our region. The regions only medical college: a valuable asset and resource. Our mission of education inspires us to teach our regions current and future medical professionals. -Albany Medical Colleges Patient Safety and Clinical Competency Center houses an incredible collection of simulation and training resources to educate students and other health care workers. It is a critical component of Albany Medical Center Hospitals commitment to the highest standards of patient safety. -Our Continuing Medical Education program helps medical professionals maintain competency skills and learn about new and developing areas in their field, all aimed at improved care of the patient (over 450 educational sessions annually). -Project MEDSCOPE is a unique Albany Medical College program that offers medical students and physicians the opportunity to partner with community organizations and physicians to serve the unmet health care needs of the underserved throughout the region. -Medical students and residents also participate in numerous advocacy projects, such as anti-smoking education to grade school students. -We serve as a clinical rotation site for students from Hudson Valley Community College (HVCC) and Albany College of Pharmacy (ACP) in the fields of nursing, respiratory therapy, ultrasound, cardiovascular, paramedical services, pharmacy and laboratory sciences. -Additionally, we offer scholarships to students in these HVCC and ACP programs, and has recently included scholarship programs at other local and regional colleges such as College of St. Rose (in the field of clinical laboratory medicine). This initiative has succeeded in increasing enrollment in previously under-enrolled HVCC programs to the point where there are sufficient graduating students to fill vacancies in many other hospitals in this region. A key community educator in our region: a valuable asset and resource We are committed to serving as one of the greatest community education resources in the region: -General Public Education --Annual Health Fairs --Health Screenings --Health seminars and workshops -Targeted Community Education --Disease specific programs --Broad range of clinical experts from Albany Med -Serving as an educational site for local high schools -Community Support --Memberships --Partnerships --Board service -Support for awareness programs, programmatic initiatives --e.g., Ronald McDonald House, American Cancer Society, American Heart Association -Support for Economic Development / Workforce Development --To attract and retain a trained, educated workforce -Support for Quality of Life programs --e.g., Boy Scouts, Jewish Family Services, Capital Region Pride Center, Regional Food Bank, Girls Inc. Needed services provided to special populations: a valuable asset and resource -Major resource for Medicaid and uninsured populations --We are the largest single provider of care to the Medicaid and uninsured populations in a 25-county region, making community-based physicians available by accepting public plans that private physician groups often do not -Hospital that serves other hospitals --We provide comprehensive care to the critically ill and injured that is not available at other hospitals accepting more than 13,000 patient transfers a year -Diverse population --Our caregivers and medical students are from demographically diverse backgrounds, meeting the primary and specialty care needs of a diverse population --Our workforce is demographically more diverse than the 25-county region we serve -Provider of regional services --We coordinate and provide a host of regional services created to improve the health and outcomes of our regions population. Examples of our regional outpatient and hospital-based services are as follows: --Regional Perinatal Center --Lifestar Regional Trauma Program --Regional AIDS Program --Regional Trauma Center --Regional Resource Center -Patient Safety and Clinical Competency Center (training for health care professionals in a virtual learning environment) Collaborating with Regional Health Improvement Task Forces: contributing valuable assets and resources The following summarizes some of the many resources Albany Medical Center Hospital will provide to maximize the health strategies of each Regional Health Improvement Task Forces (Behavioral Health and Diabetes): -Multi-specialty physician network -Acute and tertiary care -Adult and pediatric health education programs -Clinical and biomedical research -Medical education -Community education programs -Caregiver education programs -Various public education forums (health fairs, seminars, workshops, screenings, etc.) -Continuing Medical Education -Employee Wellness initiatives Saratoga Hospital: The process of identifying the important healthcare needs of the residents of the Capital Region and specifically, Saratoga County, involved both data analysis and consultation with key members of the community. The data was collected from multiple sources including publicly available health indicator data, data collected from a survey conducted by the Healthy Capital Region Initiative (HCDI) and Saratoga Hospital. As a whole, the Capital Regi
Sch H Part VI Line 3	Patient Education of Eligibility for Assistance Albany Medical Center: Albany Medical Center 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 maintains a website that provides information on financial assistance, charity care and frequently asked questions. Albany Medical Center further provides assistance and information about available programs during its collection process. Albany Medical Center 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 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 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 Hospitals 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 Hospitals 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 Hospitals 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 Hospitals FAP. Columbia Memorial Hospital: The Hospital's written bad debt and Charity Care 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 charity care. As patients are enrolled in the charity care program, adjustments to their outstanding balance is charged against net patient service revenue, and not considered a component of bad debt expense.
Sch H Part VI Line 4	Albany Medical Center Hospital As adopted by members of the Healthy Capital District Initiative, the communities being assessed in this report are the 6 counties of Albany, Rensselaer, Schenectady, Saratoga, Columbia and Greene, referred to as the 'Capital Region'. They form the common service area covered by the local health departments in Albany, Rensselaer, Schenectady, Saratoga, Columbia and Greene Counties and the primary patient population served by Albany Medical Center Hospital, Ellis Hospital, St Peters Health Partners, Saratoga Hospital and Columbia Memorial Hospital, which are located within the six counties. Demographic information on the population analyzed was based on 2009-2013 U.S. Census American Community Survey (ACS). The combined population in the Capital Region is roughly 952,500 individuals. About 24.2% were 0-19 years of age, while 14.5% were 65 years of age or older. Approximately 11.3% were living in poverty. The race/ethnicity distribution was 85.1% White, 7.7% Black, 3.2% Asian/Pacific Islander, and 4.0% other races; 4.4% were Hispanic/Latino (any race). In addition to the data analyses contained in the county-specific Prevention Agenda Prioritization PowerPoint presentations given at the Public Health Priority Workgroup meetings (http://hcdiny.org/, '2016 Capital Region Health Prioritization Presentations'), the 2016 Community Health Profile analyzed the health needs of the Region. In 2014, the most recent demographic profile available, the Capital Region was home to approximately 952,500 residents, equally distributed between males and females, with counties ranging from urban (Schenectady-758 pop. /sq. mile) to rural (Greene-75 pop. / sq. mile). The Regions mean age of 40.2 years was higher than that of New York State (NYS). About 17% of the population was 14 years of age or younger, while 16% was 65 years of age and older. Approximately 15% of the Capital Regions population was non-White and 4.4% Hispanic. The Regions median household income of $60,722 was higher than NYS. Its poverty rate of 11.3% was lower than NYS. Almost 16% of the Regions children less than 18 years of age were below poverty. About 8.8% of the Capital Regions population 25 years of age or older had less than a high school education. The health of Capital Region residents was generally consistent with other New York counties outside New York City (Rest of State), although Capital Region residents had a higher overall age-adjusted mortality rate as well as a higher rate of Years of Potential Life Lost (YPLL) than Rest of State. The YPLL is an indicator driven by premature deaths. Chronic diseases were the leading causes of death in the Capital Region, with heart disease, cancer, chronic lower respiratory disease (CLRD), and stroke being the major causes. Injuries were the major cause of death in the child, adolescent, and young adult populations. Health care access indicators show the Capital Region having fewer barriers to care than the Rest of State. Capital Region residents, both children and adults, had higher health insurance coverage rates compared to Rest of State. A higher percent of Capital Region residents also had a regular health care provider. The Capital Regions primary care system also seemed to be working well compared to Rest of State. When looking at preventable hospitalizations, Capital Region residents had much lower rates than residents from Rest of State did. Total Emergency Department visit rates, as well as total hospitalization rates were also lower in the Capital Region compared to Rest of State. There were many positive trends in the Capital Region. Coronary heart disease, stroke, asthma, colorectal cancer, and female breast cancer trends decreased in the past decade. There were also decreasing rates in gonorrhea and HIV. Children 19-35 months of age had higher immunization rates, and women aged 13-17 years had higher HPV vaccination rates than the Rest of State. The Capital Region had also seen a positive change in certain health behaviors. While adult obesity rates have increased slightly in the Capital Region, they have not increased as much as the Rest of State. A greater percentage of residents participated in some leisure time physical activity than the Rest of State. They also consumed less sugary drinks, and ate at 'fast food' establishments less than their Rest of State counterparts. However, many measurements were not as positive, particularly in lower income, inner-city neighborhoods where many rates were 3 to 7 times higher than the county average. -Obesity and its related diseases continue to be health issues in the Capital Region. -Diabetes mortality and short-term complication hospitalizations were higher in the Capital Region than Rest of State. -Adult smoking rates, lung cancer incidence and mortality, and chronic lower respiratory disease mortality rates were all higher in the Capital Region compared to Rest of State. -Adult asthma prevalence, as well as asthma ED visit and hospitalization rates were also higher in the Capital Region. -The incidence of positive blood lead in children less than 72 months of age, as well as childhood lead screening, continued to be a Capital Region issue, with rates much higher than residents of Rest of State. -Capital Region women had higher rates of infant mortality, low birthweight, and late or no prenatal care than Rest of State women. Capital Region teens had much higher pregnancy rates compared to their Rest of State counterparts. -Mammography screening rates for the general population, as well as the Medicaid population, were lower in the Capital Region, while late stage female breast incidence and mortality rates were higher, compared to Rest of State. -Chlamydia rates were also much higher in the Capital Region, with increasing trends over the past decade. -Capital Region counties presented some of the highest Lyme disease case rates in New York State. -Mental Health indicators such as 'poor mental health days', suicide mortality, and self-inflicted injury hospitalization rates were higher in the Capital Region compared to Rest of State. -Substance abuse indicators also show there is a growing problem in the Capital Region. -Binge drinking and cirrhosis mortality were also higher in the Capital Region compared to Rest of State. Saratoga Hospital: The 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 primary service area population in 2017 was approximately 71,300. These two communities accounted for 41% of the Hospital's inpatient discharges in 2018. Additional communities served by the Hospital fall with an area that extends to the northwestern border of Saratoga County and also extends southward. It is comprised of 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 2017 census population of these additional communities was estimated at approximately 91,300. Patients from these additional communities represented of 30% of the Hospital's inpatient discharges in 2018. Columbia Memorial Hospital: The Hospital serves the people of Columbia and Greene Counties and part of Northern Dutchess County, with a combined population of approximately 115,000 people, which, is distributed between one small city and 32 towns. The two counties combined cover and area of nearly 1,300 square 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, on the east by Berkshire County of the Commonwealth of Massachusetts and on the west by the Hudson River, opposite Greene County. Columbia County is rural in nature and includes the City of Greene County is situation between the Hudson River on the east and the CatskilL Mountains at the Southern and Western 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, Delaware County to the west and Schoharie County to the northwest. Greene County is located 2 hours north of the major metropolitan areas of New York City and a half-hour south of Albany, New York States Capital District.
Sch H Part VI Line 5	Promotion of Community Health Albany Medical Center: The following are examples of Albany Medical Center Hospitals commitment to the region it serves across the spectrums of patient care, education and research. -Albany Medical Center Hospital accepts all patients, regardless of ability to pay, how much they or their insurers pay, or whether they are eligible for assistance under our Hospital's financial assistance policy. We have never and will never allow financial status to impact the level of care we provide despite the fact that the financial impact is significant. We perform this financial mission for our community in an effort to keep those most in need as healthy as we can. -We are the dominant provider of services for the Medicaid and uninsured populations, and as such, have been designated as a Safety Net Provider. -Because of the vast range of programs and services available at academic medical centers, Albany Med retains a wide array of physician specialists not found elsewhere in our region, including critical care medicine and surgery; HIV medicine; neuro-interventional care; pediatric subspecialties; trauma; plastic reconstructive surgery; surgical oncology; endovascular surgery; transplant surgery; and various other critical services. -We have many enrollment assistance programs in place and continue to expand those. For example, Albany Medical Center Hospital utilizes a specialized firm to assist our patients most in need with complicated Medicaid and Disability Application processing. The monthly fee is substantial, and is solely covered by Albany Medical Center Hospital on behalf of our patients. -As the regions Level I Trauma Center and often the busiest in New York State, we provide comprehensive care to the critically ill and injured that is not available at other hospitals. As a result we receive thousands of patient transfers from other hospitals and health facilities due to the absence of a qualified specialist on staff or on-call at the time of need or because the patient required a higher level of care that the hospital could not provide. As a result, we receive a significant number of transfers from other hospitals and health facilities. Annual transfers have increased 137% since 2009, to 15,000 transfers in 2018. -Our medical staff includes over 600 community-based physicians. -We provide Continuing Medical Education to over 4,000 medical professionals annually. -We invest in meeting community health needs at all levels, from community-based programs such as diabetes and other chronic disease management to highly specialized inpatient programs like or end-stage Congestive Heart Failure Clinic and Chronic Kidney Disease Clinic. -Additional disease-based primary care outpatient programs assist patients with HIV/AIDS, cystic fibrosis, hemophilia, and provide services through our psychiatry clinic. -Albany Med runs the regions sexual assault examiner program. -In addition to serving as a resource for specialty services and transfer of patients, we work with other health systems and service providers to ensure that community needs are met. Albany Med has expanded its role as a clinical rotation site for students studying in the fields of nursing, respiratory therapy, ultrasound, cardiovascular, paramedical services, pharmacy and laboratory sciences. -Additionally, the Hospital offers scholarships to students in some of these programs, and has recently included scholarship programs at other local and regional colleges in the field of clinical laboratory medicine. This initiative has succeeded in increasing enrollment in previously under-enrolled programs to the point where there are sufficient graduating students to fill vacancies in many other hospitals in our region. -We have expanded our access into our communities through multi-specialty locations and urgent care sites. -We educate and train physicians over 550 future physicians each year. We also offer residencies and fellowships in over thirty accredited programs, while maintaining an important commitment to the societal trends on the practice of medicine and community health. Notably, approximately 40% of the regions physicians have graduated from, or have received continuing medical education from Albany Medical College. -Within the field of nursing, Albany Medical Center Hospital has instituted a 'Grow Our Own' program whereby Hospital employees who are not nurses can become nurses by attending courses and gaining clinical experience 1 day out of each scheduled work week. -To better serve the needs of populations throughout our region, we continue to expand our reach into our communities by adding needed services, including urgent care. -Albany Med physicians and researchers have extensive experience in a wide range of basic and clinical research topics. -Our basic research scientists facilitate discoveries that translate into medical innovations at patients' bedsides. Saratoga Hospital: The Hospital also promotes community health through the following activities: -Open medical staff -Board of Trustees comprised primarily of independent persons from the community -Subsidization of community education forums, at no cost to the public, including: -Childbirth education- monthly classes -Community wellness classes- including education for prevention and management of chronic diseases such as diabetes and asthma, and updates on new treatment pathways available for common ailments -Facilitation of monthly support groups for issues including weight loss, cancer survivors and grief management. -Schedules and topical information for community education forums are made available on the Hospitals website and are also provided in a free quarterly newsletter, ACCESS. ACCESS also includes short articles written by medical staff regarding current health issues. These articles are also posted on the Hospitals website. -The Hospital provides 24-hour call center services, HealthSource, at no cost. -Any surplus generated by the Hospital is reinvested into the Hospital through expansion of operations, by purchase of space and equipment, and hiring of personnel needed to support programs that have been identified as needs for the community the Hospital serves. Columbia Memorial Hospital: A majority of the Hospital Board of Trustees reside in Columbia and Greene County, as do most of the Hospital's employees. In recent years, the Hospital has significantly increased the access provided to local, previously unaffiliated doctors, and has further provided access and support for these practitioners to an electronic health exchange.
Sch H Part VI Line 6	Affiliated Health Care System Albany Medical Center Health System The Albany Medical Center Health System is comprised of Albany Medical Center, Columbia Memorial Hospital, and Saratoga Hospital. Albany Medical Center is northeastern New Yorks only academic medical center, and the lead entity of the Albany Med Health System, serving nearly 3 million people within 23 counties of Northeastern New York and two counties in Western New England. Our service area includes Orange County to Franklin and Clinton Counties, as well as Oneida County to Bennington and Berkshire Counties. The hospital is located in Albany County. Nearly 3/4 of our patients reside in the 6-county region described below. Columbia Memorial Hospital, an acute care hospital in Columbia County, serves more than 100,000 residents in Columbia, Greene and Dutchess Counties at 40 Care Centers, including 17 Primary Care and 23 Specialty Care Centers, located throughout the region. Saratoga Hospital, located in Saratoga County (population: 230,000), from which it draws over 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 counties that make up what is known as the Capital Region: Albany County, Rensselaer County, Saratoga County and Schenectady County, Columbia County, and Greene County. Combined, we have approximately 100 off-site locations to improve access for the residents of our region. We offer a vast array of community health offerings and work to educate our regions residents on a broad range of health-related topics. Additionally, Albany Med and its partner hospitals Columbia Memorial Hospital and Saratoga Hospital work with dozens of community organizations to improve our regions health and quality of life. Our health systems commitment to improving the health and well-being of our populace is demonstrated through the regional planning and delivery of community benefit activities.
Sch H Part VI Line 7	States Filing Community Benefit Report Albany Medical Center Hospital and Affiliates: New York

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Saratoga Economic Development Corporation
28 Clinton St	Saratoga Springs	NY	12866	141605957	501(c)(3)	$25,000	Economic Development
American Heart Association
PO Box 50075	Prescott	AZ	86304	135613797	501(c)(3)	$10,000	Support
AMC Alumni Association
47 New Scotland Ave	Albany	NY	12208	141468380	501(c)(3)	$522,010	Fund Scholarships
Albany Medical Center Hospital
47 New Scotland Ave	Albany	NY	12208	141338307	501(c)(3)	$5,052,466	Research & Healthcare
Albany Medical College
47 New Scotland Ave	Albany	NY	12208	141338310	501(c)(3)	$5,339,679	Scholarships & Research
Albany Medical Center Kidskeller
47 New Scotland Ave	Albany	NY	12208	222635792	501(c)(3)	$73,210	Educational programs

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	Educational Scholarships	GrantTypeTxt
Recipient	403	RecipientCnt
Cash Grant	$5,704,699	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Sch I Part I Line 2	FormAndLineReferenceDesc
Explanation	Procedures for Monitoring Use of Grants in U.S. Albany Medical Center: 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. 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)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	false	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	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	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (true)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (30 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 (AMC)	$0	$982,451	$0	$400,000	$0	$272,379	$0	$275,100	$0	$6,936	$0	$1,936,866	$0	$252,000
Steven M Parnes MD
Board Member (AMC)	$639,047	$0	$71,682	$0	$20,314	$0	$8,250	$0	$22,958	$0	$762,251	$0	$0	$0
Vickey Masta-Gornic
Board Member (KIDS)	$0	$217,467	$0	$0	$0	$1,980	$0	$0	$0	$9,252	$0	$228,699	$0	$0
Michele K Skumurski
Board Member (KIDS)	$0	$179,085	$0	$0	$0	$450	$0	$0	$0	$1,580	$0	$181,115	$0	$0
Meghan Weygant
Board Member (KIDS)	$135,583	$0	$0	$0	$245	$0	$0	$0	$16,539	$0	$152,367	$0	$0	$0
David J Conti
Board Member (CDT)	$335,761	$0	$15,571	$0	$5,568	$0	$11,000	$0	$19,795	$0	$387,695	$0	$0	$0
Michael Dailey
Board Member (CDT)	$250,766	$0	$11,033	$0	$902	$0	$0	$0	$22,735	$0	$285,436	$0	$0	$0
Dennis McKenna
Board Member (CDT)	$561,804	$0	$90,989	$0	$12,512	$0	$64,004	$0	$25,238	$0	$754,547	$0	$0	$0
Steven Frisch MD
Trustee (CMH and SH)	$0	$767,892	$0	$239,375	$0	$20,480	$0	$95,753	$0	$21,806	$0	$1,145,306	$0	$0
Hiral Amin MD
Trustee (CMH)	$430,827	$0	$0	$0	$1,980	$0	$8,250	$0	$21,023	$0	$462,080	$0	$0	$0
Jay P Cahalan
President & CEO (CMH)	$519,857	$0	$145,500	$0	$24,324	$0	$94,760	$0	$23,549	$0	$807,990	$0	$0	$0
Angelo G Calbone
President/CEO (SH)	$566,308	$0	$161,863	$0	$276,087	$0	$14,163	$0	$20,267	$0	$1,038,688	$0	$0	$0
Gary J Kochem THRU 1118
Exec VP & COO (AMC)	$0	$630,198	$0	$152,300	$0	$68,878	$0	$11,000	$0	$20,961	$0	$883,337	$0	$49,273
Frances S Albert
EVP COO & CFO (AMC)	$0	$538,481	$0	$149,675	$0	$12,967	$0	$75,594	$0	$4,434	$0	$781,151	$0	$0
Vincent Verdile MD
Sr Exec VP Sys Care (AMC)	$764,878	$0	$198,875	$0	$20,480	$0	$92,818	$0	$25,357	$0	$1,102,408	$0	$0	$0
Ferdinand J Venditti Jr
EVP System Care (AMC)	$656,723	$0	$165,313	$0	$20,480	$0	$73,323	$0	$25,772	$0	$941,611	$0	$0	$0
Darryl J Dirisio
Professor/Clin (AMC)	$747,697	$0	$148,951	$0	$19,790	$0	$11,000	$0	$24,027	$0	$951,465	$0	$0	$0
Alan S Boulos
Department Chair (AMC)	$939,495	$0	$1,427	$0	$18,950	$0	$11,000	$0	$23,397	$0	$994,269	$0	$0	$0
Andrew J Rosenbaum
Asst Prof/Clin (AMC)	$501,098	$0	$367,243	$0	$9,800	$0	$8,250	$0	$21,478	$0	$907,869	$0	$0	$0
Karen Tassey
COO (CMH)	$266,561	$0	$26,500	$0	$396	$0	$750	$0	$9,115	$0	$303,322	$0	$0	$0
Bryan T Mahoney
CFO (CMH)	$263,562	$0	$23,000	$0	$54	$0	$750	$0	$0	$0	$287,366	$0	$0	$0
Mary Ellen Plass
CNO (CMH)	$219,858	$0	$0	$0	$396	$0	$0	$0	$5,833	$0	$226,087	$0	$0	$0
Gary Foster
VP & CFO (SH)	$305,667	$0	$66,400	$0	$24,167	$0	$15,813	$0	$1,442	$0	$413,489	$0	$0	$0
Mary Jo LaPosta
SVP Patient Care & Org (SH)	$322,576	$0	$73,307	$0	$30,412	$0	$14,163	$0	$9,450	$0	$449,908	$0	$0	$0
Kevin Ronayne
VP Ops/Facilities (SH)	$242,362	$0	$52,986	$0	$18,162	$0	$14,163	$0	$19,509	$0	$347,182	$0	$0	$0
John Mangona
VP Chief Info & Comp (SH)	$243,898	$0	$55,139	$0	$17,369	$0	$15,813	$0	$1,594	$0	$333,813	$0	$0	$0
Jeffrey Methven
VP Ambulatory Svc & HR (SH)	$263,714	$0	$59,408	$0	$19,385	$0	$14,163	$0	$20,114	$0	$376,784	$0	$0	$0
Richard Falivena
VP Chf Med & Phys Int Off (SH)	$356,272	$0	$78,631	$0	$33,561	$0	$9,763	$0	$16,213	$0	$494,440	$0	$0	$0
Gordon Kuhar
Physician (SH)	$576,788	$0	$470,000	$0	$211,028	$0	$14,163	$0	$3,442	$0	$1,275,421	$0	$0	$0
Gary Idelchik
Physician (SH)	$598,789	$0	$279,549	$0	$180	$0	$9,763	$0	$8,797	$0	$897,078	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Sch J Part I Line 1	Saratoga Hospital: Line 1a The hospital administers a non-qualified deferred compensation plan (the Plan), the aim of which is to attract and retain talented executives and physicians to employment with the Hospital. Eligible employees participating in the Plan will receive a flat monthly payment from the Hospital for 15 years after reaching the Plan retirement age (67}. Participants are required to contribute specific amounts into the Plan annually, with the participant contribution amount being determined based on the age of the participant and the number of years over which the participant wishes to fully vest in the Plan benefits. Normal vesting in the full amount of available Plan benefit payments occurs in steps in 2-year increments over a 10-year period. Participants may accelerate their vesting timeline by increasing the amount of contributions they contribute into the Plan versus the contribution schedule associated with normal vesting. Each vesting milestone reached by a participant during participation in the Plan results in taxable income for the participant in an amount equal to the present value of the portion of future Plan benefits the participant has vested in since the previous vesting milestone. A feature of the Plan is that the Hospital will make a gross up payment to any Plan participant who reached a vesting milestone during the year in order to offset the tax impact of the vesting event. This gross-up payment is made in an amount equal to 31% of the amount of the taxable income resulting from the vesting event, plus an additional amount to offset the tax on the amount of the base gross-up payment amount. The following employee participated in the plan and the amount listed below is included in Schedule J, Part II, Column B(iii): Gordon Kuhar, Physician, $131,317 Line 1b The Plan is operated pursuant to a plan document, approved by the Hospital's Board of Trustees.
Sch J Part I Line 3	Albany Medical Center: 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.
Sch J Part I Line 4b	Albany Medical Center: 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): James J. Barba, CEO, $264,100 Frances S. Albert, COO & CFO, $64,594 Vincent Verdile, SR Exec VP Sys Care Delivery, $81,818 Ferdinand J. Venditti, EVP System Care Delivery, $62,323 Dennis McKenna, Board Member, $53,004 Steven M. Frisch, Sr Exec VP Integrated Delivery, $84,753 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, CEO, $252,000 Gary J. Kochem, COO, $49,273 Columbia Memorial Hospital: The CEO, Jay Cahalan is a participant in a supplemental non-qualified retirement plan held by CMH. In 2018, his retirement account was credited $94,010. Steven Frisch, MD is a participant in a supplemental non-qualified plan held by Albany Medical Center. In 2018, his retirement account was credited $84,753. Saratoga Hospital: During 2018, 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 2018. F. Angleo Calbone -- Contributions $169,189. Gary Foster - Contributions $4,643. Jeffrey Methven -- Contributions $415. THE FOLLOWING INDIVIDUAL PARTICIPATED IN THE PLAN, BUT DID NOT HAVE ANY CONTRIBUTIONS OR PAYMENTS MADE DURING 2018: GORDON KUHAR.
Sch J Part I Line 5a	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. 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 2018, 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 (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
City of Albany CRC 2014A
A	273467899	2014-09-10	$22,000,000	Renovations/Construction	false	false	false
City of Albany CRC 2017A
B	273467899	2017-11-15	$13,200,000	Refund prior issue - see Part VI	false	false	false
City of Albany CRC 2017C
C	273467899	2017-11-15	$11,855,000	Refund prior issue - see Part VI	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$1,653,328	$0	$22,000,000	$0	$0	$0	$440,000	$0	$0	$21,560,000	$0	$0	2014	false	false	Yes (true)	Yes (true)
B	$0	$0	$13,200,000	$0	$0	$0	$0	$0	$0	$0	$13,200,000	$0	2017	Yes (true)	false	Yes (true)	Yes (true)
C	$965,000	$0	$11,855,000	$0	$0	$0	$0	$0	$0	$0	$11,855,000	$0	2017	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	false	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
0
A	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)
Bank of America
C	false	Yes (true)	false	false	Yes (true)	Yes (true)	false	0	false	Yes (true)	0.095	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ALBANY MEDICAL CENTER 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 Medical Center 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.

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
Columbia County Industrial Development Agency
A	141636496	197511AR9	2008-01-30	$11,730,000	Refinancing	false	false	false
Columbia County Capital Resource Corp
B	271072117	197505AA8	2010-03-01	$12,945,000	Refinancing & New construction	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$5,670,000	$0	$11,730,000	$0	$0	$0	$603,669	$0	$3,852,910	$7,273,421	$0	$0	false	false	Yes (true)	Yes (true)
B	$7,370,000	$0	$12,945,000	$0	$0	$0	$762,958	$0	$0	$12,182,042	$0	$0	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	false	false	0	false	false	false	Yes (true)
B	false	false	Yes (true)	false	false	0	false	false	false	Yes (true)

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	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
HSBC
A	false	false	false	Yes (true)	Yes (true)	Yes (true)	0.1	false	false	false	0	false	Yes (true)
HSBC
B	false	false	false	Yes (true)	Yes (true)	Yes (true)	0.1	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
COLUMBIA MEMORIAL HOSPITAL BOND GROUP	Sch K Part III Line 3a Columbia Memorial Hospital only has incidental management and service contracts in various financial areas. Therefore, no contracts are considered to result in private business use within the bond-financed property group.
Sch K Part IV Line 2c	The arbitrage rebate calculation for both 2008 & 2010 bonds was completed as of December 31, 2018 with no arbitrage rebate due on either issuance.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Saratoga County Capital Resource Corp 2007B
A	521310482	803482DE5	2007-12-12	$18,406,490	ED Construction & Renovation	Yes (true)	false	false
Saratoga County Capital Resource Corp 2013A
B	461520521	803481AS9	2013-02-07	$24,273,094	Refinance Revenue Bonds	false	false	false
Saratoga County Capital Resource Corp 17AB
C	461520521		2017-01-03	$49,870,000	Refinance Revenue Bonds	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$1,935,000	$13,920,000	$18,406,490	$0	$0	$0	$262,395	$0	$0	$16,772,395	$0	$0	2009	false	false	Yes (true)	Yes (true)
B	$4,655,000	$0	$24,273,094	$1,688,826	$0	$22,004,520	$485,462	$0	$0	$0	$115,599	$0	2013	Yes (true)	Yes (true)	Yes (true)	Yes (true)
C	$4,107,035	$0	$49,870,000	$0	$0	$48,936,364	$933,636	$0	$0	$0	$0	$0	2017	Yes (true)	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	Yes (true)
C	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	false	false	false	false	0	false	false
0
B	false	false	false	Yes (true)	false	false	false	0	false	false
0
C	false	false	false	Yes (true)	false	false	false	0	false	false

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	false
B	false
C	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SARATOGA HOSPITAL BOND GROUP	FormAndLineReferenceDesc
Explanation	Sch K Part IV Line 2c 02/07/2013 $24,273,094 IDA Series 2013A - arbitrage rebate computation was performed on 12/01/18 by a third party contractor, AMTEC, a tax-exempt compliance specialist for bond issues, as of 12/01/18 resulting in no rebate liability for IDA Series 2013A. 01/03/2017 $49,870,000 IDA Series 2017 A & B - arbitrage rebate computation was performed on 12/31/18 by a third party contractor, AMTEC, a tax-exempt compliance specialist for bond issues, as of 12/31/18 resulting in no rebate liability for IDA Series 2017 A & B.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	Dr Anne L Barba	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	Family Member	RelationshipDescriptionTxt
Transaction	$126,603	TransactionAmt
Transaction	Employment	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART IV	FormAndLineReferenceDesc
Explanation	DR. ANNE L. BARBA IS THE DAUGHTER OF JAMES BARBA, CEO.	ExplanationTxt

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	40	ContributionCnt
Noncash Contributions Rpt F990	$380,664	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	Books, Toys, & Misc	Desc
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$18,881	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990 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 professional 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 share 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 III Line 4d	Other Program Services Description 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 31,939 total cases performed with 8,547 inpatient, 4,666 same day, and 18,726 outpatient. Other Patient Care Based Services totaled approximately $89 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 Medical Center, 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 $800 thousand. Columbia Memorial Hospital: The organization had approximately $17M expenditures and $18M revenue related to other operating activities. 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, and Saratoga Hospital, 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, and Saratoga Hospital, 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, and Saratoga Hospital, 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 VI Line 6, 7A, and 7b	Members and Governance Albany Medical Center (AMC) is the Hospital's sole corporate member of Columbia Memorial Hospital (CMH) and Saratoga Hospital (SH). AMC retains seats on both CMH and SH Board of Trustees. AMC has the power to appoint members of the Board of Trustees to CMH and SH. With this power, AMC 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 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 Hospitals 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 Line 12c	Explanation of Monitoring and Enforcement of Conflicts 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 Center management of any potential conflicts in addition to responding to requests for information if requested. Persons holding significant management positions receive a copy of the conflict of interest questionnaire for completion. Any conflicts which are reported or discovered are reviewed by the Corporate Compliance & Audit Dept. and appropriate action is taken to mitigate the conflict. Employees who violate the conflict of interest policy are subject to the institution's corrective action policies. 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 Hospitals 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 Hospitals medical staff are required to complete and file the questionnaire with the Hospitals Chief Compliance Officer. All members of the Hospitals 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 Line 15b	Compensation Review & Approval Process - Officers & Key Employees 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 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 19	Other Organization Documents Publicly Available Documents are made available upon request.
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: Name: Bryan Mahoney Address: 51 Prospect Ave, Hudson NY, 12534 Phone: 518-828-7601 Saratoga Hospital: Name: Michael Battle Address: 211 Church Street, Saratoga Springs, NY 12866 Phone: 518-587-3222
Form 990 Part XI Line 9	Other Changes in Net Assets or Fund Balances Fair Value of Interest Rate Swaps $ 87,038 Pension Related Changes $ (12,973,972) Interest Rate Swap $ 302,548 Net Assets Released from Restrictions $ (297,958) Change in Net Assets of Auxiliary $ 185 SH, CMH, Kids, & CDT Prior Year Net Assets $ 314,312,650 -------------------- Total $ 301,430,491
Form 990 Part I Line 7a and 7b	Unrelated business taxable income Albany Medical Center Group Organization subordinates' unrelated business taxable income for the tax year 2018 included the following expenses incurred to maintain employee parking spaces. Under internal revenue code section 512(a)(7), such expenses are included in unrelated business taxable income as amounts paid for disallowed fringes. Albany Medical Center: $103,243 Albany Medical College: $460,745 Albany Medical Center Hospital: $1,223,885 Albany Medical Center Foundation: $2,785 Saratoga Hospital: $192,080 Columbia Memorial Hospital: $36,065 Part I, Line 7a includes only revenues reported on Part VIII, Column (C) as unrelated business revenue. Each of the subordinate organizations file its own Form 990-T to report unrelated business taxable income.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 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
Better Health for Northeast New York
43 New Scotland Ave	Albany	NY	12208	811861104	DSRIP	NY	501(c)(6)	AMC Hospital	Yes (true)
Kaaterskill Commons Inc
163 Jefferson Heights	Catskill	NY	12414	205700964	Housing	NY	501(c)(3)	CMH	Yes (true)	7
Columbia-Greene Hospital Foundation
71 Prospect Ave	Hudson	NY	12534	141761112	Fundraising	NY	501(c)(3)	CMH	Yes (true)	10
The Second Show Inc
519 Warren Street	Hudson	NY	12534	141796715	Thrift Shop	NY	501(c)(3)	CMH	Yes (true)	7
Saratoga Regional Medical PC
211 Church Street	Saratoga Springs	NY	12866	472468259	Healthcare	NY	501(c)(3)	SH	Yes (true)	3
Saratoga Care Inc
211 Church Street	Saratoga Springs	NY	12866	141775218	Health Promo	NY	501(c)(3)	SH	Yes (true)	12 Type II
Healthcare Partners of Saratoga Ltd
211 Church Street	Saratoga Springs	NY	12866	453303309	Emergent Care	NY	501(c)(3)	NA	false	3

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	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
Columbia-Greene Services Inc
c/o CMH 71 Prospect Ave	Hudson	NY	12534	141758524	Healthcare	NY	NA	C Corp	$0	$0	1.00000	false
Madison Avenue Services Corp
47 New Scotland Ave MC 116	Albany	NY	12208	141665610	Other (Inactive)	NY	AMC	C Corp	$0	$0	0.00000	false

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

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Saratoga Care Inc
c	$2,101,352	FMV
Saratoga Care Inc
o	$400,720	FMV
Saratoga Care Inc
q	$523,082	FMV
Columbia-Greene Hospital Foundation
c	$655,449	Accrual
Columbia-Greene Hospital Foundation
m	$196,367	Accrual
Columbia-Greene Hospital Foundation
q	$207,051	cash
The Second Show Inc
q	$119,038	Cash
Better Health for Northeast New York Inc
q	$712,718	Book Value