2012-11-15T07:48:34-08:00 2011-12-31 KPMG LLP 515 Broadway Albany NY 12207 990 2011-01-01 141338307 Albany Medical Center Hospital ALBA 5182625585 43 New Scotland Avenue Albany NY 12208 William Hasselbarth 2012-11-14 false 2011 2016-02-24 21:20:13Z 752740569 false false X www.amc.edu X 1849 NY An academic health sciences center whose responsibilities are to provide a broad range of patient services to the people of eastern New York and western New England. 25 24 5245 0 4969851 5852758 626383814 674329241 3540871 2086391 24753020 29243586 659647556 711511976 0 0 252436114 273417245 0 0 374266387 404182679 626702501 677599924 32945055 33912052 570494522 585709295 379120450 370751574 191374072 214957721 X 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 believe to continually 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 serv false false 268669780 223487754 Inpatient and Outpatient Services - Provision of inpatient and outpatient services including specialized nursing services and emergency room.I/P admissions = 33,913 and patient days = 194,441 120103330 189735935 Diagnostic and Testing Services - Inpatient and outpatient services including diagnostic imaging, radiation therapy and cardiac catheterization.D/T billing units = 8,133,252 Cardiac Cath units = 299,886 102843563 102450147 Operating and Recovery Room - Inpatient and outpatient operating room services including open heart program, transplant services and specialized trauma services. Billing units = 378,718 67634429 158655405 559251102 true true false true false false false false false true true false true true true true true true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true false false false false true 0 0 false 5245 true false false false false false false false false false false false 0 false false false false false false false false false false false X 25 24 false false false false false false false true true false false false false true true true true true true true false false NY X Frances M Albert CPA 5182625585 47 New Scotland Avenue Albany NY 12208 Candace King Weir 2.00 X 0 0 0 Ronald D'Alessandro 2.00 X 0 0 0 Jeffrey Sperry 2.00 X 0 0 0 John B Robinson Jr 2.00 X 0 0 0 John J Nigro 2.00 X 0 0 0 Steven M Parnes 2.00 X 0 0 0 John B O'Connor 2.00 X 0 0 0 Lillian Moy 2.00 X 0 0 0 James O Jackson 2.00 X 0 0 0 Doug Hamlin 2.00 X 0 0 0 Robert J Higgins 2.00 X 0 0 0 Peter H Heerwagen 2.00 X 0 0 0 David Golub 2.00 X 0 0 0 Marc N Fecteau 2.00 X 0 0 0 Peter H Elitzer 2.00 X 0 0 0 Michael K Burke 2.00 X 0 0 0 R Wayne Diesel 2.00 X 0 0 0 Joyce M DeFazio 2.00 X 0 0 0 Robert T Cushing 2.00 X 0 0 0 W Michael Reickert 2.00 X 0 0 0 Kenneth B Colloton 2.00 X 0 0 0 James J Barba 40.00 X X 0 942622 239812 Todd M Tidgewell 2.00 X 0 0 0 Jeffrey Stone 2.00 X 0 0 0 Janice Smith 2.00 X 0 0 0 William C Hasselbarth 40.00 X 0 501026 94183 Gary J Kochem 40.00 X 0 483650 97503 Steven M Frisch 40.00 X 121779 485326 113106 Bernadette Pedlow 40.00 X 294794 0 66724 Mary Ellen Plass 40.00 X 255032 0 56454 Thomas Rosano 40.00 X 248297 0 21292 Dennis McKenna 40.00 X 385724 0 63447 Louis Filhour 40.00 X 237054 0 45956 1542680 2412624 798477 140 false true false Laboratory Corp of America PO BOX 12190 Burlington NC 272162140 Lab Services 1414818 Gilbane Building Company 7 Jackson Walkway Providence RI 02903 Construction 31110898 Community Care Physicians PC 711 Troy Schenectady Road Latham NY 12110 Medical Mgmt Service 9216799 Bette & Cring LLC 22 Century Hill Drive Latham NY 12110 Construction 7100902 Aramark Healthcare 25271 Network Place Chicago IL 606731252 Food Service Mgmt 8133570 46 573129 5279629 5852758 Inpatient/Outpatient Serv 621990 674329241 674329241 674329241 2490680 2490680 33990 33990 0 443328 443328 443328 443328 40790314 41228593 -438279 -438279 -438279 0 0 9944 9944 9944 Program Serv Exp Reimb. 812900 20428488 20428488 Miscellaneous 812900 1788808 1788808 Cafeteria, Coffee Shop 722210 4980237 4980237 1592781 1592781 28790314 711511976 694757729 10901489 0 0 0 0 121779 121779 0 229680250 224677546 5002704 8814066 8620065 194001 18149650 17527527 622123 16651500 15939297 712203 0 -550593 -550593 187190 187190 75345 75345 0 1013477 1013477 22258640 22042839 215801 366066 335317 30749 4108674 2905212 1203462 64718374 64718374 0 8748137 1061506 7686631 414131 252026 162105 0 0 4864196 2085142 2779054 0 28182302 20825078 7357224 9947112 8460477 1486635 Provision for Uncollect Accts 18471356 18471356 Miscellaneous 11833707 10370649 1463058 Medical Surgical 131915249 131611562 303687 Machine Rental & Maintenance 12874305 8844505 4029800 Intercompany Charges 78833772 59243873 19589899 5921239 5901780 19459 677599924 559251102 118348822 0 8172492 6197010 49625902 50364509 0 88463862 87131457 0 0 0 10726677 11632717 4259173 4225775 728929171 481421743 190993946 247507428 0 0 136612513 79305329 992466 708904 80647491 98636166 570494522 585709295 77687833 79268028 32240000 31250000 136333231 125410970 132859386 134822576 379120450 370751574 X 171939062 193355574 17513385 19679130 1921625 1923017 191374072 214957721 570494522 585709295 X 33912052 -10328403 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 75345 false false 75345 false false Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description The organization belongs to several hospital associations where a portion of the membership dues are used for lobbying activities. 9634169 1392 -179981 438297 9017283 8773196 138032 1145465 422524 9634169 7500352 15667 1699710 442533 8773196 1.00000 false false false 357870 357870 292025890 190951352 101074538 5066804 4167350 899454 310721630 260381849 50339781 120756977 25921192 94835785 247507428 79305329 Other assets, non-current 12096529 Intercompany 86539637 98636166 Self insured liabilities 50560081 Other liabilities - ST Retro -6042707 Other liabilities - long term 52740800 Long term pension costs 37026156 Interinstitutional Payables 538246 134822576 711511976 677599924 33912052 -1900329 -8428074 -10328403 23583649 714682475 -1900329 5070828 3170499 711511976 711511976 691098826 13498902 13498902 677599924 677599924 Part X Part X : FIN48 Footnote o) Income TaxesThe Hospital is a not-for-profit corporation under Section 501(c)(3) of the Internal Revenue Code and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. The Hospital 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 material tax liabilities or uncertain tax positions that need to be recorded. Part XIII, Line 2d Part XIII, Line 2d: Other expenses and losses per audited F/S Fair Value Swaps $3498902 Reduction to Intercompany Receivables $10000000 Part XII, Line 2d Part XII, Line 2d: Other revenue amounts included in F/S but not included on form 990 Contributions for PPE $1310828 Pension Related Charges $3760000 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances PPE Contribution $1310828 Pension related Changes $3760000 Change in net intercompany $ -10000000 Fair Value of Interest Rate Swaps $ -3498902 Part V, Line 4 Part V, Line 4: Intended uses of the endowment fund. Income generated from Endowed funds are used to support the mission of the organization. true true X true X true X true true true false true true 5729974 5729974 0.00850 117274032 112894893 4379139 0.00650 550869 550869 0.00080 123554875 112894893 10659982 0.01580 12814 12814 50933433 9532419 41401014 0.06110 4649139 825168 3823971 0.00560 55595386 10357587 45237799 0.06670 179150261 123252480 55897781 0.08250 true 18471356 132708654 140447238 -7738584 X true true 1 0 Albany Medical Center Hospital

43 New Scotland Avenue Albany NY 12208

X X X X X X X Albany Medical Center Hospital 1 true true 100.0000 true 400.0000 true X X X true true X X X X X true X false true X false false 1 Albany Medical Center Hospital South Campus

24 Hackett Blvd Albany NY 12208

Second Location of Albany Medical Center Hospital Part V - Explanation of Number of Facility Type One Facility with two locations Part VI - States Where Community Benefit Report Filed NY Part VI - Affilated Health Care System Roles and Promotion Albany Medical Center Hospital is a discrete operating entity of Albany Medical Center. Other members of Albany Medical Center includes Albany Medical College, Albany Medical Center Foundation and Albany Medical Center. As a member of Albany Medical Center, the Hospital has a mission of providing excellence in patient care.All Schedule H disclosures reference the Albany Medical Center organization, of which Albany Medical Center Hospital is part of. Also incldued in this organization is Albany Medical College. Part VI - Explanation Of How Organization Furthers Its Exempt Purpose * Albany Medical Center accepts all patients, regardless of ability to pay. 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. We discharge nearly 50% of Medicaid patients from Albany County, 30% of Medicaid patients from the Capital Region and 12% of Medicaid patients from our 23 county region.*Because of the broad range of programs and services available at academic medical centers, Albany Medical Center retains a wide range of physician specialists not found elsewhere in our region, including critical care medicine and surgery; HIV medicine; neuro-interventional care; pediatric subspecialities; trauma; and various other services.* We have many enrollment assistance programs in place and continue to expand those. For example, Albany Medical Center utilizes a specialized firm to assist our patients most in need with complicated Medicaid and Disability Application processing. The fees per month equate to $50,000. This fee is solely covered by Albany Med on behalf of our patients.* As the region's Level I Trauma Center, 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 * We received nearly 7,600 transfers in 2011 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* Our medical staff includes over 600 community-based physicians.* We provide Continuing Medical Education to over 4,000 medical professionals annually.* Albany Med invests 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 our end-stage Congestive Heart Failure clinic. * Additional disease-based primary care outpatient programs assist patients with AIDS, cystic fibrosis, hemophilia, Gaucher's Disease, end-stage kidney disease and provide services through our psychiatry clinic. * Albany Med runs the region's sexual assault examiner program.* In addition to serving as a resource for specialty services and transfer of patients, we have worked with other health systems and service providers to ensure that community needs are met. Over the last five years 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 this region. * Within nursing, Albany Med 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. * 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 impact of societal trends on the practice of medicine and community health. * Notably, approximately 40 percent of the region's physicians have graduated from, or receive continued medical education through, Albany Medical College. * Because of the broad range of programs and services available at academic medical centers, Albany Medical Center retains a wide range of physician specialists not found elsewhere in our region, including critical care medicine and surgery; electrophysiology/interventional cardiology; endovascular surgery; HIV medicine; neuro-interventional care; oncology surgery; pediatric subspecialties; plastic and reconstructive surgery; transplant surgery; and trauma.* We received nearly 7,600 transfers in 2011 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. * We continue to hire new specialists to meet the needs of our vast population. In 2011, we hired 49 new specialists to our full-time physician staff, with plans to hire future specialists as needed * We continue to partnership with other healthcare organizations. Through partnerships, Albany Medical Center now provides urgent care services as an alternative to an emergency room for a wide range of urgent medical conditions. * As the region's Level I Trauma Center, 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. Part VI - Community Building Activities Examples of Albany Medical Center's activities to support communities in the City of Albany, NY and beyond include:* Provide the City of Albany with free use of a residential building for the establishment of a neighborhood police unit to enhance security in the neighborhood.* Provide City of Albany Fire Department a building on Albany Med's campus whereby they can conduct training drills for their staff. * Allocated more than $100,000 to encourage - through $5,000 grants - Albany Med's own employees to own homes and reside within the immediate communities surrounding the Medical Center. * We host job fairs at the Hospital and out in the community to encourage local residents to apply for positions at the medical center.* We sponsor free "English-as-a-second language" classes at the Hospital which are open to all employees and their spouses.* We host free health-related seminars to the public, both on and off campus, attended by thousands of the region's residents.* We host free health-related screenings on and off campus (skin cancer, prostate health).* Support for Healthy Hearts on the Hill through which staff participate in numerous health screenings, community dinners and health educational programs in Albany City neighborhoods.* WIC Program Management is located at Albany Med.* Working with community residents and the University of Albany School of Social Welfare on a program designed to decrease violence by facilitating intervention when victims are brought to Albany Medical Center.* Active membership in Healthy Capital District Initiative where our membership supports public health and dental programs, and where we work collaboratively to assess community health needs to help shape prevention programs. * Nurses from Albany Medical Center visit area high schools to educate students about careers in health care.* Our doctors and students, through Project Medscope, volunteer in primary care clinics, domestic violence shelters, homeless shelters, and soup kitchens.* Sponsorship of community-based organizations including: * Albany Institute of History and Art * Albany Symphony Orchestra * College of St. Rose * Community AIDS Partnership * Jewish Family Services * Northeast Parent and Child Society * Parsons Child and Family Center * Ronald McDonald House * Upper Hudson Planned Parenthood* 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 impact of societal trends on the practice of medicine and community health. * Women and heart disease continue to be a public health focus for Albany Med.* We partner with Colonie Senior Services to offer an evidence-based, peer-led program known as "Healthy Changes" for education and support for the older diabetic to support daily self-management by educating the patient on nutrition and physical activity.* Albany Med runs the region's sexual assault examiner program.* The Hospital offers scholarships to students in various allied health 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 this region.* Saratoga Hospital and Albany Med have begun construction on a 24/7 emergent services facility to be jointly managed by both hospitals. This will replace the Malta Medical Arts facility and will also serve the emergency care needs of residents in and near southern Saratoga County.* As a "Diabetes Center of Excellence" we work collaboratively with myriad partners to educate the public and professionals. Part VI - Community Information Our tri-partite mission (patient care, medical education, biomedical research) and our geographic location in New York State distinguish us from every healthcare provider in a 130+ mile radius - which results in how we define our large and vast service area: 25-counties throughout Northeastern New York and Western New England. As this region's only academic medical center, we provide a wide range of services-including high-end specialty care, some of which is not found elsewhere in the region, including organ transplantation, the area's only Children's Hospital, Level I Trauma center, State-designated AIDS Treatment Center, Level IV NICU, region's only PICU. Our service area:Primary Service Area 66% of our patients (Albany, Rensselaer, Saratoga, Schenectady Counties)Secondary Service Area 18% of our patients(includes our expanded Charity Care coverage: Columbia, Fulton, Greene, Montgomery, Schoharie, Warren, Washington Counties)Tertiary Service Area & beyond 16% of our patients (includes, but not limited to the ring of counties around Secondary Service Area, and Western New England)For our service area's 3 million persons, we ensure access to medical and technological innovations that are traditionally found only in academic medical centers.Most facilities in New York State define their health planning service areas by zip code, not county. Because of our role in the region, we define our health planning service area by county. About 2/3 of our patients - or 66% - are from the four counties in our immediate Primary Service Area - Albany, Rensselaer, Saratoga and Schenectady counties. Here, we function to a larger degree as a primary hospital, particularly for Albany, Rensselaer and Schenectady counties. Outside the Capital Region we complement existing acute services. Our 24/7 access to specialists unavailable elsewhere in the region continues to drive an increase in patient transfers. For example, in 2011 more than 7,600 patients were transferred from other hospitals and health facilities throughout the region.The 820,000 residents of the Capital District depend on Albany Medical Center for a vast range of preventive services and advanced care. Analysis of Saratoga County utilization, however, shows that residents - particularly from the southern region - depend on Albany Med for high-end care. We provide the remainder of the Capital District with a broader range of our services - from community education and primary care, to acute care. Our partnership with Healthy Capital District Initiative (HCDI) has enabled us to track the public health issues of the residents of Albany, Rensselaer and Schenectady counties to begin to meet those needs in a collaborative manner. Part VI - Patient Education of Eligibility for Assistance 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 patient 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.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. Part VI - Needs Assessment At Albany Medical Center, assessing the health care needs of our community is an ongoing process and an integral part of our mission and our institutional strategic planning. Initiatives involve the Hospital's trustees, administrators, physicians and staff, thus ensuring that we share the same vision of service to the community.MethodsHospital staff use the following methods to identify our community's needs, and craft strategies to meet those needs:* Maintaining a comprehensive database to track transfers and transfer requests from every hospital in our region* Conversations with CEOs and Medical Directors in our region * Information and input gathered each year from various community sources on unmet health care needs;* The environmental assessment from our strategic planning process;* An annual community survey using an independent market research firm;* Patient surveys; both inpatient and outpatient surveys (in 2008, this information was aligned with a broader community survey to identify a range of community health issues); * Community access to Albany Med via webmail * Ongoing market research on health care issues and expectations from the medical community in our region.Sources of informationThe hospital staff routinely study the hospital / health care services needed by community residents. Staff use internal data, as well as information from the following sources:* NYS Department of Health SPARCS data* Capital District Regional Planning Commission* United States Bureau of Census* Centers for Disease Control* County Health Departments in our region, especially the most recent Community Health Assessments* NYS Vital StatisticsPublic ParticipationHCDI Community Needs SurveyIn collaboration with, and as a member of a local health coalition -- Healthy Capital District Initiative (HCDI) -- health indicators were selected that aligned with public health data and national priorities identified in the Healthy People report and New York State's Prevention Agenda for a Healthier New York. Simultaneously, HCDI members updated a comprehensive community health profile to allow trends to be considered.More than a dozen top health priorities were reviewed during a year-long process which analyzed data collected from resources such as NYSDOH's Vital Statistics, the HCDI community health profile, and SPARCS data sets, as well as from Local Health Departments and other sources. The public confirmed HCDI's selection of 2 major health priorities: 1) chronic disease and 2) access to care. Validation was through a public forum show televised on a local television station, and a follow-up, web-based community survey available to public for completion.Albany Med's Community Needs SurveyDuring 2011, Albany Medical conducted a public survey of 500 residents from throughout our 25 county region. It was identified that: 69% of all respondents indicated they were satisfied with our access to speciality care. By market it was much lower in our secondary services area (55%) (our secondary service area is primarily rural and includes Columbia, Fulton, Greene, Montgomery, Schoharie, Warren and Washington counties) 72% of all respondents indicated they were satisfied with the health care system in general. However only 64% of the secondary market respondents were satisfied.Albany Medical Center continues to explore ways to provide easier access to a broader market. Albany Medical Center also continues to looking into multi speciality sites within our service area to improve access to specialty services Number of Hospital Faciltiy - 0 Part V, Line 19d - Other Billing Determination of Individuals Without Insurance Albany Medical Center utilizes the federal poverty guidelines to ensure patients are persumptively 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 Medicaid rates for inpatient services and at the highest volume payor rate for outpatient services Number of Hospital Faciltiy - 0 Part V, Line 15e - Other Collection Actions Against a Patient Prior to reporting a patient to a credit agency Albany Medical Center will make various attempts to communicate with the patient to determine insurance eligibility and assess self pay abilities. Once those attempts have been completed, the determination for eligibility for financial assistance will begin. Number of Hospital Faciltiy - 0 Part V, Line 11h - Other Factors Used in Determing Amounts Charged Patients The organization also uses residency as a determining factor. For patients that reside outside the service area, available services to that patient in thier service area is also a factor Part III, Line 9b - Provisions On Collection Practices For Qualified Patients 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.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. Part III, Line 8 - Explanation Of Shortfall As Community Benefit Approximately 35% of the organziations patient charges relate to patients utlizing 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 METHODOLOGYAlbany Medical Center prepares a cost report for Medicare/Medicaid purposes. Figures reported in this cost report were used as the basis for reporting. The cost report is prepared by using financial statement data and statistical information to arrive at a cost allocated report. The report is cost certified as required by an independent accountant. Part III, Line 4 - Bad Debt Expense Community Benefit, Charity Care and Uncompensated Care Footnote from Combined Audited Financial StatementsNOTE: The Center reports information regarding bad debt on a combined basis with Albany Medical Center Hospital.(a) Community BenefitThe 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 services to other not for profit organizations. The Hospital supports graduate medical education and offers health professionals education support for community members through continuing education and scholarships.(b) Charity and Uncompensated CareThe Hospital's net cost of charity care, including payments to and receipts from the statewide pool was approximately $7.7 million in 2011 and $7.5 million in 2010 as follows:2011Charity care at cost: $6,050,677Payments to Statewide Pool: $4,967,145Receipts from Statewide Pool: $(3,337,307)Total : 7,680,5152010Charity care at cost: $4,607,452Payments to Statewide Pool: $5,166,676Receipts from Statewide Pool: $(2,245,134)Total : 7,528,994The cost of charity care provided was determined using direct and indirect costs to provide services based on the application of the ratio of the Hospitals 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. In addition, during 2011 and 2010 the Hospital incurred approximately $18.5 million and $20.8 million in provisions for uncollectable accounts, respectively. Part I, Line 7 - Explanation of Costing Methodology Albany Medical Center 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.Albany Medical Center 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. 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 is part of. The Community Benefit report is prepared for Albany Medical Center. Also incldued in this organization is Albany Medical College. X X X X X false false false false false false false false false false William C Hasselbarth 347942 113000 40084 81501 12682 595209 78061 Thomas Rosano 224164 24133 9800 11492 269589 Steven M Frisch 449240 121779 36086 99194 13912 121779 598432 85429 Mary Ellen Plass 202849 31020 21163 44150 12304 311486 31020 Louis Filhour 198280 28633 10141 35438 10518 283010 28633 James J Barba 627400 275000 40222 237422 2390 1182434 230824 Gary J Kochem 356207 86905 40538 83772 13731 581153 72945 Dennis McKenna 309823 42541 33360 51545 11902 449171 33894 Bernadette Pedlow 229361 40000 25433 51920 14804 361518 40000 City of Albany IDA 2007 #2 521325673 012440JN4 2007-11-28 13160000 Acquisition of land, construction of building, renovations false false false City of Albany IDA 2007 #1 521325673 012440JJ3 2007-06-28 6645000 Acquisition of Land, renovation of facility false false false City of Albany IDA 2006 521325673 012440HE6 2006-05-03 5855000 Acquisition of Land, renovation of facility false false false City of Albany IDA 2005 521325673 012440HA4 2005-06-30 10000000 Acquisition of Land, Renovation to existing facilities false false false 13160000 132289 272158 12755553 2009 false false true true 6645000 119040 124408 6401552 2008 false false true true 5855000 646988 29275 5178737 2007 false false true true 10000000 281725 9718275 2006 false false true true false false false false true false false false false true false false false false true false false false false true true true true Bank of America 20.0000 false false false false false true true true Bank of America 20.0000 false false false false false true true true Citizens 20.0000 false false false false false true true true Key Bank 30.0000 false false false false false X Form 990 Part VII - Estimate of average hours to related organizations Hours reported for Board Members, Officers and Key Employees are average work hours related to this organization and it's related organizations. Organizations included in this relationship are Albany Medical Center, Albany Medical Center Hospital, Albany Medical College, Albany Medical Center Foundation, Center for Donation and Transplant, and Kidskeller Inc. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Documents are made available upon request. Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees 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. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts 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. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process The Board of Directors, through it's Audit Committee, engages a prominent accounting firm, KPMG, to conduct a review of it's 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. Our process also includes a review of returns by senior management and a presentation and review of the returns at a meeting of the Audit Committee of the Board of Directors. Form 990, Part III, Line 4d Form 990, Part III, Line 4d : Other Program Services Description OTHER PROGRAM SERVICES 4: Laboratory Services (Adult & Peds) - Inpatient and outpatient services including clinical chemistry, blood bank, hematology, serology and microbiology. Billing units = 2,525,120 OTHER PROGRAM SERVICES 5: Other Albany Medical Center Kidskeller 47 New Scotland Avenue Albany NY 12208 222635792 Educational Day Program NY 501(c)(3) 2 Albany Medical Center false Center for Donation and Transplant 218 Great Oaks Blvd Albany NY 12203 141820447 Organ and Tissue Bank NY 501(c)(3) 11 Type I Albany Medical College false Albany Medical Center Foundation 47 New Scotland Avenue Albany NY 12208 146023119 Fundraising NY 501(c)(3) 7 N/A false Albany Medical College 47 New Scotland Avenue Albany NY 12208 141338310 Medical Degree Programs NY 501(c)(3) 2 N/A false Albany Medical Center 47 New Scotland Avenue Albany NY 12208 141641730 Corporate Services NY 501(c)(3) 11 Type II N/A false false false true false false false false false true true false true false false true true false true