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      <ExcessOrDeficitPerFS>68381498</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>705707995</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>6011834</NetUnrealizedGainsInvestments>
      <OtherRevenues>40048605</OtherRevenues>
      <RevenueNotRptdF990>46060439</RevenueNotRptdF990>
      <RevenueSubtotal>659647556</RevenueSubtotal>
      <TotalRevenuePerForm990>659647556</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>637326497</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>10623996</OtherExpensesIncluded>
      <ExpensesNotRptdF990>10623996</ExpensesNotRptdF990>
      <ExpensesSubtotal>626702501</ExpensesSubtotal>
      <TotalExpensesPerForm990>626702501</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part X</Identifier>
        <ReturnReference>Part X : FIN48 Footnote</ReturnReference>
        <Explanation>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 pursuant to Section 501(a) of the Code.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XIII, Line 2d</Identifier>
        <ReturnReference>Part XIII, Line 2d: Other expenses and losses per audited F/S</ReturnReference>
        <Explanation>$0 Fair Value Swaps $623996 Reduction to Intercompany Receivables $10000000</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 2d</Identifier>
        <ReturnReference>Part XII, Line 2d: Other revenue amounts included in F/S but not included on form 990</ReturnReference>
        <Explanation>$0 Contributions for PPE $908587 Pension Related Charges $12023567 Transfer of Net Assets from SCC $27116451</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8</Identifier>
        <ReturnReference>Part XI, Line 8: Other Changes in Net Assets or Fund Balances</ReturnReference>
        <Explanation>PPE Contribution $908587 $0 Pension related Changes $12023567 Transfer of Net Assets from SCC $27116451 Change in net intercompany $ -10000000 Fair Value of Interest Rate Swaps $ -623996</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part V, Line 4</Identifier>
        <ReturnReference>Part V, Line 4: Intended uses of the endowment fund.</ReturnReference>
        <Explanation>Income generated from Endowed funds are used to support the mission of the organization. $120,386 included in Part V Line 1b Contributions was transferred from South Clinical Campus as part of the dissolution.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
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      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent100>X</Pcent100>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent300>X</Pcent300>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
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        <NetCommunityBenefitExpense>4891028</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00780</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>108464102</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>102727018</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>5737084</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00920</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>243114</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>243114</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>113598244</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>102727018</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>10871226</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01740</PercentOfTotalExpense>
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      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>99936</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>99936</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>45921884</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>8731618</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>37190266</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05930</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <Research>
        <TotalCommunityBenefitExpense>1004721</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>794920</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>209801</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </Research>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>47026541</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>9526538</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>37500003</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05980</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>160624785</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>112253556</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>48371229</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.07720</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>20768716</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>131140044</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>131927518</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-787474</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostAccountingSystem>X</CostAccountingSystem>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>2</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>2</FacilityNumber>
        <Name>
          <BusinessNameLine1>Alb Med Center South Campus</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>25 Hackett Blvd</AddressLine1>
          <City>Albany</City>
          <State>NY</State>
          <ZIPCode>12208</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>Albany Medical Center Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>43 New Scotland Avenue</AddressLine1>
          <City>Albany</City>
          <State>NY</State>
          <ZIPCode>12208</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <CriticalAccessHospital>X</CriticalAccessHospital>
        <ResearchFacility>X</ResearchFacility>
        <Er24Hours>X</Er24Hours>
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        <HospitalFacilityName>
          <BusinessNameLine1>Alb Med Center South Campus</BusinessNameLine1>
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        <HospitalFacilityNumber>2</HospitalFacilityNumber>
        <CHNAConducted>false</CHNAConducted>
        <EligibilityCriteriaExplained>false</EligibilityCriteriaExplained>
        <UsesFPGFree>false</UsesFPGFree>
        <UsesFPGDiscounted>false</UsesFPGDiscounted>
        <ExplainsBasis>false</ExplainsBasis>
        <ExplainsApplicationMethod>false</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>false</IncludesPublicityMeasures>
        <ActionsOnNonpayment>false</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Albany Medical Center Hospital</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>false</CHNAConducted>
        <EligibilityCriteriaExplained>false</EligibilityCriteriaExplained>
        <UsesFPGFree>false</UsesFPGFree>
        <UsesFPGDiscounted>false</UsesFPGDiscounted>
        <ExplainsBasis>false</ExplainsBasis>
        <ExplainsApplicationMethod>false</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>false</IncludesPublicityMeasures>
        <ActionsOnNonpayment>false</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Additional Information</ReturnReference>
        <Explanation>GENERALAll 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 Center South Clinical Campus and Albany Medical College.PART III line 8Albany 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part V - Explanation of Number of Facility Type</ReturnReference>
        <Explanation>Two locations</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - States Where Community Benefit Report Filed</ReturnReference>
        <Explanation>NY</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Affilated Health Care System Roles and Promotion</ReturnReference>
        <Explanation>Albany Medical Center Hospital is a discrete operating entity of Albany Medical Center. As a member of Albany Medical Center, the Hospital has a mission of providing excellence in patient care. Other members of Albany Medical Center includes Albany Medical College, Albany Medical Center Foundation and Albany Medical Center.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Explanation Of How Organization Furthers Its Exempt Purpose</ReturnReference>
        <Explanation>* 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Community Building Activities</ReturnReference>
        <Explanation>Examples of Albany Medical Center's activities to support communities in the City of Albany, NY and beyond include:* $40 million annually for charity care and, more importantly, help enroll patients in health insurance programs.* 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</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Community Information</ReturnReference>
        <Explanation>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 &amp; 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Patient Education of Eligibility for Assistance</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Needs Assessment</ReturnReference>
        <Explanation>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 ParticipationIn 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 2010 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part III, Line 9b - Provisions On Collection Practices For Qualified Patients</ReturnReference>
        <Explanation>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.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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part III, Line 4 - Bad Debt Expense</ReturnReference>
        <Explanation>Uncompensated Care Footnote from Combined Audited Financial StatementsNOTE: The Center reports information regarding bad debt on a combined basis with Albany Medical Center Hospital.As part of its mission, the Center accepts all patients regardless of their ability to pay for services rendered. During 2010 and 2009, the Center recorded charity care of $16.1 million and $17.2 million, as measured on charges. The Center also subsidizes services to Medicaid patients which are paid at reimbursement levels below the Center's cost of rendering the related services. In addition, during 2010 and 2009, the Center incurred approximately $26.1 million and $21.7 million in bad debt expense, respectively. Bad debt expense primarily relates to patients without insurance and to those that are either underinsured or without the necessary resources to pay co insurance and deductible balances.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part I, Line 7 - Explanation of Costing Methodology</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
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      <Form990ScheduleJPartII>
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        <CUSIPNumber>012440JN4</CUSIPNumber>
        <DateIssued>2007-11-28</DateIssued>
        <IssuePrice>13160000</IssuePrice>
        <DescriptionOfPurpose>Acquisition of land, construction of building, renovations</DescriptionOfPurpose>
        <Defeased>false</Defeased>
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        <IssuePrice>6645000</IssuePrice>
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        <DateIssued>2006-05-03</DateIssued>
        <IssuePrice>5855000</IssuePrice>
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        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
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        <CUSIPNumber>012440HA4</CUSIPNumber>
        <DateIssued>2005-06-30</DateIssued>
        <IssuePrice>10000000</IssuePrice>
        <DescriptionOfPurpose>Acquisition of Land, Renovation to existing facilities</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
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        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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        <CapitalExpenditures>5178737</CapitalExpenditures>
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        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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        <TotalProceeds>10000000</TotalProceeds>
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        <CapitalExpenditures>9718275</CapitalExpenditures>
        <YearOfSubstCompletion>2006</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
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        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
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        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
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        <AnyResearchAgreements>false</AnyResearchAgreements>
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        <AnyLeaseArrangements>false</AnyLeaseArrangements>
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        <AnyResearchAgreements>false</AnyResearchAgreements>
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        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
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          <BusinessNameLine1>Bank of America</BusinessNameLine1>
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        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
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        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
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        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
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        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
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        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>true</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>Key Bank</BusinessNameLine1>
        </NameOfHedgeProvider>
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        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
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    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="10000105" softwareVersion="2010v3.2">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>Documents are made available upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>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 &amp; 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 &amp; 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part III, Line 4d</Identifier>
        <ReturnReference>Form 990, Part III, Line 4d : Other Program Services Description</ReturnReference>
        <Explanation>OTHER PROGRAM SERVICES 4: Laboratory Services (Adult &amp; Peds) - Inpatient and outpatient services including clinical chemistry, blood bank, hematology, serology and microbiology. Billing units = 2,541,685 OTHER PROGRAM SERVICES 5: Other</Explanation>
      </GeneralExplanation>
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          <BusinessNameLine1>Albany Medical Center Kidskeller</BusinessNameLine1>
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          <AddressLine1>47 New Scotland Avenue</AddressLine1>
          <City>Albany</City>
          <State>NY</State>
          <ZIPCode>12208</ZIPCode>
        </AddressUS>
        <EIN>222635792</EIN>
        <PrimaryActivities>Educational Day Program</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>2</PublicCharityStatus>
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          <BusinessNameLine1>Albany Medical Center</BusinessNameLine1>
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          <BusinessNameLine1>Center for Donation and Transplant</BusinessNameLine1>
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          <City>Albany</City>
          <State>NY</State>
          <ZIPCode>12203</ZIPCode>
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          <BusinessNameLine1>Albany Medical College</BusinessNameLine1>
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          <City>Albany</City>
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