ALBANY MEDICAL CENTER GROUP ORGANIZATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: ALBANY MEDICAL CENTER GROUP ORGANIZATION (EIN 47-3869194)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-11
IRS object ID: 202203159349303000
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule E
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-11T10:06:20-06:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	473869194	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	FRANCES S ALBERT	PersonNm
Person Title	EVP, COO & CFO(AMHS)/TREAS(HS)	PersonTitleTxt
Phone	5182625585	PhoneNum
Signature	2022-11-09	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	FRANCES	PersonFirstNm
Person Last	ALBERT	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	GENEVA FURLANO	PreparerPersonNm
PTIN	P01877392	PTIN
Phone	5184274600	PhoneNum
Preparation	2022-11-09	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

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

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$2,923,572,535	GrossReceiptsAmt
Group Return For Affiliates	Yes (1)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (1)	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	126	VotingMembersGoverningBodyCnt
Voting Members Independent	93	VotingMembersIndependentCnt
Total Employee	18460	TotalEmployeeCnt
Total Volunteers	671	TotalVolunteersCnt
Total Gross UBI	$8,490,035	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$168,481,954	PYContributionsGrantsAmt
CY Contributions Grants	$93,010,230	CYContributionsGrantsAmt
PY Program Service Revenue	$1,938,364,885	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,453,077,238	CYProgramServiceRevenueAmt
PY Investment Income	$19,477,957	PYInvestmentIncomeAmt
CY Investment Income	$54,407,536	CYInvestmentIncomeAmt
PY Other Revenue	$89,185,248	PYOtherRevenueAmt
CY Other Revenue	$176,747,880	CYOtherRevenueAmt
PY Total Revenue	$2,215,510,044	PYTotalRevenueAmt
CY Total Revenue	$2,777,242,884	CYTotalRevenueAmt
PY Grants And Similar Paid	$18,000,583	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$23,420,217	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,036,115,747	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,296,184,970	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$4,756,499	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,056,712,553	PYOtherExpensesAmt
CY Other Expenses	$1,317,676,441	CYOtherExpensesAmt
PY Total Expenses	$2,110,828,883	PYTotalExpensesAmt
CY Total Expenses	$2,637,281,628	CYTotalExpensesAmt
PY Revenues Less Expenses	$104,681,161	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$139,961,256	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,433,137,271	TotalAssetsBOYAmt
Total Assets EOY	$2,881,582,718	TotalAssetsEOYAmt
Total Liabilities BOY	$1,247,514,261	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,362,369,831	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,185,623,010	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,519,212,887	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,276,193,291	ExpenseAmt
Grant	$15,000	GrantAmt
Revenue	$1,325,507,163	RevenueAmt
Desc	INPATIENT AND OUTPATIENT SERVICES - PROVISION OF INPATIENT AND OUTPATIENT SERVICES INCLUDING SPECIALIZED NURSING SERVICES AND EMERGENCY ROOM. 2021 ADMISSIONS WERE APPROXIMATELY 542,845 AND PATIENT DAYS WERE APPROXIMATELY 558,916.COVID-19 IMPACT: THE COVID PANDEMIC HAS TAKEN ITS TOLL IN WAYS FEW COULD HAVE PREDICTED.AS IT DID TO ALL HEALTH CARE ORGANIZATIONS ACROSS THE U.S., THROUGHOUT 2021, THE CORONAVIRUS PRESENTED ANOTHER YEAR OF SIGNIFICANT CHALLENGES TO THE ALBANY MED HEALTH SYSTEM. WHILE VACCINATIONS, THERAPIES, AND TREATMENTS BECAME MORE BROADLY AVAILABLE DURING THE YEAR, SURGES OF THE VIRUS RESULTED IN UNEXPECTED, COMPLEX EFFECTS. THE ALBANY MED HEALTH SYSTEM WAS AFFECTED SIMILARLY TO THE REST OF THE HEALTHCARE INDUSTRY, BUT PERHAPS MORE SO BECAUSE OF OUR ROLE AS A REFERRAL CENTER FOR A 25-COUNTY REGION.SUBSTANTIAL FINANCIAL AND OPERATIONAL IMPACTS INCLUDED:- SIGNIFICANT EXPENSE CHALLENGES - CONTINUING A TREND FROM 2020, EXPENSES WERE EXACERBATED BY NUMEROUS WAVES OF COVID-19. OUR NUMBER OF INPATIENT CASES REMAINED HIGH, RESULTING IN AN INCREASE IN THE RELATED COST OF CARE AND THE NEED FOR ADDITIONAL STAFF AND SUPPLIES. SUPPLY COSTS INCREASED DUE TO SHORTAGES, AND TRAVEL AGENCY SERVICES WERE LEVERAGED TO MEET PATIENT DEMAND AND A WORKFORCE SHORTAGE, WHILE TRAVEL LABOR RATES ROSE STEEPLY.- REVENUE CHALLENGES - DURING 2021, ALTHOUGH A FINANCIAL REBOUND WAS ATTEMPTING TO OCCUR, IT WAS STALLED BY STAFFING SHORTAGES, RESULTING IN BOTH AN INABILITY TO MEET DEMAND AND A BACKLOG OF VISITS AND PROCEDURES. ADDITIONALLY, THE NEED TO RELY ON AGENCY SERVICES TO ASSIST WITH STAFFING AND THE RISING EXPENSES DESCRIBED ABOVE ALSO CONTRIBUTED TO REVENUE CHALLENGES, PARTICULARLY TOWARD THE END OF THE YEAR. - MAJOR OPERATIONAL CHALLENGES - THE SYSTEM EXPERIENCED OPERATIONAL CHALLENGES SIMILAR TO OTHER HOSPITALS AND HEALTH SYSTEMS. THE DEMAND FOR ADDITIONAL STAFF, PPE, AND OTHER EQUIPMENT CONTINUED IN 2021. DIFFICULTY PLACING PATIENTS READY FOR DISCHARGE FREQUENTLY OCCURRED, WHICH RESULTED IN AN INCREASED LENGTH OF STAY. THIS, IN TURN, NOT ONLY EXAGGERATED STAFFING SHORTAGES, BUT IMPACTED OUR ABILITY TO ACCEPT PATIENT TRANSFERS.- WORKFORCE CHALLENGES -THE "GREAT RESIGNATION", WHICH BEGAN IN THE SPRING OF 2021, HAS HAD A SEVERE IMPACT ON ALL HEALTHCARE ORGANIZATIONS, AND THE ALBANY MED HEALTH SYSTEM WAS NO EXCEPTION. NURSES AND OTHER CRITICAL CARE STAFF BEGAN LEAVING IN RECORD NUMBERS; OUR SYSTEM TURNED TO FOR-PROFIT TEMPORARY STAFFING AGENCIES, WHICH BEGAN CHARGING RATES WELL BEYOND PRE-PANDEMIC LEVELS. IN SEPTEMBER 2021, OUR SYSTEM LOST ADDITIONAL STAFF DUE TO RESIGNATIONS AND TERMINATIONS SPURRED BY NEW YORK STATE'S COVID-19 VACCINATION REQUIREMENT. AND THROUGHOUT THE YEAR, THE QUARANTINE OF COVID-POSITIVE STAFF MEMBERS CONTRIBUTED TO WORKFORCE SHORTAGES, AS WELL.COVID 19 RESPONSE: AS REGIONAL PROVIDERS OF CARE, THE HOSPITALS OF ALBANY MED HEALTH SYSTEM CONTINUOUSLY SOUGHT WAYS TO ASSIST OUR REGION'S RESIDENTS IN 2021: - THE PROVISION OF TARGETED CARE TO ADDRESS THE RANGE OF HEALTH NEEDS AND CHALLENGES PRESENTED BY THOSE INFECTED WITH THE COVID-19 VIRUS.- COMPREHENSIVE EMERGENT CARE FOR OUR MOST VULNERABLE PATIENTS, INCLUDING THOSE IN NEED OF VENTILATOR SUPPORT.- CONTINUED AVAILABILITY OF COVID-19 THERAPIES. CONTINUATION OF, AND EXPANSION OF, TELEHEALTH SERVICES ACROSS THE SYSTEM TO ALLOW PATIENTS AND THE COMMUNITY CONTINUED ACCESS TO PROVIDERS.- EXPANDED HOURS FOR COVID-19 TESTING FOR STAFF. - CONTINUED RESEARCH AND EVALUATION EFFORTS RELATED TO THE COVID-19 PANDEMIC. THE STUDIES HAVE GLEANED VALUABLE INFORMATION AND WILL HAVE MEANING FOR FUTURE DISEASE OUTBREAKS AND SIMILAR MEDICAL CRISES.- ROUTINE REVISION OF INTERNAL COVID-19 POLICIES AND GUIDELINES, INCLUDING VISITATION GUIDELINES, EMPLOYEE COVID TESTING, AND CURRENT PRACTICES, BASED ON THE MOST CURRENT CDC AND NEW YORK STATE GUIDANCE.- DISSEMINATION OF IMPORTANT INFORMATION TO KEEP OUR COMMUNITY UPDATED ON COVID-19. THE NUMBER OF VISITS TO THE COVID-19 PAGES OF EACH OF OUR HOSPITALS' WEBSITES WERE SUBSTANTIAL, HELPING MEET THE COMMUNITY'S NEED FOR ACCURATE, CURRENT INFORMATION ON THE PANDEMIC.- THE SYSTEM ALSO PLAYED A LEAD ROLE, WORKING WITH ALL LOCAL HOSPITALS IN OUR REGION, TO TRACK AND MEASURE COVID-19 RATES ON A DAILY BASIS. - ALBANY MEDICAL CENTER HOSPITAL, THE PRIMARY ENTITY OF THE ALBANY MED HEALTH SYSTEM, WAS SELECTED TO LEAD THE CAPITAL REGION IN THE DISTRIBUTION OF COVID-19 VACCINES, THE ROLL-OUT OF WHICH BEGAN IN DECEMBER 2020 AND RAMPED UP IN 2021. ALL SYSTEM HOSPITALS PARTICIPATED IN THE PROGRAM. MANY MEMBERS OF OUR WORKFORCE HELPED DISTRIBUTE THE VACCINE. THE CAPITAL REGION VACCINE NETWORK WAS THE FIRST REGIONAL HUB TO ADMINISTER FIRST DOSES OF THE VACCINE TO AT LEAST HALF ITS POPULATION. - A POWERFUL, REGIONAL ADVERTISING CAMPAIGN CONTINUED, UNDERTAKEN BY THE SYSTEM TO EDUCATE PATIENTS AND THE PUBLIC ABOUT VACCINE DISTRIBUTION, INFORMATION ABOUT EACH OF THE VACCINES, AND THE IMPORTANCE OF BEING VACCINATED. - IN ADDITION, CAREER FAIRS AND RECRUITMENT CAMPAIGNS INCREASED ACROSS THE SYSTEM TO HELP FILL POSITIONS IN PATIENT CARE. TACTICS INCLUDED YOUTUBE STREAMING ADS, NURSE HIRING EVENTS, OPEN HOUSES AND CAREER FAIRS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$339,298,772	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$325,817,645	RevenueAmt
Desc	FACULTY PRACTICE - FACULTY PRACTICE ALBANY MEDICAL CENTER OPERATES A CLINICAL PRACTICE ACTIVITY (PATIENT CARE) FOR THE FACULTY OF THE ALBANY MEDICAL COLLEGE. 2021 EXPERIENCED OVER 700,000 PATIENT VISITS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$307,515,162	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$403,368,425	RevenueAmt
Desc	DIAGNOSTIC AND TESTING SERVICES - DIAGNOSTIC & TESTING SERVICES INPATIENT AND OUTPATIENT SERVICES INCLUDING DIAGNOSTIC IMAGING, RADIATION THERAPY, AND CARDIAC CATHETERIZATION. IN 2021, ALBANY MEDICAL CENTER INPATIENT PROFESSIONAL SERVICES TOTALED 91,803; OUTPATIENT SERVICES TOTALED 50,667 AND ER SERVICES WAS APPROXIMATELY 90,285.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$368,259,306	ExpenseAmt
Grant	$23,405,217	GrantAmt
Revenue	$450,016,043	RevenueAmt
Desc	ALBANY MEDICAL CENTER HOSPITAL AND AFFILIATES:OPERATING AND RECOVERY ROOM: INPATIENT AND OUTPATIENT OPERATING ROOM SERVICES INCLUDING OPEN HEART PROGRAM, TRANSPLANT SERVICES AND SPECIALIZED TRAUMA SERVICES. APPROXIMATELY 25,688 TOTAL CASES PERFORMED WITH 8,114 INPATIENT, 2,348 SAME DAY, AND 15,226 OUTPATIENT.OTHER PATIENT CARE BASED SERVICES TOTALED APPROXIMATELY $90 MILLION IN EXPENDITURES.INSTRUCTION: AS AN EDUCATIONAL INSTITUTION, THE MAIN FUNCTION IS TO TEACH APPROXIMATELY 800 STUDENTS.RESEARCH: AS A MEDICAL COLLEGE, THE ORGANIZATION UNDERTAKES NUMEROUS RESEARCH PROJECTS DURING THE COURSE OF THE YEAR. THE EXPENDITURES FOR ACTIVITIES SPECIFICALLY ORGANIZED TO PROVIDE RESEARCH OUTCOMES IS APPROXIMATELY $21 MILLION.FOUNDATION: THE GROUP ORGANIZATION INCLUDES A FOUNDATION, WHOSE PRIMARY FUNCTION IS TO RAISE FUNDS FOR CONSTRUCTION, RESEARCH, SUPPORT AND ENDOWMENT PURPOSES FOR EXEMPT ORGANIZATIONS, INCLUDING ALBANY MEDICAL COLLEGE, ALBANY MEDICAL CENTER HOSPITAL, ALBANY MED HEALTH SYSTEM, AMC ALUMNI ASSOCIATION, AND CENTER FOR DONATION AND TRANSPLANT, VIA DIRECT MAIL - COMMUNITY BASED PROGRAMS, TELETHON, RADIOTHON, SPECIAL EVENTS - GOLF OUTINGS, DINNERS, ETC., PLUS GIFT-IN-KIND (GIK) DONATIONS.CDT: RESEARCH/EDUCATION - PRIMARY PURPOSE IS TO FACILITATE PROCUREMENT AND EQUITABLE DISTRIBUTION OF MEDICALLY SUITABLE ORGANS FOR TRANSPLANTATION. ALSO, CDT IS TO ENSURE THAT FAMILIES ARE INFORMED ON OPTIONS FOR ORGAN DONATION. SUPPORT FAMILY AND HOSPITAL PERSONNEL INVOLVED IN THE DONATION PROCESS AND EDUCATE THE UPSTATE MEDICAL PROFESSION ON ORGAN PROCUREMENT.KIDSKELLER: CHILDREN FROM EIGHT WEEKS TO KINDERGARTEN AGE MAY ENROLL. EDUCATIONAL ACTIVITIES FOR THESE VARIED AGE GROUPS FOLLOW A DEVELOPMENTAL SEQUENCE WHICH INCLUDES AGE-APPROPRIATE ACTIVITIES FOR THE DEVELOPMENT OF COGNITIVE SKILLS, FINE AND GROSS MOTOR SKILLS, SOCIAL-EMOTIONAL GROWTH AND ACTIVITIES OF DAILY LIVING SKILLS.LABORATORY SERVICES (ADULT & PEDS): INPATIENT AND OUTPATIENT SERVICES INCLUDING CLINICAL CHEMISTRY, BLOOD BANK, HEMATOLOGY, SEROLOGY AND MICROBIOLOGY.THE GROUP ORGANIZATION RECEIVES GENERAL EXPENSE REIMBURSEMENTS FOR RELATED PATIENT CARE SERVICES.THE ORGANIZATION HAS CERTAIN OTHER EXEMPT FUNCTION REVENUES.COLUMBIA MEMORIAL HOSPITAL: THE ORGANIZATION HAD APPROXIMATELY $12.8M EXPENDITURES AND $13.9M REVENUE RELATED TO OTHER OPERATING ACTIVITIES.KAATERSKILL COMMONS: KCI OWNS AND OPERATES A 21 UNIT APARTMENT PROJECT LOCATED IN CATSKILL NY. THE TENANTS ARE ABLE TO QUALIFY AS LOW INCOME AND ELDERLY.SARATOGA CARE INC: THE FOREMOST COMMITMENT OF SCI IS TO ENABLE ITS AFFILIATED ENTITY (SARATOGA HOSPITAL) TO PROVIDE SUPERIOR QUALITY HEALTHCARE TO THE PEOPLE OF THE COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY.SARATOGA REGIONAL MEDICAL PC: SRMPC IS ORGANIZED AND OPERATED FOR THE PURPOSE OF PROMOTING HEALTH BY PROVIDING MEDICAL CARE TO THE COMMUNITY SERVED BY SARATOGA HOSPITAL. IN SEPTEMBER 2018, SRM BEGAN PROVIDING OBSTETRICS AND GYNECOLOGY SERVICES AT TWO SITES: SARATOGA OB/GYN AT MYRTLE ST. IN SARATOGA SPRINGS, NY AND SARATOGA OB/GYN AT MALTA IN MALTA, NY. PROVIDERS AT THESE LOCATIONS WORK COLLABORATIVELY WITH PATIENTS ON MEDICAL, SURGICAL, AND PREVENTIVE CARE FOR FEMALE REPRODUCTIVE HEALTH. SARATOGA OB/GYN PROVIDERS SAW NEARLY 32,000 PATIENT VISITS FOR PREGNANCY AND GYNECOLOGICAL CARE DURING 2021. IN JUNE 2019, SRM BEGAN OPERATING A NEPHOLOGY SITE IN GLENS FALLS, NY. SARATOGA HOSPITAL MEDICAL GROUP - NEPHROLOGY AT GLENS FALLS OFFERS ITS PATIENTS AN OUTSTANDING TEAM OF BOARD-CERTIFIED PHYSICIANS, EMPLOYING THE MOST ADVANCED DIAGNOSTIC TECHNIQUES TO IDENTIFY, DEVELOP A TREATMENT PLAN, AND MANAGE KIDNEY DISEASE. IN 2021, PROVIDERS AT THIS LOCATION SAW APPROXIMATELY 2,700 PATIENT VISITS.HEALTHCARE PARTNERS OF SARATOGA LTD: THE FOREMOST COMMITMENT OF MMEC IS TO PROVIDE HIGH-QUALITY, COST-EFFECTIVE HEALTHCARE TO INDIVIDUALS AND FAMILIES IN THE COMMUNITIES IT SERVES REGARDLESS OF A PATIENT'S ABILITY TO PAY. MMEC ACTIVELY SUPPORTS COMMUNITY-BASED HEALTHCARE AND PROMOTES THE COORDINATION OF SERVICES AMONG HEALTHCARE PROVIDERS AND SOCIAL SERVICES ORGANIZATIONS. IN ADDITION, MMEC SEEKS TO WORK COLLABORATIVELY WITH OTHER HEALTH CARE PROVIDERS TO IMPROVE THE HEALTH STATUS OF ITS REGION. MMEC IS DEFINED AS AN EMERGENT CARE CENTER, WHICH IS A CROSS BETWEEN AN URGENT CARE CENTER AND A HOSPITAL EMERGENCY DEPARTMENT. THEREFORE, THE FACILITY ACCOMMODATES A WIDE RANGE OF MEDICAL NEEDS. MMEC OFFERS 24-HOUR ACCESS TO EMERGENCY MEDICINE PHYSICIANS FOR URGENT CARE. THESE PHYSICIANS ARE EQUIPPED TO TREAT PATIENTS WITH ANY LEVEL OF URGENT CARE NEEDS. PATIENTS TREATED AND TRIAGED ARE DISCHARGED HOME WITH FOLLOW UP TO THEIR PRIMARY CARE OR SPECIALIST, THUS AVOIDING AN EMERGENCY ROOM VISIT TO THEIR LOCAL HOSPITAL. DURING 2021, MMEC ACCOMMODATED APPROXIMATELY 43,000 URGENT CARE VISITS. IN ADDITION, OTHER SERVICES PROVIDED DURING THE YEAR INCLUDED OUTPATIENT X-RAY (16,774), ULTRASOUND (8,570), COMPUTED TOMOGRAPHY (7,983), MAGNETIC RESONANCE IMAGING (1,974 TESTS) AND LABORATORY SERVICES (281,507 TESTS).TOTAL LINE 4D OTHER EXPENSES, GRANTS, AND REVENUES	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$368,259,306	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$23,405,217	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$450,016,043	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$2,291,266,531	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	Yes (1)	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (1)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	Yes (1)	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	Yes (1)	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	1245	IRPDocumentCnt
IRP Document W2 G	1	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	18460	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	0	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	NL	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	Yes (1)	NondeductibleContributionsInd
Nondeductible Contri Discl	Yes (1)	NondeductibleContriDisclInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
DAF Excess Business Holdings	0	DAFExcessBusinessHoldingsInd
Taxable Distributions	0	TaxableDistributionsInd
Distribution To Donor	0	DistributionToDonorInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	126	GoverningBodyVotingMembersCnt
Independent Voting Member	93	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	5182628795	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (152 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DENNIS P MCKENNA MD
PRESIDENT & CEO (AMHS)	37.00	11.00	Yes (X)	Yes (X)	$0	$1,453,855	$310,703
ANGELO G CALBONE
PRES/CEO (SH, SCI), PRES (HS)	38.00	3.00	Yes (X)	Yes (X)	$854,853	$0	$74,286
STEVEN M FRISCH MD
MEM-CMH,GFH,SCI/PHY-SH/VP-HS	28.00	26.00	Yes (X)		$0	$1,539,492	$123,591
VINCENT P VERDILE MD
SR EVP (AMHS), BD MEM (HS)	33.00	9.00	Yes (X)		$1,167,318	$0	$126,336
JAY CAHALAN
PRS-CEO(CMH)/PRS(KCI)/BD(CMHF)	40.00	9.00	Yes (X)	Yes (X)	$985,392	$0	$180,547
FRANCES S ALBERT
EVP, COO & CFO(AMHS)/TREAS(HS)	33.00	9.00	Yes (X)	Yes (X)	$0	$1,009,956	$90,951
DIANNE SHUGRUE
PRESIDENT & CEO (GFH)	40.00	0.00	Yes (X)	Yes (X)	$872,628	$0	$17,345
STEVEN M PARNES MD
BOARD MEMBER (AMHS)	46.00	2.00	Yes (X)		$786,814	$0	$32,928
RICHARD FALIVENA
VP (SH), BD MEM (SRMPC)	38.00	0.00	Yes (X)		$0	$451,812	$37,300
HIRAL AMIN MD
BOARD MEMBER (CMH)	44.00	0.00	Yes (X)		$439,235	$0	$29,551
JEFFREY METHVEN
EVP(SH),MEM(HS),EDR/SEC(SRMPC)	40.00	2.00	Yes (X)	Yes (X)	$0	$391,611	$47,950
JORGE ORTIZ
BOARD MEMBER (CDT)	42.00	0.00	Yes (X)		$376,413	$0	$29,811
BRYAN T MAHONEY
CFO (CMH), SEC/TREAS (KCI)	40.00	9.00	Yes (X)	Yes (X)	$340,029	$0	$30,750
DAVID J CONTI MD
BOARD MEMBER (CDT THRU 10/21)	42.00	0.00	Yes (X)		$278,632	$0	$20,923
MICHAEL DAILEY MD
BOARD MEMBER (CDT)	42.00	0.00	Yes (X)		$266,169	$0	$23,012
WILLIAM MURPHY MD
BOARD MEMBER (CMH)	40.00	0.00	Yes (X)		$266,637	$0	$21,401
MICHELE K SKUMURSKI
BOARD MEMBER (KIDS)	2.00	42.00	Yes (X)		$0	$264,900	$2,302
ALICIA WICZULIS MD
BOARD MEMBER (KIDS)	42.00	0.00	Yes (X)		$234,191	$0	$24,708
KEVIN RONAYNE
VP OP/FACILIT.(SH),BD MEM(HS)	40.00	2.00	Yes (X)		$222,431	$0	$35,022
VICKEY MASTA-GORNIC
BOARD MEMBER (KIDS)	2.00	40.00	Yes (X)		$0	$239,866	$9,000
MARY ALICE CULLEN
BOARD MEMBER (KIDS)	42.00	0.00	Yes (X)		$192,301	$0	$26,722
BRIGIDO MONTERO
BOARD MEMBER (KIDS)	2.00	40.00	Yes (X)		$0	$193,158	$20,369
MEGHAN WEYGANT
BOARD MEMBER (KIDS)	42.00	0.00	Yes (X)		$190,423	$0	$15,664
CHARLES M DAY
BOARD MEMBER (KIDS)	2.00	40.00	Yes (X)		$0	$187,298	$2,189
KATHERINE KEEFE
BOARD MEMBER (CDT)	42.00	0.00	Yes (X)		$172,664	$0	$1,673
EMILY WRIGHT
BOARD MEMBER (KIDS)	42.00	0.00	Yes (X)		$157,969	$0	$359
JAMES J BARBA
BOARD MEMBER (AMHS)	6.00	42.00	Yes (X)		$0	$151,565	$0
ROBERT PISTILLI
BOARD MEMBER (KIDS)	2.00	40.00	Yes (X)		$0	$121,389	$25,063
GEOFFREY SERFILIPPI MD
BOARD MEMBER (GFH)	40.00	0.00	Yes (X)		$135,444	$0	$552
CHRISTINE HAYES
BOARD MEMBER (KIDS)	2.00	40.00	Yes (X)		$0	$108,970	$18,940
MEGAN HELMECKE
BOARD MEMBER (KIDS)	42.00	0.00	Yes (X)		$96,499	$0	$23,455
CATHERINE RIDDLE
BOARD MEMBER (KIDS)	42.00	0.00	Yes (X)		$104,997	$0	$10,232
JENNIFER BALAZS
BOARD MEMBER (KIDS)	42.00	0.00	Yes (X)		$81,763	$0	$22,553
MARY CAREY
BOARD MEMBER (KIDS THRU 10/21)	42.00	0.00	Yes (X)		$76,636	$0	$2,704
MARIANNE A MUSTAFA MD
BOARD MEMBER (SH, SCI)	3.00	0.00	Yes (X)		$0	$16,470	$0
RAIMUNDO C ARCHIBOLD JR
BOARD MEMBER (AMHS, SH, SCI)	11.00	2.00	Yes (X)		$0	$0	$0
JAMES J ARMSTRONG
VICE CHAIR (CMHF)	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
V RICHARD BACK MD
BOARD MEMBER (CMH)	4.00	0.00	Yes (X)		$0	$0	$0
RENEE BARRATIERE
BOARD MEMBER (CMHF)	2.00	0.00	Yes (X)		$0	$0	$0
MARK L BEHAN
BOARD MEMBER (AMHS THRU 6/21)	5.00	2.00	Yes (X)		$0	$0	$0
MARY GAIL BIEBEL PHD
BD MEM (AMHS, CMH THRU 6/21, KCI)	9.00	2.00	Yes (X)		$0	$0	$0
JACK BIENIEK
BOARD MEMBER (GFH)	1.00	0.00	Yes (X)		$0	$0	$0
RICHARD BYRNE
VICE PRESIDENT (CMHF)	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
TENEE' CASACCIO
BOARD MEMBER (GFH)	1.00	0.00	Yes (X)		$0	$0	$0
MARGARET SMITH CASSIER
BOARD MEMBER (SH)	3.00	0.00	Yes (X)		$0	$0	$0
CARL CEDRONE
BOARD MEMBER (GFH)	1.00	0.00	Yes (X)		$0	$0	$0
SUJATA CHAUDHRY
BOARD MEMBER (AMHS)	4.00	2.00	Yes (X)		$0	$0	$0
DAVID COLLINS
BOARD MEMBER (SH, SCI)	3.00	0.00	Yes (X)		$0	$0	$0
JAMES CULLUM
BOARD MEMBER (AMHS, GFH)	5.00	2.00	Yes (X)		$0	$0	$0
KARI CUSHING
BOARD MEMBER (SH, SCI)	3.00	0.00	Yes (X)		$0	$0	$0
ROBERT T CUSHING
BOARD MEMBER (AMHS)	6.00	2.00	Yes (X)		$0	$0	$0
SUSAN L DAKE
BOARD MEMBER (SH, SCI)	3.00	0.00	Yes (X)		$0	$0	$0
ISABELLE DESJARDINS MD
BOARD MEMBER (CDT)	2.00	0.00	Yes (X)		$0	$0	$0
R WAYNE DIESEL
BOARD MEMBER (AMHS)	4.00	2.00	Yes (X)		$0	$0	$0
DR LOUIS A DIGIOVANNI
BOARD MEMBER (CMHF)	2.00	0.00	Yes (X)		$0	$0	$0
CARLEE DRUMMER PHD
BOARD MEMBER (CMH)	4.00	0.00	Yes (X)		$0	$0	$0
SHARON DUKER
BOARD MEMBER (AMHS, CMH)	10.00	2.00	Yes (X)		$0	$0	$0
ANTHONY M DURANTE
BOARD MEMBER (AMHS)	6.00	2.00	Yes (X)		$0	$0	$0
JUDITH A EKMAN
BOARD MEM (SH THRU 6/21, SCI)	3.00	0.00	Yes (X)		$0	$0	$0
GEORGE FERRONE
CHAIRMAN (GFH)	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
PETER F FINGAR
BOARD MEMBER (CMHF)	2.00	0.00	Yes (X)		$0	$0	$0
KATE FORER
BOARD MEMBER (SH)	3.00	0.00	Yes (X)		$0	$0	$0
MARGARET GILLIS
BOARD MEMBER (AMHS, GFH)	7.00	2.00	Yes (X)		$0	$0	$0
NANCY GINSBERG
BOARD MEMBER (CMHF)	2.00	0.00	Yes (X)		$0	$0	$0
DAVID GOLUB
BOARD MEMBER (AMHS)	4.00	2.00	Yes (X)		$0	$0	$0
THOMAS GUAY
BOARD MEMBER (GFH)	1.00	0.00	Yes (X)		$0	$0	$0
DOUG M HAMLIN
BOARD MEMBER (AMHS)	6.00	2.00	Yes (X)		$0	$0	$0
WILLIAM HART
BOARD MEMBER (GFH)	1.00	0.00	Yes (X)		$0	$0	$0
COURTNEY HASKINS
VICE CHAIRMAN (GFH)	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
PETER H HEERWAGEN
BOARD MEMBER (AMHS)	4.00	2.00	Yes (X)		$0	$0	$0
GEORGE HICKMAN
BOARD MEMBER (HS THRU 5/21)	2.00	42.00	Yes (X)		$0	$1,567,868	$21,590
GARY R HICKS
BOARD MEMBER (GFH)	1.00	0.00	Yes (X)		$0	$0	$0
MICHAEL H IACOLUCCI
BOARD MEMBER (AMHS, SH, SCI)	9.00	2.00	Yes (X)		$0	$0	$0
ANN M ISRAEL
BOARD MEMBER (CMHF)	2.00	0.00	Yes (X)		$0	$0	$0
JAMES O JACKSON PHD
BOARD MEMBER (AMHS)	4.00	2.00	Yes (X)		$0	$0	$0
GLENDA KELMAN
BOARD MEMBER (AMHS, GFH)	9.00	2.00	Yes (X)		$0	$0	$0
AVEN A KERR
BOARD MEMBER (CMHF)	2.00	0.00	Yes (X)		$0	$0	$0
CAROL KIM PHD
BOARD MEMBER (AMHS)	4.00	2.00	Yes (X)		$0	$0	$0
JAMES M KINGSBURY
BOARD MEMBER (CMHF)	2.00	0.00	Yes (X)		$0	$0	$0
KIRK KNELLER
TREASURER (CMH), BD MEM (CMHF)	4.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
DEBORAH LANS
CHAIR (CMH), BOARD MEM (AMHS)	8.00	2.00	Yes (X)		$0	$0	$0
GLENN LUNDE
TREASURER (CMHF)	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
RUTH H MAHONEY
BOARD MEMBER (AMHS)	6.00	2.00	Yes (X)		$0	$0	$0
CARLOS MARROQUIN MD
BOARD MEMBER (CDT)	2.00	0.00	Yes (X)		$0	$0	$0
JOAN MARTIN
BOARD MEMBER (HS FROM 6/21)	2.00	40.00	Yes (X)		$0	$189,110	$1,091
MORRIS C MASSRY
BOARD MEMBER (AMHS)	4.00	2.00	Yes (X)		$0	$0	$0
PATTI MATHENY
BOARD MEMBER (CMHF)	2.00	0.00	Yes (X)		$0	$0	$0
JOHN MATHEWS MD
BOARD MEMBER (CMH, CMHF)	4.00	0.00	Yes (X)		$0	$0	$0
RICHARD N MCCARTHY
BOARD MEMBER (CMHF)	2.00	0.00	Yes (X)		$0	$0	$0
KRISTIN KIRK MEEHAN
BOARD MEMBER (CDT)	2.00	0.00	Yes (X)		$0	$0	$0
WESLEY MERRITT
BOARD MEMBER (CDT)	2.00	0.00	Yes (X)		$0	$0	$0
FRANK L MESSA
BOARD MEMBER (SH, SCI)	3.00	0.00	Yes (X)		$0	$0	$0
LISA MOSER
BOARD MEMBER (AMHS)	4.00	2.00	Yes (X)		$0	$0	$0
GREGORY MOSLEY
BOARD MEMBER (CMH)	4.00	0.00	Yes (X)		$0	$0	$0
LILLIAN MOY ESQ
BOARD MEMBER (AMHS)	4.00	2.00	Yes (X)		$0	$0	$0
STEPHEN NELSON
SECRETARY (CMH), BD MEM (KCI)	4.00	1.00	Yes (X)		$0	$0	$0
JOHN J NIGRO
BOARD MEMBER (AMHS)	4.00	2.00	Yes (X)		$0	$0	$0
JOHN B O'CONNOR
BOARD MEMBER (AMHS)	4.00	2.00	Yes (X)		$0	$0	$0
ALAN C OPPENHEIM
BOARD MEM (SH, THRU 6/21, SCI)	3.00	0.00	Yes (X)		$0	$0	$0
WILLIAM PALMER
BOARD MEMBER (CMH)	4.00	0.00	Yes (X)		$0	$0	$0
CLAIRE PARDE
VICE CHAIR (CMH), BD MEM (KCI)	4.00	1.00	Yes (X)		$0	$0	$0
WILL PELGRIN
BOARD MEMBER (CMH)	4.00	0.00	Yes (X)		$0	$0	$0
JOSEPH PHELAN
BOARD MEMBER (CMHF)	2.00	0.00	Yes (X)		$0	$0	$0
DANIEL T PICKETT III
BOARD MEMBER (AMHS)	4.00	2.00	Yes (X)		$0	$0	$0
MOLLY POLETO
BOARD MEMBER (CMH)	4.00	0.00	Yes (X)		$0	$0	$0
WILLIAM G POWERS JR
SECRETARY (GFH), BD MEM (AMHS THRU 6/21)	5.50	2.00	Yes (X)	Yes (X)	$0	$0	$0
ELIZABETH WOOD PUSTOLKA EDD
BOARD MEMBER (SH, SCI)	3.00	0.00	Yes (X)		$0	$0	$0
HILLA RICHARDSON
BOARD MEMBER (CMH)	4.00	0.00	Yes (X)		$0	$0	$0
THOMAS J ROOHAN
BOARD MEMBER (SH, SCI)	3.00	0.00	Yes (X)		$0	$0	$0
WILLIAM A ROOS IV ESQ
BOARD MEMBER (CMHF)	2.00	0.00	Yes (X)		$0	$0	$0
ANNE M SCHOMAKER
CHAIR (CMHF)	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
KATE HERLIHY SCHWENKER
BOARD MEMBER (GFH)	1.00	0.00	Yes (X)		$0	$0	$0
MICHAEL SCOLLINS
BOARD MEMBER (CDT)	2.00	0.00	Yes (X)		$0	$0	$0
RYAN SCOTT
BOARD MEMBER (CMHF)	2.00	0.00	Yes (X)		$0	$0	$0
DONNA SICKLER
BOARD MEMBER (CDT)	2.00	0.00	Yes (X)		$0	$0	$0
THERESA M SKAINE
BD MEM (AMHS, SH), CHAIR (SCI)	11.00	2.00	Yes (X)		$0	$0	$0
JANICE SMITH
BOARD MEMBER (AMHS)	4.00	2.00	Yes (X)		$0	$0	$0
JEFFREY SPERRY
BOARD MEMBER (AMHS)	6.00	2.00	Yes (X)		$0	$0	$0
KATRINA SPITZER
BOARD MEMBER (CMHF)	2.00	0.00	Yes (X)		$0	$0	$0
CAROLYN STEFANCO PHD
BOARD MEMBER (AMHS)	4.00	2.00	Yes (X)		$0	$0	$0
N KEITH STEWART
TREASURER (SH, SCI)	3.00	0.00	Yes (X)		$0	$0	$0
JEFFREY STONE
BOARD MEMBER (AMHS, CMH)	10.00	2.00	Yes (X)		$0	$0	$0
AISHA M TATOR
BOARD MEMBER (CDT)	2.00	0.00	Yes (X)		$0	$0	$0
WINNIE THORN
SECRETARY (CMHF), BD MEM (KCI)	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
TODD M TIDGEWELL
BOARD MEMBER (AMHS)	4.00	2.00	Yes (X)		$0	$0	$0
MICHAEL J TOOHEY
CHAIR (SH), V-CH (SCI), BD MEM (AMHS)	9.00	2.00	Yes (X)		$0	$0	$0
MICHAEL TRIMARCHI
BOARD MEMBER (SH)	3.00	0.00	Yes (X)		$0	$0	$0
HEATHER M WARD
SECRETARY (SH), BD MEM (SCI)	5.00	0.00	Yes (X)		$0	$0	$0
CANDACE KING WEIR
BOARD MEMBER (AMHS)	4.00	2.00	Yes (X)		$0	$0	$0
DAVID WESTFALL MD
BOARD MEMBER (GFH)	1.00	0.00	Yes (X)		$0	$0	$0
JANICE WHITE EDD
BD MEM (SH THRU 6/21, AMHS, SCI)	9.00	2.00	Yes (X)		$0	$0	$0
TODD ZBYTNIEWSKI
BOARD MEMBER (KCI)	1.00	0.00	Yes (X)		$0	$0	$0
GARY FOSTER
VP & CFO (SH, SCI), SEC (HS)	38.00	3.00		Yes (X)	$392,037	$0	$22,051
DOROTHY URSCHEL
CHIEF OPERATNG OFFICER (CMH)	40.00	0.00		Yes (X)	$299,029	$0	$7,047
KAREN TASSEY
CHIEF OPERATING OFFICER (CMH)	40.00	0.00		Yes (X)	$25,084	$0	$0
FERDINAND J VENDITTI JR MD
EVP SYS CARE DELIVERY (AMHS)	39.00	3.00			$1,244,609	$0	$107,957	Yes (X)
MITCH AMADO
CFO (GFH)	40.00	0.00			$443,192	$0	$17,466	Yes (X)
PAUL SCIMECA
COO (GFH)	40.00	0.00			$443,186	$0	$17,466	Yes (X)
HOWARD FRITZ MD
CMO (GFH)	40.00	0.00			$439,918	$0	$12,038	Yes (X)
DAVID MASTRIANNI MD
SR VP SHMG (SH)	38.00	0.00			$329,399	$0	$37,574	Yes (X)
DONNA KIRKER
CNO (GFH)	40.00	0.00			$332,837	$0	$12,083	Yes (X)
JOHN MANGONA
VP CIO & COMPLIANCE OFF (SH)	38.00	0.00			$303,881	$0	$19,325	Yes (X)
MARCY DREIMILLER
VP HUMAN RESOURCES (SH)	38.00	0.00			$248,661	$0	$28,769	Yes (X)
MARY ELLEN PLASS
CHIEF NURSING OFFICER (CMH)	40.00	0.00			$225,070	$0	$7,047	Yes (X)
TONI BISHOP-MCWAIN
VP & CNO (SH)	38.00	0.00			$186,783	$0	$8,587	Yes (X)
GORDON KUHAR
PHYSICIAN (SH)	38.00	0.00			$1,204,196	$0	$25,963		Yes (X)
ANDREW J ROSENBAUM
ASST PROFESSOR/CLIN (AMHS)	40.00	0.00			$998,205	$0	$31,422		Yes (X)
ALAN S BOULOS
DEPARTMENT CHAIR (AMHS)	40.00	0.00			$973,938	$0	$35,669		Yes (X)
LEWIS W BRITTON III
PROFESSOR/CLIN (AMHS)	40.00	0.00			$952,902	$0	$34,308		Yes (X)
CHRISTOPHER GORCZYNSKI MD
PHYSICIAN (CMH)	40.00	0.00			$924,350	$0	$27,236		Yes (X)
PATTI HAMMOND
FMR VP PHYS PRACTICES (GFH)	40.00	0.00			$344,695	$0	$16,658			Yes (X)
MARY JO LAPOSTA
FMR SVP (SH)	38.00	0.00			$166,196	$0	$4,606			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$18,777,606	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$7,887,320	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,934,845	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2128	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
COMMUNITY CARE PHYSICIANS PC
PO BOX 10025	ALBANY	NY	12201	MEDICAL MGMT SERVICES	$19,088,159
HEALTHTRUST WORKFORCE SOLUTION
PO BOX 742697	ATLANTA	GA	30374	STAFFING SOLUTIONS	$15,262,375
ARAMARK
PO BOX 978839	DALLAS	TX	753978839	ENVIRONMENTAL SERVICES	$10,009,729
SHIELDS HEALTH SOLUTIONS
PO BOX 844023	BOSTON	MA	022844023	MEDICAL SERVICES	$6,656,875
MEDICAL ANESTHESIA SPECIALISTS OF NY PC
PO BOX 744883	ATLANTA	GA	303744883	ANESTHESIA SERVICES	$3,614,438

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	152	CntrctRcvdGreaterThan100KCnt
Fundraising	$2,651,802	FundraisingAmt
Related Organizations	$17,598,685	RelatedOrganizationsAmt
Government Grants	$36,298,155	GovernmentGrantsAmt
All Other Contributions	$36,461,588	AllOtherContributionsAmt
Noncash Contributions	$744,935	NoncashContributionsAmt
Total Contributions	$93,010,230	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
MEDICAL SERVICES	621990	$2,390,752,963	$2,386,297,967	$4,454,996
INSTRUCTION	611600	$44,393,806	$44,393,806
MEDICAL HOME PROJECT	621110	$8,304,006	$8,304,006
RESEARCH	541700	$2,132,979	$2,132,979
DAY CARE FEES	611600	$1,843,681	$1,843,681

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,649,803	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,036,645	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,613,158	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,453,077,238	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,821,405	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,193,344	UnrelatedBusinessRevenueAmt
Exclusion	$9,628,061	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13	TotalRevenueColumnAmt
Exclusion	$13	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,977,389	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$13,132	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,964,257	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,964,257	TotalRevenueColumnAmt
Unrelated Business Revenue	$540,522	UnrelatedBusinessRevenueAmt
Exclusion	$1,423,735	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$188,015,500	SecuritiesAmt
Other	$715,813	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$145,083,009	SecuritiesAmt
Other	$62,186	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$42,932,491	SecuritiesAmt
Other	$653,627	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$43,586,118	TotalRevenueColumnAmt
Exclusion	$43,586,118	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$882,060	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$2,651,802	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$1,020,635	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$138,575	TotalRevenueColumnAmt
Exclusion	-$138,575	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$40,000	GamingGrossIncomeAmt
Gaming Direct Expenses	$15,533	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$24,467	TotalRevenueColumnAmt
Exclusion	$24,467	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$897,377	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$135,156	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$762,221	TotalRevenueColumnAmt
Related Or Exempt Func Income	$762,221	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
PROGRAM SERVICE EXPENSE REIMBURSE	812900	$26,313,297	$26,313,297
CONTRACTED SERVICES	621110	$14,039,808	$14,039,808
CAFETERIA REVENUE	722514	$5,907,750		$5,907,750

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$127,874,655	TotalRevenueColumnAmt
Related Or Exempt Func Income	$10,516,712	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$688,015	UnrelatedBusinessRevenueAmt
Exclusion	$116,669,928	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$174,135,510	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,777,242,884	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,498,641,122	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$8,490,035	UnrelatedBusinessRevenueAmt
Exclusion	$177,101,497	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$15,939,743	TotalAmt
Program Services	$15,939,743	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$7,480,474	TotalAmt
Program Services	$7,480,474	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$17,417,200	TotalAmt
Program Services	$3,566,576	ProgramServicesAmt
Management And General	$13,689,879	ManagementAndGeneralAmt
Fundraising	$160,745	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$267,453	TotalAmt
Program Services	$267,453	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,096,282,022	TotalAmt
Program Services	$1,025,738,015	ProgramServicesAmt
Management And General	$67,808,478	ManagementAndGeneralAmt
Fundraising	$2,735,529	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$33,526,340	TotalAmt
Program Services	$30,966,486	ProgramServicesAmt
Management And General	$2,492,542	ManagementAndGeneralAmt
Fundraising	$67,312	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$78,618,031	TotalAmt
Program Services	$71,851,089	ProgramServicesAmt
Management And General	$6,583,496	ManagementAndGeneralAmt
Fundraising	$183,446	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$70,073,924	TotalAmt
Program Services	$64,322,058	ProgramServicesAmt
Management And General	$5,602,154	ManagementAndGeneralAmt
Fundraising	$149,712	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,551,856	TotalAmt
Program Services	$857,436	ProgramServicesAmt
Management And General	$694,420	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,272,257	TotalAmt
Program Services	$65,699	ProgramServicesAmt
Management And General	$1,202,274	ManagementAndGeneralAmt
Fundraising	$4,284	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$796,059	TotalAmt
Management And General	$789,734	ManagementAndGeneralAmt
Fundraising	$6,325	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$224,087	TotalAmt
Program Services	$139,383	ProgramServicesAmt
Management And General	$84,170	ManagementAndGeneralAmt
Fundraising	$534	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,226,940	TotalAmt
Program Services	$35,605	ProgramServicesAmt
Management And General	$2,182,546	ManagementAndGeneralAmt
Fundraising	$8,789	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$184,197,797	TotalAmt
Program Services	$161,820,617	ProgramServicesAmt
Management And General	$22,053,870	ManagementAndGeneralAmt
Fundraising	$323,310	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,108,530	TotalAmt
Program Services	$1,015,890	ProgramServicesAmt
Management And General	$2,085,430	ManagementAndGeneralAmt
Fundraising	$7,210	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$143,669,168	TotalAmt
Program Services	$129,369,589	ProgramServicesAmt
Management And General	$14,013,325	ManagementAndGeneralAmt
Fundraising	$286,254	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$130,918,449	TotalAmt
Program Services	$15,179,562	ProgramServicesAmt
Management And General	$115,732,590	ManagementAndGeneralAmt
Fundraising	$6,297	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$30,030,585	TotalAmt
Program Services	$18,791,901	ProgramServicesAmt
Management And General	$10,795,160	ManagementAndGeneralAmt
Fundraising	$443,524	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,656,311	TotalAmt
Program Services	$1,449,596	ProgramServicesAmt
Management And General	$135,141	ManagementAndGeneralAmt
Fundraising	$71,574	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,069,151	TotalAmt
Program Services	$1,019,747	ProgramServicesAmt
Management And General	$49,404	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$24,629,654	TotalAmt
Program Services	$19,283,705	ProgramServicesAmt
Management And General	$5,344,123	ManagementAndGeneralAmt
Fundraising	$1,826	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$168,435,052	TotalAmt
Program Services	$133,648,494	ProgramServicesAmt
Management And General	$34,785,986	ManagementAndGeneralAmt
Fundraising	$572	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$108,949,747	TotalAmt
Program Services	$85,264,220	ProgramServicesAmt
Management And General	$23,660,141	ManagementAndGeneralAmt
Fundraising	$25,386	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$39,870,981	TotalAmt
Program Services	$36,595,834	ProgramServicesAmt
Management And General	$3,275,147	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SURGICAL	$401,671,686	$401,920,318	-$248,632
MACHINE RENTAL & MAINTE	$25,758,304	$23,178,239	$2,451,490	$128,575
FOOD & GENERAL SUPPLIES	$20,543,962	$19,800,313	$743,649
DRUGS & MEDICINE	$9,009,473	$9,003,473	$6,000

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$18,086,392	TotalAmt
Program Services	$12,695,016	ProgramServicesAmt
Management And General	$5,246,081	ManagementAndGeneralAmt
Fundraising	$145,295	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,637,281,628	TotalAmt
Program Services	$2,291,266,531	ProgramServicesAmt
Management And General	$341,258,598	ManagementAndGeneralAmt
Fundraising	$4,756,499	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$474,229,208	BOYAmt
EOY	$585,058,342	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$141,240,726	BOYAmt
EOY	$188,373,763	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$12,309,135	BOYAmt
EOY	$9,835,218	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$208,953,750	BOYAmt
EOY	$272,507,726	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	$7,277,031	BOYAmt
EOY	$6,857,522	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$42,305,742	BOYAmt
EOY	$48,844,973	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$24,615,286	BOYAmt
EOY	$27,110,428	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,197,584,072	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,343,889,215	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$771,699,190	BOYAmt
EOY	$853,694,857	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$103,077,829	BOYAmt
EOY	$230,940,461	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$69,280,229	BOYAmt
EOY	$73,996,720	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$337,680,033	BOYAmt
EOY	$334,138,896	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$240,469,112	BOYAmt
EOY	$250,223,812	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,433,137,271	BOYAmt
EOY	$2,881,582,718	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$217,036,219	BOYAmt
EOY	$328,927,860	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	$20,444,417	BOYAmt
EOY	$21,275,403	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$96,184,449	BOYAmt
EOY	$134,361,669	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$1,351,295	BOYAmt
EOY	$1,285,870	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	$424,464,712	BOYAmt
EOY	$409,010,848	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$488,001,169	BOYAmt
EOY	$467,508,181	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,247,514,261	BOYAmt
EOY	$1,362,369,831	EOYAmt

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

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$984,306,920	BOYAmt
EOY	$1,299,222,774	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$201,316,090	BOYAmt
EOY	$219,990,113	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,185,623,010	BOYAmt
EOY	$1,519,212,887	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,433,137,271	BOYAmt
EOY	$2,881,582,718	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$139,961,256	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$23,858,071	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$169,770,550	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	0	FSAuditedInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$51,010,080	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$43,729,149	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$49,875,455	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$65,243,470	CurrentTaxYearMinus1YearAmt
Current Tax Year	$48,914,595	CurrentTaxYearAmt
Total	$258,772,749	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$51,010,080	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$43,729,149	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$49,875,455	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$65,243,470	CurrentTaxYearMinus1YearAmt
Current Tax Year	$48,914,595	CurrentTaxYearAmt
Total	$258,772,749	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$4,713,883	SubstantialContributorsTotAmt
Public Support Total170	$254,058,866	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,313,402	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,956,890	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,039,255	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,507,502	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,342,814	CurrentTaxYearAmt
Total	$15,159,863	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,398,553	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,604,331	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,699,639	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,882,194	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,133,315	CurrentTaxYearAmt
Total	$16,718,032	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$290,650,644	TotalSupportAmt
Gross Receipts Rltd Activities	$9,665,838,266	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.87410	PublicSupportCY170Pct
Public Support PY170	0.87310	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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

AUXILIARY VARIOUS ACTIVITY - 2017 AMOUNT: $ 1,915. 2018 AMOUNT: $ 2,202. 2019 AMOUNT: $ 2,434. 2020 AMOUNT: $ 1,589. 2021 AMOUNT: $ 1,866. OTHER COLLEGE INCOME - 2017 AMOUNT: $ 1,396,638. 2018 AMOUNT: $ 1,602,129. 2019 AMOUNT: $ 3,697,205. 2020 AMOUNT: $ 4,880,605. 2021 AMOUNT: $ 5,131,449.

SCHEDULE A, PART I

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$224,087	OtherActivitiesAmt
Total Lobbying Expenditures	$224,087	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Donor Advised Funds Held	1	DonorAdvisedFundsHeldCnt
Donor Advised Funds Vl EOY	$18,844	DonorAdvisedFundsVlEOYAmt
Disclosed Org Leg Ctrl	Yes (1)	DisclosedOrgLegCtrlInd
Disclosed For Charitable Prps	0	DisclosedForCharitablePrpsInd
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$178,586,886	BeginningYearBalanceAmt
Contributions	$3,687,383	ContributionsAmt
Investment Earnings Or Losses	$18,823,951	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,389,759	GrantsOrScholarshipsAmt
Other Expenditures	$7,373,823	OtherExpendituresAmt
Administrative Expenses	$420,029	AdministrativeExpensesAmt
End Year Balance	$190,914,609	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.21123	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.76936	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.01940	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$28,179,487	OtherCostOrOtherBasisAmt
Book Value	$28,179,487	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,217,451,160	OtherCostOrOtherBasisAmt
Depreciation	$661,971,222	DepreciationAmt
Book Value	$555,479,938	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,954,303	OtherCostOrOtherBasisAmt
Depreciation	$10,857,039	DepreciationAmt
Book Value	$6,097,264	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$716,879,866	OtherCostOrOtherBasisAmt
Depreciation	$536,936,626	DepreciationAmt
Book Value	$179,943,240	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$218,119,256	OtherCostOrOtherBasisAmt
Depreciation	$134,124,328	DepreciationAmt
Book Value	$83,994,928	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$853,694,857	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
ENDOWMENT & OTHER PROGRAMS	$182,265,975	F
BOND	$40,453,211	F
SELF INSURANCE	$102,119,621	F
CHARITABLE TRUSTS	$6,033,884	F
OTHER INVESTMENTS - SH	$15,001	C
OTHER INVESTMENTS - CMH	$3,251,204	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$334,138,896	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (16 entries)

DescDesc	Book ValueBookValueAmt
INTERCOMPANY	$114,751,196
RIGHT OF USE ASSETS	$65,050,888
PENSION	$23,903,057
NON-CURRENT ASSETS	$23,884,878
CURRENT ASSETS	$9,412,942
INTEREST NET ASSETS OF GFH FDN	$6,059,904
GOODWILL	$1,558,134
OTHER ASSETS	$1,416,031
DUE FROM SC FOUNDATION	$1,322,892
INVESTMENT IN JV	$1,163,528
CASH SURRENDER VALUE	$560,409
PROF. LIABILITY REC.	$460,000
INVESTMENT IN ISNENY	$237,901
OTHER INTANGIBLE ASSETS	$230,433
ACCRUED INTEREST INCOME	$127,619
GROUND LEASE - KCI	$84,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$250,223,812	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	-$122,212	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (15 entries)

DescDesc	AmtAmt
SELF INSURANCE	$155,053,274
SHORT-TERM LIABILITIES	$67,833,170
LEASE LIABILITY	$62,925,524
INTERINSTITUTIONAL PAYABLE	$58,099,749
3RD PARTY LIABILITIES	$30,043,242
DEFERRED COMPENSATION	$27,257,849
LONG-TERM LIABILITIES	$26,266,079
CARES ACT	$17,663,172
WORKERS COMPENSATION	$10,564,056
INSURANCE RESERVE	$3,873,500
FEDERAL LOAN PROGRAM	$3,485,886
ASB ABATEMENT	$2,268,537
ASSET RESERVE OBLIGATION	$2,229,513
RESERVE FOR GIFT ANNUITIES	$61,364
OTHER ACCRUED LIABILITIES	$5,478

Field	Value	IRS element (for citing)
Total Liability	$467,508,181	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, LINE 2B:	GIFT ANNUITIES
PART V, LINE 4:	ALBANY MEDICAL CENTER COLLEGE THE COLLEGE'S ENDOWMENT CONSISTS OF APPROXIMATELY 350 INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES INCLUDING BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF TRUSTEES TO FUNCTION AS ENDOWMENTS. THE COLLEGE HAS A SPENDING RATE POLICY TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO THE PROGRAMS SUPPORTED BY ITS ENDOWMENTS. THIS POLICY CALLS FOR A WEIGHTED AVERAGE CALCULATION OF THE ENDOWMENT MARKET VALUE OVER THE PAST THIRTEEN QUARTERS. 5% (ANNUAL) OF THIS WEIGHTED AVERAGE IS THEN ALLOCATED TO THE PROGRAMS SUPPORTED FOR USE IN ACCORDANCE WITH THE ENDOWED RESTRICTIONS. THE CALCULATION AND ALLOCATION OF FUNDS OCCURS ON A QUARTERLY BASIS. SPENDING FROM THE ENDOWMENTS IS RESTRICTED FOR VARIOUS PURPOSES. A SIGNIFICANT PORTION OF THE ENDOWMENT FUNDS ARE USED TO PROVIDE SCHOLARSHIPS AND FINANCIAL ASSISTANCE TO MEDICAL STUDENTS. OTHER USES OF THE ENDOWMENTS INCLUDE, BUT ARE NOT LIMITED TO, CREATION AND FUNDING OF DEPARTMENT CHAIRS AND PROFESSORSHIPS, SUPPORT FOR RESEARCH ACTIVITIES AND SUPPORT FOR FELLOWSHIPS. COLUMBIA MEMORIAL HOSPITAL COLUMBIA MEMORIAL HOSPITAL HAS RECEIVED ENDOWMENT FUNDS WITH RESTRICTIONS FOR A VARIETY OF PURPOSES, INCLUDING BOTH DONOR-RESTRICTED FUNDS AND FUNDS DESIGNATED BY THE BOARD OF TRUSTEES TO FUNCTION AS ENDOWMENTS. ALL DONOR RESTRICTED FUNDS ARE EXPENDED CONSISTENT WITH THE DONOR'S INTENT WHEN A NEED ARISES. BOARD DESIGNATED ENDOWMENT FUNDS ARE NOT RESTRICTED FOR ANY PURPOSE, AND ARE SPENT AT THE DISCRETION OF THE TRUSTEES. ALL ENDOWMENT FUNDS ARE USED TO SUPPORT HOSPITAL PROJECTS OR OPERATIONS. COLUMBIA MEMORIAL HOSPITAL FOUNDATION COLUMBIA MEMORIAL HOSPITAL FOUNDATION HAS RECEIVED ENDOWMENT FUNDS THAT ARE DONOR RESTRICTED, THIS IS A COMBINATION OF ORIGINAL DONOR RESTRICTED GIFTS AND ACCUMULATED GAINS. ANY RESTRICTED FUNDS WOULD BE EXPENDED CONSISTENT WITH THE DONOR'S INTENT. ALL ENDOWMENT FUNDS ARE USED TO SUPPORT HOSPITAL PROJECTS. SARATOGA HOSPITAL PERMANENT ENDOWMENT FUNDS ARE RESTRICTED TO SUPPORT SPECIFIC PROGRAMS, SUCH AS THE COMMUNITY HEALTH CENTER OR GENERAL OPERATIONS OF THE HOSPITAL. BOARD-DESIGNATED ENDOWMENT FUNDS ARE NOT RESTRICTED FOR ANY SPECIFIC PURPOSE AND CAN BE USED TO SUPPORT HOSPITAL PROJECTS OR OPERATIONS AT THE DISCRETION OF THE BOARD OF TRUSTEES. THE PERMANENT ENDOWMENT SPENDING POLICY ALLOWS FOR A SPENDING RATE OF 5% OF THE AVERAGE TRAILING QUARTERLY FAIR MARKET VALUE OF PERMANENT ENDOWMENT FUNDS OVER THE PREVIOUS 20 QUARTERS, SUBJECT TO BOARD OF TRUSTEES APPROVAL. THE OVERALL PERMANENT ENDOWMENT ASSETS, AND ANY UNEXPENDED EARNINGS THEREON, ARE ALLOCATED TO VARIOUS DONOR-SPECIFIED PURPOSES BASED ON ORIGINAL DONOR GIFTS. THE SPENDING POLICY IS THEN APPLIED TO PERMANENT ENDOWMENT ASSETS ALLOCATED TO EACH DONOR-SPECIFIED PURPOSE IN ORDER TO DETERMINE SPENDING FOR EACH DONOR-SPECIFIED PURPOSE. GLENS FALLS HOSPITAL PERMANENTLY RESTRICTED NET ASSETS ARE INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE TO SUPPORT THE FOLLOWING: DENTAL CARE - $1,053,285 INDIGENT CARE - $148,927 GENERAL OPERATING EXPENSES - $169,975 HEALTH EDUCATION - $134,485 TOTAL - $1,506,672
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, 2021 AND 2020.

Schedule E IRS990ScheduleE

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

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE E, PART I, LINE 3	SCHOOL: ALBANY MEDICAL COLLEGE THE RACIALLY NONDISCRIMINATORY POLICY IS PUBLISHED IN THE ALBANY MEDICAL COLLEGE HANDBOOK AND INDICATED IN NEWSPAPER ADVERTISEMENTS. SCHOOL: ALBANY MEDICAL CENTER KIDSKELLER ALBANY MEDICAL CENTER KIDSKELLER ANSWERS IN THE NEGATIVE TO THIS QUESTION BECAUSE IT DOES NOT CURRENTLY PUBLISH ITS RACIALLY NONDISCRIMINATORY POLICY THROUGH A NEWSPAPER. HOWEVER, THE ORGANIZATION DRAWS ITS STUDENTS FROM LOCAL COMMUNITIES, FOLLOWS A RACIALLY NONDISCRIMINATORY POLICY AS TO STUDENTS AND THE ORGANIZATION INCLUDES A RACIALLY NONDISCRIMINATORY POLICY AS TO STUDENTS IN ALL ITS BROCHURES AND CATALOGUES DEALING WITH STUDENT ADMISSIONS, PROGRAMS, AND SCHOLARSHIPS.
SCHEDULE E, PART I, LINE 4	SCHOOL: ALBANY MEDICAL CENTER KIDSKELLER ALBANY MEDICAL CENTER KIDSKELLER ANSWERS IN THE NEGATIVE TO THIS QUESTION BECAUSE IT DOES NOT SOLICIT CONTRIBUTIONS. IN ALL ITS BROCHURES AND CATALOGUES DEALING WITH STUDENT ADMISSIONS, PROGRAMS, AND SCHOLARSHIPS.
SCHEDULE E, PART I, LINE 6	SCHOOL: ALBANY MEDICAL COLLEGE ALBANY MEDICAL COLLEGE PARTICIPATES IN THE DIRECT LOAN PROGRAM AS WELL AS OPERATES CERTAIN OTHER FEDERALLY FUNDED FINANCIAL AID PROGRAMS. SCHOOL: ALBANY MEDICAL CENTER KIDSKELLER ALBANY MEDICAL CENTER KIDSKELLER PARTICIPATES IN THE USDA FOOD SUBSIDY PROGRAM.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN	INVESTMENTS	$4,241,722
NORTH AMERICA	INVESTMENTS	$24,219,046

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$28,460,768	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$28,460,768	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	TELETHON/RADIO	Event1Nm
Gross Receipts Event1	$956,163	GrossReceiptsEvent1Amt
Charitable Contri Event1	$910,415	CharitableContriEvent1Amt
Gross Revenue Event1	$45,748	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$304,467	OtherDirectExpensesEvent1Amt
Event2	SUMMER GALA	Event2Nm
Gross Receipts Event2	$565,685	GrossReceiptsEvent2Amt
Charitable Contri Event2	$357,887	CharitableContriEvent2Amt
Gross Revenue Event2	$207,798	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$207,798	OtherDirectExpensesEvent2Amt
Other Events Total	15	OtherEventsTotalCnt
Gross Receipts Other Events	$2,012,014	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$1,383,500	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$628,514	GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events	$15,760	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$36,175	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$23,868	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$10,061	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$422,506	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$3,533,862	GrossReceiptsTotalAmt
Charitable Contributions Tot	$2,651,802	CharitableContributionsTotAmt
Gross Revenue Total Events	$882,060	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$15,760	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$36,175	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$23,868	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$10,061	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$934,771	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$1,020,635	DirectExpenseSummaryEventsAmt
Net Income Summary	-$138,575	NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Other Gaming	$40,000	GrossRevenueOtherGamingAmt
Oth Direct Expnss Other Gaming	$15,533	OthDirectExpnssOtherGamingAmt
Volunteer Labor Other Gaming	0	VolunteerLaborOtherGamingInd
Gross Revenue Total Gaming	$40,000	GrossRevenueTotalGamingAmt
Oth Direct Expnss Total Gaming	$15,533	OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming	$15,533	DirectExpenseSummaryGamingAmt
Net Gaming Income Summary	$24,467	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
States Where Gaming Conducted	NY	StatesWhereGamingConductedCd
Licensed	Yes (1)	LicensedInd
License Suspended Etc	0	LicenseSuspendedEtcInd
Gaming With Nonmembers	Yes (1)	GamingWithNonmembersInd
Member Of Other Entity	0	MemberOfOtherEntityInd
Gaming Own Facility	0.50000	GamingOwnFacilityPct
Gaming Other Facility	0.50000	GamingOtherFacilityPct

Persons With Books Name PersonsWithBooksName

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

Persons With Books US Address PersonsWithBooksUSAddress

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

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

Gaming Manager Business Name GamingManagerBusinessName

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

Field	Value	IRS element (for citing)
Gaming Manager Compensation	$3,344	GamingManagerCompensationAmt
Gaming Manager Services Prov	AS DESCRIBED ABOVE IN PART III, LINE 1-8, THE RAFFLE HELD IN CONNECTION WITH THE ANNUAL GOLF OUTING IS WHOLLY CONDUCTED BY FOUNDATION PERSONNEL AS PART OF THEIR NORMAL DUTIES RELATIVE TO THE GOLF OUTING. THERE IS NO PORTION OF THE COMPENSATION FOR ANY FOUNDATION PERSONNEL THAT IS SPECIFICALLY RELATED TO THE RAFFLE BEING CONDUCTED. AS A RESULT, THE AMOUNT OF GAMING MANAGER COMPENSATION REPORTED ON LINE 16 IS AN ESTIMATED AMOUNT. THIS ESTIMATE IS BASED ON THE PERCENTAGE OF TOTAL ANNUAL FOUNDATION REVENUES FOR 2021 DERIVED FROM THE RAFFLE, TIMES THE ANNUAL COMPENSATION FOR THE FOUNDATION'S EXECUTIVE DIRECTOR.	GamingManagerServicesProvTxt
Gaming Manager Is Director Ofcr	Yes (X)	GamingManagerIsDirectorOfcrInd
Charitable Distribution Rqr	0	CharitableDistributionRqrInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,573,863	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,361,495	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,212,368	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$380,288,143	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$310,594,150	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$69,693,993	NetCommunityBenefitExpnsAmt
Total Expense	0.03240	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$247,245	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$247,245	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$399,109,251	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$315,955,645	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$83,153,606	NetCommunityBenefitExpnsAmt
Total Expense	0.03860	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	51713	PersonsServedCnt
Total Community Benefit Expns	$10,648,040	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,331,718	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,316,322	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	437	PersonsServedCnt
Total Community Benefit Expns	$75,516,616	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,557,709	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$63,958,907	NetCommunityBenefitExpnsAmt
Total Expense	0.02970	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$56,179,214	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52,693,312	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,485,902	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,595,967	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,623,470	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,972,497	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$108,521	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$68,176	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,345	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	18	ActivitiesOrProgramsCnt
Persons Served	52150	PersonsServedCnt
Total Community Benefit Expns	$150,048,358	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,274,385	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$79,773,973	NetCommunityBenefitExpnsAmt
Total Expense	0.03700	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	18	ActivitiesOrProgramsCnt
Persons Served	52150	PersonsServedCnt
Total Community Benefit Expns	$549,157,609	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$386,230,030	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$162,927,579	NetCommunityBenefitExpnsAmt
Total Expense	0.07560	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$204,402	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$64,500	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$139,902	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$655,135	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$655,135	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$826,282	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$826,282	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,685,819	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$64,500	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,621,319	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$404,322,082	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$449,008,270	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$44,686,188	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 IMAGING SVCS OF NENY LLC
DIAGNOSTIC RADIOLOGY	0.50000	0.50000	0.50000
2 NORTH COUNTRY EC LLC
EYE CENTER	0.30000	0.30000	0.30000
3 SARATOGA PARTNERS NORTH LLC
AMBULATORY HEALTH CARE CTR	0.51000	0.00000	0.49000
4 SARATOGA PARTNERS NORTH REALTY LLC
REAL ESTATE RENTALS	0.20000	0.00000	0.60000

Field	Value	IRS element (for citing)
Hospital Facilities	4	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Critical Access HospitalCriticalAccessHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Emergency Room OtherEmergencyRoomOtherInd
ALBANY MEDICAL CENTER HOSPITAL
1	47 NEW SCOTLAND AVENUE	ALBANY	NY	12208	WWW.AMC.EDU	010100H	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
COLUMBIA MEMORIAL HOSPITAL
2	71 PROSPECT AVENUE	HUDSON	NY	12534	WWW.COLUMBIAMEMORIALHEALTH.ORG	1001000H	Yes (X)	Yes (X)					Yes (X)
GLENS FALLS HOSPITAL
3	100 PARK STREET	GLENS FALLS	NY	12801	WWW.GLENSFALLSHOSPITAL.ORG	5601000H	Yes (X)	Yes (X)					Yes (X)
SARATOGA HOSPITAL
4	211 CHURCH STREET	SARATOGA SPRINGS	NY	12866	WWW.SARATOGAHOSPITAL.ORG	4501000H	Yes (X)	Yes (X)					Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (4 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	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Look Back MedicareLookBackMedicareInd	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Other MethodOtherMethodInd	Permit Selling DebtPermitSellingDebtInd	Permit Other ActionsPermitOtherActionsInd
ALBANY MEDICAL CENTER HOSPITAL
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	HTTPS://WWW.AMC.EDU/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-IMPLEMENTATION-ST	Yes (X)	Yes (X)	Yes (1)	19	Yes (1)	HTTPS://WWW.AMC.EDU/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-IMPLEMENTATION-ST	0	Yes (1)	Yes (X)	100.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
COLUMBIA MEMORIAL HOSPITAL
2	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	HTTPS://WWW.COLUMBIAMEMORIALHEALTH.ORG/PATIENTS-AND-VISITORS/COMMUNITY-HEAL	Yes (X)		Yes (1)	19	Yes (1)	HTTPS://WWW.COLUMBIAMEMORIALHEALTH.ORG/PATIENTS-AND-VISITORS/COMMUNITY-HEAL	0	Yes (1)	Yes (X)	100.000000000000	400.000000000000	Yes (X)		Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)		Yes (1)	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (1)	Yes (X)	0	0	Yes (X)	Yes (X)	Yes (X)
GLENS FALLS HOSPITAL
3	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	HTTPS://WWW.GLENSFALLSHOSPITAL.ORG/SERVICES/COMMUNITY-SERVICES/HEALTH-PROMO	Yes (X)		Yes (1)	19	Yes (1)	HTTPS://WWW.GLENSFALLSHOSPITAL.ORG/SERVICES/COMMUNITY-SERVICES/HEALTH-PROMO	0	Yes (1)	Yes (X)	130.000000000000	330.000000000000			Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)		Yes (1)	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C			Yes (X)	Yes (X)	Yes (X)	Yes (X)			Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)			Yes (1)		0	0	Yes (X)	Yes (X)		Yes (X)	Yes (X)
SARATOGA HOSPITAL
4	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)		19	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	HTTPS://WWW.SARATOGAHOSPITAL.ORG/RESOURCES/FILEBROWSER/2019_HCDI-COMMUNITY-	Yes (X)		Yes (1)	19	Yes (1)	HTTPS://WWW.SARATOGAHOSPITAL.ORG/RESOURCES/FILEBROWSER/2019_HCDI-COMMUNITY-	0	Yes (1)	Yes (X)	250.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)		Yes (1)	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	SEE SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)		Yes (X)	Yes (1)		0	Yes (X)	Yes (X)	Yes (X)			Yes (1)		0	0		Yes (X)		Yes (X)	Yes (X)	Yes (X)	WWW.HCDINY.ORG	Yes (X)	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ALBANY MEDICAL CENTER HOSPITAL	PART V, SECTION B, LINE 5: ACCOUNT INPUT FROM PERSON WHO REPRESENT THE COMMUNITY ALBANY MEDICAL CENTER (AMC), COLUMBIA MEMORIAL HEALTH (CMH), AND SARATOGA HOSPITAL (SH) COMPRISED THE ALBANY MED HEALTH SYSTEM IN 2019, THE YEAR THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED. THE CHNA ENCOMPASSED THE COUNTIES WITHIN NEW YORK STATE'S "CAPITAL REGION". IN 2020, A NEW AFFILIATE, GLENS FALLS HOSPITAL (GFH), JOINED THE SYSTEM. GLENS FALLS HOSPITAL WAS A LEAD ENTITY AND PARTICIPANT IN A SEPARATE COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH FOCUSED ON THE REGION COMMONLY KNOWN AS THE "NORTH COUNTRY" WITHIN NEW YORK STATE, WHICH INCLUDES WARREN, WASHINGTON AND NORTHERN SARATOGA COUNTIES, GLENS FALLS HOSPITAL'S PRIMARY SERVICE AREA.EACH OF OUR HOSPITALS HAVE A PROUD AND LONG TRADITION CARING FOR OUR COMMUNITIES IN NEW YORK STATE'S CAPITAL REGION.ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HEALTH, SARATOGA HOSPITALALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HEALTH, AND SARATOGA HOSPITAL ARE ACTIVE AND INVOLVED MEMBER ORGANIZATIONS OF THE HEALTHY CAPITAL DISTRICT INITIATIVE (HCDI). A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY HCDI IN 2019 IN COLLABORATION WITH NUMEROUS REGIONAL PARTNERS, INCLUDING THE REGION'S HOSPITALS AND LOCAL HEALTH DEPARTMENTS. ENGAGING THE COMMUNITY IN THE HEALTH NEEDS ASSESSMENT PROCESS WAS A PRIORITY OF HCDI AND ITS STAKEHOLDERS. BROAD COMMUNITY ENGAGEMENT BEGAN WITH PARTICIPATION IN THE COMMUNITY HEALTH SURVEY. OVER 1,200 RESIDENTS OF THE CAPITAL REGION WERE SURVEYED, WITH INPUT FROM OVER 90 ORGANIZATIONS TO DETERMINE THE MOST PRESSING HEALTH NEEDS FOR THE SIX COUNTY CAPITAL REGION. THE SURVEYS OFFERED MULTIPLE CHOICE AND OPEN-ENDED QUESTIONS TO LEARN ABOUT RESIDENTS' HEALTH NEEDS, HEALTH BEHAVIORS AND BARRIERS TO CARE. DEMOGRAPHIC INFORMATION COLLECTED BY THE SURVEY ALLOWED REVIEW OF INFORMATION BY AGE, GENDER, RACE/ETHNICITY AND INCOME. SURVEY RESULTS WERE INCORPORATED INTO THE EXAMINATION OF HEALTH NEEDS BY THE MEMBERS OF THE FOUR CAPITAL REGION PUBLIC HEALTH PRIORITIZATION WORKGROUPS, BUCKETED BY REGIONS WITHIN THE 6 COUNTIES (THE FOUR REGIONAL WORKGROUPS: ALBANY-RENSSELAER, COLUMBIA-GREENE, SARATOGA, AND SCHENECTADY). THE WORKGROUPS INCLUDED COMMUNITY VOICES THROUGH REPRESENTATIVES FROM CONSUMERS; COMMUNITY-BASED ORGANIZATIONS THAT SERVE LOW-INCOME RESIDENTS, THE HOMELESS, THOSE WITH HIV/AIDS; ADVOCACY GROUPS; EMPLOYERS; PUBLIC HEALTH DEPARTMENTS; PROVIDERS; AND HEALTH INSURERS. PARTICIPANTS WERE ENCOURAGED TO SHARE DATA OF THEIR OWN AND TO ADVOCATE FOR THE NEEDS OF THEIR CONSTITUENTS. WHILE ALL HEALTH INSTITUTIONS SERVE HIGH NEED INDIVIDUALS, TWO FEDERALLY QUALIFIED HEALTH CENTERS, AS WELL AS FOOD PANTRIES OF THE CAPITAL DISTRICT, UNITED WAY OF THE CAPITAL REGION, INTERFAITH PARTNERSHIP FOR THE HOMELESS, AND OUR CONSUMER COMMUNITY REPRESENTATIVES HAVE UNIQUE ACCESS TO MEDICALLY UNDERSERVED RESIDENTS, AND BROUGHT THAT UNIQUE PERSPECTIVE TO THIS NEEDS ASSESSMENT.GLENS FALLS HOSPITALGLENS FALLS HOSPITAL IS AN ACTIVE AND INVOLVED MEMBER ORGANIZATION OF THE ADIRONDACK RURAL HEALTH NETWORK (ARHN), THE LEADING SPONSOR OF FORMAL COMMUNITY HEALTH PLANNING IN THE NORTH COUNTRY REGION. THE COMMUNITY HEALTH ASSESSMENT (CHA) COMMITTEE, FACILITATED BY ARHN, IS MADE UP OF HOSPITALS AND COUNTY HEALTH DEPARTMENTS WORKING TOGETHER TO UTILIZE AS SYSTEMATIC APPROACH TO COMMUNITY HEALTH PLANNING AND ASSESSMENT. WORKING WITHIN THE FRAMEWORK PROVIDED BY THE NYS PREVENTION AGENDA, GFH COORDINATED WITH WARREN, WASHINGTON, AND SARATOGA COUNTY HEALTH DEPARTMENTS IN THE DEVELOPMENT OF THEIR REGIONAL CHNA. ADDITIONALLY, GFH COORDINATED WITH MEMBERS OF THE CHA COMMITTEE INCLUDING REPRESENTATIVES FROM FULTON, ESSEX, HAMILTON, FRANKLIN, AND CLINTON COUNTY PUBLIC HEALTH, AS WELL AS WITH SEVERAL OTHER HOSPITALS IN THE NORTH COUNTRY REGION.A VARIETY OF DATA SOURCES WERE USED TO INFORM THE COUNTY AND HOSPITAL ASSESSMENTS. THE TWO MOST SIGNIFICANT RESOURCES USED WERE DEVELOPED AND PROVIDED BY ARHN COLLABORATION: (1) PUBLICLY AVAILABLE COUNTY HEALTH INDICATOR DATA, AND (2) DATA COLLECTED FROM A REGIONAL COMMUNITY STAKEHOLDER SURVEY.THE STAKEHOLDER SURVEY WAS CONDUCTED TO GATHER INFORMATION FROM A VARIETY OF FIELDS AND PERSPECTIVES TO PROVIDE VALUABLE INSIGHT INTO THE COMMUNITY'S NEEDS. STAKEHOLDERS SURVEYED INCLUDED COMMUNITY MEMBERS, AS WELL AS PROFESSIONALS FROM HEALTH CARE, SOCIAL SERVICES, EDUCATIONAL, AND GOVERNMENTAL. A TOTAL OF 409 RESPONSES WERE RECEIVED THROUGH FEBRUARY 8, 2019, FOR A TOTAL RESPONSE RATE OF 50.68%. THE RESULTS GUIDED STRATEGIC PLANNING THROUGHOUT THE ADIRONDACK (NORTH COUNTRY) REGION, AND WAS HELPFUL BOTH FOR PARTNERS WHO SERVE INDIVIDUAL COUNTIES, AND THOSE WHOSE FOOTPRINT COVERS MULTIPLE COUNTIES.EACH COUNTY PUBLIC HEALTH DEPARTMENT, AS WELL AS GFH, USED ADDITIONAL DATA SOURCES TO SUPPLEMENT THIS INFORMATION AND INFORM THE PROCESS BASED ON THEIR NEEDS. ADDITIONAL DATA SOURCES USED BY GFH INCLUDE: THE NYS PREVENTION AGENDA DASHBOARD, COUNTY HEALTH RANKINGS, THE NYS CANCER REGISTRY, THE GOVERNOR'S CANCER RESEARCH INITIATIVE, WARREN COUNTY CANCER INCIDENCE REPORT, AND AN ATTITUDINAL TOBACCO ASSESSMENT CONDUCTED IN WARREN, WASHINGTON, AND SARATOGA COUNTIES.
ALBANY MEDICAL CENTER HOSPITAL	PART V, SECTION B, LINE 6A: ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HOSPITAL, SARATOGA HOSPITALALL HOSPITALS LOCATED WITHIN THE DEFINED 6-COUNTY CAPITAL REGION PARTICIPATED IN THE COLLABORATIVE PROCESS OF ASSESSING THE HEALTH NEEDS OF THE COMMUNITY. THEY INCLUDE: ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HOSPITAL, ELLIS MEDICINE, SARATOGA HOSPITAL, AND ST. PETER'S HEALTH PARTNER HOSPITALS.GLENS FALLS HOSPITALPARTICIPATING HOSPITALS IN THE "NORTH COUNTRY" CHNA INCLUDE: ADIRONDACK HEALTH, NATHAN LITTAUER HOSPITAL, UVM HEALTH NETWORK-ALICE HYDE MEDICAL CENTER, UVM HEALTH NETWORK-CHAMPLAIN VALLEY PHYSICIANS HOSPITAL, AND UVM HEALTH NETWORK-ELIZABETHTOWN COMMUNITY HOSPITAL. GFH ALSO COORDINATES WITH SARATOGA HOSPITAL TO ADDRESS THE OVERLAPPING SERVICE AREAS. (A SMALL PORTION OF SARATOGA HOSPITAL'S SERVICE AREA INCLUDES PART OF SOUTHERN WARREN COUNTY.)
ALBANY MEDICAL CENTER HOSPITAL	PART V, SECTION B, LINE 6B: ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HOSPITAL, SARATOGA HOSPITALMANY BUSINESSES, COMMUNITY-BASED ORGANIZATIONS, ADVOCACY GROUPS, HEALTH INSURERS, AND OTHERS PARTICIPATED IN THE CHNA; BECAUSE OF THE LOCAL NATURE OF SOME OF THE ORGANIZATIONS, THE LIST OF PARTICIPANTS VARIED AMONG EACH OF THE REGIONAL WORKGROUPS (ALBANY-RENSSELAER COUNTIES, COLUMBIA-GREENE COUNTIES, SARATOGA COUNTY, SCHENECTADY COUNTY).A FULL LIST OF ORGANIZATIONS PLAYING A PART IN THE ALBANY-RENSSELAER COUNTY PRIORITIZATION WORKGROUP, OF WHICH ALBANY MEDICAL CENTER WAS A LEADING MEMBER, CAN BE FOUND ON PAGE 32 OF THE 2019 HCDI COMMUNITY HEALTH NEEDS ASSESSMENT (HCDI CHNA): HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/2019_CHNA/2019_HCDI-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF.COLUMBIA MEMORIAL HEALTH WAS A LEADING MEMBER IN THE COLUMBIA-GREENE PRIORITIZATION WORKGROUP. ADDITIONAL PARTICIPATING ORGANIZATIONS CAN BE FOUND ON PAGE 34 OF THE HCDI CHNA: HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/2019_CHNA/2019_HCDI-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF.SARATOGA HOSPITAL, A LEAD MEMBER OF THE SARATOGA COUNTY PRIORITIZATION WORKGROUP, WORKED WITH APPROXIMATELY 2 DOZEN PARTNERS THE FULL LIST OF WHICH CAN BE FOUND ON PAGE 37 OF THE HCDI CHNA: HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/2019_CHNA/2019_HCDI-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF.GLENS FALLS HOSPITALGFH COLLABORATED WITH THE CHA COMMITTEE OF ARHN WHICH INCLUDES MEMBER ORGANIZATIONS FROM LOCAL HEALTH DEPARTMENTS OF CLINTON, ESSEX, FRANKLIN, FULTON, HAMILTON, WARREN, WASHINGTON AND SARATOGA.ARHN ALSO PROVIDES A FORUM FOR LOCAL PUBLIC HEALTH LEADERS, COMMUNITY HEALTH CENTERS, HOSPITALS, COMMUNITY MENTAL HEALTH PROGRAMS, EMERGENCY MEDICAL SERVICES, AND OTHER COMMUNITY-BASED ORGANIZATIONS TO ASSESS REGIONAL POPULATION HEALTH NEEDS AND DEVELOP COLLABORATIVE RESPONSES TO PRIORITIES. AS A MULTI-STAKEHOLDER REGIONAL COALITION, ARHN INFORMS REGIONAL HEALTH PLANNING AND ASSESSMENT, PROVIDES EDUCATION AND TRAINING TO FURTHER THE NYS DOH PREVENTION AGENDA AND OFFERS OTHER RESOURCES THAT SUPPORT THE DEVELOPMENT OF THE NORTH COUNTRY REGIONAL HEALTH CARE SYSTEM.
ALBANY MEDICAL CENTER HOSPITAL	PART V, SECTION B, LINE 7D: DESCRIPTION OF MAKING NEEDS ASSESSMENT WIDELY AVAILABLEFACILITY: ALBANY MEDICAL CENTER HOSPITAL- ALBANY MED'S NEWSLETTER "ALBANY MED TODAY", DISTRIBUTED TO EMPLOYEES, DONORS, PUBLIC- ALBANY MED BOARD OF DIRECTORS BOARD PORTAL- SHARED WITH LOCAL GOVERNMENT OFFICIALS AND OTHER MEMBERS OF OUR COMMUNITY WHEN REQUESTED- COPIES ARE FURNISHED UPON REQUEST FACILITY: COLUMBIA MEMORIAL HOSPITAL- ELECTRONIC COPIES ARE DISTRIBUTED TO ALL MEMBERS OF THE COLUMBIA-GREENE HEALTHY PEOPLE PARTNERSHIP, WHO ARE ENCOURAGED TO FURTHER REDISTRIBUTE THE INFORMATION- ELECTRONIC COPIES ARE ALSO DISTRIBUTED TO LOCAL ELECTED OFFICIALS AND TO STATE ELECTED OFFICIALS REPRESENTING COLUMBIA AND/OR GREENE COUNTIES - THE DOCUMENT IS POSTED ON EACH OF THE PLANNING PARTNERS' WEBSITES- COPIES ARE FURNISHED UPON REQUESTFACILITY: SARATOGA HOSPITAL- PRESENTED TO LOCAL SARATOGA HEALTH COUNCIL IN CONJUNCTION WITH SARATOGA COUNTY PUBLIC HEALTH- DISTRIBUTED ELECTRONIC COPIES TO ALL COMMUNITY-BASED ORGANIZATIONS THAT ARE MEMBERS OF THE SARATOGA HEALTH COUNCIL- PLAN IS PART OF SARATOGA COUNTY'S WEBSITE- COPIES ARE FURNISHED UPON REQUEST
ALBANY MEDICAL CENTER HOSPITAL	PART V, SECTION B, LINE 11: A DESCRIPTION OF THE METHOD BY WHICH THE CAPITAL REGION PRIORITIZATION WORKGROUPS SELECTED THE MOST SIGNIFICANT HEALTH NEEDS WITHIN EACH OF THE 4 REGIONS (ALBANY-RENSSELAER COUNTIES, COLUMBIA-GREENE COUNTIES, SARATOGA COUNTY AND SCHENECTADY COUNTY) CAN BE FOUND ON PAGES 30-31 IN THE HCDI CHNA: HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/2019_CHNA/2019_HCDI-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF.EACH WORKGROUP HELD SEVERAL MEETINGS, WHERE MEMBERS OFFERED INSIGHT, FEEDBACK, RAISED CONCERNS, ASKED QUESTIONS, AND OFFERED VARYING PERSPECTIVES ON EACH OF THE HEALTH NEEDS DISCUSSED. DURING THEIR FINAL MEETINGS, WORKGROUPS SELECTED THE MOST SIGNIFICANT HEALTH PRIORITIES WITHIN THEIR REGIONS.AMONG THE WORKGROUPS IN WHICH ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HOSPITAL, AND SARATOGA HOSPITAL WERE LEADING PARTICIPANTS, CHRONIC DISEASE AND MENTAL HEALTH INITIATIVES RECEIVED THE GREATEST NUMBER OF VOTES DUE TO THEIR IMPACT ON MANY PEOPLE IN THE MOST SIGNIFICANT WAYS, BOTH DIRECTLY AND INDIRECTLY, AND THROUGH THEIR INFLUENCE ON OTHER HEALTH CONDITIONS. THEY ARE ALSO LARGELY PREVENTABLE AND CONTRIBUTE MOST SIGNIFICANTLY TO THE COST OF HEALTH CARE.THE GROUP'S PRIORITIES ALSO REFLECT THE PARTICIPATING ENTITIES' ABILITIES TO EFFECTIVELY ALIGN RESOURCES TO MAKE THE MOST POSITIVE IMPACT ON THEIR COMMUNITIES.A SUMMARY OF THE PROCESSES BY THE PRIORITIZATION WORKGROUPS IN WHICH ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HEALTH, AND SARATOGA HOSPITAL PARTICIPATED CAN BE ACCESSED VIA THESE LINKS:ALBANY-RENSSELAER COUNTY PRIORITIZATION WORK GROUP: HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/2019_CHNA/2019_HCDI-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF - PAGES 31-33COLUMBIA-GREENE COUNTIES PRIORITIZATION WORK GROUP: HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/2019_CHNA/2019_HCDI-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF - PAGES 34-35SARATOGA COUNTY PRIORITIZATION WORK GROUP: HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/2019_CHNA/2019_HCDI-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF - PAGES 37-38ALBANY-RENSSELAER COUNTIES PRIORITIZATION WORKGROUP:ALBANY AND RENSSELAER COUNTIES SELECTED THE FOLLOWING PREVENTION AGENDA PRIORITY AREAS:- REDUCE OBESITY AND PREVENT DIABETES- PREVENT/CONTROL ASTHMA, PREVENT TOBACCO USE- PREVENT MENTAL DISORDERSEXISTING TASK FORCES, FORMED FROM PRIOR CHNAS, HAVE HAD THEIR SCOPES MODIFIED, AND IN SOME CASES, NEW TASK FORCES WERE ESTABLISHED TO DEVELOP AND IMPLEMENT COMMUNITY HEALTH IMPROVEMENT PLAN INTERVENTIONS FOR EACH OF THE PRIORITY AREAS SELECTED. FOR EXAMPLE, THE EXISTING OBESITY-DIABETES TASK FORCE HAS REVISED THEIR EFFORTS TO PREVENT OBESITY AND TYPE 2 DIABETES, AND HELP PATIENTS LEARN HOW TO SELF-MANAGE AND LIVE A HEALTHY LIFESTYLE. ASTHMA/TOBACCO PREVENTION STRATEGIES TASK FORCE IS WORKING WITH EXISTING EFFORTS OF HEALTHY NEIGHBORHOOD PROGRAMS, DELIVERY SYSTEM REIMBURSEMENT INCENTIVE PAYMENT PROGRAM (DSRIP) PERFORMING PROVIDER SYSTEMS (PPS), GREEN AND HEALTHY HOMES INITIATIVE, AND, CAPITAL DISTRICT TOBACCO-FREE COMMUNITIES, WHICH CURRENTLY PARTNERS WITH THE ALBANY COUNTY STRATEGIC ALLIANCE FOR HEALTH, AS WELL AS THE ASTHMA COALITION OF THE CAPITAL REGION. ADDRESSING MENTAL HEALTH REQUIRES COLLABORATION WITH BOTH ALBANY AND RENSSELAER COUNTIES' DEPARTMENTS OF MENTAL HEALTH. MENTAL HEALTH INTERVENTIONS HAVE ALSO INTEGRATED DSRIP (DELIVERY SYSTEM REIMBURSEMENT INCENTIVE PAYMENT PROGRAM), PPS AND HEALTH HOMES.ALBANY MEDICAL CENTER, SPECIFICALLY, WILL CONTINUE TO PROVIDE THE STAFF, FACILITIES, RESOURCES AND BUDGET NECESSARY TO CARRY OUT INITIATIVES AS OUTLINED IN THEIR IMPLEMENTATION STRATEGY, FOUND ON PAGES 29-35 IN THE ALBANY MEDICAL CENTER COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN 2019-2021: HTTPS://WWW.AMC.EDU/ABOUTUS/UPLOAD/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2019.PDFCOLUMBIA-GREENE COUNTIES PRIORITIZATION WORKGROUPCOLUMBIA AND GREENE COUNTIES SELECTED THE FOLLOWING PREVENTION AGENDA PRIORITY AREAS:- REDUCE OBESITY AND PREVENT DIABETES- PREVENT SUBSTANCE ABUSE AND SUPPORT MENTAL EMOTIONAL AND BEHAVIORAL DISORDERS (MEB) SCREENING AND TREATMENTTHE GREENE COUNTY MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) COMMUNITY GROUP AND THE COLUMBIA COUNTY PUBLIC HEALTH LEADERSHIP GROUP SUPPORTS THE DEVELOPMENT OF A JOINT-COUNTY TASK FORCE FOR EACH PRIORITY AREA. COMMUNITY HEALTH PARTNERS WHO WORK IN EACH RESPECTIVE PRIORITY AREA WILL COMPRISE EACH PRIORITY AREA-FOCUSED TASK FORCE. ALTHOUGH IMPACTED BY COVID-19, EACH TASK FORCE HAS WORKED TO MAINTAIN ITS SCHEDULE OF MONTHLY MEETINGS, AND COMMUNITY PARTNERS RESPONSIBLE FOR PRIORITY AREA ACTIONS PROVIDE UPDATES ON ONGOING AND PROJECTED ACTIVITIES AND INTERVENTIONS. THE TASK FORCES ARE RESPONSIBLE FOR ALIGNMENT AND GUIDANCE OF ALL COUNTYWIDE ACTIVITIES RELATED TO EACH PRIORITY AREA.COLUMBIA MEMORIAL HOSPITAL WILL CONTINUE TO PROVIDE THE RESOURCES NECESSARY TO SUPPORT THE SELECTED INITIATIVES, AS OUTLINED IN THEIR IMPLEMENTATION STRATEGY, ON PAGES 4-6, 9, AND 12-14 OF THE APPENDIX WITHIN THE COLUMBIA MEMORIAL HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN 2019-2021: HTTPS://WWW.COLUMBIAMEMORIALHEALTH.ORG/WP-CONTENT/UPLOADS/2020/07/C-G-CHNA-IS-CHIP-CSP-COMPLETE-WITH-APPENDICES.PDF.SARATOGA COUNTY PRIORITIZATION WORKGROUPSARATOGA COUNTY SELECTED THE FOLLOWING PREVENTION AGENDA PRIORITY AREAS:- REDUCE OBESITY- PREVENT SUBSTANCE USE DISORDERS (INCLUDING OPIOIDS)TO ADDRESS NEEDS IDENTIFIED IN THE CHNA, SARATOGA HOSPITAL IS ENGAGING KEY COMMUNITY PARTNERS IN IMPLEMENTING EVIDENCE-BASED STRATEGIES ACROSS SARATOGA COUNTY. ACKNOWLEDGING THAT MANY ORGANIZATIONS AND RESOURCES ARE IN PLACE TO ADDRESS THE HEALTH NEEDS OF THE COMMUNITY, SARATOGA HOSPITAL HAS STRATEGICALLY REVIEWED BOTH INTERNAL AND EXTERNAL RESOURCES.SARATOGA HOSPITAL WILL CONTINUE TO PROVIDE THE STAFF, FACILITIES, RESOURCES AND BUDGET NECESSARY TO ADDRESS THE SELECTED PRIORITIES, AS OUTLINED IN THEIR COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION STRATEGY 2019-2021. THE DETAILS OF THE IMPLEMENTATION STRATEGY BEGIN ON PAGE 17: HTTPS://WWW.SARATOGAHOSPITAL.ORG/RESOURCES/FILEBROWSER/PDFS/2019%20CSP%20AND%20IMPLEMENTATION%20STRATEGY%20FINAL%20APPROVED.PDFSIGNIFICANT HEALTH NEEDS IDENTIFIED - GLENS FALLS HOSPITALBECAUSE GFH HAS A MULTI-COUNTY SERVICE AREA WITH EACH COUNTY HEALTH DEPARTMENT TAKING SLIGHTLY DIFFERENT APPROACHES TO THEIR ASSESSMENT PROCESS, GFH USED EACH COUNTY CHA TO INFORM A COMPLEMENTARY REGIONAL CHNA. GFH DID NOT CONVENE AN ADDITIONAL REGIONAL TEAM OF COMMUNITY PARTNERS AS THIS WOULD HAVE DUPLICATED EFFORTS AND CREATED CONFUSION AMONG COMMUNITY LEADERS. IN ADDITION, GFH PLAYED A SLIGHTLY DIFFERENT ROLE IN EACH OF THE COUNTY PROCESSES. GFH DIRECTLY PARTICIPATED IN THE PLANNING OF THE WARREN COUNTY CHA. GFH WAS A PARTICIPANT IN THE WASHINGTON COUNTY PROCESS. IN SARATOGA COUNTY, THE PROCESS WAS MAINLY COORDINATED BY SARATOGA HOSPITAL AND SARATOGA COUNTY PUBLIC HEALTH AND FACILITATED BY A DIFFERENT REGIONAL PLANNING GROUP. HOWEVER, GFH PARTICIPATED IN THE WORKGROUP THAT DETERMINED THE NEEDS OF THE COUNTY.ONCE THE ASSESSMENT PROCESS WAS COMPLETE FOR EACH COUNTY, GFH REVIEWED THE RESULTS TO COORDINATE WITH EACH COUNTY AS APPROPRIATE, IN ADDITION TO CONSIDERATION OF RESOURCES, EXPERTISE AND STRATEGIC PLANS TO INFORM A COORDINATE AND COMPLEMENTARY REGIONAL CHNA FOR THE GFH SERVICE AREA.THE PROCESS FOR EACH COUNTY IS DESCRIBED IN THEIR RESPECTIVE PLANS AND AVAILABLE ON THEIR WEBSITES. WARREN COUNTY: HTTPS://WARRENCOUNTYNY.GOV/HEALTHSERVICES/REPORTS WASHINGTON COUNTY: HTTPS://WWW.WASHINGTONCOUNTYNY.GOV/292/PUBLIC-HEALTH-NURSING SARATOGA COUNTY: HTTPS://WWW.SARATOGACOUNTYNY.GOV/DEPARTMENTS/HEALTH/COMMUNITY-HEALTH-ASSESSMENT/.IN ADDITION TO EVALUATING THE PRIORITIES AND COUNTY LEVEL DATA INDICATORS OF OUR LOCAL COUNTY HEALTH DEPARTMENTS, GFH CONSIDERED THEIR EXPERTISE, CAPACITY, FUNDING, AND POTENTIAL IMPACT. THE FOLLOWING WERE IDENTIFIED AS THE MOST SIGNIFICANT HEALTH NEEDS FOR THE POPULATION SERVED BY GFH. THESE NEEDS ARE THE FOCUS OF GFH'S COMMUNITY HEALTH STRATEGIES FOR 2019-2021.- HEALTHY EATING AND FOOD SECURITY- PHYSICAL ACTIVITY- TOBACCO PREVENTION- CHRONIC DISEASE PREVENTATIVE CARE AND MAINTENANCEGFH ALSO EXPANDED THEIR SCOPE OF WORK TO INCLUDE AN ADDITIONAL PRIORITY AREA- ANTIBIOTIC RESISTANCE AND HEALTHCARE-ASSOCIATED INFECTIONSAS PART OF THE COMMUNITY HEALTH PLANNING AND ASSESSMENT PROCESS, THE CHA COMMITTEE ALSO IDENTIFIED AND SELECTED A REGIONAL PRIORITY OF PREVENT CHRONIC DISEASES IN SUPPORT OF THE NYS PREVENTION AGENDA 2019-2024. THE CHA COMMITTEE SELECTED AN ADDITIONAL PRIORITY: PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS.ANALYSIS REVEALED AN INCREASING DEMAND AND NEED FOR MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES THROUGHOUT THE GFH SERVICE AREA.(SEE CONTINUATION ON PAGE 117)
ALBANY MEDICAL CENTER HOSPITAL	PART V, SECTION B, LINE 13H: FACILITY: ALBANY MEDICAL CENTER HOSPITALTHE ORGANIZATION ALSO USES RESIDENCY AS A DETERMINING FACTOR. FOR PATIENTS THAT RESIDE OUTSIDE THE SERVICE AREA, AVAILABLE SERVICES TO THAT PATIENT IN THEIR SERVICE AREA IS ALSO A FACTOR.FACILITY: SARATOGA HOSPITALADDITIONAL ELIGIBILITY CRITERIA FOR THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY INCLUDE THE FOLLOWING:-HOMELESS PATIENTS ARE AUTOMATICALLY ELIGIBLE FOR FINANCIAL ASSISTANCE.-SERVICES PROVIDED TO PATIENTS FILING FOR CHAPTER 7 BANKRUPTCY PROTECTION ARE ELIGIBLE FOR FINANCIAL ASSISTANCE.-SERVICES PROVIDED TO PATIENTS WHO HAVE SINCE DIED AND HAVE NO KNOWN ESTATE ARE ELIGIBLE FOR FINANCIAL ASSISTANCE.
ALBANY MEDICAL CENTER HOSPITAL	PART V, SECTION B, LINE 15E: FACILITY: SARATOGA HOSPITALIN ACCORDANCE WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, THE HOSPITAL MAY REQUIRE PATIENTS TO APPLY FOR MEDICAID OR OTHER PUBLICLY SPONSORED INSURANCE PROGRAMS. THE HOSPITAL PROVIDES RESOURCES TO ASSIST PATIENTS WITH THE MEDICAID APPLICATION PROCESS. AS PART OF THIS PROCESS, MEDICAID MAY REQUIRE THE PATIENT TO MAKE A PAYMENT TO THE HOSPITAL, KNOWN AS A 'SPEND-DOWN AMOUNT,' AS A CONDITION FOR MEDICAID APPROVAL. ANY PAYMENTS THE PATIENT IS REQUIRED TO MAKE TO THE HOSPITAL INCLUDING, BUT NOT LIMITED TO, THE SPEND-DOWN AMOUNT AND CO-PAY AND/OR DEDUCTIBLE AMOUNTS ARE ELIGIBLE FOR COVERAGE UNDER THE FINANCIAL ASSISTANCE POLICY.
ALBANY MEDICAL CENTER HOSPITAL	PART V, SECTION B, LINE 20E: FACILITY: ALBANY MEDICAL CENTER HOSPITALTHE ORGANIZATION PERFORMS ONE LAST CHECK FOR PAYOR ELIGIBILITY ON ACCOUNTS GREATER THAN $1,500.
SCHEDULE H, PART V, LINE 7A AND 10A	FACILITY: ALBANY MEDICAL CENTER HOSPITALTHE HOSPITAL'S CHNA IS POSTED AT THE FOLLOWING WEBSITE:HTTPS://WWW.AMC.EDU/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-IMPLEMENTATION-STRATEGY/INDEX.CFMFACILITY: SARATOGA HOSPITALTHE HOSPITAL'S CHNA IS POSTED AT THE FOLLOWING WEBSITE:HTTPS://WWW.SARATOGAHOSPITAL.ORG/RESOURCES/FILEBROWSER/2019_HCDI-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDFFACILITY: COLUMBIA MEMORIAL HOSPITALTHE HOSPITAL'S CHNA IS POSTED AT THE FOLLOWING WEBSITE:HTTPS://WWW.COLUMBIAMEMORIALHEALTH.ORG/PATIENTS-AND-VISITORS/COMMUNITY-HEALTH/FACILITY: GLENS FALLS HOSPITALTHE HOSPITAL'S CHNA IS POSTED AT THE FOLLOWING WEBSITE:HTTPS://WWW.GLENSFALLSHOSPITAL.ORG/SERVICES/COMMUNITY-SERVICES/HEALTH-PROMOTION-CENTER/
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED	- GFH RECOGNIZES THIS TREND AND THE NEED FOR QUALITY SERVICES AND PROGRAMS, HOWEVER, HAS NOT HISTORICALLY FORMALIZED STRATEGIES INTO THE PLAN DUE TO LACK OF RESOURCES AND CAPACITY.- PRIOR TO THE COVID-19 PANDEMIC, GLENS FALLS HOSPITAL WAS THE CONTRACTED BEHAVIORAL HEALTH PROVIDER FOR WARREN AND WASHINGTON COUNTIES.- IN ANTICIPATING AN INCREASING NEED FOR BEHAVIORAL HEALTH SERVICES IN THE REGION, GFH WORKED PROACTIVELY TO ENSURE PATIENTS WOULD HAVE ACCESS TO THE CARE THEY NEED INTO THE FUTURE.- GLENS FALLS HOSPITAL WORKED WITH WARREN AND WASHINGTON COUNTIES TO CONDUCT A THOUGHTFUL AND DELIBERATE PARTNERSHIP EXPLORATION PROCESS FOR OUTPATIENT BEHAVIORAL HEALTH AND SUBSTANCE USE SERVICES. BEHAVIORAL HEALTH SERVICES NORTH HAS STEPPED IN TO TAKE OVER THE OUTPATIENT BEHAVIORAL HEALTH SERVICE TO HELP US BETTER SERVE PATIENTS, WITH A GOAL TO EXPAND ACCESS TO MUCH NEEDED SPECIALIZED BEHAVIORAL HEALTH SERVICES IN OUR COMMUNITY.- ADDITIONAL COMMUNITY HEALTH NEEDS, SUCH AS HOUSING, TRANSPORTATION, AND OTHER SOCIAL DETRIMENTS OF HEALTH, ARE NOT ADDRESSED IN THE ACTION PLAN DUE TO LACK OF RESOURCES, EXPERTISE AND/OR QUANTITATIVE DATA TO SUPPORT A PROPER ASSESSMENT AND PLAN.- GFH WILL WORK IN TANDEM WITH THE ARHN IN A VARIETY OF WAYS TO BOTH SUPPORT STRATEGIES TO ADDRESS AND RAISE AWARENESS ABOUT MENTAL AND SUBSTANCE USE DISORDER PREVENTION.- SIMULTANEOUSLY, GFH WILL CONTINUE TO WORK THROUGH PROGRAMS SUCH AS HEALTH HOME AND CARE TRANSFORMATION INITIATIVES WITH ALL AREA PROVIDERS TO SUPPORT INTEGRATED CARE MODELS AND POPULATION HEALTH STRATEGIES.TO ADDRESS NEEDS IDENTIFIED IN THE CHNA, GFH IS ENGAGING KEY COMMUNITY PARTNERS IN IMPLEMENTING EVIDENCE-BASED STRATEGIES ACROSS THE GFH SERVICE AREA. GFH WILL CONTINUE TO PROVIDE THE NECESSARY RESOURCES TO ADDRESS THE SELECTED PRIORITIES, AS OUTLINED IN THEIR COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION STRATEGY 2019-2021. THE DETAILS OF THE IMPLEMENTATION STRATEGY BEGIN ON PAGE 10: HTTPS://WWW.GLENSFALLSHOSPITAL.ORG/WP-CONTENT/UPLOADS/2019/12/GFH-IMPLEMENTATION-STRATEGY-2019-2021-FINAL.PDFNEEDS NOT BEING ADDRESSED IN THE IMPLEMENTATION STRATEGIESNEEDS ADDRESSED IN IMPLEMENTATION STRATEGIES BY OTHER REGIONAL PARTNERSDURING THE PRIORITIZATION PROCESSES, MANY HEALTH NEEDS WERE SELECTED AS IMPORTANT TO ADDRESS. WHILE THERE WAS COMMONALITY AMONG MANY OF THE PRESSING HEALTH NEEDS, THERE WERE ALSO REGIONAL DIFFERENCES.THE HEALTH PRIORITIES OF ALBANY AND RENSSELAER COUNTIES, COLUMBIA AND GREENE COUNTIES, SARATOGA COUNTY, SCHENECTADY COUNTY, AND WARREN AND WASHINGTON COUNTIES ARE BEING ADDRESSED LARGELY BY HOSPITALS, LOCAL HEALTH DEPARTMENTS, AND OTHER ORGANIZATIONS WITHIN THEIR RESPECTIVE COMMUNITIES.ALBANY AND RENSSELAER COUNTIESALBANY MED HEALTH SYSTEM PARTNER ALBANY MEDICAL CENTER, WITH ALBANY COUNTY AND RENSSELAER COUNTY DEPARTMENTS OF HEALTH AND ST. PETER'S HEALTH PARTNERS, ARE TAKING THE LEAD ON ALIGNING EFFORTS AROUND MUTUALLY SELECTED PRIORITY AREAS.IF AND WHEN FEASIBLE, PARTNERS COLUMBIA MEMORIAL HOSPITAL, GLENS FALLS HOSPITAL AND SARATOGA HOSPITAL WILL ASSIST WITH THE IMPLEMENTATION OF THE ALBANY-RENSSELAER WORKGROUP'S INITIATIVES.COLUMBIA AND GREENE COUNTIESALBANY MED HEALTH SYSTEM PARTNER COLUMBIA MEMORIAL HOSPITAL, WITH GREENE COUNTY PUBLIC HEALTH AND COLUMBIA COUNTY DEPARTMENT OF HEALTH IS TAKING THE LEAD ON ALIGNING EFFORTS AROUND MUTUALLY SELECTED PRIORITY AREAS.IF AND WHEN FEASIBLE, ALBANY MEDICAL CENTER, GLENS FALLS HOSPITAL AND SARATOGA HOSPITAL WILL ASSIST WITH THE IMPLEMENTATION OF THE WORKGROUP'S INITIATIVES.SARATOGA COUNTYALBANY MED HEALTH SYSTEM PARTNER SARATOGA HOSPITAL, WITH SARATOGA COUNTY DEPARTMENT OF HEALTH IS TAKING THE LEAD ON ALIGNING EFFORTS AROUND MUTUALLY SELECTED PRIORITY AREAS.IF AND WHEN FEASIBLE, ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HOSPITAL AND GLENS FALLS HOSPITAL WILL ASSIST WITH THE IMPLEMENTATION OF THE WORKGROUP'S INITIATIVES.SCHENECTADY COUNTYSCHENECTADY COUNTY PUBLIC HEALTH SERVICES, ELLIS MEDICINE AND SUNNYVIEW REHABILITATION HOSPITAL ARE TAKING THE LEAD TO ADDRESS THE PRIORITY AREAS SELECTED FOR THIS REGION. THEY HAVE ALSO BEEN WORKING CLOSELY WITH OTHER SCHENECTADY PARTNERS THROUGH THE SCHENECTADY COALITION FOR HEALTHY COMMUNITIES (SCHC).WHEN FEASIBLE, ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HOSPITAL, GLENS FALLS HOSPITAL AND/OR SARATOGA HOSPITAL WILL ASSIST WITH THE IMPLEMENTATION OF THE WORKGROUP'S INITIATIVES.WARREN AND WASHINGTON COUNTIESALBANY MED HEALTH SYSTEM PARTNER GLENS FALLS HOSPITAL, WITH WARREN AND WASHINGTON COUNTY DEPARTMENTS OF HEALTH IS TAKING THE LEAD ON ALIGNING EFFORTS AROUND MUTUALLY SELECTED PRIORITY AREAS.WHEN FEASIBLE, ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HOSPITAL AND SARATOGA HOSPITAL WILL ASSIST WITH THE IMPLEMENTATION OF THE WORKGROUP'S INITIATIVES.NEEDS NOT ADDRESSED THROUGH REGIONAL IMPLEMENTATION STRATEGIESOTHER NEEDS WERE NOT ADDRESSED THROUGH EXISTING REGIONAL HEALTH TASK FORCES. BELOW ARE EXAMPLES OF HOW THE ALBANY MED HEALTH SYSTEM HOSPITALS' PROGRAMS AND INITIATIVES ARE ADDRESSING: A) OTHER HEALTH NEEDS IDENTIFIED DURING THE PRIORITIZATION PROCESS AND B) COVID-19 RELATED CARE, AN UNFORESEEN PANDEMIC DURING THE 2019 CHNA PROCESS.THE ALBANY MED HEALTH SYSTEM HOSPITALS ACKNOWLEDGE THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. OUR ORGANIZATIONS DETERMINED THAT IT WOULD PLACE THE MOST SIGNIFICANT FOCUS ON THOSE HEALTH NEEDS WHICH WERE DEEMED MOST PRESSING, UNDER-ADDRESSED, AND WITHIN OUR ABILITIES TO INFLUENCE. THE FOLLOWING ARE EFFORTS OUR HOSPITALS CONTINUE TO MAKE TOWARDS ADDRESSING NEEDS THAT DID NOT RISE TO THE SAME LEVEL OF PRIORITIZATION. ALSO INCLUDED IS A SUMMARY OF EFFORTS UNDERTAKEN TO RESPOND TO COVID-19, AN UNANTICIPATED HEALTH NEED DURING THE 2019 CHNA PROCESS.ALBANY MED HEALTH SYSTEMCOVID-19: AS A REGIONAL PROVIDER OF CARE, THE ALBANY MED HEALTH SYSTEM RAPIDLY PIVOTED TO RESPOND TO A PANDEMIC THAT IMPACTED EVERY RESIDENT IN OUR SERVICE AREA, DIRECTLY OR INDIRECTLY. IT REQUIRED A PROMPT, AROUND-THE-CLOCK RESPONSE TO THE HEALTH CHALLENGE OF THIS GENERATION. OUR SYSTEM CONTINUOUSLY SOUGHT WAYS TO ASSIST OUR REGION IN 2020. IN 2021, THOSE EFFORTS CONTINUED:- CONTINUED, COMPREHENSIVE EMERGENT CARE FOR OUR MOST VULNERABLE PATIENTS, INCLUDING THOSE IN NEED OF VENTILATOR SUPPORT.- A CONTINUED AND SWIFT ROLL-OUT OF COVID-19 THERAPIES SUCH AS MONOCLONAL ANTIBODIES AND CONVALESCENT PLASMA.- THE CONTINUED OFFERING AND EXPANSION OF TELEHEALTH SERVICES ACROSS THE SYSTEM TO ALLOW PATIENTS AND THE COMMUNITY CONTINUED ACCESS TO PROVIDERS DURING AND AFTER SHUT-DOWN.- COVID-19 TESTING FOR PATIENTS AND STAFF.- CRITICAL RESEARCH AND EVALUATION EFFORTS RELATED TO THE COVID-19 PANDEMIC. THE STUDIES, STARTED IN 2020 AND CONTINUED INTO 2021, HAVE GLEANED VALUABLE INFORMATION AND WILL HAVE MEANING FOR FUTURE DISEASE OUTBREAKS AND SIMILAR MEDICAL CRISES.- CONTINUED DISSEMINATION OF IMPORTANT, UP-TO-DATE INFORMATION TO KEEP OUR COMMUNITY UPDATED ON COVID-19. THE NUMBER OF VISITS TO THE COVID-19 PAGES OF EACH OF OUR HOSPITALS INDICATE THE GUIDANCE THEY OFFERED IN CONTINUING TO MEET THE COMMUNITY'S NEED FOR ACCURATE, CURRENT INFORMATION ON THE PANDEMIC.- STARTING IN 2020, AND CONTINUING THROUGH 2021, THE SYSTEM ALSO PLAYED A LEAD ROLE, WORKING WITH ALL LOCAL HOSPITALS IN OUR REGION, TO TRACK AND DISCUSS COVID-19 RATES AND CASE COUNTS ON A FREQUENT BASIS.- IN 2021, AS THE LEAD OF THE CAPITAL REGION IN THE DISTRIBUTION OF COVID-19 VACCINES, ALBANY MED COORDINATED A HIGH VOLUME ROLL-OUT OF, WHICH HAD BEGUN IN DECEMBER 2020. NEARLY 1 MILLION RESIDENTS WERE VACCINATED BY THE END OF 2021.- A MAJOR ADVERTISING CAMPAIGN FEATURING 15 VOICES OF REGIONAL COMMUNITY LEADERS WAS UNDERTAKEN BY THE SYSTEM TO EDUCATE PATIENTS AND THE PUBLIC ABOUT VACCINE DISTRIBUTION, INFORMATION ABOUT EACH OF THE VACCINES, AND THE IMPORTANCE OF BEING VACCINATED.ALBANY MEDICAL CENTERSTDS/HIV: ALBANY COUNTY FELL TO THE 4TH RISK QUARTILE FOR ALL STD INDICATORS, AND RENSSELAER COUNTY FELL TO THE 4TH RISK QUARTILE FOR GONORRHEA AND SYPHILIS INDICATORS, AND THE 3RD RISK QUARTILE FOR CHLAMYDIA.IT IS WELL DOCUMENTED THAT PEOPLE WHO CONTRACT AN STD OFTEN ALSO HAVE HIV OR ARE MORE LIKELY TO BECOME HIV-INFECTED.- ALBANY MEDICAL CENTER IS THE REGION'S ONLY DESIGNATED AIDS TREATMENT CENTER, WHICH ALLOWS FOR INCREASED SERVICES, COORDINATED CARE, AND A WIDER RANGE OF PROGRAMS FOR PATIENTS.-- A WIDE RANGE OF SERVICES ON A 24-HOUR BASIS FOR PEOPLE WITH HIV INFECTION AND AIDS, AND CASE MANAGERS HELP PATIENTS IDENTIFY RESOURCES AVAILABLE TO HELP PAY BILLS IF NEEDED. COMPREHENSIVE SERVICES ARE PROVIDED, INCLUDING MEDICAL, SOCIAL, NUTRITIONAL, PSYCHOLOGICAL, EDUCATIONAL AND CLINICAL RESEARCH SERVICES TO BOTH HOSPITALIZED PATIENTS AND OUTPATIENTS REGARDLESS OF THEIR LOCATION OR ABILITY TO PAY.
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED	-- ACCESSIBLE, QUALITY HEALTH CARE IS OFFERED TO RESIDENTS OF OUR SERVICE AREA WHO BECOME HIV-INFECTED. COORDINATED SUPPORT SERVICES FOR PATIENTS SEEKING CARE BY WORKING WITH COMMUNITY ORGANIZATIONS IS AVAILABLE.-- STAFF, HEALTH CARE PROVIDERS, AND COMMUNITY MEMBERS RECEIVE CONTINUED EDUCATION ABOUT HIV INFECTION AND PROVIDE COMPASSIONATE AND APPROPRIATE CARE TO PATIENTS.-- ALBANY MEDICAL CENTER PROVIDES CONFIDENTIAL HIV TESTING AT NO CHARGE.-- ALBANY MEDICAL CENTER PROVIDES TARGETED, MULTI-DISCIPLINARY EDUCATION AND TRAINING TO HEALTHCARE PROFESSIONALS WHO CARE FOR THE HIV POPULATION.- THE SPECIALIZED CARE CENTER FOR ADOLESCENTS AND YOUNG ADULTS AT THE BERNARD & MILLIE DUKER CHILDREN'S HOSPITAL AT ALBANY MEDICAL CENTER HOSPITAL PROVIDES SERVICES TO YOUTH AGES 13-24, INCLUDING PREVENTION AND MANAGEMENT OF HIV INFECTION.- THE MATERNAL CHILD COORDINATED CARE PROGRAM OFFERS MEDICAL FOLLOW UP FOR HIV EXPOSED INFANTS AND CHILDREN LIVING WITH HIV UP TO AGE 12.- OUR HIV PROGRAM OFFERS PREVENTION SERVICES FOR YOUTH FOR PRE-EXPOSURE PREVENTION TO HIV THROUGH OUR PREP PROGRAM (PRE-EXPOSURE PROPHYLAXIS).LYME DISEASE: RENSSELAER COUNTY'S LYME DISEASE CASE RATE OF 395.5/100,000 WAS HIGHER THAN ROS AND THE 3RD HIGHEST RATE OF ALL NYS COUNTIES. ALBANY COUNTY'S LYME DISEASE CASE RATE OF 148.6/100,000 WAS ALSO HIGHER THAN ROS.- ALBANY MEDICAL CENTER'S DIVISION OF INFECTIOUS DISEASE WORKS CLOSELY WITH EACH PATIENT TO PROVIDE INFECTION SURVEILLANCE, EXPOSURE AND OUTBREAK INVESTIGATIONS, EDUCATION AND IF APPLICABLE, INFECTION CONTROL CONSULTATION.- ALBANY MEDICAL CENTER'S PEDIATRIC INFECTIOUS DISEASE DIVISION PROVIDES OUTPATIENT AND INPATIENT CARE FOR THE EVALUATION AND MANAGEMENT OF CHILDREN AND ADOLESCENTS WITH CONDITIONS INCLUDING LYME DISEASE, ALBANY MED'S SUBSPECIALTY BOARD CERTIFIED PEDIATRIC INFECTIOUS DISEASE SPECIALISTS ARE THE ONLY PEDIATRIC INFECTIOUS DISEASE SPECIALISTS IN THE 22 COUNTIES OF NORTHEASTERN NEW YORK.- ALBANY MEDICAL COLLEGE'S MICROBIAL AND IMMUNOLOGY RESEARCH PROGRAM BRINGS TOGETHER A DIVERSE GROUP OF SCIENTISTS AND INVESTIGATORS. THE RESEARCH AND TRAINING EFFORT CONCENTRATE ON EXPLORING, IN AN INTEGRATED FASHION, HOST-PATHOGEN INTERACTIONS DURING INFECTIONS WITH VARIOUS MICROBES, INCLUDING HIV-1, LYME DISEASE, MRSA, AND PNEUMOCOCCAL INFECTIONS. SINCE 2020, ALBANY MEDICAL COLLEGE'S RESEARCHERS SUBMITTING DOZENS OF RESEARCH PAPERS AND COMMENTARIES TO ACADEMIC JOURNALS, ALL RELATED TO THE COVID-19 PANDEMIC. THE STUDIES HAVE GLEANED VALUABLE INFORMATION AND WILL HAVE MEANING FOR FUTURE DISEASE OUTBREAKS AND SIMILAR MEDICAL CRISES.MATERNAL AND INFANT HEALTH: BOTH ALBANY AND RENSSELAER COUNTIES AND HIGHER TEEN (15-17 YEARS) PREGNANCY RATES THAN THE ROS. ALBANY COUNTY HAD A LOWER RATE OF PRENATAL CARE THAN THE ROS AND THE LATE- TO NO PRENATAL CARE WAS HIGHER THAN THE ROS. RENSSELAER COUNTY'S RATE OF PREMATURE BIRTHS (<37 WEEKS GESTATION) OF 9.7% WAS HIGHER THAN ROS.- ALBANY MEDICAL CENTER'S MATERNAL AND FETAL MEDICINE PROVIDERS OFFER A RANGE OF SERVICES FOR HIGH-RISK MOMS-TO-BE, AS WELL AS PRENATAL SCREENING AND TESTING SERVICES. IN ADDITION, THEY SEE PATIENTS AT SEVERAL OFF-SITE LOCATIONS, INCLUDING AT PARTNER HOSPITALS' CAMPUSES.- ALBANY MEDICAL CENTER'S REGIONAL PERINATAL CENTER PROVIDES TRANSPORT AND CONSULTATION SERVICES TO ALL BIRTHING HOSPITALS IN A 25-COUNTY REGION OF NORTHEASTERN NEW YORK. OBSTETRICAL AND NEONATAL STAFF ARE HIGHLY TRAINED TO ASSIST WOMEN EXPERIENCING HIGH-RISK OR COMPLICATED PREGNANCIES, AND INFANTS REQUIRING SPECIALIZED CARE.- ALBANY MEDICAL CENTER'S WIC PROGRAM PROVIDES HEALTH FOODS FOR GROWTH AND DEVELOPMENT, ENCOURAGES REGULAR HEALTH CARE, AND PROMOTES FOOD NUTRITION THROUGH EDUCATION. WIC BENEFITS FOR FOOD ARE PROVIDED FREE OF CHARGE TO PREGNANT, POSTPARTUM OR NURSING WOMEN, INFANTS AND CHILDREN LESS THAN FIVE YEARS OLD.COLUMBIA MEMORIAL HOSPITAL LYME DISEASE: GREENE COUNTY'S LYME DISEASE CASE RATE OF 753.6/100,000 WAS SIGNIFICANTLY HIGHER THAN NYS EXCL. NYC (77.8), AND WAS THE HIGHEST RATE OF ALL NYS COUNTIES. COLUMBIA COUNTY'S LYME DISEASE CASE RATE WAS 711.6/100,000, AND MARKEDLY HIGHER THAN ROS, AND 2ND HIGHEST RATE OF ALL NYS COUNTIES, BEHIND GREENE COUNTY.SMOKING/ASTHMA: COLUMBIA COUNTY'S CURRENT ASTHMA PREVALENCE (11.4%) WAS HIGHER THAN NYS EXCL. NYC (10.4%). IN ADDITION, THE HUDSON NEIGHBORHOOD HAD 2.1 TIMES THE ASTHMA ED VISIT RATE AND 2 TIMES THE ASTHMA HOSPITALIZATION RATE AS NYS EXCL. NYC. GREENE COUNTY'S ADULT ASTHMA PREVALENCE RATE OF 12.0% WAS HIGHER THAN NYS EXCL. NYC (10.4%). COLUMBIA COUNTY'S ADULT SMOKING RATE OF 20.3% WAS HIGHER THAN NYS EXCL. NYC (17.0%). LUNG CANCER INCIDENCE (80.4/100,000) AND MORTALITY *48.6/100,000), CLRD HOSPITALIZATION (27.3/100,000) AND CLRD MORTALITY (36.6/100,000) RATES WERE HIGHER THAN NYS EXCL. NYC (66.9, 40.4, 23.1, 34.4).- COLUMBIA MEMORIAL HOSPITAL'S PULMONOLOGISTS DIAGNOSE AND TREAT PATIENT WITH ASTHMA.- TOBACCO-FREE ACTION OF COLUMBIA AND GREENE COUNTIES OPERATES WITHIN THE HEALTHCARE CONSORTIUM, A RURAL HEALTH NETWORK LOCATED IN HUDSON, NY THAT SERVES COLUMBIA AND GREENE COUNTIES. THEY ADVOCATE FOR POLICY CHANGE THAT REDUCES EXPOSURE TO SECONDHAND SMOKE, MAKES TOBACCO PRODUCTS LESS VISIBLE AND ACCESSIBLE, AND MAKES TOBACCO USE MORE EXPENSIVE, LESS CONVENIENT, AND LESS SOCIALLY ACCEPTABLE.HEART DISEASE: COLUMBIA COUNTY'S CORONARY HEART DISEASE MORTALITY RATE (130.1/100,000) AND GREENE COUNTY'S (121.4/100,000) WERE HIGHER THAN NYS EXCL. NYC (116.5).GLENS FALLS HOSPITALANTIBIOTIC RESISTANCE AND HEALTHCARE-ASSOCIATED INFECTIONSANTIMICROBIAL STEWARDSHIP PROGRAM: TWO IMPORTANT PREVENTABLE CAUSES OF ANTIBIOTIC RESISTANCE ARE INAPPROPRIATE ANTIBIOTIC PRESCRIBING (ANTIBIOTIC PRESCRIBING WHEN NOT NECESSARY SUCH AS FOR VIRAL INFECTIONS) AND INAPPROPRIATE ANTIBIOTIC USAGE (ANTIBIOTIC USE WITHOUT A HEALTHCARE PROVIDER'S GUIDANCE). - - TO REDUCE INAPPROPRIATE ANTIBIOTIC USE, GLENS FALLS HOSPITAL FOCUSES ON REDUCTIONS IN LENGTH OF THERAPY BASED UPON CURRENT LITERATURE, REDUCTIONS IN TREATMENT OF ASYMPTOMATIC BACTERIURIA (ASB) AND TREATMENT OF INFECTIONS IN A GUIDELINE CONSISTENT MANNER INCLUDING MANAGEMENT OF COMMUNITY ACQUIRED PNEUMONIA.THE RATE OF COMMUNITY ONSET, HEALTHCARE FACILITY ASSOCIATED CLOSTRIDIUM DIFFICILE INFECTIONS (CDIS) PER 10,000 PATIENT DAYS (7.8) IN WARREN COUNTY IS SIGNIFICANTLY HIGHER THAN THE NYS PREVENTION AGENDA BENCHMARK OF 2.05.- GLENS FALLS HOSPITAL INFECTION PREVENTION & CONTROL USES A COORDINATED APPROACH BASED ON ESTABLISHED EPIDEMIOLOGICAL PRINCIPLES, STATISTICAL METHODOLOGIES, SURVEILLANCE AND EVIDENCE-BASED INFORMATION TO MINIMIZE, REDUCE, OR ULTIMATELY ELIMINATE THE RISK OF INFECTION. THE PROGRAM IS BASED ON THE UNDERLYING PRINCIPLE OF CONTINUOUS QUALITY IMPROVEMENT.SARATOGA HOSPITALSMOKING: SARATOGA COUNTY'S ADULT SMOKING RATE OF 17.3% WAS SLIGHTLY HIGHER THAN NYS EXCL. NYC (17.0%). THE COUNTY'S LUNG CANCER INCIDENCE (70.8/100,000), LUNG CANCER MORTALITY (50.0/100,000), AND CLRD MORTALITY (37.0/100,000) RATES WERE HIGHER THAN NYS EXCL. NYC (67.2, 43.0, 35.0).- THE COUNCIL FOUND THAT SEVERAL MEMBER ORGANIZATIONS OFFER VARIOUS SMOKING CESSATION OPTIONS TO THE PUBLIC INCLUDING A VERY ACTIVE PROGRAM AVAILABLE AT GLENS FALLS HOSPITAL, LOCATED IN NEIGHBORING WARREN COUNTY.- ADDITIONALLY, SARATOGA HOSPITAL PRIMARY CARE PROVIDERS FREQUENTLY PROVIDE SMOKING CESSATION COUNSELING DURING PATIENT INTERACTION.BREAST CANCER: SARATOGA COUNTY'S MAMMOGRAPHY SCREENING RATES WERE LOWER THAN NYS EXCL. NYC FOR WOMEN AGES 50-74 (77.9% VS. 79.2%). IN ADDITION, THE COUNTY'S FEMALE BREAST CANCER LATE STAGE INCIDENCE (45.7/100,000) RATE WAS HIGHER THAN NYS EXCL. NYC (43.1).- UNINSURED RESIDENTS OF SARATOGA COUNTY HAVE ACCESS TO FREE CANCER SCREENINGS THROUGH THE CANCER SERVICES PROGRAM, WHICH OFFERS FREE CANCER SCREENING FOR UNINSURED MEN AND WOMEN.- SARATOGA HOSPITAL'S CENTER FOR BREAST CARE OFFERS NURSE NAVIGATORS, RADIOLOGISTS, A FELLOWSHIP TRAINED BREAST SURGEON, MEDICAL ONCOLOGISTS, RADIATION ONCOLOGISTS, PLASTIC SURGEONS, PHYSICAL THERAPISTS, AN ONCOLOGY SOCIAL WORKER, AND DIETITIANS TO ASSIST CANCER PATIENTS FROM DIAGNOSIS THROUGH SURVIVORSHIP.SUICIDE AND SELF-INFLICTED INJURY: THE SELF-INFLICTED INJURY ED VISIT RATE FOR SARATOGA COUNTY RESIDENTS 15+ YEARS OF AGE OF 7.4/10,000 AND SELF-INFLICTED INJURY HOSPITALIZATION RATE OF 6.3/10,000 WERE HIGHER THAN NYS EXCL. NYC (7.1 AND 5.3).- SARATOGA COUNTY PUBLIC HEALTH SERVICES CO-FACILITATES THE SUICIDE PREVENTION COALITION OF SARATOGA COUNTY, ALONG WITH THE SARATOGA COUNTY DEPARTMENT OF MENTAL HEALTH & ADDICTION SERVICES. THIS GROUP OF LOCAL STAKEHOLDERS MEETS REGULARLY TO DISCUSS SUICIDE RATES WITHIN THE COUNTY AND ACROSS THE COUNTRY, WHILE WORKING TO FOSTER IMPROVEMENTS WITHIN THE MENTAL HEALTH SYSTEM TO BETTER ASSIST THOSE IN NEED.
SCHEDULE H, PART V, LINE 16A, 16B, AND 16C	FACILITY: ALBANY MEDICAL CENTER HOSPITALTHE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, APPLICABLE, AND PLAIN LANGUAGE SUMMARY ARE POSTED AT THE FOLLOWING WEBSITE:WWW.AMC.EDU/PBSFACILITY: SARATOGA HOSPITALTHE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, APPLICABLE, AND PLAIN LANGUAGE SUMMARY ARE POSTED AT THE FOLLOWING WEBSITE:HTTPS://WWW.SARATOGAHOSPITAL.ORG/PATIENTS-VISITORS/PATIENTS/BILLING/FINANCIAL-ASSISTANCEFACILITY: COLUMBIA MEMORIAL HOSPITALTHE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, APPLICABLE, AND PLAINLANGUAGE SUMMARY ARE POSTED AT THE FOLLOWING WEBSITE:HTTPS://WWW.COLUMBIAMEMORIALHEALTH.ORG/FINANCIAL-ASSISTANCE/FACILITY: GLENS FALLS HOSPITALTHE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND APPLICATION FORM IS POSTED ON ITS WEBSITE:HTTPS://WWW.GLENSFALLSHOSPITAL.ORG/PATIENTS-AND-VISITORS/PATIENTS/PATIENT-FINANCIAL-ASSISTANCE/
SCHEDULE H, PART V, LINE 20D	FACILITY: SARATOGA HOSPITALTHE HOSPITAL DOES NOT CURRENTLY HAVE A PROCESS FOR ASSESSING PATIENTS' PRESUMPTIVE ELIGIBILITY FOR BENEFITS UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART V, LINE 22D	OTHER BILLING DETERMINATION OF INDIVIDUALS WITHOUT INSURANCEFACILITY: ALBANY MEDICAL CENTER HOSPITALALBANY MEDICAL CENTER HOSPITAL UTILIZES THE FEDERAL POVERTY GUIDELINES TO ENSURE PATIENTS ARE PRESUMPTIVELY ELIGIBLE, ALONG WITH RESIDENCE REQUIREMENTS. BASED ON FAMILY INCOME AND FAMILY MEMBERS, ALBANY MEDICAL CENTER HOSPITAL UTILIZES A SLIDING SCALE CALCULATION METHOD TO DETERMINE THE AMOUNTS TO BILL THE PATIENT, AND ULTIMATELY THE AMOUNT TO BE PAID BY THE PATIENT. CHARGES ARE CAPPED AT THE MEDICARE RATES FOR INPATIENT AND OUTPATIENT SERVICES.
SCHEDULE H, PART V	FACILITY: ALBANY MEDICAL CENTER HOSPITALALBANY MEDICAL CENTER HOSPITAL HAS ONE FACILITY WITH TWO LOCATIONS.

Field	Value	IRS element (for citing)
Facility	124	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (124 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - ALBANY MEDICAL CENTER HOSPITAL SOUTH
25 HACKETT BLVD	ALBANY	NY	12208	SECOND LOCATION OF ALBANY MEDICAL CENTER HOSPITAL
2 - ALBANY MED HIV MEDICINE
1 CLARA BARTON DRIVE	ALBANY	NY	12209	HIV MEDICINE
3 - PARK SOUTH MEDICAL OFFICE BUILDING
391 MYRTLE AVENUE	ALBANY	NY	12208	VASCULAR SURGERY, NEUROLOGY (PEDIATRIC), OB/GY, NEUROSURGERY, BEHAVIORAL, PE
4 - SURGEONS PAVILION
50 NEW SCOTLAND AVENUE	ALBANY	NY	12208	SURGERY - ENT ADULT, PLASTIC, PEDIATRIC, GENERAL, CARDIOTHORACIC
5 - ALBANY MED MALTA
6 MEDICAL PARK DRIVE SUITE 203	BALLSTON SPA	NY	12020	MULTISPECIALITY CLINIC
6 - ALBANY MED EMURGENTCARE - BRUNSWICK
730 HOOSICK ROAD	BRUNSWICK	NY	12180	EMURGENTCARE
7 - ALBANY MED EMURGENTCARE - COXSACKIE
11835 ROUTE 9W	WEST COXSACKIE	NY	12192	EMURGENTCARE
8 - ALBANY MED EMURGENTCARE - GLENMONT
329 GLENMONT ROAD	GLENMONT	NY	12077	EMURGENTCARE
9 - ALBANY MED EMURGENTCARE - GLENVILLE
115 SARATOGA ROAD	GLENVILLE	NY	12302	EMURGENTCARE
10 - ALBANY MED EMURGENTCARE - MECHANICVILLE
7 PRICE CHOPPER PLAZA	MECHANICVILLE	NY	12118	EMURGENTCARE
11 - ALBANY MED EMURGENTCARE - NISKAYUNA
1769 UNION STREET	NISKAYUNA	NY	12309	URGENT CARE, AMBULATORY CARE CTR, COMMUNITY GI, GENERAL SRGRY, MULTISPECIALT
12 - ALBANY MED SARATOGA
377 CHURCH STREET 2ND FLOOR	SARATOGA SPRINGS	NY	12866	VASCULAR SURGERY
13 - ALBANY MED EMURGENT CARE - SAUGERTIES
2976 ROUTE 9W	SAUGERTIES	NY	12477	EMURGENTCARE
14 - ALBANY MED EMURGENT CARE - COLONIE
98 WOLF ROAD SUITE 16	ALBANY	NY	12205	EMURGENTCARE
15 - ALBANY MED NORTH GREENBUSH
101 JORDAN ROAD SUITE 201	TROY	NY	12180	MULTISPECIALITY CLINIC
16 - ALBANY MED LATHAM
713 TROY-SCHENECTADY ROAD SUITE 306	LATHAM	NY	12110	MULTISPECIALITY CLINIC
17 - ALBANY MED WASHINGTON AVE
1365 WASHINGTON AVENUE SUITE 200	ALBANY	NY	12206	SLEEP DISORDERS INSTITUTE, MULTISPECIALTY CLINIC
18 - ALBANY MED NEUROLOGY
101 JORDAN ROAD SUITE 102	TROY	NY	12180	NEUROLOGY
19 - ALBANY MED NEUROLOGY
1365 WASHINGTON AVENUE SUITE 1000	ALBANY	NY	12206	NEUROLOGY
20 - ALBANY MED ENDOCRINOLOGY
1365 WASHINGTON AVENUE SUITE 100	ALBANY	NY	12206	ENDOCRINOLOGY
21 - ALLERGY ASTHMA AND IMMUNOLOGY
176 WASHINGTON AVENUE EXTENSION	ALBANY	NY	12203	ALLERGY
22 - ALBANY MED (VALATIE)
1301 RIVER STREET SUITE 101	VALATIE	NY	12184	MULTISPECIALTY CLINIC, SURGERY MULTISPECIALTY
23 - ALBANY MED INTERNAL MEDICINE
178 WASHINGTON AVENUE EXTENSION	ALBANY	NY	12203	INTERNAL MEDICINE
24 - ALBANY MED NEUROLOGY
1783 ROUTE 9 SUITE 205	CLIFTON PARK	NY	12065	NEUROLOGY, UROLOGY
25 - ALBANY MED ENT
1783 ROUTE 9 SUITE 207	CLIFTON PARK	NY	12065	SURGERY - ENT
26 - WIC PROGRAM
220 GREEN STREET	ALBANY	NY	12202	OB/GYN, WIC (WOMEN, INFANTS, & CHILDREN'S PROGRAM)
27 - ALBANY MED CLIFTON PARK
453 ROUTE 146 SUITE 204	CLIFTON PARK	NY	12065	MULTISPECIALITY CLINIC
28 - ALBANY MED CLIFTON PARK CROSSING BLVD
3 CROSSING BOULEVARD SUITE 2	CLIFTON PARK	NY	12065	MULTISPECIALITY CLINIC
29 - ALBANY MED DELMAR
250 DELAWARE AVENUE SUITE 202	DELMAR	NY	12054	MULTISPECIALITY CLINIC
30 - ALBANY MED GASTROENTEROLOGY
3757 CARMAN ROAD	SCHENECTADY	NY	12303	GASTROENTEROLOGY, UROLOGY
31 - ALBANY MED SARATOGA SURGERY
381 CHURCH STREET 1ST FLOOR	SARATOGA SPRINGS	NY	12866	GENERAL SURGERY
32 - ALBANY MED NEUROSURGERY - GLENS FALLS
454 GLEN STREET	GLENS FALLS	NY	12801	NEUROSURGERY
33 - LATHAM MEDICINEPEDIATRICS GROUP
724 WATERVLIET SHAKER ROAD	LATHAM	NY	12047	MEDICINE, PEDIATRICS
34 - ALBANY MED PEDIATRICS
100 GREAT OAKS BOULEVARD SUITE 103	ALBANY	NY	12203	COMMUNITY PEDIATRICS
35 - ALBANY MED THORACIC SURGERY
7 SOUTHWOODS BOULEVARD	ALBANY	NY	12211	CARDOTHORACIC
36 - NORTH COUNTRY OBGYN
90 SOUTH STREET	GLENS FALLS	NY	12801	OB/GYN
37 - ALBANY MED CARDIOLOGY
2524 ROUTE 9W	RAVENA	NY	12143	CARDIOLOGY
38 - ALBANY MED KINGSTON
117 MARYS AVE SUITE 202	KINGSTON	NY	12401	VASCULAR SURGERY
39 - ALBANY MED EMURGENTCARE - LATHAM
1019 NEW LOUDON ROAD	LATHAM	NY	12047	EMURGENTCARE, PEDIATRICS
40 - ALBANY MED EMURGENTCARE - ROTTERDAM
1400 ALTAMONT AVENUE	ROTTERDAM	NY	12303	EMURGENTCARE
41 - ALBANY MED EMURGENTCARE - GUILDERLAND
5 NEW KARNER ROAD	GUILDERLAND	NY	12084	EMURGENTCARE
42 - ALBANY MED VASCULAR SURGERY
102 PARK STREET	GLENS FALLS	NY	12801	VASCULAR SURGERY
43 - ALBANY MED VASCULAR SURGERY
1201 NOTT STREET SUITE 202	SCHENECTADY	NY	12308	VASCULAR SURGERY
44 - ALBANY MED VASCULAR SURGERY
1250 RIVERFRONT CENTER SUITE 2420	AMSTERDAM	NY	12010	VASCULAR SURGERY
45 - 16 NEW SCOTLAND AVENUE
16 NEW SCOTLAND AVENUE 2ND FLOOR	ALBANY	NY	12208	MEDICINE - PULMONARY AND RHEUMATOLOGY
46 - ALBANY MED PEDIATRICS
22 NEW SCOTLAND AVENUE	ALBANY	NY	12208	PEDIATRICS, PSYCHIATRY
47 - ALBANY MED UROLOGY
2200 ROSA ROAD	SCHENECTADY	NY	12309	SURGERY - UROLOGY
48 - ALBANY MED BARIATRIC SURGERY
99 DELAWARE AVENUE	DELMAR	NY	12054	SURGERY - BARIACTRICS
49 - ALBANY MED POUGHKEEPSIE
243 NORTH RD SUITE 204	POUGHKEEPSIE	NY	12601	VASCULAR SURGERY
50 - ALBANY MED EMURGENTCARE - CLIFTON PARK
989 ROUTE 146	CLIFTON PARK	NY	12065	EMURGENT CARE
51 - WILTON MEDICAL ARTS
3040 - 3050 ROUTE 50	SARATOGA SPRINGS	NY	12866	URGENT CARE/IMAGING/LAB SVCS/PAIN MGMT/FAMILY MED/AMBULATORY SURGERY
52 - MALTA MED EMERGENT CARE
6 MEDICAL PARK DRIVE	MALTA	NY	12020	URGENT CARE/LAB SVCS/FAMILY MED/HEMATOLOGY/ONCOLOGY/IMAGING/INFUSION/CARDIOL
53 - REGIONAL THERAPY CENTER AT CARE LANE
6 CARE LANE	SARATOGA SPRINGS	NY	12866	REHABILITATION (OT/PT)/NEPHROLOGY/NEUROLOGY
54 - REGIONAL THERAPY CENTER AT THE SPRINGS
9 HAMPSTEAD PLACE SUITE 107	SARATOGA SPRINGS	NY	12866	REHABILITATION (OT/PT)
55 - REGIONAL THERAPY CENTER AT WASHINGTON ST
225 WASHINGTON STREET	SARATOGA SPRINGS	NY	12866	REHABILITATION (OT/PT)
56 - SARATOGA MEDICAL ONCOLOGY HEMATOLOGY
3 CARE LANE	SARATOGA SPRINGS	NY	12866	ONCOLOGY HEMATOLOGY
57 - SARATOGA MIDWIFERY-WOMEN'S PRIMARY CARE
665 SARATOGA ROAD	WILTON	NY	12831	MIDWIFERY, WOMEN'S PRIMARY CARE, AND ENDOCRINOLOGY
58 - SCOTIA-GLENVILLE FAMILY MEDICINE
112 CHARLTON ROAD	BALLSTON LAKE	NY	12019	FAMILY MEDICNE
59 - SARATOGA COMMUNITY HEALTH CENTER
24 HAMILTON STREET	SARATOGA SPRINGS	NY	12866	FAMILY MEDICINE/DENTISTRY/INTERNAL MEDICINE/MENTAL HEALTH/ADDICATION MED
60 - CORPORATE HEALTH SERVICES
2388 ROUTE 9	MALTA	NY	12020	CORPORATE HEALTH SERVICES
61 - REGIONAL THERAPY CENTER AT MALTA COMMONS
100 SARATOGA VILLAGE BLVD SUITE 34	BALLSTON SPA	NY	12020	REHABILITATION (OT/PT)
62 - MILTON HEALTH CENTER
510 GEYSER ROAD	BALLSTON SPA	NY	12020	FAMILY MEDICINE/PHYSICAL THERAPY/REHABILITATION (OT/PT)
63 - SARATOGA REGIONAL UROLOGY ASSOCIATES
19 WEST AVENUE SUITE 103	SARATOGA SPRINGS	NY	12866	UROLOGY/SLEEP LAB/PULMONARY MEDICINE
64 - SARATOGA CTR GEN & MINIMALLY INV SURGERY
1 WEST AVENUE SUITE 125	SARATOGA SPRINGS	NY	12866	MINIMALLY INVASIVE SURGERY/BARIATRIC SURGERY
65 - SARATOGA FAMILY HEALTH
119 LAWRENCE STREET	SARATOGA SPRINGS	NY	12866	FAMILY MEDICINE/PODIATRY
66 - SCHUYLERVILLE FAMILY HEALTH
200 BROAD STREET	SCHUYLERVILLE	NY	12871	FAMILY MEDICINE
67 - GALWAY FAMILY HEALTH
5344 SACANDAGA ROAD PO BOX 190	GALWAY	NY	12074	FAMILY MEDICINE
68 - CARDIOLOGY SPECIALTY SERVICES
254 CHURCH STREET 2ND FLOOR	SARATOGA SPRINGS	NY	12866	CARDIOLOGY
69 - MECHANICVILLE PRIMARY CARE
202 S CENTRAL AVE	MECHANICVILLE	NY	12118	PRIMARY CARE
70 - SPORTS MEDICINE
8 MEDICAL PARK DRIVE	MALTA	NY	12020	SPORTS MEDICINE
71 - MECHANICVILLE PRIMARY CARE
2911 ROUTE 9	BALLSTON SPA	NY	12020	PRIMARY CARE
72 - GREENE MEDICAL ARTS BLDG - GMI
159 JEFFERSON HEIGHTS	CATSKILL	NY	12414	O/P MEDICAL IMAGING SERVICES
73 - GREENE MEDICAL ARTS BLDG - FAMILY CARE
159 JEFFERSON HEIGHTS	CATSKILL	NY	12414	O/P FAMILY CARE PRACTICES
74 - GREENE MEDICAL ARTS BLDG - SPECIALTY
159 JEFFERSON HEIGHTS	CATSKILL	NY	12414	O/P (WOMENS HLTH, PSYCH, ORTHO, DRAW)
75 - GREENE MEDICAL ARTS BLDG - SPECIALTY
159 JEFFERSON HEIGHTS	CATSKILL	NY	12414	O/P (CARDIO, SLEEP CTR, PEDS, NEPHROLOGY)
76 - COLUMBIA MEDICAL COMPLEX - IMAGING
67 PROSPECT AVENUE	HUDSON	NY	12534	O/P MEDICAL IMAGING SERVICES
77 - COLUMBIA MEDICAL COMPLEX - SPECIALTY
67 PROSPECT AVENUE	HUDSON	NY	12534	O/P (ENDO, CARDIO, NEPHRO, UROLOGY, PSYCH)
78 - COLUMBIA MEDICAL COMPLEX - SPECIALTY
67 PROSPECT AVENUE	HUDSON	NY	12534	O/P (BONE & JOINT, SPINE, RHEUMATOLOGY)
79 - COLUMBIA MEDICAL COMPLEX - SPECIALTY
67 PROSPECT AVENUE	HUDSON	NY	12534	O/P (WOMEN'S HEALTH & SURGERY)
80 - COLUMBIA MEDICAL COMPLEX - SURG ASSOC
67 PROSPECT AVENUE	HUDSON	NY	12534	O/P SURGICAL PRACTICE
81 - COLUMBIA MEDICAL COMPLEX - FAMILY CARE
67 PROSPECT AVENUE	HUDSON	NY	12534	O/P FAMILY CARE PRACTICES
82 - COLUMBIA MEMORIAL BONE & JOINT
23 FISH AND GAME ROAD	HUDSON	NY	12534	O/P (ORTHO, PT & OT)
83 - COLUMBIA MEMORIAL VALATIE CAMPUS
OSJ PLAZA - 2827 ROUTE 9	VALATIE	NY	12184	O/P (RAPID CARE, FAMILY CARE, DRAW)
84 - VALATIE MEDICAL ARTS BUILDING - IMAGING
1301 RIVER STREET	VALATIE	NY	12184	O/P MEDICAL IMAGING SERVICES
85 - VALATIE MEDICAL ARTS BUILDING - SPEC
1301 RIVER STREET	VALATIE	NY	12184	O/P CARDIOLOGY
86 - VALATIE MEDICAL ARTS BUILDING - FAM CARE
1301 RIVER STREET	VALATIE	NY	12184	O/P FAMILY CARE PRACTICE
87 - COLUMBIA MEMORIAL PEDIATRICS
813 WARREN STREET	HUDSON	NY	12184	O/P PEDIATRIC SERVICES
88 - CALLAN FAMILY CARE CENTER
358 MOUNTAIN VIEW ROAD	COPAKE	NY	12516	O/P FAMILY CARE PRACTICE
89 - CHATHAM FAMILY CARE CENTER
31 DARDESS DRIVE	CHATHAM	NY	12037	O/P FAMILY CARE PRACTICE
90 - BROADWAY FAMILY CARE CENTER
7385 SOUTH BROADWAY	RED HOOK	NY	12571	O/P FAMILY CARE PRACTICE
91 - CAIRO FAMILY CARE CENTER
4383 ROUTE 23	CAIRO	NY	12413	O/P FAMILY CARE PRACTICE
92 - WINDHAM MEDICAL CARE
345 STATE ROUTE 296	HENSONVILLE	NY	12439	O/P FAMILY CARE PRACTICE
93 - COXSACKIE MEDICAL CARE
9 LAW STREET	WEST COXSACKIE	NY	12192	O/P FAMILY CARE PRACTICE
94 - CMH DENTAL VAN
71 PROSPECT AVENUE	HUDSON	NY	12534	MOBILE CARE UNIT
95 - CMH RAPID CARE - COPAKE
283 MOUNTAIN VIEW ROAD	COPAKE	NY	12516	O/P RAPID CARE
96 - COLUMBIA MEDICAL COMPLEX - MEDICAL CARE
67 PROSPECT AVENUE	HUDSON	NY	12534	O/P MEDICAL CARE PRACTICES
97 - MOUNTAIN VIEW CARE CENTER
159 JEFFERSON HEIGHTS	CATSKILL	NY	12414	O/P INFECTIOUS DISEASE
98 - KINDERHOOK CARE CENTER
2827 ROUTE 9	VALATIE	NY	12184	O/P INTERNAL MEDICINE
99 - PRIME MEDICAL CARE CENTER
159 JEFFERSON HEIGHTS	CATSKILL	NY	12414	O/P INTERNAL MEDICINE
100 - CMH MAIN STREET FAMILY CARE
130 MAIN STREET	CAIRO	NY	12413	O/P FAMILY CARE PRACTICES
101 - CMH LAFAYETTE FAMILY CARE
24 LAFAYETTE AVENUE	COXSACKIE	NY	12051	O/P FAMILY CARE PRACTICES
102 - CMH TANNERSVILLE FAMILY CARE
6171 ROUTE 23A	TANNERSVILLE	NY	12485	O/P FAMILY CARE PRACTICES
103 - CMH RAPID CARE - CATSKILL
10 GRANDVIEW AVENUE	CATSKILL	NY	12414	O/P RAPID CARE
104 - COLUMBIA MEMORIAL PHYSICAL THERAPY
159 JEFFERSON HEIGHTS	CATSKILL	NY	12414	O/P PHYSICAL THERAPY
105 - COLUMBIA MEMORIAL PEDIATRICS - VALATIE
2827 ROUTE 9	VALATIE	NY	12184	O/P INTERNAL MEDICINE
106 - ADIRONDACK CARDIOLOGY
6 HEARTS WAY	QUEENSBURY	NY	12804	HOSP EXTENSION CLINIC - CARDIOLOGY AND CARDIAC REHABILITATION
107 - SURGICAL SPECIALISTS OF GFH
14 HUDSON AVE	GLENS FALLS	NY	12801	HOSP EXTENSION CLINIC - SURGICAL SERVICES, UROLOGY, THORACIC, ORTHOPEDICS
108 - REHAB CENTER & HEARING CENTER
2 COUNTRY GLUB RD	QUEENSBURY	NY	12804	HOSP EXTENSION CLINIC - O/P PT, OT, SPEECH, AUDIOLOGY
109 - GLENS FALLS BROAD ST MEDICAL CENTER
2 BROAD ST	GLENS FALLS	NY	12801	HOSP EXTENSION CLINIC - PRIMARY MEDICAL CARE, ENT SERVICES
110 - CAMBRIDGE MEDICAL CENTER AND URGENT CARE
35 GILBERT ST	CAMBRIDGE	NY	12816	HOSP EXTENSION CLINIC - PRIMARY MEDICAL CARE, O/P RADIOLOGY, MENTAL HEALTH S
111 - GREENWICH MEDICAL CENTER
1134 COUNTY RT 29	GREENWICH	NY	12834	HOSP EXTENSION CLINIC - PRIMARY MEDICAL CARE, O/P RADIOLOGY, PT
112 - THE REHAB CENTER & HEARING CENTER
4 IRONGATE CTR	GLENS FALLS	NY	12804	HOSP EXTENSION CLINIC - O/P PT, OT, SPEECH, AUDIOLOGY
113 - GRANVILLE MEDICAL CENTER
79 NORTH ST	GRANVILLE	NY	12832	HOSP EXTENSION CLINIC - PRIMARY MEDICAL CARE, O/P RADIOLOGY, LAB, REHAB
114 - MAIN ST PHYSICAL THERAPY
17 MAIN STREET	GLENS FALLS	NY	12801	HOSP EXTENSION CLINIC - PHYSICAL THERAPY O/P
115 - MED IMAGING & LAB-MOREAU FAMILY HEALTH
1299 RT 9	GANSEVOORT	NY	12831	HOSP EXTENSION CLINIC - DIAGNOSTIC OP RADIOLOGY, LAB SERVICES
116 - CENTER FOR RECOVERY
101 RIDGE ST	GLENS FALLS	NY	12801	HOSP EXTENSION CLINIC - CHEMICAL DEPENDENCE, O/P REHAB
117 - BEHAVIORAL HEALTH SERVICESRIDGE COMMONS
1 LAWRENCE ST	GLENS FALLS	NY	12801	HOSP EXTENSION CLINIC - O/P MENTAL HEALTH SERVICES
118 - HUDSON FALLS MEDICAL CENTER
325 MAIN ST	HUDSON FALLS	NY	12839	HOSP EXTENSION CLINIC - PRIMARY MEDICAL CARE
119 - EVERGREEN MEDICAL CENTER
EVERGREEN PLAZA 13 PALMER AVE	CORINTH	NY	12822	HOSP EXTENSION CLINIC - PRIMARY MEDICAL CARE, O/P RADIOLOGY, MENTAL HEALTH S
120 - THE CENTER FOR RECOVERY
340 MAIN ST	HUDSON FALLS	NY	12839	HOSP EXTENSION CLINIC - CHEMICAL DEPENDENCE, O/P REHAB
121 - ADVANCED IMAGING AT BAYBROOK
22 WILLOWBROOK RD	QUEENSBURY	NY	12804	HOSP EXTENSION CLINIC - DIAGNOSTIC OP RADIOLOGY, CT SCANNER
122 - WHITEHALL MEDICAL CENTER
65 POULTNEY ST	WHITEHALL	NY	12887	HOSP EXTENSION CLINIC - PRIMARY MEDICAL CARE, O/P RADIOLOGY, REHAB
123 - SALEM MEDICAL CENTER
213 MAIN ST	SALEM	NY	12865	HOSP EXTENSION CLINIC - PRIMARY MEDICAL CARE, O/P PT
124 - WILTON MEDICAL CENTER
135 NORTH RD	GANSEVOORT	NY	12831	HOSP EXTENSION CLINIC - PRIMARY MEDICAL CARE, O/P RADIOLOGY, PT

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	FEDERAL POVERTY GUIDELINE FAMILY INCOME LIMITSARATOGA HOSPITAL:SARATOGA HOSPITAL USED A 250% FEDERAL POVERTY GUIDELINE FAMILY INCOME LIMIT WHEN DETERMINING ELIGIBILITY FOR FREE CARE.GLENS FALLS HOSPITAL:GLENS FALLS HOSPITAL USED A 130% FEDERAL POVERTY GUIDELINE FAMILY INCOME LIMIT WHEN DETERMINING ELIGIBILITY FOR FREE CARE.PART I, LINE 3B: FAMILY INCOME LIMITGLENS FALLS HOSPITAL USED A 330% FEDERAL POVERTY GUIDELINE FAMILY INCOME LIMIT WHEN DETERMINING ELIGIBILITY FOR DISCOUNT CARE.
PART I, LINE 6A:	ALL SCHEDULE H DISCLOSURES REFERENCE THE ALBANY MED HEALTH SYSTEM, OF WHICH ALBANY MEDICAL CENTER HOSPITAL, SARATOGA HOSPITAL, COLUMBIA MEMORIAL HOSPITAL, AND GLENS FALLS HOSPITAL ARE A PART OF. THE COMMUNITY BENEFIT REPORT IS PREPARED FOR ALBANY MED HEALTH SYSTEM. ALSO INCLUDED IN THIS ORGANIZATION IS ALBANY MEDICAL COLLEGE.
PART I, LINE 7:	ALBANY MEDICAL CENTER HOSPITAL AND AFFILIATES:THE ALBANY MEDICAL CENTER HEALTH SYSTEM UTILIZES A COST ACCOUNTING SYSTEM.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.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 $2,152,742,696.ALBANY MEDICAL CENTER SYSTEM SURVEYED STAFF FOR ACTIVITIES THAT MEET THE CRITERIA TO BE REPORTED FOR OTHER BENEFITS. TIME REPORTS FROM THESE SURVEYS WERE PROVIDED AND REVIEWED, RESULTING IN A CALCULATION OF APPROPRIATE COST ATTRIBUTABLE TO THESE PROGRAMS. THE COMMUNITY BENEFITS AMOUNT INCLUDES SUPPORT PAID TO THE COLLEGE BY THE ALBANY MEDICAL CENTER HOSPITAL TO ENSURE THE COLLEGE IS ABLE TO MEET THEIR MISSION TO SERVICE THE COMMUNITY.
PART III, LINE 2:	SCHEDULE H, PART III, LINE 2 & 3 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.FOOTNOTE 1(F) FROM THE COMBINED AUDITED FINANCIAL STATEMENTS1(F) NET PATIENT SERVICE REVENUE 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 2021 AND 2020, THE HOSPITAL INCURRED APPROXIMATELY $35.0 MILLION AND $35.0 MILLION IN PROVISIONS FOR UNCOLLECTIBLE ACCOUNTS, RESPECTIVELY.
SCHEDULE H, PART II, LINE 3	COMMUNITY SUPPORT ACTIVITIESSARATOGA HOSPITAL:THE HOSPITAL EXPENDS SIGNIFICANT EFFORT IN DEVELOPING AND MAINTAINING AN EMERGENCY PREPAREDNESS PROGRAM. THE EMERGENCY PREPAREDNESS PROGRAM IS PARTIALLY GRANT FUNDED AND IS AIMED AT MAKING THE HOSPITAL AS WELL-PREPARED AS POSSIBLE WITH EMERGENCY RESPONSE PLANS AND INFRASTRUCTURE IN THE EVENT OF A DISASTER IN THE LOCAL COMMUNITY. THIS PROGRAM INCLUDES PLANNING THE COORDINATION OF HOSPITAL STAFF, IN CONJUNCTION WITH PERSONNEL FROM OTHER LOCAL FIRST RESPONDERS, PREFORMING TRAINING EXERCISES TO TEST THESE PLANS, AND TESTING OF ITS EMERGENCY SYSTEMS FOR PROPER RESPONSIVENESS.
SCHEDULE H, PART II, LINE 8	WORKFORCE DEVELOPMENT ACTIVITIESCOLUMBIA MEMORIAL HOSPITAL:FOR PART II, THE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES CONSIST OF ONGOING WORKFORCE DEVELOPMENT AND COMMUNITY TRAINING SESSIONS, FOR WHICH THE HOSPITAL RECEIVES A VERY NOMINAL FEE, IF ANY. THESE FREE OR LOW-COST PROGRAMS INCREASE COMMUNITY AWARENESS OF HEALTH ISSUES, PROVIDE AN OPPORTUNITY FOR ONGOING EDUCATION OF COMMUNITY PROVIDERS AND CAREGIVERS, AND SUPPORT IMPROVED HEALTH HABITS FOR THE COMMUNITY THE HOSPITAL SERVES.
SCHEDULE H, PART II, LINE 9	ALBANY MED HEALTH SYSTEMFOR ALBANY MED, COMMUNITY MATTERS. THROUGH OUR DEDICATED COMMUNITY DEVELOPMENT UNIT WE HELP SUPPORT NUMEROUS COMMUNITY ORGANIZATIONS ANNUALLY. SPECIAL ATTENTION IS FOCUSED ON ORGANIZATIONS THAT SERVE THE CITY OF ALBANY AND THE NEIGHBORHOOD AROUND THE NEW SCOTLAND AVENUE OF ALBANY MED HEALTH SYSTEM.WITHIN THE CITY OF ALBANY AND SURROUNDING REGIONS, ALBANY MED HEALTH SYSTEM SUPPORTS NUMEROUS ORGANIZATIONS FOCUSED ON YOUTH, THE UNDERSERVED, EDUCATION, AND HEALTH. IN 2021, ALBANY MED INVESTED NEARLY $95,000 IN ALBANY-BASED NON-PROFIT ORGANIZATIONS.IN 2021, ALBANY MED HEALTH SYSTEM MADE CONTRIBUTIONS TO CENTER FOR ECONOMIC GROWTH. A COMPANY THAT HELPS DEVELOP GROWTH, ATTRACT JOBS, AND RETAIN COMPETITIVE WORKFORCE ALL ASSISTING OF COMMUNITY BENEFITS. IN ADDITION, ALBANY MED HEALTH SYSTEM MADE SIGNIFICANT CONTRIBUTION TO ALBANY COUNTY BY PARTICIPATING IN TAXES COLLECTIONS INSTEAD OF REQUESTING TAX EXEMPTION OF THESE TAXES ALLOWING THE COUNTY AND SCHOOL OPPORTUNITY TO SUPPORT THE HEALTH BENEFITS TO THE CITIZENS IN ALBANY COUNTY.
PART III, LINE 4:	COMMUNITY BENEFIT, CHARITY CARE AND UNCOMPENSATED CARE FOOTNOTE FROM COMBINED AUDITED FINANCIAL STATEMENTS(A) COMMUNITY BENEFITTHE SYSTEM OFFERS NUMEROUS COMMUNITY BENEFIT PROGRAMS AND SERVICES IN COMMUNITY-BASED SETTINGS IN RESPONSE TO THE NEEDS OF THE COMMUNITIES IT SERVES.THEY INCLUDE COMMUNITY HEALTH FAIRS, HEALTH SCREENINGS, HEALTH EDUCATION LECTURES AND WORKSHOPS FOR COMMUNITY GROUPS AND THE GENERAL PUBLIC, CONSUMER HEALTH INFORMATION, FACILITATED (INSURANCE PLAN) ENROLLMENT SERVICES AND CLINICAL SERVICES SUCH AS OUTPATIENT CLINICS, ADULT AND PEDIATRIC CARE SERVICES, NEONATAL INTENSIVE CARE SERVICES AND BEHAVIORAL HEALTH SERVICES. STAFF MEMBERS OF THE SYSTEM ALSO PARTICIPATE IN COMMUNITY LEADERSHIP EFFORTS BY DONATING SIGNIFICANT HOURS OF BOARD SERVICE TO OTHER NOT-FOR-PROFIT ORGANIZATIONS. THE SYSTEM SUPPORTS GRADUATE MEDICAL EDUCATION AND OFFERS HEALTH PROFESSIONS EDUCATION SUPPORT FOR COMMUNITY MEMBERS THROUGH CONTINUING EDUCATION PROGRAMS AND SCHOLARSHIPS.(B) CHARITY AND UNCOMPENSATED CARETHE SYSTEM'S NET COST OF CHARITY CARE, INCLUDING PAYMENTS TO AND RECEIPTS FROM THE STATEWIDE POOL WAS APPROXIMATELY $19.7 MILLION IN 2021 AND $11.1 MILLION IN 2020 AS FOLLOWS:2021CHARITY CARE AT COST: $19,109,000PAYMENTS TO STATEWIDE POOL: $10,031,000RECEIPTS FROM STATEWIDE POOL: $(9,424,000)TOTAL: $19,716,0002020CHARITY CARE AT COST: $12,196,000PAYMENTS TO STATEWIDE POOL: $9,715,000RECEIPTS FROM STATEWIDE POOL: $(10,836,000)TOTAL: $11,075,000THE COST OF CHARITY CARE PROVIDED WAS DETERMINED USING DIRECT AND INDIRECT COSTS TO PROVIDE SERVICES BASED ON THE APPLICATION OF THE RATIO OF THE SYSTEM'S OVERALL COST TO PATIENT CHARGES.THE SYSTEM ALSO SUBSIDIZES SERVICES TO MEDICAID PATIENTS, WHICH ARE PAID AT REIMBURSEMENT LEVELS BELOW THE SYSTEM'S COST OF RENDERING THE RELATED SERVICES.
PART III, LINE 8:	EXPLANATION OF SHORTFALL AS COMMUNITY BENEFITAPPROXIMATELY 18% OF THE ORGANIZATION'S PATIENT CHARGES RELATE TO PATIENTS UTILIZING MEDICARE INSURANCE. THESE SERVICES SUPPORT THE SIGNIFICANT NEED FROM THE COMMUNITY TO HAVE AN ORGANIZATION TO BE ABLE TO PROVIDE THE EXPERTISE AND CARE REQUIRED.COSTING METHODOLOGYTHE HOSPITAL PREPARES A COST REPORT FOR MEDICARE/MEDICAID PURPOSES. FIGURES REPORTED IN THIS COST REPORT WERE USED AS THE BASIS FOR REPORTING. THE COST REPORT IS PREPARED BY USING FINANCIAL STATEMENT DATA AND STATISTICAL INFORMATION TO ARRIVE AT A COST ALLOCATED REPORT. THE REPORT IS COST CERTIFIED AS REQUIRED BY AN INDEPENDENT ACCOUNTANT.
PART III, LINE 9B:	ALBANY MEDICAL CENTER HOSPITAL:COLLECTION PRACTICES ONCE KNOWN TO QUALIFY FOR FINANCIAL AID ALL SELF-PAY BILLS WILL BE ASSESSED FOR PRESUMPTIVE ELIGIBILITY PRIOR TO COMMENCEMENT OF COLLECTION REFERRAL.ALBANY MEDICAL CENTER HOSPITAL SHALL NOT SEND ANY ACCOUNT TO COLLECTIONS IF THE PATIENT HAS SUBMITTED AN APPLICATION FOR FINANCIAL AID OR ORALLY PROVIDED INFORMATION FOR CONSIDERATION UNDER THE FINANCIAL AID PROGRAM UNTIL A DETERMINATION HAS BEEN MADE (WITHIN 30 DAYS FROM RECEIPT OF COMPLETED APPLICATION) AND THE PATIENT IS GIVEN TIME TO APPEAL THE DETERMINATION (45 DAYS OF THE ISSUANCE OF DETERMINATION).BALANCES REMAINING WILL BE SENT TO THE PATIENT AND THE DUNNING CYCLE WILL BE RESTARTED TO GIVE THE PATIENT TIME TO SET UP A PAYMENT ARRANGEMENT OR APPEAL BALANCE. THE MONTHLY INSTALLMENT CANNOT EXCEED 10% OF THE ELIGIBLE PATIENT'S GROSS MONTHLY INCOME OR CONTAIN AN ACCELERATION CLAUSE OR INTEREST PENALTY.SARATOGA HOSPITAL:THE HOSPITAL HAS CREATED AND MAINTAINS A WRITTEN FINANCIAL ASSISTANCE POLICY (FA POLICY) AND A WRITTEN BILLING AND COLLECTION POLICY (BC POLICY). THE EFFECT OF THE PROVISIONS INCLUDED IN THESE POLICIES IS THAT ALL EXTRAORDINARY COLLECTION ACTIONS ARE DISCONTINUED FOR PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE, FOR ANY PORTION OF THE PATIENT'S FINANCIAL RESPONSIBILITY COVERED BY FINANCIAL ASSISTANCE.COLUMBIA MEMORIAL HOSPITAL:THE HOSPITAL FOLLOWS A CONSISTENT COLLECTIONS POLICY FOR ALL PATIENTS. FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE HOSPITAL ENSURES COLLECTION ACTIONS ARE CONSISTENT WITH NYS LAWS.GLENS FALLS HOSPITAL:IT IS GLENS FALLS HOSPITAL POLICY TO DELAY FINAL COLLECTION EFFORTS WHILE A PATIENT FINANCIAL ASSISTANCE APPLICATION IS IN PROCESS. A FINAL DETERMINATION IS REQUIRED BEFORE OUTSIDE COLLECTION EFFORTS ARE INITIATED.
PART VI, LINE 2:	NEEDS ASSESMENT:ALBANY MED HEALTH SYSTEM PARTNERS BELIEVE THAT ASSESSING THE HEALTH CARE NEEDS OF OUR COMMUNITIES IS AN ONGOING PROCESS. IT IS ALSO AN INTEGRAL PART OF OUR SYSTEM-WIDE STRATEGIC PLANNING. PLANNING INITIATIVES INVOLVE TRUSTEES, LEADERSHIP, PHYSICIANS AND STAFF, THUS ENSURING THAT WE SHARE THE SAME VISION OF SERVICE TO OUR COMMUNITIES.EXAMPLES OF VARIOUS METHODS UTILIZED BY ALBANY MEDICAL CENTER HOSPITAL, COLUMBIA MEMORIAL HOSPITAL, GLENS FALLS HOSPITAL, AND SARATOGA HOSPITAL TO IDENTIFY OUR COMMUNITIES' NEEDS, AND CRAFT STRATEGIES TO MEET THOSE NEEDS INCLUDE:- COMMUNITY FEEDBACK FROM HEALTH FAIRS, SEMINARS, FORUMS, AND PROGRAMS THAT ARE OFFERED BY OUR HOSPITALS;- COMMUNITY OUTREACH;- INFORMATION AND INPUT GATHERED EACH YEAR FROM VARIOUS COMMUNITY SOURCES ON UNMET HEALTH CARE NEEDS;- PARTICIPATION IN HEALTHCARE FORUMS AND COALITIONS, FORMED TO RESPOND TO A SIGNIFICANT COMMUNITY HEALTHCARE NEED (E.G., OPIOID USE DISORDER, GUN VIOLENCE);- DISCUSSIONS WITH POLITICAL AND BUSINESS LEADERS;- THE ENVIRONMENTAL ASSESSMENT FROM OUR STRATEGIC PLANNING PROCESS;- PATIENT SURVEYS, BOTH INPATIENT AND OUTPATIENT;- COMMUNITY ACCESS TO ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HOSPITAL, AND SARATOGA HOSPITAL VIA WEBMAIL, FACEBOOK, INSTAGRAM, AND OTHER MEDIA OPTIONS; AND- ONGOING MARKET RESEARCH ON HEALTH CARE ISSUES AND EXPECTATIONS FROM THE COMMUNITY IN OUR REGION.ALBANY MED HEALTH SYSTEM STAFF ALSO ROUTINELY STUDY THE HEALTH CARE SERVICES NEEDED BY COMMUNITY RESIDENTS. STAFF USE INTERNAL DATA, AS WELL AS INFORMATION FROM REGIONAL, STATE AND NATIONAL SOURCES, INCLUDING THE FOLLOWING:- INTERNAL DATA TO ANALYZE TRENDS IN HEALTHCARE UTILIZATION, SOME OF WHICH SIGNAL GROWTH OR RISE IN A SPECIFIC AREA (E.G., OPIOID USE DISORDER, GUN VIOLENCE)- NYS DEPARTMENT OF HEALTH SPARCS DATA- UNITED STATES BUREAU OF CENSUS- COUNTY HEALTH DEPARTMENTS IN OUR REGION, ESPECIALLY THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENTS- NYS VITAL STATISTICS, COMMUNITY HEALTH INDICATOR REPORTS (CHIRS), AND COUNTY HEALTH ASSESSMENT INDICATORS (CHAI)WE BELIEVE AN ONGOING COMMUNITY DIALOGUE IS ESSENTIAL FOR ENSURING THAT WE WORK IN CONCERT WITH OUR COMMUNITY AND OUR CONSTITUENTS.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:ALBANY MEDICAL CENTER HOSPITAL:ALBANY MEDICAL CENTER HOSPITAL PROVIDES A GUIDE TO ALL PATIENTS AND THEIR FAMILIES DESCRIBING ITS SERVICES, PROGRAMS AND POLICIES. THIS GUIDE DESCRIBES THE FINANCIAL ASSISTANCE OPTIONS AVAILABLE TO A PATIENT. IN ADDITION, ALBANY MEDICAL CENTER HOSPITAL MAINTAINS A WEBSITE THAT PROVIDES INFORMATION ON FINANCIAL ASSISTANCE, CHARITY CARE AND FREQUENTLY ASKED QUESTIONS. ALBANY MEDICAL CENTER HOSPITAL FURTHER PROVIDES ASSISTANCE AND INFORMATION ABOUT AVAILABLE PROGRAMS DURING ITS COLLECTION PROCESS.ALBANY MEDICAL CENTER HOSPITAL SUPPORTS OUR PATIENTS WHO MAY BE UNINSURED OR UNDERINSURED THROUGH THE FOLLOWING PROGRAMS ANDRELATIONSHIPS.FIDELIS FACILITATED ENROLLMENT SPECIALISTS HAVE PARTNERED WITH AMC TO SCREEN AND ENROLL PATIENTS IN APPLICABLE PROGRAMS. THE PROGRAM WILL SERVICE THE PATIENT IN THE COMMUNITY OR HOME AND PROVIDE FOLLOW UP EFFORTS WITH THE RESPECTIVE INSURER OR COUNTY PROGRAM.CHAMBERLIN EDMOND, AN ENROLLMENT COMPANY, PERFORMS SCREENING AND ENROLLMENT IN FEDERAL DISABILITY PROGRAMS AND STATE MEDICAID PROGRAMS. THE COMPANY COVERS PATIENTS WITHIN AND OUTSIDE OF NYS. THERE IS NO CHARGE TO THE PATIENT FOR THIS PROGRAM.AN ALBANY COUNTY DEPARTMENT OF SOCIAL SERVICES SENIOR EXAMINER IS LOCATED ON SITE AT THE HOSPITAL MONDAY - FRIDAY AND PERFORMS APPLICATION DETERMINATIONS AND FACILITATES COMPLEX CASE COMPLETION. THIS INCLUDES CHRONIC CARE MEDICAID ENROLLMENT.ALBANY MEDICAL CENTER HOSPITAL STAFFS A 7 DAY A WEEK PATIENT ASSISTANCE UNIT THAT PERFORMS ENROLLMENT IN MEDICAID, SCREENS APPLICANTS FOR SPECIAL PROGRAM ELIGIBILITY, PROVIDES FINANCIAL AID/CHARITY CARE APPLICATION PROCESSING, PERFORMS COBRA PREMIUM REQUESTS, SUPPORTS OUR PATIENTS IN MANAGING COMPLEX FINANCIAL SITUATIONS RELATED TO MEDICAL BILLS. THE UNIT COORDINATES WITH PHYSICIAN PRACTICE GROUPS TO SUPPORT THE PATIENT IN NAVIGATING THE FINANCIAL PROCESS TO ENSURE THE PROVISION OF SERVICE WITH MINIMAL FINANCIAL BURDEN WHENEVER POSSIBLE.ALBANY MEDICAL CENTER HOSPITAL PROVIDES A SELF-PAY/CUSTOMER SERVICE UNIT TO SUPPORT THE PROCESSING OF FINANCIAL AID/CHARITY CARE APPLICATIONS AND PRESUMPTIVE ELIGIBILITY FOR ALL PATIENTS WHO MAY BE DETERMINED ELIGIBLE BASED ON INCOME AND FAMILY SIZE.WE CONTINUE TO BUILD COMMUNITY PARTNERSHIPS THAT SUPPORT THE ENROLLMENT OF PATIENTS IN PROGRAMS THAT WILL PROVIDE THE MOST COMPLETE COVERAGE FOR THE CARE THEY NEED.SARATOGA HOSPITAL:THE HOSPITAL EDUCATES PATIENTS ABOUT ELIGIBILITY FOR ASSISTANCE UNDER ITS FINANCIAL ASSISTANCE PROGRAM (FAP), AS WELL AS FEDERAL AND STATE PROGRAMS THROUGH THE FOLLOWING MEANS:- A SUPPLY OF BROCHURES CONTAINING A PLAIN-LANGUAGE DESCRIPTION OF THE HOSPITAL'S FAP AND AN APPLICATION FOR THE FAP IS PROMINENTLY DISPLAYED AT ALL LOCATIONS IN HOSPITAL FACILITIES WHERE PATIENTS REGISTER FOR SERVICES.-- THE FAP BROCHURE AND APPLICATION ARE INCLUDED IN A PACKET THAT IS PROVIDED TO ALL PATIENTS BEING ADMITTED TO THE HOSPITAL FOR INPATIENT OR OBSERVATION STAYS.-- IF THE HOSPITAL PATIENT FINANCIAL SERVICES DEPARTMENT MAKES A FOLLOW-UP CALL TO A PATIENT REGARDING AN UNPAID BILL, THE PATIENT IS INFORMED ABOUT THE EXISTENCE OF THE FAP.-- BILLS SENT TO PATIENTS FOR UNPAID BALANCES INCLUDE A REFERENCE TO THE FAP AS WELL AS INFORMATION ON HOW TO CONTACT THE HOSPITAL ABOUT THE FAP.-- INFORMATION REGARDING THE FAP IS LOCATED ON THE HOSPITAL'S WEBSITE, INCLUDING THE LOCATION AND CONTACT INFORMATION FOR THE HOSPITAL PATIENT FINANCIAL SERVICES DEPARTMENT.-- THE HOSPITAL USES AN EXTERNAL VENDOR TO SCREEN ALL UNINSURED INPATIENTS IN ORDER TO DETERMINE WHETHER THE PATIENT MAY BE ELIGIBLE FOR MEDICAID OR ANY OTHER GOVERNMENTAL INSURANCE PROGRAMS, AS WELL AS THE HOSPITAL'S FAP. PATIENTS ARE THEN PROVIDED ASSISTANCE IN APPLYING FOR AND OBTAINING ACCESS TO THESE PROGRAMS.-- THE HOSPITAL ADMINISTERS THE NEW YORK STATE DEPARTMENT OF HEALTH- HEALTH INSURANCE NAVIGATION PROGRAM FOR SARATOGA COUNTY, AS WELL AS FIVE OTHER NEIGHBORING COUNTIES. THIS PROGRAM FOCUSES ON ENROLLING ELIGIBLE INDIVIDUALS IN LOW OR NO COST INSURANCE PROGRAMS PROVIDED BY THE STATE. EFFORTS ARE MADE BY HOSPITAL REGISTRATION AND PATIENT FINANCIAL SERVICES PERSONNEL TO LINK PATIENTS TO THE NAVIGATION PROGRAM FOR ASSISTANCE IN OBTAINING HEALTH INSURANCE COVERAGE OR OBTAINING BENEFITS UNDER THE HOSPITAL'S FAP.COLUMBIA MEMORIAL HOSPITAL:THE HOSPITAL'S WRITTEN FINANCIAL ASSISTANCE POLICY BROADLY APPLIES TO THE OUTSTANDING BALANCE FOR THE PATIENT OR INSURER. THE HOSPITAL ADVERTISES THROUGHOUT THE FACILITY, DISCUSSES WITH PATIENTS DIRECTLY DURING THE REGISTRATION PROCESS, AND AGAIN DURING THE COLLECTIONS PROCESS, ABOUT THE AVAILABILITY FOR FINANCIAL ASSISTANCE. AS PATIENTS ARE ENROLLED IN THE FINANCIAL ASSISTANCE PROGRAM, ADJUSTMENTS TO THEIR OUTSTANDING BALANCE IS CHARGED AGAINST NET PATIENT SERVICE REVENUE, AND NOT CONSIDERED A COMPONENT OF BAD DEBT EXPENSE.GLENS FALLS HOSPITAL:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE BROCHURES ARE GIVEN AT THE POINT OF SERVICE. ALL PATIENT'S STATEMENTS ADVERTISE CHARITY CARE PROGRAMS. CUSTOMER SERVICE REPS ARE TRAINED TO OUTLINE AND ENCOURAGE PARTICIPATION IN THE PROGRAM. VENDOR MEDICAID ELIGIBILITY PROCESS INCLUDES CHARITY CARE SCREENING STEP FOR ALL INPATIENT AND OUTPATIENT. WEBSITE CONTAINS INFORMATION ON CHARITY CARE PROGRAMS AND WEB PORTAL HAS AN APPLICATION FORM ONLINE THAT CAN BE PRINTED AND FILLED OUT.
PART VI, LINE 4:	AS ADOPTED BY THE MEMBERS OF THE HEALTHY CAPITAL DISTRICT INITIATIVE, THE COMMUNITIES BEING ASSESSED IN THE CHNA ARE THE 6 COUNTIES OF ALBANY, RENSSELAER, COLUMBIA, GREENE, SARATOGA AND SCHENECTADY. REFERRED TO AS THE "CAPITAL REGION", THEY FORM A COMMON SERVICE AREA COVERED BY THE LOCAL HEALTH DEPARTMENTS IN ALBANY, RENSSELAER, COLUMBIA, GREENE, SARATOGA AND SCHENECTADY COUNTIES, AND INCLUDES THE PRIMARY PATIENT POPULATIONS SERVED BY ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HOSPITAL AND SARATOGA HOSPITAL, AS WELL AS ELLIS HOSPITAL AND ST. PETER'S HEALTH PARTNERS HOSPITALS.DEMOGRAPHIC INFORMATION ON THE POPULATION ANALYZED WAS FROM THE 2012-2016 US CENSUS' AMERICAN COMMUNITY SURVEY (ACS). THE COMBINED POPULATION OF THE CAPITAL REGION IS NEARLY 960,000 INDIVIDUALS. ABOUT 28% WERE 0-19 YEARS OF AGE, WHILE 16% WERE 65 OR OLDER. APPROXIMATELY 11% WERE LIVING IN PVERTY. THE RACE/ETHNICITY DISTRIBUTION WAS 83.6% WHITE, 7.7% BLACK, 4.1% ASIAN/PACIFIC ISLANDER, AND 4.6% OTHER RACES. NEARLY 5% OF THE POPULATION WAS HISPANIC/LATINO. SPECIFIC SOCIODEMOGRAPHIC INFORMATION FOR EACH COUNTY IS AVAILABLE ON PAGES 14-28 OF THE HCDI CHNA: HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/2019_CHNA/2019_HCDI-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF.GLENS FALLS HOSPITAL'S SEPARATE COMMUNITY HEALTH NEEDS ASSESSMENT FOCUSED ON THE REGION COMMONLY KNOWN AS THE "NORTH COUNTRY" WITHIN NEW YORK STATE, WHICH INCLUDES WARREN, WASHINGTON AND NORTHERN SARATOGA COUNTIES, GLENS FALLS HOSPITAL'S PRIMARY SERVICE AREA. DEMOGRAPHIC DATA WAS PRIMARILY TAKEN FROM THE 2013-2017 AMERICAN CONSUMER SURVEY 5-YEAR ESTIMATES, UTILIZING THE UNITED STATES CENSUS BUREAU AMERICAN FACTFINDER WEBSITE. OTHER SOURCES INCLUDE THE 2010-2014 AMERICAN CONSUMER SURVEY 5-YEAR ESTIMATES, CENTERS FOR MEDICAID AND MEDICARE SERVICES, THROUGH THE CMS ENTERPRISE PORTAL, NYS DEPARTMENT OF HEALTH, U.S. DEPARTMENT OF AGRICULTURE (USDA), AND THE NATIONAL AGRICULTURE STATISTICS SERVICE.A COMPREHENSIVE OVERVIEW OF THE DEMOGRAPHICS AND COMMUNITY HEALTH NEEDS FOR RESIDENTS OF WARREN, WASHINGTON AND SARATOGA COUNTIES BEGINS ON PAGE 20 OF THE CHNA: HTTPS://WWW.GLENSFALLSHOSPITAL.ORG/WP-CONTENT/UPLOADS/2019/12/GFH-CHNA-2019-2021-FINAL-WITH-APPENDICES.PDF ALBANY MEDICAL CENTERALBANY MEDICAL CENTER'S PRIMARY SERVICE AREA INCLUDES THE 6 COUNTIES OF THE CAPITAL REGION, BUT WORK OF THE HCDI TASK FORCES IS DIVIDED UP REGIONALLY, INTO 4 AREAS (ALBANY-RENSSELAER, COLUMBIA-GREENE, SARATOGA, SCHENECTADY. THE INFORMATION BELOW SPEAKS TO THE 2 COUNTIES IN WHICH ALBANY MEDICAL CENTER IS A LEAD MEMBER OF THE ALBANY-RENSSELAER PRIORITIZATION WORK GROUPS AND DIABETES, ASTHMA, AND MENTAL HEALTH TASK FORCES. ALBANY COUNTY HAS THE LARGEST POPULATION IN THE CAPITAL REGION WITH OVER 300,000 RESIDENTS AND IS THE 2ND MOST URBAN COUNTY. IT HAS THE REGION'S LOWEST MEDIAN AGE OF 37.8 YEARS. ALBANY COUNTY HAS THE REGION'S LARGEST NON-WHITE POPULATION (23.4%) AND THE 2ND LARGEST HISPANIC POPULATION (5.6%). ALBANY'S SOUTH END NEIGHBORHOOD HAS THE LARGEST NON-WHITE POPULATION (76.8%), WHILE THE WEST END HAS THE LARGEST HISPANIC POPULATION (13.3%). ALBANY COUNTY'S POVERTY RATE OF 12.9% IS LOWER THAN THAT OF NYS'S 15.5%. WITHIN ALBANY COUNTY, THE SOUTH END/DOWNTOWN NEIGHBORHOOD AND WEST END NEIGHBORHOOD HAS THE HIGHEST NEIGHBORHOOD POVERTY RATES AT 49.6% AND 35.4%.RENSSELAER COUNTY HAS A POPULATION OF NEARLY 160,000 AND IS THE 3RD MOST RURAL COUNTY IN THE CAPITAL REGION. THIS COUNTY HAS THE 3RD LOWEST MEDIAN AGE IN THE REGION AT 39.9 YEARS. 17% OF THE POPULATION IS 14 YEARS OF AGE OR YOUNGER, WHILE 15% IS 65+ YEARS OF AGE. ABOUT 13.1% OF RENSSELAER COUNTY'S POPULATION IS NON-WHITE AND 4.5% IS HISPANIC. THE TROY/LANSINGBURGH NEIGHBORHOOD HAS THE LARGEST NON-WHITE POPULATION OF 22.0% AS WELL AS THE COUNTY'S LARGEST HISPANIC POPULATION OF 7.3%. RENSSELAER COUNTY'S POVERTY RATE OF 12.4% WAS LOWER THAN THAT OF NYS'S 15.5%. THE TROY/LANSINGBURGH NEIGHBORHOOD HAS THE HIGHEST NEIGHBORHOOD POVERTY RATE IN THE COUNTY AT 19.9%.COLUMBIA MEMORIAL HOSPITALCOLUMBIA MEMORIAL HOSPITAL SERVES THE RESIDENTS OF COLUMBIA AND GREENE COUNTIES AS WELL NORTHERN DUTCHESS COUNTY, WITH A COMBINED POPULATION OF 115,000 PEOPLE, WHICH ARE DISTRIBUTED AMONG ONE SMALL CITY AND 32 TOWNS. COLUMBIA AND GREENE COUNTIES COMBINED COVER AN AREA OF NEARLY 1,300 SQUARE MILES. COLUMBIA COUNTY IS LOCATED IN THE NORTHEASTERN REGION OF THE MID-HUDSON VALLEY OF NEW YORK STATE. IT IS BORDERED ON THE NORTH BY RENSSELAER COUNTY, ON THE SOUTH BY DUTCHESS COUNTY, AND ON THE EAST BY BERKSHIRE COUNTY IN MASSACHUSETTS. ON THE WEST, BY THE HUDSON RIVER, IT IS BORDERED BY GREENE COUNTY. COLUMBIA COUNTY IS RURAL AND INCLUDES THE CITY OF HUDSON. GREENE COUNTY IS SITUATED BETWEEN THE HUDSON RIVER TO ITS EAST, AND THE CATSKILL MOUNTAINS AT ITS SOUTHERN AND WEST ENDS. IT IS BORDERED BY ALBANY COUNTY TO THE NORTH, RENSSELAER COUNTY TO THE NORTHEAST, COLUMBIA COUNTY TO THE EAST, ULSTER COUNTY TO THE SOUTH, AND DELAWARE AND SCHOHARIE COUNTIES TO THE WEST. GREENE COUNTY IS LOCATED 2 HOURS NORTH OF THE MAJOR METROPOLITAN AREAS OF NEW YORK CITY, AND 30 MINUTES SOUTH OF ALBANY, NEW YORK'S STATE'S CAPITAL. GLENS FALLS HOSPITALGLENS FALLS HOSPITAL'S THREE-COUNTY SERVICE AREA IS CHARACTERIZED BY LOWER EDUCATIONAL ATTAINMENT, HIGHER UNEMPLOYMENT RATES, AN AGING POPULATION, HIGHER DISABILITY RATES, LOWER HOUSEHOLD INCOMES, AND HIGHER POVERTY RATES - INDICATING POTENTIALLY MORE SEVERE HEALTHCARE DISPARITIES AND GREATER NEEDS. MEAN HOUSEHOLD INCOME FOR THE REGION IS $79,547, WELL BELOW THE NYS AVERAGE OF $93,443. THE POPULATION IS NEITHER RACIALLY NOR ETHNICALLY DIVERSE; BETWEEN 93% AND 99% OF THE POPULATION IS WHITE, NON-HISPANIC IN EACH COUNTY. ON AVERAGE, APPROXIMATELY 18.0% OF THE POPULATION IS 65 YEARS OF AGE AND OLDER, A HIGHER PERCENTAGE THAN UPSTATE NEW YORK (16.4%) OR NYS (15.2%) AS A WHOLE. WITHIN THE REGION, THE PERCENT OF RESIDENTS WITH AN ASSOCIATE'S DEGREE OR HIGHER RANGES FROM 30.5% IN WASHINGTON COUNTY TO 51.9% IN SARATOGA COUNTY, COMPARED TO 44% FOR NYS. THE PERCENT OF INDIVIDUALS RECEIVING MEDICAID ACROSS THE REGION RANGES FROM THE HIGHEST IN WASHINGTON COUNTY AT 25.1% AND THE LOWEST IN SARATOGA COUNTY 12.7%. SARATOGA HOSPITALSARATOGA HOSPITAL'S PRIMARY SERVICE AREA IS COMPRISED OF TWO COMMUNITIES, SARATOGA SPRINGS AND BALLSTON SPA. BOTH ARE LOCATED IN THE CENTRAL PORTION OF SARATOGA COUNTY. THE CENSUS OF THE PRIMARY SERVICE AREA POPULATION IS APPROXIMATELY 71,500. THESE TWO COMMUNITIES ACCOUNT FOR MORE THAN 40% OF THE HOSPITAL'S INPATIENT DISCHARGES. ADDITIONAL COMMUNITIES SERVED BY THE HOSPITAL FALL WITH AN AREA THAT EXTENDS TO THE NORTHWESTERN BORDER OF SARATOGA COUNTY AND ALSO EXTENDS SOUTHWARD. IT INCLUDES 16 COMMUNITIES, INCLUDING BALLSTON LAKE, CLIFTON PARK, CORINTH, FORT EDWARD, GALWAY, GANSEVOORT, GREENFIELD CENTER, GREENWICH, HUDSON FALLS, MECHANICVILLE, PORTER CORNERS, QUEENSBURY, SCHUYLERVILLE, AND STILLWATER. THE COMBINED POPULATION OF THESE ADDITIONAL COMMUNITIES IS ESTIMATED AT APPROXIMATELY 91,000. PATIENTS FROM THESE ADDITIONAL COMMUNITIES REPRESENTED ROUGHLY 37% OF THE HOSPITAL'S INPATIENT DISCHARGES.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTH:THE ALBANY MED HEALTH SYSTEM'S AFFILIATE HOSPITALS FURTHER THEIR EXEMPT PURPOSES BY PROMOTING COMMUNITY HEALTH IN MYRIAD WAYS, SERVING OUR COMMUNITIES THROUGH MISSIONS OF PATIENT CARE, EDUCATION AND RESEARCH.EACH OF OUR HOSPITALS ACCEPT ALL PATIENTS, REGARDLESS OF ABILITY TO PAY, HOW MUCH THEY OR THEIR INSURERS PAY, OR WHETHER THEY ARE ELIGIBLE FOR ASSISTANCE UNDER EACH HOSPITAL'S FINANCIAL ASSISTANCE POLICY. OUR HOSPITALS NEVER HAVE AND WILL NEVER ALLOW FINANCIAL STATUS TO IMPACT THE LEVEL OF CARE PROVIDED, DESPITE THE SIGNIFICANT FINANCIAL IMPACT. THIS FINANCIAL MISSION IS PERFORMED TO OUR COMMUNITIES IN AN EFFORT TO KEEP THOSE MOST IN NEED AS HEALTHY AS POSSIBLE.IN OUR COMMUNITIES, WE ARE THE DOMINANT PROVIDERS FOR PERSONS WITH MEDICAID AND MEDICARE, WHICH REPRESENT AT LEAST 2/3 OF OUR PATIENTS AT EACH OF OUR ENTITIES.WE ALSO HAVE MANY ENROLLMENT ASSISTANCE PROGRAMS IN PLACE AND CONTINUE TO EXPAND THOSE.EACH OF OUR HOSPITAL'S MEDICAL STAFFS ARE OPEN; THAT IS, THEY ARE COMPRISED OF COMMUNITY PHYSICIANS AS WELL AS EMPLOYED PHYSICIANS.THE GOVERNANCE FOR EACH OF OUR AFFILIATES ARE COMPRISED PRIMARILY OF INDEPENDENT PERSONS FROM OUR COMMUNITIES.IN RECENT YEARS, SOME OF OUR AFFILIATES HAVE NOT REPORTED SURPLUS FUNDS. HOWEVER, ANY SURPLUS FUNDS GENERATED BY OUR AFFILIATES ARE REINVESTED INTO THE SPECIFIC ENTITIES THROUGH EXPANSION OF OPERATIONS, PURCHASE OF NEW EQUIPMENT AND TECHNOLOGY, AND HIRING OF STAFF NEEDED TO SUPPORT PROGRAMS THAT HAVE BEEN IDENTIFIED AS NEEDED FOR THE COMMUNITIES EACH ENTITY SERVES.EACH OF OUR HOSPITALS PROVIDES MONTHLY SUPPORT AND EDUCATION GROUPS FOR A VARIETY OF TOPICS. WHILE THEY VARY AMONG ENTITIES, THEY INCLUDE CHILDBIRTH, CANCER SURVIVORSHIP, GRIEF COUNSELING, AND WEIGHT LOSS, TO NAME A FEW.EACH OF OUR HOSPITALS PROMOTES COMMUNITY HEALTH AND EDUCATES OUR COMMUNITY ON VARIOUS HEALTH TOPICS THROUGH OUR COMMUNITY NEWSLETTERS, OUR WEBSITES AND THROUGH SOCIAL MEDIA INCLUDING FACEBOOK, INSTAGRAM, AND TWITTER.ALBANY MEDICAL CENTER HOSPITALSPECIFIC WAYS THAT ALBANY MEDICAL CENTER HOSPITAL PROMOTES COMMUNITY HEALTH INCLUDE BUT ARE NOT LIMITED TO - THE FOLLOWING:- DESIGNATION AS A SAFETY NET PROVIDER, AS THE DOMINANT PROVIDER OF SERVICES FOR THE MEDICAID AND UNINSURED POPULATIONS IN A 25-COUNTY REGION.- PROVIDING A VAST RANGE OF PROGRAMS AND SERVICES ONLY AVAILABLE WITHIN A NEARLY 150-MILE RADIUS, AS WELL AS SPECIALISTS NOT FOUND ELSEWHERE IN OUR REGION SUCH AS TRAUMA CARE, TRANSPLANT SURGERY, PEDIATRIC SUBSPECIALTY CARE AND HIV MEDICINE.- DESIGNATED, TRAINED STAFF WHO ASSIST PATIENT IN NEED WITH COMPLICATED MEDICAID AND DISABILITY APPLICATIONS PROCESSING. THE MONTHLY FEE TO PROVIDE THIS SERVICE IS SUBSTANTIAL, AND IS COVERED SOLELY BY ALBANY MEDICAL CENTER HOSPITAL ON BEHALF OF ITS PATIENTS.- OPERATES THE REGION'S SEXUAL ASSAULT EXAMINER PROGRAM.- EDUCATES AND TRAINS THE NEXT GENERATION OF PHYSICIANS, AND OFFERED CONTINUING MEDICAL EDUCATION TO ESTABLISHED PROVIDERS.COLUMBIA MEMORIAL HOSPITALSPECIFIC WAYS THAT COLUMBIA MEMORIAL HOSPITAL PROMOTES COMMUNITY HEALTH INCLUDE BUT ARE NOT LIMITED TO - THE FOLLOWING:- SIGNIFICANTLY INCREASING ACCESS PROVIDED TO LOCAL, PREVIOUSLY UNAFFILIATED PHYSICIANS, AND HAS FURTHER PROVIDED ACCESS AND SUPPORT FOR THESE PRACTITIONERS TO AN ELECTRONIC HEALTH EXCHANGE.GLENS FALLS HOSPITALSPECIFIC WAYS THAT GLENS FALLS HOSPITAL PROMOTES COMMUNITY HEALTH INCLUDE BUT ARE NOT LIMITED TO - THE FOLLOWING:- SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM- SUBSIDIZATION OF COMMUNITY HEALTH FORUMS, AT NO COST TO THE PUBLIC (E.G., CHILDBIRTH EDUCATION, SAFE SITTER BABYSITTING TRAINING ETC.)- COMMUNITY HEALTH EDUCATION LEVERAGING STAFF SUBJECT MATTER EXPERTISE IN STROKE PREVENTION, HEALTHY AGING AND ALZHEIMER'S AWARENESS, TOBACCO/VAPING CESSATION, CANCER PREVENTION/AWARENESS & EARLY DETECTION, AND SCHOOL HEALTH AND WELLNESS THROUGH LOCAL COLLABORATIONS AND COMMUNITY EVENTS- CANCER CENTER SUPPORT SERVICES FOR PATIENTS AND SURVIVORS- SKIN CANCER SCREENING EVENTS- CROSS PROMOTION OF AREA HEALTH RELATED EVENTS AND RESOURCESSARATOGA HOSPITALSPECIFIC WAYS THAT SARATOGA HOSPITAL PROMOTES COMMUNITY HEALTH INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING ACTIVITIES:- SUBSIDIZATION OF COMMUNITY HEALTH FORUMS, AT NO COST TO THE PUBLIC (E.G., CHILDBIRTH EDUCATION, COMMUNITY WELLNESS CLASSES)- INFORMATION ON COMMUNITY EDUCATION TOPICS AND FORUMS ARE AVAILABLE THROUGH THE HOSPITAL'S FREE QUARTERLY NEWSLETTER, ACCESS WHICH ALSO INCLUDES ARTICLES BY MEDICAL STAFF ON CURRENT AND RELEVANT HEALTH ISSUES.- THE HOSPITAL PROVIDES 24-HOUR CALL CENTER SERVICES, HEALTHSOURCE, AT NO FEE.
PART VI, LINE 6:	AFFILIATED HEALTHCARE SYSTEM:IN 2019, THE ALBANY MED HEALTH SYSTEM WAS COMPRISED OF ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HOSPITAL AND SARATOGA HOSPITAL. GLENS FALLS HOSPITAL JOINED THE SYSTEM IN JULY 2020, AND IS FILING AS A MEMBER OF THE SYSTEM FOR THE FIRST TIME FOR 2021.ALBANY MEDICAL CENTER IS AN ACADEMIC MEDICAL CENTER THAT SERVES NEARLY 3 MILLION PEOPLE WITHIN 23 COUNTIES OF NORTHEASTERN NEW YORK STATE, AND 2 COUNTIES IN WESTERN NEW ENGLAND. ITS SERVICE AREA ENCOMPASSES ORANGE COUNTY TO THE SOUTH, FRANKLIN AND CLINTON COUNTIES TO THE NORTH, ONEIDA COUNTY TO THE WEST, AND BENNINGTON VT COUNTY AND BERKSHIRE MA COUNTY TO THE EAST. ALBANY MEDICAL CENTER IS LOCATED IN ALBANY COUNTY. NEARLY OF ITS PATIENTS RESIDE IN THE 6-COUNTY CAPITAL REGION DESCRIBED IN PART VI, LINE 5.GLENS FALLS HOSPITAL, LOCATED IN WARREN COUNTY, IS AN ACUTE CARE HOSPITAL WITH AN EXPANDED SERVICE AREA THAT SPANS 6,000 SQUARE MILES ACROSS 5 DIVERSE COUNTIES AND FEATURES MORE THAN 20 REGIONAL FACILITIES. A VAST ARRAY OF SPECIALIZED MEDICAL AND SURGICAL SERVICES ARE PROVIDED IN ADDITION TO CORONARY CARE, BEHAVIORAL HEALTH CARE, REHABILITATION AND WELLNESS AND OTHERS. THE MAIN HOSPITAL CAMPUS IS HOME TO THE C.R. WOOD CANCER CENTER, THE JOYCE STOCK SNUGGERY BIRTHING CENTER, THE BREAST CENTER AND A CHRONIC WOUND HEALING CENTER.COLUMBIA MEMORIAL HOSPITAL, AN ACUTE CARE HOSPITAL IN COLUMBIA COUNTY SERVES MORE THAN 100,000 RESIDENTS OF COLUMBIA, GREENE AND NORTHERN DUTCHESS COUNTIES WITH 40 CARE CENTERS, INCLUDING 17 PRIMARY CARE AND 23 SPECIALTY CARE CENTERS, LOCATED THROUGHOUT THIS REGION.SARATOGA HOSPITAL, LOCATED IN SARATOGA COUNTY, WITH A POPULATION OF 230,000, FROM WHERE IT DRAWS 96% OF ITS PATIENTS. IT IS AN ACUTE CARE HOSPITAL THAT OFFERS A WIDE ARRAY OF INPATIENT AND OUTPATIENT SERVICES TO ITS COMMUNITY.WITH THE ADDITION OF GLENS FALLS HOSPITAL IN 2020, THE ALBANY MED HEALTH SYSTEM ENTITIES OFFER 4 HOSPITALS AND APPROXIMATELY 120 OFF-SITE LOCATIONS WHICH INCLUDE PRIMARY CARE, SPECIALTY CARE, AMBULATORY SURGERY AND URGENT CARE LOCATED THROUGHOUT OUR REGION TO IMPROVE ACCESS FOR THE RESIDENTS OF OUR COMMUNITIES. A VAST RANGE OF COMMUNITY HEALTH OFFERINGS ARE AVAILABLE THROUGH THE ALBANY MED HEALTH SYSTEM.ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HOSPITAL, GLENS FALLS HOSPITAL AND SARATOGA HOSPITAL WORK WITH DOZENS OF COMMUNITY ORGANIZATIONS TO IMPROVE OUR REGION'S HEALTH AND QUALITY OF LIFE. OUR HEALTH SYSTEM'S COMMITMENT TO IMPROVING THE HEALTH AND WELLBEING OF OUR POPULACE IS DEMONSTRATED THROUGH REGIONAL PLANNING AND DELIVERY OF COMMUNITY BENEFIT ACTIVITIES.
PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORTALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HOSPITAL, GLENS FALLS HOSPITAL AND SARATOGA HOSPITAL FILE THEIR COMMUNITY HEALTH NEEDS ASSESSMENTS AND COMMUNITY HEALTH IMPLEMENTATION PLANS IN NEW YORK STATE, WITH THE NEW YORK STATE DEPARTMENT OF HEALTH (DOH).

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt
ALBANY MEDICAL COLLEGE
47 NEW SCOTLAND AVE	ALBANY	NY	12208	141338310	501 (C)(3)	$7,275,477	$0	FMV	FUND SCHOLARSHIPS AND RESEARCH
ALBANY MEDICAL CENTER HOSPITAL
47 NEW SCOTLAND AVE	ALBANY	NY	12208	141338307	501 (C)(3)	$2,800,184	$0	FMV	FUND RESEARCH AND HEALTHCARE
ALBANY MED HEALTH SYSTEM
47 NEW SCOTLAND AVE	ALBANY	NY	12208	141641730	501 (C)(3)	$588,600	$0	FMV	EQUIPMENT/TECHNOLOGY
AMC ALUMNI ASSOCIATION
47 NEW SCOTLAND AVE	ALBANY	NY	12208	141468380	501 (C)(3)	$381,985	$0	FMV	FUND SCHOLARSHIPS
THE SARATOGA HOSPITAL
211 CHURCH STREET	SARATOGA SPRINGS	NY	12866	141338547	501 (C)(3)	$4,375,195	$0	FMV	SUPPORT SARATOGA HOSPITAL
COLUMBIA MEMORIAL HOSPITAL
71 PROSPECT HOSPITAL	HUDSON	NY	12534	141338373	501 (C)(3)	$518,302	$0	FMV	SUPPORT COLUMBIA MEMORIAL HOSPITAL

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
EDUCATIONAL SCHOLARSHIPS	455	$7,465,474
NURSING SCHOLARSHIP	3	$15,000

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE GROUP ENTITIES LIMIT CONTRIBUTIONS TO ORGANIZATIONS WITH CLOSE CONNECTIONS TO THE GROUP MEMBERS AND OVERALL HEALTH SYSTEM. THE GROUP ENTITIES HAVE INFLUENCE AND/OR OVERSIGHT OVER THE ACTIVITIES OF THE RECIPIENT ORGANIZATIONS WHICH PROVIDES OVERSIGHT TO ENSURE THE FUNDS ARE USED AS INTENDED. ALBANY MEDICAL CENTER FOUNDATION: REVIEW OF ACTIVITY, BUDGET MONITORING AND REPORT PREPARATION AND FILINGS BY RESEARCH OFFICE, IRC DEPARTMENTS, AND SPONSORED PROGRAM/FINANCIAL REPORTING DEPARTMENTS. ALBANY MEDICAL COLLEGE: 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. COLUMBIA MEMORIAL HOSPITAL FOUNDATION: 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 COLUMBIA MEMORIAL HOSPITAL OR IS IN LINE WITH THE OVERALL HEALTHCARE DRIVEN MISSION OF THE HOSPITAL. SARATOGA CARE INSTITUTE: 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 SARATOGA HOSPITAL OR IS IN LINE WITH THE OVERALL HEALTHCARE DRIVEN MISSION OF THE HOSPITAL. GLENS FALLS HOSPITAL: EVERY GRANT THAT IS APPLIED FOR AND RECEIVED IS OVERSEEN BY A MANAGER OR DIRECTOR WITHIN THE ORGANIZATION. THESE INDIVIDUALS WORK CLOSELY WITH THE ACCOUNTING FUNCTION TO ENSURE ALL EXPENSES RELATED TO GRANTS ARE USED APPROPRIATELY AND TRACKED CORRECTLY. FINANCE MAINTAINS A TRACKING LOG OF GRANT FUNDS RECEIVED.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (48 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
DENNIS P MCKENNA MD
PRESIDENT & CEO (AMHS)	$0	$1,001,967	$0	$393,125	$0	$58,763	$0	$282,088	$0	$28,615	$0	$1,764,558	$0	$28,180
STEVEN M FRISCH MD
MEM-CMH,GFH,SCI/PHY-SH/VP-HS	$0	$817,198	$0	$251,035	$0	$471,259	$0	$99,537	$0	$24,054	$0	$1,663,083	$0	$406,108
GEORGE HICKMAN
BOARD MEMBER (HS THRU 5/21)	$0	$199,004	$0	$170,725	$0	$1,198,139	$0	$8,700	$0	$12,890	$0	$1,589,458	$0	$234,329
FERDINAND J VENDITTI JR MD
EVP SYS CARE DELIVERY (AMHS)	$665,255	$0	$211,730	$0	$367,624	$0	$80,066	$0	$27,891	$0	$1,352,566	$0	$301,189	$0
VINCENT P VERDILE MD
SR EVP (AMHS), BD MEM (HS)	$809,468	$0	$252,400	$0	$105,450	$0	$99,014	$0	$27,322	$0	$1,293,654	$0	$83,740	$0
GORDON KUHAR
PHYSICIAN (SH)	$716,909	$0	$486,099	$0	$1,188	$0	$14,935	$0	$11,028	$0	$1,230,159	$0	$0	$0
JAY CAHALAN
PRS-CEO(CMH)/PRS(KCI)/BD(CMHF)	$511,376	$0	$174,414	$0	$299,602	$0	$142,080	$0	$38,467	$0	$1,165,939	$0	$280,000	$0
FRANCES S ALBERT
EVP, COO & CFO(AMHS)/TREAS(HS)	$0	$714,397	$0	$221,670	$0	$73,889	$0	$86,581	$0	$4,370	$0	$1,100,907	$0	$34,543
ANDREW J ROSENBAUM
ASST PROFESSOR/CLIN (AMHS)	$700,770	$0	$277,665	$0	$19,770	$0	$8,700	$0	$22,722	$0	$1,029,627	$0	$0	$0
ALAN S BOULOS
DEPARTMENT CHAIR (AMHS)	$938,748	$0	$15,000	$0	$20,190	$0	$11,600	$0	$24,069	$0	$1,009,607	$0	$0	$0
LEWIS W BRITTON III
PROFESSOR/CLIN (AMHS)	$848,410	$0	$83,028	$0	$21,464	$0	$8,700	$0	$25,608	$0	$987,210	$0	$0	$0
CHRISTOPHER GORCZYNSKI MD
PHYSICIAN (CMH)	$854,240	$0	$70,020	$0	$90	$0	$750	$0	$26,486	$0	$951,586	$0	$0	$0
ANGELO G CALBONE
PRES/CEO (SH, SCI), PRES (HS)	$601,961	$0	$61,785	$0	$191,107	$0	$45,630	$0	$28,656	$0	$929,139	$0	$0	$0
DIANNE SHUGRUE
PRESIDENT & CEO (GFH)	$711,335	$0	$117,937	$0	$43,356	$0	$11,422	$0	$5,923	$0	$889,973	$0	$0	$0
STEVEN M PARNES MD
BOARD MEMBER (AMHS)	$731,163	$0	$35,000	$0	$20,651	$0	$8,700	$0	$24,228	$0	$819,742	$0	$0	$0
RICHARD FALIVENA
VP (SH), BD MEM (SRMPC)	$0	$388,282	$0	$31,917	$0	$31,613	$0	$12,615	$0	$24,685	$0	$489,112	$0	$0
HIRAL AMIN MD
BOARD MEMBER (CMH)	$431,749	$0	$0	$0	$7,486	$0	$8,700	$0	$20,851	$0	$468,786	$0	$0	$0
MITCH AMADO
CFO (GFH)	$362,887	$0	$59,214	$0	$21,091	$0	$11,542	$0	$5,924	$0	$460,658	$0	$0	$0
PAUL SCIMECA
COO (GFH)	$370,419	$0	$51,150	$0	$21,617	$0	$11,543	$0	$5,923	$0	$460,652	$0	$0	$0
HOWARD FRITZ MD
CMO (GFH)	$365,642	$0	$52,121	$0	$22,155	$0	$11,210	$0	$828	$0	$451,956	$0	$0	$0
JEFFREY METHVEN
EVP(SH),MEM(HS),EDR/SEC(SRMPC)	$0	$340,610	$0	$27,200	$0	$23,801	$0	$18,040	$0	$29,910	$0	$439,561	$0	$710
GARY FOSTER
VP & CFO (SH, SCI), SEC (HS)	$335,149	$0	$25,609	$0	$31,279	$0	$20,858	$0	$1,193	$0	$414,088	$0	$6,158	$0
JORGE ORTIZ
BOARD MEMBER (CDT)	$352,873	$0	$14,750	$0	$8,790	$0	$8,700	$0	$21,111	$0	$406,224	$0	$0	$0
BRYAN T MAHONEY
CFO (CMH), SEC/TREAS (KCI)	$312,429	$0	$27,540	$0	$60	$0	$30,750	$0	$0	$0	$370,779	$0	$0	$0
DAVID MASTRIANNI MD
SR VP SHMG (SH)	$305,148	$0	$23,063	$0	$1,188	$0	$10,295	$0	$27,279	$0	$366,973	$0	$0	$0
PATTI HAMMOND
FMR VP PHYS PRACTICES (GFH)	$284,049	$0	$42,637	$0	$18,009	$0	$11,275	$0	$5,383	$0	$361,353	$0	$0	$0
DONNA KIRKER
CNO (GFH)	$276,667	$0	$41,445	$0	$14,725	$0	$11,226	$0	$857	$0	$344,920	$0	$0	$0
JOHN MANGONA
VP CIO & COMPLIANCE OFF (SH)	$266,149	$0	$21,408	$0	$16,324	$0	$16,563	$0	$2,762	$0	$323,206	$0	$0	$0
DOROTHY URSCHEL
CHIEF OPERATNG OFFICER (CMH)	$275,391	$0	$23,500	$0	$138	$0	$750	$0	$6,297	$0	$306,076	$0	$0	$0
DAVID J CONTI MD
BOARD MEMBER (CDT THRU 10/21)	$272,620	$0	$0	$0	$6,012	$0	$0	$0	$20,923	$0	$299,555	$0	$0	$0
MICHAEL DAILEY MD
BOARD MEMBER (CDT)	$245,788	$0	$18,391	$0	$1,990	$0	$0	$0	$23,012	$0	$289,181	$0	$0	$0
WILLIAM MURPHY MD
BOARD MEMBER (CMH)	$247,442	$0	$18,937	$0	$258	$0	$0	$0	$21,401	$0	$288,038	$0	$0	$0
MARCY DREIMILLER
VP HUMAN RESOURCES (SH)	$217,935	$0	$17,600	$0	$13,126	$0	$12,296	$0	$16,473	$0	$277,430	$0	$0	$0
MICHELE K SKUMURSKI
BOARD MEMBER (KIDS)	$0	$254,210	$0	$10,000	$0	$690	$0	$0	$0	$2,302	$0	$267,202	$0	$0
ALICIA WICZULIS MD
BOARD MEMBER (KIDS)	$220,971	$0	$12,950	$0	$270	$0	$0	$0	$24,708	$0	$258,899	$0	$0	$0
KEVIN RONAYNE
VP OP/FACILIT.(SH),BD MEM(HS)	$191,358	$0	$21,508	$0	$9,565	$0	$11,307	$0	$23,715	$0	$257,453	$0	$0	$0
VICKEY MASTA-GORNIC
BOARD MEMBER (KIDS)	$0	$237,886	$0	$0	$0	$1,980	$0	$0	$0	$9,000	$0	$248,866	$0	$0
MARY ELLEN PLASS
CHIEF NURSING OFFICER (CMH)	$203,475	$0	$20,833	$0	$762	$0	$750	$0	$6,297	$0	$232,117	$0	$0	$0
MARY ALICE CULLEN
BOARD MEMBER (KIDS)	$179,045	$0	$10,000	$0	$3,256	$0	$0	$0	$26,722	$0	$219,023	$0	$0	$0
BRIGIDO MONTERO
BOARD MEMBER (KIDS)	$0	$192,468	$0	$0	$0	$690	$0	$0	$0	$20,369	$0	$213,527	$0	$0
MEGHAN WEYGANT
BOARD MEMBER (KIDS)	$190,123	$0	$0	$0	$300	$0	$0	$0	$15,664	$0	$206,087	$0	$0	$0
TONI BISHOP-MCWAIN
VP & CNO (SH)	$173,550	$0	$0	$0	$13,233	$0	$6,203	$0	$2,384	$0	$195,370	$0	$0	$0
JOAN MARTIN
BOARD MEMBER (HS FROM 6/21)	$0	$187,820	$0	$0	$0	$1,290	$0	$0	$0	$1,091	$0	$190,201	$0	$0
CHARLES M DAY
BOARD MEMBER (KIDS)	$0	$186,012	$0	$0	$0	$1,286	$0	$0	$0	$2,189	$0	$189,487	$0	$0
KATHERINE KEEFE
BOARD MEMBER (CDT)	$162,214	$0	$10,000	$0	$450	$0	$0	$0	$1,673	$0	$174,337	$0	$0	$0
MARY JO LAPOSTA
FMR SVP (SH)	$12,880	$0	$0	$0	$153,316	$0	$2,214	$0	$2,392	$0	$170,802	$0	$0	$0
EMILY WRIGHT
BOARD MEMBER (KIDS)	$157,700	$0	$0	$0	$269	$0	$0	$0	$359	$0	$158,328	$0	$0	$0
JAMES J BARBA
BOARD MEMBER (AMHS)	$0	$150,000	$0	$0	$0	$1,565	$0	$0	$0	$0	$0	$151,565	$0	$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	THE PLAN IS OPERATED PURSUANT TO A PLAN DOCUMENT, APPROVED BY THE HOSPITAL'S BOARD OF TRUSTEES.
PART I, LINE 3	ALBANY MED HEALTH SYSTEM: THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS (COMMITTEE) ESTABLISHES COMPENSATION FOR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, ALL EXECUTIVE VICE PRESIDENTS AND OTHER TOP MANAGEMENT OFFICIALS WHO REPORT DIRECTLY TO THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS. THE COMMITTEE USES PROFESSIONAL COMPENSATION ADVISORS WHO ARE CAPABLE OF RENDERING INDEPENDENT ADVICE AND INDEPENDENT MARKET SURVEYS. THE COMMITTEE TARGETS THE MARKET MEDIAN (50TH PERCENTILE) FOR CASH COMPENSATION; BENEFIT PROGRAMS ARE INTENDED TO BE COMPETITIVE. AFTER THE COMPENSATION PROGRAM IS DETERMINED, THE COMMITTEE-APPROVED RECOMMENDATION IS FORWARDED TO THE BOARD OF DIRECTORS FOR ITS CONSIDERATION AND APPROVAL, AND THAT IS CONTEMPORANEOUSLY SUBSTANTIATED. COLUMBIA MEMORIAL HOSPITAL: THE COMPENSATION OF THE HOSPITAL'S CEO IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE COMPENSATION COMMITTEE BASES THEIR PROPOSAL ON CEO COMPENSATION SURVEYS FROM THE HEALTHCARE INDUSTRY ORGANIZATIONS, IRS FORM 990 FOR COMPARABLE ORGANIZATIONAL DATA AND GENERAL INDUSTRY KNOWLEDGE. THE CEO COMPENSATION PACKAGE IS FORMALIZED IN A WRITTEN EMPLOYMENT CONTRACT AND APPROVED BY THE BOARD OF TRUSTEES. SARATOGA HOSPITAL: THE HOSPITAL'S BOARD OF TRUSTEES IS RESPONSIBLE FOR THE IMPLEMENTATION AND MAINTENANCE OF THE EXECUTIVE COMPENSATION PROGRAM. UNDER THE DIRECTION OF THE BOARD OF TRUSTEES, THE EXECUTIVE COMMITTEE MEETS AS NEEDED TO REVIEW THE COMPENSATION PROGRAM AND MAKE RECOMMENDATIONS FOR ANY CHANGES TO THE BOARD OF TRUSTEES, AS APPROPRIATE. IN ADDITION TO REGIONALLY PUBLISHED MARKET DATA, THE HOSPITAL USES NATIONALLY PUBLISHED NOT-FOR-PROFIT HOSPITAL COMPENSATION SURVEY DATA FROM VARIOUS VENDORS TO DETERMINE MARKET POSITION AND THE REASONABLENESS OF BASE SALARY AND THE TOTAL COMPENSATION BEING PAID TO EXECUTIVES. ADDITIONALLY, THE HOSPITAL MAY COLLECT OTHER PUBLISHED SURVEY DATA WHEN APPROPRIATE FROM FOR-PROFIT ORGANIZATIONS FOR SPECIFIC FUNCTIONAL COMPETENCIES WITHIN THE ORGANIZATION, SUCH AS INFORMATION SYSTEMS, FUNDRAISING, AND FINANCE. AT THE DIRECTION OF THE BOARD OF TRUSTEES, MARKET DATA IS COMPILED ANNUALLY BY THE HUMAN RESOURCES DEPARTMENT AND USED TO FORM A MARKET COMPOSITE TO ASSESS THE COMPETITIVENESS OF COMPENSATION FOR EACH IDENTIFIED LEADERSHIP POSITION. IN ADDITION, THE CHAIRPERSON OF THE BOARD OF TRUSTEES RETAINS ON A BI-ANNUAL BASIS (OR MORE FREQUENTLY AS NEEDED) AN INDEPENDENT VALUATION EXPERT TO ASSESS THE REASONABLENESS OF THE TOTAL COMPENSATION PACKAGE PAID TO EXECUTIVES AS COMPARED TO SIMILARLY SITUATED EXECUTIVES OF NOT-FOR-PROFIT AND FOR-PROFIT HEALTH CARE ENTITIES WITH COMPARABLE NET REVENUES AND SIMILAR JOB RESPONSIBILITIES. GLENS FALLS HOSPITAL EXECUTIVE PAY IS REVIEWED ANNUALLY BY A THIRD PARTY CONSULTANT. THIS REVIEW INCLUDES A COMPARISON OF GFH EXECUTIVE PAPY PRACTICES WITH NATIONAL AND REGIONAL BENCHMARK STUDIES AS APPROPRIATE. THE CONSULTANT IS ENGAGED DIRECTLY BY THE GFH BOARD OF GOVERNORS AND REPORTS THEIR FINDINGS TO THE BOARD PERSONNEL COMMITTEE FOR REVIEW AND ACTION.
PART I, LINES 4A-B	ALBANY MED HEALTH SYSTEM: THE FOLLOWING EMPLOYEE RECEIVED A SEVERANCE PAYMENT DURING 2021 AND THIS AMOUNT IS INCLUDED ON SCHEDULE J, PART II, COLUMN (B)(III): GEORGE T. HICKMAN, BOARD MEMBER (HPS), $739,929 SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN STARTED IN 2016 AND SEVERAL PERSONS LISTED IN FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN AND/OR RECEIVED PAYMENT FROM THE PLAN. THE FOLLOWING EMPLOYEES PARTICIPATED IN THE PLAN AND THE AMOUNTS LISTED BELOW ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C): DENNIS P. MCKENNA, PRESIDENT & CEO (AMHS), $270,488 FRANCES S. ALBERT, EVP COO & CFO (AMHS), BD MEM (HPS), $74,981 STEVEN M. FRISCH, BOARD MEMBER (CMH, SH, HPS, GFH), $87,937 VINCENT VERDILE, SR EXEC VP SYS CARE DELIVERY (AMHS), BD MEM (HPS), $87,414 FERDINAND J. VENDITTI, EVP SYSTEM CARE DELIVERY (AMHS), $68,466 THE FOLLOWING EMPLOYEES RECEIVED PAYMENT FROM THE PLAN AND THE AMOUNT LISTED BELOW IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) AND WHERE APPLICABLE COLUMN (F): DENNIS P. MCKENNA, PRESIDENT & CEO (AMHS), $29,649 FRANCES S. ALBERT, EVP COO & CFO (AMHS), BD MEM (HPS), $53,099 STEVEN M. FRISCH, BOARD MEMBER (CMH, SH, HPS, GFH), $448,625 VINCENT VERDILE, SR EXEC VP SYS CARE DELIVERY (AMHS), BD MEM (HPS), $83,740 GEORGE T. HICKMAN, BOARD MEMBER (HPS), $290,416 FERDINAND J. VENDITTI, EVP SYSTEM CARE DELIVERY (AMHS), $345,852 COLUMBIA MEMORIAL HOSPITAL: THE CEO, JAY CAHALAN AND BRYAN MAHONEY, CFO, ARE PARTICIPANTS IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN HELD BY CMH. IN 2021, THEIR RETIREMENT ACCOUNTS WERE CREDITED $141,329 AND $30,000, RESPECTIVELY. JAY CALAHAN RECEIVED PAYMENT FROM THE PLAN IN THE AMOUNT OF $280,000, WHICH IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) AND COLUMN (F). STEVEN FRISCH, MD IS A PARTICIPANT IN A SUPPLEMENTAL NON-QUALIFIED PLAN HELD BY ALBANY MED HEALTH SYSTEM AND HIS BENEFIT IS DESCRIBED IN THE SYSTEM'S DISCLOSURE ABOVE. SARATOGA HOSPITAL: DURING 2021, 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 2021. ANGELO G. CALBONE -- CONTRIBUTIONS $165,438; GARY FOSTER - CONTRIBUTIONS. $4,183; JEFFREY METHVEN -- CONTRIBUTIONS $3,105. THESE AMOUNTS ARE INCLUDED IN PART II COL B(III).
PART I, LINE 5	COLUMBIA MEMORIAL HOSPITAL: THE ORGANIZATION ADMINISTERS A VARIABLE COMPENSATION PROGRAM UNDER WHICH MEMBERS OF HOSPITAL MANAGEMENT ARE ELIGIBLE TO EARN VARIABLE COMPENSATION. OVERALL VARIABLE COMPENSATION IS BASED ON MEASURABLE ACHIEVEMENT AGAINST A MENU OF ORGANIZATIONS GOALS, WHICH INCLUDE FINANCIAL RESULTS SUCH AS REVENUES AND NET EARNINGS, AS WELL AS PATIENT SATISFACTION, QUALITY OF CARE, EMPLOYEE SATISFACTION, AND GROWTH IN SERVICES.
PART I, LINE 6	SARATOGA HOSPITAL: THE HOSPITAL ADMINISTERS AN INCENTIVE COMPENSATION PROGRAM UNDER WHICH MEMBERS OF HOSPITAL MANAGEMENT ARE ELIGIBLE TO EARN UP TO A PERCENTAGE OF THEIR BASE SALARIES IN INCENTIVE COMPENSATION. OVERALL INCENTIVE COMPENSATION IS BASED ON MEASURABLE ACHIEVEMENT AGAINST A MENU OF ORGANIZATIONAL GOALS, INCLUDING FINANCIAL RESULTS, PATIENT SATISFACTION, QUALITY OF CARE, EMPLOYEE SATISFACTION AND RETENTION, AND GROWTH IN SERVICES. THE PORTION OF INCENTIVE COMPENSATION RELATED TO OPERATING MARGIN OF THE HOSPITAL AND ITS AFFILIATES REPRESENTED 10% OF THE OVERALL INCENTIVE COMPENSATION AVAILABLE DURING 2021, AND WAS BASED AN ACHIEVEMENT OF MINIMUM, MEETS, AND MAXIMUM LEVELS RELATIVE TO THE HOSPITAL'S BUDGETED OPERATING MARGIN PERCENTAGE FOR THE YEAR.
PART I, LINE 7	GLENS FALLS HOSPITAL: PHYSICIANS ARE ELIGIBLE AND DID RECEIVE ADDITIONAL COMPENSATION THROUGH PARTICIPATION IN AN INCENTIVE PROGRAM THAT ADDRESSED QUALITY, PATIENT SATISFACTION AND THEIR PERSONAL PRODUCTIVITY.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
CITY OF ALBANY CRC 2014A
A	273467899	999999999	2014-09-10	$22,000,000	RENOVATIONS/CONSTRUCTION	0	0	0
CITY OF ALBANY CRC 2017A
B	273467899	999999999	2017-11-15	$13,200,000	REFUND PRIOR ISSUE - SEE PART VI	0	0	0
CITY OF ALBANY CRC 2017C
C	273467899	999999999	2017-11-15	$11,855,000	REFUND PRIOR ISSUE - SEE PART VI	0	0	0
GLENS FALLS CIVIC DEVELOPEMNT CORP - SERIES 2015
D	451673501	999999999	2015-09-21	$67,000,000	REFINANCING 2003 BONDS, FINANCE CAPITAL PROJECT	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt
A	$3,673,310	$22,000,000	$440,000	$21,560,000	2014	0	Yes (1)	Yes (1)
B	$2,507,000	$13,200,000			2017	Yes (1)	Yes (1)	Yes (1)	$13,200,000
C	$4,145,000	$11,855,000			2017	Yes (1)	Yes (1)	Yes (1)	$11,855,000
D	$23,450,000	$67,000,000	$360,205		2015	Yes (1)	Yes (1)	Yes (1)	$17,520,856	$49,118,939

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct
A	0	Yes (1)	Yes (1)	Yes (1)
B	0	Yes (1)	Yes (1)	Yes (1)
C	0	Yes (1)	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.02500	0.02500

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K, PART I, BOND ISSUES	FormAndLineReferenceDesc
Explanation	ALBANY MED HEALTH SYSTEM BOND GROUP SCH K, PART I, COLUMN (F) LINE B: REFUND CITY OF ALBANY IDA 2005A ISSUED 6/29/2005 AND CITY OF ALBANY IDA 2006A ISSUED 5/3/2006. LINE C: REFUND CITY OF ALBANY IDA 2007A ISSUED 6/28/2007 AND CITY OF ALBANY IDA 2007C ISSUED 11/28/2007. SCH K, PART II, LINE 1 TOTAL PROCEEDS OF THE ISSUE LESS AMOUNT OF BONDS RETIRED WILL NOT EQUAL FORM 990, PART X, LINE 20 BECAUSE THE BALANCE SHEET AMOUNT IS PRESENTED NET OF DEFERRED FINANCING COSTS. SCH K, PART II, LINE 11 TOTAL PROCEEDS WERE USED TO REFUND THE PRIOR ISSUED BONDS REFERENCED IN PART I, COLUMN F. SCH K, PART III, LINE 3A ALBANY MED HEALTH SYSTEM HAS INCIDENTAL MANAGEMENT AND SERVICE CONTRACTS IN VARIOUS FINANCED AREAS. THEREFORE, NO CONTRACTS ARE CONSIDERED TO RESULT IN PRIVATE BUSINESS USE WITHIN THE BOND-FINANCED PROPERTY GROUP. SCH K, PART IV, LINE 2C, COLUMN A REBATE CALCULATION PERFORMED ON SEPTEMBER 10, 2019. SARATOGA HOSPITAL BOND GROUP SCHEDULE K, PART IV, LINE 2B 02/07/2013 $24,273,094 SARATOGA COUNTY CAPITAL RESOURCE CORPORATION SERIES 2013A - ARBITRAGE REBATE COMPUTATION WAS PERFORMED ON 12/01/21 BY A THIRD-PARTY CONTRACTOR, AMTEC, IS A TAX EXEMPT COMPLIANCE SPECIALIST, FOR BOND ISSUES, AS OF 12/01/21 NO REBATE LIABILITY FOR SERIES 2013A. SCHEDULE K, PART IV, LINE 2C 01/03/2017 $49,870,000 SARATOGA COUNTY CAPITAL RESOURCE CORPORATION SERIES 2017A & B - ARBITRAGE REBATE COMPUTATION WAS PERFORMED ON 12/31/20 BY A THIRD PARTY CONTRACTOR, AMTEC, IS A TAX EXEMPT COMPLIANCE SPECIALIST, FOR BOND ISSUES, AS OF 12/31/20 NO REBATE LIABILITY FOR SERIES 2017 A & B. GLENS FALLS HOSPITAL BOND GROUP: SCHEDULE K, PART IV, LINE 2C: A THIRD-PARTY WAS USED TO PERFORM AN ARBITRAGE CALCULATION WHICH WAS COMPLETED ON NOVEMBER 20, 2020. IT WAS DETERMINED THAT THERE IS NO POSITIVE ARBITRAGE ASSOCIATED WITH THE ABOVE REFERENCED BOND ISSUE.	ExplanationTxt

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	EDUCATION CONSTRUCTION & RENOVATION	Yes (1)	0	0
SARATOGA COUNTY CAPITAL RESOURCE CORP 2013A
B	461520521	803481AS9	2013-02-07	$24,273,094	REFINANCE REVENUE BONDS	0	0	0
SARATOGA COUNTY CAPITAL RESOURCE CORP 17AB
C	461520521	999999999	2017-01-03	$49,870,000	REFINANCE REVENUE BONDS	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	In Reserve FundInReserveFundAmt	Refunding EscrowRefundingEscrowAmt	Other Spent ProceedsOtherSpentProceedsAmt
A	$1,935,000	$13,920,000	$18,406,490	$262,395	$16,772,395	2009	0	0	Yes (1)	Yes (1)
B	$7,555,000		$24,273,094	$485,462		2013	Yes (1)	Yes (1)	Yes (1)	Yes (1)	$1,662,526	$22,004,520	$115,599
C	$10,999,035		$49,870,000	$933,636		2017	Yes (1)	Yes (1)	Yes (1)	Yes (1)		$48,936,364

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

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

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	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	0	Yes (1)	0	0	0	0	0
B	0	0	0	Yes (1)	0	0	0	0	0
C	0	0	0	Yes (1)	0	0	0	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0
C	0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
KAREN L MCKENNA
FAMILY MEMBER	$17,813	EMPLOYMENT	0
DR ANNE L BARBA
FAMILY MEMBER	$126,520	EMPLOYMENT	0
ANDREW TOBLER
FAMILY MEMBER	$123,120	EMPLOYMENT	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$63,928	EVENT HOSTING	0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV	FormAndLineReferenceDesc
Explanation	DR. ANNE L. BARBA IS THE DAUGHTER OF JAMES BARBA, BOARD MEMBER (AMHS).KAREN L. MCKENNA IS THE WIFE OF DENNIS P. MCKENNA, PRESIDENT & CEO (AMHS).ANDREW TOBLER IS THE BROTHER-IN-LAW OF RUTH MAHONEY, BOARD MEMBER (AMHS).	ExplanationTxt

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$350	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$55	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$20,102	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	25	ContributionCnt
Noncash Contributions Rpt F990	$284,189	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	23	ContributionCnt
Noncash Contributions Rpt F990	$6,825	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	SUPPLIES	1	$337,944	FMV
Yes (X)	ENTERTAINMENT	45	$73,628	FMV
Yes (X)	MISCELLANEOUS	39	$21,842	FMV

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

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1 AND PART III, LINE 1	ORGANIZATION'S MISSION: AN ACADEMIC HEALTH SCIENCES CENTER WHOSE RESPONSIBILITIES ARE: TO EDUCATE MEDICAL STUDENTS, PHYSICIANS, BIOMEDICAL STUDENTS AND OTHER HEALTH CARE PROFESSIONALS TO MEET FUTURE PRIMARY AND SPECIALTY HEALTH CARE NEEDS OF THE REGION AND NATION; TO FOSTER BIOMEDICAL RESEARCH THAT LEADS TO SCIENTIFIC ADVANCES AND IMPROVEMENT OF THE HEALTH OF THE PUBLIC; AND TO PROVIDE A BROAD RANGE OF PATIENT SERVICES TO THE PEOPLE OF EASTERN NEW YORK AND WESTERN NEW ENGLAND. THE MISSION IS ACCOMPLISHED THROUGH COMMITMENT TO THE VALUES OF QUALITY, EXCELLENCE, SERVICE, COLLABORATION, INTEGRITY AND FISCAL RESPONSIBILITY. WE WILL CONTINUE TO DEVELOP AS A NATIONALLY RECOGNIZED ACADEMIC HEALTH SCIENCE CENTER. IN COLLABORATION WITH THE COMMUNITY, WE WILL PROVIDE EXCELLENCE IN EDUCATION, RESEARCH, AND PATIENT CARE PROGRAMS. OUR VISION FOR THE FUTURE INCLUDES A COMMITMENT TO WORKING WITH OTHER PROVIDERS TO MAKE COMPREHENSIVE AND ADVANCED CLINICAL SERVICES AVAILABLE TO THE PUBLIC WHILE EMPHASIZING QUALITY AND SERVICE. WE WILL BE A LEADER IN DEVELOPING AN INNOVATIVE HEALTH CARE DELIVERY SYSTEM AND EDUCATIONAL CONSORTIUM THAT RESPONDS TO THE NEEDS OF THE COMMUNITY. WE WILL SUSTAIN A WORKING AND LEARNING ENVIRONMENT THAT FOSTERS TEAMWORK AND COMMITMENT TO SHARED VALUES AND GOALS. THROUGH SOUND FISCAL MANAGEMENT, WE WILL BE ABLE TO ENHANCE OUR PROGRAMS TO BE ON THE FOREFRONT OF MEDICAL KNOWLEDGE AND INNOVATIVE PATIENT CARE.
FORM 990, PART V, LINE 3B	THE GROUP ORGANIZATION HAS INDICATED 'NO' TO PART LINE 3B BECAUSE NOT ALL SUBORDINATE ORGANIZATIONS INCLUDED IN THE GROUP HAVE A FORM 990-T FILING REQUIREMENT FOR THE TAX YEAR.
FORM 990, PART V, LINE 4A	THE SUBORDINATE ORGANIZATIONS, ALBANY MEDICAL CENTER HOSPITAL, ALBANY MEDICAL CENTER KIDSKELLER, ALBANY MEDICAL CENTER FOUNDATION, CENTER FOR DONATION AND TRANSPLANT, COLUMBIA MEMORIAL HOSPITAL, COLUMBIA MEMORIAL HOSPITAL FOUNDATION, GLENS FALLS HOSPITAL, SARATOGA HOSPITAL, KAATERSKILL COMMONS, INC, SARATOGA CARE, INC, HEALTHCARE PARTNERS OF SARATOGA LTD, AND SARATOGA REGIONAL MED, PC, RESPOND IN THE NEGATIVE TO THESE LINES AS THEY DID NOT HAVE ANY FOREIGN FINANCIAL ACCOUNTS.
FORM 990, PART V, LINE 6A	THE SUBORDINATE ORGANIZATIONS, ALBANY MEDICAL CENTER HOSPITAL, ALBANY MEDICAL CENTER KIDSKELLER, ALBANY MEDICAL COLLEGE, CENTER FOR DONATION AND TRANSPLANT, COLUMBIA MEMORIAL HOSPITAL, COLUMBIA MEMORIAL HOSPITAL FOUNDATION, GLENS FALLS HOSPITAL, SARATOGA HOSPITAL, KAATERSKILL COMMONS, INC, SARATOGA CARE, INC, HEALTHCARE PARTNERS OF SARATOGA LTD, AND SARATOGA REGIONAL MED, PC, RESPOND IN THE NEGATIVE TO THESE LINES AS THEY DID NOT SOLICIT ANY CONTRIBUTIONS THAT WERE NOT TAX DEDUCTIBLE AS CHARITABLE CONTRIBUTIONS.
FORM 990, PART V, LINE 7A	THE SUBORDINATE ORGANIZATIONS, ALBANY MEDICAL CENTER HOSPITAL, ALBANY MEDICAL CENTER KIDSKELLER, ALBANY MEDICAL COLLEGE, CENTER FOR DONATION AND TRANSPLANT, COLUMBIA MEMORIAL HOSPITAL, COLUMBIA MEMORIAL HOSPITAL FOUNDATION, GLENS FALLS HOSPITAL, SARATOGA HOSPITAL, KAATERSKILL COMMONS, INC, HEALTHCARE PARTNERS OF SARATOGA LTD, AND SARATOGA REGIONAL MED, PC, RESPOND IN THE NEGATIVE TO THESE LINES AS THEY DID NOT RECEIVE ANY CONTRIBUTIONS IN EXCESS OF $75 THAT WERE MADE PARTLY AS A CONTRIBUTION AND PARTLY FOR GOODS AND SERVICES PROVIDED TO THE PAYOR.
FORM 990, PART V, LINES 8, 9A, & 9B	THE SUBORDINATE ORGANIZATION COLUMBIA MEMORIAL HOSPITAL IS THE ONLY SUBORDINATE MAINTAINING A DONOR ADVISED FUND.
FORM 990, PART VI, SECTION A, LINE 3	KAATERSKILL COMMONS, INC. ENGAGES CATSKILL MOUNTAIN HOUSING FOR MANAGEMENT AND BOOKKEEPING SERVICES. THE OTHER SUBORDINATE ORGANIZATIONS RESPOND IN THE NEGATIVE TO LINE 3.
FORM 990, PART VI, SECTION A, LINE 6	MEMBERS AND GOVERNANCE ALBANY MED HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF THE SUBORDINATE ORGANIZATIONS INCLUDED IN THE GROUP FILING.
FORM 990, PART VI, SECTION A, LINE 7A	MEMBERS AND GOVERNANCE ALBANY MED HEALTH SYSTEM RETAINS SEATS ON THE BOARD OF TRUSTEES FOR THE SUBORDINATE ORGANIZATIONS AND HAS THE POWER TO APPOINT MEMBERS OF THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7B	MEMBERS AND GOVERNANCE ALBANY MED HEALTH SYSTEM APPROVES THE ANNUAL OPERATING BUDGET, APPROVAL OF CHANGES IN SENIOR MANAGEMENT, SIGNIFICANT LITIGATION SETTLEMENTS AS WELL AS UPDATES TO THE GOVERNING DOCUMENTS.
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 REVIEW PROCESS THE BOARD OF DIRECTORS, THROUGH ITS AUDIT COMMITTEE, ENGAGES A PROMINENT ACCOUNTING FIRM, KPMG, TO CONDUCT A REVIEW OF ITS TAX RETURN FOR COMPLIANCE WITH IRS REGULATIONS. THE AUDIT COMMITTEE ENGAGES KPMG AS PAID PREPARER TO ENSURE ACCURACY OF FILINGS AND RAISE FOR DISCUSSION ISSUES OR CONCERNS THAT ARE CONSIDERED SIGNIFICANT. ISSUES OR CONCERNS ARE RAISED WITH MANAGEMENT AND BROUGHT TO THE ATTENTION OF THE AUDIT COMMITTEE THROUGHOUT THE YEAR AS WARRANTED AND REQUIRED. THE REVIEW OF THE TAX RETURN INCLUDES A REVIEW BY SENIOR MANAGEMENT OF ALBANY MEDICAL CENTER AND A PRESENTATION AT A MEETING OF THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS OF ALBANY MEDICAL CENTER. THE FINANCE COMMITTEES OF SARATOGA HOSPITAL AND COLUMBIA MEMORIAL HOSPITAL REVIEW THE RETURN FOR ACCURACY OF THEIR RESPECTIVE HOSPITAL'S INFORMATION AND DISCLOSURES. ADDITIONALLY, THE COMPLETE BOARDS OF EACH SUBORDINATE ENTITY INCLUDED IN THE GROUP RETURN RECEIVE A COPY OF THE FORM 990 FOR REVIEW PRIOR TO ITS FILING.
FORM 990, PART VI, SECTION B, LINE 12C	ALBANY MEDICAL CENTER HOSPITAL AND AFFILIATES: THE BOARD OF DIRECTORS OF THE ALBANY MED HEALTH SYSTEM ADOPTED A SYSTEM-WIDE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL ENTITIES OVER WHICH THE ALBANY MED HEALTH SYSTEM, DIRECTLY OR INDIRECTLY, HAS DIRECTION AND CONTROL. ALL CANDIDATES FOR BOARD MEMBERSHIP AND BOARD COMMITTEE MEMBERSHIP RECEIVE A COPY OF THE ALBANY MED HEALTH SYSTEM CONFLICT OF INTEREST POLICY AND A LINK TO THE ELECTRONIC CONFLICT OF INTEREST QUESTIONNAIRE FOR COMPLETION. ACTUAL OR POTENTIAL CONFLICTS REPORTED ARE REVIEWED BY THE COMMITTEE ON AUDIT AND COMPLIANCE OF THE BOARD OF DIRECTORS AND APPROPRIATE ACTION IS TAKEN TO MITIGATE CONFLICTS. UPON HIRE, ALL EMPLOYEES RECEIVE COMPLIANCE EDUCATION WHICH EXPLAINS THE CONFLICT OF INTEREST POLICY AND THE REQUIREMENT TO REPORT ANY ACTUAL OR POTENTIAL CONFLICTS. ALL EMPLOYEES ALSO RECEIVE REFRESHER EDUCATION REGARDING THE POLICY AND A REMINDER ABOUT THE REPORTING REQUIREMENT AS PART OF THEIR MANDATORY ANNUAL EDUCATION. ALL EMPLOYEES ARE RESPONSIBLE FOR NOTIFYING SYSTEM MANAGEMENT OF ANY POTENTIAL CONFLICTS IN ADDITION TO RESPONDING TO REQUEST FOR INFORMATION IF REQUESTED. PERSONS HOLDING SIGNIFICANT MANAGEMENT POSITIONS RECEIVE A LINK TO THE ELECTRONIC CONFLICT OF INTEREST QUESTIONNAIRE FOR COMPLETION. ANY CONFLICTS WHICH ARE REPORTED OR DISCOVERED ARE REVIEWED BY THE ALBANY MED HEALTH SYSTEM CORPORATE COMPLIANCE AND AUDIT DEPARTMENT AND APPROPRIATE ACTION IS TAKEN TO MITIGATE THE CONFLICT. EMPLOYEES WHO VIOLATE THE CONFLICT OF INTEREST POLICY ARE SUBJECT TO CORRECTIVE ACTION FOLLOWING THE AUTHORIZED ADMINISTRATIVE AND GOVERNANCE PROCESSES OF THE SYSTEM AND ITS AFFILIATES.
FORM 990, PART VI, SECTION B, LINE 15	ALBANY MEDICAL CENTER HOSPITAL AND AFFILIATES: THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS (COMMITTEE) ESTABLISHES COMPENSATION FOR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, ALL EXECUTIVE VICE PRESIDENTS AND OTHER TOP MANAGEMENT OFFICIALS WHO REPORT DIRECTLY TO THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS. THE COMMITTEE USES PROFESSIONAL COMPENSATION ADVISORS WHO ARE CAPABLE OF RENDERING INDEPENDENT ADVICE AND INDEPENDENT MARKET SURVEYS. THE COMMITTEE TARGETS THE MARKET MEDIAN (50TH PERCENTILE) FOR CASH COMPENSATION; BENEFIT PROGRAMS ARE INTENDED TO BE COMPETITIVE. AFTER THE COMPENSATION PROGRAM IS DETERMINED, THE COMMITTEE-APPROVED RECOMMENDATION IS FORWARDED TO THE BOARD OF DIRECTORS FOR ITS CONSIDERATION AND APPROVAL, AND THAT IS CONTEMPORANEOUSLY SUBSTANTIATED. COLUMBIA MEMORIAL HOSPITAL: PERFORMANCE REVIEW AND RECOMMENDATIONS RELATED TO SALARY ARE UNDERTAKEN BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES ON AN ANNUAL BASIS. THE COMPENSATION COMMITTEE IS COMPRISED OF SELECT MEMBERS OF THE BOARD OF TRUSTEES WHO MAY EMPLOY OUTSIDE CONSULTANTS, USE INDUSTRY STANDARDS, BENCHMARKING DATA, ETC. TO FORMULATE CONCLUSIONS. SARATOGA HOSPITAL: ON AN ANNUAL BASIS, THE EXECUTIVE COMMITTEE REVIEWS THE PERFORMANCE OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER (CEO) AND MAKES A BASE SALARY RECOMMENDATION TO THE FULL BOARD. THE EXECUTIVE COMMITTEE PERFORMS THIS TASK USING A TARGET PERCENTILE RANK ON A SCALE OF AMOUNTS PAID TO SIMILARLY SITUATED EXECUTIVES IN THE MARKETPLACE AS MEASURES BY EXTERNAL BENCHMARK SURVEYS. ADDITIONALLY, THE EXECUTIVE COMMITTEE FACTORS IN RELATIVE SKILL MIX, EXPERIENCE, COMPETENCE AND OVERALL PERFORMANCE. THE EXECUTIVE COMMITTEE SETS ANNUAL PERFORMANCE CRITERIA THE CEO MUST MEET IN ORDER TO QUALIFY FOR INCENTIVE COMPENSATION AND ANY RECOMMENDATION FOR ADDITIONAL COMPENSATION IS MADE ANNUALLY. THE CEO IS RESPONSIBLE, WITH THE OVERSIGHT OF THE EXECUTIVE COMMITTEE, FOR DETERMINING THE BASE COMPENSATION FOR ALL OTHER EXECUTIVES IN THE ORGANIZATION. THESE BASE SALARIES ARE ALSO DETERMINED USING A TARGET PERCENTILE RANK ON A SCALE FOR EXECUTIVES SITUATED SIMILARLY BY POSITION WITHIN THE MARKETPLACE, WITH ACCEPTABLE EXCEPTIONS BASED ON SKILL MIX, EXPERIENCE AND/OR SCOPE OF RESPONSIBILITY. INCENTIVE COMPENSATION FOR ALL OTHER EXECUTIVES IS DETERMINATION BY THE CEO AND BASED ON ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE MEASURES AND OUTCOMES. FOR BOTH CEO AND EXECUTIVE COMPENSATION, THE REQUIREMENTS FOR INVOKING A REBUTTABLE PRESUMPTION OF REASONABLENESS IN ACCORDANCE WITH IRS INTERMEDIATE SANCTION REGULATIONS ARE USED AS A GUIDELINE, TO THE EXTENT PRACTICABLE. GLENS FALLS HOSPITAL: GLENS FALLS HOSPITAL (GFH) IS COMMITTED TO DEVELOPING AND MAINTAINING A TOTAL COMPENSATION PROGRAM THAT IS COMPETITIVE WITH PROGRAMS OFFERED BY OTHER HEALTH CARE ORGANIZATIONS THAT ARE COMPARABLE TO GFH IN REVENUE, STRUCTURE, MISSION AND SCOPE OF SERVICES. THE COMPENSATION PHILOSOPHY INCLUDES: BASE SALARY RANGES POSITIONED IN THE 50TH PERCENTILE OF A NATIONAL AND REGIONAL PEER GROUP, ANNUAL INCENTIVE OPPORTUNITIES TIED TO PERFORMANCE GOALS ESTABLISHED BY THE BOARD, BENEFITS DELIVERED IN THE 50TH PERCENTILE OF A NATIONAL PEER GROUP AND TOTAL COMPENSATION POSITIONED AT APPROXIMATELY THE 50TH PERCENTILE FOR EXPECTED PERFORMANCE, AND SOMEWHAT ABOVE THAT FOR EXCEPTIONAL PERFORMANCE. EXECUTIVE PAY IS REVIEWED ANNUALLY BY A THIRD-PARTY CONSULTANT. THIS REVIEW INCLUDES A COMPARISON OF GFH EXECUTIVE PAY PRACTICES WITH NATIONAL AND REGIONAL BENCHMARK STUDIES AS APPROPRIATE. THE CONSULTANT IS ENGAGED DIRECTLY BY THE GFH BOARD OF GOVERNORS AND REPORTS THEIR FINDINGS TO BOARD PERSONNEL COMMITTEE FOR REVIEW AND ACTION.
FORM 990, PART VI, SECTION C, LINE 19	OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION B, LINE 16A	JOINT VENTURE LINES 16A AND 16B HAVE BEEN ANSWERED IN THE AFFIRMATIVE DUE TO THE ACTIVITIES OF COLUMBIA MEMORIAL HOSPITAL AND GLENS FALLS HOSPITAL. THE OTHER SUBORDINATE ORGANIZATIONS RESPOND IN THE NEGATIVE TO LINE 16A.
FORM 990, PART VI, SECTION C, LINE 20	THE PERSON IN POSSESSION OF THE BOOKS AND RECORDS FOR THE SUBORDINATE ORGANIZATIONS ARE AS FOLLOW: COLUMBIA MEMORIAL HOSPITAL AND AFFILIATES: NAME: BRYAN MAHONEY ADDRESS: 71 PROSPECT AVE, HUDSON NY, 12534 PHONE: 518-828-7601 SARATOGA HOSPITAL AND AFFILIATES: NAME: MICHAEL BATTLE ADDRESS: 211 CHURCH STREET, SARATOGA SPRINGS, NY 12866 PHONE: 518-587-3222 GLENS FALLS HOSPITAL: NAME: CRAIG LETOURNEAU ADDRESS: 100 PARK STREET, GLENS FALLS, NY 12801 PHONE: 518-926-5013
FORM 990, PART XI, LINE 9:	PRIOR YEAR ASSETS OF GLENS FALLS HOSPITAL 149,956,261. PENSION-RELATED CHANGES 22,821,354. INTERCOMPANY ADJUSTMENTS -4,000,000. CHANGE IN FOUNDATION INTERESTS 769,843. CHANGE IN INTEREST RATE SWAPS 263,136. OTHER REVENUE AND EXPENSE ADJUSTMENTS -40,044.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	COLUMBIA MEMORIAL REGIONAL MEDICAL PLLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	71 PROSPECT AVE	AddressLine1Txt
City	HUDSON	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12534	ZIPCd

Field	Value	IRS element (for citing)
EIN	871486879	EIN
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd
Total Income	$14,331	TotalIncomeAmt
End Of Year Assets	$2,530,299	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd
BETTER HEALTH FOR NORTHEAST NEW YORK
43 NEW SCOTLAND AVENUE	ALBANY	NY	12208	811861104	DSRIP	NY	501(C)(6)	AMC HOSPITAL	Yes (1)
THE SECOND SHOW INC
519 WARREN STREET	HUDSON	NY	12534	141796715	THRIFT SHOP	NY	501(C)(3)	CMH	Yes (1)	7
GLENS FALLS MEDICAL PLLC
100 PARK STREET	GLENS FALLS	NY	12801	823943636	PHYSICIANS	NY	501(C)(3)		Yes (1)	10	N/A
GLENS FALLS HOSPITAL FOUNDATION
100 PARK STREET	GLENS FALLS	NY	12801	141790805	SUPPORT	NY	501(C)(3)		0	10	N/A
ADIRONDACK HEALTH SERVICES
100 PARK STREET	GLENS FALLS	NY	12801	141667492	PARENT	NY	501(C)(3)		0	12B, II	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	IMAGING SERVICES OF NORTHEASTERN NY LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 PARK STREET	AddressLine1Txt
City	GLENS FALLS	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	12801	ZIPCd

Field	Value	IRS element (for citing)
EIN	141820955	EIN
Primary Activities	DIAG. RADIOLOGY	PrimaryActivitiesTxt
Legal Domicile State	NY	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$384,560	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,824,643	ShareOfEOYAssetsAmt
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd
Ownership	0.50000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

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

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

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
THE SECOND SHOW INC
Q	$201,434	CASH
GLENS FALLS HOSPITAL FOUNDATION
D	$6,704,269	FMV