2020-11-13T15:37:38-06:00 2019-12-31 KPMG LLP 515 Broadway 4th Floor Albany NY 122072974 990 2019-01-01 473869194 Albany Medical Center Group Organization % Frances S Albert CPA ALBA 5182625585 47 New Scotland Ave MC116 Albany NY 12208 FRANCES S ALBERT EXEC VP COO & CFO 5182625585 2020-11-13 true Todd P Teresco P00247720 5184274600 2020-11-10 199.207.253.96 14012520203185000013 2020-11-13 P EC4CAE4DABBF2D41825E3CF88D329D8D98EEF318 EC4CAE4DABBF2D41825E3CF88D329D8D98EEF318 2019 2021-01-29 14:40:06Z Dennis P McKenna 47 New Scotland Ave MC116 Albany NY 12208 2229332394 true true 5980 X www.amc.edu X See Schedule O. 78 60 15059 1079 3189732 0 59394198 71708454 1878609302 1973336446 46278521 26087460 52481483 63492678 2036763504 2134625038 16727064 20562236 0 0 965718856 1038410997 0 0 3540733 989578643 1037445309 1972024563 2096418542 64738941 38206496 2000498228 2157723679 1061205344 1111953816 939292884 1045769863 X See Schedule O. false false 740842054 60000 775416132 Inpatient & Outpatient Services Albany Medical Center and Affiliates: Provision of inpatient and outpatient services including specialized nursing services and emergency room. Albany Medical Center admissions were approximately 41,700 and patient days were approximately 231,100. Columbia Memorial Hospital: Columbia Memorial Hospital Emergency Care Visits were approximately 27,972 and outpatient and ancillary service visits were approximately 415,181. Acute inpatient hospital services total approximately 28,784 patient days. Saratoga Hospital: Provision of inpatient and outpatient services including specialized nursing services, emergency room, urgent care, imaging and lab related services. Admissions were approximately 10,900 and patient days were approximately 53,500. 511607295 460605962 Faculty Practice Albany Medical Center operates a clinical practice activity (patient care) for the faculty of the Albany Medical College. 2019 experienced over 502,000 patient visits. 228664647 369115670 Diagnostic & Testing Services Inpatient and outpatient services including diagnostic imaging, radiation therapy, and cardiac catheterization. In 2019, Albany Medical Center inpatient professional services totaled 91,137; outpatient services totaled 49,074 and ER services was approximately 90,882. 336999667 20502236 414647131 1818113663 true true false true false true false false true true true false true true true true false true true false true false false false true false true true true true true true false false false false false false false false true false true false false false false true true true false false true 1063 0 true 15059 true true true true NL false false true true true true false false false false false false false true false X 78 60 false false false false true true true true true false false true true true true true true true true true true NY X Frances S Albert CPA 5182628795 47 New Scotland Ave Albany NY 12208 James J Barba President & CEO (AMC) 20.0 20.0 X X 0 1721450 314648 Steven M Frisch MD Board Member (SH & CMH) 37.0 20.0 X 0 1085977 121031 Vincent Verdile MD Sr Exec VP Sys Care (AMC) 38.0 4.0 X 1049321 0 121304 Angelo G Calbone President/CEO (SH) 38.0 2.0 X X 1124781 0 35490 Dennis McKenna Board Member (CDT) 42.0 0.0 X 1039151 0 111551 Gordon Kuhar Physician (SH) 38.0 0.0 X 1088328 0 17912 Andrew J Rosenbaum Asst Prof/Clin (AMC) 40.0 0.0 X 1041160 0 30497 Frances Albert EVP COO & CFO (AMC) 29.0 15.0 X 0 922893 87444 Alan S Boulos Department Chair (AMC) 40.0 0.0 X 956883 0 36097 Ferdinand J Venditti EVP System Care Delivery (AMC) 39.0 3.0 X 850805 0 102220 Christopher Gorczynski Physician (CMH) 40.0 0.0 X 924329 0 24719 Lewis W Britton III Professor/Clin (AMC) 40.0 0.0 X 899859 0 32963 Jay P Cahalan PRESIDENT & CEO (CMH) 40.0 0.0 X X 720756 0 119431 Steven M Parnes MD Board Member (AMC) 46.0 2.0 X 756058 0 31531 Richard Falivena VP Chf Med & Phys Integ (SH) 38.0 0.0 X 473660 0 28394 Hiral Amin MD Board Member (CMH) 48.0 0.0 X 441100 0 28103 Mary Jo LaPosta SVP Patient Care & Org (SH) 38.0 0.0 X 433633 0 26057 Gary Foster VP & CFO (SH) 38.0 2.0 X 415555 0 17892 David J Conti Board Member (CDT) 42.0 0.0 X 376608 0 33247 Jeffrey Methven VP Ambulatory Serv & HR (SH) 38.0 2.0 X 346864 0 35604 Kevin Ronayne VP Ops & Facilities (SH) 38.0 2.0 X 321041 0 31943 John Mangona VP CIO and Comp (SH) 38.0 0.0 X 318938 0 17694 Gary J Kochem Fmr Exec VP & COO (AMC) 20.0 20.0 X 0 318868 263 Karen Tassey COO (CMH) 40.0 1.0 X 298039 0 10200 Bryan T Mahoney CFO (CMH) 40.0 1.0 X 296641 0 750 Michael Dailey Board Member (CDT) 42.0 0.0 X 271467 0 21698 Vickey Masta-Gornic Board Member (KIDS) 2.0 40.0 X 0 225717 8641 Mary Ellen Plass CNO (CMH) 40.0 0.0 X 223429 0 6126 Michele K Skumurski Board Member (KIDS) 2.0 40.0 X 0 196738 1472 Meghan Weygant Board Member (KIDS) 42.0 0.0 X 169052 0 12396 Brigido Montero Board Member (KIDS) 2.0 40.0 X 0 155078 19448 Robert Pistilli Board Member (KIDS) 42.0 0.0 X 116184 0 26817 Christine Hayes Board Member (KIDS) 2.0 40.0 X 0 119997 7725 Catherine Riddle Board Member (KIDS) 42.0 0.0 X 99416 0 9008 John W Herritage thr Board Member (KIDS) 42.0 0.0 X 93909 0 4711 Megan Helmecke Board Member (KIDS) 42.0 0.0 X 77439 0 20788 Mary Carey Board Member (KIDS) 42.0 0.0 X 69953 0 9564 Dorothy Urschel COO (CMH beg 12/19) 40.0 0.0 X 497 0 0 Raimundo C Archibold Board Member (AMC) 6.0 2.0 X 0 0 0 Anthony M Durante Board Member (AMC) 6.0 2.0 X 0 0 0 Robert T Cushing Chairman (AMC)/Bd Mbmr (SH) 11.0 2.0 X 0 0 0 Joyce M DeFazio Board Member (AMC) 6.0 2.0 X 0 0 0 R Wayne Diesel Board Member (AMC) 6.0 2.0 X 0 0 0 Sharon Duker Board Member (AMC) 6.0 2.0 X 0 0 0 Peter H Elitzer Board Member (AMC) 6.0 2.0 X 0 0 0 Havidan Rodriguez Board Member (AMC) 6.0 2.0 X 0 0 0 Margaret Gillis Vice Chair (AMC) 6.0 2.0 X 0 0 0 David Golub Board Member (AMC) 6.0 2.0 X 0 0 0 Doug M Hamlin Vice Chair (AMC) 6.0 2.0 X 0 0 0 Peter H Heerwagen Board Member (AMC) 6.0 2.0 X 0 0 0 Carolyn Stefanco Board Member (AMC) 6.0 2.0 X 0 0 0 James O Jackson PhD Board Member (AMC) 6.0 2.0 X 0 0 0 Lillian Moy Esq Board Member (AMC) 6.0 2.0 X 0 0 0 John J Nigro Board Member (AMC) 6.0 2.0 X 0 0 0 John B O'Connor Board Member (AMC) 6.0 2.0 X 0 0 0 Daniel T Pickett III Board Member (AMC) 6.0 2.0 X 0 0 0 Michael H Iacolucci Board Member (AMC & SH) 11.0 2.0 X 0 0 0 Janice Smith Board Member (AMC) 6.0 2.0 X 0 0 0 Jeffrey Sperry Board Member (AMC) 6.0 2.0 X 0 0 0 Jeffrey Stone Vice Chair (AMC)/Bd Mbmr (CMH) 14.0 2.0 X 0 0 0 Todd B Tidgewell Board Member (AMC) 6.0 2.0 X 0 0 0 Omar Usmani Board Member (AMC) 6.0 2.0 X 0 0 0 Candace King Weir Board Member (AMC) 6.0 2.0 X 0 0 0 Theresa Skaine Chairperson (SH)/Bd Mbmr (AMC) 11.0 2.0 X 0 0 0 Ruth H Mahoney Board Member (AMC) 6.0 2.0 X 0 0 0 Morris C Massry Board Member (AMC) 6.0 2.0 X 0 0 0 Mary Gail Biebel Board Member (AMC & CMH) 15.0 2.0 X 0 0 0 Janice White EdD Board Mbr (AMC)/Secretary (SH) 11.0 2.0 X 0 0 0 Carlos Marroquin Board Member (CDT) 2.0 0.0 X 0 0 0 Aisha M Tator Board Member (CDT) 2.0 0.0 X 0 0 0 Wesley Merritt Board Member (CDT) 2.0 0.0 X 0 0 0 Michael Scollins Board Member (CDT) 2.0 0.0 X 0 0 0 Kristin Kirk Meehan Board Member (CDT) 2.0 0.0 X 0 0 0 Eileen Whalen thru 4 Board Member (AMC) 2.0 0.0 X 0 0 0 Donna Sickler Board Member (CDT) 2.0 0.0 X 0 0 0 Claire Parde Vice Chair (CMH) 8.0 1.0 X 0 0 0 James Lapenn Treasurer (CMH) 8.0 0.0 X X 0 0 0 Hilla Richardson Secretary (CMH) 8.0 0.0 X X 0 0 0 V Richard Back MD Board Member (CMH) 8.0 0.0 X 0 0 0 Carlee Drummer PhD Board Mmber (CMH beg 11/19) 8.0 0.0 X 0 0 0 Kirk Kneller Board Member (CMH) 8.0 0.0 X 0 0 0 Ellen Lagemann Board Mmber (CMH beg 8/19) 8.0 0.0 X 0 0 0 John Matthews MD Board Member (CMH) 8.0 0.0 X 0 0 0 Stephen Nelson Board Member (CMH) 8.0 0.0 X 0 0 0 William Palmer Board Mmber (CMH beg 11/19) 8.0 0.0 X 0 0 0 Will Pelgrin Board Member (CMH) 8.0 0.0 X 0 0 0 Molly Poleto Board Member (CMH) 8.0 0.0 X 0 0 0 Deborah Lans Chair (CMH) 16.0 0.0 X X 0 0 0 Susan L Dake Board Member (SH) 3.0 0.0 X 0 0 0 Judith A Ekman Board Member (SH) 3.0 0.0 X 0 0 0 Frank L Messa Board Member (SH) 3.0 0.0 X 0 0 0 Donna Montalto Board Member (SH) 3.0 0.0 X 0 0 0 Marianne A Mustafa M Board Member (SH) 3.0 0.0 X 0 0 0 Alan C Oppenheim Board Member (SH) 3.0 0.0 X 0 0 0 Thomas J Roohan Board Member (SH) 3.0 0.0 X 0 0 0 N Keith Stewart Treasurer (SH) 3.0 0.0 X 0 0 0 Michael J Toohey Vice Chairperson (SH) 3.0 0.0 X 0 0 0 Heather M Ward Board Member (SH) 3.0 0.0 X 0 0 0 Michael D West Board Member (SH) 3.0 0.0 X 0 0 0 14173510 4049188 1416985 1561 true true false AOW Associates Inc 30 Essex St Albany NY 12206 Construction 19631174 Community Care Physicians PC PO Box 10025 Albany NY 12201 Medical Mgmt Service 18200928 Aramark 27310 Network Place Chicago IL 606731273 Environmental Svcs 9837353 CompHealth PO Box 972651 Dallas TX 75397 Staffing Solutions 6087356 AMN Healthcare Inc PO Box 281923 Atlanta GA 30384 Staffing Solutions 3784351 143 1630317 15857797 15684206 38536134 2500495 71708454 Medical Services 621990 1925653989 1922468158 3185831 Instruction 611600 43175110 43175110 Research 541700 2391753 2391753 Day Care Fees 611600 2070685 2070685 Food Subsidies 611600 44909 44909 1973336446 15790894 -9810 15800704 49762 49762 0 1414954 12920 1402034 0 1402034 13711 1388323 105852278 -1683618 93921856 11930422 -1683618 10246804 10246804 266008 1630317 772580 -506572 -506572 0 0 0 936676 0 681962 681962 Program Service Expense Reim. 812900 25921557 25921557 Contracted Services 621110 11924031 11924031 MISC - CAFE & COFFEE SHOP 722310 8303023 8303023 15766643 7920899 7845744 61915254 2134625038 2016599064 3189732 43127788 14577606 14577606 5984630 5984630 0 0 12376406 3116693 9259713 148026 148026 876463139 841558786 32738210 2166143 25088262 23982060 1051146 55056 67652705 64300189 3188584 163932 56682459 53746309 2806593 129557 394667 394667 1114857 2247 1112610 494228 494228 146084 107127 38957 0 2247627 35920 2211707 97116886 90972745 6000294 143847 2903950 1303622 1600239 89 44505927 37460549 6864073 181305 118432394 8269038 110163356 0 26460927 17699713 8417582 343632 4036495 3346313 552866 137316 0 1297004 1200447 92620 3937 25245063 17467936 7759780 17347 168206918 131474833 36730242 1843 94877728 62400216 32466404 11108 31085992 28627102 2458890 Medical Surgical 339632918 339824576 -191658 Machine Rental & Maintenance 26431895 22963117 3369134 99644 Food & General Supplies 21457562 20143735 1313827 Drugs & Medicine 9967634 9965116 2518 21388553 17040345 4262231 85977 2096418542 1818113663 274764146 3540733 74231114 152393133 248021106 228443016 12945084 11523306 205286491 227727474 0 0 0 0 7012844 9143183 30689461 32665034 23197501 22414216 1899647420 1104980982 761611299 794666438 71595766 78189009 61170143 74454877 291410767 312558378 9284353 9520071 204042299 204025544 2000498228 2157723679 201950984 213375509 0 0 19519877 19706405 118976974 101658992 1414421 12238360 0 0 414600569 451495397 0 0 304742519 313479153 1061205344 1111953816 X 758827907 856547108 180464977 189222755 939292884 1045769863 2000498228 2157723679 X 38206496 60291760 7978723 X false false true true X 40345413 43503921 51010080 43729149 49875455 228464018 0 0 40345413 43503921 51010080 43729149 49875455 228464018 7794151 220669867 3254894 2600681 2313402 2956890 3039255 14165122 0 1873175 1700968 1398553 1604331 3699639 10276666 252905806 1695293838 0.87254 0.87515 X false false false false false 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Sch 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 Colleges activities is included in Schedule A Part II. Albany Medical Center Kidskeller - 501(c)(3) 2; Kidskeller is an organization that would be selected as a Part I selection 2 school. Albany Medical Center Foundation - 501(c)(3) 7; The Foundation is a Part I selection 7 organization. The charity data for the Foundation activities is included in Schedule A Part II. Center for Donation and Transplant - 501(c)(3) 12a; CDT is an organization that would be selected as a Part I selection 12a supporting organization of Albany Medical College. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 146084 146084 false Sch C Part II-B Line 1i The organization belongs to several hospital associations for which a portion of the membership dues are used for lobbying activities. 1 33106 true false false true X 142357866 4371193 25702476 2246961 7241782 162942792 133281069 27634845 -10830814 2179003 5548231 142357866 115416968 4238365 19921770 2055177 4240857 133281069 113127807 2468431 5923667 1982780 4120157 115416968 118822311 2144936 -1857540 1929575 4052325 113127807 0.22250 0.74100 0.03650 false false 20112704 20112704 1025525904 506306045 519219859 11949435 9094870 2854565 637889636 500416699 137472937 204169741 89163368 115006373 794666438 ENDOWMENT & OTHER PROGRAMS 171331131 F BOND 31061116 F SELF-INSURANCE 101771610 F CHARITABLE TRUSTS 5520535 F OTHER INVESTMENTS - SH 15001 F OTHER PROGRAM RELATED CMH 2858985 F 312558378 INTERCOMPANY 93112371 CURRENT 8129099 NON-CURRENT 26375399 PENSION 10758730 INVESTMENT IN BENEFIT PLANS 1829565 RIGHT OF USE - OPERATING LEASE 10206516 OTHER ASSETS - PORTFOLIO 42851 DUE FROM SC FOUNDATION 2432763 GOODWILL 1381134 CASH SURRENDER VALUE 267478 OTHER ASSETS - SARATOGA 69586 INVESTMENT IN JV 1836184 ROU ASSETS - OPERATING LEASES 32237425 INTERINSTITUTIONAL RECEIVABLE 14576443 GUILD - ROU ASSETS - OP LEASE 770000 204025544 -221325 SELF INSURANCE 121597174 INTERINSTITUTIONAL PAYABLE 51831738 OTHER LONG-TERM 29760730 OTHER SHORT-TERM 19316514 WORKERS COMPENSATION 11008568 3RD PARTY LIABILITIES 7801000 FEDERAL LOAN PROGRAM 4889519 LEASE LIABILITY - FINANCE 4775263 LEASE LIABILITY - OPERATING 46012958 ASB ABATEMENT 2509528 ACCRUED VACATION & PTO 4752451 ACCRUED PENSION 2947203 ASSET RETIREMENT OBLIGATION 1735626 DEFERRED LIABILITY - LIFE INS 1303565 PROF. LIABILITY INSURANCE RESERVE 3025532 DEFERRED RENT 301562 INTEREST RATE SWAP 131547 313479153 X Sch D Part IV Line 2b Explanation of Escrow Account Liability Gift annuities Sch D Part V Line 4 Albany Medical Center College The College's endowment consists of approximately 320 individual funds established for a variety of purposes including both donor-restricted endowment funds and funds designated by the Board of Trustees to function as endowments. The College has a spending rate policy to provide a predictable stream of funding to the programs supported by its endowments. This policy calls for a weighted average calculation of the endowment market value over the past thirteen quarters. 5% (annual) of this weighted average is then allocated to the programs supported for use in accordance with the endowed restrictions. The calculation and allocation of funds occurs on a quarterly basis. Spending from the endowments is restricted for various purposes. A significant portion of the endowment funds are used to provide scholarships and financial assistance to medical students. Other uses of the endowments include, but are not limited to, creation and funding of department chairs and professorships, support for research activities and support for fellowships. Columbia Memorial Hospital Columbia Memorial Hospital 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 donors 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. 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. Sch D Part X Line 2 With the exception of Madison Avenue Services Corporation, Albany Med Subs, Albany Medical Park South I, LLC and Better Health of Northeast New York, Inc. all entities comprising the System are not-for-profit corporations under Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes pursuant to Section 501(a) of the Code. Better Health of Northeast New York, Inc. is a 501(c)(6). Income taxes associated with Madison Avenue Services Corporation are not material to the combined financial statements. In addition, Albany Medical Park South I, LLC and Albany Med Subs, are limited liability companies which are disregarded entities for income tax purposes. The System recognizes income tax positions when it is more-likely than-not that the position will be sustainable based on the merits of the position. Management has concluded that there are no uncertain tax positions that need to be recorded at December 31, 2019 and 2018. true true true true true true true false false false false false false false false true false true Sch E - Reporting Schools Schedule E is being completed for the following subordinate organizations of the Albany Medical Center Group Organization. These subordinates are schools described in section 170(b)(1)(A)(ii). - Albany Medical College - Albany Medical Center Kidskeller Sch E Part I Line 3 Nondiscriminatory Policy School: Albany Medical College The racially nondiscriminatory policy is published in the Albany Medical College Handbook and indicated in newspaper advertisements. School: Albany Medical Center Kidskeller Albany Medical Center Kidskeller answers in the negative to this question because it does not currently publish its racially nondiscriminatory policy through a newspaper. However, the organization draws its students from local communities, follows a racially nondiscriminatory policy as to students and the organization includes a racially nondiscriminatory policy as to students in all its brochures and catalogues dealing with student admissions, programs, and scholarships. Sch E Part I Line 4d Solicitation of Contributions School: Albany Medical Center Kidskeller Albany Medical Center Kidskeller answers in the negative to this question because it does not solicit contributions. In all its brochures and catalogues dealing with student admissions, programs, and scholarships. Sch E Part I Line 6a Explanation of Aid or Assistance from Governmental Agency School: Albany Medical College Albany Medical College participates in the direct loan program as well as operates certain other federally funded financial aid programs. School: Albany Medical Center Kidskeller Albany Medical Center Kidskeller participates in the USDA Food Subsidy Program. Central America and the Caribbean Investments 16015812 North America Investments 21418316 37434128 37434128 true false true true true false Sch F Part I Line 3(f) Method of Accounting The accounting method is Fair Market Value. Investments & Expenditures per Region The amounts are entirely investments. Telethon/Radio 992717 948381 44336 374839 Dance in Woods 348828 231128 117700 227644 6 554780 450808 103972 170097 1896325 1630317 266008 772580 772580 -506572 true true X true X true X true true true false true true 11949447 1159588 10789859 0.00660 301568753 247391081 54177672 0.03310 290182 290182 0.00020 313808382 248550669 65257713 0.03990 8 32935 6332315 2778241 3554074 0.00220 5 497 74446558 12909979 61536579 0.03760 26930866 19064142 7866724 0.00480 7589715 1508982 6080733 0.00370 60081 60081 13 33432 115359535 36261344 79098191 0.04830 13 33432 429167917 284812013 144355904 0.08820 25000 25000 74626 40000 34626 722427 722427 0.00040 1444442 1444442 0.00090 2266495 40000 2226495 0.00130 true 347122640 370648538 -23525898 X true true Tri-Way Intervention Rental of Vascular Equipment 0.33 0.33 3 1 Albany Medical Center Hospital 43 New Scotland Avenue Albany NY 12208 www.amc.edu 010100H X X X X X X X 1 2 Saratoga Hospital 211 Church Street Saratoga Springs NY 12866 www.saratogahospital.org 4501000H X X X 2 3 Columbia Memorial Hospital 71 Prospect Avenue Hudson NY 12534 www.columbiamemorialhealth.org 1001000H X X X 3 ALBANY MEDICAL CENTER HOSPITAL 1 false false true X X X X X X X X X 19 true true true true X SEE SECTION C X X true 19 true SAME AS LINE 7A false true X 100 400. X X true true X X X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X true X false X X X X X true X false false SARATOGA HOSPITAL 1 false false true X X X X X X X X 19 true true true true X SEE SECTION C X www.HCDINY.org X true 19 true SAME AS LINE 7A false true X 250. 400. X X X X true true X X X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X true X X X false X X X true X false false Columbia Memorial Hospital 1 false false true X X X X X X X X X 19 true true true true X SEE SECTION C X true 19 true SAME AS LINE 7A false true X 100 400. X X X X true true X X X true X SEE SECTION C X SEE SECTION C X SEE SECTION C X X X X X X true X false X X X X true X false false Sch H Part V Line 5 Account Input from Person Who Represent the Community Albany Medical Center, Columbia Memorial Health, and Saratoga Hospital comprised the Albany Med Health System in 2019 (a new affiliate hospital joined the system in 2020). Each of our hospitals have a proud and long tradition caring for our communities in New York States Capital Region. Albany 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 regions 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. Sch H Part V Line 6a List Other Hospital Facilities that Jointly Conducted Needs Assessment All hospitals located within the defined 6-county Capital Region participated in the collaborative process of assessing the health needs of the community. They include: Albany Medical Center, Columbia Memorial Hospital, Ellis Medicine, Saratoga Hospital, and St. Peters Health Partner hospitals. Sch H Part V Line 6b CHNA Conducted by Organizations Other Than Hospital Many businesses, community based organizations, advocacy groups, health insurers, and others participated in the CHNA; because of the local nature of some of the organizations, the list of participants varied among each of the regional workgroups (Albany-Rensselaer Counties, Columbia-Greene Counties, Saratoga County, Schenectady County). A full list of organizations playing a part in the Albany-Rensselaer County Prioritization Workgroup, of which Albany Medical Center was a leading member, can be found on page 32 of the 2019 HCDI Community Health Needs Assessment (HCDI CHNA): http://www.hcdiny.org/content/sites/hcdi/2019_CHNA/2019_HCDI-Community-Hea lth-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-Hea lth-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-Hea lth-Needs-Assessment.pdf. Sch H Part V Line 7 Line 7a Facility: Albany Medical Center The hospital's CHNA is posted at the following website: https://www.amc.edu/Community-Health-Needs-Assessment-and-Implementation-S trategy/index.cfm Facility: Saratoga Hospital The hospital's CHNA is posted at the following website: https://www.saratogahospital.org/classes/communityhealthneedsassessment Facility: Columbia Memorial Hospital The hospital's CHNA is posted at the following website: https://www.columbiamemorialhealth.org/patients-and-visitors/community-hea lth/ Line 7d Description of Making Needs Assessment Widely Available Facility: Albany Medical Center Hospital - Albany Med's newsletter 'Albany Med Today', distributed to employees, donors, public - Albany Med Board of Directors Board Portal - Shared with local government officials and other members of our community when requested - Copies are furnished upon 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 request Facility: 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 Countys website - Copies are furnished upon request Sch H Part V Line 11 Significant Health Needs Identified 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-Hea lth-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 groups 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-Hea lth-Needs-Assessment.pdf pages 31-33 Columbia-Greene Counties Prioritization Work Group: http://www.hcdiny.org/content/sites/hcdi/2019_CHNA/2019_HCDI-Community-Hea lth-Needs-Assessment.pdf pages 34-35 Saratoga County Prioritization Work Group: http://www.hcdiny.org/content/sites/hcdi/2019_CHNA/2019_HCDI-Community-Hea lth-Needs-Assessment.pdf 37-38 Albany-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 Disorders Existing task forces will have their scopes modified, or new task forces will be established to develop and implement Community Health Improvement Plan interventions for each of the priority areas selected. For example, the existing Obesity-Diabetes Task Force will review and revise their efforts to prevent obesity and type 2 diabetes, and help patients learn how to self-manage and live a healthy lifestyle. Asthma/tobacco prevention strategies task force will work with existing efforts of Healthy Neighborhood Programs, Delivery System Reimbursement Incentive Payment Program (DSRIP) Performing Provider Systems (PPS), Green and Healthy Homes Initiative, and, Capital District Tobacco-Free Communities, who currently partners with the Albany County Strategic Alliance for Health, as well as the Asthma Coalition of the Capital Region. Addressing mental health will require collaboration with both Albany and Rensselaer counties Departments of Mental Health. Mental health interventions may also integrate DSRIP (Delivery System Reimbursement Incentive Payment Program), PPS and health homes. Albany Medical Center, specifically, will provide the staff, facilities, resources and budget necessary to carry out initiatives as outlined in their Implementation Strategy, found on pages 29-35 in the Albany Medical Center Community Health Needs Assessment and Community Health Improvement Plan 2019-2021: https://www.amc.edu/aboutus/upload/Albany-Med-Community-Health-Needs-Asses sment-and-Community-Service-Plan_2019-2021.pdf. Columbia-Greene Counties Prioritization Workgroup Columbia 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 treatment The Greene County Mobilizing for Action through Planning and Partnerships (MAPP) community group and the Columbia County Public Health Leadership group will support the development of a joint-county task force for each Priority Area. Community health partners who work in each respective priority area will comprise each Priority Area-focused task force. Each task force will meet on a monthly basis and community partners responsible for priority area actions will provide updates on ongoing and projected activities and interventions. The task forces will be responsible for alignment and guidance of all countywide activities related to each Priority Area. Columbia Memorial Hospital will provide the resources necessary to support the selected initiatives, as outlined in their Implementation Strategy, on pages 4-6, 9, and 12-14 of the Appendix within the Columbia Memorial Health Community Health Needs Assessment and Community 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 Workgroup Saratoga County selected the following Prevention Agenda Priority Areas: - Reduce Obesity - Prevent Substance Abuse Disorders (including opioids) To address needs identified in the CHNA, Saratoga Hospital will engage key community partners in implementing evidence-based strategies across Saratoga County. Acknowledging that many organizations and resources are in place to address the health needs of the community, Saratoga Hospital has strategically reviewed both internal and external resources. Saratoga Hospital will provide the staff, facilities, resources and budget necessary to address the selected priorities, as outlined in their Community Health Needs Assessment Implementation Strategy 2019-2021. The details of the Implementation Strategy begin on page 17: https://www.saratogahospital.org/resources/filebrowser/PDFs/2019%20CSP%20a nd%20Implementation%20Strategy%20Final%20Approved.pdf Needs not being addressed in the Implementation Strategies During the prioritization processes, many health needs were selected by the prioritization workgroups as important to address. While there was commonality among many of the pressing health needs, there were also regional differences. The health priorities of Albany and Rensselaer Counties, Columbia and Greene Counties, Saratoga County, and Schenectady County are being addressed largely by hospitals, local health departments, and other organizations within their respective communities. Albany and Rensselaer Counties Albany Med Health System partner Albany Medical Center, with Albany County and Rensselaer County Departments of Health and St. Peters Health Partners, are taking the lead on aligning efforts around mutually selected priority areas. If and when feasible, partners Columbia Memorial Hospital and Saratoga Hospital will assist with the implementation of the Albany-Rensselaer Workgroups initiatives. Columbia and Greene Counties Albany Med Health System partner Columbia Memorial Hospital, with Greene County Public Health and Columbia County Department of Health is taking the lead on aligning efforts around mutually selected priority areas. If and when feasible, Albany Medical Center and Saratoga Hospital will assist with the implementation of the Workgroups initiatives. Saratoga County Albany 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 hen feasible, Albany Medical Center and Columbia Memorial Hospital will assist with the implementation of the Workgroups initiatives. Schenectady County Schenectady County Public Health Services, Ellis Medicine and Sunnyview Rehabilitation Hospital are taking the lead to address the priority areas selected for this region. They have also been working closely with other Schenectady Partners through the Schenectady Coalition for Healthy Communities (SCHC). When feasible, Albany Medical Center, Columbia Memorial Hospital, and/or Saratoga Hospital will assist with the implementation of the Workgroups initiatives. Sch H Part V Line 13h Other Factors Used in Determining Amounts Charged Patients Facility: Albany Medical Center Hospital The organization also uses residency as a determining factor. For patients that reside outside the service area, available services to that patient in their service area is also a factor. Facility: Saratoga Hospital Additional eligibility criteria for the Hospitals Financial Assistance Policy include the following: -Homeless patients are automatically eligible for financial assistance. -Services provided to patients filing for Chapter 7 bankruptcy protection are eligible for financial assistance. -Services provided to patients who have since died and have no known estate are eligible for financial assistance. Sch H Part V Line 15e Other Actions Taken Before Any Collection Actions Facility: Saratoga Hospital In accordance with the Hospitals Financial Assistance Policy, the Hospital may require patients to apply for Medicaid or other publicly sponsored insurance programs. The Hospital provides resources to assist patients with the Medicaid application process. As part of this process, Medicaid may require the patient to make a payment to the Hospital, known as a 'spend-down amount,' as a condition for Medicaid approval. Any payments the patient is required to make to the Hospital including, but not limited to, the spend-down amount and co-pay and/or deductible amounts are eligible for coverage under the Financial Assistance Policy. Sch H Part V Line 16a, 16b, and 16c Facility: Albany Medical Center The Hospital's financial assistance policy, applicable, and plain language summary are posted at the following website: www.amc.edu/pbs Facility: Saratoga Hospital The Hospital's financial assistance policy, applicable, and plain language summary are posted at the following website: https://www.saratogahospital.org/patients-visitors/patients/billing/financ ial-assistance Facility: Columbia Memorial Hospital The Hospital's financial assistance policy, applicable, and plain language summary are posted at the following website: https://www.columbiamemorialhealth.org/financial-assistance/ Sch H Part V Line 20d Other Billing Determination of Individuals Without Insurance Facility: Saratoga Hospital The Hospital does not current have a process for assessing patients' presumptive eligibility for benefits under the Hospitals Financial Assistance Policy. Sch H Part V Line 20e Other Actions Taken Before Any Collection Actions Facility: Albany Medical Center Hospital The organization performs one last check for payor eligibility on accounts greater than $1,500. Sch H Part V Line 22d Other Billing Determination of Individuals Without Insurance Facility: Albany Medical Center Hospital Albany Medical Center utilizes the federal poverty guidelines to ensure patients are presumptively eligible, along with residence requirements. Based on family income and family members, Albany Medical Center utilizes a sliding scale calculation method to determine the amounts to bill the patient, and ultimately the amount to be paid by the patient.Charges are capped at the Medicare rates for inpatient and outpatient services. Sch H Part V Facility: Albany Medical Center Albany Medical Center Hospital has one facility with two locations. 93 Albany Medical Center Hospital South 25 Hackett Blvd Albany NY 12208 Second location of Albany Medical Center Hospital Albany Med HIV Medicine 1 Clara Barton Drive Albany NY 12209 HIV Medicine, Psychiatry Park South Medical Office Building 391 Myrtle Avenue Albany NY 12208 Vascular Surgery, Neurology (Pediatric), Ob/GY, Neurosurgery, Behavioral, Surgeons Pavilion 50 New Scotland Avenue Albany NY 12208 Surgery - ENT Adult, Plastic, Pediatric, General, Cardiothoracic Albany Med Malta 6 Medical Park Drive Suite 203 Ballston Spa NY 12020 Multispeciality Clinic Albany Med EmUrgentCare - Brunswick 730 Hoosick Road Brunswick NY 12180 EmUrgentCare Albany Med EmUrgentCare - Coxsackie 11835 Route 9W West Coxsackie NY 12192 EmUrgentCare Albany Med EmUrgentCare - Glenmont 329 Glenmont Road Glenmont NY 12077 EmUrgentCare Albany Med EmUrgentCare - Glenville 115 Saratoga Road Glenville NY 12302 EmUrgentCare Albany Med EmUrgentCare - Mechanicville 7 Price Chopper Plaza Mechanicville NY 12118 EmUrgentCare Albany Med EmUrgentCare - Niskayuna 1769 Union Street Niskayuna NY 12309 Urgent Care, Ambulatory Care Ctr, Community GI, General Srgry, Multispecialty, OB/GYN Albany Med Saratoga 377 Church Street 2nd Floor Saratoga Springs NY 12866 Vascular Surgery Albany Med EmUrgent Care - Saugerties 2976 Route 9W Saugerties NY 12477 EmUrgentCare Albany Med EmUrgent Care - Colonie 98 Wolf Road Suite 16 Albany NY 12205 EmUrgentCare Albany Med North Greenbush 101 Jordan Road Suite 201 Troy NY 12180 Multispeciality Clinic Albany Med Latham 713 Troy-Schenectady Road Suite 30 Latham NY 12110 Multispeciality Clinic Albany Med Washington Ave 1365 Washington Avenue Suite 200 Albany NY 12206 Sleep Disorders Institute, Multispecialty Clinic Albany Med Neurology 101 Jordan Road Suite 102 Troy NY 12180 Neurology Albany Med Neurology 1365 Washington Avenue Suite 100 Albany NY 12206 Neurology Albany Med Endocrinology 1365 Washington Avenue Suite 100 Albany NY 12206 Endocrinology Allergy Asthma and Immunology 176 Washington Avenue Extension Albany NY 12203 Allergy Albany Med (Valatie) 1301 River Street Suite 101 Valatie NY 12184 Multispecialty Clinic, Surgery Multispecialty Albany Med Internal Medicine 178 Washington Avenue Extension Albany NY 12203 Internal Medicine Albany Med Neurology 1783 Route 9 Suite 205 Clifton Park NY 12065 Neurology, Urology Albany Med ENT 1783 Route 9 Suite 207 Clifton Park NY 12065 Surgery - ENT WIC Program 220 Green Street Albany NY 12202 OB/GYN, WIC (Women, Infants, & Children's Program) Albany Med Clifton Park 453 Route 146 Suite 204 Clifton Park NY 12065 Multispeciality Clinic Albany Med Clifton Park Crossing Blvd 3 Crossing Boulevard Suite 2 Clifton Park NY 12065 Multispeciality Clinic Albany Med Delmar 250 Delaware Avenue Suite 202 Delmar NY 12054 Multispeciality Clinic Albany Med Gastroenterology 3757 Carman Road Schenectady NY 12303 Gastroenterology, Urology Albany Med Saratoga Surgery 381 Church Street 1st Floor Saratoga Springs NY 12866 General Surgery Albany Med Poughkeepsie 243 North Rd Suite 204 Poughkeepsie NY 12601 Vascular Surgery Albany Med EmUrgentCare - Clifton Park 989 Route 146 Clifton Park NY 12065 EmurgentCare Albany Med Pediatrics 100 Great Oaks Boulevard Suite 103 Albany NY 12203 Community Pediatrics Albany Med Thoracic Surgery 7 Southwoods Boulevard Albany NY 12211 Cardothoracic North Country OBGYN 90 South Street Glens Falls NY 12801 OB/GYN Albany Med Cardiology 2524 Route 9W Ravena NY 12143 Cardiology Albany Med Kingston 117 Marys Ave Suite 202 Kingston NY 12401 Vascular Surgery Peds Cardiology Albany Med EmUrgentCare - Latham 1019 New Loudon Road Latham NY 12047 EmUrgentCare, Pediatrics Albany Med EmUrgentCare - Rotterdam 1400 Altamont Avenue Rotterdam NY 12303 EmUrgentCare Albany Med EmUrgentCare - Guilderland 5 New Karner Road Guilderland NY 12084 EmUrgentCare Albany Med Vascular Surgery 102 Park Street Glens Falls NY 12801 Vascular Surgery Albany Med Vascular Surgery 1201 Nott Street Suite 202 Schenectady NY 12308 Vascular Surgery Albany Med Vascular Surgery 1250 Riverfront Center Suite 2420 Amsterdam NY 12010 Vascular Surgery 16 New Scotland Avenue 16 New Scotland Avenue 2nd Floor Albany NY 12208 Medicine - Pulmonary and Rheumatology Albany Med Pediatrics 22 New Scotland Avenue Albany NY 12208 Pediatrics, Psychiatry Albany Med Urology 2200 Rosa Road Schenectady NY 12309 Surgery - Urology Albany Med Bariatric Surgery 99 Delaware Avenue Delmar NY 12054 Surgery - Bariactrics Wilton Medical Arts 3040 - 3050 Route 50 Saratoga Springs NY 12866 Urgent Care/Imaging/Lab Svcs/Pain Mgmt/Family Med/Ambulatory Surgery Malta Med Emergent Care 6 Medical Park Drive Malta NY 12020 Urgent Care/Lab Svcs/Family Med/Hematology/Oncology/Imagin g/Infusion/Cardiology Regional Therapy Center at Care Lane 6 Care Lane Saratoga Springs NY 12866 Rehabilitation (OT/PT)/Nephrology/Neurology Regional Therapy Center at the Springs 9 Hampstead Place Suite 107 Saratoga Springs NY 12866 Rehabilitation (OT/PT) Regional Therapy Center at Washington St 225 Washington Street Saratoga Springs NY 12866 Rehabilitation (OT/PT) Saratoga Medical Oncology Hematology 3 Care Lane Saratoga Springs NY 12866 Oncology Hematology Saratoga Midwifery-Women's Primary Care 665 Saratoga Road Wilton NY 12831 Midwifery, Women's Primary Care, and Endocrinology Scotia-Glenville Family Medicine 112 Charlton Road Ballston Lake NY 12019 Family Medicne Saratoga Community Health Center 24 Hamilton Street Saratoga Springs NY 12866 Family Medicine/Dentistry/Internal Medicine/Mental Corporate Health Services 2388 Route 9 Malta NY 12020 Corporate Health Services Regional Therapy Center at Malta Commons 100 Saratoga Village Blvd Suite 34 Ballston Spa NY 12020 Rehabilitation (OT/PT) Milton Health Center 510 Geyser Road Ballston Spa NY 12020 Family Medicine/Physical Therapy/Rehabilitation (OT/PT) Saratoga Regional Urology Associates 19 West Avenue Suite 103 Saratoga Springs NY 12866 Urology/Sleep Lab/Pulmonary Medicine Saratoga Ctr Gen & Minimally Inv Surgery 1 West Avenue Suite 125 Saratoga Springs NY 12866 Minimally Invasive Surgery/Bariatric Surgery Saratoga Family Health 119 Lawrence Street Saratoga Springs NY 12866 Family Medicine/Podiatry Schuylerville Family Health 200 Broad Street Schuylerville NY 12871 Family Medicine Galway Family Health 5344 Sacandaga Road PO Box 190 Galway NY 12074 Family Medicine Cardiology Specialty Services 254 Church Street 2nd Floor Saratoga Springs NY 12866 Cardiology Mechanicville Primary Care 202 S Central Ave Mechanicville NY 12118 Primary Care Sports Medicine 8 Medical Park Drive Malta NY 12020 Sports Medicine Mechanicville Primary Care 2911 Route 9 Ballston Spa NY 12020 Primary Care Greene Medical Arts Bldg - GMI 159 Jefferson Heights Catskill NY 12414 O/P Medical Imaging Services Greene Medical Arts Bldg - Family Care 159 Jefferson Heights Catskill NY 12414 O/P Family Care Practices Greene Medical Arts Bldg - Specialty 159 Jefferson Heights Catskill NY 12414 O/P (Womens Hlth, Psych, Ortho, Draw) Greene Medical Arts Bldg - Specialty 159 Jefferson Heights Catskill NY 12414 O/P (Cardio, Sleep Ctr, Peds, Nephrology) Columbia Medical Complex - Imaging 67 Prospect Avenue Hudson NY 12534 O/P Medical Imaging Services Columbia Medical Complex - Specialty 67 Prospect Avenue Hudson NY 12534 O/P (Endo, Cardio, Nephro, Urology, Psych) Columbia Medical Complex - Specialty 67 Prospect Avenue Hudson NY 12534 O/P (Bone & Joint, Spine, Rheumatology) Columbia Medical Complex - Specialty 67 Prospect Avenue Hudson NY 12534 O/P (Women's Health & Surgery) Columbia Medical Complex - Surg Assoc 67 Prospect Avenue Hudson NY 12534 O/P Surgical Practice Columbia Medical Complex - Family Care 67 Prospect Avenue Hudson NY 12534 O/P Family Care Practices Columbia Memorial Bone & Joint 23 Fish and Game Road Hudson NY 12534 O/P (Ortho, PT & OT) Columbia Memorial Valatie Campus OSJ Plaza - 2827 Route 9 Valatie NY 12184 O/P (Rapid Care, Family Care, Draw) Valatie Medical Arts Building - Imaging 1301 River Street Valatie NY 12184 O/P Medical Imaging Services Valatie Medical Arts Building - Spec 1301 River Street Valatie NY 12184 O/P Cardiology Valatie Medical Arts Building - Fam Care 1301 River Street Valatie NY 12184 O/P Family Care Practice Columbia Memorial Pediatrics 813 Warren Street Hudson NY 12184 O/P Pediatric Services Callan Family Care Center 358 Mountain View Road Copake NY 12516 O/P Family Care Practice Chatham Family Care Center 31 Dardess Drive Chatham NY 12037 O/P Family Care Practice Broadway Family Care Center 7385 South Broadway Red Hook NY 12571 O/P Family Care Practice Cairo Family Care Center 4383 Route 23 Cairo NY 12413 O/P Family Care Practice Windham Medical Care 345 State Route 296 Hensonville NY 12439 O/P Family Care Practice Coxsackie Medical Care 9 Law Street West Coxsackie NY 12192 O/P Family Care Practice CMH Dental Van 71 Prospect Avenue Hudson NY 12534 Mobile Care Unit CMH Rapid Care - Copake 283 Mountain View Road Copake NY 12516 O/P Rapid Care Sch H Part I Line 6a Related Organization Community Benefit Report All Schedule H disclosures reference the Albany Medical Center organization, of which Albany Medical Center Hospital, Saratoga Hospital, and Columbia Memorial Hospital are a part of. The Community Benefit report is prepared for Albany Medical Center. Also included in this organization is Albany Medical College. Sch H Part I Line 7 Explanation of Costing Methodology Albany Medical Center Hospital and Affiliates: The Albany Medical Center Health System utilizes a cost accounting system. Albany Medical Center System prepares a cost report for Medicare/Medicaid purposes. Figures reported in this cost report were used as the basis for reporting of charity care and means tested programs. The percent of total expense calculated in Part I, Line 7, Column (f) is calculated by dividing column (e), net community benefit expense, by total expenses for the Hospitals of the System of $1,635,070,417. Albany Medical Center System surveyed staff for activities that meet the criteria to be reported for other benefits. Time reports from these surveys were provided and reviewed, resulting in a calculation of appropriate cost attributable to these programs. The community benefits amount includes support paid to the College by the Albany Medical Center Hospital to ensure the College is able to meet their mission to service the community. Sch H Part II Line 2 Economic Development Activities Saratoga Hospital: The Hospital has engaged with the local economic development community to assist with local economic development. As a community leader, the Hospital believes that local economic development efforts promote health in the community in a number of ways, including raising the standard of living for all community members, and making the community more attractive as a place to live for talented health care professionals. Sch H Part II Line 3 Community Support Activities Saratoga Hospital: The Hospital expends significant effort in developing and maintaining an emergency preparedness program. The emergency preparedness program is partially grant funded and is aimed at making the Hospital as well-prepared as possible with emergency response plans and infrastructure in the event of a disaster in the local community. This program includes planning the coordination of Hospital staff, in conjunction with personnel from other local first responders, preforming training exercises to test these plans, and testing of its emergency systems for proper responsiveness. Sch H Part II Line 8 Workforce Development Activities Columbia Memorial Hospital: For Part II, The Hospital's community building activities consist of ongoing workforce development and community training sessions, for which the Hospital receives a very nominal fee, if any. These free or low-cost programs increase community awareness of health issues, provide an opportunity for ongoing education of community providers and caregivers, and support improved health habits for the community the Hospital serves. Sch H Part III Lines 2 & 3 Bad Debt Expense DUE TO THE ADOPTION OF ASU NO. 2014-09 REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606) BAD DEBT EXPENSE IS NO LONGER REPORTED ON THE AUDITED FINANCIAL STATEMENT. RATHER IT IS TREATED AS A PRICE CONCESSION. SCH H PART III LINE 4 Community Benefit, Charity Care, and Uncompensated Care Footnote from Combined Audited Financial Statements (a) Community Benefit The Hospital offers numerous community benefit programs and services in community-based settings in response to the needs of the communities it serves. They include community health fairs, health screenings, health education lectures and workshops for community groups and the general public, consumer health information, facilitated (insurance plan) enrollment services and clinical services such as outpatient clinics, adult and pediatric care services, neonatal intensive care services and behavioral health services. Staff members of the Hospital also participate in community leadership efforts by donating significant hours of board service to other not-for-profit organizations. The Hospital supports graduate medical education and offers health professions education support for community members through continuing education programs and scholarships. (b) Charity and Uncompensated Care The Hospital's net cost of charity care, including payments to and receipts from the statewide pool was approximately $15.7 million in 2019 and $16.2 million in 2018 as follows: 2019 Charity care at cost: $14,684,000 Payments to Statewide Pool: $9,022,000 Receipts from Statewide Pool: $(8,030,000) Total: $15,676,000 2018 Charity care at cost: $12,737,000 Payments to Statewide Pool: $10,595,000 Receipts from Statewide Pool: $(7,091,000) Total: $16,241,000 The cost of charity care provided was determined using direct and indirect costs to provide services based on the application of the ratio of the Hospital's overall cost to patient charges. The Hospital also subsidizes services to Medicaid patients, which are paid at reimbursement levels below the Hospital's cost of rendering the related services. Sch H Part III Line 8 Explanation Of Shortfall As Community Benefit Approximately 20% of the organizations patient charges relate to patients utilizing Medicare insurance. These services support the significant need from the community to have an organization to be able to provide the expertise and care required. COSTING METHODOLOGY The Hospital prepares a cost report for Medicare/Medicaid purposes. Figures reported in this cost report were used as the basis for reporting. The cost report is prepared by using financial statement data and statistical information to arrive at a cost allocated report. The report is cost certified as required by an independent accountant. Sch H Part III Line 9b Provisions On Collection Practices For Qualified Patients Albany Medical Center: All self-pay bills will be assessed for presumptive eligibility prior to commencement of collection referral. AMC 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 patients 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 patients financial responsibility covered by financial assistance. Columbia Memorial Hospital: The Hospital follows a consistent collections policy for all patients. For patients eligible for financial assistance, the Hospital ensures collection actions are consistent with NYS laws. Sch H Part I Line 3a Federal Poverty Guideline Family Income Limit Saratoga Hospital: Saratoga Hospital used a 250% federal poverty guideline family income limit when determining eligibility for free care. Sch H Part VI Line 2 Needs Assessment Albany 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, Columbia Memorial Hospital, and Saratoga Hospital to identify our communities needs, and craft strategies to meet those needs include: - Community feedback from health fairs, seminars, forums, and programs that are offered by our hospitals; - Community outreach; - Information and input gathered each year from various community sources on unmet health care needs; - Participation in healthcare forums and coalitions, formed to respond to a significant community healthcare need (e.g., opioid use disorder, gun violence); - Discussions with political and business leaders; - The environmental assessment from our strategic planning process; - Patient surveys, both inpatient and outpatient; - Community access to Albany Medical Center, Columbia Memorial Hospital, and Saratoga Hospital via webmail, Facebook, Instagram, and other media options; and - Ongoing market research on health care issues and expectations from the community in our region. Albany Med Health System staff also routinely study the health care services needed by community residents. Staff use internal data, as well as information from regional, state and national sources, including the following: - Internal data to analyze trends in healthcare utilization, some of which signal growth or rise in a specific area (e.g., opioid use disorder, gun violence) - NYS Department of Health SPARCS data - United States Bureau of Census - County Health Departments in our region, especially the most recent Community Health Needs Assessments - NYS Vital Statistics, Community Health Indicator Reports (CHIRS), and County Health Assessment Indicators (CHAI) We believe an ongoing community dialogue is essential for ensuring that we work in concert with our community and our constituents. Sch H Part VI Line 3 Patient Education of Eligibility for Assistance Albany Medical Center: Albany Medical Center provides a guide to all patients and their families describing its services, programs and policies. This guide describes the financial assistance options available to a patient. In addition, Albany Medical Center maintains a website that provides information on financial assistance, charity care and frequently asked questions. Albany Medical Center further provides assistance and information about available programs during its collection process. Albany Medical Center supports our patients who may be uninsured or underinsured through the following programs and relationships. Fidelis facilitated enrollment specialists have partnered with AMC to screen and enroll patients in applicable programs. The program will service the patient in the community or home and provide follow up efforts with the respective insurer or county program. Chamberlin Edmond, an enrollment company, performs screening and enrollment in federal disability programs and State Medicaid programs. The company covers patients within and outside of NYS. There is no charge to the patient for this program. An Albany County Department of Social Services Senior Examiner is located on site at the Hospital Monday - Friday and performs application determinations and facilitates complex case completion. This includes Chronic Care Medicaid enrollment. Albany Medical Center staffs a 7 day a week Patient Assistance Unit that performs enrollment in Medicaid, screens applicants for special program eligibility, provides Financial Aid/Charity Care application processing, performs COBRA premium requests, supports our patients in managing complex financial situations related to medical bills. The unit coordinates with physician practice groups to support the patient in navigating the financial process to ensure the provision of service with minimal financial burden whenever possible. Albany Medical Center provides a self-pay/customer service unit to support the processing of Financial Aid/Charity Care applications and Presumptive Eligibility for all patients who may be determined eligible based on income and family size. We continue to build community partnerships that support the enrollment of patients in programs that will provide the most complete coverage for the care they need. Saratoga Hospital: The Hospital educates patients about eligibility for assistance under its Financial Assistance Program (FAP), as well as federal and State programs through the following means: -A supply of brochures containing a plain-language description of the Hospitals FAP and an application for the FAP is prominently displayed at all locations in Hospital facilities where patients register for services. -The FAP brochure and application are included in a packet that is provided to all patients being admitted to the Hospital for inpatient or observation stays. -If the Hospital patient financial services department makes a follow-up call to a patient regarding an unpaid bill, the patient is informed about the existence of the FAP. -Bills sent to patients for unpaid balances include a reference to the FAP as well as information on how to contact the Hospital about the FAP. -Information regarding the FAP is located on the Hospitals website, including the location and contact information for the Hospital patient financial services department. -The Hospital uses an external vendor to screen all uninsured inpatients in order to determine whether the patient may be eligible for Medicaid or any other governmental insurance programs, as well as the Hospitals FAP. Patients are then provided assistance in applying for and obtaining access to these programs. -The Hospital administers the New York State Department of Health - Health Insurance Navigation Program for Saratoga County, as well as five other neighboring Counties. This program focuses on enrolling eligible individuals in low or no cost insurance programs provided by the State. Efforts are made by Hospital registration and Patient Financial Services personnel to link patients to the navigation program for assistance in obtaining health insurance coverage or obtaining benefits under the Hospitals FAP. Columbia Memorial Hospital: The Hospital's written bad debt and Charity Care policy broadly applies to the outstanding balance for the patient or insurer. The Hospital advertises throughout the facility, discusses with patients directly during the registration process, and again during the collections process, about the availability for charity care. As patients are enrolled in the charity care program, adjustments to their outstanding balance is charged against net patient service revenue, and not considered a component of bad debt expense. Sch H Part VI Line 4 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. Peters 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-Hea lth-Needs-Assessment.pdf. Albany Medical Center 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 regions lowest median age of 37.8 years. Albany County has the regions largest non-White population (23.4%) and the 2nd largest Hispanic population (5.6%). Albanys South End neighborhood has the largest non-White population (76.8%), while the West End has the largest Hispanic population (13.3%). Albany Countys poverty rate of 12.9% is lower than that of NYSs 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 Countys 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 countys largest Hispanic population of 7.3%. Rensselaer Countys poverty rate of 12.4% was lower than that of NYSs 15.5%. The Troy/Lansingburgh neighborhood has the highest neighborhood poverty rate in the county at 19.9%. Columbia Memorial Hospital Columbia 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 Yorks States capital. Saratoga Hospital Saratoga Hospitals 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 41% of the Hospital's inpatient discharges in 2019. 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 in 2019. Sch H Part VI Line 5 Promotion of Community Health The Albany Med Health Systems 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 hospitals 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 hospitals 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 Specific ways that Albany Medical Center 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 on behalf of its patients. - Operates the regions Sexual Assault Examiner Program. - Educates and trains the next generation of physicians, and offered Continuing Medical Education to established providers. Columbia Memorial Hospital Specific ways that Columbia Memorial Hospital promotes community health include but are not limited to - the following: - Significantly increasing access provided to local, previously unaffiliated physicians, and has further provided access and support for these practitioners to an electronic health exchange. Saratoga Hospital Specific 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 hospitals 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. Sch H Part VI Line 6 Affiliated Health Care 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 2020.) 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. Columbia Memorial Hospital, an acute care hospital in Columbia County serves more than 100,000 residents of Columbia, Greene and northern Dutchess Counties with 40 care centers, including 17 primary care and 23 specialty care centers, located throughout this region. Saratoga Hospital, located in Saratoga County, with a population of 230,000, from where it draws 96% of its patients. It is an acute care hospital that offers a wide array of inpatient and outpatient services to its community. Each of our hospitals is located in a county that makes up part of what is known as the Capital Region. Combined, the Albany Med Health System entities offer 3 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, and Saratoga Hospital work with dozens of community organizations to improve our regions health and quality of life. Our health systems commitment to improving the health and wellbeing of our populace is demonstrated through regional planning and delivery of community benefit activities. Sch H Part VI Line 7 States Filing Community Benefit Report Albany Medical Center, Columbia Memorial Hospital, and Saratoga Hospital file their Community Health Needs Assessments and Community Health Implementation Plans in New York State, with the New York State Department of Health (DOH). true Saratoga Economic Development Corporation 28 Clinton St Saratoga Springs NY 12866 141605957 501(c)(3) 25000 Economic Development American Heart Association PO Box 50075 Prescott AZ 86304 135613797 501(c)(3) 20000 Support Support AMC Alumni Association 47 New Scotland Ave Albany NY 12208 141468380 501(c)(3) 509475 Fund Scholarships Albany Medical Center Hospital 47 New Scotland Ave Albany NY 12208 141338307 501(c)(3) 4518635 Research & Healthcare Research & Healthcare Albany Medical College 47 New Scotland Ave Albany NY 12208 141338310 501(c)(3) 9417332 Scholarships & Research Scholarships & Research Albany Medical Center 47 New Scotland Ave Albany NY 12208 141641730 501(c)(3) 72164 Equipment/Technology Shelters of Saratoga 14 Walworth St Saratoga Springs NY 12866 141758441 501(c)(3) 10000 Shelter support 7 Educational Scholarships 387 5984630 Sch I Part I Line 2 Procedures for Monitoring Use of Grants in U.S. Albany Medical Center: Review of activity, budget monitoring and report preparation and filings by Research Office, IRC departments, and Sponsored Program/Financial Reporting departments. Albany Medical College's Department of Financial Aid review applications for scholarships and distributes funds in accordance with scholarship restrictions. Funds are directly offset against tuition amounts owed. Saratoga Hospital: For any organization that provides assistance, a determination is made to ensure that the organization is a tax-exempt not-for-profit entity and that the purpose for which the assistance will be used is of benefit to the communities served by the Hospital or is in line with the overall healthcare driven mission of the Hospital. X false true X X X X X X false true false true false true false false false James J Barba President & CEO (AMC) 0 1012413 0 425000 0 284037 0 308228 0 6420 0 2036098 0 264100 Steven M Frisch MD Board Member (SH & CMH) 0 792472 0 272525 0 20980 0 98614 0 22417 0 1207008 0 0 Vincent Verdile MD Sr Exec VP Sys Care (AMC) 785163 0 243178 0 20980 0 95300 0 26004 0 1170625 0 0 0 Dennis McKenna Board Member (CDT) 830213 0 192550 0 16388 0 85735 0 25816 0 1150702 0 0 0 Andrew J Rosenbaum Asst Prof/Clin (AMC) 500485 0 522330 0 18345 0 8400 0 22097 0 1071657 0 0 0 Frances Albert EVP COO & CFO (AMC) 0 665981 0 239538 0 17374 0 82973 0 4471 0 1010337 0 0 Alan S Boulos Department Chair (AMC) 937433 0 0 0 19450 0 11200 0 24897 0 992980 0 0 0 Ferdinand J Venditti Jr MD EVP System Care Delivery (AMC) 645347 0 184478 0 20980 0 75987 0 26233 0 953025 0 0 0 Lewis W Britton III Professor/Clin (AMC) 848847 0 31059 0 19953 0 8400 0 24563 0 932822 0 0 0 Steven M Parnes MD Board Member (AMC) 728022 0 8202 0 19834 0 8400 0 23131 0 787589 0 0 0 David J Conti Board Member (CDT) 357587 0 13539 0 5482 0 11200 0 22047 0 409855 0 0 0 Michael Dailey Board Member (CDT) 247698 0 23077 0 692 0 0 0 21698 0 293165 0 0 0 Vickey Masta-Gornic Board Member (KIDS) 0 223737 0 0 0 1980 0 0 0 8641 0 234358 0 0 Gary J Kochem Fmr Exec VP & COO (AMC) 0 120000 0 198868 0 0 0 0 0 263 0 319131 0 0 Michele K Skumurski Board Member (KIDS) 0 196288 0 0 0 450 0 0 0 1472 0 198210 0 0 Meghan Weygant Board Member (KIDS) 168782 0 0 0 270 0 0 0 12396 0 181448 0 0 0 Brigido Montero Board Member (KIDS) 0 154398 0 0 0 680 0 0 0 19448 0 174526 0 0 Christopher Gorczynski MD Physician (CMH) 854240 0 70000 0 89 0 750 0 23969 0 949048 0 0 0 Jay P Cahalan PRESIDENT & CEO (CMH) 547610 0 145752 0 27394 0 94710 0 24721 0 840187 0 0 0 Hiral Amin MD Board Member (CMH) 434080 0 0 0 7020 0 8400 0 19703 0 469203 0 0 0 Karen Tassey COO (CMH) 272135 0 25508 0 396 0 750 0 9450 0 308239 0 0 0 Bryan T Mahoney CFO (CMH) 271477 0 25110 0 54 0 750 0 0 0 297391 0 0 0 Mary Ellen Plass CNO (CMH) 204061 0 18972 0 396 0 0 0 6126 0 229555 0 0 0 Angelo G Calbone President/CEO (SH) 580055 0 154000 0 390726 0 14420 0 21070 0 1160271 0 0 0 Gary Foster VP & CFO (SH) 321139 0 63840 0 30576 0 16100 0 1792 0 433447 0 0 0 Mary Jo LaPosta SVP Patient Care & Org (SH) 328940 0 68608 0 36085 0 14420 0 11637 0 459690 0 0 0 Kevin Ronayne VP Ops & Facilities (SH) 253438 0 49373 0 18230 0 14420 0 17523 0 352984 0 0 0 John Mangona VP CIO and Comp (SH) 249168 0 51597 0 18173 0 16100 0 1594 0 336632 0 0 0 Jeffrey Methven VP Ambulatory Serv & HR (SH) 270190 0 55598 0 21076 0 14420 0 21184 0 382468 0 0 0 Richard Falivena VP Chf Med & Phys Integ (SH) 365964 0 76933 0 30763 0 12180 0 16214 0 502054 0 0 0 Gordon Kuhar Physician (SH) 617554 0 470000 0 774 0 14420 0 3492 0 1106240 0 0 0 Sch J Part I Line 1 Saratoga Hospital: Line 1a The hospital administers a non-qualified deferred compensation plan (the Plan), the aim of which is to attract and retain talented executives and physicians to employment with the Hospital. Eligible employees participating in the Plan will receive a flat monthly payment from the Hospital for 15 years after reaching the Plan retirement age (67}. Participants are required to contribute specific amounts into the Plan annually, with the participant contribution amount being determined based on the age of the participant and the number of years over which the participant wishes to fully vest in the Plan benefits. Normal vesting in the full amount of available Plan benefit payments occurs in steps in 2-year increments over a 10-year period. Participants may accelerate their vesting timeline by increasing the amount of contributions they contribute into the Plan versus the contribution schedule associated with normal vesting. Each vesting milestone reached by a participant during participation in the Plan results in taxable income for the participant in an amount equal to the present value of the portion of future Plan benefits the participant has vested in since the previous vesting milestone. A feature of the Plan is that the Hospital will make a gross up payment to any Plan participant who reached a vesting milestone during the year in order to offset the tax impact of the vesting event. This gross-up payment is made in an amount equal to 31% of the amount of the taxable income resulting from the vesting event, plus an additional amount to offset the tax on the amount of the base gross-up payment amount. The following employee participated in the plan and received the amount listed below, which is included in Schedule J, Part II, Column B(iii): Angelo Calbone, President/CEO, $12,509 Line 1b The Plan is operated pursuant to a plan document, approved by the Hospital's Board of Trustees. Sch J Part I Line 3 Albany Medical Center: The Compensation Committee of the Board of Directors (Committee) establishes compensation for the President and Chief Executive Officer of the organization, all Executive Vice Presidents and other top management officials who report directly to the President and Chief Executive Officer, subject to approval by the Board of Directors. The Committee uses professional compensation advisors who are capable of rendering independent advice and independent market surveys. The Committee targets the market median (50th percentile) for cash compensation; benefit programs are intended to be competitive. After the compensation program is determined, the Committee-approved recommendation is forwarded to the Board of Directors for its consideration and approval, and that is contemporaneously substantiated. Columbia Memorial Hospital: The compensation of the Hospital's CEO is determined by the Compensation Committee of the Board of Trustees. The Compensation Committee bases their proposal on CEO compensation surveys from the healthcare industry organizations, IRS Form 990 for comparable organizational data and general industry knowledge. The CEO compensation package is formalized in a written employment contract and approved by the Board of Trustees. Saratoga Hospital: The Hospital's Board of Trustees is responsible for the implementation and maintenance of the executive compensation program. Under the direction of the Board of Trustees, the Executive Committee meets as needed to review the compensation program and make recommendations for any changes to the Board of Trustees, as appropriate. In addition to regionally published market data, the Hospital uses nationally published not-for-profit hospital compensation survey data from various vendors to determine market position and the reasonableness of base salary and the total compensation being paid to Executives. Additionally, the Hospital may collect other published survey data when appropriate from for-profit organizations for specific functional competencies within the organization, such as Information Systems, Fundraising, and Finance. At the direction of the Board of Trustees, market data is compiled annually by the Human Resources Department and used to form a market composite to assess the competitiveness of compensation for each identified leadership position. In addition, the Chairperson of the Board of Trustees retains on a bi-annual basis (or more frequently as needed) an independent valuation expert to assess the reasonableness of the total compensation package paid to Executives as compared to similarly situated executives of not-for-profit and for-profit health care entities with comparable net revenues and similar job responsibilities. Sch J Part I Line 4b Albany Medical Center: Supplemental employee retirement plan started in 2016 and several persons listed in Form 990, Part VII, Section A, Line 1a participated in and/or received payment from the plan. The following employees participated in the plan and the amounts listed below are included in Schedule J, Part II, Column (C): James J. Barba, CEO, $297,028 Frances S. Albert, COO & CFO, $71,773 Vincent Verdile, SR Exec VP Sys Care Delivery, $84,100 Ferdinand J. Venditti, EVP System Care Delivery, $64,787 Dennis McKenna, Board Member, $74,535 Steven M. Frisch, Sr Exec VP Integrated Delivery, $87,414 The following employees received payment from the plan and the amounts listed below are included in Schedule J, Part II, Column B(iii) and where applicable Column (F): James J. Barba, CEO, $264,100 Columbia Memorial Hospital: The CEO, Jay Cahalan is a participant in a supplemental non-qualified retirement plan held by CMH. In 2019, his retirement account was credited $93,960. Steven Frisch, MD is a participant in a supplemental non-qualified plan held by Albany Medical Center and his benefit is described in the Center's disclosure above. Saratoga Hospital: During 2019, 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 2019. Angelo G. Calbone -- Contributions $180,932. Gary Foster - Contributions $5,932. Jeffrey Methven -- Contributions $759. THE FOLLOWING INDIVIDUAL PARTICIPATED IN THE PLAN, BUT DID NOT HAVE ANY CONTRIBUTIONS OR PAYMENTS MADE DURING 2019: GORDON KUHAR. Sch J Part I Line 5a Columbia Memorial Hospital: The organization administers a variable compensation program under which members of Hospital management are eligible to earn variable compensation. Overall variable compensation is based on measurable achievement against a menu of organizations goals, which include financial results such as revenues and net earnings, as well as patient satisfaction, quality of care, employee satisfaction, and growth in services. Sch J Part I Line 6a 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 12.5% of the overall incentive compensation available during 2019, and was based an achievement of minimum, meets, and maximum levels relative to the Hospital's budgeted operating margin percentage for the year. A City of Albany CRC 2014A 273467899 2014-09-10 22000000 Renovations/Construction false false false B City of Albany CRC 2017A 273467899 2017-11-15 13200000 Refund prior issue - see Part VI false false false C City of Albany CRC 2017C 273467899 2017-11-15 11855000 Refund prior issue - see Part VI false false false A 2355217 0 22000000 0 0 0 440000 0 0 21560000 0 0 2014 false false true true B 0 0 13200000 0 0 0 0 0 0 0 13200000 0 2017 true false true true C 1975000 0 11855000 0 0 0 0 0 0 0 11855000 0 2017 true false true true A false false true true false 0 false false false true B false false true true false 0 false false false true C false false true true false 0 false false false true A false false false true false false 0 false 0 false true B false true false false false false 0 false 0 false true C false true false false true true Bank of America 9.5 false false false 0 false true A true B true C true ALBANY MEDICAL CENTER BOND GROUP Sch K Part I Column (f) Line B: Refund City of Albany IDA 2005A issued 6/29/2005 and City of Albany IDA 2006A issued 5/3/2006. Line C: Refund City of Albany IDA 2007A issued 6/28/2007 and City of Albany IDA 2007C issued 11/28/2007. Sch K Part II Line 1 Total proceeds of the issue less amount of bonds retired will not equal Form 990, Part X, Line 20 because the Balance Sheet amount is presented net of deferred financing costs. Sch K Part II Line 11 Total proceeds were used to refund the prior issued bonds referenced in Part I, Column f. Sch K Part III Line 3a Albany Medical Center has incidental management and service contracts in various financed areas. Therefore, no contracts are considered to result in private business use within the bond-financed property group. Sch K Part IV Line 2c Rebate calculation performed on 9/10/2019. A Columbia County Industrial Development Agency 141636496 197511AR9 2008-01-30 11730000 Refinancing false false false B Columbia County Capital Resource Corp 271072117 197505AA8 2010-03-01 12945000 Refinancing & New construction false false false A 6335000 0 11730000 0 0 0 603669 0 3852910 7273421 0 0 2010 false false true true B 8390000 0 12945000 0 0 0 762958 0 0 12182042 0 0 2013 false false true true A false false true false false 0 false false false true B false false true false false 0 false false false true A false false false true true true HSBC 10. false false false 0 false true B false false false true true true HSBC 10. false false false 0 false true A true B true COLUMBIA MEMORIAL HOSPITAL BOND GROUP Sch K Part III Line 3a Columbia Memorial Hospital only has incidental management and service contracts in various financial areas. Therefore, no contracts are considered to result in private business use within the bond-financed property group. Sch K Part IV Line 2c The arbitrage rebate calculation for both 2008 & 2010 bonds was completed as of May 7, 2020 with no arbitrage rebate due on either issuance. A Saratoga County Capital Resource Corp 2007B 521310482 803482DE5 2007-12-12 18406490 ED Construction & Renovation true false false B Saratoga County Capital Resource Corp 2013A 461520521 803481AS9 2013-02-07 24273094 Refinance Revenue Bonds false false false C Saratoga County Capital Resource Corp 17AB 461520521 2017-01-03 49870000 Refinance Revenue Bonds false false false A 1935000 13920000 18406490 0 0 0 262395 0 0 16772395 0 0 2009 false false true true B 5580000 0 24273094 1688826 0 22004520 485462 0 0 0 115599 0 2013 true true true true C 6534035 0 49870000 0 0 48936364 933636 0 0 0 0 0 2017 true true true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0 false false false true A false false false false false false 0 false 0 false false B false false false true false false 0 false 0 false false C false false false true false false 0 false 0 false false A false B false C false SARATOGA HOSPITAL BOND GROUP Sch K Part IV Line 2c 02/07/2013 $24,273,094 IDA Series 2013A - arbitrage rebate computation was performed on 12/01/19 by a third party contractor, AMTEC, a tax-exempt compliance specialist for bond issues, as of 12/01/19 resulting in no rebate liability for IDA Series 2013A. 01/03/2017 $49,870,000 IDA Series 2017 A & B - arbitrage rebate computation was performed on 12/31/19 by a third party contractor, AMTEC, a tax-exempt compliance specialist for bond issues, as of 12/31/19 resulting in no rebate liability for IDA Series 2017 A & B. Dr Anne L Barba Family Member 148026 Employment false Karen L McKenna Family Member 28937 Employment false PART IV DR. ANNE L. BARBA IS THE DAUGHTER OF JAMES BARBA, CEO. Karen L. McKenna is the wife of Dennis P. McKenna, Board Member (CDT). X 133 2217102 FMV X 1 100000 FMV X Equipment 1 183393 FMV 1 false true true SCH M PART I LINE 32A 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. 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 III Line 4d Other Program Services Description Albany Medical Center Hospital and Affiliates: Operating and Recovery Room: Inpatient and outpatient operating room services including open heart program, transplant services and specialized trauma services. Approximately 30,931 total cases performed with 8,493 inpatient, 4,328 same day, and 18,110 outpatient. Other Patient Care Based Services totaled approximately $88 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 $22 million. Foundation: The Group Organization includes a Foundation, whose primary function is to raise funds for construction, research, support and endowment purposes for exempt organizations, including Albany Medical College, Albany Medical Center Hospital, Albany Medical Center, AMC Alumni Association, and Center for Donation and Transplant, via direct mail - community based programs, telethon, radiothon, special events - golf outings, dinners, etc., plus gift-in-kind (GIK) donations. CDT: Research/Education - Primary purpose is to facilitate procurement and equitable distribution of medically suitable organs for transplantation. Also, CDT is to ensure that families are informed on options for organ donation. Support family and hospital personnel involved in the donation process and educate the upstate medical profession on organ procurement. Kidskeller: Children from eight weeks to Kindergarten age may enroll. Educational activities for these varied age groups follow a developmental sequence which includes age appropriate activities for the development of cognitive skills, fine and gross motor skills, social-emotional growth and activities of daily living skills. Laboratory Services (Adult & Peds): Inpatient and outpatient services including clinical chemistry, blood bank, hematology, serology and microbiology. The Group Organization receives general expense reimbursements for Related Patient Care Services. The organization has certain other Exempt Function Revenues which total approximately $3 million. Columbia Memorial Hospital: The organization had approximately $16.4M expenditures and $16.2M revenue related to other operating activities. Form 990 Part V Line 3b The Group Organization has indicated 'No' to Part Line 3b because not all subordinate organizations included in the group have a Form 990-T filing requirement for the tax year. Form 990 Part V Line 4a The subordinate organizations, Albany Medical Center Hospital, Albany Medical Center Kidskeller, Albany Medical Center Foundation, Center for Donation and Transplant, Columbia Memorial Hospital, and Saratoga Hospital, respond in the negative to these Lines as they did not have any foreign financial accounts. Form 990 Part V Line 6a The subordinate organizations, Albany Medical Center Hospital, Albany Medical Center Kidskeller, Albany Medical College, Center for Donation and Transplant, Columbia Memorial Hospital, and Saratoga Hospital, respond in the negative to these Lines as they did not solicit any contributions that were not tax deductible as charitable contributions. Form 990 Part V Line 7a The subordinate organizations, Albany Medical Center Hospital, Albany Medical Center Kidskeller, Albany Medical College, Center for Donation and Transplant, Columbia Memorial Hospital, and Saratoga Hospital, respond in the negative to these Lines as they did not receive any contributions in excess of $75 that were made partly as a contribution and partly for goods and services provided to the payor. Form 990 Part V Lines 8, 9a, & 9b The subordinate organization Columbia Memorial Hospital is the only subordinate maintaining a donor advised fund. Form 990 Part VI Line 6, 7A, and 7b Members and Governance Albany Medical Center (AMC) is the sole corporate member of the subordinate organizations included in the group filing. AMC retains seats on the Board of Trustees for the subordinate organizations and has the power to appoint members of the Board of Trustees. With this power, AMC approves the annual operating budget, approval of changes in Senior Management, significant litigation settlements as well as updates to the governing documents. Form 990 Part VI Line 11b Form 990 Review Process The Board of Directors, through its Audit Committee, engages a prominent accounting firm, KPMG, to conduct a review of its tax return for compliance with IRS regulations. The Audit Committee engages KPMG as paid preparer to ensure accuracy of filings and raise for discussion issues or concerns that are considered significant. Issues or concerns are raised with management and brought to the attention of the Audit Committee throughout the year as warranted and required. The review of the tax return includes a review by senior management of Albany Medical Center and a presentation at a meeting of the Audit Committee of the Board of Directors of Albany Medical Center. The Finance Committees of Saratoga Hospital and Columbia Memorial Hospital review the return for accuracy of their respective Hospitals information and disclosures. ADDITIONALLY, THE COMPLETE BOARDS OF EACH SUBORDINATE ENTITY INCLUDED IN THE GROUP RETURN RECEIVE A COPY OF THE FORM 990 FOR REVIEW PRIOR TO ITS FILING. Form 990 Part VI Line 12c Explanation of Monitoring and Enforcement of Conflicts Albany Medical Center Hospital and Affiliates: All candidates for Board membership and Board Committee membership receive a copy of the conflict of interest policy and conflict of interest questionnaire for completion. Actual or potential conflicts reported are reviewed by the Committee on Audit & Compliance of the Board of Directors and appropriate action is taken to mitigate conflicts. Upon hire, all employees receive an employee manual which explains the conflict of interest policy and the requirement to report any actual or potential conflicts. All employees also receive refresher education regarding the policy and a reminder about the reporting requirement as part of their mandatory annual education. All employees are responsible for notifying Center management of any potential conflicts in addition to responding to requests for information if requested. Persons holding significant management positions receive a copy of the conflict of interest questionnaire for completion. Any conflicts which are reported or discovered are reviewed by the Corporate Compliance & Audit Dept. and appropriate action is taken to mitigate the conflict. Employees who violate the conflict of interest policy are subject to the institution's corrective action policies. Columbia Memorial Hospital: All members of the Board of Trustees are required to complete and execute the Hospital policy on Organization Ethics as well as a Conflict of Interest questionnaire for Trustees and a Confidentiality Agreement for Board Members. In addition to these forms being completed by new members, prior to appointment, they are also required of all incumbent trustees on an annual basis. The Audit Committee reviews, monitors & enforces conflict of interest issues and reports the same to all members at the General Board Meetings. Saratoga Hospital: The Hospital maintains two conflict of interest policies. One policy applies to members of the Board of Trustees, Hospital officers, members of the Hospitals medical staff (both directly employed and non-employed), and all employees whose compensation exceeds $100,000. A second conflict of interest policy applies to all members of management, employees and volunteers of the Hospital, as well as persons serving in those roles for corporations affiliated with the Hospital who are not covered by the first policy. On an annual basis a conflict of interest disclosure questionnaire process is undertaken. All members of the Board of Trustees and management, all non-management employees whose compensation exceeds $100,000, and certain members of the Hospitals medical staff are required to complete and file the questionnaire with the Hospitals Chief Compliance Officer. All members of the Hospitals medical staff are required to complete and file the questionnaire as part of their biennial credentialing process. Additionally, members of Hospital management are required to identify any additional employees under their supervision who have the ability to influence purchasing decisions aggregating to $100,000 or more annually. These employees are also required to complete and file the questionnaire. Responses are tracked by the Chief Compliance Officer and are reported to the Audit and Corporate Compliance Committee of the Board of Trustees. Form 990 Part VI Line 15b Compensation Review & Approval Process - Officers & Key Employees Albany Medical Center Hospital and Affiliates: The Compensation Committee of the Board of Directors (Committee) establishes compensation for the President and Chief Executive Officer of the organization, all Executive Vice Presidents and other top management officials who report directly to the President and Chief Executive Officer, subject to approval by the Board of Directors. The Committee uses professional compensation advisors who are capable of rendering independent advice and independent market surveys. The Committee targets the market median (50th percentile) for cash compensation; benefit programs are intended to be competitive. After the compensation program is determined, the Committee-approved recommendation is forwarded to the Board of Directors for its consideration and approval, and that is contemporaneously substantiated. Columbia Memorial Hospital: Performance review and recommendations related to salary are undertaken by the Compensation Committee of the Board of Trustees on an annual basis. The Compensation Committee is comprised of select members of the Board of Trustees who may employ outside consultants, use industry standards, benchmarking data, etc. to formulate conclusions. Saratoga Hospital: On an annual basis, the Executive Committee reviews the performance of the President/Chief Executive Officer (CEO) and makes a base salary recommendation to the full Board. The Executive Committee performs this task using a target percentile rank on a scale of amounts paid to similarly situated executives in the marketplace as measures by external benchmark surveys. Additionally, the Executive Committee factors in relative skill mix, experience, competence and overall performance. The Executive Committee sets annual performance criteria the CEO must meet in order to qualify for incentive compensation and any recommendation for additional compensation is made annually. The CEO is responsible, with the oversight of the Executive Committee, for determining the base compensation for all other executives in the organization. These base salaries are also determined using a target percentile rank on a scale for executives situated similarly by position within the marketplace, with acceptable exceptions based on skill mix, experience and/or scope of responsibility. Incentive compensation for all other executives is determination by the CEO and based on organizational and individual performance measures and outcomes. For both CEO and executive compensation, the requirements for invoking a rebuttable presumption of reasonableness in accordance with IRS intermediate sanction regulations are used as a guideline, to the extent practicable. Form 990 Part VI Line 16a Joint Venture Lines 16a and 16b have been answered in the affirmative due to the activities of Columbia Memorial Hospital, a subordinate organization of the group. The other subordinate organizations respond in the negative to Line 16a. Form 990 Part VI Line 19 Other Organization Documents Publicly Available Documents are made available upon request. Form 990 Part VI Line 20 The person in possession of the books and records for the subordinate organizations are as follow: Columbia Memorial Hospital: Name: Bryan Mahoney Address: 71 Prospect Ave, Hudson NY, 12534 Phone: 518-828-7601 Saratoga Hospital: Name: Michael Battle Address: 211 Church Street, Saratoga Springs, NY 12866 Phone: 518-587-3222 Form 990 Part XI Line 9 Other Changes in Net Assets or Fund Balances Fair Value of Interest Rate Swap - AMC $ (87,038) Pension Related Changes - AMC $ 7,738,789 Adjustment to prior year Contributions - AMC $ (71,487) Fair Value of Interest Rate Swap - CMH $ 119,419 Pension Related Changes - CMH $ 478,004 Net Assets Released from Restrictions - CMH $ (198,964) -------------------- Total $ 7,978,723 Better Health for Northeast New York 43 New Scotland Ave Albany NY 12208 811861104 DSRIP NY 501(c)(6) AMC Hospital true Kaaterskill Commons Inc 163 Jefferson Heights Catskill NY 12414 205700964 Housing NY 501(c)(3) 7 CMH true Columbia-Greene Hospital Foundation 71 Prospect Ave Hudson NY 12534 141761112 Fundraising NY 501(c)(3) 10 CMH true The Second Show Inc 519 Warren Street Hudson NY 12534 141796715 Thrift Shop NY 501(c)(3) 7 CMH true Saratoga Regional Medical PC 211 Church Street Saratoga Springs NY 12866 472468259 Healthcare NY 501(c)(3) 3 SH true Saratoga Care Inc 211 Church Street Saratoga Springs NY 12866 141775218 Health Promo NY 501(c)(3) 12 Type II SH true Healthcare Partners of Saratoga Ltd 211 Church Street Saratoga Springs NY 12866 453303309 Emergent Care NY 501(c)(3) 3 NA false Columbia-Greene Services Inc c/o CMH 71 Prospect Ave Hudson NY 12534 141758524 Healthcare NY NA C Corp 1.00000 true Madison Avenue Services Corp 47 New Scotland Ave MC 116 Albany NY 12208 141665610 Other (Inactive) NY AMC C Corp false false false true false false false false false false false true true true true true true false true Saratoga Care Inc c 1796630 FMV Saratoga Care Inc o 376613 FMV Saratoga Care Inc q 538351 FMV Columbia-Greene Hospital Foundation c 1136986 Accrual Columbia-Greene Hospital Foundation m 206287 Accrual Columbia-Greene Hospital Foundation q 163145 cash The Second Show Inc q 199127 Cash