2017-11-13T14:12:03-08:00 2016-12-31 KPMG LLP 515 Broadway Albany NY 12207 990 2016-01-01 473869194 Albany Medical Center Group Organization ALBA 5182625585 47 New Scotland Ave MC116 Albany NY 12208 Frances S Albert Exec VP & CFO 2017-11-13 true Todd P Teresco P00247720 5184274600 2016 2017-02-10 21:41:12Z James J Barba 47 New Scotland Ave Albany NY 12208 1512864829 true true 5980 X www.amc.edu X An academic health sciences center whose responsibilities are to provide a broad range of patient services to the people of eastern New York and western New England. 29 27 9104 865 51 49059213 66890740 1172606170 1257683687 13159219 11811750 27517781 29218672 1262342383 1365604849 15110855 12915384 0 565328998 604554877 0 2772522 653361643 712496798 1233801496 1329967059 28540887 35637790 1330119525 1347239886 816286354 789746730 513833171 557493156 X An academic health sciences center whose responsibilities are: to educate medical students, physicians, biomedical students and other health care professional to meet future primary and specialty health care needs of the region and nation; to foster biomedical research that leads to scientific advances and improvement of the health of the public; and to provide a broad range of patient services to the people of eastern New York and western New England.The mission is accomplished through commitment to the values of Quality, Excellence, Service, Collaboration, Integrity and Fiscal Responsibility. We 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. W false false 356753461 338954692 Inpatient and Outpatient Services - Provision of inpatient and outpatient services including specialized nursing services and emergency room.2016 admissions were approximately 40,400 and patient days were approximately 233,700. 288723070 284331795 Faculty Practice: The organization operates a clinical practice activity (patient care) for the faculty of the Albany Medical College. 2016 experienced over 398,000 patient visits. 165474643 293009068 Diagnostic and Testing Services - Inpatient and outpatient services including diagnostic imaging, radiation therapy and cardiac catheterization.In 2016 inpatient professional services totaled 90,875; outpatient services totaled 57,245 and ER services was approximately 73,767. 292383599 12915384 361418857 1103334773 true true false true false false false false true true true false true true true true false true false 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 777 0 true 9104 true false false true OC false false true true true true false 0 false false false false false false false false false false X 29 27 false false false false false false false true true false false false true true true true true true true false NY X Frances S Albert CPA 5182625585 47 New Scotland Ave Albany NY 12208 Raimundo C Archibold Jr Board Member 6.00 2.00 X 0 0 0 James J Barba President & CEO 15.00 25.00 X X 0 3415456 256216 Robert T Cushing Chairman 6.00 2.00 X 0 0 0 Joyce M DeFazio Board Member 6.00 2.00 X 0 0 0 R Wayne Diesel Board Member 6.00 2.00 X 0 0 0 Sharon Duker Board Member 6.00 2.00 X 0 0 0 Peter H Elitzer Vice Chair 6.00 2.00 X 0 0 0 Marc N Fecteau CPA Board Member 6.00 2.00 X 0 0 0 Margaret Gillis Board Member 6.00 2.00 X 0 0 0 David Golub Board Member 6.00 2.00 X 0 0 0 Doug M Hamlin Vice Chair 6.00 2.00 X 0 0 0 Peter H Heerwagen Board Member 6.00 2.00 X 0 0 0 Robert J Higgins Board Member 6.00 2.00 X 0 0 0 James O Jackson PhD Board Member 6.00 2.00 X 0 0 0 Lillian Moy Esq Board Member 6.00 2.00 X 0 0 0 John J Nigro Board Member 6.00 2.00 X 0 0 0 John B O'Connor Board Member 6.00 2.00 X 0 0 0 Steven M Parnes MD Board Member 46.00 2.00 X 640107 0 18392 Daniel T Pickett III Board Member 6.00 2.00 X 0 0 0 W Michael Reickert Mbr thru 7/16 6.00 2.00 X 0 0 0 John B Robinson Jr Board Member 6.00 2.00 X 0 0 0 Janice Smith Board Member 6.00 2.00 X 0 0 0 Jeffrey Sperry Board Member 6.00 2.00 X 0 0 0 Jeffrey Stone Vice Chair 6.00 2.00 X 0 0 0 Todd M Tidgewell Board Member 6.00 2.00 X 0 0 0 Omar Usmani Board Member 6.00 2.00 X 0 0 0 Candace King Weir Board Member 6.00 2.00 X 0 0 0 Robert J Jones PhD Mbr thru 9/16 6.00 2.00 X 0 0 0 Ruth H Mahoney Board Member 6.00 2.00 X 0 0 0 Morris C Massry Board Member 6.00 2.00 X 0 0 0 Mary Gail Biebel Board Member 6.00 2.00 X 0 0 0 Gary J Kochem Exec VP & COO 21.00 19.00 X 0 681238 64962 William C Hasselbarth CFO thru 6/16 35.00 5.00 X 0 647666 15647 Frances S Albert Exec VP & CFO 27.00 13.00 X 0 361604 67467 Steven M Frisch SR Exec VP Integrated Deliv System 10.00 30.00 X 204763 709147 156729 Vincent Verdile MD SR Exec VP Sys Care Delivery & Dean 37.00 3.00 X 914022 0 154302 Ferdinand J Venditti Jr MD EVP System Care Delivery-VDEANCLNAF 39.00 1.00 X 744766 0 124068 Francis D Ferdinand Professor/CLIN 40.00 0.00 X 808956 0 20017 Darryl J Dirisio Professor 40.00 0.00 X 939097 0 22876 Alan S Boulos Department Chair 40.00 0.00 X 837391 0 21609 Mathew Dicaprio Assoc Prof/Clin 40.00 0.00 X 688602 0 20297 James P Lawrence Assoc Professor 40.00 0.00 X 733949 0 17334 6511653 5815111 959916 916 false true false Community Care Physicians PC PO Box 10025 Albany NY 12201 Medical Mgmt Service 14500354 AOW Associates Inc 30 Essex St Albany NY 12206 Construction 8963836 Aramark 27310 Network Place Chicago IL 606731273 Environmental Svcs 9020814 Medical Staffing Network PO Box 840292 Dallas TX 752840292 Staffing Solutions 5227680 FPI Mechanical Inc 11 Green Mountain Drive Cohoes NY 12047 Construction 4673752 130 1652965 10781344 24659419 29797012 1268991 66890740 Instruction 611600 41710991 41710991 Medical Services 621990 1214283207 1214283207 Research 541700 1689489 1689489 1257683687 6253062 51 6253011 0 0 842808 842808 842808 842808 152171000 146612312 5558688 5558688 5558688 199735 1652965 647668 -447933 -447933 0 0 Cafeteria, Coffee Shop 722210 5959569 5959569 Parking 812930 1664851 1664851 Program Serv Exp Reimb. 812900 18328361 18328361 2871016 1702364 1168652 28823797 1365604849 1277714412 51 20999646 7817403 7817403 5097981 5097981 0 0 2775816 2775816 136001 136001 518894698 502688842 14178090 2027766 7171283 6942434 228849 42365490 41557134 808356 33211589 32151999 1059590 0 632347 2960 629387 336733 336733 72250 72250 0 2281001 2281001 49958022 37568204 12238539 151279 1489948 838701 648363 2884 8226286 4711392 3375370 139524 91299877 584078 90715799 0 13696320 5556613 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Additional Information 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; The Hospital is selected as the main filing status for Schedule A. However, the two additional members of the group organization are equally important to the charity status. Albany Medical College - 501(c)(3) 2; The College is an organization that would be selected as a Part I selection 2 school. To provide information for the college, a pdf attachment of Schedule E is provided with this return. 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 presented as a separate pdf attachment with this return. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 72250 false false 72250 false false Part II-B, Line 1i - Other Activities Description The organization belongs to several hospital associations where a portion of the membership dues are used for lobbying activities. false true X 113127807 2468431 5923667 1982780 4120157 115416968 118822311 2144936 -1857540 1929575 4052325 113127807 115572683 3363197 5413759 1710900 3816428 118822311 99524908 4254196 16910491 1505006 3611906 115572683 88849024 3973009 11524862 1098796 3723190 99524908 0.12000 0.88000 false false false 2212359 2212359 703996233 330297080 373699153 6403362 4865921 1537441 406118361 292394060 113724301 105562830 51861308 53701522 544874776 349153894 Intercompany 139745892 Other Assets, current 6981915 Other Assets, non-current 30611925 Pension LT 5908138 183247870 Accrue est asb abatement 1330545 Federal Loan Program 6089268 Interinstitutional Payables 73453393 Other Liabilities - LT 19275914 Other liabilities - ST 16877481 Self insured liabilities 98283821 Workers Compensation LT 8223080 223533502 X 1539053907 9964728 718411 182364541 193047680 1346006227 19598622 19598622 1365604849 1491158175 718411 180071327 180789738 1310368437 19598622 19598622 1329967059 Part IV, Line 2b: Explanation of escrow account liability Gift annuities Part V, Line 4: Intended uses of the endowment fund. Income generated from Endowed funds are used to support the mission of the organization and scholarships. Part X : FIN48 Footnote s) Income TaxesWith the exception of Madison Avenue Services Corporation, 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. 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 have been deemed as disregarded entities. 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, 2016 and 2015. Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 Special Events - direct expenses $613138 Pension Related Changes $-3409746 Interest Rate Swaps $1467213 Interinstitutional Receivable $10000000 Revenue of Consolidated Affiliate $6926858 Activities of Parent Organization $XXX-XX-XXXX Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S Provision for Bad Debt Expense $19598622 Part XII, Line 2d: Other expenses and losses per audited F/S Special Events - direct expenses $613138 Reduction to Intercompany Receivables $10000000 Expenses of Consolidated Affiliate $5997248 Activities of Parent Organization $XXX-XX-XXXX Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Provision for Bad Debt Expense $19598622 Caribbean 0 0 Investments 22013553 North America 0 0 Investments 12443744 34457297 34457297 true false true true true false Part I, Line 3f - Method of Accounting Accounting method is Fair Market Value. Part I, Line 3f - Investments and Expenditures Amounts are entirely investments. false Telethon/Radiothon 980601 942861 37740 335315 Dance in Woods 330372 236797 93575 156700 3 541727 473307 68420 155653 1852700 1652965 199735 647668 647668 -447933 true true X true X true X true true true false true true 3675629 3675629 0.00400 188067492 164523355 23544137 0.02540 505457 505457 0.00050 192248578 164523355 27725223 0.02990 66477021 11577191 54899830 0.05930 3762924 1737280 2025644 0.00220 70239945 13314471 56925474 0.06150 262488523 177837826 84650697 0.09140 true 13761373 181964796 192982440 -11017644 X true true 1 1 Albany Medical Center Hospital 43 New Scotland Avenue Albany NY 12208 www.amc.edu 0101000H 14-1338307 X X X X X X X 1 Albany Medical Center Hospital 1 false false true X X X X X X X X X 16 true true true true X Same website address as Line 10a below X true 16 true www.amc.edu/Community-Health-Needs-Assessments false false true X 100.0000 400.0000 X X true true X X X X true X www.amc.edu/pbs X www.amc.edu/pbs X www.amc.edu/pbs X X X X X X true X false true X false false Part V, Line 5 - Account Input from Persons Who Represent the Community Healthy Capital District Initiative (HCDI), an independent, non-profit organization, lead the coordination of a regional community health needs assessment (CHNA) and health prioritization process for the six counties of the Capital Region -- Albany, Rensselaer, Saratoga, Columbia, Greene and Schenectady. Albany Medical Center Hospital participated in this process along with other hospitals (listed in the response to line 6a), five local health departments, and scores of organizations across the six counties representing the interests and needs of the medically underserved, low-income and minority populations in the community (listed in the response to line 6b). These participants provided input on and assisted with: Identifying and prioritizing significant health needs Identifying resources potentially available to address those health needsCommunity health surveyBroad community engagement began with participation in a community health survey that provided key input in identifying and confirming priority health needs. HCDI contracted with Siena College Research Institute, a recognized and respected market research center that operates under Siena College in Loudonville, NY, to conduct the survey from February to March 2016. The survey was a random digit dial telephone survey of adult (18+ years) residents for each of the six counties comprising the community assessed in the CHNA (that is, the Capital Region) (n=400 per county; 2,400 for Capital Region). The survey offered multiple choice and open-ended questions to learn about residents' health needs, health behaviors, barriers to care, and concerns. Demographic information collected by the survey allowed review of information by age, gender, race/ethnicity and income. A set of questions asked for feedback on perceived community obstacles. Even with the increased percentage of Capital Region residents covered by some form of health insurance, 40% of respondents identified the cost of getting medical care as a very significant obstacle; a slightly lower percentage of the respondents (27%) identified the cost of mental health services as a very significant obstacle. About 31% identified their reluctance to seek help with a mental health issue as a very significant obstacle. About 31% identified the cost of food, and 14% identified access to grocery stores with nutritious options, as very significant obstacles. About 18% identified access to a safe place to exercise, and 21% identified the costs associated with being physically active, as very significant community obstacles. Capital Region residents were asked to identify the most important health-related issues to address in their community. About 31% of the residents identified "reducing obesity in both teens and adults", 27% identified "improving both substance abuse treatment and awareness programs", and 23% identified "improving both preventive care and management for chronic diseases like diabetes, asthma and heart disease" as the most important issues.Regional WorkgroupsThe survey results were incorporated into the examination of health needs by the members of the four regional work groups that were formed by HCDI partners to target and address health priorities specific to particular regions in the defined community. Specially, Capital Region Public Health Prioritization Workgroups were established for Albany-Rensselaer, Columbia-Greene, Saratoga, and Schenectady. Albany Medical Center Hospital participated in and spearheaded the Albany-Rensselaer Workgroup, along with the Albany County Department of Health, the Rensselaer County Department of Health, and St. Peters Health Partners. Also participating in the Albany-Rensselaer Workgroup were dozens of community-based and advocacy organizations representing medically underserved, low-income, and minority populations, which were encouraged to share data of their own and to advocate for the needs of their constituents. These representatives were actively engaged, and many participated in all the prioritization meetings. They provided comments, data, and helped identify critical health resources within the Capital Region. Many of these organizations serve one or more of the following populations: low-income residents, the homeless, those with HIV/AIDS, Alzheimers, mental illnesses, those addicted to alcohol and substances, the elderly, disabled persons, low-income populations, persons challenged with food insecurity, minority populations, and the medically underserved. Examples of these organizations include the two participating federally qualified health centers, Food Pantries of the Capital District, United Way of the Capital Region, Interfaith Partnership for the Homeless, and our consumer community representatives have unique access to medically underserved residents that informed their input into the CHNA process. A full list of these and other community organizations, along with the populations they represent, is provided in the response to line 6b. The Albany-Rensselaer Workgroup held three meetings on February 10, February 24, and March 18, 2016. Information about the other three Workgroups is as follows: The Schenectady Workgroup was spearheaded by Schenectady County Public Health Services, Ellis Medicine, and Sunnyview Rehabilitation Hospital and held meetings on February 4, February 19, and March 31, 2016. The Saratoga Workgroup was spearheaded by the Saratoga County Health Department and Saratoga Hospital and held meetings on February 10, February 24, and March 18, 2016. The Columbia-Greene Workgroup was led by Greene County Public Health, Columbia County Department of Health, and Columbia Memorial Hospital and held meetings on February 12th, March 2nd, and March 16th.As with the Albany-Rensselaer Workgroup, each of these Workgroups also included their local county public health departments as well as numerous organizations representing medically underserved, low-income, and/or minority populations, which such organizations are listed in the response to line 6b. Although Albany Medical Center Hospitals prior CHNA was broadly-publicized and a well-known document throughout the community, no written comments were received on the CHNA or its related implementation strategy and hence no such comments were taken into account in the needs assessment process.The Workgroups reviewed data analyses prepared by HCDI and selected the top priorities with one health disparity to be addressed. Data presentations were given at the Workgroup meetings to provide summarized available data on the leading problems in each of the Workgroups service areas. Health indicators were included in the Prioritization data presentations if: At least one of the county rates was significantly higher than the New York State, excluding New York City data; At least one of the county rates is in the highest risk quartile in the state; Rates for the health condition worsened over the past decade for one of the counties; The health condition was a leading cause of death in one of the counties; Disparity between rates was clearly evident in sub-populations; or There were a high absolute number of cases in the counties.Health indicators that met the criteria were included in the data presentations for each of five Prevention Agenda Priority Areas: Prevent Chronic Diseases; Promote a Healthy and Safe Environment; Promote Healthy Women, Infants, and Children; Promote Mental Health and Prevent Substance Abuse; and Prevent HIV/STDs, Vaccine Preventable Diseases and Healthcare-Associated Infections. In all, 90 health indicators across the five Prevention Agenda Priority Areas were presented. Available data on prevalence, emergency department visits, hospitalizations, mortality and trends were included for each indicator. Equity data for gender, age, race/ethnicity, and neighborhood groupings were presented as available. After the presentation, these data were made available to Capital Region partners on the HCDI website (http://hcdiny.org/). After the presentation of each set of health indicators, a discussion was held to answer any questions, or for individuals to share their experiences with the health condition in the population. Participants did a preliminary vote on the importance of the condition in the community based on three qualitative dimensions: the impact of the condition on quality of life and cost of health care; if there was community awareness and concern about the condition; and the opportunity to prevent or reduce the burden of this health issue on the community. Participants were provided with a Prioritization Tracking Tool to record their own comments and measure their thoughts on the severity, community values, and opportunity regarding each health indicator.In addition to spearheading and participating in the Workgroups themselves, public health departments were also involved in the review of draft CHNA reports. In particular, drafts were reviewed for accuracy and thoroughness by a public Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment As adopted by members of the Healthy Capital District Initiative, the communities assessed in the Community Health Needs Assessment (CHNA) are the six counties of Albany, Rensselaer, Schenectady, Saratoga, Columbia and Greene. Along with Albany Medical Center Hospital, other hospital participants in this CHNA process included Ellis Hospital, St Peters Health Partners hospitals, Saratoga Hospital, Sunnyview Hospital, and Columbia Memorial Hospital, all of which are located in the 6-county region. Part V, Line 13h - Other Factors Used in Determing Amounts Charged Patients The organization also uses residency as a determining factor. For patients that reside outside the service area, available services to that patient in their service area is also a factor. Part V, Line 22d - Other Billing Determination of Individuals Without Insurance 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. Albany Medical Center Hospital South Campus 24 Hackett Blvd Albany NY 12208 Second Location of Albany Medical Center Hospital Part I, Line 6a - Related Organization Community Benefit Report All Schedule H disclosures reference the Albany Medical Center organization, of which Albany Medical Center Hospital is part of. The Community Benefit report is prepared for Albany Medical Center. Also included in this organization is Albany Medical College. Part I, Line 7 - Explanation of Costing Methodology Albany Medical Center prepares a cost report for Medicare/Medicaid purposes. Figures reported in this cost report were used as the basis for reporting of charity care and means tested programs.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 Hospital of $940,295,971. The bad debt expense of $13,761,373 was subtracted from the total expense value for the Hospital used to calculate the percentage in Part I, Line 7, Column (f).Albany Medical Center surveyed staff for activities that meet the criteria to be reported for other benefits. Time reports from these surveys were provided and reviewed, resulting in a calculation of appropriate cost attributable to these programs. Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense Approximately 34% of the organization's patient charges relate to patients utilizing Medicare insurance. These services support the significant need from the community to have an organization to be able to provide the expertise and care required.COSTING METHODOLOGYAlbany Medical Center prepares a cost report for Medicare/Medicaid purposes. Figures reported in this cost report were used as the basis for reporting. The cost report is prepared by using financial statement data and statistical information to arrive at a cost allocated report. The report is cost certified as required by an independent accountant. Part III, Line 4 - Bad Debt Expense Community Benefit, Charity Care and Uncompensated Care Footnote from Combined Audited Financial StatementsNOTE: The Center reports information regarding bad debt on a combined basis with Albany Medical Center Hospital.(a) Community BenefitThe Hospital offers numerous community benefit programs and services in community based settings in response to the needs of the communities it serves. They include community health fairs, health screenings, health education lectures and workshops for community groups and the general public, consumer health information, facilitated (insurance plan) enrollment services and clinical services such as outpatient clinics, adult and pediatric care services, neonatal intensive care services and behavioral health services. Staff members of the Hospital also participate in community leadership efforts by donating significant hours of board 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 CareThe Hospital's net cost of charity care, including payments to and receipts from the statewide pool was approximately $7.6 million in 2016 and $8.3 million in 2015 as follows:2016Charity care at cost: $5,914,000Payments to Statewide Pool: $6,732,000Receipts from Statewide Pool: $(5,087,000)Total : 7,559,0002015Charity care at cost: $6,747,000Payments to Statewide Pool: $6,357,000Receipts from Statewide Pool: $(4,838,000)Total : 8,266,000The cost of charity care provided was determined using direct and indirect costs to provide services based on the application of the ratio of the 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. In addition, during 2016 and 2015, the Hospital incurred approximately $13.8 million and $11.9 million in provisions for uncollectable accounts, respectively. Part III, Line 8 - Explanation Of Shortfall As Community Benefit Approximately 34% of the organization's patient charges relate to patients utilizing Medicare insurance. These services support the significant need from the community to have an organization to be able to provide the expertise and care required. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients Albany Medical Center provides a guide to all patients and their families describing its services, programs and policies. This guide describes the financial assistance options available to a patient. In addition, Albany Medical Center maintains a website that provides information on financial assistance, charity care and frequently asked questions. Albany Medical Center further provides assistance and information about available programs during its collection process. Albany Medical Center supports our patients who may be uninsured or underinsured through the following programs and relationships.Fidelis facilitated enrollment specialists have partnered with AMC to screen and enroll patients in applicable programs. The program will service the patient in the community or home and provide follow up efforts with the respective insurer or county program.Chamberlin Edmond, an enrollment company, performs screening and enrollment in federal disability programs and State Medicaid programs. The company covers patients within and outside of NYS. There is no charge to the patient for this program.Albany County Department of Social Services Senior examiner is located on site at the hospital Monday - Friday and performs application determinations and facilitates complex case completion. This includes Chronic Care Medicaid enrollment.Albany Medical Center staffs a 7 day a week Patient Assistance Unit that performs enrollment in Medicaid, screens applicants for special program eligibility, provides Financial Aid/Charity Care application processing, performs COBRA premium requests, supports our patients in managing complex financial situations related to medical bills. The unit coordinates with physician practice groups to support the patient in navigating the financial process to ensure the provision of service with minimal financial burden whenever possible. Albany Medical Center provides a self pay/customer service unit to support the processing of Financial Aid/Charity Care applications and Presumptive Eligibility for all patients who may be determined eligible based on income and family size.Albany Medical Center also offers tailored payment plans upon request.We continue to build community partnerships that support the enrollment of patients in programs that will provide the most complete coverage for the care they need. Part VI - Patient Education of Eligibility for Assistance Albany Medical Center provides a guide to all patients and their families describing its services, programs and policies. This guide describes the financial assistance options available to a patient. In addition, Albany Medical Center maintains a website that provides information on financial assistance, charity care and frequently asked questions. Albany Medical Center further provides assistance and information about available programs during its collection process. Albany Medical Center supports our patient who may be uninsured or underinsured through the following programs and relationships.Fidelis facilitated enrollment specialists have partnered with AMC to screen and enroll patients in applicable programs. The program will service the patient in the community or home and provide follow up efforts with the respective insurer or county program.Chamberlin Edmond, an enrollment company, performs screening and enrollment in federal disability programs and State Medicaid programs. The company covers patients within and outside of NYS. There is no charge to the patient for this program.Albany County Department of Social Services Senior examiner is located on site at the hospital Monday - Friday and performs application determinations and facilitates complex case completion. This includes Chronic Care Medicaid enrollment.Albany Medical Center staffs a 7 day a week Patient Assistance Unit that performs enrollment in Medicaid, screens applicants for special program eligibility, provides Financial Aid/Charity Care application processing, performs COBRA premium requests, supports our patients in managing complex financial situations related to medical bills. The unit coordinates with physician practice groups to support the patient in navigating the financial process to ensure the provision of service with minimal financial burden whenever possible. Albany Medical Center provides a self pay/customer service unit to support the processing of Financial Aid/Charity Care applications and Presumptive Eligibility for all patients who may be determined eligible based on income and family size.We continue to build community partnerships that support the enrollment of patients in programs that will provide the most complete coverage for the care they need. Part VI - Community Information Our service area for Community Health Needs Assessment and Improvement PlanThe service area defined was chosen by the Health Capital District Initiative, an independent, non-profit organization intended to improve health care in the Capital Region through collaborative means. As adopted by members of the Healthy Capital District Initiative, the communities assessed in the CHNA are the 6 counties of Albany, Rensselaer, Schenectady, Saratoga, Columbia and Greene. They form the common service area covered by the local health departments in Albany, Rensselaer, Schenectady, Saratoga, Columbia and Greene Counties and the primary patient population served by Albany Medical Center Hospital, Ellis Hospital, St Peters Health Partners, Saratoga Hospital and Columbia Memorial Hospital, which are located within the six counties.This 6-county region is also referred to as the Capital Region.Service Areas/Regional WorkgroupsHCDI partners formed regional work groups to target and address health priorities specific to particular regions in the defined community. For example, four health priority work groups were established: Albany-Rensselaer, Columbia-Greene, Saratoga, and Schenectady.Albany Medical Center Hospital participated in the Albany-Rensselaer Work Group. Representatives, including Albany Medical Center Hospital, combined efforts to continue work on a cooperative health improvement plan for residents of these two counties. Part VI - Community Building Activities Albany Medical Center Hospital is part of a unique tri-partite mission of medical education, biomedical research, and patient care. It is also our defining role as a community health provider, ensuring access to medical and technological innovations that are traditionally found in academic medical centers - for residents of our region and beyond. We are a safety net hospital, and the lead hospital of a Performing Provider System under the Delivery System Reform Incentive (DSRIP) Program. Community leadership and community service are integral part to our institutions strategic planning process. Population health and access for all persons serves as one of 4 pillars in our strategic plan. We actively promote public health, health education and conduct various health screenings, often in collaboration and partnership with organizations throughout our service area. Physicians, nurses, medical students and residents, and many of the staff of Albany Medical Center and Albany Medical Center Hospital volunteer their time and talents to the Capital Region community through their involvement in community organizations, community action groups, and healthcare organizations. Our missions of medical education and biomedical research improve our communitys health through: -education, training, recruitment and retention of physicians and health professionals for our community -advancement of new discoveries through medical science As the only academic medical center within nearly 150 miles, we provide a host of unique and/or highly specialized services to our community and to hospitals in our region including a Level I Trauma Center and largest Emergency Department, a Level IV NICU, the only Childrens Hospital in the region, the major resource for the Medicaid population, and a provider of high-end surgical services and medical care for the acutely ill. We are in the process of constructing a pediatric emergency department to care for the emergency needs of children in our region, ranging from trauma to minor emergencies and critical care. More than half approximately 55% - of our pediatric emergency patients are Medicaid beneficiaries.Many of Albany Medical Center Hospitals assets and resources are listed below, all of which greatly impact the health of our region. The regions only medical college: a valuable asset and resourceOur mission of education inspires us to teach our regions current and future medical professionals. Albany Medical Colleges Patient Safety and Clinical Competency Center houses an incredible collection of simulation and training resources to educate students and other health care workers. It is a critical component of Albany Medical Center Hospitals commitment to the highest standards of patient safety. Our Continuing Medical Education program helps medical professionals maintain competency skills and learn about new and developing areas in their field, all aimed at improved care of the patient (over 450 educational sessions annually). Project MEDSCOPE is a unique Albany Medical College program that offers medical students and physicians the opportunity to partner with community organizations and physicians to serve the unmet health care needs of the underserved throughout the region. Medical students and residents also participate in numerous advocacy projects, such as anti-smoking education to grade school students. We serve as a clinical rotation site for students from Hudson Valley Community College (HVCC) and Albany College of Pharmacy (ACP) in the fields of nursing, respiratory therapy, ultrasound, cardiovascular, paramedical services, pharmacy and laboratory sciences. Additionally, we offer scholarships to students in these HVCC and ACP programs, and has recently included scholarship programs at other local and regional colleges such as College of St. Rose (in the field of clinical laboratory medicine). This initiative has succeeded in increasing enrollment in previously under-enrolled HVCC programs to the point where there are sufficient graduating students to fill vacancies in many other hospitals in this region. A key community educator in our region: a valuable asset and resourceWe are committed to serving as one of the greatest community education resources in the region: General Public Education -Annual Health Fairs -Health Screenings -Health seminars and workshops Targeted Community Education -Disease specific programs -Broad range of clinical experts from Albany Med Serving as an educational site for local high schools Community Support -Memberships -Partnerships -Board service Support for awareness programs, programmatic initiatives -e.g., Ronald McDonald House, American Cancer Society, American Heart Association Support for Economic Development / Workforce Development -To attract and retain a trained, educated workforce Support for Quality of Life programs -e.g., Boy Scouts, Jewish Family Services, Capital Region Pride Center, Regional Food Bank, Girls Inc. Needed services provided to special populations: a valuable asset and resource Major resource for Medicaid and uninsured populations -We are the largest single provider of care to the Medicaid and uninsured populations in a 25-county region, making community-based physicians available by accepting public plans that private physician groups often do not Hospital that serves other hospitals -We provide comprehensive care to the critically ill and injured that is not available at other hospitals accepting more than 13,000 patient transfers a year Diverse population -Our caregivers and medical students are from demographically diverse backgrounds, meeting the primary and specialty care needs of a diverse population -Our workforce is demographically more diverse than the 25-county region we serve Provider of regional services -We coordinate and provide a host of regional services created to improve the health and outcomes of our regions population. Examples of our regional outpatient and hospital-based services are as follows: -Regional Perinatal Center -Lifestar Regional Trauma Program -Regional AIDS Program -Regional Trauma Center -Regional Resource Center -Patient Safety and Clinical Competency Center (training for health care professionals in a virtual learning environment) Collaborating with Regional Health Improvement Task Forces: contributing valuable assets and resourcesThe following summarizes some of the many resources Albany Medical Center Hospital will provide to maximize the health strategies of each Regional Health Improvement Task Forces (Behavioral Health and Diabetes): Multi-specialty physician network Acute and tertiary care Adult and pediatric health education programs Clinical and biomedical research Medical education Community education programs Caregiver education programs Various public education forums (health fairs, seminars, workshops, screenings, etc.) Continuing Medical Education Employee Wellness initiatives Part VI - Explanation Of How Organization Furthers Its Exempt Purpose The following are examples of Albany Medical Center Hospitals commitment to the region it serves across the spectrums of patient care, education and research. Albany Medical Center Hospital accepts all patients, regardless of ability to pay, how much they or their insurers pay, or whether they are eligible for assistance under our Hospitals financial assistance policy. We have never and will never allow financial status to impact the level of care we provide despite the fact that the financial impact is significant. We perform this financial mission for our community in an effort to keep those most in need as healthy as we can. We are the dominant provider of services for the Medicaid and uninsured populations, and as such, have been designated as a Safety Net Provider. Because of the vast range of programs and services available at academic medical centers, Albany Med retains a wide array of physician specialists not found elsewhere in our region, including critical care medicine and surgery; HIV medicine; neuro-interventional care; pediatric subspecialties; trauma; plastic reconstructive surgery; surgical oncology; endovascular surgery; transplant surgery; and various other critical services. We have many enrollment assistance programs in place and continue to expand those. For example, Albany Medical Center Hospital utilizes a specialized firm to assist our patients most in need with complicated Medicaid and Disability Application processing. The monthly fee is substantial, and is solely covered by Albany Medical Center Hospital on behalf of our patients. As the regions Level I Trauma Center and often the busiest in New York State, we provide comprehensive care to the critically ill and injured that is not available at other hospitals. As a result we receive thousands of patient transfers from other hospitals and health facilities due to the absence of a qualified specialist on staff or on-call at the time of need or because the patient required a higher level of care that the hospital could not provide. As a result, we receive a significant number of transfers from other hospitals and health facilities. Annual transfers have increased 83% since 2009, to over 11,600 patients in 2015. Our medical staff includes over 600 community-based physicians. We provide Continuing Medical Education to over 4,000 medical professionals annually. We invest in meeting community health needs at all levels, from community-based programs such as diabetes and other chronic disease management to highly specialized inpatient programs like or end-stage Congestive Heart Failure Clinic and Chronic Kidney Disease Clinic. Additional disease-based primary care outpatient programs assist patients with HIV/AIDS, cystic fibrosis, hemophilia, and provide services through our psychiatry clinic. Albany Med runs the regions sexual assault examiner program. In addition to serving as a resource for specialty services and transfer of patients, we work with other health systems and service providers to ensure that community needs are met. Albany Med has expanded its role as a clinical rotation site for students studying in the fields of nursing, respiratory therapy, ultrasound, cardiovascular, paramedical services, pharmacy and laboratory sciences. Additionally, the Hospital offers scholarships to students in some of these programs, and has recently included scholarship programs at other local and regional colleges in the field of clinical laboratory medicine. This initiative has succeeded in increasing enrollment in previously under-enrolled programs to the point where there are sufficient graduating students to fill vacancies in many other hospitals in our region. We have expanded our access into our communities through multi-specialty locations and urgent care sites. We educate and train physicians over 550 future physicians each year. We also offer residencies and fellowships in over thirty accredited programs, while maintaining an important commitment to the societal trends on the practice of medicine and community health. Notably, approximately 40% of the regions physicians have graduated from, or have received continuing medical education from Albany Medical College. Within the field of nursing, Albany Medical Center Hospital has instituted a Grow Our Own program whereby hospital employees who are not nurses can become nurses by attending courses and gaining clinical experience 1 day out of each scheduled work week. To better serve the needs of populations throughout our region, we continue to expand our reach into our communities by adding needed services, including urgent care. Albany Med physicians and researchers have extensive experience in a wide range of basic and clinical research topics. Our basic research scientists facilitate discoveries that translate into medical innovations at patients' bedsides. Part VI - Affilated Health Care System Roles and Promotion Albany Medical Center Hospital is a discrete operating entity of Albany Medical Center. Other members of Albany Medical Center includes Albany Medical College, Albany Medical Center Foundation and Albany Medical Center. As a member of Albany Medical Center, the Hospital has a mission of providing excellence in patient care.All Schedule H disclosures reference the Albany Medical Center organization, of which Albany Medical Center Hospital is part of. Also included in this organization is Albany Medical College. Part VI - States Where Community Benefit Report Filed NY Part V - Explanation of Number of Facility Type One Facility with two locations true Albany Medical Center Hospita 47 New Scotland Ave Albany NY 12208 141338307 501 (c)(3) 2504152 0 Donor estimated value Fund research and healthcare Albany Medical Center Kids 47 New Scotland Ave Albany NY 12208 222635792 501 (c)(3) 5552 0 Donor estimated value Educational Programs Albany Medical College 47 New Scotland Ave Albany NY 12208 141338310 501 (c)(3) 4826943 0 Donor estimated value Fund scholarships, research AMC Alumni Association 47 New Scotland Ave Albany NY 12208 141468380 501 (c)(3) 480756 0 Donor estimated value Fund scholarships 4 0 Educational Scholarships 354 5097981 Book Value Grantmaker's Description of How Grants are Used 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 reviews applications for scholarships and distributes funds in accordance with scholarship restrictions. Funds are directly offset against tuition amounts owed. X X X X X false true false false false false false false false false Alan S Boulos Department Chair 813602 5429 18360 10600 11009 859000 Darryl J Dirisio Professor 735601 184464 19032 10600 12276 961973 79770 Ferdinand J Venditti Jr MD EVP System Care Delivery-VDEANCLNAF 549512 176978 18276 116994 7074 868834 156978 Frances S Albert Exec VP & CFO 314927 46125 552 63827 3640 429071 46125 Francis D Ferdinand Professor/CLIN 743195 64927 834 7950 12067 828973 Gary J Kochem Exec VP & COO 475337 145580 60321 55338 9624 746200 125580 James J Barba President & CEO 894089 350000 2171367 247600 8616 3671672 350000 James P Lawrence Assoc Professor 361204 357780 14965 7950 9384 751283 110369 Mathew Dicaprio Assoc Prof/Clin 665496 10270 12836 7950 12347 708899 Steven M Frisch SR Exec VP Integrated Deliv System 689563 204763 19584 136376 10600 9753 341139 729500 184763 Steven M Parnes MD Board Member 615278 9460 15369 7950 10442 658499 Vincent Verdile MD SR Exec VP Sys Care Delivery & Dean 692113 202325 19584 147100 7202 1068324 182325 William C Hasselbarth CFO thru 6/16 481186 151694 14786 10600 5047 663313 131694 A City of Albany IDA 2005A 521325673 012440HA4 2005-06-29 10000000 Renovations/Construction false false false B City of Albany IDA 2006A 521325673 012440HE6 2006-05-03 5855000 Renovations/Construction false false false C City of Albany IDA 2007A 521325673 012440JJ3 2007-06-28 6645000 Renovations/Construction false false false D City of Albany IDA 2007C 521325673 012440JN4 2007-11-28 13160000 Renovations/Construction false false false A 580000 10000000 200000 9800000 2006 false false true true B 1855000 5855000 29275 5825725 2007 false false true true C 2375000 6645000 132900 22750 6489350 2008 false false true true D 4640000 13160000 263200 41492 12855308 2009 false false true true A false false true true false false false true B false false true true false false false true C false false true true false false false true D false false true true false false false true A false true true Key Bank 30.0000 false false false false true B false true true Citizens 20.0000 false false false false true C false true true Bank of America 20.0000 false false false false true D false true true Bank of America 20.0000 false false false false true A true B true C true D true Part VI Part II, Line 1, Columns A-D - Total proceeds of 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.Part III, Line 3a, Columns A-D - 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.Part IV, Line 2c, Column A - Rebate calculations performed on 6/29/10 and 6/29/15.Part IV, Line 2c, Column B - Rebate calculations performed on 5/3/11 and 5/3/16.Part IV, Line 2c, Column C - Rebate calculation performed on 6/28/12.Part IV, Line 2c, Column D - Rebate calculation performed on 11/28/12. A City of Albany CRC 2014A 272467899 2014-09-10 22000000 Renovations/Construction false false false A 431200 22000000 440000 21560000 2014 false false true true A false false true true false false false true A false true false false false true A true Dr Anne L Barba Family Mbr 136001 Employment false Schedule L, Part V Supplemental Information Dr. Anne L Barba is the daughter of James Barba, CEO. X 25 1218268 MV at donation X Books, Toys, and misc. gifts 1 50723 MV at donation false true false Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: Laboratory Services (Adult & Peds) - Inpatient and outpatient services including clinical chemistry, blood bank, hematology, serology and microbiology. OTHER PROGRAM SERVICES 5: Other Patient Care Based Services totaled approximately $84 million in expenditures OTHER PROGRAM SERVICES 6: The Group Organization receives general expense reimbursements for Related Patient Care Services OTHER PROGRAM SERVICES 7: Faculty Practice: The organization operates a clinical practice activity (patient care) for the faculty of the Albany Medical College. 2016 experienced over 398,000 patient visits. OTHER PROGRAM SERVICES 8: 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 $15 million. OTHER PROGRAM SERVICES 9: Instruction - As an educational institution, the main function is to teach approximately 800 students. OTHER PROGRAM SERVICES 10: The organization has certain other Exempt Function Revenues which total approximately $1.1 million. OTHER PROGRAM SERVICES 11: 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. 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. Our process also includes a review of returns by senior management and a presentation and review of the returns at a meeting of the Audit Committee of the Board of Directors. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts All candidates for Board membership and Board Committee membership receive a copy of the conflict of interest policy and conflict of interest questionnaire for completion. Actual or potential conflicts reported are reviewed by the Committee on Audit & Compliance of the Board of Directors and appropriate action is taken to mitigate conflicts.Upon hire, all employees receive an employee manual which explains the conflict of interest policy and the requirement to report any actual or potential conflicts. All employees also receive refresher education regarding the policy and a reminder about the reporting requirement as part of their mandatory annual education. All employees are responsible for notifying Center management of any potential conflicts in addition to responding to requests for information if requested. Persons holding significant management positions receive a copy of the conflict of interest questionnaire for completion. Any conflicts which are reported or discovered are reviewed by the Corporate Compliance & Audit Dept. and appropriate action is taken to mitigate the conflict. Employees who violate the conflict of interest policy are subject to the institution's corrective action policies. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees The Compensation Committee of the Board of Directors ("Committee") establishes compensation for the President and Chief Executive Officer of the organization, all Executive Vice Presidents and other top management officials who report directly to the President and Chief Executive Officer, subject to approval by the Board of Directors. The Committee uses professional compensation advisors who are capable of rendering independent advice and independent market surveys. The Committee targets the market median (50th percentile) for cash compensation; benefit programs are intended to be competitive. After the compensation program is determined, the Committee-approved recommendation is forwarded to the Board of Directors for its consideration and approval, and that is contemporaneously substantiated. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Documents are made available upon request. Other Changes In Net Assets Or Fund Balances - Other Increases Fair Value of Interest Rate Swaps = $1467213 Other Changes In Net Assets Or Fund Balances - Other Decreases Pension Related Changes = -$3409746 Chief Executive Officer Salary Included in Mr. Barbas reported compensation for 2016 is a $2,389,000 payment received for a supplemental retirement benefit pursuant to his employment contract. Mr. Barba entered into an employment contract with Albany Medical Center in 1999. One provision of the contract was a requirement for Albany Medical Center to pay a supplemental retirement benefit for each year he served as Chief Executive Officer. The Executive Compensation Committee of the Board, in response to an analysis and a recommendation from an external compensation consultant, Sullivan Cotter, concluded that Mr. Barba should be provided a retirement benefit for the period beginning in 2006 as the benefits under a previous plan had terminated. Therefore, Mr. Barba was provided a funded supplemental retirement benefit from 2006 to 2016 to ensure that he was receiving a retirement benefit consistent with both his employment contract and market conditions. The Board unanimously approved the retirement benefit as recommended by the Executive Compensation Committee. Form 990 Part VII - Estimate of average hours to related organizations Hours reported for Board Members, Officers and Key Employees are average work hours related to this organization and its related organizations. Organizations included in this relationship are Albany Medical Center, Albany Medical Center Hospital, Albany Medical College, Albany Medical Center Foundation, Center for Donation and Transplant, and Kidskeller Inc. Albany Medical Center Kidskeller 47 New Scotland Avenue Albany NY 12208 222635792 Educational Day Program NY 501(c)(3) 2 Albany Medical Center false Center for Donation and Transplant 218 Great Oaks Blvd Albany NY 12203 141820447 Organ and Tissue Bank NY 501(c)(3) 12 Type I Albany Medical College true false true false false false false false false false false false false false false false true true false true Center for Donation and Transplant q 706164 Book Value Center for Donation and Transplant s 906232 Book Value