2016-11-14T07:51:56-08:00 2015-12-31 KPMG LLP 515 Broadway Albany NY 12207 990 2015-01-01 473869194 Albany Medical Center Group Organization ALBA 5182625585 47 New Scotland Ave MC116 Albany NY 12208 Frances S Albert Exec VP & CFO 2016-11-11 true Todd P Teresco P00247720 5184274600 2015 2017-02-10 21:41:12Z James J Barba 47 New Scotland Ave Albany NY 12208 1324660190 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. 30 28 8930 855 237 52708033 49059213 1098725032 1172606170 15463723 13159219 27113940 27517781 1194010728 1262342383 15543082 15110855 0 514564860 565328998 0 2878899 615968298 653361643 1146076240 1233801496 47934488 28540887 1312084933 1330119525 801606348 816286354 510478585 513833171 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 331445029 317228635 Inpatient and Outpatient Services - Provision of inpatient and outpatient services including specialized nursing services and emergency room.2015 admissions were approximately 36,600 and patient days were approximately 223,000. 261208288 259872600 Faculty Practice: The organization operates a clinical practice activity (patient care) for the faculty of the Albany Medical College. 2015 experienced over 350,000 patient visits. 151269655 244013821 Diagnostic and Testing Services - Inpatient and outpatient services including diagnostic imaging, radiation therapy and cardiac catheterization.In 2015 inpatient professional services totaled 86,300; outpatient services totaled 62,400 and ER services was approximately 66,900. 279705896 15110855 370672527 1023628868 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 803 0 true 8930 true false false true OC false false true true true true false 0 false false false false false false false false false false X 30 28 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 17.00 23.00 X X 0 1113474 367511 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 612229 0 24368 Daniel T Pickett III Board Member 6.00 2.00 X 0 0 0 W Michael Reickert Board Member 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 Christine Standish Mbr thru 6/15 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 Board Member 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 Gary J Kochem Exec VP & COO 17.00 23.00 X 0 606653 151696 William C Hasselbarth Exec VP & CFO 35.00 5.00 X 0 599236 157720 Steven M Frisch EVP-Hosp Dir. 32.00 8.00 X 169625 655772 210264 Vincent Verdile MD Exec VP & Dean 37.00 3.00 X 826138 0 205277 Ferdinand J Venditti Jr Vice Dean 40.00 0.00 X 689453 0 181667 Darryl J Dirisio Professor 40.00 0.00 X 975965 0 109527 Alan S Boulos Department Chair 40.00 0.00 X 774026 0 26911 Edward V Bennett Jr Professor 40.00 0.00 X 1017587 0 27832 James P Lawrence Assoc Professor 40.00 0.00 X 762757 0 133983 5827780 2975135 1596756 856 false true false Community Care Physicians PC PO Box 10025 Albany NY 12201 Medical Mgmt Service 12137926 AOW Associates Inc 30 Essex St Albany NY 12206 Construction 7516736 Aramark Healthcare 25271 Network Place Chicago IL 606731252 Food Service Mgmt 4916677 Aramark 27310 Network Place Chicago IL 606731273 Environmental Svcs 3914490 Siemens Medical Solutions PO Box 959167 St Louis MO 631959167 IT Support Services 2648136 81 1484976 8136940 17583684 21853613 1225628 49059213 Instruction 611600 39349030 39349030 Medical Services 621990 1131654957 1131654957 Research 541700 1602183 1602183 1172606170 6995363 237 6995126 5803 5803 0 538852 579159 538852 579159 1118011 1118011 67362000 61203947 6158053 6158053 6158053 187190 1484976 566587 -379397 -379397 0 521413 547273 -25860 -25860 Cafeteria, Coffee Shop 722210 5664797 5664797 Parking 812930 2016311 2016311 Program Serv Exp Reimb. 812900 17197124 17197124 1926795 1984289 -57494 26805027 1262342383 1191787583 237 21495350 10745326 10745326 4365529 4365529 0 0 1693766 1693766 143741 143741 490773319 477358684 11692677 1721958 4031622 3874661 104712 52249 36886438 35791596 979754 115088 31800112 30624073 1052147 123892 0 414075 18629 395446 589543 589543 78737 78737 0 2205164 2205164 39541473 36033458 3288749 219266 1555357 1486868 66276 2213 8668043 4854466 3682735 130842 80736247 669992 80066255 0 14404762 5745250 8497230 162282 3113392 2504826 477704 130862 0 0 22845693 809565 22034235 1893 137038886 103252764 33785755 367 59132829 33958279 25166451 8099 23557213 21031754 2525459 Medical Surgical 194951270 195138699 -187429 Machine Rental & Maintenance 22523764 17228262 5232294 63208 Food & General Supplies 18615423 17362049 1253374 Provision for Uncollect Accts 17003905 16931634 72271 6385867 3620026 2691432 74409 1233801496 1023628868 207293729 2878899 14388717 31633618 62994276 58944585 8604586 6541814 143662367 137839371 0 0 7061192 7051416 14982842 19562656 9708894 9720725 1210597572 665128956 567576557 545468616 0 0 309748348 318112298 10472837 10472837 162884317 184771589 1312084933 1330119525 136181159 125296827 17352333 18158539 50400000 48696665 1953507 1892686 370868667 370096913 224850682 252144724 801606348 816286354 X 347348269 359598292 90499066 79713629 72631250 74521250 510478585 513833171 1312084933 1330119525 X 28540887 -15625788 -9560513 X false false true true X Part I: 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 78737 false false 78737 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 118822311 2144936 -1857540 1929575 4052325 113127807 115572683 3363197 5413759 1710900 3816428 118822311 99524908 4254196 16910491 1505006 3611906 115572683 88849024 3973009 11524862 1098796 3723190 99524908 93260535 1757011 -1583599 1037952 3546971 88849024 0.16000 0.84000 false false false 2212359 2212359 688870524 307057045 381813479 6606317 4864534 1741783 447390892 326679580 120711312 65517480 26527797 38989683 545468616 318112298 Intercompany 159993059 Other Assets, current 14566 Other Assets, non-current 18930592 Pension LT 5833372 184771589 Accrue est asb abatement 1513208 Federal Loan Program 6209293 Interinstitutional Payables 94694174 Other Liabilities - LT 30714710 Other liabilities - ST 18359611 Self insured liabilities 92591961 Workers Compensation LT 8061767 252144724 X 1383269500 -15625788 738732 152745807 137858751 1245410749 16931634 16931634 1262342383 1380024105 738732 162415511 163154243 1216869862 16931634 16931634 1233801496 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 Albany Medical Center and Related Entities 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. The Center 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, 2015 and 2014. Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 Special Events - direct expenses $584686 Pension Related Changes $-9519065 Interest Rate Swaps $-41448 Interinstitutional Receivable $10000000 Revenue of Consolidated Affiliate $6340828 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 $16931634 Part XII, Line 2d: Other expenses and losses per audited F/S Special Events - direct expenses $584686 Reduction to Intercompany Receivables $10000000 Expenses of Consolidated Affiliate $5943409 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 $16931634 Caribbean 0 0 Investments 22236934 North America 0 0 Investments 13664928 35901862 35901862 true false false false false 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 840402 806362 34040 315961 Dance in Woods 342791 259491 83300 130071 3 488973 419123 69850 120555 1672166 1484976 187190 566587 566587 -379397 true true X true X true X true true true false true true 3656635 3656635 0.00420 167350576 141245602 26104974 0.03030 408922 408922 0.00050 171416133 141245602 30170531 0.03500 60282092 11532062 48750030 0.05660 4175691 1351029 2824662 0.00330 64457783 12883091 51574692 0.05990 235873916 154128693 81745223 0.09490 true 11892481 172883120 178139005 -5255885 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 13 true true true true X www.amc.edu X www.hcdiny.org X true 13 true www.amc.edu/aboutus/documents 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 true X false true X false false Part V, Line 5 - Account Input from Persons Who Represent the Community Coordinated through the Healthy Capital District Initiative (HCDI), Albany Medical Center - in collaboration with many organizations throughout the counties of Albany, Rensselaer, and Schenectady - implemented a project to engage health providers and community members in a regional community health needs assessment (CHNA) and health prioritization process. The process took into account input from 3 local health departments, scores of organizations across the 3-counties, representing the interests and needs of the medically underserved, low-income and minority populations in the community. They assisted with: Identifying and prioritizing significant health needs Identifying resources potentially available to address those health needsOther participants in the process comprised consumer representatives; advocacy groups; employers; providers, hospitals; and health insurers. The resulting efforts included a community health improvement plan; and creation of strategies to reduce duplication of services and costs, assist each other for improved efficiency and efficacy, and work together to maximize available resources and assets. Part V, Line 6a - List Other Hospital Facilities that Jointly Conducted Needs Assessment Other hospital organizations involved in the community health needs assessment, through the coordination of the Healthy Capital District Initiative, included Ellis Medicine and St. Peters Health Partners hospitals. 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. 1 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 $872,440,265. The bad debt expense of $11,892,481 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 35% 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 $8.3 million in 2015 and $8.0 million in 2014 as follows:2015Charity care at cost: $6,747,000Payments to Statewide Pool: $6,357,000Receipts from Statewide Pool: $(4,838,000)Total : 8,266,0002014Charity care at cost: $7,586,000Payments to Statewide Pool: $5,988,000Receipts from Statewide Pool: $(5,579,000)Total : 7,995,000The 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 2015 and 2014, the Hospital incurred approximately $11.9 million and $11.6 million in provisions for uncollectable accounts, respectively. Part III, Line 8 - Explanation Of Shortfall As Community Benefit Approximately 35% 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 - Needs Assessment Coordinated through the Healthy Capital District Initiative (HCDI), the counties of Albany, Rensselaer, and Schenectady implemented a joint project to engage health providers and community members in a regional health needs assessment and prioritization process. Between 2012 and 2013, Albany Medical Center Hospital participated in a two year community health planning process during which a comprehensive assessment of public health needs was completed for the counties of Albany, Rensselaer, and Schenectady. The assessment was followed by the prioritization of the findings and the development of regional Community Health Improvement Plans. The result was a report of findings, the 2013 Community Health Needs Assessment, which includes county and zip code group level analyses of causes of death, hospitalizations and emergency room use. Twenty year trends, and gender, ethnicity and age patterns were also examined when available.These findings were reviewed with representatives from hospitals (including Albany Medical Center Hospital), local health departments, community health centers, community organizations, members of the public and business representatives to prioritize the most pressing regional health issues considering: the number of people impacted, a disproportionate burden in New Yorks Capital Region, a disproportionate burden for a particular subpopulation, impact on quality of life, cost of health care, community concern and the opportunity to prevent or reduce its prevalence.Community health improvement task forces were formed around the leading significant health priorities of chronic diseases diabetes and asthma, and behavioral health (opiate abuse and smoking among the mentally ill). Albany Medical Center Hospital is an active participant on each of the task forces, which have developed community health improvement plans that build upon community resources with evidence-based strategies for improving health. The plans set the agenda for a 3 year community-wide effort, from 2014-2017, to make improvements in each of these health areas.Albany Medical Center Hospitals Community Service Plan is built around these health improvement goals and evidence-based strategies. 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 areaFor Community Health Needs Assessment and Improvement PlanThe Healthy Capital District Initiative spearheaded a comprehensive community health needs assessment (CHNA) for the 3-county region of Albany, Rensselaer and Schenectady. Residents of this region utilize healthcare differently, and as a result - Albany Medical Center Hospitals service area is defined as Albany and Rensselaer Counties. Outside the 3-county region we complement existing acute services. Our 24/7 access to specialists unavailable elsewhere in the region continues to drive an increase in patient transfers. In 2015, for example, more than 11,600 patients were transferred from other hospitals and health facilities throughout the region. 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 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. Community service is an integral part of our institutional strategic planning. 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. 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 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 11,600 patients 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 Force (Asthma, 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, Gauchers Disease, 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) 3977639 0 Donor estimated value Fund research and healthcare Albany Medical College 47 New Scotland Ave Albany NY 12208 141338310 501 (c)(3) 6348366 0 Donor estimated value Fund scholarships, research AMC Alumni Association 47 New Scotland Ave Albany NY 12208 141468380 501 (c)(3) 415306 0 Donor estimated value Fund scholarships 3 0 Educational Scholarships 490 4365529 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 false false false false false false false false false Alan S Boulos Department Chair 738075 35951 10600 16311 800937 Darryl J Dirisio Professor 712166 222247 41552 90370 19157 1085492 Edward V Bennett Jr Professor 766615 207250 43722 7950 19882 1045419 Ferdinand J Venditti Jr Vice Dean 504832 142537 42084 167578 14089 871120 142537 Gary J Kochem Exec VP & COO 420873 141905 43875 136180 15516 758349 121905 James J Barba President & CEO 820090 250000 43384 360600 6911 1480985 250000 James P Lawrence Assoc Professor 338497 388020 36240 118319 15664 896740 126216 Steven M Frisch EVP-Hosp Dir. 613740 169625 42032 195363 14901 169625 866036 149625 Steven M Parnes MD Board Member 563921 4586 43722 7950 16418 636597 Vincent Verdile MD Exec VP & Dean 614683 168871 42584 192925 12352 1031415 143871 William C Hasselbarth Exec VP & CFO 414511 141641 43084 142294 15426 756956 121641 A City of Albany IDA 2005A 521325673 012440HA4 2005-06-29 10000000 Acquisition of Land, Renovatio false false false B City of Albany IDA 2006A 521325673 012440HE6 2006-05-03 5855000 Acquisition of Land, renovatio false false false C City of Albany IDA 2007A 521325673 012440JJ3 2007-06-28 6645000 Acquisition of Land, renovatio false false false D City of Albany IDA 2007C 521325673 012440JN4 2007-11-28 13160000 Acquisition of land, construct false false false A 510000 10000000 200000 9800000 2006 false false true true B 1734517 5855000 29275 5825725 2007 false false true true C 2157126 6645000 132900 22750 6489350 2008 false false true true D 4255273 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 III, Line 3a, Columns A-D - Albany Medical Center has incidental management and service contracts in various financed areas.Part IV, Line 2c, Column A - Rebate calculations performed on 6/29/10 and 6/29/15.Part IV, Line 2c, Column B - Rebate calculation performed on 5/3/11.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 Renovation and Reconstruction false false false A 306419 22000000 440000 21560000 2014 false false true true A false false true true false false false true A false true true First Niagara 25.0000 false false false false true A true Dr Anne L Barba Family Mbr 143741 Employment false Schedule L, Part V Supplemental Information Dr. Anne L Barba is the daughter of James Barba, CEO. X 24 1205647 MV at donation X Books, Toys, and misc. gifts 1 19981 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 $77 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. 2015 experienced over 350,000 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 $13 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 $1.3 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 Decreases Fair Value of Interest Rate Swaps = -$41448 Other Changes In Net Assets Or Fund Balances - Other Decreases Pension Related Changes = -$9519065 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) 11 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 707084 Book Value Center for Donation and Transplant s 670822 Book Value