TY 2020 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(1) JAMES J BARBA...................................................................... PRESIDENT & CEO (AMHS)	20.00 ................. 20.00	X	X	0	2,299,003	14,715
(2) ANGELO CALBONE...................................................................... PRESIDENT & CEO (SH, SCI)	38.00 ................. 2.00	X	X	1,648,036	0	36,385
(3) STEVEN FRISCH MD...................................................................... BOARD MEMBER (AMHS , CMH, SH)	39.00 ................. 19.00	X		0	1,217,996	118,555
(4) DENNIS MCKENNA MD...................................................................... PRES/CEO (AMHS), BD MEM (CDT)	22.00 ................. 20.00	X	X	0	1,051,033	249,494
(5) JAY P CAHALAN...................................................................... PRESIDENT & CEO (CMH)	40.00 ................. 0.00	X	X	996,964	0	121,409
(6) STEVEN M PARNES MD...................................................................... BOARD MEMBER (AMHS)	46.00 ................. 2.00	X		781,780	0	31,824
(7) RICHARD FALIVENA...................................................................... VP (SH), BOARD MBR (SRMPC)	1.00 ................. 0.00	X		0	459,605	30,180
(8) HIRAL AMIN MD...................................................................... BOARD MEMBER (CMH)	48.00 ................. 0.00	X		456,934	0	28,730
(9) DAVID J CONTI MD...................................................................... BOARD MEMBER (CDT)	42.00 ................. 0.00	X		382,133	0	31,842
(10) BRYAN T MAHONEY...................................................................... CFO (CMH), SECRET./TREAS (KCI)	40.00 ................. 1.00	X	X	304,181	0	750
(11) MICHAEL DAILEY MD...................................................................... BOARD MEMBER (CDT)	42.00 ................. 0.00	X		272,587	0	22,252
(12) WILLIAM MURPHY MD...................................................................... BOARD MEMBER (CMH)	48.00 ................. 0.00	X		260,740	0	20,954
(13) VICKEY MASTA-GORNIC...................................................................... VP RISK MGMT (AMHS), MEM (KIDS)	2.00 ................. 40.00	X		0	238,217	8,814
(14) ALICIA WICZULIS MD...................................................................... BOARD MEMBER (KIDS)	42.00 ................. 0.00	X		203,476	0	23,891
(15) MICHELE K SKUMURSKI...................................................................... BOARD MEMBER (KIDS)	2.00 ................. 42.00	X		0	223,004	3,270
(16) MARY ALICE CULLEN...................................................................... BOARD MEMBER (KIDS)	42.00 ................. 0.00	X		182,632	0	25,405
(17) MEGHAN L WEYGANT...................................................................... BOARD MEMBER (KIDS)	42.00 ................. 0.00	X		183,296	0	14,888

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) BRIGIDO MONTERO........................................................................ BOARD MEMBER (KIDS)	2.00 .......................40.00	X					0	178,304	19,628
(19) EMILY J WRIGHT........................................................................ BOARD MEMBER (KIDS)	42.00 .......................0.00	X					144,037	0	336
(20) CHARLES M DAY........................................................................ BOARD MEMBER (KIDS)	2.00 .......................40.00	X					0	140,236	2,090
(21) ROBERY J PISTILLI........................................................................ BOARD MEMBER (KIDS)	2.00 .......................40.00	X					0	119,461	22,682
(22) CHRISTINE R HAYES........................................................................ BOARD MEMBER (KIDS)	2.00 .......................40.00	X					0	127,046	7,955
(23) MARY SOLOMONS........................................................................ BOARD MEMBER (SCI)	40.00 .......................0.00	X					114,727	0	7,815
(24) CATHERINE RIDDLE........................................................................ BOARD MEMBER (KIDS)	42.00 .......................0.00	X					104,803	0	9,442
(25) JENNIFER L BALAZS........................................................................ BOARD MEMBER (KIDS)	42.00 .......................0.00	X					83,289	0	22,461
(26) MEGAN R HELMECKE........................................................................ BOARD MEMBER (KIDS)	42.00 .......................0.00	X					80,009	0	22,340
(27) MARY K CAREY........................................................................ BOARD MEMBER (KIDS)	42.00 .......................0.00	X					64,836	0	9,998
(28) RAIMUNDO C ARCHIBOLD JR........................................................................ BOARD MEMBER (AMHS, SCI, SH)	11.00 .......................2.00	X					0	0	0
(29) JAMES J ARMSTRONG........................................................................ VICE CHAIRMAN (CMHF)	2.00 .......................0.00	X	X				0	0	0
(30) V RICHARD BACK MD........................................................................ BOARD MEMBER (CMH)	8.00 .......................0.00	X					0	0	0
(31) RENEE BARRATIERE........................................................................ BOARD MEMBER (CMHF)	1.00 .......................0.00	X					0	0	0
(32) MARK L BEHAN........................................................................ BOARD MEMBER (AMHS)	6.00 .......................3.00	X					0	0	0
(33) MARY GAIL BIEBEL PHD........................................................................ BOARD MEMBER (AMHS, CMH, KCI)	15.00 .......................2.00	X					0	0	0
(34) RICHARD BYRNE........................................................................ VICE PRESIDENT (CMHF)	2.00 .......................0.00	X	X				0	0	0
(35) SUJATA CHAUDHRY........................................................................ BOARD MEMBER (AMHS)	6.00 .......................2.00	X					0	0	0
(36) DAVID COLLINS........................................................................ BOARD MEMBER (SCI, SH)	3.00 .......................0.00	X					0	0	0
(37) KARI CRUSHING........................................................................ BOARD MEMBER (SCI, SH)	3.00 .......................0.00	X					0	0	0
(38) ROBERT T CUSHING........................................................................ BOARD MEMBER (AMHS)	6.00 .......................2.00	X					0	0	0
(39) SUSAN L DAKE........................................................................ BOARD MEMBER (SCI, SH)	3.00 .......................0.00	X					0	0	0
(40) JOYCE M DEFAZIO........................................................................ BOARD MEMBER (AMHS THRU 3/20)	6.00 .......................2.00	X					0	0	0
(41) ISABELLE DESJARDINS MD........................................................................ BOARD MEMBER (CDT)	2.00 .......................0.00	X					0	0	0
(42) R WAYNE DIESEL........................................................................ BOARD MEMBER (AMHS)	6.00 .......................2.00	X					0	0	0
(43) LOUIS DIGIOVANNI MD........................................................................ BOARD MEMBER (CMHF)	1.00 .......................0.00	X					0	0	0
(44) CARLEE DRUMMER PHD........................................................................ BOARD MEMBER (CMH)	8.00 .......................0.00	X					0	0	0
(45) SHARON DUKER........................................................................ BOARD MEMBER (AMHS)	6.00 .......................2.00	X					0	0	0
(46) ANTHONY DURANTE........................................................................ BOARD MEMBER (AMHS)	6.00 .......................2.00	X					0	0	0
(47) JUDITH A EKMAN........................................................................ BOARD MEMBER (SCI, SH)	3.00 .......................0.00	X					0	0	0
(48) PETER H ELITZER........................................................................ BOARD MEMBER (AMHS THRU 6/20)	6.00 .......................2.00	X					0	0	0
(49) MARGARET GILLIS........................................................................ BOARD MEMBER (AMHS)	6.00 .......................3.00	X					0	0	0
(50) DAVID GOLUB........................................................................ BOARD MEMBER (AMHS)	6.00 .......................2.00	X					0	0	0
(51) JAMES O JACKSON PHD........................................................................ BOARD MEMBER (AMHS)	6.00 .......................2.00	X					0	0	0
(52) DOUG M HAMLIN........................................................................ BOARD MEMBER (AMHS)	6.00 .......................2.00	X					0	0	0
(53) PETER H HEERWAGEN........................................................................ BOARD MEMBER (AMHS)	6.00 .......................2.00	X					0	0	0
(54) CAROL KIM PHD........................................................................ BOARD MEMBER (AMHS)	6.00 .......................2.00	X					0	0	0
(55) KIRK KNELLER........................................................................ TREASURER (CMH), BD MEM (CMHF)	8.00 .......................0.00	X	X				0	0	0
(56) MICHAEL H IACOLUCCI........................................................................ BOARD MEMBER (AMHS, SCI, SH)	11.00 .......................2.00	X					0	0	0
(57) ELLEN LAGEMANN........................................................................ BOARD MEMBER (CMH)	8.00 .......................0.00	X					0	0	0
(58) DEBORAH LANS........................................................................ BD MEM (AMHS), CHAIR (CMH)	16.00 .......................0.00	X					0	0	0
(59) JAMES LAPENN........................................................................ TREASURER (CMH)	8.00 .......................0.00	X	X				0	0	0
(60) GLENN LUNDE........................................................................ TREASURER (CMHF)	2.00 .......................0.00	X	X				0	0	0
(61) RUTH H MAHONEY........................................................................ BOARD MEMBER (AMHS)	6.00 .......................2.00	X					0	0	0
(62) CARLOS MARROQUIN MD........................................................................ BOARD MEMBER (CDT)	2.00 .......................0.00	X					0	0	0
(63) MORRIS C MASSRY........................................................................ BOARD MEMBER (AMHS)	6.00 .......................2.00	X					0	0	0
(64) JOHN F MATHEWS MD........................................................................ BOARD MEMBER (CMHF)	8.00 .......................0.00	X					0	0	0
(65) JOHN MATTHEWS MD........................................................................ BOARD MEMBER (CMH)	8.00 .......................0.00	X					0	0	0
(66) RICHARD N MCCARTHY........................................................................ BOARD MEMBER (CMHF)	1.00 .......................0.00	X					0	0	0
(67) KRISTIN KIRK MEEHAN........................................................................ BOARD MEMBER (CDT)	2.00 .......................0.00	X					0	0	0
(68) WESLEY MERRITT MBA........................................................................ BOARD MEMBER (CDT)	2.00 .......................0.00	X					0	0	0
(69) FRANK L MESSA........................................................................ BOARD MEMBER (SCI, SH)	3.00 .......................0.00	X					0	0	0
(70) LISA MOSER........................................................................ BOARD MEMBER (AMHS)	6.00 .......................2.00	X					0	0	0
(71) LILLIAN MOY ESQ........................................................................ BOARD MEMBER (AMHS)	6.00 .......................2.00	X					0	0	0
(72) MARIANNE A MUSTAFA MD........................................................................ BOARD MEMBER (SCI, SH)	3.00 .......................0.00	X					0	0	0
(73) STEPHEN NELSON........................................................................ SECRETARY (CMH)	8.00 .......................0.00	X					0	0	0
(74) JOHN J NIGRO........................................................................ BOARD MEMBER (AMHS)	6.00 .......................2.00	X					0	0	0
(75) JOHN B O'CONNOR........................................................................ BOARD MEMBER (AMHS)	6.00 .......................2.00	X					0	0	0
(76) ALAN C OPPENHEIM........................................................................ BOARD MEMBER (SCI, SH)	3.00 .......................0.00	X					0	0	0
(77) WILLIAM PALMER........................................................................ BOARD MEMBER (CMH)	8.00 .......................0.00	X					0	0	0
(78) CLAIRE PARDE........................................................................ VICE-CHAIR (CMH), BD MEM (KCI)	8.00 .......................1.00	X					0	0	0
(79) WILL PELGRIN........................................................................ BOARD MEMBER (CMH)	8.00 .......................0.00	X					0	0	0
(80) DANIEL T PICKETT III........................................................................ BOARD MEMBER (AMHS)	6.00 .......................2.00	X					0	0	0
(81) MOLLY POLETO........................................................................ BOARD MEMBER (CMH)	8.00 .......................0.00	X					0	0	0
(82) WILLIAM G POWERS JR........................................................................ BOARD MEMBER (AMHS)	6.00 .......................3.50	X					0	0	0
(83) ELIZABETH WOOD PUSTOLKA EDD........................................................................ BOARD MEMBER (SCI, SH)	3.00 .......................0.00	X					0	0	0
(84) HILLA RICHARDSON........................................................................ SECRETARY (CMH)	8.00 .......................0.00	X	X				0	0	0
(85) THOMAS J ROOHAN........................................................................ BOARD MEMBER (SCI, SH)	3.00 .......................0.00	X					0	0	0
(86) WILLIAM A ROOS IV........................................................................ BOARD MEMBER (CMHF)	1.00 .......................0.00	X					0	0	0
(87) ANNE M SCHOMAKER........................................................................ CHAIR (CMHF)	3.00 .......................0.00	X	X				0	0	0
(88) MICHAEL SCOLLINS MD........................................................................ BOARD MEMBER (CDT)	2.00 .......................0.00	X					0	0	0
(89) ALFRED L SCOTT........................................................................ BOARD MEMBER (CMHF)	1.00 .......................0.00	X					0	0	0
(90) RYAN SCOTT........................................................................ BOARD MEMBER (CMHF)	1.00 .......................0.00	X					0	0	0
(91) DONNA SICKLER........................................................................ BOARD MEMBER (CDT)	2.00 .......................0.00	X					0	0	0
(92) THERESA M SKAINE........................................................................ BOARD MEMBER (AMHS, SCI, SH)	11.00 .......................2.00	X					0	0	0
(93) JANICE SMITH........................................................................ BOARD MEMBER (AMHS)	6.00 .......................2.00	X					0	0	0
(94) JEFFREY SPERRY........................................................................ BOARD MEMBER (AMHS)	6.00 .......................2.00	X					0	0	0
(95) KATARINA SPITZER........................................................................ BOARD MEMBER (CMHF)	1.00 .......................0.00	X					0	0	0
(96) CAROLYN STEFANCO PHD........................................................................ BOARD MEMBER (AMHS)	6.00 .......................2.00	X					0	0	0
(97) N KEITH STEWART........................................................................ BOARD MEMBER (SCI, SH)	3.00 .......................0.00	X					0	0	0
(98) JEFFREY STONE........................................................................ BOARD MEMBER (AMHS, CMH)	14.00 .......................2.00	X					0	0	0
(99) AISHA M TATOR........................................................................ BOARD MEMBER (CDT)	2.00 .......................0.00	X					0	0	0
(100) WINNIE THORN........................................................................ SECRETARY (CMHF), BD MEM (KCI)	3.00 .......................0.00	X	X				0	0	0
(101) TODD M TIDGEWELL........................................................................ BOARD MEMBER (AMHS)	6.00 .......................2.00	X					0	0	0
(102) MICHAEL J TOOHEY........................................................................ BOARD MEMBER (SCI, SH)	3.00 .......................0.00	X					0	0	0
(103) OMAR USMANI........................................................................ BOARD MEMBER (AMHS THRU 2/20)	6.00 .......................2.00	X					0	0	0
(104) HEATHER M WARD........................................................................ BOARD MEMBER (SCI, SH)	3.00 .......................0.00	X					0	0	0
(105) CANDACE KING WEIR........................................................................ BOARD MEMBER (AMHS)	6.00 .......................2.00	X					0	0	0
(106) JANICE M WHITE EDD........................................................................ BOARD MEMBER (AMHS, SCI, SH)	11.00 .......................2.00	X					0	0	0
(107) TODD ZBYTNIEWKSI........................................................................ BOARD MEMBER (KCI)	1.00 .......................0.00	X					0	0	0
(108) GEORGE HICKMAN........................................................................ BOARD MEMBER (HPS)	2.00 .......................42.00	X					0	662,191	79,713
(109) FRANCES S ALBERT........................................................................ EVP, COO, & CFO (AMHS)	29.00 .......................13.00		X				0	890,410	83,361
(110) GARY FOSTER........................................................................ VP & CFO (SH, SCI)	38.00 .......................2.00		X				412,979	0	17,481
(111) DOROTHY URSCHEL........................................................................ COO (CMH)	40.00 .......................0.00		X				206,627	0	6,756
(112) KAREN TASSEY........................................................................ COO (CMH)	40.00 .......................1.00		X				95,233	0	1,479
(113) VINCENT P VERDILE........................................................................ SR EVP SYS CARE (AMHS)	30.00 .......................12.00			X			1,509,666	0	122,116
(114) FERDINAND J VENDITTI JR MD........................................................................ EVP SYS CARE DELIVERY (AMHS)	39.00 .......................3.00			X			950,190	0	103,947
(115) JEFFREY METHVEN........................................................................ EVP (SH), VP (SRMPC)	38.00 .......................2.00			X			0	370,305	35,581
(116) KEVIN RONAYNE........................................................................ VP OPS & FACILITIES (HS, SH)	38.00 .......................2.00			X			314,302	0	31,706
(117) MARY ELLEN PLASS........................................................................ CNO (CMH)	40.00 .......................0.00			X			227,654	0	6,767
(118) MARCY DREIMILLER........................................................................ VP HUMAN RESOURCES (SH)	38.00 .......................0.00			X			217,354	0	14,237
(119) HUNG DINH NGUYEN........................................................................ PHYSICIAN (SH)	38.00 .......................0.00				X		1,142,996	0	32,201
(120) ANDREW J ROSENBAUM........................................................................ ASST PROFESSOR/CLIN (AMHS)	40.00 .......................0.00				X		1,101,687	0	30,834
(121) CHRISTOPHER GORCZYNSKI MD........................................................................ PHYSICIAN (CMH)	40.00 .......................0.00				X		1,030,732	0	26,984
(122) ALAN S BOULOS........................................................................ DEPARTMENT CHAIR (AMHS)	40.00 .......................0.00				X		1,009,062	0	36,620
(123) GORDON KUHAR........................................................................ PHYSICIAN (SH)	38.00 .......................0.00				X		1,002,038	0	18,161
(124) GARY J KOCHEM........................................................................ FORMER EXEC VP & COO (AMHS)	0.00 .......................40.00					X	0	120,000	0

(A) Name and business address	(B) Description of services	(C) Compensation
COMMUNITY CARE PHYSICIANS PC PO BOX 10025 ALBANY,NY12201	MEDICAL MGMT SERVICES	18,548,909
ARAMARK PO BOX 978839 DALLAS,TX753978839	ENVIRONMENTAL SERVICES	12,039,805
COMPHEALTH PO BOX 972651 DALLAS,TX75397	STAFFING SOLUTIONS	4,160,306
MEDICAL STAFFING NETWORK PO BOX 840292 DALLAS,TX752840292	STAFFING SOLUTIONS	3,229,619
EMERGENCY MEDICAL ASSOCIATION OF NY 7032 COLLECTION CENTER DRIVE CHICAGO,IL60693	MEDICAL SERVICES	2,140,151
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 115

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

ALBANY MEDICAL CENTER GROUP
ORGANIZATION

Employer identification number

47-3869194

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2020

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..	43,503,921	51,010,080	43,729,149	49,875,455	65,243,470	253,362,075
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3	43,503,921	51,010,080	43,729,149	49,875,455	65,243,470	253,362,075
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..						7,098,846
6	Public support. Subtract line 5 from line 4.						246,263,229

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
7	Amounts from line 4..	43,503,921	51,010,080	43,729,149	49,875,455	65,243,470	253,362,075
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	2,600,681	2,313,402	2,956,890	3,039,255	4,507,502	15,417,730
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..	1,700,968	1,398,553	1,604,331	3,699,639	4,882,194	13,285,685
11	Total support. Add lines 7 through 10						282,065,490

Gross receipts from related activities, etc. (see instructions) ..................

8,418,644,157

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2020 (line 6, column (f) divided by line 11, column (f)) .........

87.310 %

Public support percentage for 2019 Schedule A, Part II, line 14 ...............

87.250 %

16a

33 1/3% support test—2020. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2019. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2020

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2020 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2019 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2020 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2019 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2020. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2019. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2020

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2020

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described in 11a above?

11b

A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2020

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2020

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2020 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2020	(iii) Distributable Amount for 2020
1 Distributable amount for 2020 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2020:
a From 2015.......
b From 2016.......
c From 2017.......
d From 2018.......
e From 2019.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2020 distributable amount
i Carryover from 2015 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2020 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2020 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2020, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2020. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2021. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2016.....
b Excess from 2017.....
c Excess from 2018.....
d Excess from 2019.....
e Excess from 2020.....

Schedule A (Form 990 or 990-EZ) (2020)

Schedule A (Form 990 or 990-EZ) 2020

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:	AUXILIARY VARIOUS ACTIVITY - 2016 AMOUNT: $ 3,354. 2017 AMOUNT: $ 1,915. 2018 AMOUNT: $ 2,202. 2019 AMOUNT: $ 2,434. 2020 AMOUNT: $ 1,589. OTHER COLLEGE INCOME - 2016 AMOUNT: $ 1,697,614. 2017 AMOUNT: $ 1,396,638. 2018 AMOUNT: $ 1,602,129. 2019 AMOUNT: $ 3,697,205. 2020 AMOUNT: $ 4,880,605.
SCHEDULE A, PART I	THE ALBANY MEDICAL CENTER GROUP ORGANIZATION CONSISTS OF THE FOLLOWING RELATED ORGANIZATIONS WITH THEIR RESPECTIVE PUBLIC CHARITY STATUS AS FOLLOWS: ALBANY MEDICAL CENTER HOSPITAL - 501(C)(3) 3; ALBANY MEDICAL CENTER HOSPITAL IS SELECTED AS THE MAIN FILING STATUS FOR SCHEDULE A. HOWEVER, THE ADDITIONAL MEMBERS OF THE GROUP ORGANIZATION ARE EQUALLY IMPORTANT TO THE CHARITY STATUS. SARATOGA HOSPITAL - 501(C)(3) 3; SARATOGA HOSPITAL IS A PART I SELECTION 3 ORGANIZATION. COLUMBIA MEMORIAL HOSPITAL - 501(C)(3) 3; COLUMBIA MEMORIAL HOSPITAL IS A PART I SELECTION 3 ORGANIZATION. ALBANY MEDICAL COLLEGE - 501(C)(3) 2; THE COLLEGE IS AN ORGANIZATION THAT WOULD BE SELECTED AS A PART I SELECTION 2 SCHOOL. THE CHARITY DATA FOR THE COLLEGE'S ACTIVITIES IS INCLUDED IN SCHEDULE A PART II. ALBANY MEDICAL CENTER KIDSKELLER - 501(C)(3) 2; KIDSKELLER IS AN ORGANIZATION THAT WOULD BE SELECTED AS A PART I SELECTION 2 SCHOOL. ALBANY MEDICAL CENTER FOUNDATION - 501(C)(3) 7; THE FOUNDATION IS A PART I SELECTION 7 ORGANIZATION. THE CHARITY DATA FOR THE FOUNDATION ACTIVITIES IS INCLUDED IN SCHEDULE A PART II. CENTER FOR DONATION AND TRANSPLANT - 501(C)(3) 12A; CDT IS AN ORGANIZATION THAT WOULD BE SELECTED AS A PART I SELECTION 12A SUPPORTING ORGANIZATION OF ALBANY MEDICAL COLLEGE. HEALTHCARE PARTNERS OF SARATOGA LTD - 501(C)(3) 3; MMEC IS A PART I SELECTION 3 ORGANIZATION. SARATOGA CARE INC - 501(C)(3) 12B; SCI IS AN ORGANIZATION THAT WOULD BE SELECTED AS A PART I SELECTION 12B SUPPORTING ORGANIZATION OF SARATOGA HOSPITAL. SARATOGA REGIONAL MEDICAL PC - 501(C)(3) 3; SRMPC IS A PART I SELECTION 3 ORGANIZATION. COLUMBIA MEMORIAL HEALTH FOUNDATION - 501(C)(3) 10; CMHF IS A PART I SELECTION 10 ORGANIZATION. KAATERSKILL COMMONS, INC - 501(C)(3) 7; KCI IS A PART 1 SELECTION 7 ORGANIZATION.

Return Reference

Explanation

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

AUXILIARY VARIOUS ACTIVITY - 2016 AMOUNT: $ 3,354. 2017 AMOUNT: $ 1,915. 2018 AMOUNT: $ 2,202. 2019 AMOUNT: $ 2,434. 2020 AMOUNT: $ 1,589. OTHER COLLEGE INCOME - 2016 AMOUNT: $ 1,697,614. 2017 AMOUNT: $ 1,396,638. 2018 AMOUNT: $ 1,602,129. 2019 AMOUNT: $ 3,697,205. 2020 AMOUNT: $ 4,880,605.

SCHEDULE A, PART I

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

Schedule A (Form 990 or 990-EZ) 2020

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Name of the organization

ALBANY MEDICAL CENTER GROUP
ORGANIZATION

Employer identification number

47-3869194

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2

Name of organization ALBANY MEDICAL CENTER GROUP ORGANIZATION

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 3

Name of organization ALBANY MEDICAL CENTER GROUP ORGANIZATION		Employer identification number 47-3869194

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Page 4


Name of organization ALBANY MEDICAL CENTER GROUP ORGANIZATION			Employer identification number 47-3869194
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2020)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

ALBANY MEDICAL CENTER GROUP
ORGANIZATION

Employer identification number

47-3869194

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2020

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2020

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

116,743

Total. Add lines 1c through 1i ....................................................................................................

116,743

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	THE ORGANIZATION BELONGS TO SEVERAL HOSPITAL ASSOCIATIONS FOR WHICH A PORTION OF THE MEMBERSHIP DUES ARE USED FOR LOBBYING ACTIVITIES.

Schedule C (Form 990 or 990EZ) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

ALBANY MEDICAL CENTER GROUP
ORGANIZATION

Employer identification number

47-3869194

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds
1	Total number at end of year .........	1
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........	20,705

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2020

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	163,527,331	142,357,866	133,281,069	115,416,968	113,127,807
b	Contributions ...	4,257,629	4,371,193	27,634,845	4,238,365	2,468,431
c	Net investment earnings, gains, and losses	17,750,874	25,702,476	-10,830,814	19,921,770	5,923,667
d	Grants or scholarships ...	2,275,425	2,246,961	2,179,003	2,055,177	1,982,780
e	Other expenditures for facilities and programs ...	4,673,523	7,241,782	5,548,231	4,240,857	4,120,157
f	Administrative expenses ....	0	0	0	0	0
g	End of year balance ......	178,586,886	162,942,792	142,357,866	133,281,069	115,416,968

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

22.420 %

Permanent endowment SchDMd Bullet

72.960 %

Term endowment SchDMd Bullet

4.620 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .......................

3a(i)

(ii) Related organizations .......................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	12,730,704		12,730,704
b	Buildings ....	961,305,638	492,347,153	468,958,485
c	Leasehold improvements	12,225,273	9,411,028	2,814,245
d	Equipment ....	523,936,321	344,354,840	179,581,481
e	Other .....	224,444,597	116,830,322	107,614,275
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				771,699,190

Schedule D (Form 990) 2020

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1)ENDOWMENT & OTHER PROGRAMS	189,372,509	F
(2)BOND	35,933,085	F
(3)SELF-INSURANCE	103,496,459	F
(4)CHARITABLE TRUSTS	5,796,218	F
(5)OTHER INVESTMENTS - SH	15,001	F
(6)OTHER PROG RELATED - CMH	3,066,761	F
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	337,680,033

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)INTERCOMPANY				128,571,991
(2)RIGHT OF USE - OPERATING LEASE				54,328,387
(3)NON-CURRENT				25,063,443
(4)PENSION				11,824,842
(5)CURRENT				8,995,512
(6)DUE FROM SC FOUNDATION				3,974,241
(7)INVESTMENT IN JV				2,580,753
(8)INVESTMENT IN BENEFIT PLANS				1,693,284
(9)OTHER ASSETS				1,425,851
(10)GOODWILL				1,381,134
(11)CASH CURRENDER VALUE				410,409
(12)ACCRUED INTEREST INCOME				133,930
(13)GROUND LEASE - KCI				85,335
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				240,469,112

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	-190,102
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	488,001,169
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2020

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART IV, LINE 2B:	GIFT ANNUITIES
PART V, LINE 4:	ALBANY MEDICAL CENTER COLLEGE THE COLLEGE'S ENDOWMENT CONSISTS OF APPROXIMATELY 320 INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES INCLUDING BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF TRUSTEES TO FUNCTION AS ENDOWMENTS. THE COLLEGE HAS A SPENDING RATE POLICY TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO THE PROGRAMS SUPPORTED BY ITS ENDOWMENTS. THIS POLICY CALLS FOR A WEIGHTED AVERAGE CALCULATION OF THE ENDOWMENT MARKET VALUE OVER THE PAST THIRTEEN QUARTERS. 5% (ANNUAL) OF THIS WEIGHTED AVERAGE IS THEN ALLOCATED TO THE PROGRAMS SUPPORTED FOR USE IN ACCORDANCE WITH THE ENDOWED RESTRICTIONS. THE CALCULATION AND ALLOCATION OF FUNDS OCCURS ON A QUARTERLY BASIS. SPENDING FROM THE ENDOWMENTS IS RESTRICTED FOR VARIOUS PURPOSES. A SIGNIFICANT PORTION OF THE ENDOWMENT FUNDS ARE USED TO PROVIDE SCHOLARSHIPS AND FINANCIAL ASSISTANCE TO MEDICAL STUDENTS. OTHER USES OF THE ENDOWMENTS INCLUDE, BUT ARE NOT LIMITED TO, CREATION AND FUNDING OF DEPARTMENT CHAIRS AND PROFESSORSHIPS, SUPPORT FOR RESEARCH ACTIVITIES AND SUPPORT FOR FELLOWSHIPS. COLUMBIA MEMORIAL HOSPITAL COLUMBIA MEMORIAL HOSPITAL HAS RECEIVED ENDOWMENT FUNDS WITH RESTRICTIONS FOR A VARIETY OF PURPOSES, INCLUDING BOTH DONOR-RESTRICTED FUNDS AND FUNDS DESIGNATED BY THE BOARD OF TRUSTEES TO FUNCTION AS ENDOWMENTS. ALL DONOR RESTRICTED FUNDS ARE EXPENDED CONSISTENT WITH THE DONOR'S INTENT WHEN A NEED ARISES. BOARD DESIGNATED ENDOWMENT FUNDS ARE NOT RESTRICTED FOR ANY PURPOSE, AND ARE SPENT AT THE DISCRETION OF THE TRUSTEES. ALL ENDOWMENT FUNDS ARE USED TO SUPPORT HOSPITAL PROJECTS OR OPERATIONS. COLUMBIA MEMORIAL HOSPITAL FOUNDATION: COLUMBIA MEMORIAL HOSPITAL FOUNDATION HAS RECEIVED ENDOWMENT FUNDS THAT ARE DONOR RESTRICTED, THIS IS A COMBINATION OF ORIGINAL DONOR RESTRICTED GIFTS AND ACCUMULATED INVESTMENT GAINS. ANY RESTRICTED FUNDS WOULD BE EXPENDED CONSISTENT WITH THE DONOR'S INTENT. ALL ENDOWMENT FUNDS ARE USED TO SUPPORT HOSPITAL PROJECTS. SARATOGA HOSPITAL PERMANENT ENDOWMENT FUNDS ARE RESTRICTED TO SUPPORT SPECIFIC PROGRAMS, SUCH AS THE COMMUNITY HEALTH CENTER OR GENERAL OPERATIONS OF THE HOSPITAL. BOARD-DESIGNATED ENDOWMENT FUNDS ARE NOT RESTRICTED FOR ANY SPECIFIC PURPOSE AND CAN BE USED TO SUPPORT HOSPITAL PROJECTS OR OPERATIONS AT THE DISCRETION OF THE BOARD OF TRUSTEES. THE PERMANENT ENDOWMENT SPENDING POLICY ALLOWS FOR A SPENDING RATE OF 5% OF THE AVERAGE TRAILING QUARTERLY FAIR MARKET VALUE OF PERMANENT ENDOWMENT FUNDS OVER THE PREVIOUS 20 QUARTERS, SUBJECT TO BOARD OF TRUSTEES APPROVAL. THE OVERALL PERMANENT ENDOWMENT ASSETS, AND ANY UNEXPENDED EARNINGS THEREON, ARE ALLOCATED TO VARIOUS DONOR-SPECIFIED PURPOSES BASED ON ORIGINAL DONOR GIFTS. THE SPENDING POLICY IS THEN APPLIED TO PERMANENT ENDOWMENT ASSETS ALLOCATED TO EACH DONOR-SPECIFIED PURPOSE IN ORDER TO DETERMINE SPENDING FOR EACH DONOR-SPECIFIED PURPOSE.
PART X, LINE 2:	WITH THE EXCEPTION OF MADISON AVENUE SERVICES CORPORATION, ALBANY MED SUBS, ALBANY MEDICAL PARK SOUTH I, LLC AND BETTER HEALTH OF NORTHEAST NEW YORK, INC. ALL ENTITIES COMPRISING THE SYSTEM ARE NOT-FOR-PROFIT CORPORATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. BETTER HEALTH OF NORTHEAST NEW YORK, INC. IS A 501(C)(6). INCOME TAXES ASSOCIATED WITH MADISON AVENUE SERVICES CORPORATION ARE NOT MATERIAL TO THE COMBINED FINANCIAL STATEMENTS. IN ADDITION, ALBANY MEDICAL PARK SOUTH I, LLC AND ALBANY MED SUBS, ARE LIMITED LIABILITY COMPANIES WHICH ARE DISREGARDED ENTITIES FOR INCOME TAX PURPOSES. THE SYSTEM RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE-LIKELY THAN-NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT NEED TO BE RECORDED AT DECEMBER 31, 2020 AND 2019.

Schedule D (Form 990) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE E(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Schools

Complete if the organization answered "Yes" on Form 990,
Part IV, line 13, or Form 990-EZ, Part VI, line 48.
Right pointing arrow large image

Attach to Form 990 or Form 990-EZ.
Right pointing arrow large image

Go to www.irs.gov/Form990EZ for the latest information.

OMB No. 1545-0047 2020Open to Public Inspection

Name of the organization

ALBANY MEDICAL CENTER GROUP
ORGANIZATION

Employer identification number

47-3869194

Part I

YES

Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws,

other governing instrument, or in a resolution of its governing body? . . . . . . . . . . . . . . . . . .

Yes

Does the organization include a statement of its racially nondiscriminatory policy toward students in all its

brochures, catalogues, and other written communications with the public dealing with student admissions,

programs, and scholarships? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

Has the organization publicized its racially nondiscriminatory policy on its primary publicly accessible Internet homepage at

all times during its taxable year in a manner reasonably expected to be noticed by visitors to the homepage, or through

newspaper or broadcast media during the period of solicitation for students, or during the registration period if it has no

solicitation program, in a way that makes the policy known to all parts of the general community it serves? If "Yes," please

describe. If "No," please explain. If you need more space use Part II. . . . . . . . . . . . . . . . . . .

Yes

Does the organization maintain the following?

Records indicating the racial composition of the student body, faculty, and administrative staff? . . . . . . . . .

Yes

Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory

basis? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

Copies of all catalogues, brochures, announcements, and other written communications to the public dealing

with student admissions, programs, and scholarships? . . . . . . . . . . . . . . . . . . . . . . .

Yes

Copies of all material used by the organization or on its behalf to solicit contributions? . . . . . . . . . . . .

Yes

If you answered "No" to any of the above, please explain. If you need more space, use Part II.

Does the organization discriminate by race in any way with respect to:

Students' rights or privileges? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Admissions policies? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Employment of faculty or administrative staff? . . . . . . . . . . . . . . . . . . . . . . . . .

Scholarships or other financial assistance? . . . . . . . . . . . . . . . . . . . . . . . . . .

Educational policies? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Use of facilities? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Athletic programs? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Other extracurricular activities? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If you answered "Yes" to any of the above, please explain. If you need more space, use Part II.

Does the organization receive any financial aid or assistance from a governmental agency? . . . . . . . . . .

Yes

Has the organization's right to such aid ever been revoked or suspended? . . . . . . . . . . . . . . . .

If you answered "Yes" to either line 6a or line 6b, explain on Part II.

Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05

of Rev. Proc. 75-50, 1975-2 C.B. 587, covering racial nondiscrimination? If "No," explain on Part II. . . . . . . . .

Yes

Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990-EZ.

Cat. No. 50085D

Schedule E (Form 990 or 990-EZ) (2020)

Schedule E (Form 990 or 990EZ) (2020)

Page 2

Part II

Supplemental Information. Provide the explanations required by Part I, lines 3, 4d, 5h, 6b, and 7, as applicable. Also provide
any other additional information. See instructions.

Return Reference	Explanation
SCHEDULE E, PART I, LINE 3	SCHOOL: ALBANY MEDICAL COLLEGE THE RACIALLY NONDISCRIMINATORY POLICY IS PUBLISHED IN THE ALBANY MEDICAL COLLEGE HANDBOOK AND INDICATED IN NEWSPAPER ADVERTISEMENTS. SCHOOL: ALBANY MEDICAL CENTER KIDSKELLER ALBANY MEDICAL CENTER KIDSKELLER ANSWERS IN THE NEGATIVE TO THIS QUESTION BECAUSE IT DOES NOT CURRENTLY PUBLISH ITS RACIALLY NONDISCRIMINATORY POLICY THROUGH A NEWSPAPER. HOWEVER, THE ORGANIZATION DRAWS ITS STUDENTS FROM LOCAL COMMUNITIES, FOLLOWS A RACIALLY NONDISCRIMINATORY POLICY AS TO STUDENTS AND THE ORGANIZATION INCLUDES A RACIALLY NONDISCRIMINATORY POLICY AS TO STUDENTS IN ALL ITS BROCHURES AND CATALOGUES DEALING WITH STUDENT ADMISSIONS, PROGRAMS, AND SCHOLARSHIPS.
SCHEDULE E, PART I, LINE 4	SCHOOL: ALBANY MEDICAL CENTER KIDSKELLER ALBANY MEDICAL CENTER KIDSKELLER ANSWERS IN THE NEGATIVE TO THIS QUESTION BECAUSE IT DOES NOT SOLICIT CONTRIBUTIONS. IN ALL ITS BROCHURES AND CATALOGUES DEALING WITH STUDENT ADMISSIONS, PROGRAMS, AND SCHOLARSHIPS.
SCHEDULE E, PART I, LINE 6	SCHOOL: ALBANY MEDICAL COLLEGE ALBANY MEDICAL COLLEGE PARTICIPATES IN THE DIRECT LOAN PROGRAM AS WELL AS OPERATES CERTAIN OTHER FEDERALLY FUNDED FINANCIAL AID PROGRAMS. SCHOOL: ALBANY MEDICAL CENTER KIDSKELLER ALBANY MEDICAL CENTER KIDSKELLER PARTICIPATES IN THE USDA FOOD SUBSIDY PROGRAM.
SCHEDULE E - REPORTING SCHOOLS	SCHEDULE E IS BEING COMPLETED FOR THE FOLLOWING SUBORDINATE ORGANIZATIONS OF THE ALBANY MEDICAL CENTER GROUP ORGANIZATION. THESE SUBORDINATES ARE SCHOOLS DESCRIBED IN SECTION 170(B)(1)(A)(II). - ALBANY MEDICAL COLLEGE - ALBANY MEDICAL CENTER KIDSKELLER

Schedule E (Form 990 or 990-EZ) (2020)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization
ALBANY MEDICAL CENTER GROUP
ORGANIZATION

Employer identification number

47-3869194

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in the region
	CENTRAL AMERICA AND THE CARIBBEAN	0	0	INVESTMENTS	3,809,413
	NORTH AMERICA	0	0	INVESTMENTS	24,093,685















3a	Sub-total ....	0	0		27,903,098
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		27,903,098

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2020

Schedule F (Form 990) 2020

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2020

Schedule F (Form 990) 2020Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2020

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2020

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.

ReturnReference	Explanation
PART I, LINE 3:	THE ACCOUNTING METHOD IS FAIR MARKET VALUE. INVESTMENTS & EXPENDITURES PER REGION: THE AMOUNTS ARE ENTIRELY INVESTMENTS.
PART III ACCOUNTING METHOD:

Schedule F (Form 990) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization
ALBANY MEDICAL CENTER GROUP
ORGANIZATION

Employer identification number

47-3869194

Part I

Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2020

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 TELETHON/RADIO (event type)	(b) Event #2 AUCTION (event type)	(c) Other events 15 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	1,033,142	675,528	1,738,514	3,447,184
2	Less: Contributions . . . .	995,990	640,214	1,148,643	2,784,847
3	Gross income (line 1 minus line 2) . . . . . .	37,152	35,314	589,871	662,337

4	Cash prizes . . . . .			0
5	Noncash prizes . . . .			21,402	21,402
6	Rent/facility costs . . . .			44,122	44,122
7	Food and beverages . . .			41,299	41,299
8	Entertainment . . . .			200	200
9	Other direct expenses . . .	288,348	35,314	325,340	649,002
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				756,025
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				-93,688

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .			39,800	39,800

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .	15,533	15,533

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

15,533

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

24,267

Enter the state(s) in which the organization conducts gaming activities: NY

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2020

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

51.000 %

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

49.000 %

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

MARY SOLOMONS

Address

211 CHURCH STREET SARATOGA SPRINGS, NY12866

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

MARY SOLOMONS

Gaming manager compensation right arrow

$ 2,624

Description of services provided right arrow

AS DESCRIBED ABOVE IN PART III, LINE 1-8, THE RAFFLE HELD IN CONNECTION WITH THE ANNUAL GOLF OUTING IS WHOLLY CONDUCTED BY FOUNDATION PERSONNEL AS PART OF THEIR NORMAL DUTIES RELATIVE TO THE GOLF OUTING. THERE IS NO PORTION OF THE COMPENSATION FOR ANY FOUNDATION PERSONNEL THAT IS SPECIFICALLY RELATED TO THE RAFFLE BEING CONDUCTED. AS A RESULT, THE AMOUNT OF GAMING MANAGER COMPENSATION REPORTED ON LINE 16 IS AN ESTIMATED AMOUNT. THIS ESTIMATE IS BASED ON THE PERCENTAGE OF TOTAL ANNUAL FOUNDATION REVENUES FOR 2020 DERIVED FROM THE RAFFLE, TIMES THE ANNUAL COMPENSATION FOR THE FOUNDATION'S EXECUTIVE DIRECTOR.

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

$ 0

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Return Reference

Explanation

SCHEDULE G, PART III, LINES 1-8

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

Schedule G (Form 990 or 990-EZ) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

ALBANY MEDICAL CENTER GROUP
ORGANIZATION

Employer identification number

47-3869194

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			15,530,561	562,047	14,968,514	0.910 %
b	Medicaid (from Worksheet 3, column a) . . . . .			319,533,285	259,687,539	59,845,746	3.630 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .			248,892		248,892	0.020 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			335,312,738	260,249,586	75,063,152	4.560 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	10	36,925	7,705,836	3,030,262	4,675,574	0.280 %
f	Health professions education (from Worksheet 5) . . .	5	468	72,180,376	11,208,317	60,972,059	3.700 %
g	Subsidized health services (from Worksheet 6) . . . .			25,952,995	17,609,004	8,343,991	0.510 %
h	Research (from Worksheet 7) .			7,049,873	1,633,169	5,416,704	0.330 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .			8,119	0	8,119	0 %
j	Total. Other Benefits . .	15	37,393	112,897,199	33,480,752	79,416,447	4.820 %
k	Total. Add lines 7d and 7j .	15	37,393	448,209,937	293,730,338	154,479,599	9.380 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020

Schedule H (Form 990) 2020

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing				0 %
2	Economic development				0 %
3	Community support	108,424	45,000	63,424	0 %
4	Environmental improvements				0 %
5	Leadership development and training for community members				0 %
6	Coalition building				0 %
7	Community health improvement advocacy				0 %
8	Workforce development	752,940	0	752,940	0.050 %
9	Other	740,880	0	740,880	0.040 %
10	Total	1,602,244	45,000	1,557,244	0.090 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

324,257,559

Enter Medicare allowable costs of care relating to payments on line 5.....

354,469,413

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-30,211,854

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
12 SARATOGA PARTNERS NORTH LLC	OTHER AMBULATORY HEALTH CARE CENTER	51.000 %	0 %	49.000 %
23 SARATOGA PARTNERS NORTH REALTY LLC	REAL ESTATE RENTALS	40.000 %	0 %	60.000 %
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2020

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?3Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	ALBANY MEDICAL CENTER HOSPITAL 47 NEW SCOTLAND AVE ALBANY,NY12208 WWW.AMC.EDU 010100H	X	X	X	X	X	X	X
2	SARATOGA HOSPITAL 211 CHURCH STREET SARATOGA SPRINGS,NY12866 WWW.SARATOGAHOSPITAL.ORG 4501000H	X	X					X
3	COLUMBIA MEMORIAL HOSPITAL 71 PROSPECT AVENUE HUDSON,NY12534 WWW.COLUMBIAMEMORIALHEALTH.ORG 1001000H	X	X					X

Schedule H (Form 990) 2020

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	ALBANY MEDICAL CENTER HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTPS://WWW.AMC.EDU/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-IMPLEMENTATION

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTPS://WWW.AMC.EDU/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-IMPLEMENTATION

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2020

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	ALBANY MEDICAL CENTER HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE SECTION C

The FAP application form was widely available on a website (list url):

SEE SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2020

Page 6

Part VFacility Information (continued)

Billing and Collections

	ALBANY MEDICAL CENTER HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2020

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	ALBANY MEDICAL CENTER HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2020

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	SARATOGA HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTPS://WWW.SARATOGAHOSPITAL.ORG/CLASSES/COMMUNITYHEALTHNEEDSASSESSMENT

Other website (list url): WWW.HCDINY.ORG

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTPS://WWW.SARATOGAHOSPITAL.ORG/CLASSES/COMMUNITYHEALTHNEEDSASSESSMENT

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2020

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	SARATOGA HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE SECTION C

The FAP application form was widely available on a website (list url):

SEE SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2020

Page 6

Part VFacility Information (continued)

Billing and Collections

	SARATOGA HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2020

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	SARATOGA HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2020

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	COLUMBIA MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2020

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	COLUMBIA MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 100.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE SECTION C

The FAP application form was widely available on a website (list url):

SEE SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2020

Page 6

Part VFacility Information (continued)

Billing and Collections

	COLUMBIA MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2020

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	COLUMBIA MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2020

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
ALBANY MEDICAL CENTER HOSPITAL	PART V, SECTION B, LINE 5: ACCOUNT INPUT FROM PERSON WHO REPRESENT THE COMMUNITYALBANY MEDICAL CENTER HOSPITAL, COLUMBIA MEMORIAL HOSPITAL, AND SARATOGA HOSPITAL COMPRISED THE ALBANY MED HEALTH SYSTEM IN 2019 (A NEW AFFILIATE HOSPITAL JOINED THE SYSTEM IN 2020). EACH OF OUR HOSPITALS HAVE A PROUD AND LONG TRADITION CARING FOR OUR COMMUNITIES IN NEW YORK STATE'S CAPITAL REGION.ALBANY MEDICAL CENTER HOSPITAL, COLUMBIA MEMORIAL HOSPITAL, AND SARATOGA HOSPITAL ARE ACTIVE AND INVOLVED MEMBER ORGANIZATIONS OF THE HEALTHY CAPITAL DISTRICT INITIATIVE (HCDI). A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY HCDI IN 2019 IN COLLABORATION WITH NUMEROUS REGIONAL PARTNERS, INCLUDING THE REGION'S HOSPITALS AND LOCAL HEALTH DEPARTMENTS. ENGAGING THE COMMUNITY IN THE HEALTH NEEDS ASSESSMENT PROCESS WAS A PRIORITY OF HCDI AND ITS STAKEHOLDERS. BROAD COMMUNITY ENGAGEMENT BEGAN WITH PARTICIPATION IN THE COMMUNITY HEALTH SURVEY. OVER 1,200 RESIDENTS OF THE CAPITAL REGION WERE SURVEYED, WITH INPUT FROM OVER 90 ORGANIZATIONS TO DETERMINE THE MOST PRESSING HEALTH NEEDS FOR THE SIX COUNTY CAPITAL REGION. THE SURVEYS OFFERED MULTIPLE CHOICE AND OPEN-ENDED QUESTIONS TO LEARN ABOUT RESIDENTS' HEALTH NEEDS, HEALTH BEHAVIORS AND BARRIERS TO CARE. DEMOGRAPHIC INFORMATION COLLECTED BY THE SURVEY ALLOWED REVIEW OF INFORMATION BY AGE, GENDER, RACE/ETHNICITY AND INCOME.SURVEY RESULTS WERE INCORPORATED INTO THE EXAMINATION OF HEALTH NEEDS BY THE MEMBERS OF THE FOUR CAPITAL REGION PUBLIC HEALTH PRIORITIZATION WORKGROUPS, BUCKETED BY REGIONS WITHIN THE 6 COUNTIES (THE FOUR REGIONAL WORKGROUPS: ALBANY-RENSSELAER, COLUMBIA-GREENE, SARATOGA, AND SCHENECTADY). THE WORKGROUPS INCLUDED COMMUNITY VOICES THROUGH REPRESENTATIVES FROM CONSUMERS; COMMUNITY-BASED ORGANIZATIONS THAT SERVE LOW-INCOME RESIDENTS, THE HOMELESS, THOSE WITH HIV/AIDS; ADVOCACY GROUPS; EMPLOYERS; PUBLIC HEALTH DEPARTMENTS; PROVIDERS; AND HEALTH INSURERS.PARTICIPANTS WERE ENCOURAGED TO SHARE DATA OF THEIR OWN AND TO ADVOCATE FOR THE NEEDS OF THEIR CONSTITUENTS. WHILE ALL HEALTH INSTITUTIONS SERVE HIGH NEED INDIVIDUALS, TWO FEDERALLY QUALIFIED HEALTH CENTERS, AS WELL AS FOOD PANTRIES OF THE CAPITAL DISTRICT, UNITED WAY OF THE CAPITAL REGION,INTERFAITH PARTNERSHIP FOR THE HOMELESS, AND OUR CONSUMER COMMUNITY REPRESENTATIVES HAVE UNIQUE ACCESS TO MEDICALLY UNDERSERVED RESIDENTS, AND BROUGHT THAT UNIQUE PERSPECTIVE TO THIS NEEDS ASSESSMENT.
ALBANY MEDICAL CENTER HOSPITAL	PART V, SECTION B, LINE 6A: ALL HOSPITALS LOCATED WITHIN THE DEFINED 6-COUNTY CAPITAL REGION PARTICIPATED IN THE COLLABORATIVE PROCESS OF ASSESSING THE HEALTH NEEDS OF THE COMMUNITY. THEY INCLUDE: ALBANY MEDICAL CENTER HOSPITAL, COLUMBIA MEMORIAL HOSPITAL, ELLIS MEDICINE, SARATOGA HOSPITAL, AND ST. PETER'S HEALTH PARTNER HOSPITALS.
ALBANY MEDICAL CENTER HOSPITAL	PART V, SECTION B, LINE 6B: CHNA CONDUCTED BY ORGANIZATIONS OTHER THAN HOSPITAL MANY BUSINESSES, COMMUNITY BASED ORGANIZATIONS, ADVOCACY GROUPS, HEALTH INSURERS, AND OTHERS PARTICIPATED IN THE CHNA; BECAUSE OF THE LOCAL NATURE OF SOME OF THE ORGANIZATIONS, THE LIST OF PARTICIPANTS VARIED AMONG EACH OF THE REGIONAL WORKGROUPS (ALBANY-RENSSELAER COUNTIES, COLUMBIA-GREENE COUNTIES, SARATOGA COUNTY, SCHENECTADY COUNTY).A FULL LIST OF ORGANIZATIONS PLAYING A PART IN THE ALBANY-RENSSELAER COUNTY PRIORITIZATION WORKGROUP, OF WHICH ALBANY MEDICAL CENTER WAS A LEADING MEMBER, CAN BE FOUND ON PAGE 32 OF THE 2019 HCDI COMMUNITY HEALTH NEEDS ASSESSMENT (HCDI CHNA):HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/2019_CHNA/2019_HCDI-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF.COLUMBIA MEMORIAL HOSPITAL WAS A LEADING MEMBER IN THE COLUMBIA-GREENE PRIORITIZATION WORKGROUP. ADDITIONAL PARTICIPATING ORGANIZATIONS CAN BE FOUND ON PAGE 34 OF THE HCDI CHNA:HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/2019_CHNA/2019_HCDI-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF.SARATOGA HOSPITAL, A LEAD MEMBER OF THE SARATOGA COUNTY PRIORITIZATION WORKGROUP, WORKED WITH APPROXIMATELY 2 DOZEN PARTNERS - THE FULL LIST OF WHICH CAN BE FOUND ON PAGE 37 OF THE HCDI CHNA:HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/2019_CHNA/2019_HCDI-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF.
ALBANY MEDICAL CENTER HOSPITAL	PART V, SECTION B, LINE 7D: FACILITY: ALBANY MEDICAL CENTER HOSPITAL- ALBANY MED'S NEWSLETTER ""ALBANY MED TODAY"", DISTRIBUTED TO EMPLOYEES, DONORS, PUBLIC- ALBANY MED BOARD OF DIRECTORS BOARD PORTAL- SHARED WITH LOCAL GOVERNMENT OFFICIALS AND OTHER MEMBERS OF OUR COMMUNITY WHEN REQUESTED- COPIES ARE FURNISHED UPON REQUESTFACILITY: COLUMBIA MEMORIAL HOSPITAL- ELECTRONIC COPIES ARE DISTRIBUTED TO ALL MEMBERS OF THE COLUMBIA-GREENE HEALTHY PEOPLE PARTNERSHIP, WHO ARE ENCOURAGED TO FURTHER REDISTRIBUTE THE INFORMATION- ELECTRONIC COPIES ARE ALSO DISTRIBUTED TO LOCAL ELECTED OFFICIALS AND TO STATE ELECTED OFFICIALS REPRESENTING COLUMBIA AND/OR GREENE COUNTIES - THE DOCUMENT IS POSTED ON EACH OF THE PLANNING PARTNERS' WEBSITES- COPIES ARE FURNISHED UPON REQUESTFACILITY: SARATOGA HOSPITAL- PRESENTED TO LOCAL SARATOGA HEALTH COUNCIL IN CONJUNCTION WITH SARATOGA COUNTY PUBLIC HEALTH- DISTRIBUTED ELECTRONIC COPIES TO ALL COMMUNITY-BASED ORGANIZATIONS THAT ARE MEMBERS OF THE SARATOGA HEALTH COUNCIL- PLAN IS PART OF SARATOGA COUNTY'S WEBSITE- COPIES ARE FURNISHED UPON REQUEST
ALBANY MEDICAL CENTER HOSPITAL	PART V, SECTION B, LINE 11: SIGNIFICANT HEALTH NEEDS IDENTIFIEDA DESCRIPTION OF THE METHOD BY WHICH THE CAPITAL REGION PRIORITIZATION WORKGROUPS SELECTED THE MOST SIGNIFICANT HEALTH NEEDS WITHIN EACH OF THE 4 REGIONS (ALBANY-RENSSELAER COUNTIES, COLUMBIA-GREENE COUNTIES, SARATOGA COUNTY AND SCHENECTADY COUNTY) CAN BE FOUND ON PAGES 30-31 IN THE HCDI CHNA:HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/2019_CHNA/2019_HCDI-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF.EACH WORKGROUP HELD SEVERAL MEETINGS, WHERE MEMBERS OFFERED INSIGHT, FEEDBACK, RAISED CONCERNS, ASKED QUESTIONS, AND OFFERED VARYING PERSPECTIVES ON EACH OF THE HEALTH NEEDS DISCUSSED. DURING THEIR FINAL MEETINGS, WORKGROUPS SELECTED THE MOST SIGNIFICANT HEALTH PRIORITIESWITHIN THEIR REGIONS.AMONG THE WORKGROUPS IN WHICH ALBANY MEDICAL CENTER HOSPITAL, COLUMBIA MEMORIAL HOSPITAL, AND SARATOGA HOSPITAL WERE LEADING PARTICIPANTS, CHRONIC DISEASE AND MENTAL HEALTH INITIATIVES RECEIVED THE GREATEST NUMBER OF VOTES DUE TO THEIR IMPACT ON MANY PEOPLE IN THE MOST SIGNIFICANT WAYS, BOTH DIRECTLY AND INDIRECTLY, AND THROUGH THEIR INFLUENCE ON OTHER HEALTH CONDITIONS. THEY ARE ALSO LARGELY PREVENTABLE AND CONTRIBUTE MOST SIGNIFICANTLY TO THE COST OF HEALTH CARE.THE GROUP'S PRIORITIES ALSO REFLECT THE PARTICIPATING ENTITIES' ABILITIES TO EFFECTIVELY ALIGN RESOURCES TO MAKE THE MOST POSITIVE IMPACT ON THEIR COMMUNITIES.A SUMMARY OF THE PROCESSES BY THE PRIORITIZATION WORKGROUPS IN WHICH ALBANY MEDICAL CENTER HOSPITAL, COLUMBIA MEMORIAL HOSPITAL, AND SARATOGA HOSPITAL PARTICIPATED CAN BE ACCESSED VIA THESE LINKS:ALBANY-RENSSELAER COUNTY PRIORITIZATION WORK GROUP:HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/2019_CHNA/2019_HCDI-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF - PAGES 31-33COLUMBIA-GREENE COUNTIES PRIORITIZATION WORK GROUP:HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/2019_CHNA/2019_HCDI-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF - PAGES 34-35SARATOGA COUNTY PRIORITIZATION WORK GROUP:HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/2019_CHNA/2019_HCDI-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF - 37-38ALBANY-RENSSELAER COUNTIES PRIORITIZATION WORKGROUPALBANY AND RENSSELAER COUNTIES SELECTED THE FOLLOWING PREVENTION AGENDA PRIORITY AREAS:- REDUCE OBESITY AND PREVENT DIABETES- PREVENT/CONTROL ASTHMA, PREVENT TOBACCO USE- PREVENT MENTAL DISORDERSEXISTING TASK FORCES WILL HAVE THEIR SCOPES MODIFIED, OR NEW TASK FORCES WILL BE ESTABLISHED TO DEVELOP AND IMPLEMENT COMMUNITY HEALTH IMPROVEMENT PLAN INTERVENTIONS FOR EACH OF THE PRIORITY AREAS SELECTED. FOR EXAMPLE, THE EXISTING OBESITY-DIABETES TASK FORCE WILL REVIEW AND REVISE THEIR EFFORTS TO PREVENT OBESITY AND TYPE 2 DIABETES, AND HELP PATIENTS LEARN HOW TO SELF-MANAGE AND LIVE A HEALTHY LIFESTYLE. ASTHMA/TOBACCO PREVENTION STRATEGIES TASK FORCE WILL WORK WITH EXISTING EFFORTS OF HEALTHY NEIGHBORHOOD PROGRAMS, DELIVERY SYSTEM REIMBURSEMENT INCENTIVE PAYMENT PROGRAM (DSRIP) PERFORMING PROVIDER SYSTEMS (PPS), GREEN AND HEALTHY HOMES INITIATIVE, AND, CAPITAL DISTRICT TOBACCO-FREE COMMUNITIES, WHO CURRENTLY PARTNERS WITH THE ALBANY COUNTY STRATEGIC ALLIANCE FOR HEALTH, AS WELL AS THE ASTHMA COALITION OF THE CAPITAL REGION. ADDRESSING MENTAL HEALTH WILL REQUIRE COLLABORATION WITH BOTH ALBANY AND RENSSELAER COUNTIES' DEPARTMENTS OF MENTAL HEALTH. MENTAL HEALTH INTERVENTIONS MAY ALSO INTEGRATE DSRIP (DELIVERY SYSTEM REIMBURSEMENT INCENTIVE PAYMENT PROGRAM), PPS AND HEALTH HOMES.ALBANY MEDICAL CENTER HOSPITAL, SPECIFICALLY, WILL PROVIDE THE STAFF, FACILITIES, RESOURCES AND BUDGET NECESSARY TO CARRY OUT INITIATIVES AS OUTLINED IN THEIR IMPLEMENTATION STRATEGY, FOUND ON PAGES 29-35 IN THE ALBANY MEDICAL CENTER COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN 2019-2021:HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/CHIPS/ALBANY-MED-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-COMMUNITY-SERVICE_PLAN_2019-2021.PDF.COLUMBIA-GREENE COUNTIES PRIORITIZATION WORKGROUPCOLUMBIA AND GREENE COUNTIES SELECTED THE FOLLOWING PREVENTION AGENDAPRIORITY AREAS:- REDUCE OBESITY AND PREVENT DIABETES- PREVENT SUBSTANCE ABUSE AND SUPPORT MENTAL EMOTIONAL AND BEHAVIORAL DISORDERS (MEB) SCREENING AND TREATMENTTHE GREENE COUNTY MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) COMMUNITY GROUP AND THE COLUMBIA COUNTY PUBLIC HEALTH LEADERSHIP GROUP WILL SUPPORT THE DEVELOPMENT OF A JOINT-COUNTY TASK FORCE FOR EACH PRIORITY AREA. COMMUNITY HEALTH PARTNERS WHO WORK IN EACH RESPECTIVE PRIORITY AREA WILL COMPRISE EACH PRIORITY AREA-FOCUSED TASK FORCE. EACH TASK FORCE WILL MEET ON A MONTHLY BASIS AND COMMUNITY PARTNERS RESPONSIBLE FOR PRIORITY AREA ACTIONS WILL PROVIDE UPDATES ON ONGOING AND PROJECTED ACTIVITIES AND INTERVENTIONS. THE TASK FORCES WILL BE RESPONSIBLE FOR ALIGNMENT AND GUIDANCE OF ALL COUNTYWIDE ACTIVITIES RELATED TO EACH PRIORITY AREA.COLUMBIA MEMORIAL HOSPITAL WILL PROVIDE THE RESOURCES NECESSARY TO SUPPORT THE SELECTED INITIATIVES, AS OUTLINED IN THEIR IMPLEMENTATION STRATEGY, ON PAGES 4-6, 9, AND 12-14 OF THE APPENDIX WITHIN THE COLUMBIA MEMORIAL HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTHIMPROVEMENT PLAN 2019-2021:HTTPS://WWW.COLUMBIAMEMORIALHEALTH.ORG/WP-CONTENT/UPLOADS/2020/07/C-G-CHNA-IS-CHIP-CSP-COMPLETE-WITH-APPENDICES.PDF.SARATOGA COUNTY PRIORITIZATION WORKGROUPSARATOGA COUNTY SELECTED THE FOLLOWING PREVENTION AGENDA PRIORITY AREAS:- REDUCE OBESITY- PREVENT SUBSTANCE ABUSE DISORDERS (INCLUDING OPIOIDS)TO ADDRESS NEEDS IDENTIFIED IN THE CHNA, SARATOGA HOSPITAL WILL ENGAGE KEY COMMUNITY PARTNERS IN IMPLEMENTING EVIDENCE-BASED STRATEGIES ACROSS SARATOGA COUNTY. ACKNOWLEDGING THAT MANY ORGANIZATIONS AND RESOURCES ARE IN PLACE TO ADDRESS THE HEALTH NEEDS OF THE COMMUNITY, SARATOGA HOSPITAL HAS STRATEGICALLY REVIEWED BOTH INTERNAL AND EXTERNAL RESOURCES. SARATOGA HOSPITAL WILL PROVIDE THE STAFF, FACILITIES, RESOURCES AND BUDGET NECESSARY TO ADDRESS THE SELECTED PRIORITIES, AS OUTLINED IN THEIR COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION STRATEGY 2019-2021. THE DETAILS OF THE IMPLEMENTATION STRATEGY BEGIN ON PAGE 17:HTTPS://WWW.SARATOGAHOSPITAL.ORG/RESOURCES/FILEBROWSER/PDFS/2019%20CSP%20AND%20IMPLEMENTATION%20STRATEGY%20FINAL%20APPROVED.PDF.THE HEALTH PRIORITIES OF ALBANY AND RENSSELAER COUNTIES, COLUMBIA AND GREENE COUNTIES, SARATOGA COUNTY, AND SCHENECTADY COUNTY ARE BEING ADDRESSED LARGELY BY HOSPITALS, LOCAL HEALTH DEPARTMENTS, AND OTHER ORGANIZATIONS WITHIN THEIR RESPECTIVE COMMUNITIES.ALBANY AND RENSSELAER COUNTIESALBANY MED HEALTH SYSTEM PARTNER ALBANY MEDICAL CENTER, WITH ALBANY COUNTY AND RENSSELAER COUNTY DEPARTMENTS OF HEALTH AND ST. PETER'S HEALTH PARTNERS, ARE TAKING THE LEAD ON ALIGNING EFFORTS AROUND MUTUALLY SELECTED PRIORITY AREAS.IF AND WHEN FEASIBLE, PARTNERS COLUMBIA MEMORIAL HOSPITAL AND SARATOGA HOSPITAL WILL ASSIST WITH THE IMPLEMENTATION OF THE ALBANY-RENSSELAER WORKGROUP'S INITIATIVES.COLUMBIA AND GREENE COUNTIESALBANY MED HEALTH SYSTEM PARTNER COLUMBIA MEMORIAL HOSPITAL, WITH GREENE COUNTY PUBLIC HEALTH AND COLUMBIA COUNTY DEPARTMENT OF HEALTH IS TAKING THE LEAD ON ALIGNING EFFORTS AROUND MUTUALLY SELECTED PRIORITY AREAS.IF AND WHEN FEASIBLE, ALBANY MEDICAL CENTER AND SARATOGA HOSPITAL WILL ASSIST WITH THE IMPLEMENTATION OF THE WORKGROUP'S INITIATIVES.SARATOGA COUNTYALBANY MED HEALTH SYSTEM PARTNER SARATOGA HOSPITAL, WITH SARATOGA COUNTY DEPARTMENT OF HEALTH IS TAKING THE LEAD ON ALIGNING EFFORTS AROUND MUTUALLY SELECTED PRIORITY AREAS.IF AND WHEN FEASIBLE, ALBANY MEDICAL CENTER AND COLUMBIA MEMORIAL HOSPITAL WILL ASSIST WITH THE IMPLEMENTATION OF THE WORKGROUP'S INITIATIVES.SCHENECTADY COUNTYSCHENECTADY COUNTY PUBLIC HEALTH SERVICES, ELLIS MEDICINE AND SUNNYVIEW REHABILITATION HOSPITAL ARE TAKING THE LEAD TO ADDRESS THE PRIORITY AREAS SELECTED FOR THIS REGION. THEY HAVE ALSO BEEN WORKING CLOSELY WITH OTHER SCHENECTADY PARTNERS THROUGH THE SCHENECTADY COALITION FOR HEALTHY COMMUNITIES (SCHC).WHEN FEASIBLE, ALBANY MEDICAL CENTER HOSPITAL, COLUMBIA MEMORIAL HOSPITAL, AND/OR SARATOGA HOSPITAL WILL ASSIST WITH THE IMPLEMENTATION OF THE WORKGROUP'S INITIATIVES.NEEDS NOT ADDRESSED THROUGH REGIONAL IMPLEMENTATION STRATEGIESTHE ALBANY MED HEALTH SYSTEM HOSPITALS ACKNOWLEDGE THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. OUR ORGANIZATIONS DETERMINED THAT IT WOULD PLACE THE MOST SIGNIFICANT FOCUS ON THOSE HEALTH NEEDS WHICH WERE DEEMED MOST PRESSING, UNDER-ADDRESSED, AND WITHIN OUR ABILITIES TO INFLUENCE. THE FOLLOWING ARE EFFORTS OUR HOSPITALS CONTINUE TO MAKE TOWARDS ADDRESSING NEEDS THAT DID NOT RISE TO THE SAME LEVEL OF PRIORITIZATION DUE TO COVID-19, AN UNANTICIPATED HEALTH NEED DURING THE 2019 CHNA PROCESS. (SEE CONTINUATION ON PAGE 111)
ALBANY MEDICAL CENTER HOSPITAL	PART V, SECTION B, LINE 13H: FACILITY: ALBANY MEDICAL CENTER HOSPITALTHE ORGANIZATION ALSO USES RESIDENCY AS A DETERMINING FACTOR. FOR PATIENTS THAT RESIDE OUTSIDE THE SERVICE AREA, AVAILABLE SERVICES TO THAT PATIENT IN THEIR SERVICE AREA IS ALSO A FACTOR.FACILITY: SARATOGA HOSPITALADDITIONAL ELIGIBILITY CRITERIA FOR THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY INCLUDE THE FOLLOWING:-HOMELESS PATIENTS ARE AUTOMATICALLY ELIGIBLE FOR FINANCIAL ASSISTANCE.-SERVICES PROVIDED TO PATIENTS FILING FOR CHAPTER 7 BANKRUPTCY PROTECTION ARE ELIGIBLE FOR FINANCIAL ASSISTANCE.-SERVICES PROVIDED TO PATIENTS WHO HAVE SINCE DIED AND HAVE NO KNOWN ESTATE ARE ELIGIBLE FOR FINANCIAL ASSISTANCE.
ALBANY MEDICAL CENTER HOSPITAL	PART V, SECTION B, LINE 15E: FACILITY: SARATOGA HOSPITALIN ACCORDANCE WITH THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, THE HOSPITAL MAY REQUIRE PATIENTS TO APPLY FOR MEDICAID OR OTHER PUBLICLY SPONSORED INSURANCE PROGRAMS. THE HOSPITAL PROVIDES RESOURCES TO ASSIST PATIENTS WITH THE MEDICAID APPLICATION PROCESS. AS PART OF THIS PROCESS, MEDICAID MAY REQUIRE THE PATIENT TO MAKE A PAYMENT TO THE HOSPITAL, KNOWN AS A 'SPEND-DOWN AMOUNT,' AS A CONDITION FOR MEDICAID APPROVAL. ANY PAYMENTS THE PATIENT IS REQUIRED TO MAKE TO THE HOSPITAL INCLUDING, BUT NOT LIMITED TO, THE SPEND-DOWN AMOUNT AND CO-PAY AND/OR DEDUCTIBLE AMOUNTS ARE ELIGIBLE FOR COVERAGE UNDER THE FINANCIAL ASSISTANCE POLICY.
ALBANY MEDICAL CENTER HOSPITAL	PART V, SECTION B, LINE 20E: FACILITY: ALBANY MEDICAL CENTER HOSPITALTHE ORGANIZATION PERFORMS ONE LAST CHECK FOR PAYOR ELIGIBILITY ON ACCOUNTS GREATER THAN $1,500.
SCHEDULE H, PART V, LINE 7A AND 10A	FACILITY: ALBANY MEDICAL CENTER HOSPITALTHE HOSPITAL'S CHNA IS POSTED AT THE FOLLOWING WEBSITE:HTTPS://WWW.AMC.EDU/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-IMPLEMENTATION-STRATEGY/INDEX.CFMFACILITY: SARATOGA HOSPITALTHE HOSPITAL'S CHNA IS POSTED AT THE FOLLOWING WEBSITE:HTTPS://WWW.SARATOGAHOSPITAL.ORG/RESOURCES/FILEBROWSER/2019_HCDI-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDFFACILITY: COLUMBIA MEMORIAL HOSPITALTHE HOSPITAL'S CHNA IS POSTED AT THE FOLLOWING WEBSITE:HTTPS://WWW.COLUMBIAMEMORIALHEALTH.ORG/PATIENTS-AND-VISITORS/COMMUNITY-HEALTH/
SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED	ALBANY MEDICAL CENTER HOSPITALSTDS/HIV: ALBANY COUNTY FELL TO THE 4TH RISK QUARTILE FOR ALL STD INDICATORS, AND RENSSELAER COUNTY FELL TO THE 4TH RISK QUARTILE FOR GONORRHEA AND SYPHILIS INDICATORS, AND THE 3RD RISK QUARTILE FOR CHLAMYDIA. IT IS WELL DOCUMENTED THAT PEOPLE WHO CONTRACT AN STD OFTEN ALSO HAVE HIV OR ARE MORE LIKELY TO BECOME HIV-INFECTED.- ALBANY MEDICAL CENTER HOSPITAL IS THE REGION'S ONLY DESIGNATED AIDS TREATMENT CENTER, WHICH ALLOWS FOR INCREASED SERVICES, COORDINATED CARE, AND A WIDER RANGE OF PROGRAMS FOR PATIENTS. - A WIDE RANGE OF SERVICES ON A 24-HOUR BASIS FOR PEOPLE WITH HIV INFECTION AND AIDS, AND CASE MANAGERS HELP PATIENTS IDENTIFY RESOURCES AVAILABLE TO HELP PAY BILLS IF NEEDED. COMPREHENSIVE SERVICES ARE PROVIDED, INCLUDING MEDICAL, SOCIAL, NUTRITIONAL, PSYCHOLOGICAL, EDUCATIONAL AND CLINICAL RESEARCH SERVICES TO BOTH HOSPITALIZED PATIENTS AND OUTPATIENTS REGARDLESS OF THEIR LOCATION OR ABILITY TO PAY. - ACCESSIBLE, QUALITY HEALTH CARE IS OFFERED TO RESIDENTS OF OUR SERVICE AREA WHO BECOME HIV-INFECTED. COORDINATED SUPPORT SERVICES FOR PATIENTS SEEKING CARE BY WORKING WITH COMMUNITY ORGANIZATIONS IS AVAILABLE. - STAFF, HEALTH CARE PROVIDERS, AND COMMUNITY MEMBERS RECEIVE CONTINUED EDUCATION ABOUT HIV INFECTION AND PROVIDE COMPASSIONATE AND APPROPRIATE CARE TO PATIENTS. - ALBANY MEDICAL CENTER PROVIDES CONFIDENTIAL HIV TESTING AT NO CHARGE.- ALBANY MEDICAL CENTER PROVIDES TARGETED, MULTI-DISCIPLINARY EDUCATION AND TRAINING TO HEALTHCARE PROFESSIONALS WHO CARE FOR THE HIV POPULATION.- THE SPECIALIZED CARE CENTER FOR ADOLESCENTS AND YOUNG ADULTS AT THE BERNARD & MILLIE DUKER CHILDREN'S HOSPITAL AT ALBANY MEDICAL CENTER HOSPITAL PROVIDES SERVICES TO YOUTH AGES 13-24, INCLUDING PREVENTION AND MANAGEMENT OF HIV INFECTION.- THE MATERNAL CHILD COORDINATED CARE PROGRAM OFFERS MEDICAL FOLLOW UP FOR HIV EXPOSED INFANTS AND CHILDREN LIVING WITH HIV UP TO AGE 12.- OUR HIV PROGRAM OFFERS PREVENTION SERVICES OR YOUTH FOR PRE-EXPOSURE PREVENTION TO HIV THROUGH OUR PREP PROGRAM (PRE-EXPOSURE PROPHYLAXIS).LYME DISEASE: RENSSELAER COUNTY'S LYME DISEASE CASE RATE OF 395.5/100,000 WAS HIGHER THAN ROS AND THE 3RD HIGHEST RATE OF ALL NYS COUNTIES. ALBANY COUNTY'S LYME DISEASE CASE RATE OF 148.6/100,000 WAS ALSO HIGHER THAN ROS.- ALBANY MEDICAL CENTER HOSPITAL'S DIVISION OF INFECTIOUS DISEASE WORKS CLOSELY WITH EACH PATIENT TO PROVIDE INFECTION SURVEILLANCE, EXPOSURE AND OUTBREAK INVESTIGATIONS, EDUCATION AND IF APPLICABLE, INFECTION CONTROL CONSULTATION. - ALBANY MEDICAL CENTER HOSPITAL'S PEDIATRIC INFECTIOUS DISEASE DIVISION PROVIDES OUTPATIENT AND INPATIENT CARE FOR THE EVALUATION AND MANAGEMENT OF CHILDREN AND ADOLESCENTS WITH CONDITIONS INCLUDING LYME DISEASE, ALBANY MEDICAL CENTER HOSPITAL SUBSPECIALTY BOARD CERTIFIED PEDIATRIC INFECTIOUS DISEASE SPECIALISTS ARE THE ONLY PEDIATRIC INFECTIOUS DISEASE SPECIALISTS IN THE 22 COUNTIES OF NORTHEASTERN NEW YORK. - ALBANY MEDICAL COLLEGE'S MICROBIAL AND IMMUNOLOGY RESEARCH PROGRAM BRINGS TOGETHER A DIVERSE GROUP OF SCIENTISTS AND INVESTIGATORS. THE RESEARCH AND TRAINING EFFORT CONCENTRATE ON EXPLORING, IN AN INTEGRATED FASHION, HOST-PATHOGEN INTERACTIONS DURING INFECTIONS WITH VARIOUS MICROBES, INCLUDING HIV-1, LYME DISEASE, MRSA, AND PNEUMOCOCCAL INFECTIONS. IN 2020, ALBANY MEDICAL COLLEGE'S RESEARCHERS SUBMITTING DOZENS OF RESEARCH PAPERS AND COMMENTARIES TO ACADEMIC JOURNALS, ALL RELATED TO THE COVID-19 PANDEMIC. THE STUDIES HAVE GLEANED VALUABLE INFORMATION AND WILL HAVE MEANING FOR FUTURE DISEASE OUTBREAKS AND SIMILAR MEDICAL CRISES.MATERNAL AND INFANT HEALTH: BOTH ALBANY AND RENSSELAER COUNTIES AND HIGHER TEEN (15-17 YEARS) PREGNANCY RATES THAN THE ROS. ALBANY COUNTY HAD A LOWER RATE OF PRENATAL CARE THAN THE ROS AND THE LATE- TO NO PRENATAL CARE WAS HIGHER THAN THE ROS. RENSSELAER COUNTY'S RATE OF PREMATURE BIRTHS (<37 WEEKS GESTATION) OF 9.7% WAS HIGHER THAN ROS.- ALBANY MEDICAL CENTER HOSPITAL'S MATERNAL AND FETAL MEDICINE PROVIDERS OFFER A RANGE OF SERVICES FOR HIGH-RISK MOMS-TO-BE, AS WELL AS PRENATAL SCREENING AND TESTING SERVICES. IN ADDITION, THEY SEE PATIENTS AT SEVERAL OFF-SITE LOCATIONS, INCLUDING AT PARTNER HOSPITALS' CAMPUSES.- ALBANY MEDICAL CENTER HOSPITAL'S REGIONAL PERINATAL CENTER PROVIDES TRANSPORT AND CONSULTATION SERVICES TO ALL BIRTHING HOSPITALS IN A 25-COUNTY REGION OF NORTHEASTERN NEW YORK. OBSTETRICAL AND NEONATAL STAFF ARE HIGHLY TRAINED TO ASSIST WOMEN EXPERIENCING HIGH-RISK OR COMPLICATED PREGNANCIES, AND INFANTS REQUIRING SPECIALIZED CARE.- ALBANY MEDICAL CENTER HOSPITAL'S WIC PROGRAM PROVIDES HEALTH FOODS FOR GROWTH AND DEVELOPMENT, ENCOURAGES REGULAR HEALTH CARE, AND PROMOTES FOOD NUTRITION THROUGH EDUCATION. WIC BENEFITS FOR FOOD ARE PROVIDED FREE OF CHARGE TO PREGNANT, POSTPARTUM OR NURSING WOMEN, INFANTS AND CHILDREN LESS THAN FIVE YEARS OLD. COLUMBIA MEMORIAL HOSPITALLYME DISEASE: GREENE COUNTY'S LYME DISEASE CASE RATE OF 753.6/100,000 WAS SIGNIFICANTLY HIGHER THAN NYS EXCL. NYC (77.8), AND WAS THE HIGHEST RATE OF ALL NYS COUNTIES. COLUMBIA COUNTY'S LYME DISEASE CASE RATE WAS 711.6/100,000, AND MARKEDLY HIGHER THAN ROS, AND 2ND HIGHEST RATE OF ALL NYS COUNTIES, BEHIND GREENE COUNTY.SMOKING/ASTHMA: COLUMBIA COUNTY'S CURRENT ASTHMA PREVALENCE (11.4%) WAS HIGHER THAN NYS EXCL. NYC (10.4%). IN ADDITION, THE HUDSON NEIGHBORHOOD HAD 2.1 TIMES THE ASTHMA ED VISIT RATE AND 2 TIMES THE ASTHMA HOSPITALIZATION RATE AS NYS EXCL. NYC. GREENE COUNTY'S ADULT ASTHMA PREVALENCE RATE OF 12.0% WAS HIGHER THAN NYS EXCL. NYC (10.4%). COLUMBIA COUNTY'S ADULT SMOKING RATE OF 20.3% WAS HIGHER THAN NYS EXCL. NYC (17.0%). LUNG CANCER INCIDENCE (80.4/100,000) AND MORTALITY *48.6/100,000), CLRD HOSPITALIZATION (27.3/100,000) AND CLRD MORTALITY (36.6/100,000) RATES WERE HIGHER THAN NYS EXCL. NYC (66.9, 40.4, 23.1, 34.4).SCHEDULE H, PART V, SECTION B, LINE 11 CONTINUED- COLUMBIA MEMORIAL HOSPITAL'S PULMONOLOGISTS DIAGNOSE AND TREAT PATIENT WITH ASTHMA.- TOBACCO-FREE ACTION OF COLUMBIA AND GREENE COUNTIES OPERATES WITHIN THE HEALTHCARE CONSORTIUM, A RURAL HEALTH NETWORK LOCATED IN HUDSON, NY THAT SERVES H COLUMBIA AND GREENE COUNTIES. THEY ADVOCATE FOR POLICY CHANGE THAT REDUCES EXPOSURE TO SECONDHAND SMOKE, MAKES TOBACCO PRODUCTS LESS VISIBLE AND ACCESSIBLE, AND MAKES TOBACCO USE MORE EXPENSIVE, LESS CONVENIENT, AND LESS SOCIALLY ACCEPTABLE. HEART DISEASE: COLUMBIA COUNTY'S CORONARY HEART DISEASE MORTALITY RATE (130.1/100,000) AND GREENE COUNTY'S (121.4/100,000) WERE HIGHER THAN NYS EXCL. NYC (116.5).SARATOGA HOSPITALSMOKING: SARATOGA COUNTY'S ADULT SMOKING RATE OF 17.3% WAS SLIGHTLY HIGHER THAN NYS EXCL. NYC (17.0%). THE COUNTY'S LUNG CANCER INCIDENCE (70.8/100,000), LUNG CANCER MORTALITY (50.0/100,000), AND CLRD MORTALITY (37.0/100,000) RATES WERE HIGHER THAN NYS EXCL. NYC (67.2, 43.0, 35.0).- THE COUNCIL FOUND THAT SEVERAL MEMBER ORGANIZATIONS OFFER VARIOUS SMOKING CESSATION OPTIONS TO THE PUBLIC INCLUDING A VERY ACTIVE PROGRAM AVAILABLE AT GLENS FALLS HOSPITAL, LOCATED IN NEIGHBORING WARREN COUNTY. - ADDITIONALLY, A DSRIP PROJECT BEGAN ADDRESSING THIS HEALTH NEED, IN WHICH SARATOGA HOSPITAL IS ALREADY A PARTNER. SARATOGA HOSPITAL PRIMARY CARE PROVIDERS FREQUENTLY PROVIDE SMOKING CESSATION COUNSELING DURING PATIENT INTERACTION. BREAST CANCER: SARATOGA COUNTY'S MAMMOGRAPHY SCREENING RATES WERE LOWER THAN NYS EXCL. NYC FOR WOMEN AGES 50-74 (77.9% VS. 79.2%). IN ADDITION, THE COUNTY'S FEMALE BREAST CANCER LATE STAGE INCIDENCE (45.7/100,000) RATE WAS HIGHER THAN NYS EXCL. NYC (43.1).- UNINSURED RESIDENTS OF SARATOGA COUNTY HAVE ACCESS TO FREE CANCER SCREENINGS THROUGH THE CANCER SERVICES PROGRAM, WHICH OFFERS FREE CANCER SCREENING FOR UNINSURED MEN AND WOMEN. - SARATOGA HOSPITAL'S CENTER FOR BREAST CARE OFFERS NURSE NAVIGATORS, RADIOLOGISTS, A FELLOWSHIP TRAINED BREAST SURGEON, MEDICAL ONCOLOGISTS, RADIATION ONCOLOGISTS, PLASTIC SURGEONS, PHYSICAL THERAPISTS, AN ONCOLOGY SOCIAL WORKER, AND DIETITIANS TO ASSIST CANCER PATIENTS FROM DIAGNOSIS THROUGH SURVIVORSHIP.SUICIDE AND SELF-INFLICTED INJURY: THE SELF-INFLICTED INJURY ED VISIT RATE FOR SARATOGA COUNTY RESIDENTS 15+ YEARS OF AGE OF 7.4/10,000 AND SELF-INFLICTED INJURY HOSPITALIZATION RATE OF 6.3/10,000 WERE HIGHER THAN NYS EXCL. NYC (7.1 AND 5.3).- SARATOGA COUNTY PUBLIC HEALTH SERVICES CO-FACILITATES THE SUICIDE PREVENTION COALITION OF SARATOGA COUNTY, ALONG WITH THE SARATOGA COUNTY DEPARTMENT OF MENTAL HEALTH & ADDICTION SERVICES. THIS GROUP OF LOCAL STAKEHOLDERS MEETS REGULARLY TO DISCUSS SUICIDE RATES WITHIN THE COUNTY AND ACROSS THE COUNTRY, WHILE WORKING TO FOSTER IMPROVEMENTS WITHIN THE MENTAL HEALTH SYSTEM TO BETTER ASSIST THOSE IN NEED.
SCHEDULE H, PART V, LINE 16A, 16B, AND 16C	FACILITY: ALBANY MEDICAL CENTER HOSPITALTHE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, APPLICABLE, AND PLAIN LANGUAGE SUMMARY ARE POSTED AT THE FOLLOWING WEBSITE:WWW.AMC.EDU/PBSFACILITY: SARATOGA HOSPITALTHE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, APPLICABLE, AND PLAIN LANGUAGE SUMMARY ARE POSTED AT THE FOLLOWING WEBSITE:HTTPS://WWW.SARATOGAHOSPITAL.ORG/PATIENTS-VISITORS/PATIENTS/BILLING/FINANCIAL-ASSISTANCEFACILITY: COLUMBIA MEMORIAL HOSPITALTHE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, APPLICABLE, AND PLAIN LANGUAGE SUMMARY ARE POSTED AT THE FOLLOWING WEBSITE:HTTPS://WWW.COLUMBIAMEMORIALHEALTH.ORG/FINANCIAL-ASSISTANCE/
SCHEDULE H, PART V, LINE 20D	FACILITY: SARATOGA HOSPITALTHE HOSPITAL DOES NOT CURRENTLY HAVE A PROCESS FOR ASSESSING PATIENTS' PRESUMPTIVE ELIGIBILITY FOR BENEFITS UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY.
SCHEDULE H, PART V, LINE 22D	OTHER BILLING DETERMINATION OF INDIVIDUALS WITHOUT INSURANCEFACILITY: ALBANY MEDICAL CENTER HOSPITALALBANY MEDICAL CENTER HOSPITAL UTILIZES THE FEDERAL POVERTY GUIDELINES TO ENSURE PATIENTS ARE PRESUMPTIVELY ELIGIBLE, ALONG WITH RESIDENCE REQUIREMENTS. BASED ON FAMILY INCOME AND FAMILY MEMBERS, ALBANY MEDICAL CENTER HOSPITAL UTILIZES A SLIDING SCALE CALCULATION METHOD TO DETERMINE THE AMOUNTS TO BILL THE PATIENT, AND ULTIMATELY THE AMOUNT TO BE PAID BY THE PATIENT. CHARGES ARE CAPPED AT THE MEDICARE RATES FOR INPATIENT AND OUTPATIENT SERVICES.
SCHEDULE H, PART V	FACILITY: ALBANY MEDICAL CENTER HOSPITALALBANY MEDICAL CENTER HOSPITAL HAS ONE FACILITY WITH TWO LOCATIONS.

Schedule H (Form 990) 2020

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?98
Name and address		Type of Facility (describe)
1	1 - ALBANY MEDICAL CENTER HOSPITAL SOUTH 25 HACKETT BLVD ALBANY,NY12208	SECOND LOCATION OF ALBANY MEDICAL CENTER HOSPITAL
2	2 - ALBANY MED HIV MEDICINE 1 CLARA BARTON DRIVE ALBANY,NY12209	HIV MEDICINE, PSYCHIATRY
3	3 - PARK SOUTH MEDICAL OFFICE BUILDING 391 MYRTLE AVENUE ALBANY,NY12208	VASCULAR SURGERY, NEUROLOGY (PEDIATRIC), OB/GY, NEUROSURGERY, BEHAVIORAL
4	4 - SURGEONS PAVILION 50 NEW SCOTLAND AVENUE ALBANY,NY12208	SURGERY - ENT ADULT, PLASTIC, PEDIATRIC, GENERAL, CARDIOTHORACIC
5	5 - ALBANY MED MALTA 6 MEDICAL PARK DRIVE SUITE 203 BALLSTON SPA,NY12020	MULTISPECIALITY CLINIC
6	6 - ALBANY MED EMURGENTCARE - BRUNSWICK 730 HOOSICK ROAD BRUNSWICK,NY12180	EMURGENTCARE
7	7 - ALBANY MED EMURGENTCARE - COXSACKIE 11835 ROUTE 9W WEST COXSACKIE,NY12192	EMURGENTCARE
8	8 - ALBANY MED EMURGENTCARE - GLENMONT 329 GLENMONT ROAD GLENMONT,NY12077	EMURGENTCARE
9	9 - ALBANY MED EMURGENTCARE - GLENVILLE 115 SARATOGA ROAD GLENVILLE,NY12302	EMURGENTCARE
10	10 - ALBANY MED EMURGENTCARE - MECHANICVILLE 7 PRICE CHOPPER PLAZA MECHANICVILLE,NY12118	EMURGENTCARE
11	11 - ALBANY MED EMURGENTCARE - NISKAYUNA 1769 UNION STREET NISKAYUNA,NY12309	URGENTCARE, AMBULATORY CARE CTR, COMMUN GI, GEN SURG, MULTISPECIALITY, OB/GY
12	12 - ALBANY MED SARATOGA 377 CHURCH STREET 2ND FLOOR SARATOGA SPRINGS,NY12866	VASCULAR SURGERY
13	13 - ALBANY MED EMURGENT CARE - SAUGERTIES 2976 ROUTE 9W SAUGERTIES,NY12477	EMURGENTCARE
14	14 - ALBANY MED EMURGENT CARE - COLONIE 98 WOLF ROAD SUITE 16 ALBANY,NY12205	EMURGENTCARE
15	15 - ALBANY MED NORTH GREENBUSH 101 JORDAN ROAD SUITE 201 TROY,NY12180	MULTISPECIALITY CLINIC
16	16 - ALBANY MED LATHAM 713 TROY-SCHENECTADY ROAD SUITE 306 LATHAM,NY12110	MULTISPECIALITY CLINIC
17	17 - ALBANY MED WASHINGTON AVE 1365 WASHINGTON AVENUE SUITE 200 ALBANY,NY12206	SLEEP DISORDERS INSTITUTE, MULTISPECIALTY CLINIC
18	18 - ALBANY MED NEUROLOGY 101 JORDAN ROAD SUITE 102 TROY,NY12180	NEUROLOGY
19	19 - ALBANY MED NEUROLOGY 1365 WASHINGTON AVENUE SUITE 100 ALBANY,NY12206	NEUROLOGY
20	20 - ALBANY MED ENDOCRINOLOGY 1365 WASHINGTON AVENUE SUITE 100 ALBANY,NY12206	ENDOCRINOLOGY
21	21 - ALLERGY ASTHMA AND IMMUNOLOGY 176 WASHINGTON AVENUE EXTENSION ALBANY,NY12203	ALLERGY
22	22 - ALBANY MED (VALATIE) 1301 RIVER STREET SUITE 101 VALATIE,NY12184	MULTISPECIALTY CLINIC, SURGERY MULTISPECIALTY
23	23 - ALBANY MED INTERNAL MEDICINE 178 WASHINGTON AVENUE EXTENSION ALBANY,NY12203	INTERNAL MEDICINE
24	24 - ALBANY MED NEUROLOGY 1783 ROUTE 9 SUITE 205 CLIFTON PARK,NY12065	NEUROLOGY, UROLOGY
25	25 - ALBANY MED ENT 1783 ROUTE 9 SUITE 207 CLIFTON PARK,NY12065	SURGERY - ENT
26	26 - WIC PROGRAM 220 GREEN STREET ALBANY,NY12202	OB/GYN, WIC (WOMEN, INFANTS, & CHILDREN'S PROGRAM)
27	27 - ALBANY MED CLIFTON PARK 453 ROUTE 146 SUITE 204 CLIFTON PARK,NY12065	MULTISPECIALITY CLINIC
28	28 - ALBANY MED CLIFTON PARK CROSSING BLVD 3 CROSSING BOULEVARD SUITE 2 CLIFTON PARK,NY12065	MULTISPECIALITY CLINIC
29	29 - ALBANY MED DELMAR 250 DELAWARE AVENUE SUITE 202 DELMAR,NY12054	MULTISPECIALITY CLINIC
30	30 - ALBANY MED ENT 6 EXECUTIVE PARK DRIVE ALBANY,NY12203	ENT
31	31 - ALBANY MED SARATOGA SURGERY 381 CHURCH STREET 1ST FLOOR SARATOGA SPRINGS,NY12866	GENERAL SURGERY
32	32 - ALBANY MED - MATERNAL FETAL MEDICINE 90 SOUTH STREET GLENS FALLS,NY12801	OB/GYN
33	33 - ALBANY MED PEDIATRICS 100 GREAT OAKS BOULEVARD SUITE 103 ALBANY,NY12203	COMMUNITY PEDIATRICS
34	34 - ALBANY MED THORACIC SURGERY 7 SOUTHWOODS BOULEVARD ALBANY,NY12211	CARDOTHORACIC
35	35 - ALBANY MED CARDIOLOGY 2524 ROUTE 9W RAVENA,NY12143	CARDIOLOGY
36	36 - ALBANY MED KINGSTON 117 MARYS AVE SUITE 202 KINGSTON,NY12401	VASCULAR SURGERY
37	37 - ALBANY MED EMURGENTCARE - LATHAM 1019 NEW LOUDON ROAD LATHAM,NY12047	EMURGENTCARE, PEDIATRICS
38	38 - ALBANY MED EMURGENTCARE - ROTTERDAM 1400 ALTAMONT AVENUE ROTTERDAM,NY12303	EMURGENTCARE
39	39 - ALBANY MED EMURGENTCARE - GUILDERLAND 5 NEW KARNER ROAD GUILDERLAND,NY12084	EMURGENTCARE
40	40 - ALBANY MED VASCULAR SURGERY 102 PARK STREET GLENS FALLS,NY12801	VASCULAR SURGERY
41	41 - ALBANY MED VASCULAR SURGERY 1201 NOTT STREET SUITE 202 SCHENECTADY,NY12308	VASCULAR SURGERY
42	42 - ALBANY MED VASCULAR SURGERY 1250 RIVERFRONT CENTER SUITE 2420 AMSTERDAM,NY12010	VASCULAR SURGERY
43	43 - 16 NEW SCOTLAND AVENUE 16 NEW SCOTLAND AVENUE 2ND FLOOR ALBANY,NY12208	MEDICINE - PULMONARY AND RHEUMATOLOGY
44	44 - ALBANY MED PEDIATRICS 22 NEW SCOTLAND AVENUE ALBANY,NY12208	PEDIATRICS, PSYCHIATRY
45	45 - ALBANY MED UROLOGY 2200 ROSA ROAD SCHENECTADY,NY12309	SURGERY - UROLOGY
46	46 - ALBANY MED BARIATRIC SURGERY 99 DELAWARE AVENUE DELMAR,NY12054	SURGERY - BARIACTRICS
47	47 - ALBANY MED POUGHKEEPSIE 243 NORTH RD SUITE 204 POUGHKEEPSIE,NY12601	VASCULAR SURGERY
48	48 - ALBANY MED EMURGENTCARE - CLIFTON PARK 989 ROUTE 146 CLIFTON PARK,NY12065	EMURGENT CARE
49	49 - WILTON MEDICAL ARTS 3040 - 3050 ROUTE 50 SARATOGA SPRINGS,NY12866	URGENT CARE/IMAGING/LAB SVCS/PAIN MGMT/FAMILY MED/AMBULATORY SURGERY
50	50 - MALTA MED EMERGENT CARE 6 MEDICAL PARK DRIVE MALTA,NY12020	URG CARE/LAB SVCS/FAM MED/HEMA./ONCOL/IMAGING/INFUSION/CARDIO/NEPHRO/URO
51	51 - REGIONAL THERAPY CENTER AT CARE LANE 6 CARE LANE SARATOGA SPRINGS,NY12866	REHABILITATION (OT/PT)/NEPHROLOGY/NEUROLOGY
52	52 - REGIONAL THERAPY CENTER AT THE SPRINGS 9 HAMPSTEAD PLACE SUITE 107 SARATOGA SPRINGS,NY12866	REHABILITATION (OT/PT)
53	53 - REGIONAL THERAPY CENTER AT WASHINGTON ST 225 WASHINGTON STREET SARATOGA SPRINGS,NY12866	REHABILITATION (OT/PT)
54	54 - SARATOGA MEDICAL ONCOLOGY HEMATOLOGY 3 CARE LANE SARATOGA SPRINGS,NY12866	ONCOLOGY HEMATOLOGY
55	55 - SARATOGA MIDWIFERY-WOMEN'S PRIMARY CARE 665 SARATOGA ROAD WILTON,NY12831	WOMEN'S PRIMARY CARE, AND ENDOCRINOLOGY
56	56 - SCOTIA-GLENVILLE FAMILY MEDICINE 112 CHARLTON ROAD BALLSTON LAKE,NY12019	FAMILY MEDICNE
57	57 - SARATOGA COMMUNITY HEALTH CENTER 24 HAMILTON STREET SARATOGA SPRINGS,NY12866	FAMILY MEDICINE/DENTISTRY/INTERNAL MEDICINE/MENTAL HEALTH/ADDICATION MED
58	58 - CORPORATE HEALTH SERVICES 2388 ROUTE 9 MALTA,NY12020	CORPORATE HEALTH SERVICES
59	59 - MILTON HEALTH CENTER 510 GEYSER ROAD BALLSTON SPA,NY12020	FAMILY MEDICINE/PHYSICAL THERAPY/REHABILITATION (OT/PT)
60	60 - SARATOGA REGIONAL UROLOGY ASSOCIATES 19 WEST AVENUE SUITE 103 SARATOGA SPRINGS,NY12866	UROLOGY/SLEEP LAB/PULMONARY MEDICINE
61	61 - SARATOGA CTR GEN & MINIMALLY INV SURGERY 1 WEST AVENUE SUITE 125 SARATOGA SPRINGS,NY12866	MINIMALLY INVASIVE SURGERY/BARIATRIC SURGERY
62	62 - SARATOGA FAMILY HEALTH 119 LAWRENCE STREET SARATOGA SPRINGS,NY12866	PODIATRY/TRANSITIONAL CARE/PALLIATIVE CARE
63	63 - SCHUYLERVILLE FAMILY HEALTH 200 BROAD STREET SCHUYLERVILLE,NY12871	FAMILY MEDICINE
64	64 - GALWAY FAMILY HEALTH 5344 SACANDAGA ROAD PO BOX 190 GALWAY,NY12074	FAMILY MEDICINE
65	65 - CARDIOLOGY SPECIALTY SERVICES 254 CHURCH STREET 2ND FLOOR SARATOGA SPRINGS,NY12866	CARDIOLOGY
66	66 - MECHANICVILLE PRIMARY CARE 202 S CENTRAL AVE MECHANICVILLE,NY12118	PRIMARY CARE
67	67 - SPORTS MEDICINE 8 MEDICAL PARK DRIVE MALTA,NY12020	SPORTS MEDICINE/REHABILITATION/PRIMARY CARE
68	68 - MECHANICVILLE PRIMARY CARE 2911 ROUTE 9 BALLSTON SPA,NY12020	PRIMARY CARE
69	69 - GREENE MEDICAL ARTS BLDG - GMI 159 JEFFERSON HEIGHTS CATSKILL,NY12414	O/P MEDICAL IMAGING SERVICES
70	70 - GREENE MEDICAL ARTS BLDG - FAMILY CARE 159 JEFFERSON HEIGHTS CATSKILL,NY12414	O/P FAMILY CARE PRACTICES
71	71 - GREENE MEDICAL ARTS BLDG - SPECIALTY 159 JEFFERSON HEIGHTS CATSKILL,NY12414	O/P (WOMENS HLTH, PSYCH, ORTHO, DRAW)
72	72 - GREENE MEDICAL ARTS BLDG - SPECIALTY 159 JEFFERSON HEIGHTS CATSKILL,NY12414	O/P (CARDIO, PEDS, NEPHROLOGY)
73	73 - COLUMBIA MEDICAL COMPLEX - IMAGING 67 PROSPECT AVENUE HUDSON,NY12534	O/P MEDICAL IMAGING SERVICES
74	74 - COLUMBIA MEDICAL COMPLEX - SPECIALTY 67 PROSPECT AVENUE HUDSON,NY12534	O/P (ENDO, CARDIO, NEPHRO, UROLOGY, PSYCH)
75	75 - COLUMBIA MEDICAL COMPLEX - SPECIALTY 67 PROSPECT AVENUE HUDSON,NY12534	O/P (BONE & JOINT, SPINE, RHEUMATOLOGY)
76	76 - COLUMBIA MEDICAL COMPLEX - SPECIALTY 67 PROSPECT AVENUE HUDSON,NY12534	O/P (WOMEN'S HEALTH & SURGERY)
77	77 - COLUMBIA MEDICAL COMPLEX - SURG ASSOC 67 PROSPECT AVENUE HUDSON,NY12534	O/P SURGICAL PRACTICE
78	78 - COLUMBIA MEDICAL COMPLEX - FAMILY CARE 67 PROSPECT AVENUE HUDSON,NY12534	O/P FAMILY CARE PRACTICES
79	79 - COLUMBIA MEMORIAL BONE & JOINT 23 FISH AND GAME ROAD HUDSON,NY12534	O/P (ORTHO, PT & OT)
80	80 - COLUMBIA MEMORIAL VALATIE CAMPUS OSJ PLAZA - 2827 ROUTE 9 VALATIE,NY12184	O/P (RAPID CARE, FAMILY CARE, DRAW)
81	81 - VALATIE MEDICAL ARTS BUILDING - IMAGING 1301 RIVER STREET VALATIE,NY12184	O/P MEDICAL IMAGING SERVICES
82	82 - VALATIE MEDICAL ARTS BUILDING - SPEC 1301 RIVER STREET VALATIE,NY12184	O/P CARDIOLOGY
83	83 - VALATIE MEDICAL ARTS BUILDING - FAM CARE 1301 RIVER STREET VALATIE,NY12184	O/P FAMILY CARE PRACTICE
84	84 - COLUMBIA MEMORIAL PEDIATRICS 813 WARREN STREET HUDSON,NY12184	O/P PEDIATRIC SERVICES
85	85 - CALLAN FAMILY CARE CENTER 358 MOUNTAIN VIEW ROAD COPAKE,NY12516	O/P FAMILY CARE PRACTICE
86	86 - CHATHAM FAMILY CARE CENTER 31 DARDESS DRIVE CHATHAM,NY12037	O/P FAMILY CARE PRACTICE
87	87 - BROADWAY FAMILY CARE CENTER 7385 SOUTH BROADWAY RED HOOK,NY12571	O/P FAMILY CARE PRACTICE
88	88 - CAIRO FAMILY CARE CENTER 4383 ROUTE 23 CAIRO,NY12413	O/P FAMILY CARE PRACTICE
89	89 - WINDHAM MEDICAL CARE 345 STATE ROUTE 296 HENSONVILLE,NY12439	O/P FAMILY CARE PRACTICE
90	90 - COXSACKIE MEDICAL CARE 9 LAW STREET WEST COXSACKIE,NY12192	O/P FAMILY CARE PRACTICE
91	91 - CMH RAPID CARE - COPAKE 283 MOUNTAIN VIEW ROAD COPAKE,NY12516	O/P RAPID CARE
92	92 - SARATOGA HOSPITAL MEDICAL OFFICES- WILTO 3065 RT 50 SARATOGA SPRINGS,NY12866	WOUND CARE/HYPERBARIC MEDICINE/SURGICAL PODIATRY
93	93 - SARATOGA OBGYN AND MIDWIFERY AT MYRTLE 59 MYRTLE ST SARATOGA SPRINGS,NY12866	OB/GYN/ULTRASOUND
94	94 - SARATOGA OBGYN AND MIDWIFERY AT MALTA 2105 ELLSWORTH BLVD MALTA,NY12020	OB/GYN/ULTRASOUND
95	95 - SARATOGA OBGYN AND MIDWIFERY AT EXIT 13 2911 RT 9 BALLSTON SPA,NY12020	OB/GYN/ULTRASOUND
96	96 - SARATOGA HOSPITAL URGENT CARE- ADIRONDAC 959 RT 9 QUEENSBURY,NY12804	URGENT CARE/X-RAY
97	97 - SARATOGA NEPHROLOGY AT GLENS FALLS 2 BROAD ST PLAZA GLENS FALLS,NY12801	NEPHROLOGY
98	98 - SARATOGA HOSPITAL MEDICAL GROUP- PULMONO 161 CAREY ROAD QUEENSBURY,NY12804	PULMONARY MEDICINE

Schedule H (Form 990) 2020

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	FEDERAL POVERTY GUIDELINE FAMILY INCOME LIMITSARATOGA HOSPITAL:SARATOGA HOSPITAL USED A 250% FEDERAL POVERTY GUIDELINE FAMILY INCOME LIMIT WHEN DETERMINING ELIGIBILITY FOR FREE CARE.
PART I, LINE 6A:	ALL SCHEDULE H DISCLOSURES REFERENCE THE ALBANY MED HEALTH SYSTEM, OF WHICH ALBANY MEDICAL CENTER HOSPITAL, SARATOGA HOSPITAL, AND COLUMBIA MEMORIAL HOSPITAL ARE A PART OF. THE COMMUNITY BENEFIT REPORT IS PREPARED FOR ALBANY MED HEALTH SYSTEM. ALSO INCLUDED IN THIS ORGANIZATION IS ALBANY MEDICAL COLLEGE.
PART I, LINE 7:	ALBANY MEDICAL CENTER HOSPITAL AND AFFILIATES:THE ALBANY MEDICAL CENTER HEALTH SYSTEM UTILIZES A COST ACCOUNTING SYSTEM.ALBANY MEDICAL CENTER SYSTEM PREPARES A COST REPORT FOR MEDICARE/MEDICAID PURPOSES.FIGURES REPORTED IN THIS COST REPORT WERE USED AS THE BASIS FOR REPORTING OF CHARITY CARE AND MEANS TESTED PROGRAMS.THE PERCENT OF TOTAL EXPENSE CALCULATED IN PART I, LINE 7, COLUMN (F) IS CALCULATED BY DIVIDING COLUMN (E), NET COMMUNITY BENEFIT EXPENSE, BY TOTAL EXPENSES FOR THE HOSPITALS OF THE SYSTEM OF $1,649,191,300.ALBANY MEDICAL CENTER SYSTEM SURVEYED STAFF FOR ACTIVITIES THAT MEET THE CRITERIA TO BE REPORTED FOR OTHER BENEFITS. TIME REPORTS FROM THESE SURVEYS WERE PROVIDED AND REVIEWED, RESULTING IN A CALCULATION OF APPROPRIATE COST ATTRIBUTABLE TO THESE PROGRAMS. THE COMMUNITY BENEFITS AMOUNT INCLUDES SUPPORT PAID TO THE COLLEGE BY THE ALBANY MEDICAL CENTER HOSPITAL TO ENSURE THE COLLEGE IS ABLE TO MEET THEIR MISSION TO SERVICE THE COMMUNITY.
PART III, LINE 2:	SCHEDULE H, PART III, LINE 2 & 3DUE TO THE ADOPTION OF ASU NO. 2014-09 REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606) BAD DEBT EXPENSE IS NO LONGER REPORTED ON THE AUDITED FINANCIAL STATEMENT. RATHER IT IS TREATED AS A PRICE CONCESSION. PLEASE SEE THE FOLLOWING AUDITED FINANCIAL STATEMENT FOOTNOTE WHICH DESCRIBES THIS PRONOUNCEMENT.FOOTNOTE 1(F) FROM THE COMBINED AUDITED FINANCIAL STATEMENTS1(F) NET PATIENT SERVICE REVENUEADOPTION OF ASU NO. 2014-09 REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). UPON ADOPTION, THE MAJORITY OF WHAT IS CURRENTLY CLASSIFIED AS PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND PRESENTED AS A REDUCTION TO NET PATIENT SERVICE REVENUE ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS IS TREATED AS A PRICE CONCESSION THAT REDUCES THE TRANSACTION PRICE, WHICH IS REPORTED AS NET PATIENT SERVICE REVENUE.DURING 2020 AND 2019, THE HOSPITAL INCURRED APPROXIMATELY $35.0 MILLION AND $38.0 MILLION IN PROVISIONS FOR UNCOLLECTIBLE ACCOUNTS, RESPECTIVELY.
SCHEDULE H, PART II, LINE 3	COMMUNITY SUPPORT ACTIVITIESSARATOGA HOSPITAL:THE HOSPITAL EXPENDS SIGNIFICANT EFFORT IN DEVELOPING AND MAINTAINING AN EMERGENCY PREPAREDNESS PROGRAM. THE EMERGENCY PREPAREDNESS PROGRAM IS PARTIALLY GRANT FUNDED AND IS AIMED AT MAKING THE HOSPITAL AS WELL-PREPARED AS POSSIBLE WITH EMERGENCY RESPONSE PLANS AND INFRASTRUCTURE IN THE EVENT OF A DISASTER IN THE LOCAL COMMUNITY. THIS PROGRAM INCLUDES PLANNING THE COORDINATION OF HOSPITAL STAFF, IN CONJUNCTION WITH PERSONNEL FROM OTHER LOCAL FIRST RESPONDERS, PREFORMING TRAINING EXERCISES TO TEST THESE PLANS, AND TESTING OF ITS EMERGENCY SYSTEMS FOR PROPER RESPONSIVENESS.
SCHEDULE H, PART II, LINE 8	WORKFORCE DEVELOPMENT ACTIVITIESCOLUMBIA MEMORIAL HOSPITAL:FOR PART II, THE HOSPITAL'S COMMUNITY BUILDING ACTIVITIES CONSIST OF ONGOING WORKFORCE DEVELOPMENT AND COMMUNITY TRAINING SESSIONS, FOR WHICH THE HOSPITAL RECEIVES A VERY NOMINAL FEE, IF ANY. THESE FREE OR LOW-COST PROGRAMS INCREASE COMMUNITY AWARENESS OF HEALTH ISSUES, PROVIDE AN OPPORTUNITY FOR ONGOING EDUCATION OF COMMUNITY PROVIDERS AND CAREGIVERS, AND SUPPORT IMPROVED HEALTH HABITS FOR THE COMMUNITY THE HOSPITAL SERVES.
SCHEDULE H, PART II, LINE 9	ALBANY MED HEALTH SYSTEMFOR ALBANY MED, COMMUNITY MATTERS. THROUGH OUR DEDICATED COMMUNITY DEVELOPMENT UNIT WE HELP SUPPORT NUMEROUS COMMUNITY ORGANIZATIONS ANNUALLY. SPECIAL ATTENTION IS FOCUSED ON ORGANIZATIONS THAT SERVE THE CITY OF ALBANY AND THE NEIGHBORHOOD AROUND THE NEW SCOTLAND AVENUE OF ALBANY MED HEALTH SYSTEM. WITHIN THE CITY OF ALBANY AND SURROUNDING REGIONS, ALBANY MED HEALTH SYSTEM SUPPORTS NUMEROUS ORGANIZATIONS FOCUSED ON YOUTH, THE UNDERSERVED, EDUCATION, AND HEALTH. IN 2020, ALBANY MED INVESTED NEARLY $240,000 IN ALBANY-BASED NON-PROFIT ORGANIZATIONS. IN 2020, ALBANY MED HEALTH SYSTEM MADE CONTRIBUTIONS TO CENTER FOR ECONOMIC GROWTH. A COMPANY THAT HELPS DEVELOP GROWTH, ATTRACT JOBS, AND RETAIN COMPETITIVE WORKFORCE ALL ASSISTING OF COMMUNITY BENEFITS. IN ADDITION, ALBANY MED HEALTH SYSTEM MADE SIGNIFICANT CONTRIBUTION TO ALBANY COUNTY BY PARTICIPATING IN TAXES COLLECTIONS INSTEAD OF REQUESTING TAX EXEMPTION OF THESE TAXES ALLOWING THE COUNTY AND SCHOOL OPPORTUNITY TO SUPPORT THE HEALTH BENEFITS TO THE CITIZENS IN ALBANY COUNTY.
PART III, LINE 4:	COMMUNITY BENEFIT, CHARITY CARE AND UNCOMPENSATED CARE FOOTNOTE FROM COMBINED AUDITED FINANCIAL STATEMENTS(A) COMMUNITY BENEFITTHE SYSTEM OFFERS NUMEROUS COMMUNITY BENEFIT PROGRAMS AND SERVICES IN COMMUNITY-BASED SETTINGS IN RESPONSE TO THE NEEDS OF THE COMMUNITIES IT SERVES.THEY INCLUDE COMMUNITY HEALTH FAIRS, HEALTH SCREENINGS, HEALTH EDUCATION LECTURES AND WORKSHOPS FOR COMMUNITY GROUPS AND THE GENERAL PUBLIC, CONSUMER HEALTH INFORMATION, FACILITATED (INSURANCE PLAN) ENROLLMENT SERVICES AND CLINICAL SERVICES SUCH AS OUTPATIENT CLINICS, ADULT AND PEDIATRIC CARE SERVICES, NEONATAL INTENSIVE CARE SERVICES AND BEHAVIORAL HEALTH SERVICES. STAFF MEMBERS OF THE SYSTEM ALSO PARTICIPATE IN COMMUNITY LEADERSHIP EFFORTS BY DONATING SIGNIFICANT HOURS OF BOARD SERVICE TO OTHER NOT-FOR-PROFIT ORGANIZATIONS. THE SYSTEM SUPPORTS GRADUATE MEDICAL EDUCATION AND OFFERS HEALTH PROFESSIONS EDUCATION SUPPORT FOR COMMUNITY MEMBERS THROUGH CONTINUING EDUCATION PROGRAMS AND SCHOLARSHIPS.(B) CHARITY AND UNCOMPENSATED CARETHE SYSTEM'S NET COST OF CHARITY CARE, INCLUDING PAYMENTS TO AND RECEIPTS FROM THE STATEWIDE POOL WAS APPROXIMATELY $16.0 MILLION IN 2020 AND $15.7 MILLION IN 2019 AS FOLLOWS:2020 CHARITY CARE AT COST: $12,196,000 PAYMENTS TO STATEWIDE POOL: $9,715,000RECEIPTS FROM STATEWIDE POOL: $(5,953,000) TOTAL: $15,958,0002019CHARITY CARE AT COST: $14,684,000 PAYMENTS TO STATEWIDE POOL: $9,022,000RECEIPTS FROM STATEWIDE POOL: $(8,030,000) TOTAL: $15,676,000THE COST OF CHARITY CARE PROVIDED WAS DETERMINED USING DIRECT AND INDIRECT COSTS TO PROVIDE SERVICES BASED ON THE APPLICATION OF THE RATIO OF THE SYSTEM'S OVERALL COST TO PATIENT CHARGES.THE SYSTEM ALSO SUBSIDIZES SERVICES TO MEDICAID PATIENTS, WHICH ARE PAID AT REIMBURSEMENT LEVELS BELOW THE SYSTEM'S COST OF RENDERING THE RELATED SERVICES.
PART III, LINE 8:	APPROXIMATELY 19% OF THE ORGANIZATION'S PATIENT CHARGES RELATE TO PATIENTS UTILIZING MEDICARE INSURANCE. THESE SERVICES SUPPORT THE SIGNIFICANT NEED FROM THE COMMUNITY TO HAVE AN ORGANIZATION TO BE ABLE TO PROVIDE THE EXPERTISE AND CARE REQUIRED.COSTING METHODOLOGYTHE HOSPITAL PREPARES A COST REPORT FOR MEDICARE/MEDICAID PURPOSES. FIGURES REPORTED IN THIS COST REPORT WERE USED AS THE BASIS FOR REPORTING. THE COST REPORT IS PREPARED BY USING FINANCIAL STATEMENT DATA AND STATISTICAL INFORMATION TO ARRIVE AT A COST ALLOCATED REPORT. THE REPORT IS COST CERTIFIED AS REQUIRED BY AN INDEPENDENT ACCOUNTANT.
PART III, LINE 9B:	ALBANY MEDICAL CENTER HOSPITAL:COLLECTION PRACTICES ONCE KNOWN TO QUALIFY FOR FINANCIAL AID ALL SELF-PAY BILLS WILL BE ASSESSED FOR PRESUMPTIVE ELIGIBILITY PRIOR TO COMMENCEMENT OF COLLECTION REFERRAL.ALBANY MEDICAL CENTER HOSPITAL SHALL NOT SEND ANY ACCOUNT TO COLLECTIONS IF THE PATIENT HAS SUBMITTED AN APPLICATION FOR FINANCIAL AID OR ORALLY PROVIDED INFORMATION FOR CONSIDERATION UNDER THE FINANCIAL AID PROGRAM UNTIL A DETERMINATION HAS BEEN MADE (WITHIN 30 DAYS FROM RECEIPT OF COMPLETED APPLICATION) AND THE PATIENT IS GIVEN TIME TO APPEAL THE DETERMINATION (45 DAYS OF THE ISSUANCE OF DETERMINATION).BALANCES REMAINING WILL BE SENT TO THE PATIENT AND THE DUNNING CYCLE WILL BE RESTARTED TO GIVE THE PATIENT TIME TO SET UP A PAYMENT ARRANGEMENT OR APPEAL BALANCE. THE MONTHLY INSTALLMENT CANNOT EXCEED 10% OF THE ELIGIBLE PATIENT'S GROSS MONTHLY INCOME OR CONTAIN AN ACCELERATION CLAUSE OR INTEREST PENALTY.SARATOGA HOSPITAL:THE HOSPITAL HAS CREATED AND MAINTAINS A WRITTEN FINANCIAL ASSISTANCE POLICY (FA POLICY) AND A WRITTEN BILLING AND COLLECTION POLICY (BC POLICY). THE EFFECT OF THE PROVISIONS INCLUDED IN THESE POLICIES IS THAT ALL EXTRAORDINARY COLLECTION ACTIONS ARE DISCONTINUED FOR PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE, FOR ANY PORTION OF THE PATIENT'S FINANCIAL RESPONSIBILITY COVERED BY FINANCIAL ASSISTANCE.COLUMBIA MEMORIAL HOSPITAL:THE HOSPITAL FOLLOWS A CONSISTENT COLLECTIONS POLICY FOR ALL PATIENTS. FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE, THE HOSPITAL ENSURES COLLECTION ACTIONS ARE CONSISTENT WITH NYS LAWS.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESMENT:ALBANY MED HEALTH SYSTEM PARTNERS BELIEVE THAT ASSESSING THE HEALTH CARE NEEDS OF OUR COMMUNITIES IS AN ONGOING PROCESS. IT IS ALSO AN INTEGRAL PART OF OUR SYSTEM-WIDE STRATEGIC PLANNING. PLANNING INITIATIVES INVOLVE TRUSTEES, LEADERSHIP, PHYSICIANS AND STAFF, THUS ENSURING THAT WE SHARE THE SAME VISION OF SERVICE TO OUR COMMUNITIES.EXAMPLES OF VARIOUS METHODS UTILIZED BY ALBANY MEDICAL CENTER HOSPITAL, COLUMBIA MEMORIAL HOSPITAL, AND SARATOGA HOSPITAL TO IDENTIFY OUR COMMUNITIES' NEEDS, AND CRAFT STRATEGIES TO MEET THOSE NEEDS INCLUDE:- COMMUNITY FEEDBACK FROM HEALTH FAIRS, SEMINARS, FORUMS, AND PROGRAMS THAT ARE OFFERED BY OUR HOSPITALS;- COMMUNITY OUTREACH;- INFORMATION AND INPUT GATHERED EACH YEAR FROM VARIOUS COMMUNITY SOURCES ON UNMET HEALTH CARE NEEDS;- PARTICIPATION IN HEALTHCARE FORUMS AND COALITIONS, FORMED TO RESPOND TO A SIGNIFICANT COMMUNITY HEALTHCARE NEED (E.G., OPIOID USE DISORDER, GUN VIOLENCE); - DISCUSSIONS WITH POLITICAL AND BUSINESS LEADERS;- THE ENVIRONMENTAL ASSESSMENT FROM OUR STRATEGIC PLANNING PROCESS;- PATIENT SURVEYS, BOTH INPATIENT AND OUTPATIENT; - COMMUNITY ACCESS TO ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HOSPITAL, AND SARATOGA HOSPITAL VIA WEBMAIL, FACEBOOK, INSTAGRAM, AND OTHER MEDIA OPTIONS; AND - ONGOING MARKET RESEARCH ON HEALTH CARE ISSUES AND EXPECTATIONS FROM THE COMMUNITY IN OUR REGION.ALBANY MED HEALTH SYSTEM STAFF ALSO ROUTINELY STUDY THE HEALTH CARE SERVICES NEEDED BY COMMUNITY RESIDENTS. STAFF USE INTERNAL DATA, AS WELL AS INFORMATION FROM REGIONAL, STATE AND NATIONAL SOURCES, INCLUDING THE FOLLOWING:- INTERNAL DATA TO ANALYZE TRENDS IN HEALTHCARE UTILIZATION, SOME OF WHICH SIGNAL GROWTH OR RISE IN A SPECIFIC AREA (E.G., OPIOID USE DISORDER, GUN VIOLENCE)- NYS DEPARTMENT OF HEALTH SPARCS DATA- UNITED STATES BUREAU OF CENSUS- COUNTY HEALTH DEPARTMENTS IN OUR REGION, ESPECIALLY THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENTS- NYS VITAL STATISTICS, COMMUNITY HEALTH INDICATOR REPORTS (CHIRS), AND COUNTY HEALTH ASSESSMENT INDICATORS (CHAI)WE BELIEVE AN ONGOING COMMUNITY DIALOGUE IS ESSENTIAL FOR ENSURING THAT WE WORK IN CONCERT WITH OUR COMMUNITY AND OUR CONSTITUENTS.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:ALBANY MEDICAL CENTER HOSPITAL:ALBANY MEDICAL CENTER HOSPITAL PROVIDES A GUIDE TO ALL PATIENTS AND THEIR FAMILIES DESCRIBING ITS SERVICES, PROGRAMS AND POLICIES. THIS GUIDE DESCRIBES THE FINANCIAL ASSISTANCE OPTIONS AVAILABLE TO A PATIENT. IN ADDITION, ALBANY MEDICAL CENTER HOSPITAL MAINTAINS A WEBSITE THAT PROVIDES INFORMATION ON FINANCIAL ASSISTANCE, CHARITY CARE AND FREQUENTLY ASKED QUESTIONS. ALBANY MEDICAL CENTER HOSPITAL FURTHER PROVIDES ASSISTANCE AND INFORMATION ABOUT AVAILABLE PROGRAMS DURING ITS COLLECTION PROCESS.ALBANY MEDICAL CENTER HOSPITAL SUPPORTS OUR PATIENTS WHO MAY BE UNINSURED OR UNDERINSURED THROUGH THE FOLLOWING PROGRAMS AND RELATIONSHIPS. FIDELIS FACILITATED ENROLLMENT SPECIALISTS HAVE PARTNERED WITH AMC TO SCREEN AND ENROLL PATIENTS IN APPLICABLE PROGRAMS. THE PROGRAM WILL SERVICE THE PATIENT IN THE COMMUNITY OR HOME AND PROVIDE FOLLOW UP EFFORTS WITH THE RESPECTIVE INSURER OR COUNTY PROGRAM.CHAMBERLIN EDMOND, AN ENROLLMENT COMPANY, PERFORMS SCREENING AND ENROLLMENT IN FEDERAL DISABILITY PROGRAMS AND STATE MEDICAID PROGRAMS. THE COMPANY COVERS PATIENTS WITHIN AND OUTSIDE OF NYS. THERE IS NO CHARGE TO THE PATIENT FOR THIS PROGRAM.AN ALBANY COUNTY DEPARTMENT OF SOCIAL SERVICES SENIOR EXAMINER IS LOCATED ON SITE AT THE HOSPITAL MONDAY - FRIDAY AND PERFORMS APPLICATION DETERMINATIONS AND FACILITATES COMPLEX CASE COMPLETION. THIS INCLUDES CHRONIC CARE MEDICAID ENROLLMENT.ALBANY MEDICAL CENTER HOSPITAL STAFFS A 7 DAY A WEEK PATIENT ASSISTANCE UNIT THAT PERFORMS ENROLLMENT IN MEDICAID, SCREENS APPLICANTS FOR SPECIAL PROGRAM ELIGIBILITY, PROVIDES FINANCIAL AID/CHARITY CARE APPLICATION PROCESSING, PERFORMS COBRA PREMIUM REQUESTS, SUPPORTS OUR PATIENTS IN MANAGING COMPLEX FINANCIAL SITUATIONS RELATED TO MEDICAL BILLS. THE UNIT COORDINATES WITH PHYSICIAN PRACTICE GROUPS TO SUPPORT THE PATIENT IN NAVIGATING THE FINANCIAL PROCESS TO ENSURE THE PROVISION OF SERVICE WITH MINIMAL FINANCIAL BURDEN WHENEVER POSSIBLE.ALBANY MEDICAL CENTER HOSPITAL PROVIDES A SELF-PAY/CUSTOMER SERVICE UNIT TO SUPPORT THE PROCESSING OF FINANCIAL AID/CHARITY CARE APPLICATIONS AND PRESUMPTIVE ELIGIBILITY FOR ALL PATIENTS WHO MAY BE DETERMINED ELIGIBLE BASED ON INCOME AND FAMILY SIZE.WE CONTINUE TO BUILD COMMUNITY PARTNERSHIPS THAT SUPPORT THE ENROLLMENT OF PATIENTS IN PROGRAMS THAT WILL PROVIDE THE MOST COMPLETE COVERAGE FOR THE CARE THEY NEED.SARATOGA HOSPITAL:THE HOSPITAL EDUCATES PATIENTS ABOUT ELIGIBILITY FOR ASSISTANCE UNDER ITS FINANCIAL ASSISTANCE PROGRAM (FAP), AS WELL AS FEDERAL AND STATE PROGRAMS THROUGH THE FOLLOWING MEANS:- A SUPPLY OF BROCHURES CONTAINING A PLAIN-LANGUAGE DESCRIPTION OF THE HOSPITAL'S FAP AND AN APPLICATION FOR THE FAP IS PROMINENTLY DISPLAYED AT ALL LOCATIONS IN HOSPITAL FACILITIES WHERE PATIENTS REGISTER FOR SERVICES.-THE FAP BROCHURE AND APPLICATION ARE INCLUDED IN A PACKET THAT IS PROVIDED TO ALL PATIENTS BEING ADMITTED TO THE HOSPITAL FOR INPATIENT OR OBSERVATION STAYS.-IF THE HOSPITAL PATIENT FINANCIAL SERVICES DEPARTMENT MAKES A FOLLOW-UP CALL TO A PATIENT REGARDING AN UNPAID BILL, THE PATIENT IS INFORMED ABOUT THE EXISTENCE OF THE FAP.-BILLS SENT TO PATIENTS FOR UNPAID BALANCES INCLUDE A REFERENCE TO THE FAP AS WELL AS INFORMATION ON HOW TO CONTACT THE HOSPITAL ABOUT THE FAP.-INFORMATION REGARDING THE FAP IS LOCATED ON THE HOSPITAL'S WEBSITE, INCLUDING THE LOCATION AND CONTACT INFORMATION FOR THE HOSPITAL PATIENT FINANCIAL SERVICES DEPARTMENT.-THE HOSPITAL USES AN EXTERNAL VENDOR TO SCREEN ALL UNINSURED INPATIENTS IN ORDER TO DETERMINE WHETHER THE PATIENT MAY BE ELIGIBLE FOR MEDICAID OR ANY OTHER GOVERNMENTAL INSURANCE PROGRAMS, AS WELL AS THE HOSPITAL'S FAP. PATIENTS ARE THEN PROVIDED ASSISTANCE IN APPLYING FOR AND OBTAINING ACCESS TO THESE PROGRAMS.-THE HOSPITAL ADMINISTERS THE NEW YORK STATE DEPARTMENT OF HEALTH- HEALTH INSURANCE NAVIGATION PROGRAM FOR SARATOGA COUNTY, AS WELL AS FIVE OTHER NEIGHBORING COUNTIES. THIS PROGRAM FOCUSES ON ENROLLING ELIGIBLE INDIVIDUALS IN LOW OR NO COST INSURANCE PROGRAMS PROVIDED BY THE STATE. EFFORTS ARE MADE BY HOSPITAL REGISTRATION AND PATIENT FINANCIAL SERVICES PERSONNEL TO LINK PATIENTS TO THE NAVIGATION PROGRAM FOR ASSISTANCE IN OBTAINING HEALTH INSURANCE COVERAGE OR OBTAINING BENEFITS UNDER THE HOSPITAL'S FAP.COLUMBIA MEMORIAL HOSPITAL:THE HOSPITAL'S WRITTEN FINANCIAL ASSISTANCE POLICY BROADLY APPLIES TO THE OUTSTANDING BALANCE FOR THE PATIENT OR INSURER. THE HOSPITAL ADVERTISES THROUGHOUT THE FACILITY, DISCUSSES WITH PATIENTS DIRECTLY DURING THE REGISTRATION PROCESS, AND AGAIN DURING THE COLLECTIONS PROCESS, ABOUT THE AVAILABILITY FOR FINANCIAL ASSISTANCE. AS PATIENTS ARE ENROLLED IN THE FINANCIAL ASSISTANCE PROGRAM, ADJUSTMENTS TO THEIR OUTSTANDING BALANCE IS CHARGED AGAINST NET PATIENT SERVICE REVENUE, AND NOT CONSIDERED A COMPONENT OF BAD DEBT EXPENSE.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION:AS ADOPTED BY THE MEMBERS OF THE HEALTHY CAPITAL DISTRICT INITIATIVE, THE COMMUNITIES BEING ASSESSED IN THE CHNA ARE THE 6 COUNTIES OF ALBANY, RENSSELAER, COLUMBIA, GREENE, SARATOGA AND SCHENECTADY. REFERRED TO AS THE ""CAPITAL REGION"", THEY FORM A COMMON SERVICE AREA COVERED BY THE LOCAL HEALTH DEPARTMENTS IN ALBANY, RENSSELAER, COLUMBIA, GREENE, SARATOGA AND SCHENECTADY COUNTIES, AND INCLUDES THE PRIMARY PATIENT POPULATIONS SERVED BY ALBANY MEDICAL CENTER HOSPITAL, COLUMBIA MEMORIAL HOSPITAL AND SARATOGA HOSPITAL, AS WELL AS ELLIS HOSPITAL AND ST. PETER'S HEALTH PARTNERS HOSPITALS.DEMOGRAPHIC INFORMATION ON THE POPULATION ANALYZED WAS FROM THE 2012-2016 US CENSUS' AMERICAN COMMUNITY SURVEY (ACS). THE COMBINED POPULATION OF THE CAPITAL REGION IS NEARLY 960,000 INDIVIDUALS. ABOUT 28% WERE 0-19 YEARS OF AGE, WHILE 16% WERE 65 OR OLDER. APPROXIMATELY 11% WERE LIVING IN PVERTY. THE RACE/ETHNICITY DISTRIBUTION WAS 83.6% WHITE, 7.7% BLACK, 4.1% ASIAN/PACIFIC ISLANDER, AND 4.6% OTHER RACES. NEARLY 5% OF THE POPULATION WAS HISPANIC/LATINO.SPECIFIC SOCIODEMOGRAPHIC INFORMATION FOR EACH COUNTY IS AVAILABLE ON PAGES 14-28 OF THE HCDI CHNA: HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/2019_CHNA/2019_HCDI-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF.ALBANY MEDICAL CENTER HOSPITALALBANY MEDICAL CENTER HOSPITAL'S PRIMARY SERVICE AREA INCLUDES THE 6 COUNTIES OF THE CAPITAL REGION, BUT WORK OF THE HCDI TASK FORCES IS DIVIDED UP REGIONALLY, INTO 4 AREAS (ALBANY-RENSSELAER, COLUMBIA-GREENE, SARATOGA, SCHENECTADY. THE INFORMATION BELOW SPEAKS TO THE 2 COUNTIES IN WHICH ALBANY MEDICAL CENTER HOSPITAL IS A LEAD MEMBER OF THE ALBANY-RENSSELAER PRIORITIZATION WORK GROUPS AND DIABETES, ASTHMA, AND MENTAL HEALTH TASK FORCES. ALBANY COUNTY HAS THE LARGEST POPULATION IN THE CAPITAL REGION WITH OVER 300,000 RESIDENTS AND IS THE 2ND MOST URBAN COUNTY. IT HAS THE REGION'S LOWEST MEDIAN AGE OF 37.8 YEARS. ALBANY COUNTY HAS THE REGION'S LARGEST NON-WHITE POPULATION (23.4%) AND THE 2ND LARGEST HISPANIC POPULATION (5.6%). ALBANY'S SOUTH END NEIGHBORHOOD HAS THE LARGEST NON-WHITE POPULATION (76.8%), WHILE THE WEST END HAS THE LARGEST HISPANIC POPULATION (13.3%). ALBANY COUNTY'S POVERTY RATE OF 12.9% IS LOWER THAN THAT OF NYS'S 15.5%. WITHIN ALBANY COUNTY, THE SOUTH END/DOWNTOWN NEIGHBORHOOD AND WEST END NEIGHBORHOOD HAS THE HIGHEST NEIGHBORHOOD POVERTY RATES AT 49.6% AND 35.4%.RENSSELAER COUNTY HAS A POPULATION OF NEARLY 160,000 AND IS THE 3RD MOST RURAL COUNTY IN THE CAPITAL REGION. THIS COUNTY HAS THE 3RD LOWEST MEDIAN AGE IN THE REGION AT 39.9 YEARS. 17% OF THE POPULATION IS 14 YEARS OF AGE OR YOUNGER, WHILE 15% IS 65+ YEARS OF AGE. ABOUT 13.1% OF RENSSELAER COUNTY'S POPULATION IS NON-WHITE AND 4.5% IS HISPANIC. THE TROY/LANSINGBURGH NEIGHBORHOOD HAS THE LARGEST NON-WHITE POPULATION OF 22.0% AS WELL AS THE COUNTY'S LARGEST HISPANIC POPULATION OF 7.3%. RENSSELAER COUNTY'S POVERTY RATE OF 12.4% WAS LOWER THAN THAT OF NYS'S 15.5%. THE TROY/LANSINGBURGH NEIGHBORHOOD HAS THE HIGHEST NEIGHBORHOOD POVERTY RATE IN THE COUNTY AT 19.9%.COLUMBIA MEMORIAL HOSPITALCOLUMBIA MEMORIAL HOSPITAL SERVES THE RESIDENTS OF COLUMBIA AND GREENE COUNTIES AS WELL NORTHERN DUTCHESS COUNTY, WITH A COMBINED POPULATION OF 115,000 PEOPLE, WHICH ARE DISTRIBUTED AMONG ONE SMALL CITY AND 32 TOWNS. COLUMBIA AND GREENE COUNTIES COMBINED COVER AN AREA OF NEARLY 1,300 SQUARE MILES. COLUMBIA COUNTY IS LOCATED IN THE NORTHEASTERN REGION OF THE MID-HUDSON VALLEY OF NEW YORK STATE. IT IS BORDERED ON THE NORTH BY RENSSELAER COUNTY, ON THE SOUTH BY DUTCHESS COUNTY, AND ON THE EAST BY BERKSHIRE COUNTY IN MASSACHUSETTS. ON THE WEST, BY THE HUDSON RIVER, IT IS BORDERED BY GREENE COUNTY.COLUMBIA COUNTY IS RURAL AND INCLUDES THE CITY OF HUDSON. GREENE COUNTY IS SITUATED BETWEEN THE HUDSON RIVER TO ITS EAST, AND THE CATSKILL MOUNTAINS AT ITS SOUTHERN AND WEST ENDS. IT IS BORDERED BY ALBANY COUNTY TO THE NORTH, RENSSELAER COUNTY TO THE NORTHEAST, COLUMBIA COUNTY TO THE EAST, ULSTER COUNTY TO THE SOUTH, AND DELAWARE AND SCHOHARIE COUNTIES TO THE WEST. GREENE COUNTY IS LOCATED 2 HOURS NORTH OF THE MAJOR METROPOLITAN AREAS OF NEW YORK CITY, AND 30 MINUTES SOUTH OF ALBANY, NEW YORK'S STATE'S CAPITAL. SARATOGA HOSPITALSARATOGA HOSPITAL'S PRIMARY SERVICE AREA IS COMPRISED OF TWO COMMUNITIES, SARATOGA SPRINGS AND BALLSTON SPA. BOTH ARE LOCATED IN THE CENTRAL PORTION OF SARATOGA COUNTY. THE CENSUS OF THE PRIMARY SERVICE AREA POPULATION IS APPROXIMATELY 71,500. THESE TWO COMMUNITIES ACCOUNT FOR MORE THAN 40% OF THE HOSPITAL'S INPATIENT DISCHARGES. ADDITIONAL COMMUNITIES SERVED BY THE HOSPITAL FALL WITH AN AREA THAT EXTENDS TO THE NORTHWESTERN BORDER OF SARATOGA COUNTY AND ALSO EXTENDS SOUTHWARD. IT INCLUDES 16 COMMUNITIES, INCLUDING BALLSTON LAKE, CLIFTON PARK, CORINTH, FORT EDWARD, GALWAY, GANSEVOORT, GREENFIELD CENTER, GREENWICH, HUDSON FALLS, MECHANICVILLE, PORTER CORNERS, QUEENSBURY, SCHUYLERVILLE, AND STILLWATER. THE COMBINED POPULATION OF THESE ADDITIONAL COMMUNITIES IS ESTIMATED AT APPROXIMATELY 91,000. PATIENTS FROM THESE ADDITIONAL COMMUNITIES REPRESENTED ROUGHLY 37% OF THE HOSPITAL'S INPATIENT DISCHARGES.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: THE ALBANY MED HEALTH SYSTEM'S AFFILIATE HOSPITALS FURTHER THEIR EXEMPT PURPOSES BY PROMOTING COMMUNITY HEALTH IN MYRIAD WAYS, SERVING OUR COMMUNITIES THROUGH MISSIONS OF PATIENT CARE, EDUCATION AND RESEARCH. EACH OF OUR HOSPITALS ACCEPT ALL PATIENTS, REGARDLESS OF ABILITY TO PAY, HOW MUCH THEY OR THEIR INSURERS PAY, OR WHETHER THEY ARE ELIGIBLE FOR ASSISTANCE UNDER EACH HOSPITAL'S FINANCIAL ASSISTANCE POLICY. OUR HOSPITALS NEVER HAVE AND WILL NEVER ALLOW FINANCIAL STATUS TO IMPACT THE LEVEL OF CARE PROVIDED, DESPITE THE SIGNIFICANT FINANCIAL IMPACT. THIS FINANCIAL MISSION IS PERFORMED TO OUR COMMUNITIES IN AN EFFORT TO KEEP THOSE MOST IN NEED AS HEALTHY AS POSSIBLE.IN OUR COMMUNITIES, WE ARE THE DOMINANT PROVIDERS FOR PERSONS WITH MEDICAID AND MEDICARE, WHICH REPRESENT AT LEAST 2/3 OF OUR PATIENTS AT EACH OF OUR ENTITIES.WE ALSO HAVE MANY ENROLLMENT ASSISTANCE PROGRAMS IN PLACE AND CONTINUE TO EXPAND THOSE. EACH OF OUR HOSPITAL'S MEDICAL STAFFS ARE OPEN; THAT IS, THEY ARE COMPRISED OF COMMUNITY PHYSICIANS AS WELL AS EMPLOYED PHYSICIANS.THE GOVERNANCE FOR EACH OF OUR AFFILIATES ARE COMPRISED PRIMARILY OF INDEPENDENT PERSONS FROM OUR COMMUNITIES. IN RECENT YEARS, SOME OF OUR AFFILIATES HAVE NOT REPORTED SURPLUS FUNDS. HOWEVER, ANY SURPLUS FUNDS GENERATED BY OUR AFFILIATES ARE REINVESTED INTO THE SPECIFIC ENTITIES THROUGH EXPANSION OF OPERATIONS, PURCHASE OF NEW EQUIPMENT AND TECHNOLOGY, AND HIRING OF STAFF NEEDED TO SUPPORT PROGRAMS THAT HAVE BEEN IDENTIFIED AS NEEDED FOR THE COMMUNITIES EACH ENTITY SERVES.EACH OF OUR HOSPITALS PROVIDES MONTHLY SUPPORT AND EDUCATION GROUPS FOR A VARIETY OF TOPICS. WHILE THEY VARY AMONG ENTITIES, THEY INCLUDE CHILDBIRTH, CANCER SURVIVORSHIP, GRIEF COUNSELING, AND WEIGHT LOSS, TO NAME A FEW.EACH OF OUR HOSPITALS PROMOTES COMMUNITY HEALTH AND EDUCATES OUR COMMUNITY ON VARIOUS HEALTH TOPICS THROUGH OUR COMMUNITY NEWSLETTERS, OUR WEBSITES AND THROUGH SOCIAL MEDIA INCLUDING FACEBOOK, INSTAGRAM, AND TWITTER. ALBANY MEDICAL CENTER HOSPITALSPECIFIC WAYS THAT ALBANY MEDICAL CENTER HOSPITAL PROMOTES COMMUNITY HEALTH INCLUDE BUT ARE NOT LIMITED TO - THE FOLLOWING:- DESIGNATION AS A SAFETY NET PROVIDER, AS THE DOMINANT PROVIDER OF SERVICES FOR THE MEDICAID AND UNINSURED POPULATIONS IN A 25-COUNTY REGION.- PROVIDING A VAST RANGE OF PROGRAMS AND SERVICES ONLY AVAILABLE WITHIN A NEARLY 150-MILE RADIUS, AS WELL AS SPECIALISTS NOT FOUND ELSEWHERE IN OUR REGION SUCH AS TRAUMA CARE, TRANSPLANT SURGERY, PEDIATRIC SUBSPECIALTY CARE AND HIV MEDICINE.- DESIGNATED, TRAINED STAFF WHO ASSIST PATIENT IN NEED WITH COMPLICATED MEDICAID AND DISABILITY APPLICATIONS PROCESSING. THE MONTHLY FEE TO PROVIDE THIS SERVICE IS SUBSTANTIAL, AND IS COVERED SOLELY BY ALBANY MEDICAL CENTER HOSPITAL ON BEHALF OF ITS PATIENTS.- OPERATES THE REGION'S SEXUAL ASSAULT EXAMINER PROGRAM.- EDUCATES AND TRAINS THE NEXT GENERATION OF PHYSICIANS, AND OFFERED CONTINUING MEDICAL EDUCATION TO ESTABLISHED PROVIDERS.COLUMBIA MEMORIAL HOSPITALSPECIFIC WAYS THAT COLUMBIA MEMORIAL HOSPITAL PROMOTES COMMUNITY HEALTH INCLUDE BUT ARE NOT LIMITED TO - THE FOLLOWING:- SIGNIFICANTLY INCREASING ACCESS PROVIDED TO LOCAL, PREVIOUSLY UNAFFILIATED PHYSICIANS, AND HAS FURTHER PROVIDED ACCESS AND SUPPORT FOR THESE PRACTITIONERS TO AN ELECTRONIC HEALTH EXCHANGE.SARATOGA HOSPITALSPECIFIC WAYS THAT SARATOGA HOSPITAL PROMOTES COMMUNITY HEALTH INCLUDE BUT ARE NOT LIMITED TO - THE FOLLOWING ACTIVITIES:- SUBSIDIZATION OF COMMUNITY HEALTH FORUMS, AT NO COST TO THE PUBLIC (E.G., CHILDBIRTH EDUCATION, COMMUNITY WELLNESS CLASSES)- INFORMATION ON COMMUNITY EDUCATION TOPICS AND FORUMS ARE AVAILABLE THROUGH THE HOSPITAL'S FREE QUARTERLY NEWSLETTER, ACCESS WHICH ALSO INCLUDES ARTICLES BY MEDICAL STAFF ON CURRENT AND RELEVANT HEALTH ISSUES.- THE HOSPITAL PROVIDES 24-HOUR CALL CENTER SERVICES, HEALTHSOURCE, AT NO FEE.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTHCARE SYSTEM:IN 2019, THE ALBANY MED HEALTH SYSTEM WAS COMPRISED OF ALBANY MEDICAL CENTER HOSPITAL, COLUMBIA MEMORIAL HOSPITAL AND SARATOGA HOSPITAL. GLENS FALLS HOSPITAL JOINED THE SYSTEM IN JULY 2020, AND IS FILING A SEPARATE 990 FOR 2020.ALBANY MEDICAL CENTER HOSPITAL IS AN ACADEMIC MEDICAL CENTER THAT SERVES NEARLY 3 MILLION PEOPLE WITHIN 23 COUNTIES OF NORTHEASTERN NEW YORK STATE, AND 2 COUNTIES IN WESTERN NEW ENGLAND. ITS SERVICE AREA ENCOMPASSES ORANGE COUNTY TO THE SOUTH, FRANKLIN AND CLINTON COUNTIES TO THE NORTH, ONEIDA COUNTY TO THE WEST, AND BENNINGTON VT COUNTY AND BERKSHIRE MA COUNTY TO THE EAST. ALBANY MEDICAL CENTER HOSPITAL IS LOCATED IN ALBANY COUNTY. NEARLY OF ITS PATIENTS RESIDE IN THE 6-COUNTY CAPITAL REGION DESCRIBED IN PART VI, LINE 5.COLUMBIA MEMORIAL HOSPITAL, AN ACUTE CARE HOSPITAL IN COLUMBIA COUNTY SERVES MORE THAN 100,000 RESIDENTS OF COLUMBIA, GREENE AND NORTHERN DUTCHESS COUNTIES WITH 40 CARE CENTERS, INCLUDING 17 PRIMARY CARE AND 23 SPECIALTY CARE CENTERS, LOCATED THROUGHOUT THIS REGION.SARATOGA HOSPITAL, LOCATED IN SARATOGA COUNTY, WITH A POPULATION OF 230,000, FROM WHERE IT DRAWS 96% OF ITS PATIENTS. IT IS AN ACUTE CARE HOSPITAL THAT OFFERS A WIDE ARRAY OF INPATIENT AND OUTPATIENT SERVICES TO ITS COMMUNITY.EACH OF OUR HOSPITALS IS LOCATED IN A COUNTY THAT MAKES UP PART OF WHAT IS KNOWN AS THE CAPITAL REGION. WITH THE ADDITION OF GLENS FALLS HOSPITAL IN 2020, THE ALBANY MED HEALTH SYSTEM ENTITIES OFFER 4 HOSPITALS AND APPROXIMATELY 120 OFF-SITE LOCATIONS WHICH INCLUDE PRIMARY CARE, SPECIALTY CARE, AMBULATORY SURGERY AND URGENT CARE LOCATED THROUGHOUT OUR REGION TO IMPROVE ACCESS FOR THE RESIDENTS OF OUR COMMUNITIES. A VAST RANGE OF COMMUNITY HEALTH OFFERINGS ARE AVAILABLE THROUGH THE ALBANY MED HEALTH SYSTEM.ALBANY MEDICAL CENTER HOSPITAL, COLUMBIA MEMORIAL HOSPITAL, AND SARATOGA HOSPITAL WORK WITH DOZENS OF COMMUNITY ORGANIZATIONS TO IMPROVE OUR REGION'S HEALTH AND QUALITY OF LIFE. OUR HEALTH SYSTEM'S COMMITMENT TO IMPROVING THE HEALTH AND WELLBEING OF OUR POPULACE IS DEMONSTRATED THROUGH REGIONAL PLANNING AND DELIVERY OF COMMUNITY BENEFIT ACTIVITIES.
SCHEDULE H, PART VI, LINE 7	STATES FILING COMMUNITY BENEFIT REPORT:ALBANY MEDICAL CENTER HOSPITAL, COLUMBIA MEMORIAL HOSPITAL, AND SARATOGA HOSPITAL FILE THEIR COMMUNITY HEALTH NEEDS ASSESSMENTS AND COMMUNITY HEALTH IMPLEMENTATION PLANS IN NEW YORK STATE, WITH THE NEW YORK STATE DEPARTMENT OF HEALTH (DOH).

Schedule H (Form 990) 2020

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization
ALBANY MEDICAL CENTER GROUP
ORGANIZATION

Employer identification number
47-3869194

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(f) Method of valuation (book, FMV, appraisal, other)	(h) Purpose of grant or assistance
(1) COLUMBIA MEMORIAL HOSPITAL 71 PROSPECT AVE HUDSON,NY12534	14-1338373	501(C)(3)	758,741	FMV	SUPPORT COLUMBIA MEMORIAL HOSPITAL
(2) THE SARATOGA HOSPITAL 211 CHURCH ST SARATOGA SPRINGS,NY12866	14-1338547	501(C)(3)	254,149	FMV	SUPPORT SARATOGA HOSPITAL
(3) AMC ALUMNI ASSOCIATION 47 NEW SCOTLAND AVE ALBANY,NY12208	14-1468380	501(C)(3)	599,919	FMV	FUND SCHOLARSHIPS
(4) ALBANY MEDICAL CENTER HOSPITAL 47 NEW SCOTLAND AVE ALBANY,NY12208	14-1338307	501(C)(3)	3,965,537	FMV	FUND RESEARCH AND HEALTHCARE
(5) ALBANY MEDICAL COLLEGE 47 NEW SCOTLAND AVE ALBANY,NY12208	14-1338310	501(C)(3)	5,955,361	FMV	FUND SCHOLARSHIPS AND RESEARCH

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2020

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant
(1) EDUCATIONAL SCHOLARSHIPS	411	6,464,215
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

PART I, LINE 2:

ALBANY MED HEALTH SYSTEM: REVIEW OF ACTIVITY, BUDGET MONITORING AND REPORT PREPARATION AND FILINGS BY RESEARCH OFFICE, IRC DEPARTMENTS, AND SPONSORED PROGRAM/FINANCIAL REPORTING DEPARTMENTS. ALBANY MEDICAL COLLEGE'S DEPARTMENT OF FINANCIAL AID REVIEW APPLICATIONS FOR SCHOLARSHIPS AND DISTRIBUTES FUNDS IN ACCORDANCE WITH SCHOLARSHIP RESTRICTIONS. FUNDS ARE DIRECTLY OFFSET AGAINST TUITION AMOUNTS OWED. THE GROUP ENTITIES LIMIT CONTRIBUTIONS TO ORGANIZATIONS WITH CLOSE CONNECTIONS TO THE GROUP MEMBERS AND OVERALL HEALTH SYSTEM. THE GROUP ENTITIES HAVE INFLUENCE AND/OR OVERSIGHT OVER THE ACTIVITIES OF THE RECIPIENT ORGANIZATIONS WHICH PROVIDES OVERSIGHT TO ENSURE THE FUNDS ARE USED AS INTENDED. COLUMBIA MEMORIAL HOSPITAL: FOR ANY ORGANIZATION THAT PROVIDES ASSISTANCE, A DETERMINATION IS MADE TO ENSURE THAT THE ORGANIZATION IS A TAX-EXEMPT NOT-FOR-PROFIT ENTITY AND THAT THE PURPOSE FOR WHICH THE ASSISTANCE WILL BE USED IS OF BENEFIT TO THE COMMUNITIES SERVED BY THE HOSPITAL OR IS IN LINE WITH THE OVERALL HEALTHCARE DRIVEN MISSION OF THE HOSPITAL. SARATOGA HOSPITAL: FOR ANY ORGANIZATION THAT PROVIDES ASSISTANCE, A DETERMINATION IS MADE TO ENSURE THAT THE ORGANIZATION IS A TAX-EXEMPT NOT-FOR-PROFIT ENTITY AND THAT THE PURPOSE FOR WHICH THE ASSISTANCE WILL BE USED IS OF BENEFIT TO THE COMMUNITIES SERVED BY THE HOSPITAL OR IS IN LINE WITH THE OVERALL HEALTHCARE DRIVEN MISSION OF THE HOSPITAL.

Schedule I (Form 990) 2020

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Graphic Arrow

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Graphic Arrow

Attach to Form 990.
Graphic Arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

ALBANY MEDICAL CENTER GROUP
ORGANIZATION

Employer identification number

47-3869194

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Yes

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Yes

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2020

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1JAMES J BARBA PRESIDENT & CEO (AMHS)	(i) (ii)	0 ------------- 400,406	0 ------------- 562,500	0 ------------- 1,336,097	0 ------------- 11,400	0 ------------- 3,315	0 ------------- 2,313,718	0 ------------- 297,028
2ANGELO CALBONE PRESIDENT & CEO (SH, SCI)	(i) (ii)	590,424 ------------- 0	117,822 ------------- 0	939,790 ------------- 0	14,678 ------------- 0	21,707 ------------- 0	1,684,421 ------------- 0	0 ------------- 0
3VINCENT P VERDILE SR EVP SYS CARE (AMHS)	(i) (ii)	816,602 ------------- 0	251,000 ------------- 0	442,064 ------------- 0	95,140 ------------- 0	26,976 ------------- 0	1,631,782 ------------- 0	377,305 ------------- 0
4STEVEN FRISCH MD BOARD MEMBER (AMHS , CMH, SH)	(i) (ii)	0 ------------- 824,345	0 ------------- 279,144	0 ------------- 114,507	0 ------------- 95,504	0 ------------- 23,051	0 ------------- 1,336,551	0 ------------- 65,476
5DENNIS MCKENNA MD PRES/CEO (AMHS), BD MEM (CDT)	(i) (ii)	0 ------------- 782,695	0 ------------- 223,125	0 ------------- 45,213	0 ------------- 222,948	0 ------------- 26,546	0 ------------- 1,300,527	0 ------------- 23,492
6HUNG DINH NGUYEN PHYSICIAN (SH)	(i) (ii)	1,142,996 ------------- 0	0 ------------- 0	0 ------------- 0	32,201 ------------- 0	0 ------------- 0	1,175,197 ------------- 0	0 ------------- 0
7ANDREW J ROSENBAUM ASST PROFESSOR/CLIN (AMHS)	(i) (ii)	528,101 ------------- 0	553,817 ------------- 0	19,769 ------------- 0	8,550 ------------- 0	22,284 ------------- 0	1,132,521 ------------- 0	0 ------------- 0
8JAY P CAHALAN PRESIDENT & CEO (CMH)	(i) (ii)	534,015 ------------- 0	156,210 ------------- 0	306,739 ------------- 0	94,710 ------------- 0	26,699 ------------- 0	1,118,373 ------------- 0	280,000 ------------- 0
9CHRISTOPHER GORCZYNSKI MD PHYSICIAN (CMH)	(i) (ii)	959,788 ------------- 0	70,850 ------------- 0	94 ------------- 0	750 ------------- 0	26,234 ------------- 0	1,057,716 ------------- 0	0 ------------- 0
10FERDINAND J VENDITTI JR MD EVP SYS CARE DELIVERY (AMHS)	(i) (ii)	671,257 ------------- 0	197,870 ------------- 0	81,063 ------------- 0	77,073 ------------- 0	26,874 ------------- 0	1,054,137 ------------- 0	53,006 ------------- 0
11ALAN S BOULOS DEPARTMENT CHAIR (AMHS)	(i) (ii)	973,872 ------------- 0	15,000 ------------- 0	20,190 ------------- 0	11,400 ------------- 0	25,220 ------------- 0	1,045,682 ------------- 0	0 ------------- 0
12GORDON KUHAR PHYSICIAN (SH)	(i) (ii)	1,002,038 ------------- 0	0 ------------- 0	0 ------------- 0	18,161 ------------- 0	0 ------------- 0	1,020,199 ------------- 0	0 ------------- 0
13FRANCES S ALBERT EVP, COO, & CFO (AMHS)	(i) (ii)	0 ------------- 609,958	0 ------------- 234,568	0 ------------- 45,884	0 ------------- 79,067	0 ------------- 4,294	0 ------------- 973,771	0 ------------- 18,684
14STEVEN M PARNES MD BOARD MEMBER (AMHS)	(i) (ii)	760,325 ------------- 0	795 ------------- 0	20,660 ------------- 0	8,550 ------------- 0	23,274 ------------- 0	813,604 ------------- 0	0 ------------- 0
15GEORGE HICKMAN BOARD MEMBER (HPS)	(i) (ii)	0 ------------- 455,293	0 ------------- 153,088	0 ------------- 53,810	0 ------------- 56,797	0 ------------- 22,916	0 ------------- 741,904	0 ------------- 40,036
16RICHARD FALIVENA VP (SH), BOARD MBR (SRMPC)	(i) (ii)	0 ------------- 366,814	0 ------------- 60,079	0 ------------- 32,712	0 ------------- 12,398	0 ------------- 17,782	0 ------------- 489,785	0 ------------- 0
17HIRAL AMIN MD BOARD MEMBER (CMH)	(i) (ii)	450,005 ------------- 0	0 ------------- 0	6,929 ------------- 0	8,550 ------------- 0	20,180 ------------- 0	485,664 ------------- 0	0 ------------- 0
18GARY FOSTER VP & CFO (SH, SCI)	(i) (ii)	330,693 ------------- 0	51,218 ------------- 0	31,068 ------------- 0	16,388 ------------- 0	1,093 ------------- 0	430,460 ------------- 0	0 ------------- 0
19DAVID J CONTI MD BOARD MEMBER (CDT)	(i) (ii)	374,879 ------------- 0	0 ------------- 0	7,254 ------------- 0	11,400 ------------- 0	20,442 ------------- 0	413,975 ------------- 0	0 ------------- 0
20JEFFREY METHVEN EVP (SH), VP (SRMPC)	(i) (ii)	0 ------------- 302,653	0 ------------- 46,135	0 ------------- 21,517	0 ------------- 14,678	0 ------------- 20,903	0 ------------- 405,886	0 ------------- 0
21KEVIN RONAYNE VP OPS & FACILITIES (HS, SH)	(i) (ii)	255,897 ------------- 0	40,485 ------------- 0	17,920 ------------- 0	14,678 ------------- 0	17,028 ------------- 0	346,008 ------------- 0	0 ------------- 0
22BRYAN T MAHONEY CFO (CMH), SECRET./TREAS (KCI)	(i) (ii)	277,905 ------------- 0	26,214 ------------- 0	62 ------------- 0	750 ------------- 0	0 ------------- 0	304,931 ------------- 0	0 ------------- 0
23MICHAEL DAILEY MD BOARD MEMBER (CDT)	(i) (ii)	255,503 ------------- 0	15,679 ------------- 0	1,405 ------------- 0	0 ------------- 0	22,252 ------------- 0	294,839 ------------- 0	0 ------------- 0
24WILLIAM MURPHY MD BOARD MEMBER (CMH)	(i) (ii)	248,561 ------------- 0	11,912 ------------- 0	267 ------------- 0	0 ------------- 0	20,954 ------------- 0	281,694 ------------- 0	0 ------------- 0
25VICKEY MASTA-GORNIC VP RISK MGMT (AMHS), MEM (KIDS)	(i) (ii)	0 ------------- 236,237	0 ------------- 0	0 ------------- 1,980	0 ------------- 0	0 ------------- 8,814	0 ------------- 247,031	0 ------------- 0
26MARY ELLEN PLASS CNO (CMH)	(i) (ii)	207,475 ------------- 0	19,768 ------------- 0	411 ------------- 0	750 ------------- 0	6,017 ------------- 0	234,421 ------------- 0	0 ------------- 0
27MARCY DREIMILLER VP HUMAN RESOURCES (SH)	(i) (ii)	217,354 ------------- 0	0 ------------- 0	0 ------------- 0	14,237 ------------- 0	0 ------------- 0	231,591 ------------- 0	0 ------------- 0
28ALICIA WICZULIS MD BOARD MEMBER (KIDS)	(i) (ii)	198,206 ------------- 0	5,000 ------------- 0	270 ------------- 0	0 ------------- 0	23,891 ------------- 0	227,367 ------------- 0	0 ------------- 0
29MICHELE K SKUMURSKI BOARD MEMBER (KIDS)	(i) (ii)	0 ------------- 222,554	0 ------------- 0	0 ------------- 450	0 ------------- 0	0 ------------- 3,270	0 ------------- 226,274	0 ------------- 0
30DOROTHY URSCHEL COO (CMH)	(i) (ii)	206,617 ------------- 0	0 ------------- 0	10 ------------- 0	750 ------------- 0	6,006 ------------- 0	213,383 ------------- 0	0 ------------- 0
31MARY ALICE CULLEN BOARD MEMBER (KIDS)	(i) (ii)	176,577 ------------- 0	4,000 ------------- 0	2,055 ------------- 0	0 ------------- 0	25,405 ------------- 0	208,037 ------------- 0	0 ------------- 0
32MEGHAN L WEYGANT BOARD MEMBER (KIDS)	(i) (ii)	182,995 ------------- 0	0 ------------- 0	301 ------------- 0	0 ------------- 0	14,888 ------------- 0	198,184 ------------- 0	0 ------------- 0
33BRIGIDO MONTERO BOARD MEMBER (KIDS)	(i) (ii)	0 ------------- 177,614	0 ------------- 0	0 ------------- 690	0 ------------- 0	0 ------------- 19,628	0 ------------- 197,932	0 ------------- 0
34GARY J KOCHEM FORMER EXEC VP & COO (AMHS)	(i) (ii)	0 ------------- 120,000	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 120,000	0 ------------- 0

Schedule J (Form 990) 2020

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1B	THE PLAN IS OPERATED PURSUANT TO A PLAN DOCUMENT, APPROVED BY THE HOSPITAL'S BOARD OF TRUSTEES.
PART I, LINE 3	ALBANY MED HEALTH SYSTEM: THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS (COMMITTEE) ESTABLISHES COMPENSATION FOR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, ALL EXECUTIVE VICE PRESIDENTS AND OTHER TOP MANAGEMENT OFFICIALS WHO REPORT DIRECTLY TO THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS. THE COMMITTEE USES PROFESSIONAL COMPENSATION ADVISORS WHO ARE CAPABLE OF RENDERING INDEPENDENT ADVICE AND INDEPENDENT MARKET SURVEYS. THE COMMITTEE TARGETS THE MARKET MEDIAN (50TH PERCENTILE) FOR CASH COMPENSATION; BENEFIT PROGRAMS ARE INTENDED TO BE COMPETITIVE. AFTER THE COMPENSATION PROGRAM IS DETERMINED, THE COMMITTEE-APPROVED RECOMMENDATION IS FORWARDED TO THE BOARD OF DIRECTORS FOR ITS CONSIDERATION AND APPROVAL, AND THAT IS CONTEMPORANEOUSLY SUBSTANTIATED. COLUMBIA MEMORIAL HOSPITAL: THE COMPENSATION OF THE HOSPITAL'S CEO IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE COMPENSATION COMMITTEE BASES THEIR PROPOSAL ON CEO COMPENSATION SURVEYS FROM THE HEALTHCARE INDUSTRY ORGANIZATIONS, IRS FORM 990 FOR COMPARABLE ORGANIZATIONAL DATA AND GENERAL INDUSTRY KNOWLEDGE. THE CEO COMPENSATION PACKAGE IS FORMALIZED IN A WRITTEN EMPLOYMENT CONTRACT AND APPROVED BY THE BOARD OF TRUSTEES. SARATOGA HOSPITAL: THE HOSPITAL'S BOARD OF TRUSTEES IS RESPONSIBLE FOR THE IMPLEMENTATION AND MAINTENANCE OF THE EXECUTIVE COMPENSATION PROGRAM. UNDER THE DIRECTION OF THE BOARD OF TRUSTEES, THE EXECUTIVE COMMITTEE MEETS AS NEEDED TO REVIEW THE COMPENSATION PROGRAM AND MAKE RECOMMENDATIONS FOR ANY CHANGES TO THE BOARD OF TRUSTEES, AS APPROPRIATE. IN ADDITION TO REGIONALLY PUBLISHED MARKET DATA, THE HOSPITAL USES NATIONALLY PUBLISHED NOT-FOR-PROFIT HOSPITAL COMPENSATION SURVEY DATA FROM VARIOUS VENDORS TO DETERMINE MARKET POSITION AND THE REASONABLENESS OF BASE SALARY AND THE TOTAL COMPENSATION BEING PAID TO EXECUTIVES. ADDITIONALLY, THE HOSPITAL MAY COLLECT OTHER PUBLISHED SURVEY DATA WHEN APPROPRIATE FROM FOR-PROFIT ORGANIZATIONS FOR SPECIFIC FUNCTIONAL COMPETENCIES WITHIN THE ORGANIZATION, SUCH AS INFORMATION SYSTEMS, FUNDRAISING, AND FINANCE. AT THE DIRECTION OF THE BOARD OF TRUSTEES, MARKET DATA IS COMPILED ANNUALLY BY THE HUMAN RESOURCES DEPARTMENT AND USED TO FORM A MARKET COMPOSITE TO ASSESS THE COMPETITIVENESS OF COMPENSATION FOR EACH IDENTIFIED LEADERSHIP POSITION. IN ADDITION, THE CHAIRPERSON OF THE BOARD OF TRUSTEES RETAINS ON A BI-ANNUAL BASIS (OR MORE FREQUENTLY AS NEEDED) AN INDEPENDENT VALUATION EXPERT TO ASSESS THE REASONABLENESS OF THE TOTAL COMPENSATION PACKAGE PAID TO EXECUTIVES AS COMPARED TO SIMILARLY SITUATED EXECUTIVES OF NOT-FOR-PROFIT AND FOR-PROFIT HEALTH CARE ENTITIES WITH COMPARABLE NET REVENUES AND SIMILAR JOB RESPONSIBILITIES.
PART I, LINES 4A-B	ALBANY MED HEALTH SYSTEM: SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN STARTED IN 2016 AND SEVERAL PERSONS LISTED IN FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN AND/OR RECEIVED PAYMENT FROM THE PLAN. THE FOLLOWING EMPLOYEES PARTICIPATED IN THE PLAN AND THE AMOUNTS LISTED BELOW ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C): DENNIS P. MCKENNA, PRESIDENT & CEO (AMHS), BD MEM (CDT), $211,548 FRANCES S. ALBERT, EVP COO & CFO (AMHS), $67,667 STEVEN M. FRISCH, SR EVP (AMHS), BD MEM (SH, CMH), $84,104 VINCENT P. VERDILE, SR EVP SYS CARE (AMHS), $83,740 FERDINAND J. VENDITTI, JR, EVP SYS CARE DELIVERY (AMHS), $65,673 THE FOLLOWING EMPLOYEES RECEIVED PAYMENT FROM THE PLAN AND THE AMOUNTS LISTED BELOW ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) AND WHERE APPLICABLE COLUMN (F): JAMES J. BARBA, PRESIDENT & CEO (AMHS), $1,314,668 DENNIS P. MCKENNA, PRESIDENT & CEO (AMHS), BD MEM (CDT), $24,647 FRANCES S. ALBERT, EVP COO & CFO (AMHS), $25,694 STEVEN M. FRISCH, BOARD MEMBER (AMHS, CMH, SH), $93,027 VINCENT P. VERDILE, SR EVP SYS CARE (AMHS), $419,308 FERDINAND J. VENDITTI, JR, EVP SYS CARE DELIVERY (AMHS), $57,753 COLUMBIA MEMORIAL HOSPITAL: THE CEO, JAY CAHALAN IS A PARTICIPANT IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN HELD BY CMH. IN 2020, HIS RETIREMENT ACCOUNT WAS CREDITED $94,710. JAY CALAHAN RECEIVED PAYMENT FROM THE PLAN IN THE AMOUNT OF $280,000 AND IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) AND COLUMN (F). STEVEN FRISCH, MD IS A PARTICIPANT IN A SUPPLEMENTAL NON-QUALIFIED PLAN HELD BY ALBANY MED HEALTH SYSTEM AND HIS BENEFIT IS DESCRIBED IN THE SYSTEM'S DISCLOSURE ABOVE. SARATOGA HOSPITAL: DURING 2020, CERTAIN MEMBERS OF THE SARATOGA HOSPITAL ADMINISTRATIVE TEAM PARTICIPATED IN A 457F RETIREMENT PLAN. THE FOLLOWING HOSPITAL ADMINISTRATION PERSONNEL HAD A CONTRIBUTION MADE BY THE HOSPITAL ON THEIR BEHALF OR RECEIVED A PAYMENT FROM THEIR 457F RETIREMENT PLAN DURING 2020. ANGELO G. CALBONE -- CONTRIBUTIONS $176,281. GARY FOSTER - CONTRIBUTIONS $5,714. JEFFREY METHVEN -- CONTRIBUTIONS $1,262.
PART I, LINE 5	COLUMBIA MEMORIAL HOSPITAL: THE ORGANIZATION ADMINISTERS A VARIABLE COMPENSATION PROGRAM UNDER WHICH MEMBERS OF HOSPITAL MANAGEMENT ARE ELIGIBLE TO EARN VARIABLE COMPENSATION. OVERALL VARIABLE COMPENSATION IS BASED ON MEASURABLE ACHIEVEMENT AGAINST A MENU OF ORGANIZATIONS GOALS, WHICH INCLUDE FINANCIAL RESULTS SUCH AS REVENUES AND NET EARNINGS, AS WELL AS PATIENT SATISFACTION, QUALITY OF CARE, EMPLOYEE SATISFACTION, AND GROWTH IN SERVICES.
PART I, LINE 6	SARATOGA HOSPITAL: THE HOSPITAL ADMINISTERS AN INCENTIVE COMPENSATION PROGRAM UNDER WHICH MEMBERS OF HOSPITAL MANAGEMENT ARE ELIGIBLE TO EARN UP TO A PERCENTAGE OF THEIR BASE SALARIES IN INCENTIVE COMPENSATION. OVERALL INCENTIVE COMPENSATION IS BASED ON MEASURABLE ACHIEVEMENT AGAINST A MENU OF ORGANIZATIONAL GOALS, INCLUDING FINANCIAL RESULTS, PATIENT SATISFACTION, QUALITY OF CARE, EMPLOYEE SATISFACTION AND RETENTION, AND GROWTH IN SERVICES. THE PORTION OF INCENTIVE COMPENSATION RELATED TO OPERATING MARGIN OF THE HOSPITAL AND ITS AFFILIATES REPRESENTED 10% OF THE OVERALL INCENTIVE COMPENSATION AVAILABLE DURING 2020, AND WAS BASED AN ACHIEVEMENT OF MINIMUM, MEETS, AND MAXIMUM LEVELS RELATIVE TO THE HOSPITAL'S BUDGETED OPERATING MARGIN PERCENTAGE FOR THE YEAR.

Schedule J (Form 990) 2020

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization
ALBANY MEDICAL CENTER GROUP
ORGANIZATION

Employer identification number
47-3869194

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CITY OF ALBANY CRC 2014A	27-3467899	999999999	09-10-2014	22,000,000	RENOVATIONS/CONSTRUCTION		X		X		X
B	CITY OF ALBANY CRC 2017A	27-3467899	999999999	11-15-2017	13,200,000	REFUND PRIOR ISSUE - SEE PART VI		X		X		X
C	CITY OF ALBANY CRC 2017C	27-3467899	999999999	11-15-2017	11,855,000	REFUND PRIOR ISSUE - SEE PART VI		X		X		X
D	SARATOGA COUNTY CAPITAL RESOURCE CORP 2007B	52-1310482	803482DE5	12-12-2007	18,406,490	ED CONSTRUCTION & RENOVATION	X			X		X
	SARATOGA COUNTY CAPITAL RESOURCE CORP 2013A	46-1520521	803481AS9	02-07-2013	24,273,094	REFINANCE REVENUE BONDS		X		X		X
	SARATOGA COUNTY CAPITAL RESOURCE CORP 17AB	46-1520521	999999999	01-03-2017	49,870,000	REFINANCE REVENUE BONDS		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	2,973,029		898,000		3,035,000		1,935,000
2 Amount of bonds legally defeased ..............							13,920,000
3 Total proceeds of issue ..................	22,000,000		13,200,000		11,855,000		18,406,490
4 Gross proceeds in reserve funds .............	1,662,624
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............	22,004,520		48,936,364
7 Issuance costs from proceeds ...............	440,000		933,636				262,395
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	21,560,000						16,772,395
11 Other spent proceeds .............	115,599		13,200,000		11,855,000
12 Other unspent proceeds .............
13 Year of substantial completion .............	2014		2017		2017		2009
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2019, a current refunding issue)? ........		X	X		X			X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2019, an advance refunding issue)? ........		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2020

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X			X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X	X		X			X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X			X		X	X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X	X			X

Schedule K (Form 990) 2020

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X	X			X
b Name of provider ..........					BANK OF AMERICA
c Term of hedge .........					950.0000000000 %
d Was the hedge superintegrated? ......						X
e Was the hedge terminated? ........						X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X			X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X			X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference

Explanation

ALBANY MED HEALTH SYSTEM BOND GROUP

SCH K PART I COLUMN (F) LINE B: REFUND CITY OF ALBANY IDA 2005A ISSUED 6/29/2005 AND CITY OF ALBANY IDA 2006A ISSUED 5/3/2006. LINE C: REFUND CITY OF ALBANY IDA 2007A ISSUED 6/28/2007 AND CITY OF ALBANY IDA 2007C ISSUED 11/28/2007. SCH K PART II LINE 1 TOTAL PROCEEDS OF THE ISSUE LESS AMOUNT OF BONDS RETIRED WILL NOT EQUAL FORM 990, PART X, LINE 20 BECAUSE THE BALANCE SHEET AMOUNT IS PRESENTED NET OF DEFERRED FINANCING COSTS. SCH K PART II LINE 11 TOTAL PROCEEDS WERE USED TO REFUND THE PRIOR ISSUED BONDS REFERENCED IN PART I, COLUMN F. SCH K PART III LINE 3A ALBANY MED HEALTH SYSTEM HAS INCIDENTAL MANAGEMENT AND SERVICE CONTRACTS IN VARIOUS FINANCED AREAS. THEREFORE, NO CONTRACTS ARE CONSIDERED TO RESULT IN PRIVATE BUSINESS USE WITHIN THE BOND-FINANCED PROPERTY GROUP. SCH K PART IV LINE 2C, COLUMN A REBATE CALCULATION PERFORMED ON SEPTEMBER 10, 2019.

SARATOGA HOSPITAL BOND GROUP

SCHEDULE K, PART IV, LINE 2B 02/07/2013 $24,273,094 SARATOGA COUNTY CAPITAL RESOURCE CORPORATION SERIES 2013A - ARBITRAGE REBATE COMPUTATION WAS PERFORMED ON 12/01/20 BY A THIRD PARTY CONTRACTOR, AMTEC, IS A TAX EXEMPT COMPLIANCE SPECIALIST, FOR BOND ISSUES, AS OF 12/01/20 NO REBATE LIABILITY FOR SERIES 2013A. SCHEDULE K, PART IV, LINE 2C 01/03/2017 $49,870,000 SARATOGA COUNTY CAPITAL RESOURCE CORPORATION SERIES 2017A & B - ARBITRAGE REBATE COMPUTATION WAS PERFORMED ON 12/31/20 BY A THIRD PARY CONTRACTOR, AMTEC, IS A TAX EXEMPT COMPLIANCE SPECIALIST, FOR BOND ISSUES, AS OF 12/31/20 NO REBATE LIABILITY FOR SERIES 2017 A & B

Schedule K (Form 990) 2020

Additional Data

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization
ALBANY MEDICAL CENTER GROUP
ORGANIZATION

Employer identification number
47-3869194

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	CITY OF ALBANY CRC 2014A	27-3467899	999999999	09-10-2014	22,000,000	RENOVATIONS/CONSTRUCTION		X		X		X
B	CITY OF ALBANY CRC 2017A	27-3467899	999999999	11-15-2017	13,200,000	REFUND PRIOR ISSUE - SEE PART VI		X		X		X
C	CITY OF ALBANY CRC 2017C	27-3467899	999999999	11-15-2017	11,855,000	REFUND PRIOR ISSUE - SEE PART VI		X		X		X
D	SARATOGA COUNTY CAPITAL RESOURCE CORP 2007B	52-1310482	803482DE5	12-12-2007	18,406,490	ED CONSTRUCTION & RENOVATION	X			X		X
	SARATOGA COUNTY CAPITAL RESOURCE CORP 2013A	46-1520521	803481AS9	02-07-2013	24,273,094	REFINANCE REVENUE BONDS		X		X		X
	SARATOGA COUNTY CAPITAL RESOURCE CORP 17AB	46-1520521	999999999	01-03-2017	49,870,000	REFINANCE REVENUE BONDS		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	2,973,029		898,000		3,035,000		1,935,000
2 Amount of bonds legally defeased ..............							13,920,000
3 Total proceeds of issue ..................	22,000,000		13,200,000		11,855,000		18,406,490
4 Gross proceeds in reserve funds .............	1,662,624
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............	22,004,520		48,936,364
7 Issuance costs from proceeds ...............	440,000		933,636				262,395
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	21,560,000						16,772,395
11 Other spent proceeds .............	115,599		13,200,000		11,855,000
12 Other unspent proceeds .............
13 Year of substantial completion .............	2014		2017		2017		2009
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2019, a current refunding issue)? ........		X	X		X			X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2019, an advance refunding issue)? ........		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2020

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X			X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X	X		X			X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X			X		X	X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X	X			X

Schedule K (Form 990) 2020

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X	X			X
b Name of provider ..........					BANK OF AMERICA
c Term of hedge .........					950.0000000000 %
d Was the hedge superintegrated? ......						X
e Was the hedge terminated? ........						X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X			X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X			X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference

Explanation

ALBANY MED HEALTH SYSTEM BOND GROUP

SARATOGA HOSPITAL BOND GROUP

Schedule K (Form 990) 2020

Additional Data

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Software Version:

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Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

ALBANY MEDICAL CENTER GROUP
ORGANIZATION

Employer identification number

47-3869194

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2020

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) SARATOGA NATIONAL GOLF CLUB	SUBSTANTIAL CONTRIBUTOR	61,944	EVENT HOSTING		No
(2) DR ANNE L BARBA	FAMILY MEMBER	150,679	EMPLOYMENT		No
(3) KAREN L MCKENNA	FAMILY MEMBER	32,945	EMPLOYMENT		No
(4) JOHN J NIGRO	BOARD MEMBER	299,750	DEVELOPMENT FEE		No
(5) ANNABEL H O'CONNOR	FAMILY MEMBER	23,857	EMPLOYMENT		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
PART IV	SARATOGA NATIONAL GOLF CLUB IS A SUBSTANTIAL CONTRIBUTOR TO SARATOGA HOSPITAL.DR. ANNE L. BARBA IS THE DAUGHTER OF JAMES BARBA, PRESIDENT & CEO (AMHS).KAREN L. MCKENNA IS THE WIFE OF DENNIS P. MCKENNA, PRES/CEO (AMHS), BD MEM (CDT).JOHN J. NIGRO IS A BOARD MEMBER OF ALBANY MED HEALTH SYSTEM.ANNABEL H. O'CONNOR IS THE DAUGHTER OF JOHN B. O'CONNOR, BOARD MEMBER (AMHS).

Schedule L (Form 990 or 990-EZ) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

ALBANY MEDICAL CENTER GROUP
ORGANIZATION

Employer identification number

47-3869194

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	39	565,196	FMV
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( SUPPLIES )	X	1	373,006	FMV
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

Yes

If "Yes," describe in Part II.

If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2020)

Page 2

Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 32B:	DONATIONS OF SECURITIES ARE SENT TO THE ALBANY MEDICAL CENTER FOUNDATION'S INVESTMENT BROKER WHO PROCESSES THEM AND DEPOSITS CASH NET OF FEES INTO THE FOUNDATION'S ACCOUNT.

Schedule M (Form 990) (2020)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

ALBANY MEDICAL CENTER GROUP
ORGANIZATION

Employer identification number

47-3869194

Return Reference	Explanation
FORM 990 PART I LINE 1 AND PART III LINE 1	ORGANIZATION'S MISSION: AN ACADEMIC HEALTH SCIENCES CENTER WHOSE RESPONSIBILITIES ARE: TO EDUCATE MEDICAL STUDENTS, PHYSICIANS, BIOMEDICAL STUDENTS AND OTHER HEALTH CARE PROFESSIONALS TO MEET FUTURE PRIMARY AND SPECIALTY HEALTH CARE NEEDS OF THE REGION AND NATION; TO FOSTER BIOMEDICAL RESEARCH THAT LEADS TO SCIENTIFIC ADVANCES AND IMPROVEMENT OF THE HEALTH OF THE PUBLIC; AND TO PROVIDE A BROAD RANGE OF PATIENT SERVICES TO THE PEOPLE OF EASTERN NEW YORK AND WESTERN NEW ENGLAND. THE MISSION IS ACCOMPLISHED THROUGH COMMITMENT TO THE VALUES OF QUALITY, EXCELLENCE, SERVICE, COLLABORATION, INTEGRITY AND FISCAL RESPONSIBILITY. WE WILL CONTINUE TO DEVELOP AS A NATIONALLY RECOGNIZED ACADEMIC HEALTH SCIENCE CENTER. IN COLLABORATION WITH THE COMMUNITY, WE WILL PROVIDE EXCELLENCE IN EDUCATION, RESEARCH, AND PATIENT CARE PROGRAMS. OUR VISION FOR THE FUTURE INCLUDES A COMMITMENT TO WORKING WITH OTHER PROVIDERS TO MAKE COMPREHENSIVE AND ADVANCED CLINICAL SERVICES AVAILABLE TO THE PUBLIC WHILE EMPHASIZING QUALITY AND SERVICE. WE WILL BE A LEADER IN DEVELOPING AN INNOVATIVE HEALTH CARE DELIVERY SYSTEM AND EDUCATIONAL CONSORTIUM THAT RESPONDS TO THE NEEDS OF THE COMMUNITY. WE WILL SUSTAIN A WORKING AND LEARNING ENVIRONMENT THAT FOSTERS TEAMWORK AND COMMITMENT TO SHARED VALUES AND GOALS. THROUGH SOUND FISCAL MANAGEMENT, WE WILL BE ABLE TO ENHANCE OUR PROGRAMS TO BE ON THE FOREFRONT OF MEDICAL KNOWLEDGE AND INNOVATIVE PATIENT CARE.
FORM 990, PART V, LINE 3B	THE GROUP ORGANIZATION HAS INDICATED 'NO' TO PART LINE 3B BECAUSE NOT ALL SUBORDINATE ORGANIZATIONS INCLUDED IN THE GROUP HAVE A FORM 990-T FILING REQUIREMENT FOR THE TAX YEAR.
FORM 990 PART V LINE 4A	THE SUBORDINATE ORGANIZATIONS, ALBANY MEDICAL CENTER HOSPITAL, ALBANY MEDICAL CENTER KIDSKELLER, ALBANY MEDICAL CENTER FOUNDATION, CENTER FOR DONATION AND TRANSPLANT, COLUMBIA MEMORIAL HOSPITAL, SARATOGA HOSPITAL, KAATERSKILL COMMONS, INC, SARATOGA CARE, INC, HEALTHCARE PARTNERS OF SARATOGA LTD, AND SARATOGA REGIONAL MED, PC, RESPOND IN THE NEGATIVE TO THESE LINES AS THEY DID NOT HAVE ANY FOREIGN FINANCIAL ACCOUNTS.
FORM 990 PART V LINE 6A	THE SUBORDINATE ORGANIZATIONS, ALBANY MEDICAL CENTER HOSPITAL, ALBANY MEDICAL CENTER KIDSKELLER, ALBANY MEDICAL COLLEGE, CENTER FOR DONATION AND TRANSPLANT, COLUMBIA MEMORIAL HOSPITAL, SARATOGA HOSPITAL, KAATERSKILL COMMONS, INC, SARATOGA CARE, INC, HEALTHCARE PARTNERS OF SARATOGA LTD, AND SARATOGA REGIONAL MED, PC, RESPOND IN THE NEGATIVE TO THESE LINES AS THEY DID NOT SOLICIT ANY CONTRIBUTIONS THAT WERE NOT TAX DEDUCTIBLE AS CHARITABLE CONTRIBUTIONS.
FORM 990 PART V LINE 7A	THE SUBORDINATE ORGANIZATIONS, ALBANY MEDICAL CENTER HOSPITAL, ALBANY MEDICAL CENTER KIDSKELLER, ALBANY MEDICAL COLLEGE, CENTER FOR DONATION AND TRANSPLANT, COLUMBIA MEMORIAL HOSPITAL, SARATOGA HOSPITAL, KAATERSKILL COMMONS, INC, SARATOGA CARE, INC, HEALTHCARE PARTNERS OF SARATOGA LTD, AND SARATOGA REGIONAL MED, PC, RESPOND IN THE NEGATIVE TO THESE LINES AS THEY DID NOT RECEIVE ANY CONTRIBUTIONS IN EXCESS OF $75 THAT WERE MADE PARTLY AS A CONTRIBUTION AND PARTLY FOR GOODS AND SERVICES PROVIDED TO THE PAYOR.
FORM 990 PART V LINES 8, 9A, & 9B	THE SUBORDINATE ORGANIZATION COLUMBIA MEMORIAL HOSPITAL IS THE ONLY SUBORDINATE MAINTAINING A DONOR ADVISED FUND.
FORM 990, PART VI, SECTION A, LINE 3	KAATERSKILL COMMONS, INC. ENGAGES CATSKILL MOUNTAIN HOUSING FOR MANAGEMENT AND BOOKKEEPING SERVICES. THE OTHER SUBORDINATE ORGANIZATIONS RESPOND IN THE NEGATIVE TO LINE 3.
FORM 990, PART VI, SECTION A, LINE 6	MEMBERS AND GOVERNANCE ALBANY MED HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF THE SUBORDINATE ORGANIZATIONS INCLUDED IN THE GROUP FILING.
FORM 990, PART VI, SECTION A, LINE 7A	MEMBERS AND GOVERNANCE ALBANY MED HEALTH SYSTEM RETAINS SEATS ON THE BOARD OF TRUSTEES FOR THE SUBORDINATE ORGANIZATIONS AND HAS THE POWER TO APPOINT MEMBERS OF THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7B	MEMBERS AND GOVERNANCE ALBANY MED HEALTH SYSTEM APPROVES THE ANNUAL OPERATING BUDGET, APPROVAL OF CHANGES IN SENIOR MANAGEMENT, SIGNIFICANT LITIGATION SETTLEMENTS AS WELL AS UPDATES TO THE GOVERNING DOCUMENTS.
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 REVIEW PROCESS THE BOARD OF DIRECTORS, THROUGH ITS AUDIT COMMITTEE, ENGAGES A PROMINENT ACCOUNTING FIRM, KPMG, TO CONDUCT A REVIEW OF ITS TAX RETURN FOR COMPLIANCE WITH IRS REGULATIONS. THE AUDIT COMMITTEE ENGAGES KPMG AS PAID PREPARER TO ENSURE ACCURACY OF FILINGS AND RAISE FOR DISCUSSION ISSUES OR CONCERNS THAT ARE CONSIDERED SIGNIFICANT. ISSUES OR CONCERNS ARE RAISED WITH MANAGEMENT AND BROUGHT TO THE ATTENTION OF THE AUDIT COMMITTEE THROUGHOUT THE YEAR AS WARRANTED AND REQUIRED. THE REVIEW OF THE TAX RETURN INCLUDES A REVIEW BY SENIOR MANAGEMENT OF ALBANY MEDICAL CENTER AND A PRESENTATION AT A MEETING OF THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS OF ALBANY MEDICAL CENTER. THE FINANCE COMMITTEES OF SARATOGA HOSPITAL AND COLUMBIA MEMORIAL HOSPITAL REVIEW THE RETURN FOR ACCURACY OF THEIR RESPECTIVE HOSPITAL'S INFORMATION AND DISCLOSURES. ADDITIONALLY, THE COMPLETE BOARDS OF EACH SUBORDINATE ENTITY INCLUDED IN THE GROUP RETURN RECEIVE A COPY OF THE FORM 990 FOR REVIEW PRIOR TO ITS FILING.
FORM 990, PART VI, SECTION B, LINE 12C	ALBANY MEDICAL CENTER HOSPITAL AND AFFILIATES: 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 SYSTEM MANAGEMENT OF ANY POTENTIAL CONFLICTS IN ADDITION TO RESPONDING TO REQUESTS FOR INFORMATION IF REQUESTED. PERSONS HOLDING SIGNIFICANT MANAGEMENT POSITIONS RECEIVE A COPY OF THE CONFLICT OF INTEREST QUESTIONNAIRE FOR COMPLETION. ANY CONFLICTS WHICH ARE REPORTED OR DISCOVERED ARE REVIEWED BY THE CORPORATE COMPLIANCE & AUDIT DEPT. AND APPROPRIATE ACTION IS TAKEN TO MITIGATE THE CONFLICT. EMPLOYEES WHO VIOLATE THE CONFLICT OF INTEREST POLICY ARE SUBJECT TO THE INSTITUTION'S CORRECTIVE ACTION POLICIES. COLUMBIA MEMORIAL HOSPITAL: ALL MEMBERS OF THE BOARD OF TRUSTEES ARE REQUIRED TO COMPLETE AND EXECUTE THE HOSPITAL POLICY ON ORGANIZATION ETHICS AS WELL AS A CONFLICT OF INTEREST QUESTIONNAIRE FOR TRUSTEES AND A CONFIDENTIALITY AGREEMENT FOR BOARD MEMBERS. IN ADDITION TO THESE FORMS BEING COMPLETED BY NEW MEMBERS, PRIOR TO APPOINTMENT, THEY ARE ALSO REQUIRED OF ALL INCUMBENT TRUSTEES ON AN ANNUAL BASIS. THE AUDIT COMMITTEE REVIEWS, MONITORS & ENFORCES CONFLICT OF INTEREST ISSUES AND REPORTS THE SAME TO ALL MEMBERS AT THE GENERAL BOARD MEETINGS. SARATOGA HOSPITAL: THE HOSPITAL MAINTAINS TWO CONFLICT OF INTEREST POLICIES. ONE POLICY APPLIES TO MEMBERS OF THE BOARD OF TRUSTEES, HOSPITAL OFFICERS, MEMBERS OF THE HOSPITAL'S MEDICAL STAFF (BOTH DIRECTLY EMPLOYED AND NON-EMPLOYED), AND ALL EMPLOYEES WHOSE COMPENSATION EXCEEDS $100,000. A SECOND CONFLICT OF INTEREST POLICY APPLIES TO ALL MEMBERS OF MANAGEMENT, EMPLOYEES AND VOLUNTEERS OF THE HOSPITAL, AS WELL AS PERSONS SERVING IN THOSE ROLES FOR CORPORATIONS AFFILIATED WITH THE HOSPITAL WHO ARE NOT COVERED BY THE FIRST POLICY. ON AN ANNUAL BASIS A CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE PROCESS IS UNDERTAKEN. ALL MEMBERS OF THE BOARD OF TRUSTEES AND MANAGEMENT, ALL NON-MANAGEMENT EMPLOYEES WHOSE COMPENSATION EXCEEDS $100,000, AND CERTAIN MEMBERS OF THE HOSPITAL'S MEDICAL STAFF ARE REQUIRED TO COMPLETE AND FILE THE QUESTIONNAIRE WITH THE HOSPITAL'S CHIEF COMPLIANCE OFFICER. ALL MEMBERS OF THE HOSPITAL'S MEDICAL STAFF ARE REQUIRED TO COMPLETE AND FILE THE QUESTIONNAIRE AS PART OF THEIR BIENNIAL CREDENTIALING PROCESS. ADDITIONALLY, MEMBERS OF HOSPITAL MANAGEMENT ARE REQUIRED TO IDENTIFY ANY ADDITIONAL EMPLOYEES UNDER THEIR SUPERVISION WHO HAVE THE ABILITY TO INFLUENCE PURCHASING DECISIONS AGGREGATING TO $100,000 OR MORE ANNUALLY. THESE EMPLOYEES ARE ALSO REQUIRED TO COMPLETE AND FILE THE QUESTIONNAIRE. RESPONSES ARE TRACKED BY THE CHIEF COMPLIANCE OFFICER AND ARE REPORTED TO THE AUDIT AND CORPORATE COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 15	ALBANY MEDICAL CENTER HOSPITAL AND AFFILIATES: THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS (COMMITTEE) ESTABLISHES COMPENSATION FOR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, ALL EXECUTIVE VICE PRESIDENTS AND OTHER TOP MANAGEMENT OFFICIALS WHO REPORT DIRECTLY TO THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS. THE COMMITTEE USES PROFESSIONAL COMPENSATION ADVISORS WHO ARE CAPABLE OF RENDERING INDEPENDENT ADVICE AND INDEPENDENT MARKET SURVEYS. THE COMMITTEE TARGETS THE MARKET MEDIAN (50TH PERCENTILE) FOR CASH COMPENSATION; BENEFIT PROGRAMS ARE INTENDED TO BE COMPETITIVE. AFTER THE COMPENSATION PROGRAM IS DETERMINED, THE COMMITTEE-APPROVED RECOMMENDATION IS FORWARDED TO THE BOARD OF DIRECTORS FOR ITS CONSIDERATION AND APPROVAL, AND THAT IS CONTEMPORANEOUSLY SUBSTANTIATED. COLUMBIA MEMORIAL HOSPITAL: PERFORMANCE REVIEW AND RECOMMENDATIONS RELATED TO SALARY ARE UNDERTAKEN BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES ON AN ANNUAL BASIS. THE COMPENSATION COMMITTEE IS COMPRISED OF SELECT MEMBERS OF THE BOARD OF TRUSTEES WHO MAY EMPLOY OUTSIDE CONSULTANTS, USE INDUSTRY STANDARDS, BENCHMARKING DATA, ETC. TO FORMULATE CONCLUSIONS. SARATOGA HOSPITAL: ON AN ANNUAL BASIS, THE EXECUTIVE COMMITTEE REVIEWS THE PERFORMANCE OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER (CEO) AND MAKES A BASE SALARY RECOMMENDATION TO THE FULL BOARD. THE EXECUTIVE COMMITTEE PERFORMS THIS TASK USING A TARGET PERCENTILE RANK ON A SCALE OF AMOUNTS PAID TO SIMILARLY SITUATED EXECUTIVES IN THE MARKETPLACE AS MEASURES BY EXTERNAL BENCHMARK SURVEYS. ADDITIONALLY, THE EXECUTIVE COMMITTEE FACTORS IN RELATIVE SKILL MIX, EXPERIENCE, COMPETENCE AND OVERALL PERFORMANCE. THE EXECUTIVE COMMITTEE SETS ANNUAL PERFORMANCE CRITERIA THE CEO MUST MEET IN ORDER TO QUALIFY FOR INCENTIVE COMPENSATION AND ANY RECOMMENDATION FOR ADDITIONAL COMPENSATION IS MADE ANNUALLY. THE CEO IS RESPONSIBLE, WITH THE OVERSIGHT OF THE EXECUTIVE COMMITTEE, FOR DETERMINING THE BASE COMPENSATION FOR ALL OTHER EXECUTIVES IN THE ORGANIZATION. THESE BASE SALARIES ARE ALSO DETERMINED USING A TARGET PERCENTILE RANK ON A SCALE FOR EXECUTIVES SITUATED SIMILARLY BY POSITION WITHIN THE MARKETPLACE, WITH ACCEPTABLE EXCEPTIONS BASED ON SKILL MIX, EXPERIENCE AND/OR SCOPE OF RESPONSIBILITY. INCENTIVE COMPENSATION FOR ALL OTHER EXECUTIVES IS DETERMINATION BY THE CEO AND BASED ON ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE MEASURES AND OUTCOMES. FOR BOTH CEO AND EXECUTIVE COMPENSATION, THE REQUIREMENTS FOR INVOKING A REBUTTABLE PRESUMPTION OF REASONABLENESS IN ACCORDANCE WITH IRS INTERMEDIATE SANCTION REGULATIONS ARE USED AS A GUIDELINE, TO THE EXTENT PRACTICABLE.
FORM 990, PART VI, SECTION C, LINE 19	OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990 PART VI LINE 16A	JOINT VENTURE LINES 16A AND 16B HAVE BEEN ANSWERED IN THE AFFIRMATIVE DUE TO THE ACTIVITIES OF COLUMBIA MEMORIAL HOSPITAL, A SUBORDINATE ORGANIZATION OF THE GROUP. THE OTHER SUBORDINATE ORGANIZATIONS RESPOND IN THE NEGATIVE TO LINE 16A.
FORM 990 PART VI LINE 20	THE PERSON IN POSSESSION OF THE BOOKS AND RECORDS FOR THE SUBORDINATE ORGANIZATIONS ARE AS FOLLOW: COLUMBIA MEMORIAL HOSPITAL AND AFFILIATES: NAME: BRYAN MAHONEY ADDRESS: 71 PROSPECT AVE, HUDSON NY, 12534 PHONE: 518-828-7601 SARATOGA HOSPITAL AND AFFILIATES: NAME: MICHAEL BATTLE ADDRESS: 211 CHURCH STREET, SARATOGA SPRINGS, NY 12866 PHONE: 518-587-3222
FORM 990, PART XI, LINE 9:	NET ASSETS RELEASED FROM RESTRICTIONS -34,149. FAIR VALUE OF INTEREST RATE SWAPS -146,705. PENSION RELATED CHANGES -11,302,822. SCI, SRMPC, HCPS, KCI, CMHF PRIOR YEAR NET ASSETS 5,630,546.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2020

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

ALBANY MEDICAL CENTER GROUP
ORGANIZATION

Employer identification number

47-3869194

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)BETTER HEALTH FOR NORTHEAST NEW YORK 43 NEW SCOTLAND AVE ALBANY,NY12208 81-1861104	DSRIP	NY	501(C)(6)		AMC HOSPITAL	Yes
(2)THE SECOND SHOW INC 519 WARREN STREET HUDSON,NY12534 14-1796715	THRIFT SHOP	NY	501(C)(3)	7	CMH	Yes
(3)GLENS FALLS HOSPITAL 100 PARK ST GLENS FALLS,NY12801 14-1338413	HEALTHCARE	NY	501(C)(3)	3	N/A		No
(4)GLENS FALLS MEDICAL PLLC 100 PARK ST GLENS FALLS,NY12801 82-3943636	PHYSICIANS	NY	501(C)(3)	10	N/A	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2020

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) COLUMBIA-GREENE SERVICES INC C/O CMH 71 PROSPECT AVE HUDSON,NY12534 14-1758524	HEALTHCARE	NY	N/A	C			100.000 %	Yes
(2) MADISON AVENUE SERVICES CORP 47 NEW SCOTLAND AVE MC 116 ALBANY,NY12208 14-1665610	OTHER (INACTIVE)	NY	AMHS	C					No

Schedule R (Form 990) 2020

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2020

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2020

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2020

Additional Data

Software ID:
Software Version:

- TIN:

TY 2020 AffiliateListing

Name:

ALBANY MEDICAL CENTER GROUP

ORGANIZATION

EIN:

47-3869194

Name	Address	EIN	Name control
ALBANY MEDICAL CENTER FOUNDATION	43 NEW SCOTLAND AVE ALBANY, NY 12208	14-6023119	ALBA
ALBANY MEDICAL CENTER HOSPITAL	43 NEW SCOTLAND AVE ALBANY, NY 12208	14-1338307	ALBA
ALBANY MEDICAL CENTER KIDSKELLER	43 NEW SCOTLAND AVE ALBANY, NY 12208	22-2635792	ALBA
ALBANY MEDICAL COLLEGE	43 NEW SCOTLAND AVE ALBANY, NY 12208	14-1338310	ALBA
CENTER FOR DONATION AND TRANSPLANT	218 GREAT OAKS BLVD ALBANY, NY 12203	14-1820447	CENT
COLUMBIA MEMORIAL HEALTH FOUNDATION	71 PROSPECT AVE HUDSON, NY 12534	14-1761112	COLU
COLUMBIA MEMORIAL HOSPITAL	71 PROSPECT AVE HUDSON, NY 12534	14-1338373	COLU
HEALTHCARE PARTNERS OF SARATOGA LTD	211 CHURCH STREET SARATOGA SPRINGS, NY 12866	45-3303309	HEAL
KAATERSKILL COMMONS INC	163 JEFFERSON HEIGHTS CATSKILL, NY 12414	20-5700964	KAAT
SARATOGA HOSPITAL	211 CHURCH STREET SARATOGA SPRINGS, NY 12866	14-1338547	SARA
SARATOGA CARE INC	211 CHURCH STREET SARATOGA SPRINGS, NY 12866	14-1775218	SARA
SARATOGA REGIONAL MED PC	211 CHURCH STREET SARATOGA SPRINGS, NY 12866	47-2468259	SARA

1	Briefly describe the organization’s mission or most significant activities: SEE SCHEDULE O.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	108
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	79
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	15,017
6	Total number of volunteers (estimate if necessary) .............	6	756
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	2,330,492
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	71,708,454	168,481,954
9	Program service revenue (Part VIII, line 2g) .........	1,973,336,446	1,938,364,885
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	26,087,460	19,477,957
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	63,492,678	89,185,248
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	2,134,625,038	2,215,510,044
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	20,562,236	18,000,583
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	1,038,410,997	1,036,115,747
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 3,710,004
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,037,445,309	1,056,712,553
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,096,418,542	2,110,828,883
19	Revenue less expenses. Subtract line 18 from line 12.......	38,206,496	104,681,161
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,157,723,679	2,433,137,271
21	Total liabilities (Part X, line 26).............	1,111,953,816	1,247,514,261
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,045,769,863	1,185,623,010

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 765,729,114 including grants of $ 0 ) (Revenue $ 767,696,045 )
	INPATIENT & OUTPATIENT SERVICES - PROVISION OF INPATIENT AND OUTPATIENT SERVICES INCLUDING SPECIALIZED NURSING SERVICES AND EMERGENCY ROOM. 2020 ADMISSIONS WERE APPROXIMATELY 51,900 AND PATIENT DAYS WERE APPROXIMATELY 289,054.COVID-19 IMPACT: IN MARCH 2020, THE CORONAVIRUS DISEASE APPEARED IN NEW YORK STATE, AND THE THREAT OF A LIFE-CHANGING PANDEMIC BECAME REAL. A RANGE OF EXTRAORDINARY AND SIGNIFICANT CHALLENGES WERE PRESENTED TO ALL HOSPITALS, INCLUDING THOSE WITHIN THE ALBANY MED HEALTH SYSTEM AND ALBANY MED CENTER GROUP ENTITIES. A SERIES OF MANDATES COMPLICATED THE ALREADY OVERWHELMING CHALLENGES OF CARING FOR A HIGHLY COMPLEX AND SERIOUSLY ILL POPULATION, INFECTED WITH A STRAIN OF A VIRUS THAT WAS NEW TO HUMANS, COVID-19. AMONG THE MOST SIGNIFICANT WERE THE SUBSTANTIAL FINANCIAL AND OPERATIONAL IMPACTS:- MAJOR EXPENSES INCURRED - THESE WERE EXACERBATED BY NUMEROUS FACTORS INCLUDING THE RISE IN COVID-19 CASES AND THE RELATED COST OF CARE; A NYS REQUIREMENT TO PLAN FOR SURGE CAPACITY FOR AN UNEXPECTED NUMBER OF COVID INPATIENTS, WHICH DROVE THE NEED FOR ADDITIONAL STAFF AND SUPPLIES; THE GROWTH IN SHORTAGES OF CERTAIN PERSONAL PROTECTIVE EQUIPMENT (THE NEED TO ACQUIRE THEM THROUGH NEW AND OFTEN VERY COSTLY SOURCES, AS WELL AS MAINTAIN A RELIABLE AND STOCKED INVENTORY AT EACH HOSPITAL). ADDITIONAL EQUIPMENT TO CARE FOR THIS NEW POPULATION INCLUDED ITEMS SUCH AS:-- PORTABLE WIRELESS PATIENT PHYSIOLOGIC MONITORING (TO DIRECTLY MONITOR PHYSIOLOGIC PARAMETERS OF PATIENTS IN NON-TRADITIONAL SURGE CAPACITY SETTINGS OR DURING TRANSPORT)-- WIRELESS TELEMETRY ECG AND PULSE OXIMETRY (TO REMOTELY MONITOR PHYSIOLOGIC PARAMETERS OF PATIENTS IN NON-TRADITIONAL SURGE CAPACITY SETTINGS FROM AN EXTERNAL CENTRALIZED MONITORING STATION)-- LARGE VOLUME INFUSION PUMPS (TO PROVIDE INFUSION DRUG THERAPY TO COVID PATIENTS WHILE ALLOWING CLINICIANS TO REMAIN OUTSIDE THE IMMEDIATE PATIENT CARE VICINITY THROUGH THE USE OF EXTENDED IV THERAPY SETS)- STAGGERING REVENUE LOSSES CONTRIBUTING TO DEVASTATING, UNPRECEDENTED REVENUE LOSSES WERE NYS EXECUTIVE ORDERS TO CEASE ELECTIVE PROCEDURES AND REDUCE ROUTINE HEALTHCARE FOR SEVERAL MONTHS DURING THE ONSET OF COVID-19. LOSSES CONTRIBUTED TO ITEMS SUCH THE NEED FOR FUNDING ADVANCES, A POSTPONEMENT IN CAPITAL INVESTMENTS AND A DELAY IN MERIT INCREASES FOR OVERWORKED STAFF. - MAJOR OPERATIONAL CHALLENGES - PREPARATION FOR SURGE CAPACITY DROVE THE NEED TO INCREASE BED CAPACITY BY 50%, CONVERT NUMEROUS ROOMS TO NEGATIVE-PRESSURE SETTINGS, AND SECURE ADDITIONAL STAFF, PPE, AND OTHER EQUIPMENT; WE BEGAN COVID TESTING FOR OUR EMPLOYEES, AS WELL AS CONTACT TRACING; AND RESPONDED TO SOCIAL DISTANCING AND MASKING MANDATES IN OUR CLINICAL AND WORK AREAS. OUR HOSPITALS WERE FORCED TO POSTPONE NEEDED CAPITAL PROJECTS. ALL OF THESE CHANGES OCCURRED WHILE OUR SYSTEM WAS REQUIRED TO RETAIN ESSENTIAL AROUND-THE-CLOCK SERVICES. OTHER BUSINESSES WERE FORCED TO CLOSE EARLY IN THE PANDEMIC, BUT HOSPITALS REMAINED OPEN.COVID 19 RESPONSE:DESPITE FINANCIAL INSECURITY AS THE PANDEMIC RAGED IN THE EARLY PART OF THE YEAR, INCLUDING THE SUBSTANTIAL LOSS OF REVENUE FROM CANCELED ELECTIVE PROCEDURES AND ROUTINE CARE, THE SYSTEM TOOK A STEP TOWARD RECOVERY IN THE SECOND HALF OF THE YEAR WITH THE RETURN OF PATIENTS COMFORTED BY THE IMPLEMENTATION OF SAFETY PROCEDURES. AS THE SYSTEM SAW MORE AND MORE CASES, OUR STAFF CONTINUED TO LOOK FOR WAYS TO HELP OUR REGION'S RESIDENTS.AS A REGIONAL PROVIDER OF CARE, THE ALBANY MED HEALTH SYSTEM AND THE ALBANY MED CENTER GROUP ENTITIES, RAPIDLY PIVOTED TO RESPOND TO A PANDEMIC THAT IMPACTED EVERY RESIDENT IN OUR SERVICE AREA, DIRECTLY OR INDIRECTLY. IT REQUIRED A PROMPT, AROUND-THE-CLOCK RESPONSE TO THE HEALTH CHALLENGE OF THIS GENERATION. THE HOSPITAL ENTITIES CONTINUOUSLY SOUGHT WAYS TO ASSIST OUR REGION IN 2020: - THE IDENTIFICATION OF A NEW PATIENT POPULATION, WITH TARGETED CARE TO ADDRESS THE RANGE OF HEALTH NEEDS AND CHALLENGES PRESENTED BY THOSE INFECTED WITH THE COVID-19 VIRUS.- COMPREHENSIVE EMERGENT CARE FOR OUR MOST VULNERABLE PATIENTS, INCLUDING THOSE IN NEED OF VENTILATOR SUPPORT.- A SWIFT ROLL-OUT OF COVID-19 THERAPIES SUCH AS MONOCLONAL ANTIBODIES AND CONVALESCENT PLASMA.- THE IMPLEMENTATION AND EXPANSION OF TELEHEALTH SERVICES ACROSS THE SYSTEM TO ALLOW PATIENTS AND THE COMMUNITY CONTINUED ACCESS TO PROVIDERS DURING AND AFTER SHUT-DOWN.- OFFERING COVID-19 TESTING - AT THE ONSET OF TESTING, STAFF FROM THE SYSTEM NOT ONLY WORKED AT TESTING SITES WITHIN THE SYSTEM, SOME ALSO WORKED AT SITES COORDINATED BY THE NEW YORK STATE DEPARTMENT OF HEALTH. - CRITICAL RESEARCH AND EVALUATION EFFORTS RELATED TO THE COVID-19 PANDEMIC. THE STUDIES HAVE GLEANED VALUABLE INFORMATION AND WILL HAVE MEANING FOR FUTURE DISEASE OUTBREAKS AND SIMILAR MEDICAL CRISES.- DISSEMINATION OF IMPORTANT INFORMATION TO KEEP OUR COMMUNITY UPDATED ON COVID-19. THE NUMBER OF VISITS TO THE COVID-19 PAGES OF EACH OF OUR HOSPITALS' WEBSITES WERE SUBSTANTIAL, HELPING MEET THE COMMUNITY'S NEED FOR ACCURATE, CURRENT INFORMATION ON THE PANDEMIC.- THE SYSTEM ALSO PLAYED A LEAD ROLE, WORKING WITH ALL LOCAL HOSPITALS IN OUR REGION, TO TRACK AND DISCUSS COVID-19 RATES AND CASE COUNTS ON A DAILY BASIS. - IN FALL 2020, ALBANY MEDICAL CENTER HOSPITAL WAS SELECTED TO LEAD THE CAPITAL REGION IN THE DISTRIBUTION OF COVID-19 VACCINES, THE ROLL-OUT OF WHICH BEGAN IN DECEMBER 2020. - A MAJOR ADVERTISING CAMPAIGN WAS UNDERTAKEN BY THE SYSTEM TO EDUCATE PATIENTS AND THE PUBLIC ABOUT VACCINE DISTRIBUTION, INFORMATION ABOUT EACH OF THE VACCINES, AND THE IMPORTANCE OF BEING VACCINATED.

4b	(Code: ) (Expenses $ 498,970,453 including grants of $ 0 ) (Revenue $ 430,078,291 )
	FACULTY PRACTICE - FACULTY PRACTICE ALBANY MEDICAL CENTER OPERATES A CLINICAL PRACTICE ACTIVITY (PATIENT CARE) FOR THE FACULTY OF THE ALBANY MEDICAL COLLEGE. 2020 EXPERIENCED OVER 620,000 PATIENT VISITS.

4c	(Code: ) (Expenses $ 240,529,531 including grants of $ 0 ) (Revenue $ 364,368,323 )
	DIAGNOSTIC & TESTING SERVICES - DIAGNOSTIC & TESTING SERVICES INPATIENT AND OUTPATIENT SERVICES INCLUDING DIAGNOSTIC IMAGING, RADIATION THERAPY, AND CARDIAC CATHETERIZATION. IN 2020, ALBANY MEDICAL CENTER INPATIENT PROFESSIONAL SERVICES TOTALED 87,557; OUTPATIENT SERVICES TOTALED 45,711 AND ER SERVICES WAS APPROXIMATELY 84,147.

	(Code: ) (Expenses $ 317,209,587 including grants of $ 18,000,583 ) (Revenue $ 424,603,104 )
	ALBANY MEDICAL CENTER HOSPITAL AND AFFILIATES:OPERATING AND RECOVERY ROOM: INPATIENT AND OUTPATIENT OPERATING ROOM SERVICES INCLUDING OPEN HEART PROGRAM, TRANSPLANT SERVICES AND SPECIALIZED TRAUMA SERVICES. APPROXIMATELY 27,806 TOTAL CASES PERFORMED WITH 8,294 INPATIENT, 3,249 SAME DAY, AND 16,263 OUTPATIENT.OTHER PATIENT CARE BASED SERVICES TOTALED APPROXIMATELY $85 MILLION IN EXPENDITURES.INSTRUCTION: AS AN EDUCATIONAL INSTITUTION, THE MAIN FUNCTION IS TO TEACH APPROXIMATELY 800 STUDENTS.RESEARCH: AS A MEDICAL COLLEGE, THE ORGANIZATION UNDERTAKES NUMEROUS RESEARCH PROJECTS DURING THE COURSE OF THE YEAR. THE EXPENDITURES FOR ACTIVITIES SPECIFICALLY ORGANIZED TO PROVIDE RESEARCH OUTCOMES IS APPROXIMATELY $21 MILLION.FOUNDATION: THE GROUP ORGANIZATION INCLUDES A FOUNDATION, WHOSE PRIMARY FUNCTION IS TO RAISE FUNDS FOR CONSTRUCTION, RESEARCH, SUPPORT AND ENDOWMENT PURPOSES FOR EXEMPT ORGANIZATIONS, INCLUDING ALBANY MEDICAL COLLEGE, ALBANY MEDICAL CENTER HOSPITAL, ALBANY MED HEALTH SYSTEM, AMC ALUMNI ASSOCIATION, AND CENTER FOR DONATION AND TRANSPLANT, VIA DIRECT MAIL - COMMUNITY BASED PROGRAMS, TELETHON, RADIOTHON, SPECIAL EVENTS - GOLF OUTINGS, DINNERS, ETC., PLUS GIFT-IN-KIND (GIK) DONATIONS.CDT: RESEARCH/EDUCATION - PRIMARY PURPOSE IS TO FACILITATE PROCUREMENT AND EQUITABLE DISTRIBUTION OF MEDICALLY SUITABLE ORGANS FOR TRANSPLANTATION. ALSO, CDT IS TO ENSURE THAT FAMILIES ARE INFORMED ON OPTIONS FOR ORGAN DONATION. SUPPORT FAMILY AND HOSPITAL PERSONNEL INVOLVED IN THE DONATION PROCESS AND EDUCATE THE UPSTATE MEDICAL PROFESSION ON ORGAN PROCUREMENT.KIDSKELLER: CHILDREN FROM EIGHT WEEKS TO KINDERGARTEN AGE MAY ENROLL. EDUCATIONAL ACTIVITIES FOR THESE VARIED AGE GROUPS FOLLOW A DEVELOPMENTAL SEQUENCE WHICH INCLUDES AGE APPROPRIATE ACTIVITIES FOR THE DEVELOPMENT OF COGNITIVE SKILLS, FINE AND GROSS MOTOR SKILLS, SOCIAL-EMOTIONAL GROWTH AND ACTIVITIES OF DAILY LIVING SKILLS.LABORATORY SERVICES (ADULT & PEDS): INPATIENT AND OUTPATIENT SERVICES INCLUDING CLINICAL CHEMISTRY, BLOOD BANK, HEMATOLOGY, SEROLOGY AND MICROBIOLOGY.THE GROUP ORGANIZATION RECEIVES GENERAL EXPENSE REIMBURSEMENTS FOR RELATED PATIENT CARE SERVICES.THE ORGANIZATION HAS CERTAIN OTHER EXEMPT FUNCTION REVENUES WHICH TOTAL APPROXIMATELY $4 MILLION.COLUMBIA MEMORIAL HOSPITAL: THE ORGANIZATION HAD APPROXIMATELY $15.1M EXPENDITURES AND $13.9M REVENUE RELATED TO OTHER OPERATING ACTIVITIES.KAATERSKILL COMMONS: KCI OWNS AND OPERATES A 21 UNIT APARTMENT PROJECT LOCATED IN CATSKILL NY. THE TENANTS ARE ABLE TO QUALIFY AS LOW INCOME AND ELDERLY.SARATOGA CARE INC: THE FORMOST COMMITMENT OF SCI IS TO ENABLE ITS AFFILIATED INTITY (SARATOGA HOSPITAL) TO PROVIDE SUPERIOR QUALITY HEALTHCARE TO THE PEOPLE OF THE COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY.SARATOGA REGIONAL MEDICAL PC: SRMPC IS ORGANIZED AND OPERATED FOR THE PURPOSE OF PROMOTING HEALTH BY PROVIDING MEDICAL CARE TO THE COMMUNITY SERVED BY SARATOGA HOSPITAL. IN SEPTEMBER 2018, SRM BEGAN PROVIDING OBSTETRICS AND GYNECOLOGY SERVICES AT TWO SITES: SARATOGA OB/GYN AT MYRTLE ST. IN SARATOGA SPRINGS, NY AND SARATOGA OB/GYN AT MALTA IN MALTA, NY. PROVIDERS AT THESE LOCATIONS WORK COLLABORATIVELY WITH PATIENTS ON MEDICAL, SURGICAL, AND PREVENTIVE CARE FOR FEMALE REPRODUCTIVE HEALTH. SARATOGA OB/GYN PROVIDERS SAW NEARLY 26,000 PATIENT VISITS FOR PREGNANCY AND GYNECOLOGICAL CARE DURING 2020. IN JUNE 2019, SRM BEGAN OPERATING A NEPHOLOGY SITE IN GLENS FALLS, NY. SARATOGA HOSPITAL MEDICAL GROUP - NEPHROLOGY AT GLENS FALLS OFFERS ITS PATIENTS AN OUTSTANDING TEAM OF BOARD-CERTIFIED PHYSICIANS, EMPLOYING THE MOST ADVANCED DIAGNOSTIC TECHNOQUES TO IDENTIFY, DEVELOP A TREATMENT PLAN, AND MANAGE KIDNEY DISEASE. IN 2020, PROVIDERS AT THIS LOCATION SAW APPROXIMATELY 2,100 PATIENT VISITS.HEALTHCARE PARTNERS OF SARATOGA LTD: THE FOREMOST COMMITMENT OF MMEC IS TO PROVIDE HIGH QUALITY, COST EFFECTIVE HEALTHCARE TO INDIVIDUALS AND FAMILIES IN THE COMMUNITIES IT SERVES REGARDLESS OF A PATIENT'S ABILITY TO PAY. MMEC ACTIVELY SUPPORTS COMMUNITY-BASED HEALTHCARE AND PROMOTES THE COORDINATION OF SERVICES AMONG HEALTHCARE PROVIDERS AND SOCIAL SERVICES ORGANIZATIONS. IN ADDITION, MMEC SEEKS TO WORK COLLABORATIVELY WITH OTHER HEALTH CARE PROVIDERS TO IMPROVE THE HEALTH STATUS OF ITS REGION. MMEC IS DEFINED AS AN EMERGENT CARE CENTER, WHICH IS A CROSS BETWEEN AN URGENT CARE CENTER AND A HOSPITAL EMERGENCY DEPARTMENT. THEREFORE, THE FACILITY ACCOMMODATES A WIDE RANGE OF MEDICAL NEEDS. MMEC OFFERS 24-HOUR ACCESS TO EMERGENCY MEDICINE PHYSICIANS FOR URGENT CARE. THESE PHYSICIANS ARE EQUIPPED TO TREAT PATIENTS WITH ANY LEVEL OF URGENT CARE NEEDS. PATIENTS TREATED AND TRIAGED ARE DISCHARGED HOME WITH FOLLOW UP TO THEIR PROMARY CARE OR SPECIALIST, THUS AVOIDING AN EMERGENCY ROOM VISIT TO THEIR LOCAL HOSPITAL. DURING 2020, MMEC ACCOMMODATED APPROXIMATELY 34,500 URGENT CARE VISITS. IN ADDITION, OTHER SERVICES PROVIDED DURING THE YEAR INCLUDED OUTPATIENT X-RAY (14,105), ULTRASOUND (7,103), COMPUTED TOMOGRAPHY (5,640), MAGNETIC RESONANCE IMAGING (1,395 TESTS) AND LABORATORY SERVICES (216,971 TESTS).

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 317,209,587 including grants of $ 18,000,583 ) (Revenue $ 424,603,104 )
4e	Total program service expenses1,822,438,685

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	15,484,980	8,096,811	1,556,049

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	2,784,847
d	Related organizations		1d	10,842,830
e	Government grants (contributions)		1e	94,077,194

f	All other contributions, gifts, grants, and similar amounts not included above		1f	60,777,083

g	Noncash contributions included in lines 1a - 1f:$		1g	938,202

h Total. Add lines 1a-1f.......		168,481,954

		Business Code
2a	MEDICAL SERVICES	621990	1,890,648,583	1,888,225,033	2,423,550
b	INSTRUCTION	611600	43,753,349	43,753,349
c	RESEARCH	541700	2,032,458	2,032,458
d	DAY CARE FEES	611600	1,819,810	1,819,810
e	PROGRAM SERVICE RENTS	611600	70,977	70,977
f	All other program service revenue.		39,708	39,708
g	Total. Add lines 2a–2f .....		1,938,364,885

3 Investment income (including dividends, interest, and othersimilar amounts) ......			11,934,738		-93,058	12,027,796
4 Income from investment of tax-exempt bond proceeds			11,255			11,255
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		1,829,880	6a
b	Less: rental expenses		26,858	6b
c	Rental income or (loss)		1,803,022	6c
d	Net rental income or (loss).......			1,803,022			1,803,022
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	18,400	32,210,993	7a
b	Less: cost or other basis and sales expenses	0	24,697,429	7b
c	Gain or (loss)	18,400	7,513,564	7c
d	Net gain or (loss).........			7,531,964			7,531,964
8a	Gross income from fundraising events (not including $ 2,784,847of contributions reported on line 1c). See Part IV, line 18 ....
			8a	662,337
b	Less: direct expenses ...		8b	756,025
c	Net income or (loss) from fundraising events..			-93,688			-93,688
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	39,800
b	Less: direct expenses ...		9b	15,533
c	Net income or (loss) from gaming activities..			24,267			24,267
10a	Gross sales of inventory, less returns and allowances ..
			10a	599,388
b	Less: cost of goods sold ..		10b	215,027
c	Net income or (loss) from sales of inventory..			384,361	384,361
Business Code			Miscellaneous Revenue
11a	PROGRAM SERVICE EXPENSE REIM.		812900	24,105,682	24,105,682
b	CONTRACTED SERVICES		621110	12,310,174	12,310,174
c	CAFETERIA REVENUE		722514	6,326,992	6,326,992
d	All other revenue ....			44,324,438	5,253,669		39,070,769
e	Total. Add lines 11a–11d ......			87,067,286
12	Total revenue. See instructions.....			2,215,510,044	1,984,322,213	2,330,492	60,375,385

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	11,536,368	11,536,368
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	6,464,215	6,464,215
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	13,406,636	3,667,026	9,617,068	122,542
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	207,481	207,481
7	Other salaries and wages........	882,990,630	837,367,172	43,579,388	2,044,070
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	25,620,845	24,189,726	1,373,744	57,375
9	Other employee benefits .......	57,438,246	55,036,707	2,286,254	115,285
10	Payroll taxes ...........	56,451,909	52,813,729	3,513,383	124,797
11	Fees for services (non-employees):
a	Management ......	180,404	166,904	13,500
b	Legal .........	771,765	-3,305	775,070
c	Accounting ...........	644,298		644,298
d	Lobbying ...........	116,743	77,942	38,801
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	2,158,686	30,217	2,120,984	7,485
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	118,088,807	111,448,853	6,457,652	182,302
12	Advertising and promotion ....	2,292,465	1,025,704	1,247,518	19,243
13	Office expenses .......	46,511,543	38,576,085	7,731,957	203,501
14	Information technology ......	122,430,647	8,153,235	114,219,559	57,853
15	Royalties ..
16	Occupancy ...........	26,483,501	17,919,894	8,216,801	346,806
17	Travel ............	1,363,138	1,271,048	77,822	14,268
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	866,421	829,401	37,070	-50
20	Interest ...........	24,062,699	16,945,916	7,111,865	4,918
21	Payments to affiliates .......	164,561,423	127,926,157	36,634,255	1,011
22	Depreciation, depletion, and amortization ..	93,130,169	63,096,996	30,021,030	12,143
23	Insurance ...	29,280,970	27,022,855	2,258,115
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SURGICAL	352,796,988	353,064,897	-267,909	0
b	MACHINE RENTAL & MAINTE	25,435,817	22,848,676	2,481,963	105,178
c	FOOD & GENERAL SUPPLIES	19,114,761	18,008,015	1,070,510	36,236
d	DRUGS & MEDICINE	9,478,556	9,474,180	4,376	0
e	All other expenses	16,942,752	13,272,591	3,415,120	255,041
25	Total functional expenses. Add lines 1 through 24e	2,110,828,883	1,822,438,685	284,680,194	3,710,004
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			152,393,133	1	474,229,208
2	Savings and temporary cash investments .........			228,443,016	2	141,240,726
3	Pledges and grants receivable, net ......			11,523,306	3	12,309,135
4	Accounts receivable, net .............			227,727,474	4	208,953,750
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			9,143,183	7	7,277,031
8	Inventories for sale or use ............			32,665,034	8	42,305,742
9	Prepaid expenses and deferred charges ......			22,414,216	9	24,615,286
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,734,642,533
b	Less: accumulated depreciation	10b	962,943,343	794,666,438	10c	771,699,190
11	Investments—publicly traded securities .			78,189,009	11	103,077,829
12	Investments—other securities. See Part IV, line 11 .....			74,454,877	12	69,280,229
13	Investments—program-related. See Part IV, line 11 ..			312,558,378	13	337,680,033
14	Intangible assets ...............			9,520,071	14	0
15	Other assets. See Part IV, line 11 ...........			204,025,544	15	240,469,112
16	Total assets. Add lines 1 through 15 (must equal line 33)...			2,157,723,679	16	2,433,137,271

17	Accounts payable and accrued expenses .....	213,375,509	17	217,036,219
18	Grants payable ...	0	18	0
19	Deferred revenue .........	19,706,405	19	20,444,417
20	Tax-exempt bond liabilities .........	101,658,992	20	96,184,449
21	Escrow or custodial account liability. Complete Part IV of Schedule D	12,238,360	21	1,351,295
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	451,495,397	23	424,464,712
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	32,000
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	313,479,153	25	488,001,169
26	Total liabilities. Add lines 17 through 25..	1,111,953,816	26	1,247,514,261

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	856,547,108	27	984,306,920
28	Net assets with donor restrictions ...........	189,222,755	28	201,316,090
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	1,045,769,863	32	1,185,623,010
33	Total liabilities and net assets/fund balances ........	2,157,723,679	33	2,433,137,271

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No