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Albany Medical Center Hospital
43 New Scotland Avenue
Albany, NY 12208
EIN: 141338307
The hospital that you have selected is part of a multi-facility organization that reports community benefit expenditures in the aggregate and not by individual hospital. The data shown below are for the multi-facility organization. We encourage you to contact the individual hospital directly if you would like community benefit information on the hospital.Learn more
Individual Facility Details: Albany Medical Center / South Clinical Campus25 Hackett Boulevard
Albany, NY 12208
Albany, NY 12208
1 hospital in organization:
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| Bed count | 20 | Medicare provider number | 330189 | Member of the Council of Teaching Hospitals | YES | Children's hospital | NO |
Albany Medical Center HospitalDisplay data for year:
Community Benefit Spending- 2010
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
7.72%
Spending by Community Benefit Category- 2010
(as % of total functional expenses)
(as % of total functional expenses)
Community Benefit Spending Compared to Functional Expenses, 2010-2010
Additional data
Community Benefit Expenditures: 2010
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 626,702,501 Total amount spent on community benefits as % of operating expenses$ 48,371,229 7.72 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 4,891,028 0.78 %Medicaid as % of operating expenses$ 5,737,084 0.92 %Costs of other means-tested government programs as % of operating expenses$ 243,114 0.04 %Health professions education as % of operating expenses$ 37,190,266 5.93 %Subsidized health services as % of operating expenses$ 0 0 %Research as % of operating expenses$ 209,801 0.03 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 99,936 0.02 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 0 0 %Community building*
as % of operating expenses$ 0 0 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? Not available Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 0 0 %Physical improvements and housing as % of community building expenses$ 0 Economic development as % of community building expenses$ 0 Community support as % of community building expenses$ 0 Environmental improvements as % of community building expenses$ 0 Leadership development and training for community members as % of community building expenses$ 0 Coalition building as % of community building expenses$ 0 Community health improvement advocacy as % of community building expenses$ 0 Workforce development as % of community building expenses$ 0 Other as % of community building expenses$ 0 Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2010
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 20,768,716 3.31 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 0 0 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Filed lawsuit Not available Placed liens on residence Not available Issue body attachments? (an order by the court commanding a sheriff or other official to physically bring before the court a person who is guilty of contempt of court) Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? YES The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? Not available In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? YES
Community Health Needs Assessment Activities: 2010
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? NO Did the CHNA define the community served by the tax-exempt hospital? Not available Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? Not available Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? Not available Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? Not available Did the tax-exempt hospital execute the implementation strategy? Not available Did the tax-exempt hospital participate in the development of a community-wide plan? Not available
Supplemental Information: 2010
This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 248922426 including grants of $ 0) (Revenue $ 209571343) Inpatient and Outpatient Services - Provision of inpatient and outpatient services including specialized nursing services and emergency room.I/P admissions = 32,542 and patient days = 190,805
4B (Expenses $ 118673209 including grants of $ 0) (Revenue $ 176518334) Diagnostic and Testing Services - Inpatient and outpatient services including diagnostic imaging, radiation therapy and cardiac catheterization.D/T billing units = 7,765,097 Cardiac Cath units = 327,686
4C (Expenses $ 86811299 including grants of $ 0) (Revenue $ 86937016) Operating and Recovery Room - Inpatient and outpatient operating room services including open heart program, transplant services and specialized trauma services. Billing units = 366,776
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Supplemental Information
Schedule H (Form 990) Part VI
Part VI - Additional Information GENERALAll Schedule H disclosures reference the Albany Medical Center organization, of which Albany Medical Center Hospital is part of. Also incldued in this organization is Albany Medical Center South Clinical Campus and Albany Medical College.PART III line 8Albany Medical Center prepares a cost report for Medicare/Medicaid purposes. Figures reported in this cost report were used as the basis for reporting. The cost report is prepared by using financial statement data and statistical information to arrive at a cost allocated report. The report is cost certified as required by an independent accountant.
Part V - Explanation of Number of Facility Type Two locations
Part VI - States Where Community Benefit Report Filed NY
Part VI - Affilated Health Care System Roles and Promotion Albany Medical Center Hospital is a discrete operating entity of Albany Medical Center. As a member of Albany Medical Center, the Hospital has a mission of providing excellence in patient care. Other members of Albany Medical Center includes Albany Medical College, Albany Medical Center Foundation and Albany Medical Center.
Part VI - Explanation Of How Organization Furthers Its Exempt Purpose "* Our medical staff includes over 600 community-based physicians.* We provide Continuing Medical Education to over 4,000 medical professionals annually.* Albany Med invests in meeting community health needs at all levels, from community-based programs such as diabetes and other chronic disease management to highly specialized inpatient programs like our end-stage Congestive Heart Failure clinic. * Additional disease-based primary care outpatient programs assist patients with AIDS, cystic fibrosis, hemophilia, Gaucher's Disease, end-stage kidney disease and provide services through our psychiatry clinic. * Albany Med runs the region's sexual assault examiner program.* In addition to serving as a resource for specialty services and transfer of patients, we have worked with other health systems and service providers to ensure that community needs are met. Over the last five years Albany Med has expanded its role as a clinical rotation site for students studying in the fields of nursing, respiratory therapy, ultrasound, cardiovascular, paramedical services, pharmacy and laboratory sciences. * Additionally, the Hospital offers scholarships to students in some of these programs, and has recently included scholarship programs at other local and regional colleges in the field of clinical laboratory medicine. This initiative has succeeded in increasing enrollment in previously under-enrolled programs to the point where there are sufficient graduating students to fill vacancies in many other hospitals in this region. * Within nursing, Albany Med instituted a ""Grow Our Own"" Program whereby hospital employees who are not nurses can become nurses by attending courses and gaining clinical experience 1 day out of each scheduled work week. * We educate and train physicians - over 550 future physicians each year. We also offer residencies and fellowships in over thirty accredited programs - while maintaining an important commitment to the impact of societal trends on the practice of medicine and community health. * Notably, approximately 40 percent of the region's physicians have graduated from, or receive continued medical education through, Albany Medical College. * Because of the broad range of programs and services available at academic medical centers, Albany Medical Center retains a wide range of physician specialists not found elsewhere in our region, including critical care medicine and surgery; electrophysiology/interventional cardiology; endovascular surgery; HIV medicine; neuro-interventional care; oncology surgery; pediatric subspecialties; plastic and reconstructive surgery; transplant surgery; and trauma."
Part VI - Community Building Activities "Examples of Albany Medical Center's activities to support communities in the City of Albany, NY and beyond include:* $40 million annually for charity care and, more importantly, help enroll patients in health insurance programs.* Provide the City of Albany with free use of a residential building for the establishment of a neighborhood police unit to enhance security in the neighborhood.* Provide City of Albany Fire Department a building on Albany Med's campus whereby they can conduct training drills for their staff. * Allocated more than $100,000 to encourage - through $5,000 grants - Albany Med's own employees to own homes and reside within the immediate communities surrounding the Medical Center. * We host job fairs at the Hospital and out in the community to encourage local residents to apply for positions at the medical center.* We sponsor free ""English-as-a-second language"" classes at the Hospital which are open to all employees and their spouses.* We host free health-related seminars to the public, both on and off campus, attended by thousands of the region's residents.* We host free health-related screenings on and off campus (skin cancer, prostate health).* Support for Healthy Hearts on the Hill through which staff participate in numerous health screenings, community dinners and health educational programs in Albany City neighborhoods.* WIC Program Management is located at Albany Med.* Working with community residents and the University of Albany School of Social Welfare on a program designed to decrease violence by facilitating intervention when victims are brought to Albany Medical Center.* Active membership in Healthy Capital District Initiative where our membership supports public health and dental programs, and where we work collaboratively to assess community health needs to help shape prevention programs. * Nurses from Albany Medical Center visit area high schools to educate students about careers in health care.* Our doctors and students, through Project Medscope, volunteer in primary care clinics, domestic violence shelters, homeless shelters, and soup kitchens.* Sponsorship of community-based organizations including: * Albany Institute of History and Art * Albany Symphony Orchestra * College of St. Rose * Community AIDS Partnership * Jewish Family Services * Northeast Parent and Child Society * Parsons Child and Family Center * Ronald McDonald House * Upper Hudson Planned Parenthood"
Part VI - Community Information Our tri-partite mission (patient care, medical education, biomedical research) and our geographic location in New York State distinguish us from every healthcare provider in a 130+ mile radius - which results in how we define our large and vast service area: 25-counties throughout Northeastern New York and Western New England. As this region's only academic medical center, we provide a wide range of services-including high-end specialty care, some of which is not found elsewhere in the region, including organ transplantation, the area's only Children's Hospital, Level I Trauma center, State-designated AIDS Treatment Center, Level IV NICU, region's only PICU. Our service area:Primary Service Area 66% of our patients (Albany, Rensselaer, Saratoga, Schenectady Counties)Secondary Service Area 18% of our patients(includes our expanded Charity Care coverage: Columbia, Fulton, Greene, Montgomery, Schoharie, Warren, Washington Counties)Tertiary Service Area & beyond 16% of our patients (includes, but not limited to the ring of counties around Secondary Service Area, and Western New England)For our service area's 3 million persons, we ensure access to medical and technological innovations that are traditionally found only in academic medical centers.
Part VI - Patient Education of Eligibility for Assistance Albany Medical Center provides a guide to all patients and their families describing its services, programs and policies. This guide describes the financial assistance options available to a patient. In addition, Albany Medical Center maintains a website that provides information on financial assistance, charity care and frequently asked questions. Albany Medical Center further provides assistance and information about available programs during its collection process. Albany Medical Center supports our patient who may be uninsured or underinsured through the following programs and relationships.Fidelis facilitated enrollment specialists have partnered with AMC to screen and enroll patients in applicable programs. The program will service the patient in the community or home and provide follow up efforts with the respective insurer or county program.Chamberlin Edmond, an enrollment company, performs screening and enrollment in federal disability programs and State Medicaid programs. The company covers patients within and outside of NYS. There is no charge to the patient for this program.Albany County Department of Social Services Senior examiner is located on site at the hospital Monday - Friday and performs application determinations and facilitates complex case completion. This includes Chronic Care Medicaid enrollment.Albany Medical Center staffs a 7 day a week Patient Assistance Unit that performs enrollment in Medicaid, screens applicants for special program eligibility, provides Financial Aid/Charity Care application processing, performs COBRA premium requests, supports our patients in managing complex financial situations related to medical bills. The unit coordinates with physician practice groups to support the patient in navigating the financial process to ensure the provision of service with minimal financial burden whenever possible. Albany Medical Center provides a self pay/customer service unit to support the processing of Financial Aid/Charity Care applications and Presumptive Eligibility for all patients who may be determined eligible based on income and family size.We continue to build community partnerships that support the enrollment of patients in programs that will provide the most complete coverage for the care they need.
Part VI - Needs Assessment At Albany Medical Center, assessing the health care needs of our community is an ongoing process and an integral part of our mission and our institutional strategic planning. Initiatives involve the Hospital's trustees, administrators, physicians and staff, thus ensuring that we share the same vision of service to the community.MethodsHospital staff use the following methods to identify our community's needs, and craft strategies to meet those needs:* Maintaining a comprehensive database to track transfers and transfer requests from every hospital in our region* Conversations with CEOs and Medical Directors in our region * Information and input gathered each year from various community sources on unmet health care needs;* The environmental assessment from our strategic planning process;* An annual community survey using an independent market research firm;* Patient surveys; both inpatient and outpatient surveys (in 2008, this information was aligned with a broader community survey to identify a range of community health issues); * Community access to Albany Med via webmail * Ongoing market research on health care issues and expectations from the medical community in our region.Sources of informationThe hospital staff routinely study the hospital / health care services needed by community residents. Staff use internal data, as well as information from the following sources:* NYS Department of Health SPARCS data* Capital District Regional Planning Commission* United States Bureau of Census* Centers for Disease Control* County Health Departments in our region, especially the most recent Community Health Assessments* NYS Vital StatisticsPublic ParticipationIn collaboration with, and as a member of a local health coalition -- Healthy Capital District Initiative (HCDI) -- health indicators were selected that aligned with public health data and national priorities identified in the Healthy People 2010 report and New York State's Prevention Agenda for a Healthier New York. Simultaneously, HCDI members updated a comprehensive community health profile to allow trends to be considered.More than a dozen top health priorities were reviewed during a year-long process which analyzed data collected from resources such as NYSDOH's Vital Statistics, the HCDI community health profile, and SPARCS data sets, as well as from Local Health Departments and other sources. The public confirmed HCDI's selection of 2 major health priorities: 1) chronic disease and 2) access to care. Validation was through a public forum show televised on a local television station, and a follow-up, web-based community survey available to public for completion.
Part III, Line 9b - Provisions On Collection Practices For Qualified Patients Albany Medical Center provides a guide to all patients and their families describing its services, programs and policies. This guide describes the financial assistance options available to a patient. In addition, Albany Medical Center maintains a website that provides information on financial assistance, charity care and frequently asked questions. Albany Medical Center further provides assistance and information about available programs during its collection process. Albany Medical Center supports our patients who may be uninsured or underinsured through the following programs and relationships.Fidelis facilitated enrollment specialists have partnered with AMC to screen and enroll patients in applicable programs. The program will service the patient in the community or home and provide follow up efforts with the respective insurer or county program.Chamberlin Edmond, an enrollment company, performs screening and enrollment in federal disability programs and State Medicaid programs. The company covers patients within and outside of NYS. There is no charge to the patient for this program.Albany County Department of Social Services Senior examiner is located on site at the hospital Monday - Friday and performs application determinations and facilitates complex case completion. This includes Chronic Care Medicaid enrollment.Albany Medical Center staffs a 7 day a week Patient Assistance Unit that performs enrollment in Medicaid, screens applicants for special program eligibility, provides Financial Aid/Charity Care application processing, performs COBRA premium requests, supports our patients in managing complex financial situations related to medical bills. The unit coordinates with physician practice groups to support the patient in navigating the financial process to ensure the provision of service with minimal financial burden whenever possible. Albany Medical Center provides a self pay/customer service unit to support the processing of Financial Aid/Charity Care applications and Presumptive Eligibility for all patients who may be determined eligible based on income and family size.We continue to build community partnerships that support the enrollment of patients in programs that will provide the most complete coverage for the care they need.
Part III, Line 4 - Bad Debt Expense Uncompensated Care Footnote from Combined Audited Financial StatementsNOTE: The Center reports information regarding bad debt on a combined basis with Albany Medical Center Hospital.As part of its mission, the Center accepts all patients regardless of their ability to pay for services rendered. During 2010 and 2009, the Center recorded charity care of $16.1 million and $17.2 million, as measured on charges. The Center also subsidizes services to Medicaid patients which are paid at reimbursement levels below the Center's cost of rendering the related services. In addition, during 2010 and 2009, the Center incurred approximately $26.1 million and $21.7 million in bad debt expense, respectively. Bad debt expense primarily relates to patients without insurance and to those that are either underinsured or without the necessary resources to pay co insurance and deductible balances.
Part I, Line 7 - Explanation of Costing Methodology Albany Medical Center prepares a cost report for Medicare/Medicaid purposes. Figures reported in this cost report were used as the basis for reporting of charity care and means tested programs.Albany Medical Center surveyed staff for activities that meet the criteria to be reported for other benefits. Time reports from these surveys were provided and reviewed, resulting in a calculation of appropriate cost attributable to these programs.
