4A (Expenses $ 1276193291 including grants of $ 15000) (Revenue $ 1325507163)
"INPATIENT AND OUTPATIENT SERVICES - PROVISION OF INPATIENT AND OUTPATIENT SERVICES INCLUDING SPECIALIZED NURSING SERVICES AND EMERGENCY ROOM. 2021 ADMISSIONS WERE APPROXIMATELY 542,845 AND PATIENT DAYS WERE APPROXIMATELY 558,916.COVID-19 IMPACT: THE COVID PANDEMIC HAS TAKEN ITS TOLL IN WAYS FEW COULD HAVE PREDICTED.AS IT DID TO ALL HEALTH CARE ORGANIZATIONS ACROSS THE U.S., THROUGHOUT 2021, THE CORONAVIRUS PRESENTED ANOTHER YEAR OF SIGNIFICANT CHALLENGES TO THE ALBANY MED HEALTH SYSTEM. WHILE VACCINATIONS, THERAPIES, AND TREATMENTS BECAME MORE BROADLY AVAILABLE DURING THE YEAR, SURGES OF THE VIRUS RESULTED IN UNEXPECTED, COMPLEX EFFECTS. THE ALBANY MED HEALTH SYSTEM WAS AFFECTED SIMILARLY TO THE REST OF THE HEALTHCARE INDUSTRY, BUT PERHAPS MORE SO BECAUSE OF OUR ROLE AS A REFERRAL CENTER FOR A 25-COUNTY REGION.SUBSTANTIAL FINANCIAL AND OPERATIONAL IMPACTS INCLUDED:- SIGNIFICANT EXPENSE CHALLENGES - CONTINUING A TREND FROM 2020, EXPENSES WERE EXACERBATED BY NUMEROUS WAVES OF COVID-19. OUR NUMBER OF INPATIENT CASES REMAINED HIGH, RESULTING IN AN INCREASE IN THE RELATED COST OF CARE AND THE NEED FOR ADDITIONAL STAFF AND SUPPLIES. SUPPLY COSTS INCREASED DUE TO SHORTAGES, AND TRAVEL AGENCY SERVICES WERE LEVERAGED TO MEET PATIENT DEMAND AND A WORKFORCE SHORTAGE, WHILE TRAVEL LABOR RATES ROSE STEEPLY.- REVENUE CHALLENGES - DURING 2021, ALTHOUGH A FINANCIAL REBOUND WAS ATTEMPTING TO OCCUR, IT WAS STALLED BY STAFFING SHORTAGES, RESULTING IN BOTH AN INABILITY TO MEET DEMAND AND A BACKLOG OF VISITS AND PROCEDURES. ADDITIONALLY, THE NEED TO RELY ON AGENCY SERVICES TO ASSIST WITH STAFFING AND THE RISING EXPENSES DESCRIBED ABOVE ALSO CONTRIBUTED TO REVENUE CHALLENGES, PARTICULARLY TOWARD THE END OF THE YEAR. - MAJOR OPERATIONAL CHALLENGES - THE SYSTEM EXPERIENCED OPERATIONAL CHALLENGES SIMILAR TO OTHER HOSPITALS AND HEALTH SYSTEMS. THE DEMAND FOR ADDITIONAL STAFF, PPE, AND OTHER EQUIPMENT CONTINUED IN 2021. DIFFICULTY PLACING PATIENTS READY FOR DISCHARGE FREQUENTLY OCCURRED, WHICH RESULTED IN AN INCREASED LENGTH OF STAY. THIS, IN TURN, NOT ONLY EXAGGERATED STAFFING SHORTAGES, BUT IMPACTED OUR ABILITY TO ACCEPT PATIENT TRANSFERS.- WORKFORCE CHALLENGES -THE ""GREAT RESIGNATION"", WHICH BEGAN IN THE SPRING OF 2021, HAS HAD A SEVERE IMPACT ON ALL HEALTHCARE ORGANIZATIONS, AND THE ALBANY MED HEALTH SYSTEM WAS NO EXCEPTION. NURSES AND OTHER CRITICAL CARE STAFF BEGAN LEAVING IN RECORD NUMBERS; OUR SYSTEM TURNED TO FOR-PROFIT TEMPORARY STAFFING AGENCIES, WHICH BEGAN CHARGING RATES WELL BEYOND PRE-PANDEMIC LEVELS. IN SEPTEMBER 2021, OUR SYSTEM LOST ADDITIONAL STAFF DUE TO RESIGNATIONS AND TERMINATIONS SPURRED BY NEW YORK STATE'S COVID-19 VACCINATION REQUIREMENT. AND THROUGHOUT THE YEAR, THE QUARANTINE OF COVID-POSITIVE STAFF MEMBERS CONTRIBUTED TO WORKFORCE SHORTAGES, AS WELL.COVID 19 RESPONSE: AS REGIONAL PROVIDERS OF CARE, THE HOSPITALS OF ALBANY MED HEALTH SYSTEM CONTINUOUSLY SOUGHT WAYS TO ASSIST OUR REGION'S RESIDENTS IN 2021: - THE PROVISION OF 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.- CONTINUED AVAILABILITY OF COVID-19 THERAPIES. CONTINUATION OF, AND EXPANSION OF, TELEHEALTH SERVICES ACROSS THE SYSTEM TO ALLOW PATIENTS AND THE COMMUNITY CONTINUED ACCESS TO PROVIDERS.- EXPANDED HOURS FOR COVID-19 TESTING FOR STAFF. - CONTINUED 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.- ROUTINE REVISION OF INTERNAL COVID-19 POLICIES AND GUIDELINES, INCLUDING VISITATION GUIDELINES, EMPLOYEE COVID TESTING, AND CURRENT PRACTICES, BASED ON THE MOST CURRENT CDC AND NEW YORK STATE GUIDANCE.- 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 MEASURE COVID-19 RATES ON A DAILY BASIS. - ALBANY MEDICAL CENTER HOSPITAL, THE PRIMARY ENTITY OF THE ALBANY MED HEALTH SYSTEM, WAS SELECTED TO LEAD THE CAPITAL REGION IN THE DISTRIBUTION OF COVID-19 VACCINES, THE ROLL-OUT OF WHICH BEGAN IN DECEMBER 2020 AND RAMPED UP IN 2021. ALL SYSTEM HOSPITALS PARTICIPATED IN THE PROGRAM. MANY MEMBERS OF OUR WORKFORCE HELPED DISTRIBUTE THE VACCINE. THE CAPITAL REGION VACCINE NETWORK WAS THE FIRST REGIONAL HUB TO ADMINISTER FIRST DOSES OF THE VACCINE TO AT LEAST HALF ITS POPULATION. - A POWERFUL, REGIONAL ADVERTISING CAMPAIGN CONTINUED, 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. - IN ADDITION, CAREER FAIRS AND RECRUITMENT CAMPAIGNS INCREASED ACROSS THE SYSTEM TO HELP FILL POSITIONS IN PATIENT CARE. TACTICS INCLUDED YOUTUBE STREAMING ADS, NURSE HIRING EVENTS, OPEN HOUSES AND CAREER FAIRS."

4B (Expenses $ 339298772 including grants of $ 0) (Revenue $ 325817645)
FACULTY PRACTICE - FACULTY PRACTICE ALBANY MEDICAL CENTER OPERATES A CLINICAL PRACTICE ACTIVITY (PATIENT CARE) FOR THE FACULTY OF THE ALBANY MEDICAL COLLEGE. 2021 EXPERIENCED OVER 700,000 PATIENT VISITS.

4C (Expenses $ 307515162 including grants of $ 0) (Revenue $ 403368425)
DIAGNOSTIC AND TESTING SERVICES - DIAGNOSTIC & TESTING SERVICES INPATIENT AND OUTPATIENT SERVICES INCLUDING DIAGNOSTIC IMAGING, RADIATION THERAPY, AND CARDIAC CATHETERIZATION. IN 2021, ALBANY MEDICAL CENTER INPATIENT PROFESSIONAL SERVICES TOTALED 91,803; OUTPATIENT SERVICES TOTALED 50,667 AND ER SERVICES WAS APPROXIMATELY 90,285.

4D (Expenses $ 368259306 including grants of $ 23405217) (Revenue $ 450016043)
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 25,688 TOTAL CASES PERFORMED WITH 8,114 INPATIENT, 2,348 SAME DAY, AND 15,226 OUTPATIENT.OTHER PATIENT CARE BASED SERVICES TOTALED APPROXIMATELY $90 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.COLUMBIA MEMORIAL HOSPITAL: THE ORGANIZATION HAD APPROXIMATELY $12.8M 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 FOREMOST COMMITMENT OF SCI IS TO ENABLE ITS AFFILIATED ENTITY (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 32,000 PATIENT VISITS FOR PREGNANCY AND GYNECOLOGICAL CARE DURING 2021. 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 TECHNIQUES TO IDENTIFY, DEVELOP A TREATMENT PLAN, AND MANAGE KIDNEY DISEASE. IN 2021, PROVIDERS AT THIS LOCATION SAW APPROXIMATELY 2,700 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 PRIMARY CARE OR SPECIALIST, THUS AVOIDING AN EMERGENCY ROOM VISIT TO THEIR LOCAL HOSPITAL. DURING 2021, MMEC ACCOMMODATED APPROXIMATELY 43,000 URGENT CARE VISITS. IN ADDITION, OTHER SERVICES PROVIDED DURING THE YEAR INCLUDED OUTPATIENT X-RAY (16,774), ULTRASOUND (8,570), COMPUTED TOMOGRAPHY (7,983), MAGNETIC RESONANCE IMAGING (1,974 TESTS) AND LABORATORY SERVICES (281,507 TESTS).TOTAL LINE 4D OTHER EXPENSES, GRANTS, AND REVENUES

ALBANY MEDICAL CENTER HOSPITAL
"PART V, SECTION B, LINE 5: ACCOUNT INPUT FROM PERSON WHO REPRESENT THE COMMUNITY ALBANY MEDICAL CENTER (AMC), COLUMBIA MEMORIAL HEALTH (CMH), AND SARATOGA HOSPITAL (SH) COMPRISED THE ALBANY MED HEALTH SYSTEM IN 2019, THE YEAR THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED. THE CHNA ENCOMPASSED THE COUNTIES WITHIN NEW YORK STATE'S ""CAPITAL REGION"". IN 2020, A NEW AFFILIATE, GLENS FALLS HOSPITAL (GFH), JOINED THE SYSTEM. GLENS FALLS HOSPITAL WAS A LEAD ENTITY AND PARTICIPANT IN A SEPARATE COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH FOCUSED ON THE REGION COMMONLY KNOWN AS THE ""NORTH COUNTRY"" WITHIN NEW YORK STATE, WHICH INCLUDES WARREN, WASHINGTON AND NORTHERN SARATOGA COUNTIES, GLENS FALLS HOSPITAL'S PRIMARY SERVICE AREA.EACH OF OUR HOSPITALS HAVE A PROUD AND LONG TRADITION CARING FOR OUR COMMUNITIES IN NEW YORK STATE'S CAPITAL REGION.ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HEALTH, SARATOGA HOSPITALALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HEALTH, AND SARATOGA HOSPITAL ARE ACTIVE AND INVOLVED MEMBER ORGANIZATIONS OF THE HEALTHY CAPITAL DISTRICT INITIATIVE (HCDI). A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY HCDI IN 2019 IN COLLABORATION WITH NUMEROUS REGIONAL PARTNERS, INCLUDING THE 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.GLENS FALLS HOSPITALGLENS FALLS HOSPITAL IS AN ACTIVE AND INVOLVED MEMBER ORGANIZATION OF THE ADIRONDACK RURAL HEALTH NETWORK (ARHN), THE LEADING SPONSOR OF FORMAL COMMUNITY HEALTH PLANNING IN THE NORTH COUNTRY REGION. THE COMMUNITY HEALTH ASSESSMENT (CHA) COMMITTEE, FACILITATED BY ARHN, IS MADE UP OF HOSPITALS AND COUNTY HEALTH DEPARTMENTS WORKING TOGETHER TO UTILIZE AS SYSTEMATIC APPROACH TO COMMUNITY HEALTH PLANNING AND ASSESSMENT. WORKING WITHIN THE FRAMEWORK PROVIDED BY THE NYS PREVENTION AGENDA, GFH COORDINATED WITH WARREN, WASHINGTON, AND SARATOGA COUNTY HEALTH DEPARTMENTS IN THE DEVELOPMENT OF THEIR REGIONAL CHNA. ADDITIONALLY, GFH COORDINATED WITH MEMBERS OF THE CHA COMMITTEE INCLUDING REPRESENTATIVES FROM FULTON, ESSEX, HAMILTON, FRANKLIN, AND CLINTON COUNTY PUBLIC HEALTH, AS WELL AS WITH SEVERAL OTHER HOSPITALS IN THE NORTH COUNTRY REGION.A VARIETY OF DATA SOURCES WERE USED TO INFORM THE COUNTY AND HOSPITAL ASSESSMENTS. THE TWO MOST SIGNIFICANT RESOURCES USED WERE DEVELOPED AND PROVIDED BY ARHN COLLABORATION: (1) PUBLICLY AVAILABLE COUNTY HEALTH INDICATOR DATA, AND (2) DATA COLLECTED FROM A REGIONAL COMMUNITY STAKEHOLDER SURVEY.THE STAKEHOLDER SURVEY WAS CONDUCTED TO GATHER INFORMATION FROM A VARIETY OF FIELDS AND PERSPECTIVES TO PROVIDE VALUABLE INSIGHT INTO THE COMMUNITY'S NEEDS. STAKEHOLDERS SURVEYED INCLUDED COMMUNITY MEMBERS, AS WELL AS PROFESSIONALS FROM HEALTH CARE, SOCIAL SERVICES, EDUCATIONAL, AND GOVERNMENTAL. A TOTAL OF 409 RESPONSES WERE RECEIVED THROUGH FEBRUARY 8, 2019, FOR A TOTAL RESPONSE RATE OF 50.68%. THE RESULTS GUIDED STRATEGIC PLANNING THROUGHOUT THE ADIRONDACK (NORTH COUNTRY) REGION, AND WAS HELPFUL BOTH FOR PARTNERS WHO SERVE INDIVIDUAL COUNTIES, AND THOSE WHOSE FOOTPRINT COVERS MULTIPLE COUNTIES.EACH COUNTY PUBLIC HEALTH DEPARTMENT, AS WELL AS GFH, USED ADDITIONAL DATA SOURCES TO SUPPLEMENT THIS INFORMATION AND INFORM THE PROCESS BASED ON THEIR NEEDS. ADDITIONAL DATA SOURCES USED BY GFH INCLUDE: THE NYS PREVENTION AGENDA DASHBOARD, COUNTY HEALTH RANKINGS, THE NYS CANCER REGISTRY, THE GOVERNOR'S CANCER RESEARCH INITIATIVE, WARREN COUNTY CANCER INCIDENCE REPORT, AND AN ATTITUDINAL TOBACCO ASSESSMENT CONDUCTED IN WARREN, WASHINGTON, AND SARATOGA COUNTIES."

ALBANY MEDICAL CENTER HOSPITAL
"PART V, SECTION B, LINE 6A: ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HOSPITAL, SARATOGA HOSPITALALL HOSPITALS LOCATED WITHIN THE DEFINED 6-COUNTY CAPITAL REGION PARTICIPATED IN THE COLLABORATIVE PROCESS OF ASSESSING THE HEALTH NEEDS OF THE COMMUNITY. THEY INCLUDE: ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HOSPITAL, ELLIS MEDICINE, SARATOGA HOSPITAL, AND ST. PETER'S HEALTH PARTNER HOSPITALS.GLENS FALLS HOSPITALPARTICIPATING HOSPITALS IN THE ""NORTH COUNTRY"" CHNA INCLUDE: ADIRONDACK HEALTH, NATHAN LITTAUER HOSPITAL, UVM HEALTH NETWORK-ALICE HYDE MEDICAL CENTER, UVM HEALTH NETWORK-CHAMPLAIN VALLEY PHYSICIANS HOSPITAL, AND UVM HEALTH NETWORK-ELIZABETHTOWN COMMUNITY HOSPITAL. GFH ALSO COORDINATES WITH SARATOGA HOSPITAL TO ADDRESS THE OVERLAPPING SERVICE AREAS. (A SMALL PORTION OF SARATOGA HOSPITAL'S SERVICE AREA INCLUDES PART OF SOUTHERN WARREN COUNTY.)"

ALBANY MEDICAL CENTER HOSPITAL
PART V, SECTION B, LINE 6B: ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HOSPITAL, SARATOGA HOSPITALMANY 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 HEALTH WAS A LEADING MEMBER IN THE COLUMBIA-GREENE PRIORITIZATION WORKGROUP. ADDITIONAL PARTICIPATING ORGANIZATIONS CAN BE FOUND ON PAGE 34 OF THE HCDI CHNA: HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/2019_CHNA/2019_HCDI-COMMUNITY-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.GLENS FALLS HOSPITALGFH COLLABORATED WITH THE CHA COMMITTEE OF ARHN WHICH INCLUDES MEMBER ORGANIZATIONS FROM LOCAL HEALTH DEPARTMENTS OF CLINTON, ESSEX, FRANKLIN, FULTON, HAMILTON, WARREN, WASHINGTON AND SARATOGA.ARHN ALSO PROVIDES A FORUM FOR LOCAL PUBLIC HEALTH LEADERS, COMMUNITY HEALTH CENTERS, HOSPITALS, COMMUNITY MENTAL HEALTH PROGRAMS, EMERGENCY MEDICAL SERVICES, AND OTHER COMMUNITY-BASED ORGANIZATIONS TO ASSESS REGIONAL POPULATION HEALTH NEEDS AND DEVELOP COLLABORATIVE RESPONSES TO PRIORITIES. AS A MULTI-STAKEHOLDER REGIONAL COALITION, ARHN INFORMS REGIONAL HEALTH PLANNING AND ASSESSMENT, PROVIDES EDUCATION AND TRAINING TO FURTHER THE NYS DOH PREVENTION AGENDA AND OFFERS OTHER RESOURCES THAT SUPPORT THE DEVELOPMENT OF THE NORTH COUNTRY REGIONAL HEALTH CARE SYSTEM.

ALBANY MEDICAL CENTER HOSPITAL
"PART V, SECTION B, LINE 7D: DESCRIPTION OF MAKING NEEDS ASSESSMENT WIDELY AVAILABLEFACILITY: ALBANY MEDICAL CENTER HOSPITAL- ALBANY MED'S NEWSLETTER ""ALBANY MED TODAY"", DISTRIBUTED TO EMPLOYEES, DONORS, PUBLIC- ALBANY MED BOARD OF DIRECTORS BOARD PORTAL- SHARED WITH LOCAL GOVERNMENT OFFICIALS AND OTHER MEMBERS OF OUR COMMUNITY WHEN REQUESTED- COPIES ARE FURNISHED UPON REQUEST FACILITY: COLUMBIA MEMORIAL HOSPITAL- ELECTRONIC COPIES ARE DISTRIBUTED TO ALL MEMBERS OF THE COLUMBIA-GREENE HEALTHY PEOPLE PARTNERSHIP, WHO ARE ENCOURAGED TO FURTHER REDISTRIBUTE THE INFORMATION- ELECTRONIC COPIES ARE ALSO DISTRIBUTED TO LOCAL ELECTED OFFICIALS AND TO STATE ELECTED OFFICIALS REPRESENTING COLUMBIA AND/OR GREENE COUNTIES - THE DOCUMENT IS POSTED ON EACH OF THE PLANNING PARTNERS' WEBSITES- COPIES ARE FURNISHED UPON 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: A DESCRIPTION OF THE METHOD BY WHICH THE CAPITAL REGION PRIORITIZATION WORKGROUPS SELECTED THE MOST SIGNIFICANT HEALTH NEEDS WITHIN EACH OF THE 4 REGIONS (ALBANY-RENSSELAER COUNTIES, COLUMBIA-GREENE COUNTIES, SARATOGA COUNTY AND SCHENECTADY COUNTY) CAN BE FOUND ON PAGES 30-31 IN THE HCDI CHNA: HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/2019_CHNA/2019_HCDI-COMMUNITY-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 PRIORITIES WITHIN THEIR REGIONS.AMONG THE WORKGROUPS IN WHICH ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HOSPITAL, AND SARATOGA HOSPITAL WERE LEADING PARTICIPANTS, CHRONIC DISEASE AND MENTAL HEALTH INITIATIVES RECEIVED THE GREATEST NUMBER OF VOTES DUE TO THEIR IMPACT ON MANY PEOPLE IN THE MOST SIGNIFICANT WAYS, BOTH DIRECTLY AND INDIRECTLY, AND THROUGH THEIR INFLUENCE ON OTHER HEALTH CONDITIONS. THEY ARE ALSO LARGELY PREVENTABLE AND CONTRIBUTE MOST SIGNIFICANTLY TO THE COST OF HEALTH CARE.THE 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, COLUMBIA MEMORIAL HEALTH, AND SARATOGA HOSPITAL PARTICIPATED CAN BE ACCESSED VIA THESE LINKS:ALBANY-RENSSELAER COUNTY PRIORITIZATION WORK GROUP: HTTP://WWW.HCDINY.ORG/CONTENT/SITES/HCDI/2019_CHNA/2019_HCDI-COMMUNITY-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 - PAGES 37-38ALBANY-RENSSELAER COUNTIES PRIORITIZATION WORKGROUP:ALBANY AND RENSSELAER COUNTIES SELECTED THE FOLLOWING PREVENTION AGENDA PRIORITY AREAS:- REDUCE OBESITY AND PREVENT DIABETES- PREVENT/CONTROL ASTHMA, PREVENT TOBACCO USE- PREVENT MENTAL DISORDERSEXISTING TASK FORCES, FORMED FROM PRIOR CHNAS, HAVE HAD THEIR SCOPES MODIFIED, AND IN SOME CASES, NEW TASK FORCES WERE 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 HAS REVISED 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 IS WORKING 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, WHICH CURRENTLY PARTNERS WITH THE ALBANY COUNTY STRATEGIC ALLIANCE FOR HEALTH, AS WELL AS THE ASTHMA COALITION OF THE CAPITAL REGION. ADDRESSING MENTAL HEALTH REQUIRES COLLABORATION WITH BOTH ALBANY AND RENSSELAER COUNTIES' DEPARTMENTS OF MENTAL HEALTH. MENTAL HEALTH INTERVENTIONS HAVE ALSO INTEGRATED DSRIP (DELIVERY SYSTEM REIMBURSEMENT INCENTIVE PAYMENT PROGRAM), PPS AND HEALTH HOMES.ALBANY MEDICAL CENTER, SPECIFICALLY, WILL CONTINUE TO PROVIDE THE STAFF, FACILITIES, RESOURCES AND BUDGET NECESSARY TO CARRY OUT INITIATIVES AS OUTLINED IN THEIR IMPLEMENTATION STRATEGY, FOUND ON PAGES 29-35 IN THE ALBANY MEDICAL CENTER COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN 2019-2021: HTTPS://WWW.AMC.EDU/ABOUTUS/UPLOAD/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-2019.PDFCOLUMBIA-GREENE COUNTIES PRIORITIZATION WORKGROUPCOLUMBIA AND GREENE COUNTIES SELECTED THE FOLLOWING PREVENTION AGENDA PRIORITY AREAS:- REDUCE OBESITY AND PREVENT DIABETES- PREVENT SUBSTANCE ABUSE AND SUPPORT MENTAL EMOTIONAL AND BEHAVIORAL DISORDERS (MEB) SCREENING AND TREATMENTTHE GREENE COUNTY MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) COMMUNITY GROUP AND THE COLUMBIA COUNTY PUBLIC HEALTH LEADERSHIP GROUP SUPPORTS 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. ALTHOUGH IMPACTED BY COVID-19, EACH TASK FORCE HAS WORKED TO MAINTAIN ITS SCHEDULE OF MONTHLY MEETINGS, AND COMMUNITY PARTNERS RESPONSIBLE FOR PRIORITY AREA ACTIONS PROVIDE UPDATES ON ONGOING AND PROJECTED ACTIVITIES AND INTERVENTIONS. THE TASK FORCES ARE RESPONSIBLE FOR ALIGNMENT AND GUIDANCE OF ALL COUNTYWIDE ACTIVITIES RELATED TO EACH PRIORITY AREA.COLUMBIA MEMORIAL HOSPITAL WILL CONTINUE TO PROVIDE THE RESOURCES NECESSARY TO SUPPORT THE SELECTED INITIATIVES, AS OUTLINED IN THEIR IMPLEMENTATION STRATEGY, ON PAGES 4-6, 9, AND 12-14 OF THE APPENDIX WITHIN THE COLUMBIA MEMORIAL HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN 2019-2021: HTTPS://WWW.COLUMBIAMEMORIALHEALTH.ORG/WP-CONTENT/UPLOADS/2020/07/C-G-CHNA-IS-CHIP-CSP-COMPLETE-WITH-APPENDICES.PDF.SARATOGA COUNTY PRIORITIZATION WORKGROUPSARATOGA COUNTY SELECTED THE FOLLOWING PREVENTION AGENDA PRIORITY AREAS:- REDUCE OBESITY- PREVENT SUBSTANCE USE DISORDERS (INCLUDING OPIOIDS)TO ADDRESS NEEDS IDENTIFIED IN THE CHNA, SARATOGA HOSPITAL IS ENGAGING 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 CONTINUE TO 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.PDFSIGNIFICANT HEALTH NEEDS IDENTIFIED - GLENS FALLS HOSPITALBECAUSE GFH HAS A MULTI-COUNTY SERVICE AREA WITH EACH COUNTY HEALTH DEPARTMENT TAKING SLIGHTLY DIFFERENT APPROACHES TO THEIR ASSESSMENT PROCESS, GFH USED EACH COUNTY CHA TO INFORM A COMPLEMENTARY REGIONAL CHNA. GFH DID NOT CONVENE AN ADDITIONAL REGIONAL TEAM OF COMMUNITY PARTNERS AS THIS WOULD HAVE DUPLICATED EFFORTS AND CREATED CONFUSION AMONG COMMUNITY LEADERS. IN ADDITION, GFH PLAYED A SLIGHTLY DIFFERENT ROLE IN EACH OF THE COUNTY PROCESSES. GFH DIRECTLY PARTICIPATED IN THE PLANNING OF THE WARREN COUNTY CHA. GFH WAS A PARTICIPANT IN THE WASHINGTON COUNTY PROCESS. IN SARATOGA COUNTY, THE PROCESS WAS MAINLY COORDINATED BY SARATOGA HOSPITAL AND SARATOGA COUNTY PUBLIC HEALTH AND FACILITATED BY A DIFFERENT REGIONAL PLANNING GROUP. HOWEVER, GFH PARTICIPATED IN THE WORKGROUP THAT DETERMINED THE NEEDS OF THE COUNTY.ONCE THE ASSESSMENT PROCESS WAS COMPLETE FOR EACH COUNTY, GFH REVIEWED THE RESULTS TO COORDINATE WITH EACH COUNTY AS APPROPRIATE, IN ADDITION TO CONSIDERATION OF RESOURCES, EXPERTISE AND STRATEGIC PLANS TO INFORM A COORDINATE AND COMPLEMENTARY REGIONAL CHNA FOR THE GFH SERVICE AREA.THE PROCESS FOR EACH COUNTY IS DESCRIBED IN THEIR RESPECTIVE PLANS AND AVAILABLE ON THEIR WEBSITES. WARREN COUNTY: HTTPS://WARRENCOUNTYNY.GOV/HEALTHSERVICES/REPORTS WASHINGTON COUNTY: HTTPS://WWW.WASHINGTONCOUNTYNY.GOV/292/PUBLIC-HEALTH-NURSING SARATOGA COUNTY: HTTPS://WWW.SARATOGACOUNTYNY.GOV/DEPARTMENTS/HEALTH/COMMUNITY-HEALTH-ASSESSMENT/.IN ADDITION TO EVALUATING THE PRIORITIES AND COUNTY LEVEL DATA INDICATORS OF OUR LOCAL COUNTY HEALTH DEPARTMENTS, GFH CONSIDERED THEIR EXPERTISE, CAPACITY, FUNDING, AND POTENTIAL IMPACT. THE FOLLOWING WERE IDENTIFIED AS THE MOST SIGNIFICANT HEALTH NEEDS FOR THE POPULATION SERVED BY GFH. THESE NEEDS ARE THE FOCUS OF GFH'S COMMUNITY HEALTH STRATEGIES FOR 2019-2021.- HEALTHY EATING AND FOOD SECURITY- PHYSICAL ACTIVITY- TOBACCO PREVENTION- CHRONIC DISEASE PREVENTATIVE CARE AND MAINTENANCEGFH ALSO EXPANDED THEIR SCOPE OF WORK TO INCLUDE AN ADDITIONAL PRIORITY AREA- ANTIBIOTIC RESISTANCE AND HEALTHCARE-ASSOCIATED INFECTIONSAS PART OF THE COMMUNITY HEALTH PLANNING AND ASSESSMENT PROCESS, THE CHA COMMITTEE ALSO IDENTIFIED AND SELECTED A REGIONAL PRIORITY OF PREVENT CHRONIC DISEASES IN SUPPORT OF THE NYS PREVENTION AGENDA 2019-2024. THE CHA COMMITTEE SELECTED AN ADDITIONAL PRIORITY: PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS.ANALYSIS REVEALED AN INCREASING DEMAND AND NEED FOR MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES THROUGHOUT THE GFH SERVICE AREA.(SEE CONTINUATION ON PAGE 117)

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/FACILITY: GLENS FALLS HOSPITALTHE HOSPITAL'S CHNA IS POSTED AT THE FOLLOWING WEBSITE:HTTPS://WWW.GLENSFALLSHOSPITAL.ORG/SERVICES/COMMUNITY-SERVICES/HEALTH-PROMOTION-CENTER/

SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED
- GFH RECOGNIZES THIS TREND AND THE NEED FOR QUALITY SERVICES AND PROGRAMS, HOWEVER, HAS NOT HISTORICALLY FORMALIZED STRATEGIES INTO THE PLAN DUE TO LACK OF RESOURCES AND CAPACITY.- PRIOR TO THE COVID-19 PANDEMIC, GLENS FALLS HOSPITAL WAS THE CONTRACTED BEHAVIORAL HEALTH PROVIDER FOR WARREN AND WASHINGTON COUNTIES.- IN ANTICIPATING AN INCREASING NEED FOR BEHAVIORAL HEALTH SERVICES IN THE REGION, GFH WORKED PROACTIVELY TO ENSURE PATIENTS WOULD HAVE ACCESS TO THE CARE THEY NEED INTO THE FUTURE.- GLENS FALLS HOSPITAL WORKED WITH WARREN AND WASHINGTON COUNTIES TO CONDUCT A THOUGHTFUL AND DELIBERATE PARTNERSHIP EXPLORATION PROCESS FOR OUTPATIENT BEHAVIORAL HEALTH AND SUBSTANCE USE SERVICES. BEHAVIORAL HEALTH SERVICES NORTH HAS STEPPED IN TO TAKE OVER THE OUTPATIENT BEHAVIORAL HEALTH SERVICE TO HELP US BETTER SERVE PATIENTS, WITH A GOAL TO EXPAND ACCESS TO MUCH NEEDED SPECIALIZED BEHAVIORAL HEALTH SERVICES IN OUR COMMUNITY.- ADDITIONAL COMMUNITY HEALTH NEEDS, SUCH AS HOUSING, TRANSPORTATION, AND OTHER SOCIAL DETRIMENTS OF HEALTH, ARE NOT ADDRESSED IN THE ACTION PLAN DUE TO LACK OF RESOURCES, EXPERTISE AND/OR QUANTITATIVE DATA TO SUPPORT A PROPER ASSESSMENT AND PLAN.- GFH WILL WORK IN TANDEM WITH THE ARHN IN A VARIETY OF WAYS TO BOTH SUPPORT STRATEGIES TO ADDRESS AND RAISE AWARENESS ABOUT MENTAL AND SUBSTANCE USE DISORDER PREVENTION.- SIMULTANEOUSLY, GFH WILL CONTINUE TO WORK THROUGH PROGRAMS SUCH AS HEALTH HOME AND CARE TRANSFORMATION INITIATIVES WITH ALL AREA PROVIDERS TO SUPPORT INTEGRATED CARE MODELS AND POPULATION HEALTH STRATEGIES.TO ADDRESS NEEDS IDENTIFIED IN THE CHNA, GFH IS ENGAGING KEY COMMUNITY PARTNERS IN IMPLEMENTING EVIDENCE-BASED STRATEGIES ACROSS THE GFH SERVICE AREA. GFH WILL CONTINUE TO PROVIDE THE NECESSARY RESOURCES 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 10: HTTPS://WWW.GLENSFALLSHOSPITAL.ORG/WP-CONTENT/UPLOADS/2019/12/GFH-IMPLEMENTATION-STRATEGY-2019-2021-FINAL.PDFNEEDS NOT BEING ADDRESSED IN THE IMPLEMENTATION STRATEGIESNEEDS ADDRESSED IN IMPLEMENTATION STRATEGIES BY OTHER REGIONAL PARTNERSDURING THE PRIORITIZATION PROCESSES, MANY HEALTH NEEDS WERE SELECTED AS IMPORTANT TO ADDRESS. WHILE THERE WAS COMMONALITY AMONG MANY OF THE PRESSING HEALTH NEEDS, THERE WERE ALSO REGIONAL DIFFERENCES.THE HEALTH PRIORITIES OF ALBANY AND RENSSELAER COUNTIES, COLUMBIA AND GREENE COUNTIES, SARATOGA COUNTY, SCHENECTADY COUNTY, AND WARREN AND WASHINGTON COUNTIES 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, GLENS FALLS 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, GLENS FALLS HOSPITAL 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, COLUMBIA MEMORIAL HOSPITAL AND GLENS FALLS 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, COLUMBIA MEMORIAL HOSPITAL, GLENS FALLS HOSPITAL AND/OR SARATOGA HOSPITAL WILL ASSIST WITH THE IMPLEMENTATION OF THE WORKGROUP'S INITIATIVES.WARREN AND WASHINGTON COUNTIESALBANY MED HEALTH SYSTEM PARTNER GLENS FALLS HOSPITAL, WITH WARREN AND WASHINGTON COUNTY DEPARTMENTS OF HEALTH IS TAKING THE LEAD ON ALIGNING EFFORTS AROUND MUTUALLY SELECTED PRIORITY AREAS.WHEN FEASIBLE, ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HOSPITAL AND SARATOGA HOSPITAL WILL ASSIST WITH THE IMPLEMENTATION OF THE WORKGROUP'S INITIATIVES.NEEDS NOT ADDRESSED THROUGH REGIONAL IMPLEMENTATION STRATEGIESOTHER NEEDS WERE NOT ADDRESSED THROUGH EXISTING REGIONAL HEALTH TASK FORCES. BELOW ARE EXAMPLES OF HOW THE ALBANY MED HEALTH SYSTEM HOSPITALS' PROGRAMS AND INITIATIVES ARE ADDRESSING: A) OTHER HEALTH NEEDS IDENTIFIED DURING THE PRIORITIZATION PROCESS AND B) COVID-19 RELATED CARE, AN UNFORESEEN PANDEMIC DURING THE 2019 CHNA PROCESS.THE 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. ALSO INCLUDED IS A SUMMARY OF EFFORTS UNDERTAKEN TO RESPOND TO COVID-19, AN UNANTICIPATED HEALTH NEED DURING THE 2019 CHNA PROCESS.ALBANY MED HEALTH SYSTEMCOVID-19: AS A REGIONAL PROVIDER OF CARE, THE ALBANY MED HEALTH SYSTEM 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. OUR SYSTEM CONTINUOUSLY SOUGHT WAYS TO ASSIST OUR REGION IN 2020. IN 2021, THOSE EFFORTS CONTINUED:- CONTINUED, COMPREHENSIVE EMERGENT CARE FOR OUR MOST VULNERABLE PATIENTS, INCLUDING THOSE IN NEED OF VENTILATOR SUPPORT.- A CONTINUED AND SWIFT ROLL-OUT OF COVID-19 THERAPIES SUCH AS MONOCLONAL ANTIBODIES AND CONVALESCENT PLASMA.- THE CONTINUED OFFERING AND EXPANSION OF TELEHEALTH SERVICES ACROSS THE SYSTEM TO ALLOW PATIENTS AND THE COMMUNITY CONTINUED ACCESS TO PROVIDERS DURING AND AFTER SHUT-DOWN.- COVID-19 TESTING FOR PATIENTS AND STAFF.- CRITICAL RESEARCH AND EVALUATION EFFORTS RELATED TO THE COVID-19 PANDEMIC. THE STUDIES, STARTED IN 2020 AND CONTINUED INTO 2021, HAVE GLEANED VALUABLE INFORMATION AND WILL HAVE MEANING FOR FUTURE DISEASE OUTBREAKS AND SIMILAR MEDICAL CRISES.- CONTINUED DISSEMINATION OF IMPORTANT, UP-TO-DATE INFORMATION TO KEEP OUR COMMUNITY UPDATED ON COVID-19. THE NUMBER OF VISITS TO THE COVID-19 PAGES OF EACH OF OUR HOSPITALS INDICATE THE GUIDANCE THEY OFFERED IN CONTINUING TO MEET THE COMMUNITY'S NEED FOR ACCURATE, CURRENT INFORMATION ON THE PANDEMIC.- STARTING IN 2020, AND CONTINUING THROUGH 2021, 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 FREQUENT BASIS.- IN 2021, AS THE LEAD OF THE CAPITAL REGION IN THE DISTRIBUTION OF COVID-19 VACCINES, ALBANY MED COORDINATED A HIGH VOLUME ROLL-OUT OF, WHICH HAD BEGUN IN DECEMBER 2020. NEARLY 1 MILLION RESIDENTS WERE VACCINATED BY THE END OF 2021.- A MAJOR ADVERTISING CAMPAIGN FEATURING 15 VOICES OF REGIONAL COMMUNITY LEADERS 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.ALBANY MEDICAL CENTERSTDS/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 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.

SCHEDULE H, PART V, SECTION B, LINE 11 - CONTINUED
-- 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 FOR 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'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'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 MED'S 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. SINCE 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'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'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'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 HOSPITAL LYME 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).- 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 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).GLENS FALLS HOSPITALANTIBIOTIC RESISTANCE AND HEALTHCARE-ASSOCIATED INFECTIONSANTIMICROBIAL STEWARDSHIP PROGRAM: TWO IMPORTANT PREVENTABLE CAUSES OF ANTIBIOTIC RESISTANCE ARE INAPPROPRIATE ANTIBIOTIC PRESCRIBING (ANTIBIOTIC PRESCRIBING WHEN NOT NECESSARY SUCH AS FOR VIRAL INFECTIONS) AND INAPPROPRIATE ANTIBIOTIC USAGE (ANTIBIOTIC USE WITHOUT A HEALTHCARE PROVIDER'S GUIDANCE). - - TO REDUCE INAPPROPRIATE ANTIBIOTIC USE, GLENS FALLS HOSPITAL FOCUSES ON REDUCTIONS IN LENGTH OF THERAPY BASED UPON CURRENT LITERATURE, REDUCTIONS IN TREATMENT OF ASYMPTOMATIC BACTERIURIA (ASB) AND TREATMENT OF INFECTIONS IN A GUIDELINE CONSISTENT MANNER INCLUDING MANAGEMENT OF COMMUNITY ACQUIRED PNEUMONIA.THE RATE OF COMMUNITY ONSET, HEALTHCARE FACILITY ASSOCIATED CLOSTRIDIUM DIFFICILE INFECTIONS (CDIS) PER 10,000 PATIENT DAYS (7.8) IN WARREN COUNTY IS SIGNIFICANTLY HIGHER THAN THE NYS PREVENTION AGENDA BENCHMARK OF 2.05.- GLENS FALLS HOSPITAL INFECTION PREVENTION & CONTROL USES A COORDINATED APPROACH BASED ON ESTABLISHED EPIDEMIOLOGICAL PRINCIPLES, STATISTICAL METHODOLOGIES, SURVEILLANCE AND EVIDENCE-BASED INFORMATION TO MINIMIZE, REDUCE, OR ULTIMATELY ELIMINATE THE RISK OF INFECTION. THE PROGRAM IS BASED ON THE UNDERLYING PRINCIPLE OF CONTINUOUS QUALITY IMPROVEMENT.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, 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 PLAINLANGUAGE SUMMARY ARE POSTED AT THE FOLLOWING WEBSITE:HTTPS://WWW.COLUMBIAMEMORIALHEALTH.ORG/FINANCIAL-ASSISTANCE/FACILITY: GLENS FALLS HOSPITALTHE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND APPLICATION FORM IS POSTED ON ITS WEBSITE:HTTPS://WWW.GLENSFALLSHOSPITAL.ORG/PATIENTS-AND-VISITORS/PATIENTS/PATIENT-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.

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.GLENS FALLS HOSPITAL:GLENS FALLS HOSPITAL USED A 130% FEDERAL POVERTY GUIDELINE FAMILY INCOME LIMIT WHEN DETERMINING ELIGIBILITY FOR FREE CARE.PART I, LINE 3B: FAMILY INCOME LIMITGLENS FALLS HOSPITAL USED A 330% FEDERAL POVERTY GUIDELINE FAMILY INCOME LIMIT WHEN DETERMINING ELIGIBILITY FOR DISCOUNT CARE.

PART I, LINE 6A:
ALL SCHEDULE H DISCLOSURES REFERENCE THE ALBANY MED HEALTH SYSTEM, OF WHICH ALBANY MEDICAL CENTER HOSPITAL, SARATOGA HOSPITAL, COLUMBIA MEMORIAL HOSPITAL, AND GLENS FALLS 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.THE HOSPITAL PREPARES A COST REPORT FOR MEDICARE/MEDICAID PURPOSES. FIGURES REPORTED IN THIS COST REPORT WERE USED AS THE BASIS FOR REPORTING. THE COST REPORT IS PREPARED BY USING FINANCIAL STATEMENT DATA AND STATISTICAL INFORMATION TO ARRIVE AT A COST ALLOCATED REPORT. THE REPORT IS COST CERTIFIED AS REQUIRED BY AN INDEPENDENT ACCOUNTANT.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 $2,152,742,696.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 & 3 DUE TO THE ADOPTION OF ASU NO. 2014-09 REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606) BAD DEBT EXPENSE IS NO LONGER REPORTED ON THE AUDITED FINANCIAL STATEMENT. RATHER IT IS TREATED AS A PRICE CONCESSION. 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 REVENUE ADOPTION 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 2021 AND 2020, THE HOSPITAL INCURRED APPROXIMATELY $35.0 MILLION AND $35.0 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 2021, ALBANY MED INVESTED NEARLY $95,000 IN ALBANY-BASED NON-PROFIT ORGANIZATIONS.IN 2021, 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 8:
EXPLANATION OF SHORTFALL AS COMMUNITY BENEFITAPPROXIMATELY 18% 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 VI, LINE 7
STATE FILING OF COMMUNITY BENEFIT REPORTALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HOSPITAL, GLENS FALLS 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).

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 $19.7 MILLION IN 2021 AND $11.1 MILLION IN 2020 AS FOLLOWS:2021CHARITY CARE AT COST: $19,109,000PAYMENTS TO STATEWIDE POOL: $10,031,000RECEIPTS FROM STATEWIDE POOL: $(9,424,000)TOTAL: $19,716,0002020CHARITY CARE AT COST: $12,196,000PAYMENTS TO STATEWIDE POOL: $9,715,000RECEIPTS FROM STATEWIDE POOL: $(10,836,000)TOTAL: $11,075,000THE 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 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.GLENS FALLS HOSPITAL:IT IS GLENS FALLS HOSPITAL POLICY TO DELAY FINAL COLLECTION EFFORTS WHILE A PATIENT FINANCIAL ASSISTANCE APPLICATION IS IN PROCESS. A FINAL DETERMINATION IS REQUIRED BEFORE OUTSIDE COLLECTION EFFORTS ARE INITIATED.

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, GLENS FALLS 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.

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 ANDRELATIONSHIPS.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.GLENS FALLS HOSPITAL:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE BROCHURES ARE GIVEN AT THE POINT OF SERVICE. ALL PATIENT'S STATEMENTS ADVERTISE CHARITY CARE PROGRAMS. CUSTOMER SERVICE REPS ARE TRAINED TO OUTLINE AND ENCOURAGE PARTICIPATION IN THE PROGRAM. VENDOR MEDICAID ELIGIBILITY PROCESS INCLUDES CHARITY CARE SCREENING STEP FOR ALL INPATIENT AND OUTPATIENT. WEBSITE CONTAINS INFORMATION ON CHARITY CARE PROGRAMS AND WEB PORTAL HAS AN APPLICATION FORM ONLINE THAT CAN BE PRINTED AND FILLED OUT.

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"AS ADOPTED BY THE MEMBERS OF THE HEALTHY CAPITAL DISTRICT INITIATIVE, THE COMMUNITIES BEING ASSESSED IN THE CHNA ARE THE 6 COUNTIES OF ALBANY, RENSSELAER, COLUMBIA, GREENE, SARATOGA AND SCHENECTADY. REFERRED TO AS THE ""CAPITAL REGION"", THEY FORM A COMMON SERVICE AREA COVERED BY THE LOCAL HEALTH DEPARTMENTS IN ALBANY, RENSSELAER, COLUMBIA, GREENE, SARATOGA AND SCHENECTADY COUNTIES, AND INCLUDES THE PRIMARY PATIENT POPULATIONS SERVED BY ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HOSPITAL AND SARATOGA HOSPITAL, AS WELL AS ELLIS HOSPITAL AND ST. 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.GLENS FALLS HOSPITAL'S SEPARATE COMMUNITY HEALTH NEEDS ASSESSMENT FOCUSED ON THE REGION COMMONLY KNOWN AS THE ""NORTH COUNTRY"" WITHIN NEW YORK STATE, WHICH INCLUDES WARREN, WASHINGTON AND NORTHERN SARATOGA COUNTIES, GLENS FALLS HOSPITAL'S PRIMARY SERVICE AREA. DEMOGRAPHIC DATA WAS PRIMARILY TAKEN FROM THE 2013-2017 AMERICAN CONSUMER SURVEY 5-YEAR ESTIMATES, UTILIZING THE UNITED STATES CENSUS BUREAU AMERICAN FACTFINDER WEBSITE. OTHER SOURCES INCLUDE THE 2010-2014 AMERICAN CONSUMER SURVEY 5-YEAR ESTIMATES, CENTERS FOR MEDICAID AND MEDICARE SERVICES, THROUGH THE CMS ENTERPRISE PORTAL, NYS DEPARTMENT OF HEALTH, U.S. DEPARTMENT OF AGRICULTURE (USDA), AND THE NATIONAL AGRICULTURE STATISTICS SERVICE.A COMPREHENSIVE OVERVIEW OF THE DEMOGRAPHICS AND COMMUNITY HEALTH NEEDS FOR RESIDENTS OF WARREN, WASHINGTON AND SARATOGA COUNTIES BEGINS ON PAGE 20 OF THE CHNA: HTTPS://WWW.GLENSFALLSHOSPITAL.ORG/WP-CONTENT/UPLOADS/2019/12/GFH-CHNA-2019-2021-FINAL-WITH-APPENDICES.PDF ALBANY MEDICAL CENTERALBANY MEDICAL CENTER'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 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. GLENS FALLS HOSPITALGLENS FALLS HOSPITAL'S THREE-COUNTY SERVICE AREA IS CHARACTERIZED BY LOWER EDUCATIONAL ATTAINMENT, HIGHER UNEMPLOYMENT RATES, AN AGING POPULATION, HIGHER DISABILITY RATES, LOWER HOUSEHOLD INCOMES, AND HIGHER POVERTY RATES - INDICATING POTENTIALLY MORE SEVERE HEALTHCARE DISPARITIES AND GREATER NEEDS. MEAN HOUSEHOLD INCOME FOR THE REGION IS $79,547, WELL BELOW THE NYS AVERAGE OF $93,443. THE POPULATION IS NEITHER RACIALLY NOR ETHNICALLY DIVERSE; BETWEEN 93% AND 99% OF THE POPULATION IS WHITE, NON-HISPANIC IN EACH COUNTY. ON AVERAGE, APPROXIMATELY 18.0% OF THE POPULATION IS 65 YEARS OF AGE AND OLDER, A HIGHER PERCENTAGE THAN UPSTATE NEW YORK (16.4%) OR NYS (15.2%) AS A WHOLE. WITHIN THE REGION, THE PERCENT OF RESIDENTS WITH AN ASSOCIATE'S DEGREE OR HIGHER RANGES FROM 30.5% IN WASHINGTON COUNTY TO 51.9% IN SARATOGA COUNTY, COMPARED TO 44% FOR NYS. THE PERCENT OF INDIVIDUALS RECEIVING MEDICAID ACROSS THE REGION RANGES FROM THE HIGHEST IN WASHINGTON COUNTY AT 25.1% AND THE LOWEST IN SARATOGA COUNTY 12.7%. 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."

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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.GLENS FALLS HOSPITALSPECIFIC WAYS THAT GLENS FALLS HOSPITAL PROMOTES COMMUNITY HEALTH INCLUDE BUT ARE NOT LIMITED TO - THE FOLLOWING:- SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM- SUBSIDIZATION OF COMMUNITY HEALTH FORUMS, AT NO COST TO THE PUBLIC (E.G., CHILDBIRTH EDUCATION, SAFE SITTER BABYSITTING TRAINING ETC.)- COMMUNITY HEALTH EDUCATION LEVERAGING STAFF SUBJECT MATTER EXPERTISE IN STROKE PREVENTION, HEALTHY AGING AND ALZHEIMER'S AWARENESS, TOBACCO/VAPING CESSATION, CANCER PREVENTION/AWARENESS & EARLY DETECTION, AND SCHOOL HEALTH AND WELLNESS THROUGH LOCAL COLLABORATIONS AND COMMUNITY EVENTS- CANCER CENTER SUPPORT SERVICES FOR PATIENTS AND SURVIVORS- SKIN CANCER SCREENING EVENTS- CROSS PROMOTION OF AREA HEALTH RELATED EVENTS AND RESOURCESSARATOGA 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.

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AFFILIATED HEALTHCARE SYSTEM:IN 2019, THE ALBANY MED HEALTH SYSTEM WAS COMPRISED OF ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HOSPITAL AND SARATOGA HOSPITAL. GLENS FALLS HOSPITAL JOINED THE SYSTEM IN JULY 2020, AND IS FILING AS A MEMBER OF THE SYSTEM FOR THE FIRST TIME FOR 2021.ALBANY MEDICAL CENTER IS AN ACADEMIC MEDICAL CENTER THAT SERVES NEARLY 3 MILLION PEOPLE WITHIN 23 COUNTIES OF NORTHEASTERN NEW YORK STATE, AND 2 COUNTIES IN WESTERN NEW ENGLAND. ITS SERVICE AREA ENCOMPASSES ORANGE COUNTY TO THE SOUTH, FRANKLIN AND CLINTON COUNTIES TO THE NORTH, ONEIDA COUNTY TO THE WEST, AND BENNINGTON VT COUNTY AND BERKSHIRE MA COUNTY TO THE EAST. ALBANY MEDICAL CENTER IS LOCATED IN ALBANY COUNTY. NEARLY OF ITS PATIENTS RESIDE IN THE 6-COUNTY CAPITAL REGION DESCRIBED IN PART VI, LINE 5.GLENS FALLS HOSPITAL, LOCATED IN WARREN COUNTY, IS AN ACUTE CARE HOSPITAL WITH AN EXPANDED SERVICE AREA THAT SPANS 6,000 SQUARE MILES ACROSS 5 DIVERSE COUNTIES AND FEATURES MORE THAN 20 REGIONAL FACILITIES. A VAST ARRAY OF SPECIALIZED MEDICAL AND SURGICAL SERVICES ARE PROVIDED IN ADDITION TO CORONARY CARE, BEHAVIORAL HEALTH CARE, REHABILITATION AND WELLNESS AND OTHERS. THE MAIN HOSPITAL CAMPUS IS HOME TO THE C.R. WOOD CANCER CENTER, THE JOYCE STOCK SNUGGERY BIRTHING CENTER, THE BREAST CENTER AND A CHRONIC WOUND HEALING CENTER.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.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, COLUMBIA MEMORIAL HOSPITAL, GLENS FALLS 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.