Albany Medical Center Group Organization

SEE SCHEDULE O.

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.

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.

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.

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