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      <Desc>INPATIENT AND OUTPATIENT SERVICES - PROVISION OF INPATIENT AND OUTPATIENT SERVICES INCLUDING SPECIALIZED NURSING SERVICES AND EMERGENCY ROOM. 2023 EXPERIENCED OVER 765,000 PATIENT VISITS AND OVER 381,000 PATIENT DAYS.</Desc>
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        <Desc>FACULTY PRACTICE - FACULTY PRACTICE ALBANY MEDICAL CENTER OPERATES A CLINICAL PRACTICE ACTIVITY (PATIENT CARE) FOR THE FACULTY OF THE ALBANY MEDICAL COLLEGE. 2023 EXPERIENCED OVER 700,000 PATIENT VISITS.</Desc>
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        <Desc>DIAGNOSTIC AND TESTING SERVICES - INPATIENT AND OUTPATIENT SERVICES INCLUDING DIAGNOSTIC IMAGING, RADIATION THERAPY AND CARDIAC CATHETERIZATION. IN 2023 INPATIENT PROFESSIONAL SERVICES TOTALED 95,417; OUTPATIENT SERVICES TOTALED 47,114 AND ER SERVICES WAS APPROXIMATELY 98,851.</Desc>
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        <Desc>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 29,411 TOTAL CASES PERFORMED WITH 8,688 INPATIENT, 2,673 SAME DAY, AND 18,050 OUTPATIENT.OTHER PATIENT CARE BASED SERVICES: TOTALED APPROXIMATELY $115 MILLION IN EXPENDITURES. THE GROUP ORGANIZATION RECEIVES GENERAL EXPENSE REIMBURSEMENTS FOR RELATED PATIENT CARE SERVICES.LABORATORY SERVICES (ADULT &amp; PEDS): INPATIENT AND OUTPATIENT SERVICES INCLUDING CLINICAL CHEMISTRY, BLOOD BANK, HEMATOLOGY, SEROLOGY AND MICROBIOLOGY.THE ORGANIZATION HAS CERTAIN OTHER EXEMPT FUNCTION REVENUES WHICH TOTAL APPROXIMATELY $5 MILLION.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.CENTER FOR DONATION AND TRANSPLANT (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.SARATOGA CARE, INC. (SCI): THE FOREMOST COMMITMENT OF SCI IS TO ENABLE ITS AFFILIATED ENTITY (SARATOGA HOSPITAL) TO PROVIDE SUPERIOR QUALITY HEALTHCARE TO THE PEOPLE OF OUR COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY.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.COLUMBIA MEMORIAL HOSPITAL FOUNDATION: THE ORGANIZATION OPERATES TO ASSIST THE COLUMBIA MEMORIAL HOSPITAL TO DEVELOP, EXPAND AND FUND MEDICAL SERVICES PROVIDED TO RESIDENTS OF COLUMBIA, GREENE, AND NORTHERN DUTCHESS COUNTIES, NY.KAATERSKILL COMMONS, INC (KCI): THIS ORGANIZATION OWNS AND OPERATES A 21 UNIT APARTMENT PROJECT LOCATED IN CATSKILL NY. THE TENANTS ARE QUALIFY LOW INCOME ELDERLY.SARATOGA REGIONAL MEDICAL, P.C. (SRM) IS ORGANIZED AND OPERATED FOR THE PURPOSE OF PROMOTING HEALTH BY PROVIDING MEDICAL CARE TO THE COMMUNITY SERVED BY SARATOGA HOSPITAL. SRM ALSO OPERATES A NEPHROLOGY 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 2023, PROVIDERS AT THIS LOCATION SAW APPROXIMATELY 2,600 PATIENT VISITS. SARATOGA HOSPITAL MEDICAL GROUP PULMONOLOGY OFFERS OUR PATIENTS AN OUTSTANDING TEAM OF BOARD-CERTIFIED, FELLOWSHIP-TRAINED PHYSICIANS, EMPLOYING THE MOST UP-TO-DATE EQUIPMENT AND ADVANCED DIAGNOSTIC TECHNIQUES WORKING WITHIN THE FULL SPECTRUM OF PULMONARY CARE. AMONG OTHER CONDITIONS, OUR PRACTICE ADDRESSES COPD (CHRONIC OBSTRUCTIVE PULMONARY DISEASE), INCLUDING EMPHYSEMA AND CHRONIC BRONCHITIS; ASTHMA; INTERSTITIAL LUNG DISEASE; DVT (DEEP VEIN THROMBOSIS); PULMONARY EMBOLISM; CHRONIC COUGH; LUNG CANCER; SARCOIDOSIS; PULMONARY HYPERTENSION; PLEURAL EFFUSION; BRONCHIECTASIS; CYSTIC FIBROSIS AND PNEUMONIA. IN 2023, PROVIDERS AT THIS LOCATION SAW APPROXIMATELY 6,300 PATIENT VISITS. SARATOGA HOSPITAL PRIMARY CARE SARATOGA IS A PRIMARY CARE LOCATION THAT OFFERS OUR PATIENTS AN OUTSTANDING TEAM OF BOARD-CERTIFIED PHYSICIANS AND ADVANCED PRACTICE PROVIDERS WHO ARE EXPERIENCED IN PEDIATRICS AND ADULT MEDICINE. IN 2023, PROVIDERS AT THIS LOCATION SAW APPROXIMATELY 7400 PATIENT VISITS. THE SARATOGA BACKSTRETCH CLINIC OFFERS HOSPITAL CLINICIANS WHO PROVIDE PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES, ALONG WITH SPECIALTY SERVICES IN DERMATOLOGY AND ENDOCRINOLOGY TO THE RACING COMMUNITY. IN 2023, PROVIDERS AT THE LOCATION SAW APPROXIMATELY 587 PATIENT VISITS.HEALTHCARE PARTNERS OF SARATOGA LTD: THE FOREMOST COMMITMENT OF HEALTHCARE PARTNERS OF SARATOGA LTD (HCP) 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. HCP ACTIVELY SUPPORTS COMMUNITY-BASED HEALTHCARE AND PROMOTES THE COORDINATION OF SERVICES AMONG HEALTHCARE PROVIDERS AND SOCIAL SERVICES ORGANIZATIONS. IN ADDITION, HCP SEEKS TO WORK COLLABORATIVELY WITH OTHER HEALTH CARE PROVIDERS TO IMPROVE THE HEALTH STATUS OF ITS REGION. HCP IS DEFINED AS AN EMERGENT CARE CENTER, WHICH IS A CROSS BETWEEN AN URGENT CARE CENTER AND A HOSPITAL EMERGENCY DEPARTMENT. THEREFORE, THE FACILITY ACCOMODATES A WIDE RANGE OF MEDICAL NEEDS. HCP OFFERS 24-HOUR ACCESS TO EMERGENCYMEDICINE 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 2023, HCP ACCOMMODATED APPROXIMATELY 48,500 URGENT CARE VISITS. IN ADDITION, OTHER SERVICES PROVIDED DURING THE YEAR INCLUDED OUTPATIENT X-RAY (21,550), ULTRASOUND (11,118), COMPUTED TOMOGRAPHY (12,827), MAGNETIC RESONANCE IMAGING (2,603 TESTS) AND LABORATORY SERVICES (280,886 TESTS).NURSING, THERAPY, AND HOME HEALTH AIDE SERVICES: THE PURPOSE OF THE VISITING NURSE ASSOCIATION IS TO PROVIDE RESOURCES AND ASSISTANCE IN THE MANAGEMENT, PLANNING AND COORDINATION OF HOME HEALTH SERVICES AND, IN CONNECTION THEREWITH, TO BE OPERATED FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, OR TO CARRY OUT THE PURPOSES OF THE VISITING NURSE ASSOCIATION OF ALBANY, INC. ALBANY MED HEALTH SYSTEM STAFFING ALLIANCE LLC WAS FORMED TO PROVIDE CONTRACTED/TEMPORARY PERSONNEL EXCLUSIVELY TO ITS AFFILIATED NOT-FOR-PROFIT HOSPITALS IN THE GREATER CAPITAL DISTRICT REGION OF NEW YORK STATE.</Desc>
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        <PersonNm>FRANCES SPREER ALBERT</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAY CAHALAN</PersonNm>
        <TitleTxt>PRESIDENT (CMH)</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PETER PAIGE MD</PersonNm>
        <TitleTxt>BOARD MEMBER (HS, VNA THRU 11/23)</TitleTxt>
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        <PersonNm>KMARIE KING</PersonNm>
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        <PersonNm>STEVEN M PARNES MD</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCH,AMCF,COL)</TitleTxt>
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        <PersonNm>JILL J VANKUREN</PersonNm>
        <TitleTxt>PRESIDENT/CEO (SH, SCI)</TitleTxt>
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        <PersonNm>CHRISTOPHER MASON DO</PersonNm>
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        <PersonNm>HIRAL AMIN MD</PersonNm>
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        <PersonNm>RICHARD FALIVENA</PersonNm>
        <TitleTxt>VP &amp; CFO (SH THRU 8/23), FMR PRES (SRMPC)</TitleTxt>
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        <PersonNm>DOROTHY URSCHEL</PersonNm>
        <TitleTxt>CEO (CMH), PRESIDENT (KCI)</TitleTxt>
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        <PersonNm>JOHN A DEPAOLA</PersonNm>
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        <PersonNm>CLIFFORD J BELDEN MD</PersonNm>
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        <PersonNm>BRYAN MAHONEY</PersonNm>
        <TitleTxt>CFO (CMH), SECRETARY &amp; TREAS (KCI)</TitleTxt>
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        <PersonNm>MICHELE K SKUMURSKI</PersonNm>
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        <PersonNm>MICHAEL W DAILEY</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ALICIA WICZULIS MD</PersonNm>
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        <PersonNm>WILLIAM MURPHY MD</PersonNm>
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        <PersonNm>MARY ALICE CULLEN</PersonNm>
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        <PersonNm>VICKEY MASTA</PersonNm>
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        <PersonNm>BRIGIDO MONTERO</PersonNm>
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        <PersonNm>REBECCA BUTTERFIELD MD</PersonNm>
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        <PersonNm>CHARLES M DAY</PersonNm>
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        <PersonNm>JOAN MARTIN</PersonNm>
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        <PersonNm>JENNIFER BOGART</PersonNm>
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        <PersonNm>MEGHAN L WEYGANT</PersonNm>
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        <PersonNm>KATHERINE KEEFE MSN MHA</PersonNm>
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        <PersonNm>ANGELA ALESSI</PersonNm>
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        <PersonNm>CHRISTINE R HAYES</PersonNm>
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        <PersonNm>MEGAN R HELMECKE</PersonNm>
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        <PersonNm>JEFFREY METHVEN</PersonNm>
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        <PersonNm>BARBARA KLASSEN</PersonNm>
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        <PersonNm>CATHERINE RIDDLE</PersonNm>
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        <PersonNm>HILLARY WEISS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAUREL ROSS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JENNIFER BALAZS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LEANNE DEROSA</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES J BARBA</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCH, AMCF,COL)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>42.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>50470</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>EMILY WRIGHT</PersonNm>
        <TitleTxt>BOARD MEMBER (KIDS THRU 11/23)</TitleTxt>
        <AverageHoursPerWeekRt>42.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>43039</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>61</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AISHA TATOR</PersonNm>
        <TitleTxt>BOARD MEMBER (CDT)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AMY LEE</PersonNm>
        <TitleTxt>SECRETARY (AVN, VNA, VNF)</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW WISE</PersonNm>
        <TitleTxt>BOARD MEMBER (GFH)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANN FOSTER</PersonNm>
        <TitleTxt>BOARD MEMBER (AVN, VNA, VNF)</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANN ISRAEL</PersonNm>
        <TitleTxt>BOARD MEMBER (CMHF)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANNE M SCHOMAKER</PersonNm>
        <TitleTxt>BOARD CHAIR (CMHF)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANTHONY DURANTE</PersonNm>
        <TitleTxt>PRESIDENT (AVN, VNA, VNF), BD MEM (AMCH)</TitleTxt>
        <AverageHoursPerWeekRt>9.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AVEN KERR</PersonNm>
        <TitleTxt>BOARD MEMBER (CMHF)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BARBARA FERRARO</PersonNm>
        <TitleTxt>BOARD MEMBER (SH), BOARD CHAIR (SCI)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CANDACE KING WEIR</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCF, COL)</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARL CEDRONE</PersonNm>
        <TitleTxt>BOARD MEMBER (GFH THRU 9/23)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARLEE DRUMMER PHD</PersonNm>
        <TitleTxt>BOARD MEMBER (CMH)</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CARLOS MARROQUIN MD FACS</PersonNm>
        <TitleTxt>BOARD MEMBER (CDT THRU 12/23)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CAROL KIM PHD</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCF, COL)</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CAROLYN STEFANCO PHD</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCF, COL)</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHAD EZZELL</PersonNm>
        <TitleTxt>BOARD MEMBER (CDT THRU 7/23)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CLAIRE PARDE</PersonNm>
        <TitleTxt>BOARD MEMBER (KCI)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL T PICKETT III</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCF, COL)</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID COLLINS</PersonNm>
        <TitleTxt>SECRETARY (SH)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID GOLUB</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCF, COL)</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID WESTFALL MD</PersonNm>
        <TitleTxt>BOARD MEMBER (GFH)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAWN WALLANT</PersonNm>
        <TitleTxt>BOARD MEMBER (KCI)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DEBORAH LANS</PersonNm>
        <TitleTxt>BOARD MEMBER (CMH)</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DOUGLAS M HAMLIN</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCH, AMCF, COL)</TitleTxt>
        <AverageHoursPerWeekRt>6.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DUANE STERLING</PersonNm>
        <TitleTxt>BOARD MEMBER (SH)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH SOBOL</PersonNm>
        <TitleTxt>BOARD MEMBER (SH)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH WOOD</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCF, COL, SH)</TitleTxt>
        <AverageHoursPerWeekRt>9.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FRANK L MESSA</PersonNm>
        <TitleTxt>BOARD MEMBER (SH)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>FREDERICK J HINRICHSEN</PersonNm>
        <TitleTxt>BOARD MEMBER (AVN, VNA, VNF)</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GARY R HICKS</PersonNm>
        <TitleTxt>BOARD MEMBER (GFH)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GEOFFREY SERFILIPPI MD</PersonNm>
        <TitleTxt>BOARD MEMBER (GFH THRU 6/23)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GEORGE FERONE</PersonNm>
        <TitleTxt>VICE CHAIR (GFH)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GLENDA KELMAN</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCF, COL, GFH)</TitleTxt>
        <AverageHoursPerWeekRt>6.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GLENN LUNDE</PersonNm>
        <TitleTxt>TREASURER (CMHF)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GREG SCOTT</PersonNm>
        <TitleTxt>BOARD MEMBER (AVN, VNA, VNF)</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GREGORY MOSLEY</PersonNm>
        <TitleTxt>BOARD MEMBER (CMH)</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HEATHER WARD</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCF, COL, SH)</TitleTxt>
        <AverageHoursPerWeekRt>9.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>HILA RICHARDSON</PersonNm>
        <TitleTxt>BOARD MEMBER (CMH)</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>J THOMAS ROOHAN</PersonNm>
        <TitleTxt>BOARD MEMBER (SH)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES CULLUM</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCF, COL, GFH)</TitleTxt>
        <AverageHoursPerWeekRt>6.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES J ARMSTRONG</PersonNm>
        <TitleTxt>VICE CHAIR (CMHF)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES O JACKSON PHD</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCF, COL)</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JANICE SMITH</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCF, COL THRU 8/23)</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JANICE WHITE</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCF, COL)</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JANINE MANGIONE</PersonNm>
        <TitleTxt>BOARD MEMBER (AVN, VNA, VNF)</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY STONE</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCH, AMCF, COL)</TitleTxt>
        <AverageHoursPerWeekRt>6.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JESS FARDELLA</PersonNm>
        <TitleTxt>BOARD MEMBER (CMH)</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOAN HART</PersonNm>
        <TitleTxt>VICE PRESIDENT (AVN, VNA, VNF)</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN B O'CONNOR</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCF, COL)</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN C BIENIEK</PersonNm>
        <TitleTxt>BOARD MEMBER (GFH)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN F MATHEWS</PersonNm>
        <TitleTxt>BOARD MEMBER (CMHF)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN J NIGRO</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCF, COL)</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOSEPH PHELAN</PersonNm>
        <TitleTxt>BOARD MEMBER (CMHF)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KARI CUSHING</PersonNm>
        <TitleTxt>BOARD MEMBER (SH)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KATE HERLIHY SCHWENKER ESQ</PersonNm>
        <TitleTxt>BOARD MEMBER (GFH)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KEVIN GALLAGHER MD</PersonNm>
        <TitleTxt>BOARD MEMBER (GFH)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIM HEDLEY</PersonNm>
        <TitleTxt>BOARD MEMBER (SH)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KIRK KNELLER</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCF, COL, CMH)</TitleTxt>
        <AverageHoursPerWeekRt>9.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LILLIAN MOY ESQ</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCF, COL)</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LISA MOSER</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCF, COL)</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LOUIS A DIGIOVANNI</PersonNm>
        <TitleTxt>BOARD MEMBER (CMHF)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARGARET GILLIS</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCH, AMCF, COLGFH)</TitleTxt>
        <AverageHoursPerWeekRt>8.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARGARET SMITH CASSIER</PersonNm>
        <TitleTxt>BOARD MEMBER (SH)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARIANNE MUSTAFA MD</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCF, COL, SH)</TitleTxt>
        <AverageHoursPerWeekRt>9.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARK SIMON</PersonNm>
        <TitleTxt>BOARD MEMBER (CDT)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY GAIL BIEBEL</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCH, COL, AMCF)</TitleTxt>
        <AverageHoursPerWeekRt>6.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL BILLOK</PersonNm>
        <TitleTxt>BOARD MEMBER (SH)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL IRWIN</PersonNm>
        <TitleTxt>BOARD MEMBER (CMH)</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL J TOOHEY</PersonNm>
        <TitleTxt>VICE CHAIR (AMCF, COL THRU 8/23)</TitleTxt>
        <AverageHoursPerWeekRt>9.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL TRIMARCHI</PersonNm>
        <TitleTxt>BOARD MEMBER (SH)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MOLLY POLETO</PersonNm>
        <TitleTxt>BOARD MEMBER (CMH)</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MONICA GOLDWATER</PersonNm>
        <TitleTxt>BOARD MEMBER (CDT THRU 4/23)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MORRIS MASSRY</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCF, COL)</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LISA HIGGINS</PersonNm>
        <TitleTxt>TREASURER (SCI)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY GINSBERG</PersonNm>
        <TitleTxt>BOARD MEMBER (CMHF)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NANCY MICHELA</PersonNm>
        <TitleTxt>BOARD MEMBER (AVN, VNA, VNF)</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATTY MATHENY</PersonNm>
        <TitleTxt>BOARD MEMBER (CMHF)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PETER H HEERWAGEN</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCF, COL THRU 8/23)</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RAIMUNDO C ARCHIBOLD JR</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCH, AMCF, COL, SH)</TitleTxt>
        <AverageHoursPerWeekRt>11.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RENEE BARRATIERE</PersonNm>
        <TitleTxt>BOARD MEMBER (CMHF)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD BYRNE</PersonNm>
        <TitleTxt>VICE PRESIDENT (CMHF)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT GRUENENFELDER</PersonNm>
        <TitleTxt>BOARD MEMBER (CDT)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT T CUSHING</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCH, AMCF, COL)</TitleTxt>
        <AverageHoursPerWeekRt>6.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RUTH MAHONEY</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCH, AMCF, COL)</TitleTxt>
        <AverageHoursPerWeekRt>6.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RYAN SCOTT</PersonNm>
        <TitleTxt>BOARD MEMBER (CMHF)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHARON DUKER</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCH, AMCF, COL, CMH)</TitleTxt>
        <AverageHoursPerWeekRt>10.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN NELSON</PersonNm>
        <TitleTxt>BOARD MEMBER (KCI)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUJATA CHAUDHRY</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCF, COL)</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN LAW-DAKE</PersonNm>
        <TitleTxt>BOARD MEMBER (SH)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TERRY GRIESMER</PersonNm>
        <TitleTxt>BOARD MEMBER (AVN, VNA, VNF)</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THEODORE DECONNO</PersonNm>
        <TitleTxt>TREASURER (AVN, VNA, VNF)</TitleTxt>
        <AverageHoursPerWeekRt>3.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THERESA M SKAINE</PersonNm>
        <TitleTxt>BD MEM (AMCH, COL, AMCF, SH THRU 6/23)</TitleTxt>
        <AverageHoursPerWeekRt>11.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS GUAY</PersonNm>
        <TitleTxt>SECRETARY (GFH)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS HALLISEY</PersonNm>
        <TitleTxt>BOARD MEMBER (CMH)</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TODD M TIDGEWELL</PersonNm>
        <TitleTxt>BOARD MEMBER (AMCF, COL)</TitleTxt>
        <AverageHoursPerWeekRt>4.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>2.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TODD ZBYTNIEWSKI</PersonNm>
        <TitleTxt>BOARD MEMBER (KCI)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TONI BISHOP-MCWAIN</PersonNm>
        <TitleTxt>DIRECTOR (HS)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VAUGHN WHITTAKER MD</PersonNm>
        <TitleTxt>BOARD MEMBER (CDT)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WESLEY MERRITT MBA</PersonNm>
        <TitleTxt>BOARD MEMBER (CDT)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM A ROOS IV</PersonNm>
        <TitleTxt>BOARD MEMBER (CMHF)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM G POWERS JR</PersonNm>
        <TitleTxt>BOARD MEMBER (GFH)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WINNIE THORN</PersonNm>
        <TitleTxt>BOARD MEMBER (KCI)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEREMY ANNESE</PersonNm>
        <TitleTxt>BOARD MEMBER (SCI)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>NICOLE BORISENOK KRASODOMSKI</PersonNm>
        <TitleTxt>BOARD MEMBER (SCI)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHANNAN CARROLL</PersonNm>
        <TitleTxt>BOARD MEMBER (SCI)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHANIE COLLINS</PersonNm>
        <TitleTxt>BOARD MEMBER (SCI)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHAWN FIREHOCK</PersonNm>
        <TitleTxt>BOARDVICE CHAIR (SCI)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY FONTAINE</PersonNm>
        <TitleTxt>BOARD MEMBER (SCI)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SUSAN GIANNINI</PersonNm>
        <TitleTxt>BOARD MEMBER (SCI)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>KRISTIN GROSSO</PersonNm>
        <TitleTxt>BOARD MEMBER (SCI)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DAVID HINDSON MD</PersonNm>
        <TitleTxt>BOARD MEMBER (SCI)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>BOBBI JO LUCAS</PersonNm>
        <TitleTxt>BOARD MEMBER (SCI)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ERIN LUCIANO</PersonNm>
        <TitleTxt>BOARD MEMBER (SCI)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICK LYNCH MD</PersonNm>
        <TitleTxt>BOARD MEMBER (SCI)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>DOMINICK MARCHESIELLO</PersonNm>
        <TitleTxt>BOARD MEMBER (SCI)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JAMES P MCPARTLON</PersonNm>
        <TitleTxt>BOARD MEMBER (SCI)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>CARA MILDE</PersonNm>
        <TitleTxt>BOARD MEMBER (SCI)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JOSH NEMER</PersonNm>
        <TitleTxt>BOARD MEMBER (SCI)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TERRANCE WHITE</PersonNm>
        <TitleTxt>BOARD MEMBER (SCI)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ZACHARY ZALOGA</PersonNm>
        <TitleTxt>BOARD MEMBER (SCI)</TitleTxt>
        <AverageHoursPerWeekRt>2.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL SCIMECA</PersonNm>
        <TitleTxt>PRESIDENT &amp; CEO (GFH)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>5.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>752714</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31248</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SCARLET CLEMENT-BUFFOLINE</PersonNm>
        <TitleTxt>EXECUTIVE DIR. &amp; SECRETARY (SRMPC)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>325620</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13170</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>SAMANTHA DICICCO</PersonNm>
        <TitleTxt>CEO (AVN, VNA, VNF)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>304846</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>34299</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GARY FOSTER</PersonNm>
        <TitleTxt>VP &amp; CFO (SH,SCI),TR (HS) (THRU 4/23)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>259740</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>13048</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PAUL B RICE</PersonNm>
        <TitleTxt>CFO (AVN, VNA, VNF)</TitleTxt>
        <AverageHoursPerWeekRt>37.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>196137</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>19745</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEPHANIE HISGEN</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER (CMH)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>190388</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8185</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JOHN MANGONA</PersonNm>
        <TitleTxt>VP CIO &amp; COMPLIANCE OFFICER (SH THRU 4/23)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>173625</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>9544</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICIA GAVIS</PersonNm>
        <TitleTxt>VP &amp; CFO (SH, SCI), TREASURER (HS)</TitleTxt>
        <AverageHoursPerWeekRt>38.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>95555</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>3038</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>COURTNEY HASKINS</PersonNm>
        <TitleTxt>CHAIR (GFH)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL BATTIBULLI</PersonNm>
        <TitleTxt>OFFICER (HS)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL WEISBERG MD</PersonNm>
        <TitleTxt>PRESIDENT &amp; CHAIR (HS)</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ALAN S BOULOS MD</PersonNm>
        <TitleTxt>EVP &amp; DEAN ALB MED COL (COL)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>1197996</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>146090</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JASON MOUZAKES MD</PersonNm>
        <TitleTxt>EVP HOSP GEN DIRECTOR (AMCH)</TitleTxt>
        <AverageHoursPerWeekRt>39.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>758898</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>32395</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MITCHELL AMADO</PersonNm>
        <TitleTxt>SENIOR VP &amp; CFO (GFH)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>505767</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>37282</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DONNA KIRKER</PersonNm>
        <TitleTxt>SVP, PATIENT SERVICES &amp; CNO (GFH)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>363103</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>12321</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY SHANNON</PersonNm>
        <TitleTxt>VP, CLINICAL SERVICES (GFH)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>269124</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10173</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEFFREY CASALE</PersonNm>
        <TitleTxt>AVP FACILITIES (SH)</TitleTxt>
        <AverageHoursPerWeekRt>38.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <KeyEmployeeInd>X</KeyEmployeeInd>
        <ReportableCompFromOrgAmt>176245</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREW J ROSENBAUM</PersonNm>
        <TitleTxt>ASSOC PROFESSOR/CLIN (COL)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1324608</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>35462</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SANJAY A SAMY</PersonNm>
        <TitleTxt>PROFESSOR/CLIN (COL)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1236396</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33740</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THOMAS FABIAN</PersonNm>
        <TitleTxt>PROFESSOR/CLIN (COL)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1148891</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33617</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>EDWARD M FARHANGI</PersonNm>
        <TitleTxt>FACULTY PENDING/CLIN (COL)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1105721</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>33556</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHRISTOPHER GORCZYNSKI MD</PersonNm>
        <TitleTxt>PHYSICIAN (CMH)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>1130952</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>8185</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>LISA WEST</PersonNm>
        <TitleTxt>FORMER OFFICER (SH)</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>190067</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>7534</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANGELO CALBONE</PersonNm>
        <TitleTxt>FORMER PRESIDENT/CEO (SH, SCI, HS)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>157494</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>2018</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MARY JO LAPOSTA</PersonNm>
        <TitleTxt>FORMER SVP (SH)</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>149040</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>VINCENT P VERDILE MD</PersonNm>
        <TitleTxt>DEAN EMERITUS (COL)</TitleTxt>
        <AverageHoursPerWeekRt>32.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>8.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>146898</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>953</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>21507551</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>4612920</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>1711898</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>2501</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>HEALTHTRUST WORKFORCE SOLUTION</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 742697</AddressLine1Txt>
            <CityNm>ATLANTA</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>30374</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>STAFFING SOLUTIONS</ServicesDesc>
        <CompensationAmt>79077488</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>COMMUNITY CARE PHYSICIANS PC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 10025</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12201</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL MGMT SERV</ServicesDesc>
        <CompensationAmt>17518908</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>SHIELDS HEALTH SOLUTIONS</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 844023</AddressLine1Txt>
            <CityNm>BOSTON</CityNm>
            <StateAbbreviationCd>MA</StateAbbreviationCd>
            <ZIPCd>02284</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>12468321</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>ARAMARK HEALTHCARE</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 978839</AddressLine1Txt>
            <CityNm>DALLAS</CityNm>
            <StateAbbreviationCd>TX</StateAbbreviationCd>
            <ZIPCd>75397</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>ENVIRONMENTAL SERV</ServicesDesc>
        <CompensationAmt>9523318</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MEDICAL SOLUTIONS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 850737</AddressLine1Txt>
            <CityNm>MINNEAPOLIS</CityNm>
            <StateAbbreviationCd>MN</StateAbbreviationCd>
            <ZIPCd>55485</ZIPCd>
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        </ContractorAddress>
        <ServicesDesc>MEDICAL SERVICES</ServicesDesc>
        <CompensationAmt>5801436</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>148</CntrctRcvdGreaterThan100KCnt>
      <FundraisingAmt>3064635</FundraisingAmt>
      <RelatedOrganizationsAmt>13305248</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>24929054</GovernmentGrantsAmt>
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      <NoncashContributionsAmt>524226</NoncashContributionsAmt>
      <TotalContributionsAmt>65634806</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL SERVICES</Desc>
        <BusinessCd>621990</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>2312295888</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>MEDICARE/MEDICAID</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>279611985</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>279611985</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>INSTRUCTION</Desc>
        <BusinessCd>611600</BusinessCd>
        <TotalRevenueColumnAmt>44274806</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>44274806</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>ADMIN &amp; CONSULTING SERVICES</Desc>
        <BusinessCd>561000</BusinessCd>
        <TotalRevenueColumnAmt>19806836</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>19806836</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>MEDICAL HOME PROJECT</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>14707050</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>14707050</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>2703105909</TotalProgramServiceRevenueAmt>
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        <BusinessCd>900099</BusinessCd>
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        <Desc>PROGRAM SERVICE EXPENSE REIMBURSE</Desc>
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        <Desc>CAFETERIA REVENUE</Desc>
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        <FormAndLineReferenceDesc>SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>AUXILIARY VARIOUS ACTIVITY - 2019 AMOUNT: $ 2,434. 2020 AMOUNT: $ 1,589. 2021 AMOUNT: $ 1,866. 2022 AMOUNT: $ 1,085. 2023 AMOUNT: $ 1,555. OTHER COLLEGE INCOME - 2019 AMOUNT: $ 3,697,205. 2020 AMOUNT: $ 4,880,605. 2021 AMOUNT: $ 5,131,449. 2022 AMOUNT: $ 6,101,275. 2023 AMOUNT: $ 2,611,804.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART I</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ALBANY MEDICAL CENTER GROUP ORGANIZATION CONSISTS OF THE FOLLOWING RELATED ORGANIZATIONS WITH THEIR RESPECTIVE PUBLIC CHARITY STATUS AS FOLLOWS: ALBANY MEDICAL CENTER HOSPITAL - 501(C)(3) 3; ALBANY MEDICAL CENTER HOSPITAL IS SELECTED AS THE MAIN FILING STATUS FOR SCHEDULE A. HOWEVER, THE ADDITIONAL MEMBERS OF THE GROUP ORGANIZATION ARE EQUALLY IMPORTANT TO THE CHARITY STATUS. SARATOGA HOSPITAL - 501(C)(3) 3; SARATOGA HOSPITAL IS A PART I SELECTION 3 ORGANIZATION. COLUMBIA MEMORIAL HOSPITAL - 501(C)(3) 3; COLUMBIA MEMORIAL HOSPITAL IS A PART I SELECTION 3 ORGANIZATION. ALBANY MEDICAL COLLEGE - 501(C)(3) 2; THE COLLEGE IS AN ORGANIZATION THAT WOULD BE SELECTED AS A PART I SELECTION 2 SCHOOL. THE CHARITY DATA FOR THE COLLEGE'S ACTIVITIES IS INCLUDED IN SCHEDULE A PART II. ALBANY MEDICAL CENTER KIDSKELLER - 501(C)(3) 2; KIDSKELLER IS AN ORGANIZATION THAT WOULD BE SELECTED AS A PART I SELECTION 2 SCHOOL. ALBANY MEDICAL CENTER FOUNDATION - 501(C)(3) 7; THE FOUNDATION IS A PART I SELECTION 7 ORGANIZATION. THE CHARITY DATA FOR THE FOUNDATION ACTIVITIES IS INCLUDED IN SCHEDULE A PART II. CENTER FOR DONATION AND TRANSPLANT - 501(C)(3) 12A; CDT IS AN ORGANIZATION THAT WOULD BE SELECTED AS A PART I SELECTION 12A SUPPORTING ORGANIZATION OF ALBANY MEDICAL COLLEGE. HEALTHCARE PARTNERS OF SARATOGA LTD - 501(C)(3) 3; MMEC IS A PART I SELECTION 3 ORGANIZATION. SARATOGA CARE INC - 501(C)(3) 12B; SCI IS AN ORGANIZATION THAT WOULD BE SELECTED AS A PART I SELECTION 12B SUPPORTING ORGANIZATION OF SARATOGA HOSPITAL. SARATOGA REGIONAL MEDICAL PC - 501(C)(3) 3; SRMPC IS A PART I SELECTION 3 ORGANIZATION. COLUMBIA MEMORIAL HEALTH FOUNDATION - 501(C)(3) 10; CMHF IS A PART I SELECTION 10 ORGANIZATION. KAATERSKILL COMMONS, INC - 501(C)(3) 7; KCI IS A PART 1 SELECTION 7 ORGANIZATION. GLENS FALLS HOSPITAL - 501(C)(3) 3; GLENS FALLS HOSPITAL IS A PART I SELECTION 3 ORGANIZATION. ALBANY VISITING NURSE HOME CARE SERVICES GROUP, INC - 501(C)(3) 12B; AVN HOME CARE IS A TYPE II SUPPORTING ORGANIZATION. VISITING NURSE ASSOCIATION OF ALBANY, INC - 501(C)(3) 10; VNA IS A PART I SELECTION 10 ORGANIZATION. VISITING NURSES FOUNDATION, INC - 501(C)(3) 12C; VNF IS A TYPE III SUPPORTING ORGANIZATION.</ExplanationTxt>
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    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>225390</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>225390</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION BELONGS TO SEVERAL HOSPITAL ASSOCIATIONS FOR WHICH A PORTION OF THE MEMBERSHIP DUES ARE USED FOR LOBBYING ACTIVITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
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      <DonorAdvisedFundsHeldCnt>1</DonorAdvisedFundsHeldCnt>
      <DonorAdvisedFundsContriAmt>0</DonorAdvisedFundsContriAmt>
      <DonorAdvisedFundsGrantsAmt>0</DonorAdvisedFundsGrantsAmt>
      <DonorAdvisedFundsVlEOYAmt>17797</DonorAdvisedFundsVlEOYAmt>
      <DisclosedOrgLegCtrlInd>1</DisclosedOrgLegCtrlInd>
      <DisclosedForCharitablePrpsInd>0</DisclosedForCharitablePrpsInd>
      <AgentTrusteeEtcInd>0</AgentTrusteeEtcInd>
      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <CYEndwmtFundGrp>
        <BeginningYearBalanceAmt>162466991</BeginningYearBalanceAmt>
        <ContributionsAmt>3774951</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>27653861</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>2523746</GrantsOrScholarshipsAmt>
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        <AdministrativeExpensesAmt>121105</AdministrativeExpensesAmt>
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        <GrantsOrScholarshipsAmt>2514667</GrantsOrScholarshipsAmt>
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        <AdministrativeExpensesAmt>85600</AdministrativeExpensesAmt>
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        <InvestmentEarningsOrLossesAmt>18823951</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>2389759</GrantsOrScholarshipsAmt>
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        <AdministrativeExpensesAmt>420029</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>190914609</EndYearBalanceAmt>
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      <CYMinus3YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>163527331</BeginningYearBalanceAmt>
        <ContributionsAmt>4257629</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>17750874</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>2275425</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>4673523</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>0</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>178586886</EndYearBalanceAmt>
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        <BeginningYearBalanceAmt>142357866</BeginningYearBalanceAmt>
        <ContributionsAmt>4371193</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>25702476</InvestmentEarningsOrLossesAmt>
        <GrantsOrScholarshipsAmt>2246961</GrantsOrScholarshipsAmt>
        <OtherExpendituresAmt>7241782</OtherExpendituresAmt>
        <AdministrativeExpensesAmt>0</AdministrativeExpensesAmt>
        <EndYearBalanceAmt>162942792</EndYearBalanceAmt>
      </CYMinus4YrEndwmtFundGrp>
      <BoardDesignatedBalanceEOYPct>0.21671</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.74499</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.03831</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>31895838</OtherCostOrOtherBasisAmt>
        <BookValueAmt>31895838</BookValueAmt>
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      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>1102130361</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>590961304</DepreciationAmt>
        <BookValueAmt>511169057</BookValueAmt>
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      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>42457862</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>21059060</DepreciationAmt>
        <BookValueAmt>21398802</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>553302809</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>376792289</DepreciationAmt>
        <BookValueAmt>176510520</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>162591099</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>92284262</DepreciationAmt>
        <BookValueAmt>70306837</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>811281054</TotalBookValueLandBuildingsAmt>
      <InvstProgramRelatedOrgGrp>
        <Desc>ENDOWMENT &amp; OTHER PROGRAMS</Desc>
        <BookValueAmt>169809108</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>CHARITABLE TRUSTS</Desc>
        <BookValueAmt>5275156</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>SELF INSURANCE</Desc>
        <BookValueAmt>50858175</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>BOND</Desc>
        <BookValueAmt>29005087</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <InvstProgramRelatedOrgGrp>
        <Desc>LAND</Desc>
        <BookValueAmt>15001</BookValueAmt>
        <MethodValuationCd>C</MethodValuationCd>
      </InvstProgramRelatedOrgGrp>
      <TotalBookValueProgramRltdAmt>254962527</TotalBookValueProgramRltdAmt>
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        <Desc>INTERCOMPANY</Desc>
        <BookValueAmt>198480093</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>RIGHT OF USE ASSETS</Desc>
        <BookValueAmt>48457965</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>NON-CURRENT</Desc>
        <BookValueAmt>22424881</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>PENSION</Desc>
        <BookValueAmt>2076520</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>OTHER ASSETS</Desc>
        <BookValueAmt>1263334</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>INTEREST IN NET ASSETS FDN</Desc>
        <BookValueAmt>17479836</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>CURRENT</Desc>
        <BookValueAmt>6082625</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>GOODWILL</Desc>
        <BookValueAmt>1558134</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>BENEFIT PLANS</Desc>
        <BookValueAmt>36345</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>PROF. LIABILITY REC.</Desc>
        <BookValueAmt>713000</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>INVESTMENT IN ISNENY</Desc>
        <BookValueAmt>3509105</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>DUE FROM AFFILIATES</Desc>
        <BookValueAmt>798278</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>ADOPTION OF ASC 842</Desc>
        <BookValueAmt>32579</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>MISCELLANEOUS RECEIVABLES</Desc>
        <BookValueAmt>6029404</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>LIFE INSURANCE POLICIES</Desc>
        <BookValueAmt>795545</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>309737644</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>SELF INSURANCE</Desc>
        <Amt>172967860</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>INTERINSTITUTIONAL PAYABLE</Desc>
        <Amt>130789956</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY</Desc>
        <Amt>50443117</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LONG-TERM</Desc>
        <Amt>25740086</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO RELATED PARTIES</Desc>
        <Amt>21791062</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DEFERRED COMPENSATION</Desc>
        <Amt>21556848</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER SHORT-TERM</Desc>
        <Amt>15056216</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>ADOPTION OF ASC 842</Desc>
        <Amt>13679172</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>WORKERS COMPENSATION</Desc>
        <Amt>8943995</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>3RD PARTY LIABILITIES</Desc>
        <Amt>8920340</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>FEDERAL LOAN PROGRAM</Desc>
        <Amt>2869402</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>ASB ABATEMENT</Desc>
        <Amt>2638269</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>ASSET RETIREMENT OBLIGATION</Desc>
        <Amt>401654</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER LIABILITIES</Desc>
        <Amt>52673</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>475850650</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>GIFT ANNUITIES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALBANY MEDICAL COLLEGE THE COLLEGE'S ENDOWMENT CONSISTS OF APPROXIMATELY 350 INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES INCLUDING BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF TRUSTEES TO FUNCTION AS ENDOWMENTS. THE COLLEGE HAS A SPENDING RATE POLICY TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO THE PROGRAMS SUPPORTED BY ITS ENDOWMENTS. THIS POLICY CALLS FOR A WEIGHTED AVERAGE CALCULATION OF THE ENDOWMENT MARKET VALUE OVER THE PAST THIRTEEN QUARTERS. 5% (ANNUAL) OF THIS WEIGHTED AVERAGE IS THEN ALLOCATED TO THE PROGRAMS SUPPORTED FOR USE IN ACCORDANCE WITH THE ENDOWED RESTRICTIONS. THE CALCULATION AND ALLOCATION OF FUNDS OCCURS ON A QUARTERLY BASIS. SPENDING FROM THE ENDOWMENTS IS RESTRICTED FOR VARIOUS PURPOSES. A SIGNIFICANT PORTION OF THE ENDOWMENT FUNDS ARE USED TO PROVIDE SCHOLARSHIPS AND FINANCIAL ASSISTANCE TO MEDICAL STUDENTS. OTHER USES OF THE ENDOWMENTS INCLUDE, BUT ARE NOT LIMITED TO, CREATION AND FUNDING OF DEPARTMENT CHAIRS AND PROFESSORSHIPS, SUPPORT FOR RESEARCH ACTIVITIES AND SUPPORT FOR FELLOWSHIPS. COLUMBIA MEMORIAL HOSPITAL COLUMBIA MEMORIAL HOSPITAL HAS RECEIVED ENDOWMENT FUNDS WITH RESTRICTIONS FOR A VARIETY OF PURPOSES, INCLUDING BOTH DONOR-RESTRICTED FUNDS AND FUNDS DESIGNATED BY THE BOARD OF TRUSTEES TO FUNCTION AS LONG TERM INVESTMENTS. ALL DONOR RESTRICTED FUNDS ARE EXPENDED CONSISTENT WITH THE DONOR'S INTENT WHEN A NEED ARISES. BOARD DESIGNATED FUNDS ARE NOT RESTRICTED FOR ANY PURPOSE, AND ARE SPENT AT THE DISCRETION OF THE TRUSTEES. ALL ENDOWMENT FUNDS ARE USED TO SUPPORT HOSPITAL PROJECTS OR OPERATIONS. COLUMBIA MEMORIAL HOSPITAL FOUNDATION COLUMBIA MEMORIAL HOSPITAL FOUNDATION HAS RECEIVED ENDOWMENT FUNDS THAT ARE DONOR RESTRICTED, THIS IS A COMBINATION OF ORIGINAL DONOR RESTRICTED GIFTS AND ACCUMULATED GAINS. ANY RESTRICTED FUNDS WOULD BE EXPENDED CONSISTENT WITH THE DONOR'S INTENT. ALL ENDOWMENT FUNDS ARE USED TO SUPPORT HOSPITAL PROJECTS. SARATOGA HOSPITAL PERMANENT ENDOWMENT FUNDS ARE RESTRICTED TO SUPPORT SPECIFIC PROGRAMS, SUCH AS THE COMMUNITY HEALTH CENTER OR GENERAL OPERATIONS OF THE HOSPITAL. BOARD-DESIGNATED ENDOWMENT FUNDS ARE NOT RESTRICTED FOR ANY SPECIFIC PURPOSE AND CAN BE USED TO SUPPORT HOSPITAL PROJECTS OR OPERATIONS AT THE DISCRETION OF THE BOARD OF TRUSTEES. THE PERMANENT ENDOWMENT SPENDING POLICY ALLOWS FOR A SPENDING RATE OF 5% OF THE AVERAGE TRAILING QUARTERLY FAIR MARKET VALUE OF PERMANENT ENDOWMENT FUNDS OVER THE PREVIOUS 20 QUARTERS, SUBJECT TO BOARD OF TRUSTEES APPROVAL. THE OVERALL PERMANENT ENDOWMENT ASSETS, AND ANY UNEXPENDED EARNINGS THEREON, ARE ALLOCATED TO VARIOUS DONOR-SPECIFIED PURPOSES BASED ON ORIGINAL DONOR GIFTS. THE SPENDING POLICY IS THEN APPLIED TO PERMANENT ENDOWMENT ASSETS ALLOCATED TO EACH DONOR-SPECIFIED PURPOSE IN ORDER TO DETERMINE SPENDING FOR EACH DONOR-SPECIFIED PURPOSE. GLENS FALLS HOSPITAL PERMANENTLY RESTRICTED NET ASSETS ARE INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE TO SUPPORT THE FOLLOWING: DENTAL CARE - $1,053,285 INDIGENT CARE - $148,927 GENERAL OPERATING EXPENSES - $169,975 HEALTH EDUCATION - $134,485 TOTAL - $1,506,672 VISITING NURSES FOUNDATION, INC INCOME USED FOR GENERAL OPERATIONS RELEASED IN ACCORDANCE WITH STATE LAWS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>WITH THE EXCEPTION OF MADISON AVENUE SERVICES CORPORATION, ALBANY MED SUBS, LLC, ALBANY MEDICAL PARK SOUTH I, LLC, COLUMBIA REGIONAL, PLLC, SARATOGA PARTNERS NORTH, LLC, SARATOGA PARTNERS NORTH REALTY, LLC, BETTER HEALTH FOR NORTHEAST NEW YORK, INC. AND VISITING NURSE ASSOCIATION OF ALBANY HOME CARE CORPORATION, ALL ENTITIES COMPRISING THE SYSTEM ARE NOT-FOR-PROFIT CORPORATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. BETTER HEALTH FOR NORTHEAST NEW YORK, INC. IS A 501(C)(6) NOT-FOR-PROFIT CORPORATION. INCOME TAXES ASSOCIATED WITH MADISON AVENUE SERVICES CORPORATION AND VISITING NURSE ASSOCIATION OF ALBANY HOME CARE CORPORATION ARE NOT MATERIAL TO THE COMBINED FINANCIAL STATEMENTS. IN ADDITION, ALBANY MEDICAL PARK SOUTH I, LLC, ALBANY MED SUBS, LLC, AND COLUMBIA REGIONAL, PLLC ARE LIMITED LIABILITY COMPANIES, WHICH ARE DISREGARDED ENTITIES FOR INCOME TAX PURPOSES. SARATOGA PARTNERS NORTH, LLC AND SARATOGA PARTNERS NORTH REALTY, LLC ARE LIMITED LIABILITY COMPANIES ORGANIZED AS PARTNERSHIPS AND DO NOT MAKE ANY MATERIAL PROVISION FOR INCOME TAXES. THE SYSTEM RECOGNIZES INCOME TAX POSITIONS WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINABLE BASED ON THE MERITS OF THE POSITION. MANAGEMENT HAS CONCLUDED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT NEED TO BE RECORDED AS OF DECEMBER 31, 2023 AND 2022.</ExplanationTxt>
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      <PolicyStmtInBrochuresEtcInd>1</PolicyStmtInBrochuresEtcInd>
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      <MaintainScholarshipsRecsInd>1</MaintainScholarshipsRecsInd>
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      <DiscriminateRaceSchsInd>0</DiscriminateRaceSchsInd>
      <DiscriminateRaceEducPlcyInd>0</DiscriminateRaceEducPlcyInd>
      <DiscriminateRaceUseOfFcltsInd>0</DiscriminateRaceUseOfFcltsInd>
      <DiscriminateRaceAthltProgInd>0</DiscriminateRaceAthltProgInd>
      <DiscriminateRaceOtherActyInd>0</DiscriminateRaceOtherActyInd>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE E, PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHOOL: ALBANY MEDICAL COLLEGE THE RACIALLY NONDISCRIMINATORY POLICY IS PUBLISHED IN ALBANY MEDICAL COLLEGE HANDBOOK AND INDICATED IN NEWSPAPER ADVERTISEMENTS. SCHOOL: ALBANY MEDICAL CENTER KIDSKELLER ALBANY MEDICAL CENTER KIDSKELLER ANSWERS IN THE NEGATIVE TO THIS QUESTION BECAUSE IT DOES NOT CURRENTLY PUBLISH ITS RACIALLY NONDISCRIMINATORY POLICY THROUGH A NEWSPAPER. HOWEVER, THE ORGANIZATION DRAWS ITS STUDENTS FROM LOCAL COMMUNITIES, FOLLOWS A RACIALLY NONDISCRIMINATORY POLICY AS TO STUDENTS, AND INCLUDES A STATEMENT OF ITS RACIALLY NONDISCRIMINATORY POLICY AS TO STUDENTS IN ALL ITS BROCHURES AND CATALOGUES DEALING WITH STUDENT ADMISSIONS, PROGRAMS, AND SCHOLARSHIPS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE E, PART I, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHOOL: ALBANY MEDICAL CENTER KIDSKELLER ALBANY MEDICAL CENTER KIDSKELLER ANSWERS IN THE NEGATIVE TO THIS QUESTION BECAUSE IT DOES NOT SOLICIT CONTRIBUTIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE E, PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>SCHOOL: ALBANY MEDICAL COLLEGE ALBANY MEDICAL COLLEGE PARTICIPATES IN THE DIRECT LOAN PROGRAM AS WELL AS OPERATES CERTAIN OTHER FEDERALLY FUNDED FINANCIAL AID PROGRAMS. SCHOOL: ALBANY MEDICAL CENTER KIDSKELLER ALBANY MEDICAL CENTER KIDSKELLER PARTICIPATES IN THE USDA FOOD SUBSIDY PROGRAM.</ExplanationTxt>
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        <RegionTotalExpendituresAmt>11722076</RegionTotalExpendituresAmt>
      </AccountActivitiesOutsideUSGrp>
      <AccountActivitiesOutsideUSGrp>
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      <SubtotalEmployeesCnt>0</SubtotalEmployeesCnt>
      <ContinuationTotalOfficeCnt>0</ContinuationTotalOfficeCnt>
      <ContinuationTotalEmployeeCnt>0</ContinuationTotalEmployeeCnt>
      <TotalOfficeCnt>0</TotalOfficeCnt>
      <TotalEmployeeCnt>0</TotalEmployeeCnt>
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      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>16114287</TotalSpentAmt>
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      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>1</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>1</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>1</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ACCOUNTING METHOD IS FAIR MARKET VALUE. INVESTMENTS &amp; EXPENDITURES PER REGION: THE AMOUNTS ARE ENTIRELY INVESTMENTS.</ExplanationTxt>
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        <Event2Nm>SUMMER GALA</Event2Nm>
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        <DirectExpenseSummaryGamingAmt>13931</DirectExpenseSummaryGamingAmt>
        <NetGamingIncomeSummaryAmt>25769</NetGamingIncomeSummaryAmt>
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      <StatesWhereGamingConductedCd>NY</StatesWhereGamingConductedCd>
      <LicensedInd>1</LicensedInd>
      <LicenseSuspendedEtcInd>0</LicenseSuspendedEtcInd>
      <GamingWithNonmembersInd>1</GamingWithNonmembersInd>
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      <GamingOtherFacilityPct>0.47100</GamingOtherFacilityPct>
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        <BusinessNameLine1Txt>MARY SOLOMNS</BusinessNameLine1Txt>
      </PersonsWithBooksName>
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        <AddressLine1Txt>211 CHURCH STREET</AddressLine1Txt>
        <CityNm>SARATOGA SPRINGS</CityNm>
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        <BusinessNameLine1Txt>MARY SOLOMNS</BusinessNameLine1Txt>
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        <FormAndLineReferenceDesc>SCHEDULE G, PART III, LINES 1-8</FormAndLineReferenceDesc>
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      <OtherCommuntityBuildingActyGrp>
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        <CostToChargeRatioInd>X</CostToChargeRatioInd>
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      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>1 IMAGING SVCS OF NENY LLC</BusinessNameLine1Txt>
        </EntityName>
        <PrimaryActivitiesTxt>DIAGNOSTIC RADIOLOGY</PrimaryActivitiesTxt>
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      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>2 SARATOGA PARTNERS NORTH LLC</BusinessNameLine1Txt>
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      <ManagementCoAndJntVenturesGrp>
        <EntityName>
          <BusinessNameLine1Txt>3 SARATOGA PARTNERS NORTH REALTY LLC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>ALBANY MEDICAL CENTER HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
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          <CityNm>ALBANY</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12208</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.ALBANYMED.ORG</WebsiteAddressTxt>
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        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <ChildrensHospitalInd>X</ChildrensHospitalInd>
        <TeachingHospitalInd>X</TeachingHospitalInd>
        <CriticalAccessHospitalInd>X</CriticalAccessHospitalInd>
        <ResearchFacilityInd>X</ResearchFacilityInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
        <FacilityNum>2</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>COLUMBIA MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>71 PROSPECT AVENUE</AddressLine1Txt>
          <CityNm>HUDSON</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12534</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.COLUMBIAMEMORIALHEALTH.ORG</WebsiteAddressTxt>
        <StateLicenseNum>1001000H</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFacilitiesGrp>
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        <BusinessName>
          <BusinessNameLine1Txt>GLENS FALLS HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
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          <CityNm>GLENS FALLS</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12801</ZIPCd>
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        <WebsiteAddressTxt>WWW.GLENSFALLSHOSPITAL.ORG</WebsiteAddressTxt>
        <StateLicenseNum>5601000H</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
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      <HospitalFacilitiesGrp>
        <FacilityNum>4</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>SARATOGA HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
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          <CityNm>SARATOGA SPRINGS</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12866</ZIPCd>
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        <WebsiteAddressTxt>WWW.SARATOGAHOSPITAL.ORG</WebsiteAddressTxt>
        <StateLicenseNum>4501000H</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>ALBANY MEDICAL CENTER HOSPITAL</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>1</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>1</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART V</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>100.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE SECTION C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE SECTION C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE SECTION C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <OtherActionsTakenInd>X</OtherActionsTakenInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>COLUMBIA MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>2</FacilityNum>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>1</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>1</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART V</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>100.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE SECTION C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE SECTION C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE SECTION C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <ProspectiveMedicareMedicaidInd>X</ProspectiveMedicareMedicaidInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>GLENS FALLS HOSPITAL</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>3</FacilityNum>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>1</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>1</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART V</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>100.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE SECTION C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE SECTION C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicareInd>X</LookBackMedicareInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>SARATOGA HOSPITAL</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>4</FacilityNum>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>1</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>1</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>SEE PART V</OwnWebsiteURLTxt>
        <OtherWebsiteInd>X</OtherWebsiteInd>
        <OtherWebsiteURLTxt>SEE PART V</OtherWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <RptAvailableThruOtherMethodInd>X</RptAvailableThruOtherMethodInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>SEE PART V</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>250.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>400.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <OtherCriteriaInd>X</OtherCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <OtherMethodInd>X</OtherMethodInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE SECTION C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE SECTION C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE SECTION C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicareInd>X</LookBackMedicareInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ALBANY MEDICAL CENTER HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: PART V, SECTION B, LINE 5: THE ALBANY MED HEALTH SYSTEM IS COMPRISED OF ALBANY MEDICAL CENTER (AMC), COLUMBIA MEMORIAL HEALTH (CMH), GLENS FALLS HOSPITAL (GFH), SARATOGA HOSPITAL (SH), AND THE VISITING NURSES ASSOCIATION OF ALBANY (VNA).SEVERAL COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) ENCOMPASSED THE COUNTIES WITHIN NEW YORK STATE'S "CAPITAL REGION", THE PRIMARY SERVICE AREA FOR OUR COMBINED HOSPITALS. WITH NO SINGLE COLLABORATIVE CONDUCTING A CHNA FOR THE ENTIRE PRIMARY SERVICE AREA, OUR SYSTEM'S CAMPUSES WERE INVOLVED IN SEPARATE CHNAS, EACH SERVING AS LEAD ENTITIES OF LOCAL COLLABORATIVES THAT WERE RESPONSIBLE FOR CONDUCTING HEALTH NEEDS ASSESSMENTS FOR "SUB-REGIONS" OF THE CAPITAL REGION. THESE COLLABORATIVES HAVE BEEN IN OPERATION FOR MANY YEARS, AND THE PARTNERSHIPS AND INITIATIVES ESTABLISHED AMONG OUR HOSPITALS, OTHER HOSPITALS, LOCAL HEALTH DEPARTMENTS AND COMMUNITY ORGANIZATIONS CONTINUE.EACH OF OUR HOSPITALS HAS A PROUD AND LONG TRADITION OF CARING FOR OUR COMMUNITIES IN NEW YORK STATE'S CAPITAL REGION.ALBANY MEDICAL CENTER AND COLUMBIA MEMORIAL HEALTH;ALBANY MEDICAL CENTER AND COLUMBIA MEMORIAL HEALTH ARE ACTIVE AND INVOLVED MEMBER ORGANIZATIONS OF THE HEALTHY CAPITAL DISTRICT INITIATIVE (HCDI). A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY HCDI IN 2022 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. THE SURVEY OFFERED MULTIPLE CHOICE AND OPEN-ENDED RESPONSE OPTIONS TO LEARN ABOUT RESIDENTS' HEALTH NEEDS AND PRIORITIES, ACCESS OR BARRIERS TO CARE, MENTAL HEALTH, AND SOCIAL DETERMINANTS OF HEALTH. DEMOGRAPHIC INFORMATION COLLECTED BY THE SURVEY ALLOWED REVIEW OF INFORMATION BY COUNTY, AGE, GENDER, RACE/ETHNICITY AND INCOME. SURVEY RESULTS REGARDING THE PUBLIC'S OPINIONS ON THE SERIOUSNESS OF PUBLIC HEALTH ISSUES WERE INCORPORATED INTO THE PRIORITY SCORING OF HEALTH NEEDS BY THE MEMBERS OF THE THREE CAPITAL REGION PREVENTION AGENDA PRIORITIZATION WORK GROUPS (ALBANY-RENSSELAER, COLUMBIA-GREENE, AND SCHENECTADY). THE WORK GROUPS INCLUDED COMMUNITY VOICES THROUGH REPRESENTATIVES FROM COMMUNITY BASED ORGANIZATIONS THAT SERVE LOW-INCOME RESIDENTS, THE HOMELESS, AND OTHER VULNERABLE POPULATIONS; FEDERALLY QUALIFIED HEALTH CENTERS; ADVOCACY GROUPS; ACADEMIC INSTITUTIONS; PUBLIC HEALTH DEPARTMENTS; PROVIDERS; AND HEALTH INSURERS. PARTICIPANTS WERE ENCOURAGED TO SHARE DATA AND OBSERVATIONS OF THEIR OWN, AND TO ADVOCATE FOR THE NEEDS OF THEIR CONSTITUENTS. HCD AND ITS STAKEHOLDERS STRATEGICALLY INVITED PARTNERS WITH ACCESS TO MEDICALLY UNDERSERVED POPULATIONS.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 HEALTHDEPARTMENTS 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 263 RESPONSES WERE RECEIVED THROUGH MARCH 1, 2022, FOR A TOTAL RESPONSE RATE OF 32.63%. 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 TOBACCO REPORTS FROM THE NEW YORK STATE TOBACCO CONTROL PROGRAM.SARATOGA HOSPITALIN THE SPRING OF 2022, SARATOGA HOSPITAL AND COLLABORATIVE PARTNERS, IN AN EFFORT TO ELICIT BROAD FEEDBACK AND INPUT, IMPLEMENTED A COMMUNITY HEALTH SURVEY THAT WAS COMPRISED OF BOTH MULTIPLE CHOICE AND OPEN-ENDED QUESTIONS. THE INTENT OF THE SURVEY WAS TO GAIN INSIGHT INTO COMMUNITIES' HEALTH NEEDS, HEALTH BEHAVIORS, AND CONDITIONS IN THE ENVIRONMENT AFFECTING A WIDE RANGE OF HEALTH AND QUALITY OF LIFE OUTCOMES AND RISKS (SOCIAL DETERMINANTS OF HEALTH). DEMOGRAPHIC INFORMATION COLLECTED BY THE SURVEY ENABLED THE HOSPITAL TO ANALYZE SURVEY RESULTS BY AGE, GENDER, RACE/ETHNICITY, AND INCOME.RESULTS OF THE SURVEY WERE SHARED WITH THE SARATOGA COUNTY COMMUNITIES OF EXCELLENCE (COE), A GROUP OF REPRESENTATIVES FROM CONSUMERS OF HEALTHCARE, COMMUNITY-BASED ORGANIZATIONS THAT SERVE LOW-INCOME RESIDENTS, THE HOMELESS, 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 WHO INCLUDE MEDICALLY UNDERSERVED POPULATIONS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ALBANY MEDICAL CENTER HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: PART V, SECTION B, LINE 6A: ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HEALTHHOSPITALS LOCATED WITHIN THE DEFINED 6-COUNTY CAPITAL REGION THAT PARTICIPATED IN THE COLLABORATIVE PROCESS OF ASSESSING THE HEALTH NEEDS OF THE COMMUNITY INCLUDE: ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HEALTH, SARATOGA HOSPITAL, ELLIS MEDICINE, AND ST. PETER'S HEALTH PARTNER HOSPITALS.SARATOGA HOSPITALSARATOGA HOSPITAL PARTICIPATED IN THE HEALTH NEEDS ASSESSMENT OF SARATOGA COUNTY AND A SMALL PORTION OF SOUTHERN WARREN COUNTY. SARATOGA HOSPITAL SERVES THE ONLY ACUTE CARE HOSPITAL IN SARATOGA COUNTY, BUT WORKED WITH GLENS FALLS HOSPITAL TO ADDRESS THE OVERLAP IN SERVICE AREAS.HOSPITALS LOCATED WITHIN THE DEFINED 6-COUNTY CAPITAL REGION THAT PARTICIPATED IN THE COLLABORATIVE PROCESS OF ASSESSING THE HEALTH NEEDS OF THE COMMUNITY INCLUDE: ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HEALTH, SARATOGA HOSPITAL, ELLIS MEDICINE, AND ST. PETER'S HEALTH PARTNER HOSPITALS.GLENS FALLS HOSPITALTHE CHA COMMITTEE IS MADE UP OF MEMBERS FROM ADIRONDACK HEALTH, CLINTON COUNTY HEALTH DEPARTMENT, ESSEX COUNTY PUBLIC HEALTH, FRANKLIN COUNTY PUBLIC HEALTH, FULTON COUNTY PUBLIC HEALTH, GLENS FALLS HOSPITAL, HAMILTON COUNTY PUBLIC HEALTH, NATHAN LITTAUER HOSPITAL &amp; NURSING HOME, UNIVERSITY OF VERMONT HEALTH NETWORK ALICE HYDE MEDICAL CENTER, UNIVERSITY OF VERMONT HEALTH NETWORK CHAMPLAIN VALLEY PHYSICIANS HOSPITAL, UNIVERSITY OF VERMONT HEALTH NETWORK ELIZABETHTOWN COMMUNITY HOSPITAL, WARREN COUNTY HEALTH SERVICES, AND WASHINGTON COUNTY HEALTH SERVICES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ALBANY MEDICAL CENTER HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: PART V, SECTION B, LINE 6B: ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HEALTHMANY 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, 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 38 OF THE 2022 HCDI COMMUNITY HEALTH NEEDS ASSESSMENT (HCDI CHNA):HTTPS://WWW.HEALTHYCAPITALDISTRICT.ORG/CONTENT/SITES/HCDI/CHNA2022/2022_CHNA_HCDI_09292022.PDFCOLUMBIA MEMORIAL HEALTH WAS A LEADING MEMBER IN THE COLUMBIA-GREENEPRIORITIZATION WORKGROUP. ADDITIONAL PARTICIPATING ORGANIZATIONS CAN BE FOUND ON PAGES 40-41 OF THE HCDI CHNA:HTTPS://WWW.HEALTHYCAPITALDISTRICT.ORG/CONTENT/SITES/HCDI/CHNA2022/2022_CHNA_HCDI_09292022.PDFGLENS FALLS HOSPITALGFH COLLABORATED WITH THE CHA COMMITTEE OF ARHN WHICH INCLUDES MEMBER ORGANIZATIONS FROM LOCAL HEALTH DEPARTMENTS OF CLINTON, ESSEX, FRANKLIN, FULTON, HAMILTON, WARREN, AND WASHINGTON COUNTIES.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.SARATOGA HOSPITALSARATOGA HOSPITAL COLLABORATED WITH MEMBERS OF THE SARATOGA COUNTY COMMUNITY OF EXCELLENCE, A COOPERATIVE WITH PARTNERS FROM MULTIPLE SECTORS ACROSS ECONOMY, HEALTH, EDUCATION, AND PARKS AND RECREATION WORKING TOWARD A SHARED VISION OF A HEALTHY SARATOGA COUNTY. A LIST OF PARTNERS CAN BE FOUND ON SARATOGA HOSPITAL'S WEBSITE:HTTPS://WWW.SARATOGAHOSPITAL.ORG/CLASSES/COMMUNITY-OF-EXCELLENCE/PARTNER-WITH-US</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ALBANY MEDICAL CENTER HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 7D: FACILITY: ALBANY MEDICAL CENTER HOSPITAL- ALBANY MED'S NEWSLETTERS "THE PAGE AND "THE STORY", 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</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ALBANY MEDICAL CENTER HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: PART V, SECTION B, LINE 11: SIGNIFICANT HEALTH NEEDS IDENTIFIED: ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HEALTH:A DESCRIPTION OF THE METHOD BY WHICH THE CAPITAL REGION PRIORITIZATION WORKGROUPS SELECTED THE MOST SIGNIFICANT HEALTH NEEDS WITHIN EACH OF THE 3 REGIONS (ALBANY-RENSSELAER COUNTIES, COLUMBIA-GREENE COUNTIES AND SCHENECTADY COUNTY) CAN BE FOUND ON PAGES 35-37 IN THE HCDI CHNA:HTTPS://WWW.HEALTHYCAPITALDISTRICT.ORG/CONTENT/SITES/HCDI/CHNA2022/2022_CHNA_HCDI_09292022.PDFA SUMMARY OF THE PROCESSES BY THE PRIORITIZATION WORKGROUPS IN WHICH ALBANY MEDICAL CENTER AND COLUMBIA MEMORIAL HEALTH PARTICIPATED CAN BE ACCESSED VIA THESE LINKS:ALBANY-RENSSELAER COUNTY PRIORITIZATION WORK GROUP:HTTPS://WWW.HEALTHYCAPITALDISTRICT.ORG/CONTENT/SITES/HCDI/CHNA2022/2022_CHNA_HCDI_09292022.PDF PAGES 37-39COLUMBIA-GREENE COUNTIES PRIORITIZATION WORK GROUP:HTTPS://WWW.HEALTHYCAPITALDISTRICT.ORG/CONTENT/SITES/HCDI/CHNA2022/2022_CHNA_HCDI_09292022.PDF - PAGES 40-41A) ALBANY-RENSSELAER COUNTIES PRIORITIZATION WORKGROUPALBANY AND RENSSELAER COUNTIES SELECTED THE FOLLOWING PREVENTION AGENDA PRIORITY AREAS:- OBESITY AND DIABETES- COMMUNICABLE DISEASES (COVID-19)- MENTAL AND SUBSTANCE USE 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 WILL CONTINUE ITS WORK INTO THE 2023-2025 PRIORITIZATION CYCLE, AFTER REVIEWING AND POTENTIALLY REVISING THEIR PREVENTION STRATEGIES AND INTERVENTIONS. THE EXISTING TASK FORCE FOCUSED ON MENTAL HEALTH WILL MODIFY ITS SCOPE TO ALSO INCLUDE SUBSTANCE MISUSE PREVENTION. A NEW TASK FORCE WILL BE CREATED TO SUPPORT THE ONGOING EFFORTS OF LOCAL HOSPITALS AND HEALTH DEPARTMENTS TO QUELL THE COVID-19 PANDEMIC.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 36-45 IN THE ALBANY MEDICAL CENTER COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITYHEALTH IMPROVEMENT PLAN 2022-2024:HTTPS://WWW.ALBANYMED.ORG/WP-CONTENT/UPLOADS/SITES/2/2023/10/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-COMMUNITY-SERVICE-PLAN_2022-2024.PDFB) COLUMBIA-GREENE COUNTIES PRIORITIZATION WORKGROUPCOLUMBIA AND GREENE COUNTIES SELECTED THE FOLLOWING PREVENTION AGENDA PRIORITY AREAS:- OBESITY AND DIABETES- MENTAL AND SUBSTANCE USE DISORDERSTHE 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. THE TASK FORCES ARE RESPONSIBLE FOR ALIGNMENT AND GUIDANCE OF ALL COUNTYWIDE ACTIVITIES RELATED TO EACH PRIORITY AREA.COLUMBIA MEMORIAL HEALTH WILL CONTINUE TO PROVIDE THE RESOURCES NECESSARY TO SUPPORT THE SELECTED INITIATIVES, AS OUTLINED IN THEIR IMPLEMENTATION STRATEGY, ON PAGES 21-29 AND 34-38 WITHIN THE COLUMBIA MEMORIAL HEALTH COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN 2022-2024:HTTPS://WWW.COLUMBIAMEMORIALHEALTH.ORG/WP-CONTENT/UPLOADS/2023/01/2022-2024-CHIP-CSP_COLUMBIA-GREENE-WITH-APPENDICES.PDF.SIGNIFICANT 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 AND SARATOGA HOSPITAL PROCESS. IN ADDITION, GFH REMAINED IN CONTACT WITH SARATOGA COUNTY PUBLIC HEALTH TO COORDINATE WITH THEIR PROCESS.ONCE THE ASSESSMENT PROCESS WAS COMPLETE FOR EACH COUNTY, GFH REVIEWED THE RESULTS TO COORDINATE WITH EACH PARTNER 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.(CONTINUATION ON PAGE 98)</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ALBANY MEDICAL CENTER HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 13H: 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.-THE HOSPITAL MAY ALSO CONSIDER A PATIENT PRESUMPTIVELY ELIGIBLE FOR FINANCIAL ASSISTANCE IF SUFFICIENT INFORMATION CAN BE OBTAINED TO MAKE A DETERMINATION. SUCH INFORMATION MAY BE OBTAINED USING ANALYTIC SOFTWARE OR AN ANALYTIC SERVICES VENDOR, WHICH MAY INCLUDE REVIEW OF CREDIT INFORMATION FROM CONSUMER REPORTING AGENCIES.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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>ALBANY MEDICAL CENTER HOSPITAL</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 20E: 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 11 - CONTINUED</FormAndLineReferenceDesc>
        <ExplanationTxt>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 SARATOGACOUNTY:HTTPS://SARATOGA-COUNTY-COMMUNITY-HEALTH-HUB-1-SCPHS.HUB.ARCGIS.COM/.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 2022-2024.- HEALTHY EATING AND FOOD SECURITY- PHYSICAL ACTIVITY- TOBACCO PREVENTION- CHRONIC DISEASE PREVENTATIVE CARE AND MANAGEMENT- ANTIBIOTIC RESISTANCE AND HEALTHCARE-ASSOCIATED INFECTIONSGFH ALSO EXPANDED THEIR SCOPE OF WORK TO INCLUDE THE ADDITIONAL PRIORITY AREAS- VACCINE PREVENTABLE DISEASES- MENTAL AND SUBSTANCE USE DISORDER PREVENTIONAS PART OF THE COMMUNITY HEALTH PLANNING AND ASSESSMENT PROCESS, THE CHA COMMITTEE ALSO IDENTIFIED AND SELECTED PREVENT CHRONIC DISEASES AND PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS AS REGIONAL PRIORITIES IN SUPPORT OF THE NYS PREVENTION AGENDA 2019-2024. CHA PARTNERS WILL WORK IN TANDEM WITH THE ARHN IN A VARIETY OF WAYS TO BOTH SUPPORT STRATEGIES TO ADDRESS AND RAISE AWARENESS ABOUT CHRONIC DISEASE PREVENTION AND MENTAL AND SUBSTANCE USE DISORDER PREVENTION.STRATEGIES BEING EXPLORED AND FORMULATED ON HOW TO BEST SUPPORT REGIONAL PRIORITIES OF PREVENT CHRONIC DISEASE AND PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE USE DISORDERS INCLUDE:- IDENTIFYING PROFESSIONAL DEVELOPMENT/TRAINING OPPORTUNITIES FOR THE REGION.- IMPLEMENTING A MEDIA CAMPAIGN.- CREATING PREVENTION AGENDA PROJECTS.- USING SOCIAL MEDIA OUTLETS AND WEBSITES TO RAISE AWARENESS OF INITIATIVES AND PROGRAMS CURRENTLY IN PLACE FROM PARTNERS AND OTHERS IN OUR REGION.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 2022-2024. THE DETAILS OF THEIMPLEMENTATION STRATEGY BEGIN ON PAGE 10:HTTPS://WWW.GLENSFALLSHOSPITAL.ORG/WP-CONTENT/UPLOADS/2022/12/GFH_IMPLEMENTATION-STRATEGY_2022-2024_FINAL.PDFSIGNIFICANT HEALTH NEEDS IDENTIFIED SARATOGA HOSPITALTO ADDRESS NEEDS IDENTIFIED IN THE CHNA, SARATOGA HOSPITAL WILL ENGAGE KEY COMMUNITY PARTNERS IN IMPLEMENTING EVIDENCE-BASED STRATEGIES ACROSS SARATOGA COUNTY. ACKNOWLEDGING THAT MANY ORGANIZATIONS AND RESOURCES ARE IN PLACE TO ADDRESS THE HEALTH NEEDS OF OUR COMMUNITY, SARATOGA HOSPITAL HAS STRATEGICALLY REVIEWED BOTH INTERNAL AND EXTERNAL RESOURCES. THIS IMPLEMENTATION STRATEGY WILL EXPLAIN HOW SARATOGA HOSPITAL WILL ADDRESS HEALTH NEEDS IDENTIFIED IN THE CHNA BY CONTINUING EXISTING PROGRAMS AND SERVICES AND BY IMPLEMENTING NEW STRATEGIES.SARATOGA HOSPITAL WILL CONTINUE TO PROVIDE THE STAFF, FACILITIES, RESOURCES AND BUDGET NECESSARY TO CARRY OUT INITIATIVES AS OUTLINED IN THEIR IMPLEMENTATION STRATEGY. THE TABLES FOUND IN EXHIBIT 1 (PAGES 15-17)(HTTPS://SH-MEDIA.ORG/RESOURCES/FILEBROWSER/10/SARATOGA_HOSPITAL_CSP_SUBMISSION_2022-2024.PDF) PROVIDE INFORMATION ABOUT THE PROGRAMS SARATOGA HOSPITAL WILL OFFER TO ADDRESS THE SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH ITS COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN FOR THE NEXT THREE YEARS:- MENTAL AND SUBSTANCE USE DISORDERS- HEART DISEASETHE COMMUNITY HEALTH NEEDS CHOSEN AS THE FOCAL POINTS FOR INCLUSION IN THE CHNA IMPLEMENTATION STRATEGY 2022-2024 WERE: HEART DISEASE;SUBSTANCE USE; AND MENTAL HEALTH.NEEDS IDENTIFIED IN THE CHNA THAT WERE NOT ADDRESSED IN THE CHNA IMPLEMENTATION STRATEGY 2022-2024 INCLUDED: SMOKING; BREAST CANCER; AND DIABETES.NEEDS NOT BEING ADDRESSED IN THE IMPLEMENTATION STRATEGIESNEEDS ADDRESSED IN IMPLEMENTATION STRATEGIES BY OTHER REGIONAL PARTNERS DURING 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 HEALTH, GLENS FALLS HOSPITAL AND SARATOGA HOSPITAL WILL ASSIST WITH THE IMPLEMENTATION OF THE ALBANY-RENSSELAER WORKGROUP'S INITIATIVES.COLUMBIA AND GREENE COUNTIES ALBANY MED HEALTH SYSTEM PARTNER COLUMBIA MEMORIAL HEALTH, 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 HEALTH 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 FORHEALTHY COMMUNITIES (SCHC).WHEN FEASIBLE, ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HEALTH, 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 HEALTH AND SARATOGA HOSPITAL WILL ASSIST WITH THE IMPLEMENTATION OF THE WORKGROUP'S INITIATIVES.NEEDS NOT ADDRESSED THROUGH REGIONAL IMPLEMENTATION STRATEGIES OTHER NEEDS WERE NOT ADDRESSED THROUGH EXISTING REGIONAL HEALTH TASK FORCES OR REGIONAL COLLABORATIVES. BELOW ARE EXAMPLES OF HOW THE ALBANY MED HEALTH SYSTEM HOSPITALS' PROGRAMS AND INITIATIVES ARE ADDRESSING OTHER HEALTH NEEDS IDENTIFIED DURING THE PRIORITIZATION.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 TOWARD ADDRESSING SEVERAL NEEDS THAT DID NOT RISE TO THE SAME LEVEL OF PRIORITIZATION, BUT STILL IDENTIFIED AS PREVALENT HEALTH ISSUES.ALBANY MEDICAL CENTERSOCIAL DETERMINANTS OF HEALTH: RESULTS OF THE COMMUNITY SURVEY LAUNCHED BY HEALTHY CAPITAL DISTRICT INITIATIVE AS PART OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT INDICATED THAT OVER 60% OF SURVEY RESPONDENTS SAID EMPLOYMENT WITH A LIVABLE WAGE AND CHILDCARE ARE DIFFICULT TO ACCESS; HALF (50.4%) SAID PUBLIC TRANSPORTATION TO GET TO NEEDED SERVICES IS HARD FOR SOMEONE IN THEIR COMMUNITY TO ACCESS; 39.6%, HEALTHY FOOD AT A NEARBY LOCATION; 37.7%, RECREATION FACILITIES; 37.6%, SAFE HOUSING; 32.4%, INTERNET; AND 19.4% OF SURVEY RESPONDENTS SAID NALOXONE OPIOID OVERDOSE REVERSAL KITS. COMPARING RESULTS BY YEARLY HOUSEHOLD INCOME, RESPONDENTS WITH LESS THAN $50,000 WERE MORE LIKELY TO SAY ALL THE ABOVE OPPORTUNITIES AND SERVICES ARE DIFFICULT TO ACCESS, EXCEPT CHILDCARE AND PUBLIC TRANSPORTATION TO GET TO NEEDED SERVICES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 11 - CONTINUED</FormAndLineReferenceDesc>
        <ExplanationTxt>- ALBANY MEDICAL CENTER SCREENS ALL PRIMARY CARE PATIENTS ANNUALLY FOR SOCIAL DETERMINANTS OF HEALTH.- THROUGH PARTNERSHIPS WITH NUMEROUS SERVICE ORGANIZATIONS, ALBANY MEDICAL CENTER HOSPITAL PRIMARY CARE AND OTHER SPECIALTY PROVIDERS REFER PATIENTS WHO SCREEN POSITIVE FOR SOCIAL DETERMINANTS OF HEALTH. FOR EXAMPLE, DEPENDING ON NEED, PATIENTS ARE CONNECTED TOTRANSPORTATION SERVICES, REFERRED TO FOOD BANKS, REFERRED FOR COUNSELING, ETC.- ALBANY MED'S WIC PROGRAM PROVIDES HEALTHY 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. ALBANY MED'S DEPARTMENT OF PEDIATRICS OFFERS A FOOD BANK FOR ITS PATIENTS AS WELL.SMOKING/ASTHMA: ADULT SMOKING RATES IN ALBANY COUNTY (16.6%) AND RENSSELAER COUNTY (20.4%) ARE SIGNIFICANTLY HIGHER THAN THE NYS AVERAGE (13%). IN ALBANY COUNTY, LUNG CANCER INCIDENCE (74.0) AND MORTALITY (41.9) RATES, PER 100,000, WERE HIGHER THAN NYS, EXCL. NYC. RENSSELAER COUNTY'S 2015-17 AGE ADJUSTED LUNG CANCER INCIDENCE (81.0 /100,000) AND MORTALITY (45.1) WERE HIGHER THAN NYS, EXCL. NYC ( 66.1, 37.4). ALBANY COUNTY'S 2018 AGE-ADJUSTED PREVALENCE OF ADULTS WITH CURRENT ASTHMA (11.7%), WAS DOWN FROM 13.3% IN 2016, AND WAS HIGHER THAN THE NYS, EXCL. NYC RATE OF 10.8%. RENSSELAER COUNTY'S 2018 AGE-ADJUSTED PREVALENCE OF ADULTS WITH CURRENT ASTHMA (13.1%), WAS UP FROM 11.7% IN 2016, AND WAS HIGHER THAN THE NYS, EXCL. NYC RATE OF 10.8%.- ALBANY MED WORKS WITH LOCAL ORGANIZATIONS TO HOST TOBACCO AND VAPING CESSATION EDUCATIONAL EVENTS FOR THE COMMUNITY.- ALBANY MED'S RESPIRATORY THERAPISTS PROVIDE INPATIENTS WITH SMOKING AND/OR VAPING COUNSELING.- SEVERAL ALBANY MED PEDIATRIC PROVIDERS HAVE LEADERSHIP ROLES IN THE CAPITAL REGION ENVIRONMENTAL HEALTH CENTER, WHICH TRAINS HEALTH CARE PROFESSIONALS TO EDUCATE FAMILIES ABOUT ENVIRONMENTAL HEALTH, INCLUDING ASTHMA TRIGGERS.HEART DISEASE: HEART DISEASE IS THE LEADING CAUSE OF DEATH IN ALBANY AND RENSSELAER COUNTIES. IN RENSSELAER COUNTY, THE ADJUSTED RATE PER 100,000 IS 170.8, ABOVE THE RATES FOR THE CAPITAL REGION (161.7) AND NYS EXCL. NYC (166.7).- ALBANY MEDICAL CENTER CARDIOLOGISTS DIAGNOSE AND TREAT PATIENTS WITH CARDIAC CONDITIONS, FROM BENIGN TO SERIOUS.- ALBANY MED OFFERS ADVANCED CARDIAC SERVICES TO THOSE IN NEED OF SUCH CARE: STRUCTURAL HEART PROGRAM, VALVE TREATMENTS, HEART ARRHYTHMIAS, AND CATHETERIZATIONS.- ALBANY MED PROVIDES THE REGION'S ONLY PEDIATRIC CARDIAC CATHETERIZATION AND CARDIAC SURGERY PROGRAMS.- IN COLLABORATION WITH THE AMERICAN HEART ASSOCIATION, ALBANY MED HEALTH SYSTEM PROVIDES ONGOING EDUCATION TO HELP PATIENTS LOWER THEIR RISK FACTORS AND MAKE HEALTHY LIFESTYLE CHOICES.- PATIENTS HAVE ACCESS TO CLINICAL TRIALS FOR NEW TREATMENTS AND DEVICES, AND THEY BENEFIT FROM THE ONGOING RESEARCH CONDUCTED AT ALBANY MEDICAL COLLEGE.- ALBANY MEDICAL COLLEGE TRAINS THE NEXT GENERATIONS OF CARDIOLOGISTS AND CARDIAC SURGEONS.COLUMBIA MEMORIAL HEALTHINJURIES: COLUMBIA COUNTY'S 2017 FALLS TO THE ELDERLY (65 YEARS AND OVER) HOSPITALIZATION RATE OF 199.0/10,000 WAS HIGHER THAN NYS, EXCL. NYC (193.5) AND DID NOT MEET THE PA OBJECTIVE (173.7). GREENE COUNTY'S 2016-18 HOSPITALIZATION RATE FOR FALLS AMONG CHILDREN AGED UNDER 10 YEARS (14.5/10,000) WAS THE CAPITAL REGION'S HIGHEST, AND 2.4 TIMES HIGHER THAN NYS, EXCL. NYC (6.1).LYME DISEASE: COLUMBIA AND GREENE COUNTIES HAD THE HIGHEST RATES OF LYME DISEASE IN NYS. COLUMBIA COUNTY'S 2016-18 LYME DISEASE INCIDENCE RATE OF 593.8/100,000 WAS SIGNIFICANTLY HIGHER THAN NYS, EXCL. NYC (65.4), AND THE HIGHEST RATE OF ALL NYS COUNTIES. GREENE COUNTY'S 2016-18 LYME DISEASE INCIDENCE RATE OF 550.9/100,000 WAS SIGNIFICANTLY HIGHER THAN NYS, EXCL. NYC (65.4), AND THE 2ND HIGHEST RATE OF ALL NYS COUNTIES.- SIGNIFICANT RESOURCES, BOTH FINANCIAL AND STAFF TIME, ARE BEING EXPENDED BY COLUMBIA MEMORIAL PROVIDERS AS WELL AS REGIONAL PARTNERS TO ADDRESS THE HIGH RATES OF LYME DISEASE IN THE COLUMBIA-GREENE REGION.SMOKING/ASTHMA: COLUMBIA COUNTY'S 2018 ADULT SMOKING RATE (16.2%) WAS HIGHER THAN THAT OF NYS, EXCL. NYC (13.9%), DID NOT MEET THE PA OBJECTIVE (11.0%), BUT FELL FROM 18.9% IN 2016. GREENE COUNTY'S 2018 AGE-ADJUSTED ADULT SMOKING RATE (18.5%), AND WAS THE CAPITAL REGION'S HIGHEST. GREENE COUNTY'S 2018 AGE-ADJUSTED PREVALENCE OF ADULTS WITH CURRENT ASTHMA (13.9%): WAS THE CAPITAL REGION'S 2ND HIGHEST, WAS UP FROM 12.0% IN 2016, AND WAS HIGHER THAN THE NYS, EXCL. NYC 2018 PREVALENCE OF 10.8%. COLUMBIA COUNTY'S HUDSON NEIGHBORHOOD HAD A 1.9 TIMES HIGHER 2014-18 AGE-ADJUSTED ASTHMA ED VISIT RATE (79.4/10,000) THAN NYS EXCL. NYC (42.9).- COLUMBIA MEMORIAL HEALTH'S PULMONOLOGISTS DIAGNOSE AND TREAT PATIENTS 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 2016-18 AGE-ADJUSTED CORONARY HEART DISEASE MORTALITY RATE 118.7 PER 100,000, WAS HIGHER THAN NYS, EXCL. NYC, (115.6) BUT DOWN FROM 130.1 IN 2014-16. GREENE COUNTY'S 2016-18 AGE-ADJUSTED CORONARY HEART DISEASE MORTALITY RATE (125.9/100,000 WASHIGHER THAN NYS, EXCL. NYC, (115.6) AND UP FROM 121.4 IN 2014-16.- COLUMBIA MEMORIAL HEALTH'S CARDIOLOGISTS DIAGNOSE AND TREAT PATIENTS WITH A RANGE OF HEART DISEASE.GLENS FALLS HOSPITALVACCINE PREVENTABLE DISEASES: GLENS FALLS HOSPITAL'S CANCER PREVENTION IN ACTION INITIATIVE WORKS TO RAISE AWARENESS OF HPV VACCINE AS CANCER PREVENTION.- TO INCREASE COMMUNITY ACCEPTANCE OF HPV VACCINATION AS CANCER PREVENTION, GFH PROVIDES EDUCATIONAL RESOURCES AND PRESENTATIONS TO LOCAL SCHOOL DISTRICTS, PARENTS, DENTISTS, PEDIATRIC OFFICES AND OTHER RELEVANT HEALTHCARE OFFICES AND ENGAGES LOCAL LEGISLATORS TO EDUCATEABOUT CANCER PREVENTION EFFORTS.THE PERCENTAGE OF 13-YEAR-OLD ADOLESCENTS WITH A COMPLETE HPV VACCINES SERIES IN WARREN COUNTY (36.9%), WASHINGTON COUNTY (27.1%) AND SARATOGA COUNTY (29.4%) ARE ALL BELOW THE PREVENTION AGENDA BENCHMARK OF 37.4%ANTIBIOTIC RESISTANCE AND HEALTHCARE-ASSOCIATED INFECTIONS: GLENS FALLS HOSPITAL'S INFECTION PREVENTION AND 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.- TO REDUCE INFECTIONS CAUSED BY MULTIDRUG RESISTANT ORGANISMS, GFH IS FACILITATING AN ANTIMICROBIAL RESISTANCE DATA EVALUATION USING A STANDARDIZED APPROACH TO PROVIDE LOCAL PRACTITIONERS WITH AN IMPROVED AWARENESS OF A VARIETY OF ANTIMICROBIAL RESISTANCE PROBLEMS TO AID IN CLINICAL DECISION MAKING AND PRIORITIZE TRANSMISSION PREVENTION EFFORTS.SARATOGA HOSPITALSMOKING: SARATOGA COUNTY'S 2018 ADULT SMOKING RATE (12.8%): WAS BELOW NYS, EXCL. NYC (13.9%), MET THE PREVENTION AGENDA 2024 OBJECTIVE OF 11.0%, AND DECREASED FROM 16.5% IN 2016. SARATOGA COUNTY'S 2015-17 AGE-ADJUSTED LUNG CANCER INCIDENCE (71.8) AND MORTALITY (42.6) RATES, PER 100,000, WERE HIGHER THAN NYS, EXCL. NYC (66.1, 37.4). SARATOGA COUNTY'S AGE-ADJUSTED LUNG CANCER INCIDENCE INCREASED (FROM 70.0) AND MORTALITY FELL (FROM 50.7), FROM 2012-14 TO 2015-17.- 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 INTERACTIONS. BREAST CANCER: SARATOGA COUNTY'S 2015-17 AGE-ADJUSTED FEMALE BREAST CANCER INCIDENCE (143/100,000) AND LATE-STAGE INCIDENCE (44.7) RATES WERE SLIGHTLY HIGHER THAN NYS, EXCL. NYC (140 AND 42.1), WHILE MORTALITY WAS LOWER (17.0/100,000 VS. 18.3). SARATOGA COUNTY'S FEMALE BREAST CANCER SCREENING RATE (88.3%) WAS HIGHER THAN NYS, EXCL. NYC, (80.9%) AMONG WOMEN 50 TO 74 YEARS OF AGE.- 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 11 - CONTINUED</FormAndLineReferenceDesc>
        <ExplanationTxt>DIABETES: THE 2018 AGE-ADJUSTED ADULT DIABETES PREVALENCE (8.9%) WAS LOWER THAN NYS, EXCL. NYC (9.2%) BUT UP FROM 6.9% IN 2016.- SARATOGA HOSPITAL CONTINUES TO OFFER NUTRITION RX, A WEEKLY MULTIDISCIPLINARY PROGRAM FOR PATIENTS AT OUR SARATOGA COMMUNITY HEALTH CENTER WHO ARE WORKING TO IMPROVE THEIR HEALTH THROUGH DIET AND EXERCISE CHANGES.- THE PROGRAM ALSO HELPS ADDRESS FOOD INSECURITY BY SUPPLYING EACH PARTICIPANT WITH A WEEKLY BAG OF FRESH PRODUCE, DONATED BY A LOCAL FARM, ALONG WITH RECIPES ON HOW TO USE THAT PRODUCE.- DATA ON IMPROVEMENTS IN PARTICIPANTS' BMI, HBA1C, LDL, BLOOD PRESSURE LEVELS, AND READINESS TO CHANGE IS ENCOURAGING.- ADDITIONALLY, THE HOSPITAL'S GROWING ENDOCRINE PROGRAM HANDLES A WIDE ARRAY OF ENDOCRINE-RELATED ISSUES INCLUSIVE OF DIABETES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, LINE 7A AND 10A</FormAndLineReferenceDesc>
        <ExplanationTxt>ALBANY MED HEALTH SYSTEM'S CHNAS AND IMPLEMENTATION STRATEGIES ARE POSTED ON EACH SYSTEM HOSPITAL'S WEBSITE:ALBANY MEDICAL CENTER:HTTPS://WWW.ALBANYMED.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-IMPLEMENTATION-STRATEGY/COLUMBIA MEMORIAL HEALTH:HTTPS://WWW.COLUMBIAMEMORIALHEALTH.ORG/ABOUT/OUR-ROLE-IN-THE-COMMUNITY/GLENS FALLS HOSPITAL:HTTPS://WWW.GLENSFALLSHOSPITAL.ORG/SERVICES/COMMUNITY-SERVICES/HEALTH-PROMOTION-CENTER/SARATOGA HOSPITAL:HTTPS://WWW.SARATOGAHOSPITAL.ORG/CLASSES/COMMUNITYHEALTHNEEDSASSESSMENT</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, LINE 16A, 16B, AND 16C</FormAndLineReferenceDesc>
        <ExplanationTxt>FACILITY: ALBANY MEDICAL CENTERTHE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, APPLICABLE, AND PLAIN LANGUAGE SUMMARY ARE POSTED AT THE FOLLOWING WEBSITE:HTTPS://WWW.ALBANYMED.ORG/WP-CONTENT/UPLOADS/SITES/2/2024/01/SYSTEM-FINANCIAL-AID-POLICY-24-ENGLISH.PDF FACILITY: SARATOGA HOSPITALTHE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, APPLICABLE, AND PLAIN LANGUAGE SUMMARY ARE POSTED AT THE FOLLOWING WEBSITE:HTTPS://WWW.SARATOGAHOSPITAL.ORG/PATIENTS-VISITORS/PATIENTS/BILLING/FINANCIAL-ASSISTANCEFACILITY: COLUMBIA MEMORIAL HOSPITALTHE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, APPLICABLE, AND PLAIN LANGUAGE SUMMARY ARE POSTED AT THE FOLLOWING WEBSITE:HTTPS://WWW.COLUMBIAMEMORIALHEALTH.ORG/FAP/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/</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, LINE 22D</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER BILLING DETERMINATION OF INDIVIDUALS WITHOUT INSURANCEFACILITY: ALBANY MEDICAL CENTER HOSPITALALBANY MEDICAL CENTER UTILIZES THE FEDERAL POVERTY GUIDELINES TO ENSURE PATIENTS ARE PRESUMPTIVELY ELIGIBLE, ALONG WITH RESIDENCE REQUIREMENTS.BASED ON FAMILY INCOME AND FAMILY MEMBERS, ALBANY MEDICAL CENTER UTILIZES A SLIDING SCALE CALCULATION METHOD TO DETERMINE THE AMOUNTS TO BILL THE PATIENT, AND ULTIMATELY THE AMOUNT TO BE PAID BY THE PATIENT.CHARGES ARE CAPPED AT THE MEDICARE RATES FOR INPATIENT AND OUTPATIENT SERVICES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V</FormAndLineReferenceDesc>
        <ExplanationTxt>FACILITY: ALBANY MEDICAL CENTERALBANY MEDICAL CENTER HOSPITAL HAS ONE FACILITY WITH TWO LOCATIONS.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>175</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>1 - ALBANY MEDICAL CENTER HOSPITAL SOUTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>25 HACKETT BLVD</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12208</ZIPCd>
          </USAddress>
          <FacilityTxt>SECOND LOCATION OF ALBANY MEDICAL CENTER HOSPITAL</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>2 - ALBANY MED HIV MEDICINE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1 CLARA BARTON DRIVE</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12209</ZIPCd>
          </USAddress>
          <FacilityTxt>HIV MEDICINE, PSYCHIATRY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>3 - PARK SOUTH MEDICAL OFFICE BUILDING</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>391 MYRTLE AVENUE</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12208</ZIPCd>
          </USAddress>
          <FacilityTxt>VASCULAR SURGERY, NEUROLOGY (PEDIATRIC), OB/GY, NEUROSURGERY, BEHAVIORAL</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>4 - SURGEONS PAVILION</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>50 NEW SCOTLAND AVENUE</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12208</ZIPCd>
          </USAddress>
          <FacilityTxt>SURGERY - ENT ADULT, PLASTIC, PEDIATRIC, GENERAL, CARDIOTHORACIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>5 - ALBANY MED MALTA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6 MEDICAL PARK DRIVE SUITE 203</AddressLine1Txt>
            <CityNm>BALLSTON SPA</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12020</ZIPCd>
          </USAddress>
          <FacilityTxt>MULTISPECIALITY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>6 - ALBANY MED EMURGENTCARE - BRUNSWICK</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>730 HOOSICK ROAD</AddressLine1Txt>
            <CityNm>BRUNSWICK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12180</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>7 - ALBANY MED EMURGENTCARE - COXSACKIE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>11835 ROUTE 9W</AddressLine1Txt>
            <CityNm>WEST COXSACKIE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12192</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>8 - ALBANY MED EMURGENTCARE - GLENMONT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>329 GLENMONT ROAD</AddressLine1Txt>
            <CityNm>GLENMONT</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12077</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>9 - ALBANY MED EMURGENTCARE - GLENVILLE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>115 SARATOGA ROAD</AddressLine1Txt>
            <CityNm>GLENVILLE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12302</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>10 - ALBANY MED EMURGENTCARE - MECHANICVILLE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7 PRICE CHOPPER PLAZA</AddressLine1Txt>
            <CityNm>MECHANICVILLE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12118</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>11 - ALBANY MED EMURGENTCARE - NISKAYUNA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1769 UNION STREET</AddressLine1Txt>
            <CityNm>NISKAYUNA</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12309</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE, ENT, AMBULATORY CARE CTR, COMMUN GI, GEN SURG, MULTISPECIALITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>12 - ALBANY MED SARATOGA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>377 CHURCH STREET 2ND FLOOR</AddressLine1Txt>
            <CityNm>SARATOGA SPRINGS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12866</ZIPCd>
          </USAddress>
          <FacilityTxt>NEUROSURGERY, OB/GYN</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>13 - ALBANY MED EMURGENT CARE - SAUGERTIES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2976 ROUTE 9W</AddressLine1Txt>
            <CityNm>SAUGERTIES</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12477</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>14 - ALBANY MED EMURGENT CARE - COLONIE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>98 WOLF ROAD SUITE 16</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12205</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>15 - ALBANY MED NORTH GREENBUSH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>101 JORDAN ROAD SUITE 201</AddressLine1Txt>
            <CityNm>TROY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12180</ZIPCd>
          </USAddress>
          <FacilityTxt>ENT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>16 - ALBANY MEDICAL CENTER HOSPITAL SOUTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>25 HACKETT BLVD</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12208</ZIPCd>
          </USAddress>
          <FacilityTxt>SECOND LOCATION OF ALBANY MEDICAL CENTER HOSPITAL</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>17 - ALBANY MED HIV MEDICINE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1 CLARA BARTON DRIVE</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12208</ZIPCd>
          </USAddress>
          <FacilityTxt>HIV MEDICINE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>18 - PARK SOUTH MEDICAL OFFICE BUILDING</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>391 MYRTLE AVENUE</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12208</ZIPCd>
          </USAddress>
          <FacilityTxt>VASCULAR SURGERY, NEUROLOGY (PEDIATRIC), OB/GY, NEUROSURGERY, BEHAVIORAL</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>19 - SURGEONS PAVILION</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>50 NEW SCOTLAND AVENUE</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12208</ZIPCd>
          </USAddress>
          <FacilityTxt>SURGERY - ENT ADULT, PLASTIC, PEDIATRIC, GENERAL, CARDIOTHORACIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>20 - ALBANY MED MALTA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6 MEDICAL PARK DRIVE SUITE 203</AddressLine1Txt>
            <CityNm>BALLSTON SPA</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12020</ZIPCd>
          </USAddress>
          <FacilityTxt>MULTISPECIALITY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>21 - ALBANY MED EMURGENTCARE - BRUNSWICK</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>730 HOOSICK ROAD</AddressLine1Txt>
            <CityNm>BRUNSWICK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12180</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>22 - ALBANY MED EMURGENTCARE - COXSACKIE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>11835 ROUTE 9W</AddressLine1Txt>
            <CityNm>WEST COXSACKIE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12192</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>23 - ALBANY MED EMURGENTCARE - GLENMONT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>329 GLENMONT ROAD</AddressLine1Txt>
            <CityNm>GLENMONT</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12077</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>24 - ALBANY MED EMURGENTCARE - GLENVILLE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>115 SARATOGA ROAD</AddressLine1Txt>
            <CityNm>GLENVILLE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12302</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>25 - ALBANY MED DEPARTMENT OF PSYCHIATRY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2 CLARA BARTON DRIVE</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12208</ZIPCd>
          </USAddress>
          <FacilityTxt>PSYCHIATRY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>26 - ALBANY MED EMURGENTCARE - NISKAYUNA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1769 UNION STREET</AddressLine1Txt>
            <CityNm>NISKAYUNA</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12309</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE, ENT, AMBULATORY CARE CTR, COMMUN GI, GEN SURG, MULTISPECIALITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>27 - ALBANY MED SARATOGA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>377 CHURCH STREET 2ND FLOOR</AddressLine1Txt>
            <CityNm>SARATOGA SPRINGS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12866</ZIPCd>
          </USAddress>
          <FacilityTxt>NEUROSURGERY, OB/GYN</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>28 - ALBANY MED EMURGENT CARE - SAUGERTIES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2976 ROUTE 9W</AddressLine1Txt>
            <CityNm>SAUGERTIES</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12477</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>29 - ALBANY MED EMURGENT CARE - COLONIE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>98 WOLF ROAD SUITE 16</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12205</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>30 - ALBANY MED NORTH GREENBUSH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>101 JORDAN ROAD SUITE 201</AddressLine1Txt>
            <CityNm>TROY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12180</ZIPCd>
          </USAddress>
          <FacilityTxt>ENT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>31 - ALBANY MED LATHAM</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>713 TROY-SCHENECTADY ROAD SUITE 306</AddressLine1Txt>
            <CityNm>LATHAM</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12110</ZIPCd>
          </USAddress>
          <FacilityTxt>MULTISPECIALITY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>32 - ALBANY MED WASHINGTON AVE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1365 WASHINGTON AVENUE SUITE 200</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12206</ZIPCd>
          </USAddress>
          <FacilityTxt>SLEEP DISORDERS INSTITUTE, MULTISPECIALTY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>33 - ALBANY MED NEUROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>101 JORDAN ROAD SUITE 102</AddressLine1Txt>
            <CityNm>TROY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12180</ZIPCd>
          </USAddress>
          <FacilityTxt>NEUROLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>34 - ALBANY MED NEUROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1365 WASHINGTON AVENUE SUITE 100</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12206</ZIPCd>
          </USAddress>
          <FacilityTxt>NEUROLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>35 - ALBANY MED ENDOCRINOLOGY &amp; PODIATRY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>220 WASHINGTON AVENUE EXTENSION</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12203</ZIPCd>
          </USAddress>
          <FacilityTxt>ENDOCRINOLOGY, PODIATRY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>36 - ALLERGY ASTHMA AND IMMUNOLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>176 WASHINGTON AVENUE EXTENSION</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12203</ZIPCd>
          </USAddress>
          <FacilityTxt>ALLERGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>37 - ALBANY MED (VALATIE)</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1301 RIVER STREET SUITE 101</AddressLine1Txt>
            <CityNm>VALATIE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12184</ZIPCd>
          </USAddress>
          <FacilityTxt>MULTISPECIALTY CLINIC, ALLERGY/CARDIOLOGY/OBGYN, TOXICOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>38 - ALBANY MED INTERNAL MEDICINE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>178 WASHINGTON AVENUE EXTENSION</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12203</ZIPCd>
          </USAddress>
          <FacilityTxt>INTERNAL MEDICINE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>39 - ALBANY MED ENT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1783 ROUTE 9 SUITE 205</AddressLine1Txt>
            <CityNm>CLIFTON PARK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12065</ZIPCd>
          </USAddress>
          <FacilityTxt>SURGERY - ENT, UROLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>40 - WIC PROGRAM</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>220 GREEN STREET</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12202</ZIPCd>
          </USAddress>
          <FacilityTxt>OB/GYN, WIC (WOMEN, INFANTS, &amp; CHILDREN'S PROGRAM)</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>41 - ALBANY MED CLIFTON PARK</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>453 ROUTE 146 SUITE 204</AddressLine1Txt>
            <CityNm>CLIFTON PARK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12065</ZIPCd>
          </USAddress>
          <FacilityTxt>MULTISPECIALITY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>42 - ALBANY MED CLIFTON PARK CROSSING BLVD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3 CROSSING BOULEVARD SUITE 2</AddressLine1Txt>
            <CityNm>CLIFTON PARK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12065</ZIPCd>
          </USAddress>
          <FacilityTxt>MULTISPECIALITY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>43 - ALBANY MED DELMAR</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>250 DELAWARE AVENUE SUITE 202</AddressLine1Txt>
            <CityNm>DELMAR</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12054</ZIPCd>
          </USAddress>
          <FacilityTxt>MULTISPECIALITY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>44 - ALBANY MED LAB &amp; BLOOD DRAW SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>314 SOUTH MANNING BLVD</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12208</ZIPCd>
          </USAddress>
          <FacilityTxt>PHELBOTOMY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>45 - ALBANY MED SARATOGA SURGERY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>381 CHURCH STREET 1ST FLOOR</AddressLine1Txt>
            <CityNm>SARATOGA SPRINGS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12866</ZIPCd>
          </USAddress>
          <FacilityTxt>MULTISPECIALTY CLINIC, GENERAL SURGERY, ENT (ADULT &amp; PEDS), VASCULAR</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>46 - ALBANY MED - MATERNAL FETAL MEDICINE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>90 SOUTH STREET</AddressLine1Txt>
            <CityNm>GLENS FALLS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12801</ZIPCd>
          </USAddress>
          <FacilityTxt>OB/GYN</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>47 - ALBANY MED PEDIATRICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>100 GREAT OAKS BOULEVARD SUITE 103</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12203</ZIPCd>
          </USAddress>
          <FacilityTxt>COMMUNITY PEDIATRICS</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>48 - ALBANY MED THORACIC SURGERY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7 SOUTHWOODS BOULEVARD</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12211</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDOTHORACIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>49 - ALBANY MED KINGSTON</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>117 MARYS AVE SUITE 202</AddressLine1Txt>
            <CityNm>KINGSTON</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12401</ZIPCd>
          </USAddress>
          <FacilityTxt>PEDS CARDIOLOGY, VASCULAR SURGERY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>50 - ALBANY MED EMURGENTCARE - LATHAM</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1019 NEW LOUDON ROAD</AddressLine1Txt>
            <CityNm>LATHAM</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12047</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE, PEDIATRICS</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>51 - ALBANY MED EMURGENTCARE - ROTTERDAM</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1400 ALTAMONT AVENUE</AddressLine1Txt>
            <CityNm>ROTTERDAM</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12303</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>52 - ALBANY MED EMURGENTCARE - GUILDERLAND</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5 NEW KARNER ROAD</AddressLine1Txt>
            <CityNm>GUILDERLAND</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12084</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>53 - ALBANY MED VASCULAR SURGERY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>102 PARK STREET</AddressLine1Txt>
            <CityNm>GLENS FALLS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12801</ZIPCd>
          </USAddress>
          <FacilityTxt>VASCULAR SURGERY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>54 - 16 NEW SCOTLAND AVENUE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>16 NEW SCOTLAND AVENUE 2ND FLOOR</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12208</ZIPCd>
          </USAddress>
          <FacilityTxt>MEDICINE - PULMONARY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>55 - ALBANY MED PEDIATRICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>22 NEW SCOTLAND AVENUE</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12208</ZIPCd>
          </USAddress>
          <FacilityTxt>PEDIATRICS</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>56 - ALBANY MED BARIATRIC SURGERY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>99 DELAWARE AVENUE</AddressLine1Txt>
            <CityNm>DELMAR</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12054</ZIPCd>
          </USAddress>
          <FacilityTxt>SURGERY - BARIACTRICS/NUTRITION, OUTPATIENT PHYSICAL AND OCCUPATIONAL THERAP</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>57 - ALBANY MED NEUROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>989 ROUTE 146</AddressLine1Txt>
            <CityNm>CLIFTON PARK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12065</ZIPCd>
          </USAddress>
          <FacilityTxt>NEUROLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>58 - ALBANY MED AMSTERDAM</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>375 GOLF COURSE ROAD</AddressLine1Txt>
            <CityNm>AMSTERDAM</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12010</ZIPCd>
          </USAddress>
          <FacilityTxt>MULTISPECIALITY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>59 - ALBANY MEDICAL CENTER HOSPITAL SOUTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>25 HACKETT BLVD</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12208</ZIPCd>
          </USAddress>
          <FacilityTxt>SECOND LOCATION OF ALBANY MEDICAL CENTER HOSPITAL</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>60 - ALBANY MED HIV MEDICINE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1 CLARA BARTON DRIVE</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12209</ZIPCd>
          </USAddress>
          <FacilityTxt>HIV MEDICINE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>61 - PARK SOUTH MEDICAL OFFICE BUILDING</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>391 MYRTLE AVENUE</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12208</ZIPCd>
          </USAddress>
          <FacilityTxt>VASCULAR SURGERY, NEUROLOGY (PEDIATRIC), OB/GY, NEUROSURGERY, BEHAVIORAL, PE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>62 - SURGEONS PAVILION</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>50 NEW SCOTLAND AVENUE</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12208</ZIPCd>
          </USAddress>
          <FacilityTxt>SURGERY - ENT ADULT, PLASTIC, PEDIATRIC, GENERAL, CARDIOTHORACIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>63 - ALBANY MED MALTA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6 MEDICAL PARK DRIVE SUITE 203</AddressLine1Txt>
            <CityNm>BALLSTON SPA</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12020</ZIPCd>
          </USAddress>
          <FacilityTxt>MULTISPECIALITY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>64 - ALBANY MED EMURGENTCARE - BRUNSWICK</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>730 HOOSICK ROAD</AddressLine1Txt>
            <CityNm>BRUNSWICK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12180</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>65 - ALBANY MED EMURGENTCARE - COXSACKIE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>11835 ROUTE 9W</AddressLine1Txt>
            <CityNm>WEST COXSACKIE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12192</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>66 - ALBANY MED EMURGENTCARE - GLENMONT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>329 GLENMONT ROAD</AddressLine1Txt>
            <CityNm>GLENMONT</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12077</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>67 - ALBANY MED EMURGENTCARE - GLENVILLE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>115 SARATOGA ROAD</AddressLine1Txt>
            <CityNm>GLENVILLE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12302</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>68 - ALBANY MED EMURGENTCARE - MECHANICVILLE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7 PRICE CHOPPER PLAZA</AddressLine1Txt>
            <CityNm>MECHANICVILLE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12118</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>69 - ALBANY MED EMURGENTCARE - NISKAYUNA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1769 UNION STREET</AddressLine1Txt>
            <CityNm>NISKAYUNA</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12309</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE, AMBULATORY CARE CTR, COMMUNITY GI, GENERAL SRGRY, MULTISPECIALT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>70 - ALBANY MED SARATOGA</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>377 CHURCH STREET 2ND FLOOR</AddressLine1Txt>
            <CityNm>SARATOGA SPRINGS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12866</ZIPCd>
          </USAddress>
          <FacilityTxt>VASCULAR SURGERY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>71 - ALBANY MED EMURGENT CARE - SAUGERTIES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2976 ROUTE 9W</AddressLine1Txt>
            <CityNm>SAUGERTIES</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12477</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>72 - ALBANY MED EMURGENT CARE - COLONIE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>98 WOLF ROAD SUITE 16</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12205</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>73 - ALBANY MED NORTH GREENBUSH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>101 JORDAN ROAD SUITE 201</AddressLine1Txt>
            <CityNm>TROY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12180</ZIPCd>
          </USAddress>
          <FacilityTxt>MULTISPECIALITY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>74 - ALBANY MED LATHAM</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>713 TROY-SCHENECTADY ROAD SUITE 306</AddressLine1Txt>
            <CityNm>LATHAM</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12110</ZIPCd>
          </USAddress>
          <FacilityTxt>MULTISPECIALITY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>75 - ALBANY MED WASHINGTON AVE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1365 WASHINGTON AVENUE SUITE 200</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12206</ZIPCd>
          </USAddress>
          <FacilityTxt>SLEEP DISORDERS INSTITUTE, MULTISPECIALTY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>76 - ALBANY MED NEUROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>101 JORDAN ROAD SUITE 102</AddressLine1Txt>
            <CityNm>TROY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12180</ZIPCd>
          </USAddress>
          <FacilityTxt>NEUROLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>77 - ALBANY MED NEUROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1365 WASHINGTON AVENUE SUITE 100</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12206</ZIPCd>
          </USAddress>
          <FacilityTxt>NEUROLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>78 - ALBANY MED ENDOCRINOLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1365 WASHINGTON AVENUE SUITE 100</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12206</ZIPCd>
          </USAddress>
          <FacilityTxt>ENDOCRINOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>79 - ALLERGY ASTHMA AND IMMUNOLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>176 WASHINGTON AVENUE EXTENSION</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12203</ZIPCd>
          </USAddress>
          <FacilityTxt>ALLERGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>80 - ALBANY MED (VALATIE)</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1301 RIVER STREET SUITE 101</AddressLine1Txt>
            <CityNm>VALATIE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12184</ZIPCd>
          </USAddress>
          <FacilityTxt>MULTISPECIALTY CLINIC, SURGERY MULTISPECIALTY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>81 - ALBANY MED INTERNAL MEDICINE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>178 WASHINGTON AVENUE EXTENSION</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12203</ZIPCd>
          </USAddress>
          <FacilityTxt>INTERNAL MEDICINE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>82 - ALBANY MED NEUROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1783 ROUTE 9 SUITE 205</AddressLine1Txt>
            <CityNm>CLIFTON PARK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12065</ZIPCd>
          </USAddress>
          <FacilityTxt>NEUROLOGY, UROLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>83 - ALBANY MED ENT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1783 ROUTE 9 SUITE 207</AddressLine1Txt>
            <CityNm>CLIFTON PARK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12065</ZIPCd>
          </USAddress>
          <FacilityTxt>SURGERY - ENT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>84 - WIC PROGRAM</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>220 GREEN STREET</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12202</ZIPCd>
          </USAddress>
          <FacilityTxt>OB/GYN, WIC (WOMEN, INFANTS, &amp; CHILDREN'S PROGRAM)</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>85 - ALBANY MED CLIFTON PARK</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>453 ROUTE 146 SUITE 204</AddressLine1Txt>
            <CityNm>CLIFTON PARK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12065</ZIPCd>
          </USAddress>
          <FacilityTxt>MULTISPECIALITY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>86 - ALBANY MED CLIFTON PARK CROSSING BLVD</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3 CROSSING BOULEVARD SUITE 2</AddressLine1Txt>
            <CityNm>CLIFTON PARK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12065</ZIPCd>
          </USAddress>
          <FacilityTxt>MULTISPECIALITY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>87 - ALBANY MED DELMAR</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>250 DELAWARE AVENUE SUITE 202</AddressLine1Txt>
            <CityNm>DELMAR</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12054</ZIPCd>
          </USAddress>
          <FacilityTxt>MULTISPECIALITY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>88 - ALBANY MED GASTROENTEROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3757 CARMAN ROAD</AddressLine1Txt>
            <CityNm>SCHENECTADY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12303</ZIPCd>
          </USAddress>
          <FacilityTxt>GASTROENTEROLOGY, UROLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>89 - ALBANY MED SARATOGA SURGERY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>381 CHURCH STREET 1ST FLOOR</AddressLine1Txt>
            <CityNm>SARATOGA SPRINGS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12866</ZIPCd>
          </USAddress>
          <FacilityTxt>GENERAL SURGERY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>90 - ALBANY MED NEUROSURGERY - GLENS FALLS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>454 GLEN STREET</AddressLine1Txt>
            <CityNm>GLENS FALLS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12801</ZIPCd>
          </USAddress>
          <FacilityTxt>NEUROSURGERY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>91 - LATHAM MEDICINEPEDIATRICS GROUP</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>724 WATERVLIET SHAKER ROAD</AddressLine1Txt>
            <CityNm>LATHAM</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12047</ZIPCd>
          </USAddress>
          <FacilityTxt>MEDICINE, PEDIATRICS</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>92 - ALBANY MED PEDIATRICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>100 GREAT OAKS BOULEVARD SUITE 103</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12203</ZIPCd>
          </USAddress>
          <FacilityTxt>COMMUNITY PEDIATRICS</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>93 - ALBANY MED THORACIC SURGERY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7 SOUTHWOODS BOULEVARD</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12211</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDOTHORACIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>94 - NORTH COUNTRY OBGYN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>90 SOUTH STREET</AddressLine1Txt>
            <CityNm>GLENS FALLS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12801</ZIPCd>
          </USAddress>
          <FacilityTxt>OB/GYN</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>95 - ALBANY MED CARDIOLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2524 ROUTE 9W</AddressLine1Txt>
            <CityNm>RAVENA</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12143</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>96 - ALBANY MED KINGSTON</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>117 MARYS AVE SUITE 202</AddressLine1Txt>
            <CityNm>KINGSTON</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12401</ZIPCd>
          </USAddress>
          <FacilityTxt>VASCULAR SURGERY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>97 - ALBANY MED EMURGENTCARE - LATHAM</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1019 NEW LOUDON ROAD</AddressLine1Txt>
            <CityNm>LATHAM</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12047</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE, PEDIATRICS</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>98 - ALBANY MED EMURGENTCARE - ROTTERDAM</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1400 ALTAMONT AVENUE</AddressLine1Txt>
            <CityNm>ROTTERDAM</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12303</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>99 - ALBANY MED EMURGENTCARE - GUILDERLAND</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5 NEW KARNER ROAD</AddressLine1Txt>
            <CityNm>GUILDERLAND</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12084</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENTCARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>100 - ALBANY MED VASCULAR SURGERY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>102 PARK STREET</AddressLine1Txt>
            <CityNm>GLENS FALLS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12801</ZIPCd>
          </USAddress>
          <FacilityTxt>VASCULAR SURGERY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>101 - ALBANY MED VASCULAR SURGERY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1201 NOTT STREET SUITE 202</AddressLine1Txt>
            <CityNm>SCHENECTADY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12308</ZIPCd>
          </USAddress>
          <FacilityTxt>VASCULAR SURGERY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>102 - ALBANY MED VASCULAR SURGERY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1250 RIVERFRONT CENTER SUITE 2420</AddressLine1Txt>
            <CityNm>AMSTERDAM</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12010</ZIPCd>
          </USAddress>
          <FacilityTxt>VASCULAR SURGERY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>103 - 16 NEW SCOTLAND AVENUE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>16 NEW SCOTLAND AVENUE 2ND FLOOR</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12208</ZIPCd>
          </USAddress>
          <FacilityTxt>MEDICINE - PULMONARY AND RHEUMATOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>104 - ALBANY MED PEDIATRICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>22 NEW SCOTLAND AVENUE</AddressLine1Txt>
            <CityNm>ALBANY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12208</ZIPCd>
          </USAddress>
          <FacilityTxt>PEDIATRICS, PSYCHIATRY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>105 - ALBANY MED UROLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2200 ROSA ROAD</AddressLine1Txt>
            <CityNm>SCHENECTADY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12309</ZIPCd>
          </USAddress>
          <FacilityTxt>SURGERY - UROLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>106 - ALBANY MED BARIATRIC SURGERY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>99 DELAWARE AVENUE</AddressLine1Txt>
            <CityNm>DELMAR</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12054</ZIPCd>
          </USAddress>
          <FacilityTxt>SURGERY - BARIACTRICS</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>107 - ALBANY MED POUGHKEEPSIE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>243 NORTH RD SUITE 204</AddressLine1Txt>
            <CityNm>POUGHKEEPSIE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12601</ZIPCd>
          </USAddress>
          <FacilityTxt>VASCULAR SURGERY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>108 - ALBANY MED EMURGENTCARE - CLIFTON PARK</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>989 ROUTE 146</AddressLine1Txt>
            <CityNm>CLIFTON PARK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12065</ZIPCd>
          </USAddress>
          <FacilityTxt>EMURGENT CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>109 - WILTON MEDICAL ARTS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3040 - 3050 ROUTE 50</AddressLine1Txt>
            <CityNm>SARATOGA SPRINGS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12866</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE/IMAGING/LAB SVCS/PAIN MGMT/FAMILY MED/AMBULATORY SURGERY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>110 - MALTA MED EMERGENT CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6 MEDICAL PARK DRIVE</AddressLine1Txt>
            <CityNm>MALTA</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12020</ZIPCd>
          </USAddress>
          <FacilityTxt>URGENT CARE/LAB SVCS/FAMILY MED/HEMATOLOGY/ONCOLOGY/IMAGING/INFUSION/CARDIOL</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>111 - REGIONAL THERAPY CENTER AT CARE LANE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6 CARE LANE</AddressLine1Txt>
            <CityNm>SARATOGA SPRINGS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12866</ZIPCd>
          </USAddress>
          <FacilityTxt>REHABILITATION (OT/PT)/NEPHROLOGY/NEUROLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>112 - REGIONAL THERAPY CENTER AT THE SPRINGS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9 HAMPSTEAD PLACE SUITE 107</AddressLine1Txt>
            <CityNm>SARATOGA SPRINGS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12866</ZIPCd>
          </USAddress>
          <FacilityTxt>REHABILITATION (OT/PT)</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>113 - REGIONAL THERAPY CENTER AT WASHINGTON ST</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>225 WASHINGTON STREET</AddressLine1Txt>
            <CityNm>SARATOGA SPRINGS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12866</ZIPCd>
          </USAddress>
          <FacilityTxt>REHABILITATION (OT/PT)</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>114 - SARATOGA MEDICAL ONCOLOGY HEMATOLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3 CARE LANE</AddressLine1Txt>
            <CityNm>SARATOGA SPRINGS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12866</ZIPCd>
          </USAddress>
          <FacilityTxt>ONCOLOGY HEMATOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>115 - SARATOGA MIDWIFERY-WOMEN'S PRIMARY CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>665 SARATOGA ROAD</AddressLine1Txt>
            <CityNm>WILTON</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12831</ZIPCd>
          </USAddress>
          <FacilityTxt>MIDWIFERY, WOMEN'S PRIMARY CARE, AND ENDOCRINOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>116 - SCOTIA-GLENVILLE FAMILY MEDICINE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>112 CHARLTON ROAD</AddressLine1Txt>
            <CityNm>BALLSTON LAKE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12019</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY MEDICNE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>117 - SARATOGA COMMUNITY HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>24 HAMILTON STREET</AddressLine1Txt>
            <CityNm>SARATOGA SPRINGS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12866</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY MEDICINE/DENTISTRY/INTERNAL MEDICINE/MENTAL HEALTH/ADDICATION MED</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>118 - CORPORATE HEALTH SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2388 ROUTE 9</AddressLine1Txt>
            <CityNm>MALTA</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12020</ZIPCd>
          </USAddress>
          <FacilityTxt>CORPORATE HEALTH SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>119 - REGIONAL THERAPY CENTER AT MALTA COMMONS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>100 SARATOGA VILLAGE BLVD SUITE 34</AddressLine1Txt>
            <CityNm>BALLSTON SPA</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12020</ZIPCd>
          </USAddress>
          <FacilityTxt>REHABILITATION (OT/PT)</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>120 - MILTON HEALTH CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>510 GEYSER ROAD</AddressLine1Txt>
            <CityNm>BALLSTON SPA</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12020</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY MEDICINE/PHYSICAL THERAPY/REHABILITATION (OT/PT)</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>121 - SARATOGA REGIONAL UROLOGY ASSOCIATES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>19 WEST AVENUE SUITE 103</AddressLine1Txt>
            <CityNm>SARATOGA SPRINGS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12866</ZIPCd>
          </USAddress>
          <FacilityTxt>UROLOGY/SLEEP LAB/PULMONARY MEDICINE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>122 - SARATOGA CTR GEN &amp; MINIMALLY INV SURGERY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1 WEST AVENUE SUITE 125</AddressLine1Txt>
            <CityNm>SARATOGA SPRINGS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12866</ZIPCd>
          </USAddress>
          <FacilityTxt>MINIMALLY INVASIVE SURGERY/BARIATRIC SURGERY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>123 - SARATOGA FAMILY HEALTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>119 LAWRENCE STREET</AddressLine1Txt>
            <CityNm>SARATOGA SPRINGS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12866</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY MEDICINE/PODIATRY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>124 - SCHUYLERVILLE FAMILY HEALTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>200 BROAD STREET</AddressLine1Txt>
            <CityNm>SCHUYLERVILLE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12871</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY MEDICINE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>125 - GALWAY FAMILY HEALTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5344 SACANDAGA ROAD PO BOX 190</AddressLine1Txt>
            <CityNm>GALWAY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12074</ZIPCd>
          </USAddress>
          <FacilityTxt>FAMILY MEDICINE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>126 - CARDIOLOGY SPECIALTY SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>254 CHURCH STREET 2ND FLOOR</AddressLine1Txt>
            <CityNm>SARATOGA SPRINGS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12866</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>127 - MECHANICVILLE PRIMARY CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>202 S CENTRAL AVE</AddressLine1Txt>
            <CityNm>MECHANICVILLE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12118</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>128 - SPORTS MEDICINE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>8 MEDICAL PARK DRIVE</AddressLine1Txt>
            <CityNm>MALTA</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12020</ZIPCd>
          </USAddress>
          <FacilityTxt>SPORTS MEDICINE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>129 - MECHANICVILLE PRIMARY CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2911 ROUTE 9</AddressLine1Txt>
            <CityNm>BALLSTON SPA</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12020</ZIPCd>
          </USAddress>
          <FacilityTxt>PRIMARY CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>130 - GREENE MEDICAL ARTS BLDG - GMI</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>159 JEFFERSON HEIGHTS</AddressLine1Txt>
            <CityNm>CATSKILL</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12414</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P MEDICAL IMAGING SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>131 - GREENE MEDICAL ARTS BLDG - FAMILY CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>159 JEFFERSON HEIGHTS</AddressLine1Txt>
            <CityNm>CATSKILL</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12414</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P FAMILY CARE PRACTICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>132 - GREENE MEDICAL ARTS BLDG - SPECIALTY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>159 JEFFERSON HEIGHTS</AddressLine1Txt>
            <CityNm>CATSKILL</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12414</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P (WOMENS HLTH, PSYCH, ORTHO, DRAW)</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>133 - GREENE MEDICAL ARTS BLDG - SPECIALTY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>159 JEFFERSON HEIGHTS</AddressLine1Txt>
            <CityNm>CATSKILL</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12414</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P (CARDIO, SLEEP CTR, PEDS, NEPHROLOGY)</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>134 - COLUMBIA MEDICAL COMPLEX - IMAGING</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>67 PROSPECT AVENUE</AddressLine1Txt>
            <CityNm>HUDSON</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12534</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P MEDICAL IMAGING SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>135 - COLUMBIA MEDICAL COMPLEX - SPECIALTY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>67 PROSPECT AVENUE</AddressLine1Txt>
            <CityNm>HUDSON</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12534</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P (ENDO, CARDIO, NEPHRO, UROLOGY, PSYCH)</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>136 - COLUMBIA MEDICAL COMPLEX - SPECIALTY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>67 PROSPECT AVENUE</AddressLine1Txt>
            <CityNm>HUDSON</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12534</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P (BONE &amp; JOINT, SPINE, RHEUMATOLOGY)</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>137 - COLUMBIA MEDICAL COMPLEX - SPECIALTY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>67 PROSPECT AVENUE</AddressLine1Txt>
            <CityNm>HUDSON</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12534</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P (WOMEN'S HEALTH &amp; SURGERY)</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>138 - COLUMBIA MEDICAL COMPLEX - SURG ASSOC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>67 PROSPECT AVENUE</AddressLine1Txt>
            <CityNm>HUDSON</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12534</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P SURGICAL PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>139 - COLUMBIA MEDICAL COMPLEX - FAMILY CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>67 PROSPECT AVENUE</AddressLine1Txt>
            <CityNm>HUDSON</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12534</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P FAMILY CARE PRACTICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>140 - COLUMBIA MEMORIAL BONE &amp; JOINT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>23 FISH AND GAME ROAD</AddressLine1Txt>
            <CityNm>HUDSON</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12534</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P (ORTHO, PT &amp; OT)</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>141 - COLUMBIA MEMORIAL VALATIE CAMPUS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>OSJ PLAZA - 2827 ROUTE 9</AddressLine1Txt>
            <CityNm>VALATIE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12184</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P (RAPID CARE, FAMILY CARE, DRAW)</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>142 - VALATIE MEDICAL ARTS BUILDING - IMAGING</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1301 RIVER STREET</AddressLine1Txt>
            <CityNm>VALATIE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12184</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P MEDICAL IMAGING SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>143 - VALATIE MEDICAL ARTS BUILDING - SPEC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1301 RIVER STREET</AddressLine1Txt>
            <CityNm>VALATIE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12184</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P CARDIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>144 - VALATIE MEDICAL ARTS BUILDING - FAM CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1301 RIVER STREET</AddressLine1Txt>
            <CityNm>VALATIE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12184</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P FAMILY CARE PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>145 - COLUMBIA MEMORIAL PEDIATRICS</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>813 WARREN STREET</AddressLine1Txt>
            <CityNm>HUDSON</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12184</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P PEDIATRIC SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>146 - CALLAN FAMILY CARE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>358 MOUNTAIN VIEW ROAD</AddressLine1Txt>
            <CityNm>COPAKE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12516</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P FAMILY CARE PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>147 - CHATHAM FAMILY CARE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>31 DARDESS DRIVE</AddressLine1Txt>
            <CityNm>CHATHAM</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12037</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P FAMILY CARE PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>148 - BROADWAY FAMILY CARE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7385 SOUTH BROADWAY</AddressLine1Txt>
            <CityNm>RED HOOK</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12571</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P FAMILY CARE PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>149 - CAIRO FAMILY CARE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4383 ROUTE 23</AddressLine1Txt>
            <CityNm>CAIRO</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12413</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P FAMILY CARE PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>150 - WINDHAM MEDICAL CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>345 STATE ROUTE 296</AddressLine1Txt>
            <CityNm>HENSONVILLE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12439</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P FAMILY CARE PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>151 - COXSACKIE MEDICAL CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9 LAW STREET</AddressLine1Txt>
            <CityNm>WEST COXSACKIE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12192</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P FAMILY CARE PRACTICE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>152 - CMH DENTAL VAN</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>71 PROSPECT AVENUE</AddressLine1Txt>
            <CityNm>HUDSON</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12534</ZIPCd>
          </USAddress>
          <FacilityTxt>MOBILE CARE UNIT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>153 - CMH RAPID CARE - COPAKE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>283 MOUNTAIN VIEW ROAD</AddressLine1Txt>
            <CityNm>COPAKE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12516</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P RAPID CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>154 - ADIRONDACK CARDIOLOGY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6 HEARTS WAY</AddressLine1Txt>
            <CityNm>QUEEENSBURY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12804</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC - CARDIOLOGY AND CARDIAC REHABILITATION</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>155 - SURGICAL SPECIALISTS OF GFH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>14 HUDSON AVE</AddressLine1Txt>
            <CityNm>GLENS FALLS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12801</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC - SURGICAL SERVICES, UROLOGY, THORACIC, ORTHOPEDIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>156 - REHAB CENTER &amp; HEARING CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2 COUNTRY CLUB ROAD</AddressLine1Txt>
            <CityNm>QUEENSBURY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12804</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC - OUTPATIENT PT, OT, SPEECH, AUDIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>157 - ADIRONDACK ENT</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>14 HUDSON AVE</AddressLine1Txt>
            <CityNm>GLENS FALLS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12801</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC - PRIMARY MEDICAL CARE, ENT SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>158 - CAMBRIDGE MEDICAL CENTER AND URGENT CARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>35 GILBERT ST</AddressLine1Txt>
            <CityNm>CAMBRIDGE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12816</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC - PRIMARY MEDICAL CARE, OP RADIOLOGY, URGENT CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>159 - GREENWICH MEDICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1134 STATE RT 29</AddressLine1Txt>
            <CityNm>GREENWICH</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12834</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC - PRIMARY MEDICAL CARE, OP RADIOLOGY, PT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>160 - PHYSICAL THERAPY AT IRONGATE CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4 IRONGATE CENTER</AddressLine1Txt>
            <CityNm>GLENS FALLS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12801</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC - OP PT, OT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>161 - GRANVILLE MEDICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>79 NORTH ST</AddressLine1Txt>
            <CityNm>GRANVILLE</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12832</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC - PRIMARY MEDICAL CARE, OP RADIOLOGY, LAB, REHAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>162 - MAIN ST PHYSICAL THERAPY</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>17 MAIN STREET</AddressLine1Txt>
            <CityNm>GLENS FALLS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12801</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC - OP PT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>163 - MED IMAGING &amp; LAB - MOREAU FAMILY HEALTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1299 RT 9</AddressLine1Txt>
            <CityNm>GANSEVOORT</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12831</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC - DIAGNOSTIC OP RADIOLOGY, LAB SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>164 - HUDSON FALLS MEDICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>325 MAIN ST</AddressLine1Txt>
            <CityNm>HUDSON FALLS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12839</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC - PRIMARY MEDICAL CARE</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>165 - EVERGREEN MEDICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>EVERGREEN PLAZA 13 PALMER AVE</AddressLine1Txt>
            <CityNm>CORINTH</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12822</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC - PRIMARY MEDICAL CARE, OP RADIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>166 - ADVANCED IMAGING AT BAYBROOK</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>22 WILLOWBROOK RD</AddressLine1Txt>
            <CityNm>QUEENSBURY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12804</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC - DIAGNOSTIC OP RADIOLOGY, CT SCANNER</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>167 - WHITEHALL MEDICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>65 POULTNEY ST</AddressLine1Txt>
            <CityNm>WHITEHALL</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12887</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC - PRIMARY MEDICAL CARE, OP RADIOLOGY, REHAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>168 - SALEM MEDICAL CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>213 MAIN ST</AddressLine1Txt>
            <CityNm>SALEM</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12865</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC - PRIMARY MEDICAL CARE, OP PT</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>169 - HUDSON FALLS LAB COLLECTION CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3027 STATE ROUTE 4</AddressLine1Txt>
            <CityNm>HUDSON FALLS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12839</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC - LAB SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>170 - LAB SERVICES AT 90 SOUTH STREET</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>90 SOUTH ST</AddressLine1Txt>
            <CityNm>GLENS FALLS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12801</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC - LAB SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>171 - LAB SERVICES WEST MTN FAMILY HEALTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>161 CAREY RD</AddressLine1Txt>
            <CityNm>QUEENSBURY</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12804</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC - LAB SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>172 - THE HEARING CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>101 RIDGE STREET</AddressLine1Txt>
            <CityNm>GLENS FALLS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12801</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC -AUDIOLOGY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>173 - FAMILY HEALTH LAB SERVICES</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>38 LAROSE ST</AddressLine1Txt>
            <CityNm>GLENS FALLS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12801</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC - LAB SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>174 - ONCOLOGY SERVICES AT CARE LANE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3 CARE LANE</AddressLine1Txt>
            <CityNm>SARATOGA SPRINGS</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12866</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC - ONCOLOGY SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>175 - ONC HEMA &amp; INFUSION AT MALTA MED PARK</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6 MEDICAL PARK BLVD</AddressLine1Txt>
            <CityNm>MALTA</CityNm>
            <StateAbbreviationCd>NY</StateAbbreviationCd>
            <ZIPCd>12020</ZIPCd>
          </USAddress>
          <FacilityTxt>HOSPITAL EXTENSION CLINIC - ONCOLOGY, HEMATOLOGY, AND INFUSION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALBANY MEDICAL CENTER HOSPITAL AND AFFILIATES:THE ALBANY MED HEALTH SYSTEM UTILIZES A COST ACCOUNTING SYSTEM.ALBANY MED HEALTH SYSTEM PREPARES A COST REPORT FOR MEDICARE/MEDICAID PURPOSES.FIGURES REPORTED IN THIS COST REPORT WERE USED AS THE BASIS FOR REPORTING OF CHARITY CARE AND MEANS TESTED PROGRAMS.THE PERCENT OF TOTAL EXPENSE CALCULATED IN PART I, LINE 7, COLUMN (F) IS CALCULATED BY DIVIDING COLUMN (E), NET COMMUNITY BENEFIT EXPENSE, BY TOTAL EXPENSES FOR THE HOSPITALS OF THE SYSTEM OF $2,515,430,471.ALBANY MED HEALTH 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR 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 2023, ALBANY MED INVESTED NEARLY $85,000 IN ALBANY-BASED NON-PROFIT ORGANIZATIONS. IN 2023, 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 8</FormAndLineReferenceDesc>
        <ExplanationTxt>SARATOGA HOSPITALTHE 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.COLUMBIA MEMORIAL HOSPITALFOR 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL SELF-PAY BILLS WILL BE ASSESSED FOR PRESUMPTIVE ELIGIBILITY PRIOR TO COMMENCEMENT OF COLLECTION REFERRAL. AMC 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 GFH 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE 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 REVENUEADOPTION OF ASU NO. 2014-09 REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606). UPON ADOPTION, THE MAJORITY OF WHAT IS CURRENTLY CLASSIFIED AS PROVISION FOR UNCOLLECTIBLE ACCOUNTS AND PRESENTED AS A REDUCTION TO NET PATIENT SERVICE REVENUE ON THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS IS TREATED AS A PRICE CONCESSION THAT REDUCES THE TRANSACTION PRICE, WHICH IS REPORTED AS NET PATIENT SERVICE REVENUE. THE SYSTEM INCURRED APPROXIMATELY $44.0 MILLION AND $41.0 MILLION IN PROVISIONS FOR UNCOLLECTIBLE ACCOUNTS DURING EACH OF THE 2023 AND 2022 YEARS.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 $25.0 MILLION IN 2023 AND $23.2 MILLION IN 2022 AS FOLLOWS:2023 CHARITY CARE AT COST: $17,297,000 PAYMENTS TO STATEWIDE POOL: $10,742,000RECEIPTS FROM STATEWIDE POOL: $(2,965,000) TOTAL: $25,074,0002022CHARITY CARE AT COST: $17,635,000 PAYMENTS TO STATEWIDE POOL: $10,217,000RECEIPTS FROM STATEWIDE POOL: $(4,622,000) TOTAL: $23,230,000THE 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>EXPLANATION OF SHORTFALL AS COMMUNITY BENEFITAPPROXIMATELY 16% 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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, COLUMBIA MEMORIAL HEALTH, 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;- PATIENT AND FAMILY ADVISORY COUNCILS;- 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;- ENVIRONMENTAL ASSESSMENTS FROM OUR STRATEGIC PLANNING PROCESS;- PATIENT SURVEYS, BOTH INPATIENT AND OUTPATIENT; - COMMUNITY ACCESS TO ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HEALTH, GLENS FALLS 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, INCREASED DEMAND FOR BEHAVIORAL HEALTH SERVICES)- 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALBANY MEDICAL CENTER:ALBANY MEDICAL CENTER PROVIDES A GUIDE TO ALL PATIENTS AND THEIR FAMILIES DESCRIBING ITS SERVICES, PROGRAMS AND POLICIES. THIS GUIDE DESCRIBES THE FINANCIAL ASSISTANCE OPTIONS AVAILABLE TO A PATIENT. IN ADDITION, ALBANY MEDICAL CENTER MAINTAINS A WEBSITE THAT PROVIDES INFORMATION ON FINANCIAL ASSISTANCE, CHARITY CARE AND FREQUENTLY ASKED QUESTIONS. ALBANY MEDICAL CENTER FURTHER PROVIDES ASSISTANCE AND INFORMATION ABOUT AVAILABLE PROGRAMS DURING ITS COLLECTION PROCESS.ALBANY MEDICAL CENTER SUPPORTS OUR PATIENTS WHO MAY BE UNINSURED OR UNDERINSURED THROUGH THE FOLLOWING PROGRAMS AND RELATIONSHIPS. FIDELIS FACILITATED ENROLLMENT SPECIALISTS HAVE PARTNERED WITH AMC TO SCREEN AND ENROLL PATIENTS IN APPLICABLE PROGRAMS. THE PROGRAM WILL SERVICE THE PATIENT IN THE COMMUNITY OR HOME AND PROVIDE FOLLOW UP EFFORTS WITH THE RESPECTIVE INSURER OR COUNTY PROGRAM.CHAMBERLIN EDMOND, AN ENROLLMENT COMPANY, PERFORMS SCREENING AND ENROLLMENT IN FEDERAL DISABILITY PROGRAMS AND STATE MEDICAID PROGRAMS. THE COMPANY COVERS PATIENTS WITHIN AND OUTSIDE OF NYS. THERE IS NO CHARGE TO THE PATIENT FOR THIS PROGRAM.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 STAFFS A 7 DAY A WEEK PATIENT ASSISTANCE UNIT THAT PERFORMS ENROLLMENT IN MEDICAID, SCREENS APPLICANTS FOR SPECIAL PROGRAM ELIGIBILITY, PROVIDES FINANCIAL AID/CHARITY CARE APPLICATION PROCESSING, PERFORMS COBRA PREMIUM REQUESTS, SUPPORTS OUR PATIENTS IN MANAGING COMPLEX FINANCIAL SITUATIONS RELATED TO MEDICAL BILLS. THE UNIT COORDINATES WITH PHYSICIAN PRACTICE GROUPS TO SUPPORT THE PATIENT IN NAVIGATING THE FINANCIAL PROCESS TO ENSURE THE PROVISION OF SERVICE WITH MINIMAL FINANCIAL BURDEN WHENEVER POSSIBLE.ALBANY MEDICAL CENTER PROVIDES A SELF-PAY/CUSTOMER SERVICE UNIT TO SUPPORT THE PROCESSING OF FINANCIAL AID/CHARITY CARE APPLICATIONS AND PRESUMPTIVE ELIGIBILITY FOR ALL PATIENTS WHO MAY BE DETERMINED ELIGIBLE BASED ON INCOME AND FAMILY SIZE.WE CONTINUE TO BUILD COMMUNITY PARTNERSHIPS THAT SUPPORT THE ENROLLMENT OF PATIENTS IN PROGRAMS THAT WILL PROVIDE THE MOST COMPLETE COVERAGE FOR THE CARE THEY NEED.SARATOGA HOSPITAL:THE HOSPITAL EDUCATED PATIENTS ABOUT ELIGIBILITY FOR ASSISTANCE UNDER ITS FINANCIAL ASSISTANCE PROGRAM (FAP), AS WELL AS FEDERAL AND STATE PROGRAMS THROUGH THE FOLLOWING MEANS:- A SUMMARY 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 APPLICABLE 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 PATIENCE FINANCIAL SERVICES DEPARTMENT.- 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. WEBSITE ALSO CONTAINS INFORMATION ON CHARITY CARE PROGRAMS AND WEB PORTAL HAS AN APPLICATION FORM ONLINE THAT CAN BE PRINTED AND FILLED OUT. REGISTRARS ARE AVAILABLE TO CONFIDENTIALLY ASSIST PATIENTS IN COMPLETING THE APPLICATION. RESOURCES ARE AVAILABLE TO ASSIST PATIENTS IF THEY ARE ASKED TO APPLY FOR MEDICAID OR OTHER PUBLICLY SPONSORED INSURANCE PROGRAMS FIRST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALBANY MEDICAL CENTERALBANY MEDICAL CENTER'S PRIMARY SERVICE AREA INCLUDES THE 6 COUNTIES OF THE CAPITAL REGION, BUT WORK OF THE HCDI TASK FORCES WAS DIVIDED UP REGIONALLY, INTO 3 AREAS (ALBANY-RENSSELAER, COLUMBIA-GREENE, AND SCHENECTADY. THE INFORMATION BELOW SPEAKS TO THE 2 COUNTIES IN WHICH ALBANY MEDICAL CENTER IS A LEAD MEMBER OF THE ALBANY-RENSSELAER TASK FORCES ADDRESSING DIABETES AND OBESITY, COVID-19, AND MENTAL AND SUBSTANCE USE DISORDERS.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 (24.7%) AND THE 2ND LARGEST HISPANIC POPULATION (6.0%). ALBANY'S SOUTH END NEIGHBORHOOD HAD THE CAPITAL REGION'S HIGHEST PERCENTAGE OF BLACK (59.2%) AND NON-WHITE (71.8%) POPULATIONS. ALBANY COUNTY'S POVERTY RATE OF 11.9% IS HIGHER THAN THAT OF NYS, EXCLUDING NYC (11.1%). WITHIN ALBANY COUNTY, THE SOUTH END/DOWNTOWN (46.6%), WEST END (33.4%), AND SOUTH END (33.0%) NEIGHBORHOODS HAD THE 1ST, 3RD, AND 4TH HIGHEST POVERTY RATES IN THE CAPITAL REGION.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 39.8 YEARS. 16.1% OF THE POPULATION IS 14 YEARS OF AGE OR YOUNGER, WHILE 16.5% IS 65+ YEARS OF AGE. ABOUT 13.9% OF RENSSELAER COUNTY'S POPULATION IS NON-WHITE AND 4.9% IS HISPANIC. THE TROY/LANSINGBURGH NEIGHBORHOOD HAS THE LARGEST NON-WHITE POPULATION OF 24.5% AS WELL AS THE COUNTY'S LARGEST HISPANIC POPULATION OF 7.5%. RENSSELAER COUNTY'S POVERTY RATE OF 11.7% WAS HIGHER THAN THAT OF NYS, EXCLUDING NYC (11.1%). THE TROY/LANSINGBURGH NEIGHBORHOOD HAS THE HIGHEST NEIGHBORHOOD POVERTY RATE IN THE COUNTY AT 19.1%.COLUMBIA MEMORIAL HEALTHCOLUMBIA MEMORIAL HEALTH 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. THE INFORMATION BELOW SPEAKS TO THE 2 COUNTIES IN WHICH COLUMBIA MEMORIAL HEALTH IS A LEAD MEMBER OF THE COLUMBIA-GREENE TASK FORCES ADDRESSING CHRONIC DISEASE AND SUBSTANCE USE DISORDERS.COLUMBIA COUNTY HAS A POPULATION OF OVER 60,000 AND IS LOCATED BETWEEN THE BERKSHIRES AND CATSKILLS, WITH THE HUDSON RIVER AS THE WESTERN BORDER. COLUMBIA COUNTY HAS THE HIGHEST MEDIAN AGE IN THE CAPITAL REGION (42.2 YEARS). ABOUT 13.9% OF COLUMBIA COUNTY'S POPULATION IS 14 YEARS OF AGE OR YOUNGER, WHILE 23.1% ARE OVER 65 YEARS OLD. 6.6% OF THE POPULATION REPORTBEING BORN OUTSIDE THE UNITED STATES. COLUMBIA COUNTY'S POVERTY RATE (11.6%) IS HIGHER THAN THE POVERTY RATE OF NYS (11.1%), EXCLUDING NYC. ABOUT 11% OF COLUMBIA COUNTY'S POPULATION IS NON-WHITE AND 4.8% ARE HISPANIC. THE HUDSON NEIGHBORHOOD HAS THE LARGEST NON-WHITE POPULATION (21.2%) AND ALSO THE HIGHEST NEIGHBORHOOD POVERTY RATE (17.4%) IN THE COUNTY. GREENE COUNTY IS THE MOST RURAL COUNTY IN THE CAPITAL REGION, WITH A POPULATION OF 47,000. GREENE COUNTY HAS THE SECOND HIGHEST MEDIAN AGE (45.9 YEARS) IN THE CAPITAL REGION. ABOUT 13.5% OF THE POPULATION IS 14 YEARS OF AGE OR YOUNGER, WHILE 21.6% OF THE POPULATION IS OVER THE AGE OF 65. GREENE COUNTY'S POPULATION IS 10.4% NON-WHITE AND 5.9% HISPANIC. THE NON-WHITE/HISPANIC POPULATION IN GREENE COUNTY HAS INCREASED SINCE 2010. THE COXSACKIE/ATHENS NEIGHBORHOOD HAS THE LARGEST NON-WHITE POPULATION (14.1%), AS WELL AS THE LARGEST HISPANIC POPULATION (10.1%). GREENE COUNTY'S POVERTY RATE WAS THE HIGHEST IN THE CAPITAL REGION (14%), AND HIGHER THAN THE REST OF NYS, EXCLUDING NYC. THE NEIGHBORHOOD OF CATSKILL HAD THE HIGHEST POVERTY RATE (19.4%) IN THE COUNTY.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 $88,753, WELL BELOW THE UPSTATE NEW YORK AVERAGE OF $97,962. THE POPULATION IS NEITHER RACIALLY NOR ETHNICALLY DIVERSE; BETWEEN 92% AND 96% OF THE POPULATION IS WHITE, NON-HISPANIC IN EACH COUNTY. ON AVERAGE, NEARLY 20% OF THE POPULATION IS 65 YEARS OF AGE AND OLDER, A HIGHER PERCENTAGE THAN UPSTATE NEW YORK (17.7%) OR NYS (16.52%) AS A WHOLE. WITHIN THE REGION, THE PERCENT OF RESIDENTS WITH AN ASSOCIATE'S DEGREE OR HIGHER RANGES FROM 31% IN WASHINGTON COUNTY TO 53.6% IN SARATOGA COUNTY, COMPARED TO 46.3% FOR NYS. THE PERCENT OF INDIVIDUALS RECEIVING MEDICAID ACROSS THE REGION RANGES FROM THE HIGHEST IN WASHINGTON COUNTY AT 26.5% AND THE LOWEST IN SARATOGA COUNTY 12.9%.SARATOGA HOSPITALSARATOGA HOSPITAL'S PRIMARY SERVICE AREA INCLUDES NEIGHBORHOODS IN SARATOGA COUNTY. SARATOGA COUNTY IS THE 2ND MOST POPULATED COUNTY IN THE CAPITAL REGION WITH A POPULATION OF 230,000. IT HAS THE 3RD HIGHEST MEDIAN AGE (42.8 YEARS) IN THE CAPITAL REGION. SARATOGA COUNTY HAD 16.5% OF THE POPULATION UNDER AGE 14 AND 17.6% ABOVE AGE 65. THE COUNTY HAD THE SMALLEST PERCENTAGES OF NON-WHITE (7.3%) AND HISPANIC (3.2%) POPULATIONS IN THE CAPITAL REGION. THE CLIFTON PARK WEST NEIGHBORHOOD HAD THE HIGHEST PERCENTAGE OF NON-WHITE POPULATION (14.5%), WHILE BALLSTON SPA HAD THE HIGHEST PERCENTAGE OF HISPANIC POPULATION (5.0%). SARATOGA COUNTY HAD THE LOWEST POVERTY RATE IN THE CAPITAL REGION, AT 5.8%.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 ACCEPTS 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 INSURANCE 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, 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 ENTITYSERVES.EACH OF OUR HOSPITALS PROVIDES MONTHLY SUPPORT AND EDUCATION GROUPS FOR A VARIETY OF TOPICS. WHILE THEY VARY AMONG ENTITIES, THEY INCLUDE CHILDBIRTH, BREASTFEEDING, 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 CENTERSPECIFIC WAYS THAT ALBANY MEDICAL CENTER PROMOTES COMMUNITY HEALTH INCLUDE BUT ARE NOT LIMITED TO - THE FOLLOWING:- RANGE OF COMMUNITY HEALTH PROGRAMS AND INITIATIVES LED BY OR SUPPORTED BY ALBANY MED AND ITS STAFF.- 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 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 HEALTHSPECIFIC WAYS THAT COLUMBIA MEMORIAL HEALTH PROMOTES COMMUNITY HEALTH INCLUDE BUT ARE NOT LIMITED TO - THE FOLLOWING:- CMH'S ONGOING COLLABORATION WITH COLUMBIA-GREENE PLANNING PARTNERS OFFERS RESIDENTS ACCESS TO A RANGE OF COMMUNITY-BASED PROGRAMS AND SERVICES.- PROVIDES EDUCATION, DIRECTION, AND OVERSIGHT TO PROVIDERS AND NURSING STAFF TO ENSURE THEY ARE EDUCATED ABOUT THE NATIONAL GUIDELINES FOR EVIDENCE-BASED MEDICAL MANAGEMENT OF OBESITY, PREDIABETES, AND DIABETES AND DELIVER CARE ACCORDINGLY- EMPLOYS A DIABETES EDUCATOR- PROVIDES STAFF TO SERVE AS POINTS OF CONTACT, SOURCES OF REFERRAL, AND GENERALLY COORDINATE ACTIVITIES WITH THE CERTIFIED PEER RECOVERY ADVOCATE (CRPA) WORKING ON BEHALF OF GREENER PATHWAYS- EMPLOYS MULTIPLE BEHAVIORISTS THROUGHOUT THE PRIMARY CARE SYSTEM BUILDS SUPPORT SYSTEMS OF CARE FOR USERS OF OPIOIDS AND OTHERS AT RISK OF AN OVERDOSE, THROUGH PARTNERSHIPS WITH GREENER PATHWAYS AND TWIN COUNTY RECOVERY SERVICES.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 &amp; 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>IN 2023, THE ALBANY MED HEALTH SYSTEM WAS COMPRISED OF ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HEALTH, GLENS FALLS HOSPITAL, SARATOGA HOSPITAL, AND THE VISITING NURSES ASSOCIATION OF ALBANY.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 HEALTH, 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 AVAILABLETHROUGH THE ALBANY MED HEALTH SYSTEM.ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HEALTH, 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>ALBANY MEDICAL CENTER, COLUMBIA MEMORIAL HEALTH, 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 (NYSDOH).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ALBANY MEDICAL COLLEGE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>47 NEW SCOTLAND AVE</AddressLine1Txt>
          <CityNm>ALBANY</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12208</ZIPCd>
        </USAddress>
        <RecipientEIN>141338310</RecipientEIN>
        <IRCSectionDesc>501 (C)(3)</IRCSectionDesc>
        <CashGrantAmt>8803054</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>FUND SCHOLARSHIPS AND RESEARCH</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ALBANY MEDICAL CENTER HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>47 NEW SCOTLAND AVE</AddressLine1Txt>
          <CityNm>ALBANY</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12208</ZIPCd>
        </USAddress>
        <RecipientEIN>141338307</RecipientEIN>
        <IRCSectionDesc>501 (C)(3)</IRCSectionDesc>
        <CashGrantAmt>1256839</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>FUND RESEARCH AND HEALTHCARE</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>ALBANY MED HEALTH SYSTEM</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>47 NEW SCOTLAND AVE</AddressLine1Txt>
          <CityNm>ALBANY</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12208</ZIPCd>
        </USAddress>
        <RecipientEIN>141641730</RecipientEIN>
        <IRCSectionDesc>501 (C)(3)</IRCSectionDesc>
        <CashGrantAmt>302600</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>EQUIPMENT/TECHNOLOGY</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>AMC ALUMNI ASSOCIATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>47 NEW SCOTLAND AVE</AddressLine1Txt>
          <CityNm>ALBANY</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12208</ZIPCd>
        </USAddress>
        <RecipientEIN>141468380</RecipientEIN>
        <IRCSectionDesc>501 (C)(3)</IRCSectionDesc>
        <CashGrantAmt>412452</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>FUND SCHOLARSHIPS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COLUMBIA MEMORIAL HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>71 PROSPECT AVE</AddressLine1Txt>
          <CityNm>HUDSON</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12534</ZIPCd>
        </USAddress>
        <RecipientEIN>141338373</RecipientEIN>
        <IRCSectionDesc>501 (C)(3)</IRCSectionDesc>
        <CashGrantAmt>784244</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>FMV</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>SUPPORT SARATOGA HOSPITAL</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THE SARATOGA HOSPITAL</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>211 CHURCH STREET</AddressLine1Txt>
          <CityNm>SARATOGA SPRINGS</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12866</ZIPCd>
        </USAddress>
        <RecipientEIN>141338547</RecipientEIN>
        <IRCSectionDesc>501 (C)(3)</IRCSectionDesc>
        <CashGrantAmt>570046</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>CASH</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>SUPPORT COLUMBIA MEMORIAL HOSPITAL</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>6</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>EDUCATIONAL SCHOLARSHIPS</GrantTypeTxt>
        <RecipientCnt>462</RecipientCnt>
        <CashGrantAmt>5903448</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>NURSING SCHOLARSHIP</GrantTypeTxt>
        <RecipientCnt>3</RecipientCnt>
        <CashGrantAmt>11400</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GROUP ENTITIES LIMIT CONTRIBUTIONS TO ORGANIZATIONS WITH CLOSE CONNECTIONS TO THE GROUP MEMBERS AND OVERALL HEALTH SYSTEM. THE GROUP ENTITIES HAVE INFLUENCE AND/OR OVERSIGHT OVER THE ACTIVITIES OF THE RECIPIENT ORGANIZATIONS WHICH PROVIDES OVERSIGHT TO ENSURE THE FUNDS ARE USED AS INTENDED. ALBANY MEDICAL CENTER FOUNDATION: REVIEW OF ACTIVITY, BUDGET MONITORING AND REPORT PREPARATION AND FILINGS BY RESEARCH OFFICE, IRC DEPARTMENTS, AND SPONSORED PROGRAM/FINANCIAL REPORTING DEPARTMENTS. ALBANY MEDICAL COLLEGE: ALBANY MEDICAL COLLEGE'S DEPARTMENT OF FINANCIAL AID REVIEWS APPLICATIONS FOR SCHOLARSHIPS AND DISTRIBUTES FUNDS IN ACCORDANCE WITH SCHOLARSHIP RESTRICTIONS. FUNDS ARE DIRECTLY OFFSET AGAINST TUITION AMOUNTS OWED. COLUMBIA MEMORIAL HOSPITAL FOUNDATION: FOR ANY ORGANIZATION THAT PROVIDES ASSISTANCE, A DETERMINATION IS MADE TO ENSURE THAT THE ORGANIZATION IS A TAX-EXEMPT NOT-FOR-PROFIT ENTITY AND THAT THE PURPOSE FOR WHICH THE ASSISTANCE WILL BE USED IS OF BENEFIT TO THE COMMUNITIES SERVED BY THE COLUMBIA MEMORIAL HOSPITAL OR IS IN LINE WITH THE OVERALL HEALTHCARE DRIVEN MISSION OF THE HOSPITAL. SARATOGA CARE INSTITUTE: FOR ANY ORGANIZATION THAT PROVIDES ASSISTANCE, A DETERMINATION IS MADE TO ENSURE THAT THE ORGANIZATION IS A TAX-EXEMPT NOT-FOR-PROFIT ENTITY AND THAT THE PURPOSE FOR WHICH THE ASSISTANCE WILL BE USED IS OF BENEFIT TO THE COMMUNITIES SERVED BY THE SARATOGA HOSPITAL OR IS IN LINE WITH THE OVERALL HEALTHCARE DRIVEN MISSION OF THE HOSPITAL. GLENS FALLS HOSPITAL: EVERY GRANT THAT IS APPLIED FOR AND RECEIVED IS OVERSEEN BY A MANAGER OR DIRECTOR WITHIN THE ORGANIZATION. THESE INDIVIDUALS WORK CLOSELY WITH THE ACCOUNTING FUNCTION TO ENSURE ALL EXPENSES RELATED TO GRANTS ARE USED APPROPRIATELY AND TRACKED CORRECTLY. FINANCE MAINTAINS A TRACKING LOG OF GRANT FUNDS RECEIVED.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <HousingAllowanceOrResidenceInd>X</HousingAllowanceOrResidenceInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>1</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>1</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>1</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
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        <PersonNm>DENNIS P MCKENNA MD</PersonNm>
        <TitleTxt>PRES/CEO(AMHS), BD MEM(AMCH,AMCF,COL</TitleTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SANJAY A SAMY</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHRISTOPHER GORCZYNSKI MD</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>FRANCES SPREER ALBERT</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL W DAILEY</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ALICIA WICZULIS MD</PersonNm>
        <TitleTxt>BOARD MEMBER (KIDS)</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>WILLIAM MURPHY MD</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>MARY ALICE CULLEN</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY SHANNON</PersonNm>
        <TitleTxt>VP, CLINICAL SERVICES (GFH)</TitleTxt>
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        <OtherCompensationFilingOrgAmt>11806</OtherCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GARY FOSTER</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VICKEY MASTA</PersonNm>
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        <NontaxableBenefitsRltdOrgsAmt>9413</NontaxableBenefitsRltdOrgsAmt>
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        <PersonNm>BRIGIDO MONTERO</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>REBECCA BUTTERFIELD MD</PersonNm>
        <TitleTxt>BOARD MEMBER (KIDS)</TitleTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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        <PersonNm>CHARLES M DAY</PersonNm>
        <TitleTxt>BOARD MEMBER (KIDS THRU 6/23)</TitleTxt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2815</NontaxableBenefitsRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOAN MARTIN</PersonNm>
        <TitleTxt>DIRECTOR (HS)</TitleTxt>
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        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JENNIFER BOGART</PersonNm>
        <TitleTxt>BOARD MEMBER (KIDS)</TitleTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEFFREY CASALE</PersonNm>
        <TitleTxt>AVP FACILITIES (SH)</TitleTxt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
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        <PersonNm>PAUL B RICE</PersonNm>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MEGHAN L WEYGANT</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEPHANIE HISGEN</PersonNm>
        <TitleTxt>CHIEF MEDICAL OFFICER (CMH)</TitleTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LISA WEST</PersonNm>
        <TitleTxt>FORMER OFFICER (SH)</TitleTxt>
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        <TitleTxt>VP CIO &amp; COMPLIANCE OFFICER (SH THRU</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATHERINE KEEFE MSN MHA</PersonNm>
        <TitleTxt>BOARD MEMBER (CDT)</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANGELO CALBONE</PersonNm>
        <TitleTxt>FORMER PRESIDENT/CEO (SH, SCI, HS)</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANGELA ALESSI</PersonNm>
        <TitleTxt>BOARD MEMBER (KIDS)</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MARY JO LAPOSTA</PersonNm>
        <TitleTxt>FORMER SVP (SH)</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VINCENT P VERDILE MD</PersonNm>
        <TitleTxt>DEAN EMERITUS (COL)</TitleTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>SARATOGA HOSPITAL: THE PLAN IS OPERATED PURSUANT TO A PLAN DOCUMENT, APPROVED BY THE HOSPITAL'S BOARD OF TRUSTEES. JILL JOHNSON VANKUREN, THE PRESIDENT &amp; CEO OF THE HOSPITAL, RECEIVED A HOUSING ALLOWANCE FOR THE VALUE OF HOSPITAL-PROVIDED HOUSING. THE AMOUNT FOR 2023 WAS $12,300 AND IS INCLUDED IN THE TOTAL REPORTED ON COLUMN B(III).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>ALBANY MED HEALTH SYSTEM: THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS (COMMITTEE) ESTABLISHES COMPENSATION FOR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, ALL EXECUTIVE VICE PRESIDENTS AND OTHER TOP MANAGEMENT OFFICIALS WHO REPORT DIRECTLY TO THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS. THE COMMITTEE USES PROFESSIONAL COMPENSATION ADVISORS WHO ARE CAPABLE OF RENDERING INDEPENDENT ADVICE AND INDEPENDENT MARKET SURVEYS. THE COMMITTEE TARGETS THE MARKET MEDIAN (50TH PERCENTILE) FOR CASH COMPENSATION; BENEFIT PROGRAMS ARE INTENDED TO BE COMPETITIVE. AFTER THE COMPENSATION PROGRAM IS DETERMINED, THE COMMITTEE-APPROVED RECOMMENDATION IS FORWARDED TO THE BOARD OF DIRECTORS FOR ITS CONSIDERATION AND APPROVAL, AND THAT IS CONTEMPORANEOUSLY SUBSTANTIATED. COLUMBIA MEMORIAL HOSPITAL: THE COMPENSATION OF THE HOSPITAL'S CEO IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE COMPENSATION COMMITTEE BASES THEIR PROPOSAL ON CEO COMPENSATION SURVEYS FROM THE HEALTHCARE INDUSTRY ORGANIZATIONS, IRS FORM 990 FOR COMPARABLE ORGANIZATIONAL DATA AND GENERAL INDUSTRY KNOWLEDGE. THE CEO COMPENSATION PACKAGE IS FORMALIZED IN A WRITTEN EMPLOYMENT CONTRACT AND APPROVED BY THE BOARD OF TRUSTEES. SARATOGA HOSPITAL: THE HOSPITAL'S BOARD OF TRUSTEES IS RESPONSIBLE FOR THE IMPLEMENTATION AND MAINTENANCE OF THE EXECUTIVE COMPENSATION PROGRAM. UNDER THE DIRECTION OF THE BOARD OF TRUSTEES, THE EXECUTIVE COMMITTEE MEETS AS NEEDED TO REVIEW THE COMPENSATION PROGRAM AND MAKE RECOMMENDATIONS FOR ANY CHANGES TO THE BOARD OF TRUSTEES, AS APPROPRIATE. IN ADDITION TO REGIONALLY PUBLISHED MARKET DATA, THE HOSPITAL USES NATIONALLY PUBLISHED NOT-FOR-PROFIT HOSPITAL COMPENSATION SURVEY DATA FROM VARIOUS VENDORS TO DETERMINE MARKET POSITION AND THE REASONABLENESS OF BASE SALARY AND THE TOTAL COMPENSATION BEING PAID TO EXECUTIVES. ADDITIONALLY, THE HOSPITAL MAY COLLECT OTHER PUBLISHED SURVEY DATA WHEN APPROPRIATE FROM FOR-PROFIT ORGANIZATIONS FOR SPECIFIC FUNCTIONAL COMPETENCIES WITHIN THE ORGANIZATION, SUCH AS INFORMATION SYSTEMS, FUNDRAISING, AND FINANCE. AT THE DIRECTION OF THE BOARD OF TRUSTEES, MARKET DATA IS COMPILED ANNUALLY BY THE HUMAN RESOURCES DEPARTMENT AND USED TO FORM A MARKET COMPOSITE TO ASSESS THE COMPETITIVENESS OF COMPENSATION FOR EACH IDENTIFIED LEADERSHIP POSITION. IN ADDITION, THE CHAIRPERSON OF THE BOARD OF TRUSTEES RETAINS ON A BI-ANNUAL BASIS (OR MORE FREQUENTLY AS NEEDED) AN INDEPENDENT VALUATION EXPERT TO ASSESS THE REASONABLENESS OF THE TOTAL COMPENSATION PACKAGE PAID TO EXECUTIVES AS COMPARED TO SIMILARLY SITUATED EXECUTIVES OF NOT-FOR-PROFIT AND FOR-PROFIT HEALTH CARE ENTITIES WITH COMPARABLE NET REVENUES AND SIMILAR JOB RESPONSIBILITIES. GLENS FALLS HOSPITAL: EXECUTIVE PAY IS REVIEWED ANNUALLY BY A THIRD PARTY CONSULTANT. THIS REVIEW INCLUDES A COMPARISON OF GFH EXECUTIVE PAPY PRACTICES WITH NATIONAL AND REGIONAL BENCHMARK STUDIES AS APPROPRIATE. THE CONSULTANT IS ENGAGED DIRECTLY BY THE GFH BOARD OF GOVERNORS AND REPORTS THEIR FINDINGS TO THE BOARD PERSONNEL COMMITTEE FOR REVIEW AND ACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>ALBANY MED HEALTH SYSTEM: SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN STARTED IN 2016 AND SEVERAL PERSONS LISTED IN FORM 990, PART VII, SECTION A, LINE 1A PARTICIPATED IN AND/OR RECEIVED PAYMENT FROM THE PLAN. THE FOLLOWING EMPLOYEES PARTICIPATED IN THE PLAN AND THE AMOUNTS LISTED BELOW ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C): DENNIS P. MCKENNA, PRES &amp; CEO (AMHS), BD MEM (AMCH, AMCF, COL, CMH, GFH, SH), $322,005 FRANCES SPREER ALBERT, SR EVP, COO &amp; CFO (AMHS), BD MEM (AVN, VNA, VNF), $82,410 ALAN S. BOULOS, EVP &amp; DEAN ALB MED COL (COL), $108,168 JOHN A DEPAOLA, DIRECTOR (HS), $25,392 THE FOLLOWING EMPLOYEES RECEIVED PAYMENT FROM THE PLAN AND THE AMOUNT LISTED BELOW IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) AND WHERE APPLICABLE COLUMN (F): DENNIS P. MCKENNA, PRES &amp; CEO (AMHS), BD MEM (AMCH, AMCF, COL, CMH, GFH, SH), $55,021 FRANCES S. ALBERT, SR EVP, COO &amp; CFO (AMHS), BD MEM (AVN, VNA, VNF), $80,027 JOHN A DEPAOLA, DIRECTOR (HS), $24,156 VINCENT P. VERDILE, DEAN EMERITUS (COL), $60,008 COLUMBIA MEMORIAL HOSPITAL: THE CEO, JAY CAHALAN IS A PARTICIPANT IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN HELD BY CMH. IN 2023, JAY CAHALAN RECEIVED PAYMENT FROM THE PLAN IN THE AMOUNT OF $857,748, WHICH IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) AND COLUMN (F). SARATOGA HOSPITAL: DURING 2023, CERTAIN MEMBERS OF THE SARATOGA HOSPITAL ADMINISTRATIVE TEAM PARTICIPATED IN A 457F RETIREMENT PLAN. THERE WERE NO CONTRIBUTIONS MADE BY THE HOSPITAL DURING 2023. THE FOLLOWING HOSPITAL ADMINISTRATION PERSONNEL RECEIVED A PAYMENT FROM THEIR 457F RETIREMENT PLAN DURING 2023: JILL J. VANKUREN - $164,823</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>COLUMBIA MEMORIAL HOSPITAL: THE ORGANIZATION ADMINISTERS A VARIABLE COMPENSATION PROGRAM UNDER WHICH MEMBERS OF HOSPITAL MANAGEMENT ARE ELIGIBLE TO EARN VARIABLE COMPENSATION. OVERALL VARIABLE COMPENSATION IS BASED ON MEASURABLE ACHIEVEMENT AGAINST A MENU OF ORGANIZATIONS GOALS, WHICH INCLUDE FINANCIAL RESULTS SUCH AS REVENUES AND NET EARNINGS, AS WELL AS PATIENT SATISFACTION, QUALITY OF CARE, EMPLOYEE SATISFACTION, AND GROWTH IN SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>SARATOGA HOSPITAL: THE HOSPITAL ADMINISTERS AN INCENTIVE COMPENSATION PROGRAM UNDER WHICH MEMBERS OF HOSPITAL MANAGEMENT ARE ELIGIBLE TO EARN UP TO A PERCENTAGE OF THEIR BASE SALARIES IN INCENTIVE COMPENSATION. OVERALL INCENTIVE COMPENSATION IS BASED ON MEASURABLE ACHIEVEMENT AGAINST A MENU OF ORGANIZATIONAL GOALS, INCLUDING FINANCIAL RESULTS, PATIENT SATISFACTION, QUALITY OF CARE, EMPLOYEE SATISFACTION AND RETENTION, AND GROWTH IN SERVICES. THE PORTION OF INCENTIVE COMPENSATION RELATED TO OPERATING MARGIN OF THE HOSPITAL AND ITS AFFILIATES REPRESENTED 10% OF THE OVERALL INCENTIVE COMPENSATION AVAILABLE DURING 2023, AND WAS BASED AN ACHIEVEMENT OF MINIMUM, MEETS, AND MAXIMUM LEVELS RELATIVE TO THE HOSPITAL'S BUDGETED OPERATING MARGIN PERCENTAGE FOR THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>GLENS FALLS HOSPITAL: PHYSICIANS ARE ELIGIBLE AND DID RECEIVE ADDITIONAL COMPENSATION THROUGH PARTICIPATION IN AN INCENTIVE PROGRAM THAT ADDRESSED QUALITY, PATIENT SATISFACTION AND THEIR PERSONAL PRODUCTIVITY. VARIOUS ADMINISTRATORS WERE ELIGIBLE AND DID RECEIVE ADDITIONAL COMPENSATION BASED ON THE RESULTS OF SPECIFIC STRATEGIC GOALS APPROVED BY THE BOARD.</ExplanationTxt>
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      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>1</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>1</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>1</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>1</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>BANK OF AMERICA</BusinessNameLine1Txt>
        </HedgeProviderName>
        <TermOfHedgePct>9.500000000000</TermOfHedgePct>
        <SuperintegratedHedgeInd>0</SuperintegratedHedgeInd>
        <HedgeTerminatedInd>0</HedgeTerminatedInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>1</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>D</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>1</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE B, COLUMN F - ISSUED 6/29/2005 AND CITY OF ALBANY IDA 2006A ISSUED 5/03/2006. PART I, LINE C, COLUMN F - ISSUED 6/28/2007 AND CITY OF ALBANY IDA 2007C ISSUED 11/28/2007. PART II, LINE 1, COLUMNS A-C - TOTAL PROCEEDS OF ISSUE LESS AMOUNT OF BONDS RETIRED WILL NOT EQUAL FORM 990, PART X, LINE 20 BECAUSE THE BALANCE SHEET AMOUNT IS PRESENTED NET OF DEFERRED FINANCING COSTS. PART II, LINE 11, COLUMNS A-C - TOTAL PROCEEDS WERE USED TO REFUND THE PRIOR ISSUED BONDS REFERENCED IN PART I, COLUMN F. SCH K, PART III, LINE 3A ALBANY MED HEALTH SYSTEM HAS INCIDENTAL MANAGEMENT AND SERVICE CONTRACTS IN VARIOUS FINANCED AREAS. THEREFORE, NO CONTRACTS ARE CONSIDERED TO RESULT IN PRIVATE BUSINESS USE WITHIN THE BOND-FINANCED PROPERTY GROUP. SCH K, PART IV, LINE 2C, COLUMN A REBATE CALCULATION PERFORMED ON SEPTEMBER 10, 2019. SCH K, PART IV, LINE 2C, COLUMN B REBATE CALCULATION PERFORMED ON NOVEMBER 15, 2022. SCH K, PART IV, LINE 2C, COLUMN C REBATE CALCULATION PERFORMED ON NOVEMBER 15, 2022. SARATOGA HOSPITAL BOND GROUP SCHEDULE K, PART IV, LINE 2A 02/07/2013 $24,273,094 SARATOGA COUNTY CAPITAL RESOURCE CORPORATION SERIES 2013A - ARBITRAGE REBATE COMPUTATION WAS PERFORMED ON 12/01/21 BY A THIRD-PARTY CONTRACTOR, AMTEC, IS A TAX EXEMPT COMPLIANCE SPECIALIST, FOR BOND ISSUES, AS OF 12/02/21 NO REBATE LIABILITY FOR SERIES 2013A. SCHEDULE K, PART IV, LINE 2B 01/03/2017 $49,870,000 SARATOGA COUNTY CAPITAL RESOURCE CORPORATION SERIES 2017A &amp; B - ARBITRAGE REBATE COMPUTATION WAS PERFORMED ON 12/31/20 BY A THIRD PARTY CONTRACTOR, AMTEC, IS A TAX EXEMPT COMPLIANCE SPECIALIST, FOR BOND ISSUES, AS OF 12/31/20 NO REBATE LIABILITY FOR SERIES 2017 A &amp; B.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleK documentId="RetDoc1053100002">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>SARATOGA COUNTY CAPITAL RESOURCE CORP 2013A</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>461520521</BondIssuerEIN>
        <CUSIPNum>803481AS9</CUSIPNum>
        <BondIssuedDt>2013-02-07</BondIssuedDt>
        <IssuePriceAmt>24273094</IssuePriceAmt>
        <PurposeDesc>REFINANCE REVENUE BONDS</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>SARATOGA COUNTY CAPITAL RESOURCE CORP 17AB</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>461520521</BondIssuerEIN>
        <CUSIPNum>999999999</CUSIPNum>
        <BondIssuedDt>2017-01-03</BondIssuedDt>
        <IssuePriceAmt>49870000</IssuePriceAmt>
        <PurposeDesc>REFINANCE REVENUE BONDS</PurposeDesc>
        <DefeasedInd>0</DefeasedInd>
        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>9710000</RetiredAmt>
        <TotalProceedsAmt>24273094</TotalProceedsAmt>
        <InReserveFundAmt>1749243</InReserveFundAmt>
        <RefundingEscrowAmt>22004520</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>485462</IssuanceCostsFromProceedsAmt>
        <OtherSpentProceedsAmt>115559</OtherSpentProceedsAmt>
        <SubstantialCompletionYr>2013</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>1</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <RetiredAmt>15883035</RetiredAmt>
        <TotalProceedsAmt>49870000</TotalProceedsAmt>
        <RefundingEscrowAmt>48936364</RefundingEscrowAmt>
        <IssuanceCostsFromProceedsAmt>933636</IssuanceCostsFromProceedsAmt>
        <SubstantialCompletionYr>2017</SubstantialCompletionYr>
        <RefundingTaxExemptBondsInd>1</RefundingTaxExemptBondsInd>
        <RefundingTaxableBondsInd>1</RefundingTaxableBondsInd>
        <FinalAllocationMadeInd>1</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>1</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>0</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>0</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>0</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>0</AnyResearchAgreementsInd>
        <BondIssMeetPrvtSecPymtTestInd>0</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>0</ChangeInUseBondFinancedPropInd>
        <ProcsNonqualifiedBondRemdtdInd>1</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>0</Form8038TFiledInd>
        <RebateNotDueYetInd>0</RebateNotDueYetInd>
        <ExceptionToRebateInd>0</ExceptionToRebateInd>
        <NoRebateDueInd>1</NoRebateDueInd>
        <VariableRateIssueInd>0</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>0</HedgeIdentifiedInBksAndRecInd>
        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
        <GrossProceedsInvestedInd>0</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>0</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>DR ANNE L BARBA</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>127791</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>ANDREW TOBLER</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>138175</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>MICHELE AMADO</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER</RelationshipDescriptionTxt>
        <TransactionAmt>53915</TransactionAmt>
        <TransactionDesc>EMPLOYMENT</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE L, PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>DR ANNE BARBA IS THE DAUGHTER OF JAMES BARBA, BOARD MEMBER (AMCH).ANDREW TOBLER IS THE BROTHER-IN-LAW OF RUTH MAHONEY, BOARD MEMBER (AMCH, AMCF, COL).MICHELE AMADO IS THE DAUGHER OF MITCHELL AMADO, SENIOR VP &amp; CFO (GFH).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <WorksOfArtGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>750</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </WorksOfArtGrp>
      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <NoncashContributionsRptF990Amt>22784</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>16</ContributionCnt>
        <NoncashContributionsRptF990Amt>349675</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <FoodInventoryGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>15</ContributionCnt>
        <NoncashContributionsRptF990Amt>34155</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </FoodInventoryGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>SUPPLIES</Desc>
        <ContributionCnt>0</ContributionCnt>
        <NoncashContributionsRptF990Amt>60562</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>ENTERTAINMENT</Desc>
        <ContributionCnt>0</ContributionCnt>
        <NoncashContributionsRptF990Amt>26550</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>TRAVEL</Desc>
        <ContributionCnt>0</ContributionCnt>
        <NoncashContributionsRptF990Amt>24170</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>MISCELLANEOUS</Desc>
        <ContributionCnt>0</ContributionCnt>
        <NoncashContributionsRptF990Amt>5580</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>FMV</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <Form8283ReceivedCnt>0</Form8283ReceivedCnt>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>1</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, COLUMN (B):</FormAndLineReferenceDesc>
        <ExplanationTxt>ALBANY MEDICAL CENTER FOUNDATION: DONATIONS OF SECURITIES ARE SENT TO THE ALBANY MEDICAL CENTER FOUNDATION'S INVESTMENT BROKER WHO PROCESSES THEM AND DEPOSITS CASH NET OF FEES INTO THE FOUNDATION'S ACCOUNT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART I, LINE 1 AND PART III, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>ORGANIZATION'S MISSION: AN ACADEMIC HEALTH SCIENCES CENTER WHOSE RESPONSIBILITIES ARE: TO EDUCATE MEDICAL STUDENTS, PHYSICIANS, BIOMEDICAL STUDENTS AND OTHER HEALTH CARE PROFESSIONALS TO MEET FUTURE PRIMARY AND SPECIALTY HEALTH CARE NEEDS OF THE REGION AND NATION; TO FOSTER BIOMEDICAL RESEARCH THAT LEADS TO SCIENTIFIC ADVANCES AND IMPROVEMENT OF THE HEALTH OF THE PUBLIC; AND TO PROVIDE A BROAD RANGE OF PATIENT SERVICES TO THE PEOPLE OF EASTERN NEW YORK AND WESTERN NEW ENGLAND. THE MISSION IS ACCOMPLISHED THROUGH COMMITMENT TO THE VALUES OF QUALITY, EXCELLENCE, SERVICE, COLLABORATION, INTEGRITY AND FISCAL RESPONSIBILITY. WE WILL CONTINUE TO DEVELOP AS A NATIONALLY RECOGNIZED ACADEMIC HEALTH SCIENCE CENTER. IN COLLABORATION WITH THE COMMUNITY, WE WILL PROVIDE EXCELLENCE IN EDUCATION, RESEARCH, AND PATIENT CARE PROGRAMS. OUR VISION FOR THE FUTURE INCLUDES A COMMITMENT TO WORKING WITH OTHER PROVIDERS TO MAKE COMPREHENSIVE AND ADVANCED CLINICAL SERVICES AVAILABLE TO THE PUBLIC WHILE EMPHASIZING QUALITY AND SERVICE. WE WILL BE A LEADER IN DEVELOPING AN INNOVATIVE HEALTH CARE DELIVERY SYSTEM AND EDUCATIONAL CONSORTIUM THAT RESPONDS TO THE NEEDS OF THE COMMUNITY. WE WILL SUSTAIN A WORKING AND LEARNING ENVIRONMENT THAT FOSTERS TEAMWORK AND COMMITMENT TO SHARED VALUES AND GOALS. THROUGH SOUND FISCAL MANAGEMENT, WE WILL BE ABLE TO ENHANCE OUR PROGRAMS TO BE ON THE FOREFRONT OF MEDICAL KNOWLEDGE AND INNOVATIVE PATIENT CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990 HEADER ITEM H(B) - LIST OF SUBORDINATES CONTINUATION STATEMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>ADDITIONAL SUBORDINATES INCLUDED IN THE GROUP RETURN: 1. NAME OF ORGANIZATION: ALBANY VISITING NURSE HOME CARE SERVICES GROUP, INC ORGANIZATION'S ADDRESS: 35 COLVIN AVENUE ALBANY NY 12206 EMPLOYER ID: 22-2778949 2. NAME OF ORGANIZATION: VISITING NURSE ASSOCIATION OF ALBANY, INC ORGANIZATION'S ADDRESS: 35 COLVIN AVENUE ALBANY NY 12206 EMPLOYER ID: 14-1340125 3. NAME OF ORGANIZATION: VISITING NURSES FOUNDATION, INC ORGANIZATION'S ADDRESS: 35 COLVIN AVENUE ALBANY NY 12206 EMPLOYER ID: 14-1653755</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 3B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GROUP ORGANIZATION HAS INDICATED 'NO' TO PART LINE 3B BECAUSE NOT ALL SUBORDINATE ORGANIZATIONS INCLUDED IN THE GROUP HAVE A FORM 990-T FILING REQUIREMENT FOR THE TAX YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SUBORDINATE ORGANIZATION ALBANY MEDICAL COLLEGE IS THE ONLY SUBORDINATE THAT HAS A SIGNATURE AUTHORITY OVER A FINANCIAL ACCOUNT IN A FOREIGN COUNTRY. FORM 990, PART V, LINE 6A THE SUBORDINATE ORGANIZATION ALBANY MEDICAL CENTER FOUNDATION IS THE ONLY SUBORDINATE THAT HAS GROSS RECEIPTS OVER $100,000 AND DID NOT SOLICIT CONTRIBUTITIONS NOT TAX DEDUCTIBLE. FORM 990, PART V, LINE 7A THE SUBORDINATE ORGANIZATIONS ALBANY MEDICAL CENTER FOUNDATION AND SARATOGA CARE, INC ARE THE ONLY SUBORDINATES WHO RECEIVED PAYMENTS IN EXCESS OF $75 PARTLY AS A CONTRIBUTION AND AS A GOOD OR SERVICE. FORM 990, PART V, LINES 8, 9A, &amp; 9B THE SUBORDINATE ORGANIZATION COLUMBIA MEMORIAL HOSPITAL IS THE ONLY SUBORDINATE MAINTAINING A DONOR ADVISED FUND.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>KAATERSKILL COMMONS, INC. ENGAGES CATSKILL MOUNTAIN HOUSING FOR MANAGEMENT AND BOOKKEEPING SERVICES. THE OTHER SUBORDINATE ORGANIZATIONS RESPOND IN THE NEGATIVE TO LINE 3.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS AND GOVERNANCE ALBANY MED HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF THE SUBORDINATE ORGANIZATIONS INCLUDED IN THE GROUP FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS AND GOVERNANCE ALBANY MED HEALTH SYSTEM RETAINS SEATS ON THE BOARD OF TRUSTEES FOR THE SUBORDINATE ORGANIZATIONS AND HAS THE POWER TO APPOINT MEMBERS OF THE BOARD OF TRUSTEES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>MEMBERS AND GOVERNANCE ALBANY MED HEALTH SYSTEM APPROVES THE ANNUAL OPERATING BUDGET, APPROVAL OF CHANGES IN SENIOR MANAGEMENT, SIGNIFICANT LITIGATION SETTLEMENTS AS WELL AS UPDATES TO THE GOVERNING DOCUMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 REVIEW PROCESS THE BOARD OF DIRECTORS, THROUGH ITS AUDIT COMMITTEE, ENGAGES A PROMINENT ACCOUNTING FIRM, KPMG, TO CONDUCT A REVIEW OF ITS TAX RETURN FOR COMPLIANCE WITH IRS REGULATIONS. THE AUDIT COMMITTEE ENGAGES KPMG AS PAID PREPARER TO ENSURE ACCURACY OF FILINGS AND RAISE FOR DISCUSSION ISSUES OR CONCERNS THAT ARE CONSIDERED SIGNIFICANT. ISSUES OR CONCERNS ARE RAISED WITH MANAGEMENT AND BROUGHT TO THE ATTENTION OF THE AUDIT COMMITTEE THROUGHOUT THE YEAR AS WARRANTED AND REQUIRED. THE REVIEW OF THE TAX RETURN INCLUDES A REVIEW BY SENIOR MANAGEMENT OF ALBANY MEDICAL CENTER AND A PRESENTATION AT A MEETING OF THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS OF ALBANY MEDICAL CENTER. THE FINANCE COMMITTEES OF SARATOGA HOSPITAL, GLENS FALLS HOSPITAL, AND COLUMBIA MEMORIAL HOSPITAL REVIEW THE RETURN FOR ACCURACY OF THEIR RESPECTIVE HOSPITAL'S INFORMATION AND DISCLOSURES. ADDITIONALLY, THE COMPLETE BOARDS OF EACH SUBORDINATE ENTITY INCLUDED IN THE GROUP RETURN RECEIVE A COPY OF THE FORM 990 FOR REVIEW PRIOR TO ITS FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALBANY MEDICAL CENTER HOSPITAL AND AFFILIATES: THE BOARD OF DIRECTORS OF THE ALBANY MED HEALTH SYSTEM ADOPTED A SYSTEM-WIDE CONFLICT OF INTEREST POLICY APPLICABLE TO ALL ENTITIES OVER WHICH THE ALBANY MED HEALTH SYSTEM, DIRECTLY OR INDIRECTLY, HAS DIRECTION AND CONTROL. ALL CANDIDATES FOR BOARD MEMBERSHIP AND BOARD COMMITTEE MEMBERSHIP RECEIVE A COPY OF THE ALBANY MED HEALTH SYSTEM CONFLICT OF INTEREST POLICY AND A LINK TO THE ELECTRONIC CONFLICT OF INTEREST QUESTIONNAIRE FOR COMPLETION. ACTUAL OR POTENTIAL CONFLICTS REPORTED ARE REVIEWED BY THE COMMITTEE ON AUDIT AND COMPLIANCE OF THE BOARD OF DIRECTORS AND APPROPRIATE ACTION IS TAKEN TO MITIGATE CONFLICTS. UPON HIRE, ALL EMPLOYEES RECEIVE COMPLIANCE EDUCATION WHICH EXPLAINS THE CONFLICT OF INTEREST POLICY AND THE REQUIREMENT TO REPORT ANY ACTUAL OR POTENTIAL CONFLICTS. ALL EMPLOYEES ALSO RECEIVE REFRESHER EDUCATION REGARDING THE POLICY AND A REMINDER ABOUT THE REPORTING REQUIREMENT AS PART OF THEIR MANDATORY ANNUAL EDUCATION. ALL EMPLOYEES ARE RESPONSIBLE FOR NOTIFYING SYSTEM MANAGEMENT OF ANY POTENTIAL CONFLICTS IN ADDITION TO RESPONDING TO REQUEST FOR INFORMATION IF REQUESTED. PERSONS HOLDING SIGNIFICANT MANAGEMENT POSITIONS RECEIVE A LINK TO THE ELECTRONIC CONFLICT OF INTEREST QUESTIONNAIRE FOR COMPLETION. ANY CONFLICTS WHICH ARE REPORTED OR DISCOVERED ARE REVIEWED BY THE ALBANY MED HEALTH SYSTEM CORPORATE COMPLIANCE AND AUDIT DEPARTMENT AND APPROPRIATE ACTION IS TAKEN TO MITIGATE THE CONFLICT. EMPLOYEES WHO VIOLATE THE CONFLICT OF INTEREST POLICY ARE SUBJECT TO CORRECTIVE ACTION FOLLOWING THE AUTHORIZED ADMINISTRATIVE AND GOVERNANCE PROCESSES OF THE SYSTEM AND ITS AFFILIATES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>ALBANY MEDICAL CENTER HOSPITAL AND AFFILIATES: THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS (COMMITTEE) ESTABLISHES COMPENSATION FOR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE ORGANIZATION, ALL EXECUTIVE VICE PRESIDENTS AND OTHER TOP MANAGEMENT OFFICIALS WHO REPORT DIRECTLY TO THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS. THE COMMITTEE USES PROFESSIONAL COMPENSATION ADVISORS WHO ARE CAPABLE OF RENDERING INDEPENDENT ADVICE AND INDEPENDENT MARKET SURVEYS. THE COMMITTEE TARGETS THE MARKET MEDIAN (50TH PERCENTILE) FOR CASH COMPENSATION; BENEFIT PROGRAMS ARE INTENDED TO BE COMPETITIVE. AFTER THE COMPENSATION PROGRAM IS DETERMINED, THE COMMITTEE-APPROVED RECOMMENDATION IS FORWARDED TO THE BOARD OF DIRECTORS FOR ITS CONSIDERATION AND APPROVAL, AND THAT IS CONTEMPORANEOUSLY SUBSTANTIATED. COLUMBIA MEMORIAL HOSPITAL: PERFORMANCE REVIEW AND RECOMMENDATIONS RELATED TO SALARY ARE UNDERTAKEN BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES ON AN ANNUAL BASIS. THE COMPENSATION COMMITTEE IS COMPRISED OF SELECT MEMBERS OF THE BOARD OF TRUSTEES WHO MAY EMPLOY OUTSIDE CONSULTANTS, USE INDUSTRY STANDARDS, BENCHMARKING DATA, ETC. TO FORMULATE CONCLUSIONS. SARATOGA HOSPITAL: ON AN ANNUAL BASIS, THE EXECUTIVE COMMITTEE REVIEWS THE PERFORMANCE OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER (CEO) AND MAKES A BASE SALARY RECOMMENDATION TO THE FULL BOARD. THE EXECUTIVE COMMITTEE PERFORMS THIS TASK USING A TARGET PERCENTILE RANK ON A SCALE OF AMOUNTS PAID TO SIMILARLY SITUATED EXECUTIVES IN THE MARKETPLACE AS MEASURES BY EXTERNAL BENCHMARK SURVEYS. ADDITIONALLY, THE EXECUTIVE COMMITTEE FACTORS IN RELATIVE SKILL MIX, EXPERIENCE, COMPETENCE AND OVERALL PERFORMANCE. THE EXECUTIVE COMMITTEE SETS ANNUAL PERFORMANCE CRITERIA THE CEO MUST MEET IN ORDER TO QUALIFY FOR INCENTIVE COMPENSATION AND ANY RECOMMENDATION FOR ADDITIONAL COMPENSATION IS MADE ANNUALLY. THE CEO IS RESPONSIBLE, WITH THE OVERSIGHT OF THE EXECUTIVE COMMITTEE, FOR DETERMINING THE BASE COMPENSATION FOR ALL OTHER EXECUTIVES IN THE ORGANIZATION. THESE BASE SALARIES ARE ALSO DETERMINED USING A TARGET PERCENTILE RANK ON A SCALE FOR EXECUTIVES SITUATED SIMILARLY BY POSITION WITHIN THE MARKETPLACE, WITH ACCEPTABLE EXCEPTIONS BASED ON SKILL MIX, EXPERIENCE AND/OR SCOPE OF RESPONSIBILITY. INCENTIVE COMPENSATION FOR ALL OTHER EXECUTIVES IS DETERMINATION BY THE CEO AND BASED ON ORGANIZATIONAL AND INDIVIDUAL PERFORMANCE MEASURES AND OUTCOMES. FOR BOTH CEO AND EXECUTIVE COMPENSATION, THE REQUIREMENTS FOR INVOKING A REBUTTABLE PRESUMPTION OF REASONABLENESS IN ACCORDANCE WITH IRS INTERMEDIATE SANCTION REGULATIONS ARE USED AS A GUIDELINE, TO THE EXTENT PRACTICABLE. GLENS FALLS HOSPITAL: GLENS FALLS HOSPITAL (GFH) IS COMMITTED TO DEVELOPING AND MAINTAINING A TOTAL COMPENSATION PROGRAM THAT IS COMPETITIVE WITH PROGRAMS OFFERED BY OTHER HEALTH CARE ORGANIZATIONS THAT ARE COMPARABLE TO GFH IN REVENUE, STRUCTURE, MISSION AND SCOPE OF SERVICES. THE COMPENSATION PHILOSOPHY INCLUDES: BASE SALARY RANGES POSITIONED IN THE 50TH PERCENTILE OF A NATIONAL AND REGIONAL PEER GROUP, ANNUAL INCENTIVE OPPORTUNITIES TIED TO PERFORMANCE GOALS ESTABLISHED BY THE BOARD, BENEFITS DELIVERED IN THE 50TH PERCENTILE OF A NATIONAL PEER GROUP AND TOTAL COMPENSATION POSITIONED AT APPROXIMATELY THE 50TH PERCENTILE FOR EXPECTED PERFORMANCE, AND SOMEWHAT ABOVE THAT FOR EXCEPTIONAL PERFORMANCE. EXECUTIVE PAY IS REVIEWED ANNUALLY BY A THIRD-PARTY CONSULTANT. THIS REVIEW INCLUDES A COMPARISON OF GFH EXECUTIVE PAY PRACTICES WITH NATIONAL AND REGIONAL BENCHMARK STUDIES AS APPROPRIATE. THE CONSULTANT IS ENGAGED DIRECTLY BY THE GFH BOARD OF GOVERNORS AND REPORTS THEIR FINDINGS TO BOARD PERSONNEL COMMITTEE FOR REVIEW AND ACTION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 16A</FormAndLineReferenceDesc>
        <ExplanationTxt>JOINT VENTURE LINES 16A AND 16B HAVE BEEN ANSWERED IN THE AFFIRMATIVE DUE TO THE ACTIVITIES OF COLUMBIA MEMORIAL HOSPITAL AND GLENS FALLS HOSPITAL. THE OTHER SUBORDINATE ORGANIZATIONS RESPOND IN THE NEGATIVE TO LINE 16A. FORM 990, PART VI, SECTION C, LINE 20 THE PERSON IN POSSESSION OF THE BOOKS AND RECORDS FOR THE SUBORDINATE ORGANIZATIONS ARE AS FOLLOW: COLUMBIA MEMORIAL HOSPITAL AND AFFILIATES: NAME: CHRISTINE BRADY ADDRESS: 71 PROSPECT AVE, HUDSON NY, 12534 PHONE: 518-828-7601 SARATOGA HOSPITAL AND AFFILIATES: NAME: CHRIS JENKINS ADDRESS: 211 CHURCH STREET, SARATOGA SPRINGS, NY 12866 PHONE: 518-587-3222 GLENS FALLS HOSPITAL: NAME: CRAIG LETOURNEAU ADDRESS: 100 PARK STREET, GLENS FALLS, NY 12801 PHONE: 518-926-5013</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>PENSION RELATED CHANGES -846,763. FAIR VALUE OF INTEREST RATE SWAPS -111,446. INTEREST IN FOUNDATION 4,896,787. INTERCOMPANY RECEIVABLES -2,722,746. OTHER REVENUE AND EXPENSE ADJUSTMENTS 2,665,926. BOY NET ASSETS OF AFFILIATES ADDED TO GROUP 2023 6,408,702.</ExplanationTxt>
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          <AddressLine1Txt>71 PROSPECT AVENUE</AddressLine1Txt>
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        </USAddress>
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        <BusinessNameControlTxt>KAAT</BusinessNameControlTxt>
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          <BusinessNameLine1Txt>GLENS FALLS HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
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          <StateAbbreviationCd>NY</StateAbbreviationCd>
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          <CityNm>SARATOGA SPRINGS</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12866</ZIPCd>
        </USAddress>
        <EIN>453303309</EIN>
        <BusinessNameControlTxt>HEAL</BusinessNameControlTxt>
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      <AffiliateListingGrp>
        <BusinessName>
          <BusinessNameLine1Txt>SARATOGA HOSPITAL</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>211 CHURCH STREET</AddressLine1Txt>
          <CityNm>SARATOGA SPRINGS</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
          <ZIPCd>12866</ZIPCd>
        </USAddress>
        <EIN>141338547</EIN>
        <BusinessNameControlTxt>SARA</BusinessNameControlTxt>
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      <AffiliateListingGrp>
        <BusinessName>
          <BusinessNameLine1Txt>SARATOGA CARE INC</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>211 CHURCH STREET</AddressLine1Txt>
          <CityNm>SARATOGA SPRINGS</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        <EIN>141775218</EIN>
        <BusinessNameControlTxt>SARA</BusinessNameControlTxt>
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      <AffiliateListingGrp>
        <BusinessName>
          <BusinessNameLine1Txt>SARATOGA REGIONAL MED PC</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>211 CHURCH STREET</AddressLine1Txt>
          <CityNm>SARATOGA SPRINGS</CityNm>
          <StateAbbreviationCd>NY</StateAbbreviationCd>
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        <EIN>472468259</EIN>
        <BusinessNameControlTxt>SARA</BusinessNameControlTxt>
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</Return>