ALBANY MED HEALTH SYSTEM: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
ALBANY MED HEALTH SYSTEM (EIN 14-1338547)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-11
IRS object ID
201603199349302710
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-11T09:00:29-07:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN141338547EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE SARATOGA HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSARABusinessNameControlTxt
Phone5185873222PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1211 Church StreetAddressLine1Txt
CitySaratoga SpringsCityNm
State AbbreviationNYStateAbbreviationCd
ZIP128661090ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGARY FOSTERPersonNm
Person TitleVICE PRESIDENT & CFOPersonTitleTxt
Phone5185838421PhoneNum
Signature2016-11-15SignatureDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerAngelo CalbonePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1211 Chruch StreetAddressLine1Txt
CitySaratoga SpringsCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12866ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$296,594,029GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.saratogahospital.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1891FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTo serve the people of the Saratoga region by providing them access to excellence in healthcare in a supportive and caring environment.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee2708TotalEmployeeCnt
Total Volunteers250TotalVolunteersCnt
Total Gross UBI$3,891,281TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$633,214NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,612,511PYContributionsGrantsAmt
CY Contributions Grants$1,651,111CYContributionsGrantsAmt
PY Program Service Revenue$248,273,854PYProgramServiceRevenueAmt
CY Program Service Revenue$264,122,177CYProgramServiceRevenueAmt
PY Investment Income$3,147,979PYInvestmentIncomeAmt
CY Investment Income$1,032,454CYInvestmentIncomeAmt
PY Other Revenue$11,795,899PYOtherRevenueAmt
CY Other Revenue$14,428,653CYOtherRevenueAmt
PY Total Revenue$267,830,243PYTotalRevenueAmt
CY Total Revenue$281,234,395CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$137,774,013PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$153,025,036CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$360,896CYTotalFundraisingExpenseAmt
PY Other Expenses$111,044,912PYOtherExpensesAmt
CY Other Expenses$112,506,665CYOtherExpensesAmt
PY Total Expenses$248,818,925PYTotalExpensesAmt
CY Total Expenses$265,531,701CYTotalExpensesAmt
PY Revenues Less Expenses$19,011,318PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$15,702,694CYRevenuesLessExpensesAmt
Total Assets BOY$303,227,947TotalAssetsBOYAmt
Total Assets EOY$319,478,338TotalAssetsEOYAmt
Total Liabilities BOY$116,089,540TotalLiabilitiesBOYAmt
Total Liabilities EOY$116,999,490TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$187,138,407NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$202,478,848NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo serve the people of the Saratoga region by providing them access to excellence in healthcare in a supportive and caring environment.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$244,649,896ExpenseAmt
Grant$0GrantAmt
Revenue$264,122,172RevenueAmt
DescThe foremost commitment of the Hospital is to provide superior quality healthcare to the people of our community, regardless of their ability to pay. Saratoga Hospital is the largest healthcare provider and only hospital located in Saratoga County. The services provided by the Hospital to the community are broad and varied. Following is a listing of some of the most significant of those services: * The Hospital operates the only emergency department in Saratoga County 24 hours per day, 365 days per year. During 2015, the hospital emergency department facilitated 35,913 patient visits. * The Hospital represents the only inpatient acute care facility in Saratoga County. During 2015, the Hospital had 8,705 admissions for inpatient adult and pediatric care. These admissions included 742 births, 603 admissions to our inpatient mental health unit and 60 admissions for Hospice care. Total adult and pediatric inpatient days for the Hospital during 2014 were 42,593 which included 4,306 days of inpatient care in the Critical Care Unit. * The Hospital operates a 36-bed skilled nursing facility on its campus. During 2015, 11,936 patient days of skilled nursing care were provided. * The hospital maintains a Financial Assistance policy, eligibility for benefit from which is determined by the Hospital's patient financial services department based upon the financial means of the patient and/or patient's family. The amount of charity care benefit provided to patients is based on the comparison of their documented income versus annual Federal Poverty Level (FPL) standards. The following is a sliding scale of benefits (as a percentage of patient responsibility for reimbursement) available to patients with varying levels of income: o FPL x 250% or below- 100% discount o FPL x 300%- 75% discount o FPL x 350% - 50% discount o FPL x 400%- 25% discount In addition to the means-tested financial assistance program described above, the Hospital provides an automatic discount from charges (76% for 2015) for any uninsured patients receiving care at any of the hospital's locations. The discount percentage is determined annually and is designed to result in uninsured patients being billed no more for services than the Hospital would be reimbursed by Medicare for the same services. This discount applies regardless of a patient's ability to pay. The discount is shown clearly on any bills sent to the patient in order to enhance awareness of the availability of this benefit. The Hospital also provides discounted rates to uninsured patients receiving care at its emergency department or urgent care site. Uninsured patients are asked to pay a flat fee per visit, regardless of the amount of charges to their account. Each patient is classified into one of three tiers based on the level of services provided, with a progressively higher all-inclusive fee for each tier. The first tier is for urgent care visits consisting of only an office visit, the second tier is for visits including and office visit and any laboratory or x-ray procedures and the third tier is for visits including an office visit and CT or MRI scans. During 2015, the benefits provided under these policies, measured on the basis of costs, amounted to approximately $3,444,000. * The Hospital has one site providing urgent care services to the community. Many patients in the community are unable to access primary care on a timely basis if at all. The Hospital has continually expanded access to the urgent care site, including nights and weekends in order to meet community need. As a result, our urgent care site has become a significant portal of access to care for the community. During 2015, our urgent care site accommodated 33,110 patient visits. * During 2015 the hospital incurred bad debt expense of approximately $4,355,000 measured on the basis of charges. The bad debt expense continues to be largely comprised of patients having no or insufficient insurance, and also of patients using our emergency department and urgent care facilities, which uninsured patients will often utilize as an option as opposed to receiving no care at all. * As the largest healthcare provider in the community, the Hospital serves a significant number of Medicare and Medicaid insured patients. Losses incurred from providing services to Medicare and Medicaid patients during 2015 were approximately $7,313,000 and $15,378,000, respectively. * The Hospital is the community leader in assessing community healthcare needs and working to bring the needed services into the community. These efforts include the following: o Subscriptions to databases providing demographics for the communities served. Based on information such as age, gender, etc. anticipated needs by physician specialty and type of inpatient or outpatient care are determined. o Continuous patient satisfaction surveys are conducted in order to gain patient feedback regarding the quality of care received and perceptions of their overall experience as patients. o "Secret shopper" calls are conducted whereby Hospital personnel call physician practices in the community in order to determine accessability to physician care in terms of days wait to be seen for acute and chronic problems. o Community input is obtained through information gathering sessions held with human resources representatives of local business, as well as representatives from other not-for-profit and governmental agencies operating in the community. In addition to discussion occurring at the sessions, those whose attend as well as those who are unable to attend are asked to return written surveys to the Hospital. The surveys include questions regarding the availability and quality of health care services in the community. o Ongoing dialogue with medical staff members regarding their perceptions regarding quality of care and areas of need for the community. o Formalized tracking processes for patient communications and complaints. * As a result of its leadership role in identifying community healthcare needs, the Hospital is also the key resource in its community for recruiting physicians practicing in areas of medicine identified as underserved in the community. A component of this recruitment effort includes the extension of relocation incentives to physicians in the targeted need areas. The incentives exist in the form of income guarantees that are provided in an effort to make practice start-up financially palatable for relocating physicians. After an initial period during which funds are advanced to physicians as they have shortfalls versus a targeted income amount, the accumulated advances are converted to promissory notes. Should the physician remain in practice in the community for a contractually agreed-upon number of years after the initial benefit period, the note will be forgiven in full. During 2015, the Hospital forgave advances plus accrued interest amounting to approximately $224,000 relating to these arrangements. * The Hospital is the lead agency in Saratoga County for administering the State of New York's Cancer Services Program (CSP). In the role of CSP administrator for the County, Hospital personnel actively seek out low-income members of the community who possess certain risk factors, such as age or gender, and facilitate cancer screenings and, if necessary, treatment services for eligible individuals. The services are provided at no cost to the individuals. The State reimburses the Hospital for any screening or treatment services provided to these patients based on Medicaid reimbursement rates. The State reimburses the Hospital for a portion of the administrative costs incurred by the Hospital in identifying eligible individuals and coordinating screening and treatment services. During 2015, unreimbursed costs of administering the program were approximately $39,000. * Hospital personnel take a leading role in development and maintenance of a County-wide emergency preparedness and response plan, including corresponding with law enforcement, fire, emergency medical services and other relevant agencies to develop, test and maintain a plan for managing the public health effects of a large-scale natural disaster or other significant community-wide crisis.Desc
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$244,649,896TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow AccountYes (1)EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document125IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2708EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMICHAEL BATTLEPersonNm
Phone5185838498PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1The Saratoga HospitalAddressLine1Txt
Address Line2211 Church StreetAddressLine2Txt
CitySaratoga SpringsCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12866ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Janice M White
Chairperson2.50Yes (X)$0$0$0
David M Mastrianni MD
Co-Vice Chairperson2.50Yes (X)$0$0$0
Donna Montalto
Board Member2.50Yes (X)$0$0$0
Michael H Iacolucci
Treasurer2.50Yes (X)$0$0$0
Theresa M Skaine
Secrectary2.50Yes (X)$0$0$0
Dennis A Brobston
Board Member2.50Yes (X)$0$0$0
Judith A Ekman
Board Member2.50Yes (X)$0$0$0
Eugene K Merecki MD
Board Member2.50Yes (X)$0$0$0
Alan C Oppenheim
Board Member2.50Yes (X)$0$0$0
George E Silver MD
Board Member2.50Yes (X)$0$0$0
William R Stanley
Board Member2.50Yes (X)$0$0$0
N Keith Stewart
Board Member2.50Yes (X)$0$0$0
Michael J Toohey
Board Member2.50Yes (X)$0$0$0
Frank L Messa
Board Member2.50Yes (X)$0$0$0
Michael D West
Board Member2.50Yes (X)$0$0$0
Angelo G Calbone
President/CEO380Yes (X)$761,845$0$32,344Yes (X)Yes (X)
Gary Foster
VP & CFO380$334,655$0$16,644Yes (X)Yes (X)
Richard Falivena
VP Chief Medical and Physician Integration Officer380$406,732$0$21,823Yes (X)
Mary Jo LaPosta
SVP Patient Care and Organizational Excellence and Chief Nursing Officer380$365,271$0$21,091Yes (X)
Kevin Ronayne
VP Operations/Facilities380$279,517$0$30,372Yes (X)
John Mangona
VP Chief Information and Compliance Officer380$284,957$0$15,182Yes (X)
Jeffrey Methven
VP Ambulatory Serv &HR380$297,032$0$29,982Yes (X)
Gordan Kuhar
Physician380$1,093,446$0$12,284Yes (X)
Theodoros Laddis
Physician380$650,720$0$10,096Yes (X)
Gary Idelchik
Physician380$649,306$0$16,403Yes (X)
Dmitri Baranov
Physician380$546,023$0$15,781Yes (X)
Rachid Daoui
Physician380$531,490$0$26,224Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,200,994TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$248,226TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K179IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
AOW Associates Inc
30 Essex StreetAlbanyNY12206Construction$10,246,961
Saratoga Emergency Physicians PC
The Saratoga HospitalSaratoga SpringsNY12866Physicians$3,224,860211 Church Street
Laboratory Corp of America
2975 W CORPORATE LAKES BLVDWESTONFL333313626Medical Laboratory Testing$1,643,936
STRATEGIC SOLUTIONS
3 CORPORATE DRIVE SUITE 100CLIFTON PARKNY12065Medical Billing$1,581,624
HYPERTYPE INC
39 HALADA DRLAKE GEORGENY12845Transcription Service$1,069,059
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K35CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$1,191,906RelatedOrganizationsAmt
Government Grants$459,205GovernmentGrantsAmt
All Other Contributions$0AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$1,651,111TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Not For Profit Hospital622000$148,928,352$148,928,352$0$0
Medicare,Traditional and MC622000$97,960,178$97,960,178$0$0
Medicaid, Traditional and MC622000$13,330,014$13,330,014$0$0
Specimen Drop Offs621500$3,903,633$0$3,903,633$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$264,122,177TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$869,931TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$12,352UnrelatedBusinessRevenueAmt
Exclusion$882,283ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,139TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$10,139ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$22,920RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$60,390RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$37,470RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$37,470TotalRevenueColumnAmt
Related Or Exempt Func Income-$37,470RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$15,254,333SecuritiesAmt
Other$0OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$15,091,649SecuritiesAmt
Other$10,300OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$162,684SecuritiesAmt
Other-$10,300OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$152,384TotalRevenueColumnAmt
Related Or Exempt Func Income$152,384RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$13,999FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt
Fundraising Direct Expenses$8,279FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,720TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5,720ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$650,239GrossSalesOfInventoryAmt
Cost Of Goods Sold$189,016CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$461,223TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$461,223ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Contracted Services621110$6,623,999$6,623,999$0$0
Cafeteria722210$1,275,527$0$0$1,275,527
EMR Incentive900099$813,291$813,291$0$0

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,286,363TotalRevenueColumnAmt
Related Or Exempt Func Income$5,286,363RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$13,999,180OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$281,234,395TotalRevenueColumnAmt
Related Or Exempt Func Income$273,057,111RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,891,281UnrelatedBusinessRevenueAmt
Exclusion$2,634,892ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,886,918TotalAmt
Program Services$0ProgramServicesAmt
Management And General$2,886,918ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$121,890,776TotalAmt
Program Services$113,126,977ProgramServicesAmt
Management And General$8,590,000ManagementAndGeneralAmt
Fundraising$173,799FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,229,585TotalAmt
Program Services$3,840,010ProgramServicesAmt
Management And General$389,575ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$15,637,138TotalAmt
Program Services$14,196,845ProgramServicesAmt
Management And General$1,440,293ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,380,619TotalAmt
Program Services$7,608,703ProgramServicesAmt
Management And General$771,916ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$109,747TotalAmt
Program Services$109,747ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$556,131TotalAmt
Program Services$0ProgramServicesAmt
Management And General$556,131ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$112,821TotalAmt
Program Services$0ProgramServicesAmt
Management And General$112,821ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$30,288TotalAmt
Program Services$0ProgramServicesAmt
Management And General$30,288ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$93,778TotalAmt
Program Services$0ProgramServicesAmt
Management And General$93,778ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$16,165,445TotalAmt
Program Services$14,774,810ProgramServicesAmt
Management And General$1,390,635ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$873,576TotalAmt
Program Services$21,804ProgramServicesAmt
Management And General$851,772ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$14,031,311TotalAmt
Program Services$12,081,771ProgramServicesAmt
Management And General$1,861,545ManagementAndGeneralAmt
Fundraising$87,995FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,594,396TotalAmt
Program Services$2,452,846ProgramServicesAmt
Management And General$141,550ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,991,916TotalAmt
Program Services$6,719,412ProgramServicesAmt
Management And General$181,320ManagementAndGeneralAmt
Fundraising$91,184FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$18,782TotalAmt
Program Services$16,988ProgramServicesAmt
Management And General$1,794ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$665,943TotalAmt
Program Services$608,475ProgramServicesAmt
Management And General$49,550ManagementAndGeneralAmt
Fundraising$7,918FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$77,305TotalAmt
Program Services$77,305ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,023,418TotalAmt
Program Services$12,312,860ProgramServicesAmt
Management And General$710,558ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,788,087TotalAmt
Program Services$1,778,966ProgramServicesAmt
Management And General$9,121ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Bad Debt$4,355,000$4,355,000$0$0
Medical Supplies$50,110,464$50,110,464$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$908,257TotalAmt
Program Services$456,913ProgramServicesAmt
Management And General$451,344ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$265,531,701TotalAmt
Program Services$244,649,896ProgramServicesAmt
Management And General$20,520,909ManagementAndGeneralAmt
Fundraising$360,896FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$34,150,438BOYAmt
EOY$26,806,806EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$16,209,912BOYAmt
EOY$24,846,610EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$27,564,755BOYAmt
EOY$28,374,083EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,427,380BOYAmt
EOY$2,559,137EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,119,825BOYAmt
EOY$6,560,768EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,649,412BOYAmt
EOY$4,790,241EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$302,185,530LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$173,331,266LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$114,432,700BOYAmt
EOY$128,854,264EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$59,785,012BOYAmt
EOY$50,941,122EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$28,570,967BOYAmt
EOY$37,166,151EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$15,001BOYAmt
EOY$15,001EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,302,545BOYAmt
EOY$8,564,155EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$303,227,947BOYAmt
EOY$319,478,338EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$24,264,967BOYAmt
EOY$28,769,732EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$75,269,767BOYAmt
EOY$73,245,106EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,382,105BOYAmt
EOY$5,401,208EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$3,450,000BOYAmt
EOY$3,250,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,722,701BOYAmt
EOY$6,333,444EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$116,089,540BOYAmt
EOY$116,999,490EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$181,745,152BOYAmt
EOY$196,182,673EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,817,963BOYAmt
EOY$4,944,403EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,575,292BOYAmt
EOY$1,351,772EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$187,138,407BOYAmt
EOY$202,478,848EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$303,227,947BOYAmt
EOY$319,478,338EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$15,702,694ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$362,253NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$30,288OtherActivitiesAmt
Total Lobbying Expenditures$30,288TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1FormAndLineReferenceDesc
ExplanationA portion of the annual dues paid by the Hospital for its memberships in three organizations: American Hospital Association, Iroquois Healthcare Alliance and Healthcare Association of New York State, are used by those organizations for lobbying purposes. The portion of annual dues determined to relate to those organizations' lobbying activities is determined by the Hospital based on documentation received from those organizations.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,026,699BeginningYearBalanceAmt
Contributions$701,682ContributionsAmt
Investment Earnings Or Losses-$39,754InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$11,688,627EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,804,371BeginningYearBalanceAmt
Contributions$157,093ContributionsAmt
Investment Earnings Or Losses$1,065,235InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$11,026,699EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,002,591BeginningYearBalanceAmt
Contributions$857,164ContributionsAmt
Investment Earnings Or Losses$944,616InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$9,804,371EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,412,104BeginningYearBalanceAmt
Contributions$67,000ContributionsAmt
Investment Earnings Or Losses$523,487InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$8,002,591EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,880,460BeginningYearBalanceAmt
Contributions$90,942ContributionsAmt
Investment Earnings Or Losses-$559,298InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$7,412,104EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.88BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.12PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$15,108,598OtherCostOrOtherBasisAmt
Book Value$15,108,598BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$76,448,614OtherCostOrOtherBasisAmt
Depreciation$36,376,020DepreciationAmt
Book Value$40,072,594BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$3,528,003OtherCostOrOtherBasisAmt
Depreciation$3,435,739DepreciationAmt
Book Value$92,264BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$193,442,253OtherCostOrOtherBasisAmt
Depreciation$126,698,564DepreciationAmt
Book Value$66,743,689BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$13,658,062OtherCostOrOtherBasisAmt
Depreciation$6,820,943DepreciationAmt
Book Value$6,837,119BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$128,854,264TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Limited Partnership Investment-Balanced Strategy$27,236,073F
Limited Partnership Investment-Healthcare Strategy$1,500,644F
Limited Partnership Investment-Absolute Return Strategy$7,032,339F
Limited Partnership Investment-Private Equity$1,397,095F
FieldValueIRS element (for citing)
Total Book Value Securities$37,166,151TotalBookValueSecuritiesAmt
Federal Income Tax Liability$33,402FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Estimated Third Party Settlements$3,215,000
Other Long-Term Liabilities$3,085,042
FieldValueIRS element (for citing)
Total Liability$6,333,444TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$274,479,868TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$362,251NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants$0RecoveriesPriorYearGrantsAmt
Other Revenue-$4,146,853OtherRevenueAmt
Revenue Not Reported-$4,509,104RevenueNotReportedAmt
Revenue Subtotal$278,988,972RevenueSubtotalAmt
Investment Expenses Not Incld$596,867InvestmentExpensesNotIncldAmt
Other Revenues Not Included$1,648,556OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$2,245,423RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$281,234,395TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$260,279,329TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$0DonatedServicesUseFcltsAmt
Prior Year Adjustments$0PriorYearAdjustmentsAmt
Losses Reported$0LossesReportedAmt
Other Expenses Included$60,390OtherExpensesIncludedAmt
Expenses Not Reported$60,390ExpensesNotReportedAmt
Expenses Subtotal$260,218,939ExpensesSubtotalAmt
Investment Expenses Not Incld2$596,867InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$4,715,895OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$5,312,762ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$265,531,701TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4Permanent endowment funds are restricted to support specific programs, such as The Community Health Center or general operations of the Hospital. Board-designed 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.
Schedule D, Part X, Line 2The Hospital has been determined by the Internal Revenue Service to be an organization described in Internal Revenue Code (the Code) Section 501(c)(3) and, therefore, is exempt from federal income taxes on related income pursuant to Section 501 (a) of the Code. The Hospital recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than fifty percent likely of being realized upon settlement. Changes in recognition in measurement are reflected in the period in which the change in judgment occurs. The Hospital did not recognize the effect of any uncertain income tax positions in either 2015 or 2014
Schedule D, Part XI, Line 2dNet Assets Released from Restriction for Operations $208,145 and Provision for Bad Debts ($4,355,000).
Schedule D, Part XI, Line 4bRental Expenses ($60,390). Restricted Gifts $1,238,023, and Hospital Guild Revenue $470,923.
Schedule D, Part XII, Line 2dRental Expenses $60,390.
Schedule D, Part XII, Line 4bProvision for Bad Debts $4,355,000 and Hospital Guild Expenses $360,900.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other2.50FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$3,053,273TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,119,599DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,933,674NetCommunityBenefitExpnsAmt
Total Expense0.00728TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$26,761,733TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,383,838DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,377,895NetCommunityBenefitExpnsAmt
Total Expense0.05791TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$29,815,006TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$12,503,437DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,311,569NetCommunityBenefitExpnsAmt
Total Expense0.06519TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs13ActivitiesOrProgramsCnt
Persons Served1554PersonsServedCnt
Total Community Benefit Expns$3,175,562TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,837,578DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,337,984NetCommunityBenefitExpnsAmt
Total Expense0.00504TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs11ActivitiesOrProgramsCnt
Persons Served475PersonsServedCnt
Total Community Benefit Expns$148,281TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$148,281NetCommunityBenefitExpnsAmt
Total Expense0.00056TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$23,585TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,585NetCommunityBenefitExpnsAmt
Total Expense0.00009TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs25ActivitiesOrProgramsCnt
Persons Served2029PersonsServedCnt
Total Community Benefit Expns$3,347,428TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,837,578DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,509,850NetCommunityBenefitExpnsAmt
Total Expense0.00569TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs25ActivitiesOrProgramsCnt
Persons Served2029PersonsServedCnt
Total Community Benefit Expns$33,162,434TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,341,015DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,821,419NetCommunityBenefitExpnsAmt
Total Expense0.07088TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$25,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,000NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$930TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$930NetCommunityBenefitExpnsAmt
Total Expense0.00001TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$223,531TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$223,531NetCommunityBenefitExpnsAmt
Total Expense0.00085TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$249,461TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$249,461NetCommunityBenefitExpnsAmt
Total Expense0.00096TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$675,115BadDebtExpenseAmt
Bad Debt Expense Attributable$337,558BadDebtExpenseAttributableAmt
Reimbursed By Medicare$50,514,420ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$57,827,770CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$7,313,350MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Saratoga HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1211 Church StreetAddressLine1Txt
CitySaratoga SpringsCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12866ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.saratogahospital.orgWebsiteAddressTxt
State License4501000HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Saratoga HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.saratogahospital.orgOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLwww.arhn.comOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLwww.saratogahospital.orgStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.saratogahospital.orgFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.saratogahospital.orgFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.saratogahospital.orgFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Permit Selling DebtYes (X)PermitSellingDebtInd
Permit Legal Judicial ProcessYes (X)PermitLegalJudicialProcessInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5-Saratoga HospitalA Community Health Needs Assessment (CHNA) was conducted in 2013 in collaboration with more than 15 partners, including the region's hospitals and local health departments. The CHNA surveyed over 300 organizations and individuals to determine the most pressing health needs for the Adirondack region and Saratoga County. The results of the CHNA show that, for the residents of Saratoga County, the following are current health challenges: * Increase access to high-quality chronic preventive care and management in both clinical and community settings o The rate of diabetes deaths in Saratoga county is increasing o Heart disease and cancer are the leading causes of death in Saratoga County o The community does not have adequate access to the full continuum of care o Almost 30% of adults 18 years and older are obese * Prevent vaccine-preventable diseases o Too few very young children receive the recommended vaccinations o Pertussis cases are increasing o Too few teenage girls receive HPV vaccinations * Prevent healthcare-associated infections o The number of patients contracting infections due to contact with the healthcare system is increasing * Improve child health o Too few low-income children in Saratoga County make well-child visits to the doctor o Too many children have untreated tooth decay o Too few children are being screened for lead exposure * Prevent substance abuse and other mental, emotional, and behavioral disorders o Alcohol abuse is a problem for many residents o Mental illness is a problem for many residents
Schedule H, Part V, Section B, Line 6a-Saratoga HospitalA Community Health Needs Assessment (CHNA) was conducted in spring 2013 in collaboration with more than 15 partners, including the region's hospitals and local health departments. The other regional Hospitals include Elizabethtown Community Hospital, Nathan Littauer Hospital, and Glens Falls Hospital.
Schedule H, Part V, Section B, Line 6b-Saratoga HospitalACAP, Inc. EHS/HS ACAP/OneWorkSource Adirondack Health Institute -- Adirondack Rural Health Network Akwesasne Housing Authority Alice Hyde Medical Center American Red Cross ASAPP's Promise Association of Senior Citizens BHSN Bolton Central School Brushton-Moira Central School Cancer Services Program of Fulton & Montgomery Counties Capital District Child Care Coordinating Council CAPTAIN Youth and Family Services Catholic Charities of Fulton & Montgomery Counties Center for Disability Services Center for Lung and Chest Surgery Chateauguay Central School Child Care Coordinating Council of the North Country, Inc. Church of the Messiah Citizen Advocates, Inc., North Star Behavioral Health Services City of Plattsburgh Clinton County Child Advocacy Center Clinton County Department of Health, Healthy Neighborhoods Program Clinton County Health Department Clinton County Health Dept. WIC Program Clinton County MH and AS Clinton County Office for the Aging Clinton County Office of Emergency Services Clinton County Social Services Clinton County Veterans Service Agency Clinton County Youth Bureau Community Health Center of the North Country Community Link Community, Work and Independence,, Inc. Cornell Cooperative Extension - Essex County Cornell Cooperative Extension Franklin County Cornell Cooperative Extension in Fulton & Montg. Co. Cornell Cooperative Extension Saratoga County Cornell Cooperative Extension, Hamilton County council for prevention of alcohol and substance abuse CVPH Medical Center Eastern Adirondack Health Care Network Elizabethtown-Lewis Central School Essex County Department of Social Services Essex County Mental Health Services Essex County Office for the Aging Essex County Public Health Nursing Services Families First in Essex County Family YMCA of the Glens Falls Area Fort Edward Internal Medicine Fort Hudson Health System Franklin Co. Public Health Franklin Community Center Franklin County Department of Social Services Franklin County Public Health Services Fulmont Community Action Agency, Inc. Fulton County Department of Social Services Fulton County Mental Health Fulton County Office for Aging Fulton County Public Health Fulton County YMCA Fulton-Montgomery Community College Gloversville Enlarged School District Gloversville Housing Authority Greater Johnstown School District Hadley-Luzerne CSD Hamilton County Community Action Agency Hamilton County Community Services Hamilton County Public Health Nursing Service Harrietstown Housing Authority HCPHNS HCR Home Care HFM Prevention Council HM AHEC Hudson Headwaters Health Network Inter-Lakes Health Joint Council for Economic Opportunity of Clinton and Franklin Counties, Inc. Keene Central School Lake George Central Schools Lake Placid Middle High School Literacy Volunteers of Clinton County Literacy Volunteers of Essex/Franklin Counties Long Lake Central School Malone Central School District Mayfield Central School District Mental Health Assoc. of Clinton & Franklin Counties Mental Health Association In Fulton & Montgomery Counties Mercy Care for the Adirondacks Minerva Central School Moriah Central School Mountain Lake Services Mountain Valley Hospice Newcomb Central School District North Country Behavioral Healthcare Network North Country Chamber of Commerce North Country Community College North Country Healthy Heart Network, Inc. North Country Workforce Investment Board NYS Assembly NYS Department of Labor NYSDOH Office for the Aging in Franklin Co. Office of Community Services for Warren and Washington Counties Oppenheim-Ephratah Central School District Parent to Parent of NYS Planned Parenthood Mohawk Hudson Planned Parenthood of the North Country New York Plattsburgh One Worksource/NYSDOL Manager PRIDE of Ticonderoga, Inc. Queensbury Union Free School District Reality Check of Hamilton, Fulton, and Montgomery Counties Saint Regis Mohawk Tribe Saranac Lake Central School Saratoga Bridges NYSARC , Inc. Saratoga Chapter Saratoga County Community Services Board / Mental Health Center Saratoga County EOC - WIC Saratoga County EOC Head Start Saratoga County Office for the Aging Saratoga County Public Health Nursing Service Saratoga County Youth Bureau Saratoga Springs City School District Senior Citizen Service Center of Gloversville and Fulton County, Inc Senior Citizens Council of Clinton County Inc. Shelters of Saratoga, Inc Shenendehowa Central School District Skidmore College SMSA St Regis Mohawk Health Services St. Joseph's Addiction Treatment & Recovery Centers St. Joseph's Community School St. Mary's Healthcare St. Regis Falls Central School St. Regis Mohawk Health Services A/CDP Outpatient STARS Stillwater CSD STOP Domestic Violence/BHSN SUNY PLATTSBURGH The Adirondack Arc The Development Corporation The Family Counseling Center Ticonderoga central school Ticonderoga Revitalization Alliance Town of Kingsbury Recreation Town of Queensbury Town of White Creek Tri County United Way Upward Bound Wait House Warren County Employment & Training Warren County Health Services Warren County WIC Warren County Youth Bureau Warren Washington Association for Mental Health Warren-Hamilton Counties Office for the Aging Warren-Washington ARC Warren-Washington Office of Community Services Washington County ADRC Washington County CARES Washington County Economic Opportunity Council, Inc. Washington County Public health Washington County WIC Washington-Saratoga-Warren-Hamilton-Essex BOCES Wells Central School Whitehall Family Medicine WIC Willsboro Central School YMCA
Schedule H, Part V, Section B, Line 11-Saratoga HospitalSaratoga Hospital, along with the other collaborating members of the 2013 CHNA, is addressing the needs that were identified in the latest CHNA. Since 2013, the Hospital has been developing a Community Service Plan that outlines the challenges, strategies, activities, and outcomes for each of the five identified health challenges. In 2015, the Hospital Service Plan included the following updates and outcomes for those five areas of need, which can be found on the Hospital website referenced in Schedule H, Part V, line 10a.The first focus area of need was to Prevent Chronic Disease by increase access to high-quality chronic-disease preventive care and management in both clinical and community settings. There are three chronic disease areas that the Hospital is focusing on which are (1) Diabetes, (2) Heart Disease, Cancer and Obesity, and (3) Continuum of Care. Through the Saratoga Center for Endocrinology and Diabetes, Saratoga Hospital continued to meet the needs of diabetic patients in the community. Saratoga Hospital continued to increase screening rates for diabetes by providing the diabetes risk-assessment "quiz" to communities at health fairs, the Community Health Center, the Backstretch Clinic, and referred at-risk patients to primary care providers for follow-up. In 2015, The Center for Endocrinology and Diabetes had 2,500 diabetes patient visits which exceed 2014 volumes by over 18%. Saratoga Hospital continued to offer high-quality diabetes education and support for all diabetes patients using evidence-based resources by offering ten Diabetes Self-Management education programs and one support group. To reduce disparities, Saratoga Hospital improved access to diabetes management programs for residents of outlying areas and included provision of nutrition and diabetes education services in plans for the new Church Street Outpatient Center. To improve access to diabetes management education for low-income patients, Saratoga Hospital offered nutrition and diabetes education services at the new Saratoga Community Health Center and the Hospital's three family health centers. For Heart Disease, Cancer and Obesity area of focus for Chronic Diseases, Heart disease and cancer are the leading causes of death in Saratoga County, which Heart disease and cancer patients in Saratoga County need more access to high-quality care and support services. In addressing Heart Disease, in 2015, Saratoga Hospital continued to work toward offering PCI services in our Cardiac Catheterization Laboratory. Efforts to integrate the care processes driven by interventional services also continued and Saratoga Hospital's relationship with Albany Medical Center for cardiology services were strengthened. For addressing the need of Cancer for Chronic diseases, Saratoga Hospital is continuing the NYSDOH grant-funded Cancer Screening Program, which engages community partners in providing a robust program of outreach to build demand for cancer screening utilizing the existing partnerships of 31 providers to offer screening services, such as Low Dose CT exams, and continue to build new partnerships and facilities that ensures coverage for all residents of Saratoga County. Saratoga Hospital continues to help cancer patients find support services through the services of an American Cancer Society (ACS) Patient Navigator dedicated to assisting Saratoga Hospital's Radiation Oncology Center (ROC) patients. The ROC social worker meets with every new patient seen at the ROC to determine if there are services that can be provided for them. Additionally in 2015, Saratoga Regional Medical Group hired a dedicated breast surgeon to provide, among other procedures, mastectomies, lumpectomies, breast-conserving surgery and surgical breast biopsies. In 2015, for addressing the Chronic Disease of Obesity, Saratoga Hospital continued to offer a comprehensive obesity prevention and management program through the Saratoga Bariatric Surgery and Weight Loss Program, which provides evidence-based services and outreach programs to address weight management. Monthly meetings of Bariatric Support Groups included presentations by guest speakers on topics relating to weight management, nutrition, exercise, psychology and plastic surgery. Informational and educational sessions about bariatric surgery were offered on a bi-monthly basis and there is an on-line Bariatric Support Group as well. The last Chronic Disease focus area is Continuum of Care. For Continuum of Care, the community does not have adequate access to the full continuum of care and healthcare providers need to form more strategic partnerships to address these gaps. Saratoga Hospital is addressing this by continuing to explore and establish partnerships with other providers. Saratoga Hospital has engaged in physician-centered dialogues regarding coverage of critical care. Saratoga Hospital is successfully working with Albany Medical Center Hospital (AMCH) to standardize the process for the transfer of cardiac patients (PCI) to higher levels of care, along with discussion for other collaborative efforts with AMCH such as joint training and quality improvement for cardiac services. Saratoga Hospital also starting working on improving Neurology services in the community by adding a new Neurologist to the Saratoga Regional Medical Group. In 2015, Saratoga Hospital began the opening phase of our new Operating Suite. The second focus area of need was to Vaccine-Preventable Diseases by focusing on Petussis. Pertussis cases are increasing; adults and children are not receiving adequate vaccinations against pertussis. In 2015, Saratoga Hospital addressed this area by continuing its program to increase pertussis vaccination rates by vaccinating parents and other caregivers of infants born at Saratoga Hospital. The third focus area of need was Healthcare-Associated Infections and overuse of antibiotics. The number of patients contracting infection due to contact with the healthcare system is increasing. Overuse of antibiotics is resulting in the emergence of antibiotic-resistant strains of disease. Infection control measures on the part of healthcare providers must be constantly taught, improved, and enforced. Infection can be spread by the use of medical devices. Saratoga Hospital addressed this by continuing to encourage the reduction of antibiotic use at Saratoga Hospital and in the community by developing programs, policies, and procedures aimed at reducing the use of antibiotics. The need for an Antibiotic Stewardship Pharmacist has been identified and work continues on that front. Saratoga Hospital continues to include infection control education as part of mandatory staff education. Infection control education is mandatory for all employees through the Hospital's HealthStream Education system where there are two safety topics relating specifically to infection control. Hand hygiene and isolation practices are closely monitored at Saratoga Hospital. The fourth focus are of need is Child Health. Children in Saratoga County, especially low-income children, do not receive adequate preventive healthcare. Saratoga Hospital's service area covers a large geographic area, and some rural areas or areas located outside population centers, have insufficient access to preventive care. Almost 40% of all 3rd graders in Saratoga County have untreated tooth decay. This is especially true for low-income children. In 2015, Saratoga Hospital continued to address this area by improving access to ambulatory care services throughout the community. Plans continued to expand this network of outpatient sites to improve access to care. Saratoga Hospital continued to offer high-quality dental care for low-income members of the community at the Saratoga Community Health Center. Saratoga Hospital continued to assist low-income families obtain health insurance through our Health Insurance Navigation Program. The fifth focus area of need is Mental Health within Saratoga County. Alcohol abuse poses a threat to the health and well-being of residents of Saratoga County. Too many adults engage in binge drinking. Rates of alcohol-related accidents are higher than expected, and too many residents die of alcohol-related injuries. Many residents suffer from serious mental illness. Rates for treatment of children and teens in the emergency department are above the stateside benchmarks. Rates of suicide and self-inflected injuries in Saratoga County are also above statewide benchmarks. Saratoga Hospital continued to address the increase access to quality outpatient mental health services by providing comprehensive mental health counseling at Saratoga Community Health Center. Saratoga Hospital continued to work with our community to address mental health and substance abuse issues such as the rising acuity of mental health patients presenting at the Saratoga Hospital Emergency Department.
Schedule H, Part V, Section B, Line 13h-Saratoga HospitalAdditional eligibility criteria for the Hospital's financial assistance policy include the following. If a patient is homeless, they are automatically eligible for the Hospital's financial assistance. Services that subsequently receive Medicaid coverage that may fall outside of the scope of payment by Medicaid are automatically eligible for financial assistance. Another criterion for services to be automatically eligible for financial assistance is for patients that are filing for Chapter 7 bankruptcy protection.
Schedule H, Part V, Section B, Line 22d-Saratoga HospitalThe hospital maintains a financial assistance policy (FAP). Under the FAP, the Hospital provides an automatic discount from charges (76% for 2015) for any uninsured patients receiving care at any of the Hospital's locations. The Hospital defines uninsured patients as those patients having no third-party insurance coverage. This automatic discount applies regardless of a patient's ability to pay. The automatic discount is shown clearly on any bills sent to the patient in order to enhance awareness of the availability of this benefit. The automatic discount is intended to ensure that any uninsured patients, and by extension any patients who are FAP-eligible, are not charged more for emergency or any other medically-necessary care than the amounts Medicare would reimburse the Hospital for the same services. The Hospital also provides a "Means-Tested" financial assistance benefits, eligibility for which is determined by the Hospital's patient financial services department based upon the financial means of the patient and/or patient's family. The amount of means-tested benefit provided to patients is based on a comparison of their documented income to annual Federal Poverty Level (FPL) standards. The following is a sliding scale of benefits (as a percentage of charges) available to patients with varying levels of income: o FPL x 250% or below- 100% discount o FPL x 300%- 75% discount o FPL x 350% - 50% discount o FPL x 400%- 25% discount These means-tested discounts are available to uninsured patients, as well as to insured patients who encounter difficulty in paying amounts owed (ex. co-pays, deductibles) after their insurer pays the Hospital. Exceptions to the automatic discount policy described above are for services provided to uninsured patients in the Hospital Emergency Department and the Hospital's Urgent Care site at Wilton Medical Arts. Special tiered discount programs are in place for services provided at those locations, and these are described below: * Emergency Department Services: o Tier 1- available for patients receiving any services during an outpatient Emergency Department visit, unless the services include a CT and/or MRI scan. The discounted patient payment for this level of Emergency Department services is $300 plus a surcharge the New York State Department of Health (DOH) requires hospitals to add to services provided to uninsured patients. o Tier 2- available for outpatient Emergency Department visits when the visit includes a CT and/or MRI scan. The discounted patient payment for this level of Emergency Department services is $700 plus the DOH surcharge. * Urgent Care Services (Wilton Medical Arts): o Tier 1- available for patients receiving any services during an Urgent Care visit unless those services include a lab test and/or any imaging test. The discounted patient payment for this level of Urgent Care services is $180 plus the DOH surcharge. o Tier 2- available for patients receiving any services during an Urgent Care visit if those services include a lab test and/or any imaging test, unless the imaging tests include a CT and/or MRI scan. The discounted patient payment for this level of Urgent Care services is $500 plus the DOH surcharge. The special tiered discounts available for Emergency Department and Urgent care services are intended to provide uninsured patients an automatic discount for these services that exceeds the standard discount for all other services to uninsured patients. Patients are not required to take any action in order to receive the automatic discount and the special Emergency Department and Urgent Care discounts. These adjustments are automatically made to patient bills before the bills are sent.
FieldValueIRS element (for citing)
Facility18FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Wilton Campus
3040 - 3050 Route 50Saratoga SpringsNY12866Urgent Care/Imaging/Lab Services/Pain Mgmt/Family Medicine/Free Standing Ambulatory surgery
Malta Campus
6 Medical Park DriveMaltaNY12020Emergent&Urgent Care/Lab Services/Family Medicine/Hematology/Oncology/Imaging/Infusion/Cardiology
Regional Therapy Center at The Springs on Weibel Ave
9 Hampstead Place Suite 107Saratoga SpringsNY12866Rehabilitation (OT/PT)
Regional Therapy Center at Washington Street
225 Washington StreetSaratoga SpringsNY12866Rehabilitation (OT/PT)
Scotia-Glenville Family Medicine
112 Charlton RoadBallston LakeNY12019Family Medicine
6 Care Lane
6 Care LaneSaratoga SpringsNY12866Rehabilitation (OT/PT)/Nephrology/Neurology/Pulmonary Medicine
Corporate Health Services
2388 Route 9MaltaNY12020Corporate Health Services
Saratoga Hospital Medical Oncology Hematology
3 Care LaneSaratoga SpringsNY12866Oncology Hematology
Regional Therapy Center at Malta Commons Business Park
100 Saratoga Village Blvd Suite 34Ballston SpaNY12020Rehabilitation (OT/PT)
Saratoga Regional Urology Associates
19 West Avenue Suite 103Saratoga SpringsNY12866Urology
1 West Ave
1 West Avenue Suite 125Saratoga SpringsNY12866Minimally Invasive Surgery/Bariatric Surgery
Saratoga Community Health Center
24 Hamilton StreetSaratoga SpringsNY12866Family Medicine/Dentistry/Internal Medicine/Mental Health
Milton Health Center
510 Geyser RoadBallston SpaNY12020Family Medicine/Physical Therapy
Cardiology Specialy Services
254 Church Street 2nd FloorSaratoga SpringsNY12866Cardiology
Saratoga Family Health
119 Lawrence StreetSaratoga SpringsNY12866Family Medicine
Galway Family Health
5344 Sacandaga Road PO Box 190GalwayNY12074Family Medicine
Schuylerville Family Health
200 Broad StreetSchuylervilleNY12871Family Medicine
Saratoga Midwifery and Women's Primary Care
2911 Route 9Ballston SpaNY12020Midwifery and Women's Primary Care

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 7Line 7a -The costing methodology used to determine the amount reported on line 7a is as follows. The total financial assistance, on the basis of charges, per the Hospital's financial statements was multiplied by the cost to charge ratio from the Hospital's 2015 Medicare cost report. The resulting amount was then reduced by any directly offsetting revenues. Offsetting revenues for the purposes of this calculation consist of payments New York State provides the Hospital from a pool, that are intended to offset a portion of the Hospital's charity care and bad debt costs. These payments were split between charity care and bad debt on a pro rata basis and netted against the respective costs. Line 7b -The costing methodology used to determine the amount reported on line 7b column c is as follows. Total Medicaid charges per the Hospital's patient accounting system were multiplied by the cost to charge ratio from the Hospital's 2015 Medicare cost report. Line 7e includes the Hospital's costs to administer federally and State funded grants. The Hospital administers the New York State Department of Health Health Insurance Navigation Program, Family Health Plus and, Medicaid Facilitated Enrollment Program for Saratoga County. This program focuses on enrolling eligible individuals in low or no cost insurance programs provided by the State. The Hospital also administers the New York State Cancer Services Program for Saratoga County, which provides uninsured and underinsured patients with routine screening for certain types of cancers. Costs associated with free screening programs are obtained from the Hospital's cost accounting system. With regards to costs for administering grant programs, the Hospital establishes a distinct general ledger cost center for each grant program it administers. Costs reported for the grant programs represent the costs accumulated in those grant-specific cost centers during 2015. Grant program costs have been offset by State funding received to offset the Hospital's costs to administer the programs. In 2013 the Hospital opened its Community Health Center, serving primarily uninsured and under-insured patients. Revenues and costs for the Community Health Center are accumulated and tracked in distinct cost centers on the Hospital's General Ledger. Amounts reported for the Community Health Center were derived from the accounts in those General Ledger cost Centers. Line 7f -The costing methodology used to determine the amount reported on line 7f is as follows. A database is kept for all health professional programs for students and interns that spend time at the Hospital. Within the database, the total direct employee hours spent with the students and interns, as well as, administration hours spent for oversight, are calculated and multiplied by the average hourly rate for the hospital to develop the total community benefit cost. Line 7i - Costs accumulated on line 7i were obtained from Hospital general ledger and accounts payable records for contributions made to other organizations in the community whose missions align with that of the Hospital.
Schedule H, Part IIPart II, Line 2 Starting in 2015, and continuing over the next five years, the Hospital has engaged with the local economic development community to help bring in additional jobs and resources to its community. As a community leader, the Hospital believes that engaging in this action for the recruitment of additional jobs is an opportunity to educate and improve the community's health. Part II, Line 3 As part of Community Support, the Hospital is helping a local organization track, store, and analyze its membership and survey data. As a result of the Hospital's actions, they are helping to retain and grow nursing providers within the local community. Part II, Line 8 As a result of its leadership role in identifying community healthcare needs, the Hospital is also the key resource in its community for recruiting physicians practicing in areas of medicine identified as underserved in the community. A component of this recruitment effort included the extension of relocation incentives to physicians in the targeted need areas. The incentives were provided in the form of income guarantees that were provided in an effort to make practice start-up financially palatable for relocating physicians. After an initial period during which funds were advanced to physicians as they had shortfalls versus a targeted income amount, the accumulated advances were converted to promissory notes. Should the physician remain in practice in the community for a contractually agreed-upon number of years after the initial benefit period, the note will be forgiven in full. During 2015, the Hospital forgave advances plus accrued interest amounting to approximately $223,531 relating to these arrangements.
Schedule H, Part III, Section A, Line 4Part III, Line 2 The costing methodology used to determine the amount reported on line 2 is as follows. The total bad debt expense per the Hospital's financial statements was multiplied by the same cost to charge ratio that was used to determine Financial Assistance and Medicaid costs reported on Schedule H, lines 7a and 7b, column c. The resulting amount was then reduced by any directly offsetting revenues. Offsetting revenues for the purposes of this calculation consist of payments New York State provides the Hospital from a pool, that are intended to offset a portion of the Hospital's charity care and bad debt costs. These payments were split between charity care and bad debt on a pro rata basis and netted against the respective costs. Part III, Line 3 The rationale for including bad debt amounts in community benefit related to the nature of the question posed on Schedule H, Part III, line 3. A large portion of patients whose account balances end up as bad debt write-offs likely would qualify to receive benefits under the Hospital's financial assistance program were those patients to apply for the benefit and provide the documentation required to assess their ability to qualify. Despite efforts to publicize the availability of the financial assistance program, patient interest and willingness to comply with the documentation requirements remain a challenge for the Hospital. The vast majority of patients who apply for the financial assistance benefit and provide the requested documentation ultimately qualify for and receive the benefit as an end result. As such, in most cases the only difference between reporting an unpaid account balance as a charity care allowance as opposed to a bad debt write off results from our adherence to Healthcare Financial Management Association Statement No. 15 in terms of appropriate reporting of amounts as bad debt expense or charity care when a patient does not apply for financial assistance or comply with documentation requirements. Part III, Line 4. The following represents text from the footnotes to the Hospital's audited financial statements regarding bad debt expense: The Hospital grants credit without collateral to patient, most of whom are local residents and are insured under third-party agreements. Services rendered to individuals when payment is expected and ultimately not received are written off against the allowance for estimated uncollectible accounts upon management's determination that the balance will likely not be collected. Additions to the allowance for estimated uncollectible accounts are made by means of the provision for bad debts. Accounts written off as uncollectible are deducted from the allowance and subsequent recoveries are added. The amount of the provision for bad debts is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in Federal and state governmental healthcare coverage and other collection indicators.
Schedule H, Part III, Section B, Line 8Medicare costs reported on Schedule H, Part III, line 6 were determined as follows. Total charges to Medicare-insured patients during 2015 were divided by total charges to all patients during 2015. The resulting ratio was multiplied by total Medicare allowable costs reported in the Hospital's annual Medicare Cost Report.
Schedule H, Part III, Section C, Line 9bThe Hospital has created and maintains a written debt and collection policy, which clearly states adjustments made to collection practices when a patient qualifies for the Hospital's Financial Assistance Program (FAP). The Hospital informs patients about the FAP by including the FAP summary in the admission and observation materials, making the FAP summary easily accessible on the Hospital website, included with every hospital bill is information about the availability of the FAP and how to access the FAP summary, placing posters about FAP in areas in the Hospital that are likely to be noticed by patients and visitors, and producing paper copies upon request. Once a patient has been informed of the FAP, the patient will then need to apply for Financial Assistance. A patient can apply by requesting an application and/or confidential assistance in completing the application from any registrar during registration, or by calling Patient Financial Services. After a patient has completed the application for Financial Assistance and meets all of the eligibility requirements, the patients bill is discounted based on the Federal Income Guideline level of income and the size of family. Along with discounting an uninsured patient's bill after they have been approve for the Hospital's Financial Assistance program, 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. The Hospital will make reasonable efforts to have assistance accessible so that uninsured and underinsured patients understand the FAP and how to apply for Financial assistance. These efforts include providing a plain language summary of its FAP and offer an application form, to the patient before discharge from the Hospital. The Hospital also includes information about the availability of Financial Assistance and about how to access the FAP Summary with all (at least three) billing statements for the care and all other written communications regarding the bill provided to the individual during the period of from the date of Hospitalization until 150 days after the first billing statement. The Hospital will inform the individual about the FAP in all oral communications with the individual regarding the amount due for the care that occurs during the notification period. The Hospital will provide the individual with at least one written notice that (i) informs the individual about the Extraordinary Collection Efforts the Hospital or other authorized party may take if the individual does not submit a FAP application or pay the amount due by a deadline specified in the notice, and (ii) is provided to the individual at least 30 days before the deadline specified in the written notice. This notice will not be sent any earlier than 120 days after the date of the first billing statement sent to the patient. With respect to a patient who submitted an incomplete FAP application, the Hospital will suspend extraordinary collection efforts against the patient, provide the patient with a written notice that describes the additional information and/or documentation required, and includes a copy of the FAP. The Hospital will similarly not permit a third party collection agent to commence an extraordinary collection effort against a person for an unpaid Hospital services bill unless and until a Hospital official has authorized the specific actions against the specific person. If a patient is uninsured and does not apply for Financial Assistance, the Hospital provides an automatic payment discount off of standard charges which is intended to bring the net charges billed down to the level of payment the Hospital would expect to receive from Medicare for the same services.
Schedule H, Part VI, Line 2The process of identifying the important healthcare needs of the residents of Saratoga County involved both data analysis and consultation with key members of the community. The data was collected from multiple sources including publically available health indicator data, data collected from a survey conducted by the Adirondack Rural Health Network and a survey conducted by Saratoga Hospital. The health indicator data is collected and published by New York State and contains over 300 different health indicators. Since 2003, The Adirondack Rural Health Network has been compiling this data for the region and producing reports to inform healthcare planning on a regional basis. In 2013, ARHN undertook a project to systemize this data into a relational database to provide improved access and analysis. The results of this analysis provide a statistical assessment of the health status for the region and each county therein. In December 2012 and January 2013, the Adirondack Regional Health Network (ARHN) conducted a survey of selected stakeholders representing health care and service-providing agencies within the eight-county region. The results of the survey provide an overview of regional needs and priorities, to inform future planning and the development of a regional health care agenda. The survey results were presented at both the County and regional levels. Saratoga Hospital also conducted a survey of the residents of Saratoga County to solicit information regarding attitudes about healthcare and healthcare challenges people face in their daily lives. Using the results of the indicator analysis and the surveys, a community health assessment team (CHAT) was convened to identify and prioritize the current healthcare challenges for the residents of Saratoga County. The CHAT consisted of representatives from Saratoga Hospital and the Saratoga County Public Health Nursing Service.
Schedule H, Part VI, Line 3The Hospital educates patients about eligibility for assistance under its Financial Assistance Program (FAP), as well as federal and State programs through the following means: * A supply of brochures containing a plain-language description of the Hospital's FAP and an application for the FAP is prominently displayed at all locations in Hospital facilities where patients register for services. * The FAP brochure and application are included in a packet that is provided to all patients being admitted to the Hospital for inpatient or observation stays. * If the Hospital patient financial services department makes a follow-up call to a patient regarding an unpaid bill, the patient is informed about the existence of the FAP. * Bills sent to patients for unpaid balances include a reference to the FAP as well as information on how to contact the Hospital about the FAP. * Information regarding the FAP is located on the Hospital's website, including the location and contact information for the Hospital patient financial services department. * The Hospital uses an external vendor to screen all uninsured inpatients in order to determine whether the patient may be eligible for Medicaid or any other governmental insurance programs, as well as the Hospital's FAP. Patients are then provided assistance in applying for and obtaining access to these programs. * The Hospital administers the New York State Department of Health Health Insurance Navigation Program for Saratoga County, as well as five other neighboring Counties. This program focuses on enrolling eligible individuals in low or no cost insurance programs provided by the State. Efforts are made by Hospital registration and Patient Financial Services personnel to link patients to the navigation program for assistance in obtaining health insurance coverage or obtaining benefits under the Hospital's FAP.
Schedule H, Part VI, Line 4The Hospital's primary service area is comprised of two communities, Saratoga Springs and Ballston Spa. Both are located in the central portion of Saratoga County. The primary service area population in 2015 was approximately 70,600. These two communities accounted for 46.5% of the Hospital's inpatient discharges in 2015. The secondary service area extends to the northwestern border of Saratoga County and also extends southward. It is comprised of 15 communities, including Ballston Lake, Burnt Hills, Corinth, Galway, Gansevoort, Greenfield Center, Greenwich, Mechanicville, Middle Grove, Porter Corners, Rock City Falls, Round Lake, Schuylerville, Stillwater, and Victory Mills. The combined 2015 population of these communities was estimated at approximately 90,900. The secondary service area was the source of 31.6 % of the Hospital's inpatient discharges in 2015.
Schedule H, Part VI, Line 5The Hospital also promotes community health through the following activities: * Open medical staff * Board of Trustees comprised primarily of independent persons from the community * Subsidization of community education forums, at no cost to the public, including: o Childbirth education- monthly classes o Community wellness classes- including education for prevention and management of chronic diseases such as diabetes and asthma, and updates on new treatment pathways available for common ailments o Facilitation of monthly support groups for issues including weight loss, cancer survivors and grief management. * Schedules and topical information for community education forums are made available on the Hospital's website and are also provided in a free quarterly newsletter, ACCESS. ACCESS also includes short articles written by medical staff regarding current health issues. These articles are also posted on the Hospital's website. * The Hospital provides 24-hour call center services, HealthSource, at no cost. * Any surplus generated by the Hospital is reinvested into the Hospital through expansion of operations, by purchase of space and equipment, and hiring of personnel needed to support programs that have been identified as needs for the

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Angelo G Calbone
President/CEO$477,074$0$104,550$0$180,221$0$11,528$0$20,819$0$794,192$0$0$0
Gary Foster
VP & CFO$270,219$0$44,491$0$19,945$0$15,238$0$1,406$0$351,299$0$0$0
Richard Falivena
VP Chief Medical and Physician Integration Officer$325,122$0$58,319$0$23,291$0$9,408$0$12,415$0$428,555$0$0$0
Mary Jo LaPosta
SVP Patient Care and Organizational Excellence and Chief Nursing Officer$290,761$0$52,008$0$22,502$0$11,528$0$9,563$0$386,362$0$0$0
Kevin Ronayne
VP Operations/Facilities$223,538$0$39,298$0$16,681$0$13,648$0$16,724$0$309,889$0$0$0
John Mangona
VP Chief Information and Compliance Officer$228,586$0$41,289$0$15,082$0$13,648$0$1,535$0$300,140$0$0$0
Jeffrey Methven
VP Ambulatory Serv &HR$240,078$0$41,455$0$15,499$0$13,648$0$16,334$0$327,014$0$0$0
Gordan Kuhar
Physician$1,092,672$0$0$0$774$0$11,528$0$756$0$1,105,730$0$0$0
Theodoros Laddis
Physician$650,250$0$0$0$470$0$9,408$0$688$0$660,816$0$0$0
Gary Idelchik
Physician$649,144$0$0$0$162$0$9,408$0$6,995$0$665,709$0$0$0
Dmitri Baranov
Physician$545,843$0$0$0$180$0$9,408$0$6,374$0$561,805$0$0$0
Rachid Daoui
Physician$531,076$0$0$0$414$0$9,408$0$16,816$0$557,714$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 4During 2015, certain members of The Saratoga Hospital administrative team participated in a 457 F retirement plan. The following of the Hospital administration personnel participated in or received a payment from their 457 F retirement plan during 2015. Angelo Calbone - Contributions $103,753 and received a distribution of $49,511 Gary Foster - Contributions $1,171 Mary Jo LoPosta - Contributions $3,314 Richard Falivena - Contributions $4,133
Schedule J, Part I, Line 6The 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 6.25% of the overall incentive compensation available during 2015, and was based an achievement of "minimum, meets, and maximum" levels relative to the Hospital's budgeted operating margin percentage for the year.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
IDA Series 2007A
A521310482803482DF22007-12-21$15,790,000ED Construction000
IDA Series 2007B
B521310482803482DE52007-12-12$18,406,490ED Construction & Renovation000
IDA Series 2013 A
C461520521803481AS92013-02-07$24,273,094Refinance Revenue Bonds000
IDA Series 2014 A
D461520521803481AT72014-01-16$25,000,000ICU/OR Construction000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$3,750,000$15,790,000$0$1,121,735$0$223,475$53,214$0$14,391,576$0$0200900Yes (1)Yes (1)
B$1,320,000$2,090,000$18,406,490$1,373,182$423,697$0$262,395$0$0$16,348,698$0$0200900Yes (1)Yes (1)
C$2,130,000$0$24,273,094$1,667,627$0$22,004,520$485,462$0$0$0$115,599$02013Yes (1)Yes (1)Yes (1)Yes (1)
D$0$120,000$25,000,000$0$617,598$0$500,000$230,750$0$23,490,778$160,874$0201500Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A000000000Yes (1)
B000000000Yes (1)
C0000000Yes (1)
D000000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)Yes (1)0000
B000Yes (1)00000
C000Yes (1)00000
D000Yes (1)Yes (1)0000

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0
C0
D0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part IV, Line 2c-12/21/2007 15,790,000 IDA Series 2007AArbitrage rebate computation was performed on 12/1/15 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/15 resulting in no rebate liability for IDA Series 2007 A.
Schedule K, Part IV, Line 2c-12/12/2007 18,406,490 IDA Series 2007BArbitrage rebate computation was performed on 12/1/15 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/15 resulting in no rebate liability for IDA Series 2007 B.
Schedule K, Part IV, Line 2c-02/07/2013 24,273,094 IDA Series 2013 AArbitrage rebate computation was performed on 12/1/15 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/15 resulting in no rebate liability for IDA Series 2013 A.
Schedule K, Part IV, Line 2c-01/16/2014 25,000,000 IDA Series 2014 AArbitrage rebate computation was performed on 12/1/15 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/15 resulting in no rebate liability for IDA Series 2014 A.

Schedule K IRS990ScheduleK

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
Healthcare Partners of Saratoga Inc
Joint VentureExpenses paidYes (X)$432,000$432,0000Yes (1)Yes (1)
Saratoga Regional Medical
SubsidiaryExpenses PaidYes (X)$1,878,000$1,878,0000Yes (1)Yes (1)
FieldValueIRS element (for citing)
Total Balance Due$2,310,000TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
David mastrianni MD
Board Trustee$604,076The Hospital engages Dr. Mastrianni to provide clinical, administrative and medical direction services with respect to the Hospital's two hospital-based medical hematology/oncology clinics.0
George Silver MD
Board Trustee$225,000Trustee is also a Partner of OrthoNY, LLP0
George Silver MD
Board Trustee$168,985Trustee is a Partner of Boss Enterprises, LLP0
Healthcare Partners of Saratoga LTD DBA MMEC
Joint Venture with 50% control$750,000Capital Distribution0
Healthcare Partners of Saratoga LTD DBA MMEC
Joint Venture with 50% control$1,340,723Reimbursement for expenses paid0
Healthcare Partners of Saratoga LTD DBA MMEC
Joint Venture with 50% control$5,374,000Reimbursement for leased staffing services0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part IVFormAndLineReferenceDesc
ExplanationDavid Mastrianni, MD - The Hospital engages Dr. Mastrianni to provide clinical, administrative and medical direction services with respect to the Hospital's two hospital-based medical hematology/oncology clinics. Dr. George Silver - Dr. Silver is a Partner (20%) of Boss Enterprises, LLP, which leases medical space to Hospital. Dr. Silver is also a Partner (20%) of OrthoNY, LLP, a company that the Hospital has a service agreement to provide administrative services for the Hospital's Orthopedic clinic. Joint Venture - In September 2010, Saratoga Hospital entered into a Memorandum of Agreement (MOA) with Albany Medical Center Hospital (AMCH) for the purpose of constructing a jointly owned and operated diagnostic and treatment center (DTC). The DTC is sited on a portion of the 140 acre parcel of land the Hospital owns in Malta, NY. Under the terms of the MOA, the DTC is operated as a separate not for profit corporation, Healthcare Partners of Saratoga, Inc. (D/B/A Malta Med Emergent Care(MMEC)), approved under Article 28 of New York State Public Health Law. The Hospital and AMCH are equal members of MMEC, with each entity able to appoint four members to the eight member Board of Directors of MMEC. MMEC obtained a Certificate of Incorporation from the New York State Department of State in April 2011. The New York State Department of Health (DOH) approved the Certificate of Need application for MMEC in August 2011, including approval to transfer services previously provided at the Hospitals extension clinic in Malta to MMEC. During 2015, MMEC transferred a total of $750,000 to the Hospital as an equity distribution. The Hospital's equity distribution from MMEC was a result of cash and net asset surpluses that had accumulated in MMEC through the date of equity distribution. MMEC had an operating surplus of approximately $2,174,000 during 2015. As a result, the amount by which the Hospital's investment was increased in 2015 was approximately $1,087,000. Accordingly the Hospital's net investment in MMEC stood at approximately $2,416,000 at December 31, 2015. Saratoga Hospital employs all non-provider staff who work at MMEC and leases the personnel to MMEC at cost. During 2015, the value of leased staffing services contracted to MMEC was $5,374,000. Also during 2015, MMEC reimbursed the Hospital approximately $1,341,000 for expenses paid for on behalf of MMEC.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 2During 2015 the Hospital added the following services: Saratoga Hospital Center for Breast Care program, Breast Surgery, consisting of a board-certified, fellowship-trained breast surgeon, providing a full complement of surgical care. Saratoga Midwifery Care, consisting of six certified American College of Nurse Midwives. The care provided by this new service is care for normal, low-risk pregnancy, labor, and birth by a certified nurse midwife.
Form 990, Part VI, Section B, Line 11bA draft of the Form 990 and any required supplemental schedules (collectively the "Form 990") is completed by the Hospital's Fiscal Services Department, with input from other Hospital departments obtained as needed. The completed Form 990 is then reviewed by the Director, Financial Accounting and Vice President/Chief Financial Officer in order to ensure compliance with applicable instructions. The initial phase of review by the Hospital's Board of Trustees occurs through a submission of the draft Form 990 to the Board Audit and Corporate Compliance Committee (AC). Members of the AC are provided with drafts of the Form 990 prior to a quarterly meeting. At the quarterly meeting, an agenda item is devoted to providing the AC members with time to ask management questions regarding any disclosures in the form 990 and to provide and comments or suggestions. Management evaluates the AC suggestions and comments and amends the Form 990 if necessary. Subsequently, copies of the revised draft Form 990 are provided to all members of the Hospital Board of Trustees. Board members are asked to provide any comments on the form 990 at the monthly Board meeting occurring after the draft Form 990 has been distributed. Any applicable comments or suggestions are incorporated into the Form 990, and a final version is filed with the IRS.
Form 990, Part VI, Section B, Line 12cThe Hospital maintains two conflict of interest policies. One applies to members of the Board of Trustees, Hospital officers, members of the medical staff and all employees whose compensation exceeds $100,000. A second conflict of interest policy applies to all members of management, employees and volunteers of the Hospital, as well as persons serving in those roles for corporations affiliated with the Hospital who are not covered by the first policy. The policies provide clear explanations as to who is covered by each policy, what family members and/or ownership interests (including non-financial interests) must be considered in assessing compliance with the policy, definitions of compensation (including non-monetary compensation) and examples of conflicts including activities that must always be avoided. On an annual basis a conflict of interest disclosure questionnaire process is undertaken. All members of the Board of Trustees and management, all non-management employees whose compensation exceeds $100,000, and certain members of the Hospital's medical staff are required to complete and file the questionnaire with the Hospital's Chief Compliance Officer. All members of the Hospital's medical staff are required to complete and file the questionnaire as part of their biennial credentialing process. Additionally, members of Hospital management are required to identify any additional employees under their supervision who have the ability to influence purchasing decisions aggregating to $100,000 or more annually. These employees are also required to complete and file the questionnaire. Inquiries included on the questionnaire are designed to allow respondents to provide yes/no answers that will allow a determination to be made as to whether any non-compliance with the applicable conflict of interest policy has occurred, or whether there are any situations that may require further investigation. Responses to the questionnaires are tracked by the Chief Compliance Officer and are reported to the Audit and Corporate Compliance Committee of the Board of Trustees at its quarterly meetings. On an annual basis the Fiscal Services department reviews all responses submitted by all respondents. The questionnaire includes a section where respondents are asked, for any person or entity that has or may do business with the Hospital or one of its affiliates, to provide names of any external entities they have interests in or are employed by, as well as names of relatives and entities those relatives have interest or are employed by. Additionally, if a potential conflict is known of, but not disclosed on the questionnaire, these persons/entities are also identified by hospital management. Any persons or entities disclosed in this area or otherwise deemed to be potential conflicts are referenced against the accounts payable systems for the Hospital and its related entities in order to determine whether business was transacted with any of the disclosed entities during the past year. Materiality of any transactions identified is assessed and a determination is made as to whether the transaction of business with any of these entities was made in accordance with the Hospital's purchasing and conflict of interest policies (ex. competitively bid, removal of the conflicted person from the decision-making process).
Form 990, Part VI, Section B, Line 15The Hospital maintains a written statement of executive compensation philosophy and practice that is used as a framework for establishing compensation for senior leaders as well as most of the department directors within the organization. The Hospital's Board of Trustees has formally delegated implementation of the executive compensation philosophy to its Executive Committee. During 2015, the Executive Committee consisted of eight members of the Board of Trustees, six of whom were determined to be independent with respect to the guidelines set forth for completing Part VI, Line 1b of the Core Form 990. On an annual basis, the Executive Committee reviews the performance of the President/Chief Executive Officer (CEO) and makes a base salary recommendation to the full Board. The Executive Committee performs this task using a target percentile rank on a scale of amounts paid to similarly situated executives in the marketplace as measures by external benchmark surveys. Additionally, the Executive Committee factors in relative skill mix, experience, competence and overall performance. The Executive Committee sets annual performance criteria the CEO must meet in order to qualify for incentive compensation and any recommendation for additional compensation is made annually. The CEO is responsible, with the oversight of the Executive Committee, for determining the base compensation for all other executives in the organization. These base salaries are also determined using a target percentile rank on a scale for executives situated similarly by position within the marketplace, with acceptable exceptions based on skill mix, experience and/or scope of responsibility. Incentive compensation for all other executives is determination by the CEO and based on organizational and individual performance measures and outcomes. For both CEO and executive compensation, the requirements for invoking a rebuttable presumption of reasonableness in accordance with IRS intermediate sanction regulations are used as a guideline, to the extent practicable.
Form 990, Part VI, Section C, Line 19Currently the Hospital's governing documents, conflict of interest policy and financial statements are available to the public upon request.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line2DisregardedEntityName/BusinessNameLine2Txt
Saratoga Care Inc
211 Church StreetSaratoga SpringsNY12866141775218Promoting HealthNY501(c)(3)3N/A0
Healthcare Partners of Saratoga LTD
211 Church StreetSaratoga SpringsNY12866453303309Emergent CareNY501(c)(3)3N/A0DBA MMEC
Flower & Fruit Mission of the Saratoga Hospital
211 Church StreetSaratoga SpringsNY12866146049447Equip & maintain the maternity unit of Saratoga HospitalNY501(c)(3)3N/A0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Saratoga Regional MedicalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1211 Church StreetAddressLine1Txt
CitySaratoga SpringsCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12866ZIPCd
FieldValueIRS element (for citing)
EIN472468259EIN
Primary ActivitiesProvide Professional Healthcare services to the Saratoga RegionPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1The Saratoga Hospital Chief Medical OfficerBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income$100ShareOfTotalIncomeAmt
Share Of EOY Assets$100ShareOfEOYAssetsAmt
Ownership1OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Saratoga Care Inc
c$2,381,435FMV of Cash Transaction
Saratoga Care Inc
o$308,104FMV of Cash Transaction
Saratoga Care Inc
q$602,001FMV of Cash Transaction

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule R, Part IVFormAndLineReferenceDesc
ExplanationAt the time of filing, A form 1023 application for Recognition of Exemption has been submitted to the IRS for revaluation of Saratoga Regional Medical Professional Corporation (SRMPC) original distinction. SRMPC is a physician and midwifery practice formed in order to facilitate the Hospital's employment of Physicians and Midwives in circumstances where New York corporate practice of medicine doctrine would otherwise prohibit such employment. As such, SRMPC's mission aligns with the broader mission of the Hospital. The Chief medical and Physician Integration Officer is the sole shareholder in SRMPC. Hospital management has no reason to believe that SRMPC application for tax exemption will not be approved.ExplanationTxt

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