ALBANY MED HEALTH SYSTEM: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: ALBANY MED HEALTH SYSTEM (EIN 14-1338547)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-14
IRS object ID: 201313189349308116
Schema version: 2012v2.0
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
Form 990
Schedule A
Schedule C
Schedule D
Schedule G
Schedule H
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-14T15:52:04-07:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	141338547	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SARATOGA HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SARA	NameControl
Phone	5185878421	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	211 Church Street	AddressLine1
City	Saratoga Springs	City
State	NY	State
ZIP Code	128661090	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	GARY FOSTER	Name
Title	VICE PRESIDENT & CFO	Title
Phone	5185838421	Phone
Date Signed	2013-11-15	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Angelo Calbone	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	211 Church Street	AddressLine1
City	Saratoga Springs	City
State	NY	State
ZIP Code	12866	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	234691856	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.saratogahospital.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1891	YearFormation
State Legal Domicile	NY	StateLegalDomicile
Activity Or Mission Description	To serve the people of the Saratoga region by providing them access to excellence in healthcare in a supportive and caring environment.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	2224	TotalNbrEmployees
Total Nbr Volunteers	299	TotalNbrVolunteers
Total Gross UBI	4861328	TotalGrossUBI
Net Unrelated Business Txbl Income	403775	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1941156	ContributionsGrantsPriorYear
Contributions Grants Current Year	2480975	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	209699417	ProgramServiceRevenuePriorYear
Program Service Revenue CY	218520389	ProgramServiceRevenueCY
Investment Income Prior Year	358072	InvestmentIncomePriorYear
Investment Income Current Year	1215178	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3344241	OtherRevenuePriorYear
Other Revenue Current Year	7083343	OtherRevenueCurrentYear
Total Revenue Prior Year	215342886	TotalRevenuePriorYear
Total Revenue Current Year	229299885	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	104312741	SalariesEtcPriorYear
Salaries Etc Current Year	112157921	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	235937	TotalFundrsngExpCurrentYear
Other Expense Prior Year	95147289	OtherExpensePriorYear
Other Expenses Current Year	99008065	OtherExpensesCurrentYear
Total Expenses Prior Year	199460030	TotalExpensesPriorYear
Total Expenses Current Year	211165986	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	15882856	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	18133899	RevenuesLessExpensesCY
Total Assets BOY	229876622	TotalAssetsBOY
Total Assets EOY	252807558	TotalAssetsEOY
Total Liabilities BOY	100209263	TotalLiabilitiesBOY
Total Liabilities EOY	102308136	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	129667359	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	150499422	NetAssetsOrFundBalancesEOY
Mission Description	To serve the people of the Saratoga region by providing them access to excellence in healthcare in a supportive and caring environment.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	192113969	Expense
Revenue	218520389	Revenue
Description	The 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 2012, the hospital emergency department facilitated 40,406 patient visits. * The Hospital represents the only inpatient acute care facility in Saratoga County. During 2012, the Hospital had 8,092 admissions for inpatient adult and pediatric care. These admissions included 819 births, 707 admissions to our inpatient mental health unit and 64 admissions for Hospice care. Total adult and pediatric inpatient days for the Hospital during 2012 were 41,888 which included 4,038 days of inpatient care in the Critical Care Unit. * The Hospital operates a 36-bed skilled nursing facility on its campus. During 2012, 12,525 patient days of skilled nursing care were provided. * The hospital maintains a charity care 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 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 In addition to the means-tested charity care benefit program described above, beginning January 1, 2008, the Hospital began providing an automatic 35% discount from charges for any uninsured patients receiving care at any of the hospital's locations. 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. Effective January 1, 2009, the Hospital began providing discounted rates to uninsured patients receiving care at its two urgent care sites. Uninsured patients are required 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 2012, the benefits provided under these policies, measured on the basis of costs, amounted to approximately $ 2,755,000. * The Hospital has two sites 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 these urgent care sites, including nights and weekends in order to meet community need. As a result, our urgent care sites have became a significant portal of access to care for the community. During 2012, our urgent care sites accommodated 50,736 patient visits. * During 2012 the hospital incurred bad debt expense of approximately $9,147,206 measured on the basis of charges, which represented an increase from the previous year. 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, where uninsured patients will often utilize as an option 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 2012 were approximately $7,092,000 and $6,490,000, 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 2012, the Hospital forgave advances plus accrued interest amounting to approximately $ 45,000 relating to these arrangements. * During 2008, the Hospital became 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 2012, unreimbursed costs of administering the program were approximately $26,000. * Hospital personnel have taken a leading role in development of a County-wide emergency preparedness and response plan, including corresponding with law enforcement, fire, emergency medical services and other relevant agencies to develop and test a plan for managing the public health effects of a large-scale natural disaster or other significant community-wide crisis.	Description
Total Of Other Program Service Exp	0	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	0	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	0	TotalOfOtherProgramServiceRev
Total Program Service Expense	192113969	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	1	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	142	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2224	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	1	ForeignFinancialAccount
Name Of Foreign Country	VI	NameOfForeignCountry
Name Of Foreign Country	CJ	NameOfForeignCountry
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	MIKE BATTLE	NamePerson
Telephone Number	5185838498	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	The Saratoga Hospital	AddressLine1
Address Line2	211 Church Street	AddressLine2
City	Saratoga Springs	City
State	NY	State
ZIP Code	12866	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Average Hours Per Week RelatedAverageHoursPerWeekRelated	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Michael D West
Chairperson	2.5	X	0	0	0
Janice M White
Co-Vice Chairperson	2.5	X	0	0	0
David M Mastrianni MD
Co-Vice Chairperson	2.5	X	0	0	0
Michael H Iacolucci
Treasurer	2.5	X	0	0	0
Donna Montalto
Secretary	2.5	X	0	0	0
Dennis A Brobston
Board Member	2.5	X	0	0	0
Judith Ekman
Board Member	2.5	X	0	0	0
Brian T Fredette
Board Member	2.5	X	0	0	0
Michele J Mehler
Board Member	2.5	X	0	0	0
Eugene K Merecki MD
Board Member	2.5	X	0	0	0
William O'Connor MD
Board Member	2.5	X	0	0	0
Alan Oppenheim
Board Member	2.5	X	0	0	0
Deane Pfeil
Board Member	2.5	X	0	0	0
William R Stanley
Board Member	2.5	X	0	0	0
Theresa Skaine
Board Member	2.5	X	0	0	0
Angelo Calbone
President & CEO	32	X	479195	84900	114340	6	X	X
Gary L Foster
Vice President & CFO	36		287638	15600	33238	2	X	X
Mary Jo Laposta
VP Chief Nursing Officer	38		313313	0	31510			X
John Mangona
VP CIO	38		254181	0	27077			X
Jeffrey Methven
VP Human Resources & Ambulatory Services	38		250242	0	35906			X
Joyce L Peabody
VP Medical Affairs	38		368339	0	41339			X
Kevin Ronayne
VP Operations	38		250864	0	38344			X
Gordan Kuhar
Physician	38		883492	0	8875				X
Richard Duff
Physician	38		376749	0	17652				X
Gregory Tillou
Physician	38		271441	0	20051				X
John Delmonte
Physician	38		296676	0	9070				X
Bradley Sexauer
VP for Strategy and Market Development	30		208621	56200	32074	8			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4240751	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	156700	TotalReportableCompFrmRltdOrgs
Total Other Compensation	409476	TotalOtherCompensation
Number Individuals GT100 K	104	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	Address Line2AddressOfContractor/AddressUS/AddressLine2	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Saratoga Emergency Physicians PC
The Saratoga Hospital	211 Church Street	Saratoga Springs	NY	12866	Physicians	8501547
Saratoga Cardiology Associates PC
6 Care Lane		Saratoga Springs	NY	12866	Physicians	1675537
Laboratory Corp of America
2975 W CORPORATE LAKES BLVD		WESTON	FL	333313626	Medical Laboratory Testing	1640747
Hypertype Inc
84 Calvert Street		Harrison	NY	10528	Transcription Services	1413993
Jersen Industries Inc
6 Industry Drive		Waterford	NY	12188	Construction Management	1349770

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	51	NumberOfContractorsGT100K
Related Organizations	1740023	RelatedOrganizations
Government Grants	653177	GovernmentGrants
All Other Contributions	87775	AllOtherContributions
Total Contributions	2480975	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
Not for Profit Hospital	621000	124156727	124156727	0	$0
Meidicare, Traditional and MC	622000	74808312	74808312	0	$0
Medicaid, Tradintional and MC	622000	14661580	14661580	0	$0
Specimen Drop Offs	621500	4893770	0	4893770	$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	218520389	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	794088	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	-6511	UnrelatedBusinessRevenue
Exclusion	$800,599	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	132292	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$132,292	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	229297	Real
Personal	0	Personal

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	173827	Real
Personal	0	Personal

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	55470	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	55470	TotalRevenueColumn
Related Or Exempt Function Income	81401	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	-25931	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	3905749	Securities
Other	1415112	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	4550548	Securities
Other	481515	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-644799	Securities
Other	933597	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	288798	TotalRevenueColumn
Related Or Exempt Function Income	288798	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	32349	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	12333	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	20016	TotalRevenueColumn
Exclusion	$20,016	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	616099	GrossSalesOfInventory
Cost Of Goods Sold	173748	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	442351	TotalRevenueColumn
Exclusion	$442,351	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
EMR Incentive	900099	2637720	2637720	$0
Caferteria	722210	1189080	0	$1,189,080
MHU Contracted Services	621112	1348187	1348187	$0

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1390519	TotalRevenueColumn
Related Or Exempt Function Income	1389015	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$1,504	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	6565506	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	229299885	TotalRevenueColumn
Related Or Exempt Function Income	219371740	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	4861328	UnrelatedBusinessRevenue
Exclusion	$2,585,842	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2524464	Total
Management And General	2524464	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	88718511	Total
Program Services	81120049	ProgramServices
Management And General	7598462	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3318388	Total
Program Services	2950230	ProgramServices
Management And General	368158	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	11080816	Total
Program Services	9851458	ProgramServices
Management And General	1229358	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	6515742	Total
Program Services	5792855	ProgramServices
Management And General	722887	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	530734	Total
Management And General	530734	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	145300	Total
Management And General	145300	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	99998	Total
Management And General	99998	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	81082	Total
Management And General	81082	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	20324085	Total
Program Services	19064272	ProgramServices
Management And General	1259813	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	680843	Total
Program Services	18577	ProgramServices
Management And General	662266	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	12492781	Total
Program Services	11134575	ProgramServices
Management And General	1122269	ManagementAndGeneral
Fundraising	235937	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1764737	Total
Program Services	1643756	ProgramServices
Management And General	120981	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	6331879	Total
Program Services	5782504	ProgramServices
Management And General	549375	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	39785	Total
Program Services	34657	ProgramServices
Management And General	5128	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	362456	Total
Program Services	294685	ProgramServices
Management And General	67771	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	25394	Total
Program Services	25394	ProgramServices
Management And General	0	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	12233416	Total
Program Services	11394757	ProgramServices
Management And General	838659	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1214183	Total
Program Services	1209329	ProgramServices
Management And General	4854	ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
Medical Supplies	32210716	32210716	0	0
Bad Debt Expense	9147206	9147206	0

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1323470	Total
Program Services	438949	ProgramServices
Management And General	884521	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	211165986	Total
Program Services	192113969	ProgramServices
Management And General	18816080	ManagementAndGeneral
Fundraising	235937	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	14958736	BOY
EOY	27452969	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	28485445	BOY
EOY	20861170	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	24755890	BOY
EOY	20858113	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	678178	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1731132	BOY
EOY	3093274	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5113201	BOY
EOY	5496737	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2649613	BOY
EOY	2994634	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	242645415	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	137476821	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	101209357	BOY
EOY	105168594	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	35618947	BOY
EOY	35778698	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	9390128	BOY
EOY	24948599	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	15001	BOY
EOY	15001	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	5949172	BOY
EOY	5461591	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	229876622	BOY
EOY	252807558	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	20542117	BOY
EOY	24864310	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	60388100	BOY
EOY	56951812	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2375415	BOY
EOY	6071480	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	8120722	BOY
EOY	4350000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	8782909	BOY
EOY	10070534	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	100209263	BOY
EOY	102308136	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	125727094	BOY
EOY	146928649	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3356687	BOY
EOY	2872281	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	583578	BOY
EOY	698492	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	129667359	BOY
EOY	150499422	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	229876622	BOY
EOY	252807558	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	18133899	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	2458015	ReconciliationUnrealizedInvest
Reconcilation Donated Services	0	ReconcilationDonatedServices
Reconcilation Invest Expenses	0	ReconcilationInvestExpenses
Reconcilation Prior Adjustment	0	ReconcilationPriorAdjustment
Reconcilation Other Changes	240149	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Both	X	FinancialStatementBoth

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$99,998	OtherActivitiesAmount
Total Lobbying Expenditures IIB	99998	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	SchC_P2B_S00_L01	Identifier
Return Reference	Schedule C, Part II-B, Line 1	ReturnReference
Explanation	Schedule C, Part II-B, Line 1 - The Hospital has entered into an agreement with a firm that specializes in government relations and public affairs, in an effort to ensure the impact on the Hospital of proposed State and Federal legislation are clearly communicated to elected representatives. Also, to determine whether the hospital may be eligible for any additional funding sources for developing and delivering service programs to its community. Additionally, a 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.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	7412104	BeginningOfYearBalance
Contributions	67000	Contributions
Investment Earnings Or Losses	523487	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	0	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	8002591	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	7880460	BeginningOfYearBalance
Contributions	90942	Contributions
Investment Earnings Or Losses	-559298	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	0	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	7412104	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	7101991	BeginningOfYearBalance
Contributions	31967	Contributions
Investment Earnings Or Losses	746502	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	0	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	7880460	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5797719	BeginningOfYearBalance
Contributions	53656	Contributions
Investment Earnings Or Losses	1250616	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	0	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	7101991	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	7636033	BeginningOfYearBalance
Contributions	231000	Contributions
Investment Earnings Or Losses	-2069314	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	0	OtherExpenditures
Administrative Expenses	0	AdministrativeExpenses
End Of Year Balance	5797719	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.93	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.07	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	15018598	OtherCostOrOtherBasis
Book Value	15018598	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	69067452	OtherCostOrOtherBasis
Depreciation	27659622	Depreciation
Book Value	41407830	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	3528003	OtherCostOrOtherBasis
Depreciation	3271189	Depreciation
Book Value	256814	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	143580660	OtherCostOrOtherBasis
Depreciation	101326040	Depreciation
Book Value	42254620	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	0	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	11450702	OtherCostOrOtherBasis
Depreciation	5219970	Depreciation
Book Value	6230732	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	105168594	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (5 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
Limited Partnership Investments-balanced strategy	16000013	F
Limited Partnership Investments- Absolute Return Strategy	6117171	F
Limited Partnership Investments-Global Macro Strategy	1361220	F
Limited Partnership Investments- Real Asset Strategy	822532	F
Private Equity	647663	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	24948599	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
Estimated Third Party Settlements	$6,256,000
Other Long-Term Liabilities	$3,814,534

Field	Value	IRS element (for citing)
Total Of Amounts	10070534	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	220416272	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	2458015	NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities	0	DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants	0	RecoveriesOfPriorYearGrants
Other Revenues	-8980918	OtherRevenues
Revenue Not Rptd F990	-6522903	RevenueNotRptdF990
Revenue Subtotal	226939175	RevenueSubtotal
Investment Expenses Not Included	248164	InvestmentExpensesNotIncluded
Other Revenues Not Included	2112546	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	2360710	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	229299885	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	201708505	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	0	DonatedServicesUseOfFacilities
Prior Year Adjustments	0	PriorYearAdjustments
Losses Reported	0	LossesReported
Other Expenses Included	173827	OtherExpensesIncluded
Expenses Not Rptd F990	173827	ExpensesNotRptdF990
Expenses Subtotal	201534678	ExpensesSubtotal
Investment Expenses Not Included2	248164	InvestmentExpensesNotIncluded2
Other Expenses Not Included	9383144	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	9631308	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	211165986	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchD_P05_S00_L04	Schedule D, Part V, Line 4	Permanent endowment funds are intended to support the 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.
SchD_P10_S00_L02	Schedule D, Part X, Line 2	From 990, Part IV, Line 11F - The 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 2012 or 2011.
SchD_P11_S00_L02d	Schedule D, Part XI, Line 2d	Net assets released from Restriction $166,289 and Bad Debts ($9,147,206).
SchD_P11_S00_L04b	Schedule D, Part XI, Line 4b	Rental Expenses ($173,827), Restricted Gifts $1,850,122, and Hopsital Guild Revenue $436,251
SchD_P12_S00_L02d	Schedule D, Part XII, Line 2d	Rental Expenses $173,827
SchD_P12_S00_L04b	Schedule D, Part XII, Line 4b	Bad Debts $9,147,207 and Hospital Guild Expenses $235,937

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	SunnyView	NameOfEvent1
Gross Receipts Event1	10145	GrossReceiptsEvent1
Charitable Contributions Event1	0	CharitableContributionsEvent1
Gross Revenue Event1	10145	GrossRevenueEvent1
Cash Prizes Event1	0	CashPrizesEvent1
Non Cash Prizes Event1	0	NonCashPrizesEvent1
Rent Facility Costs Event1	0	RentFacilityCostsEvent1
Food And Beverage Event1	0	FoodAndBeverageEvent1
Entertainment Event1	0	EntertainmentEvent1
Other Direct Expenses Event1	7583	OtherDirectExpensesEvent1
Name Of Event2	Holiday	NameOfEvent2
Gross Receipts Event2	5346	GrossReceiptsEvent2
Charitable Contributions Event2	0	CharitableContributionsEvent2
Gross Revenue Event2	5346	GrossRevenueEvent2
Cash Prizes Event2	0	CashPrizesEvent2
Non Cash Prizes Event2	0	NonCashPrizesEvent2
Rent Facility Costs Event2	0	RentFacilityCostsEvent2
Food And Beverage Event2	118	FoodAndBeverageEvent2
Entertainment Event2	0	EntertainmentEvent2
Other Direct Expenses Event2	1209	OtherDirectExpensesEvent2
Total Number Of Other Events	12	TotalNumberOfOtherEvents
Gross Receipts Other Events	16858	GrossReceiptsOtherEvents
Charitable Contrib Other Events	0	CharitableContribOtherEvents
Gross Revenue Other Events	16858	GrossRevenueOtherEvents
Cash Prizes Other Events	0	CashPrizesOtherEvents
Non Cash Prizes Other Events	0	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	0	RentFacilityCostsOtherEvents
Food And Beverage Other Events	0	FoodAndBeverageOtherEvents
Entertainment Other Events	0	EntertainmentOtherEvents
Other Direct Expenses Other Events	3423	OtherDirectExpensesOtherEvents
Gross Receipts Total	32349	GrossReceiptsTotal
Charitable Contributions Total	0	CharitableContributionsTotal
Gross Revenue Total Events	32349	GrossRevenueTotalEvents
Cash Prizes Total Events	0	CashPrizesTotalEvents
Non Cash Prizes Total Events	0	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	0	RentFacilityCostsTotalEvents
Food And Beverage Total Events	118	FoodAndBeverageTotalEvents
Entertainment Total Events	0	EntertainmentTotalEvents
Other Direct Expenses Total Events	12215	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	12333	DirectExpenseSummaryEvents
Net Income Summary	20016	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	2.50	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	0	AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3428145	TotalCommunityBenefitExpense
Direct Offsetting Revenue	900125	DirectOffsettingRevenue
Net Community Benefit Expense	2528020	NetCommunityBenefitExpense
Percent Of Total Expense	0.012	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	19419484	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12929376	DirectOffsettingRevenue
Net Community Benefit Expense	6490108	NetCommunityBenefitExpense
Percent Of Total Expense	0.0307	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	0	NumberOfActivitiesOrPrograms
Persons Served	0	PersonsServed
Total Community Benefit Expense	22847629	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13829501	DirectOffsettingRevenue
Net Community Benefit Expense	9018128	NetCommunityBenefitExpense
Percent Of Total Expense	0.0427	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	16	NumberOfActivitiesOrPrograms
Persons Served	2499	PersonsServed
Total Community Benefit Expense	838169	TotalCommunityBenefitExpense
Direct Offsetting Revenue	668886	DirectOffsettingRevenue
Net Community Benefit Expense	169283	NetCommunityBenefitExpense
Percent Of Total Expense	0.008	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	8	PersonsServed
Total Community Benefit Expense	35000	TotalCommunityBenefitExpense
Net Community Benefit Expense	35000	NetCommunityBenefitExpense
Percent Of Total Expense	0.0002	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Persons Served	103	PersonsServed
Total Community Benefit Expense	23322	TotalCommunityBenefitExpense
Net Community Benefit Expense	23322	NetCommunityBenefitExpense
Percent Of Total Expense	0.0001	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	25	NumberOfActivitiesOrPrograms
Persons Served	2610	PersonsServed
Total Community Benefit Expense	896491	TotalCommunityBenefitExpense
Direct Offsetting Revenue	668886	DirectOffsettingRevenue
Net Community Benefit Expense	227605	NetCommunityBenefitExpense
Percent Of Total Expense	0.0083	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	25	NumberOfActivitiesOrPrograms
Persons Served	2610	PersonsServed
Total Community Benefit Expense	23744120	TotalCommunityBenefitExpense
Direct Offsetting Revenue	14498387	DirectOffsettingRevenue
Net Community Benefit Expense	9245733	NetCommunityBenefitExpense
Percent Of Total Expense	0.0510	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	2000	PersonsServed
Total Community Building Expense	4816	TotalCommunityBuildingExpense
Net Community Building Expense	4816	NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	66654	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	66654	NetCommunityBuildingExpense
Percent Of Total Expense	0.0003	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	4	NumberOfActivitiesOrPrograms
Persons Served	2000	PersonsServed
Total Community Building Expense	71470	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	71470	NetCommunityBuildingExpense
Percent Of Total Expense	0.0003	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$1,894,211	BadDebtExpenseAmount
Amount Attributable To	992106	AmountAttributableTo
Amount Reimbursed By Medicare	41852980	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	48945160	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-7092180	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	0	WrittenDebtCollectionPolicy
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Saratoga Hospital	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	211 Church Street	AddressLine1
City	Saratoga Springs	City
State	NY	State
ZIP Code	12866	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Saratoga Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	250	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	400	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	0	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchH_P01_S00_L07	Schedule H, Part I, Line 7	Line 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 2012 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 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 2012 Medicare cost report. Line 7e includes costs associated with free health screening provided by the Hospital as well as the Hospital's costs to administer federally and State funded grants. The Hospital administers the New York State Department of Health Child Health Plus, Family Health Plus and Medicaid Facilitated Enrollment 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. 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 2012. Grant program costs have been offset by State funding received to offset the Hospital's costs to administer the programs. During 2012 the Hospital acquired a building at which a Community Health Center, serving primarily uninsured and under-insured patients, will be located. The facility is expected to be open in September 2013. The hospital incurred costs associated with the acquisition and preparation of the facility during 2012. 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.
SchH_P02_S00_L00	Schedule H, 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 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 2012, the Hospital forgave advances plus accrued interest amounting to approximately $66,654 relating to these arrangements.
SchH_P03_S0A_L04	Schedule H, Part III, Section A, 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 patients, most of whom are local residents and are insured under third party agreements. 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. 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. 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 charity care 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. The rationale for including bad debt amounts in community benefit related to the nature of the question posed on Schedule H, Part III, line 4. 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.
SchH_P03_S0B_L08	Schedule H, Part III, Section B, Line 8	Medicare costs reported on Schedule H, Part III, line 6 were determined as follows. Total charges to Medicare-insured patients during 2012 were divided by total charges to all patients during 2012. The resulting ratio was multiplied by total Medicare allowable costs reported in the Hospital's annual Medicare Cost Report. Medicare allowable costs reported in Schedule H, Part I, line 7f were not deducted from total Medicare allowable costs as any costs associated with provided care to Medicare-insured patients in the Hospital service department reported in line 7f were not included in the shortfall calculation performed to determine the amount reported on that line.
SchH_P05_S0B_L20	Schedule H, Part V, Section B, Line 20	The hospital maintains a financial assistance policy (FAP). Eligibility for FAP benefits 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 FAP 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 FAP 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. In addition to the means-tested FAP benefit described above, the Hospital provides an automatic 35% discount from charges 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 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 standard 35% 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 generally billed to Medicare-insured individuals for the same care. Exceptions to the standard discount policy described above are for services provided to uninsured patients in the Hospital Emergency Department and the Hospital's Urgent Care sites at Wilton Medical Arts and Malta 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/Malta 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 $100 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 $160 plus the DOH surcharge. The discounted patient payment for this level of Urgent Care services is $560 plus the DOH surcharge. o Tier 3- available for patients receiving services during an Urgent Care visit when the visit includes a CT and/or MRI scan. 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 35% discount for all other services to uninsured patients. Patients are not required to take any action in order to receive the standard 35% discount and the special Emergency Department and Urgent Care discounts. These adjustments are automatically made to patient bills before the bills are sent.
SchH_P06_S00_L02	Schedule H, Part VI, Line 2	The Hospital participates in, and provides financial support to, the Adirondack Rural Health Network (ARHN). ARHN is a partnership of public, private and non-profit organizations which facilitates formal health planning for a six-county region of upstate New York. This region includes Saratoga County, in which the Hospital is located. During 2008 and into 2009, ARHN carried out a community health assessment (CHA) and developed a community service plan (CSP), the results of which were published in September 2009. The process of developing and carrying out the CHA and CSP were guided by the ARHN Community Health Planning Committee (Committee). The Committee was comprised of representatives of the public health departments of each of the six counties in the ARHN area, representatives from six hospitals in the ARHN area (including a representative of Saratoga Hospital), as well as ARHN staff and representatives of other non-profit health-focused organizations in the ARHN area. The CHA process and development of the CHP were designed around a Prevention Agenda released in 2008 by the New York State Health Commissioner. The Prevention Agenda identifies ten priorities for improving the health of all New Yorkers and asks communities to work together to address them. The data collection in support of the ARHN CHA included six key components: * The results of a 2008 Behavioral Risk Factor Surveillance Survey conducted by the New York State Department of Health. * Telephone surveys administered by the Siena Research Institute to households in the region being assessed by ARHN. Survey respondents were for responses to questions regarding a broad range of health-related issues. * Disease incidence data obtained from various existing sources. * New York State Prevention Quality Indicator data. * Hospital utilization data from the Statewide Planning and Research Cooperative System. * A series of 24 stakeholder focus groups were held throughout the region being assessed by ARHN in order to gain community feedback on health issues. Participants were asked to identify barriers to accessing healthcare services, discuss and determine healthcare priorities and generate policy change ideas to be implemented in the community. The Committee then took the data collected during the CHA process and prioritized each of the ten Prevention Agenda areas based on the input obtained. As a result of the prioritization process, the Committee members agreed to focus on Physical Activity and Nutrition as a regional priority issue. The Committee identified a broad three year regional action plan of steps to be taken to address Physical Activity and Nutrition, including establishment of regional taskforce, evaluate evidence-based programs focusing on physical activity/nutrition, develop implementation schedules and budgets for action steps, implement the action steps and evaluate the results of the implementation. A copy of the September 2009 ARHN report can be located at www.arhn.org. The individual organizations represented on the Committee were also free to select additional Prevention Agenda issues as focus areas. In addition to the priority area identified by the Committee, the Hospital worked collaboratively with the Saratoga County Public Health Department to identify a second area of focus for the coming years. The area identified as an additional priority within Saratoga County was management of chronic disease, specifically diabetes. Using the broad three-year action plan outline by the Committee, the Hospital has developed Hospital-specific action plans to address the two focus areas over the next three years. These action plans include definition of measurable outcomes and when those outcomes are to be achieved by, strategies to reach the desired outcomes, and Hospital departments/personnel responsible for implementing each strategy as well as any regional and community partners for strategy implementation. A copy of the Saratoga Hospital Community Service Plan Update can be located at www.saratogacare.org in the "About Us" Section, under "Newsroom" and then "Community Reports". In addition to participation in ARHN, the Hospital uses several different methods to assess the healthcare needs of the communities it serves, including the following: * 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. The information regarding anticipated physician needs is used as guidance for focusing the physician recruitment efforts described in our response to Schedule H, Part VI, line 5. * 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. "Secret shopper" calls are conducted whereby Hospital personnel call physician practices in the community in order to determine accessibility to physician care in terms of days wait to be seen for acute and chronic problems. Community input is obtained through information gathering sessions held on a continuous basis with representatives of local governments and 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. * Ongoing dialogue with medical staff members regarding their perceptions regarding quality of care and areas of need for the community. * Formalized tracking processes for patient communications and complaints.
SchH_P06_S00_L03	Schedule H, Part VI, Line 3	The Hospital educates patients about eligibility for assistance under its financial assistance program, as well as federal and State programs through the following means: * A supply of brochures containing a plain-language description of the Hospital's financial assistance program (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 Child Health Plus, Family Health Plus and Medicaid Facilitated Enrollment 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. Brochures regarding the facilities enrollment program are displayed in the same patient registration areas as the FAP brochure, and contact information for this program can also be obtained for the Hospital's website.
SchH_P06_S00_L04	Schedule H, Part VI, Line 4	The 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 2012 was approximately 70,500. The secondary service area extends to the northwestern border of Saratoga County and also extends southward. It is comprised of 14 communities, including Ballston Lake, Burnt Hills, Corinth, Galway, Gansevoort, Greenfield Center, Greenwich, Mechanicville, Middle Grove, Porter Comers, Rock City Falls, Round Lake, Schuylerville and Stillwater. The combined 2012 population of these communities was estimated at approximately 86,600. Total Service Area Population 2011 % of Age Cohort Population Total 0-17 34,500 22.0% 18 -24 14,400 9.2% 25 -44 39,800 25.4% 45 -64 46,600 29.6% 65+ 21,800 13.9% Total 157,100 100.0% Females 15 -44 26,600 17.0%. Median household income for Saratoga County was $76,500 in 2011, as compared to $75,100 and $67,500 for Ney York State and the United States, respectively, during 2009. The unemployment rate for Saratoga County was 6.6% during 2011, as compared to 8.2% for New York State.
SchH_P06_S00_L05	Schedule H, Part VI, Line 5	The 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: Childbirth education- monthly classes, 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, 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 community the Hospital serves.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	1	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	1	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	1	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Angelo Calbone
President & CEO	319645	84900	108365	0	51185	0	101640	0	12700	0	593535	84900
Gary L Foster
Vice President & CFO	233040	15600	49807	0	4791	0	29875	0	3363	0	320876	15600
Joyce L Peabody
VP Medical Affairs	307229	0	61110	0	0	0	34085	0	7254	0	409678	0
Mary Jo Laposta
VP Chief Nursing Officer	250819	0	62494	0	0	0	25541	0	5969	0	344823	0
Kevin Ronayne
VP Operations	208284	0	42580	0	0	0	24036	0	14308	0	289208	0
John Mangona
VP CIO	206039	0	40876	0	7266	0	25558	0	1519	0	281258	0
Jeffrey Methven
VP Human Resources & Ambulatory Services	208727	0	41515	0	0	0	23656	0	12250	0	286148	0
Gordan Kuhar
Physician	601385	0	282107	0	0	0	8875	0	0	0	892367	0
Bradley Sexauer
VP for Strategy and Market Development	163564	56200	45057	0	0	0	22905	0	9169	0	240695	56200	0
Richard Duff
Physician	321488	0	51904	0	3357	0	8875	0	8777	0	394401	0
Gregory Tillou
Physician	241587	0	29854	0	0	0	8875	0	11176	0	291492	0
John Delmonte
Physician	261515	0	35161	0	0	0	8875	0	195	0	305746	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SchJ_P01_S00_L04	Schedule J, Part I, Line 4	During 2012, members of The Saratoga Hospital administrative team participated in a 457 F retirement plan. The following list is the participants of the Hospital administration that participated in or received a distribution from their 457 F retirement plan: Angelo Calbone - contributions $73,765 and received a distribution of $42,550, Gary Foster - contributions $266.
SchJ_P01_S00_L05	Schedule J, Part I, Line 5	The Hospital administers an incentive compensation program under which members of the Hospital management are eligible to earn up to a percentage of their base salaries in incentive compensation. As part of the 2012 annual incentive compensation, 5% of the overall incentive compensation is related o achievement of revenue growth in certain portions of the Hospital's service area.
SchJ_P01_S00_L06	Schedule J, Part I, Line 6	The Hospital administers an incentive compensation program under which members of the 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 net earnings of the Hospital and its affliciates represented 20% of the overall incentive compensation available during 2012, and was based an achievement of "minimum, meets, and maximum" levels relative to the Hospital's operating margin percentage for the year.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
IDA Series 2003 A
A	521310482	803482BW7	2003-08-07	13986954	Refinance Revenue Bonds	0	0	0
IDA Series 2003B1
B	521310482	803482BY3	2003-08-07	12151053	Construction Ambulatory Surgery	0	0	0
IDA Series 2004A
C	521310482	803482C55	2004-09-21	11421269	Construction ROC and Cafe Addition	0	0	0
IDA Series 2007A
D	521310482	803482DF2	2007-12-21	15790000	ED Construction	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	1625000	0	13986954	1068377	0	3700390	279291	814008	7810920	378401	2004	1	1	1
B	1230000	0	12151054	939684	632353	0	230198	717490	9438906	249095	2004	0	1	1
C	8290000	200000	11421269	1215429	482790	0	228425	0	9327175	240752	2005	0	1	1
D	0	1695000	15790000	0	1121735	0	223475	53214	14391576	0	2009	0	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	0	0	0	0	0	0	0	0	0	1
B	0	0	0	0	0	0	0	0	0	1
C	0	0	0	0	0	0	0	0	0	1
D	0	0	0	0	0	0	0	0	0	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
Merrill Lynch
A	0	0	0	1	0	0	1	4.25	1	0	0
Merrill Lynch
B	0	0	0	1	0	0	1	4.25	1	0	0
Merrill Lynch
C	0	0	0	1	0	0	1	4.25	1	0	0
(no name)
D	0	0	0	1	1	0	0			0	0

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	0
B	0
C	0
D	0

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	SchK_P04_S00_L02c	Identifier
Return Reference	Schedule K, Part IV, Line 2c	ReturnReference
Explanation	Arbitrage rebate computation was performed on 1/30/2013 by an third party contractor, AMTEC an tax exempt compliance specialist, for bond issues as of 12/01/2012 resulting in no rebate liability for IDA Series 2003 A, IDA Series 2003 B1, IDA Series 2004 A, IDA Series 2007 A, and IDA Series 2007 B.	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	IDA Series 2007B	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	521310482	IssuerEIN
CUSIP Number	803482DE5	CUSIPNumber
Date Issued	2007-12-12	DateIssued
Issue Price	18406490	IssuePrice
Description Of Purpose	ED Construction & Renovation	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Amount Retired	1320000	AmountRetired
Amount Bond Defeased	1080000	AmountBondDefeased
Total Proceeds	18406490	TotalProceeds
Amount In Reserve Fund	1371707	AmountInReserveFund
Capitalized Interest	423697	CapitalizedInterest
Refunding Escrow	0	RefundingEscrow
Issuance Costs From Proceeds	262395	IssuanceCostsFromProceeds
Credit Enhancement	0	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	16348698	CapitalExpenditures
Other Spent Proceeds	0	OtherSpentProceeds
Amount Unspent	0	AmountUnspent
Year Of Subst Completion	2009	YearOfSubstCompletion
Current Refunding	0	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	1	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	0	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0	TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test	0	BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs	1	NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiled
Rebate Not Due Yet	0	RebateNotDueYet
Exception To Rebate	0	ExceptionToRebate
No Rebate Due	1	NoRebateDue
Variable Rate Issue	0	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	0	ProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Relationship With OrganizationRelationshipWithOrganization	Purpose Of LoanPurposeOfLoan	Loan From OrganizationLoanFromOrganization	Original PrincipalOriginalPrincipalAmount	Balance DueBalanceDue	DefaultDefault	Approved By BoardApprovedByBoard	Written AgreementWrittenAgreement
David Mastrianni MD
Board Trustee	AR Purchases	X	$500,000	500000	0	1	1
David Mastrianni MD
Board Trustee	Leased Oncologist	X	$283,219	178178	0	1	1

Field	Value	IRS element (for citing)
Total Balance Due	678178	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
William O'Connor
Board Trustee	286910	leasing of Property, Trustee has 20% interest in Lessor Entity	0
David Mastranni MD
Board Trustee	732385	The Hospital and Dr. Mastrianni have negotiated purchase of the assets of his medical Oncology and Hematology practice.	0
David Mastranni MD
Board Trustee	283219	Leased Oncologist to Dr. Mastrianni practice prior to asset purchase	0

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	SchL_P02_S00_L00	Identifier
Return Reference	Schedule L, Part II	ReturnReference
Explanation	Schedule L, Part IV - Saratoga Hospital absorbed the medical oncology/hematology practice of Dr. David Mastrianni, a longtime physician in the Saratoga Springs community, and a member of the Saratoga Hospital Board of Trustees. By a series of agreements dated December 31, 2012, the practice began operating as a service of the Hospital on that date. Prior to execution of these agreements the practice was analyzed by an external, independent consultant to validate the financial stability of the practice as well as the overall suitability of the practice for integration into the Hospital. Payment to Dr. Mastrianni, as a result of these agreements, were tied only to the value of the tangible assets of the practice. This included purchase of the fixed assets and pharmaceuticals owned by the practice on the date of the agreements, as well as a purchase of a portion of the accounts receivable resulting from patient services provided by the practice prior to the date of the agreements. The purchase price of $232,385 for fixed assets and pharmaceutical inventories were based on an inventory and appraisal of practice fixed assets by an independent third party, and an inventory of pharmaceuticals performed by Hospital staff. The value provided by the Hospital for pharmaceuticals was based on this inventory as well as the practice's actual invoice cost for the drugs. The accounts receivable purchased from the practice totaled $500,000. This amount is disclosed in Part II of this Schedule as required, although it is a short-term receivable rather than a loan. The Hospital subsequently recovered the full value provided for the practice's receivables shortly after year-end (by February 2013) through collections against the balances. As a result, no gain was realized by either the Hospital or Dr. Mastrianni as a result of the agreements resulting in integration of the practice. Prior to the execution of agreements to integrate the medical oncology/hematology practice into to the Hospital, the Hospital employed an oncologist and leased his services to the practice in order to ensure that both parties could provide adequate access to oncology/hematology services for the community served by the Hospital and practice, an in anticipation of the future integration of the practice into the Hospital. The Hospital-employed oncologist was leased to Dr. Mastrianni's practice based on the Hospital's cost to employ the oncologist (salary plus benefits). During 2012, the practice paid $105,401 to the Hospital under this arrangement. A final reconciliation in relation this agreement will be performed in 2013, with the intent that neither the Hospital nor Dr. Mastrianni will realize a financial gain as a result of the arrangement.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
F990_P06_S0B_L11b	Form 990, Part VI, Section B, Line 11b	A 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. 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.
F990_P06_S0B_L12c	Form 990, Part VI, Section B, Line 12c	The Hospital maintains two conflict of interest policies. One applies to members of the Board of Trustees, Hospital officers, certain 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 provider 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 all members of the Hospital's medical staff are required to complete and file the questionnaire with the Hospital's Chief Compliance Officer. 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 members of the Board of Trustees as well as officers of the Hospital. 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).
F990_P06_S0B_L15	Form 990, Part VI, Section B, Line 15	The 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 2012, the Executive committee consisted of seven members of the Board of Trustees, all 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. However, the Executive Committee is provided leeway to deviate from this target somewhat where considerations relating to special skills, experience, competence and performance are relevant. Additionally, the Executive Committee sets annual performance criteria the CEO must meet in order to qualify for incentive compensation. At the end of each evaluation period, the Executive Committee determines whether the CEO has met the previously established performance criteria and makes a recommendation regarding payment of incentive compensation to the full Board accordingly. 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 executives situated similarly by position within the marketplace, with acceptable deviations for the same considerations as described for determining CEO compensation. Incentive compensation for all other executives is also earned based upon a determination by the CEO as to whether the performance of the entire organization as well as the individual executive has met criteria previously established by the Executive Committee. The comparability data used by the Executive Committee and CEO as guidelines for setting executive compensation are derived from two sources use. First, on a least a bi-annual basis an independent valuation expert is retained by the Hospital's Human Resources department to assess the reasonableness of total, as well as other data purchased from vendors or obtained from industry publications by the Human Resources department relevant to the compensation package for each executive. Also used as a guideline are the requirements for invoking a rebuttable presumption of reasonableness in accordance with IRS intermediate sanction regulations, to the extent practicable.
F990_P06_S0C_L19	Form 990, Part VI, Section C, Line 19	Currently the Hospital's governing documents, conflict of interest policy and financial statements are available to the public upon request.
F990_P11_S00_L09	Form 990, Part XI, Line 9	Capital Grant $240,149.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line2NameOfDisregardedEntity/BusinessNameLine2
Saratoga Care Inc
211 Church Street	Saratoga Springs	NY	12866	141775218	Promoting Health	NY	501(c)(3)	3	N/A	0
Healthcare Partners of Saratoga LTD
211 Church Street	Saratoga Springs	NY	12866	453303309	Emergent Care	NY	501(c)(3)	3	N/A	0	DBA MMEC
Flower & Fruit Mission of the Saratoga Hospital
211 Church Street	Saratoga Springs	NY	12866	146049447	Equip & maintain the maternity unit of Saratoga Hospital	NY	501(c)(3)	3	N/A	0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination	Business Name Line2NameOfOtherOrganization/BusinessNameLine2
Saratoga Care Inc
c	2099274	FMV
Saratoga Care Inc
q	908860	FMV
Saratoga Care Inc
r	506525	FMV of Transaction
Saratoga Care Inc
o	421902	FMV of Transaction
Healthcare Partners of Saratoga LTD
q	498641	FMV	DBA MMEC
Healthcare Partners of Saratoga LTD
d	16953292	Lease Contract	DBA MMEC

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	SchR_P01_S00_L00	Identifier
Return Reference	Schedule R, Part I	ReturnReference
Explanation	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 will be 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 will be established and operate 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 currently provided at the Hospital's extension clinic in Malta to MMEC. Construction costs for the MMEC facility are being financed by the developer building the facility. The developer is leasing the land on which the facility is being built from the Hospital under a 49-year ground lease which will commence once operation of the DTC begins. The DTC facility is expected to begin operations in June 2013. Amounts due from the developer in the form of annual payments to the Hospital under the ground lease are $86,000 for the years 2013 through 2017. MMEC will lease the portion of the building in which it will operate the DTC from the developer. The initial term of the lease is 18 years, beginning with the commencement of DTC operations, with options to extend the initial term by two consecutive five-year terms. Monthly lease payments under this arrangement begin at $73,447 and increase at a rate of 5% in each fifth year after the initial year of the lease has been completed. Both the Hospital and AMCH have provided joint and several guarantees of MMEC's payment of the DTC facility lease. The DTC facility lease amount for the Hospital total is $16,953,291.96.	Explanation