ALBANY MED HEALTH SYSTEM: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ALBANY MED HEALTH SYSTEM (EIN 14-1338547)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-13
IRS object ID
201223199349304032
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-13T10:15:26-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN141338547EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SARATOGA HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSARANameControl
Phone5185878421Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1211 Church StreetAddressLine1
CitySaratoga SpringsCity
StateNYState
ZIP Code128661090ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGARY FOSTERName
TitleVICE PRESIDENT & CFOTitle
Phone5185838421Phone
Date Signed2012-11-13DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonAngelo CalboneNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1211 Church StreetAddressLine1
CitySaratoga SpringsCity
StateNYState
ZIP Code12866ZIPCode
FieldValueIRS element (for citing)
Gross Receipts220459306GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.saratogahospital.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1891YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTo 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 Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees2094TotalNbrEmployees
Total Nbr Volunteers302TotalNbrVolunteers
Total Gross UBI4647191TotalGrossUBI
Net Unrelated Business Txbl Income740843NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1174461ContributionsGrantsPriorYear
Contributions Grants Current Year1941156ContributionsGrantsCurrentYear
Program Service Revenue Prior Year192492647ProgramServiceRevenuePriorYear
Program Service Revenue CY209699417ProgramServiceRevenueCY
Investment Income Prior Year994040InvestmentIncomePriorYear
Investment Income Current Year358072InvestmentIncomeCurrentYear
Other Revenue Prior Year2828194OtherRevenuePriorYear
Other Revenue Current Year3344241OtherRevenueCurrentYear
Total Revenue Prior Year197489342TotalRevenuePriorYear
Total Revenue Current Year215342886TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year95125265SalariesEtcPriorYear
Salaries Etc Current Year104312741SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year91113077OtherExpensePriorYear
Other Expenses Current Year95147289OtherExpensesCurrentYear
Total Expenses Prior Year186238342TotalExpensesPriorYear
Total Expenses Current Year199460030TotalExpensesCurrentYear
Revenues Less Expenses Prior Year11251000RevenuesLessExpensesPriorYear
Revenues Less Expenses CY15882856RevenuesLessExpensesCY
Total Assets BOY213762195TotalAssetsBOY
Total Assets EOY229584486TotalAssetsEOY
Total Liabilities BOY98103545TotalLiabilitiesBOY
Total Liabilities EOY99878298TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY115658650NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY129706188NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTo 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 Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense181725254Expense
Grants0Grants
Revenue209699417Revenue
DescriptionThe 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 2011, the hospital emergency department facilitated 38,903 patient visits. * The Hospital represents the only inpatient acute care facility in Saratoga County. During 2011, the Hospital had 9,135 admissions for inpatient adult and pediatric care. These admissions included 773 births,712 admissions to our inpatient mental health unit and 43 admissions for Hospice care. Total adult and pediatric inpatient days for the Hospital during 2011 were 48,033 which included 4,018 days of inpatient care in the Critical Care Unit. * The Hospital operates a 36-bed skilled nursing facility on its campus. During 2011, 12,354 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 2011, the benefits provided under these policies, measured on the basis of costs, amounted to approximately $ 2,473,000. * 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 2011, our urgent care sites accommodated 45,854 patient visits. * During 2011 the hospital incurred bad debt expense of approximately $8,196,991 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 2011 were approximately $10,262,000 and $6928,000, 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 2011, the Hospital forgave advances plus accrued interest amounting to approximately $ 92,000 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 2011,unreimbursed costs of administering the program were approximately $15,000. * 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 Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense181725254TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096149NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2094NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryVINameOfForeignCountry
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMIKE BATTLENamePerson
Telephone Number5185838498TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1The Saratoga HospitalAddressLine1
Address Line2211 Church StreetAddressLine2
CitySaratoga SpringsCity
StateNYState
ZIP Code12866ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Dennis A Brobston
Board Member2.5X000
Brian T Fredette
Board Member2.5X000
Michael H Iacolucci
Board Member2.5X000
David M Mastrianni MD
Board Member2.5X000
Michele J Mehler
Board Member2.5X000
Eugene K Merecki MD
Board Member2.5X000
Donna Montalto
Board Member2.5X000
William O'Connor MD
Board Member2.5X000
Deane Pfeil
Board Member2.5X000
Jonathan Rubenstein
Secretary2.5X000
Richard Schumaker
Chairperson2.5X000
Theresa Skaine
Board Member2.5X000
William R Stanley
Board Member2.5X000
Michael D West
Treasurer2.5X000
Janice M White
Board Member2.5X000
Angelo Calbone
President & CEO31X4939267987592173XX
Gary L Foster
Vice President & CFO352680861580030049XX
Mary Jo Laposta
VP Chief Nursing Officer38272170029426X
John Mangona
VP CIO38231606024211X
Jeffrey Methven
VP Human Resources & Ambulatory Services3723263842534362X
Joyce L Peabody
VP Medical Affairs3735372565038888X
Kevin Ronayne
VP Operations37.5243186037346X
Gordan Kuhar
Physician3878005709190X
Bradley Sexauer
VP for Strategy and Market Development382012655680032172X
Paul J Okosky
Physician38256838028600X
Kenneth Schwartz
Physician38248247031100X
Carl Sgambati
Physician3823550408839X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3817248TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs153550TotalReportableCompFrmRltdOrgs
Total Other Compensation396356TotalOtherCompensation
Number Individuals GT100 K82NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensationAddress Line2AddressOfContractor/AddressUS/AddressLine2
AOW Associates Inc
30 Essex StreetAlbanyNY12206Construction Management3866750
Saratoga Emergency Physicians PC
The Saratoga HospitalSaratoga SpringsNY12866Physicians8000454211 Church Street
Laboratory Corporation of America
PO Box 12140BurlingtonNC272162140Lab Services1383561
Hypertype
84 Calvert StreetHarrisonNY10528Transcription Services1239200
IP Logic
17 British American BlvdLathamNY12110Information Support Services693025
FieldValueIRS element (for citing)
Number Of Contractors GT100 K37NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events0FundraisingEvents
Related Organizations1119703RelatedOrganizations
Government Grants455966GovernmentGrants
All Other Contributions365487AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions1941156TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Not for Profit Hospital6220001244885311244885310$0
Medicare,Traditional and MC62200066561826665618260$0
Medicaid, Traditional and MC62200014002396140023960$0
Specimen Drop Offs621500464666404646664$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue209699417TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column860403TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue527UnrelatedBusinessRevenue
Exclusion$859,876ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column134849TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$134,849ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real156638Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real186488Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-29850Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-29850TotalRevenueColumn
Related Or Exempt Function Income-29850RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4230025Securities
Other62727Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities4927694Securities
Other2238Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-697669Securities
Other60489Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-637180TotalRevenueColumn
Related Or Exempt Function Income-637180RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events0CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses0FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Cafeteria722210111719100$1,117,191
MHU Contracted Services621112125177212517720$0
Real Property Rent5320002359582359580$0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column769170TotalRevenueColumn
Related Or Exempt Function Income769170RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue3374091TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column215342886TotalRevenueColumn
Related Or Exempt Function Income206642623RelatedOrExemptFunctionIncome
Unrelated Business Revenue4647191UnrelatedBusinessRevenue
Exclusion$2,111,916ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2381790Total
Management And General2381790ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total82611221Total
Program Services75295915ProgramServices
Management And General7315306ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3006839Total
Program Services2663780ProgramServices
Management And General343059ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total10201993Total
Program Services9038018ProgramServices
Management And General1163975ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6110898Total
Program Services5413688ProgramServices
Management And General697210ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total52728Total
Program Services52728ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total257629Total
Management And General257629ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total96087Total
Management And General96087ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total98506Total
Management And General98506ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total85098Total
Management And General85098ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total19596373Total
Program Services18319629ProgramServices
Management And General1276744ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total618570Total
Program Services17149ProgramServices
Management And General601421ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total42550945Total
Program Services41539135ProgramServices
Management And General1011810ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1386324Total
Program Services1296758ProgramServices
Management And General89566ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6993709Total
Program Services6354709ProgramServices
Management And General639000ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total33375Total
Program Services28256ProgramServices
Management And General5119ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total355991Total
Program Services277417ProgramServices
Management And General78574ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total10886Total
Program Services10183ProgramServices
Management And General703ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total12398265Total
Program Services11597249ProgramServices
Management And General801016ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1207473Total
Program Services1202973ProgramServices
Management And General4500ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionBad Debt ExpenseDescription
Total8196991Total
Program Services8196991ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1208339Total
Program Services420676ProgramServices
Management And General787663ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total199460030Total
Program Services181725254ProgramServices
Management And General17734776ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8446299BOY
EOY14871175EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY26020697BOY
EOY28380148EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY22052533BOY
EOY24755890EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1860715BOY
EOY1731132EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4919790BOY
EOY5087441EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2571028BOY
EOY2649613EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis230469847LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec129292552LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY98811462BOY
EOY101177295EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY36700041BOY
EOY35618947EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY6330889BOY
EOY9390128EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY15001BOY
EOY15001EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY6033740BOY
EOY5907716EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY213762195BOY
EOY229584486EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY19406421BOY
EOY20411152EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY63109386BOY
EOY60388100EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2554758BOY
EOY2375415EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY6066588BOY
EOY8120722EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6966392BOY
EOY8582909EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY98103545BOY
EOY99878298EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY109627488BOY
EOY125765923EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5465660BOY
EOY3356687EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY565502BOY
EOY583578EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY115658650BOY
EOY129706188EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY213762195BOY
EOY229584486EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses15882856ReconcilationRevenueExpenses
Reconcilation Other Changes-1835318ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$98,506OtherActivitiesAmount
Total Lobbying Expenditures IIB98506TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSchC_P2B_S00_L01Identifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationThe 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 membership in three organizations; American Hospital Association,Iroquois Healthcare Alliance and Healtcare 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

FieldValueIRS element (for citing)
Beginning Of Year Balance7880460BeginningOfYearBalance
Contributions90942Contributions
Investment Earnings Or Losses-559298InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance7412104EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance7101991BeginningOfYearBalance
Contributions31967Contributions
Investment Earnings Or Losses746502InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance7880460EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance5797719BeginningOfYearBalance
Contributions53656Contributions
Investment Earnings Or Losses1250616InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance7101991EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7636033BeginningOfYearBalance
Contributions231000Contributions
Investment Earnings Or Losses-2069314InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance5797719EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.92BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.08PermanentEndowmentEOYBalance
Term Endowment EOY Balance0TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis14329793InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Book Value14329793BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis62888517InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation24992402Depreciation
Book Value37896115BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis3528003InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation3138240Depreciation
Book Value389763BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis137397071InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation96423392Depreciation
Book Value40973679BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis12326463InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation4738518Depreciation
Book Value7587945BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings101177295TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Estimated third-party settlements$3,958,000
Other long-term liabilities$4,624,909
FieldValueIRS element (for citing)
Total Of Amounts8582909TotalOfAmounts
Total Revenue215342886TotalRevenue
Total Expenses199460030TotalExpenses
Excess Or Deficit For Year15882856ExcessOrDeficitForYear
Net Unrealized GL On Investments-1655741NetUnrealizedGLOnInvestments
Donated Services And Facilities0DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other$0OtherAmount
Total Adjustments-1655741TotalAdjustments
Excess Or Deficit Per FS14227115ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt212329162TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-1655741NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues156754OtherRevenues
Revenue Not Rptd F990-1498987RevenueNotRptdF990
Revenue Subtotal213828149RevenueSubtotal
Investment Expenses Not Included230946InvestmentExpensesNotIncluded
Other Revenues Not Included1283791OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1514737RevenueNotRptdOnFinStmt
Total Revenue Per Form990215342886TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt199415573TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included186488OtherExpensesIncluded
Expenses Not Rptd F990186488ExpensesNotRptdF990
Expenses Subtotal199229085ExpensesSubtotal
Investment Expenses Not Included2230945InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt230945ExpensesNotRptdOnFinStmt
Total Expenses Per Form990199460030TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchD_P05_S00_L04Schedule D, Part V, Line 4Permanent endowment funds are intended to support the general operations of the Hospital.Board-designated endowment funds are not restricted for any specific purpose and can be used to support hospital projects or operations at the discretion of the Board of Trustees.
SchD_P12_S00_L02dSchedule D, Part XII, Line 2dNet assets released restrictions $ 156,754
SchD_P12_S00_L04bSchedule D, Part XII, Line 4bRental Expenses ($186,488) and Restricted Gifts $1,470,279
SchD_P13_S00_L02dSchedule D, Part XIII, Line 2dRental Expenses $ 186,488

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage2.5FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3040389TotalCommunityBenefitExpense
Direct Offsetting Revenue567792DirectOffsettingRevenue
Net Community Benefit Expense2472597NetCommunityBenefitExpense
Percent Of Total Expense0.0124PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense17647904TotalCommunityBenefitExpense
Direct Offsetting Revenue10719782DirectOffsettingRevenue
Net Community Benefit Expense6928122NetCommunityBenefitExpense
Percent Of Total Expense0.0347PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense20688293TotalCommunityBenefitExpense
Direct Offsetting Revenue11287574DirectOffsettingRevenue
Net Community Benefit Expense9400719NetCommunityBenefitExpense
Percent Of Total Expense0.0471PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served1306PersonsServed
Total Community Benefit Expense395989TotalCommunityBenefitExpense
Direct Offsetting Revenue421571DirectOffsettingRevenue
Net Community Benefit Expense25582NetCommunityBenefitExpense
Percent Of Total Expense0.00012PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense441420TotalCommunityBenefitExpense
Net Community Benefit Expense441420NetCommunityBenefitExpense
Percent Of Total Expense0.00221PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense19914TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense19914NetCommunityBenefitExpense
Percent Of Total Expense0.0001PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served1306PersonsServed
Total Community Benefit Expense857323TotalCommunityBenefitExpense
Direct Offsetting Revenue421571DirectOffsettingRevenue
Net Community Benefit Expense486916NetCommunityBenefitExpense
Percent Of Total Expense0.00243PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served1306PersonsServed
Total Community Benefit Expense21545616TotalCommunityBenefitExpense
Direct Offsetting Revenue11709145DirectOffsettingRevenue
Net Community Benefit Expense9887635NetCommunityBenefitExpense
Percent Of Total Expense0.04953PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense70439TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense70439NetCommunityBuildingExpense
Percent Of Total Expense0.0035PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense70439TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense70439NetCommunityBuildingExpense
Percent Of Total Expense0.0035PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$2,023,771BadDebtExpenseAmount
Amount Attributable To1011886AmountAttributableTo
Amount Reimbursed By Medicare50489322AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare40227750CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall10261572MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy0WrittenDebtCollectionPolicy
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Saratoga HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1211 Church StreetAddressLine1
CitySaratoga SpringsCity
StateNYState
ZIP Code12866ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Saratoga HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent250FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment0ActionsOnNonpayment
Collection Activities0CollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchH_P01_S00_L07Schedule H, Part I, Line 7Line 7a The costing methodology used to determine the amount reported on line 7a is as follows. The total financial assistance, on the basis of charges, per the Hospital's financial statements was multiplied by the cost to charge ratio from the Hospital's 2011 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 2011 Medicare cost report. Line 7e 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 2011. Grant program costs have been offset by State funding received to offset the Hospital's costs to administer the programs. 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_P01_S00_L07gSchedule H, Part I, Line 7gThe amount presented in Schedule H, Part I, line 7g, represents the shortfall between cost and reimbursement for the Hospital's inpatient mental health unit and Hospital-based endocrinology physician practice. The amount was calculated by determining total costs and total reimbursement for the service areas, and then backing out any costs and reimbursement associated with Medicaid and Medicare insured patients, as the impact of these reimbursement shortfalls to related costs are reflected on Schedule H Part I, line 7f and Schedule H, Part III, line 7, respectively. Additionally, any costs, including bad debt expense, and reimbursement associated with patients served in these areas who received charity care or had their accounts written off to bad debt were also backed out of the totals to arrive at the amount presented on Schedule H, Part I, line 7g. The impact of these charity care and bad debt amounts are presented on Schedule H, Part 1, line 7a and Schedule H, Part III, line 2, respectively.
SchH_P02_S00_L00Schedule H, Part IIAs 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 2011, the Hospital forgave advances plus accrued interest amounting to approximately $ 70,439 relating to these arrangements
SchH_P03_S0A_L04Schedule H, Part III, Section A, Line 4The 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_L08Schedule H, Part III, Section B, Line 8Medicare costs reported on Schedule H, Part III, line 6 were determined as follows. Total charges to Medicare-insured patients during 2011 were divided by total charges to all patients during 2011. 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_L19Schedule H, Part V, Section B, Line 19The 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_L02Schedule H, Part VI, Line 2The 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_L03Schedule H, Part VI, Line 3The 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_L04Schedule H, Part VI, Line 4The Hospital's primary service area is comprised of two communities, Saratoga Springs and Ballston Spa. Both are located in the central portion of Saratoga County. The primary service area population in 2011 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 2011 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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Angelo Calbone
3074137987582684010382907984001233305860997987500
Gary L Foster
2247571580041650016790287780127102981351580000
Joyce L Peabody
302623650511020003262306266039261465000
Mary Jo Laposta
23245403971600022812066140301596000
Kevin Ronayne
209559033627000231850141610280532000
John Mangona
2012200303860002349007210255817000
Jeffrey Methven
1998494253278900022307012055026700042500
Gordan Kuhar
75797701570219230869804920789247000
Bradley Sexauer
1644365680034329025000245220765002334375680000
Paul J Okosky
256681015700086980199020285438000
Kenneth Schwartz
248090015700086980224020279347000
Carl Sgambati
2353470157000834704920244343000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSchJ_P01_S00_L06Identifier
Return ReferenceSchedule J, Part I, Line 6ReturnReference
ExplanationThe Hospital administers an incentive compensation program under which members of Hospital manangement 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 financial portion of incentive compensation represented 20% of the overall incentive compensation available during 2011, and was based on achievement of "minimum,meets and maximum" levels relative to the Hospital's operating margin percentage for the year.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
IDA Series 2003 A
521310482803482BW72003-08-0713986954Refinance Revenue Bonds000
IDA Series 2003B1
521310482803482BY32003-08-0712151053Construction Ambulatory Surgery000
IDA Series 2004A
521310482803482C552004-09-2111421269Construction ROC and Cafe Addition000
IDA Series 2007A
521310482803482DF22007-12-2115790000ED Construction000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
1275000013986954100394403700390404750814008809644034148710020041011
9700000121618718830136323530411796717490094497240020040011
72450000125973781142127482790039760200104244850020050011
0124500019613197011217350180370310000178145480020090011

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00000001
00000001
00000001
00000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICTerm Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
Merrill Lynch
00014.25100
Merrill Lynch
00014.25100
Merrill Lynch
00014.25100
(no name)
010000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1IDA Series 2007BBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN521310482IssuerEIN
CUSIP Number803482DE5CUSIPNumber
Date Issued2007-12-12DateIssued
Issue Price18406490IssuePrice
Description Of PurposeED Construction & RenovationDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired1320000AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds22398635TotalProceeds
Amount In Reserve Fund1371700AmountInReserveFund
Capitalized Interest423697CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds629754IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures19777065CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2009YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0PercentageOfPrvtBusinessReUBI
Total Private Business Use0TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonWilliam O'ConnorNamePerson
FieldValueIRS element (for citing)
RelationshipBoard TrusteeRelationship
Amount Of Transaction336423AmountOfTransaction
Description Of TransactionLeasing of property,Trustee has 20% interestDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P03_S00_L02Form 990, Part III, Line 2During 2011, Saratoga Hospital added the following services: * In August 2011, 2 general surgeons on the Hospital's medical staff became directly employed by the Hospital so that their services could be kept in the community. * In October 2011, a pulmonologist was directly hired in order to address a physician shortage identified in the Hospital's service area. * The Hospital took over operation of a cardiac rehabilitation program located in the community in order to maintain this service for patients in the Hospital's service area. * During 2011, operations of the Saratoga Care Family Health Centers (Centers) were absorbed into Saratoga Hospital. This was done pursuant to a plan of closure for the Centers being approved by the New York State Department of Health (DOH), with DOH simultaneously approving the Hospital's application for the Centers to become licensed as extension clinics operated by the Hospital. This change occurred effective April 1, 2011. The Centers were previously operated as a separate legal entity under common control with the Hospital entity under Saratoga Care, Inc. The Centers consist of six primary care providers located at three sites throughout the Hospital's service area.
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bA draft of the Form 990 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 of Financial Accounting and Vice President/Chief Financial Officer in order to ensure compliance with applicable instructions.The inital 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 Compliace 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 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_L12cForm 990, Part VI, Section B, Line 12cThe Hospital maintains two conflict of interest policies. One applies to members of the Board of Trustees, Hospital officers, 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 provide clear explanations as to who is covered by each policy, what family members and/or ownership interests (including non-financial interests) must be considered in assessing compliance with the policy, definitions of compensation (including non-monetary compensation) and examples of conflicts including activities that must always be avoided. On an annual basis a conflict of interest disclosure questionnaire process is undertaken. All members of the Board of Trustees and management, all non-management employees whose compensation exceeds $100,000, and 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_L15Form 990, Part VI, Section B, Line 15The Hospital maintains a written statement of executive compensation philosophy and practice that is used as a framework for establishing compensation for senior leaders as well as most of the department directors within the organization. The Hospital's Board of Trustees has formally delegated implementation of the executive compensation philosophy to its Executive Committee. During 2011, 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. 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 the total compensation. Data purchased from vendors or obtained from industry publications by the Human Resources department relevant to the compensation package for each executive is also used in the analysis. 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_L19Form 990, Part VI, Section C, Line 19Currently, the Hospital's governing documents,conflict of interest policy and financial statements are available to the public upon request.
F990_P11_S00_L05Form 990, Part XI, Line 5Net unrealized losses on investments $ 1,655,741 and Distributions to Saratoga Care,Inc. $ 179,577

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
Saratoga Care Inc
211 Church StreetSaratoga SpringsNY12866141775218Promoting HealthNY501(c)(3)3N/A0
Saratoga Care Family Health Centers Inc
201 Church StreetSaratoga SpringsNY12866141364476Free Standing Diagnostic & Treatment CentersNY501(c)(3)3N/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Saratoga Care Inc
c1219707FMV
Saratoga Care Inc
p691292FMV
Saratoga Care Inc
q179576FMV
Saratoga Care Inc
q467675FMV
Saratoga Care Family Health Centers Inc
r731980FMV and cost

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