TY 2011 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) Dennis A Brobston Board Member	2.5	X			0	0	0
(2) Brian T Fredette Board Member	2.5	X			0	0	0
(3) Michael H Iacolucci Board Member	2.5	X			0	0	0
(4) David M Mastrianni MD Board Member	2.5	X			0	0	0
(5) Michele J Mehler Board Member	2.5	X			0	0	0
(6) Eugene K Merecki MD Board Member	2.5	X			0	0	0
(7) Donna Montalto Board Member	2.5	X			0	0	0
(8) William O'Connor MD Board Member	2.5	X			0	0	0
(9) Deane Pfeil Board Member	2.5	X			0	0	0
(10) Jonathan Rubenstein Secretary	2.5	X			0	0	0
(11) Richard Schumaker Chairperson	2.5	X			0	0	0
(12) Theresa Skaine Board Member	2.5	X			0	0	0
(13) William R Stanley Board Member	2.5	X			0	0	0
(14) Michael D West Treasurer	2.5	X			0	0	0
(15) Janice M White Board Member	2.5	X			0	0	0
(16) Angelo Calbone President & CEO	31	X	X	X	493,926	79,875	92,173
(17) Gary L Foster Vice President & CFO	35		X	X	268,086	15,800	30,049

(A) Name and business address	(B) Description of services	(C) Compensation
AOW Associates Inc 30 Essex Street Albany,NY12206	Construction Management	3,866,750
Saratoga Emergency Physicians PC The Saratoga Hospital 211 Church Street Saratoga Springs,NY12866	Physicians	8,000,454
Laboratory Corporation of America PO Box 12140 Burlington,NC272162140	Lab Services	1,383,561
Hypertype 84 Calvert Street Harrison,NY10528	Transcription Services	1,239,200
IP Logic 17 British American Blvd Latham,NY12110	Information Support Services	693,025
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 37

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	2,381,790		2,381,790
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	82,611,221	75,295,915	7,315,306	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	3,006,839	2,663,780	343,059	0
9	Other employee benefits .......	10,201,993	9,038,018	1,163,975	0
10	Payroll taxes ...........	6,110,898	5,413,688	697,210	0
11	Fees for services (non-employees):
a	Management ......	52,728	52,728
b	Legal .........	257,629		257,629
c	Accounting ...........	96,087		96,087
d	Lobbying ...........	98,506		98,506
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......	85,098		85,098
g	Other ..........	19,596,373	18,319,629	1,276,744
12	Advertising and promotion ....	618,570	17,149	601,421
13	Office expenses .......	42,550,945	41,539,135	1,011,810
14	Information technology ......	1,386,324	1,296,758	89,566
15	Royalties ..
16	Occupancy ...........	6,993,709	6,354,709	639,000
17	Travel ............	33,375	28,256	5,119
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	355,991	277,417	78,574
20	Interest ...........	10,886	10,183	703
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	12,398,265	11,597,249	801,016
23	Insurance ..............	1,207,473	1,202,973	4,500
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a	Bad Debt Expense	8,196,991	8,196,991	0	0
b
c
d
e
f	All other expenses	1,208,339	420,676	787,663
25	Total functional expenses. Add lines 1 through 24f	199,460,030	181,725,254	17,734,776	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	8,446,299	1	14,871,175
2	Savings and temporary cash investments .......	26,020,697	2	28,380,148
3	Pledges and grants receivable, net .........	0	3	0
4	Accounts receivable, net .........	22,052,533	4	24,755,890
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........	0	5	0
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........	0	6	0
7	Notes and loans receivable, net .............	1,860,715	7	1,731,132
8	Inventories for sale or use ..............	4,919,790	8	5,087,441
9	Prepaid expenses and deferred charges ............	2,571,028	9	2,649,613
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	230,469,847
b	Less: accumulated depreciation. .....	10b	129,292,552	98,811,462	10c	101,177,295
11	Investments—publicly traded securities ..........	36,700,041	11	35,618,947
12	Investments—other securities. See Part IV, line 11 ......	6,330,889	12	9,390,128
13	Investments—program-related. See Part IV, line 11 ..	15,001	13	15,001
14	Intangible assets .........	0	14	0
15	Other assets. See Part IV, line 11 ...........	6,033,740	15	5,907,716
16	Total assets. Add lines 1 through 15 (must equal line 34)...	213,762,195	16	229,584,486
	17	Accounts payable and accrued expenses .	19,406,421	17	20,411,152
18	Grants payable ..........	0	18	0
19	Deferred revenue ..........	0	19	0
20	Tax-exempt bond liabilities ..........	63,109,386	20	60,388,100
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	2,554,758	23	2,375,415
24	Unsecured notes and loans payable to unrelated third parties ....	6,066,588	24	8,120,722
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....	6,966,392	25	8,582,909
26	Total liabilities. Add lines 17 through 25.....	98,103,545	26	99,878,298
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	109,627,488	27	125,765,923
28	Temporarily restricted net assets .....	5,465,660	28	3,356,687
29	Permanently restricted net assets .....	565,502	29	583,578
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	115,658,650	33	129,706,188
34	Total liabilities and net assets/fund balances .....	213,762,195	34	229,584,486

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SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

SARATOGA HOSPITAL

Employer identification number

14-1338547

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2011

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2011. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2010. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2011

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2010 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2010 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2011. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2010. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2011

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2011

Additional Data

Software ID:	11000129
Software Version:	v1.00

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

SARATOGA HOSPITAL

Employer identification number

14-1338547

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2011

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2011

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Yes

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

98,506

Total. Add lines 1c through 1i ...............................

98,506

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2 are answered “No” OR (b) Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, Part II-A; line 5; and Part ll-B, line 1.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
SchC_P2B_S00_L01	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 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.

Schedule C (Form 990 or 990EZ) 2011

Additional Data

Software ID:	11000129
Software Version:	v1.00

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

SARATOGA HOSPITAL

Employer identification number

14-1338547

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958), relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2011

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back
1a	Beginning of year balance ....	7,880,460	7,101,991	5,797,719	7,636,033
b	Contributions ........	90,942	31,967	53,656	231,000
c	Net investment earnings, gains, and losses ...	-559,298	746,502	1,250,616	-2,069,314
d	Grants or scholarships .....	0	0	0	0
e	Other expenditures for facilities and programs ........	0	0	0	0
f	Administrative expenses ....	0	0	0	0
g	End of year balance ......	7,412,104	7,880,460	7,101,991	5,797,719

Provide the estimated percentage of the year end balance (line 1g) held as:

Board designated or quasi-endowment SchDMd Bullet

92 %

Permanent endowment SchDMd Bullet

8 %

Temporarily restricted endowment SchDMd Bullet

0 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	14,329,793	0		14,329,793
b	Buildings ................	62,888,517	0	24,992,402	37,896,115
c	Leasehold improvements ............	3,528,003	0	3,138,240	389,763
d	Equipment ................	137,397,071	0	96,423,392	40,973,679
e	Other .................	12,326,463	0	4,738,518	7,587,945
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......					101,177,295

Schedule D (Form 990) 2011

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Book value
Federal Income Taxes		0
Estimated third-party settlements		3,958,000
Other long-term liabilities		4,624,909







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		8,582,909
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2011

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1	215,342,886
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2	199,460,030
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3	15,882,856
4	Net unrealized gains (losses) on investments ..........................	4	-1,655,741
5	Donated services and use of facilities .............................	5	0
6	Investment expenses ...................................	6	0
7	Prior period adjustments ..................................	7	0
8	Other (Describe in Part XIV.) .................................	8	0
9	Total adjustments (net). Add lines 4 through 8 .........................	9	-1,655,741
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10	14,227,115

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......			1	212,329,162
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a	-1,655,741
b	Donated services and use of facilities .........	2b	0
c	Recoveries of prior year grants ...........	2c	0
d	Other (Describe in Part XIV.) ............	2d	156,754
e	Add lines 2a through 2d .....................			2e	-1,498,987
3	Subtract line 2e from line 1.....................			3	213,828,149
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a	230,946
b	Other (Describe in Part XIV.) ...........	4b	1,283,791
c	Add lines 4a and 4b.......................			4c	1,514,737
5	Total Revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	215,342,886

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............			1	199,415,573
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a	0
b	Prior year adjustments ..............	2b	0
c	Other losses ................	2c	0
d	Other (Describe in Part XIV.) ............	2d	186,488
e	Add lines 2a through 2d......................			2e	186,488
3	Subtract line 2e from line 1.....................			3	199,229,085
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a	230,945
b	Other (Describe in Part XIV.) ............	4b	0
c	Add lines 4a and 4b.......................			4c	230,945
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	199,460,030

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
SchD_P05_S00_L04	Schedule D, Part V, Line 4	Permanent 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_L02d	Schedule D, Part XII, Line 2d	Net assets released restrictions $ 156,754
SchD_P12_S00_L04b	Schedule D, Part XII, Line 4b	Rental Expenses ($186,488) and Restricted Gifts $1,470,279
SchD_P13_S00_L02d	Schedule D, Part XIII, Line 2d	Rental Expenses $ 186,488

Schedule D (Form 990) 2011

Additional Data

Software ID:	11000129
Software Version:	v1.00

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

SARATOGA HOSPITAL

Employer identification number

14-1338547

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a....

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 250 %

Did the organization use FPG to determine eligibility for providing discounted care? If "Yes," indicate which of the

following was the family income limit for eligibility for discounted care: ............

Yes

200% 250% 300% 350% 400% Other

If the organization did not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount?......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care?...............

Did the organization prepare a community benefit report during the tax year?...........

If "Yes," did the organization make it available to the public? ...............

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

	(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a Financial Assistance at cost (from Worksheet 1) ..			3,040,389	567,792	2,472,597	1.24 %
b Medicaid (from Worksheet 3, column a) .....			17,647,904	10,719,782	6,928,122	3.47 %
c Costs of other means-tested government programs (from Worksheet 3, column b) .
dTotal Financial Assistance and Means-Tested Government Programs .....	0	0	20,688,293	11,287,574	9,400,719	4.71 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....		1,306	395,989	421,571	25,582	0.012 %
f Health professions education (from Worksheet 5) ..
g Subsidized health services (from Worksheet 6) ..			441,420		441,420	0.221 %
h Research (from Worksheet 7)
i Cash and in-kind contributions for community benefit (from Worksheet 8) ....			19,914	0	19,914	0.01 %
jTotal Other Benefits ...	0	1,306	857,323	421,571	486,916	0.243 %
kTotal. Add lines 7d and 7j. ..	0	1,306	21,545,616	11,709,145	9,887,635	4.953 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2011

Schedule H (Form 990) 2011

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development			70,439	0	70,439	0.35 %
9	Other
10	Total	0	0	70,439	0	70,439	0.35 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense........

2,023,771

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy .....

1,011,886

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

50,489,322

Enter Medicare allowable costs of care relating to payments on line 5.....

40,227,750

Subtract line 6 from line 5. This is the surplus or (shortfall)........

10,261,572

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Part IV

Management Companies and Joint Ventures

(see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership%	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2011

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest) How many hospital facilities did the organization operate during the tax year?1 Name and address		Other (Describe)
1	Saratoga Hospital 211 Church Street Saratoga Springs,NY12866	X	X	X

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Saratoga Hospital

Name of Hospital Facility:

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet the community health needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. ....		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 250% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400% If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......		14		No
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2011

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
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 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_L07g	Schedule H, Part I, Line 7g	The 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_L00	Schedule H, Part II	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 $ 70,439 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 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_L19	Schedule H, Part V, Section B, Line 19	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 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 H (Form 990) 2011

Additional Data

Software ID:	11000129
Software Version:	v1.00

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

SARATOGA HOSPITAL

Employer identification number

14-1338547

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Yes

Any related organization? .........................

Yes

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2011

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1) Angelo Calbone	(i) (ii)	307,413 79,875	82,684 0	103,829 0	79,840 0	12,333 0	586,099 79,875	0 0
(2) Gary L Foster	(i) (ii)	224,757 15,800	41,650 0	1,679 0	28,778 0	1,271 0	298,135 15,800	0 0
(3) Joyce L Peabody	(i) (ii)	302,623 650	51,102 0	0 0	32,623 0	6,266 0	392,614 650	0 0
(4) Mary Jo Laposta	(i) (ii)	232,454 0	39,716 0	0 0	22,812 0	6,614 0	301,596 0	0 0
(5) Kevin Ronayne	(i) (ii)	209,559 0	33,627 0	0 0	23,185 0	14,161 0	280,532 0	0 0
(6) John Mangona	(i) (ii)	201,220 0	30,386 0	0 0	23,490 0	721 0	255,817 0	0 0
(7) Jeffrey Methven	(i) (ii)	199,849 425	32,789 0	0 0	22,307 0	12,055 0	267,000 425	0 0
(8) Gordan Kuhar	(i) (ii)	757,977 0	157 0	21,923 0	8,698 0	492 0	789,247 0	0 0
(9) Bradley Sexauer	(i) (ii)	164,436 56,800	34,329 0	2,500 0	24,522 0	7,650 0	233,437 56,800	0 0
(10) Paul J Okosky	(i) (ii)	256,681 0	157 0	0 0	8,698 0	19,902 0	285,438 0	0 0
(11) Kenneth Schwartz	(i) (ii)	248,090 0	157 0	0 0	8,698 0	22,402 0	279,347 0	0 0
(12) Carl Sgambati	(i) (ii)	235,347 0	157 0	0 0	8,347 0	492 0	244,343 0	0 0

Schedule J (Form 990) 2011

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
SchJ_P01_S00_L06	Schedule J, Part I, Line 6	The 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.

Schedule J (Form 990) 2011

Additional Data

Software ID:	11000129
Software Version:	v1.00

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization
SARATOGA HOSPITAL

Employer identification number
14-1338547

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	IDA Series 2003 A	52-1310482	803482BW7	08-07-2003	13,986,954	Refinance Revenue Bonds		X		X		X
B	IDA Series 2003B1	52-1310482	803482BY3	08-07-2003	12,151,053	Construction Ambulatory Surgery		X		X		X
C	IDA Series 2004A	52-1310482	803482C55	09-21-2004	11,421,269	Construction ROC and Cafe Addition		X		X		X
D	IDA Series 2007A	52-1310482	803482DF2	12-21-2007	15,790,000	ED Construction		X		X		X
	IDA Series 2007B	52-1310482	803482DE5	12-12-2007	18,406,490	ED Construction & Renovation		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . .	1,275,000		970,000		7,245,000		0
2 Amount of bonds legally defeased . . . . . . . . . .	0		0		0		1,245,000
3 Total proceeds of issue . . . . . . . . . . . . .	13,986,954		12,161,871		12,597,378		19,613,197
4 Gross proceeds in reserve funds . . . . . . . .	1,003,944		883,013		1,142,127		0
5 Capitalized interest from proceeds . . . . . . . . . .	0		632,353		482,790		1,121,735
6 Proceeds in refunding escrows . . . . . . . . . . .	3,700,390		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . .	404,750		411,796		397,602		180,370
8 Credit enhancement from proceeds . . . . . . . . . .	814,008		717,490		0		31,000
9 Working capital expenditures from proceeds . . . . . . .	8,096,440		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . .	3,414,871		9,449,724		10,424,485		17,814,548
11 Other spent proceeds . . . . . . . . . . .	0		0		0		0
12 Other unspent proceeds . . . . . . . . . . .	0		0		0		0
13 Year of substantial completion . . . . . . . . . . .	2004		2004		2005		2009
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . .	X			X		X		X
15 Were the bonds issued as part of an advance refunding issue? . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2011

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X
b If ‘Yes’ to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . .
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . .		X		X		X		X
d If ‘Yes’ to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0%		0%		0%		0%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0%		0%		0%		0%
6 Total of lines 4 and 5 . . .. . . . . . . . .	0%		0%		0%		0%
7 Does the bond issue meet the private security or payment test? . . .	X		X		X		X
8 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .		X		X		X		X
2 Is the bond issue a variable rate issue?		X		X		X	X
3a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . .
c Term of hedge . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was a hedge terminated? . . . . .
4a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . .	X		X		X			X
b Name of provider . . . . . .	Merrill Lynch		Merrill Lynch		Merrill Lynch
c Term of GIC . . . . . . .	4.25		4.25		4.25
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . .	X		X		X
5 Were any gross proceeds invested beyond an available temporary period? . . . . . .		X		X		X		X
6 Did the bond issue qualify for an exception to rebate? .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .		X		X		X		X

Schedule K (Form 990) 2011

Page 3

Part V

Procedures To Undertake Corrective Action

Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? . . . . . . . . . . . . . . YesNo

Part VI

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation

Schedule K (Form 990) 2011

Additional Data

Software ID:	11000129
Software Version:	v1.00

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization
SARATOGA HOSPITAL

Employer identification number
14-1338547

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	IDA Series 2003 A	52-1310482	803482BW7	08-07-2003	13,986,954	Refinance Revenue Bonds		X		X		X
B	IDA Series 2003B1	52-1310482	803482BY3	08-07-2003	12,151,053	Construction Ambulatory Surgery		X		X		X
C	IDA Series 2004A	52-1310482	803482C55	09-21-2004	11,421,269	Construction ROC and Cafe Addition		X		X		X
D	IDA Series 2007A	52-1310482	803482DF2	12-21-2007	15,790,000	ED Construction		X		X		X
	IDA Series 2007B	52-1310482	803482DE5	12-12-2007	18,406,490	ED Construction & Renovation		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . .	1,275,000		970,000		7,245,000		0
2 Amount of bonds legally defeased . . . . . . . . . .	0		0		0		1,245,000
3 Total proceeds of issue . . . . . . . . . . . . .	13,986,954		12,161,871		12,597,378		19,613,197
4 Gross proceeds in reserve funds . . . . . . . .	1,003,944		883,013		1,142,127		0
5 Capitalized interest from proceeds . . . . . . . . . .	0		632,353		482,790		1,121,735
6 Proceeds in refunding escrows . . . . . . . . . . .	3,700,390		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . .	404,750		411,796		397,602		180,370
8 Credit enhancement from proceeds . . . . . . . . . .	814,008		717,490		0		31,000
9 Working capital expenditures from proceeds . . . . . . .	8,096,440		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . .	3,414,871		9,449,724		10,424,485		17,814,548
11 Other spent proceeds . . . . . . . . . . .	0		0		0		0
12 Other unspent proceeds . . . . . . . . . . .	0		0		0		0
13 Year of substantial completion . . . . . . . . . . .	2004		2004		2005		2009
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . .	X			X		X		X
15 Were the bonds issued as part of an advance refunding issue? . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2011

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X
b If ‘Yes’ to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . .
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . .		X		X		X		X
d If ‘Yes’ to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0%		0%		0%		0%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0%		0%		0%		0%
6 Total of lines 4 and 5 . . .. . . . . . . . .	0%		0%		0%		0%
7 Does the bond issue meet the private security or payment test? . . .	X		X		X		X
8 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .		X		X		X		X
2 Is the bond issue a variable rate issue?		X		X		X	X
3a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . .
c Term of hedge . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was a hedge terminated? . . . . .
4a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . .	X		X		X			X
b Name of provider . . . . . .	Merrill Lynch		Merrill Lynch		Merrill Lynch
c Term of GIC . . . . . . .	4.25		4.25		4.25
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . .	X		X		X
5 Were any gross proceeds invested beyond an available temporary period? . . . . . .		X		X		X		X
6 Did the bond issue qualify for an exception to rebate? .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .		X		X		X		X

Schedule K (Form 990) 2011

Page 3

Part V

Procedures To Undertake Corrective Action

Part VI

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation

Schedule K (Form 990) 2011

Additional Data

Software ID:	11000129
Software Version:	v1.00

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

SARATOGA HOSPITAL

Employer identification number

14-1338547

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2011

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) William O'Connor	Board Trustee	336,423	Leasing of property,Trustee has 20% interest		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2011

Additional Data

Software ID:	11000129
Software Version:	v1.00

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

SARATOGA HOSPITAL

Employer identification number

14-1338547

Identifier	Return Reference	Explanation
F990_P03_S00_L02	Form 990, Part III, Line 2	During 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_L11b	Form 990, Part VI, Section B, Line 11b	A 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_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 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_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 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_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_L05	Form 990, Part XI, Line 5	Net unrealized losses on investments $ 1,655,741 and Distributions to Saratoga Care,Inc. $ 179,577

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2011

Additional Data

Software ID:	11000129
Software Version:	v1.00

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

SARATOGA HOSPITAL

Employer identification number

14-1338547

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) Saratoga Care Inc 211 Church Street Saratoga Springs,NY12866 14-1775218	Promoting Health	NY	501(c)(3)	3	N/A		No
(2) Saratoga Care Family Health Centers Inc 201 Church Street Saratoga Springs,NY12866 14-1364476	Free Standing Diagnostic & Treatment Centers	NY	501(c)(3)	3	N/A		No

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2011

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership

Schedule R (Form 990) 2011

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) Saratoga Care Inc	c	1,219,707	FMV
(2) Saratoga Care Inc	p	691,292	FMV
(3) Saratoga Care Inc	q	179,576	FMV
(4) Saratoga Care Inc	q	467,675	FMV
(5) Saratoga Care Family Health Centers Inc	r	731,980	FMV and cost
(6)

Schedule R (Form 990) 2011

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2011

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:	11000129
Software Version:	v1.00

1	Briefly describe the organization’s mission or most significant activities: To serve the people of the Saratoga region by providing them access to excellence in healthcare in a supportive and caring environment.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a).....	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	14
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...	5	2,094
6	Total number of volunteers (estimate if necessary) ....	6	302
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	4,647,191
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	740,843

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,174,461	1,941,156
9	Program service revenue (Part VIII, line 2g) .........	192,492,647	209,699,417
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	994,040	358,072
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	2,828,194	3,344,241
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	197,489,342	215,342,886
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	95,125,265	104,312,741
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	91,113,077	95,147,289
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	186,238,342	199,460,030
19	Revenue less expenses. Subtract line 18 from line 12.......	11,251,000	15,882,856
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	213,762,195	229,584,486
21	Total liabilities (Part X, line 26).............	98,103,545	99,878,298
22	Net assets or fund balances. Subtract line 21 from line 20.....	115,658,650	129,706,188

Sign Here

	Signature of officer	Date

	Type or print name and title.


4a	(Code: ) (Expenses $ 181,725,254 including grants of $ 0 ) (Revenue $ 209,699,417 )
	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 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.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ 0 including grants of $ 0 ) (Revenue $ 0 )
4e	Total program service expenses$ 181,725,254

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)			(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) Mary Jo Laposta VP Chief Nursing Officer	38	X		272,170	0	29,426
(19) John Mangona VP CIO	38	X		231,606	0	24,211
(20) Jeffrey Methven VP Human Resources & Ambulatory Services	37	X		232,638	425	34,362
(21) Joyce L Peabody VP Medical Affairs	37	X		353,725	650	38,888
(22) Kevin Ronayne VP Operations	37.5	X		243,186	0	37,346
(23) Gordan Kuhar Physician	38		X	780,057	0	9,190
(24) Bradley Sexauer VP for Strategy and Market Development	38		X	201,265	56,800	32,172
(25) Paul J Okosky Physician	38		X	256,838	0	28,600
(26) Kenneth Schwartz Physician	38		X	248,247	0	31,100
(27) Carl Sgambati Physician	38		X	235,504	0	8,839

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	3,817,248	153,550	396,356

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a		0
b	Membership dues....1b		0
c	Fundraising events....1c		0
d	Related organizations...1d		1,119,703
e	Government grants (contributions)1e		455,966

f	All other contributions, gifts, grants, and similar amounts not included above1f		365,487
g	Noncash contributions included in lines 1a-1f:$ 0
h	Total. Add lines 1a-1f.......			1,941,156
			Business Code
2a	Not for Profit Hospital		622,000	124,488,531	124,488,531	0	0
b	Medicare,Traditional and MC		622,000	66,561,826	66,561,826	0	0
c	Medicaid, Traditional and MC		622,000	14,002,396	14,002,396	0	0
d	Specimen Drop Offs		621,500	4,646,664	0	4,646,664	0
e
f	All other program service revenue .			0	0	0	0
g	Total. Add lines 2a–2f........			209,699,417
3	Investment income (including dividends, interest
	and other similar amounts).....			860,403	0	527	859,876
4	Income from investment of tax-exempt bond proceeds..			134,849	0	0	134,849
5	Royalties............			0	0	0	0
		(i) Real	(ii) Personal
6a	Gross rents	156,638	0
b	Less: rental expenses	186,488	0
c	Rental income or (loss)	-29,850	0
d	Net rental income or (loss).......			-29,850	-29,850	0	0
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	4,230,025	62,727
b	Less: cost or other basis and sales expenses	4,927,694	2,238
c	Gain or (loss)	-697,669	60,489
d	Net gain or (loss)..........			-637,180	-637,180	0	0
8a	Gross income from fundraising events (not including $ 0 of contributions reported on line 1c). See Part IV, line 18 ...
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from fundraising events..			0		0	0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	Cafeteria		722,210	1,117,191	0	0	1,117,191
b	MHU Contracted Services		621,112	1,251,772	1,251,772	0	0
c	Real Property Rent		532,000	235,958	235,958	0	0
d	All other revenue ....			769,170	769,170	0	0
e	Total. Add lines 11a–11d ......			3,374,091
12	Total revenue. See Instructions....			215,342,886	206,642,623	4,647,191	2,111,916


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			8,446,299	1	14,871,175
2	Savings and temporary cash investments .......			26,020,697	2	28,380,148
3	Pledges and grants receivable, net .........			0	3	0
4	Accounts receivable, net .........			22,052,533	4	24,755,890
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........			0	5	0
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........			0	6	0
7	Notes and loans receivable, net .............			1,860,715	7	1,731,132
8	Inventories for sale or use ..............			4,919,790	8	5,087,441
9	Prepaid expenses and deferred charges ............			2,571,028	9	2,649,613
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	230,469,847
b	Less: accumulated depreciation. .....	10b	129,292,552	98,811,462	10c	101,177,295
11	Investments—publicly traded securities ..........			36,700,041	11	35,618,947
12	Investments—other securities. See Part IV, line 11 ......			6,330,889	12	9,390,128
13	Investments—program-related. See Part IV, line 11 ..			15,001	13	15,001
14	Intangible assets .........			0	14	0
15	Other assets. See Part IV, line 11 ...........			6,033,740	15	5,907,716
16	Total assets. Add lines 1 through 15 (must equal line 34)...			213,762,195	16	229,584,486
17	Accounts payable and accrued expenses .			19,406,421	17	20,411,152
18	Grants payable ..........			0	18	0
19	Deferred revenue ..........			0	19	0
20	Tax-exempt bond liabilities ..........			63,109,386	20	60,388,100
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			2,554,758	23	2,375,415
24	Unsecured notes and loans payable to unrelated third parties ....			6,066,588	24	8,120,722
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....			6,966,392	25	8,582,909
26	Total liabilities. Add lines 17 through 25.....			98,103,545	26	99,878,298
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			109,627,488	27	125,765,923
28	Temporarily restricted net assets .....			5,465,660	28	3,356,687
29	Permanently restricted net assets .....			565,502	29	583,578
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			115,658,650	33	129,706,188
34	Total liabilities and net assets/fund balances .....			213,762,195	34	229,584,486