Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter Social Security numbers on this form as it may be made public. By law, the IRS
generally cannot redact the information on the form.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
A For the 2013 calendar year, or tax year beginning 01-01-2013 , 2013, and ending 12-31-2013
BCheck if applicable:
CName of organization
THE SARATOGA HOSPITAL
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
211 Church Street
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Saratoga Springs, NY128661090
D Employer identification number

14-1338547
E Telephone number

G Gross receipts $ 258,704,505
F Name and address of principal officer:
Angelo Calbone
211 Church Street
Saratoga Springs,NY12866
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.saratogahospital.org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1891
M State of legal domicile: NY
Part I
Summary
Activities & Governance 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 MediumBullet
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 13
5 Total number of individuals employed in calendar year 2013 (Part V, line 2a) ...... 5 2,441
6 Total number of volunteers (estimate if necessary) ............. 6 288
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 3,859,846
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 77,062
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 2,480,975 1,894,810
9 Program service revenue (Part VIII, line 2g) ......... 218,520,389 228,559,079
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 1,215,178 -588,489
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 7,083,343 8,200,841
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 229,299,885 238,066,241
Expenses; 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) 112,157,921 123,329,655
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet281,755    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 99,008,065 103,210,593
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 211,165,986 226,540,248
19 Revenue less expenses. Subtract line 18 from line 12....... 18,133,899 11,525,993
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 252,807,558 262,256,473
21 Total liabilities (Part X, line 26)............. 102,308,136 95,438,453
22 Net assets or fund balances. Subtract line 21 from line 20..... 150,499,422 166,818,020
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2013)
Form 990 (2013)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: To serve the people of the Saratoga region by providing them access to excellence in healthcare in a supportive and caring environment.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 208,231,829 including grants of $   ) (Revenue $ 228,559,079 )
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 2013, the hospital emergency department facilitated 37,398 patient visits. The Hospital represents the only inpatient acute care facility in Saratoga County. During 2013, the Hospital had 8,011 admissions for inpatient adult and pediatric care. These admissions included 788 births, 697 admissions to our inpatient mental health unit and 67 admissions for Hospice care. Total adult and pediatric inpatient days for the Hospital during 2013 were 39,611 which included 3,582 days of inpatient care in the Critical Care Unit. The Hospital operates a 36-bed skilled nursing facility on its campus. During 2013, 12,199 patient days of skilled nursing care were provided. The hospital maintains a Financial Assistance policy, eligibility for benefit from which is determined by the Hospital's patient financial services department based upon the financial means of the patient and/or patient's family. The amount of charity care benefit provided to patients is based on the comparison of their documented income versus annual Federal Poverty Level (FPL) standards. The following is a sliding scale of benefits (as a percentage of charges) available to patients with varying levels of income: FPL x 250% or below- 100% discount FPL x 300%- 75% discount FPL x 350% - 50% discount 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 2013, the benefits provided under these policies, measured on the basis of costs, amounted to approximately $ 6,061,000. 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 2013, our urgent care sites accommodated 38,398 patient visits. During 2013 the hospital incurred bad debt expense of approximately $4,952,700 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 2013 were approximately $7,238,000 and $8,633,000, 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: 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. 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 accessability 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 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. 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. 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 2013, the Hospital forgave advances plus accrued interest amounting to approximately $73,000 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 2013, unreimbursed costs of administering the program were approximately $4,000. 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 expensesMediumBullet208,231,829
Form 990 (2013)
Form 990 (2013)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part III............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III ....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II...
21
 
No
22
Did the organization report more than $5,000 of grants or other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
Yes
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If so, complete Schedule L, Part II.................... Click to see attachment
26
Yes
 
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV .......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
Yes
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2013)
Form 990 (2013)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
143
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
2,441
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletVI , CJ
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
 
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
 
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2013)
Form 990 (2013)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
16
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
13
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
NY
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletMICHAEL BATTLEThe Saratoga Hospital211 Church StreetSaratoga SpringsNY12866 (518) 583-8498
Form 990 (2013)
Form 990 (2013)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Janice M White........................................................................
Chairperson
 2.5
.......................0 		X           0 0 0
(2) David M Mastrianni MD........................................................................
Co-Vice Chairperson
 2.5
.......................0 		X           0 0 0
(3) Donna Montalto........................................................................
Co-Vice Chairperson
 2.5
.......................0 		X           0 0 0
(4) Michael H Iacolucci........................................................................
Treasurer
 2.5
.......................0 		X           0 0 0
(5) Theresa M Skaine........................................................................
Secrectary
 2.5
.......................0 		X           0 0 0
(6) Dennis A Brobston........................................................................
Board Member
 2.5
.......................0 		X           0 0 0
(7) Judith A Ekman........................................................................
Board Member
 2.5
.......................0 		X           0 0 0
(8) Eugene K Merecki MD........................................................................
Board Member
 2.5
.......................0 		X           0 0 0
(9) Alan C Oppenheim........................................................................
Board Member
 2.5
.......................0 		X           0 0 0
(10) George E Silver MD........................................................................
Board Member
 2.5
.......................0 		X           0 0 0
(11) William R Stanley........................................................................
Board Member
 2.5
.......................0 		X           0 0 0
(12) N Keith Stewart........................................................................
Board Member
 2.5
.......................0 		X           0 0 0
(13) Michael J Toohey........................................................................
Board Member
 2.5
.......................0 		X           0 0 0
(14) Stephan R von Schenk........................................................................
Board Member
 2.5
.......................0 		X           0 0 0
(15) Michael D West........................................................................
Board Member
 2.5
.......................0 		X           0 0 0
(16) Angelo G Calbone........................................................................
President/CEO
 38
.......................0 		X   X X     560,892 0 117,225
(17) Gary Foster........................................................................
VP & CFO
 38
.......................0 		    X X     314,140 0 31,916
Form 990 (2013)
Form 990 (2013)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Joyce Peabody........................................................................
VP Chief Medical Officer
 38
.......................0 		      X     369,281 0 36,265
(19) Mary Jo LaPosta........................................................................
VP Chief Nursing Officer
 38
.......................0 		      X     339,809 0 35,525
(20) Kevin Ronayne........................................................................
VP Operations
 38
.......................0 		      X     258,404 0 41,925
(21) John Mangona........................................................................
VP Chief Information and Compliance Officer
 38
.......................0 		      X     261,313 0 27,892
(22) Jeffrey Methven........................................................................
VP Ambulatory Serv &HR
 38
.......................0 		      X     266,788 0 38,120
(23) Gordon Kuhar........................................................................
Physician
 38
.......................0 		        X   1,067,795 0 9,816
(24) Rachid Daoui........................................................................
Physician
 38
.......................0 		        X   518,749 0 23,718
(25) Frederick Reynolds........................................................................
Physician
 38
.......................0 		        X   503,683 0 23,278
(26) Joseph Bell........................................................................
Physician
 38
.......................0 		        X   502,367 0 24,218
(27) Edward Liebers........................................................................
Physician
 38
.......................0 		        X   407,544 0 23,762






1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 5,370,765 0 433,660
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet124
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
Saratoga Emergency Physicians PCThe Saratoga Hospital211 Church StreetSaratoga SpringsNY12866 Physicians 8,505,588
AOW Associates Inc30 Essex StreetAlbanyNY12206 Construction 2,008,373
Laboratory Corp of America2975 W CORPORATE LAKES BLVDWESTONFL333313626 Medical Laboratory Testing 1,672,363
Saratoga Cardiology Associates PC6 Care LaneSaratoga SpringsNY12866 Physicians 1,456,026
Hyman Hayes Associates6 Wembley CourtAlbanyNY12205 Architectural 1,278,659
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet39
Form 990 (2013)
Form 990 (2013)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 1,234,500
e Government grants (contributions)1e 606,253
f All other contributions, gifts, grants, and
similar amounts not included above1f 		54,057
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 1,894,810
Program Service RevenueAmt Business Code
2a Not For Profit Hospital 621000 122,392,665 122,392,665 0 0
b Medicare, Traditional and MC 622000 88,577,729 88,577,729 0 0
c Mediciad, Traditional and MC 622000 13,738,485 13,738,485 0 0
d Specimen Drop Offs 621500 3,850,200 0 3,850,200 0
e
f All other program service revenue . 0 0 0 0
g Total. Add lines 2a–2f........MediumBullet 228,559,079
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 670,885 0 26,228 644,657
4 Income from investment of tax-exempt bond proceeds..MediumBullet 24,692 0 0 24,692
5 Royalties...........MediumBullet 0 0 0 0
(i) Real (ii) Personal
6a Gross rents 421,357 0
b Less: rental expenses 576,334 0
c Rental income or (loss) -154,977 0
d Net rental income or (loss).......MediumBullet -154,977 -138,395 -16,582 0
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 18,595,368 500
b Less: cost or other basis and sales expenses 19,879,934 0
c Gain or (loss) -1,284,566 500
d Net gain or (loss)..........MediumBullet -1,284,066 -1,284,066 0 0
8a Gross income from fundraising events (not including
$ 0
of contributions reported on line 1c). See Part IV, line 18 ..
a 27,416
b Less: direct expenses ...b 12,929
c Net income or (loss) from fundraising events..MediumBullet 14,487 0 14,487
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...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a 634,879
b Less: cost of goods sold ..b 169,067
c Net income or (loss) from sales of inventory..MediumBullet 465,812 0 0 465,812
Miscellaneous Revenue Business Code
11a HCP Contracted Services 621110 2,769,558 2,769,558 0 0
b EMR Incentive 900099 1,836,417 1,836,417 0 0
c Caferteria 722210 1,208,084 0 0 1,208,084
d All other revenue .... 2,061,460 2,061,460 0 0
e Total. Add lines 11a–11d ...... MediumBullet 7,875,519
12 Total revenue. See Instructions......MediumBullet 238,066,241 229,953,853 3,859,846 2,357,732
Form 990 (2013)
Form 990 (2013)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
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 0 0
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 0 0
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0 0
4 Benefits paid to or for members 0 0
5 Compensation of current officers, directors, trustees, and key employees .... 2,700,528 0 2,700,528 0
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0 0 0 0
7 Other salaries and wages 98,176,678 90,924,264 7,125,341 127,073
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 3,569,314 3,221,209 348,105 0
9 Other employee benefits ....... 11,748,957 10,603,115 1,145,842 0
10 Payroll taxes ........... 7,134,178 6,438,402 695,776 0
11 Fees for services (non-employees):        
a Management ...... 0 0 0 0
b Legal ......... 408,127 0 408,127 0
c Accounting ........... 108,030 0 108,030 0
d Lobbying ........... 43,802 0 43,802 0
e Professional fundraising services. See Part IV, line 17 0 0
f Investment management fees ...... 108,641 0 108,641 0
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 21,973,052 20,249,670 1,723,382 0
12 Advertising and promotion .... 650,527 7,474 643,053 0
13 Office expenses ....... 12,577,429 11,182,336 1,356,014 39,079
14 Information technology ...... 1,976,684 1,861,446 115,238 0
15 Royalties .. 0 0 0 0
16 Occupancy ........... 5,913,664 5,574,748 255,616 83,300
17 Travel ............ 36,658 34,186 2,472 0
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0 0 0 0
19 Conferences, conventions, and meetings .... 427,726 350,679 69,714 7,333
20 Interest ........... 69,777 69,777 0 0
21 Payments to affiliates ....... 0 0 0 0
22 Depreciation, depletion, and amortization ..... 12,065,035 11,357,090 703,093 4,852
23 Insurance .............. 1,418,453 1,413,140 5,313 0
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a Bad Debt 4,952,700 4,952,700 0 0
b Medical Supplies 39,305,559 39,305,559 0 0
c
d
e All other expenses 1,174,729 686,034 468,577 20,118
25 Total functional expenses. Add lines 1 through 24e 226,540,248 208,231,829 18,026,664 281,755
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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2013)
Form 990 (2013)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 27,452,969 1 21,713,392
2 Savings and temporary cash investments ......... 20,861,170 2 16,900,162
3 Pledges and grants receivable, net ........... 0 3 0
4 Accounts receivable, net ............. 20,858,113 4 23,530,970
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
678,178 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6 0
7 Notes and loans receivable, net ............. 3,093,274 7 5,011,510
8 Inventories for sale or use .............. 5,496,737 8 5,690,261
9 Prepaid expenses and deferred charges .......... 2,994,634 9 4,666,095
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 253,631,091
b Less: accumulated depreciation ..... 10b 149,412,490 105,168,594 10c 104,218,601
11 Investments—publicly traded securities .......... 35,778,698 11 49,295,934
12 Investments—other securities. See Part IV, line 11 ..... 24,948,599 12 25,694,221
13 Investments—program-related. See Part IV, line 11 ..... 15,001 13 15,001
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 5,461,591 15 5,520,326
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 252,807,558 16 262,256,473
Liabilities 17 Accounts payable and accrued expenses ......... 24,864,310 17 26,640,397
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 0 19 0
20 Tax-exempt bond liabilities ............. 56,951,812 20 53,501,907
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Loans and other 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 .. 6,071,480 23 5,232,419
24 Unsecured notes and loans payable to unrelated third parties .... 4,350,000 24 3,650,000
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.................... 10,070,534 25 6,413,730
26 Total liabilities. Add lines 17 through 25......... 102,308,136 26 95,438,453
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 146,928,649 27 162,722,979
28 Temporarily restricted net assets ........... 2,872,281 28 2,676,847
29 Permanently restricted net assets ........... 698,492 29 1,418,194
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet 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 ........... 150,499,422 33 166,818,020
34 Total liabilities and net assets/fund balances ........ 252,807,558 34 262,256,473
Form 990 (2013)
Form 990 (2013)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
238,066,241
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
226,540,248
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
11,525,993
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
150,499,422
5
Net unrealized gains (losses) on investments ...............
5
4,556,754
6
Donated services and use of facilities .................
6
0
7
Investment expenses .....................
7
0
8
Prior period adjustments .....................
8
0
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
235,851
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
166,818,020
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2013)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID: 13000241
Software Version: v1.00
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.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
THE 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.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
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.)
10
11
e
f
g
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of 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)
 
 
h
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (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 monetary support
Yes No Yes No Yes No
Total  

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..            
11 Total support (Add lines 7 through 10).  
12
12
 
13
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
14
14
 
15
15
 
16a
b
17a
b
18
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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) right arrow (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2013

Additional Data


Software ID: 13000241
Software Version: v1.00
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.SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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, Part V, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
THE 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.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
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 Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2013

Schedule C (Form 990 or 990-EZ) 2013
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 SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(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? ......................................

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) 2010 (b) 2011 (c) 2012 (d) 2013 (e) Total
2a Lobbying nontaxable 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) 2013


Schedule C (Form 990 or 990-EZ) 2013
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)
No
Yes
(b)
Amount
1
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:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
No
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
 
No
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
Yes
 
43,802
j
Total. Add lines 1c through 1i ...............................
43,802
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
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
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
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."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
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? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Schedule C, Part II-B, Line 1 The Hospital has entered into an agreement with a firm that specializes in government relations and public affairs, in an effort to ensure the impact on the Hospital of proposed State and Federal legislation are clearly communicated to elected representatives. This representation also included efforts to determine whether the hospital may be eligible for any additional funding sources for developing and delivering service programs to its community. Additionally, a portion of the annual dues paid by the Hospital for its memberships n three organizations: American Hospital Association, Iroquois Healthcare Alliance and Healthcare Association of New York State, are used by those organizations for lobbying purposes. The portion of annual dues determined to relate to those organizations' lobbying activities is determined by the Hospital based on documentation received from those organizations.
Schedule C (Form 990 or 990EZ) 2013

Additional Data


Software ID: 13000241
Software Version: v1.00

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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. SchDMd Bullet Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
THE 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 ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, 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.
1a
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 XIII, the text of the footnote to its financial statements that describes these items.
b
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 $  
2
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:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?........
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 8,002,591 7,412,104 7,880,460 7,101,991 5,797,719
b Contributions ........ 857,164 67,000 90,942 31,967 53,656
c Net investment earnings, gains, and losses 944,616 523,487 -559,298 746,502 1,250,616
d Grants or scholarships ..... 0 0 0 0 0
e Other expenditures for facilities
and programs ........ 		0 0 0 0 0
f Administrative expenses .... 0 0 0 0 0
g End of year balance ...... 9,804,371 8,002,591 7,412,104 7,880,460 7,101,991
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet86 %
b
Permanent endowment SchDMd Bullet14 %
c
Temporarily restricted endowment SchDMd Bullet0 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. 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 ................. 0 15,108,598 15,108,598
b Buildings ................ 0 73,506,901 30,497,705 43,009,196
c Leasehold improvements ............ 0 3,528,003 3,326,311 201,692
d Equipment ................ 0 147,801,281 109,825,008 37,976,273
e Other ................. 0 13,686,308 5,763,466 7,922,842
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 104,218,601
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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    
(3)Other
(A) Limited Partnership Investment-Balanced Strategy 		16,824,244 F

(B) Limited Partnership Investment-Global Macro Strategy 		1,345,963 F

(C) Limited Partnership Investment-Absolute Return Strategy 		6,723,740 F

(D) Limited Partnership Investment-Private Equity 		800,274 F





Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 25,694,221
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (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.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. 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.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 200,000
Estimated Third Party Settlements 1,967,000
Other Long-Term Liabilities 4,246,730







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 6,413,730
2. Liability for uncertain tax positions In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................
Schedule D (Form 990) 2013

Schedule D (Form 990) 2013
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 236,370,425
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a 4,556,752
b Donated services and use of facilities ......... 2b 0
c Recoveries of prior year grants ........... 2c 0
d Other (Describe in Part XIII.) ............ 2d -4,722,466
e Add lines 2a through 2d ..................... 2e -165,714
3 Subtract line 2e from line 1..................... 3 236,536,139
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 315,106
b Other (Describe in Part XIII.) ........... 4b 1,214,996
c Add lines 4a and 4b....................... 4c 1,530,102
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 238,066,241
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 221,567,020
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 XIII.) ............ 2d 576,334
e Add lines 2a through 2d...................... 2e 576,334
3 Subtract line 2e from line 1..................... 3 220,990,686
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 315,106
b Other (Describe in Part XIII.) ............ 4b 5,234,456
c Add lines 4a and 4b....................... 4c 5,549,562
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 226,540,248
Part XIII
Supplemental Information
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D, Part V, Line 4 Permanent endowment funds are intended to support the general operations of the Hospital. Board-designed endowment funds are not restricted for any specific purpose and can be used to support hospital projects or operations at the discretion of the Board of Trustees.
Schedule D, Part X, Line 2 From 990, Part IV, Line 11F - The Hospital has been determined by the Internal Revenue Service to be an organization described in Internal Revenue Code (the Code) Section 501(c)(3) and, therefore, is exempt from federal income taxes on related income pursuant to Section 501 (a) of the Code. The Hospital recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than fifty percent likely of being realized upon settlement. Changes in recognition in measurement are reflected in the period in which the change in judgment occurs. The Hospital did not recognize the effect of any uncertain income tax positions in either 2013 or 2012.
Schedule D, Part XI, Line 2d Net assets released from Restriction $230,234 and bad Debts ($4,952,700)
Schedule D, Part XI, Line 4b Rental Expenses ($576,334), Restricted Gifts $1,304,527, and Hospital Guild Revenue $486,803.
Schedule D, Part XII, Line 2d Rental Expenses $576,334.
Schedule D, Part XII, Line 4b Bad Debts $4,952,700 and Hospital Guild Expense $281,756.
Schedule D (Form 990) 2013

Additional Data


Software ID: 13000241
Software Version: v1.00




SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ. right arrowSee separate instructions.
right arrowInformation about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
THE SARATOGA HOSPITAL
 
Employer identification number

14-1338547
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a) Event #1

Sunnyview
(event type) 		(b) Event #2

Holiday
(event type) 		(c) Other events

8
(total number) 		(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 10,520 5,752 11,144 27,416
2 Less: Contributions . . 0 0 0 0
3 Gross income (line 1
minus line 2) . . . 		10,520 5,752 11,144 27,416
VerticalDirectExpenses 4 Cash prizes . . . 0 0 0 0
5 Noncash prizes . . 0 0 0 0
6 Rent/facility costs . . 0 0 0 0
7 Food and beverages . 0 0 0 0
8 Entertainment . . . 0 0 0 0
9 Other direct expenses . 7,890 1,473 3,566 12,929
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 12,929
11 Net income summary. Subtract line 10 from line 3, column (d)........... right arrow 14,487
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
%
%
%
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2013
Schedule G (Form 990 or 990-EZ) 2013
Page 3
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
%
b
An outside facility ........................
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2013
Additional Data


Software ID: 13000241
Software Version: v1.00
SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
THE SARATOGA HOSPITAL
 
Employer identification number

14-1338547
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
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.
3
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.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
%
c
If the organization used factors other than FPG in determining 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, as a factor in determining eligibility for free or discounted care.
4
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"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
Yes
 
c
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? ..............
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
 
No
b
If "Yes," did the organization make it available to the public? ..............
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (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) .. 		    4,590,228 1,186,901 3,403,327 1.502 %
b Medicaid (from Worksheet 3,
column a) .... 		    20,284,336 11,650,850 8,633,486 3.811 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		           
d Total Financial Assistance
and Means-Tested
Government Programs . 		0 0 24,874,564 12,837,751 12,036,813 5.313 %
Other Benefits
 17 1,250 1,571,263 658,822 912,381 0.4 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		5 598 173,334 0 173,334 0.08 %
g Subsidized health services
(from Worksheet 6) .. 		0 0 0 0 0 0 %
h Research (from Worksheet 7) 0 0 0 0 0 0 %
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		2 110 22,673 0 22,673 0.01 %
j Total. Other Benefits .. 24 1,958 1,767,270 658,822 1,108,388 0.490 %
k Total. Add lines 7d and 7j . 24 1,958 26,641,834 13,496,573 13,145,201 5.803 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
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 1   110   110 0 %
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building 2   5,000 0 5,000 0 %
7 Community health improvement advocacy            
8 Workforce development 1 0 67,639 0 67,639 0 %
9 Other            
10 Total 4 0 72,749 0 72,749 0 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
1,033,408
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
516,704
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
47,415,628
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
54,653,617
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-7,237,989
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—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) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?1
Name, address, primary website address, and state license number 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 Saratoga Hospital
211 Church Street
Saratoga Springs,NY12866
www.saratogahospital.org
4501000H 		X X         X      
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
Saratoga Hospital
Name of hospital facility or facility reporting group  
If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A) 		1
Yes No
Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)
1 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9.................... 1 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
2 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
3 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 Yes  
4 Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................ 4 Yes  
5 Did the hospital facility make its CHNA report widely available to the public? ............. 5 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
6 If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):
a
b
c
d
e
f
g
h
i
7 Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........ 7   No
8a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 8a Yes  
b If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 8b   No
c If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Financial Assistance Policy Yes No
9 Did the hospital facility have in place during the tax year a written financial assistance policy that:
Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 9 Yes  
10 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 10 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.
11 Used FPG to determine eligibility for providing discounted care?................. 11 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.
12 Explained the basis for calculating amounts charged to patients?................. 12 Yes  
If "Yes," indicate the factors used in determining such amounts (check all that apply):
a
b
c
d
e
f
g
h
i
13 Explained the method for applying for financial assistance?................... 13 Yes  
14 Included measures to publicize the policy within the community served by the hospital facility?....... 14 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
Billing and Collections
15 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?....... 15 Yes  
16 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
17 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 individual’s eligibility under the facility’s FAP?.......... 17   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

18 Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):
a
b
c
d
e
Policy Relating to Emergency Medical Care
Yes No
19 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?.......... 19 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)
20 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
b
c
d
21 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................ 21   No
If "Yes," explain in Part VI.
22 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ......................... 22   No
If "Yes," explain in Part VI.
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 3-Saratoga Hospital A Community Health Needs Assessment CHNA was conducted in spring 2013 in collaboration with more than 15 partners, including the regions hospitals and local health departments. The CHNA surveyed over 300 organizations and individuals to determine the most pressing health needs for the Adirondack region and Saratoga County. Name Organization's Name William Holmes Inter-Lakes Health Ginny Cuttaia Franklin County Public Health Sylvia King Biondo Planned Parenthood of the North Country New York Gregory Freeman CVPH Medical Center Stellla M Zanella Fulmont Community Action Agency, Inc. Jessica Lowry CVPH Medical Center Kelly Hartz Nathan Littauer hospital Mary Lee Ryan Clinton County Health Dept. WIC Program Bryan Amell St. Joseph's Addiction Treatment and Recovery Centers Carol M. Greco St. Mary's Healthcare Steven Serge Fulton County YMCA Duane Miller St. Mary's Healthcare- Behavioral Health Victor Giulianelli St. Mary's Healthcare Daniel Towne Gloversville Housing Authority Richard Flanger Fulton County YMCA Residency Michael L. Countryman The Family Counseling Center Julie Paquin Franklin County Public Health Services Irene Snyder Harrietstown Housing Authority Patrice McMahon Nathan Littauer Patricia McGillicuddy Franklin County Public Health Kelly Landrio Fulton County YMCA Margaret Luck Nathan Littauer Hospital Lifeline Program Laura O'Mara Saratoga Hospital Nursing Home Lynn Hart Saranac Lake Middle School Julie Demaree Saratoga Hospital Michelle Schumacher YMCA Deborah J. Ruggeri Greater Johnstown School District John M. Kanoza, PE, CPG Clinton County Health Department Tammy J Smith Inter-Lakes Health Susan Schrader Association of Senior Citizens Rick LeVitre Cornell Cooperative Extension Cheryl Nathan Littauer Barry Brogan North Country Behavioral Healthcare Network Maryann Barto Clinton County Department of Health, Healthy Neighborhoods Program Sharon Reynolds PRIDE of Ticonderoga, Inc. Jerie Reid Clinton County Deborah Byrd-Caudle Parent to Parent of NYS Julie Marshall Alice Hyde Medical Center Hans Lehr Saratoga County Community Services Board / Mental Health Center Karen Levison Saratoga County Public Health Nursing Service Lesley B. Lyon Franklin County Dept. of Social Services Christina Akey Fulton County Public Health Mary Rickard Saratoga County Office for the Aging Chattie Van Wert Ticonderoga Revitalization Alliance Maryalice Smith Saranac Lake Central School Anne Mason Whitehall Family Medicine Leisa Dwyer Malone Central Schools Penny Ruhm Adirondack Rural Health Network Dale Woods Fulton County Public Health Jackie Skiff Joint Council for Economic Opportunity of Clinton and Franklin Counties, Inc. Krista Berger WIC Margaret Cantwell Franklin County Public Health Services Julie Tromblee, RN Elizabethtown Community Hospital Mildred Ferriter Community Health Center Melinda Drake St. Joseph's Addiction Treatment & Recovery Centers Michael Vanyo Gloversville Enlarged School District William Viscardo Adirondack Health Kate Fowler SMSA Joe Keegan North Country Community College Megan Johnson Warren-Washington Office of Community Services John Aufdengarten Alice Hyde Medical Center Sue Malinowski CAPTAIN Youth and Family Services Misty Trim Brushton-Moira Central School Sarah Louer Mountain Lake Services Dan Warren County Health Services Amanda West council for prevention of alcohol and substance abuse Christie Sabo Warren-Hamilton Counties Office for the Aging Debra Pauquette Granville Family Health/ Glens Falls Hospital Cynthia Ford-Johnston Keene Central School Jennifer McDonald Skidmore College Vicky Wheaton-Saraceni Adirondack Health Institute -- Adirondack Rural Health Network Chrys Nestle Cornell Cooperative Extension William Larrow Moriah Central School Lisa Griffin Franklin County DSS Valerie Capone Warren-Washington ARC Denis Wilson Fulmont Community Action Agency Donna Beal Mercy Care for the Adirondacks Doug DiVello Alice Hyde Medical Center Judy Zyniecki Center for Disability Services/Clover Patch early intervention services Cathlyn Lamitie Alice Hyde Medical Center Joan Draus Mental Health Association In Fulton & Montgomery Counties Kelli Lyndaker Washington County Public health Jane Hooper Elizabethtown Community Hospital Sandra Geier Gloversville enlarged School District Janet L. Duprey NYS Assembly Miki L. Hopper ACAP, Inc. EHS/HS Tammy Kemp Senior Citizens Council of Clinton County Inc. Scott Osborne Elizabethtown-Lewis Central School Amanda Hewitt Senior Citizen Service Center of Gloversville and Fulton County, Inc TJ Feiden Minerva Central School Kim Crockett Clinton County Youth Bureau Trip Shannon Hudson Headwaters Health Network Brandy Richards Hamilton County Community Services Robin Nelson Families First in Essex County Deborah Ameden Hamilton County Community Action Agency Betsy brown PPNCNY Planned Parenthood Theresa Intilli Klausner Nathan Littauer Hospital Penny HCPHNS Nancy Welch Cornell Cooperative Extension, Hamilton County Cathy Valenty Saratoga County EOC - WIC Norma Menard Literacy Volunteers of Clinton County Michael Piccirillo Saratoga Springs City School District Peter Whitten Shelters of Saratoga, Inc Keith R. Matott The Development Corporation Melissa Engwer Warren Washington Hamilton County Cancer Services Program at Glens Falls Hospital Theresa Cole Akwesasne Housing Authority Janine Dykeman Mental Health Association in Fulton and Montgomery Counties Margot Gold North Country Healthy Heart Network, Inc. Cynthia Summo Keene Central School Pam Merrick Malone middle school Jamie Basiliere Child Care Coordinating Council of the North Country, Inc. Michele Armani North Country Workforce Investment Board Lia Mcfarline Inter-Lakes Health Sue Cridland Nathan Littauer Hospital - HealthLink Cathleen Kerman
Schedule H, Part V, Section B, Line 4-Saratoga Hospital A Community Health Needs Assessment CHNA was conducted in spring 2013 in collaboration with more than 15 partners, including the regions hospitals and local health departments. The other regional Hospitals include Elizabethtown Community Hospital, Nathan Littauer Hospital, and Glens Falls Hospital.
Schedule H, Part V, Section B, Line 7-Saratoga Hospital Saratoga Hospital intends to address needs within the five Prevention Agenda focus areas identified as significant needs in Saratoga County, however, some of the challenges identified for those focus areas will not be addressed directly by Hospital led initiatives. The Prevention Agendas are Prevent Chronic Disease, Prevent HIV STDs, Vaccine Preventable Diseases, and Healthcare Associated Infections, Promote Healthy Infants and Children, and Promote Mental Health and Prevent Substance Abuse. The Saratoga County CHNA notes that only 62.3 percent of children 19 to 35 months of age receive the recommended vaccinations. This is 28 percent below the Prevention Agenda Goal of 80 percent. Additionally, 33.4 percent of females age 13 to 17 received the HPV vaccine in 2011. This is almost 50 percent below the Prevention Agenda goal of 50 percent. Vaccinations are handled in the context of well baby care by pediatricians in private practice or by public health. Any community activity around this should come from public health or community health centers. In general this is not a Hospital system centered activity. The key to improving vaccination compliance is improving access to primary care. Therefore Saratoga Hospital focuses efforts on improving access to primary care by subsidizing the local pediatrician group for coverage of our labor and delivery and aggressively recruiting family practice physicians, primary care pediatricians, and obstetricians. Access to continuity of care ensures that deadlines for vaccination are not missed and the necessary education of the importance of and relative safety of vaccination is provided. The CHNA also notes that too few children in Saratoga County are screened for exposure to lead. Saratoga County Public Health Nursing Service has a very robust lead screening program that is grant funded. Saratoga Hospital supports this public health program and will assist the public health efforts led by the County. Alcohol abuse also poses a threat to the health and well being of residents of Saratoga County. While Saratoga Hospitals mental health programs address the needs of patients impacted by alcohol abuse, Saratoga Hospital does not plan any Hospital led initiatives for alcohol abuse. Residents of Saratoga County have access to programs sponsored by other agencies whose missions include addressing substance abuse. These include the Saratoga County Alcohol and Substance Abuse Services, private psychologists and psychiatrists, The Alcohol and Substance Abuse Prevention Council, and others. Saratoga Hospital supports the work of these agencies. Other health issues include the promotion of a healthy and safe environment, as well as preventing Lyme disease, chlamydia, and rabies. These issues will not be directly addressed by Saratoga Hospital, however Saratoga Hospital is committed to improving the health and wellness of our communities, and fully supports local governments and wellness coalitions in their efforts to impact these issues.
Schedule H, Part V, Section B, Line 20-Saratoga Hospital The hospital maintains a financial assistance policy FAP. Under the FAP, the Hospital provides an automatic discount from charges for any uninsured patients receiving care at any of the Hospitals locations. The Hospital defines uninsured patients as those patients having no third party insurance coverage. This discount applies regardless of a patients 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 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. Eligibility for FAP benefits is determined by the Hospitals patient financial services department based upon the financial means of the patient and or patients 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, FPL x 250 percent or below is 100 percent discount FPL x 300 percent is 75 percent discount FPL x 350 percent is 50 percent discount FPL x 400 percent is 25 percent discount. These FAP discounts are available to uninsured patients, as well as to insured patients who encounter difficulty in paying amounts owed after their insurer pays the Hospital. Exceptions to the standard discount policy described above are for services provided to uninsured patients in the Hospital Emergency Department and the Hospitals 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, 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 dollars plus a surcharge the New York State Department of Health requires hospitals to add to services provided to uninsured patients. 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 dollars plus the DOH surcharge. Urgent Care Services Wilton Medical Arts, 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 140 dollars plus the DOH surcharge. 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 450 dollars plus the DOH surcharge. The special tiered discounts available for Emergency Department and Urgent care services are intended to provide uninsured patients an automatic discount for these services that exceeds the standard 35 percent discount for all other services to uninsured patients. Patients are not required to take any action in order to receive the standard discount and the special Emergency Department and Urgent Care discounts. These adjustments are automatically made to patient bills before the bills are sent
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VFacility Information (continued)

Section D. 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?15
Name and address Type of Facility (describe)
1 Wilton Campus
3050 Route 50
Saratoga Springs,NY12866 		Urgent Care/Imaging/OT/PT/Lab Services/Pain Mgmt/Family Medicine/Free Standing Ambulatory surgery
2 Malta Campus
6 Medical Park Drive
Malta,NY12020 		Emergent Care/Urgent Care/Laboratory Services/Family Medicine/Hematology/Oncology/Imaging
3 Regional Therapy Center at Washington Street
225 Washington Street
Saratoga Springs,NY12866 		Rehabilitation (OT/PT)
4 Saratoga Hospital Medical Oncology Hematology
3 Care Lane
Saratoga Springs,NY12866 		Oncology Hematology
5 Corporate Health Services
2388 Route 9
Malta,NY12020 		Corporate Health Services
6 Scotia-Glenville Family Medicine
112 Charlton Road
Ballston Lake,NY12019 		Family Medicine
7 6 Care Lane
6 Care Lane
Saratoga Springs,NY12866 		Rehabilitation (OT/PT)/Nephrology
8 Saratoga Family Health
119 Lawrence Street
Saratoga Springs,NY12866 		Family Medicine
9 1 West Ave
1 West Avenue Suite 125
Saratoga Springs,NY12866 		Invasive Surgery/Bariatric Surgery
10 Schuylerville Family Health
200 Broad Street
Schuylerville,NY12871 		Family Medicine
11 Galway Family Health
5344 Sacandaga Road PO Box 190
Galway,NY12074 		Family Medicine
12 Saratoga Community Health Center
24 Hamilton Street
Saratoga Springs,NY12866 		Family Medicine/Dentistry/Internal Medicine/Mental Health
13 Saratoga Regional Urology Associates
19 West Avenue Suite 103
Saratoga Springs,NY12866 		Urology
14 Regional Therapy Center at Malta Commons Business Park
100 Saratoga Village Blvd Suite 34
Ballston Spa,NY12020 		Rehabilitation (OT/PT)
15 Corinth Town Office Bldg
600 Palmer Ave
Corinth,NY12822 		Laboratory Services
Schedule H (Form 990) 2013
Schedule H (Form 990) 2013
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.
Form and Line Reference Explanation
Schedule H, Part V, Section B, Line 3-Saratoga Hospital A Community Health Needs Assessment CHNA was conducted in spring 2013 in collaboration with more than 15 partners, including the regions hospitals and local health departments. The CHNA surveyed over 300 organizations and individuals to determine the most pressing health needs for the Adirondack region and Saratoga County. Name Organization's Name William Holmes Inter-Lakes Health Ginny Cuttaia Franklin County Public Health Sylvia King Biondo Planned Parenthood of the North Country New York Gregory Freeman CVPH Medical Center Stellla M Zanella Fulmont Community Action Agency, Inc. Jessica Lowry CVPH Medical Center Kelly Hartz Nathan Littauer hospital Mary Lee Ryan Clinton County Health Dept. WIC Program Bryan Amell St. Joseph's Addiction Treatment and Recovery Centers Carol M. Greco St. Mary's Healthcare Steven Serge Fulton County YMCA Duane Miller St. Mary's Healthcare- Behavioral Health Victor Giulianelli St. Mary's Healthcare Daniel Towne Gloversville Housing Authority Richard Flanger Fulton County YMCA Residency Michael L. Countryman The Family Counseling Center Julie Paquin Franklin County Public Health Services Irene Snyder Harrietstown Housing Authority Patrice McMahon Nathan Littauer Patricia McGillicuddy Franklin County Public Health Kelly Landrio Fulton County YMCA Margaret Luck Nathan Littauer Hospital Lifeline Program Laura O'Mara Saratoga Hospital Nursing Home Lynn Hart Saranac Lake Middle School Julie Demaree Saratoga Hospital Michelle Schumacher YMCA Deborah J. Ruggeri Greater Johnstown School District John M. Kanoza, PE, CPG Clinton County Health Department Tammy J Smith Inter-Lakes Health Susan Schrader Association of Senior Citizens Rick LeVitre Cornell Cooperative Extension Cheryl Nathan Littauer Barry Brogan North Country Behavioral Healthcare Network Maryann Barto Clinton County Department of Health, Healthy Neighborhoods Program Sharon Reynolds PRIDE of Ticonderoga, Inc. Jerie Reid Clinton County Deborah Byrd-Caudle Parent to Parent of NYS Julie Marshall Alice Hyde Medical Center Hans Lehr Saratoga County Community Services Board / Mental Health Center Karen Levison Saratoga County Public Health Nursing Service Lesley B. Lyon Franklin County Dept. of Social Services Christina Akey Fulton County Public Health Mary Rickard Saratoga County Office for the Aging Chattie Van Wert Ticonderoga Revitalization Alliance Maryalice Smith Saranac Lake Central School Anne Mason Whitehall Family Medicine Leisa Dwyer Malone Central Schools Penny Ruhm Adirondack Rural Health Network Dale Woods Fulton County Public Health Jackie Skiff Joint Council for Economic Opportunity of Clinton and Franklin Counties, Inc. Krista Berger WIC Margaret Cantwell Franklin County Public Health Services Julie Tromblee, RN Elizabethtown Community Hospital Mildred Ferriter Community Health Center Melinda Drake St. Joseph's Addiction Treatment & Recovery Centers Michael Vanyo Gloversville Enlarged School District William Viscardo Adirondack Health Kate Fowler SMSA Joe Keegan North Country Community College Megan Johnson Warren-Washington Office of Community Services John Aufdengarten Alice Hyde Medical Center Sue Malinowski CAPTAIN Youth and Family Services Misty Trim Brushton-Moira Central School Sarah Louer Mountain Lake Services Dan Warren County Health Services Amanda West council for prevention of alcohol and substance abuse Christie Sabo Warren-Hamilton Counties Office for the Aging Debra Pauquette Granville Family Health/ Glens Falls Hospital Cynthia Ford-Johnston Keene Central School Jennifer McDonald Skidmore College Vicky Wheaton-Saraceni Adirondack Health Institute -- Adirondack Rural Health Network Chrys Nestle Cornell Cooperative Extension William Larrow Moriah Central School Lisa Griffin Franklin County DSS Valerie Capone Warren-Washington ARC Denis Wilson Fulmont Community Action Agency Donna Beal Mercy Care for the Adirondacks Doug DiVello Alice Hyde Medical Center Judy Zyniecki Center for Disability Services/Clover Patch early intervention services Cathlyn Lamitie Alice Hyde Medical Center Joan Draus Mental Health Association In Fulton & Montgomery Counties Kelli Lyndaker Washington County Public health Jane Hooper Elizabethtown Community Hospital Sandra Geier Gloversville enlarged School District Janet L. Duprey NYS Assembly Miki L. Hopper ACAP, Inc. EHS/HS Tammy Kemp Senior Citizens Council of Clinton County Inc. Scott Osborne Elizabethtown-Lewis Central School Amanda Hewitt Senior Citizen Service Center of Gloversville and Fulton County, Inc TJ Feiden Minerva Central School Kim Crockett Clinton County Youth Bureau Trip Shannon Hudson Headwaters Health Network Brandy Richards Hamilton County Community Services Robin Nelson Families First in Essex County Deborah Ameden Hamilton County Community Action Agency Betsy brown PPNCNY Planned Parenthood Theresa Intilli Klausner Nathan Littauer Hospital Penny HCPHNS Nancy Welch Cornell Cooperative Extension, Hamilton County Cathy Valenty Saratoga County EOC - WIC Norma Menard Literacy Volunteers of Clinton County Michael Piccirillo Saratoga Springs City School District Peter Whitten Shelters of Saratoga, Inc Keith R. Matott The Development Corporation Melissa Engwer Warren Washington Hamilton County Cancer Services Program at Glens Falls Hospital Theresa Cole Akwesasne Housing Authority Janine Dykeman Mental Health Association in Fulton and Montgomery Counties Margot Gold North Country Healthy Heart Network, Inc. Cynthia Summo Keene Central School Pam Merrick Malone middle school Jamie Basiliere Child Care Coordinating Council of the North Country, Inc. Michele Armani North Country Workforce Investment Board Lia Mcfarline Inter-Lakes Health Sue Cridland Nathan Littauer Hospital - HealthLink Cathleen Kerman
Schedule H, Part V, Section B, Line 4-Saratoga Hospital A Community Health Needs Assessment CHNA was conducted in spring 2013 in collaboration with more than 15 partners, including the regions hospitals and local health departments. The other regional Hospitals include Elizabethtown Community Hospital, Nathan Littauer Hospital, and Glens Falls Hospital.
Schedule H, Part V, Section B, Line 7-Saratoga Hospital Saratoga Hospital intends to address needs within the five Prevention Agenda focus areas identified as significant needs in Saratoga County, however, some of the challenges identified for those focus areas will not be addressed directly by Hospital led initiatives. The Prevention Agendas are Prevent Chronic Disease, Prevent HIV STDs, Vaccine Preventable Diseases, and Healthcare Associated Infections, Promote Healthy Infants and Children, and Promote Mental Health and Prevent Substance Abuse. The Saratoga County CHNA notes that only 62.3 percent of children 19 to 35 months of age receive the recommended vaccinations. This is 28 percent below the Prevention Agenda Goal of 80 percent. Additionally, 33.4 percent of females age 13 to 17 received the HPV vaccine in 2011. This is almost 50 percent below the Prevention Agenda goal of 50 percent. Vaccinations are handled in the context of well baby care by pediatricians in private practice or by public health. Any community activity around this should come from public health or community health centers. In general this is not a Hospital system centered activity. The key to improving vaccination compliance is improving access to primary care. Therefore Saratoga Hospital focuses efforts on improving access to primary care by subsidizing the local pediatrician group for coverage of our labor and delivery and aggressively recruiting family practice physicians, primary care pediatricians, and obstetricians. Access to continuity of care ensures that deadlines for vaccination are not missed and the necessary education of the importance of and relative safety of vaccination is provided. The CHNA also notes that too few children in Saratoga County are screened for exposure to lead. Saratoga County Public Health Nursing Service has a very robust lead screening program that is grant funded. Saratoga Hospital supports this public health program and will assist the public health efforts led by the County. Alcohol abuse also poses a threat to the health and well being of residents of Saratoga County. While Saratoga Hospitals mental health programs address the needs of patients impacted by alcohol abuse, Saratoga Hospital does not plan any Hospital led initiatives for alcohol abuse. Residents of Saratoga County have access to programs sponsored by other agencies whose missions include addressing substance abuse. These include the Saratoga County Alcohol and Substance Abuse Services, private psychologists and psychiatrists, The Alcohol and Substance Abuse Prevention Council, and others. Saratoga Hospital supports the work of these agencies. Other health issues include the promotion of a healthy and safe environment, as well as preventing Lyme disease, chlamydia, and rabies. These issues will not be directly addressed by Saratoga Hospital, however Saratoga Hospital is committed to improving the health and wellness of our communities, and fully supports local governments and wellness coalitions in their efforts to impact these issues.
Schedule H, Part V, Section B, Line 20-Saratoga Hospital The hospital maintains a financial assistance policy FAP. Under the FAP, the Hospital provides an automatic discount from charges for any uninsured patients receiving care at any of the Hospitals locations. The Hospital defines uninsured patients as those patients having no third party insurance coverage. This discount applies regardless of a patients 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 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. Eligibility for FAP benefits is determined by the Hospitals patient financial services department based upon the financial means of the patient and or patients 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, FPL x 250 percent or below is 100 percent discount FPL x 300 percent is 75 percent discount FPL x 350 percent is 50 percent discount FPL x 400 percent is 25 percent discount. These FAP discounts are available to uninsured patients, as well as to insured patients who encounter difficulty in paying amounts owed after their insurer pays the Hospital. Exceptions to the standard discount policy described above are for services provided to uninsured patients in the Hospital Emergency Department and the Hospitals 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, 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 dollars plus a surcharge the New York State Department of Health requires hospitals to add to services provided to uninsured patients. 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 dollars plus the DOH surcharge. Urgent Care Services Wilton Medical Arts, 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 140 dollars plus the DOH surcharge. 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 450 dollars plus the DOH surcharge. The special tiered discounts available for Emergency Department and Urgent care services are intended to provide uninsured patients an automatic discount for these services that exceeds the standard 35 percent discount for all other services to uninsured patients. Patients are not required to take any action in order to receive the standard discount and the special Emergency Department and Urgent Care discounts. These adjustments are automatically made to patient bills before the bills are sent
Schedule H (Form 990) 2013
Additional Data


Software ID: 13000241
Software Version: v1.00
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, line 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
THE SARATOGA HOSPITAL
 
Employer identification number

14-1338547
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
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 of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used 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.
4
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:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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.
5
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:
a
The organization? ...........................
5a
Yes
 
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
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:
a
The organization? ...........................
6a
Yes
 
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
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 ............
7
 
No
8
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 .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
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 (E) amounts for that individual.
(A) Name and Title (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
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)Angelo G CalbonePresident/CEO (i)
(ii)		 399,292
0 		115,040
0 		46,560
0 		103,360
0 		13,865
0 		678,117
0 		0
0
(2)Gary FosterVP & CFO (i)
(ii)		 253,705
0 		54,805
0 		5,630
0 		30,633
0 		1,283
0 		346,056
0 		0
0
(3)Joyce PeabodyVP Chief Medical Officer (i)
(ii)		 291,902
0 		65,620
0 		11,759
0 		32,333
0 		3,932
0 		405,546
0 		0
0
(4)Mary Jo LaPostaVP Chief Nursing Officer (i)
(ii)		 279,307
0 		60,502
0 		0
0 		28,593
0 		6,932
0 		375,334
0 		0
0
(5)Kevin RonayneVP Operations (i)
(ii)		 204,692
0 		45,719
0 		7,993
0 		26,764
0 		15,161
0 		300,329
0 		0
0
(6)John MangonaVP CIO (i)
(ii)		 208,611
0 		43,891
0 		8,811
0 		26,374
0 		1,519
0 		289,206
0 		0
0
(7)Jeffrey MethvenVP Ambulatory Serv &HR (i)
(ii)		 205,907
0 		45,689
0 		15,192
0 		24,955
0 		13,165
0 		304,908
0 		0
0
(8)Gordon KuharPhysician (i)
(ii)		 1,067,795
0 		0
0 		0
0 		9,053
0 		763
0 		1,077,611
0 		0
0
(9)Rachid DaouiPhysician (i)
(ii)		 463,249
0 		55,500
0 		0
0 		9,053
0 		14,665
0 		542,467
0 		0
0
(10)Frederick ReynoldsPhysician (i)
(ii)		 503,683
0 		0
0 		0
0 		9,053
0 		14,225
0 		526,961
0 		0
0
(11)Joseph BellPhysician (i)
(ii)		 502,367
0 		0
0 		0
0 		9,053
0 		15,165
0 		526,585
0 		0
0
(12)Edward LiebersPhysician (i)
(ii)		 407,544
0 		0
0 		0
0 		9,053
0 		14,709
0 		431,306
0 		0
0
Schedule J (Form 990) 2013

Schedule J (Form 990) 2013
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 4 During 2013, certain members of The Saratoga Hospital administrative team participated in a 457 F retirement plan. The following list is the participants of the Hospital administration that participated in or received a payment from their 457 F retirement plan: Angelo Calbone - Contributions $74,767 and received a distribution of 24,940, Gary Foster - Contributions $1,034, and Mary Jo LoPosta - Contributions $1,748.
Schedule J, Part I, Line 5 The Hospital administers an incentive compensation program under which members of the Hospital management are eligible to earn up to a percentage of their base salaries in incentive compensation. As part of the 2013 annual incentive compensation, 5% of the overall incentive compensation is related to achievement of revenue growth in certain portions of the Hospital's service area.
Schedule J, Part I, Line 6 The Hospital administers an incentive compensation program under which members of the Hospital management are eligible to earn up to a percentage of their base salaries in incentive compensation. Overall incentive compensation is based on measurable achievement against a menu of organizational goals, including financial results, patient satisfaction, quality of care, employee satisfaction and retention, growth in services, and organizational value analysis savings. The portion of incentive compensation related to operting margin of the Hospital and its affiliates represented 30% of the overall incentive compensation available during 2013, and was based an achievement of "minimum, meets, and maximum" levels relative to the Hospital's operating margin percentage for the year.
Schedule J (Form 990) 2013

Additional Data


Software ID: 13000241
Software Version: v1.00
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet 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.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
THE 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
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
IDA Series 2013 A
  		46-1520521 803481AS9 02-07-2013 24,273,094 Refinance Revenue Bonds   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 14,385,000 11,770,000 10,380,000 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 2,165,000
3 Total proceeds of issue . . . . . . . . . . . . . . 13,986,954 12,151,054 11,421,269 15,790,000
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 1,240,427 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 632,253 482,790 1,121,735
6 Proceeds in refunding escrows . . . . . . . . . . . . 3,700,390 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 279,291 230,198 228,425 223,475
8 Credit enhancement from proceeds . . . . . . . . . . . 814,008 717,490 0 53,214
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 7,810,920 9,438,906 9,327,175 14,391,576
11 Other spent proceeds . . . . . . . . . . . . . . 378,401 249,095 240,752 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
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 . . SchKMediumBullet 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 . . . . . . . SchKMediumBullet 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
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 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 the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X   X   X
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . . X   X   X   X  
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X X  
4a 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 the hedge terminated? . . . . . .                
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .   X   X   X   X
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
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?   X   X   X   X
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K, Part IV, Line 2c-08/07/2003 13,986,954 IDA Series 2003 A Arbitrage rebate computation was performed on 12/1/13 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/13 resulting in no rebate liability for IDA Series 2003 A.
Schedule K, Part IV, Line 2c-08/07/2003 12,151,053 IDA Series 2003B1 Arbitrage rebate computation was performed on 12/1/13 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/13 resulting in no rebate liability for IDA Series 2003 B1.
Schedule K, Part IV, Line 2c-09/21/2004 11,421,269 IDA Series 2004A Arbitrage rebate computation was performed on 12/1/13 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/13 resulting in no rebate liability for IDA Series 2004 A.
Schedule K, Part IV, Line 2c-12/21/2007 15,790,000 IDA Series 2007A Arbitrage rebate computation was performed on 12/1/13 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/13 resulting in no rebate liability for IDA Series 2007 A.
Schedule K, Part IV, Line 2c-12/12/2007 18,406,490 IDA Series 2007B Arbitrage rebate computation was performed on 12/1/13 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/13 resulting in no rebate liability for IDA Series 2007 B.
Schedule K, Part IV, Line 2c-02/07/2013 24,273,094 IDA Series 2013 A Arbitrage rebate computation was performed on 12/1/13 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/13 resulting in no rebate liability for IDA Series 2013 A.
Schedule K (Form 990) 2013

Additional Data


Software ID: 13000241
Software Version: v1.00

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet 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.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
THE 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
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
IDA Series 2013 A
  		46-1520521 803481AS9 02-07-2013 24,273,094 Refinance Revenue Bonds   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 14,385,000 11,770,000 10,380,000 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 2,165,000
3 Total proceeds of issue . . . . . . . . . . . . . . 13,986,954 12,151,054 11,421,269 15,790,000
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 1,240,427 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 632,253 482,790 1,121,735
6 Proceeds in refunding escrows . . . . . . . . . . . . 3,700,390 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 279,291 230,198 228,425 223,475
8 Credit enhancement from proceeds . . . . . . . . . . . 814,008 717,490 0 53,214
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 7,810,920 9,438,906 9,327,175 14,391,576
11 Other spent proceeds . . . . . . . . . . . . . . 378,401 249,095 240,752 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
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 . . SchKMediumBullet 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 . . . . . . . SchKMediumBullet 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
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .                
9 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 the issuer filed Form 8038-T? . . . . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X   X   X   X
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . . X   X   X   X  
If you checked "No rebate due" in line 2c, provide in
Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .   X   X   X X  
4a 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 the hedge terminated? . . . . . .                
Schedule K (Form 990) 2013
Schedule K (Form 990) 2013
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . .  
  		 
  		 
  		 
 
c Term of GIC . . . . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .                
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .   X   X   X   X
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
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?   X   X   X   X
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K, Part IV, Line 2c-08/07/2003 13,986,954 IDA Series 2003 A Arbitrage rebate computation was performed on 12/1/13 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/13 resulting in no rebate liability for IDA Series 2003 A.
Schedule K, Part IV, Line 2c-08/07/2003 12,151,053 IDA Series 2003B1 Arbitrage rebate computation was performed on 12/1/13 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/13 resulting in no rebate liability for IDA Series 2003 B1.
Schedule K, Part IV, Line 2c-09/21/2004 11,421,269 IDA Series 2004A Arbitrage rebate computation was performed on 12/1/13 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/13 resulting in no rebate liability for IDA Series 2004 A.
Schedule K, Part IV, Line 2c-12/21/2007 15,790,000 IDA Series 2007A Arbitrage rebate computation was performed on 12/1/13 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/13 resulting in no rebate liability for IDA Series 2007 A.
Schedule K, Part IV, Line 2c-12/12/2007 18,406,490 IDA Series 2007B Arbitrage rebate computation was performed on 12/1/13 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/13 resulting in no rebate liability for IDA Series 2007 B.
Schedule K, Part IV, Line 2c-02/07/2013 24,273,094 IDA Series 2013 A Arbitrage rebate computation was performed on 12/1/13 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/13 resulting in no rebate liability for IDA Series 2013 A.
Schedule K (Form 990) 2013

Additional Data


Software ID: 13000241
Software Version: v1.00

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet 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, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
THE 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) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
(1) Healthcare Partners of Saratoga LTD
  		Joint Venture with 50% control Expenses paid by Hospital   X 3,393,954 3,393,954   No Yes   Yes  
Total ......Small Bullet $ 3,393,954
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 assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2013
Schedule L (Form 990 or 990-EZ) 2013
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?
Yes No
(1) David Mastrianni MD Board Trustee 600,000 The Hospital engages Dr. Mastrianni to provide clinical, administrative and medical direction services with respect to the Hospital's two hospital-based medical hematology/oncology clinics.   No
(2) Stephan Von Schenk Board Trustee 630,827 Trustee is Executive Vice President of Adirondack Trust Company, a bank with which we have a TELP loan ($630,827) for the Hospital   No
(3) Healthcare Partners of Saratoga LTD DBA MMEC
  		Joint Venture with 50% control 1,850,000 Capital Contribution   No
(4) Healthcare Partners of Saratoga LTD DBA MMEC
  		Joint Venture with 50% control 5,263,888 Reimbursement for Expense paid by Hospital and Contracted Labor   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L, Part IV David Mastrianni MD The Hospital engages Dr. Mastrianni to provide clinical, administrative and medical direction services with respect to the Hospitals two hospital-based medical hematology/oncology clinics. Mr. von Schenk served as Executive Vice President for The Adirondack Trust Company during 2013. Prior to Mr. von Schenk joining the Hospital Board of Trustees, the Hospital obtained tax-exempt lease financing for equipment through Adirondack Trust. During the financing process, the Hospital undertook a competitive bid process where The Adirondack Trust Company was the low bidder. The original amount of the tax-exempt lease financing, which was obtained in October 2012, was for $4,043,000. During 2013 the hospital made principal and interest payments of $630,827 on the lease financing. The principal balance remaining on the lease financing at December 31, 2013 is $3,404,000. Additionally, for a number of years the Hospital has used Adirondack Trust Insurance, a segment of Adirondack Trust to assist the Hospital with evaluating insurance coverage options and as a broker in obtaining insurance coverage policies. The portion of those premium payments retained by Adirondack Trust Insurance for those services is estimated to be a percentage of the premium payments which could result in the compensation retained by Adirondack Trust exceeding the threshold required for disclosure. Joint Venture - In September 2010, Saratoga Hospital entered into a Memorandum of Agreement (MOA) with Albany Medical Center Hospital (AMCH) for the purpose of constructing a jointly owned and operated diagnostic and treatment center (DTC). The DTC is sited on a portion of the 140 acre parcel of land the Hospital owns in Malta, NY. Under the terms of the MOA, the DTC is operated as a separate not for profit corporation, Healthcare Partners of Saratoga, Inc. (D/B/A Malta Med Emergent Care(MMEC)), approved under Article 28 of New York State Public Health Law. The Hospital and AMCH are equal members of MMEC, with each entity able to appoint four members to the eight member Board of Directors of MMEC. MMEC obtained a Certificate of Incorporation from the New York State Department of State in April 2011. The New York State Department of Health (DOH) approved the Certificate of Need application for MMEC in August 2011, including approval to transfer services previously provided at the Hospitals extension clinic in Malta to MMEC. During 2013, the Hospital transferred a total of $1,850,000 to the Joint Venture as a capital contribution. The Hospitals capital contribution to MMEC was offset by 50% of the operating losses incurred by MMEC during 2013. The amount by which the Hospitals investment was reduced as a result in 2013 was approximately $375,000. Accordingly the Hospitals net investment in MMEC stood at approximately $1,475,000 at December 31, 2013. Saratoga Hospital employs all non-provider staff who work at MMEC and leases the personnel to MMCE at cost. During 2013, the value of leased staffing services contracted to MMEC was $2,811,794. Finally, during the period of time during which the MMEC project was in development, Saratoga Hospital provided funding for purchases of equipment and other cost required to get MMEC operations underway. The value of the up-front funding provided by the Hospital in this regard amounted to $5,846,048.
Schedule L (Form 990 or 990-EZ) 2013

Additional Data


Software ID: 13000241
Software Version: v1.00




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.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
THE SARATOGA HOSPITAL
 
Employer identification number

14-1338547
Return Reference Explanation
Form 990, Part III, Line 2 During 2013, the Hospital added the following services, The Saratoga Bariatric Surgery and Weight Loss Program, which is accredited as a comprehensive bariatric facility specializing in minimally invasive weight loss surgery. Two hospital based medical hematology and oncology clinics, including four physicians. New services in Malta, NY including a primary care location, medical imaging (mammograms and DEXA scanning), and drug infusions. Saratoga Regional Urology Associates, a three physician practice located in Saratoga Springs, NY. A six physician family practice located in in Ballston Lake, NY (Scotia-Glenville Family Medicine). A Community Health Center located in Saratoga Springs, NY. The Community Health Center was established specifically for the purpose of providing medical services to the medically underserved population in the Hospitals community, including uninsured and underinsured patients. A primary aim of the services provided at the Center is to assist previously medically underserved community members with accessing care at an appropriate intensity level, as opposed to unneeded use of emergency services, and to engage this population in more preventative care. Services provided at the Community Health Center include primary care, dental care and mental health services. Every effort is made to connect patients accessing care at the Community Health Center with the Hospitals Financial Assistance program.
Form 990, Part VI, Section B, Line 11b A draft of the Form 990 and any required supplemental schedules (collectively the "Form 990") is completed by the Hospital's Fiscal Services Department, with input from other Hospital departments obtained as needed. The completed Form 990 is then reviewed by the Director, Financial Accounting and Vice President/Chief Financial Officer in order to ensure compliance with applicable instructions. The initial phase of review by the Hospital's Board of Trustees occurs through a submission of the draft Form 990 to the Board Audit and Corporate Compliance Committee (AC). Members of the AC are provided with drafts of the Form 990 prior to a quarterly meeting. At the quarterly meeting, an agenda item is devoted to providing the AC members with time to ask management questions regarding any disclosures in the form 990 and to provide and comments or suggestions. Management evaluates the AC suggestions and comments and amends the Form 990. Subsequently, copies of the revised draft Form 990 are provided to all members of the Hospital Board of Trustees. Board members are asked to provide any comments on the form 990 at the monthly Board meeting occurring after the draft Form 990 has been distributed. Any applicable comments or suggestions are incorporated into the Form 990, and a final version is filed with the IRS.
Form 990, Part VI, Section B, Line 12c The Hospital maintains two conflict of interest policies. One applies to members of the Board of Trustees, Hospital officers, certain members of the medical staff and all employees whose compensation exceeds $100,000. A second conflict of interest policy applies to all members of management, employees and volunteers of the Hospital, as well as persons serving in those roles for corporations affiliated with the Hospital who are not covered by the first policy. The policies provider clear explanations as to who is covered by each policy, what family members and/or ownership interests (including non-financial interests) must be considered in assessing compliance with the policy, definitions of compensation (including non-monetary compensation) and examples of conflicts including activities that must always be avoided. On an annual basis a conflict of interest disclosure questionnaire process is undertaken. All members of the Board of Trustees and management, all non-management employees whose compensation exceeds $100,000, and all members of the Hospital's medical staff are required to complete and file the questionnaire with the Hospital's Chief Compliance Officer. Additionally, members of Hospital management are required to identify any additional employees under their supervision who have the ability to influence purchasing decisions aggregating to $100,000 or more annually. These employees are also required to complete and file the questionnaire. Inquiries included on the questionnaire are designed to allow respondents to provide yes/no answers that will allow a determination to be made as to whether any non-compliance with the applicable conflict of interest policy has occurred, or whether there are any situations that may require further investigation. Responses to the questionnaires are tracked by the Chief Compliance Officer and are reported to the Audit and Corporate Compliance Committee of the Board of Trustees at its quarterly meetings. On an annual basis the Fiscal Services department reviews all responses submitted by members of the Board of Trustees as well as officers of the Hospital. The questionnaire includes a section where respondents are asked, for any person or entity that has or may do business with the Hospital or one of its affiliates, to provide names of any external entities they have interests in or are employed by, as well as names of relatives and entities those relatives have interest or are employed by. Additionally, if a potential conflict is known of, but not disclosed on the questionnaire, these persons/entities are also identified by hospital management. Any persons or entities disclosed in this area or otherwise deemed to be potential conflicts are referenced against the accounts payable systems for the Hospital and its related entities in order to determine whether business was transacted with any of the disclosed entities during the past year. Materiality of any transactions identified is assessed and a determination is made as to whether the transaction of business with any of these entities was made in accordance with the Hospital's purchasing and conflict of interest policies (ex. competitively bid, removal of the conflicted person from the decision-making process).
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 2013, the Executive committee consisted of seven members of the Board of Trustees, all of whom were determined to be independent with respect to the guidelines set forth for completing Part VI, Line 1b of the Core Form 990. On an annual basis, the Executive Committee reviews the performance of the President/Chief Executive Officer (CEO) and makes a base salary recommendation to the full Board. The Executive Committee performs this task using a target percentile rank on a scale of amounts paid to similarly situated executives in the marketplace. However, the Executive Committee is provided leeway to deviate from this target somewhat where considerations relating to special skills, experience, competence and performance are relevant. Additionally, the Executive Committee sets annual performance criteria the CEO must meet in order to qualify for incentive compensation. At the end of each evaluation period, the Executive Committee determines whether the CEO has met the previously established performance criteria and makes a recommendation regarding payment of incentive compensation to the full Board accordingly. The CEO is responsible, with the oversight of the Executive Committee, for determining the base compensation for all other executives in the organization. These base salaries are also determined using a target percentile rank on a scale executives situated similarly by position within the marketplace, with acceptable deviations for the same considerations as described for determining CEO compensation. Incentive compensation for all other executives is also earned based upon a determination by the CEO as to whether the performance of the entire organization as well as the individual executive has met criteria previously established by the Executive Committee. The comparability data used by the Executive Committee and CEO as guidelines for setting executive compensation are derived from two sources use. First, on a least a bi-annual basis an independent valuation expert is retained by the Hospital's Human Resources department to assess the reasonableness of total, as well as other data purchased from vendors or obtained from industry publications by the Human Resources department relevant to the compensation package for each executive. Also used as a guideline are the requirements for invoking a rebuttable presumption of reasonableness in accordance with IRS intermediate sanction regulations, to the extent practicable.
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.
Form 990, Part XI, Line 9 Capital Grant $235,851
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID: 13000241
Software Version: v1.00
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
THE 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 (if applicable) 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 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) Healthcare Partners of Saratoga LTD
DBA MMEC
211 Church Street

Saratoga Springs,NY12866
45-3303309 		Emergent Care NY 501(c)(3) 3 N/A
 
No
(3) Flower & Fruit Mission of the Saratoga Hospital

211 Church Street

Saratoga Springs,NY12866
14-6049447 		Equip & maintain the maternity unit of Saratoga Hospital NY 501(c)(3) 3 N/A
 
No








For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
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



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No 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
 		(i)
Section 512(b)(13) controlled entity?
Yes No












Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
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 or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
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 related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) Saratoga Care Inc

 c 1,666,646 FMV
(2) Saratoga Care Inc

 o 269,753 FMV of Transaction
(3) Saratoga Care Inc

 q 641,605 FMV of Transaction
(4) Saratoga Care Inc

 r 106,437 FMV of Transaction


Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
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) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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 V?UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2013
Schedule R (Form 990) 2013
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2013
Additional Data


Software ID: 13000241
Software Version: v1.00