TY 2014 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) Janice M White........................................................................ Chairperson	2.5 .......................0	X			0	0
(2) David M Mastrianni MD........................................................................ Co-Vice Chairperson	2.5 .......................0	X			0	0
(3) Donna Montalto........................................................................ Co-Vice Chairperson	2.5 .......................0	X			0	0
(4) Michael H Iacolucci........................................................................ Treasurer	2.5 .......................0	X			0	0
(5) Theresa M Skaine........................................................................ Secrectary	2.5 .......................0	X			0	0
(6) Dennis A Brobston........................................................................ Board Member	2.5 .......................0	X			0	0
(7) Judith A Ekman........................................................................ Board Member	2.5 .......................0	X			0	0
(8) Eugene K Merecki MD........................................................................ Board Member	2.5 .......................0	X			0	0
(9) Alan C Oppenheim........................................................................ Board Member	2.5 .......................0	X			0	0
(10) George E Silver MD........................................................................ Board Member	2.5 .......................0	X			0	0
(11) William R Stanley........................................................................ Board Member	2.5 .......................0	X			0	0
(12) N Keith Stewart........................................................................ Board Member	2.5 .......................0	X			0	0
(13) Michael J Toohey........................................................................ Board Member	2.5 .......................0	X			0	0
(14) Stephan R von Schenk........................................................................ Board Member	2.5 .......................0	X			0	0
(15) Michael D West........................................................................ Board Member	2.5 .......................0	X			0	0
(16) Angelo G Calbone........................................................................ President/CEO	38 .......................0	X	X	X	591,931	19,614
(17) Gary Foster........................................................................ VP & CFO	38 .......................0		X	X	343,249	14,926

(A) Name and business address	(B) Description of services	(C) Compensation
AOW Associates Inc 30 Essex Street Albany,NY12206	Construction	11,884,261
Saratoga Emergency Physicians PC The Saratoga Hospital 211 Church Street Saratoga Springs,NY12866	Physicians	8,234,781
Laboratory Corp of America 2975 W CORPORATE LAKES BLVD WESTON,FL333313626	Medical Laboratory Testing	1,438,641
HYPERTYPE INC 39 HALADA DR LAKE GEORGE,NY12845	Transcription Service	1,247,411
STRATEGIC SOLUTIONS 3 CORPORATE DRIVE SUITE 100 CLIFTON PARK,NY12065	Medical Billing	1,077,145
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 43

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 domestic organizations and domestic governments. See Part IV, line 21 ....	0	0
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....	0	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. 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 ....	2,605,770	0	2,605,770	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 ....	108,498,829	100,449,637	7,905,662	143,530
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	4,048,917	3,665,360	383,557	0
9	Other employee benefits .......	15,039,876	13,615,136	1,424,740	0
10	Payroll taxes ...........	7,580,621	6,845,144	735,477	0
11	Fees for services (non-employees):
a	Management ......	101,994	101,994	0	0
b	Legal .........	414,769	0	414,769	0
c	Accounting ...........	90,375	0	90,375	0
d	Lobbying ...........	27,681	0	27,681	0
e	Professional fundraising services. See Part IV, line 17	0			0
f	Investment management fees ......	127,420	0	127,420	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	21,933,335	20,294,832	1,638,503	0
12	Advertising and promotion ....	725,843	21,581	704,262	0
13	Office expenses .......	13,305,359	11,840,148	1,404,506	60,705
14	Information technology ......	2,363,400	2,241,145	122,255	0
15	Royalties ..	0	0	0	0
16	Occupancy ...........	6,222,811	5,958,859	171,024	92,928
17	Travel ............	29,616	27,754	1,862	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 ....	509,326	438,132	63,311	7,883
20	Interest ...........	56,138	56,138	0	0
21	Payments to affiliates .......	0	0	0	0
22	Depreciation, depletion, and amortization .....	12,323,938	11,665,067	636,333	22,538
23	Insurance ..............	1,667,305	1,656,439	10,866	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	7,612,000	7,612,000	0	0
b	Medical Supplies	42,651,558	42,651,558	0	0
c
d
e	All other expenses	882,044	515,250	366,794	0
25	Total functional expenses. Add lines 1 through 24e	248,818,925	229,656,174	18,835,167	327,584
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	21,713,392	1	34,150,438
2	Savings and temporary cash investments .........	16,900,162	2	16,209,912
3	Pledges and grants receivable, net ...........	0	3	0
4	Accounts receivable, net .............	23,530,970	4	27,564,755
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	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 .............	5,011,510	7	2,427,380
8	Inventories for sale or use ..............	5,690,261	8	6,119,825
9	Prepaid expenses and deferred charges ..........	4,666,095	9	4,649,412
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	275,256,137
b	Less: accumulated depreciation .....	10b	160,823,437	104,218,601	10c	114,432,700
11	Investments—publicly traded securities ..........	49,295,934	11	59,785,012
12	Investments—other securities. See Part IV, line 11 .....	25,694,221	12	28,570,967
13	Investments—program-related. See Part IV, line 11 .....	15,001	13	15,001
14	Intangible assets ...............	0	14	0
15	Other assets. See Part IV, line 11 ...........	5,520,326	15	9,302,545
16	Total assets. Add lines 1 through 15 (must equal line 34)......	262,256,473	16	303,227,947
	17	Accounts payable and accrued expenses .........	26,640,397	17	24,264,967
18	Grants payable .................	0	18	0
19	Deferred revenue ................	0	19	0
20	Tax-exempt bond liabilities .............	53,501,907	20	75,269,767
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 ..	5,232,419	23	4,382,105
24	Unsecured notes and loans payable to unrelated third parties ....	3,650,000	24	3,450,000
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....................	6,413,730	25	8,722,701
26	Total liabilities. Add lines 17 through 25.........	95,438,453	26	116,089,540
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	162,722,979	27	181,745,152
28	Temporarily restricted net assets ...........	2,676,847	28	3,817,963
29	Permanently restricted net assets ...........	1,418,194	29	1,575,292
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	166,818,020	33	187,138,407
34	Total liabilities and net assets/fund balances ........	262,256,473	34	303,227,947

- TIN:

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

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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.)

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

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

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

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

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

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

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

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

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

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

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

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

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

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

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

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

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)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.)..
11	Total support Add lines 7 through 10.

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

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

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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

Schedule A (Form 990 or 990-EZ) 2014

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)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

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

Schedule A (Form 990 or 990-EZ) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:	14000267
Software Version:	v1.00

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

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

Complete if the organization is described below. SchCMd Bullet

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

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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.

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

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

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

Part I-B

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

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

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

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

Yes No

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

Yes No

If "Yes," describe in Part IV.

Part I-C

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

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

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

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

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

Yes No

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

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

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2014

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 Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

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

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

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(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) 2014

Page 3

Part II-B

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

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

(a)

Yes

(b)

Amount

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

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

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

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

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

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

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

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

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

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

Yes

27,681

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

27,681

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

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

Part IV

Supplemental Information

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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Schedule C, Part II-B, Line 1	A portion of the annual dues paid by the Hospital for its memberships in three organizations: American Hospital Association, Iroquois Healthcare Alliance and Healthcare Association of New York State, are used by those organizations for lobbying purposes. The portion of annual dues determined to relate to those organizations' lobbying activities is determined by the Hospital based on documentation received from those organizations.

Return Reference

Explanation

Schedule C, Part II-B, Line 1

A portion of the annual dues paid by the Hospital for its memberships in three organizations: American Hospital Association, Iroquois Healthcare Alliance and Healthcare Association of New York State, are used by those organizations for lobbying purposes. The portion of annual dues determined to relate to those organizations' lobbying activities is determined by the Hospital based on documentation received from those organizations.

Schedule C (Form 990 or 990EZ) 2014

Additional Data

Software ID:	14000267
Software Version:	v1.00

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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 value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


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

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

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

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

Yes No

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

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

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

Yes No

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.

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.

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)

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

(ii)

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

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

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

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) 2014

Page 2

Part III

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

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No

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


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

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 ....	9,804,371	8,002,591	7,412,104	7,880,460	7,101,991
b	Contributions ........	157,093	857,164	67,000	90,942	31,967
c	Net investment earnings, gains, and losses	1,065,235	944,616	523,487	-559,298	746,502
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 ......	11,026,699	9,804,371	8,002,591	7,412,104	7,880,460

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

Board designated or quasi-endowment SchDMd Bullet

86 %

Permanent endowment SchDMd Bullet

14 %

Temporarily restricted endowment SchDMd Bullet

0 %

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

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

Yes

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

3a(i)

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

3a(ii)

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

Describe in Part 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	76,448,614	33,009,857	43,438,757
c	Leasehold improvements ............	0	3,528,003	3,381,433	146,570
d	Equipment ................	0	154,636,902	118,142,816	36,494,086
e	Other .................	0	25,534,020	6,289,331	19,244,689
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......					114,432,700

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther 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	19,188,580	F
(B) Limited Partnership Investment-Global Macro Strategy	1,358,529	F
(C) Limited Partnership Investment-Absolute Return Strategy	7,012,704	F
(D) Limited Partnership Investment-Private Equity	1,011,154	F





Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	28,570,967

Part VIII

InvestmentsProgram 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.)

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.)...........

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		35,000
Estimated Third Party Settlements		3,964,000
Other Long-Term Liabilities		4,723,701







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		8,722,701
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) 2014

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	257,366,255
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	1,309,069
b	Donated services and use of facilities .........	2b	0
c	Recoveries of prior year grants ...........	2c	0
d	Other (Describe in Part XIII.) ............	2d	-7,305,814
e	Add lines 2a through 2d .....................			2e	-5,996,745
3	Subtract line 2e from line 1.....................			3	263,363,000
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	474,111
b	Other (Describe in Part XIII.) ...........	4b	3,993,132
c	Add lines 4a and 4b.......................			4c	4,467,243
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	267,830,243

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	240,989,179
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	583,949
e	Add lines 2a through 2d......................			2e	583,949
3	Subtract line 2e from line 1.....................			3	240,405,230
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	474,111
b	Other (Describe in Part XIII.) ............	4b	7,939,584
c	Add lines 4a and 4b.......................			4c	8,413,695
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	248,818,925

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	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 2014 or 2013.
Schedule D, Part XI, Line 2d	Net assets released from Restriction $306,186 and bad Debts ($7,612,000)
Schedule D, Part XI, Line 4b	Rental Expenses ($583,949), Restricted Gifts $4,447,214, and Hospital Guild Revenue $129,867.
Schedule D, Part XII, Line 2d	Rental Expenses $583,949.
Schedule D, Part XII, Line 4b	Bad Debts $7,612,000 and Hospital Guild Expense $327,584.

Schedule D (Form 990) 2014

Additional Data

Software ID:	14000267
Software Version:	v1.00

- TIN:

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 arrow

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

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

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?

Yes

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)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










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

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) 2014

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 All other events under $5,000 (event type)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . .	8,810	15,387	24,197
2	Less: Contributions . .	0	0	0
3	Gross income (line 1 minus line 2) . . .	8,810	15,387	24,197
4	Cash prizes . . .	0	0	0
5	Noncash prizes . .	0	0	0
6	Rent/facility costs . .	0	0	0
7	Food and beverages .	0	0	0
8	Entertainment . . .	0	0	0
9	Other direct expenses .	6,953	2,715	9,668
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........			9,668
11	Net income summary. Subtract line 10 from line 3, column (d)...........			14,529

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.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (add col.(a) through col.(c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? ............

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2014

Page 3

Does the organization conduct gaming activities with nonmembers? .................

YesNo

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? ..........................

YesNo

Indicate the percentage of gaming activities conducted in:

The organization's facility ......................

13a

An outside facility ........................

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

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

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

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 provide any additional information (see instructions).

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2014

Additional Data

Software ID:	14000267
Software Version:	v1.00

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

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

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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

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

Yes

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

Yes

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

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

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

Did the organization use Federal Poverty Guidelines (FPG) 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:

Yes

100% 150% 200% Other 250 %

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: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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.

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

Yes

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

Yes

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

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

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

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

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

Financial Assistance and Certain Other Community Benefits at Cost

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) ..	0	0	3,461,614	891,832	2,569,648	1.033 %
b	Medicaid (from Worksheet 3, column a) ....	0	0	23,849,521	11,952,660	11,896,861	4.781 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .	0	0	0	0	0	0 %
d	Total Financial Assistance and Means-Tested Government Programs .	0	0	27,311,135	12,844,492	14,466,509	5.814 %
Other Benefits		22	1,813	2,662,774	1,499,642	1,163,132	0.467 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	22	1,813	2,662,774	1,499,642	1,163,132	0.467 %
f	Health professions education (from Worksheet 5) ..	12	643	132,893	0	132,893	0.053 %
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)	5	2,000	23,324	0	23,324	0.01 %
j	Total. Other Benefits ..	39	4,456	2,818,991	1,499,642	1,319,349	0.530 %
k	Total. Add lines 7d and 7j .	39	4,456	30,130,126	14,344,134	15,785,858	6.344 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

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.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	0	0	0 %
2	Economic development	0	0	0 %
3	Community support	0	0	0 %
4	Environmental improvements	0	0	0 %
5	Leadership development and training for community members	0	0	0 %
6	Coalition building	5,000	5,000	0.002 %
7	Community health improvement advocacy	0	0	0 %
8	Workforce development	249,937	249,937	0.11 %
9	Other	0	0	0 %
10	Total	254,937	254,937	0.112 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

1,454,022

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. ......

727,011

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

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

47,040,510

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

55,121,296

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

-8,080,786

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

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

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.......................

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) 2014

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 (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	Saratoga Hospital 211 Church Street Saratoga Springs,NY12866 www.saratogahospital.org 4501000H	X	X	X

Schedule H (Form 990) 2014

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

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 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): www.saratogahospital.org

Other website (list url): www.arhn.com

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): www.saratogahospital.org

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, 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) 2014

Page

Part VFacility Information (continued)

	Saratoga Hospital
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250%
and FPG family income limit for eligibility for discounted care of 400%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	Saratoga Hospital
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other 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?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

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? ................................

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 5-Saratoga Hospital	A Community Health Needs Assessment (CHNA) was conducted in spring 2013 in collaboration with more than 15 partners, including the region's hospitals and local health departments. The CHNA surveyed over 300 organizations and individuals to determine the most pressing health needs for the Adirondack region and Saratoga County. The results of the CHNA show that, for the residents of Saratoga County, the following are current health challenges: * Increase access to high-quality chronic preventive care and management in both clinical and community settings o The rate of diabetes deaths in Saratoga county is increasing o Heart disease and cancer are the leading causes of death in Saratoga County o The community does not have adequate access to the full continuum of care o Almost 30% of adults 18 years and older are obese * Prevent vaccine-preventable diseases o Too few very young children receive the recommended vaccinations o Pertussis cases are increasing o Too few teenage girls receive HPV vaccinations * Prevent healthcare-associated infections o The number of patients contracting infections due to contact with the healthcare system is increasing * Improve child health o Too few low-income children in Saratoga County make well-child visits to the doctor o Too many children have untreated tooth decay o Too few children are being screened for lead exposure * Prevent substance abuse and other mental, emotional, and behavioral disorders o Alcohol abuse is a problem for many residents o Mental illness is a problem for many residents
Schedule H, Part V, Section B, Line 6a-Saratoga Hospital	A Community Health Needs Assessment (CHNA) was conducted in spring 2013 in collaboration with more than 15 partners, including the region's hospitals and local health departments. The other regional Hospitals include Elizabethtown Community Hospital, Nathan Littauer Hospital, and Glens Falls Hospital.
Schedule H, Part V, Section B, Line 6b-Saratoga Hospital	Organization's Name ACAP, Inc. EHS/HS ACAP/OneWorkSource Adirondack Health Institute -- Adirondack Rural Health Network Akwesasne Housing Authority Alice Hyde Medical Center American Red Cross ASAPP's Promise Association of Senior Citizens BHSN Bolton Central School Brushton-Moira Central School Cancer Services Program of Fulton & Montgomery Counties Capital District Child Care Coordinating Council CAPTAIN Youth and Family Services Catholic Charities of Fulton & Montgomery Counties Center for Disability Services Center for Lung and Chest Surgery Chateauguay Central School Child Care Coordinating Council of the North Country, Inc. Church of the Messiah Citizen Advocates, Inc., North Star Behavioral Health Services City of Plattsburgh Clinton County Child Advocacy Center Clinton County Department of Health, Healthy Neighborhoods Program Clinton County Health Department Clinton County Health Dept. WIC Program Clinton County MH and AS Clinton County Office for the Aging Clinton County Office of Emergency Services Clinton County Social Services Clinton County Veterans Service Agency Clinton County Youth Bureau Community Health Center of the North Country Community Link Community, Work and Independence,, Inc. Cornell Cooperative Extension - Essex County Cornell Cooperative Extension Franklin County Cornell Cooperative Extension in Fulton & Montg. Co. Cornell Cooperative Extension Saratoga County Cornell Cooperative Extension, Hamilton County council for prevention of alcohol and substance abuse CVPH Medical Center Eastern Adirondack Health Care Network Elizabethtown-Lewis Central School Essex County Department of Social Services Essex County Mental Health Services Essex County Office for the Aging Essex County Public Health Nursing Services Families First in Essex County Family YMCA of the Glens Falls Area Fort Edward Internal Medicine Fort Hudson Health System Franklin Co. Public Health Franklin Community Center Franklin County Department of Social Services Franklin County Public Health Services Fulmont Community Action Agency, Inc. Fulton County Department of Social Services Fulton County Mental Health Fulton County Office for Aging Fulton County Public Health Fulton County YMCA Fulton-Montgomery Community College Gloversville Enlarged School District Gloversville Housing Authority Greater Johnstown School District Hadley-Luzerne CSD Hamilton County Community Action Agency Hamilton County Community Services Hamilton County Public Health Nursing Service Harrietstown Housing Authority HCPHNS HCR Home Care HFM Prevention Council HM AHEC Hudson Headwaters Health Network Inter-Lakes Health Joint Council for Economic Opportunity of Clinton and Franklin Counties, Inc. Keene Central School Lake George Central Schools Lake Placid Middle High School Literacy Volunteers of Clinton County Literacy Volunteers of Essex/Franklin Counties Long Lake Central School Malone Central School District Mayfield Central School District Mental Health Assoc. of Clinton & Franklin Counties Mental Health Association In Fulton & Montgomery Counties Mercy Care for the Adirondacks Minerva Central School Moriah Central School Mountain Lake Services Mountain Valley Hospice Newcomb Central School District North Country Behavioral Healthcare Network North Country Chamber of Commerce North Country Community College North Country Healthy Heart Network, Inc. North Country Workforce Investment Board NYS Assembly NYS Department of Labor NYSDOH Office for the Aging in Franklin Co. Office of Community Services for Warren and Washington Counties Oppenheim-Ephratah Central School District Parent to Parent of NYS Planned Parenthood Mohawk Hudson Planned Parenthood of the North Country New York Plattsburgh One Worksource/NYSDOL Manager PRIDE of Ticonderoga, Inc. Queensbury Union Free School District Reality Check of Hamilton, Fulton, and Montgomery Counties Saint Regis Mohawk Tribe Saranac Lake Central School Saratoga Bridges NYSARC , Inc. Saratoga Chapter Saratoga County Community Services Board / Mental Health Center Saratoga County EOC - WIC Saratoga County EOC Head Start Saratoga County Office for the Aging Saratoga County Public Health Nursing Service Saratoga County Youth Bureau Saratoga Springs City School District Senior Citizen Service Center of Gloversville and Fulton County, Inc Senior Citizens Council of Clinton County Inc. Shelters of Saratoga, Inc Shenendehowa Central School District Skidmore College SMSA St Regis Mohawk Health Services St. Joseph's Addiction Treatment & Recovery Centers St. Joseph's Community School St. Mary's Healthcare St. Regis Falls Central School St. Regis Mohawk Health Services A/CDP Outpatient STARS Stillwater CSD STOP Domestic Violence/BHSN SUNY PLATTSBURGH The Adirondack Arc The Development Corporation The Family Counseling Center Ticonderoga central school Ticonderoga Revitalization Alliance Town of Kingsbury Recreation Town of Queensbury Town of White Creek Tri County United Way Upward Bound Wait House Warren County Employment & Training Warren County Health Services Warren County WIC Warren County Youth Bureau Warren Washington Association for Mental Health Warren-Hamilton Counties Office for the Aging Warren-Washington ARC Warren-Washington Office of Community Services Washington County ADRC Washington County CARES Washington County Economic Opportunity Council, Inc. Washington County Public health Washington County WIC Washington-Saratoga-Warren-Hamilton-Essex BOCES Wells Central School Whitehall Family Medicine WIC Willsboro Central School YMCA
Schedule H, Part V, Section B, Line 11-Saratoga Hospital	Please refer to the Hospital's updated 2014 Community Service plan on its website (http://saratogahospital.org/about-us/2013-community-service-plan/).
Schedule H, Part V, Section B, Line 13h-Saratoga Hospital	Patients who are homeless and/or patients who have filed for chapter 7 bankruptcy protection automatically qualify for financial assistance.
Schedule H, Part V, Section B, Line 16a-Saratoga Hospital	www.saratogahospital.org
Schedule H, Part V, Section B, Line 16b-Saratoga Hospital	www.saratogahospital.org
Schedule H, Part V, Section B, Line 16c-Saratoga Hospital	www.saratogahospital.org
Schedule H, Part V, Section B, Line 22d-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 Hospital's locations. The Hospital defines uninsured patients as those patients having no third-party insurance coverage. This automatic discount applies regardless of a patient's ability to pay. The automatic discount is shown clearly on any bills sent to the patient in order to enhance awareness of the availability of this benefit. The automatic discount is intended to ensure that any uninsured patients, and by extension any patients who are FAP-eligible, are not charged more for emergency or any other medically-necessary care than the amounts Medicare would reimburse the Hospital for the same services. The Hospital also provides a "Means-Tested" financial assistance benefits, eligibility for which is determined by the Hospital's patient financial services department based upon the financial means of the patient and/or patient's family. The amount of means-tested benefit provided to patients is based on a comparison of their documented income to annual Federal Poverty Level (FPL) standards. The following is a sliding scale of benefits (as a percentage of charges) available to patients with varying levels of income: o FPL x 250% or below- 100% discount o FPL x 300%- 75% discount o FPL x 350% - 50% discount o FPL x 400%- 25% discount These means-tested discounts are available to uninsured patients, as well as to insured patients who encounter difficulty in paying amounts owed (ex. co-pays, deductibles) after their insurer pays the Hospital. Exceptions to the automatic discount policy described above are for services provided to uninsured patients in the Hospital Emergency Department and the Hospital's Urgent Care site at Wilton Medical Arts. Special tiered discount programs are in place for services provided at those locations, and these are described below: * Emergency Department Services: o Tier 1- available for patients receiving any services during an outpatient Emergency Department visit, unless the services include a CT and/or MRI scan. The discounted patient payment for this level of Emergency Department services is $300 plus a surcharge the New York State Department of Health (DOH) requires hospitals to add to services provided to uninsured patients. o Tier 2- available for outpatient Emergency Department visits when the visit includes a CT and/or MRI scan. The discounted patient payment for this level of Emergency Department services is $700 plus the DOH surcharge. * Urgent Care Services (Wilton Medical Arts): o Tier 1- available for patients receiving any services during an Urgent Care visit unless those services include a lab test and/or any imaging test. The discounted patient payment for this level of Urgent Care services is $140 plus the DOH surcharge. o Tier 2- available for patients receiving any services during an Urgent Care visit if those services include a lab test and/or any imaging test, unless the imaging tests include a CT and/or MRI scan. The discounted patient payment for this level of Urgent Care services is $450 plus the DOH surcharge. The special tiered discounts available for Emergency Department and Urgent care services are intended to provide uninsured patients an automatic discount for these services that exceeds the standard discount for all other services to uninsured patients. Patients are not required to take any action in order to receive the automatic discount and the special Emergency Department and Urgent Care discounts. These adjustments are automatically made to patient bills before the bills are sent.

Schedule H (Form 990) 2014

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?16
Name and address		Type of Facility (describe)
1	Wilton Campus 3040 - 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&Urgent Care/Lab Services/Family Medicine/Hematology/Oncology/Imaging/Infusion/Cardiology
3	Corporate Health Services 2388 Route 9 Malta,NY12020	Corporate Health Services
4	Regional Therapy Center at Washington Street 225 Washington Street Saratoga Springs,NY12866	Rehabilitation (OT/PT)
5	Scotia-Glenville Family Medicine 112 Charlton Road Ballston Lake,NY12019	Family Medicine
6	6 Care Lane 6 Care Lane Saratoga Springs,NY12866	Rehabilitation (OT/PT)/Nephrology/Neurology/Pulmonary Medicine
7	Saratoga Hospital Medical Oncology Hematology 3 Care Lane Saratoga Springs,NY12866	Oncology Hematology
8	Regional Therapy Center at Malta Commons Business Park 100 Saratoga Village Blvd Suite 34 Ballston Spa,NY12020	Rehabilitation (OT/PT)
9	1 West Ave 1 West Avenue Suite 125 Saratoga Springs,NY12866	Minimally Invasive Surgery/Bariatric Surgery
10	Saratoga Regional Urology Associates 19 West Avenue Suite 103 Saratoga Springs,NY12866	Urology
11	Saratoga Community Health Center 24 Hamilton Street Saratoga Springs,NY12866	Family Medicine/Dentistry/Internal Medicine/Mental Health
12	Milton Health Center 510 Geyser Road Ballston Spa,NY12020	Family Medicine/Physical Therapy
13	Saratoga Family Health 119 Lawrence Street Saratoga Springs,NY12866	Family Medicine
14	Galway Family Health 5344 Sacandaga Road PO Box 190 Galway,NY12074	Family Medicine
15	Schuylerville Family Health 200 Broad Street Schuylerville,NY12871	Family Medicine
16	Cardiology Specialy Services 254 Church Street 2nd Floor Saratoga Springs,NY12866	Cardiology

Schedule H (Form 990) 2014

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 I, Line 7	The costing methodology used to determine the amount reported on line 7a is as follows. The total financial assistance, on the basis of charges, per the Hospital's financial statements was multiplied by the cost to charge ratio from the Hospital's 2014 Medicare cost report. The resulting amount was then reduced by any directly offsetting revenues. Offsetting revenues for the purposes of this calculation consist of payments New York State provides the Hospital from a pool, that are intended to offset a portion of the Hospital's charity care and bad debt costs. These payments were split between charity care and bad debt on a pro rata basis and netted against the respective costs. Line 7b -The costing methodology used to determine the amount reported on line 7b is as follows. Total Medicaid charges per the Hospital's patient accounting system were multiplied by the cost to charge ratio from the Hospital's 2014 Medicare cost report. Line 7e includes the Hospital's costs to administer federally and State funded grants. The Hospital administers the New York State Department of Health Health Insurance Navigation Program, Family Health Plus and, Medicaid Facilitated Enrollment Program for Saratoga County, as well as five other neighboring Counties. This program focuses on enrolling eligible individuals in low or no cost insurance programs provided by the State. The Hospital also administers the New York State Cancer Services Program for Saratoga County, which provides uninsured and underinsured patients with routine screening for certain types of cancers. Costs associated with free screening programs are obtained from the Hospital's cost accounting system. With regards to costs for administering grant programs, the Hospital establishes a distinct general ledger cost center for each grant program it administers. Costs reported for the grant programs represent the costs accumulated in those grant-specific cost centers during 2014. Grant program costs have been offset by State funding received to offset the Hospital's costs to administer the programs. In 2013 the Hospital opened its Community Health Center, serving primarily uninsured and under-insured patients. Revenues and costs for the Community Health Center are accumulated and tracked in distinct cost centers on the Hospital's General Ledger. Amounts reported for the Community Health Center were derived from the accounts in those General Ledger cost Centers. Line 7f -The costing methodology used to determine the amount reported on line 7f is as follows. A database is kept for all health professional programs for students and interns that spend time at the Hospital. Within the database, the total direct employee hours spent with the students and interns, as well as, administration hours spent for oversight, are calculated and multiplied by the average hourly rate for the hospital to develop the total community benefit cost. Line 7i - Costs accumulated on line 7i were obtained from Hospital general ledger and accounts payable records for contributions made to other organizations in the community whose missions align with that of the Hospital.
Schedule H, Part II	As a result of its leadership role in identifying community healthcare needs, the Hospital is also the key resource in its community for recruiting physicians practicing in areas of medicine identified as underserved in the community. A component of this recruitment effort includes the extension of relocation incentives to physicians in the targeted need areas. The incentives exist in the form of income guarantees that are provided in an effort to make practice start-up financially palatable for relocating physicians. After an initial period during which funds are advanced to physicians as they have shortfalls versus a targeted income amount, the accumulated advances are converted to promissory notes. Should the physician remain in practice in the community for a contractually agreed-upon number of years after the initial benefit period, the note will be forgiven in full. During 2014, the Hospital forgave advances plus accrued interest amounting to approximately $249,937 relating to these arrangements.
Schedule H, Part III, Section A, Line 4	The following represents text from the footnotes to the Hospital's audited financial statements regarding bad debt expense: The Hospital grants credit without collateral to patient, most of whom are local residents and are insured under third-party agreements. Services rendered to individuals when payment is expected and ultimately not received are written off against the allowance for estimated uncollectible accounts upon management's determination that the balance will likely not be collected. Additions to the allowance for estimated uncollectible accounts are made by means of the provision for bad debts. Accounts written off as uncollectible are deducted from the allowance and subsequent recoveries are added. The amount of the provision for bad debts is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in Federal and state governmental healthcare coverage and other collection indicators. The costing methodology used to determine the amount reported on line 2 is as follows. The total bad debt expense per the Hospital's financial statements was multiplied by the same cost to charge ratio that was used to determine charity care and Medicaid costs reported on Schedule H, lines 7a and 7b, column c. The resulting amount was then reduced by any directly offsetting revenues. Offsetting revenues for the purposes of this calculation consist of payments New York State provides the Hospital from a pool, that are intended to offset a portion of the Hospital's charity care and bad debt costs. These payments were split between charity care and bad debt on a pro rata basis and netted against the respective costs. The rationale for including bad debt amounts in community benefit related to the nature of the question posed on Schedule H, Part III, line 4. A large portion of patients whose account balances end up as bad debt write-offs likely would qualify to receive benefits under the Hospital's financial assistance program were those patients to apply for the benefit and provide the documentation required to assess their ability to qualify. Despite efforts to publicize the availability of the financial assistance program, patient interest and willingness to comply with the documentation requirements remain a challenge for the Hospital. The vast majority of patients who apply for the financial assistance benefit and provide the requested documentation ultimately qualify for and receive the benefit as an end result. As such, in most cases the only difference between reporting an unpaid account balance as a charity care allowance as opposed to a bad debt write off results from our adherence to Healthcare Financial Management Association Statement No. 15 in terms of appropriate reporting of amounts as bad debt expense or charity care when a patient does not apply for financial assistance or comply with documentation requirements.
Schedule H, Part III, Section B, Line 8	Medicare costs reported on Schedule H, Part III, line 6 were determined as follows. Total charges to Medicare-insured patients during 2014 were divided by total charges to all patients during 2014. The resulting ratio was multiplied by total Medicare allowable costs reported in the Hospital's annual Medicare Cost Report.
Schedule H, Part III, Section C, Line 9b	The Hospital has created and maintains a written debt and collection policy, which clearly states adjustments made to collection practices when a patient is known to qualify for Financial Assistance Program (FAP). The Hospital informs patients about the FAP by including the FAP summary in the admission and observation materials, making the FAP summary easily accessible on the Hospital website, included with every hospital bill is information about the availability of the FAP and how to access the FAP summary, placing posters about FAP in areas in the Hospital that are likely to be noticed by patients and visitors, and producing paper copies upon request. Once a patient has been informed of the FAP, the patient will then need to apply for Financial Assistance. A patient can apply by requesting an application and/or confidential assistance in completing the application from any registrar during registration, or by calling Patient Financial Services. After a patient has completed the application for Financial Assistance and meets all of the eligibility requirements, the patients bill is discounted based on the Federal Income Guideline level of income and the size of family. The Hospital will make reasonable efforts to have uninsured and underinsured patients understand and accessible to read and apply for Financial assistance. The reasonable efforts that the Hospital will provide every opportunity to all uninsured and underinsured patients are to give a plain language summary of its FAP and offer an application form, to the patient before discharge from the Hospital. The Hospital also includes information about the availability of Financial Assistance and about how to access the FAP Summary with all (and at least three) billing statements for the care and all other written communications regarding the bill provided to the individual during the period of date of Hospitalization until 150 days after the first billings statement. The Hospital will inform the individual about the FAP in all oral communications with the individual regarding the amount due for the care that occurs during the notification period. The Hospital will provide the individual with at least one written notice that (i) informs the individual about the Extraordinary Collection Efforts the Hospital or other authorized party may take if the individual does not submit a FAP application or pay the amount due by a deadline specified in the notice, and (ii) is provided to the individual at least 30 days before the deadline specified in the written notice. This notice will not be sent any earlier than 120 days after the date of the first billing statement sent to the patient. With respect to a patient who submitted an incomplete FAP application, reasonable effort means that the Hospital will suspend extraordinary collection efforts against the patient, provide the patient with a written notice that describes the additional information and/or documentation required, and includes a copy of the FAP. The Hospital will similarly not permit a third party collection agent to commence an extraordinary collection effort against a person for an unpaid Hospital services bill unless and until a Hospital official has authorized the specific actions against the specific person. If a patient is uninsured and does not apply for Financial Assistance, the Hospital provides an automatic payment discount off of standard charges which is intended to bring the net charges billed down to the level of payment the Hospital would expect to receive from Medicare for the same services.
Schedule H, Part VI, Line 2	The process of identifying the important healthcare needs of the residents of Saratoga County involved both data analysis and consultation with key members of the community. The data was collected from multiple sources including publically available health indicator data, data collected from a survey conducted by the Adirondack Rural Health Network and a survey conducted by Saratoga Hospital. The health indicator data is collected and published by New York State and contains over 300 different health indicators. Since 2003, The Adirondack Rural Health Network has been compiling this data for the region and producing reports to inform healthcare planning on a regional basis. In 2013, ARHN undertook a project to systemize this data into a relational database to provide improved access and analysis. The results of this analysis provide a statistical assessment at the health status for the region and each county therein. In December 2012 and January 2013, the Adirondack Regional Health Network (ARHN) conducted a survey of selected stakeholders representing health care and service-providing agencies within the eight-county region. The results of the survey are intended to provide an overview of regional needs and priorities, to inform future planning and the development of a regional health care agenda. The survey results were presented at both the county and regional levels. Saratoga Hospital also conducted a survey of the residents of Saratoga County to solicit information regarding attitudes about healthcare and healthcare challenges people face in their daily lives. Using the results of the indicator analysis and the surveys, a community health assessment team (CHAT) was convened to identify and prioritize the current healthcare challenges for the residents of Saratoga County. The CHAT consisted of representatives from Saratoga Hospital and the Saratoga County Public Health Nursing Service.
Schedule H, Part VI, Line 3	The Hospital educates patients about eligibility for assistance under its financial assistance program, as well as federal and State programs through the following means: * A supply of brochures containing a plain-language description of the Hospital's financial assistance program (FAP) and an application for the FAP is prominently displayed at all locations in Hospital facilities where patients register for services. * The FAP brochure and application are included in a packet that is provided to all patients being admitted to the Hospital for inpatient or observation stays. * If the Hospital patient financial services department makes a follow-up call to a patient regarding an unpaid bill, the patient is informed about the existence of the FAP. * Bills sent to patients for unpaid balances include a reference to the FAP as well as information on how to contact the Hospital about the FAP. * Information regarding the FAP is located on the Hospital's website, including the location and contact information for the Hospital patient financial services department. * The Hospital uses an external vendor to screen all uninsured inpatients in order to determine whether the patient may be eligible for Medicaid or any other governmental insurance programs, as well as the Hospital's FAP. Patients are then provided assistance in applying for and obtaining access to these programs. * The Hospital administers the New York State Department of Health Child Health Plus, Family Health Plus and Medicaid Facilitated Enrollment Program for Saratoga County, as well as five other neighboring Counties. This program focuses on enrolling eligible individuals in low or no cost insurance programs provided by the State. Brochures regarding the facilities enrollment program are displayed in the same patient registration areas as the FAP brochure, and contact information for this program can also be obtained for the Hospital's website.
Schedule H, Part VI, Line 4	Saratoga Hospital's service area is defined as all of the ZIP codes in Saratoga County plus two ZIP codes that lie in Washington County along the Saratoga County border. The demographic characteristics of these two Washington County ZIP codes closely resemble those of Saratoga County. Over 96% of Saratoga Hospital's inpatients reside in Saratoga County. Based on estimates for 2013, 234,048 people live within Saratoga Hospital's service area of which 49% are male and 51% are female. Of the total female population, approximately 36% are of child-bearing age. People over the age of 65 constitute 15% of the population and children under the age of 15 make up 18% of the population. The average household income is $81,850 which is 15% higher than the national average of $69,637. Ethnically, 92% of the population is white, non-Hispanic and 35% of the population over the age of 25 has achieved an educational level of Bachelor's degree or higher. By 2018 the population of this area is expected to grow by 1.8% making it one of the fastest growing regions in New York State. The greatest growth will be for people 65 years and older. This segment of the population is expected to grow by over 15% within the next five years.
Schedule H, Part VI, Line 5	The Hospital also promotes community health through the following activities: * Open medical staff * Board of Trustees comprised primarily of independent persons from the community * Subsidization of community education forums, at no cost to the public, including: o Childbirth education- monthly classes o Community wellness classes- including education for prevention and management of chronic diseases such as diabetes and asthma, and updates on new treatment pathways available for common ailments o Facilitation of monthly support groups for issues including weight loss, cancer survivors and grief management. * Schedules and topical information for community education forums are made available on the Hospital's website and are also provided in a free quarterly newsletter, ACCESS. ACCESS also includes short articles written by medical staff regarding current health issues. These articles are also posted on the Hospital's website. * The Hospital provides 24-hour call center services, HealthSource, at no cost. * Any surplus generated by the Hospital is reinvested into the Hospital through expansion of operations, by purchase of space and equipment, and hiring of personnel needed to support programs that have been identified as needs for the community the Hospital serves.

Schedule H (Form 990) 2014

Additional Data

Software ID:	14000267
Software Version:	v1.00

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

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

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

THE SARATOGA HOSPITAL

Employer identification number

14-1338547

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

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

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

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

Yes

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

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

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

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

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

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

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

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

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

Yes

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

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

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

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2014

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 in column(B) reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Angelo G CalbonePresident/CEO	(i) (ii)	426,553 ............................... 0	93,521 ............................... 0	71,856 ............................... 0	11,310 ............................... 0	8,304 ............................... 0	611,544 ............................... 0	0 ............................... 0
2Gary FosterVP & CFO	(i) (ii)	269,279 ............................... 0	45,960 ............................... 0	28,011 ............................... 0	13,390 ............................... 0	1,536 ............................... 0	358,176 ............................... 0	0 ............................... 0
3Richard FalivenaVP Chief Medical and Physician Integration Officer	(i) (ii)	328,958 ............................... 0	0 ............................... 0	1,188 ............................... 0	9,230 ............................... 0	7,820 ............................... 0	347,196 ............................... 0	0 ............................... 0
4Mary Jo LaPostaSVP Patient Care and Organizational Excellence and Chief Nursing Officer	(i) (ii)	294,539 ............................... 0	53,559 ............................... 0	18,688 ............................... 0	11,310 ............................... 0	6,291 ............................... 0	384,387 ............................... 0	0 ............................... 0
5Kevin RonayneVP Operations/Facilities	(i) (ii)	217,223 ............................... 0	38,340 ............................... 0	30,827 ............................... 0	13,390 ............................... 0	9,643 ............................... 0	309,423 ............................... 0	0 ............................... 0
6John MangonaVP Chief Information and Compliance Officer	(i) (ii)	223,827 ............................... 0	40,281 ............................... 0	14,924 ............................... 0	13,390 ............................... 0	1,134 ............................... 0	293,556 ............................... 0	0 ............................... 0
7Jeffrey MethvenVP Ambulatory Serv &HR	(i) (ii)	217,421 ............................... 0	40,444 ............................... 0	23,011 ............................... 0	11,310 ............................... 0	9,303 ............................... 0	301,489 ............................... 0	0 ............................... 0
8Gordan KuharPhysician	(i) (ii)	1,113,228 ............................... 0	0 ............................... 0	414 ............................... 0	11,310 ............................... 0	756 ............................... 0	1,125,708 ............................... 0	0 ............................... 0
9Theodoros LaddisPhysician	(i) (ii)	598,750 ............................... 0	75,000 ............................... 0	437 ............................... 0	9,230 ............................... 0	642 ............................... 0	684,059 ............................... 0	0 ............................... 0
10Seth CapelloPhysician	(i) (ii)	628,654 ............................... 0	0 ............................... 0	362 ............................... 0	11,310 ............................... 0	7,286 ............................... 0	647,612 ............................... 0	0 ............................... 0
11Joseph BellPhysician	(i) (ii)	541,777 ............................... 0	0 ............................... 0	470 ............................... 0	11,310 ............................... 0	9,803 ............................... 0	563,360 ............................... 0	0 ............................... 0
12Frederick ReynoldsPhysician	(i) (ii)	534,777 ............................... 0	0 ............................... 0	380 ............................... 0	11,310 ............................... 0	7,303 ............................... 0	553,770 ............................... 0	0 ............................... 0

Schedule J (Form 990) 2014

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 2014, 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: 457 - F Angelo Calbone - Contributions $74,528 and received a distribution of $62,415 Gary Foster - Contributions $1,847 Mary Jo LoPosta - Contributions $3,781 Richard Falivena - Contributions $16,769

Schedule J, Part I, Line 6

The Hospital administers an incentive compensation program under which members of the Hospital management are eligible to earn up to a percentage of their base salaries in incentive compensation. Overall incentive compensation is based on measurable achievement against a menu of organizational goals, including financial results, patient satisfaction, quality of care, employee satisfaction and retention, and growth in services. The portion of incentive compensation related to operating margin of the Hospital and its affiliates represented 6.25% of the overall incentive compensation available during 2014, 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) 2014

Additional Data

Software ID:	14000267
Software Version:	v1.00

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

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

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	IDA Series 2007A	52-1310482	803482DF2	12-21-2007	15,790,000	ED Construction		X		X		X
B	IDA Series 2007B	52-1310482	803482DE5	12-12-2007	18,406,490	ED Construction & Renovation		X		X		X
C	IDA Series 2013 A	46-1520521	803481AS9	02-07-2013	24,273,094	Refinance Revenue Bonds		X		X		X
D	IDA Series 2014 A	46-1520521	803481AT7	01-16-2014	25,000,000	ICU/OR Construction		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	0		1,320,000		1,340,000		0
2 Amount of bonds legally defeased . . . . . . . . . . .	2,650,000		2,125,000		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	15,790,000		18,406,490		24,273,094		25,000,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0		1,372,312		1,667,331		0
5 Capitalized interest from proceeds . . . . . . . . . . .	1,121,735		423,697		0		617,598
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		22,004,520		0
7 Issuance costs from proceeds . . . . . . . . . . . .	223,475		262,395		485,462		500,000
8 Credit enhancement from proceeds . . . . . . . . . . .	53,214		0		0		230,750
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	14,391,576		16,348,698		0		23,490,778
11 Other spent proceeds . . . . . . . . . . . . . .	0		0		115,599		160,874
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		0		0
13 Year of substantial completion . . . . . . . . . . . .	2009		2009		2013		2015
	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) 2014

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0 %		0 %				0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0 %		0 %				0 %
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		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 "Yes" to 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) 2014

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-12/21/2007 15,790,000 IDA Series 2007A	Arbitrage rebate computation was performed on 12/1/14 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/14 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 12/1/14 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/14 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 12/1/14 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/14 resulting in no rebate liability for IDA Series 2013 A.
Schedule K, Part IV, Line 2c-01/16/2014 25,000,000 IDA Series 2014 A	Arbitrage rebate computation was performed on 12/1/14 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/14 resulting in no rebate liability for IDA Series 2014 A.

Schedule K (Form 990) 2014

Additional Data

Software ID:	14000267
Software Version:	v1.00

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

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

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	IDA Series 2007A	52-1310482	803482DF2	12-21-2007	15,790,000	ED Construction		X		X		X
B	IDA Series 2007B	52-1310482	803482DE5	12-12-2007	18,406,490	ED Construction & Renovation		X		X		X
C	IDA Series 2013 A	46-1520521	803481AS9	02-07-2013	24,273,094	Refinance Revenue Bonds		X		X		X
D	IDA Series 2014 A	46-1520521	803481AT7	01-16-2014	25,000,000	ICU/OR Construction		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	0		1,320,000		1,340,000		0
2 Amount of bonds legally defeased . . . . . . . . . . .	2,650,000		2,125,000		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	15,790,000		18,406,490		24,273,094		25,000,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0		1,372,312		1,667,331		0
5 Capitalized interest from proceeds . . . . . . . . . . .	1,121,735		423,697		0		617,598
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		22,004,520		0
7 Issuance costs from proceeds . . . . . . . . . . . .	223,475		262,395		485,462		500,000
8 Credit enhancement from proceeds . . . . . . . . . . .	53,214		0		0		230,750
9 Working capital expenditures from proceeds . . . . . . . . .	0		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	14,391,576		16,348,698		0		23,490,778
11 Other spent proceeds . . . . . . . . . . . . . .	0		0		115,599		160,874
12 Other unspent proceeds . . . . . . . . . . . . . .	0		0		0		0
13 Year of substantial completion . . . . . . . . . . . .	2009		2009		2013		2015
	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) 2014

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0 %		0 %				0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0 %		0 %				0 %
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .		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 "Yes" to 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) 2014

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-12/21/2007 15,790,000 IDA Series 2007A	Arbitrage rebate computation was performed on 12/1/14 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/14 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 12/1/14 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/14 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 12/1/14 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/14 resulting in no rebate liability for IDA Series 2013 A.
Schedule K, Part IV, Line 2c-01/16/2014 25,000,000 IDA Series 2014 A	Arbitrage rebate computation was performed on 12/1/14 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/14 resulting in no rebate liability for IDA Series 2014 A.

Schedule K (Form 990) 2014

Additional Data

Software ID:	14000267
Software Version:	v1.00

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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), section 501(c)(4), and 501(c)(29) 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	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

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

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

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-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?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No
(1) Healthcare Partners of Saratoga LTD DBA MMEC	Joint Venture with 50% control	Expenses paid		X	718,000	718,000		No	Yes		Yes





Total ...... $						718,000

Part III

Grants or Assistance Benefiting 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) 2014

Page 2

Part IV

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

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) 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	615,149	Trustee is Executive Vice President of Adirondack Trust Company, a bank with which we have a TELP loan ($615,149) for the Hospital		No
(3) George Silver MD	Board Trustee	111,000	Trustee is Partner OrthoNY, LLP, a company that the Hospital has a service agreement to provide administrative services for the Hospital's Orthopedic Services		No
(4) George Silver MD	Board Trustee	172,775	Trustee is a Partner of Boss Enterprises, LLP, a company that leases medical space to Hospital.		No
(5) Healthcare Partners of Saratoga LTD DBA MMEC	Joint Venture with 50% control	600,000	Capital Contribution		No
(6) Healthcare Partners of Saratoga LTD DBA MMEC	Joint Venture with 50% control	8,492,588	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 Hospital's two hospital-based medical hematology/oncology clinics. Dr. George Silver - Dr. Silver is a Partner (20%) of Boss Enterprises, LLP, which leases medical space to Hospital. Dr. Silver is also a Partner (20%) of OrthoNY, LLP, a company that the Hospital has a service agreement to provide administrative services for the Hospital's Orthopedic Surgery Services. Steve von Schenk- Mr. von Schenk served as Executive Vice President for The Adirondack Trust Company during 2014. 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 2014 the hospital made principal and interest payments of $615,149 on the lease financing. The principal balance remaining on the lease financing at December 31, 2014 is $2,844,868. 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 2014, the Hospital transferred a total of $600,000 to the Joint Venture as a capital contribution. The Hospital's capital contribution to MMEC was offset by 50% of the operating gains incurred by MMEC during 2014. The amount by which the Hospital's investment was increased as a result in 2014 was approximately $3,700. Accordingly the Hospital's net investment in MMEC stood at approximately $2,079,000 at December 31, 2014. Saratoga Hospital employs all non-provider staff who work at MMEC and leases the personnel to MMCE at cost. During 2014, the value of leased staffing services contracted to MMEC was $5,176,000.

Schedule L (Form 990 or 990-EZ) 2014

Additional Data

Software ID:	14000267
Software Version:	v1.00

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ 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

2014

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 2014 the Hospital added the following services: Cardiology Specialty Services, consisting of a team of three board-certified, fellowship-trained cardiologists, providing a full complement of cardiology care and Saratoga Regional Neurology, including one neurologist. Additionally, a location offering primary care providers and outpatient therapy services was opened in the town of Milton.
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 2014, 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.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

Additional Data

Software ID:	14000267
Software Version:	v1.00

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) Saratoga Care Inc 211 Church Street Saratoga Springs,NY12866 14-1775218	Promoting Health	NY	501(c)(3)	3	N/A		No
(2) Healthcare Partners of Saratoga LTD DBA MMEC211 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) 2014

Page 2

Part III

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

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

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(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		Yes	No
(1) Saratoga Regional Medical Group 211 Church Street Saratoga Springs,NY12866 47-2468259	Provide Professional Healthcare services to the Saratoga Region	NY	The Saratoga Hospital Chief Medical Officer	C	100	100	100 %	Yes

Schedule R (Form 990) 2014

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

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 . . . . . . . . . . . . . . . . . . . . . . .

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

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

Yes

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

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

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

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

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

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

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

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

Yes

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

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

Yes

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

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

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	2,790,466	FMV of Cash Transaction
(2) Saratoga Care Inc	o	312,116	FMV of Cash Transaction
(3) Saratoga Care Inc	q	611,474	FMV of Cash Transaction

Schedule R (Form 990) 2014

Page 4

Part VI

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

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

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

Schedule R (Form 990) 2014

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation
Schedule R, Part IV	At the time of filing, Saratoga Regional Medical Group is working with the IRS to change its original distinction of being a non-exempt organization to an exempt organization.

Schedule R (Form 990) 2014

Additional Data

Software ID:	14000267
Software Version:	v1.00

1	Briefly describe the organization’s mission or most significant activities: To serve the people of the Saratoga region by providing them access to excellence in healthcare in a supportive and caring environment.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	2,522
6	Total number of volunteers (estimate if necessary) .............	6	250
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	3,972,925
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	160,261

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,894,810	4,612,511
9	Program service revenue (Part VIII, line 2g) .........	228,559,079	248,273,854
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-588,489	3,147,979
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	8,200,841	11,795,899
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	238,066,241	267,830,243
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)	123,329,655	137,774,013
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 327,584
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	103,210,593	111,044,912
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	226,540,248	248,818,925
19	Revenue less expenses. Subtract line 18 from line 12.......	11,525,993	19,011,318
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	262,256,473	303,227,947
21	Total liabilities (Part X, line 26).............	95,438,453	116,089,540
22	Net assets or fund balances. Subtract line 21 from line 20.....	166,818,020	187,138,407

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 229,656,174 including grants of $ ) (Revenue $ 248,273,854 )
	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 2014, the hospital emergency department facilitated 36,304 patient visits. * The Hospital represents the only inpatient acute care facility in Saratoga County. During 2014, the Hospital had 8,432 admissions for inpatient adult and pediatric care. These admissions included 733 births, 686 admissions to our inpatient mental health unit and 70 admissions for Hospice care. Total adult and pediatric inpatient days for the Hospital during 2014 were 40,260 which included 3,957 days of inpatient care in the Critical Care Unit. * The Hospital operates a 36-bed skilled nursing facility on its campus. During 2014, 12,252 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: o FPL x 250% or below- 100% discount o FPL x 300%- 75% discount o FPL x 350% - 50% discount o FPL x 400%- 25% discount In addition to the means-tested charity care benefit program described above, beginning January 1, 2008, the Hospital began providing an automatic 35% discount from charges for any uninsured patients receiving care at any of the hospital's locations. This discount applies regardless of a patient's ability to pay. The discount is shown clearly on any bills sent to the patient in order to enhance awareness of the availability of this benefit. Effective January 1, 2009, the Hospital began providing discounted rates to uninsured patients receiving care at its urgent care site. 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 2014, the benefits provided under these policies, measured on the basis of costs, amounted to approximately $3,812,000. * The Hospital has one site providing urgent care services to the community. Many patients in the community are unable to access primary care on a timely basis if at all. The Hospital has continually expanded access to the urgent care site, including nights and weekends in order to meet community need. As a result, our urgent care site has become a significant portal of access to care for the community. During 2014, our urgent care site accommodated 36,304 patient visits. * During 2014 the hospital incurred bad debt expense of approximately $7,612,000 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 2014 were approximately $8,809,000 and $11,897,000, respectively. * The Hospital is the community leader in assessing community healthcare needs and working to bring the needed services into the community. These efforts include the following: o Subscriptions to databases providing demographics for the communities served. Based on information such as age, gender, etc. anticipated needs by physician specialty and type of inpatient or outpatient care are determined. o Continuous patient satisfaction surveys are conducted in order to gain patient feedback regarding the quality of care received and perceptions of their overall experience as patients. o "Secret shopper" calls are conducted whereby Hospital personnel call physician practices in the community in order to determine accessability to physician care in terms of days wait to be seen for acute and chronic problems. o Community input is obtained through information gathering sessions held with human resources representatives of local business, as well as representatives from other not-for-profit and governmental agencies operating in the community. In addition to discussion occurring at the sessions, those whose attend as well as those who are unable to attend are asked to return written surveys to the Hospital. The surveys include questions regarding the availability and quality of health care services in the community. o Ongoing dialogue with medical staff members regarding their perceptions regarding quality of care and areas of need for the community. o Formalized tracking processes for patient communications and complaints. * As a result of its leadership role in identifying community healthcare needs, the Hospital is also the key resource in its community for recruiting physicians practicing in areas of medicine identified as underserved in the community. A component of this recruitment effort includes the extension of relocation incentives to physicians in the targeted need areas. The incentives exist in the form of income guarantees that are provided in an effort to make practice start-up financially palatable for relocating physicians. After an initial period during which funds are advanced to physicians as they have shortfalls versus a targeted income amount, the accumulated advances are converted to promissory notes. Should the physician remain in practice in the community for a contractually agreed-upon number of years after the initial benefit period, the note will be forgiven in full. During 2014, the Hospital forgave advances plus accrued interest amounting to approximately $223,000 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. * 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 expenses229,656,174

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)			(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) Richard Falivena........................................................................ VP Chief Medical and Physician Integration Officer	38 .......................0	X		330,146	0	17,050
(19) Mary Jo LaPosta........................................................................ SVP Patient Care and Organizational Excellence and Chief Nursing Officer	38 .......................0	X		366,786	0	17,601
(20) Kevin Ronayne........................................................................ VP Operations/Facilities	38 .......................0	X		286,390	0	23,033
(21) John Mangona........................................................................ VP Chief Information and Compliance Officer	38 .......................0	X		279,032	0	14,524
(22) Jeffrey Methven........................................................................ VP Ambulatory Serv &HR	38 .......................0	X		280,876	0	20,613
(23) Gordan Kuhar........................................................................ Physician	38 .......................0		X	1,113,642	0	12,066
(24) Theodoros Laddis........................................................................ Physician	38 .......................0		X	674,187	0	9,872
(25) Seth Capello........................................................................ Physician	38 .......................0		X	629,016	0	18,596
(26) Joseph Bell........................................................................ Physician	38 .......................0		X	542,247	0	21,113
(27) Frederick Reynolds........................................................................ Physician	38 .......................0		X	535,157	0	18,613

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	5,972,659	0	207,621

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a		0
b	Membership dues....1b		0
c	Fundraising events....1c		0
d	Related organizations...1d		4,008,697
e	Government grants (contributions)1e		470,706

f	All other contributions, gifts, grants, and similar amounts not included above1f		133,108

g	Noncash contributions included in lines 1a-1f:$		0
h	Total. Add lines 1a-1f.......			4,612,511
			Business Code
2a	Not For Profit Hospital		621000	125,926,840	125,926,840	0	0
b	Medicare, Traditional and MC		622000	104,501,146	104,501,146	0	0
c	Medicaid, Traditional and MC		622000	13,858,804	13,858,804	0	0
d	Specimen Drop Offs		621500	3,987,064	0	3,987,064	0
e
f	All other program service revenue .			0	0	0	0
g	Total. Add lines 2a–2f........			248,273,854
3	Investment income (including dividends, interest, and other similar amounts).......			867,976	0	-14,139	882,115
4	Income from investment of tax-exempt bond proceeds..			6,321	0	0	6,321
5	Royalties...........			0	0	0	0
		(i) Real	(ii) Personal
6a	Gross rents	403,865	0
b	Less: rental expenses	583,949	0
c	Rental income or (loss)	-180,084	0
d	Net rental income or (loss).......			-180,084	-180,084	0	0
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	12,090,592	61,436
b	Less: cost or other basis and sales expenses	9,878,346	0
c	Gain or (loss)	2,212,246	61,436
d	Net gain or (loss)..........			2,273,682	2,273,682	0	0
8a	Gross income from fundraising events (not including $ 0 of contributions reported on line 1c). See Part IV, line 18 ..
	a		24,197
b	Less: direct expenses ...b		9,668
c	Net income or (loss) from fundraising events..			14,529		0	14,529
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a		634,446
b	Less: cost of goods sold ..b		142,160
c	Net income or (loss) from sales of inventory..			492,286	0	0	492,286
Miscellaneous Revenue			Business Code
11a	HCP Contracted Services		621110	5,141,428	5,141,428	0	0
b	Caferteria		722210	1,220,075	0	0	1,220,075
c	EMR Incentive		900099	1,003,602	1,003,602	0	0
d	All other revenue ....			4,104,063	4,104,063	0	0
e	Total. Add lines 11a–11d ......			11,469,168
12	Total revenue. See Instructions......			267,830,243	256,629,481	3,972,925	2,615,326


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			21,713,392	1	34,150,438
2	Savings and temporary cash investments .........			16,900,162	2	16,209,912
3	Pledges and grants receivable, net ...........			0	3	0
4	Accounts receivable, net .............			23,530,970	4	27,564,755
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	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 .............			5,011,510	7	2,427,380
8	Inventories for sale or use ..............			5,690,261	8	6,119,825
9	Prepaid expenses and deferred charges ..........			4,666,095	9	4,649,412
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	275,256,137
b	Less: accumulated depreciation .....	10b	160,823,437	104,218,601	10c	114,432,700
11	Investments—publicly traded securities ..........			49,295,934	11	59,785,012
12	Investments—other securities. See Part IV, line 11 .....			25,694,221	12	28,570,967
13	Investments—program-related. See Part IV, line 11 .....			15,001	13	15,001
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			5,520,326	15	9,302,545
16	Total assets. Add lines 1 through 15 (must equal line 34)......			262,256,473	16	303,227,947
17	Accounts payable and accrued expenses .........			26,640,397	17	24,264,967
18	Grants payable .................			0	18	0
19	Deferred revenue ................			0	19	0
20	Tax-exempt bond liabilities .............			53,501,907	20	75,269,767
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 ..			5,232,419	23	4,382,105
24	Unsecured notes and loans payable to unrelated third parties ....			3,650,000	24	3,450,000
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....................			6,413,730	25	8,722,701
26	Total liabilities. Add lines 17 through 25.........			95,438,453	26	116,089,540
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			162,722,979	27	181,745,152
28	Temporarily restricted net assets ...........			2,676,847	28	3,817,963
29	Permanently restricted net assets ...........			1,418,194	29	1,575,292
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			166,818,020	33	187,138,407
34	Total liabilities and net assets/fund balances ........			262,256,473	34	303,227,947