Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
A For the 2015 calendar year, or tax year beginning 01-01-2015 , and ending 12-31-2015
BCheck if applicable:
CName of organization
THE SARATOGA HOSPITAL
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
211 Church Street
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Saratoga Springs, NY128661090
D Employer identification number

14-1338547
E Telephone number

G Gross receipts $ 296,594,029
F Name and address of principal officer:
Angelo Calbone
211 Chruch Street
Saratoga Springs,NY12866
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.saratogahospital.org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1891
M State of legal domicile: NY
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: To serve the people of the Saratoga region by providing them access to excellence in healthcare in a supportive and caring environment.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 16
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 13
5 Total number of individuals employed in calendar year 2015 (Part V, line 2a) ...... 5 2,708
6 Total number of volunteers (estimate if necessary) ............. 6 250
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 3,891,281
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 633,214
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 4,612,511 1,651,111
9 Program service revenue (Part VIII, line 2g) ......... 248,273,854 264,122,177
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 3,147,979 1,032,454
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 11,795,899 14,428,653
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 267,830,243 281,234,395
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 137,774,013 153,025,036
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet360,896    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 111,044,912 112,506,665
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 248,818,925 265,531,701
19 Revenue less expenses. Subtract line 18 from line 12....... 19,011,318 15,702,694
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 303,227,947 319,478,338
21 Total liabilities (Part X, line 26)............. 116,089,540 116,999,490
22 Net assets or fund balances. Subtract line 21 from line 20..... 187,138,407 202,478,848
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet
Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2015)
Form 990 (2015)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: To serve the people of the Saratoga region by providing them access to excellence in healthcare in a supportive and caring environment.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 244,649,896 including grants of $ 0 ) (Revenue $ 264,122,172 )
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 2015, the hospital emergency department facilitated 35,913 patient visits. * The Hospital represents the only inpatient acute care facility in Saratoga County. During 2015, the Hospital had 8,705 admissions for inpatient adult and pediatric care. These admissions included 742 births, 603 admissions to our inpatient mental health unit and 60 admissions for Hospice care. Total adult and pediatric inpatient days for the Hospital during 2014 were 42,593 which included 4,306 days of inpatient care in the Critical Care Unit. * The Hospital operates a 36-bed skilled nursing facility on its campus. During 2015, 11,936 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 patient responsibility for reimbursement) 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 financial assistance program described above, the Hospital provides an automatic discount from charges (76% for 2015) for any uninsured patients receiving care at any of the hospital's locations. The discount percentage is determined annually and is designed to result in uninsured patients being billed no more for services than the Hospital would be reimbursed by Medicare for the same services. This discount applies regardless of a patient's ability to pay. The discount is shown clearly on any bills sent to the patient in order to enhance awareness of the availability of this benefit. The Hospital also provides discounted rates to uninsured patients receiving care at its emergency department or urgent care site. Uninsured patients are asked 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 2015, the benefits provided under these policies, measured on the basis of costs, amounted to approximately $3,444,000. * 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 2015, our urgent care site accommodated 33,110 patient visits. * During 2015 the hospital incurred bad debt expense of approximately $4,355,000 measured on the basis of charges. 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, which uninsured patients will often utilize as an option as opposed 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 2015 were approximately $7,313,000 and $15,378,000, 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 2015, the Hospital forgave advances plus accrued interest amounting to approximately $224,000 relating to these arrangements. * The Hospital is the lead agency in Saratoga County for administering the State of New York's Cancer Services Program (CSP). In the role of CSP administrator for the County, Hospital personnel actively seek out low-income members of the community who possess certain risk factors, such as age or gender, and facilitate cancer screenings and, if necessary, treatment services for eligible individuals. The services are provided at no cost to the individuals. The State reimburses the Hospital for any screening or treatment services provided to these patients based on Medicaid reimbursement rates. The State reimburses the Hospital for a portion of the administrative costs incurred by the Hospital in identifying eligible individuals and coordinating screening and treatment services. During 2015, unreimbursed costs of administering the program were approximately $39,000. * Hospital personnel take a leading role in development and maintenance of a County-wide emergency preparedness and response plan, including corresponding with law enforcement, fire, emergency medical services and other relevant agencies to develop, test and maintain 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 expensesMediumBullet244,649,896
Form 990 (2015)
Form 990 (2015)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment..............
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III.................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I..................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III .............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
Form 990 (2015)
Form 990 (2015)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
 
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
Yes
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I ...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II ................Click to see attachment
26
Yes
 
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV ........................Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II ...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I ........
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
Yes
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2015)
Form 990 (2015)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
125
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
2,708
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
 
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
 
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2015)
Form 990 (2015)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
16
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
13
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
NY
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletMICHAEL BATTLEThe Saratoga Hospital211 Church StreetSaratoga Springs,NY12866 (518) 583-8498
Form 990 (2015)
Form 990 (2015)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

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

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

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

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Janice M White......................................................................
Chairperson
 2.5
.................
0 		X           0 0 0
(2) David M Mastrianni MD......................................................................
Co-Vice Chairperson
 2.5
.................
0 		X           0 0 0
(3) Donna Montalto......................................................................
Board Member
 2.5
.................
0 		X           0 0 0
(4) Michael H Iacolucci......................................................................
Treasurer
 2.5
.................
0 		X           0 0 0
(5) Theresa M Skaine......................................................................
Secrectary
 2.5
.................
0 		X           0 0 0
(6) Dennis A Brobston......................................................................
Board Member
 2.5
.................
0 		X           0 0 0
(7) Judith A Ekman......................................................................
Board Member
 2.5
.................
0 		X           0 0 0
(8) Eugene K Merecki MD......................................................................
Board Member
 2.5
.................
0 		X           0 0 0
(9) Alan C Oppenheim......................................................................
Board Member
 2.5
.................
0 		X           0 0 0
(10) George E Silver MD......................................................................
Board Member
 2.5
.................
0 		X           0 0 0
(11) William R Stanley......................................................................
Board Member
 2.5
.................
0 		X           0 0 0
(12) N Keith Stewart......................................................................
Board Member
 2.5
.................
0 		X           0 0 0
(13) Michael J Toohey......................................................................
Board Member
 2.5
.................
0 		X           0 0 0
(14) Frank L Messa......................................................................
Board Member
 2.5
.................
0 		X           0 0 0
(15) Michael D West......................................................................
Board Member
 2.5
.................
0 		X           0 0 0
(16) Angelo G Calbone......................................................................
President/CEO
 38
.................
0 		X   X X     761,845 0 32,344
(17) Gary Foster......................................................................
VP & CFO
 38
.................
0 		    X X     334,655 0 16,644
Form 990 (2015)
Form 990 (2015)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Richard Falivena........................................................................
VP Chief Medical and Physician Integration Officer
 38
.......................0 		      X     406,732 0 21,823
(19) Mary Jo LaPosta........................................................................
SVP Patient Care and Organizational Excellence and Chief Nursing Officer
 38
.......................0 		      X     365,271 0 21,091
(20) Kevin Ronayne........................................................................
VP Operations/Facilities
 38
.......................0 		      X     279,517 0 30,372
(21) John Mangona........................................................................
VP Chief Information and Compliance Officer
 38
.......................0 		      X     284,957 0 15,182
(22) Jeffrey Methven........................................................................
VP Ambulatory Serv &HR
 38
.......................0 		      X     297,032 0 29,982
(23) Gordan Kuhar........................................................................
Physician
 38
.......................0 		        X   1,093,446 0 12,284
(24) Theodoros Laddis........................................................................
Physician
 38
.......................0 		        X   650,720 0 10,096
(25) Gary Idelchik........................................................................
Physician
 38
.......................0 		        X   649,306 0 16,403
(26) Dmitri Baranov........................................................................
Physician
 38
.......................0 		        X   546,023 0 15,781
(27) Rachid Daoui........................................................................
Physician
 38
.......................0 		        X   531,490 0 26,224






1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 6,200,994 0 248,226
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet179
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
AOW Associates Inc

30 Essex Street
Albany,NY12206 		Construction 10,246,961
Saratoga Emergency Physicians PC

The Saratoga Hospital
211 Church Street
Saratoga Springs,NY12866 		Physicians 3,224,860
Laboratory Corp of America

2975 W CORPORATE LAKES BLVD
WESTON,FL333313626 		Medical Laboratory Testing 1,643,936
STRATEGIC SOLUTIONS

3 CORPORATE DRIVE SUITE 100
CLIFTON PARK,NY12065 		Medical Billing 1,581,624
HYPERTYPE INC

39 HALADA DR
LAKE GEORGE,NY12845 		Transcription Service 1,069,059
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet35
Form 990 (2015)
Form 990 (2015)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 0
b Membership dues..1b 0
c Fundraising events..1c 0
d Related organizations1d 1,191,906
e Government grants (contributions)1e 459,205
f All other contributions, gifts, grants, and similar amounts not included above1f 0
g Noncash contributions included in lines 1a-1f:$ 0
h Total.Add lines 1a-1f.......MediumBullet 1,651,111
Program Service RevenueAmt Business Code
2a Not For Profit Hospital 622000 148,928,352 148,928,352 0 0
b Medicare,Traditional and MC 622000 97,960,178 97,960,178 0 0
c Medicaid, Traditional and MC 622000 13,330,014 13,330,014 0 0
d Specimen Drop Offs 621500 3,903,633 0 3,903,633 0
e
f All other program service revenue. 0 0 0 0
g Total.Add lines 2a–2f.....MediumBullet 264,122,177
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ..........MediumBullet 869,931 0 -12,352 882,283
4 Income from investment of tax-exempt bond proceedsMediumBullet 10,139 0 0 10,139
5 Royalties...........MediumBullet 0 0 0 0
(ii) Personal (i) Real
6a Gross rents 0 22,920
b Less: rental expenses 0 60,390
c Rental income or (loss) 0 -37,470
d Net rental income or (loss)......MediumBullet -37,470 -37,470 0 0
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 0 15,254,333
b Less: cost or other basis and sales expenses 10,300 15,091,649
c Gain or (loss) -10,300 162,684
d Net gain or (loss).....MediumBullet 152,384 152,384 0 0
8a Gross income from fundraising events (not including $ 0of contributions reported on line 1c). See Part IV, line 18 ....
a 13,999
b Less: direct expenses ...b 8,279
c Net income or (loss) from fundraising events..MediumBullet 5,720 0 5,720
9a Gross income from gaming activities.
See Part IV, line 19 ...
a 0
b Less: direct expenses ...b 0
c Net income or (loss) from gaming activities..MediumBullet 0 0 0 0
10a Gross sales of inventory, less
returns and allowances ..
a 650,239
b Less: cost of goods sold ..b 189,016
c Net income or (loss) from sales of inventory..MediumBullet 461,223 0 0 461,223
Business Code Miscellaneous Revenue
11a Contracted Services 621110 6,623,999 6,623,999 0 0
b Cafeteria 722210 1,275,527 0 0 1,275,527
c EMR Incentive 900099 813,291 813,291 0 0
d All other revenue .... 5,286,363 5,286,363 0 0
e Total. Add lines 11a–11d ...... MediumBullet 13,999,180
12 Total revenue. See Instructions......MediumBullet 281,234,395 273,057,111 3,891,281 2,634,892
Form 990 (2015)
Form 990 (2015)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 0 0
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 0 0
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0 0
4 Benefits paid to or for members 0 0
5 Compensation of current officers, directors, trustees, and key employees .... 2,886,918 0 2,886,918 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 121,890,776 113,126,977 8,590,000 173,799
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 4,229,585 3,840,010 389,575 0
9 Other employee benefits ....... 15,637,138 14,196,845 1,440,293 0
10 Payroll taxes ........... 8,380,619 7,608,703 771,916 0
11 Fees for services (non-employees):        
a Management ...... 109,747 109,747 0 0
b Legal ......... 556,131 0 556,131 0
c Accounting ........... 112,821 0 112,821 0
d Lobbying ........... 30,288 0 30,288 0
e Professional fundraising services. See Part IV, line 17 0 0
f Investment management fees ...... 93,778 0 93,778 0
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 16,165,445 14,774,810 1,390,635 0
12 Advertising and promotion .... 873,576 21,804 851,772 0
13 Office expenses ....... 14,031,311 12,081,771 1,861,545 87,995
14 Information technology ...... 2,594,396 2,452,846 141,550 0
15 Royalties .. 0 0 0 0
16 Occupancy ........... 6,991,916 6,719,412 181,320 91,184
17 Travel ............ 18,782 16,988 1,794 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 .... 665,943 608,475 49,550 7,918
20 Interest ........... 77,305 77,305 0 0
21 Payments to affiliates ....... 0 0 0 0
22 Depreciation, depletion, and amortization .. 13,023,418 12,312,860 710,558 0
23 Insurance ... 1,788,087 1,778,966 9,121 0
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a Bad Debt 4,355,000 4,355,000 0 0
b Medical Supplies 50,110,464 50,110,464 0 0
c
d
e All other expenses 908,257 456,913 451,344  
25 Total functional expenses. Add lines 1 through 24e 265,531,701 244,649,896 20,520,909 360,896
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2015)
Form 990 (2015)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 34,150,438 1 26,806,806
2 Savings and temporary cash investments ......... 16,209,912 2 24,846,610
3 Pledges and grants receivable, net ...... 0 3 0
4 Accounts receivable, net ............. 27,564,755 4 28,374,083
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 .... 2,427,380 7 2,559,137
8 Inventories for sale or use ........ 6,119,825 8 6,560,768
9 Prepaid expenses and deferred charges ...... 4,649,412 9 4,790,241
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 302,185,530
b Less: accumulated depreciation 10b 173,331,266 114,432,700 10c 128,854,264
11 Investments—publicly traded securities . 59,785,012 11 50,941,122
12 Investments—other securities. See Part IV, line 11 ..... 28,570,967 12 37,166,151
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 ........... 9,302,545 15 8,564,155
16 Total assets. Add lines 1 through 15 (must equal line 34)... 303,227,947 16 319,478,338
Liabilities 17 Accounts payable and accrued expenses ..... 24,264,967 17 28,769,732
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 0 19 0
20 Tax-exempt bond liabilities ......... 75,269,767 20 73,245,106
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 .. 4,382,105 23 5,401,208
24 Unsecured notes and loans payable to unrelated third parties .. 3,450,000 24 3,250,000
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 8,722,701 25 6,333,444
26 Total liabilities. Add lines 17 through 25.. 116,089,540 26 116,999,490
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 181,745,152 27 196,182,673
28 Temporarily restricted net assets ........... 3,817,963 28 4,944,403
29 Permanently restricted net assets 1,575,292 29 1,351,772
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund ...   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 187,138,407 33 202,478,848
34 Total liabilities and net assets/fund balances ........ 303,227,947 34 319,478,338
Form 990 (2015)
Form 990 (2015)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
281,234,395
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
265,531,701
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
15,702,694
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
187,138,407
5
Net unrealized gains (losses) on investments ...............
5
-362,253
6
Donated services and use of facilities .................
6
0
7
Investment expenses .....................
7
0
8
Prior period adjustments .....................
8
0
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
0
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
202,478,848
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2015)
Form 990 (2015)
Additional Data


Software ID: 15000352
Software Version: v1.00
Form 990, Special Condition Description:
Special Condition Description
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
2015
Open to Public
Inspection
Name of the organization
THE SARATOGA HOSPITAL
 
Employer identification number

14-1338547
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4


5
6
7
8
9
10
11
a
b
c
d
e
f
Enter the number of supported organizations ..............  

g
Provide the following information about the supported organization(s).
(i)Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total      

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (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.  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513...            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
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
No
1
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.
1
 
 
2
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).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
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.
3b
 
 
c
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.
3c
 
 
4a
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.
4a
 
 
b
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.
4b
 
 
c
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.
4c
 
 
5a
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).
5a
 
 
b
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?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
 
9a
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.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9a) 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.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
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
 
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
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
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
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
 
 
Section B. Type I Supporting Organizations
Yes
No
1
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.
1
 
 
2
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.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
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).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
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).
2
 
 
3
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.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
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.
2a
 
 
b
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.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
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.
3a
 
 
b
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.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
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 2015 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-2015 		(iii)
Distributable
Amount for 2015
1 Distributable amount for 2015 from Section C, line
6 		 
2 Underdistributions, if any, for years prior to 2015
(reasonable cause required--see instructions)		  
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......  
e From 2014.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2015 distributable amount  
i Carryover from 2010 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2015 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2015 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2015, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)		  
6 Remaining underdistributions for 2015. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)		  
7 Excess distributions carryover to 2016. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a
b
c Excess from 2013.......  
d From 2014.......  
e From 2015.......  
Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015
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) 2015


Additional Data


Software ID: 15000352
Software Version: v1.00
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletInformation about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
If the organization answered "Yes" on 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" on 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" on 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.

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

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

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

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2015

Schedule C (Form 990 or 990-EZ) 2015
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................    
c Total lobbying expenditures (add lines 1a and 1b) .......................................................................    
d Other exempt purpose expenditures .........................................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ..............................................................................................................

4-Year Averaging Period Under section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2012 (b) 2013 (c) 2014 (d) 2015 (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) 2015


Schedule C (Form 990 or 990-EZ) 2015
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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
30,288
j
Total. Add lines 1c through 1i ....................................................................................................
30,288
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, 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.
Schedule C (Form 990 or 990EZ) 2015


Additional Data


Software ID: 15000352
Software Version: v1.00

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on 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
2015
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" on 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 ....    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................
Part II
Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a)Current year (b)Prior year (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 11,026,699 9,804,371 8,002,591 7,412,104 7,880,460
b Contributions ... 701,682 157,093 857,164 67,000 90,942
c Net investment earnings, gains, and losses -39,754 1,065,235 944,616 523,487 -559,298
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 ...... 11,688,627 11,026,699 9,804,371 8,002,591 7,412,104
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet88 %
b
Permanent endowment SchDMd Bullet12 %
c
Temporarily restricted endowment SchDMd Bullet0 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations .................
3a(i)
 
No
(ii) related organizations .................
3a(ii)
 
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on 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 36,376,020 40,072,594
c Leasehold improvements 0 3,528,003 3,435,739 92,264
d Equipment ... 0 193,442,253 126,698,564 66,743,689
e Other ... 0 13,658,062 6,820,943 6,837,119
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 128,854,264
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' on 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 		27,236,073 F

(B) Limited Partnership Investment-Healthcare Strategy 		1,500,644 F

(C) Limited Partnership Investment-Absolute Return Strategy 		7,032,339 F

(D) Limited Partnership Investment-Private Equity 		1,397,095 F
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 37,166,151
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on 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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes 33,402
Estimated Third Party Settlements 3,215,000
Other Long-Term Liabilities 3,085,042
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 6,333,444
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) 2015

Schedule D (Form 990) 2015
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 274,479,868
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a -362,251
b Donated services and use of facilities ......... 2b 0
c Recoveries of prior year grants ........... 2c 0
d Other (Describe in Part XIII.) ............ 2d -4,146,853
e Add lines 2a through 2d ..................... 2e -4,509,104
3 Subtract line 2e from line 1.................. 3 278,988,972
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 596,867
b Other (Describe in Part XIII.) ........... 4b 1,648,556
c Add lines 4a and 4b.................... 4c 2,245,423
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 281,234,395
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 260,279,329
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 60,390
e Add lines 2a through 2d.................... 2e 60,390
3 Subtract line 2e from line 1................... 3 260,218,939
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 596,867
b Other (Describe in Part XIII.) ............ 4b 4,715,895
c Add lines 4a and 4b..................... 4c 5,312,762
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 265,531,701

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 restricted to support specific programs, such as The Community Health Center or 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 2015 or 2014
Schedule D, Part XI, Line 2d Net Assets Released from Restriction for Operations $208,145 and Provision for Bad Debts ($4,355,000).
Schedule D, Part XI, Line 4b Rental Expenses ($60,390). Restricted Gifts $1,238,023, and Hospital Guild Revenue $470,923.
Schedule D, Part XII, Line 2d Rental Expenses $60,390.
Schedule D, Part XII, Line 4b Provision for Bad Debts $4,355,000 and Hospital Guild Expenses $360,900.
Schedule D (Form 990) 2015


Additional Data


Software ID: 15000352
Software Version: v1.00




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on 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
2015
Open to Public Inspection
Name of the organization
THE SARATOGA HOSPITAL
 
Employer identification number

14-1338547
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the 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.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

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

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		0 0 3,053,273 1,119,599 1,933,674 0.728 %
b Medicaid (from Worksheet 3, column a) . . . . . 0 0 26,761,733 11,383,838 15,377,895 5.791 %
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 29,815,006 12,503,437 17,311,569 6.519 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 13 1,554 3,175,562 1,837,578 1,337,984 0.504 %
f Health professions education (from Worksheet 5) . . . 11 475 148,281 0 148,281 0.056 %
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) . . . . 1 0 23,585 0 23,585 0.009 %
j Total. Other Benefits . . 25 2,029 3,347,428 1,837,578 1,509,850 0.569 %
k Total. Add lines 7d and 7j . 25 2,029 33,162,434 14,341,015 18,821,419 7.088 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing 0 0 0 0 0 0 %
2 Economic development 1 0 25,000 0 25,000 0.01 %
3 Community support 1 0 930 0 930 0.001 %
4 Environmental improvements 0 0 0 0 0 0 %
5 Leadership development and
training for community members		 0 0 0 0 0 0 %
6 Coalition building 0 0 0 0 0 0 %
7 Community health improvement advocacy 0 0 0 0 0 0 %
8 Workforce development 4 0 223,531 0 223,531 0.085 %
9 Other 0 0 0 0 0 0 %
10 Total 6 0 249,461 0 249,461 0.096 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
675,115
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
337,558
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
50,514,420
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
57,827,770
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-7,313,350
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
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) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 Saratoga Hospital
211 Church Street
Saratoga Springs,NY12866
www.saratogahospital.org
4501000H 		X X         X      
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
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): 		1
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): www.saratogahospital.org
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on 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) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
Saratoga Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
www.saratogahospital.org
b
www.saratogahospital.org
c
d
e
f
g
h
i
Billing and Collections
17 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?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

Saratoga Hospital
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 7
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 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 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 Saratoga Hospital, along with the other collaborating members of the 2013 CHNA, is addressing the needs that were identified in the latest CHNA. Since 2013, the Hospital has been developing a Community Service Plan that outlines the challenges, strategies, activities, and outcomes for each of the five identified health challenges. In 2015, the Hospital Service Plan included the following updates and outcomes for those five areas of need, which can be found on the Hospital website referenced in Schedule H, Part V, line 10a.The first focus area of need was to Prevent Chronic Disease by increase access to high-quality chronic-disease preventive care and management in both clinical and community settings. There are three chronic disease areas that the Hospital is focusing on which are (1) Diabetes, (2) Heart Disease, Cancer and Obesity, and (3) Continuum of Care. Through the Saratoga Center for Endocrinology and Diabetes, Saratoga Hospital continued to meet the needs of diabetic patients in the community. Saratoga Hospital continued to increase screening rates for diabetes by providing the diabetes risk-assessment "quiz" to communities at health fairs, the Community Health Center, the Backstretch Clinic, and referred at-risk patients to primary care providers for follow-up. In 2015, The Center for Endocrinology and Diabetes had 2,500 diabetes patient visits which exceed 2014 volumes by over 18%. Saratoga Hospital continued to offer high-quality diabetes education and support for all diabetes patients using evidence-based resources by offering ten Diabetes Self-Management education programs and one support group. To reduce disparities, Saratoga Hospital improved access to diabetes management programs for residents of outlying areas and included provision of nutrition and diabetes education services in plans for the new Church Street Outpatient Center. To improve access to diabetes management education for low-income patients, Saratoga Hospital offered nutrition and diabetes education services at the new Saratoga Community Health Center and the Hospital's three family health centers. For Heart Disease, Cancer and Obesity area of focus for Chronic Diseases, Heart disease and cancer are the leading causes of death in Saratoga County, which Heart disease and cancer patients in Saratoga County need more access to high-quality care and support services. In addressing Heart Disease, in 2015, Saratoga Hospital continued to work toward offering PCI services in our Cardiac Catheterization Laboratory. Efforts to integrate the care processes driven by interventional services also continued and Saratoga Hospital's relationship with Albany Medical Center for cardiology services were strengthened. For addressing the need of Cancer for Chronic diseases, Saratoga Hospital is continuing the NYSDOH grant-funded Cancer Screening Program, which engages community partners in providing a robust program of outreach to build demand for cancer screening utilizing the existing partnerships of 31 providers to offer screening services, such as Low Dose CT exams, and continue to build new partnerships and facilities that ensures coverage for all residents of Saratoga County. Saratoga Hospital continues to help cancer patients find support services through the services of an American Cancer Society (ACS) Patient Navigator dedicated to assisting Saratoga Hospital's Radiation Oncology Center (ROC) patients. The ROC social worker meets with every new patient seen at the ROC to determine if there are services that can be provided for them. Additionally in 2015, Saratoga Regional Medical Group hired a dedicated breast surgeon to provide, among other procedures, mastectomies, lumpectomies, breast-conserving surgery and surgical breast biopsies. In 2015, for addressing the Chronic Disease of Obesity, Saratoga Hospital continued to offer a comprehensive obesity prevention and management program through the Saratoga Bariatric Surgery and Weight Loss Program, which provides evidence-based services and outreach programs to address weight management. Monthly meetings of Bariatric Support Groups included presentations by guest speakers on topics relating to weight management, nutrition, exercise, psychology and plastic surgery. Informational and educational sessions about bariatric surgery were offered on a bi-monthly basis and there is an on-line Bariatric Support Group as well. The last Chronic Disease focus area is Continuum of Care. For Continuum of Care, the community does not have adequate access to the full continuum of care and healthcare providers need to form more strategic partnerships to address these gaps. Saratoga Hospital is addressing this by continuing to explore and establish partnerships with other providers. Saratoga Hospital has engaged in physician-centered dialogues regarding coverage of critical care. Saratoga Hospital is successfully working with Albany Medical Center Hospital (AMCH) to standardize the process for the transfer of cardiac patients (PCI) to higher levels of care, along with discussion for other collaborative efforts with AMCH such as joint training and quality improvement for cardiac services. Saratoga Hospital also starting working on improving Neurology services in the community by adding a new Neurologist to the Saratoga Regional Medical Group. In 2015, Saratoga Hospital began the opening phase of our new Operating Suite. The second focus area of need was to Vaccine-Preventable Diseases by focusing on Petussis. Pertussis cases are increasing; adults and children are not receiving adequate vaccinations against pertussis. In 2015, Saratoga Hospital addressed this area by continuing its program to increase pertussis vaccination rates by vaccinating parents and other caregivers of infants born at Saratoga Hospital. The third focus area of need was Healthcare-Associated Infections and overuse of antibiotics. The number of patients contracting infection due to contact with the healthcare system is increasing. Overuse of antibiotics is resulting in the emergence of antibiotic-resistant strains of disease. Infection control measures on the part of healthcare providers must be constantly taught, improved, and enforced. Infection can be spread by the use of medical devices. Saratoga Hospital addressed this by continuing to encourage the reduction of antibiotic use at Saratoga Hospital and in the community by developing programs, policies, and procedures aimed at reducing the use of antibiotics. The need for an Antibiotic Stewardship Pharmacist has been identified and work continues on that front. Saratoga Hospital continues to include infection control education as part of mandatory staff education. Infection control education is mandatory for all employees through the Hospital's HealthStream Education system where there are two safety topics relating specifically to infection control. Hand hygiene and isolation practices are closely monitored at Saratoga Hospital. The fourth focus are of need is Child Health. Children in Saratoga County, especially low-income children, do not receive adequate preventive healthcare. Saratoga Hospital's service area covers a large geographic area, and some rural areas or areas located outside population centers, have insufficient access to preventive care. Almost 40% of all 3rd graders in Saratoga County have untreated tooth decay. This is especially true for low-income children. In 2015, Saratoga Hospital continued to address this area by improving access to ambulatory care services throughout the community. Plans continued to expand this network of outpatient sites to improve access to care. Saratoga Hospital continued to offer high-quality dental care for low-income members of the community at the Saratoga Community Health Center. Saratoga Hospital continued to assist low-income families obtain health insurance through our Health Insurance Navigation Program. The fifth focus area of need is Mental Health within Saratoga County. Alcohol abuse poses a threat to the health and well-being of residents of Saratoga County. Too many adults engage in binge drinking. Rates of alcohol-related accidents are higher than expected, and too many residents die of alcohol-related injuries. Many residents suffer from serious mental illness. Rates for treatment of children and teens in the emergency department are above the stateside benchmarks. Rates of suicide and self-inflected injuries in Saratoga County are also above statewide benchmarks. Saratoga Hospital continued to address the increase access to quality outpatient mental health services by providing comprehensive mental health counseling at Saratoga Community Health Center. Saratoga Hospital continued to work with our community to address mental health and substance abuse issues such as the rising acuity of mental health patients presenting at the Saratoga Hospital Emergency Department.
Schedule H, Part V, Section B, Line 13h-Saratoga Hospital Additional eligibility criteria for the Hospital's financial assistance policy include the following. If a patient is homeless, they are automatically eligible for the Hospital's financial assistance. Services that subsequently receive Medicaid coverage that may fall outside of the scope of payment by Medicaid are automatically eligible for financial assistance. Another criterion for services to be automatically eligible for financial assistance is for patients that are filing for Chapter 7 bankruptcy protection.
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 (76% for 2015) 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 $180 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 $500 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) 2015
Schedule H (Form 990) 2015
Page 8
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?18
Name and address Type of Facility (describe)
1 Wilton Campus
3040 - 3050 Route 50
Saratoga Springs,NY12866 		Urgent Care/Imaging/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 Regional Therapy Center at The Springs on Weibel Ave
9 Hampstead Place Suite 107
Saratoga Springs,NY12866 		Rehabilitation (OT/PT)
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 Corporate Health Services
2388 Route 9
Malta,NY12020 		Corporate Health Services
8 Saratoga Hospital Medical Oncology Hematology
3 Care Lane
Saratoga Springs,NY12866 		Oncology Hematology
9 Regional Therapy Center at Malta Commons Business Park
100 Saratoga Village Blvd Suite 34
Ballston Spa,NY12020 		Rehabilitation (OT/PT)
10 Saratoga Regional Urology Associates
19 West Avenue Suite 103
Saratoga Springs,NY12866 		Urology
11 1 West Ave
1 West Avenue Suite 125
Saratoga Springs,NY12866 		Minimally Invasive Surgery/Bariatric Surgery
12 Saratoga Community Health Center
24 Hamilton Street
Saratoga Springs,NY12866 		Family Medicine/Dentistry/Internal Medicine/Mental Health
13 Milton Health Center
510 Geyser Road
Ballston Spa,NY12020 		Family Medicine/Physical Therapy
14 Cardiology Specialy Services
254 Church Street 2nd Floor
Saratoga Springs,NY12866 		Cardiology
15 Saratoga Family Health
119 Lawrence Street
Saratoga Springs,NY12866 		Family Medicine
16 Galway Family Health
5344 Sacandaga Road PO Box 190
Galway,NY12074 		Family Medicine
17 Schuylerville Family Health
200 Broad Street
Schuylerville,NY12871 		Family Medicine
18 Saratoga Midwifery and Women's Primary Care
2911 Route 9
Ballston Spa,NY12020 		Midwifery and Women's Primary Care
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 9
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 Line 7a -The costing methodology used to determine the amount reported on line 7a is as follows. The total financial assistance, on the basis of charges, per the Hospital's financial statements was multiplied by the cost to charge ratio from the Hospital's 2015 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 column c 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 2015 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. 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 2015. 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 Part II, Line 2 Starting in 2015, and continuing over the next five years, the Hospital has engaged with the local economic development community to help bring in additional jobs and resources to its community. As a community leader, the Hospital believes that engaging in this action for the recruitment of additional jobs is an opportunity to educate and improve the community's health. Part II, Line 3 As part of Community Support, the Hospital is helping a local organization track, store, and analyze its membership and survey data. As a result of the Hospital's actions, they are helping to retain and grow nursing providers within the local community. Part II, Line 8 As a result of its leadership role in identifying community healthcare needs, the Hospital is also the key resource in its community for recruiting physicians practicing in areas of medicine identified as underserved in the community. A component of this recruitment effort included the extension of relocation incentives to physicians in the targeted need areas. The incentives were provided in the form of income guarantees that were provided in an effort to make practice start-up financially palatable for relocating physicians. After an initial period during which funds were advanced to physicians as they had shortfalls versus a targeted income amount, the accumulated advances were 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 2015, the Hospital forgave advances plus accrued interest amounting to approximately $223,531 relating to these arrangements.
Schedule H, Part III, Section A, Line 4 Part III, Line 2 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 Financial Assistance 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. Part III, Line 3 The rationale for including bad debt amounts in community benefit related to the nature of the question posed on Schedule H, Part III, line 3. 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. Part III, 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.
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 2015 were divided by total charges to all patients during 2015. 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 qualifies for the Hospital's 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. Along with discounting an uninsured patient's bill after they have been approve for the Hospital's Financial Assistance program, efforts are made by Hospital registration and Patient Financial Services personnel to link patients to the navigation program for assistance in obtaining health insurance coverage or obtaining benefits under the Hospital's FAP. The Hospital will make reasonable efforts to have assistance accessible so that uninsured and underinsured patients understand the FAP and how to apply for Financial assistance. These efforts include providing 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 (at least three) billing statements for the care and all other written communications regarding the bill provided to the individual during the period of from the date of Hospitalization until 150 days after the first billing 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, 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 of 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 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 (FAP), as well as federal and State programs through the following means: * A supply of brochures containing a plain-language description of the Hospital's 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 Health Insurance Navigation 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. Efforts are made by Hospital registration and Patient Financial Services personnel to link patients to the navigation program for assistance in obtaining health insurance coverage or obtaining benefits under the Hospital's FAP.
Schedule H, Part VI, Line 4 The Hospital's primary service area is comprised of two communities, Saratoga Springs and Ballston Spa. Both are located in the central portion of Saratoga County. The primary service area population in 2015 was approximately 70,600. These two communities accounted for 46.5% of the Hospital's inpatient discharges in 2015. The secondary service area extends to the northwestern border of Saratoga County and also extends southward. It is comprised of 15 communities, including Ballston Lake, Burnt Hills, Corinth, Galway, Gansevoort, Greenfield Center, Greenwich, Mechanicville, Middle Grove, Porter Corners, Rock City Falls, Round Lake, Schuylerville, Stillwater, and Victory Mills. The combined 2015 population of these communities was estimated at approximately 90,900. The secondary service area was the source of 31.6 % of the Hospital's inpatient discharges in 2015.
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
Schedule H (Form 990) 2015
Additional Data


Software ID: 15000352
Software Version: v1.00
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on 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
2015
Open to Public Inspection
Name of the organization
THE SARATOGA HOSPITAL
 
Employer identification number

14-1338547
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization?
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization?
6a
Yes
 
b
Any related organization? .........................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2015

Schedule J (Form 990) 2015
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 on 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 on prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1Angelo G CalbonePresident/CEO (i)

(ii)		 477,074
-------------
0 		104,550
-------------
0 		180,221
-------------
0 		11,528
-------------
0 		20,819
-------------
0 		794,192
-------------
0 		0
-------------
0
2Gary FosterVP & CFO (i)

(ii)		 270,219
-------------
0 		44,491
-------------
0 		19,945
-------------
0 		15,238
-------------
0 		1,406
-------------
0 		351,299
-------------
0 		0
-------------
0
3Richard FalivenaVP Chief Medical and Physician Integration Officer (i)

(ii)		 325,122
-------------
0 		58,319
-------------
0 		23,291
-------------
0 		9,408
-------------
0 		12,415
-------------
0 		428,555
-------------
0 		0
-------------
0
4Mary Jo LaPostaSVP Patient Care and Organizational Excellence and Chief Nursing Officer (i)

(ii)		 290,761
-------------
0 		52,008
-------------
0 		22,502
-------------
0 		11,528
-------------
0 		9,563
-------------
0 		386,362
-------------
0 		0
-------------
0
5Kevin RonayneVP Operations/Facilities (i)

(ii)		 223,538
-------------
0 		39,298
-------------
0 		16,681
-------------
0 		13,648
-------------
0 		16,724
-------------
0 		309,889
-------------
0 		0
-------------
0
6John MangonaVP Chief Information and Compliance Officer (i)

(ii)		 228,586
-------------
0 		41,289
-------------
0 		15,082
-------------
0 		13,648
-------------
0 		1,535
-------------
0 		300,140
-------------
0 		0
-------------
0
7Jeffrey MethvenVP Ambulatory Serv &HR (i)

(ii)		 240,078
-------------
0 		41,455
-------------
0 		15,499
-------------
0 		13,648
-------------
0 		16,334
-------------
0 		327,014
-------------
0 		0
-------------
0
8Gordan KuharPhysician (i)

(ii)		 1,092,672
-------------
0 		0
-------------
0 		774
-------------
0 		11,528
-------------
0 		756
-------------
0 		1,105,730
-------------
0 		0
-------------
0
9Theodoros LaddisPhysician (i)

(ii)		 650,250
-------------
0 		0
-------------
0 		470
-------------
0 		9,408
-------------
0 		688
-------------
0 		660,816
-------------
0 		0
-------------
0
10Gary IdelchikPhysician (i)

(ii)		 649,144
-------------
0 		0
-------------
0 		162
-------------
0 		9,408
-------------
0 		6,995
-------------
0 		665,709
-------------
0 		0
-------------
0
11Dmitri BaranovPhysician (i)

(ii)		 545,843
-------------
0 		0
-------------
0 		180
-------------
0 		9,408
-------------
0 		6,374
-------------
0 		561,805
-------------
0 		0
-------------
0
12Rachid DaouiPhysician (i)

(ii)		 531,076
-------------
0 		0
-------------
0 		414
-------------
0 		9,408
-------------
0 		16,816
-------------
0 		557,714
-------------
0 		0
-------------
0
Schedule J (Form 990) 2015

Schedule J (Form 990) 2015
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 2015, certain members of The Saratoga Hospital administrative team participated in a 457 F retirement plan. The following of the Hospital administration personnel participated in or received a payment from their 457 F retirement plan during 2015. Angelo Calbone - Contributions $103,753 and received a distribution of $49,511 Gary Foster - Contributions $1,171 Mary Jo LoPosta - Contributions $3,314 Richard Falivena - Contributions $4,133
Schedule J, Part I, Line 6 The Hospital administers an incentive compensation program under which members of 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 2015, and was based an achievement of "minimum, meets, and maximum" levels relative to the Hospital's budgeted operating margin percentage for the year.
Schedule J (Form 990) 2015
Additional Data


Software ID: 15000352
Software Version: v1.00
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
THE SARATOGA HOSPITAL
 
Employer identification number
14-1338547
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A IDA Series 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 2,130,000 0
2 Amount of bonds legally defeased .............. 3,750,000 2,090,000 0 120,000
3 Total proceeds of issue .................. 15,790,000 18,406,490 24,273,094 25,000,000
4 Gross proceeds in reserve funds ............. 0 1,373,182 1,667,627 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) 2015

Schedule K (Form 990) 2015
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............   X   X   X   X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?                
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 %   0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 % 0 %   0 %
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) 2015

Schedule K (Form 990) 2015
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 12/1/15 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/15 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 12/1/15 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/15 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 12/1/15 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/15 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 12/1/15 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/15 resulting in no rebate liability for IDA Series 2014 A.
Schedule K (Form 990) 2015

Additional Data


Software ID: 15000352
Software Version: v1.00

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
THE SARATOGA HOSPITAL
 
Employer identification number
14-1338547
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer		 (i) Pool
financing
Yes No Yes No Yes No
A IDA Series 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 2,130,000 0
2 Amount of bonds legally defeased .............. 3,750,000 2,090,000 0 120,000
3 Total proceeds of issue .................. 15,790,000 18,406,490 24,273,094 25,000,000
4 Gross proceeds in reserve funds ............. 0 1,373,182 1,667,627 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) 2015

Schedule K (Form 990) 2015
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............   X   X   X   X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?                
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0 % 0 %   0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet 0 % 0 %   0 %
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) 2015

Schedule K (Form 990) 2015
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 12/1/15 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/15 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 12/1/15 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/15 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 12/1/15 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/15 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 12/1/15 by a third party contractor, AMTEC a tax exempt compliance specialist, for bond issues as of 12/01/15 resulting in no rebate liability for IDA Series 2014 A.
Schedule K (Form 990) 2015

Additional Data


Software ID: 15000352
Software Version: v1.00

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
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 (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
(1) Healthcare Partners of Saratoga Inc
  		Joint Venture Expenses paid   X 432,000 432,000   No Yes   Yes  
(2) Saratoga Regional Medical
  		Subsidiary Expenses Paid   X 1,878,000 1,878,000   No Yes   Yes  
Total ...............Small Bullet $ 2,310,000
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) 2015
Schedule L (Form 990 or 990-EZ) 2015
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) David mastrianni MD Board Trustee 604,076 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) George Silver MD Board Trustee 225,000 Trustee is also a Partner of OrthoNY, LLP   No
(3) George Silver MD Board Trustee 168,985 Trustee is a Partner of Boss Enterprises, LLP   No
(4) Healthcare Partners of Saratoga LTD DBA MMEC
  		Joint Venture with 50% control 750,000 Capital Distribution   No
(5) Healthcare Partners of Saratoga LTD DBA MMEC
  		Joint Venture with 50% control 1,340,723 Reimbursement for expenses paid   No
(6) Healthcare Partners of Saratoga LTD DBA MMEC
  		Joint Venture with 50% control 5,374,000 Reimbursement for leased staffing services   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 clinic. 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 2015, MMEC transferred a total of $750,000 to the Hospital as an equity distribution. The Hospital's equity distribution from MMEC was a result of cash and net asset surpluses that had accumulated in MMEC through the date of equity distribution. MMEC had an operating surplus of approximately $2,174,000 during 2015. As a result, the amount by which the Hospital's investment was increased in 2015 was approximately $1,087,000. Accordingly the Hospital's net investment in MMEC stood at approximately $2,416,000 at December 31, 2015. Saratoga Hospital employs all non-provider staff who work at MMEC and leases the personnel to MMEC at cost. During 2015, the value of leased staffing services contracted to MMEC was $5,374,000. Also during 2015, MMEC reimbursed the Hospital approximately $1,341,000 for expenses paid for on behalf of MMEC.
Schedule L (Form 990 or 990-EZ) 2015


Additional Data


Software ID: 15000352
Software Version: v1.00




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 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
2015
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 2015 the Hospital added the following services: Saratoga Hospital Center for Breast Care program, Breast Surgery, consisting of a board-certified, fellowship-trained breast surgeon, providing a full complement of surgical care. Saratoga Midwifery Care, consisting of six certified American College of Nurse Midwives. The care provided by this new service is care for normal, low-risk pregnancy, labor, and birth by a certified nurse midwife.
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 if necessary. 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, members of the medical staff and all employees whose compensation exceeds $100,000. A second conflict of interest policy applies to all members of management, employees and volunteers of the Hospital, as well as persons serving in those roles for corporations affiliated with the Hospital who are not covered by the first policy. The policies provide clear explanations as to who is covered by each policy, what family members and/or ownership interests (including non-financial interests) must be considered in assessing compliance with the policy, definitions of compensation (including non-monetary compensation) and examples of conflicts including activities that must always be avoided. On an annual basis a conflict of interest disclosure questionnaire process is undertaken. All members of the Board of Trustees and management, all non-management employees whose compensation exceeds $100,000, and certain members of the Hospital's medical staff are required to complete and file the questionnaire with the Hospital's Chief Compliance Officer. All members of the Hospital's medical staff are required to complete and file the questionnaire as part of their biennial credentialing process. 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 all respondents. 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 2015, the Executive Committee consisted of eight members of the Board of Trustees, six 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 as measures by external benchmark surveys. Additionally, the Executive Committee factors in relative skill mix, experience, competence and overall performance. The Executive Committee sets annual performance criteria the CEO must meet in order to qualify for incentive compensation and any recommendation for additional compensation is made annually. 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 for executives situated similarly by position within the marketplace, with acceptable exceptions based on skill mix, experience and/or scope of responsibility. Incentive compensation for all other executives is determination by the CEO and based on organizational and individual performance measures and outcomes. For both CEO and executive compensation, the requirements for invoking a rebuttable presumption of reasonableness in accordance with IRS intermediate sanction regulations are used as a guideline, 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) 2015


Additional Data


Software ID: 15000352
Software Version: v1.00
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
THE SARATOGA HOSPITAL
 
Employer identification number

14-1338547
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










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


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)Saratoga Care Inc
211 Church Street

Saratoga Springs,NY12866
14-1775218 		Promoting Health NY 501(c)(3) 3 N/A
 
No
(2)Healthcare Partners of Saratoga LTD
DBA 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) 2015
Schedule R (Form 990) 2015
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



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

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




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



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) Saratoga Regional Medical

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) 2015
Schedule R (Form 990) 2015
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) Saratoga Care Inc

 c 2,381,435 FMV of Cash Transaction
(2) Saratoga Care Inc

 o 308,104 FMV of Cash Transaction
(3) Saratoga Care Inc

 q 602,001 FMV of Cash Transaction



Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
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, A form 1023 application for Recognition of Exemption has been submitted to the IRS for revaluation of Saratoga Regional Medical Professional Corporation (SRMPC) original distinction. SRMPC is a physician and midwifery practice formed in order to facilitate the Hospital's employment of Physicians and Midwives in circumstances where New York corporate practice of medicine doctrine would otherwise prohibit such employment. As such, SRMPC's mission aligns with the broader mission of the Hospital. The Chief medical and Physician Integration Officer is the sole shareholder in SRMPC. Hospital management has no reason to believe that SRMPC application for tax exemption will not be approved.
Schedule R (Form 990) 2015

Additional Data


Software ID: 15000352
Software Version: v1.00