2020-11-13T10:25:33-07:00 2019-12-31 990 2019-01-01 453303309 HEALTHCARE PARTNERS OF SARATOGA LTD HEAL 5185838454 211 Church Street Saratoga Springs NY 12866 Gary Foster Treasurer 5185838421 2020-11-13 50.59.145.62 2019 2021-01-29 14:40:06Z X Malta Med Emergent Care Angelo Calbone 211 Church Street Saratoga Springs NY 12866 18761699 0 X www.maltamed.org X 2011 NY To serve the people of its community by responding to their health care needs in a supportive and caring environment. X 8 0 0 1 185930 0 0 0 17323074 18760827 0 0 1503 872 17324577 18761699 0 0 0 0 0 0 0 0 0 15072864 15945012 15072864 15945012 2251713 2816687 6486883 17328223 3122809 14347462 3364074 2980761 To serve the people of its community by responding to their health care needs in a supportive and caring environment. 0 0 15161194 0 18761699 The foremost commitment of Healthcare Partners of Saratoga LTD (HCP) is to provide high quality, cost effective health care to individuals and families in the communities it serves regardless of a patient's ability to pay. HCP actively supports community-based healthcare and promotes the coordination of services among healthcare providers and social services organizations. In addition, HCP seeks to work collaboratively with other health care providers to improve the health status of its region. HCP is defined as an emergent care center, which is a cross between an urgent care center and a hospital emergency department. Therefore, the facility accommodates a wide range of medical needs. HCP offers 24-hour access to emergency medicine physicians for urgent care. These physicians are equipped to treat patients with any level of urgent care needs. Patients treated and triaged are discharged home with follow up to their primary care or specialist, thus avoiding an emergency room visit to their local hospital. During 2019, HCP accommodated approximately 34,000 urgent care visits. In addition, other services provided during the year included outpatient X-ray (17,583 tests), ultrasound (7,448 tests), computed tomography (6,162 tests), magnetic resonance imaging (1,635 tests) and laboratory services (189,054 tests). 0 0 0 15161194 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 25 0 0 1 1 0 0 0 0 0 0 0 X 8 0 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X Mike Battle Saratoga Hospital 5185838498 211 Church Street Saratoga Springs NY 12866 Steven M Frisch MD President 2 55 X 0 1085977 121031 Vincent P Verdile Director 2 40 X 0 1049321 121304 Angelo G Calbone Vice President 2 40 X 0 1124782 35490 Frances Albert Secretary 2 42 X 0 922893 87444 George Hickman Board Member 2 42 X 0 604812 79701 Gary L Foster Treasurer 2 40 X 0 415555 17892 Jeffrey Methven Director 2 40 X 0 346864 35604 Kevin Ronayne Director 2 40 X 0 321041 31943 0 5871245 530409 0 0 1 0 ScribeAmerica LLC PO Box 417756 Boston MA 022417756 Transcription Services 248888 1 0 Specimen Drop Offs 621500 185930 0 185930 0 Net Patient Service Revenue 621493 14871034 14871034 0 0 Medicare, Traditional and MC 621493 1957530 1957530 0 0 Medicaid, Traditional and MC 621493 1746333 1746333 0 0 0 0 0 0 18760827 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Purchase Discounts and Rebates 621493 872 872 0 0 872 18761699 18575769 185930 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25333 0 25333 0 0 0 0 0 0 0 0 0 0 0 11315492 10971323 344169 0 48062 0 48062 0 902729 729459 173270 0 0 0 0 0 0 0 0 0 285094 254170 30924 0 2013 2013 0 0 0 0 0 0 340 340 0 0 6563 6260 303 0 0 0 0 0 1550896 1404691 146205 0 170926 155543 15383 0 Provision for Bad Debt 755703 755703 0 0 Medical Supplies 850331 850331 0 0 31530 31361 169 0 15945012 15161194 783818 0 3008673 2224208 0 0 0 0 984940 982905 0 0 0 0 0 0 167824 151996 233964 267007 5924920 4374276 2091482 1550644 12151463 6486883 17328223 2530598 2150073 592211 45926 0 12151463 3122809 14347462 X 3364074 2980761 0 0 3364074 2980761 6486883 17328223 X 2816687 0 0 0 0 -3200000 X 0 1 X 1 0 X 0 0 0 0 301584 128182 173402 0 0 0 0 0 5613837 4241273 1372564 0 9499 4821 4678 1550644 Adoption of ASC 842-lease accounting standard;Right of use assets-finance leases, net 12151463 12151463 0 Adoption of ASC 842-lease accounting standard;finance lease liability 12151463 12151463 X 18761699 0 0 0 0 0 18761699 0 0 0 18761699 15945012 0 0 0 0 0 15945012 0 0 0 15945012 Schedule D, Part X, Line 2 AMC reports: With the exception of Madison Avenue Services Corporation, Albany Med Subs, Albany Medical Park South I, LLC and Better Health of Northeast New York, Inc., all entities comprising the System are not-for-profit corporations under Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes pursuant to Section 501(a) of the Code. Better Health of Northeast New York, Inc. is a 501(c)(6). Income taxes associated with Madison Avenue Services Corporation are not material to the combined financial statements. In addition, Albany Medical Park, South I, LLC and Albany Med Subs, are limited liability companies which have been deemed as disregarded entities. The System recognizes income tax positions when it is more-likely-than-not that the position will be sustainable based on the merits of the position. Management has concluded that there are no uncertain tax positions that need to be recorded at December 31, 2019 and 2018. 0 1 0 0 0 0 0 0 0 Angelo G Calbone Vice President 0 580055 0 154000 0 390726 0 14420 0 21070 0 1160271 0 0 Steven M Frisch MD President 0 792472 0 272525 0 20980 0 98614 0 22417 0 1207008 0 0 Frances Albert Secretary 0 665981 0 239538 0 17374 0 82973 0 4471 0 1010337 0 0 Gary L Foster Treasurer 0 321139 0 63840 0 30576 0 16100 0 1792 0 433447 0 0 Jeffrey Methven Director 0 270190 0 55598 0 21076 0 14420 0 21184 0 382468 0 0 Kevin Ronayne Director 0 253438 0 49373 0 18230 0 14420 0 17523 0 352984 0 0 Vincent P Verdile Director 0 785163 0 243178 0 20980 0 95300 0 26004 0 1170625 0 0 George Hickman Board Member 0 438007 0 156063 0 10742 0 57947 0 21754 0 684513 0 0 Schedule J, Part I, Line 4 During 2019, certain members of The Saratoga Hospital and Albany Medical Center, both related entitities, administrative team participated in a supplemental employee retirement plan. The following list of administration personnel had a contribution or received a payment from the retirement plan during 2019. Saratoga Hospital Angelo Calbone - Contributions $180,932 Gary Foster - Contributions $5,932 Jeff Methven - Contributions $759 Albany Medical Center Frances S. Albert - Contributions $71,773 Steven M. Frisch - Contributions $87,414 Vincent Verdile - Contributions $84,100 George Hickman - Contributions $49,547. These amounts are also reported in the 2019 Form 990 filings for the respective related organizations. The amounts disclosed in those Form 990 filings are duplicative, not adding, to this disclosure. Cash 2019-12-18 1600000 FMV of cash transaction 141338547 Saratoga Hospital 211 Church St Saratoga Springs NY 12866 501(c)(3) Cash 2019-12-18 1600000 FMV of cash transaction 141338307 Albany Medical Ctr 47 New Scotland Ave MC 116 Albany NY 12208 501(c)(3) 0 0 0 0 Schedule N, Part II, Line 1 Amounts reported in Part II, Line 1, represent equity distributions to the member corporations of Healthcare Partners of Saratoga LTD. See disclosure in Schedule O regarding Core Form 990, Part XI, line 9. Form 990, Part IV, Line 32 During 2019, Healthcare Partners of Saratoga LTD made equity distributions to Albany Medical Center and Saratoga Hospital of $1,600,000 each, totaling $3,200,000. Form 990, Part VI, Section A, Line 7a Healthcare Partners of Saratoga, LTD (HCP) has two equal members, Saratoga Hospital (SH) and Albany Medical Center Hospital (AMCH). The HCP Board of Directors consists of eight individuals who are either a member of the governing body or management of one of the corporate members of HCP. The governing bodies of SH and AMCH have the right to designate and elect four Directors each to serve on HCP's Board of Directors. 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 Saratoga Hospital's (SH) Fiscal Services Department. The completed Form 990 is then reviewed by SH's Director, Financial Accounting and Vice President/Chief Financial Officer to ensure compliance with applicable instructions. The initial phase of review by HCP's Board of Directors occurs at a board meeting. Members of the Board are provided with drafts of the Form 990 prior to the meeting. At the meeting, an agenda item is devoted to providing the members with time to ask questions, and to provide comments or suggestions. The Board evaluates the suggestions and comments and the Form 990 is amended, if necessary. A final version is provided to the full Board prior to filing. Once that is completed, it is then filed with the IRS. Form 990, Part VI, Section B, Line 12c Healthcare Partners of Saratoga, LTD (HCP) maintains two conflict of interest policies. One applies to members of the Board of Directors and members of the medical staff. A second conflict of interest policy applies to contracted personnel who have the ability to influence purchasing decisions aggregating to $100,000 or more annually. 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 compensations) 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 Directors, members of the medical staff and any other individuals falling within the parameters stated above are required to complete and file the questionnaire with HCP's Compliance Officer. All members of the fee for service medical staff are required to complete and file the questionnaire as part of their biennial credentialing process. 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 my require further investigation. On an annual basis, all responses submitted by all respondents are reviewed in order to determine whether any disclosures are required for HCP's Form 990. The questionnaire includes a section where respondents are asked, for any person or entity that has or may do business with the HCP entities whose 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. Any persons or entities disclosed in this area or otherwise deemed to be potential conflicts are referenced against the accounts payable systems for the HCP 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 HCP'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 C, Line 19 Healthcare Partners of Saratoga, LTD governing documents, conflict of interest policy and financial statements are available to the public upon request. Form 990, Part IX, Line 11g Prior to July 2018, all physician services and a large portion of physician extender services rendered at Healthcare Partners of Saratoga LTD (HCP) were provided by practicioners employed by Albany Medical College, which is affiliated with Albany Medical Center. Payments for these contract services were made to Albany Medical College. From July 2018 through July 2019, physician services and physician extender services performed by Albany Medical College employees, were paid directly to the provider as independent contractors. Effective August 2019, all physician services and physician extender services rendered at HCP are provided by practitioners employed by Saratoga Hospital. Included in other fee for services is approximately $3,204,561 representing the amount paid for the cost to provide physician staffing at HCP. All non-practitioner staff providing services to HCP are Saratoga Hospital employees. Included in other fees for service is approximately $8,110,931 representing the amount paid to Saratoga Hospital to provide this staffing at HCP. Certain advanced practitioner services purchased from a non-related vendor during 2019 are reflected as Salary Expenses in MMEC (d/b/a for HCP) column in the audited Combined Statement of Operations and Changes in Net Assets for Albany Medical Center and Related entities, in accordance with internal labor cost reporting policies. As the practitioners providing these services were independent contractors these expenses are reflected as Other Fees for Services in Line 11g of this Statement of Functional Expenses. 11g Program Service Expenses Physician Fees $25,000 Contract Labor AMC $3,204,561 Contract Labor PT Access $725,058 Contract Labor All Other $6,056,774 Other Medical Purchased Services $624,450 Other NonMedical Purchased Services $335,480 Management and General Expenses Contract Labor Admin $344,169 Form 990, Part XI, Line 9 During 2019, Healthcare Partners of Saratoga LTD made equity distributions to Albany Medical Center and Saratoga Hospital in amounts of $1,600,000 each, totaling $3,200,000. Saratoga Hospital 211 Church Street Saratoga Springs NY 12866 141338547 Hospital NY 501(c)(3) 3 Albany Medical Center 0 Saratoga Care Inc 211 Church Street Saratoga Springs NY 12866 141775218 Promoting Health NY 501(c)(3) 12 Type II Saratoga Hospital 0 Saratoga Regional Medical PC 211 Church Street Saratoga Springs NY 12866 472468259 Provide Professional Healthcare services to Saratoga Hospital NY 501(c)(3) 3 Saratoga Hospital 0 Albany Medical Center 47 New Scotland Ave Albany NY 12208 141641730 Corporate Services NY 501(c)(3) 12 Type II N/A 0 Albany Medical Center Hospital 47 New Scotland Ave Albany NY 12208 141338307 Hospital NY 501(c)(3) 3 N/A 0 Albany Medical Center College 47 New Scotland Ave Albany NY 12208 141338310 Medical Degree Programs NY 501(c)(3) 2 N/A 0 Albany Medical Center Foundation 47 New Scotland Ave Albany NY 12208 146023119 Fundraising NY 501(c)(3) 7 N/A 0 Albany Medical Center Kidskeller 47 New Scotland Ave Albany NY 12208 222635792 Education day program NY 501(c)(3) 2 Albany Medical Center 0 Center for Donation and Transplant 218 Great Oak Blvd Albany NY 12203 141820447 Organ and Tissue Bank NY 501(c)(3) 12 Type I Albany Medical College 0 Better Health for Northeast New York 47 New Scotland Ave Albany NY 12208 811861104 Delivery System Reform Incentive Payment NY 501(c)(3) Albany Medical Center Hospital 0 The Columbia Memorial Hospital 71 Prospect Ave Hudson NY 12534 141338373 Hospital NY 501(c)(3) 3 Albany Medical Center 0 Columbia Greene Hospital Foundation 71 Prospect Ave Hudson NY 12534 141761112 Fundraising NY 501(c)(3) 10 The Columbia Memorial Hospital 0 The Second Show Inc 519 Warren Street Hudson NY 12534 141796715 Thrift Shop NY 501(c)(3) 7 The Columbia Memorial Hospital 0 Kaaterskill Commons Inc 163 Jefferson Heights Catskill NY 12414 205700964 Low Income Housing NY 501(c)(3) 7 The Columbia Memorial Hospital 0 Madison Avenue Services Corp 47 New Scotland Avenue MC 116 Albany NY 12208 141665610 Other (inactive) NY AMC C 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 1 0