SAMARITAN MEDICAL CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: SAMARITAN MEDICAL CENTER (EIN 15-0533577)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-14
IRS object ID: 201913189349311876
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-14T15:51:31-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	161226221	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FUST CHARLES CHAMBERS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	5784 WIDEWATERS PARKWAY	AddressLine1Txt
City	SYRACUSE	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13214	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	150533577	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SAMARITAN MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SAMA	BusinessNameControlTxt
Phone	3157855702	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	830 WASHINGTON STREET	AddressLine1Txt
City	WATERTOWN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13601	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MAXINE BRIGGS	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	3157855702	PhoneNum
Signature	2019-11-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DEBORAH STUCK	PreparerPersonNm
PTIN	P01281391	PTIN
Phone	3154463600	PhoneNum
Preparation	2019-11-12	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	24.39.85.114	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-11-12	IPDt
IP Tm	13:37:53	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	FD62137317EE26C9F26E40FD83CAC65FE1294EC8	AtSubmissionCreationDeviceId
At Submission Filing Device Id	B8C5F40B2B3D88A0A8DAC4C2F3911A4184EEA169	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MAXINE BRIGGS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	830 WASHINGTON STREET	AddressLine1Txt
City	WATERTOWN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13601	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$268,217,600	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SAMARITANHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1881	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	SAMARITAN MEDICAL CENTER OPERATES AN ACUTE CARE HOSPITAL FACILITY IN WATERTOWN, NEW YORK, SERVING JEFFERSON, OSWEGO AND ST. LAWRENCE COUNTIES. THIS 290-BED FACILITY PROVIDES INPATIENT CARE, PSYCHIATRIC SERVICES, AMBULATORY SURGERY, PRIMARY AND EMERGENCY CARE AND OTHER OUTPATIENT SERVICES.	ActivityOrMissionDesc
Voting Members Governing Body	23	VotingMembersGoverningBodyCnt
Voting Members Independent	20	VotingMembersIndependentCnt
Total Employee	2150	TotalEmployeeCnt
Total Volunteers	188	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,844,342	PYContributionsGrantsAmt
CY Contributions Grants	$14,871,976	CYContributionsGrantsAmt
PY Program Service Revenue	$213,905,983	PYProgramServiceRevenueAmt
CY Program Service Revenue	$234,501,080	CYProgramServiceRevenueAmt
PY Investment Income	$53,153	PYInvestmentIncomeAmt
CY Investment Income	$560,823	CYInvestmentIncomeAmt
PY Other Revenue	$3,264,158	PYOtherRevenueAmt
CY Other Revenue	$18,096,179	CYOtherRevenueAmt
PY Total Revenue	$221,067,636	PYTotalRevenueAmt
CY Total Revenue	$268,030,058	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$125,366,851	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$134,004,701	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$856,398	CYTotalFundraisingExpenseAmt
PY Other Expenses	$93,404,693	PYOtherExpensesAmt
CY Other Expenses	$103,031,594	CYOtherExpensesAmt
PY Total Expenses	$218,771,544	PYTotalExpensesAmt
CY Total Expenses	$237,036,295	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,296,092	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$30,993,763	CYRevenuesLessExpensesAmt
Total Assets BOY	$257,536,551	TotalAssetsBOYAmt
Total Assets EOY	$268,660,652	TotalAssetsEOYAmt
Total Liabilities BOY	$169,581,421	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$162,003,085	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$87,955,130	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$106,657,567	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SAMARITAN MEDICAL CENTER OPERATES AN ACUTE CARE HOSPITAL FACILITY IN WATERTOWN, NEW YORK, SERVING JEFFERSON, OSWEGO AND ST. LAWRENCE COUNTIES. THIS 290-BED FACILITY PROVIDES INPATIENT CARE, PSYCHIATRIC SERVICES, AMBULATORY SURGERY, PRIMARY AND EMERGENCY CARE AND OTHER OUTPATIENT SERVICES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$202,500,501	ExpenseAmt
Revenue	$2,242,033,122	RevenueAmt
Desc	DURING 2018, SAMARITAN MEDICAL CENTER PROVIDED CARE FOR 10,212 INPATIENT DISCHARGES AND A TOTAL OF 266,739 OUTPAITENT VISITS. OF THE TOTAL OUTPATIENT VISITS, THERE WERE 46,126 EMERGENCY ROOM VISITS AND 126,475 FAMILY HEALTH CLINIC VISITS.	Desc
Total Program Service Expenses	$202,500,501	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	149	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2150	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	23	GoverningBodyVotingMembersCnt
Independent Voting Member	20	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MAXINE BRIGGS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3157855702	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	830 WASHINGTON STREET	AddressLine1Txt
City	WATERTOWN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13601	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MELANIE PARKER-GEURTSEN
CHAIR	1.00	2.50	Yes (X)	Yes (X)	$0	$0	$0
JAN TURCOTTE
VICE CHAIR	1.00		Yes (X)	Yes (X)	$0	$0	$0
BERNARD BROWN
SECRETARY	1.00		Yes (X)	Yes (X)	$0	$0	$0
ALFRED CALLIGARIS
FINANCE COMMITTEE CHAIR	1.00		Yes (X)	Yes (X)	$0	$0	$0
PAUL KRAEGER
TREASURER, CFO	40.00	5.00	Yes (X)	Yes (X)	$419,721	$0	$18,509
REV FRED GARRY
IMMEDIATE PAST CHAIR	1.00		Yes (X)		$0	$0	$0
CHRISTINE CISCO
TRUSTEE	1.00		Yes (X)		$0	$0	$0
MARY WARDWELL DONAHUE
TRUSTEE	1.00	2.50	Yes (X)		$0	$0	$0
DAPHINE HENRI-FOLEY
TRUSTEE	1.00		Yes (X)		$0	$0	$0
MARIE HESS
TRUSTEE	1.00		Yes (X)		$0	$0	$0
HOWARD HUANG MD
TRUSTEE	1.00		Yes (X)		$0	$0	$0
DIERDA SORRELL
TRUSTEE	1.00		Yes (X)		$0	$0	$0
ADDISON VARS III
TRUSTEE	1.00	2.50	Yes (X)		$0	$0	$0
AL MALONEY MD
TRUSTEE	1.00		Yes (X)		$0	$0	$0
COL BRANDON BOWLINE
TRUSTEE	1.00		Yes (X)		$0	$0	$0
MARY PERRINE
TRUSTEE	1.00		Yes (X)		$0	$0	$0
THOMAS PICHE
TRUSTEE	1.00		Yes (X)		$0	$0	$0
CATHERINE QUENCER
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
DAVID RECHLIN DO
TRUSTEE	40.00		Yes (X)		$155,000	$0	$6,153
JOAN TREADWELL WOODS
TRUSTEE	1.00	2.50	Yes (X)		$0	$0	$0
LISA WEBER
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
STEPHEN TODD
TRUSTEE	1.00		Yes (X)		$0	$0	$0
LEO GOSSELIN MD
TRUSTEE	1.00		Yes (X)		$0	$0	$0
STEVEN PIERCE
TRUSTEE	1.00	1.00	Yes (X)		$0	$0	$0
DENISE YOUNG
TRUSTEE	1.00		Yes (X)		$0	$0	$0
THOMAS H CARMAN
PRESIDENT & CEO OF SMC	40.00	3.50	Yes (X)	Yes (X)	$1,118,097	$0	$40,038
ROBERT KIMBALL MD
TRUSTEE	40.00		Yes (X)		$440,035	$0	$34,122
KEVIN KIEFF
TRUSTEE	1.00		Yes (X)		$0	$0	$0
ROBERT SEAMON
TRUSTEE	1.00		Yes (X)		$0	$0	$0
MARIO VICTORIA MD
CMO OF SMC	40.00	1.00			$405,847	$0	$39,657	Yes (X)
MICHAEL SHORT
COO OF SMC	40.00	1.00			$368,497	$0	$30,596	Yes (X)
KIMBERLY THIBERT
VP OF PATIENT CARE/CNO	40.00				$262,260	$0	$15,243	Yes (X)
KEITH ROBISON
VP INFORMATION SERVICES & CHIEF INFORMATION OFFICE	40.00				$192,223	$0	$821	Yes (X)
RANDALL FIPPS
AVP OPERATIONS & BEHAVORIAL HEALTH	40.00				$211,648	$0	$8,874	Yes (X)
CHRISTOPHER BASTIEN
AVP SUPPORT SERVICES	40.00				$209,558	$0	$8,166	Yes (X)
ALEJANDRO RODRIGUES MD
UROLOGIST	40.00				$583,396	$0	$35,121		Yes (X)
JOSEPH WETTERHAHN MD
FAMILY MEDICINE	40.00				$561,706	$0	$17,819		Yes (X)
KEVIN CHANDLER MD
UROLOGIST	40.00				$721,838	$0	$38,637		Yes (X)
AARON CAMPBELL DO
HOSPITALIST	40.00				$392,954	$0	$15,381		Yes (X)
JAMES STILLERMAN MD
WOUND CARE	40.00				$376,494	$0	$20,339		Yes (X)
DAVID FLINT
FORMER TRUSTEE	17.00				$138,974	$0	$12,090			Yes (X)
JACK RUSH
FORMER TRUSTEE	40.00				$213,607	$0	$12,530			Yes (X)
LAVERENE VANDERWALL
FORMER TRUSTEE	20.00				$133,093	$0	$7,220			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,904,948	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$361,316	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	190	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
JEFFERSON ANESTHESIOLOGIST SERVICES
826 WASHINGTON ST	WATERTOWN	NY	13601	ANESTHESIA SERVICES	$3,395,840
CONTINENTAL CONSTRUCTION LLC
2125 STATE HIGHWAY 812 PO BOX 358	GOUVERNEUR	NY	13642	PURCHASED SERVICES	$1,383,215
FRESENIUS MANAGEMENT SERVICES INC
16343 COLLECTIONS CENTER DRIVE	CHICAGO	IL	60693	PURCHASED SERVICES	$587,283
TRUSTAFF TRAVEL NURSES LLC
4675 CORNELL ROAD	CINCINNATI	OH	45241	PURCHASED SERVICES	$546,797
MEDPARTNERS LOCUM TENENS LLC
5810 CORAL RIDGE DRIVE STE 250	CORAL SPRINGS	FL	33076	PURCHASED SERVICES	$507,981

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Related Organizations	$104,818	RelatedOrganizationsAmt
Government Grants	$676,906	GovernmentGrantsAmt
All Other Contributions	$14,090,252	AllOtherContributionsAmt
Total Contributions	$14,871,976	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT SERVICE REVENUE	Desc
Business	623000	BusinessCd
Total Revenue Column	$234,501,080	TotalRevenueColumnAmt
Related Or Exempt Func Income	$234,501,080	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$234,501,080	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$110,429	TotalRevenueColumnAmt
Exclusion	$110,429	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$814,629	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$113,620	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$701,009	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$701,009	TotalRevenueColumnAmt
Exclusion	$701,009	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$394,293	SecuritiesAmt
Other	$130,023	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$73,922	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$394,293	SecuritiesAmt
Other	$56,101	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$450,394	TotalRevenueColumnAmt
Exclusion	$450,394	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MLMIC	524298	$9,863,128	$9,863,128
SHARED SERVICES	541900	$1,503,001		$1,503,001
CAFETERIA	722210	$718,790		$718,790

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,310,251	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,310,251	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$17,395,170	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$268,030,058	TotalRevenueColumnAmt
Related Or Exempt Func Income	$242,033,122	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$11,124,960	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,510,910	TotalAmt
Program Services	$161,152	ProgramServicesAmt
Management And General	$3,349,758	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$100,673,925	TotalAmt
Program Services	$88,488,904	ProgramServicesAmt
Management And General	$11,630,148	ManagementAndGeneralAmt
Fundraising	$554,873	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,761,333	TotalAmt
Program Services	$4,050,942	ProgramServicesAmt
Management And General	$685,156	ManagementAndGeneralAmt
Fundraising	$25,235	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$17,325,177	TotalAmt
Program Services	$14,740,261	ProgramServicesAmt
Management And General	$2,493,093	ManagementAndGeneralAmt
Fundraising	$91,823	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,733,356	TotalAmt
Program Services	$6,579,539	ProgramServicesAmt
Management And General	$1,112,830	ManagementAndGeneralAmt
Fundraising	$40,987	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$579,928	TotalAmt
Program Services	$5,625	ProgramServicesAmt
Management And General	$574,303	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$159,373	TotalAmt
Management And General	$146,408	ManagementAndGeneralAmt
Fundraising	$12,965	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$101,336	TotalAmt
Management And General	$101,336	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$10,341,122	TotalAmt
Program Services	$9,474,183	ProgramServicesAmt
Management And General	$866,939	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$719,668	TotalAmt
Program Services	$2,577	ProgramServicesAmt
Management And General	$717,091	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,426,520	TotalAmt
Program Services	$275,900	ProgramServicesAmt
Management And General	$1,132,996	ManagementAndGeneralAmt
Fundraising	$17,624	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,653,815	TotalAmt
Program Services	$4,487,715	ProgramServicesAmt
Management And General	$162,700	ManagementAndGeneralAmt
Fundraising	$3,400	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,539,197	TotalAmt
Program Services	$6,377,383	ProgramServicesAmt
Management And General	$1,161,814	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$400,121	TotalAmt
Program Services	$195,578	ProgramServicesAmt
Management And General	$195,908	ManagementAndGeneralAmt
Fundraising	$8,635	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$90,858	TotalAmt
Program Services	$31,059	ProgramServicesAmt
Management And General	$58,900	ManagementAndGeneralAmt
Fundraising	$899	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$189,068	TotalAmt
Program Services	$189,068	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$216,000	TotalAmt
Management And General	$216,000	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$14,399,447	TotalAmt
Program Services	$11,078,935	ProgramServicesAmt
Management And General	$3,320,512	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,054,257	TotalAmt
Program Services	$1,545,224	ProgramServicesAmt
Management And General	$509,033	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SUPPLIES	$35,729,864	$34,843,419	$864,302	$22,143
OTHER EXPENSES	$13,891,136	$9,967,241	$3,846,081	$77,814
PROVISION FOR BAD DEBT	$5,486,612	$5,486,612
EQUIPMENT REPAIR AND MA	$3,062,757	$2,528,669	$534,088

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,990,515	TotalAmt
Program Services	$1,990,515	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$237,036,295	TotalAmt
Program Services	$202,500,501	ProgramServicesAmt
Management And General	$33,679,396	ManagementAndGeneralAmt
Fundraising	$856,398	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,773	BOYAmt
EOY	$4,586	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$71,268,435	BOYAmt
EOY	$58,368,194	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$24,821,718	BOYAmt
EOY	$27,064,260	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,954,827	BOYAmt
EOY	$4,789,916	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,196,141	BOYAmt
EOY	$4,360,548	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$361,217,382	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$204,478,321	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$140,432,320	BOYAmt
EOY	$156,739,061	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$874,471	BOYAmt
EOY	$874,471	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$6,438,156	BOYAmt
EOY	$3,768,390	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,544,710	BOYAmt
EOY	$12,691,226	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$257,536,551	BOYAmt
EOY	$268,660,652	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$37,494,747	BOYAmt
EOY	$41,987,437	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$83,826,263	BOYAmt
EOY	$82,866,186	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$18,060,582	BOYAmt
EOY	$16,368,513	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$30,199,829	BOYAmt
EOY	$20,780,949	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$169,581,421	BOYAmt
EOY	$162,003,085	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$85,817,539	BOYAmt
EOY	$94,476,359	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,263,120	BOYAmt
EOY	$11,306,737	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$874,471	BOYAmt
EOY	$874,471	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$87,955,130	BOYAmt
EOY	$106,657,567	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$257,536,551	BOYAmt
EOY	$268,660,652	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$30,993,763	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$14,995	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$12,276,331	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$101,336	OtherActivitiesAmt
Total Lobbying Expenditures	$101,336	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	A PORTION OF ANNUAL MEMBERSHIP DUES PAID TO HANYS AND IHA ARE RELATED TO LOBBYING ACTIVITIES. SAMARITAN PAYS AN ANNUAL RETAINER FEE TO LEGAL COUNCIL FOR GOVERNMENTAL RELATIONS WORK.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,137,591	BeginningYearBalanceAmt
Contributions	$13,669,647	ContributionsAmt
Other Expenditures	$3,626,030	OtherExpendituresAmt
End Year Balance	$12,181,208	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,089,529	BeginningYearBalanceAmt
Contributions	$2,999,187	ContributionsAmt
Other Expenditures	$295,125	OtherExpendituresAmt
End Year Balance	$2,137,591	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,207,124	BeginningYearBalanceAmt
Contributions	$2,416,457	ContributionsAmt
Other Expenditures	$2,534,052	OtherExpendituresAmt
End Year Balance	$2,089,529	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,526,223	BeginningYearBalanceAmt
Contributions	$1,796,358	ContributionsAmt
Other Expenditures	$2,115,457	OtherExpendituresAmt
End Year Balance	$2,207,124	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,051,423	BeginningYearBalanceAmt
Contributions	$1,474,414	ContributionsAmt
Other Expenditures	$999,614	OtherExpendituresAmt
End Year Balance	$2,526,223	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.07180	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.92820	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,216,252	OtherCostOrOtherBasisAmt
Book Value	$1,216,252	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$172,900,895	OtherCostOrOtherBasisAmt
Depreciation	$59,736,851	DepreciationAmt
Book Value	$113,164,044	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,611,199	OtherCostOrOtherBasisAmt
Depreciation	$4,815,599	DepreciationAmt
Book Value	$3,795,600	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$169,409,042	OtherCostOrOtherBasisAmt
Depreciation	$139,925,871	DepreciationAmt
Book Value	$29,483,171	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,079,994	OtherCostOrOtherBasisAmt
Book Value	$9,079,994	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$156,739,061	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$7,613,210
RETIREMENT PLAN OBLIGATIONS	$14,140,192
INSURANCE RESERVE PAYABLE	$4,137,163
DUE TO/FROM AFFILIATES	-$5,109,616

Field	Value	IRS element (for citing)
Total Liability	$20,780,949	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE INTENDED USE OF THE ENDOWMENT FUNDS IS TO SUPPORT SAMARITAN MEDICAL CENTER AND RELATED FACILITIES IN PROVIDING HEALTH CARE SERVICES TO THE PUBLIC.
PART X, LINE 2:	SAMARITAN QUALIFIES AS A TAX-EXEMPT, NOT-FOR-PROFIT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2018 AND 2017, SAMARITAN DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND NEW YORK STATE TAXING AUTHORITIES ARE 2015 THROUGH 2018.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$714,007	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$257,521	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$456,486	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$46,386,353	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,226,041	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,160,312	NetCommunityBenefitExpnsAmt
Total Expense	0.06820	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$47,100,360	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,483,562	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,616,798	NetCommunityBenefitExpnsAmt
Total Expense	0.07010	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$90,523	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$90,523	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,448,989	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,448,989	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,301,153	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,704,041	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,597,112	NetCommunityBenefitExpnsAmt
Total Expense	0.00670	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,840,665	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,704,041	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,136,624	NetCommunityBenefitExpnsAmt
Total Expense	0.01320	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$55,941,025	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,187,603	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,753,422	NetCommunityBenefitExpnsAmt
Total Expense	0.08330	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,486,609	BadDebtExpenseAmt
Bad Debt Expense Attributable	$434,891	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$55,405,860	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$61,007,479	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$5,601,619	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SAMARITAN MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	830 WASHINGTON STREET	AddressLine1Txt
City	WATERTOWN	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	13601	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	SAMARITAN MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SAMARITANHEALTH.COM	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	NCNYHEALTHCOMPASS.ORG	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SAMARITANHEALTH.COM	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SAMARITANHEALTH.COM	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SAMARITANHEALTH.COM	FAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SAMARITAN MEDICAL CENTER	PART V, SECTION B, LINE 5: SAMARITAN MEDICAL CENTER'S 2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS PREPARED BY THE FORT DRUM REGIONAL HEALTH PLANNING ORGANIZATION (FDRHPO) IN COLLABORATION WITH NORTH COUNTRY HEALTH COMPASS PARTNERS (NCHCP). THE LATTER GROUP IS AN FDRHPO-ALIGNED COALITION OF REPRESENTATIVES FROM HOSPITALS, COUNTY HEALTH DEPARTMENTS AND AGENCIES, AND COMMUNITY-BASED ORGANIZATIONS WORKING TOGETHER TO DEVELOP, IMPLEMENT AND EVALUATE HEALTH IMPROVEMENT INITIATIVES WITHIN A THREE-COUNTY REGION. NCHCP MEMBERS, WHO MEET MONTHLY, PROVIDED INPUT AND FEEDBACK THROUGHOUT THE CHNA'S DEVELOPMENT. THOSE WITH SPECIAL KNOWLEDGE AND EXPERTISE IN PUBLIC HEALTH WHO WERE INVOLVED IN THE PROCESS INCLUDED THE JEFFERSON COUNTY PUBLIC HEALTH SERVICE'S DIRECTOR AND PUBLIC HEALTH PLANNER; LEWIS COUNTY PUBLIC HEALTH'S DIRECTOR AND SUPERVISING PUBLIC HEALTH NURSE, AND THE ST. LAWRENCE COUNTY PUBLIC HEALTH DEPARTMENT'S DIRECTOR AND PREVENTIVE SERVICES DIRECTOR. SAMARITAN'S SERVICE AREA COVERS ALL OF JEFFERSON COUNTY AND ADJACENT PORTIONS OF LEWIS AND ST. LAWRENCE COUNTIES; THE INDIVIDUALS FROM THE HEALTH DEPARTMENTS OF THESE THREE COUNTIES REPRESENT THE BROAD INTERESTS OF RESIDENTS LIVING IN THE COMMUNITIES SERVED BY SAMARITAN MEDICAL CENTER.
SAMARITAN MEDICAL CENTER	PART V, SECTION B, LINE 6A: OTHER HOSPITAL FACILITIES PARTICIPATING IN THE DEVELOPMENT OF THE CHNA, IN ADDITION TO SAMARITAN, WERE: CARTHAGE AREA HOSPITAL AND RIVER HOSPITAL IN JEFFERSON COUNTY; LEWIS COUNTY GENERAL HOSPITAL IN LEWIS COUNTY AND CLAXTON-HEPBURN MEDICAL CENTER, CLIFTON-FINE HOSPITAL AND E.J. NOBLE HOSPITAL/GOUVERNEUR IN ST. LAWRENCE COUNTY.
SAMARITAN MEDICAL CENTER	PART V, SECTION B, LINE 6B: IN ADDITION TO THE HOSPITALS, THE CHNA ALSO WAS CONDUCTED IN PARTNERSHIP WITH THE PUBLIC HEALTH DEPARTMENTS OF JEFFERSON, LEWIS AND ST. LAWRENCE COUNTIES, WITH COORDINATION AND CHNA OVERSIGHT PROVIDED BY THE FORT DRUM REGIONAL HEALTH PLANNING ORGANIZATION. THROUGH THE NCHCP, COMMUNITY-BASED AGENCIES ALSO RECEIVED INFORMATION AS THE CHNA WAS DEVELOPED AND HAD OPPORTUNITY TO PROVIDE FEEDBACK. THESE INCLUDED: CREDO COMMUNITY CENTER FOR THE TREATMENT OF ADDICTIONS, MOUNTAINVIEW PREVENTION SERVICES, NORTH COUNTRY FAMILY HEALTH CENTER, NORTH COUNTRY PRENATAL-PERINATAL COUNCIL, PIVOT ALCOHOL AND SUBSTANCE ABUSE COUNCIL OF JEFFERSON COUNTY, ST. LAWRENCE-LEWIS BOARD OF COOPERATIVE EDUCATIONAL SERVICES, ST. LAWRENCE COUNTY COMMUNITY SERVICES, SEAWAY VALLEY PREVENTION COUNCIL, UNITED HEALTH GROUP, WATERTOWN CHAMBER OF COMMERCE AND WATERTOWN FAMILY YMCA.
SAMARITAN MEDICAL CENTER	PART V, SECTION B, LINE 11: SAMARITAN'S COMMUNITY SERVICE PLAN OUTLINED ACTIVITIES AND STRATEGIES IN TWO AREAS ALIGNED WITH NEW YORK STATE'S PREVENTION AGENDA: PREVENT CHRONIC DISEASE AND PROMOTE MENTAL HEALTH/PREVENT SUBSTANCE ABUSE. DURING 2018 SAMARITAN CONTINUED TO SUPPORT THE DEVELOPMENT AND WORK OF A CERTIFIED DIABETES EDUCATOR (CDE), WHO IS ALSO A REGISTERED DIETITIAN. THIS STAFF MEMBER IMPLEMENTED ONE-ON-ONE DIABETES SELF-MANAGEMENT EDUCATION (DSME) TO PATIENTS DIAGNOSED WITH DIABETES FOR MEDICAL NUTRITIONAL THERAPY (MNT). DURING 2018, SHE PROVIDED 324 DIABETES PATIENTS WITH DSME AND WORKED ON DEVELOPMENT OF A GROUP DSME CLASS FOR CERTIFICATION. THE CDE ALSO CONSULTED THROUGHOUT THE YEAR WITH PRIMARY CARE AND PHYSICIAN PRACTICES BOTH WITHIN AND OUTSIDE OF THE SAMARITAN HEALTH SYSTEM TO EDUCATE PRACTITIONERS ON HOW TO WORK WITH DIABETES PATIENTS TO PROMOTE DISEASE SELF-MANAGEMENT. SAMARITAN PARTNERED WITH OTHER LOCAL ORGANIZATIONS TO ENGAGE IN COMMUNITY-WIDE AWARENESS, EDUCATION AND PREVENTION ACTIVITIES IN THE AREAS OF DIABETES, AS WELL AS CANCER. DURING THE YEAR, SAMARITAN ALSO ENGAGED A CHRONIC CARE MANAGER, A REGISTERED NURSE WHO ASSESSED THE RECORDS OF NEARLY 300 OUTPATIENTS SUFFERING FROM TWO OR MORE CHRONIC CONDITIONS. SHE THEN WORKED WITH INDIVIDUAL PATIENTS TO DEVELOP PLANS THAT IDENTIFIED BARRIERS TO CARE, PROVIDED COUNSELING AND REFERRALS TO PROVIDERS AND COMMUNITY-BASED ORGANIZATIONS THAT ADDRESSED MEDICAL AND SOCIAL DETERMINANTS OF HEALTH ISSUES, AND PROVIDED COORDINATION AND INTERVENTION WHEN OBSTACLES AROSE DURING IMPLEMENTATION OF INDIVIDUAL PLANS.SAMARITAN CONTINUED IMPLEMENTATION OF PROTOCOLS TO INTEGRATE MENTAL, EMOTIONAL AND BEHAVIORAL (MEB) HEALTH SCREENINGS IN PRIMARY CARE SETTINGS. IT ALSO CONTINUED TO INCREASE PATIENT ACCESS TO BEHAVIORAL HEALTHCARE AND RELATED SUPPORTS IN ITS PRIMARY CARE CLINICS AND WORK TO LESSEN THE STIGMA OF SEEKING MEB TREATMENT. NEARLY 30,000 OUTPATIENTS UNDERWENT INITIAL DEPRESSION SCREENINGS DURING PRIMARY CARE VISITS AND MORE THAN 2,000 OF THESE INDIVIDUALS UNDERWENT ADDITIONAL SCREENINGS WITH APPROPRIATE FOLLOW-UPS AND REFERRALS FOR TREATMENT. OUTPATIENT CLINIC PRACTITIONERS ALSO ENGAGED SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT WITH MORE THAN 19,000 OUTPATIENTS. IN ADDITION, THE NUMBER OF LICENSED CLINICAL SOCIAL WORKERS IN THE HOSPITAL'S OUTPATIENT CLINICS INCREASED FROM ONE TO THREE. LCSWS ASSIST INDIVIDUALS WITH MEB DIAGNOSES IN OBTAINING THE NECESSARY COUNSELING AND SUPPORT. IN ADDITION TO THESE SPECIFIC ACTIVITIES, SAMARITAN CONTINUED TO PARTICIPATE ON REGIONAL COMMITTEES AND IN INITIATIVES COORDINATED BY FDRHPO AND THE NORTH COUNTRY INITIATIVE THAT ADDRESS AREAS RELATIVE TO CHRONIC AND BEHAVIORAL HEALTH ISSUES, AS WELL AS PARTNER WITH THESE AND OTHER COMMUNITY PROVIDERS AND AGENCIES ON PROJECTS ADDRESSING ADDITIONAL REGIONAL POPULATION HEALTH CONCERNS THAT ARE NOT SPECIFICALLY TACKLED IN THE CURRENT CSP. THESE ONGOING ACTIVITIES INCLUDE PREVENTION AND AWARENESS EDUCATION ON THE REGION'S MOST PREVALENT CHRONIC DISEASES AND CONDITIONS, EARLY CANCER DETECTION SCREENINGS, SMOKING CESSATION CLASSES, PARTICIPATION IN AND SUPPORT FOR REGIONAL HEALTH CAMPAIGNS, PHYSICIAN RECRUITMENT/RETENTION ACTIVITIES, ADOPTION OF EVIDENCE-BASED MEDICAL AND CLINICAL IMPROVEMENTS TO ENHANCE PATIENT OUTCOMES, AND DEVELOPMENT OF TELEMEDICINE INFRASTRUCTURE AND TOOLS TO IMPROVE THE ACCESS OF OUR REGION'S RURAL, UNDER-SERVED POPULATION TO COST-EFFECTIVE, QUALITY HEALTH CARE.

Field	Value	IRS element (for citing)
Facility	10	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - SAMARITAN FAMILY HEALTH - CLAYTON
909 STRAWBERRY LANE	CLAYTON	NY	13624	PRIMARY CARE CLINIC
2 - SAMARITAN FAMILY HEALTH - PLAZA
1575 WASHINGTON STREET	WATERTOWN	NY	13601	PRIMARY CARE CLINIC
3 - SAMARITAN FAMILY HEALTH - UROLOGY
19324 US ROUTE 11	WATERTOWN	NY	13601	OUTPATIENT UROLOGY CLINIC
4 - SAMARITAN FAMILY HEALTH - LACONA
3 DEMOTT STREET	LACONA	NY	13083	PRIMARY CARE CLINIC
5 - SAMARITAN OUTPATIENT BEHAVIOR HEALTH
1575 WASHINGTON STREET	WATERTOWN	NY	13601	OUTPATIENT PSYCHIATRIC CLINIC
6 - SAMARITAN FAMILY HEALTH - LERAY
26908 INDEPENDENCE WAY	EVAN MILLS	NY	13637	PRIMARY CARE CLINIC/URGENT CARE
7 - CAPE VINCENT CLINIC
782 E BROADWAY	CAPE VINCENT	NY	13618	PRIMARY CARE CLINIC
8 - SAMARITAN FAMILY HEALTH - WOUND CARE
165 COLEMAN STREET	WATERTOWN	NY	13601	OUTPATIENT WOUND CARE CLINIC
9 - SAMARITAN FAMILY HEALTH - SACKETS HARBOR
105 BARRACKS DRIVE	SACKETS HARBOR	NY	13685	OUTPATIENT PRIMARY CARE CLINIC
10 - ADAMS FAMILY HEALTH CENTER
10881 US ROUTE 11	ADAMS	NY	13605	OUTPATIENT PRIMARY CARE CLINIC

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	SAMARITAN IS A MEMBER OF THE HOSPITAL ASSOCIATION OF NEW YORK STATE, WHICH ANNUALLY GENERATES AN ECONOMIC AND COMMUNITY IMPACT REPORT FOR SAMARITAN MEDICAL CENTER INDICATING IN TOTAL DOLLARS THE COST OF CARE THE HOSPITAL PROVIDED IN THE PRIOR YEAR TO PEOPLE IN NEED, SUBSIDIZED CARE AND SERVICES TO LOW-INCOME, ELDERLY AND UNDER-SERVED COMMUNITIES, AND THE HOSPITAL'S INVESTMENT IN COMMUNITY HEALTH INITIATIVES. IN ADDITION TO THIS AMOUNT, THE REPORT INDICATES THE NUMBER OF OUTPATIENTS TREATED, EMERGENCY ROOM VISITS, HOSPITAL ADMISSIONS AND BABIES DELIVERED DURING THAT YEAR, AS WELL THE NUMBER OF JOBS GENERATED. THIS REPORT ALSO PROVIDES AN ESTIMATE IN DOLLARS OF THE ANNUAL ECONOMIC ACTIVITY AND TAX DOLLARS GENERATED IN THE COMMUNITY DUE TO THE HOSPITAL'S PRESENCE AND SPENDING. THIS INFORMATION, AS WELL AS MORE DETAIL, IS INCLUDED IN SAMARITAN'S ANNUAL REPORT TO THE COMMUNITY, A PUBLICATION WHICH IS MAILED TO KEY HOSPITAL AND COMMUNITY STAKEHOLDERS AND ALSO PUBLICLY AVAILABLE ON THE HOSPITAL'S WEBSITE.
PART I, LINE 7:	THE RATIO OF COST TO CHARGES METHODOLOGY WAS UTILIZED IN COMPUTING ALL EXPENSES REPORTED ON LINES 7A. THROUGH 7G. THE WORKSHEET (#1 THROUGH #6) TEMPLATES IN THE INSTRUCTIONS FOR SCHEDULE H WERE FOLLOWED TO COMPUTE COSTS REPORTED.
PART I, LINE 7G:	THE COSTS REPORTED ON THIS LINE REPRESENT THE NET EXPENSE FOR THE OUTPATIENT PRIMARY CARE CLINICS OPERATED BY SAMARITAN MEDICAL CENTER. THE "NET" EXPENSE WAS COMPUTED UTILIZING WORKSHEET 6 OF THE SCHEDULE H FORM.
PART III, LINE 4:	PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE, SAMARITAN MEDICAL CENTER (SMC), SAMARITAN MEDICAL PRACTICE, P.C. (SMP) AND SAMARITAN KEEP NURSING HOME, INC. (SKH) ANALYZE PAST PAYMENT HISTORY AND IDENTIFY TRENDS FOR EACH MAJOR PAYOR SOURCE OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH PATIENTS WHO HAVE THIRD-PARTY COVERAGE, SMC, SMP AND SKH ANALYZE CONTRACTUALLY DUE AMOUNTS AND PROVIDE AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS AND FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, SMC, SMP AND SKH ALSO ANALYZE AMOUNTS DUE AND PROVIDE AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE BASED ON PAST EXPERIENCE, INCLUDING CONSIDERATION OF CURRENT BUSINESS AND ECONOMIC CONDITIONS. WHEN SMC, SMP AND SKH ESTABLISH THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BOTH TAKE INTO CONSIDERATION THE FACT THAT MANY SELF-PAY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE AMOUNT OF BAD DEBT AT COST REPORTED ON LINE #2 WAS CALCULATED BY APPLYING THE OVERALL IMPLICIT PRICE CONCESSION TO THE PROVISION FOR BAD DEBT EXPENSE AS REPORTED IN OUR 2018 AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	MEDICARE ALLOWABLE COSTS REPORTED WERE TAKEN DIRECTLY FROM THE 2018 MEDICARE COST REPORT FILED WITH NATIONAL GOVERNMENT SERVICES. THE METHODOLOGY IS BASED ON APPLYING FACILITY RATIO OF COST TO CHARGES TO THE MEDICARE (PROGRAM) CHARGES, AS PROVIDED BY NATIONAL GOVERNMENT SERVICES IN THE PS&R REPORT.THE MEDICARE SHORTFALL REPORTED SHOULD BE TREATED AS COMMUNITY BENEFIT EXPENSE. SAMARITAN MEDICAL CENTER PROVIDES MEDICAL SERVICES TO ALL PATIENTS REGARDLESS OF INSURANCE COVERAGE. THE OVERALL (INPATIENT AND OUTPATIENT) MEDICARE PAYOR MIX FOR 2018 WAS APPROXIMATELY 38%.
PART III, LINE 9B:	IF CHARITY CARE ASSISTANCE IS GRANTED, PATIENT ACCOUNTS THAT HAVE BEEN REFERRED TO A COLLECTION AGENCY WITHIN 60 DAYS OF APPLICATION DATE ARE ELIGIBLE FOR CHARITY CARE DISCOUNT. ANY BILL AMOUNT REMAINING AFTER APPLICATION OF THE CHARITY CARE DISCOUNT IS THE RESPONSIBILITY OF THE PATIENT. THE PATIENT WILL BE ASSISTED BY THE HOSPITAL IN MAKING SHORT TERM ARRANGEMENT TO SATISFY ANY REMAINING BALANCE ON THE ACCOUNT.
PART VI, LINE 2:	AS REPORTED IN DETAIL IN PART V, SECTION B, SAMARITAN MEDICAL CENTER PARTICIPATED IN A COMPREHENSIVE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT PREPARED BY THE FORT DRUM REGIONAL HEALTH PLANNING ORGANIZATION (FDRHPO) IN COLLABORATION WITH NORTH COUNTRY HEALTH COMPASS PARTNERS (NCHCP). THE LATTER GROUP IS A COALITION OF REPRESENTATIVES FROM HOSPITALS, COUNTY HEALTH DEPARTMENTS AND AGENCIES, AND COMMUNITY-BASED ORGANIZATIONS WORKING TOGETHER TO DEVELOP, IMPLEMENT AND EVALUATE HEALTH IMPROVEMENT INITIATIVES ACROSS JEFFERSON, LEWIS AND ST. LAWRENCE COUNTIES. DURING MONTHLY MEETINGS OF THE NCHCP, RESULTS OF THE CHNA WERE DISCUSSED AND USED NOT ONLY TO DEVELOP AND COORDINATE COMMUNITY HEALTH IMPROVEMENT INITIATIVES, BUT ALSO INFORM PLANS FOR ONGOING MONITORING AND ASSESSMENT OF TARGETED NEEDS AND POPULATIONS IN THE COMING MONTHS AND YEAR. FDRHPO AND NCHCP CONDUCTED A 2018 COMMUNITY SURVEY OF ADULT RESIDENTS WHICH PROVIDED COMPARATIVE AND SUPPLEMENTARY DATA TO THE INFORMATION ORIGINALLY COMPILED FOR THE 2016 COMPREHENSIVE ASSESSMENT AND FOR THE 2017 COMMUNITY SURVEY OF ADULTS.
PART VI, LINE 3:	ALL HOSPITAL EMPLOYEES ARE MADE AWARE OF SAMARITAN'S PATIENT FINANCIAL ASSISTANCE PROGRAM DURING NEW EMPLOYEE ORIENTATION AND THROUGH MANDATED ANNUAL TRAININGS FOR ALL EMPLOYEES. THIS ENSURES ALL EMPLOYEES UNDERSTAND THE PROGRAM'S AVAILABILITY AND APPLICATION PROCESS, SO THAT THEY ARE ABLE TO REFER PATIENTS WHO MAY NEED FINANCIAL SUPPORT TO THE HOSPITAL'S PATIENT REGISTRATION OFFICE FOR ASSISTANCE. INTERNAL POLICIES AND PROCEDURES ABOUT THE PROGRAM ALSO ARE AVAILABLE TO EMPLOYEES THROUGH THE HOSPITAL'S INTRANET. APPLICATIONS FOR FINANCIAL ASSISTANCE ARE AVAILABLE IN PATIENT HANDOUTS AND ALSO PROVIDED IN DISPLAY RACKS AT ALL POINTS OF PUBLIC ENTRY TO THE FACILITY, AS WELL AS ENTRY POINTS TO THE PRIMARY CARE CLINICS OPERATED AT THE HOSPITAL'S EXTENSION SITES. THE PUBLIC CAN ALSO ACCESS AND PRINT THE INFORMATION BROCHURE/APPLICATION FROM THE HOSPITAL'S WEBSITE. PATIENTS ALSO MAY VIEW THEIR BILLS ELECTRONICALLY THROUGH THIS WEBSITE. ALL HOSPITAL BILLING STATEMENTS ADDITIONALLY REFERENCE THE FINANCIAL ASSISTANCE PROGRAM. WHEN A PATIENT APPLIES FOR ASSISTANCE, APPLICATION PROCESSING INCLUDES SCREENING FOR ELIGIBILITY FOR PARTICIPATION IN FEDERAL AND STATE HEALTHCARE EXPENSE ASSISTANCE PROGRAMS.
PART VI, LINE 4:	LOCATED IN NORTHERN NEW YORK STATE, SAMARITAN MEDICAL CENTER'S SERVICE AREA COMPRISES JEFFERSON COUNTY, WHICH HAS A LAND MASS OF 1,268 SQUARE MILES, AND ADJACENT PORTIONS OF ST. LAWRENCE, LEWIS AND OSWEGO COUNTIES. SAMARITAN'S PATIENTS ARE PREDOMINANTLY JEFFERSON COUNTY RESIDENTS. THE U.S. CENSUS ESTIMATED JEFFERSON COUNTY'S 2018 POPULATION AT 111,775, FOR A POPULATION DENSITY OF 88 PERSONS PER SQUARE MILE. THE POPULATION IS APPROXIMATELY 90% CAUCASIAN, 8% BLACK OR AFRICAN AMERICAN, WITH THE REMAINDER DESIGNATED AS MEMBERS OF NATIVE POPULATIONS OR OF MULTIPLE RACES. POPULATION CENTERS IN OUR LARGELY RURAL COUNTY INCLUDE THE SMALL CITY OF WATERTOWN (2018 POPULATION ESTIMATE 25,290), THE FORT DRUM U.S. MILITARY POST (HOME OF THE 10TH MOUNTAIN DIVISION), AND SEVERAL SMALL VILLAGES. THE TRANSIENT MILITARY POPULATION ASSIGNED TO FORT DRUM INCLUDES, AT ANY GIVEN TIME, NEARLY 15,000 SOLDIERS AND A LIKE NUMBER OF FAMILY MEMBERS. HOUSING IS AVAILABLE ON POST TO SOME BUT NOT ALL MILITARY FAMILIES; THERE ARE NO HOSPITALS OR PRIMARY/SECONDARY SCHOOLS LOCATED ON FORT DRUM, WITH THE ARMY INSTEAD RELYING ON LOCAL COMMUNITY RESOURCES FOR ADDITIONAL HOUSING, ACUTE CARE AND SPECIALTY MEDICAL SERVICES, AND THE EDUCATION OF SOLDIERS' CHILDREN. BECAUSE OF THIS, THE FORT DRUM COMMUNITY IS WELL INTEGRATED IN AND SUPPORTED BY THE REGION'S CIVILIAN COMMUNITY.GEOGRAPHICALLY, JEFFERSON COUNTY IS SITUATED ADJACENT TO CANADA, WITH ITS WESTERN BORDER FORMED BY LAKE ONTARIO AND THE ST. LAWRENCE RIVER. THE SOUTHEASTERN SIDE OF THE COUNTY INCLUDES A PORTION OF THE TUG HILL PLATEAU WHILE THE ADIRONDACK FOOTHILLS LIE TO THE NORTH. VARYING PORTIONS OF THE COUNTY EACH WINTER ENDURE RECURRENT BOUTS OF SEVERE WEATHER, DUE LARGELY TO HEAVY LAKE EFFECT SNOWSTORMS BLOWING IN FROM LAKE ONTARIO AND ACROSS THE TUG HILL, GENERATING SOME OF THE NATION'S LARGEST ANNUAL SNOWFALLS. THE COUNTY LAGS ECONOMICALLY WHEN COMPARED TO NEW YORK STATE. THE MEDIAN INCOME FOR JEFFERSON COUNT HOUSEHOLDS IS 20% LOWER THAT THE STATE'S MEDIAN INCOME. U.S. CENSUS FIGURES FURTHER INDICATE THAT 15% OF JEFFERSON COUNTY RESIDENTS LIVE IN POVERTY. COUNTY UNEMPLOYMENT ALSO RUNS CONSISTENTLY HIGHER THAN THE REST OF THE STATE. WHILE THE U.S. ARMY IS FAR AND AWAY THE LARGEST EMPLOYER IN JEFFERSON COUNTY WITH APPROXIMATELY 25,000 EMPLOYEES (MILITARY AND CIVILIAN), THE SAMARITAN HEALTH SYSTEM (WHICH INCLUDES SAMARITAN MEDICAL CENTER AND SEVERAL AFFILIATED FACILITIES AND AGENCIES), WHICH HAS NEARLY 2,200 FULL-TIME EQUIVALENT EMPLOYEES, IS THE COMMUNITY'S LARGEST PRIVATE EMPLOYER. IN ADDITION TO GOVERNMENT, HEALTH AND HUMAN SERVICES AND EDUCATION JOBS, OTHER KEY SECTORS OF EMPLOYMENT INCLUDE AGRICULTURE, TOURISM, RETAIL AND MANUFACTURING. SAMARITAN'S PAYER MIX ANNUALLY SHOWS 35% TO 40% OF HOSPITALIZATIONS AND PATIENT VISITS ARE COVERED BY MEDICARE AND ANOTHER 20% BY MEDICAID, WITH THE NEXT LARGEST PERCENTAGES COVERED BY TRICARE (THE U.S. DEPT. OF DEFENSE'S INSURANCE PROGRAMS) AND COMMERCIAL INSURANCE. ABOUT 3% OF SAMARITAN'S VISITS AND HOSPITALIZATIONS ARE NOT COVERED BY AN INSURANCE PROGRAM.
PART VI, LINE 5:	SAMARITAN IS INVOLVED WITH A WIDE VARIETY OF INITIATIVES, PARTNERSHIPS AND COMMITTEES WORKING TO TRANSFORM THE REGIONAL HEALTH SYSTEM THROUGH PROJECTS WHOSE GOALS ARE TO (1) CREATE AN INTEGRATED HEALTHCARE DELIVERY SYSTEM FOCUSED ON EVIDENCED-BASED MEDICINE AND POPULATION HEALTH MANAGEMENT; (2) IMPLEMENT ADOPTION OF THE PATIENT-CENTERED MEDICAL HOME MODEL OF HEALTHCARE; (3) CREATE "MEDICAL VILLAGES" ENABLING PATIENTS TO ACCESS MULTIPLE HEALTHCARE FUNCTIONS FOR OUTPATIENT CARE IN SINGLE CONVENIENT LOCATIONS; (4) PROMOTE CARE TRANSITION INTERVENTIONS TO INCREASE PATIENT AWARENESS AND UNDERSTANDING OF FOLLOW-UP CARE IN ORDER TO REDUCE HOSPITAL READMISSIONS FOR CHRONIC CONDITIONS; (5) ENGAGE/EDUCATE PATIENTS AND IMPLEMENT STRATEGIES TO PROMOTE USE OF COMMUNITY-BASED CARE AND PREVENTION ACTIVITIES TO REDUCE EMERGENCY ROOM VISITS AND OTHER COSTLY HEALTHCARE SERVICES; (6) INTEGRATE PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES; (7) ADOPT EVIDENCE-BASED STRATEGIES FOR DISEASE MANAGEMENT IN HIGH RISK/AFFECTED POPULATIONS, PARTICULARLY IN THE AREAS OF CARDIOVASCULAR CONDITIONS AND DIABETES; (8) IMPLEMENT EVIDENCED-BASED STRATEGIES IN THE COMMUNITY TO ADDRESS CHRONIC DISEASE THROUGH PREVENTION ACTIVITIES; (9) STRENGTHEN MENTAL HEALTH AND SUBSTANCE ABUSE INFRASTRUCTURE ACROSS SYSTEMS THROUGH COLLABORATION AMONG COMMUNITY LEADERS, HEALTHCARE PROFESSIONALS AND COMMUNITY MEMBERS WORKING IN THE AREAS OF MENTAL/EMOTIONAL/BEHAVIORAL HEALTH, AND (10) INCREASE ACCESS TO HIGH-QUALITY CHRONIC DISEASE PREVENTION CARE AND MANAGEMENT IN CLINICAL AND COMMUNITY SETTINGS. SAMARITAN'S SPECIFIC ACTIVITIES IN 2018 TO SUPPORT THESE INITIATIVES INCLUDED (1) CONTINUED LEVEL III PATIENT CENTERED MEDICAL HOME (PCMH) RECOGNITION FROM THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE FOR ALL OF THE HOSPITAL'S OUTPATIENT CLINICS; (2) COMMENCEMENT OF RENOVATION OF THE SAMARITAN MEDICAL PLAZA TO CREATE A "MEDICAL VILLAGE" THAT CONSOLIDATES WOMEN'S OUTPATIENT SERVICES IN THE SAME LOCATION THAT HOUSES A SAMARITAN FAMILY HEALTH CENTER (PRIMARY CARE CLINIC) AND OUTPATIENT MENTAL HEALTH SERVICES AND BEHAVIORAL HEALTH AND ADDICTION SERVICES; (3) ADDITION OF TWO LICENSED CLINICAL SOCIAL WORKERS IN PRIMARY CLINICS (BRINGING TOTAL NUMBER OF CLINIC-BASED LCSWS TO THREE) TO CONTINUE INTEGRATION OF PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES; (4) ANNUAL SCREENING OF EVERY PRIMARY CARE PATIENT FOR DEPRESSION, AS WELL AS SCREENINGS AND REFERRALS AS NECESSARY FOR SUBSTANCE ABUSE; (5) ONE-ON-ONE DIABETES SELF-MANAGEMENT EDUCATION BY A CERTIFIED DIABETES EDUCATOR FOR DIABETIC PATIENTS UNDERGOING MEDICAL NUTRITIONAL THERAPY; AND (6) ENGAGEMENT OF A CHRONIC CARE MANAGER TO DEVELOP AND SUPPORT IMPLEMENTATION OF INDIVIDUALIZED PLANS FOR OUTPATIENTS DEALING WITH TWO OR MORE CHRONIC MEDICAL CONDITIONS. SAMARITAN IS GOVERNED BY A BOARD COMPOSED OF COMMUNITY AND HOSPITAL LEADERS. THE BOARD CONSIDERS IDENTIFIED AND CHANGING COMMUNITY NEEDS IN CONJUNCTION WITH EXISTING RESOURCES AND ECONOMIC REALITIES WHEN DECIDING TO INVEST IN THE DEVELOPMENT OF PROGRAMS THAT EXPAND CRITICALLY-NEEDED SERVICES AND IMPROVE CARE QUALITY. PROJECTS UNDERWAY IN 2018 INCLUDED THE CONTINUED PHYSICAL CONSOLIDATION OF THE HOSPITAL'S MATERNITY AND PEDIATRIC FLOORS INTO A WOMEN'S AND CHILDREN'S CENTER TO IMPROVE PATIENT ACCESS AND SERVICE QUALITY; OPENING OF A NEW CANCER TREATMENT CENTER THAT ENABLED THE EXPANSION OF SERVICES, INCLUDING MODES OF CARE THAT CANCER PATIENTS AND FAMILIES PREVIOUSLY COULD ACCESS ONLY THROUGH TRAVEL OUTSIDE OUR AREA; AND RENOVATION OF OUR INPATIENT MENTAL HEALTH UNIT TO IMPROVE QUALITY OF CARE. A PATIENT FAMILY ADVISORY COUNCIL, COMPRISED OF STAFF AND COMMUNITY MEMBERS, IDENTIFIES OPPORTUNITIES AND INFORMS INITIATIVES FOR IMPROVEMENT IN PATIENT CARE; VOLUNTEER PATIENT ADVOCATES SUPPORT THIS EFFORT THROUGH PERSONAL VISITS TO EACH PATIENT WITHIN 48 HOURS OF THEIR ADMISSION TO THE HOSPITAL.SAMARITAN IN 2018 CONTINUED TO RECRUIT PHYSICIANS AND ENGAGE IN RETENTION ACTIVITIES IN RESPONSE TO THE AREA'S PHYSICIAN AND PROVIDER SHORTAGES. SINCE 2006, SAMARITAN HAS RECRUITED MORE THAN 80 PHYSICIANS. IN 2018 SAMARITAN CONTINUED PLANNING FOR THE POSSIBLE EXPANSION OF ITS GRADUATE MEDICAL EDUCATION PROGRAM TO INCLUDE COMPONENTS EXPOSING RESIDENTS TO RURAL PRACTICE. HOSPITAL DEPARTMENTS AND STAFF MEMBERS IN 2018 ALSO ENGAGED IN STRONG PARTICIPATION IN COMMUNITY-BASED HEALTH FAIRS, AWARENESS CAMPAIGNS AND OTHER ACTIVITIES PROMOTING POPULATION HEALTH.
PART VI, LINE 6:	SAMARITAN MEDICAL CENTER IS THE PARENT ORGANIZATION OF SEVERAL AFFILIATED FACILITIES AND AGENCIES. A THREE-YEAR VITAL ACCESS PROVIDER GRANT OBTAINED IN 2016 IS SUPPORTING A COMMUNITY NEEDS STUDY, PROVIDING FINANCIAL RESOURCES, AND INSURING THE PRESERVATION OF LONG-TERM RESIDENTIAL CARE BEDS IN THE COMMUNITY FOR SAMARITAN KEEP HOME, A 272-BED NURSING HOME AND SAMARITAN SUMMIT VILLAGE, A 167-BED SKILLED NURSING/120-BED ASSISTED LIVING FACILITY. SAMARITAN MEDICAL CENTER FURTHER ASSISTS CITIZENS LIVING IN THE COMMUNITY WHO REQUIRE HOME MEDICAL SERVICES FOR REHABILITATION AND RECOVERY THROUGH SAMARITAN HOME HEALTH, AN AGENCY WHICH PROVIDES HEALTH CARE SUPPORT TO INDIVIDUALS AT THEIR HOMES. THROUGH ANOTHER AFFILIATED ENTITY, SAMARITAN MEDICAL PRACTICE PC, OPPORTUNITIES AND SUPPORT ARE PROVIDED TO LOCAL PHYSICIANS AND PRACTITIONERS, HELPING TO RETAIN MEDICAL PROVIDERS IN OUR UNDERSERVED COMMUNITY. THE SAMARITAN MEDICAL CENTER FOUNDATION OF NORTHERN NEW YORK RAISES FUNDS AND GENERATES COMMUNITY SUPPORT FOR THE HOSPITAL AND ITS AFFILIATES.
PART VI, LINE 7, REPORTS FILED WITH STATES	NY

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PAUL KRAEGER
TREASURER, CFO	$328,630	$0	$42,315	$0	$48,776	$0	$16,500	$0	$2,009	$0	$438,230	$0	$0	$0
DAVID RECHLIN DO
TRUSTEE	$130,000	$0	$25,000	$0	$0	$0	$5,500	$0	$653	$0	$161,153	$0	$0	$0
THOMAS H CARMAN
PRESIDENT & CEO OF SMC	$577,434	$0	$97,515	$0	$443,148	$0	$11,000	$0	$29,038	$0	$1,158,135	$0	$101,283	$0
ROBERT KIMBALL MD
TRUSTEE	$419,994	$0	$20,041	$0	$0	$0	$16,200	$0	$17,922	$0	$474,157	$0	$0	$0
MARIO VICTORIA MD
CMO OF SMC	$354,962	$0	$33,003	$0	$17,882	$0	$16,500	$0	$23,157	$0	$445,504	$0	$0	$0
MICHAEL SHORT
COO OF SMC	$325,206	$0	$27,041	$0	$16,250	$0	$15,746	$0	$14,850	$0	$399,093	$0	$0	$0
KIMBERLY THIBERT
VP OF PATIENT CARE/CNO	$233,672	$0	$16,500	$0	$12,088	$0	$14,350	$0	$893	$0	$277,503	$0	$0	$0
KEITH ROBISON
VP INFORMATION SERVICES & CHIEF INFO	$183,070	$0	$0	$0	$9,153	$0	$0	$0	$821	$0	$193,044	$0	$0	$0
RANDALL FIPPS
AVP OPERATIONS & BEHAVORIAL HEALTH	$203,658	$0	$7,990	$0	$0	$0	$8,466	$0	$408	$0	$220,522	$0	$0	$0
CHRISTOPHER BASTIEN
AVP SUPPORT SERVICES	$198,858	$0	$10,200	$0	$500	$0	$7,765	$0	$401	$0	$217,724	$0	$0	$0
ALEJANDRO RODRIGUES MD
UROLOGIST	$583,000	$0	$396	$0	$0	$0	$16,500	$0	$18,621	$0	$618,517	$0	$0	$0
JOSEPH WETTERHAHN MD
FAMILY MEDICINE	$299,999	$0	$239,869	$0	$21,838	$0	$16,500	$0	$1,319	$0	$579,525	$0	$0	$0
KEVIN CHANDLER MD
UROLOGIST	$594,838	$0	$127,000	$0	$0	$0	$16,500	$0	$22,137	$0	$760,475	$0	$0	$0
AARON CAMPBELL DO
HOSPITALIST	$277,202	$0	$115,252	$0	$500	$0	$14,930	$0	$451	$0	$408,335	$0	$0	$0
JAMES STILLERMAN MD
WOUND CARE	$354,994	$0	$21,500	$0	$0	$0	$16,500	$0	$3,839	$0	$396,833	$0	$0	$0
DAVID FLINT
FORMER TRUSTEE	$114,237	$0	$14,227	$0	$10,510	$0	$2,780	$0	$9,310	$0	$151,064	$0	$0	$0
JACK RUSH
FORMER TRUSTEE	$180,003	$0	$33,604	$0	$0	$0	$11,472	$0	$1,058	$0	$226,137	$0	$0	$0
LAVERENE VANDERWALL
FORMER TRUSTEE	$119,600	$0	$13,493	$0	$0	$0	$6,130	$0	$1,090	$0	$140,313	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 4B	FormAndLineReferenceDesc
Explanation	THE FOLLOWING INDIVIDUALS RECEIVED CONTRIBUTIONS TO AN IRC 457(F) PLAN DURING 2018: THOMAS CARMAN - $86,308 PAUL KRAEGER - $14,364 ALSO DURING 2018 THOMAS CARMAN RECEIVED DISTRIBUTIONS OF $322,940 FROM THE 457(F) PLAN, OF WHICH $101,283 WAS VESTED PRIOR TO 12/31/2017 AND REPORTED IN A PRIOR YEAR FORM 990. THE FOLLOWING INDIVIDUALS RECEIVED CONTRIBUTIONS TO AN IRC 457(B) PLAN DURING 2018: THOMAS CARMAN - $18,500 PAUL KRAEGER - $18,500 MARIO VICTORIA, M.D. - $17,882 MICHAEL SHORT - $16,250 KIMBERLY THIBERT - $12,088 KEITH ROBISON - $9,153	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	JEFFERSON COUNTY CIVIC FACILITY DEVELOP CORP	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	452491721	BondIssuerEIN
CUSIP	47325RATT	CUSIPNum
Bond Issued	2017-11-07	BondIssuedDt
Issue Price	$88,595,042	IssuePriceAmt
Purpose	SEE BELOW	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	Yes (1)	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$88,595,042	TotalProceedsAmt
In Reserve Fund	$5,057,775	InReserveFundAmt
Capitalized Interest	$305,834	CapitalizedInterestAmt
Issuance Costs From Proceeds	$1,272,495	IssuanceCostsFromProceedsAmt
Capital Expenditures	$18,699,203	CapitalExpendituresAmt
Other Spent Proceeds	$52,082,629	OtherSpentProceedsAmt
Unspent	$11,177,106	UnspentAmt
Substantial Completion	2020	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	0	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (1)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K PART 1 COLUMN A AND COLUMN F	FormAndLineReferenceDesc
Explanation	SCHEDULE K, PART 1, BOND ISSUES: (A) ISSUERS NAME: JEFFERSON COUNTY CIVIC FACILITY DEVELOPMENT CORP (F) DESCRIPTION OF PURPOSE: CONSTRUCTION OF A NEW ADDITION TO THE HOSPITAL'S MAIN CAMPUS; RENOVATION OF CERTAIN HOSPITAL FACILITIES; PURCHASE EQUIPMENT; REFUND PRIOR BOND ISSUES.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	THE ORGANIZATION'S FORM 990 AND ACCOMPANYING SCHEDULES WERE REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD PRIOR TO FILING. FORM 990 WAS PROVIDED TO EACH BOARD MEMBER PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	ANNUAL DISCLOSURE STATEMENTS ARE REQUIRED BY ALL BOARD MEMBERS AND KEY PERSONS. WE HAVE BEEN AT 100% COMPLIANCE WITH THIS REQUIREMENT EACH YEAR. RESPONSES ARE REVIEWED INITIALLY BY THE CEO AND CHIEF COMPLIANCE OFFICER FOR ACCURACY AND COMPLETENESS. THIS INFORMATION IS THEN PUT INTO A FULL REPORT TO THE BOARD OF TRUSTEES FOR REVIEW AND CONSIDERATION IN UPCOMING DECISION MAKING. BOARD MEMBERS AND KEY PERSONS AFFIRM THEIR UNDERSTANDING OF THEIR DUTY TO REPORT ANY ADDITIONAL OR NEW POTENTIAL CONFLICTS THROUGHOUT THE YEAR. BOARD MEMBERS WITH A CONFLICT ARE PROHIBITED FROM PARTICIPATION IN VOTING AND DECISION MAKING IN RELATED TRANSACTIONS.
FORM 990, PART VI, SECTION B, LINE 15	THE ORGANIZATION USES AN EXTERNAL CONSULTANT TO ANALYZE AND ESTABLISH COMPENSATION AND BENEFITS FOR ALL EXECUTIVE POSITIONS. AN EVALUATION IS PERFORMED ANNUALLY. THE ANALYSIS INCLUDES A REVIEW OF MARKET DATA BASED ON REGION, FACILITY SIZE, AND RESPECTIVE RESPONSIBILITIES. THIS INFORMATION IS PRESENTED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES FOR REVIEW AND SUBSEQUENTLY PRESENTED TO THE FULL BOARD OF TRUSTEES FOR APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS ARE FILED AS PART OF THE ANNUAL FORM 990 AND ANNUAL NYS DEPARTMENT OF HEALTH INSTITUTIONAL COST REPORT, AND ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:	PENSION AND OTHER POSTRETIREMENT LIABLITY ADJUSTMENTS -3,843,155. EQUITY TRANSFERS TO AFFILIATE -8,433,176. PENSION AND OTHER POSTRETIREMENT LIABLITY ADJUSTMENTS
FORM 990 PART XII LINE 2C	THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
SCHEDULE H, PART V, LINE 11 CONTINUED	ENCOURAGEMENT AND HOPE TO PATIENTS, FAMILY AND VISITORS TO THE SAMARITAN CAMPUS. HOSPITAL STAFF AND PATIENTS AND THEIR FAMILIES ALSO PARTICIPATED IN THE OUT OF DARKNESS COMMUNITY WALK, A SUICIDE PREVENTION EVENT. -IMPLEMENTED A WALK-IN CLINIC FOR NEW PATIENTS AT THE HOSPITAL'S OUTPATIENT BEHAVIORAL HEALTH OFFICE, ELIMINATING WAIT LISTS AND RESULTING IN EASIER ACCESS TO SERVICES. -THROUGH ITS ADDICTION SERVICES CLINIC, ADDED AN ADDITIONAL INTENSIVE OUTPATIENT THERAPY GROUP TO SERVE A HIGHER VOLUME OF PATIENTS. IN ADDITION TO THESE SPECIFIC ACTIVITIES, SAMARITAN CONTINUED TO PARTICIPATE ON REGIONAL COMMITTEES AND IN INITIATIVES COORDINATED BY FDRHPO AND NCI THAT ADDRESS AREAS RELATIVE TO CHRONIC AND BEHAVIORAL HEALTH ISSUES, AS WELL AS PARTNER WITH THESE AND OTHER COMMUNITY PROVIDERS AND AGENCIES ON PROJECTS ADDRESSING ADDITIONAL REGIONAL POPULATION HEALTH CONCERNS THAT ARE NOT SPECIFICALLY TACKLED IN THE CURRENT CSP. THESE ONGOING ACTIVITIES INCLUDE PREVENTION AND AWARENESS EDUCATION ON THE REGION'S MOST PREVALENT CHRONIC DISEASES AND CONDITIONS, EARLY CANCER DETECTION SCREENINGS, SMOKING CESSATION CLASSES, PARTICIPATION IN AND SUPPORT FOR REGIONAL HEALTH CAMPAIGNS, PHYSICIAN RECRUITMENT/RETENTION ACTIVITIES, ADOPTION OF EVIDENCE-BASED MEDICAL AND CLINICAL IMPROVEMENTS TO ENHANCE PATIENT OUTCOMES, AND DEVELOPMENT OF TELEMEDICINE INFRASTRUCTURE AND TOOLS TO IMPROVE THE ACCESS OF OUR REGION'S RURAL, UNDER-SERVED POPULATION TO COST-EFFECTIVE, QUALITY HEALTH CARE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SAMARITAN KEEP NURSING HOME
133 PRATT STREET	WATERTOWN	NY	13601	160969838	SKILLED NURSING FACILITY	NY	501(C)3	LINE 3 SCH A	SAMARITAN MEDICAL CENTER	Yes (1)
THE SAMARITAN MEDICAL CENTER FDN OF NORTHERN NEW YORK INC
830 WASHINGTON STREET	WATERTOWN	NY	13601	161490523	PROVIDES FUND FOR SAMARITAN MEDICAL CENTER AND AFFLIATES	NY	501(C)3	LINE 7 SCH A	SAMARITAN MEDICAL CENTER	Yes (1)
EDWARD J NOBLE HOSPITAL- SAMARITAN
104 PADDOCK STREET SUITE 104	WATERTOWN	NY	13601	237227989	HOSPITAL	NY	501(C)3	LINE 3 SCH A	SAMARITAN MEDICAL CENTER	Yes (1)
SAMARITAN MEDICAL PRACTICE PC
830 WASHINGTON STREET	WATERTOWN	NY	13601	261528342	PHYSICIAN MEDICAL PRACTICE	NY	501(C)3	LINE 3 SCH A	SAMARITAN MEDICAL CENTER	Yes (1)
SAMARITAN SENIOR VILLAGE INC
22691 CAMPUS DRIVE	WATERTOWN	NY	13601	454913668	SENIOR CITIZEN COMMUNITY	NY	501(C)3	LINE 3 SCH A	SAMARITAN MEDICAL CENTER	Yes (1)
SAMARITAN HOME HEALTH
830 WASHINGTON STREET	WATERTOWN	NY	13601	461043637	HOME HEALTH AGENCY	NY	501(C)3	LINE 3 SCH A	SAMARITAN MEDICAL CENTER	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd