2025-11-06T14:27:51-06:00 2024-12-31 161226221 FUSTCHARLES LLP 220 S WARREN STREET SYRACUSE NY 13202 990 2024-01-01 900909506 CLIFTON-FINE HEALTH CARE CORPORATION CLIF 3158483351 1014 OSWEGATCHIE TRAIL STAR LAKE NY 13690 DIERDRA SORRELL CEO 3158483351 2025-11-05 1 1 DESIREE M BENNETT P01263666 3154463600 2025-11-05 2024 2025-03-06 01:10:19Z DIERDRA SORRELL 1014 OSWEGATCHIE TRAIL STAR LAKE NY 13690 15436948 0 X HTTPS://CLIFTONFINEHOSPITAL.ORG X 2012 NY THE PURPOSE FOR WHICH THE CORPORATION WAS ORGANIZED IS TO OWN AND OPERATE THE HEALTH CARE FACILITY KNOWN AS "CLIFTON-FINE HOSPITAL". CLIFTON-FINE HEALTH CARE CORPORATION IS A CRITICAL ACCESS HOSPITAL WHICH PROVIDES HEALTH CARE SERVICES FOR THE BENEFIT OF THE RESIDENTS OF THE STATE OF NEW YORK AND THE TOWNS OF CLIFTON AND FINE, INCLUDING PERSONS IN NEED OF HEALTH CARE SERVICES WITHOUT THE ABILITY TO PAY AS REQUIRED BY LAW. 10 7 94 7 0 0 518634 3737923 10364811 8598253 125816 54239 75198 282533 11084459 12672948 0 0 0 0 6014228 5837392 0 0 0 5839783 4279970 11854011 10117362 -769552 2555586 8581382 14142348 3035179 6040523 5546203 8101825 X SEE SCHEDULE OTHE PURPOSE FOR WHICH THE CORPORATION WAS ORGANIZED IS TO OWN AND OPERATE THE HEALTH CARE FACILITY KNOWN AS "CLIFTON-FINE HOSPITAL". CLIFTON-FINE HEALTH CARE CORPORATION IS A CRITICAL ACCESS HOSPITAL WHICH PROVIDES HEALTH CARE SERVICES FOR THE BENEFIT OF THE RESIDENTS OF THE STATE OF NEW YORK AND THE TOWNS OF CLIFTON AND FINE, INCLUDING PERSONS IN NEED OF HEALTH CARE SERVICES WITHOUT THE ABILITY TO PAY AS REQUIRED BY LAW. 0 0 8266146 8880786 A RURAL EMERGENCY HOSPITAL PROVIDING HEALTH CARE SERVICES FOR THE BENEFIT OF THE RESIDENTS OF THE STATE OF NEW YORK AND THE TOWNS OF CLIFTON AND FINE. 8266146 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 93 0 1 94 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X DIERDRA SORRELL CEO 3158484260 1014 OSWEGATCHIE TRAIL RD STAR LAKE NY 13690 THOMAS SAUTER CHAIRPERSON 1.00 X X 0 0 0 LEEANN SHORT VICE-CHAIR 1.00 X X 0 0 0 DAVID DAUT SECRETARY 1.00 X X 0 0 0 THOMAS CARMAN BOARD MEMBER 1.00 X 0 1132728 62942 ALLEN DITCH BOARD MEMBER 1.00 X 0 0 0 SADIE HALL BOARD MEMBER 1.00 X 0 0 0 HALSEY BAGG BOARD MEMBER 1.00 X 0 0 0 MAJONICA DRAKE BOARD MEMBER 1.00 X 0 0 0 JOHN BURNS BOARD MEMBER 1.00 X 0 0 0 DIERDRA SORRELL CEO/EX-OFFICIO 1.00 39.00 X X 0 184995 34269 MAXINE BRIGGS CFO/TREASURER 1.00 39.00 X X 0 609760 52818 JOHN WHEELER BOARD MEMBER 1.00 X 0 0 0 DAVID I MICHAELSON PHYSICIAN ASSISTANT 40.00 X 278614 0 18036 MATTHEW ZEGIL NURSE PRACTITIONER 40.00 X 266261 0 14238 CANH TRAN PHYSICIAN ASSISTANT 40.00 X 196525 0 1091 JUSTIN KILGORE PHYSICIAN ASSISTANT 40.00 X 195451 0 2099 BRITTANI BICKEL PHYSICIAN ASSISTANT 40.00 X 168731 0 7135 1105582 1927483 192628 9 0 1 0 BETTE & CRING LLC 18438 US ROUTE 11 WATERTOWN NY 13601 CONSTRUCTION 1005328 HOLT ARCHITECTS PC 619 WEST STATE STREE SUITE A ITHACA NY 14850 ARCHITECTURE DESIGN 765089 APOGEE MEDICAL MANAGEMENT 15059 N SCOTTSDALE ROAD SUITE 600 SCOTTSDALE AZ 85254 MEDICAL SERVICES 427713 CPSI 54 ST EMANUEL ST MOBILE AL 36602 FINANCIAL AND CLINICAL SERVCE 292954 WESTWAYS STAFFING SERVICES INC 790 THE CITY DR S STE 180 ORANGE CA 92868 STAFFING SERVICES 236770 14 229365 3508558 3737923 NET PATIENT REVENUE 622110 7270365 7270365 VAPAP FUNDING 900099 1100000 1100000 340B REVENUE 900099 227888 227888 8598253 41996 41996 2776243 2764000 12243 12243 12243 OTHER OPERATING REV 900099 282533 282533 282533 12672948 8880786 0 54239 X 4861619 4430995 430624 97931 89257 8674 535030 487639 47391 342812 316899 25913 20886 20886 116039 116039 10568 10568 9254 9254 1903418 1185797 717621 24851 24851 182166 53394 128772 62718 56675 6043 203067 201805 1262 9170 5648 3522 79501 5019 74482 302814 281663 21151 186115 186115 MEDICAL SUPPLIES 706125 706125 BAD DEBT 349694 349694 NYS CASH RECEIPTS ASSES 69006 69006 LICENSES AND DUES 44578 26530 18048 10117362 8266146 1851216 0 659952 1441195 2998841 1732673 248607 2024667 806128 534465 239323 202116 188455 157955 13878275 8421151 2398930 5457124 1041146 2592153 8581382 14142348 2142184 2402736 689936 3591593 203059 46194 3035179 6040523 X 4691815 5464877 854388 2636948 5546203 8101825 8581382 14142348 2555586 36 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 10568 10568 0 PART II-B, LINE 1, LOBBYING ACTIVITIES: THE HOSPITAL USED HANY'S AND IROQUOIS HEALTHCARE ASSOCIATION FOR LOBBYING SERVICES. 33202 51825 6772 25814 407 65578 37349 625 4045 8429 388 33202 38628 -1279 37349 32018 6610 38628 24820 7198 32018 0.09280 0.90720 1 0 2222 2222 3668566 2883547 785019 258918 229109 29809 5671834 5308495 363339 4276735 4276735 5457124 INSURANCE BENEFIT RECEIVABLE 46194 DUE FROM AFFILIATES 805320 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS, NET 1740639 2592153 CONTRACT LIABILITY - MEDICARE 46194 46194 X PART V, LINE 4: THE WILDERNESS FOUNDATION ESTABLISHED TWO ENDOWMENTS UNDER TRUST ARRANGEMENTS WITH THE NORTHERN NEW YORK COMMUNITY FOUNDATION, INC. (NNYCF) FOR THE PURPOSES OF SUPPORTING THE CLIFTON-FINE HEALTH CARE CORPORATION. PART X, LINE 2: THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2024 AND 2023, THE HOSPITAL DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2021 THROUGH 2024. THE HOSPITAL DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. 1 1 1 X 1 X 1 1 1 0 0 76428 198285 0 0.00000 1755210 2118459 0 0.00000 1831638 2316744 0.00000 1831638 2316744 0 0.00000 1 359910 7225 2147521 2366674 -219153 X 1 0 1 1 CLIFTON-FINE HEALTH CARE CORPORATION 1014 OSWEGATCHIE TRAIL STAR LAKE NY 13690 X X X X X RURAL EMERGENCY HOSPITAL CLIFTON-FINE HEALTH CARE CORPORATION 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X 1 1 X X X X 1 X HTTPS://CLIFTONFINEHOSPITAL.ORG/FINANCIAL-INFORMATION/ X HTTPS://CLIFTONFINEHOSPITAL.ORG/FINANCIAL-INFORMATION/ X HTTPS://CLIFTONFINEHOSPITAL.ORG/FINANCIAL-INFORMATION/ X X X X X 1 X 0 X X X 1 X 0 1 CLIFTON-FINE HEALTH CARE CORPORATION PART V, SECTION B, LINE 5: FORMAL SURVEYS OF LOCAL RESIDENTS, CREATED BY ST. LAWRENCE COUNTY COLLEGES. CLIFTON-FINE HEALTH CARE CORPORATION PART V, SECTION B, LINE 6A: OTHER HOSPITALS INVOLVED THROUGH THE NORTH COUNTRY INITIATIVE - CLAXTON HEPBURN MEDICAL CENTER, MASSENA MEMORIAL HOSPITAL, GOUVERNEUR HOSPITAL, AND CANTON POTSDAM HOSPITAL CLIFTON-FINE HEALTH CARE CORPORATION PART V, SECTION B, LINE 6B: THE HOSPITAL'S CHNA WAS DEVELOPED IN PARTNERSHIP WITH THE ST. LAWRENCE HEALTH INITIATIVE, ST. LAWRENCE COUNTY PUBLIC HEALTH, OTHER AREA HOSPITALS, ST. LAWRENCE COUNTY SUICIDE PREVENTION COALITION, ST. LAWRENCE COUNTY COLLEGES AND UNIVERSITITES, AND COMMUNITY-BASED ORGANIZATIONS. CLIFTON-FINE HEALTH CARE CORPORATION PART V, SECTION B, LINE 11: A THREE YEAR ACTION PLAN WAS DEVELOPED AS PART OF THE CHNA ACCOMPLISHMENTS, THE PLAN INCLUDES: 1.) ADDITION OF MENTAL HEALTH SERVICE INTEGRATED INTO PRIMARY CARE. THIS INCLUDES A LICENSED MENTAL HEALTH COUNSELOR AND A LICENSED CLINICAL SOCIAL WORKER. 2.) COMMUNITY WELLNESS COMMITTEE MADE UP OF HOSPITAL STAFF AND COMMUNITY VOLUNTEERS. ACTIVITIES INCLUDE "WEIGHT WATCHERS" PROGRAM, EXERCISE CLASSES, AND HEALTHY EATING EDUCATIONAL PROGRAMS. CLIFTON-FINE HEALTH CARE CORPORATION PART V, SECTION B, LINE 13B: BY HOUSEHOLD INCOME AS A PERCENTAGE OF FPL. CLIFTON-FINE HEALTH CARE CORPORATION PART V, SECTION B, LINE 24: YES IF THAT PATIENT HAD HEALTH INSURANCE AND WE WERE DISCOUNTING A CO-PAY OR DEDUCTIBLE. PART V, LINE 7A, HOSPITAL FACILITY'S WEBSITE: HTTPS://CLIFTONFINEHOSPITAL.ORG/COMMUNITY-SERVICE-PLAN/ PART V, LINE 7B, OTHER WEBSITES FOR CHNA REPORT: HTTPS://WWW.STLAWCO.GOV/DEPARTMENTS/PUBLICHEALTH/PREVENTIVEHEALTH, PART V, LINE 10A, MOST RECENTLY ADOPTED IMPLEMENTATION STARTEGY'S WEBSITE: HTTPS://CLIFTONFINEHOSPITAL.ORG/COMMUNITY-SERVICE-PLAN/ PART I, LINE 3C: THE HOSPITAL OFFERS FINANCIAL ASSISTANCE TO EACH PATIENT WITH A HOUSEHOLD INCOME GREATER THAN 200% AND LESS THAN 400% OF THE FEDERAL POVERTY LEVEL ESTABLISHED BY THE FEDERAL GOVERNMENT (THE FPL) IF SUCH INDIVIDUAL HAS NO INSURANCE OR HAS EXHAUSTED HIS OR HER HEALTH INSURANCE BENEFITS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY HOSPITAL CARE AND IS UNABLE TO PAY THE FULL CHARGES FOR THOSE SERVICES. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 349,694. PART III, LINE 3: CLIFTON-FINE HOSPITAL'S BAD DEBT EXPENSE IS CONFIGURED THROUGH THE ORGANIZATIONS INTERNAL OPERATING SYSTEM, CPSI. PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLES ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABLILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES 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 (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL). THE HOSPITAL RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. PART III, LINE 8: DUE TO THE COMMUNITY'S LARGE MEDICARE POPULATION, THE TOTAL SHORTFALL IS CONSIDERED TO BE PART OF THE COMMUNITY BENEFIT EXPENSE. PART III, LINE 9B: OUR POLICY STATES THE PERCENTAGE TO WHICH THE PATIENTS ACCOUNT WILL BE REDUCED BY AND IT ALSO STATES ACTIONS THAT WILL BE TAKEN IF THE PATIENT ACCOUNT IS NOT PAID. PART V, SECTION A, HOSPITAL FACILITIES: AS OF OCTOBER 14, 2024, THE CLIFTON-FINE HOSPITAL CONVERTED FROM A PRIMARY CARE HOSPITAL-CRITICAL ACCESS HOSPITAL TO A RURAL EMERGENCY HOSPITAL. PART VI, LINE 2: THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES THROUGH MONTHLY SURVEYS. PART VI, LINE 3: POSTERS ARE PUT THROUGHOUT THE FACILITY, ESPECIALLY IN THE WAITING AREAS AND IN REGISTRATION, NOTING THE CHARITY CARE ASSISTANCE POLICY. INFORMATION IS ALSO GIVEN TO THOSE THAT DO NOT HAVE INSURANCE IF INQUIRING. PART VI, LINE 4: FINE COMMUNITY IS LOCATED IN THE RURAL, NORTHWEST PORTION OF NEW YORK STATE'S ADIRONDACK PARK. THE HOSPITAL IS LOCATED IN SOUTHERN ST. LAWRENCE COUNTY AND SERVICES THE TOWNSHIPS OF CLIFTON, FINE AND THE SURROUNDING AREA. WE HAVE APPROXIMATELY 6,700 YEAR-ROUND RESIDENTS. THE POPULATION EXPANDS BY APPROXIMATELY 30% IN THE SUMMER MONTHS. PART VI, LINE 5: WE ARE PARTICIPATING IN A COMMUNITY NEEDS SURVEY. WE OFFER SEVERAL COMMUNITY WELLNESS PROGRAMS, AND WE HAVE SEVERAL PLANNED OVER THE NEXT COUPLE OF YEARS CENTERING ON WOMEN'S HEALTH, CHILDREN AND WE ARE CURRENTLY OFFERING WELLNESS EXAMS TO THE VETERANS IN OUR COMMUNITY. PART VI, LINE 6: PASSIVE PARENT MODEL WITH SAMARITAN MEDICAL CENTER, SAMARITAN MEDICAL CENTER HELPS WITH THE IMPLEMENTATION PLAN. PART VI, LINE 7, REPORTS FILED WITH STATES NY X 0 0 0 0 0 0 0 0 0 THOMAS CARMAN BOARD MEMBER 0 763173 0 364370 0 5185 0 13800 0 49142 0 1195670 0 0 MAXINE BRIGGS CFO/TREASURER 0 494062 0 92698 0 23000 0 20700 0 32118 0 662578 0 0 DAVID I MICHAELSON PHYSICIAN ASSISTANT 278614 0 0 0 0 0 7800 0 10236 0 296650 0 0 0 MATTHEW ZEGIL NURSE PRACTITIONER 266261 0 0 0 0 0 6344 0 7894 0 280499 0 0 0 DIERDRA SORRELL CEO/EX-OFFICIO 0 184995 0 0 0 0 0 11100 0 23169 0 219264 0 0 CANH TRAN PHYSICIAN ASSISTANT 196525 0 0 0 0 0 0 0 1091 0 197616 0 0 0 JUSTIN KILGORE PHYSICIAN ASSISTANT 195451 0 0 0 0 0 0 0 2099 0 197550 0 0 0 BRITTANI BICKEL PHYSICIAN ASSISTANT 168731 0 0 0 0 0 5122 0 2013 0 175866 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 SAMARITAN MEDICAL CENTER IS THE SOLE MEMBER OF CLIFTON-FINE HEALTH CARE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A AS THE SOLE MEMBER, SAMARITAN MEDICAL CENTER CAN APPOINT ONE OR MORE MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B SAMARITAN MEDICAL CENTER, AS THE SOLE CORPORATE MEMBER, ALSO HAS THE RIGHT TO APPROVE SIGNIFICANT DECISIONS OF THE ORGANIZATION'S GOVERNING BODY, INCLUDING AMENDMENT OF BYLAWS AND GOVERNING DOCUMENTS AND CHANGE OF MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE 990 WAS REVIEWED IN DETAIL BY MANAGEMENT AND THE FINAL 990 WAS E-MAILED TO THE BOARD PRIOR TO THE NOVEMBER 15, 2025 FILING DATE. FORM 990, PART VI, SECTION B, LINE 12C CLIFTON-FINE HEALTH CARE CORPORATION REQUIRES ALL BOARD MEMBERS TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE CONFLICT OF INTEREST STATEMENTS ARE SUMMARIZED AND REVIEWED BY THE EXECUTIVE COMMITTEE TO IDENTIFY POTENTIAL CONFLICTS OF INTERESTS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS UTILIZED COMPENSATION COMPARABILITY DATA AND THE BOARD APPROVES THE COMPENSATION FOR THE CEO. THE CEO DETERMINES THE COMPENSATION OF THE KEY EMPLOYEES OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 CLIFTON-FINE HEALTH CARE CORPORATION WILL MAKE ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G LAB & MEDICAL EXPENSES: PROGRAM SERVICE EXPENSES 1,185,797. MANAGEMENT AND GENERAL EXPENSES 717,621. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,903,418. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. WILDERNESS HEALTHCARE FOUNDATION 1014 OSWEGATCHIE TRAIL STAR LAKE NY 13690 223235671 TO PROVIDE FUNDS TO OR FOR THE BENEFIT OF CLIFTON-FINE HOSPITAL. NY 501(C)(3) LINE 11 CLIFTON-FINE HEALTH CARE CORPORATION 0 SAMARITAN MEDICAL CENTER 830 WASHINGTON STREET WATERTOWN NY 13601 150533577 HOSPITAL NY 501(C)(3) LINE 3 SCH A N/A 0 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 0 EDWARD J NOBLE HOSPITAL 104 PADDOCK STREET SUIT 104 WATERTOWN NY 13601 237227989 HOSPITAL NY 501(C)(3) LINE 3 SCH A SAMARITAN MEDICAL CENTER 0 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 0 SMC FOUNDATION OF NNY INC 830 WASHINGTON STREET WATERTOWN NY 13601 161490523 PROVIDES FUNDS FOR SMC AND AFFILIATES NY 501(C)(3) LINE 7 SCH A SAMARITAN MEDICAL CENTER 0 SAMARITAN HOME HEALTH 165 COLEMAN AVENUE WATERTOWN NY 13601 461043637 CERTIFIED HOME HEALTH AGENCY NY 501(C)(3) LINE 10 SCH A SAMARITAN MEDICAL CENTER 0 SAMARITAN MEDICAL PRACTICE PC 830 WASHINGTON STREET WATERTOWN NY 13601 261528342 PHYSICIAN MEDICAL PRACTICE NY 501(C)(3) SCHED A, PART 1, LN3 SAMARITAN MEDICAL CENTER 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0