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    <Timestamp>2011-08-12T10:47:05-07:00</Timestamp>
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        <AddressLine1>2215 Burdett Avenue</AddressLine1>
        <City>Troy</City>
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      <OtherLiabilities>
        <Description>Accrued Pension Liability</Description>
        <Amount>7711136</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>20232179</TotalOfAmounts>
      <TotalRevenue>124205555</TotalRevenue>
      <TotalExpenses>118523740</TotalExpenses>
      <ExcessOrDeficitForYear>5681815</ExcessOrDeficitForYear>
      <OtherAmount>-1006082</OtherAmount>
      <TotalAdjustments>-1006082</TotalAdjustments>
      <ExcessOrDeficitPerFS>4675733</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>124043043</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>124043043</RevenueSubtotal>
      <OtherRevenuesNotIncluded>162512</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>162512</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>124205555</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>118346848</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>118346848</ExpensesSubtotal>
      <OtherExpensesNotIncluded>176892</OtherExpensesNotIncluded>
      <ExpensesNotRptdOnFinStmt>176892</ExpensesNotRptdOnFinStmt>
      <TotalExpensesPerForm990>118523740</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>Part X</Identifier>
        <ReturnReference>Part X : FIN48 Footnote</ReturnReference>
        <Explanation>Northeast Health, the health system to which Samaritan Hospital belongs, is classified for tax purposes as an organization under 501(c)(3) of the Internal Revenue Code (the Code), and as such it is generally exempt from income taxes under the provisions of Section 501(a) of the Code.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XIII, Line 4b</Identifier>
        <ReturnReference>Part XIII, Line 4b: Other revenue amounts included on 990 but not included in F/S</ReturnReference>
        <Explanation>Gift Shop $176892</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XII, Line 4b</Identifier>
        <ReturnReference>Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S</ReturnReference>
        <Explanation>Gift Shop Revenue $162512</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>Part XI, Line 8</Identifier>
        <ReturnReference>Part XI, Line 8: Other Changes in Net Assets or Fund Balances</ReturnReference>
        <Explanation>Increase in Temporarily Restricted Net Assets $0 Increase in Permanently Restricted Net Assets $253004 Prepaid Pension Writedown $284781 Transfer to Northeast Health $ -793018 Net assets released from restrictions $ -12494 Decrease in Temporarily Restricted Net Assets $ -738355</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH" softwareId="10000105" softwareVersion="2010v3.2">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent100>X</Pcent100>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent300>X</Pcent300>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>true</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>2000006</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>2000006</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01690</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>13430627</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>10986404</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2444223</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02060</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>15430633</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>10986404</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>4444229</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03750</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>724</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>724</NetCommunityBenefitExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>1548170</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1389238</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>158932</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00130</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>1055693</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>791574</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>264119</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00220</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>314829</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>314829</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00270</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>2919416</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>2180812</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>738604</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00620</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>18350049</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>13167216</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>5182833</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04370</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <LeadershipDevelopment>
        <TotalCommunityBuildingExpense>98</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>98</NetCommunityBuildingExpense>
      </LeadershipDevelopment>
      <CoalitionBuilding>
        <TotalCommunityBuildingExpense>6086</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>6086</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CoalitionBuilding>
      <Total>
        <TotalCommunityBuildingExpense>6184</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>6184</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
      <BadDebtExpenseAmount>2047544</BadDebtExpenseAmount>
      <AmountAttributableTo>32061</AmountAttributableTo>
      <AmountReimbursedByMedicare>23876371</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>25145769</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-1269398</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostAccountingSystem>X</CostAccountingSystem>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>8</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>8</FacilityNumber>
        <Name>
          <BusinessNameLine1>Continuing Treatment Services</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1801 Sixth Avenue</AddressLine1>
          <City>Troy</City>
          <State>NY</State>
          <ZIPCode>12180</ZIPCode>
        </Address>
        <Other>Outpatient Continuing Treatment Svc/MICA</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>7</FacilityNumber>
        <Name>
          <BusinessNameLine1>Waterford Health Center</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>158 Saratoga Avenue</AddressLine1>
          <City>Waterford</City>
          <State>NY</State>
          <ZIPCode>12188</ZIPCode>
        </Address>
        <Other>Primary Care Center</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>6</FacilityNumber>
        <Name>
          <BusinessNameLine1>South Troy Health Center</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>300 Fourth Street</AddressLine1>
          <City>Troy</City>
          <State>NY</State>
          <ZIPCode>12180</ZIPCode>
        </Address>
        <Other>Primary Care Center</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>5</FacilityNumber>
        <Name>
          <BusinessNameLine1>Riverside Family Medical Group</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>35 Lower Hudson Ave</AddressLine1>
          <City>Green Island</City>
          <State>NY</State>
          <ZIPCode>12183</ZIPCode>
        </Address>
        <Other>Primary Care Center</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>4</FacilityNumber>
        <Name>
          <BusinessNameLine1>Family Medical Group</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>279 Troy Road Route 4</AddressLine1>
          <City>Rensselaer</City>
          <State>NY</State>
          <ZIPCode>12144</ZIPCode>
        </Address>
        <Other>Primary Care Center</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>3</FacilityNumber>
        <Name>
          <BusinessNameLine1>Cohoes Family Care</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>95 Remsen Street</AddressLine1>
          <City>Cohoes</City>
          <State>NY</State>
          <ZIPCode>12047</ZIPCode>
        </Address>
        <Other>Primary Care Center</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>2</FacilityNumber>
        <Name>
          <BusinessNameLine1>Rensselaer Regional Heart Inst</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>2215 Burdett Ave</AddressLine1>
          <City>Troy</City>
          <State>NY</State>
          <ZIPCode>12180</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <Other>Outpatient cardiac catheterizaton svc</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>Samaritan Hospital</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>2215 Burdett Ave</AddressLine1>
          <City>Troy</City>
          <State>NY</State>
          <ZIPCode>12180</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Continuing Treatment Services</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>8</HospitalFacilityNumber>
        <CHNAConducted>false</CHNAConducted>
        <EligibilityCriteriaExplained>false</EligibilityCriteriaExplained>
        <UsesFPGFree>false</UsesFPGFree>
        <UsesFPGDiscounted>false</UsesFPGDiscounted>
        <ExplainsBasis>false</ExplainsBasis>
        <ExplainsApplicationMethod>false</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>false</IncludesPublicityMeasures>
        <ActionsOnNonpayment>false</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Waterford Health Center</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>7</HospitalFacilityNumber>
        <CHNAConducted>false</CHNAConducted>
        <EligibilityCriteriaExplained>false</EligibilityCriteriaExplained>
        <UsesFPGFree>false</UsesFPGFree>
        <UsesFPGDiscounted>false</UsesFPGDiscounted>
        <ExplainsBasis>false</ExplainsBasis>
        <ExplainsApplicationMethod>false</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>false</IncludesPublicityMeasures>
        <ActionsOnNonpayment>false</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>South Troy Health Center</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>6</HospitalFacilityNumber>
        <CHNAConducted>false</CHNAConducted>
        <EligibilityCriteriaExplained>false</EligibilityCriteriaExplained>
        <UsesFPGFree>false</UsesFPGFree>
        <UsesFPGDiscounted>false</UsesFPGDiscounted>
        <ExplainsBasis>false</ExplainsBasis>
        <ExplainsApplicationMethod>false</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>false</IncludesPublicityMeasures>
        <ActionsOnNonpayment>false</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Riverside Family Medical Group</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>5</HospitalFacilityNumber>
        <CHNAConducted>false</CHNAConducted>
        <EligibilityCriteriaExplained>false</EligibilityCriteriaExplained>
        <UsesFPGFree>false</UsesFPGFree>
        <UsesFPGDiscounted>false</UsesFPGDiscounted>
        <ExplainsBasis>false</ExplainsBasis>
        <ExplainsApplicationMethod>false</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>false</IncludesPublicityMeasures>
        <ActionsOnNonpayment>false</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Family Medical Group</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>4</HospitalFacilityNumber>
        <CHNAConducted>false</CHNAConducted>
        <EligibilityCriteriaExplained>false</EligibilityCriteriaExplained>
        <UsesFPGFree>false</UsesFPGFree>
        <UsesFPGDiscounted>false</UsesFPGDiscounted>
        <ExplainsBasis>false</ExplainsBasis>
        <ExplainsApplicationMethod>false</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>false</IncludesPublicityMeasures>
        <ActionsOnNonpayment>false</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Cohoes Family Care</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>3</HospitalFacilityNumber>
        <CHNAConducted>false</CHNAConducted>
        <EligibilityCriteriaExplained>false</EligibilityCriteriaExplained>
        <UsesFPGFree>false</UsesFPGFree>
        <UsesFPGDiscounted>false</UsesFPGDiscounted>
        <ExplainsBasis>false</ExplainsBasis>
        <ExplainsApplicationMethod>false</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>false</IncludesPublicityMeasures>
        <ActionsOnNonpayment>false</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Rensselaer Regional Heart Inst</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>2</HospitalFacilityNumber>
        <CHNAConducted>false</CHNAConducted>
        <EligibilityCriteriaExplained>false</EligibilityCriteriaExplained>
        <UsesFPGFree>false</UsesFPGFree>
        <UsesFPGDiscounted>false</UsesFPGDiscounted>
        <ExplainsBasis>false</ExplainsBasis>
        <ExplainsApplicationMethod>false</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>false</IncludesPublicityMeasures>
        <ActionsOnNonpayment>false</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Samaritan Hospital</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>false</CHNAConducted>
        <EligibilityCriteriaExplained>false</EligibilityCriteriaExplained>
        <UsesFPGFree>false</UsesFPGFree>
        <UsesFPGDiscounted>false</UsesFPGDiscounted>
        <ExplainsBasis>false</ExplainsBasis>
        <ExplainsApplicationMethod>false</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>false</IncludesPublicityMeasures>
        <ActionsOnNonpayment>false</ActionsOnNonpayment>
        <CollectionActivities>false</CollectionActivities>
        <NondiscrimEmergencyCarePolicy>true</NondiscrimEmergencyCarePolicy>
        <AmountsGenerallyBilled>false</AmountsGenerallyBilled>
        <GrossCharges>false</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - States Where Community Benefit Report Filed</ReturnReference>
        <Explanation>NY</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Affilated Health Care System Roles and Promotion</ReturnReference>
        <Explanation>Samaritan Hosptial is affiliated with Northeast Health, a network of healthcare, supportive housing and community services. The affiliation furthers Samaritan Hospital's ability to promote health care in many ways. Northeast Health affiliation helps ensure Samaritan Hospital's financial stability through reduced administrative overhead costs, access to capital and supply chain management, among other things. Samaritan Hospital's affiliation with Northeast Health also enables greater collaboration with affiliated hospitals and other providers of services. In addition to sharing policies and procedures and ideas for best operational and management practices, system affiliates participate jointly in quality improvement activities. The Northeast Health Board Quality Committee oversees quality improvement activities in the system's acute care hospitals, rehabilitation hospital, skilled nursing facilities, primary care network, visiting nurse and community service programs, adult housing and program for all-inclusive care for the elderly ("PACE" program). Through this committee and other joint activities, the system seeks to ensure collaboration on quality initiatives among varied provider types. For example, several quality initiatives commenced in 2009 that are intended to lead to measurable improvements in patient care transitions between hospitals, nursing homes, home health and supportive housing. Northeast Health has also successfully deployed the Lean Thinking and Tools developed by the Toyota Production System, in its integrated health care delivery system. This sophisticated system of process improvement is used by Northeast Health affiliates to improve and optimize managerial, operational and clinical processes. Samaritan Hospital's affiliation with Northeast Health has enabled it to adopt Lean Thinking and Tools with a degree of success unlikely to have been attained but for the affiliation. Lean Thinking and Tools have enabled Samaritan Hospital to provide better care and services to the community.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Explanation Of How Organization Furthers Its Exempt Purpose</ReturnReference>
        <Explanation>In addition to its activities in delivering health care services to the community as described elsewhere in this filing, Samaritan Hospital furthers its exempt purposes through the following means:1. Samaritan Hospital is managed by a community board of directors, on which the substantial majority of directors are residents of the hospital's primary or secondary service area and who are neither employees nor contractors of the hospital;2. With the exception of certain departments which, in the interests of efficiency, quality and proper administration, are traditionally reserved to a single physician group having an exclusive arrangement with respect to the department (e.g., radiology, anesthesia, pathology, etc.), Samaritan Hospital maintains an open medical staff that extends privileges to all qualified physician applicants; and3. The organization generally applies all surplus funds to ensuring financially prudent availability of funds, capital maintenance and improvements, and the addition of services that benefit the community.In 2010 Northeast Health, the health system to which Samaritan Hospital belongs, entered into an affiliation agreement with St. Peters Health Care Services, principally located in Albany, and Seton Health System, principally located in Troy, under which the parties will form of a new not-for-profit entity that will become the parent of the constituent systems. The parties intend to consummate the affiliation transaction in the fall of 2011. The affiliation parties believe that by combining their complementary strengths, they can significantly improve their ability to meet the healthcare needs of the region through more coordination, improved efficiency, reduced fragmentation of care, and improved access for the poor and underserved people in the Capital Region and beyond. The parties recognize that whether they merge their health systems or not, change will and must occur in their organizations in light of emerging changes in health care delivery, and changes in public and private systems for paying for health care. The affiliation will better position the parties to address such challenges and to meet the needs of the community.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Community Information</ReturnReference>
        <Explanation>General DescriptionSamaritan Hospital is part of the Northeast Health network, a regional, comprehensive, not-for-profit provider of health care and community services. Northeast Health was formed in 1995 by the merger of Samaritan Hospital and The Eddy, joined by Albany Memorial Hospital in 1997 and Sunnyview Rehabilitation Hospital in 2007. The components of Northeast Health are deeply rooted in their communities, each with a long tradition of providing high quality care and services.Serving 22 counties in the greater Capital Region of Upstate New York, Northeast Health cares for approximately 175,000 people each year and provides a vast array of senior care, hospital services, rehabilitation, specialty services and retirement living options. Our Primary Care Network offers a full range of medical, preventive and diagnostic services for people of all ages at nine locations throughout the region.Communities ServedSamaritan Hospital (238 beds) serves primarily the population of Albany and Rensselaer counties, New York. These contiguous counties (separated north to south by the Hudson River) contain 458,764 persons. Their populations are concentrated along the Hudson River in the cities of Albany, Cohoes, Rensselaer and Troy, which accounts for about 40% of the population. The balance of the population is dispersed among smaller cities, villages, suburbs and rural areas.Albany and Rensselaer counties have a fairly consistent demographic profile based on income, poverty and health insurance measures as illustrated below:Demographic Albany Rensselaer2010 Population 302,162 156,6022020 Population 307,201 158,579% Change 1.7% 1.3%2010 Households 125,729 62,3852020 Households 129,568 64,442% Change 3.1% 3.3%2009 Median Household Income $53,317 $52,232Persons Below Poverty Level (2007 Estimate) 33,254 (11.7%) 15,898 (10.6%)Number of Medicaid Enrollees 2008 37,659 (12.5%) 21,767 (13.9%)Number of Uninsured (2007 Estimate) 33,550 (11.1%) 17,098 (10.9%)On a percentage basis, the communities are very similar for median income, poverty, Medicaid enrollees and the uninsured.Other HospitalsThere are four other hospitals in the two county area. Albany Medical Center Hospital (Albany) is a 600-bed tertiary care facility. St. Peter's Hospital (Albany) is a 450-bed tertiary care facility. Albany Memorial Hospital (Albany) is a 160-bed acute care general hospital, also part of the Northeast Health network. Seton Health System/St. Mary's Hospital (Troy), is a 190-bed acute care facility.Medically Underserved Areas / PopulationsEach of these counties has areas that are designated as medically underserved. In Rensselaer County, those parts of the City of Troy which border the Hudson River are designated as medically underserved populations (MUP). The City of Albany areas adjacent to the river are designated as a medically underserved area (MUA) Samaritan Hospital is located adjacent to the MUP and delivers services to that population through the Emergency Room and a Primary Care practice located within the MUP designated area.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Patient Education of Eligibility for Assistance</ReturnReference>
        <Explanation>In addition to posting Samaritan Hospital's financial assistance policy on the hospital's website, Samaritan Hospital physically posts the policy at almost all inpatient and outpatient intake desks. All registration personnel are trained to know the procedures for assisting patients who have no insurance. Samaritan Hospital has also contracted with a firm that supplies the services of a Medicaid enroller "on-site".</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part VI - Needs Assessment</ReturnReference>
        <Explanation>The organization, as a component of the Northeast Health system, has been a participant in the Healthy Capital District Initiative ("HCDI") since 1999. Other participants include all hospitals, county health departments and payers in the Albany, Rensselaer and Schenectady counties. Recently, HCDI undertook a three-pronged initiative to engage the public and assess community need. The three efforts consisted of:1. The collection and analysis of data in the Community Health Profile;2. The production of a Community Health Forum broadcast by the local PBS affiliate; and3. The collection of data using an online Community Health Survey to assess respondents' opinions on the health of the Capital District.Through the HCDI process, consideration of the New York State Commissioner of Health's ten public health priorities, and through other local efforts to obtain additional community input, Northeast Health developed health services priorities contained in its Community Service Plan.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <ReturnReference>Part III, Line 9b - Provisions On Collection Practices For Qualified Patients</ReturnReference>
        <Explanation>If a patient qualifies for financial assistance, their account will not be subject to the usual collection practices during this process. If the patient does not submit the necessary documentation within 90 days, then their account could be forwarded to collections.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ" softwareId="10000105" softwareVersion="2010v3.2">
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>true</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>Vinita Singh</NamePerson>
        <BaseCompensationFilingOrg>309245</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>214</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>4900</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>11738</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>326097</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Sergio Biguzzi</NamePerson>
        <BaseCompensationFilingOrg>349455</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>1188</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>4900</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>1698</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>357241</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Robert Smith</NamePerson>
        <BaseCompensationFilingOrg>126023</BaseCompensationFilingOrg>
        <BonusFilingOrg>2082</BonusFilingOrg>
        <OtherCompensationFilingOrg>14013</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>5734</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>6657</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>154509</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Robert C Davenport</NamePerson>
        <CompBasedOnRelatedOrgs>96364</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>934</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>9975</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>4278</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>3022</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>114573</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Norman Dascher</NamePerson>
        <BaseCompensationFilingOrg>310980</BaseCompensationFilingOrg>
        <BonusFilingOrg>8306</BonusFilingOrg>
        <OtherCompensationFilingOrg>28476</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>9800</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>13131</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>370693</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Naveen Achar</NamePerson>
        <BaseCompensationFilingOrg>193836</BaseCompensationFilingOrg>
        <BonusFilingOrg>60082</BonusFilingOrg>
        <OtherCompensationFilingOrg>270</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>9800</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>1698</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>265686</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Lori Santos</NamePerson>
        <CompBasedOnRelatedOrgs>187468</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>3046</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>16770</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>8375</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>3198</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>218857</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Karen Tassey</NamePerson>
        <CompBasedOnRelatedOrgs>208314</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>3075</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>414</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>8394</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>841</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>221038</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>John Collins MD</NamePerson>
        <CompBasedOnRelatedOrgs>279185</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>7052</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>5080</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>10789</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>14418</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>316524</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>James K Reed MD</NamePerson>
        <CompBasedOnRelatedOrgs>460797</CompBasedOnRelatedOrgs>
        <BonusRelatedOrgs>14190</BonusRelatedOrgs>
        <OtherCompensationRelatedOrgs>33086</OtherCompensationRelatedOrgs>
        <DeferredCompRelatedOrgs>14827</DeferredCompRelatedOrgs>
        <NontaxableBenefitsRelatedOrgs>13681</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationRelatedOrgs>536581</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Indra Singh</NamePerson>
        <BaseCompensationFilingOrg>182721</BaseCompensationFilingOrg>
        <BonusFilingOrg>48065</BonusFilingOrg>
        <OtherCompensationFilingOrg>16770</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>9800</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>841</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>258197</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Gregory Field</NamePerson>
        <BaseCompensationFilingOrg>291551</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>180</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>9800</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>14995</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>316526</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Daniel Silverman MD</NamePerson>
        <BaseCompensationFilingOrg>198330</BaseCompensationFilingOrg>
        <BonusFilingOrg>3120</BonusFilingOrg>
        <OtherCompensationFilingOrg>1290</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>4222</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>16781</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>223743</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Craig Duncan</NamePerson>
        <OtherCompensationRelatedOrgs>402637</OtherCompensationRelatedOrgs>
        <TotalCompensationRelatedOrgs>402637</TotalCompensationRelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 7</Identifier>
        <ReturnReference>Part I, Line 7: Non-Fixed payments not listed above</ReturnReference>
        <Explanation>Bonuses based on objective, non-financial performance measures were paid to Norman Dascher, Daniel Silverman and Robert Smith, the amounts of which are included in Schedule J, Part II, column B(ii) and/or Part VII, Section A, Line 1a, column (D).Drs. Achar and Singh received bonuses base on a combination of work units personally performed by them,and based on certain quality measures.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 1a</Identifier>
        <ReturnReference>Part I, Line 1a: Relevant information in regards to selections on 1a.</ReturnReference>
        <Explanation>Samaritan Hospital pays for the dues associated with CEO Norman Dascher's membership to a country club. All invoices are received by Samaritan Hospital. Mr. Dascher reimburses the organization for the personal use charges that are unrelated to dues, so that only the dues payments represent additional compensation to Mr. Dascher. The organization pays for business-related charges. Reimbursement for this benefit is covered by Samaritan Hospital's general expense reimbursement policy.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="10000105" softwareVersion="2010v3.2">
      <Form990ScheduleLPartIII>
        <RelationshipWithOrganization>See note in Schedule O</RelationshipWithOrganization>
      </Form990ScheduleLPartIII>
      <Form990ScheduleLPartIII>
        <RelationshipWithOrganization>Officer or Key Employee</RelationshipWithOrganization>
      </Form990ScheduleLPartIII>
      <Form990ScheduleLPartIII>
        <NameOfInterestedPerson>6 unnamed individuals</NameOfInterestedPerson>
        <RelationshipWithOrganization>Current or Former Director,</RelationshipWithOrganization>
      </Form990ScheduleLPartIII>
      <Form990ScheduleLPartIV>
        <Relationship>board</Relationship>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Insurance Co</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Reed, M.D. on its</Relationship>
        <DescriptionOfTransaction>gen/prof liability ins</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Medical Liability Mutual</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Director James K</Relationship>
        <AmountOfTransaction>1596061</AmountOfTransaction>
        <DescriptionOfTransaction>Aggregate premiums for</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="10000105" softwareVersion="2010v3.2">
      <GeneralExplanation>
        <ReturnReference>Part VII, Section A, Line 1a.</ReturnReference>
        <Explanation>Form 990 Part VII, Section A, Line 1a.The following officers, directors, key employees and highest compensated employees devoted the indicated average number of weekly hours to related organizations:James Reed, M.D. (37.6)John Collins, M.D. (37.1)Norman Dascher (20)Lori Santos (20)Karen Tassey (20)Robert Smith (20)</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>The combined financial statements for Northeast Health, Inc. and Affiliates (which include Samaritan Hospital), contain the following note regarding bad debt expense:"Charity Care and Provision for Bad Debts* * *"The Affiliates grant credit without collateral to patients, most of whom are local residents and are insured under third-party agreements. Additions to the allowance for estimated uncollectible accounts are made by means of the provision for bad debts. Accounts written off as uncollectible are deducted from the allowance and subsequent recoveries are added. The amount of the provision for bad debts is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in Federal and state governmental health care coverage and other collection indicators. Services rendered to individuals when payment is expected and ultimately not received are written off to the allowance for estimated uncollectible accounts."III.8 - Samaritan Hospital used its internal cost accounting system to calculate the amounts used in the table. The Hospital's cost accounting system includes all operations and service lines the hospital offers and includes all payor groups with detail for Medicare, Medicaid, Commerical Insurers, HMO's, Managed Care Plans, Private Insurance, Self Pay, etc.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Schedule L, Part III: Items described in this part of schedule L are courtesy discounts for hospital services provided by the organization to interested persons. The names of such persons are not provided in order to protect their health information privacy, consistent with the privacy provisions of the federal Health Insurance Portability and Accountability Act of 1996, and implementing regulations, popularly known as HIPAA. The courtesy discounts are provided under two established hospital policies, one that provides a hospital services discount benefit to all employees of the organization and their dependents, and one that provides the same discount benefit to all current and former board members of the organization, and their dependents. In 2010, 6 interested persons listed on Form 990, Part VII received such benefits, none of whom received more than $600 in aggregate discounts.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Schedule H Part VI Line 1 I.3c: Samaritan Hospital's financial assistance policy uses the Federal Poverty Guidelines to determine eligibility, and does not use an asset test." I.6a: The community benefit report, in the form of a document entitled "Community Service Plan - Comprehensive Three-Year Plan," was prepared by Northeast Health, Inc., a related organization that controls Samaritan Hospital. I.7g: Samaritan Hospital reported costs of $1,055,713 for the operation of primary care clinics. These costs are net of Medicaid and other means-tested government programs, charity care and bad debt. I.7 column (f): Samaritan Hospital had bad debt expense of $7,082.670 reported on Form 990 Part IX, Line 25, but subtracted this amount for purposes of calculating line 7 column (f). I.7 line a - Samaritan Hospital utilized the same methodology required by the NYS Institutional Cost Report. This methodology requires the Hospital to use a cost to charge ratio (from the annual Medicare Cost Report) to calculate (at cost) uncollected amounts attributable to services provided to uninsured patients found to be eligible for financial aid as well as uncollected co-insurance and deductibles for insured patients found to be eligible for financial aid. I.7 line f - Samaritan Hospital used the step-down costs as reported in our 2010 Medicare Cost Report to calculate the costs for the School of Nursing program costs reported on line 7f. I.7 (Remaining Lines) - Samaritan Hospital used its internal cost accounting system to calculate the amounts used in the table. The Hospital's cost accounting system includes all operations and service lines the hospital offers and includes all payor groups with detail for Medicare, Medicaid, Commercial Insurers, HMO's, Managed Care Plans, Private Insurance, Self Pay etc.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>III.4 - The Hospital's bad debt expense is calculated on an allowance/reserve basis. Each month, account balances, net of payments, discounts and contractual allowances, are sorted by the age of the receivable and payor group. Each payor and aging group is assigned a percentage that will be used to calculate a reserve/allowance for bad debt. This allowance for doubtful account total is combined with our bad debt account receivable balance to arrive at a total estimated allowance for doubtful accounts. This total is compared to our total allowance for doubtful accounts recorded in the Hospital's general ledger. The difference is recorded as bad debt expense.Account balances on patient accounts are transferred to bad debt accounts receivable once they are determined to be uncollectible. The balances are net of discounts, adjustments and payments that have been applied to these accounts.In order to determine the Hospital's bad debt expense at cost for Part III, line 2, we first identified what portion of the bad debt was inpatient and what portion was outpatient. We then applied the appropriate cost to charge ratio (I/P or O/P) as reported in our 2010 Medicare Cost Report to the bad debt expense amounts (I/P and O/P) to determine bad debt expense at cost. The Hospital's estimate of bad debt expense at cost attributable to patients that may have been eligible under organization's charity care policy, but for whom sufficient information was unable to be obtained in order to make a determination, is based on the following: - We then took the number of incomplete and denied applications for 2010 and researched each account to see what amount was transferred to bad debt and multplied that amount by the appropriate RCC to calculate the bad debt at cost - Accounts are denied or incomplete due to insufficient information or refusal to provide information. We only selected accounts that then actually had balance transferred to bad debt with our rationale being that these patients would have qualified for charity care had they completed the process since they didn't have the means to pay and the balances were transferred to bad debt.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>In 2010, Northeast Health and its affiliates did not make the above-named documents available to the public, although certificates of incorporation were available from the NYS Secretary of State.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>The executive compensation policy described in the note for Line 15a also applies to other officers and key employees of the organization</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>Northeast Health, the health system to which Samaritan Hospital belongs, has two system-wide conflict of interest policies, one applicable to the board of directors of each system affiliate and one applicable to administrative staff and select employees and medical staff. Together, the two policies require annual disclosure of conflicts of interest by all directors, officers and key employees, and prescribe various responses to such conflicts applying customary conflicts of interest principles. Employee disclosure forms are reviewed annually by the system compliance officer for a determination of any conflicts impact on the integrity of the disclosing individuals acts and decisions. Violation of the policy subjects an employee to potential disciplinary action. Board of directors conflict of interest disclosure forms are reviewed and summarized by the system compliance officer, and the summary is reviewed by the board corporate compliance and audit committee and any necessary action taken by such committee. Customary procedures are followed, including non-participation by affected individuals in the deliberation and vote on any matters that potentially conflict with the individuals outside interests. Appropriate corrective action is taken by the Board in the event of a directors failure to disclose a conflict of interest or other violation of the policy.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>First, Form 990 was presented to the Board Audit/Compliance Committee for review at a special meeting, to which all other Board members were invited to attend. The 990 was then made available on the Board website for all Board members to review.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</ReturnReference>
        <Explanation>Northeast Health elects the members of the organization's governing body.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 6</Identifier>
        <ReturnReference>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</ReturnReference>
        <Explanation>Northeast Health, Inc.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 4</Identifier>
        <ReturnReference>Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents</ReturnReference>
        <Explanation>The organization amended its bylaws to extend the date until which the number of directors is set at no less than 17 nor more than 27, to January 2012, and to provide that directors whose final term expires in January 2011 may be re-elected and serve for an additional year, until January 2012</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 3</Identifier>
        <ReturnReference>Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company</ReturnReference>
        <Explanation>The organization delegated control over certain duties of key employees to a related exempt organization.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 2</Identifier>
        <ReturnReference>Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et</ReturnReference>
        <Explanation>Directors Robert Johnson and James Prout have a business relationship. Directors James H. Puleo, M.D. and James V. Puleo, M.D. have a family relationship.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part III, Line 4d</Identifier>
        <ReturnReference>Form 990, Part III, Line 4d : Other Program Services Description</ReturnReference>
        <Explanation>OTHER PROGRAM SERVICES 4: Surgical servcies including operating room, anesthesiology and post anesthesia care provided to patients on both an inpatient and outpatient basis.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Empire Home Infusion Service Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>10 Blacksmith Drive 2</AddressLine1>
          <City>Malta</City>
          <State>NY</State>
          <ZIPCode>12020</ZIPCode>
        </AddressUS>
        <EIN>141795732</EIN>
        <PrimaryActivities>Home Care</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Sunnyview Hospital Rehabilitation Center</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1270 Belmont Ave</AddressLine1>
          <City>Schenectady</City>
          <State>NY</State>
          <ZIPCode>12308</ZIPCode>
        </AddressUS>
        <EIN>141338386</EIN>
        <PrimaryActivities>Rehab Hospital</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Shaker Properties Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>63 Shaker Road</AddressLine1>
          <City>Albany</City>
          <State>NY</State>
          <ZIPCode>12204</ZIPCode>
        </AddressUS>
        <EIN>223119822</EIN>
        <PrimaryActivities>Real Estate Holding</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(2)</ExemptCodeSection>
        <PublicCharityStatus>N/A</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Northeast Health Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2212 Burdett Ave</AddressLine1>
          <City>Troy</City>
          <State>NY</State>
          <ZIPCode>12180</ZIPCode>
        </AddressUS>
        <EIN>042450756</EIN>
        <PrimaryActivities>Health System</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, II</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Majorie Doyle Rockwell Center Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>421 West Columbia Street</AddressLine1>
          <City>Cohoes</City>
          <State>NY</State>
          <ZIPCode>12047</ZIPCode>
        </AddressUS>
        <EIN>141793885</EIN>
        <PrimaryActivities>Adult Home/Alzheimer</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LTC Eddy Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2212 Burdett Ave</AddressLine1>
          <City>Troy</City>
          <State>NY</State>
          <ZIPCode>12180</ZIPCode>
        </AddressUS>
        <EIN>222564710</EIN>
        <PrimaryActivities>Elderly Health/Housing</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, II</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>James A Eddy Memorial Geriatric Center</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2256 Burdett Ave</AddressLine1>
          <City>Troy</City>
          <State>NY</State>
          <ZIPCode>12180</ZIPCode>
        </AddressUS>
        <EIN>222570478</EIN>
        <PrimaryActivities>Nursing Home</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Home Aide Services of Eastern NY Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <State>NY</State>
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          <State>NY</State>
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        <EIN>141794150</EIN>
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        <LegalDomicileState>NY</LegalDomicileState>
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          <AddressLine1>504 State Street</AddressLine1>
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          <State>NY</State>
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        <PrimaryActivities>PACE program</PrimaryActivities>
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          <State>NY</State>
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          <State>NY</State>
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          <City>Troy</City>
          <State>NY</State>
          <ZIPCode>12180</ZIPCode>
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        <EIN>141651563</EIN>
        <PrimaryActivities>Real Estate Holding</PrimaryActivities>
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          <BusinessNameLine1>Albany Memorial Hospital</BusinessNameLine1>
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          <City>Albany</City>
          <State>NY</State>
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        <EIN>141338547</EIN>
        <PrimaryActivities>General Hospital</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
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          <BusinessNameLine1>Samaritan Medical Office Building</BusinessNameLine1>
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          <AddressLine1>2231 Burdett Avenue</AddressLine1>
          <City>Troy</City>
          <State>NY</State>
          <ZIPCode>12180</ZIPCode>
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        <EIN>141607244</EIN>
        <PrimaryActivity>Real Estate Holding/Mgmt</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C corp</TypeOfEntity>
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      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
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      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
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      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
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      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
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      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
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      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
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</Return>