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Nonprofiteer
← SAMARITAN HOSPITAL

Form 990 for tax year 2022

Filed by SAMARITAN HOSPITAL.

Totals

Total revenue
$441,699,680
Total expenses
$419,738,415
Contributions and grants received
$8,770,008
Grants paid
$0
Program service revenue
$425,810,367
Investment income
$2,256,843
Other revenue
$4,862,462
Total assets, end of year
$335,883,212
Total liabilities, end of year
$180,750,753
Net assets or fund balances, end of year
$155,132,459
Program services expenses (Part IX)
$397,444,207
Management and general expenses
$22,294,208
Fundraising expenses
$0
Program service expenses (Part III)
$397,444,207

Program services were 94.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $3,431,947

  • 1e · Government grants (contributions)

    $5,338,061

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $425,125,027 · related or exempt $425,125,027

  • 2b · Program service revenue: LAB SERVICES

    total $685,340 · unrelated business $685,340

  • 3 · Investment income

    total $911,087 · excluded $911,087

  • 6a · Gross rents

    real property $1,020,946

  • 6b · Less rental expenses

    real property $3,305,719

  • 6c · Rental income or loss

    real property -$2,284,773

  • 6d · Net rental income or loss

    total -$2,284,773 · excluded -$2,284,773

  • 7a · Gross sales of assets other than inventory

    securities $1,242,943 · other assets $102,813

  • 7b · Less cost or other basis and sales expenses

    securities $0 · other assets $0

  • 7c · Gain or loss

    securities $1,242,943 · other assets $102,813

  • 7d · Net gain or loss

    total $1,345,756 · excluded $1,345,756

  • 11a · Other revenue: PROVIDER INCENTIVE REVENUE

    total $3,007,295 · related or exempt $3,007,295

  • 11b · Other revenue: SCHOOL OF NURSING

    total $1,208,172 · related or exempt $1,208,172

  • 11c · Other revenue: CAFETERIA REVENUE

    total $1,119,963 · excluded $1,119,963

  • 11d · All other revenue

    total $1,811,805 · related or exempt $1,726,358 · excluded $85,447

  • 11e · Other revenue, total

    $7,147,235

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $571,817 · management and general $571,817

  • 7 · Other salaries and wages

    total $168,851,085 · program services $166,702,235 · management and general $2,148,850

  • 8 · Pension plan contributions

    total $8,527,961 · program services $8,407,335 · management and general $120,626

  • 9 · Other employee benefits

    total $10,759,159 · program services $10,612,356 · management and general $146,803

  • 10 · Payroll taxes

    total $11,778,989 · program services $11,582,977 · management and general $196,012

  • 11b · Fees: legal

    total $8,625 · management and general $8,625

  • 11c · Fees: accounting

    total $17,500 · management and general $17,500

  • 11f · Fees: investment management

    total $190,954 · management and general $190,954

  • 11g · Fees: other

    total $22,262,410 · program services $21,549,297 · management and general $713,113

  • 12 · Advertising and promotion

    total $86,328 · program services $42,281 · management and general $44,047

  • 13 · Office expenses

    total $2,297,787 · program services $2,297,787

  • 14 · Information technology

    total $467,046 · program services $467,046

  • 16 · Occupancy

    total $8,855,516 · program services $8,143,039 · management and general $712,477

  • 17 · Travel

    total $71,303 · program services $71,271 · management and general $32

  • 19 · Conferences, conventions and meetings

    total $359,034 · program services $359,034

  • 20 · Interest

    total $2,148,114 · program services $2,148,114

  • 22 · Depreciation, depletion and amortization

    total $12,727,581 · program services $6,377,959 · management and general $6,349,622

  • 23 · Insurance

    total $5,952,985 · program services $5,952,985

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $77,423,836 · program services $77,423,836

  • 24b · Other expenses: I/C PURCHASED SERVICES

    total $67,477,800 · program services $57,296,896 · management and general $10,180,904

  • 24c · Other expenses: BAD DEBT

    total $9,804,717 · program services $9,804,717

  • 24d · Other expenses: UBI TAXES

    total $50,000 · management and general $50,000

  • 24e · All other expenses

    total $9,047,868 · program services $8,205,042 · management and general $842,826

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $564,124 · end of year $192,294

  • 2 · Savings and temporary cash investments

    beginning of year $966,388 · end of year $965,216

  • 3 · Pledges and grants receivable

    beginning of year $3,210,465 · end of year $4,496,793

  • 4 · Accounts receivable

    beginning of year $41,734,039 · end of year $45,522,465

  • 7 · Other notes and loans receivable

    beginning of year $993,787 · end of year $993,787

  • 8 · Inventories for sale or use

    beginning of year $7,905,331 · end of year $7,635,347

  • 9 · Prepaid expenses and deferred charges

    beginning of year $872,933 · end of year $835,007

  • 10a · Land, buildings and equipment: cost or other basis

    $350,235,298

  • 10b · Land, buildings and equipment: accumulated depreciation

    $213,302,869

  • 10c · Land, buildings and equipment, net

    beginning of year $140,487,002 · end of year $136,932,429

  • 11 · Investments: publicly traded securities

    beginning of year $61,256,398 · end of year $66,676,942

  • 12 · Investments: other securities

    beginning of year $34,836,951 · end of year $44,079,302

  • 15 · Other assets

    beginning of year $21,510,103 · end of year $27,553,630

  • 17 · Accounts payable and accrued expenses

    beginning of year $31,453,214 · end of year $22,262,850

  • 19 · Deferred revenue

    beginning of year $4,929,138 · end of year $2,784,044

  • 25 · Other liabilities

    beginning of year $160,691,100 · end of year $155,703,859

  • 27 · Net assets without donor restrictions

    beginning of year $104,407,771 · end of year $141,007,500

  • 28 · Net assets with donor restrictions

    beginning of year $12,856,298 · end of year $14,124,959

Mission and programs · 2022

Mission

WE, ST. PETER'S HEALTH PARTNERS AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. SAMARITAN HOSPITAL IS A MEMBER OF ST. PETER'S HEALTH PARTNERS AND TRINITY HEALTH.

Activities or mission (Part I)

TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES

  • SAMARITAN HOSPITAL, WHICH OPENED ITS DOORS IN 1898, IS A COMMUNITY HOSPITAL IN TROY, NY WITH A 457-BED CAPACITY AMONGST ALL ITS CAMPUSES. SAMARITAN HOSPITAL PROVIDES INPATIENT SERVICES, DIAGNOSTIC TREATMENT AND ANCILLARY SERVICES, OUTPATIENT AND COMMUNITY OUTREACH SERVICES, AND SURGICAL SERVICES. THE HOSPITAL OFFERS A VAST RANGE OF SERVICES, INCLUDING CRITICAL CARE, AMBULATORY SURGERY, CANCER CARE, WOMEN'S HEALTH, BEHAVIORAL HEALTH SERVICES, PHYSICAL REHABILITATION, MEDICAL IMAGING, AND MUCH MORE. PLEASE VISIT SCHEDULE H AND OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES, RECOGNITIONS AND AWARDS:WWW.SPHP.COM/LOCATION/SAMARITAN-HOSPITAL-BURDETTAVE

    Expenses $397,444,207 · Revenue $431,066,852

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • DANIEL ISACKSEN

    DIR AT 10/22; TRINITY HEALTH CFO

    Total calculated
    $1,950,338
    From this org
    $0
    From related orgs
    $1,621,848
    Other
    $328,490
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $966,837 related
    Bonus
    $0 + $570,000 related
    Other
    $0 + $85,011 related
    Deferred
    $0 + $292,650 related
    Nontaxable benefits
    $0 + $35,840 related
    Filer's total
    $0 + $1,950,338 related

  • JAMES REED MD

    DIRECTOR, PRESIDENT & CEO THR 12/22

    Total calculated
    $1,424,370
    From this org
    $0
    From related orgs
    $1,298,979
    Other
    $125,391
    Hours/week
    1 + 54 related

    Schedule J breakdown matched by us

    Base
    $0 + $724,116 related
    Bonus
    $0 + $326,250 related
    Other
    $0 + $248,613 related
    Deferred
    $0 + $22,875 related
    Nontaxable benefits
    $0 + $102,516 related
    Filer's total
    $0 + $1,424,370 related

  • STEVEN HANKS MD

    SPHP COO; DIR, PRES & CEO AT 1/23

    Total calculated
    $1,029,153
    From this org
    $0
    From related orgs
    $880,801
    Other
    $148,352
    Hours/week
    6 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $641,528 related
    Bonus
    $0 + $150,000 related
    Other
    $0 + $89,273 related
    Deferred
    $0 + $107,475 related
    Nontaxable benefits
    $0 + $40,877 related
    Filer's total
    $0 + $1,029,153 related

  • DAWN GEISERT

    DIR THR 9/22;TH CHIEF COMPLIANCE OFF

    Total calculated
    $818,882
    From this org
    $0
    From related orgs
    $664,990
    Other
    $153,892
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $447,979 related
    Bonus
    $0 + $202,500 related
    Other
    $0 + $14,511 related
    Deferred
    $0 + $130,712 related
    Nontaxable benefits
    $0 + $23,180 related
    Filer's total
    $0 + $818,882 related

  • GINA MYERS

    DIR AS OF 10/22; SJHHC CONSULTANT

    Total calculated
    $4,828
    From this org
    $0
    From related orgs
    $4,828
    Other
    $0
    Hours/week
    1 + 6 related

  • ROBERT MCCORMICK

    DIRECTOR; CHAIR

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • KATHLEEN JIMINO

    DIR; V CHR THR 9/22; TREAS AT 10/22

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • JOHN MARSHALL

    DIRECTOR & VICE CHAIR AS OF 10/22

    Total calculated
    $0
    Hours/week
    1 + 6 related

  • MARY ANN LOGIUDICE RSM

    DIRECTOR; TREASURER THROUGH 9/22

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • GUHA BALA

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • BARBARA COTTRELL

    DIRECTOR THROUGH 9/22

    Total calculated
    $0
    Hours/week
    1 + 6 related

  • GARY DAKE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • GEORGE HEARST III

    DIRECTOR THROUGH 9/22

    Total calculated
    $0
    Hours/week
    1 + 6 related

  • LEE MCELROY JR

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • MICHAEL MEATH

    DIRECTOR AS OF 10/22

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • MERRIETTE POLLARD

    DIRECTOR AS OF 10/22

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • CURTIS POWELL

    DIRECTOR THROUGH 9/22

    Total calculated
    $0
    Hours/week
    1 + 6 related

  • KERRI SWEET ZAVAGLIA

    DIRECTOR AS OF 10/22

    Total calculated
    $0
    Hours/week
    1 + 5 related

  • WILLIAM WILDRIDGE III

    DIRECTOR AS OF 10/22

    Total calculated
    $0
    Hours/week
    1 + 6 related

  • MICHAEL WOLFF MD

    DIRECTOR THROUGH 9/22

    Total calculated
    $0
    Hours/week
    1 + 6 related

  • MICHAEL FINEGAN

    PRESIDENT, ACUTE CARE THRU 2/23

    Total calculated
    $953,036
    From this org
    $0
    From related orgs
    $893,842
    Other
    $59,194
    Hours/week
    22 + 33 related

    Schedule J breakdown matched by us

    Base
    $0 + $523,151 related
    Bonus
    $0 + $226,472 related
    Other
    $0 + $144,219 related
    Deferred
    $0 + $13,725 related
    Nontaxable benefits
    $0 + $45,469 related
    Filer's total
    $0 + $953,036 related

  • THOMAS ROBERT

    VP, CFO & TREASURER - NY REGION

    Total calculated
    $826,516
    From this org
    $0
    From related orgs
    $683,308
    Other
    $143,208
    Hours/week
    5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $479,921 related
    Bonus
    $0 + $117,349 related
    Other
    $0 + $86,038 related
    Deferred
    $0 + $101,919 related
    Nontaxable benefits
    $0 + $41,289 related
    Filer's total
    $0 + $826,516 related

  • KIM BAKER

    SVP, HOSPITAL OPERATIONS AS OF 2/23

    Total calculated
    $679,313
    From this org
    $0
    From related orgs
    $576,622
    Other
    $102,691
    Hours/week
    20 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $420,572 related
    Bonus
    $0 + $90,187 related
    Other
    $0 + $65,863 related
    Deferred
    $0 + $73,123 related
    Nontaxable benefits
    $0 + $29,568 related
    Filer's total
    $0 + $679,313 related

  • LORI SANTOS

    VP ACUTE CARE FIN THR 2/23, VP OPS

    Total calculated
    $476,507
    From this org
    $0
    From related orgs
    $439,250
    Other
    $37,257
    Hours/week
    20 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $357,082 related
    Bonus
    $0 + $71,223 related
    Other
    $0 + $10,945 related
    Deferred
    $0 + $22,875 related
    Nontaxable benefits
    $0 + $14,382 related
    Filer's total
    $0 + $476,507 related

  • JULIE EDMUNDS SMITH

    VP FINANCE OPERATIONS ACUTE AT 2/23

    Total calculated
    $356,084
    From this org
    $0
    From related orgs
    $311,366
    Other
    $44,718
    Hours/week
    16 + 34 related

    Schedule J breakdown matched by us

    Base
    $0 + $257,597 related
    Bonus
    $0 + $53,506 related
    Other
    $0 + $263 related
    Deferred
    $0 + $13,725 related
    Nontaxable benefits
    $0 + $30,993 related
    Filer's total
    $0 + $356,084 related

  • ROBERT SWIDLER ESQ

    SECRETARY; VP LEGAL SERVICES

    Total calculated
    $254,444
    From this org
    $0
    From related orgs
    $235,408
    Other
    $19,036
    Hours/week
    1 + 29 related

    Schedule J breakdown matched by us

    Base
    $0 + $208,000 related
    Bonus
    $0 + $25,000 related
    Other
    $0 + $2,408 related
    Deferred
    $0 + $17,475 related
    Nontaxable benefits
    $0 + $1,561 related
    Filer's total
    $0 + $254,444 related

  • THEA DALFINO MD

    CHIEF MEDICAL OFFICER, ACUTE CARE

    Total calculated
    $519,149
    From this org
    $0
    From related orgs
    $470,211
    Other
    $48,938
    Hours/week
    20 + 30 related

    Schedule J breakdown matched by us

    Base
    $0 + $389,575 related
    Bonus
    $0 + $80,001 related
    Other
    $0 + $635 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $30,638 related
    Filer's total
    $0 + $519,149 related

  • PHILIP CLEMENTS MD

    PHYSICIAN - OB/GYN

    Total calculated
    $1,156,065
    From this org
    $1,110,399
    From related orgs
    $0
    Other
    $45,666
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $1,105,935
    Bonus
    $0
    Other
    $4,464
    Deferred
    $13,725
    Nontaxable benefits
    $31,941
    Filer's total
    $1,156,065

  • YUSUF SILK MD

    PHYSICIAN - GENERAL SURGERY

    Total calculated
    $701,010
    From this org
    $662,552
    From related orgs
    $0
    Other
    $38,458
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $654,897
    Bonus
    $0
    Other
    $7,655
    Deferred
    $18,300
    Nontaxable benefits
    $20,158
    Filer's total
    $701,010

  • DINA GOTTESMAN DO

    PHYSICIAN - OB/GYN

    Total calculated
    $681,704
    From this org
    $636,790
    From related orgs
    $0
    Other
    $44,914
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $636,292
    Bonus
    $0
    Other
    $498
    Deferred
    $13,725
    Nontaxable benefits
    $31,189
    Filer's total
    $681,704

  • GREGORY FIELD MD

    PHYSICIAN - GENERAL SURGERY

    Total calculated
    $681,534
    From this org
    $631,840
    From related orgs
    $0
    Other
    $49,694
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $629,168
    Bonus
    $0
    Other
    $2,672
    Deferred
    $18,300
    Nontaxable benefits
    $31,394
    Filer's total
    $681,534

  • JOHN WEINHOLD MD

    PHYSICIAN - HEMATOLOGY

    Total calculated
    $650,027
    From this org
    $615,697
    From related orgs
    $0
    Other
    $34,330
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $609,129
    Bonus
    $0
    Other
    $6,568
    Deferred
    $13,725
    Nontaxable benefits
    $20,605
    Filer's total
    $650,027

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
SAMARITAN HOSPITAL IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. SAMARITAN HOSPITAL'S CEO IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF SAMARITAN HOSPITAL'S CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4B
THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2022. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. PARTICIPANTS' VESTED BENEFITS WERE PAID OUT IN 2022, AND THEIR NON-VESTED BENEFITS FOR 2022 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2022 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: KIM BAKER - $55,189 MICHAEL FINEGAN - $124,750 STEVEN HANKS - $71,732 DANIEL ISACKSEN - $66,120 JAMES REED - $182,159 THOMAS ROBERT - $71,811 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ACCRUALS FOR 2022 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KIM BAKER - $59,398 DAWN GEISERT - $116,987 STEVEN HANKS - $93,750 DANIEL ISACKSEN - $283,500 THOMAS ROBERT - $79,044 THE FOLLOWING IS A PARTICIPANT IN A TRINITY HEALTH RESTORATION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($305,000 FOR 2022). THE FOLLOWING PAYOUT FOR 2022 FOR THIS PLAN IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: LORI SANTOS - $3,878

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
14 May 2024
IRS schema version
2022v5.0
Source object
202421369349304497

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