Samaritan Senior Village Inc.

“The sole member of samaritan senior village, inc. Is the samaritan medical center.”

“The organization's form 990 and accompanying schedules were reviewed by the executive committee of the board, prior to filing. Form 990 was provided to each board member prior to filing.”

“Annual disclosure statements are required by all board members and key persons. We have met 100% compliance with this requirement each year. Responses are reviewed initially by the chief executive officer and chief compliance officer for accuracy and completeness. This information is disclosed in a full report to the board of trustees for review and consideration for future decision making. Board members and key persons affirm their understanding of their duty to report any additional or new potential conflicts througout the year. Board members with a conflict are prohibited from participation in voting and decision making in related transactions.”

“The organization uses an external consultant to analyze and establish compensation and benefits for all executive positions. An evaluation is performed annually. The analysis includes a review of market data based on region, facility size, and respective responsibilities. This information is presented to the executive committee of the board of trustees for review and subsequently presented to the full board of trustees for approval.”

“The organization's governing documents and conflict of interest policy are not available to the public. The financial statements are filed as part of the annual nys department of health institutional cost report, and are available upon request.”

“Pension liability adjustments -97,681. Equity transfer to(from)affiliates -2,000,000. Other components of net periodic benefit cost 3,147.”

“The process has not changed from the prior year.”

“Samaritan senior village, inc. Is a nursing home which has as its main purpose the provision of healthcare services, it appropriately noted on form 1023 that it is a hospital. The state of new york does not require nursing homes to be licensed as a hospital. As a nursing home, samaritan senior village, inc. Has as its principal purpose the provision of health care. Accordingly, it was (i) properly identified as a "hospital" on form 1023; (ii) properly identified as a "hospital" on form 990 schedule a; and (iii) should not be designated as a "hospital/hospital facility" on form 990 schedule h.”