In 2013 Canton-Potsdam began a state-approved contractual arrangement to manage E.J. Noble Hospital, another New York hospital.cites http://www.watertowndailytimes.com/article/20130102/NEWS05/701029860 The combination, which also brought recognition from union picketers, was named St. Lawrence Health System. This "new two-hospital system" subsequently expanded by adding Massena Memorial Hospital in 2019.
