OSWEGO HOSPITAL INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
OSWEGO HOSPITAL INC (EIN 15-0532220)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-12
IRS object ID
202123169349308267
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-11-12T14:00:54-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161226221PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FUST CHARLES CHAMBERS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15784 WIDEWATERS PARKWAYAddressLine1Txt
CitySYRACUSECityNm
State AbbreviationNYStateAbbreviationCd
ZIP13214ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN150532220EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OSWEGO HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlOSWEBusinessNameControlTxt
Phone3153495531PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1110 WEST SIXTH STREETAddressLine1Txt
CityOSWEGOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13126ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonERIC T CAMPBELLPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone3153495531PhoneNum
Signature2021-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstERICPersonFirstNm
Person LastCAMPBELLPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY ELLEN LUKERPreparerPersonNm
PTINP00841958PTIN
Phone3154463600PhoneNum
Preparation2021-11-11PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL HARLOVICPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1110 WEST SIXTH STREETAddressLine1Txt
CityOSWEGOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13126ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$148,627,456GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.OSWEGOHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1881FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionOSWEGO HOSPITAL'S MISSION IS TO PROVIDE ACCESSIBLE, QUALITY CARE AND IMPROVE THE HEALTH OF THE RESIDENTS IN OSWEGO COUNTY. OSWEGO HOSPITAL IS A SOLE COMMUNITY PROVIDER. OSWEGO HOSPITAL SERVES A PRIMARY SERVICE AREA OF APPROXIMATELY 117,124 RESIDENTS WHICH IS COMPRISED OF OSWEGO, FULTON, MEXICO, CENTRAL SQUARE, HANNIBAL, PULASKI AND STERLING. IN ADDITION, OSWEGO HOSPITAL PROVIDES SERVICES IN PARISH AND PHOENIX.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee1308TotalEmployeeCnt
Total Volunteers65TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$13,580,506PYContributionsGrantsAmt
CY Contributions Grants$8,874,762CYContributionsGrantsAmt
PY Program Service Revenue$109,144,030PYProgramServiceRevenueAmt
CY Program Service Revenue$108,347,877CYProgramServiceRevenueAmt
PY Investment Income$1,597,640PYInvestmentIncomeAmt
CY Investment Income$1,569,992CYInvestmentIncomeAmt
PY Other Revenue$19,137,350PYOtherRevenueAmt
CY Other Revenue$19,475,466CYOtherRevenueAmt
PY Total Revenue$143,459,526PYTotalRevenueAmt
CY Total Revenue$138,268,097CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$75,669,387PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$74,726,570CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$193,367CYTotalFundraisingExpenseAmt
PY Other Expenses$60,740,345PYOtherExpensesAmt
CY Other Expenses$61,431,304CYOtherExpensesAmt
PY Total Expenses$136,409,732PYTotalExpensesAmt
CY Total Expenses$136,157,874CYTotalExpensesAmt
PY Revenues Less Expenses$7,049,794PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,110,223CYRevenuesLessExpensesAmt
Total Assets BOY$128,382,782TotalAssetsBOYAmt
Total Assets EOY$144,092,328TotalAssetsEOYAmt
Total Liabilities BOY$53,453,236TotalLiabilitiesBOYAmt
Total Liabilities EOY$66,958,156TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$74,929,546NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$77,134,172NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF OSWEGO HEALTH IS TO PROVIDE ACCESSIBLE, QUALITY CARE AND IMPROVE THE HEALTH OF RESIDENTS IN OUR COMMUNITY.YOUR HEALTH AND WELLNESS LEADER DEDICATED TO EXCELLENT CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$52,028,911ExpenseAmt
Revenue$42,659,719RevenueAmt
DescINPATIENT SERVICES PROVIDED BY OSWEGO HOSPITAL TO RESIDENTS OF OSWEGO COUNTY AND THE SURROUNDING AREAS: MEDICAL/SURGICAL/WOMEN SERVICES(MATERNITY,NEWBORN AND NURSERY)/INTENSIVE CARE/INPATIENT BEHAVIORAL HEALTH.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$68,060,070ExpenseAmt
Revenue$65,688,158RevenueAmt
DescOUTPATIENT SERVICES PROVIDED BY OSWEGO HOSPITAL TO RESIDENTS OF OSWEGO COUNTY AND SURROUNDING AREAS: EMERGENCY/REHABILIATION SERVICES/OCCUPATIONAL HEALTH/ REFERRED AMBULATORY AND AMBULATORY SURGICAL/REFERRED DIAGNOSTIC AND THERAPEUTIC TESTING CONSISTING OF: LABORATORY/ACR ACCREDITED RADIOLOGY/COMPUTER TOMOGRAPHY(CT),MAGNETIC RESONANCE IMAGING(MRI),NUCLEAR MEDICINE AND ULTRASOUND IMAGING SERVICES/ADULT, CHILD AND FAMILY OUTPATIENT BEHAVIORAL HEALTH SERVICES.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Revenue$19,537,972RevenueAmt
FieldValueIRS element (for citing)
Total Other Prog Srvc Revenue$19,537,972TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$120,088,981TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document135IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1308EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ERIC T CAMPBELL-OSWEGO HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3153495531PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1110 WEST SIXTH STREETAddressLine1Txt
CityOSWEGOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13126ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MICHAEL HARLOVIC
PRESIDENT AND CEO40.00Yes (X)Yes (X)$722,078$0$18,602
DUANE TULL
CHIEF MEDICAL OFFICER1.00Yes (X)Yes (X)$517,931$0$17,0471.00
ERIC CAMPBELL
CFO40.00Yes (X)Yes (X)$301,186$0$3,813
MICHAEL BACKUS
COO40.00Yes (X)Yes (X)$77,918$0$123
ED ALBERTS
VICE CHAIR1.00Yes (X)Yes (X)$0$0$01.00
PETER CULLINAN
DIRECTOR1.00Yes (X)$0$0$01.00
MARK SLAYTON
TREASURER1.00Yes (X)Yes (X)$0$0$01.00
LYNNE EGGERT
DIRECTOR1.00Yes (X)$0$0$01.00
RONALD TASCARELLA
DIRECTOR1.00Yes (X)$0$0$01.00
WILLIAM CLARK
DIRECTOR1.00Yes (X)$0$0$01.00
TIMOTHY BARNHART
DIRECTOR1.00Yes (X)$0$0$01.00
ADAM GAGAS
DIRECTOR1.00Yes (X)$0$0$01.00
DANIEL DORSEY
DIRECTOR1.00Yes (X)$0$0$01.00
ELLEN HOLST
PAST CHAIR1.00Yes (X)$0$0$01.00
ATOM AVERY
CHAIR1.00Yes (X)Yes (X)$0$0$01.00
SCOTT VANGORDER DO
DIRECTOR1.00Yes (X)$0$0$01.00
ZACH MENTER
DIRECTOR1.00Yes (X)$0$0$01.00
VICTORIA FURLONG
SECRETARY1.00Yes (X)Yes (X)$0$0$01.00
SARAH BERRY
DIRECTOR1.00Yes (X)$0$0$01.00
RAJ MAHAJAN
PRESIDENT, MEDICAL STAFF1.00Yes (X)Yes (X)$0$0$01.00
KATIE TOOMEY
DIRECTOR1.00Yes (X)$0$0$01.00
VIKRAM JALA
GASTROENTEROLOGY40.00$708,219$0$1,179Yes (X)
NICHOLAS GROCH
ENT PHYSICIAN40.00$594,317$0$29,228Yes (X)
MICHAEL DIAZ
ORTHOPEDIC40.00$571,422$0$29,124Yes (X)
FELIX OBEN
UROLOGY40.00$568,246$0$20,967Yes (X)
MELANIE GROCH
ENT PHYSICIAN40.00$557,963$0$4,663Yes (X)
JEFFREY COAKLEY
FORMER EXEC VP, COO40.00$412,008$0$4,070Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,031,288TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$128,816TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
REHAB RESOURCES PC
159 WEST FIRST STREETOSWEGONY13126PHYSICAL THERAPY$985,088
BOND SCHOENICK & KING PLLC
ONE LINCOLN CENTERSYRACUSENY13202LEGAL SERVICES$352,438
PORT CITY EMERGENCY PHYSICIANS
PO BOX 677979DALLASTX75267EMERGENCY ROOM PHYSICIANS$276,205
PIPELINE HEALTH HOLDINGS LLC
600 CALIFORNIA STSAN FRANCISCOCA94108TELEPHARMACY$244,628
OSWEGO COUNTY PATHOLOGY PC
30 DEER TRAILOSWEGONY13126PATHOLOGY$195,888
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt
Related Organizations$104,741RelatedOrganizationsAmt
Government Grants$8,463,291GovernmentGrantsAmt
All Other Contributions$306,730AllOtherContributionsAmt
Total Contributions$8,874,762TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID AND MEDICARE900099$62,396,526$62,396,526
INSURANCE AND OTHER900099$45,951,351$45,951,351
FieldValueIRS element (for citing)
Total Program Service Revenue$108,347,877TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,783TotalRevenueColumnAmt
Exclusion$32,783ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,008,817RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,071,323RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$62,506RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$62,506TotalRevenueColumnAmt
Exclusion-$62,506ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$10,777,597SecuritiesAmt
Other$47,648OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$9,238,121SecuritiesAmt
Other$49,915OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,539,476SecuritiesAmt
Other-$2,267OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,537,209TotalRevenueColumnAmt
Exclusion$1,537,209ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOSPITAL CONTRACT SVCS900099$15,064,233$15,064,233
DSRIP PAYMENTS900099$1,005,837$1,005,837
PHARMACY SALES900099$565,243$565,243

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,902,659TotalRevenueColumnAmt
Related Or Exempt Func Income$2,902,659RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$19,537,972OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$138,268,097TotalRevenueColumnAmt
Related Or Exempt Func Income$127,885,849RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,507,486ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,140,270TotalAmt
Program Services$600,472ProgramServicesAmt
Management And General$1,539,798ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$61,243,048TotalAmt
Program Services$55,938,488ProgramServicesAmt
Management And General$5,141,854ManagementAndGeneralAmt
Fundraising$162,706FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$390,041TotalAmt
Program Services$342,624ProgramServicesAmt
Management And General$46,436ManagementAndGeneralAmt
Fundraising$981FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,856,288TotalAmt
Program Services$6,022,782ProgramServicesAmt
Management And General$816,269ManagementAndGeneralAmt
Fundraising$17,237FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,096,923TotalAmt
Program Services$3,598,868ProgramServicesAmt
Management And General$487,755ManagementAndGeneralAmt
Fundraising$10,300FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,008,000TotalAmt
Program Services$316,247ProgramServicesAmt
Management And General$691,753ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$366,592TotalAmt
Program Services$2,840ProgramServicesAmt
Management And General$363,752ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$131,361TotalAmt
Management And General$131,361ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$13,340TotalAmt
Management And General$13,340ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$575,220TotalAmt
Program Services$1,911ProgramServicesAmt
Management And General$573,309ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$699,964TotalAmt
Program Services$463,710ProgramServicesAmt
Management And General$235,482ManagementAndGeneralAmt
Fundraising$772FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,446,231TotalAmt
Program Services$2,135,574ProgramServicesAmt
Management And General$310,657ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,819,230TotalAmt
Program Services$1,499,267ProgramServicesAmt
Management And General$319,963ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$101,427TotalAmt
Program Services$68,079ProgramServicesAmt
Management And General$33,348ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$877,158TotalAmt
Program Services$765,764ProgramServicesAmt
Management And General$111,394ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,556,328TotalAmt
Program Services$6,596,719ProgramServicesAmt
Management And General$959,609ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$978,550TotalAmt
Program Services$120,998ProgramServicesAmt
Management And General$857,552ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
OTHER PURCHASED SERVICE$12,388,958$10,684,123$1,704,835
OTHER EXPENSES$9,769,317$8,290,392$1,477,554$1,371
SUPPLIES - MEDICAL$9,688,931$9,629,426$59,505
BAD DEBT NON PATIENT$8,295,695$8,295,695

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,715,002TotalAmt
Program Services$4,715,002ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$136,157,874TotalAmt
Program Services$120,088,981ProgramServicesAmt
Management And General$15,875,526ManagementAndGeneralAmt
Fundraising$193,367FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,308BOYAmt
EOY$4,308EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$19,359,171BOYAmt
EOY$32,522,851EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,378,688BOYAmt
EOY$13,435,756EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,162,539BOYAmt
EOY$3,039,194EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,606,992BOYAmt
EOY$2,136,893EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,371,825BOYAmt
EOY$5,629,455EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$174,803,174LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$106,442,306LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$59,017,815BOYAmt
EOY$68,360,868EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$11,375,740BOYAmt
EOY$11,187,459EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$905,077BOYAmt
EOY$677,710EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$17,200,627BOYAmt
EOY$7,097,834EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$128,382,782BOYAmt
EOY$144,092,328EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$18,635,162BOYAmt
EOY$21,551,117EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$64,478BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$22,084,529BOYAmt
EOY$22,525,110EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,669,067BOYAmt
EOY$22,881,929EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$53,453,236BOYAmt
EOY$66,958,156EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$53,917,794BOYAmt
EOY$64,789,319EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,011,752BOYAmt
EOY$12,344,853EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$74,929,546BOYAmt
EOY$77,134,172EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$128,382,782BOYAmt
EOY$144,092,328EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,110,223ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$280,000NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$185,595OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$27,500GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies DemonstrationsYes (1)RalliesDemonstrationsInd
Rallies Demonstrations$16,784RalliesDemonstrationsAmt
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$44,284TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationLINE 1F, ACTIVITIES PAID FOR LOBBYING EFFORTS FOR HOSPITAL ISSUES IN NYS. LINE 1H, OSWEGO HOSPITAL PAYS DUES TO THE AMERICAN HOSPITAL ASSOCIATION, HANYS AND IROQUOIS HEALTHCARE ASSOCIATION. ANNUALLY,A PORTION OF OUR DUES IN THESE ASSOCIATIONS REPRESENTS SOME LOBBYING ACTIVITIES. THE TOTAL OF DUES PAID THAT REPRESENT LOBBYING IS APPROXIMATELY 22.22% OF $75,532. THE REMAINDER IS ATTRIBUTED TO PROVIDING NECESSARY INFORMATION AND ANALYTICS REGARDING HEALTH CARE LEGISLATION AND GOVERNMENT REGULATIONS. THE LOBBYING EFFORTS ARE AIMED SPECIFICALLY AT HEALTH CARE ISSUES ACROSS THE HEALTH CARE INDUSTRY.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,011,752BeginningYearBalanceAmt
Contributions$355,348ContributionsAmt
Investment Earnings Or Losses$431,600InvestmentEarningsOrLossesAmt
Grants Or Scholarships-$8,428,595GrantsOrScholarshipsAmt
Other Expenditures$389,561OtherExpendituresAmt
Administrative Expenses$635,912AdministrativeExpensesAmt
End Year Balance$12,344,853EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,264,575BeginningYearBalanceAmt
Contributions$232,280ContributionsAmt
Investment Earnings Or Losses$971,171InvestmentEarningsOrLossesAmt
Grants Or Scholarships$10,007,532GrantsOrScholarshipsAmt
Other Expenditures$100,911OtherExpendituresAmt
Administrative Expenses$362,894AdministrativeExpensesAmt
End Year Balance$21,011,752EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,662,830BeginningYearBalanceAmt
Contributions$232,676ContributionsAmt
Investment Earnings Or Losses-$25,674InvestmentEarningsOrLossesAmt
Other Expenditures$469,085OtherExpendituresAmt
Administrative Expenses$136,172AdministrativeExpensesAmt
End Year Balance$10,264,575EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,650,651BeginningYearBalanceAmt
Contributions$191,934ContributionsAmt
Investment Earnings Or Losses$2,162,665InvestmentEarningsOrLossesAmt
Other Expenditures$243,945OtherExpendituresAmt
Administrative Expenses$98,475AdministrativeExpensesAmt
End Year Balance$10,662,830EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,473,140BeginningYearBalanceAmt
Contributions$98,878ContributionsAmt
Investment Earnings Or Losses$157,392InvestmentEarningsOrLossesAmt
Other Expenditures$78,759OtherExpendituresAmt
End Year Balance$8,650,651EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.54000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.46000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$505,045OtherCostOrOtherBasisAmt
Book Value$505,045BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$82,745,074OtherCostOrOtherBasisAmt
Depreciation$43,293,618DepreciationAmt
Book Value$39,451,456BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,064OtherCostOrOtherBasisAmt
Depreciation$4,064DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$75,110,075OtherCostOrOtherBasisAmt
Depreciation$63,144,624DepreciationAmt
Book Value$11,965,451BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,438,916OtherCostOrOtherBasisAmt
Book Value$16,438,916BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$68,360,868TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
ADVANCE FROM 3RD PARTY$10,432,932
DUE TO 3RD PARTY PAYOR$4,400,117
LTD PENSION OBLIGATION$5,887,797
OTHER LIABILITIES$2,161,083
FieldValueIRS element (for citing)
Total Liability$22,881,929TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:TEMPORARILY RESTRICTED FUNDS ARE USED PRIMARLY FOR NEW CONSTRUCTION AND EQUIPMENT. THE INTEREST EARNED ON THE PERMANENTLY RESTRICTED FUNDS ARE FOR OPERATIONS.
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, 2020 AND 2019, THE HOSPITAL DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES ARE 2017 THROUGH 2020. THE HOSPITAL DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$214,934TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$214,934NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,382,560TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,578,132DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,804,428NetCommunityBenefitExpnsAmt
Total Expense0.04340TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,597,494TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,578,132DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,019,362NetCommunityBenefitExpnsAmt
Total Expense0.04500TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs21ActivitiesOrProgramsCnt
Total Community Benefit Expns$4,294TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,294NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,976,689TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,379,522DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,597,167NetCommunityBenefitExpnsAmt
Total Expense0.02690TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs21ActivitiesOrProgramsCnt
Total Community Benefit Expns$8,980,983TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,379,522DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,601,461NetCommunityBenefitExpnsAmt
Total Expense0.02690TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs21ActivitiesOrProgramsCnt
Total Community Benefit Expns$38,578,477TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,957,654DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,620,823NetCommunityBenefitExpnsAmt
Total Expense0.07190TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$2,397,107BadDebtExpenseAmt
Reimbursed By Medicare$39,191,228ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$42,457,234CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$3,266,006MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn0FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndOtherOtherDesc
OSWEGO HOSPITAL
1110 WEST SIXTH STREETOSWEGONY13126Yes (X)Yes (X)Yes (X)
OSWEGO HOSP-ALVIN L KRAKAU MTL HLTH CTR
274 BUNNER STOSWEGONY13126Yes (X)MENTAL HEALTH SERVICES O/P,REHAB O/P, AND PSYCH

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1OSWEGO HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.OSWEGOHEALTH.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://WWW.OSWEGOHEALTH.ORG/ABOUT-US/COMMUNITY-IMPACT/StrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WWW.OSWEGOHEALTH.ORG/PATIENTS-FAMILIES/BILLING-INFORMATION/FINANCIAFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WWW.OSWEGOHEALTH.ORG/FORMS/APPLICATION-FOR-FINANCIAL-ASSISTANCE/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WWW.OSWEGOHEALTH.ORG/PATIENTS-FAMILIES/BILLING-INFORMATION/FINANCIAFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
OSWEGO HOSPITALPART V, SECTION B, LINE 5: THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) OSWEGO HEALTH UTILIZED DATA FROM HEALTHECONNECTIONS (AND HEALTHECNY), WHICH COMPARES THE DATA BETWEEN SIX CENTRAL NEW YORK COUNTIES, INCLUDING CAYUGA, CORTLAND, MADISON, ONEIDA, ONONDAGA AND OSWEGO COUNTIES. HEALTHECONNECTIONS USE OF COMMUNITY HEALTH DATA AND BEST PRACTICES, TO ENABLE CENTRAL NEW YORK STAKEHOLDERS TO TRANSFORM AND IMPROVE PATIENT CARE, IMPROVE THE HEALTH OF POPULATIONS AND LOWER HEALTH CARE COSTS. ASSISTING OSWEGO HEALTH IN ITS SURVEY OF THE COMMUNITY AND TO CONDUCT IN-DEPTH INTERVIEWS (IDI) WITH KEY COMMUNITY MEMBERS WAS RESEARCH & MARKETING STRATEGIES (RMS). RMS CONDUCTS CONSULTING, MARKET RESEARCH, AND STRATEGIC PLANNING ACTIVITIES ACROSS WIDE SPECTRUM OF INDUSTRY SEGMENTS. IN ADDITION, OSWEGO HEALTH USED DATA FROM THE CENTRAL NEW YORK CARE COLLABORATIVE (CNYCC). THIS ORGANIZATION IS A PARTNERSHIP THAT CONNECTS MORE THAN 2,000 HEALTHCARE AND COMMUNITY BASED SERVICE PROVIDERS IN SIX COUNTIES ACROSS CENTRAL NEW YORK - CAYUGA, LEWIS, MADISON, ONEIDA, ONONDAGA AND OSWEGO. THE PRIMARY GOAL OF THE COLLABORATIVE IS TO SERVE THE POPULATION BY IMPROVING THE COORDINATION OF HEALTHCARE SERVICES, ENHANCING THE QUALITY OF PERFORMANCE OUTCOMES, AND CREATING AN OVERALL BETTER SYSTEM OF CARE FOR PATIENTS.MANY OF THESE STATISTICS FOR THIS CHNA WERE PROVIDED BY HEALTHECONNECTIONS, WHICH USES A VARIETY OF SOURCES FOR ITS DATA, INCLUDING STATE AND NATIONAL SOURCES. MOST OF THE DATA ARE REPORTED ON AN ANNUAL BASIS. MOST THE DATA LISTED IN THIS REPORT WAS FOUND ON THE HEALTHECONNECTIONS WEBSITE IN APRIL 2018, WITH UPDATES DONE IN NOVEMBER.
OSWEGO HOSPITALPART V, SECTION B, LINE 11: THE NEEDS IDENTIFIED IN THE CHNA WHICH ARE BEING SPECIFICALLY ADDRESSED BY OSWEGO HEALTH IN THIS IMPLEMENTATION PLAN ARE: OSWEGO HEALTH WILL WORK WITH THE OSWEGO COUNTY HEALTH DEPT. AND THE NINE OSWEGO COUNTY SCHOOL DISTRICTS TO IMPLEMENT A HEALTH HIGHWAY PROGRAM IN ALL 24 ELEMENTARY SCHOOLS IN OSWEGO COUNTY. AS A MEANS OF REDUCING THE HIGH RATE OF OBESITY IN THE COUNTY. THE PROGRAM RAISES AWARENESS OF THE IMPORTANT ROLE HEALTHY EATING/EXERCISE HAVE ON MAINTAINING HEALTHY LIFESTYLE. INCREASE ACCESS AND PARTICIPATION IN DIABETES SELF MANAGEMENT EDUCATION AND PROGRAMS BY INCREASING THE NUMBER OF INDIVIDUALS RECEIVING OUTPATIENT DIABETIC EDUCATION AND ATTENDING DIABETIC SUPPORT GROUPS BY AT LEAST 5%.REDUCE THE OCCURRENCE OF SUICIDE IN OSWEGO COUNTY AMONG BOTH ADULTS AND YOUTH.INCREASE SUICIDE PREVENTION ACTIVITIES AND MENTAL HEALTH SERVICES AMONG YOUTH IN OSWEGO COUNTY.
FieldValueIRS element (for citing)
Facility10FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - FULTON MEDICAL CENTER
510 S FOURTH STFULTONNY13069OUTPATIENT CLINIC
2 - CENTRAL SQUARE MEDICAL CENTER
3045 EAST AVECENTRAL SQUARENY13036OUTPATIENT CLINIC
3 - PULASKI HEALTH CENTER LAB & RADIOLOGY
61 DELANO STPULASKINY13142OUTPATIENT CLINIC
4 - OSWEGO HOSPMEXICO FAMILY HEALTH CENTER
5856 SCENIC AVEMEXICONY13114OUTPATIENT CLINIC
5 - AMS OF OSWEGO HEALTH
98 N SECOND STFULTONNY13069OUTPATIENT CLINIC
6 - PARISH HEALTH SERVICES CENTER
10 CARLTON DRIVEPARISHNY13131OUTPATIENT CLINIC
7 - OSWEGO HOSP RADIOLOGY & LAB SERVICES
10 GEORGE STOSWEGONY13126OUTPATIENT CLINIC
8 - PHOENIX HEALTH SERVICES CENTER
7 BRIDGE STPHOENIXNY13135OUTPATIENT CLINIC
9 - FULTON MEDICAL OFFICE BUILDING
501 1/2 SOUTH SECOND STFULTONNY13069OUTPATIENT CLINIC
10 - LAKE ONTARIO PROMPT MEDICAL CARE - LAB &
300 ST RTE 104 EASTOSWEGONY13126OUTPATIENT CLINIC

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:THE RCC USED TO CALCULATE COLUMN (C) DOES NOT INCLUDE BAD DEBTS. WE APPLIED THE RATIO OF COST TO CHARGES AGAINST THE BAD DEBT AMOUNT TO OBTAIN THE COST RELATED TO BAD DEBT CHARGE WRITE-OFFS. THIS RATIO WAS CALCULATED USING WORKSHEET 2 IN THE SCHEDULE H INSTRUCTIONS. THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE AND THEREFORE ARE NOT REPORTED AS REVENUE. THE HOSPITAL DOES NOT APPLY DISCOUNTS AND/OR PAYMENTS TO BAD DEBT EXPENSE. A RECOVERY OF A BAD DEBT WOULD BE OFFSET AGAINST THE BAD DEBT EXPENSE.
PART I, LINE 7G:OSWEGO HOSPITAL OPERATES THE FOLLOWING SERVICES AT A LOSS TO THE ORGANIZATION: INPATIENT HOSPITALIST PROGRAM, ANESTHESIA PROGRAM, AND OUTPATIENT BEHAVIORAL HEALTH SERVICES. IN EACH CASE THE COMMUNITY'S CAPACITY TO PROVIDE THE SERVICE WOULD BE BELOW THE COMMUNITY'S NEED FOR THE SERVICE.
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 $ 2,397,107.
PART III, LINE 4:INFORMATION RELATING TO BAD DEBT EXPENSE IS INCLUDED IN FOOTNOTE 2(K) NET PATIENT SERVICE REVENUE AND PATIENT ACCOUNTS RECEIVABLE ON PAGE 12-18 OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8:USED MEDICARE ONLY TOTAL CHARGES FROM REVENUE REPORT AND APPLIED THE RATIO OF COST TO CHARGES CALCULATED ON WORKSHEET 2 OF SCHEDULE H. APPROXIMATELY 37% OF OUR REVENUE IS DERIVED FROM MEDICARE PATIENTS. WE FEEL THE SHORTFALL FROM THIS PROGRAM IS DIRECTLY A COMMUNITY BENEFIT IN THAT WE ARE THE SOLE PROVIDER OF SERVICES IN OSWEGO COUNTY. THE ELDERLY POPULATION IN THIS AREA IS SIGNIFICANT AND WITHOUT OUR SERVICES, OUR ELDERLY POPULATION WOULD HAVE TO TRAVEL 40 - 50 MILES FOR CARE. THIS COULD BE CRITICAL IN EMERGENCY SITUATIONS. SOME OF THESE PEOPLE ARE ALONE AND HAVE NO READILY AVAILABLE MEANS OF TRANSPORTATION. WE ALSO HAVE EXTREME WEATHER DURING 3 TO 4 MONTHS OF THE YEAR WHICH ADDS BURDEN TO THE TRANSPORTATION ISSUE OF THESE PEOPLE.
PART VI, LINE 2:IN ADDITION TO REGULAR COMMUNICATION WITH OUR VOLUNTEER BOARD AND COMMITTEE MEMBERS, OSWEGO HOSPITAL UNDERTAKES MANY PLANNING ACTIVITES TO DETERMINE THE HEALTH NEEDS OF RESIDENTS. STRATEGIC PLANNING IDENTIFIES CRITICAL ISSUES AND ESTABLISHES 3-5 YEAR GOALS BASED ON OUR IN-DEPTH INTERNAL AND EXTERNAL EXAMINATION OF THE ORGANIZATION. PRESS GANEY HAS BEEN CONTRACTED TO SURVEY PATIENT SATISFACTION AND A RESEARCH FIRM IS ENGAGED TO PROVIDE A COMMUNITY PERCEPTION STUDY. IN 2018, OSWEGO HEALTH PARTNERED WITH THE HEALTHCARE DIVISION OF RESEARCH & MARKETING STRATEGIES (RMS HEALTHCARE) TO ASSIST THE ORGANIZATION WITH THE DEVELOPMENT OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA.) THIS CHNA WAS COMMISSIONED TO INVENTORY, ASSESS, AND PRIORITIZE HEALTHCARE NEEDS AND SERVICES WITHIN THE COMMUNITY. IT ALSO COMPLIES WITH THE RECENT FEDERAL REGULATORY STATUTE. THE CHNA IS DESIGNED TO ENHANCE OSWEGO HEALTH'S OVERALL STRATEGIC PLAN AND AID THEM IN IDENTIFYING WHAT SERVICES ARE MOST NEEDED AND DESIRED BY THE COMMUNITY IT SERVES. THE ULTIMATE GOAL IS TO OPTIMIZE HEALTHCARE DELIVERY AND TO PROVIDE HIGH QUALITY CARE. THIS CHNA FULFILLS THE REQUIREMENTS OF NEW STATUTES PUT IN PLACE BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA) THAT REQUIRES NON-PROFIT HOSPITALS TO CONDUCT CHNAS EVERY THREE YEARS TO REMAIN IN COMPLIANCE. THE CHNA UTILIZES INPUT FROM MEMBERS OF THE COMMUNITY IN THE FORM OF STAKEHOLDERS AND RESIDENTS AND REPRESENT AN INTEREST IN THE OSWEGO HEALTH SERVICE AREA. RMS WORKED CLOSELY WITH MEMBERS OF THE COMMUNITY AND THE MANAGEMENT TEAM OF OSWEGO HEALTH TO COMPLETE THE ASSESSMENT.
PART VI, LINE 3:OSWEGO HOSPITAL HAS COLLABORATED WITH ORGANIZATIONS THAT MAINTAIN FACILITATED ENROLLERS IN OSWEGO COUNTY, SUCH AS OSWEGO COUNTY OPPORTUNITIES, NORTHERN OSWEGO COUNTY HEALTH SERVICES, THE RURAL MIGRANT MINISTRY AND OTHERS TO ENSURE THAT INDIVIDUALS THAT NEED ASSISTANCE IN PAYING THEIR MEDICAL BILLS ARE PROVIDED INFORMATION ON AVAILABLE PROGRAMS AND THE ELIGIBILITY REQUIREMENTS OF THESE PROGRAMS. THE HOSPITAL ALSO PROVIDES A PLACE FOR INDIVIDUALS TO MEET ONE ON ONE WITH FACILITATED ENROLLMENT PROVIDERS AT SEVERAL LOCATIONS ACROSS OSWEGO COUNTY. ALL PATIENTS ADMITTED TO OSWEGO HOSPITAL ARE PROVIDED WITH A BROCHURE TITLED "MEDICAL BILLS EXPLAINED" WHICH OUTLINES PAYMENT OPTIONS AND SOURCES OF APPLICATIONS FOR FINANCIAL ASSISTANCE. OUR FINANCIAL ASSISTANCE POLICY AND APPLICATION IS ALSO AVAILABLE ON THE WEBSITE AT WWW.OSWEGOHEALTH.ORG. OSWEGO HOSPITAL HAS TWO FINANCIAL COUNSELORS ON STAFF THAT ARE CERTIFIED APPLICATION COUNSELORS WITH TRAINING IN THE NYS HEALTH INSURANCE EXCHANGE.
PART VI, LINE 4:THE OSWEGO HOSPITAL SERVICE AREA ENCOMPASSES MUCH OF OSWEGO COUNTY, A RURAL AND ECONOMICALLY-CHALLENGED REGION. OSWEGO HOSPITAL IS PART OF THE OSWEGO HEALTH SYSTEM PROVIDING CARE TO APPROXIMATELY 85,900 RESIDENTS IN THE COUNTY, WHICH HAS A TOTAL POPULATION OF APPROXIMATELY 120,000. WITHIN THE BOUNDARIES OF OSWEGO COUNTY ARE THE CITIES OF FULTON AND OSWEGO, AS WELL AS SEVERAL TOWNS AND VILLAGES, INCLUDING CENTRAL SQUARE, MEXICO, PARISH, PHOENIX AND PULASKI.
PART VI, LINE 5:AS OSWEGO COUNTY'S HEALTHCARE LEADER, OSWEGO HEALTH TAKES SERIOUSLY ITS COMMITMENT TO PROVIDE EDUCATIONAL HEALTH SERVICES AND PROGRAMS TO COMMUNITY RESIDENTS. UNFORTUNATELY, DUE TO COVID AND PRACTICING SAFE SOCIAL DISTANCING , OSWEGO HEALTH AND OUR STAFF MEMBERS WERE LIMITED IN PARTICIPATING IN COMMUNITY EVENTS.WE WERE HOWEVER ABLE TO SAFELY DISTRIBUTE EDUCATIONAL MATERIALS, SUN SCREEN AND HAND SANITIZEER AT BOTH OSWEGO AND FULTON FARMERS MARKETS.IN ADDITION, WE OFFERED FOUR BLOOD ANALYSIS SCREENINGS AT A LOW-COST TO COMMUNITY MEMBERS. MORE THAN 1,200 INDIVIDUALS TOOK ADVANTAGE OF MULTI-BLOOD ANALYSIS SCREENING HELD AT SELECT LAB LOCATIONS INCLUDING CENTRAL SQUARE, PULASKI, FULTON AND OSWEGO.TO ASSIST THOSE COMMUNITY MEMBERS THAT WISH TO QUIT SMOKING, WE OFFER A FREE ONLINE SMOKING CESSATION PROGRAM, SMOKEFREE.GOV THROUGH OUR WEBSITE. THIS PROGRAM ALLOWS RESIDENTS TO QUIT IN THE PRIVACY OF THEIR HOMES. AS A PART OF THE PROGRAM, WE HAVE CERTIFIED SMOKING COUNSELERS AVAILABLE TO OFFER SUPPORT AND GUIDANCE. THESE COUNSELORS ARE ALSO AVAILABLE FOR 1:1 SESSIONS.FINALLY, OSWEGO HOSPITAL HOSTED FIVE BLOOD DRIVES FOR THE AMERICAN RED CROSS DURING 2020.
PART VI, LINE 6:THE OSWEGO HEALTH SYSTEM PROVIDES MANY SERVICES AND PROGRAMS THAT TOGETHER PROVIDE THE REGION WITH HEALTHCARE SERVICES FROM BIRTH TO MATURITY. OSWEGO HEALTH, INC., SOLE MEMBER OF SYSTEM CORPORATIONS, IS A NOT-FOR-PROFIT HOLDING CORPORATION, ESTABLISHED IN 1997, THAT CONSTITUTES AN INTEGRATED, COMPREHENSIVE HEALTHCARE SYSTEM. THIS INCLUDES OSWEGO HOSPITAL, A 164-BED COMMUNITY HOSPITAL PROVIDING ACUTE, MEDICAL, EMERGENCY, SURGICAL, MATERNITY AND BEHAVIORAL SERVICES; THE MANOR AT SENECA HILL, A 120-BED SKILLED NURSING FACILITY THAT ALSO OFFERS REHABILITATION SERVICES AND AN ADULT DAY HEALTH SERVICES PROGRAM; AND SPRINGSIDE AT SENECA HILL, WHICH PROVIDES RETIREMENT LIVING; AS WELL AS THE FULTON MEDICAL CENTER (FMC) IN FULTON. THE FMC PROVIDES AN URGENT CARE, MEDICAL IMAGING, LABORATORY, PHYSICAL THERAPY AND OCCUPATIONAL HEALTH SERVICES. OSWEGO HEALTH ALSO OPERATES THE CENTRAL SQUARE MEDICAL CENTER IN THE VILLAGE OF CENTRAL SQUARE, WHICH OFFERS URGENT CARE, LABORATORY, MEDICAL IMAGING AND PHYSICAL THERAPY SERVICES.
PART VI, LINE 7, REPORTS FILED WITH STATESNY

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsYes (1)CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL HARLOVIC
PRESIDENT AND CEO$486,036$0$103,500$0$132,542$0$5,642$0$12,960$0$740,680$0$0$0
VIKRAM JALA
GASTROENTEROLOGY$683,219$0$25,000$0$0$0$380$0$798$0$709,397$0$0$0
NICHOLAS GROCH
ENT PHYSICIAN$569,317$0$25,000$0$0$0$4,685$0$24,543$0$623,545$0$0$0
MICHAEL DIAZ
ORTHOPEDIC$571,422$0$0$0$0$0$4,528$0$24,595$0$600,545$0$0$0
FELIX OBEN
UROLOGY$555,746$0$12,500$0$0$0$0$0$20,967$0$589,213$0$0$0
MELANIE GROCH
ENT PHYSICIAN$532,963$0$25,000$0$0$0$3,865$0$798$0$562,626$0$0$0
DUANE TULL
CHIEF MEDICAL OFFICER$492,931$0$25,000$0$0$0$5,696$0$11,351$0$534,978$0$0$0
JEFFREY COAKLEY
FORMER EXEC VP, COO$201,586$0$20,349$0$190,073$0$3,350$0$720$0$416,078$0$0$0
ERIC CAMPBELL
CFO$270,586$0$30,600$0$0$0$3,015$0$798$0$304,999$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINES 4A-BFormAndLineReferenceDesc
ExplanationTHE CEO FOR OSWEGO HEALTH HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN WHEREBY ANNUAL CREDITS WILL BE MADE TO A DEFERRED COMPENSATION ACCOUNT WITHIN THIRTY DAYS OF JUNE 30 EACH YEAR IN WHICH THE CEO RENDERS SERVICES TO THE ORGANIZATION. ANNUAL CREDITS ARE BASED ON A PERCENTAGE OF THE CEO'S BASE COMPENSATION FOR THE YEAR OF SERVICE. VESTING OF THE DEFERRED COMPENSATION ACCOUNT IS CONTINGENT UPON CONTINUOUS EMPLOYMENT OF THE CEO.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
CYNTHIA TASCARELLA
EMPLOYEE$78,407EMPLOYMENT OF CYNTHIA TASCARELLA BY OSWEGO HOSPITAL. SHE IS THE SPOUSE OF BOARD MEMBER, RONALD TASCARELLA.0
ED ALBERTS (DIRECTOR)
OWNER OF REHAB RESOURCES$985,088PROVIDES PT,OT AND SPEECH THERAPY SERVICES0
ADAM GAGAS (DIRECTOR)
PRESIDENT OF DISCIPLINED CAPITAL$26,118PROVIDES INVESTMENT SERVICES0
DR RAJ MAHAJAN (DIRECTOR)
PHYSICIAN AT OSWEGO COUNTY OBGYN$128,728PROVIDES EMERGENCY ON CALL SERVICES0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2CYNTHIA TASCARELLA IS THE SPOUSE OF BOARD MEMBER, RONALD TASCARELLA, AND RECEIVED COMPENSATION IN THE AMOUNT OF $78,407.
FORM 990, PART VI, SECTION A, LINE 6OSWEGO HEALTH INC IS THE SOLE MEMBER OF THE OSWEGO HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7AOSWEGO HEALTH INC, THE SOLE MEMBER MAY APPOINT, AND REMOVE DIRECTORS OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7BDECISIONS OF THE GOVERNING BODY ARE APPROVED BY OSWEGO HEALTH INC., THE SOLE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 AND ITS SUPPORTING AND SUPPLEMENTAL INFORMATION WAS PREPARED AND VERIFIED FOR ACCURACY BY THE CONTROLLER. ALL TOTALS ARE TIED TO THE FINANCIAL STATEMENTS WHICH HAVE BEEN AUDITED BY AN OUTSIDE ACCOUNTING FIRM. THE RETURN IS REVIEWED INTERNALLY BY THE CHIEF FINANCIAL OFFICER. IN ADDITION, THE RETURN IS REVIEWED BY AN OUTSIDE ACCOUNTING FIRM. THE 990 IS THEN PRESENTED TO THE OSWEGO HEALTH AUDIT COMMITTEE AND MADE AVAILABLE TO MEMBERS OF THE HOSPITAL BOARD.
FORM 990, PART VI, SECTION B, LINE 12COUR OFFICERS AND BOARD MEMBERS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST OF THEMSELVES AND THEIR FAMILY MEMBERS ON A QUESTIONNAIRE DISTRIBUTED ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION AND PERFORMANCE OF THE ORGANIZATION'S PRESIDENT & CEO IS REVIEWED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE OSWEGO HEALTH BOARD AND COMPENSATION IS APPROVED BY THE BOARD. THE COMMITTEE USES THE SERVICES OF AN INDEPENDENT CONSULTANT TO ASSIST IN THE EVALUATION PROCESS AND THE DETERMINATION OF APPROPRIATE COMPENSATION BASED ON PERFORMANCE, EXPERIENCE, TENURE AND MARKET VALUE OF SALARY RANGES AS COMPARED TO NATIONAL, REGIONAL AND LOCAL SURVEYS FOR SIMILAR POSITIONS. COMPENSATION AND PERFORMANCE OF OTHER OFFICERS IS REVIEWED ANNUALLY BY THE PRESIDENT & CEO WITH THE ASSISTANCE OF THE HR DIRECTOR AND IS ALSO REVIEWED AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE. COMPENSATION IS BASED ON SALARY BENCHMARK DATA OBTAINED FROM AN INDEPENDENT CONSULTANT AND GATHERED FROM VARIOUS INDEPENDENT SOURCES.
FORM 990, PART VI, SECTION C, LINE 19AUDITED FINANCIAL STATEMENTS ARE MADE AVALABLE BY REQUEST AND/OR SUBJECT TO COVENANT REQUIREMENTS IN DEBT INSTRUMENTS. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:CHANGE IN PENSION LIABILITY 320,590. OTHER COMP OF NPPS -410,443. CHANGE IN INTEREST NET ASSET -95,742.
FORM 990, PART XII, LINE 2CTHERE HAS BEEN NO CHANGE TO THE PROCESS

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
OSWEGO HEALTH INC
110 WEST SIXTH STREETOSWEGONY13126161555936PARENT HEALTH COMPANYNY501 C 3LINE 11B SCHEDULE AN/A0
SENECA HILL MANOR INC
20 MANOR DRIVEOSWEGONY13126223163818LONG TERM CARENY501 C 3LINE 11 TYPE III0OSWEGO HEALTH INC
SPRINGSIDE AT SENECA HILL
10 COUNTY RT 45AOSWEGONY13126161555935ADULT LIVING FACILITYNY501 C 3LINE 9 SCHEDULE A0OSWEGO HEALTH INC
OH PROPERTIES INC
110 WEST SIXTH STREETOSWEGONY13126161365960REAL ESTATE COMPANYNY501 C 3LINE 11 2 SCHEDULE A0OSWEGO HEALTH INC
PHYSICIAN CARE PC
110 WEST SIXTH STREETOSWEGONY13126900864974NONPROFIT CORPORATIONNY501 C 3LINE 11 TYPE IIIYes (1)OSWEGO HOSPITAL
OSWEGO HEALTH FOUNDATION INC
110 WEST SIXTH STREETOSWEGONY13126800822020SUPPORTING ORGANIZATIONNY501 C 3LINE 11A SCHEDULE A0OSWEGO HEALTH INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1OSWEGO HEALTH HOME CARE LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1113 SCHUYLER STAddressLine1Txt
CityFULTONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13069ZIPCd
FieldValueIRS element (for citing)
EIN472463736EIN
Primary ActivitiesHOME HEALTH AGENCYPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1OSWEGO HEALTH INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income-$14,538ShareOfTotalIncomeAmt
Share Of EOY Assets$898,741ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.60000OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1OH SERVICES INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1110 WEST SIXTH STREETAddressLine1Txt
CityOSWEGOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13126ZIPCd
FieldValueIRS element (for citing)
EIN161390603EIN
Primary ActivitiesHEARING DIAGNOSTICS AND SOLUTIONSPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1OSWEGO HEALTH INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PHYSICIAN CARE PC
D$1,955,637DEMAND NOTE AGREEMENT (FMV)
PHYSICIAN CARE PC
J$14,205,148LEASE,ADMIN & PROF SERVICE AGREEM
PHYSICIAN CARE PC
Q$8,396,772PAYMENT FROM CONTROLLED ENTITY(FM
PHYSICIAN CARE PC
A$1,245,270LEASE AGREEMENTS (FMV)

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