OSWEGO HOSPITAL INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- OSWEGO HOSPITAL INC (EIN 15-0532220)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-07
- IRS object ID
- 201713119349302606
- Schema version
- 2016v3.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-07T13:59:27-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161226221 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FUST CHARLES CHAMBERS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5784 WIDEWATERS PARKWAY | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13214 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 150532220 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OSWEGO HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | OSWE | BusinessNameControlTxt |
| Phone | 3153495531 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 WEST SIXTH STREET | AddressLine1Txt |
| City | OSWEGO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13126 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ERIC T CAMPBELL | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 3153495531 | PhoneNum |
| Signature | 2017-11-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DEBORAH STUCK | PreparerPersonNm |
| PTIN | P00841958 | PTIN |
| Phone | 3154463600 | PhoneNum |
| Preparation | 2017-11-03 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 24.39.85.114 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-03 | IPDt |
| IP Tm | 16:09:36 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 517AEBE328CBAAA90E396C2FD1060AA56161F780 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 517AEBE328CBAAA90E396C2FD1060AA56161F780 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2018-03-14 21:41:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL HARLOVIC | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 WEST SIXTH STREET | AddressLine1Txt |
| City | OSWEGO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13126 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $115,356,617 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.OSWEGOHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1881 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | OSWEGO 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 120,628 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 Body | 24 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 21 | VotingMembersIndependentCnt |
| Total Employee | 1226 | TotalEmployeeCnt |
| Total Volunteers | 84 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $213,982 | PYContributionsGrantsAmt |
| CY Contributions Grants | $127,003 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $100,203,749 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $101,232,283 | CYProgramServiceRevenueAmt |
| PY Investment Income | $390,576 | PYInvestmentIncomeAmt |
| CY Investment Income | $580,313 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,753,430 | PYOtherRevenueAmt |
| CY Other Revenue | $13,093,973 | CYOtherRevenueAmt |
| PY Total Revenue | $108,561,737 | PYTotalRevenueAmt |
| CY Total Revenue | $115,033,572 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $64,878,602 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $64,898,907 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $159,134 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $47,947,715 | PYOtherExpensesAmt |
| CY Other Expenses | $49,961,234 | CYOtherExpensesAmt |
| PY Total Expenses | $112,826,317 | PYTotalExpensesAmt |
| CY Total Expenses | $114,860,141 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$4,264,580 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $173,431 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $114,739,351 | TotalAssetsBOYAmt |
| Total Assets EOY | $116,341,304 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $52,113,528 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $51,531,660 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $62,625,823 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $64,809,644 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $30,244,597 | ExpenseAmt |
| Revenue | $32,957,686 | RevenueAmt |
| Desc | INPATIENT SERVICES: WE PROVIDE SERVICES TO OSWEGO COUNTY AND THE SURROUNDING AREAS FOR THEIR MEDICAL AND SURGICAL NEEDS. INPATIENT SERVICES INCLUDE MEDICAL SERVICES, SURGICAL SERVICES, MATERNITY, INTENSIVE CARE UNIT AND NURSERY / NEWBORN SERVICES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $20,464,616 | ExpenseAmt |
| Revenue | $38,520,395 | RevenueAmt |
| Desc | OUTPATIENT REFERRED AMBULATORY SERVICES AND AMBULATORY SURGICAL SERVICES: WE PROVIDE DIAGNOSTIC/THERAPEUTIC MEDICAL OR HEALTHCARE RELATED SERVICES TO OSWEGO COUNTY AND SURROUNDING AREAS ORDERED BY PHYSICIANS AND MIDLEVELS. THESE SERVICES INCLUDE LABORATORY TESTING, RADIOLOGY, COMPUTER TOMOGRAPHY (CT) MAGNETIC RESONANCE IMAGING (MRI) AND NUCLEAR MEDICINE. THE PRESTIGIOUS AMERICAN COLLEGE OF RADIOLOGY (ACR) HAS ACCREDITED ALL OSWEGO HOSPITAL'S (CT), (MRI), NUCLEAR MEDICINE AND ULTRASOUND IMAGING SERVICES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,189,866 | ExpenseAmt |
| Revenue | $10,158,844 | RevenueAmt |
| Desc | BEHAVIORAL HEALTH SERVICES: WE PROVIDE INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH SERVICES IN OSWEGO COUNTY. OUR INPATIENT UNIT HAS 32 BEDS. OUR OUTPATIENT SERVICES PROVIDE SERVICES TO ADULT, CHILDREN, AND FAMILIES AT LOCATIONS THROUGHOUT THE COUNTY. IN ADDITION, WE PROVIDE MENTAL HEALTH ACT PROGRAMS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $39,284,790 | ExpenseAmt |
| Revenue | $32,271,136 | RevenueAmt |
| Desc | OUTPATIENT EMERGENCY DEPARTMENT: WE PROVIDE SERVICE TO OSWEGO COUNTY AND SURROUNDING AREAS FOR THEIR EMERGENCY NEEDS. THE RENOVATION OF EMERGENCY DEPARTMENT WAS COMPLETED AND 17 PRIVATE PATIENT ROOMS WERE ADDED ALONG WITH A SUB-ACUTE AREA FOR TREATMENT OF MINOR ILLNESSESS AND INJURIES. EACH ROOM HAS THE LATEST TECHNOLOGY INCLUDING A CARDIAC MONITORING SYSTEM.OTHER SERVICES: OSWEGO HOSPITAL PROVIDES OUTPATIENT CARE TO THE COMMUNITY FROM VARIOUS OUTPATIENT CLINICS, OCCUPATIONAL HEALTH, AND PHYSICAL / OCCUPATIONAL / SPEECH THERAPY. WE PROVIDE PRIMARY CARE SERVICES AT MULTIPLE LOCATIONS WITHIN THE COUNTY. THESE CLINICS ARE LOCATED IN FULTON AND CENTRAL SQUARE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $39,284,790 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $32,271,136 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $101,183,869 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 126 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1226 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 24 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 21 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TIMOTHY A PETHYBRIDGE-OSWEGO HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3153495912 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 WEST SIXTH STREET | AddressLine1Txt |
| City | OSWEGO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13126 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| CHRIS BURRITT | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PETER CULLINAN | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK SLAYTON | |||||||||
| TREASURER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| PATRICIA MEARS | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BARBARA BATEMAN | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MATTHEW LIEPKE MD | |||||||||
| MEDICAL STAFF PRESIDENT | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| PAMELA CARACCIOLI | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM CLARK | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| IVAN PROANO MD | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHARLES GIJANTO | |||||||||
| CEO AND PRESIDENT | 20.60 | 19.40 | Yes (X) | $357,336 | $0 | $6,591 | Yes (X) | ||
| RENATO MANDANAS MD | |||||||||
| CMO | 36.10 | 3.90 | Yes (X) | $292,957 | $0 | $24,623 | Yes (X) | ||
| ADAM GAGAS | |||||||||
| CHAIR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| WILLIAM GALLOWAY | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| FLOYD BACKES | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| YVONNE PETRELLA | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS SCHNEIDER | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL BACKUS | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ELLEN HOLST | |||||||||
| SECRETARY | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| GARY BOZEMAN MD | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ATOM AVERY | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHEAL STEPHENS MD | |||||||||
| VICE CHAIR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| SCOTT VANGORDER DO | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| VICTORIA FURLONG | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ZACH MENTER | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROSEANN PARSONS | |||||||||
| DIRECTOR (THROUGH 6-30-16) | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ALLISON DUGGAN MD | |||||||||
| COO | 32.00 | 8.00 | $354,124 | $0 | $13,807 | Yes (X) | |||
| ROBERT POMPO | |||||||||
| EXEC VICE PRES FINANCE | 14.50 | 25.50 | $153,523 | $0 | $5,442 | Yes (X) | |||
| SANJEEV VERMA | |||||||||
| ANESTHESIOLOGIST | 40.00 | $455,253 | $0 | $24,140 | Yes (X) | ||||
| JOHN AYRES | |||||||||
| ORTHOPEDIC | 40.00 | $457,682 | $0 | $11,292 | Yes (X) | ||||
| JOSEPH CURLEY | |||||||||
| ANESTHESIOLOGIST | 40.00 | $498,524 | $0 | $9,672 | Yes (X) | ||||
| MELANIE GROCH | |||||||||
| OTOLARYNGOLOGISTS | 40.00 | $472,042 | $0 | $7,157 | Yes (X) | ||||
| NICHOLAS GROCH | |||||||||
| OTOLARYNGOLOGISTS | 40.00 | $467,732 | $0 | $24,790 | Yes (X) | ||||
| ANN GILPIN | |||||||||
| FORMER CEO & PRESIDENT | 40.00 | 0.00 | $337,012 | $0 | $10,020 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,846,185 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $137,534 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 60 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| REHAB RESOURCES PC | |||||
| 159 WEST FIRST STREET | OSWEGO | NY | 13126 | PHYSICAL THERAPY | $1,167,577 |
| MEDICAL IMAGING CENTER LLP | |||||
| 5008 BRITTONFIELD PARKWAY | EAST SYRACUSE | NY | 13057 | MEDICAL IMAGING | $584,134 |
| CLARUS LINEN SYSTEMS | |||||
| 60 GRIDER STREET | BUFFALO | NY | 14215 | LINEN SVCS | $331,449 |
| UNIVERSITY HILL GASTROENTEROLOGY | |||||
| 105 CO RTE 45A STE 400 | OSWEGO | NY | 13126 | GASTEROENTEROLOGY | $311,100 |
| MICROSOFT LICENSING GP | |||||
| 6100 NEIL RD STE 210 | RENO | NV | 89511 | IT SVCS | $288,732 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $99,963 | RelatedOrganizationsAmt |
| All Other Contributions | $27,040 | AllOtherContributionsAmt |
| Total Contributions | $127,003 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID AND MEDICARE | 900099 | $56,725,474 | $56,725,474 |
| INSURANCE AND OTHER | 900099 | $44,506,809 | $44,506,809 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $101,232,283 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $524,279 | TotalRevenueColumnAmt |
| Exclusion | $524,279 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $740,814 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $322,619 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $418,195 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $418,195 | TotalRevenueColumnAmt |
| Exclusion | $418,195 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $56,460 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $426 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $56,034 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $56,034 | TotalRevenueColumnAmt |
| Exclusion | $56,034 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| HOSPITAL CONTRACT SVCS | 900099 | $6,094,934 | $6,094,934 |
| EHR INCENTIVE PAYMENT | 900099 | $897,727 | $897,727 |
| PHARMACY SALES | 900099 | $461,917 | $461,917 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,221,200 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,221,200 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $12,675,778 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $115,033,572 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $113,908,061 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $998,508 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,208,403 | TotalAmt |
| Program Services | $685,511 | ProgramServicesAmt |
| Management And General | $522,892 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,658,103 | TotalAmt |
| Program Services | $47,182,462 | ProgramServicesAmt |
| Management And General | $5,321,673 | ManagementAndGeneralAmt |
| Fundraising | $153,968 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $592,231 | TotalAmt |
| Program Services | $478,943 | ProgramServicesAmt |
| Management And General | $113,288 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,829,334 | TotalAmt |
| Program Services | $5,633,632 | ProgramServicesAmt |
| Management And General | $1,195,702 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,610,836 | TotalAmt |
| Program Services | $2,920,115 | ProgramServicesAmt |
| Management And General | $690,721 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $239,744 | TotalAmt |
| Program Services | $26,000 | ProgramServicesAmt |
| Management And General | $213,744 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,941 | TotalAmt |
| Management And General | $132,941 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,586 | TotalAmt |
| Management And General | $27,586 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,357,449 | TotalAmt |
| Program Services | $2,596,505 | ProgramServicesAmt |
| Management And General | $760,944 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,938,099 | TotalAmt |
| Program Services | $8,735,941 | ProgramServicesAmt |
| Management And General | $200,852 | ManagementAndGeneralAmt |
| Fundraising | $1,306 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,259,441 | TotalAmt |
| Program Services | $2,259,441 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,404,114 | TotalAmt |
| Program Services | $2,360,963 | ProgramServicesAmt |
| Management And General | $42,722 | ManagementAndGeneralAmt |
| Fundraising | $429 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,349 | TotalAmt |
| Program Services | $146,490 | ProgramServicesAmt |
| Management And General | $55,471 | ManagementAndGeneralAmt |
| Fundraising | $388 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,147 | TotalAmt |
| Program Services | $93,147 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,813,443 | TotalAmt |
| Program Services | $5,926,690 | ProgramServicesAmt |
| Management And General | $886,753 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,035,209 | TotalAmt |
| Program Services | $592,798 | ProgramServicesAmt |
| Management And General | $442,411 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| OTHER PURCHASED SERVICE | $10,435,641 | $8,755,785 | $1,677,852 | $2,004 |
| BAD DEBT | $3,850,061 | $3,850,061 | ||
| PHARMACEUTICALS | $3,770,042 | $3,770,042 | ||
| BAD DEBT NON PATIENT | $3,544,321 | $3,544,321 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,857,647 | TotalAmt |
| Program Services | $1,625,022 | ProgramServicesAmt |
| Management And General | $1,231,586 | ManagementAndGeneralAmt |
| Fundraising | $1,039 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,860,141 | TotalAmt |
| Program Services | $101,183,869 | ProgramServicesAmt |
| Management And General | $13,517,138 | ManagementAndGeneralAmt |
| Fundraising | $159,134 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,307 | BOYAmt |
| EOY | $4,309 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,642,076 | BOYAmt |
| EOY | $25,216,606 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,761,540 | BOYAmt |
| EOY | $12,255,553 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $993,134 | BOYAmt |
| EOY | $1,356,155 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,553,700 | BOYAmt |
| EOY | $1,651,460 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,051,914 | BOYAmt |
| EOY | $2,068,423 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $136,567,979 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $79,422,715 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,336,319 | BOYAmt |
| EOY | $57,145,264 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,929,138 | BOYAmt |
| EOY | $11,098,075 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,529,855 | BOYAmt |
| EOY | $919,855 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,937,368 | BOYAmt |
| EOY | $4,625,604 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $114,739,351 | BOYAmt |
| EOY | $116,341,304 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,570,861 | BOYAmt |
| EOY | $10,826,649 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,514,453 | BOYAmt |
| EOY | $23,946,548 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,028,214 | BOYAmt |
| EOY | $16,758,463 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,113,528 | BOYAmt |
| EOY | $51,531,660 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,152,684 | BOYAmt |
| EOY | $56,158,994 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,751,234 | BOYAmt |
| EOY | $1,928,745 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,721,905 | BOYAmt |
| EOY | $6,721,905 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,625,823 | BOYAmt |
| EOY | $64,809,644 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $114,739,351 | BOYAmt |
| EOY | $116,341,304 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $173,431 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $717,171 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,293,219 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $2,500 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | Yes (1) | RalliesDemonstrationsInd |
| Rallies Demonstrations | $25,086 | RalliesDemonstrationsAmt |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $27,586 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | LINE 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 OUR DUES THAT REPRESENTS THIS PORTION FOR LOBBYING IS APPROXIMATELY 25.18% OF $99,633. THE REMAINDER IS ATTRIBUTED TO PROVIDING NECESSARY INFORMATION AND ANALYTICS FOR OUR FACILITY REGARDING HEALTH CARE LEGISLATION AND GOVERNMENT REGULATIONS. THE LOBBYING EFFORTS ARE AIMED SPECIFICALLY AT HEALTH CARE ISSUES ACROSS THE HEALTH CARE PROFESSION. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,473,140 | BeginningYearBalanceAmt |
| Contributions | $98,878 | ContributionsAmt |
| Investment Earnings Or Losses | $157,392 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $78,759 | OtherExpendituresAmt |
| End Year Balance | $8,650,651 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,373,320 | BeginningYearBalanceAmt |
| Contributions | $84,492 | ContributionsAmt |
| Investment Earnings Or Losses | $230,457 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $215,129 | OtherExpendituresAmt |
| End Year Balance | $8,473,140 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,929,442 | BeginningYearBalanceAmt |
| Contributions | $301,904 | ContributionsAmt |
| Investment Earnings Or Losses | $563,252 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $421,278 | OtherExpendituresAmt |
| End Year Balance | $8,373,320 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,788,359 | BeginningYearBalanceAmt |
| Contributions | $247,398 | ContributionsAmt |
| Investment Earnings Or Losses | $294,025 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,400,340 | OtherExpendituresAmt |
| End Year Balance | $7,929,442 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,837,967 | BeginningYearBalanceAmt |
| Contributions | $1,937,185 | ContributionsAmt |
| Investment Earnings Or Losses | $373,738 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $8,360,531 | OtherExpendituresAmt |
| End Year Balance | $8,788,359 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.78000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.22000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $505,045 | OtherCostOrOtherBasisAmt |
| Book Value | $505,045 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $75,617,950 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,645,038 | DepreciationAmt |
| Book Value | $44,972,912 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $59,905,444 | OtherCostOrOtherBasisAmt |
| Depreciation | $48,777,677 | DepreciationAmt |
| Book Value | $11,127,767 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $539,540 | OtherCostOrOtherBasisAmt |
| Book Value | $539,540 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $57,145,264 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| ADVANCE FROM 3RD PARTY | $799,000 |
| DUE TO 3RD PARTY PAYOR | $6,193,377 |
| LTD PENSION OBLIGATION | $8,743,407 |
| OTHER LIABILITIES | $1,022,679 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $16,758,463 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, 2016 AND 2015, 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 2013 THROUGH 2016. THE HOSPITAL DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $585,538 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $585,538 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,350,366 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,762,281 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,588,085 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05030 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,935,904 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,762,281 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,173,623 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05560 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 32 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $38,108 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $38,108 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,139,313 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,340,665 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,798,648 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02520 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 32 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $7,177,421 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,340,665 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,836,756 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02550 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 32 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $36,113,325 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $27,102,946 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,010,379 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08110 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,710,098 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $34,455,249 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $41,353,021 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,897,772 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | 0 | FinancialAssistancePrvsnInd |
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc |
|---|---|---|---|---|---|---|---|---|
| OSWEGO HOSPITAL | ||||||||
| 1 | 110 WEST SIXTH STREET | OSWEGO | NY | 13126 | Yes (X) | Yes (X) | Yes (X) | |
| OSWEGO HOSP-ALVIN L KRAKAU MTL HLTH CTR | ||||||||
| 2 | 74 BUNNER ST | OSWEGO | NY | 13126 | Yes (X) | MENTAL HEALTH SERVICES O/P,REHAB O/P, AND PSYCH | ||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OSWEGO HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTP://WWW.OSWEGOHEALTH.ORG/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.OSWEGOHEALTH.ORG/MEDIA/1507/OH-CHNA-IMPLEMENTATION-PLAN-FINAL.P | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTP://WWW.OSWEGOHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-SERVICES/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | HTTP://WWW.OSWEGOHEALTH.ORG/MEDIA/2159/PATIENT-FINANCIAL-WEB-2017.PDF | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | HTTP://WWW.OSWEGOHEALTH.ORG/MEDIA/1446/FINANCIAL-ASSISTANCE-SUMMARY-2016-RE | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| OSWEGO HOSPITAL | PART V, SECTION B, LINE 5: OSWEGO HEALTH COMPILED A LIST OF APPROXIMATELY 20 COMMUNITY LEADER STAKEHOLDERS FROM THE OSWEGO HEALTH SERVICE AREA AS A POOL FROM WHICH TO CONDUCT SIX IN-DEPTH INTERVIEWS (IDIS), FOCUSING ON IDENTIFYING COMMUNITY HEALTH CARE NEEDS. THIS LIST WAS TIERED WITH REGARD TO THE LEVEL OF PREFERENCE WITH OSWEGO HEALTH USING A TOP 10 AND TOP 20 PRIORITY SYSTEM. RESEARCH & MARKETING STRATEGIES (RMS) CONSULTED WITH OSWEGO HEALTH TO SEND AN EMAIL TO ALL PARTICIPANTS TO MAKE THEM AWARE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND HOW IMPORTANT THEIR PARTICIPATION WAS IN A COMMUNITY NEEDS IDENTIFICATION INTERVIEW. RMS COMPLETED A TOTAL OF 6 IDIS WITH COMMUNITY STAKEHOLDERS. EACH INTERVIEW LASTED APPROXIMATELY 20 TO 30 MINUTES. THE PARTICIPANTS INCLUDED:COUNTY GOVERNMENT OFFICIALS, COUNTY HEALTH DEPT. OFFICIALS, COUNTY DEPT.OF SOCIAL SERVICES OFFICIALS, CHARITABLE ORGANIZATIONS, AND FEDERALLY QUALIFIED HEALTH CENTER (FQHC) ORGANIZATION.IN ADDITION TO THE SIX IDIS CONDUCTED FOR THE CHNA WORK, RMS ALSO CONDUCTED ANOTHER SEVEN IDIS AS PART OF THE OSWEGO HEALTH MSDP WORK. THESE INTERVIEWS WERE WITH KEY MEDICAL STAFF LEADERSHIP OF THE OSWEGO COUNTY AREA. MUCH OF THE INPUT FROM THESE LEADERS MIRRORED WHAT WAS IDENTIFIED BY THE ABOVE STAKEHOLDERS. RMS COMPLETED A TELEPHONE SURVEY AMONG A RANDOM SAMPLE OF COMMUNITY RESIDENTS WITHIN THE OSWEGO HEALTH SERVICE AREA. RMS CUSTOMIZED A TELEPHONE SURVEY SCRIPT CONTAINING 35 QUESTIONS FOCUSING ON THE RESIDENTS' PRECEPTIONS OF THE AVAILABILITY OF HEALTHCARE SERVICES OFFERED WITHIN THE COMMUNITY. RMS PURCHASED BOTH RESIDENT LANDLINE TELEPHONE SAMPLE AND CELL PHONE SAMPLE TO REACH RESPONDENTS. THE SURVEY TOOK APPROXIMATELY 15 MINUTES TO COMPLETE. A TOTAL OF 405 RESPONSES WERE COLLECTED FOR THIS MARKET RESEARCH. THIS RESPONSE RATE PROVIDED A SAMPLING WITH A LOW MARGIN OF ERROR (4.86%, ENSURING A HIGH DEGREE OF STATISTICAL RELIABILITY FOR THE SURVEY FINDINGS. RESPONDENTS WERE SCREENED TO ENSURE:THEY WERE THE PRIMARY DECISION-MAKER (OR SHARED RESPONSIBILITY) FOR HEALTHCARE DECISIONS IN THEIR HOUSEHOLD;THEY WERE NOT NOR ANYONE IN THEIR HOUSEHOLD WAS EMPLOYED BY AN APPLICABLE INDUSTRY;THEY WERE OVER THE AGE OF 18;THEY LIVED IN THE AREA FOR AT LEAST 1 YEAR;THEY WERE FAMILIAR WITH THE LOCAL HEALTHCARE AND HOSPITALS IN THE AREA; ANDTHEY LIVED IN A ZIP CODE FROM THE PRIMARY SERVICE AREA (PSA). |
| OSWEGO HOSPITAL | PART V, SECTION B, LINE 11: THE NEEDS IDENTIFIED IN THE CHNA WHICH ARE BEING SPECIFICALLY ADDRESSED BY OSWEGO HEALTH IN THIS IMPLEMENTATION PLAN ARE: ADDRESS THE CONTINUING NEED TO PROVIDE ONGOING MANAGEMENT OF HEALTH ISSUES FORRESIDENTS WITH CHRONIC HEALTH CONDITIONS, SUCH AS DIABETES, COPD, AND CHF; AND, PROMOTE MENTAL HEALTH AND FOCUS ON PREVENTING SUBSTANCE ABUSE AND SUICIDE INCLUDINGSERVICES FOR EMOTIONAL AND BEHAVIORAL HEALTH AND DISORDERS, AS WELL AS THE PREVENTION OFSUBSTANCE ABUSE AND SUICIDE.THE NEEDS IDENTIFIED IN THE CHNA WHICH OSWEGO HEALTH CHOSE NOT TO PURSUE IN THIS IMPLEMENTATION PLAN ARE:REDUCE THE PREVALENCE OF RISKY BEHAVIORS AND ENCOURAGE HEALTHY LIFESTYLES, INCLUDING THEIMPORTANCE OF PHYSICAL ACTIVITY AND NUTRITION IN THE OSWEGO HEALTH SERVICE AREA. IMPROVE ACCESS OF SPECIALTY CARE PROVIDERS TO ADEQUATELY CARE FOR THE CURRENT AND PROJECTEDPOPULATION OF THE OSWEGO HEALTH SERVICE AREA;DECREASE THE INCIDENCE OF TOBACCO USE IN THE OSWEGO HEALTH SERVICE AREA (25% OF THEPOPULATION) AND THEREFORE REDUCE THOSE IMPACTED BY THE HEALTH ISSUES IT CAUSES FOR USERS ANDTHE COMMUNITY-AT-LARGE; ALTHOUGH OSWEGO HEALTH CHOSE NOT TO SPECIFICALLY ADDRESS THESE NEEDS IN ITS IMPLEMENTATIONPLAN, THESE NEEDS ARE ALL INITIATIVES THAT OSWEGO HEALTH IS CONTINUOUSLY AWARE OF AND MAKINGEFFORTS TO ADDRESS. ADDITIONALLY, THERE ARE MANY OTHER RESOURCES AVAILABLE WITHIN THE COMMUNITYADDRESSING THESE NEEDS AND OSWEGO HEALTH FULLY SUPPORTS THESE EFFORTS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - FULTON MEDICAL HEALTH CENTER | ||||
| 510 S FOURTH ST | FULTON | NY | 13069 | OUTPATIENT CLINIC |
| 2 - CENTRAL SQUARE MEDICAL CENTER | ||||
| 3045 EAST AVE | CENTRAL SQUARE | NY | 13036 | OUTPATIENT CLINIC |
| 3 - RADIOLOGY EXT CLINIC PULASKI | ||||
| 61 DELANO ST | PULASKI | NY | 13142 | OUTPATIENT CLINIC |
| 4 - OSWEGO HOSPMEXICO FAMILY HEALTH CENTER | ||||
| 5856 SCENIC AVE | MEXICO | NY | 13114 | OUTPATIENT CLINIC |
| 5 - AMS OF OSWEGO HEALTH | ||||
| 98 N SECOND ST | FULTON | NY | 13069 | OUTPATIENT CLINIC |
| 6 - PARISH HEALTH SERVICES CENTER | ||||
| ROUTE 69 | PARISH | NY | 13131 | OUTPATIENT CLINIC |
| 7 - OSWEGO HOSP RADIOLOGY & LAB SVCS | ||||
| 10 GEORGE ST | OSWEGO | NY | 13126 | OUTPATIENT CLINIC |
| 8 - PHOENIX HEALTH SERVICES CENTER | ||||
| 7 BRIDGE ST | PHOENIX | NY | 13135 | OUTPATIENT CLINIC |
| 9 - OH FULTON HEALTH SERVICES CENTER | ||||
| 501 1/2 SOUTH SECOND ST | FULTON | NY | 13069 | OUTPATIENT CLINIC |
| 10 - LAKESIDE HEART CLINIC | ||||
| 177 W FOURTH ST | OSWEGO | NY | 13126 | OUTPATIENT CLINIC |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | WE USED THE RATIO OF COSTS TO CHARGES (RCC) FOR THE CALCULATION OF COSTS. WE USED TOTAL EXPENSES LESS BAD DEBT OF $3,850,061 TO CALCULATE THE PERCENTAGE. CHARITY CARE WRITE OFFS WERE TAKEN DIRECTLY FROM OUR GENERAL LEDGER INFORMATION AND THE RCC WAS APPLIED TO OBTAIN COSTS. |
| PART I, LINE 7G: | OSWEGO HOSPITAL OPERATES THE FOLLOWING SERVICES AT A LOSS TO THE ORGANIZATION: INPATIENT HOSPITALIST PROGRAM, ANESTHESIA PROGRAM, AND INPATIENT 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, LN 7 COL(F): | BAD DEBT EXPENSE OF $3,850,061 IS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) AND IS USED TO CALCULATE THIS PERCENTAGE FIELD. THE RCC USED TO CALCULATE COLUMN (C) DOES NOT INCLUDE THE BAD DEBT AMOUNT.WE APPLIED THE RATIO OF COST TO CHARGES AGAINST THE BAD DEBT AMOUNT TO OBTAIN THE COSTS 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 III, LINE 4: | INFORMATION RELATING TO BAD DEBT EXPENSE IS INCLUDED IN FOOTNOTE 2(I) NET PATIENT SERVICE REVENUE AND PATIENT ACCOUNTS RECEIVABLE ON PAGE 10-12 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 35% 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 2015, 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 CNHA 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 122,000. 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. AS A PART OF THAT OBLIGATION, STAFF MEMBERS TAKE PART IN COMMUNITY EVENTS THROUGHOUT THE YEAR THAT OFFER EDUCATIONAL MATERIALS AND FREE SCREENINGS. IN THE LAST YEAR ALONE, OSWEGO HEALTH PARTICIPATED IN THE OSWEGO COUNTY SENIOR HEALTH AND INFORMATION FAIR SPONSORED BY STATE SENATOR PATTY RITCHIE, THE CENTRAL SQUARE APPLE FESTIVAL, OSWEGO FARMERS MARKET, FULTON FARMERS MARKET, FULTON MEMORIAL DAY PARADE, FULTON BIKE RODEO, OSWEGO INDEPENDENCE DAY PARADE, OSWEGO HARBORFEST AND THE TRI-OSWEGO. IN ADDITION, OUR ORGANIZATION PARTICIPATED IN NUMEROUS HEALTH FAIRS HELD THROUGHOUT OSWEGO COUNTY.AMONG THE FREE SCREENINGS PROVIDED AT THESE EVENTS WERE BLOOD PRESSURE, BODY FAT ANALYSIS AND PHYSICAL THERAPY ASSESSMENTS. AVAILABLE AT EACH EVENT WAS A WIDE RANGE OF FREE EDUCATIONAL MATERIALS. AT SOME OF THESE FUNCTIONS, WE ACTIVATED OUR SUN PATROL, WHERE STAFF DISTRIBUTED FREE PACKETS OF SUNSCREEN TO YOUNG FAMILIES. OUR SUN PATROL HAS BEEN A MAJOR OSWEGO HEALTH INITIATIVE FOR NEARLY 30 YEARS.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 SCREENINGS HELD IN CENTRAL SQUARE, PULASKI, FULTON AND OSWEGO.OSWEGO HEALTH ALSO RECOGNIZES THE IMPORTANCE OF COLLABORATING WITH OTHER HEALTHCARE PROVIDERS TO DEVELOP PROGRAMS AND EVENTS THAT BENEFITED THE COMMUNITY. AMONG THOSE PARTNERS WERE THE OSWEGO COUNTY HEALTH DEPARTMENT, OSWEGO COUNTY OPPORTUNITIES, THE RURAL HEALTH NETWORK, THE FULTON AND OSWEGO YMCAS, THE GREATER OSWEGO FULTON CHAMBER OF COMMERCE AND THE FULTON POLICE DEPARTMENT. OUR ORGANIZATION ALSO INVITES THE COMMUNITY INTO ITS FACILITIES WHERE STAFF MEMBERS PROVIDE AN ARRAY OF FREE SUPPORT GROUPS. THESE SUPPORT GROUPS ASSIST THOSE WITH DIABETES AND MULTIPLE SCLEROSIS, AS WELL AS ALZHEIMER'S CAREGIVERS. 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 CESSATION COUNSELORS AVAILABLE TO OFFER SUPPORT AND GUIDANCE. THESE COUNSELORS ARE ALSO AVAILABLE FOR 1:1 SESSIONS.IN ADDITION, OSWEGO HEALTH ALSO OFFERS AN ASK THE DOCTOR PROGRAM, WHERE PHYSICIANS PROVIDE A PRESENTATION TO THE PUBLIC ON THEIR AREA OF EXPERTISE. DURING 2016, OUR PHYSICIANS PRESENTED PROGRAMS ON HEART DISEASE, DIABETES, GOOD COLORECTAL HEALTH, AS WELL AS THE HEALTH SERVICES OFFERED BY TWO OTOLARYNGOLOGISTS.IN AN EFFORT TO GIVE YOUTHS AN EARLY, FIRST-HAND LOOK AT HEALTHCARE CAREERS, OSWEGO HOSPITAL HOSTED A MASH CAMP FOR SEVENTH AND EIGHTH GRADERS LAST SUMMER THAT ATTRACTED MORE THAN 20 YOUTHS.FINALLY, OSWEGO HOSPITAL HOSTED FOUR BLOOD DRIVES FOR THE AMERICAN RED CROSS DURING 2016. |
| 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 STATES | NY |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHARLES GIJANTO | ||||||||||||||
| CEO AND PRESIDENT | $357,336 | $0 | $0 | $0 | $0 | $0 | $1,442 | $0 | $5,149 | $0 | $363,927 | $0 | $7,349 | $0 |
| RENATO MANDANAS MD | ||||||||||||||
| CMO | $292,957 | $0 | $0 | $0 | $0 | $0 | $3,808 | $0 | $20,815 | $0 | $317,580 | $0 | $33,250 | $0 |
| ALLISON DUGGAN MD | ||||||||||||||
| COO | $354,124 | $0 | $0 | $0 | $0 | $0 | $3,975 | $0 | $9,832 | $0 | $367,931 | $0 | $16,778 | $0 |
| ROBERT POMPO | ||||||||||||||
| EXEC VICE PRES FINANCE | $153,523 | $0 | $0 | $0 | $0 | $0 | $1,500 | $0 | $3,942 | $0 | $158,965 | $0 | $7,106 | $0 |
| SANJEEV VERMA | ||||||||||||||
| ANESTHESIOLOGIST | $455,253 | $0 | $0 | $0 | $0 | $0 | $3,975 | $0 | $20,165 | $0 | $479,393 | $0 | $28,919 | $0 |
| JOHN AYRES | ||||||||||||||
| ORTHOPEDIC | $457,682 | $0 | $0 | $0 | $0 | $0 | $773 | $0 | $10,519 | $0 | $468,974 | $0 | $18,643 | $0 |
| JOSEPH CURLEY | ||||||||||||||
| ANESTHESIOLOGIST | $498,524 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $9,672 | $0 | $508,196 | $0 | $13,859 | $0 |
| MELANIE GROCH | ||||||||||||||
| OTOLARYNGOLOGISTS | $472,042 | $0 | $0 | $0 | $0 | $0 | $3,975 | $0 | $3,182 | $0 | $479,199 | $0 | $7,928 | $0 |
| NICHOLAS GROCH | ||||||||||||||
| OTOLARYNGOLOGISTS | $467,732 | $0 | $0 | $0 | $0 | $0 | $3,975 | $0 | $20,815 | $0 | $492,522 | $0 | $32,449 | $0 |
| ANN GILPIN | ||||||||||||||
| FORMER CEO & PRESIDENT | $337,012 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $10,020 | $0 | $347,032 | $0 | $10,020 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | PER THE KEY EMPLOYEE COMPENSATION AGREEMENT. |
| PART I, LINES 4A-B | LINE 4A, PER FORMER PRESIDENT AND CEO ANN GILPIN SEVERANCE AGREEMENT PAID IN THE AMOUNT OF $337,012. LINE 4B, CONTRIBUTIONS MADE TO A 457(B) PLAN. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES CULLINAN | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | EMPLOYEE | RelationshipDescriptionTxt |
| Transaction | $128,492 | TransactionAmt |
| Transaction | EMPLOYMENT OF JAMES CULLINAN BY OSWEGO HOSPITAL AND HE IS A BROTHER TO BOARD MEMBER, PETE CULLINAN. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | JAMIE CULLINAN IS A BROTHER TO A BOARD MEMBER, PETE CULLINAN, AND RECEIVED COMPENSATION IN THE AMOUNT OF $128,492. |
| FORM 990, PART VI, SECTION A, LINE 6 | OSWEGO HEALTH INC IS THE SOLE MEMBER OF THE OSWEGO HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7A | OSWEGO HEALTH INC, THE SOLE MEMBER MAY APPOINT, AND REMOVE DIRECTORS OF THE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7B | DECISIONS OF THE GOVERNING BODY ARE APPROVED BY OSWEGO HEALTH INC., THE SOLE MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 AND ITS SUPPORTING AND SUPPLEMENTAL INFORMATION WAS PREPARED AND VERIFIED FOR ACCURACY BY THE FINANCIAL AND REIMBURSEMENT MANAGER. 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 12C | OUR 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 15 | THE 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 19 | OUR AUDITED 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 1,293,219. |
| FORM 990, PART XII, LINE 2C: | THERE HAS BEEN NO CHANGE TO THE PROCESS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| OSWEGO HEALTH INC | |||||||||||
| 110 WEST SIXTH STREET | OSWEGO | NY | 13126 | 161555936 | PARENT HEALTH COMPANY | NY | 501 C 3 | LINE 11B SCHEDULE A | N/A | 0 | |
| SENECA HILL MANOR INC | |||||||||||
| 20 MANOR DRIVE | OSWEGO | NY | 13126 | 223163818 | LONG TERM CARE | NY | 501 C 3 | LINE 11 TYPE III | 0 | OSWEGO HEALTH INC | |
| SPRINGSIDE AT SENECA HILL | |||||||||||
| 10 COUNTY RT 45A | OSWEGO | NY | 13126 | 161555935 | ADULT LIVING FACILITY | NY | 501 C 3 | LINE 9 SCHEDULE A | 0 | OSWEGO HEALTH INC | |
| OH PROPERTIES INC | |||||||||||
| 110 WEST SIXTH STREET | OSWEGO | NY | 13126 | 161365960 | REAL ESTATE COMPANY | NY | 501 C 3 | LINE 11 2 SCHEDULE A | 0 | OSWEGO HEALTH INC | |
| PHYSICIAN CARE PC | |||||||||||
| 110 WEST SIXTH STREET | OSWEGO | NY | 13126 | 900864974 | NONPROFIT CORPORATION | NY | 501 C 3 | LINE 11 TYPE III | Yes (1) | OSWEGO HOSPITAL | |
| OSWEGO HEALTH FOUNDATION INC | |||||||||||
| 110 WEST SIXTH STREET | OSWEGO | NY | 13126 | 800822020 | SUPPORTING ORGANIZATION | NY | 501 C 3 | LINE 11A SCHEDULE A | 0 | OSWEGO HEALTH INC | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OSWEGO HEALTH HOME CARE LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 113 SCHUYLER ST | AddressLine1Txt |
| City | FULTON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13069 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 472463736 | EIN |
| Primary Activities | HOME HEALTH AGENCY | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OSWEGO HEALTH INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $26,729 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $973,749 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.60000 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OH SERVICES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 WEST SIXTH STREET | AddressLine1Txt |
| City | OSWEGO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13126 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161390603 | EIN |
| Primary Activities | HEARING DIAGNOSTICS AND SOLUTIONS | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OSWEGO HEALTH INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | -$79,293 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $79,929 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PHYSICIAN CARE PC | ||
| D | $2,875,000 | DEMAND NOTE AGREEMENT |
| PHYSICIAN CARE PC | ||
| J | $5,513,951 | LEASE,ADMIN & PROF SERVICE AGREEM |
| PHYSICIAN CARE PC | ||
| Q | $5,775,718 | PAYMENT FROM CONTROLLED ENTITY |
| PHYSICIAN CARE PC | ||
| A | $654,252 | LEASE AGREEMENTS |
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