OH PROPERTIES INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
OH PROPERTIES INC (EIN 16-1365960)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-06
IRS object ID
201733119349302453
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-06T09:30:31-07:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN161365960EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OH Properties IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlOHPRBusinessNameControlTxt
Phone3153495728PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1110 West Sixth StreetAddressLine1Txt
CityOswegoCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13126ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonEric CampbellPersonNm
Person TitleCFOPersonTitleTxt
Phone3153495531PhoneNum
Signature2017-11-06SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address63.139.40.194IPv4AddressTxt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$725,318GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionThe mission of Oswego Health, Inc., the sole member of OH Properties, Inc., is to provide accessible quality care and improve the health of residents in our community.ActivityOrMissionDesc
Voting Members Governing Body24VotingMembersGoverningBodyCnt
Voting Members Independent21VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$6,000CYContributionsGrantsAmt
PY Program Service Revenue$733,305PYProgramServiceRevenueAmt
CY Program Service Revenue$719,028CYProgramServiceRevenueAmt
PY Investment Income$232PYInvestmentIncomeAmt
CY Investment Income$290CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$733,537PYTotalRevenueAmt
CY Total Revenue$725,318CYTotalRevenueAmt
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$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$727,567PYOtherExpensesAmt
CY Other Expenses$672,144CYOtherExpensesAmt
PY Total Expenses$727,567PYTotalExpensesAmt
CY Total Expenses$672,144CYTotalExpensesAmt
PY Revenues Less Expenses$5,970PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$53,174CYRevenuesLessExpensesAmt
Total Assets BOY$5,931,903TotalAssetsBOYAmt
Total Assets EOY$5,911,762TotalAssetsEOYAmt
Total Liabilities BOY$2,105,446TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,032,131TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,826,457NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,879,631NetAssetsOrFundBalancesEOYAmt
MissionThe mission of Oswego Health, Inc., the sole member of OH Properties, Inc., is to provide accessible quality care and improve the health of residents in our community.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$659,416ExpenseAmt
Grant$0GrantAmt
Revenue$719,028RevenueAmt
DescThe company buys medical office space to rent to doctors and hospital departments to improve healthcare at different locations in the area.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$0ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescNADesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$659,416TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 Hospital0OperateHospitalInd
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 Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members24GoverningBodyVotingMembersCnt
Independent Voting Member21IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
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

FieldValueIRS element (for citing)
PersonLauri Stoltz - AccountantPersonNm
Phone3153495728PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1110 West Sixth StreetAddressLine1Txt
CityOswegoCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13126ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Atom Avery
Director11Yes (X)$0$0$0
Barbara Bateman
Director11Yes (X)$0$0$0
Chris Burritt
Director11Yes (X)$0$0$0
Pamela Caraccioli
Director11Yes (X)$0$0$0
William Clark
Director11Yes (X)$0$0$0
Peter Cullinan
Director11Yes (X)$0$0$0
Adam Gagas
Chair11Yes (X)$0$0$0Yes (X)
William Galloway
Director11Yes (X)$0$0$0
Charles Gijanto
President & CEO0.439.6Yes (X)$0$357,336$6,591Yes (X)
Ellen Holst
Secretary11Yes (X)$0$0$0Yes (X)
Matthew Liepke MD
Medical Staff President11Yes (X)$0$0$0Yes (X)
Renato Mandanas MD
CMO040Yes (X)$0$292,957$24,623Yes (X)
Patricia Mears
Director11Yes (X)$0$0$0
Yvonne Petrella
Director11Yes (X)$0$0$0
Ivan Proano MD
Director11Yes (X)$0$0$0
Thomas Schneider
Director11Yes (X)$0$0$0
Mark Slayton
Treasurer11Yes (X)$0$0$0Yes (X)
Michael Stephens MD
Vice Chair11Yes (X)$0$0$0Yes (X)
Scott Van Gorder DO
Director11Yes (X)$0$0$0
Floyd Backes
Director1.01.0Yes (X)$0$0$0
Michael Backus
Director1.01.0Yes (X)$0$0$0
Gary Bozeman MD
Director1.01.0Yes (X)$0$0$0
Victoria Furlong
Director1.01Yes (X)$0$0$0
Zach Menter
Director11Yes (X)$0$0$0
Roseann Parsons
Director (Through 6-30-16)11Yes (X)$0$0$0
Allison Duggan MD
EVP/COO040$0$354,124$13,807Yes (X)
Robert Pompo
Executive VP of Finance0.939.1$0$153,523$5,442Yes (X)
Ann Gilpin
Former Pres & CEO00$0$337,012$10,020Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,494,952TotReportableCompRltdOrgAmt
Total Other Compensation$60,483TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$0GovernmentGrantsAmt
All Other Contributions$6,000AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$6,000TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescHealthcare Provider RentDesc
Business532000BusinessCd
Total Revenue Column$719,028TotalRevenueColumnAmt
Related Or Exempt Func Income$719,028RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$719,028TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$290TotalRevenueColumnAmt
Related Or Exempt Func Income$290RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt
FieldValueIRS element (for citing)
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$725,318TotalRevenueColumnAmt
Related Or Exempt Func Income$719,318RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,832TotalAmt
Management And General$3,832ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,789TotalAmt
Management And General$6,789ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,107TotalAmt
Management And General$2,107ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$358,101TotalAmt
Program Services$358,101ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$55,020TotalAmt
Program Services$55,020ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$246,295TotalAmt
Program Services$246,295ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$672,144TotalAmt
Program Services$659,416ProgramServicesAmt
Management And General$12,728ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$167,864BOYAmt
EOY$147,771EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$51,517BOYAmt
EOY$51,559EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$17,203BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$318BOYAmt
EOY$1,470EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$29,508BOYAmt
EOY$41,604EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,795,103LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,158,137LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,627,138BOYAmt
EOY$5,636,966EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$38,355BOYAmt
EOY$32,392EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,931,903BOYAmt
EOY$5,911,762EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$24,032BOYAmt
EOY$38,471EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,010,000BOYAmt
EOY$910,000EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,071,414BOYAmt
EOY$962,719EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$120,941EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,105,446BOYAmt
EOY$2,032,131EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,826,457BOYAmt
EOY$3,879,631EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,826,457BOYAmt
EOY$3,879,631EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,931,903BOYAmt
EOY$5,911,762EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$53,174ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$0NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Oswego HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN150532220EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgYes (1)MajorityDirTrstSupportedOrgInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,514,189InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Book Value$1,514,189BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$7,244,046InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$3,127,144DepreciationAmt
Book Value$4,116,902BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$30,993InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$30,993DepreciationAmt
Book Value$0BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$5,875InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$5,875BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,636,966TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDebt Issuance Costs, Net.Desc
Book Value$32,392BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$32,392TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescTERM NOTE DUE TO AFFILIATEDesc
Amt$120,941Amt
FieldValueIRS element (for citing)
Total Liability$120,941TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2FormAndLineReferenceDesc
ExplanationThe Company 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 Company did not have any unrecognized tax benefits or any related accrued interest or penalties. The tax years open to examination by federal and state taxing authorities are 2013 through 2016. The Company does not anticipate that the total unrecognized tax benefits will change in the next twelve months.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
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 Orgs0CompBsdOnRevRelatedOrgsInd
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 (5 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
Charles Gijanto
President & CEO$0$357,336$0$0$0$0$0$1,442$0$5,149$0$363,927$0$7,349
Renato Mandanas MD
CMO$0$292,957$0$0$0$0$0$3,808$0$20,815$0$317,580$0$33,250
Allison Duggan MD
EVP/COO$0$354,124$0$0$0$0$0$3,975$0$9,832$0$367,931$0$16,778
Robert Pompo
Executive VP of Finance$0$153,523$0$0$0$0$0$1,500$0$3,942$0$158,965$0$7,106
Ann Gilpin
Former Pres & CEO$0$337,012$0$0$0$0$0$0$0$10,020$0$347,032$0$10,020

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1aPer Key Employee Compensation Agreement.
Schedule J, Part I, Line 4(A)Per Former President and CEO Ann Gilpin severance agreement paid in the amount of $337,012. (B) Contributions made to a 457(b) plan.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, Line 6Oswego Health, Inc. is the sole member of OH Properties, Inc.
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 Health System Accountant. All totals are tied to the Financial Statements which are reviewed by an outside firm. The return is reviewed by the Senior Accountant and the Chief Financial Officer and presented to the Oswego Health Audit Committee and made available to the members of the OH Properties, Inc. Board.
Form 990, Part VI, Section B, Line 12cThe Board is required to complete a Conflict of Interest form on an annual basis.
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 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 19Form 990, Governing Documents, Conflict of Interest Policy, and the Financial Statements are stored on site and are available for review to the general public during normal business hours upon request.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Oswego Hospital
110 West Sixth StreetOswegoNY13126150532220HospitalNY501(c)(3)Line 3, Sch AOswego Health Inc0
Seneca Hill Manor Inc
10 Manor DriveOswegoNY13126223163818Long Term Care FacilityNY501(c)(3)Line 11c, Sch AOswego Health Inc0
Oswego Health Inc
110 West Sixth StreetOswegoNY13126161555936Parent Health CoNY501(c)(3)Line 11b, Sch AOswego Health Inc0
Springside at Seneca Hill Inc
110 West Sixth StreetOswegoNY13126161555935Adult Living FacilityNY501(c)(3)Line 9, Sch AOswego Health Inc0
Physician Care PC
110 West Sixth StreetOswegoNY13126900864974Non-Profit CorpNY501(c)(3)Line 3, Sch AOswego Hospital0
Oswego Health Foundation
110 West Sixth StreetOswegoNY13126800822020Supporting OrganizationNY501(c)(3)Line 11a, Sch AOswego Health Inc0

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 StreetAddressLine1Txt
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$26,729ShareOfTotalIncomeAmt
Share Of EOY Assets$973,749ShareOfEOYAssetsAmt
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.6OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1O H Services IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1110 West Sixth StreetAddressLine1Txt
CityOswegoCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13126ZIPCd
FieldValueIRS element (for citing)
EIN161390603EIN
Primary ActivitiesAudiology PracticePrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Oswego Health IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income-$79,293ShareOfTotalIncomeAmt
Share Of EOY Assets$79,929ShareOfEOYAssetsAmt
Ownership1OwnershipPct
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
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 Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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