2014-08-14T14:07:38-05:00 2013-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2013-01-01 900864974 PHYSICIAN CARE PC PHYS 3154198634 110 WEST SIXTH STREET OSWEGO NY 13126 ANN C GILPIN SECRETARY 3153495628 2014-08-14 1 JOSEPH J SCHLEGEL P00301329 3154463600 2013 2015-11-30 17:44:51Z ANN C GILPIN 110 WEST SIXTH STREET OSWEGO NY 13126 843737 0 X WWW.OSWEGOHEALTH.ORG X 2012 NY THE MISSION IS TO PROVIDE ACCESSIBLE QUALITY CARE AND IMPROVE THE HEALTH OF RESIDENTS IN OUR COMMUNITY. 2 0 0 0 0 0 0 0 18491 843715 0 22 0 0 18491 843737 0 0 0 0 0 0 0 0 0 203021 1574225 203021 1574225 -184530 -730488 40756 633855 225286 1548873 -184530 -915018 THE MISSION IS TO PROVIDE ACCESSIBLE QUALITY CARE AND IMPROVE THE HEALTH OF RESIDENTS IN OUR COMMUNITY. 0 0 1375568 843715 PHYSICIAN CARE, PC IS A PROFESSIONAL SERVICE CORPORATION ESTABLISHED TO PROVIDE MEDICAL SERVICES INCLUDING CARDIOLOGY, ORTHOPEDICS, PRIMARY CARE AND EAR,NOSE AND THROAT. 1375568 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 8 0 1 0 0 0 0 0 0 0 0 0 0 0 X 2 0 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X ERIC T CAMPBELL CFO 3153495531 110 WEST SIXTH STREET OSWEGO NY 13126 RENATO MANDANAS PRESIDENT 1.00 40.00 X 0 310106 26554 ANN C GILPIN SECRETARY 0.50 39.50 X 0 328995 15387 ROBERT T POMPO EXEC VICE PRES FINANCE 2.00 38.00 X 0 185184 14085 0 824285 56026 0 0 1 0 OSWEGO HOSPITAL 110 WEST SIXTH STREET OSWEGO NY 13126 ADMIN & PROF SERVICES AGREEMENTS 867488 SJH CARDIOLOGY ASSOCIATES 4820 W TAFT RD STE 201 LIVERPOOL NY 13088 CARDIOLOGIST SERVICES 350000 MEDCARE ADMINISTRATORS LLC 587 MAIN ST STE 301 NEW YORK MILLS NY 13417 BILLING 119114 2 PATIENT SERVICE REVENU 621111 843715 843715 843715 22 22 843737 843715 0 22 68350 68350 1125 1125 92120 92120 9200 9200 16207 15935 272 62199 62199 70 70 22079 22079 9150 9150 47785 35532 12253 CONTRACTUAL STAFFING 1194362 1194362 MEDICAL SUPPLIES 36311 36311 GENERAL SUPPLIES 11836 11836 3431 3431 1574225 1375568 198657 0 12016 61937 8786 260783 17232 9670 21001 217099 9303 10284 207796 0 65106 40756 633855 28766 87814 196520 1461059 225286 1548873 X -184530 -915018 -184530 -915018 40756 633855 -730488 0 X 0 1 X 1 0 X 216671 9303 207368 428 428 207796 INTANGIBLES 65106 65106 DUE TO AFFILIATE 1461059 1461059 X PART X, LINE 2: OSWEGO 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. ON MARCH 29,2014 PHYSICIAN CARE, P.C. WAS GRANTED TAX-EXEMPT STATUS RETROACTIVELY TO JUNE 18, 2012 PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVUNUE CODE. AS OF DECEMBER 31, 2013 AND 2012, 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 2010 THROUGH 2013. THE HOSPITAL DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. X X X X 0 0 0 0 0 0 0 0 0 RENATO MANDANAS PRESIDENT 0 297474 0 11600 0 1032 0 9365 0 17189 0 336660 0 0 ANN C GILPIN SECRETARY 0 295160 0 25600 0 8235 0 6387 0 9000 0 344382 0 0 ROBERT T POMPO EXEC VICE PRES FINANCE 0 168700 0 14900 0 1584 0 5563 0 8522 0 199269 0 0 RENATO MANDANAS MD OFFICER OF ORGANIZATION 85782 PHYSICIAN CARE PC ACQUIRED THE ASSETS OF THE PRACTICE OF RENATO MANDANAS PC THROUGH AN ASSET PURCHASE AGREEMENT. 0 FORM 990, PART VI, SECTION A, LINE 6 RENATO MANDANAS MD IS THE SOLE STOCKHOLDER OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A PHYSICIAN CARE, P.C. IS A NEW YORK STATE PROFESSIONAL SERVICES CORPORATION WHICH IS A TAX-EXEMPT CAPTIVE P.C. THE SOLE SHAREHOLDER, RENATO MANDANAS, M.D. IS THE CHIEF MEDICAL OFFICER OF OSWEGO HOSPITAL, A SECTION 501(C)(3), ACUTE CARE HOSPITAL. PURSUANT PHYSICIAN CARE, P.C.'S BY-LAWS, OSWEGO HOSPITAL APPROVES THE SHAREHOLDERS OF PHYSICIAN CARE, P.C. THE SHAREHOLDER OF PHYSICIAN CARE, P.C. HAS ENTERED INTO A SHAREHOLDER AGREEMENT WITH OSWEGO HOSPITAL WHEREBY THE SHAREHOLDER SHALL GRANT TO A PERSON DESIGNATED BY THE HOSPITAL AN IRREVOCABLE PROXY TO VOTE ALL THE SHARE OF STOCK OF THE CORPORATION THEN OWNED BY SUCH SHAREHOLDER ON ALL MATTERS PRESENTED TO THE SHAREHOLDERS FOR A VOTE, INCLUDING WITHOUT LIMITATION: A)THE ELECTION OF DIRECTORS AND OFFICERS OF THE CORPORATION, B)AMENDMENT OF THE CERTIFICATE OF INCORPORATION AND BY-LAWS, C)APPROVAL OF THE STRATEGIC PLAN, D)THE ANNUAL OPERATING AND CAPITAL BUDGET,E)THE INCURRENCE OF ANY DEBT, F)THE SALE OR LEASE OF PROPERTY, G)THE MERGER OR DISSOLUTION OF THE CORPORATION, H)SETTLEMENT OF ANY CLAIM AGAINST THE CORPORATION, I)ANY REORGANIZATION OF THE CORPORATION, J)ANY AGREEMENT BETWEEN THE CORPORATION AND SHAREHOLDER, K)ANY CONTRACT GREATER THAN THREE YEARS, AND L)THE SELECTION OF THE CORPORATIONS AUDITORS. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS GIVEN TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C OUR OFFICERS AND BOARD MEMEBRS 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 INDEPENDENET CONSULTANT AND GATHERED FROM VARIOUS INDEPENDENT SOURCES. FORM 990, PART VI, SECTION C, LINE 18 FORM 990 IS STORED ON SITE AND IS AVAILABLE FOR REVIEW TO THE GENERAL PUBLIC DURING NORMAL BUSINESS HOURS UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY, ARE STORED ON SITE AND ARE AVAILABLE FOR INSPECTION DURING NORMAL BUSINESS HOURS AND UPON REQUEST. FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE FOR PUBLIC INSPECTION. OSWEGO HOSPITAL 110 WEST SIXTH STREET OSWEGO NY 13126 150532220 HOSPITAL NY 501C3 LINE 3, SCH A OSWEGO HEALTH INC 0 SENECA HILL MANOR INC 10 MANOR DRIVE OSWEGO NY 13126 223163818 LONG TERM CARE FACILITY NY 501C3 LINE 11C, SCH A OSWEGO HEALTH INC 0 OH PROPERTIES INC 110 WEST SIXTH STREET OSWEGO NY 13126 161365960 REAL ESTATE CO NY 501C3 LINE 11B, SCH A OSWEGO HEALTH INC 0 SPRINGSIDE AT SENECA HILL INC 110 WEST SIXTH STREET OSWEGO NY 13126 161555935 ADULT LIVING FACILITY NY 501C3 LINE 9, SCH A OSWEGO HEALTH INC 0 OSWEGO HEALTH HOME CARE INC 113 SCHUYLER STREET FULTON NY 13069 161391400 HOME HEALTH AGENCY NY 501C3 LINE 9, SCH A OSWEGO HEALTH INC 0 OSWEGO HEALTH INC 110 WEST SIXTH STREET OSWEGO NY 13126 161555936 PARENT HEALTH CO NY 501C3 LINE 11B, SCH A OSWEGO HEALTH INC 0 OH SERVICES INC 110 WEST SIXTH STREET OSWEGO NY 13126 161390603 INACTIVE CORP NY OSWEGO HEALTH INC C 5000 1.00000 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1 0 0 0