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 150532220 OSWEGO HOSPITAL OSWE 3153495695 110 WEST SIXTH STREET OSWEGO NY 13126 ROBERT POMPO EXECUTIVE VP-FINANCE 3153495695 2014-08-12 1 JOSEPH J SCHLEGEL P00301329 3154463600 2013 2015-11-30 17:44:51Z ANN GILPIN 110 WEST SIXTH STREET OSWEGO NY 13126 112755395 0 X WWW.OSWEGOHEALTH.ORG X 1881 NY 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 122,228 RESIDENTS WHICH IS COMPRISED OF OSWEGO, FULTON, MEXICO, CENTRAL SQUARE, HANNIBAL, PULASKI AND STERLING. IN ADDITION, OSWEGO HOSPITAL PROVIDES SERVICES IN PARISH AND PHOENIX. 23 20 1245 0 0 0 2128158 483366 101878797 105303450 534097 827409 3198405 5865777 107739457 112480002 0 0 0 0 60038467 63195487 0 0 34244 44997206 49776592 105035673 112972079 2703784 -492077 123388322 125516926 60045322 50548366 63343000 74968560 X THE MISSION OF OSWEGO HEALTH IS TO PROVIDE ACCESSIBLE, QUALITY CARE AND IMPROVE THE HEALTH OF RESIDENTS IN OUR COMMUNITY. 0 0 31916063 36632928 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, PEDIATRICS, MATERNITY, INTENSIVE CARE UNIT AND NURSERY / NEWBORN SERVICES. 19615566 37253410 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. 12845924 10427157 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 CONTINUING DAY TREATMENT, MENTAL HEALTH ACT PROGRAMS, AND MENTAL HEALTH ICM PROGRAMS. 30444138 26644556 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, CENTRAL SQUARE, PHOENIX, PARISH AMD MEXICO. 30444138 26644556 94821691 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 145 0 1 1245 1 0 0 0 0 0 0 0 0 0 0 X 23 20 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X TIMOTHY A PETHYBRIDGE 3153495912 110 WEST SIXTH STREET OSWEGO NY 13126 MARY MCGOWAN ESQ DIRECTOR 1.00 1.00 X 0 0 0 CHRIS BURRITT DIRECTOR 1.00 1.00 X 0 0 0 PETER CULLINAN DIRECTOR 1.00 1.00 X 0 0 0 MARK SLAYTON DIRECTOR 1.00 1.00 X 0 0 0 PATRICIA MEARS DIRECTOR 1.00 1.00 X 0 0 0 BARBARA BATEMAN SECRETARY 1.00 1.00 X 0 0 0 JAMES TSCHUDY REVEREND DIRECTOR 1.00 1.00 X 0 0 0 PAMELA CARACCIOLI DIRECTOR 1.00 1.00 X 0 0 0 JOHN FITZGIBBONS DIRECTOR 1.00 1.00 X 0 0 0 WILLIAM CLARK VICE CHAIR 1.00 1.00 X X 0 0 0 IVAN PROANO MD MEDICAL STAFF PRESIDENT 1.00 1.00 X X 0 0 0 ALLISON DUGGAN MD VP MEDICAL AFFAIRS 20.00 0.00 X X 161331 0 0 ANN C GILPIN CEO AND PRESIDENT 18.00 22.00 X X 328995 0 15387 RENATO MANDANAS MD VP MEDICAL AFFAIRS 39.00 1.00 X X 310106 0 26554 ADAM GAGAS TREASURER 1.00 1.00 X X 0 0 0 WILLIAM GALLOWAY DIRECTOR 1.00 1.00 X 0 0 0 BERNIE HENDERSON DIRECTOR 1.00 1.00 X 0 0 0 YVONNE PETRELLA DIRECTOR 1.00 1.00 X 0 0 0 THOMAS SCHNEIDER CHAIRMAN 1.00 1.00 X X 0 0 0 LINDA TYRRELL DIRECTOR 1.00 1.00 X 0 0 0 ELLEN HOLST DIRECTOR 1.00 1.00 X 0 0 0 ATOM AVERY DIRECTOR 1.00 1.00 X 0 0 0 MICHAEL STEPHENS MD DIRECTOR 1.00 1.00 X 0 0 0 SCOTT VANGORDER DO DIRECTOR 1.00 1.00 X 0 0 0 ROSEANN PARSONS DIRECTOR 1.00 1.00 X 0 0 0 RICK SHAW DIRECTOR 1.00 1.00 X 0 0 0 ROBERT POMPO EXEC VICE PRES FINANCE 16.40 23.60 X 185184 0 14085 SANJEEV VERMA ANESTHESIOLOGIST 40.00 0.00 X 489643 0 27138 JOHN ELLIE ANESTHESIOLOGIST 40.00 0.00 X 537762 0 4782 STANLEY LUBINGA ANESTHESIOLOGIST 40.00 0.00 X 617704 0 26449 SHAWN MILLS ORTHOPEDIC SURGEON 40.00 0.00 X 481113 0 21195 ANGELO PORCARI HOSPITALIST PHYSICIAN 40.00 0.00 X 308564 0 21404 3420402 0 156994 42 0 1 0 REHAB RESOURCES PC 159 WEST FIRST STREET OSWEGO NY 13126 PHYSICAL THERAPY 1002056 SUNBELT STAFFING PO BOX 1024640 ALTANTA GA 30368 STAFFING SVCS 641689 MEDICAL IMAGING CENTER LLP 5008 BRITTONFIELD PARKWAY EAST SYRACUSE NY 13057 MEDICAL IMAGING 537641 ATLAS HEALTH CARE LINEN SERVICE 60 GRIDER STREET BUFFALO NY 14215 LINEN SVCS 364118 HARRIS BEACH PLLC 99 GARNSEY ROAD PITTSFORD NY 14534 LEGAL SVCS 319340 15 114990 196376 172000 483366 MEDICAID AND MEDICARE 900099 58757471 58757471 INSURANCE AND OTHER 900099 46545979 46545979 105303450 832342 832342 481636 270460 211176 211176 211176 4933 -4933 -4933 -4933 EHR INCENTIVE PAYMENT 900099 2224652 2224652 HOSPITAL CONTRACT SVCS 900099 1262547 1262547 PHARMACY SALES 900099 422571 422571 1744831 1744831 5654601 112480002 110958051 0 1038585 1041642 497991 543651 49135171 42238537 6896634 1609641 1219573 390068 7981956 6168681 1813275 3427077 2582330 844747 388392 34316 354076 165643 165643 2770469 2163014 607455 8603727 8351817 251137 773 2052724 2052724 3098357 3057177 41180 216521 147640 68881 119054 99262 19792 7374248 4829474 2544774 1008910 792519 216391 OTHER PURCHASED SERVICE 9871546 7897480 1974066 BAD DEBT 5248797 5248797 PHARMACEUTICALS 2837855 2837855 OTHER DIRECT EXPENSE 2073849 753812 1286566 33471 3946500 3848692 97808 112972079 94821691 18116144 34244 5004 4307 15831938 24440842 14537570 14403494 1666812 375655 1267077 1428255 2427829 2044991 130074595 64242963 69831208 65831632 9764626 10694283 1934806 2074830 6121452 4218637 123388322 125516926 11344309 12732889 28363029 25627534 20337984 12187943 60045322 50548366 X 54554641 67039118 2066454 1207537 6721905 6721905 63343000 74968560 123388322 125516926 X -492077 782997 11334640 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 1 22759 0 22759 0 PART II-B, LINE 1: 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 30% OF $76,788. 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. 8788359 247398 294025 1400340 7929442 14837967 1937185 373738 8360531 8788359 25295726 9113540 232063 19803362 14837967 17138663 18060173 174780 10077893 25295723 7729542 14885499 -123941 5352415 17138685 0.85000 0.15000 0 0 505045 505045 72075152 20709591 51365561 748548 644483 104065 55833226 42888889 12944337 912624 912624 65831632 DUE TO AFFILIATE 539089 ADVANCE FROM 3RD PARTY 392038 DUE TO 3RD PARTY PAYOR 5003821 OTHER POST RETIREMENT OBLIGATION 162972 LTD PENSION OBLIGATION 3944023 OTHER LIABILITIES 2146000 12187943 X 112724689 0 112724689 25773 -270460 -244687 112480002 113216766 270460 270460 112946306 25773 25773 112972079 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: 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 REVENUE. 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. PART XI, LINE 4B - OTHER ADJUSTMENTS: ADD BACK RENTAL COSTS -270,460. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL COSTS 270,460. 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 749991 749991 0.00660 28806991 23695853 5111138 0.04520 29556982 23695853 5861129 0.05180 52 15486 15486 0.00010 52 15486 15486 0.00010 52 29572468 23695853 5876615 0.05190 0 2345162 35442788 45132580 -9689792 X 1 0 2 1 OSWEGO HOSPITAL 110 WEST SIXTH STREET OSWEGO NY 13126 X X X 2 OSWEGO HOSP-ALVIN L KRAKAU MTL HLTH CTR 74 BUNNER ST OSWEGO NY 13126 X MENTAL HEALTH SERVICES O/P,REHAB O/P, AND PSYCH OSWEGO HOSPITAL 1 1 X X X X X X X X X 13 1 0 1 X HTTP://WWW.OSWEGOHEALTH.ORG/ X X X X X X X X X 0 0 1 1 300.000000000000 1 100.000000000000 1 X X X X X X 1 1 X X X X X 1 0 1 X 0 0 OSWEGO HOSPITAL PART V, SECTION B, LINE 3: OSWEGO HEALTH COMPILED A LIST OF APPROXIMATELY 30 COMMUNITY LEADER STAKEHOLDERS IN THE OSWEGO HEALTH SERVICE AREA AS A POOL FROM WHICH TO CONDUCT TEN TO TWELVE IN-DEPTH INTERVIEWS (IDIS), FOCUSING ON IDENTIFYING COMMUNITY NEED. THIS LIST WAS TIERED IN LEVEL OF APPLICABILITY USING A TOP 10 AND TOP 20 PRIORITY SYSTEM. RMS CONSULTED WITH OSWEGO HEALTH TO SEND AN EMAIL TO ALL PARTICIPANTS TO MAKE THEM AWARE OF THE CHNA AND HOW IMPORTANT THEIR PARTICIPATION WAS IN A COMMUNITY NEEDS IDENTIFICATION INTERVIEW. RMS INTERVIEWED A TOTAL OF 11 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, CHARITIBLE ORGANIZATIONS, SCHOOL DISTRICTS, REGIONAL INSURANCE PAYOR AND PRIVATE INDUSTRY.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 32 QUESTIONS FOCUSING ONTHE 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 402 RESPONSES WERE COLLECTED FOR THIS MARKET RESEARCH. THIS RESPONSE RATE PROVIDED A SAMPLING WITH A LOW MARGIN OF ERROR (4.88%0, ENSURING A HIGH DEGREE OF STATISTICAL RELIABILITY FOR THE SURVEY FINDINGS. RESPONDENTS WERE SCREEDED 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 7: THE HOSPITAL IS UNABLE TO ADDRESS SOME LARGER-SCALE ISSUES BECAUSE OF ITS LIMITED RESOURCES AND THE LIMITED EFFECT IT COULD HAVE ON IMPACTING THESE ISSUES.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 THE IMPORTANCE OF PHYSICAL ACTIVITY AND NUTRITION IN THE OSWEGO HEALTH SERVICE AREA.IMPROVE ACCESS OF SPECIALTY CARE PROVIDERS TO ADEQUATELY CARE FOR THE CURRENT AND PROJECTED POPULATION OF THE OSWEGO HEALTH SERVICE AREA;DECREASE THE INCIDENCE OF TOBACCO USE IN THE OSWEGO HEALTH SERVICE AREA (25% OF THE POPULATION) AND THEREFORE REDUCE THOSE IMPACTED BY THE HEALTH ISSUES IT CAUSES FOR USERS AND THE COMMUNITY-AT-LARGE; OSWEGO HOSPITAL PART V, SECTION B, LINE 20D: THE HOSPITAL FACILITY USED ITS HIGHEST VOLUME COMMERCIAL INSURANCE RATES WHEN CALCULATING THE MAXIMUM AMOUNT THAT CAN BE CHARGED. 10 FULTON MEDICAL HEALTH CENTER 510 S FOURTH ST FULTON NY 13069 OUTPATIENT CLINIC CENTRAL SQUARE MEDICAL CENTER 3045 EAST AVE CENTRAL SQUARE NY 13036 OUTPATIENT CLINIC RADIOLOGY EXT CLINIC PULASKI 61 DELANO ST PULASKI NY 13142 OUTPATIENT CLINIC OSWEGO HOSPMEXICO FAMILY HEALTH CENTER 5856 SCENIC AVE MEXICO NY 13114 OUTPATIENT CLINIC AMS OF OSWEGO HEALTH 98 N SECOND ST FULTON NY 13069 OUTPATIENT CLINIC PARISH HEALTH SERVICES CENTER ROUTE 69 PARISH NY 13131 OUTPATIENT CLINIC OSWEGO HOSP RADIOLOGY & LAB SVCS 10 GEORGE ST OSWEGO NY 13126 OUTPATIENT CLINIC PHOENIX HEALTH SERVICES CENTER 7 BRIDGE ST PHOENIX NY 13135 OUTPATIENT CLINIC OH FULTON HEALTH SERVICES CENTER 501 1/2 SOUTH SECOND ST FULTON NY 13069 OUTPATIENT CLINIC LAKESIDE HEART CLINIC 177 W FOURTH ST OSWEGO NY 13126 OUTPATIENT CLINIC 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 $5,248,797 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, LN 7 COL(F): BAD DEBT EXPENSE OF $5,248,797 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. PART III, LINE 4: 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 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 36% 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, THESE PEOPLE 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 2012, 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. OSWEGO HOSPITAL HOLDS A 'COVER THE UNINSURED' EVENT ANNUALLY PROVIDING INFORMATION TO THE PUBLIC AT THESE EVENTS WITH REPRESENTATIVES OF PUBLIC HEALTHCARE ASSISTANCE PROGRAMS. 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. 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 122,228. 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 HOSPITAL TAKES SERIOUSLY ITS COMMITMENT TO PROVIDE EDUCATIONAL HEALTH SERVICES AND PROGRAMS TO COMMUNITY RESIDENTS. DURING 2013, OSWEGO HEALTH EMPLOYEES TOOK PART IN NUMEROUS HEALTH FAIR EVENTS AND OFFERED FREE HEALTH SCREENINGS, SUCH AS BLOOD PRESSURE, GLUCOSE/DIABETES, BODY FAT ANALYSIS, AND BONE DENSITY, AS WELL AS PHYSICAL THERAPY ASSESSMENTS. AVAILABLE AT EACH OF THESE EVENTS WAS A WIDE RANGE OF FREE EDUCATIONAL MATERIALS. AT SOME EVENTS, WE ALSO ACTIVATED OUR SUN PATROL, WHERE STAFF HELP TO EDUCATE THE COMMUNITY ON THE PREVENTION OF SKIN CANCER BY DISTRIBUTING PACKETS OF FREE SUNSCREEN TO YOUNG FAMILIES. AMONG THE COMMUNITY EVENTS WE TOOK PART IN WERE A VARIETY OF HEALTH FAIRS THAT INCLUDED THE OSWEGO COUNTY SENIOR HEALTH AND INFORMATION FAIR, SUNY-OSWEGO'S CONNECTIONS EVENT FOR WOMEN, THE CENTRAL SQUARE APPLE FESTIVAL, OSWEGO FARMER'S MARKET, FULTON FARMER'S MARKET, FULTON MEMORIAL DAY PARADE, OSWEGO INDEPENDENCE DAY PARADE AND OSWEGO HARBORFEST. FOUR OTHER EVENTS PROVIDED LOW-COST BLOOD SCREENINGS TO RESIDENTS. MORE THAN 1,200 INDIVIDUALS TOOK ADVANTAGE OF MULTI BLOOD ANALYSIS SCREENINGS HELD IN CENTRAL SQUARE, FULTON, AND OSWEGO. WE ALSO HELP FACILITATE A SIMILAR EVENT WITH THE NORTHERN OSWEGO COUNTY HEALTH SERVICES, INC. (NOCHSI). IN ADDITION TO THESE COMMUNITY EVENTS, OUR ORGANIZATION COLLABORATED WITH OTHER HEALTHCARE PROVIDERS TO DEVELOP PROGRAMS AND EVENTS THAT BENEFITED THE COMMUNITY. AMONG THOSE PROVIDERS WERE THE OSWEGO COUNTY HEALTH DEPARTMENT, OSWEGO COUNTY OPPORTUNITIES, AND THE RURAL HEALTH NETWORK. OSWEGO HEALTH WAS A PARTNER PARTICIPANT IN THE FULTON BIKE RODEO, WHERE CERTIFIED STAFF PROPERLY FIT MORE THAN 100 CHILDREN AND YOUTHS WITH THE CORRECT BIKE HELMET.OUR HEALTH SYSTEM ALSO INVITES THE COMMUNITY INTO ITS FACILITIES WHERE STAFF MEMBERS PROVIDE AN ARRAY OF FREE SUPPORT GROUPS. THESE SUPPORT GROUPS ASSIST THOSE WITH DIABETES, BREAST CANCER AND MULTIPLE SCLEROSIS. IN ADDITION WE PROVIDE A GROUP FOR ALZHEIMER'S CAREGIVERS AND TWO SMOKING CESSATION PROGRAMS. ALONGSIDE THESE COMMUNITY PROGRAMS, OSWEGO HEALTH'S ASK THE DOCTOR PROGRAM GIVES RESIDENTS THE OPPORTUNITY TO LEARN MORE ABOUT IMPORTANT HEALTH ISSUES. IN THE PAST YEAR, THE PHYSICIAN PRESENTERS HAVE TALKED ABOUT DIABETES, HEART DISEASE, GOOD COLORECTAL HEALTH, AS WELL AS EAR, NOSE AND THROAT ILLNESSES. THIS PROGRAM IS HELD REGULARLY AND IS OPEN TO COMMUNITY MEMBERS.IN AN EFFORT TO GIVE YOUTHS AN EARLY FIRST-HAND LOOK AT HEALTHCARE CAREERS, OSWEGO HOSPITAL HOSTED A TWO-DAY MASH CAMP FOR SEVENTH AND EIGHTH GRADERS DURING LAST SUMMER THAT ATTRACTED 20 YOUTHS. DURING THE SCHOOL YEAR, IN COOPERATION WITH OSWEGO COUNTY BOCES, OSWEGO HOSPITAL PROVIDES HIGH SCHOOL SENIORS ENROLLED IN A NEW VISION ALLIED HEALTH PROGRAM, OPPORTUNITIES TO TAKE PART IN FIRST-HAND LEARNING EXPERIENCES THROUGH ROTATIONS IN NUMEROUS HOSPITAL DEPARTMENTS. THE GOAL OF THIS PROGRAM IS TO ENCOURAGE THE STUDENTS TO PURSUE A HEALTHCARE CAREER. OSWEGO HEALTH ALSO PROMOTES WELLNESS AND HEALTHY HABITS FOR ITS EMPLOYEES AND OFFERS SEVERAL WELLNESS PROGRAMS THROUGHOUT THE YEAR. IN ADDITION, EACH YEAR THE HEALTH SYSTEM SPONSORS A CHARITY WALK/RUN THAT OFFERS 1.5 MILE AND 5K ROUTES. FINALLY, OSWEGO HOSPITAL HOSTED FOUR BLOOD DRIVES FOR THE AMERICAN RED CROSS THROUGHOUT 2013. 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 X X X X 0 0 0 0 0 0 0 0 0 ALLISON DUGGAN MD VP MEDICAL AFFAIRS 150231 0 11100 0 0 0 0 0 0 0 161331 0 0 0 ANN C GILPIN CEO AND PRESIDENT 295160 0 25600 0 8235 0 6387 0 9000 0 344382 0 0 0 RENATO MANDANAS MD VP MEDICAL AFFAIRS 297474 0 11600 0 1032 0 9365 0 17189 0 336660 0 0 0 ROBERT POMPO EXEC VICE PRES FINANCE 168700 0 14900 0 1584 0 5563 0 8522 0 199269 0 0 0 SANJEEV VERMA ANESTHESIOLOGIST 489091 0 0 0 552 0 9949 0 17189 0 516781 0 0 0 JOHN ELLIE ANESTHESIOLOGIST 536199 0 0 0 1563 0 3825 0 957 0 542544 0 0 0 STANLEY LUBINGA ANESTHESIOLOGIST 617344 0 0 0 360 0 9260 0 17189 0 644153 0 0 0 SHAWN MILLS ORTHOPEDIC SURGEON 480561 0 0 0 552 0 6735 0 14460 0 502308 0 0 0 ANGELO PORCARI HOSPITALIST PHYSICIAN 301606 0 6125 0 833 0 5253 0 16151 0 329968 0 0 0 PETER CULLINAN DIRECTOR 113190 EMPLOYMENT OF JAMES CULLINAN BY OSWEGO HOSPITAL AND HE IS A BROTHER TO BOARD MEMBER, PETE CULLINAN. 0 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 $113,190. 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 11 FORM 990 AND ITS SUPPORTING AND SUPPLEMENTAL INFORMATION WAS PREPARED AND VERIFIED FOR ACCURACY BY THE FINANCIAL AND REIMBURSEMENT ANALYST. ALL TOTALS ARE TIED TO THE FINANCIAL STATEMENTS WHICH HAVE BEEN AUDITED BY AN OUTSIDE ACCOUNTING FIRM. THE RETURN IS REVIEWED INTERNALLY BY THE EXECUTIVE VP OF FINANCE. 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 AT THIS TIME, 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 11,334,640. 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 OSWEGO HEALTH INC 0 SPRINGSIDE AT SENECA HILL 10 COUNTY RT 45A OSWEGO NY 13126 161555935 ADULT LIVING FACILITY NY 501 C 3 LINE 9 SCHEDULE A OSWEGO HEALTH INC 0 OH PROPERTIES INC 110 WEST SIXTH STREET OSWEGO NY 13126 161365960 REAL ESTATE COMPANY NY 501 C 3 LINE 11 2 SCHEDULE A OSWEGO HEALTH INC 0 OSWEGO HEALTH HOME CARE INC 113 SCHUYLER STREET FULTON NY 13069 161391400 HOME HEALTH AGENCY NY 501 C 3 LINA 3 SCHEDULE A OSWEGO HEALTH INC 0 PHYSICIAN CARE PC 110 WEST SIXTH STREET OSWEGO NY 13126 900864974 NONPROFIT CORPORATION NY 501 C 3 LINE 11 TYPE III OSWEGO HOSPITAL 0 OH SERVICES INC 110 WEST SIXTH STREET OSWEGO NY 13126 161390603 INACTIVE CORPORATION NY OSWEGO HEALTH INC C 5000 1.00000 0 1 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 PHYSICIAN CARE PC D 740000 DEMAND NOTE AGREEMENT PHYSICIAN CARE PC J 928907 LEASE,ADMIN & PROF SERVICE AGREEM PHYSICIAN CARE PC Q 457545 PAYMENT FROM CONTROLLED ENTITY PHYSICIAN CARE PC A 61420 LEASE AGREEMENTS