OSWEGO HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
OSWEGO HOSPITAL INC (EIN 15-0532220)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201313179349305821
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-13T16:39:46-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN161226221EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1FUST CHARLES CHAMBERS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15784 WIDEWATERS PARKWAYAddressLine1
CitySYRACUSECity
StateNYState
ZIP Code13214ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN150532220EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OSWEGO HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOSWENameControl
Phone3153495695Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1110 WEST SIXTH STREETAddressLine1
CityOSWEGOCity
StateNYState
ZIP Code13126ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT POMPOName
TitleEXECUTIVE VP-FINANCETitle
Phone3153495695Phone
Date Signed2013-11-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOSEPH J SCHLEGELName
PTINP00301329PTIN
Phone3154463600Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonANN GILPINNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1110 WEST SIXTH STREETAddressLine1
CityOSWEGOCity
StateNYState
ZIP Code13126ZIPCode
FieldValueIRS element (for citing)
Gross Receipts108094905GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.OSWEGOHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1881YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionOSWEGO 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees1196TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year9248594ContributionsGrantsPriorYear
Contributions Grants Current Year2128158ContributionsGrantsCurrentYear
Program Service Revenue Prior Year95181313ProgramServiceRevenuePriorYear
Program Service Revenue CY101878797ProgramServiceRevenueCY
Investment Income Prior Year585657InvestmentIncomePriorYear
Investment Income Current Year534097InvestmentIncomeCurrentYear
Other Revenue Prior Year1571294OtherRevenuePriorYear
Other Revenue Current Year3198405OtherRevenueCurrentYear
Total Revenue Prior Year106586858TotalRevenuePriorYear
Total Revenue Current Year107739457TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year57342583SalariesEtcPriorYear
Salaries Etc Current Year60038467SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year48301TotalFundrsngExpCurrentYear
Other Expense Prior Year44210890OtherExpensePriorYear
Other Expenses Current Year44997206OtherExpensesCurrentYear
Total Expenses Prior Year101553473TotalExpensesPriorYear
Total Expenses Current Year105035673TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5033385RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2703784RevenuesLessExpensesCY
Total Assets BOY125305135TotalAssetsBOY
Total Assets EOY123388322TotalAssetsEOY
Total Liabilities BOY63007364TotalLiabilitiesBOY
Total Liabilities EOY60045322TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY62297771NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY63343000NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF OSWEGO HEALTH IS TO PROVIDE ACCESSIBLE, QUALITY CARE AND IMPROVE THE HEALTH OF RESIDENTS IN OUR COMMUNITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense30122883Expense
Revenue33042208Revenue
DescriptionINPATIENT 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense17979023Expense
Revenue36423537Revenue
DescriptionOUTPATIENT 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.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense11543533Expense
Revenue9732251Revenue
DescriptionBEHAVIORAL 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.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense28664318Expense
Revenue25863750Revenue
DescriptionOUTPATIENT 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.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp28664318TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev25863750TotalOfOtherProgramServiceRev
Total Program Service Expense88309757TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096162NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1196NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TIMOTHY A PETHYBRIDGEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3153495912TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1110 WEST SIXTH STREETAddressLine1
CityOSWEGOCity
StateNYState
ZIP Code13126ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerAverage Hours Per Week RelatedAverageHoursPerWeekRelatedHighest Compensated EmployeeHighestCompensatedEmployee
MARY MCGOWAN ESQ
DIRECTOR0.00X000
CHRIS BURRITT
1ST VICE CHAIR0.00X000X
PETER CULLINAN
DIRECTOR0.00X000
MARK SLAYTON
DIRECTOR0.00X000
PATRICIA MEARS
DIRECTOR0.00X000
BARBARA BATEMAN
DIRECTOR0.00X000
JAMES TSCHUDY REVEREND
DIRECTOR0.00X000
PAMELA CARACCIOLI
DIRECTOR0.00X000
JOHN FITZGIBBONS
SECRETARY0.00X000X
WILLIAM CLARK
TREASURER0.00X000X
IVAN PROANO MD
DIRECTOR0.00X000
ALLISON DUGGAN MD
DIRECTOR40.00X14653800X
ANN C GILPIN
CEO AND PRESIDENT21.60X246255022141X18.40
RENATO MANDANAS MD
VP MEDICAL AFFAIRS40.00X299391022553X
ADAM GAGAS
DIRECTOR0.00X000
WILLIAM GALLOWAY
DIRECTOR0.00X000
BERNIE HENDERSON
DIRECTOR0.00X000
YVONNE PETRELLA
DIRECTOR0.00X000
THOMAS SCHNEIDER
CHAIRMAN0.00X000X
RICK SHAW
DIRECTOR0.00X000
LINDA TYRRELL
DIRECTOR0.00X000
ELLEN HOLST
DIRECTOR0.00X000
PAUL KURTZMAN
DIRECTOR1.00X0001.00
WILLIAM MAHON MD
DIRECTOR1.00X0001.00
JOSEPH EDWARD MATHER MD
DIRECTOR1.00X0001.00
DAVID VICKERY
DIRECTOR1.00X0001.00
ROBERT POMPO
EXEC VICE PRES FINANCE12.30172142015412X27.70
NANCY DEAVERS
COO40.00150676021536X
SANJEEV VERMA
ANESTHESIOLOGIST40.00528652026896X
JOHN ELLIE
ANESTHESIOLOGIST40.0055796007462X
STANLEY LUBINGA
ANESTHESIOLOGIST40.00611874019442X
SHAWN MILLS
ORTHOPEDIC SURGEON40.00535645020473X
MARIA MUTABDZIC
PSYCHIATRIST40.00266953015873X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3516086TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation171788TotalOtherCompensation
Number Individuals GT100 K39NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
REHAB RESOURCES PC
159 WEST FIRST STREETOSWEGONY13126PHYSICAL THERAPY894195
MEDICAL IMAGING CENTER LLP
5008 BRITTONFIELD PKWY PO BOX 2011EAST SYRACUSENY13057MEDICAL IMAGING639416
SUNBELT STAFFING
PO BOX 1024640ALTANTAGA30368STAFFING SVCS565943
VALIS PATIL MD
3634 WHISPERING WOODS TERBALDWINSVILLENY13027PHYSICIAN419532
SURESH F PATIL MD
8835 WANDERING WAYBALDWINSVILLENY13027PHYSICIAN359583
FieldValueIRS element (for citing)
Number Of Contractors GT100 K17NumberOfContractorsGT100K
Government Grants1934000GovernmentGrants
All Other Contributions194158AllOtherContributions
Total Contributions2128158TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAID AND MEDICARE9000995557236355572363
INSURANCE AND OTHER9000994624539646245396

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column61038TotalRevenueColumn
Related Or Exempt Function Income61038RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue101878797TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column527072TotalRevenueColumn
Exclusion$527,072ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real370904Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real355448Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real15456Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column15456TotalRevenueColumn
Exclusion$15,456ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities7025Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities7025Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column7025TotalRevenueColumn
Exclusion$7,025ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EHR INCENTIVE PAYMENT900099600792600792
PHARMACY SALES900099585089585089
340B PHARMACY REVENUE900099525520525520

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1471548TotalRevenueColumn
Related Or Exempt Function Income1471548RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue3182949TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column107739457TotalRevenueColumn
Related Or Exempt Function Income105061746RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$549,553ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1015002Total
Program Services445929ProgramServices
Management And General569073ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total46803521Total
Program Services41368917ProgramServices
Management And General5434604ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1544423Total
Program Services1174652ProgramServices
Management And General369771ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7353670Total
Program Services5747974ProgramServices
Management And General1605696ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3321851Total
Program Services2526522ProgramServices
Management And General795329ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total281848Total
Program Services40302ProgramServices
Management And General241546ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total103671Total
Management And General103671ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3726778Total
Program Services2560407ProgramServices
Management And General1166371ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total8993402Total
Program Services8711151ProgramServices
Management And General280220ManagementAndGeneral
Fundraising2031Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1799176Total
Program Services1799176ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2602055Total
Program Services2560875ProgramServices
Management And General41180ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total224850Total
Program Services166944ProgramServices
Management And General57887ManagementAndGeneral
Fundraising19Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total254023Total
Program Services161348ProgramServices
Management And General92675ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6908541Total
Program Services4474588ProgramServices
Management And General2433953ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1034516Total
Program Services812773ProgramServices
Management And General221743ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
OTHER PURCHASED SERVICE787592960058671870062
BAD DEBT51726995172699
PHARMACEUTICALS25744542574454
OTHER DIRECT EXPENSE2056242702505130748646251

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1389022Total
Program Services1302674ProgramServices
Management And General86348ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total105035673Total
Program Services88309757ProgramServices
Management And General16677615ManagementAndGeneral
Fundraising48301Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4905BOY
EOY5004EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY10375027BOY
EOY15831938EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY16656533BOY
EOY14537570EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1526932BOY
EOY1666812EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1233315BOY
EOY1267077EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2705790BOY
EOY2427829EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis126856017LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec57024809LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY68461302BOY
EOY69831208EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY12082634BOY
EOY9764626EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY935502BOY
EOY1934806EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11323195BOY
EOY6121452EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY125305135BOY
EOY123388322EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY12166160BOY
EOY11344309EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY31778782BOY
EOY28363029EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY19062422BOY
EOY20337984EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY63007364BOY
EOY60045322EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY47458878BOY
EOY54554641EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY8116988BOY
EOY2066454EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6721905BOY
EOY6721905EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY62297771BOY
EOY63343000EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY125305135BOY
EOY123388322EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2703784ReconcilationRevenueExpenses
Reconciliation Unrealized Invest480430ReconciliationUnrealizedInvest
Reconcilation Other Changes-2138985ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations1RalliesDemonstrations
Rallies Demonstrations$23,178RalliesDemonstrationsAmount
Other Activities0OtherActivities
Total Lobbying Expenditures IIB23178TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationOSWEGO 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 $76,615. 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.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance14837967BeginningOfYearBalance
Contributions1937185Contributions
Investment Earnings Or Losses373738InvestmentEarningsOrLosses
Other Expenditures8360531OtherExpenditures
End Of Year Balance8788359EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance25295726BeginningOfYearBalance
Contributions9113540Contributions
Investment Earnings Or Losses232063InvestmentEarningsOrLosses
Other Expenditures19803362OtherExpenditures
End Of Year Balance14837967EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance17138663BeginningOfYearBalance
Contributions18060173Contributions
Investment Earnings Or Losses174780InvestmentEarningsOrLosses
Other Expenditures10077893OtherExpenditures
End Of Year Balance25295723EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7729542BeginningOfYearBalance
Contributions14885499Contributions
Investment Earnings Or Losses-123941InvestmentEarningsOrLosses
Other Expenditures5352415OtherExpenditures
End Of Year Balance17138685EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7523557BeginningOfYearBalance
Contributions176403Contributions
Investment Earnings Or Losses249964InvestmentEarningsOrLosses
Other Expenditures220383OtherExpenditures
End Of Year Balance7729541EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.76000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.24000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis543887OtherCostOrOtherBasis
Book Value543887BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis70498820OtherCostOrOtherBasis
Depreciation17733626Depreciation
Book Value52765194BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis830300OtherCostOrOtherBasis
Depreciation680107Depreciation
Book Value150193BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis53749935OtherCostOrOtherBasis
Depreciation38611076Depreciation
Book Value15138859BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1233075OtherCostOrOtherBasis
Book Value1233075BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings69831208TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATE$709,065
ADVANCE FROM 3RD PARTY$392,038
DUE TO 3RD PARTY PAYOR$842,618
OTHER POST RETIREMENT OBLIGATION$172,972
LTD PENSION OBLIGATION$14,920,987
ASSET RETIREMENT$77,000
OTHER LIABILITIES$3,223,304
FieldValueIRS element (for citing)
Total Of Amounts20337984TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt108069529TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal108069529RevenueSubtotal
Investment Expenses Not Included25376InvestmentExpensesNotIncluded
Other Revenues Not Included-355448OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-330072RevenueNotRptdOnFinStmt
Total Revenue Per Form990107739457TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt105365745TotExpensesEtcAuditedFinclStmt
Other Expenses Included355448OtherExpensesIncluded
Expenses Not Rptd F990355448ExpensesNotRptdF990
Expenses Subtotal105010297ExpensesSubtotal
Investment Expenses Not Included225376InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt25376ExpensesNotRptdOnFinStmt
Total Expenses Per Form990105035673TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: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.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:OSWEGO HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TEX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS OF DECEMBER 31, 2012, PHYSICIAN CARE, P.C. HAS APPLIED FOR TAX-EXEMPT STATUS UNDER 501(C) OF THE INTERNAL REVENUE CODE. MANAGEMENT ANTICIPATES THAT TAX-EXEMPT STATUS WILL BE GRANTED. AS OF DECEMBER 31, 2011 AND 2011, 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 2009 THROUGH 2012. 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 RENT COSTS -355,448.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL COSTS 355,448.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage300.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense627662TotalCommunityBenefitExpense
Net Community Benefit Expense627662NetCommunityBenefitExpense
Percent Of Total Expense0.00600PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense25820013TotalCommunityBenefitExpense
Direct Offsetting Revenue23011339DirectOffsettingRevenue
Net Community Benefit Expense2808674NetCommunityBenefitExpense
Percent Of Total Expense0.02670PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense26447675TotalCommunityBenefitExpense
Direct Offsetting Revenue23011339DirectOffsettingRevenue
Net Community Benefit Expense3436336NetCommunityBenefitExpense
Percent Of Total Expense0.03270PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs39NumberOfActivitiesOrPrograms
Total Community Benefit Expense30744TotalCommunityBenefitExpense
Net Community Benefit Expense30744NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs39NumberOfActivitiesOrPrograms
Total Community Benefit Expense30744TotalCommunityBenefitExpense
Net Community Benefit Expense30744NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs39NumberOfActivitiesOrPrograms
Total Community Benefit Expense26478419TotalCommunityBenefitExpense
Direct Offsetting Revenue23011339DirectOffsettingRevenue
Net Community Benefit Expense3467080NetCommunityBenefitExpense
Percent Of Total Expense0.03300PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$2,285,394BadDebtExpenseAmount
Amount Reimbursed By Medicare32947998AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare41597957CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-8649959MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care0ProvisionForCharityCare
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursOtherOther
OSWEGO HOSPITAL
1110 WEST SIXTH STREETOSWEGONY13126XXX
OSWEGO HOSP-ALVIN L KRAKAU MTL HLTH CTR
274 BUNNER STOSWEGONY13126XMENTAL HEALTH SERVICES O/P,REHAB O/P, AND PSYCH

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1OSWEGO HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent300.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent100.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities10NumberOfOtherFacilities

Other Facilities OtherFacilities (10 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
FULTON MEDICAL HEALTH CENTER
510 S FOURTH STFULTONNY13069OUTPATIENT CLINIC
CENTRAL SQUARE MEDICAL CENTER
3045 EAST AVECENTRAL SQUARENY13036OUTPATIENT CLINIC
RADIOLOGY EXT CLINIC PULASKI
61 DELANO STPULASKINY13142OUTPATIENT CLINIC
OSWEGO HOSPMEXICO FAMILY HEALTH CENTER
5856 SCENIC AVEMEXICONY13114OUTPATIENT CLINIC
AMS OF OSWEGO HEALTH
98 N SECOND STFULTONNY13069OUTPATIENT CLINIC
PARISH HEALTH SERVICES CENTER
ROUTE 69PARISHNY13131OUTPATIENT CLINIC
OSWEGO HOSP RADIOLOGY & LAB SVCS
10 GEORGE STOSWEGONY13126OUTPATIENT CLINIC
PHOENIX HEALTH SERVICES CENTER
7 BRIDGE STPHOENIXNY13135OUTPATIENT CLINIC
OH FULTON HEALTH SERVICES CENTER
501 1/2 SOUTH SECOND STFULTONNY13069OUTPATIENT CLINIC
LAKESIDE HEART CLINIC
177 W FOURTH STOSWEGONY13126OUTPATIENT CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
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 $5,172,699 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, L7 COL(F): BAD DEBT EXPENSE OF $5,172,699 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 34% 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 V, SECTION B, LINE 20D: THE HOSPITAL FACILITY USED ITS HIGHEST VOLUME COMMERCIAL INSURANCE RATES WHEN CALCULATING THE MAXIMUM AMOUNT THAT CAN BE CHARGED.OSWEGO HOSPITAL
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.
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'S 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 POPULATION OF APPROXIMATELY 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 AND PHOENIX.
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 2012, 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. THREE OTHER EVENTS PROVIDED LOW-COST BLOOD SCREENINGS TO RESIDENTS LAST SUMMER. MORE THAN 1,200 INDIVIDUALS TOOK ADVANTAGE OF EITHER OUR FULTON OR OSWEGO MULTI BLOOD ANALYSIS SCREENINGS. 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. ANOTHER COLLABORATIVE EVENT WAS THE TRI OSWEGO TRIATHLON. OSWEGO HEALTH SPONSORED THE EVENT'S WELLNESS TENT AND PROVIDED FREE HEALTH SCREENINGS. THE TRI OSWEGO TRIATHLON ATTRACTS RUNNERS, CYCLISTS AND WALKERS FROM THROUGHOUT THE AREA WHO TAKE PART IN COMPETITIVE RACES. WHILE A MAJOR ASPECT OF THE EVENT ARE THE RACES, AMONG ITS GOALS IS TO PROMOTE WELLNESS AND RECYCLING. FELLOW SPONSORS INCLUDE THE OSWEGO YMCA, NOVELIS, THE CITY OF OSWEGO, AND THE COUNTY OF OSWEGO, AMONG OTHERS. 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. 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 BLOOD DRIVES FOR THE AMERICAN RED CROSS THROUGHOUT 2012.
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 OF THE HOSPITAL, 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, PEDIATRIC 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. IN ADDITION, FULTON MEDICAL CENTER (FMC) IN FULTON PROVIDES AN URGENT CARE, MEDICAL IMAGING, LABORATORY AND OCCUPATIONAL HEALTH SERVICES. IN ADDITION, OSWEGO HEALTH HAS THREE PRIMARY CARE CLINICS, WHICH ARE LOCATED IN THE VILLAGES OF MEXICO, PARISH AND PHOENIX.
NYREPORTS FILED WITH STATESPART VI, LINE 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANN C GILPIN
CEO AND PRESIDENT2462550000064410157010268397000
RENATO MANDANAS MD
VP MEDICAL AFFAIRS2993910000070610154920321944000
ROBERT POMPO
EXEC VICE PRES FINANCE172142000005624097880187554000
NANCY DEAVERS
COO1506760000067560147800172212000
SANJEEV VERMA
ANESTHESIOLOGIST52865200000118840150120555548000
JOHN ELLIE
ANESTHESIOLOGIST557960000005474019890565423000
STANLEY LUBINGA
ANESTHESIOLOGIST6118740000046950147470631316000
SHAWN MILLS
ORTHOPEDIC SURGEON5356450000056450148280556118000
MARIA MUTABDZIC
PSYCHIATRIST266953000006602092710282826000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
PETER CULLINAN
FAMILY MEMBER113558EMPLOYMENT OF JAMES CULLINAN BY OSWEGO HOSPITAL AND HE IS A BROTHER TO BOARD MEMBER, PETE CULLINAN.0
(no name)
0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2JAMIE CULLINAN IS A BROTHER TO A BOARD MEMBER, PETE CULLINAN, AND RECEIVED COMPENSATION IN THE AMOUNT OF $113,558.
FORM 990, PART VI, SECTION A, LINE 6OSWEGO HEALTH INC IS THE SOLE MEMBER OF THE OSWEGO HOSPITAL
FORM 990, PART VI, SECTION A, LINE 7AOSWEGO HEALTH INC, THE SOLE MEMBER MAY APPOINT, AND REMOVE DIRECTORS OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7BDECISIONS OF THE GOVERNING BODY ARE APPROVED BY OSWEGO HEALTH INC., THE SOLE MEMBER.
FORM 990, PART VI, SECTION B, LINE 11FORM 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 12COUR OFFICERS AND BOARD MEMBERS ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST OF THEMSELVES AND THEIR FAMILY MEMBERS ON A QUESTIONNAIRE DISTRIBUTED ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION AND PERFORMANCE OF THE ORGANIZATION'S PRESIDENT & CEO IS REVIEWED ANNUALLY BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE OSWEGO HEALTH BOARD AND COMPENSATION IS APPROVED BY THE BOARD. THE COMMITTEE USES THE SERVICES OF AN INDEPENDENT CONSULTANT TO ASSIST IN THE EVALUATION PROCESS AND THE DETERMINATION OF APPROPRIATE COMPENSATION BASED ON PERFORMANCE, EXPERIENCE, TENURE AND MARKET VALUE OF SALARY RANGES AS COMPARED TO NATIONAL, REGIONAL AND LOCAL SURVEYS FOR SIMILAR POSITIONS. COMPENSATION AND PERFORMANCE OF OTHER OFFICERS AND KEY EMPLOYEES 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.
FORM 990, PART VI, SECTION C, LINE 19AT 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 -2,138,985.CHANGES IN NET ASSETS OR FUND BALANCES:
THE CONSOLIDATED FINANCIAL STATEMENTS CONSISTED OF OSWEGO HOSPITAL AND ITS AFFILIATE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
OSWEGO HEALTH INC
110 WEST SIXTH STREETOSWEGONY13126161555936PARENT HEALTH COMPANYNY501 C 3LINE 11B SCHEDULE AN/A0
SENECA HILL MANOR INC
20 MANOR DRIVEOSWEGONY13126223163818LONG TERM CARENY501 C 3LINE 11 TYPE III0OSWEGO HEALTH INC
SPRINGSIDE AT SENECA HILL
10 COUNTY RT 45AOSWEGONY13126161555935ADULT LIVING FACILITYNY501 C 3LINE 9 SCHEDULE A0OSWEGO HEALTH INC
OH PROPERTIES INC
110 WEST SIXTH STREETOSWEGONY13126161365960REAL ESTATE COMPANYNY501 C 3LINE 11 2 SCHEDULE A0OSWEGO HEALTH INC
OSWEGO HEALTH HOME CARE INC
113 SCHUYLER STREETFULTONNY13069161391400HOME HEALTH AGENCYNY501 C 3LINA 3 SCHEDULE A0OSWEGO HEALTH INC
PHYSICIAN CARE PC
110 WEST SIXTH STREETOSWEGONY13126900864974NONPROFIT CORPORATIONNY501 C 3LINE 11 TYPE III0OSWEGO HOSPITAL

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgShare Of Total IncomeShareOfTotalIncome
OH SERVICES INC
110 WEST SIXTH STREETOSWEGONY13126161390603INACTIVE CORPORATIONNYOSWEGO HEALTH INCC50001.000000
ONTARIO MEDICAL PRACTICE PC
110 WEST SIXTH STREETOSWEGONY13126412069668INACTIVE CORPORATIONNYOSWEGO HEALTH INCS1.0000001715
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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