2013-11-13T16:39:46-06:00 2012-12-31 161226221 FUST CHARLES CHAMBERS LLP 5784 WIDEWATERS PARKWAY SYRACUSE NY 13214 990 2012-01-01 150532220 OSWEGO HOSPITAL OSWE 3153495695 110 WEST SIXTH STREET OSWEGO NY 13126 ROBERT POMPO 3153495695 2013-11-11 1 JOSEPH J SCHLEGEL P00301329 3154463600 2012 2016-02-24 21:20:13Z ANN GILPIN 110 WEST SIXTH STREET OSWEGO NY 13126 108094905 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. 22 19 1196 0 0 0 9248594 2128158 95181313 101878797 585657 534097 1571294 3198405 106586858 107739457 0 0 0 0 57342583 60038467 0 0 48301 44210890 44997206 101553473 105035673 5033385 2703784 125305135 123388322 63007364 60045322 62297771 63343000 X THE MISSION OF OSWEGO HEALTH IS TO PROVIDE ACCESSIBLE, QUALITY CARE AND IMPROVE THE HEALTH OF RESIDENTS IN OUR COMMUNITY. 0 0 30122883 33042208 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. 17979023 36423537 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. 11543533 9732251 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. 28664318 25863750 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. 28664318 25863750 88309757 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 0 0 0 1 162 0 1 1196 1 0 0 0 0 0 0 0 0 0 0 X 22 19 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 0.00 X 0 0 0 CHRIS BURRITT 0.00 X X 0 0 0 PETER CULLINAN 0.00 X 0 0 0 MARK SLAYTON 0.00 X 0 0 0 PATRICIA MEARS 0.00 X 0 0 0 BARBARA BATEMAN 0.00 X 0 0 0 JAMES TSCHUDY REVEREND 0.00 X 0 0 0 PAMELA CARACCIOLI 0.00 X 0 0 0 JOHN FITZGIBBONS 0.00 X X 0 0 0 WILLIAM CLARK 0.00 X X 0 0 0 IVAN PROANO MD 0.00 X 0 0 0 ALLISON DUGGAN MD 40.00 X X 146538 0 0 ANN C GILPIN 21.60 18.40 X X 246255 0 22141 RENATO MANDANAS MD 40.00 X X 299391 0 22553 ADAM GAGAS 0.00 X 0 0 0 WILLIAM GALLOWAY 0.00 X 0 0 0 BERNIE HENDERSON 0.00 X 0 0 0 YVONNE PETRELLA 0.00 X 0 0 0 THOMAS SCHNEIDER 0.00 X X 0 0 0 RICK SHAW 0.00 X 0 0 0 LINDA TYRRELL 0.00 X 0 0 0 ELLEN HOLST 0.00 X 0 0 0 PAUL KURTZMAN 1.00 1.00 X 0 0 0 WILLIAM MAHON MD 1.00 1.00 X 0 0 0 JOSEPH EDWARD MATHER MD 1.00 1.00 X 0 0 0 DAVID VICKERY 1.00 1.00 X 0 0 0 ROBERT POMPO 12.30 27.70 X 172142 0 15412 NANCY DEAVERS 40.00 X 150676 0 21536 SANJEEV VERMA 40.00 X 528652 0 26896 JOHN ELLIE 40.00 X 557960 0 7462 STANLEY LUBINGA 40.00 X 611874 0 19442 SHAWN MILLS 40.00 X 535645 0 20473 MARIA MUTABDZIC 40.00 X 266953 0 15873 3516086 0 171788 39 0 1 0 REHAB RESOURCES PC 159 WEST FIRST STREET OSWEGO NY 13126 PHYSICAL THERAPY 894195 MEDICAL IMAGING CENTER LLP 5008 BRITTONFIELD PKWY PO BOX 2011 EAST SYRACUSE NY 13057 MEDICAL IMAGING 639416 SUNBELT STAFFING PO BOX 1024640 ALTANTA GA 30368 STAFFING SVCS 565943 VALIS PATIL MD 3634 WHISPERING WOODS TER BALDWINSVILLE NY 13027 PHYSICIAN 419532 SURESH F PATIL MD 8835 WANDERING WAY BALDWINSVILLE NY 13027 PHYSICIAN 359583 17 1934000 194158 2128158 MEDICAID AND MEDICARE 900099 55572363 55572363 INSURANCE AND OTHER 900099 46245396 46245396 61038 61038 101878797 527072 527072 370904 355448 15456 15456 15456 7025 0 7025 7025 7025 EHR INCENTIVE PAYMENT 900099 600792 600792 PHARMACY SALES 900099 585089 585089 340B PHARMACY REVENUE 900099 525520 525520 1471548 1471548 3182949 107739457 105061746 0 549553 1015002 445929 569073 46803521 41368917 5434604 1544423 1174652 369771 7353670 5747974 1605696 3321851 2526522 795329 281848 40302 241546 103671 103671 3726778 2560407 1166371 8993402 8711151 280220 2031 1799176 1799176 2602055 2560875 41180 224850 166944 57887 19 254023 161348 92675 6908541 4474588 2433953 1034516 812773 221743 OTHER PURCHASED SERVICE 7875929 6005867 1870062 BAD DEBT 5172699 5172699 PHARMACEUTICALS 2574454 2574454 OTHER DIRECT EXPENSE 2056242 702505 1307486 46251 1389022 1302674 86348 105035673 88309757 16677615 48301 4905 5004 10375027 15831938 16656533 14537570 1526932 1666812 1233315 1267077 2705790 2427829 126856017 57024809 68461302 69831208 12082634 9764626 935502 1934806 11323195 6121452 125305135 123388322 12166160 11344309 31778782 28363029 19062422 20337984 63007364 60045322 X 47458878 54554641 8116988 2066454 6721905 6721905 62297771 63343000 125305135 123388322 X 2703784 480430 -2138985 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 1 23178 0 23178 0 EXPLANATION OF LOBBYING ACTIVITIES: 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 $76,615. 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. 14837967 1937185 373738 8360531 8788359 25295726 9113540 232063 19803362 14837967 17138663 18060173 174780 10077893 25295723 7729542 14885499 -123941 5352415 17138685 7523557 176403 249964 220383 7729541 0.76000 0.24000 0 0 543887 543887 70498820 17733626 52765194 830300 680107 150193 53749935 38611076 15138859 1233075 1233075 69831208 DUE TO AFFILIATE 709065 ADVANCE FROM 3RD PARTY 392038 DUE TO 3RD PARTY PAYOR 842618 OTHER POST RETIREMENT OBLIGATION 172972 LTD PENSION OBLIGATION 14920987 ASSET RETIREMENT 77000 OTHER LIABILITIES 3223304 20337984 X 108069529 0 108069529 25376 -355448 -330072 107739457 105365745 355448 355448 105010297 25376 25376 105035673 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. 1 1 1 X 300.000000000000 1 X 1 1 1 0 1 1 627662 627662 0.00600 25820013 23011339 2808674 0.02670 26447675 23011339 3436336 0.03270 39 30744 30744 0.00030 39 30744 30744 0.00030 39 26478419 23011339 3467080 0.03300 0 2285394 32947998 41597957 -8649959 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 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 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 $5,172,699 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. 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. 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. REPORTS FILED WITH STATES PART VI, LINE 7 NY X X X X 0 0 0 0 0 0 0 0 0 ANN C GILPIN 246255 0 0 0 0 0 6441 0 15701 0 268397 0 0 0 RENATO MANDANAS MD 299391 0 0 0 0 0 7061 0 15492 0 321944 0 0 0 ROBERT POMPO 172142 0 0 0 0 0 5624 0 9788 0 187554 0 0 0 NANCY DEAVERS 150676 0 0 0 0 0 6756 0 14780 0 172212 0 0 0 SANJEEV VERMA 528652 0 0 0 0 0 11884 0 15012 0 555548 0 0 0 JOHN ELLIE 557960 0 0 0 0 0 5474 0 1989 0 565423 0 0 0 STANLEY LUBINGA 611874 0 0 0 0 0 4695 0 14747 0 631316 0 0 0 SHAWN MILLS 535645 0 0 0 0 0 5645 0 14828 0 556118 0 0 0 MARIA MUTABDZIC 266953 0 0 0 0 0 6602 0 9271 0 282826 0 0 0 PETER CULLINAN FAMILY MEMBER 113558 EMPLOYMENT OF JAMES CULLINAN BY OSWEGO HOSPITAL AND HE IS A BROTHER TO BOARD MEMBER, PETE CULLINAN. 0 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 $113,558. 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 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 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN PENSION LIABILITY -2,138,985. THE CONSOLIDATED FINANCIAL STATEMENTS CONSISTED OF OSWEGO HOSPITAL AND ITS AFFILIATE. 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 ONTARIO MEDICAL PRACTICE PC 110 WEST SIXTH STREET OSWEGO NY 13126 412069668 INACTIVE CORPORATION NY OSWEGO HEALTH INC S 1715 1.00000 0 1 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0