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        <BusinessNameLine1>SENECA HILL MANOR INC</BusinessNameLine1>
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        <City>Oswego</City>
        <State>NY</State>
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      <DateSigned>2013-11-15</DateSigned>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SchJ_P01_S00_L03</Identifier>
        <ReturnReference>Schedule J, Part I, Line 3</ReturnReference>
        <Explanation>Seneca Hill Manor's Human Resource Dept bases compensation of employees on comparability data from area facilities and is reviewed on a regular basis. The Manor creates an employment confirmation letter when someone is hired. The Oswego Health President &amp; CEO determines the salary of the Manor's Vice-President &amp; Chief Operating Officer. Performance evaluations are completed on all officers and key employees which is an integral part of the salary determination.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="R000005" softwareId="12000197" softwareVersion="v1.00">
      <GeneralExplanation>
        <Identifier>F990_P06_S0A_L06</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 6</ReturnReference>
        <Explanation>Oswego Health, Inc. is the sole member of Seneca Hill Manor, Inc.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0A_L07a</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7a</ReturnReference>
        <Explanation>Minutes of the Seneca Hill Manor Board are approved by Oswego Health board of Directors</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0A_L07b</Identifier>
        <ReturnReference>Form 990, Part VI, Section A, Line 7b</ReturnReference>
        <Explanation>Minutes of the Seneca Hill Manor Board are approved by Oswego Health board of Directors</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L11b</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 11b</ReturnReference>
        <Explanation>Form 990 and it's supporting and supplemental information is prepared and verified for accuracy by the Controller. All totals are tied to the Financial Statements which are audited by an outside firm. The return is then reviewed, signed and approved by Seneca Hill Manor's Vice-President &amp; Chief Operating Officer and presented to the Oswego Health Audit Committee and made available to members of The Manor Board of Directors prior to filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L12c</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 12c</ReturnReference>
        <Explanation>It is the organizations policy that board members have no conflict of interest while serving their term. All member and participating staff have signed a conflict of interest statement to this effect.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0B_L15</Identifier>
        <ReturnReference>Form 990, Part VI, Section B, Line 15</ReturnReference>
        <Explanation>Seneca Hill Manor's Human Resource Department bases compensation of employees on comparability data from area facilities and is reviewed on a regular basis. The Manor creates an employment confirmation letter when someone is hired. The Oswego Health President &amp; CEO determines the salary of the Manor's Vice-President &amp; Chief Operating Officer. Performance evaluations are completed on all officers and key employees which is an integral part of the salary determination.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P06_S0C_L19</Identifier>
        <ReturnReference>Form 990, Part VI, Section C, Line 19</ReturnReference>
        <Explanation>Form 990, board minutes, conflict of interest policy, and audited Financial Statements are stored on site and are available for review to the general public during normal business hours upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>F990_P11_S00_L09</Identifier>
        <ReturnReference>Form 990, Part XI, Line 9</ReturnReference>
        <Explanation>Pension related changes other than net periodic benefit cost -$143,721</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="R000006" softwareId="12000197" softwareVersion="v1.00">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Oswego Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>110 West 6th Street</AddressLine1>
          <City>Oswego</City>
          <State>NY</State>
          <ZIPCode>13126</ZIPCode>
        </AddressUS>
        <EIN>150532220</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>170(b)(1)(A)(iii)</ExemptCodeSection>
        <PublicCharityStatus>501 c 3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Oswego Health Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Oswego Health Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>110 West 6th Street</AddressLine1>
          <City>Oswego</City>
          <State>NY</State>
          <ZIPCode>13126</ZIPCode>
        </AddressUS>
        <EIN>161555936</EIN>
        <PrimaryActivities>Parent Health Company</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 c 3</ExemptCodeSection>
        <PublicCharityStatus>Line 11 b Schedule A</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Springside at Seneca Hill</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>10 County Route 45 A</AddressLine1>
          <City>Oswego</City>
          <State>NY</State>
          <ZIPCode>13126</ZIPCode>
        </AddressUS>
        <EIN>161555935</EIN>
        <PrimaryActivities>Adult Living Facility</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 c 3</ExemptCodeSection>
        <PublicCharityStatus>Line 9 Schedule A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Oswego Health Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>OH Properties Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>110 West 6th Street</AddressLine1>
          <City>Oswego</City>
          <State>NY</State>
          <ZIPCode>13126</ZIPCode>
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        <EIN>161365960</EIN>
        <PrimaryActivities>Real Estate Company</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 c 3</ExemptCodeSection>
        <PublicCharityStatus>Line 11 b Schedule A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Oswego Health Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Oswego Health Home Care Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>113 Schuyler Street</AddressLine1>
          <City>Fulton</City>
          <State>NY</State>
          <ZIPCode>13069</ZIPCode>
        </AddressUS>
        <EIN>161391400</EIN>
        <PrimaryActivities>Home care</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 c 3</ExemptCodeSection>
        <PublicCharityStatus>Line 9 Schedule A</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Oswego Health Inc</BusinessNameLine1>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Physician Care PC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>110 West 6th Street</AddressLine1>
          <City>Oswego</City>
          <State>NY</State>
          <ZIPCode>13126</ZIPCode>
        </AddressUS>
        <EIN>900864974</EIN>
        <PrimaryActivities>Non-Profit Corporation</PrimaryActivities>
        <LegalDomicileState>NY</LegalDomicileState>
        <ExemptCodeSection>501 c 3</ExemptCodeSection>
        <PublicCharityStatus>Line 11 Type III</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Oswego Hospital</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>OH Services Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>110 West 6th Street</AddressLine1>
          <City>Oswego</City>
          <State>NY</State>
          <ZIPCode>13126</ZIPCode>
        </AddressUS>
        <EIN>161390603</EIN>
        <PrimaryActivity>Inactive Corporation</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Oswego Health Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>5000</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Ontario Medical Practice PC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>110 West Sixth Street</AddressLine1>
          <City>Oswego</City>
          <State>NY</State>
          <ZIPCode>13126</ZIPCode>
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        <PrimaryActivity>Inactive Corporation</PrimaryActivity>
        <LegalDomicileState>NY</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>Oswego Health Inc</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>S</TypeOfEntity>
        <ShareOfTotalIncome>1715</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>1</PercentageOwnership>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>0</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>0</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>1</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>0</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
    <ReasonableCauseExplanation documentId="R000007" softwareId="12000197" softwareVersion="v1.00">
      <Explanation>Application for extension of time to file an Exempt Organization Return, for the return form 990 and tax period December 31,2012 was approved by the IRS</Explanation>
    </ReasonableCauseExplanation>
  </ReturnData>
</Return>